Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090366   Estimate Number: 0017 , Final     Spec Year: 1999
Primary JP: 21343(04)   Residency: CIRCUIT ENGR. DISTRICT # 7 (05005)     Contract No: 411218
Date Created: 06/28/2011   Contractor FEI: 731427175     Account No: 436500

Project Number(s): BRF-STIM(221)CO
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (EW-73): OVER THE SOUTH CANADIAN RIVER, 1.7 MILES NORTH AND 6.8 MILES WEST OF OAKWOOD. PROJECT LENGTH = 0.464 MILES.
Primary County: DEWEY              
Name of Road: COUNTY ROAD              
Prime Contractor: K & R BUILDERS, INC.           Time Charged: 321.00
    P.O. BOX 656           Time Allowed: 360.00
    WHEATLAND , OK   73097           Percent Time: 89.17 %

  Paid To Date: $1,749,949.78 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.                                
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:    06/28/2011
Contract ID: 090366   Estimate Number: 0017     Contract No: 411218
Residency: CIRCUIT ENGR. DISTRICT # 7 (05005)   Estimate Type: Final     Account No: 436500

Project Number(s): BRF-STIM(221)CO
Primary Job Piece No: 21343(04)
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (EW-73): OVER THE SOUTH CANADIAN RIVER, 1.7 MILES NORTH AND 6.8 MILES WEST OF OAKWOOD. PROJECT LENGTH = 0.464 MILES.
Primary County: DEWEY              
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: 04/23/2009 NTP Effective Date: 10/05/2009 Pay Period: 01/01/2011  TO  06/06/2011
Date Awarded: 04/27/2009 Date Work Began: 09/16/2009 Original Contract Time: 180
Date Contract Executed: 05/08/2009 Date Time Stopped: 08/02/2010 Current Time Charged: 321.00
Date NTP Issued: 05/11/2009 Completion Date: 08/02/2010 Current Time Allowed: 360.00
General Liability Expires: 05/01/2012 Workman's Comp Expires: 07/01/2012 Percent Time Used: 89.17 %
Specification Year: 1999        

Current Contract Amount: $1,753,679.23 Total to Date Prev to Date This Estimate
Bid Amount: $1,744,012.18 Participating: $1,688,592.24 $1,684,057.65 $4,534.59
Percent Complete: 99.79 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $3,729.45 Non ARRA: $65,087.00 $65,087.00 $0.00
Unearned Balance: $-5,937.60 Total Earnings: $1,753,679.24 $1,749,144.65 $4,534.59
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $1,753,679.24 $1,749,144.65 $4,534.59
Other Adjustments: $-3,729.46 $805.13 $-4,534.59
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $1,749,949.78 $1,749,949.78 $0.00

Estimate Adjustment Detail

Contract ID: 090366   Estimate Number: 0017     Primary JP: 21343(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Add Concrete Rail Pay Item Approved 01/11/2010 24.0 $65,087.00
002 Rebar & SEJ Correction Approved 11/08/2010 0.0 $-13,052.88
003 Final Quantity Change Order & Asphalt Binder Adjustment Approved 05/31/2011 0.0 $-42,367.07


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
21343(04) 0014 PC BR ITM FABS (AML) Stockpiled Material Initial Payment 0003 $46,523.28
21343(04) 0014 PC BR ITM FABS (AML) Stockpiled Material Adjustment 0004 $-46,523.28
21343(04) 0015 PC BR ITM FABS (AML) Stockpiled Material Initial Payment 0003 $199,947.12
21343(04) 0015 PC BR ITM FABS (AML) Stockpiled Material Adjustment 0003 $-199,947.12
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
21343(04) 0003 TEMPORARY SILT FENCE * Material Discrepancy Adjustments 0003 -618.70 $2.00 $-1,237.40
21343(04) 0003 TEMPORARY SILT FENCE * Material Discrepancy Adjustments 0004 618.70 $2.00 $1,237.40
21343(04) 0003 TEMPORARY SILT FENCE * Material Discrepancy Adjustments 0008 -1,915.00 $2.00 $-3,830.00
21343(04) 0003 TEMPORARY SILT FENCE * Material Discrepancy Adjustments 0013 1,915.00 $2.00 $3,830.00
21343(04) 0004 SOLID SLAB SODDING * Permanent Erosion Control-Out of Season 0013 -19,094.38 $1.91 $-36,470.27
21343(04) 0004 SOLID SLAB SODDING * Permanent Erosion Control-Out of Season 0014 13,366.07 $1.91 $25,529.19
21343(04) 0004 SOLID SLAB SODDING * Permanent Erosion Control-Out of Season 0015 5,728.31 $1.91 $10,941.07
21343(04) 0007 TACK COAT * Material Discrepancy Adjustments 0011 -312.50 $3.74 $-1,168.75
21343(04) 0007 TACK COAT * Material Discrepancy Adjustments 0013 312.50 $3.74 $1,168.75
21343(04) 0008 (SP)ASPHALT CONCRETE TYPE S3(PG 70-28 OK) Asphalt Binder Adjustment 0011 0.00 $0.00 $2,154.17
21343(04) 0008 (SP)ASPHALT CONCRETE TYPE S3(PG 70-28 OK) * ROADWAY DENSITY 0011 -23.67 $105.00 $-2,485.35
21343(04) 0009 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * ROADWAY DENSITY 0011 -11.31 $110.00 $-1,244.10
21343(04) 0009 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0011 0.00 $0.00 $2,380.42
21343(04) 0011 TRAFFIC STRIPE(PAINT)(4" WIDE) * Material Discrepancy Adjustments 0012 -4,920.00 $0.60 $-2,952.00
21343(04) 0011 TRAFFIC STRIPE(PAINT)(4" WIDE) * Material Discrepancy Adjustments 0013 4,920.00 $0.60 $2,952.00
21343(04) 0020 REINFORCING STEEL * Material Discrepancy Adjustments 0014 -4,231.00 $0.72 $-3,046.32
21343(04) 0020 REINFORCING STEEL * Overrun Re-adjustment 0016 4,231.00 $0.72 $3,046.32
21343(04) 0027 BEAM GUARD RAIL-W-BEAM-SINGLE * Material Discrepancy Adjustments 0011 -40.08 $30.00 $-1,202.40
21343(04) 0027 BEAM GUARD RAIL-W-BEAM-SINGLE * Material Discrepancy Adjustments 0013 40.08 $30.00 $1,202.40
21343(04) 0028 GUARD RAIL ANCHOR UNIT (TYPE D-BF) * Material Discrepancy Adjustments 0011 -1.00 $1,500.00 $-1,500.00
21343(04) 0028 GUARD RAIL ANCHOR UNIT (TYPE D-BF) * Material Discrepancy Adjustments 0013 1.00 $1,500.00 $1,500.00
21343(04) 0029 GUARD RAIL ANCHOR UNIT (TYPE II) * Material Discrepancy Adjustments 0011 -3.00 $2,550.00 $-7,650.00
21343(04) 0029 GUARD RAIL ANCHOR UNIT (TYPE II) * Material Discrepancy Adjustments 0013 3.00 $2,550.00 $7,650.00
21343(04) 8001 ASPHALT BINDER PRICE ADJUSTMENT * Asphalt Binder Adjustment 0017 1.00 $-4,534.59 $-4,534.59
Subtotals For Line Item Adjustments $-3,729.46
* = 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: 090366   Estimate Number: 0017     Primary JP: 21343(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(221)CO Project:    21343(04) Category:    0100/ROADWAY
0001 EARTHWORK 202(G) 0185 LSUM 1.000 1.000   1.000 $210,000.00 $0.00 $210,000.00
0002 TEMPORARY BALE BARRIER 222 2801 LF 200.000 0.000   0.000 $5.50 $0.00 $0.00
0003 TEMPORARY SILT FENCE 223 2801 LF 3,150.000 3,196.900   3,196.900 $2.00 $0.00 $6,393.80
0004 SOLID SLAB SODDING 230(A) 2806 SY 21,300.000 19,094.380   19,094.380 $1.91 $0.00 $36,470.27
0005 VEGETATIVE MULCHING 233(A) 2817 AC 4.400 0.000   0.000 $400.00 $0.00 $0.00
0006 AGGREGATE BASE 303 5912 TON 2,740.000 2,420.920   2,420.920 $28.00 $0.00 $67,785.76
0007 TACK COAT 407 0250 GAL 678.000 312.500   312.500 $3.74 $0.00 $1,168.75
0008 (SP)ASPHALT CONCRETE TYPE S3(PG 70-28 OK) 411(S3) 5940 TON 813.000 696.150   696.150 $105.00 $0.00 $73,095.75
0009 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 813.000 673.120   673.120 $110.00 $0.00 $74,043.20
0010 CLASS C CONCRETE 509(D) 0325 CY 10.000 0.000   0.000 $290.00 $0.00 $0.00
0011 TRAFFIC STRIPE(PAINT)(4" WIDE) 854(A) 8800 LF 3,883.000 4,920.000   4,920.000 $0.60 $0.00 $2,952.00
8001 ASPHALT BINDER PRICE ADJUSTMENT 109 1150 LSUM 0.000 1.000 1.000 1.000 $4,534.59 $4,534.59 $4,534.59
Subtotals For Category     0100/ROADWAY    $4,534.59 $476,444.12
Fed/State Project Number:    BRF-STIM(221)CO Project:    21343(04) Category:    0200/BRIDGE 'A'
0012 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 80.000 80.000   80.000 $12.00 $0.00 $960.00
0013 UNCLASSIFIED BACKFILL 501(D) 6353 CY 50.000 50.000   50.000 $20.00 $0.00 $1,000.00
0014 PRESTRESSED CONCRETE BEAMS (TYPE II) 503(A) 1311 LF 393.340 393.340   393.340 $162.00 $0.00 $63,721.08
0015 PRESTRESSED CONCRETE BEAMS (TYPE IV) 503(A) 1313 LF 1,606.680 1,606.680   1,606.680 $177.00 $0.00 $284,382.36
0016 SEALED EXPANSION JOINT 504(C) 6250 LF 177.670 117.670   117.670 $192.00 $0.00 $22,592.64
0017 STRUCTURAL STEEL 506(A) 1322 LB 9,120.000 9,120.000   9,120.000 $3.25 $0.00 $29,640.00
0018 CLASS AA CONCRETE 509(A) 1326 CY 378.400 378.400   378.400 $500.00 $0.00 $189,200.00
0019 CLASS A CONCRETE 509(B) 1328 CY 112.600 112.600   112.600 $525.00 $0.00 $59,115.00
0020 REINFORCING STEEL 511(A) 1332 LB 99,794.000 97,665.000   97,665.000 $0.72 $0.00 $70,318.80
0021 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 915.000 915.000   915.000 $30.00 $0.00 $27,450.00
0022 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 915.000 894.690   894.690 $10.00 $0.00 $8,946.90
0023 DRILLED SHAFTS 42" DIAMETER 516(A) 6093 LF 693.000 694.010   694.010 $472.00 $0.00 $327,572.72
0024 TYPE I-A PLAIN RIPRAP 601(A-1)1353 TON 535.000 536.320   536.320 $41.00 $0.00 $21,989.12
0025 TYPE I-A FILTER BLANKET 601(A-2)1355 TON 135.000 134.540   134.540 $33.50 $0.00 $4,507.10
0026 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $20,000.00 $0.00 $20,000.00
0027 BEAM GUARD RAIL-W-BEAM-SINGLE 623(A) 1418 LF 40.080 40.080   40.080 $30.00 $0.00 $1,202.40
0028 GUARD RAIL ANCHOR UNIT (TYPE D-BF) 623(F) 5686 EA 1.000 1.000   1.000 $1,500.00 $0.00 $1,500.00
0029 GUARD RAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 3.000 3.000   3.000 $2,550.00 $0.00 $7,650.00
0030 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $3,400.00 $0.00 $3,400.00
Subtotals For Category     0200/BRIDGE 'A'    $0.00 $1,145,148.12
Fed/State Project Number:    BRF-STIM(221)CO Project:    21343(04) Category:    0600/STAKING
0031 STAKING 642 0098 LSUM 1.000 1.000   1.000 $7,000.00 $0.00 $7,000.00
Subtotals For Category     0600/STAKING    $0.00 $7,000.00
Fed/State Project Number:    BRF-STIM(221)CO Project:    21343(04) Category:    0640/CONSTRUCTION
0032 (SP)SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $8,000.00 $0.00 $8,000.00
0033 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $52,000.00 $0.00 $52,000.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $60,000.00
Fed/State Project Number:    BRF-STIM(221)CO Project:    21343(04) Category:    0850/Non ARRA Funding
8000 CONCRETE RAIL (TR1) 504(E) 1380 LF 0.000 1,067.000   1,067.000 $61.00 $0.00 $65,087.00
Subtotals For Category     0850/Non ARRA Funding    $0.00 $65,087.00
Subtotals For Project BRF-STIM(221)CO /21343(04) $4,534.59 $1,753,679.24