Dept. of Trans. SEMI-FINAL Serial No. Contract No. 16-265-15-41 05-1G5904 PROGRESS PAYMENT VOUCHER %complete: %time: 100% 100% Location: Federal Project: 05-SB-1-20.6/23.3 NONE 05-SB-246-28.6/29.9 Progress payment No. 004 Payment period ending: 08-16-16 PAVEMENT COATINGS CO. 10240 SAN SEVAINE WAY MIRA LOMA CA 91752 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 675,622.65 0.00 2. a. Extra Work 5,943.56 5,943.56 b. Adustment Comp. 10,323.95 484.00 3. Materials on Hand 4. Earned Subject to Retention 691,890.16 6,427.56 5. Mobilization 6. Total Work Completed 691,890.16 7. Deductions -20,000.00 47.42 8. a. Contract Retentions b. Unsatisfactory Retentions c. Reduction after 95% Comp. 9. Total pay to Contractor 671,890.16 6,474.98 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 6,474.98