Dept. of Trans. PROGRESS Serial No. Contract No. 12-201-16-33 04-1E4004 PROGRESS PAYMENT VOUCHER %complete: %time: Location: 1% 8% 04-SOL-128-0.7/0.7 Federal Project: 04-NAP-29-R6.6/19.0 NONE Progress payment No. 01 Payment period ending: 07-20-12 AEGIS SECURITY INSURANCE COMPANY C/O PCA CONSULTING 2455 FRANKLIN AVENUE SAN FRANCISCO, CA 94123 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 6,750.00 6,750.00 2.a. Extra Work b. Adjustment Comp. 3. Materials on Hand 4. Earned Subject to Retention 6,750.00 6,750.00 5. Mobilization 6. Total Work Completed 6,750.00 7. Deductions 8. a.Contract Retentions b. Unsatisfactory Prog. c. Reduction after 95% Comp. 9. Total pay to Contractor 6,750.00 6,750.00 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 6,750.00