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HomeMy WebLinkAbout250729-25022-FBS-Lake Elsinore from 06.09.25-06.29.25 (weeks 1-3) Pre-Increase Fringe Benefit Statement/Statement of Employer Payment CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement County/location Riverside/City of Lake Elsinore CONTRACT# CONTRACTOR'S LICENSE#: TODAY'S DATE: 20250580287 896772 7/29/2025 City of Lake Elsinore IN ORDER THAT THE PROPER FRINGE BENEFIT RATES CAN BE USED FOR CHECKING PAYROLLS OR APPLIED TO FORCE ACCOUNT WORK WHICH MAY BE DONE ON THE ABOVE CONTRACT,THE HOURLY RATES FOR FRINGE BENEFITS,SUBSISTENCE AND/OR TRAVEL ALLOWANCE PAYMENT(AS REQUIRED BY COLLECTIVE BARGAINING AGREEMENTS)MADE FOR EMPLOYEES ON THE VARIOUS CLASSES OF WORK ARE TABULATED BELOW Armando Cardona Romo CLASSIFICATION: Laborer Group 1 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 7/1/2024 PAY: NONE CASH ON FRINGE $ 27.01 PAID TO: Paid to Employee on Hourly Rate. TRAINING $ 0.80 PAID TO: California Apprenticeship Council; P O Box 511283, Los Angeles,CA 90051-7838 MEDICAL& ANCILLARIES $ - PAID TO: California Choice&Choice Builder:721 South Parker,Suite 200,Orange, CA 92868 CLASSIFICATION: Operating Engineer Group 6 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 7/1/2024 PAY: NONE CASH ON FRINGE $ 33.23 PAID TO: Paid to Employee on Hourly Rate. TRAINING $ 1.10 PAID TO: California Apprenticeship Council; P.O. Box 511283, Los Angeles,CA 90051-7838 MEDICAL& ANCILLARIES $ - PAID TO- California Choice&Choice Builder: 721 South Parker, Suite 200, Orange,CA 92868 CLASSIFICATION Operating Engineer Group 8 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 71 11161-1 PAY: NONE CASH ON FRINGE $ 33.230 PAID TO: Paid to Employee on Hourly Rate. TRAINING $ 1.100 PAID TO: California Apprenticeship Council; P.O. Box 511283, Los Angeles, CA 90051-7838 MEDICAL& ANCILLARIES $ - PAID TO California Choice&Choice Builder:721 South Parker, Suite 200,Orange,CA 92868 CONTRIBUTIONS Weekly X Monthly Quarterly FAnnually PRIME PENSION SIGNATURE/TITLE: NAME OF Leonida CONTRACTOR, Builders, Inc. Fringe Benefit Statement/Statement of Employer Payment CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement County/location Riverside/City of Lake Elsinore CONTRACT# CONTRACTOR'S LICENSE#: TODAY'S DATE: 20250580287 896772 7/29/2025 City of Lake Elsinore IN ORDER THAT THE PROPER FRINGE BENEFIT RATES CAN BE USED FOR CHECKING PAYROLLS OR APPLIED TO FORCE ACCOUNT WORK WHICH MAY BE DONE ON THE ABOVE CONTRACT,THE HOURLY RATES FOR FRINGE BENEFITS,SUBSISTENCE AND/OR TRAVEL ALLOWANCE PAYMENT(AS REQUIRED BY COLLECTIVE BARGAINING AGREEMENTS)MADE FOR EMPLOYEES ON THE VARIOUS CLASSES OF WORK ARE TABULATED BELOW Aurelio R Alegria Arl CLASSIFICATION: Laborer Group 1 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 7/1/2024 PAY: NONE CASH ON FRINGE $ 27.01 PAID TO- Paid to Employee on Hourly Rate. TRAINING $ 0.80 PAID TO. California Apprenticeship Council; P O Box 511283, Los Angeles, CA 90051-7838 MEDICAL& ANCILLARIES $ - PAID TO- California Choice&Choice Builder: 721 South Parker, Suite 200,Orange,CA 92868 CLASSIFICATION: Cement Mason EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 7/1/2024 PAY: NONE CASH ON FRINGE $ 27.38 PAID TO Paid to Employee on Hourly Rate TRAINING $ 0.64 PAID TO California Apprenticeship Council; P O. Box 511283, Los Angeles,CA 90051-7838 MEDICAL& ANCILLARIES $ - PAID TO California Choice&Choice Builder: 721 South Parker, Suite 200,Orange,CA 92868 CONTRIBUTIONS Weekly X Monthly Quarterly Annually PRIME: PENSION, SIGNATURE/TITLE: NAME OF Leonida CONTRACTOR: Builders, Inc. Fringe Benefit Statement/Statement of Employer Payment CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement County/location Riverside/City of Lake Elsinore CONTRACT# CONTRACTOR'S LICENSE#: TODAY'S DATE: 20250580287 896772 7/29/2025 City of Lake Elsinore IN ORDER THAT THE PROPER FRINGE BENEFIT RATES CAN BE USED FOR CHECKING PAYROLLS OR APPLIED TO FORCE ACCOUNT WORK WHICH MAY BE DONE ON THE ABOVE CONTRACT,THE HOURLY RATES FOR FRINGE BENEFITS,SUBSISTENCE AND/OR TRAVEL ALLOWANCE PAYMENT(AS REQUIRED BY COLLECTIVE BARGAINING AGREEMENTS)MADE FOR EMPLOYEES ON THE VARIOUS CLASSES OF WORK ARE TABULATED BELOW Hector Padilla CLASSIFICATION, Cement Mason EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 7/1/2024 PAY: NONE CASH ON FRINGE $ 27.38 PAID TO: Paid to Employee on Hourly Rate TRAINING $ 0.64 PAID TO: California Apprenticeship Council; P.O. Box 511283, Los Angeles,CA 90051-7838 MEDICAL& ANCILLARIES $ - PAID TO: California Choice&Choice Builder: 721 South Parker, Suite 200,Orange,CA 92868 CONTRIBUTIONS weekly X Monthly Quarterly Annually PRIME: PENSION: SIGNATURE/TITLE NAME OF Leonida CONTRACTOR: Builders, Inc. Fringe Benefit Statement/Statement of Employer Payment CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement County/location Riverside/City of Lake Elsinore CONTRACT# CONTRACTOR'S LICENSE#: TODAY'S DATE: 20250580287 896772 7/29/2025 City of Lake Elsinore IN ORDER THAT THE PROPER FRINGE BENEFIT RATES CAN BE USED FOR CHECKING PAYROLLS OR APPLIED TO FORCE ACCOUNT WORK WHICH MAY BE DONE ON THE ABOVE CONTRACT,THE HOURLY RATES FOR FRINGE BENEFITS,SUBSISTENCE AND/OR TRAVEL ALLOWANCE PAYMENT(AS REQUIRED BY COLLECTIVE BARGAINING AGREEMENTS)MADE FOR EMPLOYEES ON THE VARIOUS CLASSES OF WORK ARE TABULATED BELOW Javier Alvarez CLASSIFICATION Laborer Group 1 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 1 7/1/2024 PAY: NONE CASH ON FRINGE $ 22.67 PAID TO: Paid to Employee on Hourly Rate. TRAINING $ 0.80 PAID TO California Apprenticeship Council; P.O. Box 511283, Los Angeles,CA 90051-7838 MEDICAL& ANCILLARIES $ 4.34 PAID TO: California Choice&Choice Builder:721 South Parker,Suite 200,Orange, CA 92868 CLASSIFICATION Operating Engineer Group 3 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 1/1/2024 PAY: NONE CASH ON FRINGE $ 28.89 PAID TO: Paid to Employee on Hourly Rate. TRAINING $ 1.10 PAID TO: California Apprenticeship Council; P.O. Box 511283, Los Angeles, CA 90051-7838 MEDICAL& ANCILLARIES $ 4.34 PAID TO: California Choice&Choice Builder: 721 South Parker, Suite 200,Orange,CA 92868 CONTRIBUTIONS Weekly X Monthly Quarterly Annually PRIME: PENSION, SIGNATURE/TITLE: NAME OF Leonida CONTRACTOR: Builders, Inc. Fringe Benefit Statement/Statement of Employer Payment CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement County/location I Riverside/City of Lake Elsinore CONTRACT# CONTRACTOR'S LICENSE#: TODAY'S DATE: 20250580287 896772 7/29/2025 City of Lake Elsinore IN ORDER THAT THE PROPER FRINGE BENEFIT RATES CAN BE USED FOR CHECKING PAYROLLS OR APPLIED TO FORCE ACCOUNT WORK WHICH MAY BE DONE ON THE ABOVE CONTRACT,THE HOURLY RATES FOR FRINGE BENEFITS,SUBSISTENCE AND/OR TRAVEL ALLOWANCE PAYMENT(AS REQUIRED BY COLLECTIVE BARGAINING AGREEMENTS)MADE FOR EMPLOYEES ON THE VARIOUS CLASSES OF WORK ARE TABULATED BELOW Joel Gomez Valdivia CLASSIFICATION Cement Mason EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 1 7/1/2024 PAY: NONE CASH ON FRINGE $ 27.38 PAID TO: Paid to Employee on Hourly Rate. TRAINING $ 0.64 PAID TO: California Apprenticeship Council; P.O. Box 511283, Los Angeles, CA 90051-7838 MEDICAL& ANCILLARIES $ - PAID TO: California Choice&Choice Builder:721 South Parker,Suite 200,Orange,CA 92868 CONTRIBUTIONS Weekly X Monthly Quarterly Annually PRIME: PENSION SIGNATURE/TITLE: NAME OF Leonida CONTRACTOR: Builders, Inc. Fringe Benefit Statement/Statement of Employer Payment CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement County/location I Riverside/City of Lake Elsinore CONTRACT# CONTRACTOR'S LICENSE#: TODAY'S DATE: 20250580287 896772 7/29/2025 City of Lake Elsinore IN ORDER THAT THE PROPER FRINGE BENEFIT RATES CAN BE USED FOR CHECKING PAYROLLS OR APPLIED TO FORCE ACCOUNT WORK WHICH MAY BE DONE ON THE ABOVE CONTRACT,THE HOURLY RATES FOR FRINGE BENEFITS,SUBSISTENCE AND/OR TRAVEL ALLOWANCE PAYMENT(AS REQUIRED BY COLLECTIVE BARGAINING AGREEMENTS)MADE FOR EMPLOYEES ON THE VARIOUS CLASSES OF WORK ARE TABULATED BELOW Jose Dejesus Lopez Reynoso CLASSIFICATION Laborer Group 1 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 7/1/2024 PAY: NONE CASH ON FRINGE $ 24.75 PAID TO: Paid to Employee on Hourly Rate TRAINING $ 0.80 PAID TO: California Apprenticeship Council; P.O. Box 511283, Los Angeles,CA 90051-7838 MEDICAL& ,ANCILLARIES $ 2.26 PAID TO: California Choice&Choice Builder:721 South Parker, Suite 200,Orange, CA 92868 CLASSIFICATION: Operating Engineer Group 8 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 7/1/2024 PAY: NONE CASH ON FRINGE $ 30.97 PAID TO: Paid to Employee on Hourly Rate TRAINING $ 1.10 PAID TO: California Apprenticeship Council; P.O. Box 511283, Los Angeles, CA 90051-7838 MEDICAL& ANCILLARIES $ 2.26 PAID TO: California Choice&Choice Builder: 721 South Parker, Suite 200,Orange,CA 92868 CONTRIBUTIONS Weekly X Monthly Quarterly Annually PRIME PENSION SIGNATURE/TITLE: NAME OF Leonida CONTRACTOR Builders, Inc. Fringe Benefit Statement/Statement of Employer Payment CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement County/location I Riverside/City of Lake Elsinore CONTRACT# CONTRACTOR'S LICENSE#: TODAY'S DATE: 20250580287 896772 7/29/2025 City of Lake Elsinore IN ORDER THAT THE PROPER FRINGE BENEFIT RATES CAN BE USED FOR CHECKING PAYROLLS OR APPLIED TO FORCE ACCOUNT WORK WHICH MAY BE DONE ON THE ABOVE CONTRACT,THE HOURLY RATES FOR FRINGE BENEFITS,SUBSISTENCE AND/OR TRAVEL ALLOWANCE PAYMENT(AS REQUIRED BY COLLECTIVE BARGAINING AGREEMENTS)MADE FOR EMPLOYEES ON THE VARIOUS CLASSES OF WORK ARE TABULATED BELOW Juan Cruz CLASSIFICATION: Laborer Group 1 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 7/1/2024 PAY: NONE CASH ON FRINGE $ 27.01 PAID TO: Paid to Employee on Hourly Rate TRAINING $ 0.80 PAID TO: California Apprenticeship Council; P.O. Box 511283, Los Angeles, CA 90051-7838 MEDICAL& ANCILLARIES $ - PAID TO: California Choice&Choice Builder: 721 South Parker,Suite 200, Orange,CA 92868 CLASSIFICATION: Operating Engineer Group 3 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 7/1/2024 PAY: NONE CASH ON FRINGE $ 33.23 PAID TO: Paid to Employee on Hourly Rate, TRAINING $ 1.10 PAID TO: California Apprenticeship Council; P.O. Box 511283, Los Angeles, CA 90051-7838 MEDICAL& ANCILLARIES $ - PAID TO: California Choice&Choice Builder:721 South Parker, Suite 200,Orange,CA 92868 CLASSIFICATION Operating Engineer Group 6 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 7/1/2024 PAY: NONE CASH ON FRINGE $ 33.23 PAID TO: Paid to Employee on Hourly Rate. TRAINING $ 1.10 PAID TO: California Apprenticeship Council; P.O. Box 511283, Los Angeles,CA 90051-7838 MEDICAL& ANCILLARIES $ - PAID TO: California Choice&Choice Builder:721 South Parker,Suite 200,Orange, CA 92868 CONTRIBUTIONS Weekly X Monthly Quarterly Annually PRIME: PENSION: SIGNATURE/TITLE NAME OF Leonida CONTRACTOR: Builders, Inc. Fringe Benefit Statement/Statement of Employer Payment CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement County/location I Riverside/City of Lake Elsinore CONTRACT# CONTRACTOR'S LICENSE#: TODAY'S DATE: 20250580287 896772 7/29/2025 City of Lake Elsinore IN ORDER THAT THE PROPER FRINGE BENEFIT RATES CAN BE USED FOR CHECKING PAYROLLS OR APPLIED TO FORCE ACCOUNT WORK WHICH MAY BE DONE ON THE ABOVE CONTRACT,THE HOURLY RATES FOR FRINGE BENEFITS,SUBSISTENCE AND/OR TRAVEL ALLOWANCE PAYMENT(AS REQUIRED BY COLLECTIVE BARGAINING AGREEMENTS)MADE FOR EMPLOYEES ON THE VARIOUS CLASSES OF WORK ARE TABULATED BELOW Juan Ramirez CLASSIFICATION, Cement Mason EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 1 7/1/2024 PAY: NONE CASH ON FRINGE $ 25.93 PAID TO: Paid to Employee on Hourly Rate TRAINING $ 0.64 PAID TO: California Apprenticeship Council; P.O. Box 511283, Los Angeles,CA 90051-7838 MEDICAL& ANCILLARIES $ 1.45 PAID TO: California Choice&Choice Builder:721 South Parker, Suite 200,Orange,CA 92868 CONTRIBUTIONS Weekly X Monthly Quarterly Annually PRIME PENSION. SIGNATURE/TITLE: NAME OF Leonida CONTRACTOR Builders, Inc Fringe Benefit Statement/Statement of Employer Payment CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement County/location I Riverside/City of Lake Elsinore CONTRACT# CONTRACTOR'S LICENSE#: TODAY'S DATE: 20250580287 896772 7/29/2025 City of Lake Elsinore IN ORDER THAT THE PROPER FRINGE BENEFIT RATES CAN BE USED FOR CHECKING PAYROLLS OR APPLIED TO FORCE ACCOUNT WORK WHICH MAY BE DONE ON THE ABOVE CONTRACT,THE HOURLY RATES FOR FRINGE BENEFITS,SUBSISTENCE AND/OR TRAVEL ALLOWANCE PAYMENT(AS REQUIRED BY COLLECTIVE BARGAINING AGREEMENTS)MADE FOR EMPLOYEES ON THE VARIOUS CLASSES OF WORK ARE TABULATED BELOW Miguel Martin Alvarez CLASSIFICATION Operating Engineer Group 6 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: -111 PAY: NONE CASH ON FRINGE $ 29.854 PAID TO: Paid to Employee on Hourly Rate TRAINING $ 1.100 PAID TO: California Apprenticeship Council; P.O. Box 511283, Los Angeles,CA 90051-7838 MEDICAL& ANCILLARIES $ 3.376 PAID TO: California Choice&Choice Builder:721 South Parker, Suite 200,Orange, CA 92868 CLASSIFICATION: Operating Engineer Group 8 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: F (�� L PAY: NONE CASH ON FRINGE $ 29.854 PAID TO: Paid to Employee on Hourly Rate. TRAINING $ 1.100 PAID TO California Apprenticeship Council; P.O. Box 511283, Los Angeles, CA 90051-7838 MEDICAL& ANCILLARIES $ 3.376 PAID TO. California Choice&Choice Builder: 721 South Parker, Suite 200,Orange,CA 92868 CONTRIBUTIONS Weekly X Monthly Quarterly Annually PRIME: PENSION: SIGNATURE/TITLE: NAME OF Leonida CONTRACTOR: Builders, Inc. Fringe Benefit Statement/Statement of Employer Payment CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement County/location Riverside/City of Lake Elsinore CONTRACT# CONTRACTOR'S LICENSE#: TODAY'S DATE. 20250580287 896772 7/29/2025 City of Lake Elsinore IN ORDER THAT THE PROPER FRINGE BENEFIT RATES CAN BE USED FOR CHECKING PAYROLLS OR APPLIED TO FORCE ACCOUNT WORK WHICH MAY BE DONE ON THE ABOVE CONTRACT,THE HOURLY RATES FOR FRINGE BENEFITS,SUBSISTENCE AND/OR TRAVEL ALLOWANCE PAYMENT(AS REQUIRED BY COLLECTIVE BARGAINING AGREEMENTS)MADE FOR EMPLOYEES ON THE VARIOUS CLASSES OF WORK ARE TABULATED BELOW Modesto Salazar CLASSIFICATION: Laborer Group 1 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 7/1/2024 PAY: NONE CASH ON FRINGE $ 27.01 PAID TO Paid to Employee on Hourly Rate. TRAINING $ 0.80 PAID TO California Apprenticeship Council; P.O. Box 511283, Los Angeles,CA 90051-7838 MEDICAL& ANCILLARIES $ - PAID TO. California Choice&Choice Builder:721 South Parker,Suite 200, Orange, CA 92868 CLASSIFICATION: Cement Mason EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 7/1/2024 PAY: NONE CASH ON FRINGE $ 27.38 PAID TO Paid to Employee on Hourly Rate. TRAINING $ 0.64 PAID TO: California Apprenticeship Council; P.O. Box 511283, Los Angeles,CA 90051-7838 MEDICAL& ANCILLARIES $ - PAID TO: California Choice&Choice Builder: 721 South Parker, Suite 200,Orange,CA 92868 CONTRIBUTIONS Weekly X Monthly Quarterly Annually PRIME: PENSION: SIGNATURE/TITLE- NAME OF Leonida CONTRACTOR: Builders, Inc. Fringe Benefit Statement/Statement of Employer Payment CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement County/location I Riverside/City of Lake Elsinore CONTRACT# CONTRACTOR'S LICENSE#: TODAY'S DATE: 20250580287 896772 7/29/2025 City of Lake Elsinore IN ORDER THAT THE PROPER FRINGE BENEFIT RATES CAN BE USED FOR CHECKING PAYROLLS OR APPLIED TO FORCE ACCOUNT WORK WHICH MAY BE DONE ON THE ABOVE CONTRACT,THE HOURLY RATES FOR FRINGE BENEFITS,SUBSISTENCE AND/OR TRAVEL ALLOWANCE PAYMENT(AS REQUIRED BY COLLECTIVE BARGAINING AGREEMENTS)MADE FOR EMPLOYEES ON THE VARIOUS CLASSES OF WORK ARE TABULATED BELOW Orlando Montes CLASSIFICATION Laborer Group 1 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 1 7/1/2024 PAY: NONE CASH ON FRINGE $ 25.56 PAID TO: Paid to Employee on Hourly Rate. TRAINING $ 0.80 PAID TO: California Apprenticeship Council; P.O. Box 511283, Los Angeles, CA 90051-7838 MEDICAL& ANCILLARIES $ 1.45 1 PAID TO: California Choice&Choice Builder:721 South Parker, Suite 200, Orange,CA 92868 CONTRIBUTIONS Weekly X Monthly Quarterly Annually PRIME: PENSION, SIGNATURE/TITLE: NAME OF Leonida CONTRACTOR: Builders, Inc. Fringe Benefit Statement/Statement of Employer Payment CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement County/location I Riverside/City of Lake Elsinore CONTRACT# CONTRACTOR'S LICENSE#: TODAY'S DATE: 20250580287 896772 7/29/2025 City of Lake Elsinore IN ORDER THAT THE PROPER FRINGE BENEFIT RATES CAN BE USED FOR CHECKING PAYROLLS OR APPLIED TO FORCE ACCOUNT WORK WHICH MAY BE DONE ON THE ABOVE CONTRACT,THE HOURLY RATES FOR FRINGE BENEFITS,SUBSISTENCE AND/OR TRAVEL ALLOWANCE PAYMENT(AS REQUIRED BY COLLECTIVE BARGAINING AGREEMENTS)MADE FOR EMPLOYEES ON THE VARIOUS CLASSES OF WORK ARE TABULATED BELOW Orlando Montes Sr. CLASSIFICATION: Laborer Group 1 EFFECTIVE I SUBSISTENCE OR TRAVEL DATE: 7/1/2024 PAY: NONE CASH ON FRINGE $ 24.92 PAID TO: Paid to Employee on Hourly Rate TRAINING $ 0.80 PAID TO: California Apprenticeship Council; P.O. Box 511283, Los Angeles, CA 90051-7838 MEDICAL& ANCILLARIES $ 2.09 PAID TO: California Choice&Choice Builder:721 South Parker,Suite 200, Orange, CA 92868 CLASSIFICATION Cement Mason EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 7/1/2024 PAY: NONE CASH ON FRINGE $ 25.29 PAID TO: Paid to Employee on Hourly Rate. TRAINING $ 0.64 PAID TO: California Apprenticeship Council; P.O. Box 511283, Los Angeles,CA 90051-7838 MEDICAL& ANCILLARIES $ 2.09 PAID TO California Choice&Choice Builder:721 South Parker,Suite 200, Orange,CA 92868 CLASSIFICATION: Operating Engineer Group 3 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 71112124 PAY: NONE CASH ON FRINGE $ 31.14 PAID TO. Paid to Employee on Hourly Rate. TRAINING $ 1.10 PAID TO: California Apprenticeship Council; P O Box 511283, Los Angeles,CA 90051-7838 MEDICAL& ANCILLARIES $ 2.09 PAID TO: California Choice&Choice Builder:721 South Parker,Suite 200, Orange, CA 92868 CONTRIBUTIONS Weekly X Monthly Quarterly Annually PRIME: PENSION SIGNATURE/TITLE: NAME OF Leonida CONTRACTOR: Builders, Inc. Fringe Benefit Statement/Statement of Employer Payment CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement County/location I Riverside/City of Lake Elsinore CONTRACT# CONTRACTOR'S LICENSE#: TODAY'S DATE: 20250580287 896772 7/29/2025 City of Lake Elsinore IN ORDER THAT THE PROPER FRINGE BENEFIT RATES CAN BE USED FOR CHECKING PAYROLLS OR APPLIED TO FORCE ACCOUNT WORK WHICH MAYBE DONE ON THE ABOVE CONTRACT,THE HOURLY RATES FOR FRINGE BENEFITS,SUBSISTENCE AND/OR TRAVEL ALLOWANCE PAYMENT(AS REQUIRED BY COLLECTIVE BARGAINING AGREEMENTS)MADE FOR EMPLOYEES ON THE VARIOUS CLASSES OF WORK ARE TABULATED BELOW Ramon O Fernandez CLASSIFICATION: Laborer Group 1 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 7/1/2024 PAY: NONE CASH ON FRINGE $ 24.06 D TO: iPaid to Employee on Hourly Rate TRAINING $ 0.80 PAID TO: California Apprenticeship Council:P.O.Box 511283.Los Angeles.CA 90051-7838 MEDICAL& ANCILLARIES $ 2.95 PAID TO: California Choice&Choice Builder:721 South Parker,Suite 200,Orange,CA 92868 CLASSIFICATION Cement Mason EFFEC SUBSISTENCE OR TRAVEL TIVE DATE: 7/1/2024 PAY NONE CASH ON FRINGE $ 24.43 PAID TO: Paid to Employee on Hourly Rate. TRAINING $ 0.64 PAID T0: California Apprenticeship Council;P.O.Box 511283,Los Angeles,CA 90051-7838 MEDICAL& ANCILLARIES $ 2.95 PAID TO: California Choice&Choice Builder:721 South Parker,Suite 200.Orange,CA 92868 CLASSIFICATION: Operating Engineer Group 3 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 7/1/2024 PAY NONE CASH ON FRINGE $ 30.28 PAID TO: Paid to Employee on Hourly Rate. TRAINING 1 $ 1.10 PAID TO: California Apprenticeship Council:P.O.Box 511283,Los Angeles,CA 90051-7838 MEDICAL& ANCILLARIES $ 2.95 PAID TO: California Choice&Choice Builder:721 South Parker,Suite 200,Orange,CA 92668 CLASSIFICATION: Operating Engineer Group 4 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 7/1/1024 PAY: NONE CASH ON FRINGE $ 30.28 PAID TO: Paid to Employee on Hourly Rate. TRAINING $ 1.10 PAID TO: California Apprenticeship Council;P.O.Box 511283.Los Angeles,CA 90051-7838 MEDICAL& ANCILLARIES $ 2.95 PAID TO: !California Choice&Choice Builder:721 South Parker,Suite 200,Orange,CA 92868 CLASSIFICATION: Operating Engineer Group 6 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 7/1/2024 PAY: NONE CASH ON FRINGE $ 30.28 PAID TO: Paid to Employee on Hourly Rate. TRAINING $ 1.10 PAID TO: I California Apprenticeship Council;P.O.Box 511283,Los Angeles,CA 90051-7838 MEDICAL& ANCILLARIES $ 2.95 PAID TO: California Choice&Choice Builder:721 South Parker,Suite 200,Orange,CA 92868 CONTRIBUTIONS Weekly X Monthly Quarterly Annually PRIME: PENSION: SIGNATURE/TITLE: NAME OF Leonida CONTRACTOR: Builders,Inc. Fringe Benefit Statement/Statement of Employer Payment CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement County/location I Riverside/City of Lake Elsinore CONTRACT# CONTRACTOR'S LICENSE#: TODAY'S DATE: 20250580287 896772 7/29/2025 City of Lake Elsinore IN ORDER THAT THE PROPER FRINGE BENEFIT RATES CAN BE USED FOR CHECKING PAYROLLS OR APPLIED TO FORCE ACCOUNT WORK WHICH MAY BE DONE ON THE ABOVE CONTRACT,THE HOURLY RATES FOR FRINGE BENEFITS,SUBSISTENCE AND/OR TRAVEL ALLOWANCE PAYMENT(AS REQUIRED BY COLLECTIVE BARGAINING AGREEMENTS)MADE FOR EMPLOYEES ON THE VARIOUS CLASSES OF WORK ARE TABULATED BELOW Raul Franco Garduno CLASSIFICATION: Laborer Group 1 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 7/1/2024 PAY: NONE CASH ON FRINGE $ 27.01 PAID TO: Paid to Employee on Hourly Rate. TRAINING $ 0.80 PAID TO California Apprenticeship Council; P.O. Box 511283, Los Angeles, CA 90051-7838 MEDICAL& ANCILLARIES $ - PAID TO: California Choice&Choice Builder:721 South Parker,Suite 200, Orange,CA 92868 CLASSIFICATION: Cement Mason EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 7/1/2024 PAY: NONE CASH ON FRINGE $ 27.38 PAID TO: Paid to Employee on Hourly Rate. TRAINING $ 0.64 PAID TO: California Apprenticeship Council; P O. Box 511283, Los Angeles,CA 90051-7838 MEDICAL& ANCILLARIES $ - PAID TO: California Choice&Choice Builder: 721 South Parker, Suite 200, Orange,CA 92868 CONTRIBUTIONS Weekly X Monthly Quarterly Annually PRIME: PENSION SIGNATURE/TITLE: NAME OF Leonida CONTRACTOR: Builders, Inc. Fringe Benefit Statement/Statement of Employer Payment CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement County/location Riverside/City of Lake Elsinore CONTRACT# CONTRACTOR'S LICENSE#: TODAY'S DATE: 20250580287 896772 7/29/2025 City of Lake Elsinore IN ORDER THAT THE PROPER FRINGE BENEFIT RATES CAN BE USED FOR CHECKING PAYROLLS OR APPLIED TO FORCE ACCOUNT WORK WHICH MAY BE DONE ON THE ABOVE CONTRACT,THE HOURLY RATES FOR FRINGE BENEFITS,SUBSISTENCE AND/OR TRAVEL ALLOWANCE PAYMENT(AS REQUIRED BY COLLECTIVE BARGAINING AGREEMENTS)MADE FOR EMPLOYEES ON THE VARIOUS CLASSES OF WORK ARE TABULATED BELOW Raymond Fernandez CLASSIFICATION: Laborer Group 1 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 7/1/2024 PAY: NONE CASH ON FRINGE $ 25.56 PAID TO: Paid to Employee on Hourly Rate TRAINING $ 0.80 PAID TO: California Apprenticeship Council; P.O. Box 511283, Los Angeles,CA 90051-7838 MEDICAL& ANCILLARIES $ 1.45 PAID TO: California Choice&Choice Builder: 721 South Parker,Suite 200, Orange,CA 92868 CLASSIFICATION: Cement Mason EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 7/1/2024 PAY: [NONE CASH ON FRINGE $ 25.93 PAID TO. Paid to Employee on Hourly Rate. TRAINING $ 0.64 PAID TO: California Apprenticeship Council; P.O. Box 511283, Los Angeles,CA 90051-7838 MEDICAL& ANCILLARIES $ 1.45 PAID TO. California Choice&Choice Builder: 721 South Parker,Suite 200, Orange, CA 92868 CONTRIBUTIONS Weekly X Monthly Quarterly Annually PRIME: PENSION. SIGNATURE/TITLE: NAME OF Leonida CONTRACTOR Builders, Inc Fringe Benefit Statement/Statement of Employer Payment CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement County/location I Riverside/City of Lake Elsinore CONTRACT# CONTRACTOR'S LICENSE#, TODAY'S DATE: 20250580287 896772 7/29/2025 City of Lake Elsinore IN ORDER THAT THE PROPER FRINGE BENEFIT RATES CAN BE USED FOR CHECKING PAYROLLS OR APPLIED TO FORCE ACCOUNT WORK WHICH MAY BE DONE ON THE ABOVE CONTRACT,THE HOURLY RATES FOR FRINGE BENEFITS,SUBSISTENCE AND/OR TRAVEL ALLOWANCE PAYMENT(AS REQUIRED BY COLLECTIVE BARGAINING AGREEMENTS)MADE FOR EMPLOYEES ON THE VARIOUS CLASSES OF WORK ARE TABULATED BELOW Ricardo Hernandez CLASSIFICATION Cement Mason EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 1 7/1/2024 PAY: NONE CASH ON FRINGE $ 25.60 PAID TO: Paid to Employee on Hourly Rate TRAINING $ 0.64 PAID TO: California Apprenticeship Council; P.O. Box 511283, Los Angeles,CA 90051-7838 MEDICAL& ANCILLARIES $ 1.78 PAID TO: California Choice&Choice Builder: 721 South Parker,Suite 200, Orange,CA 92868 CONTRIBUTIONS Weekly X Monthly Quarterly Annually PRIME: PENSION; SIGNATURE/TITLE: NAME OF Leonida CONTRACTOR: Builders, Inc. Fringe Benefit Statement/Statement of Employer Payment CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement County/location Riverside/City of Lake Elsinore CONTRACT# CONTRACTOR'S LICENSE#: TODAY'S DATE: 20250580287 896772 1 7/29/2025 City of Lake Elsinore IN ORDER THAT THE PROPER FRINGE BENEFIT RATES CAN BE USED FOR CHECKING PAYROLLS OR APPLIED TO FORCE ACCOUNT WORK WHICH MAY BE DONE ON THE ABOVE CONTRACT,THE HOURLY RATES FOR FRINGE BENEFITS,SUBSISTENCE AND/OR TRAVEL ALLOWANCE PAYMENT(AS REQUIRED BY COLLECTIVE BARGAINING AGREEMENTS)MADE FOR EMPLOYEES ON THE VARIOUS CLASSES OF WORK ARE TABULATED BELOW Roberto Ramirez Aranda CLASSIFICATION Laborer Group 1 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 7/1/2024 PAY: NONE CASH ON FRINGE $ 27.01 PAID TO: Paid to Employee on Hourly Rate. TRAINING $ 0.80 PAID TO: California Apprenticeship Council; P.O Box 511283, Los Angeles,CA 90051-7838 MEDICAL& ANCILLARIES $ - PAID TO: California Choice&Choice Builder:721 South Parker,Suite 200,Orange, CA 92868 CLASSIFICATION Cement Mason EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 7/1/2024 PAY: NONE CASH ON FRINGE $ 27.38 PAID TO: Paid to Employee on Hourly Rate, TRAINING $ 0.64 PAID TO: California Apprenticeship Council; P.O Box 511283, Los Angeles, CA 90051-7838 MEDICAL& ANCILLARIES $ - PAID TO: California Choice&Choice Builder:721 South Parker, Suite 200,Orange,CA 92868 CLASSIFICATION Operating Engineer Group 6 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 7/1/2024 PAY: NONE CASH ON FRINGE $ 33.23 PAID TO: Paid to Employee on Hourly Rate. TRAINING $ 1.10 PAID TO: California Apprenticeship Council; P.O. Box 511283, Los Angeles, CA 90051-7838 MEDICAL& ANCILLARIES $ - PAID TO: California Choice&Choice Builder:721 South Parker, Suite 200,Orange, CA 92868 CONTRIBUTIONS Weekly X Monthly Quarterly Annually PRIME: PENSION: SIGNATURE/TITLE: NAME OF Leonida CONTRACTOR Builders, Inc. Fringe Benefit Statement/Statement of Employer Payment CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement County/location I Riverside/City of Lake Elsinore CONTRACT# CONTRACTOR'S LICENSE#: TODAY'S DATE: 20250580287 896772 7/29/2025 City of Lake Elsinore IN ORDER THAT THE PROPER FRINGE BENEFIT RATES CAN BE USED FOR CHECKING PAYROLLS OR APPLIED TO FORCE ACCOUNT WORK WHICH MAY BE DONE ON THE ABOVE CONTRACT,THE HOURLY RATES FOR FRINGE BENEFITS,SUBSISTENCE AND/OR TRAVEL ALLOWANCE PAYMENT(AS REQUIRED BY COLLECTIVE BARGAINING AGREEMENTS)MADE FOR EMPLOYEES ON THE VARIOUS CLASSES OF WORK ARE TABULATED BELOW Ruben Alvarez Martin CLASSIFICATION, Operating Engineer Group 3 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 7/1/2024 PAY: NONE CASH ON FRINGE $ 29.46 PAID TO: Paid to Employee on Hourly Rate TRAINING $ 1.10 PAID TO: California Apprenticeship Council; P O Box 511283, Los Angeles,CA 90051-7838 F ICAL& LLARIES $ 3.77 PAID TO: [California Choice&Choice Builder:721 South Parker, Suite 200,Orange, CA 92868 CLASSIFICATION: Operating Engineer Group 8 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: ( I zq PAY: NONE CASH ON FRINGE $ 29.464 PAID TO: Paid to Employee on Hourly Rate. TRAINING $ 1.100 PAID TO: California Apprenticeship Council; P.O. Box 511283, Los Angeles, CA 90051-7838 MEDICAL& ANCILLARIES $ 3.767 PAID TO: California Choice&Choice Builder: 721 South Parker, Suite 200, Orange,CA 92868 CONTRIBUTIONS Weekly X Monthly Quarterly Annually PRIME: PENSION: SIGNATURE/TITLE: NAME OF Leonida CONTRACTOR: Builders, Inc. Fringe Benefit Statement/Statement of Employer Payment CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement County/location I Riverside/City of Lake Elsinore CONTRACT# CONTRACTOR'S LICENSE#: TODAY'S DATE: 20250580287 896772 7/29/2025 City of Lake Elsinore IN ORDER THAT THE PROPER FRINGE BENEFIT RATES CAN BE USED FOR CHECKING PAYROLLS OR APPLIED TO FORCE ACCOUNT WORK WHICH MAY BE DONE ON THE ABOVE CONTRACT,THE HOURLY RATES FOR FRINGE BENEFITS,SUBSISTENCE AND/OR TRAVEL ALLOWANCE PAYMENT(AS REQUIRED BY COLLECTIVE BARGAINING AGREEMENTS)MADE FOR EMPLOYEES ON THE VARIOUS CLASSES OF WORK ARE TABULATED BELOW Rutilio Vega CLASSIFICATION: Laborer Group 1 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: T 7/1/2024 PAY: NONE CASH ON FRINGE $ 23.24 PAID TO: Paid to Employee on Hourly Rate. TRAINING $ 0.80 PAID TO: California Apprenticeship Council;P.O. Box 511283, Los Angeles,CA 90051-7838 MEDICAL& ANCILLARIES $ 3.77 1 PAID TO: California Choice&Choice Builder: 721 South Parker, Suite 200,Orange,CA 92868 CLASSIFICATION: Cement Mason EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 1 7/1/2024 PAY: NONE CASH ON FRINGE $ 23.61 PAID TO Paid to Employee on Hourly Rate TRAINING $ 0.64 PAID TO: California Apprenticeship Council; P.O. Box 511283, Los Angeles,CA 90051-7838 MEDICAL& ANCILLARIES $ 3.77 1 PAID TO: California Choice&Choice Builder: 721 South Parker, Suite 200,Orange,CA 92868 CLASSIFICATION: Laborer Group 4 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 7/1/2024 PAY: NONE CASH ON FRINGE $ 23.24 PAID TO: Paid to Employee on Hourly Rate. TRAINING $ 0.80 PAID TO: California Apprenticeship Council; P.O. Box 511283, Los Angeles,CA 90051-7838 MEDICAL& ANCILLARIES $ 3.77 PAID TO: California Choice&Choice Builder: 721 South Parker, Suite 200, Orange,CA 92868 Fringe Benefit Statement/Statement of Employer Payment CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement County/location Riverside/City of Lake Elsinore CONTRACT# CONTRACTOR'S LICENSE#: TODAY'S DATE: 20250580287 896772 7/29/2025 City of Lake Elsinore IN ORDER THAT THE PROPER FRINGE BENEFIT RATES CAN BE USED FOR CHECKING PAYROLLS OR APPLIED TO FORCE ACCOUNT WORK WHICH MAY BE DONE ON THE ABOVE CONTRACT,THE HOURLY RATES FOR FRINGE BENEFITS,SUBSISTENCE AND/OR TRAVEL ALLOWANCE PAYMENT(AS REQUIRED BY COLLECTIVE BARGAINING AGREEMENTS)MADE FOR EMPLOYEES ON THE VARIOUS CLASSES OF WORK ARE TABULATED BELOW Victor�Favela' CLASSIFICATION: Laborer Group 1 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 1 71111114 PAY: NONE CASH ON FRINGE $ 27.01 PAID TO: Paid to Employee on Hourly Rate. TRAINING $ 0.80 PAID TO California Apprenticeship Council;P,O.Box 511283,Los Angeles,CA 90051-7838 MEDICAL& ANCILLARIES $ PAID TO: California Choice&Choice Builder:721 South Parker,Suite 200,Orange,CA 92868 CLASSIFICATION: Laborer Group 4 EFFECTIVE I SUBSISTENCE OR TRAVEL DATE: 7/1/1014 PAY: NONE CASH ON FRINGE $ 27.01 PAID TO: Paid tc Emplo ee on Hourly Rate. TRAINING $ 0.80 PAID TO: I California Apprenticeship Council;P.O.Box 511283.Los Angeles,CA 90051-7838 MEDICAL& ANCILLARIES $ PAID TO: California Choice&Choice Builder:721 South Parker,Suite 200,Orange,CA 92868 CLASSIFICATION: Cement Mason 'EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 1 7/1/2024 PAY NONE CASH ON FRINGE $ 27.38 PAID TO: Paid to Employee on Hourly Rate. TRAINING $ 0.64 PAID TO: lCalifornia Apprenticeship Council;P.O.Box 511283,Los Angeles,CA 90051-7838 MEDICAL& ANCILLARIES $ - PAID TO, California Choice&Choice Builder:721 South Parker,Suite 200,Orange,CA 92868 CLASSIFICATION: Operating Engineer Group 3 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 1 7/1/2024 PAY: NONE CASH ON FRINGE $ 33.23 JPAIDTO: Paid to Employee on Hourly Rate. TRAINING $ 1.10 PAID T0: California Apprenticeship Council.P,0-Box 511283.Los Angeles.CA 90051-7838 MEDICAL& ANCILLARIES $ PAID TO: California Choice&Choice Builder:721 South Parker,Suite 200,Orange,CA 92868 CLASS-Ir1CATI ON: Operating Engineer Group 6 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: l 12dZ4 PAY: NONE CASH ON FRINGE $ 33.230 PAID TO: Paid to Employee on Hourly Rate TRAINING 1.100 PAID TO: California Apprenticeshi Council;P.O.Box 511283,Las Angeles.CA 90051-7838 MEDICAL& ANCILLARIES $ - PAID TO: California Choice&Choice Builder:721 South Parker,Suite 200,Orange,CA 92868 CONTRIBUTIONS weekly X Monthly Quarterly Annually PRIME: PENSION: SIGNATURE/TITLE: NAME OF Leonida CONTRACTOR: Builders, Inc.