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HomeMy WebLinkAbout1000679982_519068_2024-08-18_PRRUN1492247 Public Works Certified Payroll Reporting Form Certification under penalty of perjury: "I,Joshua Jo,the undersigned,have the authority to act for and on behalf of SAS CONSTRUCTION,certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the dates 2024-08-12 to 2024-08-18 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." Contractor License CSLB Contractor Name: S.A.S CONSTRUCTIONS PWCR: Type: License 1000679982 Number: Address: 301 WEST DYER RD UNIT D,SANTA ANA,CA 92707 Insurance Number: Awarding Body: CITY OF LAKE ELSINORE DIR Project ID: 519068 Project Name: City Hall Building-Concrete Contract With: S.A.S Constructions County: Address: 130 S.MAIN STREET,,LAKE ELSINORE,CA 92530 #: PRRUN1492247 Payroll Ctr Payroll#: Week Ending:2024-08-18 Statement of Non-Performance? Ely ACCT0025617 El on- er Final payroll for this project. Employee:MORALES ZERMENO,JANAI Type Craft/Classification/Level Mon Tue Wed Thu Fri Sat Sun Total Base Total Vac. H&W Pension Other Training Fund/ Savings Dues Total 08/12 08/13 08/14 08/15 08/16 08/17 08/18 Hours Hourly Fringe Holi. Admin Hourly LABORER AND RELATED S CLASSIFICATIONS : OTHER 8.00 8.00 0.00 0.00 0.00 0.00 0.00 16.00 74.00 0.80 0.00 0.00 0.00 0.00 0.80 0.00 0.00 0.00 74.80 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN 1 Public Works Certified Payroll Reporting Form LABORER AND RELATED O CLASSIFICATIONS : OTHER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN LABORER AND RELATED D CLASSIFICATIONS : OTHER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN Deductions(per payroll): Payments: Federal Tax: 85.12 Travel&Subsistence: 0.00 Employee Notes(Include other deductions, FICA(Soc. Sec.): 90.58 Wages Summary: contributions,and/or payments): State Tax: 43.10 Gross wages for all projects included in this check: 1184.00 SDI: 13.02 Gross Wages for this project: 1196.80 Total Deductions(incl. Other): 231.82 Net Wages for all projects: 952.18 Contractor Name: S.A.S CONSTRUCTIONS Project Name: City Hall Building-Concrete Week Ending:2024-08-18 Payroll Number:PRRUN1492247 Employee:JIMENEZ,ESAU JOSE Type Craft/Classification/Level Mon Tue Wed Thu Fri Sat Sun Total Base Total Vac. H&W Pension Other Training Fund/ Savings Dues Total 08/12 08/13 08/14 08/15 08/16 08/17 08/18 Hours Hourly Fringe Holi. Admin Hourly S LABORER AND RELATED 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 CLASSIFICATIONS : Public Works Certified Payroll Reporting Form 2025/01/31 Page- 2 Public Works Certified Payroll Reporting Form O LABORER AND RELATED 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 CLASSIFICATIONS : D LABORER AND RELATED 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 CLASSIFICATIONS : Deductions(per payroll): Payments: Federal Tax: 0.00 Travel&Subsistence: 0.00 Employee Notes(Include other deductions, FICA(Soc. Sec.): 0.00 Wages Summary: contributions,and/or payments): State Tax: 0.00 Gross wages for all projects included in this check: 0.00 SDI: 0.00 Gross Wages for this project: 0.00 Total Deductions(incl.Other): 0.00 Net Wages for all projects: 0.00 L FContractor Name: S.A.S CONSTRUCTIONS Project Name: City Hall Building-Concrete Week Ending: 2024-08-18 Payroll Number:PRRUN1492247 Employee:JIMENEZ,ESAU JOSE Type Craft/Classification/Level Mon Tue Wed Thu Fri Sat Sun Total Base Total Vac. H&W Pension Other Training Fund/ Savings Dues Total 08/12 08/13 08/14 08/15 08/16 08/17 08/18 Hours Hourly Fringe Holi. Admin Hourly S 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Public Works Certified Payroll Reporting Form 2025/01/31 Page- 3 Public Works Certified Payroll Reporting Form Deductions(per payroll): Payments: Federal Tax: 0.00 Travel&Subsistence: 0.00 Employee Notes(Include other deductions, FICA(Soc. Sec.): 0.00 Wages Summary: contributions,and/or payments): State Tax: 0.00 Gross wages for all projects included in this check: 0.00 SDI: 0.00 Gross Wages for this project: 0.00 Total Deductions(incl.Other): 0.00 Net Wages for all projects: 0.00 Contractor Name: S.A.S CONSTRUCTIONS Project Name: City Hall Building-Concrete Week Ending:2024-08-18 Payroll Number:PRRLTN1492247 Employee:GOMEZ LARA,JOHNNY Type Craft/Classification/Level Mon Tue Wed Thu Fri Sat Sun Total Base Total Vac. H&W Pension Other Training Fund/ Savings Dues Total 08/12 08/13 08/14 08/15 08/16 08/17 08/18 Hours Hourly Fringe Holi. Admin Hourly LABORER AND RELATED S CLASSIFICATIONS : OTHER 8.00 8.00 0.00 0.00 0.00 0.00 0.00 16.00 74.00 0.80 0.00 0.00 0.00 0.00 0.80 0.00 0.00 0.00 74.80 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN LABORER AND RELATED O CLASSIFICATIONS : OTHER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN LABORER AND RELATED D CLASSIFICATIONS : OTHER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN Public Works Certified Payroll Reporting Form 2025/01/31 Page- 4 Public Works Certified Payroll Reporting Form Deductions(per payroll): Payments: Federal Tax: 85.12 Travel&Subsistence: 0.00 Employee Notes(Include other deductions, FICA(Soc. Sec.): 90.58 Wages Summary: contributions,and/or payments): State Tax: 43.10 Gross wages for all projects included in this check: 1184.00 SDI: 13.02 Gross Wages for this project: 1196.80 Total Deductions(incl. Other): 231.82 Net Wages for all projects: 952.18 Contractor Name: S.A.S CONSTRUCTIONS Project Name: City Hall Building-Concrete Week Ending:2024-08-18 Payroll Number:PRRUN1492247 Employee:ROJAS,RAYBEL Type Craft/Classification/Level Mon Tue Wed Thu Fri Sat Sun Total Base Total Vac. H&W Pension Other Training Fund/ Savings Dues Total 08/12 08/13 08/14 08/15 08/16 08/17 08/18 Hours Hourly Fringe Holi. Admin Hourly LABORER AND RELATED S CLASSIFICATIONS : OTHER 8.00 8.00 0.00 0.00 0.00 0.00 0.00 16.00 74.00 0.80 0.00 0.00 0.00 0.00 0.80 0.00 0.00 0.00 74.80 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN LABORER AND RELATED O CLASSIFICATIONS : OTHER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN LABORER AND RELATED D CLASSIFICATIONS : OTHER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN Public Works Certified Payroll Reporting Form 2025/01/31 Page- 5 Public Works Certified Payroll Reporting Form Deductions(per payroll): Payments: Federal Tax: 85.12 Travel&Subsistence: 0.00 Employee Notes(Include other deductions, FICA(Soc. Sec.): 90.58 Wages Summary: contributions,and/or payments): State Tax: 43.10 Gross wages for all projects included in this check: 1184.00 SDI: 13.02 Gross Wages for this project: 1196.80 Total Deductions(incl. Other): 231.82 Net Wages for all projects: 952.18 Contractor Name: S.A.S CONSTRUCTIONS Project Name: City Hall Building-Concrete Week Ending:2024-08-18 Payroll Number:PRRUN1492247 Employee:DE LA TORRE,ADALBERTO Type Craft/Classification/Level Mon Tue Wed Thu Fri Sat Sun Total Base Total Vac. H&W Pension Other Training Fund/ Savings Dues Total 08/12 08/13 08/14 08/15 08/16 08/17 08/18 Hours Hourly Fringe Holi. Admin Hourly LABORER AND RELATED S CLASSIFICATIONS : OTHER 8.00 8.00 0.00 0.00 0.00 0.00 0.00 16.00 74.00 0.80 0.00 0.00 0.00 0.00 0.80 0.00 0.00 0.00 74.80 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN LABORER AND RELATED O CLASSIFICATIONS : OTHER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN LABORER AND RELATED D CLASSIFICATIONS : OTHER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN Public Works Certified Payroll Reporting Form 2025/01/31 Page- 6 Public Works Certified Payroll Reporting Form Deductions(per payroll): Payments: Federal Tax: 85.12 Travel&Subsistence: 0.00 Employee Notes(Include other deductions, FICA(Soc. Sec.): 90.58 Wages Summary: contributions,and/or payments): State Tax: 43.10 Gross wages for all projects included in this check: 1184.00 SDI: 13.02 Gross Wages for this project: 1196.80 Total Deductions(incl. Other): 231.82 Net Wages for all projects: 952.18 Contractor Name: S.A.S CONSTRUCTIONS Project Name: City Hall Building-Concrete Week Ending:2024-08-18 Payroll Number:PRRUN1492247 Employee:ARCE RAMOS,CRISTIAN Type Craft/Classification/Level Mon Tue Wed Thu Fri Sat Sun Total Base Total Vac. H&W Pension Other Training Fund/ Savings Dues Total 08/12 08/13 08/14 08/15 08/16 08/17 08/18 Hours Hourly Fringe Holi. Admin Hourly LABORER AND RELATED S CLASSIFICATIONS : OTHER 8.00 8.00 0.00 0.00 0.00 0.00 0.00 16.00 74.00 0.80 0.00 0.00 0.00 0.00 0.80 0.00 0.00 0.00 74.80 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN LABORER AND RELATED O CLASSIFICATIONS : OTHER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN LABORER AND RELATED D CLASSIFICATIONS : OTHER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN Public Works Certified Payroll Reporting Form 2025/01/31 Page- 7 Public Works Certified Payroll Reporting Form Deductions(per payroll): Payments: Federal Tax: 85.12 Travel&Subsistence: 0.00 Employee Notes(Include other deductions, FICA(Soc. Sec.): 90.58 Wages Summary: contributions,and/or payments): State Tax: 43.10 Gross wages for all projects included in this check: 1184.00 SDI: 13.02 Gross Wages for this project: 1196.80 Total Deductions(incl. Other): 231.82 Net Wages for all projects: 952.18 Contractor Name: S.A.S CONSTRUCTIONS Project Name: City Hall Building-Concrete Week Ending:2024-08-18 Payroll Number:PRRUN1492247 Employee:GARCIA GUTIERREZ,IRINEO Type Craft/Classification/Level Mon Tue Wed Thu Fri Sat Sun Total Base Total Vac. H&W Pension Other Training Fund/ Savings Dues Total 08/12 08/13 08/14 08/15 08/16 08/17 08/18 Hours Hourly Fringe Holi. Admin Hourly LABORER AND RELATED S CLASSIFICATIONS : OTHER 8.00 8.00 0.00 0.00 0.00 0.00 0.00 16.00 74.00 0.80 0.00 0.00 0.00 0.00 0.80 0.00 0.00 0.00 74.80 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN LABORER AND RELATED O CLASSIFICATIONS : OTHER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN LABORER AND RELATED D CLASSIFICATIONS : OTHER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN Public Works Certified Payroll Reporting Form 2025/01/31 Page- 8 Public Works Certified Payroll Reporting Form Deductions(per payroll): Payments: Federal Tax: 85.12 Travel&Subsistence: 0.00 Employee Notes(Include other deductions, FICA(Soc. Sec.): 90.58 Wages Summary: contributions,and/or payments): State Tax: 43.10 Gross wages for all projects included in this check: 1184.00 SDI: 13.02 Gross Wages for this project: 1196.80 Total Deductions(incl. Other): 231.82 Net Wages for all projects: 952.18 Contractor Name: S.A.S CONSTRUCTIONS Project Name: City Hall Building-Concrete Week Ending:2024-08-18 Payroll Number:PRRLTN1492247 Employee:LABRADA,PEDRO Type Craft/Classification/Level Mon Tue Wed Thu Fri Sat Sun Total Base Total Vac. H&W Pension Other Training Fund/ Savings Dues Total 08/12 08/13 08/14 08/15 08/16 08/17 08/18 Hours Hourly Fringe Holi. Admin Hourly LABORER AND RELATED S CLASSIFICATIONS : OTHER 8.00 8.00 0.00 0.00 0.00 0.00 0.00 16.00 74.00 0.80 0.00 0.00 0.00 0.00 0.80 0.00 0.00 0.00 74.80 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN LABORER AND RELATED O CLASSIFICATIONS : OTHER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN LABORER AND RELATED D CLASSIFICATIONS : OTHER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN Public Works Certified Payroll Reporting Form 2025/01/31 Page- 9 Public Works Certified Payroll Reporting Form Deductions(per payroll): Payments: Federal Tax: 85.12 Travel&Subsistence: 0.00 Employee Notes(Include other deductions, FICA(Soc. Sec.): 90.58 Wages Summary: contributions,and/or payments): State Tax: 43.10 Gross wages for all projects included in this check: 1184.00 SDI: 13.02 Gross Wages for this project: 1196.80 Total Deductions(incl. Other): 231.82 Net Wages for all projects: 952.18 Contractor Name: S.A.S CONSTRUCTIONS Project Name: City Hall Building-Concrete Week Ending:2024-08-18 Payroll Number:PRRUN1492247 Employee:HERNANDEZ,RICARDO Type Craft/Classification/Level Mon Tue Wed Thu Fri Sat Sun Total Base Total Vac. H&W Pension Other Training Fund/ Savings Dues Total 08/12 08/13 08/14 08/15 08/16 08/17 08/18 Hours Hourly Fringe Holi. Admin Hourly LABORER AND RELATED S CLASSIFICATIONS : OTHER 8.00 8.00 0.00 0.00 0.00 0.00 0.00 16.00 74.00 0.80 0.00 0.00 0.00 0.00 0.80 0.00 0.00 0.00 74.80 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN LABORER AND RELATED O CLASSIFICATIONS : OTHER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN LABORER AND RELATED D CLASSIFICATIONS : OTHER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN Public Works Certified Payroll Reporting Form 2025/01/31 Page- 10 Public Works Certified Payroll Reporting Form Deductions(per payroll): Payments: Federal Tax: 85.12 Travel&Subsistence: 0.00 Employee Notes(Include other deductions, FICA(Soc. Sec.): 90.58 Wages Summary: contributions,and/or payments): State Tax: 43.10 Gross wages for all projects included in this check: 1184.00 SDI: 13.02 Gross Wages for this project: 1196.80 Total Deductions(incl. Other): 231.82 Net Wages for all projects: 952.18 Contractor Name: S.A.S CONSTRUCTIONS Project Name: City Hall Building-Concrete Week Ending:2024-08-18 Payroll Number:PRRUN1492247 Employee:GARCIA COREA,JOSE PABLO Type Craft/Classification/Level Mon Tue Wed Thu Fri Sat Sun Total Base Total Vac. H&W Pension Other Training Fund/ Savings Dues Total 08/12 08/13 08/14 08/15 08/16 08/17 08/18 Hours Hourly Fringe Holi. Admin Hourly LABORER AND RELATED S CLASSIFICATIONS : OTHER 8.00 8.00 0.00 0.00 0.00 0.00 0.00 16.00 74.00 0.80 0.00 0.00 0.00 0.00 0.80 0.00 0.00 0.00 74.80 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN LABORER AND RELATED O CLASSIFICATIONS : OTHER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN LABORER AND RELATED D CLASSIFICATIONS : OTHER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN Public Works Certified Payroll Reporting Form 2025/01/31 Page- 11 Public Works Certified Payroll Reporting Form Deductions(per payroll): Payments: Federal Tax: 85.12 Travel&Subsistence: 0.00 Employee Notes(Include other deductions, FICA(Soc. Sec.): 90.58 Wages Summary: contributions,and/or payments): State Tax: 43.10 Gross wages for all projects included in this check: 1184.00 SDI: 13.02 Gross Wages for this project: 1196.80 Total Deductions(incl. Other): 231.82 Net Wages for all projects: 952.18 Contractor Name: S.A.S CONSTRUCTIONS Project Name: City Hall Building-Concrete Week Ending:2024-08-18 Payroll Number:PRRUN1492247 Employee:ARIAS,ALEJANDRO Type Craft/Classification/Level Mon Tue Wed Thu Fri Sat Sun Total Base Total Vac. H&W Pension Other Training Fund/ Savings Dues Total 08/12 08/13 08/14 08/15 08/16 08/17 08/18 Hours Hourly Fringe Holi. Admin Hourly LABORER AND RELATED S CLASSIFICATIONS : OTHER 8.00 8.00 0.00 0.00 0.00 0.00 0.00 16.00 74.00 0.80 0.00 0.00 0.00 0.00 0.80 0.00 0.00 0.00 74.80 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN LABORER AND RELATED O CLASSIFICATIONS : OTHER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN LABORER AND RELATED D CLASSIFICATIONS : OTHER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN Public Works Certified Payroll Reporting Form 2025/01/31 Page- 12 Public Works Certified Payroll Reporting Form Deductions(per payroll): Payments: Federal Tax: 85.12 Travel&Subsistence: 0.00 Employee Notes(Include other deductions, FICA(Soc. Sec.): 90.58 Wages Summary: contributions,and/or payments): State Tax: 43.10 Gross wages for all projects included in this check: 1184.00 SDI: 13.02 Gross Wages for this project: 1196.80 Total Deductions(incl. Other): 231.82 Net Wages for all projects: 952.18 Contractor Name: S.A.S CONSTRUCTIONS Project Name: City Hall Building-Concrete Week Ending:2024-08-18 Payroll Number:PRRLTN1492247 Employee:MEDIA,SALVADOR Type Craft/Classification/Level Mon Tue Wed Thu Fri Sat Sun Total Base Total Vac. H&W Pension Other Training Fund/ Savings Dues Total 08/12 08/13 08/14 08/15 08/16 08/17 08/18 Hours Hourly Fringe Holi. Admin Hourly LABORER AND RELATED S CLASSIFICATIONS : OTHER 8.00 8.00 0.00 0.00 0.00 0.00 0.00 16.00 74.00 0.80 0.00 0.00 0.00 0.00 0.80 0.00 0.00 0.00 74.80 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN LABORER AND RELATED O CLASSIFICATIONS : OTHER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN LABORER AND RELATED D CLASSIFICATIONS : OTHER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN Public Works Certified Payroll Reporting Form 2025/01/31 Page- 13 Public Works Certified Payroll Reporting Form Deductions(per payroll): Payments: Federal Tax: 85.12 Travel&Subsistence: 0.00 Employee Notes(Include other deductions, FICA(Soc. Sec.): 90.58 Wages Summary: contributions,and/or payments): State Tax: 43.10 Gross wages for all projects included in this check: 1184.00 SDI: 13.02 Gross Wages for this project: 1196.80 Total Deductions(incl. Other): 231.82 Net Wages for all projects: 952.18 Contractor Name: S.A.S CONSTRUCTIONS Project Name: City Hall Building-Concrete Week Ending:2024-08-18 Payroll Number:PRRUN1492247 Employee:JIMENEZ ARIAS,HECTOR Type Craft/Classification/Level Mon Tue Wed Thu Fri Sat Sun Total Base Total Vac. H&W Pension Other Training Fund/ Savings Dues Total 08/12 08/13 08/14 08/15 08/16 08/17 08/18 Hours Hourly Fringe Holi. Admin Hourly LABORER AND RELATED S CLASSIFICATIONS : OTHER 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 80.00 0.80 0.00 0.00 0.00 0.00 0.80 0.00 0.00 0.00 80.80 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN LABORER AND RELATED O CLASSIFICATIONS : OTHER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN LABORER AND RELATED D CLASSIFICATIONS : OTHER 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 (PLEASE SPECIFY)-Laborer Group 1 -JOURNEYMAN Public Works Certified Payroll Reporting Form 2025/01/31 Page- 14 Public Works Certified Payroll Reporting Form Deductions(per payroll): Payments: Federal Tax: 566.81 Travel&Subsistence: 0.00 Employee Notes(Include other deductions, FICA(Soc. Sec.): 244.80 Wages Summary: contributions,and/or payments): State Tax: 246.00 Gross wages for all projects included in this check: 3200.00 SDI: 35.20 Gross Wages for this project: 3232.00 Total Deductions(incl.Other): 1092.81 Net Wages for all projects: 2107.19 Public Works Certified Payroll Reporting Form 2025/01/31 Page- 15