Dept. of Trans. PROGRESS Serial No. Contract No. 12-349-14-32 01-0B6404 PROGRESS PAYMENT VOUCHER %complete: %time: Location: 78% 100% 01-HUM-299-8.5 Federal Project: NONE Progress payment No. 14 Payment period ending: 12-13-12 G R SUNDBERG, INC. 5211 BOYD ROAD ARCATA, CA 95521 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 5,775.00 0.00 2.a. Extra Work 620,267.27 37,620.11 b. Adjustment Comp. 3. Materials on Hand 4. Earned Subject to Retention 626,042.27 37,620.11 5. Mobilization 6. Total Work Completed 626,042.27 7. Deductions -1,000.00 2,000.00 8. a.Contract Retentions b. Unsatisfactory Prog. c. Reduction after 95% Comp. 9. Total pay to Contractor 625,042.27 39,620.11 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 39,620.11