Dept. of Trans. SUPPLEMENTAL Serial No. Contract No. 12-312-14-06 07-4Y8404 PROGRESS PAYMENT VOUCHER %complete: %time: Location: 19% 88% 07-LA-5-18.5/R88.5 Federal Project: NONE Progress payment No. 04 Payment period ending: 10-20-12 PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION INC 1792 KAISER AVENUE IRVINE CA 92614 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 169,411.48 0.00 2.a. Extra Work 52,082.33 42,837.40 b. Adjustment Comp. 3. Materials on Hand 4. Earned Subject to Retention 221,493.81 42,837.40 5. Mobilization 63,750.00 0.00 6. Total Work Completed 285,243.81 7. Deductions 8. a.Contract Retentions b. Unsatisfactory Prog. 0.00 12,789.64 c. Reduction after 95% Comp. 9. Total pay to Contractor 285,243.81 55,627.04 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 55,627.04