Dept. of Trans. SEMI-FINAL Serial No. Contract No. 16-032-11-12 03-4F3904 PROGRESS PAYMENT VOUCHER %complete: %time: 100% 100% Location: Federal Project: 03-ED-50-71.5 HSNH-000C(394) Progress payment No. 005 Payment period ending: 11-24-15 AMERICAN CONTRACTOR'S INDEMNITY COMPANY ASSGNEE OF WESTRN STR 03-4F3904 601 S. FIGUEROA LOS ANGELES CA 90017 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 632,450.84 0.00 2. a. Extra Work 7,954.56 7,954.56 b. Adustment Comp. 3. Materials on Hand 4. Earned Subject to Retention 640,405.40 7,954.56 5. Mobilization 6. Total Work Completed 640,405.40 7. Deductions 0.00 134,000.00 8. a. Contract Retentions b. Unsatisfactory Retentions c. Reduction after 95% Comp. 9. Total pay to Contractor 640,405.40 141,954.56 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 141,954.56