Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090390   Estimate Number: 0015 , Final     Spec Year: 1999
Primary JP: 22554(04)   Residency: ADA (03100)     Contract No: 510044
Date Created: 11/19/2010   Contractor FEI: 731194867     Account No: 432300

Project Number(s): BRF-STIM(202)CO
Contract Description: GRADE, DRAIN, SURFACE AND BRIDGE COUNTY ROAD (EW-147): OVER BIG CREEK, 0.3 MILE NORTH AND 3.6 MILES EAST OF THE CITY OF ALLEN. PROJECT LENGTH = 0.415 MILE.
Primary County: HUGHES              
Name of Road: COUNTY ROAD (EW-147)              
Prime Contractor: CIMARRON CONSTRUCTION COMPANY           Time Charged: 262.00
    7409 N.W. 85TH STREET           Time Allowed: 242.00
    OKLAHOMA CITY , OK   73132           Percent Time: 108.26 %

  Paid To Date: $671,370.90 Payable This Statement: $2,039.07

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.                                
CIMARRON CONSTRUCTION COMPANY                               
 
_________________________________________________
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: 090390   Estimate Number: 0015     Contract No: 510044
Residency: ADA (03100)   Estimate Type: Final     Account No: 432300

Project Number(s): BRF-STIM(202)CO
Primary Job Piece No: 22554(04)
Contract Description: GRADE, DRAIN, SURFACE AND BRIDGE COUNTY ROAD (EW-147): OVER BIG CREEK, 0.3 MILE NORTH AND 3.6 MILES EAST OF THE CITY OF ALLEN. PROJECT LENGTH = 0.415 MILE.
Primary County: HUGHES              
Name of Road: COUNTY ROAD (EW-147)              
Prime Contractor: CIMARRON CONSTRUCTION COMPANY              
    7409 N.W. 85TH STREET              
    OKLAHOMA CITY , OK   73132              
Surety Company: MID-CONTINENT CASUALTY COMPANY              

Date Let: 06/18/2009 NTP Effective Date: 09/08/2009 Pay Period: 05/06/2010  TO  11/15/2010
Date Awarded: 06/22/2009 Date Work Began: 08/17/2009 Original Contract Time: 120
Date Contract Executed: 07/07/2009 Date Time Stopped: 05/05/2010 Current Time Charged: 262.00
Date NTP Issued: 07/10/2009 Completion Date: 05/05/2010 Current Time Allowed: 242.00
General Liability Expires: 01/01/2011 Workman's Comp Expires: 01/01/2011 Percent Time Used: 108.26 %
Specification Year: 1999        

Current Contract Amount: $673,099.04 Total to Date Prev to Date This Estimate
Bid Amount: $658,809.11 Participating: $673,099.06 $671,059.99 $2,039.07
Percent Complete: 99.74 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $1,728.14 Non ARRA: $0.00 $0.00 $0.00
Unearned Balance: $-12,561.79 Total Earnings: $673,099.06 $671,059.99 $2,039.07
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $673,099.06 $671,059.99 $2,039.07
Other Adjustments: $8,271.84 $8,271.84 $0.00
Liq Dam/Disincentive: $-10,000.00 $-10,000.00 $0.00
TOTAL: $671,370.90 $669,331.83 $2,039.07

Estimate Adjustment Detail

Contract ID: 090390   Estimate Number: 0015     Primary JP: 22554(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Change in Ashalt oil type (70-26) to (76-28) Approved 05/19/2010 0.0 $0.00
002 Class A & rebar quantity error in plan & unused items Approved 05/19/2010 0.0 $16,223.60
003 CO to add Piling Splices Approved 07/06/2010 0.0 $1,225.00
004 Finalizing Contract Item Qtys Approved 10/05/2010 0.0 $-3,158.67


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
System Application of Liquidated Damages 0010 -5.0 $500.00 $-2,500.00
System Application of Liquidated Damages 0011 -8.0 $500.00 $-4,000.00
System Application of Liquidated Damages 0012 -15.0 $500.00 $-7,500.00
System Application of Liquidated Damages 0013 --8.0 $500.00 $4,000.00
System Application of Liquidated Damages 0014 -0.0 $500.00 $0.00


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
22554(04) 0012 (SP)ASPHALT CONCRETE TYPE S3(PG 70-28 OK) Asphalt Binder Adjustment 0012 0.00 $0.00 $4,433.53
22554(04) 0012 (SP)ASPHALT CONCRETE TYPE S3(PG 70-28 OK) Asphalt Binder Adjustment 0014 0.00 $0.00 $-5.36
22554(04) 0013 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0012 0.00 $0.00 $3,671.24
22554(04) 0013 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0013 0.00 $0.00 $172.43
Subtotals For Line Item Adjustments $8,271.84


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

Line Item Detail

Contract ID: 090390   Estimate Number: 0015     Primary JP: 22554(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(202)CO Project:    22554(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201 0102 LSUM 1.000 1.000   1.000 $25,000.00 $0.00 $25,000.00
0002 EARTHWORK 202(G) 0185 LSUM 1.000 1.000   1.000 $31,000.00 $0.00 $31,000.00
0003 TEMPORARY SILT FENCE 223 2801 LF 4,400.000 720.000   720.000 $1.75 $0.00 $1,260.00
0004 TEMPORARY SILT DIKE 227 0100 LF 460.000 84.000   84.000 $6.50 $0.00 $546.00
0005 SOLID SLAB SODDING 230(A) 2806 SY 17,721.000 18,831.220   18,831.220 $1.90 $0.00 $35,779.32
0006 VEGETATIVE MULCHING 233(A) 2817 AC 7.800 0.000   0.000 $450.00 $0.00 $0.00
0007 AGGREGATE BASE 303 0192 CY 1,152.000 1,169.060 75.521 1,169.060 $27.00 $2,039.07 $31,564.62
0008 PROCESSING EXISTING BASE & SURFACE, METHOD C 311(C) 0153 STA 21.200 21.490   21.490 $625.00 $0.00 $13,431.25
0009 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 160.000 291.410   291.410 $20.00 $0.00 $5,828.20
0010 TACK COAT 407 0250 GAL 331.000 295.130   295.130 $2.60 $0.00 $767.34
0011 PRIME COAT 408 5774 GAL 2,802.000 2,292.800   2,292.800 $6.00 $0.00 $13,756.80
0012 (SP)ASPHALT CONCRETE TYPE S3(PG 70-28 OK) 411(S3) 5940 TON 1,106.000 1,041.310   1,041.310 $84.00 $0.00 $87,470.04
0013 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 737.000 790.880   790.880 $88.00 $0.00 $69,597.44
0014 CLASS C CONCRETE 509(D) 0325 CY 10.000 0.000   0.000 $250.00 $0.00 $0.00
0015 58" X 36" R.C.PIPE ARCH CLASS A-III 613(B) 4500 LF 36.000 36.000   36.000 $240.00 $0.00 $8,640.00
0016 28" X 20" CORR. GALV. STEEL PIPE ARCH 613(D) 4528 LF 148.000 148.000   148.000 $27.00 $0.00 $3,996.00
0017 28" X 20" PREFAB. CULVERT END SECTION, ARCH 613(M) 4516 EA 8.000 8.000   8.000 $150.00 $0.00 $1,200.00
0018 58" X 36" PREFAB. CULVERT END SECTION, ARCH 613(M) 4546 EA 2.000 2.000   2.000 $2,500.00 $0.00 $5,000.00
0019 TRAFFIC STRIPE(PLASTIC)(THIN-LINE)(4" WIDE) 855(A) 8815 LF 7,994.000 8,792.000   8,792.000 $0.45 $0.00 $3,956.40
Subtotals For Category     0100/ROADWAY    $2,039.07 $338,793.41
Fed/State Project Number:    BRF-STIM(202)CO Project:    22554(04) Category:    0200/BRIDGE 'A'
0020 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 273.000 273.000   273.000 $8.00 $0.00 $2,184.00
0021 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 76.200 76.200   76.200 $8.00 $0.00 $609.60
0022 CONCRETE RAIL (TR1) 504(E) 1380 LF 53.960 53.960   53.960 $69.00 $0.00 $3,723.24
0023 CLASS A CONCRETE 509(B) 1328 CY 149.530 193.930   193.930 $439.00 $0.00 $85,135.27
0024 REINFORCING STEEL 511(A) 1332 LB 31,140.000 35,710.000   35,710.000 $0.60 $0.00 $21,426.00
0025 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $2,500.00 $0.00 $2,500.00
0026 GUARD RAIL ANCHOR UNIT (TYPE D-BF) 623(F) 5686 EA 1.000 1.000   1.000 $1,350.00 $0.00 $1,350.00
0027 GUARD RAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 3.000 3.000   3.000 $2,100.00 $0.00 $6,300.00
Subtotals For Category     0200/BRIDGE 'A'    $0.00 $123,228.11
Fed/State Project Number:    BRF-STIM(202)CO Project:    22554(04) Category:    0201/BRIDGE 'B'
0028 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 60.000 60.000   60.000 $8.00 $0.00 $480.00
0029 UNCLASSIFIED BACKFILL 501(D) 6353 CY 40.000 40.000   40.000 $12.00 $0.00 $480.00
0030 PRESTRESSED CONCRETE DOUBLE TEE 503(B) 6144 LF 272.500 272.500   272.500 $210.00 $0.00 $57,225.00
0031 CONCRETE RAIL (TR1) 504(E) 1380 LF 155.000 155.000   155.000 $68.00 $0.00 $10,540.00
0032 CLASS AA CONCRETE 509(A) 1326 CY 37.550 37.550   37.550 $643.00 $0.00 $24,144.65
0033 CLASS A CONCRETE 509(B) 1328 CY 28.200 28.200   28.200 $640.00 $0.00 $18,048.00
0034 REINFORCING STEEL 511(A) 1332 LB 11,111.000 11,111.000   11,111.000 $0.60 $0.00 $6,666.60
0035 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 230.000 286.090   286.090 $46.00 $0.00 $13,160.14
0036 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 230.000 286.090   286.090 $20.75 $0.00 $5,936.37
0037 TYPE I-A PLAIN RIPRAP 601(A-1)1353 TON 660.000 657.390   657.390 $33.00 $0.00 $21,693.87
0038 TYPE I-A FILTER BLANKET 601(A-2)1355 TON 130.000 146.190   146.190 $25.50 $0.00 $3,727.86
0039 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $5,000.00 $0.00 $5,000.00
0040 BEAM GUARD RAIL-W-BEAM-SINGLE 623(A) 0932 LF 582.870 566.670   566.670 $15.00 $0.00 $8,500.05
0041 GUARD RAIL ANCHOR UNIT (TYPE D-BF) 623(F) 5686 EA 1.000 1.000   1.000 $1,350.00 $0.00 $1,350.00
0042 GUARD RAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 3.000 3.000   3.000 $2,100.00 $0.00 $6,300.00
0043 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $2,750.00 $0.00 $2,750.00
8001 SPLICE (10" PILE) 514 6250 EA 0.000 7.000   7.000 $175.00 $0.00 $1,225.00
Subtotals For Category     0201/BRIDGE 'B'    $0.00 $187,227.54
Fed/State Project Number:    BRF-STIM(202)CO Project:    22554(04) Category:    0600/STAKING
0044 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(202)CO Project:    22554(04) Category:    0640/CONSTRUCTION
0045 (SP)SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $4,600.00 $0.00 $4,600.00
0046 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $12,750.00 $0.00 $12,750.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $17,350.00
Subtotals For Project BRF-STIM(202)CO /22554(04) $2,039.07 $673,099.06