Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090310   Estimate Number: 0009 , Final     Spec Year: 1999
Primary JP: 26341(04)   Residency: EL RENO (04200)     Contract No: 411098
Date Created: 04/05/2010   Contractor FEI: 730731258     Account No: 400400

Project Number(s): IM-STIM(154)3R, IM-STIM(153)3R
Contract Description: RESURFACE (UTBWC) I-40: BEGIN AT MILE MARKER 108, EXTEND EAST. PROJECT LENGTH = 10.50 MILES
Primary County: CANADIAN              
Name of Road: I-40              
Prime Contractor: HASKELL LEMON CONSTRUCTION CO.           Time Charged: 102.00
    P. O. BOX 75608           Time Allowed: 103.00
    OKLAHOMA CITY , OK   73147-0608           Percent Time: 99.03 %

  Paid To Date: $2,745,906.40 Payable This Statement: $9,314.08

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.                                
HASKELL LEMON CONSTRUCTION CO.                               
 
_________________________________________________
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:    04/05/2010
Contract ID: 090310   Estimate Number: 0009     Contract No: 411098
Residency: EL RENO (04200)   Estimate Type: Final     Account No: 400400

Project Number(s): IM-STIM(154)3R, IM-STIM(153)3R
Primary Job Piece No: 26341(04)
Contract Description: RESURFACE (UTBWC) I-40: BEGIN AT MILE MARKER 108, EXTEND EAST. PROJECT LENGTH = 10.50 MILES
Primary County: CANADIAN              
Name of Road: I-40              
Prime Contractor: HASKELL LEMON CONSTRUCTION CO.              
    P. O. BOX 75608              
    OKLAHOMA CITY , OK   73147-0608              
Surety Company: WESTERN SURETY COMPANY              

Date Let: 03/19/2009 NTP Effective Date: 07/06/2009 Pay Period: 03/16/2010  TO  04/05/2010
Date Awarded: 03/30/2009 Date Work Began: 07/06/2009 Original Contract Time: 75
Date Contract Executed: 04/06/2009 Date Time Stopped: 10/15/2009 Current Time Charged: 102.00
Date NTP Issued: 04/07/2009 Completion Date: 10/15/2009 Current Time Allowed: 103.00
General Liability Expires: 07/01/2010 Workman's Comp Expires: 07/01/2010 Percent Time Used: 99.03 %
Specification Year: 1999        

Current Contract Amount: $2,769,378.76 Total to Date Prev to Date This Estimate
Bid Amount: $2,777,848.00 Participating: $2,760,570.79 $2,757,570.79 $3,000.00
Percent Complete: 99.15 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $23,472.36 Non ARRA: $6,314.08 $0.00 $6,314.08
Unearned Balance: $31,941.60 Total Earnings: $2,766,884.87 $2,757,570.79 $9,314.08
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $2,766,884.87 $2,757,570.79 $9,314.08
Other Adjustments: $-20,978.47 $-20,978.47 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $2,745,906.40 $2,736,592.32 $9,314.08

Estimate Adjustment Detail

Contract ID: 090310   Estimate Number: 0009     Primary JP: 26341(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Special Provision 108-STIM01(a-e)99 Approved 05/05/2009 0.0 $0.00
002 Asphalt Binder Price Adjustment Approved 02/03/2010 0.0 $500.00
003 Final Quantity Change Order Approved 03/18/2010 0.0 $-20,277.24
004 Mayberry bridge EB finger joint repair Approved 03/18/2010 0.0 $8,308.00
005 Add G.E.T. Guardrail End Section Approved 04/05/2010 0.0 $3,000.00


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
Cold-Milling Deduction 0004 $-21,366.33
Subtotals For Contract Adjustments $-21,366.33


LINE ITEM ADJUSTMENT HISTORY
Project Item Nbr Line Item Description Adjustment Type Estimate Nbr Adj Quantity Unit Price Adjusted Amount
26354(04) 0022 (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) Asphalt Binder Adjustment 0003 0.00 $0.00 $387.86
Subtotals For Line Item Adjustments $387.86


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

Line Item Detail

Contract ID: 090310   Estimate Number: 0009     Primary JP: 26341(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:    IM-STIM(154)3R Project:    26341(04) Category:    0100/ROADWAY IM-STIM(154)3R
0001 (SP)ULTRATHIN BONDED WEARING COURSE 411 4280 SY 139,000.000 140,874.220   140,874.220 $5.75 $0.00 $810,026.78
0002 (PL)FOG SEAL 417 4659 GAL 10,000.000 11,068.110   11,068.110 $5.00 $0.00 $55,340.55
0003 COLD MILLING PAVEMENT 417 5267 SY 2,600.000 1,880.720   1,880.720 $3.00 $0.00 $5,642.16
0004 GUARDRAIL DELINEATORS(TYPE 1, CODE 1) 853 9066 EA 520.000 520.000   520.000 $5.00 $0.00 $2,600.00
Subtotals For Category     0100/ROADWAY IM-STIM(154)3R    $0.00 $873,609.49
Fed/State Project Number:    IM-STIM(154)3R Project:    26341(04) Category:    0300/TRAFFIC IM-STIM(154)3R
0005 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 140,000.000 121,818.000   121,818.000 $0.45 $0.00 $54,818.10
0006 NONREMOVABLE PAVEMENT MARKING TAPE(4" WIDE) 856(E) 8869 LF 2,100.000 2,088.000   2,088.000 $6.25 $0.00 $13,050.00
0007 (PL)TRUCK MOUNTED ATTENUATOR 876(C) 8482 SD 90.000 0.000   0.000 $8.00 $0.00 $0.00
0008 ARROW DISPLAY(TYPE C) 880(A) 8812 SD 90.000 14.000   14.000 $10.00 $0.00 $140.00
0009 CONSTRUCTION SIGNS 0 TO 6.25 SF 880(B) 8818 SD 1,000.000 772.000   772.000 $1.00 $0.00 $772.00
0010 CONSTRUCTION SIGNS 6.26 SF TO 15.99 SF 880(B) 8821 SD 5,000.000 2,380.000   2,380.000 $0.25 $0.00 $595.00
0011 CONSTRUCTION SIGNS 16.0 SF TO 32.99 SF 880(B) 8824 SD 5,000.000 2,302.000   2,302.000 $1.00 $0.00 $2,302.00
0012 BARRICADES(TYPE III) 880(C) 8842 SD 1,200.000 84.000   84.000 $1.00 $0.00 $84.00
0013 WING BARRICADES 880(C) 8848 SD 400.000 28.000   28.000 $1.00 $0.00 $28.00
0014 WARNING LIGHTS(TYPE A) 880(E) 8860 SD 7,400.000 616.000   616.000 $0.02 $0.00 $12.32
0015 WARNING LIGHTS(TYPE C) 880(E) 8872 SD 8,000.000 420.000   420.000 $0.02 $0.00 $8.40
0016 DRUMS 880(F) 8878 SD 8,000.000 420.000   420.000 $0.02 $0.00 $8.40
0017 CONES(36" LARGE) 880(H) 8896 SD 30,000.000 3,584.000   3,584.000 $0.02 $0.00 $71.68
0018 TRAFFIC SURVEILLANCE, POLICE 880(L) 8911 HOUR 700.000 0.000   0.000 $20.00 $0.00 $0.00
0019 PORT.CHANGEABLE MESSAGE SIGN 882(B) 8306 SD 90.000 14.000   14.000 $10.00 $0.00 $140.00
0020 (PL)REMOVAL OF CLASS C PAVEMENT MARKERS 890(A) 8702 EA 600.000 430.000   430.000 $15.00 $0.00 $6,450.00
Subtotals For Category     0300/TRAFFIC IM-STIM(154)3R    $0.00 $78,479.90
Subtotals For Project IM-STIM(154)3R /26341(04) $0.00 $952,089.39


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:    IM-STIM(153)3R Project:    26354(04) Category:    0100/ROADWAY IM-STIM(153)3R
0021 (SP)ULTRATHIN BONDED WEARING COURSE 411 4280 SY 210,000.000 203,287.920   203,287.920 $5.75 $0.00 $1,168,905.55
0022 (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) 411(S4) 5950 TON 700.000 699.600   699.600 $100.00 $0.00 $69,960.00
0023 (PL)FOG SEAL 417 4659 GAL 19,000.000 17,363.940   17,363.940 $5.00 $0.00 $86,819.70
0024 COLD MILLING PAVEMENT 417 5267 SY 191,000.000 196,433.670   196,433.670 $0.60 $0.00 $117,860.21
0025 BEAM GUARD RAIL-W-BEAM-SINGLE 623(A) 0932 LF 500.000 200.000   200.000 $21.00 $0.00 $4,200.00
0026 GUARD RAIL ANCHOR UNIT (TYPE B) 623(F) 4447 EA 1.000 0.000   0.000 $650.00 $0.00 $0.00
0027 GUARD RAIL ANCHOR UNIT (TYPE D-BF) 623(F) 5686 EA 2.000 0.000   0.000 $2,200.00 $0.00 $0.00
0028 (SP)G.E.T. GUARD RAIL END SECTION 623(H) 8571 EA 1.000 1.000   1.000 $3,000.00 $0.00 $3,000.00
8002 (SP)G.E.T. GUARD RAIL END SECTION 623(H) 8571 EA 0.000 1.000 1.000 1.000 $3,000.00 $3,000.00 $3,000.00
Subtotals For Category     0100/ROADWAY IM-STIM(153)3R    $3,000.00 $1,453,745.46
Fed/State Project Number:    IM-STIM(153)3R Project:    26354(04) Category:    0200/BRIDGE 'A' IM-STIM(153)3R
0029 RAPID CURE JOINT SEALANT 504(H) 6390 LF 532.000 532.000   532.000 $23.00 $0.00 $12,236.00
0030 ELASTOMERIC MORTAR 504(I) 6389 CF 124.000 159.320   159.320 $525.00 $0.00 $83,643.00
0031 (PL)MEMBRANE 505 6139 SY 2,600.000 2,660.000   2,660.000 $11.00 $0.00 $29,260.00
0032 CLASS B BRIDGE DECK REPAIR 505(B) 6019 SY 100.000 279.640   279.640 $280.00 $0.00 $78,299.20
0033 CLASS C BRIDGE DECK REPAIR 505(C) 6020 SY 10.000 19.950   19.950 $550.00 $0.00 $10,972.50
0034 REINFORCING STEEL 511(A) 1332 LB 200.000 0.000   0.000 $1.00 $0.00 $0.00
0035 EPOXY COATED REINFORCING STEEL 511(B) 4269 LB 200.000 0.000   0.000 $2.00 $0.00 $0.00
Subtotals For Category     0200/BRIDGE 'A' IM-STIM(153)3R    $0.00 $214,410.70
Fed/State Project Number:    IM-STIM(153)3R Project:    26354(04) Category:    0300/TRAFFIC IM-STIM(153)3R
0036 GUARD RAIL BLOCKOUT REPLACEMENT 623(G) 0940 LF 4,950.000 4,625.000   4,625.000 $3.50 $0.00 $16,187.50
0037 BARRIER DELINEATORS(TYPE 1, CODE 1) 853 9060 EA 32.000 28.000   28.000 $3.00 $0.00 $84.00
0038 GUARDRAIL DELINEATORS(TYPE 1, CODE 1) 853 9066 EA 257.000 232.000   232.000 $5.00 $0.00 $1,160.00
0039 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 170,000.000 169,081.000   169,081.000 $0.55 $0.00 $92,994.55
0040 NONREMOVABLE PAVEMENT MARKING TAPE(4" WIDE) 856(E) 8869 LF 3,300.000 3,303.000   3,303.000 $6.25 $0.00 $20,643.75
0041 (PL)TRUCK MOUNTED ATTENUATOR 876(C) 8482 SD 90.000 78.000   78.000 $20.00 $0.00 $1,560.00
0042 ARROW DISPLAY(TYPE C) 880(A) 8812 SD 90.000 102.000   102.000 $10.00 $0.00 $1,020.00
0043 CONSTRUCTION SIGNS 0 TO 6.25 SF 880(B) 8818 SD 1,000.000 702.000   702.000 $1.00 $0.00 $702.00
0044 CONSTRUCTION SIGNS 6.26 SF TO 15.99 SF 880(B) 8821 SD 5,000.000 2,928.000   2,928.000 $0.25 $0.00 $732.00
0045 CONSTRUCTION SIGNS 16.0 SF TO 32.99 SF 880(B) 8824 SD 5,000.000 1,905.000   1,905.000 $1.00 $0.00 $1,905.00
0046 BARRICADES(TYPE III) 880(C) 8842 SD 1,200.000 834.000   834.000 $1.00 $0.00 $834.00
0047 WING BARRICADES 880(C) 8848 SD 400.000 156.000   156.000 $1.00 $0.00 $156.00
0048 WARNING LIGHTS(TYPE A) 880(E) 8860 SD 7,400.000 3,606.000   3,606.000 $0.02 $0.00 $72.12
0049 WARNING LIGHTS(TYPE C) 880(E) 8872 SD 8,000.000 3,342.000   3,342.000 $0.02 $0.00 $66.84
0050 DRUMS 880(F) 8878 SD 8,000.000 3,342.000   3,342.000 $0.02 $0.00 $66.84
0051 CONES(36" LARGE) 880(H) 8896 SD 30,000.000 34,782.000   34,782.000 $0.02 $0.00 $695.64
0052 TRAFFIC SURVEILLANCE, POLICE 880(L) 8911 HOUR 700.000 0.000   0.000 $20.00 $0.00 $0.00
0053 PORTABLE CHANGEABLE MESSAGE SIGN 882(A) 8303 EA 90.000 104.000   104.000 $10.00 $0.00 $1,040.00
0054 (PL)REMOVAL OF CLASS C PAVEMENT MARKERS 890(A) 8702 EA 40.000 27.000   27.000 $15.00 $0.00 $405.00
Subtotals For Category     0300/TRAFFIC IM-STIM(153)3R    $0.00 $140,325.24
Fed/State Project Number:    IM-STIM(153)3R Project:    26354(04) Category:    0850/Non ARRA Funding
8000 ASPHALT BINDER PRICE ADJUSTMENT 109 1150 LSUM 0.000 1.000   0.000 $500.00 $0.00 $0.00
8001 CONSTRUCTION MISCELLANEOUS 104 0300 LF 0.000 100.000 76.000 76.000 $83.08 $6,314.08 $6,314.08
Subtotals For Category     0850/Non ARRA Funding    $6,314.08 $6,314.08
Subtotals For Project IM-STIM(153)3R /26354(04) $9,314.08 $1,814,795.48


1 CURRENT QUANTITIES DO NOT MATCH THE QUANTITY PAID TO DATE