Dept. of Trans. PROGRESS Serial No. Contract No. 09-294-10-13 10-0N2604 PROGRESS PAYMENT VOUCHER %complete: %time: Location: 78% 93% 10-SJ-4-R15.7/R19.4 Federal Project: NONE Progress payment No. 05 Payment period ending: 10-20-09 DEBRUIN CONSTRUCTION INC P O BOX 1355 FRENCH CAMP CA 95231 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 646,176.88 287,335.00 2.a. Extra Work b. Adjustment Comp. 3. Materials on Hand 4. Earned Subject to Retention 646,176.88 287,335.00 5. Mobilization 48,500.00 2,425.00 6. Total Work Completed 694,676.88 7. Deductions -950.00 0.00 8. a.Contract Retentions b. Unsatisfactory Prog. c. Reduction after 95% Comp. 9. Total pay to Contractor 693,726.88 289,760.00 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 289,760.00