HomeMy WebLinkAbout1000679982_519068_2025-06-22_PRRUN2503064Certification 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 2025-06-16 to 2025-06-22 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 Name: SAS CONSTRUCTION
Contractor
PWCR:
1000679982
License
Type:
CSLB
License
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: CITY OF LAKE ELSINORE County:Address: 130 S. MAIN STREET, , LAKE ELSINORE, CA
92530
Payroll #: PRRUN2503064 Ctr Payroll #:
ACCT0025617 Week Ending: 2025-06-22 Statement of Non-Performance?Final payroll for this project?
Employee: ARREDONDO, ADRIAN
Type Craft/Classification/Level Mon
06/16
Tue
06/17
Wed
06/18
Thu
06/19
Fri
06/20
Sat
06/21
Sun
06/22
Total
Hours
Base
Hourly
Vac.
Holi.H&W Pension Other Training Fund/
Admin Savings Dues Total
Fringe
Total
Hourly
Rate
LABORER AND RELATED
CLASSIFICATIONS : OTHER
(PLEASE SPECIFY) - Laborer
S 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 74.00 0.00 0.00 0.00 0.00 0.80 0.00 0.00 0.00 0.80 74.80
Public Works Certified Payroll Reporting Form
1
Group 1 - JOURNEYMAN
O
LABORER AND RELATED
CLASSIFICATIONS : OTHER
(PLEASE SPECIFY) - Laborer
Group 1 - JOURNEYMAN
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
D
LABORER AND RELATED
CLASSIFICATIONS : OTHER
(PLEASE SPECIFY) - Laborer
Group 1 - JOURNEYMAN
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Deductions (per payroll):
Federal Tax: 229.45
FICA (Soc. Sec.): 135.86
State Tax: 97.64
SDI: 21.31
Total Deductions (incl. Other): 484.26
Payments:
Travel & Subsistence: 0.00
Wages Summary:
Gross wages for all projects included in this check: 1776.00
Gross Wages for this project: 1795.20
Net Wages for all projects: 1291.74
Employee Notes (Include other deductions,
contributions, and/or payments):
Contractor Name: SAS CONSTRUCTION Project Name: City Hall Building - Concrete Week Ending: 2025-06-22 Payroll Number: PRRUN2503064
Employee: SALGADO, JUAN
Type Craft/Classification/Level Mon
06/16
Tue
06/17
Wed
06/18
Thu
06/19
Fri
06/20
Sat
06/21
Sun
06/22
Total
Hours
Base
Hourly
Vac.
Holi.H&W Pension Other Training Fund/
Admin Savings Dues Total
Fringe
Total
Hourly
Rate
Public Works Certified Payroll Reporting Form
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S
LABORER AND RELATED
CLASSIFICATIONS : OTHER
(PLEASE SPECIFY) - Laborer
Group 1 - JOURNEYMAN
8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 74.00 0.00 0.00 0.00 0.00 0.80 0.00 0.00 0.00 0.80 74.80
O
LABORER AND RELATED
CLASSIFICATIONS : OTHER
(PLEASE SPECIFY) - Laborer
Group 1 - JOURNEYMAN
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
D
LABORER AND RELATED
CLASSIFICATIONS : OTHER
(PLEASE SPECIFY) - Laborer
Group 1 - JOURNEYMAN
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Deductions (per payroll):
Federal Tax: 328.61
FICA (Soc. Sec.): 226.44
State Tax: 218.76
SDI: 35.52
Total Deductions (incl. Other): 809.33
Payments:
Travel & Subsistence: 0.00
Wages Summary:
Gross wages for all projects included in this check: 2960.00
Gross Wages for this project: 2992.00
Net Wages for all projects: 2150.67
Employee Notes (Include other deductions,
contributions, and/or payments):
Contractor Name: SAS CONSTRUCTION Project Name: City Hall Building - Concrete Week Ending: 2025-06-22 Payroll Number: PRRUN2503064
Employee: ARRENDONDO, CESAR ANTONIO
Mon Tue Wed Thu Fri Sat Sun Total Base Vac. Fund/ Total Total Type Craft/Classification/Level H&W Pension Other Training Savings Dues
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06/16 06/17 06/18 06/19 06/20 06/21 06/22 Hours Hourly Holi.Admin Fringe Hourly
Rate
S
LABORER AND RELATED
CLASSIFICATIONS : OTHER
(PLEASE SPECIFY) - Laborer
Group 1 - JOURNEYMAN
8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 74.00 0.00 0.00 0.00 0.00 0.80 0.00 0.00 0.00 0.80 74.80
O
LABORER AND RELATED
CLASSIFICATIONS : OTHER
(PLEASE SPECIFY) - Laborer
Group 1 - JOURNEYMAN
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
D
LABORER AND RELATED
CLASSIFICATIONS : OTHER
(PLEASE SPECIFY) - Laborer
Group 1 - JOURNEYMAN
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Deductions (per payroll):
Federal Tax: 229.45
FICA (Soc. Sec.): 135.87
State Tax: 97.64
SDI: 21.31
Total Deductions (incl. Other): 484.27
Payments:
Travel & Subsistence: 0.00
Wages Summary:
Gross wages for all projects included in this check: 1776.00
Gross Wages for this project: 1795.20
Net Wages for all projects: 1291.73
Employee Notes (Include other deductions,
contributions, and/or payments):
Contractor Name: SAS CONSTRUCTION Project Name: City Hall Building - Concrete Week Ending: 2025-06-22 Payroll Number: PRRUN2503064
Employee: SEPULVEDA CARVAJAL, CARLOS ANTONIO
Public Works Certified Payroll Reporting Form
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Type Craft/Classification/Level Mon
06/16
Tue
06/17
Wed
06/18
Thu
06/19
Fri
06/20
Sat
06/21
Sun
06/22
Total
Hours
Base
Hourly
Vac.
Holi.H&W Pension Other Training Fund/
Admin Savings Dues Total
Fringe
Total
Hourly
Rate
S
LABORER AND RELATED
CLASSIFICATIONS : OTHER
(PLEASE SPECIFY) - Laborer
Group 1 - JOURNEYMAN
8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 74.00 0.00 0.00 0.00 0.00 0.80 0.00 0.00 0.00 0.80 74.80
O
LABORER AND RELATED
CLASSIFICATIONS : OTHER
(PLEASE SPECIFY) - Laborer
Group 1 - JOURNEYMAN
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
D
LABORER AND RELATED
CLASSIFICATIONS : OTHER
(PLEASE SPECIFY) - Laborer
Group 1 - JOURNEYMAN
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Deductions (per payroll):
Federal Tax: 503.61
FICA (Soc. Sec.): 226.44
State Tax: 218.76
SDI: 35.52
Total Deductions (incl. Other): 984.33
Payments:
Travel & Subsistence: 0.00
Wages Summary:
Gross wages for all projects included in this check: 2960.00
Gross Wages for this project: 2992.00
Net Wages for all projects: 1975.67
Employee Notes (Include other deductions,
contributions, and/or payments):
Public Works Certified Payroll Reporting Form
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