HomeMy WebLinkAboutInv# PAY APP 7 - Kailas Corp. - 07/13/2023DATE:06/09/23
PAYROLL # 21
Kailas Corp. dba Kailas Contractors
I, JORGE PAZ, PRESIDENT do hereby state:
See attached Payroll
(c) EXCEPTIONS
EXCEPTION (CRAFT)EXPLANATION
REMARKS:
NAME AND TITLE
JORGE PAZ | PRESIDENT
- 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
(1) That I pay or supervise the payment of the persons employed by Kailas Corp dba Kailas Contractors. on the City of Dania Beach - 1280 SW
43rd Terrace Stormwater Improvement ; that during the payroll period commencing on the 05/29/23 , and ending on 06/04/23, all persons employed
on said project have been paid the full weekly wages earned, that no rebates have been or will be made either directly or indirectly to or on behalf of said
KAILAS CORP. from the full weekly wages earned by any person and that no deductions have been made either directly or indirectly from the full wages
earned by any person, other than permissible deductions as defined in Regulations, Part 3 (29 C.F.R. Subtitle A), issued by the Secretary of Labor under the
Copeland Act, as amended (48 Stat. 948, 63 Stat. 108, 72 Stat. 967; 76 Stat. 357; 40 U.S.C. § 3145), and 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 Bureau of Apprenticeship and Training, United States Department of Labor.
(4) That: (CHOOSE ONE) N/A
(a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS, OR PROGRAMS
SIGNATURE
THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECUTION. SEE SECTION
1001 OF TITLE 18 AND SECTION 231 OF TITLE 31 OF THE UNITED STATES CODE.
(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.
KAILAS CORP.
P.O. Box 552098
DAVIE, FL 33355
U. S. Department of Labor
Wage and Hour Division
Rev. Dec. 2008
NAME OF CONTRACTOR OR SUBCONTRACTOR X ADDRESS OMB No.: 1235-0008
Expires: 07/31/2024
PAYROLL No.FOR WEEK ENDING PROJECT AND LOCATION
21 (Page 1 of 2)06/04/23
(1) (3) (5) (6) (7) (9)
Mon Tue Wed Thu Fri Sat Sun
WORK 5/29 5/30 5/31 6/1 6/2 6/3 6/4 TOTAL TOTAL
CLASSIFICATION HOURS FWH MCARE FICA STWH DEDUCTIONS
Bernadis Giniebra Serrano Hispanic 600.00$ #1 -$
Male OT #2 -$ 518.10$
0 36.00$ 8.70$ 37.20$ -$ #3 -$ 81.90$ - Check # -
XXX-XX-1610 ST 0 8 8 8 8 0 0 32 15.00$ 600.00$ #4 -$ DD038255
Carlos M Bernard Hispanic 800.00$ #1 -$
Male OT #2 -$ 658.80$
0 80.00$ 11.60$ 49.60$ -$ #3 -$ 141.20$ - Check # -
XXX-XX-5251 ST 0 8 8 8 8 0 0 32 20.00$ 800.00$ #4 -$ DD038257
Eliezer Perez Valladares Hispanic 880.00$ #1 -$
Male OT #2 -$ 723.68$
0 89.00$ 12.76$ 54.56$ -$ #3 -$ 156.32$ - Check # -
XXX-XX-8584 ST 0 10 9.5 8.5 8 0 0 36 20.00$ 880.00$ #4 -$ DD038260
Geovanis Gonzalez Hispanic 968.00$ #1 -$
Male OT #2 -$ 792.95$
0 101.00$ 14.03$ 60.02$ -$ #3 -$ 175.05$ - Check # -
XXX-XX-2897 ST 0 10 9.5 8.5 8 0 0 36 22.00$ 968.00$ #4 -$ DD038261
Jaime R Grillo Hispanic 1,300.00$ #1 -$
Male OT #2 -$ 1,087.55$
0 113.00$ 18.85$ 80.60$ -$ #3 -$ 212.45$ - Check # -
XXX-XX-5486 ST 0 8 8 8 8 0 0 32 32.50$ 1,300.00$ #4 -$ DD038262
Jose L Ramirez Hispanic 968.00$ #1 -$
Male OT #2 -$ 792.94$
0 101.00$ 14.04$ 60.02$ -$ #3 -$ 175.06$ - Check # -
XXX-XX-4326 ST 0 10 9.5 8.5 8 0 0 36 22.00$ 968.00$ #4 -$ DD038264
Jose R Zuniga Hispanic 1,452.00$ #1 -$
Male OT #2 -$ 1,208.92$
0 132.00$ 21.05$ 90.03$ -$ #3 -$ 243.08$ - Check # -
XXX-XX-3206 ST 0 10 9.5 8.5 8 0 0 36 33.00$ 1,452.00$ #4 -$ DD038265
Lester J Molina Hispanic 1,232.00$ #1 -$
Male OT #2 -$ 1,042.76$
2 95.00$ 17.86$ 76.38$ -$ #3 -$ 189.24$ - Check # -
XXX-XX-6214 ST 0 10 9.5 8.5 8 0 0 36 28.00$ 1,232.00$ #4 -$ DD038266
Maikel Aquino-Rodriguez Hispanic 1,750.00$ #1 92.30$
Male OT #2 -$ 1,248.82$
1 273.00$ 25.38$ 108.50$ -$ #3 -$ 501.18$ - Check # -
XXX-XX-9695 ST 0 8 8 8 8 0 0 32 43.75$ 1,750.00$ #4 2.00$ DD038268
OTHER DEDUCTIONS KEY CODING:
#1 Child Support #2 Union Dues
#3 Medical #4 Garnishments
While completion of Form WH-347 is optional, it is mandatory for covered contractors and subcontractors performing work on Federally financed or assisted construction contracts to respond to the information collection contained in 29 C.F.R. §§ 3.3, 5.5(a).
The Copeland Act (40 U.S.C. § 3145) contractors and subcontractors performing work on Federally financed or assisted construction contracts to "furnish weekly a statement with respect to the wages paid each employee during the preceeding week."
U.S. Department of Labor (DOL) regulations at 29 C.F.R. § 5.5 (a)(3)(ii) require contractors to submit weekly a copy of all payrolls to the Federal agency contracting for or financing the construction project, accompanied by a signed "Statement of
Compliance" indicating that the payrolls are correct and complete and that each laborer or mechanic has been paid not less that the proper Davis-Bacon prevailing wage rate for the work performed. DOL and federal contracting agencies receiving this
information review the information to determine that employees have received legally required wages and fringe benefits.
We estimate that it will take an average of 55 minutes to complete this collection, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. If you have any comments regarding these estimates or any other aspect of this collection, including suggestions for reducing this burden, send them to the Administrator, Wage and Hour Division, U.S. Department of Labor, Room S3502,
200 Constitution Avenue, N.W. Washington, D.C. 20210
PAYROLL
(For Contractor's Optional Use: See instruction at http://www.dol.gov/whd/forms/wh347instr.htm)
Persons are not required to respond to the collection of information unless it displays a currently valid OMB control number
Kailas Corp. P.O. BOX 552098 DAVIE, FL 33355
1280 SW 43rd Terrace Stormwater Improv. PROJECT/CONTRACT NO.
City of Dania Beach 100 W. Dania Beach Blvd Dania Beach, FL 33004
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(4) DAY AND DATE (8) DEDUCTIONS - BASED ON GROSS WAGES FOR ALL PROJECTSNAME AND INDIVIDUAL
IDENTIFYING NUMBER (e.g., LAST
FOUR DIGITS OF SOCIAL SECURITY
NUMBER) OF WORKER
RATE OF
PAY/CASH
FRINGES
GROSS AMOUNT
EARNED - THIS
JOB/ALL JOBS
NET WAGES
PAID FOR
WEEKHOURS WORKED EACH DAY OTHER
Pipe Layer
Backhoe / Excavator
Operator
Public Burden Statement
General Labor
General Labor
Loader Operator
Pipe Layer
Backhoe / Excavator
Operator
Loader Operator
Backhoe / Excavator
Operator
Sunburst Software Solutions, Inc.www.CertifiedPayrollReports.com
U. S. Department of Labor
Wage and Hour Division
Rev. Dec. 2008
NAME OF CONTRACTOR OR SUBCONTRACTOR X ADDRESS OMB No.: 1235-0008
Expires: 07/31/2024
PAYROLL No.FOR WEEK ENDING PROJECT AND LOCATION
22 (Page 1 of 2)06/11/23
(1) (3) (5) (6) (7) (9)
Mon Tue Wed Thu Fri Sat Sun
WORK 6/5 6/6 6/7 6/8 6/9 6/10 6/11 TOTAL TOTAL
CLASSIFICATION HOURS FWH MCARE FICA STWH DEDUCTIONS
Bernadis Giniebra Serrano Hispanic 600.00$ #1 -$
Male OT #2 -$ 518.10$
0 36.00$ 8.70$ 37.20$ -$ #3 -$ 81.90$ - Check # -
XXX-XX-1610 ST 8 8 8 8 8 0 0 40 15.00$ 600.00$ #4 -$ DD038270
Carlos M Bernard Hispanic 800.00$ #1 -$
Male OT #2 -$ 658.80$
0 80.00$ 11.60$ 49.60$ -$ #3 -$ 141.20$ - Check # -
XXX-XX-5251 ST 8 8 8 8 8 0 0 40 20.00$ 800.00$ #4 -$ DD038272
Eliezer Perez Valladares Hispanic 800.00$ #1 -$
Male OT #2 -$ 658.80$
0 80.00$ 11.60$ 49.60$ -$ #3 -$ 141.20$ - Check # -
XXX-XX-8584 ST 8 8 8 8 8 0 0 40 20.00$ 800.00$ #4 -$ DD038275
Geovanis Gonzalez Hispanic 1,342.00$ #1 -$
Male OT 0 0 0 0 4 10 0 14 33.00$ #2 -$ 1,056.34$
0 183.00$ 19.46$ 83.20$ -$ #3 -$ 285.66$ - Check # -
XXX-XX-2897 ST 9 9 10 8 4 0 0 40 22.00$ 1,342.00$ #4 -$ DD038276
Jaime R Grillo Hispanic 1,300.00$ #1 -$
Male OT #2 -$ 1,087.55$
0 113.00$ 18.85$ 80.60$ -$ #3 -$ 212.45$ - Check # -
XXX-XX-5486 ST 8 8 8 8 8 0 0 40 32.50$ 1,300.00$ #4 -$ DD038277
Jose L Ramirez Hispanic 1,342.00$ #1 -$
Male OT 0 0 0 0 4 10 0 14 33.00$ #2 -$ 1,056.34$
0 183.00$ 19.46$ 83.20$ -$ #3 -$ 285.66$ - Check # -
XXX-XX-4326 ST 9 9 10 8 4 0 0 40 22.00$ 1,342.00$ #4 -$ DD038279
Jose R Zuniga Hispanic 2,013.00$ #1 -$
Male OT 0 0 0 0 4 10 0 14 49.50$ #2 -$ 1,659.01$
0 200.00$ 29.19$ 124.80$ -$ #3 -$ 353.99$ - Check # -
XXX-XX-3206 ST 9 9 10 8 4 0 0 40 33.00$ 2,013.00$ #4 -$ DD038280
Lester J Molina Hispanic 1,204.00$ #1 -$
Male OT 0 0 0 0 2 0 0 2 42.00$ #2 -$ 1,019.89$
2 92.00$ 17.46$ 74.65$ -$ #3 -$ 184.11$ - Check # -
XXX-XX-6214 ST 9 9 8 8 6 0 0 40 28.00$ 1,204.00$ #4 -$ DD038281
Maikel Aquino-Rodriguez Hispanic 1,750.00$ #1 92.30$
Male OT #2 -$ 1,248.83$
1 273.00$ 25.37$ 108.50$ -$ #3 -$ 501.17$ - Check # -
XXX-XX-9695 ST 8 8 8 8 8 0 0 40 43.75$ 1,750.00$ #4 2.00$ DD038283
OTHER DEDUCTIONS KEY CODING:
#1 Child Support #2 Union Dues
#3 Medical #4 Garnishments
While completion of Form WH-347 is optional, it is mandatory for covered contractors and subcontractors performing work on Federally financed or assisted construction contracts to respond to the information collection contained in 29 C.F.R. §§ 3.3, 5.5(a).
The Copeland Act (40 U.S.C. § 3145) contractors and subcontractors performing work on Federally financed or assisted construction contracts to "furnish weekly a statement with respect to the wages paid each employee during the preceeding week."
U.S. Department of Labor (DOL) regulations at 29 C.F.R. § 5.5 (a)(3)(ii) require contractors to submit weekly a copy of all payrolls to the Federal agency contracting for or financing the construction project, accompanied by a signed "Statement of
Compliance" indicating that the payrolls are correct and complete and that each laborer or mechanic has been paid not less that the proper Davis-Bacon prevailing wage rate for the work performed. DOL and federal contracting agencies receiving this
information review the information to determine that employees have received legally required wages and fringe benefits.
We estimate that it will take an average of 55 minutes to complete this collection, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. If you have any comments regarding these estimates or any other aspect of this collection, including suggestions for reducing this burden, send them to the Administrator, Wage and Hour Division, U.S. Department of Labor, Room S3502,
200 Constitution Avenue, N.W. Washington, D.C. 20210
Pipe Layer
Backhoe / Excavator
Operator
Public Burden Statement
General Labor
General Labor
Loader Operator
Pipe Layer
Backhoe / Excavator
Operator
Loader Operator
Backhoe / Excavator
Operator
NAME AND INDIVIDUAL
IDENTIFYING NUMBER (e.g., LAST
FOUR DIGITS OF SOCIAL SECURITY
NUMBER) OF WORKER
RATE OF
PAY/CASH
FRINGES
GROSS AMOUNT
EARNED - THIS
JOB/ALL JOBS
NET WAGES
PAID FOR
WEEKHOURS WORKED EACH DAY OTHER
1280 SW 43rd Terrace Stormwater Improv. PROJECT/CONTRACT NO.
City of Dania Beach 100 W. Dania Beach Blvd Dania Beach, FL 33004
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(4) DAY AND DATE (8) DEDUCTIONS - BASED ON GROSS WAGES FOR ALL PROJECTS
PAYROLL
(For Contractor's Optional Use: See instruction at http://www.dol.gov/whd/forms/wh347instr.htm)
Persons are not required to respond to the collection of information unless it displays a currently valid OMB control number
Kailas Corp. P.O. BOX 552098 DAVIE, FL 33355
Sunburst Software Solutions, Inc.www.CertifiedPayrollReports.com
DATE:06/16/23
PAYROLL # 21
Kailas Corp. dba Kailas Contractors
I, JORGE PAZ, PRESIDENT do hereby state:
See attached Payroll
(c) EXCEPTIONS
EXCEPTION (CRAFT)EXPLANATION
REMARKS:
NAME AND TITLE
JORGE PAZ | PRESIDENT
- 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
(1) That I pay or supervise the payment of the persons employed by Kailas Corp dba Kailas Contractors. on the City of Dania Beach - 1280 SW 43rd
Terrace Stormwater Improvement ; that during the payroll period commencing on the 06/05/23 , and ending on 06/11/23, all persons employed on said
project have been paid the full weekly wages earned, that no rebates have been or will be made either directly or indirectly to or on behalf of said KAILAS CORP.
from the full weekly wages earned by any person and that no deductions have been made either directly or indirectly from the full wages earned by any person,
other than permissible deductions as defined in Regulations, Part 3 (29 C.F.R. Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48
Stat. 948, 63 Stat. 108, 72 Stat. 967; 76 Stat. 357; 40 U.S.C. § 3145), and 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 Bureau of Apprenticeship and Training, United States Department of Labor.
(4) That: (CHOOSE ONE) N/A
(a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS, OR PROGRAMS
SIGNATURE
THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECUTION. SEE SECTION
1001 OF TITLE 18 AND SECTION 231 OF TITLE 31 OF THE UNITED STATES CODE.
(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.
KAILAS CORP.
P.O. Box 552098
DAVIE, FL 33355
DATE:06/23/23
PAYROLL # 23
Kailas Corp. dba Kailas Contractors
I, JORGE PAZ, PRESIDENT do hereby state:
See attached Payroll
(c) EXCEPTIONS
EXCEPTION (CRAFT)EXPLANATION
REMARKS:
NAME AND TITLE
JORGE PAZ | PRESIDENT
SIGNATURE
THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECUTION. SEE SECTION
1001 OF TITLE 18 AND SECTION 231 OF TITLE 31 OF THE UNITED STATES CODE.
(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.
KAILAS CORP.
P.O. Box 552098
DAVIE, FL 33355
- 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
(1) That I pay or supervise the payment of the persons employed by Kailas Corp dba Kailas Contractors. on the City of Dania Beach - 1280 SW
43rd Terrace Stormwater Improvement ; that during the payroll period commencing on the 06/12/23 , and ending on 06/18/23, all persons employed
on said project have been paid the full weekly wages earned, that no rebates have been or will be made either directly or indirectly to or on behalf of said
KAILAS CORP. from the full weekly wages earned by any person and that no deductions have been made either directly or indirectly from the full wages
earned by any person, other than permissible deductions as defined in Regulations, Part 3 (29 C.F.R. Subtitle A), issued by the Secretary of Labor under the
Copeland Act, as amended (48 Stat. 948, 63 Stat. 108, 72 Stat. 967; 76 Stat. 357; 40 U.S.C. § 3145), and 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 Bureau of Apprenticeship and Training, United States Department of Labor.
(4) That: (CHOOSE ONE) N/A
(a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS, OR PROGRAMS
U. S. Department of Labor
Wage and Hour Division
Rev. Dec. 2008
NAME OF CONTRACTOR OR SUBCONTRACTOR X ADDRESS OMB No.: 1235-0008
Expires: 07/31/2024
PAYROLL No.FOR WEEK ENDING PROJECT AND LOCATION
23 (Page 1 of 2)06/18/23
(1)(3)(5)(6)(7)(9)
Mon Tue Wed Thu Fri Sat Sun
WORK 6/12 6/13 6/14 6/15 6/16 6/17 6/18 TOTAL TOTAL
CLASSIFICATION HOURS FWH MCARE FICA STWH DEDUCTIONS
Bernadis Giniebra Serrano Hispanic 360.00$ #1 -$
Male OT #2 -$ 323.46$
0 9.00$ 5.22$ 22.32$ -$ #3 -$ 36.54$ - Check # -
XXX-XX-1610 ST 8 8 8 0 0 0 0 24 15.00$ 360.00$ #4 -$ DD038285
Carlos M Bernard Hispanic 800.00$ #1 -$
Male OT #2 -$ 658.80$
0 80.00$ 11.60$ 49.60$ -$ #3 -$ 141.20$ - Check # -
XXX-XX-5251 ST 8 8 8 8 8 0 0 40 20.00$ 800.00$ #4 -$ DD038287
Eliezer Perez Valladares Hispanic 800.00$ #1 -$
Male OT #2 -$ 658.80$
0 80.00$ 11.60$ 49.60$ -$ #3 -$ 141.20$ - Check # -
XXX-XX-8584 ST 8 8 8 8 8 0 0 40 20.00$ 800.00$ #4 -$ DD038290
Geovanis Gonzalez Hispanic 748.00$ #1 -$
Male OT #2 -$ 617.77$
0 73.00$ 10.85$ 46.38$ -$ #3 -$ 130.23$ - Check # -
XXX-XX-2897 ST 0 10 8 8 8 0 0 34 22.00$ 748.00$ #4 -$ DD038291
Jaime R Grillo Hispanic 1,300.00$ #1 -$
Male OT #2 -$ 1,087.55$
0 113.00$ 18.85$ 80.60$ -$ #3 -$ 212.45$ - Check # -
XXX-XX-5486 ST 8 8 8 8 8 0 0 40 32.50$ 1,300.00$ #4 -$ DD038292
Jose L Ramirez Hispanic 1,045.00$ #1 -$
Male OT 0 0 0 0 5 0 0 5 33.00$ #2 -$ 848.06$
0 117.00$ 15.15$ 64.79$ -$ #3 -$ 196.94$ - Check # -
XXX-XX-4326 ST 11 10 8 8 3 0 0 40 22.00$ 1,045.00$ #4 -$ DD038294
Jose R Zuniga Hispanic 1,567.50$ #1 -$
Male OT 0 0 0 0 5 0 0 5 49.50$ #2 -$ 1,302.58$
0 145.00$ 22.73$ 97.19$ -$ #3 -$ 264.92$ - Check # -
XXX-XX-3206 ST 11 10 8 8 3 0 0 40 33.00$ 1,567.50$ #4 -$ DD038295
Lester J Molina Hispanic 1,120.00$ #1 -$
Male OT #2 -$ 952.32$
2 82.00$ 16.24$ 69.44$ -$ #3 -$ 167.68$ - Check # -
XXX-XX-6214 ST 8 8 8 8 8 0 0 40 28.00$ 1,120.00$ #4 -$ DD038296
Maikel Aquino-Rodriguez Hispanic 1,750.00$ #1 92.30$
Male OT #2 -$ 1,248.82$
1 273.00$ 25.38$ 108.50$ -$ #3 -$ 501.18$ - Check # -
XXX-XX-9695 ST 8 8 8 8 8 0 0 40 43.75$ 1,750.00$ #4 2.00$ DD038298
OTHER DEDUCTIONS KEY CODING:
#1 Child Support #2 Union Dues
#3 Medical #4 Garnishments
While completion of Form WH-347 is optional, it is mandatory for covered contractors and subcontractors performing work on Federally financed or assisted construction contracts to respond to the information collection contained in 29 C.F.R. §§ 3.3, 5.5(a).
The Copeland Act (40 U.S.C. § 3145) contractors and subcontractors performing work on Federally financed or assisted construction contracts to "furnish weekly a statement with respect to the wages paid each employee during the preceeding week."
U.S. Department of Labor (DOL) regulations at 29 C.F.R. § 5.5 (a)(3)(ii) require contractors to submit weekly a copy of all payrolls to the Federal agency contracting for or financing the construction project, accompanied by a signed "Statement of
Compliance" indicating that the payrolls are correct and complete and that each laborer or mechanic has been paid not less that the proper Davis-Bacon prevailing wage rate for the work performed. DOL and federal contracting agencies receiving this
information review the information to determine that employees have received legally required wages and fringe benefits.
We estimate that it will take an average of 55 minutes to complete this collection, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. If you have any comments regarding these estimates or any other aspect of this collection, including suggestions for reducing this burden, send them to the Administrator, Wage and Hour Division, U.S. Department of Labor, Room S3502,
200 Constitution Avenue, N.W. Washington, D.C. 20210
PAYROLL
(For Contractor's Optional Use: See instruction at http://www.dol.gov/whd/forms/wh347instr.htm)
Persons are not required to respond to the collection of information unless it displays a currently valid OMB control number
Kailas Corp.P.O. BOX 552098 DAVIE, FL 33355
1280 SW 43rd Terrace Stormwater Improv.PROJECT/CONTRACT NO.
City of Dania Beach 100 W. Dania Beach Blvd Dania Beach, FL 33004
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(4) DAY AND DATE (8) DEDUCTIONS - BASED ON GROSS WAGES FOR ALL PROJECTSNAME AND INDIVIDUAL
IDENTIFYING NUMBER (e.g., LAST
FOUR DIGITS OF SOCIAL SECURITY
NUMBER) OF WORKER
RATE OF
PAY/CASH
FRINGES
GROSS AMOUNT
EARNED - THIS
JOB/ALL JOBS
NET WAGES
PAID FOR
WEEKHOURS WORKED EACH DAY OTHER
Pipe Layer
Backhoe / Excavator
Operator
Public Burden Statement
General Labor
General Labor
Loader Operator
Pipe Layer
Backhoe / Excavator
Operator
Loader Operator
Backhoe / Excavator
Operator
Sunburst Software Solutions, Inc.www.CertifiedPayrollReports.com
1/17 - 1/22 1/23 - 7/16 7/17 7/18 - 9/18 9/19 9/20 - 10/8 10/9 10/10 10/11 - 10/13
6 175 1 63 1 19 1 1 3
Pre-Construction Activities
Utility Locates, Survey Stake-out, Pre-
construction Video/Pictures, Mobilization 6 days 1/17/2023
Drainage Installation 175 days 1/23/2023
Drainage Lamping Inspection 1 days 7/17/2023
Site Restoration 64 days 7/10/2023
Walk-Thru Inspection 1 day 9/19/2023
Punch-List Corrections 20 days 9/19/2023
Final As-builts Submittal 1 day 10/9/2023
Final Walk-Thru Inspection 1 day 10/10/2023
Final Demobilization 5 days 10/9/2023
Notice to Proceed (NTP) - 1/17/2023
Substantial Completion Date - 9/6/2023
Completion Date - 10/13/2023
SCHEDULE
1280 DANIA - SW 43rd Terrace Stormwater Improvements
Activity Duration Start Date
Calendar Days