Dept. of Trans. PROGRESS Serial No. Contract No. 15-258-08-39 04-4J1304 PROGRESS PAYMENT VOUCHER %complete: %time: 94% 74% Location: Federal Project: 04-SON-101-0.0/33.8 NONE Progress payment No. 003 Payment period ending: 09-15-15 VALENTINE CORPORATION 111 PELICAN WAY SAN RAFAEL, CA 94901 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 2. a. Extra Work 331,498.61 25,156.12 b. Adustment Comp. 3. Materials on Hand 4. Earned Subject to Retention 331,498.61 25,156.12 5. Mobilization 6. Total Work Completed 331,498.61 7. Deductions 8. a. Contract Retentions b. Unsatisfactory Retentions c. Reduction after 95% Comp. 9. Total pay to Contractor 331,498.61 25,156.12 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 25,156.12