Dept. of Trans. AFTER ACCEPTANCE Serial No. Contract No. 16-028-13-08 07-2W6504 PROGRESS PAYMENT VOUCHER %complete: %time: 100% 100% Location: Federal Project: 07-LA-57-4.3/R10.8 NONE Progress payment No. 005 Payment period ending: 09-24-15 AMERICAN CONTRACTOR'S INDEMNITY COMPANY ASSIGNEE OF WESTERN STRUCTURES 601 S. FIGUEROA STE 1600 LOS ANGELES CA 90017 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 694,332.72 13,518.37 2. a. Extra Work 193,944.21 0.00 b. Adustment Comp. 9,011.51 9,011.51 3. Materials on Hand 4. Earned Subject to Retention 897,288.44 22,529.88 5. Mobilization 93,612.00 0.00 6. Total Work Completed 990,900.44 7. Deductions 8. a. Contract Retentions b. Unsatisfactory Retentions c. Reduction after 95% Comp. 9. Total pay to Contractor 990,900.44 22,529.88 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 22,529.88