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2022-09-27 thru 2022-10-16 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: 2022-10-16 Payroll Number: 172 Amendment Number: 0 7 employee payroll record(s) processed Your Transaction ID is: 15384187 Print this Page { View your submission Submit another set of payroll records Public: Works Certifie(;yroll Reporting Form Certification under penalty of perjury; "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2022-10-16 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 2022-10-22." 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 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: 172- 0 For Week Ending: 10/1612022 EIs this a'Statement of Non -Performance?' Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Slate SDI Vac/ Health Pension Net Earned Tax Tax Holiday & Well. ALATORRE. GRISELDA 0 Date Total Hourly Wage Check 11550 WESTERN AVE Work 10/10 10111 10/12 10113 10/14 10/15 10116 Hours Pay Rate This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0,00 0.00 40.00 16.00 640.00 640.00 TrainingFund Admin Dues Tray/ Subs Savings 9 Other Total Deduct 577.64 16230 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92240 RIVERSIDE _ 0.00 0.00 0.00 0.00 0.00 6.40 62.40 IMMO D 0.00 0.0a 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, Contribution , and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac! Health Pension Net Date Earned Tax Tax Holiday & Welt. ARELLANO MORALES, GUSTAVO 0 Total Hourly Wage Check 83165 DILLON AVE Work 10110 10111 10/12 10113 10114 10/15 10116 Hours Pay Rate This All 0.00 50.07 0.00 7.20 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects o1 INDIO CA LANDSCAPE MAINTENANCE S 6.00 6.50 8.00 6.00 8.00 0.00 0.00 38.50 17.00 654.50 654.50 TrainingFund Admin Dues Subs subs Sayings 9 Other Total Deduct 597.23 16231 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 D.00 0.00 0.00 92201 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 57.27 11.1.111111 D 0.00 0,00 coo am coo 0.0o a.aa 0.00 a.o0 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 Earned Tax Tax Holiday & Well. BRIONES, MARCELINO 2 Data Total Houdy Wage Check 50700 CALLE MENDOZA Work 10110 10111 10/12 10113 10114 10/15 10116This Hours Pay Rate All 68.33 65,79 18,55 9.46 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 20.00 860.00 860,00 TrainingFund Admin Dues Smut Subs Sayings 9 Other Total Deduct 689.27 16232 LABORER- O 0.00 0.00 0.00 0.00 0.00 2.00 0.00 2.00 30.00 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 8.60 170.73 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Too 0.00 NOTE: OTHER = 8.60 401K Public works Certified Payroll !Reporting Form 10/22/2022 - Page 1 Public Works Certifienyroll Reporting Form Contractor Name: PWLC II. INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 10/16/2022 Payroll Number:172-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal RCA Stale SDI Vac/ Health Pension Net Dale Earned Tax Tax Holiday & Well. COLIN SANCHEZ. HUGO G 0 Total Hourly Wage Check 1500 E SAN RAFAEL DR N164 Work 10110 10111 10112 10/13 10/14 10115 10118 Hours Pay Rate This All 0.00 63.65 8.54 9.15 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Pro eciProjects J PALM SPRINGS CA LANDSCAPE8.00 MAINTENANCEAdmin S 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 632.00 TrainingFund Dues Su Subs bs Savings g Other Total 742.34 16210 LABORER- p 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 8.32 89.66 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 8.32 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA Stale 501 Vac/ Health Pension Net Earned Tax Tax Holiday & Weif. GONZALEZ, GABRIELA 0 Dale Total Hourly Wage Check 66900 IRONWOOD DR #1406 Work 10110 10/11 10/12 10/13 10/14 10115 10/16 Hours Pay Rale This All 0.00 39.18 0.00 5.63 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 0.00 8.00 8.00 8.00 0.00 0.00 32.00 16.00 512.00 512.00 TrainingFund Admin Dues Tres! Subs Savings g Other Total 467.19 16233 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 44.81 MUMS D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac! Health Pension Net Date Earned Tax Tax Holiday & Welf. MUNOZ. EVERARDO 0 Total Hourly wage Check 74501 42ND AVE Welk 10110 10111 10/12 10113 10/14 10115 10/16 Hours Pay Rate This All 0.00 54.67 2.10 7.68 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM DESERT CA LANDSCAPE8.00 MAINTENANCE s40.00 8.00 8.00 8.00 8.00 0.00 0.00 16.00 720.00 745.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 667.87 16234 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 92260 RIVERSIDE _ 0.00 0.00 0.00 0.00 0.00 12.50 77.13 t7 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.q0 IMMIIMI NOTE: OTHER = 5.30 DENTAL INSURANCE & 7.20 401K Name, Address and Number oI Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal RCA Stale SDI Vac! Health Pension Net Earned Tax Tax Holiday & Well. SORIANO LOZANO. FERNANDO B 0 Dale Total Hourly Wage Check 33300 PUEBLO TR NA Work 10/10 10/11 10112 10/13 10114 10/15 10/16 Hours PayRate This All 23.29 54.62 0.00 7.85 0.00 0.00 0.00 Paid For Number ClassificationWeek Hours Worked Each Day Project Projects 1 CATHEDRAL CITY CA LANDSCAPE MAINTENANCE $ 0.00 8.00 8.00 8.00 8.00 0.00 2.00 34.00 17.00 578.00 714.06 Training Fund Admin Dues Tres/ Subs Savings Other Total 551.10 16235 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92234 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 77.14 162.90 - 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 Public works Certified Payroll Reporting Form 10/22/2022 - 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: 2022-10-09 Payroll Number: 171 Amendment Number: 0 8 employee payroll record(s) processed Your Transaction ID is: 15384159 Print this Page View your submission Submit another set of payroll records Public Works Certifiet yroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2022-10-09 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 2022-10-22." 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 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: 171- 0 For Week Ending: 10/09/2022 7 Is this a 'Statement of Non -Performance?' Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Well, ALATORRE, GRISELDA 0 Total Hourly Wage Check 11550 WESTERN AVE Work 10103 10/04 10/05 10/06 10/07 10/08 10109 Hours Pay Rate This All 0.00 48.96 0.00 7 04 0.00 0 00 0.00 Paid For Week Number Classification Hours Worked £ach Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 TrainingFund Admin Dues S Subsubs Sayings 9 Other Total Deduct 577.60 16074 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 00 92240 RIVERSIDE 0.00 0.00 0.00 0 00 0.00 6 40 62.40 D 0.00 0.00 0.00 a.00 0.00 0.00 0.00 0,00 0.00 NOTE: OTHER = 6.40 401K Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Weil ARELLANO MORALES. GUSTAVO 0 Total Hourly DILLON AVE Work 10/03 10/04 10/05 10106 10/07 10/08 t0109 Hours Pay Rate This All 0.00 41.62 0.00 5.98 0,00 0,00 0.00 Paid For Week Numberk 83165 ClassificationProject Hours Worked Each Day1 Pro eels INDIO 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 TrainingFund Admin Dues Tray/ Subs Savings 9 Other Total Deduct 496.40 16075 LABORER- O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92201 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 47.60 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 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. BRIONE5, MARCELINO 2 Total Hourly Wage Check 50700 CALLE MENDOZA Work 10/03 10104 10/05 10/08 10/07 10/08 10/09 Hours Pay Rate This All 51.70 55.0E 10.51 7.92 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 2.00 8.00 2.00 0.00 36.00 20.00 720.00 720.00 TrainingFund Admin Dues S Subsubs Savings 9 Other Total Deduct 587.59 16070 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,0o 0.00 92236 RIVERSIDE 0,00 0.00 0,00 0.00 0.00 7.20 132.41 r D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 7.20 401K Public Works Certified Payroll Reporting Form 10/22/2022 Page 1 Public Works Certifiet: yroll Reporting Form Contractor Name: PWLC Ii, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 1010912022 Payroll Number: 171-0 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 Stale SDI Vac! Health Pension Net Dale Earned Tax Tax Holiday & Welf. Wage Check 0 Total Hourly COLIN SANCHEZ, HUGO G OR ft164 Work 10103 10104 10105 10106 10107 10/08 10/09 Hours Pay Rate This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number 1500 E SAN RAFAEL Classification Hours hours Worked Each Day Projects PALM SPRINGS CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 540.00 640.00 Training AFund Admin Dues Tray/ Subs Savings Other Total 577.60 18055 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92262 RIVERSIDE O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6.40 62.40 - D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 6.40 401K Address Number of Day Deductions, Contributions, and Payments Name, and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Veld Heahh Pension Net Dale Earned Tax Tax Holiday & Well. Wage 0 Total Hourly Check GONZiLLET. GABRIELA 66900 IRONWOOD DR 111406 Work 10103 10104 10/05 10/06 10107 10/08 10/09 Hours Pay Rale This All 0.00 39.16 0.00 5.63 0,00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE $ 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 467.21 16077 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 44.79 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 at Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Dale Earned Earned Tax Tax Holiday 8 Waif. MUNOZ, EVERARDO 0 Total Hourly Check 7450142NDAVE Work 10/03 10104 10/05 10106 10/07 10108 10/09 Hours Pay Rate This All 0.00 54.67 2.10 7.86 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM DESERT CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 8.00 8.D0 0.00 0.00 40.00 18.00 720.00 720.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 642.87 76078 LABORER- 0 0.00 ODD 0.00 0.00 0.00 0,00 0.00 92260 RIVERSIDE _ 0,00 0.00 0.00 0.00 0.00 0.00 0.00 12.50 77.13 IMMO D 0.00 0.00 0.0o D.00 o.00 0.00 o.Do 0.00 0.00 NOTE: OTHER = 5.30 DENTAL INSURANCE & 7.20 401K Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac! Health Pension Net Dale Earned Tax Tax Holiday & Well.Wage SANTOS VELAZOUF�, LUIS A 0 Total Hourly 33141 SHIFTING SANDS f12 Work10103 10/04 10/05 10/06 10/07 lama 10/09 Hours Pay Rate This All 0.00 52.02 0.00 7.48 0.00 0.00 0.00 Paid For Week Number Nur Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA LANDSCAPE0.00 MAINTENANCEAdmin 8.00 8.00 8.00 8.00 0.00 0.00Tray/s 32.00 17.00 544.00 680.00 TrainingFund Dues Subs Subs Savin s g Other Total 620.50 16485 LABORER- U 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92234 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 59.50 - D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Public works certified Payroll Reporting Form 10/22/2022 - Page 2 Public Works Certifie. yroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 10/09/2022 Payroll Number:171-0 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 Data Earned Tax Tax Holiday & Wslf. SORIANO LOZANO, FERNANDO B 0 Total HourlyWage Check 33300 PUEBLO TR RA Work 10103 10104 10105 10108 10107 10108 10109 Hours Pay Rate This All 25.31 55,92 0.08 8.04 0.00 0.60 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40,00 17.00 731.00 73t,OD Training Fund min Dues Sutra Savings Other Total 564.34 16079 LABORER- o 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2,00 25.50 92234 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 77.31 166.66 _ D 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 10/22/2022 - Rage 1 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 Dale: 2022-10-02 Payroll Number: 170 Amendment Number: 0 5 employee payroll record(s) processed Your Transaction ID is: 15320315 Print this Page View your submission Submit another set of payroll records Public Works Certified yroll Reporting Form Certification under penalty of perjury: "I. KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2022-10-02 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 2022-10-16." 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: 170- 0 For Week Ending: 10/02/2022 Is this a 'Statement of Non -Performances 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 & Wolf. BRIONES, MARCELINO 2 Total Hourly Wage Check 50700 CALLE MENDOZA W 09126 09127 09128 09129 09130 10101 10102 Hours Pay Rate This All 65.96 64.26 17,24 9.24 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project I Projects 1 COACHELLA CA LANDSCAPE8.00 MAINTENANCE s 8.00 0.00 8.00 8.00 2.00 0.00 34.09 20.00 680.00 840.00 TrainingFund Admin Dues S Subsubs Savings 9 Other T°1al Deduct 674 90 16044 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 8.40 165,10 MOM D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 8.40 401K Name, Address and Number of Day Deductions. Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Dale Earned Tax Tax Holida Y & Well. ERAZO, BENEDICTO 0 Total Hourly Wage Chock 33200 CATHEDRAL CANYON OR l!B Work 09126 09127 09128 09129 09130 10101 10102 Hours Pay Rale This All 0.00 41.60 0.00 5.98 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8,00 8.00 0.00 0,00 0.00 32.00 17.00 544.00 544.40 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 496 42 16022 LABORER- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92234 RIVERSIDE 0.00 0.00 0.00 0,00 0.00 0.00 47.58 MIMI 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, end Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Fedora) FICA State SDI Vac/ Health Pension Net Data Earned Tax Tax Holiday & Welf. GCINZALF�, GAE1RIElA 0 Total Hourly Wage Check 66900 IRONWOOD DR 91406 W 09126 09/27 09128 09/29 09130 10101 10102 Hours Pay Rale This All 0.00 48.96 0.00 7.04 0.00 0.00 0.00 Paid For Week Number Classification CEassi Hours Hours Worked Each Day ro act j 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 9 Fund Admin Dues Trav/Subs Subs Savin s 9 Other Total Deduct 584.00 16045 LABORER- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 cog 0.0g 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: Public works Certified Payroll Reporting Form 10/16/2022 - Page 1 Public Works Certifie .lyroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 10/02/2022 Payroll Number:170-0 Name, Address and Number of Day Deductions. Contributions. and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac! Health Pension Net Earned Tax Tax Holiday y &waif. MUNDZ EVERARDO 0 Date Total Hourly Wage Check 74501 42ND AVE Work 09126 09127 09/28 09/29 09130 10/01 10/02 Hours Pay Rate This All 0.00 54.68 2.10 7.86 0.00 0.00 0.00 Paid For Week Number Classification Classification Hours Worked Each Day Project Pro, acts PALM DESERT CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 8.00 0.00 0.00 ^0.00 32.00 18.00 576.00 720.C7 Tra nin 9 Fund Adm Dues S Subsubs Savings 9 Other Total 642.86 70048 LABORER- o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 a.00 0.00 n 92260 RIVERSIDE 0.00 o.Cn 0.00 0.00 C'.00 12.50 77.14 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.08 NOTE: OTHER = 5.30 DENTAL INSURANCE & 7.20 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fd Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Earned Tax Tax Holiday & Wolf. SORIANO LOZANO, FERNANDO B 0 Dale Total Hourly Wage Check 33300 PUEBLO TR #A Work 09/26 09/27 09128 09/29 09130 10/01 10102 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 Admin Dues Tray/ Subsubs Savings Other Total 564,33 16047 LABORER- p 0.00 0.00 0.00 0.00 0.00 0.00 2.00 2.00 25.50 92234 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 77.31 166.67 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 7.31 401K a 70.00 VEHICLE VIOLATION LOAN Public Works Certified Payroll Reporting Fort. 10/16/2022 - Page 2