HomeMy WebLinkAboutLabor Compliance_2019.08.24 CPR #6XContractor Name:License Type:License NumberContractor PWCR:
Address:
Insurance Number:
PAPICH CONSTRUCTION COMPANY, INC.
398 SUNRISE TERRACE, ARROYO GRANDE, CA
93420
1000004169 CSLB 767055
WC5817959-06
Awarding Body:DIR Project ID:Project Name:
Contract With:Location Description:County:
CITY OF SAN LUIS OBISPO
CITY OF SAN LUIS OBISPO
289766
SAN LUIS OBISPO
SOUTH BROAD STREET IMPROVEMENTS
BROAD STREET (TANK FARM TO FARMHOUSE LANE)
CITY OF SAN LUIS OBISPO
Payroll #:6 -0 Ctr Payroll #:6 Week Ending:08/24/2019 Statement of Non-Performance?Final payroll for this project?
Employee:
Sun
08/18
Mon
08/19
Tue
08/20
Wed
08/21
Thu
08/22
Fri
08/23
Sat
08/24
Total
Hours Base Hourly Total
Fringe
Vac/
Holiday
Health
& Welf.Pension Training Total
Hourly RateOther
S LABORER GROUP 4 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 37.89 21.85 4.87 7.47 8.90 0.69 60.430.61
O LABORER GROUP 4 0.00 0.00 2.00 2.00 0.00 1.00 0.00 5.00 56.84 21.85 0.00 0.00 0.00 0.69 79.380.00
NOTE:Travel & Subsistence 0.00 Total Deductions 512.16
Public Works Certified Payroll Reporting Form
Certification under penalty of perjury:
Public Works Certified Payroll Reporting Form 09/27/2019 - Page 1
"I, , the undersigned, am the (position in business) with the authority to act for and on behalf of (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 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 ."
Employee:
Sun
08/18
Mon
08/19
Tue
08/20
Wed
08/21
Thu
08/22
Fri
08/23
Sat
08/24
Total
Hours Base Hourly Total
Fringe
Vac/
Holiday
Health
& Welf.Pension Training Total
Hourly RateOther
S LABORER GROUP 2 0.00 8.00 0.000.00 0.00 0.00 0.00 8.00 35.79 21.85 4.87 7.47 8.90 0.69 58.330.61
NOTE:Travel & Subsistence 0.00 Total Deductions 609.14
Public Works Certified Payroll Reporting Form
Public Works Certified Payroll Reporting Form 09/27/2019 - Page 2
Contractor Name:Project Name:Week Ending:08/24/2019 0-6Payroll Number:PAPICH CONSTRUCTION COMPANY,
INC.
SOUTH BROAD STREET IMPROVEMENTS
Employee:
Sun
08/18
Mon
08/19
Tue
08/20
Wed
08/21
Thu
08/22
Fri
08/23
Sat
08/24
Total
Hours Base Hourly Total
Fringe
Vac/
Holiday
Health
& Welf.Pension Training Total
Hourly RateOther
S LABORER GROUP 1 0.00 8.00 8.008.00 8.00 8.00 0.00 40.00 35.24 21.85 4.87 7.47 8.90 0.69 57.780.61
O LABORER GROUP 1 0.00 0.00 0.00 0.00 0.00 1.00 0.00 1.00 52.86 21.85 0.00 0.00 0.00 0.69 75.400.00
NOTE:Travel & Subsistence 0.00 Total Deductions 698.59
Public Works Certified Payroll Reporting Form
Public Works Certified Payroll Reporting Form 09/27/2019 - Page 3
Contractor Name:Project Name:Week Ending:08/24/2019 0-6Payroll Number:PAPICH CONSTRUCTION COMPANY,
INC.
SOUTH BROAD STREET IMPROVEMENTS
Employee:
Sun
08/18
Mon
08/19
Tue
08/20
Wed
08/21
Thu
08/22
Fri
08/23
Sat
08/24
Total
Hours Base Hourly Total
Fringe
Vac/
Holiday
Health
& Welf.Pension Training Total
Hourly RateOther
S LABORER APPR PERIOD 2 0.00 8.00 8.008.00 8.00 8.00 0.00 40.00 21.03 11.43 3.41 5.23 2.18 0.69 33.150.61
O LABORER APPR PERIOD 2 0.00 0.00 2.00 2.00 0.00 1.00 0.00 5.00 31.54 11.43 0.00 0.00 0.00 0.69 43.660.00
NOTE:Travel & Subsistence 0.00 Total Deductions 317.47
Public Works Certified Payroll Reporting Form
Public Works Certified Payroll Reporting Form 09/27/2019 - Page 4
Contractor Name:Project Name:Week Ending:08/24/2019 0-6Payroll Number:PAPICH CONSTRUCTION COMPANY,
INC.
SOUTH BROAD STREET IMPROVEMENTS
Employee:
Sun
08/18
Mon
08/19
Tue
08/20
Wed
08/21
Thu
08/22
Fri
08/23
Sat
08/24
Total
Hours Base Hourly Total
Fringe
Vac/
Holiday
Health
& Welf.Pension Training Total
Hourly RateOther
S OPERATOR GROUP 8 0.00 8.00 8.008.00 8.00 8.00 0.00 40.00 49.83 26.69 3.55 11.60 11.15 1.05 77.570.39
NOTE:Travel & Subsistence 0.00 Total Deductions 412.19
Public Works Certified Payroll Reporting Form
Public Works Certified Payroll Reporting Form 09/27/2019 - Page 5
Contractor Name:Project Name:Week Ending:08/24/2019 0-6Payroll Number:PAPICH CONSTRUCTION COMPANY,
INC.
SOUTH BROAD STREET IMPROVEMENTS
Employee:
Sun
08/18
Mon
08/19
Tue
08/20
Wed
08/21
Thu
08/22
Fri
08/23
Sat
08/24
Total
Hours Base Hourly Total
Fringe
Vac/
Holiday
Health
& Welf.Pension Training Total
Hourly RateOther
S LABORER GROUP 3 0.00 8.00 8.008.00 8.00 8.00 0.00 40.00 36.34 21.85 4.87 7.47 8.90 0.69 58.880.61
O LABORER GROUP 3 0.00 0.00 0.00 0.00 0.00 0.50 0.00 0.50 54.51 21.85 0.00 0.00 0.00 0.69 77.050.00
NOTE:Travel & Subsistence 0.00 Total Deductions 622.49
Public Works Certified Payroll Reporting Form
Public Works Certified Payroll Reporting Form 09/27/2019 - Page 6
Contractor Name:Project Name:Week Ending:08/24/2019 0-6Payroll Number:PAPICH CONSTRUCTION COMPANY,
INC.
SOUTH BROAD STREET IMPROVEMENTS