Dept. of Trans. SEMI-FINAL Serial No. Contract No. 16-071-11-17 06-0S2204 PROGRESS PAYMENT VOUCHER %complete: %time: 100% 100% Location: Federal Project: 06-FRE-0 NONE 06-MAD-0-0.0 06-TUL-0-0.0 Progress payment No. 004 Payment period ending: 10-29-15 INTERMOUNTAIN SLURRY SEAL INC 1005 TERMINAL WAY #220 RENO NV 89502 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 1,320,584.21 6,579.00 2. a. Extra Work 8,397.54 8,397.54 b. Adustment Comp. -3,376.39 0.00 3. Materials on Hand 4. Earned Subject to Retention 1,325,605.36 14,976.54 5. Mobilization 6. Total Work Completed 1,325,605.36 7. Deductions -30,000.00 40,000.00 8. a. Contract Retentions b. Unsatisfactory Retentions c. Reduction after 95% Comp. 9. Total pay to Contractor 1,295,605.36 54,976.54 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 54,976.54