Dept. of Trans. PROGRESS Serial No. Contract No. 21-300-11-23 01-0K4704 PROGRESS PAYMENT VOUCHER %complete: %time: 40% 78% Location: Federal Project: 01-DN-101-39.8/46.4 NONE Progress payment No. 003 Payment period ending: 10-20-21 INTERMOUNTAIN SLURRY SEAL INC PO BOX 50085 WATSONVILLE CA 950775085 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 268,706.20 37,000.00 2. a. Extra Work b. Adustment Comp. 3. Materials on Hand 4. Earned Subject to Retention 268,706.20 37,000.00 5. Mobilization 6. Total Work Completed 268,706.20 7. Deductions 8. a. Contract Retentions b. Unsatisfactory Retentions -3,700.00 -3,700.00 c. Reduction after 95% Comp. 9. Total pay to Contractor 265,006.20 33,300.00 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 33,300.00