2025-02 - Labor Report Preston PipelineOriginal PAYROLL REPORTING FORM Page 1 of 5
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
02/02/2025
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: 20240543108
PROJECT AND LOCATION: The Rise at Vallco Horizontal Ph1A / 10123 N Wolfe
Rd, Cupertino, 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
27 28 29 30 31 01 02
HOURS WORKED EACH DAY
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
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 32.00 37.50 1,200.00
1,642.15
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,036.08 DD103608
02/07/2025O
125.62 236.39 83.95 19.71 3.51 112.32 10.60 339.20 10.46 334.72
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 16.64 4.82 154.24 140.40 606.07
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
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
2,501.16
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,620.43 DD162043
02/07/2025O
191.33 245.91 84.44 30.01 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 8.22 329.04 880.73
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
S/0
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 5 (Area 1)
S 2.00 2.00 58.49 380.22
3,519.96
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,801.70 DD180170
02/07/2025O3.00 3.00 87.75
269.28 677.69 276.05 42.24 6.06 30.30 10.84 54.20 11.28 56.40
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 6.05 4.11 20.55 453.00 1,718.26
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/0
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 1 (Area 1)
S 8.00 8.00 8.00 24.00 58.18 1,396.32
1,482.31
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,103.22 DD110322
02/07/2025O
113.41 129.24 34.41 17.79 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 84.24 379.09
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: 3/12/2025 Page 1 of 29
Original PAYROLL REPORTING FORM Page 2 of 5
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
02/02/2025
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: 20240543108
PROJECT AND LOCATION: The Rise at Vallco Horizontal Ph1A / 10123 N Wolfe
Rd, Cupertino, 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
27 28 29 30 31 01 02
HOURS WORKED EACH DAY
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
S/5
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 7 (Area 1)
S 5.00 5.00 61.14 305.70
2,639.25
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,529.19 DD152919
02/07/2025O
201.90 466.32 185.95 31.67 6.06 30.30 10.84 54.20 11.28 56.40
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 6.05 4.11 20.55 224.22 1,110.06
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
S/8
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
2,770.00
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,613.30 DD161330
02/07/2025O
211.91 338.98 174.11 33.24 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 4.11 398.46 1,156.70
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/2
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 7 (Area 1)
S 5.00 5.00 56.03 280.15
2,347.30
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,633.82 DD163382
02/07/2025O
179.58 213.20 74.37 28.17 6.06 30.30 10.84 54.20 11.28 56.40
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 6.05 4.11 20.55 218.16 713.48
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
S/0
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 8-A (Area 1)
S 6.00 6.00 60.76 364.56
3,936.40
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
2,169.02 DD216902
02/07/2025O
301.14 779.17 318.65 47.24 6.06 36.36 10.84 65.04 11.28 67.68
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 7.26 4.82 28.92 321.18 1,767.38
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: 3/12/2025 Page 2 of 29
Original PAYROLL REPORTING FORM Page 3 of 5
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
02/02/2025
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: 20240543108
PROJECT AND LOCATION: The Rise at Vallco Horizontal Ph1A / 10123 N Wolfe
Rd, Cupertino, 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
27 28 29 30 31 01 02
HOURS WORKED EACH DAY
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/4
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 3; Group 3 (A)
(Area 1)
S 2.00 2.00 44.70 89.40
2,281.20
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,672.24 DD167224
02/07/2025O
174.51 185.42 63.71 27.37 3.51 7.02 10.60 21.20 10.46 20.92
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 1.04 4.82 9.64 157.95 608.96
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
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 37.50 900.00
984.24
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
747.12 DD74712
02/07/2025O
75.31 59.65 6.11 11.81 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 84.24 237.12
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/4
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 43.50 1,435.50
2,679.25
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,920.98 DD192098
02/07/2025O2.00 2.00 2.00 6.00 65.25
204.96 248.70 96.96 32.15 3.51 105.30 10.60 318.00 10.46 313.80
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 15.60 4.82 144.60 175.50 758.27
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/4
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 3; Group 3 (A)
(Area 1)
S 8.00 8.00 16.00 48.50 921.50
2,679.25
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,920.98 DD192098
02/07/2025O2.00 2.00 72.75
204.96 248.70 96.96 32.15 3.51 63.18 10.60 190.80 10.46 188.28
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 9.36 4.82 86.76 175.50 758.27
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: 3/12/2025 Page 3 of 29
Original PAYROLL REPORTING FORM Page 4 of 5
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
02/02/2025
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: 20240543108
PROJECT AND LOCATION: The Rise at Vallco Horizontal Ph1A / 10123 N Wolfe
Rd, Cupertino, 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
27 28 29 30 31 01 02
HOURS WORKED EACH DAY
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/4
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 3; Group 3 (A)
(Area 1)
S 145.00
2,679.25
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,920.98 DD192098
02/07/2025O2.00 2.00 72.50
204.96 248.70 96.96 32.15 3.51 7.02 10.60 21.20 10.46 20.92
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 1.04 4.82 9.64 175.50 758.27
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
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
1,221.72 DD122172
02/07/2025O
125.48 108.62 24.50 19.68 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 4.82 192.80 140.40 418.68
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/1
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 8-A (Area 1)
S 1.00 1.00 52.68 52.68
1,964.76
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,590.90 DD159090
02/07/2025O
150.30 23.58 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 4.11 199.98 373.86
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/2
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 3; Group 3 (A)
(Area 1)
S 1.00 1.00 40.50 40.50
3,013.62
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
2,013.20 DD201320
02/07/2025O
230.53 376.84 147.96 36.16 3.51 3.51 10.60 10.60 10.46 10.46
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 0.52 4.82 4.82 208.93 1,000.42
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: 3/12/2025 Page 4 of 29
Original PAYROLL REPORTING FORM Page 5 of 5
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
02/02/2025
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: 20240543108
PROJECT AND LOCATION: The Rise at Vallco Horizontal Ph1A / 10123 N Wolfe
Rd, Cupertino, 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
27 28 29 30 31 01 02
HOURS WORKED EACH DAY
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/3
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 4 (Area 1)
S 6.00 4.00 1.00 2.00 2.00 15.00 101.47 1,522.05
4,301.21
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
2,791.94 DD279194
02/07/2025O
329.05 623.73 262.48 51.61 6.06 90.90 10.84 162.60 11.28 169.20
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 18.15 4.11 61.65 242.40 1,509.27
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
S/0
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 61.14 2,445.60
2,689.75
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,539.74 DD153974
02/07/2025O
205.77 478.44 191.12 32.28 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 1,150.01
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: 3/12/2025 Page 5 of 29
STATE OF CALIFORNIA
STATEMENT OF COMPLIANCE
Date: 2/6/2025
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 The Rise at Vallco Horizontal Ph1A
(Contract/Subcontract: 20240543108) : that during the payroll period
(Contractor or Subcontractor) (Building or Work)
commencing on the 27th day of January 2025 , and ending the 2nd day of February 2025 ,
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
02/06/2025 10:26:06
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: 3/12/2025 Page 6 of 29
Iteration 1 PAYROLL 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.
2
FOR WEEK ENDING
02/02/2025
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: 20240543108
PROJECT AND LOCATION: The Rise at Vallco Horizontal Ph1A / 10123 N Wolfe
Rd, Cupertino, 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
27 28 29 30 31 01 02
HOURS WORKED EACH DAY
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/0
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 1; Group 1(B)
(Area 1)
S FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
DD110322
02/07/2025O
-2.55 -61.20 -0.24 -5.76 -0.82 -19.68
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D -0.69 -16.56 0.71 17.04
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: 3/12/2025 Page 7 of 29
STATE OF CALIFORNIA
STATEMENT OF COMPLIANCE
Date: 2/6/2025
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 The Rise at Vallco Horizontal Ph1A
(Contract/Subcontract: 20240543108) : that during the payroll period
(Contractor or Subcontractor) (Building or Work)
commencing on the 27th day of January 2025 , and ending the 2nd day of February 2025 ,
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
02/06/2025 13:13:41
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: 3/12/2025 Page 8 of 29
Final (after all iterations)PAYROLL REPORTING FORM Page 1 of 5
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
02/02/2025
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: 20240543108
PROJECT AND LOCATION: The Rise at Vallco Horizontal Ph1A / 10123 N Wolfe
Rd, Cupertino, 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
27 28 29 30 31 01 02
HOURS WORKED EACH DAY
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
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 32.00 37.50 1,200.00
1,642.15
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,036.08 DD103608
02/07/2025O
125.62 236.39 83.95 19.71 3.51 112.32 10.60 339.20 10.46 334.72
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 16.64 4.82 154.24 140.40 606.07
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
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
2,501.16
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,620.43 DD162043
02/07/2025O
191.33 245.91 84.44 30.01 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 8.22 329.04 880.73
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
S/0
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 5 (Area 1)
S 2.00 2.00 58.49 380.22
3,519.96
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,801.70 DD180170
02/07/2025O3.00 3.00 87.75
269.28 677.69 276.05 42.24 6.06 30.30 10.84 54.20 11.28 56.40
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 6.05 4.11 20.55 453.00 1,718.26
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/0
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 1; Group 1(B)
(Area 1)
S 8.00 8.00 8.00 24.00 58.18 1,396.32
1,482.31
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,103.22 DD110322
02/07/2025O
113.41 129.24 34.41 17.79 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 84.24 379.09
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: 3/12/2025 Page 9 of 29
Final (after all iterations)PAYROLL REPORTING FORM Page 2 of 5
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
02/02/2025
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: 20240543108
PROJECT AND LOCATION: The Rise at Vallco Horizontal Ph1A / 10123 N Wolfe
Rd, Cupertino, 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
27 28 29 30 31 01 02
HOURS WORKED EACH DAY
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
S/5
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 7 (Area 1)
S 5.00 5.00 61.14 305.70
2,639.25
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,529.19 DD152919
02/07/2025O
201.90 466.32 185.95 31.67 6.06 30.30 10.84 54.20 11.28 56.40
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 6.05 4.11 20.55 224.22 1,110.06
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
S/8
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
2,770.00
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,613.30 DD161330
02/07/2025O
211.91 338.98 174.11 33.24 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 4.11 398.46 1,156.70
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/2
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 7 (Area 1)
S 5.00 5.00 56.03 280.15
2,347.30
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,633.82 DD163382
02/07/2025O
179.58 213.20 74.37 28.17 6.06 30.30 10.84 54.20 11.28 56.40
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 6.05 4.11 20.55 218.16 713.48
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
S/0
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 8-A (Area 1)
S 6.00 6.00 60.76 364.56
3,936.40
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
2,169.02 DD216902
02/07/2025O
301.14 779.17 318.65 47.24 6.06 36.36 10.84 65.04 11.28 67.68
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 7.26 4.82 28.92 321.18 1,767.38
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: 3/12/2025 Page 10 of 29
Final (after all iterations)PAYROLL REPORTING FORM Page 3 of 5
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
02/02/2025
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: 20240543108
PROJECT AND LOCATION: The Rise at Vallco Horizontal Ph1A / 10123 N Wolfe
Rd, Cupertino, 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
27 28 29 30 31 01 02
HOURS WORKED EACH DAY
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/4
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 3; Group 3 (A)
(Area 1)
S 2.00 2.00 44.70 89.40
2,281.20
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,672.24 DD167224
02/07/2025O
174.51 185.42 63.71 27.37 3.51 7.02 10.60 21.20 10.46 20.92
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 1.04 4.82 9.64 157.95 608.96
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
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 37.50 900.00
984.24
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
747.12 DD74712
02/07/2025O
75.31 59.65 6.11 11.81 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 84.24 237.12
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/4
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 43.50 1,435.50
2,679.25
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,920.98 DD192098
02/07/2025O2.00 2.00 2.00 6.00 65.25
204.96 248.70 96.96 32.15 3.51 105.30 10.60 318.00 10.46 313.80
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 15.60 4.82 144.60 175.50 758.27
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/4
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 3; Group 3 (A)
(Area 1)
S 8.00 8.00 16.00 48.50 921.50
2,679.25
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,920.98 DD192098
02/07/2025O2.00 2.00 72.75
204.96 248.70 96.96 32.15 3.51 63.18 10.60 190.80 10.46 188.28
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 9.36 4.82 86.76 175.50 758.27
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: 3/12/2025 Page 11 of 29
Final (after all iterations)PAYROLL REPORTING FORM Page 4 of 5
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
02/02/2025
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: 20240543108
PROJECT AND LOCATION: The Rise at Vallco Horizontal Ph1A / 10123 N Wolfe
Rd, Cupertino, 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
27 28 29 30 31 01 02
HOURS WORKED EACH DAY
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/4
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 3; Group 3 (A)
(Area 1)
S 145.00
2,679.25
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,920.98 DD192098
02/07/2025O2.00 2.00 72.50
204.96 248.70 96.96 32.15 3.51 7.02 10.60 21.20 10.46 20.92
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 1.04 4.82 9.64 175.50 758.27
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
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
1,221.72 DD122172
02/07/2025O
125.48 108.62 24.50 19.68 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 4.82 192.80 140.40 418.68
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/1
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 8-A (Area 1)
S 1.00 1.00 52.68 52.68
1,964.76
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,590.90 DD159090
02/07/2025O
150.30 23.58 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 4.11 199.98 373.86
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/2
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 3; Group 3 (A)
(Area 1)
S 1.00 1.00 40.50 40.50
3,013.62
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
2,013.20 DD201320
02/07/2025O
230.53 376.84 147.96 36.16 3.51 3.51 10.60 10.60 10.46 10.46
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 0.52 4.82 4.82 208.93 1,000.42
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: 3/12/2025 Page 12 of 29
Final (after all iterations)PAYROLL REPORTING FORM Page 5 of 5
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
02/02/2025
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: 20240543108
PROJECT AND LOCATION: The Rise at Vallco Horizontal Ph1A / 10123 N Wolfe
Rd, Cupertino, 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
27 28 29 30 31 01 02
HOURS WORKED EACH DAY
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/3
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 4 (Area 1)
S 6.00 4.00 1.00 2.00 2.00 15.00 101.47 1,522.05
4,301.21
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
2,791.94 DD279194
02/07/2025O
329.05 623.73 262.48 51.61 6.06 90.90 10.84 162.60 11.28 169.20
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 18.15 4.11 61.65 242.40 1,509.27
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
S/0
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 61.14 2,445.60
2,689.75
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,539.74 DD153974
02/07/2025O
205.77 478.44 191.12 32.28 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 1,150.01
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: 3/12/2025 Page 13 of 29
STATE OF CALIFORNIA
STATEMENT OF COMPLIANCE
Date: 2/6/2025
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 The Rise at Vallco Horizontal Ph1A
(Contract/Subcontract: 20240543108) : that during the payroll period
(Contractor or Subcontractor) (Building or Work)
commencing on the 27th day of January 2025 , and ending the 2nd day of February 2025 ,
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
02/06/2025 13:13:41
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: 3/12/2025 Page 14 of 29
PAYROLL REPORTING FORM Page 1 of 4
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
02/09/2025
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: 20240543108
PROJECT AND LOCATION: The Rise at Vallco Horizontal Ph1A / 10123 N Wolfe
Rd, Cupertino, 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
03 04 05 06 07 08 09
HOURS WORKED EACH DAY
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
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 37.50 956.25
1,045.75
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
727.42 DD72742
02/14/2025O1.00 1.00 56.25
80.00 106.13 31.90 12.55 3.51 87.75 10.60 265.00 10.46 261.50
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 13.00 4.82 120.50 87.75 318.33
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/0
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 4 (Area 1)
S 1.00 2.00 2.00 5.00 59.76 298.80
1,579.68
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,050.04 DD105004
02/14/2025O
120.85 121.08 24.55 18.96 6.06 30.30 10.84 54.20 11.28 56.40
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 6.05 4.11 20.55 244.20 529.64
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/0
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 1; Group 1(B)
(Area 1)
S 8.00 8.00 8.00 24.00 58.18 1,483.59
1,573.09
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,167.58 DD116758
02/14/2025O1.00 1.00 87.27
120.34 140.14 38.40 18.88 3.51 87.75 10.60 265.00 10.46 261.50
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 13.00 4.82 120.50 87.75 405.51
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
S/8
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 4 (Area 1)
S 5.00 5.00 60.76 303.80
2,672.80
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,712.11 DD171211
02/14/2025O
204.46 317.59 164.17 32.07 6.06 30.30 10.84 54.20 11.28 56.40
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 6.05 4.11 20.55 242.40 960.69
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: 3/12/2025 Page 15 of 29
PAYROLL REPORTING FORM Page 2 of 4
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
02/09/2025
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: 20240543108
PROJECT AND LOCATION: The Rise at Vallco Horizontal Ph1A / 10123 N Wolfe
Rd, Cupertino, 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
03 04 05 06 07 08 09
HOURS WORKED EACH DAY
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
S/1
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 4 (Area 1)
S 2.00 2.00 60.76 121.52
1,937.78
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,196.28 DD119628
02/14/2025O
148.24 283.23 111.04 23.25 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 8.22 175.74 741.50
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
S/2
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 7 (Area 1)
S 8.00 8.00 61.14 626.69
3,470.44
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
2,011.93 DD201193
02/14/2025O1.50 1.50 91.71
265.48 626.12 264.68 41.65 6.06 57.57 10.84 102.98 11.28 107.16
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 11.50 4.11 39.05 260.58 1,458.51
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/0
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 7 (Area 1)
S 8.00 8.00 56.03 616.35
3,428.57
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
2,154.38 DD215438
02/14/2025O2.00 2.00 84.06
262.29 486.32 193.56 41.14 6.06 60.60 10.84 108.40 11.28 112.80
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 12.10 4.11 41.10 290.88 1,274.19
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
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
328.08
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
270.97 DD27097
02/14/2025O
25.09 3.94 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 28.08 57.11
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: 3/12/2025 Page 16 of 29
PAYROLL REPORTING FORM Page 3 of 4
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
02/09/2025
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: 20240543108
PROJECT AND LOCATION: The Rise at Vallco Horizontal Ph1A / 10123 N Wolfe
Rd, Cupertino, 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
03 04 05 06 07 08 09
HOURS WORKED EACH DAY
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
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
1,859.08 DD185908
02/14/2025O
248.69 613.10 248.52 39.01 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 1,391.72
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/4
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 3; Group 3 (A)
(Area 1)
S 8.00 8.00 16.00 43.50 957.00
1,028.95
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
829.96 DD82996
02/14/2025O2.00 2.00 4.00 65.25
78.72 36.93 0.79 12.35 3.51 70.20 10.60 212.00 10.46 209.20
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 10.40 4.82 96.40 70.20 198.99
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
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 37.50 900.00
984.24
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
782.54 DD78254
02/14/2025O
75.30 30.35 11.81 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 84.24 201.70
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 3; Group 3 (A)
(Area 1)
S 8.00 8.00 43.50 478.50
889.68
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
715.60 DD71560
02/14/2025O2.00 2.00 65.25
68.06 31.28 0.88 10.68 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 63.18 174.08
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: 3/12/2025 Page 17 of 29
PAYROLL REPORTING FORM Page 4 of 4
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
02/09/2025
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: 20240543108
PROJECT AND LOCATION: The Rise at Vallco Horizontal Ph1A / 10123 N Wolfe
Rd, Cupertino, 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
03 04 05 06 07 08 09
HOURS WORKED EACH DAY
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
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
2,791.95 DD279195
02/14/2025O
329.04 623.73 262.47 51.61 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 1,509.25
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
S/0
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 61.14 1,467.36
1,614.55
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,014.77 DD101477
02/14/2025O
123.52 230.32 81.13 19.37 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 98.64 145.44 599.78
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: 3/12/2025 Page 18 of 29
STATE OF CALIFORNIA
STATEMENT OF COMPLIANCE
Date: 2/20/2025
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 The Rise at Vallco Horizontal Ph1A
(Contract/Subcontract: 20240543108) : that during the payroll period
(Contractor or Subcontractor) (Building or Work)
commencing on the 3rd day of February 2025 , and ending the 9th day of February 2025 ,
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
02/20/2025 13:23:04
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: 3/12/2025 Page 19 of 29
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
02/16/2025
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: 20240543108
PROJECT AND LOCATION: The Rise at Vallco Horizontal Ph1A / 10123 N Wolfe
Rd, Cupertino, 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
10 11 12 13 14 15 16
HOURS WORKED EACH DAY
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
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 32.00 37.50 1,903.19
2,061.10
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,267.12 DD126712
02/21/2025O2.50 3.00 3.50 3.50 12.50 56.26
157.67 328.56 126.81 24.73 3.51 156.20 10.60 471.70 10.46 465.47
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 23.14 4.82 214.49 156.21 793.98
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
S/0
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 5 (Area 1)
S 4.00 4.00 58.49 233.96
3,050.99
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,715.06 DD171506
02/21/2025O
233.40 565.14 228.08 36.61 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 16.44 272.70 1,335.93
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/0
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 1; Group 1(B)
(Area 1)
S 8.00 8.00 8.00 8.00 32.00 58.18 2,341.75
2,721.89
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,881.78 DD188178
02/21/2025O1.50 2.00 2.00 5.50 87.27
208.23 330.85 122.70 32.66 3.51 131.63 10.60 397.50 10.46 392.25
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 19.50 4.82 180.75 145.67 840.11
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
S/0
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 7 (Area 1)
S 1.00 1.00 61.14 427.98
3,567.94
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,985.06 DD198506
02/21/2025O4.00 4.00 91.71
272.95 689.21 280.96 42.82 6.06 30.30 10.84 54.20 11.28 56.40
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 6.05 4.11 20.55 296.94 1,582.88
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: 3/12/2025 Page 20 of 29
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
02/16/2025
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: 20240543108
PROJECT AND LOCATION: The Rise at Vallco Horizontal Ph1A / 10123 N Wolfe
Rd, Cupertino, 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
10 11 12 13 14 15 16
HOURS WORKED EACH DAY
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
S/0
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 3 (Area 1)
S 2.00 2.00 62.62 125.24
2,472.48
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,440.32 DD144032
02/21/2025O
189.14 426.30 168.89 29.67 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 8.22 218.16 1,032.16
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/4
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 3; Group 3 (A)
(Area 1)
S 2.00 2.00 44.70 89.40
2,492.88
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,812.41 DD181241
02/21/2025O
190.70 210.82 80.56 29.91 3.51 7.02 10.60 21.20 10.46 20.92
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 1.04 4.82 9.64 168.48 680.47
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/3
CA 2024-1
Apprentice
Santa Clara
Laborer And Related
Classifications
Laborer
Period 2
S 8.00 8.00 8.00 8.00 32.00 26.25 938.46
1,059.54
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
791.32 DD79132
02/21/2025O1.00 1.50 2.50 39.39
81.05 48.74 4.62 12.71 3.51 121.10 10.60 365.70 10.46 360.87
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 17.94 4.82 166.29 121.10 268.22
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
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
2,925.72
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,698.30 DD169830
02/21/2025O
223.81 535.08 215.26 35.11 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 8.22 218.16 1,227.42
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: 3/12/2025 Page 21 of 29
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
02/16/2025
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: 20240543108
PROJECT AND LOCATION: The Rise at Vallco Horizontal Ph1A / 10123 N Wolfe
Rd, Cupertino, 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
10 11 12 13 14 15 16
HOURS WORKED EACH DAY
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
S/0
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 7 (Area 1)
S 8.00 8.00 56.03 616.35
2,211.01
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,315.71 DD131571
02/21/2025O2.00 2.00 84.06
169.15 363.55 142.15 26.53 6.06 60.60 10.84 108.40 11.28 112.80
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 12.10 4.11 41.10 193.92 895.30
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
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 32.00 37.50 1,453.13
1,581.25
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,191.07 DD119107
02/21/2025O1.00 2.00 1.50 4.50 56.25
120.97 101.52 20.59 18.98 3.51 128.12 10.60 386.90 10.46 381.79
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 18.98 4.82 175.93 128.12 390.18
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/3
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 4 (Area 1)
S 2.00 2.50 1.00 2.00 2.00 9.50 101.47 963.97
4,301.24
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
2,791.95 DD279195
02/21/2025O
329.05 623.73 262.48 51.61 6.06 57.57 10.84 102.98 11.28 107.16
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 11.50 4.11 39.05 242.42 1,509.29
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
S/0
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 61.14 2,277.47
2,494.35
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,455.80 DD145580
02/21/2025O1.00 1.00 1.50 3.50 91.71
190.81 431.55 171.13 29.93 6.06 215.13 10.84 384.82 11.28 400.44
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 42.96 4.11 145.91 215.13 1,038.55
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: 3/12/2025 Page 22 of 29
STATE OF CALIFORNIA
STATEMENT OF COMPLIANCE
Date: 2/20/2025
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 The Rise at Vallco Horizontal Ph1A
(Contract/Subcontract: 20240543108) : that during the payroll period
(Contractor or Subcontractor) (Building or Work)
commencing on the 10th day of February 2025 , and ending the 16th day of February 2025 ,
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
02/20/2025 14:37:09
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: 3/12/2025 Page 23 of 29
NO WORK PERFORMED REPORT
The Rise at Vallco Horizontal Ph1A (20240543108)
10123 N Wolfe Rd, Cupertino, CA
PAYROLL NO. 5
Preston Pipelines Infrastructure LLC
133 Bothelo Avenue , MILPITAS, CA, 95035
Phone 408-262-1418 Fax
Date 3/6/2025
Name of the Contractor/Subcontractor: Preston Pipelines Infrastructure LLC
I,Jocelyn Cortes do hereby state that no persons were employed on the construction
(Name - print)
of the Project The Rise at Vallco Horizontal
Ph1A
,20240543108
(Project Name)(Contract Number)
during the payroll period commencing on 2/17/2025 and ending on the 2/23/2025
NAME AND TITLE SIGNATURE
Jocelyn Cortes, Payroll Administrator
03/06/2025 15:04:05
Printed Date: 3/12/2025 Page 24 of 29
Void Request:
Preston Pipelines Infrastructure LLC has requested to void the Certified Payroll Report with the ending date on 2/23/2025.
Reason: Performing Week - Void to Correct
Printed Date: 3/12/2025 Page 25 of 29
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.
5
FOR WEEK ENDING
02/23/2025
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: 20240543108
PROJECT AND LOCATION: The Rise at Vallco Horizontal Ph1A / 10123 N Wolfe
Rd, Cupertino, 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
17 18 19 20 21 22 23
HOURS WORKED EACH DAY
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
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 32.00 37.50 1,312.50
1,433.59
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
933.81 DD93381
02/28/2025O1.00 1.00 2.00 56.25
109.67 190.51 63.06 17.20 3.51 119.34 10.60 360.40 10.46 355.64
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 17.68 4.82 163.88 119.34 499.78
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
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
2,106.24
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,387.59 DD138759
02/28/2025O
161.12 184.27 55.31 25.27 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 16.44 292.68 718.65
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/0
CA 2024-1
Journeyman
Santa Clara
Laborer And Related
Classifications
Group 1; Group 1(B)
(Area 1)
S 8.00 8.00 8.00 8.00 32.00 58.18 2,036.30
2,157.39
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,561.70 DD156170
02/28/2025O1.00 1.00 2.00 87.27
165.03 210.25 75.18 25.89 3.51 119.34 10.60 360.40 10.46 355.64
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 17.68 4.82 163.88 119.34 595.69
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/3
CA 2024-1
Apprentice
Santa Clara
Laborer And Related
Classifications
Laborer
Period 2
S 8.00 8.00 8.00 8.00 32.00 26.25 879.38
995.21
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
746.28 DD74628
03/07/2025O1.00 1.00 39.38
76.13 41.83 3.20 11.94 3.51 115.83 10.60 349.80 10.46 345.18
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 17.16 4.82 159.06 115.83 248.93
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: 3/12/2025 Page 26 of 29
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.
5
FOR WEEK ENDING
02/23/2025
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: 20240543108
PROJECT AND LOCATION: The Rise at Vallco Horizontal Ph1A / 10123 N Wolfe
Rd, Cupertino, 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
17 18 19 20 21 22 23
HOURS WORKED EACH DAY
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
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
2,275.56
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,376.70 DD137670
03/07/2025O
174.08 379.04 148.75 27.31 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 8.22 169.68 898.86
xxxx x xxxx
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xxxx-xx-xxxx
M/4
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 32.00 43.50 2,044.50
2,193.67
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,852.11 DD185211
03/07/2025O3.00 3.00 2.00 2.00 10.00 65.25
167.82 26.32 3.51 147.42 10.60 445.20 10.46 439.32
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 21.84 4.82 202.44 147.42 341.56
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
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 32.00 37.50 1,312.50
1,431.84
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,090.46 DD109046
03/07/2025O1.00 1.00 2.00 56.25
109.53 83.59 11.74 17.18 3.51 119.34 10.60 360.40 10.46 355.64
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 0.52 17.68 4.82 163.88 119.34 341.38
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
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
2,770.00
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,625.36 DD162536
03/07/2025O
211.90 458.01 193.03 33.24 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 4.11 248.46 1,144.64
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: 3/12/2025 Page 27 of 29
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.
5
FOR WEEK ENDING
02/23/2025
SELF-INSURED CERTIFICATE NO:
WORKER'S COMPENSATION POLICY NO: UB1L0302221825D
PROJECT OR CONTRACT NO: 20240543108
PROJECT AND LOCATION: The Rise at Vallco Horizontal Ph1A / 10123 N Wolfe
Rd, Cupertino, 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
17 18 19 20 21 22 23
HOURS WORKED EACH DAY
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
M/3
CA 2024-1
Journeyman
Santa Clara
Operating Engineer
(Heavy And Highway
Work)
Group 4 (Area 1)
S 1.00 2.00 2.00 2.00 7.00 101.47 710.29
4,222.66
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
2,745.67 DD274567
03/07/2025O
323.03 606.45 254.44 50.67 6.06 42.42 10.84 75.88 11.28 78.96
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 8.47 4.11 28.77 242.40 1,476.99
xxxx x xxxx
xxxxxxxxxxxxxxx
xxxxxxxxx
xxxx-xx-xxxx
S/0
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 61.14 2,139.90
2,347.69
FICA FED
TAX
STATE
TAX / LT SDI VAC
HOLIDAY
HEALTH
& WELF PENSION
1,381.40 DD138140
03/07/2025O1.00 1.00 2.00 91.71
179.60 396.35 156.13 28.17 6.06 206.04 10.84 368.56 11.28 383.52
TRAING OTHER
REIMB.DUES TRAV
SUBS
OTHER
FRINGE
OTHER
DEDS
TOTAL
DEDUCTS
D 1.21 41.14 4.11 139.74 206.04 966.29
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: 3/12/2025 Page 28 of 29
STATE OF CALIFORNIA
STATEMENT OF COMPLIANCE
Date: 3/6/2025
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 The Rise at Vallco Horizontal Ph1A
(Contract/Subcontract: 20240543108) : that during the payroll period
(Contractor or Subcontractor) (Building or Work)
commencing on the 17th day of February 2025 , and ending the 23rd day of February 2025 ,
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
03/06/2025 15:12:32
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: 3/12/2025 Page 29 of 29