Dept. of Trans. FINAL Serial No. Contract No. 13-046-11-04 05-0P8104 PROGRESS PAYMENT VOUCHER %complete: %time: Location: 100% 100% 05-SCR-17-7.0/7.3 Federal Project: ACHS-P017(102) STP-P017(102) Progress payment No. 07 Payment period ending: 06-14-12 FIRST NATIONAL INSURANCE COMPANY OF AMERICA C/O SEDGWICK LLP 333 BUSH STREET, 30TH FLOOR SAN FRANCISCO, CA 94104 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 1,394,151.92 54,908.75 2.a. Extra Work 27,149.63 27,149.63 b. Adjustment Comp. 20,236.58 20,236.58 3. Materials on Hand 4. Earned Subject to Retention 1,441,538.13 102,294.96 5. Mobilization 150,000.00 0.00 6. Total Work Completed 1,591,538.13 7. Deductions 0.00 5,995.00 8. a.Contract Retentions b. Unsatisfactory Prog. c. Reduction after 95% Comp. 9. Total pay to Contractor 1,591,538.13 108,289.96 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 108,289.96