Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090259   Estimate Number: 0016 , Final     Spec Year: 1999
Primary JP: 23923(04)   Residency: ARDMORE (07200)     Contract No: 411217
Date Created: 12/30/2010   Contractor FEI: 731427175     Account No: 432700

Project Number(s): BRO-STIM(216)CO
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (NS-316): OVER SIMON CREEK, 5.3 MILES NORTH AND 3.0 MILES EAST OF JCT. SH-76/SH-32. PROJECT LENGTH = 0.264 MILES.
Primary County: LOVE              
Name of Road: COUNTY ROAD              
Prime Contractor: K & R BUILDERS, INC.           Time Charged: 351.00
    P.O. BOX 656           Time Allowed: 351.00
    WHEATLAND , OK   73097           Percent Time: 100.00 %

  Paid To Date: $716,363.92 Payable This Statement: $2,115.29

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.                                
K & R BUILDERS, 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:    12/30/2010
Contract ID: 090259   Estimate Number: 0016     Contract No: 411217
Residency: ARDMORE (07200)   Estimate Type: Final     Account No: 432700

Project Number(s): BRO-STIM(216)CO
Primary Job Piece No: 23923(04)
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (NS-316): OVER SIMON CREEK, 5.3 MILES NORTH AND 3.0 MILES EAST OF JCT. SH-76/SH-32. PROJECT LENGTH = 0.264 MILES.
Primary County: LOVE              
Name of Road: COUNTY ROAD              
Prime Contractor: K & R BUILDERS, INC.              
    P.O. BOX 656              
    WHEATLAND , OK   73097              
Surety Company: OHIO CASUALTY INSURANCE COMPANY              

Date Let: 04/23/2009 NTP Effective Date: 08/03/2009 Pay Period: 07/20/2010  TO  07/20/2010
Date Awarded: 04/27/2009 Date Work Began: 08/11/2009 Original Contract Time: 150
Date Contract Executed: 05/08/2009 Date Time Stopped: 07/19/2010 Current Time Charged: 351.00
Date NTP Issued: 05/11/2009 Completion Date: 07/19/2010 Current Time Allowed: 351.00
General Liability Expires: 05/01/2011 Workman's Comp Expires: 07/01/2011 Percent Time Used: 100.00 %
Specification Year: 1999        

Current Contract Amount: $716,363.91 Total to Date Prev to Date This Estimate
Bid Amount: $714,577.29 Participating: $716,648.27 $714,532.98 $2,115.29
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $-0.01 Non ARRA: $-284.35 $-284.35 $0.00
Unearned Balance: $-1,786.63 Total Earnings: $716,363.92 $714,248.63 $2,115.29
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $716,363.92 $714,248.63 $2,115.29
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $716,363.92 $714,248.63 $2,115.29

Estimate Adjustment Detail

Contract ID: 090259   Estimate Number: 0016     Primary JP: 23923(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Change Type of Anchor Plates and Add'l Testing Cost Approved 02/11/2010 0.0 $-284.35
002 Final Quantity Change Order Approved 12/28/2010 0.0 $2,070.97


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
23923(04) 0017 SSTL FABS (AML) Stockpiled Material Adjustment 0007 $-7,940.10
23923(04) 0017 SSTL FABS (AML) Stockpiled Material Initial Payment 0003 $7,940.10
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
No line item adjustments have been created on this contract.
Subtotals For Line Item Adjustments $0.00


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

Line Item Detail

Contract ID: 090259   Estimate Number: 0016     Primary JP: 23923(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:    BRO-STIM(216)CO Project:    23923(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201 0102 LSUM 1.000 1.000   1.000 $11,000.00 $0.00 $11,000.00
0002 EARTHWORK 202(G) 0185 LSUM 1.000 1.000   1.000 $75,000.00 $0.00 $75,000.00
0003 TEMPORARY SILT FENCE 223 2801 LF 2,000.000 1,920.000   1,920.000 $3.30 $0.00 $6,336.00
0004 TEMPORARY SILT DIKE 227 0100 LF 400.000 0.000   0.000 $11.00 $0.00 $0.00
0005 SOLID SLAB SODDING 230(A) 2806 SY 17,300.000 17,712.450   17,712.450 $2.20 $0.00 $38,967.39
0006 VEGETATIVE MULCHING 233(A) 2817 AC 7.000 0.000   0.000 $600.00 $0.00 $0.00
0007 (PL)ROCK FILTER DAM, TYPE 2 235(B) 0101 CY 15.000 0.000   0.000 $125.00 $0.00 $0.00
0008 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 1,238.000 1,672.110 25.350 1,672.110 $21.00 $532.35 $35,114.31
0009 PRIME COAT 408 5774 GAL 865.000 0.000   0.000 $22.00 $0.00 $0.00
0010 CLASS C CONCRETE 509(D) 0325 CY 10.000 0.000   0.000 $300.00 $0.00 $0.00
0011 24" CORR. GALV. STEEL PIPE 613(D) 0690 LF 76.000 76.000   76.000 $26.00 $0.00 $1,976.00
0012 24" PREFAB. CULVERT END SECTION, ROUND 613(M) 5730 EA 4.000 4.000   4.000 $310.00 $0.00 $1,240.00
Subtotals For Category     0100/ROADWAY    $532.35 $169,633.70
Fed/State Project Number:    BRO-STIM(216)CO Project:    23923(04) Category:    0200/BRIDGE 'A'
0013 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 80.000 80.000   80.000 $10.00 $0.00 $800.00
0014 UNCLASSIFIED BACKFILL 501(D) 6353 CY 50.000 50.000   50.000 $20.00 $0.00 $1,000.00
0015 PRESTRESSED CONCRETE BEAMS (TYPE II) 503(A) 1311 LF 590.010 590.010   590.010 $169.49 $0.00 $100,000.79
0016 CONCRETE RAIL (TR1) 504(E) 1380 LF 357.000 357.000   357.000 $65.00 $0.00 $23,205.00
0017 STRUCTURAL STEEL 506(A) 1322 LB 4,030.000 4,030.000   4,030.000 $3.35 $0.00 $13,500.50
0018 CLASS AA CONCRETE 509(A) 1326 CY 114.000 114.000   114.000 $505.00 $0.00 $57,570.00
0019 CLASS A CONCRETE 509(B) 1328 CY 81.400 81.400   81.400 $515.00 $0.00 $41,921.00
0020 REINFORCING STEEL 511(A) 1332 LB 36,560.000 36,560.000 0.180 36,560.000 $0.75 $0.14 $27,420.01
0021 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 635.000 635.000   635.000 $35.00 $0.00 $22,225.00
0022 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 635.000 627.130 0.030 627.130 $10.00 $0.30 $6,271.30
0023 DRILLED SHAFTS 42" DIAMETER 516(A) 6093 LF 178.000 179.310   179.310 $630.00 $0.00 $112,965.30
0024 TYPE I-A PLAIN RIPRAP 601(A-1)1353 TON 1,380.000 2,160.730   2,160.730 $31.00 $0.00 $66,982.63
0025 TYPE I-A FILTER BLANKET 601(A-2)1355 TON 364.000 358.460   358.460 $24.00 $0.00 $8,603.04
0026 REMOVAL OF EXISTING RIPRAP 619(B) 6364 LSUM 1.000 1.000   1.000 $12,000.00 $0.00 $12,000.00
0027 GUARD RAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 4.000 4.000   4.000 $2,600.00 $0.00 $10,400.00
0028 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000 0.150 1.000 $4,550.00 $682.50 $4,550.00
Subtotals For Category     0200/BRIDGE 'A'    $682.94 $509,414.57
Fed/State Project Number:    BRO-STIM(216)CO Project:    23923(04) Category:    0600/STAKING
0029 STAKING 642 0098 LSUM 1.000 1.000   1.000 $5,100.00 $0.00 $5,100.00
Subtotals For Category     0600/STAKING    $0.00 $5,100.00
Fed/State Project Number:    BRO-STIM(216)CO Project:    23923(04) Category:    0640/CONSTRUCTION
0030 (SP)SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000 0.150 1.000 $6,000.00 $900.00 $6,000.00
0031 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $26,500.00 $0.00 $26,500.00
Subtotals For Category     0640/CONSTRUCTION    $900.00 $32,500.00
Fed/State Project Number:    BRO-STIM(216)CO Project:    23923(04) Category:    0850/Non ARRA Funding
8000 CONSTRUCTION MISCELLANEOUS 104 0700 LSUM 0.000 1.000   1.000 $-284.35 $0.00 $-284.35
Subtotals For Category     0850/Non ARRA Funding    $0.00 $-284.35
Subtotals For Project BRO-STIM(216)CO /23923(04) $2,115.29 $716,363.92