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2022-05-30 thru 2022-06-26 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: 2022-06-26 Payroll Number: 156 Amendment Number: 0 8 employee payroll record(s) processed Your Transaction ID is: 14443787 Print this Pam View your submission Submit another set of payroll records r Public Works Certifie Jyroll Reporting Form Certification under -penally 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 2022-06-26 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 2022-07-08 " 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: 156- 0 For Week Ending: 06/26/2022 j 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 FICA State SDI Vac! Health Pension Net ALATORRE, GRISELDA 0 Dale Total Hourly Earned Tax Tax Holiday Well. & Well Wage Check 11550 WESTERN AVE Work 06/20 06/21 06/22 06/23 06124 06/25 06/26 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 Pro ieel Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 840.00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 577.60 14717 LABORER- O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE 0.00 urn 0.00 0,00 0.00 6.40 62.40 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 SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac! Health Net Earned Tax Tax Holiday & Welt BRIONES, MARCELINO 2 Date Total Hourly Waga Wage Check 50706 CALLE MENOOZA Work 06/20 06/21 06122 06123 06/24 06/25 06/26 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 19.00 817.00 817.00 Training Fund Admin Dues Smut Subs Savings Other Total Deduct 658.38 14718 LABORER- 0 0.00 0.00 0.00 0.00 0.00 2,00 0.00 2.00 28.50 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 8.17 158.62 IIIMIIMI D D.00 o.00 0.00 D.o0 o.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 8.17 401 K Name, Address end Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stele SDI Vac/ Health Pension Not Earned Tax Tax Holiday& Welf. CORONADO. JESUS 0 Date Total Hourly Wage Check 82948 CORTE LUCIA Work 06/20 06/21 06/22 06/23 06/24 06125 06/26 Hours Pay Rate This All 0.0D 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 16.00 640.00 840.00 Training Fund Admin Dues Subs Subs Savings Other Total Deduct 584.00 14719 LABORER- O 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: Public works certified Payroll Reporting Form 07/08/2022 - Page 1 r--4 Public Works Certifie iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06/26/2022 Payroll Number:156-0 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 Vac/ Health Pension Net Earned Tax Tax Holiday & Wolf. GONZALEZ, GABRIELA 0 Date Total Hourly Wage Check 66900 IRONWOOD DR #1406 Work 06120 06121 06/22 06/23 06/24 08/25 06126 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 1 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 584.00 14720 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 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 Slate SDI Vac/ Health Pension Na! Earned Tax Tax Holiday& Welt, JIMENEZ.IVETTE 0 Date Total Hourly Wage Check 49615 HARRISON ST #40 Work 06120 06/21 06/22 06/23 06/24 06/25 06/26 Hours Pay Rate 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 i Projects � COACHELLA 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 442.33 14721 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 69.67 Immo 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 r 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& Welf. MUNOZ EVERARDO 0 Date Total Hourly Wage Check 74501 42ND AVE Work 06120 06/21 06/22 06123 06124 06125 06/26 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 14722 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.D0 92260 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.30 70.25 MIMI D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 coo 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 Slate SDI Vac/ Health Pension Net Earned Tax Tax Holiday& WeLL MURILLO MARTINEZ, JUAN 0 Date Total Hourly Wage Check 48097 ESTRELLA TOMAS Work 06/20 06/21 06122 06/23 06/24 06/25 06/26 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 TrainingFund Admin hues Tray/ Subs Sayings Other Total 600.27 14723 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 0.00 NOTE: Public works Certified Payroll Reporting Form 07/08/2022 - Page 2 Public Works Certifie iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06/26/2022 Payroll Number: 156-0 Name, Address and Number of Clay Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale S91 Vac! Health Pension NM Earned EarnedWage Tax Tax Holiday& Well. SORIANO LOZANO, FERNANDO B 0 Date Total Hourly Check 33300 PUEBLO TR NA Work 06120 06121 06122 06123 06124 06125 06126 Hours Pay Rate This All 19.34 52.02 0.00 7.48 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8,00 8,00 8.00 0.00 0.00 40.00 17.00 680.00 680.00 Training Fund Admit' Dues Subs Subs Savings Other Total 594.36 14724 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 6,80 85.64 - D 0.00 0.00 000 0_00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 6.80 401K Public works Certified Payroll Reporting Porn 07/08/2022 - elm 3 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: 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: 2022-06-19 Payroll Number: 155 Amendment Number: 0 8 employee payroll record(s) processed Your Transaction ID is: 14398595 Print this Page yew your submission Submit another set of payroll records Public Works Certifier? yroll Reporting Form Certification under peneffy of perjury: 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 2022-06-19 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. 1 certify this on 2022-07-01 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 Protect 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: 155- 0 For Week Ending: 06/19/2022 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 Sat Sun Gross Amount Federal FICA Slate SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Welf. Wage ALATORRE, GRISELDA 0 Total Hourly Check 11550 WESTERN AVE Work 06113 06/14 06115 D81S6 06/17 46118 0$!19 Hours Pa Rate y 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 TrainingFund Admin Dues S Subsubs Savings Other Total Deduct 577.60 14557 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE 0 0.00 0.00 0.00 0.00 0.00 6.40 62.40 SEM D 0.00 0.00 0.00 0.00 0.00 0 00 0.00 0.00 0.00 NOTE: OTHER s 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 Federal FICA Stela SDI Vac/ Health Net Date Earned Tax Tax Holiday & Wed. Wage MARCELINO 2 Total Hourly Check BRIONES, MENDOZA Work 06/13 06/14 06/15 06116 06/17 06118 06/19 Hours Pa Rate Y This All 83.54 75,59 26.91 10.87 0.00 0.00 0.00 Paid For Week Number 50700 CALLE Classification H Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCE 5 8.D0 8.00 6.00 8.00 8,00 0.00 0.00 40.00 19.00 988.00 988.00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 781.21 14558 LABORER- 0 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 28.50 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 9.88 206.79 1/11111110 D 0.00 0.00 0.00 0.00 0,00 0.00 0.00 OA0 0.00 NOTE: OTHER a 9.8B 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 & Wed. CORONADO, JESUS 0 Total HourlyWage LUCIA 06/14 06115 06116 06/17 08/18 08119 Hours Pay Rate This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number Nur 82948 CORTE Classification Hours Worked Each Day Project Projects INDIO CA LANDSCAPE MAINTENANCE g 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 584.00 14559 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 Q_00 NOTE: Public works certified Payroll Reporting Form 07/01/2022 - Page 1 Public Works Certifiet',groll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 0611912022 Payroll Number:155-0 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 bale Tax Tax Holiday & Well.Wage 0 Total HourlyEarned GABRIELA DR 81406 yyor 08113 06714 06115 06f18 06117 06I18 08139 Hours Pay Rate This All 0.00 48.96 0.00 7.04 0.00 0.00 0,00 Paid For Week NumbGONZALEZ,k er Nur 66900IRONWOOD 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 Adm n Dues Tray/ Subs Savings Other Total 584.00 14560 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE 0 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 Number of Day Deductions, Contributions, and Payments and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension NM0 Dale Earned Tax Tax Holiday & Wolf. Wage Check Total Hourly JIMENEZ, IVETTE 49615 HARRISON ST t140 Work 06/13 06114 06135 06l16 06117 06118 06119 our Hs Pay Rafe This All 20.04 38.77 0.00 5.57 0.00 0.00 0.00 Paid For NumberWeek Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCE $ 8.00 8.00 0.00 8.00 8.00 0.00 0.00442.32 32.00 16.00 512.00 512.00 Training Fund Admin Dues Travl Subs Savings Other Total 14561 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92236 RIVERSIDE 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.30 69.68 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 Number of I Day Deductions, Contributions, and Payments Name, Address 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. Wago EVERARDO 0 Total Hourly Check MUNOZ. 42ND AVE Work 06/13 06/14 06115 06/16 06117 06118 06119 Hours Pay Rale This All 0.00 54.67 2.42 7,86 0.00 0.00 0.00 Paid For Week Number 74501 Classification Hours Worked Each Day Project Projects PALM DESERT CA LANDSCAPE8.00 MAINTENANCE s40.00 8.00 8.00 8.00 8.00 0.00 0.00 18.00 720.00 720.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 649.75 14562 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92260 RIVERSIDE 0 0.00 0.00 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 Address Number of Day Deductions, Contributions, and Payments Name, and 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. Wage Check 0 Total Hourly MURILLO MARTINEZ, JUAN ESTRELLA TOMAS Work 06/13 06/14 06115 06/16 06/17 06118 06119 Hours Pay Rale This All 52.73 55,93 14.04 8.04 0.00 0.00 0.00 paid For Week Number 48097 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 Training Fund Admin Dues Tray) Subs Savings Other Total 600.26 14563 LABORER- Q 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 - 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 07/01/2022 - Page 2 Public Works Certifiejroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE 8 LIGHTING DISTRICT 89-1 For Week Ending: 0671912022 Payroll Number: 155-0 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 Holiday & Weir. SORIANO LOZANO, FERNANDO B 0 Total Hourly Wage Check 33300 PUEBLO TR NA Work 06113 06114 06115 06116 06117 06116 06119 Hours Pay Rale This All 10.34 52.02 0.00 7.48 0.00 0.00 0.00 • Paid For Weak Number Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 0.00 8.00 0.00 0.00 40.00 17.00 680.00 680.00 Training Fund Admin Dues S Subsubs Savings Other Total 594.36 14564 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 6.80 85.64 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE; OTHER = 6.80 401K Public works Certified Payroll Reporting Form 07/01/2022 - Page ) 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: 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: 2022-06-12 Payroll Number: 154 Amendment Number: 0 13 employee payroll record(s) processed Your Transaction ID is: 14344479 Print this Page View your submission Submit another set of payroll records Public Works Certifie yroll Reporting Form Cerdficatlon 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 2022-06-12 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 la the Individual or individuals named. I certify this on 2022-06-24." Contractor Name: PWLC 11, 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: 154- 0 For Week Ending: 06/12/2022 pis this a 'Statement of Non -Performance?' Name, Address and Number at 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/ Heatlh Pension Net Dale Earned Tax Tax Holiday & Welf. ALATORRE, GRISELDA 0 Total Hourly Wage Check 11550 WESTERN AVE Work 06106 06/07 06108 06/09 06/10 06/11 06112 Hours Pay Rate This All 0.00 48.96 0.00 7,04 0.00 0.00 0.00 Paid For Week Number ClassificationProjectProjects Hours Worked Each Day H DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8,00 8,00 8.00 0.00 0.00 40.00 56.00 640.00 640.00 Tra'nin 9 Fund Admin Dues Trav/ Subs Savings 9 Other Total Deduct 577.50 14517 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 0.00 000 0.00 6.40 62,40 MIMI 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 or Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Welf, BRIONES, MARCELINO 2 Total Hourly Wage Check 50700 CALLE MENDOZA Work 06/06 06/07 06108 06/09 06/10 06/11 06/12 Hours Pay Rale This All 83.54 75.58 26,91 10,87 0,00 0,00 0.00 Paid Far Week Number Classification Hours Worked H Each Day Project Pro 1 Projects 1 COACHELLA CA LANDSCAPE MAINTENANCE S 8,00 8 00 8.00 6.00 8.00 0.00 0.00 40.00 19.00 988.00 988.00 TrainingFuni Admin Dues S Subsubs Savings 9 Other Total Deduct 781.22 14518 LABORER- O 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 28.50 92236 RIVERSIDE 0.00 0,00 0,00 0,00 0,00 9,86 206,78 D 0.00 0.00 0,00 0.00 0,00 0.00 0.00 0.00 0.00 NOTE: OTHER = 9.88 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 Stela SDI Vac/ Health Net Date Earned Tax Tax Holiday & Welt COLIN SANCHEZ. HUGO G 0 Total Hourly Wage Wage Check 1500 E SAN RAFAEL DR //164 Work 06106 06/07 06108 08109 06/10 06111 06/12 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 H Pro i Project Projects PALM SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 18.00 384.00 640.00 TrainingFund Admin Dues S Subsubs Savings Other Total Deduct 564.00 14493 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 - 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 06/24/2022 - Page I r Public Works Certifies yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06112/2022 Payroll Number:154-0 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 Dale Earned Tax Tax Holiday a Well. CORONADO, JESUS 0 Total Hourly Wage Check 82948 CORTE LUCIA Work 06/06 06107 06/08 06/09 06/10 06111 06112 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 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 10.00 640.00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 584.00 14519 LABORER- p 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 IIIININIIII 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 Tax Tax Holiday & Wolf. GONZ/LLEZ, GABRIELA 0 Dale Total Hourly Wage Check 66900 IRONWOOD DR 41406 Work 06106 06107 06108 06109 06110 06111 06112 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 18.00 640.00 640.00 Training AFund dmin Dues Tray/ Subs Savings Other Total 584.00 14520 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 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 & Welf. IZAZAGA MACIEL, FABIAN 0 Total Hourly Wage Check 104 FRONTIER RD Work 06106 06/07 06108 06/09 06/10 06/11 06112 Hours Pay Rate This All 0.00 88.31 35.95 12.70 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA TREE MAINTENANCEAdmin 8.00 8 00 8.00 4.00 0.00 0.00 0.00Tray/S 28.00 30.82 862,96 1,154,24 TrainingFund Dues Subs Subs Sayings Other Total 1,017.28 14527 (LABORER)- p 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 0.00 136.96 TRIMMER D 0.00 0.00 0.00 0.00 0.09 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 501 Vac/ Health Pension Net Date Earned Tax Tax Holiday & Welt. JIMENEZ.IVETTE 0 Total Hourly Wage Check 49615 HARRISON ST N40 Work 06106 06/07 06108 08109 06/10 06111 06/12 Hours Pey Rate This All 20.04 38.77 0.00 5.57 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day ProjectProjects ro i COACHELLA CA LANDSCAPE MAINTENANCE s 8.00 8.00 0.00 8.00 8.00 0.06 0.00 32.00 16.00 512.00 512.00 Training Fund Admin Duos Tray! Subs Savings Other Total 442.32 14521 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 69.68 D , 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0o 0.00 NOTE: OTHER = 5.30 DENTAL INSURANCE 1 Public works certified Payroll Reporting Form 06/24/2022 - Page 2 Public Works Certifiet ,yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06/1212022 Payroll Number: 154-0 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 8 Welf. MEDINA ESCOBAR, JUAN F 0 Data Telal Hourly Wage Check 65946 DESERT VIEW AVE Mit 06/06 06/07 06108 06/09 06/10 08/11 06/12 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 5 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 16.00 432.00 720.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 628.09 14500 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 41111111111 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 7.20 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 Stale SDI Vac! Health Pension Net Earned Tax Tax Holiday& Welf. MUNOZ EVERARDO 0 Date Total Hourly Wage Check 74501 42ND AVE Work 06106 06/07 06/08 06109 06/10 06/11 06/12 Hours Pay Rate 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 Pro 1 Projects W 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 Tray/ Subs Savings Other Total 674.73 14522 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 GOMM 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 Earned Tax Tax Holiday8 Welt'. MURILLO MARTINEZ, JUAN 0 Date Total Hourly Wage Check 48097 ESTRELLA TOMAS Work 06/06 06/07 06/08 06/09 06/10 06/11 06/12 Hours Pay Rate This All 52.73 55.92 14.04 8.04 0.00 0.00 0.00 Paid For Week Number Classification ClassificationPro Hours Worked Each Day Project j Projects COACHELLA CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 6.00 0.00 0.00 40.00 17.00 731.00 731.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 600.27 14523 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 1111111110 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 Tax Tax Holiday & Well. RAMIREZ. MARCELINO 0 Date Total Hourly Wage Check 1500 E SAN RAFAEL DR 11164 Work 05106 06107 06/08 08109 06/10 06/11 06/12 Hours Pay Rate This All 0.00 81,44 1.95 11.71 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Pro ed j Pro acts j PALM SPRINGS CA TREE8.00 MAINTENANCE s28.00 8.00 8.00 4.00 0.00 0.00 0.00 28.52 801.36 1,083.84 Training Fund Admin Dues Tray/ Subs Savings Other Total 711.52 14529 (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 0.00 277.22 372.32 111111.. 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. 247.19 GARNISHMENT & 10.84 401K public works Certified Payroll Reporting Form 06/24/2022 - Page 3 Public Works Certifiet yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06/12/2022 Payroll Number: 154-0 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 Date Earned Earned Tax Tax HolidayS Walf. SANTOS VELAZOUEZ. LUIS A 0 Total Hourly Wage Check 33141 SHIFTING SANDS #2 Work 06106 06107 06108 06109 06110 06111 06/12 Hours Pay Rate This All 0.00 75.45 16.56 10.85 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA TREE MAINTENANCE 528.00 8.00 8.00 B.00 4.00 0.00 0.00 0.00 28.63 751.24 986.56 Training 0 Fund Admin Dues S Subsubs Savings 9 Other Total 883.69 14530 (LABORER} 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 o.00 0.00 92234 GROUNDSPERS 0.00 0.00 0.00 0.00 0.00 0.00 102.87 N ON D o.00 0.00 0.00 0.00 0,00 Q.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 8 Well. SORIANO LOZANO, FERNANDO B 0 Total Hourly Wage Check 33300 PUEBLO TR #A Work 06106 06/07 06108 06109 06/10 06/11 06/12 Hours Pay Rate This All 22.28 53 98 0 00 7,76 0.00 0,00 0,00 Paid For Week Number Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S40.00 8.00 8.00 8.00 8.00 8.00 0.00 0.00 17.00 705.50 705.50 Training Fund Admin Dues Tray/ Subs Savings Other Total 614.42 14524 LABORER- 0 1.00 0.00 0.00 0.00 0.00 0.00 0.00 1.00 25.50 92234 RIVERSIDE 0 00 0.00 0.00 0.00 0.00 7.06 91.08 111111 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 7,06 401 K Public works Certified Payroll Reporting Form 06/24/2022 - Page 4 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: 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: 2022-06-05 Payroll Number: 153 Amendment Number: 0 17 employee payroll record(s) processed Your Transaction ID is: 14269453 Print this Page -View your submission ' Submit another set of payroll records 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 andfor contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2022-06-05 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 2022-06-16," Contractor Name: PWLC II, INC. Address: PO BOX 848, THOUSAND PALMS, CA 92276 Insurance Number: NA Public Works Certifie yroll Reporting Form Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM Awarding Body: CITY OF LA QUINTA Contract With: CITY OF LA QUINTA Payroll Number: 153- 0 DIR 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 For Week Ending: 06/05/2022 ❑ Is this a 'Statement of Non -Performance?' Name, Address and Social Security Number of Worker ALATORRE, GRISELDA 11550 WESTERN AVE DESERT HOT SPRINGS CA 92240 Number of Withholding 0 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 05/30 05/31 06/01 06/02 06/03 06104 06105 Hours Worked Each Day Total Hours Hourly Pay Rale Gross Amount Earned Federal Tax FICA Slate Tax SDI Vac/ Holiday Health & Well. Pension This Project All Projects 0.00 48,96 0.00 7.04 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 0.00 8.00 8.00 8,00 8.00 8.00 0.00 40.00 16.00 0 0.00 0.00 0.00 0.00 a.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 0.00 640.00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 0.00 0.00 0.00 0.00 0.00 6.40 62.40 577.60 14359 NOTE: OTHER = 6.40 401K Name, Address and Social Security Number of Worker Number of Withholding BRIONES, MARCELINO 50700 CALLE MENDOZA COACHELLA CA 92236 MMUS NOTE: OTHER = 8.17 401K 2 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 05130 05/31 06/01 06/02 05103 06/04 06/05 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Well. Pension This Project All Projects 63.22 62.50 15.74 8.99 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 19.00 0 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00 28.50 Name, Address and Social Security Number of Worker COLIN SANCHEZ, HUGO G 1500 E SAN RAFAEL DR N164 PALM SPRINGS CA 92262 UMW NOTE: Number of Withholding 0 Work Classification 0.00 0.00 0.00 0.00 Day 0.00 0.00 0.00 0.00 0.00 817.00 817.00 Training Fund Adman Dues Tray/ Subs Savings Other Total Deduct 0.00 0.00 0.00 0.00 0.00 8.17 158.62 Deductions, Contributions, and Payments 658.38 14360 Mon Tue Wed Thu Fri Sat Sun Date 05/30 05/31 06/01 06102 06/03 06104 06/05 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health A Well. Pension This Project All Projects 0.00 39.17 0.00 5.63 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 16.00 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 0.00 0.00 0.00 0.00 512.00 512,00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 0.00 0.00 0.00 0.00 0.00 0.00 44.80 467.20 14335 Public Works Certified Payroll Reporting Form 06/16/2022 - Page 1 Public Works Certifie yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06/05/2022 Payroll Number: 153-0 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 State SDI Vac! Health Pension Net Earned Tax Tax Holiday Y & Well. CORONADO, JESUS 0 Date Total Hourly Wage Check 82940 CORTE LUCIA Work 05l30 05131 08101 06102 06103 06104 06105 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 Hours Worked Each Day ProjectProjects INDIO CA LANDSCAPE0.00 MAINTENANCE s 8.00 8.00 8.00 8.00 8.00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 584.00 14361 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 11111.11.1110 D o.00 own o.00 o.00 o.00 D.00 o.00 o.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. 0 Date Total Hourly Wage CheckGOMEZ,SADYJ 13128 LA MESA DR Work 05/30 05/31 06101 06/02 06/03 06104 06105 Hours Pay Rate This All 0.00 65.6E 16.29 9.44 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Project ects 1 DESERT HOT SPRINGS CA TREE MAINTENANCE S32.00 0.00 8.00 8.00 $.00 8.00 0.00 0.00 26.83 858.56 858.56 Training Fund Dues Tray/ Savings Other Total 767.15 14367 (LABORER} 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0D 0,00 Admin Subs 92240 GROUNDSPERS 0.00 0.00 0.00 0.00 0.00 0.00 91.41 lommil 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 Sat Sun Gross Amount Federal FICA Stale SDI Vac! Health Net Earned Tax Tax Holiday& Well. Pension GONZALEZ. GABRIELA 0 Date Total Hourly Wage Check 66900 IRONWOOD DR #1406 Work 05/30 05131 06l01 06/02 06103 06104 06105 Hours Pay Rate This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Number Hours Worked Each Day Project ProjectsClassificationWeek DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 0,00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 584.00 14362 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 D.00 0.00 56.00 UMW 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 Net Earned Tax Tax Haiida & Well. Pension IZAZAGA MACIEL, FABIAN 0 Dale Total Hourly y Wage Check 104 FRONTIER RD Work 05/30 05/31 06/01 06/02 06/03 06104 06/05 Hours Pay Rale This All 0.00 70.06 17.34 10.07 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA TREE0.00 MAINTENANCE s 8.00 8.00 8.00 8.00 0.00 0.00 32.00 28.62 915.84 915,84 Training Fund Dues Tray/ Savings Other Total 818.37 14369 (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 0.00 97A7 111.111111 D 0.00 0.00 0.00 0.00 0.00 0.1)0 0.00 0.00 0.00 NOTE: Public Works Certified Payroll Reporting Form 06/16/2022 - Page 2 Public Works Certifie, .yroll Reporting Form Contractor Name: PWLC II. INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06/05/2022 Payroll Number:153-0 Name, Address and Number of nay Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health IZAZAGA, TORIBIO 0 Dale Tota! Hourly Earned Tax FICA Tax SDI Holiday 3 Well. Pension Net Wage Check 32315 CANYON VISTA RD #B Work 05130 05131 06/01 06/02 06/03 06/04 06/05 Hours Pay Rate This All 0.00 70.06 11.89 10.07 o.DO 0.00 0.00 Paid For Number CATHEDRAL CITY Classification Hours Worked Each Day Project Pro1eUs Week CA TREE MAINTENANCE S32.00 0.00 8.00 8.00 8.00 8.00 0.00 0.00 28.62 915.84 915.84 Training Fund DuQ5 Tray! Savings Other Total 823.82 14388 (LABORER)- p 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92234 TREE TRIMMER 0.00 0.00 0.00 0.00 0.00 0.00 92.02 illINIMI 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 State Vac/ Health JIMENEZ.IVETTE 0 Dale Tote! Hourly Earned Tax FICA Tax SDI Holiday E Well. Pension Net Wage Check 49615 HARRISON ST #40 Work 05/30 05/31 06/01 06/02 06/03 06104 06/05 Hours Pay Rate This All 35.40 48.55 4.35 6.98 0.00 0.00 0.00 Paid For Number COACHELLA Classification Hours Worked Each Dayi Project Proeds Week CA LANDSCAPE0.00 MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 40.00 16.00 640.00 640.00 Training Fund Dues Tray! Sayings Other Total 539.42 14363 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92236 RIVERSIDE 0.00 0,00 0.00 0.00 0.00 5.30 100.58 Man 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 Stale Vac/ Health LUNAGON7AL¢,CARLOS 4 DaleEarned Total Hourly Tax FICA Tax SDI Holiday & Well.Pension Net Wage Check 66145 7TH ST Work 05/30 05131 06/01 06102 06/03 06/04 06/05 Hours Pay Rate This All 60.91 88.30 9.09 12.70 0.00 0.00 0,00 Paid For Number DESERT HOT Classification Hours Worked Each Day ProjectI Proj Projects Week SPRINGS CA TREE MAINTENANCE 532.00 0.00 8.00 B.Oo 8.00 8.00 0.00 0.00 30.82 986.24 1.154,24 Training Fund Dues Tray! Savings Other Total 983.24 14370 (LABORER). 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92240 SENIOR TREE 0,00 0.00 0.00 0.00 0.00 0.00 171,00 MEM 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 Slate Vac/ Health Earned Tax FICA Tax SDI Holiday3 WeIL Pension Nei MEDINA E5COBAR, JUAN F 0 Dale Total Hourly Wage Check 65946 DESERT VIEW AVE Work 05/30 05/31 06/01 06102 06/03 06/04 06/05 Hours Pay Rale This All 0,00 42.60 0.00 6.13 0.00 0.00 0.00 Paid For Number DESERT HOT SPRINGS Classification Hours Worked Each Day Project Projects Week CA LANDSCAPE MAINTENANCE S72.00 0.00 8.00 8.00 8.00 8.00 0.00 0.00 18.00 576.00 576.00 Training Fund Dues Tray/ Sayings Other Total 502.33 14342 LABORER- O 0.00 0.00 0.00 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 24.94 73.67 MIMS 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 6 5.76 401K Public works certified Payroll Reporting Form 06/16/2022 - Page 3 Public Works Certifie yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 06/05/2022 Payroll Number: 153-0 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 State Vac! Health Earned Tax FICA Tax SDI Pension Net MUNOZ.. EVERARDO Date Total Hourly Holiday 8 Wali Wage Check 74501 42ND AVE Work 0550 05/31 06101 06/02 06103 06104 06105 Hours Pay Rate This All 0.00 43.65 0.00 6.28 0.00 0.00 0.00 Pald For Number PALM DESERT Classification Hours Worked Each Day Project Projects Week CA LANDSCAPE MAINTENANCE $ 0.00 6.00 8.00 8.00 8.00 0.00 0.00 32.00 18.00 576.00 576.00 Training Fund Dues Tray/ Savings Other Total 520.77 14364 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92260 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.30 55.23 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 State Vac! Health MURILLO MARTiNE2 JUAN 0 Date Total Handy Earned Tax FICA Tax SDI Holiday 6 Well.Pension Net Wage Check 48097 ESTRELLA TOMAS Work 05130 05/31 06/01 06102 00/03 06/04 06/05 Hoes Pay Rate This All 46.61 52.02 11.80 7.48 0.00 0.00 0.00 Paid For Number COACHELLA ClassifcClassification on Hours Worked Each Day Project Projects Week CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 17.00 660.00 680.00 Training Fund Dues Tray/ Savings Other Total 562.09 14365 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 117.91 INIIIIIINP 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 Stale Vac/ Health Earned Tax FICA Tax SDI Holiday Welf. Pension Net RAMIRE2 MARCELINO 0 Date Total Hourly & Wage Check 1500 E SAN RAFAEL DR N164 Work 05/30 05/31 06101 06102 06/03 06/04 06/05 Hours Pay Rate This All 0.00 81.44 1.95 11.71 0.00 0.00 0.00 Paid Far Number PALM SPRINGS Classification Hours Worked Each Day Project Projects Week CA TREE MAINTENANCE S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 28.62 915,84 1,OB3.84 Training Fund Dues Tray/ Savings Other Total 771.52 14371 (LABORER)- 0 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admia Subs 92262 TREE TRIMMER 0.00 0.00 0.00 0.00 0.00 277.22 372.32 MEM 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, 247.19 GARNISHMENT & 10.84 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 Slate Vac/ Health SANTOS Vf LAZOUEZ LUIS A 0 DateEarned Total Hourly Tax FICA Tax SDI Holiday & Welf. Pension Net Wage Check 33141 SHIFTING SANDS q2 work 05130 05/31 06/01 06102 06/03 06/04 06105 Hours Pay Rate This All 0.00 65.68 8.11 9.44 0.00 0.00 0.00 Paid For Number CATHEDRAL CITY ClassificationPro Hours Worked Each Day Project 1 Projects 1 Week CA TREE MAINTENANCE S32.00 0.00 8.00 8.00 B.00 8.00 0.00 0.00 26.83 858.56 858.56 Training Fund Dues Tray/ Savings Other Total 775.33 14372 (LABORER)- 0 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 Admin Subs 92234 GROUNDSPERS 0.00 0.00 0.00 0.00 0.00 0.00 83.23 _ ON p 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 06/16/2022 - Page 4 Public Works Certifier yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT B9-1 For Week Ending: 06105/2022 Payroll Number: 153-0 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 Vas! Health Net Earned Tax Tax Holiday & Welt. Pension SORIANO LOZANO. FERNANDO B 0 Dale Total Hourly Wage Check 33300 PUEBLO TR 8A Work 05130 05131 06101 06/02 06103 06104 06/05 Hours Pay Rate This All 2.71 39.16 0.00 5.63 0.00 0.00 D,00 Paid For Number CATHEDRAL CITY Classification Hours Worked Each DayProjects pro Project Week CA LANDSCAPE MAINTENANCE 5 0.00 8.00 8.00 8.00 8.00 0,D0 0.00 32.00 16.00 512.00 512.00 Training Fund Dues Tray/ Savings Other Total 459.38 14366 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 5.12 52.62 MOMD 0.00 0.00 0.00 0.00 0.00 0,00 (p.m0.00 0.00 NOTE: OTHER = 5.12 401 K Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Man Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac! Health Net VALDEZ. HUMBERTO S 0 Date Total !gaudy Earned Tax Tax Holiday & Well. Pension Wage Chock 12966 CACTUS DR SA Work 05130 05131 06/01 06102 06/03 06/04 08105 Hours Pay Rate This Ali 88.01 65.69 21.18 9.44 0.00 0.00 0.00 Paid For Number Classification Hours Worked Each Day Pro Project Projects Week DESERT HOT SPRINGS CA TREE MAINTENANCE S0.00 8.00 B.OD 8.00 8.00 O.qO 0.00 32.00 26.83 858.56 858.56 Training Fund Admin Dues Tray! Savings Other Total 665.65 14373 (LABORER)- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Subs 92240 GROUNDSPERS _ 0.00 0.00 0.00 0 00 0.00 8,59 192.91 - ON D 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 8.59 401K Public works Certified Payroll Reporting Form 06/16/2022 • Page i