HomeMy WebLinkAboutCPR WE 4.16.22-5.21.22_RedactedEmployee
ExemptionCraft
Hours Worked Each Day Pay RateTotal
Hours Base
Hourly
Cash
Fringe Total
This
Project
Net Pay
Check #
All
Projects
Federal
Tax Deds*Social
Security Medicare State
Tax
Tax &
Deduction
Gross Pay Deductions
S
O
D
*Deductions :
Health Pension PTO/Hol
Hourly Fringe Contributions
Training Admin Cash
Travel &
SubTotal
Weekly Certified Payroll Report
Company Name
PagePrinted :
GC/Subcontractor
Address
Project Project Number
Week Ending
Payroll Number
S : Straight | O : Overtime | D : Double
Employee
ExemptionCraft
Hours Worked Each Day Pay RateTotal
Hours Base
Hourly
Cash
Fringe Total
This
Project
Net Pay
Check #
All
Projects
Federal
Tax Deds*Social
Security Medicare State
Tax
Tax &
Deduction
Gross Pay Deductions
S
O
D
*Deductions :
Health Pension PTO/Hol
Hourly Fringe Contributions
Training Admin Cash
Travel &
SubTotal
Employee
ExemptionCraft
Hours Worked Each Day Pay RateTotal
Hours Base
Hourly
Cash
Fringe Total
This
Project
Net Pay
Check #
All
Projects
Federal
Tax Deds*Social
Security Medicare State
Tax
Tax &
Deduction
Gross Pay Deductions
S
O
D
*Deductions :
Health Pension PTO/Hol
Hourly Fringe Contributions
Training Admin Cash
Travel &
SubTotal
Employee
ExemptionCraft
Hours Worked Each Day Pay RateTotal
Hours Base
Hourly
Cash
Fringe Total
This
Project
Net Pay
Check #
All
Projects
Federal
Tax Deds*Social
Security Medicare State
Tax
Tax &
Deduction
Gross Pay Deductions
S
O
D
*Deductions :
Health Pension PTO/Hol
Hourly Fringe Contributions
Training Admin Cash
Travel &
SubTotal
Dues/Oth
Dues/Oth
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!"#$%&'(
SDI &
Local
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Greener Environments Inc
P.O. Box 6729 Los Osos CA, 93412
Souza Construction-Tank Farm Rd and Orcutt Rd Roundabout
SubContractor
2022-05-21
17
381975
2022-05-25 1CA A-131
Sun
5/15
Mon
5/16
Tues
5/17
Wed
5/18
Thurs
5/19
Fri
5/20
Sat
5/21
Abraham Flores Hernandez
709 Season St.
Bakersfield, CA 93309
2 Landscape/Irrigation
Laborer 0.00 0.00 0.00 8.00 8.00 8.00 0.00 24.000 35.62 0.00 35.62
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.000 53.43 0.00 53.43
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.000 71.24 0.00 71.24
854.88 1343.52 103.47 83.30 19.48 28.10 14.78 0.00 249.13 1094.39
0.00 23.77 0.00 0.70 1.90 0.00 0.00 24.47 0.00 DD-1190
9708
Sun
5/15
Mon
5/16
Tues
5/17
Wed
5/18
Thurs
5/19
Fri
5/20
Sat
5/21
Ronmel Miranda Cruz
266 N 6th St.
Banning, CA 92220
3 Landscape/Irrigation
Tender 0.00 0.00 0.00 0.00 8.00 8.00 0.00 16.000 23.00 0.00 23.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.000 34.50 0.00 34.50
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.000 46.00 0.00 46.00
368.00 1100.96 64.44 68.26 15.96 42.18 12.11 0.00 202.95 898.01
0.00 1.56 0.00 0.00 0.12 0.00 0.00 1.56 0.00 DD-1190
9711
Sun
5/15
Mon
5/16
Tues
5/17
Wed
5/18
Thurs
5/19
Fri
5/20
Sat
5/21
Francisco Naranjo
1673 Redbud Ave
Banning, CA 92220
4 Landscape/Irrigation
Laborer 0.00 0.00 0.00 8.00 8.00 8.00 0.00 24.000 35.62 0.00 35.62
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.000 53.43 0.00 53.43
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.000 71.24 0.00 71.24
854.88 1382.88 88.35 85.74 20.05 29.59 15.21 0.00 238.94 1143.94
0.00 23.77 0.00 0.70 1.90 0.00 0.00 24.47 0.00 DD-1190
9712
Sun
5/15
Mon
5/16
Tues
5/17
Wed
5/18
Thurs
5/19
Fri
5/20
Sat
5/21
Nolberto Naranjo Robles
438 E. Barbour St.
Banning, CA 92220
5 Landscape/Irrigation
Laborer 0.00 0.00 0.00 0.00 8.00 8.00 0.00 16.000 35.62 0.00 35.62
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.000 53.43 0.00 53.43
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.000 71.24 0.00 71.24
569.92 1302.88 68.83 80.78 18.89 25.95 14.33 0.00 208.78 1094.10
0.00 23.77 0.00 0.70 1.90 0.00 0.00 24.47 0.00 DD-1190
9713
Payroll Statement of Compliance
Company Name
PagePrinted :
Address
Project
Remarks
Exception (Craft)
Remarks
Name and Title Signature
Explanation
THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECTTHE
CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR CIMINAL PROSECURTION.
SEE SECTION 1001 OF TITLE 18 AND SECTION 231 OF TITLE 31 OF UNITED STATES CODE.
I on the date of do hereby certify under penalty of perjury:
(1) That I pay or supervise the payment of the persons employed by :
(2) That any payrolls otherwise under this contract required to be submitted for the above period are correct and
complete; that the wage rates for laborers or mechanics contained therein are not less than the applicable wage rates
contained in any wage determination incorporated into the contract; that the classifications set forth therein for
each laborer or mechanic conform with the work he performed.
and that during the payroll period comencing on and ending on
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 on behalf of said
weekly wages earned by 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, Part 3 (29 C.F.R. Subtitle A),
issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat. 948, 63 Stat. 108, 72 Stat. 967; 76 Stat.
357; 40 U.S.C. § 3145), and described below:
on the
from the full
;
(Name of Signatory Party)
(Contractor or Subcontractor)
(Contractor or Subcontractor)
(Building or Work)
(Title)
(3) That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program
registered with a State apprenticeship agency recognized by the Bureau of Apprenticeship and Training,
United States Department of Labor, or if no such recognized agency exists in a State, are registered with the Bureau of
Apprenticeship and Training, United States Department of Labor.
(4) That (Check any that apply)
(c) Exceptions
(a) Where fringe benefits are paid to approved plans, funds, or programs
(b) Where fringe benefits are paid to a corporate or private plan or trust
(c) Where benefits are paid in cash
In addition to the basic hourly wage rates paid to each worker 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(d) below.
Benefits are detailed on the Payroll Reporting Form or in the Remarks section below
Each worker 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(d) below.
GC/Subcontractor
Project Number
Week Ending
Payroll Number
Greener Environments Inc
P.O. Box 6729 Los Osos CA, 93412
Souza Construction-Tank Farm Rd and Orcutt Rd Roundabout
SubContractor
2022-05-21
17
381975
Luke Husky Owner 05/25/2022
Greener Environments Inc
Souza Construction-Tank Farm Rd and Orcutt Rd Roundabout
May 15 2022 May 21 2022
Greener Environments Inc
Deductions listed below each employee
X
X
Luke Husky
Owner
Luke Husky
05/25/2022 2
6/7/22, 1:24 PM eCPR Form Application
https://efiling.dir.ca.gov/eCPR/pages/eCPROnlineFormPreFill.jsp 1/1
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: GREENER ENVIRONMENTS, INC. Contractor Address: 1570 11TH ST. LOS OSOS CA 93402 Awarding Body: CITY OF SAN LUIS OBISPO Project ID: 381975 Contract With: SOUZA CONSTRUCTION Week Ending Date: 2022-05-21 Payroll Number: 18 Amendment Number: 0
4 employee payroll record(s) processed
Your Transaction ID is: 14191493
Print this Page
View your submission
Submit another set of payroll records
eCPR Online Confirmation
.
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).
On federally funded projects, permissible deductions are defined in Regulations, Part 3
(29 CFR, Subtitle A), issued by the Secretary of Labor under the Copeland Act, as
amended (48 Stat. 948 63 Stat. 108, 72 Stat. 967;76 Stat. 357;40 U.S.C. 276c)
Greener Environments Inc
P.O. Box 6729
Los Osos, CA 93412
Souza Construction
Tank Farm Rd and Orcutt Rd
San Luis Obispo, CA 93401
16
Luke Husky Owner 05/18/2022
Souza Construction-Tank Farm Rd and Orcutt Rd Roundabout
381975
05/08/2022 05/14/2022
Luke Husky
Owner
info@wildbloomlandscapes.com
Luke Husky 05/18/2022
05/18/2022
6/7/22, 1:15 PM eCPR Form Application
https://efiling.dir.ca.gov/eCPR/pages/eCPROnlineFormPreFill.jsp 1/1
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.
Statement of non-performance created... Contractor Name: GREENER ENVIRONMENTS, INC. Contractor Address: 1570 11TH ST. LOS OSOS CA 93402 Awarding Body: CITY OF SAN LUIS OBISPO Project ID: 381975 Contract With: SOUZA CONSTRUCTION Week Ending Date: 2022-05-14 Payroll Number: 17 Amendment Number: 0
0 employee payroll record(s) processed
Your Transaction ID is: 14191348
Print this Page
View your submission
Submit another set of payroll records
eCPR Online Confirmation
.
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).
On federally funded projects, permissible deductions are defined in Regulations, Part 3
(29 CFR, Subtitle A), issued by the Secretary of Labor under the Copeland Act, as
amended (48 Stat. 948 63 Stat. 108, 72 Stat. 967;76 Stat. 357;40 U.S.C. 276c)
Greener Environments Inc
P.O. Box 6729
Los Osos, CA 93412
Souza Construction
Tank Farm Rd and Orcutt Rd
San Luis Obispo, CA 93401
15
Luke Husky Owner 05/11/2022
Souza Construction-Tank Farm Rd and Orcutt Rd Roundabout
381975
05/01/2022 05/07/2022
Luke Husky
Owner
info@wildbloomlandscapes.com
Luke Husky 05/11/2022
05/11/2022
6/7/22, 1:04 PM eCPR Form Application
https://efiling.dir.ca.gov/eCPR/pages/eCPROnlineFormPreFill.jsp 1/1
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.
Statement of non-performance created... Contractor Name: GREENER ENVIRONMENTS, INC. Contractor Address: 1570 11TH ST. LOS OSOS CA 93402 Awarding Body: CITY OF SAN LUIS OBISPO Project ID: 381975 Contract With: SOUZA CONSTRUCTION Week Ending Date: 2022-05-07 Payroll Number: 16 Amendment Number: 0
0 employee payroll record(s) processed
Your Transaction ID is: 14191133
Print this Page
View your submission
Submit another set of payroll records
eCPR Online Confirmation
.
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).
On federally funded projects, permissible deductions are defined in Regulations, Part 3
(29 CFR, Subtitle A), issued by the Secretary of Labor under the Copeland Act, as
amended (48 Stat. 948 63 Stat. 108, 72 Stat. 967;76 Stat. 357;40 U.S.C. 276c)
Greener Environments Inc
P.O. Box 6729
Los Osos, CA 93412
Souza Construction
Tank Farm Rd and Orcutt Rd
San Luis Obispo, CA 93401
14
Luke Husky Owner 05/07/2022
Souza Construction-Tank Farm Rd and Orcutt Rd Roundabout
381975
04/24/2022 04/30/2022
Luke Husky
Owner
info@wildbloomlandscapes.com
Luke Husky 05/07/2022
05/09/2022
6/7/22, 12:54 PM eCPR Form Application
https://efiling.dir.ca.gov/eCPR/pages/eCPROnlineFormPreFill.jsp 1/1
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.
Statement of non-performance created... Contractor Name: GREENER ENVIRONMENTS, INC. Contractor Address: 1570 11TH ST. LOS OSOS CA 93402 Awarding Body: CITY OF SAN LUIS OBISPO Project ID: 381975 Contract With: SOUZA CONSTRUCTION Week Ending Date: 2022-04-30 Payroll Number: 15 Amendment Number: 0
0 employee payroll record(s) processed
Your Transaction ID is: 14190978
Print this Page
View your submission
Submit another set of payroll records
eCPR Online Confirmation
.
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).
On federally funded projects, permissible deductions are defined in Regulations, Part 3
(29 CFR, Subtitle A), issued by the Secretary of Labor under the Copeland Act, as
amended (48 Stat. 948 63 Stat. 108, 72 Stat. 967;76 Stat. 357;40 U.S.C. 276c)
Greener Environments Inc
P.O. Box 6729
Los Osos, CA 93412
Souza Construction
Tank Farm Rd and Orcutt Rd
San Luis Obispo, CA 93401
13
Luke Husky Owner 04/27/2022
Souza Construction-Tank Farm Rd and Orcutt Rd Roundabout
381975
04/17/2022 04/23/2022
Luke Husky
Owner
info@wildbloomlandscapes.com
Luke Husky 04/27/2022
04/27/2022
6/7/22, 12:44 PM eCPR Form Application
https://efiling.dir.ca.gov/eCPR/pages/eCPROnlineFormPreFill.jsp 1/1
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.
Statement of non-performance created... Contractor Name: GREENER ENVIRONMENTS, INC. Contractor Address: 1570 11TH ST. LOS OSOS CA 93402 Awarding Body: CITY OF SAN LUIS OBISPO Project ID: 381975 Contract With: SOUZA CONSTRUCTION Week Ending Date: 2022-04-23 Payroll Number: 14 Amendment Number: 0
0 employee payroll record(s) processed
Your Transaction ID is: 14190836
Print this Page
View your submission
Submit another set of payroll records
eCPR Online Confirmation
.
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).
On federally funded projects, permissible deductions are defined in Regulations, Part 3
(29 CFR, Subtitle A), issued by the Secretary of Labor under the Copeland Act, as
amended (48 Stat. 948 63 Stat. 108, 72 Stat. 967;76 Stat. 357;40 U.S.C. 276c)
Greener Environments Inc
P.O. Box 6729
Los Osos, CA 93412
Souza Construction
Tank Farm Rd and Orcutt Rd
San Luis Obispo, CA 93401
12
Luke Husky Owner 04/20/2022
Souza Construction-Tank Farm Rd and Orcutt Rd Roundabout
381975
04/10/2022 04/16/2022
Luke Husky
Owner
info@wildbloomlandscapes.com
Luke Husky 04/20/2022
04/20/2022
6/7/22, 12:32 PM eCPR Form Application
https://efiling.dir.ca.gov/eCPR/pages/eCPROnlineFormPreFill.jsp 1/1
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.
Statement of non-performance created... Contractor Name: GREENER ENVIRONMENTS, INC. Contractor Address: 1570 11TH ST. LOS OSOS CA 93402 Awarding Body: CITY OF SAN LUIS OBISPO Project ID: 381975 Contract With: SOUZA CONSTRUCTION Week Ending Date: 2022-04-16 Payroll Number: 13 Amendment Number: 0
0 employee payroll record(s) processed
Your Transaction ID is: 14190671
Print this Page
View your submission
Submit another set of payroll records
eCPR Online Confirmation