Dept. of Trans. PROGRESS Serial No. Contract No. 09-266-14-24 03-3M2004 PROGRESS PAYMENT VOUCHER %complete: %time: Location: 96% 98% 03-SIE-49-47.4/64.1 Federal Project: SARR-P049(144) A-P049(144) Progress payment No. 03 Payment period ending: 09-17-09 WEST COAST PAVING AND CHIP SEALING P O BOX 1231 YREKA CA 96097 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 625,435.10 5,181.60 2.a. Extra Work 71,681.41 66,832.26 b. Adjustment Comp. 3. Materials on Hand 4. Earned Subject to Retention 697,116.51 72,013.86 5. Mobilization 6. Total Work Completed 697,116.51 7. Deductions -5,000.00 -5,000.00 8. a.Contract Retentions b. Unsatisfactory Prog. c. Reduction after 95% Comp. 9. Total pay to Contractor 692,116.51 67,013.86 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 67,013.86