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HomeMy WebLinkAbout13.2_Contractor's Certified PayrollPayroll No. - 6 Project No. 0900 Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 Exempts Gender ployee Information Ethnic • • Certified Payroll Report For the period ending 03/31/2001 Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL Hours Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 Gross Tot Hrly This Sun Mon Tue Wed Thu Fri Sat Hrs Rate Project CHUCK ROBERTSON Soc Sec No: 557-29-8573 6943 CONEJO, SAN M - 3 S 0.00 16 BERNARDINO , CA 92404 Male PIPELAYER Gross All Deductions/Contributions/Payments Projs FWH FICA SWH SDI Other Net Pay Check No: 20700 04/05/01 .00 16.00 16.00 16.00 16.00 0.00 80.00 28.30 2264.00 2290.40 239.00 175.21 53.48 20.61 139.60 1,662.50 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 26.40 Total Eamings: 2290.40 JIMMY GRIFFIN Soc Sec No: 335-56-1032 2939 WALL ST, SAN M - 5 S 0.00 16 BERNARDINO , CA 92404 Male 0 0.00 0 JOHN SELLARS Soc Sec No: 549-92-3835 5568 SURREY LN, SAN BERANRDINO , CA 92407 LABORER TRAINEE STEP 1 .00 16.00 16.00 16.00 16.00 0.00 80.00 15.75 1260.00 .00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 M-3 S 0.00 16.00 Male 0 0.00 0.00 S ROGELIO ROMAN Soc Sec No: 571-51-3231 6945 CONEJO APT. D, SAN S - 6 S 0.00 8.00 BERNARDINO , CA 92404 Male 0 0.00 0.00 ROGELIO ROMAN Soc Sec No: 571-51-3231 6945 CONEJO APT. D, SAN S - 6 S 0.00 BERNARDINO , CA 92404 Male 0 0.00 16.00 16.00 0.00 0.00 1260.00 68.00 96.39 Check No: 20710 04/05/01 3.22 11.34 0.00 1,081.05 PIPE TRADESMAN Check No: 20677 04/05/01 16.00 16.00 0.00 80.00 17.75 1420.00 1424.80 126.00 109.00 15.58 12.82 234.90 926.50 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 4.80 Total Earnings: 1424.80 LABORER 8.00 0.00 0.00 8.00 0.00 24.00 28.47 683.28 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 76.72 Total Eamings: 760.00 Check No: 20683 04/05/01 2515.16 326.00 192.41 128.56 22.64 466.41 1,379.14 OPERATING ENGINEER Check No: 20683 04/05/01 8.00 8.00 8.00 8.00 8.00 0.00 40.00 39.39 1575.60 2515.16 326.00 192.41 128.56 22.64 466.41 1,379.14 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 179.56 Total Eamings: 1755.16 Print Date: 8/27/2001 Page 1 Payroll No. 6 Project No. 0900 Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 Certified Payroll Report For the period ending 03/31/2001 Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL Contractor's License No.-452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 Exempts Gross Gross Gender Hours Tot Hrly This All Deductions/Contributions/Payments ployee Information Ethnic Sun Mon Tue Wed Thu Fri Sat Hrs Rate Project Projs FWH FICA SWH SDI Other Net Pay RANDY KENT Soc Sec No: 553-11-5603 LABORER Check No: 20690 04/05/01 4964 NORTH E STREET, M - 10 S 0.00 16.00 16.00 16.00 16.00 16.00 0.00 80.00 45.00 3600.00 3600.00 399.00 275.40 147.54 32.40 36.00 2,709.66 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 92407 VINCENT MAXEY SocSecNo: 573-63-2184 OPERATING ENGINEER Check No: 20692 04/05/01 9051 7th STREET, M - 2 S 0.00 16.00 16.00 16.00 16.00 16.00 0.00 80.00 39.39 3151.20 3195.20 484.00 244.43 115.80 28.76 387.37 1,934.84 HESPERIA , CA 92345 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 44.00 Total Earnings: 3195.20 KENNETH STEVENS Soc Sec No: 556-25-0137 OPERATING ENGINEER Check No: 20697 04/05/01 2276 OAK SPRINGS M - 2 S 0.00 16.00 16.00 16.00 16.00 16.00 0.00 80.00 39.39 3151.20 3195.20 545.00 244.43 136.31 28.76 285.85 1,954.85 VALLEY ROAD, Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 WRIGHTWOOD , CA 92397 Other Earnings: 44.00 • Total Eamings: 3195.20 Print Date: 8/27/2001 Page 2 Payroll No. 6 Project No. 0900 Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 Date: 08/27/2001 _Payroll No: 6 I, MIKE FISCHER, OWNER, do hereby state: Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 STATEMENT OF COMPLIANCE (1) That I pay or supervise the payment of the persons employed by FISCHER PLUMBING on the SLOVER SEWER project; that during the payroll period commencing on March 18, 2001 and ending March 31, 2001, 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 FISCHER Ill2P BING 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 tions 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 Stet 108, 72 Stat. 967; 76 Stat. 357; 40 U.S.C. c), 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 X 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 amo n of the required fringe benefits as listed in the contract, except as notice in Section 4 (c) below. • (c) EXCEPTIONS XCEPTION (CRAFT) MIKE ISCH R, O N EXPLANATION THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 231 OF TITLE 31 OF THE UNITED STATES CODE. Print Date: 8/27/2001 Page 3 4964 NORTH E STREET, SAN BERNARDINO , CA 92407 Payroll No. 7 ---- Project No. 0900 Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 Exempts Gender Certified Payroll Report For the period ending 04/14/2001 Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL Hours •PloYee Information Ethnic Sun Mon Tue Wed Thu CHUCK ROBERTSON Soc Sec No: 557-29-8573 6943 CONEJO, SAN M - 3 S 0.00 8.00 BERNARDINO , CA 92404 Male 0 0.00 0.00 JIMMY GRIFFIN Soc Sec No: 335-56-1032 2939 WALL ST, SAN M - 5 S 0.00 BERNARDINO , CA 92404 Male 0 0.00 16.00 16.00 16.00 0.00 0.00 0.00 8.00 16.00 16.00 16.00 0.00 0.00 0.00 0.00 JOHN SELLARS Soc Sec No: 549-92-3835 5568 SURREY LN, SAN M - 3 S 0.00 8.00 BERANRDINO , CA 92407 Male 0 0.00 0.00 • DON CREECH Soc Sec No: 545-35-6515 7015 CONEJO, SAN S - 3 S 0.00 BERNARDINO , CA 92404 Male 0 0.00 RANDY KENT Soc Sec No: 553-11-5603 M - 10 S 0.00 Male 0 0.00 Gross Tot Hrly This Fri Sat Hrs Rate Project PIPELAYER 16.00 0.00 72.00 0.00 0.00 0.00 28.30 0.00 Other Earnings: Total Earnings: 2037.60 0.00 23.76 2061.36 Gross All Contractor's License No.- 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 Deductions/Contributions/Payments Projs FWH FICA SWH SDI Other Net Pay Check No: 20741 04/19/01 2290.40 239.00 175.22 53.48 20.61 139.60 1,662.49 LABORER TRAINEE STEP 1 Check No: 20751 04/19/01 16.00 0.00 72.00 15.75 1134.00 1260.00 68.00 96.39 3.22 11.34 0.00 1,081.05 0.00 0.00 0.00 0.00 0.00 PIPE TRADESMAN 16.00 16.00 16.00 16.00 0.00 72.00 17.75 1278.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 4.32 Total Eamings: 1282.32 LABORER 8.00 8.00 0.00 0.00 0.00 0.00 16.00 28.47 455.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 5.60 Total Earnings: 461.12 LABORER 8.00 16.00 16.00 16.00 16.00 0.00 72.00 45.00 3240.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Check No: 20715 04/19/01 1424.80 126.00 108.99 15.58 12.82 234.90 926.51 Check No: 20728 04/19/01 2190.94 361.00 167.61 117.57 19.72 23.45 1,501.59 Check No: 20730 04/19/01 3600.00 399.00 275.40 147.54 32.40 36.00 2,709.66 Print Date: 8/27/2001 Page 1 • • Payroll No. Project No. Project Name 7 0900 SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 VINCENT MAXEY 9051 7th STREET, HESPERIA , CA 92345 Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL Soc Sec No: 573-63-2184 OPERATING ENGINEER S 0.00 8.00 16.00 16.00 16.00 16.00 0.00 72.00 39.39 2836.08 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 39.60 Total Earnings: 2875.68 M-2 Male KENNETH STEVENS Soc Sec No: 556-25-0137 .OAK SPRINGS M - 2 S 0.00 8.00 16.00 EY ROAD, Male 0 0.00 0.00 0.00 WRIGHTWOOD CA 92397 OPERATING ENGINEER 8.00 16.00 16.00 0.00 64.00 39.39 2520.96 0.00 0.00 0.00. 0.00 0.00 0.00 0.00 Other Eamings: 35.20 Total Earnings: 2556.16 Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 Check No: 20733 04/19/01 3195.22 484.00 244.43 115.80 28.76 387.39 1,934.84 Check No: 20738 04/19/01 3070.80 511.00 234.92 124.75 27.64 283.44 1,889.05 Print Date: 8/27/2001 Page 2 Payroll No. 7 Project No. 0900 Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 Date: 08/27/2001 Payroll_No: 7 _ _ I, MIKE FISCHER, OWNER, do hereby state: Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL STATEMENT OF COMPLIANCE Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-012,3445 (1) That I pay or supervise the payment of the persons employed by FISCHER PLUMBING on the SLOVER SEWER project; that du ring the payroll period commencing on April 01, 2001 and ending April 14, 2001, 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 FISCHER 1BING 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 tions 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. 27 ), 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 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 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) MIKE FISCHER, OWNER EXPLANATION THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 231 OF TITLE 31 OF THE UNITED STATES CODE. Print Date: 8/27/2001 Page 3 Payroll No. Project No. Project Name •PloYee Information Ethnic Sun 8 0900 SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 Exempts Gender Certified Payroll Report For the period ending 04/28/2001 Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL Hours Gross Gross Tot Hrly This All Mon Tue Wed Thu Fri Sat Hrs Rate Project Projs FWH Contractor's License No. -452949 - Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 Deductions/Contributions/Payments CHUCK ROBERTSON Soc Sec No: 557-29-8573 6943 CONEJO, SAN BERNARDINO , CA 92404 M - 3 S 0.00 Male 0 0.00 JIMMY GRIFFIN Soc Sec No: 335-56-1032 2939 WALL ST, SAN M - 5 S 0.00 BERNARDINO , CA 92404 Male 0 0.00 J OH N S ELLA RS Soc Sec No: 549-92-3835 5568 SURREY LN, SAN BERANRDINO , CA 92407 • M - 3 S 0.00 Male 0 0.00 DON CREECH Soc Sec No: 545-35-6515 7015 CONEJO, SAN S - 3 S 0.00 BERNARDINO , CA 92404 Male 0 0.00 RANDY KENT Soc Sec No: 553-11-5603 4964 NORTH E STREET, M - 10 S 0.00 SAN BERNARDINO , CA Male 0 0.00 92407 8.00 8.00 8.00 8.00 0.00 0.00 0.00 0.00 PIPELAYER 8.00 0.00 40.00 28.30 0.00 0.00 0.00 0.00 Other Earnings: Total Earnings: 1132.00 0.00 13.20 1145.20 LABORER TRAINEE STEP 1 8.00 16.00 16.00 16.00 16.00 0.00 72.00 15.75 1134.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 FICA SWH SDI Other Net Pay Check No: 20782 05/03/01 1145.20 76.00 87.60 4.59 10.31 69.80 896.90 Check No: 20792 05/03/01 1197.00 59.00 91.58 0.99 10.77 0.00 1,034.66 PIPE TRADESMAN Check No: 20756 05/03/01 16.00 16.00 16.00 16.00 16.00 0.00 80.00 17.75 1420.00 1424.80 126.00 109.00 15.58 12.82 234.90 926.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 4.80 Total Earnings: 1424.80 PIPELAYER 8.00 8.00 8.00 8.00 8.00 0.00 40.00 28.30 1132.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 13.20 Total Earnings: 1145.20 LABORER 16.00 16.00 16.00 16.00 16.00 0.00 80.00 45.00 3600.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Check No: 20769 05/03/01 2014.24 312.00 154.08 101.14 18.13 15.84 1,413.05 Check No: 20771 05/03/01 3600.00 399.00 275.40 147.54 32.40 36.00 2,709.66 Print Date: 8/27/2001 Page 1 Payroll No. 8 Project No. 0900 Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 VINCENT MAXEY Soc Sec No: 573-63-2184 OPERATING ENGINEER Check No: 20774 05/03/01 9051 7th STREET, M - 2 S 0.00 16.00 16.00 16.00 16.00 8.00 0.00 72.00 39.39 2836.08 3072.63 _.___ 452.00 235.07 106.62 -27.65 -374.7-1 1,876.58- HESPERIA , CA 92345 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 _ 0.00 Other Earnings: 39.60 Total Earnings: 2875.68 KENNETH STEVENS Soc Sec No: 556-25-0137 OPERATING ENGINEER Check No: 20779 05/03/01 WK SPRINGS M - 2 S 0.00 16.00 16.00 16.00 16.00 16.00 0.00 80.00 39.39 3151.20 3195.20 545.00 244.43 136.31 28.76 285.85 1,954.85 ROAD, Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 WRIGHTWOOD , CA 92397 Other Earnings: 44.00 Total Earnings: 3195.20 Print Date: 8/27/2001 Page 2 Payroll No. 8 Project No. 0900 Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. — FONTANA, CA 92335 Date: 08/27/2001 Payroll No: 8 I, MIKE FISCHER, OWNER, do hereby state: Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL STATEMENT OF COMPLIANCE Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 (1) That I pay or supervise the payment of the persons employed by FISCHER PLUMBING on the SLOVER SEWER project; that during the payroll period commencing on April 15,2001 and ending April 28,2001, 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 FISCHER P BING 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 tions 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. 2 c), 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) MIKE= FISCHER, OWNER EXPLANATION THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 231 OF TITLE 31 OF THE UNITED STATES CODE. Print Date: 8/27/2001 Page 3 Payroll No. Project No. Project Name 9 0900 SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 Exempts Gender Certified Payroll Report For the period ending 05/12/2001 Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL Hours •Ptoyee Information Ethnic Sun Mon Tue Wed Thu CHUCK ROBERTSON Soc Sec No: 557-29-8573 6943 CONEJO, SAN M - 3 BERNARDINO , CA92404 Male Contractors License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 Gross Tot Hrly This Fri Sat Hrs Rate Project PIPELAYER S 0.00 16.00 16.00 16.00 11.00 16.00 0.00 75.00 28.30 2122.50 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 24.75 Total Earnings: 2147.25 JIMMY GRIFFIN Soc Sec No: 335-56-1032 2939 WALL ST, SAN M - 5 S 0 BERNARDINO , CA 92404 Male 0 0 Gross All Deductions/Contributions/Payments Projs FWH FICA SWH SDI Other Net Pay Check No: 20823 05/17/01 2239.85 233.00 171.35 50.87 20.16 130.88 1,633.59 LABORER TRAINEE STEP 1 Check No: 20834 05/17/01 .00 16.00 16.00 16.00 11.00 16.00 0.00 75.00 15.75 1181.25 1260.00 68.00 96.39 3.22 11.34 0.00 1,081.05 .00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 JOHN SELLARS Soc Sec No: 549-92-3835 5568 SURREY LN, SAN M - 3 S 0.00 BERANRDINO , CA 92407 Male 0 0.00 • DON CREECH Soc Sec No: 545-35-6515 7015 CONEJO, SAN S - 3 BERNARDINO , CA92404 Male S 0.00 O 0.00 PIPE TRADESMAN Check No: 20796 05/17/01 16.00 16.00 16.00 11.00 16.00 0.00 75.00 17.75 1331.25 1424.80 126.00 109.00 15.58 12.82 234.90 926.50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 4.50 Total Earnings: 1335.75 PIPELAYER 16.00 16.00 8.00 11.00 16.00 0.00 67.00 28.30 1896.10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 22.11 Total Earnings: 1918.21 RANDY KENT Soc Sec No: 553-11-5603 4964 NORTH E STREET, M - 10 S 0.00 16.00 SAN BERNARDINO , CA Male 0 0.00 0.00 92407 LABORER 16.00 16.00 11.00 16.00 0.00 75.00 45.00 3375.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Check No: 20809 05/17/01 2118.62 341.00 162.08 110.84 19.07 24.42 1,461.21 Check No: 20811 05/17/01 3600.00 399.00 275.40 147.54 32.40 36.00 2,709.66 Print Date: 8/27/2001 Page 1 • Payroll No. Project No. Project Name 9 0900 SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 VINCENT MAXEY Soc Sec No: 573-63-2184 9051 7th STREET, HESPERIA , CA 92345 Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL M - 2 S _ _ 0 00 _8.00.16.00. 16.00 11.50 Male 0 0.00 0.00 0.00 0.00 0.00 KENNETH STEVENS Soc Sec No: 556-25-0137 .OAK SPRINGS M - 2 S 0.00 16.00 16.00 16.00 11.00 EY ROAD, Male 0 0.00 0.00 0.00 0.00 0.00 WRIGHTWOOD , CA 92397 OPERATING ENGINEER 10.00 0.00 61.50 39.39 2422.48 0.00 0.00 0.00 0.00 0.00 Other Earnings: 33.83 Total Eamings: 2456.31 OPERATING ENGINEER 16.00 0.00 75.00 39.39 2954.25 0.00 0.00 0.00 0.00 0.00 Other Earnings: 41.25 Total Earnings: 2995.50 3082.10 Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 454.00 235.78 Check No: 20814 05/17/01 107.34 27.74 377.42 1,879.82 Check No: 20820 0 5/17/01 3055.42 506.00 233.73 123.31 27.50 283.93 1,880.95 Print Date: 8/27/2001 - Page 2 • Payroll No. 9 Project No. 0900 Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 Date: 08/27/2001 Payroll No9_ I, MIKE FISCHER, OWNER, do hereby state: Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL STATEMENT OF COMPLIANCE Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-01234.45 (1) That I pay or supervise the payment of the persons employed by FISCHER PLUMBING on the SLOVER SEWER project; that during the payroll period commencing on April 29, 2001 and ending May 12, 2001, 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 FISCHER PLUMBING f 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 ulations, 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 b w. 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) hrisrmimmEm MIKE CHER, OWNER EXPLANATION THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 231 OF TITLE 31 OF THE UNITED STATES CODE. Print Date: 8/27/2001 Page 3 • • Payroll No. Project No. Project Name 10 - -- 0900 SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 Exempts Gender •PloYee Information Ethnic Certified Payroll -Report For the period ending 05/26/2001 Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL Hours Gross Gross Tot Hrly This All Sun Mon Tue Wed Thu Fri Sat Hrs Rate Project Projs FWH Contractor's License No. _452949___. Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 Deductions/Contributions/Payments CHUCK ROBERTSON Soc Sec No: 557-29-8573 6943 CONEJO, SAN M - 3 BERNARDINO , CA92404 Male PIPELAYER S 0.00 16.00 16.00 16.00 16.00 16.00 0.00 80.00 28.30 2264.00 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 26.40 Total Eamings: 2290.40 JIMMY GRIFFIN Soc Sec No: 335-56-1032 LABORER TRAINEE STEP 1 2939 WALL ST, SAN M - 5 S 0.00 16.00 16.00 16.00 16.00 16.00 0.00 80.00 15.75 1260.00 BERNARDINO , CA 92404 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 JOHN SELLARS Soc Sec No: 549-92-3835 5568 SURREY LN, SAN M - 3 S 0.00 BERANRDINO , CA92407 Male 0 0.00 • DON CREECH Soc Sec No: 545-35-6515 7015 CONEJO, SAN BERNARDINO , CA 92404 PIPE TRADESMAN 16.00 16.00 16.00 16.00 16.00 0.00 80.00 17.75 1420.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 4.80 Total Eamings: 1424.80 S-3 S 0.00 8.00 Male 0 0.00 0.00 RANDY KENT Soc Sec No: 553-11-5603 4964 NORTH E STREET, M - 10 S 0.00 SAN BERNARDINO , CA 92407 Male 0 0.00 PIPELAYER 16.00 16.00 16.00 16.00 0.00 72.00 28.30 2037.60 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 23.76 Total Eamings: 2061.36 FICA SWH SDI Other Net Pay Check No: 20869 05/31/01 2290.40 239.00 175.22 53.48 20.61 139.60 1,662.49 Check No: 20879 05/31/01 1260.00 68.00 96.39 3.22 11.34 0.00 1,081.05 Check No: 20840 05/31/01 1424.80 126.00 109.00 15.58 12.82 4.80 1,156.60 Check No: 20853 05/31/01 2255.88 379.00 172.57 123.61 20.30 25.08 1,535.32 LABORER Check No: 20855 05/31/01 16.00 16.00 16.00 16.00 16.00 0.00 80.00 45.00 3600.00 3600.00 399.00 275.40 147.54 32.40 36.00 2,709.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Print Date: 8/27/2001 Page 1 • • • AK SPRINGS ROAD, WRIGHTWOOD , CA 92397 Payroll No. Project No. Project Name 10 0900 SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 VINCENT MAXEY SocSecNo: 573-63-2184 9051 7th STREET, M - 2 S HESPERIA , CA 92345 Male 0 Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL OPERATING ENGINEER 0.00.16.00_16.00 16.00 16.00 16.00 0.00 80.00 39.39 3151.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 44.00 Total Eamings: 3195.20 KENNETH STEVENS Soc Sec No: 556-25-0137 M-2 Male OPERATING ENGINEER S 0.00 16.00 16.00 16.00 16.00 16.00 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 80.00 39.39 0.00 0.00 0.00 Other Eamings: Total Earnings: 3151.20 0.00 44.00 3195.20 Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 Check No: 20858 05/31/01 3195.20 484.00 244.43 115.80 28.76 264.58 2,057.63 Check No: 20866 05/31/01 3195.20 545.00 244.44 136.31 28.76 44.00 2,196.69 Print Date: 8/27/2001 Page 2 • Payroll No. 10 Project No. 0900 Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 Date: 08/27/2001 _ Payroll No:_10 I, MIKE FISCHER, OWNER, do hereby state: Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL STATEMENT OF COMPLIANCE Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 (1) That I pay or supervise the payment of the persons employed by FISCHER PLUMBING on the SLOVER SEWER project; that during the payroll period commencing on May 13, 2001 and ending May 26,2001, 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 FISCHER PLUMBING ifthe 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 ulations, 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 bei w. 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 • 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. EXCEPTIONS EXCEPTION (CRAFT) MIKE FISCHER, OWNER EXPLANATION THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 231 OF TITLE 31 OF THE UNITED STATES CODE. Print Date: 8/27/2001 Page 3 Payroll No. Project No. Project Name 11 -- 0900 SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 Exempts Gender •PloYee Information Ethnic Certified Payroll Report For the period ending 06/09/2001 Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL Hours Gross Gross Tot Hrly This All Sun Mon Tue Wed Thu Fri Sat Hrs Rate Project CHUCK ROBERTSON Soc Sec No: 557-29-8573 6943 CONEJO, SAN M - 3 S 0.00 8.00 16.00 16.00 16.00 BERNARDINO , CA92404 Male 0 0.00 0.00 0.00 0.00 0.00 JIMMY GRIFFIN Soc Sec No: 335-56-1032 2939 WALL ST, SAN M - 5 S 0.00 BERNARDINO , CA 92404 Male 0 0.00 JOHN SELLARS Soc Sec No: 549-92-3835 5568 SURREY LN, SAN M - 3 S 0.00 BERANRDINO , CA 92407 Male 0 0.00 • RANDY KENT Soc Sec No: 553-11-5603 4964 NORTH E STREET, SAN BERNARDINO , CA 92407 M - 10 S 0.00 Male 0 0.00 VINCENT MAXEY Soc Sec No: 573-63-2184 9051 7th STREET, M - 2 S 0.00 Male 0 0.00 HESPERIA , CA 92345 PIPELAYER 8.00 0.00 64.00 28.30 1811.20 0.00 0.00 0.00 0.00 0.00 Other Earnings: 21.12 Total Earnings: 1832.32 LABORER TRAINEE STEP 1 8.00 16.00 16.00 16.00 8.00 0.00 64.00 15.75 1008.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8.00 16.00 16.00 16.00 0.00 0.00 0.00 0.00 PIPE TRADESMAN 8.00 0.00 64.00 17.75 1136.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 3.84 Total Earnings: 1139.84 LABORER 8.00 16.00 16.00 16.00 8.00 0.00 64.00 45.00 2880.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 OPERATING ENGINEER 8.00 16.00 16.00 16.00 8.00 0.00 64.00 39.39 2520.96 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 35.20 Total Earnings: 2556.16 Contractor's License No. _452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 Deductions/Contributions/Payments Projs FWH FICA SWH SDI Other Net Pay Check No: 20914 06/14/01 2075.67 209.00 158.79 41.23 18.68 126.51. 1,521.46 Check No: 20924 06/14/01 1236.38 65.00 94.58 2.28 11.13 0.00 1,063.39 Check No: 20886 06/14/01 1424.80 126.00 108.99 15.58 12.82 234.90 926.51 Check No: 20901 06/14/01 3600.00 399.00 275.40 147.54 32.40 36.00 2,709.66 Check No: 20904 06/14/01 2946.02 419.00 225.36 97.20 26.51 364.95 1,813.00 Print Date: 8/27/2001 Page 1 • • i Payroll No. Project No. Project Name 11 0900 SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL KENNETH STEVENS Soc Sec No: 556-25-0137 2276 OAK SPRINGS M-2__S —0.00_ 8.00_16.00 _16.00_16.00 VALLEY ROAD, WRIGHTWOOD , CA 92397 • Male 0 0.00 0.00 0.00 0.00 0.00 OPERATING ENGINEER Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 Check No: 20911 06/14/01 0.00 0.00 56.00 39.39 2205.84 3017.30 496.00 230.82 119.77 27.16 282.66 1,860.89 0.00 0.00 0.00 0.00 0.00 Other Earnings: 30.80 Total Earnings: 2236.64 Print Date: 8/27/2001 Page 2 • Payroll No. 11 Contractor: FISCHER PLUMBING Project No. 0900 1372 W. 26TH STREET Project Name SLOVER SEWER SAN BERANRDINO, CA 92405 SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 BY -WEEKLY PAYROLL Date: 08/27/2001 Payroll No: 11 I, MIKE FISCHER, OWNER, do hereby state: STATEMENT OF COMPLIANCE Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 (1) That I pay or supervise the payment of the persons employed by FISCHER PLUMBING on the SLOVER SEWER project; that during the payroll period commencing on May 27, 2001 and ending June 09, 2001, 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 FISCHER PLUMBING 4,f 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 ulations, 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 b w. 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. • X r f-I I/I�7I ►I/m11AO ►%IYMA MIKE F SCHER, • WNER (c) EXCEPTIONS EXCEPTION (CRAFT) EXPLANATION THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 231 OF TITLE 31 OF THE UNITED STATES CODE. Print Date: 8/27/2001 Page 3 Payroll No. Project No. Project Name 12 0900 SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 Exempts Gender •Ployee Information Ethnic Sun Mon Tue Wed Thu Fri Sat Certified Payroll Report For the period ending 06/23/2001 Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL Hours Tot Hrly Hrs Rate Gross This Project Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 Gross All Deductions/Contributions/Payments Projs FWH FICA SWH SDI Other Net Pay CHUCK ROBERTSON Soc Sec No: 557-29-8573 PIPELAYER Check No: 20960 06/28/01 6943 CONEJO, SAN M - 3 S 0.00 16.00 16.00 16.00 16.00 16.00 0.00 80.00 28.30 2264.00 2290.40 239.00 175.21 53.48 20.61 139.60 1,662.50 BERNARDINO , CA 92404 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 26.40 Total Earnings: 2290.40 JIMMY GRIFFIN Soc Sec No: 335-56-1032 2939 WALL ST, SAN M - 5 S 0.00 BERNARDINO , CA 92404 Male 0 0.00 LABORER TRAINEE STEP 1 Check No: 20968 06/28/01 16.00 16.00 16.00 16.00 16.00 0.00 80.00 15.75 1260.00 1260.00 68.00 96.39 3.22 11.34 0.00 1,081.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 JOHN SELLARS Soc Sec No: 549-92-3835 5568 SURREY LN, SAN M - 3 S 0.00 16.00 16.00 16.00 16.00 BERANRDINO , CA 92407 Male 0 0.00 0.00 0.00 0.00 0.00 • RANDY KENT Soc Sec No: 553-11-5603 PIPE TRADESMAN 8.00 0.00 72.00 17.75 1278.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 4.32 Total Earnings: 1282.32 LABORER 4964 NORTH E STREET, M - 10 S 0.00 16.00 16.00 16.00 16.00 16.00 0.00 80.00 SAN BERNARDINO , CA Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 92407 VINCENT MAXEY Soc Sec No: 573-63-2184 9051 7th STREET, M - 2 S 0.00 HESPERIA , CA 92345 Male 0 0.00 Check No: 20931 06/28/01 1424.80 126.00 109.00 15.58 12.82 234.90 926.50 Check No: 20946 06/28/01 45.00 3600.00 3600.00 399.00 275.40 147.54 28.14 36.00 2,713.92 0.00 0.00 PIPELAYER 8.00 8.00 8.00 8.00 8.00 0.00 40.00 28.30 1132.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 13.20 Total Earnings: 1145.20 Check No: 20949 06/28/01 2742.80 366.00 209.82 82.06 24.69 347.52 1,712.71 Print Date: 8/27/2001 Page 1 • • Payroll No. 12 Project No. 0900 Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA-92335 Exempts Gender Hours Certified Payroll Report For the period ending 06/23/2001 Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL •PloYee Information Ethnic Sun Mon Tue VINCENT MAXEY Soc Sec No: 573-63-2184 9051 7th STREET, M - 2 S 0.00 HESPERIA , CA 92345 Male 0 0.00 KENNETH STEVENS Soc Sec No: 556-25-0137 2276 OAK SPRINGS VALLEY ROAD, WRIGHTWOOD , CA 92397 Wed Thu Tot Hrly Fri Sat Hrs Rate Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 Gross Gross This All Project Projs FWH Deductions/Contributions/Payments FICA SWH SDI Other Net Pay OPERATING ENGINEER Check No: 20949 06/28/01 8.00 8.00 8.00 8.00 8.00 0.00 40.00 39.39 1575.60 2742.80 366.00 209.82 82.06 24.69 347.52 1,712.71 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 22.00 Total Eamings: 1597.60 M - 2 S 0.00 8.00 Male 0 0.00 0.00 KENNETH STEVENS Soc Sec No: 556-25-0137 2276 OAK SPRINGS M - 2 S 0.00 8.00 VALLEY ROAD, Male 0 0.00 0.00 WRIGHTWOOD , CA 92397 • PIPELAYER 8.00 8.00 8.00 8.00 0.00 40.00 28.30 1132.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 13.20 Total Eamings: 1145.20 Check No: 20957 06/28/01 2471.36 343.00 189.06 75.51 22.24 271.77 1,569.78 OPERATING ENGINEER Check No: 20957 06/28/01 8.00 0.00 0.00 0.00 0.00 16.00 39.39 630.24 2471.36 343.00 189.06 75.51 22.24 271.77 1,569.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 8.80 Total Eamings: 639.04 Print Date: 8/27/2001 Page 2 • • • Payroll No. 12 Project No. 0900 Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 Date: 08/27/2001 Payroll No: 12 I, MIKE FISCHER, OWNER, do hereby state: Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL STATEMENT OF COMPLIANCE Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 (1) That I pay or supervise the payment of the persons employed by FISCHER PLUMBING on the SLOVER SEWER project; that during the payroll period commencing on June 10, 2001 and ending June 23, 2001, 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 FISCHER 40P1 BING 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 tions 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. 2 c), 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 X J EXCEPTION (CRAFT) EXPLANATION THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 231 OF TITLE 31 OF THE UNITED STATES CODE. Print Date: 8/27/2001 Page 3 Payroll No. Project No. Project Name 13 0900 SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA-92335 Exempts Gender Certified Payroll Report For the period ending 07/07/2001 Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL Hours •ployee Information Ethnic Sun . Mon Tue Wed CHUCK ROBERTSON Soc Sec No: 557-29-8573 6943 CONEJO, SAN M - 3 S 0.00 8.00 16.00 BERNARDINO , CA 92404 Male 0 0.00 0.00 0.00 JIMMY GRIFFIN Soc Sec No: 335-56-1032 2939 WALL ST, SAN M - 5 S 0.00 16.00 16.00 BERNARDINO , CA 92404 Male 0 0.00 0.00 0.00 JOHN SELLARS Soc Sec No: 549-92-3835 5568 SURREY LN, SAN M - 3 S 0.00 BERANRDINO , CA 92407 • Male 0 0.00 RAYMOND SHAW Soc Sec No: 567-21-1696 540 PENNSYLVANIA AVE., M - 3 S 0.00 COLTON , CA 92324 Male 0 0.00 RAYMOND SHAW Soc Sec No: 567-21-1696 540 PENNSYLVANIA AVE., COLTON , CA 92324 M-3 Male Thu Contractor's License No.- 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 Tot Hrly Fri Sat Hrs Rate Gross Gross This All Project Projs FWH PIPELAYER 8.00 16.00 16.00 0.00 64.00 28.30 1811.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 21.12 Total Earnings: 1832.32 Deductions/Contributions/Payments FICA SWH SDI Other Net Pay Check No: 21033 07/12/01 1860.95 178.00 142.36 29.35 16.75 113.42 1,381.07 LABORER TRAINEE STEP 1 Check No: 21041 07/12/01 8.00 8.00 16.00 0.00 64.00 15.75 1008.00 1271.81 70.00 97.29 3.69 11.45 0.00 1,089.38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 PIPE TRADESMAN Check No: 21005 07/12/01 8.00 16.00 8.00 8.00 16.00 0.00 56.00 17.75 994.00 1219.99 96.00 93.33 7.39 10.98 234.21 778.08 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 3.36 Total Eamings: 997.36 LABORER Check No: 21006 07/12/01 5.00 0.00 0.00 0.00 0.00 0.00 5.00 28.47 142.35 2531.32 326.00 193.64 77.42 22.78 157.18 1,754.30 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 1.75 Total Eamings: 144.10 CEMENT MASON (FINISHER) S 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 33.66 269.28 O 0.00 0.00 '0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 1.76 Total Earnings: 271.04 Check No: 21006 07/12/01 2531.32 326.00 193.64 77.42 22.78 157.18 1,754.30 Print Date: 8/27/2001 Page 1 Certified Payroll Report For the period ending 07/07/2001 Payroll No. 13 Contractor: FISCHER PLUMBING Contractor's License No.-452949 Project No. 0900 1372 W. 26TH STREET Workers Comp Policy No. 1598252-00 Project Name SLOVER SEWER SAN BERANRDINO, CA 92405 Employer Identification No. 33-0123445 SLOVER AVE TO HEMLOCK AVE. FONTANA, CA-92335 BY -WEEKLY PAYROLL Exempts Gross Gross Gender Hours Tot Hrly This All Deductions/Contributions/Payments ployee Information Ethnic Sun Mon Tue Wed Thu Fri Sat Hrs Rate Project Projs FWH FICA SWH SDI Other Net Pay GARY RUIZ Soc Sec No: 572-13-5888 LABORER Check No: 21009 07/12/01 390 FUR ST., COLTON , CA S - 0 S 0.00 5.00 8.00 0.00 0.00 0.00 0.00 13.00 28.47 370.11 2468.62 521.00 188.84 66.63 22.22 19.45 1,650.48 92324 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 4.55 Total Earnings: 374.66 GARY RUIZ Soc Sec No: 572-13-5888 CEMENT MASON (FINISHER) Check No: 21009 07/12/01 390 FUR ST., COLTON , CA S - 0 S 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 33.66 269.28 2468.62 521.00 188.84 66.63 22.22 19.45 1,650.48 92324 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 1.76 Total Earnings: 271.04 RANDY KENT Soc Sec No: 553-11-5603 LABORER Check No: 21020 07/12/01 4964 NORTH E STREET, M - 10 S 0.00 16.00 16.00 8.00 8.00 16.00 0.00 64.00 45.00 2880.00 3600.00 394.00 275.40 147.54 0.00 36.00 2,747.06 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 92407 III2 VINCENT MAXEY Soc Sec No: 573f3 184 OPERATING ENGINEER Check No: 21023 07/12/01 9051 7th STREET, M - 2 S 0.00 16.00 16.00 8.00 8.00 16.00 0.00 64.00 39.39 2520.96 3128.48 459.00 239.34 110.80 28.16 381.59 1,909.59 HESPERIA , CA 92345 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 35.20 Total Eamings: 2556.16 KENNETH STEVENS Soc Sec No: 556-25-0137 OPERATING ENGINEER Check No: 21030 07/12/01 2276 OAK SPRINGS M - 2 S 0.00 0.00 8.00 0.00 0.00 0.00 0.00 8.00 39.39 315.12 2507.14 349.00 191.80 78.37 22.56 276.00 1,589.41 VALLEY ROAD, Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 WRIGHTWOOD , CA 92397 Other Earnings: 4.40 Total Eamings: 319.52 Print Date: 8/27/2001 Page 2 • • Payroll No. 13 Project No. 0900 Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 Date: 08/27/2001 Payroll No: 13 I, MIKE FISCHER, OWNER, do hereby state: Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 STATEMENT OF COMPLIANCE (1) That I pay or supervise the payment of the persons employed by FISCHER PLUMBING on the SLOVER SEWER project; that during the payroll period commencing on June 24, 2001 and ending July 07, 2001, 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 FISCHER PLUMBING 4,f 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 >ulations, 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 b 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. 110 (c) EXCEPTIONS EXCEPTION (CRAFT) IINIIIIIMIIII l WI Iifir' MIKE ISCHER, sWNE EXPLANATION THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 231 OF TITLE 31 OF THE UNITED STATES CODE. Print Date: 8/27/2001 Page 3 • • Payroll No. 14 Project No. 0900 Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 Certified Payroll Report For the period ending 07/21/2001 Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 Exempts Gross Gross Gender Hours Tot Hrly This All Deductions/Contributions/Payments ployee Information Ethnic Sun Mon Tue Wed Thu Fri Sat Hrs Rate Project Projs FWH FICA SWH SDI Other Net Pay CHUCK ROBERTSON Soc Sec No: 557-29-8573 PIPELAYER Check No: 21074 07/26/01 6943 CONEJO, SAN M - 3 S 0.00 16.00 8.00 16.00 16.00 8.00 0.00 64.00 28.30 1811.20 2293.44 240.00 175.46 53.66 20.64 140.06 1,663.62 BERNARDINO , CA 92404 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: ' 21.12 Total Earnings: 1832.32 JIMMY GRIFFIN Soc Sec No: 335-56-1032 LABORER TRAINEE STEP 1 Check No: 21082 07/26/01 2939 WALL ST, SAN M - 5 S . 0.00 16.00 16.00 16.00 16.00 16.00 0.00 80.00 15.75 1260.00 1260.00 68.00 96.39 3.22 11.34 0.00 1,081.05 BERNARDINO , CA 92404 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 JOHN SELLARS Soc Sec No: 549-92-3835 PIPE TRADESMAN Check No: 21047 07/26/01 5568 SURREY LN, SAN M - 3 S 0.00 16.00 8.00 16.00 16.00 8.00 0.00 64.00 17.75 1136.00 1424.80 126.00 109.00 15.58 12.82 234.90 926.50 BERANRDINO , CA 92407 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 3.84 • Total Earnings: 1139.84 RAYMOND SHAW Soc Sec No: 567-21-1696 LABORER Check No: 21048 07/26/01 540 PENNSYLVANIA AVE., M - 3 S 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 28.47 227.76 2548.48 330.00 194.95 78.79 22.94 261.92 1,659.88 COLTON , CA 92324 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 2.80 Total Earnings: 230.56 RAYMOND SHAW Soc Sec No: 567-21-1696 CEMENT MASON (FINISHER) Check No: 21048 07/26/01 540 PENNSYLVANIA AVE., M - 3 S 0.00 8.00 8.00 0.00 2.00 0.00 0.00 18.00 33.66 605.88 2548.48 330.00 194.95 78.79 22.94 261.92 1,659.88 COLTON , CA 92324 - Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 3.96 Total Earnings: 609.84 Print Date: 8/27/2001 Page 1 Payroll No. Project No. Project Name 14 0900 SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA,-CA-92335 Exempts Gender Hours Certified Payroll Report For the period ending 07/21/2001 Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL ployee Information Ethnic Sun DON CREECH Soc Sec No: 545-35-6515 7015 CONEJO, SAN BERNARDINO , CA 92404 S - 3 S 0.00 Male 0 0.00 Contractor's License No._.452949 ---- - Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 Gross Gross Tot Hrly This All Mon Tue Wed Thu Fri Sat Hrs Rate Project Projs FWH Deductions/Contributions/Payments 0.00 8.00 0.00 0.00 LABORER 8.00 0.00 0.00 0.00 16.00 28.47 455.52 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 5.60 Total Earnings: 461.12 RANDY KENT Soc Sec No: 553-11-5603 4964 NORTH E STREET, M - 10 S 0.00 16.00 16.00 16.00 16.00 1 SAN BERNARDINO , CA Male 0 0.00 0.00 0.00 0.00 0.00 92407 VINCENT MAXEY Soc Sec No: 573-63-2184 9051 7th STREET, HESPERIA , CA 92345 VENT MAXEY 9051 7th STREET, HESPERIA , CA 92345 M - 2 S 0.00 Male 0 0.00 FICA SWH SDI Other Net Pay Check No: 21060 07/26/01 2177.40 350.00 166.57 116.31 19.60 24.50 1,500.42 LABORER Check No: 21062 07/26/01 6.00' 0.00 80.00 45.00 3600.00 3600.00 394.00 275.40 147.54 0.00 36.00 2,747.06 0.00 0.00 0.00 0.00 0.00 PIPELAYER 0.00 0.00 0.00 4.00 0.00 0.00 4.00 28.30 113.20 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 1.32 Total Eamings: 114.52 Soc Sec No: 573-63-2184 OPERATING ENGINEER Check No: 21065 07/26/01 3149.96 464.00 240.97 112.40 28.35 383.38 1,920.86 Check No: 21065 07/26/01 M - 2 S 0.00 16.00 16.00 16.00 12.00 16.00 0.00 76.00 39.39 2993.64 3149.96 464.00 240.97 112.40 28.35 383.38 1,920.86 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 41.80 Total Earnings: 3035.44 Print Date: 8/27/2001 Page 2 Payroll No. 14 Project No. 0900 Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 Date: 08/27/2001 Payroll No: 14 I, MIKE FISCHER, OWNER, do hereby state: Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL STATEMENT OF COMPLIANCE Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 (1) That 1 pay or supervise the payment of the persons employed by FISCHER PLUMBING on the SLOVER SEWER project; that during the payroll period commencing on July 08, 2001 and ending July 21, 2001, 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 FISCHER PLUMBING 4fr 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 i ulations, 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 b 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: • MIKE (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 ISCHE EXCEPTION (CRAFT) WAY , OWNER EXPLANATION THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 231 OF TITLE 31 OF THE UNITED STATES CODE Print Date: 8/27/2001 Page 3 Payroll No. Project No. Project Name 15 0900 SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 •PloYee Information Exempts Gender Hours Certified Payroll Report For the period ending 08/04/2001 Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 Contractor's License No. _452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 BY -WEEKLY PAYROLL Ethnic Sun Mon Tue Wed Thu Tot Hrly Fri Sat Hrs Rate Gross Gross This All Deductions/Contributions/Payments Project Projs FWH CHUCK ROBERTSON Soc Sec No: 557-29-8573 PIPELAYER 6943 CONEJO, SAN M - 3 S 0.00 16.00 16.00 16.00 16.00 16.00 0.00 80.00 28.30 2264.00 BERNARDINO , CA 92404 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 26.40 Total Earnings: 2290.40 JIMMY GRIFFIN Soc Sec No: 335-56-1032 2939 WALL ST, SAN BERNARDINO , CA 92404 CLIFFORD ARMSTRONG 940 N. SUNSET AVE., AZUSA , CA 91702 • LABORER TRAINEE STEP 1 FICA SWH SDI Other Net Pay Check No: 21115 08/09/01 2290.40 239.00 175.21 53.48 20.61 139.60 1,662.50 M - 5 S 0.00 16.00 16.00 16.00 16.00 16.00 0.00 80.00 15.75 1260.00 1260.00 68.00 96.39 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Soc Sec No: 573-61-4432 M - 0 S 0.00 0.00 Male 0 0.00 0.00 JOHN SELLARS Soc Sec No: 549-92-3835 5568 SURREY LN, SAN BERANRDINO , CA 92407 M-3 S Male 0 Check No: 21123 08/09/01 3.22 11.34 0.00 1,081.05 CEMENT MASON (FINISHER) Check No: 21124 08/09/01 0.00 0.00 8.00 0.00 0.00 8.00 33.66 269.28 2386.56 377.00 182.57 83.14 21.48 25.92 1,696.45 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: Total Eamings: PIPE TRADESMAN 0.00 16.00 16.00 16.00 16.00 16.00 0.00 80.00 17.75 1420.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 4.80 Total Earnings: 1424.80 1.76 271.04 RAYMOND SHAW Soc Sec No: 567-21-1696 540 PENNSYLVANIA AVE., M - 3 COLTON , CA 92324 Male LABORER S 0.00 8.00 0.00 8.00 0.00 0.00 0.00 16.00 28.47 455.52 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 5.60 Total Earnings: 461.12 Check No: 21088 08/09/01 1424.80 126.00 109.00 15.58 12.82 234.90 926.50 Check No: 21089 08/09/01 2535.83 327.00 194.00 77.78 22.82 159.24 1,754.99 Print Date: 8/27/2001 Page 1 Payroll No. 15 Project No. 0900 Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 - - - - - Certified Payroll Report For the period ending 08/04/2001 Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 Exempts Gross Gross Gender Hours Tot Hrly This All Deductions/Contributions/Payments ployee Information Ethnic Sun Mon Tue Wed Thu Fri Sat Hrs Rate Project Projs FWH FICA SWH SDI Other Net Pay RAYMOND SHAW Soc Sec No: 567-21-1696 CEMENT MASON (FINISHER) Check No: 21089 08/09/01 540 PENNSYLVANIA AVE., M - 3 S 0.00 0.00 8.00 0.00 0.00 0.00 0.00 8.00 33.66 269.28 2535.83 327.00 194.00 77.78 22.82 159.24 1,754.99 COLTON , CA 92324 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 1.76 Total Eamings: 271.04 GARY RUIZ Soc Sec No: 572-13-5888 LABORER Check No: 21092 08/09/01 390 FUR ST., COLTON , CA S - 0 S 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 28.47 227.76 2527.80 539.00 193.38 71.37 22.75 19.02 1,682.28 92324 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 2.80 Total Eamings: 230.56 GARY RUIZ Soc Sec No: 572-13-5888 CEMENT MASON (FINISHER) Check No: 21092 08/09/01 390 FUR ST., COLTON , CA S - 0 S 0.00 0.00 8.00 0.00 8.00 0.00 0.00 16.00 33.66 538.56 2527.80 539.00 193.38 71.37 22.75 19.02 1,682.28 92324 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 3.52 Total Eamings: 542.08 RANDY KENT SocSec No: 553-11-5603 LABORER - Check No: 21103 08/09/01 4964 NORTH E STREET, M - 10 S 0.00 16.00 16.00 16.00 16.00 16.00 0.00 80.00 45.00 3600.00 3600.00 394.00 275.40 147.54 0.00 36.00 2,747.06 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 92407 VINCENT MAXEY Soc Sec No: 573-63-2184 OPERATING ENGINEER Check No: 21106 08/09/01 9051 7th STREET, M -.2 S 0.00 16.00 16.00 16.00 11.50 8.00 0.00 67.50 39.39 2658.82 2982.43 422.00 228.16 99.91 26.84 368.13 1,837.39 HESPERIA , CA 92345 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 37.13 Total Eamings: 2695.95 Print Date: 8/27/2001 Page 2 • • • Payroll No. 15 Project No. 0900 Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL KENNETH STEVENS Soc Sec No: 556-25-0137 LABORER 2276 OAK SPRINGS M - 2 S 0.00 4.00 0.00 0.00 0.00 0.00 0.00 4.00 28.47 113.88 2841.86 440.00 217.41 105.15 25.58 280.00 1,773.72 Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0124445 VALLEY ROAD, Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 WRIGHTWOOD , CA 92397 Other Earnings: 1.40 Total Earnings: 115.28 • Check No: 21112 08/09/01 Print Date: 8/27/2001 Page 3 Payroll No. 15 Project No. 0900 Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 Date: 08/27/2001 Payroll No: 15 I, MIKE FISCHER, OWNER, do hereby state: Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL STATEMENT OF COMPLIANCE Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 (1) That I pay or supervise the payment of the persons employed by FISCHER PLUMBING on the SLOVER SEWER project; that during the payroll period commencing on July 22, 2001 and ending August 04, 2001, 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 FISCHER P BING 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 tions 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. 2 , 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. WHERE FRINGE BENEFITS ARE PAID IN CASH (b) )( 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) IgNfilIMIIIIIIIMINI ni»► M1 / frFA.. . /Ala MIKE ISCHE', OWNER EXPLANATION THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 231 OF TITLE 31 OF THE UNITED STATES CODE. Print Date: 8/27/2001 Page 4 • • Payroll No. 16 Project No. 0900 Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 Exempts Gender Hours Certified Payroll Report For the period ending 08/18/2001 Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL ployee Information Ethnic Sun Mon' Tue Wed Thu CHUCK ROBERTSON Soc Sec No: 557-29-8573 6943 CONEJO, SAN M - 3 S 0.00 7.50 BERNARDINO , CA 92404 Male 0 0.00 0.00 JIMMY GRIFFIN Soc Sec No: 335-56-1032 2939 WALL ST, SAN M - 5 S 0.00 BERNARDINO , CA 92404 Male 0 0.00 JOHN SELLARS Soc Sec No: 549-92-3835 5568 SURREY LN, SAN BERANRDINO , CA 92407 • M-3 S 0.00 Male 0 0.00 RAYMOND SHAW Soc Sec No: 567-21-1696 540 PENNSYLVANIA AVE., M - 3 S 0.00 COLTON , CA 92324 Male 0 0.00 RANDY KENT Soc Sec No: 553-11-5603 4964 NORTH E STREET, M - 10 S 0.00 SAN BERNARDINO , CA Male 0 0.00 92407 Contractor's License No. 452949_ Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 Gross Tot Hrly This Fri Sat Hrs Rate Project PIPELAYER 8.00 0.00 0.00 8.00 0.00 23.50 28.30 665.05 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 7.75 Total Earnings: 672.80 Gross All Deductions/Contributions/Payments Projs FWH FICA SWH SDI Other Net Pay Check No: 21159 08/23/01 1818.00 172.00 139.08 27.72 16.36 110.80 1,352.04 LABORER TRAINEE STEP 1 Check No: 21166 08/23/01 8.00 8.00 8.00 8.00 7.00 0.00 39.00 15.75 614.25 1244.25 66.00 95.19 2.59 11.20 0.00 1,069.27 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 PIPE TRADESMAN 7.50 8.00 0.00 0.00 8.00 0.00 23.50 17.75 417.13 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 1.41 Total Earnings: 418.54 CEMENT MASON (FINISHER) Check No: 21132 08/23/01 1424.81 126.00 108.99 15.58 12.82 234.90 926.52 Check No: 21133 08/23/01 0.00 7.00 0.00 0.00 0.00 0.00 7.00 33.66 235.62 2404.16 291.00 183.91 67.25 21.64 155.54 1,684.82 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: Total Earnings: 0.00 1.54 237.16 LABORER Check No: 21147 08/23/01 8.00 8.00 8.00 8.00 8.00 0.00 40.00 45.00 1800.00 3600.00 394.00 275.40 147.54 0.00 36.00 2,747.06 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Print Date: 8/27/2001 Page 1 • • • Payroll No. 16 Contractor: FISCHER PLUMBING Project No. 0900 1372 W. 26TH STREET Project Name SLOVER SEWER SAN BERANRDINO, CA 92405 SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 BY -WEEKLY PAYROLL Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-012$,,445 VINCENT MAXEY Soc Sec No: 573-63-2184 OPERATING ENGINEER Check No: 21150 08/23/01 9051 7th STREET, M - 2 S 0.00 13.50 0.00 8.00 8.00 7.00 0.00 36.50 39.39 1437.74 2656.02 340.00 203.18 75.61 23.90 342.73 1,670.60 HESPERIA , CA 92345 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 20.08 Total Eaminos: 1457.82 • Print Date: 8/27/2001 Page 2 Payroll No. 16 Project No. 0900 Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 Date: 08/27/2001 Payroll No: 16 I, MIKE FISCHER, OWNER, do hereby state: Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL STATEMENT OF COMPLIANCE Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-012y445 (1) That I pay or supervise the payment of the persons employed by FISCHER PLUMBING on the SLOVER SEWER project; that during the payroll period commencing on August 05, 2001 and ending August 18, 2001, 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 FISCHER PQBING 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 tions 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. ), 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 • (c) 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. EXCEPTIONS EXCEPTION (CRAFT) MIKE ISCHER, OWNER EXPLANATION THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 231 OF TITLE 31 OF THE UNITED STATES CODE. Print Date: 8/27/2001 Page 3 Payroll No. 100 Project No. 0900 Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA-92335 Certified Payroll Report For the period ending 03/17/2001 Contractor: FISCHER PLUMBING 1372 W.26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 Exempts Gross Gross Gender Hours Tot Hrly This All Deductions/Contributions/Payments •mployee Information Ethnic Sun Mon Tue Wed Thu Fri Sat Hrs Rate, Project Projs FWH CHUCK ROBERTSON Soc Sec No: 557-29-8573 6943 CONEJO, SAN M - 3 S 0.00 16.00 8.00 Male 0 0.00 0.00 0.00 BERNARDINO , CA 92404 JIMMY GRIFFIN Soc Sec No: 335-56-1032 2939 WALL ST, SAN M - 5 S 0.00 16.00 8.00 BERNARDINO , CA 92404 Male 0 0.00 0.00 0.00 JOHN SELLARS Soc Sec No: 549-92-3835 5568 SURREY LN, SAN M - 3 S 0.00 BERANRDINO , CA 92407 O 0.00 • ROGELIO ROMAN Soc Sec No: 571-51-3231 6945 CONEJO APT. D, SAN S - 6 S 0.00 BERNARDINO , CA 92404 Male 0 0.00 ROGELIO ROMAN Soc Sec No: 571-51-3231 6945 CONEJO APT. D, SAN S - 6 BERNARDINO , CA 92404 Male PIPELAYER 8.00 16.00 16.00 0.00 64.00 27.97 1790.08 1966.85 193.00 150.46 35.03 17.70 ` 120.13 1,450.53 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 21.12 Total Earnings: 1811.20 FICA SWH SDI Other Net Pay LABORER TRAINEE STEP A ;_ _ 8.00 16.00 16.00 0.00 64.00 15.75 1008.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 PIPE TRADESMAN. • ; ..:; 16.00 8.00 8.00 16.00 16.00 0.00 64.00 ; 17.75 1136.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: Total Earnings: 3.84 1139.84 LABORER 8.00 8.00 0.00 ' 8.00 16.00 0.00 40.00 28.12 1124.80 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 126.48 Total Earnings: 1251.28 OPERATING ENGINEER - S 0.00 8.00 0.00 8.00 8.00 0.00 0.00 24.00 37.58 901.92 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 102.20 Total Earnings: 1004.12 Check No: 20660 03/22/01 Check No: 20670 03/22/01 1260.00 68.00 96.39 3.22 11.34'-'' `'` 0.00 , 1,081.05 Check No: 20672 03/22/01 1202.18 93.00 91.97 6.87 10.82 234.15 765.37 Check No: 20643 03/22/01 2453.85 310.00 187.72 123.11 22.08 • - 461.63 1,349.31 Check No: 20643 03/22/01 2453.85 310.00 187.72 123.11 22.08 , ' '461.63 1,349.31 r Print Date: 3/21/2001 Page 1 Payroll No. 100 Project No. 0900 Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. - FONTANA, CA 92335 Exempts Gender mployee Information Ethnic Sun Mon Tue Wed Thu Fri Sat RANDY KENT Soc Sec No: 553-11-5603 LABORER 4964 NORTH E STREET, M - 10 S 0.00 16.00 8.00 8.00 16.00 16.00 0.00 64.00 45.00 2880.00 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 92407 Certified Payroll Report For the period ending 03/17/2001 Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL Hours Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 Tot Hrly Hrs Rate Gross Gross This All Project Projs FWH VINCENT MAXEY SocSecNo: 573-63-2184 9051 7th STREET, M - 2 S 0.00 16.00 HESPERIA , CA 92345 Male 0 0.00 0.00 KENNETH STEVENS Soc Sec No: 556-25-0137 2276 OAK SPRINGS M - 2 S 0.00 16.00 VALLEY ROAD, Male 0 0.00 0.00 WRIGHTWOOD, CA92397 • Deductions/Contributions/Payments FICA SWH SDI Other Net Pay Check No: 20650 03/22/01 3600.00 399.00 275.40 147.54 32.40 36.00 2,709.66 OPERATING ENGINEER Check No: 20652 03/22/01 8.00 8.00 16.00 16.00 0.00 64.00 37.58 2405.12 2646.56 341.00 202.46 74.90 23.82 340.37 1,664.01 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 32.00 Total Eamings: 2437.12 OPERATING ENGINEER Check No: 20657 03/22/01 8.00 8.00 16.00 16.00 0.00 64.00 37.58 2405.12 2665.60 397.00 203.92 91.05 23.99 276.85 1,672.79 0.00 0.00 0.00 0.00 0.00. 0.00 0.00 0.00 Other Eamings: 32.00 Total Eamings: 2437.12 Print Date: 3/21/2001 Page 2 Payroll No. 100 Project No. 0900 Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 - Date: 03/21/2001 Payroll No: 100 I, MIKE FISCHER, OWNER, do hereby state: Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 BY -WEEKLY PAYROLL STATEMENT OF COMPLIANCE Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 (1) That I pay or supervise the payment of the persons employed by FISCHER PLUMBING on the SLOVER SEWER project; that during the payroll period commencing on March 04, 2001 and ending March 17, 2001, 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 FISCHER UMBING 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 uctions 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. c), 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. S(c) EXCEPTI JSA INII %IL Nil ///�rIllir�// Z 4 _ 47" MIK:'FI CHER, OW i_i PTION (CRAFT) EXPLANATION THE WILFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 231 OF TITLE 31 OF THE UNITED STATES CODE. Print Date: 3/21/2001 Page 3 / Q.INA G,I_WuA--- - • • Payroll No. 100 _ Project No. Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA-92335 Certified Payroll Report For the period ending 03/03/2001 Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 Exempts Gross Gross Gender Hours Tot Hrly This All Deductions/Contributions/Payments �ployee Information Ethnic Sun Mon Tue Wed Thu Fri Sat Hrs Rate Project Projs FWH FICA SWH SDI Other Net Pay CHUCK ROBERTSON Soc Sec No: 557-29-8573 6943 CONEJO, SAN BERNARDINO , CA 92404 PIPELAYER Check No: 20582 03/08/01 M - 3 S 0.00 8.00 8.00 16.00 16.00 8.00 0.00 56.00 27.97 1566.32 1896.10 183.00 145.06 30.99 17.06 115.81 1,404.18 Male 0 0.00 0.00 ` 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 18.48 Total Eamings: 1584.80 JIMMY GRIFFIN Soc Sec No: 335-56-1032 LABORER TRAINEE STEP 1 Check No: 20592 03/08/01 2939 WALL ST, SAN M - 5 S 0.00 8.00 8.00 15.50 16.00 8.00 0.00 55.50 15.75 874.13 1220.63 62.00 93.37 1.65 10.99 0.00 1,052.62 BERNARDINO , CA 92404 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 JOHN SELLARS Soc Sec No: 549-92-3835 PIPE TRADESMAN Check No: 20559 03/08/01 5568 SURREY LN, SAN M - 3 S 0.00 0.00 0.00 8.00 8.00 8.00 0.00 24.00 17.75 426.00 1157.66 86.00 88.55 5.98 10.42 234.00 732.71 BERANRDINO , CA 92407 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 1.44 • Total Eamings: 427.44 ROGELIO ROMAN Soc Sec No: 571-51-3231 LABORER Check No: 20566 03/08/01 6945 CONEJO APT. D, SAN S - 6 S 0.00 8.00 0.00 0.00 0.00 8.00 0.00 16.00 28.12 449.92 2162.53 232.00 165.43 97.24 19.46 445.43 1,202.97 BERNARDINO , CA 92404 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 50.60 Total Eamings: 500.52 ROGELIO ROMAN Soc Sec No: 571-51-3231 OPERATING ENGINEER Check No: 20566 03/08/01 6945 CONEJO APT. D, SAN S - 6 S 0.00 0.00 0.00 15.50 16.00 0.00 0.00 31.50 37.58 1183.77 2162.53 232.00 165.43 97.24 19.46 445.43 1,202.97 BERNARDINO , CA 92404 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 134.13 Total Eamings: 1317.90 Print Date: 3/12/2001 Page 1 • • Certified Payroll Report For the period ending 03/03/2001 Payroll No. 100 Contractor: FISCHER PLUMBING Contractor's License No. 452949 Project No. 1372 W. 26TH STREET Workers Comp Policy No. 1598252-00 Project Name SLOVER SEWER SAN BERANRDINO, CA 92405 Employer Identification No. 33-0123445 SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 Exempts Gross Gross Gender Hours Tot Hrly This All Deductions/Contributions/Payments •iployee Information Ethnic Sun Mon Tue Wed Thu Fri Sat Hrs Rate Project Projs FWH FICA SWH SDI Other Net Pay RANDY KENT Soc Sec No: 553-11-5603 LABORER Check No: 20573 03/08/01 4964 NORTH E STREET, M - 10 S 0.00 8.00 8.00 16.00 16.00 8.00 0.00 56.00 45.00 2520.00 3600.00 399.00 275.40 147.54 32.40 36.00 2,709.66 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 92407 VINCENT MAXEY Soc Sec No: 573-63-2184 OPERATING ENGINEER Check No: 20575 03/08/01 9051 7th STREET, M - 2 S 0.00 0.00 8.00 16.00 16.00 8.00 0.00 48.00 37.58 1803.84 2227.68 240.00 170.43 50.16 20.05 305.93 1,441.11 HESPERIA , CA 92345 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 24.00 Total Earnings: 1827.84 TIMOTHY SACK Soc Sec No: 560-98-2877 LABORER Check No: 20577 03/08/01 25574 PACIFIC, SAN M - 5 S 0.00 0.00 0.00 4.00 8.00 8.00 0.00 20.00 28.12 562.40 1407.98 76.00 107.71 5.22 12.67 282.65 923.73 BERANRDINO , CA 92404 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 7.00 • Total Eamings: 569.40 KENNETH STEVENS Soc Sec No: 556-25-0137 OPERATING ENGINEER Check No: 20579 03/08/01 2276 OAK SPRINGS M - 2 S 0.00 8.00 8.00 8.00 16.00 8.00 0.00 48.00 37.58 1803.84 2208.64 269.00 168.97 58.25 19.88 270.85 1,421.69 VALLEY ROAD, Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 WRIGHT VOOD , CA 92397 Other Earnings: 24.00 Total Earnings: 1827.84 Print Date: 3/12/2001 Page 2 Payroll No. 100 Project No. Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 Date: 03/12/2001 Payroll No: 100 I, MIKE FISCHER, OWNER, do hereby state: Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 STATEMENT OF COMPLIANCE Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 (1)That I pay or supervise the payment of the persons employed by FISCHER PLUMBING on the SLOVER SEWER project; that during the payroll period commencing on February 18, 2001 and ending March 03, 2001, 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 FISCHER MIMING 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 ctions 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 CEPTION (CRAFT) 1 -1 WILW-WaiIIIIM 71TIVMIM I/'L1/ I11PVf MIKE FI CHER, WNER EXPLANATION THE WILFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 231 OF TITLE 31 OF THE UNITED STATES CODE. Print Date: 3/12/2001 Page 3 Payroll No. 100 Project No. Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 Exempts Gender Hours Certified Payroll Report For the period ending 02/17/2001 Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 •ployee Information Ethnic Sun Gross Gross Tot Hrly This All Mon Tue Wed Thu Fri Sat Hrs Rate Project Projs FWH • Contractor's License No. 452949 'Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 Deductions/Contributions/Payments CHUCK ROBERTSON Soc Sec No: 557-29-8573 6943 CONEJO, SAN BERNARDINO , CA 92404 M - 3 S 0.00 0.00 Male 0 0.00 0.00 JIMMY GRIFFIN Soc Sec No: 335-56-1032 2939 WALL ST, SAN M - 5 S 0.00 BERNARDINO , CA 92404 Male 0 0.00 JOHN SELLARS Soc Sec No: 549-92-3835 5568 SURREY LN, SAN M - 3 S 0.00 BERANRDINO , CA 92407 • 0 0.00 LABORER 0.00 0.00 8.00 8.00 0.00 16.00 28.12 449.92 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 5.60 Total Eamings: 455.52 LABORER TRAINEE STEP 1 0.00 0.00 0.00 8.00 8.00 0.00 16.00 15.75 252.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 PIPE TRADESMAN 0.00 0.00 0.00 8.00 8.00 0.00 16.00 17.75 284.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 0.96 Total Eamings: 284.96 ROGELIO ROMAN Soc Sec No: 571-51-3231 6945 CONEJO APT. D, SAN S - 6 S 0.00 0.00 BERNARDINO , CA 92404 Male 0 0.00 0.00 RANDY KENT Soc Sec No: 553-11-5603 4964 NORTH E STREET, M - 10 S 0.00 0.00 SAN BERNARDINO , CA Male 0 0.00 0.00 92407 0.00 0.00 8.00 0.00 0.00 0.00 PIPELAYER 8.00 0.00 16.00 27.97 447.52 0.00 0.00 0.00 0.00 0.00 Other Eamings: 50.04 Total Eamings: 497.56 OPERATING ENGINEER 0.00 0.00 8.00 8.00 0.00 16.00 45.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 FICA SWH SDI Other Net Pay Check No: 20541 02/22/01 1447.01 119.00 110.70 13.60 13.02 81.58 1,109.11 Check No: 20551 02/22/01 1212.75 61.00 92.78 1.33 10.91 0.00 1,046.73 1202.18 93.00 91.97 Check No: 20518 02/22/01 6.87 10.82 234.15 765.37 Check No: 20525 02/22/01 1850.30 149.00 141.55 69.50 16.65 425.93 1,047.67 Check No: 20532 02/22/01 720.00 3600.00 399.00 275.40 147.54 32.40 36.00 2,709.66 0.00 Print Date: 3/12/2001 Page 1 • • • Payroll No. 100 Contractor: FISCHER PLUMBING Project No. 1372 W. 26TH STREET Project Name SLOVER SEWER SAN BERANRDINO, CA 92405 SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 VINCENT MAXEY SocSecNo: 573-63-2184 OPERATING ENGINEER Check No: 20534 02/22/01 9051 7th STREET, M - 2 S 0.00 0.00 0.00 0.00 _ 8.00 8.00 0.00 16.00-37 58 601.28 1562.22 _ _ 147_00 -_ 119.50 19 64 14 06 -249.95 1,012.07 HESPERIA , CA 92345 Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Eamings: 8.00 Total Eamings: 609.28 KENNETH STEVENS Soc Sec No: 556-25-0137 OPERATING ENGINEER Check No: 20538 02/22/01 WAK SPRINGS M - 2 S 0.00 0.00 0.00 0.00 8.00 8.00 0.00 16.00 37.58 601.28 1933.78 219.00 147.93 41.76 17.40 264.70 1,242.99 Y ROAD, Male 0 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 WRIGHTWOOD , CA 92397 Other Eamings: 8.00 Total Eamings: 609.28 Print Date: 3/12/2001 Page 2 • 41 • Payroll No. 100 Project No. Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA CA 92335 Date: 03/12/2001 Payroll No: 100 I, MIKE FISCHER, OWNER, do hereby state: Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 STATEMENT OF COMPLIANCE Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 (1) That I pay or supervise the payment of the persons employed by FISCHER PLUMBING on the SLOVER SEWER project; that during the payroll period commencing on February 04, 2001 and ending February 17, 2001, 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 FISCHER P BING 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 tions 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. 2 c), 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 MWIMki �11IWMIM %lMaiv FIEMNIMIIIIIIIIIN I liar MIKE ISCHER, OWNER CEPTION (CRAFT) EXPLANATION THE WILFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 231 OF TITLE 31 OF THE UNITED STATES CODE. Print Date: 3/12/2001 Page 3 Payroll No. 100 Project No. Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA- 92335 Certified Payroll Report For the period ending 02/03/2001 Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 Exempts Gender •ployee Information Ethnic Sun Mon Hours CHUCK ROBERTSON Soc Sec No: 557-29-8573 6943 CONEJO, SAN M - 3 S 0.00 16.00 BERNARDINO , CA 92404 Male 0 0.00 0.00 JIMMY GRIFFIN Soc Sec No: 335-56-1032 2939 WALL ST, SAN M - 5 S 0.00 8.00 BERNARDINO , CA 92404 Male 0 0.00 0.00 JOHN SELLARS Soc Sec No: 549-92-3835 5568 SURREY LN, SAN M - 3 S 0.00 BERANRDINO , CA 92407 • 0 0.00 Tue Wed Thu 8.00 0.00 8.00 0.00 0.00 0.00 Tot Hrly Gross Gross This All Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 Deductions/Contributions/Payments Fri Sat Hrs Rate Project Projs FWH LABORER 0.00 0.00 32.00 28.12 899.84 0.00 0.00 0.00 0.00 0.00 Other Earnings: 11.20 Total Earnings: 911.04 FICA SWH SDI Other Net Pay Check No: 20514 02/08/01 1604.04 141.00 122.71 19.57 14.44 93.33 1,212.99 LABORER TRAINEE STEP 1 Check No: 20512 02/08/01 8.00 0.00 8.00 0.00 0.00 24.00 15.75 378.00 1283.63 72.00 98.19 4.17 11.55 0.00 1,097.72 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 PIPE TRADESMAN Check No: 20477 02/08/01 8.00 8.00 0.00 8.00 0.00 0.00 24.00 17.75 426.00 1264.52 102.00 96.74 9.17 11.38 234.36 810.87 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 1.44 Total Earnings: 427.44 ROGELIO ROMAN Soc Sec No: 571-51-3231 6945 CONEJO APT. D, SAN S - 6 S 0.00 8.00 BERNARDINO , CA 92404 Male 0 0.00 0.00 RANDY KENT Soc Sec No: 553-11-5603 4964 NORTH E STREET, M - 10 S 0.00 16.00 SAN BERNARDINO , CA Male 0 0.00 0.00 92407 PIPELAYER Check No: 20484 02/08/01 8.00 0.00 8.00 0.00 0.00 24.00 27.97 671.28 2093.75 214.00 160.17 91.12 18.84 438.55 1,171.07 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 75.04 Total Earnings: 746.32 OPERATING ENGINEER Check No: 20492 02/08/01 8.00 0.00 8.00 0.00 0.00 32.00 45.00 1440.00 3600.00 399.00 275.40 147.54 32.40 36.00 2,709.66 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Print Date: 3/12/2001 Page 1 • • • Payroll No, 100 Project No. Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 VINCENT MAXEY SocSecNo: 573-63-2184 9051 7th STREET, M - 2 S 0.00 16.00 Male 0 0.00 0.00 HESPERIA , CA 92345 KENNETH STEVENS Soc Sec No: 556-25-0137 .OAK SPRINGS EY ROAD, WRIGHTWOOD , CA 92397 Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 OPERATING ENGINEER Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 Check No: 20494 02/08/01 8.00 0.00 8.00 0.00 0.00 32.00 37.58 1202.56 2034.72 __213.00 - --_ 155 66 39 34 18.31 281.03 1,327_38 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 16.00 Total Earnings: 1218.56 M - 2 S 0.00 16.00 8.00 0.00 Male 0 0.00 0.00 0.00 0.00 OPERATING ENGINEER 8.00 0.00 0.00 32.00 37.58 1202.56 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 16.00 Total Earnings: 1218.56 Check No: 20498 02/08/01 2270.36 287.00 173.69 61.96 20.43 269.66 1,457.62 Print Date: 3/12/2001 Page 2 . • • • Payroll No., 100 Project No. Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA;-CA- 92335 Date: 03/12/2001 Payroll No: 100 1, MIKE FISCHER, OWNER, do hereby state: Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 STATEMENT OF COMPLIANCE Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 (1) That I pay or supervise the payment of the persons employed by FISCHER PLUMBING on the SLOVER SEWER project; that during the payroll period commencing on January 21, 2001 and ending February 03, 2001, 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 FISCHER PBING 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 lions 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) EXCEPTI ;Is As rJ 1 I i I_IW V Ilikeyi MIKE ISCHER, Off, ER PTION (CRAFT) EXPLANATION THE WILFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 231 OF TITLE 31 OF THE UNITED STATES CODE. Print Date: 3/12/2001 Page 3 4964 NORTH E STREET, SAN BERNARDINO CA 92407 Payroll No. 100 Project No. Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA-92335 Exempts Gender Certified Payroll Report For the period ending 01/20/2001 Contractor:. FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 Hours bL L1 ro d •ployee Information Ethnic - Sun Mon Tue -Wed Thu CHUCK ROBERTSON Soc Sec No: 557-29-8573 6943 CONEJO, SAN M - 3 S 0.00 11.00 16.00 16.00 11.00 BERNARDINO , CA 92404 Male 0 0.00 0.00 0.00 0.00 0.00 JIMMY GRIFFIN Soc Sec No: 335-56-1032 2939 WALL ST, SAN M - 5 S 0.00 11.00 16.00 BERNARDINO , CA92404 Male 0 0.00 0.00 0.00 JOHN SELLARS Soc Sec No: 549-92-3835 5568 SURREY LN, SAN BERANRDINO , CA 92407 • M - 3 S 0.00 11.00 16.00 0 0.00 0.00 0.00 ROGELIO ROMAN Soc Sec No: 571-51-3231 6945 CONEJO APT. D, SAN S - 6 S 0.00 BERNARDINO , CA 92404 Male 0 0.00 RANDY KENT Soc Sec No: 553-11-5603 M -10 S 0.00 11.00 16.00 Male 0 0.00 0.00 0.00 Gross Gross Tot Hrly This All ri Sat - Hrs Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 Deductions/Contributions/Payments Rate ---Project - Projs FWH FICA _ SWH PIPELAYER 8.00 0.00 62.00 27.97 1734.14 0.00 0.00 0.00 0.00 0.00 Other Earnings: 20.46 Total Earnings: 1754.60 LABORER TRAINEE STEP 1 8.00 8.00 8.00 0.00 51.00 15.75 803.25 0.00 0.00 0.00 0.00 0.00 0.00 0.00 PIPE TRADESMAN 11.00 8.00 8.00 0.00 54.00 17.75 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: Total Earnings: LABORER 8.00 8.00 8.00 8.00 8.00 0.00 40.00 28.12 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: Total Earnings: LABORER 16.0010.00 9.00 0.00 62.00 45.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 958.50 0.00 3.24 961.74 1124.80 0.00 126.48 1251.28 SDI _ Other --__- Net Pay Check No: 20453 01/25/01 1945.20 190.00 148.80 33.79 17.51 117.16 1,437.94 Check No: 20465 01/25/01 1212.75 61.00 92.78 1.33 10.91 0.00 1,046.73 Check No: 20429 01/25/01 1317.94 110.00 100.82 11.31 11.86 234.54 849.41 Check No: 20437 01/25/01 2298.36 268.00 175.83 109.29 20.69 622.49 1,102.06 Check No: 20444 01/25/01 2790.00 3600.00 399.00 275.40 147.54 32.40 36.00 2,709.66 Print Date: 3/12/2001 Page 1 1110 • • Payroll No. 100 Contractor: FISCHER PLUMBING Project No. 1372 W. 26TH STREET Project Name SAN BERANRDINO, CA 92405 SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 VINCENT MAXEY SocSecNo: 573-63-2184 9051 7th STREET, M - 2 S 0.00 11.00 16.00 10.00 HESPERIA , CA 92345 Male 0 0.00 0.00 0.00 0.00 KENNETH STEVENS Soc Sec No: AK SPRINGS M - 2 EY ROAD, Male WRIGHTWOOD , CA 92397 556-25-0137 Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 OPERATING ENGINEER Check No: 20446 01/25/01 8.00 8.00 0.00 53.00 37.58 1991.74 2094.40 222.00 _ _160.22_ 42.77 18 85 744.25 906.36 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 26.50 Total Eamings: 2018.24 OPERATING ENGINEER S 0.00 11.00 16.00 10.00 8.00 8.00 0.00 53.00 37.58 1991.74 O 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other Earnings: 26.50 Total Eamings: 2018.24 Check No: 20450 01/25/01 2094.40 --243.00-- 160.21 51.40 18.85 269.35 1,351.59 Print Date: 3/12/2001 Page 2 • Payroll No. 100 Project No. Project Name SLOVER SEWER SLOVER AVE TO HEMLOCK AVE. FONTANA, CA 92335 Date: 03/12/2001 Payroll No: 100 I, MIKE FISCHER, OWNER, do hereby state: Contractor: FISCHER PLUMBING 1372 W. 26TH STREET SAN BERANRDINO, CA 92405 STATEMENT OF COMPLIANCE Contractor's License No. 452949 Workers Comp Policy No. 1598252-00 Employer Identification No. 33-0123445 (1) That I pay or supervise the payment of the persons employed by FISCHER PLUMBING on the SLOVER SEWER project; that during the payroll period commencing on January 07, 2001 and ending January 20, 2001, 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 FISCHER P BING 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 tions 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. 27 c), 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 1111r=7 7111111•/ �1I-4 CEPTION (CRAFT) MIKE F HER, OW R EXPLANATION THE WILFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 231 OF TITLE 31 OF THE UNITED STATES CODE. Print Date: 3/12/2001 Page 3