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2022-11-01 thru 2022-11-28 Cert PayrolleCPR 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 la 290440 Contract With: CITY OF LA QUINTA Week Ending Date: 2021-11-28 Payroll Number: 126 Amendment Number: 0 9 employee payroll record(s) processed Your Transaction ID is: 12707327 Print this Page View your submission ..ubmit another set of payroll records Public Works Certifi 'ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC, (name of business andior contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2021-11-28 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 2021-12-02" 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: 126- 0 For Week Ending: 11/28/2021 Ells 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 Grose Amount Federal FICA State SDI Vac/ Health Pension Net Earned Tax Tax Holida yWage & Well. ALATORRE. GRISELDA a Date Total Hourly Check 11550 WESTERN AVE Work 11122 11/23 11/24 11/25 11/26 11127 11/28 Hours Pay Rate This All 0.00 29.38 0.00 4.61 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 0.00 0.00 0.00 0.00 0.00 16.00 16,00 256.00 384.00 Training Fund Admin Dues Tree/ Subs Savings Other Total Deduct 346.17 11921 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 3.84 37.83 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER a 3.84 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac! Health Pension Not Date Earned Tax Tax Holiday & Well. ALFARO, SOCORRO N 0 Total HourlyWage Check 11550 WESTERN AVE 11/22 11123 11/24 11/25 11125 11127 11/28 Hours Pay Rafe This All 0.00 29,38 0,00 4.61 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each DayProject Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24,00 16.00 384.00 384.00 Training Fund Admin Dues S Subsubs Savings Other Total Deduct 350.01 11922 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 p_00 0.00 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 33.99 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 of Day Deductions, Contributions, and Payments Social SecurityNumber al Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Not Earned Tax Tax Holiday& Well. BRIONE5, MARCELINO 2 Date Total Hourly Wage Check 50700 CALLE MENDOZA Work 11122 11/23 11/24 11125 11/26 11/27 11/28 Hours Pay Rate This All 33.86 42.91 4.45 6.73 0.00 0.00 0.00 Paid For Week Number ClassificationPro Hours Worked Each Day Project j Projects foj COACHELLA CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 0.00 2.00 2.00 2.00 30,00 17.00 561.00 561.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 467.44 11923 LABORER- 0 0.00 0.00 0.00 2,00 0,00 0.00 0.00 2,00 25.50 Deduct 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 5.61 93.56 D 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0,p0 0.00 NOTE: OTHER = 5.61 401K Public works Certified Payroll Reporting Form 12/02/2021 - Page 1 Public Works Certifi 'ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 11/28/2021 Payroll Number:126-0 Number of Day Deductions, Contributions, and Payments Name, Address and Social Security Number of Worker Withholding Men Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac! Health Pension Nel Date Earned Tax Tax Holiday & Wolf. Wage Check CASTILLO VIGIL, RAMON A 0 Total Hourly HOPPER RD Work 11122 11/23 11124 11125 11/26 1i127 11/28 Hours Pay Rate This All 15.69 36.72 1.37 5.76 0.00 0.00 0.00 Paid For Week Number 27335 Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE s 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 20.00 480.00 480.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 415.66 11924 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 4.80 64.34 MEM D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 4.80 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 pale Earned Tax Tex Holiday & WeIT. Wage FIDELIA 0 Total Hourly Check CORRALES, 84526 CALLS GREGORfO Work 11/22 11/23 11/24 11/25 11/26 11/27 11/28 Hours Pay Rate This All 0.00 31.20 2.52 4.90 0.00 0.00 0.00 Paid For Week Number ClassificationHours Worked Each Day Project Projects COACHELLA CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 0.00 0.00 0.00 0.00 24.00 17.00 408.00 408.00 TrainingFund Admin Dues Tray! Subs Savings g Other Total 369.38 11925 LABORER- p 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 38.62 - 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 Holiday & Well. JIMENEZ, IVETTE 0 Total Hourly Wage Check 49615 HARRISON ST #40 Work 11/22 11/23 11/24 11/25 11126 11/27 11/28 Hours Pay Rate This All 8.50 29.37 0.00 4.61 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 0.00 0.00 0.00 0.00 24.00 16.00 384.00 384.00 Training Fund Admire Dues subs Subs Savings Other Total 341.52 11926 LABORER- 0 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 0.00 42.48 111111.111. 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 Tax Tax Holiday & Well. MEZA VERA. JOSE A 0 To[al Howdy Wage Check 82292 LEMON GROVE Work 11/22 11/23 11/24 11/25 11/26 11/27 11/28 Hours Pay Rate This All 0.00 29.38 0.00 4.61 0.00 0.00 0.00 Paid For Week Number Classification Hours Hours Worked Each Day J Projects INDIO CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 16.00 384A0 384.00 Training Fund Admin Dues Tree/ Subs Savings Other Total 350.01 11927 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 33.99 111.1111. D o.00 o.00 0.00 0.00 0.00 too o.00 am 0.00 NOTE: Public works Certified Payroll Reporting Form 12/02/2021 - Page 2 Public Works Certifs 'ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 11/28/2021 Payroll Number: 126-0 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 Date Earned Tax Tax Holiday & Well. MUNOZ, EVERARDO 0 Total Hourly Wage Check 74501 42ND AVE Work 11/22 11123 11/24 11/25 11126 11127 11/28 Hours Pay Rale This All 0.00 33.06 0.00 9.18 0.00 0.00 0.00 Paid For Week Number Classificationroject Hours Worked Each Day P Projects I PALM DESERT CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 0.00 0.00 0.00 0.0CTray/ 24.00 18.00 432.00 432.00 Tra ping Fund Admin Dues Subs Subs Savings Other Total 393.76 11928 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 38.24 , D 0.00 0.00 0.00 0.00 0.00 0.00 0,00 Top e.00 NOTE: Name, Address and 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 S' Vac! Health Net Earned Tax Tax Holiday 1t Welt SARABIA, JOSE A 0 Date Total Hourly Wage Check 2950 N INDIAN CANYON DR Work 11122 11/23 11/24 11/25 11/26 11/27 11/28 Hours Pay Rate This A'I (I.er 29,38 4.10 4,61 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 0.00 0.06 0.00 0.00 24,00 is Oh 384.00 384.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 342.07 11929 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 3,84 41.93 _ D a.oa 0.00 0.00 0.00 0.00 0.00 0.00 coo 0.00 NOTE: OTHER = 3.84 401K Public works certified Payroll Reporting Form 12/02/2021 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. ( Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC II, INC. Contractor Address: 3564 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: 2021-11-21 Payroll Number: 125 Amendment Number: 0 9 employee payroll record(s) processed Your Transaction ID is: 12701743 Print this Page View your submission 1t 1, Submit another set of payroll records Public Works Certifi 'ayroll Reporting Form Certification under penalty of perjury: "I, KRISTY SOUTH, the undersigned, am the CONTROLLER (position in business) with the authority to act for and on behalf of PWLC II, INC. (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2021-11-21 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-12-01." 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: 125- 0 For Week Ending: 11/21/2021 O Is 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 Stale Vac/ Health ALATORRE, GRISELDA 0 Dale Total Hourly Earned Tax FICA Tax SDI Holiday & Welt.Pension Net Wage Check 11550 WESTERN AVE Work 11/15 11/16 11/17 11/18 11/19 11120 11121 Hours Pay Rate This All 0 00 48.96 0.00 7.68 0.00 0.00 0.00 Paid For Number DESERT HOT SPRINGS Classification Hours Worked Each Day Project Projects 1 Week CA LANDSCAPE MAINTENANCE g 8.00 8.00 8.00 8,00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Dues Tray/ Savings Other Total 576.96 6641 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 Admin Subs Deduct 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 6 40 63 04 D D.00 0.00 0.00 0.00 0.00 0.00 0,00 0 00 0,00 NOTE: OTHER = 6.40 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health ALFARO, SOCORRO N 0 Date Total Hourly Earned Tax FICA Tax SDI Holiday &WeltWage Pension Net Check 11550 WESTERN AVE Work 11/15 11/16 11/17 11/18 11/19 11/20 11/21 Hours Pay Rate This All 0.00 48.96 8.17 7,68 0.00 0.00 0.00 Paid For Number DESERT HOT SPRINGS Classification Hours Worked Each Day Project Projects of cts Week CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 BM 8,00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Dues Tray/ Savings Other Total 575.19 6642 LABORER- 0 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 Admin Subs Deduct 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 64.81 INIMIIIIII 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 Withhaldfn0 Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal Slate Vac/ Health BRIONES, MARCELINO 2 Date Total HourlyWage Earned Tax FICA Tax SDI Holiday & Well. Pension Not Check 50700 CALLE MENDOZA Work 11/15 11/16 11/17 11/18 11/19 11/20 11/21 Hours PayRale This Alt 60.11 59.62 15.02 9.38 0.00 0.00 0,00 Paid For Number COACHELLA Classification Hours Worked Each Day Project Projects Week CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 17.00 782.00 782.00 Training Fund Dues Tray/ Savings Other Total 629.85 6643 LABORER- 0 0.00 0.00 0.00 0.00 0.00 2.00 2.00 4.00 25.50 Admin Subs Deduct 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 7.82 152.15 D 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 NOTE: OTHER = 7.82 401K Public Works Certified Payroll Reporting Form 12/01/2021 - Page 1 Public Works Certifi 'ayroli Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 11/21/2021 Payroll Number:125-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health CASTILLO VIGIL. RAMON A 0 Date Total Hourly Earned Tax FICA Tax SDI Holiday & Welf. Passion Net Wage Check 27335 HOPPER RD Work 11l15 17116 11/17 11118 17/19 11/20 11721 Hours Pay Rate This Ail 53.02 81.20 16.19 9.60 0.00 0.00 0,00 Paid For Number DESERT HOT SPRINGS Classification Hours Worked Each Day Project Projects Week CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 8,00 8,00 0.00 o.aa 40.00 20.00 800.00 825.00 Training Fund Dues Tree! Savings Other Total 676.99 6644 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 Admire Subs 92241 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 8.00 148.01 D o,ao D.00 am o.D0 0.00 D.o0 O.00 0.00 0.00 NOTE: OTHER = 8.00 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 State Vac/ Health CORRALES, FIDELIA 0 Dale Total Hourly Earned Tax FICA Tax SDI Holiday d Welf. Pension Net Wage Check 84526 CALLE GREGORIO Work 11/15 11/16 11/17 11/18 11/19 11/20 11121 Hours Pay Rate This All 10.35 52.02 12.56 8.16 0.00 0.00 0.00 Paid For Number COACHELLA Classification Hours Worked Each Day Project Projects Week CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0,00 0.00 40.00 17.00 680.00 680.00 Training Fund Dues Trav/ Savings Other Total 596.91 6645 LABORER- 0 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 Admin Subs 9223E RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 83.09 fininli D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac! Health Earned Tax FICA Tax SDI Pension Net JIMENEZ, IVE7TE 0 Date Total Hourly Holiday & Well. Wage Check 49615 HARRISON ST #40 Work 11/15 11/16 11117 11/18 11/19 11/20 11121 Hours Pay Rate This All 37.09 48.96 5,55 7.68 0.00 0.00 0.00 Paid For Number COACHELLA Classification Hours Worked Each Day Project Projects Week CA LANDSCAPE MAINTENANCE 5 8.00 6.00 8.00 8.00 6.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Dues Tsar/ Savings Other Total 540,72 6045 LABORER- 0 0.00 0.00 o.a0 0,00 0.00 0.00 0.0a 0.00 0.00 Admin Subs 92236 RIVERSIDE 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 Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal Slate Vac! Health Earned Tax FICA lax SDI Pension Net MEZA VERA, JOSS A 0 Date Total Hourly Holiday & Well . Wage Check 62292 LEMON GROVE Work 11l15 1111E 11/17 11118 11/19 11l20 11I21 Hours Pay Rate This All 0.00 48.9E 2.93 7.68 0.00 0.00 0.00 Paid For Number INDIO Classification Hours Worked Each Day Project ] t Projects Week 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 Dues 7rav1 Savings Other Total 580.43 6647 LABORER- 0 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0.00 Admin Subs 92201 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 59.57 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 12/01/2021 - Page 2 Public Works Certifi 'ayroll Reporting Form Contractor Name: PWLC II, INC. Name, Address and Social Security Number of Worker MUNOZ, EVERARDO 74501 42ND AVE PALM DESERT CA 92260 4111111111111 NOTE: Number of Withholding 0 Work Classification Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Day For Week Ending: 11/21/2021 Payroll Number:125-0 Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 11/15 11/16 11/17 11118 11/19 11120 11/21 Hours Worked Each Day Total Hours Hourly Pay Rate Gross Amount Earned Federal Tax FICA Stale Tax SDI Vac! Holiday Heallh & Well. Pension This Project All Projects ia.00 55.08 3.82 8.64 0.00 0.00 0.00 Net Wage Paid For Week Check Number LANDSCAPE MAINTENANCE LABORER - RIVERSIDE 8.00 8.00 8.00 8.00 8.00 0.00 0.03 40.00 18.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 aao 0.00 o.o0 0.00 0.00 0.00 0.00 0.60 0.00 0.00 0.00 720.00 745.00 Training Fund Adm n Dues Travl Subs Savings Other Total 0.00 0.00 0.00 0.00 0.00 0.00 67.54 677.46 6653 Name, Address and Social Security Number of Worker SARABIA, JOSE A 2950 N INDIAN CANYON DR PALM SPRINGS CA 92262 MEND NOTE: OTHER = 6.40 401K Number of Withholding 0 Work Classification LANDSCAPE MAINTENANCE LABORER - RIVERSIDE S Day Deductions, Contributions, and Payments Mon Tue Wed Thu Fri Sat Sun Date 11/15 11/16 11117 11118 11/19 11120 11121 8.00 8.00 Hours Worked Each Day 8.00 8.00 8.00 0.00 0.00 Total Hours 40.0 Hourly Pay Rate 16.00 Gross Amount Earned Federal Tax FICA State Tax SDI Vac! Holiday Health A Wolf. Pension a 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 0.00 0 09 lAa This Project 640.00 All Projects 640.00 4 78 Training 48,96 Fund Admin 12.29 Dues 7.68 Tray! Subs 0.00 Savings 0.00 Other 0.00 Total 0.00 0.00 0.00 0 00 0 00 6 40 80.11 Net Wage Paid For Week 559.69 Check Number 6649 Public works Certified Payroll Reporting Form 12/01/2021 - Page 3 eCPR Online Confirmation Your payroll submission request has been processed. t .'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: 2021-11-14 Payroll Number: 124 Amendment Number: 0 9 employee payroll record(s) processed Your Transaction ID is: 12596283 Print this Page View your submission —Q ubmit another set of payroll records f Public Works Certifii 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 andfor contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2021-11-14 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-11-16 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 LAQUINTA 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: 124- 0 For Week Ending: 11/14,2021 fl Is this a' Statement of Non -Performance?' Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac! Health Pension Net Date Earned Tax Tax Holiday & Welt. Wage GRISELDA 0 Total Hourly Check ALATORRE. WESTERN AVE Work 11108 11/09 11/10 11111 11/12 11/13 11/14 Hours Pay Rate This All 000 39.17 0.00 6.14 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 0.00 8.00 0.00 0.00 32.00 16.00 512 00 512.00 Training Fund Admin Dues S Subsubs Savings Other Total Deduct 461.57 11781 LABORER- 0 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 0 00 5.12 50.43 iIIMIMI D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE: OTHER s 5,12 401K Name, Address Number of Day Deductions, Contributions, and Payments and Social Security Number of Worker Withholding Mon Tuo Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Wolf. Wage SOCORRO N 0 Total Hourly Check ALFARO, WESTERN AVE Work 11/08 11/09 11/10 11/11 11/12 11/13 11/14 Hours PayRale Thls Alt 0.00 39.16 2.54 6.14 000 0.00 0.00 Paid For Week Number 11550 Classification Hours Worked Each Day Protect Projects DESERT HOT SPRINGS CA LANDSCAPE8,00 MAINTENANCE s 8,00 B.00 0.00 8.00 0.00 0.00 32.00 16.00 512.00 512,00 TrainingFund Admin Dues S Supsubs Savings Other DeductTot 464,16 11782 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 47.84 MOM 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 & WeIL Wage MARCELINO 2 Total Hourly Check BRIONES, 50700 CALLE MENDOZA Work 11/08 11/09 11/10 11/11 11/12 11/13 11/14 Hours Pay Rale -This All 39.92 46.82 6.67 7.34 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 0.00 8.00 2.00 2.00 36.00 17.00 612,00 612.00 Trainin 9 Fund Admin Dues S Subsubs Sayings 9 Other Total Deduct 505.13 11763 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 6.12 106.87 D 0.0o 0.00 0.00 0.00 0,00 0.00 0,00 6.60 0.00 -I NOTE: OTHER = 6.12 401K Public works certified Payroll Reporting Form 11/16/2021 - Page 1 Public Works Certifit ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 11/14/2021 Payroll Number: 124-0 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 Not Date Earned Tax Tax Holiday R Wolf. CASTILLO VIGIL. RAMON A 0 Total Hourly Wage Check 27335 HOPPER RD Work 11108 11109 11110 11111 11112 11113 11114 Hours Pay Rate This All 34.01 46.96 7.89 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 8.00 0.00 8.00 0.00 8.00 0.00 0.00 24.00 20.00 480.00 665.00 TrainingFund Admin Oues S Subsubs Savings 9 Other Total 560.06 11784 LABORER- O 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 6.40 104,94 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 6.40 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale 501 Vac/ Health Pension Net Date Earned Tax Tax Holiday & Welt. CORRALES, FIDELIA 0 Total Hourty Wage Check 84526 CALLE GREGORIO Work 11108 11109 11110 11111 11/12 11113 11/14 Hours Pay Rate This All 0.00 39,18 5.17 6.14 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCE S32.00 B.00 8.00 6.00 0.00 8.00 0.00 0.00 16.00 512.00 512.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 461.51 11785 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 50.49 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 VarJ Health Pension Net I. Date Eamed Tax Tax Holiday &Well JIMENE2 IVETTE 0 Total Hourly Wag@ Check 49615 HARRISON ST f/40 Work 11/08 11109 11110 11111 11112 11113 11114 Hears Pay Rale This AuI 17.30 36.11 0.00 5.66 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day roject Pro Projects ects COACHELLA CA LANDSCAPE MAINTENANCE S 5.50 8.00 8.00 0.00 8.00 0.00 0.00 29,50 16.00 472.00 472.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 412.93 11786 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 59.07 - D moo 0.06 too 0.00 roe 0,0D 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 Date Earned Tax Tax Holiday & Well. MEZA VEFtA, JOSE A 0 Total Hourly Wage Check 82292 LEMON GROVE Work 11108 11/D9 11110 11/11 11112 11113 11114 Hours Pay Rate This All 0.00 39.16 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 8.00 8.00 8.00 0.00 B.00 0.00 0.00 32.00 18.00 512.00 512.00 TrainingFund Admin Dues Trav/ Suds Savings 9 Other Total 466.70 11787 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 45.30 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 11/16/2021 - Page 2 Public Works Certifil ayroll Reporting Form Contractor Name: PWLC II. INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 11/14/2021 Payroll Number:124-0 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 State SDI Vac/ Health Pension Net Earned Tax Tax Holiday &Welf. MUNOZ, EVERARDO 0 Date Total Hourly Wage Check 74501 42ND AVE Work11108 11109 11/10 11/11 11/12 11/13 11/14 Hours Pay Rate This All OM 33,04 0.00 5.18 0.00 0.00 0.00 Paid For Week Number ClassificationProject Hours Worked Each Day J Projects i PALM DESERT CA LANDSCAPE MAINTENANCE S24.00 0.00 8,00 8.00 0.00 8.00 0.00 0.00 18.00 432.00 457.00 TrainingFund Admin Dues Ss/ Subs Savings g Other Total 418.78 11788 LABORER- p 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 38.22 - 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 Earned Earned Tax Tax Holiday8 Well. SARABIA, JOSE A 0 Date Total Hourly Wage Check 2950 N INDIAN CANYON DR Work 11/08 11/09 11/10 11111 11/12 11/13 11/14 Hours Pay Rate This All 0,00 29,38 4.10 4,61 600 0.00 000 Paid For Week Number ClasslfrWOon Hours Worked Each Day Project Projects PALM SPRINGS CA LANDSCAPE MAINTENANCE 5 0.00 8.00 8.00 0.00 8.00 0.00 0.00 24.00 16.00 384 00 384.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 342.07 11789 LABORER- Q 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 3.84 41,93 MEOW D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE: OTHER = 3.84 401K Public works Certified Payroll Reporting Form 11/16/2021 • Page 3 eCPR Online Confirmation Your payroll submission request has been processed. r'lease review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dirca.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: 2021-11-07 Payroll Number: 123 Amendment Number: 0 11 employee payroll record(s) processed Your Transaction ID is: 12587939 Print this Page View your submission ubmit another set of payroll records Public Works Certifietyroll 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 2021-11-07 are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named. I certify this on 2021-11-15 " Contractor Name: PWLC II, INC. Contractor PWCR: 1000037373 License Type: CSLB License Number 855783 Address: PO BOX 848, THOUSAND PALMS, CA 92276 FEIN: 510532726 Contractor Email: KRISTYS@PWLC2.COM Insurance Number NA Awarding Body: CITY OF LA QUINTA DIR Project ID: 290440 Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 Contract With: CITY OF LA QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 123- 0 For Week Ending: 11/07/2021 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 Stele SDI Vac/ Heath Pension Net ALATORRE, GRISELDA 0 Dale Total Hourly Earned Tax Tax Holiday& Welt. Wage Check 11550 WESTERN AVE Work 11/01 11102 11103 11104 11105 11/06 11/07 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 Project 1 Projects i 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 Tra nin g Fund Admin Dues Tres/ Subs Savings Other Total 576.96 11633 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 00 Deduct 92240 RIVERSIDE 0.00 0.00 0.00 0 00 0.00 6.40 63.04 Illilli 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = $6.40 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Man Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Na! Tax Tax Holiday & Well. ALFARO, SOCORRO N 0 Date Total HourlyEarned Wage 9 Check 11550 WESTERN AVE Work 11/01 11102 11/03 11/04 11/05 11/06 11107 Hours Pay Rate This All 0.00 40.40 3.24 6.34 0 00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Prol Projects 1 DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 533.00 4,50 8.00 8.00 4.50 8.00 0.00 0.00 16.00 528.00 528.00 Training Fund Admin Dues Tray/ Savings Other Total 478.02 11634 LABORER- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Subs Deduct 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 49.98 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 Tile Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Earned Tax Tax Holiday & Weil. BRIONES, MARCELtNO 2 Dale Total Hourly yWage Check 50700 CALI,E MENDOZA Went 11/01 11/02 11103 11/04 11/05 11/06 11/07 Hours Pay Rate This All 60.11 59.82 15.02 0.38 0.00 0.00 0.00 Paid For Week Number Classifcallcn Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 8.00 8.00 0.00 0.00 40.00 17.00 782.00 782.00 Training Fund Admin Dues Trey/ Subs Savings Other Total 629.85 11635 LABORER- 0 0.00 0.00 0.00 0.00 0.00 2.00 2.00 4.00 25.50 Deduct 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0,00 7.82 152.15 UMW D 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 NOTE: OTHER = 57.82 401K Public works certified Payroll Reporting Form 11/15/2021 - Page 1 Public Works Certific ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 11/07/2021 Payroll Number:123-0 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 FICA State sot Vac/ Health Net Earned Tax Tax Holiday& Well. Pension CASTILLO VIGIL, RAMON A 0 Data Total Hourly Wage Check 27335 HOPPER RD Work 11101 11/02 11/03 11104 11/05 11106 11/07 Hoots PayRale This Alt 53.02 61.20 16.19 9.60 0.00 0.00 0.00 Paid For Number DESERT HOT Classification Hours Worked Each Day Project Pro1 Projects I Week SPRINGS CA LANDSCAPE8.00 MAINTENANCE s32.00 8.00 0.00 8.00 8.00 0.00 0.00 20.00 640.00 800.00 Training Fund Admin Dues Tray/ Savings Other Total 651.99 11636 LABORER- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Subs 92241 RIVERSIDE 0,00 0.00 0.00 0.00 0.00 8.00 148.01 11111111111111. D 0.00 D.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 58.00 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac! Health Net Earned Tax Tax Holiday&Well, Pension CORRALES, FIDELIA 0 Date Total Hourly Wage Check 84526 CALLE GREGORIO Work 11/01 11102 11/03 11/04 11105 11/06 11/07 Hours Pay Rate This All 5 55 48.96 10.80 7.68 0.00 0.00 0.00 Pald For Number Classification Hours Worked Each Day Project1 Proj Projects Week COACHELLA CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 567.01 11637 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 72,99 6111111111 D o.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 Tua Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vad Health Pension Net JIMENEZ 1VETTE 0 Dale Total Hourly Earned Tax Tax Holiday& Well. Wage Check 49615 HARRISON ST IMO Work 11,01 11102 11103 11/04 11105 11106 11/07 Hours Pay Rate This All 21.73 39.17 0.00 6.14 0.00 0.00 0,00 Paid For Number Classification Hours Worked Hours Each Day ProjectProjects Week 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 Training Fund Admin Dues Tray/ Subs Savings Other Total 444.96 11638 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 MOM D 0,00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name. Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Net Tax Tax Holiday & Wolf. Pension MEDINA ESCOBAR. JUAN F 0 DateEarned Total Hourly Wage Check 65946 DESERT VIEW AVE Work 11101 11/02 11/03 11104 11/05 11/06 11/07 Hours Pay Rale This All 0.00 55.08 6.45 8.64 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day ProjectI Projects DESERT HOT SPRINGS CA LANDSCAPE8.00 MAINTENANCE S 8.00 8.00 0.00 0.00 0.00 0.00 24.00 18.00 432.00 720.00 Training Fund Admin Dues Trav/ Subs Savings Other Total 849.83 11617 LABORER- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 70.17 - 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 11/15/2021 - Page 2 Public Works Certifie ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 11I0712021 Payroll Number:123-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac/ Health MEZA VERA, DOSE A 0 Date Total Houdy Earned Tax FICA Tax SDI Holiday & Well, Pension Net Wage Check 62292 LEMON GROVE Work 11101 11102 11103 11/04 11/05 11106 11/07 Hours Pay Rale This All 0.00 48.96 2.93 7.66 0.00 0.00 0.00 Paid For Number INDIp Classification Hours Worked Each Day Project Projects Week CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 6.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Dues Tray/ Savings Other Total 580,43 11639 LABORER- a 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92201 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 59.57 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac! Health Earned Tax FICA Tax SDI Holiday & Well. Pension Nat MUNOZ. EVERARDO 0 Date Total Hourly Wage Check 74501 42ND AVE Work 11101 11/02 11/03 11104 11/05 11106 11/07 Hours Pay Rate This All 0.00 55.08 3.82 8.64 0.00 0.00 0.00 Paid For Number PALM DESERT Classification Hours Worked Each Day Project Projects Week CA LANDSCAPE MAINTENANCE S40.00 8.00 8.00 8.00 8.00 8.00 0.00 0.00 18.00 720.00 720.00 Training Fund Dues Tray/ Savings Other Total 652.46 11640 LABORER- p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92260 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 67,54 IONNIF b 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal Stale Vac/ Health RODRIGUEZ-PINEDA.ALEJANDRO 0 Date Total Hourly Earned Tax FICA Tax SDI Holiday & Well. Pension Net Wage Check 69 BONAZA RO Work 11/01 11/02 11/03 11104 11/05 11/06 11/07 Hours Pay Rale This All 0.00 48.96 8.17 7.68 0.00 0.00 0.00 Paid For Number Classification Hours Worked Each Day Project Projects Week PALM SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 6.00 0.00 0.00 0.00 0.00 24.00 16.00 384.00 640.00 Training Fund Admin Dues Tray/ Savings Other Total 575.19 11621 LABORER- p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Subs 92262 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 64.81 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 Vac/ Health SARABIA,JOSEA 0 Dale Tote! Hourly Earned Tax Tax SDi Holiday Wail. Pension Net Wage Check 2950 N INDIAN CANYON DR Work 11/01 11/02 11103 11/04 11/05 11/06 11/07 Hours Pay Rate This All 5.55 48.96 12.57 7.68 0.00 0.00 0.00 Paid For Number PALM SPRINGS Classification Worked Each Day ProjectHours Projects Week CA LANDSCAPE8.00 MAINTENANCE S 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Dues Tray/ Savings Other Total 565.24 11841 LABORER- p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92262 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 74.76 11.1.11111 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 11/15/2021 - Page 3