Dept. of Trans. AFTER ACCEPTANCE Serial No. Contract No. 16-342-10-48 04-3A8704 PROGRESS PAYMENT VOUCHER %complete: %time: 100% 100% Location: Federal Project: 04-CC-680-22.7/24.8 NHPI-6801(71) Progress payment No. 028 Payment period ending: 12-06-16 GOLDEN STATE BRIDGE INC 3701 MALLARD DR BENICIA CA 94510 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 12,286,140.90 2,600.00 2. a. Extra Work 754,690.93 6,382.11 b. Adustment Comp. 475,782.02 0.00 3. Materials on Hand 4. Earned Subject to Retention 13,516,613.85 8,982.11 5. Mobilization 390,000.00 0.00 6. Total Work Completed 13,906,613.85 7. Deductions -11,072.00 0.00 8. a. Contract Retentions b. Unsatisfactory Retentions c. Reduction after 95% Comp. 9. Total pay to Contractor 13,895,541.85 8,982.11 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 8,982.11