Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090171   Estimate Number: 0009 , Final     Spec Year: 1999
Primary JP: 26355(04)   Residency: EL RENO (04200)     Contract No: 411322
Date Created: 07/07/2010   Contractor FEI: 440577983     Account No: 400400

Project Number(s): NH-STIM(238)3R
Contract Description: RESURFACE (MICROSURFACE) SH-3: BEGIN 0.36 MILES SOUTH OF THE KINGFISHER C/L, EXTEND S.E. PROJECT LENGTH = 15.54 MILES
Primary County: CANADIAN              
Name of Road: SH-3              
Prime Contractor: VANCE BROTHERS, INC.           Time Charged: N/A
    5201 BRIGHTON           Time Allowed: N/A
    KANSAS CITY , MO   64130-0107           Percent Time: N/A

  Paid To Date: $2,493,452.00 Payable This Statement: $11,701.04

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.                                
VANCE BROTHERS, 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:    07/07/2010
Contract ID: 090171   Estimate Number: 0009     Contract No: 411322
Residency: EL RENO (04200)   Estimate Type: Final     Account No: 400400

Project Number(s): NH-STIM(238)3R
Primary Job Piece No: 26355(04)
Contract Description: RESURFACE (MICROSURFACE) SH-3: BEGIN 0.36 MILES SOUTH OF THE KINGFISHER C/L, EXTEND S.E. PROJECT LENGTH = 15.54 MILES
Primary County: CANADIAN              
Name of Road: SH-3              
Prime Contractor: VANCE BROTHERS, INC.              
    5201 BRIGHTON              
    KANSAS CITY , MO   64130-0107              
Surety Company: SAFECO INSURANCE COMPANY              

Date Let: 05/14/2009 NTP Effective Date: 10/30/2009 Pay Period: 06/30/2010  TO  07/02/2010
Date Awarded: 05/19/2009 Date Work Began: 08/31/2009 Original Contract Time: N/A
Date Contract Executed: 06/03/2009 Date Time Stopped: 01/20/2010 Current Time Charged: N/A
Date NTP Issued: 06/05/2009 Completion Date: 01/20/2010 Current Time Allowed: N/A
General Liability Expires: 01/01/2011 Workman's Comp Expires: 01/01/2011 Percent Time Used: N/A
Specification Year: 1999 FIXED COMPLETION DATE: 10/31/2009    

Current Contract Amount: $2,554,202.01 Total to Date Prev to Date This Estimate
Bid Amount: $2,637,680.60 Participating: $2,554,202.00 $2,542,500.96 $11,701.04
Percent Complete: 97.62 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $60,750.01 Non ARRA: $0.00 $0.00 $0.00
Unearned Balance: $144,228.60 Total Earnings: $2,554,202.00 $2,542,500.96 $11,701.04
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $2,554,202.00 $2,542,500.96 $11,701.04
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $-60,750.00 $-60,750.00 $0.00
TOTAL: $2,493,452.00 $2,481,750.96 $11,701.04

Estimate Adjustment Detail

Contract ID: 090171   Estimate Number: 0009     Primary JP: 26355(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Final Quantity Change Order Approved 06/29/2010 0.0 $-83,478.59


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
System Application of Liquidated Damages 0005 -30.0 $750.00 $-22,500.00
System Application of Liquidated Damages 0006 -51.0 $750.00 $-38,250.00


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
26355(04) 0008 PAVEMENT MARKING REMOVAL(ARROWS) * Material Discrepancy Adjustments 0001 -138.00 $5.75 $-793.50
26355(04) 0008 PAVEMENT MARKING REMOVAL(ARROWS) * Material Discrepancy Adjustments 0002 138.00 $5.75 $793.50
26355(04) 0009 PAVEMENT MARKING REMOVAL(WORDS) * Material Discrepancy Adjustments 0001 -54.00 $5.75 $-310.50
26355(04) 0009 PAVEMENT MARKING REMOVAL(WORDS) * Material Discrepancy Adjustments 0002 54.00 $5.75 $310.50
26355(04) 0011 ARROW DISPLAY(TYPE C) * Material Discrepancy Adjustments 0001 -2.00 $13.80 $-27.60
26355(04) 0011 ARROW DISPLAY(TYPE C) * Material Discrepancy Adjustments 0002 2.00 $13.80 $27.60
26355(04) 0012 CONSTRUCTION SIGNS 0 TO 6.25 SF * Material Discrepancy Adjustments 0001 -18.00 $0.01 $-0.18
26355(04) 0012 CONSTRUCTION SIGNS 0 TO 6.25 SF * Material Discrepancy Adjustments 0002 18.00 $0.01 $0.18
26355(04) 0013 CONSTRUCTION SIGNS 6.26 SF TO 15.99 SF * Material Discrepancy Adjustments 0001 -81.00 $0.03 $-2.43
26355(04) 0013 CONSTRUCTION SIGNS 6.26 SF TO 15.99 SF * Material Discrepancy Adjustments 0002 81.00 $0.03 $2.43
26355(04) 0014 CONSTRUCTION SIGNS 16.0 SF TO 32.99 SF * Material Discrepancy Adjustments 0001 -29.00 $0.03 $-0.87
26355(04) 0014 CONSTRUCTION SIGNS 16.0 SF TO 32.99 SF * Material Discrepancy Adjustments 0002 29.00 $0.03 $0.87
26355(04) 0017 WARNING LIGHTS(TYPE A) * Material Discrepancy Adjustments 0001 -46.00 $0.01 $-0.46
26355(04) 0017 WARNING LIGHTS(TYPE A) * Material Discrepancy Adjustments 0002 46.00 $0.01 $0.46
26355(04) 0019 DRUMS * Material Discrepancy Adjustments 0001 -20.00 $0.23 $-4.60
26355(04) 0019 DRUMS * Material Discrepancy Adjustments 0002 20.00 $0.23 $4.60
26355(04) 0020 CONES(36" LARGE) * Material Discrepancy Adjustments 0001 -327.00 $0.20 $-65.40
26355(04) 0020 CONES(36" LARGE) * Material Discrepancy Adjustments 0002 327.00 $0.20 $65.40
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: 090171   Estimate Number: 0009     Primary JP: 26355(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(238)3R Project:    26355(04) Category:    0100/ROADWAY
0001 EMULSIFIED ASPHALT 410(A) 4324 TON 1,332.000 1,269.750   1,269.750 $916.30 $0.00 $1,163,471.93
0002 TYPE II AGGREGATE 410(C) 4760 TON 14,800.000 14,977.910   14,977.910 $75.40 $0.00 $1,129,334.40
Subtotals For Category     0100/ROADWAY    $0.00 $2,292,806.33
Fed/State Project Number:    NH-STIM(238)3R Project:    26355(04) Category:    0300/TRAFFIC
0003 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 420,000.000 413,892.000 22,502.000 413,892.000 $0.52 $11,701.04 $215,223.84
0004 TRAFFIC STRIPE(PLASTIC)(ARROWS) 855(B) 8818 EA 138.000 138.000   138.000 $23.00 $0.00 $3,174.00
0005 TRAFFIC STRIPE(PLASTIC)(WORDS) 855(B) 8821 EA 54.000 54.000   54.000 $46.00 $0.00 $2,484.00
0006 NONREMOVABLE PAVEMENT MARKING TAPE(4" WIDE) 856(E) 8869 LF 8,300.000 8,091.000   8,091.000 $4.31 $0.00 $34,872.21
0007 PAVEMENT MARKING REMOVAL(TRAFFIC STRIPE) 859(A) 8006 LF 200.000 0.000   0.000 $1.73 $0.00 $0.00
0008 PAVEMENT MARKING REMOVAL(ARROWS) 859(B) 8007 EA 138.000 138.000   138.000 $5.75 $0.00 $793.50
0009 PAVEMENT MARKING REMOVAL(WORDS) 859(B) 8008 EA 54.000 54.000   54.000 $5.75 $0.00 $310.50
0010 (PL)TRUCK MOUNTED ATTENUATOR 876(C) 8482 SD 60.000 0.000   0.000 $51.75 $0.00 $0.00
0011 ARROW DISPLAY(TYPE C) 880(A) 8812 SD 60.000 71.000   71.000 $13.80 $0.00 $979.80
0012 CONSTRUCTION SIGNS 0 TO 6.25 SF 880(B) 8818 SD 2,000.000 1,134.000   1,134.000 $0.01 $0.00 $11.34
0013 CONSTRUCTION SIGNS 6.26 SF TO 15.99 SF 880(B) 8821 SD 8,000.000 1,827.000   1,827.000 $0.03 $0.00 $54.81
0014 CONSTRUCTION SIGNS 16.0 SF TO 32.99 SF 880(B) 8824 SD 8,000.000 5,103.000   5,103.000 $0.03 $0.00 $153.09
0015 BARRICADES(TYPE III) 880(C) 8842 SD 400.000 0.000   0.000 $0.01 $0.00 $0.00
0016 WING BARRICADES 880(C) 8848 SD 400.000 0.000   0.000 $2.30 $0.00 $0.00
0017 WARNING LIGHTS(TYPE A) 880(E) 8860 SD 9,200.000 2,898.000   2,898.000 $0.01 $0.00 $28.98
0018 WARNING LIGHTS(TYPE C) 880(E) 8872 SD 4,000.000 0.000   0.000 $0.01 $0.00 $0.00
0019 DRUMS 880(F) 8878 SD 4,000.000 960.000   960.000 $0.23 $0.00 $220.80
0020 CONES(36" LARGE) 880(H) 8896 SD 20,000.000 15,444.000   15,444.000 $0.20 $0.00 $3,088.80
0021 TRAFFIC SURVEILLANCE, POLICE 880(L) 8911 HOUR 400.000 0.000   0.000 $60.96 $0.00 $0.00
0022 PORT.CHANGEABLE MESSAGE SIGN 882(B) 8306 SD 60.000 0.000   0.000 $86.25 $0.00 $0.00
Subtotals For Category     0300/TRAFFIC    $11,701.04 $261,395.67
Fed/State Project Number:    NH-STIM(238)3R Project:    26355(04) Category:    0850/Non ARRA Funding
Subtotals For Category     0850/Non ARRA Funding    $0.00 $0.00
Subtotals For Project NH-STIM(238)3R /26355(04) $11,701.04 $2,554,202.00