Dept. of Trans. PROGRESS Serial No. Contract No. 21-309-14-21 04-1W9904 PROGRESS PAYMENT VOUCHER %complete: %time: 13% 43% Location: Federal Project: 04-ALA-80-5.7/5.8 NONE Progress payment No. 004 Payment period ending: 11-05-21 QA CONSTRUCTORS INC 850 S. VAN NESS AVE #35 SAN FRANCISCO CA 94110 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 2. a. Extra Work 355,404.85 123,948.05 b. Adustment Comp. 3. Materials on Hand 4. Earned Subject to Retention 355,404.85 123,948.05 5. Mobilization 6. Total Work Completed 355,404.85 7. Deductions 8. a. Contract Retentions b. Unsatisfactory Retentions c. Reduction after 95% Comp. 9. Total pay to Contractor 355,404.85 123,948.05 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 123,948.05