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Certified Payroll for STPUD 062323Certification 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