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Home My WebLink AboutCPR WE 7.23.22-9.3.22_RedactedContractor Name:License Type:License NumberContractor PWCR: Address:Contractor Email: Insurance Number: FEIN: GREENER ENVIRONMENTS INC P.O. BOX 6729, LOS OSOS, CA 93412 1000060161 811560758 CSLB 1001215 INFO@WILDBLOOMLANDSCAPES.COM WPL504658401 Awarding Body:DIR Project ID:Project Name: Contract With:Address:County: CITY OF SAN LUIS OBISPO SOUZA CONSTRUCTION 381975 SAN LUIS OBISPO TANK FARM ROAD & ORCUTT ROAD ROUNDABOUT ORCUTT RD AND TANK FARM RD, SAN LUIS OBISPO, CA 93401 Payroll Number:33 For Week Ending:09/03/2022 Is this a 'Statement of Non-Performance?'-0 Public Works Certified Payroll Reporting Form Certification under penalty of perjury: Public Works Certified Payroll Reporting Form 09/09/2022 - Page 1 "I, LUKE HUSKEY, the undersigned, am the PRESIDENT (position in business) with the authority to act for and on behalf of GREENER ENVIRONMENTS, 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 2022-09-03 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 2022-09-09." . 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 32 Luke Husky Owner 09/08/2022 Souza Construction-Tank Farm Rd and Orcutt Rd Roundabout 381975 08/28/2022 09/03/2022 Luke Husky Owner info@wildbloomlandscapes.com Luke Husky 09/08/2022 09/08/2022 9/9/22, 11:44 AM 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 Addre 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 09 03 Payroll Number 33 Amendment Number: 0 0 employee payroll record(s) processed Your Transaction ID is: 14991656 Print thi Page View your submission Submit another set of payroll records eCPR Online Confirmation Contractor Name:License Type:License NumberContractor PWCR: Address:Contractor Email: Insurance Number: FEIN: GREENER ENVIRONMENTS INC P.O. BOX 6729, LOS OSOS, CA 93412 1000060161 811560758 CSLB 1001215 INFO@WILDBLOOMLANDSCAPES.COM WPL504658401 Awarding Body:DIR Project ID:Project Name: Contract With:Address:County: CITY OF SAN LUIS OBISPO SOUZA CONSTRUCTION 381975 SAN LUIS OBISPO TANK FARM ROAD & ORCUTT ROAD ROUNDABOUT ORCUTT RD AND TANK FARM RD, SAN LUIS OBISPO, CA 93401 Payroll Number:32 For Week Ending:08/27/2022 Is this a 'Statement of Non-Performance?'-0 Public Works Certified Payroll Reporting Form Certification under penalty of perjury: Public Works Certified Payroll Reporting Form 09/09/2022 - Page 1 "I, LUKE HUSKEY, the undersigned, am the PRESIDENT (position in business) with the authority to act for and on behalf of GREENER ENVIRONMENTS, 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 2022-08-27 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 2022-09-09." . 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 31 Luke Husky Owner 09/03/2022 Souza Construction-Tank Farm Rd and Orcutt Rd Roundabout 381975 08/21/2022 08/27/2022 Luke Husky Owner info@wildbloomlandscapes.com Luke Husky 09/03/2022 09/04/2022 9/9/22, 11:30 AM 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 Addre 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 08 27 Payroll Number 32 Amendment Number: 0 0 employee payroll record(s) processed Your Transaction ID is: 14991330 Print thi Page View your submission Submit another set of payroll records eCPR Online Confirmation Contractor Name:License Type:License NumberContractor PWCR: Address:Contractor Email: Insurance Number: FEIN: GREENER ENVIRONMENTS INC P.O. BOX 6729, LOS OSOS, CA 93412 1000060161 811560758 CSLB 1001215 INFO@WILDBLOOMLANDSCAPES.COM WPL504658401 Awarding Body:DIR Project ID:Project Name: Contract With:Address:County: CITY OF SAN LUIS OBISPO SOUZA CONSTRUCTION 381975 SAN LUIS OBISPO TANK FARM ROAD & ORCUTT ROAD ROUNDABOUT ORCUTT RD AND TANK FARM RD, SAN LUIS OBISPO, CA 93401 Payroll Number:31 For Week Ending:08/20/2022 Is this a 'Statement of Non-Performance?'-0 Name, Address and Social Security Number of Worker JUAN RODRIGUEZ 1022 JUNIPER PL BANNING CA 92220 Number of Withholding 0 Work Classification LANDSCAPE/ R RIGATION TENDER Day Date Hours Worked Each Day S O D Sun 08/14 0.00 0.00 0.00 Mon 08/15 0.00 0.00 0.00 Tue 08/16 0 00 0 00 0 00 Wed 08/17 0.00 0.00 0.00 Thu 08/18 0.00 0.00 0.00 Fri 08/19 8.00 0.00 0.00 Sat 08/20 0.00 0.00 0.00 Total Hours 8 00 0 00 0 00 Hourly Pay Rate 15.87 23.81 31.74 Gross Amount Earned This Project 126.96 All Projects 634.80 Deductions, Contributions, and Payments Federal Tax 0.00 FICA 48.57 State Tax 7.99 SDI 6.98 Vac/ Holiday 0.00 Health & Welf. 0.00 Pension 4 69 Training 0.00 Fund Admin 0 38 Dues 0.00 Trav/ Subs 0.00 Savings 0.00 Other 0.00 Total Deduct 63.54 Net Wage Paid For Week 571 26 Check Number DD- 1234780 9 NOTE Public Works Certified Payroll Reporting Form Certification under penalty of perjury: Public Works Certified Payroll Reporting Form 09/09/2022 - Page 1 "I, LUKE HUSKEY, the undersigned, am the PRESIDENT (position in business) with the authority to act for and on behalf of GREENER ENVIRONMENTS, 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 2022-08-20 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 2022-09-09." 9/9/22, 11:13 AM 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: 2022-08-20 Payroll Number 31 Amendment Number 0 1 employee payroll record(s) processed Your Tran action ID i 14990865 Print thi Page View your submission Submit another set of payroll records eCPR Online Confirmation Contractor Name:License Type:License NumberContractor PWCR: Address:Contractor Email: Insurance Number: FEIN: GREENER ENVIRONMENTS INC P.O. BOX 6729, LOS OSOS, CA 93412 1000060161 811560758 CSLB 1001215 INFO@WILDBLOOMLANDSCAPES.COM WPL504658401 Awarding Body:DIR Project ID:Project Name: Contract With:Address:County: CITY OF SAN LUIS OBISPO SOUZA CONSTRUCTION 381975 SAN LUIS OBISPO TANK FARM ROAD & ORCUTT ROAD ROUNDABOUT ORCUTT RD AND TANK FARM RD, SAN LUIS OBISPO, CA 93401 Payroll Number:30 For Week Ending:08/13/2022 Is this a 'Statement of Non-Performance?'-0 Public Works Certified Payroll Reporting Form Certification under penalty of perjury: Public Works Certified Payroll Reporting Form 09/09/2022 - Page 1 "I, LUKE HUSKEY, the undersigned, am the PRESIDENT (position in business) with the authority to act for and on behalf of GREENER ENVIRONMENTS, 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 2022-08-13 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 2022-09-09." . 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 29 Luke Husky Owner 08/18/2022 Souza Construction-Tank Farm Rd and Orcutt Rd Roundabout 381975 08/07/2022 08/13/2022 Luke Husky Owner info@wildbloomlandscapes.com Luke Husky 08/18/2022 08/18/2022 9/9/22, 10:58 AM 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 Addre 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 08 13 Payroll Number 30 Amendment Number: 0 0 employee payroll record(s) processed Your Transaction ID is: 14990412 Print thi Page View your submission Submit another set of payroll records eCPR Online Confirmation Contractor Name:License Type:License NumberContractor PWCR: Address:Contractor Email: Insurance Number: FEIN: GREENER ENVIRONMENTS INC P.O. BOX 6729, LOS OSOS, CA 93412 1000060161 811560758 CSLB 1001215 INFO@WILDBLOOMLANDSCAPES.COM WPL504658401 Awarding Body:DIR Project ID:Project Name: Contract With:Address:County: CITY OF SAN LUIS OBISPO SOUZA CONSTRUCTION 381975 SAN LUIS OBISPO TANK FARM ROAD & ORCUTT ROAD ROUNDABOUT ORCUTT RD AND TANK FARM RD, SAN LUIS OBISPO, CA 93401 Payroll Number:29 For Week Ending:08/06/2022 Is this a 'Statement of Non-Performance?'-0 Name, Address and Social Security Number of Worker ABRAHAM FLORES HERNANDEZ 709 SEASON ST. BAKERSFIELD CA 93309 Number of Withholding 2 Work Classification LANDSCAPE/ R RIGATION LABORER Day Date Hours Worked Each Day S O D Sun 07/31 0.00 0.00 0.00 Mon 08/01 8.00 0.00 0.00 Tue 08/02 8 00 0 00 0 00 Wed 08/03 8.00 0.00 0.00 Thu 08/04 8.00 0.00 0.00 Fri 08/05 8.00 0.00 0.00 Sat 08/06 0.00 0.00 0.00 Total Hours 40.00 0 00 0 00 Hourly Pay Rate 35.62 53.43 71.24 Gross Amount Earned This Project 1,424 80 All Projects 1,424.80 Deductions, Contributions, and Payments Federal Tax 113.23 FICA 109.00 State Tax 31.67 SDI 15.67 Vac/ Holiday 0.00 Health & Welf. 0.00 Pension 23.77 Training 0.70 Fund Admin 1 90 Dues 0.00 Trav/ Subs 0.00 Savings 0.00 Other 0.00 Total Deduct 269.57 Net Wage Paid For Week 1,155.23 Check Number DD- 1227862 5 NOTE Name, Address and Social Security Number of Worker RONMEL MIRANDA CRUZ 266 N 6TH ST. BANNING CA 92220 Number of Withholding 3 Work Classification LANDSCAPE/ R RIGATION TENDER Day Date Hours Worked Each Day S O D Sun 07/31 0.00 0.00 0.00 Mon 08/01 8.00 0.00 0.00 Tue 08/02 8 00 0 00 0 00 Wed 08/03 8.00 0.00 0.00 Thu 08/04 8.00 0.00 0.00 Fri 08/05 8.00 0.00 0.00 Sat 08/06 0.00 0.00 0.00 Total Hours 40.00 0 00 0 00 Hourly Pay Rate 21.00 31.50 42.00 Gross Amount Earned This Project 840.00 All Projects 840.00 Deductions, Contributions, and Payments Federal Tax 34.19 FICA 64.26 State Tax 23.26 SDI 9.24 Vac/ Holiday 0.00 Health & Welf. 0.00 Pension 5 03 Training 0.00 Fund Admin 0.40 Dues 0.00 Trav/ Subs 0.00 Savings 0.00 Other 0.00 Total Deduct 130.95 Net Wage Paid For Week 709 05 Check Number DD- 1227862 8 NOTE Name, Address and Social Security Number of Worker NOLBERTO NARANJO ROBLES 438 E. BARBOUR ST. BANNING CA 92220 Number of Withholding 5 Work Classification LANDSCAPE/ R RIGATION LABORER Day Date Hours Worked Each Day S O D Sun 07/31 0.00 0.00 0.00 Mon 08/01 8.00 4.00 0.52 Tue 08/02 8 00 4 00 0 52 Wed 08/03 8.00 4.00 0.52 Thu 08/04 8.00 4.00 0.52 Fri 08/05 0.00 0.00 0.00 Sat 08/06 0.00 0.00 0.00 Total Hours 32.00 16.00 2 07 Hourly Pay Rate 35.62 53.43 71.24 Gross Amount Earned This Project 2,141 98 All Projects 2,141.96 Deductions, Contributions, and Payments Federal Tax 169.52 FICA 163.86 State Tax 77.88 SDI 23.56 Vac/ Holiday 0.00 Health & Welf. 0.00 Pension 23.77 Training 0.70 Fund Admin 1 90 Dues 0.00 Trav/ Subs 0.00 Savings 0.00 Other 0.00 Total Deduct 434.82 Net Wage Paid For Week 1,707.14 Check Number DD- 1226476 0 NOTE Public Works Certified Payroll Reporting Form Certification under penalty of perjury: Public Works Certified Payroll Reporting Form 09/09/2022 - Page 1 "I, LUKE HUSKEY, the undersigned, am the PRESIDENT (position in business) with the authority to act for and on behalf of GREENER ENVIRONMENTS, 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 2022-08-06 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 2022-09-09." 9/9/22, 10:45 AM 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: 2022-08-06 Payroll Number 29 Amendment Number 0 3 employee payroll record(s) processed Your Tran action ID i 14990031 Print thi Page View your submission Submit another set of payroll records eCPR Online Confirmation Payroll Statement of Compliance Company Name PagePrinted : Address Project 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 2022-08-06 28 381975 Luke Husky Owner 08/10/2022 Greener Environments Inc Souza Construction-Tank Farm Rd and Orcutt Rd Roundabout Jul 31 2022 Aug 6 2022 Greener Environments Inc Deductions listed below each employee X X Luke Husky Owner Luke Husky 08/10/2022 2 9/9/22, 10:30 AM 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: 2022-07-30 Payroll Number 28 Amendment Number 0 3 employee payroll record(s) processed Your Tran action ID i 14989620 Print thi Page View your submission Submit another set of payroll records eCPR Online Confirmation Payroll Statement of Compliance Company Name PagePrinted : Address Project 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 2022-07-30 27 381975 Luke Husky Owner 08/03/2022 Greener Environments Inc Souza Construction-Tank Farm Rd and Orcutt Rd Roundabout Jul 24 2022 Jul 30 2022 Greener Environments Inc Deductions listed below each employee X X Luke Husky Owner Luke Husky 08/03/2022 2 Contractor Name:License Type:License NumberContractor PWCR: Address:Contractor Email: Insurance Number: FEIN: GREENER ENVIRONMENTS INC P.O. BOX 6729, LOS OSOS, CA 93412 1000060161 811560758 CSLB 1001215 INFO@WILDBLOOMLANDSCAPES.COM WPL504658401 Awarding Body:DIR Project ID:Project Name: Contract With:Address:County: CITY OF SAN LUIS OBISPO SOUZA CONSTRUCTION 381975 SAN LUIS OBISPO TANK FARM ROAD & ORCUTT ROAD ROUNDABOUT ORCUTT RD AND TANK FARM RD, SAN LUIS OBISPO, CA 93401 Payroll Number:27 For Week Ending:07/23/2022 Is this a 'Statement of Non-Performance?'-0 Name, Address and Social Security Number of Worker ABRAHAM FLORES HERNANDEZ 709 SEASON ST. BAKERSFIELD CA 93309 Number of Withholding 2 Work Classification LANDSCAPE/ R RIGATION LABORER Day Date Hours Worked Each Day S O D Sun 07/17 0.00 0.00 0.00 Mon 07/18 0.00 0.00 0.00 Tue 07/19 0 00 0 00 0 00 Wed 07/20 8.00 0.00 0.00 Thu 07/21 8.00 0.00 0.00 Fri 07/22 8.00 0.00 0.00 Sat 07/23 0.00 0.00 0.00 Total Hours 24.00 0 00 0 00 Hourly Pay Rate 35.62 53.43 71.24 Gross Amount Earned This Project 854.88 All Projects 1,384.16 Deductions, Contributions, and Payments Federal Tax 108.35 FICA 105.89 State Tax 29.88 SDI 15.23 Vac/ Holiday 0.00 Health & Welf. 0.00 Pension 23.77 Training 0.70 Fund Admin 1 90 Dues 0.00 Trav/ Subs 0.00 Savings 0.00 Other 0.00 Total Deduct 259.35 Net Wage Paid For Week 1,124.81 Check Number DD- 1221150 8 NOTE Public Works Certified Payroll Reporting Form Certification under penalty of perjury: Public Works Certified Payroll Reporting Form 09/09/2022 - Page 1 "I, LUKE HUSKEY, the undersigned, am the PRESIDENT (position in business) with the authority to act for and on behalf of GREENER ENVIRONMENTS, 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 2022-07-23 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 2022-09-09." 9/9/22, 10:17 AM 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: 2022-07-23 Payroll Number 27 Amendment Number 0 1 employee payroll record(s) processed Your Tran action ID i 14989281 Print thi Page View your submission Submit another set of payroll records eCPR Online Confirmation Payroll Statement of Compliance Company Name PagePrinted : Address Project 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 2022-07-23 26 381975 Luke Husky Owner 07/28/2022 Greener Environments Inc Souza Construction-Tank Farm Rd and Orcutt Rd Roundabout Jul 17 2022 Jul 23 2022 Greener Environments Inc Deductions listed below each employee X X Luke Husky Owner Luke Husky 07/28/2022 2