2016-08 Urban Habitat WE 2019-11-23PAYROLL
(For Contractor's Optional Use; See Instructions, Form WH-347 Inst.)
NAME OF CONTRACTOR tJ OR SUBCONTRACTOR Wage CA-SC-U H I ADDRESS PO Box 1177
Urban Habitat Det: La Quinta, CA 92247
PAYROLL NO.
FOR WEEK ENDING
PROJECT AND LOCATION
PROJECT OR CONTRACT NO.
6.0
11/23/2019
La Quinta SilverRock Park Venue
La Quinta SilverRock Resort
2016-08/2016-08
(1)
(2)
(3)
(4) DAY AND DATE
n
(5)
(6)
(7)
(8) ' Other Deductions- 1) Local Tax 1
(9)
NAME. ADDRESS. AND
Identification Number
OF EMPLOYEE
try
? z
o O
o o ~a
O w
z
WORK
CLASSIFICATION
TOTAL
HOURS
RATE
OF PAY
GROSS
AMOUNT
EARNED
DEDUCTIONS 2) Local Tax 2
3) Other Deductions
NET
WAGES
PAID
FOR WEEK/
Check No.
`o SUN
MON
TUE
I WED
THU
FRI
I SAT
17
18
19
20
21122
23
FICA
WITH-
HOLDING
TAX
SWH
Medicare
OTHER'
TOTAL
DEDUCTIONS
HOURS WORKED EACH DAY
Sex Race
Daniel J. Carver
Landscape Irrigation
D 0
0
0
0
0
0
0
0.00
o.00 o.00X1230�56
1) 0.00
20715 Stoddard Wells Rd.
Apple Valley, CA 92307
4
abor
74.00
17.21
17.84
2) 0.00
3) 12.31
197.65
1032.91
0 0
0
0
o
0
0
0
0.00
a.00 0.a076.29
S 0
o
8.00
o
8.00
8.00
o
24.00
35.43 0.00
270717343
61572
Male Caucasian
Fringe Detail: Health & Welfare: $179.281$7.47, Pension: $201.60/$8.40, Annuity: $12.00/$0.50, Vacation: $116.88/$4.87, Training Fund: $16.56/$0.69, Contract Compliance: $7.20/$0.30, Administrative Fund: $1.44/$0.06,
Indust. Stab.Fund: $2.88/$0.12
Other Deduction Detail: SDI: 12.31
Daniel J. Carver
20715 Stoddard Wells Rd.
Apple Valley, CA 92307
4
andscape Irrigation
abor
D o
a
o
0
0
0
0
0.00
o.00 o.00
267.44
76.29
74.00
17.21
17.84
1) 0.00
00
2) 2.31
3) 12.3t
197.65
1032.91
0 0
0
0
0
0
0
0
0.00
0.00 0.00
S o
e.00
0
0
0
0
0
8.00
33.43 0.00
270717343
1230.56
61572
Male Caucasian
Fringe Detail: Health & Welfare: $59.76/$7.47, Pension: $67.20/$8.40, Annuity: $4.00/$0.50, Vacation: $38.96/$4.87, Training Fund: $5.52/$0.69, Contract Compliance: $2.40/$0.30, Administrative Fund: $0.48/$0.06, Indust.
Stab.Fund: $0.96/$0.12
Other Deduction Detail: SDI: 12.31
Luis M. Castaneda
5 Running H
Desert, CA 92260
2
ement Mason
D o
o
o
0
0
0
0
0.00
o.00 o.00X1184.00
88.00
18.90
17.16
1) 0.00
2) 0.00Palm
3) 36.41233.88
950.12
0 0
0
0
0
o
0
o
D.00
0.00 0.0073.41
S o
o
s.ao
s.00
s.00
a.00
0
3200
37oa o.o0
547439373
61595
Male
Fringe Detail: Vacation: $263.36/$8.23, Health & Welfare: $239.04/$7.47, Pension: $268.801$8.40, Annuity: $16.00/$0.50, Training Fund: $22.08/$0.69, Contract Compliance: $9.601$0.30, Indust. Stab.Fund: $2.56/$0.08,
Other: $2.24/$0.07, Administrative Fund: $1.921$0.06
Other Deduction Detail: SDI: 11.84, Child Support 24.57
Cameron D. Cleland
20250 Itasca Rd.
Apple Valley, CA 92308
2abor
Landscape Irrigation
D 0
0
0
0
0
0
0
0.00
0.00 o.00Y283.44
106.00
28.23
19.30
1) 0.00
2) 0.00
3) 13.31
249.37
1081.67
0 0
0
0
0
0
0
0
0.00
0.00 0-0082.53
S o
s.000o
a
o
0
8.00
35.43 0.00
565931366
61569
Male Caucasian
Fringe Detail: Indust. Stab.Fund: $0.96/$0.12, Vacation: $38.96/$4.87, Annuity: $4-00/$0.50, Training Fund: $5.52/$0.69, Health & Welfare: $59.76/$7.47, Contract Compliance: $2.40/$0.30, Pension: $67.20/$8.40,
Administrative Fund: $0.48/$0.06
Other Deduction Detail: SDI: 13.31
While completion of Form WH-347 is optional, it is mandatory for covered contractors and subcontractors performing work on Federally financed or assisted construction contracts to respond to the information collection contained in 29 C.F.R.
§§ 3.3, 5.5(a). The Copeland Act (40 U.S.C. § 3145) contractors and subcontractors performing work on Federally financed or assisted construction contracts to "furnish weekly a statement with respect to the wages paid each employee
during the preceding week" U.S. Department of Labor (DOL) regulations at 29 C.F.R. § 5.5(a)(3)(ii) require contractors to submit weekly a copy of all payrolls to the Federal agency contracting for or financing the construction project,
accompanied by a signed "Statement of Compliance" indicating that the payrolls are correct and complete and that each laborer or mechanic has been paid not less than the proper Davis -Bacon prevailing wage rate for the work performed.
DOL and federal contracting agencies receiving this information review the information to determine that employees have received legally required wages and fringe benefits.
PAYROLL
(For Contractor's Optional Use; See Instructions, Form WH-347 Inst.)
NAME OF CONTRACTOR FI/I OR SUBCONTRACTOR Wage CA-SC-UH
ADDRESS PO Box 1177
Det:
La Quinta, CA 92247
Urban Habitat
PAYROLL NO,
FOR WEEK ENDING
PROJECT AND LOCATION
PROJECT OR CONTRACT NO.
La Quinta SilverRock Park Venue
6.0
11/23/2019
2016-08/2016-08
La Quinta SilverRock Resort
(1)
(2)
(3)
(4) DAY AND DATE
(5)
(6)
(7)
(8) * Other Deductions- 1) Loral Tax 1
(9)
(9
DEDUCTIONS 2) Local Tax 2
`o SUN
MON
TUE
WED
THU
FRI
SAT
0
3) Other Deductions
NET
0
o
WAGES
NAME, ADDRESS. AND
oiL
O
WORK
GROSS
PAID
F 17
18
19
20
21
22
23
WITH -
Identification Number
F w
CLASSIFICATION
TOTAL
RATE
AMOUNT
HOLDING
TOTAL
FOR WEEK/
HOURS WORKED EACH DAY
OF EMPLOYEE
z 3 w
HOURS
OF PAY
EARNED
FICA
TAX
SWH
Medicare
OTHER*
DEDUCTIONS
Check No.
Sex Race
Cameron D. Cleland
andscape Oper. Eng
D 0
0
0
0
0
0
0
0.00
0.00 0.00X2810
1) 0.00
20250 Itasca Rd.
2
2) 0.00
Apple Valley, CA 92308
0 0
0
0
0
0
0
0
0.00
o.00 o.o082.53
106.00
28.23
19.30
3) 13.31
249.37
1081.67
S 0
0
8.00
0
8.co
8.00
0
24.00
3a.a5 0,00
565931366
61569
Male Caucasian
Fringe Detail: Health & Welfare: $236.88/$9.87, Pension: $236.88/$9.87, Vacation: $116.16/$4.84, Training Fund: $36.00/$1.50, Annuity: $6.00/$0.25, Contract Compliance: $7.20/$0.30, Administrative Fund: $1.44/$0.06,
Indust. Stab.Fund: $2.88/$0.12
Other Deduction Detail: SDI: 13.31
Pedro J. Clemente
68990 Harrison St. Space #101
Thermal, CA 92274
5
Landscape Irr. Tender
D 0
0
0
0
0
0
0
0.00
0.00 0,007616..60
D.QO
0.00
g gq
1) 0.00
2) 0.00
3) 6.17
53.34
563.26
0 0
0
0
0
0
0
0
0.00
0.00 0.0038.23
S o
7.7s
8.00
0
26.42
75.3o o.o0
657090571
61605
Male
IT
Fringe Detail: Health & Welfare: $64.729/$2.45, Pension: $26.42/$1.00, Vacation: $27.2131$1.03, Annuity: $6.605/$0.25
Other Deduction Detail: SDI: 6.17
Enrique Corrales Alcantar
1278 Bernis Blvd.
Thermal, CA 92274
2
Landscape Irrigation
Labor
D o
0
0
0
o
s
o
0.00
o,00 o.00
419.66
34.19
16.00
0,00
7.99
1) 0.00
2) 0.00
3) 5.52
63.70
487.80
0 o
0
0
0
0
0
0
0.00
0.00 0.00
S o
a
o
8.00
775
8o0
0
2375
17,67 0.00
767333187
ApprenticeLevel1
551.50
4224
Male
1
Fringe Detail: Administrative Fund: $1.425/$0.06, Training Fund: $31.825/$1.34, Contract Compliance: $7.125/$0.30, Pension: $101.175/$4.26, Health & Welfare: $104.50/$4.40, Indust. Stab -Fund: $1.90/$0.08, Annuity:
$5.938/$0.25, Vacation/ Holiday: $29.925/$1.26
Other Deduction Detail: SDI: 5.52
Maurilio P. Cortez
55550 Tyler St.
Thermal, CA 92274
5
Landscape Irrigation
Labor
D o
o
o
o
o
o
o
0.00
0.00 0.00
480.00
49.60
17.00
0.00
11.60
11 0.00
2) 0.00
3) 8.00
g6.20
713.80
0 0
0
0
0
0
0
0
0.00
0.00 0.00
S o
0
or
oo
e.00
s.00
0
24.00
20.00 0.00
604521749
Apprentice Level 1
800.00
61599
Male Hispanic American
Fringe Detail: Training Fund: $16.56/$0.69, Annuity: $12.00/$0.50, Pension: $98.40/$4.10, Contract Compliance: $7.20/$0.30, Indust. Stab -Fund: $1.92/$0.08, Administrative Fund: $1.44/$0.06, Health & Welfare: $105.
60/$4.40, Vacation: $29.76/$1.24
Other Deduction Detail: SDI: 8.00
While completion of Form WH-347 is optional, it is mandatory for covered contractors and subcontractors performing work on Federally financed or assisted construction contracts to respond to the information collection contained in 29 C.F.R.
§§ 3.3, 5.5(a). The Copeland Act (40 U.S.C. § 3145) contractors and subcontractors performing work on Federally financed or assisted construction contracts to "fumish weekly a statement with respect to the wages paid each employee
during the preceding week," U.S. Department of Labor (DOL) regulations at 29 C.F.R. § 5.5(a)(3)(ii) require contractors to submit weekly a copy of all payrolls to the Federal agency contracting for or financing the construction project,
accompanied by a signed "Statement of Compliance" indicating that the payrolls are correct and complete and that each laborer or mechanic has been paid not less than the proper Davis -Bacon prevailing wage rate for the work performed.
DOL and federal contracting agencies receiving this information review the information to determine that employees have received legally required wages and fringe benefits.
PAYROLL
(For Contractor's Optional Use; See Instructions, Form WH-347 Inst.)
NAME OF CONTRACTOR F/� OR SUBCONTRACTOR Wage CA-SC-UH
ADDRESS PO Box 1177
Det:
La Quinta, CA 92247
Urban Habitat
PAYROLL NO.
FOR WEEK ENDING
PROJECT AND LOCATION
PROJECT OR CONTRACT NO.
La Quinta SilverRock Park Venue
6.0
11/23/2019
2016-08/2016-08
La Quinta SilverRock Resort
(1)
(2)
(3)
(4) DAY AND DATE
(5)
(6)
(7)
(8) ' Other Deductions - 1) Local Tax 1
(9)
L� N
DEDUCTIONS 2) Local Tax 2
SUN
MON
TUE
WED
THU
FRI
SAT
3) Other Deductions
NET
a o
r
WAGES
17
`a
18
19
20
1 21
1 22
23
NAME, ADDRESS, AND
oa
WORK
GROSS
PAID
Identification Number
O ? w
CLASSIFICATION
TOTAL
RATE
AMOUNT
WITH -
HOLDING
TOTAL
FOR WEEK/
HOURS WORKED EACH DAY
OF EMPLOYEE
3 w
HOURS
OF PAY
EARNED
FICA
TAX
SWH
Medicare
OTHER*
DEDUCTIONS
Check No.
Sex Race
Ernesto Gonzalez Torres
Landscape Irrigation
p s61101
D o
0
0
0
0
0
0
0.00
o.00 0.00V555.814
1) 0.00
Grapefruit Blvd. #6
2
Labor
2)0.0088
Thermal, CA 92274
0 0
0
0
0
0
0
0
0.00
0.00 0.0034.47
35.00
5.36
8.06
3) 5.55617157389
44
467.40
S 0
8-00
800
08,0o
s.00
0
32.00
17.37 0.00
pprentice Level 1
61577
Male
Fringe Detail: Health & Welfare: $140.80/$4.40, Cooperation Comm.: $9.60/$0.30, Training Fund: $42.88/$1.34, Indust. Stab.Fund: $2.56/$0.08, Vacation: $40.32/$1.26, Pension: $136.32/$4.26, Annuity: $8.00/$0.25,
Administrative Fund: $1.92/$0.06
Other Deduction Detail: SDI: 5.55
Luis F. Lopez Quintero
66886 Camino IdiliO
Desert Hot Springs, CA 92240
1
Landscape Irrigation
Labor
D o
0
0
0
0
0
o
0.00
000 o.00
463.25
43.08
32.00
13.97
10.07
1) 0.00
2) 0.00
3) 6.95
106.07
588.73
0 0
0
0
0
o
o
o
0.00
0.00 0.00
S 0
0
2.67
8.00
8.00
8.00
0
26.67
17.37 0,00
164777350
Apprentice Level 1
694.80
61594
Male
Fringe Detail: Health & Welfare: $199.225/$7.47, Pension: $250.698/$9.40, Training Fund: $18.402/$0.69, Annuity: $13.335/$0.50, Vacation: $129.883/$4.87, Contract Compliance: $8.001/$0.30, Administrative Fund: $1 _
60/$0.06, Indust. Stab.Fund: $3.20/$0.12
Other Deduction Detail: SDI: 6.95
Felipe Lopez
Desert Hot Springs, CA 92240
Deser Camino ngs,
5
Landscape Irrigation
abor
D o
o
0
0
0
0
0
0.00
o.00 o.o0�883.22
84.04
80.00
22,96
19.66
1) 0.00
00
2) 3.5522021
3) 13.55604137146
1135.30
0 c
0
0
0
0
0
0
0.00
0.00 0.00
S o
o
zs7
s.00
z76
s.00
0
26.42
3a43 o.00355.51
61578
Male
Fringe Detail: Health & Welfare: $197.357/$7.47, Pension: $221.928/$8.40, Annuity: $13.21/$0.50, Vacation: $128.665/$4.87, Training Fund: $18.23/$0.69, Contract Compliance: $7.926/$0.30, Administrative Fund: $1.
585/$0.06, Indust. Stab.Fund: $3.17/$0.12
Other Deduction Detail: SDI: 13.55
Kenneth P. Ocean
15214 MISSIOn St.
Hesperia, CA 92345
0
Landscape Irrigation
Labor
D 0
0
0
0
0
0
o
0.00
000 o.00
1069.76
70.21
101.00
21.62
16.42
1) 0,00
00
2) 1.32
3> 11.32
220.57
911.85
0 0
0
0
0
0
0
0
0.00
0.00 D.00
S 0
8or)
8.00
0
8.00
8.00
0
32.00
33.43 0.00
559657836
1132.42
61593
Male
Fringe Detail: Health & Welfare: $239.04/$7.47, Pension: $268.80/$8.40, Annuity: $16.00/$0.50, Vacation: $155.84/$4.87, Training Fund: $22.08/$0.69, Contract Compliance: $9.60/$0.30, Administrative Fund: $1.92/$0.06,
Indust. Stab.Fund:$3.84/$0.12
Other Deduction Detail: SDI: 11.32
While completion of Form WH-347 is optional, it is mandatory for covered contractors and subcontractors performing work on Federally financed or assisted construction contracts to respond to the information collection contained in 29 C.F.R.
§§ 33, 5.5(a). The Copeland Act (40 U.S.C. § 3145) contractors and subcontractors performing work on Federally financed or assisted construction contracts to "furnish weekly a statement with respect to the wages paid each employee
during the preceding week" U.S. Department of Labor (DOL) regulations at 29 C.F.R. § 5.5(a)(3)(ii) require contractors to submit weekly a copy of all payrolls to the Federal agency contracting for or financing the construction project,
accompanied by a signed "Statement of Compliance" indicating that the payrolls are correct and complete and that each laborer or mechanic has been paid not less than the proper Davis -Bacon prevailing wage rate for the work performed.
DOL and federal contracting agencies receiving this information review the information to determine that employees have received legally required wages and fringe benefits.
PAYROLL
(For Contractor's Optional Use; See Instructions, Form WH-347 Inst.)
NAME OF CONTRACTOR I OR SUBCONTRACTOR Wage CA-SC-UH
ADDRESS PO Box 1177
Det:
La Quinta, CA 92247
Urban Habitat
PAYROLL NO,
FOR WEEK ENDING
PROJECT AND LOCATION
PROJECT OR CONTRACT NO.
La Quinta SilverRock Park Venue
6.0
11/23/2019
2016-0812016-08
La Quinta SilverRock Resort
(1)
(2)
(3)
(4) DAY AND DATE
(5)
(6)
(7)
(S) ' Other Deductions - 1) Local Tax 1
(9)
13
DEDUCTIONS 2) Local Tax 2
F SUN
I MON
TUE
WE
THU
FRI
SAT
0 o
3) Other Deductions
NET
°
WAGES
NAME, ADDRESS. AND
° a
_
WORK
GROSS
PAID
17
m
18
19
20
21
22
23
Identification Number
0,2
CLASSIFICATION
TOTAL
RATE
AMOUNT
HOLDIN
TOTAL
FOR WEEK/
HOURS WORKED EACH DAY
OF EMPLOYEE
° 3 w
HOURS
OF PAY
EARNED
FICA
TAX
SWH
Medicare
OTHER'
DEDUCTIONS
Check No.
Sex Race
Miguel L. Sanchez
Landscape Irrigation
D 0
0
0
0
0
0
0
0.00
0.00 0.00
793.9
11) 0.00
55550 Tyler St. Space #3
Labor
2) 0.00
O o
0
0
0
0
0
0
0.00
0.00 0.00
Thermal, CA 92274
4
74.34
97.00
45.91
17.38
3) 11.99
246.62
952.38
S o
a
o
e.00
z7s
s.00
0
23.75
33.43 0.00
622987861
1199.00
61600
Male
Fringe Detail: Health & Welfare: $177.412/$7.47, Pension: $199.50/$8.40, Vacation: $115.663/$4.87, Training Fund: $16.387/$0.69, Annuity: $11.875/$0.50, Contract Compliance: $7.125/$0.30, Administrative Fund: $1.
425/$0 06, Indust. Stab.Fund: $2.85/$0.12
Other Deduction Detail: SDI: 11.99
Howard A. Turnbow
Avenida Estuco1
CA 92203
ementMason
D o
0
0
0
0
0
0
0.00
000 0-00
X9090.
188.00
70.79
1986
1) 0.0081797
23))13.6s 0.00Indio,
377.21
991.79
0 0
0
0
0
0
0
0
0.00
0.00 00084.87
S o
5.0o
a.00
s.o0
a.0o
a.00
0
37,00
37.o0 0.00
529802418
13600
61581
Male
Fringe Detail: Vacation: $304.51/$8.23, Health & Welfare: $276-39/$7.47, Pension: $310.80/$8.40, Annuity: $18.50/$0.50, Training Fund: $25.53/$0.69, Contract Compliance: $11.101$0.30, Indust. Stab.Fund: $2.96/$0.08,
Administrative Fund: $2.22/$0.06, Other: $2.59/$0.07
Other Deduction Detail: SDI: 13.69
While completion of Form WH-347 is optional, it is mandatory for covered contractors and subcontractors performing work on Federally financed or assisted construction contracts to respond to the information collection contained in 29 C.F.R.
§§ 3.3, 5.5(a). The Copeland Act (40 U.S.C. § 3145) contractors and subcontractors performing work on Federally financed or assisted constriction contracts to "furnish weekly a statement with respect to the wages paid each employee
during the preceding week." U.S. Department of Labor (DOL) regulations at 29 C.F.R. § 5.5(a)(3)(ii) require contractors to submit weekly a copy of all payrolls to the Federal agency contracting for or financing the construction project,
accompanied by a signed "Statement of Compliance" indicating that the payrolls are correct and complete and that each laborer or mechanic has been paid not less than the proper Davis -Bacon prevailing wage rate for the work performed.
DOL and federal contracting agencies receiving this information review the information to determine that employees have received legally required wages and fringe benefits.
Date December 15th,
2019
I, Theresa Brennan President
(Name of Signatory Party) (Title)
under penalty of perjury, do hereby state:
(1) That I pay or supervise the payment of the persons employed by
Urban Habitat on the
(Contractor or Subcontractor)
La Quinta SilverRock Park Venue a Public Works Project commencing on the
(Building or Work)
17th day of November , 2019 , and ending the 23rd day of November 2019
all persons employed on said project have been paid the full weekly wages earned, that no rebates
have been or will be made either directly or indirectly to or no behalf of said
(Contractor or Subcontractor)
from any person and that no deductions have been made either directly or indirectly from the full wages
earned by any person other than permissible deductions as defined in Regulations, California Labor
Code, Division 2, Chapter 7, Part 1 (Public Works Section 1720 thru 1861) and or described below.
FICA, FWH, Medicare, State Tax, Child Support, SDI
(2) That the payrolls for the Public Works Project required to be submitted are true, correct and
complete, that the wage rates for Laborers and Mechanics contained therein are not less than the
applicable wage rates contained in any wage determination assigned to the contract, the classifications
assigned to each Laborer or Mechanic conform to the work performed.
(3) That any apprentices employed during the above period are duly registered in a bona fide program
registered with the State apprenticeship agency and that training contributions are or will be made pursuant
to California Labor Code 1777.5
(4) That:
(a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS, OR PROGRAMS
❑✓ in addition to the basic hourly wage rates paid to each laborer or mechanic listed in the
above referenced payroll, payments of fringe benefits as listed in the contract have been
or will be made to appropriate programs for the benefit of such employees, except as
noted in section 4(c) below.
(b) WHERE FRINGE BENEFITS ARE PAID IN CASH
❑ Each laborer or mechanic listed in the above referenced payroll has been paid, as
indicated on the payroll, an amount not less than the sum of the applicable basic
hourly wage rate plus the amount of the required fringe benefits as listed in the
contract, except as noted in Section 4(c) below.
(c) EXCEPTIONS
REMARKS
Contract #2016-08, Wage Decision #CA-SC-UH Mod 0 10101119,Payroll #6, Contractor
License # 963744, Workers Compensation Policy # URWC004126
NAME AND TITLE:
Theresa Brennan, President
SIGNATURE:
Signed Electronically
THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR
SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECUTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 231 OF TITLE
31 OF THE UNITED STATES CODE.
U.S. G.P.O.1997 519,861
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: URBAN HABITAT
Contractor Address: 36953 COOK ST., STE. 101 PALM DESERT CA 92211
Awarding Body: THE CITY OF LA QUINTA
Project ID: 300347
Contract With: THE CITY OF LA QUINTA
Week Ending Date: 2019-11-23
Payroll Number: 6
Amendment Number: 0
14 employee payroll record(s) processed
Your Transaction ID is: 7226980
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