Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090359   Estimate Number: 0007 , Final     Spec Year: 1999
Primary JP: 21563(04)   Residency: JACOBS (AKA - CARTER-BURGESS) (04004)     Contract No: 411208
Date Created: 02/08/2011   Contractor FEI: 730776271     Account No: 432400

Project Number(s): BRO-STIM(212)CO, BRO-STIM (213)CO
Contract Description: GRADE, DRAIN, SURFACE, BRIDGE, AND APPROACHES COUNTY ROAD (NS-291& EW-94): OVER UNNAMED CRK. 0.7 MI. S. OF SH-3. OVER N. CANADIAN TRIBUTARY 4.4 MI. E. OF US-281. PROJECT LENGTH = 0.317 MILES.
Primary County: CANADIAN              
Name of Road: COUNTY ROAD(NS-291)              
Prime Contractor: SEWELL BROS., INC.           Time Charged: 203.00
    1220 E. MAIN           Time Allowed: 257.00
    CORDELL , OK   73632           Percent Time: 78.99 %

  Paid To Date: $677,758.67 Payable This Statement: $13,649.15

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.                                
SEWELL BROS., 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:    02/08/2011
Contract ID: 090359   Estimate Number: 0007     Contract No: 411208
Residency: JACOBS (AKA - CARTER-BURGESS) (04004)   Estimate Type: Final     Account No: 432400

Project Number(s): BRO-STIM(212)CO, BRO-STIM (213)CO
Primary Job Piece No: 21563(04)
Contract Description: GRADE, DRAIN, SURFACE, BRIDGE, AND APPROACHES COUNTY ROAD (NS-291& EW-94): OVER UNNAMED CRK. 0.7 MI. S. OF SH-3. OVER N. CANADIAN TRIBUTARY 4.4 MI. E. OF US-281. PROJECT LENGTH = 0.317 MILES.
Primary County: CANADIAN              
Name of Road: COUNTY ROAD(NS-291)              
Prime Contractor: SEWELL BROS., INC.              
    1220 E. MAIN              
    CORDELL , OK   73632              
Surety Company: WESTFIELD INSURANCE COMPANY              

Date Let: 04/23/2009 NTP Effective Date: 08/03/2009 Pay Period: 11/01/2009  TO  12/15/2010
Date Awarded: 04/27/2009 Date Work Began: 06/12/2009 Original Contract Time: 150
Date Contract Executed: 05/12/2009 Date Time Stopped: 12/31/2009 Current Time Charged: 203.00
Date NTP Issued: 05/15/2009 Completion Date: 12/31/2009 Current Time Allowed: 257.00
General Liability Expires: 07/01/2011 Workman's Comp Expires: 07/01/2011 Percent Time Used: 78.99 %
Specification Year: 1999        

Current Contract Amount: $681,758.67 Total to Date Prev to Date This Estimate
Bid Amount: $721,420.28 Participating: $671,758.67 $668,109.52 $3,649.15
Percent Complete: 99.41 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $4,000.00 Non ARRA: $10,000.00 $0.00 $10,000.00
Unearned Balance: $43,661.61 Total Earnings: $681,758.67 $668,109.52 $13,649.15
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $681,758.67 $668,109.52 $13,649.15
Other Adjustments: $-4,000.00 $-4,000.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $677,758.67 $664,109.52 $13,649.15

Estimate Adjustment Detail

Contract ID: 090359   Estimate Number: 0007     Primary JP: 21563(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
002 Reduction in price on SWPPP Documentation and Management Approved 11/23/2010 0.0 $-10,000.00
003 Final Quantity Change Order Approved 12/29/2010 0.0 $-29,661.61


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
21563(04) 0015 PRESTRESSED CONCRETE BEAMS (TYPE IV) Stockpiled Material Adjustment 0003 $-51,554.57
21563(04) 0015 PRESTRESSED CONCRETE BEAMS (TYPE IV) Stockpiled Material Initial Payment 0001 $51,554.57
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
SWPPP Non-Compliance Assessment 0007 $-4,000.00
Subtotals For Contract Adjustments $-4,000.00


LINE ITEM ADJUSTMENT HISTORY
Project Item Nbr Line Item Description Adjustment Type Estimate Nbr Adj Quantity Unit Price Adjusted Amount
21563(04) 0030 (SP)SWPPP DOCUMENTATION AND MANAGEMENT * SUBSTANDARD ITEM 0003 8.00 $-500.00 $-4,000.00
21563(04) 0030 (SP)SWPPP DOCUMENTATION AND MANAGEMENT * SUBSTANDARD ITEM 0007 0.00 $0.00 $4,000.00
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: 090359   Estimate Number: 0007     Primary JP: 21563(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(212)CO Project:    21563(04) Category:    0100/ROADWAY - BRO-STIM (212)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 16,489.000 16,489.000   16,489.000 $4.00 $0.00 $65,956.00
0003 TEMPORARY BALE BARRIER 222 2801 LF 675.000 0.000   0.000 $3.00 $0.00 $0.00
0004 TEMPORARY SILT FENCE 223 2801 LF 3,055.000 1,183.000   1,183.000 $1.30 $0.00 $1,537.90
0005 TEMPORARY SILT DIKE 227 0100 LF 450.000 70.000   70.000 $6.00 $0.00 $420.00
0006 SOLID SLAB SODDING 230(A) 2806 SY 17,275.000 13,823.060   13,823.060 $1.90 $0.00 $26,263.81
0007 VEGETATIVE MULCHING 233(A) 2817 AC 7.200 1.040 0.005 1.040 $465.00 $2.33 $483.61
0008 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 847.000 830.310   830.310 $27.00 $0.00 $22,418.37
0009 CLASS C CONCRETE 509(D) 0325 CY 10.000 0.000   0.000 $300.00 $0.00 $0.00
0010 TYPE I PLAIN RIPRAP 601(A) 0297 TON 1,100.000 1,069.480 47.580 1,069.480 $36.00 $1,712.88 $38,501.28
0011 24" CORR. GALV. STEEL PIPE 613(D) 0690 LF 66.000 66.000   66.000 $24.00 $0.00 $1,584.00
0012 24" PREFAB. CULVERT END SECTION, ROUND 613(M) 5730 EA 4.000 4.000   4.000 $185.00 $0.00 $740.00
Subtotals For Category     0100/ROADWAY - BRO-STIM (212)CO    $1,715.21 $167,904.97
Fed/State Project Number:    BRO-STIM(212)CO Project:    21563(04) Category:    0200/BRIDGE 'A' - BRO-STIM(212) CO
0013 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 84.000 84.000   84.000 $10.00 $0.00 $840.00
0014 UNCLASSIFIED BACKFILL 501(D) 6353 CY 82.000 82.000   82.000 $10.00 $0.00 $820.00
0015 PRESTRESSED CONCRETE BEAMS (TYPE IV) 503(A) 1313 LF 416.670 416.670   416.670 $154.00 $0.00 $64,167.18
0016 CONCRETE RAIL (TR1) 504(E) 1380 LF 275.000 275.000   275.000 $45.00 $0.00 $12,375.00
0017 STRUCTURAL STEEL 506(A) 1322 LB 1,810.000 1,810.000   1,810.000 $4.00 $0.00 $7,240.00
0018 CLASS AA CONCRETE 509(A) 1326 CY 80.600 80.600 0.600 80.600 $500.00 $300.00 $40,300.00
0019 CLASS A CONCRETE 509(B) 1328 CY 53.800 53.800   53.800 $500.00 $0.00 $26,900.00
0020 REINFORCING STEEL 511(A) 1332 LB 25,430.000 25,430.000   25,430.000 $0.70 $0.00 $17,801.00
0021 (PL)PILOT HOLES 514 6260 LF 194.000 189.000 19.000 189.000 $100.00 $1,900.00 $18,900.00
0022 PILES, FURNISHED (HP 12X53) 514(A) 6011 LF 478.000 473.610 -4.390 473.610 $24.00 $-105.36 $11,366.64
0023 PILES, DRIVEN (HP 12X53) 514(B) 6294 LF 478.000 423.650   423.650 $15.00 $0.00 $6,354.75
0024 TYPE I-A PLAIN RIPRAP 601(A-1)1353 TON 1,330.000 1,205.750   1,205.750 $36.00 $0.00 $43,407.00
0025 TYPE I-A FILTER BLANKET 601(A-2)1355 TON 405.000 290.330   290.330 $29.00 $0.00 $8,419.57
0026 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $7,500.00 $0.00 $7,500.00
0027 GUARD RAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 4.000 4.000   4.000 $2,200.00 $0.00 $8,800.00
0028 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $2,065.00 $0.00 $2,065.00
Subtotals For Category     0200/BRIDGE 'A' - BRO-STIM(212) CO    $2,094.64 $277,256.14
Fed/State Project Number:    BRO-STIM(212)CO Project:    21563(04) Category:    0600/STAKING - BRO-STIM(212)CO
0029 STAKING 642 0098 LSUM 1.000 1.000 0.050 1.000 $7,400.00 $370.00 $7,400.00
Subtotals For Category     0600/STAKING - BRO-STIM(212)CO    $370.00 $7,400.00
Fed/State Project Number:    BRO-STIM(212)CO Project:    21563(04) Category:    0640/CONSTRUCTION - BRO-STIM (212)CO
0030 (SP)SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 0.000 -0.100 0.000 $20,000.00 $-2,000.00 $0.00
0031 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $30,000.00 $0.00 $30,000.00
Subtotals For Category     0640/CONSTRUCTION - BRO-STIM (212)CO    $-2,000.00 $30,000.00
Fed/State Project Number:    BRO-STIM(212)CO Project:    21563(04) Category:    0850/NON ARRA FUNDING
8001 (SP)SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 0.000 1.000 1.000 1.000 $10,000.00 $10,000.00 $10,000.00
Subtotals For Category     0850/NON ARRA FUNDING    $10,000.00 $10,000.00
Subtotals For Project BRO-STIM(212)CO /21563(04) $12,179.85 $492,561.11


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 (213)CO Project:    21567(04) Category:    0100/ROADWAY - BRO-STIM (213)CO
0032 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 2,542.000 2,542.000   2,542.000 $6.00 $0.00 $15,252.00
0033 TYPE A-SALVAGED TOPSOIL 205 4229 LSUM 1.000 1.000   1.000 $2,500.00 $0.00 $2,500.00
0034 TEMPORARY BALE BARRIER 222 2801 LF 200.000 67.000   67.000 $3.00 $0.00 $201.00
0035 TEMPORARY SILT FENCE 223 2801 LF 1,700.000 591.000   591.000 $1.30 $0.00 $768.30
0036 SOLID SLAB SODDING 230(A) 2806 SY 3,217.000 5,315.670   5,315.670 $1.90 $0.00 $10,099.77
0037 VEGETATIVE MULCHING 233(A) 2817 AC 0.700 0.000   0.000 $465.00 $0.00 $0.00
0038 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 468.000 551.440   551.440 $27.00 $0.00 $14,888.88
0039 CLASS C CONCRETE 509(D) 0325 CY 10.000 0.000   0.000 $300.00 $0.00 $0.00
0040 24" CORR. GALV. STEEL PIPE 613(D) 0690 LF 52.000 52.000   52.000 $24.00 $0.00 $1,248.00
0041 24" PREFAB. CULVERT END SECTION, ROUND 613(M) 5730 EA 2.000 2.000   2.000 $185.00 $0.00 $370.00
0042 REMOVE AND RESET MAILBOX 629(E) 5048 EA 1.000 1.000   1.000 $100.00 $0.00 $100.00
Subtotals For Category     0100/ROADWAY - BRO-STIM (213)CO    $0.00 $45,427.95
Fed/State Project Number:    BRO-STIM (213)CO Project:    21567(04) Category:    0200/BRIDGE - 'A' - BRO-STIM (213)CO
0043 UNCLASSIFIED EXCAVATION 202(A) 1301 CY 914.000 914.000   914.000 $6.00 $0.00 $5,484.00
0044 STRUCTURAL EXCAVATION UNCLASSIFIED 501(A) 1306 CY 52.000 52.000   52.000 $10.00 $0.00 $520.00
0045 CLASS A CONCRETE 509(B) 1328 CY 226.400 226.400   226.400 $400.00 $0.00 $90,560.00
0046 REINFORCING STEEL 511(A) 1332 LB 43,099.000 43,099.000 2,099.000 43,099.000 $0.70 $1,469.30 $30,169.30
0047 TYPE I-A PLAIN RIPRAP 601(A-1)0536 TON 280.000 271.000   271.000 $36.00 $0.00 $9,756.00
0048 TYPE I-A FILTER BLANKET 601(A-2)0538 TON 93.000 76.390   76.390 $29.00 $0.00 $2,215.31
0049 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $3,000.00 $0.00 $3,000.00
0050 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $2,065.00 $0.00 $2,065.00
Subtotals For Category     0200/BRIDGE - 'A' - BRO-STIM (213)CO    $1,469.30 $143,769.61
Subtotals For Project BRO-STIM (213)CO /21567(04) $1,469.30 $189,197.56