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2022-06-28 thru 2022-07-25 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. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 11772830 This certified payroll will be treated as an amendment #: 1 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: 2021-07-25 Payroll Number: 108 Amendment Number: 1 11 employee payroll record(s) processed Your Transaction ID is: 11868876 Print this Page . iew your submission ` J Submit another set of payroll records NUDlIc worts I.:ertPTlelayrotl Keporttng rorm 4Nicadon under p r of perJur r "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 2021-07-25 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 2021-08-19." ntractor Name: PWLC 1I, INC, dress: PO BOX 848, THOUSAND PALMS, CA 92276 urance Number: NA •arding Body: CITY OF LA OU1NTA ntract With: CITY OF LA QUINTA Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 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 yroll Number: 108- 1 For Week Ending: 07/25/2021 pis this a 'Statement of Non -Performance?' Name, Address and Social Security Number of Worker Number of Withholding ALATORRE. GRISELDA 11550 WESTERN AVE DESERT HOT SPRINGS CA 92240 0 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07119 07/20 07121 07122 07/23 07124 07125 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Eamod Federal Tax FICA Slate Tax SDI Vac/ Holiday Health & Well. Pension This Project All Projects 0.00 63,64 8.52 9.98 0.00 0.0a 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 8 00 8 00 8.00 8.00 0.00 0.00 40,00 16,00 0 0.00 0 00 0.00 0.00 0.00 8.00 0.00 8.00 24.00 0.00 0.00 0,00 0.00 0.00 0 00 0.00 0.00 0.00 832.00 832.00 Training Fund Adman Dues Trav/ Subs Savings Other Total Deduct 0,00 0,00 0.00 0.00 0.00 0.00 82.14 749.86 10357 1TE: Name, Address and Social Security Number of Worker Number of Withholding ALEJO JERONIMO ORLANDO 30105 AVE JUAREZ CATHEDRAL CITY CA 92234 0 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/19 07/20 07/21 07/22 07/23 07/24 07/25 Hours Worked Each Day Total Hours Hourly Pay Rale Gross Amount Earned Federal Tax FICA Stale Tax SDI Vac/ Holiday Health & Wolf. Pension This Project All Projects 0.00 46.50 0.45 7.30 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 8,00 6.00 8.00 8.00 0.00 0.00 38.00 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 0.00 608.00 608.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 0.00 0.00 0.00 0.00 0.00 0.00 54,25 553.75 10338 1TE: Name, Address and Social Security Number of Worker Number of Withholding ALFARO, ZEYIN 11550 WESTERN AVE DESERT HOT SPRINGS CA 92240 0 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/19 07/20 07/21 07/22 07/23 07/24 07/25 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tex SDI Vac/ Holiday Health & Wetf. Pension This Project All Projects 0.00 67.32 19.46 10.56 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 0 0.00 0.00 0.00 0.00 0.00 8.00 2.00 10.00 24.00 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 880.00 880.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 0.00 0.00 0.00 0.00 0.00 0.00 97.34 782.66 10358 1TE: Puhlir works rerri find tavrnll annnrrinn rnre. nR/ln/7n71 - Pang. Milano works LertitlelL-ayrotI Keportfng t-orm ntractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/25/2021 Payroll Number:108-1 Name, Address and Social Security Number of Worker Number of Withholding BRIONES, MARCELINO 50700 CALLE MENDOZA COACHELLA CA 92236 2 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/19 07/20 07/21 07122 07/23 07/24 07/25 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holiday Health & Welf. Pension This Project All Projects 44.01 48.96 8.17 7.68 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 8.00 8.00 8.00 8.00 0.00 0,00 40.00 16.00 0 0.00 0.00 0.00 0.00 0 00 0.00 0.00 0.00 0,00 0 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 Trav/ Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 106.82 531.18 10359 1TE: Name, Address and Social Security Number of Worker CASTILLO VIGIL. RAMON A 27335 HOPPER RD DESERT HOT SPRINGS CA 92241 VIMEMPI Number of Withholding 0 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/19 07/20 07121 07/22 07123 07/24 07/25 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Stale Tax SDI Vac/ Holiday Health & Welt Pension This Project All Projects 56.02 62.49 17.84 9.80 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8,00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 19,00 0 0.00 0.00 0.00 0.00 2.00 0.00 0.00 2.00 26.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 817.00 817.00 Training Fund Admin Dues Tray! Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0,00 146.15 670.85 10360 1TE: Name, Address and Social Security Number of Worker Number of Withholding GONZALEZ, GABRIELA 66900 IRONWOOD OR N1406 DESERT HOT SPRINGS CA 92240 NEM= 0 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/19 07120 07/21 07/22 07/23 07.r24 07/25 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Stale Tax SDI Vac/ Holiday Health & Welf. Pension This Project All Projects 0.00 9.80 0.00 1.54 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 0,00 0.00 0.00 0.00 ODD 6.11.6 8.00 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 0.00 128.00 128.00 Training Fund Admin Dues Tres/ Subs Savings Other Total 0.00 0.00 0.00 0 00 0.00 0.00 11.34 116.66 6526 /7E: Name, Address and Social Security Number of Worker Number of Withholding LUNA GONZALEZ, CARLOS 66145 7TH ST DESERT HOT SPRINGS CA 92240 4 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/19 07/20 07/21 07/22 07/23 07/24 07/25 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Ta a SDI Vac/ Holiday Health & Welf. Pension This Project All Prolects 71.33 93.60 13.87 14.68 0.00 0,00 0.00 Net Wage Paid Far Week Check Number TREE MAINTENANCE (LABORER} TREE TRIMMER S 8.00 8 00 8.00 8.00 8.00 0 00 0.00 40.00 28 62 0 0.00 0.00 0.50 1,00 0,50 0.00 0.00 2.00 39.39 0.00 0.00 0.00 0.00 0.00 0 00 0.00 0.00 0,00 1.223.59 1,223.59 Training Fund Admin Dues Tray! Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 193.48 1,030.11 10365 1TE: Pnhlir Wnrlrc rrerifin,t Payroll annnrrinn Corm nRl14/7n71 - Pann t'Uwlic works L:erttttec -'ayroII tteporting corm ntractor Name: PWLC 11, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/25/2021 Payroll Number:108-1 Name, Address and Social Security Number of Worker Number of Withholding RAMIREZ, MARCELINO 1500 E SAN RAFAEL DR #164 PALM SPRINGS CA 92262 MEM Work Classification Day Deductions, Contributions, and Payments Man Tue Wed Thu Fri Sat Sun Date 07119 07/20 07/21 07/22 07/23 07/24 07/25 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Wolf. Pension This Project All Projects 54.08 85.39 7.54 13.39 0.00 0.00 0.00 Net Wage Paid For Week Check Number TREE MAINTENANCE {LABORER)- GROUNDSPERS ON S 8.00 8.00 8.00 8.00 8.00 0 00 0.00 40.00 26.57 0 0.00 0.00 0.50 1,00 0,50 0.00 0.00 2.00 36.37 D 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0,00 0.00 1,135.57 1,135.57 Training Fund Admin Dues Tray! Subs Sayings Other Total 0.00 0.00 0.00 0.00 0.00 254.65 415.05 720,52 SEE NOTES ITE: PAYCHECK NUMBERS: 10366; 6543; 6551 ; OTHER = 513.88 HEALTH INS, 55.31 DENTAL INS & 5235,46 GARNISHMENT Name, Address and Social Security Number of Worker Number of Withholding ROMAN, MIGUEL B 84047 FIESTA RD COACHELLA CA 92236 MIMED Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/19 07120 07/21 07/22 07/23 07/24 07/25 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Stale Tax SD1 Vac/ Holiday Health & Welf. Pension This Project All Projects 63.21 61.20 21.97 9.60 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.0D 8.011 8.00 8 00 8.00 0.00 O .00 40.00 20.00 0 0.00 0 00 0.00 0.00 0.00 0.00 O .09 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 800.00 800.00 Training Fund Admin Dues Tray! Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 155.98 644.02 10361 ITE: Name, Address and Social Security Number of Worker Number of Withholding SARABIA. JOSE A 2950 N INDIAN CANYON OR PALM SPRINGS CA 92262 ■111.1111.11 a Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Dale 07119 07/20 07/21 07/22 07/23 07/24 07/25 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holiday Health & Welf. Pension This Project All Projects 0.00 39.16 7.00 6.14 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 0.00 8.00 800 8.00 8.90 0.00 O ,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 0.00 0.00 0.00 0.00 0.00 0.00 52.30 459.70 10362 ITE: Name, Address and Social Security Number of Worker Number of Withholding VILLEGAS BRIM, PEDRO A 87125 66TH AVE R5 THERMAL CA 92274 Illrliml 0 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/19 07/20 07/21 07/22 07/23 07/24 07/25 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holiday Health & Welf. Pension This Project All Projects 0.00 39.16 0.00 6.14 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 0.00 000 32.00 16.00 0 0 00 0.00 0.00 0.00 0.00 0.00 0 00 0.00 0.00 D 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 0.00 0.00 0,00 0.00 0.00 0.00 45.30 466.70 10363 ITE: Puhlir wnrtec rnrti find Pavrnll annnrrinn rnrm nR/1q/]n71 - Pann eCPR Online Confirmation L. 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 11, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QU1NTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2021-07-25 Payroll Number: 108 Amendment Number: 0 11 employee payroll record(s) processed Your Transaction ID is: 11772830 Print this Page View your submission Submit another set of payroll records Cara(/cat/an 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 2021-07-25 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 2021-08-06." Contractor Name: PWLC II, INC, Address: PO BOX 848, THOUSAND PALMS, CA 92276 Insurance Number: NA Awarding Body: CITY OF LA QUINTA Contract With: CITY OF LA QUINTA Payroll Number: 108- 0 Name, Address and Social Security Number of Worker ALATORRE, GRISELOA 11550 WESTERN AVE DESERT HOT SPRINGS CA 92240 NOTE: Number of Withholding 0 Work Classification LANDSCAPE MAINTENANCE LABORER - RIVERSIDE S Public Works Certif, 'ayroll Reporting Form Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 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: 07/25/2021 is this a 'Statement of Non -Performance?' Day Mon Tue Wed Thu Fri Sat Sun Date 07119 07/20 07/21 07/22 07/23 07/24 07/25 8.00 8.00 Hours Worked Each Day 8.00 8.00 8.00 0.00 0.00 Total Hours 40.00 Hourly Pay Rale 16 00 Gross Amount Earned Federal Tax Deductions, Contributions, and Payments FICA State Tax 50I Vac/ Holiday Health & Well. Pension 0 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 24.00 Name, Address and Social Security Number of Worker Number of Withholding ALEJO JERONIMO, ORLANDO 30105 AVE JUAREZ CATHEDRAL CITY CA 92234 NOTE: 411111111111 0 Work Classification 0.00 0.00 0.00 0.00 Day 0.00 0,00 0.00 Mon Tue Wed Thu Fri Sat Sun Dale 07/19 07/20 07/21 07/22 07/23 07/24 07/25 Hours Worked Each Day 0.00 Total Hours 0.00 Hourly Pay Rate This Project 832.00 All Projects 832,00 Gross Amount Earned 0.00 Training 63.64 Fund Admin 8.52 Dues 9 98 Trav/ Subs 0.00 Savings 0 00 Other 0.00 Total Deduct 0.00 0.00 0.00 0.00 0.00 0.00 82.14 Federal Tax Deductions, Contributions, and Payments FICA Stale Tax SDI Vac/ Holiday Health & Well. Pension This Project All Projects 0.00 46.50 0.45 7.30 0.00 0 00 0.00 Net Wage Pall For Week 749.86 Net Wage Paid For Week Cheep Number 10357 Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 5 8.00 8.00 6.00 8.00 6.00 0.00 0.00 38.00 16.00 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 0.00 608.00 608.00 Training Fund Admin Dues Trav Subs Savings Other Total Deduct 0.00 0.00 0.00 0.00 0.00 0.00 54.25 553.75 10338 Name, Address and Social Security Number of Worker ALFARO. ZEYIN 11550 WESTERN AVE DESERT HOT SPRINGS CA 92240 r NOTE: Number of Withholding 0 Work Classification Day Mon Tue Wed Thu Fri Sat Sun Dale 07/19 07/20 07/21 07/22 07/23 07/24 07/25 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax Deductions, Contributions, and Payments FICA Stale Tax SDI Vac/ Holiday Health d Welt. Pension This Protect All Projects 0.00 67.32 19.46 16.56 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 0 0.00 0.00 0.00 0.00 0.00 8.00 2.00 10.00 24.00 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 880.00 880.00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 0.00 0.00 0.00 0.00 0.00 0.00 97.34 782.66 10358 public works Certified Payroll Reporting Form 08/06/2021 - Page 1 Public Works Certif; ?ayroll Reporting Form Contractor Name: PWLC II, INC. Name, Address and Social Security Number of Worker BRIONES. MARCELINO 50700 CALLE MENDOZA COACHELLA CA 92236 111111111.111 Number al Withholding 2 Work Classification Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Day For Week Ending: 07/25/2021 Payroll Number:108-0 Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07119 07/20 07/21 07/22 07/23 07124 07/25 Hours Worked Each Day Total Hours Hourly Pay Rale Grass Amount Earned Federal Tax FICA Stale Tax SDI Vac/ Holiday Health & Welt. Pension This Project All Projects 44.01 48.96 8.17 7.68 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 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 0.00 640.00 640.00 Training Fund Admin Dues Tray! Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 108.82 531.18 10359 NOTE: Name, Address and Social Security Number of Worker CASTiLLO VIGIL, RAMON A 27335 HOPPER RD DESERT HOT SPRINGS CA 92241 Number of Withholding 0 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sal Sun Date 07/19 07/20 07/21 07/22 07/23 07/24 07/25 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Stale Tax SDI Vac/ Holiday Heallh 8 Well. Pension This Project All Projects 56.02 62.49 17.84 9.80 0.00 0.00 0.00 Net Wage Paid Far Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE S 8,00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 19.00 O 0.00 0,00 0.00 0.00 2.00 0.00 0.00 2.Oo 28.50 0.00 NOTE: 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 817.00 817.00 Training Fund Admin Dues Tray! Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 146.15 670.85 10360 Name, Address and Social Security Number of Worker Number of Withholding GONZALEZ, GABRIELA 66900 IRONWOOD DR #1406 DESERT HOT SPRINGS CA 92240 11.1111.1111 NOTE: Work Classification LANDSCAPE MAINTENANCE LABORER - RIVERSIDE S Day Mon Tue Wed Thu Fri Sat Sun Dale 07/19 07/20 07/21 07/22 07/23 07/24 07/25 8.00 0.00 Hours Worked Each Day 0.00 0.00 0,00 0.00 0.00 Total Hours 8.00 Hourly Pay Rate 16.00 Gross Amount Earned Federal Tax Deductions, Contributions, and Payments FICA Stale Tax SDI Vac/ Holiday Health 8 Well. Pension 0 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 Name, Address and Social Security Number of Worker LUNA GONZALEZ, CARLOS 66145 7TH ST DESERT HOT SPRINGS CA 92240 11111111111.01 NOTE: Number of Withholding 4 Work Classification 0.00 0.00 0.00 0.00 Day 0.00 0.00 0.00 0.00 0.00 This Project 128.00 All Projects 128.00 0.00 Training 9.80 Fund Admin 0,00 Dues 1.54 Tray/ Subs 0.00 Savings 0,00 Other 0.00 Total 0.00 0.00 0.00 0.00 0.00 0.00 11.34 Deductions, Contributions, and Payments Net Wage Paid For Week 116.66 Check Number 6526 Mon Tue Wed Thu Fri Sat Sun Date 07/19 07/20 07/21 07/22 07/23 07/24 07/25 Hours Worked Each Day Total Hours Hourly Pay Rale Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Well. Pension This Project All Projects 71.33 93.60 13.87 14.68 0.00 0,00 0.00 Net Wage Paid For Week Check Number TREE MAINTENANCE (LABORER}.. TREE TRIMMER S 8.00 8.00 8.00 8.00 8.00 0.00 0,00 40.00 28.62 0 0.00 0.00 0.50 1.00 0.50 0.00 0.00 2.00 39.39 D 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1,223.59 1,223.59 Training Fund Admin Dues Tray/ Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 193.48 1,030.11 10365 Public works Certified Payroll Reporting form 06/06/2021 - Page 2 Public Works Certif. Payroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/25/2021 Payroll Number:108-0 Name, Address and Social Security Number of Worker Number of Withholding RAMIREZ, MARCELINO 1500 E SAN RAFAEL DR #164 PALM SPRINGS CA 92262 4 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sal Sun Date 07/19 07/20 07/21 07/22 07/23 07124 07/25 Hours Worked Each Day Total Hours Hourly Pay Role Gross Amount Earned Federal Tax FICA Slate Tax SDI Vac/ Holiday Health d Well. Pension This Project All Projects 54.08 83,58 7.54 13,11 0.00 0.00 0.00 Net Wage Paid For Week Check Number TREE MAINTENANCE (ABORER)- GROUNDSPERS ON S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 26.02 0 0.00 0.00 0.50 1.00 0.50 0.00 0.00 2.00 35.55 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: PAYCHECK NUMBERS; 10366; 6543 ; OTHER s 513 88 HEALTH INS. 55.31 DENTAL INS & S235,46 GARNISHMENT 0.00 0.00 1,111.90 1,111.90 Training Fund Admin Duos Tray/ Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 254.65 412.96 698.94 SEE NOTES Name, Address and Social Security Number of Worker Number of Withholding ROMAN. MIGUEL B 84047 FIESTA RD COACHELLA CA 92236 1111111 NOTE: 0 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Dale 07/19 07/20 07/21 07122 07/23 07/24 07/25 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Stale Tax SDI Vac! Holiday Health & Wolf. Pension This Project All Projects 63.21 61.20 21.97 9,60 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Name, Address and Social Security Number of Worker SARABIA, JOSE A 2950 N INDIAN CANYON DR PALM SPRINGS CA 92262 ANEW NOTE: Number of Withholding 0 Work Classification 0.00 0.00 0.00 0.00 Day 0.00 0.00 0.00 0.00 0.00 800.00 800.00 Training Fund Admin Dues Tray! Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 6.a0 155.98 Deductions, Contributions, and Payments 644.02 10361 Mon Tue Wed Thu Fri Sat Sun Date 07/19 07/20 07/21 07/22 07/23 07/24 07/25 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holiday Health & Weil. Pension This Project All Projects 0.00 39.16 7.00 6.14 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 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 Name, Address and Social Security Number of Worker VILLEGAS BRITO, PEDRO A 87125 66TH AVE #5 THERMAL CA 92274 NOTE: Number of Withholding 0 Work Classification D 0.00 0.00 0.00 0.00 Day 0.00 0.00 0.00 0.00 0.00 512.00 512.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 52.30 Deductions, Contributions, and Payments 459.70 10362 Mon Tue Wed Thu Fri Sat Sun Dale 07/19 07/20 07/21 07/22 07/23 07/24 07/25 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Slate Tax SDI Vad Holiday Health & Well, Pension This Project All Projects 0.00 39,16 0.00 6.14 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 0.00 0.00 0.00 0.00 0.00 0.00 45.30 466.70 10363 Public Works Certified Payroll Reporting Form 08/06/2021 - Page 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. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 11867536 This certified payroll will be treated as an amendment #: 2 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: 2021-07-18 Payroll Number: 107 Amendment Number: 2 15 employee payroll record(s) processed Your Transaction ID is: 11869747 Print this Page iew your submission Submit another set of payroll records Nuaiic vvorKs t.;ertlriearayroll icepontng corm Ylflca.Uon under pi 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 2021-07-18 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 2021-08-19." ntractor Name: PWLC II, INC. dress: PO BOX 848, THOUSAND PALMS, CA 92276 urance Number: NA Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM 'arding Body: CITY OF LA QUINTA ntract With: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 County: RIVERSIDE Location Description: t.IGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS yroll Number: 107- 2 For Week Ending: 07/18/2021 EIs this a 'Statement of Non -Performance"?' Name, Address and Social Security Number of Worker Number of Withholding ALATORRE, GRISELDA 11550 WESTERN AVE DESERT HOT SPRINGS CA 92240 11111.1111111 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07112 07113 07/14 07/15 07/16 07117 07/18 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Slate Tax sot Vac/ Holiday Health a Welf. Pension This Project All Projects 0.00 48,96 0.00 7.68 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 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 0.00 640.00 640.00 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 0.00 0.00 0.00 0.00 0.00 0.00 56.64 583.36 10328 }TE: Name, Address and Social Security Number of Worker Number of Withholding ALEJO JERONIMO ORLANDO 30105 AVE JUAREZ CATHEDRAL CITY CA 92234 0 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/12 07/13 07/14 07/15 07/16 07/17 07/18 Hours Worked Each Day Total Hours Hourly Pay Rale Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health 8 Welf. Pension This Project All Projects 0.00 48.96 1.16 7.68 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 8.00 0.00 0.00 0.00 0.00 0.00 16.00 16.00 O 0 00 0 00 0 00 0,00 0.00 0 0D 0.00 0.00 0.00 0 00 0.00 0.00 0.00 0.00 0,00 0,00 0.00 0.00 256.00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 0.00 0.00 0.00 0.00 0.00 0.00 57.80 582.20 10309 }TE: Name, Address and Social Security Number of Worker Number of Withholding ALFARO, ZEYIN 11550 WESTERN AVE DESERT HOT SPRINGS CA 92240 111111.1111 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/12 07/13 07/14 07/15 07/16 07117 07/18 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health E. Well, Pension This Project All Projects 0.00 44.06 3.66 6.91 0,00 0.00 0.00 Not Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8,00 0.00 8.00 8.00 8.00 2.00 2.00 36.00 16.00 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24.00 D 0,00 0 00 0,00 0,00 0.00 0.00 0.00 0.00 0.00 576.00 576.00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 0.00 0.00 0.00 0.00 0.00 0.00 54.63 521.37 10329 ITE: Puhlir mnrIc rnrr4find Pavrnll annnrrinn rnrm nanunmt - Pans, I'UDIIc VVorKs L:ertirleLl " yroli Keporning form ntractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/18/2021 Payroll Number:107-2 Name, Address and Social Security Number of Worker Number of Withholding CASTILLO VIGIL, RAMON A 27335 HOPPER RD DESERT HOT SPRINGS CA 92241 7 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/12 07/13 07/14 07/15 07/16 07/17 07/18 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Slate Tax SDI Vac/ Holiday Health & Welt. Pension This Project All Projects 49.18 58.14 14.08 9.12 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 8.00 8,00 8.00 8.00 0.00 0.00 40.00 19.00 0 0.00 0.00 0.04 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 0.00 760.00 760.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 130.52 629.48 10330 ITE: Name, Address and Social Security Number of Worker Number of Withholding DIMAS, PEDRO REYES 31-900 AVENIDA EL MUNDO CATHEDRAL CITY CA 92234 111.011. Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/12 07/13 07/14 07/15 07116 07/17 07118 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Slate Tax SDI Vac/ Holiday Health & Welt. Pension This Project All Projects 40.67 55.08 7.49 8.64 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 8.00 0.00 0.00 0.00 0.00 0.00 16.00 18.00 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 0.00 288.00 720.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 0.00 0.00 0.00 0.00 0,00 0.00 111.88 608.12 10310 1TE: Name, Address and Social Security Number of Worker Number of Withholding ELIAS ALVAREZ. JANNET 13088 VIA REAL DESERT HOT SPRINGS CA 92240 OMER Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07112 07/13 07/14 07/15 07116 07/17 07/18 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Slate Tax SDI Vac/ Holiday Health & Welf. Pension This Project All Projects 0.00 48.96 8.17 7.68 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 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 0.00 640.00 640.00 Training Fund Admin Dues Travl Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 64.81 575.19 6522 1TE: Name, Address and Social Security Number of Worker Number of Withholding GONZALEZ, GABRIELA 66900 IRONWOOD DR #1406 DESERT HOT SPRINGS CA 92240 MEN 0 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/12 07/13 07/14 07/15 07/16 07/17 07/18 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welt. Pension This Project All Projects 0.00 48.96 0.30 7,68 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 8.00 8.00 8,00 8.00 0.00 0.00 40.00 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 0.00 640.00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 56.94 583.06 10331 ITE: Puhlir Workrarrifiad Payroll eannrtinn Form f1R/19/7071 van. vunllc works eertitfeaxtr,ayrolt Keporting i-orm ntractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/18/2021 Payroll Number:107-2 Name, Address and Social Security Number of Worker Number of W Wielding HENRIQUEZ, RUBEN FABRICIO 15687 PALM DR #83 DESERT HOT SPRINGS CA 92240 0 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/12 07113 07/14 07/15 07/16 07117 07118 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Stale Tax SDI Vac/ Holiday Health & Well. Pension This Project All Projects 85.10 63.02 23.10 9.88 0.00 0.00 0.00 Net Wage Paid For Week Check Number TREE MAINTENANCE (LABORER)- GROUNDSPERS ON S 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 26.57 0 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 212.56 829.17 Training Fund Admin Dues Tray! Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 46.77 227.87 601.30 SEE NOTES )TE: PAYCHECK NUMBERS: 10334; 6550 , OTHER r $41 12 CALSAVERS, 55.31 DENTAL INS; OTHER = S.34 CALSAVERS Name, Address and Social SecurityNumber of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sal Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Slate Tax SDI Vac! Holiday Health & Welf. Pension Net Wage Paid For Week Check Number Date HERRERA GUSTAVO 32250 AURORA VISTA RD CATHEDRAL CITY CA 92234 - Work Cassi:cation 07/12 07/13 07114 07/15 07/16 07/17 07118 This Project All Projects 17.20 46.33 0.00 7.27 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 15.00 605.63 605.63 TrainingFund Admin Dues S Subsubs Sayings 9 Other Total 534.83 6521 0 0.25 0.00 0.00 0.00 0.00 0.00 0.00 0.25 22.50 0.00 0.00 0,00 0.00 0.00 0.00 70,80 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0,00 )TE: Name, Address and Social Security Number of Worker Number of Withholding LUNA GONZALEZ, CARLOS 66145 7TH S DESERT HOT SPRINGS CA 92240 r 4 Work Classif cation Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/12 07/13 07/14 07/15 07/16 07/17 07/18 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welt. Pension This Project All Projects 64.24 89.08 11.27 13.97 0.00 0.00 0.00 Net Wage Paid For Week Check Number TREE MAINTENANCE (LABORER) - TREE TRIMMER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 28.62 O 0 00 0.00 0.00 0,00 0,50 0 00 0.00 0.50 39.39 D 0.00 0.00 0.00 0.00 0.00 0 00 0.00 0.00 0.00 1,164.50 1,164.50 Training Fund Admin Dues Trav/ Subs Savings Other Total 0.00 0.00 0.00 0.00 FLOG 0.00 178.56 985,94 10335 ITE: HE WORKED AS TREE MAINTENANCE LABORER -TREE TRIMMER Name, Address and Social Security Number of Worker Number of Withholding MURILLO MARTINEZ_ JUAN 48097 ESTRELLA TOMAS COACHELLA CA 92236 IMMO Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/12 07/13 07/14 07/15 07/16 07.'17 07/18 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Wolf. Pension This Project All Projects 40.12 49.42 11.06 7.75 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8,00 8 00 8 00 8.00 8.00 0.00 0.00 40.00 16.00 O 0.25 0.00 0.00 0.00 0 00 0 00 0.00 0.25 24.00 0.00 0.00 0.00 0 00 0 00 0.00 0.00 0.00 0.00 646.00 646.00 Training Fund Admin Dues Tray! Subs Savings Other Total 0.00 0.00 0.00 0,00 0.00 0.00 108.35 537.65 6519 ITE: onhlir wnrirc r,.rrifi,.ri Pavrn11 nanorrinn Cr,,',,, MI/1c1/7n71 - Patio t'uDllc Works t.ertutlea, ayfroit eporting Form ntractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/18/2021 Payroll Number:107-2 Name, Address and Social Security Number of Worker Number of Withholding RAMIREZ, MARCELINO 1500 E SAN RAFAEL DR #164 PALM SPRINGS CA 92262 SWIM STE: HE WORKED AS A TREE MAINTENANCE LABORER-GROUNDSPERSON; OTHER a 513.88 HEALTH INS. $5 31 DENTAL INS & 5218.35 GARNISHMENT 4 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/12 07/13 07/14 07/15 07/16 07/17 07/18 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 43.10 75.61 3.58 11.86 0.00 0.00 0.00 Net Wage Paid For Week Check Number 8.00 8.00 8.00 0.00 8.00 0.00 0.00 32.00 30.82 0 0.00 0.00 0.00 0.00 0,50 0.00 0.00 0.50 42.58 TREE MAINTENANCE (LABORER}- GROUNDSPERS ON D 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0,00 1,007.53 1,007.53 Training Fund Admin Dues Tray/ Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 237.54 371.69 635.84 10336 Name, Address and Social Security Number of Worker Number of Withholding ROMAN, MIGUEL B 84047 FIESTA RD COACHELLA CA 92236 Wax Cia slficallon Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sal Sun Date 07/12 07/13 07/14 07/15 07/16 07/17 07/18 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension This Project All Projects 63.21 61.20 21.97 9.60 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 p 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 D o,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 800.00 800.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 155.98 644.02 10332 STE: Name, Address and Social Security Number of Worker Number of Withholding SARABIA, JOSE A 2950 N INDIAN CANYON DR PALM SPRINGS CA 9226? 41.0111. Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sal Sun Dale 07/12 07/13 07/14 07/15 07/16 07/17 07/18 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welf. Pension This Project All Projects 5.55 48.96 12.57 7.68 0.00 0.00 0.00 Nei Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER. RIVERSIDE 8.00 6 00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 0 0.00 000 0.00 0.00 ❑.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 0.00 0.00 0.00 0.00 0.00 0.00 74.76 565.24 10333 STE: Name, Address and Social Security Number of Worker Number of Withholding VAZQUEZ ROJAS, MIGUEL A 54596 SHADY LANE #3 THERMAL CA 92274 11 0 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/12 07/13 07/14 07/15 07/16 07/17 07/18 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 0.00 22.64 0.00 3.55 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 2.50 0 00 0.00 0.00 0.00 0.00 0.00 2.50 16.00 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 0 00 0.00 0.00 0.00 0.00 0.00 0.00 40.00 296.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 26.19 269.81 10308 STE: nuhlir tdnr4c rartifiad Aa,,rnll Rannrtinn Fnrm nallnl?n71 - aann eCPR Online Confirmation i 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. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 11770978 This certified payroll will be treated as an amendment #: 1 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: 2021-07-18 Payroll Number: 107 Amendment Number: 1 15 employee payroll record(s) processed Your Transaction ID is: 11867536 Print this Page PDF iew your submission Submit another set of payroll records FUDIIC WorKs Lertltiea rayrolt Reporting Form f/f/carton under p ' 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 2021-07-18 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 2021-08-19." ntractor Name: PWLC II, INC. dress: PO BOX 848, THOUSAND PALMS, CA 92276 urance Number: NA Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM arding Body: CITY OF LA QUINTA ntract With: CITY OF LA QUINTA DIR Project ID: 290440 County: RIVERSIDE Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS yroll Number: 107- 1 For Week Ending: 07118/2021 Is this a 'Statement of Non -Performance?' Name, Address and Social Security Number of Worker Number of Withholding ALATORRE, GRISELDA 11550 WESTERN AVE DESERT HOT SPRINGS CA 92240 0 Work Classification Day Deductions, Contributions, and Payments Man Tue Wed Thu Fri Sat Sun Date 07/12 07/13 07/14 07/15 07/16 07/17 07/18 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Slate Tax SDI Vac/ Holiday Health & Welf. Pension This Project All Projects 0.00 48.96 0.00 7.68 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 D 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 0.00 56.64 583,36 10328 1TE: Name, Address and Social Security Number of Worker Number of Withholding ALEJO JERONIMO, ORLANDO 30105 AVE JUAREZ CATHEDRAL CITY CA 92234 0 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/12 07/13 07114 07/15 07/16 07.17 07/18 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax F;CA Stale Tax SDI Vac/ Holiday Health & Welf. Pension This Project All Projects 0.00 48.96 1.16 7.68 0.00 0,00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 8.00 0.00 0.00 0.00 0.00 0.00 16.00 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 0.00 256 00 640.00 Training Fund Adman Dues Tray/ Subs Savings Other Total Deduct 0.00 0.00 0.00 0.00 0.00 0.00 57.80 582.20 10309 ITE: Name, Address and Social Security Number of Worker Number of Withholding ALFARO, ZEYIN 11550 WESTERN AVE DESERT HOT SPRINGS CA 92240 0 Work Classification Day Deductions, Contributions, end Payments Mon Tue Wed Thu Fri Sat Sun Date 07/12 07/13 07/14 07/15 07/16 07/17 07/18 Hours worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State T8x SDI Vac/ Holiday Health & Well. Pension This Project All Projects 0 00 44.0r. 3.c6 5.91 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 0.00 8.00 8.00 8.00 2.00 2.00 36.00 16.00 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 24,00 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 576 00 576.00 Training Fund Adman Dues Tract Subs Savings Other Total Deduct 0.00 0 00 0.00 0.00 0.00 0.00 54.63 521.37 10329 ITE: Pnhlir wnr4c rerrifiod Pavrnll ennnrtinn corm f1R/10/7071 - Pane runuc works L.ertitlearayran Keporting form ntractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/18/2021 Payroll Number: 107-1 Name, Address and Social Security Number of Worker Number of Withholding CASTILLO VIGIL, RAMON A 27335 HOPPER RD DESERT HOT SPRINGS CA 92241 0 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/12 07/13 07114 07/15 07/16 07/17 07/18 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 49.18 58.14 14.08 9,12 0.00 0.00 0.00 Net Wage Paid For Week Check Numbs• LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 19.00 0 0,00 0.00 0 00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.06 0.00 0.00 0.00 0.00 0.00 0.00 760.00 760.00 Training Fund Admin Dues Tray! Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 130.52 629.48 10330 1TE: Name, Address and Social Security Number of Worker Number of W. lhholding DIMAS, PEDRO REYES 31-900 AVENIDA EL MUNDO CATHEDRAL CITY CA 92234 IMENIM Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 87112 07/13 07/14 07/15 07/16 07/17 07/18 Hours Worked Each Day Total Hours Hourly Pay Rale Gross Amount Earned Federal Tax FICA Slate Tax SDI Vat/ Holiday Health & Well. Pension This Project All Projects 40.67 55.08 7.49 8.64 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 8.00 0.00 0,00 0.00 0.00 0,00 16.00 18.00 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 0.00 000 a-00 0.00 288.00 720.00 Training Fund Admin Dues Tray! Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 111.a8 608,12 10310 1TE: Name, Address and Social Security Number of Worker Number of Withholding ELIAS ALVAREZ, JANNET 13088 VIA REAL DESERT HOT SPRINGS CA 92240 0 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/12 07/13 07/14 07/15 07/16 07117 07/18 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welt. Pension This Project All Projects 0.00 48.96 8.17 7.68 0.00 0.00 0.00 Net Wage Paid For Week Check Numbe' LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 8.00 8 00 8.00 8,00 0.00 0.00 40.00 16.00 0 0 00 0 00 0.00 0.00 0.00 0.00 0.00 D.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 0.00 0.00 0.00 0.00 0.00 0.00 64.81 575,19 6522 1TE: Name, Address and Social Security Number of Worker Number of Withholding GONZALEZ. GABRIELA 66900 IRONWOOD DR #1406 DESERT HOT SPRINGS CA 92240 MINIM Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/12 07113 07/14 07/15 07/16 07.17 07/18 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 0.00 48.96 0.30 7.68 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 8.00 8.00 8.00 8 00 0.00 0 00 40.00 16.00 0 9 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 9.00 0.00 0.00 0.00 640.00 640.00 Training Fund Admin Dues Tray! Subs Sayings Other Total' 0.00 0.00 0.00 0.00 0.00 0.00 56.94 583.06 10331 1TE: Puhlir wnrkc rrrrifir' Paurn11 ernnrrinn corm nr{/10/71171 - PanP I'uDllc Works L.Ortitie51,rayroll tteporting 1-orni ntractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/18/2021 Payroll Number: 107-1 Name, Address and Social Security Number of Worker Number al Withholding HENRIQUEZ, RUBEN FABRICIO 15687 PALM DR #83 DESERT HOT SPRINGS CA 92240 0 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/12 07/13 07/14 07/15 07/16 07/17 07118 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Stale Tax SDI Vac/ Holiday Health & Welf. Pension This Project All Projects 85.10 63.02 23.10 9.88 0.00 0.00 0.00 Net Wage Paid For Week Check Number TREE MAINTENANCE (LABORER}, GROUNDSPERS ON S a D 0.00 0.00 0130 8.00 0.00 0 00 0.00 8.00 26,57 0.00 0.00 0.00 a.o0 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 0.00 212,56 829.17 Training Fund Admin Dues Tray! Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 46.77 227.87 601,30 SEE NOTES 1TE: PAYCHECK NUMBERS: 10334, 6550 ; OTHER = 541 12 CALSAVERS, 55.31 DENTAL INS; OTHER = 5.34 CALSAVERS Name, Address and Social Security Number of Worker Number of Withholding HERRERA, GUSTAVO 32250 AURORA VISTA RD CATHEDRAL CITY CA 92234 0 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/12 07/13 07/14 07/15 07116 07.17 07/18 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Stale Tax SDI Vac/ Holiday Health & Welt. Pension This Project All Projects 17.20 46.33 0.00 7.27 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 8.00 8.00 8 00 8 00 0.00 0.00 40.00 15.00 0 0.25 0.00 0.00 0.00 0.00 0.00 0 00 0.25 22.50 0.00 0.00 0 00 0.00 0.00 0.00 0.00 0.00 0.00 605,63 605.63 Training Fund Admin Dues Tray! Subs Savings Other Total 0.00 0,00 0,00 0.00 0.00 0.00 70.80 534.83 6521 ITE: Name, Address and Social Security Number of Worker Number of Withholding LUNA GONZALEZ, CARLOS 66145 7TH ST DESERT HOT SPRINGS CA 92240 111111101111 4 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/12 07/13 07/14 07/15 07/16 07.17 07/18 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Stale Tax SDI Vac/ Holiday Health & Well. Pension This Project All Projects 64.24 89.08 11.27 13.97 0.00 0.00 0.00 Net Wage Paid Far Week Check Number TREE MAINTENANCE (LABORER) - SENIOR TREE TRIMMER S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 28.62 0 0.00 0.00 0.00 0.00 0,50 0.00 0.00 0.50 39.39 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 1,164.50 1,164.50 Training Fund Admin Dues Tray/ Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 178.56 985.94 10335 ITE: Name, Address and Social Security Number of Worker Number of Withholding MURILLO MARTINEZ. JUAN 48097 ESTRELLATOMAS COACHELLA CA 92236 11111.111.11 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/12 07/13 07/14 07115 07/16 07/17 07/18 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Stale Tax SDI Vac/ Holiday Health & Welr. Pension This Project All Projects 40.12 49.42 11.06 7.75 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40,00 16,00 0 a.2s 0.00 0.00 0.00 0.00 0.00 0.00 0.25 24.00 D 0.00 0.00 0,00 0,00 0.00 0.00 0.00 0.00 0.00 646.00 646,00 Training Fund Admin Dues Tray! Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 108.35 537.65 6519 11E: Pnhlir Wnrkc rnrtifinrt Pavrnll Rnnnrtinn Fnrm Mi/1n/7n71 - pansy I'llollc VVorKS L. erilrleo- ayrOII Keporting corm ntractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/18/2021 Payroll Number:107.1 Name, Address and Social Security Number of Worker Number of Withholding RAMIREZ, MARCELINO 1500E SAN RAFAEL DR #164 PALM SPRINGS CA 92262 4 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/12 07113 07114 07/15 07116 07117 07/18 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Wolf. PUrrslnn This Project All Projects 43.10 75.61 3 58 11.86 0.00 0.00 0.00 Net Wage Paid For Week Check Number TREE MAINTENANCE (LABORER} SENIOR TREE TRIMMER 8.00 8 00 8 00 0.00 8.00 0.00 0.00 32.00 30.82 O 0.00 0.00 0 00 0 00 0.50 0.00 0.00 0.50 42.58 D 4.00 0.00 0.00 0 00 0 00 4.00 0 00 0.00 0.00 1,007.53 1,007.53 Training Fund Admin Dues Tray! Subs Savings Other Total 0.00 0.00 0.00 0.00 0 00 237.54 371 69 635.84 10336 ITE: OTHER = $13 88 HEALTH INS. $5,31 DENTAL INS & $218,35 GARNISHMENT Name, Address and Social Security Number of Worker Number or Withholding ROMAN, MIGUEL B 84047 FIESTA RD COACHELLA CA 92236 0 Work Classification Day Deductions, Contributions. and Payments Mon Tue Wed Thu Fri Sat Sun Date 07112 07/13 07/14 07/15 07/16 07/17 07118 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac+ `, Health Holiday & Welf. Pension This Project All Projects 63.21 61.20 21.97 9.60 D.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20 00 O 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 0,00 800.00 800.00 Training Fund Admin Dues Tray! Subs Savings Other Total 0 00 0.00 0.00 0.00 0,00 0.00 155,98 644.02 10332 ITE: Name, Address and Social Security Number of Worker SARABIA, JOSE A 2950 N INDIAN CANYON DR PALM SPRINGS CA 92262 Number of Withholding 0 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/12 07/13 07/14 07/15 07/16 07/17 07/18 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holiday Health & Welt. Pension This Project All Projects 5.55 48.96 12.57 7.68 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 6 00 8 00 8.00 8 00 0 00 0 00 40.00 16.00 a 0.00 0.00 0.00 0.00 0.00 0 00 0.00 0.00 0.00 0 0.00 0 00 0.00 0 00 0 00 0 00 0.00 0.00 0.00 640.00 640.00 Training Fund Adman Dues Tray/ Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0,00 74,76 565.24 10333 1TE: Name. Address and Social Security Number of Worker Number of Withholding VAZOUEZ ROJAS MIGUEL A 54596 SHADY LANE #3 THERMAL CA 92274 IIIIIIIIII Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/12 07/13 07114 07/15 07/16 07117 07118 Hours Worked Each Day Total Hours Hoy rly Pay Rate Gross Amount Earned Federal Tax FICA Stale Tax SDI Vac/ Holiday Health & Welt Pension This Project AR Projects 4 00 27.64 f} 00 3.56 0.04 D.00 000 Not Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER. RIVERSIDE 2.50 0.00 0.00 0.00 0.00 0.00 0.00 2.50 16.00 O 0.0n D.00 0.00 0,00 0.00 D.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 40.00 296.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 26.19 269.81 10398 ITE: Puhlir wnrkc rnrtified Pevrnll aannrtinn rune ttltfl#fiA71 - Pane 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: 2021-07-18 Payroll Number: 107 Amendment Number: 0 15 employee payroll record(s) processed Your Transaction ID is: 11770978 Print this Page View your submission Submit another set of payroll records Public Works Certifi 'ayroll 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 2021-07-18 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 2021-08-06 " Contractor Name: PWLC II, INC. Address: PO BOX 848, THOUSAND PALMS, CA 92276 Insurance Number: NA Contractor PWCR: 1000037373 FEIN: 510532726 License Type: CSLB License Number 855783 Contractor Email: KRISTYS@PWLC2.COM Awarding Body: CITY OF LA QUINTA Contract With: CITY OF LA QUINTA Payroll Number: 107- 0 DIR Project ID: 290440 County: RIVERSIDE For Week Ending: 07/18/2021 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS 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 111.11.1.111 Number of Withholding 0 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Dale 07/12 07/13 07/14 07/15 07/16 07/17 07/18 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Stale Tax SDI Vac/ Holiday Health 8 Wolf. Pension This Project All Projects 0.00 48.96 0.00 7.68 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40 00 16.40 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 00 D 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 Trav/ Subs Savings Other Total Deduct 0.00 0 00 0 00 0 00 0.00 0.00 56 64 583.36 10328 NOTE: Name, Address and Social Security Number of Worker ALEJO JERONIMO, ORLANDO 30105 AVE JUAREZ CATHEDRAL CITY CA 92234 eigleffa Number of Withholding 0 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/12 07/13 07/14 07/15 07/16 07/17 07/18 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welt. Pension This Project All Projects 0.00 48.96 1.16 7,68 0.00 0 00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 8.00 0.00 0 00 000 0.00 0.00 16,00 16.00 0 0 00 0 00 0.00 0.00 0 00 0 00 0.00 0.00 0.00 D 0.00 0 00 0.00 0.00 0.00 0 00 0.00 0.00 0.00 256.00 640.00 Training Fund Adman Dues Trav/ Subs Savings Other Total Deduct 0.00 0.00 0.00 0.00 0.00 0.00 57.80 582.20 10309 NOTE: Name, Address and Social Security Number of Worker ALFARO, ZEYIN 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 Dale 07/12 07/13 07/14 07/15 07/16 07/17 07/18 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Eamed Federal Tax FICA Slate Tax SDI Vac/ Holiday Health a Well, Pension This Protect All Projects 0.00 44.06 3.66 6.91 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 4.00 B.00 8.00 8.00 2.06 2.00 36.00 16.00 0 0.00 6.00 0 00 0.00 0.00 0.00 0,00 0.00 24.00 0 00 0.00 0,00 0.00 0 00 0.00 0.00 0.00 0.00 576.00 578.00 Training Fund Admin Dues Trav/ Subs Savings Other Total Deduct 0.00 0.00 0.00 0.00 0.00 0.00 54.63 521,37 10329 NOTE: public works certified Payroll Reporting Form 08/06/2021 - Page 1 Public Works Certifi 'ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Name, Address and Social Security Number of Worker Number of Withholding CASTILLO VIGIL, RAMON A 27335 HOPPER RD DESERT HOT SPRINGS CA 92241 0 Work Classification Day For Week Ending: 07/18/2021 Payroll Number 107-0 Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Dale 07/12 07/13 07/14 07115 07116 07/17 07/18 Hours Worked Each Day Total Hours Houdy Pay Rate Gross Amount Earned Federal Tax FICA Stale Tax SDI Vac/ Holiday Health & Well. Pension This Project All Projects 49.18 58.14 14.08 9.12 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 19.00 O 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 D.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 760.00 760.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 0.00 0.00 0.00 0,00 0.00 0.00 130.52 629.48 10330 NOTE: Name, Address and Social Security Number of Worker DIMAS. PEDRO REYES 31-900 AVENIDA EL MUNDO CATHEDRAL CITY CA 92234 MEM NOTE: Number or Withholding 1 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Data 07/12 07/13 07/14 07115 07/16 07/17 07/18 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Stale Tax S01 Vac! Holiday Health & Well. Pension This Project All Projects 40.67 55.08 7.49 8.64 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE S 8.00 8.00 0.00 0.00 0.00 0.00 0.00 16.00 16.00 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Name, Address and Social Security Number of Worker ELIAS ALVAREZ. JANNET 13088 VIA REAL DESERT HOT SPRINGS CA 92240 NOTE: Number or Withholding 0 Work Classification 0.00 0.00 0.00 0.00 Day 0.00 0.00 0.00 Mon Tue Wed Thu Fri Sat Sun Date 07/12 07/13 07/14 07/15 07/16 07/17 07/18 Hours Worked Each Day 0.00 Total Hours 0.00 Hourly Pay Rate 288.00 720.00 Gross Amount Earned Training Fund Admin Dues Tray! Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 111,88 Federal Tax Deductions, Contributions, and Payments FICA State Tax SDI Vac/ Holiday Health & Well. Pension This Project All Projects 0.00 48.96 8.17 7.68 0.00 0.00 0.00 606.12 Net Wage Paid For Week 10310 Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Name, Address and Social Security Number of Worker GONZALE.Z, GABRIELA 66900 IRONWOOD DR #1406 DESERT HOT SPRINGS CA 92240 NOTE: Number of Withholding 0 Work Classification 0.00 0.00 0.00 0.00 bay 0.00 0.00 0.00 0.00 0.00 640.00 640.00 Training Fund Admin Dues Tray! Subs Savings Other Total 0.00 0.00 0,00 0.00 0.00 0.00 64.81 Deductions, Contributions, and Payments 575.19 6522 Mon Tue Wed Thu Fri Sat Sun Date 07/12 07/13 07/14 07/15 07/16 07/17 07/18 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welt. Pension This Project All Projects 0.00 48.96 0.30 7.68 0.00 0.00 0,00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 0 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 D 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 0.00 0.00 0.00 0.00 0.00 0.00 56.94 583.06 10331 Public works Certified Payroll Reporting Forrs 08/06/2021 - Page 2 Public Works Certifi rayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07118/2021 Payroll Number:107-0 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 State Vac/ Health Earned Tax FICA Tax SDI Pension Net HENRIOUEZ, RUBEN FABRICID 0 Date Total Hourly Holiday & Welf. Wage Check 15687 PALM DR il83 Work 67/12 07113 07/14 07115 07/16 07/17 07/18 Hours Pay Rale This All 85.10 62.50 23.10 9.80 0.00 0.00 0.00 Paid For Number DESERT HOT SPRINGS Classification Hours Worked Each Day Project Projects Week CA TREE MAINTENANCE S 0.00 0.00 l 0.00 8.00 0.00 0.00 0.00 8.00 26.02 208.16 822.37 Training Fund Dues Trav/ Savings Other Total 595.44 10334 (LABORER). p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92240 GROUNDSPERS 0.00 0.00 0.00 0.00 0.00 46.43 226.93 111.1111 ON D 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 NOTE: OTHER = $41.12 CALSAVERS, $5.31 DENTAL INS 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 HERRERA, GUSTAVO 0 Dale Total HourlyWage Earned TaxHolidayWell. FICA Tax SDI & W Pension Net Check 32250AURORA VISTA RD Work 07/12 07113 D7/14 07/15 07/16 07/17 07/18 Hours Pay Rate This All 17.20 46.33 0.00 7.27 DM 0.00 0.00 Paid For Number CATHEDRAL CITY Classification Hours Worked Each Day Project Projects Week CA LANDSCAPE MAINTENANCE S 8.00 8.00 8,00 8.00 8.00 0.00 0.00 40.00 15.00 605.63 605.63 Training Fund Dues Tray/ Savings Other Total 534.83 6521 LABORER- 0 0.25 0.00 0.00 0.00 0.00 0.00 0.00 0.25 22.50 Admin Subs 92234 RIVERSIDE 0.00 0.00 0,00 0.00 0.00 0,00 70.80 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 Varl Health LUNA GONZALEZ, CARLOS 4 Date Total Hourly Earned Tax FICA Tax SDI Holiday S Well. Pension Net Wage Check 66145 7TH ST Work 07/12 07/13 07/14 07/15 07/16 07/17 07/18 Hours Pay Rate This All 64.24 89.08 11.27 13.97 0.00 0.00 0.00 Paid For Number DESERT HOT SPRINGS Classification Hours Worked Each Day Project Projects Week CA TREE MAINTENANCE 5 8.00 8.00 6.00 8.00 8,00 0.00 0.00 40.00 28.62 1,164,50 1,164.50 Training Fund Dues Trav/ Savings Other Total 965.94 10335 (LABORER). O 0.00 0.00 0.00 0.00 0.50 0.00 0.00 0.50 39.39 Admin Subs 92240 SENIOR TREE 0.00 0.00 0.00 0.00 0.00 0.00 178.56 TRIMMER D 0.00 0.60 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 MURILLO MARTINEZ, JUAN 0 Dale Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Net Wage Check 48097 ESTRELLA TOMAS Work 07/12 07/13 07114 07/15 D7/16 07/17 07/18 Hours Pay Rate This All 40.12 49.42 11.06 7.75 0.00 0.00 0,00 Paid For Number COACHELLA Classification Hours Worked Each Day Pro t Project Projects Week CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18,00 646.00 646.00 Training Fund Dues Tray/ Savings Other Total 537.65 6519 LABORER. o 0.25 0.00 0,00 0.00 0.00 0.00 0.00 0.25 24.00 Admin Subs 92236 RIVERSIDE 0.00 0.00 6.00 0.00 0.00 0.00 108.35 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 08/06/2021 - Page 3 Public Works Certifi 'ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/18/2021 Payroll Number:107-0 Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hourly Grass Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health 8 Well. Pension Net Waga Paid For Week Chedc Number 4 Date RAMIREZ. MARCELINO 1500 E SAN RAFAEL DR P164 PALM SPRINGS CA 92262 Work Classification 07/12 07/13 07/14 07/15 07/16 07/17 07/18 Hours Pay Rate This Project Ali Pro Projects 43.10 75.61 3.58 11.86 0.00 0.00 0.00 HoWorked Each Day TREE MAINTENANCE (LABORER)- SENIOR TREE TRIMMER $ 8.00 8.00 8,00 0.00 8.00 0.00 0.00 32.00 30.82 1,007.53 1,007.53 Training Fund Admin Dues Trawl Subs Savings Other Total 635.84 10336 Q 0.00 0.00 DM 0.00 0,50 0.00 0.00 0.50 42,58 0.00 0.00 0.00 0.00 0.00 237.54 371,69 D 0.00 0.00 0.00 0.00 0.00 D.00 D.00 0.00 0.00 NOTE; OTHER = 513.88 HEALTH INS, $5.31 DENTAL INS A 5218.35 GARNISHMENT Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Earned Amount Federal Tax FICA Stale Tax SDI Vac/ Holiday Health & Well. Pension Net Wage Paid For Check Number 0 Dale ROMAN, MIGUEL 8 84047 FIESTA RD COACHELLA CA 92236 MEND Work Classification 07/12 07/13 07/14 07/15 07/10 07/17 07/18 Hours Pay Rate This Project All Projects 63.21 61.20 21 97 9.60 0.00 0.00 0.00 Hours Hours Worked Each Day LANDSCAPE8.00 MAINTENANCE LABORER- RIVERSIDE S 8.00 8.00 8.00 8.00 0.00 0,00 40,00 20.00 800.00 800.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 844.02 10332 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 0.00 155.98 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Federal FICA State Tax SD! Vac! Holiday Health & Welf. Pension Net Wage Paid For Week Check Number SARABIA, JOSE A 2950 N INDIAN CANYON DR PALM SPRINGS CA 92262 SIMIIMIIII Work Classification 07/12 07/13 07/14 07/15 07/16 07/17 07/18 Hours Pay Rate This Project All Projects 5.55 48.96 12.57 7.68 0.00 0.00 0 00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER- RIVERSIDE 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 565.24 10333 Q 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 74,76 D 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Man Tue Wed Thu Fri Sat Sun Total Hourly Gross Amount Earned Federal Tax FICA Stale Tax SDI Vac! Holiday Health & Well. Pension Net Wage Paid For Week Check Number 0 Date VAZQUEZ ROJAS, MIGUEL A 54596 SHADY LANE AlClassification THERMAL CA 92274 Work 07I12 07/13 07/14 07/15 07/16 07/17 07118 Hours Pay Rale This Project 1 All Projects 0.00 22.64 0.00 3.55 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER- RIVERSIDE 3 2.50 0.00 0.00 0.00 0.00 0,00 0.00 2.50 16.00 40.00 298.00 Training Fund Admin Du" Tray/ Subs Savings Other Total 269.81 10308 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 26.19 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 08/06/2021 - 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: 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: 2021-07-11 Payroll Number: 106 Amendment Number: 0 12 employee payroll record(s) processed Your Transaction ID is: 11770299 Print this Page View your submission Submit another set of payroll records Public Works Certifi. 'ayroll 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 2021-07-11 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 2021-08-06." Contractor Name: PWLC II, INC. Address: PO BOX 848, THOUSAND PALMS, CA 92276 Insurance Number: NA 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: 106- 0 DIR Project ID: 290440 Project Name: LANDSCAPE 8 LIGHTING DISTRICT 89-1 County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS For Week Ending: 07/11/2021 [ifs this a 'Statement of Non -Performance?' Name, Address and Social Security Number of Worker ALATORRE, GRISELDA 11550 WESTERN AVE DESERT HOT SPRINGS CA 92240 NOTE: Number of Withholding 0 Work Classification Day Deductions, Contributions, and Payments Man Tun Wed Thu Fd Sat Sun Date 07105 07/06 07107 07/08 07/09 07/10 07/11 Hours Worked Each Day Total Hours Hourly Pay Rale Gross Amount Earned Federal Tax FICA Stale Tax SDI Vac/ Holiday Health & Well. Pension This Project All Projects 0.00 29.38 0.00 4.61 0.00 0.00 0.00 Nat Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE S 0.00 8.00 0.00 8.00 0.00 0.00 0.00 24.00 16.00 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Name, Address and Social Security Number of Worker ALFARO, ZEYIN 11550 WESTERN AVE DESERT HOT SPRINGS CA 92240 411111.11 NOTE: Number of Withholding 0 Work Classification 0.00 0.00 0.00 0.00 Day 0.00 0.00 0.00 0.00 0.00 384.00 384.00 Training Fund Admin Dues Tray( Subs Savings Other Total Deduct 0.00 0.00 0.00 0.00 0.00 0,00 33.99 Deductions, Contributions, and Payments 350.01 10293 Mon Tue Wed Thu Fri Sat Sun Date 07/05 07/06 07/07 07/08 07109 07/10 07/11 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Horiday Health & Welt. Pension This Project All Projects 0.00 50.80 7.53 7.97 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 16.00 0 0.00 0.00 0.00 0.00 0.00 1.03 0.00 1.00 24.00 D 0.00 0.00 0.00 0.00 0 00 0.00 0.00 0.00 0.00 664 00 664.00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 0.00 0.00 0.00 0 00 0.00 0.00 66.30 597.70 10294 Name, Address and Social Security Number of Worker CASTILLO VIGIL, RAMON A 27335 HOPPER RD DESERT HOT SPRINGS CA 92241 IMMO Number of Withholding 0 Work Class fication Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Dale 07/05 07/06 07/07 07/08 07/09 07/10 07)11 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Stale Tax SDI Vac/ Holiday Health & Welt. Pension This Project All Projects 30.94 46.52 6.76 7,30 0.00 0 00 0,00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 5 0 00 8 00 8.00 8 D0 6 00 0.00 0,00 32.00 19 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 0.00 608.00 608.00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 0.00 0.00 0 00 a 00 0.00 0.00 91,52 516,48 10295 NOTE: Public works Certified Payroll Reporting Form 08/06/2021 Page 1 Public Works Certifi 'ayroll Reporting Form Contractor Name: PWLC II, INC, Name, Address and Social Security Number of Worker DIMAS, PEDRO REYES 31-900 AVENIDA EL MUNDO CATHEDRAL CITY CA 92234 NOTE: Number of Withholding 1 Work Classification LANDSCAPE MAINTENANCE LABORER - RIVERSIDE Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Day For Week Ending: 07/11/2021 Payroll Number:106-0 Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Dale 07/05 07/06 07107 07/08 07109 07110 07/11 0.00 8.00 Hours Worked Each Day 0.00 0.00 0.00 0.00 0.00 Total Hours 8,00 Hourly Pay Rale 18.00 Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Well. Pension 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Name, Address and Social Security Number of Worker Number of Withholding ELIAS ALVAREZ, JANNET 13088 VIA REAL DESERT HOT SPRINGS CA 92240 NOTE; 0 Work Classification LANDSCAPE MAINTENANCE LABORER - RIVERSIDE S 0.00 0.00 0.00 0.00 Day 0.00 0.00 0.00 Men Tue Wed Thu Fri Sat Sun Date 07/05 07/06 07107 07/08 07/09 07110 07/11 0.00 8.00 Hours Worked Each Day 8.00 8.00 8.00 0.00 0.00 0.00 Total Hours 32.00 0.00 Hourly Pay Rate 16.00 This Project 144.00 All Projects 432.00 Gross Amount Earned 11.47 Training 33,06 Fund Admin 1.16 Dues 5.18 Tray/ Subs 0.00 Savings 0.00 Other 0.00 Total 0.00 0.00 0.00 0.00 0.00 0.00 50.87 Federal Tax Deductions, Contributions, and Payments FICA State Tax SDI Vac! Holiday Health & Welf. Pension 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 Name, Address and Social Security Number of Worker Number of Withholding HERRERA, GUSTAVO 32250 AURORA VISTA RD CATHEDRAL CITY CA 92234 NOTE: 0 Work Classification 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Day 0.00 0.00 This Project 512.00 All Projects 512.00 0.00 Training 39.18 Fund Admin 2.54 Dues 6.14 Tray/ Subs 0.00 Savings 0.00 Other 0.00 Total 0.00 0.00 0,00 0.00 0.00 0.00 47.86 Deductions, Contributions, and Payments Net Wage Paid For Week 381.13 Net Wage Paid For Week 464.14 Check Number 10274 Check Number 10296 Mon Tue Wed Thu Fri Sat Sun Date 07/05 07/06 07/07 07/08 07/09 07/10 07/11 Hours Worked Each Day Total Hours Hourly Pay Rale Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holiday Health & Well. Pension This Project All Projects 0.00 18.36 0.00 2,88 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE S 0.00 8.00 8.00 0.00 0.00 0,00 0.00 16,00 15.00 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Name, Address and Social Securlly Number of Worker LUNA GONZALEZ, CARLOS 66145 7TH ST DESERT HOT SPRINGS CA 92240 41.11.11. NOTE: Number of Withholding 4 Work Classification TREE MAINTENANCE (LABORER). TREE TRIMMER 0 S 0.00 0.00 0,00 0.00 0.00 0.00 0.00 Day Mon Tue Wed Thu Fri Sat Sun Date 07/05 07106 07/07 07/08 07/09 07/10 07/11 0.00 0.00 Hours Worked Each Day 0.00 0.00 8.00 0.00 0.00 0.00 Total Hours 8.00 0.00 Hourly Pay Rale 28.62 240.00 240.00 Gross Amount Earned Training Fund Admin Dues Tray/ Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 21.24 Federal Tax Deductions. Contributions, and Payments FICA State Tax SDI Vac! Holiday Health & well. Pension 0 0.00 0.00 0.00 0.00 0.50 0.00 0.00 0.50 26.25 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 This Project 248.65 All Projects 726.69 16.13 Training 55.59 Fund Admin 0.00 Dues 8.72 Tray/ Subs 0.00 Savings 0.00 Other 0.00 Total 0.00 0.00 0.00 0,00 0.00 0.00 80.44 218.76 Net Wage Paid For Week 646.25 10297 Check Number 10302 Public works certified Payroll Reporting Form 08/06/2021 - Page 2 Public Works Certifi 3ayroll Reporting Form Contractor Name: PWLC II, INC. Name, Address and Social Security Number of Worker LUNA GONZALEZ, CARLOS 66145 7TH ST DESERT HOT SPRINGS CA 92240 NOTE: Number of Withholding 4 Work Classification Project Name: LANDSCAPE 8 LIGHTING DISTRICT 89-1 Day For Week Ending: 07/11/2021 Payroll Number:106-0 Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Dale 07/05 07/06 07/07 07108 07/09 07/10 07/11 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Slate Tax SDI Vac/ Holiday Health & Well. Pension This Project All Projects 16.13 55.59 0.00 8,72 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE S 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 18.00 0 1.00 0.50 0.00 0.00 0.00 0.00 0.00 1.50 30.69 D Name, Address and Social Security Number of Worker Number of Withholding MURILLO MARTINEZ. JUAN 48097 ESTRELLA TOMAS COACHELLA CA 92236 NOTE: 0 Work Classification 0.00 0.00 0.00 0.00 Day 0.00 0.00 0.00 0.00 0.00 478.04 726.69 Training Fund Admin Dues Tray/ Subs Savings Other Tolal 0.00 0.00 0.00 0.00 0.00 0.00 80.44 Deductions, Contributions, and Payments 646.25 10302 Mon Tue Wed Thu Fri Sal Sun Dale 07/05 07/06 07/07 07/08 07/09 07/10 07/11 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Wolf. Pension This Project All Projects 50.92 56,31 15.13 8.83 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE S 2.00 8.00 8.00 8.00 8.00 6.00 0.00 40.00 16.00 0 0.00 0.00 0.00 0.00 0.00 2.00 2,00 4,00 24.00 Name, Address and Social Security Number of Worker Number of Withholding RAMIREZ, MARCELINO 1500 E SAN RAFAEL DR #164 PALM SPRINGS CA 92262 4 Work Classification TREE MAINTENANCE (LABORER) - SENIOR TREE TRIMMER D S 0.00 0.00 0,00 0.00 Day 0.00 0.00 0.00 0.00 0.00 736.00 736.00 Training Fund Admin Dues Tray Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0,00 131.19 Deductions, Contributions, and Payments 604.81 10298 Mon Tue Wed Thu Fri Sat Sun Dale 07105 07/06 07/07 07108 07/09 07/10 07/11 0.00 0.00 Hours Worked Each Day 0.00 0.00 8.00 0.00 0.00 Total Hours 6.00 Hourly Pay Rate 30.82 Gross Amount Earned Federal Tax FICA Slate Tax SDI Vac/ Holiday Heallh & Well. Pension 0 0.00 0.00 0.00 0.00 0.50 0.00 0.00 0.50 28.39 D 0.00 NOTE; OTHER = HEALTH INSURANCE 513 88, DENTAL INSURANCE 55.31 Name, Address and Social Security Number of Worker Number of Withholding ROMAN, MIGUEL B 84047 FIESTA RD COACHELLA CA 92236 NOTE: 0 Work Classification LANDSCAPE MAINTENANCE LABORER - RIVERSIDE S 0.00 0.00 0.00 0.00 & GARNISHMENT 5170.92 Day 0.00 0.00 0.00 0,00 This Project 267.85 All Projects 768,38 18.38 Training 57.32 Fund Admin 0.00 Dues 8.99 Tray/ Subs 0.00 Savings 0.00 Other 0.00 Total 0,00 0.00 0.00 0.00 0.00 190.11 274.80 Deductions, Contributions, and Payments Net Wage Paid For Week 493.58 Check Number 10303 Mon Tue Wed Thu Fri Sat Sun Dale 07/05 07/06 07/07 07/08 07/09 07110 07/11 0.00 8,00 Hours Worked Each Day 8.00 8.00 8.00 0.00 0.00 Total Hours 32.00 Hourly Pay Rate 20.00 Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Well. Pension 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 This Project 640.00 All Projects 640.00 44.01 Training 48.96 Fund Admin 13.42 Dues 7.68 Tray/ Subs 0.00 Savings 0.00 Other 0.ao Total 0.00 0,00 0.00 0.00 0.00 0.00 114.07 Net Wage Paid For Week 525.93 Check Number 10299 Public works Certified Payroll Reporting Form 08/06/2021 - Page 3 Public Works Certifi 'ayroll Reporting Form Contractor Name: PWLC II, INC, Name, Address and Social Security Number of Worker Number of Withholding SARABIA, JOSE A 2950 N INDIAN CANYON DR PALM SPRINGS CA 92262 IMMO Work Classification Project Name: LANDSCAPE 8 LIGHTING DISTRICT 89-1 Day For Week Ending: 07/11/2021 Payroll Number:106-0 Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 07/05 07106 07/07 07/08 07/09 07/10 07111 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount tamed Federal Tax FICA Slate Tax SDI Vac/ Holiday Heallh & Well. Ponsion This Project All Projects 5,55 48.96 12.57 7.68 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 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 0.00 640.00 640.00 Training Fund Admin Dues Tray! Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 74.76 585.24 10300 NOTE: Public works Certified Payroll Reporting Form 08/06/2021 - Rage 4 eCPR Online Confirmation Your payroll submission request has been processed. ;lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir,ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 11770108 This certified payroll will be treated as an amendment #: 1 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: 2021-07-04 Payroll Number: 105 Amendment Number: 1 11 employee payroll record(s) processed Your Transaction ID is: 11867826 Print this Page iew your submission Lt Submit another set of payroll records ruDllc VVorKs i. ernrlea 'ayroll Keporting 1-orm -Vacation under F y 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 2021-07-04 are the originals or true, full, and correct copies of the originals which depict me 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 2021-08-19." ntractor Name: PWLC II. INC. dress: PO BOX 848, THOUSAND PALMS, CA 92276 urance Number: NA Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM .arding Body: CITY OF LA QUINTA ntract With: CITY OF LA QUINTA DIR Project ID: 290440 County: RIVERSIDE Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS yroll Number: 105- 1 For Week Ending: 07/04/2021 01s this a 'Statement of Non -Performance?' Name, Address and Social Security Number of Worker Number of Withholding ALATORRE. GR1SELDA 11550 WESTERN AVE DESERT HOT SPRINGS CA 92240 0 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 06/28 06/29 06130 07/01 07102 07/03 07/04 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health & Welt. Pension This Project All Projects 0.00 48.96 0.00 7.68 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 8.0 D 8.00 8 00 8.00 0.00 0.00 40.00 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 0.00 640.00 640.00 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 0.00 0.00 0.00 0,00 0.00 0.00 56.64 583.36 10157 1TE: Name, Address and Social Security Number of Worker Number of Withholding ALFARO, SOCORRO N 11550 WESTERN AVE DESERT HOT SPRINGS CA 92240 IMMO 0 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 06/28 06/29 06130 07101 07/02 07/03 07/04 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 0.00 46.96 0.00 7.68 0.00 0.00 0.00 Net Wage Paid For Week Check Numbs' LANDSCAPE MAINTENANCE LABORER - RIVERSIDE S 8.00 8 00 8.00 8.00 8.00 0.110 0 00 40.00 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 0.00 640.00 640.00 Training Fund Admin Dues Trail/ Subs Savings Other Total Deduct 0.00 0.00 0.00 0.00 0.00 0.00 56.64 583.36 6508 1TE: Name, Address and Social Security Number of Worker Number of Withholding ALFARO, ZEYIN 11550 WESTERN AVE DESERT HOT SPRINGS CA 92240 0 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 06128 06/29 06/30 07/01 07/02 07/03 07/04 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holiday Health & Wolf. Pension This Project All Projects 0.00 52.64 8.59 8.26 0.00 0.00 0,00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 8 00 B 00 8.00 8.00 0 00 0.00 40.00 16.00 0 0.00 0.00 0.00 0.00 0.00 2.00 0.00 2.00 24.00 0.00 0.00 0.00 0.00 0.00 0 00 0.00 0.00 0.00 688.00 688.00 Training Fund Admin Dun Tray/ Subs Savings Other Total Deduct 0.00 0.00 0.00 0.00 0.00 0.00 69.49 618.51 10158 1TE: Puhlir Wnrkc fortifinrr Pavrnll ennnrtinn cnrm nR/11/7071 - Pam. mimic works eerllTlea_rayroul Keporn ng rorm ntractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/04/2021 Payroll Number:105-1 Name, Address and Social Security Number of Worker Number of Withholding CASTILLO VIGIL, RAMON A 27335 HOPPER RD DESERT HOT SPRINGS CA 92241 0 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Dale 06)28 06/29 06/30 07101 07/02 07103 07104 Hours Worked Each Day Total Haas Hourly Pay Rale Gross Amount Earned Federal Tax FICA Slate Tax SDI Vac/ Holiday Health & Welt. Pension This Project All Projects 49.18 58.14 14.08 9.12 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 8 00 8 00 8.00 8.00 0.00 0.00 40.00 19.00 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 0.00 760.00 760.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 130.52 629.48 1015? )TE: Name, Address and Social Security Number of Worker Number of Withholding DIMAS. PEDRO REYES 31.900 AVENIDA EL MUNDO CATHEDRAL CITY CA 92234 Work C la ssif cation Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 06/28 06/29 06/30 07/01 07/02 07)03 07/04 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Stale Tax SDI Vac/ Holiday Health & Welf. Pension This Project All Projects 40.67 55.08 7.49 8.64 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE s 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 18.00 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 0.00 144 00 720 00 Training Fund Adman Dues Trey/ Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 111.88 608.12 10137 )TE: Name, Address and Social Security Number of Worker Number of Withholding ELIAS ALVAREZ. JANNET 13088 VIA REAL DESERT HOT SPRINGS CA 92240 0 Work Classification Day Deductions, Contributions. and Payments Mon Tue Wed Thu Fri Sat Sun Date 06/28 06129 06/30 07/01 07/02 07/03 07/04 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tar FICA State Tax SDI Vac/ Hol day Health & Welt. Pension This Project All Projects 0.00 39.16 2.54 6.14 0.00 0.00 0.00 Net Wage Paid For Week Check Numbs' LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 800 T e 00 8.00 0.00 C.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 Trav/ Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 47.84 464.16 101601 )TE: Name, Address and Social Security Number of Worker Number of Withholding HERRERA, GUSTAVO 32250 AURORA VISTA RD CATHEDRAL CITY CA 92234 0111111.. Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 06/28 06/29 06/30 07/01 07/02 07/03 07/04 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax Vac/ Holiday Health & Waif. Pander. This Project All Projects 16.63 45.90 0.00 7.20 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.:70 8.00 8.00 8.00 8.00 0.00 0.00 40.00 15.00 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 0.00 600 00 600.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 69.73 530.27 10181 )TE: Pahl Wnrkc rnrtifinrt Pnvrnll eannrtinn Form nit114/74121 - �mnf ruonc Works t ertlnecLJ ayroii Reporting i-orm ntractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 07/04/2021 Payroll Number:105-1 Name, Address and Social Security Number of Worker Number of W thhotding LUNA GONZALEZ, CARLOS 66145 7TH ST DESERT HOT SPRINGS CA 92240 MINIM Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 08/28 06129 06130 07/01 07/02 07f03 07/04 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FFCA laty. Tax SC I Vac; Holiday Health R Well. Pension This Project All Projects 43.11 75.61 3.58 11.86 0.00 0.00 0.00 Net Wage Paid For Week LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 0.00 0.00 8.00 8.00 8.00 0.00 0.00 24.00 28.62 0 0.00 0.00 0.00 0.00 0.00 0.00 0,90 0.00 0 00 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 00 686.88 988.38 Training Fund Ad min Dues Tra4J Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 134.16 854.22 Check Number 10167 ITE: HE PERFORMED LANDSCAPE MAINTENANCE LABORER WORK Name, Address and Social Security Number of Worker Number of Withholding MURILLO MARTINEZ, JUAN 48097 ESTRELLA TOMAS COACHELLA CA 92236 0 Work Classification Day Deductions. Contributions, and Payments Mon Tue Wed Thu Fri Sal Sun Date 06128 06129 06130 07/01 07102 07/03 07104 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holiday Health & Welf. Pension This Project All Projects 45.16 52 62 12.91 8.26 0.00 a.a6 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 0 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2 00 24 00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 688.00 688.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 118.95 569.05 10162 ITE: Name, Address and Social Security Number of Worker Number of Withholding ROMAN, MIGUEL B 84047 FIESTA RD COACHELLA CA 92236 11111101.1. Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 06/28 06/29 06130 07/01 07/02 07/03 07/04 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax Spl Vac/ Holiday Health & Welt. Pens on This Project All Projects 63.21 61.20 21.97 9.60 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 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 0.00 800.00 800.00 Training Fund Admin Dues Trav! Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 155.98 644.02 18:63 ITE: Name. Address and Social Security Number of Worker Number of Withholding SARABIA, JOSE A 2950 N INDIAN CANYON OR PALM SPRINGS CA 92262 0 Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 06/28 06/29 06/30 07/01 07102 07/03 07/04 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax F CA wale Tax Sol Vac/ Holiday Health & Welf. Pension This PrejecI All Projecs 0.04 48.90 4 85 7.68 0.00 000 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40 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 0.00 640.00 640 00 Training Fund Admin Duos Tray! Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 61.49 578.51 10164 ITE: Puhlir wnrkc rerrifinrl Pavrn11 annnrtinn rnrm nR/14/7n71 - ran.