Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090226   Estimate Number: 0028 , Final     Spec Year: 1999
Primary JP: 20249(11)   Residency: ANTLERS (02100)     Contract No: 411113
Date Created: 03/28/2011   Contractor FEI: 730626847     Account No: 400200

Project Number(s): NH-STIM(009)
Contract Description: GRADE, DRAIN AND SURFACE SH-3: BEGIN EAST OF NS-406, EXTEND EAST. PROJECT LENGTH = 1.820.
Primary County: PUSHMATAHA              
Name of Road: SH-3              
Prime Contractor: THE CUMMINS CONSTRUCTION CO., INC.           Time Charged: 477.00
    P. O. BOX 748           Time Allowed: 481.00
    ENID , OK   73702           Percent Time: 99.17 %

  Paid To Date: $4,170,271.14 Payable This Statement: $36,656.20

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:    03/28/2011
Contract ID: 090226   Estimate Number: 0028     Contract No: 411113
Residency: ANTLERS (02100)   Estimate Type: Final     Account No: 400200

Project Number(s): NH-STIM(009)
Primary Job Piece No: 20249(11)
Contract Description: GRADE, DRAIN AND SURFACE SH-3: BEGIN EAST OF NS-406, EXTEND EAST. PROJECT LENGTH = 1.820.
Primary County: PUSHMATAHA              
Name of Road: SH-3              
Prime Contractor: THE CUMMINS CONSTRUCTION CO., INC.              
    P. O. BOX 748              
    ENID , OK   73702              
Surety Company: HARTFORD ACCIDENT & INDEMNITY COMPANY              

Date Let: 03/24/2009 NTP Effective Date: 04/27/2009 Pay Period: 08/01/2010  TO  02/15/2011
Date Awarded: 03/30/2009 Date Work Began: 04/27/2009 Original Contract Time: 210
Date Contract Executed: 04/13/2009 Date Time Stopped: 08/13/2010 Current Time Charged: 477.00
Date NTP Issued: 04/14/2009 Completion Date: 08/13/2010 Current Time Allowed: 481.00
General Liability Expires: 09/01/2011 Workman's Comp Expires: 01/01/2012 Percent Time Used: 99.17 %
Specification Year: 1999        

Current Contract Amount: $4,056,079.21 Total to Date Prev to Date This Estimate
Bid Amount: $4,242,665.84 Participating: $4,056,077.22 $4,019,421.02 $36,656.20
Percent Complete: 102 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $-114,191.93 Non ARRA: $0.00 $0.00 $0.00
Unearned Balance: $72,394.70 Total Earnings: $4,056,077.22 $4,019,421.02 $36,656.20
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $4,056,077.22 $4,019,421.02 $36,656.20
Other Adjustments: $114,193.92 $114,193.92 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $4,170,271.14 $4,133,614.94 $36,656.20

Estimate Adjustment Detail

Contract ID: 090226   Estimate Number: 0028     Primary JP: 20249(11)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Replace SP 108-STIM01(a-f)99 with current version Approved 05/05/2009 0.0 $0.00
002 Add time to Contract Approved 06/04/2010 23.0 $0.00
003 SMOOTHNESS BONUS Approved 06/29/2010 0.0 $28,878.03
004 Final Quantity Change Order Approved 01/24/2011 0.0 $-215,464.66


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 0026 -6.0 $1,000.00 $-6,000.00
System Application of Liquidated Damages 0027 --6.0 $1,000.00 $6,000.00


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
20249(11) 0022 (SP)ASPHALT CONCRETE TYPE S3(PG 70-28 OK) Asphalt Binder Adjustment 0019 0.00 $0.00 $4,011.66
20249(11) 0022 (SP)ASPHALT CONCRETE TYPE S3(PG 70-28 OK) Asphalt Binder Adjustment 0020 0.00 $0.00 $10,108.10
20249(11) 0022 (SP)ASPHALT CONCRETE TYPE S3(PG 70-28 OK) Asphalt Binder Adjustment 0023 0.00 $0.00 $7,168.44
20249(11) 0023 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0019 0.00 $0.00 $17,141.82
20249(11) 0023 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0022 0.00 $0.00 $10,528.08
20249(11) 0023 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0023 0.00 $0.00 $6,592.12
20249(11) 0024 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0023 0.00 $0.00 $4,595.25
20249(11) 0024 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0024 0.00 $0.00 $15,842.38
20249(11) 0024 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0025 0.00 $0.00 $19,402.04
20249(11) 0024 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0026 0.00 $0.00 $13,568.77
20249(11) 0025 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0023 0.00 $0.00 $3,176.98
20249(11) 0025 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0024 0.00 $0.00 $2,058.28
Subtotals For Line Item Adjustments $114,193.92


MILESTONE ADJUSTMENTS
Milestone Number Milestone Description Time Allowed Time Used Rate Total
No milestones exist for this contract.

Line Item Detail

Contract ID: 090226   Estimate Number: 0028     Primary JP: 20249(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:    NH-STIM(009) Project:    20249(11) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201 0102 LSUM 1.000 1.000   1.000 $14,650.00 $0.00 $14,650.00
0002 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 118,033.000 118,033.000   118,033.000 $3.75 $0.00 $442,623.75
0003 UNCLASSIFIED BORROW 202(C) 0184 CY 3,003.000 0.000   0.000 $7.10 $0.00 $0.00
0004 TYPE A-SALVAGED TOPSOIL 205 4229 LSUM 1.000 1.000   1.000 $22,220.00 $0.00 $22,220.00
0005 TEMPORARY SILT FENCE 223 2801 LF 2,490.000 729.000   729.000 $3.05 $0.00 $2,223.45
0006 TEMPORARY SEDIMENT FILTER 224 2803 EA 8.000 0.000   0.000 $303.00 $0.00 $0.00
0007 TEMPORARY SILT DIKE 227 0100 LF 1,000.000 1,162.000   1,162.000 $9.10 $0.00 $10,574.20
0008 SOLID SLAB SODDING 230(A) 2806 SY 84,834.000 87,612.290   87,612.292 $1.67 $0.00 $146,312.53
0009 WATERING 230(F) 2812 MGAL 3,394.000 1,116.670   1,116.675 $8.08 $0.00 $9,022.73
0010 SEEDING METHOD B 232(B) 2814 AC 34.740 0.000   0.000 $202.00 $0.00 $0.00
0011 VEGETATIVE MULCHING 233(A) 2817 AC 34.740 0.000   0.000 $101.00 $0.00 $0.00
0012 FERTILIZING (10-20-10) 234(A) 2824 TON 9.370 9.000   9.000 $990.00 $0.00 $8,910.00
0013 FERTILIZING (0-46-0) 234(A) 4406 TON 1.760 0.230 0.000 0.230 $618.00 $0.00 $139.05
0014 (PL)ROCK FILTER DAM, TYPE 1 235(A) 0100 CY 27.000 0.000   0.000 $90.90 $0.00 $0.00
0015 MOWING 241 2832 AC 34.740 0.000   0.000 $101.00 $0.00 $0.00
0016 AGGREGATE BASE 303 0192 CY 12,223.000 19,001.400   19,001.400 $31.55 $0.00 $599,494.16
0017 SEPARATOR FABRIC 325 5271 SY 53,594.000 57,308.650 -219.450 57,308.650 $1.33 $-291.87 $76,220.51
0018 (SP)MODIFIED SUBGRADE 327(J) 4290 SY 58,593.000 0.000   0.000 $3.85 $0.00 $0.00
0019 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 5,150.750 6,956.810 0.020 6,956.810 $15.25 $0.31 $106,091.38
0020 TACK COAT 407 0250 GAL 4,876.000 8,790.000   8,790.000 $3.45 $0.00 $30,325.51
0021 PRIME COAT 408 5774 GAL 19,546.000 6,179.040   6,179.040 $4.26 $0.00 $26,322.71
0022 (SP)ASPHALT CONCRETE TYPE S3(PG 70-28 OK) 411(S3) 5940 TON 5,415.000 4,791.140   4,791.140 $67.20 $0.00 $321,964.61
0023 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) 411(S3) 5945 TON 11,532.000 8,369.820   8,369.820 $59.50 $0.00 $498,004.29
0024 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 7,185.000 10,032.780   10,032.780 $69.30 $0.00 $695,271.66
0025 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) 411(S4) 5960 TON 2,117.000 977.750   977.750 $61.05 $0.00 $59,691.64
0026 RUMBLE STRIP-METHOD AC-CON 413(A) 4861 LF 18,040.000 14,902.000   14,902.000 $0.25 $0.00 $3,725.50
0027 STRUCTURAL EXCAVATION UNCLASSIFIED 501(A) 0313 CY 203.000 318.080   318.080 $25.25 $0.00 $8,031.52
0028 CLASS AA CONCRETE 509(A) 0319 CY 474.450 374.190   374.190 $333.30 $0.00 $124,717.53
0029 CLASS C CONCRETE 509(D) 0325 CY 832.510 873.510 0.080 873.514 $257.55 $20.60 $224,973.52
0030 REINFORCING STEEL 511(A) 0332 LB 60,994.140 50,294.900   50,294.900 $0.74 $0.00 $37,218.23
0031 TYPE I-A PLAIN RIPRAP 601A-1 0536 TON 280.000 1,354.180   1,354.180 $54.90 $0.00 $74,344.48
0032 MANHOLE (4' DIAMETER) 611(A) 2657 EA 3.000 0.000   0.000 $3,030.00 $0.00 $0.00
0033 ADD'L.DEPTH IN MANHOLE (4' DIAMETER) 611(B) 2680 VF 10.000 0.000   0.000 $135.00 $0.00 $0.00
0034 MANHOLE FRAME & COVER 611(D) 4215 EA 3.000 0.000   0.000 $455.00 $0.00 $0.00
0035 INLET (SMD-TYPE 2) 611(E) 6002 EA 8.000 8.000   8.000 $2,225.00 $0.00 $17,800.00
0036 18" R.C.PIPE CLASS III 613(B) 0491 LF 614.000 588.000   588.000 $26.80 $0.00 $15,758.40
0037 24" R.C.PIPE CLASS III 613(B) 0492 LF 78.000 80.000   80.000 $36.00 $0.00 $2,880.00
0038 36" R.C.PIPE CLASS III 613(B) 0494 LF 168.000 196.000   196.000 $63.30 $0.00 $12,406.80
0039 TYPE A6 CULVERT END TREATMENT 613(CC) 7196 EA 26.000 20.000 2.000 20.000 $1,010.00 $2,020.00 $20,200.00
0040 TYPE B6 CULVERT END TREATMENT 613(CC) 7197 EA 6.000 4.000   4.000 $1,162.00 $0.00 $4,648.00
0041 18" CORR. GALV. STEEL PIPE 613(D) 0689 LF 2,173.000 1,053.000 80.000 1,053.000 $18.30 $1,464.00 $19,269.90
0042 24" CORR. GALV. STEEL PIPE 613(D) 0690 LF 302.000 80.000   80.000 $22.40 $0.00 $1,792.00
0043 21" X 15" CORR. GALV. STEEL PIPE ARCH 613(D) 4527 LF 133.000 0.000   0.000 $19.45 $0.00 $0.00
0044 18" PREFAB. CULVERT END SECTION, ROUND 613(M) 5726 EA 7.000 7.000   7.000 $430.00 $0.00 $3,010.00
0045 24" PREFAB. CULVERT END SECTION, ROUND 613(M) 5730 EA 1.000 1.000   1.000 $520.00 $0.00 $520.00
0046 36" PREFAB. CULVERT END SECTION, ROUND 613(M) 5734 EA 1.000 3.000   3.000 $565.00 $0.00 $1,695.00
0047 8" PERFORATED PIPE UNDERDRAIN ROUND 613(P) 1092 LF 682.000 347.000   347.000 $7.50 $0.00 $2,602.50
0048 8" NON-PERF.PIPE UNDERDRAIN RND. 613(Q) 1097 LF 227.000 60.000   60.000 $7.50 $0.00 $450.00
0049 PIPE UNDERDRAIN COVER MAT'L. 613(R) 1100 CY 204.000 91.430   91.430 $35.35 $0.00 $3,232.05
0050 TRENCH EXCAVATION 613(S) 1180 CY 359.000 731.340 18.890 731.340 $25.25 $476.97 $18,466.33
0051 STANDARD BEDDING MATERIAL 613(T) 1181 CY 172.000 334.440 -23.640 334.440 $30.30 $-716.29 $10,133.53
0052 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 1.000 1.000   1.000 $15,150.00 $0.00 $15,150.00
0053 REMOVAL OF HEADWALL 619(B) 0291 EA 3.000 2.000   2.000 $505.00 $0.00 $1,010.00
0054 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 19,862.000 17,672.780   17,672.780 $1.05 $0.00 $18,556.41
0055 SAWING PAVEMENT 619(C) 0924 LF 2,632.000 0.000   0.000 $3.20 $0.00 $0.00
0056 MAILBOX INSTALLATION-SINGLE 629(A) 4958 EA 1.000 1.000   1.000 $75.75 $0.00 $75.75
0057 MAILBOX INSTALLATION-MULTIPLE 629(B) 4959 EA 1.000 1.000   1.000 $177.00 $0.00 $177.00
0058 MAILBOX 629(C) 4960 EA 4.000 4.000   4.000 $35.35 $0.00 $141.40
0059 REMOVAL OF MAILBOX INSTALLATION 629(D) 4961 EA 2.000 0.000   0.000 $25.25 $0.00 $0.00
0060 OUTLET LATERAL HEADWALL 653(C) 5946 EA 3.000 0.000   0.000 $606.00 $0.00 $0.00
8000 PAVEMENT/BRIDGE SMOOTHNESS ADJUSTMENT 430 5010 LSUM 0.000 1.000 1.000 1.000 $28,878.03 $28,878.03 $28,878.03
Subtotals For Category     0100/ROADWAY    $31,851.75 $3,741,926.06
Fed/State Project Number:    NH-STIM(009) Project:    20249(11) Category:    0300/TRAFFIC CONTROL
0061 CONSTRUCTION TRAFFIC STRIPE(PAINT)(4" WIDE) 856(A) 8839 LF 9,000.000 0.000   0.000 $0.40 $0.00 $0.00
0062 (PL)CONSTRUCTION ZONE PAVEMENT MARKERS(FLEX TAB)TYPE 2-2 856(G) 8890 EA 2,320.000 2,088.000   2,088.000 $0.40 $0.00 $835.20
0063 PAVEMENT MARKING REMOVAL(TRAFFIC STRIPE) 859(A) 8006 LF 2,000.000 0.000   0.000 $0.40 $0.00 $0.00
0064 CONSTRUCTION SIGNS 0 TO 6.25 SF 880(B) 8818 SD 10,965.000 4,410.000   4,410.000 $0.20 $0.00 $882.00
0065 CONSTRUCTION SIGNS 6.26 SF TO 15.99 SF 880(B) 8821 SD 12,495.000 9,124.000   9,124.000 $0.25 $0.00 $2,281.00
0066 CONSTRUCTION SIGNS 16.0 SF TO 32.99 SF 880(B) 8824 SD 3,315.000 5,777.000   5,777.000 $3.05 $0.00 $17,619.85
0067 BARRICADES(TYPE III) 880(C) 8842 SD 11,985.000 7,407.000   7,407.000 $0.30 $0.00 $2,222.10
0068 WING BARRICADES 880(C) 8848 SD 1,020.000 1,796.000   1,796.000 $0.51 $0.00 $915.96
0069 WARNING LIGHTS(TYPE A) 880(E) 8860 SD 27,285.000 4,468.000   4,468.000 $0.05 $0.00 $223.40
0070 WARNING LIGHTS(TYPE C) 880(E) 8872 SD 42,330.000 0.000   0.000 $0.05 $0.00 $0.00
0071 DRUMS 880(F) 8878 SD 42,330.000 3,792.000   3,792.000 $0.10 $0.00 $379.20
0072 PORT.CHANGEABLE MESSAGE SIGN 882(B) 8306 SD 30.000 0.000   0.000 $50.50 $0.00 $0.00
Subtotals For Category     0300/TRAFFIC CONTROL    $0.00 $25,358.71
Fed/State Project Number:    NH-STIM(009) Project:    20249(11) Category:    0301/SIGNING AND STRIPING
0073 STRUCTURAL CONCRETE 804(A) 2915 CY 2.430 3.000   3.000 $303.00 $0.00 $909.00
0074 REINFORCING STEEL 804(B) 2916 LB 48.000 96.000 0.000 96.000 $3.05 $0.00 $292.80
0075 SHEET ALUMINUM SIGNS 850(A) 8110 SF 250.420 301.820 24.000 301.820 $14.15 $339.60 $4,270.76
0076 2 1/2"@5.79 GALV.STEEL PIPE POST 851(B) 3217 LF 29.000 50.000   50.000 $35.35 $0.00 $1,767.50
0077 2" SQUARE TUBE POST 851(C) 8324 LF 185.000 240.000 24.000 240.000 $8.10 $194.40 $1,944.00
0078 2 1/4" SQUARE TUBE POST 851(C) 8327 LF 237.500 247.000 12.000 247.000 $8.10 $97.20 $2,000.70
0079 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 43,600.000 51,528.000   51,528.000 $0.45 $0.00 $23,187.60
0080 TRAFFIC STRIPE(PLASTIC)(8" WIDE) 855(A) 8814 LF 12,000.000 2,627.000   2,627.000 $0.67 $0.00 $1,760.09
0081 TRAFFIC STRIPE(PLASTIC)(ARROWS) 855(B) 8818 EA 12.000 12.000   12.000 $126.25 $0.00 $1,515.00
Subtotals For Category     0301/SIGNING AND STRIPING    $631.20 $37,647.45
Fed/State Project Number:    NH-STIM(009) Project:    20249(11) Category:    0600/STAKING
0082 STAKING 642 0098 LSUM 1.000 1.000 0.050 1.000 $31,965.00 $1,598.25 $31,965.00
Subtotals For Category     0600/STAKING    $1,598.25 $31,965.00
Fed/State Project Number:    NH-STIM(009) Project:    20249(11) Category:    0640/CONSTRUCTION
0083 (SP)SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000 1.000 1.000 $2,575.00 $2,575.00 $2,575.00
0084 FIELD OFFICE 640 1426 EA 1.000 1.000   1.000 $4,605.00 $0.00 $4,605.00
0085 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $160,000.00 $0.00 $160,000.00
0086 (SP)CONTRACTORS QUALITY CONTROL 643 0087 LSUM 1.000 1.000   1.000 $52,000.00 $0.00 $52,000.00
Subtotals For Category     0640/CONSTRUCTION    $2,575.00 $219,180.00
Subtotals For Project NH-STIM(009) /20249(11) $36,656.20 $4,056,077.22


2 CURRENT QUANTITIES DO NOT MATCH THE QUANTITY PAID TO DATE