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Public Works Certified Payroll Reporting Form
Certification under penalty of perjury:
"I, ALLISON MICKELSON, the undersigned, am the OFFICE MANAGER (position in business) with the authority to act for and on behalf of AQUA CONSTRUCTION.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 2019-09-13 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 2019-09-25."
Contractor Name: AQUA CONSTRUCTION INC. Contractor PWCR: 1000002113 License Type: CSLB License Number 992227
Address: 449 W. FOOTHILL# 272 , GLENDORA, CA91741 FEIN: 464958809 Contractor Email: NUGGMAN@AOL.COM
Insurance Number: CST5015647
Awarding Body: CITY OF SAN LUIS OBISPO DIR Project ID: 298806 Project Name: S.L.0. SWIM CENTER THERAPY POOL REPLASTER
Contract With: CITY OF SAN LUIS OBISPO County: SAN LUIS OBISPO Address: 900 SOUTHWOOD, SAN LUIS OBISPO, CA 93401
Payroll#: 2 - 0 Ctr Payroll #: FINAL Week Ending: 09 /13/2019 C Statement of Non-Performance? D Final payroll for this project?
Employee: JOEL REYES.'902 WEST GRAND BLVD., CORONA, CA, 92882
SSN: 9446 Sat Sun Mon Tue Wed Thu Fri Total Total Vaci Health Total
09/07 Hours Base Hourly Frlnge Holiday &Welf. Pension Other Training Hourly Rate 09/08 09/09 09/10 09/11 09/12 09/13
s PLASTER TENDER APPRENTICE A-1 0.00 0.00 8.00 0.00 8.00 0.00 8.00 24.00 35.00 0.00 0.00 0.00 0.00 0.00 0.00 35.00
NOTE: CHECK# 5191 Travel & Subsistence 0.00 Total Deductions 187.69
Public works certified Payroll Reporting Form 09/25/2019 -Page 1
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Public Works Certified Payroll Reporting Form
Contractor Name: AQUA CONSTRUCTION INC. Project Name: S.L.0. SWIM CENTER THERAPY POOL REPLASTER Week Ending: 09/13/2019 Payroll Number:2-0
Employee: RAMON E. ACOSTA 495 N. MAPLE AVE. APT. 55, FONTANA, CA, 92336
SSN: 1746 Sat Sun Mon Tue Wed Thu Fri Total Total Vaci Health Total
Hours Base Hourly Fringe Holiday &Welf. Pension Other Training Hourly Rate 09/07 09/08 09/09 09/10 09/11 09/12 09/13
s PLASTERER 0.00 0.00 0.00 0.00 0.00 0.00 8.00 8.00 60.80 0.00 0.00 0.00 0.00 0.00 0.00 60.80
NOTE: CHECK# 13012 Travel & Subsistence 0.00 Total Deductions 51.86
Public Works certified Payroll Reporting Form 09/25/2019 -Page 2
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Public Works Certified Payroll Reporting Form
Contractor Name: AQUA CONSTRUCTION INC. Project Name: S.L.0. SWIM CENTER THERAPY POOL REPLASTER
Employee: FRANCISCO ACOSTA 631 MARIPOSA, ONTARIO, CA, 91764
SSN: 8908
S PLASTERER
NOTE: CHECK# 13009
Sat
09107
0.00
Sun
09108
0.00
Mon
09109
0.00
Tue
09110
0.00
Wed
09111
0.00
Thu
09112
0.00
Fri
09/13
8.00
Total
Hours
8.00
Base Hourly
60.80
Total
Fringe
0.00
Week Ending: 09/13/2019
Vaci
Holiday
0.00
Hea!th
&Welf.
0.00
Travel & Subsistence
Pension
0.00
0.00
Payroll Number: 2-0
Other Training
0.00 0.00
Total Deductions
Total
Hourly Rate
60.80
73.24
Public works certified Payroll Reporting Form 09/25/2019 - Page 3
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Public Works Certified Payroll Reporting Form
Contractor Name: AQUA CONSTRUCTION INC. Project Name: S.L.O. SWIM CENTER THERAPY POOL REPLASTER
Employee: RAMON E. ACOSTA 495 N. MAPLE AVE. APT. 55, FONTANA, CA, 92336
SSN: 1746
S PLASTERER
NOTE: CHECK# 13012
Sat
09107
0.00
Sun
09/08
0.00
Mon
09109
0.00
Tue
09/10
0.00
Wed
09/11
0.00
Thu
09/12
0.00
Fri
09/13
8.00
Total Hours
8.00
Base Hourly
60.80
Total Fringe
0.00
Week Ending: 09/13/2019
Vaci Holiday
0.00
Health &Welf
0.00
Travel & Subsistence
Pension
0.00
0.00
Payroll Number: 2-0 I
Other Training
0.00 0.00
Total De ductions
Total Hourly Rate
60.80
51.86
Public Works certified Payro11 Reporting Form 09/25/2019 -Page 2
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Public Works Certified Payroll Reporting Form
Contractor Name: AQUA CONSTRUCTION INC. Project Name: S.L.0. SWIM CENTER THERAPY POOL REPLASTER
Employee: CRISTIAN ESCOTO 1877 E. ROSEWOOD CRT UNIT B, ONTARIO, CA, 91764
SSN: 9467
S PLASTER
NOTE: CHECK# 13035
Sat
09/07
0.00
Sun
09/08
0.00
Mon Tue
09/09 09/10
0.00 0.00
Wed
09/11
0.00
Thu
09/12
0.00
Fri
09/13
8.00
Tota! Hours
8.00
Base Hourly
60.80
Total Fringe
0.00
Week Ending: 09/13/2019
Vaci Holiday
0.00
Health &Welf.
0.00
Travel & Subsistence
Pension
0.00
0.00
Payroll Number:2-0
Other Training
0.00 0.00
Total Deductions
Total Hourly Rate
60.SO
42.08
Public Works certified Payroll Reporting Form 09/25/2019 -Page 4
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Public Works Certified Payroll Reporting Form
Contractor Name: AQUA CONSTRUCTION INC. Project Name: S.L.0. SWIM CENTER THERAPY POOL REPLASTER
Employee: RAMIRO FLORES 13753 WEIDNER ST., PACOIMA, CA, 91331
SSN: 0730
S PLASTERER
NOTE: CHECK# 13037
Sat
09107
0.00
Sun
09108
0.00
Mon
09/09
0.00
Tue
09/10
0.00
Wed
09111
0.00
Thu
09/12
0.00
Fri
09/13
8.00
Total
Hours
8.00
Base Hourly
60.80
Total
Fringe
0.00
Week Ending: 0911312019
Vaci
Holiday
0.00
Health
&Welt.
0.00
Travel & Subsistence
Pension
0.00
0.00
Payroll Number: 2-0
Other Training
0.00 0.00
Total Deductions
Total
Hourly Rate
60.80
42.07
Public works certified Payroll Reporting Form 09/25/2019 -Page 5
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Public Works Certified Payroll Reporting Form
Contractor Name: AQUA CONSTRUCTION INC. Project Name: S.L.O. SWIM CENTER THERAPY POOL REPLASTER
Employee: ROGER ROMERO ACOSTA631 N. MARIPOSA, ONTARIO, CA, 91764
SSN:5400
5 PLASTERER
NOTE: CHECK# 13067
Sat
09107
0.00
Sun
09108
0.00
Mon
09/09
0.00
Tue
09/10
0.00
Wed
09/11
0.00
Thu
09112
0.00
Fri
09/13
8.00
Total Hours
8.00
Base Hourly
60.80
Total Fringe
0.00
Week Ending: 09/13/2019
Vaci Holiday
0.00
Health &Welf.
0.00
Travel & Subsistence
Pension
0.00
0.00
Payroll Number: 2-0 I
other Training
0.00 0.00
Total Deductions
Total Hourly Rate
60.80
42.07
Public Works certified Payroll Reporting Form 09/25/2019 -Page 6
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Public Works Certified Payroll Reporting Form
Contractor Name: AQUA CONSTRUCTION INC. Project Name: S.L.0. SWIM CENTER THERAPY POOL REPLASTER
Employee: JOSE SOLIS 15535 HIBISCUS, FONTANA, CA, 92335
SSN: 7046
S PLASTERER
NOTE: CHECK# 13077
Sat
09107
0.00
Sun
09108
0.00
Mon
09109
0.00
Tue
09/10
0.00
Wed
09111
0.00
Thu
09/12
0,00
Fri
09/13
8.00
Total
Hours
8.00
Base Hourly
60.80
Total
Fringe
0.00
Week Ending: 09/13/2019
Vaci
Holiday
0.00
Health
&Welf.
0.00
Travel & Subsistence
Pension
0.00
0.00
Payroll Number:2-0
other Training
0.00 0.00
Total Deductions
Total
Hourly Rate
60.80
43.79
Public Works certified Payroll Reporting Form 09/25/2019 - Page 7
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Public Works Certified Payroll Reporting Form
Contractor Name: AQUA CONSTRUCTION INC. Project Name: S.L.O. SWIM CENTER THERAPY POOL REPLASTER
Employee: JOSE TORRES 844 E. ELMA ST., ONTARIO, CA, 91764
SSN: 6892 Sat Sun
S PLASTERER
NOTE: CHECK# 13080
09/07 09/08
0.00 0.00
Mon Tue
09/09 09/10
0.00 0.00
Wed
09/11
0.00
Thu
09/12
0.00
Fri
09/13
8.00
Total
Hours
8.00
Base Hourly
60.80
Total
Fringe
0.00
Week Ending: 09/13/2019
Vaci
Holiday
0.00
Health
&Welf.
0.00
Travel & Subsistence
Pension
0.00
0.00
Payroll Number: 2-0
Other Training
0.00 0.00
Total Deductions
Total
Hourly Rate
60.80
42.07
Public works certified Payroll Reporting Form 09/25/2019 -Page 8
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Public Works Certified Payroll Reporting Form
Contractor Name: AQUA CONSTRUCTION INC. Project Name: S.L.0. SWIM CENTER THERAPY POOL REPLASTER
Employee: REYNALDO TORRES JR. 844 E. ELMA ST., ONATRIO, CA, 91764
SSN: 9818
5 PLASTERER
NOTE: CHECK# 13082
Sat
09107
0.00
Sun
09108
0.00
Mon
09109
0.00
Tue
09/10
0.00
Wed
09/11
0.00
Thu
09/12
0.00
Fri
09113
8.00
Total
Hours
8.00
Base Hourly
60.80
Total
Fringe
0.00
Week Ending: 09/13/2019
Vaci
Holiday
0.00
Health
&Welf.
0.00
Traver & Subsistence
Pension
0.00
0.00
Payroll Number: 2-0
Other Training
0.00 0.00
Total Deductions
Total
Hourly Rate
60.80
95.24
Public Works Certified Payroll Reporting Form 09/25/2019 -Page 9
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Public Works Certified Payroll Reporting Form
Contractor Name: AQUA CONSTRUCTION INC. Project Name: S.L.0. SWIM CENTER THERAPY POOL REPLASTER
Employee: MIGUEL VASQUEZ 1422 E. 9TH ST. APT 811, SAN BERNARDINO, CA, 92410
SSN: 8260 Sat Sun Mon Tue Wed
09/07 09/08 09/09 09/10 09/11
S PLASTERER 0.00 0.00 0.00 0.00 0.00
NOTE: CHECK# 13089
Thu
09/12
0.00
Fri
09/13
8.00
Total
Hours
8.00
Base Hourly
60.80
Total
Fringe
0.00
Week Ending: 09/13/2019
Vaci
Holiday
0.00
Health
&Welf.
0.00
Travel & Subsistence
Pension
0.00
0.00
Payroll Number:2-0
Other Training
0.00 0.00
Total Deductions
Total
Hourly Rate
60.80
43.79 I
Public works certified Payroll Reporting Form 09/25/2019 -Page 10
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Public Works Certified Payroll Reporting Form
Contractor Name: AQUA CONSTRUCTION INC. Project Name: S.L.0. SWIM CENTER THERAPY POOL REPLASTER
Employee: PEDRO VASQUEZ 729 N.PALMETTO AVE. UNIT E, ONTARIO, CA, 91762
SSN: 3592
S PLASTERER
NOTE: CHECK# 13093
Sat
09/07
0.00
Sun
09/08
0.00
Mon
09/09
0.00
Tue
09/10
0.00
Wed
09/11
0.00
Thu
09/12
0.00
Fri
09/13
8.00
Total Hours
8.00
Base Hourly
60.80
Total Fringe
0.00
Week Ending: 09/13/2019
Vaci Holiday
0.00
Health &Welf.
0.00
Travel & Subsistence
Pension
0.00
0.00
Payroll Number: 2-0
Other Training
0.00 0.00
Total Deductions
Total Hourly Rate
60.80
42.07
Public Works certified Payroll Reporting Form 09/25/2019 -Page 11
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Public Works Certified Payroll Reporting Form
Contractor Name: AQUA CONSTRUCTION INC. Project Name: S.L.0. SWIM CENTER THERAPY POOL REPLASTER
Employee: SIMON VILLA8863 HERMOSA AVE., RANCHO CUAMONGA, CA, 91730
SSN: 3990 Sat Sun Mon Tue
S PLASTERER
NOTE: CHECK# 13096
09/07 09/08 09/09 09110
0.00 0.00 0.00 0.00
Wed
09/11
0.00
Thu
09/12
0.00
Fri
09/13
800
Total
Hours
8.00
Base Hourly
60.80
Total
Fringe
0.00
Week Ending: 09/13/2019
Vaci
Holiday
0.00
Health
&Welf.
0.00
Travel & Subsistence
Pension
0.00
0.00
Payroll Number: 2-0
Other Training
0.00 0.00
Total Deductions
Total
Hourly Rate
60.80
42.07
Pub1ic works certified Payroll Reporting Form 09/25/2019 -Page 12
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Public Works Certified Payroll Reporting Form
Contractor Name: AQUA CONSTRUCTION INC. Project Name: S.L.0. SWIM CENTER THERAPY POOL REPLASTER
Employee: JOSE LUIS YEPEZ 7731 LOMBARDY AVE., FONTANA, CA, 92336
SSN: 2631 S PLASTERER
NOTE: CHECK# 13097
Sat
09107
0.00
Sun
09/08
0.00
Mon
09/09
0.00
Tue
09/10
0.00
Wed
09/11
0.00
Thu
09/12
0.00
Fri
09/13
8.00
Total
Hours
8.00
Base Hourly
60.80
Total
Fringe
0.00
Week Ending: 09/13/2019
Vaci Health
Holiday & Welf.
0.00 0.00
Travel & Subsistence
Pension
0.00
0.00
Payroll Number: 2-0
Other Training
0.00 0.00
Total Deductions
Total Hourly Rate J 60.80
42.08
Public works ce rti fi ed Pay roll Reporting Form 09/25/2019 -Page 13
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Public Works Certified Payroll Reporting Form
Contractor Name: AQUA CONSTRUCTION INC. Project Name: S.L.0. SWIM CENTER THERAPY POOL REPLASTER
Employee: EDWIN ZUNIGA 13608 S. GROVE AVE., ONTARIO, CA, 91761
SSN: 7363
S PLASTERER
NOTE: CHECK# 13102
Sat
09/07
0.00
Sun
09108
0.00
Mon Tue
09109 09/10
0.00 0.00
Wed
09/11
0.00
Thu
09/12
0.00
Fri
09/13
8.00
Total
Hours
8.00
Base Hourly
60.80
Total
Fringe
0.00
Week Ending: 09/13/2019
Vaci
Holiday
0.00
Health
&Welf.
0.00
Travel & Subsistence
Pens!on
0.00
0.00
Payroll Number: 2-0
Other Training
0.00 0.00
Total Deductions
Total
Hourly Rate
60.80
42.09
Public works cert:if1ed Payroll Reporting Form 09/25/2019 -Page 14
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Public Works Certified Payroll Reporting Form
Contractor Name: AQUA CONSTRUCTION INC. Project Name: S.L.0. SWIM CENTER THERAPY POOL REPLASTER
Employee: CESAR PEREZ 441 N. GROVE AVE., ONTARIO, CA, 91764
SSN: 1872
S PLASTERER
NOTE: CHECK# 13056
Sat
09/07
0.00
Sun
09/08
0.00
Mon Tue
09/09 09/10
0.00 0.00
Wed
09/11
0.00
Thu
09/12
0.00
Fri
09/13
8.00
Total
Hours
8.00
Base Hourly
60.80
Total
Fringe
0.00
Week Ending: 09/13/2019
Vaci
Holiday
0.00
Health
&Welf
0.00
Travel & Subsistence
Pension
0.00
0.00
Payroll Number:2-0
Other Training
0.00 0.00
Total Deductions
Total
Hourly Rate
60.80
42.08
Public works certified Payroll Reporting Form 09/25/2019 -Page 15
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