Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090281   Estimate Number: 0009 , Final     Spec Year: 1999
Primary JP: 24407(05)   Residency: CLAREMORE (08300)     Contract No: 411145
Date Created: 01/21/2011   Contractor FEI: 581401469     Account No: 400800

Project Number(s): NH-STIM(062)
Contract Description: WIDEN & RESURFACE US-169: BEGIN 6.0 MILE SOUTH OF THE KANSAS S/L AND EXTEND NORTH TO THE KANSAS S/L. PROJECT LENGTH = 6.043 MILES
Primary County: NOWATA              
Name of Road: US-169              
Prime Contractor: APAC-CENTRAL, INC.           Time Charged: 128.00
    4150 S. 100th E Ave, Suite 300           Time Allowed: 128.00
    Tulsa , OK   74146           Percent Time: 100.00 %

  Paid To Date: $3,613,693.81 Payable This Statement: $181.65

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-CENTRAL, 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:    01/21/2011
Contract ID: 090281   Estimate Number: 0009     Contract No: 411145
Residency: CLAREMORE (08300)   Estimate Type: Final     Account No: 400800

Project Number(s): NH-STIM(062)
Primary Job Piece No: 24407(05)
Contract Description: WIDEN & RESURFACE US-169: BEGIN 6.0 MILE SOUTH OF THE KANSAS S/L AND EXTEND NORTH TO THE KANSAS S/L. PROJECT LENGTH = 6.043 MILES
Primary County: NOWATA              
Name of Road: US-169              
Prime Contractor: APAC-CENTRAL, INC.              
    4150 S. 100th E Ave, Suite 300              
    Tulsa , OK   74146              
Surety Company: FEDERAL INSURANCE COMPANY              

Date Let: 03/19/2009 NTP Effective Date: 07/06/2009 Pay Period: 02/16/2010  TO  01/15/2011
Date Awarded: 03/30/2009 Date Work Began: 07/23/2009 Original Contract Time: 60
Date Contract Executed: 04/13/2009 Date Time Stopped: 11/10/2009 Current Time Charged: 128.00
Date NTP Issued: 04/15/2009 Completion Date: 11/10/2009 Current Time Allowed: 128.00
General Liability Expires: 09/01/2011 Workman's Comp Expires: 09/01/2011 Percent Time Used: 100.00 %
Specification Year: 1999        

Current Contract Amount: $3,613,693.79 Total to Date Prev to Date This Estimate
Bid Amount: $3,721,169.56 Participating: $3,606,573.81 $3,606,392.16 $181.65
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $-0.02 Non ARRA: $7,120.00 $7,120.00 $0.00
Unearned Balance: $107,475.75 Total Earnings: $3,613,693.81 $3,613,512.16 $181.65
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $3,613,693.81 $3,613,512.16 $181.65
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $3,613,693.81 $3,613,512.16 $181.65

Estimate Adjustment Detail

Contract ID: 090281   Estimate Number: 0009     Primary JP: 24407(05)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Supplemental agreement revising special provision Approved 06/04/2009 0.0 $0.00
002 Supplemental agreement adding TMA's. Approved 10/21/2009 0.0 $7,120.00
003 Supplemental Agreement for Binder Adjustment Approved 10/21/2009 0.0 $11,458.63
004 Change Order for Asph. Binder Adjustment Approved 12/03/2009 0.0 $417.84
005 Supplemental agreement applying deduction for bad stripe. Approved 02/03/2010 0.0 $-9,977.70
006 Final Contract Item Quantities Approved 06/28/2010 0.0 $-116,494.54


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
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
24407(05) 0003 SOLID SLAB SODDING * Material Discrepancy Adjustments 0005 -15,161.68 $1.50 $-22,742.52
24407(05) 0003 SOLID SLAB SODDING * Material Discrepancy Adjustments 0007 15,161.68 $1.50 $22,742.52
24407(05) 0005 TACK COAT * Material Discrepancy Adjustments 0002 -1,956.28 $4.00 $-7,825.12
24407(05) 0005 TACK COAT * Material Discrepancy Adjustments 0003 1,956.28 $4.00 $7,825.12
24407(05) 0007 (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) Asphalt Binder Adjustment 0002 0.00 $0.00 $3,723.84
24407(05) 0007 (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) Asphalt Binder Adjustment 0003 0.00 $0.00 $7,734.79
24407(05) 0007 (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) * Asphalt Binder Adjustment 0006 0.00 $0.00 $-11,458.63
24407(05) 0007 (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) * Asphalt Binder Adjustment 0008 0.00 $0.00 $-629.01
24407(05) 0007 (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) Asphalt Binder Adjustment 0008 0.00 $0.00 $629.01
24407(05) 0008 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0004 0.00 $0.00 $417.84
24407(05) 0008 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) * Material Discrepancy Adjustments 0008 0.00 $0.00 $-417.84
24407(05) 0011 FABRIC REINFORCEMENT * Material Discrepancy Adjustments 0003 -2,621.64 $0.85 $-2,228.39
24407(05) 0011 FABRIC REINFORCEMENT * Material Discrepancy Adjustments 0005 2,621.64 $0.85 $2,228.39
24407(05) 0012 BITUMINOUS BINDER * Material Discrepancy Adjustments 0002 -4,950.00 $2.75 $-13,612.50
24407(05) 0012 BITUMINOUS BINDER * Material Discrepancy Adjustments 0003 -700.00 $2.75 $-1,925.00
24407(05) 0012 BITUMINOUS BINDER * Material Discrepancy Adjustments 0004 5,650.00 $2.75 $15,537.50
24407(05) 0014 BEAM GUARD RAIL-W-BEAM-SINGLE * Material Discrepancy Adjustments 0004 -357.75 $15.92 $-5,695.38
24407(05) 0014 BEAM GUARD RAIL-W-BEAM-SINGLE * Material Discrepancy Adjustments 0007 357.75 $15.92 $5,695.38
24407(05) 0017 TRAFFIC STRIPE(PLASTIC)(4" WIDE) * SUBSTANDARD ITEM 0006 0.00 $0.00 $-10,020.99
24407(05) 0017 TRAFFIC STRIPE(PLASTIC)(4" WIDE) * SUBSTANDARD ITEM 0008 0.00 $0.00 $10,020.99
Subtotals For Line Item Adjustments $0.00
* = 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: 090281   Estimate Number: 0009     Primary JP: 24407(05)



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(062) Project:    24407(05) Category:    0100/ROADWAY
0001 UNCLASSIFIED BORROW 202(C) 0184 CY 7,643.000 7,643.000   7,643.000 $17.00 $0.00 $129,931.00
0002 TYPE A-SALVAGED TOPSOIL 205 4229 LSUM 1.000 1.000   1.000 $23,500.00 $0.00 $23,500.00
0003 SOLID SLAB SODDING 230(A) 2806 SY 63,692.000 50,324.520 121.100 50,324.520 $1.50 $181.65 $75,486.78
0004 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 4.000 9.950   9.950 $67.90 $0.00 $675.61
0005 TACK COAT 407 0250 GAL 16,587.000 4,786.000   4,786.000 $4.00 $0.00 $19,144.00
0006 PRIME COAT 408 5774 GAL 1,715.000 0.000   0.000 $4.00 $0.00 $0.00
0007 (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) 411(S4) 5950 TON 35,968.000 36,362.310   36,362.310 $71.00 $0.00 $2,581,724.01
0008 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) 411(S4) 5960 TON 2,081.000 1,329.000   1,329.000 $58.50 $0.00 $77,746.50
0009 RUMBLE STRIP-METHOD AC-CON 413(A) 4861 LF 65,040.000 56,165.000   56,165.000 $0.07 $0.00 $3,931.55
0010 COLD MILLING PAVEMENT 417 5267 SY 167,240.000 159,615.080   159,615.080 $1.04 $0.00 $165,999.69
0011 FABRIC REINFORCEMENT 420(A) 4242 SY 161,822.000 157,425.410   157,425.410 $0.85 $0.00 $133,811.60
0012 BITUMINOUS BINDER 420(B) 4268 GAL 40,456.000 33,963.010   33,963.010 $2.75 $0.00 $93,398.28
0013 REMOVAL OF GUARD RAIL 619(B) 4780 LF 1,624.000 1,566.000   1,566.000 $4.25 $0.00 $6,655.50
0014 BEAM GUARD RAIL-W-BEAM-SINGLE 623(A) 0932 LF 1,425.000 1,224.000   1,224.000 $15.92 $0.00 $19,486.08
0015 THRIE BEAM BRIDGE CONNECTION-TYPE A 623(E) 7114 EA 8.000 8.000   8.000 $1,220.50 $0.00 $9,764.00
0016 (SP)G.E.T. GUARD RAIL END SECTION 623(H) 8571 EA 7.000 7.000   7.000 $2,069.54 $0.00 $14,486.78
8003 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 0.000 -26,966.750   -26,966.750 $0.37 $0.00 $-9,977.70
Subtotals For Category     0100/ROADWAY    $181.65 $3,345,763.68
Fed/State Project Number:    NH-STIM(062) Project:    24407(05) Category:    0300/TRAFFIC CONTROL
0017 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 115,900.000 107,867.000   107,867.000 $0.37 $0.00 $39,910.79
0018 CONSTRUCTION TRAFFIC STRIPE(PAINT)(4" WIDE) 856(A) 8839 LF 3,200.000 0.000   0.000 $0.16 $0.00 $0.00
0019 (PL)CONSTRUCTION ZONE PAVEMENT MARKERS(FLEX TAB)TYPE 2-2 856(G) 8890 EA 3,700.000 1,588.000   1,588.000 $0.42 $0.00 $666.96
0020 CONSTRUCTION SIGNS 0 TO 6.25 SF 880(B) 8818 SD 1,260.000 4,527.000   4,527.000 $1.06 $0.00 $4,798.62
0021 CONSTRUCTION SIGNS 6.26 SF TO 15.99 SF 880(B) 8821 SD 600.000 3,933.000   3,933.000 $1.59 $0.00 $6,253.47
0022 CONSTRUCTION SIGNS 16.0 SF TO 32.99 SF 880(B) 8824 SD 720.000 3,765.000   3,765.000 $2.12 $0.00 $7,981.80
0023 BARRICADES(TYPE III) 880(C) 8842 SD 1,200.000 0.000   0.000 $0.01 $0.00 $0.00
0024 WING BARRICADES 880(C) 8848 SD 120.000 456.000   456.000 $2.12 $0.00 $966.72
0025 WARNING LIGHTS(TYPE A) 880(E) 8860 SD 900.000 726.000   726.000 $0.02 $0.00 $14.52
0026 WARNING LIGHTS(TYPE C) 880(E) 8872 SD 300.000 0.000   0.000 $0.01 $0.00 $0.00
0027 DRUMS 880(F) 8878 SD 300.000 360.000   360.000 $0.01 $0.00 $3.60
0028 CONES(36" LARGE) 880(H) 8896 SD 14,880.000 0.000   0.000 $0.10 $0.00 $0.00
0029 FLAGGER 880(I) 8902 SD 120.000 110.000   110.000 $250.00 $0.00 $27,500.00
0030 PILOT CAR 880(W) 8800 LSUM 1.000 1.000   1.000 $10,000.00 $0.00 $10,000.00
0031 PORT.CHANGEABLE MESSAGE SIGN 882(B) 8306 SD 30.000 0.000   0.000 $25.00 $0.00 $0.00
Subtotals For Category     0300/TRAFFIC CONTROL    $0.00 $98,096.48
Fed/State Project Number:    NH-STIM(062) Project:    24407(05) Category:    0600/STAKING
0032 STAKING 642 0098 LSUM 1.000 1.000   1.000 $5,837.18 $0.00 $5,837.18
Subtotals For Category     0600/STAKING    $0.00 $5,837.18
Fed/State Project Number:    NH-STIM(062) Project:    24407(05) Category:    0640/CONSTRUCTION
0033 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $145,000.00 $0.00 $145,000.00
8001 ASPHALT BINDER PRICE ADJUSTMENT 109 1150 LSUM 0.000 1.000   1.000 $11,458.63 $0.00 $11,458.63
8002 ASPHALT BINDER PRICE ADJUSTMENT 109 1150 LSUM 0.000 1.000   1.000 $417.84 $0.00 $417.84
Subtotals For Category     0640/CONSTRUCTION    $0.00 $156,876.47
Fed/State Project Number:    NH-STIM(062) Project:    24407(05) Category:    0850/Non ARRA Funding
8000 (PL)TRUCK MOUNTED ATTENUATOR 876(C) 8482 SD 0.000 80.000   80.000 $89.00 $0.00 $7,120.00
Subtotals For Category     0850/Non ARRA Funding    $0.00 $7,120.00
Subtotals For Project NH-STIM(062) /24407(05) $181.65 $3,613,693.81