Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090391   Estimate Number: 0014 , Final     Spec Year: 1999
Primary JP: 22224(04)   Residency: COBB ENGINEERING CO., INC. (01003)     Contract No: 411269
Date Created: 11/05/2010   Contractor FEI: 731557599A     Account No: 432100

Project Number(s): BRO-STIM(190)CO
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (NS-406): OVER FLAT ROCK CREEK, 0.1 MILES NORTH OF RAIFORD. PROJECT LENGTH = 0.188 MILES.
Primary County: MCINTOSH              
Name of Road: COUNTY ROAD              
Prime Contractor: PLAINS BRIDGE CONTRACTING OF OK.,LLC & TREAS CONST. INC.(JV)           Time Charged: 313.00
    1105 FIRST PLACE BLVD.           Time Allowed: 316.00
    YUKON , OK   73099           Percent Time: 99.05 %

  Paid To Date: $410,623.15 Payable This Statement: $-556.99

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:    11/05/2010
Contract ID: 090391   Estimate Number: 0014     Contract No: 411269
Residency: COBB ENGINEERING CO., INC. (01003)   Estimate Type: Final     Account No: 432100

Project Number(s): BRO-STIM(190)CO
Primary Job Piece No: 22224(04)
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (NS-406): OVER FLAT ROCK CREEK, 0.1 MILES NORTH OF RAIFORD. PROJECT LENGTH = 0.188 MILES.
Primary County: MCINTOSH              
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: 09/01/2010  TO  10/15/2010
Date Awarded: 04/27/2009 Date Work Began: 08/10/2009 Original Contract Time: 90
Date Contract Executed: 05/05/2009 Date Time Stopped: 06/18/2010 Current Time Charged: 313.00
Date NTP Issued: 05/07/2009 Completion Date: 06/18/2010 Current Time Allowed: 316.00
General Liability Expires: 07/01/2011 Workman's Comp Expires: 07/01/2011 Percent Time Used: 99.05 %
Specification Year: 1999        

Current Contract Amount: $410,623.15 Total to Date Prev to Date This Estimate
Bid Amount: $395,653.62 Participating: $389,140.65 $388,616.11 $524.54
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $0.00 Non ARRA: $21,482.50 $21,482.50 $0.00
Unearned Balance: $-14,969.53 Total Earnings: $410,623.15 $410,098.61 $524.54
Stockpiled Materials: $0.00 $1,081.53 $-1,081.53
Gross Earnings: $410,623.15 $411,180.14 $-556.99
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $410,623.15 $411,180.14 $-556.99

Estimate Adjustment Detail

Contract ID: 090391   Estimate Number: 0014     Primary JP: 22224(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Additional Uncl. Borrow required to complete earthwork Approved 09/07/2010 14.0 $21,482.50
002 Final Quantity Change Order Approved 11/05/2010 0.0 $-6,512.97


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
22224(04) 0018 Stockpiled Material Closure 0014 $-1,081.53
22224(04) 0018 RSTL FABS (AML) Stockpiled Material Initial Payment 0007 $7,202.68
22224(04) 0018 RSTL FABS (AML) Stockpiled Material Adjustment 0013 $-6.66
22224(04) 0018 RSTL FABS (AML) Stockpiled Material Adjustment 0007 $-81.52
22224(04) 0018 RSTL FABS (AML) Stockpiled Material Adjustment 0008 $-6,032.97
Subtotals For Stockpile Payments $0.00


LIQUIDATED DAMAGES HISTORY
Adjustment Description Estimate Nbr Time Units Rate Adjustment Amount
System Application of Liquidated Damages 0010 -9.0 $500.00 $-4,500.00
System Application of Liquidated Damages 0011 -1.0 $500.00 $-500.00
System Application of Liquidated Damages 0012 -1.0 $500.00 $-500.00
System Application of Liquidated Damages 0013 --9.0 $500.00 $4,500.00
System Application of Liquidated Damages 0013 --1.0 $500.00 $500.00
System Application of Liquidated Damages 0013 --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: 090391   Estimate Number: 0014     Primary JP: 22224(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(190)CO Project:    22224(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201 0102 LSUM 1.000 1.000   1.000 $2,300.00 $0.00 $2,300.00
0002 EARTHWORK 202(G) 0185 LSUM 1.000 1.000   1.000 $54,625.00 $0.00 $54,625.00
0003 TEMPORARY SILT FENCE 223 2801 LF 660.000 375.000   375.000 $2.30 $0.00 $862.50
0004 TEMPORARY SILT DIKE 227 0100 LF 100.000 140.000   140.000 $6.33 $0.00 $886.20
0005 SOLID SLAB SODDING 230(A) 2806 SY 5,000.000 4,560.780 280.502 4,560.780 $1.87 $524.54 $8,528.66
0006 VEGETATIVE MULCHING 233(A) 2817 AC 2.400 0.884   0.884 $920.00 $0.00 $813.28
0007 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 400.000 627.430   627.430 $21.60 $0.00 $13,552.49
0008 CLASS C CONCRETE 509(D) 0325 CY 15.000 0.000   0.000 $469.30 $0.00 $0.00
0009 30" CORR. GALV. STEEL PIPE 613(D) 0691 LF 36.000 36.000   36.000 $32.65 $0.00 $1,175.40
0010 30" PREFAB. CULVERT END SECTION, ROUND 613(M) 5732 EA 2.000 2.000   2.000 $451.89 $0.00 $903.78
Subtotals For Category     0100/ROADWAY    $524.54 $83,647.31
Fed/State Project Number:    BRO-STIM(190)CO Project:    22224(04) Category:    0200/BRIDGE 'A'
0011 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 96.000 96.000   96.000 $17.25 $0.00 $1,656.00
0012 UNCLASSIFIED BACKFILL 501(D) 6353 CY 114.000 114.000   114.000 $23.00 $0.00 $2,622.00
0013 PRESTRESSED CONCRETE BEAMS (TYPE IV) 503(A) 1313 LF 396.170 396.170   396.170 $181.13 $0.00 $71,758.27
0014 CONCRETE RAIL (TR1) 504(E) 1380 LF 273.170 273.170   273.170 $69.76 $0.00 $19,056.34
0015 STRUCTURAL STEEL 506(A) 1322 LB 2,231.800 2,231.800   2,231.800 $2.89 $0.00 $6,449.90
0016 CLASS AA CONCRETE 509(A) 1326 CY 77.200 77.200   77.200 $568.02 $0.00 $43,851.14
0017 CLASS A CONCRETE 509(B) 1328 CY 63.800 63.800   63.800 $561.78 $0.00 $35,841.56
0018 REINFORCING STEEL 511(A) 1332 LB 26,132.000 26,150.000 0.000 26,150.000 $0.84 $0.00 $21,966.00
0019 PILES, FURNISHED (HP 12X53) 514(A) 6011 LF 336.000 345.000   345.000 $33.05 $0.00 $11,402.25
0020 PILES, DRIVEN (HP 12X53) 514(B) 6294 LF 336.000 275.780   275.780 $28.75 $0.00 $7,928.68
0021 TYPE I-A PLAIN RIPRAP 601(A-1)1353 TON 852.000 862.820   862.820 $35.08 $0.00 $30,267.73
0022 TYPE I-A FILTER BLANKET 601(A-2)1355 TON 170.000 148.060   148.060 $33.20 $0.00 $4,915.59
0023 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $6,900.00 $0.00 $6,900.00
0024 GUARD RAIL ANCHOR UNIT (TYPE III) 623(F) 6034 EA 4.000 4.000   4.000 $2,530.00 $0.00 $10,120.00
0025 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $2,070.00 $0.00 $2,070.00
Subtotals For Category     0200/BRIDGE 'A'    $0.00 $276,805.46
Fed/State Project Number:    BRO-STIM(190)CO Project:    22224(04) Category:    0600/STAKING
0026 STAKING 642 0098 LSUM 1.000 1.000   1.000 $5,750.00 $0.00 $5,750.00
Subtotals For Category     0600/STAKING    $0.00 $5,750.00
Fed/State Project Number:    BRO-STIM(190)CO Project:    22224(04) Category:    0640/CONSTRUCTION
0027 (SP)SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $4,600.00 $0.00 $4,600.00
0028 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $18,337.88 $0.00 $18,337.88
Subtotals For Category     0640/CONSTRUCTION    $0.00 $22,937.88
Fed/State Project Number:    BRO-STIM(190)CO Project:    22224(04) Category:    0850/NON ARRA FUNDING
8000 UNCLASSIFIED BORROW 202(C) 0184 CY 0.000 3,305.000   3,305.000 $6.50 $0.00 $21,482.50
Subtotals For Category     0850/NON ARRA FUNDING    $0.00 $21,482.50
Subtotals For Project BRO-STIM(190)CO /22224(04) $524.54 $410,623.15