Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090374   Estimate Number: 0014 , Final     Spec Year: 1999
Primary JP: 21644(04)   Residency: CLAREMORE (08300)     Contract No: 411219
Date Created: 09/14/2011   Contractor FEI: 731557599A     Account No: 432800

Project Number(s): BRO-STIM(183)CO
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD: OVER CHOUTEAU CREEK, 0.3 MILE SOUTH AND 2.3 MILES EAST OF CHOUTEAU. PROJECT LENGTH = 0.115 MILES.
Primary County: MAYES              
Name of Road: COUNTY ROAD              
Prime Contractor: PLAINS BRIDGE CONTRACTING OF OK.,LLC & TREAS CONST. INC.(JV)           Time Charged: 273.00
    1105 FIRST PLACE BLVD.           Time Allowed: 277.00
    YUKON , OK   73099           Percent Time: 98.56 %

  Paid To Date: $1,006,397.16 Payable This Statement: $8,580.17

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.                                
PLAINS BRIDGE CONTRACTING OF OK.,LLC & TREAS CONST. INC.(JV)                               
 
_________________________________________________
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:    09/14/2011
Contract ID: 090374   Estimate Number: 0014     Contract No: 411219
Residency: CLAREMORE (08300)   Estimate Type: Final     Account No: 432800

Project Number(s): BRO-STIM(183)CO
Primary Job Piece No: 21644(04)
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD: OVER CHOUTEAU CREEK, 0.3 MILE SOUTH AND 2.3 MILES EAST OF CHOUTEAU. PROJECT LENGTH = 0.115 MILES.
Primary County: MAYES              
Name of Road: COUNTY ROAD              
Prime Contractor: PLAINS BRIDGE CONTRACTING OF OK.,LLC & TREAS CONST. INC.(JV)              
    1105 FIRST PLACE BLVD.              
    YUKON , OK   73099              
Surety Company: FIDELITY & DEPOSIT INSURANCE COMPANY OF MARYLAND              

Date Let: 04/23/2009 NTP Effective Date: 09/08/2009 Pay Period: 03/01/2011  TO  09/14/2011
Date Awarded: 04/27/2009 Date Work Began: 09/29/2009 Original Contract Time: 180
Date Contract Executed: 05/05/2009 Date Time Stopped: 06/07/2010 Current Time Charged: 273.00
Date NTP Issued: 05/07/2009 Completion Date: 06/07/2010 Current Time Allowed: 277.00
General Liability Expires: 04/15/2012 Workman's Comp Expires: 06/30/2012 Percent Time Used: 98.56 %
Specification Year: 1999        

Current Contract Amount: $1,006,397.14 Total to Date Prev to Date This Estimate
Bid Amount: $992,147.22 Participating: $969,084.64 $969,084.64 $0.00
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $-0.02 Non ARRA: $37,312.52 $28,732.35 $8,580.17
Unearned Balance: $-14,249.94 Total Earnings: $1,006,397.16 $997,816.99 $8,580.17
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $1,006,397.16 $997,816.99 $8,580.17
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $1,006,397.16 $997,816.99 $8,580.17

Estimate Adjustment Detail

Contract ID: 090374   Estimate Number: 0014     Primary JP: 21644(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Asphalt Binder Price Adjustment Approved 05/19/2010 0.0 $2,012.55
002 Supplemental agreement for new items. Approved 08/06/2010 0.0 $34,403.11
003 Supplemental agreement for corrections Approved 01/06/2011 0.0 $6.12
004 Final Contract Item Quantities Approved 03/22/2011 0.0 $-21,491.01
005 As-Built Quantity Adjustment Approved 08/09/2011 0.0 $-680.85


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
21644(04) 0015 PC BR ITM FABS (AML) Stockpiled Material Adjustment 0005 $-141,674.07
21644(04) 0015 PC BR ITM FABS (AML) Stockpiled Material Initial Payment 0003 $141,674.07
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
21644(04) 0009 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0011 0.00 $0.00 $1,230.43
21644(04) 0009 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) * Asphalt Binder Adjustment 0012 0.00 $0.00 $-1,230.43
21644(04) 0010 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0011 0.00 $0.00 $782.12
21644(04) 0010 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) * Asphalt Binder Adjustment 0012 0.00 $0.00 $-782.12
21644(04) 0016 (PL)SEALED EXPANSION JOINTS * Material Discrepancy Adjustments 0006 -35.42 $238.56 $-8,449.80
21644(04) 0016 (PL)SEALED EXPANSION JOINTS * Material Discrepancy Adjustments 0007 35.42 $238.56 $8,449.80
21644(04) 0029 TYPE I-A FILTER BLANKET * Material Discrepancy Adjustments 0006 -168.53 $27.44 $-4,624.46
21644(04) 0029 TYPE I-A FILTER BLANKET * Material Discrepancy Adjustments 0007 168.53 $27.44 $4,624.46
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: 090374   Estimate Number: 0014     Primary JP: 21644(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(183)CO Project:    21644(04) Category:    0100/ROADWAY
0001 EARTHWORK 202(G) 0185 LSUM 1.000 1.000   1.000 $35,840.00 $0.00 $35,840.00
0002 TYPE A-SALVAGED TOPSOIL 205 4229 LSUM 1.000 1.000   1.000 $2,240.00 $0.00 $2,240.00
0003 TEMPORARY SILT FENCE 223 2801 LF 600.000 400.000   400.000 $2.80 $0.00 $1,120.00
0004 SOLID SLAB SODDING 230(A) 2806 SY 1,130.000 0.000   0.000 $3.36 $0.00 $0.00
0005 SEEDING METHOD A 232(A) 2813 AC 0.230 0.000   0.000 $672.00 $0.00 $0.00
0006 VEGETATIVE MULCHING 233(A) 2817 AC 0.230 0.000   0.000 $392.00 $0.00 $0.00
0007 AGGREGATE BASE 303 0192 CY 300.000 300.000   300.000 $58.80 $0.00 $17,640.00
0008 SEPARATOR FABRIC 325 5271 SY 1,265.000 1,964.820   1,964.820 $2.80 $0.00 $5,501.50
0009 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) 411(S3) 5945 TON 281.000 296.890   296.890 $89.60 $0.00 $26,601.34
0010 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) 411(S4) 5960 TON 139.000 165.130   165.130 $109.76 $0.00 $18,124.67
0011 CLASS C CONCRETE 509(D) 0325 CY 50.000 0.000   0.000 $280.00 $0.00 $0.00
Subtotals For Category     0100/ROADWAY    $0.00 $107,067.51
Fed/State Project Number:    BRO-STIM(183)CO Project:    21644(04) Category:    0200/BRIDGE 'A'
0012 APPROACH SLABS 414(C) 0309 SY 115.000 114.960   114.960 $224.00 $0.00 $25,751.04
0013 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 90.000 85.740   85.740 $14.79 $0.00 $1,268.09
0014 UNCLASSIFIED BACKFILL 501(D) 6353 CY 102.000 0.000   0.000 $14.79 $0.00 $0.00
0015 PRESTRESSED CONCRETE BEAMS (TYPE IV) 503(A) 1313 LF 1,190.010 1,190.010   1,190.010 $174.72 $0.00 $207,918.55
0016 (PL)SEALED EXPANSION JOINTS 504(C) 6276 LF 35.420 35.420   35.420 $238.56 $0.00 $8,449.80
0017 CONCRETE RAIL (TR1) 504(E) 1380 LF 665.000 665.000   665.000 $59.59 $0.00 $39,627.35
0018 STRUCTURAL STEEL 506(A) 1322 LB 5,120.000 5,120.000   5,120.000 $2.80 $0.00 $14,336.00
0019 CLASS AA CONCRETE 509(A) 1326 CY 272.400 272.400   272.400 $504.00 $0.00 $137,289.60
0020 CLASS A CONCRETE 509(B) 1328 CY 119.020 119.020   119.020 $504.00 $0.00 $59,986.08
0021 REINFORCING STEEL 511(A) 1332 LB 91,256.000 91,256.000   91,256.000 $0.88 $0.00 $80,305.28
0022 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 170.000 170.000   170.000 $25.76 $0.00 $4,379.20
0023 PILES, FURNISHED (HP 12X53) 514(A) 6011 LF 532.000 532.000   532.000 $31.36 $0.00 $16,683.52
0024 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 170.000 152.270   152.270 $12.32 $0.00 $1,875.97
0025 PILES, DRIVEN (HP 12X53) 514(B) 6294 LF 532.000 495.000   495.000 $12.32 $0.00 $6,098.40
0026 WATER REPELLENT (VISUALLY INSPECTED) 515(A) 6013 SY 28.000 0.000   0.000 $11.20 $0.00 $0.00
0027 DRILLED SHAFTS 42" DIAMETER 516(A) 6093 LF 84.000 104.580   104.580 $682.08 $0.00 $71,331.93
0028 TYPE I-A PLAIN RIPRAP 601(A-1)1353 TON 2,500.000 1,935.420   1,935.420 $33.04 $0.00 $63,946.28
0029 TYPE I-A FILTER BLANKET 601(A-2)1355 TON 600.000 471.450   471.450 $27.44 $0.00 $12,936.58
0030 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $33,600.00 $0.00 $33,600.00
0031 GUARD RAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 4.000 4.000   4.000 $2,464.00 $0.00 $9,856.00
0032 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $2,632.00 $0.00 $2,632.00
Subtotals For Category     0200/BRIDGE 'A'    $0.00 $798,271.67
Fed/State Project Number:    BRO-STIM(183)CO Project:    21644(04) Category:    0600/STAKING
0033 STAKING 642 0098 LSUM 1.000 1.000   1.000 $7,840.00 $0.00 $7,840.00
Subtotals For Category     0600/STAKING    $0.00 $7,840.00
Fed/State Project Number:    BRO-STIM(183)CO Project:    21644(04) Category:    0640/CONSTRUCTION
0034 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $55,905.45 $0.00 $55,905.46
Subtotals For Category     0640/CONSTRUCTION    $0.00 $55,905.46
Fed/State Project Number:    BRO-STIM(183)CO Project:    21644(04) Category:    0850/Non ARRA Funding
8000 ASPHALT BINDER PRICE ADJUSTMENT 109 1150 LSUM 0.000 1.000   1.000 $1,230.43 $0.00 $1,230.43
8001 ASPHALT BINDER PRICE ADJUSTMENT 109 1150 LSUM 0.000 1.000   1.000 $782.12 $0.00 $782.12
8002 TRAFFIC STRIPE(PAINT)(4" WIDE) 854(A) 8800 LF 0.000 2,564.000   2,564.000 $1.00 $0.00 $2,564.00
8003 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 0.000 93.640   93.640 $53.28 $0.00 $4,989.14
8004 CLSM BACKFILL 501(G) 6309 CY 0.000 117.400 58.720 117.400 $146.12 $8,580.17 $17,154.49
8005 REINFORCING STEEL 511(A) 0332 LB 0.000 0.000   0.000 $3.01 $0.00 $0.00
8006 REINFORCING STEEL 511(A) 1332 LB 0.000 0.000   0.000 $4.33 $0.00 $0.00
8007 REINFORCING STEEL 511(A) 0332 LB 0.000 5,114.000   5,114.000 $0.99 $0.00 $5,062.86
8008 REINFORCING STEEL 511(A) 0332 LB 0.000 3,894.000   3,894.000 $1.42 $0.00 $5,529.48
Subtotals For Category     0850/Non ARRA Funding    $8,580.17 $37,312.52
Subtotals For Project BRO-STIM(183)CO /21644(04) $8,580.17 $1,006,397.16