LSJ CONSTRUCTION Subcontractor Payout Project: Mechanical Desal Trade: Concrete Formwork Subcontractor Big Bear Construction, Inc. Invoice # Phase # Requisition #11 03-120 January 11, 2011 Requisition #11 Insurance ex iration: March 1. 2011 Partial Final X Original Contract Sum: $821,461.00 Change Orders Submitted & Approved: $1,135.00 New Change Orders: $0.00 Total Work Contracted to Date: $822,596.00 Total Work Completed to Date: 100% $822,596.00 Less Retainage: $0.00 Total Payments Made to Date: $781,466.20 Total Current Payment Due: I $41,129.80 0 K Balance to Finish including Retainage: $0.00 Sales Tax Liability: a. Subcontractor/Supplier is liable, explaii install only / tax included in contract b. Non-resident Subcontractor/Supplier Bond Applicable: c. Use Tax to be paid by our company: d. Shipping Total Outlays for this contract incl. Sales or Use Tax: None JEE approval attached YES NO X Submitted Big Signed: Date: January 11. 2011 Approved by: Emad Signed: Date: fpr,Na_Ag \\ \ $822,596.00 Invoice Attached YES NO X Approved by: Ga Signed: Date: .1.3!-Tuary 11 20, 1 Approved by: Signed: Date: EFTA00622577