Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090357   Estimate Number: 0021 , Final     Spec Year: 1999
Primary JP: 19673(04)   Residency: COBB ENGINEERING CO., INC. (02003)     Contract No: 411328
Date Created: 09/21/2010   Contractor FEI: 731174172     Account No: 432200

Project Number(s): BRF-STIM(195)CO, BRO-STIM(196)CO
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD: OVER ISLAND BAYOU & TRIB., 1.6 MI. N. OF SH-78. OVER RED BRANCH CREEK, 1.0 MI. N. AND 1.5 MI. E. OF SMITH-LEE. PROJECT LENGTH = 0.557 MILES.
Primary County: BRYAN              
Name of Road: COUNTY ROAD              
Prime Contractor: HUB CONSTRUCTION, INC.           Time Charged: 292.00
    ROUTE 1, BOX 350           Time Allowed: 292.00
    BOSWELL , OK   74727           Percent Time: 100.00 %

  Paid To Date: $963,379.40 Payable This Statement: $0.00

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.                                
HUB CONSTRUCTION, 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:    09/21/2010
Contract ID: 090357   Estimate Number: 0021     Contract No: 411328
Residency: COBB ENGINEERING CO., INC. (02003)   Estimate Type: Final     Account No: 432200

Project Number(s): BRF-STIM(195)CO, BRO-STIM(196)CO
Primary Job Piece No: 19673(04)
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD: OVER ISLAND BAYOU & TRIB., 1.6 MI. N. OF SH-78. OVER RED BRANCH CREEK, 1.0 MI. N. AND 1.5 MI. E. OF SMITH-LEE. PROJECT LENGTH = 0.557 MILES.
Primary County: BRYAN              
Name of Road: COUNTY ROAD              
Prime Contractor: HUB CONSTRUCTION, INC.              
    ROUTE 1, BOX 350              
    BOSWELL , OK   74727              
Surety Company: OHIO CASUALTY INSURANCE COMPANY              

Date Let: 05/14/2009 NTP Effective Date: 08/03/2009 Pay Period: 09/16/2010  TO  09/21/2010
Date Awarded: 05/19/2009 Date Work Began: 08/17/2009 Original Contract Time: 120
Date Contract Executed: 06/01/2009 Date Time Stopped: 05/21/2010 Current Time Charged: 292.00
Date NTP Issued: 06/02/2009 Completion Date: 05/21/2010 Current Time Allowed: 292.00
General Liability Expires: 07/01/2011 Workman's Comp Expires: 01/01/2011 Percent Time Used: 100.00 %
Specification Year: 1999        

Current Contract Amount: $963,379.40 Total to Date Prev to Date This Estimate
Bid Amount: $988,890.50 Participating: $956,369.07 $956,369.07 $0.00
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $0.00 Non ARRA: $7,010.34 $7,010.34 $0.00
Unearned Balance: $25,511.10 Total Earnings: $963,379.41 $963,379.41 $0.00
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $963,379.41 $963,379.41 $0.00
Other Adjustments: $-0.01 $-0.01 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $963,379.40 $963,379.40 $0.00

Estimate Adjustment Detail

Contract ID: 090357   Estimate Number: 0021     Primary JP: 19673(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Addition of Type A - Salvaged Topsoil pay item Approved 05/10/2010 0.0 $7,010.34
002 Revise method of measure for Structural Steel Approved 08/24/2010 0.0 $0.00
003 Contract Time Adjustment Approved 09/14/2010 58.0 $0.00
004 Final Quantity Change Order Approved 09/14/2010 0.0 $-32,521.44


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
System Application of Liquidated Damages 0012 -6.0 $500.00 $-3,000.00
System Application of Liquidated Damages 0013 -4.0 $500.00 $-2,000.00
System Application of Liquidated Damages 0014 -10.0 $500.00 $-5,000.00
System Application of Liquidated Damages 0015 -12.0 $500.00 $-6,000.00
System Application of Liquidated Damages 0016 -13.0 $500.00 $-6,500.00
System Application of Liquidated Damages 0017 -10.0 $500.00 $-5,000.00
System Application of Liquidated Damages 0018 -3.0 $500.00 $-1,500.00
System Application of Liquidated Damages 0019 -0.0 $500.00 $0.00
System Application of Liquidated Damages 0020 --3.0 $500.00 $1,500.00
System Application of Liquidated Damages 0020 -0.0 $500.00 $0.00
System Application of Liquidated Damages 0020 --12 $500.00 $6,000.00
System Application of Liquidated Damages 0020 --10 $500.00 $5,000.00
System Application of Liquidated Damages 0020 --13 $500.00 $6,500.00
System Application of Liquidated Damages 0020 --10 $500.00 $5,000.00
System Application of Liquidated Damages 0020 --4.0 $500.00 $2,000.00
System Application of Liquidated Damages 0020 --6.0 $500.00 $3,000.00


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
19673(04) 0006 SOLID SLAB SODDING * Rounding Error Correction 0020 0.00 $0.00 $-0.01
Subtotals For Line Item Adjustments $-0.01
* = 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: 090357   Estimate Number: 0021     Primary JP: 19673(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:    BRF-STIM(195)CO Project:    19673(04) Category:    0100/ROADWAY - BRF-STIM(195)CO
0001 CLEARING AND GRUBBING 201 0102 LSUM 1.000 1.000   1.000 $10,000.00 $0.00 $10,000.00
0002 UNCLASSIFIED EXCAVATION 202(A) 1301 CY 5,525.000 5,525.000   5,525.000 $7.00 $0.00 $38,675.00
0003 UNCLASSIFIED BORROW 202(C) 1302 CY 2,160.000 2,160.000   2,160.000 $8.00 $0.00 $17,280.00
0004 TEMPORARY SILT FENCE 223 2801 LF 205.000 200.000   200.000 $3.00 $0.00 $600.00
0005 TEMPORARY SILT DIKE 227 0100 LF 240.000 184.000   184.000 $6.00 $0.00 $1,104.00
0006 SOLID SLAB SODDING 230(A) 2806 SY 16,550.000 12,067.680   12,067.680 $2.50 $0.00 $30,169.21
0007 VEGETATIVE MULCHING 233(A) 2817 AC 3.450 0.000   0.000 $350.00 $0.00 $0.00
0008 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 1,016.000 1,012.760   1,012.760 $25.00 $0.00 $25,319.00
0009 24" CORR. GALV. STEEL PIPE 613(D) 0690 LF 44.000 0.000   0.000 $35.00 $0.00 $0.00
0010 24" PREFAB. CULVERT END SECTION, ROUND 613(M) 5730 EA 2.000 0.000   0.000 $300.00 $0.00 $0.00
Subtotals For Category     0100/ROADWAY - BRF-STIM(195)CO    $0.00 $123,147.21
Fed/State Project Number:    BRF-STIM(195)CO Project:    19673(04) Category:    0200/BRIDGE 'B' - BRF-STIM(195)CO
0011 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 96.000 96.000   96.000 $15.00 $0.00 $1,440.00
0012 UNCLASSIFIED BACKFILL 501(D) 6353 CY 114.000 114.000   114.000 $15.00 $0.00 $1,710.00
0013 PRESTRESSED CONCRETE BEAMS (TYPE IV) 503(A) 1313 LF 356.170 356.170   356.170 $175.00 $0.00 $62,329.75
0014 CONCRETE RAIL (TR1) 504(E) 1380 LF 253.170 253.170   253.170 $75.00 $0.00 $18,987.75
0015 STRUCTURAL STEEL 506(A) 1322 LB 2,020.000 2,020.000   2,020.000 $2.50 $0.00 $5,050.00
0016 CLASS AA CONCRETE 509(A) 1326 CY 70.000 70.000   70.000 $650.00 $0.00 $45,500.00
0017 CLASS A CONCRETE 509(B) 1328 CY 63.800 63.800   63.800 $650.00 $0.00 $41,470.00
0018 REINFORCING STEEL 511(A) 1332 LB 24,520.000 24,520.000   24,520.000 $0.90 $0.00 $22,068.00
0019 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 880.000 880.000   880.000 $40.00 $0.00 $35,200.00
0020 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 880.000 879.780   879.780 $15.00 $0.00 $13,196.70
0021 TYPE I-A PLAIN RIPRAP 601(A-1)1353 TON 1,120.000 1,062.250   1,062.250 $35.00 $0.00 $37,178.75
0022 TYPE I-A FILTER BLANKET 601(A-2)1355 TON 290.000 247.050   247.050 $30.00 $0.00 $7,411.50
0023 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $10,000.00 $0.00 $10,000.00
0024 GUARD RAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 4.000 4.000   4.000 $2,300.00 $0.00 $9,200.00
0025 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $3,500.00 $0.00 $3,500.00
Subtotals For Category     0200/BRIDGE 'B' - BRF-STIM(195)CO    $0.00 $314,242.45
Fed/State Project Number:    BRF-STIM(195)CO Project:    19673(04) Category:    0210/BRIDGE 'A' - BRF-STIM(195)CO
0026 UNCLASSIFIED EXCAVATION 202(A) 1301 CY 500.000 500.000   500.000 $7.00 $0.00 $3,500.00
0027 STRUCTURAL EXCAVATION UNCLASSIFIED 501(A) 1306 CY 60.000 60.000   60.000 $25.00 $0.00 $1,500.00
0028 CLASS A CONCRETE 509(B) 1328 CY 156.300 156.300   156.300 $400.00 $0.00 $62,520.00
0029 REINFORCING STEEL 511(A) 1332 LB 20,005.000 20,005.000   20,005.000 $0.85 $0.00 $17,004.25
0030 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $2,500.00 $0.00 $2,500.00
Subtotals For Category     0210/BRIDGE 'A' - BRF-STIM(195)CO    $0.00 $87,024.25
Fed/State Project Number:    BRF-STIM(195)CO Project:    19673(04) Category:    0600/STAKING - BRF-STIM(195)CO
0031 STAKING 642 0098 LSUM 1.000 1.000   1.000 $5,000.00 $0.00 $5,000.00
Subtotals For Category     0600/STAKING - BRF-STIM(195)CO    $0.00 $5,000.00
Fed/State Project Number:    BRF-STIM(195)CO Project:    19673(04) Category:    0640/CONSTRUCTION - BRF-STIM(195)CO
0032 (SP)SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $5,000.00 $0.00 $5,000.00
0033 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $35,000.00 $0.00 $35,000.00
Subtotals For Category     0640/CONSTRUCTION - BRF-STIM(195)CO    $0.00 $40,000.00
Fed/State Project Number:    BRF-STIM(195)CO Project:    19673(04) Category:    0850/NON ARRA FUNDING
8000 TYPE A-SALVAGED TOPSOIL 205 4229 LSUM 0.000 1.000   1.000 $7,010.34 $0.00 $7,010.34
Subtotals For Category     0850/NON ARRA FUNDING    $0.00 $7,010.34
Subtotals For Project BRF-STIM(195)CO /19673(04) $0.00 $576,424.25


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(196)CO Project:    21655(04) Category:    0100/ROADWAY - BRO-STIM(196)CO
0001 CLEARING AND GRUBBING 201 0102 LSUM 1.000 1.000   1.000 $10,000.00 $0.00 $10,000.00
0002 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 2,894.000 2,894.000   2,894.000 $6.00 $0.00 $17,364.00
0003 UNCLASSIFIED BORROW 202(C) 0184 CY 3,511.000 3,511.000   3,511.000 $7.00 $0.00 $24,577.00
0004 TYPE A-SALVAGED TOPSOIL 205 4229 LSUM 1.000 1.000   1.000 $2,500.00 $0.00 $2,500.00
0005 TEMPORARY SILT FENCE 223 2801 LF 1,060.000 428.000   428.000 $3.00 $0.00 $1,284.00
0006 TEMPORARY SILT DIKE 227 0100 LF 168.000 112.000   112.000 $6.00 $0.00 $672.00
0007 SOLID SLAB SODDING 230(A) 2806 SY 5,902.000 4,997.420   4,997.420 $3.00 $0.00 $14,992.26
0008 VEGETATIVE MULCHING 233(A) 2817 AC 2.600 0.000   0.000 $350.00 $0.00 $0.00
0009 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 900.000 898.200   898.200 $25.00 $0.00 $22,455.00
0010 CLASS C CONCRETE 509(D) 0325 CY 20.000 0.000   0.000 $300.00 $0.00 $0.00
0011 28" X 20" CORR. GALV. STEEL PIPE ARCH 613(D) 4528 LF 40.000 40.000   40.000 $30.00 $0.00 $1,200.00
0012 28" X 20" GALV. STEEL CULVERT END SECTION ARCH 613(G) 4571 EA 2.000 2.000   2.000 $250.00 $0.00 $500.00
0013 SHEET ALUMINUM SIGNS 850(A) 8110 SF 17.000 17.000   17.000 $20.00 $0.00 $340.00
0014 FLANGE CHANNEL POSTS(4 LB/FT) 851(D) 8597 LF 36.000 36.000   36.000 $10.00 $0.00 $360.00
0015 DELINEATORS(TYPE 2, CODE 1) 853 9033 EA 13.000 12.000   12.000 $25.00 $0.00 $300.00
Subtotals For Category     0100/ROADWAY - BRO-STIM(196)CO    $0.00 $96,544.26
Fed/State Project Number:    BRO-STIM(196)CO Project:    21655(04) Category:    0200/BRIDGE - 'A' - BRO-STIM(196)CO
0016 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 84.000 84.000   84.000 $15.00 $0.00 $1,260.00
0017 UNCLASSIFIED BACKFILL 501(D) 6353 CY 82.000 82.000   82.000 $15.00 $0.00 $1,230.00
0018 PRESTRESSED CONCRETE BEAMS (TYPE IV) 503(A) 1313 LF 356.670 356.670   356.670 $175.00 $0.00 $62,417.25
0019 CONCRETE RAIL (TR1) 504(E) 1380 LF 245.000 245.000   245.000 $75.00 $0.00 $18,375.00
0020 STRUCTURAL STEEL 506(A) 1322 LB 1,810.000 1,810.000   1,810.000 $2.50 $0.00 $4,525.00
0021 CLASS AA CONCRETE 509(A) 1326 CY 69.800 69.800   69.800 $650.00 $0.00 $45,370.00
0022 CLASS A CONCRETE 509(B) 1328 CY 53.800 53.800   53.800 $650.00 $0.00 $34,970.00
0023 REINFORCING STEEL 511(A) 1332 LB 23,160.000 23,160.000   23,160.000 $0.85 $0.00 $19,686.00
0024 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 720.000 720.000   720.000 $40.00 $0.00 $28,800.00
0025 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 720.000 702.280   702.280 $15.00 $0.00 $10,534.20
0026 TYPE I-A PLAIN RIPRAP 601(A-1)1353 TON 915.000 912.430   912.430 $35.00 $0.00 $31,935.05
0027 TYPE I-A FILTER BLANKET 601(A-2)1355 TON 235.000 170.280   170.280 $30.00 $0.00 $5,108.40
0028 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $10,000.00 $0.00 $10,000.00
0029 GUARD RAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 4.000 4.000   4.000 $2,300.00 $0.00 $9,200.00
0030 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $3,500.00 $0.00 $3,500.00
Subtotals For Category     0200/BRIDGE - 'A' - BRO-STIM(196)CO    $0.00 $286,910.90
Fed/State Project Number:    BRO-STIM(196)CO Project:    21655(04) Category:    0600/STAKING - BRO-STIM(196)CO
0031 STAKING 642 0098 LSUM 1.000 1.000   1.000 $3,500.00 $0.00 $3,500.00
Subtotals For Category     0600/STAKING - BRO-STIM(196)CO    $0.00 $3,500.00
Fed/State Project Number:    BRO-STIM(196)CO Project:    21655(04) Category:    0850/NON ARRA FUNDING
Subtotals For Category     0850/NON ARRA FUNDING    $0.00 $0.00
Subtotals For Project BRO-STIM(196)CO /21655(04) $0.00 $386,955.16