Dept. of Trans. AFTER ACCEPTANCE Serial No. Contract No. 05-277-16-19 02-1C0304 PROGRESS PAYMENT VOUCHER %complete: %time: Location: 100% 100% 02-SIS-96-41.0/ .0 Federal Project: NONE Progress payment No. 04 Payment period ending: 09-22-05 BLAISDELL CONSTRUCTION INC P O BOX 493459 REDDING CA 960493459 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 232,514.50 10,039.00 2.a. Extra Work 61,128.54 27,775.96 b. Adjustment Comp. 3. Materials on Hand 4. Earned Subject to Retention 293,643.04 37,814.96 5. Mobilization 20,000.00 0.00 6. Total Work Completed 313,643.04 7. Deductions -10,000.00 -10,000.00 8. a.Contract Retentions -12,791.40 0.00 b. Unsatisfactory Prog. c. Reduction after 95% Comp. 12,791.40 12,791.40 9. Total pay to Contractor 303,643.04 40,606.36 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 40,606.36