Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090290   Estimate Number: 0009 , Final     Spec Year: 1999
Primary JP: 26361(07)   Residency: GUYMON (06200)     Contract No: 411111
Date Created: 05/28/2010   Contractor FEI: 480664815     Account No: 400600

Project Number(s): NH-STIM(033)
Contract Description: RESURFACE (ASPHALT) US-64: FROM THE TEXAS C/L, EXTEND EAST. PROJECT LENGTH = 4.458 MILES
Primary County: TEXAS              
Name of Road: US-64              
Prime Contractor: J & R SAND COMPANY, INC.           Time Charged: 203.00
    P. O. BOX 2436           Time Allowed: 203.00
    LIBERAL , KS   67905-2436           Percent Time: 100.00 %

  Paid To Date: $3,634,624.91 Payable This Statement: $-21,195.57

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.                                
J & R SAND 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                  

Oklahoma Department of Transportation
Final Estimate Summary
Created:    05/28/2010
Contract ID: 090290   Estimate Number: 0009     Contract No: 411111
Residency: GUYMON (06200)   Estimate Type: Final     Account No: 400600

Project Number(s): NH-STIM(033)
Primary Job Piece No: 26361(07)
Contract Description: RESURFACE (ASPHALT) US-64: FROM THE TEXAS C/L, EXTEND EAST. PROJECT LENGTH = 4.458 MILES
Primary County: TEXAS              
Name of Road: US-64              
Prime Contractor: J & R SAND COMPANY, INC.              
    P. O. BOX 2436              
    LIBERAL , KS   67905-2436              
Surety Company: TRAVELERS INDEMNITY COMPANY              

Date Let: 03/19/2009 NTP Effective Date: 04/27/2009 Pay Period: 11/16/2009  TO  05/15/2010
Date Awarded: 03/30/2009 Date Work Began: 04/27/2009 Original Contract Time: 130
Date Contract Executed: 04/08/2009 Date Time Stopped: 10/05/2009 Current Time Charged: 203.00
Date NTP Issued: 04/13/2009 Completion Date: 10/05/2009 Current Time Allowed: 203.00
General Liability Expires: 08/31/2010 Workman's Comp Expires: 08/31/2010 Percent Time Used: 100.00 %
Specification Year: 1999        

Current Contract Amount: $3,613,398.05 Total to Date Prev to Date This Estimate
Bid Amount: $3,755,686.36 Participating: $3,609,780.99 $3,634,593.68 $-24,812.69
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $-21,226.86 Non ARRA: $3,617.06 $0.00 $3,617.06
Unearned Balance: $121,061.45 Total Earnings: $3,613,398.05 $3,634,593.68 $-21,195.63
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $3,613,398.05 $3,634,593.68 $-21,195.63
Other Adjustments: $21,226.86 $21,226.80 $0.06
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $3,634,624.91 $3,655,820.48 $-21,195.57

Estimate Adjustment Detail

Contract ID: 090290   Estimate Number: 0009     Primary JP: 26361(07)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 special provision replacement Approved 05/08/2009 0.0 $0.00
002 Unclass. Borrow & Rem. Traffic Stripe (Tape) Approved 02/19/2010 0.0 $1,729.75
003 Final Quantity Change Order Approved 05/19/2010 0.0 $-144,018.06


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
26361(07) 0010 (SP)ASPHALT CONCRETE TYPE S3(PG 70-28 OK) Asphalt Binder Adjustment 0004 0.00 $0.00 $2,268.60
26361(07) 0010 (SP)ASPHALT CONCRETE TYPE S3(PG 70-28 OK) Asphalt Binder Adjustment 0005 0.00 $0.00 $2,246.65
26361(07) 0011 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0003 0.00 $0.00 $8,615.97
26361(07) 0011 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0004 0.00 $0.00 $336.34
26361(07) 0011 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0005 0.00 $0.00 $3,049.97
26361(07) 0012 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0005 0.00 $0.00 $1,994.12
26361(07) 0012 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0006 0.00 $0.00 $-1.55
26361(07) 0012 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0007 0.00 $0.00 $1,161.87
26361(07) 0012 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0009 0.00 $0.00 $1.07
26361(07) 0012 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * Asphalt Binder Adjustment 0009 0.00 $0.00 $-1.01
26361(07) 0013 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0007 0.00 $0.00 $1,554.83
Subtotals For Line Item Adjustments $21,226.86
* = 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: 090290   Estimate Number: 0009     Primary JP: 26361(07)



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(033) Project:    26361(07) Category:    0100/ROADWAY NH-STIM(033)
0001 UNCLASSIFIED BORROW 202(C) 0184 CY 822.000 2,323.000   2,323.000 $12.00 $0.00 $27,876.00
0002 TEMPORARY SILT FENCE 223 2801 LF 48,678.000 0.000   0.000 $0.80 $0.00 $0.00
0003 TEMPORARY SEDIMENT FILTER 224 2803 EA 6.000 0.000   0.000 $50.00 $0.00 $0.00
0004 TEMPORARY SEDIMENT BASIN 225 2804 EA 6.000 0.000   0.000 $750.00 $0.00 $0.00
0005 SOLID SLAB SODDING 230(A) 2806 SY 16,486.000 16,240.000   16,240.000 $1.70 $0.00 $27,608.00
0006 WATERING 230(F) 2812 MGAL 825.000 56.000   56.000 $10.00 $0.00 $560.00
0007 FERTILIZING (10-20-10) 234(A) 2824 TON 2.000 2.000   2.000 $550.00 $0.00 $1,100.00
0008 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 100.000 19.150   19.150 $50.00 $0.00 $957.50
0009 TACK COAT 407 0250 GAL 38,418.000 28,049.000   28,049.000 $2.00 $0.00 $56,098.00
0010 (SP)ASPHALT CONCRETE TYPE S3(PG 70-28 OK) 411(S3) 5940 TON 9,287.000 9,307.890   9,307.890 $62.00 $0.00 $577,089.18
0011 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) 411(S3) 5945 TON 24,934.000 24,741.860   24,741.860 $53.00 $0.00 $1,311,318.58
0012 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 7,324.000 7,287.690 0.200 7,287.690 $70.00 $14.00 $510,138.30
0013 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) 411(S4) 5960 TON 4,968.000 4,945.400   4,945.400 $54.00 $0.00 $267,051.60
0014 RUMBLE STRIP-METHOD AC-CON 413(A) 4861 LF 48,678.000 48,676.000   48,676.000 $0.10 $0.00 $4,867.60
0015 (PL)FOG SEAL 417 4659 GAL 10,818.000 50.000   50.000 $1.75 $0.00 $87.50
0016 COLD MILLING PAVEMENT 417 5267 SY 108,172.000 108,161.000 2.000 108,161.000 $1.35 $2.70 $146,017.35
0017 FABRIC REINFORCEMENT 420(A) 4242 SY 106,631.000 104,838.670 -13,104.810 104,838.670 $2.26 $-29,616.87 $236,935.40
0018 (PL)SELF ADHESIVE STRESS RELIEF FABRIC INTERLAYER 420(A) 4246 SY 3,134.000 2,814.000   2,814.000 $20.00 $0.00 $56,280.00
0019 CORED HOLES 426(A) 5095 EA 1,880.000 1,694.000   1,694.000 $28.00 $0.00 $47,432.00
0020 PORTLAND CEMENT 426(B) 5096 TON 125.000 0.000   0.000 $170.00 $0.00 $0.00
0021 FLY ASH 426(C) 5097 TON 250.000 41.620   41.620 $75.00 $0.00 $3,121.50
Subtotals For Category     0100/ROADWAY NH-STIM(033)    $-29,600.17 $3,274,538.51
Fed/State Project Number:    NH-STIM(033) Project:    26361(07) Category:    0300/TRAFFIC NH-STIM(033)
0022 (PL)4" RECESSED THERMOPLASTIC STRIPING 855(A) 8820 LF 53,620.000 58,063.000 949.000 58,063.000 $0.91 $863.59 $52,837.33
0023 CONSTRUCTION TRAFFIC STRIPE(PAINT)(4" WIDE) 856(A) 8839 LF 2,220.000 0.000 -4,255.370 0.000 $0.85 $-3,617.06 $0.00
0024 (PL)CONSTRUCTION ZONE PAVEMENT MARKERS(FLEX TAB)TYPE 2-2 856(G) 8890 EA 2,820.000 2,163.000 -1.000 2,163.000 $0.55 $-0.55 $1,189.65
0025 CONSTRUCTION SIGNS 0 TO 6.25 SF 880(B) 8818 SD 1,725.000 1,180.000 10.000 1,180.000 $0.25 $2.50 $295.00
0026 CONSTRUCTION SIGNS 6.26 SF TO 15.99 SF 880(B) 8821 SD 150.000 1,180.000   1,180.000 $3.00 $0.00 $3,540.00
0027 CONSTRUCTION SIGNS 16.0 SF TO 32.99 SF 880(B) 8824 SD 900.000 1,416.000 12.000 1,416.000 $3.00 $36.00 $4,248.00
0028 BARRICADES(TYPE III) 880(C) 8842 SD 300.000 0.000   0.000 $1.00 $0.00 $0.00
0029 WING BARRICADES 880(C) 8848 SD 150.000 466.000   466.000 $2.00 $0.00 $932.00
0030 WARNING LIGHTS(TYPE A) 880(E) 8860 SD 1,500.000 1,416.000 12.000 1,416.000 $0.25 $3.00 $354.00
0031 WARNING LIGHTS(TYPE C) 880(E) 8872 SD 375.000 0.000   0.000 $0.25 $0.00 $0.00
0032 DRUMS 880(F) 8878 SD 375.000 0.000   0.000 $0.40 $0.00 $0.00
0033 CONES(36" LARGE) 880(H) 8896 SD 19,800.000 1,386.000   1,386.000 $0.25 $0.00 $346.50
0034 FLAGGER 880(I) 8902 SD 150.000 100.000   100.000 $100.00 $0.00 $10,000.00
0035 PILOT CAR 880(W) 8800 LSUM 1.000 1.000   1.000 $30,000.00 $0.00 $30,000.00
0036 PORT.CHANGEABLE MESSAGE SIGN 882(B) 8306 SD 30.000 30.000   30.000 $50.00 $0.00 $1,500.00
Subtotals For Category     0300/TRAFFIC NH-STIM(033)    $-2,712.52 $105,242.48
Fed/State Project Number:    NH-STIM(033) Project:    26361(07) Category:    0640/CONSTRUCTION NH-STIM(033)
0037 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $200,000.00 $0.00 $200,000.00
0038 (SP)CONTRACTORS QUALITY CONTROL 643 0087 LSUM 1.000 1.000 0.250 1.000 $30,000.00 $7,500.00 $30,000.00
Subtotals For Category     0640/CONSTRUCTION NH-STIM(033)    $7,500.00 $230,000.00
Fed/State Project Number:    NH-STIM(033) Project:    26361(07) Category:    0850/Non ARRA Funding
8000 REMOVABLE PAVEMENT MARKING TAPE(4" WIDE) 856(C) 8851 LF 0.000 4,255.370 4,255.370 4,255.370 $0.85 $3,617.06 $3,617.06
Subtotals For Category     0850/Non ARRA Funding    $3,617.06 $3,617.06
Subtotals For Project NH-STIM(033) /26361(07) $-21,195.63 $3,613,398.05