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Home My WebLink About0650-15_Fontana Auto Mall_13.2FONTANA AUTO MALL ON SITE SEWER, KAS JOB #K019 STATE OF CALIFORNIA - DEPARTMENT TRANSPORTATION STATEMENT OF COMPLIANCE DC-CEM-2503 (OLD HC-348 REV 8/96) CONTRACTOR/SUBCONTRACTOR CONTRACT NUMBER K.A.S. EQUIPMENT & RENTAL, INC. BID NO. SB 12-00 FIRST DAY AND DATE OF PAY PERIOD LAST DAY AND DATE OF PAY PERIOD DECEMBER 05, 1999DECEMBER 11, 1999' I do hereby certify under penalty of perjury: (1) .That I pay or supervise payment to employees of the above -referenced contractor on the above -referenced contract. All persons employed on said project for the above -referenced time period have been paid their full weekly wages earned, that no rebates have been or will be made either directly or indirectly to or on behalf of said contractor from the full weekly wages earned by any person and that no deductions have been made either directly or indirectly from the full wages earned by any person other than permissible deductions. (2) That any payrolls otherwise under this control required to be submitted for the above period are correct and complete; that the wage rates for laborers or mechanics contained therein are not less that the applicable wage rates: (a) 7 Specified in the applicable wage determination incorporated into the contract; (b) NXDetermined by the Director of Industrial Relations for the county or counties in which the work is performed; that the classification set forth therein for each laborer or mechanic conform with the work he or she performed. (3) That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with a State apprenticeship agency. (4) That fringe benefits as listed in the contract: (a) [�?Mave been or will be paid to the approved plan(s), fund(s) or program(s) for the benefit of listed emplovee(s), except as noted below. (b) �Iave been paid directly to the listed employee(s), except as noted below. (c) 7 See exceptions noted below. NAXEL EAS$ PRINT.) TITLE DE �INERG PAYROLL' SIG A - DATE DECEMBER 17, 1999 On federally -funded projects, permissible deductions are defined in Regulation, Part 3 (29 CFR. Subtitle A), issued by the Secretary of Labor under the Copland Act, as amended (48 Sat. 948 63 Stat. 108,72 State. 967;76 Stat 357:40 U. S. C. 276c). Also, the willful falsification of any of the above statements may subject the contractor or subcontractor to civil or criminal prosecution (See section 1001 of Title 18 and Section 231 of Title 31 of the United States Code). INSTRUCTIONS FOR COMPLETING FORM CEM-2503, STATEMENT OF COMPLIANCE This statement of compliance meets needs of state and federal payroll requirements to pay fringe benefits in addition to payment of the minimum rates. The contractor's obligation to pay fringe benefits may be met by payment of the fringes to the various preapproved plans, funds, or programs or by making these payments directly to the employees as part of their weekly wage payments. The contractor must show on the face of his or her payroll all monies paid to the employees whether as basic rates or total hourly wage amount in lieu of fringes. The contractor shall report in the statement of compliance that he or she is paying to others fringes required by the contract and not paid directly to the employees in lieu of fringes.. Detailed instructions follow: Contractors required to pay Federal Wage Rates: Such a contractor shall check paragraph 2(a) of the statement to indicate that the wage rates for laborers or mechanics contained in the payroll are not less than the applicable wage rates specified in the applicable wage determination incorporated into the contract. Contractors required to pay the State Prevailing Wage Rates as determined by the Director of Industrial Relations: Such a contractor shall check paragraph 2(b) of the statement to indicate that the wage rates for laborers or mechanics contained in the payroll are not less than the applicable wage rates determined by the Director of Industrial Relations for the county or counties in which the work is performed. Contractors who pay all required fringe benerts:' A contractor who pays fringe benefits to approved plans, funds, or programs in amounts not less than were - determined in the applicable wage decisions shall continue to show on the face of his or her payroll the basic hourly rate and overtime rate paid to his or her employees, just as he or she has always done. Such a contractor shall check paragraph 4(a) of the statement to indicate that he or she is also paying to approved plans, funds, or . programs within the times required for receipt of those sums, not less than the amount predetermined as fringe benefits for each craft. Any exception shall be noted in Section 4(c). Contractors who pay no fringe benefits: A contractor who does not pay fringe benefits to an approved plan shall pay a like amount to the employee. This payment can be reported by inserting in the straight time hourly rate column of. his or her payroll an amount not less than the predetermined rate for each classification plus the amount of fringe benefits determined for each classification in the applicable wage decision. Inasmuch as it is not necessary to pay time and a half on wages paid in lieu of fringes, the overtime rate shall be not less than one and one-half the basic predetermined rate, plus the required cash in lieu of fringes at the straight time rate. To simplify computation of overtime, it is suggested that the straight time basic rate and payment in lieu of fringes be separately stated in the hourly rate column, thus $14.56/5.11. In addition, the contractor shall check paragraph 4(b) of the statement to indicate that he or she is paying fringe benefits directly to his or her employees. Any exceptions shall be noted in Section 4(c). Use of Section 4(c), Exceptions: Any contractor who is making payment to approved plans, funds or programs in amounts less than the wage determination required is obligated to pay the deficiency directly to the employees as wages in lieu of fringes. Any exceptions to Section 4(a) and 4(b), whichever the contractor may check, shall be entered in Section 4(c). Enter in the Exception column the craft, and enter in the Explanation column the hourly amount paid the employees as wages in lieu of fringes, and the hourly amount paid to plans, funds, or programs as fringes. CERTIFIED PAYROLL RRPORT '_ Page 1 12/15/99 K.A.S. Equipment and Rental, Inc. JOB: Fontana Mato Mall on (K019j P.O. Box 9570 Site Sewer, Aid ISR17.-00 PAY DATE: 12/11/99 Ontario, CA '91.767. WEEK ENDING:.1211.1199 LICENSE # 751701 A EMPLOYEE: FALKENSTIEN, STEVEN R. EMPLOYEE #: 017 EXEMPTIONS: 7 ADDRESS: 2016 Valley View, Norco, CA 91760 SOCIAL SECURITY #: 552••81-1719 SRXIRACE: M / White, TOTALS -._._------ CRAFT HRS-- 12105 12106 12107 12108 12/09 12110 12/11 HOURS RATE AMOUNT Carpenter, Foreman REG 0.00 8.00 8.00 830 8.00 8.00 0.00 40.00 29.67.' 1184.80 OVT 0.00 0.00' 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00. FRINGE 40.00: r.o3 7.4.1.20 FIT......: 232.31 SIT......: 57.05 CHECK # - WAGES THIS JOB.....: 1426.00 FI.CA...... 109.09 OTH ST TX: 0.00 1824 TOTAL GROSS........s 1426.00 TOTAL DRD11CTIONS...: 398.45 TOTAL NET PAY......s 1027.55 EMPLOYEE: MURILLO, RRNESTO EMPLOYEE #: 018 EXEMPTIONS: 7. ADDRESS: 1.1234 B Pipeline AVenun,, Pomona,' CA 91.76r SOCIAL SECURITY #; 618-17.-2175 SEX/RACE. M I Hispa11i,C ----------- TOTALS ----------- CRAFT HRS- 12105 12/06 12107 12108 12/09 12110 12111 HOURS RATE A1401JNT Laborer, Group I REG 0.00 0.00 0.0o 0.00 0.00 4.00 . 0.00 4.00 18.18 72.72 OVT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00` 0.00 FRINGE 4.00 9.49 3736 FTT......: 0.00 SIT......: 0.00 CHECK I - WAGES THIS JOB.....:' 110.6R FIC,A...... 8.45 OTH ST TX: 0.55 1830 TOTAL GROSS........: 110.68 TOTAL DEDUCTIONS...: 9.01 TOTAL NET PAY......: 10.1.67 EMPLOYEE: BARTHELME, PAUL A. EMPLOYEE #: 029 EXEMPTIONS: 5 .. ,ADDRESS: 1.3649 Elm Street, Hesperia, CA 92345 SOCIAL SECURITY#; 550••84-4289 SEX/RACRs M / White, ----------- TOTALS ----------- CRAFT HRS- .12105 12/0r .12107 12108 17./0.9 12110 .12/11 HOURS` RATE AMOUNT Operator., Group 8 REG 0.00 0.00 0.00 0.00 0.00 4.00 0.00 4.00 21.84 111.36 OVT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 FRINGE 4.00. 9.85 39.40 FIT......: 0.00 SIT....... 0.00 CHECK # - WAGES THIS JOB.....: 150.76 FICA.....: 1.1.54 OTH ST TX: 0.75 1823 TOTAL GROSS........: 150.75 TOTAL REDUCTIONS...: 12.29 TOTAL, NET PAY......: 138.47 EMPLOYEE: RUTHERFORD, BRENT DALE EMPLOYEE #s 039 SXEMPTJONS: 5 ADDRESS: 4155 Temescal, Norco, CA 91760 SOCIAL SECURITY #: 55515-1587 SRXIRACR: M / White -------=--- TOTALS ----------- CRAFT HRS-- 12/05 12105 12107 12108 12/09 12/10 12111 HOURS' RATE AMOUNT Operator., Group 8 REG 0.00 0.00 0.00 0.00 8.00 sloe 0:00 16.00 27.84 445.44 OVT 0.00 0.00 , 0.00'. 0.00 0.00 0.00 0.00 0.00 0.00 0.00 FRINGE 16.00 9.85 157.60 '= CERTIFIED PAYROLL REPORT " Page 2 12/.15/99 K,A.S. Equipment and Rental, Inc. 1OR: Fontana Alxte Mall an (K0191 P.O. Box 9570 Site Sewer, Rid #SB12.00 PAY DATE- 12/17/99 Ontario, CA 91767. WEEK ENDING: 12/11/99 LICENSE # 751701 A FIT......:, 210.73 SIT.:,...: 60.60 CHECK # - WAGES THIS JOB.....: 603.04 FIC,A...... 115.33 OTH ST TX: 7.54 1833 TOTAL GROSS........: 1507.60 TOTAL DEDUCTIONS...: 394.20 TOTAL NET 1113.40 EMPLOYEE: NIGLIORE, NICHOLAS PAUL EMPLOYEE #: 063 EXEMPTIONS: 0 ADDRESS: 7,025 S. San Antonio Ave., Ontario, CA 91763 50CLAL SECURITY #; 561 39 R113 SEX/RACE; M / White TOTALS-._.:.__� CRAFT HRS-• 12105 12106 12107 12108 .12109 12110 .12111 HOURS RATE AMOUNT Lahor., Trainee I REG oleo 0.00 oleo 0.00 8.00 8.000.00 16.00 1130 .190.40 OVT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 FRINGE 16.00. 3.37 53.92 FIT......: 29.00, SIT......:' 2.88 CHECK # - WAGES THIS JOB.....: 244.32 FICA.....: 18.69 OTH ST TX: 1.22 1829 TOTAL C,ROSS......... 244.32 TOTAL DEDUCTIONS...: 51.19 TOTAL NRT PAY--! 192.53 JOB K019 TOTALS - REG 0.00 8.00 8.00 8.00 24.00 32.00 0.00 80.00 25.06 2004.72 OVT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 FRINGE 80.00 6.63 530.08 WAGES THIS JOR...... 2534.80 w� STATE OF CALIFORNIA - DEPARTMENT OF TRANSPORTATION STATEMENT OF COMPLIANCE DC-CEM-2503 (OLD HC-348 REV 8/96) FONTANA AUTO MALL ON SITE *SEWER, KAS JOB #K019 CONTRACTOR/SUBCONTRACTOR CONTRACT NUMBER K.A.S. EQUIPMENT & RENTAL, INC. BID NO. SB 12-00 FIRST DAY AND DATE OF PAY PERIOD LAST DAY AND DATE OF PAY PERIOD DECEMBER 12, 199-9 DECEMBER 18, 1999 I do hereby certify under penalty of perjury: (1) That I pay or supervise payment to employees of the above -referenced contractor on the above -referenced contract. All persons employed on said project for the above -referenced time period have been paid their full weekly wages earned, that no rebates have been or will be made either directly or indirectly to or on behalf of said contractor from the full weekly wages earned by any person and that no deductions have been made either directly or indirectly from the full wages earned by any person other than permissible deductions. (2) That any payrolls otherwise under this control required to be submitted for the above period are correct and complete; that the wage rates for laborers or mechanics contained therein are not less that the applicable wage rates: (a) Specified in the applicable wage determination incorporated into the contract; (b) F Determined by the Director of Industrial Relations for the county or counties in which the work is performed; that the`—cjassification set forth therein for each laborer or mechanic conform with the work he or she performed. (3) That any apprentices employed in the above period are duly registered in a bona fide apprenticeship prom -am registered with a State apprenticeship agency. (4) That fringe benefits as listed in the contract: (a) [�?Mave been or will be paid to the approved plan(s), fund(s) or program(s) for the benefit of listed employee(s), except as noted below. (b) C Have been paid directly to the listed employee(s), except as noted below. (C) 7 See exceptions noted below. PRINT.) C TITLE PAYROLL DECEMBER 24, 1999 On federally -funded projects, permissible deductions are defined in Regulation, Part 3 (29 CFF. Subtitle A), issued by the Secretary of Labor under the Copland Act, as amended (48 Sat. 948 63 Stat. 108,72 State. 967;76 Stat 357:40 U. S. C. 276c): Also, the willful falsification of any of the above statements may subject the contractor or subcontractor to civil or criminal prosecution (See section 1001 of Title 18 and Section 231 of Title 31 of the United States Code). INSTRUCTIONS FOR COMPLETING FORM CEM-2503, STATEMENT OF COMPLIANCE This statement of compliance meets needs of state and federal payroll requirements to pay fringe benefits in addition to payment of the minimum rates. The contractor's obligation to pay fringe benefits may be met by payment of the fringes to the various preapproved plans, funds, or programs or by making these payments directly to the employees as part of their weekly wage payments. The contractor must show on the face of his or her payroll all monies paid to the employees whether as basic rates or total hourly wage amount in lieu of fringes. The contractor shall report in the statement of compliance that he or she is paying to others fringes required by the contract and not paid directly to the employees in lieu of fringes. Detailed instructions follow: Contractors required to pay Federal Wage Rates: Such a contractor shall check paragraph 2(a) of the statement to indicate that the wage rates for laborers or mechanics contained in the payroll are not less than the applicable wage rates specified in the applicable wage determination incorporated into the contract. Contractors required to pay the State Prevailing Wage Rates as determined by the Director of Industrial Relations: Such a contractor shall check paragraph 2(b) of the statement to indicate that the wage rates for laborers or mechanics contained in the payroll are not less than the applicable wage rates determined by the Director of Industrial Relations for the county or counties in which the work is performed. Contractors who pay all required fringe benefits: A contractor who pays fringe benefits to approved plans, funds, or programs in amounts not less than were determined in the applicable wage decisions shall continue to show on the face df his or her payroll the basic hourly rate and overtime rate paid to his or her employees, just as he or she has always done. Such a contractor ' _shall check paragraph 4(a) of the statement to indicate that he or she is also paying to approved plans, funds, or programs within the times required for receipt of those sums, not less than the amount predetermined as fringe benefits for each craft. Any exception shall be noted in Section 4(c). Contractors who pay no fringe benefits: A contractor who does not pay fringe benefits to an approved plan shall pay a like amount to the employee. This payment can be reported by inserting in the straight time hourly rate column of. his or her payroll an amount not less than the predetermined rate for each classification plus the amount of fringe benefits determined for each classification in the applicable wage decision. Inasmuch as it is not necessary to pay time and a half on wages paid in lieu of fringes, the overtime rate shall be not less than one and one-half the basic predetermined rate, plus the required cash in lieu of fringes at the straight'time rate. To simplify computation of overtime, it is suggested that the straight time basic rate and payment in lieu of fringes be separately stated in the hourly rate column, thus $14.56/5.11. In addition, the contractor shall check paragraph 4(b) of the statement to indicate that he or she is paying fringe benefits directly to his or her employees. Any exceptions shall be noted in Section 4(c). Use of Section 4(c), Exceptions: Any contractor who is making payment to approved plans, funds or programs in amounts less than the wage determination required is obligated to pay the deficiency directly to the employees as wages in lieu of fringes. Any exceptions to Section 4(a) and 4(b), whichever the contractor may check, shall be entered in Section 4(c). Enter in the Exception column the craft, and enter in the Explanation column the hourly amount paid the employees as wages in lieu of fringes, and the hourly amount paid to plans, funds, or programs as fringes.. " CERTIFIED PAYROLL REPORT Yt Page 1 12/22/99 U.S. Equipment and Rental, Inc. JOB: Fontana Auto Mall. on (K019( P.O. Box 9570 Site Sewer, Bid ISB12-00 - PAY DATE: 12/24199 Ontario, CA 91.762 WRRK ENDING: 12./.18/99 LICENSE # 751701 A . .EMPLOYEE: FALKENSTIEN, STEVEN R. EMPLOYEE #: 011 EXEMPTIONS: 2 ADDRESS: 2036 Valley View, Norco, CA 91.760 SOCIAL, SRCUR.T.TY #: 552-97-1719 SPURACR: M / White ----- TOTALS TOTALS ----------- CRAFT HRS- 12/12 121.13 .12114 .12115 12/.16 12117 12/18 HOURS RATE A1401JNT Carpenter, Foreman RRG 0.00 -8.00 8.00 3.00 3.00 oleo 0.00 ^15.00 29.62 1036.70 OVT 0.00 0.00 0.00 0.00 1.00 2.00 8.00 11.00 44.43 488.73 FRLNGR 46.00 6.03 277.30 FIT......: 337.82 SIT......: 92.05 CHECK # 'WAGES THIS JOB.....: 1802.81 FIC,A:....: 137.9.1 OTH ST TX: 0.00 1938 TOTAL, GROSS........; .1802.81 TOTAL DEDUCTIONS...: 567.82 TOTAL NET PAY,..,,.: ................ .1234.99 ---- EMPLOYEE: MURILLO,"RRNESTO EMPLOYEE u:'0lfl EXEMPTIONS: 2 ADDRESS: 11234 A Ptpeline AVenae, Pomona, CA 11766 SOCIAL, SECURITY_ #: 61.8-12-2175 ,SRXIRACR: M I Hispanic, ---------- TOTALS ----------- CRAFT HRS.- 12112 12.113 12114 12115 12/16 12117 .12118 HOURS RATE AMOUNT Laborer, Group I REG 0.00 8.00 3.00 7.00 oleo 8.00 0.00 26.00 18.119 472.519 OVT 0.00 oleo 0.00 0.00 0.00 2.00 8.00 10.00 27.27 272.70 FRINGE 36.00 9.4.1 341.64 - FIT......: 199.38 SIT......:. 47.26 CHECK # - WAGES THIS JOB.....: 1087.02 FICA..... .100.0.9 OTH ST TX: 6. 54 1844 TOTAL, GROSS........ 1308.38 TOTAL, DEDUCTIONS...i 353.27 TOTAL, NET PAY......: 955.1.1 EMPLOYEE: BARTHELME, PAUL A. EMPLOYEE #: 029 EXEMPTIONS: 5 'ADDRESS: 13646 Elm Street, Hesperia, CA 92345 SOCIAL SECURITY #: 550-84-4269 SEXIRACE: M.1 White, ........ TOTALS ----------- CRAFT HRS- 12112 .12113 .12114 12/15 12116 .121.17 12M HOURS RATE AMOUNT Operator, Group 8 RRG 0.00 4.00 4.00 0.00 5.00 6.00 0.00 .19.00 27.84 528.96 OVT,. 0.00 0.00 0.00 0.00 0.00 0.00 0.00. 0.00 0.00 0.00 FRINGE .19.00 9.85 187.15 FIT.....,: 11."16. SIT......: 13.09 CHECK WAGES THIS JOB.'-.: 716.11 , FICA....... 66.32 OTH ST TX: 4.33 1836 TOTAL, GROSS........: 866.87 TOTAL DEDUCTIONS...: 155.50 TOTAL NET PAY......: 71.1.37 EMPLOYEE: RUTHERFORD, BRENT DALE EMPLOYEE #: 039 EXEMPTIONS: 5 ADDRESS: 41.55 Temescal, Norco, CA 91760 SOCIAL SECURITY #: 555-75-•3587 SRX/RACE: M / White ---------- TOTALS ----------- CRAFT HRS.- 12112 1,2113 12/.14 .. 12115 1211r, 12.117 12119 ROURS RATE AMOUNT Operator, Group 8 RRG 0.00 Oleo oleo 8.00 8.00 8.00 0.00 40.00 27.84 1113.60 OVT 0.00 0.00 0.00 0.00 1.00 2.00 8.00 11.00 41.76 459.36 FRINGE 51.00 9.05 502.35 " CERTIFIED PAYROLL REPORT Page 2 12122/99 K.A.S. Equipment and Rental, Inc. JOB: Fontana Auto Mall on (K019( P.O. Box 9570 Site Sewer, Aid ISB12-00 PAY DATE: 12/24/99 Ontario, CA 91162 WEEK ENDING:.12118/99 LICENSE 751701 A FIT......: 369.69 SIT......: 113.40 CHECK I - WAGES THIS JOB.....: 2075.31 FICA.....: 158.15 075 ST TX: 10.30 1847 TOTAL GROSS........: 2075.31 TOTAL DRDUCTIONS...: 652.23 TOTAL NET PRY......; .1423.08 EMPLOYEE: MIGLIORE, NICHOLAS PAUL EMPLOYEE 4: 063 EXEMPTIONS: 0 ADDRESS: 2025 S. San Antonio ,Ave., Ontario, CA 91763 SOCIAL SECURITY 4: 561-3-1-8173 SRX/RACK: M / Whi.to .... TOTALS =---------- CRAFT HAS- .12112 12113 12114 12/.15 .121.1G 12/17 .12110 HOURS RATR ,AMOUNT Labor., Trainee l RKG 0.00 8.00 8.00 3.00 8.00 0.00 8.00 35.00 11.90 416.50 OVT 0.00 0.00 0.00 0.00 1.00 0.00 0.00 1.00 17.85 17.85 FRINGE 35.00 3.37 121.32 FIT......: 79.69 SIT....t.c 17.25 CHECK # :' WAGES THIS. JOB.....: 555.67 FICA.;...: 42.51 OTH ST TX: 2.78 1843 TOTAL GROSS........:' 555.67 TOTAL DRDUCTIONS...: 142.23 TOTAL NET PAY...... ; 4.13.44 --------------------------------------------------------------------------------------------------.---------------------------------- JOB K019 TOTALS - REG 0.00 36.00 31.00 21.00 29.00 30.00 8.00 155.00 . 23.02 3568.44 OVT 0.00 0.00 0.00 0.00 3.00 6.00 24.00 33,00 37.51 1239.54 FRINGE 188.00 7.61 1429.84 WAGES THIS JOB.....: 6235.92 STATE OF CALIFORNIA - DEPARTMENT TRANSPORTATION STATEMENT OF COMPLIANCE DC-CEM-2503 (OLD HC-348 REV 8/96) FONTANA AUTO MALL ON SITE *SEWER, RAS JOB #R019 1,UN 1 MAU i URISUBUUN i KAU FOR CONTRACT NUMBER R.A.S. EQUIPMENT &:RENTAL, INC. BID NO. SB 12-00 FIRST DAY AND DATE OF PAY PERIOD I LAST DAY AND DATE OF PAY PERIOD DECEMBER 190, 1999 LDECEMBER 25, 1999 I do hereby certify under penalty of perjury: (1) That I pay or supervise payment to employees of the above -referenced contractor on the above -referenced contract. All Persons employed on said project for the above -referenced time period have been paid their full weekly wages earned,. that no rebates have been or will be made either directly or indirectly to or on behalf of said contractor from the full weekly wages earned by any person and that no deductions have been made either directly or indirectly from the full wages earned by any person other than permissible deductions. (2) That any payrolls otherwise under this control required to be submitted for the above period are correct and complete; that the wage rates for laborers or mechanics contained therein are not less that the applicable wage rates: (a) ❑Specified in the applicable wage determination incorporated into the contract; (b) NXDetermined by the Director of Industrial Relations for the county or counties in which the work is performed; that the classification set forth therein for each laborer or mechanic conform with the work he or she performed. (3) That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with a State apprenticeship agency. (4) That fringe benefits as listed in the contract: (a) [�?Mave been or will be paid to the approved plan(s), funds) or program(s) for the benefit of listed employee(s), except as noted below. . (b) �ave been paid directly to the listed employee(s), except as noted below. (C) 7 See exceptions noted below. NAME (nESLE E PRINT.) T1TLE DA R INBERG PAYROLL SIG DATE DECEMBER 31, 1999 1 I/ On federally -funded projects, permissible deductions are defined in Regulation, Part 3 (29 CFR. Subtitle A), issued by the Secretary of Labor under the Copland Act, as amended (48 Sat. 948 63 Star. 108,72 State. 967;76 Stat 357:40 U. S. C. 276c). Also, the willful falsification of any of the above statements may subject the contractor or subcontractor to civil or criminal prosecution (See section 1001 of Title 18 and Section 231 of Title 31 of the United States Code). INSTRUCTIONS FOR COMPLETING FORM CEM-2503, STATEMENT OF COMPLIANCE This statement of compliance meets needs of state and federal payroll requirements to pay fringe benefits in addition to payment of the minimum rates. The contractor's obligation to pay fringe benefits may be met by payment of the fringes to the various preapproved plans, funds, or programs or by making these payments directly to the employees as part of their weekly wage payments. The contractor must show on the face of his or her payroll all monies paid to the employees whether as basic rates or total hourly wage amount in lieu of fringes. The contractor shall report in the statement of compliance that he or she is paying to others fringes required by the contract and not paid directly to the employees in lieu of fringes. Detailed instructions follow: Contractors required to pay Federal Wage Rates: Such a contractor shall check paragraph 2(a) of the statement to indicate that the wage rates for laborers or mechanics contained in the payroll are not less than the applicable wage rates specified in the applicable wage determination incorporated into the contract. Contractors required to pay the State Prevailing Wage Rates as determined by the Director of Industrial Relations: Such a contractor shall check paragraph 2(b) of the statement to indicate that the wage rates for laborers or mechanics contained in the payroll are not less than the applicable wage rates determined by the Director of Industrial Relations for the county or counties in which the work is performed. Contractors who pay all required fringe benefits. A contractor who pays fringe benefits to approved plans, funds, or programs in amounts not less than were - determined in the applicable wage decisions shall continue to show on the face of his or her payroll the basic hourly rate and overtime rate paid to his or her employees, just as he or she has always done. Such a contractor shall check paragraph 4(a) of the statement to indicate that he or she is also paying to approved plans, funds, or programs within the times required for receipt of those sums, not less than the amount predetermined as fringe benefits for each craft. Any exception shall be noted in Section 4(c). Contractors who pay no fringe benefits: A contractor who does not pay fringe benefits to an approved plan shall pay a like amount to the employee. This payment can be reported by inserting in the straight time hourly rate column of. his or her payroll an amount not less than the predetermined rate for each classification plus the amount of fringe benefits determined for each classification in the applicable wage decision. Inasmuch as it is not necessary to pay time and a half on wages paid in lieu of fringes, the overtime rate shall be not less than one and one-half the basic predetermined rate, plus the required cash in lieu of fringes at the straight time rate. To simplify computation of overtime, it is suggested that the straight time basic rate and payment in lieu of fringes be separately stated in the hourly rate column, thus $14.56/5.11. In addition, the contractor shall check paragraph 4(b) of the statement to indicate that he or she is paying fringe benefits directly to his or her employees. Any exceptions shall be noted in Section 4(c). Use of Section 4(c), Exceptions: Any contractor who is making payment to approved plans, funds or programs in amounts less than the wage determination required is obligated to pay the deficiency directly to the employees as wages in lieu of fringes. Any exceptions to Section 4(a) and 4(b), whichever the contractor may check, shall be entered in Section 4(c). Enter in the Exception column the craft, and enter in the Explanation column the hourly amount paid the employees as wages in lieu of fringes, and the hourly amount paid to plans, funds, or programs as fringes. t� CERTIFIED.PAYROLL REPORT Page 1 .17.17.8199 K.A.S. Rquipmeat and Rental, Inc. JOB! Fontana Auto Mall on (K0I9( P.O. Box 9570 Site Sewer, Bid #SB12-001 PAY DATE: 32/31/99 Ontario, I CA. 91.767. WEEK ENDING: 12/25/99 LICENSE # 751701 A EMPLOYEE:,CRUZ-GARCIA, VICTOR EMPLOYEE #: 013 EXEMPTIONS: 4 ADDRESS; 1.1228 B Pipeline. Avenue, Pomona, CA 91766 SOCIAL, SECURITY #: 935-80-5026 SEX/RACE: M / Hispanic, ----------- TOTALS -----------. CRAFT HRS.- .121.19 12/20 12/21 12,122 .12/23 12124 1217.5 HOURS RATE ' AMOUNT Labor, Trainee 2 REG 0.00 0.00 8.00 0.00 0.00 0.00 0,00 8.00 .13.88 111..04 'OVT 0.00 0.00 :1.00 0.00 0.00 0.00 0.00 1.00: 20.82 20.82 FRINGE 9.00 4.76 42.94 FIT......: 0.00 SIT...,..: 0.00 CHECK 4 - WAGES THIS JOB.....: 174.70 FICA.....: 13.36 . OTH ST TX: 0.87 1850 TOTAL GROSS,....,..: 174.70 TOTAL DEDUCTIONS...: 14.23 TOTAL NET PAY.,,,,.: 160.47 EMPLOYEE: FALKENSTIEN, STEVEN E. EMPLOYEE 4: 017 EXEMPTIONS: 7. ADDRESS: 2036 Valley View, Nor.co,.C,A 91.760 SOCIAL, SECURITY #: 552-97-1719 SEXIRACE; M /.White -- TOTALS ._...._._. CRAFT RRS•• .12119 .12120 .12/21 12122 12123 .12/24 12125 HOURS RATE AMOUNT Carpenter, Foreman REG 0100 8.00 8.00 6.00 8.00 5.00 0.00 35.00 29.62 1.036.10 OVT 0.00 1.00 1.00 0.00 0.00 0.00 0.00 2.00 44, 43, 08.86 FRINGE 37.00 6.03 223.1.1 FIT......: 210.66 SIT.....,: 50.48. CHECK 4 - WAGES THIS JOB.....: 1348.67 FICA,.,.,: .103.18 OTH ST TX: 0.00 1951 TOTAL GROSS......,,: .1348.0 TOTAh DEDUCTIONS...:. 364.32 TOTAL, NET PAY.~.....: 904.35 EMPLOYEE: RUTHERFORD, BRENT DALE EMPLOYEE #: 039 EXEMPTIONS:'5 ADDRESS: 4155 Temesca.l, Norco, CA 91760 SOCIAL SECURITY #: 555-75-3587 SRXIRACR: 14 / White ----------- TOTALS ----------- CRAFT HHS- 12111 .12/20 1212.1 12/22 12123 12124 12125 HOURS RATE AMOUNT Operator., Group 8 REG 0.00 6.00 8.00 6.00 8.00 5.00 0.00 35.00 27.84 974.40 OVT 0.00 1.00 1.00 0.00 0.00 0.00 0.00 2.00 41.75 63.52 FRINGE 37.00 9.85 364.45 FIT......: 186.87 SIT......a 52.68 CHECK # - WAGES,THTS JOB,,.,,: 1422.37 108.81 OTH ST'TX: 2.18 16r)01. TOTAL, GROSS.'... „ .:: 1422.37 - TOTAL DEDUCTIONS...: 350.54 TOTAL N97 PAY......: 1071.83 EMPLOYEE: MTGLIORE, NICHOLAS PAUL EMPLOYEE #: 063 EXEMPTIONS: 0 . ADDRESS: 2025 S. San Antonio Ave,, Ontario, CA 91763 SOCIAL SECURITY #: 561-39-8173 SEXIRACE: M / Whi.tP TOTALS ------:---- CRAFT HRS-• .12119 .. 12120 .12/21 12122 12123 17124 12125 HOURS RATE AMOUNT Labor, Trainee 1 REG 0.00 5.00 8,00 6.00 8.00 5.00 0.00 32.00 .11.90 390.90 OVT 0.00 0.00 1.00 0.00 0.00 0.00 0.00 1.00 17IR5 17.85 FRINGE 33.00 3.37 .11.1.21 " CERTIFIED PAYROLL RPPORT " Page 2 .12128199 K.A.S. Equipment and Rental, Inc. ,JOB: Fontana Auto Mall an (K0191 P.O. Box 9570 Site Sewer, Aid ISR12.00 PAY DATE: 32/31/99 Ontario,: CA 91.762 WEEK HDING: 12/25/99 LICENSE # 751701 A FIT......: 68.83 SIT.....,: 14.50 CHECK # - WAGES THJS JOB:....: 509.86 FICA....,: 39.00 OTH ST TX: 2.55 1857 TOTAL GROSS.....,..: 509.86 TOTAL DEDUCTIONS...: 124.8E TOTAL NET PAY ., 384.98 JOB K019 TOTALS - -------------------------------------------------- ------------- REG 0.00 21.00 32.00 18.00 24.00 15.00 0.00 110.00 22.75 2502.94 OVT 0.00 2.00 4.00 0.00 0.00 0.00 0.00, 6.00 35..18 211.05 FRINGE 116.00 6.39 741.61 WAC,RS THIS JOB....,; 3455.60 I I - I STATE OF CALIFORNIA - DEPARTMENT OF TRANSPORTATION STATEMENT OF COMPLIANCE DC•CEM-2503 (OLD HC•348 Re/ ene) SWONTANA AUTO MALL ON SITE EWER, KAS JOB #K019 ..�.. vrvouot.t�n i ►cnc i UR CONTRACT NUMBER K.A.S. EQUIPMENT & RENTAL, INC. BID NO. SB 12-00 FIRST DAY AND DATE OF PAY PERIOD LAST DAY AND DATE OF PAY PERIOD DECEMBER 19, 1999 DECEMBER 25, 1999 I do hereby certify under penalty of perjury: (1) That I pay or supervise payment to employees of the above -referenced contractor on the above -referenced contract. All persons employed on said project for the above -referenced time period have been paid their full weekly wages earned, that no rebates have been or will be made either directly or indirectly to or on behalf of said contractor from the full weekly wages earned by any person and that no deductions have been made either directly or indirectly from the full wages earned by any person other than permissible deductions. (2) That any payrolls otherwise under this control required to be submitted for the above period are correct and complete; that the wage rates for laborers or mechanics contained therein are not less that the applicable wage rates: (a) Specified in the applicable wage determination incorporated into the contract; (b) Determined by the Director of Industrial Relations for the county or counties in which the work is performed; that the classification set forth therein for esch laborer or mechanic conform with the work he or she performed. . (3) That any apprentices emploved in the above period are duly registered in a bona fide apprenticeship program registered with a State apprenticeship agency. (4) That fringe benefits as listed in the contract - (a) Tiave been or will be paid to the approved plan(s), fund(s) or program(s) for the benefit of listed emplovee(s), except as noted below. (b) y Have been paid directly to the listed employee(s), except as noted below. (C) See exceptions noted below. On federally -funded projects, permissible deductions are defined in Regulation, Part 3 (29 CFR. Subtitle A), issued by the Secretary of Labor under the Copland Act, as amended (48 Sat. 948 63 Star. 108,72 State. 967;76 Stat 357:40 U. S. C. 276c). Also, the willful falsification of any of the above statements may subject the contractor or subcontractor to civil or criminal prosecution (See section 1001 of Title 18 and Section 231 of Title 31 of the United States Code). INSTRUCTIONS FOR COMPLETING FORM CEM-2503, STATEMENT OF COMPLIANCE This statement of compliance meets needs of state and federal payroll requirements to pay fringe benefits in addition to payment of the minimum rates. The contractors obligation to pay fringe benefits may be met by payment of the fringes to the various preapproved plans, funds, or programs or by making these payments directly to the employees as part of their weekly wage payments. The contractor must show on the face of his or her payroll all monies paid to the employees whether as basic rates or total hourly wage amount in lieu of fringes. The contractor shall report in the statement of compliance that he or she is paying to others fringes required by the contract and not paid directly to the employees in lieu of fringes. Detailed instructions follow: Contractors required to pay Federal Wage Rates: Such a contractor shall check paragraph 2(a) of the statement to indicate that the wage rates for laborers or mechanics contained in the payroll are not less than the applicable wage rates specified in the applicable wage determination incorporated into the contract. Contractors required to pay the State Prevailing Wage Rates as determined by the Director of Industrial Relations: Such a contractor shall check paragraph 2(b) of the statement to indicate that the wage rates for laborers or mechanics contained in the payroll are not less than the applicable wage rates determined by the Director of Industrial Relations for the county or counties in which the work is performed. Contractors who pay all required fringe benefits: contractor who pays fringe benefits to approved plans, funds, or programs in amounts not less than were . determined in the applicable wage decisions shall .continue to show on the face of his or her payroll the basic hourly rate and overtime rate paid to his or her employees, just as he or she has always done. Such a contractor shall check paragraph 4(a) of the statement to indicate that he or she is also paying to approved plans, funds, or programs within the times required for receipt of those sums, not less than the amount predetermined as fringe benefits for each craft. Any exception shall be noted in Section 4(c). Contractors who pay no fringe benefits: A contractor who does not pay fringe benefits to an approved plan shall pay a like amount to the employee. This payment can be reported by inserting in the straight time hourly rate column of. his or her payroll an amount not less than the predetermined rate for each classification plus the amount of fringe benefits determined for each classification in the applicable wage decision. Inasmuch as it is not necessary to pay time and a half on wages paid in lieu of fringes, the overtime rate shall be not less than one and one-half the basic predetermined rate, plus the required cash in lieu of fringes at the straight time rate. To simplify computation of overtime, it is suggested that the straight time basic rate and payment in lieu of fringes be separately stated in the hourly rate column, thus $14.56/5.11. In addition, the contractor shall check paragraph 4(b) of the statement to indicate that he or she is paying fringe benefits directly to his or her employees. Any exceptions shall be noted in Section 4(c). Use of Section 4(c), Exceptions: Any contractor who is making payment to approved plans, funds or programs in amounts less than the wage determination required is obligated to pay the deficiency directly to the employees as wages in lieu of fringes. Any exceptions to Section 4(a) and 4(b), whichever the contractor may check, shall be entered in Section 4(c). Enter in the Exception column the craft, and enter in the Explanation column the hourly amount paid the employees as wages in lieu of fringes, and the hourly amount paid to plans, funds, or programs as fringes. CERTIFIED PAYROLL REPORT " Page 1 12/29/99 K.A.S. Equipment and Rental, Inc. JOB: Fontana Auto Mall on (K0.191 P.O. Box 9570 Site Sewer, Rid ISB12-00 PAY DATE: 32/31/99 Ontario, CA 91762 WRRK RNDING: 12/25/91 LICENSE # 751701 A EMPLOYEE: CRUZ-GARCIA, VICTOR EMPLOYEE 1; 013 EXEMPTIONS: 4 ADDRRSS: 1.1228 9 Pipeline Avenue, Pomona, CA 91.766 SOCIAL SRCUR.i.TY 1: 935-90-5026 SEXIRACE:'M / Hispanic ----------- TOTALS ----------- CRAFT ERB- 12/19 12120 1212.1 .12122 12123) 12124 12/25 HOURS RATE AMOUNT Labor, Trainee 2 RRG 0.00 0.0e 9.00 0.00 e.00 0.00 oleo ---9.00--.13.99----111.04 OVT 0.00 0.00 1.00 0.00 0.00 0.00 0.00 1.00 20.82 20.82 FQTNGR 9.80 4.76 42.84 FIT......: 0.00 SIT......: 0.00 CHECK I - WAGES THIS JOB.....; 174.70 FICA. , ,. ,, 13.36 OTR ST TX: 0.87 1850 TOTAL GROSS........ ; 174.70 TOTAL DEDUCTIONS...: 14.23 TOTAL NRT PAY......: 160.47 EMPLOYEE: FALKENSTIEN, STEVEN R. EMPLOYEE is 017 EXEMPTIONS: 7. ADDRRSS: 2036 Valley View, Norco, CA 91.16o SOCIAL SRCURITY 1: 552-97-1719 SRXIRACR: M / White ----------- TOTALS ----------- CRAFT HRS- 12/1-1 .12/20 .12121 12122 .12123 12/24 12125 HOURS RATE AMOUNT Carpenter, Foreman RRG 0.00 8.00 9.00 6.00 9.00 5.00 0.00 35.00 29.62 .1036.70 OVT 0.00 1.00 1.00 0.00 0.00 0.00 0.00 2.00 44.43 88.86 FRINGE 31,00 6.03 223..11 FIT......: 210.66 SIT......: 50.48 CHECK I • WAGES THIS JOB.....: 1348.67 FICA.....: 103.19 OTH ST TX: 0.0e 1951 TOTAL r,ROSS........, 1349.67 TOTAL DEDUCTIONS.... 364.32 TOTAL NRT PAY......: 984.35 EMPLOYEE: RUTHERFORD, BRENT DALE EMPLOYEE f; 039 EXEMPTIONS: 5 ADDRRSS: 4155 Temescal, Norco, CA 41760 SOCIAL SECURITY 1: 555-75-3597 SRX/RACR: M' / White ----------- TOTALS ----------- CRAFT HRS- .12I19 .12120 12/2.1 .12122 12123 12124 .12125 HOURS RATE AMOUNT Operator, Group 9 RRG oleo 8.00 S.00 6.00 6.00 5.e0 0.00 ^35.00 27.94 - 974.40 OVT 0.00 1.00 1.00 0.00 00 oleo 0.00 2.00 41.76 83.52 FRINGE 37.00 .1.85 364.45 FIT......: 186.87 SIT......: 52.68 CHECK I • WAGES THIS JOB.....: 1422.37 FICA.....; 109.91 O79 ST TX: 2..18 1960 TOTAL GROSS........: 1422.37 - TOTAL DEDUCTIONS...: 350.54 -------------------------------------- ------------------------------------------------------------------------------------------------ TOTAL NRT PAY......: 1071,93 EMPLOYEE: MJGLIORE, NICHOLAS PAUL YMPLOYEE 1: 0F3 EXEMPTIONS: 0 ADD,409: 2025 S. San Antonio Ave., Ontario, CA 9.1763 ,SOCIAL SECURITY 1; 56.1-39-9.173 SRXIRA R: M / White ----------- TOTALS----------- CR,4FT HRS- 1211.9 12I20 12121 12122 1.7.123 12124 12125 HOURS Z,ATR AMOUNT Labor, Trainee 1 RRG 0.00 5.00 9.00 6.00 9.00 5.eo 0.00 32.00 11.90 390.90 OV7' 0.00 0.00 1.00 0.00 0.00 0.00 0.00 1.00 17.85 17.85 H`;gGF I i . 0. P11 '.l' II! "i i `.ter " CERTIFIED PAYROLL MORT " Page 2 12/28/59 K.A.S. Rguipment and Rental, Inc. JOB: Fontana Auto Mall an (K0.191 P.O. Rox 9570 Site Sewer, Aid ISR12.00 PAY DATE: 12/31/99 Ontar.la, CA 91762 WRRK MING: 12/25199 HCENSE # 751701 A - FIT ...... : 68.83 SIT......: 14.50 CHECK t -. WAGES THJS JOB.....: 509.86 FICA...... 39.00 OTR ST TK: 2.55 1957 TOTAL, GROSS........: 509.86 TOTAL DPDUCTIONS...: 124.88 TOTAL NRT MV......: 384.98 -----------------------------------------------------------------------------------------------------------------------------------.. JOB K019 TOTALS - REG 0.00 21.00 32.00 18.00 24.00 15.00 0.00 110.00 22.75 2502.94 OVT 0.00 2.00 4.00 0.00 0.00 0.00 0.00 6.00 35.18 211.05 FRINGE 116.00 6.39 741.61 WAC,RS THIS JOB. 3455.60 �., STATE OF CALIFORNIA - DEPARTMEOF TRANSPORTATION STATEMENT OF COMPLIANCE DC-CEM-2503 (OLD HC-348 REV 8/96) CONTRACTOR/SUBCONTRACTOR FONTANA AUTO MALL ON SITE • SEWER, RAS JOB #R019 R.A.S. EQUIPMENT &RENTAL, INC. I BID NO. SB 12-00 FIRST DAY AND DATE OF PAY PERIOD ST DAY AND DATE OF PAY PERIOD DECEMBER 26 XJANUARY 199D 011 2000 I do hereby certify under penalty of perjury: (1) That I pay or supervise payment to employees of the above -referenced contractor on the above -referenced contract. All persons employed on said project for the above -referenced time period have been paid their full weekly wages earned, that no rebates have been or will be made either directly or indirectly to or on behalf of said contractor from the full weekly wages earned by any person and that no deductions have been made either directly or indirectly from the full wages earned by any person other than permissible deductions. (2) That any payrolls otherwise under this control required to be submitted for the above period are correct and complete; that the wage rates for laborers or mechanics contained therein are not less that the applicable wage rates: (a) ❑ Specified in the applicable wage determination incorporated into the contract; (b) PDetermined by the Director of Industrial Relations for the county or counties in which the work is performed; that the classification set forth therein for each laborer or mechanic conform with the work he or she performed. (3) That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with a State apprenticeship agency. (4) That fringe benefits as listed in the contract: (a) 2�Have been or will be paid to the approved plan(s), funds) or program(s) for the benefit of listed employee(s), except as noted below. (b) [ I ave been paid directly to the listed employee(s), except as noted below. (C) See exceptions noted below. On federally -funded projects, permissible deductions are defined in Regulation,Part 3 (29 CFR. Subtitle A), issued by the Secretary of Labor under the Copland Act, as amended (48 Sat. 948 63 Stat. 108,72 State. 967;76 Stat 357:40 U. S. C. 276c). Also, the willful falsification of any of the above statements may subject the contractor or subcontractor to civil or criminal prosecution (See section 1001 of Title 18 and Section 231 of Title 31 of the United States Code). INSTRUCTIONS FOR COMPLETING ' F FORM CEM-2503, STATEMENT OF COMPLIANCE This statement of compliance meets needs of state and federal payroll requirements to pay fringe benefits in addition to payment of the minimum rates. The contractor's obligation to pay fringe benefits may be met by payment of the fringes to the various preapproved plans, funds, or programs or by making these payments directly to the employees as part of their weekly wage payments. The contractor must show on the face of his or her payroll all monies paid to the employees whether as basic rates or total hourly wage amount in lieu of fringes. The contractor shall report in the statement of compliance that he or she is paying to others fringes required by the contract and not paid directly to the employees in lieu of fringes. Detailed instructions follow: Contractors required to pay Federal Wage Rates: Such a contractor shall check paragraph 2(a) of the statement to indicate that the wage rates for laborers or mechanics contained in the payroll are not less than the applicable wage rates specified in the applicable wage determination incorporated into the contract. Contractors required to pay the State Prevailing Wage Rates as determined by the Director of Industrial Relations: Such a contractor shall check paragraph 2(b) of the statement to indicate that the wage rates for laborers or mechanics contained in the payroll are not less than the applicable wage rates determined by the Director of Industrial Relations for the county or counties in which the work is performed. Contractors who pay all required fringe benefits: A contractor who pays fringe benefits to approved plans, funds, or programs in amounts not less than were - determined in the applicable wage decisions shall continue to show on the face of his or her payroll the basic hourly rate and overtime rate paid to his or her employees, just as he or she has always done. Such a contractor. shall check paragraph 4(a) of the statement to indicate that he or she is also paying to approved plans, funds, or programs within the times required for receipt of those sums, not less than the amount predetermined as fringe benefits for each craft. Any exception shall be noted in Section 4(c). Contractors who pay no fringe benefits: A contractor who does not pay fringe benefits to an approved plan shall pay a like amount to the employee. This payment can be reported by inserting in the straight time hourly rate column of, his or her payroll an amount not less than the predetermined rate for each classification plus the amount of fringe benefits determined for each classification in the applicable wage decision. Inasmuch as it is not necessary to pay time and a half on wages paid in lieu of fringes, the overtime rate shall be not less than one and one-half the basic predetermined rate, plus the required cash in lieu of fringes at the straight'time rate. To simplify computation of overtime, it is suggested that the straight time basic rate and payment in lieu of fringes be separately stated in the hourly rate column, thus $14.56/5.11. In addition, the contractor shall check paragraph 4(b) of the statement to indicate that he or she is paying fringe benefits directly to his or her employees. Any exceptions shall be noted in Section 4(c). Use of Section 4(c), Exceptions: Any contractor who is making payment to approved plans, funds or programs in amounts less than the wage determination required is obligated to pay the deficiency directly to the employees as wages in lieu of fringes. Any exceptions to Section 4(a) and 4(b), whichever the contractor may check, shall be entered in Section 4(c). Enter in the Exception column the craft, and enter in the Explanation column the hourly amount paid the employees as wages in lieu of fringes, and the hourly amount paid to plans, funds, or programs as fringes. CERTIFIED PAYROLL REPORT " Page, 1 01.106/00 K„A;S Equipment & Rental, Inc. ' JOB: Fontana Auto Mall on JK0191 P.O. Box 9570 - Site Sewer, AJd #SR12-00 PAY DATE: 01/07/00 Ontario, CA 91.767.••9570 WEEK ENDING: 01101/00 LICENSE #: 751701 A EMPLOYEE: FAURNSTI,FN, STEVEN E. EMPLOYEE #: 017 EXEMPTIONS: 7, 2036 Valley View SOCIAL SECURITY#: 552-e7-1719 SEX/RACE: M / White NOCCO, CA 91.160 CRAFT HRS 17./26/99 12/27/99 32/28/99 12129/99 17./30/99 12/31/99 01/01100 TOTAL RATE AMOUNT Carpenter, Foreman BEG 0.00 P.00 8.00 0.00 0.00 0.00 0.00 16.00 29.62 473.92 1.5 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0,00 0.00 2.0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 FRINGE 16,00 h.03 96,48' FIT.. 50.80 SIT......': 4.53 CHECK # = WAGES THIS `JOB ..... : 570.40 51..91 OTH ST TX: 2.85 .1864 TOTAL GROSS....... 570.40 TOTAL DEDUCTIONS.'.'.: 110.09 TOTAL NET PAY......: 450.3.1 - EMPLOYEE: RUTHERFORD, BRENT DALE EMPLOYEE #: 039 EXEMPTIONS: 5 4155 Tempscal SOCIAL, SECURITY #: 555-75-3587 ,SEX/,RACH: M / Whin Norco, CA 91760' CRAFT ORS 17./26/99 12/2.7/99 17/28/99 12/29/99 17./30/99 12/31/99 01/01/00 TOTAL RATE AMOUNT Operator, Group 8 REG 0.00 0.00 P O 8.00 0.00 0.00 0.00 16.00 27.84 445.44 115 0.00 0.00 0.00 1.00 0.00 0.00 0100 1.00 41.76 41.76 2.0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 FRINGE 17.00 9.85 167.45 F11.......: 189.93 SIT......: 52.80 CHECK #' WAGES THIS JOB.....: 654..65 F.I.CA..... 131.60 OTH ST TX: ,' 1.23 1874 TOTAL GROSS...'.....: 1446.14 TOTAL DRDUCTIONS...i 381.56 TOTAL 'NET PAY......: 1054.58 EMPLOYEE: MTGLIORE,.NICHOLAS PAUL EMPLOYEE #: 063 EXEMPTIONS: 0 2025;S. San Antonio Ave. SOC,I,AL, SECURITY #: 561-39-8173 SEX/RACE: M / Whito Ontario, CA 91763 ,CRAFT' HRS 17/26199 12/27199 17120199 12/29/99 17.130199 '121,31199 01/01100 TOTAL RATE`, AMOUNT Labor, Trainee 1 REG 0.00 8.00 8.00 8.00 0.00 0.00 0.00 24.00 11.90 285;60 1.5 0.00 0.00 0.00 .1.00 0.00 0.00 ,0.00 1.00 17.85 17.85 2.0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00' 0.00 FRINGE 25.00 3.37 84.25 FIT......: 50.51 SIT......: 7.61 CHECK # - WAGES THIS JOB.....: 397.70 FICA.....: 35.28 OTH ST TX: 1.94 1870 TOTAL. GROSS........: 387.70 ' TOTAL DF611CTIONS...: 95.34 TOTAL NET. PAY,.;,'..: 292.36 r: CERTIFIED PAYROLL RRPORT " Page 2 - _ 01106/00 K.A.S R,quipment & Rental, Inc. JOB. Fontana Auto Mall an JK0.17J P.O. Pox 9570 Site Sewer, Aid #SA12-00 PAY DATE: 01/01100 Ontario, CA 91.762-9570 619KK RNDINC; 0110.1100 LJCENSE #: 751701 A JOB K019 TOTALS- . ORS 12/26/99 12/21/99 12128199 32./29199 12130/99 17./31199 01/01100 TOTAL RATE AMOUNT REG 0.00 16.00 24.00 16.00 0.00 0.00 0.00 56.00 21.52 1204.96 1.5 0.00 0.00 0.00 7,.00 0.00 0.00 0.00 2.00 29.51 59,61. 2.0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 FRIN�R 55.00 6.00 34R..18 WAGES THIS JOB.....: 1612.15 >< FONTANA AUTO MALL ON SITE SEWER, KAS JOB #K019 STATE OF CALIFORNIA - DEPARTME* TRANSPORTATION Y i STATEMENT OF COMPLIANCE DC-CEM-2503 (OLD HC-348 REV 8/96) CONTRACTOR/SUBCONTRACTOR CONTRACT NUMBER K.A.S. EQUIPMENT & RENTAL, INC. BID NO. SB 12-00 FIRST DAY AND DATE OF PAY PERIOD f7JANUARY T DAY AND DATE OF PAY PERIOD JANUARY 02, 200-0 08, 2000 I do hereby certify.underpenalty of perjury: (1) That I pay or supervise payment to employees of the above -referenced contractor on the above -referenced contract. All persons employed on said project for the above -referenced time period have been paid their full weekly wages earned, that no rebates have been or will be made either directly or indirectly to or on behalf of said contractor from the full weekly wages earned by any person and that no deductions have been made either directly or indirectly from the full wages earned by any person other than permissible deductions. (2) That any payrolls otherwise under this control required to be submitted for the above period are correct and complete; that the wage rates for laborers or mechanics contained therein are not less that the applicable wage rates: (a) a Specified in the applicable wage determination incorporated into the contract; (b) Determined by the Director of Industrial Relations for the county or counties in which the work is performed; that the —classification set forth therein for each laborer or mechanic conform with the work he or she performed. (3) That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with a State apprenticeship agency. (4) That fringe benefits as listed in the contract: (a) X?Mave been or will be paid to the approved plan(s), fund(s) or program(s) for the benefit of listed employee(s), except as noted below. (b) �ave been paid directly to the listed employee(s), except as noted below. (c) a See exceptions noted below. NAME (PL i SE PRINT.) TITLE DX LLE INB RGE PAYROLL SIG A DATE On federally -funded projects, permissible deductions are defined in Regulation, Part 3 (29 CFR. Subtitle A), issued by the Secretary of Labor under the Copland Act, as amended (48 Sat. 948 63 Stat. 108,72 State. 967;76 Stat 357:40 U. S. C. 276c). Also, the willful falsification of any of the above statements may subject the contractor or, subcontractor to civil or criminal prosecution (See section 1001 of Title 18 and Section 231 of Title 31 of the United States Code). -INSTRUCTIONS FOR COMPLEAG FORM CEM-2503, STATEMENT OF COMPLIANCE This statement of compliance meets needs of state and federal payroll requirements to pay fringe benefits in addition to payment of the minimum rates. The contractor's obligation to pay fringe benefits may be met by payment of the fringes to the various preapproved plans, funds, or programs or by making these payments directly to the employees as part of their weekly wage payments. The contractor must show on the face of his or her payroll all monies paid to the employees whether as basic rates or total hourly wage amount in lieu of fringes. The contractor shall report in the statement of compliance that he or she is paying to others fringes required by the contract and not paid directly to the employees in lieu of fringes. Detailed instructions follow: Contractors required to pay Federal Wage Rates: Such a contractor shall check paragraph 2(a) of the statement to indicate that the wage rates for laborers or mechanics contained in the payroll are not less than the applicable wage rates specified in the applicable wage determination incorporated into the contract. Contractors required to pay the State Prevailing Wage Rates as determined by the Director of Industrial Relations: Such a contractor shall check paragraph 2(b) of the statement to indicate that the wage rates for laborers or mechanics contained in the payroll are not less than the applicable wage rates determined by the Director of Industrial Relations for the county or counties in which the work is performed. Contractors who pay all required fringe benefits: A contractor who pays fringe benefits to approved plans, funds, or programs in amounts not less than were - determined in the applicable wage decisions shall continue to show on the face of his or her payroll the basic hourly rate and overtime rate paid to his or her employees, just as he or she has always done. Such a contractor, shall check paragraph 4(a) of the statement to indicate that he or sheds also paying to approved plans, funds, or programs within the times required for receipt of those sums, not less than the amount predetermined as fringe benefits for each craft. Any exception shall be noted in Section 4(c). Contractors who pay no fringe benefits: A contractor who does not.pay fringe benefits to an approved plan shall pay a like amount to the employee. This payment can be reported by inserting in the straight time hourly rate column of. his or her payroll an amount not less than the predetermined rate for each classification plus the amount of fringe benefits determined for each classification in the applicable wage decision. Inasmuch as it is not necessary to pay time and a half on wages paid in lieu of fringes, the overtime rate shall be not less than one and one-half the basic predetermined rate, plus the required cash in lieu of fringes at the straight time rate. To simplify computation of overtime, it is suggested that the straight time basic rate and payment in lieu of fringes be separately stated in the hourly rate column, thus $14.56/5.11. In addition, the contractor shall check paragraph 4(b) of the statement to indicate that he or she is paying fringe benefits directly to his or her employees. Any exceptions shall be noted in Section 4(c). Use of Section 4(c), Exceptions: Any contractor who is making payment to approved plans, funds or programs in amounts less than the wage determination required is obligated to pay the deficiency directly to the employees as wages in lieu of fringes. Any exceptions to Section 4(a) and 4(b), whichever the contractor may check, shall be entered in Section 4(c). Enter in the Exception column the craft, and enter in the Explanation column the hourly amount paid the employees as wages in lieu of fringes,and the hourly amount paid to plans, funds, or programs as fringes. CFRTJFJEV PAYROII REPORT * Page i et/t:3/ee K.A.S Equipment S Rental;'Inc. J08: Fontana:, Auto fill on (K919) P.O. BOX 9570 Site Sewer, Rid #SB12-00 PAY. DATE :.01/14/00 Ontario, CA 91762.9510 WEEK ENOING: Ot/08/00 IJCENSE ;l:'751701 R ----------------------------------------------- -___----=---- ------------ ---- ---- ---- EMPLOYEE: RUTHF.RFORO, BRENT OALE EMPI.OYEF. c. 039 -=_=_ F,XF.MPTIONS S -__=_ -__== 4155 Temescai SOCJAI SECURITY t<: 555-75.3587 SEX/RACE: M / White Norco, CA 91150 CRAFT HRS ------ - 01/02/00 - 01/03/00 - Hj 04/00 01/05/00 e1/06/00 01/07/00 01/08/eO TOTAL RATE AMOUNT. ==------ 'I Operator, Group 8 REG o.00 0.00 --_-=-------- oleo 0.00 ____ -_= 0.00 == --_-- 6.00 -_---_- 0:00 -___--=- 6.00 - ---= 2'7.84 _--- ---_ 16 7. 04 1.5 0.00 0.00 0.00 0.oe 1.00 oleo oleo 0.0o oleo 0.90 2.0 oleo oleo oleo 0.00 0.00 ' oleo 0.00 0.00 oleo .0.00 FRINGE 5.00 9.85 59.to FIT......: 186.03 SIT......: 51.51 CHECK ;< -, WAGES THJS JOB....;: 226.14 FICA-- : t3o.33 OTH ST TX: 7.15 1882 TOTAI. GROSS..;.....: t432.22 TOTAL DEDUCTIONS... 315.03 TOTAI. NET PAY......: 1057.19 ------------------------------------------------------------------------------------------------------------------------------------ JOB K019 TOTALS- HRS 01/02100 01/03/00 01/04/00 01/05/00 01/06/00 01/e7/00 01/08/00 TOTAL RATE AMOUNT REG 0.00 0.0o 0.60 oleo 0.00 Glee 0.00 6.00 27.84 167.04 t.5 oleo 0.40 0.00 0.00 0.00 e.00 oleo oleo 0.00 0.0o 2.0 oleo 0.00 oleo oleo oleo 6,00 1M 0.00 oleo 0.00 FRINGF. 5.04 9.85 59.10 WAGES THJS JOB.....: 226.14 CLASSIFICATION Operator, Group 8 FRINGE BENEFIT HOURLY AMOUNT $10.35 NAME AND ADDRESS OF PLAN, FUND, OR PROGRAM Effective Date August, 1999 Subsistence and/or Travel Pay: y $ N/A Vacation $ 2.35 Health & Welfare $ 4.05 Pension $ 3.45 Apprentice/ Training $ . 50 Other $ N/A Paid to Employee Paid to Employee Paid to Employee Paid to Calif. Apprent. C( CLASSIFICATION FRINGE BENEFIT HOURLY AMOUNT NAME AND ADDRESS OF PLAN, FUND, OR PROGRAM Effective Date Subsistence and/or Travel Pay: Y $ Vacation $ Health & Welfare $ Pension $ Apprentice/ Training $ Other $ CLASSIFICATION FRINGE BENEFIT HOURLY AMOUNT NAME AND ADDRESS OF PLAN, FUND, OR PROGRAM Effective Date Subsistence and/or Travel Pay: Y $ Vacation $ Health & Welfare $ Pension $ Apprenticed Training $ Other $ I certify under penalty of perjury that fringe benefits are paid to the approved Plans, Funds, or Programs as listed above. NAME AND TITLE (Please Print) Lynn Agsman, Rayroll SIGNATURE k j BUSINESS TELEPHONE NUMBER tea. 1(909) 397-4000 Iur CEM-2501 (OLD HC-50 Re�. 8194) _8 ATE OF CALIFORNIA - DEPARTMENT ANSPORTATION STATEMENT OF COMPLIANCE ❑C-CEM-2503 (OLD HC-346 REV 8/961 0 Heritage Engineering Const., Inc. Fontana Auto Mall, #SB 12-00 FIRST DAY AND DATE OF PAY PERIOD LAST DAY AND DATE OF PAY PERIOD December 05, 1999 December 11, 1999 I do hereby certify under penalty of perjury: (1) That I pay or supervise payment to employees of the above -referenced contractor on the above -referenced contract. All persons employed on said project for the above -referenced time period have been paid their full weekly wages earned, that no rebates have been or will be made either directly or indirectly to or on behalf of said contractor from the full weekly wages earned by any person and that no deductions have been made either directly or indirectly from the full wages earned by any person other than permissible deductions. (2) That any payrolls otherwise under this control required to be submitted for the above period are correct and complete; that the wage rates for laborers or mechanics contained therein are not less that the applicable wage rates: (a) Specified in the applicable wage determination incorporated into the contract; (b) ® Determined by the Director of Industrial Relations for the county or counties in which the work is performed; that the classification set forth therein for each laborer or mechanic conform with the work he or she performed. (3) That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with a State apprenticeship agency. (4) That fringe benefits as listed in the contract: (a) ® Have been or will be paid to the approved plan(s), fund(s) or programs) for the benefit of listed employee(s), except as noted below. (b) Have been paid directly to the listed employee(s), except as noted below. (c) See exceptions noted below. EXCEPTION CRAFT EXPLANATION REMARKS: NAME (PLEASE PRINT.) TITLE Lynn Assman- Payroll S GN TURF DATE December 17, 1999 On federally -funded projects, permissible deductions are defined in Regulation, Part 3 (29 CFR. Subtitle A), issued by the Secretary of Labor under the Copland Act, as amended (48 Sat. 948 63 Stat. 108,72 State. 967;76 Stat 357:40 U. S. C. 276c). Also, the willful falsification of any of the above statements may subject the contractor or subcontractor to civil or criminal prosecution (See section 1001 of Title 18 and Section 231 of Title 31 of the United States Code). INSTRUCTIONS FOR COMPLETA FORM CEM-2503, STATEMENT OF COMPLIANCE This statement of compliance meets needs of state and federal payroll requirements to pay fringe benefits in addition to payment of the minimum rates. The contractor's obligation to pay fringe benefits may be met by payment of.the fringes to the various preapproved'plans, funds, or programs or by making these payments directly to the employees as part of their weekly wage payments. The contractor must show on the face of his or her payroll all monies paid to the employees whether as basic rates or total hourly wage amount in lieu of fringes. The contractor shall report in the statement of compliance that he or she is paying to others fringes required by the contract and not paid directly to the employees in lieu of fringes. Detailed instructions follow: Contractors required to pay Federal Wage Rates: Such a contractor shall check paragraph 2(a) of the statement to indicate that the wage rates for laborers or mechanics contained in the payroll are not less than the applicable wage rates specified in the applicable wage determination incorporated into the contract. Contractors required to pay the State Prevailing Wage Rates as determined by the Director of Industrial Relations: Such a contractor shall check paragraph 2(b) of the statement to indicate that the wage rates for laborers or mechanics contained in the payroll are not less than the applicable wage rates determined by the Director of Industrial Relations for the county or counties in which the work is performed. Contractors who pay all required fringe benefits: A contractor who pays fringe benefits to approved plans, funds, or programs in amounts not less than .were - determined in the applicable wage decisions shall continue to show on the face of his or her payroll the basic hourly rate and overtime rate paid to his or her employees, just as he or she has always done. Such a contractor shall check paragraph 4(a) of the statement to indicate that he or she is also paying to approved plans, funds, or programs within the times required for receipt of those sums, not less than the amount predetermined as fringe benefits for each craft. Any exception shall be noted in Section 4(c). Contractors who pay no fringe benefits: A contractor who does not pay fringe benefits to an approved plan shall pay a like amount to the employee. This payment can be reported by inserting in the straight time hourly rate column of. his or her payroll an amount not less than the predetermined rate for each classification plus the amount of fringe benefits determined for each classification in the applicable wage decision. Inasmuch as it is not necessary to pay time and a half on wages paid in lieu of fringes, the overtime rate shall be not less than one and one-half the basic predetermined rate, plus the required cash in lieu of fringes at the straight time rate. To simplify computation of overtime, it is suggested that the straight time basic rate and payment in lieu of fringes be separately stated in the hourly rate column, thus $14.56/5.11. In addition, the contractor shall check paragraph 4(b) of the statement to indicate that he or she is paying fringe benefits directly to his or her employees. Any exceptions shall be noted in Section 4(c). Use of Section 4(c), Exceptions: Any contractor who is making payment to approved plans, funds or programs in amounts less than the wage determination required is obligated to pay the deficiency directly to the employees as wages in lieu of fringes. Any exceptions to Section 4(a) and 4(b), whichever the contractor may check, shall be entered in Section 4(c). Enter in the Exception column the craft, and enter in the Explanation'column the hourly amount paid the employees as wages in lieu of fringes, and the hourly amount paid to plans, funds, or programs as fringes. CERTIFIED PAYROLL REPORT Page 1 12/15199 HERITAGE ENGINEERING CONSTRUCTION, Inc. JOB: Equipment Rental (RENT11,1 P.O. BOX 850 Various PAY DATE: ]7./17/99 ONTARIO, CA 91.762 WRRK ENDING: 12/11/91 LICENSE # 595284 A&B - TOTALS -- --- CRAFT ERB- t21@5199 12/06/99 12107199 .12/08199 1.7/09/99 12/10%99 1.2/11/99 HOURS RATE AMOUNT RM LO P YRR: BITRTT..- 1RFERRY 11 - -^ RAPLOVER T, T RM !,DYER : 011. RXRMPT..ON,,. 4-'- I , 11007 Carlisle Avenue SOCIAL SECURITY : 545-55-3299 SEX/RACE: White I M/ # Chino, CA 91710 OPERATOR; Group 8 REG 0.00 8.00 8.00 8.00 8.00 .8.00 0.00 40.00 27.84 1113.60 OVT 0.00 oleo 0.00 oleo 0.00 0.00 0.00 oleo 0:00 0.00, FRINGE 40.00 9.85 394.00 I FTT.....: 225.54 SIT......: r1.7y .HRCK # - WAGES THIS JOB ..... : 1501,60 FICA...... 115.33 OTH ST TXa 7.54 OTHER W/H: 49.85 10599 TOTAL GROSS........: 1507.60 TOTAL DRDUCTIONS.. 460.2.1 TOTAL NRT PAY.... 1047.39 JOB RENTAL TOTALS REG 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 21.84 1113.60 OVT. 0.00 0.00 0.00 0.00 0.00 0.00 oleo 0.00 0.00 0.00 FRINGE 40.00 9.85 394.00 WAGES THIS JOB. 1507.60 -STATE dF CALIFORNIA - DEPARTMENT OFQNSPORTATION STATEMENT OF COMPLIANCE DC-CEM-2503 (OLD HC-348 REV 8196) 0 Heritage Engineering Const., Inc. Fontana Auto Mall, #SB 12-00 FIRST DAY AND DATE OF PAY PERIOD LAST DAY AND DATE OF PAY PERIOD December 12, 1999 December 18, 19.99 I do hereby certify under penalty of perjury: (1) That I pay or supervise payment to employees of the above -referenced contractor on the above -referenced contract. All persons employed on said project for the above -referenced time period have been paid their full weekly wages earned, that no rebates have been or will be made either directly or indirectly to or on behalf of said contractor from the full weekly wages earned by any person and that no deductions have been made either directly or indirectly from the full wages earned by any person other than permissible deductions. (2) That any payrolls otherwise under this control required to be submitted for the above period are correct and complete; that the wage rates for laborers or mechanics contained therein are not less that the applicable wage rates: (a) Specified in the applicable wage determination incorporated into the contract; (b) ® Determined by the Director of Industrial Relations for the county or counties in which the work is performed; that the classification set forth therein for each laborer or mechanic conform with the work he or she performed. (3) That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with a State apprenticeship agency. (4) That fringe benefits as listed in the contract: (a) E3Have been or will be paid to the approved plan(s), funds) or program(s) for the benefit of listed employee(s), except as noted below. (b) ® Have been paid directly to the -listed employee(s), except as rioted below. (c) See exceptions noted below. REMARKS NAME (PLEASE PRINT.) -T-t,vnn Assman Payroll DATE December 24, 1999 On federally -funded projects, permissible deductions are defined in Regulation, Part 3 (29 CFR. Subtitle A), issued by the Secretary of Labor under the Copland Act, as amended (48 Sat. 948 63 Stat. 108,72 State. 967;76 Star 357:40 U. S. C. 276c). Also, the willful falsification of any of the above statements may subject the contractor or subcontractor to civil or criminal prosecution (See section 1001 of Title 18 and Section 231 of Title 31 of the United States Code). INSTRUCTIONS FOR COMPLETI10 FORM CEM-2503, STATEMENT OF COMPLIANCE This statement of compliance meets needs of state and federal payroll requirements to pay fringe benefits in addition to payment of the minimum rates. The contractor's obligation to pay fringe benefits may be met by payment of the fringes to the various preapproved plans, funds, or programs or by making these payments directly to the employees as part of their weekly wage payments. The contractor must show on the face of his or her payroll all monies paid to the employees whether as basic rates or total hourly wage amount in lieu of fringes. The contractor shall report in the statement of compliance that he or she is paying to others fringes required by the contract and not paid directly to the employees in lieu of fringes. Detailed instructions follow: Contractors required to pay Federal Wage Rates: Such a contractor shall check paragraph 2(a) of the statement to indicate that the wage rates for laborers or mechanics contained in the payroll are not less than the applicable wage rates specified in the applicable wage determination incorporated into the contract. Contractors required to pay the State Prevailing Wage Rates as determined by the Director of Industrial Relations: Such a contractor shall check paragraph 2(b) of the statement to indicate that the wage rates for laborers or mechanics contained in the payroll are not less than the applicable wage rates determined by the Director of Industrial Relations for the county or counties in which the work is performed. Contractors who pay all required fringe benefits: A contractor who pays fringe benefits to approved plans, funds, or programs in amounts not less than were - determined in the applicable wage decisions shall continue to show on the face df his or her payroll the basic hourly rate and overtime rate paid to his or her employees, just as he or she has always done. Such a contractor shall check paragraph 4(a) of the statement to indicate that he or she is also paying to approved plans, funds, or programs within the times required for receipt of those sums, not less than the amount predetermined as fringe benefits for each craft. Any exception shall be noted in Section 4(c). Contractors who pay no fringe benefits: A contractor who does not pay fringe benefits to an approved plan shall pay a like amount to the employee. This payment can be reported by inserting in the straight time hourly rate column of. his or her payroll an amount not less than the predetermined rate for each classification plus the amount of fringe benefits determined for each classification in the applicable wage decision. Inasmuch as it is not necessary to pay time and a half on wages paid in lieu of fringes, the overtime rate shall be not less than one and one-half the basic predetermined rate, plus the required cash in lieu of fringes at the straight time rate. To simplify computation of overtime, it is suggested that the straight time basic rate and payment in lieu of fringes be separately stated in the hourly rate column, thus $14.56/5.11. In addition, the contractor shall check paragraph 4(b) of the statement to indicate that he or she is paying fringe benefits directly to his or her employees. Any exceptions shall be noted in Section 4(c). Use of Section 4(c), Exceptions: Any contractor who is making payment to approved plans, funds or programs in amounts less than the wage determination required is obligated to pay the deficiency directly to the employees as wages in lieu of fringes. Any exceptions to Section 4(a) and 4(b), whichever the contractor may check, shall be entered in Section 4(c). Enter in the Exception column the craft, and enter in the Explanation column the hourly amount paid the employees as wages in lieu of fringes, and the hourly amount paid to plans, funds, or programs as fringes. CERTIFIED PAYROLL REPORT Page 1 12/21/99 HERITAGE ENGINEERING CONSTRUCTION, Inc. JOB: Equipment Rental (RENTALI P.O. BOX 850 - Various PAY DATE: 37124/99 ONTARI.O, CA 91762 WEEK ENDING: 121.18/99 LICENSE # 595284 AAB ----------- TOTALS ----------- CRAFT RRS- 12/12/99 12/13/99 12/14/99 12/15/99 17/16/99 .12117/99 12/18/99 HOURS RATE AMOUNT EMPLOYEE; RITETTI, JEFFREY A. EMPLOYEE #; Oil EXEMPTIONS: 4 11807 Carlisle Avenue SOCIAL SECURITY #: 545-55-3299 SEX/RACE: M / White Chino, CA 91710 OPERATOR, Group 8 REG 0.00 8.00 3.00 2.00 8.00 8.00 0.00 29.00 27.84 807.36 OVT 0.00 0.00. 0.00 0.00 2.00 2.00 6.00 10.00 41..76 417.60 FRINGE 39.00 9.85 384.15 FIT.....°: 253.96 SIT......: 71.39 CHECK # WAC,ES THIS JOB,.... 1609.l.1 FICA;...: 123.09 OTH ST TX: 8.05 OTHER W/B: 49.85 10604 TOTAL GROSS......... 1609.11 TOTAL DEDUCTI.ONS...: 506.34 TOTAL NET PAY......s 1102,77 JOB RENTAL TOTALS REG 0.00 8.00 3.002.00 8.00 8.00 .0.00 29.00 27.84 807.36 OVT 0.00 0.00 0.00 0.00 2.00 2.00 6.00 10.00 41.76 417.60 FRINGE 39.00 9.85 384.15 WAGES THIS JOB.....: .1609.11 i STATE' ORNIA -DEPARTMENT OFONSPORTATION • STATEMENT OF COMPLIANCE DC-CEM-2503 (OLD HC-348 REV 8/96) CONTRACTOR/SUBCONTRACTOR CONTRACT NUMBER Heritage Engineering Const., Inc. Fontana Auto Mall, #SB 12-00 FIRST DAY AND DATE OF PAY PERIOD LAST DAY AND DATE OF PAY PERIOD December 19, 1999- December 25, 1999 I do hereby certify under penalty of perjury: (1) That I pay or supervise payment to employees of the above -referenced contractor on the above -referenced contract. All persons employed on said project for the above -referenced time period have been paid their full weekly wages earned, that no rebates have been or will be made either directly or indirectly to or on behalf of said contractor from the full weekly wages earned by any person and that no deductions have been made either directly or indirectly from the full wages earned by any person other than permissible deductions. (2) That any payrolls otherwise under this control required to be submitted for the above period are correct and complete; that the wage rates for lahorers or mechanics contained therein are not less that the applicable wage rates: (a) Specified in the applicable wage determination incorporated into the contract; (b) ® Determined by the Director of Industrial Relations for the county or counties in which the work is performed; that the classification set forth therein for each laborer or mechanic conform with the work he or she performed. (3) That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with a State apprenticeship agency. (4) That fringe benefits as listed in the contract: (a) ® Have been or will be paid to the approved plan(s), funds) or program(s) for the benefit of listed employee(s), except as noted below. (b) ® Have been paid directly.to the listed employee(s), except as noted below. (c) See exceptions noted below. NAME (PLEASE PRINT.) Trn.E nn Assman Payroll �FNAIIIRE DATE December 31, 1999 On federally -funded projects, permissible deductions are defined in Regulation, Part 3 (29 CFR. Subtitle A), issued by the Secretary of Labor under the Copland Act, as amended (48 Sat. 948 63 Stat. 108,72 State. 967;76 Stat 357:40 U. S. C. 276c). Also, the willful falsification of any of the above statements may subject the contractor or subcontractor to civil or criminal prosecution (See section 1001 of Title 18 and Section 231 of Title 31 of the United States Code). • INSTRUCTIONS FOR COMPLET FORM CEM-2503, STATEMENT OF COMPLIANCE This statement of compliance meets needs of state and federal payroll requirements to pay fringe benefits in addition to payment of the minimum rates. The contractor's obligation to pay fringe benefits may be met by payment of the fringes to the various preapproved plans, funds, or programs or by making these payments directly to the employees as part of their weekly wage payments. The contractor must show on the face of his or her payroll all monies paid to the employees whether as basic rates or total hourly wage amount in lieu of fringes. The contractor shall report in the statement of compliance that he or she is paying to others fringes required by the contract and not paid directly to the employees in lieu of fringes. Detailed instructions follow: Contractors required to pay Federal Wage Rates: Such a contractor shall check paragraph 2(a) of the statement to indicate that the wage rates for laborers or mechanics contained in the payroll are not less than the applicable wage rates specified in the applicable wage determination incorporated into the contract. Contractors required to pay the State Prevailing Wage Rates as determined by the Director of Industrial Relations: Such a contractor shall check paragraph 2(b) of the statement to indicate that the wage rates for laborers or mechanics contained in the payroll are not less than the applicable wage rates determined by the Director of Industrial Relations for the county or counties in which the work is performed. Contractors who pay all required fringe benefits: A contractor who pays fringe benefits to approved plans, funds, or programs in amounts not less than were determined in the applicable wage decisions shall continue to show on the face of his or her payroll the basic hourly rate and overtime rate paid to his or her employees, just as he or she has always done. Such a contractor, shall check paragraph 4(a) of the statement to indicate that he or she is also paying to approved plans, funds, or programs within the times required for receipt of those sums, not less than the amount predetermined as fringe benefits for each craft. Any exception shall be noted in Section 4(c). Contractors who pay no fringe benefits: A contractor who does not pay fringe benefits to an approved plan shall pay a like amount to the employee. This payment can be reported by inserting in the straight time hourly rate column of. his or her payroll an amount not less than the predetermined rate for each classification plus the amount of fringe benefits determined for each classification in the applicable wage decision. Inasmuch as it is not necessary to pay time and a half on wages paid in lieu of fringes, the overtime rate shall be not less than one and one-half the basic predetermined rate, plus"`' the required cash in lieu of fringes at the straight time rate. To simplify computation of overtime, it is suggested that the straight time basic rate and payment in lieu of fringes be separately stated in the hourly rate column, thus $14.56/5.11. In addition, the contractor shall check paragraph 4(b) of the statement to indicate that he or she is paying fringe benefits directly to his or her employees. Any exceptions shall be noted in Section 4(c). Use of Section 4(c), Exceptions: Any contractor who is making payment to approved plans, funds or programs in amounts less than the wage determination required is obligated to pay the deficiency directly to the employees as wages in lieu of fringes. Any exceptions to Section 4(a) and 4(b), whichever the contractor may check, shall be entered in Section 4(c). Enter in the Exception column the craft, and enter in the Explanation column the hourly amount paid the employees as wages in lieu of fringes, and the hourly amount paid to plans, funds, or programs as fringes. 'x CERTIFIED.PAYROLL REPORT " Page 1 12/28/91 HERITAGE ENGINEERING CONSTRUCTION, Inc. JOB: Equipment Rental (RWAhj. P.O. BOX 850 Various PAY DATE: 17/31/99 ONTARIO, CA 91.762 WEEK END.I.NG:.12/25/95 LICENSE # 595284 A&8 ----------- TOTALS ----------- CRAFT HRS- 1211919.1 12/20199 t2/21199 12/22/99 1.2123/99 12/24/99 12/25/99 HOURS RATE AMOUNT EMPLOYEE: AT,TETTI, JEFFREY A. EMPLOYEE #: Oil EXEMPTIONS: h 11807 Carlisle Avenue SOCIAL SECURITY #: 545-55-3299 SEX/RACE: M / WhJ to Chino, CA 9111e OPERATOR, Group 8 REG 0.00 0.00 0.00 6.00 4.00 5.00 0.00 15.00 27.84 417.60 OVT oleo oleo oleo oleo oleo oleo oleo oleo oleo oleo FRINGE 15.00 9.85 147.75 F.I.T....... 34.47 SIT......: 1.92 CHECK # - WAGES THIS JOB.....: 565.15 FICA.....: 43.25 OTR ST TX: 2.83 OTHER W/h 49.85 10609 TOTAL GROSS........: 565.35 TOTAL DEDUCTIONS...: 132.32 TOTAL NET PAY......: 433.03 JOB RENTAL TOTALS - REG 0.00 0.00 0.00 6.00 4.00 5.00 0.00 15.00 27.84 417.60 OVT 0.00 0.00 0.00 0.00 0.00 0.00 0100 oleo 0.00 0.00 FRINGE 15.00 9.85 147.75 WAGES THIS JOB.....: 565.35 SLATE OF CALIFORNIA - DEPARTMENT OF 4SPORTATION STATEMENT OF COMPLIANCE DC-CEM-2503 (OLD HC-348 REV 8/96) CONTRACTOR/SUBCONTRACTOR CONTRACT NUMBER Heritage Engineering Const. , Inca Fontana Auto Mall, #SB 12-00 FIRST DAY AND DATE OF PAY PERIOD LAST DAY AND DATE OF PAY PERIOD I do hereby certify under penalty of perjury: (1) That I pay or supervise payment to employees of the above -referenced contractor on the above -referenced contract. All persons employed on said project for the above -referenced time period have been paid their full.weekly wages earned, that no rebates have been or will be made either directly or indirectly to or on behalf of said contractor from the full weekly wages earned by any person and that no deductions have been made either directly or indirectly from the full wages earned by any person other than permissible deductions. (2) That any payrolls otherwise under this control required to be submitted for the above period are correct and complete; that the wage rates for lahorers or mechanics contained therein are not less that the applicable wage rates: (a) ❑ Specified in the applicable wage determination incorporated into the contract; (b) ® Determined by the Director of Industrial Relations for the county or counties in which the work is performed; that the classification set forth therein for each laborer or mechanic conform with the work he or she performed. (3) That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with a State apprenticeship agency. (4) That fringe benefits as listed in the contract: (a) F Have been or will be paid to the approved plan(s), fund(s) or program(s) for the benefit of listed employee(s), except as noted below. (b) Have been paid directly to the listed employee(s), except as noted below. (C) See exceptions noted below. NAME (PLEASE PRINT.) ynn Assman -�S NA - DATE I I January 07, 2000 Payroll On federally -funded projects, permissible deductions are defined in Regulation, Part 3 (29 CFR. Subtitle A), issued by the Secretary of Labor under the Copland Act, as amended (48 Sat. 948 63 Stat 108,72 State. 967;76 Stat 357:40 U. S. C. 276c). Also, the willful falsification of any of the above statements may subject the contractor or subcontractor to civil or criminal prosecution (See section 1001 of Title 18 and Section 231 of Title 31 of the United States Code). • INSTRUCTIONS FOR COMPLETA -- FORM CEM-2503, STATEMENT OF COMPLIANCE This statement of compliance meets needs of state and federal payroll requirements to pay fringe benefits in addition to payment of the minimum rates. The contractor's obligation to pay fringe benefits may be met by payment of the fringes to the various preapproved plans, funds, or programs or by making these payments directly to the employees as part of their weekly wage payments. The contractor must show on the face of his or her payroll all monies paid to the employees whether as basic rates or total hourly wage amount in lieu of fringes. The contractor shall report in the statement of compliance that he or she is paying to others fringes required by the contract and not paid directly to the employees in lieu of fringes. Detailed instructions follow: Contractors required to pay Federal Wage Rates: Such a contractor shall check paragraph 2(a) of the statement to indicate that the wage rates for laborers or mechanics contained in the payroll are not less than the applicable wage rates specified in the applicable wage determination incorporated into the contract. Contractors required to pay the State Prevailing Wage Rates as determined by the Director of Industrial Relations: Such a contractor shall check paragraph 2(b) of the statement to indicate that the wage rates for laborers or mechanics contained in the payroll are not ,less than the applicable wage rates determined by the Director of Industrial Relations for the county or counties in which the work is performed. Contractors who pay all required fringe benefits: A contractor who pays fringe benefits to approved plans, funds, or programs in amounts not less than were - determined in the applicable wage decisions shall continue to show on the face of his or her payroll the basic hourly rate and overtime rate paid to his or her employees, just as he or she has always done. Such a contractor shall check paragraph 4(a) of the statement to indicate that he or she is also paying to approved plans, funds, or programs within the times required for receipt of those sums, not less than the amount predetermined as fringe benefits for each craft. Any exception shall be noted in Section 4(c). Contractors who pay no fringe benefits: A contractor who does not pay fringe benefits to an approved plan shall pay a like amount to the employee. This payment can be reported by inserting in the straight time hourly rate column of. his or her payroll an amount not less than the predetermined rate for each classification plus the amount of fringe benefits determined for each classification in the applicable wage decision. Inasmuch as it is not necessary to pay time and a half on wages paid in lieu of fringes, the overtime rate shall be not less than one and one-half the basic predetermined rate, plus the required cash in lieu of fringes at the straight time rate. To simplify computation of overtime, it is suggested that the straight time basic rate and payment in lieu of fringes be separately stated in the hourly rate column, thus $14.56/5.11. In addition, the contractor shall check paragraph 4(b) of the statement to indicate that he or she is paying fringe benefits directly to his or her employees. Any exceptions shall be noted in Section 4(c). Use of Section 4(c), Exceptions Any contractor who is making payment to approved plans, funds , or programs in amounts less than the wage determination required is obligated to pay the deficiency directly to the employees as wages in lieu of fringes. Any exceptions to Section 4(a) and 4(b), whichever the contractor may check, shall be entered in Section 4(c). Enter in the Exception column the craft, and enter in thTExplanation column the hourly amount paid the employees as wages in lieu of fringes, and the hourly amount paid to plans, funds, or programs as fringes. 0 l S DffN7i" PO N 7 01q row77q-k))q- CERTIFIED PAYROLL RFPORT " Page 1 01/05/00 HERITAGE ENGINEERING CONST, IN JOB: NquiPmoat Rental (RENTAL( P.O. BOX 850 Vtzrions PAY DATE: 01/07/00 ONTARI.O, CA91.767. WEEK ENDING,: 01/01100 LICENSE 9:`595284 ALB -------------------------------- RMPLOVER: AITRTTI., JEFFREY A. EMPLOYEE #: 011. EXEMPTIONS: 4 11.807 Carlisle Avenue SOCIAL SECURITY 1: 545-55-3299 SEX/RACE: M I White Chino, CA 9.1710 CRAFT ORS 12/26/99 12/27/99 17128/99 12/29/99 .17./30199 12/31/99 01/01/00 TOTAL RATE AMOUNT OPERATOR, Group 8 REG 0.00 8.00 7.00 0.00 0.00 0.00 0,00 15.00 27.84 417,60 1.5 0.00 0.00 0,00 0.00 0.00 0.00 oleo 0.00 0.00 aloe 2.0 0.00 0.00 oleo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 FRINGE .15.00 9.85 147.75 FIT......: 113.34 SIT......s 27.14 CHECK # - WAGES THIS JOB...:.: 565.35 FICA.,..,: 99.65 OTR ST TX; 5.48 10614 TOTAL, GROSS.,..,..,: 1095.05 OTHER W/H: 49.85 TOTAL DEDUCTIONS...: 295.46 TOTAL NET PAY." ... ; 719.5.9 JOB RENTAL TOTALS - UPS 12/26199 17/21199 12/28/99 12/29/99 12/30/99 37/31/99 01/01/00 TOTAL RATE AMOUNT REG 0.00 8.00 7.00 0.00 0.00 0.00 0.00 15.00 27.84 417.60 1.5 0.00 0.00 0.00 0.00 0.00 o.00 o.o6 0.00 0.00 0.00 2.0 oleo 0.00, 0.00 0.00 0.00 0.00 0.00 0.00 0.00 oleo FRINGE 15,00' 9.25 1.47.75 WAGES THIS JOB....,: 565.35