The URL can be used to link to this page

Home My WebLink AboutRedacted - Waterline 91436 Week 22 ended 02.16.19( 1) ( 2) NAME, ADDRESS AND Number of SOCIAL SECUR!1Y NUMBER Withholding OF EMPLOYEE ExemPt,ons 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 George Llamas 800 E. Cook Santa Maria, CA 93454 0 Iran A Nieves 1628 Village Ct Santa Maria, CA 93454 0 Jacob D Rexford 2761 Chaparral Lane Paso Robles, CA 93446 0 0 0 James Douglas 612 Laura Way Paso Robles, CA 93446 James Yanez 538 County Lane San Luis Obispa, 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 III 1355 13th St Los Osos, CA 93402 0 FORM A-1-131 (New 2·80) diR cat1fornla Department of Industrial Relations PUBLIC WORKS PAYROLL REPORTING FORM NAME OF CONTRACTOR 0-KAL Engineering CONTRACTOR'S LICENSE # 653307 ADDRESS OR SUBCONTRACTOR PAYROLL NUMBER FOR WEEK ENDING 22 2/16/2019 ( 3) Sun Mon Tue SELF-INSURED CERTIFICATE # WORKERS' COMPENSATION POLICY # 141 DAY Wed DATE Thu Fri ( 5) ( 6) Sat HOURLY SPECIAL 1Y LICENSE # PROJECT OR CONTRACT # 7J45679Al8 PROJECT & LOCATION ( 7) ( 8) GROSS AMOUNT EARNED PAGE PO Box 1919 San Luis Obisoo CA 93406 Waterline Replace Spec 91436 San Luis Obisoo ( 9) NET WAGES WORK 2/10 2/11 2/12 2/13 2/14 2/15 2/16 TOTAL RATE THIS ALL DEDUCTIONS, CONTRIBUTIONS AND PAYMENTS PAID FOR CLASSIFICATION HOURS WORKED EACH DAY Equip. Opers. Laborer Equip. Opers. Teamsters Apprentice Laborer Laborer Laborer Foreperson Laborer Laborer Laborer Laborer s 0 5 D 0 s 0 3 D 0 0 l.5 s 0 0 D 0 0 0 s 0 5 D 0 s 0 8 D 0 s 0 8 D 0 0 2 s 0 8 D 0 s D 0 10 0 s 0 8 D 0 s 0 0 D 0 0 0 s 0 8 D 0 s 0 8 D 0 0 1 S = Straight time 0 = Overtime 0 0 0 0 8 0 0 0 1 0 0 0 8 0 0 0 0.5 0 0 0 8 0 0 0 7 0 0 0 8 4 0 0 0 0 0 0 8 4 0 0 8.5 4 0 0 7 0 0 0 8 4 0 0 0.5 0 0 0 8 0 0 0 6.5 0 0 0 0 0 0 0 HOURS OF PAY PROJECT PROJECTS FWH 0 5 $ 75.23 $ l8l.OO $ 376.15 $ 1,945.47 TRAINING $ FWH 0 11 $62.02 $ 181.00 $ 887.10 $ 1,945.47 TRAINING 0 2.5 $ 81.95 $ - FWH 0 8 $ 75.23 $ 107.00 $ 651.51 $ l,545.26 TRAINING 0 0.5 $ 99.33 $ - FWH 0 13 $59.91 $ 136.00 $ 778.83 $ 1,198.83 TRAINING $ FWH 0 15 $20.48 $ 21.00 $ 307.20 $ 307.20 TRAINING $ FWH 0 20 $ 55.73 $ 94.00 $ 1,260.30 $ 1,260.30 TRAINING 0 2 $ 72.85 $ - FWH 0 20 $ 55.73 $ 77.00 $ 1,114.60 $ 1,114.60 TRAINING $ FWH $ 393.00 0 22.S $ 73.75 $ 1,659.38 $ 2,950.00 TRAINING $ - FWH 0 15 $55.73 $ 29.00 $ 835.95 $ 1,281.79 TRAINING $ FWH 0 12 $55.73 $ 72.00 $ 705.19 $ 1,090.19 TRAINING 0 0.5 $ 72.85 $ FWH 0 16 $ 62.02 $ $ 992.32 $ 992.32 TRAINING $ FWH 0 14.5 $ 55.73 $ 68.00 $ 880.94 $ 1,073.44 TRAINING 0 1 $ 72.85 $ WEEK MCA RE FICA ST TAX SDI VAC/HOL HEAL TH/WELF PENSION $ 28.21 $ 120.62 $ 139.75 $ $ s -$ - FUNDADMIN DUES TRV/SUBS SAVINGS OTHER TOTAL OED CHKNUM $1,383.39 t $ $ $ $ 92.50 $ 562.08 003060 MCARE FICA ST TAX SDI VAC/HOL HEALTH/WELF PENSION $ 28.21 $ 120.62 $ 139.75 S $ $ $ FUNDADMIN DUES TRVISUBS SAVINGS OTI-iER TOTAL OED CHKNUM $ 1,383.39 $ -$ $ -$ $ 92.50 $ 562.08 003060 MCARE FICA ST TAX SDI VAC/HOL HEAL TH/WELF PENSION $ 22.41 $ 95.81 $ 92.44 $ $ $ $ FUNDADMIN DUES TRV/SUBS SAVINGS OTHER TOTAL DED CHKNUM $ 939.57 $ $ -$ s $ 288.03 $ 605.69 003061 MCARE FICA ST TAX SDI VAC/HOL HEALTH/WELF PENSION $ 17.39 $ 74.32 $ 59.15 $ $ $ $ FUNDADMIN DUES TRV/SUBS SAVINGS OTI-iER TOTAL OED CHKNUM $ 846.97 $ $ $ -$ $ 65.00 $ 351.86 003064 MCARE FICA ST TAX SDI VAC/HOL HEAL TH/WELF PENSION $ 5.20 $ 22.20 $ 5.29 $ $ $ $ FUNDADMIN DUES TRV/SUBS SAVINGS OTI-iER TOTAL DED CHKNUM $ 253.51 $ $ $ $ $ $ 53.69 003065 MCARE FICA ST TAX SDI VAC/HOL HEAL TH/WELF PENSION $ 18.27 $ 78.14 $ 61.21 $ $ $ $ FUNDADMIN DUES TRV/SUBS SAVINGS OTI-iER TOTAL DED CHK NUM $ 871.32 $ $ $ $ $ 137.36 $ 388.98 003066 MCA RE FICA ST TAX SDI VAC/HOL HEALTH/WELF PENSION $ 16.16 $ 69.10 $ 28.81 $ -$ $ $ FUNDADMIN DUES TRV/SUBS SAVINGS OTI-iER TOTAL OED CHKNUM $ 823.53 $ $ -$ s -$ 100.00 $ 291.07 003067 MCA RE FICA ST TAX SDI VAC/HOL HEALTH/WELF PENSION $ 41.13 $ 175.86 $ 241.53 $ $ $ $ FUNDADMIN DUES TRV/SUBS SAVINGS OTHER TOTALDED CHKNUM $ 1,884.85 s $ -$ $ $ 213.63 $ 1 065.15 003068 MCARE FICA ST TAX SDI VAC/HOL HEAL TH/WELF PENSION $ 18.59 � 79.47 $ 15.99 $ $ $ $ FUNDADMIN DUES TRV/SUBS SAVINGS OTHER TOTALDED CHKNUM $ 1,023.74 $ $ $ -$ -$ 115.00 $ 258.05 1916 MCARE FICA ST TAX SDI VAC/HOL HEAL TH/WELF PENSION $ 15.81 $ 67.59 $ 41.23 $ $ $ $ - FUNDADMIN DUES TRV/SUBS SAVINGS OTHER TOTAL OED CHKNUM $ 831.06 $ -i $ -$ $ 62.50 $ 259.13 003069 MCA RE FICA ST TAX SDI VAC/HOL HEALTH/WELf PENSION $ 7.81 $ 33.39 $ 5.39 $ $ $ $ FUNDADMIN DUES TRV/SUBS SAVINGS OTHER TOTAL OED CHKNUM $ 412.05 $ -$ $ $ $ 533.68 $ 580.27 1913 MCA RE FICA ST TAX SDI VAC/HOL HEAL TH/WELf PENSION $ 15.56 $ 66.56 $ 38.27 $ $ $ $ - FUNDADMIN DUES TRV/SUBS SAVINGS OTHER TOTAL OED CHKNUM $ 807.55 $ $ -$ $ $ 77.50 $ 265.89 1914 D = Doubletime * 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. 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 Wlthho�lng OF EMPLOYEE Exemotlons Ronnie Ramsey PO Box 141 Cayucos, CA 93430-0410 FORM A-1-131 (New 2·80) diR Cal!fomla Department or Industrial Reiat,ons 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# PROJECT OR CONTRACT# 22 2/16/2019 WORKERS' COMPENSATION POLICY # 7J45679A18 PROJECT & LOCATION PAGE PO Box 1919 San Luis Obisoo. CA 93406 Waterline Rep lace Spec 91436 San Luis Obisoo 4)DAY ( 5) ( 6) ( 7) ( 8) ( 9) ( 3) Sun Mon Tue Wed Thu Fri I Sat GROSS AMOUNT NET DATE HOURLY EARNED WAGES WORK 2/10 2/11 2/12 2/13 2/14 2/15 2/16 TOTAL RATE THIS All DEDUCTIONS, CONTRIBUTIONS AND PAYMENTS PAID FOR CLASSI FICATION HOURS WORKED EACH DAY HOURS OF PAY PROJECT PROJECTS Equip. Opers. s 0 7 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 D 0 S = Straight time 0 = Overtime D = Doubletime 8 FWH MCARE FICA ST TAX 0 0 0 0 15 $75.23 $ 118.00 $ 16.36 $ 69.96 $ 51.37 $ 1,128.45 $ 1,128.45 TRAINING FUNOAOMIN DUES TRV/SUBS $ $ $ $ FWH MCARE FICA ST TAX TRAINING FUNOADMIN DUES TRV/SUBS FWH MCA RE FICA ST TAX TRAINING FUNOADMIN DUES TRV/SUBS FWH MCARE FICA ST TAX TRAINING FUNDADMIN DUES TRV/SUBS FWH MCARE FICA ST TAX TRAINING FUND AOMIN DUES TRV/SUBS FWH MCARE FICA ST TAX TRAINING FUNDADMIN DUES TRV/SUBS FWH MCARE FICA ST TAX TRAINING FUNDAOMIN DUES TRV/SUBS FWH MCARE FICA ST TAX TRAINING FUND AOMIN DUES TRV/SUBS FWH MCARE FICA ST TAX TRAINING FUND ADMIN DUES TRV/SUBS FWH MCARE FICA ST TAX TRAINING FUND ADMIN DUES TRV/SUBS FWH MCARE FICA ST TAX TRAINING FUND ADMIN DUES TRV/SUBS FWH MCARE FICA ST TAX TRAINING FUND ADMIN 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 VAC/HOL HEAl TH/WELF PENSION $ $ $ $ . SAVINGS OTHER TOTAL DED CHKNUM $ 797.76 $ $ 75.00 $ 330.69 1915 SDI VAC/HOL HEAl TH/WELF PENSION SAVINGS OTHER TOTAL OED CHKNUM SDI VAC/HOL HEAl TH/WELF PENSION SAVINGS OTHER TOTALDEO CHK NUM SDI VAC/HOL HEALTH/WELF PENSION SAVINGS OTHER TOTAL OED CHK NUM SDI VAC/HOL HEALTH/WaF PENSION SAVINGS OTHER TOTAL OED CHK NUM SDI VAC/HOL HEAL TH/WELF PENSION SAVINGS OTHER TOTALDED CHK NUM SDI VAC/HOL HEAL TH/WELF PENSION SAVINGS OTHER TOTALDED CHK NUM SDI VAC/HOL HEAL TH/WELF PENSION SAVINGS OTHER TOTALDED CHK NUM SDI VAC/HOL HEALTH/WELF PENSION SAVINGS OTHER TOTALDED CHK NUM SDI VAC/HOL HEAL TH/WELF PENSION SAVINGS OTHER TOTALDED CHKNUM SDI VAC/HOL HEAL TH/WELF PENSION SAVINGS OTHER TOTAL OED CHKNUM SDI VAC/HOL HEALTH/WELF PENSION SAVINGS OTHER TOTALDED CHKNUM CERTIFICATION must be completed (see back) Sunburst Software Solutions, Inc. -Certified Payroll Solution www .CertifiedPayrollReports.com u! D--m3 t1tz-{ oal .)o3!r 2(1 m om-{F'1Il-loD-lFI zczumF !mz t o'rt!m d F 3 o c eefFa$gg' }$$;$fi $;ra1$$fE IIHFEFIEFEqgi$E3fl'fgi igfrlf E-$i$EE Fgffi1B$+f, IIHEEEfFEEIi4$iEiEE$g iE$Eg gggi$ $f$EF€+E$ EEEFE-fl*eggFa+9EFFffi {fFEa eaexeaie+3$$firfifipfii1$6p$g$g$g$igi$ggg r*r*; $Ee***$ ,''',Hti FF;HiEiEi$ECFE F$rEE ii5o, mx € x€i; r 6rI e q 6-r rwr! e :: ",n6IH n = $<^-: =i F-L__rg mY :!=*: -n!a-r =A :-i+g; =gH d 4l6E- BaiaaBfiJ*qi A3=d]:I:8st& m66;n&ffiXr'+Ai Ho; = 5 Q zii: -.q z =E 1r 4 qP!€:.; q f ;l_ee tsE sli ;toB.ryli=-:iKd .":l:el4HAXe's As6':; "l;o'D u - o.c*dsi5aE1tr3 EF!gqilj ----r'=(o :6 *.D-d!1 =ii oi fru-i -lgdr:s6qi.l;:, ;g6=-9Aq+;,6 -p :: f : 5 - o e 6 5 o P*-38: YdnS; Ix a= * x -: x A' m*'<.i X +X;^ i; O1F-.=x 3;*g; .o =E3; =lpH E:1;b sd,E- 6j_t ^i I = -< -a e5*dq Po=a -lfP:E 4F- + 2ir6;- 5 Elsg s :^x m3 F lh o =o tn .)m f z oF f o T .D =c = o! : >- *= o€ @ofo =)og. f,:- o 0 l- o m Fz- z. iiii-.{1mt;€tr>F ,r'E e S *tAq)9 t88r' ZxP>v*60 :.1 =io>6-Fz1p2 =.i^i";YFs= 27c EF+ ;a4 6P=.'):> H>FY=9 =Strl*-.r 5>>5