Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090175   Estimate Number: 0007 , Final     Spec Year: 1999
Primary JP: 26366(05)   Residency: CLINTON (05100)     Contract No: 510037
Date Created: 03/01/2010   Contractor FEI: 731130155     Account No: 400500

Project Number(s): NH-STIM(069)3R, NH-STIM(070)3R
Contract Description: RESURFACE (ASPHALT) US-183: BEGIN 0.33 MILE NORTH OF THE SH-33 EAST JCT. EXTEND NORTH. PROJECT LENGTH = 10.62 MILES
Primary County: CUSTER              
Name of Road: US-183              
Prime Contractor: CASWELL CONTRACTING, INC.           Time Charged: N/A
    P.O. BOX 1886           Time Allowed: N/A
    ELK CITY , OK   73648           Percent Time: N/A

  Paid To Date: $2,276,100.64 Payable This Statement: $-5.58

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.                                
CASWELL CONTRACTING, 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:    03/01/2010
Contract ID: 090175   Estimate Number: 0007     Contract No: 510037
Residency: CLINTON (05100)   Estimate Type: Final     Account No: 400500

Project Number(s): NH-STIM(069)3R, NH-STIM(070)3R
Primary Job Piece No: 26366(05)
Contract Description: RESURFACE (ASPHALT) US-183: BEGIN 0.33 MILE NORTH OF THE SH-33 EAST JCT. EXTEND NORTH. PROJECT LENGTH = 10.62 MILES
Primary County: CUSTER              
Name of Road: US-183              
Prime Contractor: CASWELL CONTRACTING, INC.              
    P.O. BOX 1886              
    ELK CITY , OK   73648              
Surety Company: GRANITE RE, INC.              

Date Let: 05/14/2009 NTP Effective Date: 10/30/2009 Pay Period: 11/01/2009  TO  11/02/2009
Date Awarded: 05/19/2009 Date Work Began: 08/28/2009 Original Contract Time: N/A
Date Contract Executed: 06/22/2009 Date Time Stopped: 10/30/2009 Current Time Charged: N/A
Date NTP Issued: 06/24/2009 Completion Date: 10/30/2009 Current Time Allowed: N/A
General Liability Expires: 12/01/2010 Workman's Comp Expires: 12/01/2010 Percent Time Used: N/A
Specification Year: 1999 FIXED COMPLETION DATE: 10/31/2009    

Current Contract Amount: $2,276,100.63 Total to Date Prev to Date This Estimate
Bid Amount: $2,276,428.11 Participating: $2,276,100.64 $2,276,106.22 $-5.58
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: $327.47 Total Earnings: $2,276,100.64 $2,276,106.22 $-5.58
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $2,276,100.64 $2,276,106.22 $-5.58
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $2,276,100.64 $2,276,106.22 $-5.58

Estimate Adjustment Detail

Contract ID: 090175   Estimate Number: 0007     Primary JP: 26366(05)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Final Change Order Approved 01/19/2010 0.0 $-325.38
002 Change Order (Correct Qty.) Approved 02/24/2010 0.0 $-2.10


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
26366(05) 0001 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * ROADWAY DENSITY 0004 -2,449.72 $1.00 $-2,449.72
26366(05) 0001 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * ROADWAY DENSITY 0005 -10,155.80 $1.00 $-10,155.80
26366(05) 0001 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * ROADWAY DENSITY 0006 12,605.52 $1.00 $12,605.52
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: 090175   Estimate Number: 0007     Primary JP: 26366(05)



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(069)3R Project:    26366(05) Category:    0100/ROADWAY NH-STIM(069)3R
0001 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 17,395.000 16,823.160 0.040 16,823.160 $70.04 $2.80 $1,178,294.13
0002 COLD MILLING BITUMINOUS PAVEMENT 417 4267 SY 2,666.000 1,333.330   1,333.330 $5.06 $0.00 $6,746.65
0003 REMOVAL OF GUARD RAIL 619(B) 4780 LF 87.500 538.000   538.000 $4.69 $0.00 $2,523.23
0004 (SP)G.E.T. GUARD RAIL END SECTION 623(H) 8571 EA 1.000 10.000   10.000 $2,463.20 $0.00 $24,632.00
8001 (SP)ASPH.CONC.,TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 0.000 -0.030 -0.030 -0.030 $70.04 $-2.10 $-2.10
Subtotals For Category     0100/ROADWAY NH-STIM(069)3R    $0.70 $1,212,193.91
Fed/State Project Number:    NH-STIM(069)3R Project:    26366(05) Category:    0300/TRAFFIC NH-STIM(069)3R
0005 TRAFFIC STRIPE(PLASTIC)(THIN-LINE)(4" WIDE) 855(A) 8815 LF 114,996.000 113,265.000   113,265.000 $0.32 $0.00 $36,244.80
0006 TRAFFIC STRIPE(PLASTIC)(ARROWS) 855(B) 8818 EA 6.000 7.000   7.000 $82.11 $0.00 $574.77
0007 TRAFFIC STRIPE(PLASTIC)(WORDS) 855(B) 8821 EA 1.000 0.000   0.000 $199.40 $0.00 $0.00
0008 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $3,988.04 $0.00 $3,988.04
Subtotals For Category     0300/TRAFFIC NH-STIM(069)3R    $0.00 $40,807.61
Fed/State Project Number:    NH-STIM(069)3R Project:    26366(05) Category:    0850/Non ARRA Funding
Subtotals For Category     0850/Non ARRA Funding    $0.00 $0.00
Subtotals For Project NH-STIM(069)3R /26366(05) $0.70 $1,253,001.52


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(070)3R Project:    26366(06) Category:    0100/ROADWAY NH-STIM(070)3R
0009 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 5,786.000 6,012.860 -0.010 6,012.860 $69.68 $-0.70 $418,976.08
0010 COLD MILLING BITUMINOUS PAVEMENT 417 4267 SY 2,666.000 0.000   0.000 $5.06 $0.00 $0.00
0011 REMOVAL OF GUARD RAIL 619(B) 4780 LF 306.000 231.000   231.000 $4.69 $0.00 $1,083.39
0012 BEAM GUARD RAIL-W-BEAM-SINGLE 623(A) 0932 LF 75.000 0.000   0.000 $24.63 $0.00 $0.00
0013 (SP)G.E.T. GUARD RAIL END SECTION 623(H) 8571 EA 4.000 4.000   4.000 $2,463.20 $0.00 $9,852.80
Subtotals For Category     0100/ROADWAY NH-STIM(070)3R    $-0.70 $429,912.27
Fed/State Project Number:    NH-STIM(070)3R Project:    26366(06) Category:    0101/ROADWAY - ADD ALT 1 NH-STIM(070)3R
0014 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 5,276.000 5,521.180 -0.080 5,521.180 $69.80 $-5.58 $385,378.36
Subtotals For Category     0101/ROADWAY - ADD ALT 1 NH-STIM(070)3R    $-5.58 $385,378.36
Fed/State Project Number:    NH-STIM(070)3R Project:    26366(06) Category:    0102/ROADWAY - ADD ALT 2 NH-STIM(070)3R
0015 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 2,243.000 2,373.150   2,373.150 $68.87 $0.00 $163,438.84
0016 COLD MILLING BITUMINOUS PAVEMENT 417 4267 SY 1,333.000 1,333.330   1,333.330 $5.06 $0.00 $6,746.65
0017 REMOVAL OF GUARD RAIL 619(B) 4780 LF 300.000 200.000   200.000 $4.69 $0.00 $938.00
0018 BEAM GUARD RAIL-W-BEAM-SINGLE 623(A) 0932 LF 100.000 0.000   0.000 $24.63 $0.00 $0.00
0019 (SP)G.E.T. GUARD RAIL END SECTION 623(H) 8571 EA 4.000 4.000   4.000 $2,463.20 $0.00 $9,852.80
Subtotals For Category     0102/ROADWAY - ADD ALT 2 NH-STIM(070)3R    $0.00 $180,976.29
Fed/State Project Number:    NH-STIM(070)3R Project:    26366(06) Category:    0300/TRAFFIC NH-STIM(070)3R
0020 TRAFFIC STRIPE(PLASTIC)(THIN-LINE)(4" WIDE) 855(A) 8815 LF 33,133.000 32,581.000   32,581.000 $0.32 $0.00 $10,425.92
0021 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $1,759.43 $0.00 $1,759.43
Subtotals For Category     0300/TRAFFIC NH-STIM(070)3R    $0.00 $12,185.35
Fed/State Project Number:    NH-STIM(070)3R Project:    26366(06) Category:    0301/TRAFFIC - ADD ALT 1 NH-STIM(070)3R
0022 TRAFFIC STRIPE(PLASTIC)(THIN-LINE)(4" WIDE) 855(A) 8815 LF 30,814.000 28,774.000   28,774.000 $0.30 $0.00 $8,632.20
0023 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $1,055.66 $0.00 $1,055.67
Subtotals For Category     0301/TRAFFIC - ADD ALT 1 NH-STIM(070)3R    $0.00 $9,687.87
Fed/State Project Number:    NH-STIM(070)3R Project:    26366(06) Category:    0302/TRAFFIC - ADD ALT 2 NH-STIM(070)3R
0024 TRAFFIC STRIPE(PLASTIC)(THIN-LINE)(4" WIDE) 855(A) 8815 LF 13,300.000 14,575.000   14,575.000 $0.30 $0.00 $4,372.50
0025 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $586.48 $0.00 $586.48
Subtotals For Category     0302/TRAFFIC - ADD ALT 2 NH-STIM(070)3R    $0.00 $4,958.98
Fed/State Project Number:    NH-STIM(070)3R Project:    26366(06) Category:    0850/Non ARRA Funding
Subtotals For Category     0850/Non ARRA Funding    $0.00 $0.00
Subtotals For Project NH-STIM(070)3R /26366(06) $-6.28 $1,023,099.12