HomeMy WebLinkAboutRedacted - Waterline 91436 Week 25 ended 03.09.19( 1 ) NAME, ADDRESS AND SOCIAL SECURITY NUMBER
OF EMPLOYEE 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
James Douglas
612 Laura Way
Paso Robles, CA 93446
James Yanez 538 County Lane
San Luis Obispo, CA 93401
Jose J Cano 1242 Seabright Ave Apt A Grover Beach, CA 93433
Jose Sanchez Garcia 558 Ferro Lane
Paso Robles, CA 93446
Juan Ma nuel Barrios
1021 Ga ylene Dr
Santa Maria, CA 93458
Manuel Robledo 9694 Birmingham Ave Riverside, CA 92509
Michael A Hooper 5567 Tunitas Ave Atascadero, CA 93422
Ph ili p C Brainard III 1355 13th St Los Osos, CA 93402
Ronnie Ramsey PO Box 141
Cayucos, CA 93430-0410
FORM A-1-131 (New 2-80)
( 2)
Number or
diR Ca!ifomia Department
of Inoustnal RelatlOns 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 # 25 3/912019 WORKERS' COMPENSATION POLICY # 7J45679A18 PROJECT & LOCATION 4lDAY ( 5) ( 6) ( 7) ( 8) ( 3) Sun Mon Tue Wed Thu Fri Sat GROSS AMOUNT DATE HOUR LY EARNED
PAGE
PO Box 1919 San Luis Obisnn CA 93406 Waterline Replace Spec 91436 San Luis Obisnn
( 9) NET
WAGES
W1thholdr ng WORK 313 3/4 3/5 3/6 317 CLASSIFICATION 3/8 319 TOTAL RATE THIS ALL DEDUCTIONS, CONTRIBUTIONS AND PAYMENTS PAID FOR
Exemotions
0 Teamsters
Apprentice
0 Laborer
0 Laborer
0 Laborer
0 Foreperson
0 Laborer
0 Laborer
0 Laborer
0 Laborer
0 Equip. Opers.
0 Laborer
0 Equip. Opers.
HOURS WORKED EACH DAY HOURS OF PAY PROJECT PROJECTS WEEK FWH MCARE FICA ST TAX SDI VAC/HOL HEAL TH/WELF PENSION s 0 8 8 0 0 0 0 16 $ 59.91 $ 750.00 $ 68.45 $ 292.68 s 397.21 $ $ t $ D
0 0 3.5
s 0 0
D
0
s 0 8
D
0 0 9
s 0 8
D
0 0 4
s
D 0 20 0
s 0 8
D
0 0 1.5
s 0 8
D
0 0 5.5
s 0 8
D
0 0 5.5
s 0 8
D
0 0 6
s 0 8
D
0 0 4
s 0 8
D
0 0 5
s 0 8
D
0 0 4.5
S = St raigh t time
0 = Overtime
D = Doubletime
5
0
8
3
8
3
13
0
0
8
2.5
8
3
8
3
8
2
8
3
7.5
0
$ 1,599.04 $ 4,720.70 TRAINING FUNDADMIN DUES TRV/SUBS 0 0 0 0 8.5 <t75.35 $ $ $ $ -
FWH MCA RE FICA ST TAX 0 0 6.5 0 6.5 t 20.48 $ $ 2.25 $ 9.62 $ 1.55
$ 133.12 $ 133.12 TRAINING FUNDADMIN DUES TRVISUBS
$ $ $ $ FWH MCA RE FICA ST TAX 0 0 7 0 23 t 58.73 $ 356.00 $ 33.05 $ 141.29 $ 112 .64
$ 2,278.99 $ 2,278.99 TRAINING FUNDADMIN DUES TRV/SUBS 0 0 0 0 12 t 77.35 $ -t $ $ FWH MCA RE FICA ST TAX 0 0 0 0 16 <58.38 $ 237.00 $ 33.00 $ 141.11 $ 113.23
$ 1,475.53 $ 2,276.03 TRAINING FUNDADMIN DUES TRV/SUBS 0 0 0 0 7 t 77.35 $ $ $ $ FWH MCARE FICA ST TAX
$ 393.00 $ 41.13 $ 175.85 $ 241.53 0 0 11 0 44 $ 73.75 $ 2,950.00 $ 2,950.00 TRAINING FUNDADMIN DUES TRVISUBS
$ $ $ $ FWH MCA RE FICA ST TAX 0 0 0 0 8 $55.73 $ 36.00 <: 8.05 $ 34.42 $ 5.55
$ 555.1 2 $ 555.12 TRAINING FUNDADM!N DUES TRVISUBS 0 0 0 0 1.5 $ 72.85 $ t -t -$ FWH MCARE FICA ST TAX 0 0 0 0 16 t 55.73 $ 252.00 t 43.41 t 185.64 $ 156.92
$ 1,474.48 $ 2,994.13 TRAINING FUNDADMIN DUES TRV/SUBS 0 0 0 0 8 $ 72.85 $ t t $ -
FWH MCA RE FICA ST TAX 0 0 0 0 16 $ 55.73 $ 273.00 <: 31.55 $ 134.87 $ 149.39
$ 1,583.76 $ 2,175.30 TRAINING FUNDADMIN DUES TRV/SUBS 0 0 1 0 9.5 $ 72.85 $ <: $ $ FWH MCA RE FICA ST TAX 0 0 7 0 23 $62.02 $ 158.00 <: 30.55 $ 130.66 $ 80.89
$ 2,409.86 $ 2,409.86 TRAINING FUNDADMIN DUES TRVISUBS 0 0 3 0 12 t 81 .95 $ $ -$ $ -
FWH MCARE FICA ST TAX 0 0 0 0 16 $ 75.23 $ 538.00 � 49.68 $ 212.42 $ 280.72
$ 1,790.96 $ 3,841.18 TRAINING FUNDADMIN DUES TRVISUBS 0 0 0 0 6 $97.88 $ <: -$ $ FWH MCARE FICA ST TAX 0 0 0 0 16 $ 55.73 $ 265.00 � 31.01 $ 132.61 $ 145.55
$ 1,547.33 $ 2,138.87 TRAINING FUNDADM!N DUES TRVISUBS 0 0 1 0 9 $ 72.85 $ t $ $ FWH MCA RE FICA ST TAX 0 0 6.5 0 22 � 75.23 $ 324.00 -.;;-30.48 "i 130.32 � 153.25
$ 2,102.05 $ 2,102.05 TRAINING FUNDADMIN DUES TRV/SUBS 0 0 0 0 4.5 $ 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.
SAVINGS OTHER TOTAL OED CHKNUM $ 3,009.86
$ $ 202.50 t 1 710.84 DD3097 SDI VAC/HOL HEALTH/WELF PENSION
$ -$ t -$ SAVINGS OTHER TOTAL OED CHKNUM $ 31.70
$ $ 88.00 $ 101.42 DD3098 SDI VAC/HOL HEAL TH/WELF PENSION
$ $ $ $ SAVINGS OTHER TOTAL OED CHKNUM $ 1,433.65
$ $ 202.36 t 845.34 DD3099 SDI VAC/HOL HEAL TH/WELF PENSION
$ -$ $ $ SAVINGS OTHER TOTAL OED CHKNUM $ 1,586.69
$ -$ 165.00 $ 689.34 DD3100 SDI VAC/HOL HEAL TH/WELF PENSION
$ $ t t -
SAVINGS OTHER TOTAL OED CHK NUM $ 1,884.86
$ $ 213.63 t 1 065.14 DD3101 SDI VAC/HOL HEALTH/WELF PENSION
$ -$ t -t SAVINGS OTHER TOTAL OED CHKNUM $ 423.60
$ $ 47.50 t 131.52 1935 SDI VAC/HOL HEAL TH/WELF PENSION
$ $ $ $ SAVINGS OTHER TOTAL OED CHKNUM $ 2,103.66
$ $ 252.50 $ 890.47 1931
SDI VAC/HOL HEAL TH/WELF PENSION
$ $ -$ $ SAVINGS OTHER TOTAL OED CHKNUM $1,408.99
$ $ 177.50 $ 766.31 DD3102 SDI VAC/HOL HEAL TH/WELF PENSION
$ -$ -$ $ -
SAVINGS OTHER TOTAL OED CHKNUM $ 1,532.31
$ $ 477.45 -� 877.55 1932
SDI VAC/HOL HEALTH/WELF PENSION
$ $ $ -"' -
SAVINGS OTHER TOTALDED CHKNUM $ 2,102.86
$ $ 657.50 t 1 738.32 DD3103 SDI VAC/HOL HEALTH/WELF PENSION
$ $ � --.;;-SAVINGS OTHER TOTALDED CHKNUM $ 1,389.70
$ $ 175.00 $ 749.17 1933 SDI VAC/HOL HEAL THIWELF PENSION $ $ $ $ SAVINGS OTHER TOTALDED CHKNUM $ 1,331.50
$ $ 132.50 t 770 .55 1934
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