Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090392   Estimate Number: 0010 , Final     Spec Year: 1999
Primary JP: 18449(04)   Residency: COBB ENGINEERING CO., INC. (01003)     Contract No: 510453
Date Created: 05/26/2011   Contractor FEI: 900035257     Account No: 432100

Project Number(s): BRO-STIM(191)CO
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (EW-93): OVER CLOUD CREEK 1.3 MILES NORTH AND 1.6 MILES EAST OF BOYTON. PROJECT LENGTH = 0.416 MILES.
Primary County: MUSKOGEE              
Name of Road: COUNTY ROAD              
Prime Contractor: MUNOZ CONSTRUCTION CO., INC.           Time Charged: 324.00
    1129 S.W. 27TH           Time Allowed: 324.00
    OKLAHOMA CITY , OK   73109           Percent Time: 100.00 %

  Paid To Date: $535,598.40 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.                                
MUNOZ CONSTRUCTION CO., 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:    05/26/2011
Contract ID: 090392   Estimate Number: 0010     Contract No: 510453
Residency: COBB ENGINEERING CO., INC. (01003)   Estimate Type: Final     Account No: 432100

Project Number(s): BRO-STIM(191)CO
Primary Job Piece No: 18449(04)
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (EW-93): OVER CLOUD CREEK 1.3 MILES NORTH AND 1.6 MILES EAST OF BOYTON. PROJECT LENGTH = 0.416 MILES.
Primary County: MUSKOGEE              
Name of Road: COUNTY ROAD              
Prime Contractor: MUNOZ CONSTRUCTION CO., INC.              
    1129 S.W. 27TH              
    OKLAHOMA CITY , OK   73109              
Surety Company: GRANITE RE, INC.              

Date Let: 09/17/2009 NTP Effective Date: 11/30/2009 Pay Period: 05/16/2011  TO  05/26/2011
Date Awarded: 10/05/2009 Date Work Began: 11/30/2009 Original Contract Time: 150
Date Contract Executed: 10/14/2009 Date Time Stopped: 10/19/2010 Current Time Charged: 324.00
Date NTP Issued: 10/28/2009 Completion Date: 10/19/2010 Current Time Allowed: 324.00
General Liability Expires: 02/01/2012 Workman's Comp Expires: 02/01/2012 Percent Time Used: 100.00 %
Specification Year: 1999        

Current Contract Amount: $535,598.40 Total to Date Prev to Date This Estimate
Bid Amount: $518,117.44 Participating: $522,828.40 $522,828.40 $0.00
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $0.00 Non ARRA: $12,770.00 $12,770.00 $0.00
Unearned Balance: $-17,480.96 Total Earnings: $535,598.40 $535,598.40 $0.00
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $535,598.40 $535,598.40 $0.00
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $535,598.40 $535,598.40 $0.00

Estimate Adjustment Detail

Contract ID: 090392   Estimate Number: 0010     Primary JP: 18449(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Revise the Method of Measurement for Embankment item Approved 08/09/2010 0.0 $0.00
002 Additional appropriations for drilled shaft rock excavation Approved 08/09/2010 52.0 $12,770.00
003 Revise Method of Measurement and additional Solid Slab Sod Approved 02/28/2011 0.0 $3,780.00
004 Final Quantity Change Order Approved 05/18/2011 0.0 $930.96


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
18449(04) 0019 PC BR ITM FABS (AML) Stockpiled Material Adjustment 0006 $-58,780.53
18449(04) 0019 PC BR ITM FABS (AML) Stockpiled Material Initial Payment 0005 $58,780.53
Subtotals For Stockpile Payments $0.00


LIQUIDATED DAMAGES HISTORY
Adjustment Description Estimate Nbr Time Units Rate Adjustment Amount
System Application of Liquidated Damages 0006 -1.0 $500.00 $-500.00
System Application of Liquidated Damages 0007 -14.0 $500.00 $-7,000.00
System Application of Liquidated Damages 0008 --14 $500.00 $7,000.00
System Application of Liquidated Damages 0008 --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: 090392   Estimate Number: 0010     Primary JP: 18449(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(191)CO Project:    18449(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201 0102 LSUM 1.000 1.000   1.000 $12,000.00 $0.00 $12,000.00
0002 EMBANKMENTS 202(E) 0110 CY 20,458.000 20,458.000   20,458.000 $4.00 $0.00 $81,832.00
0003 TYPE A-SALVAGED TOPSOIL 205 4230 CY 1,150.000 1,150.000   1,150.000 $7.00 $0.00 $8,050.00
0004 OBLITERATING ABANDONED ROAD 210 0121 STA 7.000 7.000   7.000 $300.00 $0.00 $2,100.00
0005 TEMPORARY SILT FENCE 223 2801 LF 400.000 820.000   820.000 $1.50 $0.00 $1,230.00
0006 TEMPORARY SILT DIKE 227 0100 LF 150.000 28.000   28.000 $5.00 $0.00 $140.00
0007 SOLID SLAB SODDING 230(A) 2806 SY 14,700.000 22,659.270   22,659.270 $1.40 $0.00 $31,722.98
0008 VEGETATIVE MULCHING 233(A) 2817 AC 6.100 0.000   0.000 $100.00 $0.00 $0.00
0009 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 1,440.000 1,386.600   1,386.600 $25.00 $0.00 $34,665.00
0010 CLASS C CONCRETE 509(D) 0325 CY 15.000 0.000   0.000 $250.00 $0.00 $0.00
0011 18" CORR. GALV. STEEL PIPE 613(D) 0689 LF 120.000 120.000   120.000 $20.00 $0.00 $2,400.00
0012 24" CORR. GALV. STEEL PIPE 613(D) 0690 LF 66.000 66.000   66.000 $25.00 $0.00 $1,650.00
0013 18" PREFAB. CULVERT END SECTION, ROUND 613(M) 5726 EA 6.000 6.000   6.000 $150.00 $0.00 $900.00
0014 24" PREFAB. CULVERT END SECTION, ROUND 613(M) 5730 EA 2.000 2.000   2.000 $200.00 $0.00 $400.00
0015 SHEET ALUMINUM SIGNS 850(A) 8110 SF 12.000 12.000   12.000 $10.00 $0.00 $120.00
0016 FLANGE CHANNEL POSTS(4 LB/FT) 851(D) 8597 LF 44.000 44.000   44.000 $10.00 $0.00 $440.00
Subtotals For Category     0100/ROADWAY    $0.00 $177,649.98
Fed/State Project Number:    BRO-STIM(191)CO Project:    18449(04) Category:    0200/BRIDGE 'A'
0017 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 86.000 86.000   86.000 $5.00 $0.00 $430.00
0018 UNCLASSIFIED BACKFILL 501(D) 6353 CY 68.000 68.000   68.000 $8.00 $0.00 $544.00
0019 PRESTRESSED CONCRETE BEAMS (TYPE II) 503(A) 1311 LF 468.510 468.510   468.510 $160.00 $0.00 $74,961.60
0020 SEALED EXPANSION JOINT 504(C) 6250 LF 33.900 33.900   33.900 $5.00 $0.00 $169.50
0021 CONCRETE RAIL (TR1) 504(E) 1380 LF 309.790 309.790   309.790 $45.00 $0.00 $13,940.55
0022 STRUCTURAL STEEL 506(A) 1322 LB 2,359.000 2,359.000   2,359.000 $2.50 $0.00 $5,897.50
0023 CLASS AA CONCRETE 509(A) 1326 CY 92.000 92.000   92.000 $450.00 $0.00 $41,400.00
0024 CLASS A CONCRETE 509(B) 1328 CY 92.130 92.130   92.130 $450.00 $0.00 $41,458.50
0025 REINFORCING STEEL 511(A) 1332 LB 32,657.050 32,657.050   32,657.050 $0.75 $0.00 $24,492.79
0026 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 299.000 299.000   299.000 $25.00 $0.00 $7,475.00
0027 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 299.000 237.430   237.430 $10.00 $0.00 $2,374.30
0028 DRILLED SHAFTS 42" DIAMETER 516(A) 6093 LF 74.000 74.000   74.000 $900.00 $0.00 $66,600.00
0029 TYPE I-A PLAIN RIPRAP 601(A-1)1353 TON 630.000 616.300   616.300 $32.00 $0.00 $19,721.60
0030 TYPE I-A FILTER BLANKET 601(A-2)1355 TON 147.000 157.610   157.610 $28.00 $0.00 $4,413.08
0031 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $6,000.00 $0.00 $6,000.00
0032 GUARD RAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 4.000 4.000   4.000 $1,900.00 $0.00 $7,600.00
0033 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $2,900.00 $0.00 $2,900.00
Subtotals For Category     0200/BRIDGE 'A'    $0.00 $320,378.42
Fed/State Project Number:    BRO-STIM(191)CO Project:    18449(04) Category:    0600/STAKING
0034 STAKING 642 0098 LSUM 1.000 1.000   1.000 $6,800.00 $0.00 $6,800.00
Subtotals For Category     0600/STAKING    $0.00 $6,800.00
Fed/State Project Number:    BRO-STIM(191)CO Project:    18449(04) Category:    0640/CONSTRUCTION
0035 (SP)SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $3,000.00 $0.00 $3,000.00
0036 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $15,000.00 $0.00 $15,000.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $18,000.00
Fed/State Project Number:    BRO-STIM(191)CO Project:    18449(04) Category:    0850/NON ARRA FUNDING
8000 DRILLED SHAFTS 42" DIAMETER 516(A) 6093 LF 0.000 42.000   42.000 $185.00 $0.00 $7,770.00
8001 MOBILIZATION 641 1399 LSUM 0.000 1.000   1.000 $5,000.00 $0.00 $5,000.00
Subtotals For Category     0850/NON ARRA FUNDING    $0.00 $12,770.00
Subtotals For Project BRO-STIM(191)CO /18449(04) $0.00 $535,598.40