HomeMy WebLinkAboutPro Tec Mechanical, Inc.-2009-18 ' ' CT AWARD
WORKS CONTRA INFORMATION
ou are no( approved to train,you
Cdnldaea It you are approved to train.If Y
Contr
urApprenticeship} ALapplicable
In your crab or trade in the area of the site
of tie p award Irk Go tlon must be Bed toms) to ALL epp Apprenticeship r C tioon a about pogroms in your area and trade. You may
intonation(which me/ for wens' r mat,Mound In your local directory under
alsomus co s the!y Ndo dayaship Standards(DAS)omle.whose
of tie public work. �°to:hHP�fA'^ww�renlbeeNp Standards(OAS)oirmewhoaetelaphane numbs
Standards.
also consul!your local Ohteian of Apprenticeship Standards.
California,Slab oi.IntlDoalot sendea, thissn form to the Apprenticeship
Do/�n//ot to the Division of
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MOWED NWaEal.APPRENTICE Czr lac rrk u `0°
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- This is not a request for dispatch of apprentices. '
Donyadys must melee separate most for actual dispe ek hi accordant with Section Malta)California Code of Regulations
Check One Of The Boxes Below
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to train apprentices by the - Enter name of the Committee
t. ANiep are already approved
APFpaM�ashlp Committee.We will employ and train under their Standards. ._ ..._...._
. ._, .Z�' yde will tnmplY Enter rumeorthe Cammitee
Apprenticeship Committee for the dtlradon this job only.
`j We will employwith the California Apprenticeship Council regulations,
yY�� cos employed on PLlic prefects can only be assigned to
andin
tram apprentices In accordance 3. performdudg §work oft (a) tatt or requiresdt that i the apprentice is registered and that the apprentices must at all
tinesw of the crag trade to which sihe Hof umeymanlrnen.
times work with or under the direct supervision
Dale / a
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typed Name >r(lr
rile ti ,O 6a md/tt-eLC.¢--
State of Gelitorn9F AP NPR STAtriaRDARDS Relations DIVISION
RECEIVED BY: DATE: TIME:
ASSOCIATED BUILDERS & CONTRACTORS, SO-CAL
APPRENTICE REQUEST FORM
01•Mir DATE OF ORDER: 06/29/09
DATE ORDER FILLED:
NUMBER OF APPRENTICES NEEDED: 1
DATE NEEDED BY: 07/03/09
NUMBER OF JOURNEYMEN ON THIS JOB:2
EMPLOYER: Pro Tee Mechanical. Inc. PHONE NO.: 951-677-9911
NAME OF CONTACT: Jed Jones(re iob site FAX NO.: 951-677-8897
TYPE OF PROJECT: Site Utilities PREV ® FED ❑ PRIVATE ❑
COMPANY NAME Of General Contractor: Hamel Contracting, Inc.
PHONE NO. Of General Contractor: f951)600-2783
PROJECT LOCATION: Grand Terrace Fire Dept#23 PROJECT COUNTY:
LENGTH OF ASSIGNMENT: 1 months SHIFT STARTS: 7:00 am
START DATE: 07/03/09 ENDING DATE: 07/30/09
SPECIAL CONDmONS OR REQUIREMENTS: Please contact Ama Cates at the office before
commercinq work to fill out Droner paper work
ABC Use:
APPRENTICE DISPATCHED: DATE: LEVEL:
APPRENTICE DISPATCHED: DATE: LEVEL:
APPRENTICE DISPATCHED: DATE: LEVEL:
APPRENTICE DISPATCHED: DATE: LEVEL:
APPRENTICE DISPATCHED: DATE: LEVEL:
APPRENTICE DISPATCHED: DATE: LEVEL:
1400 N. IELLOGG DRIVE,SUITE A
ANAHEIM HILLS,CA 92807
(714)779-3187 - FAX(714)779-3193
FRINGE BENEFIT STATEMENT
� V4 dz3
Contract No.: I Project NameGYMl 7CYYar, Prt& (Date. 7I! 'o
INSTRUCTIONS:This form is to be submitted with the first certified payroll. In order that the Fringe Benefit rates can be used for checking payrolls or applied to
Force Account work which may be done on the above contract the hourly rates for fringe benefits, subsistence and/or travel allowance payment as required by
collective bargaining agreements) made for employees on the various classes of work are tabulated below. THIS DOCUMENT CONTAINS PERSONAL
INFORMATION AND PURSUANT TO CIVIL CODE 1796.21, IT SHALL BE KEPT CONFIDENTIAL IN ORDER TO PROTECT AGAINST UNAUTHORIZED
DISCLOSURE.
Classification: Pipe Layer Effective Date: 7/1/2005 (Subsistence or Travel Pay: 0
Health and Welfare Trust Fund Paid To:(Name)
$6.02 PAID TO EMPLOYEE
Pension Trust Fund Paid To(Name)
$8.02 PAID TO EMPLOYEE
Vacation/Holiday Trust Fund Paid To.(Name)
$2.08 PAID TO EMPLOYEE
Training and/or Other Trust Fund Paid To:(Name)
$0.80 California Apprenticeship Council
$0.45 PO Box 420603
other is paid to employee @ 45 San Francisco,CA 94142
Classification: Pipe Tradesman Effective Date:7/1/2008 (Subsistence or Travel Pay: 0
Health and Welfare Trust Fund Paid To:(Name)
$6.02 PAID TO EMPLOYEE
Pension Trust Fund Paid To:(Name)
$0.31 PAID TO EMPLOYEE
Vacation/Holiday Trust Fund Paid To:(Name)
$0.00 PAID TO EMPLOYEE
Training and/or Other Trust Fund Paid To:(Name)
$0.23 California Apprenticeship Council
$0.30 PO Box 420603
other is paid to employee(g.30 San Francisco,CA 94142
Classification:Operator/Group 8 Effective Date.7/1/2008 Subsistence or Travel Pay: 0
Health and Welfare Trust Fund Paid To:(Name)
$7.95 PAID TO EMPLOYEE
Pension Trust Fund Paid To:(Name)
$5.05 PAID TO EMPLOYEE
Vacation/Holiday Trust Fund Paid To:(Name)
$2.82
Training and/or Other Trust Fund Paid To:(Name)
$0 65 California Apprenticeship Council
0.17 PO Box 420603
other is paid to employee Q.17 San Francisco,CA 94142
Supplemental statement must be submitted during the progress of work should a change in rate of any of the classifications be made. I CERTIF AT THE
FRINGE BENEFIT PAYMENTS ARE MADE TO THE APPROVED PLANS,FUNDS OR PROGRAMS AS LISTED ABO
Submitted(Contractor/Subcontractor) By(Name and Title) Sigr ture
ProTec Mechancial,Inc. Ama Cates
41735 Elm Street 0201 Murrieta,CA 92562 Payroll/Labor Compliance Manager \\\ (P
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FRINGE BENEFIT STATEMENT
Contract No.._ Project Name:&be 4h J ten,-ace _ Date. 7/f/09
INSTRUCTIONS. This form is to be submitted with the first certified payroll. In order that the Fringe Benefit rates can be used for checking payrolls or applied to
Force Account work which may be done on the above contract the hourly rates for fringe benefits, subsistence and/or travel allowance payment(as required by
collective bargaining agreements) made for employees on the various classes of work are tabulated below. THIS DOCUMENT CONTAINS PERSONAL
INFORMATION AND PURSUANT TO CIVIL CODE 1796.21, IT SHALL BE KEPT CONFIDENTIAL IN ORDER TO PROTECT AGAINST UNAUTHORIZED
DISCLOSURE.
Classification. PLUMBER Effective Date: 7/1/2008 1Subsistence or Travel Pay: 0
Health and Welfare Trust Fund Paid To:(Name)
$6.02 PAID TO EMPLOYEE
Pension Trust Fund Paid To:(Name)
$8.92 PAID TO EMPLOYEE
Vacation/Holiday Trust Fund Paid To:(Name)
$2.98 PAID TO EMPLOYEE
Training and/or Other Trust Fund Paid To:(Name)
$1.07 California Apprenticeship Council
0.45 PO Box 420603
Othe is paid to Employee @.45 San Francisco,CA 94142
Classification.Wlfaprentice-1st period
Effective Date:8I12006 (Subsistence or Travel Pay
Health and Welfare Trust Fund Be To:(Name)
Sfi.02 ABC So Calt Benefit Trust
404 Camino Del Rio So. Suite 608
San Diego,CA 92108
Pension Trust Fund Paid To:(Name)
$0.31 PAID TO EMPLOYEE
Vacation/Holiday Trust Fund Paid To:(Name)
$1 49 PAID TO EMPLOYEE
Training and/or Other Trust Fund Paid To(Name)
$0.75 ABC of So Cal
$0.13 1400 N Kellogg Dnve Suite A
other is paid to employee @.13 Anaheim,CA 92801
Classification:Apprentice-3rd period Effective Date 8I1I2006 Subsistence or Travel Pay 0
Health and Welfare Trust Fund Paid To:(Name)
$6.02 ABC of So Cal Benefit Trust
404 Camino Del Rio So Suite 608
San Diego,CA 92108
Pension Trust Fund Paid To:(Name)
$3.40 PAID TO EMPLOYEE
Vacation/Holiday Trust Fund Paid To.(Name)
$2.09 PAID TO EMPLOYEE
Training and/or Other Trust Fund Paid To:(Name)
$0.75 ABC So Cal
$0.33 1400 N Kellogg Drive, Suite A
other is paid to employee(g.33 Anaheim,CA 92801
Supplemental statement must be submitted during the progress of work should a change In rate of any of the classifications be made. I CERTIFY THAT THE
FRINGE BENEFIT PAYMENTS ARE MADE TO THE APPROVED PLANS,FUNDS OR PROGRAMS AS LISTED ABO
Submitted(Contractor/Subcontractor) By(Name and Title) Sign
ProTec Sunda/,Inc. Ama Cates
41735 Elm Street#201 Mumeta,CA 92562 Payroll/Labor Compliance Manager