Dept. of Trans. PROGRESS Serial No. Contract No. 21-265-14-21 12-0S0904 PROGRESS PAYMENT VOUCHER %complete: %time: 12% 35% Location: Federal Project: 12-ORA-55-R17.7/R17.7 NONE 12-ORA-91-R9.2/R9.2 12-ORA-91-R17.9/L17.9 Progress payment No. 001 Payment period ending: 09-20-21 PETERSON-CHASE GEN ENGINEERING CONSTRUCTION INC 16351 CONSTRUCTION CIR WEST IRVINE CA 92606-4414 Escrow No. 00000 Total Estimate This Estimate 1. Contract Itms Without Mobil. 101,600.50 101,600.50 2. a. Extra Work b. Adustment Comp. 3. Materials on Hand 4. Earned Subject to Retention 101,600.50 101,600.50 5. Mobilization 24,000.00 24,000.00 6. Total Work Completed 125,600.50 7. Deductions 8. a. Contract Retentions b. Unsatisfactory Retentions c. Reduction after 95% Comp. 9. Total pay to Contractor 125,600.50 125,600.50 10. Reduction Amt to Escrow 11. Payment to Escrow 0.00 12. Net Pymt. this Estimate 125,600.50