Dept. of Trans. AFTER ACCEPTANCE Serial No. Contract No. 16-035-09-28 08-1F0304 PROGRESS PAYMENT VOUCHER %complete: %time: 100% 100% Location: Federal Project: 08-SBD-215-11.8/12.8 HSNH-215-1(235) Progress payment No. 004 Payment period ending: 01-25-16 PETERSON-CHASE GEN ENGINEERING CONSTRUCTION INC 1792 KAISER AVENUE IRVINE CA 92614-5706 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 345,328.00 5,020.00 2. a. Extra Work 8,000.12 0.00 b. Adustment Comp. 3. Materials on Hand 4. Earned Subject to Retention 353,328.12 5,020.00 5. Mobilization 6. Total Work Completed 353,328.12 7. Deductions 0.00 1,000.00 8. a. Contract Retentions b. Unsatisfactory Retentions c. Reduction after 95% Comp. 9. Total pay to Contractor 353,328.12 6,020.00 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 6,020.00