Dept. of Trans. AFTER ACCEPTANCE Serial No. Contract No. 16-005-14-28 03-3F7904 PROGRESS PAYMENT VOUCHER %complete: %time: 100% 100% Location: Federal Project: 03-SUT-20-16.5 HSNH-P020(172) Progress payment No. 004 Payment period ending: 11-30-15 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 0.00 2. a. Extra Work 44,258.93 3,965.11 b. Adustment Comp. -3,890.00 0.00 3. Materials on Hand 4. Earned Subject to Retention 307,717.93 3,965.11 5. Mobilization 5,000.00 0.00 6. Total Work Completed 312,717.93 7. Deductions -21,000.00 -21,000.00 8. a. Contract Retentions b. Unsatisfactory Retentions c. Reduction after 95% Comp. 9. Total pay to Contractor 291,717.93 -17,034.89 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate -17,034.89