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Home My WebLink AboutBEGINNING OF JOBS PAPERWORK ,I tJq Phone: 714-995-9100 Fax: (714)492-8587 5312 Cypress St. Cypress,CA 90630 Please see below for contact information. We appreciate your business. SPM Job#: 8138 License No. 776306 DIR No. 1000001476 Federal ID No. 20-4518251 Customer: Hillcrest Cont Inc Customer No./Contract No.: Job Description: Active Transportation Connections Location: Lake Elsinore CA Estimating Scheduling Daniel Garcia Phone: (714)995-9100 press 1 Direct Line:(714)995-9100 ext.206 Email:estimating,cri?superiorpavementmarkings.com Email:scheduling[a�superiorpavementmarkings.com Project Manager Project Manager Victor Bustamante Felix Garcia _ Phone:(909)731-6529 Phone: (714)470-2402 mail:victor(& superiorpavementmarkings.com Email:felix@superiorpavementmarkings.cum )(,Project � . Manager Prolect Manager Kenny Smith Rick Gessaman t Phone: (909)844-7518 Phone: (760)713-1147 Email:kenny&uperlorpavementmarkings.com Email:rick(o�superiorpavementmarkings.com Project Manager CPR/insurance James Camacho Lorena Berumen Phone: (909)908-6091 Direct Line: (909)329-2800 Email:james@superiorpavementmarkings.com Email:lorenansuperiorpavementmarkings.com Payroll Manager/Billing/Releases Taylor Heeney Direct Line:(951)514-2607 Email:taylorasuperiorpavementmarkings.com CHECKLIST OF LABOR LAWS (CCR Title 8, Section 16421) Name: Abby Cabrera 10/11/2021 Company: Superior Pavement Markings, Inc. Phone: (951) 845-2799 Address: 5312 Cypress St. Cypress, CA 90630 Fax: (714)492-8597 Certified Payroll: Abby Cabrera Direct Phone:(909) 239-2800 Contractor License: 776306, Exp. Date: 8/31/21 Workers Comp. Policy No.: SUWC247005 Project Name: J Active Transportation Connections Awarding Body: City of Lake Elsinore General Contractor: Hillcrest Cont Inc Contract Award Amount: $22,658.00 THE FEDERAL AND STATE LABOR LAW REQUIREMENTS APPLICABLE TOTHE CONTRACT ARE COMPOSED OF,BUT NOT LIMITED TO,THE FOLLOWING: f� Payment of Prevailing Wage Rates The contractor to whom the contract is awarded and its subcontractors hired for the public works project are required to pay not less than the specified general prevailing wage rates to all workers employed in the execution of the contract. Labor Code Section 1770 et seq. The contractor is responsible for ascertaining and complying with all current general prevailing wage rates for crafts and any rate changes that occur during the life of the contract. Information on all prevailing wage rates and all rate changes are to be posted at the job site for all workers to view. Additionally,current wage rate information can be found at the DLSR web site,www.dir.co.gov/dlsr/statistics_research.htrnl. 13 Apprentices It is the duty of the contractor and subcontractors to employ registered apprentices on the public works project and to comply with all aspects of Labor Code Section 7777.5,relating to Apprentices on Public Works.(1)Notify approved apprenticeship programs of contract award;(2)employ apprentices;(3)pay training fund contributions. 1Z Penalties There are penalties required for contractor's/subcontractor's failure to pay prevailing wages and for failure to employ apprentices,including forfeitures and debarment under Labor Code Sections 1775;1776;1777.1;1777.7and 1813. ed Certified Payroll Reports Under Labor Code Section 1776,contractors and subcontractors are required to keep accurate payroll records showing the name, address,social security number and work classification of each employee and owner performing work;also the straight time and overtime hours worked each day for each week,the fringe benefits,and,the actual per diem wage paid to each owner,journey person,apprentice worker or other employee hired in connection with the public works project. This requirement includes and applies to all subcontractors performing work on Awarding Body projects even if their portion of the work is less than one half of one percent(0.05%)of the total amount of the contract. The certified payroll records shall contain the same data fields listed on the Public Works Payroll Reporting Form(A-1-131)and contain or is accompanied by a declaration made under penalty of perjury.(California Code of Regulations,Section 16401). Prime Contractors are responsible for submittal of their payrolls and those of their respective subcontractors as one package. Any payroll not submitted in the proper form will be rejected. In the event that there has been no work performed during a Checklist of Labor Law Requirements,continued given week,the Certified Payroll Report shall be annotated:"No work"for that week or a Non-Performance Statement must be submitted. Employee payroll records shall be certified and shall be made available for inspection at all reasonable hours at the principal office of the contractor/subcontractor,or shall be furnished to any employee,or his/her authorized representative on request,pursuant to Labor Code Section 1776. Under Labor Cade Section 1776(g)there are penalties required for contractor's/subcontractor's failure to maintain and submit copies of certified payroll records on request. NY Nondiscrimination in Employment There exist prohibitions against employment discrimination under Labor Code Sections 1735 and 1777.6, the Government Code,the Public Contracts Code,and Title Vll of the Civil Rights Act of 1964. 6d Kickbacks Prohibited Contractors and subcontractors are prohibited from recapturing wages illegally by accepting or extracting"kickbacks"from employee wages under Labor Code Section 1778. EX Acceptance of Fees Prohibited There exists a prohibition against contractor/subcontractor acceptance of fees for registering any person for public work under Labor Code Section 1779;or for filling work orders on public works contracts pursuant to Labor Code Section 7780. L� Listing of Subcontractors All prime contractors are required to list properly all subcontractors hired to perform work on the public works projects covering more than one-half of one percent,pursuant to Government Code Section 4104. G� Proper Licensing Contractors are required to be licensed properly and to require that all subcontractors be properly licensed.Penalties are required for employing workers while unlicensed under Labor Code Section 1021 and under the California Contractor License Law found at Business and Professions Code Section 7000 et seq. t� Unfair Competition Prohibited Contractors and sub-contractors are prohibited from engaging in unfair competition as specified under Business and Professions Code Sections 17200 to 17208. 1� Workers Compensation Insurance Labor Code Section 1861 requires that contractors and subcontractors be insured properly for Workers Compensation. IZ OSHA Contractors and subcontractors are required to abide by the Occupational,Safety and Health laws and regulations that apply to the particular construction project. M Proof of Eligibility/Citizenship The federal prohibition against hiring undocumented workers,and the requirement to secure proof of eligibility/citizenship from all workers,is required. 0 Itemized Wage Statement Labor Code Section 226 requires that employees be provided with itemized wage statements. CERTIFICATION I acknowledge that I have been informed and am away of the foregoing requirements and that I am authorized to make this certification on WIfu erlor Pavement Markings, Inc. I fully understand that failure to comply t bove requirements may subject me, or my company, to penalties as provided abov Contractor: ' 10/11/2021 Signature Date Awarding Agency/Labor Compliance Program: Signature rr: Superior Pavement Markings, Inc. Striping,Sluny and Seal Coat Operations SPM# 8138 Fringe Benefit Statement Rates Effective Jul I st,2021 PROJECT NAME: Active Transportation Connections CONTRACTOR: Hillcrest Cont Inc I; T F: October 11,2021 Classification Hourly Amount Fund,or Program 1'arking&Highway Improvements Vacation Journeyman 1-4 $5.11 Construction Laborers,Trust Fund for So.CA Health&Welfare $22.30 $8.10 4401 Santa Anita Ave.Suite 150 Pension $6.02 El Monte,CA 91731 Apprentice/Training $1.32 __ Ph:626-258-9050 Other $1.75 Fx:626-258-9094 Parking Highway Improvements Vacation Apprentice Group 1-2 $2.56 same As Above Health&Welfare $11.84 $5.67 Pension $1.81 Apprentice/Training $0.55 Other $1.25 Parking& Ffighwav Improvements Vacation Apprentice Group 3-4 $3.58 Same As Above Health&Welfare $15.48 $6.48 Pension $2.41 Apprentice/I'ra ini ng $1.32 Other $1.69 I ccrtify under penalty of perjury that the fringe benefits are paid to the approvod,phms.Funds,or Programs as listed abovg ! Superior Pavement Markings Abby Cibrer/Contra�jdministrator Company Name(print) a an Tit print) Signature Mailing Addres:5312 Cypress St.Cypress,CA 90630 Phone:(714)995-9100 Fax: (714)492-8597 Superior Pavement Markings, Inc. Striping,Shiny and Seal Coat Operations Fringe Benert Statement SPM# 8138 Rates Effective July 1st,2020 PROJECT NAME: Active Transportation Connections CONTRACTOR: Hillcrest Cont Inc DATE: October 11,2021 Classification Hourly Amount Fund,or Program Parking&Highway Improvement, Vacation Journeyman 1-4 $5.11 Construction Laborers,Trust Fund for So.CA Health&Welfare $21.19 $8.00 4401 Santa Anita Ave.Suite 150 Pension $5.35 El Monte,CA 91731 Apprentice/Traininj $1.32 Ph:626-258-9050 Other $1.41 Fx:626-258-9094 1'arl.ink.@ H�h�tia� lmprovements Vacation Apprentice Group 1-2 $2.56 - Same As Above Health&Welfare $11.23 $5.60 Pension $1.61 Apprentice/Training $0.55 Other - $0.91 Parking&Highway lmprovements Vacation Apprentice Group 3-4 $3.58 Same As Above - - Health&Welfare $14.79 $6.40 Pension $2.14 _ Apprentice/Training $1.32_ Other $1.35 I certify under penalty of perjury iliat the fringe benefits are paid to the appruved,plans,Funds,or Programs as listed Ne. Superior Pavement Markings Abb C bregN Conka4t Administrator Company Name(print) a and Ti a(print) Si e Mailing Addres:5312 Cypress St.Cypress,CA 90630 Phone:(714)995-9 10-0 Fax: (714)492-8597 Certification of Understanding and Authorization Project Name: Active Transportation Connections Awarding Body: City of Lake Elsinore ^� General Contractor: Hillcrest Cont Inc This is to certify that the principals, and the authorized payroll officer below, will provide the following documents: 1) Payroll Form(s) with a Statement of Compliance 2) Statement of Non-Performance if no work is performed on the project site. 3) Certification Concerning State Labor Standards and Prevailing Wages. 4) Certificate of Applicable Fringe Benefit Payments. And have read and understand the labor wage standards pertaining to the subject project, as per the specifications, All Payrolls/Non Performance forms are to be numbered consecutively and submitted weekly. The last payroll for the project is to be marked "Final". The following person(s) is designated as the payroll officer for the undersigned and is authorized to sign the Statement of Compliance which wi accompany our weekly certified payroll reports for this project: Abby Cab_ rera J� Designated Payroll Officer(Name) D6ii4f4tei'd Payroll Off7cer(Signature) Superior Pavement Markings, Inc. by Darren Veltz, CFO Business Name Owner Signature & Title Contractor's License No. 776306 Expiration Date: 8/31/2021 Contractor's signature above certifies that the above listed license number is valid for the business named, is active and has required current Worker's Comp Insurance. J 10/11/2021 IRS Federal Identification Number Date Superior Pavement Markings, Inc. 5312 Cypress St. Cypress, CA 90630 FACSIMILE TRANSMITTAL SHEET FROM: _Dispatch _Abby Cabrera COMPANY: Pavement Stripers& Highway Maintenance Apprenticeship&Training Trust For Southern California FAX NUMBER: DATE: (961)784-0463 October 11, 2021 PHONE NUMBER: TOTAL NO,OF PAGES INCLUDING COVER: (951) 248-4341 3 DAS 140 & 142 For your review NOTES/COMMENTS: Please find submitted with this fax cover one (1) Laborers' Apprentice Dispatch Request and one (1) Apprentice Subscription Agreement for each project submitted as well as the applicable DAS 140(s). Please be advised that all efforts have been made to forward the appropritate forms to your office in the required 72 business hour minimum time frame to allow for dispatch of an Apprentice to the jobsite. Please feel free to contact me at(714) 995-9100 if you have any questions. PUBLIC WORKS CONTRACT AWARD INFORMATION Contract award information must be sent to your Apprenticeship Committee if you are approved to train. If you are not approved to train,you must send the information(which may be this form)to ALL applicable Apprenticeship Committees in your craft or trade in the area of the site of the public work. Go to: http://www.dir.ce.gov/das/PubllcWorksForms.htm for information about programs in your area and trade. You may also consult your local Division of Apprenticehip Standards(DAS)office whose telephone number may be found in your local directory under California, State of, Industrial Relations,Division of Apprenticeship Standards, Customer: Hllicrest Cont Inc 5P61 Jou Nt Do not send this form to the Division of Apprenticeship Standards. NAME OF YOUR COMPANY CONTRACTOR'S STATE LICENSE NO SUPERIOR PAVEMENT MARKINGS, INC. 776306 EXP.8-31-21 M iEfgd ADORESS•NUMBEH&STREET,CITY,,ZIP CODE AREA CODE&TELEPHONE INO 5312 Cypress St. Cypress, CA 90630 (714)996-9100 NAME&ADDRESS OF PUBLIC WORKS PROJE,. DATE YOUR CONTRACT EXECUTED Active Transportation Connections 10111/21 Lake Elsinore CA DATE OF EXPECTED OR ACTUAL START OF PROJECT 10/11121 NAME&ADDRESS OF PUBLIC AGENCY AWARDING CONTRACT ESTIMATED NUMBER OF JOURNEYMEN HOURS IS:1) City of Lake Elsinore 30 130 S Naub St OCCUPATION OF APPRENTICE Lake Elsinore CA HIGHWAY AND PAVEMENT STRIPER THIS FORM IS SEIN0 SENt T0: (NAME&ADDRESS OF APPRENTICESHIP PROGRAM(5)) ESTIMATED NUMBER OF APPRENTICE HOURS Pavement Stripers&Highway Maintenance Apprenticeship&Training 20 Trust for Southern California 1074 E.LA CADENA DR.#9 APPROXIMATE DATES TO BE EMPLOYED Riverside,CA 92607 10/2021 1012022 PH.961-248-4341 FAX 961-784-0463 This is not a request for dispatch of apprentices. Contractors must make a separate request for actual dispatch,in accordance with Section 230.1(a)California Code of Regulations Check One Of The Boxes Below X We are already approved to train apprentices by the SO.CAL PAVEMENT STRIPERS&HIGHWAY MAINTENANCE JAC Apprenticehip Committee. We will employ and train under their Standards We will comply with the standards of Apprenticehip Committee for the duration of th s job-only b only. swn.na aurC.nntiu We will employ and train apprentices In accordance with the alifoniia Apprenticeship Council regulations, including § 230.1 (c)which requires that apprentices employed on publ p ojects can only be assigned to perform work of the craft or trade to which the apprentice is registered and th th a ren ies must at all times work with or under the direct supervision of journeyman/men. Signature Date 10/11/21 Typed Name Abby Cabrera Title Administrative Assistant State of Claifornia-Department of Industrial Relations DIVISION OF APPRENTICESHIP STANDARDS DAS 140(REV.1/04) Laborers Apprentice Dispatch Request To have an apprentice dispatched to you, please send your request to the Southern California Laborers; Joint Apprenticeship Committee at the address below: Pavement Stripers& Highway Maintenance Apprenticeship&Training Trust For Southern California 1074 East La Cedena Dr., Suite#9 Riverside,CA 92607 Phone(951)248-4341 Fax(961)784-0463 The following information must be completed and faxed to the above fax number with at least 72 business hours advance notice. PLEASE PRINT or TYPE: 1. Project Name: Active Transportation Connections Lake Elsinore CA 2. Awarding Body(Owner): City of Lake Elsinore 3. * Contractor Name: SUPERIOR PAVEMENT MARKINGS, INC. 4. * Contractor Address: 6312 Cypress St. Cypress, CA 90630 5. * Contractor Phone No.: (951) 845-2799 Fax: (714) 492-8597 Contractor Point of Contact: Robert Garcia _ •For Payroll and/or dispatch questions 6. Who the apprentice(s) should report to at the jobsite: a. Name: Robert Garcia b. Tel/Mobile: 951-545-6279 7. Start date you require the apprentice(s): 10/11/21 (For every five Journeyman Hours One Apprentice Hour must be 8. Number of apprentice(s) needed: 1 requested) 9. Starting date of job: 10/11/21 10. Job site phone no.: 951-545-6279 11. Job location: Lake Elsinore CA 12. Length of job: 3 Months to 1 Year 13. Time apprentice(s)should report: 6:00 a.m./p.m. With 2 forms of I.D. Abby Cabrera Printed Name Administrative Assistant _ 10/11/21 Signature Title Date State of Claifornia Department of Industrial Relations DIVISION OF APPRENTICESHIP STANDARDS DAS 142 Contracts From: Contracts Sent: Monday, October 11, 2021 11:17 AM To: 'Vicky Pope' Subject: 8138-DAS form Attachments: 8138-DAS 140-142.pdf Hello Vicky, Please see DAS forms attached. Thank you, AbbU C,2breo Pavement Markings Contracts Admini56-.7top Direct POR-455 0287 PH (714) 995-9100 ext 106 Fax (714) 995-9400