Contract ID: | 090225 | Estimate Number: | 0013 , Final | Spec Year: | 1999 | |||
Primary JP: | 26402(04) | Residency: | ARDMORE (07200) | Contract No: | 411157 | |||
Date Created: | 09/27/2011 | Contractor FEI: | 731204879 | Account No: | 400700 |
Project Number(s): | IM-STIM(120)3R | ||||||||
Contract Description: | RESURFACE (ASPHALT) I-35: BEGIN AT THE CARTER COUNTY LINE, EXTEND NORTH. PROJECT LENGTH = 6.56 MILES. | ||||||||
Primary County: | MURRAY | ||||||||
Name of Road: | I-35 | ||||||||
Prime Contractor: | SILVER STAR CONSTRUCTION COMPANY, INC. | Time Charged: | 522.00 | ||||||
2401 S. BROADWAY | Time Allowed: | 506.00 | |||||||
MOORE , OK 73160 | Percent Time: | 103.16 % |
Paid To Date: | $5,368,935.82 | Payable This Statement: | $5,097.44 |
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. |
SILVER STAR CONSTRUCTION COMPANY, 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 |
Contract ID: | 090225 | Estimate Number: | 0013 | Contract No: | 411157 | |||
Residency: | ARDMORE (07200) | Estimate Type: | Final | Account No: | 400700 | |||
Project Number(s): | IM-STIM(120)3R | ||||||||||||
Primary Job Piece No: | 26402(04) | ||||||||||||
Contract Description: | RESURFACE (ASPHALT) I-35: BEGIN AT THE CARTER COUNTY LINE, EXTEND NORTH. PROJECT LENGTH = 6.56 MILES. | ||||||||||||
Primary County: | MURRAY | ||||||||||||
Name of Road: | I-35 | ||||||||||||
Prime Contractor: | SILVER STAR CONSTRUCTION COMPANY, INC. | ||||||||||||
2401 S. BROADWAY | |||||||||||||
MOORE , OK 73160 | |||||||||||||
Surety Company: | AMERICAN STATES INSURANCE CO. | ||||||||||||
Date Let: | 03/24/2009 | NTP Effective Date: | 04/27/2009 | Pay Period: | 10/01/2010 TO 03/23/2011 |
Date Awarded: | 03/30/2009 | Date Work Began: | 05/26/2009 | Original Contract Time: | 85 |
Date Contract Executed: | 04/15/2009 | Date Time Stopped: | 09/30/2010 | Current Time Charged: | 522.00 |
Date NTP Issued: | 04/16/2009 | Completion Date: | 09/30/2010 | Current Time Allowed: | 506.00 |
General Liability Expires: | 05/19/2012 | Workman's Comp Expires: | 05/19/2012 | Percent Time Used: | 103.16 % |
Specification Year: | 1999 | ||||
Current Contract Amount: | $5,378,142.38 | Total to Date | Prev to Date | This Estimate | |||
Bid Amount: | $5,186,400.00 | Participating: | $5,358,567.84 | $5,357,235.84 | $1,332.00 | ||
Percent Complete: | 99.83 % | Non Participating: | $0.00 | $0.00 | $0.00 | ||
Funds Available: | $9,206.56 | Non ARRA: | $19,574.58 | $19,574.58 | $0.00 | ||
Unearned Balance: | $-182,535.82 | Total Earnings: | $5,378,142.42 | $5,376,810.42 | $1,332.00 | ||
Stockpiled Materials: | $0.00 | $0.00 | $0.00 | ||||
Gross Earnings: | $5,378,142.42 | $5,376,810.42 | $1,332.00 | ||||
Other Adjustments: | $6,793.40 | $3,027.96 | $3,765.44 | ||||
Liq Dam/Disincentive: | $-16,000.00 | $-16,000.00 | $0.00 | ||||
TOTAL: | $5,368,935.82 | $5,363,838.38 | $5,097.44 |
Contract ID: | 090225 | Estimate Number: | 0013 | Primary JP: | 26402(04) | |||
CHANGE ORDER HISTORY | |||||
Change Order Nbr. | Change Order Description | Status | Approval Date | Contract Time Adjustment | Total Change Order Amount |
001 | Revised Special Revsion 108-STIM01 | Approved | 05/05/2009 | 0.0 | $0.00 |
002 | Replace Transverse Tie Bars | Approved | 10/21/2009 | 2.0 | $3,363.57 |
003 | Mounting Bracket for Concrete Box Culvert | Approved | 02/11/2010 | 3.0 | $16,211.01 |
004 | Additional Appropriations for Aspahlt and Cold Milling | Approved | 02/02/2010 | 0.0 | $130,531.99 |
006 | Change #6 Smoothness Pay Adjustment | Approved | 10/05/2010 | 0.0 | $73,338.34 |
007 | Final Contract Item Quantities | Approved | 08/18/2011 | 0.0 | $-31,702.53 |
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 | 0007 | -1.0 | $1,000.00 | $-1,000.00 |
System Application of Liquidated Damages | 0008 | -9.0 | $1,000.00 | $-9,000.00 |
System Application of Liquidated Damages | 0009 | -6.0 | $1,000.00 | $-6,000.00 |
System Application of Liquidated Damages | 0010 | -5.0 | $1,000.00 | $-5,000.00 |
System Application of Liquidated Damages | 0011 | --5.0 | $1,000.00 | $5,000.00 |
System Application of Liquidated Damages | 0012 | -0.0 | $1,000.00 | $0.00 |
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 |
26402(04) | 0002 | (SP)ASPHALT CONCRETE TYPE S3(PG 76-28 OK) | * Asphalt Binder Adjustment | 0012 | 0.00 | $0.00 | $-16.57 |
26402(04) | 0002 | (SP)ASPHALT CONCRETE TYPE S3(PG 76-28 OK) | Asphalt Binder Adjustment | 0012 | 4.51 | $3.63 | $16.39 |
26402(04) | 0003 | (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) | * ROADWAY DENSITY | 0003 | -6,670.70 | $66.15 | $-441,266.81 |
26402(04) | 0003 | (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) | Asphalt Binder Adjustment | 0005 | 0.00 | $0.00 | $5,347.57 |
26402(04) | 0003 | (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) | * ROADWAY DENSITY | 0005 | 6,670.70 | $66.15 | $441,266.81 |
26402(04) | 0003 | (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) | * ROADWAY DENSITY | 0005 | -2,817.85 | $66.15 | $-186,400.78 |
26402(04) | 0003 | (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) | * ROADWAY DENSITY | 0008 | 2,817.85 | $66.15 | $186,400.78 |
26402(04) | 0003 | (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) | Asphalt Binder Adjustment | 0012 | 9.49 | $4.15 | $39.43 |
26402(04) | 0003 | (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) | * Asphalt Binder Adjustment | 0012 | 0.00 | $0.00 | $-34.17 |
26402(04) | 0003 | (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) | * Material Discrepancy Adjustments | 0012 | 0.00 | $0.00 | $-710.28 |
26402(04) | 0004 | (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) | Asphalt Binder Adjustment | 0005 | 0.00 | $0.00 | $1,870.50 |
26402(04) | 0004 | (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) | Asphalt Binder Adjustment | 0006 | 0.00 | $0.00 | $293.85 |
26402(04) | 0004 | (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) | * Material Discrepancy Adjustments | 0008 | -3,903.94 | $72.60 | $-283,426.04 |
26402(04) | 0004 | (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) | * Material Discrepancy Adjustments | 0009 | 3,903.94 | $72.60 | $283,426.04 |
26402(04) | 0004 | (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) | * Material Discrepancy Adjustments | 0010 | 0.00 | $0.00 | $-71,817.84 |
26402(04) | 0004 | (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) | * Material Discrepancy Adjustments | 0011 | 989.22 | $72.60 | $71,817.84 |
26402(04) | 0004 | (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) | Asphalt Binder Adjustment | 0012 | -24.02 | $4.15 | $-99.79 |
26402(04) | 0004 | (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) | * Asphalt Binder Adjustment | 0012 | 0.00 | $0.00 | $86.47 |
26402(04) | 0005 | RUMBLE STRIP-METHOD AC-CON | * SUBSTANDARD ITEM | 0012 | -496.00 | $0.14 | $-69.44 |
26402(04) | 0005 | RUMBLE STRIP-METHOD AC-CON | * SUBSTANDARD ITEM | 0013 | 496.00 | $0.14 | $69.44 |
26402(04) | 0017 | (PL)TRUCK MOUNTED ATTENUATOR | * SUBSTANDARD ITEM | 0012 | -112.00 | $33.00 | $-3,696.00 |
26402(04) | 0017 | (PL)TRUCK MOUNTED ATTENUATOR | * SUBSTANDARD ITEM | 0013 | 112.00 | $33.00 | $3,696.00 | Subtotals For Line Item Adjustments | $6,793.40 | * = User applied Line Item Adjustments |
MILESTONE ADJUSTMENTS | |||||||||
Milestone Number | Milestone Description | Time Allowed | Time Used | Rate | Total | ||||
No milestones exist for this contract. |
Contract ID: | 090225 | Estimate Number: | 0013 | Primary JP: | 26402(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: IM-STIM(120)3R | Project: 26402(04) | Category: 0100/ROADWAY | ||||||||
0001 | (SP)ULTRATHIN BONDED WEARING COURSE | 411 4280 | SY | 291,300.000 | 291,623.670 | 291,623.670 | $4.75 | $0.00 | $1,385,212.44 | |
0002 | (SP)ASPHALT CONCRETE TYPE S3(PG 76-28 OK) | 411(S3) 5935 | TON | 1,152.000 | 1,733.230 | 1,733.230 | $68.35 | $0.00 | $118,466.27 | |
0003 | (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) | 411(S4) 5950 | TON | 33,510.000 | 33,479.350 | 33,479.350 | $66.15 | $0.00 | $2,214,658.99 | |
0004 | (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) | 411(S4) 5960 | TON | 3,255.000 | 3,879.920 | 3,879.920 | $72.60 | $0.00 | $281,682.20 | |
0005 | RUMBLE STRIP-METHOD AC-CON | 413(A) 4861 | LF | 106,762.000 | 106,861.000 | 0.000 | 106,861.000 | $0.14 | $0.00 | $14,960.54 |
0006 | H.E.S. CONCRETE (FULL DEPTH PATCHING) | 414(B) 5913 | SY | 100.000 | 38.390 | 38.390 | $325.00 | $0.00 | $12,476.75 | |
0007 | COLD MILLING BITUMINOUS PAVEMENT | 417 4267 | SY | 265,900.000 | 301,099.080 | 301,099.080 | $1.25 | $0.00 | $376,373.85 | |
0008 | CONCRETE PARAPET | 504(F) 1381 | LF | 60.700 | 60.680 | 60.680 | $652.50 | $0.00 | $39,593.70 | |
0009 | REMOVAL OF GUARD RAIL | 619(B) 4780 | LF | 9,150.000 | 8,911.000 | 8,911.000 | $1.60 | $0.00 | $14,257.60 | |
0010 | BEAM GUARD RAIL-W-BEAM-SINGLE | 623(A) 0932 | LF | 8,000.000 | 8,000.000 | 8,000.000 | $15.90 | $0.00 | $127,200.00 | |
0011 | THRIE BEAM BRIDGE CONNECTION-TYPE A | 623(E) 7114 | EA | 8.000 | 8.000 | 8.000 | $1,588.00 | $0.00 | $12,704.00 | |
0012 | GUARD RAIL ANCHOR UNIT (TYPE B) | 623(F) 4447 | EA | 6.000 | 6.000 | 6.000 | $529.15 | $0.00 | $3,174.90 | |
0013 | GUARD RAIL ANCHOR UNIT (TYPE GE) | 623(F) 4453 | EA | 2.000 | 2.000 | 2.000 | $635.00 | $0.00 | $1,270.00 | |
0014 | (SP)G.E.T. GUARD RAIL END SECTION | 623(H) 8571 | EA | 16.000 | 16.000 | 16.000 | $2,650.00 | $0.00 | $42,400.00 | |
0015 | TRAFFIC STRIPE(PLASTIC)(4" WIDE) | 855(A) 8812 | LF | 155,830.000 | 175,701.000 | 175,701.000 | $0.43 | $0.00 | $75,551.43 | |
0016 | TRAFFIC STRIPE(PLASTIC)(6" WIDE) | 855(A) 8813 | LF | 22,836.000 | 24,072.000 | 24,072.000 | $0.65 | $0.00 | $15,646.80 | |
0017 | (PL)TRUCK MOUNTED ATTENUATOR | 876(C) 8482 | SD | 45.000 | 155.000 | 0.000 | 155.000 | $33.00 | $0.00 | $5,115.00 |
0018 | CONSTRUCTION TRAFFIC CONTROL | 880(J) 8905 | LSUM | 1.000 | 1.000 | 1.000 | $18,250.00 | $0.00 | $18,250.00 | |
0019 | PORT.CHANGEABLE MESSAGE SIGN | 882(B) 8306 | SD | 45.000 | 169.000 | 169.000 | $93.50 | $0.00 | $15,801.50 | |
8003 | PAVEMENT/BRIDGE SMOOTHNESS ADJUSTMENT | 430 5010 | LSUM | 0.000 | 1.000 | 1.000 | $73,338.34 | $0.00 | $73,338.34 | |
Subtotals For Category 0100/ROADWAY | $0.00 | $4,848,134.31 | ||||||||
Fed/State Project Number: IM-STIM(120)3R | Project: 26402(04) | Category: 0101/ROADWAY ADD ALT | ||||||||
0020 | UNCLASSIFIED EXCAVATION | 202(A) 0183 | CY | 2,434.000 | 1,393.290 | 1,393.290 | $11.55 | $0.00 | $16,092.51 | |
0021 | AGGREGATE BASE | 303 0192 | CY | 2,434.000 | 1,201.250 | 1,201.250 | $32.00 | $0.00 | $38,440.00 | |
0022 | SEPARATOR FABRIC | 325 5271 | SY | 4,520.000 | 4,190.040 | 4,190.040 | $2.55 | $0.00 | $10,684.61 | |
0023 | 8" P.C. CONCRETE PAVEMENT(CONT.REINF.) | 414(D) 4366 | SY | 1,440.000 | 1,682.000 | 1,682.000 | $73.90 | $0.00 | $124,299.80 | |
0024 | REMOVAL OF CONCRETE PAVEMENT | 619(B) 4727 | SY | 1,440.000 | 1,784.470 | 40.000 | 1,784.470 | $33.30 | $1,332.00 | $59,422.86 |
0025 | RELOCATION OF RENTED PORTABLE TYPE PRECAST CONCRETE MEDIAN | 627(O) 4410 | LF | 4,200.000 | 0.000 | 0.000 | $4.05 | $0.00 | $0.00 | |
0026 | RENTED PORTABLE TYPE PRECAST CONCRETE MEDIAN BARRIER | 627(P) 4425 | LF | 4,200.000 | 4,513.000 | 4,513.000 | $23.84 | $0.00 | $107,589.92 | |
0027 | EDGE DRAIN CONDUIT-PERFORATED | 653(A) 5915 | LF | 1,150.000 | 1,047.000 | 1,047.000 | $10.25 | $0.00 | $10,731.75 | |
0028 | EDGE DRAIN OUTLET LATERAL-NONPERFORATED | 653(B) 5916 | LF | 240.000 | 229.000 | 229.000 | $34.90 | $0.00 | $7,992.10 | |
0029 | OUTLET LATERAL HEADWALL | 653(C) 5946 | EA | 12.000 | 12.000 | 12.000 | $530.00 | $0.00 | $6,360.00 | |
Subtotals For Category 0101/ROADWAY ADD ALT | $1,332.00 | $381,613.55 | ||||||||
Fed/State Project Number: IM-STIM(120)3R | Project: 26402(04) | Category: 0640/CONSTRUCTION | ||||||||
0030 | MOBILIZATION | 641 1399 | LSUM | 1.000 | 1.000 | 1.000 | $128,819.97 | $0.00 | $128,819.98 | |
Subtotals For Category 0640/CONSTRUCTION | $0.00 | $128,819.98 | ||||||||
Fed/State Project Number: IM-STIM(120)3R | Project: 26402(04) | Category: 0850/Non ARRA Funding | ||||||||
8000 | CONSTRUCTION MISCELLANEOUS | 104 0600 | EA | 0.000 | 399.000 | 399.000 | $8.43 | $0.00 | $3,363.57 | |
8001 | CONSTRUCTION MISCELLANEOUS | 104 0600 | EA | 0.000 | 19.000 | 19.000 | $819.31 | $0.00 | $15,566.89 | |
8002 | CONSTRUCTION TRAFFIC CONTROL | 880(J) 8905 | LSUM | 0.000 | 1.000 | 1.000 | $644.12 | $0.00 | $644.12 | |
Subtotals For Category 0850/Non ARRA Funding | $0.00 | $19,574.58 | ||||||||
Subtotals For Project IM-STIM(120)3R /26402(04) | $1,332.00 | $5,378,142.42 |