HomeMy WebLinkAboutCushman Contracting - Fringe Benefit StatementsProject Name
Cushman Contracting Corporation
Fringe Benefit Statement
Job 1919 - SLO Disinfection
12/16/19
CLASSIFICATION
FRINGE BENEFIT AMOUNT
CONTRIBUTION INFO.
Effective Date
Vacation $
Included in Employee Hourly Pay Rate
August 22, 2019
Health &
Welfare See Attached
ACEC Life Trust/Health Trust
Dept. CH 14382, Suite 307
Chicago, IL 60656 1471
Pension/H&W/Other
Charles Schwab Trust Co.
Craft
Carpenter Foreman
$ 24.31
P.O. Box 202770
Austin, TX 78720
SC-23-31-2-2019-1
Apprenticeship
Associated Builders and Contractors
Training $ 0.62
Golden Gate Chapter Training Trust
4577 Las Positas Road, Unit C
Livermore, CA 94551
Effective Date
Vacation $ 0.67
Included in Employee Hourly Pay Rate
August 22, 2019
Health &
Welfare See Attached
ACEC Life Trust/Health Trust
Dept. CH 14382, Suite 307
Craft
Chicago, IL 60656 1471
Area 1
Pension/H&W/Other
Charles Schwab Trust Go.
Carpenter Foreman
$ 19.70
P.O. Box 202770
Austin, TX 78720
Apprenticeship
Associated Builders and Contractors
SC-23-31-2-2019-1
Training $ 0.62
Golden Gate Chapter Training Trust
4577 Las Positas Road, Unit C
Livermore, CA 94551
Effective Date
Vacation $ 0.67
Included in Employee Hourly Pay Rate
August 22, 2019
Health &
Welfare See Attached
ACEC Life Trust/Health Trust
Dept. CH 14382, Suite 307
Craft
Chicago, IL 60656 1471
Area 1
Pension/H&W/Other
Charles Schwab Trust Co.
Carpenter
$ 19.70
P.O. Box 202770
Austin, TX 78720
SC-23-31-2-2019-1
Apprenticeship
Associated Builders and Contractors
Training $ 0.62
Golden Gate Chapter Training Trust
4577 Las Positas Road, Unit C
Livermore, CA 94551
Effective Date
Vacation $ -
Included in Employee Hourly Pay Rate
August 22, 2019
Health &
Welfare See Attached
ACEC Life Trust/Health Trust
Dept. CH 14382, Suite 307
Craft
Chicago, IL 60656 1471
Laborer -Group 1
Pension/H&W/Other
$ 21.85
Charles Schwab Trust Co.
P.O. Box 202770
SC-23-102-2-2019-2
Austin, TX 78720
Apprenticeship
Associated Builders and Contractors
Training $ 0.69
Golden Gate Chapter Training Trust
4577 Las Positas Road, Unit C
vermore, CA 94551
I Certify under penalty of perjury that fringe benefits are paid to the approved Pla s unds. or Programs listed a a
Tammy Bastian
Cushman Contracting Corporation
Fringe Benefit Statement
12/16/19
Project Name- Job 1919 - SLO Disinfection
CLASSIFICATION
FRINGE BENEFIT AMOUNT
CONTRIBUTION INFO.
Effective Date
Vacation $ 7.04
Included in Employee Hourly Pay Rate
August 22, 2019
Health &
Welfare See Attached
ACEC Life Trust/Health Trust
Dept. CH 14382, Suite 307
Craft
Chicago. IL 60656 1471
Laborer -Group 1
Pension/H&W/Other
$ 18.12
Charles Schwab Trust Co.
P.O. Box 202770
SC-23-102-2-2019-2
Austin, TX 78720
.Apprenticeship
Associated Builders and Contractors
Training $ 0.69
Golden Gate Chapter Training Trust
4577 Las Positas Road, Unit C
Livermore, CA 94551
Effective Date
Vacation $ 3.55
Included in Employee Hourly Pay Rate
August 22, 2019
Health &
Welfare See Attached
ACEC Life Trust/Health Trust
Dept. CH 14382, Suite 307
Craft
Chicago, IL 60656 1471
Pension/H&W/Other
Charles Schwab Trust Co.
Operator - Group 8
$ 23.14
P.O. Box 202770
Austin, TX 78720
_
Apprenticeship
State of California - DIR
SC-23-63-2-2019-2
Training $ 1.05
California Apprenticeship Council
P.O. Box 511283
Los An eles, CA 90051-7838
Effective Date
Vacation $ 13.55
Included in Employee Hourly Pay Rate
August 22, 2019
Health &
Welfare See Attached
ACEC Life Trust/Health Trust
Dept. CH 14382, Suite 307
Craft
Chicago, IL 60656 1471
Pension/H&W/Other
Charles Schwab Trust Co.
Operator - Group 8
$ 13.14
P.O. Box 202770
Austin, TX 78720
Apprenticeship
State of California - DIR
SC-23-63-2-2019-2
Training $ 1.05
California Apprenticeship Council
P.O. Box 511283
Los Angeles, CA 90051-7838
Effective Date
Vacation $ 3.55
Included in Employee Hourly Pay Rate
August 22, 2019
Health &
Welfare See Attached
ACEC Life Trust/Health Trust
Dept. CH 14382, Suite 307
Craft
Chicago, IL 60656 1471
Pension/H&W/Other
Charles Schwab Trust Co.
Crane Operator - Group 8
$ 23.14
P.O. Box 202770
Austin, TX 78720
SC-23-63-2-2019-1 B
Apprenticeship
State of California - DIR
Training $ 1.05
California Apprenticeship Council
P.O. Box 511283
Angeles, CA 90051-7838
1 Certify under penalty of pedury that fringe benefits are paid to the approved Plansr Ls� Programs listed atro+la. —
uvo L �L
Tammy Bastian
Project Name
Cushman Contracting Corporation
Fringe Benefit Statement
Job 1919 - SLO Disinfection
12/16/19
CLASSIFICATION
FRINGE BENEFIT AMOUNT
CONTRIBUTION INFO.
Effective Date
Vacation $ 3.55
Included in Employee Hourly Pay Rate
August 22, 2019
Health &
Welfare See Attached
ACEC Life Trust/Health Trust
Dept. CH 14382, Suite 307
Craft
Chicago, IL 60656 1471
Pension/H&W/Other
Charles Schwab Trust Co.
Crane Operator - Group 9
$ 23.14
P.O. Box 202770
Austin, TX 78720
Apprenticeship
State of California - DIR
SC-23-63-2-2019-1 B
Training $ 1.05
California Apprenticeship Council
P.O. Box 511283
Los Angeles, CA 90051-7838
Effective Date
Vacation $ 0.67
Included in Employee Hourly Pay Rate
August 22, 2019
Health &
Welfare See Attached
ACEC Life Trust/Health Trust
Dept. CH 14382, Suite 307
Craft
Chicago, IL 60656 1471
Area 1
Pension/H&W/Other
Charles Schwab Trust Co.
Millwright
$ 19.90
P.O. Box 202770
Austin, TX 78720
Apprenticeship
State of California - DIR
SC-23-31-2-2019-1
Training $ 0.62
California Apprenticeship Council
P.O. Box 511283
Los Angeles, CA 90051-7838
Effective Date
Vacation $ 7.04
Included in Employee Hourly Pay Rate
August 22, 2019
Health &
Welfare See Attached
ACEC Life Trust/Health Trust
Dept. CH 14382, Suite 307
Craft
Chicago, IL 60656 1471
Pension/H&W/Other
Charles Schwab Trust Co.
Cement Mason
$ 18.12
P.O. Box 202770
Austin, TX 78720
Apprenticeship
State of California - DIR
SC-23-203-2-2019-1
Training $ 0.64
California Apprenticeship Council
P.O. Box 511283
Los Angeles, CA 90051-7838
Effective Date
Vacation $ -
Included in Employee Hourly Pay Rate
August 22, 2019
Health &
Welfare See Attached
ACEC Life Trust/Health Trust
Dept. CH 14382, Suite 307
Craft
Chicago, IL 60656 1471
Pension/H&W/Other
Charles Schwab Trust Co.
Plumber
$ 22.68
P.O. Box 202770
Austin, TX 78720
Apprenticeship
Associated Builders and Contractors
SLO-2019-2
Training $ 2.25
So Cal Merit Training Trust
1400 N. Kellogg Dr., Suite A
Anaheim, CA 92807 l
1 Certify under penalty of perjury that fringe benefits are paid to the approved Plan
7V77 ms lisle a a. __
Tammy Bad ian
Cushman Contracting Corporation
P.O. Box 147
Goleta, CA 93116-0147
Health, Pension and Other Fringe dollars will be accrued into one account for each employee. At month end, individual health
insurance monthly costs will be deducted from said accounts to pay for his health insurance policy. The remainder of the accrued
fringe dollars will be mailed in and paid to individual employee pension accounts. Employees who have insurance policies privately
will have no health insurance deduction. All Health, Pension and Other Fringes will be combined and paid into their Pension accounts
at the end of each month. EFFECTIVE 09/01/19
LAST NAME
BELL, D
Health Insurance
Monthly Cost
$
0
BELL, M
CASTILLO
$
0
$
550.42
CRYDER
$
1,710.71
CUSHMAN
$
1,710.71
DICKINSON
$
1,045.80
FORBES
$
$
$
1,710.71
550.42
1,045.80
GUARINO
HATCHER
HRBOKA
$
550.42
10NES
$
1,045.80
KNIGHT
$
550.42
METCALF
$
1,710.71
ODEN
$
1,710.71
PHILIP
$
0
QUEZADA
$
550.42
SANCHEZ
$
550.42
SANDERS
$
$
1,710.71
550.42
SCILEPPI
THOMAS
$
1,710.71
TONER
$
0
WAASDORP
$
550.42
WILLS
$
550.42
Cushman Contracting Corporation
Fringe Benefit Statement
02/16/20
Project Name: Job 1919 - SLO Disinfection
CLASSIFICATION
FRINGE BENEFIT AMOUNT
CONTRIBUTION INFO.
Effective Date
Vacation
$
12.11
Included in Employee Hourly Pay Rate
August 22, 2019
Health &
Welfare
See Attached
ACEC Life Trust/Health Trust
Dept. CH 14382, Suite 307
Craft
Chicago. IL 606561471
Pension/H&W/Other
Charles Schwab Trust Co.
Plumber
$
13.14
P.O. Box 202770
Austin, TX 78720
Apprenticeship
Associated Builders and Contractors
SLO-2019-2
Training
$
2.25
So Cal Merit Training Trust
1400 N. Kellogg Dr., Suite A
Anaheim, CA 92807
Effective Date
Vacation
$
-
Included in Employee Hourly Pay Rate
August 22, 2019
Health &
Welfare
See Attached
ACEC Life Trust/Health Trust
Dept. CH 14382, Suite 307
Craft
Chicago, IL 60656 1471
Pension/H&W/Other
Charles Schwab Trust Co.
Plumber
$
22.68
P.O. Box 202770
Austin, TX 78720
SLO-2019-2
Apprenticeship
Associated Builders and Contractors
Training
$
2.25
So Cal Merit Training Trust
1400 N. Kellogg Dr., Suite A
Anaheim, CA 92807
Effective Date
Vacation
$
11.39
Included in Employee Hourly Pay Rate
August 22, 2019
Health &
Welfare
$
6.17
ABC -So Cal Benefit Trust Fund
Polycomp
404 Camino Del Rio South, Suite 608
Craft
San Diego, CA 92108
Pension/Other
Charles Schwab Trust Co.
Plumber Apprentice-P5
$
-
P.O. Box 202770
Austin, TX 78720
SLO-2019-2
Apprenticeship
Associated Builders and Contractors
Training
$
1.59
So Cal Merit Training Trust
1400 N. Kellogg Dr., Suite A
Anaheim, CA 92807
Effective Date
Vacation
Health &
Welfare
Craft
Pension/H&W/Other
Apprenticeship
Training
I Certify under penalty of perjury that fringe benefits are paid to the approved Plans Fs� or Programs liSt�c� b v.
t,� Illy] 1.
Tammy Bastian
Cushman Contracting Corporation
P.O. Box 147
Goleta, CA 93116-0147
Health, Pension and Other Fringe dollars will be accrued into one account for each employee. At month end, individual health
insurance monthly costs will be deducted from said accounts to pay for his health insurance policy. The remainder of the accrued
fringe dollars will be mailed in and paid to individual employee pension accounts. Employees who have insurance policies privately
will have no health insurance deduction. All Health, Pension and Other Fringes will be combined and paid into their Pension accounts
at the end of each month. EFFECTIVE 09/01/19
LAST NAME
Health Insurance
Monthly Cost
CUSHMAN
$ 1,710.71
CARRILLO
$ 6.17 HR