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2022-04-25 thru 2022-05-29 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: 72350 QUARRY TRL #A THOUSAND PALMS CA 92276 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2022-05-29 Payroll Number: 152 Amendment Number: 0 17 employee payroll record(s) processed Your Transaction ID is; 14210204 Print this Page ‘/iew your submission Submit another set of payroll records Public Works Certifie yroll Reporting Form Certification under ienalfy 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 or perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2022-05-29 are the originals or true, full, and correct copies of the originals which itepIcI 1116 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 2022-06-09." 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: KRISTYSQPWLC2.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: 152- 0 For Week Ending: 05/29/2022 ❑ 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 Slate SDI Vac/ Health Pension Net Earned Tax Tax Holiday 8 Welf. ALATORRE, GRISELDA 0 Date Total Hourly Wage Check 11550 WESTERN AVE Work 05123 05/24 05/25 05126 05/27 05/28 05/29 Hours Pay Rate This All 0.00 48,96 0.00 7,04 0.00 O.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 Tray/ Subs Sayings 9 Other Total Deduct 577.60 14318 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 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 Date Earned Tax Tax Holiday & Welf, BRIONES, MARCELINO 2 Total Hourly Wage Check 50700 CALLE MENDOZA Work05/23 05/24 05/25 05/26 05/27 05/28 05/29 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 S 8.00 8.00 8.00 8 00 8.00 0.00 0.00 40.00 t9,00 817.00 817.00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 658.38 14319 LABORER- O 0 00 D.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 IIIIIIMs 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 Withho'ding Moe Toe Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Earned Tax Tax Holiday 8 Welf. COLIN SANCHEZ, HUGO G Date Total Hourly Wage Check 1500 E SAN RAFAEL DR P164 Work 05/23 05/24 05/25 05/26 05/27 05/28 05/29 Hours Pay Rate This All 0.00 50.79 0.19 7.30 0.00 0.00 0.00 Paid For Week Number rlassif.cation H Hours Worked Each Day Project Projects i PALM SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16,00 864.00 664.00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 605.72 14294 LABORER- Q 0.00 0.00 0.00 0.50 0.50 0 00 0.00 1.00 24.00 92262 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 58.28 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 06/09/2022 - Page 1 Public Works Certifie yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/29/2022 Payroll Number:152-0 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 Not Dale Earned Tax lax Holiday 8 Well. Wage CORONADO, JESUS a Total Hourly Check CORTE LUCIA Work 05/23 05/24 05125 05/26 05/27 05/28 05/29 Hours Pay Rate This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number 82948 Classification Hours Worked Each Day Project Projects INDID CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 6.00 8.00 0.00 0.00 46.00 16.60 640.00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 584.00 14320 LABORER- 0 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 0.00 0.00 56.00 mow D 0.00 0.00 0.00 9.00 0.00 0.00 0.00 0.0D 0.00 NOTE: 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 Slate SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday 8 Well. Wage GOMEZ. SADYJ 0 Total Hourly Check LA MESA DR Work05/23 05124 05/25 05/26 05/27 05/28 05129 Hours Pay Rate This All 0.00 84.89 34.76 12.21 0.00 0.00 0.00 Paid For Week Number 13128 Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA TREE8.00 MAINTENANCE s 8.00 8.00 8.00 8.00 0.00 0.00 40.00 26,83 1,109.78 1,109.78 TrainingFund Admin Dues Tray/ Subsubs Savings Other Total 977.92 14326 (LABORER} 0 0.00 0.00 0.00 0.50 0.50 0.00 0.00 1.00 36.58 92240 GROUNDSPERS 0.00 0.00 0.00 0.00 0.00 0.00 131.86 _ ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: 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 Slate SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Wed. GONZALEZ, GABRIELA 0 Total Hourly Wage Check 66900 IRONWOOD DR #1406 Work 05123 05/24 05/25 05126 05/27 05128 05429 Hours Pay Rala This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number ClassificationPre}ect Hours Worked Each Day Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 5 8.00 8,00 8.00 8.00 8.00 D.00 0.00 40.00 1$.00 640.00 640.00 TrainingFund Admin Dues Tray/ Subs Savings Other Total 584.00 14321 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 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 Dale Earned Tax Tax Holiday & Well. IZAZAGA MACIEL, FABIAN 0 Total Hy Wage Check FRONTIER RD Work 05/23 05124 05/25 05/26 05/27 05/28 05/29 Hours Pay Rale This All 0.00 71.56 18.64 10.29 0.00 0.00 0.00 Paid For Week Number 104 Classification Hours Worked Each Day Projects PALM SPRINGS CA TREE8.00 MAINTENANCE s 8,00 8.00 8.00 0.00 0.00 0.00 32.00 28.62 935.44 935.44 TrainingFund Admin Dues Tray/ Subsubs Savings Other Total 634.95 14328 (LABORER). 0 0.00 0.00 0.00 0.50 0.00 0.00 0.00 0.50 39.20 92262 TREE TRIMMER 0.00 0.00 0.00 0.00 0.00 0.00 100.49 MEM 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 06/09/2022 - Page 2 Public Works Certifie yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/29/2022 Payroll Number:152-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Grose Amount Federal FICA Stale SDI Vac! Health Pension Net Date Earned Tax Tax Holiday8 Well. IZAZAGA, TORIBIO 0 Total Hourly Wage Check 32315 CANYON VISTA RD SIB Work 05/23 05/24 05/25 05/26 05/27 05/28 05/29 Hours Pay Rale This All 0.00 90.58 33.11 13.02 0.00 0.00 0.00 Paid For Number Classi6 Hours Worked Each Day Project jrationWeek 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 1,18A.D0 1,184.00 Trainin g Fund Admin Dues Tray/ Subs Sayings g Other Total 1.047.29 14327 ILABORER)- Q 0.00 0.00 0.00 0.5D 0.50 0.00 0.00 1.00 39.20 92234 TREE TRIMMER 0.00 0.00 0.00 0.00 0.00 0.00 136.71 w 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 Vac/ Health Pension Net Earned EarnedWage Tax Tax Holiday& Welt. JIMENEZ, IVETTE 0 Date Total Hourly Check 49615 HARRISON ST f140 Work 05/23 05/24 05/25 05126 05/27 05128 05/29 Hours Pay Rate This All 35.40 48.55 4.35 6.98 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects 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 min Fund Ad Dues Ss Subs Savings Other Total 539.42 14322 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 MOM D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 , 0,00 0.00 NOTE: OTHER a 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 SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Well. LUNA GONZALEZ, CARLOS 4 Total Hourly Wage Check 66145 7TH ST Work 05/23 05/24 05/25 05/26 05/27 0512E 05/29 Hours Pay Rate This All 75.43 97.56 14.41 14.03 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects 1 DESERT HOT SPRINGS CA TREE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 CO 40.00 30.82 1,275,20 7,275.20 TrainingFund Admin Dues S Subsubs Savings g Other Total 1.073,77 14329 (LABORER)- 0 0.00 0.00 0.00 0.50 0.50 0.00 0.00 1.00 42.39 92240 SENIOR TREE 0.00 0.00 0.00 0.00 0.00 0.00 201.43 ` 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 DI Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal I FICA Stale SDI Vac! Health Pension Net Dale Earned Tax Tax Holidayis Wed. MEDINA ESCOBAR, JUAN F 0 Total Hourly Wage Check 65946 DESERT VIEW AVE Work 05/23 05/24 05/25 05/26 05/27 05/2B 05/29 Hours Pay Rale This Ali 0,00 55.68 5.39 8.01 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 40.60 18.00 747,00 747,00 Training Fund Admin Dues Tray/ Subs Savings Other Total 651,27 14301 LABORER- 0 0.00 0.00 0,00 0.50 0.50 0,00 0,00 1.00 27.00 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 26.65 95.73 1.11.111 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 8 7.47 401K Public works Certified Payroll Reporting Form 05/09/2022 - Page 3 Public Works Certifie yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/29/2022 Payroll Number: 152-0 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 Not Date Earned Tax Tax Holiday & Well. Wage MUNOZ. EVERARDO 0 Total Hourly Check 74501 42ND AVE Work 05123 05l24 05/25 05126 05/27 05128 05/29 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 5 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 649.75 14323 LABORER. to 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 MIMS 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 Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Man Tue Wed Thu Fri Sat Sun Grass Amount Federal FICA Stale SDI Vac! Health Pension Net Date Earned Tax Tax Holiday & Wolf. MURILLO MARTINEZ JUAN 0 Total Hourly Wage Check 48097 ESTRELLA TOMAS Work 05/23 05/24 05125 05/26 05127 one 05/29 Hours Pay Rate This All 52.73 55.91 14.04 B.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 BAO 8.00 8.00 0.00 0.00 40.00 17,00 731.00 731.00 Training Fund Admin Dui Tray/ Subs Savings Other Total 600.28 14324 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 0.00 130.72 MINIM D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: 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 Date Earned Tax Tax Holiday & Well. RAMIRFZ, MARCELINO 0 Total Hourly Check 1500 E SAN RAFAEL DR #164 Work 05/23 05l24 05/25 05/26 05l27 05/28 05/29 Hours Pay Rate This All 0.00 89.11 6.31 12.81 0.00 0.00 0.00 PaWage id Far Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA TREE8.00 MAINTENANCE s 8.00 8.00 8.00 8.00 D.00 0.00 40.00 28.62 1,184.00 1.184.00 TrainingFund Admin Dues S Subsubs Savings 9 Other Total 1,044.74 14330 (LABORER)- 0 0.00 0.00 0.00 0.50 0.50 0.00 0.00 1.00 39.20 92262 TREE TRIMMER 0.00 0.00 0.00 0.00 0.00 31.03 139.26 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, 5.31 DENTAL INSURANCE & 11.64 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 Pension Not Date Earned Tax Tax Holiday & Well. Wage LUIS A 0 Total Hourly Check SANTOS VELAZQUEZ. 33141 SHIFTING SANDS #2 Work 05/23 05l24 05/25 05/26 05l27 05/28 05129 Hours Pay Rale This All 0.00 84.90 26.58 12.21 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA TREE MAINTENANCE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 26.83 1,109.78 1,109.78 Training Fund Dues Subs Savings Other Total 986.09 14331 (LABORER). 0 0.00 0.00 0.00 0.50 0.50 0.00 0.00 1.00 36.58 92234 GROUNDSPERS 0.00 0.00 0.00 0.00 0.00 0.00 123.69 MIMS ON 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 06/09/2022 - Page 4 Public Works Certifie yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/29/2022 Payroll Number: 152-0 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 State SDI Vac/ Health Pension Net Dale Earned Tax Tax Holide y & Welf. SORIANO LOZANO, FERNANDO B 0 Total Hourly Wage Check 33300 PUEBLO TR #A Work 05/23 05/24 05125 05/26 05127 05128 05/29 Hours Pay Rate 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 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 Tray/Dues Subs Subs Savings Other Total 562.22 14325 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 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 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 Earned Tax Tax Holiday& Welf. VALDEZ, HUMBERTO S 0 Date Total Hourly Wage Check 12966 CACTUS DR #A Work 05/23 05/24 05/25 05126 05/27 05/28 05/29 Hours Pay Rale This All 139.02 84.89 39.25 12.21 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 8.00 8.00 8.00 8.00 0.00 0.00 40.00 26.83 1,109.713 1,109.78 Training Fund Admin Dues Tray) Subs Savings Other Total 823.31 14332 (LABORER)- o 0.00 0.00 0.00 0.50 0.50 0.00 0.00 1,00 36,58 92240 GROUNDSPERS 0.00 0.00 0.00 0.00 0 00 11 10 286.47 1111.110 ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 11.10 401K e Public works Certified payroll Report+ng Form 06/09/2022 - rxlige 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 Dale: 2022-05-22 Payroll Number: 151 Amendment Number: 0 18 employee payroll record(s) processed Your Transaction ID is: 14143870 Print this Page View your submission Submit another set of payroll records J Public Works Certifie iyroll Reporting Form Certification undarrrenally 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 andlor contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2022-05-22 are the originals or true, full, and correct copies of the originals which depiet 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 2022-06-01.- Contractor Name: PWLC II. INC. Address: PO BOX 848, THOUSAND PALMS, CA 9227E Insurance Number: NA Contractor PWCR: 1000037373 FEIN: 5111532726 License Type: CSLB License Number 855783 Contractor Email: KRISTYSQa PWLC2.COM Awarding Body: CITY OF LA OUINTA Contract With: CITY OF LA OUINTA DER Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 151- 0 For Week Ending: 05/22/2022 pis this a 'Statement of Non -Performance?' Name, Address and Social SecurityNumber of Worker Number of Withholding pay - Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sal Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Stela Tax SDI Vac/ Holiday Health & Well, Pension Net Wage paid for Week Check Number 0 Data ALATORRE, GRISELDA 11550 WESTERN AVE DESERT HOT SPRINGS CA 92240 MOM Work Classification 05/16 05117 05118 05119 05/20 05/21 05/22 This Project All Projects 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER- RIVERSIDE $ 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 Savings 9 Other Total Deduct 577.60 14159 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 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 and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rafe Gross Amount Earned Federal Tax FICA Stale Tax SDI Vac! Holiday Health 8 Welf. Pension Net Wage Paid For Week Check Number 2 Date BRIONES, MARCELINO 50700 CALLE MENDOZA COACHELLA CA 92236 ► SUMMED Work Classification 05116 05/17 05/18 05/19 05/20 05/21 05/22 This All Projects 1 63.22 62.50 15.74 8.99 0.00 0.00 0.00 HoursProject Worked Each Day LANDSCAPE MAINTENANCE LABORER- RIVERSIDE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 ao,00 19.00 817.00 817.00 Training Fund Admin Dues Subs Subs Savings Other Total Deduct 658,38 14160 0 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00 28.50 0.00 0.00 0.00 0.00 0.00 8.17 158.62 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 Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Stale Tax SDI Vad Holiday Health & Well. Pension Net Wage Paid For Week Check Number 0 Date COLIN SANCHEZ, HUGO G 1500 E SAN RAFAEL DR #164 PALM SPRINGS CA - 92262 Work Classification 05/16 05/17 05/18 05119 05/20 05/21 05/22 This Project All Projects 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE0.00 MAINTENANCE LABORER- RIVERSIDE s 8.00 8.00 8.00 8.00 0.00 0.00 32.00 16.00 512.00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 584.00 14136 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.p0 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 06/01/2022 - Page 1 Public Works Certifie. , jyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/22/2022 Payroll Number:151-0 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 Stale SDI Vac! Health Pension Not Dale Earned Tax Tax Holiday & Welt. CORONAOO, JESUS 0 Total Hourly Wage Check 82948 CORTE LUCIA Work 05116 05117 05l18 05119 05120 05121 05/22 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 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 Training Fund Admin Dues Tray/ Subs Savings Other Total 584.00 14161 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 MINIM 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 State SDI Vac! Health Pension Net Dale Earned Tax Tax Holiday & Well. GOMEZ,SADYI 0 Total Hourly Wage Check 13128 LA MESA DR Work 05116 05/17 05/18 05119 05/20 05121 05122 Hours Pay Rale This All 0.00 82,71 32.24 11.89 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day i Project Projects DESERT HOT SPRINGS Cp, TREE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 26.57 1,081.09 1,081.09 Training Admin Dues Tray/ Subs Savings Other Total 954.25Fund 14167 (LABORER)- 0 0.00 0.00 0.00 0.50 0.00 0.00 0.00 0,50 36.58 92240 GROUNDSPERS 0,00 0.00 0.00 0.00 0.00 0.00 126.84 - ON D 0.00 0,00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: 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 Dale Earned Tax Tax Holiday & Well. GONZALEZ, GABRIELA 0 Total Hourly Wage Check IRONWOOD DR 01406 Work 05116 05/17 05/18 05179 05/20 05721 05122 Hours PayRate This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number 66900 ClassificationProject Hours Worked Each Day 1 Projects 1 DESERT HOT 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 TrainingFund Admin Dues S Subsubs Savings Other Total 584.00 14162 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 illIMIN D 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 NOTE; 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 Date Earned Tax Tax Holiday 8 Well. 0 Total HourlyWage IZAZAGA MACIEL, FABIAN Work05l16 05117 05118 05l19 05/20 05/21 05/22 Hours Pay Rate This All 0.00 90,42 38.39 13.00 OMD.00 0.00 Paid For Week Number 104 FRONTIER RD Classification Hours Worked Each Day Project Projects PALM SPRINGS CA TREE MAINTENANCE S 0.00 0.00 0.00 0,00 8.00 0.00 0.00 8.00 30.82 246,56 1,182.00 Training Admin Dues Subs Savings Other . Total 1,040.19 14769 p 0,00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92262 (LABORER} SENIOR TREE 0.00 0.00 0.00 0.00 0.00 0.00 141.81 IMES TRIMMER D moo 0,0o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Public Works Certified Payroll Reporting Form 06/01/2022 - Page 2 Public Works Certifie�lyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE 8 LIGHTING DISTRICT 89-1 For Week Ending: 05/22/2022 Payroll Number:151-0 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 Earned Tax Tax Holiday& Welf. IZAZAGA MACIEL. FABIAN 0 Date Total Hourly Wage Check 104 FRONTIER RD Work 05110 05/17 05118 05/19 05120 05/21 05/22 Hours Pay Rale This All 0.00 90.42 38.39 13.00 0.0o 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day1 ProjectProjects PALM SPRINGS CA TREE MAINTENANCE 5 8.00 8.00 8.00 8.00 0.00 0.00 0.00 32.00 28.62 935.44 1,182.00 TrainingFund Admin Dues Subs Subs Sayings g Other Total 1,040.19 14169 (LABORER). O 0.00 0.00 0.00 0.50 0.00 0.00 0.00 0.50 39.20 92262 TREE TRIMMER 0.00 0.00 0.00 0.00 0.00 0.00 141.81 INIIIIIMII 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 Earned Tax Tax Holiday& Welt. IZAZAGA, TORIBIO 0 bale Total Hourly Wage Check 32315 CANYON VISTA RD dB Work 05/16 05117 05(18 05119 05120 05121 05122 Hours Pay Rate This All 0.00 89.07 31.39 12.81 0.00 0.00 a.00 Paid For Week Number Classification HoursProjects Hours Worked Each Day Project CATHEDRAL CITY CA TREE8.00 MAINTENANCE S 8.00 8.00 8.00 8.00 0.00 0.00 40.00 28.62 1,164.40 1,164.40 Training Fund Admin Dues S Subsubs Savings Other Total 1,031.13 14168 (LABORER). 0 0.00 0.00 0.00 0.50 0.00 0.00 0.00 0.50 39.20 92234 TREE TRIMMER 0.00 0.00 0.00 0.00 0.00 0.00 133.27 111.1.111. 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 Tuo Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac/ Health Pension Net Earned Tax Tax Holiday & Wolf. JIMENEZ, IVETTE 0 Date Total Hourly Wago Check 49615 HARRISON ST 640 Work 05116 05117 05118 05/19 05120 05121 05122 Hours PayRalo This All 20.04 38.76 0.00 5.57 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 8,00 8.00 0,00 0,00 32.00 16.00 512.00 512.00 TrainingFund Admin Dues S Subsubs Sayings g Other Total 442.33 14163 LABORER- D 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 69.67 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 SDI Vac! Health Pension NM Earned Tax Tax Holiday& Well. LUNA GONZALEZ. CARLOS 4 Date Total Hourly Wage Check 66145 7TH ST Work 05/16 05117 05118 05/19 05120 05/21 05122 Hours Pay Rate This All 43.30 77.07 3.23 11.08 0.00 0.00 0.00 Paid For Number ClassificationWeek Hours Worked Each Day1 Project Projects DESERT HOT SPRINGS CA TREE8.00 MAINTENANCE s 8.00 8.00 8.00 0,00 0.00 0.00 32.00 30.82 1,007.44 1,007.44 TrainingFund Admin Dues Tray/ Subs Sayings g Other Total 872.76 14170 (LABORER). O 0.00 0.00 0.00 0.50 0.00 0.00 0.00 0,50 42.39 92240 SENIOR TREE 0.00 0.00 0.00 0.00 0.00 0.00 134.68 _ TRIMMER 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 06/01/2022 - Page 3 Public Works Certifie,,iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/2212022 Payroll Number:151-0 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& Well. MEDINA ESCOBAR, JUAN F 0 Date Total Hourly Wage Check 65946 DESERT VIEW AVE Work 05116 05117 05118 05/19 05/20 05/21 05/22 Hours Pay Rale This All 0.00 42.60 0.00 6.13 0.00 0.00 0,00 Paid Far Week Number Classification s Hours Worked Each Dayrot Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 18.00 576.00 576.00 TrainingFund Admin Dues Tray/ Savings Other Total 502.33 14143 LABORER- 0 0.00 0.00 0,00 0.00 0,00 0.00 0.00 0.00 0.00 Subs 92240 RIVERSIDE 0.00 0.00 0.00 0.60 0.00 24.94 73.67 SIMIIINI 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 SecurityNumber o1 Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Net Earned Tax Tax Holiday& Welt MVNOZ EVERARDO 0 Date Total Hourly Wage Check 74501 42ND AVE Work 05116 05/17 05/18 05/19 05/20 05/21 05/22 Hours Pay Rale This All 0.00 54.68 2.42 7.86 0.00 0,00 0.00 Paid For Week Number Classification Hours Worked Each Day1 ProjectProjects 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 649,74 14164 LABORER- o 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 illiMMO 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 S01 Vac/ Health Pension Net Earned Tax Tax Holiday& Well. MURILLO MARTINEZ, JUAN 0 Date Total Hourly Wage Check 48097 ESTRELLA TOMAS Work 05/16 05/17 05/18 05/19 05/20 05/21 05/22 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 6.00 8.00 8,00 0,00 0,00 40.00 17.00 731.00 731.00 Training Fund Admin Dues SubsTray/ Subs Savings Other Total 600.27 14165 LABORER- 0 O.00u 0.00 0.00 0.00 0.00 2.00 0,00 2.00 25.50 92236 RIVERSIDE 0.00 13.00 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 0,00 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 Net Earned Tax Tax Holiday 8 Welf. Pension RAMIREZ MARCELINO 0 Date Total Hourly . Wage Check 1500 E SAN RAFAEL DR #164 Work 05/16 05/17 05118 05119 05/20 05/21 05/22 Hours Pay Rate This All 0.00 87.62 5.46 12.60 0.00 0.00 0.00 Pald For Number on Classification Hours Worked Each Day ProjectWeek 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 1.164,40 1,164.40 Training Fund Dues Trav/ Savings Other Total 1,027.89 14171 (LABORER).D OM 0.00 0.00 0.50 0.00 0.00 0.00 0.50 39.20 Admin Subs 92262 TREE TRIMMER 0.00 0.00 0.00 0.00 0.00 30.83 136.51 Minna 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. 5.31 DENTAL INSURANCE & 11.64 401K Public works Certified Payroll Reporting Form 06/01/2022 - Page 4 Public Works Certifis,_ilyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/22/2022 Payroll Number:151-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Securi Number of Worker IY Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA Slate SDI Vac/ Health Pension Nol Date Earned Tax Tax Holida Y & Well. SANTOS VELAZQUEZ. LUIS A 0 Total Hourly Wage Check 33141 SHIFTING SANDS 62 Work 05116 05117 05118 05119 05120 05121 05122This Hours Pay Rale All 0,00 82.71 24.06 11,89 0,00 0.00 0,00 Paid For Week Number Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA TREE MAINTENANCE 5 8.00 8,00 8,00 8,00 8.00 0,00 0,00 40.00 26.57 1,081.09 1,081.09 Training Fund Admin Dues Tray/ Subsubs Savings Other Total 962.43 14172 (LABORER)- D 0.00 0.00 0.00 0.50 0.00 0.00 0.00 0.50 36.58 92234 GROUNDSPERS 0.00 0.00 0.00 0.00 0.00 0.00 118.66 IMMO 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 SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA Stale SDI Vacf Health Pension Nel Dale Earned Tax Tax Holiday & Welf. SORIANO LOZANO, FERNANDO D 0 Total Hourly Wage Cher) 33300 PUEBLO TR NA Work 05116 05117 05118 05119 05120 05121 05122 Hours Pay Rate This All 2.71 39.16 0.00 5.63 0.00 0.00 0.00 Pald For Week Number Classification Hours Worked Each Day Project I Projects 1 CATHEDRAL CITY CA LANDSCAPE MAINTENANCE $ 8.00 8.00 0.00 8.00 8.00 0.00 0.00 32,00 16.00 512.00 512.00 Training 0 Fund Admin Dues Trav/subs Subs Savin s g Other Total 459.38 14186 LABORER- ID 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 52.62 MIMI D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE OTHER = 5.12 401 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 Dale Famed Tax Tax Holiday & Waif. VALDEZ, HUMBERTO S 0 Total Hourly Wage Check 12966 CACTUS DR NA Work 05/16 05117 05118 05119 05120 05121 05/22 Hours Pay Rale This All 132.77 82.70 36.75 11.89 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects i DESERT HOT SPRINGS CA TREE MAINTENANCE S40.00 8.00 8.00 B.OD 8.00 8.00 0.00 0.00 26.57 1,081.09 1,081.09 Training Fund Admin Dues Travl Subs Savings Other Total 806.17 14173 (LABORER)- D 0.00 0.00 0.00 0.50 0.00 0.00 0.00 0.50 36.58 92240 GROUNDSPERS 0.00 0.00 0.00 0.00 0.00 10.81 274.92 61111.1. ON D 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE OTHER = 10.81 401K Public works Certified Payroll Reporting Form 06/01/2022 - Rage $ 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.cagov. 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: 2022-05-15 Payroll Number: 150 Amendment Number: 0 18 employee payroll record(s) processed Your Transaction ID is: 14100305 Print this Page -few your submission Submit another set of payroll records Certification undensenalfy of perjury: Public Works Certifiet ,yroll Reporting Form "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 2022-05-15 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 2022-05-26 " 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: KRISTYSQPWLC2.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: 150- 0 For Week Ending: 05/15/2022 Ells 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 Sal Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net ALATORRE. GRISELDA 0 Dale Total HourlyEarned Tax Tax Holiday &Wolf. Wa e 9 Check 11550 WESTERN AVE work 05109 05110 05/11 05/12 05113 05/14 05/15 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 DayProjects Project DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 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 577.60 14120 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Deduct 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 6.40 62.40 illMnill D 0.00 0.00 0.00 0.00 0,00 0.00 0.00 gm 0.00 I 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 Sal Sun Gross Amount Federal FICA Stale 501 Vac/ Health Net Earned Tax Tax Holiday& Well. Pension BRIONES, MARCELINO2 Date Total Hourly Wage Check 50700 CALLE MENDOZA wont 05/09 05/10 05/11 05/12 05/13 05114 05/15 Hours Pay Rate This All 63.22 62.50 15.74 8.99 0.00 0.00 0.00 Paid For Number Classification Hours Worked Each Day1 ProjectPro acts Week COACHELLA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 19.00 817.00 817.00 Training Fund Admin Duos Tray/ Savings Other Total 658.38 14121 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00 28.50 Subs Deduct 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 8.17 158.62 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 Stale Vac/ Health Net Earned Tax Tax SDI Holiday & Well. Pension COLIN SANCHEZ HUGO G 0 Dale Total Hourly Wage Check 1500 E SAN RAFAEL DR g164 Work 05/09 05110 05/11 05/12 05113 05/14 05115 Hours Pay Rate This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Number PALM Classification Hours Worked Each Day Project 1 Prc acts i Week SPRINGS 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 Dom' Tray/ Savings Other Total 584.00 14097 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs Deduct 92262 RIVERSIDE 0.00 0.00 0.00 0.00 0,00 0.00 56.00 SIIINIM 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 05/26/2022 - Page 1 Public Works Certifiet ,yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/15/2022 Payroll Number: 150-0 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 RCA Stale SDI Vac/ Health Pension Net Data Earned Tax Tax Holiday & Walf. CORONADD, JESUS 0 Total Hourly Wage Check 82946 CORTE LUCIA Work 05109 05/10 05111 05/12 05/13 05114 05/15 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 INDIO CA LANDSCAPE MAINTENANCE S 8.00 8,00 8.00 8.00 8,00 0.00 0.00 40.00 16,00 64a.00 640,00 Training Fund Admin Dues Tray/ Subs Savings Other Total 584.00 14122 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 - 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 Man Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday 8 Well. GONZALEZ, GABRIELA 0 Total Hourly Wage Check 66900 IRONWOOD DR #1406 Work 05/09 05/10 05/11 05/12 05/13 05/14 05/15 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 DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.99 16.00 640.00 640.00 Training Admin Dues Subs Savings Other Total 584.00 14123 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 ENIMIO D o.00 o.00 o.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 pale Earned Tax Tax Holiday & Well. HERNANDEZ, JOSE 0 Total Hourly Wage Check 9243 VISTA DEL VALLE Work 05/09 05/10 05/11 05/12 05/13 05/14 05/15 Hours Pay Rale 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 Cp, LANDSCAPE MAINTENANCE 540,00 8.00 8.00 8.00 6.00 8.00 0.00 0.00 16.00 540,00 640.00 Training Fund Admen Dues Trav/ Subs Savings Other Total 540.62 6738 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 ilMMIP 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 Vac/ Health Pension Net Date Earned Tax Tax Holiday & Well. IZAZAGA MACIEL. FABIAN 0 Total Hourly Wage Check 104 FRONTIER RD Wark 05109 05/10 05/11 05/12 05/13 05/14 05/15 Haute Pay Rate This All 0.00 82.01 28.71 11.79 0.00 0.00 0.00 Paid Far Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA TREE MAINTENANCE S 0.00 0,00 6.00 Elm 0-00 0 .00 24.00 28.62 68fi,88 1,071.98 Training Fund Admin Dues Tray/Savings Subs Other Total 949.47 14129 (LABORER)- 0 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 0.00 122.51 .111111111.1 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 05/26/2022 - Page 2 Public Works Certifiel,yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/15/2022 Payroll Number:150-0 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 EarnedWage Tax Tax Holiday& Welt. IZAZAGA MACIEL. FABIAN 0 Dale Total Hourly Check 104 FRONTIER RO Work 05109 05/10 05/11 05/12 05/13 05/14 05/15 Hours Pay Rate This All 0.00 82.01 28.71 11.79 0.00 0.00 0,01 Paid For Weak Number ClassificationPro Hours Worked Each Day 1 act Projects 1 PALM SPRINGS CA TREE MAINTENANCE S 0.00 5.00 0.00 0.00 0.00 0.00 OM 5.00 30.82 154.10 1,071.98 TrainingFund Admin Dues Travl Subs Savings Other Total 949.47 14129 (LABORER)- 0 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 0.00 122.51 101110101 TRIMMER D 0.00 0.00 0.00 D.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 Earned Tax Tax Holiday & Well. IZAZAGA, TORIBIO 0 Date Total Houdy Wage Check 32315 CANYON VISTA RD NB Work 05/09 05/10 05/11 05/12 05/13 05/14 05/15 Hours Pay Rale This All 0.00 80.33 21.32 11.55 0.00 0,00 0.00 Paid For Number Classification Hours Worked Each Day Proact f ProjectsWeek CATHEDRAL CITY CA TREE MAINTENANCE 529.00 0.00 5.00 8.00 8.00 8.00 0.00 0.00 28.62 829.98 1,049.98 Training g Fund Admin Dues Trav/ Subs Savings Other Total 936.78 14128 (LABORER). Q 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 0.00 113.20 01111111111 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 Vac/ Health Pension Nel Earned Tax Tax Holiday& Welf. JIMENEZ, IVETTE 0 Date Total Hourly Wage Check 49615 HARRISON ST 840 Work 05/09 05/10 05111 05/12 05/13 05/14 05/15 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 Day1 Project Projects COACHELLA 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 S Subsubs Savings g Other Total 539.41 14124 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 NOME 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 SDI Vac/ Health Pension Net Earned Earned Tax Tax Holiday& Well. LUNA GONZALEZ, CARLOS 4 Date Total Hourly Wage Check 66145 7TH ST Work 05109 05/10 05/11 05112 05/13 05/14 05/15 Hours Pay Rale This All 55.02 64.54 6.93 12.16 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project 1 Projects 1 DESERT HOT SPRINGS CA TREE MAINTENANCE S27.00 0.00 3.00 8.00 8.00 8.00 0.00 0.00 30.82 832.14 1,105.14 TrainingFund Admin Dues Tray/ Subs Savings 0 Other Total 946.49 14130 (LABORER). Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 SENIOR TREE 0.00 0.00 0.00 0.00 0.00 0.00 158.65 11111111111 TRIMMER 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 Force 05/26/2022 - Page 3 Public Works Certifiec"\roll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/15/2022 Payroll Number: 150-0 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 SDI Vac/ Health Pension NM Earned Tax Tax HolidayS Welf. MEDINA ESCOBAR, JUAN F 0 Data Total Hourly Wage Check 65946 DESERT VIEW AVE Work 05109 05/10 05/11 05/12 05113 05/14 05/15 Hours Pay Rale 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 Projects 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 Tray/ Subs Savings Other Total 828.09 14104 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 26.38 91.91 I D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 I NOTE: OTHER = 13.88 HEALTH INSURANCE. 5.30 DENTAL INSURANCE & 7.20 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 MUNOZ. EVERARDO 0 Date Total Houdy Earned Tax Tax Holiday & Well. Wage Check 74501 42ND AVE Work 05/09 05/10 05/11 05/12 05/13 05/14 05/15 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 5 8.00 8.00 8.00 ^ 8.00 8,00 0.00 0.00 40.00 18.00 720.00 745.00 TrainingFund Admin Dues Tray/ Subs Sayings 9 Other Total 574.75 14125 LABORER- Q 0.00 0.00 0.00 0.00 0.011 0.00 0,00 0.00 0.00 - 92260 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.30 70.25 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 PICA State SDI Vac/Health Pension Net Earned Tax Tax Holiday & Welf, MURILLO MARTINEZ, JUAN 0 Date Total Hourly Wage Check 48097 ESTRELLA TOMAS Work 05/09 05/10 05/11 05/12 05/13 05/14 05/15 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 pro Project 1 Projects COACHELLA CA LANDSCAPE8.00 MAINTENANCE s4090 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 600.27 14126 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 0.00 MEMO NOTE: Name, Address and Number at 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 6 Welt. Pension RAMIREZ, MARCEUNO 0 Date Total HoudyWage Check 1500 E SAN RAFAEL DR #164 Work 05/09 05/10 05/11 05/12 05/13 05114 05/15 Hours Pay Rate This All 0.00 79.69 1.04 11.46 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day1 Project pro Projects PALM SPRINGS CA TREE MAINTENANCE S29.00 0.00 5.00 8.00 8.00 8.00 0.00 0.00 28.62 829.98 1,060.98 Training Fund Dues Tray/ Savings Other Total 938.99 14131 (LABORER). 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92262 TREE TRIMMER 0.00 0.00 0.00 0.00 0.00 29.80 121.99 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, 5.31 DENTAL INSURANCE & 10.61 401K Public works certified Payroll Reporting Form 05/26/2022 - Page 4 0 Public Works Certifier yro11 Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 0511512022 Payroll Number:150-0 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 SOI Vac! Health Pension Net Dale Earned Tax Tax Holiday d Well, ell SANTOS VELAZQUEZ, LUIS A 0 Total Hourly Wage Check 33141 SHIFTING SANDS #2 Work 05109 05110 05111 05112 05113 05114 05115 Hours Pay Rate This All 0.00 70.79 12.52 10.18 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA TREE MAINTENANCE S 0.00 3.00 8.00 8,00 8.00 0.00 0,00 27.00 26.57 717.39 925.39 Training Fund Admin Dues Tray/ Subs Savings Other Total 831.90 14132 (LABORER)- O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92234 GROUNOSPERS 0.00 0.00 0.00 0.00 0,00 0.00 93.49 41111111. 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 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 & Wolf. SORIANO LOZANO, FERNANDO B 0 Total Hourly Wage Check 33300 PUEBLO TR ILA yyodi. 05109 05110 05111 05/12 05/13 05/14 05/15 Hours Pay Rale This All 15.30 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 S Subsubs Sayings 9 Other Total 562.22 14127 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 77.78 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.60 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 FICA Slate SDI Vac! Health Pension Net Date Earned Tax Tax Holiday a Well. VALDEZ, HUMBERTO S 0 Total Hourly Wage Check 12966 CACTUS DR /IA Work 05/09 05110 05/11 05/12 05/13 05/14 05/15 Hours Pay Rate This All 107.35 73.78 28.10 10.61 0.00 0.00 0.00 Paid Far Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA TREE0.00 MAINTENANCE s 3.00 8.00 8.00 8.00 0.00 0.00 27.00 26.57 717.39 964.39 Training Fund Admin Tray/Dues Subs Subs Savings Other Total 734.91 14133 (LABORER)- 0 0.00 0.00 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 9.64 229.48 - ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 NOTE: OTHER = 9.64 401K rwiic works certified Payroll Reporting Form 05/26/2022 - page S 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: 2022-05-08 Payroll Number: 149 Amendment Number: 0 11 employee payroll record(s) processed Your Transaction ID is: 14054794 Print this Page view your submission Submit another set of payroll records 0 Certification under penalty of perjury: Public Works Certifie. 'yroll Reporting Form "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 2022-05-08 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 2022-05-19 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 OUINTA 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: 149- 0 For Week Ending: 05/08/2022 Is this a 'Statement of Non -Performance?' Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon rue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac/ Health Pension Net Earned Tax Tax Holiday& Well ALATORRE, GRISELDA 0 Date Total Hourly Wage Check 11550 WESTERN AVE Work 05/02 05103 05/04 05105 05106 05/07 05/08 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 16.00 640.00 640 00 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 577.60 13962 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 00 0.D0 92240 RIVERSIDE 0.00 0 00 0 00 C.00 0 00 6.40 62.40 UMW D 0.00 0.00 e.00 0.00 0.00 0.00 0.00 0.00 0 00 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 Gross Amount Federal FICA State 501 Vac! Health Not Earned Tax Tax Holiday& Well. Pension BRIONE5, MARCELINO 2 Date Total Hourly Wage Check 50700 CALLE MENDOZA Work 05/02 05103 05/04 05/05 05/06 05/07 05/08 Hours Pay Rate This All 63.22 62.51 15.74 8.99 0.00 0 00 0.00 Paid For Number Classification Hours Worked Each Day Project i Pro eLtS 1 Week COACHELLA CA LANDSCAPE MAINTENANCE S 8.00 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/ Savings Other Total 658.37 13963 LABORER- O 0.00 0.00 0.00 0.00 0.00 2.00 0.00 2.00 28.50 Subs Deduct 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 8.17 158.63 D o.oa a o0 0 00 DOD 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 State Vac/ Health Earned Tax FICA Tax SDI Holiday&Welt. Pension Net COLIN SANCHEZ, HUGO G 0 Date Total Hourly Wage Check 1500 E SAN RAFAEL DR #164 Work 05/02 05/03 05/04 05105 05/06 05107 05/08 Hours Pay Rate This All 0.00 48.96 0.00 7.04 0,00 0.00 0.00 Paid For Number PALM Classification Hours Worked Each Day ProjectPro 1 sots Week SPRINGS CAMAINTENANCE LANDSCAPE8.00 s B.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Dues Tray/ Savings Other Total 584.00 13938 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs Deduct 92262 RIVERSIDE 0.00 0.00 0.00 0.00 0.0D 0.00 56.00 IMMO 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 05/19/2022 Page 1 Public Works Certifie yroll Reporting Form Contractor Name: PWLC II. INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/0812022 Payroll Number:149-0 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 & Welt. CORONADO. JESUS 0 Dale Total Hourly Wage Check 82948 CORTE LUCIA Work 05102 05103 05104 05105 05100 05107 05108 Hours Pay Rate This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid Far Week Number Classification Hours Worked Each Day Project f Projects rot INDIO 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 Tray/ Subs Sayings 9 Other Total 584.00 13964 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 4111111111 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 State SDI Vac! Health Pension NWGONZALEZ, Earned Tax Tax Holiday & Well, GABRIELA 0 Dale Total Hourly Wage Check 66900 IRONWOOD DR 01406 Work 05102 05103 05104 05105 05106 05107 05/08 Hours Pay Rate This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid Far Week Number Classification Hours Worked Hours Each Day Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE $ 8.00 8.00 0.00 8.00 8.00 0.00 0.00 32.00 16,00 512.00 640.OQ Training Fund Admin Dues Tray/ Subsubs Savings Other Total 584.00 13965 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 O 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 Net Date Earned Tax Tax Holiday & Welt HERNANDEZ JOSE 0 Total Hourly Wage Check 9243 VISTA DEL VALLE Work 05/02 05/03 05/04 05f05 05/06 05107 05108 Haws Pay Rafe This All 33.34 48.96 10.04 7.04 0.00 0.D0 0.00 Paid Far Number Classification Classi HProject ours Worked Each Day ProjectsWeek DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 516.40 0.00 0.00 0.00 8,00 8,00 0.00 0.00 16.00 256.00 646.00 Training Fund Admin Dues Tray! Subs Savings Other Total 540.62 13943 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 SecurityNumber 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. JIMENEZ, IVET E 0 Dale Total Hourly Wage Check 49615 HARRISON ST N40 W� 05/02 05103 05/04 05/05 05106 05/07 05/08 Hours PayRale This All 35.40 48.56 4.35 8.98 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Pro1 Projects I COACHELLA 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 AFund dmin Dues Subs s Savings Other Total 539.41 13966 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 COD 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 0,00MEMO 0.00 0.00 NOTE: OTHER = 5.30 DENTAL INSURANCE Public works Certified Payroll Reporting Porn 05/19/2022 - Page I Public Works Certifie. _iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/08/2022 Payroll Number:149-0 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 Stale S°I Vac/ Health Pension Net Earned Tax Tax Holiday & Well. MEDINA ESCOBAR. JUAN F 0 Date Total Hourly Wage Check 65946 DESERT VIEW AVE Work 05f02 05/03 05/04 05105 05/06 05107 05/08 Hours Pay Rate This All 0.00 53.62 4.21 7.71 0.00 0.00 0.00 Paid For Week Number ClassificationProtect Hours Worked Each Day i Projects DESERT HOT SPRINGS CA LANDSCAPE8.00 MAINTENANCE s 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 628.08 13946 LABORER- p 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 91.92 11111111111111 0 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 & 7.20 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 SQ1 Vac! Health Pension Net Date Earned Tax Tax Holiday & Wall. MUNOZ. EVERARDO 0 Total Hourly Wage Check 74501 42ND AVE Work 05/02 05103 05/04 05/05 05106 05/07 05/08 Ham Pay Rale 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 Cp, LANDSCAPE MAINTENANCE $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Training Admin Dues Tray/ Subs Savings Other Total 649.75Fund 13967 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 - D am 0.00 0.00 0.00 0.00 0.00 0.00 cog a.op 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 Slats SDI Vac! Health Pension Net °a1Q Earned Earned Tax Tax Holiday & Well. MURILLO MARTINEZ. JUAN 0 Total Hourly Check 48097 ESTRELLA TOMAS Work 05/02 05/03 05l04 05/05 05106 05107 05108 Hours Pay Rate This All 52.73 55.93 14.04 8.04 0.00 0.00 0.00 Paid For Week Number ClassificationProject Hours Worked H Each Day Projects I COACHELLA CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 B.00 8.00 0.00 0.00 40.00 17.00 731.00 731.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 600.26 13968 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 0.00 130.74 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 IIIMMIS 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 S°I Vac/ Health Pension Net Date Earned Tax Tax Holiday & Weif. SORIANO LOZANO, FERNANDO B 0 Total Hourly Wage Check 33300 PUEBLO TR #A Work 05/02 05/03 05104 05105 05106 05707 05/08 Hours Pay Rate 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 CATHEpRAL CITY CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 640.00 640.00 Training Fund Admin Duos Tray/ Subs Savings Other Total 562.22 13969 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 77.78 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.001111111.1. NOTE: OTHER = 6.40 401K Public works Certified Payroll Reporting Form 05/19/2022 Page 3 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 pubIicworks@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: 2022-05-01 Payroll Number: 148 Amendment Number: 0 19 employee payroll record(s) processed Your Transaction ID is: 14005084 Print this Page Grew your submission Submit another set of payroll records (-) Public Works Certifier 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 2022-05-01 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 2022-05-13." 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: KRISTYSQPWLC2.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: 148- 0 For Week Ending: 05/0112022 1 Is this a 'Statement of Non -Performance?' 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 RCA Stale SDI Vac! Health Pension Nel Dale Earned Tax Tax Holiday & Well. Wage GRISELDA 0 Total Hourly Check ALATORRE, 11550 WESTERN AVE Work 04125 04/26 04/27 04128 04129 04/30 05101 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 $ 0.0o 8.00 8.00 0.00 8.00 0.00 0.00 32.00 16.00 512.00 640.00 Training Fund Admin Dues tubs Subs Savings Other Total Deduct 577.60 13921 LABORER- 0 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 0.00 6.40 62.40 D o.00 0.00 0,00 0A0 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 6.40 401K Name, Address Number of Day Deductions, Contributions, end Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac/ Health Pension Not Dale Earned Tax Tax Holiday & Well. Wage BRIONE5, MARCELINO 2 Total Hourly Check 50700 CALLE MENDOZA Work 04125 04126 04/27 04/28 04/29 04/30 05101 Hours Pay Rate This All 60.97 61.04 14.50 8.78 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCE S 0 00 0,00 0 00 8.00 8 00 2,00 0,00 18.00 19.00 342.00 798.00 trainingSavings Fund Admin Dues Tray/ Subs Other Total Deduct 644.73 13922 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 7.98 153.27 UMW D 0.00 0.00 0.00 o a0 0 00 o ao 0.00 0.00 0.00 NOTE: OTHER - 7.98 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 Federal Stets 501 Vac/ Health Pension Net DateFICA 'Hourly Earned Tax Tax Holiday & Well. Wage COUN SANCHEZ, HUGO G 0 Total Check E SAN RAFAEL DR 8t164 Work 04/25 04/26 04/27 04128 04129 04/30 05101 Hours Pay Rate This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number 1509 Classification Hours Worked Each Day Project Projects 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 TrainingFund Admin Dues Tray/ Subs Savings Other Deduct Deduct 13897 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 11111MIMIMI D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Public works Certified Payroll deporting Form 05/13/2022 - Page 1 Public Works Certifietroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/01I2022 Payroll Number:148-0 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 Nat Earned Tax Tax Holiday & Welf. CORONADO. JESUS 0 Date Total Haurty Wage Check 82948 CORTE LUCIA Work 04/25 04/26 04/27 04128 04/29 04130 05101 Hour 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 S 8.00 B.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 13923 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 0 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 1 Pension Net Date Earned Tax Tax Holiday 8 Welf. DIMAS, PEDRO REYES 1 Total Hourly Wage Check 31-900 AVENIDA EL MUNDO Work 04/25 04/26 04127 04/28 04/29 04/30 05/01 Hours Pay Rale This All 30.09 48.96 5.23 7.04 0.00 0.00 0.00 Paid For Week Number Classi5 Classification Hours Worked Hours Each Day1 ProjectProjects CATHEDRAL CITY Cp, LANDSCAPE MAINTENANCE 5 a.0o Loa 0.00 Coo 0.00 0.00 0.0v 16.00 20.00 320.00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 542.28 13899 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 D 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 41111.1.111 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 Sal Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday 8 Well. FLORES-VARELAS, RENE A 0 Total Hourly Wage Check 65868 7TH St Work 04125 04126 04/27 04128 04129 04/30 05/01 Hours Pay Rate This All 62.71 61.55 20.92 8.85 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA TREE MAINTENANCE S 4.00 0.00 0.00 0.00 0.00 0.00 0.00 4.00 26.57 106.28 804.53 Training Fund Admin DuesTrav/ Subs Subs Savings Other Total 650.50 13929 (LABORER►- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 36.58 92240 GROUNDSPERS 0.00 0.00 0.00 0.00 0.00 0.00 154.03 MEM ON 0 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 Vac/ Health Pension Nel Earned Tax Tax Holiday & Well. GONZALEZ, GABRIELA 0 Dale Total Hourly Wage Check 66900 IRONWOOD OR #1406 W 04/25 04/26 04127 04/28 04/29 04/30 05101 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 Pro1 Pro acts 1 DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 5 8,00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.0) 840.00 640.00 Training Fund Admin Dues Train' Subs Savings Other Total 584.00 13924 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 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 OS/13/2022 - Page 2 Public Works Certifiet yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/01/2022 Payroll Number:148-0 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 Stale SDI Vac! Health Pension Net Date Earned Tax Tax Holiday b Welt. Wage HERNANDEZ. JOSS 0 Total Hourly Check 9243 VISTA DEL VALLE Work 04/25 04/26 04/27 04/28 04/29 04/30 05/01 Hours Pay Rate This All 33.34 46.96 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 LANDSCAPE8.00 MAINTENANCE s40.00 8.00 8.00 8.00 8.00 0.00 0.00 16.00 640.00 640.00 Training Admin Dues Subs Savings Other Total 540.62 13902 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 IIMIIMM D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: 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 Slate SDI Vac! Health Pension Net Date Earned Tax Tax Holiday & Well. IZAZAGAMACIEL,FABIAN 0 Total Hourly Wage Check 104 FRONTIER RD Work 04/25 04/26 04127 04/28 04/29 04/30 05101 Hours Pay Rale This All 0.00 67.80 15.39 9.75 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA TREE MAINTENANCE 5 4.00 0.00 0.00 0.00 0.00 0.00 0.00 4,00 28.62 114.48 886.23 Training Fund Admin Dues Tray/ Subs Savings Other Total 793.29 13931 (LABORER)- 0 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 92.94 - D o,00 a.oa o.o0 0.00 0.00 0.00 D.00 ODD 0.00 NOTE: Name, Address Number of Day Deductions, Contributions, and Payments and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac./ Health Pension Net Data Earned Tax Tax Holiday & Welt. wage IZAZAGA. TORIBIO D Total Hourly Check 32315 CANYON VISTA RD NB Work 04125 04/26 04/27 04/28 04/29 04/30 05/01 Hours Pay Rate This All 0.00 64.98 7.51 9.34 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA TREE MAINTENANCE S 4.00 0.00 0.00 0.00 0.00 0.00 0.00 4.00 28.62 114.48 849.48 Training Admin Dues Subs Savings Other Total 767.65 13930 (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 81.83 INIMMEID D 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: 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 & Well. 0 Total Hourly Wage Check JIMENEZ, IVETTE ST Work 04/25 04126 04/27 04128 04129 04/30 05/01 Hours PayRate This All 31.56 46.09 2.94 6.63 0.00 0.00 0.00 Paid For Week Number 49615 HARRISON Ir40 Classification Hours Worked Each Day Protect Projects COACHELLA CA LANDSCAPE8.00 MAINTENANCE s 8.00 6.00 8.00 8.00 0.00 0.00 38.00 16.00 608,00 608.00 Training Fund Admin Dues Tray! Subs Savings Other Total 515.48 13925 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 92.52 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 05/13/2022 • Page 3 Public Works Certifies irop Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 0510112022 Payroll Number: 148-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fd Sal Sun Grass Amount Federal Stale SDI Vac/ Health Pension Nei DaleFICA Earned Tax Tex Holiday & Well. LUNAGONZALEZ,CARLOS 4 Total Hourly Wage Check 66145 7TH ST Work 04125 04/26 04127 04/28 04/29 04/30 05101 Hours Pay Rate This All 24.08 62.85 0.00 9.04 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA TREE MAINTENANCE s 4.00 0.00 0.00 0.00 0.00 0.00 0.00 4.00 30.82 123.28 821.53 Training Fund Admin Dues Tray/ Subs Savings Other Total 725.56 13932 (LABORER} 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,44 42.39 92240 SENIOR TREE 0.00 0.00 0.00 0.00 0.00 0.00 95.97 IMMO 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 Earned Earned Tax Tax Holiday & Well. MEDINA ESCOBAR, JUAN F 0 Date Total Hourly Check 65946 DESERT VIEW AVE Work 04/25 04/26 04/27 04/28 04/29 04130 05/01 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 Projects 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 Admin Dues Subs Savings Other Total 628.09 13905 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 26,38 91.91 411111111/ D o.00 o.o0 0.00 0.00 0.00 0.0o 0.00 0.00 0.00 NOTE: OTHER o 13.68 HEALTH INSURANCE, 5,30 DENTAL INSURANCE & 7.20 401K 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 State SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Wall. MUNOZ. EVERARDO 0 Total Houdy Wage Check 74501 42ND AVE Work 04/25 04126 04/27 04/28 04/29 04/30 05/01 Hours Pay Rale This All 0.00 54.69 2.42 7.86 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project j Projects I PALM DESERT LANDSCAPE MAINTENANCE $ 8.00 8.00 8.00 8.00 8.00 0.00 DM 40.00 16.00 724.00 720.OD Training Fund Admin Dues Tray/ Subsubs Savings Other Total 649.73 13926 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 70.27 MOMS D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER o 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 SunFICA GrossAmounl Federal Stale SDI Vac/ Hearth Pension Net Earned Tax Tax Holiday & Welf. MURILLO MARTINET, JUAN 0 Dale Total Hourly Wage Check 48097 ESTRELLA TOMAS Work 04/25 04/26 04/27 04/28 04/29 04/30 05/01 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 S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 17.00 731.00 731.00 Trainin g Fund Admin Dues Tray/ Subs Sayings g Other Total 600.27 13927 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 MIMS 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 05/13/2022 - Page 4 Public Works Certifies roll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 05/01/2022 Payroll Number:148-0 Name, Address and Number al 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 & Well RAMIREZ. MARCELINO 0 Total Howdy Wage Check 1500 E SAN RAFAEL DR k164 Work 04125 04126 04/27 04/28 04/29 04/30 05/01 Hours Pay Rate This All 0.00 67,80 0.00 9,75 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA TREE MAINTENANCE S4.00 4.00 0.00 0.00 0.00 0.00 0.00 0.00 28.62 114.48 886.23 Training Fund Admin Dues Tray/ Subs Savings Other Total 799.82 13933 (LABORER} 0 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 8.86 86.41 IMMO D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 8.86 401K Name, Address and Number of Day r Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State 501 Vac/ Health Pension Net Earned Tax Tax Holiday& Well. SANTOSVELAZOUEZ LUiSA 0 Date Total Hourly Wage Check 33141 SHIFTING SANDS #2 Work 04/25 04/26 04/27 04/28 04/29 04/30 05/01 Hours Pay Rate This All 0.00 53.11 0.00 7.64 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA TREE MAINTENANCE 5 4.00 0.00 0.00 0.00 0.00 0.00 0.00 4.00 26.57 1062B 694.28 Training Fund Admin Dues Tray/ Subs Savings Other Total 633.53 13934 (LABORER)- 0 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 60,75 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 Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday 8 Wolf. SORIANO LOZANO, FERNANDO B 0 Total Hourly Wage Check 33300 PUEBLO TR #A Work 04/25 04/26 04/27 04/28 04/29 04/30 05101 Hours Pay Rate 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.D0 8,00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Adm n Dues Tray/ Subs Savings Other Total 562.22 13928 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 5.40 77.78 IMMO 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 and Number of Day Deductions, Contributions, and Payments Social Secur Number of Worker Ihr Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stela SDI Vac! Health Pension Net Earned Tax Tax Holiday & Welt. VALDEZ, HUMBERTO S 0 Dale Total Hourly Wage Check 12965 CACTUS DR /A work 04/25 04/26 04127 04/28 04129 04/30 05/01 Hours Pay Rate This All 81.59 61.55 17.65 8.85 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA TREE4.00 MAINTENANCE s4.00 0.00 0.00 0.00 0.00 D.00 0.00 26.57 105.28 804.53 Training Fund Admin Dues Subs Savings Other Total 626.84 13935 (LABORER} p 0.00 0.00 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 8.05 177.69 - ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 8.05 401K Public works Certified Payroll Reporting Farm 05/13/2022 - Page 5