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HomeMy WebLinkAboutSlover Ave. Sewer_Certified Payroll Reportr Payroll No. 1 Project No. 208 Project Name Stover Avenue Sewer Certified Payroll Report For the period ending 03/13/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments Exempts Gross Gross FWH FICA SWH SDI Tot Pay Gender Hours Tot Hrly This All VAC/HOL HEALTH PENSION TRAING ADMIN Tot Ded Employee Information Ethic %%�JSun Mon Tue �Wed Thu Fri Sat Hrs Rate Project Projs INDUSTR CONT/CC SAVINGS SUP.DUE OTHER 2 Net Pay JEFFERY FIELD Soc Sec No: 549-92-241/2 2, ' / " 3173PERATOR GROUP 8 $30.54 Check No: 55373 03/15/02 1614 CARMEL CIRCLE, M - 5 S 0.00 8.00 8.00 8.00 0.00 0.00 0.00 24.00 29.54 708.96 772.56 42.00 59.10 6.06 6.95 772.56 UPLAND, CA 91781 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 63.60 112.80 90.00 15.60 1.44 177.71 C Other Eamings: 63.60 1.44 1.20 0.00 0.00 0.00 594.85 Total Eamings: 772.56 JAMES GARDNER, JR. Soc Sec No: 561-84-4016 7032 DWIGHT WAY, SAN BERNARDINO , CA 92404 TEAMSTER GROUP V $22.91 Check No: 55374 03/15/02 M - 2 S 0.00 8.00 8.00 8.00 0.00 0.00 0.00 24.00 22.51 540.24 1058.95 111.00 81.00 24.44 9.53 1058.95 Male 0 0.00 0.00 0.50 0.50 0.00 0.00 0.00 1.00 33.77 33.77 107.90 125.50 120.00 10.50 1.50 333.87 C Other Eamings: 65.00 0.00 0.00 0.00 1.50 0.00 725.08 Total Eamings: 639.01 JAMES IVERSON Soc Sec No: 559-92-5741 TEAMSTER GROUP V $22.32 Check No: 55396 03/15/02 8315 CHERRY, M - S 0.00 0.00 0.00 0.00 3.00 0.00 0.00 3.00 21.92 65.76 886.90 103.00 67.85 20.57 7.98 886.90 FONTANA , CA 92335 Male 0- 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92.30 15.06 14.40 1.26 0.18 291.70 C Other Eamings: 7.80 0.00 0.00 0.00 0.18 0.00 595.20 Total Eamings: 73.56 BONIFACIO CARLOS Soc Sec No: 549-11-7986 LABORER GROUP II $20.65 Check No: 55365 03/15/02 3312 EAST MAIN M - 1 S 0.00 8.00 8.00 8.00 0.00 0.00 0.00 24.00 19.96 479.04 540.24 42.00 41.32 5.94 4.86 540.24 AVENUE, BALDWIN Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 61.20 81.84 87.84 8.64 1.44 155.32 PARK , CA 91706 H Other Eamings: 61.20 1.44 3.60 0.00 0.00 0.00 384.92 Total Eamings: 540.24 EARLE MARLAR Soc Sec No: 568-15-1114 OPERATOR GROUP 16 $31.16 Check No: 55377 03/15/02 515 SOUTH 16TH M - 0 S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 30.16 1206.40 1312.40 205.00 100.40 48.24 11.81 1312.40 STREET, BANNING , CA Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.00 188.00 150.00 26.00 2.40 471.45 92220 C Other Eamings: 106.00 2.40 2.00 0.00 0.00 0.00 840.95 Total Eamings: 1312.40 Print Date: 07/23/2002 Page 1 Payroll No. Project No. Project Name 1 208 Stover Avenue Sewer Exempts Gender Employee Information Ethic Certified Payroll Report For the period ending 03/13/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Gross Tot Hrly This Sun Mon Tue Wed Thu Fri Sat Hrs Rate Project WILLIAM MITCHELL Soc Sec No: 238-86-9112 1675 SHERIDAN ROAD, SAN BERNARDINO , CA 92407 M - 0 S 0.00 0.00 Male 0 0.00 0.00 C GONZALO MURI LLO Soc Sec No: 549-06-6729 M - 4 S 0.00 8.00 Male 0 0.00 0.00 5140 WASHINGTON AVENUE, CHINO , CA 91710 H JOHN OROSCO Soc Sec No: 573-76-0535 12508 BAKER CT., M - 4 S 0.00 CHINO , CA 91710 Male 0 0.00 H Gross All Projs OPERATOR GROUP 16 $31.66 0.00 0.00 4.00 0.00 0.00 4.00 30.66 122.64 1199.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 10.60 Total Earnings: 133.24 LABOR GROUP V FOREMAN $24.85 8.00 8.00 8.00 8.00 0.00 40.00 23.91 956.40 1058.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 102.00 Total Earnings: 1058.40 LABOR GROUP V FOREMAN $24.85 0.00 0.00 0.00 0.00 8.00 0.00 8.00 23.91 191.28 846.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 20.40 Total Eamings: 211.68 FELIPE RAMIREZ Soc Sec No: 545-23-8345 627 W. SUNKIST ST, M - 0 S 0.00 8.00 ONTARIO , CA 91762 Male 0 0.00 0.00 RONALD STRONG Soc Sec No: 492-44-6335 27611 EAST 14TH M - 0 S 0.00 8.00 STREET, HIGHLAND , Male 0 0.00 0.00 CA 92346 C LABORER GROUP IV $22.75 8.00 8.00 8.00 8.00 0.00 40.00 21.91 876.40 978.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 102.00 Total Earnings: 978.40 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH FICA SWH SDI VAC/HOL HEALTH PENSION TRAING INDUSTR CONT/CC SAVINGS SUP.DUE OPERATOR GROUP XI FOREMAN $36.50 8.00 8.00 8.00 8.00 0.00 40.00 36.50 1460.00 1566.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 106.00 Total Earnings: 1566.00 ADMIN OTHER 2 Check No: 55378 03/15/02 175.00 91.74 39.30 10.79 95.40 18.80 15.00 2.60 0.24 0.24 0.20 0.00 0.00 94.00 102.00 2.40 80.96 136.40 6.00 0.00 Check No: 55379 03/15/02 21.36 9.52 146.40 14.40 2.40 0.00 0.00 0.00 Check No: 55381 03/15/02 62.00 64.78 10.55 7.62 81.60 27.28 29.28 2.88 0.48 0.48 1.20 0.00 0.00 0.00 Check No: 55384 03/15/02 117.00 74.84 26.06 8.81 102.00 16.40 146.40 14.40 2.40 6.00 0.00 0.00 Tot Pay Tot Ded Net Pay 1199.16 412.23 786.93 1058.40 307.84 750.56 846.72 226.55 620.17 978.40 2.40 328.71 0.00 649.69 Check No: 55389 03/15/02 274.00 119.80 69.29 14.10 106.00 188.00 150.00 26.00 2.40 2.40 2.00 0.00 0.00 0.00 1566.00 583.19 982.81 Print Date: 07/23/2002 Page 2 Payroll No. 1 Project No. 208 Project Name Stover Avenue Sewer Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 LUIS CANTORAN Soc Sec No: 556-21-1386 LABORER GROUP I $20.10 15072 C HRISTI NA M - 3 S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 19.46 778.40 880.40 COURT, LAKE Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ELSINORE, CA 92330 Other Eamings: 102.00 Total Eamings: 880.40 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Check No: 55391 03/15/02 76.00 67.36 13.41 7.93 880.40 102.00 136.40 146.40 14.40 2.40 266.70 2.40 6.00 0.00 0.00 0.00 613.70 Print Date: 07/23/2002 Page 3 Payroll No. 1 Project No. 208 Project Name Slover Avenue Sewer Date: 07/23/2002 Payroll No: 1 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 STATEMENT OF COMPLIANCE Contractor's License No. A 370846 Employer Identification No. 95-3271209 I, Kellie Jo Cross, Payroll Manager, do hereby state: (1) That I pay or supervise the payment of the persons employed by ALBERT W. DAVIES, INC. on the Slover Avenue Sewer project; that during the payroll period commencing on March 07, 2002 and ending March 13, 2002, all persons employed on said project have been paid the full weekly wages earned, that no rebates have or will be made either directly or indirectly to or on behalf of said ALBERT W. DAVIES, INC. from the full weekly wages eamed 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 as defined in Regulations, Part 3 (29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat. 948.63 Stat. 108, 72 Stat. 967; 76 Stat. 357; 40 U.S.C. 276c), and described below: Taxes: Federal W/H, FICA/Medicare, State W/H, State SDI/Local Other. Vacation Pay, Child Support, Attachments, Advances (2) That any payrolls otherwise under this contract 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 than the applicable wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work he 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 recognized by the Bureau of Apprenticeship and Training, United States Department of Labor, or if no such recognized agency exists in a State, are registered with the Bureau of Apprenticeship and Training, United States Department of Labor. (4) That (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS OR PROGRAMS In addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of fringe benefits as listed in the contract have been or will be made to appropriate programs for the benefit of such employees, except as notice in Section 4 (c) below. (b) WHERE FRINGE BENEFITS ARE PAID IN CASH Each laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll, an amount not less than the sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed in the contract, except as notice in Section 4 (c) below. (c) EXCEPTIONS EXCEPTION (CRAFT) Kellie Jo Cross, Payrn Manager EXPLANATION 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 18AND SECTION 231 OF TITLE 31 OF THE UNITED STATES CODE. Print Date: 07/23/2002 Page 4 Payroll No. 2 Project No. 208 Project Name Stover Avenue Sewer Exempts Gender Certified Payroll Report For the period ending 03/20/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Employee Information Ethic Sun Mon Tue Wed Thu Fri Gross Tot Hrly This Sat Hrs Rate Project Gross All Projs JEFFERY FIELD Soc Sec No: 549-92-241/2 ?PT aii 332 4 3FOPERATOR GROUP 8 $30.54 1614 CARMEL CIRCLE, M - 5 S 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 29.54 236.32 257.52 UPLAND , CA 91781 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 C Other Eamings: 21.20 Total Earnings: 257.52 JAMES GARDNER, JR. Soc Sec No: 561-84-4016 M-2 S 0.00 0.00 Male 0 0.00 0.00 C 7032 DWIGHT WAY, SAN BERNARDINO , CA 92404 BONIFACIO CARLOS Soc Sec No: 549-11-7986 M - 1 S 0.00 8.00 Male 0 0.00 0.00 H 3312 EAST MAIN AVENUE, BALDWIN PARK , CA 91706 EARLE MARLAR Soc Sec No: 568-15-1114 515 SOUTH 16TH M - 0 S 0.00 STREET, BANNING , CA Male 0 0.00 92220 C TEAMSTER GROUP V $22.91 0.00 0.00 8.00 8.00 0.00 16.00 22.51 360.16 1077.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 41.60 Total Earnings: 401.76 LABORER GROUP II $20.65 8.00 8.00 8.00 8.00 0.00 40.00 19.96 798.40 949.14 0.50 0.00 0.00 1.00 0.00 1.50 29.94 44.91 Other Earnings: 105.83 Total Earnings: 949.14 OPERATOR GROUP 16 $31.16 0.00 8.00 8.00 8.00 8.00 0.00 32.00 30.16 965.12 1384.24 0.00 0.50 0.00 0.00 1.00 0.00 1.50 45.24 67.86 Other Eamings: 88.78 Total Earnings: 1121.76 PAUL GENTRY Soc Sec No: 551-08-7799 685 NORTH STATE S - 7 S 0.00 8.00 STREET, SP. #3, HEMET Male 0 0.00 0.00 , CA 92524 C 8.00 0.00 0.00 0.00 0.50 0.00 0.00 0.00 OPERATOR GROUP 12 $30.54 0.00 16.00 29.54 472.64 538.52 0.00 0.50 44.30 22.15 Other Eamings: 43.73 Total Earnings: 538.52 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH FICA SWH SDI Tot Pay VAC/HOL HEALTH PENSION TRAING ADMIN Tot Ded INDUSTR CONT/CC SAVINGS SUP.DUE OTHER 2 Net Pay Check No: 55440 03/22/02 0.00 19.71 0.00 2.32 21.20 37.60 30.00 5.20 0.48 0.48 0.40 0.00 0.00 0.00 Check No: 55441 03/22/02 114.00 82.41 25.53 9.69 109.20 80.32 76.80 6.72 0.96 0.00 0.00 0.00 0.96 0.00 Check No: 55432 03/22/02 104.00 72.62 22.78 8.54 105.83 141.52 151.89 14.94 2.49 2.49 6.23 0.00 0.00 0.00 257.52 43.23 214.29 1077.13 340.83 736.30 949.14 313.77 635.37 Check No: 55444 03/22/02 225.00 105.89 53.99 12.46 1384.24 109.98 157.45 125.63 21.78 2.01 507.32 2.01 1.68 0.00 0.00 0.00 876.92 Check No: 55472 03/22/02 8.00 41.20 3.65 4.85 43.73 77.55 61.88 10.73 0.99 0.99 0.83 0.00 0.00 0.00 538.52 101.43 437.09 Print Date: 07/23/2002 Page 1 / Payroll No. 2 Project No. 208 Project Name Stover Avenue Sewer Exempts Gender Certified Payroll Report For the period ending 03/20/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Employee Information Ethic Sun Mon GONZALO MURILLO Soc Sec No:- 549-06-6729 5140 WASHINGTON AVENUE, CHINO , CA 91710 M - 4 S 0.00 Male 0 0.00 H FELIPE RAMIREZ Soc Sec No: 545-23-8345 627 W. SUNKIST ST, ONTARIO , CA 91762 M-0 S 0.00 Male 0 0.00 RONALD STRONG Soc Sec No: 492-44-6335 27611 EAST 14TH STREET, HIGHLAND , CA 92346 Tue Wed Thu Fri Gross Tot Hrly This Sat Hrs Rate Project Gross All Projs LABOR GROUP V FOREMAN $24.85 8.00 8.00 8.00 8.00 8.00 0.00 40.00 23.91 956.40 1116.03 0.00 0.50 0.00 0.00 1.00 0.00 1.50 35.87 53.80 Other Eamings: Total Eamings: 105.83 1116.03 LABORER GROUP IV $22.75 8.00 8.00 8.00 8.00 8.00 0.00 40.00 21.91 876.40 1031.53 0.00 0.50 0.00 0.00 1.00 0.00 1.50 32.87 49.30 M - 0 S 0.00 8.00 Male 0 0.00 0.00 C LUIS CANTORAN Soc Sec No: 556-21-1386 M - 3 S 0.00 Male 0 0.00 15072 C HRISTI NA COURT, LAKE ELSINORE, CA 92330 H Other Earnings: Total Eamings: 105.83 1031.53 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR FICA SWH SDI HEALTH PENSION TRAING ADMIN CONT/CC SAVINGS- SUP.DUE OTHER 2 Tot Pay Tot Ded Net Pay Check No: 55446 03/22/02 103.00 85.39 24.82 10.05 1116.03 105.83 141.52 151.89 14.94 2.49 329.09 2.49 6.23 0.00 0.00 0.00 786.94 Check No: 55451 03/22/02 129.00 78.92 29.24 9.28 105.83 17.02 151.89 14.94 2.49 2.49 6.23 0.00 0.00 0.00 OPERATOR GROUP XI FOREMAN $36.50 8.00 8.00 8.00 8.00 0.00 40.00 36.50 1460.00 1566.00 274.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.00 Other Earnings: 106.00 2.40 Total Earnings: 1566.00 LABORER GROUP I $20.10 8.00 8.00 8.00 8.00 8.00 0.00 40.00 19.46 778.40 928.02 0.00 0.50 0.00 0.00 1.00 0.00 1.50 29.19 43.79 Other Earnings: Total Eamings: 105.83 928.02 119.79 188.00 2.00 Check No: 55456 03/22/02 69.29 150.00 0.00 14.09 26.00 0.00 1031.53 352.27 679.26 1566.00 2.40 583.17 0.00 982.83 Check No: 55458 03/22/02 83.00 70.99 15.32 8.35 105.83 141.52 151.89 14.94 2.49 2.49 6.23 0.00 0.00 0.00 928.02 283.49 644.53 Print Date: 07/23/2002 Page 2 Payroll No. 2 Project No. 208 Project Name Stover Avenue Sewer Date: 07/23/2002 Payroll No: 2 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 STATEMENT OF COMPLIANCE Contractor's License No. A 370846 Employer Identification No. 95-3271209 I, Kellie Jo Cross, Payroll Manager, do hereby state: (1) That I pay or supervise the payment of the persons employed by ALBERT W. DAVIES, INC. on the SloverAvenue Sewer project; that during the payroll period commenting on Mardi 14, 2002 and ending Mardi 20, 2002, all persons employed on said project have been paid the full weekly wages earned, that no rebates have or will be made either directly or indirectly to or on behalf of said ALBERT W. DAVIES, INC. 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 as defined in Regulations, Part 3 (29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat. 948.63 Stat. 108, 72 Stat. 967; 76 Stat. 357; 40 U.S.C. 276c), and described below: Taxes: Federal WM, FICA/Medicare, State W/H, State SDI/Local Other. Vacation Pay, Child Support, Attachments, Advances (2) That any payrolls otherwise under this contract required to be submitted for the above period are correct and complete; that the wage rates for laborers or mechanics contained therein are not Tess than the applicable wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work he 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 recognized by the Bureau of Apprenticeship and Training, United States Department of Labor, or if no such recognized agency exists in a State, are registered with the Bureau of Apprenticeship and Training, United States Department of Labor. (4) That: (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS OR PROGRAMS riIn addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of fringe benefits as listed in the contract have r ' been or will be made to appropriate programs for the benefit of such employees, except as notice in Section 4 (c) below. (b) WHERE FRINGE BENEFITS ARE PAID IN CASH Each laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll, an amount not Tess than the sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed in the contract, except as notice in Section 4 (c) below. (c) EXCEPTIONS EXCEPTION (CRAFT) Kellie Jo Cross, Payrola) lager LP Lam EXPLANATION 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 18AND SECTION 231 OF TITLE 31 OF THE UNITED STATES CODE. Print Date: 07/23/2002 Page 3 Payroll No. 3 Project No. 208 Project Name Stover Avenue Sewer Employee Information JAMES GARDNER, JR. 7032 DWIGHT WAY, SAN BERNARDINO , CA 92404 Exempts Gender Ethic Certified Payroll Report For the period ending 03/27/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Sun Mon Gross Tot Hrly This Tue Wed Thu Fri Sat Hrs Rate Project Soc Sec No: 56 84-40 6 ".4 M - 2 Male C BONIFACIO CARLOS Soc Sec No: M-1 Male H 3312 EAST MAIN AVENUE, BALDWIN PARK , CA 91706 FRANCISCO MU NDO Soc Sec No: 16855 Baltic Court, M - 0 Moreno Valley, CA 92551 Male S 0.00 0.00 O 0.00 0.00 549-11-7986 S 0.00 8.00 O 0.00 0.00 572-91-4437 S 0.00 8.00 O 0.00 0.00 MANUEL PICENO Soc Sec No: 571-25-7624 S 0.00 O 0.00 755 E. LINFIELD STREET, AZUSA , CA 91702 S-1 Male H EARLE MARLAR Soc Sec No: 568-15-1114 515 SOUTH 16TH M - 0 S 0.00 STREET, BANNING , CA Male 0 0.00 92220 C 8.00 0.00 8.00 8.00 0.00 0.00 0.00 0.00 Gross All Projs 3T1- EAMSTER GROUP V $22.91 0.00 24.00 22.51 540.24 1040.77 0.00 0.00 0.00 0.00 Other Eamings: 62.40 Total Eamings: 602.64 LABORER GROUP 11 $20.65 8.00 8.00 8.00 8.00 0.00 40.00 19.96 798.40 916.64 0.00 0.00 0.50 0.00 0.00 0.50 29.94 14.97 Other Eamings: 103.27 Total Eamings: 916.64 LABORER GROUP IV $22.75 8.00 8.00 0.00 0.00 0.00 24.00 21.91 525.84 978.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: Total Eamings: 61.20 587.04 LABOR GROUP III $21.20 8.00 8.00 8.00 0.00 0.00 0.00 24.00 20.46 491.04 0.00 ' 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 61.20 Total Eamings: 552.24 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR FICA SWH SDI HEALTH PENSION TRAING ADMIN CONT/CC SAVINGS SUP.DUE OTHER 2 Check No: 55563 03/29/02 109.00 79.61 23.34 9.37 106.60 120.48 115.20 10.08 1.44 0.00 0.00 0.00 . 1.44 0.00 99.00 103.27 2.43 117.00 102.00 1.44 70.12 138.11 6.08 74.84 9.84 3.60 Check No: 55524 03/29/02 20.83 8.25 148.23 14.58 2.43 0.00 0.00 0.00 Check No: 55557 03/29/02 26.06 87.84 0.00 8.81 8.64 0.00 1.44 0.00 Tot Pay Tot Ded Net Pay 1040.77 327.92 712.85 916.64 301.47 615.17 978.40 328.71 649.69 Check No: 55558 03/29/02 920.40 151.00 70.41 43.26 8.28 920.40 102.00 81.84 87.84 8.64 1.44 374.95 1.44 3.60 0.00 0.00 0.00 545.45 OPERATOR GROUP 16 $31.16 8.00 8.00 8.00 8.00 8.00 0.00 40.00 30.16 1206.40 1336.35 0.00 0.00 0.00 0.50 0.00 0.00 0.50 45.24 22.62 Other Earnings: 107.33 Total Earnings: 1336.35 212.00 107.33 2.43 102.23 190.35 2.03 Check No: 55534 03/29/02 50.16 12.03 151.88 26.33 2.43 0.00 0.00 0.00 1336.35 483.75 852.60 Print Date: 07/23/2002 Page 1 Payroll No. 3 Project No. 208 Project Name Stover Avenue Sewer Exempts Gender Certified Payroll Report For the period ending 03/27/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Employee Information Ethic Sun Mon Tue Wed Thu PAUL GENTRY Soc Sec No: 551-08-7799 S-7 S 0.00 Male 0 0.00 C 685 NORTH STATE STREET, SP. #3, HEM ET , CA 92524 Fri Gross Tot Hrly This Sat Hrs Rate Project Gross All Projs OPERATOR GROUP 12 $30.54 8.00 8.00 8.00 8.00 8.00 0.00 40.00 29.54 1181.60 1287.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 106.00 Total Eamings: 1287.60 GONZALO MURILLO Soc Sec No: 549-06-6729 5140 WASH INGTON M - 4 S 0.00 8.00 AVENUE, CHINO , CA Male 0 0.00 0.00 91710 JOHN OROSCO Soc Sec No: 573-76-0535 12508 BAKER CT., CHINO , CA 91710 M-4 Male H S 0.00 O 0.00 LARRY PLOTNER Soc Sec No: 566-48-1227 2903 Valencia Avenue, San Bernardino , CA 92404 M - 2 Male C S 0.00 O 0.00 FELIPE RAMIREZ Soc Sec No: 545-23-8345 627 W. SUNKIST ST, M - 0 S 0.00 ONTARIO , CA 91762 Male 0 0.00 LABOR GROUP V FOREMAN $24.85 8.00 8.00 8.00 8.00 0.00 40.00 23.91 956.40 1077.60 0.00 0.00 0.50 0.00 0.00 0.50 35.86 17.93 Other Eamings: 103.27 Total Earnings: 1077.60 LABOR GROUP V FOREMAN $24.85 8.00 8.00 8.00 0.00 0.00 0.00 24.00 23.91 573.84 1058.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 61.20 Total Eamings: 635.04 OPERATOR FOREMAN $33.04 8.00 8.00 8.00 0.00 0.00 0.00 24.00 32.04 768.96 1387.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 63.60 Total Eamings: 832.56 LABORER GROUP IV $22.75 8.00 8.00 8.00 8.00 8.00 0.00 40.00 21.91 876.40 996.10 0.00 0.00 0.00 0.50 0.00 0.00 0.50 32.86 16.43 Other Earnings: Total Earnings: 103.27 996.10 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR FICA SWH SDI HEALTH PENSION TRAING ADMIN CONT/CC SAVINGS SUP.DUE OTHER 2 Check No: 55523 03/29/02 157.00 98.50 68.29 11.59 106.00 188.00 150.00 26.00 2.40 2.40 2.00 0.00 0.00 0.00 Tot Pay Tot Ded Net Pay 1287.60 441.38 846.22 Check No: 55536 03/29/02 97.00 82.43 22.52 9.69 1077.60 103.27 138.11 148.23 14.58 2.43 314.91 2.43 6.08 0.00 0.00 0.00 762.69 94.00 102.00 1.44 80.96 81.84 3.60 194.00 106.16 106.00 112.80 1.44 1.20 Check No: 55538 03/29/02 21.36 87.84 0.00 9.53 8.64 0.00 1.44 0.00 Check No: 55540 03/29/02 46.67 12.49 90.00 15.60 1.44 0.00 0.00 0.00 Check No: 55541 03/29/02 120.00 76.20 27.12 8.97 103.27 16.61 148.23 14.58 2.43 2.43 6.08 0.00 0.00 0.00 1058.40 307.85 750.55 1387.60 465.32 922.28 996.10 335.56 660.54 Print Date: 07/23/2002 Page 2 Payroll No. 3 Project No. 208 Project Name Stover Avenue Sewer RONALD STRONG Soc Sec No: 492-44-6335 M - 0 S 0.00 8.00 Male 0 0.00 0.00 27611 EAST 14TH STREET, HIGHLAND , CA 92346 LUIS CANTORAN Soc Sec No: 556-21-1386 M - 3 S 0.00 8.00 Male 0 0.00 0.00 H 15072 C HRISTI NA COURT, LAKE ELSINORE, CA 92330 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 OPERATOR GROUP XI FOREMAN $36.50 8.00 8.00 8.00 8.00 0.00 40.00 36.50 1460.00 1566.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 106.00 Total Eamings: 1566.00 LABORER GROUP 1 $20.10 8.00 8.00 8.00 8.00 0.00 40.00 19.46 778.40 896.27 0.00 0.00 0.50 0.00 0.00 0.50 29.20 14.60 Other Eamings: 103.27 Total Earnings: 896.27 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Check No: 55546 03/29/02 274.00 119.81 69.29 14.09 106.00 188.00 150.00 26.00 2.40 2.40 2.00 0.00 0.00 78.00 103.27 2.43 68.56 138.11 6.08 0.00 Check No: 55548 03/29/02 14.05 8.06 148.23 14.58 2.43 0.00 0.00 0.00 1566.00 583.19 982.81 896.27 271.94 624.33 Print Date: 07/23/2002 Page 3 Payroll No. 3 Project No. 208 Project Name Stover Avenue Sewer Date: 07/23/2002 Payroll No: 3 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 STATEMENT OF COMPLIANCE Contractor's License No. A 370846 Employer Identification No. 95-3271209 I, Kellie Jo Cross, Payroll Manager, do hereby state: (1) That I pay or supervise the payment of the persons employed by ALBERT W. DAVIES, INC. on the Stover Avenue Sewer project; that during the payroll period commenting on March 21, 2002 and ending March 27, 2002, all persons employed on said project have been paid the full weekly wages earned, that no rebates have or will be made either directly or indirectly to or on behalf of said ALBERT W. DAVIES, INC. from the full weekly wages eamed 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 as defined in Regulations, Part 3 (29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat. 948.63 Stat. 108, 72 Stat. 967; 76 Stat. 357; 40 U.S.C. 276c), and described below: Taxes: Federal W/H, FICA/Medicare, State WM, State SDI/Local Other. Vacation Pay, Child Support, Attachments, Advances (2) That any payrolls otherwise under this contract 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 than the applicable wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work he 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 recognized by the Bureau of Apprenticeship and Training, United States Department of Labor, or if no such recognized agency exists in a State, are registered with the Bureau of Apprenticeship and Training, United States Department of Labor. (4) That (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS OR PROGRAMS In addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of fringe benefits as listed in the contract have been or will be made to appropriate programs for the benefit of such employees, except as notice in Sedion 4 (c) below. (b) WHERE FRINGE BENEFITS ARE PAID IN CASH nEach laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll, an amount not less than the sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed in the contract, except as notice in Section 4 (c) below. (c) EXCEPTIONS EXCEPTION (CRAFT) Kellie Jo Cross, Payroll ager EXPLANATION 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 18AND SECTION 231 OF TITLE 31 OF THE UNITED STATES CODE. Print Date: 07/23/2002 Page 4 Payroll No. 4 Project No. 208 Project Name Stover Avenue Sewer Certified Payroll Report For the period ending 04/03/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments Exempts Gross Gross FWH FICA SWH SDI Tot Pay Gender Hours Tot Hrly This All VAC/HOL HEALTH PENSION TRAING ADMIN Tot Ded Employee Information Ethic Sun7,/Mon �'r Tue Wed Thu FriSatSat Hrs Rate Project Projs INDUSTR CONT/CC SAVINGS SUP.DUE OTHER 2 Net Pay JEFFERY FIELD Soc Sec No: 549-92-24f1 %' ""`� v /iV i OPERATOR GROUP 8 $30.54 Check No: 55623 04/05/02 1614 CARMEL CIRCLE, M - 5 S 0.00 0.00 8.00 8.00 0.00 8.00 0.00 24.00 29.54 708.96 1030.08 81.00 78.79 18.15 9.27 1030.08 UPLAND, CA 91781 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 84.80 112.80 90.00 15.60 1.44 272.01 C Other Eamings: 63.60 1.44 1.20 0.00 0.00 0.00 758.07 Total Earnings: 772.56 JAMES GARDNER, JR. Soc Sec No: 561-84-4016 TEAMSTER GROUP V $22.91 7032 DW IGHT WAY, M - 2 S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 22.51 900.40 1004.40 SAN BERNARDINO , CA Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92404 C Other Eamings: 104.00 Total Eamings: 1004.40 BONIFACIO CARLOS Soc Sec No: 549-11-7986 LABORER GROUP II $20.65 3312 EAST MAIN M -1 S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 19.96 798.40 900.40 AVENUE, BALDWIN Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 PARK , CA 91706 Other Eamings: 102.00 Total Eamings: 900.40 FRANCISCO MUNDO Soc Sec No: 572-91-4437 LABORER GROUP IV $22.75 16855 Baltic Court, M - 0 S 0.00 0.00 •8.00 8.00 0.00 8.00 0.00 24.00 21.91 525.84 978.40 Moreno Valley, CA 92551 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: Total Eamings: 61.20 587.04 103.00 104.00 0.00 76.85 200.80 0.00 Check No: 55624 04/05/02 21.16 9.04 192.00 16.80 2.40 0.00 2.40 0.00 1004.40 314.05 690.35 Check No: 55615 04/05/02 96.00 68.88 19.86 8.10 900.40 102.00 136.40 146.40 14.40 2.40 294.84 2.40 6.00 0.00 0.00 0.00 605.56 117.00 102.00 1.44 74.85 9.84 3.60 Check No: 55650 04/05/02 26.06 87.84 0.00 8.80 8.64 0.00 1.44 0.00 978.40 328.71 649.69 MANUEL PICENO Soc Sec No: 571-25-7624 LABOR GROUP III $21.20 Check No: 55651 04/05/02 755 E. LINFIELD S -1 S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 20.46 818.40 920.40 151.00 70.41 • 43.26 8.29 920.40 STREET, AZUSA , CA Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 102.00 136.40 146.40 14.40 2.40 374.96 91702 H Other Earnings: 102.00 2.40 6.00 0.00 0.00 0.00 545.44 Total Earnings: 920.40 Print Date: 07/23/2002 Page 1 Payroll No. 4 Project No. 208 Project Name Stover Avenue Sewer Exempts Gender Employee Information Ethic Certified Payroll Report For the period ending 04/03/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Sun Mon Tue Wed Thu Fri EARLE MARLAR Soc Sec No: 568-15-1114 515 SOUTH 16TH STREET, BANNING , CA 92220 M-0 S 0.00 Male 0 0.00 Gross Tot Hrly This Sat Hrs Rate Project Gross All Projs OPERATOR GROUP 16 $31.16 8.00 8.00 8.00 8.00 8.00 0.00 40.00 30.16 1206.40 1312.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 106.00 Total Eamings: 1312.40 WILLIAM MITCHELL Soc Sec No: 238-86-9112 1675 SHERIDAN ROAD, M - 0 S 0.00 8.00 SAN BERNARDINO , CA Male 0 0.00 0.00 92407 C GONZALO MURILLO Soc Sec No: 549-06-6729 5140 WASH INGTON AVENUE, CHINO , CA 91710 M - 4 Male H OPERATOR GROUP 16 $31.66 8.00 8.00 8.00 8.00 0.00 40.00 30.66 1226.40 1332.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 106.00 Total Eamings: 1332.40 LABOR GROUP V FOREMAN $24.85 S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 23.91 956.40 1058.40 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 102.00 Total Earnings: 1058.40 JOHN OROSCO Soc Sec No: 573-76-0535 12508 BAKER CT., M - 4 S 0.00 Male 0 0.00 H CHINO,CA 91710 LARRY PLOTNER Soc Sec No: 566-48-1227 2903 Valencia Avenue, San Bernardino , CA 92404 M - 2 S 0.00 Male 0 0.00 C LABOR GROUP V FOREMAN $24.85 0.00 8.00 8.00 0.00 8.00 0.00 24.00 23.91 573.84 1058.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 61.20 Total Eamings: 635.04 OPERATOR FOREMAN $33.04 0.00 8.00 8.00 0.00 8.00 0.00 24.00 32.04 768.96 1387.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 63.60 Total Earnings: 832.56 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH FICA SWH SDI VAC/HOL HEALTH PENSION TRAING ADMIN INDUSTR CONT/CC SAVINGS SUP.DUE OTHER 2 Tot Pay Tot Ded Net Pay Check No: 55627 04/05/02 205.00 100.40 48.24 11.81 1312.40 106.00 188.00 150.00 26.00 2.40 471.45 2.40 2.00 0.00 0.00 0.00 840.95 211.00 101.93 106.00 188.00 2.40 2.00 Check No: 55628 04/05/02 49.84 11.99 1332.40 150.00 26.00 2.40 480.76 0.00 0.00 0.00 851.64 Check No: 55629 04/05/02 94.00 80.97 21.36 9.53 1058.40 102.00 136.40 146.40 14.40 2.40 307.86 2.40 6.00 0.00 0.00 0.00 Check No: 55631 04/05/02 94.00 80.97 21.36 9.52 102.00 81.84 87.84 8.64 1.44 1.44 3.60 0.00 0.00 0.00 194.00 106.00 1.44 106.15 112.80 1.20 Check No: 55633 04/05/02 46.67 12.49 90.00 15.60 1.44 0.00 0.00 0.00 750.54 1058.40 307.85 750.55 1387.60 465.31 922.29 Print Date: 07/23/2002 Page 2 Payroll No. 4 Project No. 208 Project Name Stover Avenue Sewer FELIPE RAMIREZ Soc Sec No: 545-23-8345 627 W. SUNKIST ST, M - 0 S 0.00 Male 0 0.00 ONTARIO , CA 91762 RONALD STRONG Soc Sec No: 492-44-6335 M - 0 S 0.00 8.00 Male 0 0.00 0.00 C 27611 EAST 14TH STREET, HIGHLAND , CA 92346 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 LABORER GROUP IV $22.75 8.00 8.00 8.00 8.00 8.00 0.00 40.00 21.91 876.40 978.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 LUIS CANTO RAN Soc Sec No: 556-21-1386 15072 CHRISTINA M - 3 S 0.00 COURT, LAKE Male 0 0.00 ELSINORE , CA 92330 Other Eamings: Total Earnings: 102.00 978.40 OPERATOR GROUP XI FOREMAN $36.50 8.00 8.00 8.00 8.00 0.00 40.00 36.50 1460.00 1566.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 106.00 Total Eamings: 1566.00 LABORER GROUP I $20.10 8.00 8.00 8.00 8.00 8.00 0.00 40.00 19.46 778.40 880.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 102.00 Total Earnings: 880.40 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Check No: 55634 04/05/02 117.00 74.85 26.06 8.80 102.00 16.40 146.40 14.40 2.40 2.40 6.00 0.00 0.00 0.00 Check No: 55639 04/05/02 274.00 119.80 69.29 14.10 106.00 188.00 150.00 26.00 2.40 2.40 2.00 0.00 0.00 0.00 Check No: 55641 04/05/02 76.00 67.36 13.41 7.93 102.00 136.40 146.40 • 14.40 2.40 2.40 6.00 0.00 0.00 0.00 978.40 328.71 649.69 1566.00 583.19 982.81 880.40 266.70 613.70 Print Date: 07/23/2002 Page 3 Payroll No. 4 Project No. 208 Project Name Stover Avenue Sewer Date: 07/23/2002 Payroll No: 4 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 STATEMENT OF COMPLIANCE Contractor's License No. A 370846 Employer Identification No. 95-3271209 I, Kellie Jo Cross, Payroll Manager, do hereby state: (1) That I pay or supervise the payment of the persons employed by ALBERT W. DAVIES, INC. on the Stover Avenue Sewer project; that during the payroll period commendng on March 28, 2002 and ending April 03, 2002, all persons employed on said project have been paid the full weekly wages earned, that no rebates have or will be made either directly or indirectly to or on behalf of said ALBERT W. DAVIES, INC. from the full weekly wages eamed 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 as defined in Regulations, Part 3 (29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat. 948.63 Stat. 108, 72 Stat. 967; 76 Stat. 357; 40 U.S.C. 276c), and described below: Taxes: Federal W/H, FICA/Medicare, State W/H, State SDI/Local Other. Vacation Pay, Child Support, Attachments, Advances (2) That any payrolls otherwise under this contract 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 than the applicable wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work he 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 recognized by the Bureau of Apprenticeship and Training, United States Department of Labor, or if no such recognized agency exists in a State, are registered with the Bureau of Apprenticeship and Training, United States Department of Labor. (4) That: (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS OR PROGRAMS In addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of fringe benefits as listed in the contract have been or will be made to appropriate programs for the benefit of such employees, except as notice in Section 4 (c) below. (b) WHERE FRINGE BENEFITS ARE PAID IN CASH Each laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll, an amount not less than the sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed in the contract, except as notice in Section 4 (c) below. (c) EXCEPTIONS EXCEPTION (CRAFT) (3:31. Kellie Jo Cross, Pay r Manager EXPLANATION 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. Print Date: 07/23/2002 Page 4 Payroll No. 5 Project No. 208 Project Name Stover Avenue Sewer Employee Information JEFFERY FIELD Exempts Gender Ethic Certified Payroll Report For the period ending 04/10/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Gross Tot Hrly This Sun Mon Tue Wed Thu Fri Sat Hrs Rate Project Gross All Projs 4' W ` 7 q 11I5 "'OPERATOR GROUP 8 $30.54 Soc Sec No: 54992-2 12 1614 CARMEL CIRCLE, UPLAND , CA 91781 M - 5 S 0.00 8.00 Male 0 0.00 0.00 C JAMES GARDNER, JR. Soc Sec No: 561-84-4016 7032 DW IGHT WAY, SAN BERNARDINO , CA 92404 M - 2 S 0.00 8.00 Male 0 0.00 0.00 C BONIFACIO CARLOS Soc Sec No: 549-11-7986 M-1 S 0.00 8.00 Male 0 0.00 0.00 3312 EAST MAIN AVENUE, BALDWIN PARK , CA 91706 FRANCISCO MUNDO Soc Sec No: 572-91-4437 M - 0 S 0.00 8.00 Male 0 0.00 0.00 H 16855 Baltic Court, Moreno Valley, CA 92551 MANUEL PICENO Soc Sec No: 571-25-7624 S -1 S 0.00 8.00 8.00 8.00 8.00 Male 0 0.00 0.00 0.00 0.00 0.00 H 755 E. LINFIELD STREET, AZUSA , CA 91702 8.00 8.00 8.00 8.00 0.00 40.00 29.54 1181.60 1287.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.00 8.00 0.00 0.00 8.00 8.00 0.00 0.00 8.00 8.00 0.00 0.00 Other Eamings: Total Eamings: 106.00 1287.60 TEAMSTER GROUP V $22.91 8.00 8.00 0.00 40.00 22.51 900.40 1040.77 0.50 0.50 0.00 1.00 33.77 33.77 Other Eamings: 106.60 Total Eamings: 1040.77 LABORER GROUP II $20.65 8.00 8.00 0.00 40.00 19.96 798.40 900.40 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: Total Eamings: 102.00 900.40 LABORER GROUP IV $22.75 8.00 8.00 0.00 40.00 21.91 876.40 978.40 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 102.00 Total Eamings: 978.40 LABOR GROUP III $21.20 8.00 0.00 40.00 20.46 818.40 0.00 0.00 0.00 0.00 0.00 Other Eamings: 102.00 Total Earnings: 920.40 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH FICA SWH SDI Tot Pay VAC/HOL HEALTH PENSION TRAING ADMIN Tot Ded INDUSTR CONT/CC SAVINGS SUP.DUE OTHER 2 Net Pay Check No: 55743 04/12/02 121.00 98.50 34.11 11.59 106.00 188.00 150.00 26.00 2.40 2.40 2.00 0.00 0.00 0.00 1287.60 371.20 916.40 Check No: 55744 04/12/02 109.00 79.61 23.34 9.37 1040.77 106.60 205.82 196.80 17.22 2.46 327.92 0.00 0.00 0.00 2.46 0.00 712.85 Check No: 55735 04/12/02 96.00 68.88 19.86 8.11 102.00 136.40 146.40 14.40 2.40 2.40 6.00 0.00 0.00 0.00 Check No: 55770 04/12/02 117.00 74.85 26.06 8.81 102.00 16.40 146.40 14.40 2.40 2.40 6.00 0.00 0.00 0.00 Check No: 55771 04/12/02 920.40 151.00 70.42 43.26 8.28 102.00 136.40 146.40 14.40 2.40 2.40 6.00 0.00 0.00 0.00 900.40 294.85 605.55 978.40 328.72 649.68 920.40 374.96 545.44 Print Date: 07/23/2002 Page 1 Payroll No. 5 Project No. 208 Project Name Stover Avenue Sewer Exempts Gender Certified Payroll Report For the period ending 04/10/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Employee Information Ethic Sun Mon Tue Wed Thu EARLE MARLAR Soc Sec No: 568-15-1114 M - 0 S 0.00 8.00 Male 0 0.00 0.00 C 515 SOUTH 16TH STREET, BANNING , CA 92220 ROBERT WILMUTH Soc Sec No: 546-11-0102 6671 FAIRWAY LANE, S - 2 S 0.00 8.00 HIGHLAND , CA 92346 Male 0 0.00 0.00 JOE MARTI NEZ Soc Sec No: 569-98-0495 M - 3 S 0.00 Male 0 0.00 0.00 907 E. RIALTO AVENUE, SP. #24, SAN BERNARDINO , CA .92408 VICENT RUSSO Soc Sec No: 535-80-5397 S - 3 S 0.00 8.00 Male 0 0.00 0.00 C 9850 GARFIELD AVENUE, HUNTINGTON BEACH , CA 92646 WILLIAM MITCHELL Soc Sec No: 238-86-9112 M-0 S 0.00 8.00 Male 0 0.00 0.00 1675 SHERIDAN ROAD, SAN BERNARDINO , CA 92407 Fri Gross Tot Hrty This Sat Hrs Rate Project Gross All Projs OPERATOR GROUP 16 $31.16 8.00 8.00 8.00 8.00 0.00 40.00 30.16 1206.40 1312.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 106.00 Total Earnings: 1312.40 LABORER GROUP I $20.10 8.00 0.00 0.00 8.00 0.00 24.00 19.46 467.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 61.20 Total Eamings: 528.24 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH FICA SWH SDI VAC/HOL HEALTH PENSION TRAING ADMIN INDUSTR CONT/CC SAVINGS SUP.DUE OTHER 2 Tot Pay Tot Ded Net Pay Check No: 55747 04/12/02 205.00 100.40 48.24 11.81 1312.40 106.00 188.00 150.00 26.00 2.40 471.45 2.40 2.00 0.00 0.00 0.00 840.95 Check No: 55707 04/09/02 528.24 49.00 40.41 10.62 4.75 61.20 81.84 87.84 8.64 1.44 3.60 0.00 0.00 LABORER APPRETINCE STEP 1 $11.08 0.00 0.00 8.00 0.00 0.00 0.00 8.00 11.08 88.64 102.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 14.32 Total Eamings: 102.96 528.24 1.44 165.98 0.00 362.26 Check No: 55783 04/12/02 0.00 7.87 0.00 0.93 28.64 17.36 3.04 2.80 0.00 0.48 1.20 0.00 0.00 0.00 LABORER GROUP I $20.10 Check No: 55773 04/12/02 8.00 8.00 0.00 8.00 0.00 32.00 19.46 622.72 704.32 66.00 53.88 6.37 6.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.60 109.12 117.12 11.52 1.92 Other Eamings: 81.60 1.92 4.80 0.00 0.00 0.00 Total Eamings: 704.32 102.96 23.12 79.84 704.32 214.19 490.13 OPERATOR GROUP 16 $31.66 Check No: 55748 04/12/02 8.00 8.00 8.00 8.00 0.00 40.00 30.66 1226.40 1332.40 211.00 101.93 49.84 11.99 1332.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.00 188.00 150.00 26.00 2.40 480.76 Other Eamings: 106.00 2.40 2.00 0.00 0.00 0.00 851.64 Total Eamings: 1332.40 Print Date: 07/23/2002 Page 2 Payroll No. 5 Project No. 208 Project Name Stover Avenue Sewer Exempts Gender Certified Payroll Report For the period ending 04/10/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Employee Information Ethic Sun Mon GONZALO MURILLO Soc Sec No: 549-06-6729 M - 4 S 0.00 8.00 Male 0 0.00 0.00 5140 WASH INGTON AVENUE, CHINO , CA 91710 JOHN OROSCO Soc Sec No: 573-76-0535 12508 BAKER CT., M - 4 S 0.00 4.00 CHINO , CA 91710 Male 0 0.00 0.00 H LARRY PLOTNER Soc Sec No: 566-48-1227 2903 Valencia Avenue, San Bernardino , CA 92404 M - 2 S 0.00 Male 0 0.00 C FELIPE RAMIREZ Soc Sec No: 545-23-8345 627 W. SUNKIST ST, M - 0 S 0.00 Male 0 0.00 ONTARIO , CA 91762 BRIAN ROGERS Soc Sec No: 545-96-5766 22421 MILKY WAY, M - 9 S 0.00 TEHACHAPI , CA 93561 Male 0 0.00 Tue Wed Thu Fri Gross Tot Hrly This Sat Hrs Rate Project Gross All Projs LABOR GROUP V FOREMAN $24.85 8.00 8.00 8.00 8.00 0.00 40.00 23.91 956.40 1058.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 102.00 Total Earnings: 1058.40 LABOR GROUP V FOREMAN $24.85 0.00 0.00 8.00 8.00 0.00 20.00 23.91 478.20 529.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 51.00 Total Eamings: 529.20 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR FICA SWH SDI HEALTH PENSION TRAING ADMIN CONT/CC SAVINGS SUP.DUE OTHER 2 Che dk No: 55749 04/12/02 94.00 80.97 21.36 9.53 102.00 136.40 146.40 14.40 2.40 2.40 6.00 0.00 0.00 0.00 Check No: 55751 04/12/02 17.00 40.48 0.02 4.76 51.00 68.20 73.20 7.20 1.20 1.20 3.00 0.00 0.00 0.00 Tot Pay Tot Ded Net Pay 1058.40 307.86 750.54 529.20 113.26 415.94 OPERATOR FOREMAN $33.04 Check No: 55753 04/12/02 8.00 8.00 8.00 8.00 8.00 0.00 40.00 32.04 1281.60 1387.60 194.00 106.15 46.67 12.49 1387.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.00 188.00 150.00 26.00 2.40 465.31 106.00 2.40 2.00 0.00 0.00 0.00 922.29 1387.60 Other Earnings: Total Earnings: LABORER GROUP IV $22.75 8.00 8.00 8.00 8.00 8.00 0.00 40.00 21.91 876.40 978.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: Total Earnings: 102.00 978.40 OPERATOR GROUP 8 $30.54 8.00 8.00 8.00 0.00 0.00 0.00 24.00 29.54 708.96 1030.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 63.60 Total Eamings: 772.56 Check No: 55754 04/12/02 117.00 74.85 26.06 8.81 102.00 16.40 146.40 14.40 2.40 2.40 6.00 0.00 0.00 0.00 46.00 78.80 84.80 112.80 1.44 1.20 Check No: 55756 04/12/02 12.07 9.27 90.00 15.60 1.44 0.00 0.00 0.00 978.40 328.72 649.68 1030.08 230.94 799.14 Print Date: 07/23/2002 Page 3 Payroll No. 5 Project No. 208 Project Name Stover Avenue Sewer RONALD STRONG Soc Sec No: 492-44-6335 M - 0 S 0.00 8.00 Male 0 0.00 , 0.00 C 27611 EAST 14TH STREET, HIGHLAND CA 92346 LUIS CANTORAN Soc Sec No: 556-21-1386 M 3 S 0.00 8.00 Male 0 0.00 0.00 H 15072 C HRISTI NA COURT, LAKE ELSINORE , CA 92330 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Contractor's License No. A 370846 Employer Identification No. 95-3271209 OPERATOR GROUP XI FOREMAN $36.50 Check No: 55759 04/12/02 8.00 8.00 8.00 8.00 0.00 40.00 36.50 1460.00 1566.00 274.00 119.79 69.29 14.09 1566.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.00 188.00 150.00 26.00 2.40 583.17 Other Eamings: 106.00 2.40 2.00 0.00 0.00 0.00 982.83 Total Eamings: 1566.00 LABORER GROUP 1 $20.10 8.00 8.00 8.00 8.00 0.00 40.00 19.46 778.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 102.00 Total Eamings: 880.40 Check No: 55761 04/12/02 880.40 76.00 67.34 13.41 7.92 102.00 136.40 146.40 14.40 2.40 2.40 6.00 0.00 0.00 0.00 880.40 266.67 613.73 Print Date: 07/23/2002 Page 4 Payroll No. 5 Project No. 208 Project Name Slover Avenue Sewer Date: 07/23/2002 Payroll No: 5 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 STATEMENT OF COMPLIANCE Contractor's License No. A 370846 Employer Identification No. 95-3271209 I, Kellie Jo Cross, Payroll Manager, do hereby state: (1) That I pay or supervise the payment of the persons employed by ALBERT W. DAVIES, INC. on the Slover Avenue Sewer project; that during the payroll period commenting on April 04, 2002 and ending April 10, 2002, all persons employed on said project have been paid the full weekly wages earned, that no rebates have or will be made either directly or indirectly to or on behalf of said ALBERT W. DAVIES, INC. from the full weekly wages eamed 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 as defined in Regulations, Part 3 (29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat. 948.63 Stat. 108, 72 Stat. 967; 76 Stat. 357; 40 U.S.C. 276c), and described below: Taxes: Federal W/H, FlCA/Medicare, State W/H, State SDI/Local Other. Vacation Pay, Child Support, Attachments, Advances (2) That any payrolls otherwise under this contrad required to be submitted for the above period are correct and complete; that the wage rates for laborers or mechanics contained therein are not Tess than the applicable wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work he 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 recognized by the Bureau of Apprenticeship and Training, United States Department of Labor, or if no such recognized agency exists in a State, are registered with the Bureau of Apprenticeship and Training, United States Department of Labor. (4) That: (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS OR PROGRAMS nIn addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of fringe benefits as listed in the contract have been or will be made to appropriate programs for the benefit of such employees, except as notice in Sedion 4 (c) below. (b) WHERE FRINGE BENEFITS ARE PAID IN CASH Each laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll, an amount not less than the sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed in the contract, except as notice in Section 4 (c) below. (c) EXCEPTIONS EXCEPTION (CRAFT) Kellie Jo Cross, Payroll Mager EXPLANATION 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. Print Date: 07/23/2002 Page 5 Payroll No. 6 Project No. 208 Project Name Slover Avenue Sewer Exempts Gender Certified Payroll Report For the period ending 04/17/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Employee Information Ethic Sun Mon BONI FACIO CARLOS Soc Sec No: 54907986`5 M-1 S 0.00 2.00 Male 0 0.00 0.00 H 3312 EAST MAIN AVENUE, BALDWIN PARK , CA 91706 FRANCISCO MUNDO Soc Sec No: 16855 Baltic Court, M - 0 MorenoValtey, CA 92551 Male H 572-91-4437 S 0.00 2.00 O 0.00 0.00 MANUEL PICENO Soc Sec No: 571-25-7624 755 E. LINFIELD STREET, AZUSA , CA 91702 S -1 S 0.00 Male 0 0.00 H EARLE MARLAR Soc Sec No: 568-15-1114 S 0.00 O 0.00 515 SOUTH 16TH M - 0 STREET, BANNING , CA Male 92220 JOE MARTINEZ Soc Sec No: 569-98-0495 M - 3 S 0.00 Male 0 0.00 H 907 E. RIALTO AVENUE, SP. #24, SAN BERNARDINO , CA 92408 Gross Tot Hrly This Tue Wed Thu Fri Sat Hrs Rate Project Gross All Projs 4) 712ABORER GROUP I1 $20.65 8.00 8.00 8.00 8.00 0.00 34.00 19.96 678.64 765.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 86.70 Total Eamings: 765.34 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR FICA HEALTH CONT/CC SWH PENSION SAVINGS SDI TRAING SUP.DUE ADMIN OTHER 2 Check No: 55793 04/19/02 76.00 58.55 14.13 6.88 86.70 115.94 124.44 12.24 2.04 2.04 5.10 0.00 0.00 0.00 LABORER GROUP IV $22.75 Check No: 55827 04/19/02 8.00 8.00 8.00 8.00 0.00 34.00 21.91 744.94 831.64 95.00 63.61 18.30 7.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 86.70 13.94 124.44 12.24 2.04 Other Eamings: 86.70 2.04 5.10 0.00 0.00 0.00 Total Earnings: 831.64 2.00 8.00 16.00 0.00 0.00 0.00 LABOR GROUP III $21.20 8.00 8.00 0.00 42.00 20.46 859.32 966.42 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 107.10 Total Eamings: 966.42 OPERATOR GROUP 16 $31.16 2.00 8.00 8.00 8.00 0.00 0.00 26.00 30.16 784.16 853.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2.00 8.00 8.00 8.00 8.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: Total Eamings: 68.90 853.06 LABORER APPRETINCE STEP 1 $11.08 0.00 34.00 11.08 376.72 437.58 0.00 0.00 0.00 0.00 Other Earnings: 60.86 Total Eamings: 437.58 164.00 107.10 2.52 98.00 68.90 1.56 73.93 143.22 6.30 65.26 122.20 1.30 Check No: 55828 04/19/02 47.54 8.70 153.72 15.12 2.52 0.00 0.00 0.00 Check No: 55805 04/19/02 19.15 7.68 97.50 16.90 0.00 0.00 Tot Pay Tot Ded Net Pay 765.34 242.26 523.08 831.64 271.09 560.55 966.42 401.27 565.15 853.06 1.56 258.99 0.00 594.07 Check No: 55830 04/19/02 14.00 33.48 0.00 3.93 121.72 73.78 12.92 11.90 0.00 2.04 5.10 0.00 0.00 0.00 437.58 112.27 325.31 Print Date: 07/23/2002 Page 1 Payroll No. 6 Project No. 208 Project Name Stover Avenue Sewer Exempts Gender Employee Information Ethic VICENT RUSSO 9850 GARFIELD S - 3 AVENUE, HUNTINGTON Male BEACH , CA 92646 Certified Payroll Report For the period ending 04/17/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Sun Mon Tue Wed Thu Fri Soc Sec No: 535-80-5397 S 0.00 4.50 O 0.00 0.00 WILLIAM MITCHELL Soc Sec No: 238-86-9112 1675 SHERIDAN ROAD, M - 0 S 0.00 2.00 SAN BERNARDINO , CA Male 0 0.00 0.00 92407 Gross Tot Hrly This Sat Hrs Rate Project LABORER GROUP I $20.10 8.00 8.00 8.00 8.00 0.00 36.50 19.46 710.29 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 93.07 Total Eamings: 803.36 Gross All Projs 803.36 OPERATOR GROUP 16 $31.66 8.00 8.00 8.00 8.00 0.00 34.00 30.66 1042.44 1132.54 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: Total Eamings: 90.10 1132.54 GONZALO MURILLO Soc Sec No: 549-06-6729 LABOR GROUP V FOREMAN $24.85 S 0.00 2.00 8.00 8.00 8.00 8.00 0.00 34.00 23.91 812.94 899.64 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5140 WASH INGTON AVENUE, CHINO , CA 91710 M-4 Male H LARRY PLOTNER Soc Sec No: 566-48-1227 M - 2 S 0.00 Male 0 0.00 C 2903 Valencia Avenue, San Bemardino , CA 92404 FELIPE RAMIREZ Soc Sec No: 545-23-8345 627 W. SUNKIST ST, M - 0 S 0.00 Male 0 0.00 H ONTARIO , CA 91762 Other Eamings: 86.70 Total Eamings: 899.64 OPERATOR FOREMAN $33.04 8.00 8.00 8.00 8.00 8.00 0.00 40.00 32.04 1281.60 1387.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 106.00 Total Eamings: 1387.60 LABORER GROUP IV $22.75 2.00 8.00 8.00 8.00 8.00 0.00 34.00 21.91 744.94 831.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 86.70 Total Eamings: 831.64 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR 88.00 93.07 2.19 FICA SWH SDI HEALTH PENSION TRAING CONT/CC SAVINGS SUP.DUE 61.46 124.47 5.48 ADMIN OTHER 2 Check No: 55831 04/19/02 10.33 7.23 133.59 13.14 2.19 0.00 0.00 0.00 Tot Pay Tot Ded Net Pay 803.36 260.09 543.27 Check No: 55806 04/19/02 157.00 86.64 35.30 10.19 1132.54 90.10 159.80 127.50 22.10 2.04 379.23 2.04 1.70 0.00 0.00 0.00 753.31 Check No: 55807 04/19/02 70.00 68.82 12.66 8.09 86.70 115.94 124.44 12.24 2.04 2.04 5.10 0.00 0.00 0.00 899.64 246.27 653.37 Check No: 55811 04/19/02 194.00 106.15 46.67 12.48 1387.60 106.00 188.00 150.00 26.00 2.40 465.30 2.40 2.00 0.00 0.00 0.00 922.30 95.00 86.70 2.04 63.62 13.94 5.10 Check No: 55812 04/19/02 18.30 7.48 124.44 12.24 2.04 0.00 0.00 0.00 831.64 271.10 560.54 Print Date: 07/23/2002 Page 2 Payroll No. 6 Project No. 208 Project Name Stover Avenue Sewer BRIAN ROGERS Soc Sec No: 545-96-5766 22421 MILKY WAY, M - 9 S 0.00 Male 0 0.00 TEHACHAPI , CA 93561 RONALD STRONG Soc Sec No: 492-44-6335 M - 0 S 0.00 8.00 Male 0 0.00 0.00 C 27611 EAST 14TH STREET, HIGHLAND , CA 92346 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 OPERATOR GROUP 8 $30.54 0.00 8.00 8.00 8.00 8.00 0.00 32.00 29.54 945.28 1030.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 84.80 Total Eamings: 1030.08 LUIS CANTO RAN Soc Sec No: 556-21-1386 15072 C HRISTI NA M - 3 S 0.00 COURT, LAKE Male 0 0.00 ELSINORE , CA 92330 H Contractor's License No. A 370846 Employer Identification No. 95-3271209 Check No: 55839 04/19/02 46.00 78.81 12.07 9.27 1030.08 84.80 150.40 120.00 20.80 1.92 230.95 1.92 1.60 0.00 0.00 0.00 799.13 OPERATOR GROUP XI FOREMAN $36.50 Check No: 55816 04/19/02 8.00 8.00 8.00 8.00 0.00 40.00 36.50 1460.00 1566.00 274.00 119.80 69.29 14.10 1566.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.00 188.00 150.00 26.00 2.40 583.19 Other Eamings: 106.00 2.40 2.00 0.00 0.00 0.00 982.81 Total Eamings: 1566.00 LABORER GROUP 1$20.10 2.00 8.00 8.00 8.00 8.00 0.00 34.00 19.46 661.64 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 86.70 Total Eamings: 748.34 Check No: 55818 04/19/02 748.34 56.00 57.25 8.13 6.74 86.70 115.94 124.44 12.24 2.04 2.04 5.10 0.00 0.00 0.00 748.34 214.82 533.52 Print Date: 07/23/2002 Page 3 Payroll No. 6 Project No. 208 Project Name Stover Avenue Sewer Date: 07/23/2002 Payroll No: 6 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 STATEMENT OF COMPLIANCE Contractor's License No. A 370846 Employer Identification No. 95-3271209 I, Kellie Jo Cross, Payroll Manager, do hereby state: (1) That 1 pay or supervise the payment of the persons employed by ALBERT W. DAVIES, INC. on the SloverAvenue Sewer project; that during the payroll period commenting on April 11, 2002 and ending April 17, 2002, all persons employed on said project have been paid the full weekly wages earned, that no rebates have or will be made either directly or indirectly to or on behalf of said ALBERT W. DAVIES, INC. from the full weekly wages eamed 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 as defined in Regulations, Part 3 (29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat. 948.63 Stat. 108, 72 Stat. 967; 76 Stat. 357; 40 U.S.C. 276c), and described below. Taxes: Federal W/H, FICA/Medicare, State W/H, State SDI/Local Other. Vacation Pay, Child Support, Attachments, Advances (2) That any payrolls otherwise under this contract 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 than the applicable wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work he 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 recognized by the Bureau of Apprenticeship and Training, United States Department of Labor, or if no such recognized agency exists in a State, are registered with the Bureau of Apprenticeship and Training, United States Department of Labor. (4) That (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS OR PROGRAMS In addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of fringe benefits as listed in the contract have been or will be made to appropriate programs for the benefit of such employees, except as notice in Section 4 (c) below. (b) WHERE FRINGE BENEFITS ARE PAID IN CASH Each laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll, an amount not less than the sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed in the contract, except as notice in Section 4 (c) below. (c) EXCEPTIONS EXCEPTION (CRAFT) Kellie Jo Cross, Pay II anager EXPLANATION 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. Print Date: 07/23/2002 Page 4 Payroll No. 7 Project No. 208 Project Name Stover Avenue Sewer Exempts Gender Employee Information Ethic Contractor: Hours Certified Payroll Report For the period ending 04/24/2002 ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Gross Gross Tot Hrly This All Sun Mon -�Tuue Wed Thu Fri Sat Hrs Rate Project Projs SCOTT TONN Soc Sec No: 570-76-6592 3 31 ��� �I g 1/OPERATOR GROUP 8 $30.54 M - 0 . S 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 29.54 236.32 257.52 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 C Other Eamings: 21.20 Total Eamings: 257.52 919 COLIMA ROAD, SAN BERNARDINO , CA 92301 JEFFERY FIELD Soc Sec No: 549-92-2412 M - 5 S 0.00 Male 0 0.00 C 1614 CARMEL CIRCLE, UPLAND, CA 91781 0.00 8.00 2.00 0.00 0.00 0.00 JAMES GARDNER, JR. Soc Sec No: 561-84-4016 7032 DWIGHT WAY, SAN BERNARDINO , CA 92404 OPERATOR GROUP 8 $30.54 4.00 8.00 0.00 22.00 29.54 649.88 708.18 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 58.30 Total Eamings: 708.18 TEAMSTER GROUP V $22.91 M - 2 S 0.00 8.00 8.00 4.00 0.00 0.00 0.00 20.00 22.51 450.20 1029.51 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 C Other Eamings: 52.00 Total Eamings: 502.20 JAMES IVERSON Soc Sec No: 559-92-5741 8315 CHERRY, M - S 0.00 FONTANA , CA 92335 Male 0 0.00 C 8.00 8.00 4.00 0.00 0.00 0.00 BONI FACTO CARLOS Soc Sec No: 549-11-7986 M -1 S 0.00 8.00 Male 0 ' 0.00 0.00 3312 EAST MAIN AVENUE, BALDWIN PARK , CA 91706 8.00 8.00 0.00 0.00 TEAMSTER GROUP V $22.32 8.00 8.00 0.00 36.00 21.92 789.12 882.72 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 93.60 Total Eamings: 882.72 LABORER GROUP II $20.65 8.00 8.00 0.00 40.00 19.96 798.40 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 102.00 Total Eamings: 900.40 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR 13.00 21.20 0.48 33.00 58.30 1.32 FICA HEALTH CONT/CC SWH PENSION SAVINGS SDI TRAING SUP.DUE ADMIN OTHER 2 Check No: 55919 04/26/02 19.69 2.01 2.32 37.60 30.00 5.20 0.48 0.40 0.00 0.00 0.00 54.17 103.40 1.10 Check No: 55886 04/26/02 3.49 6.37 82.50 14.30 1.32 0.00 0.00 0.00 Check No: 55887 04/26/02 107.00 78.75 22.67 9.27 106.60 100.40 96.00 8.40 1.20 0.00 0.00 0.00 1.20 0.00 Check No: 55908 04/26/02 102.00 67.53 20.34 7.95 93.60 180.72 172.80 15.12 2.16 0.00 0.00 0.00 2.16 0.00 Check No: 55878 04/26/02 900.40 96.00 68.88 19.86 8.11 102.00 136.40 146.40 14.40 2.40 2.40 6.00 0.00 0.00 0.00 Tot Pay Tot Ded Net Pay 257.52 58.22 199.30 708.18 155.33 552.85 1029.51 324.29 705.22 882.72 291.42 591.30 900.40 294.85 605.55 Print Date: 07/23/2002 Page 1 Payroll No. 7 Project No. 208 Project Name Slover Avenue Sewer Exempts Gender Employee Information Ethic Certified Payroll Report For the period ending 04/24/2002. Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Sun Mon Tue Wed Thu Fri FRANCISCO MUNDO Soc Sec No: 572-91-4437 16855 Baltic Court, M - 0 S 0.00 8.00 Moreno Valley, CA 92551 Male 0 0.00 0.00 H MANUEL PICENO Soc Sec No: 571-25-7624 755 E. LINFIELD STREET, AZUSA , CA 91702 S-1 S Male 0 H Gross Tot Hrly This Sat Hrs Rate Project Gross All Projs LABORER GROUP IV $22.75 8.00 8.00 8.00 8.00 0.00 40.00 21.91 876.40 996.10 0.00 0.00 0.50 0.00 0.00 0.50 32.86 16.43 Other Eamings: 103.27 Total Earnings: 996.10 LABOR GROUP III $21.20 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 20.46 818.40 920.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 EARLE MARLAR Soc Sec No: 568-15-1114 S 0.00 0 0.00 515 SOUTH 16TH M - 0 STREET, BANNING , CA Male 92220 JOE MARTINEZ 907 E. RIALTO AVENUE, SP. #24, SAN BERNARDINO , CA 92408 VICENT RUSSO 9850 GARFIELD AVENUE, HUNTINGTON BEACH , CA 92646 Soc Sec No: 569-98-0495 M - 3 S 0.00 Male 0 0.00 H Soc Sec No: 535-80-5397 S - 3 S 0.00 Male 0 0.00 C Other Earnings: 102.00 Total Eamings: 920.40 OPERATOR GROUP 16 $31.16 0.00 8.00 8.00 8.00 8.00 0.00. 32.00 30.16 965.12 1049.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: Total Eamings: 84.80 1049.92 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR LABORER APPRETINCE STEP I $11.08 2.00 8.00 8.00 8.00 0.00 0.00 26.00 11.08 288.08 334.62 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 46.54 Total Eamings: 334.62 LABORER GROUP I $20.10 2.00 8.00 0.00 8.00 0.00 0.00 18.00 19.46 350.28 396.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: Total Earnings: 45.90 396.18 120.00 103.27 2.43 FICA SWH SDI HEALTH PENSION TRAING ADMIN CONT/CC SAVINGS SUP.DUE OTHER 2 76.21 16.61 6.08 Check No: 55912 04/26/02 27.12 8.97 148.23 14.58 2.43 0.00 0.00 0.00 Check No: 55920 04/26/02 151.00 70.41 43.26 8.29 102.00 136.40 146.40 14.40 2.40 2.40 6.00 0.00 0.00 0.00 134.00 80.32 84.80 150.40 1.92 1.60 Check No: 55890 04/26/02 30.35 9.45 120.00 20.80 1.92 0.00 0.00 0.00 Check No: 55915 04/26/02 4.00 25.60 0.00 3.02 93.08 56.42 9.88 9.10 0.00 1.56 3.90 0.00 0.00 0.00 Check No: 55916 04/26/02 20.00 30.31 0.00 3.56 45.90 61.38 65.88 6.48 1.08 1.08 2.70 0.00 0.00 0.00 Tot Pay Tot Ded Net Pay 996.10 335.57 660.53 920.40 374.96 545.44 1049.92 338.92 711.00 334.62 79.16 255.46 396.18 99.77 296.41 Print Date: 07/23/2002 Page 2 Payroll No. 7 Project No. 208 Project Name Stover Avenue Sewer Exempts Gender Certified Payroll Report For the period ending 04/24/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Employee Information Ethic Sun Mon Tue Wed Thu WILLIAM MITCHELL Soc Sec No: 238-86-9112 M - 0 S 0.00 8.00 Male 0 0.00 0.00 1675 SHERIDAN ROAD, SAN BERNARDINO , CA 92407 GONZALO MURILLO Soc Sec No: 549-06-6729 M - 4 S 0.00 8.00 Male 0 0.00 0.00 H 5140 WASH INGTON AVENUE, CHINO , CA 91710 JOHN OROSCO Soc Sec No: 573-76-0535 12508 BAKER CT., CHINO , CA 91710 M - 4 S 0.00 Male 0 0.00 H LARRY PLOTNER Soc Sec No: 566-48-1227 M - 2 S 0.00 Male 0 0.00 2903 Valencia Avenue, San Bemardino , CA 92404 FELIPE RAMI REZ Soc Sec No: 545-23-8345 627 W. SUNKIST ST, M - 0 S 0.00 Male 0 0.00 H ONTARIO , CA 91762 Fri Gross Tot Hrly This Sat Hrs Rate Project Gross All Profs OPERATOR GROUP 16 $31.66 8.00 8.00 8.00 8.00 0.00 40.00 30.66 1226.40 1332.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 106.00 Total Earnings: 1332.40 LABOR GROUP V FOREMAN $24.85 8.00 8.00 8.00 8.00 0.00 40.00 23.91 956.40 1058.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 102.00 Total Eamings: 1058.40 LABOR GROUP V FOREMAN $24.85 8.00 8.00 8.00 8.00 8.00 0.00 40.00 23.91 956.40 1058.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 102.00 Total Earnings: 1058.40 OPERATOR FOREMAN $33.04 8.00 8.00 8.00 8.00 8.00 0.00 40.00 32.04 1281.60 1387.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: Total Eamings: 106.00 1387.60 LABORER GROUP IV $22.75 8.00 8.00 8.00 8.00 8.00 0.00 40.00 21.91 876.40 978.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 102.00 Total Eamings: 978.40 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR FICA SWH SDI HEALTH PENSION TRAING CONT/CC SAVINGS SUP.DUE ADMIN OTHER 2 Check No: 55891 04/26/02 211.00 101.93 49.84 11.99 106.00 188.00 150.00 26.00 2.40 2.40 2.00 0.00 0.00 0.00 Tot Pay Tot Ded Net Pay 1332.40 480.76 851.64 Check No: 55892 04/26/02 94.00 80.97 21.36 9.53 1058.40 102.00 136.40 146.40 14.40 2.40 307.86 2.40 6.00 0.00 0.00 0.00 750.54 Check No: 55894 04/26/02 94.00 80.98 21.36 9.52 102.00 136.40 146.40 14.40 2.40 2.40 6.00 0.00 0.00 0.00 Check No: 55896 04/26/02 194.00 106.15 46.67 12.49 106.00 188.00 150.00 26.00 2.40 2.40 2.00 0.00 0.00 0.00 Check No: 55897 04/26/02 117.00 74.84 26.06 8.81 102.00 16.40 146.40 14.40 2.40 2.40 6.00 0.00 0.00 0.00 1058.40 307.86 750.54 1387.60 465.31 922.29 978.40 328.71 649.69 Print Date: 07/23/2002 - Page 3 Payroll No. 7 Project No. 208 Project Name Stover Avenue Sewer BRIAN ROGERS Soc Sec No: 545-96-5766 22421 MILKY WAY, M - 9 S 0.00 TEHACHAPI , CA 93561 Male 0 0.00 C VICTOR RUIZ Soc Sec No: 545-21-8611 1964 MURRIETTA ROAD, M - 3 S 0.00 PERRIS, CA 92571 Male 0 0.00 H Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 OPERATOR GROUP 8 $30.54 8.00 8.00 8.00 8.00 8.00 0.00 40.00 29.54 1181.60 1311.08 0.00 0.00 0.00 0.50 0.00 0.00 0.50 44.30 22.15 Other Eamings: 107.33 Total Earnings: 1311.08 LABOR GROUP 11I $21.20 8.00 8.00 8.00 8.00 8.00 0.00 40.00 20.46 818.40 920.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 102.00 Total Eamings: 920.40 RONALD STRONG Soc Sec No: 492-44-6335 27611 EAST 14TH M - 0 S 0.00 8.00 STREET, HIGHLAND , Male 0 0.00 0.00 CA 92346 C LUIS CANTORAN Soc Sec No: 556-21-1386 M - 3 S 0.00 Male 0 0.00 15072 C HRISTI NA COURT, LAKE ELSINORE , CA 92330 PAUL DAVIES Soc Sec No: 565-08-4456 7398 LONDON AVENUE, M - 0 S 0.00 RANCHO CUCAMONGA , Male 0 0.00 CA 91730 C OPERATOR GROUP XI FOREMAN $36.50 8.00 8.00 8.00 8.00 0.00 40.00 36.50 1460.00_1566.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 106.00 Total Eamings: 1566.00 LABORER GROUP 1$20.10 8.00 8.00 8.00 8.00 8.00 0.00 40.00 19.46 778.40 880.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: Total Eamings: 102.00 880.40 OPERATOR GROUP 16 $31.16 8.00 8.00 8.00 0.00 8.00 0.00 32.00 30.16 965.12 1049.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 84.80 Total Earnings: 1049.92 89.00 107.33 2.43 82.00 102.00 2.40 274.00 106.00 2.40 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Check No: 55899 04/26/02 100.29 29.91 11.80 1311.08 190.35 151.88 26.33 2.43 338.33 2.03 0.00 0.00 0.00 972.75 70.40 136.40 6.00 119.80 188.00 2.00 Check No: 55900 04/26/02 15.01 8.28 146.40 14.40 0.00 0.00 920.40 2.40 277.69 0.00 642.71 Check No: 55902 04/26/02 69.29 14.09 150.00 26.00 2.40 0.00 0.00 0.00 Check No: 55904 04/26/02 76.00 67.36 13.41 7.92 102.00 136.40 146.40 14.40 2.40 2.40 6.00 0.00 0.00 0.00 Check No: 55884 04/26/02 234.00 80.31 45.35 9.45 84.80 150.40 120.00 20.80 1.92 1.92 1.60 0.00 0.00 0.00 1566.00 583.18 982.82 880.40 266.69 613.71 1049.92 453.91 596.01 Print Date: 07/23/2002 Page 4 Payroll No. 7 Project No. 208 Project Name Stover Avenue Sewer Date: 07/23/2002 Payroll No: 7 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 STATEMENT OF COMPLIANCE Contractor's License No. A 370846 Employer Identification No. 95-3271209 I, Kellie Jo Cross, Payroll Manager, do hereby state: (1) That 1 pay or supervise the payment of the persons employed by ALBERT W. DAVIES, INC. on the Stover Avenue Sewer project; that during the payroll period commenting on April 18, 2002 and ending April 24, 2002, all persons employed on said project have been paid the full weekly wages earned, that no rebates have or will be made either directly or indirectly to or on behalf of said ALBERT W. DAVIES, INC. from the full weekly wages eamed by any person and that no deductions have been made either diredly or indirectly from the full wages earned by any person, other than permissible deductions as defined in Regulations, Part 3 (29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat. 948.63 Stat. 108, 72 Stat. 967; 76 Stat. 357; 40 U.S.C. 276c), and described below: Taxes: Federal W/H, FICA/Medicare, State W/H, State SDI/Local Other. Vacation Pay, Child Support, Attachments, Advances (2) That any payrolls otherwise under this contract 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 than the applicable wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work he 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 recognized by the Bureau of Apprenticeship and Training, United States Department of Labor, or if no such recognized agency exists in a State, are registered with the Bureau of Apprenticeship and Training, United States Department of Labor. (4) That (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS OR PROGRAMS In addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of fringe benefits as listed in the contract have been or will be made to appropriate programs for the benefit of such employees, except as notice in Section 4 (c) below. (b) WHERE FRINGE BENEFITS ARE PAID IN CASH Each laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll, an amount not Tess than the sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed in the contract, except as notice in Section 4 (c) below. (c) EXCEPTIONS EXCEPTION (CRAFT) S1c_a.4-m/ Kellie Jo Cross, Payroll ager EXPLANATION 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. Print Date: 07/23/2002 Page 5 Payroll No. 8 Project No. 208 Project Name Stover Avenue Sewer Certified Payroll Report For the period ending 05/01/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments Exempts Gross Gross FWH FICA SWH SDI Tot Pay Gender Hours Tot Hrly This All VAC/HOL HEALTH PENSION TRAING ADMIN Tot Ded Employee Information Ethic /Sun Mon Tue�Wed Thu Fri Sat Hrs Rate Project Projs INDUSTR CONT/CC SAVINGS SUP.DUE OTHER 2 Net Pay SCOTT TONN Soc Sec No: 570 76 6592 ZS / `� `� �l . 2-5-11124° l/ OPERATOR GROUP 8 $30.54 919 COLIMA ROAD, SAN M - 0 S 0.00 8.00 8.00 0.00 0.00 5.00 0.00 21.00 29.54 620.34 933.51 110.00 BERNARDINO , CA Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 76.85 92301 C Other Eamings: 55.65 1.26 Total Eamings: 675.99 JEFFERY FIELD Soc Sec No: 549-92-2412 OPERATOR GROUP 8 $30.54 1614 CARMEL CIRCLE, M - 5 S 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 29.54 236.32 1405.01 UPLAND , CA 91781 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 C Other Eamings: 21.20 Total Eamings: 257.52 Check No: 55965 05/03/02 71.42 23.36 8.40 933.51 98.70 78.75 13.65 1.26 290.03 1.05 0.00 0.00 0.00 643.48 Check No: 55945 05/03/02 152.00 107.48 43.50 12.65 1405.01 112.63 37.60 30.00 5.20 0.48 428.26 0.48 0.40 0.00 0.00 0.00 976.75 JAMES GARDNER, JR. Soc Sec No: 561-84-4016 TEAMSTER GROUP V $22.91 Check No: 55946 05/03/02 7032 DW IGHT WAY, M - 2 S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 22.51 900.40 1058.95 111.00 81.01 24.44 9.53 1058.95 SAN BERNARDINO , CA Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 107.90 200.80 192.00 16.80 2.40 333.88 92404 C Other Eamings: 104.00 0.00 0.00 0.00 2.40 0.00 725.07 Total Eamings: 1004.40 BONIFACIO CARLOS Soc Sec No: 549-11-7986 LABORER GROUP II $20.65 3312 EAST MAIN M - 1 S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 19.96 798.40 900.40 AVENUE, BALDWIN Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 PARK , CA 91706 Other Eamings: 102.00 Total Eamings: 900.40 Check No: 55937 05/03/02 96.00 68.88 19.86 8.10 900.40 102.00 136.40 146.40 14.40 2.40 294.84 2.40 6.00 0.00 0.00 0.00 605.56 FRANCISCO MUNDO Soc Sec No: 572-91-4437 LABORER GROUP IV $22.75 Check No: 55972 05/03/02 16855 Baltic Court, M - 0 S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 21.91 876.40 978.40 117.00 74.84 26.06 8.81 978.40 Moreno Valley , CA 92551 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 102.00 16.40 146.40 14.40 2.40 328.71 H Other Eamings: 102.00 2.40 6.00 '0.00 0.00 0.00 649.69 Total Eamings: 978.40 Print Date: 07/23/2002 Page 1 Payroll No. 8 Project No. 208 Project Name Slover Avenue Sewer Employee Information Exempts Gender Ethic Certified Payroll Report For the period ending 05/01/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Gross Tot Hrly This Sun Mon Tue Wed Thu Fri Sat Hrs Rate Project MANUEL PICENO Soc Sec No: 571-25-7624 755 E. LINFIELD STREET, AZUSA , CA 91702 S - 1 S 0.00 8.00 Male 0 0.00 0.00 H EARLE MARLAR Soc Sec No: 568-15-1114 515 SOUTH 16TH STREET, BANNING , CA 92220 M - 0 S 0.00 Male 0 0.00 C VICENT RUSSO Soc Sec No: 535-80-5397 S 0.00 0 0.00 9850 GARFIELD AVENUE, HUNTINGTON BEACH ,'CA 92646 S - 3 Male C LABOR GROUP II1$21.20 Gross All Projs 8.00 8.00 8.00 8.00 0.00 40.00 20.46 818.40 920.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 102.00 Total Eamings: 920.40 OPERATOR GROUP 16 $31.16 8.00 8.00 8.00 8.00 8.00 0.00 40.00 30.16 1206.40 1312.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 106.00 Total Eamings: 1312.40 LABORER GROUP I $20.10 8.00 8.00 4.00 8.00 8.00 0.00 36.00 19.46 700.56 792.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 WILLIAM MITCHELL Soc Sec No: 238-86-9112 M - 0 S 0.00 8.00 Male 0 0.00 0.00 1675 SHERIDAN ROAD, SAN BERNARDINO , CA 92407 GONZALO MURI LLO Soc Sec No: 549-06-6729 M-4 S 0.00 8.00 Male 0 0.00 0.00 H 5140 WASHINGTON AVENUE, CHINO , CA 91710 Other Eamings: Total Earnings: 91.80 792.36 OPERATOR GROUP 16 $31.66 8.00 8.00 8.00 8.00 0.00 40.00 30.66 1226.40 1332.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 106.00 Total Earnings: 1332.40 LABOR GROUP V FOREMAN $24.85 8.00 8.00 8.00 8.00 0.00 40.00 23.91 956.40 1058.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 _ Other Earnings: 102.00 Total Earnings: 1058.40 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR FICA SWH SDI HEALTH PENSION TRAING CONT/CC SAVINGS SUP.DUE ADMIN OTHER 2 Tot Pay Tot Ded Net Pay Check No: 55973 05/03/02 151.00 70.41 43.26 8.27 920.40 102.00 136.40 146.40 14.40 2.40 374.94 2.40 6.00 0.00 0.00 0.00 545.46 Check No: 55949 05/03/02 205.00 100.40 48.24 11.81 106.00 188.00 150.00 26.00 2.40 2.40 2.00 0.00 0.00 0.00 Check No: 55978 05/03/02 85.00 60.62 9.89 7.14 91.80 122.76 131.76 _ 12.96 2.16 2.16 5.40 0.00 0.00 0.00 211.00 106.00 2.40 Check No: 55950 05/03/02 101.93 49.84 12.00 188.00 150.00 26.00 2.40 2.00 0.00 0.00 0.00 1312.40 471.45 840.95 792.36 254.45 537.91 1332.40 480.77 851.63 Check No: 55951 05/03/02 94.00 80.96 21.36 9.52 1058.40 102.00 136.40 146.40 14.40 2.40 307.84 2.40 6.00 0.00 0.00 0.00 750.56 Print Date: 07/23/2002 Page 2 Payroll No. 8 Project No. 208 Project Name Stover Avenue Sewer Exempts Gender Employee Information Ethic Certified Payroll Report For the period ending 05/01/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Sun Mon Tue Wed Thu Fri JOHN OROSCO Soc Sec No: 573-76-0535 12508 BAKER CT., M - 4 S 0.00 Male 0 0.00 CHINO , CA 91710 LARRY PLOTN ER Soc Sec No: 566-48-1227 M - 2 S 0.00 Male 0 0.00 2903 Valencia Avenue, San Bernardino , CA 92404 FELIPE RAMIREZ Soc Sec No: 545-23-8345 627 W. SUNKIST ST, M - 0 S 0.00 Male 0 0.00 H ONTARIO , CA 91762 BRIAN ROGERS Soc Sec No: 545-96-5766 22421 MILKY WAY, M - 9 S 0.00 Male 0 0.00 TEHACHAPI , CA 93561 C VICTOR RUIZ Soc Sec No: 545-21-8611 1964 MURRIETTA ROAD, M - 3 S 0.00 PERRIS, CA 92571 Male 0 0.00 Gross Tot Hrly This Sat Hrs Rate Project Gross All Projs LABOR GROUP V FOREMAN $24.85 8.00 8.00 8.00 8.00 8.00 0.00 40.00 23.91 956.40 1058.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: Total Eamings: 102.00 1058.40 OPERATOR FOREMAN $33.04 8.00 8.00 8.00 8.00 8.00 0.00 40.00 32.04 1281.60 1387.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 106.00 Total Earnings: 1387.60 LABORER GROUP IV $22.75 8.00 8.00 8.00 8.00 5.00 0.00 37.00 21.91 810.67 905.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: Total Eamings: 94.35 905.02 OPERATOR GROUP 8 $30.54 8.00 8.00 8.00 8.00 4.00 0.00 36.00 29.54 1063.44 1158.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 95.40 Total Eamings: 1158.84 LABOR GROUP 111 $21.20 8.00 8.00 8.00 8.00 8.00 0.00 40.00 20.46 818.40 920.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: Total Earnings: 102.00 920.40 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR FICA SWH SDI HEALTH PENSION TRAING ADMIN CONT/CC SAVINGS SUP.DUE OTHER 2 Tot Pay Tot Ded Net Pay Check N o: 55953 05/03/02 94.00 80.97 21.36 9.53 1058.40 102.00 136.40 146.40 14.40 2.40 307.86 2.40 6.00 0.00 0.00 0.00 750.54 Check No: 55955 05/03/02 194.00 106.15 46.67 12.49 106.00 188.00 150.00 26.00 2.40 2.40 2.00 0.00 0.00 0.00 Check No: 55956 05/03/02 106.00 69.24 21.65 8.14 94.35 15.17 135.42 13.32 2.22 2.22 5.55 0.00 0.00 0.00 Check No: 55958 05/03/02 66.00 88.65 19.79 10.43 95.40 169.20 135.00 23.40 2.16 2.16 1.80 0.00 0.00 0.00 Check No: 55981 05/03/02 82.00 70.41 15.01 8.28 102.00 136.40 146.40 14.40 2.40 2.40 6.00 0.00 0.00 0.00 1387.60 465.31 922.29 905.02 299.38 605.64 1158.84 280.27 878.57 920.40 277.70 642.70 Print Date: 07/23/2002 Page 3 Payroll No. 8 Project No. 208 Project Name Stover Avenue Sewer RONALD STRONG Soc Sec No: 492-44-6335 M - 0 S 0.00 Male 0 0.00 C 27611 EAST 14TH STREET, HIGHLAND , CA 92346 LUIS CANTORAN 15072 C HRISTI NA COURT, LAKE Soc Sec No: 556-21-1386 M-3 S 0.00 Male 0 0.00 ELSINORE, CA 92330 PAUL DAVIES Soc Sec No: 565-08-4456 7398 LONDON AVENUE, RANCHO CUCAMONGA , CA 91730 M - 0 S 0.00 Male 0 0.00 C Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 OPERATOR GROUP XI FOREMAN $36.50 8.00 8.00 8.00 8.00 8.00 0.00 40.00 36.50 1460.00 1566.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 106.00 Total Eamings: 1566.00 LABORER GROUP I $20.10 8.00 8.00 8.00 8.00 8.00 0.00 40.00 19.46 778.40 880.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 102.00 Total Earnings: 880.40 OPERATOR GROUP 16 $31.16 8.00 8.00 8.00 8.00 4.00 0.00 36.00 30.16 1085.76 1312.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 95.40 Total Eamings: 1181.16 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Check No: 55961 05/03/02 274.00 119.80 69.29 14.09 106.00 188.00 150.00 26.00 2.40 2.40 2.00 0.00 0.00 0.00 Check No: 55963 05/03/02 76.00 67.34 13.41 7.92 102.00 136.40 146.40 14.40 2.40 2.40 6.00 0.00 0.00 0.00 305.00 106.00 2.16 100.40 169.20 1.80 Check No: 55943 05/03/02 63.24 11.81 135.00 23.40 2.16 0.00 0.00 0.00 1566.00 583.18 982.82 880.40 266.67 613.73 1312.40 586.45 725.95 Print Date: 07/23/2002 Page 4 Payroll No. 8 Project No. 208 Project Name Stover Avenue Sewer Date: 07/23/2002 Payroll No: 8 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 STATEMENT OF COMPLIANCE Contractor's License No. A 370846 Employer Identification No. 95-3271209 I, Kellie Jo Cross, Payroll Manager, do hereby state: (1) That 1 pay or supervise the payment of the persons employed by ALBERT W. DAVIES, INC. on the Stover Avenue Sewer project; that during the payroll period commencing on April 25, 2002 and ending May 01, 2002, all persons employed on said project have been paid the full weekly wages earned, that no rebates have or will be made either directly or indirectly to or on behalf of said ALBERT W. DAVIES, INC. 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 as defined in Regulations, Part 3 (29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat. 948.63 Stat. 108, 72 Stat. 967; 76 Stat. 357; 40 U.S.C. 276c), and described below: Taxes: Federal W/H, FlCA/Medicare, State W/H, State SDI/Local Other. Vacation Pay, Child Support, Attachments, Advances (2) That any payrolls otherwise under this contract required to be submitted for the above period are correct and complete; that the wage rates for laborers or mechanics contained therein are not Tess than the applicable wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work he 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 recognized by the Bureau of Apprenticeship and Training, United States Department of Labor, or if no such recognized agency exists in a State, are registered with the Bureau of Apprenticeship and Training, United States Department of Labor. (4) That: (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS OR PROGRAMS nIn addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of fringe benefits as listed in the contract have been or will be made to appropriate programs for the benefit of such employees, except as notice in Section 4 (c) below. (b) WHERE FRINGE BENEFITS ARE PAID IN CASH TiEach laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll, an amount not less than the sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed in the contract, except as notice in Section 4 (c) below. (c) EXCEPTIONS EXCEPTION (CRAFT) l'?-t _L-c-f Kellie Jo Cross, Payroll Ma z'•er EXPLANATION 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. Print Date: 07/23/2002 Page 5 Payroll No. 9 Project No. 208 Project Name Stover Avenue Sewer Exempts Gender Employee Information Ethic Certified Payroll Report For the period ending 05/08/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Sun Mon Tue Wed Thu Fri SCOTT TONN Soc Sec No: 570 76-659J " 5/2 5/3 919 COLIMA ROAD, SAN M - 0 S 0.00 0.00 BERNARDINO , CA Male 0 0.00 0.00 92301 JAMES GARDNER, JR. Soc Sec No: 561-84-4016 7032 DW IGHT WAY, SAN BERNARDINO , CA 92404 M - 2 S 0.00 8.00 Male 0 0.00 0.00 C BONIFACIO CARLOS Soc Sec No: M-1 Male 3312 EAST MAIN AVENUE, BALDWIN PARK , CA 91706 549-11-7986 S 0.00 8.00 0 0.00 0.00 MARCOS MACIAS Soc Sec No: 625-40-5881 M - 7 S 0.00 8.00 Male 0 0.00 0.00 H_ 14115 RATLIFFE STR EET, LA MI RADA, CA 90638 CASIMIRO GOVEA Soc Sec No: 557-3-6773 M-3 S 0.00 0.00 Male 0 0.00 0.00 H 739 CONTEMPO STREET, ONTARIO , CA 91762 Gross Tot Hrly This Sat Hrs Rate Project Gross All Projs TSPERATOR GROUP 8 $30.54 8.00 8.00 0.00 0.00 0.00 16.00 29.54 472.64 562.00 0.00 1.00 0.00 0.00 0.00 1.00 44.31 44.31 Other Eamings: 45.05 Total Eamings: 562.00 TEAMSTER GROUP V $22.91 8.00 8.00 8.00 8.00 0.00 40.00 22.51 900.40 1040.77 0.00 0.00 0.00 1.00 0.00 1.00 33.77 33.77 Other Eamings: 106.60 Total Earnings: 1040.77 LABORER GROUP II $20.65 8.00 8.00 8.00 8.00 0.00 40.00 19.96 798.40 900.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: Total Earnings: 102.00 900.40 OPERATING ENGINEERS $31.54 8.00 8.00 0.00 8.00 0.00 32.00 30.54 977.28 1376.06 0.00 1.00 0.00 0.00 0.00 1.00 45.81 45.81 Other Eamings: 87.45 Total Eamings: 1110.54 LABORER GROUP I $20.10 0.00 8.00 0.00 0.00 0.00 8.00 19.46 155.68 207.82 0.00 1.00 0.00 0.00 0.00 1.00 29.19 29.19 Other Earnings: 22.95. Total Earnings: 207.82 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR FICA SWH SDI HEALTH PENSION TRAING ADMIN CONT/CC SAVINGS SUP.DUE OTHER 2 Check No: 56092 05/10/02 54.00 42.99 7.89 5.06 45.05 79.90 63.75 11.05 1.02 1.02 0.85 0.00 0.00 0.00 Check No: 56073 05/10/02 109.00 79.62 23.34 9.37 106.60 205.82 196.80 17.22 2.46 0.00 0.00 0.00 2.46 0.00 Check No: 56064 05/10/02 96.00 68.88 19.86 8.11 102.00 136.40 146.40 14.40 2.40 6.00 0.00 0.00 216.00 108.65 1.98 105.26 155.10 1.65 Tot Pay Tot Ded Net Pay 562.00 154.99 407.01 1040.77 327.93 712.84 900.40 2.40 294.85 0.00 605.55 Check No: 56098 05/10/02 38.15 12.39 123.75 21.45 1.98 0.00 0.00 0.00 Check No: 56099 05/10/02 3.00 15.89 0.00 1.87 22.95 30.69 32.94 3.24 0.54 0.54 1.35 0.00 0.00 0.00 1376.06 480.45 895.61 207.82 43.71 164.11 Print Date: 07/23/2002 Page 1 Payroll No. 9 Project No. 208 Project Name Stover Avenue Sewer Employee Information Exempts Gender Certified Payroll Report For the period ending 05/08/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Ethic Sun Mon FRANCISCO MUNDO Soc Sec No: 572-91-4437 16855 Baltic Court, M - 0 S 0.00 8.00 Male 0 0.00 0.00 Moreno Valley, CA 92551 MANUEL PICENO Soc Sec No: 571-25-7624 755 E. LINFIELD STREET, AZU SA , CA 91702 S - 1 S 0.00 0.00 Male 0 0.00 0.00 H EARLE MARLAR Soc Sec No: 568-15-1114 M - 0 S 0.00 8.00 Male 0 0.00 0.00 C 515 SOUTH 16TH STREET, BANNING , CA 92220 JOE MARTINEZ Soc Sec No: 569-98-0495 M - 3 S 0.00 Male 0 0.00 907 E. RIALTO AVENUE, SP. #24, SAN BERNARDINO , CA 92408 VICENT RUSSO 9850 GARFIELD AVENUE, HUNTINGTON BEACH , CA 92646 H Soc Sec No: 535-80-5397 S - 3 S 0.00 8.00 Male 0 0.00 0.00 C Tue Wed Thu Fri Gross Tot Hrly This Sat Hrs Rate Project Gross All Projs LABORER GROUP IV $22.75 8.00 8.00 8.00 8.00 0.00 40.00 21.91 876.40 978.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 102.00 Total Earnings: 978.40 LABOR GROUP III $21.20 0.00 0.00 8.00 0.00 0.00 8.00 20.46 163.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 20.40 Total Earnings: 184.08 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR FICA SWH SDI HEALTH PENSION TRAING ADMIN CONT/CC SAVINGS SUP.DUE OTHER 2 Check No: 56100 05/10/02 117.00 74.85 26.06 8.80 102.00 16.40 146.40 14.40 2.40 2.40 6.00 0.00 0.00 0.00 Check No: 56101 05/10/02 184.08 8.00 14.08 0.00 1.66 20.40 27.28 29.28 2.88 0.48 0.48 1.20 0.00 0.00 0.00 OPERATOR GROUP 16 $31.16 8.00 8.00 8.00 8.00 0.00 40.00 30.16 1206.40 1312.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 106.00 Total Eamings: 1312.40 205.00 106.00 2.40 LABORER APPRETINCE STEP I $11.08 8.00 8.00 8.00 8.00 4.00 0.00 36.00 11.08 398.88 463.32 17.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 128.88 Other Eamings: Total Eamings: 64.44 2.16 463.32 LABORER GROUP I $20.10 8.00 8.00 8.00 8.00 0.00 40.00 19.46 778.40 880.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 102.00 Total Eamings: 880.40 100.39 188.00 2.00 Check No: 56076 05/10/02 48.24 11.81 150.00 26.00 2.40 0.00 0.00 0.00 Check No: 56105 05/10/02 35.45 0.22 4.17 78.12 13.68 12.60 0.00 5.40 0.00 0.00 0.00 Check No: 56106 05/10/02 109.00 67.34 13.41 7.92 102.00 136.40 146.40 14.40 2.40 2.40 6.00 0.00 0.00 0.00 Tot Pay Tot Ded Net Pay 978.40 328.71 649.69 184.08 44.14 139.94 1312.40 471.44 840.96 463.32 121.28 342.04 880.40 299.67 580.73 Print Date: 07/23/2002 Page 2 Payroll No. 9 Project No. 208 Project Name Stover Avenue Sewer Exempts Gender Employee Information Ethic Certified Payroll Report For the period ending 05/08/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Sun Mon Tue Wed Thu Fri WILLIAM MITCHELL Soc Sec No: 238-86-9112 1675 SHERIDAN ROAD, M - 0 S 0.00 8.00 SAN BERNARDINO , CA Male 0 0.00 0.00 92407 GONZALO MURILLO Soc Sec No: 549-06-6729 5140 WASH INGTON AVENUE, CHINO , CA 91710 M-4 S Male 0 H Gross Tot Hrly This Sat Hrs Rate Project Gross All Projs OPERATOR GROUP 16 $31.66 8.00 8.00 0.00 8.00 0.00 32.00 30.66 981.12 1332.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: Total Eamings: 84.80 1065.92 LABOR GROUP V FOREMAN $24.85 0.00 8.00 8.00 8.00 0.00 8.00 0.00 32.00 23.91 765.12 1058.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 JOHN OROSCO Soc Sec No: 573-76-0535 12508 BAKER CT., M - 4 S 0.00 Male 0 0.00 CHINO , CA 91710 RICARDO OROZCO 730 W. CARLTON, ONTARIO , CA 91761 Soc Sec No: M-6 Male Other Eamings: 81.60 Total Eamings: 846.72 LABOR GROUP V FOREMAN $24.85 8.00 8.00 8.00 8.00 8.00 0.00 40.00 23.91 956.40 1058.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 547-61-3392 S 0.00 8.00 0 0.00 0.00 LARRY PLOTNER Soc Sec No: 566-48-1227 M - 2 S 0.00 8.00 Male 0 0.00 0.00 C 2903 Valencia Avenue, San Bernardino , CA 92404 Other Eamings: Total Eamings: 102.00 1058.40 LABOR GROUP IV FORMAN $24.10 8.00 8.00 0.00 8.00 0.00 32.00 23.16 741.12 1065.69 0.00 1.00 0.00 0.00 0.00 1.00 34.74 34.74 Other Eamings: Total Earnings: 84.15 860.01 OPERATOR FOREMAN $33.04 8.00 8.00 8.00 8.00 0.00 40.00 32.04 1281.60 1387.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 106.00 Total Eamings: 1387.60 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR 211.00 106.00 1.92 94.00 102.00 1.92 94.00 102.00 2.40 78.00 104.55 1.98 194.00 106.00 2.40 FICA SWH SDI HEALTH PENSION TRAING ADMIN CONT/CC SAVINGS SUP.DUE OTHER 2 101.92 150.40 1.60 80.97 109.12 4.80 80.96 136.40 6.00 81.52 112.53 4.95 106.15 188.00 2.00 Check No: 56077 05/10/02 49.84 11.99 120.00 20.80 1.92 0.00 0.00 0.00 Check No: 56078 05/10/02 21.36 9.53 117.12 11.52 1.92 0.00 0.00 0.00 Check No: 56080 05/10/02 21.36 146.40 0.00 9.53 14.40 0.00 Tot Pay Tot Ded Net Pay 1332.40 480.75 851.65 1058.40 307.86 750.54 1058.40 2.40 307.85 0.00 750.55 Check No: 56081 05/10/02 18.76 9.59 120.78 11.88 1.98 0.00 0.00 0.00 Check No: 56082 05/10/02 46.67 12.49 150.00 26.00 2.40 0.00 0.00 0.00 1065.69 292.42 773.27 1387.60 465.31 922.29 Print Date: 07/23/2002 Page 3 Payroll No. 9 Project No. 208 Project Name Slover Avenue Sewer Exempts Gender Certified Payroll Report For the period ending 05/08/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Employee Information Ethic Sun Mon Gross Tot Hriy This Tue Wed Thu Fri Sat Hrs Rate Project FELIPE RAMIREZ Soc Sec No: 545-23-8345 627 W. SUNKIST ST, M - 0 S 0.00 8.00 8.00 8.00 0.00 8.00 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 H ONTARIO , CA 91762 Gross All Projs LABORER GROUP IV $22.75 0.00 32.00 21.91 701.12 978.40 0.00 0.00 0.00 0.00 Other Earnings: 81.60 Total Eamings: 782.72 JAIME RAMIREZ Soc Sec No: 551-54-5597 2835 S. TAMARASK M - 3 S 0.00 8.00 8.00 8.00 0.00 8.00 0.00 32.00 46.50 1488.00 1860.00 ROAD, ONTARIO , CA Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 91761 H BRIAN ROGERS Soc Sec No: 545-96-5766 22421 MILKY WAY, M - 9 S 0.00 TEHACHAPI , CA 93561 Male 0 0.00 VICTOR RUIZ Soc Sec No: 545-21-8611 M - 3 S 0.00 Male 0 0.00 H 1964 MURRIETTA ROAD, PERRIS , CA 92571 RONALD STRONG Soc Sec No: 492-44-6335 M - 0 S 0.00 8.00 Male 0 0.00 0.00 C 27611 EAST 14TH STREET, HIGHLAND , CA 92346 OPERATOR GROUP 8 $30.54 8.00 8.00 8.00 8.00 4.00 0.00 36.00 29.54 1063.44 1158.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 95.40 Total Eamings: 1158.84 LABOR GROUP III $21.20 8.00 8.00 8.00 8.00 8.00 0.00 40.00 20.46 818.40 0.00 0.00 1.00 0.00 0.00 0.00 1.00 30.69 30.69 Other Eamings: 104.55 Total Earnings: 953.64 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR FICA SWH SDI HEALTH PENSION TRAING CONT/CC SAVINGS SUP.DUE ADMIN OTHER 2 Check No: 56083 05/10/02 117.00 74.85 26.06 8.81 102.00 13.12 117.12 11.52 1.92 1.92 4.80 0.00 0.00 0.00 306.00 0.00 0.00 142.29 0.00 0.00 Check No: 56084 05/10/02 86.78 16.74 0.00 0.00 0.00 0.00 0.00 0.00 Check No: 56085 05/10/02 66.00 88.65 19.79 10.43 95.40 169.20 135.00 23.40 2.16 2.16 1.80 0.00 0.00 0.00. Check No: 56086 05/10/02 953.64 87.00 72.96 16.60 8.59 104.55 139.81 150.06 14.76 2.46 2.46 6.15 0.00 0.00 0.00 OPERATOR GROUP XI FOREMAN $36.50 8.00 8.00 0.00 8.00 0.00 32.00 36.50 1168.00 1566.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 84.80 Total Earnings: 1252.80 Tot Pay Tot Ded Net Pay 978.40 328.72 649.68 1860.00 551.81 1308.19 1158.84 280.27 878.57 953.64 289.70 663.94 Check No: 56088 05/10/02 274.00 119.80 69.29 14.10 1566.00 106.00 150.40 120.00 20.80 1.92 583.19 1.92 1.60 0.00 0.00 0.00 982.81 Print Date: 07/23/2002 Page 4 Payroll No. 9 Project No. 208 Project Name Stover Avenue Sewer LUIS CANTORAN Soc Sec No: 556-21-1386 M - 3 S 0.00 Male 0 0.00 H 15072 CHRISTINA COURT, LAKE ELSINORE , CA 92330 PAUL DAVIES Soc Sec No: 565-08-4456 7398 LONDON AVENUE, M - 0 S 0.00 RANCHO CUCAMONGA , Male 0 0.00 CA 91730 C Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 LABORER GROUP I $20.10 8.00 8.00 8.00 8.00 8.00 0.00 40.00 19.46 778.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 102.00 Total Eamings: 880.40 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Check No: 56090 05/10/02 880.40 76.00 67.36 13.41 7.93 102.00 136.40 146.40 14.40 2.40 2.40 6.00 0.00 0.00 0.00 880.40 266.70 613.70 OPERATOR GROUP 16 $31.16 Check No: 56070 05/10/02 8.00 8.00 8.00 8.00 8.00 0.00 40.00 30.16 1206.40 1312.40 305.00 100.40 63.24 11.81 1312.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.00 188.00 150.00 26.00 2.40 586.45 Other Eamings: 106.00 2.40 2.00 0.00 0.00 0.00 725.95 Total Earnings: 1312.40 Print Date: 07/23/2002 Page 5 Payroll No. 9 Project No. 208 Project Name Stover Avenue Sewer Date: 07/23/2002 Payroll No: 9 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 STATEMENT OF COMPLIANCE Contractor's License No. A 370846 Employer Identification No. 95-3271209 I, Kellie Jo Cross, Payroll Manager, do hereby state: (1) That I pay or supervise the payment of the persons employed by ALBERT W. DAVIES, INC. on the SloverAvenue Sewer project; that during the payroll period commenting on May 02, 2002 and ending May 08, 2002, all persons employed on said project have been paid the full weekly wages earned, that no rebates have or will be made either directly or indirectly to or on behalf of said ALBERT W. DAVIES, INC. from the full weekly wages eamed 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 as defined in Regulations, Part 3 (29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat 948.63 Stat. 108, 72 Stat 967; 76 Stat. 357; 40 U.S.C. 276c), and described below. Taxes: Federal W/H, F1CA/Medicare, State WM, State SDI/Local Other. Vacation Pay, Child Support, Attachments, Advances (2) That any payrolls otherwise under this contract required to be submitted for the above period are correct and complete; that the wage rates for laborers or mechanics contained therein are not Tess than the applicable wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work he 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 recognized by the Bureau of Apprenticeship and Training, United States Department of Labor, or if no such recognized agency exists in a State, are registered with the Bureau of Apprenticeship and Training, United States Department of Labor. (4) That: (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS OR PROGRAMS In addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of fringe benefits as listed in the contract have been or will be made to appropriate programs for the benefit of such employees, except as notice in Section 4 (c) below. (b) WHERE FRINGE BENEFITS ARE PAID IN CASH Each laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll, an amount not less than the sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed in the contract, except as notice in Section 4 (c) below. (c) EXCEPTIONS EXCEPTION (CRAFT) L.t A ,f ! 2- C'/� Kellie Jo Cross, Pay Manager EXPLANATION 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. Print Date: 07/23/2002 Page 6 Payroll No. 10 Project No. 208 Project Name Stover Avenue Sewer Exempts Gender Employee Information Ethic SCOTT TONN Soc Sec No: Certified Payroll Report For the period ending 05/15/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Sun Mon Tue Wed Thu Fri Gross Tot Hrly This Sat Hrs Rate Project Gross All Projs 5 ) J� 5 5/�i 570 76-6592/ �v / � �Gl "U OPERATOR GROUP 8 $30.54 919 COLIMA ROAD, SAN M - 0 S BERNARDINO , CA Male 0 92301 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 29.54 1181.60 1358.04 0.00 0.00 0.00 1.50 0.00 0.00 0.00 1.50 44.31 66.46 JEFFERY FIELD Soc Sec No: 549-92-2412 1614 CARMEL CIRCLE, UPLAND , CA 91781 BONIFACIO CARLOS 3312 EAST MAIN AVENUE, BALDWIN PARK , CA 91706 M - 5 S 0.00 0.00 Male 0 0.00 0.00 C Soc Sec No: M-1 Male H 549-11-7986 S 0.00 8.00 0 0.00 0.00 MARCOS MACIAS Soc Sec No: 625-40-5881 M-7 S 0.00 8.00 Male 0 0.00 0.00 H 14115 RATLIFFE STR EET, LA MI RADA, CA 90638 CASIMIRO GOVEA Soc Sec No: 557-43-6773 M - 3 S 0.00 8.00 Male 0 0.00 0.00 H 739 CONTEMPO STREET, ONTARIO , CA 91762 Other Earnings: Total Eamings: 109.98 1358.04 OPERATOR GROUP 8 $30.54 0.00 0.00 0.00 8.00 0.00 8.00 29.54 236.32 1124.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 21.20 Total Eamings: 257.52 LABORER GROUP II $20.65 0.00 0.00 8.00 8.00 0.00 24.00 19.96 479.04 932.89 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 61.20 Total Eamings: 540.24 OPERATING ENGINEERS $31.54 8.00 8.00 8.00 8.00 0.00 40.00 30.54 1221.60 1424.52 0.00 1.50 0.50 0.00 0.00 2.00 45.81 91.62 Other Earnings: 111.30 Total Earnings: 1424.52 LABORER GROUP I $20.10 8.00 8.00 8.00 8.00 0.00 40.00 19.46 778.40 880.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 102.00 Total Eamings: 880.40 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH FICA SWH SDI VAC/HOL HEALTH PENSION TRAING INDUSTR CONT/CC SAVINGS SUP.DUE 218.00 109.98 2.49 95.00 90.10 0.48 103.89 195.05 2.08 ADMIN OTHER 2 Check No: 56165 05/17/02 51.90 12.22 155.63 26.98 2.49 0.00 0.00 0.00 Check No: 56147 05/17/02 85.98 23.78 10.11 37.60 30.00 5.20 0.48 0.40 0.00 0.00 0.00 Check No: 56139 05/17/02 101.00 71.37 21.81 8.39 104.55 81.84 87.84 8.64 1.44 1.44 3.60 0.00 0.00 0.00 Che dk No: 56171 05/17/02 226.00 108.99 42.03 12.82 111.30 197.40 157.50 27.30 2.52 2.52 2.10 0.00 0.00 0.00 Check No: 56172 05/17/02 76.00 67.36 13.41 7.92 102.00 136.40 146.40 14.40 2.40 2.40 6.00 0.00 0.00 0.00 Tot Pay Tot Ded Net Pay 1358.04 495.99 862.05 1124.00 304.97 819.03 932.89 307.12 625.77 1424.52 501.14 923.38 880.40 266.69 613.71 Print Date: 07/23/2002 Page 1 Payroll No. 10 Project No. 208 Project Name Stover Avenue Sewer Certified Payroll Report For the period ending 05/15/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments Exempts Gross Gross FWH FICA SWH SDI Tot Pay Gender Hours Tot Hrly This All VAC/HOL HEALTH PENSION TRAING ADMIN Tot Ded Employee Information Ethic Sun Mon Tue Wed Thu Fri Sat Hrs Rate Project Projs INDUSTR CONT/CC SAVINGS SUP.DUE OTHER 2 Net Pay EARLE MARLAR Soc Sec No: 568-15-1114 OPERATOR GROUP 16 $31.16 515 SOUTH 16TH M - 0 S 0.00 0.00 0.00 0.00 8.00 8.00 0.00 16.00 30.16 482.56 1360.29 STREET, BANNING , CA Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92220 C Other Earnings: 42.40 Total Eamings: 524.96 Check No: 56151 05/17/02 218.00 104.07 52.08 12.24 1360.29 108.65 75.20 60.00 10.40 0.96 495.04 0.96 0.80 0.00 0.00 0.00 865.25 DWIGHT NICHOLS Soc Sec No: 554-82-1855 WATER TRUCKNVORKING TEAMSTER $22.25 Check No: 56177 05/17/02 1122 E. 25TH STREET, S - 0 S 0.00 8.00 8.00 8.00 0.00 0.00 0.00 24.00 21.85 524.40 639.86 91.00 48.94 20.54 5.76 SAN BERNARDINO , CA Male 0 0.00 0.00 0.00 1.50 0.00 0.00 0.00 1.50 32.77 49.16 66.30 128.01 122.40 10.71 1.53 92404 C Other Earnings: 66.30 0.00 0.00 0.00 1.53 0.00 Total Eamings: 639.86 LARRY ZAVALA Soc Sec No: 548-06-8520 OPERATOR GROUP 8 $30.54 7430 TOKAY AVENUE, M - 9 S 0.00 8.00 8.00 8.00 0.00 8.00 0.00 32.00 29.54 945.28 1030.08 FONTANA , CA 92336 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: Total Eamings: 84.80 1030.08 46.00 84.80 1.92 78.81 150.40 1.60 Che dk No: 56178 05/17/02 12.07 120.00 0.00 9.27 20.80 0.00 1.92 0.00 639.86 232.54 407.32 1030.08 230.95 799.13 JOE MARTINEZ Soc Sec No: 569-98-0495 LABORER APPRETINCE STEP I $11.08 Check No: 56179 05/17/02 907 E. RIALTO AVENUE, M - 3 S 0.00 0.00 8.00 8.00 0.00 0.00 0.00 16.00 11.08 177.28 205.92 0.00 15.75 0.00 1.85 205.92 SP. #24, SAN Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 57.28 34.72 6.08 5.60 0.00 46.24 BERNARDINO , CA H Other Eamings: 28.64 0.96 2.40 0.00 0.00 0.00 159.68 92408 Total Eamings: 205.92 VICENT RUSSO Soc Sec No: 535-80-5397 LABORER GROUP I $20.10 Chedk No: 56180 05/17/02 9850 GAR FIELD S - 3 S 0.00 0.00 8.00 8.00 0.00 0.00 0.00 16.00 19.46 311.36 352.16 14.00 26.94 0.00 3.17 352.16 AVENUE, HUNTINGTON Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.80 54.56 58.56 5.76 0.96 84.91 BEACH , CA 92646 C Other Eamings: 40.80 0.96 2.40 0.00 0.00 0.00 267.25 Total Eamings: 352.16 Print Date: 07/23/2002 Page 2 Payroll No. 10 Project No. 208 Project Name Stover Avenue Sewer Employee Information Exempts Gender Ethic Certified Payroll Report For the period ending 05/15/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Gross Tot Hrly This Sun Mon Tue Wed Thu Fri Sat Hrs Rate Project JOHN OROSCO Soc Sec No: 573-76-0535 12508 BAKER CT., M - 4 S 0.00 CHINO , CA 91710 Male 0 0.00 H RICARDO OROZCO 730 W. CARLTON, ONTARIO , CA 91761 Soc Sec No: M-6 Male H Gross All Projs LABOR GROUP V FOREMAN $24.85 8.00 8.00 8.00 8.00 8.00 0.00 40.00 23.91 956.40 1058.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 102.00 Total Earnings: 1058.40 547-61-3392 S 0.00 8.00 0 0.00 0.00 JAIME RAMIREZ Soc Sec No: 551-54-5597 2835 S. TAMARASK ROAD, ONTARIO , CA 91761 LABOR GROUP IV FORMAN $24.10 8.00 8.00 8.00 8.00 0.00 40.00 23.16 926.40 1102.98 0.00 1.50 0.50 0.00 0.00. 2.00 34.74 69.48 Other Eamings: 107.10 Total Earnings: 1102.98 M - 3 S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 46.50 1860.00 1860.00 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 H BRIAN ROGERS Soc Sec No: 545-96-5766 22421 MILKY WAY, M - 9 S 0.00 Male 0 0.00 TEHACHAPI , CA 93561 VICTOR RUIZ Soc Sec No: 545-21-8611 1964 MURRIETTA ROAD, M - 3 S 0.00 P ERRI S , CA 92571 Male 0 0.00 OPERATOR GROUP 8 $30.54 8.00 8.00 8.00 8.00 0.00 0.00 32.00 29.54 945.28 1030.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 84.80 Total Earnings: 1030.08 8.00 8.00 8.00 8.00 8.00 0.00 0.00 0.00 0.50 0.00 LABOR GROUP III $21.20 0.00 40.00 20.46 818.40 937.02 0.00 0.50 30.70 15.35 Other Earnings: 103.27 Total Eamings: 937.02 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH FICA SWH SDI VAC/HOL HEALTH PENSION TRAING ADMIN INDUSTR CONT/CC SAVINGS SUP.DUE OTHER 2 Tot Pay Tot Ded Net Pay Check No: 56155 05/17/02 94.00 80.97 21.36 9.52 1058.40 102.00 136.40 . 146.40 14.40 2.40 307.85 2.40 6.00 0.00 0.00 0.00 750.55 Check No: 56156 05/17/02 83.00 84.39 21.00 9.93 107.10 143.22 153.72 15.12 2.52 2.52 6.30 0.00 0.00 0.00 306.00 0.00 0.00 142.29 0.00 0.00 Check No: 56159 05/17/02 86.78 16.74 0.00 0.00 0.00 0.00 0.00 0.00 Check No: 56183 05/17/02 46.00 78.81 12.07 9.27 84.80 150.40 120.00 20.80 1.92 1.92 1.60 0.00 0.00 0.00 84.00 103.27 2.43 71.69 138.11 6.08 1102.98 305.42 797.56 1860.00 551.81 1308.19 1030.08 230.95 799.13 Chedk No: 56160 05/17/02 15.68 8.43 937.02 148.23 14.58 2.43 283.07 0.00 0.00 0.00 653.95 Print Date: 07/23/2002 Page 3 Payroll' No. 10 Project No. 208 Project Name Stover Avenue Sewer Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 STATEMENT OF COMPLIANCE Contractor's License No. A 370846 Employer Identification No. 95-3271209 Date: 07/23/2002 Payroll No: 10 I, Kellie Jo Cross, Payroll Manager, do hereby state: (1) That I pay or supervise the payment of the persons employed by ALBERT W. DAVIES, INC. on the Slover Avenue Sewer project; that during the payroll period commencing on May 09, 2002 and ending May 15, 2002, all persons employed on said project have been paid the full weekly wages earned, that no rebates have or will be made either directly or indirectly to or on behalf of said ALBERT W. DAVIES, INC. from the full weekly wages eamed 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 as defined in Regulations, Part 3 (29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat 948.63 Stat. 108, 72 Stat 967; 76 Stat. 357; 40 U.S.C. 276c), and described below Taxes: Federal W/H, FICA/Medicare, State W/H, State SDI/Local Other. Vacation Pay, Child Support, Attachments, Advances (2) That any payrolls otherwise under this contract required to be submitted for the above period are correct and complete; that the wage rates for laborers or mechanics contained therein are not Tess than the applicable wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work he 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 recognized by the Bureau of Apprenticeship and Training, United States Department of Labor, or if no such recognized agency exists in a State, are registered with the Bureau of Apprenticeship and Training, United States Department of Labor. (4) That (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS OR PROGRAMS nIn addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of fringe benefits as listed in the contract have been or will be made to appropriate programs for the benefit of such employees, except as notice in Section 4 (c) below. (b) WHERE FRINGE BENEFITS ARE PAID IN CASH Each laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll, an amount not Tess than the sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed in the contract, except as notice in Section 4 (c) below. (c) EXCEPTIONS EXCEPTION (CRAFT) Kellie Jo Cross, PayrtiN Manager EXPLANATION 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. Print Date: 07/23/2002 Page 4 Payroll No. 11 Project No. 208 Project Name Stover Avenue Sewer Exempts Gender Certified Payroll Report For the period ending 05/22/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Employee Information Ethic Sun Mon Gross Tot Hrly This Tue Wed Thu Fri Sat Hrs Rate Project SCOTT TONN Soc Sec No: 570 76-6592�j� s�� 37 919 COLIMA ROAD, SAN M - 0 S 0.00 4.50 8.00 BERNARDINO , CA Male 0 0.00 0.00 0.00 92301 JAMES GARDNER, JR. Soc Sec No: 561-84-4016 M - 2 S 0.00 8.00 Male 0 0.00 0.00 C 7032 DW IGHT WAY, SAN BERNARDINO , CA 92404 MARCOS MACIAS Soc Sec No: 625-40-5881 M - 7 S 0.00 4.50 Male 0 0.00 0.00 14115 RATLIFFE STREET, LA MIRADA CA 90638 CASIMIRO GOVEA 739 CONTEMPO STREET, ONTARIO , CA 91762 Soc Sec No: 557-43-6773 M-3 Male H S 0.00 4.50 0 0.00 0.00 FRANCISCO MUNDO Soc Sec No: 572-91-4437 16855 Baltic Court, M - 0 S 0.00 8.00 Moreno Valley, CA 92551 Male 0 0.00 0.00 Gross All Projs 5/ZZ' qfir J7 5/1OPERATOR GROUP 8 $30.54 8.00 8.00 8.00 0.00 36.50 29.54 1078.21 1221.90 0.00 1.00 0.00 0.00 1.00 44.31 44.31 Other Eamings: Total Eamings: 99.38 1221.90 TEAMSTER GROUP V $22.91 8.00 0.00 8.00 8.00 0.00 32.00 22.51 720.32 1095.31 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 83.20 Total Eamings: 803.52 OPERATING ENGINEERS $31.54 8.00 8.00 8.00 8.00 0.00 36.50 30.54 1114.71 1259.90 0.00 0.00 1.00 0.00 0.00 1.00 45.81 45.81 Other Eamings: 99.38 Total Eamings: 1259.90 LABORER GROUP 1 $20.10 8.00 8.00 8.00 8.00 0.00 36.50 19.46 710.29 850.98 0.00 0.00 1.50 0.00 0.00 1.50 29.19 43.79 Other Eamings: 96.90 Total Eamings: 850.98 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR FICA SWH SDI HEALTH PENSION TRAING CONT/CC SAVINGS SUP.DUE ADMIN OTHER 2 Check No: 56241 05/24/02 181.00 93.48 41.00 11.00 99.38 176.25 140.63 24.38 2.25 2.25 1.88 0.00 0.00 0.00 Check No: 56222 05/24/02 117.00 83.79 26.62 9.86 110.50 160.64 153.60 13.44 1.92 0.00 0.00 0.00 1.92 0.00 Chedk No: 56247 05/24/02 198.00 96.38 28.90 11.34 99.38 176.25 140.63 24.38 2.25 2.25 1.88 0.00 0.00 0.00 72.00 96.90 2.28 65.10 129.59 5.71 Chedk No: 56248 05/24/02 12.24 7.66 139.08 13.68 2.28 0.00 0.00 0.00 LABORER GROUP IV $22.75 Check No: 56249 05/24/02 0.00 0.00 0.00 0.00 0.00 8.00 21.91 175.28 880.56 102.00 67.36 20.25 7.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 91.80 3.28 29.28 2.88 0.48 Other Eamings: 20.40 0.48 1.20 0.00 0.00 0.00 Total Eamings: 195.68 Tot Pay Tot Ded Net Pay 1221.90 425.86 796.04 1095.31 347.77 747.54 1259.90 434.00 825.90 850.98 253.90 597.08 880.56 289.33 591.23 Print Date: 07/23/2002 Page 1 Payroll No. 11 Project No. 208 Project Name Stover Avenue Sewer . Certified Payroll Report For the period ending 05/22/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments Exempts Gross Gross FWH FICA SWH SDI Tot Pay Gender Hours Tot Hrly This All VAC/HOL HEALTH PENSION TRAING ADMIN Tot Ded Employee Information Ethic Sun Mon Tue Wed Thu Fri Sat Hrs Rate Project Projs INDUSTR CONT/CC SAVINGS SUP.DUE OTHER 2 Net Pay LARRY ZAVALA Soc Sec No: 548-06-8520 OPERATOR GROUP 8 $30.54 7430 TOKAY AVENUE, M - 9 S 0.00 4.50 8.00 8.00 8.00 8.00 0.00 36.50 29.54 1078.21 1174.94 FONTANA , CA 92336 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 H Other Earnings: Total Eamings: 96.73 1174.94 JOE MARTI NEZ Soc Sec No: 569-98-0495 LABORER APPRETINCE STEP I $11.08 907 E. RIALTO AVENUE, SP. #24, SAN BERNARDINO , CA 92408 M - 3 S 0.00 8.00 0.00 0.00 0.00 0.00 0.00 8.00 11.08 88.64 463.32 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 H Other Eamings: 14.32 Total Eamings: 102.96 Check No: 56254 05/24/02 68.00 89.87 20.76 10.57 1174.94 96.73 171.55 136.88 23.73 2.19 285.93 2.19 1.83 0.00 0.00 0.00 889.01 Check No: 56255 05/24/02 17.00 35.44 0.22 4.17 78.76 17.36 3.04 2.80 0.00 0.48 1.20 0.00 0.00 0.00 463.32 121.27 342.05 VICENT RUSSO Soc Sec No: 535-80-5397 LABORER GROUP I $20.10 Check No: 56256 05/24/02 9850 GARFIELD S - 3 S 0.00 8.00 0.00 0.00 0.00 0.00 0.00 8.00 19.46 155.68 704.32 66.00 53.88 6.37 6.34 704.32 AVENUE, HUNTINGTON Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 81.60 27.28 29.28 2.88 0.48 214.19 BEACH , CA 92646 C Other Eamings: 20.40 0.48 1.20 0.00 0.00 0.00 490.13 Total Eamings: 176.08 JOHN OROSCO Soc Sec No: 573-76-0535 LABOR GROUP V FOREMAN $24.85 12508 BAKER CT., M - 4 S 0.00 8.00 0.00 0.00 0.00 0.00 0.00 8.00 23.91 191.28 846.72 CHINO , CA 91710 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 H Other Eamings: 20.40 Total Eamings: 211.68 RICARDO OROZCO Soc Sec No: 547-61-3392 LABOR GROUP IV FORMAN $24.10 730 W. CARLTON, M - 6 S 0.00 4.50 8.00 8.00 8.00 8.00 0.00 36.50 23.16 845.34 994.35 ONTARIO , CA 91761 Male 0 0.00 0.00 0.00 0.00 1.50 0.00 0.00 1.50 34.74 52.11 H Other Eamings: 96.90 Total Eamings: 994.35 Check No: 56229 05/24/02 62.00 64.77 10.55 7.62 846.72 81.60 27.28 29.28 2.88 0.48 226.54 0.48 1.20 0.00 0.00 0.00 620.18 Check No: 56230 05/24/02 67.00 76.06 14.48 8.95 994.35 96.90 129.59 139.08 13.68 2.28 263.39 2.28 5.71 0.00 0.00 0.00 730.96 Print Date: 07/23/2002 Page 2 Payroll No. 11 Project No. 208 Project Name Stover Avenue Sewer Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 LARRY PLOTNER Soc Sec No: 566-48-1227 OPERATOR FOREMAN $33.04 2903 Valencia Avenue, M - 2 S . 0.00 8.00 0.00 0.00 0.00 0.00 0.00 8.00 32.04 256.32 1387.60 San Bernardino , CA Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92404 Other Eamings: 21.20 Total Eamings: 277.52 JAIME RAMIREZ Soc Sec No: 551-54-5597 2835 S. TAMARASK M - 3 S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 46.50 1860.00 1860.00 ROAD, ONTARIO , CA Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 91761 H Contractor's License No. A 370846 Employer Identification No. 95-3271209 Check No: 56231 05/24/02 194.00 106.16 46.67 12.49 1387.60 106.00 37.60 30.00 5.20 0.48 465.32 0.48 0.40 0.00 0.00 0.00 922.28 306.00 0.00 0.00 142.29 0.00 0.00 Check No: 56233 05/24/02 86.78 16.74 0.00 0.00 0.00 0.00 0.00 0.00 1860.00 551.81 1308.19 BRIAN ROGERS Soc Sec No: 545-96-5766 OPERATOR GROUP 8 $30.54 Check No: 56234 05/24/02 22421 MILKY WAY, M - 9 S 0.00 8.00 0.00 0.00 0.00 0.00 0.00 8.00 29.54 236.32 1158.84 66.00 88.64 19.79 10.43 1158.84 TEHACHAPI , CA 93561 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 95.40 37.60 30.00 5.20 0.48 280.26 C Other Eamings: 21.20 0.48 0.40 0.00 0.00 0.00 878.58 Total Earnings: 257.52 VICTOR RUIZ Soc Sec No: 545-21-8611 LABOR GROUP III $21.20 Check No: 56235 05/24/02 1964 MURRIETTA ROAD, M - 3 S 0.00 4.50 8.00 8.00 8.00 8.00 0.00 36.50 20.46 746.79 839.86 70.00 64.24 11.79 7.56 839.86 PERRIS, CA 92571 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 93.07 124.47 133.59 13.14 2.19 246.66 H Other Eamings: 93.07 2.19 5.48 0.00 0.00 0.00 593.20 Total Eamings: 839.86 Print Date: 07/23/2002 Page 3 Payroll No. 11 Project No. 208 Project Name Stover Avenue Sewer Date: 07/23/2002 Payroll No: 11 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 STATEMENT OF COMPLIANCE Contractor's License No. A 370846 Employer Identification No. 95-3271209 I, Kellie Jo Cross, Payroll Manager, do hereby state: (1) That I pay or supervise the payment of the persons employed by ALBERT W. DAVIES, INC. on the Slover Avenue Sewer project; that during the payroll period commencing on May 16, 2002 and ending May 22, 2002, all persons employed on said project have been paid the full weekly wages earned, that no rebates have or will be made either directly or indirectly to or on behalf of said ALBERT W. DAVIES, INC. 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 as defined in Regulations, Part 3 (29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat. 948.63 Stat. 108, 72 Stat. 967; 76 Stat. 357; 40 U.S.C. 276c), and described below: Taxes: Federal W/H, FICA/Medicare, State WM, State SDI/Local Other. Vacation Pay, Child Support, Attachments, Advances (2) That any payrolls otherwise under this contract 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 than the applicable wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work he 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 recognized by the Bureau of Apprenticeship and Training, United States Department of Labor, or if no such recognized agency exists in a State, are registered with the Bureau of Apprenticeship and Training, United States Department of Labor. (4) That (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS OR PROGRAMS nIn addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of fringe benefits as listed in the contract have been or will be made to appropriate programs for the benefit of such employees, except as notice in Section 4 (c) below. (b) WHERE FRINGE BENEFITS ARE PAID IN CASH nEach laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll, an amount not less than the sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed in the contract, except as notice in Section 4 (c) below. (c) EXCEPTIONS EXCEPTION (CRAFT) L L � Vr9 Kellie Jo Cross, Payroll Mar EXPLANATION 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. Print Date: 07/23/2002 Page 4 Payroll No. 12 Project No. 208 Project Name Stover Avenue Sewer Exempts Gender Certified Payroll Report For the period ending 05/29/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Employee Information Ethic Sun Mon Gross Tot Hrly This Tue Wed Thu Fri Sat Hrs Rate Project SCOT TONN Soc Sec No: 570 76-6 ' % 6/23 LT 919 COLIMA ROAD, SAN BERNARDINO , CA 92301 M - 0 S 0.00 0.00 Male 0 0.00 0.00 C JAMES GARDNER, JR. Soc Sec No: 561-84-4016 M - 2 S 0.00 0.00 Male 0 0.00 0.00 C 7032 DWIGHT WAY, SAN BERNARDINO , CA 92404 MARCOS MACIAS Soc Sec No: 625-40-5881 M-7 S 0.00 Male 0 0.00 H 14115 RATLIFFE STREET, LA MI RADA , CA 90638 CASIMIRO GOVEA Soc Sec No: 557-43-6773 S 0.00 0.00 0 0.00 0.00 739 CONTEMPO M - 3 STREET, ONTARIO , CA Male 91762 H Gross All Projs 7.3 ____- OPERATOR GROUP 8 $30.54 8.00 8.00 8.00 8.00 0.00 32.00 29.54 945.28 1030.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 84.80 Total Eamings: 1030.08 TEAMSTER GROUP V $22.91 0.00 2.00 2.00 8.00 0.00 12.00 22.51 270.12 839.89 0.00 0.50 0.50 0.00 0.00 1.00 33.77 33.77 Other Earnings: 33.80 Total Eamings: 337.69 OPERATING ENGINEERS $31.54 0.00 8.00 8.00 8.00 8.00 0.00 32.00 30.54 977.28 1062.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 84.80 Total Earnings: 1062.08 DWIGHT NICHOLS Soc Sec No: 554-82-1855 1122 E. 25TH STREET, S - 0 S 0.00 0.00 SAN BERNARDINO , CA Male 0 0.00 0.00 92404 C LABORER GROUP I $20.10 8.00 8.00 8.00 8.00 0.00 32.00 19.46 622.72 704.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 81.60 Total Eamings: 704.32 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR FICA SWH SDI HEALTH PENSION TRAING CONT/CC SAVINGS SUP.DUE ADMIN OTHER 2 Check No: 56329 05/31/02 129.00 78.80 29.16 9.27 84.80 150.40 120.00 20.80 1.92 1.92 1.60 0.00 0.00 0.00 Check No: 56310 05/31/02 79.00 64.25 13.31 7.56 85.80 65.26 62.40 5.46 0.78 0.00 0.00 0.00 0.78 0.00 Tot Pay Tot Ded Net Pay 1030.08 331.03 699.05 839.89 249.92 589.97 Chedk No: 56334 05/31/02 169.00 81.25 17.03 9.56 1062.08 84.80 150.40 120.00 20.80 1.92 361.64 1.92 1.60 0.00 0.00 0.00 700.44 Check No: 56335 05/31/02 50.00 53.88 6.37 6.34 81.60 109.12 117.12 11.52 1.92 1.92 4.80 0.00 0.00 0.00 WATER TRUCK/WORKING TEAMSTER $22.25 8.00 8.00 8.00 8.00 0.00 32.00 21.85 699.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 83.20 Total Eamings: 782.40 782.40 130.00 83.20 0.00 Check No: 56340 05/31/02 59.86 31.94 7.05 160.64 153.60 13.44 1.92 0.00 0.00 1.92 0.00 704.32 198.19 506.13 782.40 312.05 470.35 Print Date: 07/23/2002 Page 1 Payroll No. 12 Project No. 208 Project Name Slaver Avenue Sewer Exempts Gender Certified Payroll Report For the period ending 05/29/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Employee Information Ethic Sun Mon Tue Wed Thu LARRY ZAVALA Soc Sec No: 548-06-8520 7430 TOKAY AVENUE, M - 9 S 0.00 Male 0 0.00 FONTANA , CA 92336 RICARDO OROZCO 730 W. CARLTON, ONTARIO , CA 91761 JAIME RAMIREZ 2835 S. TAMARASK ROAD, ONTARIO , CA 91761 Gross Tot Hrly This Fri Sat Hrs ' Rate Project Gross All Projs OPERATOR GROUP 8 $30.54 0.00 8.00 8.00 8.00 8.00 0.00 32.00 29.54 945.28 1030.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 84.80 Total Earnings: 1030.08 Soc Sec No: 547-61-3392 M - 6 S 0.00 0.00 Male 0 0.00 0.00 H Soc Sec No: 551-54-5597 S 0.00 0.00 8.00 8.00 8.00 8.00 0.00 32.00 46.50 1488.00 1860.00 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 M-3 Male H LABOR GROUP IV FORMAN $24.10 8.00 8.00 8.00 0.00 0.00 24.00 23.16 555.84 617.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 61.20 Total Eamings: 617.04 VICTOR RUIZ Soc Sec No: 545-21-8611 1964 MURRIETTA ROAD, M - 3 S 0.00 0.00 8.00 8.00 8.00 8.00 PERRIS, CA 92571 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 H LABOR GROUP III $21.20 0.00 32.00 20.46 654.72 736.32 0.00 0.00 0.00 0.00 Other Eamings: 81.60 Total Eamings: 736.32 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH FICA SWH SDI VAC/HOL HEALTH PENSION TRAING ADMIN INDUSTR CONT/CC SAVINGS SUP.DUE OTHER 2 46.00 84.80 1.92 78.81 150.40 1.60 Check No: 56341 05/31/02 12.07 9.27 120.00 20.80 0.00 0.00 Tot Pay Tot Ded Net Pay 1030.08 1.92 230.95 0.00 799.13 Check No: 56318 05/31/02 15.00 47.20 0.00 5.55 61.20 81.84 87.84 8.64 1.44 1.44 3.60 0.00 0.00 0.00 306.00 0.00 0.00 142.29 0.00 0.00 54.00 56.33 81.60 109.12 1.92 4.80 Chedk No: 56321 05/31/02 86.78 16.74 0.00 0.00 0.00 0.00 0.00 0.00 Check No: 56323 05/31/02 7.65 117.12 0.00 6.63 11.52 0.00 1.92 0.00 617.04 128.95 488.09 1860.00 551.81 1308.19 736.32 206.21 530.11 Print Date: 07/23/2002 Page 2 Payroll No. 12 Project No. 208 Project Name Stover Avenue Sewer Date: 07/23/2002 Payroll No: 12 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 STATEMENT OF COMPLIANCE Contractor's License No. A 370846 Employer Identification No. 95-3271209 I, Kellie Jo Cross, Payroll Manager, do hereby state: (1) That 1 pay or supervise the payment of the persons employed by ALBERT W. DAVIES, INC. on the Slover Avenue Sewer project; that during the payroll period commencing on May 23, 2002 and ending May 29, 2002, all persons employed on said project have been paid the full weekly wages earned, that no rebates have or will be made either directly or indirectly to or on behalf of said ALBERT W. DAVIES, INC. from the full weekly wages eamed 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 as defined in Regulations, Part 3 (29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat. 948.63 Stat. 108, 72 Stat. 967; 76 Stat. 357; 40 U.S.C. 276c), and described below: Taxes: Federal W/H, FICA/Medicare, State W/H, State SDI/Local Other. Vacation Pay, Child Support, Attachments, Advances (2) That any payrolls otherwise under this contract 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 than the applicable wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work he 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 recognized by the Bureau of Apprenticeship and Training, United States Department of Labor, or if no such recognized agency exists in a State, are registered with the Bureau of Apprenticeship and Training, United States Department of Labor. (4) That: (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS OR PROGRAMS In addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of fringe benefits as listed in the contract have been or will be made to appropriate programs for the benefit of such employees, except as notice in Section 4 (c) below. (b) WHERE FRINGE BENEFITS ARE PAID IN CASH FTEach laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll, an amount not Tess than the sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed in the contract, except as notice in Section 4 (c) below. (c) EXCEPTIONS EXCEPTION (CRAFT) .Qif, ,. Kellie Jo Cross, Payroll Mana$�r EXPLANATION 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 18AND SECTION 231 OF TITLE 31 OF THE UNITED STATES CODE. Print Date: 07/23/2002 Page 3 Payroll No. 13 Project No. 208 Project Name Stover Avenue Sewer Exempts Gender Certified Payroll Report For the period ending 06/05/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Employee Information Ethic Sun Mon SCOTT TONN Gross Tot Hrly This Tue Wed Thu Fri Sat Hrs Rate Project Gross All Projs Soc Sec No: 570 76-6592' Z '✓ ' 5/31 OPERATOR GROUP 8 $30.54 919 COLIMA ROAD, SAN BERNARDINO , CA 92301 M - 0 S 0.00 Male 0 0.00 C 8.00 8.00 8.00 0.00 1.00 0.00 JAMES GARDNER, JR. Soc Sec No: 561-84-4016 7032 DWIGHT WAY, SAN BERNARDINO , CA 92404 M - 2 S 0.00 Male 0 0.00 C MARCOS MACIAS Soc Sec No: 625-40-5881 M - 7 S 0.00 Male 0 0.00 14115 RATLIFFE STREET, LA MI RADA , CA 90638 CASIMIRO GOVEA Soc Sec No: 557-43-6773 M - 3 S 0.00 8.00 Male 0 0.00 0.00 H 739 CONTEMPO STREET, ONTARIO , CA 91762 8.00 8.00 0.00 40.00 29.54 1181.60 1358.04 0.00 0.50 0.00 1.50 44.31 66.46 Other Eamings: 109.98 Total Eamings: 1358.04 TEAMSTER GROUP V $22.91 8.00 8.00 4.00 2.00 4.00 0.00 26.00 22.51 585.26 1117.82 1.00 0.00 0.50 0.50 0.50 0.00 2.50 33.76 84.41 Other Earnings: 74.10 Total Eamings: 743.77 8.00 8.00 8.00 0.00 1.00 0.00 DWIGHT NICHOLS Soc Sec No: 554-82-1855 1122 E. 25TH STREET, S - 0 S 0.00 8.00 SAN BERNARDINO , CA Male 0 0.00 0.00 92404 C 8.00 8.00 1.00 0.00 8.00 8.00 0.00 0.00 OPERATING ENGINEERS $31.54 8.00 8.00 0.00 40.00 30.54 1221.60 1400.29 0.50 0.00 0.00 1.50 45.81 68.71 Other Eamings: 109.98 Total Earnings: 1400.29 LABORER GROUP I $20.10 8.00 8.00 0.00 40.00 19.46 778.40 928.02 0.50 0.00 0.00 1.50 29.19 43.79 Other Earnings: 105.83 Total Eamings: 928.02 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR FICA HEALTH CONT/CC SWH PENSION SAVINGS SDI TRAING SUP.DUE ADMIN OTHER 2 Tot Pay Tot Ded Net Pay Check No: 56384 06/07/02 218.00 103.89 51.90 12.22 1358.04 109.98 195.05 155.63 26.98 2.49 495.99 2.49 2.08 0.00 0.00 0.00 862.05 Check No: 56365 06/07/02 122.00 85.51 27.97 10.06 110.50 143.07 136.80 11.97 0.00 0.00 0.00 1.71 1117.82 1.71 356.04 0.00 761.78 Check No: 56390 06/07/02 220.00 107.12 40.09 12.60 109.98 195.05 155.63 26.98 2.49 2.49 2.08 0.00 0.00 0.00 83.00 105.83 2.49 WATER TRUCKNVORKING TEAMSTER $22.25 8.00 8.00 0.00 40.00 21.85 874.00 978.00 182.00 0.00 0.00 0.00 0.00 0.00 0.00 104.00 Other Earnings: 104.00 0.00 Total Earnings: 978.00 "71.00 141.52 6.23 74.82 200.80 0.00 Check No: 56391 06/07/02 15.32 8.35 .151.89 14.94 2.49 0.00 0.00 0.00 Ched< No: 56396 06/07/02 50.13 8.80 192.00 16.80 2.40 0.00 2.40 0.00 1400.29 489.79 910.50 928.02 283.50 644.52 978.00 419.75 558.25 Print Date: 07/23/2002 Page 1 1 1 Payroll No. 13 Project No. 208 Project Name Stover Avenue Sewer Exempts Gender Employee Information Ethic Sun LARRY ZAVALA Soc Sec No: 548-06-8520 7430 TOKAY AVENUE, M - 9 S 0.00 Male 0 0.00 FONTANA , CA 92336 RICARDO OROZCO Soc Sec No: M-6 Male 730 W. CARLTON, ONTARIO , CA 91761 Certified Payroll Report For the period ending 06/05/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Gross Tot Hrly This Mon Tue Wed Thu Fri Sat Hrs Rate Project Hours Gross All Projs OPERATOR GROUP 8 $30.54 8.00 8.00 8.00 8.00 8.00 0.00 40.00 29.54 1181.60 1358.04 0.00 1.00 0.00 0.50 0.00 0.00 1.50 44.31 66.46 Other Eamings: 109.98 Total Earnings: 1358.04 547-61-3392 S 0.00 8.00 O 0.00 0.00 JAIME RAMIREZ Soc Sec No: 551-54-5597 2835 S. TAMARASK ROAD, ONTARIO , CA 91761 M-3 Male H LABOR GROUP IV FORMAN $24.10 8.00 8.00 8.00 8.00 0.00 40.00 23.16 926.40 1084.34 1.00 0.00 0.50 0.00 0.00 1.50 34.74 52.11 Other Eamings: 105.83 Total Earnings: 1084.34 S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 46.50 1860.00 1860.00 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 VICTOR RUIZ Soc Sec No: 545-21-8611 LABOR GROUP III $21.20 1964 MURRIETTA ROAD, M - 3 S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 20.46 818.40 970.27 PERRIS, CA 92571 Male 0 0.00 0.00 1.00 0.00 0.50 0.00 0.00 1.50 30.69 46.04 H Other Earnings: 105.83 Total Earnings: 970.27 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR FICA SWH SDI HEALTH PENSION TRAING CONT/CC SAVINGS SUP.DUE ADMIN OTHER 2 Tot Pay Tot Ded Net Pay Check No: 56397 06/07/02 96.00 103.89 33.67 12.23 1358.04 109.98 195.05 155.63 26.98 2.49 355.77 2.49 2.08 0.00 0.00 0.00 1002.27 81.00 105.83 2.49 306.00 0.00 0.00 Check No: 56373 06/07/02 82.95 19.88 9.76 1084.34 141.52 151.89 14.94 2.49 299.42 6.23 0.00 0.00 0.00 784.92 142.29 0.00 0.00 Check No: 56376 06/07/02 86.78 16.74 0.00 0.00 0.00 0.00 0.00 0.00 Check No: 56378 06/07/02 89.00 74.23 17.60 8.73 105.83 141.52 151.89 14.94 2.49 2.49 6.23 0.00 0.00 0.00 1860.00 551.81 1308.19 970.27 295.39 674.88 Print Date: 07/23/2002 Page 2 Payroll No. 13 Project No. 208 Project Name Stover Avenue Sewer Date: 07/23/2002 Payroll No: 13 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 STATEMENT OF COMPLIANCE Contractor's License No. A 370846 Employer Identification No. 95-3271209 I, Kellie Jo Cross, Payroll Manager, do hereby state: (1) That I pay or supervise the payment of the persons employed by ALBERT W. DAVIES, INC. on the Slover Avenue Sewer project; that during the payroll period commencing on May 30, 2002 and ending June 05, 2002, all persons employed on said project have been paid the full weekly wages earned, that no rebates have or will be made either directly or indirectly to or on behalf of said ALBERT W. DAVIES, INC. from the full weekly wages eamed 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 as defined in Regulations, Part 3 (29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat. 948.63 Stat. 108, 72 Stat. 967; 76 Stat. 357; 40 U.S.C. 276c), and described below: Taxes: Federal W/H, FICA/Medicare, State WM, State SDI/Local Other. Vacation Pay, Child Support, Attachments, Advances (2) That any payrolls otherwise under this contract 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 than the applicable wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work he 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 recognized by the Bureau of Apprenticeship and Training, United States Department of Labor, or if no such recognized agency exists in a State, are registered with the Bureau of Apprenticeship and Training, United States Department of Labor. (4) That: (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS OR PROGRAMS nIn addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of fringe benefits as listed in the contract have been or will be made to appropriate programs for the benefit of such employees, except as notice in Section 4 (c) below. (b) WHERE FRINGE BENEFITS ARE PAID IN CASH nEach laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll, an amount not less than the sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed in the contract, except as notice in Section 4 (c) below. (c) EXCEPTIONS EXCEPTION (CRAFT) LR. Kellie Jo Cross, Payroll EXPLANATION 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. Print Date: 07/23/2002 Page 3 Payroll No. 14 Project No. 208 Project Name Stover Avenue Sewer Exempts Gender Certified Payroll Report For the period ending 06/12/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Employee Information Ethic Sun Mon Tue Wed SCOTT TONN (PPI Soc Sec No: 570 76-659 919 COLIMA ROAD, SAN BERNARDINO , CA 92301 Thu Fri W0 W ViW (0li M - 0 S 0.00 8.00 8.00 8.00 8.00 8.00 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 C JAMES IVERSON Soc Sec No: 559-92-5741 8315 CHERRY, M - S 0.00 8.00 FONTANA , CA 92335 Male 0 0.00 1.50 C MARCOS MACIAS Soc Sec No: 625-40-5881 M - 7 S 0.00 8.00 Male 0 0.00 0.00 14115 RATLIFFE STR EET, LA MI RADA , CA 90638 - CASIMIRO GOVEA Soc Sec No: 557-43-6773 M - 3 S 0.00 8.00 Male 0 0.00 0.00 H 739 CONTEMPO STREET, ONTARIO , CA 91762 FRANCISCO MUNDO Soc Sec No: 572-91-4437 16855 Baltic Court, M - 0 S 0.00 8.00 Moreno Valley , CA 92551 Male 0 0.00 1.50 H 0.00 0.00 0.00 0.00 8.00 8.00 0.00 0.00 8.00 8.00 0.00 0.00 8.00 8.00 0.00 0.50 Gross Gross Tot Hrly This All Sat Hrs Rate Project Projs 6/OPERATOR GROUP 8 $30.54 0.00 40.00 29.54 1181.60 1287.60 0.00 0.00 0.00 0.00 Other Eamings: 106.00 Total Earnings: 1287.60 TEAMSTER GROUP V $22.32 0.00 0.00 0.00 8.00 21.92 175.36 1019.16 0.00 0.00 0.00 1.50 32.88 49.32 Other Eamings: 24.70 Total Earnings: 249.38 OPERATING ENGINEERS $31.54 8.00 8.00 0.00 40.00 30.54 1221.60 1351.83 0.50 0.00 0.00 0.50 45.80 22.90 Other Eamings: Total Earnings: 107.33 1351.83 LABORER GROUP I $20.10 8.00 8.00 0.00 40.00 19.46 778.40 912.14 1.00 0.00 0.00 1.00 29.19 29.19 Other Earnings: 104.55 Total Eamings: 912.14 LABORER GROUP IV $22.75 8.00 5.00 0.00 37.00 21.91 810.67 975.85 0.00 0.00 0.00 2.00 32.87 65.73 Other Eamings: 99.45 Total Earnings: 975.85 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR 199.00 106.00 2.40 FICA HEALTH CONT/CC 98.51 188.00 2.00 SWH PENSION SAVINGS SDI TRAING ADMIN SUP.DUE OTHER 2 Check No: 56487 06/14/02 46.26 150.00 0.00 11.59 26.00 0.00 2.40 0.00 Check No: 56472 06/14/02 126.00 77.97 28.50 9.17 104.00 47.69 45.60 3.99 0.57 0.00 0.00 0.00 0.57 0.00 212.00 107.33 2.43 103.41 190.35 2.03 Check No: 56475 06/14/02 36.21 12.17 151.88 26.33 0.00 0.00 Tot Pay Tot Ded Net Pay 1287.60 461.36 826.24 1019.16 345.64 673.52 1351.83 2.43 471.12 0.00 880.71 Check No: 56476 06/14/02 81.00 69.77 14.68 8.21 104.55 139.81 150.06 14.76 2.46 2.46 6,15 0.00 0.00 0.00 116.00 99.45 2.34 74.65 15.99 5.85 Check No: 56477 06/14/02 25.90 142.74 0.00 8.78 14.04 0.00 2.34 0.00 912.14 278.21 633.93 975.85 324.78 651.07 Print Date: 07/23/2002 Page 1 Payroll No. 14 Project No. 208 Project Name Stover Avenue Sewer Employee Information Exempts Gender Ethic Certified Payroll Report For the period ending 06/12/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Sun Mon Tue Wed Thu Fri RANDY PATTERSON Soc Sec No: 562-74-8173 11065 SUNNYSLOPE, CHERRY VALLEY , CA 92223 S-3 Male C S 0.00 0.00 O 0.00 0.00 DWIGHT NICHOLS Soc Sec No: 554-82-1855 1122 E. 25TH STREET, SAN BERNARDINO , CA 92404 S-0 Male C S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 21.85 874.00 1013.38 O 0.00 0.00 0.00 0.00 1.00 0.00 0.00 1.00 32.78 32.78 Other Eamings: 106.60 Total Eamings: 1013.38 LARRY ZAVALA Soc Sec No: 548-06-8520 M - 9 S 0.00 Male 0 0.00 7430 TOKAY AVENUE, FONTANA , CA 92336 JOE MARTINEZ Soc Sec No: 569-98-0495 M-3 S 0.00 Male 0 0.00 907 E. RIALTO AVENUE, SP. #24, SAN BERNARDINO , CA 92408 OPERATOR GROUP 8 $30.54 8.00 8.00 8.00 8.00 8.00 0.00 40.00 29.54 1181.60 1334.56 0.00 0.00 0.00 1.00 0.00 0.00 1.00 44.31 44.31 Other Eamings: Total Eamings: 108.65 1334.56 LABORER APPRETINCE STEP 1 $11.08 8.00 8.00 8.00 8.00 4.00 0.00 36.00 11.08 398.88 500.14 1.50 0.00 0.50 0.00 0.00 0.00 2.00 16.62 33.24 Other Eamings: 68.02 Total Eamings: 500.14 JEFFRY NEIGHBORS Soc Sec No: 548-95-0407 2821 CEDAR STREET, M - 4 S 0.00 8.00 SAN BERNARDINO , CA Male 0 0.00 0.00 92404 H OPERATOR STEP 3 APPR. 8.00 8.00 8.00 4.00 0.00 36.00 20.60 741.60 853.78 0.00 0.50 0.00 0.00 0.00 0.50 30.90 15.45 Other Earnings: 96.73 Total Earnings: 853.78 Gross Tot Hrly This Sat Hrs Rate Project Gross All P rojs TEAMSTER GROUP V $22.32 8.00 8.00 8.00 6.50 0.00 30.50 21.92 668.56 783.34 0.00 1.00 0.00 0.00 0.00 1.00 32.88 32.88 Other Eamings: Total Eamings: 81.90 783.34 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR FICA SWH SDI HEALTH PENSION TRAING ADMIN CONT/CC SAVINGS SUP.DUE OTHER 2 Check No: 56478 06/14/02 83.00 59.93 27.47 7.05 81.90 158.13 151.20 13.23 1.89 0.00 0.00 0.00 1.89 0.00 WATER TRUCK/WORKING TEAMSTER $22.25 192.00 106.60 0.00 77.52 205.82 0.00 Check No: 56483 06/14/02 53.42 9.12 196.80 17.22 2.46 0.00 2.46 0.00 Check No: 56484 06/14/02 92.00 102.09 31.79 12.01 108.65 192.70 153.75 26.65 2.46 2.46 2.05 0.00 0.00 0.00 20.00 136.04 2.28 38.25 82.46 5.70 Chedk No: 56485 06/14/02 0.96 4.50 14.44 13.30 0.00 0.00 0.00 0.00 Check No: 56486 06/14/02 63.00 65.31 10.83 7.68 96.73 171.55 136.88 23.73 2.19 2.19 1.83 0.00 0.00 0.00 Tot Pay Tot Ded Net Pay 783.34 259.35 523.99 1013.38 438.66 574.72 1334.56 346.54 988.02 500.14 131.73 368.41 853.78 243.55 610.23 Print Date: 07/23/2002 Page 2 Payroll No. 14 Project Nd. 208 Project Name Stover Avenue Sewer Exempts Gender Certified Payroll Report For the period ending 06/12/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Employee Information Ethic Sun Mon Tue Wed Thu Fri Gross Tot Hrly This Sat Hrs Rate Project Gross All Projs JOHN- OROSCO Soc Sec No: 573-76-0535 LABOR GROUP V FOREMAN $24.85 12508 BAKER CT., M -4 S 0.00 . 8.00 8.00 8.00 8.00 8.00 0.00 40.00 23.91 956.40 1154.44 CHINO , CA 91710 Male 0 0.00 1.50 0.00 1.00 0.00 0.00 0.00 2.50 35.86 89.66 RICARDO OROZCO Soc Sec No: M - 6 Male 730 W. CARLTON, ONTARIO , CA 91761 547-61-3392 S 0.00 8.00 O 0.00 0.00 LARRY PLOTNER Soc Sec No: 566-48-1227 2903 Valencia Avenue, San Bernardino , CA 92404 M - 2 Male C Other Eamings: Total Earnings: 108.38 1154.44 LABOR GROUP IV FORMAN $24.10 8.00 8.00 8.00 8.00 0.00 40.00 23.16 926.40 1084.34 0.00 0.50 1.00 0.00 0.00 1.50 34.74 52.11 Other Eamings: Total Eamings: 105.83 1084.34 OPERATOR FOREMAN $33.04 S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 32.04 1281.60. 1387.60 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 106.00 Total Eamings: 1387.60 JAIME RAMIREZ Soc Sec No: 551-54-5597 - 2835 S. TAMARASK M - 3 S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 46.50 1860.00 1860.00 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 H ROAD, ONTARIO , CA 91761 BRIAN ROGERS Soc Sec No: 545-96-5766 OPERATOR GROUP 8 $30.54 22421 MILKY WAY, TEHACHAPI , CA 93561 M - 9 S 0.00 8.00 8.00 8.00 8.00 6.50 0.00 38.50 29.54 1137.29 1333.24 Male 0 0.00 1.50 0.00 0.50 0.00 0.00 C 0.00 2.00 44.31 88.62 Other Earnings: 107.33 Total Eamings: 1333.24 Contractor's License No. A 370846 - Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR 108.00 108.38 2.55 FICA SWH SDI - HEALTH PENSION TRAING ADMIN CONT/CC SAVINGS SUP.DUE OTHER 2 88.32 144.93 6.38 Check No: 56458 06/14/02 27.13 10.39 155.55 - 15.30 2.55 0.00 0.00 0.00 Tot Pay Tot Ded Net Pay 1154.44 342.22 812.22 Check No: 56459 06/14/02 81.00 82.96 19.88 9.76 1084.34 105.83 141.52 151.89 14.94 2.49 299.43 2.49 6.23 0.00 0.00 0.00 784.91 194.00 106.00 2.40 306.00 0.00 0.00 92.00 107.33 2.43 106.15 188.00 2.00 142.29 0.00 0.00 101.99 190.35 2.03 Check No: 56460 06/14/02 46.67 150.00 0.00 12.49 26.00 0.00 1387.60 2.40 465.31 0.00 922.29 Check No: 56462 06/14/02 86.78 16.74 0.00 0.00 0.00 0.00 0.00 0.00 Check No: 56463 06/14/02 31.68 12.00 151.88 26.33 2.43 0.00 0.00 0.00 1860.00 551.81 1308.19 1333.24 345.00 988.24 Print Date: 07/23/2002 - Page 3 Payroll No. 14 Project No. 208 Project Name Stover Avenue Sewer Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Contractor's License No. A 370846 Employer Identification No. 95-3271209 VICTOR RUIZ Soc Sec No: 545-21-8611 LABOR GROUP III $21.20 Ched< No: 56464 06/14/02 1964 MURRIETTA ROAD, M - 3 S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 20.46 818.40 970.27 89.00 74.22 17.60 8.73 970.27 PERRIS , CA 92571 Male 0 0.00 0.00 0.00 0.50 1.00 0.00 0.00 1.50 30.69 46.04 105.83 141.52 151.89 14.94 2.49 295.38 H Other Eamings: 105.83 2.49 6.23 0.00 0.00 0.00 674.89 Total Eamings: 970.27 Print Date: 07/23/2002 Page 4 Payroll No. 14 Project No. 208 Project Name Slover Avenue Sewer Date: 07/23/2002 Payroll No: 14 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 STATEMENT OF COMPLIANCE Contractor's License No. A 370846 Employer Identification No. 95-3271209 I, Kellie Jo Cross, Payroll Manager, do hereby state: (1) That I pay or supervise the payment of the persons employed by ALBERT W. DAVIES, INC. on the Slover Avenue Sewer project; that during the payroll period commenting on June 06, 2002 and ending June 12, 2002, all persons employed on said project have been paid the full weekly wages earned, that no rebates have or will be made either directly or indirectly to or on behalf of said ALBERT W. DAVIES, INC. from the full weekly wages eamed 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 as defined in Regulations, Part 3 (29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat. 948.63 Stat. 108, 72 Stat 967; 76 Stat. 357; 40 U.S.C. 276c), and described below: Taxes: Federal W/H, FICA/Medicare, State W/H, State SDI/Local Other. Vacation Pay, Child Support, Attachments, Advances (2) That any payrolls otherwise under this contract 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 than the applicable wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work he 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 recognized by the Bureau of Apprenticeship and Training, United States Department of Labor, or if no such recognized agency exists in a State, are registered with the Bureau of Apprenticeship and Training, United States Department of Labor. (4) That (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS OR PROGRAMS In addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of fringe benefits as listed in the contract have been or will be made to appropriate programs for the benefit of such employees, except as notice in Section 4 (c) below. (b) WHERE FRINGE BENEFITS ARE PAID IN CASH Each laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll, an amount not less than the sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed in the contract, except as notice in Section 4 (c) below. (c) EXCEPTIONS EXCEPTION (CRAFT) Kettle Jo Cross, Payroll Marf�ger EXPLANATION 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. Print Date: 07/23/2002 Page 5 Payroll No. 15 Project No. 208 Project Name Slover Avenue Sewer Exempts Gender Employee Information Ethic SCOTT TONN 919 COLIMA ROAD, SAN BERNARDINO , CA 92301 Certified Payroll Report For the period ending 06/19/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Gross Gross Hours Tot Hrly This All Sun Mon Tue Wed Thu Fri Sat Hrs Rate Project Projs Soc Sec No: 570-76-6599t' r '' VI? III7 113 1 OPERATOR GROUP 8 $30.54 8.00 8.00 8.00 0.00 40.00 29.54 1181.60 1358.04 0.00 1.50 0.00 0.00 1.50 44.31 66.46 M - 0 S 0.00 8.00 8.00 Male 0 0.00 0.00 0.00 C JAMES GARDNER, JR. Soc Sec No: 561-84-4016 M - 2 S 0.00 8.00 Male 0 0.00 0.50 C 7032 DWIGHT WAY, SAN BERNARDINO , CA 92404 MARCOS MACIAS Soc Sec No: 625-40-5881 14115 RATLIFFE M - 7 S 0.00 8.00 STREET, LA MI RADA , Male 0 0.00 0.00 CA 90638 H CASIMIRO GOVEA Soc Sec No: 557-43-6773 739 CONTEMPO M - 3 S 0.00 8.00 STREET, ONTARIO , CA Male 0 0.00 0.00 91762 FRANCISCO MUNDO Soc Sec No: 16855 Baltic Court, M - 0 Moreno Valley , CA 92551 Male H 572-91-4437 S 0.00 8.00 0 0.00 1.50 Other Earnings: Total Eamings: 109.98 1358.04 TEAMSTER GROUP V $22.91 4.00 0.00 8.00 8.00 0.00 28.00 22.51 630.28 1077.13 0.50 0.00 0.50 0.00 0.00 1.50 33.77 50.65 Other Earnings: 76.70 Total Eamings: 757.63 OPERATING ENGINEERS $31.54 8.00 8.00 8.00 8.00 0.00 40.00 30.54 1221.60 1400.29 0.00 0.00 1.50 0.00 0.00 1.50 45.81 68.71 Other Earnings: 109.98 Total Earnings: 1400.29 LABORER GROUP 1 $20.10 8.00 8.00 8.00 8.00 0.00 40.00 19.46 778.40 880.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.00 8.00 8.00 0.00 0.00 0.50 Other Eamings: Total Earnings: 102.00 880.40 LABORER GROUP IV $22.75 8.00 0.00 40.00 21.91 876.40 1049.23 0.00 0.00 2.00 32.87 65.73 Other Eamings: 107.10 Total Earnings: 1049.23 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR 218.00 109.98 2.49 FICA HEALTH CONT/CC 103.88 195.05 2.08 SWH PENSION SAVINGS SDI TRAING SUP.DUE ADMIN OTHER 2 Check No: 56560 06/21/02 51.90 - 12.22 155.63 26.98 2.49 0.00 0.00 0.00 Check No: 56541 06/21/02 114.00 82.40 25.53 9.69 109.20 148.09 141.60 12.39 1.77 0.00 0.00 0.00 1.77 0.00 Check No: 56566 06/21/02 220.00 107.13 40.09 12.60 109.98 195.05 155.63 26.98 2.49 2.49 2.08 0.00 0.00 0.00 76.00 67.35 102.00 136.40 2.40 6.00 13.41 146.40 0.00 Check No: 56567 06/21/02 7.93 14.40 2.40 0.00 0.00 Check No: 56568 06/21/02 134.00 80.27 30.31 9.45 107.10 17.22 153.72 15.12 2.52 2.52 6.30 0.00 0.00 0.00 Tot Pay Tot Ded Net Pay 1358.04 495.98 862.06 1077.13 340.82 736.31 1400.29 489.80 910.49 880.40 266.69 613.71 1049.23 361.13 688.10 Print Date: 07/23/2002 Page 1 Payroll No. 15 Project No. 208 Project Name Stover Avenue Sewer Exempts Gender Certified Payroll Report For the period ending 06/19/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Employee Information Ethic Sun Mon Tue Wed RANDY PATTERSON Soc Sec No: 562-74-8173 S-3 S 0.00 8.00 Male 0 0.00 1.00 11065 SUNNYSLOPE, CHERRY VALLEY , CA 92223 DWIGHT NICHOLS Soc Sec No: 554-82-1855 1122 E. 25TH STREET, S - 0 S 0.00 8.00 SAN BERNARDINO , CA Male 0 0.00 0.00 92404 LARRY ZAVALA Soc Sec No: 548-06-8520 7430 TOKAY AVENUE, M-9 S 0.00 Male 0 0.00 H FONTANA , CA 92336 JOE MARTI NEZ Soc Sec No: 569-98-0495 907 E. RIALTO AVENUE, M - 3 S 0.00 SP. #24, SAN BERNARDINO , CA 92408 Male H 0 0.00 Thu Fri Gross Tot Hrly This Sat Hrs Rate Project Gross All Projs TEAMSTER GROUP V $22.32 8.00 8.00 8.00 8.00 0.00 40.00 21.92 876.80 1034.02 0.00 0.00 0.50 0.00 0.00 1.50 32.88 49.32 Other Eamings: 107.90 Total Eamings: 1034.02 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH FICA SWH SDI VAC/HOL HEALTH PENSION TRAING ADMIN INDUSTR CONT/CC SAVINGS SUP.DUE OTHER 2 151.00 107.90 0.00 WATER TRUCK/VVORKING TEAMSTER $22.25 8.00 8.00 8.00 8.00 0.00 40.00 21.85 874.00 1048.75 0.00 0.50 1.50 0.00 0.00 2.00 32.78 65.55 Other Eamings: 109.20 Total Eamings: 1048.75 OPERATOR GROUP 8 $30.54 8.00 8.00 8.00 8.00 8.00 0.00 40.00 29.54 1181.60 1358.04 0.00 0.00 0.00 1.50 0.00 0.00 1.50 44.31 66.46 Other Eamings: 109.98 Total Earnings: 1358.04 LABORER APPRETINCE STEP I $11.08 8.00 8.00 8.00 8.00 8.00 0.00 40.00 11.08 443.20 542.42 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 JEFFRY NEIGHBORS Soc Sec No: 548-95-0407 M - 4 S 0.00 8.00 Male 0 0.00 0.50 H 2821 CEDAR STREET, SAN BERNARDINO , CA 92404 Other Eamings: Total Eamings: 71.60 514.80 OPERATOR STEP 3 APPR. 8.00 8.00 8.00 8.00 0.00 40.00 20.60 824.00 963.55 0.00 0.00 0.50 0.00 0.00 1.00 30.90 30.90 Other Eamings: 108.65 Total Eamings: 963.55 201.00 109.20 0.00 96.00 109.98 2.49 79.10 208.33 0.00 80.23 210.84 0.00 103.89 195.05 2.08 Check No: 56569 06/21/02 50.78 9.31 199.20 17.43 2.49 0.00 2.49 0.00 Check No: 56574 06/21/02 56.71 9.44 201.60 17.64 2.52 0.00 2.52 0.00 Check No: 56575 06/21/02 33.67 12.22 155.63 26.98 2.49 0.00 0.00 0.00 Check No: 56576 06/21/02 25.00 41.50 1.80 4.88 145.89 86.80 15.20 14.00 0.00 2.40 6.00 0.00 0.00 0.00 80.00 108.65 2.46 73.71 192.70 2.05 Check No: 56577 06/21/02 15.67 8.67 153.75 26.65 2.46 0.00 0.00 0.00 Tot Pay Tot Ded Net Pay 1034.02 398.09 635.93 1048.75 456.58 592.17 1358.04 355.76 1002.28 542.42 147.47 394.95 963.55 286.70 676.85 Print Date: 07/23/2002 Page 2 Payroll No. 15 Project No. 208 Project Name Slover Avenue Sewer Exempts Gender Certified Payroll Report For the period ending 06/19/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Employee Information Ethic Sun Mon Tue Wed Thu Fri RAMON GUTIERREZ Soc Sec No: 572-11-5161 1618 JANTZEN DRIVE, M - 0 S 0.00 8.00 Male 0 0.00 0.00 COLTON , CA 92334 JOHN OROSCO Soc Sec No: 573-76-0535 12508 BAKER CT., M - 4 S 0.00 CHINO , CA 91710 Male 0 0.00 H Gross Tot Hrly This Sat Hrs Rate Project Gross All Projs LABORER GROUP 11 $20.65 8.00 8.00 0.00 0.00 0.00 24.00 19.96 479.04 540.24 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 61.20 Total Earnings: 540.24 LABOR GROUP V FOREMAN $24.85 9.50 8.00 8.00 8.50 8.00 0.00 42.00 23.91 1004.22 1111.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 107.10 Total Eamings: 1111.32 RICARDO OROZCO Soc Sec No: 547-61-3392 730 W. CARLTON, M - 6 S 0.00 8.00 Male 0 0.00 0.00 H ONTARIO , CA 91761 LARRY PLOTNER Soc Sec No: 566-48-1227 2903 Valencia Avenue, San Bemardino , CA 92404 M - 2 S 0.00 8.00 Male 0 0.00 0.00 C JAIME RAMIREZ Soc Sec No: 551-54-5597 M - 3 S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 46.50 1860.00 1860.00 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 H 2835 S. TAMARASK ROAD, ONTARIO , CA 91761 LABOR GROUP IV FORMAN $24.10 8.00 8.00 8.00 8.00 0.00 40.00 23.16 926.40 1084.34 0.00 0.00 1.50 0.00 0.00 1.50 34.74 52.11 Other Eamings: 105.83 Total Eamings: 1084.34 OPERATOR FOREMAN $33.04 8.00 8.00 8.00 8.00 0.00 40.00 32.04 1281.60 1387.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 106.00 Total Earnings: 1387.60 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH FICA SWH SDI Tot Pay VAC/HOL HEALTH PENSION TRAING ADMIN Tot Ded INDUSTR CONT/CC SAVINGS SUP.DUE OTHER 2 Net Pay Ched< No: 56578 06/21/02 51.00 41.32 7.46 4.86 61.20 81.84 87.84 8.64 1.44 1.44 3.60 0.00 0.00 0.00 102.00 107.10 2.52 85.01 143.22 6.30 24.54 153.72 0.00 Ched< No: 56548 06/21/02 10.00 15.12 2.52 0.00 0.00 Ched< No: 56549 06/21/02 81.00 82.95 19.88 9.76 105.83 141.52 151.89 14.94 2.49 2.49 6.23 0.00 0.00 0.00 Ched< No: 56550 06/21/02 194.00 106.15 46.67 12.49 106.00 188.00 150.00 26.00 2.40 2.40 2.00 0.00 0.00 0.00 306.00 0.00 0.00 142.29 0.00 0.00 Ched< No: 56552 06/21/02 86.78 0.00 0.00 540.24 165.84 374.40 1111.32 328.65 782.67 1084.34 299.42 784.92 1387.60 465.31 922.29 16.74 1860.00 0.00 0.00 0.00 551.81 0.00 1308.19 Print Date: 07/23/2002 Page 3 Payroll No. 15 Project No. 208 Project Name Stover Avenue Sewer Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 BRIAN ROGERS Soc Sec No: 545-96-5766 OPERATOR GROUP 8 $30.54 22421 MILKY WAY, M - 9 S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 29.54 1181.60 1358.04 TEHACHAPI , CA 93561 Male 0 0.00 1.00 0.00 0.00 0.50 0.00 0.00 1.50 44.31 66.46 Other Eamings: Total Earnings: 109.98 1358.04 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Check No: 56553 06/21/02 96.00 103.89 33.67 12.22 1358.04 109.98 195.05 155.63 26.98 2.49 355.76 2.49 2.08 0.00 0.00 0.00 1002.28 VICTOR RUIZ Soc Sec No: 545-21-8611 LABOR GROUP III $21.20 Check No: 56554 06/21/02 1964 MURRIETTA ROAD, M - 3 S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 20.46 818.40 970.27 89.00 74.23 17.60 8.74 970.27 PERRIS , CA 92571 Male 0 0.00 0.00 0.00 0.00 1.50 0.00 0.00 1.50 30.69 46.04 105.83 141.52 151.89 14.94 2.49 295.40 H Other Earnings: 105.83 2.49 6.23 0.00 0.00 0.00 674.87 Total Eamings: 970.27 Print Date: 07/23/2002 Page 4 Payroll No. 15 Project No. 208 Project Name Stover Avenue Sewer Date: 07/23/2002 Payroll No: 15 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 STATEMENT OF COMPLIANCE Contractor's License No. A 370846 Employer Identification No. 95-3271209 I, Kellie Jo Cross, Payroll Manager, do hereby state: (1) That I pay or supervise the payment of the persons employed by ALBERT W. DAVIES, INC. on the SloverAvenue Sewer project; that during the payroll period commencing on June 13, 2002 and ending June 19, 2002, all persons employed on said project have been paid the full weekly wages earned, that no rebates have or will be made either directly or indirectly to or on behalf of said ALBERT W. DAVIES, INC. from the full weekly wages eamed 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 as defined in Regulations, Part 3 (29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat. 948.63 Stat. 108, 72 Stat. 967; 76 Stat. 357; 40 U.S.C. 276c), and described below: Taxes: Federal WM, FlCA/Medicare, State W/H, State SDI/Local Other. Vacation Pay, Child Support, Attachments, Advances (2) That any payrolls otherwise under this contract 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 than the applicable wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work he 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 recognized by the Bureau of Apprenticeship and Training, United States Department of Labor, or if no such recognized agency exists in a State, are registered with the Bureau of Apprenticeship and Training, United States Department of Labor. (4) That (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS OR PROGRAMS In addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of fringe benefits as listed in the contract have been or will be made to appropriate programs for the benefit of such employees, except as notice in Section 4 (c) below. (b) WHERE FRINGE BENEFITS ARE PAID IN CASH Each laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll, an amount not less than the sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed in the contract, except as notice in Section 4 (c) below. (c) EXCEPTIONS EXCEPTION (CRAFT) Kellie Jo Cross, Payroll M ger EXPLANATION 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. Print Date: 07/23/2002 Page 5 Payroll No. 16 Project No. 208 Project Name Stover Avenue Sewer Exempts Gender Employee Information Ethic Certified Payroll Report For the period ending 06/26/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Sun Mon Tue Wed Thu Fri SCOTT TONN Soc Sec No: 570-76-659 2-3 Wt T° 124 919 COLIMA ROAD, SAN M - 0 S 0.00 8.00 BERNARDINO , CA Male 0 0.00 0.00 92301 JAMES GARDNER, JR. Soc Sec No: 561-84-4016 7032 DWIGHT WAY, M - 2 S 0.00 0.00 SAN BERNARDINO , CA Male 0 0.00 0.00 92404 C MARCOS MACIAS Soc Sec No: 625-40-5881 M - 7 S 0.00 8.00 Male 0 0.00 0.00 H 14115 RATLIFFE STREET, LA MI RADA, CA 90638 ALBERT RAMIREZ Soc Sec No: 551-95-8764 2835 S. TAMARASK ROAD, ONTARIO , CA 91761 S-1 Male S S 0.00 0.00 0 0.00 0.00 CASIMIRO GOVEA Soc Sec No: 557-43-6773 739 CONTEMPO M - 3 S 0.00 8.00 STREET, ONTARIO , CA Male 0 0.00 0.00 91762 H 8.00 8.00 8.00 8.00 0.00 0.00 0.00 0.00 4.00 4.00 0.00 0.00 8.00 8.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 8.00 0.00 0.00 Sat OPERATOR GROUP 8 $30.54 0.00 40.00 29.54 1181.60 1287.60 0.00 0.00 0.00 0.00 Tot Hrly Hrs Rate Gross This Project Gross All Projs Other Eamings: Total Eamings: 106.00 1287.60 TEAMSTER GROUP V $22.91 4.00 0.00 0.00 12.00 22.51 270.12 1040.77 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 31.20 Total Eamings: 301.32 OPERATING ENGINEERS $31.54 8.00 8.00 0.00 40.00 30.54 1221.60 1327.60 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 106.00 Total Eamings: . 1327.60 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR LABORER APPRETINCE STEP 1 $11.08 0.00 0.00 0.00 8.00 11.08 88.64 102.96 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 14.32 Total Eamings: 102.96 LABORER GROUP I $20.10 8.00. 8.00 0.00 40.00 19.46 778.40 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 102.00 Total Earnings: 880.40 199.00 106.00 2.40 109.00 106.60 0.00 FICA HEALTH CONT/CC 98.50 188.00 2.00 79.62 60.24 0.00 SWH PENSION SAVINGS SDI TRAING SUP.DUE ADMIN OTHER 2 Check No: 56669 06/28/02 46.26 11.59 150.00 26.00 2.40 0.00 0.00 0.00 Check No: 56650 06/28/02 23.34 57.60 0.00 9.37 5.04 0.72 Tot Pay Tot Ded Net Pay 1287.60 461.35 826.25 1040.77 0.72 327.93 0.00 712.84 Check No: 56675 06/28/02 208.00 101.56 34.27 11.95 106.00 188.00 150.00 26.00 2.40 2.40 2.00 0.00 0.00 0.00 Check No: 56676 06/28/02 0.00 7.87 0.00 0.93 28.64 17.36 3.04 2.80 0.00 0.48 1.20 0.00 0.00 0.00 Check No: 56677 06/28/02 880.40 76.00 67.35 13.41 7.92 102.00 136.40 146.40 14.40 2.40 2.40 6.00 0.00 0.00 0.00 1327.60 461.78 865.82 102.96 23.12 79.84 880.40 266.68 613.72 Print Date: 07/23/2002 Page 1 Payroll No. 16 Project No. 208 Project Name Stover Avenue Sewer Exempts Gender Employee Information Ethic FRANCISCO MUNDO Soc Sec No: M-0 Male H 16855 Baltic Court, Moreno Valley, CA 92551 RANDY PATTERSON Soc Sec No: 11065 SUNNYSLOPE, CHERRY VALLEY , CA 92223 Certified Payroll Report For the period ending 06/26/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Sun Mon Tue Wed Thu 572-91-4437 S 0.00 8.00 O 0.00 0.00 562-74-8173 S - 3 S 0.00 8.00 Male 0 0.00 0.00 C EARLE MARLAR Soc Sec No: 568-15-1114 S 0.00 O 0.00 515 SOUTH 16TH M - 0 STREET, BANNING , CA Male 92220 Fri Gross Tot Hrly This Sat Hrs Rate Project Gross All Projs LABORER GROUP IV $22.75 8.00 8.00 8.00 8.00 0.00 40.00 21.91 0.50 0.00 0.00 0.00 0.00 0.50 32.86 Other Earnings: Total Eamings: 876.40 16.43 103.27 996.10 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR FICA SWH SDI HEALTH PENSION TRAING CONT/CC SAVINGS SUP.DUE ADMIN OTHER 2 Check No: 56678 06/28/02 996.10 120.00 76.20 27.12 8.96 103.27 16.61 148.23 14.58 2.43 2.43 6.08 0.00 0.00 0.00 TEAMSTER GROUP V $22.32 8.00 8.00 8.00 8.00 0.00 40.00 21.92 876.80 1016.28 1.00 0.00 0.00 0.00 0.00 1.00 32.88 32.88 Other Eamings: 106.60 Total Eamings: 1016.28 OPERATOR GROUP 16 $31.16 8.00 8.00 8.00 8.00 8.00 0.00 40.00 30.16 1206.40 1312.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 DWIGHT NICHOLS Soc Sec No: 554-82-1855 1122 E. 25TH STREET, S - 0 S 0.00 8.00 SAN BERNARDINO , CA Male 0 0.00 0.00 92404 LARRY ZAVALA Soc Sec No: 548-06-8520 7430 TOKAY AVENUE, M - 9 S 0.00 Male 0 0.00 H FONTANA , CA 92336 Other Earnings: Total Eamings: 106.00 1312.40 146.00 106.60 0.00 205.00 106.00 2.40 WATER TRUCK/WORKING TEAMSTER $22.25 8.00 8.00 8.00 8.00 0.00 40.00 21.85 874.00 978.00 182.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 104.00 Other Earnings: 104.00 0.00 Total Earnings: 978.00 OPERATOR GROUP 8 $30.54 8.00 8.00 8.00 8.00 8.00 0.00 40.00 29.54 1181.60 1287.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 106.00 Total Earnings: 1287.60 77.75 205.82 0.00 100.40 188.00 2.00 74.81 200.80 0.00 Check No: 56679 06/28/02 49.13 9.14 196.80 17.22 2.46 0.00 2.46 0.00 Check No: 56653 06/28/02 48.24 11.81 150.00 26.00 2.40 0.00 0.00 0.00 Check No: 56684 06/28/02 50.13 8.80 192.00 16.80 2.40 0.00 2.40 0.00 Check No: 56685 06/28/02 85.00 98.50 28.03 11.59 106.00 188.00 150.00 26.00 2.40 2.40 2.00 0.00 0.00 0.00 Tot Pay Tot Ded Net Pay 996.10 335.55 660.55 1016.28 388.62 627.66 1312.40 471.45 840.95 978.00 419.74 558.26 1287.60 329.12 958.48 Print Date: 07/23/2002 Page 2 Payroll No. 16 Project No. 208 Project Name Stover Avenue Sewer Exempts Gender Employee Information Ethic Certified Payroll Report For the period ending 06/26/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Sun Mon Tue Wed Thu Fri JOE MARTINEZ Soc Sec No: 569-98-0495 M - 3 S 0.00 Male 0 0.00 907 E. RIALTO AVENUE, SP. #24, SAN BERNARDINO , CA 92408 Gross Tot Hrly This Sat Hrs Rate Project Gross All Projs Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR LABORER APPRETINCE STEP 1 $11.08 8.00 4.00 8.00 8.00 8.00 0.00 36.00 11.08 398.88 463.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 JEFFRY NEIGHBORS SocSec No: 548-95-0407 2821 CEDAR STREET, M - 4 S 0.00 8.00 SAN BERNARDINO , CA Male 0 0.00 0.00 92404 H RAMON GUTIERREZ Soc Sec No: 572-11-5161 1618 JANTZEN DRIVE, M - 0 S 0.00 8.00 Male 0 0.00 0.00 COLTON , CA 92334 H JOHN OROSCO Soc Sec No: 573-76-0535 12508 BAKER CT., M -4 S 0.00 CHINO , CA 91710 Male 0 0.00 RICARDO OROZCO 730 W. CARLTON, ONTARIO , CA 91761 Other Eamings: Total Eamings: 64.44 463.32 OPERATOR STEP 3 APPR. 8.00 8.00 8.00 4.00 0.00 36.00 20.60 741.60 853.78 0.50 0.00 0.00 0.00 0.00 0.50 30.90 15.45 Other Eamings: 96.73 Total Earnings: 853.78 LABORER GROUP II $20.65 8.00 8.00 8.00 8.00 0.00 40.00 19.96 798.40 916.64 0.50 0.00 0.00 0.00 0.00 0.50 29.94 14.97 Other Eamings: 103.27 Total Eamings: 916.64 LABOR GROUP V FOREMAN $24.85 8.00 8.00 0.00 8.00 8.00 0.00 32.00 23.91 765.12 865.92 0.00 0.50 0.00 0.00 0.00 0.00 0.50 35.86 17.93 Soc Sec No: 547-61-3392 M - 6 S 0.00 8.00 Male 0 0.00 0.00 H Other Earnings: Total Earnings: 82.87 865.92 • LABOR GROUP IV FORMAN $24.10 8.00 8.00 8.00 8.00 0.00 40.00 23.16 926.40 1028.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: Total Earnings: 102.00 1028.40 FICA SWH SDI HEALTH PENSION TRAING ADMIN CONT/CC SAVINGS SUP.DUE OTHER 2 Check No: 56686 06/28/02 17.00 35.45 0.22 4.17 128.88 78.12 13.68 12.60 0.00 2.16 5.40 0.00 0.00 0.00 63.00 96.73 2.19 107.00 103.27 2.43 65.32 171.55 1.83 70.13 138.11 6.08 Check No: 56687 06/28/02 10.83 7.69 136.88 23.73 2.19 0.00 0.00 0.00 Check No: 56688 06/28/02 22.35 8.25 148.23 14.58 2.43 0.00 0.00 0.00 Check No: 56657 06/28/02 65.00 66.25 11.31 7.79 82.87 110.83 118.95 11.70 1.95 1.95 4.88 0.00 0.00 0.00 72.00 102.00 2.40 Tot Pay Tot Ded Net Pay 463.32 121.28 342.04 853.78 243.57 610.21 916.64 311.00 605.64 865.92 233.22 632.70 Check No: 56658 06/28/02 78.67 16.53 9.26 1028.40 136.40 146.40 14.40 6.00 0.00 0.00 2.40 278.46 0.00 749.94 Print Date: 07/23/2002 Page 3 Payroll No. 16 Project No. 208 Project Name Stover Avenue Sewer Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Contractor's License No. A 370846 Employer Identification No. 95-3271209 LARRY PLOTNER Soc Sec No: 566-48-1227 OPERATOR FOREMAN $33.04 Check No: 56659 06/28/02 2903 Valencia Avenue, M - 2 S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 32.04 1281.60 1387.60 194.00 106.16 46.67 12.49 1387.60 San Bernardino , CA Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 106.00 188.00 150.00 26.00 2.40 465.32 92404 C Other Earnings: 106.00 2.40 2.00 0.00 0.00 0.00 922.28 Total Eamings: 1387.60 JAIME RAMIREZ Soc Sec No: 551-54-5597 2835 S. TAMARASK M - 3 S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 46.50 1860.00 1860.00 ROAD, ONTARIO , CA Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 91761 H BRIAN ROGERS Soc Sec No: 545-96-5766 OPERATOR GROUP 8 $30.54 22421 MILKY WAY, M - 9 S 0.00 7.00 8.00 8.00 8.00 8.00 0.00 39.00 29.54 1152.06 1278.89 TEHACHAPI , CA 93561 Male 0 0.00 0.00 0.50 0.00 0.00 0.00 0.00 0.50 44.30 22.15 C Other Eamings: 104.68 Total Eamings: 1278.89 306.00 0.00 0.00 142.29 0.00 0.00 Check No: 56661 06/28/02 86.78 8.48 0.00 0.00 0.00 0.00 0.00 0.00 Chedk No: 56662 06/28/02 84.00 97.84 27.34 11.51 104.68 185.65 148.13 25.68 2.37 2.37 1.98 0.00 0.00 0.00 1860.00 543.55 1316.45 1278.89 325.37 953.52 VICTOR RUIZ Soc Sec No: 545-21-8611 LABOR GROUP III $21.20 Check No: 56663 06/28/02 1964 MURRIETTA ROAD, M - 3 S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 20.46 818.40 920.40 82.00 70.40 15.01 8.28 920.40 PERRIS, CA 92571 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 102.00 136.40 146.40 14.40 2.40 277.69 H Other Earnings: 102.00 2.40 6.00 0.00 0.00 0.00 642.71 Total Eamings: 920.40 Print Date: 07/23/2002 Page 4 Payroll No. 16 Project No. 208 Project Name Stover Avenue Sewer Date: 07/23/2002 Payroll No: 16 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 STATEMENT OF COMPLIANCE Contractor's License No. A 370846 Employer Identification No. 95-3271209 I, Kellie Jo Cross, Payroll Manager, do hereby state: (1) That I pay or supervise the payment of the persons employed by ALBERT W. DAVIES, INC. on the Stover Avenue Sewer project; that during the payroll period commencing on June 20, 2002 and ending June 26, 2002, all persons employed on said project have been paid the full weekly wages earned, that no rebates have or will be made either directly or indirectly to or on behalf of said ALBERT W. DAVIES, INC. 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 as defined in Regulations, Part 3 (29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat. 948.63 Stat. 108, 72 Stat. 967; 76 Stat. 357; 40 U.S.C. 276c), and described below: Taxes: Federal W/H, FICA/Medicare, State W/H, State SDI/Local Other. Vacation Pay, Child Support, Attachments, Advances (2) That any payrolls otherwise under this contract 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 than the applicable wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work he 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 recognized by the Bureau of Apprenticeship and Training, United States Department of Labor, or if no such recognized agency exists in a State, are registered with the Bureau of Apprenticeship and Training, United States Department of Labor. (4) That (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS OR PROGRAMS In addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of fringe benefits as listed in the contract have been or will be made to appropriate programs for the benefit of such employees, except as notice in Section 4 (c) below. (b) WHERE FRINGE BENEFITS ARE PAID IN CASH l i Each laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll, an amount not less than the sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed in the contract, except as notice in Section 4 (c) below. (c) EXCEPTIONS EXCEPTION (CRAFT) Kellie Jo Cross, Payroll Man jr EXPLANATION 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. Print Date: 07/23/2002 Page 5 Payroll No. 17 Project No. 208 Project Name Stover Avenue Sewer Exempts Gender Employee Information Ethic SCOTT TONN Certified Payroll Report For the period ending 07/03/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Gross Tot Hrly This Sun Mon Tue Wed Thu Fri Sat Hrs Rate Project Gross All Projs Soc Sec No: 570-76-6592 77 `� '"? OPERATOR GROUP 8 $30.54 919 COLIMA ROAD, SAN BERNARDINO , CA 92301 M - 0 S 0.00 0.00 0.00 0.00 Male 0 0.00 0.00 0.00 0.00 C SCOTT TONN Soc Sec No: 570-76-6592 919 COLIMA ROAD, SAN M - 0 BERNARDINO , CA Male 92301 C JAMES IVERSON 8315 CHERRY, FONTANA , CA 92335 S 0.00 8.00 8.00 8.00 0 0.00 0.00 0.00 0.00 Soc Sec No: 559-92-5741 M - S 0.00 Male 0 0.00 JAMES IVERSON Soc Sec No: 559-92-5741 8315 CHERRY, M - S 0.00 FONTANA , CA 92335 Male 0 0.00 C 0.00 0.00 0.00 0.00 0.00 0.00 8.00 0.00 0.00 3.00 0.00 0.00 BONIFACIO CARLOS Soc Sec No: 549-11-7986 3312 EAST MAIN AVENUE, BALDWIN PARK , CA 91706 8.00 8.00 0.00 16.00 29.54 472.64 515.04 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 42.40 Total Eamings: 515.04 OPERATOR GROUP 8 $30.54 0.00 0.00 0.00 24.00 30.54 732.96 798.96 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 66.00 Total Earnings: 798.96 TEAMSTER GROUP V $22.32 8.00 5.00 0.00 13.00 21.92 284.96 354.24 1.00 0.00 0.00 1.00 32.88 32.88 Other Earnings: 36.40 Total Eamings: 354.24 TEAMSTER GROUP V $22.32 0.00 0.00 0.00 8.00 22.32 178.56 724.36 0.00 0.00 0.00 3.00 33.48 100.44 Other Eamings: 28.60 Total Eamings: 307.60 LABORER GROUP II $20.65 M -1 S 0.00 0.00 0.00 0.00 0.00 4.00 0.00 4.00 19.96 79.84 270.12 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 H Other Eamings: 10.20 Total Eamings: 90.04 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR FICA HEALTH CONT/CC SWH PENSION SAVINGS SDI TRAING SUP.DUE ADMIN OTHER 2 Check No: 56728 07/05/02 47.00 39.41 6.95 4.64 42.40 75.20 60.00 10.40 0.96 0.96 0.80 0.00 0.00 0.00 90.00 66.00 1.44 61.11 112.80 1.20 Check No: 56769 07/05/02 16.99 7.19 90.00 15.60 1.44 0.00 0.00 0.00 Check No: 56731 07/05/02 23.00 27.10 3.74 3.19 36.40 70.28 67.20 5.88 0.84 0.00 0.00 0.00 0.84 0.00 Check No: 56771 07/05/02 79.00 55.41 14.01 6.52 71.50 55.22 52.80 4.62 0.66 0.00 0.00 0.00 0.66 0.00 Check No: 56702 07/05/02 9.00 20.66 0.61 2.43 30.60 13.64 14.64 1.44 0.24 0.24 0.60 0.00 0.00 0.00 Tot Pay Tot Ded Net Pay 515.04 140.40 374.64 798.96 241.29 557.67 354.24 93.43 260.81 724.36 226.44 497.92 270.12 63.30 206.82 Print Date: 07/23/2002 Page 1 Payroll No. 17 Project No. 208 Project Name Stover Avenue Sewer Exempts Gender Certified Payroll Report For the period ending 07/03/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Employee Information Ethic Sun Mon BONI FACTO CARLOS Soc Sec No: 549-11-7986 M-1 S 0.00 8.00 Male 0 0.00 0.00 H 3312 EAST MAIN AVENUE, BALDWIN PARK , CA 91706 MARCOS MACIAS Soc Sec No: 625-40-5881 M - 7 S 0.00 0.00 Male 0 0.00 0.00 14115 RATLIFFE STR EET, LA MI RADA, CA 90638 MARCOS MACIAS Soc Sec No: 625-40-5881 M-7 S 0.00 8.00 Male 0 0.00 0.00 H 14115 RATLIFFE STR EET, LA MI RADA, CA 90638 ALBERT RAMIREZ Soc Sec No: 551-95-8764 2835 S. TAMARASK S - 1 S 0.00 0.00 ROAD, ONTARIO , CA Male 0 0.00 0.00 91761 S ALBERT RAMIREZ Soc Sec No: 551-95-8764 S -1 S 0.00 8.00 Male 0 0.00 0.00 S 2835 S. ROAD, 91761 TAMARASK ONTARIO , CA Tue Wed Thu Fri Gross Tot Hrly This Sat Hrs Rate Project Gross All Projs LABORER GROUP 1I $20.65 8.00 8.00 0.00 0.00 0.00 24.00 20.65 495.60 556.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 61.20 Total Eamings: 556.80 OPERATING ENGINEERS $31.54 0.00 0.00 8.00 8.00 0.00 16.00 30.54 488.64 531.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 42.40 Total Eamings: 531.04 OPERATING ENGINEERS $31.54 8.00 8.00 0.00 0.00 0.00 24.00 31.54 756.96 822.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 66.00 Total Eamings: 822.96 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH FICA SWH SDI VAC/HOL . HEALTH PENSION TRAING ADMIN INDUSTR CONT/CC SAVINGS SUP.DUE OTHER 2 LABORER APPRETINCE STEP 1 $11.08 0.00 0.00 8.00 8.00 0.00 16.00 11.08 177.28 205.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 28.64 Total Eamings: 205.92 LABORER APPRETINCE STEP I $11.08 8.00 8.00 0.00 0.00 0.00 24.00 11.08 265.92 308.88 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 42.96 Total Earnings: 308.88 Tot Pay Tot Ded Net Pay Check No: 56748 07/05/02 45.00 42.60 6.27 5.01 556.80 61.20 81.84 87.84 8.64 1.44 160.08 1.44 3.60 0.00 0.00 0.00 396.72 Check No: 56733 07/05/02 100.00 40.62 0.00 4.78 42.40 75.20 60.00 10.40 0.96 0.96 0.80 0.00 0.00 0.00 133.00 66.00 1.44 62.96 112.80 1.20 Check No: 56772 07/05/02 5.04 7.40 90.00 15.60 1.44 0.00 0.00 0.00 Check No: 56734 07/05/02 10.00 15.76 0.36 1.85 57.28 34.72 6.08 5.60 0.00 0.96 2.40 0.00 0.00 0.00 Check No: 56773 07/05/02 24.00 23.63 2.41 2.78 85.92 52.08 9.12 8.40 0.00 1.44 3.60 0.00 0.00 0.00 531.04 187.80 343.24 822.96 274.40 548.56 205.92 56.61 149.31 308.88 95.78 213.10 Print Date: 07/23/2002 Page 2 Payroll No. 17 Project No. 208 Project Name Stover Avenue Sewer Exempts Gender Certified Payroll Report For the period ending 07/03/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Employee Information Ethic Sun Mon Tue Wed Thu CASIMIRO GOVEA Soc Sec No: 557-43-6773 739 CONTEM PO M - 3 S 0.00 0.00 STREET, ONTARIO , CA Male 0 0.00 0.00 91762 CASIMIRO GOVEA Soc Sec No: 557-43-6773 M - 3 S 0.00 8.00 Male 0 0.00 0.00 H 739 CONTEMPO STREET, ONTARIO , CA 91762 FRANCISCO MUNDO Soc Sec No: 16855 Baltic Court, M - 0 Moreno Valley , CA 92551 Male 572-91-4437 S 0.00 0.00 0 0.00 0.00 FRANCISCO MUNDO Soc Sec No: 572-91-4437 16855 Baltic Court, M - 0 S 0.00 8.00 Moreno Valley , CA 92551 Male 0 0.00 0.00 RANDY PATTERSON Soc Sec No: 562-74-8173 S-3 S 0.00 0.00 Male 0 0.00 0.00 C 11065 SUNNYSLOPE, CHERRY VALLEY , CA 92223 Fri Gross Tot Hrly This Sat Hrs Rate Project Gross All Projs LABORER GROUP I $20.10 0.00 0.00 8.00 8.00 0.00 16.00 19.46 311.36 352.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 40.80 Total Earnings: 352.16 LABORER GROUP I $20.10 8.00 8.00 0.00 0.00 0.00 24.00 20.10 482.40 543.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 61.20 Total Eamings: 543.60 LABORER GROUP IV $22.75 0.00 0.00 8.00 8.00 0.00 16.00 21.91 350.56 391.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: Total Earnings: 40.80 391.36 LABORER GROUP IV $22.75 8.00 8.00 0.00 0.00 0.00 24.00 22.75 546.00 607.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 61.20 Total Eamings: . 607.20 TEAMSTER GROUP V $22.32 0.00 0.00 8.00 8.00 0.00 16.00 21.92 350.72 392.32 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 41.60 Total Eamings: 392.32 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH FICA SWH SDI VAC/HOL HEALTH PENSION TRAING INDUSTR CONT/CC SAVINGS SUP.DUE 6.00 40.80 0.96 26.94 54.56 2.40 ADMIN OTHER 2 Check No: 56735 07/05/02 0.00 3.17 58.56 5.76 0.96 0.00 0.00 0.00 Check No: 56774 07/05/02 25.00 41.58 1.83 4.89 61.20 81.84 87.84 8.64 1.44 1.44 3.60 0.00 0.00 0.00 Chedk No: 56736 07/05/02 29.00 29.95 4.48 3.52 40.80 6.56 58.56 5.76 0.96 0.96 2.40 0.00 0.00 0.00 61.00 61.20 1.44 Ched< No: 56775 07/05/02 46.44 9.32 5.47 9.84 87.84 8.64 1.44 3.60 0.00 0.00 0.00 Check No: 56737 07/05/02 20.00 30.01 2.51 3.53 41.60 80.32 76.80 6.72 0.96 0.00 0.00 0.00 0.96 0.00 Tot Pay Tot Ded Net Pay 352.16 76.91 275.25 543.60 134.50 409.10 391.36 107.75 283.61 607.20 183.43 423.77 392.32 97.65 294.67 Print Date: 07/23/2002 Page 3 Payroll No. 17 Project No. 208 Project Name Stover Avenue Sewer Exempts Gender Employee Information Ethic Certified Payroll Report For the period ending 07/03/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Sun Mon Tue Wed RANDY PATTERSON Soc Sec No: 562-74-8173 11065 SUNNYSLOPE, S - 3 S 0.00 8.00 CHERRY VALLEY , CA Male 0 0.00 0.00 92223 C EARLE MARLAR Soc Sec No: 568-15-1114 515 SOUTH 16TH M - 0 S 0.00 STREET, BANNING,CA Male 92220 C Gross Tot Hrly This Thu Fri Sat Hrs Rate Project Gross All Projs TEAMSTER GROUP V $22.32 8.00 8.00 0.00 0.00 0.00 24.00 22.32 535.68 598.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 62.40 Total Eamings: 598.08 OPERATOR GROUP 16 $31.16 0.00 0.00 0.00 8.00 8.00 0.00 16.00 30.16 482.56 524.96 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 42.40 Total Eamings: 524.96 EARLE MARLAR Soc Sec No: 568-15-1114 OPERATOR GROUP 16 $31.16 515 SOUTH 16TH M - 0 S 0.00 8.00 8.00 8.00 0.00 0.00 0.00 24.00 31.16 747.84 813.84 STREET, BANNING , CA Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92220 Other Eamings: 66.00 Total Earnings: 813.84 DWIGHT NICHOLS Soc Sec No: 554-82-1855 1122 E. 25TH STREET, SAN BERNARDINO , CA 92404 S - 0 S 0.00 0.00 Male 0 0.00 0.00 C DWIGHT NICHOLS Soc Sec No: 554-82-1855 1122 E. 25TH STREET, S - 0 S 0.00 8.00 SAN BERNARDINO , CA Male 0 0.00 0.00 92404 C Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR 50.00 62.40 0.00 FICA SWH SDI HEALTH PENSION TRAING CONT/CC SAVINGS SUP.DUE ADMIN OTHER 2 Check No: 56776 07/05/02 45.75 13.30 5.39 120.48 115.20 10.08 1.44 0.00 0.00 1.44 0.00 Ched< No: 56714 07/05/02 49.00 40.17 7.15 4.72 42.40 75.20 60.00 10.40 0.96 0.96 0.80 0.00 0.00 0.00 92.00 66.00 1.44 WATER TRUCKIWORKING TEAMSTER $22.25 0.00 0.00 8.00 8.00 0.00 16.00 21.85 349.60 391.20 45.00 0.00 0.00 0.00 0.00 0.00 0.00 - 0.00 0.00 41.60 Other Eamings: 41.60 0.00 Total Eamings: 391.20 WATER TRUCK/WORKING TEAMSTER $22.25 8.00 8.00 0.00 0.00 0.00 24.00 22.25 534.00 596.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 62.40 Total Eamings: 596.40 79.00 62.40 0.00 62.26 112.80 1.20 Check No: 56755 07/05/02 17.59 7.33 90.00 15.60 1.44 0.00 0.00 0.00 Check No: 56741 07/05/02 29.93 7.03 3.52 80.32 76.80 6.72 0.96 0.00 0.00 0.96 0.00 Check No: 56777 07/05/02 45.63 17.75 5.37 120.48 115.20 10.08 1.44 0.00 0.00 1.44 0.00 Tot Pay Tot Ded Net Pay 598.08 176.84 421.24 524.96 143.44 381.52 813.84 245.18 568.66 391.20 127.08 264.12 596.40 210.15 386.25 Print Date: 07/23/2002 Page 4 Payroll No. 17 Project No. 208 Project Name Slover Avenue Sewer Exempts Gender Certified Payroll Report For the period ending 07/03/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Employee Information Ethic Sun Mon Tue Wed Thu Fri LARRY ZAVALA Soc Sec No: 548-06-8520 7430 TOKAY AVENUE, M - 9 S 0.00 0.00 0.00 0.00 8.00 8.00 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 FONTANA , CA 92336 LARRY ZAVALA Soc Sec No: 548-06-8520 7430 TOKAY AVENUE, FONTANA , CA 92336 M - 9 S 0.00 Male 0 0.00 H JOE MARTINEZ Soc Sec No: 569-98-0495 M - 3 S 0.00 0.00 Male 0 0.00 0.00 907 E. RIALTO AVENUE, SP. #24, SAN BERNARDINO , CA 92408 Gross Tot Hrty This Sat Hrs Rate Project Gross All P rojs OPERATOR GROUP 8 $30.54 0.00 16.00 29.54 472.64 515.04 0.00 0.00 0.00 0.00 Other Eamings: 42.40 Total Earnings: 515.04 OPERATOR GROUP 8 $30.54 8.00 8.00 8.00 0.00 0.00 0.00 24.00 30.54 732.96 798.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 66.00 Total Eamings: 798.96 H JEFFRY NEIGHBORS SocSec No: 548-95-0407 M - 4 S 0.00 0.00 Male 0 0.00 0.00 2821 CEDAR STREET, SAN BERNARDINO , CA 92404 JEFFRY NEIGHBORS 2821 CEDAR STREET, SAN BERNARDINO , CA 92404 Soc Sec No: 548-95-0407 M - 4 S 0.00 8.00 Male 0 0.00 0.00 H Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH FICA SWH SDI Tot Pay VAC/HOL HEALTH PENSION TRAING ADMIN Tot Ded INDUSTR CONT/CC SAVINGS SUP.DUE OTHER 2 Net Pay LABORER APPRETINCE STEP 1 $11.08 0.00 0.00 8.00 8.00 0.00 16.00 11.08 177.28 205.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 28.64 Total Earnings: 205.92 Check No: 56742 07/05/02 0.00 39.40 0.00 4.63 42.40 75.20 60.00 10.40 0.96 0.96 0.80 0.00 0.00 0.00 16.00 66.00 1.44 61.13 112.80 1.20 Chedk No: 56778 07/05/02 1.04 7.19 90.00 15.60 1.44 0.00 0.00 0.00 Check No: 56743 07/05/02 0.00 15.75 0.00 1.86 57.28 34.72 6.08 5.60 0.00 0.96 2.40 0.00 0.00 0.00 OPERATOR STEP 3 APPR. Check No: 56744 07/05/02 0.00 0.00 8.00 8.00 0.00 16.00 20.60 329.60 372.00 2.00 28.46 0.00 3.34 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 42.40 75.20 60.00 10.40 0.96 42.40 0.96 0.80 0.00 0.00 0.00 Other Eamings: Total Eamings: 372.00 OPERATOR STEP 3 APPR. 8.00 8.00 0.00 0.00 0.00 24.00 20.60 494.40 560.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 66.00 Total Earnings: 560.40 21.00 66.00 1.44 42.87 112.80 1.20 Check No: 56779 07/05/02 0.64 5.05 90.00 15.60 1.44 0.00 0.00 0.00 515.04 86.43 428.61 798.96 151.36 647.60 205.92 46.25 159.67 372.00 76.20 295.80 560.40 135.56 424.84 Print Date: 07/23/2002 Page 5 Payroll No. 17 Project No. 208 Project Name Stover Avenue Sewer Employee Information Certified Payroll Report For the period ending 07/03/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Exempts Gross Gross Gender Hours Tot Hrly This All Ethic Sun Mon Tue Wed Thu Fri Sat Hrs Rate Project Projs RAMON GUTIERREZ Soc Sec No: 1618 JANTZEN DRIVE, M - 0 Male COLTON , CA 92334 RAMON GUTI ERREZ Soc Sec No: 1618 JANTZEN DRIVE, M - 0 COLTON , CA 92334 Male H ALFREDO SANCHEZ Soc Sec No: 16053 MERRILL M - 0 AVENUE, FONTANA , CA Male 92335 H ALFREDO SANCHEZ Soc Sec No: 16053 MERRILL M - 0 AVENUE, FONTANA , CA Male 92335 H 572-11-5161 S 0.00 0.00 O 0.00 0.00 572-11-5161 S 0.00 8.00 O 0.00 0.00 LABORER GROUP II $20.65 0.00 0.00 8.00 8.00 0.00 16.00 19.96 319.36 360.16 0.00 0.00 0.00 0.00 .0.00 0.00 0.00 0.00 Other Earnings: Total Eamings: 40.80 360.16 LABORER GROUP II $20.65 8.00 8.00 0.00 0.00 0.00 24.00 20.65 495.60 556.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 61.20 Total Eamings: 556.80 549-11-1861 OPERATOR GROUP 12 $30.54 S 0.00 0.00 0.00 0.00 8.00 8.00 0.00 16.00 29.54 472.64 515.04 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings:. Total Earnings: 42.40 515.04 549-11-1861 OPERATOR GROUP 12 $30.54 S 0.00 8.00 8.00 8.00 0.00 0.00 0.00 24.00 30.54 732.96 798.96 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 66.00 Total Eamings: 798.96 JOHN OROSCO Soc Sec No: 573-76-0535 12508 BAKER CT., M - 4 S 0.00 Male 0 0.00 CHINO , CA 91710 LABOR GROUP V FOREMAN $24.85 0.00 0.00 0.00 8.00 8.00 0.00 16.00 23.91 382.56 423.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: Total Eamings: 40.80 423.36 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH FICA SWH SDI Tot Pay VAC/HOL HEALTH PENSION TRAING ADMIN Tot Ded INDUSTR CONT/CC SAVINGS SUP.DUE OTHER 2 Net Pay Check No: 56745 07/05/02 24.00 27.56 3.85 3.24 40.80 54.56 58.56 5.76 0.96 0.96 2.40 0.00 0.00 0.00 Check No: 56780 07/05/02 53.00 42.59 7.79 5.01 61.20 81.84 87.84 8.64 1.44 1.44 3.60 0.00 0.00 0.00 47.00 42.40 0.96 90.00 66.00 1.44 Checc No: 56746 07/05/02 39.40 6.95 4.64 75.20 60.00 10.40 0.96 0.80 0.00 0.00 0.00 61.12 112.80 1.20 Check No: 56781 07/05/02 16.99 7.19 90.00 15.60 1.44 0.00 0.00 0.00 Check No: 56718 07/05/02 7.00 32.38 0.00 3.81 40.80 54.56 58.56 5.76 0.96 0.96 2.40 0.00 0.00 0.00 360.16 99.45 260.71 556.80 169.59 387.21 515.04 140.39 374.65 798.96 241.30 557.66 423.36 83.99 339.37 Print Date: 07/23/2002 Page 6 Payroll No. 17 Project No. 208 Project Name Stover Avenue Sewer Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 JOHN OROSCO Soc Sec No: 573-76-0535 LABOR GROUP V FOREMAN $24.85 12508 BAKER CT., M - 4 S 0.00 8.00 8.00 8.00 0.00 0.00 0.00 24.00 24.85 596.40 657.60 CHINO , CA 91710 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: Total Eamings: 61.20 657.60 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Check No: 56758 07/05/02 34.00 50.31 2.98 5.92 657.60 61.20 81.84 87.84 8.64 1.44 154.41 1.44 3.60 0.00 0.00 0.00 503.19 RICARDO OROZCO Soc Sec No: 547-61-3392 LABOR GROUP IV FORMAN $24.10 Check No: 56719 07/05/02 730 W. CARLTON, M - 6 S 0.00 0.00 0.00 0.00 8.00 8.00 0.00 16.00 23.16 370.56 411.36 0.00 31.48 0.00 3.70 411.36 ONTARIO , CA 91761 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 40.80 54.56 58.56 5.76 0.96 75.98 H Other Earnings: 40.80 0.96 2.40 0.00 0.00 0.00 335.38 Total Earnings: 411.36 RICARDO OROZCO Soc Sec No: 547-61-3392 LABOR GROUP IV FORMAN $24.10 730 W. CARLTON, M - 6 S 0.00 8.00 8.00 8.00 0.00 0.00 0.00 24.00 24.10 578.40 639.60 ONTARIO , CA 91761 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 H Other Eamings: 61.20 Total Eamings: 639.60 Check No: 56759 07/05/02 17.00 48.92 0.00 5.75 61.20 81.84 87.84 8.64 1.44 1.44 3.60 0.00 0.00 0.00 639.60 132.87 506.73 LARRY PLOTNER Soc Sec No: 566-48-1227 OPERATOR FOREMAN $33.04 Check No: 56720 07/05/02 2903 Valencia Avenue, M - 2 S 0.00 0.00 0.00 0.00 8.00 8.00 0.00 16.00 32.04 512.64 555.04 36.00 42.45 3.57 4.99 555.04 San Bernardino , CA Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 42.40 75.20 60.00 10.40 0.96. 129.41 92404 C Other Eamings: 42.40 0.96 0.80 0.00 0.00 0.00 425.63 Total Earnings: 555.04 LARRY PLOTNER Soc Sec No: 566-48-1227 OPERATOR FOREMAN $33.04 2903 Valencia Avenue, M - 2 S 0.00 8.00 8.00 8.00 0.00 0.00 0.00 24.00 33.04 792.96 858.96 San Bernardino , CA Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92404 C Other Eamings: Total Eamings: 66.00 858.96 JAIME RAMIREZ Soc Sec No: 551-54-5597 2835 S. TAMARASK M - 3 S 0.00 0.00 0.00 0.00 8.00 8.00 0.00 16.00 46.50 744.00 744.00 ROAD, ONTARIO , CA Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 91761 H 81.00 66.00 1.44 65.72 112.80 1.20 Check No: 56760 07/05/02 14.07 7.73 90.00 15.60 1.44 0.00 0.00 0.00 Check No: 56722 07/05/02 55.00 56.92 7.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 858.96 234.52 624.44 744.00 119.88 624.12 JAIME RAMIREZ Soc Sec No: 551-54-5597 Check No: 56762 07/05/02 2835 S. TAMARASK M - 3 S 0.00 8.00 8.00 8.00 0.00 0.00 0.00 24.00 46.50 1116.00 1116.00 111.00 85.37 26.34 0.00 1116.00 ROAD, ONTARIO , CA Male 0 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 0.00 222.71 91761 H 0.00 0.00 0.00 0.00 0.00 893.29 Print Date: 07/23/2002 Page 7 Payroll No. 17 Project No. 208 Project Name Stover Avenue Sewer Exempts Gender Certified Payroll Report For the period ending 07/03/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Employee Information Ethic Sun Mon Tue Wed Thu BRIAN ROGERS Soc Sec No: 545-96-5766 M - 9 S 0.00 Male 0 0.00 22421 MILKY WAY, TEHACHAPI , CA 93561 BRIAN ROGERS Soc Sec No: 545-96-5766 22421 MILKY WAY, TEHACHAPI , CA 93561 M - 9 S 0.00 Male 0 0.00 C VICTOR RUIZ Soc Sec No: 545-21-8611 1964 MURRIETTA ROAD, M - 3 S 0.00 PERRIS, CA 92571 Male 0 0.00 H VICTOR RUIZ Soc Sec No: 545-21-8611 1964 MURRIETTA ROAD, M - 3 S 0.00 PERRIS, CA 92571 Male 0 0.00 Fri Gross Tot Hrly This Sat Hrs Rate Project Gross All Projs OPERATOR GROUP 8 $30.54 0.00 0.00 0.00 8.00 8.00 0.00 16.00 29.54 472.64 515.04 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 42.40 Total Eamings: 515.04 OPERATOR GROUP 8 $30.54 8.00 8.00 8.00 0.00 0.00 0.00 24.00 30.54 732.96 798.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 66.00 Total Earnings: 798.96 LABOR GROUP III $21.20 0.00 0.00 0.00 8.00 8.00 0.00 16.00 20.46 327.36 368.16 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 40.80 Total Eamings: 368.16 LABOR GROUP 11I $21.20 8.00 8.00 8.00 0.00 0.00 0.00 24.00 21.20 508.80 570.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: Total Eamings: 61.20 570.00 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR FICA SWH SDI HEALTH PENSION TRAING ADMIN CONT/CC SAVINGS SUP.DUE OTHER 2 Check No: 56723 07/05/02 0.00 39.40 0.00 4.63 42.40 75.20 60.00 10.40 0.96 0.96 0.80 0.00 0.00 0.00 16.00 66.00 1.44 61.12 112.80 1.20 Check No: 56763 07/05/02 1.04 7.19 90.00 15.60 1.44 0.00 0.00 0.00 Check No: 56724 07/05/02 7.00 28.17 0.00 3.31 40.80 54.56 58.56 5.76 0.96 0.96 2.40 0.00 0.00 0.00 Check No: 56764 07/05/02 29.00 43.61 2.35 5.13 61.20 81.84 87.84 8.64 1.44 1.44 3.60 0.00 0.00 0.00 Tot Pay Tot Ded Net Pay 515.04 86.43 428.61 798.96 151.35 647.61 368.16 79.28 288.88 570.00 141.29 428.71 Print Date: 07/23/2002 Page 8 Payroll No. 17 Project No. 208 Project Name Slaver Avenue Sewer Date: 07/23/2002 Payroll No: 17 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 STATEMENT OF COMPLIANCE Contractor's License No. A 370846 Employer Identification No. 95-3271209 I, Kellie Jo Cross, Payroll Manager, do hereby state: (1) That I pay or supervise the payment of the persons employed by ALBERT W. DAVIES, INC. on the Slover Avenue Sewer project; that during the payroll period commenting on June 27, 2002 and ending July 03, 2002, all persons employed on said project have been paid the full weekly wages earned, that no rebates have or will be made either directly or indirectly to or on behalf of said ALBERT W. DAVIES, INC. from the full weekly wages eamed 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 as defined in Regulations, Part 3 (29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat. 948.63 Stat. 108, 72 Stat 967; 76 Stat. 357; 40 U.S.C. 276c), and described below: Taxes: Federal W/H, FICA/Medicare, State WM, State SDI/Local Other. Vacation Pay, Child Support, Attachments, Advances (2) That any payrolls otherwise under this contract 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 than the applicable wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work he 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 recognized by the Bureau of Apprenticeship and Training, United States Department of Labor, or if no such recognized agency exists in a State, are registered with the Bureau of Apprenticeship and Training, United States Department of Labor. (4) That: (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS OR PROGRAMS f] In addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of fringe benefits as listed in the contract have been or will be made to appropriate programs for the benefit of such employees, except as notice in Section 4 (c) below. (b) WHERE FRINGE BENEFITS ARE PAID IN CASH nEach laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll, an amount not Tess than the sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed in the contract, except as notice in Section 4 (c) below. (c) EXCEPTIONS EXCEPTION (CRAFT) -k-Qht Keliie Jo Cross, Pa 77' I Manager EXPLANATION 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 18ANDSECTION 231 OF TITLE 31 OF THE UNITED STATES CODE. Print Date: 07/23/2002 Page 9 Payroll No. 18 Project No. 208 Project Name Stover Avenue Sewer Employee Information Exempts Gender Certified Payroll Report For the period ending 07/10/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Ethic Sun Mon Tue Wed Thu Fri Gross Tot Hrly This Sat Hrs Rate Project Gross All Projs ‘771 SCOTT TONN Soc Sec No: 570 76-6599 rift /p 31° W 715 OPERATOR GROUP 8 $30.54 919 COLIMA ROAD, SAN M - 0 S 0.00 8.00 BERNARDINO , CA Male 0 0.00 0.50 92301 C JEFFERY FIELD Soc Sec No: 549-92-2412 1614 CARMEL CIRCLE, UPLAND, CA 91781 M-5 S Male 0 C 0.00 0.00 8.00 8.00 0.00 0.00 0.00 0.00 0.00 1.00 0.00 0.00 JAMES GARDNER, JR. Soc Sec No: 561-84-4016 7032 DW IGHT WAY, SAN BERNARDINO , CA 92404 M - 2 S 0.00 0.00 8.00 8.00 Male 0 0.00 0.00 0.00 0.00 C JAMES IVERSON Soc Sec No: 559-92-5741 8315 CHERRY, M - S 0.00 Male 0 0.00 FONTANA , CA 92335 8.00 8.00 8.00 0.00 0.00 0.00 BONIFACIO CARLOS Soc Sec No: 549-11-7986 M-1 S 0.00 8.00 Male 0 0.00 0.00 H 3312 EAST MAIN AVENUE, BALDWIN PARK , CA 91706 0.00 0.00 0.00 24.00 30.54 732.96 823.24 0.00 0.00 0.00 0.50 45.80 22.90 Other Earnings: 67.38 Total Earnings: 823.24 OPERATOR GROUP 8 $30.54 0.00 0.00 0.00 0.00 0.00 0.00 847.52 0.00 0.00 0.00 1.00 45.81 45.81 Other Eamings: 2.75 Total Eamings: 48.56 TEAMSTER GROUP V $22.91 0.00 0.00 0.00 16.00 22.91 366.56 630.72 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 41.60 Total Eamings: 408.16 TEAMSTER GROUP V $22.32 0.00 0.00 0.00 24.00 22.32 535.68 598.08 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 62.40 Total Eamings: 598.08 8.00 8.00 0.00 0.00 0.00 0.00 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH FICA SWH SDI VAC/HOL HEALTH PENSION TRAING ADMIN INDUSTR CONT/CC SAVINGS SUP.DUE OTHER 2 93.00 67.38 1.47 62.98 115.15 1.23 Check No: 56853 07/12/02 17.96 7.41 91.88 15.93 1.47 0.00 0.00 0.00 Check No: 56836 07/12/02 54.00 64.83 9.06 7.63 68.75 4.70 3.75 0.65 0.06 0.06 0.05 0.00 0.00 0.00 Check No: 56837 07/12/02 47.00 48.25 5.09 5.68 63.70 80.32 76.80 6.72 0.96 0.00 0.00 0.00 0.96 0.00 Tot Pay Tot Ded Net Pay 823.24 248.73 574.51 847.52 204.27 643.25 630.72 169.72 461.00 Check No: 56856 07/12/02 60.00 45.76 8.95 5.38 598.08 62.40 120.48 115.20 10.08 1.44 182.49 0.00 0.00 0.00 1.44 0.00 415.59 LABORER GROUP 11 $20.65 Check No: 56828 07/12/02 0.00 0.00 24.00 20.65 495.60 556.80 45.00 42.59 6.27 5.01 0.00 0.00 0.00 0.00 0.00 61.20 81.84 87.84 8.64 1.44 Other Earnings: 61.20 1.44 3.60 0.00 0.00 0.00 Total Earnings: 556.80 556.80 160.07 396.73 Print Date: 07/23/2002 Page 1 Payroll No. 18 Project No. 208 Project Name Slover Avenue Sewer Exempts Gender Employee Information Ethic Certified Payroll Report For the period ending 07/10/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Gross Tot Hrly This Sun Mon Tue Wed Thu Fri Sat Hrs Rate Project MARCOS MACIAS Soc Sec No: 625-40-5881 M-7 S 0.00 8.00 Male 0 0.00 0.50 14115 RATLIFFE STR EET, LA MI RADA , CA 90638 ALBERT RAMIREZ Soc Sec No: 551-95-8764 2835 S. TAMARASK ROAD, ONTARIO , CA 91761 S - 1 S 0.00 8.00 Male 0 0.00 0.50 S CASIMIRO GOVEA Soc Sec No: 557-43-6773 M - 3 S 0.00 8.00 Male 0 0.00 0.00 H 739 CONTEMPO STREET, ONTARIO , CA 91762 FRANCISCO MUNDO Soc Sec No: 572-91-4437 M - 0 S 0.00 8.00 Male 0 0.00 0.00 H 16855 Baltic Court, Moreno Valley , CA 92551 RANDY PATTERSON Soc Sec No: S-3 Male C 11065 SUNNYSLOPE, CHERRY VALLEY , CA 92223 562-74-8173 S 0.00 8.00 0 0.00 1.00 Gross All Projs OPERATING ENGINEERS $31.54 8.00 8.00 0.00 0.00 0.00 24.00 31.54 756.96 847.99 0.00 0.00 0.00 0.00 0.00 0.50 47.30 23.65 Other Eamings: 67.38 Total Earnings: 847.99 Contractor's License No. A 370846 Employer Identification No. 95-3271209. Deductions/Contributions/Payments FWH VAC/HOL INDUSTR LABORER APPRETINCE STEP I $11.08 8.00 8.00 0.00 0.00 0.00 24.00 11.08 265.92 318.09 0.00 0.00 0.00 0.00 0.00 0.50 16.62 8.31 Other Eamings: 43.86 Total Eamings: 318.09 LABORER GROUP I $20.10 8.00 8.00 0.00 0.00 0.00 24.00 20.10 482.40 543.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 61.20 Total Earnings: 543.60 LABORER GROUP IV $22.75 8.00 8.00 0.00 0.00 0.00 24.00 22.75 546.00 607.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 61.20 Total Earnings: 607.20 TEAMSTER GROUP V $22.32 7.00 8.00 0.00 0.00 0.00 23.00 22.32 513.36 609.24 0.00 0.00 0.00 0.00 0.00 1.00 33.48 33.48 Other Eamings: 62.40 Total Earnings: 609.24 136.00 67.38 1.47 FICA SWH SDI Tot Pay HEALTH PENSION TRAING ADMIN Tot Ded CONT/CC SAVINGS SUP.DUE OTHER 2 Net Pay 64.87 115.15 1.23 26.00 24.33 87.72 53.17 1.47 3.68 Check No: 56859 07/12/02 6.04 7.64 91.88 15.93 1.47 0.00 0.00 0.00 Check No: 56860 07/12/02 2.60 2.86 9.31 8.58 0.00 0.00 0.00 0.00 Check No: 56861 07/12/02 25.00 41.60 1.83 4.89 61.20 81.84 87.84 8.64 1.44 1.44 3.60 0.00 0.00 0.00 Check No: 56862 07/12/02 61.00 46.45 9.32 5.46 61.20 9.84 87.84 8.64 1.44 1.44 3.60 0.00 0.00 0.00 Check No: 56863 07/12/02 52.00 46.60 13.97 5.48 62.40 120.48 115.20 10.08 1.44 0.00 0.00 0.00 1.44 0.00 847.99 281.93 566.06 318.09 99.65 218.44 543.60 134.52 409.08 607.20 183.43 423.77 609.24 180.45 428.79 Print Date: 07/23/2002 Page 2 Payroll No. 18 Project No. 208 Project Name Stover Avenue Sewer Employee Information Exempts Gender Certified Payroll Report For the period ending 07/10/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Ethic Sun Mon Tue Wed Thu Fri EARLE MARLAR Soc Sec No: 568-15-1114 515 SOUTH 16TH - STREET, BANNING , CA 92220 M-0 Male C Gross Tot Hrly This Sat Hrs Rate Project Gross All Projs OPERATOR GROUP 16 $31.16 S 0.00 8.00 8.00 8.00 0.00 0.00 0.00 24.00 31.16 747.84 863.33 0 0.00 1.00 0.00 0.00 0.00 0.00 0.00 1.00 46.74 46.74 Other Eamings: 68.75 Total Eamings: 863.33 LARRY ZAVALA Soc Sec No: 548-06-8520 7430 TOKAY AVENUE, M - 9 S 0.00 FONTANA , CA 92336 Male 0 0.00 H OPERATOR GROUP 8 $30.54 8.00 8.00 8.00 0.00 0.00 0.00 24.00 30.54 732.96 798.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 66.00 Total Earnings: 798.96 JEFFRY NEIGHBORS SocSec No: 548-95-0407 M - 4 S 0.00 0.00 Male 0 0.00 0.00 2821 CEDAR STREET, SAN BERNARDINO , CA 92404 RAMON GUTIERREZ Soc Sec No: 572-11-5161 1618 JANTZEN DRIVE, COLTON , CA 92334 M - 0 S 0.00 8.00 Male 0 0.00 0.00 H ALFREDO SANCHEZ Soc Sec No: 549-11-1861 16053 MERRILL M - 0 S 0.00 4.00 AVENUE, FONTANA , CA Male 0 0.00 0.00 92335 H Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR 99.00 68.75 1.50 FICA SWH SDI Tot Pay HEALTH PENSION TRAING ADMIN Tot Ded CONT/CC SAVINGS SUP.DUE OTHER 2 Net Pay 66.04 117.50 1.25 Check No: 56840 07/12/02 19.56 7.77 93.75 16.25 1.50 0.00 0.00 0.00 863.33 261.12 602.21 Check No: 56866 07/12/02 16.00 61.11 1.04 7.19 798.96 66.00 112.80 90.00 15.60 1.44 151.34 1.44 1.20 0.00 0.00 0.00 647.62 OPERATOR STEP 3 APPR. Check No: 56825 07/14/02 8.00 8.00 0.00 0.00 0.00 16.00 20.60 329.60 373.60 2.00 28.58 0.00 3.36 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 44.00 75.20 60.00 10.40 0.96 Other Eamings: 44.00 0.96 0.80 0.00 0.00 0.00 Total Eamings: 373.60 LABORER GROUP IV $22.75 8.00 8.00 0.00 0.00 0.00 24.00 22.75 546.00 827.18 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 61.20 Total Earnings: 607.20 OPERATOR GROUP 12 $30.54 0.00 8.00 0.00 0.00 0.00 12.00 30.54 366.48 399.48 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 33.00 Total Eamings: 399.48 94.00 61.20 1.44 30.00 33.00 0.72 Check No: 56867 07/12/02 63.27 18.12 7.45 9.84 87.84 8.64 1.44 3.60 0.00 0.00 0.00 Check No: 56868 07/12/02 30.57 4.64 3.59 56.40 45.00 7.80 0.72 0.60 0.00 0.00 0.00 373.60 77.94 295.66 827.18 244.04 583.14 399.48 101.80 297.68 Print Date: 07/23/2002 Page 3 Payroll No. 18 Project No. 208 Project Name Slover Avenue Sewer Exempts Gender Employee Information Ethic Contractor: Hours Certified Payroll Report For the period ending 07/10/2002 ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Gross Tot Hrly This Sun Mon Tue Wed Thu Fri Sat Hrs Rate Project WILLIAM MITCHELL Soc Sec No: 238-86-9112 1675 SHERIDAN ROAD, M - 0 S 0.00 8.00 SAN BERNARDINO , CA Male 0 0.00 0.00 92407 C JOHN OROSCO Soc Sec No: 573-76-0535 M - 4 S 0.00 Male 0 0.00 H 12508 BAKER CT., CHINO , CA 91710 Gross All Projs OPERATOR GROUP 16 $31.66 8.00 8.00 0.00 0.00 0.00 24.00 31.66 759.84 825.84 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 66.00 Total Earnings: 825.84 LABOR GROUP V FOREMAN $24.85 8.00 8.00 8.00 0.00 0.00 0.00 24.00 24.85 596.40 697.43 1.00 0.00 0.00 0.00 0.00 0.00 1.00 37.28 37.28 Other Eamings: 63.75 Total Earnings: 697.43 RICARDO OROZCO Soc Sec No: 547-61-3392 M - 6 S 0.00 8.00 Male 0 0.00 0.00 H 730 W. CARLTON, ONTARIO , CA 91761 LARRY PLOTNER Soc Sec No: 566-48-1227 2903 Valencia Avenue, San Bernardino , CA 92404 M - 2 S 0.00 8.00 Male 0 0.00 0.00 C LABOR GROUP IV FORMAN $24.10 8.00 8.00 0.00 0.00 0.00 24.00 24.10 578.40 639.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: Total Eamings: 61.20 639.60 OPERATOR FOREMAN $33.04 8.00 8.00 0.00 0.00 0.00 24.00 33.04 792.96 1431.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 66.00 Total Eamings: 858.96 JAIME RAMIREZ Soc Sec No: 551-54-5597 2835 S. TAMARASK M - 3 S 0.00 8.00 8.00 8.00 8.00 8.00 ROAD, ONTARIO , CA Male 0 0.00 0.00 0.00 0.00 0.00 0.00 91761 H 0.00 40.00 47.50 1900.00 1900.00 0.00 0.00 0.00 0.00 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR 94.00 66.00 1.44 FICA SWH SDI HEALTH PENSION TRAING CONT/CC SAVINGS SUP.DUE 63.18 112.80 1.20 ADMIN OTHER 2 Check No: 56841 07/12/02 18.07 7.43 90.00 15.60 0.00 0.00 Tot Pay Tot Ded Net Pay 825.84 1.44 248.68 0.00 577.16 Check No: 56843 07/12/02 40.00 53.35 4.57 6.28 63.75 85.25 91.50 9.00 1.50 3.75 0.00 0.00 697.43 1.50 167.95 0.00 529.48 Check No: 56844 07/12/02 17.00 48.93 0.00 5.76 61.20 81.84 87.84 8.64 1.44 1.44 3.60 0.00 0.00 0.00 206.00 109.52 110.00 112.80 1.44 1.20 317.00 0.00 0.00 145.35 0.00 0.00 Check No: 56870 07/12/02 50.19 12.89 90.00 15.60 1.44 0.00 0.00 0.00 Check No: 56846 07/12/02 90.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 639.60 132.89 506.71 1431.60 488.60 943.00 1900.00 552.85 1347.15 Print Date: 07/23/2002 Page 4 Payroll No. 18 Project No. 208 Project Name Slover Avenue Sewer Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 BRIAN ROGERS Soc Sec No: 545-96-5766 OPERATOR GROUP 8 $30.54 22421 MILKY WAY, M - 9 S 0.00 8.00 8.00 8.00 0.00 0.00 0.00 24.00 30.54 732.96 798.96 TEHACHAPI , CA 93561 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 C Other Eamings: 66.00 Total Eamings: 798.96 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Check No: 56847 07/12/02 16.00 61.12 1.04 7.19 798.96 66.00 112.80 90.00 15.60 1.44 151.35 1.44 1.20 0.00 0.00 0.00 647.61 VICTOR RUIZ Soc Sec No: 545-21-8611 LABOR GROUP III $21.20 Chedk No: 56871 07/12/02 1964 MURRIETTA ROAD, M - 3 S 0.00 8.00 8.00 8.00 0.00 0.00 0.00 24.00 21.20 508.80 570.00 29.00 43.60 2.35 5.13 570.00 PERRIS, CA 92571 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 61.20 81.84 87.84 8.64 1.44 141.28 H Other Eamings: 61.20 1.44 3.60 0.00 0.00 0.00 428.72 Total Eamings: 570.00 Print Date: 07/23/2002 Page 5 Payroll No. 18 Project No. 208 Project Name Stover Avenue Sewer Date: 07/23/2002 Payroll No: 18 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 STATEMENT OF COMPLIANCE Contractor's License No. A 370846 Employer Identification No. 95-3271209 I, Kellie Jo Cross, Payroll Manager, do hereby state: (1) That I pay or supervise the payment of the persons employed by ALBERT W. DAVIES, INC. on the Stover Avenue Sewer project; that during the payroll period commenting on July 04, 2002 and ending July 10, 2002, all persons employed on said project have been paid the full weekly wages earned, that no rebates have or will be made either directly or indirectly to or on behalf of said ALBERT W. DAVIES, INC. 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 as defined in Regulations, Part 3 (29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stet 948.63 Stat. 108, 72 Stet 967; 76 Stat. 357; 40 U.S.C. 276c), and described below: Taxes: Federal W/H, FlCA/Medicare, State W/H, State SDI/Local Other. Vacation Pay, Child Support, Attachments, Advances (2) That any payrolls otherwise under this contract 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 than the applicable wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work he 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 recognized by the Bureau of Apprenticeship and Training, United States Department of Labor, or if no such recognized agency exists in a State, are registered with the Bureau of Apprenticeship and Training, United States Department of Labor. (4) That: (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS OR PROGRAMS nIn addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of fringe benefits as listed in the contract have been or will be made to appropriate programs for the benefit of such employees, except as notice in Section 4 (c) below. (b) WHERE FRINGE BENEFITS ARE PAID IN CASH nEach laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll, an amount not less than the sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed in the contract, except as notice in Section 4 (c) below. (c) EXCEPTIONS EXCEPTION (CRAFT) Kellie Jo Cross, Payrt>N'Manager EXPLANATION 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. Print Date: 07/23/2002 Page 6 Payroll No. 19 Project No. 208 Project Name Stover Avenue Sewer Exempts Gender Certified Payroll Report For the period ending 07/17/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Employee Information Ethic Sun Mon SCOTT TONN Tue Wed Thu Fri Gross Tot Hrly This Sat Hrs Rate Project Gross All Projs Soc Sec No: 570 76 6592�9 1( Y�lj ' 7)1I �' "" 7 PERATOR GROUP 8 $30.54 919 COLIMA ROAD, SAN BERNARDINO , CA 92301 M - 0 Male C S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 30.54 1221.60 1380.16 0 0.00 0.00 0.00 0.00 0.00 1.00 0.00 1.00 45.81 45.81 Other Eamings: 112.75 Total Eamings: - 1380.16 JAMES IVERSON Soc Sec No: 559-92-5741 8315 CHERRY, M - S 0.00 Male 0 0.00 0.00 C FONTANA , CA 92335 BONIFACIO CARLOS Soc Sec No: 549-11-7986 M - 1 S 0.00 8.00 Male 0 0.00 0.00 H 3312 EAST MAIN AVENUE, BALDWIN PARK , CA 91706 MARCOS MACIAS Soc Sec No: 625-40-5881 M - 7 S 0.00 8.00 Male 0 0.00 0.50 H 14115 RATLIFFE STREET, LA MI RADA , CA 90638 ALBERT RAMIREZ Soc Sec No: 551-95-8764 2835 S. TAMARASK S - 1 S 0.00 8.00 ROAD, ONTARIO , CA Male 0 0.00 0.00 91761 S TEAMSTER GROUP V $22.32 8.00 0.00 8.00 8.00 8.00 0.00 32.00 22.32 714.24 905.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 83.20 Total Eamings: 797.44 LABORER GROUP II $20.65 8.00 8.00 8.00 8.00 0.00 40.00 20.65 826.00 928.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 102.00 Total Eamings: 928.00 OPERATING ENGINEERS $31.54 8.00 8.00 8.00 8.00 0.00 40.00 31.54 1261.60 1521.78 0.00 0.00 1.50 1.00 0.00 3.00 47.31 141.93 Other Earnings: 118.25 Total Eamings: 1521.78 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR LABORER APPRETINCE STEP I $11.08 8.00 8.00 8.00 8.00 0.00 40.00 11.08 443.20 533.21 0.00 0.00 0.00 1.00 0.00 1.00 16.62 16.62 Other Earnings: 73.39 Total Eamings: 533.21 224.00 112.75 2.46 FICA HEALTH CONT/CC 105.58 192.70 2.05 SWH PENSION SAVINGS SDI TRAING SUP.DUE ADMIN OTHER 2 Check No: 56911 07/19/02 53.67 12.42 153.75 26.65 2.46 0.00 0.00 0.00 Ched< No: 56914 07/19/02 106.00 69.28 21.69 8.15 91.00 160.64 153.60 13.44 1.92 0.00 0.00 0.00 1.92 0.00 Check N o: 56883 07/19/02 100.00 71.00 21.51 8.36 102.00 136.40 146.40 14.40 2.40 2.40 6.00 0.00 0.00 0.00 253.00 118.25 2.58 116.41 202.10 2.15 58.00 40.79 146.78 88.97 2.46 6.15 Chedc No: 56917 07/19/02 49.81 13.69 161.25 27.95 2.58 0.00 0.00 0.00 Check No: 56918 07/19/02 12.44 4.80 15.58 14.35 0.00 0.00 0.00 0.00 Tot Pay Tot Ded Net Pay 1380.16 508.42 871.74 905.68 296.12 609.56 928.00 302.87 625.13 1521.78 551.16 970.62 533.21 189.42 343.79 Print Date: 07/23/2002 Page 1 Payroll No. 19 Project No. 208 Project Name Slover Avenue Sewer Exempts Gender Employee Information Ethic Certified Payroll Report For the period ending 07/17/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Gross Tot Hrly This Sun Mon Tue Wed Thu Fri Sat Hrs Rate Project CASIMIRO GOVEA Soc Sec No: 557-43-6773 S 0.00 8.00 O 0.00 0.50 739 CONTEMPO M - 3 STREET, ONTARIO , CA Male 91762 H FRANCISCO MU NDO Soc Sec No: 16855 Baltic Court, M - 0 Moreno Valley , CA 92551 Male H RANDY PATTERSON 11065 SUNNYSLOPE, CHERRY VALLEY , CA 92223 572-91-4437 S 0.00 8.00 O 0.00 0.00 Soc Sec No: 562-74-8173 S - 3 S 0.00 8.00 Male 0 0.00 0.00 C EARLE MARLAR Soc Sec No: 568-15-1114 515 SOUTH 16TH M - 0 S 0.00 STREET, BANNING , CA Male 0 0.00 92220 DWIGHT NICHOLS Soc Sec No: 554-82-1855 S - 0 S 0.00 0.00 Male 0 0.00 0.00 C 1122 E. 25TH STREET, SAN BERNARDINO , CA 92404 Gross All Projs Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH FICA SWH SDI Tot Pay VAC/HOL HEALTH PENSION TRAING ADMIN Tot Ded INDUSTR CONT/CC SAVINGS SUP.DUE OTHER 2 Net Pay LABORER GROUP I $20.10 Check No: 56919 07/19/02 8.00 8.00 8.00 8.00 0.00 40.00 20.10 804.00 955.06 87.00 73.05 16.68 8.60 0.00 0.00 0.00 1.00 0.00 1.50 30.15 45.23 105.83 141.52 151.89 14.94 2.49 Other Eamings: 105.83 2.49 6.23 0.00 0.00 0.00 Total Eamings: 955.06 955.06 291.16 663.90 LABORER GROUP IV $22.75 Check No: 56920 07/19/02 8.00 8.00 8.00 8.00 0.00 40.00 22.75 910.00 1012.00 124.00 77.42 28.07 9.11 1012.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 102.00 16.40 146.40 14.40 2.40 340.60 Other Eamings: 102.00 2.40 6.00 0.00 0.00 0.00 671.40 Total Eamings: 1012.00 TEAMSTER GROUP V $22.32 8.00 8.00 8.00 8.00 0.00 40.00 22.32 892.80 996.80 141.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 104.00 Other Eamings: 104.00 0.00 Total Eamings: 996.80 OPERATOR GROUP 16 $31.16 8.00 8.00 8.00 8.00 8.00 0.00 40.00 31.16 1246.40 1430.64 0.50 0.00 0.00 0.00 1.00 0.00 1.50 46.74 70.11 Other Eamings: Total Eamings: 114.13 1430.64 76.26 200.80 0.00 Check No: 56921 07/19/02 47.32 8.97 192.00 16.80 2.40 0.00 2.40 0.00 996.80 377.55 619.25 Check No: 56895 07/19/02 237.00 109.44 57.70 12.87 1430.64 114.13 195.05 155.63 26.98 2.49 531.14 2.49 2.08 0.00 0.00 0.00 899.50 WATER TRUCK/WORKING TEAMSTER $22.25 8.00 8.00 0.00 0.00 0.00 16.00 22.25 356.00 397.60 46.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 41.60 Other Eamings: 41.60 0.00 Total Eamings: 397.60 Check No: 56928 07/19/02 30.42 7.28 3.58 80.32 76.80 6.72 0.96 0.00 0.00 0.96 0.00 397.60 128.88 268.72 Print Date: 07/23/2002 Page 2 Payroll No. 19 Project No. 208 Project Name Stover Avenue Sewer Exempts Gender Certified Payroll Report For the period ending 07/17/2002 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Hours Employee Information Ethic Sun Mon LARRY ZAVALA Soc Sec No: 548-06-8520 M - 9 S 0.00 Male 0 0.00 H 7430 TOKAY AVENUE, FONTANA , CA 92336 JOE MARTI NEZ Soc Sec No: 569-98-0495 M - 3 S 0.00 Male 0 0.00 907 E. RIALTO AVENUE, SP. #24, SAN BERNARDINO , CA 92408 Tue Wed Thu Fri Gross Tot Hrly This Sat Hrs Rate Project Gross All Projs OPERATOR GROUP 8 $30.54 8.00 8.00 8.00 8.00 8.00 0.00 40.00 30.54 1221.60 1331.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 110.00 Total Eamings: 1331.60 LABORERS APPR 3RD PERIOD 0.00 8.00 8.00 0.00 0.00 0.00 16.00 13.86 221.76 250.40 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 RAMON GUTIERREZ Soc Sec No: 572-11-5161 1618 JANTZEN DRIVE, M - 0 S 0.00 8.00 Male 0 0.00 0.00 H COLTON , CA 92334 ALFREDO SANCHEZ Soc Sec No: 549-11-1861 16053 MERRILL M - 0 S 0.00 8.00 AVENUE, FONTANA , CA Male 0 0.00 0.00 92335 H JOHN OROSCO Soc Sec No: 573-76-0535 S 0.00 8.00 0 0.00 0.00 12508 BAKER CT., CHINO , CA 91710 M-4 Male H Other Eamings: Total Earnings: 28.64 250.40 LABORER GROUP IV $22.75 8.00 8.00 8.00 8.00 0.00 40.00 22.75 910.00 1012.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: Total Eamings: 102.00 1012.00 OPERATOR GROUP 12 $30.54 8.00 8.00 8.00 8.00 0.00 40.00 30.54 1221.60 1331.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 110.00 Total Eamings: 1331.60 LABOR GROUP V FOREMAN $24.85 8.00 8.00 8.00 8.00 0.00 40.00 24.85 994.00 1096.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 102.00 Total Eamings: 1096.00 Contractor's License No. A 370846 Employer Identification No. 95-3271209 Deductions/Contributions/Payments FWH VAC/HOL INDUSTR FICA SWH HEALTH PENSION CONT/CC SAVINGS SDI TRAING SUP.DUE ADMIN OTHER 2 Tot Pay Tot Ded Net Pay Check No: 56923 07/19/02 92.00 101.87 31.55 11.99 1331.60 110.00 188.00 150.00 26.00 2.40 347.41 2.40 2.00 0.00 0.00 0.00 984.19 Check No: 57007 07/19/02 0.00 19.16 0.00 2.25 57.28 34.72 6.08 5.60 0.00 0.96 2.40 0.00 0.00 0.00 Chedk No: 56924 07/19/02 250.40 50.05 200.35 124.00 77.43 28.07 9.11 1012.00 102.00 16.40 146.40 14.40 2.40 340.61 2.40 6.00 0.00 0.00 0.00 671.39 Chedk No: 56925 07/19/02 210.00 101.85 49.78 11.99 110.00 188.00 150.00 26.00 2.40 2.40 2.00 0.00 0.00 0.00 Check No: 56899 07/19/02 100.00 83.84 23.62 9.86 102.00 136.40 146.40 14.40 2.40 2.40 6.00 0.00 0.00 0.00 1331.60 483.62 847.98 1096.00 319.32 776.68 Print Date: 07/23/2002 Page 3 Payroll No. 19 Project No. 208 Project Name Stover Avenue Sewer Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 Contractor's License No. A 370846 Employer Identification No. 95-3271209 RICARDO OROZCO Soc Sec No: 547-61-3392 LABOR GROUP IV FORMAN $24.10 Check No: 56900 07/19/02 730 W. CARLTON, M - 6 S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 24.10 964.00 1182.10 95.00 90.43 25.75 10.64 1182.10 ONTARIO , CA 91761 Male 0 0.00 0.50 0.00 0.00 1.50 1.00 0.00 3.00 36.15 108.45 109.65 146.63 157.38 15.48 2.58 331.47 H Other Earnings: 109.65 2.58 6.45 0.00 0.00 0.00 850.63 Total Eamings: 1182.10 LARRY PLOTNER Soc Sec No: 566-48-1227 OPERATOR FOREMAN $33.04 Check No: 56901 07/19/02 2903 Valencia Avenue, M - 2 S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 33.04 1321.60 1431.60 206.00 109.51 50.19 12.88 1431.60 San Bernardino , CA Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 110.00 188.00 150.00 26.00 2.40 488.58 92404 C Other Earnings: 110.00 2.40 2.00 0.00 0.00 0.00 943.02 Total Earnings: 1431.60 JAIME RAMIREZ Soc Sec No: 551-54-5597 Check No: 56903 07/19/02 2835 S. TAMARASK M - 3 S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 47.50 1900.00 1900.00 317.00 145.35 90.50 0.00 1900.00 ROAD, ONTARIO , CA Male 0 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 0.00 552.85 91761 H 0.00 0.00 0.00 0.00 0.00 1347.15 BRIAN ROGERS Soc Sec No: 545-96-5766 OPERATOR GROUP 8 $30.54 22421 MILKY WAY, M - 9 S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 30.54 1221.60 1331.60 TEHACHAPI , CA 93561 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: Total Earnings: 110.00 1331.60 92.00 110.00 2.40 101.86 188.00 2.00 Check No: 56904 07/19/02 31.55 150.00 0.00 11.99 26.00 0.00 1331.60 2.40 347.40 0.00 984.20 VICTOR RUIZ Soc Sec No: 545-21-8611 LABOR GROUP III $21.20 Check No: 56905 07/19/02 1964 MURRIETTA ROAD, M - 3 S 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 21.20 848.00 1001.53 94.00 76.62 19.47 9.02 1001.53 PERRIS , CA 92571 Male 0 0.00 0.50 0.00 0.00 0.00 1.00 0.00 1.50 31.80 47.70 105.83 141.52 151.89 14.94 2.49 304.94 H Other Earnings: 105.83 2.49 6.23 0.00 0.00 0.00 696.59 Total Earnings: 1001.53 Print Date: 07/23/2002 Page 4 Payroll No. 19 Project No. 208 Project Name Stover Avenue Sewer Date: 07/23/2002 Payroll No: 19 Contractor: ALBERT W. DAVIES, INC. POST OFFICE BOX 215 RANCHO CUCAMNGA, CA91729 STATEMENT OF COMPLIANCE Contractor's License No. A 370846 Employer Identification No. 95-3271209 I, Kellie Jo Cross, Payroll Manager, do hereby state: (1) That I pay or supervise the payment of the persons employed by ALBERT W. DAVIES, INC. on the SloverAvenue Sewer project; that during the payroll period commencing on July 11, 2002 and ending July 17, 2002, all persons employed on said project have been paid the full weekly wages earned, that no rebates have or will be made either directly or indirectly to or on behalf of said ALBERT W. DAVIES, INC. from the full weekly wages eamed 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 as defined in Regulations, Part 3 (29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat. 948.63 Stat. 108, 72 Stat 967; 76 Stat. 357; 40 U.S.C. 276c), and described below: Taxes: Federal W/H, FICA/Medicare, State W/H, State SDI/Local Other. Vacation Pay, Child Support, Attachments, Advances (2) That any payrolls otherwise under this contract 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 than the applicable wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work he 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 recognized by the Bureau of Apprenticeship and Training, United States Department of Labor, or if no such recognized agency exists in a State, are registered with the Bureau of Apprenticeship and Training, United States Department of Labor. (4) That (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS OR PROGRAMS In addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of fringe benefits as listed in the contract have been or will be made to appropriate programs for the benefit of such employees, except as notice in Section 4 (c) below. (b) WHERE FRINGE BENEFITS ARE PAID IN CASH I n Each laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll, an amount not less than the sum of the applicable basic hourly wage 1 rate plus the amount of the required fringe benefits as listed in the contract, except as notice in Section 4 (c) below. (c) EXCEPTIONS EXCEPTION (CRAFT) JCS Kellie Jo Cross, PayriJl'Manager EXPLANATION 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. Print Date: 07/23/2002 Page 5 • • If GGEOTECHNICAL GROUP, INC. Soil Engineering A. Geology A Environmental June 28, 2002 RECEI VE p JUL - 8 2002 L.D. KING This letter is to certify that LOR Geotechnical Group, Inc. pays for more than the required $0.60 per hour training wage benefit. The following will explain what LOR Geotechnical, Inc. pays: ► LOR Geotechnical Group, Inc. pays for all education and related fees corresponding to the geotechnical field. This includes school tuition fees, books, etc. ► LOR Geotechnical Group, Inc. pays for any seminars relating to the geotechnical field. ► LOR Geotechnical Group, Inc. pays for the employees to attend monthly training meetings. LOR Geotechnical Group, Inc. pays for any costs for the certification programs relating to the geotechnical field as well as the hours that the employee attends these programs. Should you have any questions regarding this information, please contact me at your convenience. Respectfully, LOR Geotechnical Group, Inc. 6121 Quail Valley Court ♦ Riverside, CA 92507 ♦ (909) 653-1760 ♦ Fax (909) 653-1741 r DATE 6/15/02 NAME AND ADDRESS OF PLAN, FUND, OR PROGRAM SEE ATTACHED STATE OF CALIFORNIA - DEPARTMENT OF Tc ..TATION RINGE BENEFIT STATEMENTS CP-CEM-2501 (OLD HC-50 REV. 8/94) CONTRACTOR/SUBCONTRACTOR (Please Print) LOR GEOTECHNICAL GROUP, INC. TO: RESIDENT ENGINEER/DISTRICT LABOR COMPLIANCE OFFICER CONTRACT NUMBER c• FEDERAL AID PROJECT NUMBER BUSINESS ADDRESS 6121 QUAIL VALLEY COURT RIVERSIDE, CA 92507 ",.f YXT /kk� e Mr A h. ✓ S/° Ef; u tLer**SZ!�`t'�'�y,.\ aM / I0 '"` I 4je e • a ° (e��� e e aac �' a sY ° # "3y✓�° ay/1 40 /in�✓U '✓///ram%SR'i?�'�'LZhf'1�i5�is. e�ll./iill•1D•.i; �. A R�rl //N 4(%/iyy /�/yy�/I%I/��/5 ;.. •y-Y a/tvr- ik s r�.°".rsie\lit ✓dn 1:.d. .rd:: /iY�..' ✓g2 '5< // "/aw CLASSIFICATION FRINGE BENEFIT HOURLY AMOUNT Effective Date 6/15/02 ANDREW TARDIE Subsistence and/or Travel Pay CLASSIFICATION Effective Date 6/15/02 JOHN MUIR Subsistence and/or Travel Pay: s CLASSIFICATION Effective Date Vacation $ 1 . 2 5 6/15/02 JEREMY GONZALES Subsistence and/or Travel Pay $ Health & $ 0 ' 98 Welfare ESOP TRUCK LIFE INS. s 2.32 s 2.31 $ 0.07 CEM2501 iTATE OF CALIFORNIA • DEPARTMENT OF -1( .SSTATION FRINGE BENEFIT STATEMENTS ';P-CEM-2501 (OLD HC-50 REV. 8/94) • CONTRACTOR/SUBCONTRACTOR (Please Pint) LOR GEOTECHNICAL GROUP, INC. TO: RESIDENT ENGINEER/DISTRICT LABOR COMPLIANCE OFFICER CONTRACT NUMBER FEDERAL AID PROJECT NUMBER BUSINESS ADDRESS 6121 QUAIL VALLEY COURT RIVERSIDE, CA 92507 •�!.Y �%� k:1/1l✓tif fF✓ <i✓y�y;Y���`!'yi s XE 6.t ff SX+ "'�• ; dz>a 'L����lx 4Y/ £ �',���> ✓r Y%�i/�1/ i °S °E� .trt�> ° °YrY1�=� °• °°t'5 .%i rry� yfL.;.Y X4yif" "I•nf4tiyf:; 3�! 5 T n5 3OP \v•;i :� '' .� ;,ir..1,tA%i <lf".1g7 CLASSIFICATION FRINGE BENEFIT HOURLY AMOUNT DATE 6/15/02 NAME ANO ADDRESS OF PLAN, FUND, OR PROGRAM Effective Date 6/15/02 CHRIS DELOSS Subsistence and/or Travel Pay. $ CLASSIFICATION Effective Date 6/15/02 BRIAN MARANO Subsistence and/or Travel Pay: $ Vacation $ 2 .0 0 Health & $ 131 Welfare ESOP TRUCK $ LIFE $ 0.08 INS. 3.00 2.31± FRINGE BENEFIT HOURLY AMOUNT 1.13 Vacation $ Health & $ 0.98 Welfare ESOP $ 2.10 TRUCK $ 2.31 LIFE $ 0.08 INS. SEE ATTACHED NAME AND ADDRESS OF PLAN, FUND, OR PROGRAM SEE ATTACHED CLASSIFICATION Effective Date 6/15/02 CHAD GOODWIN Subsistence and/or Travel Pay. $ FRINGE BENEFIT HOURLY AMOUNT Vacation $ 1 • 1 3 Health & Welfare ESOP TRUCK LIFE INS. $ 0.98 s 2.10 $ 2.31 s 0.07 NAME A TITt.E (Please Pti L anon `^tve5o (At. OFT i v ixuta`. �r SIGNATURE JLX se) NAME ANO ADDRESS OF PLAN, FUNO, OR PROGRAM SEE ATTACHED U ESSS TELEPHONE NUMBER n 0 CEM?501 STATE OF CALIFORNIA • DEPARTMENT OF 1, .STATION FRINGE BENEFIT STATEMENTS ::P-CEM-25O1 (OLD HC-50 REV. 8/94) • CONTRACTOR/SUBCONTRACTOR (Please Print) LOR GEOTECHNICAL GROUP, INC. TO: RESIDENT ENGINEERIDISTRICT LABOR COMPLIANCE OFFICER CONTRACT NUMBER FEDERAL AID PROJECT NUMBER BUSINESS ADDRESS 6121 QUAIL VALLEY COURT RIVERSIDE, CA 92507 �. '.,y..��µ %u/k,/i//�ti{{Y$.Fv ��y�y3���'y'�u , ay#`es z, 'sl✓,%r;''��. ��..; Z�\`\>:: 'c/ ix•..�i �/ y~/j'3j�i�/�///i���}i>;�3 iii "Orr teS CLASSIFICATION Effective Date •6/15/02 JESUS HERRAN Subsistence and/or Travel Pay. CLASSIFICATION Effective Date 6/15/02 FRED DUPREE Subsistence and/or Travel Pay. $ c AssiFICATIoN Effective Date 6/15/02 RYAN LUBBEN Subsistence and/or Travel Pay: $ FRINGE BENEFIT HOURLY AMOUNT Vacation $ 0.92 Health& $ 1.04 Welfare ESOP $ 2.25 TRUCK s 2.31 LIFE $ 0.07 INS. FRINGE BENEFIT HOURLY AMOUNT Vacation $ 1.26 Health & $ 3.48 Welfare ESOP s 3.07 TRUCK $ 2.31 LIFE INS. s 0_'32 FRINGE BENEFIT HOURLY AMOUNT Vacation $ 0.73 Health & Welfare ESOP TRUCK LIFE INS. $ 1.64 s 1.80 s 2.31 s 0.07 DATE 6/15/02 NAME AND ADDRESS OF PLAN, FUND, OR PROGRAM SEE ATTACHED NAME AND ADDRESS OF PLAN, FUND, OR PROGRAM SEE ATTACHED NAME AND ADDRESS OF PLAN, FUND, OR PROGRAM SEE ATTACHED BUSIIESS TELEPHONUMBER NE • STATE OF CALIFORNIA • DEPARTMENT OF TT, .o TATION Fi2INGE BENEFIT STATEMENTS �P-CEM-2501 (OLD HC-50 REV. 8/94) CONTRACTOR/SUBCONTRACTOR (Please Pant) LOR GEOTECHNICAL GROUP, INC. TO: RESIDENT ENGINEER/DISTRICT LABOR COMPLIANCE OFFICER CLASSIFICATION Effective Date 6/.15/02 DANIEL WEBSTER Subsistence and/or Travel Pay. $ CLASSIFICATION Effective Date 6/15/02 MARK SWITZER Subsistence and/or Travel Pay. $ CLASSIFICATION Effective Date 6/15/02 JOE WALLEN Subsistence and/or Travel Pay. $ NAMET a 4a4tn(Pleas. � �of-6 Lc .YYa,� a.ol�,r I ( CONTRACT NUMBER FEDERAL AID PROJECT NUMBER BUSINESS ADDRESS 6121 QUAIL VALLEY COURT RIVERSIDE, CA 92507 FRINGE BENEFIT HOURLY AMOUNT Vacation s 1 , 01 Health& s 0.98 Welfare ESOP TRUCK LIFE INS. $ 2.47 $ 2.31 $ 0.43 FRINGE BENEFIT HOURLY AMOUNT Vacation $ 0.76 Health & $ 0 , 9 8 Welfare ESOP s 1.87 TRUCK $ 2.31 LIFE $ 0.07 INS. FRINGE BENEFIT HOURLY AMOUNT Vacations 0.98 Health & s 2.05 Welfare ESOP s 2.40 TRUCK s 2.31 LIFE INS. $ 0.07 SIGNA ' DATE 6/15/02 NAME AND ADDRESS OF PLAN, FUND, OR PROGRAM SEE ATTACHED NAME AND ADDRESS OF PLAN, FUND, OR PROGRAM SEE ATTACHED NAME AND ADDRESS OF PLAN, FUND, OR PROGRAM SEE ATTACHED BU$djI�SgTELgPHONE NUMBER CEM2501 4154353 3669 ORDA ase rbaefer tb t, • PP• rthl'. rt the4ck'of the form; uh DUE DATE: SEP 17, 2002 S .,Census Bureau, b East lot Street toildnvtl Ce,y:I 4714' j 8 V 4.5"8245 .. k,'FA"!� ' PROJECT. IDENTIFICATION OMB No. 0607.0153: Approval Expires 04/30/2004 In any correspondence pertaining to this report, refer to the control number shown below. DATE SV . S WGT TC NEWTC ST NEWAA STATUS 200202 .1012 18.04 74 1315 06 3 . 1 4154353 9 CITY OF FONTANA ATTN DON GDULA — CONSULTANT PROD COORDINATOR 8353 SIERRA AVE FONTANA CA 92335-3528 FAX (909)350-6618 ' PH0N (909) 350-7632 • (Please correct any error in name and address Including ZIP Code, telephone and fax number) ;The cor struction.Project,ci scribed bekwv is: associated with your %'gan orl;ation(according to published sources: Pease' correct' any errors full in any blanks. In items 1'and 2. if necessary, make Our corrections in,, Jteni 10;Jlemarks . or Use•a separate sheet. IF.;)fOU HAiVE;ANY QUESTIONS CONCERNING; THIS FORMr;PLEASE.,CALL; •1-800-845-8246 1. PROJECT DESCRIPTION SLOVER AVE SEWER IMPROVEMENTS (S86701) 2. PROJECT LOCATION SLOVER AVE FROM POPLAR AVE TO SIERRA AVE FONTANA CA Section B; .;'Based on exteride..dimensions, how many square ;' feet of enclosed floor area (including basements)' wbted ythis pt? Exi ill Judee ncreadnbuiidbm pro rojecBete F' and existing floor" pars r , y 4 Sciiiarq:foot,'<':` ter ,,tt ar Q FILli ,CONSTRUCTIO O RBSS REPORT' �' OWNERSHIP AND START DATE. SOVREDtOIIIINEPSIVP ,Mark(Xlg(i9.,09) ; .�: ,.:•.:,a.•.,,. is this project • . 0 State Government or Agency 0 Privately -owned OR Owned by: 0 Federal Government or, Agency 1 Local Government or Agency 4. START DATE OF CONSTRUCTION , ,,;; ,M When dick actual construction work on the site start. or when dp you estimate it wilt start?Entermarnthandyoar .•: ;. Section: C COST ESTIMATES .Moriiff atitl year of"actual or expected start,date•, MAR 2002 • preparation and outside constructiort;such as'sidewalks •• and roadways r , ahicati;Pti a(ecttldal jnstallationS Whjcfrare integral part. 1 itfscpure such as elevators, heatino'agyiipment etp Lap d artcipr-existing structure`s rchrtectura 'engingaithg4 and dtvnex s overhead.ari inf ceitaneous cpsta •See item 6; ^ nttµre f aitdOthef niovabte0q ipment': npnrjd g¢ns'y,fus , FOR HEAVY NONE RIDING PttOJEC73'". SEE SPECIAL INSTRUCTIONS.ON BACK' Nix \ 3a cost plus' basis, enfer your best estima a of the final Cost. 5a CONTRACT C NSTi#i1GTi(5111 COST' Fn ' (•Arn601 ro be paid{ fo gontractors ands. 3 y it sulk'Ontta0OraV 0 Er,IfpioJecfisona Nr~R SLIPPLIED MATERIAL ;This form will be:returned to you EACH MONTH::: until the project is completed. _ ••.Continue with Iterti• 9if'project has started; otherwrse,,' skip to'section;F::.: " . •. Report "the yalue'of con`structiotr put in place each month.' Include only those construction costs defined in item 5c. 00 NOT include' costs reported in item 6. • )leportcosts in;the month in which work was done (including airy monthly retaulage'being withheld • fSprn contracto{s) m rather antjrtjhe onth •which u`9 pay ni'tni tva"s l:4de y lin �w as ,,; 0. r•'.�n!hsr�Prbi ,cbtiliie 9 r0p00,, Ye4.* em;s ji •:'ILt0ii..THR.Sr'", l}t ir6 O,, 010NS`ttiOctioN PUT liil:r .:. PLACE ON PROJEty tyESCRiBBD IN.ITEM, 7 ;, ATJGa ' . Value of caestruction'put place during months • as defined In item .r- (Thousands ofdollars)<;'' $ 2 q 2 ,000.00 zoa $ 217 ,000.00 272 ,000.00 MAY 200 K r,• A>SW 2U(7 174 000.00 $ 130 000.00 MAiiz L O•b 0 ,000.00 tangs s i plio d w7ieq d tt, r koti3t (iktlol ompto dssIg e o the projep l `t •" $ ,000.00 4T-T L 0NS' RUJC'CI0N cos g r a 1 012 (Suitt of Os. 5b $ o00 00 961ARCOSHITECTORAL ENGINEERIN0 AND MISCELLANfE0US P, .#If tfook)igt res ar�ltrf avaitabte re„asaa?oble est'mates are' epttablem' iN1 L,JO • AI1,f'eea f$r ai-,5Ititecftirat ar ,ed.rigir eerl'rl Service ff cdntractor • • Was authorisedtb,"deslg"7(ite. corfst u t this ro ecr suC1� cos houid be incfudsd rn tam Sa , " f k. - , wr Ssl of designs Workkzbp ovuner p'sfaf ' `� o1e44wrte0averhead at d,p(fipe i os ,. e tgdoSh'r mtscelferiaaus Cdst 2pocafed Wner s }icibks fo this pro*tf,'V ' Cost of �nov�le rhachfnerY a e uip ant, band, lid fu(nitur ii1 hic ig$T ConsRruCtion••costs '. • (Thousands otdollaks ; • 1,012 $ ,000.00 $ ,000.00 $ ,000.00 i pit uirl brehrtectLore. engmsennb, and miscellaneougcost , ..(tti us�tad0 of 9#,41. s}4 $. :000.00 $ ,000.00 $ $ ,000.00 ,000.00 ,000.00 $ ,000.00 fvlpntl and year. •; pfrCpiiit�lejtoris"te must 2002 NOTE: Be sure to complete section F on the reverse side. ddtr4rF•sPyOJEt« �t Correct an}rJn or l i rt if 0r',tt " sXn.+,"& rm For,tfie 1rocq tf eScri ed tt items t t ixi itrnti be State,o �a} II eJii erlta construct on;,al 44tv r1 „fit ct)gn o emomens t�exi�jt ctrtaata f nib t?teproJagtde;:t4) hYJtem•,t"�o fYt s he ptlate( °rlurjlSgc6hstr erecnaoa pe4�'st)afeisj'ytt'prb` sTgof .'iNP. .g,aefihecf helwfi� If t ie protect j. oniy metntet n to r! rrt te,ri''10;Fte narks,,,„ , ; to tte Sectrdn J3 OWN R Ci1l%ANTS s't' 1 aT Y�ifx tditt 3.4As, fotert, ownershrpr f6Ppurlid .0 depends dttf he owner dtjrin the Constructtor Check the ap"fap ata"bob W ' . F+'aAy)'k� Rent 4 Tiie' start date, is aefinaj as the date that actuat cd`nstrtfctioriXorkfrrstbe*a{i on the rolect descri bell iris tterji i I> the4 proleotts to start at seats future date6p eat' e t6r thedet+ 0Qti plete iterfr 1 ••pp"and returrtth fora'; �_• ,. ,..,. *; ,._ .sa .a i3,.., .. .z? ectrort Oyx(;O T ES1rIMA onstruction,' for pUrposes;of t?iis survey, is defined as the building of and/or rmpravements to fixed structures:' ..ThisINCLUDS •e. New structures, additions; alterations; conversions, :: expansions, rebuilding,, reconstruction, renovations;• 'rehabilitations and major replacements (such as the complete replacement of a roof or heating system). ''.. Mechani ar and electrical installations - Fumbing,•• heating, elegtrJcal GJork e)evators, escalators, central ?!Y nditi oopottirer sirntlar budding services 1,t rind ertd ' utsiif a eenstrubtion Cleating and grad ng of "undevetoped rand"8ndthefored $uKilrary structures ••which the p eject owijer builds Yvi;hin the roperty hnrSs :Also io.ady7ays bridges; parking lotsj_utihiy ooninectiori•e; outdoor lighting, pools athletic fields, piers. wharves a docks an ail similar auxiliary facilitres- • y1 FOR HEAVY IG NBUILDING PROJECTS '; In artd+tipn to h ancf Lr� �kenstYuctron INCLUDES • r. dl Etxedivorfts, such ps power' eland;, dams•hrghwt ndgess reeeNo Ks an�(s1wer en4; water facrlmgs achine y end`pgtaipmgwnt wl)4.•preintegFel parts structures Also fiXecf largaly.site fabricated equipment i5uch et as storpganlcs` rF Kx n.Y• tf rt+. A. Wrx The ioltowing iypps Qf equlpSttenjboilers, towers ,•anrtfixfures EX.CLLIDE MOLabientaghieneend. eurpmentwhich are;not integral parf3;of structures= Arsb, for power generation piatlts exclude primary power producing { rriachi 1ery such as generators Yeactots and steam; , 10. REMARKS Item k stirtlate t,,,e,ttitel arriQant t0"-fe. pdrd-tG ` copstrUcnct)thOrijr conpKQtetractgtors b ylthe i5.pjeet owner for workf xdoner> pa� Fdm 4sy tti. ft,nt5bs • Estrriat$tli totaJcost4f}al�at ittfieawners; construction er ptayee4•working Qn tpe rojeci" rnctucclnq supeetitsoi personnel assigned, to the Pojegt lnctut11 th$ total' c6st of all cai'0,trUotio[t ntatehate supptled by the owner` i(ictuding t oSe the owner expects to supply,ta the 4ntractdrfur taste tatlbrrihthia prolect4r Item Oat,urn ofyatues reportett in items 6a arid 5b This: rs the value to be reported rn item $, mdntbW Value. pi construction put lr 5la6: ` a t ','. ' Xlterf 6 t:st mate the total amount cif feOstwhrch,tha' s, rt' J projectFov"vnef has:•paid or'will pay to aroltetecturerandl engineering firms fortivork do this proJcat, Also estimate. the:total cot.pf ati Qtljer constrticttoji items which. the ;a. ro1ect owner wilhall eate'Oii lFrs books to this project Incfudehe ptolegt gwner�s^oyei'tiead,anI Office costs, the aoptbf deslg:;r work b> the 6Wner's.s;aft;,ehci ther�M mtsc'ellanaous constructionn fees and i:gsts aljocated on the;dwner a,booksDA,NQT include tti ost of rrioyable machinery anit equipment lat c anti ftyrttifUKadw an ,. •furnishings if bogk fr ures are pot.aVaitapte reasona}ate estimates e e eecepta�i`$` t k 6 g q a' .. �t�n :<,. ,t :• ► Section .E-MONTHLY CONSTRUCTION . PROGRESS REPORT Item 8 Report the•monthly value of construction put in; place for the costs associated with item 50, These costs • . include: • a. Work done by contractors and/or subcontractors, • including any retainage being withheld until the work is The cost pf eny rf aterials installed which were provided c the work°done bythe projectpwner s own construction::.; employees tricludtng supervisory personnel assigned tQ �tle p[`ole9t r,,' i• r, • • Inttially�repo rt ptonthiy values.fro m he istartmonth to the most current month sh9wrf'frt itefri 1 Then each mpnth when the form i3 returned to yoir report, for thug • Month shown and any"reviaitfns which coil might have' Y:, When entering monthly data; be sure to report; the costs>r, rn the month rn which the work was done Lather Al* 0100,..14 .which payment, was made; than in' If t ie contr ctor`,s bill$ are for pellet( other than month) estimate a monthly arnount� (n each, month where there s ? no construction enter a Zert"J' r 5: rr:r 1�'a.., '£ Iteit s,rIfoonstructictl is,complete except ter serfs. mih:oi work (up to 3 Perpent cif item 5e1 you may. stp repcdrtrng op this,project by mdfcating ri,ttem 1g R•er•r arks and'enterin the t ompletiop date in item, for1L. COntiplekc 4v yv.0 3 0, zoos 7'0l� C& hrOc.Ion Cod 4/, 0/2,31/09-. one Bale older S78, 231 •Z$ Fina.4 Co'tsi-yuo4-to,& Cyst Inciudtock clnaVee ©atv = 41,091) In .13 Section F 11a. Name PERS9021'0trONl•'ACr ..REGARDIrvgni S;RERPRT, t.Pled.e b. Title r Z 4 ssoctcd . in-evr CaSaSa4 d. Organization Ctlr of t-osijgmet e. Address ©3S3 Ste'rrq Ave c. Telephone Area code qoq Number 3So -C. ?2 Extension FORM C•700(SL) (423-2001) f. Fax Area cede /90 \J Number 3so -66 / 8