Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090219   Estimate Number: 0007 , Final     Spec Year: 1999
Primary JP: 14971(38)   Residency: GUYMON (06200)     Contract No: 510051
Date Created: 02/15/2011   Contractor FEI: 581401475     Account No: 400600

Project Number(s): NH-STIM(064)3R
Contract Description: RESURFACE (ASPHALT) US-54: BEGIN 5.3 MILES SOUTHWEST OF THE SH-94 JCT., EXTEND NORTHEAST. PROJECT LENGTH = 5.00 MILES.
Primary County: TEXAS              
Name of Road: US-54              
Prime Contractor: APAC-KANSAS, INC.           Time Charged: N/A
    7355 W. 162ND TERRACE           Time Allowed: N/A
    OVERLAND PARK , KS   66085           Percent Time: N/A

  Paid To Date: $1,195,097.18 Payable This Statement: $3,539.16

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.                                
APAC-KANSAS, 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:    02/15/2011
Contract ID: 090219   Estimate Number: 0007     Contract No: 510051
Residency: GUYMON (06200)   Estimate Type: Final     Account No: 400600

Project Number(s): NH-STIM(064)3R
Primary Job Piece No: 14971(38)
Contract Description: RESURFACE (ASPHALT) US-54: BEGIN 5.3 MILES SOUTHWEST OF THE SH-94 JCT., EXTEND NORTHEAST. PROJECT LENGTH = 5.00 MILES.
Primary County: TEXAS              
Name of Road: US-54              
Prime Contractor: APAC-KANSAS, INC.              
    7355 W. 162ND TERRACE              
    OVERLAND PARK , KS   66085              
Surety Company: FEDERAL INSURANCE COMPANY              

Date Let: 06/18/2009 NTP Effective Date: 10/30/2009 Pay Period: 07/01/2010  TO  02/15/2011
Date Awarded: 06/22/2009 Date Work Began: 10/01/2009 Original Contract Time: N/A
Date Contract Executed: 07/02/2009 Date Time Stopped: 06/30/2010 Current Time Charged: N/A
Date NTP Issued: 07/22/2009 Completion Date: 06/30/2010 Current Time Allowed: N/A
General Liability Expires: 09/01/2010 Workman's Comp Expires: 09/01/2010 Percent Time Used: N/A
Specification Year: 1999 FIXED COMPLETION DATE: 06/30/2010    

Current Contract Amount: $1,196,508.80 Total to Date Prev to Date This Estimate
Bid Amount: $1,211,920.95 Participating: $1,197,447.68 $1,193,908.52 $3,539.16
Percent Complete: 99.88 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $1,411.62 Non ARRA: $0.00 $0.00 $0.00
Unearned Balance: $16,823.77 Total Earnings: $1,197,447.68 $1,193,908.52 $3,539.16
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $1,197,447.68 $1,193,908.52 $3,539.16
Other Adjustments: $-2,350.50 $179,149.50 $-181,500.00
Liq Dam/Disincentive: $0.00 $-181,500.00 $181,500.00
TOTAL: $1,195,097.18 $1,191,558.02 $3,539.16

Estimate Adjustment Detail

Contract ID: 090219   Estimate Number: 0007     Primary JP: 14971(38)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Vegetative Mulch Approved 01/20/2010 0.0 $1,060.00
002 Unclassified Borrow and Earthwork reduction Approved 10/20/2010 242.0 $-15,087.50
003 Final Quantity Change Order Approved 12/09/2010 0.0 $-2,323.53
004 Fixing an error discovered after FQCO approval Approved 02/15/2011 0.0 $938.88


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
14971(38) 0005 ASCO MIX-S47028OK Stockpiled Material Initial Payment 0001 $66,960.00
14971(38) 0005 ASCO MIX-S47028OK Stockpiled Material Adjustment 0003 $-90,056.80
14971(38) 0005 ASCO MIX-S47028OK Stockpiled Material Adjustment 0003 $-66,960.00
14971(38) 0005 ASCO MIX-S47028OK Stockpiled Material Initial Payment 0002 $90,056.80
Subtotals For Stockpile Payments $0.00


LIQUIDATED DAMAGES HISTORY
Adjustment Description Estimate Nbr Time Units Rate Adjustment Amount
System Application of Liquidated Damages 0005 -212 $750.00 $-159,000.00
System Application of Liquidated Damages 0006 -30.0 $750.00 $-22,500.00
System Application of Liquidated Damages 0007 --212 $750.00 $159,000.00
System Application of Liquidated Damages 0007 --30 $750.00 $22,500.00


CONTRACT ADJUSTMENTS HISTORY
Adjustment Description Estimate Nbr Adjustment Amount
LD Adjustment (Prog. Est. Only) 0005 $159,000.00
LD Adjustment (Prog. Est. Only) 0006 $22,500.00
LD Adjustment (Prog. Est. Only) 0007 $-181,500.00
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
14971(38) 0005 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * ROADWAY DENSITY 0004 0.00 $0.00 $-2,350.50
Subtotals For Line Item Adjustments $-2,350.50
* = 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: 090219   Estimate Number: 0007     Primary JP: 14971(38)



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(064)3R Project:    14971(38) Category:    0100/ROADWAY
0001 UNCLASSIFIED BORROW 202(C) 0184 CY 3,500.000 1,750.000   1,750.000 $5.55 $0.00 $9,712.50
0002 EARTHWORK 202(G) 0185 LSUM 1.000 1.000 0.500 1.000 $10,750.00 $5,375.00 $10,750.00
0003 SOLID SLAB SODDING 230(A) 2806 SY 10,267.000 10,458.390 1,575.930 10,458.390 $1.65 $2,600.28 $17,256.34
0004 TACK COAT 407 0250 GAL 6,700.000 5,597.500   5,597.500 $2.04 $0.00 $11,418.90
0005 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 13,690.000 13,715.370   13,715.370 $78.35 $0.00 $1,074,599.24
8001 EARTHWORK 202(G) 0185 LSUM 0.000 1.000 1.000 1.000 $-5,375.00 $-5,375.00 $-5,375.00
Subtotals For Category     0100/ROADWAY    $2,600.28 $1,118,361.98
Fed/State Project Number:    NH-STIM(064)3R Project:    14971(38) Category:    0300/TRAFFIC
0006 TRAFFIC STRIPE(PAINT)(4" WIDE) 854(A) 8800 LF 92,400.000 85,078.000   90,294.000 $0.18 $0.00 $16,252.92
0007 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $14,025.00 $0.00 $14,025.00
8006 TRAFFIC STRIPE(PAINT)(4" WIDE) 854(A) 8800 LF 0.000 5,216.000 5,216.000 5,216.000 $0.18 $938.88 $938.88
Subtotals For Category     0300/TRAFFIC    $938.88 $31,216.80
Fed/State Project Number:    NH-STIM(064)3R Project:    14971(38) Category:    0640/CONSTRUCTION
0008 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $47,868.90 $0.00 $47,868.90
Subtotals For Category     0640/CONSTRUCTION    $0.00 $47,868.90
Fed/State Project Number:    NH-STIM(064)3R Project:    14971(38) Category:    0850/Non ARRA Funding
8000 VEGETATIVE MULCHING 233(A) 2817 AC 0.000 0.000   0.000 $1,000.00 $0.00 $0.00
Subtotals For Category     0850/Non ARRA Funding    $0.00 $0.00
Subtotals For Project NH-STIM(064)3R /14971(38) $3,539.16 $1,197,447.68


1 CURRENT QUANTITIES DO NOT MATCH THE QUANTITY PAID TO DATE