HomeMy WebLinkAboutRedacted - SLO Waterline Replacement 91436 Week 1 ended 09.22.18( 1 ) ( 2)
NAME, ADDRESS ANO Number of
SOCIAL SECURITY NUMBER Wltl1holdlng
OF EMPLOYEE ...............
George Llamas
800 E. Cook
0 Santa Maria, CA 93454
0
Jacob D Rexford
2761 Chaparral Lane
Paso Robles, CA 93446
0
Jacob O Rexford
2761 Chaparral Lane
Paso Robles, CA 93446
James Douglas
612 Laura Way
0 Paso Robles, CA 93446
0
James Yanez
538 County Lane
San Luis Obispo, CA 93401
0
James Yanez
538 County Lane
San Luis Obispo, CA 93401
John S Marta
349 Woodlawn Drive
Los Osos, CA 93402 0
1
Jonathan Yanez
538 Country Lane
San Luis Obispo, CA 93401
0
Jose Sanchez Garcia
558 Ferro Lane
Paso Robles, CA 93446
0
Juan Manuel Barrios
1021 Gaylene Dr
Santa Maria, CA 93458
Juan Manuel Barrios
1021 Gaylene Dr
Santa Maria, CA 93458 0
0
Manuel Robledo
9694 Birmingham Ave
Riverside, CA 92509
FORM A·l-131 (New 2·80)
diR PUBLIC WORKS PAYROLL REPORTING FORM PAGE
NAME OF CONTRACTOR O·KAL Engineering CONTRACTOR'S LICENSE # 653307 ADDRESS
OR SUBCONTRACTOR SPECIALTY LICENSE# PO Box 1919 San Luis Obisnn CA 93406
PAYROLL NUMBER FOR WEEK ENDING SELF-INSURE D CERTIFICA TE # PROJECT OR CONTRACT# Waterline Replace Spec 91436
1 9/22/2018 WORKERS' COMPENSATION POLICY# 7J 45679Al7 PROJECT & LOCATION San Luis Ob i<00
(4l0AY { 5) ( 6) { 7) ( 8) ( 9)
( 3)Sun I Mon I Tue Wed Thu Fri I Sat GROSS AMOUNT NET
DATE HO URLY EARNED WAGES
WORK 9/16 9/17 9/18 9/19 9/20 9/21 I 9/22 TOTAL RATE nus ALL DEDUCTIONS, CONTRJ BlJTIONS ANO PAYMENTS PAJD FOR
CL ASSIFICATION HOURS WORKED EACH DAY HOURS OF PAY PROJECT PROJECTS
Teamsters
Equip. Opers.
Laborer
Laborer
Equip. Opers.
Laborer
Equip. Opers.
Laborer
Laborer
Equip. Opers.
Laborer
Laborer
s 0 0
D
0
s 0 0
D
0
s 0 0
D
0 0 0
s 0 8
D
0 0 1
s 0 8
D
0 0 1
s 0 1
D
0
s 0 8
D
0 0 1
s 0 8
D
0 0 1
s 0 0
D
0 0 0
s 0 0
D
0
s 0 8
D
0 0 1
s 0 8
D
0 0 1
S = Straight time
0 = Overtime
D = Doubletime
0
0
0
2
8
3
8
2
0
8
1
8
3
0
0
0
8
2
8
3.5
FWH MCARE FICA ST TAX
0 8 0 0 8 $ 59.91 S 316.00 $ 28.52 $ 121.94 $ 150.10
$ 479.28 $ 1,966.78 TRAJNING FUNOAOM!N DUES TRV/SUBS
$ . $ . $ $ .
FWH MCARE FICA ST TAX
0 0 5.5 0 5.5 $ 75.23 $ 493.00 $ 43.13 $ 184.42 $ 241.42
$ 413.n $ 2,974.46 TRAJNING FUNOADMIN DUES TRV/SUBS s s $ s
FWH MCARE FICA ST TAX
8 8 0 0 16 $58.38 S 493.00 $ 43.13 S 184.42 S 241.42
$ 2,014.90 $ 2,974.46 TRAJNING FUNOADMIN DUES TRY/SUBS
3 0 0 0 5 S 72.85 $ $ . $ $ .
FWH MCARE FICA ST TAX
8 8 6 0 38 $58.38 $ 367.00 $ 42.26 S 180.71 S 180.69
$ 2,914.59 $ 2,914.59 TRAJNING FUNOADM!N DUES TRY/SUBS
3 2 0 0 9 $77.35 $ $ $ $ .
FWH MCARE FICA ST TAX
8 8 8 0 40 $75.23 S 755.00 s 54.79 S 234.30 S 334.82
$ 3,939.06 $ 3,979.06 TRAJNING FUNOADM!N DUES TRV/SUBS
3 2.5 1 0 9.5 $97.88 $ $ $ . $ .
FWH MCARE FICA ST TAX
0 0 0 0 1 $40.00 S 755.00 $ 54.79 $ 234.30 $ 334.82
$ 40.00 $ 3,979.06 TRAJNJNG FUNOADM!N DUES TRV/SUBS
$ . $ . $ $ FWH MCARE FICA ST TAX
8 8 0 0 32 $ 75.23 $ 425.00 s 42.71 $ 182.64 $ 208.22
$ 2,945.70 $ 2,945.70 TRAJNING FUNDADM!N DUES TRV/SUBS
1.5 2 0 0 5.5 $97.88 $ . $ . $ $ FWH MCARE FICA ST TAX
0 0 0 0 16 S 55.73 $ 481.00 $ 38.91 S 166.40 $ 221.80
$ 1,183.08 $ 2,683.83 TRAJNJNG FUNDADMIN DUES TRV/SUBS
0 0 0 0 4 $ 72.85 $ $ $ $
FWH MCARE FICA ST TAX
0 8 5 0 13 $ 55.73 s 90.00 $ 25.31 $ 108.20 $ 51.63
$ 870.19 $ 1,745.19 TRAINING FUNDADMIN DUES TRV/SUBS
0 2 0 0 2 S 72.85 $ . $ $ . $
FWH MCARE ACA ST TAX
3 0 0 0 3 $75.23 s 400.00 s 39.75 $ 169.94 S 210.62
$ 225.69 $ 2,740.88 TRAJNING FUNDADMIN DUES TRV/SUBS
$ $ s . $
FWH MCARE FICA ST TAX
8 8 5 0 37 s 55.73 S 400.00 $ 39.75 $ 169.94 $ 210.62
$ 2,462.69 $ 2,740.88 TRAJNING FUNDADMIN DUES TRV/SUBS
0 2.5 0 0 5.5 $ 72.85 $ $ . $ . $ FWH MCARE FICA ST TAX
8 8 7.5 0 39.5 $62.02 $ 327.00 $ 43.28 $ 185.07 $ 171.73
$ 3,269.29 $ 3,765.45 TRAJNING FUNDADM!N DUES TRV/SUBS
4.5 1 0 0 10 $81.95 $ $ $ $ .
* OTHER • Any other deductions, contributions and/or payments whether or not included or required by prevailing
wage de terminations must be separately listed. Use extra sheet if necessary.
WEEK
SDI VAC/HOL HEAl 1H/WELF PENSION
$ . $ . $ . $ SAVINGS OTHER TOTAi.OED CHKNUM $ 1,310.22
$ . $ 40.00 $ 656.56 002850
SOI VAC/HOL HEAl 1H/WELF PENSION
$ $ $ . $ SAVINGS OTHER TOTAi.OED CHKNUM $ 1,755.13
$ . $ 257.36 $ 1219.33 002843
SDI VAC/HOL HEAL TH/WELf PENSION
$ . $ $ . $ SAVINGS OTHER TOTAi.OED CHKNUM $ 1,755.13
$ $ 257.36 $ 1 219.33 002843
SDI VAC/HOL HEAL THIWELf PENSION
$ $ . $ $
SAVINGS OTHER TOTAi.OED CHKNUM $1,908.93
$ $ 235.00 $ 1 005.66 002844
SDI VAC/HOL HEAI.TMIWELf PENSION
$ s . $ $ SAVINGS OTHER TOTAi.OED CHKNUM $ 2,152.65
$ . $ 447.50 $ 1 826.41 002845
SDI VAC/HOL HEAl THIWELF PENSION
$ . $ $ . $ .
SAVINGS OTHER TOTAL.OED CHKNUM $ 2,152.65
$ . $ 447 .50 $ 1 826.41 002845
SDI VAC/HOL HEAl THIWELF PENSION
$ . $ $ s
SAVINGS OTHER TOTAL OED CHKNUM $ 2,087.13
$ . $ $ 858.57 1769
SDI VAC/HOL HEAl TH/WELf PENSION
$ . $ . $ $ SAVINGS OTHER TOTALDED CHKNUM $ 1,625.72
$ . $ 150.00 $ 1 058.11 1770
SDI VAC/HOL HEAlTH/WElF PENSION
$ . $ $ . $ .
SAVINGS OTHER TOTAL OED CHKNUM $ 1,395.05
$ $ 75.00 $ 350.14 1771
SDI VAC/HOL HEAl THIWELF PENSION
$ $ $ $ SAVINGS OTHER TOTAL OED CHK NUM $1,693.07
$ . s 227.50 $ 1 047.81 002846
SDI VAC/HOL HEAl THIWELf PENSION
$ $ $ $ SAVINGS OTHER TOTAL OED CHK NUM $1,693.07
$ . $ 227.50 $ 1 047.81 002846
SDI VAC/HOL HEAL THIWELf PENSION
$ . $ $ SAVINGS OTHER TOTAL OED CHK NUM $ 2,010.32
$ . Sl 028.05 S 1 755.13 1772
CERTIFICATION must be completed (see back)
Sunburst Software Solutions, Inc. -Certified Payroll Solution www.CertifiedPayrollReports.com
( 1) ( 2)
NAME, ADDRESS AND N...-of
SOCIAL SECURilY NUMBER Wl1Molding
OF EMPLOYEE ..............
Michael A Hooper
5567 Tunitas Ave
Atascadero, CA 93422 0
FORM A·l-131 (New 2·80)
diR PUBLIC WORKS PAYROLL REPORTING FORM PAGE 2
NAME OF CONTRACTOR D·KAL Engineering CONTRACTOR'S LICENSE # 653307 ADDRESS
OR SUBCONTRACTOR SPEOAL 1Y LICENSE # PO Box 1919 San Luis Ob•<nn CA 93406
PAYROLL NUMBER FOR WEEK ENDING SELF-INSURED CERTIFICATE# PROJECT OR CONTRACT # Waterline Replace Spec 91436
1 9/22/2018 WORKERS' COMPENSATION POLICY # 7J45679Al7 PROJECT & LOCATION San LUIS Ob1soo
4) DAY ( 5) ( 6) ( 7) (8) ( 9)
( 3) Sun Mon Tue Wed Thu Fri Sat GROSS AMOUNT NET
DATE HO URLY EARNED WAGES
WORK 9/16 9/17 9/18 9/19 9/20 9/21 9/22 TOTAL RATE THIS ALL DEDUCTIONS, CONTRIBUTIONS AND PAYMENTS PAID FOR
CLASSIFICATION HOURS WORKED EACH DAY HOURS OF PAY PROJECT PROJECTS WEEK
FWH MCARE FICA ST TAX SDI VAC/HOL HEAL TH/Wfl.F PENSION s 0 0 0 0 8 0 0 8 s 75.23 S 217.00 $ 27.44 S 117.34 $ 127.78 $ $ -$ Equip. Opers. D
0 0 0
s
D
0
s
D
0
s
D
0
s
D
0
s
D
0
s
D
0
s
D
0
s
D
0
s
D
0
s
0
0
s
0
0
S = Straight bme
O = Overtime
D = Ooubletime
0 $ 650.78 $ 1,892.62 TRAINING FUNDAOHIN DUES TRV/SUBS
0 0.5 0 0 0.5 S97.88 $ . $ $ $ .
FWH MCARE FICA ST TAX
TRAINING FUNDADMIN DUES TRVISUBS
FWH MCARE FICA ST TAX
TRAINING FUND ADMIN DUES TRV/SUBS
FWH MCARE FICA ST TAX
TRAINING FUNDADMIN DUES TRV/SUBS
FWH MCARE FICA ST TAX
TRAINING FUNDADMIN DUES TRV/SUBS
FWH MCARE FICA ST TAX
TRAINING FUNOAllMIN DUES TRV/SUBS
FWH MCARE FICA ST TAX
TRAINING FUNOAOMIN DUES TRV/SUBS
FWH MCARE FICA ST TAX
TRAINING FUNOADMJN DUES TRV/SUBS
FWH MCARE FICA ST TAX
TRAINING FUNDADMIN DUES TRV/SUBS
FWH MCARE FICA ST TAX
TRAINING FUND AllM1N DUES TRV/SUBS
FWH MCARE FICA ST TAX
TRAINING RJNOADMJN DUES TRV/SUBS
FWH MCARE FICA ST TAX
TRAINING FUNDAOMIN DUES TRV/SUBS
• OTHER -Any other deductions, contributions and/or payments whether or not included or required by prevailing
wage determinations must be separately listed. Use extra sheet if necessary.
SAVINGS OTHER TOTAi.OED CHKNUM $ 860.59
$ $ 542.47 $ 1 032.03 002847
SDI VAC/HOL HEAL TH/WELF PENSION
SAVINGS OTHER TOTAi.OED CHXNUM
SDI VAC/HOL HEAL TH/WEl.f PENSION
SAVINGS OTHER TOTAi.OED CHKNUM
SDI VAC/HOL HEALTH/WBJ' PENSION
SAVINGS OTHER TOTAi.OED CHKNUM
SDI VAC/HOL HEAL TH/WEI• PENSION
SAVINGS OTHER TOTAL OED CHKNUM
SDI VAC/HOL HEALT><IWELF PENSION
SAVINGS OTHER TOTAL OED CHl(NIJM
SDI VAC/HOL HEAL TMIWELF PENSION
SAVINGS OTHER TOTAL OED CHKNUM
SDI VAC/HOL HEAL.,..,_,, PENSION
SAVINGS OTHER TOTAi.OED CHKNUM
SDI VAC/HOL HEALTH/WEI.• PENSION
SAVINGS OTHER TOTAi.OED CHXNUM
SDI VAC/HOL HEALTWWELF PENSION
SAVINGS OTHER TOTAi.OED CHKNUM
SOI VAC/HOL HEALTHIWEU' PENSION
SAVINGS OTHER TOTAi.OED CHKNUM
SDI VA< HOL HEALTH/WEI• PENSION
SAVINGS OTHER TOTAi.OED CHKNUM
CERTIFICATION must be completed (see back)
Sunburst Software Solutions, Inc. -Certified Payroll Solution www.CertifiedPayrollReports.com
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