Dept. of Trans. SEMI-FINAL Serial No. Contract No. 16-027-11-17 04-4J2204 PROGRESS PAYMENT VOUCHER %complete: %time: 100% 100% Location: Federal Project: 04-ALA-880-27.2/27.2 NONE Progress payment No. 003 Payment period ending: 10-20-15 VALENTINE CORPORATION 111 PELICAN WAY SAN RAFAEL CA 94901 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 3,065.00 3,065.00 2. a. Extra Work 120,940.96 0.00 b. Adustment Comp. 3. Materials on Hand 4. Earned Subject to Retention 124,005.96 3,065.00 5. Mobilization 6. Total Work Completed 124,005.96 7. Deductions 8. a. Contract Retentions b. Unsatisfactory Retentions c. Reduction after 95% Comp. 9. Total pay to Contractor 124,005.96 3,065.00 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 3,065.00