Certified Payroll for STPUD 062323 (1)Certification under penalty of perjury: Public Works Certified Payroll Reporting Form
"l, 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
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
04/30
05/01 05/02 05/03
05/04
05/05
05/06 Hours Base Hourly Fringe Holiday & Welf.
Pensg
Othe
r er Training
TotalHourly Rate
S PW LABORER-GRP 1 0.00
0.00 3.00 8.00
8.00
0.00
U0 19.00 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
Base Hourly
Total
05/07
05/08 05/09 05/10
05/11
05/12
05/13 Hours Fringe Holiday & Welf.
Pension Other Training
Hourly Rate
S PWOPERATOR-GRP4 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
89.76
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 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 1
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: JOAQUIN CAMACHO 984 RANCHVIEW CIRCLE, CARSON CITY, NV, 89705
SSN: Sun Mon Tue Wed Thu Fri Sat Total Total Vac/ 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 Hour Rate
Y
S PW LABORER-GRP 1 0.00 0.00 3.00 8.00 8.00 0.00 0.00 19.00 'j 36.75 26.81 3.05 9.60 13.86 0.30 0.50 E406
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Total
Total
Vac/ Health
05/07
05/08
05109
05/10
05111
05/12
05/13
Hours Base Hourly
Fringe
Holiday & Welf.
Pension
Other Training
Total
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
89.76
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
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
Week Ending: 05/13/2023
Payroll Number: 1-0
CONTRACTOR, INC.
Employee: JOEL HANNEL 724 JACKSON WAY, CARSON
CITY, NV, 89701
SSN:
Sun Mon
Tue
Wed
Thu
Fri
Sat
Total
Total
Vac/
Health
04/30 06101
05/02
05/03
05/04
05/05
05/06
Hours
Base Hourly
Fringe
Holiday
& Waif.
Pension
Other
Training
gS
PW LABORER-GRP 1
0.00 0.00
8.00
8.00
8.00
8.00
0.00
32,00 it
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
05/07 05/08
05/09
05/10
05/11
05/12
05/13
Hours
Base Hourly
Fringe
Holiday
& Welf.
Pension
Other
Training
Hourly Rate
S PW LABORER-GRP 1
0.00 0.00
8.00
8.00
7.50
0.00
0.00
23.50
36.75
26.81
3.05
9.60
13.86
0.30
0.50
0 PW LABORER-GRP 1 OVERTIME
0.00 0.00
1.00
0.00
0.00
0.00
0.00
1.90 "
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 3
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 L. LOPEZ 1491 HARVEST AVE,
GARDNERVILLE, NV, 89410
SSN:
Sun Mon Tue
Wed
Thu
Fri
Sat
Total
Total
Vac/
Health
04/30 05/01 05/02
05/03
05/04
05/05
05/06
Hours
Base Hourly
Fringe
Holiday
& Welf.
Pension
Other
Training
Total
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 QO
Sun Mon Tue
Wed
Thu
Fri
Sat
Total
Total
Vac/
Health
Total
05/07 05/08 05/09
05/10
05/11
05/12
05/13
Hours
Base Hourly
Fringe
Holiday
& Welf.
Pension
Other
Training
Hourly Rate
S PW LABORER-GRP 1
0.00 0.00 8.00
8.00
0.00
0.00
0.00
16.00
`, 36.75
26.81
3.05
9.60
13.86
0.30
0.50
64.06
0 PW LABORER-GRP 1 OVERTIME
0.00 0.00 0.00
1.50
0.00
0.00
0.00
1.50
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: 05/13/2023 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 Total Vac/ Health
i T
Pension Other Training 04/30 05/01 05/02 05/03 05/04 05/05 05/06 Hours Base Hourly Fringe Holiday & Welf, g TotalHourly Rate
S PW LABORER-GRP 1 0.00 0.00 3.00 5.00 8.00 0.00 0.00 18"Od 36.76 26.81 3.05 9.60 13.86 0.30 0.50 fit',.,
Sun
Man
Tue
Wed
Thu
Fri
Sat
Total
Total
Vac/ Health
Total
05/07
05/08
05/09
05/10
05/11
05112
05/13
Hours
Base Hourly Fringe
Holiday & Welf.
Pension
Other Training
Hourly Rate
5 PW LABORER-GRP 1
0.00
0.00
8.00
8.00
0.00
0.00
0.00
1t 0 ?'?
36.75 26.81
3.05 9.60
13.86
0.30 0.50
MOP,06
0 PW LABORER-GRP 1 OVERTIME
0.00
0.00
0.00
1.50
0.00
0.00
0.00
"1.50 -
j 55.13 26.81
0.00 0.00
0.00
0.00 0.50
44 r
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
Mon Tue Wed
Thu
Fri
Sat Total Total Vac/ Health
Total
05/14
05/15 05/16 05l17
05/18
05/19
Base Hourly
05/20 Hours Fringe Holiday& Wait.
Pension Other
Training
g
Hourly Rate
�,
S PW LABORER-GRP 1 0.00
0.00 0.00 0.00
4.00
0.00
0.00 4.00 36.75 26.81 3.05 9.60
13.86 0.30
0.50
Q406 ,
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
1.21
Sun
Mon Tue Wed
Thu
Fri
Sat Total Total Vac/ Health
Base Hourly
Pension Other
Training
Total
05/21
05/22 05/23 05/24
05/25
05/26
05/27 Hours Fringe Holiday & Welf.
Hourly Rate
S PW OPERATOR-GRP 4 0.00
8.00 0.00 0.00
8.00
6.50
0.00 2z5p "' 56.33 32.22 5.96 13.88
10.78 1.60
1.21
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
7111,10110,
ON
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.
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
y
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
1.21
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
5 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
Week Ending: 05/27/2023
Payroll Number: 2-0
CONTRACTOR, INC.
Employee: JOEL HANNEL 724 JACKSON WAY, CARSON
CITY, NV, 89701
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
05/20
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
4.50
0.00
4.510.1i:j
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
05/21 05/22 05/23
05124
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
1.00
8.00
6.00
0.00
23.00
36.75
26.81
3.05
9.60
13.86
0.30
0.50
64.06
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
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 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.
i
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
& Wait.
Pension
Other
Training
Hourly Rate
S PW LABORER-GRP 1
0.00 0.00
8.00
0.00
0.00
4.00
0.00
12 b0, ::j
36.75
26.81
3.05
9.60
13.86
0.30
0.50
gr�4 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 5Q ;'j
36.75
26.81
3.05
9.60
13.86
0.30
0.50
164.06
0 PW LABORER-GRP 1 OVERTIME
0.00 1.00
0.00
0.00
1.50
3.50
0.00
BOOM
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
Payroll Number: 2-0
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
Total
05/14 05/15 05/16
05/17
05/18
05/19
05/20
Hours
Base Hourly
Fringe
Holiday
& Welf.
Pension
Other
Training
g
Hourly Rate
S PW LABORER-GRP 1
0.00 0.00 8.00
0.00
4.00
4.50
0.00
16 60 '
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 05/23
05/24
05/25
05/26
05127
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
6.50
0.00
22.50
36.75
26.81
3.05
9.60
13.86
0.30
0.50
64.06 `
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
0.00
0.50
8244
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 2023-06-10 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
❑ 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 00- '' 56.33 32.22 5.96 13.88
10.78 1.60 1,21a
Sun
Mon Tue Wed
Thu
Fri
Sat Total Total Vac/ Health
Total
O6/04
06/05 06/06 06/07
O6/D8
06l09
Base Hourly
06/10 Hours Fringe Holiday & Welf.
Pension Other Training
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
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
CONTRACTOR, INC.
Project Name: 2023 ASPHALT PATCHING AND TRENCH PAVING
Week Ending: 06/10/2023
Payroll Number: 3-0 _
Employee: JOAQUIN CAMACHO984 RANCHVIEW CIRCLE, CARSON CITY, NV, 89705
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
8.00 ';?
56.33
32.22
5.96
13.88
10.78
1.60
1.21
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 OPERATOR-GRP 4
0.00 0.00 0.00 0.00
0.00
8.00
0.00
S.Ob
56.33
32.22
5.96
13.88
10.78
1.60
1.21
89 76 :F
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
Week Ending: 06/10/2023
Payroll Number:3-0
CONTRACTOR, INC.
Employee: JOEL HANNEL 724 JACKSON WAY, CARSON
CITY, NV, 89701
SSN
Sun Mon Tue
Wed
Thu
Fri
Sat
Total
Total
Vac/
Health
Total
05/28 05/29 05/30
06/31
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
4.50
7.50
8.00
0.00
20.00 -
36.75
26.81
3.05
9.60
13.86
0.30
0.50
84,06 `
Sun Mon Tue
Wed
Thu
Fri
Sat
Total
Total
Vac/
Health
Total
06/04 06105 06/06
06/07
06/08
06/09
06110
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 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
8406
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
Week Ending: 06/10/2023
Payroll Number, 3-0
CONTRACTOR, INC.
Employee: MIGUEL LOPEZ PO BOX 19486, SOUTH LAKE TAHOE, CA,
96161
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
Train in 9
Hourly Rate
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
3.05
9.60
13.86
0.30
0.50
"64.06-
Sun Mon
Tue
Wed
Thu
Fri
Sat
Total
Total
Vac/
Health
Total
06/04 06/05
06/06
06/07
06/08
06/09
06I10
Hours
Base Hourly
Fringe
Holiday
& Welf.
Pension
Other
Training
9
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
O,OD
O PW LABORER-GRP 1 OVERTIME
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
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
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
Total
05/28 05/29 05/30
05131
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
0.00
8.00
0.00
8;0.01
36.75
26.81
3.05
9.60
13.86
0.30
0.60
64.06
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
64m,
NOTE:
Travel & Subsistence 0.00 Total Deductions 0.00
Public Works certified Payroll Reporting Form 06/23/2023 - Page 6