The URL can be used to link to this page

Home My WebLink About360086 Certified Payroll Welch and Concord CA.gov I Contact DIR i Press Room Search " This Site California M.w. w«tsr .rrOMir.rMrar.rr. +ill�.r� iilllMrrr�. Mwlrlo.�ill. Ml.�r►.Ur. ...�. Public Works-Electronic Certified Payroll Reporting-Electronic Certified Payroll Reporting Form Electronic Certified Payroll Reporting Form eCPR Online Confirmation Your payroll submission request has been processed. Please review the results of your submission.Should you have any questions please contact the eCPR unit at publicworks@dir.ca.gov. Contractor Name:SOUTHERN CALIFORNIA ROAD SLURRY COMPANY Contractor Address:8432 63RD AVE.RIVERSIDE CA 92509 Awarding Body:CITY OF LAKE ELSINORE Project ID:360086 Contract With:NPG ASPHALT INC Week Ending Date:2021-09-25 Payroll Number:1 Amendment Number:0 2 employee payroll record(s)processed Your Transaction ID is:12186579 Print this Page OMNI View your submission 'le Submit another set of payroll records i i i i Public Works Certified Payroll Reporting Form Certification under penalty of perjury: "I,JOEL MARLOW,the undersigned,am the PAYROLLADMIN(position in business)with the authority to act for and on behalf of SOUTHERN CALIFORNIA ROAD SLURRY CO. (name of business and/or contractor),certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 2021-09-25 are the originals or true,full,and correct copies of the originals which depict the payroll record(s)of the actual disbursements by way of cash,check,or whatever form to the Individual or individuals named.I certify this on 2021-09-27." Contractor Name: SOUTHERN CALIFORNIA ROAD SLURRY Contractor PWCR:1000367684 License Type:CSLB License Number 997400 COMPANY Address: 8432 63RD AVE.,RIVERSIDE,CA 92509 FEIN:833599778 Contractor Email:JOELQSOCALROADSLURRY.COM Insurance Number: 9274560-2020 Awarding Body: CITY OF LAKE ELSINORE DIR Project ID:360086 Project Name:ASPHALT MAINTENANCE PROGRAM SERVICES Contract With: NPG ASPHALT INC County: RIVERSIDE Address: CITY OF LAKE ELSINORE,LAKE ELSINORE,CA 92530 Payroll#: 1 -0 Ctr Payroll#: 1 Week Ending:09/26/2021 Statement of Non-Performance? —,/]Final payroll for this project? Employee:ANTHONY ZARAGOZA SAN BERNARDINO,CA,92404 SSN: Sun Mon Tue Wed Thu Fri Sat Total Base Hourly Total Vac/ Health Pension Other Training Total 09/19 09/20 09/21 09/22 09/23 09/24 09/25 Hours Fringe Holiday &Welf. Hourly Rate S PARKING AND HIGHWAY GRP3 0.00 0.00 0.00 0.00 0.00 7.00 0.00 43.41 20.98 5.11 8.10 727 0.50 1.32 NOTE: Travel&Subsistence 0.00 Total Deductions 0.00 Public Works certified Payroll Reporting Form 09/27/2021 -Page 1 Public Works Certified Payroll Reporting Form Contractor Name: SOUTHERN CALIFORNIA ROAD Project Name:ASPHALT MAINTENANCE PROGRAM SERVICES Week Ending:09/25/2021 Payroll Number:1-0 SLURRY COMPANY Employee: JUAN CHAVEZ LA HABRA,CA,90631 SSN: Sun Mon Tue Wed Thu Fd Sat Total Total Vac/ Health Total 09/19 09/20 09121 09122 09123 09124 09/25 Hours Base Hourly Fringe Holiday &Well Pension Other Training Hourly Rate S PARKING AND HIGHWAY GRP 2 0.00 0.00 0.00 0.00 0.00 6.60 0.00 41.40 20.98 5.11 8.10 7.27 0.50 1.32 NOTE: Travel&Subsistence 0.00 Total Deductions 0.00 Public works Certified Payroll Reporting Form 09/27/2021 -Page 2 Transaction ID: 1173994 _ = TRAINING FUND Total Amount: $17.82 w CONTRIBUTIONS .,yr �? California Apprenticeship ' Council Please Mail this form and your check payable to the Contractor License: 997400 California Apprenticeship Council to: State of California Department of Industrial Relations Contractor's Name&Address: California Apprenticeship Council Southern California Road Slurry P.O. Box 511283 Company 8432 63rd St Los Angeles, CA 90051-7838 Riverside,CA 92509 Report Period: 9/19/2021 to 9/25/2021 Contract/Project No: 360086 Jobsite: Asphalt Maintenance Program Services Remittance for the Following Projects COUNTY CLASSIFICATION HOURS CONTRIBUTION AMOUNT TE RIVERSIDE LABORERS 13.50 $1.32 $17.82 Submitter Contact Information Submitter's name Submitter's title Email address Phone# Joel Marlow Payroll Admin joel@socalroadslurry.com 9513605510 Generated: 9/27/2021 � . � �r�:n'<►va►m�,Y � Iv•I ia41 I I ,3.. _... _ _ _—� �_ _, ►►1�, 195 W ONTARIO AVE. 1337 ;�,�'�: SOCAL ROAD SLURRY ` Compass CORONA, CA 92882 8432 63RD STREET RIVERSIDE,CA 92509 (951)360-5510 90-7053 9/27/2021 ' Road Shinny LIC.#997400 A,&C12 2dSErrylll lll•Sealru6 SvlpircA•Ary--halt Aepaa•Cwcrele _ PAY TO THE California Apprenticeship Council **17.82 ° ORDER OF Seventeen and DOLLARS California Apprenticeship Council Department of Industrial Relations — California Apprenticeship Council P.O. Box 511283 'r MEMO Los Angeles, CA90051-7838 AUTHORIZED SIGNATURE 1173994 I� 11100L337111 SOCAL ROAD SLURRY 1337 California Apprenticeship Council 9/27/2021 Trainning funds Transaction 1173994 Job 3400 17.82 BBVA Checking 1173994 17.82 SOCAL ROAD SLURRY 1337 California Apprenticeship Council 9/27/2021 Trainning funds Transaction 1173994 Job 3400 17.82 BBVA Checking 1173994 17.82 SF5007-1 TO REORDER,CALL YOUR LOCAL SAFEGUARD DISTRIBUTOR AT 951-782 0393 GS80RC001000O Y20SF007366 �Sa►Peguara LRA00:>a "aF84.t Gkii68',`1;