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Creekside_CPRs_2021Contractor Name:License Type:License NumberContractor PWCR: Address: Insurance Number: CREEKSIDE ELECTRICAL CONTRACTORS, INC. 3059 AIRPORT RD., CARSON CITY, NV 89706 1000016544 CSLB 915754 XWW56287227 Awarding Body:DIR Project ID:Project Name: Contract With:Address:County: SOUTH TAHOE PUBLIC UTILITY DISTRICT WHITE ROCK CONSTRUCTION, INC. 371032 EL DORADO KELLER-HEAVENLY WATER SYSTEM IMPROVEMENTS PROJECT, PHASE 1 REBID HEAVENLY VALLEY NEIGHBORHOOD, SOUTH LAKE TAHOE, CA 96150 Payroll #:1 -0 Ctr Payroll #:NA Week Ending:08/11/2021 Statement of Non-Performance?Final payroll for this project? Employee: Thu 08/05 Fri 08/06 Sat 08/07 Sun 08/08 Mon 08/09 Tue 08/10 Wed 08/11 Total Hours Base Hourly Total Fringe Vac/ Holiday Health & Welf.Pension Training Total Hourly RateOther S ELECTRICIAN-INSIDE WIREMAN 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 58.61 25.73 7.31 7.92 10.50 1.76 86.100.00 O ELECTRICIAN-INSIDE WIREMAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.73 7.31 7.92 10.50 1.76 27.490.00 D ELECTRICIAN-INSIDE WIREMAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 25.73 7.31 7.92 10.50 1.76 27.490.00 NOTE:Travel & Subsistence 60.00 Total Deductions 333.33 Public Works Certified Payroll Reporting Form Certification under penalty of perjury: Public Works Certified Payroll Reporting Form 12/08/2021 - Page 1 "I, , the undersigned, am the (position in business) with the authority to act for and on behalf of (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 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. I certify this on ." Contractor Name:License Type:License NumberContractor PWCR: Address: Insurance Number: CREEKSIDE ELECTRICAL CONTRACTORS, INC. 3059 AIRPORT RD., CARSON CITY, NV 89706 1000016544 CSLB 915754 XWW56287227 Awarding Body:DIR Project ID:Project Name: Contract With:Address:County: SOUTH TAHOE PUBLIC UTILITY DISTRICT WHITE ROCK CONSTRUCTION, INC. 371032 EL DORADO KELLER-HEAVENLY WATER SYSTEM IMPROVEMENTS PROJECT, PHASE 1 REBID HEAVENLY VALLEY NEIGHBORHOOD, SOUTH LAKE TAHOE, CA 96150 Payroll #:2 -0 Ctr Payroll #:NA Week Ending:08/18/2021 Statement of Non-Performance?Final payroll for this project? Public Works Certified Payroll Reporting Form Certification under penalty of perjury: Public Works Certified Payroll Reporting Form 12/08/2021 - Page 1 "I, , the undersigned, am the (position in business) with the authority to act for and on behalf of (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 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. I certify this on ." Contractor Name:License Type:License NumberContractor PWCR: Address: Insurance Number: CREEKSIDE ELECTRICAL CONTRACTORS, INC. 3059 AIRPORT RD., CARSON CITY, NV 89706 1000016544 CSLB 915754 XWW56287227 Awarding Body:DIR Project ID:Project Name: Contract With:Address:County: SOUTH TAHOE PUBLIC UTILITY DISTRICT WHITE ROCK CONSTRUCTION, INC. 371032 EL DORADO KELLER-HEAVENLY WATER SYSTEM IMPROVEMENTS PROJECT, PHASE 1 REBID HEAVENLY VALLEY NEIGHBORHOOD, SOUTH LAKE TAHOE, CA 96150 Payroll #:3 -0 Ctr Payroll #:NA Week Ending:08/25/2021 Statement of Non-Performance?Final payroll for this project? Employee: Thu 08/19 Fri 08/20 Sat 08/21 Sun 08/22 Mon 08/23 Tue 08/24 Wed 08/25 Total Hours Base Hourly Total Fringe Vac/ Holiday Health & Welf.Pension Training Total Hourly RateOther S ELECTRICIAN-INSIDE WIREMAN 0.00 0.00 0.00 0.00 0.00 4.00 0.00 4.00 58.61 27.33 8.91 7.92 10.50 1.76 87.700.00 O ELECTRICIAN-INSIDE WIREMAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.33 8.91 7.92 10.50 1.76 29.090.00 D ELECTRICIAN-INSIDE WIREMAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.33 8.91 7.92 10.50 1.76 29.090.00 NOTE:Travel & Subsistence 90.00 Total Deductions 342.27 Public Works Certified Payroll Reporting Form Certification under penalty of perjury: Public Works Certified Payroll Reporting Form 12/08/2021 - Page 1 "I, , the undersigned, am the (position in business) with the authority to act for and on behalf of (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 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. I certify this on ." Contractor Name:License Type:License NumberContractor PWCR: Address: Insurance Number: CREEKSIDE ELECTRICAL CONTRACTORS, INC. 3059 AIRPORT RD., CARSON CITY, NV 89706 1000016544 CSLB 915754 XWW56287227 Awarding Body:DIR Project ID:Project Name: Contract With:Address:County: SOUTH TAHOE PUBLIC UTILITY DISTRICT WHITE ROCK CONSTRUCTION, INC. 371032 EL DORADO KELLER-HEAVENLY WATER SYSTEM IMPROVEMENTS PROJECT, PHASE 1 REBID HEAVENLY VALLEY NEIGHBORHOOD, SOUTH LAKE TAHOE, CA 96150 Payroll #:4 -0 Ctr Payroll #:NA Week Ending:09/01/2021 Statement of Non-Performance?Final payroll for this project? Public Works Certified Payroll Reporting Form Certification under penalty of perjury: Public Works Certified Payroll Reporting Form 12/08/2021 - Page 1 "I, , the undersigned, am the (position in business) with the authority to act for and on behalf of (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 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. I certify this on ." Contractor Name:License Type:License NumberContractor PWCR: Address: Insurance Number: CREEKSIDE ELECTRICAL CONTRACTORS, INC. 3059 AIRPORT RD., CARSON CITY, NV 89706 1000016544 CSLB 915754 XWW56287227 Awarding Body:DIR Project ID:Project Name: Contract With:Address:County: SOUTH TAHOE PUBLIC UTILITY DISTRICT WHITE ROCK CONSTRUCTION, INC. 371032 EL DORADO KELLER-HEAVENLY WATER SYSTEM IMPROVEMENTS PROJECT, PHASE 1 REBID HEAVENLY VALLEY NEIGHBORHOOD, SOUTH LAKE TAHOE, CA 96150 Payroll #:5 -0 Ctr Payroll #:NA Week Ending:09/08/2021 Statement of Non-Performance?Final payroll for this project? Public Works Certified Payroll Reporting Form Certification under penalty of perjury: Public Works Certified Payroll Reporting Form 12/08/2021 - Page 1 "I, , the undersigned, am the (position in business) with the authority to act for and on behalf of (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 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. I certify this on ." Contractor Name:License Type:License NumberContractor PWCR: Address: Insurance Number: CREEKSIDE ELECTRICAL CONTRACTORS, INC. 3059 AIRPORT RD., CARSON CITY, NV 89706 1000016544 CSLB 915754 XWW56287227 Awarding Body:DIR Project ID:Project Name: Contract With:Address:County: SOUTH TAHOE PUBLIC UTILITY DISTRICT WHITE ROCK CONSTRUCTION, INC. 371032 EL DORADO KELLER-HEAVENLY WATER SYSTEM IMPROVEMENTS PROJECT, PHASE 1 REBID HEAVENLY VALLEY NEIGHBORHOOD, SOUTH LAKE TAHOE, CA 96150 Payroll #:6 -0 Ctr Payroll #:NA Week Ending:09/15/2021 Statement of Non-Performance?Final payroll for this project? Public Works Certified Payroll Reporting Form Certification under penalty of perjury: Public Works Certified Payroll Reporting Form 12/08/2021 - Page 1 "I, , the undersigned, am the (position in business) with the authority to act for and on behalf of (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 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. I certify this on ." Contractor Name:License Type:License NumberContractor PWCR: Address: Insurance Number: CREEKSIDE ELECTRICAL CONTRACTORS, INC. 3059 AIRPORT RD., CARSON CITY, NV 89706 1000016544 CSLB 915754 XWW56287227 Awarding Body:DIR Project ID:Project Name: Contract With:Address:County: SOUTH TAHOE PUBLIC UTILITY DISTRICT WHITE ROCK CONSTRUCTION, INC. 371032 EL DORADO KELLER-HEAVENLY WATER SYSTEM IMPROVEMENTS PROJECT, PHASE 1 REBID HEAVENLY VALLEY NEIGHBORHOOD, SOUTH LAKE TAHOE, CA 96150 Payroll #:7 -0 Ctr Payroll #:NA Week Ending:09/22/2021 Statement of Non-Performance?Final payroll for this project? Public Works Certified Payroll Reporting Form Certification under penalty of perjury: Public Works Certified Payroll Reporting Form 12/08/2021 - Page 1 "I, , the undersigned, am the (position in business) with the authority to act for and on behalf of (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 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. I certify this on ." Contractor Name:License Type:License NumberContractor PWCR: Address: Insurance Number: CREEKSIDE ELECTRICAL CONTRACTORS, INC. 3059 AIRPORT RD., CARSON CITY, NV 89706 1000016544 CSLB 915754 XWW56287227 Awarding Body:DIR Project ID:Project Name: Contract With:Address:County: SOUTH TAHOE PUBLIC UTILITY DISTRICT WHITE ROCK CONSTRUCTION, INC. 371032 EL DORADO KELLER-HEAVENLY WATER SYSTEM IMPROVEMENTS PROJECT, PHASE 1 REBID HEAVENLY VALLEY NEIGHBORHOOD, SOUTH LAKE TAHOE, CA 96150 Payroll #:8 -0 Ctr Payroll #:NA Week Ending:09/29/2021 Statement of Non-Performance?Final payroll for this project? Employee: Thu 09/23 Fri 09/24 Sat 09/25 Sun 09/26 Mon 09/27 Tue 09/28 Wed 09/29 Total Hours Base Hourly Total Fringe Vac/ Holiday Health & Welf.Pension Training Total Hourly RateOther S ELECTRICIAN-INSIDE WIREMAN 0.00 0.00 0.00 0.00 0.00 8.00 8.00 16.00 59.54 27.46 9.04 7.92 10.50 1.76 88.760.00 O ELECTRICIAN-INSIDE WIREMAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.46 9.04 7.92 10.50 1.76 29.220.00 D ELECTRICIAN-INSIDE WIREMAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.46 9.04 7.92 10.50 1.76 29.220.00 NOTE:Travel & Subsistence 90.00 Total Deductions 447.98 Public Works Certified Payroll Reporting Form Certification under penalty of perjury: Public Works Certified Payroll Reporting Form 12/08/2021 - Page 1 "I, , the undersigned, am the (position in business) with the authority to act for and on behalf of (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 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. I certify this on ." Contractor Name:License Type:License NumberContractor PWCR: Address: Insurance Number: CREEKSIDE ELECTRICAL CONTRACTORS, INC. 3059 AIRPORT RD., CARSON CITY, NV 89706 1000016544 CSLB 915754 XWW56287227 Awarding Body:DIR Project ID:Project Name: Contract With:Address:County: SOUTH TAHOE PUBLIC UTILITY DISTRICT WHITE ROCK CONSTRUCTION, INC. 371032 EL DORADO KELLER-HEAVENLY WATER SYSTEM IMPROVEMENTS PROJECT, PHASE 1 REBID HEAVENLY VALLEY NEIGHBORHOOD, SOUTH LAKE TAHOE, CA 96150 Payroll #:9 -0 Ctr Payroll #:NA Week Ending:10/06/2021 Statement of Non-Performance?Final payroll for this project? Employee: Thu 09/30 Fri 10/01 Sat 10/02 Sun 10/03 Mon 10/04 Tue 10/05 Wed 10/06 Total Hours Base Hourly Total Fringe Vac/ Holiday Health & Welf.Pension Training Total Hourly RateOther S ELECTRICIAN-INSIDE WIREMAN 8.00 0.00 0.00 0.00 0.00 0.00 0.00 8.00 59.54 27.46 9.04 7.92 10.50 1.76 88.760.00 O ELECTRICIAN-INSIDE WIREMAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.46 9.04 7.92 10.50 1.76 29.220.00 D ELECTRICIAN-INSIDE WIREMAN 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 27.46 9.04 7.92 10.50 1.76 29.220.00 NOTE:Travel & Subsistence 30.00 Total Deductions 137.57 Public Works Certified Payroll Reporting Form Certification under penalty of perjury: Public Works Certified Payroll Reporting Form 12/08/2021 - Page 1 "I, , the undersigned, am the (position in business) with the authority to act for and on behalf of (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 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. I certify this on ." Contractor Name:License Type:License NumberContractor PWCR: Address: Insurance Number: CREEKSIDE ELECTRICAL CONTRACTORS, INC. 3059 AIRPORT RD., CARSON CITY, NV 89706 1000016544 CSLB 915754 XWW56287227 Awarding Body:DIR Project ID:Project Name: Contract With:Address:County: SOUTH TAHOE PUBLIC UTILITY DISTRICT WHITE ROCK CONSTRUCTION, INC. 371032 EL DORADO KELLER-HEAVENLY WATER SYSTEM IMPROVEMENTS PROJECT, PHASE 1 REBID HEAVENLY VALLEY NEIGHBORHOOD, SOUTH LAKE TAHOE, CA 96150 Payroll #:10 -0 Ctr Payroll #:NA Week Ending:10/13/2021 Statement of Non-Performance?Final payroll for this project? Public Works Certified Payroll Reporting Form Certification under penalty of perjury: Public Works Certified Payroll Reporting Form 12/08/2021 - Page 1 "I, , the undersigned, am the (position in business) with the authority to act for and on behalf of (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 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. I certify this on ." Contractor Name:License Type:License NumberContractor PWCR: Address: Insurance Number: CREEKSIDE ELECTRICAL CONTRACTORS, INC. 3059 AIRPORT RD., CARSON CITY, NV 89706 1000016544 CSLB 915754 XWW56287227 Awarding Body:DIR Project ID:Project Name: Contract With:Address:County: SOUTH TAHOE PUBLIC UTILITY DISTRICT WHITE ROCK CONSTRUCTION, INC. 371032 EL DORADO KELLER-HEAVENLY WATER SYSTEM IMPROVEMENTS PROJECT, PHASE 1 REBID HEAVENLY VALLEY NEIGHBORHOOD, SOUTH LAKE TAHOE, CA 96150 Payroll #:11 -0 Ctr Payroll #:NA Week Ending:10/20/2021 Statement of Non-Performance?Final payroll for this project? Public Works Certified Payroll Reporting Form Certification under penalty of perjury: Public Works Certified Payroll Reporting Form 12/08/2021 - Page 1 "I, , the undersigned, am the (position in business) with the authority to act for and on behalf of (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 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. I certify this on ." Contractor Name:License Type:License NumberContractor PWCR: Address: Insurance Number: CREEKSIDE ELECTRICAL CONTRACTORS, INC. 3059 AIRPORT RD., CARSON CITY, NV 89706 1000016544 CSLB 915754 XWW56287227 Awarding Body:DIR Project ID:Project Name: Contract With:Address:County: SOUTH TAHOE PUBLIC UTILITY DISTRICT WHITE ROCK CONSTRUCTION, INC. 371032 EL DORADO KELLER-HEAVENLY WATER SYSTEM IMPROVEMENTS PROJECT, PHASE 1 REBID HEAVENLY VALLEY NEIGHBORHOOD, SOUTH LAKE TAHOE, CA 96150 Payroll #:12 -0 Ctr Payroll #:NA Week Ending:10/27/2021 Statement of Non-Performance?Final payroll for this project? Public Works Certified Payroll Reporting Form Certification under penalty of perjury: Public Works Certified Payroll Reporting Form 12/08/2021 - Page 1 "I, , the undersigned, am the (position in business) with the authority to act for and on behalf of (name of business and/or contractor), certify under penalty of perjury that the records or copies thereof submitted and consisting of certified payroll records for the week ending 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. I certify this on ."