Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090380   Estimate Number: 0011 , Final     Spec Year: 1999
Primary JP: 21416(04)   Residency: MCALESTER (02400)     Contract No: 411210
Date Created: 05/25/2010   Contractor FEI: 731174172     Account No: 432200

Project Number(s): BRF-STIM(199)CO
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD: OVER UNNAMED CREEK, 2.0 MILES NORTH AND 3.7 MILES WEST OF QUINTON. PROJECT LENGTH = 0.207 MILE
Primary County: PITTSBURG              
Name of Road: COUNTY ROAD              
Prime Contractor: HUB CONSTRUCTION, INC.           Time Charged: 246.00
    ROUTE 1, BOX 350           Time Allowed: 246.00
    BOSWELL , OK   74727           Percent Time: 100.00 %

  Paid To Date: $329,623.88 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:    05/25/2010
Contract ID: 090380   Estimate Number: 0011     Contract No: 411210
Residency: MCALESTER (02400)   Estimate Type: Final     Account No: 432200

Project Number(s): BRF-STIM(199)CO
Primary Job Piece No: 21416(04)
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD: OVER UNNAMED CREEK, 2.0 MILES NORTH AND 3.7 MILES WEST OF QUINTON. PROJECT LENGTH = 0.207 MILE
Primary County: PITTSBURG              
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: 04/23/2009 NTP Effective Date: 10/05/2009 Pay Period: 03/01/2010  TO  05/25/2010
Date Awarded: 04/27/2009 Date Work Began: 06/25/2009 Original Contract Time: 120
Date Contract Executed: 05/12/2009 Date Time Stopped: 02/25/2010 Current Time Charged: 246.00
Date NTP Issued: 05/15/2009 Completion Date: 02/25/2010 Current Time Allowed: 246.00
General Liability Expires: 07/01/2010 Workman's Comp Expires: 01/01/2011 Percent Time Used: 100.00 %
Specification Year: 1999        

Current Contract Amount: $329,623.88 Total to Date Prev to Date This Estimate
Bid Amount: $335,560.50 Participating: $329,623.88 $329,623.88 $0.00
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $0.00 Non ARRA: $0.00 $0.00 $0.00
Unearned Balance: $5,936.62 Total Earnings: $329,623.88 $329,623.88 $0.00
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $329,623.88 $329,623.88 $0.00
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $329,623.88 $329,623.88 $0.00

Estimate Adjustment Detail

Contract ID: 090380   Estimate Number: 0011     Primary JP: 21416(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Final Quantity Change Order Approved 05/25/2010 0.0 $-5,936.62


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
21416(04) 0022 Prestressed Concrete Beams Stockpiled Material Adjustment 0003 $-25,195.51
21416(04) 0022 Prestressed Concrete Beams Stockpiled Material Initial Payment 0002 $25,195.51
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: 090380   Estimate Number: 0011     Primary JP: 21416(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(199)CO Project:    21416(04) Category:    0100/ROADWAY
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 3,060.000 4,301.880   4,301.880 $8.00 $0.00 $34,415.04
0003 UNCLASSIFIED BORROW 202(C) 0184 CY 1,000.000 2,241.880   2,241.880 $10.00 $0.00 $22,418.80
0004 TYPE A-SALVAGED TOPSOIL 205 4229 LSUM 1.000 1.000   1.000 $3,500.00 $0.00 $3,500.00
0005 OBLITERATING ABANDONED ROAD 210 0121 STA 10.000 5.770   5.770 $600.00 $0.00 $3,462.00
0006 TEMPORARY SILT FENCE 223 2801 LF 1,200.000 0.000   0.000 $3.00 $0.00 $0.00
0007 TEMPORARY SILT DIKE 227 0100 LF 800.000 224.000   224.000 $6.00 $0.00 $1,344.00
0008 SOLID SLAB SODDING 230(A) 2806 SY 4,700.000 8,214.370   8,214.370 $3.00 $0.00 $24,643.11
0009 AGGREGATE BASE 303 0192 CY 874.000 874.000   874.000 $40.00 $0.00 $34,960.00
0010 SEPARATOR FABRIC 325 5271 SY 3,180.000 2,374.680   2,374.680 $2.00 $0.00 $4,749.36
0011 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 150.000 0.000   0.000 $15.00 $0.00 $0.00
0012 PRIME COAT 408 5774 GAL 1,275.000 0.000   0.000 $6.50 $0.00 $0.00
0013 STRUCTURAL EXCAVATION UNCLASSIFIED 501(A) 0313 CY 80.000 80.000   80.000 $20.00 $0.00 $1,600.00
0014 CLASS A CONCRETE 509(B) 0321 CY 28.620 28.620   28.620 $650.00 $0.00 $18,603.00
0015 CLASS C CONCRETE 509(D) 0325 CY 20.000 0.000   0.000 $300.00 $0.00 $0.00
0016 REINFORCING STEEL 511(A) 0332 LB 3,481.000 3,481.000   3,481.000 $1.00 $0.00 $3,481.00
0017 TYPE B4 CULVERT END TREATMENT 613(CC) 7187 EA 2.000 2.000   2.000 $1,000.00 $0.00 $2,000.00
0018 18" CORR. GALV. STEEL PIPE 613(D) 0689 LF 50.000 50.000   50.000 $25.00 $0.00 $1,250.00
0019 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 1.000 0.500   0.500 $2,500.00 $0.00 $1,250.00
Subtotals For Category     0100/ROADWAY    $0.00 $167,676.31
Fed/State Project Number:    BRF-STIM(199)CO Project:    21416(04) Category:    0200/BRIDGE 'A'
0020 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 60.000 60.000   60.000 $15.00 $0.00 $900.00
0021 UNCLASSIFIED BACKFILL 501(D) 6353 CY 40.000 40.000   40.000 $15.00 $0.00 $600.00
0022 PRESTRESSED CONCRETE DOUBLE TEE 503(B) 6144 LF 158.000 158.000   158.000 $215.00 $0.00 $33,970.00
0023 CONCRETE RAIL (TR1) 504(E) 1380 LF 125.000 125.000   125.000 $75.00 $0.00 $9,375.00
0024 CLASS AA CONCRETE 509(A) 1326 CY 29.540 29.540   29.540 $750.00 $0.00 $22,155.00
0025 CLASS A CONCRETE 509(B) 1328 CY 28.200 28.200   28.200 $800.00 $0.00 $22,560.00
0026 REINFORCING STEEL 511(A) 1332 LB 9,094.000 9,094.000   9,094.000 $1.00 $0.00 $9,094.00
0027 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 150.000 153.250   153.250 $50.00 $0.00 $7,662.50
0028 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 150.000 136.300   136.300 $15.00 $0.00 $2,044.50
0029 TYPE I-A PLAIN RIPRAP 601(A-1)1353 TON 495.000 222.990   222.990 $35.00 $0.00 $7,804.65
0030 TYPE I-A FILTER BLANKET 601(A-2)1355 TON 80.000 71.310   71.310 $32.00 $0.00 $2,281.92
0031 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $10,000.00 $0.00 $10,000.00
0032 GUARD RAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 4.000 4.000   4.000 $2,500.00 $0.00 $10,000.00
0033 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'    $0.00 $141,947.57
Fed/State Project Number:    BRF-STIM(199)CO Project:    21416(04) Category:    0600/STAKING
0034 STAKING 642 0098 LSUM 1.000 1.000   1.000 $5,000.00 $0.00 $5,000.00
Subtotals For Category     0600/STAKING    $0.00 $5,000.00
Fed/State Project Number:    BRF-STIM(199)CO Project:    21416(04) Category:    0640/CONSTRUCTION
0035 (SP)SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $5,000.00 $0.00 $5,000.00
0036 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $10,000.00 $0.00 $10,000.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $15,000.00
Subtotals For Project BRF-STIM(199)CO /21416(04) $0.00 $329,623.88