Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090152   Estimate Number: 0009 , Final     Spec Year: 1999
Primary JP: 26283(04)   Residency: CLAREMORE (08300)     Contract No: 411089
Date Created: 07/20/2010   Contractor FEI: 330349226     Account No: 400800

Project Number(s): NH-STIM(175)3R
Contract Description: PAVEMENT REHAB (DOWEL RETROFIT) US-69: BEGIN AT THE SH-28 JCT. AND EXTEND NORTH. PROJECT LENGTH = 6.19 MILES
Primary County: MAYES              
Name of Road: US-69              
Prime Contractor: PENHALL COMPANY           Time Charged: 187.00
    1801 PENHALL WAY           Time Allowed: 190.00
    ANAHEIM , CA   92801           Percent Time: 98.42 %

  Paid To Date: $1,893,658.44 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.                                
PENHALL COMPANY                                
 
_________________________________________________
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:    07/20/2010
Contract ID: 090152   Estimate Number: 0009     Contract No: 411089
Residency: CLAREMORE (08300)   Estimate Type: Final     Account No: 400800

Project Number(s): NH-STIM(175)3R
Primary Job Piece No: 26283(04)
Contract Description: PAVEMENT REHAB (DOWEL RETROFIT) US-69: BEGIN AT THE SH-28 JCT. AND EXTEND NORTH. PROJECT LENGTH = 6.19 MILES
Primary County: MAYES              
Name of Road: US-69              
Prime Contractor: PENHALL COMPANY              
    1801 PENHALL WAY              
    ANAHEIM , CA   92801              
Surety Company: SAFECO INSURANCE COMPANY              

Date Let: 03/19/2009 NTP Effective Date: 06/01/2009 Pay Period: 02/16/2010  TO  04/27/2010
Date Awarded: 03/30/2009 Date Work Began: 07/28/2009 Original Contract Time: 120
Date Contract Executed: 04/10/2009 Date Time Stopped: 12/04/2009 Current Time Charged: 187.00
Date NTP Issued: 04/14/2009 Completion Date: 12/04/2009 Current Time Allowed: 190.00
General Liability Expires: 07/01/2011 Workman's Comp Expires: 07/01/2011 Percent Time Used: 98.42 %
Specification Year: 1999        

Current Contract Amount: $1,893,658.44 Total to Date Prev to Date This Estimate
Bid Amount: $1,969,809.50 Participating: $1,877,194.44 $1,877,194.44 $0.00
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $0.00 Non ARRA: $16,464.00 $16,464.00 $0.00
Unearned Balance: $76,151.06 Total Earnings: $1,893,658.44 $1,893,658.44 $0.00
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $1,893,658.44 $1,893,658.44 $0.00
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $1,893,658.44 $1,893,658.44 $0.00

Estimate Adjustment Detail

Contract ID: 090152   Estimate Number: 0009     Primary JP: 26283(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Supplemental agreement revising special provision Approved 06/04/2009 0.0 $0.00
002 Supplemental agreement adding loop detector wire. Approved 02/03/2010 0.0 $16,506.00
003 Final Contract Item Quantities Approved 03/29/2010 0.0 $-92,657.06


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
26283(04) 0007 TRAFFIC STRIPE(PLASTIC)(4" WIDE) * Material Discrepancy Adjustments 0006 -123,379.00 $0.45 $-55,520.55
26283(04) 0007 TRAFFIC STRIPE(PLASTIC)(4" WIDE) * Material Discrepancy Adjustments 0007 123,379.00 $0.45 $55,520.55
26283(04) 0008 TRAFFIC STRIPE(PLASTIC)(ARROWS) * Material Discrepancy Adjustments 0006 -38.00 $80.00 $-3,040.00
26283(04) 0008 TRAFFIC STRIPE(PLASTIC)(ARROWS) * Material Discrepancy Adjustments 0007 38.00 $80.00 $3,040.00
26283(04) 0009 TRAFFIC STRIPE(PLASTIC)(WORDS) * Material Discrepancy Adjustments 0006 -10.00 $125.00 $-1,250.00
26283(04) 0009 TRAFFIC STRIPE(PLASTIC)(WORDS) * Material Discrepancy Adjustments 0007 10.00 $125.00 $1,250.00
Subtotals For Line Item Adjustments $0.00
* = User applied Line Item Adjustments


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

Line Item Detail

Contract ID: 090152   Estimate Number: 0009     Primary JP: 26283(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:    NH-STIM(175)3R Project:    26283(04) Category:    0100/ROADWAY
0001 AGGREGATE BASE 303 0192 CY 1,200.000 585.850   585.850 $5.00 $0.00 $2,929.25
0002 (PL)CRACK SEALING P.C.PAVEMENT 414 5169 LF 37,000.000 0.000   0.000 $0.63 $0.00 $0.00
0003 H.E.S. CONCRETE (FULL DEPTH PATCHING) 414(B) 5913 SY 7,200.000 6,923.350   6,923.350 $100.00 $0.00 $692,335.00
0004 CONCRETE JOINT REHABILITATION 419 4152 LF 212,200.000 169,319.000   169,319.000 $0.63 $0.00 $106,670.97
0005 DIAMOND GRINDING CONCRETE PAVEMENT 425 5195 SY 104,830.000 101,936.010   101,936.010 $1.95 $0.00 $198,775.22
0006 DOWEL BAR RETROFIT 436 0100 EA 28,080.000 27,978.000   27,978.000 $26.00 $0.00 $727,428.00
Subtotals For Category     0100/ROADWAY    $0.00 $1,728,138.44
Fed/State Project Number:    NH-STIM(175)3R Project:    26283(04) Category:    0300/TRAFFIC
0007 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 95,350.000 92,625.000   92,625.000 $0.45 $0.00 $41,681.25
0008 TRAFFIC STRIPE(PLASTIC)(ARROWS) 855(B) 8818 EA 26.000 37.000   37.000 $80.00 $0.00 $2,960.00
0009 TRAFFIC STRIPE(PLASTIC)(WORDS) 855(B) 8821 EA 8.000 10.000   10.000 $125.00 $0.00 $1,250.00
0010 PAVEMENT MARKING REMOVAL(TRAFFIC STRIPE) 859(A) 8006 LF 2,750.000 7,543.000   7,543.000 $0.25 $0.00 $1,885.75
0011 PAVEMENT MARKING REMOVAL(ARROWS) 859(B) 8007 EA 26.000 36.000   36.000 $25.00 $0.00 $900.00
0012 PAVEMENT MARKING REMOVAL(WORDS) 859(B) 8008 EA 8.000 10.000   10.000 $25.00 $0.00 $250.00
0013 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $95,000.00 $0.00 $95,000.00
0014 TRAFFIC SURVEILLANCE, POLICE 880(L) 8911 HOUR 720.000 157.000   157.000 $10.00 $0.00 $1,570.00
0015 PORT.CHANGEABLE MESSAGE SIGN 882(B) 8306 SD 240.000 124.000   124.000 $1.00 $0.00 $124.00
0016 (PL)REMOVAL OF CLASS C PAVEMENT MARKERS 890(A) 8702 EA 470.000 687.000   687.000 $5.00 $0.00 $3,435.00
Subtotals For Category     0300/TRAFFIC    $0.00 $149,056.00
Fed/State Project Number:    NH-STIM(175)3R Project:    26283(04) Category:    0850/Non ARRA Funding
8000 LOOP DETECTOR WIRE 828(B) 8138 LF 0.000 2,736.000   2,736.000 $5.25 $0.00 $14,364.00
8001 MOBILIZATION 641 1399 LSUM 0.000 1.000   1.000 $2,100.00 $0.00 $2,100.00
Subtotals For Category     0850/Non ARRA Funding    $0.00 $16,464.00
Subtotals For Project NH-STIM(175)3R /26283(04) $0.00 $1,893,658.44