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2022-11-29 thru 2022-12-26 Cert Payroll
eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission. Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name: PWLC 11, INC. Contractor Address: 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: 2021-12-26 Payroll Number: 130 Amendment Number: 0 12 employee payroll record(s) processed Your Transaction ID is: 13153546 Print this Page 0 View your submission Submit another set of payroll records r Public Works Certifit ayroll Reporting Form Cerdficaflon 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 2021-12-26 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 2022-01-28." 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 (UINTA DR 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: 130- 0 For Week Ending: 12/26/2021 Lis this a 'Statement of Non -Performance?' Name. Address and Number of pay 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 Dale Earned Tax Tax Holiday & Well'. ALATORRE, GRISELDA 0 Total Hourly Wage Check 11550 WESTERN AVE Work 12/20 12/21 12/22 12/23 12124 12/25 12/26 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 Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 4.00 0.00 0.00 0,00 28.00 10.00 448.00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total Deduct 576.96 12196 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 6.46 63,04 IMMO 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 State SDI Vac! Health Pension Net Date Earned Tax Tax Holiday & Welt. ALFARO, SOCORRO N 0 Total Hourly Wage Check 11550 WESTERN AVE Work 12/20 12/21 12122 12/23 12/24 12/25 12/26 Hours Pay Rate This All 0.00 48.96 8.17 7.66 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 4.00 0.00 0.00 0.00 28.00 16.00 448.00 640.00 TrainingFund Admin Dues S Subsubs Sayings g Other Total Deduct 575,19 12197 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 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 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, BRIONES, MARCELINO 2 Total Hourly Wage Check 50700 CALLE MENDOZA Work 12120 12/21 12/22 12/23 12/24 12/25 12126 Hours Pay Rate This All 48.00 52.02 9.63 8.16 0.00 0.00 0.00 Paid For Week Number Classificationect Hours Worked Each Day Project Projects COACHELLA CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 4.00 0.00 0.00 0.00 28.00 17.00 476.00 680.00 TrainingFund Admin Dues S Subsubs Savings 9 Other Total Deduct 555.39 12196 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 0.00 0.00 0.00 NOTE: OTHER = 6.80 401K Public works Certified Payroll Reporting Form 01/2B/2022 - Page 1 Public Works Certifi{ ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 12/26/2021 Payroll Number:130-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat SunFICA Gross Amount Federal Slate SDI Vac/ Health Pension Net Earned Tax Tax Holiday & Wolf. CASTILLO VIGIL, RAMON A 0 Date Total Hourly Wage Check 27335 HOPPER RD Work 12/20 12121 12/22 12123 12124 12125 12126 Hours Pay Rate This All 53.02 61.20 16.19 9.60 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project j Projects 1 DESERT HOT SPRINGS CAAdmin LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 4.00 0.00 0.00 0.00 28.00 20.00 560.00 800.00 Training Fund Dues Tray/ Subs Savings Other Total 651.99 12199 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 8.00 148.01 MEMO D D.Oo o.dd 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER s 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 FICA Stale SDI Vac! Health Pension Net Earned Tax Tax HolidayA weir. CORRALES, FIDELIA 0 Dale Total Hourly Wage Check 64526 CALLE GREGORIO Work 12120 12/21 12/22 12/23 12/24 12125 12/26 Hours Pay Rate This All 10.35 52.02 12.56 8.16 0.00 0.00 0.00 Paid For Week Number ClassificationProject Hours Worked Each Day1 Projects COACHELLA CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 4.00 0.00 0.00 0.00 28.00 17.00 476.00 680.00 TrainingFund Admin Dues Tray/ Subs Savings Other Total 596.91 12200 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 83.09 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 Tuo Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Earned Tax Tax Holiday& Welt. HERNANDEZ, ANTHONY A 0 Date Total Hourly Wage Check 33675 CATHEDRAL CANYON DR Work 12/20 12/21 12/22 12/23 12/24 12/25 12126 Hours Pay Rale This Alt 52.46 55.08 14.32 8.64 0,00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA LANDSCAPE0.00 MAINTENANCE s 8.00 8.00 0.00 0,00 0.00 0.00 16.00 18.00 288,00 720.00 Training Fund Admin Dues Subs Subs Savings Other Total 589.50 12205 LABORER- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0g 0.00 92234 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 130.50 11111.1., D 0.00 0.00 0.00 0.00 o.o0 am 0.0D 0.00 too NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tula Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac! Health Pension Net Earned Tax Tex Holiday & Well. JIMENEZ, IVETTE 0 Date Total Hourly Wage Check 49615 HARRISON ST f14d Work 12120 12/21 12122 12123 12/24 12/25 12/26 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 ProjectProjects Pro COACHELLA CA LANDSCAPE MAINTENANCE S 0.00 0.00 8.00 4.00 0.00 0.00 0.00 12.00 16.00 192.00 512.00 Training Fund Admin Dues Tray! Subs Savings Other Total 444.98 12201 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 IMMO D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Public works Certified Payroll Reporting Form 01/28/2022 - Page 2 F Public Works Certifit ayroil Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 12/26/2021 Payroll Number:130-0 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 Net Date Earned Tax Tax Holiday & Well. Wage ESCOBAR, F 0 Total Hourly Check MEDINA JUAN Work 12120 12/21 12/22 12123 12/24 12/25 12/26 Hours Pay Rale This All 0.00 55,08 6.45 8.64 0.00 0.00 0.00 Paid For Week Number 65946 DESERT VIEW AVE ClassificationProject Hours Worked Each Day f Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 5 6.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 18,00 432.00 720,00 Training Fund Admin Dues Tray/ Subs Savings Other Total 649.83 12177 LABORER- p 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 11111111111111111 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 Dale Earned Tax Tax Holiday & Well. Wage MEZA VERA, JOSS A 0 Total Hourly Check LEMON GROVE Work 12/20 12/21 12/22 12/23 12/24 12125 12/26This Hours Pay Ralo All 0.00 48.96 2.93 7.68 0.00 0.00 0.00 Paid For Week Number 82292 Classification Hours Worked Each Day Project Projects INDIO CA LANDSCAPE8,00 MAINTENANCE s 8,00 8.00 4.00 0.00 0.00 0.00 28.00 16.00 448.00 640.00 Training Fund Admin Dues Tray/ Subs Savings Other Total 580,43 12202 LABORER- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92201 RIVERSIDE p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 59.57 111111.11. 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 MUNOZ, EVERARDO 0 Total Hourly Check 74501 42ND AVE Work 12/20 12/21 12/22 12/23 12/24 12/25 12/26 Hours Pay Rate 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 CAMAINTENANCE LANDSCAPE 5 8.00 8.00 8.00 4.00 0.00 0.00 0.00 28.00 18.00 504.00 720.00 Training Admin Dues Subs Savings Other Total 652.46 12203 LABORER- . 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92260 RIVERSIDE 0 s, 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 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 Ved Health Pension Net Date Earned Tax Tax Holiday &.deli. Wage RODRIGUEZ-PINEDA,ALEJANDRO 0 Total Hourly Check 69 BONAZA RD Work 12/20 12/21 12/22 12/23 12/24 12125 12/26 Hours Pay Rate This All 0.00 48.96 8.17 7.68 0,00 0,00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Protects PALM SPRINGS CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 18.00 384.00 640.00 Training Fund Admin Dues S Subsubs Savings Other Total 575.19 12161 LABORER- 13 CLOD 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 0.00 0.60 64.81 MINIMS D 0.00 0.00 0.00 0.00 0.0o D.DO o.00 O.OD 0.00 NOTE: Public works Certified Payroll Reporting Forra 01/28/2022 - Page 3 Public Works Certifit ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 12/26/2021 Payroll Number: 130-0 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 Earned Tax Tax Holiday & Well. Wage Ch 0 Total Hourly SARABIA, JOSE A CANYON DR For Week Number 2950 N INDIAN Classification Hours Worked Each Day Protect Projects PALM SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 4.00 0.00 0.00 0.00Fund 28.00 16.00 448.00 840.D0 Training Admin Dues TraW Subs Savings Other Total 559.89 12204 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 6.40 80.11 - d 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 8.40 401 K Public works Certified Payroll Reporting Fora 01/28/2022 - Pale 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: 2021-12-19 Payroll Number: 129 Amendment Number: 0 14 employee payroll record(s) processed Your Transaction ID is: 12946698 Print this Page View your submission 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 2021-12-19 are the originals or true, MI, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever fort to the individual or individuals named. I certify this on 2022-01-04." 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: KRISTYSQPWLC2.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: 129- 0 For Week Ending: 12/19/2021 ii 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 SD1 Vac! Heallh Pension Net Earned Tax Tax Holiday & Welf. GRISELDA 0 Dale Total Hourly Wage CheckALATORRE. 11550 WESTERN AVE Work 12/13 12/14 12/15 12/16 12/17 12/18 12/19 Hours Pay Rate This All 0.00 45.90 0.00 7.20 0.00 0.00 0.00 Paid For Week Number Classifrcalion Hours Worked Each Day P Project 1 P Projects i DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 5 8.00 5.50 8.00 8.00 8.00 0.00 0.00 37.50 16.00 600.00 600.00 TrainingFund Admin Duas S Subsubs Sayings 9 Other Total Deduct 540.90 12156 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 6.00 59.10 IIMIIMIli D 0,00 0.00 0.00 0,00 0.00 0.00 0.00 0,00 0.00 NOTE: OTHER = 6.00 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon 'rue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Date Eared Tax Tax Holiday& Welt. ALFARQ. SOCORRO N r 0 Total Hourly Wage Check 11550 WESTERN AVE Work 12/13 12/14 12/15 12/16 12/17 12/18 12/19 Hours Pay Rale This Alt 0.00 36.10 1.30 5.65 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project i Pro acts i DESERT HOT SPRINGS CA LANDSCAPE0.00 MAINTENANCE s 5.50 8.00 8.00 8.00 0.00 0.00 29.50 16A0 472.00 472.00 Training 9 Fund Admin Dues Trav/ Subs Savings Other Total Deduct 428.94 12157 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 43.06 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, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State SDI Vac/ Health Pension Net Eared Tax Tax Holiday& Well. BRIONE5. MARCELINO 2 Date Total Hourly Wage Check 50700 CALLE MENDOZA Work 12/13 12114 12/15 12/16 12/17 12/18 12/19 Hours Pay Rate This All 48.00 52.02 9.63 8.16 0.00 0.00 0.00 Paid For Week Number ClassificationPro'ect Hours Worked Each Day 1 Pro acts 1 COACHELLA CA LANDSCAPE8.00 MAINTENANCE s 6 00 8.00 8.00 8 00 0.00 2.00 40.00 17.00 680.00 680.00 TrainingFund Adrnin Dues S Subsubs Savings 0 Other Total Deduct 555.39 12158 LABORER- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 OAO 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 0.00 0.00 0.011 I NOTE: OTHER = 6.80 401K Public works Certified Payroll Reporting Form 01/04/2022 - Page I Public Works Certifi: ayroll Reporting Form Contractor Name: PWLC II. INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 12/19/2021 Payroll Number:129-0 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 RCA State SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday&Watt. CASTILLO VIGIL, RAMON A 0 Total Hourly Wage Check 27335 HOPPER RD Work 12/13 12/14 12/15 12/16 12/17 12/18 12/19 Hours Pay Rate This All 47.08 57.38 12.93 9.00 0.00 0.00 0.00 Paid For Week Number Classification H Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 5.50 0.00 8.00 8.00 0.00 0.00 29.50 20.00 590.00 750.00 TrainingFund Admin Dues S Subsubs Sayings g Other Total 616.11 12159 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 7.50 133.89 IIIIIMINII D 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 0.00 NOTE: OTHER = 7.50 401K Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Grass Amount Federal FICA State SDI Vac/ Health Pension Net CORRALES, FIDELIA 0 Dale Total Hourly Earned Earned Tax Tax Holida & Well. Wage Check 84526 CALLE GREGORIO Work 12/13 12/14 12/15 12/16 12/17 12/18 12/19 Hours Pay Pala This All 0.00 38.38 4.70 6.02 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day1 Project Projects COACHELIA CA LANDSCAPE MAINTENANCE S 0.00 5.50 8.00 8.00 8.00 0.00 0.00 29.50 17,00 501.50 501.50 Training Fund Admin Dues Tray/ Subs Sayings Other Total 452.40 12160 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 49.10 D o.00 e.00 am coo 0.00 0.00 0.00 0.00 D.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 Sale SDI Vac! Health Pension Net Earned Earned Tex Tax Holida & Weir. HERNANDEZ.ANTHONY A 0 Date Total Hourly Wage Check 33675 CATHEDRAL CANYON DR Work 12/13 12/14 12/15 12/16 12/17 12/18 12/19 Hours Pay Rate This All 41,35 48.00 10.25 7.53 0.00 0.00 0.00 Paid For Weak Number Classification Hours Worked Each Day Project Projects CATHEDRAL CITY CA TREE MAINTENANCE 5 0.00 0.00 0.00 0.00 6.00 0.00 0.00 6.00 26.57 159.42 627.42 Training Fund Admin Dues SubsTray/ Subs Savings Other Total 520.29 12165 (LABORER}- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92234 GROUNOSPERS 0.00 0.00 D.00 0.00 0.00 0.00 107.13 ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat SunFICA Gross Amount Federal Stale SDI Vac/ Health Pension Net Earned Tax Tax Holiday & Well. JIMENEZ.IVETTE r 0 Date Total Hourly Wage Check 49615 HARRISON ST #40 Work 12/13 12/14 12/15 12/16 12/17 12/18 12/19 Hours Pay Rate This All 32.29 45.90 3.79 7.20 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project f Pro acts i COACHELLA CA LANDSCAPE MAINTENANCE S 8.00 5.50 8.00 8.00 8.00 0.00 0.00 37.50 16.00 600.00 600.00 TrainingFund Admin Dues Tray/ Subs Savings g Other Total 510.82 12161 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 89.18 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 01/04/2022 - Page 2 Public Works Certifii ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 12/19/2021 Payroll Number:129-0 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 Nei Date Earned Tax Tax Holiday & Well. Wage Check 4 Total Hourly LUNAGONZALEZ, CARLOS Work 12113 12/14 12/15 12116 12/17 12118 12/19 Hours Pay Rale This Alt 8.75 49.94 0.00 7.84 0.00 0.00 0.00 Paid For Week Number 66145 7TH ST Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA TREE MAINTENANCE S6.00 0.00 0.00 0.00 0.00 6.00 0.00 0.00 30.82 184.92 652.92 Training Fund Admin Dues Tray/ Subs Savings Other Total 586.39 12166 (LABORER). 0 0.00 OM0.00 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 66.53 IMMO TRIMMER 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 h Well. Wage MEDINA ESCOBAR, JUAN F 0 Total Hourly Check 65946 DESERT VIEW AVE Work 12/13 12/14 12115 12116 12/17 12/18 12/19 Hours Pay Rate This All 0.00 53.71 5.66 8.42 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE 5 0.00 0.00 8.00 8.00 0.00 0.00 0.00 16.00 18.00 288.00 702.00 Training Fund Admin Dues TfilVi Subs Savings Other Total 634.21 12135 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 67.79 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 SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Grass Amount Federal FICA Slate SDI Vac/ Health Pension Net Date Earned Tax Tax Holiday & Well. MEZA VERA, JOSS A 0 Total Hourly Wage Check 82292 LEMON GROVE Work 12/13 12/14 12/15 12/16 12/17 12/18 12/19 Hours Pay Rate This All 0.00 45.90 1.17 7.20 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects INDtO CA LANDSCAPE MAINTENANCE S 8.00 5.50 8.00 8.00 8.00 0.00 0.00 37,50 16.00 600.00 600.00 TrainingFund Admin Dues Tray/ Subsubs Sayings Other Total 545.73 12162 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 54.27 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 Not Dale Earned Tax Tax Holiday & Well. MUNOZ. EVERARDO 0 Total Hourly Wage Check 74501 42ND AVE Work 12/13 12/14 12115 12/16 12/17 12/18 12/19 Hours Pay Rale This All 0.00 52.32 2.23 8.21 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects Pacts PALM DESERT CA LANDSCAPE8.00 MAINTENANCE s 6.00 8.00 8.00 8.00 0.00 0.00 38,00 18.00 684.00 684.00 Training Fund Admin Dues Subs Subs Savings Other Total 621.24 12163 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 62.76 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 Form 01/04/2022 - Page 3 Public Works Certifu ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 12/19/2021 Payroll Number:129-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon The Wed Thu Fri Sal Sun Gross Amount Federal FICA Stale SDI Vac/ Health Net Date Earned Tax Tax Holiday & Weil'. RODRIGUEZ-PINEDA.ALEJANDRp 0 Total Hourly Wage Check 69 BONAZA RD Work 12113 12/14 12/15 12/16 12/17 12/18 12/19 Hours Pay Rate This All 0.00 47.74 7.46 7.49 0.00 0.00 0.00 Paid Far Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA LANDSCAPE0.00 MAINTENANCE s 0.00 11.00 8.00 0.00 0.00 0.00 16.00 16.00 256.00 624.00 Training Fund Admin Dues S Subsubs Savings Other Total 581.31 12139 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 62.69 IMMO D 0.00 0.00 0.00 0.06 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 Earned Tax Tax Holiday & WeltSARABIA, JOSE A 0 Dale Total Hourly Wage Check 2950 N INDIAN CANYON OR Work 12113 12114 12115 12/16 12117 12118 12119 Hours N11,11810 This All 0.03 45.90 10.55 7.20 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM SPRINGS CA LANDSCAPE MAINTENANCE S8.00 5.50 8.00 8.00 8.00 0.00 0.00 37.50 16.00 600.00 600.00 TrainingFund Admin Dues Tray/ Subsubs Savings Other Total 530.32 12164 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 6.00 69.68 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER = 6.00 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 Vad Health Pension Net Dale Earned Tax Tax Holiday & Welf. VALDEZ, HUMBERTO S 0 Total Hourly Wage Check 12966 CACTUS DR dA Work 12/13 12/14 12115 12/16 12/17 12/18 12/19This Hours Pay Rale All 61.60 48.00 9,97 7.53 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects DESERT HOT SPRINGS CA TREE MAINTENANCE S6.00 0.00 0.00 0.00 0.00 6.00 0.00 0.00 26,57 159.42 627.42 Training Fund Admin Dues Tray/ Subs Savings Other Total 368.97 12168 (LABORER)- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 um 0.00 92240 GROUNOSPERS 0.00 0.00 0.00 0.00 0.00 131.35 258.45 1111111.111. ON D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NOTE: OTHER a 125,08 GARNISHMENT& 6.27 401K Public works certified Payroll Reporting Form 01/04/2022 - Page e 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: 2021-12-12 Payroll Number: 128 Amendment Number: 0 11 employee payroll record(s) processed Your Transaction ID is: 12944241 Print this Page View your submission Cubmit another set of payroll records Public Works Certifk 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 11, 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 2021-12-12 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 2022-01-04.- 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 OUINTA DIR Project ID: 290440 Project Name: LANDSCAPE 8 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: 128- 0 For Week Ending: 12112/2021 .Els 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 State SDI Vac/ Health Pension Net Earned Tax Tax Holiday 8 Welf. AEATORRE, GR15ELDA 0 Dale Total Hourly Wage Check 11550 WESTERN AVE Work 12/06 12/07 12/08 12109 12/10 12/11 12/12 Hours Pay Rale This All 0.00 63.65 7.97 9.98 0.00 0.00 0.00 Paid For Week Number Classifiea0 Hours Worked Each Day1 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 Oil 832.00 Training Fund Admin Dues Tray/ Savings Other Total 742.08 12103 LABORER- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Subs Deduct 92240 RIVERSIDE 0.4D D.DO 0.00 0 00 0 GO 8.32 89.92 1.111.111111 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 Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Grass Amount Federal FICA Stale SDI Vac! Health Pension Pension& Net Earned Tax Tax Holiday Waif. ALFARO, SOCORRO N 0 Data Total Hourly Wage Check 11550 WESTERN AVE Work 12/05 12/07 12/08 12/09 12/10 12/11 12/12 Hours Pay Rate This All 0.00 48.96 8.17 7.68 D.00 moo 4 Do Paid Far Week Number Classification Hours Worked Each Day Project 1 Projects 1 DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16 00 640.00 640.00 Training Fund Admin Dues Tray: Subs Savings Other Total Deduct 575.19 12104 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 64.81 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 IIIMMIND NOTE: Name, Address and Number al Day Deductions, Contributions, and Payments Social SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA Stale SDI Vac/ Health Pension Net Earned Tax Tax Holiday& Waif. DRIONES, MARCELINO 2 Dale Total Hourly Wage Check 50700 CALLE MENDOZA Work 12/06 12/07 12/08 12/09 12110 12/11 12/12 Hours Pay Rate This All 60.11 59.82 15.02 9.38 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day1 Project Pia Projects COACHELLA CA LANDSCAPE MAINTENANCE S40.00 8.00 8.00 8.00 8.00 8.00 0.00 0.00 17.00 782.00 782.00 Training Fund Dues Trail/ Sayings Other Total 629.85 12105 LABORER- Q 0,00 0.00 0.00 D.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 MUM 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 01/04/2022 - Page 1 Public Works Certifit ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 12/12/2021 Payroll Number:128-0 Name, Address and Number of bay Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sal Sun Gross Amount Federal State Vac/ Health CASTILLO VIGIL. RAMON A 0 Dale Total Hourly Earned Tax RCA Tax 501 Holiday 8 Well.Pension Not Wage Check 27335 HOPPER RD Work 12/06 12107 12108 12/09 12/10 12/11 12/12 Hours Pay Rate This All 53.02 61.20 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 LANDSCAPE MAINTENANCE $40.00 6.00 8.00 8.00 8.00 8.00 0.00 0.00 20.00 800.00 800.00 Training Fund Dues Tray/ Savings Other Total 851.99 12106 LABORER- o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92241 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 8.00 148.01 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 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 Sal Sun Gross Amount Federal Stale Vac/ Health Earned Tax FICA Tax SDI Holiday& Welf. Pension Net CORRALES, FIDELIA 0 Dale Total Hourly . Wage Check 84526 CALLE GREGORIO Work 12/06 12107 12/08 12/09 12/10 12/11 12/12 Hours Pay Rate This Alt 10.35 52.02 12.56 8.16 0.00 0.00 0.00 Paid For Number COACHELLA Classification Hours Worked Each Day Pro Project j Projects j Week CA LANDSCAPE MAINTENANCE S 8.00 8.00 8.00 6.00 8,00 0.00 0.00 40.00 17.00 680.00 680.00 Training Fund Admin Dues Tray/ Savings Other Total 596.91 12107 LABORER- 0 0,00 0.00 0.00 0.00 0.00 0.00 O.00 0.00 0.00 Subs 92236 RIVERSIDE 0,00 0.00 0.00 0.00 0.00 0.00 83.09 - 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 Vac/ Health Earned Tax Tax SDI Holiday 6 Wolf. Pension Net JIMENEZ,IVETTE 0 Dale Total HourlyWage Check 49615 HARRISON ST i140 Work 12/06 12/07 12/08 12/09 12/10 12/11 12/12 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 j Projects j 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 Admin Dues Tray/ Subs Savings Other Total 540,72 12108 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 99.28 - p 0.00 0.00 0.00 0.00 0,00 0.00 0.00 coo coo 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 Vac/ Health Net MEDENA ESCOBAR, JUAN F 0 Date Total Hourly Earned Tex Tax SDI Holiday & Welt.Pension Wage Check 65946 DESERT VIEW AVE Work 12/06 12/07 12/08 12109 12/10 12/11 12/12 Hours Pay Rate This All 0.00 55.06 6.45 8.64 0.00 0.00 0.00 Paid For Number Classification Hours Worked Each Day Project Projects Week DESERT HOT SPRINGS CA LANDSCAPE MAINTENANCE S 0.00 8.00 0.00 0.00 0.00 0.00 0.00 8.00 18.00 144.00 720.00 Training Fund Dues Tray/ Savings Other Total 649.83 12084 LABORER- o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 Admin Subs 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 70.17 MEND D O.QQ am a.OD D.o0 o.oa cm 0.00 0.00 um NOTE: Public works Certified Payroll Reporting Form 01/04/2022 - Page 2 Public Works Certific ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 12/12/2021 Payroll Number:128-0 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, JOSS A 0 Date Total Hourly Earned Tax FICA Tax SDI Holiday b Welf. Pension Net Wage Check 82292 LEMON GROVE Work 12/06 12/07 12/08 12/09 12/10 12/11 12/12 Hours Pay Role This All 0.00 48.96 2.93 7.68 0.00 0.00 0.00 Paid For Number INDID 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 16.00 640.00 640.00 Training Fund Dues tray! Savings Other Total 580.43 12109 LABORER- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admire 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 0.0D 0.00 NOTE: Name, Address and Number of Day Deductions, Contributions, and Payments Soclal Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal State Vac! Health MUNOZ EVERARDO 0 Dale Total Hourly Earned Tax FICA Tax SDI Holiday & Well, Pension Net Wage Check 74501 42ND AVE Work 12/06 12107 12/08 12/09 12/10 12/11 12/12 Hours Pay Rate This All 0.00 44.07 0.00 6.91 0.00 0.00 0.00 Paid For Number PALM DESERT Classification Hours Worked Each Day Project Projects Week CA LANDSCAPE8.00 MAINTENANCE S 8.00 8.00 8.00 0.00 0.00 0.00 32.00 18.00 576.00 576.00 Training Fund Dues Tray/ Savings Other Total 525.02 12110 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92260 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 50.98 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, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State Vac/ Health Net RODRIGUEZ-PINEDA.ALEJANDRO 0 Dala Total Hourly Earned Tax Tax SDI Holiday & Well. Pension Wage Check 69 BONAZA RD Work 12/06 12/07 12108 12/09 12/10 12/11 12/12 Hours Pay Rate This All 0.00 48.96 8.17 7.68 0.00 0.00 0.00 Paid For Number PALM SPRINGS Classification Hours Worked Each Day Project Projects 1 Weak CA LANDSCAPE MAINTENANCE 5 0.00 6.00 0.00 0.00 8.00 0.00 0.00 16.00 16.00 256.00 640.00 Training Fund Admin Dues Tray/ Savings Other Total 575.19 12088 LABORER- Q 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 Soclal Security Number of Worker Withholding Man Tue Wed Thu Fri Sat Sun Gross Amount Federal Stale Vac/ Health Earned Tax FICA Tax SDI Holiday& Well. Pension Net SARABIA, JOSE A 0 Date Total Hourly Wage Check 2950 N INDIAN CANYON OR Work 12/06 12/07 12/08 12109 12/10 12/11 12/12 Hours Pay Rate This All 4.78 48.96 12.29 7.68 0.00 0.00 0.00 Paid For Number PALM SPRINGS Classification Hours Worked Each DayWeek Project j Projects CA LANDSCAPE MAINTENANCE S 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.60 16.00 512.00 640.00 Training Fund Dues Tray/ Savings Other Total 559.89 12111 LABORER- Q 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 6.40 80.11 GUMP D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE: OTHER a 8.40 401K Public works Certified Payroll Reporting Fore 01/04/2022 - 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: 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: 2021-12-05 Payroll Number: 127 Amendment Number: 0 11 employee payroll record(s) processed Your Transaction ID is: 12941577 Print this Page View your submission Submit another set of payroll records Public Works Certifit ayroll Reporting Form Certification uncial 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 2021-12-05 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 2022-01-03." 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 QUINTA County: RIVERSIDE Location Description: LIGHTING AND LANDSCAPE DISTRICT 89-1 LANDSCAPE MAINTENANCE OF CITYWIDE MEDIANS Payroll Number: 127- 0 For Week Ending: 12/05/2021 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 Date Total Hourly. Earned Tax FICA Tax SDI Holiday & Wetf Pension Net Wage Check 11550 WESTERN AVE Work 11129 11130 12/01 12/02 12/03 12/04 12105 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 Projects 1 Week CA LANDSCAPE MAINTENANCE S 8.00 8,00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 646.06 640,00 Training Fund Dues Tray/ Savings Other Total 576.96 11959 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 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 Stale Vac/ Health ALFARO, SOCORRO N 0 Data Total Howdy Horned Tax FICA Tax SDP Holiday & Welf. Pension Net Wage Check 11550 WESTERN AVE Work 11/29 11/30 12/01 12/02 12/03 12/04 12/05 Hours Pay Rate This All 0.00 44.68 5.70 7.01 0.00 0.00 0.00 Paid For Number DESERT HOT SPRINGS Classification Hours Worked Each Day Project Projects Weak CA LANDSCAPE MAINTENANCE 5 4.50 8.00 8.00 8.00 8.00 0.00 0.00 36.50 16.00 584.00 584.00 Training Fund Dues Trav/ Savings Other Total 526.61 11960 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 57.39 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 State Vac/ Health Eamed Tax. FICA Tax SDI Pension Net BRIONES, MARCELINO 2 Date Total Hourly Holiday & Well Wage Check 50700 CALLE MENDOZA Work 11/29 11/30 12/01 12/02 12/03 12/04 12/05 Hours Pay Rate This All 60.11 59.83 15.02 9.38 0.00 0.00 0.00 Fold For Number COACHELLA Classification Hours Worked Each Day Project 1 Projects 1 Week CA LANDSCAPE MAINTENANCE S 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 Trav/ Savings Other Total 629.84 11961 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 7.82 152.16 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 01/03/2022 - Page 1 Public Works CertifiL ayroll Reporting Form Contractor Name: PWLC II, INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 12/0512021 Payroll Number:127-0 Name, Address and Number of Day Deductions, Contributions, and Payments Social Security Number of Worker Withholding Mon Tue Wed Thu Fri Sot Sun Gross Amount Federal Stale Vac/ Health Eamed Tax FICA Fax SDI Pension Nel CASTILLO VIGIL, RAMON A 0 Dale Total Hourly Holiday & Well. Wage Check 27335 HOPPER RD Work 11/29 11/30 12/01 12/02 12103 12/04 12/05 Hours Pay Rate This Ali 53.02 61.20 16.19 9.60 0.00 0.00 0.00 Paid For Number DESERT HOT SPRINGS Classification Hours Hours Worked Each Day Project Projects CA LANDSCAPE MAINTENANCE S40.00 8.00 8.00 8.00 8.00 8.00 0.00 0.00 20.00 800.00 800.00 Training Fund Dues Tray/ Savings Other Tolal 651,99 11962 LABORER- 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92241 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 8.00 148.01 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 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 Eamed Tax FICA Tax SDI Holiday &Waif. Pension Net Wage Check 84526 CALLE GREGORIO Work 11/29 11130 12/01 12/02 12/03 12/04 12/05 Hours Pay Rale 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 I ProjectsWeek CA LANDSCAPE8.00 MAINTENANCE s 8.00 8.00 8.00 8.00 0.00 0.00 40.00 17.00 660.00 680.00 Training Fund Dues Tray/ Savings Other Total 596.91 11963 LABORER- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 83.09 MIMED 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 Stale Vac./ Health JIMENEZ, IVETTE 0 Date Total Hourly Eamed Tax FICA Tax SDI Holiday &Walt. Pension Nel Wage Check 49615 HARRISON ST 440 Work 11/29 11/30 12/01 12/02 12/03 12/04 12/05 Hours Pay Rate This All 21,73 39.17 0.00 6.14 0.00 0.00 0.00 paid For Number COACHELLA ClassificationWeek Hours Worked Each Day Project Projects 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 Dues Tray/ Savings Other Tolal 444.96 11964 LABORER- Q 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Admin Subs 92236 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 67.04 MINIMD o.o0 o.DD o.00 0.00 0.00 0.00 0.00 D.DG gm 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 Stale Vac/ Health MEDINA ESCOBAR, JUAN F 0 Date Total Hourly Earned Tax. FICA Tax SDI Holiday & Well Pension Not Wage Check 65946 DESERT VIEW AVE Work 11129 1113D 12/01 12/02 12/03 12104 12/05 Hours Pay Rate This All 0.00 55.60 6.75 8.72 0.00 0.00 0.00 Paid For Number DESERT HOT SPRINGS Classification Hours Worked Each Day Project Projects Week CA LANDSCAPE MAINTENANCE S8.00 0.00 8.00 0.00 0.00 0,00 0.00 0.00 18.00 144.00 726.75 Training Fund Dues Travl Savings Other Total 855.68 11941 LABORER- Q 0.00 0,00 0.00 0.00 0.00 0.00 0.00 coo Quo Admin Subs 92240 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 71.07 r 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 01/03/2022 • Page 2 Public Works Certifit ayroll Reporting Form Contractor Name: PWLC II. INC. Project Name: LANDSCAPE & LIGHTING DISTRICT 89-1 For Week Ending: 12/05/2021 Payroll Number:127-0 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 Net Earned Tax Tax Holiday & Well. MEZA VERA, JOSE A 0 Date Total Hourly Wage Check 82292 LEMON GROVE Work 11129 11130 12101 12102 12/03 12104 12105 Hans Pay Rale 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 INDIO CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 Training Fund Admin Dues Tray/ Sutra Savings Other Total 580.43 11965 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 59,57 ISMIIMI p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 u.00 0.00 NOTE: Noma, 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. MUNOZ EVERARDO 0 Dale Total Hourly Wage Check 74507 42ND AVE Work 11129 11/30 12101 12/02 12/03 12/04 12/05 Hours Pay Rate This Ail 0.00 55.59 4.12 8.72 0.00 0.00 0.00 Paid For Week Number Classification Hours Worked Each Day Project Projects PALM DESERT CA LANDSCAPE MAINTENANCE 5 8.00 8,00 8.00 8.00 8,00 0.00 0.00 40.00 16.00 726.75 726.75 Training Fund Admin Dues Tray/ Subsub. Savings Other Total 658.32 11966 LABORER- 0 0.00 0.00 0.00 0.25 0.00 0.00 0.00 0.25 27.00 92260 RIVERSIDE 0.00 0.00 0.00 0.00 0.00 0.00 68.43 SEIM D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 i 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 Net Earned Tax Tax Holiday& Well. RODRIGUEZ-PINEDA,ALEJANDRO 0 Date Total Hourly Wage Check 69 BONAZA RD Work 11/29 11/30 12/01 12/02 12/03 12/04 12/05 Hours Pay Rate This All 0.00 49.42 8.43 7.75 0.00 0.00 0.00 Paid For Week Number Classificationj Hours Worked Each Day Project Proects PALM SPRINGS CA LANDSCAPE MAINTENANCE S 0.00 8.00 0.00 0.00 0.00 0.00 0.00 8.00 16.00 128.00 fi46.tl0 TrainingFund Admin Dues S Subsubs Sayings g Other Total 580.40 11945 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 0.00 65.60 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 SecurityNumber of Worker Withholding Mon Tue Wed Thu Fri Sat Sun Gross Amount Federal FICA State Sal Vac/ Health Pension Net Earned Tax Tax Holiday& Welt. SARABIA,JOSE A 0 Date Total Hourly Wage Check 2950 N INDIAN CANYON DR Work 11/29 11/30 12101 12/02 12/03 12/04 12/05 Hours Pay Rale This All 4.78 48.96 12.29 7.68 0.00 0.00 0.00 Paid For Week Number ClassificationProject Hours Worked Each Dayi Projects PALM SPRINGS CA LANDSCAPE MAINTENANCE 5 8.00 8.00 8.00 6.00 8.00 0.00 0.00 40.00 16.00 640.00 640.00 TrainingFund Admin Dues Tray/ Subs Savin s 9 Other Total 559.89 11967 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 8.40 80.11 p 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 NOTE: OTHER = 6.40 401K Public works certified Payroll Reporting Form 01/03/2022 - Page 3