Change Order Calculation Summary — Riverside City Council, April 16, 2024

DATE: 2/20/2024
GSE CE # 02
PROJECT No. : Digester 5 Cleaning- City of Riverside CLIENT PCO #01 GSE PROJECT No. : S496

CHANGE ORDER CALCULATION

BRIEF DESCRIPTION OF CHANGE
DESCRIPTION QTY UNIT EQUIP. MATERIAL LABOR S/CONTRACT HOURS RATE EQUIP. MATERIAL LABOR S/CONTRACT Subcontractor
Wastewater Solids Management 1 LS -$ 0 71,690.00$ 0.0 0.00 $0 $0 $0 $71,690 $71,690 GSE Equipment
Forklift 4 Days 125.00$ -$ 0 -$ 0.0 0.00 $500 $0 $0 $0 $500 Generators 4 Days 250.00$ -$ 0 -$ 0.0 0.00 $1,000 $0 $0 $0 $1,000 Fuel for Generators 4 Days -$ 200.00$ 0 -$ 0.0 0.00 $0 $800 $0 $0 $800 Sales tax 8.75 % $131 $0 $131
TOTALS 0.0 #DIV/0! $1,631 $800 $0 $71,690 $74,121
MARKUP EQUIPMENT 15 % $245 $245
MARKUP MATERIALS 15 % $120 $120
MARKUP ON LABOR 15 % $0 $0
MARKUP SUBCONTRACTS 5 % $3,585 $3,585
BONDS & INSURANCE 1.5 % $1,112
TOTAL CHANGE COST $79,182
Additonal cost to remove additional sludge exceeding the maximum sludge volume of 400 WT. Attached is a breadown of the overage for sludge volume with load tickets. Additional time required to remove additional sludge is 4 days as listed on the breakdown.

UNIT PRICES LABOR TOTAL
DIRECT
COST

DIRECT COSTS

A D M I N I S T R A T I V E O F F I C E A C C O U N T I N G O F F I C E C O R P O R A T E O F F I C E P . O . B O X 4 3 0 P . O . B O X 1 3 8 7 P . O . B O X 1 3 8 7 Y A C H A T S , O R 9 7 4 9 8 L I N C O L N , C A 9 5 6 4 8 L I N C O L N , C A 9 5 6 4 8 ( 5 4 1 ) 5 4 7 - 3 2 1 3 P H O N E / F A X
February 13, 2024
Mr. Andrew Rivera
GSE Construction Co.
2430 Autopark Way, Suite 205
Escondido, CA 92029
(925) 605-8609 mobile
[email protected]
Dear Andrew:

Thank you for your assistance in putting together the invoicing on the City of Riverside project revisions for additional in situ material and subsequent increase in solids volume.

I have created a table of equipment which reflects items onsite during the project, although it is not definitive.

The information includes pricing obtained from the following suppliers whose rate sheets and pricing are readily available through internet based sources:
 Hertz Truck Rentals (1 ton dual axle trucks)
 Sunbelt Rentals, Bakersfield (pumps, power pack, discharge, suction, fire & hydraulic hoses)  Rain for Rent (water cannon & nozzle)
 American Rentals (ladders, fans, cones)
 Big Trailer Rentals, Winchester, CA (40’ Trailer)
 Rent1USA (Gator Rental)
 Premier Safety (Safety Equipment)
Many of the items included below have been modified to such an extent that they have a great deal more value than in their original form, however, that also makes them impossible to acquire comparable rental rates on. I have opted to use the straightforward rental rate in supporting our daily rate as reflected on the invoice for simplicity’s sake. This table is comprised of those items which were the closest I could find to what we actually utilize in digester cleaning. It is a fair and safe assumption that these costs are lower than what our equipment is valued at since they are predominantly unattainable without capital outlay. Please note that none of the costs include tax and may reflect prior year pricing.

Equipment Description Quantity
# of Days
in Use
Rental Rate
(daily or specified)
Total
Cost
1 ton Dodge truck 2 4 $200.00 $ 1600.00
40’ Trailer, modified 1 4 $185.00 $ 740.00
42’ Trailer, modified 1 4 $185.00 $ 740.00
Quad 500 unit/Gator unit 1 4 $245.00 $980.00

2.0 m Mobile Belt Press Unit 1 4 $812.50 $ 3,250.00
Conveyor Unit 1 4 $140.00 $560.00
Rotary Step Screen (3/16” Capture Rate) 1 4 $750.00 $3,000.00 Mixing Type Tank 1 4 $275.00 $1,100.00
Clari-Floc C6288 Polymer (Flat Rate) .33 $4,652.33 $1,535.27 DW Pump Unit (6”) 1 4 $291.50 $1,166.00

– 2 – February 13, 2024
4” Trash Pump 1 4 $220.00 $ 880.00
Power Pack 1 4 $379.50 $1,518.00
Water Cannon 1 4 $30.00 $ 120.00
Cannon Nozzle 1 4 $15.00 $ 60.00
Hydraulic Hose 4 4 $40.00 $ 640.00
Suction Hose 4 4 $20.00 $ 320.00
Discharge Hose 16 4 $20.00 $ 1,280.00
Manifolds 2 4 $18.00 $ 144.00
2 ½” Fire Hose 30 4 $24.00 $2,880.00
Safety Equipment
SCBA Units 3 4 $62.00 $ 744..00
Multiple Gas Detection Meters 3 4 $109.00 $1,308.00
Personal Multiple Gas Detection Meters 4 4 $47.00 $752.00 Extraction Fans 2 4 $42.00 $336.00
Safety Harnesses (Flat Rate) 4 $120.00 $480.00
Tripod 2 4 $161.00 $1,288.00
Calibration Kit 2 4 $18.00 $144.00
Traffic Cones 20 4 $3.00 $240.00
Ladders
Extension Ladders, 40’ 2 4 $57.00 $456.00
Extension Ladders, 24’ 2 4 $43.00 $344.00
Step Ladder, 8’ 1 4 $17.00 $68.00
Total In House Equipment $28,673.27
Allowable Markup by Green Book Std $4,300.99
Total In House Equipment Chgs $32,974.26
Rental Equipment Items
20 yard bin 1 4 $25.00 $100.00
Sludge trailers 3 4 $75.00 $900.00
Tractor/Yard Goat 1 4 $150.00 $600.00
Total Rental Equipment $1,600.00
Allowable Markup by Green Book Std $160.00
Total Rental Equipment Charges $1,760.00
Personnel Costs
Daily Wages incl fringe, 1/15/24 (4 empl) 1 $ 2,607.06 $2,607.06 Per Diem, 01/15/24 (M&I only) 4 $ 69.00 $ 276.00
Daily Wages incl fringe, 01/16/24 (4 empl) 1 $ 2,411.20 $2,411.20 Per Diem, 01/16/24 (M&I only) 4 $ 69.00 $ 276.00
Daily Wages incl fringe, 01/17/24 (4 empl) 1 $ 2,802.88 $2,802.88 Per Diem, 01/17/24 (M&I only) 4 $ 69.00 $ 276.00
Daily Wages incl fringe, May 31, 2018 (6
empl)
1 $ 1,054.91 $ 1,054.91
Per Diem, 01/18/2024 (M&I only) 4 $51.75 $ 207.00
Lodging Costs, Daily Rate 4 $ 212.68 $ 850.72
Personnel Cost $10,761.77
Allowable Markup by Green Book Stds $ 3,013.30
Total Personnel Costs $13,775.07
Transport & Disposal
232 WT in excess of maximum tonnage 232.9 $95.43 $22,225.65 Total Transport & Disposal Cost $22,225.65
Allowable Markup by Green Book Std $2,222.57
Total Rental Equipment Charges $24,448.22
Total T&M Rate, 4 days operations $72,957.55
Courtesy Discount <$1,267.55>
CO Amount Requested $71,690.00
– 3 – February 13, 2024
Additional items which have not been included in the above cost accounting for time and materials basis include but are not limited to the following:
 Victalic fittings
 Standard fittings
 Personal Protective Equipment
 ¾” Hose
 Back up motors and pumps
If you have any questions or require any further information, please advise by contacting (541) 547-3213 or (916) 425-0531. We look forward to this opportunity to work with you.

Respectfully submitted,
Victoria E. Prince
General Manager
Wastewater Solids Management Company
www.wastewatermanagement.com

Date Type Disposal Site Tag # Tons Avg Tons Ticket Load Slip Cum 400 WT
Max -
Overage
1/9/2024Sludge Salton Sea 151725 21.69 21.69 X X 21.69
Sludge Salton Sea 151727 23.3 22.50 X X 44.99
Sludge Salton Sea 151729 22.98 22.66 X X 67.97
Sludge Salton Sea 151726 20.75 22.18 X X 88.72
Sludge Salton Sea 151728 22.07 22.16 X X 110.79
Sludge Salton Sea 151730 21.16 21.99 X X 131.95
1/10/2024Sludge Salton Sea 151734 22.99 22.13 X X 154.94 Sludge Salton Sea 151783 21.73 22.08 X X 176.67
Sludge Salton Sea 151736 21.83 22.06 X X 198.5
Sludge Salton Sea 151782 23.38 22.19 X X 221.88
1/11/2024Sludge Salton Sea 151840 24.45 22.39 X X 246.33 Sludge Salton Sea 151831 24.19 22.54 X X 270.52
1/12/2024Sludge Salton Sea 151901 25.37 22.76 X X 295.89 Sludge Salton Sea 151948 23.43 22.81 X X 319.32
Sludge Salton Sea 151946 23.53 22.86 X x 342.85
Sludge Salton Sea 151896 24.75 22.98 X X 367.6
1/13/2024Sludge Salton Sea 152004 22.45 22.94 X X 390.05 Sludge Salton Sea 151992 23.75 22.99 X X 413.8 13.8
1/14/2024Sludge Salton Sea 152141 23.77 23.03 X X 437.57 37.57 1/15/2024Sludge Salton Sea 152062 24.4 23.10 X X 461.97 61.97 Sludge Salton Sea 152111 23.64 23.12 X X 485.61 85.61
Sludge Salton Sea 152067 23.45 23.14 X X 509.06 109.06
Sludge Salton Sea 152115 23.26 23.14 X X 532.32 132.32
Sludge Salton Sea 152069 23.71 23.17 X X 556.03 156.03
1/16/2024Sludge Salton Sea 152152 21.63 23.11 X X 577.66 177.66 1/17/2024Sludge Salton Sea 152212 23.61 23.13 X X 601.27 201.27 Sludge Salton Sea 152211 23.1 23.12 X X 624.37 224.37
1/18/2024Sludge Salton Sea 152301 4.83 22.47 X X 629.2 229.2 1/27/2024Grit/Rags Salton Sea 152924 3.7 21.82 X X 632.9 232.9 Digester #5 Cleaning (2023)
Riverside 2023 Load Detail

No,9076664
Transportation Division
Driver Dispatch From:
□ SANTAFESPRINGS(562)921-9974
' □ FONTANA(909)823-9913
□ SAN DIEGO(619)661-1148
□ PHOENIX(602)352-6171
□ CHULAVISTA(619)661-4545
n HESPERIA(760)947-3099
□ COLTON(909)370-1318
□ OCEANSIDE(760)966-2866
□ WILMINGTON(310)549-4533
[SMOTHER
I- -anJOBSITE#,
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DATEP.O. #.
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□ LOW BED
□ ROLL-OFF
□ END DUMP
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□ stinger
0^DELIVERY
□^PICK-UP
□Exchange
□ PICK-UP/DUMP/RETURN
□ WALKING FLOOR
□ HEAVY HAUL

TIME-IN

TIME-OUT

DESTINATION

TIME-IN

TIME-OUT,

PARK YARD

DESTINATION

DELAYTIME
bt-g i'\z'^eCOMMODITY:

SPECIAL INSTRUCTIONS:

COMMENTS:

SITE CONTACT PHONE #DELIVERED TO:

PRINT NAMERECEIVING SIGNATURE
ItMlTRUCK# LICENSE #DRIVER
□
14150 Vine Place
Cerritos, CA 90703
ECO-49

No.9076653x-
Transportation Division
Driver Dispatch From:
□ SANTA FE SPRINGS(562)921-9974
^ □ FONTANA(909)823-9913
□ SAN DIEGO(619)661-1148
□ PHOENIX(602)352-6171
□ CHULAVISTA(619)661-4545
□ HESPERIA(760)947-3099
□ COLTON(909)370-1318
□ OCEANSIDE(760)966-2866
□ WILMINGTON(310)549-4533
^OTHER
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\(/ 4 ^
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ORIGINS^DELIVERY

0. PICK-UP
[piEXCHANGE
□ PICK-UP/DUMP/RETURN
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□ HEAVY HAUL
TICKET #(S) TICKET #(S)□ FLATBED
□ LOW BED
□ roll-off "
□ END DUMP

TIME-IN

TIME-OUT

DESTINATION

TIME-IN
□ STINGER TIME-OUT
C \ PARK YARD.'i'OfODESTINATION

DELAY TIME
COMMODITY:--b\ cvi-e
SPECIAL INSTRUCTIONS:

COMMENTS:

SITE CONTACT PHONE #DELIVERED TO:

PRINT NAMERECEIVING SIGNATURE
\ <K y eg3[.^TRUCK# LICENSE#DRIVER
14150 Vine Piece
Cerritos, CA 90703
ECa49
I I I I I I t I I 1 I I I I t I I I

No.9076665
Transportation Division
Driver Dispatch From:
□ SANTAFESPRINGS(562)921-9974
□ FONTANA(909)823-9913
□ SAN DIEGO(619)661-1148
□ PHOENIX(602)352-6171
□ CHULAVISTA(619)661-4545
□ HESPERIA(760)947-3099
□ COLTON(909)370-1318
□ OCEANSIDE(760)966-2866
□ WILMINGTON(310)549-4533
.^OTHER
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\X EXCHANGE
□ PICK-UP/DUMP/RETURN
□ WALKING FLOOR
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□ LOW BED
□ ROLL-OFF
□ END DUMP
[^BELTTRAILER
□ stinger

TIME-IN
TIME-OUTl

DESTINATION

TIME-IN
TIME-OUT.

SJl Cl f/ PARK YARD.DESTINATION ■OaJ

DELAY TIME
•k SS( 00COMMODITY:

SPECIAL INSTRUCTIONS:

COMMENTS:

SITE CONTACT PHONE #DELIVERED TO:

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'P Sa-Jo^opABUCK#_/S_/41 yp ^.?/ ^3LICENSE#DRIVER
3 14150 Vine Place
Cerritos, CA 90703
ECO-49

No.9191292
Transportation Division
Driver Dispatch From:
□ SANTA FE SPRINGS(562)921-9974
□ FONTANA (909)823-9913
□ SAN DIEGO (619)'661-1148
□ PHOENIX(602)352-6171
□ WILMINGTON(310)549-4533
□ OTHER
□ CHULAVISTA(619)661-4545
□ HESPERIA(760)947-3099
□ COLTON(909)370-1318
□ OCEANSIDE(760)966-2866
DATE j/2^'JOBSITE#.
’nm^hc'
P.O. #.

CUSTOMER NAME

ADDRESS
PHONE#SITE CONTACT

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IN OUTPARK YARD
ORIGIN TICKET #(S) TICKET #fS)□ FLAT BED
□ LOW BED
□ ROLL-OFF
□ END DUMP

PICK-UP TIME-IN

TIME-OUTEXCHANGE
□ PICK-UP/DUMP/RETURN
□ WALKING FLOOR
□ HEAVY HAUL

DESTINATION
Qb^TTRAILER TIME-IN
□ STINGER TIME-OUT.

PARK YARD.

DESTINATION

DELAYTIME
COMMODITY:

SPECIAL INSTRUCTIONS:

COMMENTS:

SITE CONTACT PHONE #DELIVERED TO:

PRINT NAMERECEIVING SIGNATURE
LICENSE #TRUCK#DRIVER
I
14150 Vine Place
Cerritos, CA 90703
ECO-49

No,9076668
Transportation Division
Driver Dispatch From:
□ SANTAFE SPRINGS(562)921-9974
□ FONTANA(909)823-9913
□ SAN DIEGO(619)661-1148
□ PHOENIX(602)352-6171
□ CHULAVISTA(619)661-4545
□ HESPERIA(760)947-3099
□ COLTON(909)370-1318
□ OCEANSIDE(760)966-2866
□ WILMINGTON(310)549-4533
OTHER
JOB SITE #_
vevr.SiAe
p.o. #. DATE
f •e rCUSTOMER NAME V <o
5q r AADDRESS
1 SITE CONTACT. PHONE#

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□ LOW BED
□ ROLL-OFF
□ END DUMP
[^BELT TRAILER
□ stinger
^ DELIVERY

B PICK-UP
0V^EXCHANGE'
□ PICK-UP/DUMP/RETURN
□ WALKING FLOOR
□ HEAVY HAUL

TIME-IN

TIME-OUT

DESTINATION

TIME-IN

TIME-OUT
5, PARK YARD.T0r\}DESTINATION

DELAY TIME
\ e SiuACOMMODITY:
> SPECIAL INSTRUCTIONS:

COMMENTS:

SITE CONTACT PHONE #DELIVERED TO:

PRINT NAMERECEIVING SIGNATURE
TRUCK# LICENSE#DRIVER
14150 Vine Place
Cerritos, CA 90703
ECO-49

No.9193154
Transportation Division
Driver Dispatch From:
□ SANTA FE SPRINGS(562)921-9974
□ FONTANA (909)823-9913
□ SAN DIEGO(619)661-1148
□ PHOENIX(602)352-6171
□ WILMINGTON(310)549-4533
'OTHER
□ CHULAVISTA(619)661-4545
□ HESPERIA(760)947-3099
□ COLTON(909)370-1318
□ OCEANSIDE(760)966-2866
I 17 7^DATEJOBSITE #.P.O. #,
■oFIZfiinFCUSTOMER NAME

ADDRESS
PHONE#SITE CONTACT.

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IN OUTPARK YARD
ORIGIN TICKET #(S) TICKET #(S)□ FLAT BED
□ LOW BED
□ ROLL-OFF
□ END DUMP
f DELIVERY

TIME-INPICK-UP
□ EXCHANGE
□ PICK-UP/DUMP/RETURN

TIME-OUT

DESTINATION
BELT TRAILER □ WALKING FLOOR
□ HEAVY HAUL

TIME-IN
□ STINGER TIME-OUT
PARK YARD.

DESTINATION

DELAY TIME
COMMODITY:

SPECIAL INSTRUCTIONS:

COMMENTS:

SITE CONTACT PHONE #DELIVERED TO:

PRINT NAMERECEIVIN0^1GNATURE
TRUCK# LICENSE#DRIVEI
14150 Vine Place
Cerritos, CA 90703
ECO-49

No,9193153
Transportation Division
Driver Dispatch From:
□ SANTAFE SPRINGS(562)921-9974
□ FONTANA(909)823-9913
□ SAN DIEGO(619)661-1148
□ PHOENIX(602)352-6171
□ WILMINGTON(310)549-4533
OTHER
□ CHULAVISTA(619)661-4545
□ HESPERIA(760)947-3099
□ COLTON(909)370-1318
□ OCEANSIDE(760)966-2866
9 1DATEJOB SITE #.P.O. #.
2 wFr^^srpg:CUSTOMER NAME

ADDRESS
PHONE#SITE CONTACT.

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IN OUTPARK YARD
ORIGIN TICKET #(S)TICKET #(S)
■IrlO^□ FLAT BED
□ LOW BED
□ ROLL-OFF
□ END DUMP

DELIVERY

TIME-INPICK-UP

TIME-OUTEXCHANGE
□ PICK-UP/DUMP/RETURN DESTINATION
BELT TRAILER □ WALKING FLOOR
□ HEAVY HAUL

TIME-IN
□ STINGER TIME-OUT
(?i-uy PARK YARD,

DESTINATION

DELAYTIME
COMMODITY:

SPECIAL INSTRUCTIONS:

COMMENTS:

SITE CONTACT PHONE#DELIVERED TO:

PRINT NAME
RECEIVING^GNATURE _
driverL-^JAlO_A
V
2221fe+l Z- LICENSE#TRUCK#
14150 Vine Place
Cerritos, CA 90703
ECO-49

No.9193152
Transportation Division
Driver Dispatch From:
□ SANTA FE SPRINGS (562)921-9974
□ FONTANA(909)823-9913
□ SAN DIEGO (619)661-1148
□ PHOENIX(602)352-6171
□ WILMINGTON(310)549-4533
OTHER
□ CHULAVISTA(619)661-4545
□ HESPERIA(760)947-3099
□ COLTON(909)370-1318
□ OCEANSIDE(760)966-2866
/
1 2.^DATEJOBSITE#P.O. #.

CUSTOMER NAME
ADDRESS r
PHONE#SITE CONTACT.

PRINT NAMECUSTOMER SIGNATURE

OUTINPARK YARD
ORIGIN TICKET #fS) TICKET #fS)
□ FLAT BED
□ LOW BED
□ ROLL-OFF
□ end DUMP

DELIVERY

TIME-INPICK-UP

TIME-OUTEXCHANGE
□ PICK-UP/DUMP/RETURN DESTINATION
BELTTRAILER □ WALKING FLOOR
□ HEAVY HAUL

TIME-IN
□ stinger TIME-OUT

PARK YARD
AlaqA
•fAHr
destination

DELAY TIME
joCOMMODITY:

SPECIAL INSTRUCTIONS:

COMMENTS:

SITE CONTACT PHONE #DELIVERED TO:

PRINT NAMERECEIVIN' 3NATURE
LICENSE #TRUCK#DRIVER
74150 Vine Place
Cerritos, CA 90703
ECO-49

No.9193151
_ "•
Transportation Division
Driver Dispatch From;
□ SANTA FE SPRINGS(562)921-9974
□ FONTANA (909)823-9913
□ SAN DIEGO (619)661-1148
□ PHOENIX(602)352-6171
□ WILMINGTON(310)549-4533□ CHULAVISTA(619)661-4545
□ HESPERIA(760)947-3099
□ COLTON(909)370-1318
□ OCEANSIDE(760)966-2866
^lnOMI/^/\n4vA/OT
I lODATE
y\j^ \T>^
JOBSITE #.

CUSTOMERNAME \aIa+E)?:
p.o. #,
QoALuy

ADDRESS
PHONE#SITE CONTACT

PRINT NAMECUSTOMER SIGNATURE

OUTINPARK YARD
ORIGIN TICKET #fS)TICKET #(S)□ FLAT BED
□ LOW BED
□ ROLL-OFF
□ END DUMP
BELT TRAILER □ WALKING FLOOR
□ HEAVY HAUL
A\uoW (0,^y-

DELIVERY
^rn TIME-INPICK-UP

TIME-OUTEXCHANGE
n PICK-UP/DUMP/RETURN DESTINATION
TlME-IN
□ STINGER TIME-OUT.

PARK YARD.

DESTINATION

DELAY TIME
15)Q- fbouLPCOMMODITY:

SPECIAL INSTRUCTIONS:

COMMENTS:

SITE CONTACT PHONE #DELIVERED TO:

PRINT NAMERECEIVING^KBNATURE
( ')vJr\7. LICENSE#LRUCK#DRIVER
14150 Vine Place
Cerritos, CA 90703
ECO-49

No.9191290
Transportation Division
Driver Dispatch From:
□ SANTAFESPRIGS(562)921-9974
□ FONTANA(909)823-9913
□ SAN DIEGO(619)66M148
'□phoenix (602)352-6171
□ WILMINGTON(310)549-4533
□ OTHER
□ CHULAVISTA(619)661-4545
□ HESPERIA(760)947-3099
□ COLTON(909)370-1318
□ OCEANSIDE(760)966-2866
DATE />JOBSITE#.

S 7b Hr'
P.O. #.

CUSTOMER NAME

ADDRESS
PHONE #SITE CONTACT,

PRINT NAMECUSTOMER SIGNATURE

OUTINPARK YARD
ORIGIN TICKET #(S) TICKET #(S)
□ FLAT BED
□ LOW BED
□ ROLL-OFF
□ END DUMP
0^ELT TRAILER
□ STINGER
□"DELIVERY
0^PICK-UP
[^1/^CHANGE
□ PICK-UP/DUMP/RETURN
□ WALKING FLOOR
□ HEAVY HAUL

TIME-IN

TIME-OUT

DESTINATION

TIME-IN

TIME-OUT
OtV PARK YARD

DESTINATION

DELAY TIME
COMMODITY;
SPECIAL INSTRUCTIONS;
COMMENTS;
SITE CONTACT PHONE#DELIVERED TO;

PRINT NAMERECEIVING SIGNATURE
LICENSE#.TRUCK#DRIVER
14150 Vine Place
Cerritos, CA 90703
ECO-49
I I
Wastewater Solids Management, Inc. - Confidential Weekly Payroll NAME OF CONTRACTOR ADDRESS PHONE:

OR SUBCONTRACTOR CITY, ST, ZIP FAX:

PROJECT or CONTRACT NO:

PROJECT:

OFFICE OF THE AUDITOR LOCATION: 5950 Acorn St, Riverside, CA (1) (2) (4)
NAME, ADDRESS (9)

SOCIAL SECURITY NUMBER WORK NET CHECK
AND TELEPHONE NUMBER Classification 31 1 2 3 4 5 6 WAGES # OF EMPLOYEE Su M T W T F S THIS ALL Fed FICA State SDI Vac Health Pension Annuity Training S Cal Dues Other PAID FOR PROJECT PROJECTS Tax WH Holiday & Welf. Other WEEK
Name __Jeff Anderson ______Laborer S
Address__2505 Crosby-Herold Rd _ Group 4
City, St, Zip Lincoln, CA 95648 O
SS#__408-25-4986 __________
Telephone___(256) 554-0118 _ D 0.0
Name ___Ceasar Cazares ______Laborer S
Address__195 5th St. _ Group 4
City, St, Zip Lincoln, CA 95648 O
SS#__563-95-2266 __________
Telephone___(916) 645-1304 _ D 0.0
Name ___Luis Gonzalez-EspericuetaApprentice-Labor S
Address_1700 4th Street_ _ Tier 6
City, St, Zip Lincoln, CA 95648 O
SS#__ __625-26-7578 _________
Telephone__ (916) 660-3313 D 0.0
Wastewater Solids Mgmt, Inc. P.O. Box 826 (541) 547-3213 PAGE #____1____OF ______1_______ Yerington, NV 89447 (541) 971-4571
(6) (7)

GROSS AMOUNT

DAY AND DATE EARNED DEDUCTIONS
PAYROLL # FOR WEEK ENDING CONTRACTOR'S LICENSE NO WORKERS' COMPENSATION POLICY NO. DIR Project ID# 499466 1 6-Jan-24 DIR #1000002642
Riverside WWTP
909233517

10.0 10.0 10.0
(3) (5)
$44.03
TOTAL HOURSHourly RateHrs. Worked, Daily
$1,761.20 329.81

0.00 $66.05
$88.06
(Based on Gross Amt Earned)
Total
$628.65 $1,132.55 Direct Dep176.00 30.00 26.80147.26 130.41 21.17 173.60 404.00 398.40

10.0 40.0
$1,761.20
$44.03
$1,761.20 $1,761.20297.36

0.00 $66.05
$88.06

10.0 10.0 10.0
$709.14 $1,052.06 Direct Dep176.00 30.00 26.80 117.92147.26 125.43 21.17 173.60 404.00 398.40

10.0 40.0
$44.03
$1,761.20 $1,761.20313.58

0.00 $66.05
$88.06

10.0 10.0 10.0
$663.33 $1,097.87 Direct Dep176.00 30.00 26.80 53.40147.26 127.92 21.17 173.60 404.00 398.40

10.0 40.0
_______________________________
Signature Prepared Victoria E. Prince Page 1 of 3

Date
I,
(Name of Signatory Party) (Title)
do hereby state:
(1) That I pay or supervise the payment of the persons employed by o
n the
(Contractor or Subcontractor)
; that during the payroll period commencing on the
(Building or Work)
day of , , and ending the day of , ,
all persons employed on s a id project have been paid the f ull weekly wages earned, that no rebates hav e been or will be made either directly or indirectly to or on behalf of said from the full
(Contractor or Subcontractor)
weekly wages earned by any person and that no deduc tions have been made either direc tly or indirec tly 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 Ac t, as amended (48 Stat. 948, 63 Start. 108, 72 Stat. 967; 76 Stat. 357; 40 U.S.C. § 3145), and described below:
(2) That any payrolls otherw ise under this contract required t o be submit ted for the above period are correct and complete; that the wage rates for laborers or m echanics contained therein are not les s than the applicable wage rat es c ontained in any wage determ ination i ncorporated int o t he contrac t; t hat 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 regis tered in a bona fide apprenticeship program regis tered w ith a State apprenticeship agenc y recognized by the Bureau of Apprenticeship and Training, United States Department of Labor, or if no such recognized agency exists in a State, are registered with the Bureau of Apprenticeship and Training, United States Department of Labor. (4) That:
(a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS, OR PROGRAMS − in addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of f ringe benefits as listed in the contract have been or will be made to appropriate programs for the benefit of such employees, e xcept as noted in section 4(c) below.
(b) WHE RE 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) E XCEPTIONS
REMARKS:

EXCEPTION (CRAFT)

EXPLANATION

NAME AND TITLE SIGNATURE

THE WILLF UL F ALSIFICATION OF ANY O F TH E ABOVE STATEMENT S M AY SUBJECT TH E CONTRACT OR OR SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECUTION. SEE SECTION 1001 OF TITLE 18 A ND SECTION 231 OF TITLE 31 OF THE UNITED STATES CODE.

February 5, 2024
Victoria E Prince
General Manager
Wastewater Solids Management, Inc.

City of Riverside - Digester 5 Cleaning
Wastewater Solids Management, Inc.
✔
Victoria E Prince, General Manager
31st December 2023 6th January 2024

Wastewater Solids Management, Inc. - Confidential Weekly Payroll NAME OF CONTRACTOR ADDRESS PHONE:

OR SUBCONTRACTOR CITY, ST, ZIP FAX:

PROJECT or CONTRACT NO:

PROJECT:

OFFICE OF THE AUDITOR LOCATION: 5950 Acorn St, Riverside, CA (1) (2) (4)
NAME, ADDRESS (9)

SOCIAL SECURITY NUMBER WORK NET CHECK
AND TELEPHONE NUMBER Classification 7 8 9 10 11 12 13 WAGES # OF EMPLOYEE Su M T W T F S THIS ALL Fed FICA State SDI Vac Health Pension Annuity Training S Cal Dues Other PAID FOR PROJECT PROJECTS Tax WH Holiday & Welf. Other WEEK
Name __Jeff Anderson ______Laborer S
Address__2505 Crosby-Herold Rd _ Group 4
City, St, Zip Lincoln, CA 95648 O
SS#__408-25-4986 __________
Telephone___(256) 554-0118 _ D 0.0
Name __Jonathan Anglin______Laborer S
Address_37 Amanet Way. _ Group 4
City, St, Zip Yerington, NV 89447 O
SS#__554-71-9472 __________ Foreman
Telephone___(775) 224-0328 _ D 0.0
Name ___Ceasar Cazares ______Laborer S
Address__195 5th St. _ Group 4
City, St, Zip Lincoln, CA 95648 O
SS#__563-95-2266 __________
Telephone___(916) 645-1304 _ D 0.0
Name ___Luis Gonzalez-EspericuetaApprentice-Labor S
Address_1700 4th Street_ _ Tier 6
City, St, Zip Lincoln, CA 95648 O
SS#__ __625-26-7578 _________
Telephone__ (916) 660-3313 D 0.0
Wastewater Solids Mgmt, Inc. P.O. Box 826 (541) 547-3213 PAGE #____1____OF ______1_______ Yerington, NV 89447 (541) 971-4571
(6) (7)

GROSS AMOUNT

DAY AND DATE EARNED DEDUCTIONS
PAYROLL # FOR WEEK ENDING CONTRACTOR'S LICENSE NO WORKERS' COMPENSATION POLICY NO. DIR Project ID# 499466 2 13-Jan-24 DIR #1000002642
Riverside WWTP
909233517

8.0 8.0 8.0 8.0 8.0
(3) (5)
$44.03
TOTAL HOURSHourly RateHrs. Worked, Daily
$2,520.72 472.04

11.50 $66.05
$88.06
(Based on Gross Amt Earned)
Total
$899.76 $1,620.96 Direct Dep

0.5 1.00 10.0
226.60 38.63 34.51210.77 186.65 30.30 223.51 520.15 512.94

40.0 $2,520.72
$48.43
$2,772.62 $2,772.62467.43

11.50 $72.65
$96.86

8.0 8.0 8.0 8.0 8.0
$693.50 $2,079.12 Direct Dep

0.5 1.00 10.0
226.60 38.63 34.51226.07 223.51 520.15 512.94

40.0 $44.03
$2,520.72 $2,520.72425.59

11.50 $66.05
$88.06

8.0 8.0 8.0 8.0 8.0
$1,014.96 $1,505.76 Direct Dep

0.5 1.00 10.0
226.60 38.63 34.51 168.78210.77 179.52 30.30 223.51 520.15 512.94

40.0 $44.03
$2,520.72 $2,520.72448.82

11.50 $66.05
$88.06

8.0 8.0 8.0 8.0 8.0
$949.40 $1,571.32 Direct Dep

0.5 1.00 10.0
226.60 38.63 34.51 76.42210.77 183.09 30.30 223.51 520.15 512.94

40.0 _______________________________
Signature Prepared Victoria E. Prince Page 2 of 3

EXCEPTION (CRAFT)

EXPLANATION

NAME AND TITLE SIGNATURE

February 5, 2024
Victoria E Prince
General Manager
Wastewater Solids Management, Inc.

City of Riverside - Digester 5 Cleaning
Wastewater Solids Management, Inc.
✔
Victoria E Prince, General Manager
7th January 2024 13th January 2024

Wastewater Solids Management, Inc. - Confidential Weekly Payroll NAME OF CONTRACTOR ADDRESS PHONE:

OR SUBCONTRACTOR CITY, ST, ZIP FAX:

PROJECT or CONTRACT NO:

PROJECT:

OFFICE OF THE AUDITOR LOCATION: 5950 Acorn St, Riverside, CA (1) (2) (4)
NAME, ADDRESS (9)

SOCIAL SECURITY NUMBER WORK NET CHECK
AND TELEPHONE NUMBER Classification 14 15 16 17 18 19 20 WAGES # OF EMPLOYEE Su M T W T F S THIS ALL Fed FICA State SDI Vac Health Pension Annuity Training S Cal Dues Other PAID FOR PROJECT PROJECTS Tax WH Holiday & Welf. Other WEEK
Name __Jeff Anderson ______Laborer S
Address__2505 Crosby-Herold Rd _ Group 4
City, St, Zip Lincoln, CA 95648 O
SS#__408-25-4986 __________
Telephone___(256) 554-0118 _ D 0.0
Name __Jonathan Anglin______Laborer S
Address_37 Amanet Way. _ Group 4
City, St, Zip Yerington, NV 89447 O
SS#__554-71-9472 __________ Foreman
Telephone___(775) 224-0328 _ D 0.0
Name ___Ceasar Cazares ______Laborer S
Address__195 5th St. _ Group 4
City, St, Zip Lincoln, CA 95648 O
SS#__563-95-2266 __________
Telephone___(916) 645-1304 _ D 0.0
Name ___Luis Gonzalez-EspericuetaApprentice-Labor S
Address_1700 4th Street_ _ Tier 6
City, St, Zip Lincoln, CA 95648 O
SS#__ __625-26-7578 _________
Telephone__ (916) 660-3313 D 0.0 $801.80 $1,411.09 Direct Dep

0.5 1.0
127.60 21.75 19.43 25.81 87.77184.27 132.98 26.50 125.86 292.90 288.84

27.5 $44.03
$1,309.89 $2,212.89344.47

1.50 $66.05
$88.06

8.0 8.0 8.0 3.5
$971.98 $1,470.91 Direct Dep

0.5 1.0
127.60 21.75 19.43 26.70 199.60202.28 149.49 29.08 125.86 292.90 288.84

27.5 $44.03
$1,309.89 $2,442.89364.83

1.50 $66.05
$88.06

8.0 8.0 8.0 3.5
$734.42 $2,051.67 Direct Dep

0.5 1.0
127.60 21.75 19.43 25.68228.06 125.86 292.90 288.84

27.5 $48.43
$1,440.79 $2,786.09480.68

1.50 $72.65
$96.86

8.0 8.0 8.0 3.5
$1,611.05 Direct Dep

0.5 1.0
127.60 21.75 19.43 26.70202.28 157.92 29.08 125.86 292.90 288.84

27.5 $1,309.89 $2,442.89415.86

1.50 $66.05
$88.06
(Based on Gross Amt Earned)
Total
$831.84

8.0 8.0 8.0 3.5
(3) (5)
$44.03
TOTAL HOURSHourly Rate

GROSS AMOUNT

DAY AND DATE EARNED DEDUCTIONS
PAYROLL # FOR WEEK ENDING CONTRACTOR'S LICENSE NO WORKERS' COMPENSATION POLICY NO. DIR Project ID# 499466 3 (Final) 20-Jan-24 DIR #1000002642
Riverside WWTP
909233517
Hrs. Worked, Daily
Wastewater Solids Mgmt, Inc. P.O. Box 826 (541) 547-3213 PAGE #____1____OF ______1_______ Yerington, NV 89447 (541) 971-4571
(6) (7)
_______________________________
Signature Prepared Victoria E. Prince Page 1 of 1

EXCEPTION (CRAFT)

EXPLANATION

NAME AND TITLE SIGNATURE

February 5, 2024
Victoria E Prince
General Manager
Wastewater Solids Management, Inc.

City of Riverside - Digester 5 Cleaning
Wastewater Solids Management, Inc.
✔
Victoria E Prince, General Manager
14th January 2024 20th January 2024

Riverside City CouncilApril 16, 2024

Riverside City Council
April 16, 2024