Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090356   Estimate Number: 0013 , Final     Spec Year: 1999
Primary JP: 23060(04)   Residency: CIRCUIT ENGR. DISTRICT # 7 (05005)     Contract No: 411377
Date Created: 11/22/2010   Contractor FEI: 731427175     Account No: 436500

Project Number(s): BRO-STIM(219)CO
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD(EW-117): OVER BUFFALO CREEK, 7.5 MILES NORTH OF ERICK. PROJECT LENGTH = 0.208 MILES.
Primary County: BECKHAM              
Name of Road: COUNTY ROAD              
Prime Contractor: K & R BUILDERS, INC.           Time Charged: 232.00
    P.O. BOX 656           Time Allowed: 234.00
    WHEATLAND , OK   73097           Percent Time: 99.15 %

  Paid To Date: $716,286.69 Payable This Statement: $3,239.00

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.                                
K & R BUILDERS, 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:    11/22/2010
Contract ID: 090356   Estimate Number: 0013     Contract No: 411377
Residency: CIRCUIT ENGR. DISTRICT # 7 (05005)   Estimate Type: Final     Account No: 436500

Project Number(s): BRO-STIM(219)CO
Primary Job Piece No: 23060(04)
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD(EW-117): OVER BUFFALO CREEK, 7.5 MILES NORTH OF ERICK. PROJECT LENGTH = 0.208 MILES.
Primary County: BECKHAM              
Name of Road: COUNTY ROAD              
Prime Contractor: K & R BUILDERS, INC.              
    P.O. BOX 656              
    WHEATLAND , OK   73097              
Surety Company: OHIO CASUALTY INSURANCE COMPANY              

Date Let: 05/14/2009 NTP Effective Date: 08/03/2009 Pay Period: 02/01/2010  TO  11/03/2010
Date Awarded: 05/19/2009 Date Work Began: 08/03/2009 Original Contract Time: 120
Date Contract Executed: 05/29/2009 Date Time Stopped: 03/22/2010 Current Time Charged: 232.00
Date NTP Issued: 06/01/2009 Completion Date: 03/22/2010 Current Time Allowed: 234.00
General Liability Expires: 05/01/2011 Workman's Comp Expires: 07/01/2011 Percent Time Used: 99.15 %
Specification Year: 1999        

Current Contract Amount: $716,286.68 Total to Date Prev to Date This Estimate
Bid Amount: $714,339.01 Participating: $714,420.69 $713,295.69 $1,125.00
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $-0.01 Non ARRA: $1,866.00 $1,516.00 $350.00
Unearned Balance: $-1,947.68 Total Earnings: $716,286.69 $714,811.69 $1,475.00
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $716,286.69 $714,811.69 $1,475.00
Other Adjustments: $0.00 $-1,764.00 $1,764.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $716,286.69 $713,047.69 $3,239.00

Estimate Adjustment Detail

Contract ID: 090356   Estimate Number: 0013     Primary JP: 23060(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 28x20 CGSPA Approved 12/28/2009 1.0 $1,516.00
002 10" Steel Piling Splices Approved 04/16/2010 0.0 $350.00
003 Solid Slab Sod Overrun Approved 04/16/2010 0.0 $1,764.00
004 Final Quantity Change Order Approved 10/26/2010 0.0 $-1,682.33


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
23060(04) 0011 PC BR ITM FABS (AML) Stockpiled Material Initial Payment 0002 $86,530.48
23060(04) 0011 PC BR ITM FABS (AML) Stockpiled Material Adjustment 0006 $-43,263.15
23060(04) 0011 PC BR ITM FABS (AML) Stockpiled Material Adjustment 0005 $-43,267.33
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
23060(04) 0002 TEMPORARY SILT FENCE * Material Discrepancy Adjustments 0001 -146.90 $1.75 $-257.08
23060(04) 0002 TEMPORARY SILT FENCE * Material Discrepancy Adjustments 0002 -427.80 $1.75 $-748.65
23060(04) 0002 TEMPORARY SILT FENCE * Material Discrepancy Adjustments 0002 150.00 $1.75 $262.50
23060(04) 0002 TEMPORARY SILT FENCE * Material Discrepancy Adjustments 0003 424.70 $1.75 $743.23
23060(04) 0003 SOLID SLAB SODDING * Material Discrepancy Adjustments 0012 -900.00 $1.96 $-1,764.00
23060(04) 0003 SOLID SLAB SODDING * Material Discrepancy Adjustments 0013 900.00 $1.96 $1,764.00
23060(04) 0026 GUARD RAIL ANCHOR UNIT (TYPE II) * Material Discrepancy Adjustments 0010 -4.00 $2,500.00 $-10,000.00
23060(04) 0026 GUARD RAIL ANCHOR UNIT (TYPE II) * Material Discrepancy Adjustments 0011 4.00 $2,500.00 $10,000.00
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: 090356   Estimate Number: 0013     Primary JP: 23060(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(219)CO Project:    23060(04) Category:    0100/ROADWAY
0001 EARTHWORK 202(G) 0185 LSUM 1.000 1.000   1.000 $58,514.00 $0.00 $58,514.00
0002 TEMPORARY SILT FENCE 223 2801 LF 1,660.000 1,514.780   1,514.780 $1.75 $0.00 $2,650.87
0003 SOLID SLAB SODDING 230(A) 2806 SY 7,200.000 17,937.750 0.000 17,937.750 $1.96 $0.00 $35,157.99
0004 VEGETATIVE MULCHING 233(A) 2817 AC 3.570 0.000   0.000 $400.00 $0.00 $0.00
0005 AGGREGATE BASE 303 5912 TON 790.000 789.860   789.860 $30.00 $0.00 $23,695.80
0006 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 570.000 546.310   546.310 $30.00 $0.00 $16,389.30
0007 CLASS C CONCRETE 509(D) 0325 CY 10.000 0.000   0.000 $325.00 $0.00 $0.00
0008 48" CORR. GALV. STEEL PIPE 613(D) 0694 LF 200.000 200.000   200.000 $45.00 $0.00 $9,000.00
Subtotals For Category     0100/ROADWAY    $0.00 $145,407.96
Fed/State Project Number:    BRO-STIM(219)CO Project:    23060(04) Category:    0200/BRIDGE 'A'
0009 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 78.000 78.000   78.000 $10.00 $0.00 $780.00
0010 UNCLASSIFIED BACKFILL 501(D) 6353 CY 64.000 64.000   64.000 $15.00 $0.00 $960.00
0011 PRESTRESSED CONCRETE BEAMS (TYPE III) 503(A) 1312 LF 830.010 830.010   830.010 $160.00 $0.00 $132,801.60
0012 SEALED EXPANSION JOINT 504(C) 6250 LF 29.420 29.420   29.420 $220.00 $0.00 $6,472.40
0013 CONCRETE RAIL (TR1) 504(E) 1380 LF 477.000 477.000   477.000 $65.00 $0.00 $31,005.00
0014 STRUCTURAL STEEL 506(A) 1322 LB 4,420.000 4,420.000   4,420.000 $3.40 $0.00 $15,028.00
0015 CLASS AA CONCRETE 509(A) 1326 CY 158.800 158.800   158.800 $525.00 $0.00 $83,370.00
0016 CLASS A CONCRETE 509(B) 1328 CY 75.600 75.600   75.600 $575.00 $0.00 $43,470.00
0017 REINFORCING STEEL 511(A) 1332 LB 43,513.000 43,513.000   43,513.000 $0.77 $0.00 $33,505.01
0018 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 170.000 170.870   170.870 $30.00 $0.00 $5,126.10
0019 PILES, FURNISHED (HP 12X53) 514(A) 6011 LF 400.000 400.000   400.000 $35.00 $0.00 $14,000.00
0020 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 170.000 170.870   170.870 $10.00 $0.00 $1,708.70
0021 PILES, DRIVEN (HP 12X53) 514(B) 6294 LF 400.000 367.130   367.130 $10.00 $0.00 $3,671.30
0022 DRILLED SHAFTS 42" DIAMETER 516(A) 6093 LF 200.000 200.000   200.000 $465.00 $0.00 $93,000.00
0023 TYPE I-A PLAIN RIPRAP 601(A-1)1353 TON 1,396.000 1,053.980   1,053.980 $39.50 $0.00 $41,632.22
0024 TYPE I-A FILTER BLANKET 601(A-2)1355 TON 303.000 255.700   255.700 $32.00 $0.00 $8,182.40
0025 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $8,500.00 $0.00 $8,500.00
0026 GUARD RAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 4.000 4.000   4.000 $2,500.00 $0.00 $10,000.00
0027 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $5,300.00 $0.00 $5,300.00
Subtotals For Category     0200/BRIDGE 'A'    $0.00 $538,512.73
Fed/State Project Number:    BRO-STIM(219)CO Project:    23060(04) Category:    0600/STAKING
0028 STAKING 642 0098 LSUM 1.000 1.000   1.000 $4,500.00 $0.00 $4,500.00
Subtotals For Category     0600/STAKING    $0.00 $4,500.00
Fed/State Project Number:    BRO-STIM(219)CO Project:    23060(04) Category:    0640/CONSTRUCTION
0029 (SP)SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000 0.250 1.000 $4,500.00 $1,125.00 $4,500.00
0030 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $21,500.00 $0.00 $21,500.00
Subtotals For Category     0640/CONSTRUCTION    $1,125.00 $26,000.00
Fed/State Project Number:    BRO-STIM(219)CO Project:    23060(04) Category:    0850/Non ARRA Funding
8000 28" X 20" CORR. GALV. STEEL PIPE ARCH 613(D) 4528 LF 0.000 44.000   44.000 $24.00 $0.00 $1,056.00
8001 28" X 20" PREFAB. CULVERT END SEC., ARCH 613(M) 4516 EA 0.000 2.000   2.000 $230.00 $0.00 $460.00
8002 SPLICE(10" PILE) 514 6205 EA 0.000 2.000 2.000 2.000 $175.00 $350.00 $350.00
Subtotals For Category     0850/Non ARRA Funding    $350.00 $1,866.00
Subtotals For Project BRO-STIM(219)CO /23060(04) $1,475.00 $716,286.69