Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090313   Estimate Number: 0009 , Final     Spec Year: 1999
Primary JP: 26367(04)   Residency: ALTUS (05200)     Contract No: 411138
Date Created: 03/12/2010   Contractor FEI: 470351868     Account No: 400500

Project Number(s): NH-STIM(071)3R, NH-STIM(086)3R, NH-STIM(087)3R
Contract Description: RESURFACE (ASPHALT) US-62: BEG 2.37 MI E OF US-283 JCT, EXT E, (WESTBOUND ONLY). BEG AT TILLMAN/JACKSON C/L, EXTEND E, (WESTBOUND ONLY).PROJECT LENGTH = 17.620 MILES
Primary County: JACKSON              
Name of Road: US-62              
Prime Contractor: DOBSON BROTHERS CONSTRUCTION CO.           Time Charged: 122.00
    P.O. BOX 81409           Time Allowed: 146.00
    LINCOLN , NE   68501           Percent Time: 83.56 %

  Paid To Date: $3,407,246.38 Payable This Statement: $1,796.83

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.                                
DOBSON BROTHERS 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:    03/12/2010
Contract ID: 090313   Estimate Number: 0009     Contract No: 411138
Residency: ALTUS (05200)   Estimate Type: Final     Account No: 400500

Project Number(s): NH-STIM(071)3R, NH-STIM(086)3R, NH-STIM(087)3R
Primary Job Piece No: 26367(04)
Contract Description: RESURFACE (ASPHALT) US-62: BEG 2.37 MI E OF US-283 JCT, EXT E, (WESTBOUND ONLY). BEG AT TILLMAN/JACKSON C/L, EXTEND E, (WESTBOUND ONLY).PROJECT LENGTH = 17.620 MILES
Primary County: JACKSON              
Name of Road: US-62              
Prime Contractor: DOBSON BROTHERS CONSTRUCTION CO.              
    P.O. BOX 81409              
    LINCOLN , NE   68501              
Surety Company: LIBERTY MUTUAL INSURANCE COMPANY              

Date Let: 03/19/2009 NTP Effective Date: 06/01/2009 Pay Period: 10/16/2009  TO  03/05/2010
Date Awarded: 03/30/2009 Date Work Began: 06/01/2009 Original Contract Time: 100
Date Contract Executed: 04/13/2009 Date Time Stopped: 09/30/2009 Current Time Charged: 122.00
Date NTP Issued: 04/13/2009 Completion Date: 09/30/2009 Current Time Allowed: 146.00
General Liability Expires: 06/30/2010 Workman's Comp Expires: 06/30/2010 Percent Time Used: 83.56 %
Specification Year: 1999        

Current Contract Amount: $3,407,802.50 Total to Date Prev to Date This Estimate
Bid Amount: $3,428,015.85 Participating: $3,404,729.02 $3,403,346.56 $1,382.46
Percent Complete: 99.98 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $556.12 Non ARRA: $3,073.51 $2,520.28 $553.23
Unearned Balance: $20,769.47 Total Earnings: $3,407,802.53 $3,405,866.84 $1,935.69
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $3,407,802.53 $3,405,866.84 $1,935.69
Other Adjustments: $-556.15 $-417.29 $-138.86
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $3,407,246.38 $3,405,449.55 $1,796.83

Estimate Adjustment Detail

Contract ID: 090313   Estimate Number: 0009     Primary JP: 26367(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Updating Special Provision Approved 05/21/2009 0.0 $0.00
002 Adding New Pay Item Construction Traffic Control Approved 08/13/2009 0.0 $3,073.50
003 Addition of Asphalt at a Reduced Price Approved 08/13/2009 0.0 $0.00
004 Final Quantity Change Order Approved 03/12/2010 0.0 $-23,286.85


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
26367(04) 0001 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * Material Discrepancy Adjustments 0002 0.00 $0.00 $-2,379.60
26367(04) 0001 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * ROADWAY DENSITY 0003 0.00 $0.00 $-2,944.20
26367(04) 0001 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * Material Discrepancy Adjustments 0003 0.00 $0.00 $2,379.60
26367(04) 0001 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * ROADWAY DENSITY 0005 0.00 $0.00 $-2,251.50
26367(04) 0001 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * ROADWAY DENSITY 0008 0.00 $0.00 $564.60
26367(04) 0004 TRAFFIC STRIPE(PLASTIC)(THIN-LINE)(4" WIDE) * Material Discrepancy Adjustments 0004 -80,083.00 $0.30 $-24,024.90
26367(04) 0004 TRAFFIC STRIPE(PLASTIC)(THIN-LINE)(4" WIDE) * Material Discrepancy Adjustments 0006 80,083.00 $0.30 $24,024.90
26367(04) 0004 TRAFFIC STRIPE(PLASTIC)(THIN-LINE)(4" WIDE) * Material Discrepancy Adjustments 0007 -2,354.53 $0.30 $-706.36
26367(04) 0004 TRAFFIC STRIPE(PLASTIC)(THIN-LINE)(4" WIDE) * Material Discrepancy Adjustments 0009 2,354.53 $0.30 $706.36
26382(04) 0008 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0005 0.00 $0.00 $1,518.29
26382(05) 0014 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0005 0.00 $0.00 $2,822.70
26382(05) 0014 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0008 0.00 $0.00 $68.98
26382(05) 0014 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * Asphalt Binder Adjustment 0009 0.00 $0.00 $-335.02
26382(05) 0017 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0008 0.00 $0.00 $181.68
26382(05) 0017 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * Asphalt Binder Adjustment 0009 0.00 $0.00 $-181.68
26367(04) 8002 (SP)ASPH.CONC.,TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0005 0.00 $0.00 $328.52
26367(04) 8002 (SP)ASPH.CONC.,TYPE S4(PG 70-28 OK) * Asphalt Binder Adjustment 0009 0.00 $0.00 $-328.52
Subtotals For Line Item Adjustments $-556.15
* = 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: 090313   Estimate Number: 0009     Primary JP: 26367(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:    NH-STIM(071)3R Project:    26367(04) Category:    0100/ROADWAY NH-STIM(071)3R
0001 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 16,731.000 16,731.000   16,731.000 $59.49 $0.00 $995,327.19
0002 RUMBLE STRIP-METHOD AC-CON 413(A) 4861 LF 81,312.000 73,041.000   73,041.000 $0.09 $0.00 $6,573.69
0003 COLD MILLING BITUMINOUS PAVEMENT 417 4267 SY 6,706.000 2,374.223   2,374.223 $1.02 $0.00 $2,421.71
8002 (SP)ASPH.CONC.,TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 0.000 592.560 0.000 592.560 $56.47 $0.00 $33,461.86
Subtotals For Category     0100/ROADWAY NH-STIM(071)3R    $0.00 $1,037,784.45
Fed/State Project Number:    NH-STIM(071)3R Project:    26367(04) Category:    0300/TRAFFIC NH-STIM(071)3R
0004 TRAFFIC STRIPE(PLASTIC)(THIN-LINE)(4" WIDE) 855(A) 8815 LF 97,344.000 97,426.000 0.000 97,426.000 $0.30 $0.00 $29,227.80
0005 TRAFFIC STRIPE(PLASTIC)(ARROWS) 855(B) 8818 EA 36.000 36.000   36.000 $78.10 $0.00 $2,811.60
0006 TRAFFIC STRIPE(PLASTIC)(SYMBOLS) 855(B) 8824 EA 2.000 2.000   2.000 $937.26 $0.00 $1,874.52
0007 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000 0.170 1.000 $7,081.50 $1,203.86 $7,081.53
Subtotals For Category     0300/TRAFFIC NH-STIM(071)3R    $1,203.86 $40,995.45
Fed/State Project Number:    NH-STIM(071)3R Project:    26367(04) Category:    0850/Non ARRA Funding
8001 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 0.000 1.000 0.180 1.000 $3,073.50 $553.23 $3,073.51
Subtotals For Category     0850/Non ARRA Funding    $553.23 $3,073.51
Subtotals For Project NH-STIM(071)3R /26367(04) $1,757.09 $1,081,853.41


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(086)3R Project:    26382(04) Category:    0100/ROADWAY NH-STIM(086)
0008 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 13,052.000 12,383.450   12,383.450 $56.47 $0.00 $699,293.42
0009 RUMBLE STRIP-METHOD AC-CON 413(A) 4861 LF 41,395.000 37,376.000   37,376.000 $0.09 $0.00 $3,363.84
0010 COLD MILLING BITUMINOUS PAVEMENT 417 4267 SY 88,610.000 87,539.333 -844.437 87,539.333 $0.87 $-734.66 $76,159.22
Subtotals For Category     0100/ROADWAY NH-STIM(086)    $-734.66 $778,816.48
Fed/State Project Number:    NH-STIM(086)3R Project:    26382(04) Category:    0300/TRAFFIC NH-STIM(086)
0011 TRAFFIC STRIPE(PLASTIC)(THIN-LINE)(4" WIDE) 855(A) 8815 LF 49,800.000 48,157.000   48,157.000 $0.30 $0.00 $14,447.10
0012 TRAFFIC STRIPE(PLASTIC)(ARROWS) 855(B) 8818 EA 14.000 14.000   14.000 $78.11 $0.00 $1,093.54
0013 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000 0.180 1.000 $3,618.85 $651.39 $3,618.86
Subtotals For Category     0300/TRAFFIC NH-STIM(086)    $651.39 $19,159.50
Fed/State Project Number:    NH-STIM(086)3R Project:    26382(04) Category:    0850/Non ARRA Funding
Subtotals For Category     0850/Non ARRA Funding    $0.00 $0.00
Subtotals For Project NH-STIM(086)3R /26382(04) $-83.27 $797,975.98


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(087)3R Project:    26382(05) Category:    0100/ROADWAY NH-STIM(087)3R
0014 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 20,228.000 20,212.220 0.000 20,212.220 $56.23 $0.00 $1,136,533.13
0015 RUMBLE STRIP-METHOD AC-CON 413(A) 4861 LF 63,360.000 51,901.000   51,901.000 $0.09 $0.00 $4,671.09
0016 COLD MILLING BITUMINOUS PAVEMENT 417 4267 SY 148,849.000 138,955.999 0.009 138,955.999 $0.87 $0.01 $120,891.71
Subtotals For Category     0100/ROADWAY NH-STIM(087)3R    $0.01 $1,262,095.93
Fed/State Project Number:    NH-STIM(087)3R Project:    26382(05) Category:    0101/ADD ALT - ROADWAY NH-STIM(087)3R
0017 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 3,633.000 3,578.140 0.000 3,578.140 $56.50 $0.00 $202,164.92
0018 RUMBLE STRIP-METHOD AC-CON 413(A) 4861 LF 11,932.000 10,947.000   10,947.000 $0.09 $0.00 $985.23
0019 COLD MILLING BITUMINOUS PAVEMENT 417 4267 SY 26,676.000 26,539.555 -208.885 26,539.555 $0.87 $-181.73 $23,089.42
Subtotals For Category     0101/ADD ALT - ROADWAY NH-STIM(087)3R    $-181.73 $226,239.57
Fed/State Project Number:    NH-STIM(087)3R Project:    26382(05) Category:    0300/TRAFFIC NH-STIM(087)3R
0020 TRAFFIC STRIPE(PLASTIC)(THIN-LINE)(4" WIDE) 855(A) 8815 LF 79,030.000 86,062.800   86,062.800 $0.30 $0.00 $25,818.84
0021 TRAFFIC STRIPE(PLASTIC)(ARROWS) 855(B) 8818 EA 28.000 22.000 -6.000 22.000 $78.11 $-468.66 $1,718.42
0022 TRAFFIC STRIPE(PLASTIC)(SYMBOLS) 855(B) 8824 EA 2.000 2.000   2.000 $937.26 $0.00 $1,874.52
0023 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000 0.180 1.000 $5,519.41 $993.49 $5,519.40
Subtotals For Category     0300/TRAFFIC NH-STIM(087)3R    $524.83 $34,931.18
Fed/State Project Number:    NH-STIM(087)3R Project:    26382(05) Category:    0301/ADD ALT - TRAFFIC NH-STIM(087)3R
0024 TRAFFIC STRIPE(PLASTIC)(THIN-LINE)(4" WIDE) 855(A) 8815 LF 14,236.000 15,298.000   15,298.000 $0.26 $0.00 $3,977.48
0025 TRAFFIC STRIPE(PLASTIC)(ARROWS) 855(B) 8818 EA 6.000 4.000 -2.000 4.000 $78.11 $-156.22 $312.44
0026 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000 0.180 1.000 $416.56 $74.98 $416.54
Subtotals For Category     0301/ADD ALT - TRAFFIC NH-STIM(087)3R    $-81.24 $4,706.46
Fed/State Project Number:    NH-STIM(087)3R Project:    26382(05) Category:    0850/Non ARRA Funding
Subtotals For Category     0850/Non ARRA Funding    $0.00 $0.00
Subtotals For Project NH-STIM(087)3R /26382(05) $261.87 $1,527,973.14