LSJ CONSTRUCTION Subcontractor Payout Project: Mechanical Desal Trade: Concrete Formwork Subcontractor Big Bear Construction, Inc. Invoice # Phase # Requisition #01 03-120 Original Contract Sum: Change Orders Submitted & Approved: New Change Orders: Total Work Contracted to Date: Total Work Completed to Date: Less Retainage: Total Payments Made to Date: Total Current Payment Due: Balance to Finish including Retainage: 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: March 31, 2010 Requisition #01 Insurance ex iration: March 1, 2011 $821,461.00 $0.00 $0.00 $821,461.00 ,/ 9% $74,400.00 $3,720.00 $0.00 I $70,680.00 $750,781.00 None JEE approval attached YES NO Submitted Bill Signed: Date: April 6,2010 $74,400.00 Invoice Attached YES NO Approved by: Signed: Date: EFTA00622582