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2022-08-30 thru 2022-09-26 Cert PayrolleCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC p, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2021-09-26 Payroll Number: 117 Amendment Number: 0 10 employee payroll record(s) processed Your Transaction ID is: 12292899 Print this Page View your submission ubrnit another set of payroll records Public Works Certified tyroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2021-09-28 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 2021-10-08." Contractor Name: PWLC 11, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: PO BOX 848. THOUSAND PALMS, CA 92276 FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM Insurance Number: NA Awarding Body: CITY OF LA 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: 117- 0 For Week Ending: 09/26/2021 H Is this a 'Statement of Non -Performance?' 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 State SDI Vac! Health Pension Net Date Tax Tax Holiday & Welt. Wage Check D Total HourlyEarned ALATORRE, GRISELDA Work 09/24 49121 09122 09/23 09/24 09l25 09l26 Hours PayRate This All 0.00 48.96 0 GO 7.68 0 00 0.00 0.00 Paid For Week Number 11550 WESTERN AVE 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 DuesTray/Subs Subs Savings Other Total Deduct 583.36 11091 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 LABORER- RIVERSIDE 0 0.00 0.00 0.4II OAp 0 00 0.00 0 00 0.00 56.64 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.p0 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 State SDI Vac/ Health Pension Nel Date Earned Tax Tax Holiday & Welt. Wage Check BRIONES, MARCELINO 2 Total Hourly Work 09/20 09/21 09122 09123 09/24 09725 09/26Y Hours Pa Rate This All 48.00 52.02 9 63 8.16 0 00 0.00 0.00 Paid For Week Number 50700 CALLE MENDOZA classification Hours Worked Each Day Project Projects COACHELIA CA LANDSCAPE MAINTENANCE $ 8.00 8.00 0.00 8.00 B.00 0.00 0.00 32,0D 17.00 544 00 680.00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 555.39 11092 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92236 LABORER- RIVERSIDE 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.80 124.61 D o.Da D.00 0.DD o.00 0.00 0.00 0.00 D.D] 0.00 IIMMIII NOTE: OTHER a S6.60 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 State SDI Vac/ Health Pension Net Data Earned Tax Tax Holiday & Well. Wage Check CASTILLO VIGIL, RAMON A 0 Total Hourly work 09/20 09121 09/22 09/23 09124 09/25 09/26 Hours Pay Rate This All 67.28 70.38 24.04 11.04 0.00 0.00 0.00 Paid For Week Number 27335 HOPPER RR ClassificationHours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE $ B.00 8.00 8.00 8.00 8.00 0.00 0,0D 40.00 20.00 920.00 920.00 Training Fund Admin Dues Tray/Subs Subs Savings Other Total Deduct 738.06 11093 0.00 0.00 0.00 0.00 0.00 2.00 2.00 92241 LABORER- RIVERSIDE 0 4.00 30.00 0.00 0.00 0.00 0.00 0.00 9.20 181.94 OMENS D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.44 0.00 NOTE: OTHER = S9.20 401K Public works certified Payroll Reporting Form 10/08/2021 - Page 1 Public Works Certifie iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/26/2021 Payroll Number:117-0 Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rale Gross Amount Earned Federal Tax FICA Stale Tax SDI Vac/ Holiday Health &welt. Pension Net Wage Paid For Week Check Number Date JIMENEZ, IVETTE 49615 HARRISON ST N40 COACHELLA CA 92236 633075225 Work Classification 09/20 09121 09122 09/23 09124 09/25 09/26 This Project All Projects 37.09 48.96 5.55 7.68 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER- RIVERSIDE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640,00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 540.72 11094 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 99.28 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rale Gross Amount Earned Federal Tax FICA State Tax SDI Vac/ Holiday Health 6 Welt. Pension Nel Wage Paid For Week Ch Number 0 Date LIZARRAGA, MOISES 43795 RECLINATA WAY INDIO CA 92201 IMMO Work Classification 09120 09/21 09/22 09123 09/24 09125 09/26 This project All projects 0.00 52.02 4.69 8.16 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE8.00 MAINTENANCE LABORER- RIVERSIDE s 8.00 8.00 8.00 8.00 0.00 0.00 40.00 17.00 880.00 680.00 Training Fundi Dues Subs Savings Other Total 815.13 11095 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.011 0.00 64.87 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Social Security Number of Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Stale Tax SDI Vac/ Holiday Health & Well. Pension Net Wage Paid For Week Check Number 4 Date LUNAGONZALEZ,CARLOS 66145 7TH ST DESERT HOT SPRINGS CA 92240 Work Classification 09/20 09/21 09/22 09123 09/24 09/25 09/26 This Project All Projects 72.44 94.31 14.27 14.79 0.00 0.00 0.00 Hours Worked Each Day TREE MAINTENANCE {LABORER} SENIOR TREE TRIMMER s 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 30.82 1,232.80 1.232.80 Training Fund Admin Dues Tray/ Subs Savings Other Total 1,036.99 11098 Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 195.81 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Social Security Number al Worker Number of Withholding Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Total Hours Hourly Pay Rale Gross Amount Earned Federal Tax FICA Stale Tax SDI Vac/ Holiday Health & WeltPens ion Net Wage Paid For Week k Number 0 Dale MUNOZ. EVERARDO 74501 42ND AVE PALM DESERT CA 92260 Work Classification 09/20 09/21 09/22 09/23 09/24 09/26 09/26 This Project All Projects 0.00 55.08 3.82 8.64 0.00 0.00 0.00 Hours Worked Each Day LANDSCAPE MAINTENANCE LABORER- RIVERSIDE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40,00 18.00 720.00 720.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 852.48 11096 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.54 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 10/08/2021 - Page 2 Public Works Certifie .lyroll Reporting Form Contractor Name: PWLC II. INC. Project Name: LANDSCAPE & LIGHTING DISTRICT B9-1 For Week Ending: 09/26/2021 Payroll Number: 117-0 Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tuo Wed Thu Fri Sat Sun Gross Amount Federal FICA State 5bl Vac/ Health Pension Net Date Earned Tax Tax Holiday 8 Wel[. Wage Check RAMIREZ. MARCELINO 4 Total Hourly Work 09120 00/27 09/22 09123 09/24 09/25 09/26Pay Hours Rate This All 48.46 79.83 5.48 12.52 0.00 0.00 0.00 Paid For Week Number 1500 E SAN RAFAEL DR #164 Classification Hours Worked Each Day Project Projects PALM SPRINGS CA TREE MAINTENANCE s8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 26.57 1,062.80 1,062.84 Training AdminFund Dues Subs Savings Other Total 848.01 11099 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92262 (LABORER} GROUNDSPERS o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 68.50 214.79 OMNI ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 513.88 HEALTH INSURANCE. 55.31 DENTAL INSURANCE, 38.68 GARNISHMENT 8 510.63 401K Number of Day Deductions, Contributions, and Payments Nerve, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Nel Data Earned Tax Tax Holiday & Well. Wage Check SARABIA, JOSE A 0 Total Hourly INDIAN CANYON OR Work 09/20 09/21 09/22 09123 09/24 09/25 09126 Hours Pay Rate This All 5.55 48.96 12.57 7.68 0.00 0.00 0.00 Paid For Week Number 2950 N Classification Hours Worked Each Day Project Projects PALM SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 6.00 8.00 6,00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund dm n Dues Subs Savings Other Total 565.24 11097 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92262 RIVERSIDE p 0.00 0.00 0.00 0.00 0,00 0.00 74.76 NEM 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 Tut! Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday 5 Well. Wage Check VALDEZ, HUMBERTO S 0 Total Hourly CACTUS DR MA Work 09/20 09/21 09/22 09/23 09124 09/25 09/26 Hours Pay Rale This All 131.84 80.89 37.10 12,69 0.00 0.00 0.00 Paid For Week Number 12966 Classification Hours Worked Each Day Projects DESERT HOT SPRINGS CA TREE8.00 MAINTENANCE s 6.00 8.00 8.00 8.00 0.00 0.00 40.60 26.57 1,062.80 1,062.80 Training Fund Admire Dues Tray/ Subs Savings Other Total 584.27 11100 0.00 0.00 0.00 0.00 0.00 0,00 0.00 92240 (LABORER} GROUNDSPERS 0 0.00 0.00 0,00 0.00 0.00 0.00 0.00 216.01 478.53 ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 r NOTE: OTHER = 55.31 DENTAL INSURANCE, 5200.07 GARNISHMENT 8 10.63 401K Public works Certified Payroll Reporting Form I0/08/2021 - Pn9R 3 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2021-09-19 Payroll Number: 116 Amendment Number: 0 13 employee payroll record(s) processed Your Transaction ID is: 12145001 Print this Page View your submission1 Adobe' submit another set of payroll records Public Works Certifit ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2021-09-19 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-09-22 " 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 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: 116- 0 For Week Ending: 09/19/2021 0Is this a 'Statement of Non -Performance?' Name, Address Number of Day Deductions, Contribution , 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 Data Eamed Tax Tax Holiday & Wolf. Wage GRISELDA 0 Total Hourly Check ALATORRE. 11550 WESTERN AVE Work 09/13 09/14 09115 D9116 09717 09/18 09/19This Hours Pay Rate AEI 0.00 83.65 8.52 9.98 0.00 0.00 0.00 Paid For Week Number ClassificationHours 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 16.44 640.00 832.00 Training Fund Admin Dui Tray/ Subs Savings Other Total Deduct 749.85 11057 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0310 0.00 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 82.15 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address Number of Day Deductions, Contributions, and Payments and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Nel Date Earned Tax Tax Holiday & Well. BRIONES, MARCELINO 2 Total Hourly Wage Check 50700 CALLE MENDOZA Work 09/13 09/14 09115 09/16 09117 09/18 09/19 Hours Pay Rale This Alt 72.23 67.62 21.68 10.61 0,00 0.00 0.00 Paid For Week Number ClassificationPreieet Hours Worked Each Day Projects COACHELLA CA LANDSCAPE MAINTENANCE $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 17.00 680.00 884.00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 703.02 11058 LABORER- O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.84 160.98 41111111111 D D.DD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = $8.84 401K Name, Address Number at 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 Net Date Eamed Tax Tax Holiday 3 Welt.pension CASTILLO VIGIL. RAMON A 0 Total Hourly Wage Check HOPPER RD Work 09113 09114 09/15 09/16 09/17 09/18 09119 Hours Pay Rate This All 70.84 72.67 26.00 11.40 0.00 0.00 0.00 Paid For Week Number 27335 Classification Hours Waked Each Day Project j Projects i DESERT HOT SPRINGS CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 8.00 8.00 0.00 0.00 40.00 20.00 950.00 950.00 Training Fund Admin Dues Trav! Subs Savings Other Total Deduct 759.59 11059 LABORER- 0 0.00 0.00 0.00 0.00 1.00 2.00 2.00 5.00 30.00 92241 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 9.50 190.41 l i D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 1 NOTE: OTHER = $9.50 4111 K Public Works certified Payroll Reporting Form 09/22/2021 - Page 1 Public Works Certific ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/19/2021 Payroll Number:116-0 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 RCA Stale SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Waif. GUTIERREZ HERNANDEZ. KATHERIN 0 Total Hourty Wage Check 81309 ALBERTA AVE Work 09/13 09/14 09115 09116 09117 09/18 09/19 Hours Pay Rate This All 0.00 48.96 0.00 7.68 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day jProect Projects INDIO CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 6.00 8.00 0.00 0.00 40.00 1fi.00 640.00 640.00 TrainingFund Admin Dues S Subsubs Savings g Other Total 583.36 11060 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92201 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 56.64 11111 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/ Heallh Pension Net Date Earned Tax Tax Holiday & Welf. JIMENEZ, IVETTE 0 Total Hourly Wage Check 49515 HARRISON ST #40 Work 09/13 09/14 09/15 09/16 09/17 09118 09/19 Hours Pay Rate This All 60.13 63.65 16.21 9.98 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCE s 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 832.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 682.03 11081 LABORER- 0 0.00 0,00 0.00 0.00 0,00 0,00 0,00 0.00 0.00 92236 RIVERSIDE _ 0.00 0.00 0.00 0.00 0.0D 0.00 149.97 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Data Earned Tax Tax Holiday 8 Well. LIZARRAGA, NOISES 0 Taal Hourly Wage Check 43795 RECLINATA WAY Work 09/13 09/14 09/15 09/16 09/17 09118 09/19 Hours Pay Rate This All 0.00 52.02 4.69 8.16 0.00 0.00 0.00 Paid Far Week Number Classification Hours Worked Each Day Project Projects tNDlO CA LANDSCAPE MAINTENANCE S 8,00 8.00 8.00 8.00 6.00 0.00 0,00 40.00 17.00 680.00 680.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 615.13 11062 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 64.67 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 SEMEN 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 RCA State SDI Vac! Health Pension Net Earned Tax Tax Holiday& Welt. LUNA GONZALEZ. CARLOS 4 Date Total Hourly Wage Check 66145 7TH ST Work 09/13 09/14 09/15 09/16 09/17 09/18 09/19 Hours PayRale This All 72.44 94.31 14.27 14.79 0.00 0.00 0.00 Paid For Week Number Classification ours Worked Each Day Hours Project Projects DESERT HOT SPRINGS CA TREE MAINTENANCE S 8.00 8.00 8.00 8.00 8,00 0.00 0.00 40.00 30.82 1,232.80 1,232.80 TrainingFund Admin Dues S Subsubs Savings g Other Total 1,036.99 11068 (LABORER)- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 SENIOR TREE _ 0.00 0.00 0.00 0.00 0.00 0.00 195.81 TRIMMER D 0.00 ewe 0.00 0.00 0.00 0,00 0.00 0.00 0.00 , NOTE: Public works Certified Payroll Reporting Form 09/22/2021 - Page 2 Public Works Certifii ayroll Reporting Form Contractor Name: PWLC II. INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/19/2021 Payroll Number:116-0 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 Net Date Earned Tax Tax Holiday & Wall. Wage Check 0 Total Hourly MARTINEZ LUCID AVE Work 08113 09/14 09115 09/16 09/17 09118 a9119 Hours Pay Rale This All 0.00 48.96 0.00 7.68 0.00 0.00 0.00 Paid For Week Number 81309 ALBERTA Classification Hours Worked Each Day Project Projects INDIO CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.04 16.00 640.00 640.00 Training Adrnin Dues Subs Savings Other Total 583.36 11063 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92201 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 56.64 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE: Name, Address Number of Day Deductions, Contributions, and Payments and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Data Earned Tax Tax Holiday & Well. Wage MEDINA ESCOBAR, JUAN F 0 Total Hourly Check 65946 DESERT VIEW AVE Work 09/13 09114 09/15 09/16 09/17 09/18 09/19 Hours Pay Rate This All 0.00 48.96 2.93 7.68 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 16.00 128.00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 580.43 11044 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 59.57 SEEM D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Well. Wage MUNOZ. EVERARDO 0 Total Hourly Check 74501 42ND AVE Work 09/13 09l14 09/15 09/16 09/17 09/18 09/19 Hours Pay Rale This All 0.00 55.08 3.82 8.64 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM DESERT CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 6.00 8.00 CO 0.00 40.06 16.00 720.00 720.00 Training Fund Adm n Dues Tray/ Subs Savings Other Total 652.46 11064 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 0.00 67.54 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 Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Well. RAMIRE2 MARCELINON 4 Total Hourly Wage Check RAFAEL DR #164 Work 09/13 09/14 09/15 09116 09/17 09/18 09/19 Notils PayRale This Ali 48.46 79.84 5.48 12.52 0.00 0.00 0.00 Paid For Week Number 1500 E SAN Classification Hours Worked Each Day i Project Projects PALM SPRINGS CA TREE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40,00 26,57 1.062.80 1.062,80 TrainingFund Admin Dues S Subsubs Savings Other Total 657.55 11067 (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 0.00 258.95 405.25 INNImi ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE: OTHER = 513.88 HEALTH INSURANCE. 55.31 DENTAL INSURANCE. 5229.13 GARNISHMENT & 510.63 401K Public works Certified Payroll Reporting Form 09/22/2021 - Page 3 Public Works Certifit payroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/1912021 Payroll Number:116-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Not Dale Earned Tax Tax Holiday & Welf. SARABIA, JOSE A 0 Total Hourly Wage Check 2950 N 1NDIAN CANYON DR work 09113 09/14 09/15 09118 09/17 09/18 09/19 Hews Pay Pale This All 5.55 48.96 12.57 7.68 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA LANDSCAPE MAINTENANCEAdmin 8.00 8.00 8.00 8.00 8.00 0.00 0.00Tray/5 40.00 16,00 640.00 640.00 TrainingFund Dues Subs Subs Sayings Other Total 565.24 11065 LABORER- a 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92262 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 74.76 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal RCA Stale !Pension Vad Health Net Dale Earned Tax Tax Holiday & Well', HUMBERTO S 0 Total Hourly Wage Check 12966 CACTUS DR NA Work 09113 09/14 09/15 09/16 09117 09/18 09119 Hours Pay Rate This All 131.84 80.91 37 10 12,69 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 8.00 8.00 0.00 0.00 40.00 26.57 1,062.80 1.O62.60 TrainingFund Admin Dues S Subsubs Sayings g Other Total 784 32 11068 (LABORER)- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 GROUNDSPERS h.00 0.00 0.00 0 00 0.00 15,94 278.48 ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 55.31 DENTAL INSURANCE & 510.63 401K Public Works Certified Payroll Reporting Farm 09/22/2021 - Page 4 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 12140340 This certified payroll will be treated as an amendment #: 1 Contractor Name: PWLC 11, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2021-09-12 Payroll Number: 115 Amendment Number: 1 12 employee payroll record(s) processed Your Transaction ID is: 12140709 Print this Page low your submission Submit another set of payroll records Public Works Certific ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2021-09-12 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-09-22 " 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 QUINTA MR 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: 115- 1 For Week Ending: 09/12/2021 Jl is this a 'Statement of Non -Performance?' Number el Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Well. Wage Check ALATORRE. GRISELDA 0 Total Hourly Work 09106 09107 09108 09109 09/10 09111 09112 Hours Pay Rate This All 0.00 48.96 0.00 7.66 0.00 0.00 0.00 Paid For Week Number 11550 WESTERN AVE ClassificationProject Hours Worked Each Day Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 5 0.00 8.00 8.00 8.00 8.00 6.00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues S Subsubs Savings Other Total Deduct 583.36 11020 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 56.64 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 Net Dale Earned Tax Tax Holiday & Well.Pension Wage Check BRIONES, MARCELINO 2 Total Hourly Work 09106 09107 09/06 09109 09/10 09/11 09/12 Hours Pay Rate This All 48.00 52.02 9.63 6.16 0.00 0 00 0.00 Paid For Week Number 50700 CALLE MENDOZA Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCE $ 0.00 8.00 8.00 8.00 8.00 6.00 0.00 40.00 17.00 680.00 680.00 Training Fund Admin Dues S Subsubs Savings Other Total Deduct 555.39 11021 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92236 RIVERSIDE 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.80 124.61 OMENS D 0.00 0.00 0,00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 56.80 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 Dale Earned Tax Tax Holiday & Well. Wage Check CASTILLO VIGIL, RAMON A 0 Total Hourly Work 09106 09/07 09/08 09109 09/10 09111 09/12 Hours Pay Rate This All 43.52 55.08 11.37 8.64 0.00 0.00 0.00 Paid For Week Number 27335 HOPPER RD Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 0.00 8.00 8.00 8.00 8.00 2.00 2.00Tray/S 36.00 20.00 720.00 745.00 Training Fund Admin Dues Sups Subs Savings Other Total Deduct 019.19 11022 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92241 RIVERSIDE 0 0.00 0.00 0.00 0.00 0.00 0.00 7.20 125.81 lieliMin D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE: OTHER = 57.20 401K Public works Certified Payroll Reporting Form 09/22/2021 - Page 1 Public Works Certifif, ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/12/2021 Payroll Number:115-1 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. GUTIERREZ HERNANDEZ, KATHERIN 0 Total Hourly Wage Check 81309 ALBERTA AVE Work 09106 09/07 09/08 09109 09/10 09/11 09/12 Hours Pay Rate This All 0.00 39.18 0.00 6.14 0.00 0.00 0.00 Paid For Week Number Classi Classification HoursProject Worked Each Day Projects INDIO CA LANDSCAPE0.00 MAINTENANCE s32.00 8.00 8.00 8.00 8.00 0.00 0.00 16.00 512.00 512.00 TrainingFund Admin Dues S Subsubs Sayings Other Total 466.68 11023 LABORER- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 92201 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 45.32 UMW D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac! Health Pension Net Date Earned Tax Tax Hofida y & Wolf. JIMENEZ. !VETTE 0 Total Hourly Wage Check 49615 HARRISON ST Ji40 Work 09106 09/07 0910E 09109 09/10 09/11 09/12 Hours Pay Rate This All 21.73 39.17 0.00 6.14 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projetls COACHELLA CA LANDSCAPE MAINTENANCE 5 0,00 8.00 B.00 8.00 8.00 0.00 0.00 32.00 16.00 512.00 512.00 Training Admin Dues Subs Savings Other Total 444.96 11024 LABORER- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 67.04 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Date Earned Tax Tax Halide y & Well. LITARRAGA, MOISES 0 Total Hourly Wage Check 43795 RECLINATA WAY Work 09/06 09/07 0910E 09109 09/10 09111 09/12 Hours Pay Rata This All 0.00 41.61 0.00 6.53 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects INpfO CA LANDSCAPE MAINTENANCE 5 0,00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 17.00 544.00 544.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 495.86 11025 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 48.14 IMMO D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Not Earned Tax Tax Holiday A Welt. LUNA GONZALEZ, CARLOS 4 Date Total Howdy Wage Check 66145 7TH ST Work 09/06 09/07 09/08 09/09 09/10 09/11 09/12 Hours Pay Rata This All 12.67 52.95 0.00 8.30 0.00 0.00 0.00 Paid For Week Number celion Classification Worked Each Day Project j Projects DESERT HOT SPRINGS CA TREE MAINTENANCE 5 0,00 8.00 0.00 0.o0 0.00 0.00 0.00 8.00 30.82 246.56 692.06 Training Fund Admin Dues Sus Subs Savings Other Total 618.14 11030 (LABORER)- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 SENIOR TREE 0.00 0.00 0.00 0.00 0,00 0.00 73.92 - TRIMMER D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Public works certified Payroll Reporting Form 09/22/2021 - Page 2 Public Works Certific ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09112/2021 Payroll Number:115-1 Name, Address end Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Grass Amount Federal RCA Stale SDI Vac! Health Pension Net Earned Tax Tax Holiday I Well,MARTINEZ. LUCID 0 Date Total Hourly Wage Check 81309 ALBERTA AVE Work 09/06 09107 09108 09/09 09110 09/11 09/12 Hours Pay Rate This All 0.00 39.18 0.00 6.14 0.00 0.00 0.00 Paid For Week Number Classification Worked Each Day Project Projects tNDlp CA LANDSCAPE MAINTENANCE $ 0.00 8.00 8.00 8.00 B.00 0.00 0.00 32.00 16.00 512.00 512.00 TrainingFund Admin Dues Tray/ Subsubs Savings Other Total 466.68 11026 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 45.32 1111111111 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 Slate SDI Vac! Health Pension Net Date Earned Tax Tax Holiday & Well. MUNOZ. EVERARDO 0 Total Hourly Wage Check 74501 42ND AVE Work 09/06 09/07 09108 09/09 09/10 09/11 09112 Hours Pay Rate This All 0.00 44.06 0.00 9.91 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM DESERT CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 8.0D 8.00 0.00 0.00 32.00 18.00 576.00 576.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 525.03 11027 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 0.00 50.97 inIMI D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA Slate SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Welt. RAMIREZ.MARCELINO 4 Total Hourly Wage Check 1500 E SAN RAFAEL DR ft164 Work 09106 09/07 09/08 09/09 09/10 09/11 09/12 Hours Pay Rate This All 11.59 52.67 0.00 8.26 0.00 0.00 0.00 Pald For Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA TREE MAINTENANCE 5 0.00 8.00 0.00 0.00 0.00 0.00 0.00 8.00 26.57 212.56 707.56 Training Fund Admin Dues Tray! Subs Savings Other Total 450.01 11031 (LABORER} o 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 0.00 185.03 257.55 ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 513.88 HEALTH INSURANCE, 55.31 DENTAL INSURANCE, 5158.76 GARNISHMENT & 57.08 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, SARABIA, JOSE A D Date Total Hourly Wage Check 2950 N INDIAN CANYON DR Work 09106 09/07 09106 09/09 09/10 09/11 09/12 ors Pay Rate This All 5.55 48.96 12.57 7.68 0.00 0.00 0.00 Paid For Number ClassificationWeek Hours Worked Each Day Project Projects 1 PALM SPRINGS CA LANDSCAPE MAINTENANCE S 0.00 B.00 8.00 8.00 8.00 8.00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 565.24 11028 LABORER- O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92262 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 74,76 MINIMD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.04 NOTE: public works Certified Payroll Reporting Form 09/22/2021 - Page 3 Public Works Certific ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/12/2021 Payroll Number:115-1 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 & Welt. Wage S 0 Total Hourly Check VALDEZ. HUMBERTO NA Work 09/08 09/07 09/08 09/09 09/10 09/11 09/12 Hours Pay Rale This All 84.60 49.93 11.07 7.83 0.00 0.00 0.00 Paid For Week Number 12966 CACTUS OR Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA TREE MAINTENANCE $ 0.00 8.00 0.00 0.00 0.00 0.00 0.00 8.06 26.57 212.56 658.06 Training Fund Adm n Duos Tray/ Subs Savings Other Total 512.74 11032 (LABORER}, o 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 0.00 11.89 145 32 2111111111111 ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 55.31 DENTAL INSURANCE & 56.58 401K Public works certified Payroll Reporting Form 09/22/2021 - Page 4 eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2021-09-12 Payroll Number: 115 Amendment Number: 0 12 employee payroll record(s) processed Your Transaction ID is: 12140340 Print this Page View your submission 'ubmit another set of payroll records Public Works Certifit 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 andlor contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2021-09-12 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-09-22 " 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 QUINTA DIR Project ID: 290440 Protect 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: 115- 0 For Week Ending: 09/1212021 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 Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Net Dale Earned Tax Tax Holiday & Welt ALATORRE, GRISELDA 0 Total Hourly Wage Check 11550 WESTERN AVE Work 09106 09107 09/08 09109 09/10 09111 09/12 Hours Pay Rale This All 0.00 48.96 0.00 7.68 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 583.36 11020 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 56.64 - 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 Slate SDI Vac! Health Pension Net Date Earned Tax Tax Holiday & Wolf. Wage BRIONES, MARCELINO 2 Total Hourly Chock 50700 CALLS MENDOZA Work 09/06 09/07 09108 09/09 09/10 09/11 09/12 Hours Pay Rate This All 48.00 52.02 9.63 8.16 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCE 5 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 17.00 680.00 680.00 Training Fund Admin Duos Tray/ Subs Savings Other Total Deduct 555.39 11021 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 6.80 124.61 D 0.00 0.00 0.00 0.00 0.00 0.00 0.0011111.11. o.DD 0.00 NOTE: OTHER = f6.80 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac! Health Pension Net Date Earned Tax Tax Holiday & Well, CASTILLO VIGIL. RAMON A 0 Total Hourly Wage Check 27335 HOPPER RD W 09106 09/07 09108 09109 09/10 09111 09112 Hours Pay Rate This All 43.52 55.08 11.37 8.64 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 8.00 8.00 2.00 2.00 36.00 20.00 720.00 745.00 TrainingFund Admin CluesTrav! Subs Sayings g Other Total Deduct 619.19 11022 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92241 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 7.20 125.81 - D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = S7.20 401K Public works Certified Payroll Reporting Farm 09/22/2021 - Page I Public Works Certifit ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/12/2021 Payroll Number:115-0 Name, Address and Number al Day Deductions, Contributions, and Payments Social SecuriNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Data Earned Tax Tax Holiday & Well. GUTIERREZ HERNANDEZ, KATHERIN 0 Total Hourly Wage Check 61309 ALBERTA AVE Work 09106 09/07 09/08 09109 09110 09111 09112 Hours Pay Rale This All 0.00 39.18 0.00 6.14 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects INDIO CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 8.00 8.00 0,00 0.00 32.00 16.00 512.00 512.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 466.66 11023 LABORER- D 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 45,32 D 0.00 0.00 0,00 0.00 0.00 0,00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday 6 Wolf. JIMENEZ.IVETTE 0 Total HourlyWage Check 49615 HARRISON ST 1t40 Work 09/06 09/07 09/08 09/09 09/10 09/11 09112 Hours Pay Rale This All 21.73 39.17 0.00 6.14 0.00 0.00 0,00 Paid For Week Number Classification Hours Worked Each Day Project 1 Projects COACHELLA CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32,00 16,00 512.00 512.00 TrainingFund Admin Dues S Subsubs Sayings g Other Total 444,96 11024 LABORER- 0 0,00 0,00 0,00 0.00 0.00 0,00 0.00 0.00 0.00 92236 RIVERSIDE 0.00 0.00 0.00 0,00 0.00 0.00 67.04 MIMS D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE: Name, Address and Number oI 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'. LIZARRAGA, MOISES 0 Tola! Hourly Wage Check 43795 RECLINATA WAY Work 09/06 09/07 09/08 09/09 09/10 09111 09/12 Hours Pay Rate This All 0.00 41.61 0.00 6.53 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects INDIO CA LANDSCAPE MAINTENANCE 532.00 0.00 8.00 8.00 8.00 8.00 0.00 0.00 17.00 544.00 544,00 TrainingFund Admin Dues Tres/ Subs Sayings g Other Total 495.86 11025 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 48.14 IIIIIIIIID D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number tit 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. LUNA GONZALEZ. CARLOS 4 Dale Total Hourly Wage Check 66145 7TH ST Work 09/06 09/07 09/08 09/09 09/10 09/11 09/12 Hours Pay Rate This All 12.67 52.95 0.00 6.30 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 0.00 8.00 0.00 0.00 0.00 0.00 0.00 6.00 30.82 246.56 692.06 Training Fund Admin Dues Tray/ Subs Savings Other Total 618.14 11030 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 73.92 , UMW 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 09/22/2021 - Page 2 Public Works Certifit ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/12/2021 Payroll Number:115-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Man Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Wed. MARTINEZ. LUCID a Total Hourly Wage Check Si 309 ALBERTA AVE W 09/06 09/07 09/08 09/09 09110 09111 09112 Hours Pay Rate This All 0.00 39.18 0.00 6.14 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects INOIO CA LANDSCAPE MAINTENANCE s 0.00 8,00 8.00 8.00 8.00 0.00 0.00 32.00 16.00 512.00 512.00 Training Fund Admin Dues Tray! Subs Savings Other Total 466.68 11026 LABORER- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92201 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 45.32 111111111111 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address end 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/ Heallh Pension Net Earned Tax Tax Holiday & Wolf. MUNOZ EVERARDO 0 Date Total Hourly Wage Check 74501 42ND AVE Work 09/06 09/07 09108 09109 09/10 09111 09112 Hours Pay Rate This All 0.00 44.06 0.00 6,91 0.00 0.00 0.00 Paid For Week Number Classifirallan Hours Worked Each Day Project l Projects PALM DESERT CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 8.00 8,00 0.00 0,00 32.00 18.00 576.00 576.00 Training Admin Dues Sutra Savings Other Total 525.03 11027 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 0.00 50.97 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 SWIM NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac! Health Pension Net Date Earned Tax Tax Holiday & Welf, RAMIREZ MARCELIND 4 Total Hourly Wage Check 1500 E SAN RAFAEL DR #164 Work 09/06 09107 09108 09/09 09/10 09/11 09/12 Hours Pay Rate This All 11.59 52.67 0.00 8,26 0.00 0.00 0,00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA LANDSCAPE MAINTENANCE S 0.00 8.00 0.00 0.00 0.00 0.00 0.00 8.00 26.57 212,56 707.56 TrainingFund Admin Dues tray! Subs Savings g Other Total 450.01 11031 LABORER- o 0,00 0,00 0,00 0,00 0.00 0.00 0.00 0.00 0.00 92262 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 185.03 257.55 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 513.88 HEALTH INSURANCE, 55.31 DENTAL INSURANCE, 5158.76 GARNISHMENT 3 57.08 401K i Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Earned Tax Tax Holiday & Welt, SARABIA, JOSE A 0 Dale Total Hourly Wage Check 2950 N INDIAN CANYON DR Work 09106 09107 09/08 09109 09/10 09/11 09112 Hours Pay Rale This All 5.55 48.96 12.57 7.68 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA LANDSCAPE0.00 MAINTENANCE s 8.00 8.00 8.00 8.00 8.00 0,00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 555.24 11028 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0,00 92262 RIVERSIDE 0.00 0.00 0.00 0,00 0.00 0.00 74.76 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 Fats 09/22/2021 - Page 3 Public Works Certifit ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/12/2021 Payroll Number: 115-0 Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Wilhhotding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac! Health Net Dale Earned Tax Tax Holiday & Well Wage Check VALDEZ, HUMBERTO S 0 Total Hourly CACTUS DR #A Work a9106 09107 09108 09109 09110 09111 09112 Hours Pay Rale This All 64.60 49.93 11.07 7.83 0.00 0,00 0.00 Paid For Week Number 12966 Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 0.00 8.00 0.00 0,00 0.00 0.00 0.00 8,00 26.57 212.56 656.06 Training Fund Admin Dues Tray/ Subs Savings Other Total 512.74 11032 LABORER- 0,00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11,89 145.32 1.11111.. D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 55.31 DENTAL INSURANCE & 56.58 401K Public works certified Payroll Reporting Form 09/22/2021 - rhige 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. There is an existing payroll transaction for this contractor on this project for this week ending date. Transaction ID for that transaction is: 12103015 This certified payroll will be treated as an amendment #; 1 Contractor Name: PWLC Il, INC, Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2021-09-05 Payroll Number: 114 Amendment Number: 1 12 employee payroll record(s) processed Your Transaction ID is: 12103721 Print this Page iew your submission Submit another set of payroll records Public Works Certifie ,yroli Reporting Form Certification under penally of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2021-09-05 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-09-17." Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLl3 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: 114- 1 For Week Ending: 09/05/2021 7 Is this a'Statement of Non -Performance?' 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 Slate SDI Vac! Health Pension Net Dale Earned Tax Tax Holiday & Well. Wage Check ALATORRE. GRISELDA 0 Total Hourly Work08/30 08131 09101 09102 09/03 09104 09/05 Hours Pay Rate This All 0.00 63.65 8.52 9.98 0.00 0.00 0,00 Paid For Week Number 11550 WESTERN AVE ClassiIicatlon Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE $ 8.00 8.00 8.00 B.00 8.00 0.00 0.00 40.00 16.00 e32.0e 832.00 Training Fund Admin Dues Tray/v! Subs Savings Other Total Deduct 749.85 10876 LABORER- 0.00 0.00 0.00 0.00 0.00 8.00 0.00 92240 RIVERSIDE 0 8.00 24.00 0.00 0.00 0.00 0.00 0.00 0.00 82.15 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 Slate SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Well. Wage Check BRIONES, MARCELINO 2 Total Hourly Work 08/30 OBl31 09101 09102 09103 09/04 09105 Hours Pay Rale This AN 72.23 67.62 21.68 10.61 0.00 0.00 0.00 Paid For Week Number 50700 CALLE MENDOZA Classification Hours Worked Each Day Projects COACHELLA CA LANDSCAPE MAINTENANCE s 8.00 8.00 8.00 8,00 8.00 0.00 0.00 40,00 17.00 884.00 884.00 Training Fund Admin Dues Travl Subs Savings Other Total Deduct 703.02 10877 0.00 0.00 0.00 0.00 0.00 8.00 0.00 92236 LABORER- RIVERSIDE 0 8.00 25.50 0.00 0.00 0.00 0.00 0.00 8.84 180.98 ammo D 0.00 coo coo a.00 0.00 0.00 0.00 0.00 Too NOTE: OTHER = 58.84 401K Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tun Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac! Health ' Pension Net Date Earned Tax Tax Holiday 6 Weif. Wage Check CASTILLO VIGIL_ RAMON A 0 Total Hourly Work 08/30 08131 09101 09/02 09/03 119104 119 15 Hours Pay Rate This All 70.84 72.68 26.00 11.40 0.00 0.00 0.00 Paid For Week Number 27335 HOPPER RD 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 A0.00 20.00 950.00 950.00 Training Fund Admin Dues Tray/ Subsubs Savings Other Total Deduct 759.58 70878 0.00 000 0.00 0.00 1.00 2.00 2.00 92241 LAB0RER- RIVERSIDE 0 5.00 30.00 0.00 0.00 0.00 0.00 0.00 9.50 190.42 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 59.50 401K Public works Certified Payroll Reporting Form 09/17/2021 - Page 1 Public Works Certifie iyroii Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/05/2021 Payroll Number:114-1 Number of I Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net a Date lowly Earned Tax Tax Holiday 8 Well. Wage Check KATHERIN Total GUTIERREZ HERNANDEZ. Work 06130 08131 09101 09102 09103 09104 09105This Hews Pay Rate All 0.00 48.96 0.00 7.68 0.00 0.00 0.00 Paid For Week Number 81309ALBERTAAVE 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 DuesSum Tray/ Savings Other Total 583.38 10879 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92201 LABORER- RIVERSIDE 0 0.00 0.00 a.0a o.00 0.00 0.00 0.00 0,00 56.64 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 Man Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac! Health Pension Net Dale Earned Earned Tax Tax Holiday 8 Wolf. Check JIMENEZ IVETTE 0 Total Hourly Work 08130 08131 09101 09102 09103 09104 09145This Hours Pay Rate All 60.13 63.64 16.21 9.98 0.00 0.00 0.00 Paid For Week Number 49615 HARRISON ST #40 Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCEAdmix S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 632.00 832.00 TrainingFund Dues S Subsubs Savings Other Total 682.04 10880 0.00 0.00 0.00 0.00 0.00 8.00 0.00 92236 LABORER- RIVERSIDE 0 8.00 24.00 0.00 0.00 0.00 0.00 0.00 0.00 149.96 limmor 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 State SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday 8 Welt. Wage Check MOISES 0 Total Hourly LIZARRAGA. Work 08/30 08131 09/01 09102 09103 09104 09105 Hours Pay Rate This All 0.00 52.02 2.93 8.16 0,00 0.00 0.00 Paid Far Week Number 43795 RECLINATA WAY 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 17,00 680.00 680,00 Training Fund Admin Dues Tray/ Subs Savings Other Total 616.89 SEE NOTES 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92201 LABORER- RIVERSIDE O 0.00 25.50 0.00 0.00 0.00 0.00 0.00 0.00 63.11 UMW,D o.00 0.00 0.00 0.00 o.Qo amo.0a 0,00 0.00 NOTE: PAYCHECK NUMBERS: 10881; 6579 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 Dale Earned Tax Tax Holiday & Wall. Wage Check LUNAGONZALEZ.CARLOS 4 Total Hourly Work 08/30 08131 09/01 09102 09103 09/04 09/05 Hours Pay Rale This All 72.44 94.30 14.27 14,79 0.00 0.00 0.00 Paid For Week Number 66145 7TH ST Classification Hours Worked Each Day Projects DESERT HOT SPRINGS CA TREE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 30.82 1,232.80 1,232.80 Training Fund Admin Dues Tray/ Subs Savings Other Total 1.037.00 10886 0.00 0.00 0.00 0.00 0.00 0.00 0,00 92240 (LABORER)- SENIOR TREE 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 195.80 1111111.1111 TRIMMER D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Public works Certified Payroll Reporting Form 09/17/2021 - Page 2 Public Works Certifie iyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/05/2021 Payroll Number:114-1 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 State SDI Vac/ Health Pension et Dale Earned Tax Tax Holiday & Well. Wage g Check MARTINEZ, LUCID 0 Total Hourly Work 08/30 08131 09101 09102 09103 09104 09/05 Hours Pay Rate This All 0.00 48.96 0.00 7.68 0.00 0.00 0.00 Paid For Week Number 81309 ALBERTA AVE Classification Hours Worked Each Day Hours Projects INDIO CA LANDSCAPE8.00 MAINTENANCE s 8,00 8.00 B.00 8.00 0.00 0.00 40.00 16.00 640.04 840.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 583.38 10882 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92201 LABORER- RIVERSIDE O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 58.64 UMW D 0.00 0.00 Q.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 Slate SDI Vac! Health Pension Net Dale Earned Tax Tax Holiday 8 Wolf. Wage Check MUNOZ. EVERARDO 0 Total Houdy Work 08/30 08/31 09/01 09/02 09/03 0916A 09/05This Hours Pay Rate All 0.00 55.08 3.82 9.64 0.00 0.00 0.00 Paid For Week Number 74501 42ND AVE Classification Hours Worked Each Day Project Projects PALM DESERT CA LANDSCAPE MAINTENANCE $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 Training Fund Admin Dues Tray/ Subsubs Savings Other Total 652.46 tO8B3 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92260 LABORER- RIVERSIDE ID 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 67.54 MEM 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 State SDI Vac/ ' Health Pension Net Date Earned Tax Tax Holiday A Welt. Wage Check RAMIREZ.MARCELINO 4 Total Hourly 8164 Work 08/30 08131 09101 09/02 09/03 09104 09105 Hours Pay Rate This All 50,76 81.30 6.72 12.75 0.00 0.00 0.00 Pala For Week Number 1500 E SAN RAFAEL OR Classification Hours Worked Each Day Projects PALM SPRINGS CA TREE MAINTENANCE $ 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 26.57 1,062,80 1,062.80 Training Fund Admin Dues S Subsubs Savings Other Total 901.04 10887 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92262 CLABORERj- GROUNOSPERS 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10.63 161.76 _ ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = S 10.63 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 Not 0 Dale Earned Tax Tax Holiday & Wolf. Wage Check SARABIA. JOSE A Total Hourly Work 0B/30 08131 09/01 09/02 09/03 09/04 09/05 Hours Pay Rate This All 28.59 63.64 22.82 9.98 0.00 0.00 0.00 Paid For Week Number 2950 N INDIAN CANYON DR Classification Hours Worked Fade Day Project Projects PALM SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.60 18.00 832.00 832.00 Training Fund Admin Clues Trav/ Subs Savings Other Total 766.97 10884 0.00 0.00 0.00 0.00 0.00 8.00 0.00 92262 LABORER- RIVERSIDE Q 8.00 24.00 0.00 0.00 0.00 0.00 0.00 0.00 125.03 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 09/17/2021 - Page 3 Public Works Certifie tyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/05/2021 Payroll Number:114-1 Name, Address and Social Security Number of Worker Number of Withholding VALDEZ, HUMBERTO S 12966 CACTUS DR NA DESERT HOT SPRINGS CA 92240 MEND Work Classification Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Dale 08130 08/31 09/01 09/02 09103 09/04 09/05 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holiday Health 8 wee. Pension This Project All Projects 133.01 81.30 37.57 12.75 0.00 0.00 0.00 Net Wage Paid For Week Check Number TREE MAINTENANCE (LABORER)- GROUNDSPERS ON 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 26.57 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 00 1,062.80 1.062.80 Training Fund Admin Dues Trav/ Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 10.63 275.26 787.54 10888 NOTE: OTHER o 510.63 401K Public works Certified Payroll Reporting Form 09/17/2021 - Page 4 eCPR Online Confirmation Your payroll submission request has been processed. 'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3584 E LA CAMPANA WAY PALM SPRINGS CA 92262 Awarding Body: CITY OF LA QUINTA Project ID: 290440 Contract With: CITY OF LA QUINTA Week Ending Date; 2021-09-05 Payroll Number: 114 Amendment Number: 0 12 employee payroll record(s) processed Your Transaction ID is: 12103015 Print this Page View your submission •} A�""" ubmit another set of payroll records Public Works Certific ayroll Reporting Form CertiflcaUon under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2021-09-05 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-09-17 " 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: 114- 0 For Week Ending: 09/05/2021 71Is this a'Statement of Non -Performance?' Name, Address and T Number of Day Deductions, Contributions, end Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Welf. ALATORRE, GRISELDA 0 Total Hourly Wage Check WESTERN AVE Work 08130 OBl31 09/01 09/02 09l03 09104 09145This Hours Pay Rate All 0.00 63,65 8 52 9.98 0.00 0.00 0.00 Paid For Week Number 11550 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 16.00 832.00 832.00 TrainingFund Admin Dues Subs Subs Savings 9 Other Total Deduct 749.85 10878 LABORER- 0 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 24.00 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 82.15 IIIIIIIIIIIIIIIIII D 0.00 0.00 o.00 o.00 o.00 D.D0 0.0o o.00 o.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 Slate SDI Vad Health Pension Net Date Earned Tax Tax Holiday & Well. BRIONES. MARCELINO 2 Total Hourly Wage Check 50700 CALLE MENDOZA Work 08/30 08/31 09101 09/02 09/03 09/04 09/05 Hours Pay Rate This All 72.23 67.62 21.68 10 61 0.00 0,00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE8.00 MAINTENANCE s40.00 8.00 8.00 8.00 8,00 0,00 0.00 17.00 884.00 884.00 Training Fund Admin Dues S Subsubs Savings Other Total Deduct 703.02 10877 LABORER- 0 0.00 0.00 0.00 0,00 0,00 8.00 0.00 92236 RIVERSIDE 8,00 25.50 0.00 0,00 0.00 0.00 0.00 8.84 180.98 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = $8.84 401K Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tun Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Well. CASTILLO VIGIL, RAMON A 0 Total Hourly Wage Check HOPPER RD Work 08/30 08/31 09/01 09/02 09/03 09/04 09105 Hours Pay Rate This Alt 70.84 72.68 26.00 11.40 0.00 0.DD 0.00 Paid For Week Number 27335 Classification Hours Worked Each Day ProjectI Prn acts DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0,00 0,00 40.00 20.00 950.00 950.00 TrainingFund Admin Dues Tray! subs Savings 9 Other Total Deduct 759.58 10878 LABORER- D 0.00 0.00 0.00 0.00 1.00 2.00 2.00 5.00 30.00 92241 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 9.50 190.42 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 IMIlilmis NOTE: OTHER = $9 50 401K Public works Certified Payroll Reporting Form 09/17/2021 - Page 1 Public Works Certific 3yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/05/2021 Payroll Number:114-0 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 State SDI Vac! Health Pension Net Dale Earned Tax Tax Holiday b Welt. Check GUTtERREZ HERNANDEZ, KATHERIN a Total Hourlywage Work 08130 08131 09101 09/02 09103 09104 09l05 Hours Pay Rate This All 0.00 48.96 0,00 7.68 0.00 0.00 0.00 Paid For Week Number 81309ALBERTAAVE Classification Hours Worked Each Day Project Projects INDIO CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 e,00 0.00 0.00 40,00 16.00 640.00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 583.36 10879 LABORER- 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 0.00 56.64 .11111111111 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 State SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Welt. Wage Check 0 Total Hourly JIMENE2, IVETTE HARRISON ST #40 Work 08/30 08/31 09101 09f02 09/03 09/04 09105 HQure Pay Rate This All 60.13 63.64 16,21 9.98 0.00 0.00 0.00 Paid For Week Number 49615 Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCE s 8.00 8.00 6.00 8.00 8.00 0.00 0.00 40.00 16.00 832.00 832.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 682.04 10860 LABORER- 0 0.00 0.00 0.00 0.00 0.00 8.00 0.00 92236 RIVERSIDE 8.00 24.00 0.00 0.00 0.00 0.00 0.00 0,00 149.96 IMMEMOI D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Welf. Wage LlZARRAGA, MOISES 0 Total Hourly Check RECLINATA WAY Work 08130 08l31 09101 09102 09103 09/04 09105 Hours Pay Rate This All 0.00 52,02 2.93 8.16 0.00 0.00 0.00 Paid For Week Number 43795 Classification Hours Worked Each day Project Projects INplO CA LANDSCAPE MAINTENANCE S 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 S Supsubs Sayings g Other Total 616.89 SEE NOTES LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92201 RIVERSIDE 0.00 25.50 0.00 0.00 0,00 0.00 0.00 0.00 63.11 - D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: PAYCHECK NUMBERS: 10881; 6579 Name, Address Number of Day Deductions, Contributions, and Payments and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fd Sat Sun Gross Amount Federal FICA Stale SDI Vac/Health Pension Net Dale Earned Tax Tax Holiday & Welf. Wage CARLOS 4 Total Hourly Check LUNA GONIALF2, 7TH Work 08130 08131 09101 09102 09103 09104 49105Pay Hours Rats This All 72.44 94.30 14.27 14.79 0.00 0.00 0.00 Paid For Week Number 66145 ST Classification Hours Worked Each Day Pro'ect 1 Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 30.82 1,232.80 1,232.80 Training Fund Admin Dues Tray/ Subs Savings Other Total 1,037.00 10886 LABORER- o 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 0.00 195.80 - 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 09/17/2021 - Page 2 Public Works CertifiE 3yroil Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/05/2021 Payroll Number:114-0 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 Net Dale Earned Tax Tax Holiday & Well. Wage MARTINEZ, LUCID 0 Total Hourly Check Work 08130 08131 09l01 09102 09103 09/04 09105 Hours Pay Rate This Alt 0.00 4B.96 0.00 7.08 0.00 0.00 0.00 Paid For Week Number 81309ALBERTAAVE Classification Hours Worked Each Day Project Projects INDIO CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training AFund dmin Dues Subs Sayings Savings Other Total 583.36 10882 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92201 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 56.64 IIINIMIl D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address Number of Day Deductions, Contributions, and Payments and Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vaal Health Pension Net Date Earned Tax Tax Holiday A Wolf. MUNOZ. EVERARDO 0 Total Houdy Wage Check AVE Work 08/30 08131 09/01 09/02 09103 09/04 09/05 Hours Pay Rate This All 0.00 55.08 3.82 8.64 0.00 0.00 0.00 Paid Far Week Number 74501 42ND Classification Hours Worked Each Day Project Projects PALM DESERT CA LANDSCAPE8.00 MAINTENANCEAdmin s 8.00 8.00 8.00 8.00 0.00 0.00 40.00 18.00 720.00 720.00 TrainingFund Dues Tray/Subs Subs Savings Other Total 652.46 10883 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 0.00 67.54 IMIIIMill 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 Pension Net Date Earned Earned Tax Tax Holiday & Weil RAMIREZ, MARCELINO 4 Total Hourly Check 1500 E SAN RAFAEL DR #164 Work 08130 08/31 09/01 09/02 09/03 09104 09/O5 Hours Pay Rate This All 50.76 81.30 6.32 12.75 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Pay Project Projects PALM SPRINGS CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 8.00 8,00 0.00 0.00 40.00 26.57 1,062.80 1.062.80 Training Fund Admin Dues S Subsubs Savings Other Total 901.04 10887 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92262 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 10.63 161.76 I D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 _ NOTE: OTHER = 510.63 401K Name, Address and Number al Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday &Welf. SARABIA,JOSEA 0 Total Houdy Wage Check 2950 N INDIAN CANYON DR Work 08130 08131 09/01 09102 09743 09104 09705 Hours Pay Rate This All 28.59 63.64 22.82 9.98 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA LANDSCAPE MAINTENANCE S 8 00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 832.00 832.00 Training Fund Admin Dues Sus/ Subs Savings Other Total 706.97 10884 LABORER- 0 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 24.00 92262 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 125.03 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 09/17/2021 - Page 3 Public Works Certific lyroll Reporting Form Contractor Name: PWLC II, INC. Project Name; LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 09/05/2021 Payroll Number:114-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Grass Amount Federal FICA Stale SDI Vac./ Health Pension Net Dale Earned Tax Tax Holiday A Welf. VALDEZ. HUMBERTO S 0 Total Hourly Wage Check CACTUS DR NA Work 08/30 08/31 09101 09102 09/03 09104 09105 Houre Pay Rate This All 133.01 81,30 37.57 12.75 0.00 0.00 0.00 Paid For Week Number 12966 Classification Hours Worked Each Day Pro I Project Pro eels 1 DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 5 8.00 8.00 6.00 8.00 6.00 0.00 0.00 40.00 26.57 1,082.80 1,062,80 TrainingFund Adnun Dues Tray/ Subs Savings 9 Other Total 787.54 10868 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 10.63 275.26 _ D 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 L NOTE: OTHER a 510.63 401K Public works Certified Payroll Reporting Form 09/17/2021 - Rage 4