Dept. of Trans. SUPPLEMENTAL Serial No. Contract No. 15-344-09-03 03-3F7904 PROGRESS PAYMENT VOUCHER %complete: %time: 99% 90% Location: Federal Project: 03-SUT-20-16.5 HSNH-P020(172) Progress payment No. 003 Payment period ending: 11-20-15 TIM PAXIN'S PACIFIC EXCAVATION, INC 9796 KENT STREET ELK GROVE CA 95624 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 267,349.00 43,326.25 2. a. Extra Work 40,293.82 0.00 b. Adustment Comp. -3,890.00 0.00 3. Materials on Hand 4. Earned Subject to Retention 303,752.82 43,326.25 5. Mobilization 5,000.00 0.00 6. Total Work Completed 308,752.82 7. Deductions 8. a. Contract Retentions b. Unsatisfactory Retentions c. Reduction after 95% Comp. 9. Total pay to Contractor 308,752.82 43,326.25 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 43,326.25