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Home My WebLink About250729-25022-WH347-Lake Elsinore from 06.30.25-07.20.25 (weeks 4-6) City of Lake Elsinore-CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement/20250580287 U.S. Department of Labor PAYROLL Wage and Hour Division (For Contractor's Optional Use; See Instructions at www.dol.gov/whd/forms/wh347!nstr.htm) Persons are not required to respond to the collection of information unless it displays a currently valid OMB control number. Rev. Dec.20084NNO U.S.Wage and Hour Division NAME OF CONTRACTOR 0 OR SUBCONTRACTOR ADDRESS: OMB No.: 1235-0008 Leonida Builders Inc 32023 Crown Valley Road,Acton,CA,93510 Expires: 09/30/2026 PAYROLL NO. FOR WEEK ENDING: PROJECT AND LOCATION: PROJECT OR CONTRACT NO. 4 7/6/2025 City of Lake Elsinore-CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement,420 E.Lakeshore Dr., 20250580287 Lake Elsinore,CA,92530 (1) (2) (3) (4)DAY AND DATE (5) (6) (7) (8) (9) z Mon Tue wed Thu Fri I Sat Sun DEDUCTIONS io rc NAME AND INDIVIDUAL ° NET WAGES f o 06130 07101 07/02 07103 07/04 07/05 07106 WITH- TOTAL IDENTIFYING NUMBER 3 w PAID FOR x STATE LOCAL (e.g.,LAST FOUR DIGITS OF SOCIAL o w WORK TOTAL RATE OF PAY GROSS AMOUNT FICA HOLDING TAX TAX OTHER DEDUC- WEEK SECURITY NUMBER)OF WORKER °z CLASSIFICATION HOURS WORKED EACH DAY HOURS EARNED TAX TIONS ALEGRIA ANAYA,AURELIO Cement Mason/Cement $1,749.12 Mason,Curb and Gutter 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $27.38 Machine Operator;Clary and Similar type of 0 screed Operator 178.63 245.73 154.83 28.02 0.00 607.21 1,727.77 S 8.00 8.00 0.00 8.00 0.00 0.00 0.00 24.00 $72.88 $2,334.98 Notes:ATTENTION: THIS RECORD WAS VALIDATED USING A DIR WAGE DETERMINATION THAT EXPIRED DURING THIS PAYROLL PERIOC THE INCREASE/CHANGE IN THIS DETERMINATION WILL BE IN EFFECT ON YOUR NEXT PAYROLL PERIOD.PLEASE TAKE A LOOK AT YOUR RATES TO VERIFY THAT YOU HAVE APPLIED ANY INCREASE OR CHANGE.THIS MESSAGE WAS AUTOGENERATED BY LCPtracker. ALVAREZ MARTIN,RUBEN Operating Engineer/ Group O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $29.46 $1,724.25 0 197.86 282.86 171.09 31.04 79.24 762.09 1,903.57 S 8.00 0.00 5.00 6.00 0.00 0.00 0.00 19.00 $90.75 $2,665.66 Notes:ATTENTION: THIS RECORD WAS VALIDATED USING A DIR WAGE DETERMINATION THAT EXPIRED DURING THIS PAYROLL PERIOD.THE INCREASE/CHANGE IN THIS DETERMINATION WILL BE IN EFFECT ON YOUR NEXT PAYROLL PERIOD.PLEASE TAKE A LOOK AT YOUR RATES TO VERIFY THAT YOU HAVE APPLIED ANY INCREASE OR CHANGE.THIS MESSAGE WAS AUTOGENERATED BY LCPtracker. ALVAREZ,MIGUEL MARTIN Operating Engineer/ Group 8 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $29.85 $2,916.48 0 218.72 306.47 135.30 34.31 82.99 777.79 2,138.69 S 8.00 8.00 8.00 8.00 0.00 0.00 0.00 32.00 $91.14 $2,916.48 Notes:ATTENTION: THIS RECORD WAS VALIDATED USING A DIR WAGE DETERMINATION THAT EXPIRED DURING THIS PAYROLL PERIOD.THE INCREASE/CHANGE IN THIS DETERMINATION WILL BE IN EFFECT ON YOUR NEXT PAYROLL PERIOD.PLEASE TAKE A LOOK AT YOUR RATES TO VERIFY THAT YOU HAVE APPLIED ANY INCREASE OR CHANGE.THIS MESSAGE WAS AUTOGENERATED BY L CRUZ,JUAN Operating Engineer/ Group O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $33.23 $741.60 0 226.99 437.28 166.95 35.61 0.00 866.83 2,100.37 S 8.00 0.00 0.00 0.00 0.00 0.00 0.00 8.00 $92.70 $2,967.20 Notes:ATTENTION: THIS RECORD WAS VALIDATED USING A DIR WAGE DETERMINATION THAT EXPIRED DURING THIS PAYROLL PERIOD.THE INCREASE/CHANGE IN THIS DETERMINATION WILL BE IN EFFECT ON YOUR NEXT PAYROLL PERIOD.PLEASE TAKE A LOOK AT YOUR RATES TO VERIFY THAT YOU HAVE APPLIED ANY INCREASE OR CHANGE.THIS MESSAGE WAS AUTOGENERATED BY LCPtracker. Page 1 of 7 City of Lake Elsinore-CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement/20250580287 (1) (2) (3) (4)DAY AND DATE (5) (6) (7) (9) (s) z Mon Tue I Wed I Thu I Fri I Sat I Sun DEDUCTIONS �o rc NAME AND INDIVIDUAL 0 NET WAGES 0 06130 07101 07102 07103 07104 07105 07106 WITH- TOTAL IDENTIFYING NUMBER 3 w PAID FOR FICA HOLDING STATE LOCAL OTHER DEDUC- (e.g.,LAST FOUR DIGITS OF SOCIAL o w WORK TOTAL RATE OF PAY GROSS AMOUNT TAX TAX WEEK SECURITY NUMBER)OF WORKER z CLASSIFICATION HOURS WORKED EACH DAY HOURS EARNED TAX TIONS CRUZ,JUAN Operating Engineer/ Group 6 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $33.23 $2,077.02 0 226.99 437.28 166.95 35.61 0.00 866.83 2,100.37 S 0.00 8.00 8.00 6.00 0.00 0.00 0.00 22.00 $94.41 $2,967.20 Notes:ATTENTION: THIS RECORD WAS VALIDATED USING A DIR WAGE DETERMINATION THAT EXPIRED DURING THIS PAYROLL PERIOD.THE INCREASE/CHANGE IN THIS DETERMINATION WILL BE IN EFFECT ON YOUR NEXT PAYROLL PERIOD.PLEASE TAKE A LOOK AT YOUR RATES TO VERIFY THAT YOU HAVE APPLIED ANY INCREASE OR CHANGE.THIS MESSAGE WAS AUTOGENERATED BY LCPtracker. CRUZ,JUAN Laborer and Related Classifications/Group 1 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $27.81 $148.58 0 226.99 437.28 166.95 35.61 0.00 866.83 2,100.37 S 0.00 0.00 0.00 2.00 0.00 0.00 0.00 2.00 $74.29 $2,967.20 Notes:ATTENTION: THIS RECORD WAS VALIDATED USING A DIR WAGE DETERMINATION THAT EXPIRED DURING THIS PAYROLL PERIOD.THE INCREASE/CHANGE IN THIS DETERMINATION WILL BE IN EFFECT ON YOUR NEXT PAYROLL PERIOD.PLEASE TAKE A LOOK AT YOUR RATES TO VERIFY THAT YOU HAVE APPLIED ANY INCREASE OR CHANGE.THIS MESSAGE WAS AUTOGENERATED BY LCPtracker. FAVELA,VICTOR Operating Engineer Group 3 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $33.23 $741.60 0 216.89 242.14 129.71 34.02 0.00 622.76 2,212.44 S 0.00 0.00 8.00 0.00 0.00 0.00 0.00 8.00 $92.70 $2,835.20 Notes:ATTENTION: THIS RECORD WAS VALIDATED USING A DIR WAGE DETERMINATION THAT EXPIRED DURING THIS PAYROLL PERIOD.THE INCREASE/CHANGE IN THIS DETERMINATION WILL BE IN EFFECT ON YOUR NEXT PAYROLL PERIOD.PLEASE TAKE A LOOK AT YOUR RATES TO VERIFY THAT YOU HAVE APPLIED ANY INCREASE OR CHANGE.THIS MESSAGE WAS AUTOGENERATED BY LCPtracker. FAVELA,VICTOR Operating Engineer/ Group O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $33.23 $1,510.56 0 216.89 242.14 129.71 34.02 0.00 622.76 2,212.44 S 8.00 8.00 0.00 0.00 0.00 0.00 0.00 16.00 $94.41 $2,835.20 Notes:ATTENTION: THIS RECORD WAS VALIDATED USING A DIR WAGE DETERMINATION THAT EXPIRED DURING THIS PAYROLL PERIOD.THE INCREASE/CHANGE IN THIS DETERMINATION WILL BE IN EFFECT ON YOUR NEXT PAYROLL PERIOD.PLEASE TAKE A LOOK AT YOUR RATES TO VERIFY THAT YOU HAVE APPLIED ANY INCREASE OR CHANGE.THIS MESSAGE WAS AUTOGENERATED BY L FAVELA,VICTOR Cement Mason/Cement $583.04 Mason,curb and Gutter Machine Operator;Clary O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $27.38 and Similar type of 0 screed Operator 216.89 242.14 129.71 34.02 0.00 622.76 2,212.44 S 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 $72.88 $2 835.20 Notes:ATTENTION: THIS RECORD WAS VALIDATED USING A DIR WAGE DETERMINATION THAT EXPIRED DURING THIS PAYROLL PERIOD.THE INCREASE/CHANGE IN THIS DETERMINATION WILL BE IN EFFECT ON YOUR NEXT PAYROLL PERIOD.PLEASE TAKE A LOOK AT YOUR RATES TO VERIFY THAT YOU HAVE APPLIED ANY INCREASE OR CHANGE.THIS MESSAGE WAS AUTOGENERATED BY LCPtracker. Page 2 of 7 City of Lake Elsinore-CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement/20250580287 (1) (2) (3) (4)DAY AND DATE (5) (6) (7) (8) (9) z" Tue Wed Thu Fri I Sat Sun DEDUCTIONS 00 Mon NAME AND INDIVIDUAL I NET WAGES 0 06/30 07/01 07/02 07/03 07/04 07/05 07/06 WITH- TOTAL IDENTIFYING NUMBER 3i w PAID FOR FICA HOLDING STATE LOCAL OTHER DEDUC- (e.g.,LAST FOUR DIGITS OF SOCIAL o w WORK TOTAL RATE OF PAY GROSS AMOUNT TAX TAX TAX TIONS WEEK SECURITY NUMBER)OF WORKER 0 CLASSIFICATION HOURS WORKED EACH DAY HOURS EARNED FERNANDEZ,RAMON Cement Mason/Cement $1,448.60 Mason,Curb and Gutter Machine Operator;C ary O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $24.43 l and Similar type of 0 screed operator 157.99 169.42 117.77 24.78 287.49 757.45 1,563.75 S 8.00 4.00 0.00 8.00 0.00 0.00 0.00 20.00 $72.43 $2,321.20 Notes:ATTENTION: THIS RECORD WAS VALIDATED USING A DIR WAGE DETERMINATION THAT EXPIRED DURING THIS PAYROLL PERIOD.THE INCREASE/CHANGE IN THIS DETERMINATION WILL BE IN EFFECT ON YOUR NEXT PAYROLL PERIOD.PLEASE TAKE A LOOK AT YOUR RATES TO VERIFY THAT YOU HAVE APPLIED ANY INCREASE OR CHANGE.THIS MESSAGE WAS AUTOGENERATED BY LCPtracker. FERNANDEZ,RAMON Laborer and Related Classifications/Group 1 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $24.86 $437.16 0 157.99 169.42 117.77 24.78 287.49 757.45 1,563.75 S 0.00 0.00 6.00 0.00 0.00 0.00 0.00 6.00 $72.86 $2,321.20 Notes:ATTENTION: THIS RECORD WAS VALIDATED USING A DIR WAGE DETERMINATION THAT EXPIRED DURING THIS PAYROLL PERIOD.THE INCREASE/CHANGE IN THIS DETERMINATION WILL BE IN EFFECT ON YOUR NEXT PAYROLL PERIOD.PLEASE TAKE A LOOK AT YOUR RATES TO VERIFY THAT YOU HAVE APPLIED ANY INCREASE OR CHANGE.THIS MESSAGE WAS AUTOGENERATED BY LCPtracker. FERNANDEZ,RAYMOND Laborer and Related Classifications/Groups O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $26.36 $2,330.88 0 172.86 335.84 143.97 27.12 71.27 751.06 1,579.82 S 8.00 8.00 8.00 8.00 0.00 0.00 0.00 32.00 $72.84 $2,330.88 Notes:ATTENTION: THIS RECORD WAS VALIDATED USING A DIR WAGE DETERMINATION THAT EXPIRED DURING THIS PAYROLL PERIOD.THE INCREASE/CHANGE IN THIS DETERMINATION WILL BE IN EFFECT ON YOUR NEXT PAYROLL PERIOD.PLEASE TAKE A LOOK AT YOUR RATES TO VERIFY THAT YOU HAVE APPLIED ANY INCREASE OR CHANGE.THIS MESSAGE WAS AUTOGENERATED BY LCPtracker. FRANCO GARDUNO,RAUL Cement Mason/Cement $1,749.12 Mason,Curb and Gutter Machine Operator;Clary O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $27.38 and Similar type of 0 screed operator 178.63 227.54 151.68 28.02 0.00 585.87 1,749.11 S 8.00 8.00 0.00 8.00 0.00 0.00 0.00 24.00 $72.88 $2,334.98 Notes:ATTENTION: THIS RECORD WAS VALIDATED USING A DIR WAGE DETERMINATION THAT EXPIRED DURING THIS PAYROLL PERIOD.THE INCREASE/CHANGE IN THIS DETERMINATION WILL BE IN EFFECT ON YOUR NEXT PAYROLL PERIOD.PLEASE TAKE A LOOK AT YOUR RATES TO VERIFY THAT YOU HAVE APPLIED ANY INCREASE OR CHANGE.THIS MESSAGE WAS AUTOGENERATED BY LCPtracker. HERNANDEZ,RICARDO Cement Mason/Cement $1,137.60 Mason,Curb and Gutter Machine Operator;Clary O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $25.60 and Similar type of 0 screed operator 179.27 425.61 149.38 28.12 91.94 874.32 1,529.68 S 8.00 0.00 0.00 8.00 0.00 0.00 0.00 16.00 $71.10 $2,404.00 Notes:ATTENTION: THIS RECORD WAS VALIDATED USING A DIR WAGE DETERMINATION THAT EXPIRED DURING THIS PAYROLL PERIOD.THE INCREASE/CHANGE IN THIS DETERMINATION WILL BE IN EFFECT ON YOUR NEXT PAYROLL PERIOD.PLEASE TAKE A LOOK AT YOUR RATES TO VERIFY THAT YOU HAVE APPLIED ANY INCREASE OR CHANGE.THIS MESSAGE WAS AUTOGENERATED BY LCPtracker. Page 3 of 7 City of Lake Elsinore-CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement/20250580287 (1) (2) (3) (4)DAY AND DATE (5) (6) (7) (8) (9) z" Tue Wed Thu Fri I Sat Sun DEDUCTIONS 00 Mon NAME AND INDIVIDUAL I NET WAGES 0 06/30 07/01 07/02 07/03 07/04 07/05 07/06 WITH- TOTAL IDENTIFYING NUMBER 3i w PAID FOR FICA HOLDING STATE LOCAL OTHER DEDUC- (e.g.,LAST FOUR DIGITS OF SOCIAL o w WORK TOTAL RATE OF PAY GROSS AMOUNT TAX TAX TAX TIONS WEEK SECURITY NUMBER)OF WORKER z CLASSIFICATION HOURS WORKED EACH DAY HOURS EARNED LOPEZ REYNOSO,JOSE DEJESUS Laborer and Related Classifications/Group 1 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $25.55 $2,016.84 0 164.50 159.79 129.64 25.80 154.61 634.34 1,670.62 S 8.00 6.00 6.00 8.00 0.00 0.00 0.00 28.00 $72.03 $2,304.96 Notes:ATTENTION: THIS RECORD WAS VALIDATED USING A DIR WAGE DETERMINATION THAT EXPIRED DURING THIS PAYROLL PERIOD.THE INCREASE/CHANGE IN THIS DETERMINATION WILL BE IN EFFECT ON YOUR NEXT PAYROLL PERIOD.PLEASE TAKE A LOOK AT YOUR RATES TO VERIFY THAT YOU HAVE APPLIED ANY INCREASE OR CHANGE.THIS MESSAGE WAS AUTOGENERATED BY LCPtracker. MONTES,ORLANDO Laborer and Related Classifications/Group s O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $26.36 $582.72 0 148.10 264.65 110.86 23.23 28.15 574.99 1,389.17 S 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 $72.84 $1,964.16 Notes:ATTENTION: THIS RECORD WAS VALIDATED USING A DIR WAGE DETERMINATION THAT EXPIRED DURING THIS PAYROLL PERIOD.THE INCREASE/CHANGE IN THIS DETERMINATION WILL BE IN EFFECT ON YOUR NEXT PAYROLL PERIOD.PLEASE TAKE A LOOK AT YOUR RATES TO VERIFY THAT YOU HAVE APPLIED ANY INCREASE OR CHANGE.THIS MESSAGE WAS AUTOGENERATED BY LCPtracker. PADILLA,HECTOR Cement Mason/Cement $1,166.08 Mason,Curb and Gutter Machine Operator;Clary O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $27.38 and Similar type of 0 screed operator 178.63 163.33 88.65 28.02 0.00 458.63 1,876.35 S 8.00 0.00 0.00 8.00 0.00 0.00 0.00 16.00 $72.88 $2,334.98 Notes:ATTENTION: THIS RECORD WAS VALIDATED USING A DIR WAGE DETERMINATION THAT EXPIRED DURING THIS PAYROLL PERIOD.THE INCREASE/CHANGE IN THIS DETERMINATION WILL BE IN EFFECT ON YOUR NEXT PAYROLL PERIOD.PLEASE TAKE A LOOK AT YOUR RATES TO VERIFY THAT YOU HAVE APPLIED ANY INCREASE OR CHANGE.THIS MESSAGE WAS AUTOGENERATED BY LCPtracker. RAMIREZ ARANDA,ROBERTO Cement Mason/Cement $1,166.08 Mason,Curb and Gutter Machine Operator;Clary O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $27.38 and Similar type of 0 screed operator 175.74 110.72 85.33 27.57 105.36 504.72 1,830.26 S 8.00 0.00 0.00 8.00 0.00 0.00 0.00 16.00 $72.88 $2,334.98 Notes:ATTENTION: THIS RECORD WAS VALIDATED USING A DIR WAGE DETERMINATION THAT EXPIRED DURING THIS PAYROLL PERIOD.THE INCREASE/CHANGE IN THIS DETERMINATION WILL BE IN EFFECT ON YOUR NEXT PAYROLL PERIOD.PLEASE TAKE A LOOK AT YOUR RATES TO VERIFY THAT YOU HAVE APPLIED ANY INCREASE OR CHANGE.THIS MESSAGE WAS AUTOGENERATED BY LCPtracker. RAMIREZ,JUAN Cement Mason/Cement $571.44 Mason,Curb and Gutter Machine Operator;Clary O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $25.93 and Similar type of 0 screed operator 169.40 325.89 142.49 26.57 156.45 820.80 1,479.06 S 8.00 0.00 0.00 0.00 0.00 0.00 0.00 8.00 $71.43 $2,299.86 Notes:ATTENTION: THIS RECORD WAS VALIDATED USING A DIR WAGE DETERMINATION THAT EXPIRED DURING THIS PAYROLL PERIOD.THE INCREASE/CHANGE IN THIS DETERMINATION WILL BE IN EFFECT ON YOUR NEXT PAYROLL PERIOD.PLEASE TAKE A LOOK AT YOUR RATES TO VERIFY THAT YOU HAVE APPLIED ANY INCREASE OR CHANGE.THIS MESSAGE WAS AUTOGENERATED BY L Page 4 of 7 City of Lake Elsinore-CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement/20250580287 (1) (2) (3) (4)DAY AND DATE (5) (6) (7) (8) (9) z" Tue Wed Thu Fri I Sat Sun DEDUCTIONS 00 Mon NAME AND INDIVIDUAL I NET WAGES 0 06/30 07/01 07/02 07/03 07/04 07/05 07/06 WITH- TOTAL IDENTIFYING NUMBER 3i w PAID FOR FICA HOLDING STATE LOCAL OTHER DEDUC- (e.g.,LAST FOUR DIGITS OF SOCIAL o w WORK TOTAL RATE OF PAY GROSS AMOUNT TAX TAX TAX TIONS WEEK SECURITY NUMBER)OF WORKER z CLASSIFICATION HOURS WORKED EACH DAY HOURS EARNED RAMIREZ,JUAN Laborer and Related Classifications/Group 1 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $26.36 $582.72 0 169.40 325.89 142.49 26.57 156.45 820.80 1,479.06 S 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 $72.84 $2,299.86 Notes:ATTENTION: THIS RECORD WAS VALIDATED USING A DIR WAGE DETERMINATION THAT EXPIRED DURING THIS PAYROLL PERIOE THE INCREASE/CHANGE IN THIS DETERMINATION WILL BE IN EFFECT ON YOUR NEXT PAYROLL PERIOD.PLEASE TAKE A LOOK AT YOUR RATES TO VERIFY THAT YOU HAVE APPLIED ANY INCREASE OR CHANGE.THIS MESSAGE WAS AUTOGENERATED BY LCPtracker. ROMO,ARMANDO CARDONA Laborer and Related Classifications/Group 1 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $27.81 $297.16 0 182.67 208.14 93.31 28.65 0.00 512.77 1,875.11 S 0.00 4.00 0.00 0.00 0.00 0.00 0.00 4.00 $74.29 $2,387.88 Notes:ATTENTION: THIS RECORD WAS VALIDATED USING A DIR WAGE DETERMINATION THAT EXPIRED DURING THIS PAYROLL PERIOD.THE INCREASE/CHANGE IN THIS DETERMINATION WILL BE IN EFFECT ON YOUR NEXT PAYROLL PERIOD.PLEASE TAKE A LOOK AT YOUR RATES TO VERIFY THAT YOU HAVE APPLIED ANY INCREASE OR CHANGE.THIS MESSAGE WAS AUTOGENERATED BY LCPtracker. SALAZAR,MODESTO Cement Mason/Cement $583.04 Mason,Curb and Gutter Machine Operator;Clary O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $27.38 and Similar type of 0 screed operator 179.59 270.11 89.77 28.17 18.36 586.00 1,780.00 S 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 $72.88 $2,366.00 Notes:ATTENTION: THIS RECORD WAS VALIDATED USING A DIR WAGE DETERMINATION THAT EXPIRED DURING THIS PAYROLL PERIOD.THE INCREASE/CHANGE IN THIS DETERMINATION WILL BE IN EFFECT ON YOUR NEXT PAYROLL PERIOD.PLEASE TAKE A LOOK AT YOUR RATES TO VERIFY THAT YOU HAVE APPLIED ANY INCREASE OR CHANGE.THIS MESSAGE WAS AUTOGENERATED BY LCPtracker. SALAZAR,MODESTO Laborer and Related Classifications/Groups O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $27.81 $1,782.96 0 179.59 270.11 89.77 28.17 18.36 586.00 1,780.00 S 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 $74.29 $2,366.00 Notes:ATTENTION: THIS RECORD WAS VALIDATED USING A DIR WAGE DETERMINATION THAT EXPIRED DURING THIS PAYROLL PERIOD.THE INCREASE/CHANGE IN THIS DETERMINATION WILL BE IN EFFECT ON YOUR NEXT PAYROLL PERIOD.PLEASE TAKE A LOOK AT YOUR RATES TO VERIFY THAT YOU HAVE APPLIED ANY INCREASE OR CHANGE.THIS MESSAGE WAS AUTOGENERATED BY LCPtracker. VEGA,RUTILIO Cement Mason/Cement $1,105.76 Mason,Curb and Gutter Machine Operator;Clary O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $23.61 and Similar type of 0 screed operator 160.49 318.45 127.42 25.17 177.15 808.68 1,359.48 S 8.00 0.00 0.00 8.00 0.00 0.00 0.00 16.00 $69.11 $2,168.16 Notes:ATTENTION: THIS RECORD WAS VALIDATED USING A DIR WAGE DETERMINATION THAT EXPIRED DURING THIS PAYROLL PERIOD.THE INCREASE/CHANGE IN THIS DETERMINATION WILL BE IN EFFECT ON YOUR NEXT PAYROLL PERIOD.PLEASE TAKE A LOOK AT YOUR RATES TO VERIFY THAT YOU HAVE APPLIED ANY INCREASE OR CHANGE.THIS MESSAGE WAS AUTOGENERATED BY LCPtracker. Page 5 of 7 City of Lake Elsinore-CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement/20250580287 While completion of Form WH-347 is optional,it is mandatory for covered contractors and subcontractors performing work on Federally financed or assisted construction contracts to respond to the information collection contained in 29 C.F.R.§§3.3,5.5(a).The Copeland Act(40 U.S.C.§3145)contractors and subcontractors performing work on Federally financed or assisted construction contracts to"furnish weekly a statement with respect to the wages paid each employee during the preceding week."U.S.Department of Labor(DOL)regulations at 29 C.F.R §5.5(a)(3)(ii)require contractors to submit weekly a copy of all payrolls to the Federal agency contracting for or financing the construction project,accompanied by a signed"Statement of Compliance"indicating that the payrolls are correct and complete and that each laborer or mechanic has been paid not less than the proper Davis-Bacon prevailing wage rate for the work performed.DOL and federal contracting agencies receiving this information review the information to determine that employees have received legally required wages and fringe benefits. Public Burden Statement We estimate that is will take an average of 55 minutes to complete this collection,including time for reviewing instructions,searching existing data sources,gathering and maintaining the data needed,and completing and reviewing the collection of information.If you have any comments regarding these estimates or any other aspect of this collection,including suggestions for reducing this burden,send them to the Administrator,Wage and Hour Division,U.S.Department of Labor,Room 53502,200 Constitution Avenue,N.W.Washington,D.C.20210 (over) Page 6 of 7 City of Lake Elsinore-CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement/20250580287 Date: 7/29/2025 (b) WHERE FRINGE BENEFITS ARE PAID IN CASH I Panagiotis Leonida PRESIDENT rx-1— Each laborer or mechanic listed in the above referenced payroll has been paid, (Name of Signatory Party) (Title) as indicated on the payroll,an amount not less than the sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed in do hereby state: the contract,except as noted in section 4(c)below. (1)That I pay or supervise the payment of the persons employed by Leonida Builders Inc on the (c) EXCEPTIONS (Contractor or Subcontractor) City of Lake Elsinore-CDBG/SB 821 Lakeshore Drive ADA EXCEPTION(CRAFT) EXPLANATION Sidewalk Improvement ; that during the payroll period commencing on the (Building or Work) Training. Training paid to California Apprenticeship Council. 30 day of June 2025 and ending the 06 day of July 2025 all persons employed on said project have been paid the full weekly wages earned,that no rebates have been or will be made either directly or indirectly to or on behalf of said Leonida Builders Inc from the full (Contractor or Subcontractor) weekly wages earned by any person and that no deductions have been made either directly or indirectly from the full wages earned by any person,other than permissible deductions as defined in Regulations, Part 3(29 C.F.R.Subtitle A), issued by the Secretary of Labor under the Copeland Act,as amended(48 Stat.948, 63 Start. 108,72 Stat.967;76 Stat.357;40 U.S.C.§3145),and described below: Permissible Deductions: REMARKS: Deductions may include pre-taxed medical,dental,vision,and/or cash fringes,pre-taxed 401 k contributions and/or court ordered garnishments. (2)That any payrolls otherwise under this contract required to be submitted for the above period are correct and complete;that the wage rates for laborers or mechanics contained therein are not less than the applicable wage rates contained in any wage determination incorporated into the contract;that the classifications set forth therein for each laborer or mechanic conform with the work he performed. (3)That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with a State apprenticeship agency recognized by the Bureau of Apprenticeship and Training, United States Department of Labor,or if no such recognized agency exists in a State,are registered with the Bureau of Apprenticeship and Training,United States Department of Labor. NAME AND TITLE SIGNATURE (4)That: Panagiotis Leonida, PRESIDENT Pa4ia o'Lem (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS,OR PROGRAMS THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY �— in addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR CRIMINAL referenced payroll,payments of fringe benefits as listed in the contract have been or will be PROSECUTION.SEE SECTION 1001 OF TITLE 18 AND SECTION 3729 OF TITLE 31 made to appropriate programs for the benefit of such employees,except as noted in section 4 OF THE UNITED STATES CODE. (c)below. Page 7 of 7 City of Lake Elsinore-CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement/20250580287 U.S. Department of Labor PAYROLL Wage and Hour Division (For Contractor's Optional Use; See Instructions at www.dol.gov/whd/forms/wh347!nstr.htm) Persons are not required to respond to the collection of information unless it displays a currently valid OMB control number. Rev. Dec.20084NNO U.S.Wage and Hour Division NAME OF CONTRACTOR ❑X OR SUBCONTRACTOR ADDRESS: OMB No.: 1235-0008 Leonida Builders Inc 32023 Crown Valley Road,Acton,CA,93510 Expires: 09/30/2026 PAYROLL NO. FOR WEEK ENDING: PROJECT AND LOCATION: PROJECT OR CONTRACT NO. 5 7/13/2025 City of Lake Elsinore-CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement,420 E.Lakeshore Dr., 20250580287 Lake Elsinore,CA,92530 (1) (2) (3) (4)DAY AND DATE (5) (6) (7) (8) (9) z Mon Tue wed Thu Fri I Sat Sun DEDUCTIONS io rc NAME AND INDIVIDUAL ° NET WAGES f o 07107 07108 07/09 07/10 07/11 07/12 07/13 WITH- TOTAL IDENTIFYING NUMBER 3 w PAID FOR x STATE LOCAL (e.g.,LAST FOUR DIGITS OF SOCIAL 0 w WORK TOTAL RATE OF PAY GROSS AMOUNT FICA HOLDING TAX TAX OTHER DEDUC- WEEK SECURITY NUMBER)OF WORKER °z CLASSIFICATION HOURS WORKED EACH DAY HOURS EARNED TAX TIONS ALEGRIA ANAYA,AURELIO Cement Mason/Cement $1,749.12 Mason,Curb and Gutter O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $27.38 Machine Operator;Clary and Similar type of 0 screed Operator 223.01 373.38 214.18 34.98 0.00 845.55 2,069.65 S 8.00 0.00 0.00 8.00 8.00 0.00 0.00 24.00 $72.88 $2,915.20 ALVAREZ MARTIN,RUBEN Operating Engineer Group O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $29.46 $177.86 0 198.58 284.94 172.06 31.15 79.24 765.97 1,909.15 S 0.00 0.00 2.00 0.00 0.00 0.00 0.00 2.00 $88.93 $2,675.12 ALVAREZ MARTIN,RUBEN Operating Engineer/ Group O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $29.46 $1,270.50 0 198.58 284.94 172.06 31.15 79.24 765.97 1,909.15 S 0.00 8.00 6.00 0.00 0.00 0.00 0.00 14.00 $90.75 $2,675.12 ALVAREZ,MIGUEL MARTIN Operating Engineer/ Group 6 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $29.85 $91.03 0 273.93 465.25 209.14 42.97 82.99 1,074.28 2,563.93 S 0.00 0.00 0.00 1.00 0.00 0.00 0.00 1.00 $91.03 $3,638.21 ALVAREZ,MIGUEL MARTIN Operating Engineer I Group O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $29.85 $3,189.90 0 273.93 465.25 209.14 42.97 82.99 1,074.28 2,563.93 S 8.00 8.00 8.00 3.00 8.00 0.00 0.00 35.00 $91.14 $3,638.21 CRUZ,JUAN Operating Engineer I Group O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $33.23 $2,265.84 0 259.75 540.06 210.76 40.75 0.00 1,051.32 2,344.12 S 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 $94.41 $3,395.44 Page 1 of 5 City of Lake Elsinore-CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement/20250580287 (1) (2) (3) (4)DAY AND DATE (5) (6) (7) (9) (s) z Mon Tue Wed Thu Fri I Sat Sun DEDUCTIONS �o rc NAME AND INDIVIDUAL 0 NET WAGES 0 07107 07108 07109 07110 07111 07/12 07113 WITH- TOTAL IDENTIFYING NUMBER 3 w PAID FOR FICA HOLDING STATE LOCAL OTHER DEDUC- (e.g.,LAST FOUR DIGITS OF SOCIAL o w WORK TOTAL RATE OF PAY GROSS AMOUNT TAX TAX WEEK SECURITY NUMBER)OF WORKER d CLASSIFICATION HOURS WORKED EACH DAY HOURS EARNED TAX TIONS FAVELA,VICTOR Operating Engineer/ Group O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $33.23 $1,668.60 0 251.24 349.90 175.64 39.41 0.00 816.19 2,467.99 S 8.00 8.00 2.00 0.00 0.00 0.00 0.00 18.00 $92.70 $3,284.18 FAVELA,VICTOR Operating Engineer I Group O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $33.23 $188.82 0 251.24 349.90 175.64 39.41 0.00 816.19 2,467.99 S 0.00 0.00 2.00 0.00 0.00 0.00 0.00 2.00 $94.41 $3,284.18 FAVELA,VICTOR Laborer and Related Classifications/Group 1 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $27.81 $297.16 0 251.24 349.90 175.64 39.41 0.00 816.19 2,467.99 S 0.00 0.00 4.00 0.00 0.00 0.00 0.00 4.00 $74.29 $3,284.18 FERNANDEZ,RAMON Cement Mason/Cement Mason,Curb and Ginter O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $24.43 $1,738.32 Machine Operator;Clary and Similar type of 0 screed Operator 202.58 260.04 177.40 31.78 287.49 959.29 1,944.79 S 8.00 0.00 0.00 8.00 8.00 0.00 0.00 24.00 $72.43 $2,904.08 FERNANDEZ,RAMON Laborer and Related Classifications/Group 1 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $24.86 $1,165.76 0 202.58 260.04 177.40 31.78 287.49 959.29 1,944.79 Is 0.00 8.00 8.00 0.00 0.00 0.00 0.00 16.00 $72.86 $2,904.08 FERNANDEZ,RAYMOND Cement Mason/Cement $571.44 Mason,Curb and Gutter O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $25.93 Machine Operator;Clary and Similar type of 0 screed Operator 216.58 472.66 202.42 33.97 71.27 996.90 1,905.42 S 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 $71.43 $2,902.32 FERNANDEZ,RAYMOND Laborer and Related Classifications/Groups O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $26.36 $2,330.88 0 216.58 472.66 202.42 33.97 71.27 996.90 1,905.42 S 8.00 8.00 8.00 8.00 0.00 0.00 0.00 32.00 $72.84 $2,902.32 FRANCO GARDUNO,RAUL Cement Mason Cement Mason,Curb and Gutter O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $27.38 Machine Operator;Clary $1,166.08 and Similar type of 0 screed Operator 223.01 355.19 211.03 34.98 0.00 824.21 2,090.99 S 0.00 0.00 0.00 8.00 8.00 0.00 0.00 16.00 $72.88 $2,915.20 Page 2 of 5 City of Lake Elsinore-CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement/20250580287 (1) (2) (3) (4)DAY AND DATE (5) (6) (7) (9) (8) z Mon Tue I Wed I Thu I Fri I Sat I Sun DEDUCTIONS io rc NAME AND INDIVIDUAL 0 NET WAGES 0 07107 07108 07109 07110 07111 07/12 07113 WITH- TOTAL IDENTIFYING NUMBER w PAID FOR (e.g.,LAST FOUR DIGITS OF SOCIAL p w WORK TOTAL RATE OF PAY GROSS AMOUNT FICA HOLDING STATE LOCAL OTHER DEDUC- WEEK SECURITY NUMBER)OF WORKER °z CLASSIFICATION HOURS WORKED EACH DAY HOURS EARNED TAX TAX TAX TIONS GOMEZ VALDIVIA,JOEL Cement Mason/Cement $583.04 Mason,curb and Gutter 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $27.38 Machine Operator;Clary and Similar type of 0 screed Operator 212.88 344.25 200.64 33.39 200.00 991.16 1,791.60 S 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 $72.88 $2,782.76 HERNANDEZ,RICARDO Cement Mason/Cement $568.80 Mason,Curb and Gutter O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $25.60 Machine Operator;Clary and Similar type of 0 screed Operator 203.08 500.34 181.23 31.86 91.94 1,008.45 1,706.91 S 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 $71.10 $2,715.36 LOPEZ REYNOSO,JOSE DEJESUS Laborer and Related Classifications/Group 1 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $25.55 $2,485.04 0 200.32 217.16 177.53 31.42 154.61 781.04 1,992.12 S 8.00 6.50 8.00 4.00 8.00 0.00 0.00 34.50 $72.03 $2,773.16 MONTES,ORLANDO Laborer and Related Classifications/Group 1 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $26.36 $2,913.60 0 220.74 485.72 207.99 34.63 28.15 977.23 1,936.37 S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 $72.84 $2,913.60 PADILLA,HECTOR Cement Mason/Cement $583.04 Mason,curb and Ginter O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $27.38 Machine Operator;Clary and Similar type of 0 screed operator 178.41 162.99 88.40 27.99 0.00 457.79 1,874.37 S 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 $72.88 $2,332.16 RAMIREZ ARANDA,ROBERTO Cement Mason/Cement $1,166.08 Mason,Curb and Ginter 0 0.00 0.00 0.00 0.00 0.00E00 0.00 0.00 $27.38 Machine Operator;Clary and Similar type of 0 screed Operator 220.12 223.96 137.18 34.53 105.36 721.15 2,194.05 S 0.00 0.00 0.00 8.00 8.00 0 0.00 16.00 $72.88 $2,915.20 RAMIREZ,JUAN Cement Mason/Cement $1,142.88 Mason,Curb and Gutter 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $25.93 Machine Operator;Clary and Similar type of 0 screed Operator 212.03 458.41 199.50 33.26 156.45 1,059.65 1,797.55 S 0.00 0.00 0.00 8.00 8.00 0.00 0.00 16.00 $71.43 $2,857.20 ROMO,ARMANDO CARDONA Operating Engineer/ Group O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $33.23 $188.82 0 144.12 147.66 57.13 22.61 0.00 371.52 1,512.37 S 2.00 0.00 0.00 0.00 0.00 0.00 0.00 2.00 $94.41 $1,883.89 Page 3 of 5 City of Lake Elsinore-CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement/20250580287 (1) (2) (3) (4)DAY AND DATE (5) (6) (7) (9) (s) z Mon Tue Wed Thu Fri I Sat Sun DEDUCTIONS �o rc NAME AND INDIVIDUAL 0 NET WAGES 0 07107 07108 07109 07110 07111 07/12 07113 WITH- TOTAL IDENTIFYING NUMBER 3 w PAID FOR FICA HOLDING STATE LOCAL OTHER DEDUC- (e.g.,LAST FOUR DIGITS OF SOCIAL o w WORK TOTAL RATE OF PAY GROSS AMOUNT TAX TAX WEEK SECURITY NUMBER)OF WORKER °z CLASSIFICATION HOURS WORKED EACH DAY HOURS EARNED TAX TIONS ROMO,ARMANDO CARDONA Operating Engineer/ Groups O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $33.23 $283.56 0 144.12 147.66 57.13 22.61 0.00 371.52 1,512.37 S 3.00 0.00 0.00 0.00 0.00 0.00 0.00 3.00 $94.52 $1,883.89 ROMO,ARMANDO CARDONA Laborer and Related Classifications/Group 1 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $27.81 $1,188.64 0 144.12 147.66 57.13 22.61 0.00 371.52 1,512.37 S 3.00 0.00 0.00 5.00 8.00 0.00 0.00 16.00 $74.29 $1,883.89 SALAZAR,MODESTO Cement Mason/Cement Mason,Curb and Gutter O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $27.38 $583.04 Machine Operator;Clary and Similar type of 0 screed Operator 225.06 412.74 143.78 35.30 18.36 835.24 2,125.08 S 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 $72.88 $2,960.32 SALAZAR,MODESTO Laborer and Related Classifications/Group 1 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $27.81 $1,782.96 0 225.06 412.74 143.78 35.30 18.36 835.24 2,125.08 S 8.00 8.00 8.00 0.00 0.00 0.00 0.00 24.00 $74.29 $2,960.32 VEGA,RUTILIO Cement Mason/Cement $1,658.64 Mason,Curb and Gutter !SIEO 0.00 0.00 0.00 0.00 0.00 0.00 $23.61 Machine Operator;Clary and Similar type of 0 screed operator 206.09 459.64 188.41 32.33 177.15 1,063.62 1,700.78 0.00 8.00 8.00 0.00 0.00 24.00 $69.11 $2,764.40 While completion of Form WH-347 is optional,it is mandatory for covered contractors and subcontractors performing work on Federally financed or assisted construction contracts to respond to the information collection contained in 29 C.F.R.§§3.3,5.5(a).The Copeland Act(40 U.S.C.§3145)contractors and subcontractors performing work on Federally financed or assisted construction contracts to"furnish weekly a statement with respect to the wages paid each employee during the preceding week."U.S.Department of Labor(DOL)regulations at 29 C.F.R §5.5(a)(3)(ii)require contractors to submit weekly a copy of all payrolls to the Federal agency contracting for or financing the construction project,accompanied by a signed"Statement of Compliance"indicating that the payrolls are correct and complete and that each laborer or mechanic has been paid not less than the proper Davis-Bacon prevailing wage rate for the work performed.DOL and federal contracting agencies receiving this information review the information to determine that employees have received legally required wages and fringe benefits. Public Burden Statement We estimate that is will take an average of 55 minutes to complete this collection,including time for reviewing instructions,searching existing data sources,gathering and maintaining the data needed,and completing and reviewing the collection of information.If you have any comments regarding these estimates or any other aspect of this collection,including suggestions for reducing this burden,send them to the Administrator,Wage and Hour Division,U.S.Department of Labor,Room S3502,200 Constitution Avenue,N.W.Washington,D.C.20210 (over) Page 4 of 5 City of Lake Elsinore-CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement/20250580287 Date: 7/29/2025 (b) WHERE FRINGE BENEFITS ARE PAID IN CASH I Panagiotis Leonida PRESIDENT rx-1— Each laborer or mechanic listed in the above referenced payroll has been paid, (Name of Signatory Party) (Title) as indicated on the payroll,an amount not less than the sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed in do hereby state: the contract,except as noted in section 4(c)below. (1)That I pay or supervise the payment of the persons employed by Leonida Builders Inc on the (c) EXCEPTIONS (Contractor or Subcontractor) City of Lake Elsinore-CDBG/SB 821 Lakeshore Drive ADA EXCEPTION(CRAFT) EXPLANATION Sidewalk Improvement ; that during the payroll period commencing on the (Building or Work) Training. Training paid to California Apprenticeship Council. 07 day of July 2025 and ending the 13 day of July 2025 all persons employed on said project have been paid the full weekly wages earned,that no rebates have been or will be made either directly or indirectly to or on behalf of said Leonida Builders Inc from the full (Contractor or Subcontractor) weekly wages earned by any person and that no deductions have been made either directly or indirectly from the full wages earned by any person,other than permissible deductions as defined in Regulations, Part 3(29 C.F.R.Subtitle A), issued by the Secretary of Labor under the Copeland Act,as amended(48 Stat.948, 63 Start. 108,72 Stat.967;76 Stat.357;40 U.S.C.§3145),and described below: Permissible Deductions: REMARKS: Deductions may include pre-taxed medical,dental,vision,and/or cash fringes,pre-taxed 401 k contributions and/or court ordered garnishments. (2)That any payrolls otherwise under this contract required to be submitted for the above period are correct and complete;that the wage rates for laborers or mechanics contained therein are not less than the applicable wage rates contained in any wage determination incorporated into the contract;that the classifications set forth therein for each laborer or mechanic conform with the work he performed. (3)That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with a State apprenticeship agency recognized by the Bureau of Apprenticeship and Training, United States Department of Labor,or if no such recognized agency exists in a State,are registered with the Bureau of Apprenticeship and Training,United States Department of Labor. NAME AND TITLE SIGNATURE (4)That: Panagiotis Leonida, PRESIDENT Pa4ia o'Lem (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS,OR PROGRAMS THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY �— in addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR CRIMINAL referenced payroll,payments of fringe benefits as listed in the contract have been or will be PROSECUTION.SEE SECTION 1001 OF TITLE 18 AND SECTION 3729 OF TITLE 31 made to appropriate programs for the benefit of such employees,except as noted in section 4 OF THE UNITED STATES CODE. (c)below. Page 5 of 5 City of Lake Elsinore-CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement/20250580287 U.S. Department of Labor PAYROLL Wage and Hour Division (For Contractor's Optional Use; See Instructions at www.dol.gov/whd/forms/wh347!nstr.htm) Persons are not required to respond to the collection of information unless it displays a currently valid OMB control number. Rev. Dec.20084NNO U.S.Wage and Hour Division NAME OF CONTRACTOR ❑X OR SUBCONTRACTOR ADDRESS: OMB No.: 1235-0008 Leonida Builders Inc 32023 Crown Valley Road,Acton,CA,93510 Expires: 09/30/2026 PAYROLL NO. FOR WEEK ENDING: PROJECT AND LOCATION: PROJECT OR CONTRACT NO. 6 7/20/2025 City of Lake Elsinore-CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement,420 E.Lakeshore Dr., 20250580287 Lake Elsinore,CA,92530 (1) (2) (3) (4)DAY AND DATE (5) (6) (7) (8) (9) z Mon Tue I Wed I Thu I Fri I Sat I Sun DEDUCTIONS io rc NAME AND INDIVIDUAL ° NET WAGES f o 07114 07115 07/16 07/17 07/16 07/19 07120 WITH- TOTAL IDENTIFYING NUMBER §.., PAID FOR x STATE LOCAL (e.g.,LAST FOUR DIGITS OF SOCIAL o w WORK TOTAL RATE OF PAY GROSS AMOUNT FICA HOLDING TAX TAX OTHER DEDUC- WEEK SECURITY NUMBER)OF WORKER °z CLASSIFICATION HOURS WORKED EACH DAY HOURS EARNED TAX TIONS MONTES,ORLANDO Laborer and Related Classifications/Group 1 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $26.36 $582.72 0 162.56 306.23 130.20 25.50 28.15 652.64 1,500.52 S 0.00 8.00 0.00 0.00 0.00 0.00 0.00 8.00 $72.84 $2,153.16 While completion of Form WH-347 is optional,it is mandatory for covered contractors and subcontractors performing work on Federally financed or assisted construction contracts to respond to the information collection contained in 29 C.F.R.§§3.3,5.5(a).The Copeland Act(40 U.S.C.§3145)contractors and subcontractors performing work on Federally financed or assisted construction contracts to"furnish weekly a statement with respect to the wages paid each employee during the preceding week."U.S.Department of Labor(DOL)regulations at 29 C.F.R §5.5(a)(3)(ii)require contractors to submit weekly a copy of all payrolls to the Federal agency contracting for or financing the construction project,accompanied by a signed"Statement of Compliance"indicating that the payrolls are correct and complete and that each laborer or mechanic has been paid not less than the proper Davis-Bacon prevailing wage rate for the work performed.DOL and federal contracting agencies receiving this information review the information to determine that employees have received legally required wages and fringe benefits. Public Burden Statement We estimate that is will take an average of 55 minutes to complete this collection,including time for reviewing instructions,searching existing data sources,gathering and maintaining the data needed,and completing and reviewing the collection of information.If you have any comments regarding these estimates or any other aspect of this collection,including suggestions for reducing this burden,send them to the Administrator,Wage and Hour Division,U.S.Department of Labor,Room S3502,200 Constitution Avenue,N.W.Washington,D.C.20210 (over) Page 1 of 2 City of Lake Elsinore-CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement/20250580287 Date: 7/29/2025 (b) WHERE FRINGE BENEFITS ARE PAID IN CASH I Panagiotis Leonida PRESIDENT rx-1— Each laborer or mechanic listed in the above referenced payroll has been paid, (Name of Signatory Party) (Title) as indicated on the payroll,an amount not less than the sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed in do hereby state: the contract,except as noted in section 4(c)below. (1)That I pay or supervise the payment of the persons employed by Leonida Builders Inc on the (c) EXCEPTIONS (Contractor or Subcontractor) City of Lake Elsinore-CDBG/SB 821 Lakeshore Drive ADA EXCEPTION(CRAFT) EXPLANATION Sidewalk Improvement ; that during the payroll period commencing on the (Building or Work) Training. Training paid to California Apprenticeship Council. 14 day of July 2025 and ending the 20 day of July 2025 all persons employed on said project have been paid the full weekly wages earned,that no rebates have been or will be made either directly or indirectly to or on behalf of said Leonida Builders Inc from the full (Contractor or Subcontractor) weekly wages earned by any person and that no deductions have been made either directly or indirectly from the full wages earned by any person,other than permissible deductions as defined in Regulations, Part 3(29 C.F.R.Subtitle A), issued by the Secretary of Labor under the Copeland Act,as amended(48 Stat.948, 63 Start. 108,72 Stat.967;76 Stat.357;40 U.S.C.§3145),and described below: Permissible Deductions: REMARKS: Deductions may include pre-taxed medical,dental,vision,and/or cash fringes,pre-taxed 401 k contributions and/or court ordered garnishments. (2)That any payrolls otherwise under this contract required to be submitted for the above period are correct and complete;that the wage rates for laborers or mechanics contained therein are not less than the applicable wage rates contained in any wage determination incorporated into the contract;that the classifications set forth therein for each laborer or mechanic conform with the work he performed. (3)That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with a State apprenticeship agency recognized by the Bureau of Apprenticeship and Training, United States Department of Labor,or if no such recognized agency exists in a State,are registered with the Bureau of Apprenticeship and Training,United States Department of Labor. NAME AND TITLE SIGNATURE (4)That: Panagiotis Leonida, PRESIDENT Pa4ia o'Lem (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS,OR PROGRAMS THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY �— in addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR CRIMINAL referenced payroll,payments of fringe benefits as listed in the contract have been or will be PROSECUTION.SEE SECTION 1001 OF TITLE 18 AND SECTION 3729 OF TITLE 31 made to appropriate programs for the benefit of such employees,except as noted in section 4 OF THE UNITED STATES CODE. (c)below. Page 2 of 2