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HomeMy WebLinkAbout251027-25022-WH347-Lake Elsinore from 10.06.25-10.19.25 (week 18-19) Certified Payroll Report for Non-Performing Week 10/27/2025 Contractor: Leonida Builders Inc For week beginning on: 10/6/2025 For week ending on: 10/12/2025 Payroll Number: 18 Project: 20250580287 City of Lake Elsinore-CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement 420 E. Lakeshore Dr. Lake Elsinore CA 92530 CERTIFICATION FOR NON-PERFORMING WEEK I, Panagiotis Leonida the undersigned, am the PRESIDENT with the authority to act for and on behalf of Leonida Builders Inc certify under penalty of perjury that no work was performed for the week ending on: 10/12/2025. 1 herein certify under penalty of perjury that all of the above is true and correct as submitted. -Pa/�i.,Lecnv Aw Panagiotis Leonida, PRESIDENT 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.2008 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. 19 10/19/2025 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) Mon TUB Wed Thu Fri I Sat Sun DEDUCTIONS NAME AND INDIVIDUAL NET WAGES 10/13 10114 1WS lWlS 1W1] 1W16 10/19 IDENTIFYING NUMBER 3w WITH- TOTAL PAID FOR STATE LOCAL (e.E LAST FOUR DIGITS OF SOCIAL o'� WORK TOTAL RATE OF PAY GROSS AMOUNT FICA HOLDING TAX TA% OTHER DEDUC- WEEK SECURITY NUMBER)OF WORKER CLASSIFICATION HOURS WORKED EACH DAY HOURS EARNED TAX TIONS LOPEZ REYNOSO,JOSE DEJESUS Operating Engineer/ Group3 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $30.97 $1,447.04 0 140.49 122.12 97.52 22.04 154.61 536.78 1,454.26 S 0.00 0.00 0.00 8.00 8.00 0.00 0.00 16.00 $90.44 $1,991.04 PADILLA,HECTOR Cement Mason I Cement Mason,Cum antl Gutter O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $27.36 $546.60 Machine Operator;CI- -eimilartype of 0 sr etl Op-t., 179.80 165.18 90.00 28.20 0.00 463.18 1,887.18 S 0.00 O.CO 0.00 4.00 3.50 0.00 0.00 7.50 $72.88 $2,350.36 PADILL 636ECTOR Cess19ce110 6RGroup 1 $594.32 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $27.81 0 179.80 165.18 90.00 28.20 0.00 463.18 1,887.18 F 0.00 0.00 0.00 4.00 4.00 0.00 0.00 8.00 $74.29 $2,350.36 SALAZAR,MODESTO Laborer antl Relatetl classifications l Group l O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $27.81 $1,188.64 0 180.45 272.81 90.76 28.31 18.36 590.69 1,786.59 S 0.00 0.00 0.00 8.00 8.00 0.00 0.00 16.00 $74.29 $2,377.28 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: 10/27/2025 (b) WHERE FRINGE BENEFITS ARE PAID IN CASH I Panagiotis Leonida PRESIDENT Q—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. 13 day of October 1 2025 and ending the 19 day of October 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 Pao, to,Lea� (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS,FUNDS,OR PROGRAMS THEE 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