Dept. of Trans. SUPPLEMENTAL Serial No. Contract No. 17-031-10-10 12-0N8214 PROGRESS PAYMENT VOUCHER %complete: %time: 38% 50% Location: Federal Project: 12-ORA-999 NHP-X059(65) Progress payment No. 004 Payment period ending: 01-20-17 SERVITEK SOLUTIONS INC 618 BREA CANYON RD #J CITY OF INDUSTRY CA 91789 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 255,135.89 53,168.91 2. a. Extra Work b. Adustment Comp. 3. Materials on Hand 4. Earned Subject to Retention 255,135.89 53,168.91 5. Mobilization 62,700.00 0.00 6. Total Work Completed 317,835.89 7. Deductions 8. a. Contract Retentions b. Unsatisfactory Retentions c. Reduction after 95% Comp. 9. Total pay to Contractor 317,835.89 53,168.91 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 53,168.91