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Home My WebLink AboutRedacted - Waterline 91436 Week 15 ended 12.29.18( 1 ) ( 2) NAME, ADDRESS AND Number of SOCIAL SECURITY NUMBER Withholding OF EMPLOYEE ExemntlonS Bryce Crespin 4355 Cayucos Ave Atascadero, CA 93422 0 Bryce Crespin 4355 Cayucos Ave Atascadero, CA 93422 0 Clinton R Barry 776 Brahma St Paso Robles, CA 93446 0 0 0 0 0 0 0 0 0 0 George Llamas 800 E. Cook Santa Maria, CA 93454 Iran A Nieves 1628 Village Ct Santa Maria, CA 93454 Jacob D Rexford 2761 Chaparral Lane Paso Robles, CA 93446 xxxx - James Yanez 538 County Lane San Luis Obispo, CA 93401 Jose Sanchez Garcia 558 Ferro Lane Paso Robles, CA 93446 xxx - Juan Manuel Barrios 1021 Gaylene Dr Santa Maria, CA 93458 Luis Abarca 13737 Geronimo Rd SANTA MARGARITA, CA 9345 xxx Manuel Robledo 9694 Birmingham Ave Riverside, CA 92509 Philip C Brainard III 1501 14th St Los Osos, CA 93402 FORM A-1-131 (New 2-80) diR California Department of Industrial Relations PUBLIC WORKS PAYROLL REPORTING FORM NAME OF CONTRACTOR D-KAL Engineering CONTRACTOR'S LICENSE # 653307 ADDRESS OR SUBCONTRACTOR SPEC IAL lY LICENSE # PAYROLL NUMBER FOR WEEK ENDING SELF-INSURED CERTIFICATE# PROJECT OR CONTRACT# 15 12/2912018 WORKERS' COMPENSATION POLICY# 7J45679A18 PROJECT & LOCATION PAGE PO Box 1919 San Luis Obisoo. CA 93406 Waterline Replace Spec 91436 San Luis Ob is....., 4) DAY ( 5) ( 6) ( 7) ( 8) ( 9) ( 3) Sun Mon Tue Wed Thu Fri Sat GROSS AMOUNT NET DATE HOURLY EARNED WAGES WORK 17/23 12124 1)125 12/26 12/27 12/28 12/29 TOTAL RATE THIS ALL DEDUCTIONS, CON TRIBUTIONS AND PAYMENTS PAID FOR CLASSIFICATION HOURS WORKED EACH DAY HOURS OF PAY PROJECT PROJECTS s 0 0 Equip. Opers. D 0 s 0 0 Carpenters D 0 0 0 s 0 0 Equip. Opers. D 0 0 0 s 0 0 Teamsters D 0 0 0 Apprentice s 0 0 Laborer D 0 0 0 s 0 0 Laborer D 0 0 0 lv� .. J,st' � �ee Laborer Laborer Appr entice Laborer Laborer Laborer s D 0 0 0 s 0 0 D 0 0 0 s 0 0 D 0 0 0 s 0 0 D 0 0 0 s 0 0 D 0 0 0 s 0 0 D 0 0 0 S = Straight time o = Overtime D = Doubletime 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 FWH MCARE FICA SrTAX 6 5 0 0 11 $75.23 <t 284.00 $ 36.17 $ 154.64 $ 193.20 $ 827.53 $ 2,494.27 TRAINING FUND ADM!N DUES TRY/SUBS t -$ -$ $ FWH MCARE FICA ST TAX 2 3 8 0 13 $62.02 < 284.00 $ 36.17 $ 154.64 $ 193.20 $ 1,666.74 $ 2,494.27 TRAINING FUND ADM!N DUES TRV/SUBS 1 6 3.5 0 10.5 $ 81.95 t -$ -$ $ FWH MCARE FICA ST TAX 0 8 8 0 16 $ 75.23 $ 164.00 $ 30.40 $ 130.00 $ 146.45 $ 1,986.72 $ 2,096.72 TRAINING FUNDADMIN DUES TRV/SUBS 0 6 2 0 8 $97.88 $ $ -$ $ FWH MCARE FICA ST TAX 8 8 8 0 24 $59.91 $ 262.00 $ 26.86 $ 114.84 $ 123.66 $ 1,852.27 $ 1,852.27 TRAINING FUND ADMIN DUES TRY/SUBS 0.5 5 0 0 5.5 J:75.35 $ -$ $ -$ FWH MCA RE FICA ST TAX 8 8 4 0 20 $ 20.48 $ 52.00 $ 9.00 $ 38.47 $ 16.90 $ 578.56 $ 620.41 TRAINING FUNDADMIN DUES TRY/SUBS 0 5.5 0 0 5.5 $30.72 t -$ $ -$ FWH MCA RE FICA ST TAX 0 8 0 0 8 $ 58.38 t 238.00 $ 33.24 $ 142.12 $ 170.00 $ 2,292.18 $ 2,292.18 TRAINING FUND ADM!N DUES TRY/SUBS 0 6.5 0 0 6.5 $87.57 t -$ $ -$ -n;A) 18(i.O.d FWH MCA RE FICA ST TAX t 408.00 $ 43.30 $ 185.15 $ 255.88 8 8 8 0 24 $� $� $ 3,100.00 TRAINING FUND ADMIN DUES TRV/SUBS t -$ $ $ - FWH MCARE FICA ST TAX 8 8 8 0 24 $ 55.73 t 111.00 $ 29.43 $ 125.84 $ 64.25 $ 2,029.60 $ 2,029.60 TRAINING FUND ADMIN DUES TRV/SUBS 1 6 2.5 0 9.5 $ 72.85 t -$ -$ -$ - FWH MCARE FICA ST TAX 8 8 8 0 24 $55.73 $ 250.00 $ 29.96 $ 128.09 $ 137.88 $ 2,066.02 $ 2,066.02 TRAINING FUND ADM!N DUES TRY/SUBS 1.5 6 2.5 0 10 $72.85 j; -$ -$ -$ FWH MCARE FICA ST TAX 8 8 8 0 24 $ 20.48 $ 102.00 $ 13.01 $ 55.61 $ 38.68 $ 783.36 $ 783.36 TRAINING FUNDADMIN DUES TRY/SUBS 1 6 2.5 0 9.5 $30.72 $ -$ -$ -$ FWH MCARE FICA ST TAX 0 8 8 0 16 $62.02 $ 55.00 $ 17.13 $ 73.26 $ 20.78 $ 1,484.02 $ 1,484.02 TRAINING FUND ADM!N DUES TRV/SUBS 0 6 0 0 6 $81.95 t -$ -$ -$ FWH MCA RE FICA ST TAX 8 8 8 0 24 $55.73 t 228.00 $ 28.37 $ 121.32 $ 126.38 $ 1,956.75 $ 1,956.75 TRAINING FUNDADMIN DUES TRY/SUBS 0 6 2.5 0 8.5 $ 72.85 t $ -$ -$ * OTHER -Any other deductions, cont ributions and/or payments whether or not included or required by prevailing wage determinations must be separately listed. Use extra sheet if necessary. WEEK SDI VAC'JHOL HEAL TH/WELF PENSION $ -$ $ $ - SAVINGS OTHER TOTAL OED CHKNUM $1,653.76 $ -$ 172.50 $ 840.51 DD2981 SDI VA<"IHOL HEAL TH/WELF PENSION $ -$ $ $ - SAVINGS OTHER TOTALDED CHKNUM $1,653.76 $ -$ 172.50 $ 840.51 002981 SDI VAC/HOL HEAL TH/WELF PENSION $ -j; -j; $ - SAVINGS OTHER TOTALDED CHKNUM $1,505.87 $ -$ 120.00 $ 590.85 DD2982 SDI VAC/HOL HEALTH/WELF PENSION $ -$ -j; $ - SAVINGS OTHER TOTALDED CHKNUM $ 1,177.41 $ $ 147.50 $ 674.86 DD298S SDI VAC/HOL HEAL TH/WELF PENSION $ j; $ $ SAVINGS OTHER TOTALDED CHK NUM $ 504.04 $ j; $ 116.37 1867 SDI VN"FHOL HEALTH/WELF PENSION $ -$ $ $ - SAVINGS OTHER TOTALDED CHKNUM $ 1,503.96 $ -$ 204.86 $ 788.22 DD2986 SDI VACFHOL HEALTI-llWELf PENSION $ -$ $ $ - SAVINGS OTHER TOTALDED CHKNUM $1,994.04 $ -$ 213.63 $ 1 105.96 DD2988 SDI VAC-fHOL HEAL TH/WELF PENSION $ -$ $ $ - SAVINGS OTHER TOTALDED CHKNUM $ 1,148.68 $ -$ 550.40 $ 880.92 1869 SDI VAC/HOL HEAL THJWELF PENSION $ -$ $ $ - SAVINGS OTHER TOTALDED CHKNUM $1,350.09 $ -$ 170.00 $ 715.93 002989 SDI VAC/HOL HEAL TH/WELF PENSION $ -$ $ $ SAVINGS OTHER TOTALDED CHKNUM $ 574.06 $ $ $ 209.30 1870 SDI VAC/HOL HEAL THl\liELF PENSION $ -$ $ j; - SAVINGS OTHER TOTALDED CHKNUM $ 905.40 $ -$ 412.45 $ 578.62 1871 SDI VAC"iHOL HEAL THJWELF PENSION $ -$ -$ $ SAVINGS OTHER TOTAL OED CHK NUM $ 1,290.18 $ $ 162.50 $ 666.57 1872 CERTIFICATION must be completed (see back) Sunburst Software Solutions, Inc. -Certified Payroll Solution www .CertifiedPayrollReports.com ( 1 ) ( 2) NAME, ADDRESS AND Number of SOCIAL SECURITY NUMBER Withholding OF EMPLOYEE ExemntionS Ronnie Ramsey PO Box 141 Cayucos, CA 93430-0410 0 FORM A-1-131 (New 2-80) diR C.1llfomla Department of Industrial Relations PUBLIC WORKS PAYROLL REPORTING FORM PAGE NAME OF CONTRACTOR D-KAL Engineering OR SUBCONTRACTOR PAYROLL NUMBER FOR WEEK ENDING SELF-INSURED CERTIFICATE# 15 12/29/2018 WORKERS' COMPENSATION POLICY # 41 DAY ( 3) Sun Mon Tue Wed Thu Fri Sat DATE WORK 12/23 12/241 P/25112/26 12127 lJ/28 12/29 CLASSIFICATION HOURS WORKED EACH DAY Equip. Opers. 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 0 7.5 8 4.5 0 0 0 LS 0 0 ( 5) (6) HOURLY TOTAL RATE HOURS OF PAY 20 $ 75.23 1.5 $ 97.88 CONTRACTOR'S LICENSE # SPECIAL TY LICENSE # 7J45679Al8 ( 7) GROSS AMOUNT EARNED THIS ALL PROJECT PROJECTS FWH � 226.00 $ 1,651.42 $ 1,651.42 TRAINING <I: - FWH TRAINING FWH TRAINING FWH TRAINING FWH TRAINING FWH TRAINING FWH TRAINING FWH TRAINING FWH TRAINING FWH TRAINING FWH TRAINING FWH TRAINING 653307 ADDRESS PO Box 1919 San Lu is Obisno CA 93406 PROJECT OR CONTRACT# Waterline Replace Spec 91436 PROJECT & LOCATION San Luis Obisoo ( 8) DEDUCTIONS, CONTRIBUTIONS AND PA YMENTS MCARE FICA ST TAX SDI VACJHOL HEALTH/WELF PENSION $ 23.95 $ 102.39 $ 105.20 $ -$ $ $ FUNDADMIN DUES TRVISUBS SAVINGS OTHER TOTAL OED CHKNUM $ $ -$ -$ $ 107.50 $ 565.04 1873 MCA RE FICA ST TAX SDI VACfHOL HEALTH/WELF PENSION FUND ADMIN DUES TRV/SUBS SAVINGS OTHER TOTAL OED CHKNUM MCA RE FJCA ST TAX SDI VAC'IHOL HEAL TH/WELF PENSION FUNDADM!N DUES TRY/SUBS SAVINGS OTHER TOTAL OED CHKNUM MCA RE FJCA ST TAX SDI VAr!HOL HEAL TH/WELF PENSION FUNDADMIN DUES TRY/SUBS SAVINGS OTHER TOTAL OED CHKNUM MCA RE FICA ST TAX SDI vAriHOL HEAL TH/WELF PENSION FUNDADMIN DUES TRV/SUBS SAVINGS OTHER TOTAL OED CHKNUM MCARE FJCA ST TAX SDI VAfiHOL HEAL TH/WELF PENSION FUNDADMIN DUES TRY/SUBS SAVINGS OTHER TOTAL OED CHKNUM MCA RE FJCA ST TAX SDI VACIHOL HEALTH/WELF PENSION FUNDADM!N DUES TRY/SUBS SAVINGS OTHER TOTAL OED CHK NUM MCA RE FICA ST TAX SDI VACIHOL HEAL TH/WELF PENSION FUNDADM!N DUES TRVISUBS SAVINGS OTHER TOTAL OED CHKNUM MCARE FJCA ST TAX SDI VAC'/HOL HEALTH/WELF PENSION FUNDADMIN DUES TRY/SUBS SAVINGS OTHER TOTAL OED CHKNUM MCA RE FJCA ST TAX SDI VAr!HOL HEAL TH{WELF PENSION FUNDADMIN DUES TRV/SUBS SAVINGS OTHER TOTAL OED CHK NUM MCARE FICA ST TAX SDI VAr!HOL HEALTH{WELF PENSION FUNDADMIN DUES TRY/SUBS SAVINGS OTHER TOTAL OED CHKNUM MCA RE FICA ST TAX SDI VAC'iHOL HEAL TH/WELF PENSION FUNDADMIN DUES TRVISUBS SAVINGS OTHER TOTAL OED CHK NUM ( 9) NET WAGES PAID FOR WEEK $1,086.38 D = Dou bletime *OTHER -Any other deductions, co ntributions and/or payments whether or not included or required by prevailing wage determinations must be separately listed. 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