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Home My WebLink AboutRedacted - Waterline 91436 Week 5 ended 10.20.18( 1) NAME, ADDRESS AND SOCIAL SECURITY NUMBER OF EMPLOYEE Anthony E Lopez Ramirez 2912 lopez Dr Arroyo Grande, CA 93420 Bryce Crespin 4355 cayucos Ave Atascadero, CA 93422 Bryce Crespin 4355 cayucos Ave Atascadero, CA 93422 George Llamas 800 E. Cook Santa Maria, CA 93454 George Llamas 800 E. Cook Santa Maria, CA 93454 Jacob D Rexford 2761 Chaparra l Lane Paso Robles, CA 93446 James Douglas 612 Laura Way Paso Robles, CA 93446 James R Douglas 1055 Pine Street Rogue River, OR 97537 James Yanez 538 County Lane San Luis Obispo, CA 93401 Jose Sanchez Garcia 558 Ferro Lane Paso Robles, CA 93446 Juan Manuel Barrios 1021 Gaylene Dr Santa Maria, CA 93458 Manue l Robledo 9694 Birmingham Ave Riverside, CA 92509 FORM A-1-131 (New 2-80) (2) Number of diR C.llfom� Department of Industrial Re�tlof1s PUBLIC WORKS PAYROLL REPORTING FORM NAME OF CONTRACTOR D-KAL Engineering CONTRACTOR'S LICENSE # 653307 ADDRESS OR SUBCONTRACTOR PAYROLL NUMBER FOR WEEK ENDING 5 10/20/2018 ( 3 ) Sun Mon Tue SEL F-INSURED CERTIFICATE# WORKERS' COMPENSATION POLICY # 14\ DAY Wed DATE Thu Fri ( 5) ( 6) Sat HOURLY SPECTALTY LICENSE # PROJECT OR CONTRACT # 7J45679Al7 PROJECT & LOCATION ( 7) ( 8) GROSS AMOUNT EARNED PAGE PO Box 1919 San Luis ObisDO CA 93406 Waterline Replace Spec 91436 San Luis Obisoo ( 9) NET WAGES Wlthholdlng WORK 10/14 10/15 10/16 10/17 10/18 10/19 10/20 TOTAL RATE THIS ALL DEDUCTIONS, CONTRIBUTIONS AND PAYMENTS PAID FOR Exemctlons 0 0 0 0 0 0 0 0 0 0 0 0 CLASSIFICATION HOURS WORKED EACH DAY HOURS OF PAY PROJECT PROJECTS WEEK FWH MCA RE FICA ST TAX SDI YAC/HOL HEALTH/WELF PENSION Apprentice s 0 8 8 8 8 8 0 40 $18.62 $ 131.00 $ 14 .81 $ 63.32 $ 51.86 $ -$ -$ -$ - Laborer D $ 870.49 $ 870.49 TRAINING FUNDADMIN DUES TRV/SUBS SAVINGS OTHER TOTAL DEC CHKNUM $ 609.50 0 0 0 1 1 2 0.5 0 4.5 $ 27.93 $ -$ $ $ -$ $ $ 260.99 1791 FWH MCARE FICA ST TAX SDI YAC/HOL HEAL TH/WELF PENSION s 0 8 8 8 8 8 0 40 $62.02 $ 464.00 $ 48.98 $ 209.42 $ 286.30 $ -$ $ -$ carpenters D $ 3,013.48 $ 3,377.73 TRAINING FUNOADMIN DUES TRV/SUBS SAVINGS OTHER TOTALDED CHKNUM $ 2,111.53 0 0 0 2 2 2 0.5 0 6.5 $81.95 $ -$ $ -$ -$ -$ 257.50 $ 1 266.20 DD2881 FWH MCARE FICA ST TAX SDI YAC/HOL HEAL TH/WELF PENSION s $ 464.00 $ 48.98 $ 209.42 $ 286.30 $ $ $ -$ Laborer D $ 364.25 $ 3,377.73 TRAINING FUNDADMIN DUES TRV/SUBS SAVINGS OTHER TOTAL DEC CHKNUM $ 2,111.53 0 0 0 0 5 0 0 0 5 $ 72.85 $ -$ -$ $ $ -$ 257.50 $ 1 266.20 DD2881 FWH MCARE FICA ST TAX SDI YAC/HOL HEAL1rl/WELF PENSION s 0 8 7 8 4 0 0 27 $ 59.91 $ 485.00 $ 40.48 $ 173.05 $ 230.15 $ -$ $ -$ Teamsters D $ 1,692.92 $ 2,791.13 TRAINING FUNDADM!N DUES TRV/SUBS SAVINGS OTHER TOTAL OED CHKNUM $1,699.95 0 0 0 0 1 0 0 0 1 $ 75.35 $ $ $ $ $ -$ 162.50 $ 1 091.18 DD2884 FWH MCA RE FICA ST TAX SDI VAC/HOL HEAL TH/WELF PENSION s 0 0 1 0 0 0 0 1 $ 55.73 $ 485.00 $ 40.48 $ 173.05 $ 230.15 $ $ $ $ - Laborer D $ 310.71 $ 2,791.13 TRAINING FUNDADM[N DUES TRV/SUBS SAVINGS OTHER TOTALDED CHKNUM $1,699.95 0 0 0 1.5 2 0 0 0 3.5 s 72.85 $ $ $ -$ $ -$ 162.50 $ 1 091.18 DD2884 FWH MCARE FICA ST TAX SDI VAC/HOL HEAL TH/WELF PENSION s 0 8 0 0 0 0 0 8 $ 55.73 $ 406.00 $ 44.56 $ 190.54 $ 256.47 $ -$ $ $ - Laborer D $ 2,714.56 $ 3,073.31 TRAINING FUNDADM!N DUES TRV/SUBS SAVINGS OTHER TOTALDED CHKNUM $1,933.38 0 0 2.5 0 4 0 0 0 6.5 $ 72.85 $ $ $ -$ $ $ 242.36 $ 1 139.93 DD2885 FWH MCARE FICA ST TAX SDI VAC/HOL HEAL TH/WELF PENSION s 0 8 8 8 8 8 0 40 $ 58.38 $ 335.00 $ 40.03 $ 171.16 $ 164.16 $ $ $ -$ - Laborer D $ 2,760.63 $ 2,760.63 TRAINING FUNDADM!N DUES TRVISUBS SAVINGS OTHER TOTAL OED CHKNUM $1,822.78 0 0 0 1 2.5 2 0 0 5.5 $ 77.35 $ -$ $ -$ -$ -$ 227.50 $ 937.85 DD2886 FWH MCARE FICA ST TAX SDI YAC/HOL HEAL TH/WELF PENSION s 0 8 8 8 8 8 0 40 $ 75.23 $ 555.00 $ 51.44 $ 219.95 $ 296.39 $ -$ $ -$ Equip. Opers. D $ 3,547.54 $ 3,547.54 TRAINING FUNDADM!N DUES TRY/SUBS SAVINGS OTHER TOTAL OED CHKNUM $ 2,197.26 0 0 0 1 2.5 2 0 0 5.5 $97.88 $ -$ -$ -$ $ -$ 227.50 $ 1 350.28 1792 FWH MCARE FICA ST TAX SOT VAC/HOL HEAL TH/WELF PENSION s 0 8 8 8 8 4 0 36 $ 75.23 $ 696.00 $ 51.89 $ 221.84 $ 313.80 $ -$ -$ $ Equip. Opers. D $ 3,498.20 $ 3,778.20 TRAINING FUNDADM!N DUES TRV/SUBS SAVINGS OTHER TOTAL OED CHKNUM $ 2,062.17 0 0 0 5 3 .5 2 0 0 10.5 $ 97.88 $ $ $ $ $ $ 432.50 $ 1 716.03 002887 FWH MCARE FICA ST TAX SDI YAC/HOL HEAL 1rl/WELF PENSION s 0 0 8 8 8 8 0 32 $ 55.73 $ 128.00 $ 31.27 $ 133.71 $ 80.61 $ -$ -$ $ - Laborer D $ 1,929.06 $ 2,156.56 TRAINING FUNDADM!N DUES TRY/SUBS SAVINGS OTHER TOTALDED CHK NUM $1,612.97 0 0 0 0 0.5 1.5 0 0 2 $ 72.85 $ -$ $ -$ -$ -$ 170.00 $ 543.59 1794 FWH MCARE FICA ST TAX SDI YAC/HOL HEAL TH/WELF PENSION s 0 8 8 8 8 0 0 32 $ 55.73 $ 442.00 $ 42.04 $ 179.76 $ 230.21 $ -$ -$ -$ - Laborer Laborer D 0 0 2 s 0 8 D 0 0 0 S = Straight time O = Overtime D = Doublet ime 0.5 8 1 $ 2,511.86 $ 2,899.36 TRAINING FUNOADM!N DUES TRY/SUBS 5.5 2 0 0 10 $ 72.85 $ -$ -$ $ - FWH MCA RE FICA ST TAX 8 8 8 0 40 $62.02 $ 176.00 $ 33.03 $ 141.22 $ 97 .08 $ 2,931.53 $ 2,931.53 TRAINING FUNDADMIN DUES TRV/SUBS 2.5 2 0 0 5.5 S 81.95 $ $ -$ $ * OTHER -Any other deductions, contributions and/or payments whether or not included or required by prevailing wage determi nations must be separately listed. Use extra sheet if necess ary. SAVINGS OTHER TOTAL OED CHKNUM $1,795.35 $ -$ 210.00 $ 1 104.01 DD2888 SDI YAC/HOL HEALTH/WELF PENSION $ $ $ $ SAVINGS OTHER TOTAL OED CHK NUM $1,603.00 $ -$ 881.20 $ 1 328.53 1795 CERTIFICATION must be completed (see back) Sunburst Software Solutions, Inc. -Certified Payroll Solution www.CertifiedPayrollReports.com I ( l)( 2) NAME, ADDRESS AND Number of SOCIAL SECURJ1Y NUMBER Wlthholding OF EMPLOYEE Exemotlons Timothy D Ambrosi 1199 W Hwy 246 #C Buellton, CA 93427 FORM A·l-131 (New 2-80) diR California Department of Industrial RciaUons PUBLIC WORKS PAYROLL REPORTING FORM NAME OF CONTRACTOR D·KAL Engineering CONTRACTOR'S LICENSE # 653307 ADDRESS OR SUBCONTRACTOR SPEGAL 1Y LICENSE # PAYROLL NUMBER FOR WEEK ENDING SELF-INSURED CERTIFICATE# PROJECT OR CONTRACT # 5 10/20/2018 WORKERS' COMPENSATION POLICY # 7J45679Al7 PROJECT & LOCATION 4) DAY ( 5) ( 6) ( 7) ( 8) ( 3) Sun Mon Tue Wed Thu Fri Sat GROSS AMOUNT DATE HOURLY EARNED PAGE 2 PO Box 1919 San Luis Obi snn CA 93406 Waterline Replace Spec 91436 San Luis ObiSPO ( 9) NET WAGES WORK 10/14 10/15 10/16 10/17 10/18 10/19 10/20 TOTAL RATE THIS ALL DEDUCTIONS, CONTRIBUTIONS AND PAYMENTS PAID FOR CLASSIFICATION HOURS WORKED EACH DAY HOURS OF PAY PROJECT PROJECTS Equip. Opers. s 0 8 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 D 0 s D 0 S = Straight time o = Overtime D = Doub let ime 8 0 FWH MCA RE FICA ST TAX 8 8 0 0 32 $ 75.23 $ 457.00 � 37.74 $ 161.39 $ . $ 2,603.12 $ 2,603.12 TRAINING FUNDAOM!N DUES TRV/SUBS 1.5 0.5 0 0 2 $97.88 $ . � . t . $ FWH MCARE FICA ST TAX TRAINING FUNDAOMIN DUES TRV/SUBS FWH MCARE FICA ST TAX TRAINING FUNDADMIN DUES TRV/SUBS FWH MCA RE FICA ST TAX TRAINING FUNDADMIN DUES TRV/SUBS FWH MCA RE FICA ST TAX TRAINING FUNOAOMIN DUES TRVISUBS FWH MCARE FICA ST TAX TRAINING FUNDADMIN DUES TRV/SUBS FWH MCA RE FICA ST TAX TRAINING FUNDAOM!N DUES TRV/SUBS FWH MCA RE FICA ST TAX TRAINING FUNDADMIN DUES TRV/SUBS FWH MCA RE FICA ST TAX TRAINING FUNDAOMIN DUES TRV/SUBS FWH MCARE FICA ST TAX TRAINING FUNDADM!N DUES TRV/SUBS FWH MCA RE FICA ST TAX TRAINING FUNDADMIN DUES TRV/SUBS FWH MCA RE FICA ST TAX TRAINING FUNDADMIN 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. WEEK SDI VAUHOL HEAi. TH/WElF PENSION $ $ $ . $ . SAVINGS OTHER TOTAL OED CHKNUM $1,776.99 $ $ 170.00 $ 826.13 1796 SDI VAC/HOL HEALTH/WELF PENSION SAVINGS OTHER TOTAL OED CHKNUM SDI VAC/HOL HEAi. TH/WELF PENSION SAVINGS OTHER TOTALDED CHK NUM SDI VAC/HOL HEAi. TH/WELF PENSION SAVINGS OTHER TOTALDED CHK NUM SDI VAC/HOL HEAi. TH/WElF PENSION SAVINGS OTHER TOTAL OED CHK NUM SDI VAC/HOL HEAi. TH/WELF PENSION SAVINGS OTHER TOTALDED CHKNUM SDI VAC/HOL HEAi. TH/WELF PENSION SAVINGS OTHER TOTAL OED CHKNUM SDI VAC/HOL HEAi. 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