2024-08 - Vallco - Preston CPR 1 through 5PAYROLL REPORTING FORM Page 1 of 1
NAME OF CONTRACTOR OR SUBCONTRACTOR
Preston Pipelines Infrastructure LLC
CONTRACTOR'S LICENSE NO: 1059395
SPECIALITY LICENSE NO:
ADDRESS
133 Bothelo Avenue , MILPITAS, CA 95035
PAYROLL NO.
1
FOR WEEK ENDING
08/04/2024
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: DC08272024
PROJECT AND LOCATION: Vallco-Continuation of Make Ready Utilities / CA
(1)
NAME, ADDRESS, AND
SOCIAL SECURITY
NUMBER
OF WORKER
(2)
NO
O
F
W
I
T
H
-
HO
L
D
I
N
G
EX
E
M
P
T
I
O
N
S
(3)
WORK
CLASSIFICATION
ST
/
O
T
/
D
T
/
H
T
(4) DAY AND DATE (5)
TOTAL
HOURS
(6)
RATE
OF PAY
CASH
FRINGE
(7)
GROSS
AMOUNT
EARNED
(THIS / ALL)
(8)
DEDUCTIONS, CONTRIBUTIONS AND PAYMENTS
(9)
NET WAGES
PAID FOR
WEEK
(10)
Check No.
/DateMonTueWedThuFriSatSun
29 30 31 01 02 03 04
HOURS WORKED EACH DAY
Enrique H Ayala
517 Ward Rd
LOS BANOS, CA 93635
xxx-xx-8916
S/0
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 5 (Area 1)
S 2.00 2.00 58.49 116.98
3,801.34
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
2,089.20 DD208920
08/09/2024O
290.80 750.83 307.52 41.81 6.06 12.12 10.84 21.68 11.28 22.56
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 2.42 4.11 8.22 321.18 1,712.14
S FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
O
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D
S FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
O
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D
S FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
O
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D
S = STRAIGHT TIME
O = OVERTIME
D = DOUBLETIME
SDI = STATE DISABILITY INSURANCE
OTHER-Any other deductions and/or payments whether or not included orrequired by prevailing wage determinations must be separately listed.Use extra sheet(s) if
necessary
CERTIFICATION MUST be completed
(See Statement of Compliance)
Printed Date: 9/11/2024 Page 1 of 2
STATE OF CALIFORNIA
STATEMENT OF COMPLIANCE
Date: 9/5/2024
Jocelyn Cortes Payroll Administrator do hereby certify under penalty of perjury:
(Name of Signatory Party)(Title)
(1) That I pay or supervise the payment of the persons reported on the Certified Payroll Report by
Preston Pipelines Infrastructure LLC on the Vallco-Continuation of Make Ready Utilities
(Contract/Subcontract: DC08272024) : that during the payroll period
(Contractor or Subcontractor) (Building or Work)
commencing on the 29th day of July 2024 , and ending the 4th day of August 2024 ,
all persons employed on said project have been paid and full weekly wages earned,that no rebates have
been or will be made either directly or indirectly to or on behalf of said
Preston Pipelines Infrastructure LLC from the full weekly sums earned by any person
(Contractor or Subcontractor)
and that no deductions have been made either directly or indirectly from the full sums earned by any person, other than permissible deductions, as described
below:
(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 the Bureau of Apprentice 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 noted 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 noted in Section
4(c) below.
(c) EXCEPTIONS
Exception (craft)EXPLANATION
REMARKS:
NAME AND TITLE SIGNATURE
Jocelyn Cortes
Payroll Administrator
THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR
CRIMINAL PROSECUTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 3729 OF TITLE 31 OF THE UNITED STATES CODE
Signed under penalty of perjury
Printed Date: 9/11/2024 Page 2 of 2
PAYROLL REPORTING FORM Page 1 of 3
NAME OF CONTRACTOR OR SUBCONTRACTOR
Preston Pipelines Infrastructure LLC
CONTRACTOR'S LICENSE NO: 1059395
SPECIALITY LICENSE NO:
ADDRESS
133 Bothelo Avenue , MILPITAS, CA 95035
PAYROLL NO.
2
FOR WEEK ENDING
08/11/2024
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: DC08272024
PROJECT AND LOCATION: Vallco-Continuation of Make Ready Utilities / CA
(1)
NAME, ADDRESS, AND
SOCIAL SECURITY
NUMBER
OF WORKER
(2)
NO
O
F
W
I
T
H
-
HO
L
D
I
N
G
EX
E
M
P
T
I
O
N
S
(3)
WORK
CLASSIFICATION
ST
/
O
T
/
D
T
/
H
T
(4) DAY AND DATE (5)
TOTAL
HOURS
(6)
RATE
OF PAY
CASH
FRINGE
(7)
GROSS
AMOUNT
EARNED
(THIS / ALL)
(8)
DEDUCTIONS, CONTRIBUTIONS AND PAYMENTS
(9)
NET WAGES
PAID FOR
WEEK
(10)
Check No.
/DateMonTueWedThuFriSatSun
05 06 07 08 09 10 11
HOURS WORKED EACH DAY
Gianmarco G Alvarez
580 AHWANEE AVE #93
SUNNYVALE, CA 94085
xxx-xx-8801
S/0
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 3; Group 3 (A)
(Area 1)
S 8.00 8.00 8.00 8.00 8.00 40.00 37.50 1,865.63
2,506.95
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
2,096.28 DD209628
08/16/2024O2.00 1.50 1.50 1.50 6.50 56.25
191.78 27.58 3.51 163.22 10.60 492.90 10.46 486.39
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 24.18 4.82 224.13 191.31 410.67
Ivan Arias
40640 HIGH STREET
FREMONT, CA 94538
xxx-xx-0614
M/0
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 4 (Area 1)
S 2.00 2.00 59.76 119.52
3,207.00
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,982.70 DD198270
08/16/2024O
245.35 409.92 156.23 35.28 6.06 12.12 10.84 21.68 11.28 22.56
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 2.42 4.11 8.22 377.52 1,224.30
Hector G Benavidez
1121 JONESPORT
COURT
SAN JOSE, CA 95131
xxx-xx-8855
S/0
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 1 (Area 1)
S 8.00 8.00 8.00 8.00 8.00 40.00 70.62 2,824.80
3,067.20
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,979.25 DD197925
08/16/2024O
234.65 415.55 161.61 33.74 6.06 242.40 10.84 433.60 11.28 451.20
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 48.40 4.11 164.40 242.40 1,087.95
Ricardo Benavidez-
palomino
1121 JONESPORT CT
SAN JOSE, CA 95131
xxx-xx-0887
S/0
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 3; Group 3 (A)
(Area 1)
S 8.00 8.00 8.00 24.00 38.50 924.00
1,009.99
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
703.77 DD70377
08/16/2024O
77.26 102.89 30.72 11.11 3.51 84.24 10.60 254.40 10.46 251.04
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 12.48 4.82 115.68 84.24 306.22
S = STRAIGHT TIME
O = OVERTIME
D = DOUBLETIME
SDI = STATE DISABILITY INSURANCE
OTHER-Any other deductions and/or payments whether or not included orrequired by prevailing wage determinations must be separately listed.Use extra sheet(s) if
necessary
CERTIFICATION MUST be completed
(See Statement of Compliance)
Printed Date: 9/11/2024 Page 1 of 4
PAYROLL REPORTING FORM Page 2 of 3
NAME OF CONTRACTOR OR SUBCONTRACTOR
Preston Pipelines Infrastructure LLC
CONTRACTOR'S LICENSE NO: 1059395
SPECIALITY LICENSE NO:
ADDRESS
133 Bothelo Avenue , MILPITAS, CA 95035
PAYROLL NO.
2
FOR WEEK ENDING
08/11/2024
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: DC08272024
PROJECT AND LOCATION: Vallco-Continuation of Make Ready Utilities / CA
(1)
NAME, ADDRESS, AND
SOCIAL SECURITY
NUMBER
OF WORKER
(2)
NO
O
F
W
I
T
H
-
HO
L
D
I
N
G
EX
E
M
P
T
I
O
N
S
(3)
WORK
CLASSIFICATION
ST
/
O
T
/
D
T
/
H
T
(4) DAY AND DATE (5)
TOTAL
HOURS
(6)
RATE
OF PAY
CASH
FRINGE
(7)
GROSS
AMOUNT
EARNED
(THIS / ALL)
(8)
DEDUCTIONS, CONTRIBUTIONS AND PAYMENTS
(9)
NET WAGES
PAID FOR
WEEK
(10)
Check No.
/DateMonTueWedThuFriSatSun
05 06 07 08 09 10 11
HOURS WORKED EACH DAY
Heriberto Jimenez
1261 SOUTH ST
HOLLISTER, CA 95023
xxx-xx-8449
M/4
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 3 (Area 1)
S 8.00 8.00 8.00 8.00 8.00 40.00 67.62 2,704.80
4,022.10
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
3,367.17 DD336717
08/16/2024O
307.69 44.24 6.06 242.40 10.84 433.60 11.28 451.20
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 48.40 4.11 164.40 303.00 654.93
Jeremy M Jones
2603 MONTICELLO WAY
SANTA CLARA, CA 95051
xxx-xx-0169
S/0
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 7 (Area 1)
S 8.00 8.00 16.00 56.03 896.48
3,654.98
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
2,005.74 DD200574
08/16/2024O
279.61 715.70 292.55 40.20 6.06 96.96 10.84 173.44 11.28 180.48
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 19.36 4.11 65.76 321.18 1,649.24
Rafael L Quiroz
240 GURRIES DR
GILROY, CA 95020
xxx-xx-8279
S/1
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 3; Group 3 (A)
(Area 1)
S 8.00 8.00 8.00 8.00 8.00 40.00 37.50 1,500.00
2,238.00
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,136.82 DD113682
08/16/2024O
171.20 355.78 144.55 24.62 3.51 140.40 10.60 424.00 10.46 418.40
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 20.80 4.82 192.80 405.03 1,101.18
Orlando H Rodriguez
3200 APTOS RANCHO RD
# 434
APTOS, CA 95003
xxx-xx-3644
S/2
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 4 (Area 1)
S 1.00 1.00 1.00 3.00 60.76 182.28
3,596.20
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
2,039.22 DD203922
08/16/2024O
275.10 661.91 280.44 39.56 6.06 18.18 10.84 32.52 11.28 33.84
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 3.63 4.11 12.33 299.97 1,556.98
S = STRAIGHT TIME
O = OVERTIME
D = DOUBLETIME
SDI = STATE DISABILITY INSURANCE
OTHER-Any other deductions and/or payments whether or not included orrequired by prevailing wage determinations must be separately listed.Use extra sheet(s) if
necessary
CERTIFICATION MUST be completed
(See Statement of Compliance)
Printed Date: 9/11/2024 Page 2 of 4
PAYROLL REPORTING FORM Page 3 of 3
NAME OF CONTRACTOR OR SUBCONTRACTOR
Preston Pipelines Infrastructure LLC
CONTRACTOR'S LICENSE NO: 1059395
SPECIALITY LICENSE NO:
ADDRESS
133 Bothelo Avenue , MILPITAS, CA 95035
PAYROLL NO.
2
FOR WEEK ENDING
08/11/2024
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: DC08272024
PROJECT AND LOCATION: Vallco-Continuation of Make Ready Utilities / CA
(1)
NAME, ADDRESS, AND
SOCIAL SECURITY
NUMBER
OF WORKER
(2)
NO
O
F
W
I
T
H
-
HO
L
D
I
N
G
EX
E
M
P
T
I
O
N
S
(3)
WORK
CLASSIFICATION
ST
/
O
T
/
D
T
/
H
T
(4) DAY AND DATE (5)
TOTAL
HOURS
(6)
RATE
OF PAY
CASH
FRINGE
(7)
GROSS
AMOUNT
EARNED
(THIS / ALL)
(8)
DEDUCTIONS, CONTRIBUTIONS AND PAYMENTS
(9)
NET WAGES
PAID FOR
WEEK
(10)
Check No.
/DateMonTueWedThuFriSatSun
05 06 07 08 09 10 11
HOURS WORKED EACH DAY
Tony R Teman
105 RANCHO
CORRALITOS
WATSONVILLE, CA 95076
xxx-xx-7742
M/3
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 4 (Area 1)
S 2.00 2.00 4.00 101.47 405.88
4,301.20
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
3,048.50 DD304850
08/16/2024O
62.37 632.46 268.16 47.31 6.06 24.24 10.84 43.36 11.28 45.12
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 4.84 4.11 16.44 242.40 1,252.70
Arthur Velazquez Jr
364 SUNDAY DR
TURLOCK, CA 95382
xxx-xx-1157
M/3
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 3; Group 3 (A)
(Area 1)
S 8.00 8.00 16.00 37.50 600.00
1,640.40
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,207.27 DD120727
08/16/2024O
125.48 120.54 28.67 18.04 3.51 56.16 10.60 169.60 10.46 167.36
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 8.32 4.82 77.12 140.40 433.13
S FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
O
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D
S FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
O
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D
S = STRAIGHT TIME
O = OVERTIME
D = DOUBLETIME
SDI = STATE DISABILITY INSURANCE
OTHER-Any other deductions and/or payments whether or not included orrequired by prevailing wage determinations must be separately listed.Use extra sheet(s) if
necessary
CERTIFICATION MUST be completed
(See Statement of Compliance)
Printed Date: 9/11/2024 Page 3 of 4
STATE OF CALIFORNIA
STATEMENT OF COMPLIANCE
Date: 9/5/2024
Jocelyn Cortes Payroll Administrator do hereby certify under penalty of perjury:
(Name of Signatory Party)(Title)
(1) That I pay or supervise the payment of the persons reported on the Certified Payroll Report by
Preston Pipelines Infrastructure LLC on the Vallco-Continuation of Make Ready Utilities
(Contract/Subcontract: DC08272024) : that during the payroll period
(Contractor or Subcontractor) (Building or Work)
commencing on the 5th day of August 2024 , and ending the 11th day of August 2024 ,
all persons employed on said project have been paid and full weekly wages earned,that no rebates have
been or will be made either directly or indirectly to or on behalf of said
Preston Pipelines Infrastructure LLC from the full weekly sums earned by any person
(Contractor or Subcontractor)
and that no deductions have been made either directly or indirectly from the full sums earned by any person, other than permissible deductions, as described
below:
(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 the Bureau of Apprentice 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 noted 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 noted in Section
4(c) below.
(c) EXCEPTIONS
Exception (craft)EXPLANATION
REMARKS:
NAME AND TITLE SIGNATURE
Jocelyn Cortes
Payroll Administrator
THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR
CRIMINAL PROSECUTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 3729 OF TITLE 31 OF THE UNITED STATES CODE
Signed under penalty of perjury
Printed Date: 9/11/2024 Page 4 of 4
PAYROLL REPORTING FORM Page 1 of 3
NAME OF CONTRACTOR OR SUBCONTRACTOR
Preston Pipelines Infrastructure LLC
CONTRACTOR'S LICENSE NO: 1059395
SPECIALITY LICENSE NO:
ADDRESS
133 Bothelo Avenue , MILPITAS, CA 95035
PAYROLL NO.
3
FOR WEEK ENDING
08/18/2024
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: DC08272024
PROJECT AND LOCATION: Vallco-Continuation of Make Ready Utilities / CA
(1)
NAME, ADDRESS, AND
SOCIAL SECURITY
NUMBER
OF WORKER
(2)
NO
O
F
W
I
T
H
-
HO
L
D
I
N
G
EX
E
M
P
T
I
O
N
S
(3)
WORK
CLASSIFICATION
ST
/
O
T
/
D
T
/
H
T
(4) DAY AND DATE (5)
TOTAL
HOURS
(6)
RATE
OF PAY
CASH
FRINGE
(7)
GROSS
AMOUNT
EARNED
(THIS / ALL)
(8)
DEDUCTIONS, CONTRIBUTIONS AND PAYMENTS
(9)
NET WAGES
PAID FOR
WEEK
(10)
Check No.
/DateMonTueWedThuFriSatSun
12 13 14 15 16 17 18
HOURS WORKED EACH DAY
Gianmarco G Alvarez
580 AHWANEE AVE #93
SUNNYVALE, CA 94085
xxx-xx-8801
S/0
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 3; Group 3 (A)
(Area 1)
S 8.00 8.00 8.00 8.00 8.00 40.00 37.50 1,921.88
2,088.65
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,739.13 DD173913
08/23/2024O1.50 1.50 1.50 1.50 1.50 7.50 56.25
159.79 22.98 3.51 166.73 10.60 503.50 10.46 496.85
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 24.70 4.82 228.95 166.75 349.52
Ivan Arias
40640 HIGH STREET
FREMONT, CA 94538
xxx-xx-0614
M/0
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 4 (Area 1)
S 2.00 2.00 4.00 59.76 239.04
3,494.10
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
2,133.98 DD213398
08/23/2024O
267.29 473.09 185.60 38.44 6.06 24.24 10.84 43.36 11.28 45.12
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 4.84 4.11 16.44 395.70 1,360.12
Hector G Benavidez
1121 JONESPORT
COURT
SAN JOSE, CA 95131
xxx-xx-8855
S/0
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 1 (Area 1)
S 8.00 8.00 8.00 8.00 8.00 40.00 70.62 3,036.66
3,291.18
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
2,099.33 DD209933
08/23/2024O2.00 2.00 105.93
251.77 464.83 184.53 36.20 6.06 254.52 10.84 455.28 11.28 473.76
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 50.82 4.11 172.62 254.52 1,191.85
Ricardo Benavidez-
palomino
1121 JONESPORT CT
SAN JOSE, CA 95131
xxx-xx-0887
S/0
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 3; Group 3 (A)
(Area 1)
S 8.00 8.00 8.00 8.00 8.00 40.00 38.50 1,540.00
1,682.15
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,054.29 DD105429
08/23/2024O
128.68 249.55 90.73 18.50 3.51 140.40 10.60 424.00 10.46 418.40
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 20.80 4.82 192.80 140.40 627.86
S = STRAIGHT TIME
O = OVERTIME
D = DOUBLETIME
SDI = STATE DISABILITY INSURANCE
OTHER-Any other deductions and/or payments whether or not included orrequired by prevailing wage determinations must be separately listed.Use extra sheet(s) if
necessary
CERTIFICATION MUST be completed
(See Statement of Compliance)
Printed Date: 9/11/2024 Page 1 of 4
PAYROLL REPORTING FORM Page 2 of 3
NAME OF CONTRACTOR OR SUBCONTRACTOR
Preston Pipelines Infrastructure LLC
CONTRACTOR'S LICENSE NO: 1059395
SPECIALITY LICENSE NO:
ADDRESS
133 Bothelo Avenue , MILPITAS, CA 95035
PAYROLL NO.
3
FOR WEEK ENDING
08/18/2024
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: DC08272024
PROJECT AND LOCATION: Vallco-Continuation of Make Ready Utilities / CA
(1)
NAME, ADDRESS, AND
SOCIAL SECURITY
NUMBER
OF WORKER
(2)
NO
O
F
W
I
T
H
-
HO
L
D
I
N
G
EX
E
M
P
T
I
O
N
S
(3)
WORK
CLASSIFICATION
ST
/
O
T
/
D
T
/
H
T
(4) DAY AND DATE (5)
TOTAL
HOURS
(6)
RATE
OF PAY
CASH
FRINGE
(7)
GROSS
AMOUNT
EARNED
(THIS / ALL)
(8)
DEDUCTIONS, CONTRIBUTIONS AND PAYMENTS
(9)
NET WAGES
PAID FOR
WEEK
(10)
Check No.
/DateMonTueWedThuFriSatSun
12 13 14 15 16 17 18
HOURS WORKED EACH DAY
Michael J Davis
1220 SUNSET DR.
HOLLISTER, CA 95023
xxx-xx-6205
M/2
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 7 (Area 1)
S 8.00 8.00 8.00 24.00 56.03 1,386.75
2,753.91
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,828.05 DD182805
08/23/2024O0.50 0.50 84.05
210.67 310.24 114.08 30.29 6.06 148.47 10.84 265.58 11.28 276.36
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 29.65 4.11 100.70 260.58 925.86
Jason Hayes
18393 ALCALA CT.
MORGAN HILL, CA 95037
xxx-xx-8561
S/0
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 3 (Area 1)
S 2.00 2.00 75.21 150.42
3,250.80
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,854.05 DD185405
08/23/2024O
248.69 618.70 251.20 35.76 6.06 12.12 10.84 21.68 11.28 22.56
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 2.42 4.11 8.22 242.40 1,396.75
Heriberto Jimenez
1261 SOUTH ST
HOLLISTER, CA 95023
xxx-xx-8449
M/4
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 3 (Area 1)
S 8.00 8.00 8.00 24.00 67.62 1,622.88
1,768.32
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,468.15 DD146815
08/23/2024O
135.28 19.45 6.06 145.44 10.84 260.16 11.28 270.72
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 29.04 4.11 98.64 145.44 300.17
Rafael L Quiroz
240 GURRIES DR
GILROY, CA 95020
xxx-xx-8279
S/1
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 3; Group 3 (A)
(Area 1)
S 8.00 8.00 8.00 8.00 8.00 40.00 37.50 1,500.00
1,640.40
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,050.87 DD105087
08/23/2024O
125.50 222.18 83.41 18.04 3.51 140.40 10.60 424.00 10.46 418.40
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 20.80 4.82 192.80 140.40 589.53
S = STRAIGHT TIME
O = OVERTIME
D = DOUBLETIME
SDI = STATE DISABILITY INSURANCE
OTHER-Any other deductions and/or payments whether or not included orrequired by prevailing wage determinations must be separately listed.Use extra sheet(s) if
necessary
CERTIFICATION MUST be completed
(See Statement of Compliance)
Printed Date: 9/11/2024 Page 2 of 4
PAYROLL REPORTING FORM Page 3 of 3
NAME OF CONTRACTOR OR SUBCONTRACTOR
Preston Pipelines Infrastructure LLC
CONTRACTOR'S LICENSE NO: 1059395
SPECIALITY LICENSE NO:
ADDRESS
133 Bothelo Avenue , MILPITAS, CA 95035
PAYROLL NO.
3
FOR WEEK ENDING
08/18/2024
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: DC08272024
PROJECT AND LOCATION: Vallco-Continuation of Make Ready Utilities / CA
(1)
NAME, ADDRESS, AND
SOCIAL SECURITY
NUMBER
OF WORKER
(2)
NO
O
F
W
I
T
H
-
HO
L
D
I
N
G
EX
E
M
P
T
I
O
N
S
(3)
WORK
CLASSIFICATION
ST
/
O
T
/
D
T
/
H
T
(4) DAY AND DATE (5)
TOTAL
HOURS
(6)
RATE
OF PAY
CASH
FRINGE
(7)
GROSS
AMOUNT
EARNED
(THIS / ALL)
(8)
DEDUCTIONS, CONTRIBUTIONS AND PAYMENTS
(9)
NET WAGES
PAID FOR
WEEK
(10)
Check No.
/DateMonTueWedThuFriSatSun
12 13 14 15 16 17 18
HOURS WORKED EACH DAY
Orlando H Rodriguez
3200 APTOS RANCHO RD
# 434
APTOS, CA 95003
xxx-xx-3644
S/2
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 4 (Area 1)
S 1.00 1.00 60.76 60.76
3,013.00
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,743.03 DD174303
08/23/2024O
230.50 521.94 220.78 33.14 6.06 6.06 10.84 10.84 11.28 11.28
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 1.21 4.11 4.11 263.61 1,269.97
S FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
O
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D
S FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
O
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D
S FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
O
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D
S = STRAIGHT TIME
O = OVERTIME
D = DOUBLETIME
SDI = STATE DISABILITY INSURANCE
OTHER-Any other deductions and/or payments whether or not included orrequired by prevailing wage determinations must be separately listed.Use extra sheet(s) if
necessary
CERTIFICATION MUST be completed
(See Statement of Compliance)
Printed Date: 9/11/2024 Page 3 of 4
STATE OF CALIFORNIA
STATEMENT OF COMPLIANCE
Date: 9/5/2024
Jocelyn Cortes Payroll Administrator do hereby certify under penalty of perjury:
(Name of Signatory Party)(Title)
(1) That I pay or supervise the payment of the persons reported on the Certified Payroll Report by
Preston Pipelines Infrastructure LLC on the Vallco-Continuation of Make Ready Utilities
(Contract/Subcontract: DC08272024) : that during the payroll period
(Contractor or Subcontractor) (Building or Work)
commencing on the 12th day of August 2024 , and ending the 18th day of August 2024 ,
all persons employed on said project have been paid and full weekly wages earned,that no rebates have
been or will be made either directly or indirectly to or on behalf of said
Preston Pipelines Infrastructure LLC from the full weekly sums earned by any person
(Contractor or Subcontractor)
and that no deductions have been made either directly or indirectly from the full sums earned by any person, other than permissible deductions, as described
below:
(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 the Bureau of Apprentice 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 noted 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 noted in Section
4(c) below.
(c) EXCEPTIONS
Exception (craft)EXPLANATION
REMARKS:
NAME AND TITLE SIGNATURE
Jocelyn Cortes
Payroll Administrator
THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR
CRIMINAL PROSECUTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 3729 OF TITLE 31 OF THE UNITED STATES CODE
Signed under penalty of perjury
Printed Date: 9/11/2024 Page 4 of 4
PAYROLL REPORTING FORM Page 1 of 3
NAME OF CONTRACTOR OR SUBCONTRACTOR
Preston Pipelines Infrastructure LLC
CONTRACTOR'S LICENSE NO: 1059395
SPECIALITY LICENSE NO:
ADDRESS
133 Bothelo Avenue , MILPITAS, CA 95035
PAYROLL NO.
4
FOR WEEK ENDING
08/25/2024
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: DC08272024
PROJECT AND LOCATION: Vallco-Continuation of Make Ready Utilities / CA
(1)
NAME, ADDRESS, AND
SOCIAL SECURITY
NUMBER
OF WORKER
(2)
NO
O
F
W
I
T
H
-
HO
L
D
I
N
G
EX
E
M
P
T
I
O
N
S
(3)
WORK
CLASSIFICATION
ST
/
O
T
/
D
T
/
H
T
(4) DAY AND DATE (5)
TOTAL
HOURS
(6)
RATE
OF PAY
CASH
FRINGE
(7)
GROSS
AMOUNT
EARNED
(THIS / ALL)
(8)
DEDUCTIONS, CONTRIBUTIONS AND PAYMENTS
(9)
NET WAGES
PAID FOR
WEEK
(10)
Check No.
/DateMonTueWedThuFriSatSun
19 20 21 22 23 24 25
HOURS WORKED EACH DAY
Gianmarco G Alvarez
580 AHWANEE AVE #93
SUNNYVALE, CA 94085
xxx-xx-8801
S/0
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 3; Group 3 (A)
(Area 1)
S 8.00 8.00 8.00 8.00 8.00 40.00 37.50 1,921.88
2,088.66
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,739.15 DD173915
08/30/2024O1.50 1.50 1.50 1.50 1.50 7.50 56.25
159.77 22.98 3.51 166.73 10.60 503.50 10.46 496.85
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 24.70 4.82 228.95 166.76 349.51
Ivan Arias
40640 HIGH STREET
FREMONT, CA 94538
xxx-xx-0614
M/0
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 4 (Area 1)
S 1.00 2.00 3.00 59.76 179.28
3,589.80
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
2,184.40 DD218440
08/30/2024O
274.62 494.14 195.39 39.49 6.06 18.18 10.84 32.52 11.28 33.84
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 3.63 4.11 12.33 401.76 1,405.40
Hector G Benavidez
1121 JONESPORT
COURT
SAN JOSE, CA 95131
xxx-xx-8855
S/0
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 1 (Area 1)
S 8.00 8.00 8.00 8.00 8.00 40.00 70.62 2,824.80
3,067.20
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,979.25 DD197925
08/30/2024O
234.65 415.55 161.61 33.74 6.06 242.40 10.84 433.60 11.28 451.20
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 48.40 4.11 164.40 242.40 1,087.95
Ricardo Benavidez-
palomino
1121 JONESPORT CT
SAN JOSE, CA 95131
xxx-xx-0887
S/0
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 3; Group 3 (A)
(Area 1)
S 8.00 8.00 8.00 8.00 8.00 40.00 38.50 1,540.00
1,680.41
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,053.24 DD105324
08/30/2024O
128.56 249.17 90.55 18.48 3.51 140.40 10.60 424.00 10.46 418.40
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 20.80 4.82 192.80 140.41 627.17
S = STRAIGHT TIME
O = OVERTIME
D = DOUBLETIME
SDI = STATE DISABILITY INSURANCE
OTHER-Any other deductions and/or payments whether or not included orrequired by prevailing wage determinations must be separately listed.Use extra sheet(s) if
necessary
CERTIFICATION MUST be completed
(See Statement of Compliance)
Printed Date: 9/11/2024 Page 1 of 4
PAYROLL REPORTING FORM Page 2 of 3
NAME OF CONTRACTOR OR SUBCONTRACTOR
Preston Pipelines Infrastructure LLC
CONTRACTOR'S LICENSE NO: 1059395
SPECIALITY LICENSE NO:
ADDRESS
133 Bothelo Avenue , MILPITAS, CA 95035
PAYROLL NO.
4
FOR WEEK ENDING
08/25/2024
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: DC08272024
PROJECT AND LOCATION: Vallco-Continuation of Make Ready Utilities / CA
(1)
NAME, ADDRESS, AND
SOCIAL SECURITY
NUMBER
OF WORKER
(2)
NO
O
F
W
I
T
H
-
HO
L
D
I
N
G
EX
E
M
P
T
I
O
N
S
(3)
WORK
CLASSIFICATION
ST
/
O
T
/
D
T
/
H
T
(4) DAY AND DATE (5)
TOTAL
HOURS
(6)
RATE
OF PAY
CASH
FRINGE
(7)
GROSS
AMOUNT
EARNED
(THIS / ALL)
(8)
DEDUCTIONS, CONTRIBUTIONS AND PAYMENTS
(9)
NET WAGES
PAID FOR
WEEK
(10)
Check No.
/DateMonTueWedThuFriSatSun
19 20 21 22 23 24 25
HOURS WORKED EACH DAY
Michael J Davis
1220 SUNSET DR.
HOLLISTER, CA 95023
xxx-xx-6205
M/2
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 7 (Area 1)
S 8.00 8.00 16.00 56.03 896.48
2,889.07
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,899.88 DD189988
08/30/2024O
221.01 339.98 126.75 31.78 6.06 96.96 10.84 173.44 11.28 180.48
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 19.36 4.11 65.76 269.67 989.19
Heriberto Jimenez
1261 SOUTH ST
HOLLISTER, CA 95023
xxx-xx-8449
M/4
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 3 (Area 1)
S 8.00 8.00 8.00 8.00 32.00 67.62 2,163.84
3,217.68
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
2,693.74 DD269374
08/30/2024O
246.15 35.39 6.06 193.92 10.84 346.88 11.28 360.96
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 38.72 4.11 131.52 242.40 523.94
Rudy D Morales
1820 CAROUSEL DR
HOLLISTER, CA 95023
xxx-xx-6436
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 5 (Area 1)
S 2.00 2.00 58.49 116.98
3,801.34
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
2,229.22 DD222922
08/30/2024O
290.80 664.73 253.60 41.81 6.06 12.12 10.84 21.68 11.28 22.56
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 2.42 4.11 8.22 321.18 1,572.12
Rafael L Quiroz
240 GURRIES DR
GILROY, CA 95020
xxx-xx-8279
S/1
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 3; Group 3 (A)
(Area 1)
S 8.00 8.00 8.00 8.00 8.00 40.00 37.50 1,500.00
1,640.41
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,050.89 DD105089
08/30/2024O
125.48 222.18 83.41 18.04 3.51 140.40 10.60 424.00 10.46 418.40
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 20.80 4.82 192.80 140.41 589.52
S = STRAIGHT TIME
O = OVERTIME
D = DOUBLETIME
SDI = STATE DISABILITY INSURANCE
OTHER-Any other deductions and/or payments whether or not included orrequired by prevailing wage determinations must be separately listed.Use extra sheet(s) if
necessary
CERTIFICATION MUST be completed
(See Statement of Compliance)
Printed Date: 9/11/2024 Page 2 of 4
PAYROLL REPORTING FORM Page 3 of 3
NAME OF CONTRACTOR OR SUBCONTRACTOR
Preston Pipelines Infrastructure LLC
CONTRACTOR'S LICENSE NO: 1059395
SPECIALITY LICENSE NO:
ADDRESS
133 Bothelo Avenue , MILPITAS, CA 95035
PAYROLL NO.
4
FOR WEEK ENDING
08/25/2024
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: DC08272024
PROJECT AND LOCATION: Vallco-Continuation of Make Ready Utilities / CA
(1)
NAME, ADDRESS, AND
SOCIAL SECURITY
NUMBER
OF WORKER
(2)
NO
O
F
W
I
T
H
-
HO
L
D
I
N
G
EX
E
M
P
T
I
O
N
S
(3)
WORK
CLASSIFICATION
ST
/
O
T
/
D
T
/
H
T
(4) DAY AND DATE (5)
TOTAL
HOURS
(6)
RATE
OF PAY
CASH
FRINGE
(7)
GROSS
AMOUNT
EARNED
(THIS / ALL)
(8)
DEDUCTIONS, CONTRIBUTIONS AND PAYMENTS
(9)
NET WAGES
PAID FOR
WEEK
(10)
Check No.
/DateMonTueWedThuFriSatSun
19 20 21 22 23 24 25
HOURS WORKED EACH DAY
Orlando H Rodriguez
3200 APTOS RANCHO RD
# 434
APTOS, CA 95003
xxx-xx-3644
S/2
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 4 (Area 1)
S 1.00 1.00 2.00 60.76 121.52
3,304.60
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,891.13 DD189113
08/30/2024O
252.80 591.92 250.61 36.35 6.06 12.12 10.84 21.68 11.28 22.56
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 2.42 4.11 8.22 281.79 1,413.47
S FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
O
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D
S FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
O
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D
S FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
O
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D
S = STRAIGHT TIME
O = OVERTIME
D = DOUBLETIME
SDI = STATE DISABILITY INSURANCE
OTHER-Any other deductions and/or payments whether or not included orrequired by prevailing wage determinations must be separately listed.Use extra sheet(s) if
necessary
CERTIFICATION MUST be completed
(See Statement of Compliance)
Printed Date: 9/11/2024 Page 3 of 4
STATE OF CALIFORNIA
STATEMENT OF COMPLIANCE
Date: 9/5/2024
Jocelyn Cortes Payroll Administrator do hereby certify under penalty of perjury:
(Name of Signatory Party)(Title)
(1) That I pay or supervise the payment of the persons reported on the Certified Payroll Report by
Preston Pipelines Infrastructure LLC on the Vallco-Continuation of Make Ready Utilities
(Contract/Subcontract: DC08272024) : that during the payroll period
(Contractor or Subcontractor) (Building or Work)
commencing on the 19th day of August 2024 , and ending the 25th day of August 2024 ,
all persons employed on said project have been paid and full weekly wages earned,that no rebates have
been or will be made either directly or indirectly to or on behalf of said
Preston Pipelines Infrastructure LLC from the full weekly sums earned by any person
(Contractor or Subcontractor)
and that no deductions have been made either directly or indirectly from the full sums earned by any person, other than permissible deductions, as described
below:
(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 the Bureau of Apprentice 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 noted 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 noted in Section
4(c) below.
(c) EXCEPTIONS
Exception (craft)EXPLANATION
REMARKS:
NAME AND TITLE SIGNATURE
Jocelyn Cortes
Payroll Administrator
THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR
CRIMINAL PROSECUTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 3729 OF TITLE 31 OF THE UNITED STATES CODE
Signed under penalty of perjury
Printed Date: 9/11/2024 Page 4 of 4
PAYROLL REPORTING FORM Page 1 of 2
NAME OF CONTRACTOR OR SUBCONTRACTOR
Preston Pipelines Infrastructure LLC
CONTRACTOR'S LICENSE NO: 1059395
SPECIALITY LICENSE NO:
ADDRESS
133 Bothelo Avenue , MILPITAS, CA 95035
PAYROLL NO.
5
FOR WEEK ENDING
09/01/2024
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: DC08272024
PROJECT AND LOCATION: Vallco-Continuation of Make Ready Utilities / CA
(1)
NAME, ADDRESS, AND
SOCIAL SECURITY
NUMBER
OF WORKER
(2)
NO
O
F
W
I
T
H
-
HO
L
D
I
N
G
EX
E
M
P
T
I
O
N
S
(3)
WORK
CLASSIFICATION
ST
/
O
T
/
D
T
/
H
T
(4) DAY AND DATE (5)
TOTAL
HOURS
(6)
RATE
OF PAY
CASH
FRINGE
(7)
GROSS
AMOUNT
EARNED
(THIS / ALL)
(8)
DEDUCTIONS, CONTRIBUTIONS AND PAYMENTS
(9)
NET WAGES
PAID FOR
WEEK
(10)
Check No.
/DateMonTueWedThuFriSatSun
26 27 28 29 30 31 01
HOURS WORKED EACH DAY
Enrique H Ayala
517 Ward Rd
LOS BANOS, CA 93635
xxx-xx-8916
S/0
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 5 (Area 1)
S 3.00 3.00 58.49 175.47
3,097.36
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,598.38 DD159838
09/06/2024O
236.95 581.88 235.50 34.07 6.06 18.18 10.84 32.52 11.28 33.84
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 3.63 4.11 12.33 410.58 1,498.98
Maclovio Martinez
1757 HIGHBRIDGE WAY
SACRAMENTO, CA 95832
xxx-xx-8132
M/3
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 3; Group 3 (A)
(Area 1)
S 8.00 8.00 37.50 300.00
1,640.40
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,207.27 DD120727
09/06/2024O
125.48 120.54 28.67 18.04 3.51 28.08 10.60 84.80 10.46 83.68
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 4.16 4.82 38.56 140.40 433.13
Logan T Murray
8920 LOST HORIZON RD
CAMERON PARK, CA
95682
xxx-xx-0656
M/0
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 4 (Area 1)
S 8.00 8.00 59.76 478.08
2,634.55
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,722.51 DD172251
09/06/2024O
201.54 320.37 118.75 28.98 6.06 48.48 10.84 86.72 11.28 90.24
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 9.68 4.11 32.88 242.40 912.04
Edgar E Navarro
1845 NIGHTINGALE AVE
STOCKTON, CA 95205
xxx-xx-2829
M/2
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 1; Group 1(B)
(Area 1)
S 8.00 8.00 64.62 516.96
2,725.20
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,930.86 DD193086
09/06/2024O
208.47 303.93 111.56 29.98 3.51 28.08 10.60 84.80 10.46 83.68
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 4.16 4.82 38.56 140.40 794.34
S = STRAIGHT TIME
O = OVERTIME
D = DOUBLETIME
SDI = STATE DISABILITY INSURANCE
OTHER-Any other deductions and/or payments whether or not included orrequired by prevailing wage determinations must be separately listed.Use extra sheet(s) if
necessary
CERTIFICATION MUST be completed
(See Statement of Compliance)
Printed Date: 9/11/2024 Page 1 of 3
PAYROLL REPORTING FORM Page 2 of 2
NAME OF CONTRACTOR OR SUBCONTRACTOR
Preston Pipelines Infrastructure LLC
CONTRACTOR'S LICENSE NO: 1059395
SPECIALITY LICENSE NO:
ADDRESS
133 Bothelo Avenue , MILPITAS, CA 95035
PAYROLL NO.
5
FOR WEEK ENDING
09/01/2024
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: DC08272024
PROJECT AND LOCATION: Vallco-Continuation of Make Ready Utilities / CA
(1)
NAME, ADDRESS, AND
SOCIAL SECURITY
NUMBER
OF WORKER
(2)
NO
O
F
W
I
T
H
-
HO
L
D
I
N
G
EX
E
M
P
T
I
O
N
S
(3)
WORK
CLASSIFICATION
ST
/
O
T
/
D
T
/
H
T
(4) DAY AND DATE (5)
TOTAL
HOURS
(6)
RATE
OF PAY
CASH
FRINGE
(7)
GROSS
AMOUNT
EARNED
(THIS / ALL)
(8)
DEDUCTIONS, CONTRIBUTIONS AND PAYMENTS
(9)
NET WAGES
PAID FOR
WEEK
(10)
Check No.
/DateMonTueWedThuFriSatSun
26 27 28 29 30 31 01
HOURS WORKED EACH DAY
Martin Navarro
5110 DANA AVE
STOCKTON, CA 95215
xxx-xx-0012
M/1
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 3; Group 3 (A)
(Area 1)
S 8.00 8.00 40.50 324.00
1,760.40
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,263.11 DD126311
09/06/2024O
134.66 154.79 48.08 19.36 3.51 28.08 10.60 84.80 10.46 83.68
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 4.16 4.82 38.56 140.40 497.29
Salvador Navarro
1620 W POPLAR STREET
STOCKTON, CA 95203
xxx-xx-6602
M/1
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 1; Group 1(B)
(Area 1)
S 8.00 8.00 40.50 445.50
2,403.00
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,649.44 DD164944
09/06/2024O2.00 2.00 60.75
183.83 269.43 98.37 26.43 3.51 35.10 10.60 106.00 10.46 104.60
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 5.20 4.82 48.20 175.50 753.56
S FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
O
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D
S FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
O
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D
S = STRAIGHT TIME
O = OVERTIME
D = DOUBLETIME
SDI = STATE DISABILITY INSURANCE
OTHER-Any other deductions and/or payments whether or not included orrequired by prevailing wage determinations must be separately listed.Use extra sheet(s) if
necessary
CERTIFICATION MUST be completed
(See Statement of Compliance)
Printed Date: 9/11/2024 Page 2 of 3
STATE OF CALIFORNIA
STATEMENT OF COMPLIANCE
Date: 9/5/2024
Jocelyn Cortes Payroll Administrator do hereby certify under penalty of perjury:
(Name of Signatory Party)(Title)
(1) That I pay or supervise the payment of the persons reported on the Certified Payroll Report by
Preston Pipelines Infrastructure LLC on the Vallco-Continuation of Make Ready Utilities
(Contract/Subcontract: DC08272024) : that during the payroll period
(Contractor or Subcontractor) (Building or Work)
commencing on the 26th day of August 2024 , and ending the 1st day of September 2024 ,
all persons employed on said project have been paid and full weekly wages earned,that no rebates have
been or will be made either directly or indirectly to or on behalf of said
Preston Pipelines Infrastructure LLC from the full weekly sums earned by any person
(Contractor or Subcontractor)
and that no deductions have been made either directly or indirectly from the full sums earned by any person, other than permissible deductions, as described
below:
(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 the Bureau of Apprentice 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 noted 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 noted in Section
4(c) below.
(c) EXCEPTIONS
Exception (craft)EXPLANATION
REMARKS:
NAME AND TITLE SIGNATURE
Jocelyn Cortes
Payroll Administrator
THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR
CRIMINAL PROSECUTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 3729 OF TITLE 31 OF THE UNITED STATES CODE
Signed under penalty of perjury
Printed Date: 9/11/2024 Page 3 of 3