Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090382   Estimate Number: 0010 , Final     Spec Year: 1999
Primary JP: 20032(04)   Residency: SALLISAW (01200)     Contract No: 510224
Date Created: 08/25/2010   Contractor FEI: 202558015     Account No: 432100

Project Number(s): BRO-STIM(193)CO
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (NS-467): OVER PRAIRIE CREEK, 1.5 MILES SOUTH OF ASKINS. PROJECT LENGTH = 0.188 MILES.
Primary County: SEQUOYAH              
Name of Road: COUNTY ROAD(NS-467)              
Prime Contractor: C-GAWF CONSTRUCTION, INC.           Time Charged: 325.00
    41 SELMON ROAD           Time Allowed: 345.00
    EUFAULA , OK   74432           Percent Time: 94.20 %

  Paid To Date: $323,403.91 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.                                
C-GAWF 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:    08/25/2010
Contract ID: 090382   Estimate Number: 0010     Contract No: 510224
Residency: SALLISAW (01200)   Estimate Type: Final     Account No: 432100

Project Number(s): BRO-STIM(193)CO
Primary Job Piece No: 20032(04)
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (NS-467): OVER PRAIRIE CREEK, 1.5 MILES SOUTH OF ASKINS. PROJECT LENGTH = 0.188 MILES.
Primary County: SEQUOYAH              
Name of Road: COUNTY ROAD(NS-467)              
Prime Contractor: C-GAWF CONSTRUCTION, INC.              
    41 SELMON ROAD              
    EUFAULA , OK   74432              
Surety Company: EMPLOYERS MUTUAL CASUALTY COMPANY              

Date Let: 07/23/2009 NTP Effective Date: 12/07/2009 Pay Period: 08/02/2010  TO  08/15/2010
Date Awarded: 08/03/2009 Date Work Began: 09/08/2009 Original Contract Time: 120
Date Contract Executed: 08/18/2009 Date Time Stopped: 07/29/2010 Current Time Charged: 325.00
Date NTP Issued: 08/19/2009 Completion Date: 07/29/2010 Current Time Allowed: 345.00
General Liability Expires: 01/03/2011 Workman's Comp Expires: 01/03/2011 Percent Time Used: 94.20 %
Specification Year: 1999        

Current Contract Amount: $323,403.89 Total to Date Prev to Date This Estimate
Bid Amount: $331,945.00 Participating: $321,962.66 $321,962.66 $0.00
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $-0.02 Non ARRA: $0.00 $0.00 $0.00
Unearned Balance: $8,541.09 Total Earnings: $321,962.66 $321,962.66 $0.00
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $321,962.66 $321,962.66 $0.00
Other Adjustments: $1,441.25 $1,441.25 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $323,403.91 $323,403.91 $0.00

Estimate Adjustment Detail

Contract ID: 090382   Estimate Number: 0010     Primary JP: 20032(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 08/24/2010 0.0 $-8,541.11


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
20032(04) 0011 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0006 0.00 $0.00 $782.81
20032(04) 0012 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0006 0.00 $0.00 $658.44
Subtotals For Line Item Adjustments $1,441.25


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

Line Item Detail

Contract ID: 090382   Estimate Number: 0010     Primary JP: 20032(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(193)CO Project:    20032(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201 0102 LSUM 1.000 1.000   1.000 $3,500.00 $0.00 $3,500.00
0002 EARTHWORK 202(G) 0185 LSUM 1.000 1.000   1.000 $37,500.00 $0.00 $37,500.00
0003 TEMPORARY SILT FENCE 223 2801 LF 2,000.000 2,000.000   2,000.000 $1.75 $0.00 $3,500.00
0004 TEMPORARY SILT DIKE 227 0100 LF 200.000 0.000   0.000 $6.00 $0.00 $0.00
0005 SOLID SLAB SODDING 230(A) 2806 SY 7,330.000 5,876.060   5,876.060 $2.00 $0.00 $11,752.12
0006 VEGETATIVE MULCHING 233(A) 2817 AC 5.000 0.740   0.740 $250.00 $0.00 $185.00
0007 AGGREGATE BASE 303 0192 CY 461.000 399.260   399.260 $37.50 $0.00 $14,972.25
0008 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 10.000 21.520   21.520 $50.00 $0.00 $1,076.00
0009 TACK COAT 407 0250 GAL 161.000 175.000   175.000 $5.00 $0.00 $875.00
0010 PRIME COAT 408 5774 GAL 1,263.000 1,188.510   1,188.510 $5.75 $0.00 $6,833.94
0011 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) 411(S3) 5945 TON 547.000 546.160   546.160 $75.00 $0.00 $40,962.00
0012 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) 411(S4) 5960 TON 423.000 401.980   401.980 $75.00 $0.00 $30,148.50
0013 CLASS C CONCRETE 509(D) 0325 CY 5.000 5.000   5.000 $200.00 $0.00 $1,000.00
0014 18" CORR. GALV. STEEL PIPE 613(D) 0689 LF 40.000 40.000   40.000 $25.00 $0.00 $1,000.00
0015 24" CORR. GALV. STEEL PIPE 613(D) 0690 LF 54.000 54.000   54.000 $30.00 $0.00 $1,620.00
0016 18" PREFAB. CULVERT END SECTION, ROUND 613(M) 5726 EA 2.000 2.000   2.000 $225.00 $0.00 $450.00
0017 24" PREFAB. CULVERT END SECTION, ROUND 613(M) 5730 EA 4.000 4.000   4.000 $250.00 $0.00 $1,000.00
0018 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 1,112.000 1,111.120   1,111.120 $2.00 $0.00 $2,222.24
0019 SAWING PAVEMENT 619(C) 0924 LF 40.000 40.000   40.000 $5.00 $0.00 $200.00
0020 MAILBOX INSTALLATION-SINGLE 629(A) 4958 EA 1.000 1.000   1.000 $100.00 $0.00 $100.00
0021 MAILBOX INSTALLATION-MULTIPLE 629(B) 4959 EA 1.000 1.000   1.000 $250.00 $0.00 $250.00
0022 REMOVAL OF MAILBOX INSTALLATION 629(D) 4961 EA 2.000 2.000   2.000 $25.00 $0.00 $50.00
0023 TRAFFIC STRIPE(PLASTIC)(THIN-LINE)(4" WIDE) 855(A) 8815 LF 4,400.000 4,128.000   4,128.000 $0.90 $0.00 $3,715.20
8000 ASPHALT BINDER PRICE ADJUSTMENT 109 M1150 LSUM 0.000 1.000   0.000 $1,441.25 $0.00 $0.00
Subtotals For Category     0100/ROADWAY    $0.00 $162,912.25
Fed/State Project Number:    BRO-STIM(193)CO Project:    20032(04) Category:    0200/BRIDGE 'A'
0024 UNCLASSIFIED EXCAVATION 202(A) 1301 CY 1,100.000 1,100.000   1,100.000 $5.75 $0.00 $6,325.00
0025 STRUCTURAL EXCAVATION UNCLASSIFIED 501(A) 1306 CY 187.000 187.000   187.000 $8.75 $0.00 $1,636.25
0026 CLASS A CONCRETE 509(B) 1328 CY 330.000 330.000   330.000 $250.00 $0.00 $82,500.00
0027 REINFORCING STEEL 511(A) 1332 LB 67,000.000 67,000.000   67,000.000 $0.58 $0.00 $38,860.01
0028 TYPE I-A PLAIN RIPRAP 601(A-1)1353 TON 147.000 163.690   163.690 $35.00 $0.00 $5,729.15
0029 TYPE I-A FILTER BLANKET 601(A-2)1355 TON 47.000 0.000   0.000 $30.00 $0.00 $0.00
0030 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $5,000.00 $0.00 $5,000.00
0031 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $3,000.00 $0.00 $3,000.00
Subtotals For Category     0200/BRIDGE 'A'    $0.00 $143,050.41
Fed/State Project Number:    BRO-STIM(193)CO Project:    20032(04) Category:    0600/STAKING
0032 STAKING 642 0098 LSUM 1.000 1.000   1.000 $3,250.00 $0.00 $3,250.00
Subtotals For Category     0600/STAKING    $0.00 $3,250.00
Fed/State Project Number:    BRO-STIM(193)CO Project:    20032(04) Category:    0640/CONSTRUCTION
0033 (SP)SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $3,000.00 $0.00 $3,000.00
0034 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $9,750.00 $0.00 $9,750.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $12,750.00
Subtotals For Project BRO-STIM(193)CO /20032(04) $0.00 $321,962.66


1 CURRENT QUANTITIES DO NOT MATCH THE QUANTITY PAID TO DATE