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2022-03-28 thru 2022-04-24 Cert PayrolleCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2022-04-24 Payroll Number: 147 Amendment Number: 0 20 employee payroll record(s) processed Your Transaction ID is: 13934951 Print this Page View your submission - Adobe Submit another set of payroll records Public Works Certifie yroll Reporting Form Certification undo? penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2022-04-24 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2022-05-05." Contractor Name: PWLC II, INC. . Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: PO BOX 848, THOUSAND PALMS, CA 92276 FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM Insurance Number: NA Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE S LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 147- 0 For Week Ending: 04/24/2022 0 Is this a 'Statement of Non -Performance?' Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal Stale Vac! Health Earned Tax FICA Tax SDI Holiday & Welt.Pension Net ALATORRE. GRISELDA 0 Dale Total Hourly Wage Check 11550 WESTERN AVE Work 04118 04119 04120 04121 04122 04123 04/24 Hours Pay Rate This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Number Classification Hours Worked Each Day Pro i Project Projects Week DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S40.00 8.00 8.00 8.00 8.00 8.00 0.00 0.00 16.00 640.00 640.00 Training Fund Dues Tray! Savings Other Total 577.60 13764 LABORER- 0 0.00 0,00 0.00 o.DD 0.00 0.00 0.0o o.00 0.00 Admin Subs Deduct 92240 RIVERSIDE 0.00 0.00 0 00 0.00 0.00 6.40 62.40 Immo D 0.00 0.0o a oo moo 0.00 0,D0 0.00 0.00 0.00 NOTE: OTHER = 6.40 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health Tax FICA Tax SDI Holiday d W&t. Pension Nel BRIONES, MARCELINO 2 DaleEarned Total Heady Wage Check 50700 CALLE MENDOZA Work 04l18 04119 04120 04/21 04/22 04123 04/24 Hours Pay Rale This All 56.45 58.14 12.26 8.36 0.00 0.00 0.00 Paid For Number COACHELLA Classification Hours Worked Each Day Project Projects Pro Week CA LANDSCAPE MAINTENANCE 5 8.00 0.00 8.00 0.00 0.00 0.00 0.00 16.00 19.00 304.00 760.00 Training Fund Dues Tray/ Savings Other Total 817.19 13765 LABORER- O 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 Admin Subs Deduct 92236 RIVERSIDE 0.00 0.00 0,00 0.00 0.00 7.60 142.81 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = S7.60 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State Vac/ Health Nal Earned Tax Tax 501 Holiday5 Welt. Pension COLIN SANCHEZ, HUGO G 0 Date Total Hourly Wage Check 1500 E SAN RAFAEL DR #164 Work 04/18 04/19 04120 04l21 04/22 04123 04/24 Hours Pay Rale This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Number PALM SPRINGS Classificatlon Hours Worked Each Day Project Projects Week CA LANDSCAPE MAINTENANCE S 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 16.60 128.00 640.00 Training Fund Admin Dues Tray/ Savings Other Total 584.00 13740 LABORER- O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Subs Deduct 92262 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 56.00 - D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Public works Certified Payroll Reporting Form 05/05/2022 - Page 1 Public Works Certifie�iyroll Reporting Form Contractor Name: PWLC ii, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/24/2022 Payroll Number:147-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Not Earned Tax Tax Holiday& Wolf, Pension CORONADO, JESUS D Dale Total HourlyWage Check 82948 CORTE LUCIA Work 04118 04119 04/20 04121 04122 04123 04/24 Hours Pay Rale This All 0.00 48.96 0.00 7.04 0.00 0,00 0.00 Paid For Number INplO Classification HoursProjects Hours Worked Each Day Project Week CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 8.00 8.00 0,00 D.00 40.00 15.00 640,00 fi40,00 Training Fund Dues Savings Other Total 584,00 13766 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin SubsTray/ Subs 92201 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 56.00 OMNI D 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments SoclaiSecudtyNumberofWorker Withholding Mon Tuo Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Nel Earned Earned Tax Tax Holiday& Welf, DIMAS, PEDRO REYES 1 Dale Total Hourly Wage Check 31-900 AVENIDA EL MUNDO Work 04/18 04119 04120 04/21 04/22 04/23 04124 Hours Pay Rate This All 47.21 61.20 8.72 8.80 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 8.00 8.00 0.00 0.00 8.00 0.00 0.00 24.00 20.00 480.00 800.00 Training Fund Admin Dues Tray/ Subs Savings Other Tolal 666.07 13742 LABORER- p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92234 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 8.00 133.93 - D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 8.00 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tua Wed Thu Fri Sat Sun Gross Amount Federal FIB Stale Vac/ Health Net Earned Tax Tax SDI Holiday & WaIL Pension FLORES-VARELAS, RENE A 0 Date Total Hourly Wage Check 65868 7TH ST Work 04/18 04119 04120 04/21 04/22 04/23 04124 Hours Pay Rale This All 96.75 82.00 39,62 11.79 0,00 0.00 0.00 Paid For Number ClassificationWeek Hours Worked Each Day Project Projects 1 DESERT HOT SPRINGS CA TREE MAINTENANCE S40.00 8.00 8.00 5,00 8.00 8.00 0.00 0.00 26.57 1,071.95 1,071.95 Training Fund Dues Tray! Sayings Other Total 841.79 13772 (LABORER} 0 0.00 0.00 0.00 0.00 0,25 0,00 0.00 0,25 35.56 Admin Subs 92240 GROUNDSPERS 0.00 0.00 0.00 0.00 0,00 0.00 230.16 INIMINO ON D 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE: Name. Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Frl Sat Sun Gross Amount Federal FICA Stale Vac! Health Net Tax Tax SDI Holiday & Wolf. Pension GONZALEZ. GABRIELA 0 DaleEarned Total HourlyWage Chock 66900 IRONWOOD DR 41406 Work 04/18 04/19 04120 04/21 04/22 04/23 04/24 Hours Pay Rate This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Number DESERT HOT Classification Hours Worked Each Day Project 1 Projects 1 Week SPRINGS CA LANDSCAPEB.OD MAINTENANCE S24.00 0.00 8.00 0.00 8.00 0.00 O.DO 18.00 384.00 640.00 Training Fund Dues Tray/ Savings Other Total 584.00 13767 LABORER- 0 0.00 0.00 11.00 0.00 0.00 0,00 0,00 0.00 0.00 Admin Subs 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0,60 56.00 1111.11111 D D.Do Q.00 Q.00 o.Do am D.Do 0.0o o.00 D.ao NOTE: Public works Certified Payroll Reporting Form 05/05/2022 - Page 2 Public Works CertifiE ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/24/2022 Payroll Number:147-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday8 Well. HERNANDEz JOSE 0 Total Hourly Wage Check 9243 VISTA DEL VALLE Work 04118 04119 04/20 04/21 04/22 04/23 04124 Hours Pay Rate This All 17.98 39.17 4.53 5.63 0.00 0.00 0.60 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 5 8.00 8,00 6.00 0,00 B.00 0,00 0,00 32.00 16.00 512.00 512.00 Training Fund Admin Dui S Subsubs Savings Other Total 444.69 13745 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 67.31 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Grass Amount Federal FICA State SDI Vac/ Health Pension Net Earned Tax Tax Holiday & Well, IZAZAGA MACIEL. FABIAN 0 Dale To[al Hourly Wage Check 104 FRONTIER RD Work 04118 04119 04l20 04/21 04/22 04/23 04124 Hours Pay Rate This All 0.00 88.32 35.98 12.70 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Pro Project j Projects PALM SPRINGS CA TREE MAINTENANCE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 28.62 1,154.60 1,154.60 Training Fund Admin Dues Tray! Subs Savings Other Total 1,017.60 13774 (LABORER). 0 0.00 0.00 0.00 0.00 0.25 0.00 0.00 0.25 39.20 92262 TREE TRIMMER 0.00 0.00 0.00 0.00 0.00 0.00 137.00 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday 8 Well. IZAZAGA, TORIBIO 0 Total Hourly Wage Check 32315 CANYON VISTA RD NB Work 04/18 04119 04720 04/21 04122 04/23 04124 Hours Pay Rate This All 0.00 88.33 30.53 12.70 0.00 0.00 0.00 Paid Far Week Number Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA TREE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0,00 40.00 28.62 1,164.60 1,154.60 Training Fund Admin Dues Tray! Subs Savings Other Total 1,023.04 13773 (LABORER)- 0 0.00 0.00 0.00 0.00 0.25 0.00 0,00 0.25 39.20 92234 TREE TRIMMER 0.00 0.00 0.00 0.00 0,00 0.00 131.56 NIMES D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tull Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac! Health Pension Net Dale Earned Tax Tax Holiday & Welf, JIMENEZ, IVETTE 0 Total Hourly Wage Check 49615 HARRISON ST #40 Work 04/18 04/19 04/20 64/21 04/22 04/23 04/24 Hours Pay Rate This All 19.20 38.18 0.00 5,49 0,00 0.00 0,00 Paid For Week Number ClassificationProject Hours Worked Each Day Projects ro) COACHELLA CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 5.50 0.00 2.00 0.00 31.50 16.00 504.00 504.00 TrainingFund Admin Dues S Subsubs Sayings 9 Other Total 435.85 13768 LABORER- p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.30 68.15 D 0,00 0.00 0.00 0,00 0,00 0,00 0.00 0.00 0.00 NOTE: OTHER = 5.30 DENTAL INSURANCE Public works certified Payroll Reporting Form 05/05/2022 • Page 3 Public Works Certifie tyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/24/2022 Payroll Number:147-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal RCA State SDI Vac! Health Pension Net Earned Tax Tax Holiday & Welt. LUNA GONZALEZ, CARLOS 4 Dale Total Hourly Wage Check 66145 7TH ST Work 04118 04/19 04/20 04121 04/22 04/23 04/24 Hours Pay Rate This All 62.37 89.23 9.62 12.83 0.00 0.00 0.00 Paid For Week Number ClassificationPro'ec1 Hours Worked Each Day J Pro acts 1 DESERT HOT SPRINGS CA TREE MAINTENANCE 537.50 8.p0 8.00 8.00 5.50 8.00 0.00 0.00 30.82 1,166.35 1,166.35 Training Fund Dues Tray/ Savings Other Total 992.30 13775 (LABORER).- o 0.00 0.00 0.00 0.00 0.25 0.00 0.00 0.25 42,39 Admin Subs 92240 SENIOR TREE 0.00 0.00 0.00 0.00 0.00 0.00 174.05 IIIIMM TRIMMER D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 p,00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale 541 Vac/ Health Pension Net MEQINA ESCOBAR. JUAN F 0 Date Total Hourly Earned Tax Tax Holiday& Well. Wage Wage Check 65946 DESERT VIEW AVE Work 04/18 04/19 04/20 04/21 04/22 04/23 04/24 Hours Pay Rate This All 0.00 53.61 4.21 7.71 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project 1 Pro eels 1 DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8,00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Training Fund Admin Dues Train' Subs Savings Other Total 628.09 13748 LABORER- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 26.38 91.91 - D 0.00 0.00 0.00 D.D0 D.00 0.00 0.00 D.00 0.00 i NOTE: OTHER = 13.88 HEALTH INSURANCE, 5.30 DENTAL INSURANCE S 7.20 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Net Earned Tax Tax Holiday & Wed.Pension MUNOZ,EVERARDO 0 Dale Total Hourly Wage Check 74501 42ND AVE Work 04/18 04119 04120 04/21 04/22 04/23 04/24 Hours Pay Rale This All 0.00 54.67 2.42 7.86 0.00 0.00 0.00 Paid For Number Classification Hours Worked Each Day jWeek Project Projects PALM DESERT CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720,00 Training Fund Admin Dues Tray/ Subs Savings Other Total 549.75 13769 LABORER- t] 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92260 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.30 70.25 INEMO D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 5.30 DENTAL INSURANCE Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State Vac! Health Net Earned Tax Tax SDI Holiday & Wed. Pension MURILLO MARTINEZ. JUAN 0 Date Total Hourly Wage Check 48097 ESTRELLA TOMAS 0104( 04/18 04/19 04/20 04/21 04/22 04/23 04/24 Hours Pay Rate This All 52.73 55.92 14.04 8.04 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 17.00 731.00 731.00 Training Fund Dues Tray/ Savings Other Total 600.27 13770 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00 25.50 Admin Subs 92236 RIVERSIDE 0.00 0.00 0.00 11.00 0.00 0.00 130.73 111111111/ D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Public works Certified Payroll Reporting Form 05/05/2022 - Page 4 Public Works Certifie�ryroli Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/24/2022 Payroll Number:147-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac! Health Pension Net Earned Tax Tax Holiday& Well. RAMIREZ MARCELINO 0 Data Total Hourly Wage Check 1500 E SAN RAFAEL DR #164 Work 04/18 04/19 04120 04/21 04122 04/23 04/24 Hours Pay Rate This All 0.00 88.21 5.03 12,68 0,00 0,00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA TREE8.00 MAINTENANCE S 8.00 8.OD 0.00 8.00 0.00 0.00 32.00 28.62 925.64 1,172.20 TrainingFund Admin Dues Tray Subs Sayings Other Total 1,035,54 SEE NOTES (LABORER} O 0.00 0.00 0.00 0.00 0.25 0.00 0.00 0.25 39.20 92262 TREE TRIMMER 0.00 0.00 0.00 0.00 0.00 30.74 136.66 _ D 0,00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: PAYCHECK NUMBERS: 13776; 6732 ; OTHER = 13.88 HEALTH INSURANCE, 5.31 DENTAL INSURANCE A 11.55 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac! Health Pension Net Earned Tax Tax Holiday& Well. RAMIREZ MARCELINO 0 Dale Total Hourly Wage Check 1500 E SAN RAFAEL DR #164 Work 04/18 04/19 04/20 04121 04122 04/23 04/24 Hours Pay Rate This All 0,00 88,21 5.03 12.68 0.00 0.00 0.00 Paid For Week Number ClassificationPrp Hours Worked Each Day j act Pry acts i PALM SPRINGS CA TREE MAINTENANCEAdmin S 0.00 0.00 0,00 8.00 0.00 0.00 0.00 8.00 30.82 246.58 1,172.20 TrainingFund DuesTrav! Subs Sayings 0 Other Total 1,035.54 SEE NOTES (LABORER} a 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92262 SENIOR TREE 0.00 0,00 0.00 0.00 0.00 30.74 136.66 WNW TRIMMER D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 NOTE: PAYCHECK NUMBERS: 13776; 6732; OTHER = 13.88 HEALTH INSURANCE, 5.31 DENTAL INSURANCE d 11.55 401K Name, Address and Number of Day Deductions, Contribution , end Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac! Health Pension Net Earned Tax Tax Holiday8 Well. SANTOS VELAZQUEZ. LUIS A 0 Date Total Hourly Wage Check 33141 SHIFTING SANDS //2 Work 04/18 04/19 04/20 04/21 04/22 04123 04124 Hours Pay Rate This All 0.00 82,01 23.25 11.79 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA TREE MAINTENANCE S40.00 8.00 8.00 8.00 8.00 8.00 0.00 0.00 26,57 1,071.95 1,071.95 Training 9 Fund Admin Dues Tray/ Subs Savings Other Total 954,90 13777 (LABORER} p 0.00 0.00 0.00 0.00 0.25 0.00 0.00 0.25 36.58 92234 GROUNDSPERS _ 0.00 0.00 0.00 0.00 0.00 0.00 117.05 MIMI ON D 0.00 D.DD O.DD O.DO D.00 o.o0 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Sale SDI Vac! Health Pension Net Tax Tax Holiday S Well. SORIANO LOZANO. FERNANDO B 0 Date Total HourlyEarned Wa e g Check 33300 PUEBLO TR #A Work 04/18 04/19 04120 04121 04/22 04/23 04/24 Hours Pay Rate This All 15.38 48.96 0.00 7.04 0,00 0.00 0.00 Paid For Number Classification Hours Worked Each Day1 ProjectonWeek Projects CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8,00 6.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 562.22 13771 LABORER- D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92234 RIVERSIDE 0.00 0.00 0.00 0,00 0.00 6.40 77.78 IIIIIMMII D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 6A0 401K Public works Certified Payroll Reporting Form 05/05/2022 - Page 5 Public Works Certifi€ lyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/2412022 Payroll Number: 147-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac! Health Pension Net Date Earned Tax Tax Holiday 8 Welt. VALDEZ. HUMBERTO S Total Hourly Wage Check 12966 CACTUS DR #A Work 04/18 04/19 04120 04121 04/22 04/23 04/24 Hours Pay Rate This All 130.78 82.00 35.95 11.79 0.00 0.00 0.00 paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA TREE MAINTENANCE s8.00 8.q0 8.00 8.00 8.q0 0.00 0.00 40.00 26.57 1,071.95 1,071.95 Training Fund Admin Dues Trav! Subs Savings Other Total 800.71 13778 ILASORERj- 0 0.00 0.00 0.00 0.00 0.25 0.00 0.00 0.25 36.58 92240 GROUNDSPERS 0.00 0.00 0.00 0.00 0.00 10.72 271.24 IIMIIME ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER a 10.72 401K Public works certified Payroll Reporting Form 05/05/2022 - Page 6 eCPR Online Confirmation your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2022-04-17 Payroll Number: 146 Amendment Number: 0 20 employee payroll record(s) processed Your Transaction ID is: 13873276 Print this. Page View your submission F Submit another set of payroll records Public Works Certifie iyroll Reporting Form Certification underpenalty of perjury; "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2022-04-17 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2022-04-277 Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: PO BOX 848, THOUSAND PALMS, CA 92276 FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM Insurance Number: NA Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 146- 0 For Week Ending: 04/17/2022 , Is this a 'Statement of Non -Performance?' Name, Address and Number al Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ I leallh Pension Net Dale Earned Tax Tax Holiday & Welt. 0 Total Hourly Check ALATORRE, GRISELDA 11550 WESTERN AVE Work 04111 04112 04/13 04114 04l15 04/16 44l17This Hours PayRale All 0.00 48,96 0 00 7.04 0.00 0.00 0.00 Paid For Week Number ClassificationProject Hours Worked Oath Day Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0,00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 577.60 13724 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0 00 6.40 62.40 NIONIMIli D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 6.40 401K Name, Address Number of Day Deductions. Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac! Health Pension Net Date Earned Tax Tax Holiday & Welt. Wage MARCELINO 2 Total Hourly Check BRIONES, MENDOZA Work 04/11 04/12 04/13 04/14 04/15 04/16 04/17 Hours Pay Rate This All 63.22 62.50 15.74 8.99 0.00 0.00 0.00 Paid For Weak Number 50700 CALLE Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 8.00 8,00 0,00 0.00 40.00 19.00 817.00 817.00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 658.38 13725 LABORER- 0.00 0.00 0.00 0.00 0.00 2.00 DAD 92236 RIVERSIDE O 2.00 28.50 0.00 0.00 0.00 0.00 0.00 8.17 158.62 IMMO D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 8.17 401K Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Well, Wage COLIN SANCHEZ, HUGO G 0 Total Hourly ^ Check E SAN RAFAEL DR #164 Work 04111 04/12 04/13 04/14 04/15 04116 04/17 Hours Pay Rate This All 0.00 48.96 0.00 7.04 0.00 0.00 0,00 Paid For Week Number 1500 Classification Hours Worked Each Day Projeci Projects PALM SPRINGS CA LANDSCAPE MAINTENANCE 524.00 8.00 8.00 8.00 0.00 0.00 0.00 0.00 16.00 384.00 640.00 Training Fund Admin Dues Tray)Savings Subsubs Other Total Deduct 584.00 13700 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92262 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 56.00 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Public works Certified Payroll Reporting Form 04/27/2022 - Page 1 Public Works Certifie,Llyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/17/2022 Payroll Number:146-0 Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac! Health Pension Net DateEarned Tax Tax Holiday 8 Welf. Wage JESUS 0 Total Hourly Check CORONADO, W 04/11 04/12 04/13 04/14 04/15 04116 04/17 Hours Pa Rate y This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number 82948 CORTE LUCIA Classification Hours Worked Each Day1 H Project Projects INDIO CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 8,00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 584.00 13726 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 g,00 0.00 92201 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 56.00 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA Stele SDI Vac! Health Pension Net Dale Earned Tax Tax Holiday & Well. Wage DIMAS, PEDRO REYES 1 Total Hourly Check 31.900 AVENIDA EL MUNDO Work 04/11 04/12 04/13 04/14 04115 04/16 04/17 Hours Pay Rale This All 47.21 61.20 8.72 8.80 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA LANDSCAPE0.00 MAINTENANCE s 8.00 0.00 0.00 0.00 0.00 0.00 8.00 20.00 180.00 800.00 Training Fund Admin Dues S Subsubs Savings Other Total 666.07 13702 LABORER- 0 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 92234 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 8,00 133.93 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 8.00 401K Name, Address and Number of Day Deductions. Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Welt. Wage FLORES-VARELAS, RENE A 0 Total Handy Check 65868 7TH ST Work 04/11 04/12 04/13 04/14 04/15 04/16 04/17 Hours Pay Rate This All 91.88 80.15 37.49 11.52 0.00 0.00 0.00 Paid For Weak Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA TREE MAINTENANCE S 8.00 8.00 6.00 8.00 3.00 0.00 0.00 38.00 26.57 7,009.66 1,047.66 Training AFund dmits Dues sots Savings Other Total 826.62 13732 (LABORER)- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 GROUNOSPERS 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 221.04 IMMO ON p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday Wolf. Wage GONZALFS, GABRIELA 0 Total Hourly Check 66900 IRONWOOD DR 91406 Work 04/11 04/12 04/13 04114 04/15 04/16 04/17 Hours Pay Rate This All 0.00 48.96 0.00 7.04 0.00 0.00 0,00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Tray/ Subs uhs Savings Other Total 584.00 13727 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 56.00 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Public works Certified Payroll Reporting Form 04/27/2022 - Page 2 Public Works Certifie ,yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/17/2022 Payroll Number:146-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA Stale SDI Vad Health Pension Net Date Earned Tax Tax Holiday & Welt• HERNANDEZ. JOSS 0 Total Houdy Wage Check 9243 VISTA DEL VALLE Work 04/11 04/12 04113 04/14 04/15 04/16 04/17 Hours Pay Rate This All 33.34 48.96 10.04 7.04 0.00 0.00 0,00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 TrainingFund Admin Dues Ss! Subs Sayings g Other Total 540.62 13705 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 99.38 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE; Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Earned Tax Tax Holiday& Well. IZAZAGAMACIEL,FA9IAN 0 Date Total Hourly Wage Check 104 FRONTIER RD Work 04/11 04/12 04113 04/14 04115 04/16 04/17 Hours Pay Rale This All 0.00 86.41 33.77 12.43 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA TREE8.00 MAINTENANCE s 8.00 6.00 8.00 8.00 0,00 0.00 38.00 26.62 1,087.56 1,129.56 TrainingFund Admin Dues S Subsubs Savings Other Total 996.95 13734 (LABORER)- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92262 TREE TRIMMER 0.00 0.00 0.00 0.00 0.00 0.00 132.61 IMMO D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 NOTE: Name, Address and Number of Day Deductions. Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Grass Amount Federal FICA Stale SDI Vac! Health Pension Net Date Earned EarnedWage Tax Tax Holiday& Welt. IZAZAGA, TORIBIO 0 Total Hourly Check 32315 CANYON VISTA RD #B Work 04111 04112 04/13 04/14 04115 04/16 04/17 Hours Pay Rate This All 0.00 86.25 28.15 12.40 0.00 0.00 0.00 Paid For Week Number Classification H Hours Worked Each Day1 Project Projects CATHEDRAL CITY CA TREE MAINTENANCE S38.00 B.OD B.DD 6.00 8.60 8.D0 0.00 0.00 28.62 1,087.55 1,127.56 Training Fund Admin Dues Tray! Subs Savings Other Total 1,000.76 13733 (LABORER} 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92234 TREE TRIMMER 0.00 0.00 0.00 0.00 0.00 0.00 126.80 OMEN D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac/ Health Pension Net Earned Tax Tax Holiday8 Welf. JIMENEZ. IVETTE 0 Date Total Hourly Wage Check 49615 HARRISON ST #40 W 04/11 04/12 04113 04/14 04/15 04116 04/17 Hours Pay Rate This All 35.40 48.55 4.35 6.98 0.00 0,00 0.00 Paid For Week Number ClassificationProjects Hours Worked Each Day1 Project COACHELtA CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 539.42 13728 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.30 100.58 - D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 5.30 DENTAL INSURANCE Public works Certified Payroll Reporting Form 04/27/2022 - Page 3 Public Works Certifie lyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/17/2022 Payroll Number: 146-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal RCA State SOI Vac1 Health Pension Net •Holiday Dale Earned Tax Tax & Well. LUNA GONZALEZ, CARLOS 4 Total Hourly Wage Check 66145 7TH ST Work 04111 04/12 04113 04/14 04115 04/16 04/17 Hours Pay Rate This All 58.99 87.07 8.38 12.52 0.00 0.00 0.00 Paid For Week Number Classification t Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA TREE MAINTENANCE S 8.00 8.00 0.00 8.00 8.00 0.00 0.00 32.00 . 30.82 986.24 1,138.24 Training Fund Admin Dues Smut Subs Savings Other Total 971.28 13735 (LABORER). O 0.00 0.00 0.00 0.00 0.00 0.011 0.00 0.00 0.00 92240 SENIOR TREE 0.00 0.00 0.00 0.00 0.00 0.00 166.96 411111110 TRIMMER D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday 8 Well. MEDINA ESCOBAR, JUAN F 0 Total Hourly Wage Check 65946 DESERT VIEW AVE Work 04/11 04/12 04/13 04/14 04/15 04116 04/17 Hours Pay Rate This All 0.00 42.59 0.00 0.13 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project1 Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCEAdmin 8.00 0.00 8.00 8.00 8,00 0.00 0.00Trav/S 32.00 18.00 576.00 576.00 TrainingFund Dues Subs Subs Savings Other Total 502.34 13708 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 92240 RIVERSIDE _ 0.00 0.00 0.00 0.00 0.00 24.94 73.66 111.11.111 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 13.88 HEALTH INSURANCE. 5.30 DENTAL INSURANCE & 5,76 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tuo Wed Thu Fri Sat Sun Gross Amount Federal RCA State SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Wolf. Wage MUNOZ, EVERARDO i 0 Total Hourly Check 74501 42ND AVE • Work 04/11 04/12 04/13 04/14 04/15 04/16 04117 Hours Pay Rate This All 0.00 32.64 0.00 4.69 0.00 0.00 0.00 Paid For Week Number S Classification Hours Worked Each Day Project Projects PALM DESERT CA LANDSCAPE MAINTENANCE S 0.00 0.00 8.40 8.00 8.00 0.00 0.00Fund 24.00 18.00 432,00 432.00 Training Admin Dues subs Savings Other Total 389.37 13729 LABORER- p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 .e 92260 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.30 42,63 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 5.30 DENTAL INSURANCE Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SOI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Well. MURILLO MARTINEZ, JUAN 0 Total Hourly Wage Check 48097 ESTRELLA TOMAS Work 04/11 04/12 04/13 04/14 04/15 04/16 04/17 Hours Pay Rate This Ali 52.73 55.92 14.04 8.04 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCE 540.00 8.00 8.00 8.00 8.00 8.00 0.00 0.00 17.00 731.00 731.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 800.27 13730 LABORER- 0 0.00 0.00 0.00 0,00 0,00 0.00 2,00 2.00 25.50 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 130.73 _ D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.90 NOTE: Public Works Certified Payroll Reporting Form 04/27/2022 - Page 4 Public Works Certifie ,yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/17/2022 Payroll Number:146-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA Stale 501 Vac/ Health Pension Nei Date Earned Tax Tax Holiday & Well. RAMIREZ MARCEUNO 0 Total Hourly Wage Check 1500 E SAN RAFAEL DR #164 Work 04111 04112 04/13 04/14 04/15 04/16 04/17 Hours Pay Rate This All 0.00 85.95 3.94 12.36 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA TREE MAINTENANCE s 8.00 8.00 0.00 8.00 8,00 0.00 0.00 32.00 28.62 915.84 1,142.76 Training Fund Admin Dues Tray/ Subs Savings Other Total 1,010.02 SEE NOTES (LABORER)- O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92262 TREE TRIMMER 0.00 0.00 0.00 0.00 0.00 30.49 132.74 MEM D 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 NOTE: PAYCHECK NUMBERS: 13736; 6731 ; OTHER = 13.88 HEALTH INSURANCE, 5.31 DENTAL INSURANCE & 11.30 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Well. RAMIRE2 MARCELINO 0 Total Hourly Wage Check 1500 E SAN RAFAEL DR #164 Work 04/11 04112 04/13 04/14 04115 04/16 04/17 Hours Pay Rate This Atl 0.00 85.95 3.94 12.36 0.00 0.00 0.00 Paid For Week Number ClassificationProject Hours Worked Each Day Projects PALM SPRINGS CA TREE MAINTENANCE $ 0.00 0.00 6.00 0.00 0,00 0.00 0.00 6.00 30.82 184.92 1,142.76 Training Fund Admin Dues S Subsubs Sayings 9 Other Total 1,070.02 SEE NOTES (LABORER)- O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92262 SENIOR TREE 0.00 0.00 0.00 0.00 0.00 30.49 132.74 4111111111 TRIMMER D 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: PAYCHECK NUMBERS: 13736; 6731 : OTHER = 1188 HEALTH INSURANCE, 5.31 DENTAL INSURANCE & 11.30 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac! Health Pension Net Dale Earned Tax Tax Holiday & WefL SANTOS VELAZQUEZ, LUIS A 0 Total Hourly Wage Check 33141 SHIFTING SANDS #2 Work 04/11 04/12 04/13 04/14 04115 04/16 04/17 Hours Pay Rale This All 0.00 79.66 20.59 11.46 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA TREE MAINTENANCE S 8.00 8.00 6.00 8.00 8.00 0.00 0.00 38,00 26.57 1,609.fi6 1,047.66 Training Adrnin Dues Subs Savings Other Total 929.93 13713 (LABORER)- O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92234 GROUNDSPERS 0.00 0.00 0.00 0.00 0.00 0.00 111.73 SEMI ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Data Earned Tax Tax Holiday & Welt. SORIANO LOZANO, FERNANDO B 0 Total Hourly Wage Check 33300 PUEBLO TR #A Work 04/11 04/12 04/13 04/14 04/15 04/16 04/17 Hours PayRate This All 15.38 48,96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 8.00 8.00 0.00 0.00 40,00 16,00 640.00 640.00 Training Fund Admin Dues Tray/ Subs Sayings Other Total 562.22 13731 LABORER- o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 92234 RIVERSIDE 0.00 0,00 0.00 0.00 0.00 6.40 77.78 - D 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 NOTE: OTHER = 6.40 401K Public works certified Payroll Reporting Form 04/27/2022 - Page 5 Public Works Certifits. yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/17/2022 Payroll Number: 146-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fd Sat Sun Gross Amount Federal FICA State SDI Vac! Health Pension Not Dale Earned Tax Tex Holiday & Welf. VALDEZ, HUMBERTO S 0 Total Houdy Wage Check 12966 CACTUS OR HA Work 04111 04l12 04/13 04114 04/15 04116 04/17 Hours Pay Rate This All 125.49 80.15 33.83 11.52 0.00 0.00 0.00 Paid For Week Number ClassificationPjroect Hours Worked Each Day Projects DESERT HOT SPRINGS CA TREE MAINTENANCE S 8.00 8.00 6.00 6.00 8.00 0.00 0.00 38.00 26.57 1,009.86 1.047.66 TrainingFund Admin Dues S Subsubs Sayings 9 Other Total 786.19 13737 (LABORER)- 0 0.00 0.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 GROUNDSPERS 0 00 0.00 0,00 0.00 0.00 10.48 261.47 ON p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 10.48 401K Public Works Certified Payroll Reporting Forts 04/27/2022 - Page 6 eCPR Online Confirmation ''our payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2022-04-10 Payroll Number: 145 Amendment Number: 0 12 employee payroll record(s) processed Your Transaction ID is: 13799032 Print this Page View your submission Submit another set of payroll records Public Works Certifier yroli Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2022-04-10 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2022-04-19." Contractor Name: PWLC ii, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: PO BOX 848. THOUSAND PALMS, CA 92276 FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM Insurance Number: NA Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA OUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 145- 0 For Week Ending: 04/10/2022 Li Is this a 'Statement of Non -Performance?' Name, Address Number of pay Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Weif. Wage 0 Total Hourly Check ALATORRE, GRISELOA WESTERN AVE Work 04/04 04/05 04106 04/07 04/08 04/09 04/10 Hours Pay Rate This All 0.40 48.96 0,00 7.04 0.00 0.00 0.00 Paid For Week Number 11550 ClassificationHours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE s 8.00 8.00 8.00 8.00 8.00 0.00 0,00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 577.60 13565 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 00 0.00 92240 RIVERSIDE 0,00 0.00 0.00 0.00 0.00 6..40 62.40 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 6.40 401K Name, Address Number of Day Deductions, Contributions, and Payments and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount 1 ederel FICA State 5.^.I Vac! Health Pension Net Date Earned Tax Tax Holiday & Welf. Wage MARCELINO 2 Total Hourly Check BRIONes. 50700 CALLE MENDOZA Work 04/04 04/05 04106 04/07 04108 04/09 04/10 Hours Pay Rate This All 63.22 62.50 15.74 8,99 0,00 0,00 0.00 Paid For Week Number Classification Hours Worked Each Day ProJecl Projects COACHELLA CA LANDSCAPE MAINTENANCE S40.00 8 00 8 00 8.00 6.00 8.00 0 00 0.00 19.00 817.00 817.00 Training Fund Admin Dues Tray: Subs Savings Other Total Deduct 658.38 13566 LABORER- 0 0.00 0.00 0.00 0,00 0 00 0.00 2.00 2.00 28.50 92236 RIVERSIDE 0.00 0.00 0.00 -., 0.00 . 0.00 8.17 158.62 D 0 90 6 00 0.00 0.00 0 00 0.00 0.00 0.00 0.00 NOTE: OTHER = 8,17 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Not Date Earned Tax Tax Holiday & Well. COLIN SANCHEZ, HUGO G a Total Hoary Wage Check E SAN RAFAEL DR #164 Work 04/04 04105 04/06 04107 04/08 04/09 04/10 Hours Pay Rate This All 0.00 48,96 0,00 7.04 0.00 0.00 0.00 Paid For Number 1500 Classification Hours Worked Each Day Project ProjectsWeek PALM SPRINGS CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues S. Subsubs Savings Other Total Deduct 584.00 13540 LABORER- 0 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0,00 92262 RIVERSIDE 0.00 0.00 0,00 0,00 0.00 0.00 56.00 MIMI D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Public Works Certified Payroll Reporting Form 04/19/2022 - Page 1 Public Works Certifier iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 50-1 For Week Ending: 04/10/2022 Payroll Number:145-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Not Dale Earned Tax Tax Holiday & Welf. CORONADO, JESUS 0 Total Hourly Wage Check 82948 CORTE LUCIA Work 04/04 04/05 04/06 04/07 04/08 04/09 04/10 Hours Pay Rale This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects INDIO CA LANDSCAPE MAINTENANCE g a.00 8.00 8.00 8.00 8.00 0,00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Tray' Subs Savings Other Total 584.00 13567 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92201 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 56.00 IIIIIIIIIIP D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Welf.Wage DIMAS, PEDRO REYES 1 Total Hourly Check 31-900 AVENIDA EL MUNDO Work04104 04/05 04/06 04107 04/08 04/09 04/10 Hours Pay Rate This All 47.21 61,20 8,72 8,80 0,00 0,00 0,00 Pald For Week Number Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 800.00 800.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 666.07 13542 LABORER- 0 0.00 0,00 0,00 0,00 0.00 0,00 0.00 0.00 0.00 92234 RIVERSIDE 0.00 0,00 0.00 0.00 0.00 8.00 133.93 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE,: OTHER = 8.00 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI VW Health Pension Net Date Earned Tax Tax Holiday & Well. GONZALEZ, GABRIELA 0 Total Hourly Wage Check 06900IRONWOODDR#1406 Work 04/04 04105 04106 04/07 04108 04/09 04/10 Hours Pay Rate This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS LANDSCAPE MAINTENANCECq S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40,00 16,00 640.00 640.00 TrainingFund Admin Dues Smut Subs Savings 9 Other Total 584.00 13568 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 56.00 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Earned Tax Tax Halide yWage & Welt. HERNANDEZ, JOSE 0 Date Total Hourly Check 9243 VISTA DEL VALLE Work 04/04 04/05 04/06 04/07 04/08 04/09 04/10 Hours Pay Rale This Alt 17.98 39.17 4.53 5.63 0.00 0.00 0.00 Paid For Week Number Classificationacts Hours Worked Each Day Project Pro 1 DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 0.00 8.00 8.00 8.00 0.00 0.00 32.00 16.00 512,00 512.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 444.69 13545 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 67.31 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 _ NOTE: Public works Certified Payroll Reporting Form 04/19/2022 - Page 2 Public Works Certifiet .yroii Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/10/2022 Payroll Number: 145-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number or Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Net Date Earned Tax Tax Holiday & WellPension JIMENEZ, IVETTE D Total Hourly Wage Check 49615 HARRISON ST 540 Work 04/04 04/05 04/05 04107 04/08 04I09 04/10 Hours Pay Rate This All 35.40 48.56 4.35 6.98 0,00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Dayj Project Pro acts COACHELLA CA LANDSCAPE MAINTENANCE s 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Tray! Subs Savings Other Total 539.41 13569 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92236 RIVERSIDE 0.00 0,00 0.00 0.00 0.00 5.30 100.59 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 5.30 DENTAL INSURANCE Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDIPension Vac! Health Not Dale Earned Tax Tax Holiday & Weir. MEDINA ESCOBAR, JUAN F 0 Total Hourly Wage Check 65946 DESERT VIEW AVE Work 04/04 04105 04106 04/07 04/08 04/09 04110 Hours Pay Rate This All 0.00 53.62 4.21 7.71 0.00 0.00 0,00 Paid For Number ClassificationWeek Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 4p•00 18.D0 720.00 720.00 Training Fund Admin Dues Subs Savings Other Total 628.08 13549 LABORER- O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 D.00 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 26.38 91.92 -M. D D.o0 o.00 0.0o D.00 0.00 0.00 o.o0 D.Do 0.00 NOTE: OTHER a 13.88 HEALTH INSURANCE. 5.30 DENTAL INSURANCE & 7.20 401 K Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac! Health Pension Net Date Earned Tax Tax Holiday 8 Well. MUNOZ, EVERARDO 0 Total Hourly Wage Check 74501 42ND AVE Work 04/04 04/05 04/06 04/07 04/08 04/09 04/10 Hours Pay Rate This All 0,00 54,67 2.42 7.86 0.00 0.00 0.00 Paid For Week Number • Classification Hours Worked Each Day Project Projects PALM DESERT CA LANDSCAPE MAINTENANCE s 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 745.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 674.75 13570 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92260 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.30 70.25 4111111111 D o.o0 0.00 0.00 0.00 0.00 0.0o D.00 coo coo NOTE: OTHER = 5.30 DENTAL INSURANCE Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday& Welr. MURILLO MARTINEZ JUAN 0 Total Hourly Wage Check 48097 ESTRELLA TOMA5 Work 04/04 04105 04/06 04107 04/08 04/09 04110 Hours Pay Rale This All 52.73 55.92 14.04 8.04 0.00 0.00 0.00 Paid For Week Number Classi Classification Hours Worked Each Day Project 1 Projects COACHELLA CA LANDSCAPE MAINTENANCE s 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 17.00 731.00 731.00 Training Fund Admin Dues Tray! Subs Savings Other Total 600.27 13571 LABORER- 0 0.00 0.00 0.00 0.00 0.00 2.00 0.00 2.00 25.50 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 130.73 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 D.00 SIMMIMI. NOTE: Public Works Certified Payroll Reporting Form 04/19/2022 - Page 3 Public Works Certifies yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/10/2022 Payroll Number:145-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Not Date Earned Tax Tax Holiday & Weif. SORIANO LOZANO. FERNANDO B 0 Totat Hauriy Wage Check 33300 PUEBLO TR #A Work 04/04 04105 04/06 04/07 04/08 04/09 04/10 Hours Pay Rale This All 2.71 39.18 0.00 5.63 0 00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects CATHEDRAL CITY LANDSCAPE S 8.00 8.00 8.00 0.00 8,00 0.00 0.00 32.00 16.00 512.00 512.00 Training Fund Admin Duos S Subsubs Savings Other Total 459.36 13572MAINTENANCECp LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 92234 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.12 52.64 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 5.12 401K Public works Certified Payroll Reporting Form 04/19/2022 - Page • eCPR Online Confirmation four payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2022-04-03 Payroll Number: 144 Amendment Number: 0 12 employee payroll record(s) processed Your Transaction ID is: 13765575 Print this Page View your submission Submit another set of payroll records Public Works Certifiet yroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2022-04-03 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2022-04-13 Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: PO BOX 848, THOUSAND PALMS, CA 92276 FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM Insurance Number: NA Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 144- 0 For Week Ending: 04/03/2022 Is this a 'Statement of Non -Performance?' Name. Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/Health Pension Net DateEarned Tax Tax Holiday 8 Welf. ALATORRE, GRISELDA 0 Total HourlyWage Check 11550 WESTERN AVE won 03/28 03/29 03/30 03/31 04/01 04/02 04/03 Hours Pay Rate This All 0,00 48,96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 540.00 8.00 8.00 8.00 8.00 8.00 0.00 0.00 16.00 640,00 640,00 Training Fund Admin Dues S Subsubs Savings Other Total Deduct 577.60 13524 LABORER- 0 0.00 0,00 0.00 0.00 0,00 0,00 0.00 0.00 0.00 92240 RIVERSIDE 0.00 0.00 0,00 0.00 0.00 6.40 62.40 alli D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.D0 NOTE: OTHER = 6.40 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Grass Amount Federal FICA Stale SDI Health Pension Net Dale Earned Tax Tax Holiday & Well'. BRIONES, MARCELINp 2 Total Houry Wage Check 50700 CALLE MENDOZA Work 03/28 03/29 03/30 03131 04/01 04/02 04/03 Hours Pay Rate This All 63.22 62.50 15,74 8.99 0,00 0.00 0,00 Paid For Week Number Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCE $ 8.00 8.00 B.00 8.00 8.00 0.00 0.00 40.00 19.00 817.00 817.00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 658,36 13525 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00 28.50 92236 RIVERSIDE 0.00 0,00 0,00 0.00 0,00 8,17 158.62 111.1 D 0.00 0.00 0.00 0,00 0,00 0.00 0,00 0.00 0,00 NOTE: OTHER = 8.17 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Well. COLIN SANCHEZ. HUGO G 0 Total Hourly Wage Check 1500 E SAN RAFAEL DR #164 Work03/28 03129 03/30 03/31 04/01 04/02 04/03 Hours PayRate This All 0.00 49.43 0.00 7,11 0.00 D,00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA LANDSCAPE MAINTENANCE $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 646.00 646.00 TrainingFund Admin Dues S Subsubs Savings Other Total Deduct 589.46 13499 LABORER- 0 0.00 0.25 0.00 0.00 0.00 0.00 0.00 0.25 24.00 92262 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 56.54 D 0.00 0,00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 NOTE: Public works certified Payroll Reporting Form 04/13/2022 - Page 1 Public Works Certifiet yroll Reporting Form • Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/03/2022 Payroll Number:144-0 Name. Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Earned Tax Tax Holiday & Well. CORONADO, JESUS 0 Date Total Hourly Wage Check 82948 CORTE LUCIA Work 03128 03/29 03130 03131 04/01 04/02 04/03 Hours Pay Rate This Ail 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects 1 INDIO CA LANDSCAPE MAINTENANCE 5 8,00 8,00 8.00 8,00 8,00 0,00 0.00 40.00 16.00 640.00 640.00 TrainingFund Admin Dues Tray/ Subs Savings 0 Other Total 584,00 13526 LABORER- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92201 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 56.00 - D 0.00 0.00 0,00 0,00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Health Pension Net Earned Tax Tax Holiday & Well. DIMAS, PEDRO REYES 1 Dale Total Hourly Wage Check 31-900 AVENIDA EL MUNDO 03128 03/29 03/30 03131 04/01 04/02 04/03 Hours Pay Rate This All 30.09 48.96 5.23 7.04 0.00 0.00 0,00 Paid For Week Number Classification Hours Worked Each Day Project Pro Projects I CATHEDRAL CITY CAAdmin LANDSCAPE MAINTENANCE 5 0,00 8.00 4.00 8.00 8.00 0.00 0,00 28.00 20.00 560.00 640.00 Training Fund Dues Tray/ Subs Savings Other Total 542.28 13500 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92234 RIVERSIDE 0.00 0,00 0.00 0.00 0.00 6.40 97.72 MIMI D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 coo NOTE; OTHER = 6.40 401K Name. Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Earned Tax Tax Holiday & Wolf. GONZALEZ, GABRIELA 66900 IRONWOOD DR 01406 Work 03/28 03/29 03/30 03/31 04/01 04/02 04/03 Hours Pay Rate This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 5 8,00 8,00 8,00 8.00 8,00 0.00 0,00 40.00 76.00 640,00 640,00 TrainingFund Admin Dues Subs Subs Savings Other Total 584.00 13527 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 56.00 MOM= D 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions. Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Grass Amount Federal FICA Stale 501 Vac/ Health Pension Net Earned Tax Tax Holiday& Welf. HERNANDEZ JOSE 0 Dale Total Hourly Wage Check 9243 VISTA DEL VALLE Work 03/28 03/29 03/30 03/31 04l01 04/02 04/03 Hours Pay Rate This . All 34.06 49.41 10.30 7.11 0.00 0.00 0.00 Paid For Week Number Ctassi8 Hours Worked Each Day/ Project Projects DESERT HOT SPRINGS CA LANDSCAPEalio^ MAINTENANCE S :Loa 8,00 8.00 8.00 0.00 0.00 40.00 16.00 848.00 646.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 545.72 13503 LABORER- Q 0.00 0.25 0.00 0.00 0.00 0.00 0.00 0.25 24.00 92240 RIVERSIDE 0.00 0,00 0.00 0.00 0.00 0.00 100.88 IIMMIII D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Public works Certified Payroll Reporting Form 04/13/2022 - Page 2 Public Works Certifier yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04103/2022 Payroll Number:144-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Earned Tax Tax Holiday & WeIf. JIMENEZ, IVETTE 0 Dale Total Hourly Wage Check 49615 HARRISON ST tfAO Work 03/28 03129 03130 03/31 04/01 04102 04103 Hours Pay Rate This All 35.40 48.58 4.35 6.08 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCE S B,oO 8,00 8,00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Smut Subs Savings Other Total 539.41 13528 LABORER- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.30 100.59 - D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 5.30 DENTAL INSURANCE Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Fedora! FICA State SDI Vac! Health Fenian Net Earned Tax Tax Holiday& Wolf. MEDINA ESCQBAR, JUAN F 0 Date Total Hourly Wage Check 65946 DESERT VIEW AVE Work 03128 03129 03/30 03131 04/01 04102 04103 Hours Pay Rale This All 0,00 54,13 4,50 7.78 0.00 0.00 0.00 Paid For Week Number ClassificationPro Hours Worked Each Day Project j Projects I DESERT HOT SPRINGS CA LANDSCAPE8.00 MAINTENANCE S 8.00 8.00 8,00 8,00 0.00 0.00 40.00 18.00 726.75 726.75 Training Fund Admin Dues Tray/ Subs Savings Other Total 633.89 13507 LABORER- Q 0.00 0.25 0.00 0.00 0.00 0.00 0.00 0.25 27.00 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 26.45 92.86 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE; OTHER= 13.88 HEALTH INSURANCE, 5.30 DENTAL INSURANCE & 7.27 401K Name, Address end Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Earned Tax Tax Holiday & Well. MUNOZ EVERARDO 74501 42ND AVE Work 03/28 03129 03/30 03/31 04/01 04/02 04/03 Hours Pay Rate This All 0.00 54.68 2.42 7.65 0.00 0,00 0.00 Paid For Week Number Classification Hours Worked Each Day Project 1 Projects PALM DESERT CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 649.74 13529 LABORER- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92260 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.30 70.26 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE; OTHER = 5.30 DENTAL INSURANCE Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale 5D1 Vac/ Health Pension Not Earned Tax Tax Holiday& Welf. MURILLO MARTINEZ, JUAN 0 Dare Total Hourly Wage Check 48097 ESTRELLA TOMAS Work 03/28 03/29 03/30 03/31 04/01 04/02 04/03 Hours Pay Rate This All 52.73 55.93 14.04 8.04 0,00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Pro act 1 Projects 1 COACHELLA CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 17,00 731.00 731.00 TrainingFund Admin Dues Tray/ Subs Savings g Other Total 600.26 13530 LABORER- 0 0.00 0.00 0.00 0.00 0.00 2,00 0.00 2.00 25.50 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 130.74 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE: Public works Certified Payroll Reporting Form 04/13/2022 - Page 3 Public Works Certifier •yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 04/03I2022 Payroll Number: 144-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State Vac? Health Net Tax Tax SDI Holiday 8 Welt SORtANO LOZANO, FERNANDO B 0 DateEarned Total Hourly Wage Check 33300 PUEBLO TR #A work 03128 03l29 03l30 03131 04l01 04102 04103 Hours Pay Rain This All 11.42 45.90 0.00 6.60 0.00 0.00 0.00 Paid For Number CATHEDRAL CITY Classificationacls Hours Worked Each Day Pro ect } Pro i Week CA LANDSCAPE MAINTENANCE 5 8.00 5.50 8.00 8.00 8.00 0.00 0.00 37.50 16.00 600.00 600.00 Training Fund Dues Tray/ Savings Other Total 530.08 13531 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 Admin Subs 92234 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 6.00 69.92 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 NOTE: OTHER = 6.00 401K Public works Certified Payroll Reporting Form 04/13/2022 - Page 4