Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090299   Estimate Number: 0012 , Final     Spec Year: 1999
Primary JP: 22658(04)   Residency: DUNCAN (07100)     Contract No: 411270
Date Created: 05/24/2011   Contractor FEI: 731269842     Account No: 432700

Project Number(s): BRO-STIM(215)CO
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (EW-193): OVER MUD CREEK, 7.8 MILES WEST OF SH-89. PROJECT LENGTH = 0.378 MILE.
Primary County: JEFFERSON              
Name of Road: COUNTY ROAD              
Prime Contractor: D. M. DOZERS, INC.           Time Charged: 337.00
    766 S. TERRY AVE.           Time Allowed: 363.00
    BRADLEY , OK   73011           Percent Time: 92.84 %

  Paid To Date: $615,073.30 Payable This Statement: $4,968.22

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.                                
D. M. DOZERS, 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:    05/24/2011
Contract ID: 090299   Estimate Number: 0012     Contract No: 411270
Residency: DUNCAN (07100)   Estimate Type: Final     Account No: 432700

Project Number(s): BRO-STIM(215)CO
Primary Job Piece No: 22658(04)
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (EW-193): OVER MUD CREEK, 7.8 MILES WEST OF SH-89. PROJECT LENGTH = 0.378 MILE.
Primary County: JEFFERSON              
Name of Road: COUNTY ROAD              
Prime Contractor: D. M. DOZERS, INC.              
    766 S. TERRY AVE.              
    BRADLEY , OK   73011              
Surety Company: EMPLOYERS MUTUAL CASUALTY COMPANY              

Date Let: 04/23/2009 NTP Effective Date: 08/03/2009 Pay Period: 11/30/2009  TO  04/30/2010
Date Awarded: 04/27/2009 Date Work Began: 05/29/2009 Original Contract Time: 150
Date Contract Executed: 05/07/2009 Date Time Stopped: 04/30/2010 Current Time Charged: 337.00
Date NTP Issued: 05/07/2009 Completion Date: 04/30/2010 Current Time Allowed: 363.00
General Liability Expires: 01/01/2012 Workman's Comp Expires: 01/01/2012 Percent Time Used: 92.84 %
Specification Year: 1999        

Current Contract Amount: $615,073.29 Total to Date Prev to Date This Estimate
Bid Amount: $626,895.60 Participating: $608,066.30 $610,105.08 $-2,038.78
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $-0.01 Non ARRA: $7,007.00 $0.00 $7,007.00
Unearned Balance: $11,822.30 Total Earnings: $615,073.30 $610,105.08 $4,968.22
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $615,073.30 $610,105.08 $4,968.22
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $615,073.30 $610,105.08 $4,968.22

Estimate Adjustment Detail

Contract ID: 090299   Estimate Number: 0012     Primary JP: 22658(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Add painting pay item for Pile Bents Approved 12/07/2009 0.0 $7,007.00
002 Deduction for Failing Cylinders Approved 12/16/2009 0.0 $-352.80
003 Finalizing Contract Item Quantities Approved 05/19/2011 0.0 $-18,476.51


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
22658(04) 0027 Piling, HP 10x42 Stockpiled Material Adjustment 0002 $-26,925.60
22658(04) 0027 Piling, HP 10x42 Stockpiled Material Initial Payment 0001 $26,925.60
22658(04) 0027 Piling, HP 10x42 Stockpiled Material Adjustment 0002 $-15,016.20
22658(04) 0027 Piling, HP 10x42 Stockpiled Material Initial Payment 0001 $15,016.20
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
22658(04) 0007 SOLID SLAB SODDING * TEST CODE 0010 0.00 $0.00 $-8,676.46
22658(04) 0007 SOLID SLAB SODDING * TEST CODE 0011 0.00 $0.00 $8,676.46
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: 090299   Estimate Number: 0012     Primary JP: 22658(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(215)CO Project:    22658(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201 0102 LSUM 1.000 1.000   1.000 $5,000.00 $0.00 $5,000.00
0002 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 5,834.000 5,834.000   5,834.000 $4.50 $0.00 $26,253.00
0003 UNCLASSIFIED BORROW 202(C) 0184 CY 4,213.000 4,213.000   4,213.000 $6.50 $0.00 $27,384.50
0004 TYPE A-SALVAGED TOPSOIL 205 4229 LSUM 1.000 1.000   1.000 $5,000.00 $0.00 $5,000.00
0005 TEMPORARY SILT FENCE 223 2801 LF 3,740.000 1,200.000 1,200.000 1,200.000 $3.00 $3,600.00 $3,600.00
0006 TEMPORARY SILT DIKE 227 0100 LF 196.000 196.000 196.000 196.000 $10.00 $1,960.00 $1,960.00
0007 SOLID SLAB SODDING 230(A) 2806 SY 11,655.000 12,394.950   12,394.950 $2.80 $0.00 $34,705.86
0008 VEGETATIVE MULCHING 233(A) 2817 AC 5.000 0.000   0.000 $500.00 $0.00 $0.00
0009 AGGREGATE BASE 303 0192 CY 1,029.000 1,028.880 -3.290 1,028.880 $45.00 $-148.05 $46,299.60
0010 SEPARATOR FABRIC 325 5271 SY 5,945.000 5,943.830 208.550 5,943.830 $1.50 $312.83 $8,915.75
0011 PRIME COAT 408 5774 GAL 2,119.000 1,955.050 -1,114.110 1,955.050 $8.00 $-8,912.88 $15,640.40
0012 CLASS C CONCRETE 509(D) 0325 CY 10.000 0.000   0.000 $200.00 $0.00 $0.00
0013 30" R.C.PIPE CLASS III 613(B) 0493 LF 76.000 80.000   80.000 $100.00 $0.00 $8,000.00
0014 28" X 20" CORR. GALV. STEEL PIPE ARCH 613(D) 4528 LF 120.000 70.000 -20.000 70.000 $20.00 $-400.00 $1,400.00
0015 28" X 20" GALV. STEEL CULVERT END SECTION ARCH 613(G) 4571 EA 5.000 3.000 -1.000 3.000 $165.00 $-165.00 $495.00
0016 30" PREFAB. CULVERT END SECTION, ROUND 613(M) 5732 EA 4.000 4.000   4.000 $1,240.00 $0.00 $4,960.00
0017 SHEET ALUMINUM SIGNS 850(A) 8110 SF 17.000 17.000   17.000 $16.00 $0.00 $272.00
0018 FLANGE CHANNEL POSTS(4 LB/FT) 851(D) 8597 LF 34.000 30.000 -4.000 30.000 $8.00 $-32.00 $240.00
Subtotals For Category     0100/ROADWAY    $-3,785.10 $190,126.11
Fed/State Project Number:    BRO-STIM(215)CO Project:    22658(04) Category:    0200/BRIDGE 'A'
0019 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 96.000 96.000   96.000 $10.00 $0.00 $960.00
0020 UNCLASSIFIED BACKFILL 501(D) 6353 CY 68.000 68.000   68.000 $20.00 $0.00 $1,360.00
0021 PRESTRESSED CONCRETE BEAMS (TYPE II) 503(A) 1311 LF 468.500 468.500   468.500 $150.00 $0.00 $70,275.00
0022 CONCRETE RAIL (TR1) 504(E) 1380 LF 305.200 305.200   305.200 $50.00 $0.00 $15,260.00
0023 STRUCTURAL STEEL 506(A) 1322 LB 8,480.000 8,480.000   8,480.000 $3.00 $0.00 $25,440.00
0024 CLASS AA CONCRETE 509(A) 1326 CY 92.000 92.000   92.000 $600.00 $0.00 $55,200.00
0025 CLASS A CONCRETE 509(B) 1328 CY 76.000 76.000   76.000 $600.00 $0.00 $45,600.00
0026 REINFORCING STEEL 511(A) 1332 LB 31,660.000 31,660.000   31,660.000 $0.66 $0.00 $20,895.60
0027 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 2,423.000 2,423.000   2,423.000 $25.00 $0.00 $60,575.00
0028 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 2,423.000 2,171.410 9.000 2,171.410 $15.00 $135.00 $32,571.15
0029 TYPE I-A PLAIN RIPRAP 601(A-1)1353 TON 1,260.000 1,277.380   1,277.380 $32.00 $0.00 $40,876.16
0030 TYPE I-A FILTER BLANKET 601(A-2)1355 TON 345.000 240.360 46.040 240.360 $28.00 $1,289.12 $6,730.08
0031 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $2,000.00 $0.00 $2,000.00
0032 (PL)CURVED APPROACH GUARD RAIL 623 8572 EA 1.000 1.000   1.000 $2,100.00 $0.00 $2,100.00
0033 GUARD RAIL ANCHOR UNIT (TYPE B) 623(F) 6030 EA 1.000 1.000   1.000 $650.00 $0.00 $650.00
0034 GUARD RAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 3.000 3.000   3.000 $2,250.00 $0.00 $6,750.00
0035 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000 0.100 1.000 $3,750.00 $375.00 $3,750.00
8100 CLASS A CONCRETE 509(B) 1328 CY 0.000 1.000 1.000 1.000 $-352.80 $-352.80 $-352.80
Subtotals For Category     0200/BRIDGE 'A'    $1,446.32 $390,640.19
Fed/State Project Number:    BRO-STIM(215)CO Project:    22658(04) Category:    0600/STAKING
0036 STAKING 642 0098 LSUM 1.000 1.000 0.000 1.000 $8,300.00 $0.00 $8,300.00
Subtotals For Category     0600/STAKING    $0.00 $8,300.00
Fed/State Project Number:    BRO-STIM(215)CO Project:    22658(04) Category:    0640/CONSTRUCTION
0037 (SP)SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000 0.100 1.000 $3,000.00 $300.00 $3,000.00
0038 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $16,000.00 $0.00 $16,000.00
Subtotals For Category     0640/CONSTRUCTION    $300.00 $19,000.00
Fed/State Project Number:    BRO-STIM(215)CO Project:    22658(04) Category:    0850/NON ARRA FUNDING
8001 CONSTRUCTION MISCELLANEOUS 104 0700 LSUM 0.000 1.000 1.000 1.000 $7,007.00 $7,007.00 $7,007.00
Subtotals For Category     0850/NON ARRA FUNDING    $7,007.00 $7,007.00
Subtotals For Project BRO-STIM(215)CO /22658(04) $4,968.22 $615,073.30