Dept. of Trans. SEMI-FINAL Serial No. Contract No. 20-275-17-09 05-1M1804 PROGRESS PAYMENT VOUCHER %complete: %time: 100% 100% Location: Federal Project: 05-SLO-41-11.5/11.5 NONE Progress payment No. 003 Payment period ending: 12-11-19 S CHAVES CONSTRUCTION INC 11545 LOS OSOS VALLEY RD UNIT SAN LUIS OBISPO CA 93405 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 2. a. Extra Work 139,571.74 39,991.79 b. Adustment Comp. 3. Materials on Hand 4. Earned Subject to Retention 139,571.74 39,991.79 5. Mobilization 6. Total Work Completed 139,571.74 7. Deductions 8. a. Contract Retentions b. Unsatisfactory Retentions c. Reduction after 95% Comp. 9. Total pay to Contractor 139,571.74 39,991.79 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 39,991.79