Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090176   Estimate Number: 0009 , Final     Spec Year: 1999
Primary JP: 26357(04)   Residency: ENID (04300)     Contract No: 411318
Date Created: 01/10/2011   Contractor FEI: 730626847     Account No: 400400

Project Number(s): NH-STIM(239)3R
Contract Description: RESURFACE (ASPHALT) US-60: BEGIN AT THE MAJOR C/L, EXTEND EAST. PROJECT LENGTH = 5.00 MILES.
Primary County: GARFIELD              
Name of Road: US-60              
Prime Contractor: THE CUMMINS CONSTRUCTION CO., INC.           Time Charged: N/A
    P. O. BOX 748           Time Allowed: N/A
    ENID , OK   73702           Percent Time: N/A

  Paid To Date: $2,562,637.73 Payable This Statement: $73,054.87

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.                                
THE CUMMINS 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:    01/10/2011
Contract ID: 090176   Estimate Number: 0009     Contract No: 411318
Residency: ENID (04300)   Estimate Type: Final     Account No: 400400

Project Number(s): NH-STIM(239)3R
Primary Job Piece No: 26357(04)
Contract Description: RESURFACE (ASPHALT) US-60: BEGIN AT THE MAJOR C/L, EXTEND EAST. PROJECT LENGTH = 5.00 MILES.
Primary County: GARFIELD              
Name of Road: US-60              
Prime Contractor: THE CUMMINS CONSTRUCTION CO., INC.              
    P. O. BOX 748              
    ENID , OK   73702              
Surety Company: HARTFORD ACCIDENT & INDEMNITY COMPANY              

Date Let: 05/14/2009 NTP Effective Date: 10/30/2009 Pay Period: 11/01/2009  TO  01/10/2011
Date Awarded: 05/19/2009 Date Work Began: 08/10/2009 Original Contract Time: N/A
Date Contract Executed: 06/01/2009 Date Time Stopped: 11/11/2009 Current Time Charged: N/A
Date NTP Issued: 06/05/2009 Completion Date: 11/11/2009 Current Time Allowed: N/A
General Liability Expires: 09/01/2011 Workman's Comp Expires: 01/01/2012 Percent Time Used: N/A
Specification Year: 1999 FIXED COMPLETION DATE: 11/11/2009    

Current Contract Amount: $2,562,637.73 Total to Date Prev to Date This Estimate
Bid Amount: $2,739,321.18 Participating: $2,538,245.36 $2,489,582.86 $48,662.50
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $0.00 Non ARRA: $24,392.37 $0.00 $24,392.37
Unearned Balance: $176,683.45 Total Earnings: $2,562,637.73 $2,489,582.86 $73,054.87
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $2,562,637.73 $2,489,582.86 $73,054.87
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $2,562,637.73 $2,489,582.86 $73,054.87

Estimate Adjustment Detail

Contract ID: 090176   Estimate Number: 0009     Primary JP: 26357(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Correction of contract to match plans Approved 12/14/2009 0.0 $0.00
002 extention of project "complete by" date for final inspection Approved 12/07/2009 11.0 $0.00
003 Ride Spec Bonus and Exp. Milled surf. Disincentive Approved 03/19/2010 0.0 $24,392.37
004 Deduct for failed and accepted asphalt Approved 10/25/2010 0.0 $-620.00
005 FQCO Approved 01/05/2011 0.0 $-200,455.82


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
26357(04) 0853 (SP)ASPH.CONC.,TYPE S4(PG 70-28 OK) * Asphalt Binder Adjustment 0009 0.00 $0.00 $-1,826.92
26357(04) 0853 (SP)ASPH.CONC.,TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0009 984.12 $1.85 $1,826.92
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: 090176   Estimate Number: 0009     Primary JP: 26357(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(239)3R Project:    26357(04) Category:    0100/ROADWAY
0001 UNCLASSIFIED BORROW (TOPSOIL) 202(E) 4781 CY 1,000.000 0.000   0.000 $14.20 $0.00 $0.00
0002 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) 411(S3) 6210 TON 1,200.000 0.000   0.000 $113.00 $0.00 $0.00
0003 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 24,000.000 24,472.300   24,472.300 $75.02 $0.00 $1,835,911.94
0004 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) 411(S4) 5960 TON 6,700.000 6,217.020   6,217.020 $70.60 $0.00 $438,921.62
0005 RUMBLE STRIP-METHOD AC-CON 413(A) 4861 LF 95,000.000 85,366.000 197.000 85,366.000 $0.10 $19.70 $8,536.60
0006 COLD MILLING PAVEMENT 417 5267 SY 190,000.000 160,410.440 19,064.670 160,410.440 $0.92 $17,539.50 $147,577.61
0007 REMOVAL OF CURB AND GUTTER 619(B) 4726 LF 600.000 385.000   385.000 $6.80 $0.00 $2,618.00
0008 REMOVAL OF CONCRETE PAVEMENT 619(B) 4727 SY 2,000.000 0.000 -583.330 0.000 $8.40 $-4,899.97 $0.00
0853 (SP)ASPH.CONC.,TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 0.000 984.120 984.120 984.120 $-0.63 $-620.00 $-620.00
850 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 0.000 583.330 583.330 583.330 $8.40 $4,899.97 $4,899.97
Subtotals For Category     0100/ROADWAY    $16,939.20 $2,437,845.74
Fed/State Project Number:    NH-STIM(239)3R Project:    26357(04) Category:    0300/TRAFFIC
0009 SHEET ALUMINUM SIGNS 850(A) 8110 SF 45.000 36.520 36.520 36.520 $18.98 $693.15 $693.15
0010 2" SQUARE TUBE POST 851(C) 8324 LF 60.000 52.000 52.000 52.000 $12.65 $657.80 $657.80
0011 2 1/4" SQUARE TUBE POST 851(C) 8327 LF 18.000 10.000 10.000 10.000 $3.16 $31.60 $31.60
0012 BARRIER DELINEATORS(TYPE 1, CODE 1) 853 9060 EA 84.000 27.000   27.000 $3.40 $0.00 $91.80
0013 GUARDRAIL DELINEATORS(TYPE 1, CODE 1) 853 9066 EA 200.000 147.000   147.000 $7.00 $0.00 $1,029.00
0014 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 150,000.000 137,549.960 19,691.960 137,549.960 $0.48 $9,452.14 $66,023.98
0015 TRAFFIC STRIPE(PLASTIC)(ARROWS) 855(B) 8818 EA 56.000 55.000 55.000 55.000 $73.80 $4,059.00 $4,059.00
0016 TRAFFIC STRIPE(PLASTIC)(WORDS) 855(B) 8821 EA 21.000 21.000 21.000 21.000 $79.10 $1,661.10 $1,661.10
0017 NONREMOVABLE PAVEMENT MARKING TAPE(4" WIDE) 856(E) 8869 LF 2,700.000 2,637.000 2,637.000 2,637.000 $5.55 $14,635.35 $14,635.35
0018 PAVEMENT MARKING REMOVAL(TRAFFIC STRIPE) 859(A) 8006 LF 4,000.000 3,083.000   3,083.000 $0.05 $0.00 $154.15
0019 (PL)TRUCK MOUNTED ATTENUATOR 876(C) 8482 SD 90.000 0.000   0.000 $3.18 $0.00 $0.00
0020 ARROW DISPLAY(TYPE C) 880(A) 8812 SD 90.000 92.000 1.000 92.000 $1.05 $1.05 $96.60
0021 CONSTRUCTION SIGNS 0 TO 6.25 SF 880(B) 8818 SD 1,000.000 2,238.000 140.000 2,238.000 $0.65 $91.00 $1,454.70
0022 CONSTRUCTION SIGNS 6.26 SF TO 15.99 SF 880(B) 8821 SD 5,000.000 2,699.000 23.000 2,699.000 $0.65 $14.95 $1,754.35
0023 CONSTRUCTION SIGNS 16.0 SF TO 32.99 SF 880(B) 8824 SD 5,000.000 5,399.000 407.000 5,399.000 $0.45 $183.15 $2,429.55
0024 BARRICADES(TYPE III) 880(C) 8842 SD 1,200.000 39.000   39.000 $0.03 $0.00 $1.17
0025 WING BARRICADES 880(C) 8848 SD 400.000 372.000 44.000 372.000 $5.30 $233.20 $1,971.60
0026 WARNING LIGHTS(TYPE A) 880(E) 8860 SD 7,400.000 4,455.000 363.000 4,455.000 $0.03 $10.89 $133.65
0027 WARNING LIGHTS(TYPE C) 880(E) 8872 SD 8,000.000 2,189.000 -36.000 2,189.000 $0.03 $-1.08 $65.67
0028 DRUMS 880(F) 8878 SD 8,000.000 2,180.000   2,180.000 $0.05 $0.00 $109.00
0029 CONES(36" LARGE) 880(H) 8896 SD 30,000.000 17,385.000   17,385.000 $0.05 $0.00 $869.25
0030 PORT.CHANGEABLE MESSAGE SIGN 882(B) 8306 SD 90.000 46.000   46.000 $3.20 $0.00 $147.20
0031 (PL)REMOVAL OF CLASS C PAVEMENT MARKERS 890(A) 8702 EA 200.000 147.000   147.000 $15.85 $0.00 $2,329.95
Subtotals For Category     0300/TRAFFIC    $31,723.30 $100,399.62
Fed/State Project Number:    NH-STIM(239)3R Project:    26357(04) Category:    0850/Non ARRA Funding
0851 DEDUCTION FOR FAILING MATERIAL 105 2100 LSUM 0.000 1.000 1.000 1.000 $-2,759.82 $-2,759.82 $-2,759.82
0852 PAVEMENT/BRIDGE SMOOTHNESS ADJUSTMENT 430 5010 LSUM 0.000 1.000 1.000 1.000 $27,152.19 $27,152.19 $27,152.19
Subtotals For Category     0850/Non ARRA Funding    $24,392.37 $24,392.37
Subtotals For Project NH-STIM(239)3R /26357(04) $73,054.87 $2,562,637.73