Dept. of Trans. PROGRESS Serial No. Contract No. 16-263-13-21 12-0J6504 PROGRESS PAYMENT VOUCHER %complete: %time: 3% 3% Location: Federal Project: 12-ORA-261-0.0/6.2 NHP-P261 002-E Progress payment No. 001 Payment period ending: 09-20-16 ORTIZ ENTERPRISES INC 6 CUSHING #200 IRVINE CA 926184221 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 47,000.00 47,000.00 2. a. Extra Work b. Adustment Comp. 3. Materials on Hand 4. Earned Subject to Retention 47,000.00 47,000.00 5. Mobilization 6. Total Work Completed 47,000.00 7. Deductions 8. a. Contract Retentions b. Unsatisfactory Retentions c. Reduction after 95% Comp. 9. Total pay to Contractor 47,000.00 47,000.00 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 47,000.00