Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090210   Estimate Number: 0018 , Final     Spec Year: 1999
Primary JP: 26352(04)   Residency: MUSKOGEE (01100)     Contract No: 411096
Date Created: 07/19/2010   Contractor FEI: 430995985     Account No: 400100

Project Number(s): NH-STIM(163)3R, NH-STIM(164)3R, NH-STIM(159)3R, STP-STIM(158)3R, STP-STIM(157)3R
Contract Description: PAVEMENT REHAB (DOWEL RETROFIT) SH-9/SH-2/US-75/US-69: AT VARIOUS LOCATIONS IN DIVISION I. PROJECT LENGTH = 13.850 MILES
Primary County: HASKELL              
Name of Road: SH-9              
Prime Contractor: CHESTER BROSS CONSTRUCTION COMPANY/C.B. EQUIPMENT, INC.           Time Charged: 337.00
    6739 COUNTY ROAD 423           Time Allowed: 389.00
    PALMYRA , KS   63461           Percent Time: 86.63 %

  Paid To Date: $3,886,458.52 Payable This Statement: $8,226.33

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.                                
CHESTER BROSS CONSTRUCTION COMPANY/C.B. EQUIPMENT, 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:    07/19/2010
Contract ID: 090210   Estimate Number: 0018     Contract No: 411096
Residency: MUSKOGEE (01100)   Estimate Type: Final     Account No: 400100

Project Number(s): NH-STIM(163)3R, NH-STIM(164)3R, NH-STIM(159)3R, STP-STIM(158)3R, STP-STIM(157)3R
Primary Job Piece No: 26352(04)
Contract Description: PAVEMENT REHAB (DOWEL RETROFIT) SH-9/SH-2/US-75/US-69: AT VARIOUS LOCATIONS IN DIVISION I. PROJECT LENGTH = 13.850 MILES
Primary County: HASKELL              
Name of Road: SH-9              
Prime Contractor: CHESTER BROSS CONSTRUCTION COMPANY/C.B. EQUIPMENT, INC.              
    6739 COUNTY ROAD 423              
    PALMYRA , KS   63461              
Surety Company: WESTERN SURETY COMPANY              

Date Let: 03/19/2009 NTP Effective Date: 04/27/2009 Pay Period: 07/02/2010  TO  07/19/2010
Date Awarded: 03/30/2009 Date Work Began: 05/04/2009 Original Contract Time: 210
Date Contract Executed: 04/09/2009 Date Time Stopped: 04/05/2010 Current Time Charged: 337.00
Date NTP Issued: 04/15/2009 Completion Date: 04/05/2010 Current Time Allowed: 389.00
General Liability Expires: 08/01/2010 Workman's Comp Expires: 12/31/2010 Percent Time Used: 86.63 %
Specification Year: 1999        

Current Contract Amount: $3,886,458.51 Total to Date Prev to Date This Estimate
Bid Amount: $3,878,232.20 Participating: $3,886,458.52 $3,886,458.52 $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: $-8,226.32 Total Earnings: $3,886,458.52 $3,886,458.52 $0.00
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $3,886,458.52 $3,886,458.52 $0.00
Other Adjustments: $0.00 $-8,226.33 $8,226.33
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $3,886,458.52 $3,878,232.19 $8,226.33

Estimate Adjustment Detail

Contract ID: 090210   Estimate Number: 0018     Primary JP: 26352(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Special Provision 108-STIMO1(a-f) 99 Approved 05/05/2009 0.0 $0.00
002 Final Contract Item Quantities Approved 07/19/2010 0.0 $8,226.31


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
26349(04) 0006 (SP)TRAFFIC STRIPE(MULTI-POLYMER)(4" WIDE) * Material Discrepancy Adjustments 0017 -19,131.00 $0.43 $-8,226.33
26349(04) 0006 (SP)TRAFFIC STRIPE(MULTI-POLYMER)(4" WIDE) * Material Discrepancy Adjustments 0018 19,131.00 $0.43 $8,226.33
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: 090210   Estimate Number: 0018     Primary JP: 26352(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(163)3R Project:    26349(04) Category:    0100/ROADWAY NH-STIM(163)3R
0001 9" H.E.S. CONCRETE (PATCHING) 414(B) 5072 SY 2,300.000 4,589.200   4,589.200 $119.50 $0.00 $548,409.41
0002 CONCRETE JOINT REHABILITATION 419 4152 LF 270,000.000 244,654.000   244,654.000 $0.74 $0.00 $181,043.96
0003 DIAMOND GRINDING CONCRETE PAVEMENT 425 5195 SY 135,000.000 121,508.990   121,508.990 $1.87 $0.00 $227,221.81
0004 POLYURETHANE INJECTION FOR PAVEMENT 426(D) 6010 LB 11,000.000 0.000   0.000 $4.95 $0.00 $0.00
0005 DOWEL BAR RETROFIT 436 0100 EA 37,500.000 33,285.000   33,285.000 $25.15 $0.00 $837,117.75
0006 (SP)TRAFFIC STRIPE(MULTI-POLYMER)(4" WIDE) 854(C) 8530 LF 93,000.000 88,472.000 0.000 88,472.000 $0.43 $0.00 $38,042.96
0007 (SP)TRAFFIC STRIPE(MULTI-POLYMER)(6" WIDE) 854(C) 8535 LF 26,000.000 24,720.000   24,720.000 $0.55 $0.00 $13,596.00
0008 NONREMOVABLE PAVEMENT MARKING TAPE(6" WIDE) 856(E) 8870 LF 1,550.000 1,650.000   1,650.000 $6.55 $0.00 $10,807.50
0009 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $10,000.00 $0.00 $10,000.00
0010 PORT.CHANGEABLE MESSAGE SIGN 882(B) 8306 SD 180.000 109.000   109.000 $6.00 $0.00 $654.00
0011 (PL)REMOVAL OF CLASS C PAVEMENT MARKERS 890(A) 8702 EA 520.000 419.000   419.000 $13.45 $0.00 $5,635.55
Subtotals For Category     0100/ROADWAY NH-STIM(163)3R    $0.00 $1,872,528.94
Fed/State Project Number:    NH-STIM(163)3R Project:    26349(04) Category:    0850/Non ARRA Funding
Subtotals For Category     0850/Non ARRA Funding    $0.00 $0.00
Subtotals For Project NH-STIM(163)3R /26349(04) $0.00 $1,872,528.94


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(164)3R Project:    26349(05) Category:    0100/ROADWAY NH-STIM(164)3R
0012 9" H.E.S. CONCRETE (PATCHING) 414(B) 5072 SY 700.000 1,284.510   1,284.510 $120.00 $0.00 $154,141.20
0013 CONCRETE JOINT REHABILITATION 419 4152 LF 43,000.000 30,816.000   30,816.000 $0.74 $0.00 $22,803.84
0014 DIAMOND GRINDING CONCRETE PAVEMENT 425 5195 SY 21,500.000 27,468.030   27,468.030 $2.45 $0.00 $67,296.67
0015 POLYURETHANE INJECTION FOR PAVEMENT 426(D) 6010 LB 5,000.000 0.000   0.000 $4.95 $0.00 $0.00
0016 DOWEL BAR RETROFIT 436 0100 EA 6,400.000 6,978.000   6,978.000 $26.40 $0.00 $184,219.20
0017 (SP)TRAFFIC STRIPE (MULTI-POLYMER)(SYMBOLS, WORDS. ETC.) 854(C) 8525 EA 24.000 19.000   19.000 $302.00 $0.00 $5,738.00
0018 (SP)TRAFFIC STRIPE(MULTI-POLYMER)(4" WIDE) 854(C) 8530 LF 11,000.000 11,244.000   11,244.000 $0.45 $0.00 $5,059.80
0019 (SP)TRAFFIC STRIPE(MULTI-POLYMER)(6" WIDE) 854(C) 8535 LF 5,000.000 4,128.000   4,128.000 $0.55 $0.00 $2,270.40
0020 NONREMOVABLE PAVEMENT MARKING TAPE(6" WIDE) 856(E) 8870 LF 1,350.000 495.000   495.000 $6.55 $0.00 $3,242.25
0021 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $22,000.00 $0.00 $22,000.00
0022 PORT.CHANGEABLE MESSAGE SIGN 882(B) 8306 SD 120.000 67.000   67.000 $6.00 $0.00 $402.00
0023 (PL)REMOVAL OF CLASS C PAVEMENT MARKERS 890(A) 8702 EA 440.000 220.000   220.000 $13.30 $0.00 $2,926.00
Subtotals For Category     0100/ROADWAY NH-STIM(164)3R    $0.00 $470,099.36
Fed/State Project Number:    NH-STIM(164)3R Project:    26349(05) Category:    0850/Non ARRA Funding
Subtotals For Category     0850/Non ARRA Funding    $0.00 $0.00
Subtotals For Project NH-STIM(164)3R /26349(05) $0.00 $470,099.36


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(159)3R Project:    26350(04) Category:    0100/ROADWAY NH-STIM(159)3R
0024 9" H.E.S. CONCRETE (PATCHING) 414(B) 5072 SY 1,400.000 1,963.950   1,963.950 $129.00 $0.00 $253,349.55
0025 APPROACH SLABS 414(C) 0309 SY 226.000 151.730   151.730 $245.70 $0.00 $37,280.06
0026 CONCRETE JOINT REHABILITATION 419 4152 LF 110,000.000 101,749.000   101,749.000 $0.75 $0.00 $76,311.75
0027 DIAMOND GRINDING CONCRETE PAVEMENT 425 5195 SY 57,000.000 69,914.670   69,914.670 $2.18 $0.00 $152,413.98
0028 DOWEL BAR RETROFIT 436 0100 EA 15,900.000 11,892.000   11,892.000 $25.15 $0.00 $299,083.80
0029 EPOXY COATED REINFORCING STEEL 511(B) 4269 LB 9,600.000 9,600.000   9,600.000 $2.40 $0.00 $23,040.00
0030 (SP)TRAFFIC STRIPE(MULTI-POLYMER)(4" WIDE) 854(C) 8530 LF 41,000.000 46,963.000   46,963.000 $0.43 $0.00 $20,194.09
0031 (SP)TRAFFIC STRIPE(MULTI-POLYMER)(6" WIDE) 854(C) 8535 LF 11,000.000 13,680.000   13,680.000 $0.55 $0.00 $7,524.00
0032 NONREMOVABLE PAVEMENT MARKING TAPE(6" WIDE) 856(E) 8870 LF 1,000.000 864.000   864.000 $6.55 $0.00 $5,659.20
0033 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $5,900.00 $0.00 $5,900.00
0034 PORT.CHANGEABLE MESSAGE SIGN 882(B) 8306 SD 120.000 99.000   99.000 $6.00 $0.00 $594.00
Subtotals For Category     0100/ROADWAY NH-STIM(159)3R    $0.00 $881,350.43
Fed/State Project Number:    NH-STIM(159)3R Project:    26350(04) Category:    0850/Non ARRA Funding
Subtotals For Category     0850/Non ARRA Funding    $0.00 $0.00
Subtotals For Project NH-STIM(159)3R /26350(04) $0.00 $881,350.43


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:    STP-STIM(158)3R Project:    26351(04) Category:    0100/ROADWAY STP-STIM(158)3R
0035 9" H.E.S. CONCRETE (PATCHING) 414(B) 5072 SY 75.000 19.000   19.000 $215.00 $0.00 $4,085.00
0036 CONCRETE JOINT REHABILITATION 419 4152 LF 65,500.000 48,393.000   48,393.000 $0.90 $0.00 $43,553.70
0037 DIAMOND GRINDING CONCRETE PAVEMENT 425 5195 SY 40,500.000 41,314.590   41,314.590 $2.25 $0.00 $92,957.83
0038 DOWEL BAR RETROFIT 436 0100 EA 11,400.000 11,101.000   11,101.000 $25.75 $0.00 $285,850.75
0039 (SP)TRAFFIC STRIPE(MULTI-POLYMER)(4" WIDE) 854(C) 8530 LF 46,000.000 35,221.000   35,221.000 $0.43 $0.00 $15,145.03
0040 (SP)TRAFFIC STRIPE(MULTI-POLYMER)(6" WIDE) 854(C) 8535 LF 2,400.000 2,016.000   2,016.000 $0.55 $0.00 $1,108.80
0041 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $17,600.00 $0.00 $17,600.00
0042 PORT.CHANGEABLE MESSAGE SIGN 882(B) 8306 SD 60.000 58.000   58.000 $6.00 $0.00 $348.00
Subtotals For Category     0100/ROADWAY STP-STIM(158)3R    $0.00 $460,649.11
Fed/State Project Number:    STP-STIM(158)3R Project:    26351(04) Category:    0850/Non ARRA Funding
Subtotals For Category     0850/Non ARRA Funding    $0.00 $0.00
Subtotals For Project STP-STIM(158)3R /26351(04) $0.00 $460,649.11


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:    STP-STIM(157)3R Project:    26352(04) Category:    0100/ROADWAY STP-STIM(157)3R
0043 9" H.E.S. CONCRETE (PATCHING) 414(B) 5072 SY 60.000 62.110   62.110 $256.50 $0.00 $15,931.22
0044 CONCRETE JOINT REHABILITATION 419 4152 LF 29,000.000 14,235.000   14,235.000 $0.89 $0.00 $12,669.15
0045 DIAMOND GRINDING CONCRETE PAVEMENT 425 5195 SY 16,500.000 15,894.670   15,894.670 $2.10 $0.00 $33,378.81
0046 DOWEL BAR RETROFIT 436 0100 EA 5,800.000 4,369.000   4,369.000 $28.00 $0.00 $122,332.00
0047 (SP)TRAFFIC STRIPE(MULTI-POLYMER)(4" WIDE) 854(C) 8530 LF 13,000.000 14,710.000   14,710.000 $0.45 $0.00 $6,619.50
0048 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $10,900.00 $0.00 $10,900.00
Subtotals For Category     0100/ROADWAY STP-STIM(157)3R    $0.00 $201,830.68
Subtotals For Project STP-STIM(157)3R /26352(04) $0.00 $201,830.68