Dept. of Trans. PROGRESS Serial No. Contract No. 15-342-09-48 01-0F3304 PROGRESS PAYMENT VOUCHER %complete: %time: 68% 0% Location: Federal Project: 01-DN-101-12.0/15.5 NONE Progress payment No. 004 Payment period ending: 12-06-15 G R SUNDBERG, INC 5211 BOYD ROAD ARCATA, CA 95521 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 2. a. Extra Work 174,077.95 5,521.36 b. Adustment Comp. 3. Materials on Hand 4. Earned Subject to Retention 174,077.95 5,521.36 5. Mobilization 6. Total Work Completed 174,077.95 7. Deductions 8. a. Contract Retentions b. Unsatisfactory Retentions c. Reduction after 95% Comp. 9. Total pay to Contractor 174,077.95 5,521.36 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 5,521.36