Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090221   Estimate Number: 0010 , Final     Spec Year: 1999
Primary JP: 26403(04)   Residency: ARDMORE (07200)     Contract No: 411315
Date Created: 09/27/2011   Contractor FEI: 010618411     Account No: 400700

Project Number(s): NH-STIM(121)3R
Contract Description: RESURFACE (ASPHALT) AND GUARDRAIL US-70: BEGIN 2.67 MILES EAST OF I-35, EXTEND EAST. PROJECT LENGTH = 8.00 MILES.
Primary County: CARTER              
Name of Road: US-70              
Prime Contractor: SEAL MASTERS, INC.           Time Charged: N/A
    RT. 2, BOX 134           Time Allowed: N/A
    DAVIS , OK   73030           Percent Time: N/A

  Paid To Date: $3,839,899.95 Payable This Statement: $44,999.94

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.                                
SEAL MASTERS, 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:    09/27/2011
Contract ID: 090221   Estimate Number: 0010     Contract No: 411315
Residency: ARDMORE (07200)   Estimate Type: Final     Account No: 400700

Project Number(s): NH-STIM(121)3R
Primary Job Piece No: 26403(04)
Contract Description: RESURFACE (ASPHALT) AND GUARDRAIL US-70: BEGIN 2.67 MILES EAST OF I-35, EXTEND EAST. PROJECT LENGTH = 8.00 MILES.
Primary County: CARTER              
Name of Road: US-70              
Prime Contractor: SEAL MASTERS, INC.              
    RT. 2, BOX 134              
    DAVIS , OK   73030              
Surety Company: EMPLOYERS MUTUAL CASUALTY COMPANY              

Date Let: 05/14/2009 NTP Effective Date: 06/09/2009 Pay Period: 12/16/2010  TO  06/01/2011
Date Awarded: 05/19/2009 Date Work Began: 11/09/2009 Original Contract Time: N/A
Date Contract Executed: 06/08/2009 Date Time Stopped: 07/21/2010 Current Time Charged: N/A
Date NTP Issued: 06/09/2009 Completion Date: 07/21/2010 Current Time Allowed: N/A
General Liability Expires: 04/01/2011 Workman's Comp Expires: 04/01/2011 Percent Time Used: N/A
Specification Year: 1999 FIXED COMPLETION DATE: 04/11/2010    

Current Contract Amount: $3,965,364.96 Total to Date Prev to Date This Estimate
Bid Amount: $3,622,633.00 Participating: $3,965,364.95 $3,965,365.01 $-0.06
Percent Complete: 96.84 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $125,465.01 Non ARRA: $0.00 $0.00 $0.00
Unearned Balance: $-217,266.95 Total Earnings: $3,965,364.95 $3,965,365.01 $-0.06
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $3,965,364.95 $3,965,365.01 $-0.06
Other Adjustments: $-24,465.00 $-24,465.00 $0.00
Liq Dam/Disincentive: $-101,000.00 $-146,000.00 $45,000.00
TOTAL: $3,839,899.95 $3,794,900.01 $44,999.94

Estimate Adjustment Detail

Contract ID: 090221   Estimate Number: 0010     Primary JP: 26403(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Change Contract Complete by Date Approved 04/21/2010 116.0 $0.00
002 Change Order #2 Binder Adjustment Approved 09/08/2010 0.0 $176,649.04
003 Change Contract Complete By Date Approved 09/07/2010 46.0 $0.00
004 Final Quantity Change Order Approved 09/14/2011 0.0 $166,082.92


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 0001 -15.0 $1,000.00 $-15,000.00
System Application of Liquidated Damages 0002 -15.0 $1,000.00 $-15,000.00
System Application of Liquidated Damages 0003 -62.0 $1,000.00 $-62,000.00
System Application of Liquidated Damages 0004 -74.0 $1,000.00 $-74,000.00
System Application of Liquidated Damages 0005 --101 $1,000.00 $101,000.00
System Application of Liquidated Damages 0006 -14.0 $1,000.00 $-14,000.00
System Application of Liquidated Damages 0007 -16.0 $1,000.00 $-16,000.00
System Application of Liquidated Damages 0008 -13.0 $1,000.00 $-13,000.00
System Application of Liquidated Damages 0009 -38.0 $1,000.00 $-38,000.00
System Application of Liquidated Damages 0010 --15 $1,000.00 $4,623.29
System Application of Liquidated Damages 0010 --15 $1,000.00 $4,623.29
System Application of Liquidated Damages 0010 --62 $1,000.00 $19,109.59
System Application of Liquidated Damages 0010 --74 $1,000.00 $22,808.22
System Application of Liquidated Damages 0010 --38 $1,000.00 $11,712.33
System Application of Liquidated Damages 0010 --16 $1,000.00 $4,931.51
System Application of Liquidated Damages 0010 --14 $1,000.00 $4,315.07
System Application of Liquidated Damages 0010 -101 $1,000.00 $-31,130.14
System Application of Liquidated Damages 0010 --13 $1,000.00 $4,006.85


CONTRACT ADJUSTMENTS HISTORY
Adjustment Description Estimate Nbr Adjustment Amount
Withhold to Funds Avail(Prog. Est. Only) 0008 $-101,000.00
Withhold to Funds Avail(Prog. Est. Only) 0009 $101,000.00
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
26403(04) 0002 (SP)ASPHALT CONCRETE TYPE S3(PG 70-28 OK) Asphalt Binder Adjustment 0004 0.00 $0.00 $390.65
26403(04) 0002 (SP)ASPHALT CONCRETE TYPE S3(PG 70-28 OK) * Asphalt Binder Adjustment 0009 0.00 $0.00 $-390.65
26403(04) 0003 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * Material Discrepancy Adjustments 0002 0.00 $0.00 $-7,464.96
26403(04) 0003 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0004 0.00 $0.00 $39,106.94
26403(04) 0003 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * Material Discrepancy Adjustments 0006 0.00 $0.00 $-648.00
26403(04) 0003 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0006 0.00 $0.00 $40,248.17
26403(04) 0003 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * Asphalt Binder Adjustment 0009 0.00 $0.00 $-79,355.11
26403(04) 0003 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * Material Discrepancy Adjustments 0009 0.00 $0.00 $787.46
26403(04) 0004 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0005 0.00 $0.00 $33,517.28
26403(04) 0004 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) * Material Discrepancy Adjustments 0005 0.00 $0.00 $-2,262.56
26403(04) 0004 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0006 0.00 $0.00 $2,056.69
26403(04) 0004 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0007 0.00 $0.00 $19,062.87
26403(04) 0004 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) * Material Discrepancy Adjustments 0007 0.00 $0.00 $-12,073.51
26403(04) 0004 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) * Material Discrepancy Adjustments 0009 0.00 $0.00 $3,326.07
26403(04) 0004 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) * Asphalt Binder Adjustment 0009 0.00 $0.00 $-54,636.84
26403(04) 0020 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0008 0.00 $0.00 $29,543.53
26403(04) 0020 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0009 497.14 $1.85 $922.89
26403(04) 0020 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * Asphalt Binder Adjustment 0009 0.00 $0.00 $1,431.76
26403(04) 0020 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * Asphalt Binder Adjustment 0009 0.00 $0.00 $-31,898.18
26403(04) 0020 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * Material Discrepancy Adjustments 0009 0.00 $0.00 $-6,129.50
26403(04) 0021 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0008 0.00 $0.00 $10,368.26
26403(04) 0021 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) * Asphalt Binder Adjustment 0009 0.00 $0.00 $-10,368.26
Subtotals For Line Item Adjustments $-24,465.00
* = 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: 090221   Estimate Number: 0010     Primary JP: 26403(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(121)3R Project:    26403(04) Category:    0100/ROADWAY
0001 AGGREGATE BASE 303 0192 CY 70.000 0.000   0.000 $90.00 $0.00 $0.00
0002 (SP)ASPHALT CONCRETE TYPE S3(PG 70-28 OK) 411(S3) 5940 TON 1,380.000 1,166.700   1,166.700 $62.50 $0.00 $72,918.75
0003 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 22,670.000 29,620.440   29,620.440 $65.00 $0.00 $1,925,328.60
0004 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) 411(S4) 5960 TON 6,064.000 11,535.520   11,535.520 $60.00 $0.00 $692,131.20
0005 RUMBLE STRIP-METHOD AC-CON 413(A) 4861 LF 72,000.000 83,151.000   83,151.000 $0.07 $0.00 $5,820.57
0006 COLD MILLING BITUMINOUS PAVEMENT 417 4267 SY 128,000.000 129,411.110   129,411.110 $0.85 $0.00 $109,999.44
0007 FABRIC REINFORCEMENT 420(A) 4242 SY 122,030.000 125,848.690   125,848.690 $0.65 $0.00 $81,801.64
0008 BITUMINOUS BINDER 420(B) 4268 GAL 30,510.000 28,440.810 -0.030 28,440.810 $2.15 $-0.06 $61,147.74
0009 CONCRETE PARAPET 504(F) 1381 LF 16.000 16.000   16.000 $150.00 $0.00 $2,400.00
0010 BEAM GUARD RAIL-W-BEAM-SINGLE 623(A) 0932 LF 1,025.000 775.000   775.000 $16.00 $0.00 $12,400.00
0011 THRIE BEAM BRIDGE CONNECTION-TYPE A 623(E) 7114 EA 2.000 2.000   2.000 $1,800.00 $0.00 $3,600.00
0012 GUARD RAIL ANCHOR UNIT (TYPE B) 623(F) 4447 EA 1.000 1.000   1.000 $500.00 $0.00 $500.00
0013 (SP)G.E.T. GUARD RAIL END SECTION 623(H) 8571 EA 3.000 3.000   3.000 $2,500.00 $0.00 $7,500.00
0014 TRAFFIC STRIPE(PLASTIC)(THIN-LINE)(4" WIDE) 855(A) 8815 LF 98,624.000 102,282.800   102,282.800 $0.35 $0.00 $35,798.98
0015 TRAFFIC STRIPE(PLASTIC)(ARROWS) 855(B) 8818 EA 8.000 7.000   7.000 $100.00 $0.00 $700.00
0016 TRAFFIC STRIPE(PLASTIC)(WORDS) 855(B) 8821 EA 5.000 0.000   0.000 $150.00 $0.00 $0.00
0017 (PL)TRUCK MOUNTED ATTENUATOR 876(C) 8482 SD 8.000 0.000   0.000 $100.00 $0.00 $0.00
0018 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $45,500.00 $0.00 $45,500.00
8001 ASPHALT BINDER PRICE ADJUSTMENT 109 M1150 LSUM 0.000 1.000   1.000 $176,649.04 $0.00 $176,649.04
Subtotals For Category     0100/ROADWAY    $-0.06 $3,234,195.96
Fed/State Project Number:    NH-STIM(121)3R Project:    26403(04) Category:    0101/ROADWAY ADD ALT NO. 1
0019 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 1,000.000 2,070.070   2,070.070 $25.00 $0.00 $51,751.75
0020 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 6,260.000 6,734.690   6,734.690 $65.00 $0.00 $437,754.85
0021 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) 411(S4) 5960 TON 2,200.000 2,189.060   2,189.060 $60.00 $0.00 $131,343.60
0022 RUMBLE STRIP-METHOD AC-CON 413(A) 4861 LF 29,250.000 32,693.000   32,693.000 $0.07 $0.00 $2,288.51
0023 COLD MILLING BITUMINOUS PAVEMENT 417 4267 SY 950.000 4,745.340   4,745.340 $5.00 $0.00 $23,726.70
0024 FABRIC REINFORCEMENT 420(A) 4242 SY 49,575.000 49,564.660   49,564.660 $0.65 $0.00 $32,217.03
0025 BITUMINOUS BINDER 420(B) 4268 GAL 12,395.000 11,630.000   11,630.000 $2.15 $0.00 $25,004.50
0026 TRAFFIC STRIPE(PLASTIC)(THIN-LINE)(4" WIDE) 855(A) 8815 LF 40,066.000 41,663.000   41,663.000 $0.35 $0.00 $14,582.05
0027 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $12,500.00 $0.00 $12,500.00
Subtotals For Category     0101/ROADWAY ADD ALT NO. 1    $0.00 $731,168.99
Fed/State Project Number:    NH-STIM(121)3R Project:    26403(04) Category:    0102/ROADWAY ADD ALT NO. 2
0028 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 6,835.000 0.000   0.000 $65.00 $0.00 $0.00
0029 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) 411(S4) 5960 TON 3,680.000 0.000   0.000 $60.00 $0.00 $0.00
Subtotals For Category     0102/ROADWAY ADD ALT NO. 2    $0.00 $0.00
Subtotals For Project NH-STIM(121)3R /26403(04) $-0.06 $3,965,364.95