Dept. of Trans. AFTER ACCEPTANCE Serial No. Contract No. 16-085-16-09 04-4J1404 PROGRESS PAYMENT VOUCHER %complete: %time: 100% 100% Location: Federal Project: 04-SOL-80-0.0/18.9 NONE Progress payment No. 004 Payment period ending: 12-15-15 G D NIELSON CONSTRUCTION INC 147 CAMINO ORUGA NAPA CA 94558 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 2. a. Extra Work 218,895.12 0.00 b. Adustment Comp. 3. Materials on Hand 4. Earned Subject to Retention 218,895.12 0.00 5. Mobilization 6. Total Work Completed 218,895.12 7. Deductions 8. a. Contract Retentions b. Unsatisfactory Retentions c. Reduction after 95% Comp. 9. Total pay to Contractor 218,895.12 0.00 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 0.00