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Home My WebLink About251009-25022-CPR-Lake Elsinore from 09.08.25-10.05.25 (weeks 14-17) Certified Payroll Report for Non-Performing Week 10/9/2025 Contractor: Leonida Builders Inc For week beginning on: 9/8/2025 For week ending on: 9/14/2025 Payroll Number: 14 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: 9/14/2025. 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 Certified Payroll Report for Non-Performing Week 10/9/2025 Contractor: Leonida Builders Inc For week beginning on: 9/15/2025 For week ending on: 9/21/2025 Payroll Number: 15 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: 9/21/2025. 1 herein certify under penalty of perjury that all of the above is true and correct as submitted. PanaV, C uk Lea-ni&a, Panagiotis Leonida, PRESIDENT Certified Payroll Report for Non-Performing Week 10/9/2025 Contractor: Leonida Builders Inc For week beginning on: 9/22/2025 For week ending on: 9/28/2025 Payroll Number: 16 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: 9/28/2025. 1 herein certify under penalty of perjury that all of the above is true and correct as submitted. PanaV, C uk Lea-ni&a, Panagiotis Leonida, PRESIDENT California City of Lake Elsinore-CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement/20250580287 dR Department of y P Industrial Relations PUBLIC WORKS PAYROLL REPORTING FORM Page 1 of NAME OF CONTRACTOR:Leonida Builders Inc CONTRACTOR'S LICENSE NO.:896772 ADDRESS:32023 Crown Valley Road,Acton,CA, OR SUBCONTRACTOR: SPECIALTY LICENSE NO.: 93510 PAYROLL NO. FOR WEEK ENDING: I SELF-INSURED CERT: PROJECT OR CONTRACT NO.:20250580287 17 10/5/2025 WORKERS'COMP:EAW0000186100 PROJECT AND LOCATION:City of Lake Elsinore-CDBG/SB 821 Lakeshore Drive ADA Sidewalk (1) (2) (3) (4)DAY (5) (6) (7) (8) (9) M I T I W I T I F I S I S NAME,ADDRESS 1. NET o WORK Date HOURL WAGES AND SOCIAL ooa TOTAL GROSS AMOUNT CHECK CLASS- v RATE DEDUCTIONS,CONTRIBUTIONS AND PAYMENTS PAID SECURITY NUMBER �FX IFICATION 9129 9/30 10/01 10102 10/03 10/04 10/05 HOURS OF PAY EARNED OF EMPLOYEE FOR NO. 3w WEEK Hours Worked Each Day THIS ALL Federal FICA& State Vacation Health& S 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 $72.84 PROJECT PROJECTS Tax Medicare Tax SDI Holiday Welfare Pension FERNANDEZ, Laborer and RAYMOND $475.37 $217.43 $203.58 $34.11 $0.00 $11.60 $0.00 Related � Fringes Sub Deduct. D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $0.00 $6.40 $0.00 $0.00 $0.00 $0.00 $71.27 $1,001.7 6 THIS ALL Federal FICA& State SDI Vacation Health& pension S 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 $73.23 PROJECT PROJECTS Tax Medicare Tax Holiday Welfare LOPEZ,JUAN Laborer and Group 1 $585.84 $2,121.84 Training Fringes Dues Sub Savings Other Deduct. D 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $0.00 $1,168.5 $6.40 $0.00 $0.00 $0.00 $0.00 $829.93 9 S=STRAIGHT TIME "OTHER-Any other deductions,contributions and/or payments whether or not included or required by prevailing wage determinations must be separately listed. CERTIFICATION MUST be completed New 2�0) 0=OVERTIME Use extra sheet(s)if necessary. (See reverse side) Form A-1-131 ( D=DOUBLETIME SDI=STATE DISABILITY INSURANCE 4d;� California City of Lake Elsinore-CDBG/SB 821 Lakeshore Drive ADA Sidewalk Improvement/20250580287 Department of y P Industrial Relations PUBLIC WORKS PAYROLL REPORTING FORM Page of STATE OF CALIFORNIA STATEMENT OF COMPLIANCE CONTRACTOR/SUBCONTRACTOR CONTRACT NUMBER LEONIDA BUILDERS INC 20250580287 FIRST DAY AND DATE OF PAY PERIOD LAST DAY AND DATE OF PAY PERIOD 9/29/2025 10/5/2025 I do hereby certify under penalty of perjury: (1)That I pay or supervise payment to employees of the above—referenced contractor on the above—referenced contract.All persons employed on said project for the above—referenced time period have been paid their full weekly wages earned,that no rebates have been or will be made either directly or indirectly to or on behalf of said contractor from the full 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. (2)That this employer has complied with the requirements of the California Labor Code Sections.1771,1811,and 1815 for all performed on this public works project,and that the classifications set forth therein for each trade rate conform with the work performed. (3)That any payrolls otherwise under this control 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 that the applicable wages rates: (a) Specified in the applicable wage determination incorporated into the contract; (b) FX—J Determined by the Director of Industrial Relations for the county or counties in which the work is performed;that the classification set forth therein for each laborer or mechanic conform with the work he or she performed. (4)That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with a State apprenticeship agency. (5)That fringes benefits as listed in the contract: (a) Have been or will be paid to the approved plan(s),funds(s),or program(s)for the benefit of listed emplcyee(s),except as noted below. (b) Q Have been paid directly to the listed employee(s),except as noted below. (c) See exceptions noted below. EXCEPTION CRAFT EXPLANATION Training. Training paid to California Apprenticeship Council. REMARKS:Deductions may include pre-taxed medical,dental,vision,and/or cash fringes,pre-taxed 401 k contributions and/or court ordered gamishments. NAME(PLEASE PRINT.) TITLE Panagiotis Leonida PRESIDENT SIGNATURE: ATE PaA",Corw L 1D0/9/2025 On federally—funded projects,permissible deductions are defined in title 29,Code of Federal Regulations,part 3,issued by the Secretary of Labor under the Copeland Act,(40 U.S.C.276c).Also,the willful falsification of any of the above statements may subject the contractor or subcontractor to civil or criminal prosecution(See section 1001 of title 18 and section 3729 of title 31 of the United States Code). ADA Notice For individuals with sensory disabilities,this document is available in alternate formats.For information call(916)654-6410 or TDD(916)654-3880 or write Records and Forms CEM 2503 Management,1120 N Street,MS-89,Sacramento,CA 95814.