Dept. of Trans. FINAL Serial No. Contract No. 16-004-08-12 12-0M3704 PROGRESS PAYMENT VOUCHER %complete: %time: 100% 100% Location: Federal Project: 12-ORA-5-4.4/44.0 NH-X059(54) Progress payment No. 004 Payment period ending: 10-20-15 PETERSON-CHASE GENERAL ENGINEERING CONSTRUCTION, INC. 16351 CONSTRUCTION CIRCLEWEST IRVINE, CA 92606 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 385,768.90 0.00 2. a. Extra Work 12,624.54 0.00 b. Adustment Comp. 3. Materials on Hand 4. Earned Subject to Retention 398,393.44 0.00 5. Mobilization 11,700.00 0.00 6. Total Work Completed 410,093.44 7. Deductions 8. a. Contract Retentions b. Unsatisfactory Retentions c. Reduction after 95% Comp. 9. Total pay to Contractor 410,093.44 0.00 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 0.00