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HomeMy WebLinkAboutRedacted Payroll - Week 2019-09-13( ( 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 ( I ( ( ( 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 ( ( 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 ( ( ( 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 ( ( ( 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 ( 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 ( ( ( 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 ( ( ( 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 ( ( ( 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 ( ( ( 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 ( ( ( 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 ( ( ( 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 ( ( ( 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 ( ( ( 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 ( ( ( 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 ( ( ( \. 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 (