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2022-08-29 thru 2022-09-25 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. 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: 2022-09-25 Payroll Number: 169 Amendment Number: 0 6 employee payroll record(s) processed Your Transaction ID is: 15150407 Print this Page View your submission Submit another set of payroll records Public Works Certifir.ayroll Reporting Form Certification under penalty of perjury: KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC It, 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 2022-09-25 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 2022-09-27 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: 169- 0 For Week Ending: 09/2512022 ID Is this a 'Statement of Non-Performance7' 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 State SDI Vac/ Health Pension Net Date Earned Fax Tax Holiday & Well. Wage Chock ALATORRE, GRISELDA 0 Total Hourly WESTERN AVE Work 09/19 09/20 09/21 09/22 09/23 09/24 09/25 Hours Pay Rate This All 0.60 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 $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 1B 00 Bog 00 640,00 Training Fund AdminSubs Dues STray/ubs Savings Other Total Deduct 577.60 15887 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE 0 6.00 0.00 0.00 0.00 0.00 6.40 62,40 MIMI D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 6.40 401K Number of Day Deductions, Contributions, and Payments Name, Address and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross AmountFederal FICA e SDI Vac/ Health Pension Net Date ax Tax Holiday & Well. BRIONES, MARCELINO 2 Total Hourly work 09/19 09120 09121 09/22 09/23 09/24 09125 Hours Pay Rate This AN 63.22 62.50 15.74 8.99 0.00 0.00 0.00 Paid For Week Nuh mber 50700 CALLE MENDOZA Classification Hours Worked Each Day Project Projects COACHELIA CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.60 8.00 8.00 0.00 0.00 40.00 19.0E 817Of, 817,00 Training Ftnd Admin "In Tray! Subs Savings Other Total Deduct 658.38 15886 LABORER- 0.00 0.00 0.00 0.00 0.00 2.00 0.00 92236 RIVERSIDE 0 2.00 28.50 0.00 0.00 0.00 0.00 0.00 8,17 158.62 MOM D o.DD 0.D0 0.00 0.00 0.00 D.00 D.DD o.00 0.00 NOTE: OTHER = 8.17 401K 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 & Wolf. Wage Check ERAZO, SENEDtCTO 0 Total Hourly Work 09/19 09/20 09/21 09/22 09/23 09124 09/25 Hours Pay Rate This All 0.00 52.02 0.00 7.48 0.00 0,00 0.00 Paid For Week Number 33200 CATHEDRAL CANYON DR NB Classilication Hours Worked Each Day Project Projects CATHEDRAL CITY CA LANDSCAPE8.00 MAINTENANCE s 8.00 8,0D 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.St1 15889 LABORER- L} 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 0.00 59.50 IMMIIIII 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 09/27/2022 - Page 1 • Public Works Certific yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09125/2022 Payroll Number:169-0 Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Wed.. Wage GONZALEZ. GABRIELA 0 Total Hourly Check IRONWOOD DR 1/1406 Work 09119 09120 09/21 09122 09123 09l24 09/25This Hours PayRate All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number 66900 Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Suits Subs Savings Other Total 584.00 15890 LABORER- a 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 111111411.8 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 RCA Stale SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Welf. Wage MUNOZ, EVERARDO 0 Total Houdy Check 74501 42ND AVE Work 09/19 09120 09/21 09/22 09123 09/24 09/25 Hours Pay Rate This All 0.00 54.67 2.10 4 7.86 0,00 0,00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM DESERT CA LANDSCAPE MAINTENANCE S40.00 8.00 8.00 8.00 8.00 8.00 0.00 0.00Fund 18.00 720.00 720.00 Training Admin Dues Subs Savings Other Total 842.87 15891 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92260 RIVERSIDE O 0.00 0.00 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 NOTE: OTHER = 5.30 DENTAL INSURANCE d 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 Stale SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Wetf. Wage FERNANDO B 0 Total Hourly Check SORIANO LOZANO, PUEBLO TR NA Work 09/19 09/20 09/21 09/22 09123 09124 09/25 Hours Pay Rate This All 23.29 54.61 0.00 7.85 0.00 0.00 0.00 Paid For Week Number 33300 Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA LANDSCAPE MAINTENANCE s 0.00 8.00 8.00 8.00 8.00 0.00 2.00 34.00 17.00 578.00 714.00 Training Fund Admin Dues Tray! Subs Savings Other Total 551.11 15892 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92234 RIVERSIDE O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 77.14 162.89 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 7.14 401K & 70.00 VEHICLE VIOLATION LOAN Pcdrllc Works Certified Payroll Reporting Form 09/27/2022 - Page 2 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 72350 QUARRY TRL #A THOUSAND PALMS CA 92276 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2022-09-18 Payroll Number: 168 Amendment Number: 0 7 employee payroll record(s) processed Your Transaction ID is: 15111880 Print this Page View your submission Submit another set of payroll records Public Works CertifiE 3yroll Reporting Form 0 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 2022-09-18 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 2022-09-22." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: PO BOX 848, THOUSAND PALMS, CA 92276 FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM Insurance Number: NA Awarding Body: CITY OF LA OUINTA MR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 ' Contract With: CITY OF LA OUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 168- 0 For Week Ending: 09/18/2022 .Is this a 'Statement of Non -Performance?' Name, Address and Number or Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sunr Grose Amount Federal FICA Slate SDI Vac/ Health Net Tax Tax Holiday & Well Pension ALATORRE, GRISELDA 0 DaleEarned Total Hourly , Wage Check 11550 WESTERN AVE Work 09/12 09/13 09/14 09/15 09/16 09117 09118 Hours Pay Rale This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Dues trout Savings Other Total 577.60 15846 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 Admin Subs Deduct 92240 RIVERSIDE 0.00 0.00 0.00 0,00 0.00 6.40 62.40 MINIM D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 6.40 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA State Vac/ Health Net Earned Tax Tax SDI Holiday & Welt BRIONES, MARCELINO 2 Dale Total Hourly Wage Check 50700 CALLE MENDOZA Work 09/12 09/13 09114 09/15 09/16 09/17 09/18 Hours Pay Rate This All 60.97 61,05 14.50 8.78 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project eh Projects 1 COACHELLA CA LANDSCAPE MAINTENANCE S 0,00 8.00 8.00 8.00 8.00 2.00 0.00 34,40 19.00 646.00 798.00 Training Fund Dues Tray/ Savings Other Total 644,72 15847 LABORER- 0 0.00 0.00 0,00 0.00 0,00 0.00 0.00 0.00 0.00 Admin Subs Deduct . 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 7.98 153.211 MIMI D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER o 7.9B 401K . Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA Stale SDI Vac/ Health Net Earned Tax Tax Holiday & wet(, Pension COLIN SANCHEZ, HUGO G 0 Date Total Hourly Wage Chock 1500 E SAN RAFAEL DR etea Work 09/12 09/13 09/14 09/15 09/16 09/17 09/18 Hours Pay Rate This All 0.00 63.93 8.78 9.19 0.00 0,00 0.00 Paid For Number PALM Classification Hours Worked Each Day 1 ion Projects Week SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 16.00 384.00 835.66 Training Fund Admin Dues Tray/ Savings Other Total 745.42 15819 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 two 0.00 Subs Deduct 92262 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 8.36 90.26 17 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER o 8.36 401K Public works Certified Payroll Reporting Form 09/22/2022 - Page r. Public Works Certific ayroll Reporting Form 0 Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/18/2022 Payroll Number: 168-0 Name, Address and Number of Day Deductions. Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA Stale Vac! Health Net Earned Tax Tax SDI Holiday& Waif. Pension ERAZO, BENEDICTO 0 Data Total Hourly Wage Check 33200 CATHEDRAL CANYON DR NB Work 09/12 09/13 09/14 09115 09/16 09/17 09/18 Hours pay Rate This All 0.00 52.02 0.00 7.48 0.00 0.00 0.00 Paid For Number CATHEDRAL Classification on Hours Worked Each Day ) P roacts ) Week CITY CA LANDSCAPE8.00 MAINTENANCE s32.00 8.00 8.00 8.00 0.00 0.00 0.00 17.00 544.00 680.00 Training Fund Admin Discs Trav/ Savings Other Total 620.50 15848 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 Subs 92234 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 59.50 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contrlbutlons, and Payments Soclal Security Number of Worker Withholding Man Tun Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Net Earned Tax Tax Holiday & Wolf. Pension GONZALEZ, GABRIELA 0 Date Total Hourly Wage Check 66900 IRONWOOD DR #1406 Work 09/12 09/13 09/14 09115 09116 09/17 09/18 Hours Pay Rale This All 0.00 48.96 0.00 7.04 0.00 0,00 0,00 Paid For Number Classifcation Hours Worked Each Day Project Projects Week DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 540,00 8.00 8.00 B.Qa 8.00 8.00 0.00 0.00 16.00 840.00 640.00 Training Fund Dues Tray/ Savings Other Total 584.00 15849 LABORER- O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92240 RIVERSIDE 0.00 0.00 0,00 0.00 0.00 0.00 56.00 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Heallh Net MUN02 EVERARDO 0 Data Total Hourly Earned Tax Tax Holiday & Welt. Pension Wage Check 74501 42ND AVE Work 09/12 09/13 09/14 09/15 09/16 09/17 09/18 Hours Pay Rale This All 0.00 54.68 2.10 7,86 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Protect Projects PALM DESERT CA LANDSCAPE MAINTENANCE S 8,00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Training Fund Dues Trait/ Savings Other Tole! 642.86 15850 LABORER- Q 0.00 0.00 0,00 0,00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92260 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 12.50 77,14 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 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 Earned Tax Tax Holiday & Well. Pension SORIANO LOZANO, FERNANDO B 0 Date Total Hourly Wage Ghedc 33300 PUEBLO TR PA Work 09/12 09/13 09/14 09115 09/16 09/17 09/18 Hours Pay Rale This All 25.31 55.93 0.08 8.04 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40,00 17.00 731.00 731.00 Training Fund Dues Trav/ Savings Other Total 564,33 15851 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00 25.50 Admin Subs 92234 RIVERSIDE 0.00 0,00 0.00 0.00 0.00 77.31 166.67 coINIONSIE 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 NOTE: OTHER = 7.31 401K & 70.00 VEHICLE VIOLATION LOAN Public works certified Payroll Reporting Form 09/22/2022 - Page 2 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 72350 QUARRY TRL #A THOUSAND PALMS CA 92276 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2022-09-11 Payroll Number: 167 Amendment Number: 0 7 employee payroll record(s) processed Your Transaction ID is: 15061581 Print this Page View your submission 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 2022-09-11 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 2022-09-16." 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: 167- 0 For Week Ending: 09/11/2022 0Is 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 Slate Vac/ Health ALATORRE, GRISELDA 0 Date Total Hourly Earned Tax FICA Tax SDI Holiday & Welt. Pension Net Wage Check 11550 WESTERN AVE Work 09105 09106 09/07 09100 09109 09/10 09/11 Hours Pay Rate This All 0.00 37.32 0.00 5.37 0.00 0.00 0,00 Paid For Number DESERT HOT SPRINGS Classification Hours Worked Each Day Project Projects Week CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 6.00 6.50 0.00 0.00 30.50 16.00 488.00 408.00 Training Fund Dues Tray/ Savings Other Total 440.43 15805 LABORER- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs Deduct 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 4.68 47,57 IIIIIINMII D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 o.00 0.00 NOTE: OTHER = 4.88 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 Stale Vac/ Health BRIONES, MARCELINO 2 Date Total Hourly Earned Tax FICA Tax SDI Holiday & WeIL Pension Net Wage Check 50700 CALLE MENOOZA Work 09/05 09106 09/07 0910e 09/09 09/10 09/11 Hams Pay Rate This All 35.01 44.33 4.39 6.37 0.00 0.00 0.00 Paid For Number COACHELLA Classification Hours Worked Each Day Project Projects Week CA LANDSCAPE MAINTENANCE S 0.00 8.00 8,00 8.00 6.50 0.00 0.00 30.50 19.00 579.50 579,50 Training Fund Dues Travl Savings Other Total 483.60 15806 LABORER- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admix Subs Deduct 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.60 95.90 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 - NOTE: OTHER a 5.80 401K 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 Stale Vac/ Health COLIN SANCHEZ, HUGO G 0 DaleEarned Total Hourly Tax FICA Tax SDI Holiday & Welf. Pension Net Wage Check 1500 E SAN RAFAEL DR #164 Work 09/05 09/06 09/07 09/08 09/09 09/10 09111 Hours Pay Rate This All 0.00 39.16 0.00 5.63 0.00 0.00 0.00 Paid For Number PALM SPRINGS Classification Hours Worked Each Day Project1 Projects Week CA LANDSCAPE MAINTENANCE S 0.00 0.00 8.00 8.00 6.00 0.00 0.00 24.00 16.00 364.00 512.00 Training Fund Dues Trav! Savings Other Total 462.09 15776 LABORER- Q 0.00 IL.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs Deduct 92262 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.12 49.91 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 5.12 401K Public works Certified Payroll Reporting Form 09/16/2022 - Page 1 Public Works Certifieayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/11/2022 Payroll Number:16T-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 Stale Vac/ Health Earned Tax FICA Tax SDI Holiday & Welf. Pension Net ERAZO, BENEOICTO 0 Date Total Hcudy Wage Check 33200 CATHEDRAL CANYON DR tie Work 09/05 09/06 09107 09108 09109 09/10 09/11 Hours Pay Rate This All 0.00 41.62 0.00 5.98 0.00 0.00 0.00 Paid For Number CATHEDRAL CITY Classification Hours Hours Worked Each Day Project Projects CA LANDSCAPE MAINTENANCE 5 0.00 8.00 8.00 8.00 0,00 0.00 0.00 24.00 17.00 408.00 544.00 Training Fund Dues Tray/ Savings Other Total 496.40 15807 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92234 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 47.60 111111111, D 0.00 0.00 0.00 0.00 0.60 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 Earned Tax FICA Tax SDI Holiday & Well.Pension Net GONZALEZ. GABRIELA 0 Date Total Hourly , Wage Check 66900 IRONWOOD DR #1406 Work 09105 09/06 09107 09108 09/09 09/10 09/11 Hours Pay Rate This All 0.00 37.34 0.00 5.37 0.00 0.00 0,00 Paid For Number DESERT Classification Hours Worked Each Day1 Project Pro Projects Week HOT SPRINGS CA LANDSCAPE MAINTENANCE $30,50 0.00 8.00 8.00 8.00 6.50 0.00 0.00 16.00 488.00 488.00 Training Fund Dues Tray! Sayings Other Total 445.29 15808 LABORER- o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.60 0.00 Admin Subs 92240 RIVERSIDE 0.00 0,00 0.00 0.00 0.00 0.00 42.71 4111111111, O 6.66 0.00 0.00 D.o0 0.0o (Loa o.DO 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 Vac! Health MUNOZ EVERARDO 0 Date Total HourlyWage Earned Tax Tax SDI Holiday & Wolf. Pension Not Check 74501 42ND AVE Work 09/05 09/06 09/07 09108 09/09 09110 09/11 Hours Pay Rate This All 0.00 42.97 0.00 6.18 0.00 0.00 0.00 Paid For Number PALM DESERT Classification Hours Worked Each DayJ Project Pro Projects Week CA LANDSCAPE MAINTENANCE $ 0.00 8.00 8.00 8.00 7.50 0.00 0.00 31.50 18.00 567.00 592.00 Training Fund Dues Tray! Savings Other Total 531,88 15809 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92260 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 10.97 60.12 IMINNI 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 & 5,67 401K Name, Address and Number 01 Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac! Health RCA Tax SDI Holiday & Welf. Pension Not SORIANO LOZANO, FERNANDO B Total Hourly Wage Check 33300 PUEBLO TR NA Work 09105 09/06 09/07 09/08 09/09 09/10 09111 Hours Pay Rate This All 6.72 42.26 0.00 6.08 0.00 0.00 0.00 Paid For Number CATHEDRAL Classification Hours Worked Each Day Project 1 Projects Week CITY CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 8.00 6.50 0.00 2.00 32,50 17.00 552.56 552.50 Training Fund Dues Tray/ Savings Other Total 491,91 15810 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92234 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.53 60.59 _ D 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 NOTE: OTHER = 5.53 401K Public Works Certified Payroll Reporting Form 09/16/2022 - Page 2 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov_ Contractor Name: PWLC II, INC. Contractor Address: 72350 QUARRY TRL #A THOUSAND PALMS CA 92276 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2022-09-04 Payroll Number: 166 Amendment Number: 0 13 employee payroll record(s) processed Your Transaction ID is: 15054074 Print this Page View your submission Submit another set of payroll records Public Works Certifie. .tyroll Reporting Form c Certification under penally of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2022-09-04 are the originals or true, full, and correct copies of the originals which depict lhe 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 2022-09-16." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: PO BOX 848, THOUSAND PALMS, CA 92276 FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM Insurance Number: NA Awarding Body: CITY OF LA OUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA OUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 166- 0 For Week Ending: 09/04/2022 r1 Is this a 'Statement of Non-Performance7' Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of worker Withholding Mon Tue Wed Thu Fri Set Sun Gross Amount Federal FICA Stale SDI Vac! Health Pension Nel Earned Tax Tax Holiday & Welf. ALATORRE. GRISELDA 0 pale Total Hourly Wage Check 11550 WESTERN AVE Work 08/29 0813o 08131 09101 09102 09/03 09104 Hours Pay Rale mis All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number Classifcalion Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 5 8.00 8.00 6,00 8.00 6.00 0.00 0.00 40.00 18.00 640 00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 577.60 15647 LABORER- 0 0.00 0.00 0.00 0.0D 0.00 0.00 0.00 0.00 0.00 Deduct 92240 RIVERSIDE 0.00 0.00 0.00 0.00 000 6.40 62.40 IIIIIMMI D 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER a 6.40 401K Name, Address and Number al Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tuo Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Nel Eamed Tax Tax Holiday & WeltWage Pension MARCELINO 2 Date Total HourlyBRIONES, Check 50700 CALLS MENDOZA Work 013129 08/30 08/31 09/01 09/02 09/03 09104 Hours Pay Rale mis Ali 63.22 62.50 15.74 819 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 8.00 8.00 0.00 0.00 40.00 19.00 817.00 817.00 Training Fund Dues Tray/ Savings Other Total 658.38 $5648 LABORER- 0 0.00 0.00 0.00 0.00 0.00 2,00 0.00 2.00 28.50 Admin Subs Deduct 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 8.17 158.62 IMMO D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 8.17 401 K Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon 'rue Wed Thu Fri Sat Sun Grass Amount Federal Slate SDI Vac/ Health Pension Net Earned Tax Tax Holiday & Welt. ERAZO, BENEDICTO 0 Date Total Hourly Wage Check 33200 CATHEDRAL CANYON DR NB Work 08/29 08/30 08131 09101 09/02 09/03 09104 Hours Pay Rale 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 S40.00 8.00 8.00 8.00 8.00 8.00 0.00 0.00 17.00 680.00 680.00 Training Fund Dues Travl Savings Other Total 620.50 15649 LABORER- 0 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 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cum D.DD NOTE: Public works Certified Payroll Reporting ram 09/16/2022 - Page 1 Public Works Certifie lyroll Reporting Form 0 Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/04/2022 Payroll Number:166-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber o1 Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA Stale SDI Vac! Health Pension Net Earned Tax Tax Holiday h Welf. GOMEZ SADY J 0 Date Total Hourly Wage Check 13128 LA MESA DR Work 08129 08130 08/31 09l01 09/02 09103 09/04 Hours Pay Rate This All 0.00 73.47 23.01 10.56 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA TREE MAINTENANCE 520.00 8.00 8.00 4.00 0.00 0.00 0.00 0.00 28.23 564.60 979.60 TrainingFund Dues Trav/ Savings Other Total 853.38 15653 (LABORER).- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Adman Subs 92240 GROUNDSPERS 0.00 0.00 0.00 0.00 0.00 19.18 126.22 MEW ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 13.88 HEALTH INSURANCE & 5.30 DENTAL INSURANCE 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/ Heallh Pension Net Eamed Tax Tax Holiday& Welf. GDNZALEZ, GABRIELA 0 Dale Total Hourly Wage Check 66900 IRONWOOD DR #1406 Work 08/29 08/30 08/31 09101 09/02 09/03 09/04 Hours Pay Rate This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Number Classification Hours Worked Each Day Project ProjectsWeek OESERT HOT SPRINGS 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 Tralning Fund Adman Dues Subs Sub Savings Other Total 584,00 15650 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 MEM 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 Stale Vac./ Health Net Earned Tax FICA Tax S01 Holiday d Welt. Pension IZAZAGA MACIEL, FABIAN Dale Total Hourly Wage Check 104 FRONTIER RO Work 08l29 08/30 08/31 09/01 09102 09/03 09/04 Hours Pay Rate This All 0.00 78.06 24.24 11.22 0.00 0.00 0.00 Paid For Number Classification Hours Worked Each Day J Projects I Week PALM SPRINGS CA TREE8.00 MAINTENANCE s20.00 8.00 4.00 0.00 0.00 0.00 0.00 30.02 600.40 1.029.40 Tralning Fund Admin Dues Tray/ Savings Other Total 906.88 15655 (LABORER} Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Subs 92262 TREE TRIMMER 0.00 0.00 0.00 0.00 0.00 0.00 113.52 IIIIIMMI 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 Vac/ Health Net IZAZAGA, TORIBIO r 0 Date Total Hourly Earned Tax Tax SDI Holiday & We1L Pension Wage Check 32315 CANYON VISTA RD NB Work 08/29 08130 08l31 09/01 09/02 09/03 09/04 Hours Pay Rate This All 0.00 78.06 18.79 11.22 0.00 0.00 0.00 Paid For Week Number CATHEDRAL CITY Classification Hours Worked Each Day Project Projects acts roi CA TREE MAINTENANCE S 8.00 8.00 4.00 0.00 0.00 0.00 0.00 20.00 30.02 600.40 1,020.40 Training Fund Dues Tray/ Savings Other Total 912.33 15654 (LABORER)- Q 0.00 0.00 0,00 0.00 0.00 0.00 0.00 am 0.00 Admin Subs 92234 TREE TRIMMER - 0.00 0.00 0.00 0.00 0.00 0.00 108.07 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 corm 09/16/2022 - Page 2 Public Works Certifie Ayroll Reporting Form Contractor Name: PWLC 1I, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/04/2022 Payroll Number:166-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health LUNAGONZALEZ,CARLOS 4 Dale Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Pension Net Wage Check 66145 7TH ST Work 08/29 08130 08/31 09/01 09102 09/03 09/04 Hours Pay Rate This All 50.13 81.42 5.13 11,71 0.00 0.00 0.00 Paid For Number DESERT HOT SPRINGS Classification Hours Hours Worked Each Day 1 Projects Week CA TREE MAINTENANCE S20.00 8.00 8.00 4.00 0.00 0.00 0.00 0.00 32,22 644.40 1,064.40 Training Fund Dues Tray/ Savings Other Total 916.01 15656 (LABORER} 0 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92240 SENIOR TREE 0,00 0.00 0.00 0.00 0.00 0.00 148.39 TRIMMER D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 O,OO 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal Slate Vac/ Health MUNOZ. EVERARDO 0 Dale Total Wouriy Eamed Tax FICA Tax SDI Holiday & Welt. Pension Net Wage Check 74501 42ND AVE Work 08/29 08/30 08131 09/01 09102 09/03 09104 Hours Pay Rate This All 0.00 54.67 2.10 7,86 0.00 0.00 0.00 Paid For Number PALM DESERT Classification Hours Worked Each Day pro i act Projects 1 Week GA LANDSCAPE MAINTENANCE S 0.00 8.00 8,00 8.00 8.00 0.00 0.00 32.00 18.00 576.00 720.00 Training Fund Dues Trav! Savings Other Total 642.87 15651 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 Admin Subs 92260 RIVERSIDE 0.00 0.00 0.00 0.00 0 00 12.50 77.13 - D Q.00 o.o0 Q.00 0.00 O.QD o.00 o.Do Q.DD 0.00 NOTE: OTHER = 5,30 DENTAL INSURANCE & 7,20 401K Name, Address and Number of Day Deductions, Contribution , and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health RAMIREZ MARCELINO 0 Dale Total Hourly Earned Tax FICA Tax SDI Holiday & Waif. Pension Net Wage Check 1500 E SAN RAFAEL DR #164 Work 08/29 08/30 08/31 09/01 09/02 09103 09104 Hours Pay Rate This All 0.00 76.58 0.15 11,01 0.00 0.00 0.00 Paid For Number PALM SPRINGS Classification Hours Worked Each Day Pro i eat Projects j Week CA TREE MAINTENANCE s 8.00 8.00 4,00 0.00 0.00 0.00 0.00 20.00 30.02 600.40 1,020.40 Training Fund Dues Tray/ Savings Other Total 903.27 15657 (LABORER). 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92262 TREE TRIMMER 0.00 0.00 0.00 0.00 0.00 29.39 117.13 - D 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 13.88 HEALTH INSURANCE, 5.31 DENTAL INSURANCE & 10.20 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 Slate Vac/ Health SORIANO LOZANO. FERNANDO B 0 Date T°tat Hourly Earned Tax FICA Tax SDI Holiday & Wel/. Pension Not Wage Check 33300 PUEBLO TR #A Work 08/29 08/30 08/31 09/01 09/02 09/03 09/04 Hours Pay Rate This All 5.88 41,62 0.00 5.98 0.00 0.00 0.00 Paid For Number CATHEDRAL CITY Classification Hours Worked Each Day Project Projects Week CA LANDSCAPE MAINTENANCE S32,00 0.00 8.00 8,00 8.D0 8.00 0.00 0.00 17.00 544.00 544.00 Training Fund Dues Trav1 Savings Other Total 485.08 15652 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92234 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.44 58,92 1 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 NOTE: OTHER = 5.44 401K Public works Certified Payroll Reporting Fore 09/16/2022 - Page 3 Public Works Certific AyroII Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/04/2022 Payroll Number:166-0 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 Slate Vac/ Health Earned Tax FICA Tax SDI Holiday & Welf. Pension Net SOTO, MARIA 0 Date Total Hourly . Wage Check 83480 VECINO WAY Work 08129 08/30 08131 09/01 09/02 09103 09104 Hours PaY Rate This All 0.00 48,98 1.85 7.04 0,00 0.00 0.00 Paid For Number INDIO Classification Hours Hours Worked Each Day Project Projects CA LANDSCAPE8.00 MAINTENANCE S 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Dues Tray! Savings Other Total 582.15 6790 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 Admin Subs 92201 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0,00 57,85 111111111, D 0.00 0.DD 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 Slate Vac/ Health VALOEZ HUMBERTO S 0 Date Talal Hourly Earned Tax FICA Tax SD1 Holiday & Welf. Pension Net Wage Check 12966 CACTUS DR NA Work 08/29 08/30 06131 09/01 09/02 09103 09/04 Hours Pay Rate This All 103.04 72.25 26,81 10 39 0.00 0.00 _ 0.06 Paid For Number DESERT HOT SPRINGS Classification Hours Worked Each Day j Projects I Week CA TREE MAINTENANCE $20,00 8.00 8.00 4.00 0.00 0.00 0.00 0.00 28.23 564.60 944.60 Training Fund Dues Tray/ Savings Other Total 722.66 15658 (LABORER). 0 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0 00 Admin Subs 92240 GROUNDSPERS 6.60 0 00 0.00 0 00 0.00 9.45 221.94 1111.1.1110 ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE: OTHER = 9.45 401K Public Works certified Payroll Reporting Form 09/16/2022 - Page 4