LCP-AR2 LABOR COMPLIANCE PROGRAM ANNUAL …

1 LCP-AR2 LABORCOMPLIANCEPROGRAMANNUALREPORTF ormatforAwardingBodythatenforcesitsownLa borComplianceProgramforallprojects( LABOR Code (a :~YesIfYes,proceedtoitem6 onthenextpagerNoIfNo,completetheinformat ionbelow,signtheformandsubmittoDIR,Offic eoftheDirector,Attn:LCPS pecialAssistant,455 GoldenGateAvenue,10thFloor,SanFranciscoC A94102 WhatsuggestionsdoyouhavefortheDepartment ofIndustrialRelationstobetterassistyouwi thyourprograminthecomingyear?(attachaddi tionalsheetsifnecessary)I I/f//:I!;///1 SUBMITTED1,1':/'!////If'//:5/f/~~( {~ ,.LCPANNUALREPORT8 CCR 16431.)))}

2 (provideallinfonnationrequested,attachin gasmanysheetsasnecessary). ;1011107 Seeattachedlist,highlightedinyellow$26,9 08,291 Total..//i/..>.,.. (a), CCR 16431-- ..'..'rx.< r .. \..,.~,. ,.::.0:' J I (whodirectlyemployedtheAssessedRecovered RequestedfromDescriptionofViolationworke r)LaborCommissioner?N/A,YesINo,Yes,No,Ye sINoIYes,No,YesINoIYesINo,Yes, forwhichapprovalofforfeiturenotrequested fromtheLaborCommissioner, CCR forwhichapprovalofforfeiturewasrequested fromtheLaborCommissioner,pleaseprovideth efollowing:ProjectAmountAssessedAmountRe coveredNameLC I776(g)LC I775LC 1813 WagesTotalLC 1776(g)LC 1775LC 1813 # :rYestrNoIfyes,identifYaffectedcontracto r(s)orsubcontractor(s)anddate(s) (DAS)?

3 Pleasecheckme:rYes~NoIfyes,identifYaffec tedcontractor(s)orsubcontractor(s)anddat e(s)ofreferral:LCPANNUALREPORT8 CCR 16431--ABallprojects2008 Project:LVHSP hase1- Phase1 Printed:8/10/20i'o/\ ~qThisreportis a ;!..I I3 DayBlinds01/20/09C62104, , , , , , , , , , , , , , , , , , , , , , , , ,691011, Asso02/01/09B62217, , , , , , , , , , , TData-436811/24/08F436834, , , TData-440011/24/08F440056, , , TDatacom-626410/01108C626471, , , , TDatacom-640010/29/08F640036, , , & MLawn& Garden08/21 & MLawn-440008/21/09F44002, , , , , , , , , , , (Closeltransfer)11/07/07C62604,787, ,787, (new)11/07/07C62604,787, ,184, ,602, ,602, , 'sAllStar-436803/18 'sAllStar-440003/18/09F44001, , , & AFloorcoverings08/01/08C6210106, , , , , , , , , ~"~ ~---' '.

4 ~~ ~ ~ "' ".._-,.,.._-_ .. , " " ~ ~._----~ ColbiTechnologies, :LVHSP hase1 ,an, 's-4368 Chello's-4400 ChicagoTWeCompanChipmanCorpCityofFullert on-6223 ClimatecColbiCommercialRoofingConstructi on ControlConstructionHardwarCPSS ecurityCrackPatcherCulverNewlin-4368 CulverNewlin-4400 CustomConcreteCultDataImpressionsDataImp ressions-4368 DataImpressions-6400 DennisonElectricDennison-6264 DeptofToxicSubstControlDGSP rocurementDiviDigitalNetworksGroDiligent BusinessSoDiversifiedMetal-4368 DiversifiedMetal-4400 DiversifiedWindowDateIClwlMIDefObj06/15i 1;;'~.

5 ,~;'~~ I1I622404/20/09IF III436801/21/091F I1I436801/21/09I F III440004/01/07 IBI I I629002101/09I CII1626408/14/08I B III622304/01/09I CIII626404/05/07I B III629011107/07I CIII626001/16/07I BIII629012101/08I C III626012/08/08I F III626901/12109I C III626411/26/081F III436811/26/08I F III440002110/091C III626409/01/081FI I I440011/26/081F I1 1436811/25/08IF III640011/07/07I C III626010/16/08I CII I626408/29/05IA II I626802101/09I B III622312131/08I CIII626404/07/10 IBIII629002101/09I F III436802101/09I FIII440001/12109I CIII6264 Amount7, , , , , , , , , , , , , , , , , , ,218, , , , , , , ,',:'<::',:i.

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7 ".'0'-'_'.'.'. ,, ~"..'.''.----','""-,..-'-ro'-'"ContractN ameDateC W MDefObjAmountChangesCurrent& :'''-';:'.'k<:;:';':J:;tD'1:'':Z-P:,"-D".I':;.";-I ~:_'-.'?".,.<.-, :<.-s-,~C,-\,T: ,:.,> < ).~Tl'::'&".'~'_:'_':'l;CXJ& ,,':'''''~Y_;':;';';;""':JY,'f:_~LN;f;.';;'-:,-.,< ,-;:.'.'S!/f<'? ~3';'l1S.','Ei4i;~'U;t;g;C'.:,',":/:/:j'.O'.7';--i?/'iA:;;c:;-;;"!3):InlandBuildingCons11/06/07C6260305, , , , , , , , , , ,318, ,008, ,310, ,237, , , , , , , , , ESchoolConsultin912109/08B62905, , , , , , , & Z11/06/07C6260439, , , , , , , , , , , , , , , , , , , , , , , , , , , ,Inc03/21/06A612010, , , , , , , , , , ,270, , ,160, ,160, , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , -c~lbiT-;;h-~~i~g~;:-i;;c~ ;;;-4c; ;,rtr~ctSummarybYP-r~~ct----!

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9 ~~. ~.-~.,~.. -,,------,------., ~.-.'"---~--~ ".-----~ ~ ~ _-_ _-------------_ _----_ _--- 1 ColbiTechnologies, ,Project:LVHSP hase1 ~ "C"!IN!DefObjAmountChangesCurrentExp& 'h_.< "::'~;;'YZ>;-;:'::;-i:;;0_c""'~-,.-'-_:"'i':,_;,,:- ';~}'.""J'-'.I;:'.' ' .",<"Ll'r~Clf2<T:' '~' ;" ;9 ";,;,y;;t:W%'iiF:;~;-:'8E0:::;0;),,<_eSt ateWaterResource04 , , , , , , ,868, , ,968, ,930, , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,090, ,015, ,075, ,607,467,44467, , ColbiTechnologies, :LSHSP hase1 -Phase1 Printed:8110120101\_ContractSumma'Y.

10 !!YProjectAccount-Ability-Thisreportis a listofallPostedContractsforthisproject-, ,..ContractNameI,Date..,SI":.~ 'c'-"-,-.,-.".?,.:,',':>:)'__>.",.'<"-',"-"}',:~}'i:-~')':iG'H'":>:::~'r'::" ii_';-;;>;t!':.,//},'5S:;;MAt{<);;Cdi" ,,-q-'"'C-AcademyFlooringSysOS/27/09C626 44, , , , , , , , , , , , , , , , , , , , , , ,496, ,496, ,496, , , , , , , 'sRestaurant07/01/10F44002, , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , " ~,~.. ,----,..--.".", .. ~ '.'-, .._--------. , ~.. ~.-" ~ ~. ~~ ~_.,~ColbiTechnologies, :LSHSP hase1 , '~I'~MDefObjAmou~tChangesCurrentExp& '"'--',' ;;1';;'0''','.