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Home My WebLink AboutRedacted - Waterline 91436 Week 9 ended 11.17.18( l) NAME, ADDRESS AND SOOAL SECURI1Y 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 Frank J Moralez 328 Mellifont Ave Santa Barbara, CA 93103 George Llamas 800 E. Cook Santa Maria, CA 93454 George Llamas 800 E. Cook Santa Maria, CA 93454 Jacob D Rexford 2761 Chaparral Lane Paso Robles, CA 93446 Jacob D Rexford 2761 Chaparral Lane Paso Robles, CA 93446 James Yanez 538 County Lane San Luis Obispo, CA 93401 Juan Manuel Barrios 1021 Gaylene Dr Santa Maria, CA 93458 Kenneth J Gilder 238 S Oak Glen Ave Nipomo, CA 93444 Manuel Robledo %94 Birmingham Ave Riverside, CA 92509 FORM A· 1 • 131 (New 2-80) ( 2) Numbe"of diR Callfomla Depanment or lndustrial Relations PUBLIC WORKS PAYROLL REPORTING FORM NAME OF CONTRACTOR 0-KAL Engineering CONTRACTOR'S LICENSE # 553307 ADDRESS OR SUBCONTRACTOR SPEOAL 1Y LICENSE # PAYROLL NUMBER FOR WEEK END ING SELF-INSURED CERTIFICATE# PROJECT OR CONTRACT # 9 11/17/2018 WORKERS' COMPENSATION POLICY # 7J45679A18 PROJECT & LOCATION (4\DAY (5) ( 6) ( 7) ( 8} (3)Sun Mon Tue Wed Thu I Fri Sat GROSS AMOUNT DATE HOURLY EARNED PAGE PO Box 1919 San Luis ObiSDO. CA 93406 Waterline Replace Spec 91436 San Luis Ob isoo ( 9} NET WAGES Withholding WORK 11/11 11/12 11/13 11/14 11115 11/16 11/17 TOTAL RATE THIS ALL DEDUCTIONS, CONTRIBUTIONS AND PAYMENTS PAID FOR Exem,,!10n5 0 0 0 0 0 0 0 0 0 0 0 0 CLASSIFICATION HOURS WORKED EACH DAY HOURS OF PAY PROJECT PROJECTS WEEK fWH MCARE FICA ST TAX SDI VAC/HOL HEAL TH/WELF PENSION Apprentice s 0 0 8 8 8 8 0 32 $18.62 $ 80.00 $ 11.12 $ 47.55 $ 29.91 $ -$ $ -$ -Laborer D $ 651.70 $ 551.70 TRAINING FUNOADMIN DUES TRV/SUBS SAVINGS OTHER TOTAL OED CHKNUM $ 483.12 0 0 0 1 1 0 0 0 2 $27.93 $ -$ -$ $ -$ -$ $ 168.58 1819 fWH MCARE FICA ST TAX SDI VAC/HOL HEAL TH/WELF PENSION s 0 0 7 3 6 0 0 16 $ 75.23 $ 356.00 $ 40.95 $ 175.09 $ 230.54 $ .$ -$ $ . Equip. Opers. D $ 1,203.68 $ 2,824.15 TRAINING FUNDADMIN DUES TRV/SUBS SAVINGS OTHER TOTALDED CHKNUM $ 1,825.57 0 $ .$ -$ . $ .$ $ 195.00 $ 997.58 DD2921 fWH MCARE FICA ST TAX SDI VAC/HOL HEAL THIWELf PENSION s 0 0 1 5 2 8 0 16 $62.02 $ 356.00 $ 40.95 $ 175.09 $ 230.54 $ $ .$ $ Carpenters D $ 1,156.22 $ 2,824.15 TRAINING FUNDADMIN DUES TRV/SUBS SAVINGS OTHER TOTALDED CHKNUM $ 1,826.57 0 0 0 l l 0 0 0 2 $ 81.95 $ . $ . $ -$ -$ $ 195.00 $ 997.58 DD2921 fWH MCA RE FICA ST TAX SDI VAC/HOL HEALTii/WELF PENSION s 0 0 0 0 4 0 0 4 $35.75 $ $ 2.34 $ 9.99 $ 1.61 $ $ -$ $ Cement Masons D $ 143.00 $ 143.00 TRAINING FUNDADMIN DUES TRV/SUBS SAVINGS OTHER TOTALDED CHKNUM $ 129.06 0 $ $ . $ . $ -$ $ -$ 13.94 1817 fWH MCARE FICA ST TAX SDI VAC/HOL HEALTH/WELF PENSION s 0 0 0 0 0 4 0 4 $59.91 $ 376.00 $ 33.89 $ 144.88 $ 179.14 $ $ . $ . $ Teamsters D $ 239.64 $ 2,336.80 TRAINING FUNDAOMIN DUES TRV/SUBS SAVINGS OTHER TOTALDED CHKNUM $1,440.39 0 $ $ . $ -$ . $ $ 162.50 $ 8%.41 DD2924 fWH MCARE FICA ST TAX SDI VAC/HOL HEALTH/WELF PENSION s 0 0 0 0 0 4 0 4 $ 55.73 $ 376.00 $ 33.89 $ 144.88 $ 179.14 $ $ $ -$ . Laborer D $ 222.92 $ 2,336.80 TRAINING FUNDAOMIN DUES TRV/SUBS SAVINGS OTHER TOTALDED CHKNUM .. $1,440.39 0 $ $ $ -$ $ .$ 162.50 $ 8%.41 DD2924 fWH MCA RE FICA ST TAX SDI VAC/HOL HEAL TH/WELF PENSION s 0 0 8 8 8 5 0 29 $62.02 $ 291.00 $ 36.62 $ 156.59 $ 197.54 $ . $ $ . $ . Carpenters D $ 1,%2.48 $ 2,525.69 TRAINING FUNDADMIN DUES TRV/SUBS SAVINGS OTHER TOTALDED CHKNUM $1,626.58 0 0 0 1 1 0 0 0 2 $ 81.95 $ . $ $ -$ $ -$ 217.36 $ 899.11 002925 fWH MCA RE FICA ST TAX sor VAC/HOL HEAL TH/WELF PENSION s 0 0 0 0 0 2 0 2 $ 55.73 $ 291.00 $ 36.62 $ 156.59 $ 197.54 $ -$ -$ $ - Laborer D $ 111.46 $ 2,525.69 TRAINING FUNDADMIN DUES TRV/SUBS SAVINGS OTHER TOTALDED CHKNUM_ $1,626.58 0 $ -$ -$ -$ -$ $ 217.36 $ 899.11 002925 FWH MCA RE FICA ST TAX SDI VAC/HOL HEALTH/WELF PENS!ON Defer to s $ 437.00 $ 44.95 $ 192.20 $ 271.24 $ -$ $ $ Employee D 0 0 9 9 8 8 0 34 $3,100.00 $ 3,100.00 $ 3,100.00 TRAINING FUNDAOMIN DUES TRV/SUBS SAVINGS OTHER TOTALDED CHKNUM $ 2,054.61 0 $ -$ -$ $ . $ -$ 100.00 $ 1 045.39 002927 fWH MCARE FICA ST TAX SDI VAC/HOL HEALTH/WELF PENSION s 0 0 8 8 8 8 0 32 $ 55.73 $ 223.00 $ 27.97 <t 119.60 $ 125.34 $ .$ -$ -$ -Laborer D $ 1,929.06 $ 1,929.06 TRAINING FUNDADM!N DUES TRV/SUBS SAVINGS OTHER TOTALDEO CHKNUM $1,263.15 0 0 0 1 1 0 0 0 2 $ 72.85 $ . $ -$ . $ -$ .$ 170.00 $ 665.91 002928 fWH MCARE FICA ST TAX SDI VAC/HOL HEAL T><IWELf PENSION s 0 0 0 0 4 0 0 4 $35.75 $ -$ 2.34 $ 9.99 $ 1.61 $ . $ -$ -$ . Cement Masons Laborer D 0 s 0 0 D 0 0 0 S = Straight time 0 = Overtime D = Doubletime 8 l $ 143.00 $ 143.00 TRAINING FUNDADMIN DUES TRV/SUBS $ -$ .$ .$ - FWH MCARE FICA ST TAX 8 8 7 0 31 $62.02 $ 80.00 $ 20.77 $ 88.83 $ 33.31 $ 2,086.52 $ 2,086.52 TRAINING FUNDADMIN DUES TRV/SUBS 1 0 0 0 2 $ 81.95 $ . $ -$ .$ . *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 TOTAL OED CHKNUM $ 129.06 $ . $ $ 13.94 1818 SDI VAC/HOL HEALTHIWELf PENSION $ . $ -$ .$ - SAVINGS OTHER TOTALDED CHKNUM $ 1,044 .91 $ -s 818.70 $ 1 041.61 1823 CERTIFICATION must be completed (see back) Sunburst Software Solutions, Inc. -Certified Payroll Solution www.CertifiedPayrollReports.com ( l) ( 2) NAME, ADDRESS AND NIJTlber of SOCIAL SECURITY NUMBER Wlthholdiflg OF EMPLOY EE ExemotJons Ronnie Ramsey PO Box 141 Cayucos, CA 93430-0410 0 FORM A-1-131 (New 2-80) diR California DepartmeJ1t of lndustJ\al Relations PUBLIC WORKS PAYROLL REPORTING FORM NAME OF CONTRACTOR D-KAL Engineering CONTRACTOR'S LICENSE # 653307 ADDRESS OR SUBCONTRACTOR SPECIAL TY LICENSE # PAYROLL NUMBER FOR WEEK ENDING SELF-INSURED CERTIFICATE # PR OJECT OR CONTRACT# 9 11/17/2018 WORKERS' COMPENSATION POLICY # 7J45679A18 PR OJECT & LOCATION 41 DAY ( 5) ( 6) ( 7) ( 8) ( 3) Sun Mon Tue We<J Thu Fri Sat GROSS AMOUNT DATE HOURLY EARNED PAGE 2 PO Box 1919 San Luis Ob isoo. CA 93406 Waterline Replace Spec 91436 San Luis Obisoo ( 9) NET WAGES WORK 11/11 11/12 11/13 11/14 11/15 11/16 11/17 TOTAL RATE nus All DEDUCTIONS, CONTRIBUTIONS AND PAYMENTS PAID FOR CLASSIFICATION Equip. Opers. HOURS WORKED EACH DAY HOURS OF PAY PROJECT PROJECTS s 0 0 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 0 = Overtime D = Doubletime 8 1 FWH MCA RE FICA ST TAX 4 8 7 0 27 $75.23 $ 331.00 i 30.87 i 132.01 i 158.11 $ 2,129.09 $ 2,129.09 TRAINING FUNOADMIN DUES TRV/SUBS 0 0 0 0 1 $97.88 $ -i -t $ - FWH MCARE FICA ST TAX TRAINING FUNDADMIN DUES TRV/SUBS FWH MCA RE FICA ST TAX TRAINING FUNDADMIN 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 MCARE FICA ST TAX TRAINING FUNDADMIN DUES TRV/SU.BS 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 FUNDADMIN DUES TRV/SUBS FWH MCA RE FICA ST TAX TRAINING FUNDADMIN DUES TRVISUBS FWH MCARE FICA ST TAX TRAINING FUNDADMIN DUES TRV/SUBS FWH MCARE FICA ST TAX TRAINING FUNDADMIN DUES TRV/SUBS • OTHER -Any other de<Juctions, oontributions and/or payments whether or not include<J or required by prevailing wage determinations must be separate ly liste<J. Use extra sheet if necessary. WEEK SDI VAC!HOL HEAL THIWELF PENSION $ -$ -$ $ - SAVINGS OTHER TOTAL OED CHKNUM $ 1,337.10 $ -$ 140.00 $ 791.99 1824 SDI VACIHOL HEAL TH/WELF PENSION SAVINGS OTHER TOTAL OED CHKNUM SDI VAC/HOL HEALTHIWELF PENSION SAVINGS OTHER TOTAL OED CHKNUM SDI VAC/HOL HEAL THIWELF PENSION SAVINGS OTHER TOTAL OED CHKNUM SDI VAC/HOL HEALTH/WELF PENSION SAVINGS OTHER TOTAL OED CHKNUM SDI VAC/HOL HEAL TH/WELF PENSION SAVINGS OTHER TOTAL OED CHKNUM SDI VAC/HOL HEALTH/WELF PENSION SAVINGS OTHER TOTALDED CHKNUM SDI VACIHOL HEALTH/WELF PENSION SAVINGS OTHER TOTAL.OED CHK NUM SDr VAC/HOL HEALTH/WELF PENSION SAVINGS OTHER TOTALDED CHKNUM SDI VAC/HOL HEAL TH/WELF PENSION SAVINGS OTHER TOTAL OED CHKNUM SDI VAC/HOL HEAL THIWELf PENSION SAVINGS OTHER TOTALDED CHKNUM SDI VACIHOL HEALTHIWELF PENSION SAVINGS OTHER TOTALDED CHKNUM CERTIFICATION must be completed (see back) Sunburst Software Solutions, Inc. -Certified Payroll Solution www .CertifiedPayrollReports.com go;F6oF@.t^ ; *oad 6"r'g;gegi$$a$EFEs ,Efl$+iifrEiiF$EFEES$EiEFFg iilFsgggggi$$glgggg A(,JN'gegeggis$s+s*EgH$dBf,iF i*$a$; flE q E=flie€s =afl+*Etgg F$Ei.gE iraf3:*a* F Eggg*3fi$E+Efis$lrl,liat -qgq3FlF4 EiE-:tg glF;=*!EE ls gfiEEc 4$igF*Ba H =--=.r| - .i ^, f ^ i{ - +YF:FE,g +=1e=5e;fispYa r1€ 9EE gq FsffEs EE4=+HEF'H-'E; ++g=+"qF:a aD=^lD'-Y o)Xla J? o* _ o t4 m3lrtz o oo =!|- zoln Iom-J .)D{ ozczImF !mz 5 0 ! 1n-LIcF m =2 o^ge, mX € P€m = a1 r I I E d-R MF q { P dl-lo pH n: E< rz)rm: =i P.Lr{ irl 7, Eif;l;Ee=s'dE-3Eqqlilf.6ff3dei e FrfF+Hlr'3d+ H 3E i; A figs€ g: fiq)='+=.o:lorYdd" -lI d +eI d19 E;+ aF=(D P = >d =.6 f rD :,='g;9fr[ffd='fl fr f;Io=ili E=: a 41 E:E3-F-log',EalDE e gF$i4F$i5H;= ie = 3r (^ad'+-.E g =aI i to cr6 X'o Ir}Phl(D -;.X;r QHi<* F:qqfr m =:sd iiE4nu o-t:-b €dXKE !*Hs; i1p.3 E:3;;fr od{q =SBeE dlCH ;fP=E 4F-+ 2<+6 = * t H+s s :aY oooor!i+og!o-lD =. 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