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HomeMy WebLinkAbout12_01_25 - 12_07_25 Endresen Development PWCA Bid Set E & F New City Hall Certifed Payroll - PWCR 1000012670 DIR ID 20250607841 DIRstate of calilornia Department of Public Works Electronic Payroll Reporting Form Industrial Relations PWCR# 1000012670 DIR Project ID 20250607841 Statement of Non-Performance CSLB# 922677 Awarding Body CITY OF LAKE ELSINORE System Payroll# PRRUN5757694 U Final Payroll eCPR Sequence# 6 Project Name Bid Set E&F Payroll Period 12/01/2025- 12/07/2025 Project Address 130 S.MAIN ST.,LAKE Contractor ENDRESEN ELSINORE,CALIFORNIA, DEVELOPMENT,INC 92530 Contract With Project County RIVERSIDE Employee: MORRIS,JACOB Hours Worked Contributions Craft/Classification/Level BRICKLAYER:OTHER(PLEASE SPECIFY)-brick-JOURNEYMAN Vac/Holi H&W Pension Other Training Total Hourly Fringe Type Mon Tue Wed Thu Fri Sat Sun Total Base Total 8.37 9.63 9.84 1.19 1.49 30.52 12/01 12/02 12/03 12/04 12/05 12/06 12/07 Hours Hourly Hourly Rate S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 44.18 74.70 Deductions(lump sum/non hourly rates) Payments Wages Summary Fed Tax FICA State Tax SDI Fund/ Savings Dues Other Total Travel& Gross Wages Gross Wages Net Wages (Soc Sec) Admin Deductions subsistence for all projects for this project Paid 510.33 185.26 221.63 35.86 0.00 0.00 0.00 43.32 996.40 0.00 2988.00 2988.00 1991.60 Employee: ARAUX,JESUS Hours Worked Contributions Craft/Classification/Level BRICKLAYER:OTHER(PLEASE SPECIFY)-brick-JOURNEYMAN Vac/Holi H&W Pension Other Training Total Hourly Fringe Type Mon Tue Wed Thu Fri Sat Sun Total Base Total 8.37 9.63 9.84 1.19 1.49 30.52 12/01 12/02 12/03 12/04 12/05 12/06 12/07 Hours Hourly Hourly Rate S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 44.18 74.70 Deductions(lump sum/non hourly rates) Payments Wages Summary Fed Tax FICA State Tax SDI Fund/ Savings Dues Other Total Travel& Gross Wages Gross Wages Net Wages (Soc Sec) Admin Deductions subsistence for all projects for this project Paid 510.33 185.26 221.63 35.86 0.00 0.00 0.00 43.33 996.41 0.00 2988.00 2988.00 1991.59 Employee: CHAVEZ,LACHO Hours Worked Contributions Craft/Classification/Level BRICKLAYER:OTHER(PLEASE SPECIFY)-brick-JOURNEYMAN Vac/Holi H&W Pension Other Training Total Hourly Fringe Type Mon Tue Wed Thu Fri Sat Sun Total Base Total 8.37 9.63 9.84 1.19 1.49 30.52 12/01 12/02 12/03 12/04 12/05 12/06 12/07 Hours Hourly Hourly Rate S 8.00 8.00 8.00 8.00 8.00 0.00 0.00 40.00 44.18 74.70 Deductions(lump sum/non hourly rates) Payments Wages Summary Fed Tax FICA State Tax SDI Fund/ Savings Dues Other Total Travel& Gross Wages Gross Wages Net Wages (Soc Sec) Admin Deductions subsistence for all projects for this project Paid 510.33 185.26 221.63 35.86 0.00 0.00 0.00 43.33 996.41 0.00 2988.00 2988.00 1991.59 Certification under penalty of perjury: "I,Joshua J Endresen,the undersigned,certify on 06/11/2026,that I have the authority to act for and on behalf of ENDRESEN DEVELOPMENT,INC,certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the dates 12/01/2025 to 12/07/2025 are the originals or true,full,and correct copies of the originals which depict the payroll record(s)of the actual disbursements by way of cash,check,or whatever form to the individual or individuals named." Public Works Certified Payroll Reporting Form 2026/06/11 Page-