Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090389   Estimate Number: 0012 , Final     Spec Year: 1999
Primary JP: 22614(04)   Residency: PURCELL (03200)     Contract No: 411255
Date Created: 03/26/2010   Contractor FEI: 731269842     Account No: 432300

Project Number(s): BRF-STIM(208)CO
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (NS-323): OVER UNNAMED CREEK, 3.5 MILES NORTH OF STATE HIGHWAY 7. PROJECT LENGTH = 0.1867 MILES
Primary County: GARVIN              
Name of Road: COUNTY ROAD (NS-323)              
Prime Contractor: D. M. DOZERS, INC.           Time Charged: 170.00
    766 S. TERRY AVE.           Time Allowed: 172.00
    BRADLEY , OK   73011           Percent Time: 98.84 %

  Paid To Date: $570,792.86 Payable This Statement: $-513.88

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.                                
D. M. DOZERS, 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:    03/26/2010
Contract ID: 090389   Estimate Number: 0012     Contract No: 411255
Residency: PURCELL (03200)   Estimate Type: Final     Account No: 432300

Project Number(s): BRF-STIM(208)CO
Primary Job Piece No: 22614(04)
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (NS-323): OVER UNNAMED CREEK, 3.5 MILES NORTH OF STATE HIGHWAY 7. PROJECT LENGTH = 0.1867 MILES
Primary County: GARVIN              
Name of Road: COUNTY ROAD (NS-323)              
Prime Contractor: D. M. DOZERS, INC.              
    766 S. TERRY AVE.              
    BRADLEY , OK   73011              
Surety Company: EMPLOYERS MUTUAL CASUALTY COMPANY              

Date Let: 04/23/2009 NTP Effective Date: 08/03/2009 Pay Period: 01/01/2010  TO  03/15/2010
Date Awarded: 04/27/2009 Date Work Began: 07/01/2009 Original Contract Time: 120
Date Contract Executed: 05/07/2009 Date Time Stopped: 12/17/2009 Current Time Charged: 170.00
Date NTP Issued: 05/07/2009 Completion Date: 12/17/2009 Current Time Allowed: 172.00
General Liability Expires: 01/01/2011 Workman's Comp Expires: 01/01/2011 Percent Time Used: 98.84 %
Specification Year: 1999        

Current Contract Amount: $570,792.85 Total to Date Prev to Date This Estimate
Bid Amount: $587,439.36 Participating: $561,949.74 $571,306.74 $-9,357.00
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $-0.01 Non ARRA: $8,843.12 $0.00 $8,843.12
Unearned Balance: $16,646.50 Total Earnings: $570,792.86 $571,306.74 $-513.88
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $570,792.86 $571,306.74 $-513.88
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $570,792.86 $571,306.74 $-513.88

Estimate Adjustment Detail

Contract ID: 090389   Estimate Number: 0012     Primary JP: 22614(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Revise pay item quantities. Approved 08/27/2009 0.0 $22,635.60
002 Change pay item from CKD to Fly-Ash. Approved 02/19/2010 0.0 $3,392.00
003 Deduction for low entrained air in AA concrete. Approved 02/03/2010 0.0 $-4,095.00
004 CO FINALIZING CONTRACT ITEMS QUANTITIES Approved 03/24/2010 0.0 $-38,579.11


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
22614(04) 0030 HP 10x 42 PILES - MOH Stockpiled Material Adjustment 0004 $-14,929.74
22614(04) 0030 HP 10x 42 PILES - MOH Stockpiled Material Initial Payment 0001 $14,929.74
Subtotals For Stockpile Payments $0.00


LIQUIDATED DAMAGES HISTORY
Adjustment Description Estimate Nbr Time Units Rate Adjustment Amount
System Application of Liquidated Damages 0009 -1.0 $500.00 $-500.00
System Application of Liquidated Damages 0010 --1.0 $500.00 $500.00


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: 090389   Estimate Number: 0012     Primary JP: 22614(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(208)CO Project:    22614(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201 0102 LSUM 1.000 1.000   1.000 $7,000.00 $0.00 $7,000.00
0002 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 1,066.000 1,066.000   1,066.000 $5.00 $0.00 $5,330.00
0003 UNCLASSIFIED BORROW 202(C) 0184 CY 17,722.000 17,722.000   17,722.000 $6.75 $0.00 $119,623.50
0004 TEMPORARY SILT FENCE 223 2801 LF 1,640.000 1,357.000   1,357.000 $3.00 $0.00 $4,071.00
0005 TEMPORARY SILT DIKE 227 0100 LF 100.000 56.000   56.000 $10.00 $0.00 $560.00
0006 SOLID SLAB SODDING 230(A) 2806 SY 5,700.000 7,043.210 -39.070 7,043.210 $3.00 $-117.21 $21,129.63
0007 VEGETATIVE MULCHING 233(A) 2817 AC 1.200 0.000   0.000 $400.00 $0.00 $0.00
0008 (SP)CEMENT KILN DUST 327(B) 4210 TON 128.000 0.000 -128.000 0.000 $45.00 $-5,760.00 $0.00
0009 (SP)CEMENTITIOUS STABILIZED SUBGRADE 327(E) 4240 SY 3,030.000 3,014.470 -15.530 3,014.470 $3.55 $-55.13 $10,701.37
0010 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 100.000 120.980   120.980 $16.00 $0.00 $1,935.68
0011 TACK COAT 407 0250 GAL 110.000 391.630   391.630 $3.00 $0.00 $1,174.89
0012 PRIME COAT 408 5774 GAL 535.000 0.000   0.000 $5.00 $0.00 $0.00
0013 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) 411(S3) 5945 TON 350.000 406.220   406.220 $65.00 $0.00 $26,404.30
0014 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 235.000 282.890   282.890 $75.00 $0.00 $21,216.75
0015 CLASS C CONCRETE 509(D) 0325 CY 10.000 0.000   0.000 $200.00 $0.00 $0.00
0016 18" CORR. GALV. STEEL PIPE 613(D) 0689 LF 60.000 25.000   25.000 $16.00 $0.00 $400.00
0017 24" CORR. GALV. STEEL PIPE 613(D) 0690 LF 48.000 70.000   70.000 $20.00 $0.00 $1,400.00
0018 18" PREFAB. CULVERT END SECTION, ROUND 613(M) 5726 EA 4.000 2.000   2.000 $130.00 $0.00 $260.00
0019 24" PREFAB. CULVERT END SECTION, ROUND 613(M) 5730 EA 2.000 2.000   2.000 $170.00 $0.00 $340.00
0020 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 2,300.000 2,324.670 46.890 2,324.670 $1.50 $70.34 $3,487.01
0021 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 4,100.000 4,100.000   4,100.000 $0.76 $0.00 $3,116.00
Subtotals For Category     0100/ROADWAY    $-5,862.00 $228,150.13
Fed/State Project Number:    BRF-STIM(208)CO Project:    22614(04) Category:    0200/BRIDGE 'A'
0022 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 80.000 96.000   96.000 $10.00 $0.00 $960.00
0023 UNCLASSIFIED BACKFILL 501(D) 6353 CY 50.000 114.000   114.000 $20.00 $0.00 $2,280.00
0024 PRESTRESSED CONCRETE BEAMS (TYPE IV) 503(A) 1313 LF 396.170 396.170   396.170 $172.00 $0.00 $68,141.24
0025 CONCRETE RAIL (TR1) 504(E) 1380 LF 157.000 273.000   273.000 $50.00 $0.00 $13,650.00
0026 STRUCTURAL STEEL 506(A) 1322 LB 7,490.000 2,020.000   2,020.000 $3.00 $0.00 $6,060.00
0027 CLASS AA CONCRETE 509(A) 1326 CY 72.700 77.200   77.200 $600.00 $0.00 $46,320.00
0028 CLASS A CONCRETE 509(B) 1328 CY 62.800 63.800   63.800 $600.00 $0.00 $38,280.00
0029 REINFORCING STEEL 511(A) 1332 LB 15,632.000 26,042.000   26,042.000 $0.66 $0.00 $17,187.72
0030 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 867.000 1,113.330   1,113.330 $25.00 $0.00 $27,833.25
0031 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 867.000 974.750   974.750 $20.00 $0.00 $19,495.00
0032 TYPE I-A PLAIN RIPRAP 601(A-1)1353 TON 2,230.000 1,477.580   1,477.580 $30.00 $0.00 $44,327.40
0033 TYPE I-A FILTER BLANKET 601(A-2)1355 TON 630.000 310.400   310.400 $25.00 $0.00 $7,760.00
0034 (PL)REMOVAL OF BRIDGE ITEMS 619(B) 2500 LSUM 1.000 1.000   1.000 $3,000.00 $0.00 $3,000.00
0035 GUARD RAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 4.000 4.000   4.000 $2,100.00 $0.00 $8,400.00
0036 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $2,700.00 $0.00 $2,700.00
8002 DEDUCTION FOR FAILING MATERIAL 105 2100 LSUM 0.000 1.000 1.000 1.000 $-4,095.00 $-4,095.00 $-4,095.00
Subtotals For Category     0200/BRIDGE 'A'    $-4,095.00 $302,299.61
Fed/State Project Number:    BRF-STIM(208)CO Project:    22614(04) Category:    0600/STAKING
0037 STAKING 642 0098 LSUM 1.000 1.000   1.000 $6,500.00 $0.00 $6,500.00
Subtotals For Category     0600/STAKING    $0.00 $6,500.00
Fed/State Project Number:    BRF-STIM(208)CO Project:    22614(04) Category:    0640/CONSTRUCTION
0038 (SP)SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000 0.200 1.000 $3,000.00 $600.00 $3,000.00
0039 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $22,000.00 $0.00 $22,000.00
Subtotals For Category     0640/CONSTRUCTION    $600.00 $25,000.00
Fed/State Project Number:    BRF-STIM(208)CO Project:    22614(04) Category:    0850/Non ARRA Funding
8001 (SP)FLY ASH 327(A) 4200 TON 0.000 123.680 123.680 123.680 $71.50 $8,843.12 $8,843.12
Subtotals For Category     0850/Non ARRA Funding    $8,843.12 $8,843.12
Subtotals For Project BRF-STIM(208)CO /22614(04) $-513.88 $570,792.86