Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090124   Estimate Number: 0007 , Final     Spec Year: 1999
Primary JP: 26280(04)   Residency: PERRY (04100)     Contract No: 411131
Date Created: 10/13/2009   Contractor FEI: 730703325     Account No: 400400

Project Number(s): IM-STIM(176)3R
Contract Description: RESURFACE (UTBWC) I-35: BEGIN 1.2 MILES NORTH OF PAYNE C/L AND EXTEND NORTH. PROJECT LENGTH = 6.01 MILES
Primary County: NOBLE              
Name of Road: I-35              
Prime Contractor: EVANS & ASSOCIATES CONSTRUCTION CO., INC.           Time Charged: 60.00
    P. O. BOX 30           Time Allowed: 60.00
    PONCA CITY , OK   74602           Percent Time: 100.00 %

  Paid To Date: $1,293,326.65 Payable This Statement: $0.00

CONTRACTOR AFFIDAVIT
STATE OF ___________________ )  
  )      
COUNTY OF __________________ )  
The undersigned contractor or duly authorized agent, of lawful age, being first duly sworn, on oath say that this claim is true and correct.
Affiant further states that the work, services or materials as shown by this claim have been completed or supplied in accordance with the plans, specifications, orders, requests and all other terms of the contract. Affiant further states that (s)he is duly authorized agent of the contractor for the purpose of certifying the facts pertaining to the giving of things of value to government personnel in order to procure the contract or obtain payment; that (s)he is fully aware of the facts and circumstances surrounding the making of the contract and has been personally and directly involved in the proceedings leading to the procurement of the contract and the filing of this claim; and, neither the contractor nor anyone subject to the contractor's direction or control has been paid, given or donated or agreed to pay, give or donate to any officer or employee of the State of Oklahoma any money or other thing of value, either directly or
indirectly, in procuring the contract or obtaining payment. The affiant further certifies that all laborers, mechanics, apprentices and trainees employed by him/her or by any subcontractor performing work under the contract on the project have been paid wages at rates not less than those required by the contract provisions, and that the work performed by each such laborer, mechanic, apprentice or trainee conformed to the classifications set forth in the contract or training program provisions applicable to the wage rate paid.
Affiant hereby agrees that Contractor will accept this estimate as full compensation for all money due Contractor by the Department of Transportation, and hereby relinquish all claims, either in contract or in tort, which have arisen or which might arise out of the construction of said project. That to the best of my knowledge and belief, all indebtedness for labor, materials, fuel, equipment, equipment rental, parts, supplies, insurance premiums, and claims for items not specifically mentioned, which are attributable to performance of the work on this project or which were incorporated therein in any manner, have been paid in full, and that there are not now any presently outstanding, unpaid claims for such indebtedness; that my position with the company is such, that if there were any such outstanding claims of the nature specified herein, I would ordinarily be aware of them.
Further affiant sayeth not.                                
EVANS & ASSOCIATES CONSTRUCTION CO., INC.                               
 
_________________________________________________
Affiant Signature
 
_________________________________________________
Affiant Printed Name
                          PE Seal
_________________________________________________
Affiant Company Position
Subscribed and sworn to before me this ______ day of ____________, 20____
My Commission Number: ____________ My Commission Expires: ______________
   
_________________________________________________              
_________________________________________________
                    Professional Engineer Signature
              Oklahoma Department of Transportation
Corporate Seal
Notary Seal                  

Oklahoma Department of Transportation
Final Estimate Summary
Created:    10/13/2009
Contract ID: 090124   Estimate Number: 0007     Contract No: 411131
Residency: PERRY (04100)   Estimate Type: Final     Account No: 400400

Project Number(s): IM-STIM(176)3R
Primary Job Piece No: 26280(04)
Contract Description: RESURFACE (UTBWC) I-35: BEGIN 1.2 MILES NORTH OF PAYNE C/L AND EXTEND NORTH. PROJECT LENGTH = 6.01 MILES
Primary County: NOBLE              
Name of Road: I-35              
Prime Contractor: EVANS & ASSOCIATES CONSTRUCTION CO., INC.              
    P. O. BOX 30              
    PONCA CITY , OK   74602              
Surety Company: MID-CONTINENT CASUALTY COMPANY              

Date Let: 03/19/2009 NTP Effective Date: 07/06/2009 Pay Period: 10/01/2009  TO  10/13/2009
Date Awarded: 03/30/2009 Date Work Began: 07/17/2009 Original Contract Time: 45
Date Contract Executed: 04/15/2009 Date Time Stopped: 09/03/2009 Current Time Charged: 60.00
Date NTP Issued: 04/16/2009 Completion Date: 09/03/2009 Current Time Allowed: 60.00
General Liability Expires: 05/01/2009 Workman's Comp Expires: 05/01/2009 Percent Time Used: 100.00 %
Specification Year: 1999        

Current Contract Amount: $1,293,326.64 Total to Date Prev to Date This Estimate
Bid Amount: $1,321,073.25 Participating: $1,293,326.65 $1,293,326.65 $0.00
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $-0.01 Non ARRA: $0.00 $0.00 $0.00
Unearned Balance: $27,746.60 Total Earnings: $1,293,326.65 $1,293,326.65 $0.00
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $1,293,326.65 $1,293,326.65 $0.00
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $1,293,326.65 $1,293,326.65 $0.00

Estimate Adjustment Detail

Contract ID: 090124   Estimate Number: 0007     Primary JP: 26280(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 UPDATING CONTRACT SPECIAL PROVISION 108-STIM01(a-f)99 Approved 05/05/2009 0.0 $0.00
002 FINAL QUANTITY CHANGE ORDER Approved 10/12/2009 0.0 $-27,746.61


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
No material stockpiles have been created for this contract.
Subtotals For Stockpile Payments $0.00


LIQUIDATED DAMAGES HISTORY
Adjustment Description Estimate Nbr Time Units Rate Adjustment Amount
No liquidated damages have been assessed on this contract.


CONTRACT ADJUSTMENTS HISTORY
Adjustment Description Estimate Nbr Adjustment Amount
No general contract adjustments have been created on this contract.
Subtotals For Contract Adjustments $0.00


LINE ITEM ADJUSTMENT HISTORY
Project Item Nbr Line Item Description Adjustment Type Estimate Nbr Adj Quantity Unit Price Adjusted Amount
No line item adjustments have been created on this contract.
Subtotals For Line Item Adjustments $0.00


MILESTONE ADJUSTMENTS
Milestone Number Milestone Description Time Allowed Time Used Rate Total
No milestones exist for this contract.

Line Item Detail

Contract ID: 090124   Estimate Number: 0007     Primary JP: 26280(04)



Line Item Number Item Description Item Number Units Bid Qty Current Quantity Quantity Paid This Est. Quantity Paid To Date Unit Price Amount Paid This Est. Amount Paid To Date
Fed/State Project Number:    IM-STIM(176)3R Project:    26280(04) Category:    0100/ROADWAY
0001 (SP)ULTRATHIN BONDED WEARING COURSE 411 4280 SY 190,000.000 191,361.650   191,361.650 $5.47 $0.00 $1,046,748.23
0002 (PL)FOG SEAL 417 4659 GAL 10,000.000 16,100.000   16,100.000 $4.33 $0.00 $69,713.00
0003 COLD MILLING PAVEMENT 417 5267 SY 6,000.000 2,827.570   2,827.570 $3.58 $0.00 $10,122.71
0004 BARRIER DELINEATORS(TYPE 1, CODE 1) 853 9060 EA 72.000 72.000   72.000 $24.20 $0.00 $1,742.40
0005 GUARDRAIL DELINEATORS(TYPE 1, CODE 1) 853 9066 EA 280.000 300.000   300.000 $19.62 $0.00 $5,886.00
Subtotals For Category     0100/ROADWAY    $0.00 $1,134,212.34
Fed/State Project Number:    IM-STIM(176)3R Project:    26280(04) Category:    0300/TRAFFIC
0006 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 175,000.000 169,976.000   169,976.000 $0.51 $0.00 $86,687.76
0007 NONREMOVABLE PAVEMENT MARKING TAPE(4" WIDE) 856(E) 8869 LF 3,200.000 3,208.500   3,208.500 $7.38 $0.00 $23,678.73
0008 PAVEMENT MARKING REMOVAL(TRAFFIC STRIPE) 859(A) 8006 LF 10,000.000 9,380.000   9,380.000 $0.24 $0.00 $2,251.20
0009 (PL)TRUCK MOUNTED ATTENUATOR 876(C) 8482 SD 60.000 6.000   6.000 $302.50 $0.00 $1,815.00
0010 ARROW DISPLAY(TYPE C) 880(A) 8812 SD 60.000 19.000   19.000 $10.89 $0.00 $206.91
0011 CONSTRUCTION SIGNS 0 TO 6.25 SF 880(B) 8818 SD 700.000 1,187.000   1,187.000 $0.43 $0.00 $510.41
0012 CONSTRUCTION SIGNS 6.26 SF TO 15.99 SF 880(B) 8821 SD 3,000.000 571.000   571.000 $1.03 $0.00 $588.13
0013 CONSTRUCTION SIGNS 16.0 SF TO 32.99 SF 880(B) 8824 SD 3,000.000 1,139.000   1,139.000 $1.82 $0.00 $2,072.98
0014 BARRICADES(TYPE III) 880(C) 8842 SD 500.000 52.000   52.000 $1.21 $0.00 $62.92
0015 WING BARRICADES 880(C) 8848 SD 300.000 130.000   130.000 $2.42 $0.00 $314.60
0016 WARNING LIGHTS(TYPE A) 880(E) 8860 SD 3,500.000 956.000   956.000 $0.12 $0.00 $114.72
0017 WARNING LIGHTS(TYPE C) 880(E) 8872 SD 2,000.000 300.000   300.000 $0.19 $0.00 $57.00
0018 DRUMS 880(F) 8878 SD 2,000.000 300.000   300.000 $0.31 $0.00 $93.00
0019 CONES(36" LARGE) 880(H) 8896 SD 22,000.000 11,340.000   11,340.000 $0.24 $0.00 $2,721.60
0020 TRAFFIC SURVEILLANCE, POLICE 880(L) 8911 HOUR 400.000 130.000   130.000 $67.20 $0.00 $8,736.00
0021 PORT.CHANGEABLE MESSAGE SIGN 882(B) 8306 SD 60.000 15.000   15.000 $60.50 $0.00 $907.50
Subtotals For Category     0300/TRAFFIC    $0.00 $130,818.46
Fed/State Project Number:    IM-STIM(176)3R Project:    26280(04) Category:    0640/CONSTRUCTION
0022 (SP)CONTRACTORS QUALITY CONTROL 643 0087 LSUM 1.000 1.000   1.000 $28,295.85 $0.00 $28,295.85
Subtotals For Category     0640/CONSTRUCTION    $0.00 $28,295.85
Fed/State Project Number:    IM-STIM(176)3R Project:    26280(04) Category:    0850/Non ARRA Funding
Subtotals For Category     0850/Non ARRA Funding    $0.00 $0.00
Subtotals For Project IM-STIM(176)3R /26280(04) $0.00 $1,293,326.65