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Home My WebLink About250917-25022-WH347-Lake Elsinore from 09.01.25-09.07.25 (week 13) 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. 13 9/7/2025 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 09101 09102 09/03 09104 09/05 09/06 09107 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 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 $1,188.64 0 133.78 158.26 47.40 20.98 0.00 360.42 1,388.22 S 0.00 0.00 8.00 8.00 0.00 0.00 0.00 16.00 $74.29 $1,748.64 FAVELA,VICTOR Operating Engineer Group O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $33.23 $1,483.20 0 156.31 59.60 64.49 24.52 0.00 304.92 1,738.28 S 0.00 0.00 8.00 8.00 0.00 0.00 0.00 16.00 $92.70 $2,043.20 FERNANDEZ,RAMON Operating Engineer/ Group 3 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $30.28 $269.25 0 222.31 316.77 203.78 34.87 287.49 1,065.22 2,096.71 S 0.00 3.00 0.00 0.00 0.00 0.00 0.00 3.00 $89.75 $3,161.93 FERNANDEZ,RAMON Operating Engineer/ Group 6 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $30.28 $91.46 0 222.31 316.77 203.78 34.87 287.49 1,065.22 2,096.71 S 0.00 1.00 0.00 0.00 0.00 0.00 0.00 1.00 $91.46 $3,161.93 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 $582.88 0 222.31 316.77 203.78 34.87 287.49 1,065.22 2,096.71 S 0.00 4.00 4.00 0.00 0.00 0.00 0.00 8.00 $72.86 $3,161.93 LOERA,ESTEBAN 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 $594.32 0 157.63 226.86 74.20 24.73 0.00 483.42 1,577.06 S 0.00 8.00 0.00 0.00 0.00 0.00 0.00 8.00 $74.29 $2,060.48 Page 1 of 3 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 og rc NAME AND INDIVIDUAL 0 NET WAGES 0 09101 09102 09103 09104 09105 09106 09107 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 LOPEZ REYNOSO,JOSE DEJESUS Iron Worker/Iron Worker (ornamental, O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $32.68 $166.75 Reinforcing,Structural) (Area 4) 0 225.22 288.76 210.83 35.33 154.61 914.75 2,183.86 S 0.00 0.00 2.00 0.00 0.00 0.00 0.00 2.00 $83.38 $3,098.61 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 $1,008.42 0 225.22 288.76 210.83 35.33 154.61 914.75 2,183.86 S 0.00 8.00 6.00 0.00 0.00 0.00 0.00 14.00 $72.03 $3,098.61 RAMIREZ ARANDA,ROBERTO Laborer and Related Classifications/Group 3 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $27.81 $603.12 0 160.00 86.03 70.82 25.10 105.36 447.31 1,681.89 S 0.00 8.00 0.00 0.00 0.00 0.00 0.00 8.00 $75.39 $2,129.20 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 0 124.60 197.03 82.57 19.54 156.45 580.19 1,133.97 S 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 $72.84 $1,714.16 VEGA,RUTILIO Laborer and Related Classifications/Group 3 ffOO 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $24.04 $572.96 0 148.76 284.73 111.74 23.33 177.15 745.71 1,269.17 8.00 0.00 0.00 0.00 0.00 0.00 8.00 $71.62 $2,014.88 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 2 of 3 City of Lake Elsinore-CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement/20250580287 Date: 9/18/2025 (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. 01 day of September , 2025 and ending the 07 day of September 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 3 of 3