Dept. of Trans. AFTER ACCEPTANCE Serial No. Contract No. 21-161-12-54 04-0W6804 PROGRESS PAYMENT VOUCHER %complete: %time: 100% 100% Location: Federal Project: 04-SCL-101-48.6/48.6 NONE Progress payment No. 004 Payment period ending: 06-04-21 PAVEMENT PRESERVATION SPECIALTIES INC 27801 HALE CT TEHACHAPI CA 93561 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 4,395.00 4,395.00 2. a. Extra Work 323,127.02 0.00 b. Adustment Comp. 3. Materials on Hand 4. Earned Subject to Retention 327,522.02 4,395.00 5. Mobilization 6. Total Work Completed 327,522.02 7. Deductions -10,000.00 0.00 8. a. Contract Retentions b. Unsatisfactory Retentions c. Reduction after 95% Comp. 9. Total pay to Contractor 317,522.02 4,395.00 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 4,395.00