Dept. of Trans. FINAL Serial No. Contract No. 14-007-09-28 03-3E0604 PROGRESS PAYMENT VOUCHER %complete: %time: Location: 100% 100% 03-NEV-20-R12.8/R15.9 Federal Project: BHNH-SP02(16) Progress payment No. 01 Payment period ending: 08-23-12 CINIUM RISK MANAGEMENT, LLC 4446 STATE ROUTE 42, SUITE B MONTICELLO, NY 12701 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 2.a. Extra Work b. Adjustment Comp. 3. Materials on Hand 4. Earned Subject to Retention 5. Mobilization 50,000.00 50,000.00 6. Total Work Completed 50,000.00 7. Deductions -50,000.00 -50,000.00 8. a.Contract Retentions b. Unsatisfactory Prog. c. Reduction after 95% Comp. 9. Total pay to Contractor 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 0.00