Certified Payroll for STPUD 062323 (1)Public Works Certified Payroll Reporting Form
Certification under penalty of perjury:
"I, CAROLINA GALICIA, the undersigned, am the OFFICE MANAGER (position in business) with the authority to act for and on behalf of G.B. GENERAL ENGINEERING CONTRACTOR, INC. (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 2023-05-13 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 2023-06-23."
Contractor Name: GB GENERAL ENGINEERING Contractor PWCR: 1000049509 License Type: CSLB License Number 792014
CONTRACTOR, INC,
Address: 2275 WASHINGTON AVE, SOUTH LAKE TAHOE, FEIN: 943373915 Contractor Email: GBGENERAL@SBCGLOSAL.NET
CA 96150
Insurance Number: 9029123
Awarding Body: SOUTH TAHOE PUBLIC UTILITY DISTRICT DIR Project ID: 463064 Project Name: 2023 ASPHALT PATCHING AND TRENCH PAVING
Contract With: GB GENERAL ENGINEERING CONTRACTOR, County: EL DORADO Address: 1275 MEADOW CREST DRIVE, SOUTH LAKE TAHOE, CA 96150
INC.
Payroll #: 1 - 0 Ctr Payroll #: 1 Week Ending: 05/13/2023 El Statement of Non -Performance? Final payroll for this project?
Employee: GUILLERMO CAMACHO PO BOX 19483, SOUTH LAKE TAHOE, CA, 96151
SSN: Sun Mon Tue Wed Thu Fri Sat Total Total Vacl Health Total
04/30 05/01 05/02 05/03 05/04 05/05 05/06
Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate
S PW LABORER-GRP 1 0.00 0.00 3.00 8.00 8.00 0.00 0.00 19.Q0 36.75 26.81 3.05 9.60 13.86 0.30 0.50 6246 .
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Total
Total
Base Hourly
Vac/
Health
Pension
Total
Other Training
05/07
05/08
05/09
05/10
05/11
05/12
05/13
Hours
Fringe
Holiday
& Welf.
Hourly Rate
S PW OPERATOR-GRP 4 0.00
0.00
8.00
8.00
0.00
0.00
0.00
16.00,; -'
56.33 32.22
5.96
13.88 10.78
1.60 1.21 8.9.76
O PW OPERATOR-GRP 4 OVERTIME 0.00
0.00
0.00
1.50
0.00
0.00
0.00
1.50'i -
84.50 32.22
0.00
0,00 0.00
0.00 1.21 11r.93
NOTE: Travel & Subsistence 0.00 Total Deductions 0.00
Public works certified Payroll Reporting Form 06/23/2023 - Page 1
Public Works Certified Payroll Reporting Form
Contractor Name: GB GENERAL ENGINEERING
Project Name: 2023 ASPHALT PATCHING AND TRENCH PAVING
CONTRACTOR, INC.
Employee: JOAQUIN CAMACHO 984 RANCHVIEW CIRCLE,
CARSON
CITY, NV, 89705
SSN:
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Total
Base Hourly
Total
04130
05101
05102
05103
05/04
05105
05/06
Hours
Fringe
S PW LABORER-GRP 1
0.00
0.00
3.00
8.00
8.00
0.00
0.00
191100,.'j
36.75
26.81
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Total
Total
05/07
05/08
05/09
05/10
05/11
05/12
05/13
Hours
Base Hourly
Fringe
S PW OPERATOR-GRP 4
0.00
0.00
8.00
8.00
0.00
0.00
0.00
16.00- :',
56.33
32,22
O PW OPERATOR-GRP 4 OVERTIME
0.00
0.00
0.00
1.50
0.00
0.00
0.00
.1.50 `" (
84.50
32.22
NOTE:
Week Ending: 05/13/2023
Vac/ Health Pension
Holiday & Welf.
3.05 9.60 13.86
Payroll Number: 1-0
Other Training Total
Hourly Rate
0.30 0.50
Vac!
Health
Pension
Other Training
Total
Holiday
& Welf.
Hourly Rate
5.96
13.88
10.78
1.60 1.21
89 76
0.00
0.00
0.00
0.00 1.21
117,93
Travel & Subsistence
0.00
Total Deductions
0.00
Public works certified Payroll Reporting Form 06/23/2023 - Page 2
Public Works Certified Payroll Reporting Form
Contractor Narne: GB GENERAL ENGINEERING Project Name: 2023 ASPHALT PATCHING AND TRENCH PAVING
CONTRACTOR, INC.
Employee: JOEL HANNEL 724 JACKSON WAY, CARSON CITY, NV, 89701
SSN: Sun Mon Tue Wed Thu Fri Sat Total Total
04/30 05/01 05102 O5I03 05104 05(05 05/06
Hours Base Hourly Fringe
S PW LABORER-GRP 1 0.00 0.00 8.00 8.00 8.00 8.00 0.00 32,00','; 36.75 26.81
Week Ending: 05/13/2023
Vac/ Health Pension
Holiday & Well.
3.05 9.60 13.86
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Total
Total
Vac/ Health
Hours Base Hourly
Fringe
Holiday & Welf.
Pension
05/07
05/08
05/09
05/10
05/11
05/12
05/13
S PW LABORER-GRP 1
0.00
0.00
8.00
8.00
7.50
OAO
0.00
23.50,' I, 36.75
26.81
3.05 9.60
13.86
0 PW LABORER-GRP 1 OVERTIME
0.00
0.00
1.00
0.00
U0
0.00
0.00
1.00 "" 55.13
26.81
0.00 0.00
0.00
NOTE:
Travel & Subsistence
0.00
Payroll Number: 1-0
Other
Training
Total
Hourly Rate
0.30
0.50
64,06
Total
Other
Training
Hourly Rate
0.30
0.50
-`64.06'
0.00
0.50
% 182 44
Total Deductions
0.00
Public Works certified Payroll Reporting Form 06(23/2023 - Page 3
Public Works Certified Payroll Reporting Form
Contractor Name: GB GENERAL ENGINEERING
Project Name: 2023 ASPHALT PATCHING AND TRENCH PAVING
Week Ending: 05/1312023
Payroll Number: 1-0
CONTRACTOR, INC.
Employee: JOSE L. LOPEZ 1491 HARVEST AVE, GARDNERVILLE, NV, 89410
SSN:
Sun Mon Tue
Wed
Thu
Fri
Sat
Total
Base Hourly
Total
Vac/
Health
Pension
Other
Training
Total
04I30 05101 05IO2
05I03
05104
05l05
05I06
Hours
Fringe
Holiday
& Welf.
Hourly Rate
S PW LABORER-GRP 1
0.00 0.00 0.00
0.00
0.00
0.00
0.00
0:00 ,
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Sun Mon Tue
Wed
Thu
Fri
Sat
Total
Base Hourly
Total
Vac!
Health
Pension
Other
Training
Total
05/07 05/08 05/09
05/10
05/11
05/12
05/13
Hours
Fringe
Holiday
& Welf.
Hourly Rate
S PW LABORER-GRP 1
0.00 0.00 B.00
8.00
0.00
0.00
0.00
16.40` 'r
36.75
26.81
3.05
9.60
13.66
0.30
0 PW LABORER-GRP 1 OVERTIME
0.00 0.00 0.00
1.50
0.00
0.00
0.00
1.50 '
65.13
26.81
0.00
0.00
0.00
0.00
0.50
82 44
NOTE:
Travel & Subsistence
0.00
Total Deductions
0.00
Public works certified Payroll Reporting Form 06i23/2023 - Page 4
Public Works Certified Payroll Reporting Form
Contractor Name: GB GENERAL ENGINEERING
Project Name: 2023 ASPHALT PATCHING AND TRENCH PAVING
Week Ending: 05/13/2023
Payroll Number: 1-0
CONTRACTOR, INC.
Employee: JOSE G. NOVOA PO BOX 19485, SOUTH
LAKE TAHOE, CA, 96151
SSN:
Sun Mon
Tue
Wed
Thu
Fri
Sat
Total
Base Hourly
Total
Vac/
Health
Pension
Other
Training
Total
04130 05/01
05/02
05/03
05/04
05105
05106
Hours
Fringe
Holiday
& Welf,
Hourly Rate
S PW LABORER-GRP 1
0.00 0.00
3.00
5.00
8.00
0.00
0.00
a'160. '<'
36.76
26.81
3.06
9.60
13.86
0.30
0.60
64 00
Sun Mon
Tue
Wed
Thu
Fri
Sat
Total
Base Hourly
Total
Vac(
Health
Pension
Other
Training
Total
05/07 05/08
05/09
05/10
05/11
05/12
05/13
Hours
Fringe
Holiday
& Welf.
Hourly Rate
0.00
8.00
8.00
0.00
0.00
0.00
1ff.00(s %,
36.75
26.81
3.05
9.60
13.86
0.30
O.
?64 06
5 PW LABORER-GRP 1
0.00
0 PW LABORER-GRP 1 OVERTIME
0.00 0.00
0.00
1.50
0.00
OAO
0.00
1 So .
55.13
26.81
0.00
0.00
0.00
0.00
0.50
NOTE:
Travel & Subsistence
0.00
Total Deductions
0.00
Public Works certified Payroll Reporting Form 06/23/2023 - Page 5
Public Works Certified Payroll Reporting Form
Certification under penalty of perjury:
"I, CAROLINA GALICIA, the undersigned, am the OFFICE MANAGER (position in business) with the authority to act for and on behalf of G.B. GENERAL ENGINEERING CONTRACTOR, INC. (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 2023-05-27 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 2023-06-23."
Contractor Name: GB GENERAL ENGINEERING Contractor PWCR: 1000049509 License Type: CSLB License Number 792014
CONTRACTOR, INC.
Address: 2275 WASHINGTON AVE, SOUTH LAKE TAHOE, FEIN: 943373915 Contractor Email: GBGENERAL@SBCGLOBAL.NET
CA 96150
Insurance Number: 9029123
Awarding Body: SOUTH TAHOE PUBLIC UTILITY DISTRICT DIR Project ID: 463064 Project Name: 2023 ASPHALT PATCHING AND TRENCH PAVING
Contract With: GB GENERAL ENGINEERING CONTRACTOR, County: EL DORADO Address: 1275 MEADOW CREST DRIVE, SOUTH LAKE TAHOE, CA 96150
INC.
Payroll #: 2 - 0 Ctr Payroll #: 2 Week Ending: 05/27/2023 ❑ Statement of Non -Performance? Final payroll for this project?
Employee: GUILLERMO CAMACHO PO BOX 19483, SOUTH LAKE TAHOE, CA, 96151
SSN: Sun
05/14
Mon
05/15
Tue
05/16
Wed
05l17
Thu
05/18
Fri
05/19
Sat
05/20
Total
Base Hourly
Hours
Total
Fringe
Vac/
Holiday
Health
Pension
& Wait.
Total
g
Other Training Hourly Rate
Hour �,
S PW LABORER-GRP 1 0.00
0.00
0.00
0.00
4.00
0.00
0.00
4 00.:;I 36.75
26.81
3.05
9.60 13.86
0.30 0.50 #
S PW OPERATOR-GRP 4 0.00
0.00
8.00
0.00
0.00
4.50
0.00
12,$O f+ 56.33
32.22
5.96
13.88 10.78
1.60 1.21
Sun
05/21
Mon
05/22
Tue
05/23
Wed
05/24
Thu
05/25
Fri
05/26
Sat
05/27
Total
Hours
Total
Base Hourly Fringe
Vac/ Health
Holiday & Welf.
Pension
Other Training
Total
Hourly Rate
S PW OPERATOR-GRP4
0 PW OPERATOR-GRP 4 OVERTIME
0.00
0.00
8.00
0.00
0.00
0.00
0.00
0,00
8.00
1.50
6.50
2.50
0.00
0.00
2z50 '':'
4A0
56.33 32.22
84.50 32.22
5.96 13.88
0.00 0.00
10.78
0.00
1.60 1.21
0.00 1.21
NOTE:
Travel & Subsistence
0.00
Total Deductions
0.00
Public works certified Payroll Reporting Form 06/23/2023 - Page 1
Public Works Certified Payroll Reporting Form
Contractor Name: GB GENERAL ENGINEERING
Project Name: 2023 ASPHALT PATCHING AND TRENCH PAVING
Week Ending: 05/27/2023
Payroll Number: 2-0
CONTRACTOR, INC.
J
Employee: JOAQUIN CAMACHO 984 RANCHVIEW CIRCLE, CARSON
CITY, NV,
89705
SSN.
Sun Mon
Tue
Wed
Thu
Fri
Sat
Total
Total
Vac/
Health
Total
05/14 05/15
05/16
05/17
05/18
05/19
05I20
Hours
Base Hourly
Fringe
Holiday
& Welf.
Pension
Other
Training
9
Hourly Rate
S PW OPERATOR-GRP 4
0.00 0.00
8.00
0.00
0.00
4.50
0.00
12.50
56.33
32.22
5.96
13.88
10.78
1.60
1.2'
89.76
Sun Mon
Tue
Wed
Thu
Fri
Sat
Total
Total
Vac/
Health
Total
05/21 05/22
05/23
05/24
05/25
05/26
05/27
Hours
Base Hourly
Fringe
Holiday
& Welf.
Pension
Other
Training
Hourly Rate
8 PW OPERATOR-GRP4
0.00 8.00
0.00
0.00
8.00
6.50
0.00
92.50
56.33
32.22
5.96
13.88
10.78
1.60
1.21
89.76
O PW OPERATOR-GRP 4 OVERTIME
0.00 0.00
0.00
0.00
1.50
2.50
0.00
4.00
84.50
32.22
0.00
0.00
0.00
0.00
1.21
117.93
NOTE:
Travel & Subsistence
0.00
Total Deductions
0.00
Public Works certified Payroll Reporting Form 06/23/2023 - Page 2
Public Works Certified Payroll Reporting Form
Contractor Name: GB GENERAL ENGINEERING
Project Name: 2023 ASPHALT PATCHING AND TRENCH PAVING
CONTRACTOR, INC.
Employee: JOEL HANNEL 724 JACKSON WAY, CARSON
CITY, NV, 89701
SSN:
Sun Mon
Tue
Wed
Thu
Fri
Sat
Total
Total
05/14 05/15
05/16
05/17
05118
05/19
05/20
Hours
Base Hourly
Fringe
S PW LABORER-GRP 1
0.00 0.00
0.00
0.00
0.00
4.50
0.00
4.510
36.75
26.81
Sun Mon
Tue
Wed
Thu
Fri
Sat
Total
Total
05/21 05/22
05/23
05/24
05/25
05/26
05/27
Hours
Base Hourly
Fringe
S PW LABORER-GRP 1
0.00 8.00
0.00
1.00
8.00
6.00
0.00
23.00
' 36.75
26.81
O PW LABORER-GRP 1 OVERTIME
0.00 0.00
0.00
0.00
2.00
3.00
0.00
5.00
55.13
26.81
NOTE:
Week Ending: 05/27/2023
Vac/ Health pension
Holiday & Wait.
3.06 9.60 13.86
Vac/
Health
Holiday
pension
& Welf.
3.05
9.60 13.86
0.00
0.00 0.00
Payroll Number: 2-0
Other Training Total
Hourly Rate
0.30 0.50 64 06
Other Training Total
Hourly Rate
0.30 0.50 64.06
0.00 0.50 82.44
Travel & Subsistence 0.00 Total Deductions 0.00
Public works certified Payroll Reporting Form 06/23/2023 - Page 3
Public Works Certified Payroll Reporting Form
Contractor Name: GB GENERAL ENGINEERING
Project Name: 2023 ASPHALT PATCHING AND TRENCH PAVING
Week Ending: 05/27/2023
Payroll Number: 2-0
CONTRACTOR, INC.
Employee: JOSE LOPEZ 1491 HARVEST AVE, GARDNERVILLE, NV, 89410
SSN:
Sun Mon
Tue
Wed
Thu
Fri
Sat
Total
Total
Vac/
Health
Total
05/14 05/15
05116
05/17
05/18
05/19
05/20
Hours
Base Hourly
Fringe
Holiday
& Welf.
Pension
Other
Training
Hourly Rate
S PW LABORER-GRP 1
0.00 0.00
8.00
0.00
0.00
4.00
0.00I.2,,
:j 36.75
26.81
3.05
9.60
13.86
0.30
0.50
64:06
Sun Mon
Tue
Wed
Thu
Fri
Sat
Total
Total
Vac/
Health
Total
05/21 05/22
05123
05/24
05/25
05/26
05/27
Hours
Base Hourly
Fringe
Holiday
& Welf.
Pension
Other
Training
Hourly Rate
S PW LABORER-GRP 1
0.00 8.00
0.00
0.00
8.00
5.50
0.00
21.50 '(1
36.75
26.81
3.05
9.60
13.86
0.30
0.50
64.06
0 PW LABORER-GRP 1 OVERTIME
0.00 1.00
0.00
0.00
1.50
3.50
0.00
6.00
55.13
26.81
0.00
0.00
0.00
0.00
0.50
82.44
NOTE:
Travel & Subsistence
0.00
Total Deductions
0.00
Public works certified Payroll Reporting Form 06/23/2023 - Page 4
Public Works Certified Payroll Reporting Form
Contractor Name: GB GENERAL ENGINEERING
Project Name: 2023 ASPHALT PATCHING AND TRENCH PAVING
Week Ending: 05/27/2023
CONTRACTOR, INC.
Employee: JOSE G. NOVOA PO BOX 19485, SOUTH LAKE TAHOE, CA, 96151
SSN
Sun Mon
Tue
Wed
Thu
Fri
Sat
Total
Total
Vac/
Health
05/14 05/15
05/16
05117
05/18
05/19
05120
Hours
Base Hourly
Fringe
Holiday
& Welf.
Pensior
S PW LABORER-GRP 1
0.00 0.00
8.00
0.00
4.00
4.50
0.00
16.50 :'
36.75
26.81
3.05
9.60
13.86
Sun Mon
Tue
Wed
Thu
Fri
Sat
Total
Total
Vac/
Health
05/21 05/22
05/23
05/24
05/25
05/26
05127
Hours
Base Hourly
Fringe
Holiday
& Welf.
Pension
S PW LABORER-GRP 1
0.00 8.00
0.00
0.00
8.00
6.50
0.00
22.50
36.75
26.81
3.05
9.60
13.86
0 PW LABORER-GRP 1 OVERTIME
0.00 0.00
0.00
0.00
1.50
2.50
0.00
4.00
55.13
26.81
0.00
0.00
0.00
NOTE:
Payroll Number: 2-0
Other Training Total
Hourly Rate
0.30 0.50 64.06
Other Training Total
Hourly Rate
0.30 0.50 fi4 Ofi
0.00 0.50 82,44
Travel & Subsistence 0.00 Total Deductions 0.00
Public Works Certified Payroll Reporting Form 06/23/2023 - Page 5
Public Works Certified Payroll Reporting Form
Certification under penalty of perjury:
"I, CAROLINA GALICIA, the undersigned, am the OFFICE MANAGER (position in business) with the authority to act for and on behalf of G.B. GENERAL ENGINEERING CONTRACTOR, INC. (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 2023-06-10 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 2023-06-23."
Contractor Name: GB GENERAL ENGINEERING Contractor PWCR: 1000049509 License Type: CSLB License Number 792014
CONTRACTOR, INC.
Address: 2275 WASHINGTON AVE, SOUTH LAKE TAHOE, FEIN: 943373915 Contractor Email: GBGENERAL@SBCGLOBAL.NET
CA 96150
Insurance Number: 9029123
Awarding Body: SOUTH TAHOE PUBLIC UTILITY DISTRICT DIR Project ID: 463064 Project Name: 2023 ASPHALT PATCHING AND TRENCH PAVING
Contract With: GB GENERAL ENGINEERING CONTRACTOR, County: EL DORADO Address: 1275 MEADOW CREST DRIVE, SOUTH LAKE TAHOE, CA 96150
INC.
Payroll #: 3 - 0 Ctr Payroll #: 3 Week Ending: 06/10/2023 0 Statement of Non -Performance? Final payroll for this project?
Employee: GUILLERMO CAMACHO PO BOX 19483, SOUTH LAKE TAHOE, CA, 96151
SSN: Sun Mon Tue Wed Thu Fri Sat Total Total Vac/ Health Total
05/28 05/29 05/30 05/31 06/01 06/02 06/03 Hours Base Hourly Fringe Holiday & Welf. Pension Other Training Hourly Rate
S PW OPERATOR-GRP 4 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8 60- " 56.33 32.22 5.96 13.88 10.78 1.60 1.21 i39 76
Sun Mon Tue Wed Thu Fri Sat Total Total Vac/ Health Total
Base Hourly Pension Other Training
06/04 06/05 06/06 06/07 06/08 06l09 06/10 Hours Fringe Holiday & Wait. g Hourly Rate
S PW OPERATOR-GRP 4 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 . ! 56.33 32.22 5.96 13.88 10.78 1.60 1.21 =1f9 76 . '
NOTE:
Travel & Subsistence 0.00 Total Deductions 0.00
Public works certified Payroll Reporting Form 06/23/2023 - Page 1
Public Works Certified Payroll Reporting Form
Contractor Name: GB GENERAL ENGINEERING
Project Name: 2023 ASPHALT PATCHING AND TRENCH PAVING
CONTRACTOR, INC.
Employee: JOAQUIN CAMACHO 984 RANCHVIEW CIRCLE, CARSON CITY, NV, 89705
SSN:
Sun Mon Tue Wed
Thu
Fri
Sat
Total
Total
05/28 05/29 05/30 05/31
06/01
06/02
06/03
Hours
Base Hourly
Fringe
S PW OPERATOR-GRP 4
0.00 0.00 0.00 0.00
0.00
8.00
0.00
8.00 ';i
56.33
32.22
Sun Mon Tue Wed
Thu
Fri
Sat
Total
Total
06/04 06/05 06/06 06/07
06/08
06/09
06/10
Hours
Base Hourly
Fringe
S PW OPERATOR-GRP 4
0.00 0.00 0.00 0.00
0.00
8.00
0.00
8.00
56.33
32.22
NOTE:
Week Ending: 06/10/2023
Vac/ Health pension
Holiday & Welf.
5.96 13.88 10.78
Vac/ Health pension
Holiday & Welf.
5.96 13.88 10.78
Payroll Number: 3-0
Other Training Total
Hourly Rate
1.60 1.21 89,76
Other Training Total
Hourly Rate
1.60 1.21 89.76
Travel & Subsistence 0.00 Total Deductions 0.00
Public Works Certified Payroll Reporting Form 06/23/2023 - Page 2
Public Works Certified Payroll Reporting Form
Contractor Name: GB GENERAL ENGINEERING
Project Name: 2023 ASPHALT PATCHING AND TRENCH PAVING
CONTRACTOR, INC.
Employee: JOEL HANNEL 724 JACKSON WAY, CARSON
CITY, NV, 89701
SSN
Sun Mon Tue
Wed
Thu
Fri
Sat
Total
Total
05/28 05/29 05/30
06/31
06/01
06/02
06/03
Hours
Base Hourly
Fringe
S PW LABORER-GRP 1
0.00 0.00 0.00
4.50
7.50
8.00
0.00
20.00 -
36.75
26.81
Sun Mon Tue
Wed
Thu
Fri
Sat
Total
Total
06/04 06/05 06/06
06/07
06/08
06/09
06/10
Hours
Base Hourly
Fringe
S PW LABORER-GRP 1
0.00 0.00 0.00
0.00
0.00
0.00
0.00
0.00
36.75
26.81
NOTE:
Week Ending: 06/10/2023
Vac/ Health pension
Holiday & Welf.
3.05 9.60 13.86
Vac/ Health Pension
Holiday & Welf.
3.05 9.60 13.86
Payroll Number: 3-0
Other Training
Total
Hourly Rate
0.30 0.50
84,06 `
Other Training
Total
Hourly Rate
0.30 0.50
6406' ,
Travel & Subsistence 0.00 Total Deductions 0.00
Public Works Certified Payroll Reporting Form 06/23/2023 - Page 3
Public Works Certified Payroll Reporting Form
Contractor Name: GB GENERAL ENGINEERING
Project Name: 2023 ASPHALT PATCHING AND TRENCH PAVING
Week Ending: 06110/2023
Payroll Number: 3-0
CONTRACTOR, INC.
Employee: JOSE LOPEZ 1491 HARVEST AVE, GARDNERVILLE, NV, 89410
SSN:
Sun Mon Tue
Wed
Thu
Fri
Sat
Total
Total
Vac/
Health
Total
05/28 05/29 05/30
05/31
06/01
06/02
06/03
Hours
Base Hourly
Fringe
Holiday
& Welf.
Pension
Other
Training
Hourly Rate
S PW LABORER-GRP 1
0.00 0.00 0.00
0.00
8.00
0.00
0.00
8.00 :'l.
36.75
26.81
3.05
9.60
13.86
0.30
0.50
Sun Mon Tue
Wed
Thu
Fri
Sat
Total
Total
Vac/
Health
Total
06/04 06/05 06/06
06/07
06/08
06/09
06/10
Hours
Base Hourly
Fringe
Holiday
& Welf.
Pension
Other
Training
Hourly Rate
S PW LABORER-GRP 1
0.00 0.00 0.00
0.00
0.00
0.00
0.00
0.00 ''
36.75
26.81
3.05
9.60
13.86
0.30
0.50
;:64.06_'
NOTE:
Travel & Subsistence
0.00
Total Deductions
0.00
Public works certified Payroll Reporting Form 06/23/2023 - Page 4
Public Works Certified Payroll Reporting Form
Contractor Name: GB GENERAL ENGINEERING Project Name: 2023 ASPHALT PATCHING AND TRENCH PAVING
CONTRACTOR, INC.
Employee: MIGUEL LOPEZ PO BOX 19485, SOUTH LAKE TAHOE, CA, 96151
SSN Sun Mon Tue Wed Thu Fri Sat Total Total
05128 05/29 05130 05131 06101 06102 06103
Hours Base Hourly Fringe
S PW LABORER-GRP 1 0.00 0.00 0.00 0.00 4.00 6.00 8.00 15.00;; 36.75 26.81
S PW LABORER-GRP 1
O PW LABORER-GRP 1 OVERTIME
NOTE:
Week Ending: 0611012023
Vac/ Health Pension
Holiday & Well.
3.05 9.60 13.86
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Total
Total
Base Hourly
Vac/
Health
Pension
06/04
06/05
06/06
06/07
06/08
06/09
06l10
Hours
Fringe
Holiday
& Welf.
0.00
0.00
0.00
0.00
0.00
0,00
0.00
0.00"?
0.00 0.00
0.00
0.00 0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00 ',
0.00 0.00
0.00
0.00 0.00
Travel & Subsistence 0.00
Payroll Number: 3-0
Other
Training
Total
Hourly Rate
0.30
0.50
64.06
Total
Other
Training
Hourly Rate
0.00
0.00
0.00
0.00
Total Deductions
0.00
Public Works certified Payroll Reporting Form 06/23/2023 - Page 5
Public Works Certified Payroll Reporting Form
Contractor Name: GB GENERAL ENGINEERING
Project Name: 2023 ASPHALT PATCHING AND TRENCH PAVING
Week Ending: 06/10/2023
Payroll Number: 3-0
CONTRACTOR, INC.
Employee: JOSE G. NOVOA PO BOX 19485, SOUTH LAKE TAHOE, CA, 96151
SSN:
Sun Mon Tue
Wed
Thu
Fri
Sat
Total
Total
Vac/
Health
05/28 05l29 05/30
05131
06/01
06/02
06/03
Hours
Base Hourly
Fringe
Holiday&
Welf.
Pension
Other
Training
9
Hourlyal
y Rate
S PW LABORER-GRP 1
0.00 0.00 0.00
0.00
0.00
8.00
0.00
8;001
36.75
26.81
3.05
9.60
13.86
0.30
0.60
164.06
Sun Mon Tue
Wed
Thu
Fri
Sat
Total
Total
Vac/
Health
Total
06/04 06/05 06/06
06/07
06/08
06/09
06/10
Hours
Base Hourly
Fringe
Holiday
& Welf.
Pension
Other
Training
Hourly Rate
S PW LABORER-GRP 1
0.00 0.00 0.00
0.00
0.00
8.00
0.00
8,00
36.75
26.81
3.05
9.60
13.86
0.30
0.50
64.06,
NOTE:
Travel & Subsistence
0.00
Total Deductions
0.00
Public Works certified Payroll Reporting Form 06/23/2023 - Page 6