RTD SUBCONTRACTOR PAYMENT REPORT

PLEASE SUBMIT YOUR MONTHLY PAYMENT REPORT ON OR BEFORE THE END OF EVERY MONTH BY MAIL, FAX OR EMAIL TO: KENN HARDIN, RTD BUSINESS OPPORTUNITY ADMINISTRATIVE OFFICER 1600 BLAKE STREET, BLAKE 31, DENVER, CO 80202 (FAX) 303.299.2061 (EMAIL) kenn.hardin@rtd-denver.com PRIME CONTRACTOR SUBCONTRACTOR DBE OR SBE PROJECT TITLE PROJECT NUMBER DATE NOTES:

CUMULATIVE PAYMENTS PAYMENTS CUMULATIVE ORIGINAL CONTRACT CURRENT RECEIVED RECEIVED PAYMENTS CONTRACT AMENDMENT(S) CONTRACT THIS TO DATE FROM RECEIVED PAYMENT AMOUNT AMOUNT AMOUNT PERIOD THE LAST REPORT TO DATE REMAINING

INSTRUCTIONS: Before you save the spreadsheet, adjust the column widths as follows: A - 30.86 B - 5.43 C - 10.71 D - 15.29 E - 10.29 F - 10.14 G - 16.71 H - 13.71 I - 10.57 Initially, save a "Master" of this spreadsheet under the name "RTD Subcontractor Payments - Master" for future use.

1. Enter the name of the Prime Contractor for this project in the PRIME CONTRACTOR location (Cell B8). 2. Enter your business name in the SUBCONTRACTOR location (Cell B9). 3. Enter your certification type - DBE or SBE - in the DBE OR SBE location (Cell B10). 4. Enter the Original RTD Project Title in the PROJECT TITLE location (Cell B11). 5. Enter the Original RTD Project Number in the PROJECT NUMBER location (Cell B12). 6. Enter the date of this monthly report in the DATE location (Cell B13). 7. Enter any notes pertaining to this monthly report in the NOTES location (Cells B14 - B16). If no payments were received this month enter "NO PAYMENTS THIS MONTH" and skip to step 12. 8. Enter the Original Contract Amount in the ORIGINAL CONTRACT AMOUNT location (Cell C22). 9. Enter any Contract Amendment(s) Amount - if any - in the CONTRACT AMENDMENT(S) AMOUNT location (Cell D22). The CURRENT CONTRACT AMOUNT will be calculated automatically. 10. Enter the payments received this period in the PAYMENTS RECEIVED THIS PERIOD location (Cell F22). 11. Enter the Cumulative Payments Received To Date from the Last Report in the CUMULATIVE PAYMENTS RECEIVED TO DATE FROM THE LAST REPORT location (Cell G22). The CUMULATIVE PAYMENTS RECEIVED TO DATE and the PAYMENT REMAINING will be calculated automatically. The TOTALS for all columns will be calculated automatically. 12. Save the spreadsheet using "Project Number_MMYY" as the name for your future reference. If you wish to email your monthly report, generate an email and attach the current spreadsheet you just saved. If you wish to fax or mail your monthly report, set the print area to A1 - I22 then print the report.