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2022-08-01 thru 2022-08-28 Cert PayrolleCPR Online Confirmation Cvour payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 72350 QUARRY TRL #A THOUSAND PALMS CA 92276 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2022-08-28 Payroll Number: 165 Amendment Number: 0 B employee payroll record(s) processed Your Transaction ID is: 15045374 Print this Page 'iew your submission Submit another set of payroll records Public Works Certifiecyroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2022-08-28 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2022-09-15 Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: PO BOX 848, THOUSAND PALMS, CA 92276 FEIN: 510532726 • Contractor Email: KRISTYS@PWLC2.COM Insurance Number: NA Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 165- 0 For Week Ending: 08/28/2022 1-1Isthis a 'Statement of Non -Performance?' Name, Address Number of Day Deductions. Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & MILALATORRE, Wage GRISELDA 0 Total Hourly Check WESTERN AVE Work 08/22 08/23 08/24 08/25 08/26 08/27 08/28 Hours Pay Rate This MI 0.00 48,96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number 11550 Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.DD 18.00 640.00 640.00 Training Fund Admrn Dues Tray/ Subs Savings Other Total Deduct 577.60 15600 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 00 92240 RIVERSIDE 0 00 0.00 0.00 0 00 0.00 6.40 62.40 41111110, D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 6.40 401K Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number ot Worker Withholding Mon Tuo Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac! Health Pension Net Dale Earned Tax Tax Holiday & Well. Wage BRIONES, MARCELINO 2 Total Hourly Check 50700 CALLE MENDOZA Work 08122 08/23 08/24 08125 08/26 08127 08/28 Hours Pay Role This All 60.97 62.51 14.50 8.99 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day COACHELLA COACHELLA CA LANDSCAPE MAINTENANCE $ 0.00 6.00 8.00 8.00 8.00 0.00 0.00 40.00 19.00 817.00 617.00 Training Fund Admire Dues Tray/ Subs Savings Other Total Deduct 661,88 SEE NOTES LABORER- 0.00 0.00 0.00 0.00 0.00 2.00 0.00 2.00 28.50 92236 RIVERSIDE 0 0.00 0.00 0.00 0.00 0.00 8.17 155.14 11.01111.1. D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: PAYCHECK NUMBERS: 15601; 6799 , OTHER = 7.98 401K, OTHER = .19 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Welf. Wage ERAZO, BENEQICTO 0 Total Hourly Check 33200 CATHEDRAL CANYON DR #8 Work 08/22 08/23 08/24 08/25 08/26 08/27 08/28 Hours Pay Rate This All 0.00 52.02 0.00 7.48 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 8.00 8.00 0.00 0.00 40.00 17.00 660.00 680.00 Training Fund Admin des Trav/ Subs Savings Other Total Deduct 620.50 15602 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92234 RIVERSIDE 0.00 0.00 0.00 0,00 0.00 0.00 59.50 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 09/15/2022 - Page 1 n Public Works Certifies yroll Reporting Form 0 Contractor Name: PWLC II. INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/28/2022 Payroll Number:165-0 Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Man Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Well. Wage Check GONZALEZ. GABRIELA 0 Total Hourly Work 08122 08/23 06124 08/25 08126 08127 06128 Hours Pay Rale This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number 66900 IRONWOOD OR 1$1406 Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00584.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Subs Subs Savings Other Total 15603 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 56.00 111111111 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Number of Day Deductions. Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday &Waif. Wage Check MUNOZ EVERARDO 0 Total Hourly Work 08/22 08/23 08124 08/25 08,26 08127 08/28 Hours Pay Rale This All 0.00 54.67 2.10 7.88 0.00 0.00 0.00 Paid Far Week Number 74501 42ND AVE Classification Hours Worked Each Day Project Projects PALM DESERT CA LANDSCAPE MAINTENANCE $40.00 8.00 8.00 8.00 8.00 8.00 0.00 0,00 18.00 720.00 720.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 842.87 15604 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92260 RIVERSIDE 0 0.00 0.00 0.00 0.00 0.00 12.50 77.13 11111.111111 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 5.30 DENTAL INSURANCE & 7.20 401K Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Welf. Wage Check GUSTAVO 0 Total Hourly RODRIGUEZ-TQRRES. Work 08122 08123 08124 08725 08126 08/27 08128 Hours Pay Rate This All 4.50 48.96 10.04 7.04 0.00 0.00 0.00 Paid For Week Number 83319 CARIBE AVE Classification Hours Worked Each Day Project Projects INDIO CA LANDSCAPE8.00 MAINTENANCE s 8.00 8,00 8.00 8.00 0.00 0.00 40,00 16.00 640.00 640 00 Training Admin Dues Subs Savings Other Total 569.46 15605 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92201 RIVERSIDE 0 0.00 0.00 0.00 0.00 0.00 0.00 70.54 IMMO D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE: Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Date Earned Tax lax Holiday & Well. Wage 0 Total Hourly Check SORIANO LOZANO, FERNANDO B PUEBLO TR NA Work 08122 08/23 08/24 08/25 06126 08/27 08/28 Hours Pay Rale This All 19.34 52.02 0.00 7.46 0.00 0.00 0.00 Paid For Week Number 33300 Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 8.00 8.00 0.00 0.00 40.00 17.00 880.00 680.00 Training AFund dmin Dues Subs Savings Other Total 594.36 15606 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0,00 0.00 92234 RIVERSIDE 0.00 0.00 0.00 0.00 0,00 0.00 0.00 6.80 65.64 1111111141 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE: OTHER a 6.80 401K Public works Certified Payroll Reporting Form 09/15/2022 - Page 2 Public Works Certifies /roll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/28/2022 Payroll Number:165-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Welf. SOTO, MARIA 0 Total Hourly Wage Check 83480 VECINO WAY Work 08122 08123 08124 08125 08r28 08127 08128 Hours Pay Rale This All 0.00 48.96 1.85 7.04 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects INDIO CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 640.00 640.00 Training Fund Admin Dues S Subsubs Savings g Other Total 582.15 15807 LABORER- O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92201 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 57.85 111111111/ D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE; a Public works certified Payroll Reporting Form 09/1S/2022 - Page 3 eCPR Online Confirmation r Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 72350 QUARRY TRL #A THOUSAND PALMS CA 92276 Awarding Body. CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2022-08-21 Payroll Number: 164 Amendment Number: 0 16 employee payroll record(s) processed Your Transaction ID is: 15020962 Print this Page d— iew your submission Submit another set of payroll records Public Works Certifie iyroII 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 Il, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2022-08-21 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2022-09-13 " Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 0 Address: PO BOX 848, THOUSAND PALMS, CA 92276 FEIN: 510532726 ' Contractor Email: KRISTYS@PWLC2.COM Insurance Number: NA Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 164- 0 For Week Ending: 08/21/2022 pis this a 'Statement of Non -Performance?' Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac! Health Pension Net Earned Tax Tax Holiday & Welt. ALATORRE, GRISELDA 0 Date Total Hourly Wage Check 11550 WESTERN AVE Work 08115 08/16 08/17 08118 08119 08120 08/21 Hours Pay Rate This All 0.00 48,96 0 00 7 04 0110 0 00 0,00 Paid For Week Number Classification Hours Worked Each Day Project Protects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640,00 640,00 Training Fund Admin Dues Sras! Subs Savings Other Total Deduct 577 SO 15435 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE 0.00 0.00 0.00 0 00 0.00 6.40 62.40 WWII D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 00 0 OD NOTE: OTHER = 6.40 401K ' Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday &Welt. BRIONES, MARCELINO 2 Total Hourly Wage Check 50700 CALLE MENDOZA Work 08/15 08/16 08/17 08/18 08/19 08/20 08121 Hours Pay Rate Thus Al I 63.22 62,49 15.74 8.99 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Frrojects COACHELLA CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8,00 8.00 8.00 0.00 0.00 40.00 19.00 817.00 817.00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 658.39 15436 LABORER- O 0.00 0.00 0.00 0.00 0.00 2.00 0.00 2.00 28.50 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 8.17 158.61 MIMI D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 8.17 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Not Earned Tax Tax Holiday& Waif. ERAZO. BENEOICTO 0 Date Total Hourly Wage Check 33200 CATHEDRAL CANYON OR 116 Work 08l15 08116 08117 08118 06119 08120 08121 Hours Pay Rate This All 0.00 52.02 0.00 7.48 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Protect Projects CATHEDRAL CITY CA LANDSCAPE MAINTENANCE g 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 17.00 680.00 680.00 Training Fund Admin Dues Tray! Subs savings Other Total Deduct 820.50 15437 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92234 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 59.50 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 09/13/2022 - Page 1 Public Works CertifieC yroil Reporting Form Contractor Name: PWLC il, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/21/2022 Payroll Number: 164-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale Vac/ Health Net Tax SDI Holiday & Well. Pension GOMEZ, SADY J Total Hourly Wage Check 13128 LA MESA DR Work 08/15 08116 08/17 08118 08/19 08/20 08/21 Hours Pay Rate This All 0.00 86.39 38.47 12.42 0.00 0.00 0.00 Peid Far Week Number DESERT SPRINGS Classification Hours Worked Each Day Project Projects HOT CA TREE MAINTENANCE S40.00 8.00 8.00 8.00 8.00 8.00 0.00 0.00 28.23 1,129.20 1,129.20 Training Fund Dues Tray/ Savings Other Total 993.92 15443 (LABORER} 0 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 0.00 135.28 - ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments ' Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State 501 Vac! Health Pension Net Tax Holiday & Well. GONZALEZ, GABRIELA Total Hourly Wage Check 66900 IRONWOOD DR P1406 Work 081t5 08/16 08/17 08/18 08/19 08/20 08/21 Hours Pay Rate This All 0.00 39.16 0.00 5.63 0.00 0.00 0.00 Paid For Week Number Classification rationProjects Hours Worked Each Day Project DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 0.00 0.00 0.00 32.00 16.00 512.00 512.00 Training Fund Dues Tray! Savings Other Total 467.21 15438 LABORER- 0 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 Admin Subs 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 44.79 Mom D 0.00 0.00 0.00 0.00 0,00 0.00 0,00 0.00 0.00 NOTE: Name. Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Man Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale Vac/ Health Nel Earned Earned Tax Tax SDI Holiday&Well. Pension IZAZAGAMACIEL, FABIAN 0 Date Total Hourly Wage Check 104 FRONTIER RD WCIA08/15 08/16 08117 08/18 08/19 08120 08/21 Hours Pay Rate This All 0.00 87.68 35.24 12.61 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day°I Project Projects PALM SPRINGS CA TREE MAINTENANCE S 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 32.22 257.76 1,146.24 TrainingFund Admin Dues Tray/ Subs Savings Other Total 1,010.71 15445 (LABORER)- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92262 SENIOR TREE 0,00 0.00 0.00 0.00 0.00 0.00 135.53 TRIMMER D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac/ Health Net Earned Tax Tax Holiday& Well Pension IZAZAGA MACIEL. FABIAN 0 Dale Total Hourly Wage Check 104 FRONTIER RD Work 08/15 08118 08/17 08/18 08119 08/20 08/21 Hours Pay Rate This All 0.00 87.68 35.24 12,61 0.00 0.00 0.00 Paid For Number ClassificationWeek Hours Worked Each Day1 Project Projects PALM SPRINGS CA TREE MAINTENANCE S 8.00 8.00 0.00 0.00 8.00 0.00 0.00 24.00 30.02 720.48 1,146.24 Training 9 Fund Dues Tray/ Savings Other Total 1,010.71 15445 (LABORER)- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92262 TREE TRIMMER 0.00 0.00 0.00 0.00 0.00 0.00 135,53 MIMS D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Public works Certified Payroll Reporting Form 09/13/2022 - Page 2 Public Works Certifie .yroii Reporting Form 0 Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/21/2022 Payroll Number:164-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday& Wolf. IZAZAGA, TORIBIO 0 Total Hourly Wage Check 32315 CANYON VISTA RD fIB Work 08/15 08116 08117 08/18 08/19 08120 08/21 Hours Pay Rale This All 0.00 86.34 28.24 12.42 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA TREE MAINTENANCE 5 8.00 8.00 0.00 8.00 8.00 0.00 0.00 32.00 30A2 960.64 1,128.64 Training Fund Admin Dues Tray/ Subs Sayings Other Total 1.001,64 15444 (LABORER). 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92234 WEE TRIMMER 0.00 0.00 0,00 0,00 0.00 0,00 127.00 D 0.00 0.00 0,00 0.00 0,00 0.00 0,00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions. Contribullone, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac! Health Pension Net Dale Earned Tax Tax Holiday6 Wolf. LUNA GONZALEZ, CARLOS 4 Total Hourly Wage Check 66145 7TH ST Work 08/15 0B/16 08/17 08/18 08/19 08/20 08/21 Hours Pay Rate This All 46.13 78.57 3.75 11.34 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA TREE MAINTENANCE S 8.00 8.00 8.00 0.00 8.00 0.00 0.00 32.00 32.22 1,031.04 1,031.04 Training Fund Admin Dues Tray! Subs Sayings Other Total 890,95 15446 (LABORER)- 0 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 SENIOR WEE 0.00 0,00 0,00 0.00 0.00 0.00 140.09 MM. TRIMMER D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name. Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Man Tue Wed Thu Fri Sat Sun Gross Amount Federal MCA State SDISDl Vac/ Health Pension Nei Earned Tax Holiday &Welt. MUNOZ EVERARDO a Date Total Hourly Wage Check 74501 42ND AVE Work 08115 08/16 08/17 08/18 08/19 08120 08/21 Hours Pay Rale ThEs All 0.00 54.69 2.10 7.85 0.00 0.00 0.00 Paid Far Week Number Classification Hours Worked Each Day Prefect Projects PALM DESERT CA LANDSCAPE MAINTENANCE 5 8,00 8,00 8.00 8,00 8,00 0,00 0.00 40.0a 78.Oo 720.00 720.00 TrainingFund Admin Dues S Sububss Sayings 9 Other Total 642.85 15439 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92260 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 12.50 77.15 _ D o.o0 0,00 Q.00 o.QQ 0.0Q Q.00 Q.ao 0.00 0.00 NOTE: OTHER = 5.30 DENTAL INSURANCE & 7.20 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Well. RAMIREZ, MARCELINO 0 Totat Hourly wage 1500 E SAN RAFAEL DR #164 08/16 08/17 08/18 08/19 08/20 08/21 Hours Pay Rate This All 0.00 66.50 0,00 9,56 0,00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA TREE MAINTENANCE S 0.00 8.00 0.00 8.00 8.00 0.00 CLOD 24,00 30,02 720,48 888.49 TrainingFund Admin Dues Trey! Subs Sayings 9 Other Total 784,35 15447 (LABORER)- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92262 TREE TRIMMER 0.00 0.00 0.00 0.00 0.00 28.07 104.13 OMNI D 0.00 0.0a 0.0o o.Q0 0.00 o.g0 0.00 0,00 0,00 NOTE: OTHER = 13.88 HEALTH INSURANCE. 5.31 DENTAL INSURANCE & 8.68 401K Public works Certified Payroll Reporting Form 09/13/2022 - Page 3 Public Works Certifie ,yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/2112022 Payroll Number:164-0 Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Grass Amount Federal FICA State SDI Vac/ Health Pension Net Date Eamed Tax Tax Holiday 8 Welt.. Wage RODRIGUEZ-TORRES. GUSTAVO 0 Total Hourly Check AVE Work 08/15 08/16 08117 08118 08119 08f20 08/21 Hours Pay Rate This All 4.50 48.96 10.04 7.04 0.00 0.00 0.00 Paid For Week Number 83319 CARIBE Classification Noun Worked Each Day Project Projects INDIO CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Ss Subs Savings Other Total 569.46 15440 LABORER- 0 0.00 0.00 0.00 0.00 0.011 0.00 0.00 0.00 0.00 92201 RIVERSIDE 0.00 0.00 0.00 0.00 0,00 0.00 70.54 D 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA State SDI ' Vac/ Health Pension Net Date Eamed Tax Tax Holiday & Welf, SANTOS VELAZOUEZ, LUIS A 0 Total Houdy Wage Check 33141 SHIFTING SANDS 02 Work 08115 06116 08117 08/18 08119 08120 08/21 Hours Pay Rate This All 0.00 71.42 13,06 10.27 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA TREE MAINTENANCE S 0.00 8.00 0.00 8.00 8,00 0.00 0.00 24.00 28.23 677.52 933.52 Training g Fund Admin Dues Tray! Subs Savings Other Total 838.77 15448 (LABORER).- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92234 GROUNDSPERS 0.00 0.00 0.00 0.00 0.00 0.00 94,75 ON D 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Nel Date Earned Tax Tax Holiday & Well. SORIANO LOZANO, FERNANDO B 0 Total Hourly Wage Check 33300 PUEBLO TR #A Work 08/15 08116 08/17 08/18 08/19 08120 08/21 Hours Pay Rate This All 19.34 52,02 0.00 7.48 0.00 0.00 0.00 Paid For Week Number Classification Hour Worked Each Day Project ect Projects CATHEDRAL CITY CA LANDSCAPE MAINTENANCE s 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.Q0 17.00 680.00 680.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 594.36 15441 LABORER- p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92234 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 6.80 85.64 1111.11.11 D 0.00 /Leo (Loa 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 6.80 401K Name, Address and Number of Day Deductions, Contributions, and Payments Soclai SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Cross Amount Federal FICA State SDI Vac! Health Pension Net Date Eamed Tax Tax Holiday & Well. SOTO, MARIA 0 Total Hourly Wage Check 83480 VECINO WAY Work 08/15 08118 08/17 08/18 08/19 08120 08/21 Hours Pay Rate This All 0.00 48.96 1.85 7.04 0.00 0.00 0.00 Paid For Week Number on Classification Worked Each Day Project Projects INDIO CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640,00 640.00 TrainingFund Admin Dues SuIs Subs Savings g Other Total 582.15 15442 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92201 RIVERSIDE 0.00 0.00 0.00 0.00 0A0 0.00 57.85 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 09/13/2022 - Page 4 Public Works Certifie .yroii Reporting Form c Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/21/2022 Payroll Number: 164-0 Name, Address Number of Day Deductions. Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vacf Health Pension Not Date Earned Tax Tax Holiday Welf, VALOF2, HUMBERTO S a Total Hourly Wage Check 12965 CACTUS DR #A Work 08/15 08/10 08/17 08/18 08/19 08/20 08/21 Hours Pay Rale Th.., Alt 143.25 88.39 40.94 12.42 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Protect Projects DESERT HOT SPRINGS CA TREE8.00 MAINTENANCE s 8.00 8.00 8.00 8.00 0 00 0.00 40 00 28.23 1 129.20 1,129.20 Training Fund Adman Ones Tray/ Subs Savings Other Total 834.91 15449 (LABORER)- o D.o i 0.00 0 00 0.00 0 00 0.00 0 00 0.00 0.00 92240 GROUNDSPERS 0.09 0.00 0-00 0.00 0.00 11.29 294.29 _ ON D C..00 0.00 0 co 0.00 0.00 0. CO 0.00 D.00 0.00 NOTE: OTHER = 11.29 401K Public works Certified Payroll Reporting Form 09/13/2022 - Page 5 eCPR Online Confirmation rThYour payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 72350 QUARRY TRL #A THOUSAND PALMS CA 92276 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2022-08-14 Payroll Number: 163 Amendment Number: 0 15 employee payroll record(s) processed Your Transaction ID is: 14974940 Print this Page View your submission Submit another set of payroll records Public Works Certifie yroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2022-08-14 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2022-09-08." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: PO BOX 848, THOUSAND PALMS, CA 92276 FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM Insurance Number: NA Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 • Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 163- 0 For Week Ending: 08/14/2022 Is this a 'Statement of Non -Performance?' Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac! Health Pension Net Earned Tax Tax Holida & Wed, ALATORRE, GRISELDA 0 Dale Total Hourly y Wage Check 11550 WESTERN AVE Work 08108 08109 08110 08/11 08/12 08113 08114 Hours Pay Rate This All 0.00 48.96 0.00 7.04 0.00 0 00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8,00 8.00 8.00 0.00 0.00 40 00 16,00 640.00 840 00 Training Fund Adm Dues Tray/ Subs Savings Other Total 577.60 15338 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 00 n Deduct 92240 RIVERSIDE 0.00 O,i3p 0.U0 0.00 0.00 6,40 62.40 MIMI D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 44 0 00 NOTE: OTHER = 6,40 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal fICA State SDI Vac/ Health Pension Net SRIONES, MARCELINO 2 Date Total Hourly Earned Tax Tax Holiday&Welt, Wage Check 50700 CALLE MENDOZA Work 08108 08109 08/10 08/11 08/12 08113 00/14 Hours Pay Rate This All 63.22 62 51 15,74 8.99 0.00 0.00 0.0a Paid For Week Number Classification Hours Worked Each Day Project i Projects COACHELLA CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 19.04 817.00 817.00 Training Fund Admin DIM Tray! Savings Other Total 658.37 15389 LABORER- O 0.00 0.00 0.00 0.00 0,00 2.00 0.00 2.00 28.50 Subs Deduct 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 8.17 158,63 IMINIII D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 8.17 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Grose Amount Federal FICA State SDI Vac! Health Na! Earned Tax Tax Holiday & Welt.Pension ERAZO, BENEDICTO D Dale Total Hourly Wage Check 33200 CATHEDRAL CANYON DR 11a Work 08/08 08/09 08/10 08111 08/12 08/13 08/14 Hours Pay Rate This All 0.00 52.02 0.00 7.48 0.00 0.00 0.00 Paid For Week Number ClassificationHours Worked Each Day Project Projects CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 17.60 680.00 680.00 Training Fund Dues Tray/ Savings Other Total 620.50 15390 LABORER- O 0,00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs Deduct 92234 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 59.50 r D 0.00 0.00 0.00 0.00 0.0o o.00 0.00 0.00 0.00 NOTE: Public works Certified Payroll Reporting Form 09/08/2022 - Page 1 Public Works Certified ryrofl Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/14/2022 Payroll Number:163-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat SunFICA Gross Federal' State SDI Vac/ Health Pension Net Tax Tax Holiday 8 Well. GOMEZ. SADY J 0 Date Total HourlyEarned Wa e g Check 13128 LA MESA DR Work 08108 08109 08110 08111 08112 08f13 06/14 Hours Pay Rate This Ail 0.00 83.66 33.57 12.06 0.00 0.00 WOO Paid For Week Number Classification Hour Worked Each Day Project 1 Projects DESERT HOT SPRINGS CA TREE MAINTENANCE 538.00 8.00 8.00 8.00 8.00 4.00 0.00 0.00 28.23 1,016.26 1,096.28 Training Fund Admin Dues Tray! Savings Other Total 966,79 15396 (LABORER} p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Subs 92240 GROLINOSPERS 0.00 0.00 0.00 0.00 0.00 0.00 129.49 IONNal ON D 0.00 D.00 0.00 D.00 0.00 0.00 0.00 p,00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gress Amount Federal FICA Stale SDI Vac! Health Pension Net Earned Tax Tax Holiday 8 Well. GONZALEZ. GABRIELA 0 Dale Total Hourly dy Wa a g Check 66900 IRONWOOD DR N1406 Work 08l08 08/09 08110 08/11 08/12 06/13 08/14 Hours Pay Rate This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0,0D 40.00 ' 16.00 640.00 640.00 Training Fund Admin Dues Tray! Subs Savings Other Total 584.00 15391 LABORER- 0 0A6 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 56.00 D 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Net Earned Tax Tax Holiday & Welf. Pension IZAZAGA MACIEL, FABIAN 0 Date Total Hourly Wage Check 104 FRONTIER RD Work 08108 08J09 08l10 08111 08l12 08113 08/14 Hours Pay Rale This All 0.00 62.45 10,77 8.98 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Proj Projectss1 PALM SPRINGS CA TREE MAINTENANCE S 0.00 0.00 4.00 8.00 4.00 0.00 0.00 16.00 30.02 480.32 816,32 Training Fund Admin Dues Trav! Subs Savings Other Total 734.12 15398 (LABORER)- 00.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92262 TREE TRIMMER 0,00 0.00 0.00 0.00 0.00 0.00 82.20 11.1111. D 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0,00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Net Earned Tax Tax Holiday & Well. Pension IZAZAGA, TORIBIO 0 Date Total Hourly Wage Check 32315 CANYON VISTA RD NB Work 08/08 08109 08110 08111 08112 08/13 08114 Hours Pay Rota This All 0.00 80.82 21.89 11.82 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each DayProject1 Projects CATHEDRAL CITY CA TREE MAINTENANCE S24.00 8.00 0.00 4.00 8.00 4.00 0.00 0.00 30.02 720.48 1,056.48 Training Fund Dues Trav) Savings Other Total 942.15 15397 (LABORER). o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admire Subs 92234 TREE TRIMMER 0.00 0.00 0.00 0.00 0.00 0.00 114.33 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 09/08/2022 - Page 2 Public Works Certifie ,yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/14/2022 Payroll Number:163-0 Name, Address end Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat SunFICA Gross Amount Federal State SOI Varl Health Pension Not Earned Tax Tax Holiday await, LUNAGONZALEZ CARLOS 4 Date Total Hourly Wage Check 66145 7TH ST Work 08108 08109 08110 08111 08112 08113 08114 Hours Pay Rale This Alt 71.67 95.17 13.03 13.68 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day ProjectI Projects DESERT HOT SPRINGS CA TREE MAINTENANCE S 8.00 8.00 8.00 8.00 4.00 0.00 0.00 36.00 32.22 1,159.92 1,243.92 Training Fund Admin Dues Tray/ Subs Savings Other Total 1,050.37 15399 (LABORER)- o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 a.oD 0.00 92240 SENIOR TREE 0.00 0.00 0.00 0.00 0.00 0.00 193.55 TRIMMER D OM 0.00 0,00 D,00 0.00 0.00 0.00 0.00 0.00 • NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Earned Tax Tax Holiday & Well. MUNOZ EVERARDO 0 Dale Total Hourly Wage Check 74501 42ND AVE Work 08/08 08/09 08110 08/11 08112 08/13 08114 Hours Pay Rate This All 0.00 54,67 2.10 7.86 0.00 0.00 0,00 Paid For Week Number Classification Hours Worked Each Day Project j Projects j PALM DESERT CA LANDSCAPE MAINTENANCE 532.OD 8.00 8.00 8.00 0.00 8.00 0.00 0.00 18.00 576.00 745.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 667.87 15392 LABORER- o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 • 92260 RIVERSIDE 0.00 0.00 0,00 0.00 0.00 12.50 77.13 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 l NOTE: OTHER = 5.30 DENTAL 8 7.20 401K Name, Address and Number al Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Grass Amount Federal FICA Stale SDI Vac/ Health Pension Net Earned Tax Tax Holida yWage a Well. RAMIRE2 MARCELINO 0 Dale Total Hourly Check 1500 E SAN RAFAEL DR #164 Work 08/08 08/09 08/10 08/11 08112 08113 08114 Hours Pay Rate This All 0.00 63.74 0.00 9.17 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA TREE MAINTENANCE S20.00 8.00 0.00 4,00 8,00 0,00 0.00 0.00 30.02 600.40 852.40 Training Fund Admin Dues Tray/ Subs Savings Other Total 751.78 15400 (LABORER)- p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92262 TREE TRIMMER 0.00 0,00 0.00 0.00 0.00 27.71 100.62 IMMO D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,60 0.00 NOTE: OTHER = 13.88 HEALTH INSURANCE. 5.31 DENTAL INSURANCE a 8.52 401K Name, Address and Number of Day - Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac! Health Pension Net Earned Tax Tax Holidaya Wall. RODRIGUEZ-TORRES, GUSTAVO 0 Date Total Hourly Wage Check 83319 CARIBE AVE Work 08108 08/09 08/10 08111 08112 08113 08/14 Hours Pay Rate This All 33.34 48.96 10.04 7.04 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day ro Peat j Projects INDIO CA LANDSCAPE MAINTENANCE 540.00 8.00 8.00 8.00 8.00 8.00 0.00 0.00 16.00 640.00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 540.62 15393 LABORER- p 0.00 0.00 0.00 0.00 0.00 0,00 0,00 0.00 0.00 92201 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 99.38 IMMO D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Public works Certified Payroll Reporting Form 09/08/2022 - Page 3 Public Works Certifie ryroll Reporting Form Contractor Name: PWLC II. INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/14/2022 Payroll Number: 163-0 Number of Day Deductions, Contributions, and Payments Name, Address end Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Well. Wage Check SANTOS VELAZQUEZ. LUIS A a Total Hourly WO* DS/08 08/09 08/10 08/11 08/12 08/13 08114 Hours Pay Rale This All 0.00 60,19 3.37 8.65 0.00 6.00 0.00 Paid For Week Number 33141 SHIFTING SANDS #2 Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA TREE MAINTENANCE 512.00 8.00 0.00 4.00 0.00 0.00 0.00 0.00 28.23 338.76 786.76 Training Fund Admin Dues Tray/ Subs Savings Other Total 714.55 15401 0.00 0.00 0.00 0.00 0,00 0.00 0.00 92234 (LABORER)- GROUNDSPERS 0 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 72.21 MEMO ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address Number of Day Deductions, Contributions, and Payments end Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday Welf. Wage FERNANDO B 0 Total Hourly Check SORIANO LOZANO, 33300 PUEBLO TR #A Work 08/06 08109 08/10 08/11 08/12 08/13 06/14 Hours Pay Rale This All 19.34 52.02 0.00 7.48 0.00 0,00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 B.00 8-00 0.00 0.00 4D.DD 17.00 580.00 680.00 Training AFund dmin Dues subs Savings Other Total 594.36 15394 LABORER- 0 0.00 0.00 0.00 0,00 0,00 0,00 0.00 92234 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.80 85.64 D 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE: OTHER = 6.80 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Net Dale Earned Earned Tax Tax Holiday & Welt.Pension SOTO, MARIA 0 Total Hourly Check 83460 VECINO WAY Work 08/08 08/09 08/10 08111 08/12 08/13 08/14 Hours Pay Rate This All 0.00 44.68 0.00 6.42 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects INplO CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 4.50 6.00 0.00 0.00Fund 36.50 16.00 584.00 584.00 Training Admin Dues Tray/ Subs Savings Other Total 532,90 15395 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92201 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 51.10 r D o.00 0.0o D.DD 0.00 0.00 0.00 0.00 0.00 0,00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vat! Health Pension Net Date Earned Tax Tax Holiday & Well. VALDEZ.HUMBERTO S 0 Total Hourly Wage Check CACTUS DR f/A Work 08/06 08/09 08/10 08111 08/12 08/13 08/14 Hours Pay Rate This All 135.21 83.57 37.72 12.02 0.00 0.00 0.00 Paid For Week Number 12966 Classification Hours Worked Each Day Prajecl Projects DESERT HOT SPRINGS CA TREE8.00 MAINTENANCE s 8.00 8.00 8.00 4.00 0.00 0.00 38.00 28.23 1,016.28 1,092.26 TrainingFund Admin Dues Tray/ Subs Savings 9 Other Total 812.84 15402 (LABORER)- 0 0.00 0.00 0.00 0.00 0 00 0.00 0.00 0,00 0.00 92240 GROUNDSPERS 0.00 0,00 0.00 0.00 0,00 10.92 279.44 IMMO ON D 0.00 0,00 0.00 0 00 0 00 0 00 0 00 0.0D 0.00 NOTE: OTHER = 10.92 401K Public works Certified Payroll Reporting Form 09/08/2022 • Page 4 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC 11, INC. Contractor Address: 72350 QUARRY TRL #A THOUSAND PALMS CA 92276 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2022-08-07 Payroll Number: 162 Amendment Number: 0 15 employee payroll record(s) processed Your Transaction ID is: 14963772 Print this Page View your submissionAdob«— Adobe Submit another set of payroll records Public Works Certifie 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 2022-08-07 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2022-09-07." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: PO BOX 848, THOUSAND PALMS, CA 92276 FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM Insurance Number: NA Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 162- 0 For Week Ending: 08/07/2022 7Is this a 'Statement of Non -Performance?' a Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wad Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Earned Tax Tax Holiday & Well. ALATORRE, GRISELDA 0 Date Total Hor rly Wage Check 11550 WESTERN AVE Work 08/01 08102 08/03 08/04 08/05 08/06 08107 Heurs Pay Rate This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Protect Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 5 8,00 8,00 _ 8,00 8,00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Adm'n Dues Tray/ Subs Savings Other Total Deduct 577.60 15224 LABORER- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.40 62.40 MIMI 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 6.40 401K Name. Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Man Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Nel Date Earned Tax Tax Holiday & Well. BRIONES, MARCELINO 2 Total Hourly Wage Check 50700 CALLE MENDOZA Work 08/01 08/02 08103 08/04 08/05 OB/06 08/07 Hours Pay Rate This All 63.22 62.50 15.74 8.99 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects i COACHELLA CA LANDSCAPE MAINTENANCE S 6.00 8.00 8.00 BOO 8.00 0.00 0.00 40.00 19.00 817,00 817.00 Training Fr nd Admin Dues Tray/ Subs Savings Other Total Deduct 658.38 15225 LABORER- Q 0.00 0.00 0.00 0.00 0.00 2.00 0.00 2.00 28,50 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 8.17 158.82 111111111111 D 0.00 0 00 0.00 0.00 0,00 0 00 0.00 0.00 0.00 NOTE: OTHER = 8.17 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SOI Vac/ Health Pension Net Date Earned Tax Tax Holiday a welt. COLIN SANCHEZ. HUGO G 0 Total Houdy Wage Check ism E SAN RAFAEL DR #164 Work 08/01 08/02 08103 08/04 08/05 08/06 08107 Hours Pay Fiala This All 0.00 60,19 5.58 8,65 0.00 0,00 0.00 Paid For Week Number Classification Hours Worked Each Day Protect Projects PALM SPRINGS CA TREE MAINTENANCE S 0.00 0.00 0.00 4.00 6.00 0.00 0.00 12.00 28.23 338.76 786,76 Training Fund Admin Dues Subs Subs Savings Other Total Deduct 704.47 15232 (LABORER). Q 0.00 0.00 0.00 0.00 0,00 0,00 0,00 0.00 0.00 92262 GROUNDSPERS 0.00 0.00 0.00 0.00 0.00 7.87 82.29 r ON D 0.00 0.00 0.00 0.00 0.00 0.60 0.00 0,00 0.00 NOTE: OTHER = 7.87 401K Public works certified Payroll Reporting Forts 09/07/2022 - Page 1 Public Works Certifieiyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 0810712022 Payroll Number:162-0 Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Nel Date Earned Tax Tax Holiday & Well. ERAZO, BENEDICTO 0 Total HourlyWage CANYON DR NB 08/01 08/02 08/03 08/04 08/05 08/06 08107 Hs our Pay Rate This All 0,00 52,02 0.00 7.48 0.00 0.00 0.00 Paid For Week Nur Number 33200 CATHEDRAL Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 8.00 8.00 0.00 0.00 40.00 17.00 680.00 680.00 TrainingFund Admin Dues Dues S Sayings g Other Total 620.50 15226 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92234 RIVERSIDE 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 59.50 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac! Health Pension Net Dale Earned Tax Tax Holiday & Welf. Welt. GOMEZ,SADYJ 0 Total Hourly Wage Check 13128 LA MESA DR Work 08/01 08/02 08103 08/04 08/05 08/06 08/07 Hours Pay Rale This All 0.00 08.75 18.94 9.89 0,00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project projects DESERT HOT SPRINGS CA TREE MAINTENANCE $ 0.00 0.00 0.00 4.00 8.00 0.00 0.00 12.00 28.23 338.76 898.76 Training Fund Admin Dues Ss/ Subs Savings Other Total 801.18 15233 (LABORER). 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.p0 0.00 92240 GROUNDSPERS 0.00 0.00 0.00 0.00 0.00 0.00 97.58 MUM ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0g 0.00 NOTE; Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Well. GONZALEZ. GABRIELA 0 Total Hourly Wage Check 66000 IRONWOOD DR #1406 Work 08101 08102 08/03 08/04 08/05 0B/06 08/07 Hours Pay Rate This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 TrainingFund Admin Dues S Subsubs Savings 9 Other Total 584.00 15227 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 56.00 _ D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday 8 Well. IZAZAGAMACIEL,FABIAN 0 Total Hourly Wags Check 104 FRONTIER RD Work 08/01 08102 08/03 08/04 08105 08108 08/07 Hours Pay Rate This All 0.00 74.56 21.22 10.72 0.00 0.00 0.00 Paid For Number ClassificationProjectsWesk Hours Worked Each Day Project PALM SPRINGS CA TREE0.00 MAINTENANCE s 0.00 0,00 4.00 8.00 0.00 0.00 12.00 32.22 386.64 974.64 TrainingFund Admin Dues S Subsubs Sayings g Other Total 868.14 15235 (LABORER} p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92262 SENIOR TREE 0.00 0.00 0.00 0.00 0.00 0.00 106.50 - TRIMMER D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Public Works Certified Payroll Reporting Forts 09/07/2022 - Page 2 Public Works Certifie Ayroll Reporting Form C Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/07/2022 Payroll Number: 162-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Well. IZAZAGA, TORIBIO 0 Total Hourly Wage Check 32315 CANYON VISTA RD NB Work 08/01 08102 08/03 08/04 08105 08/06 08107 Hours Pay Rale This All 0.00 72.54 14.03 10.A3 0.00 0.00 0.00 Paid For Week Number Classlficatlon Hours Worked Each Day Project acts Projects CATHEDRAL CITY CA TREE MAINTENANCE 5 0.00 0.00 0.00 4.00 8.00 0.00 0.00 12.00 30.02 360.24 948.24 TrainingFund Admin Dues S Subsubs Savings Other Total 851.24 15234 (LABORER)- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92234 TREE TRIMMER .0.00 0.00 0.00 0.00 0.00 0.00 0.00 97.00 IIIMIIIMIIIII D 0.00 0,DO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 l NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac! Health Pension Net Earned Tax Tax Holiday & Wolf. MUNOZ EVERARDO 0 Dale Total Hourly Wage Check 74501 42ND AVE work 08101 08102 08103 08104 Q$ros 08/06 08/07 Hours Pay Rate This All 0.00 54.67 2.10 7.86 0.00 0.00 0.00 Paid For Week Number Classification HProject Hours Worked Each Day Projects i PALM DESERT CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 642.87 15228 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92260 RIVERSIDE OM 0.00 OM 0.00 0.00 12.50 77.13 1111111.1111111 D o.00 o.OD o.00 0.0o o.00 o.00 0.00 o.00 D.DD NOTE: OTHER = 5.30 DENTAL INSURANCE & 7.20 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Groan Amount Federal FICA State SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Welt RAMIREZ MARCELINO 0 Total Hourly Wage Check 1500 E SAN RAFAEL DR #164 Work 08/01 OB102 08/03 08/04 OB105 08/06 08107 Hours Pay Rate This All 0.00 71.07 0.00 10.22 0.00 0.00 0,00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA TREE MAINTENANCE S 0.00 0.00 0.00 4.00 8.00 0.00 0.00 12.00 30.02 360.24 948.24 Training Fund Admin Dues Tray/ Subs Savings Other Total 638.28 15237 (LABORER} 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92262 TREE TRIMMER 0.00 0.00 0.00 0.00 0.00 28.67 109.96 D 0.00 0.00 OM 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 13.88 HEALTH INSURANCE, 5.31 DENTAL INSURANCE & 9.48 40tK Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday& Welt. ROORIGUE2-TORRES, GUSTAVO 0 Total Hourly Wage Check 83319 CARIBE AVE yyark 08/01 08/02 08/03 08104 08/05 08/06 08/07 Hours Pay Role This All 33.34 48.96 10.04 7.04 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Protect Projects INDID CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 540.00 640.00 TrainingFund Admin Dues Tray/ Subs Savings S Other Total 540.62 15229 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92201 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 99.38 _ 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 09/07/2022 - Page 3 Public Works Certifie iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 08/07/2022 Payroll Number:162-0 Nams, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Man Tun Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Famed Tax Tax Holida yWage & Welf. SANTOS VELAZOUEZ. LUIS A 0 Dale Total Hourly Check 33141 SHIFTING SANDS 112 Work 08/01 08102 08103 08/04 08/05 08/06 08107 Hours Pay Rate This All 0.00 60.18 3.37 8.65 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Pro'ect I Pro acts 1 CATHEDRAL CITY CA TREE MAINTENANCE s 0.00 0.00 0.00 4.00 8.00 0.00 0.00 12.00 28.23 338.78 786.76 Training Fund Admin Dues Tray/ Savings Other Total 714.56 15238 (LABORER). 17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Subs 92234 GROUNDSPERS 0.00 0.00 0.00 0.00 0.00 0.00 72.20 ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9.00 0.00 NOTE: Name, Address and Number of . Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Earned Tax Tax Holiday &Wed. SORIANO LOZANO. FERNANDO B 0 Dale Total Hourly Wage Check 33300 PUEBLO TR NA Work 08101 08/02 08/03 08/04 08105 08/06 08/07 Hours Pay Rate This All 0.00 31.21 0.00 4.49 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 0.00 0.00 0.00 0,0Q 24.00 17.00 408.00 408.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 368.22 15230 LABORER- U 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92234 RIVERSIDE 0.00 0.00 0.00 0,00 0.00 4.08 39.78 IIIIIIIIII 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 4.08 401K Name, Address and Number of Dey Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wad Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac/ Health pension Nel Date Tax Tax Holiday &Well. SOTO. MARIA 0 TotalEarned Hourly9 Wage Check 83480 VECINO WAY Work 08101 08102 08103 08104 08/05 08106 08107 Hours Pay Rate This All 0.00 48,96 1.85 7.04 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects INDIO CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8,00 8,00 0.00 0,00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 582.15 15231 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92201 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 57,85 MINN 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 Deduction, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Earned Earned Tax Tax Holiday8 Welt VALDEZ, HUMBERTO S 0 Date Total Hourly Wage Check 12966 CACTUS DR #P Work 08101 08/02 08/03 08104 08/05 08(06 08107 Hours Pay Rate This All 89.46 66.50 21.98 9.58 0.00 0.00 0.00 Paid For Week Number Classification Hours Hours Worked Each Day Project 1 Pro 1 acts DESERT HOT SPRINGS CA TREE MAINTENANCE S 0.00 0.00 0.00 4.00 8.00 0.00 0.00 12.00 26.23 338.76 870.76 TrainingFund Admin Dues Tray/ Subs Sayings 9 Other Totaf 674.43 15239 (LABORER). o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 GROUNDSPERS - 0.00 0.00 0.00 0.00 0.00 8.71 196.33 ON 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 8.71 401K Public works Certified Payroll Reporting Form 09/07/2022 - Page 4