Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090367   Estimate Number: 0009 , Final     Spec Year: 1999
Primary JP: 22545(04)   Residency: CIRCUIT ENGR. DISTRICT # 8 (04009)     Contract No: 411230
Date Created: 11/19/2010   Contractor FEI: 730776271     Account No: 432400

Project Number(s): BRO-STIM(227)CO
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (EW-50): OVER SKELETON CREEK, 0.6 MILE NORTH AND 6.6 MILES EAST OF THE CITY OF WAUKOMIS. PROJECT LENGTH = 0.179 MILE.
Primary County: GARFIELD              
Name of Road: COUNTY ROAD EW-50              
Prime Contractor: SEWELL BROS., INC.           Time Charged: 319.00
    1220 E. MAIN           Time Allowed: 375.00
    CORDELL , OK   73632           Percent Time: 85.07 %

  Paid To Date: $565,843.62 Payable This Statement: $-117.42

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:    11/19/2010
Contract ID: 090367   Estimate Number: 0009     Contract No: 411230
Residency: CIRCUIT ENGR. DISTRICT # 8 (04009)   Estimate Type: Final     Account No: 432400

Project Number(s): BRO-STIM(227)CO
Primary Job Piece No: 22545(04)
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (EW-50): OVER SKELETON CREEK, 0.6 MILE NORTH AND 6.6 MILES EAST OF THE CITY OF WAUKOMIS. PROJECT LENGTH = 0.179 MILE.
Primary County: GARFIELD              
Name of Road: COUNTY ROAD EW-50              
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: 05/01/2010  TO  06/01/2010
Date Awarded: 04/27/2009 Date Work Began: 07/06/2009 Original Contract Time: 150
Date Contract Executed: 05/12/2009 Date Time Stopped: 05/20/2010 Current Time Charged: 319.00
Date NTP Issued: 05/14/2009 Completion Date: 05/20/2010 Current Time Allowed: 375.00
General Liability Expires: 07/01/2011 Workman's Comp Expires: 07/01/2011 Percent Time Used: 85.07 %
Specification Year: 1999        

Current Contract Amount: $565,843.62 Total to Date Prev to Date This Estimate
Bid Amount: $545,324.10 Participating: $556,603.31 $556,720.73 $-117.42
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $0.00 Non ARRA: $9,240.31 $9,240.31 $0.00
Unearned Balance: $-20,519.52 Total Earnings: $565,843.62 $565,961.04 $-117.42
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $565,843.62 $565,961.04 $-117.42
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $565,843.62 $565,961.04 $-117.42

Estimate Adjustment Detail

Contract ID: 090367   Estimate Number: 0009     Primary JP: 22545(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 CED8 SEALED EXP. JOINT Approved 11/09/2009 0.0 $9,240.31
002 CED08 Additional funding for beams on Stim227 Approved 04/20/2010 0.0 $11,787.78
003 CED8 227 Final Quantity Change Order Approved 10/06/2010 0.0 $-508.57


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
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
No line item adjustments have been created on this contract.
Subtotals For Line Item Adjustments $0.00


MILESTONE ADJUSTMENTS
Milestone Number Milestone Description Time Allowed Time Used Rate Total
No milestones exist for this contract.

Line Item Detail

Contract ID: 090367   Estimate Number: 0009     Primary JP: 22545(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(227)CO Project:    22545(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201 0102 LSUM 1.000 1.000   1.000 $5,000.00 $0.00 $5,000.00
0002 EARTHWORK 202(G) 0185 LSUM 1.000 1.000   1.000 $27,000.00 $0.00 $27,000.00
0003 TYPE A-SALVAGED TOPSOIL 205 4229 LSUM 1.000 1.000 0.000 1.000 $4,000.00 $0.00 $4,000.00
0004 TEMPORARY SILT FENCE 223 2801 LF 100.000 90.000   90.000 $5.50 $0.00 $495.00
0005 TEMPORARY SILT DIKE 227 0100 LF 200.000 72.000   72.000 $9.00 $0.00 $648.00
0006 SOLID SLAB SODDING 230(A) 2806 SY 6,439.000 5,512.170 0.090 5,512.170 $1.65 $0.15 $9,095.08
0007 VEGETATIVE MULCHING 233(A) 2817 AC 1.330 0.000   0.000 $500.00 $0.00 $0.00
0008 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 424.000 424.260   424.260 $32.00 $0.00 $13,576.32
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 86.000 70.220   70.220 $42.00 $0.00 $2,949.24
0011 TYPE B4 CULVERT END TREATMENT 613(CC) 7187 EA 2.000 2.000   2.000 $850.00 $0.00 $1,700.00
0012 24" CORR. GALV. STEEL PIPE 613(D) 0690 LF 48.000 48.000   48.000 $26.00 $0.00 $1,248.00
Subtotals For Category     0100/ROADWAY    $0.15 $65,711.64
Fed/State Project Number:    BRO-STIM(227)CO Project:    22545(04) Category:    0200/BRIDGE 'A'
0013 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 86.000 86.000   86.000 $10.00 $0.00 $860.00
0014 UNCLASSIFIED BACKFILL 501(D) 6353 CY 68.000 68.000   68.000 $10.00 $0.00 $680.00
0015 PRESTRESSED CONCRETE BEAMS (TYPE II) 503(A) 1311 LF 329.340 392.330 -0.010 392.330 $165.00 $-1.65 $64,734.45
0016 PRESTRESSED CONCRETE BEAMS (TYPE III) 503(A) 1312 LF 296.170 296.170   296.170 $145.00 $0.00 $42,944.65
0017 CONCRETE RAIL (TR1) 504(E) 1380 LF 415.160 415.160   415.160 $45.00 $0.00 $18,682.20
0018 STRUCTURAL STEEL 506(A) 1322 LB 4,610.000 4,610.000   4,610.000 $4.00 $0.00 $18,440.00
0019 CLASS AA CONCRETE 509(A) 1326 CY 133.500 133.500   133.500 $500.00 $0.00 $66,750.00
0020 CLASS A CONCRETE 509(B) 1328 CY 97.640 97.640   97.640 $500.00 $0.00 $48,820.00
0021 REINFORCING STEEL 511(A) 1332 LB 44,351.000 44,351.000   44,351.000 $0.80 $0.00 $35,480.80
0022 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 309.000 366.510 -0.160 366.510 $22.00 $-3.52 $8,063.22
0023 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 309.000 366.510 -0.160 366.510 $15.00 $-2.40 $5,497.65
0024 DRILLED SHAFTS 42" DIAMETER 516(A) 6093 LF 120.000 119.780 -0.220 119.780 $500.00 $-110.00 $59,890.00
0025 TYPE I-A PLAIN RIPRAP 601(A-1)1353 TON 1,020.000 1,138.010   1,138.010 $40.00 $0.00 $45,520.40
0026 TYPE I-A FILTER BLANKET 601(A-2)1355 TON 285.000 319.380   319.380 $35.00 $0.00 $11,178.30
0027 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $20,000.00 $0.00 $20,000.00
0028 GUARD RAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 4.000 4.000   4.000 $2,300.00 $0.00 $9,200.00
0029 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $2,750.00 $0.00 $2,750.00
Subtotals For Category     0200/BRIDGE 'A'    $-117.57 $459,491.67
Fed/State Project Number:    BRO-STIM(227)CO Project:    22545(04) Category:    0600/STAKING
0030 STAKING 642 0098 LSUM 1.000 1.000   1.000 $4,400.00 $0.00 $4,400.00
Subtotals For Category     0600/STAKING    $0.00 $4,400.00
Fed/State Project Number:    BRO-STIM(227)CO Project:    22545(04) Category:    0640/CONSTRUCTION
0031 (SP)SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $10,000.00 $0.00 $10,000.00
0032 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $17,000.00 $0.00 $17,000.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $27,000.00
Fed/State Project Number:    BRO-STIM(227)CO Project:    22545(04) Category:    0850/Non- ARRA Funding
8000 SEALED EXPANSION JOINT 504(C) 6250 LF 0.000 33.500   33.500 $275.83 $0.00 $9,240.31
Subtotals For Category     0850/Non- ARRA Funding    $0.00 $9,240.31
Subtotals For Project BRO-STIM(227)CO /22545(04) $-117.42 $565,843.62