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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