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Home My WebLink About251009-5022-FBS-Lake Elsinore from 09.29.25-10.05.25 (week 17) 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 10/9/2025 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 Lopez CLASSIFICATION Laborer Group 1 EFFECTIVE SUBSISTENCE OR TRAVEL DATE: 1 7/1/2025 PAY: NONE CASH ON FRINGE $ 25.23 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 $ 2.58 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 10/9/2025 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: 7/1/2025 PAY: NONE CASH ON FRINGE $ 26.36 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 CONTRIBUTIONS Weekly X Monthly Quarterly Annually PRIME PENSION: SIGNATURE/TITLE NAME OF Leonida CONTRACTOR: Builders, Inc