Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090354   Estimate Number: 0022 , Final     Spec Year: 1999
Primary JP: 19580(04)   Residency: SALLISAW (01200)     Contract No: 411213
Date Created: 03/11/2011   Contractor FEI: 731557599A     Account No: 432100

Project Number(s): BRO-STIM(188)CO
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (PEAVINE ROAD): 4 MILES NORTH AND 0.2 MILES EAST OF NORTH JUNCTION US-59/SH-51. PROJECT LENGTH = 0.211 MILES.
Primary County: ADAIR              
Name of Road: COUNTY ROAD              
Prime Contractor: PLAINS BRIDGE CONTRACTING OF OK.,LLC & TREAS CONST. INC.(JV)           Time Charged: 361.00
    1105 FIRST PLACE BLVD.           Time Allowed: 386.00
    YUKON , OK   73099           Percent Time: 93.52 %

  Paid To Date: $603,911.60 Payable This Statement: $-400.00

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.                                
PLAINS BRIDGE CONTRACTING OF OK.,LLC & TREAS CONST. INC.(JV)                               
 
_________________________________________________
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:    03/11/2011
Contract ID: 090354   Estimate Number: 0022     Contract No: 411213
Residency: SALLISAW (01200)   Estimate Type: Final     Account No: 432100

Project Number(s): BRO-STIM(188)CO
Primary Job Piece No: 19580(04)
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (PEAVINE ROAD): 4 MILES NORTH AND 0.2 MILES EAST OF NORTH JUNCTION US-59/SH-51. PROJECT LENGTH = 0.211 MILES.
Primary County: ADAIR              
Name of Road: COUNTY ROAD              
Prime Contractor: PLAINS BRIDGE CONTRACTING OF OK.,LLC & TREAS CONST. INC.(JV)              
    1105 FIRST PLACE BLVD.              
    YUKON , OK   73099              
Surety Company: FIDELITY & DEPOSIT INSURANCE COMPANY OF MARYLAND              

Date Let: 04/23/2009 NTP Effective Date: 09/08/2009 Pay Period: 11/04/2010  TO  03/11/2011
Date Awarded: 04/27/2009 Date Work Began: 09/08/2009 Original Contract Time: 140
Date Contract Executed: 05/05/2009 Date Time Stopped: 09/02/2010 Current Time Charged: 361.00
Date NTP Issued: 05/07/2009 Completion Date: 09/02/2010 Current Time Allowed: 386.00
General Liability Expires: 07/01/2011 Workman's Comp Expires: 07/01/2011 Percent Time Used: 93.52 %
Specification Year: 1999        

Current Contract Amount: $603,911.63 Total to Date Prev to Date This Estimate
Bid Amount: $674,195.33 Participating: $600,383.53 $601,383.53 $-1,000.00
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $0.03 Non ARRA: $0.00 $0.00 $0.00
Unearned Balance: $70,283.73 Total Earnings: $600,383.53 $601,383.53 $-1,000.00
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $600,383.53 $601,383.53 $-1,000.00
Other Adjustments: $3,528.07 $2,928.07 $600.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $603,911.60 $604,311.60 $-400.00

Estimate Adjustment Detail

Contract ID: 090354   Estimate Number: 0022     Primary JP: 19580(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Final Quantity Change Order Approved 02/07/2011 0.0 $-69,283.70
002 Deduction for Out of Spec Prestressed Conc. Beams Approved 03/11/2011 0.0 $-1,000.00


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
19580(04) 0014 PIPE-CV/DR (AML) Stockpiled Material Initial Payment 0004 $2,072.70
19580(04) 0014 PIPE-CV/DR (AML) Stockpiled Material Adjustment 0010 $-2,072.70
19580(04) 0015 PIPE-CV/DR (AML) Stockpiled Material Initial Payment 0004 $3,802.50
19580(04) 0015 PIPE-CV/DR (AML) Stockpiled Material Closure 0016 $-152.10
19580(04) 0015 PIPE-CV/DR (AML) Stockpiled Material Adjustment 0010 $-3,650.40
19580(04) 0028 PC BR ITM FABS (AML) Stockpiled Material Adjustment 0010 $-46,644.42
19580(04) 0028 PC BR ITM FABS (AML) Stockpiled Material Initial Payment 0001 $46,644.42
19580(04) 0034 Stockpiled Material Initial Payment 0005 $7,254.77
19580(04) 0034 Stockpiled Material Adjustment 0007 $-7,254.77
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
19580(04) 0012 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0015 0.00 $0.00 $3,502.05
19580(04) 0012 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0019 0.00 $0.00 $26.02
19580(04) 0028 PRESTRESSED CONCRETE BEAMS (TYPE IV) * SUBSTANDARD ITEM 0010 0.00 $0.00 $-600.00
19580(04) 0028 PRESTRESSED CONCRETE BEAMS (TYPE IV) * Material Discrepancy Adjustments 0022 0.00 $0.00 $600.00
Subtotals For Line Item Adjustments $3,528.07
* = 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: 090354   Estimate Number: 0022     Primary JP: 19580(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(188)CO Project:    19580(04) Category:    0100/ROADWAY
0001 EARTHWORK 202(G) 0185 LSUM 1.000 1.000   1.000 $82,555.63 $0.00 $82,555.61
0002 OBLITERATING ABANDONED ROAD 210 0121 STA 15.450 15.450   15.450 $1,055.70 $0.00 $16,310.57
0003 TEMPORARY SILT FENCE 223 2801 LF 3,000.000 1,660.000   1,660.000 $1.82 $0.00 $3,021.20
0004 TEMPORARY SEDIMENT BASIN 225 2804 EA 2.000 0.000   0.000 $201.25 $0.00 $0.00
0005 TEMPORARY SEDIMENT REMOVAL 226 2805 CY 400.000 0.000   0.000 $9.20 $0.00 $0.00
0006 TEMPORARY SILT DIKE 227 0100 LF 300.000 0.000   0.000 $8.05 $0.00 $0.00
0007 SOLID SLAB SODDING 230(A) 2806 SY 8,367.000 10,893.820   10,893.820 $1.70 $0.00 $18,519.49
0008 VEGETATIVE MULCHING 233(A) 2817 AC 15.700 0.340   0.340 $345.00 $0.00 $117.30
0009 AGGREGATE BASE 303 0192 CY 711.000 711.000   711.000 $37.95 $0.00 $26,982.45
0010 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 120.000 213.020   213.020 $32.20 $0.00 $6,859.25
0011 PRIME COAT 408 5774 GAL 1,595.000 0.000   0.000 $5.35 $0.00 $0.00
0012 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) 411(S4) 5960 TON 644.000 745.680   745.680 $108.27 $0.00 $80,734.78
0013 CLASS C CONCRETE 509(D) 0325 CY 5.000 12.000   12.000 $470.57 $0.00 $5,646.84
0014 24" R.C.PIPE CLASS III 613(B) 0492 LF 70.000 70.000   70.000 $93.15 $0.00 $6,520.50
0015 26" X 15" R.C.PIPE ARCH CLASS A-III 613(B) 4404 LF 50.000 48.000   48.000 $106.95 $0.00 $5,133.60
0016 TYPE A4 CULVERT END TREATMENT 613(CC) 7186 EA 2.000 2.000   2.000 $1,035.00 $0.00 $2,070.00
0017 TYPE B4 CULVERT END TREATMENT 613(CC) 7187 EA 2.000 2.000   2.000 $1,132.75 $0.00 $2,265.50
0018 21" X 15" CORR. GALV. STEEL PIPE ARCH 613(D) 4527 LF 60.000 30.000   30.000 $47.15 $0.00 $1,414.50
0019 21" X 15" PREFAB. CULVERT END SECTION, ARCH 613(M) 4504 EA 4.000 2.000   2.000 $799.25 $0.00 $1,598.50
0020 TRENCH EXCAVATION 613(S) 1180 CY 57.000 62.280   62.280 $27.60 $0.00 $1,718.93
0021 STANDARD BEDDING MATERIAL 613(T) 1181 CY 33.000 43.250   43.250 $46.00 $0.00 $1,989.50
0022 SAWING PAVEMENT 619(C) 0924 LF 60.000 0.000   0.000 $2.88 $0.00 $0.00
0023 REMOVE AND RESET MAILBOX 629(E) 5048 EA 2.000 2.000   2.000 $172.50 $0.00 $345.00
0024 SHEET ALUMINUM SIGNS 850(A) 8110 SF 73.250 40.930   40.930 $36.23 $0.00 $1,482.89
0025 TRAFFIC STRIPE(PLASTIC)(THIN-LINE)(4" WIDE) 855(A) 8815 LF 5,000.000 5,184.000   5,184.000 $0.66 $0.00 $3,421.44
8000 ASPHALT BINDER PRICE ADJUSTMENT 109 1150 LSUM 0.000 1.000   0.000 $3,528.07 $0.00 $0.00
Subtotals For Category     0100/ROADWAY    $0.00 $268,707.85
Fed/State Project Number:    BRO-STIM(188)CO Project:    19580(04) Category:    0200/BRIDGE 'A'
0026 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 84.000 84.000   84.000 $17.25 $0.00 $1,449.00
0027 UNCLASSIFIED BACKFILL 501(D) 6353 CY 82.000 82.000   82.000 $23.00 $0.00 $1,886.00
0028 PRESTRESSED CONCRETE BEAMS (TYPE IV) 503(A) 1313 LF 396.670 396.670 0.000 396.670 $182.11 $0.00 $72,237.57
0029 CONCRETE RAIL (TR1) 504(E) 1380 LF 265.000 265.000   265.000 $70.35 $0.00 $18,642.75
0030 STRUCTURAL STEEL 506(A) 1322 LB 1,810.000 1,810.000   1,810.000 $2.89 $0.00 $5,230.90
0031 CLASS AA CONCRETE 509(A) 1326 CY 77.000 77.000   77.000 $570.55 $0.00 $43,932.35
0032 CLASS A CONCRETE 509(B) 1328 CY 54.000 54.000   54.000 $564.31 $0.00 $30,472.74
0033 REINFORCING STEEL 511(A) 1332 LB 24,604.000 24,604.000   24,604.000 $0.84 $0.00 $20,667.35
0034 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 425.500 425.500   425.500 $37.84 $0.00 $16,100.92
0035 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 425.500 382.300   382.300 $37.38 $0.00 $14,290.37
0036 TYPE I-A PLAIN RIPRAP 601(A-1)1353 TON 2,272.000 859.260   859.260 $37.94 $0.00 $32,600.32
0037 TYPE I-A FILTER BLANKET 601(A-2)1355 TON 476.000 120.740   120.740 $34.28 $0.00 $4,138.96
0038 6" PERFORATED PIPE UNDERDRAIN ROUND 613(P) 1091 LF 80.000 52.660   52.660 $28.75 $0.00 $1,513.98
0039 6" NON-PERF.PIPE UNDERDRAIN RND. 613(Q) 1096 LF 40.000 53.000   53.000 $28.75 $0.00 $1,523.75
0040 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $17,250.00 $0.00 $17,250.00
0041 GUARD RAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 4.000 4.000   4.000 $2,530.00 $0.00 $10,120.00
0042 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $4,025.00 $0.00 $4,025.00
8002 DEDUCTION FOR FAILING MATERIAL 105 2100 LSUM 0.000 1.000 1.000 1.000 $-1,000.00 $-1,000.00 $-1,000.00
Subtotals For Category     0200/BRIDGE 'A'    $-1,000.00 $295,081.96
Fed/State Project Number:    BRO-STIM(188)CO Project:    19580(04) Category:    0600/STAKING
0043 STAKING 642 0098 LSUM 1.000 1.000   1.000 $6,210.00 $0.00 $6,210.00
Subtotals For Category     0600/STAKING    $0.00 $6,210.00
Fed/State Project Number:    BRO-STIM(188)CO Project:    19580(04) Category:    0640/CONSTRUCTION
0044 (SP)SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $4,600.00 $0.00 $4,600.00
0045 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $25,783.71 $0.00 $25,783.72
Subtotals For Category     0640/CONSTRUCTION    $0.00 $30,383.72
Subtotals For Project BRO-STIM(188)CO /19580(04) $-1,000.00 $600,383.53


1 CURRENT QUANTITIES DO NOT MATCH THE QUANTITY PAID TO DATE