HomeMy WebLinkAboutRedacted - Waterline 91436 Week 20 ended 02.02.19( l ) ( 2 )
NA ME , ADDRESS AND Number of
SOC IAL SEC URI1Y NU MBER Withhokllng
OF EMPLOYEE ExemptiOnS
0
Bryce Crespin
4355 Cayucos Ave
Atascadero, CA 93422
Clinton R Barry
776 Brahma St
0 Paso Robles, CA 93446
Iran A Ni eves
1628 Vi llage Ct
Sa nta Maria, CA 93454 0
Jacob D Rexford
2761 Chaparral Lane
Paso Robles, CA 93446 0
James Douglas
612 Laura Way
Paso Robles, CA 93446 0
James Douglas
612 Laura Way
Paso Rob les, CA 93446 0
0
James Yanez
538 County Lane
San Luis Obispo, CA 93401
Jose Sanchez Garcia
558 Ferro Lane
Paso Robles, CA 93446 0
Juan Manuel Barrios
1021 Gaylene Dr
Santa Maria, CA 93458 0
Manuel Robledo
9694 Birmingham Ave
Riverside, CA 92509 0
Philip C Brainard Ill
1355 13th St
Los Osos, CA 93402 0
Ronnie Ramsey
PO Box 141
Cayucos, CA 93430-0410 0
FORM A-1-131 (New 2-80)
diR ca11romta 0epartmen1
of Industrial Relations PUBLIC WORKS PAYROLL REPORTING FORM
NAME OF CONTRACTOR D-KAL Engi neering CONTRACTOR'S LICENSE # 653307 ADDRESS
OR SUBCONTRACTOR SPE CIAL 1Y LICENSE #
PAYROLL NU MBER FOR WEEK ENDING SELF-INSURED CERTIF ICATE# PROJECT OR CONTRACT#
20 2/2/2019 WORKERS' COMPENSATION POLICY# 7J45679Al8 PROJECT & LOCATION
PAGE
PO Box 1919 San Luis Obisoo. CA 93406
Waterline Rep lac e Sp ec 91436
San Luis Obisoo
14\DAY ( 5) ( 6) ( 7) ( 8) ( 9)
( 3) Sun Mon Tue Wed Thu I Fri Sat GROSS AMOUNT NET
DATE HOURLY EARNE D WAGES
WORK 1/27 1/28 1/29 1/30 1/31 I 2/1 I 2/2 TOTAL RATE THIS ALL DE DUCTIONS, CONTRIBUTI ONS AND PAYMENTS PA ID FOR
CLASSIFICATION HOURS WORKED EACH DAY HOURS OF PAY PROJECT PROJECTS
Equip. Opers.
Equip. Opers.
Apprentice
Laborer
Laborer
Equip. Opers.
Laborer
Foreperson
Laborer
Laborer
Laborer
Laborer
Equip. Opers.
s 0 8
D
0 0 3.5
s 0 0
D
0
s 0 8
D
0 0 3
s 0 8
D
0 0 4
s 0 0
D
0
s 0 8
D
0 0 0
s
D 0 11
0
s 0 8
D
0 0 3
s 0 0
D
0
s 0 8
D
0 0 3
s 0 0
D
0
s 0 8
D
0 0 4
S = St raight time
0 = Overtime
D = Doubletime
8
2
0
8
1
0
0
0
0
1
9
8
1
0
8
1
0
8
1
FWH MCARE FICA ST TAX
8 0 6 0 30 $ 75.23 $ 371.00 $ 42.09 $ 179.96 $ 238.04
$ 2,902.55 $ 2,902.55 TRA INING FUNDADM!N DUES TRV/SUBS
1 0 0 0 6.5 $99.33 $ $ $ -$ FWH MCA RE FICA ST TAX
0 0 2 0 2 $75.23 $ 292.00 $ 37.87 $ 161.93 $ 215.52
$ 150.46 $ 2,611.71 TRAINING FUNDADMIN DUES TRV/SUBS
$ -$ $ -$
FWH MCARE FICA ST TAX
8 0 6.5 0 30.5 $ 20.48 $ 86.00 $ 13.03 $ 55.71 $ 36.31
$ 778.24 $ 778.24 TRAINING FUNDADMIN DUES TRV/SUBS
1 0 0 0 5 $30.72 $ -$ $ -$
FWH MCARE FICA ST TAX
0 0 0 0 8 $ 58.73 $ 211.00 $ 31.46 $ 134.49 $ 155.94
$ 2,116.76 $ 2 ,169.26 TRAINING FUND ADM!N DUES TRV/SUBS
0 0 0 0 4 $ 77.35 $ -$ $ $ FWH MCARE FICA ST TAX
2 0 0 0 2 $75.23 $ 157.00 $ 26.55 $ 113.53 $ 73.38
$ 150.46 $ 1,831.20 TRAINING FUNDADMIN DUES TRV/SUBS
$ -$ $ $
FWH MCARE FICA ST TAX
0 0 0 0 8 $58.38 $ 157.00 $ 26.55 $ 113.53 $ 73.38
$ 1,680.74 $ 1,831.20 TRAINING FUNDADM!N DUES TRV/SUBS
1 0 0 0 2 $ 72.85 $ -$ $ $ FWH MCARE FICA ST TAX
$ 426.00 $ 43.30 $ 185.16 $ 258.38
9 0 6 0 35 $77.50 $ 2,712.50 $ 3,100.00 TRAINING FUNDADMIN DUES TRV/SUBS
$ -$ $ $ FWH MCARE FICA ST TAX
8 1 6 0 31 $ 55.73 $ 109.00 $ 29.28 $ 125.18 $ 62.95
$ 2,019.03 $ 2,019.03 TRAINING FUNDADMIN DUES TRV/SUBS
0 0 0 0 4 $ 72.85 $ -$ $ $ FWH MCARE FICA ST TAX
0 0 6 0 6 $ 55.73 $ 216.00 $ 25.66 $ 109.70 $ 118.89
$ 334.38 $ 1,769.38 TRAINING FUNDADMIN DUES TRV/SUBS
$ $ -$ $ FWH MCA RE FICA ST TAX
8 5 6 0 35 $62.02 $ 158.00 $ 30.84 $ 131.86 $ 80.58
$ 2,580.45 $ 2,580.45 TRAINING FUNDADMIN DUES TRV/SUBS
1 0 0 0 5 $81.95 $ -$ $ $ FWH MCA RE FICA ST TAX
0 0 6 0 6 $ 55.73 $ 227.00 $ 26.42 $ 112.96 $ 124.79
$ 334.38 $ 1,821.88 TRAINING FUNDADMIN DUES TRV/SUBS
$ $ $ $ FWH MCARE FICA ST TAX
7 0 6.5 0 29.S $ 75.23 $ 461.00 $ 39.38 $ 168.38 $ 218.09
$ 2,715.94 $ 2,715.94 TRAINING FUNDADMIN DUES TRV/SUBS
0 0 0 0 5 $99.33 $ $ $ -$
• 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 VAC/HOL HEAlTH/WELF PENSION
$ -$ $ $
SAVINGS OTHER TOTAL DED CHKNUM $ 1,888.96
$ $ 182.50 $ 1 013.59 DD3036
SDI VAC/HOL HEAL TH/WELF PENSION
$ $ -$ $ -
SA VINGS OTHER TOTALDED CHKNUM $ 1,894.39
$ $ 10.00 $ 717.32 DD3037
SDI VAC /HOL HEALTH/WELF PENSION
$ $ -$ $ -
SA VINGS OTHER TOTAL OED CHKNUM $ 587.19
$ $ $ 191.05 003041
SDI VAC/HOL HEAL TH/WELF PENSION
$ -$ $ $
SAVINGS OTHER TOTAL OED CHKNUM $ 1,429.01
$ -$ 207.36 $ 740.25 003042
SDI VAC/HOL HEALTHIWELF PENSION
$ -$ $ $ SA VINGS OTHER TOTALDED CHKNUM $ 1,310.74
$ $ 150.00 $ 520.46 DD3043
SDI VAC/HOL HEALTH/WELF PENSION
$ $ $ $ SA VINGS OTHER TOTALDED CHK NUM $ 1,310.74
$ $ 150.00 $ 520.46 DD3043
SDI VAC/HOL HEAL TH/WELF PENSION
$ -$ $ $
SAVINGS OTHER TOTALDED CHK NUM $ 1,973.53
$ $ 213.63 $ 1126.47 DD3044
SDI VAC/HOL HEALTH/WELF PENSION
$ $ $ $ SAVINGS OTHER TOTALDED CHK NUM $ 1,517.62
$ -$ 175.00 $ 501.41 1901
SDI VAC/HOL Hl:ALTH/WELF PENSION
$ $ $ $ SAVINGS OTHER TOTAL OED CHK NUM $ 1,269.13
$ $ 30.00 $ 500.25 DD3045
SDI VAC/HOL HEALTH/WELF PENSION
$ $ $ $ SA VINGS OTHER TOTAL OED CHK NUM $1,525.49
$ $ 653.68 $ 1 054.96 1902
SDI VAC/HOL HEAL THIWELF PENSION
$ $ $ $ SAVINGS OTHER TOTAL OED CHK NUM $ 1,300.71
$ $ 30.00 $ 521.17 1903
SDI VAC/HOL HEALTH/WELF PENSION
$ $ $ $ SAVINGS OTHER TOTAL OED CHKNUM $1,656.59
$ $ 172.50 $ 1 059.35 1905
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