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Home My WebLink AboutRedacted - Waterline 91436 Week 23 ended 02.23.18( 1) NAME, ADDRESS ANO SOCIAL SECURITY NUMBER OF EMPLOYEE Bryce Crespin 4355 Cayucos Ave Atascadero, CA 93422 Bryce Crespin 4355 Cayucos Ave Atascadero, CA 93422 Clinton R Barry 776 Brahma St Paso Robles, CA 93446 George Llamas 800 E. Cook Santa Maria, CA 93454 Iran A Nieves 1628 Village Ct Santa Maria, CA 93454 Jacob O Rexford 2761 Chaparral Lane Paso Robles, CA 93446 James Douglas 612 Laura Way Paso Robles, CA 93446 xxxx James Douglas 612 Laura Way Paso Robles, CA 93446 xxxxx James Yanez 538 County Lane San Luis Obispo, CA 93401 xxxx Jose Sanchez Garcia 558 Ferro Lane Paso Robles, CA 93446 xxxxx Juan Manuel Barrios 1021 Gaylene Or Santa Maria, CA 93458 xxxxx Manuel Robledo 9694 Birmingham Ave Riverside, CA 92509 FORM A·l-131 {New 2·80) ( 2) Number of diR (al fDmll Oep,a,rtme,lt d Indl..6triaf A.e'ibons PUBLIC WORKS PAYROLL REPORTING FORM NAME OF CONTRACTOR D·KAL Engineering CONTRACT OR'S LICENSE # 653307 ADDRESS OR SUBCONTRACTOR SPEOALTY LICENSE# PAYROLL NUMBER FOR WEEK ENDING SELF ·INSURED CERTIFICATE# PR OJECT OR CONTRACT # 23 2/23/2019 WORKERS' CO MPENSATION POLICY # 7J45679A18 PR OJECT&. LOCATION 14) DAY ( 5)( 6)( 7) (8) ( 3)Sun Mon Tue Wed Thu Fri Sat GROSS AMOUNT DATE HOURLY EARNED PAGE PO Box 1919 San Luis Obtsnn CA 93406 Waterline Replace Spec 91436 San Luis Obisoo ( 9) NET WAGES Withholding WORK 2/17 2/18 2/19 2/20 2/21 2/22 2/23 TOTAL RATE THIS All DEDUCTI ONS, CONTRI BUTIONS AND PA YMENTS PAID FOR •-,ons CL ASSIFICATION HOURS WORKED EACH DAY HOURS OF PAY PR OJECT PROJECTS WEEK 0 Equip . Opers. 0 Laborer 0 Equip. Opers. 0 Teamsters Apprentice 0 Laborer 0 Laborer 0 Carpenters 0 Laborer 0 Foreperson 0 Laborer 0 Laborer 0 Laborer s 0 0 D 0 s 0 0 D 0 0 0 s 0 8 D 0 0 0 0 0 s 0 0 D 0 s 0 0 D 0 0 0 s 0 0 D 0 0 0 s 0 0 D 0 s 0 0 D 0 0 0 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 = Straight time 0 = Overtime D = Ooubletime 4 4 4 8 0 1.5 5 8 2 5 2.5 0 8 0 18 8 3.5 5 3 8 3 FWH MCA RE FICA ST TAX SDI VAC/HOL HEAL TH/WELF PENSION 0 0 0 0 4 $ 75.23 $ 322.00 $ 39.03 $ 166.90 $ 212.85 $ $ $ . 'I; . $ 300.92 $ 2,691.97 TRAINING FUNDADMIN DUES TRV/SUBS SAVINGS OTHER TOTAlDED CHK NUM $1,753.69 $ . $ s . $ . $ $ 197.50 � 938.28 003073 FWH MCARE FICA ST TAX SOI VAC/HOL HEAL Tll/WELF PENSION 8 6 0 0 18 $62.02 $ 322.00 $ 39.03 s 166.90 S 212.85 $ s $ . <!; . $ 1,771.96 $ 2,691.97 TRAINING FUNDADMIN DUES TRVISUBS SAVINGS OTHER TOTALDED CHKNUM $ 1,753.69 4 0 0 0 8 $ 81.95 $ . $ . $ $ . $ $ 197.50 $ 938.28 003073 FWH MCA RE FICA ST TAX SDI VACJHOL HEAL"""'ELF PENSION 8 0 0 0 24 S 75.23 S 575.00 $ 59.10 s 252.73 s 360.70 S $ $ . $ . 1 0 0 0 1 $123.42 $ 2,475.26 $ 4,076.26 TRAINING FUNDADMIN DUES TRVISUBS SAVINGS OTHER TOTAL OED CHKNUM $ 2,828 73 4 0 0 0 5.5 S99.33 $ $ . s $ $ $ S 1 247.53 1924 FWH MCA RE FICA ST TAX SOI VAriHOL HEAL TH/WELF PENSION 0 0 0 0 5 $59.91 $ 163.00 $ 18.55 -t 79.34 $ 71.89 s $ s . $ $ 299.55 $ 1,279.55 TRAINING FUNDADMIN DUES TRV/SUBS SAVINGS OTHER TOTALDEO CHKNUM $ 921.77 $ <; � s . s $ 25.00 s 357.78 003076 FWH MCARE FICA ST TAX SOI VAC/HOL HEAL TH/WELF PENSION 8 0 0 0 16 $20.48 $ 40.00 $ 7.51 s 32.14 $ 11.39 $ . $ $ $ 450.56 $ 450.56 TRAINING FUNDADMIN DUES TRVISUBS SAVINGS OTHER TOTAL OED CHKNUM $ 35952 2 0 0 0 4 $30.72 $ . $ $ . $ . $ . $ $ 91.04 003077 FWH MCARE FICA ST TAX SDI VACJHOL HEAL TH/WELF PENSION 8 0 0 0 13 S55.73 $ 491.00 s 41.91 S 179.19 S 174.21 $ $ . $ $ $ 1,198.02 $ 2,890.21 TRAINING FUNDADMIN DUES TRV/SUBS SAVINGS OTHER TOTAL OED CHK NUM $ 1,751.54 4 0 0 0 6.5 $ 72.85 $ . $ s $ $ s 252.36 � 1 138.67 003078 FWH MCA RE FICA ST TAX SDI VAC/HOL HEALTH/WELf PENSION 2 0 0 0 2 $62.02 $ 315.00 $ 38.56 $ 164.89 S 151.11 $ . $ $ . $ 124.04 $ 2,659.52 TRAINING FUNDAOMIN DUES TRVISUBS SAVINGS OTHER TOTAL OED CHK NUM $1,792.46 $ $ $ $ $ S 197.50 $ 867.06 003084 FWH MCA RE FICA ST TAX SOI VAC/HOL HEAL TH/WELF PENSION 6 0 0 0 14 $ 55.73 $ 315.00 $ 38.56 s 164.89 S 151.11 $ $ < < $ 925.92 $ 2,659.52 TRAINING FUNDADMIN DUES TRV/SUBS SAVINGS OTHER TOTAL OED CHK NUM $1,792.46 2 0 0 0 2 S 72.85 $ $ . $ $ $ S 197.50 $ 867.06 003084 FWH MCARE FICA ST TAX SOI VACJHOL HEALTH/WELF PENSION $ 393.00 $ 41.13 $ 175.85 s 241.53 $ . $ $ 12 8 0 0 38 $ 73.75 $ 2,802.50 $ 2,950.00 TRAINING FUNDADMIN DUES TRWSUBS SAVINGS OTHER TOTAL OED CHK NUM $1,884.86 $ $ . <; $ $ $ 213.63 S 1 065.14 003080 FWH MCA RE FICA ST TAX SDI VAriHOL HEAL Tll/WELF PENSION 6 0 0 0 14 S55.73 $ 66.00 � 23.59 -i 100.86 $ 35.61 $ $ $ $ . $ 1,035.20 $ 1,626.74 TRAINING FUNDADMIN DUES TRV/SUBS SAVINGS OTHER TOTALDED CHK NUM $1,263.18 0 0 0 0 3.5 s 72.85 $ . ,t --,t ,t . s . $ 137.50 $ 363.56 1919 FWH MCARE FICA ST TAX SDI VACJHOL HEAL TH/WELF PENSION 8 0 0 0 13 $55.73 $ 265.00 ,t 31.14 ,i; 133.15 $ 145.51 $ -s $ $ . $ 943.04 $ 2,147.61 TRAINING FUNDADMIN DUES TRVISUBS SAVINGS OTHER TOTALDED CHKNUM $1,387.81 0 0 0 0 3 $ 72.85 $ s . -s . $ -$ s 185.00 s 759.80 003081 FWH MCA RE FICA ST TAX SDI VACJHOL HEAL TH/WELF PENSION 6 4 5 0 23 $62.02 $ 75.00 s 19.86 $ 84.93 $ 30.06 $ . $ . $ . $ . $ 1,672.31 $ 1,672.31 TRAINING FUNDADMIN DUES TRVISUBS SAVINGS OTI-iER TOTAL OED CHKNUM $ 1,030.01 0 0 0 0 3 $ 81.95 $ $ -$ . $ $ t 432.45 � 642.30 1920 * 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 1f necessary. CERTIFICATION must be completed (see back) Sunburst Software Solutions, Inc. -Certified Payroll Solution www.CertifiedPayrollReports.com ( 1 ) ( 2) NAME, ADDRESS AND ��of SOCIAL SECURITY NUMBER W1thhold1ng OF EMPLOYEE ·--Manuel Robledo 9694 Bormongham Ave Riverside, CA 92509 0 Philip C Brainard Ill 1355 13th St Los Osos, CA 93402 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 PUBLIC WORKS PAYROLL REPORTING FORM PAGE NAME OF CONTRACTOR D-KAL Engineering CONTRACTOR'S LICENSE II 653307 ADDRESS OR SUBCONTRACTOR SPEGAL TY LICENSE II PO Box 1919 San Luos Ob1snn CA 93406 PAYROLL NUMBER FOR WEEK ENDING SELF-INSURED CERTIFICATE II PROJECT OR CONTRACT II Waterline Replace Spec 91436 23 7/23/2019 WORKERS' COMPENSATION POLICY II 7J45679Al8 PR OJECT & LOCATION San Luis Obosoo 4lDAY ( 5) ( 6) ( 7) ( 8) ( 9 ) ( 3) Sun Mon Tue Wed Thu I Fri Sat GROSS AMOUNT NET DATE HOURLY EARNED WAGES WORK 2/17 2/18 2/19 2/20 2/21 2/22 2/23 TOTAL RATE THIS ALL DEDUCTIONS, CONTRIBUTIONS AND PAYMENTS PAID FOR CLASSIFICATION HOURS WORKED EACH DAY Laborer Carpenters Laborer Equip. Opers. s 0 0 0 0 0 0 s 0 0 0 0 s 0 0 0 0 0 0 s 0 0 0 0 0 0 s D 0 s D 0 s D 0 s 0 0 s D 0 s 0 0 s D 0 s D 0 S = Straight time 0 = Overtime 8 6 4 5 3 0 0 0 0 5.5 0 0 8 8 0 0 2.5 0 0 0 8 0 0 0 0.5 0 0 0 0 0 0 0 0 0 0 HOURS OF PAY PROJECT PROJECTS FWH MCA RE 23 $62.02 $ 75.00 � 19 86 $ 1,672.31 $ 1,672.31 TRAINING fUNDADMIN 3 $ 81.95 $ -sFWH MCARE $ 451.00 t 43.03 $ 450.73 $ 2,967.59 TRAINING fUNDADMIN 5.5 $81.95 $ -$ FWH MCA RE 16 S55.73 $ 451.00 $ 43.03 $ 1,073.81 $ 2,967.59 TRAINING fUNDADMIN 2.5 $ 72.85 $ -$ FWH MCA RE 8 $ 75.23 $ 51.00 $ 9.45 $ 651.51 $ 651.51 TRAINING fUNDADMIN 0.5 $99.33 $ $ FWH MCA RE TRAINING fUNDADMIN FWH MCARE TRAINING fUNDADMIN FWH MCA RE TRAINING fUNDADMIN FWH MCA RE TRAINING FUNDADMIN FWH MCA RE TRAINING fUNDADMIN FWH MCA RE TRAINING fUNDADMIN FWH MCA RE TRAINING fUNDADMIN FWH MCA RE TRAINING fUNDADMIN WEEK FICA ST TAX SDI VAC/HOL HEAL TH/WElf PENSION � 84.93 � 30.06 � t -sDUES TRV/SUBS SAVINGS OTHER TOTALDED CHK NUM $1,030.01 $ t t -t 432.45 s 642.30 1920 FICA ST TAX SDI VAC/HOL HEALTH/WRF PENSION t 183.99 t 233.24 $ -t $ ..DUES TRV/SUBS SAVINGS OTHER TOTALDED CHKNUM $1,828.83 $ s s S 227.50 S 1 138.76 1921 FICA ST TAX SDI VACIHOL HEAL THIWELF PENSION S 183.99 $ 233.24 s $ -$ DUES TRVISUBS SAVINGS OTHER TOTALDED CHKNUM $1,828.83 $ -$ -s S 227.50 $ 1138.76 1921 FICA ST TAX SDI VACIHOL HEALTH/WElf PENSION $ 40.39 $ 16.71 $ -$ -$ DUES TRVISUBS SAVINGS OTHER TOTALDED CHKNUM $ 491.46 $ $ s -s 42.50 $ 160.05 1922 FICA ST TAX SDI VACJHOL HEAL TH/WElf PENSION DUES TR\IISUBS SAVINGS OTHER TOTALDED CHKNUM FICA ST TAX SDI VAC/HOL HEAL TH/WELF PENSION DUES TRV/SUBS SAVINGS OTHER TOTALDED CHKNUM FICA ST TAX SDI VAC/HOL HEAL TH/WELF PENSION DUES TRV/SUBS SAVINGS OTHER TOTALDED CHK NUM FICA ST TAX SDI VAC/HOL HEAL TH/WELF PENSION DUES TRV/SUBS SAVINGS OTHER TOTALDED CHKNUM FICA ST TAX SDI VAC/HOL HEAL TH/WELF PENSION DUES TRV/SUBS SAVINGS OTHER TOTALDEO CHKNUM FICA ST TAX SDI VAC/HOL HEAL TH/WELF PENSION DUES TR\1/SUBS SAVINGS OTHER TOTALDfD CHKNUM FICA ST TAX SDI VAC/HOL HEAL TH/WELF PENSION DUES TRV/SUBS SAVINGS OTHER TOTALDED CHKNUM FICA ST TAX SDI VAC/HOL HEALTH/WELF PENSION DUES TRVISUBS SAVINGS OTHER TOTALDED CHKNUM D =Doubletime • OTHER -Any other deductions, contributions and/or payments whether or not included or required by prevalllng wage determinations must be separately listed. Use extra sheet if necessary. 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