Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090393   Estimate Number: 0012 , Final     Spec Year: 1999
Primary JP: 21643(04)   Residency: ENGINEERING SERVICES & TESTING (03001)     Contract No: 411207
Date Created: 03/01/2010   Contractor FEI: 731427175     Account No: 432300

Project Number(s): BRO-STIM(204)CO
Contract Description: GRADE, DRAIN, SURFACE AND BRIDGE COUNTY ROAD (EW-99): OVER HARRICAN CREEK, 0.4 MILES WEST AND 3.0 MILES SOUTH OF MICAWBER. PROJECT LENGTH = 0.277 MILES
Primary County: OKFUSKEE              
Name of Road: COUNTY ROAD (EW-99)              
Prime Contractor: K & R BUILDERS, INC.           Time Charged: 172.00
    P.O. BOX 656           Time Allowed: 190.00
    WHEATLAND , OK   73097           Percent Time: 90.53 %

  Paid To Date: $502,713.39 Payable This Statement: $1,019.83

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.                                
K & R BUILDERS, 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:    03/01/2010
Contract ID: 090393   Estimate Number: 0012     Contract No: 411207
Residency: ENGINEERING SERVICES & TESTING (03001)   Estimate Type: Final     Account No: 432300

Project Number(s): BRO-STIM(204)CO
Primary Job Piece No: 21643(04)
Contract Description: GRADE, DRAIN, SURFACE AND BRIDGE COUNTY ROAD (EW-99): OVER HARRICAN CREEK, 0.4 MILES WEST AND 3.0 MILES SOUTH OF MICAWBER. PROJECT LENGTH = 0.277 MILES
Primary County: OKFUSKEE              
Name of Road: COUNTY ROAD (EW-99)              
Prime Contractor: K & R BUILDERS, INC.              
    P.O. BOX 656              
    WHEATLAND , OK   73097              
Surety Company: OHIO CASUALTY INSURANCE COMPANY              

Date Let: 04/23/2009 NTP Effective Date: 08/03/2009 Pay Period: 11/24/2009  TO  03/01/2010
Date Awarded: 04/27/2009 Date Work Began: 06/05/2009 Original Contract Time: 120
Date Contract Executed: 05/05/2009 Date Time Stopped: 11/23/2009 Current Time Charged: 172.00
Date NTP Issued: 05/05/2009 Completion Date: 11/23/2009 Current Time Allowed: 190.00
General Liability Expires: 05/01/2010 Workman's Comp Expires: 07/01/2010 Percent Time Used: 90.53 %
Specification Year: 1999        

Current Contract Amount: $502,713.38 Total to Date Prev to Date This Estimate
Bid Amount: $505,429.70 Participating: $502,713.39 $501,693.58 $1,019.81
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $-0.01 Non ARRA: $0.00 $0.00 $0.00
Unearned Balance: $2,716.31 Total Earnings: $502,713.39 $501,693.58 $1,019.81
Stockpiled Materials: $0.00 $-0.02 $0.02
Gross Earnings: $502,713.39 $501,693.56 $1,019.83
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $502,713.39 $501,693.56 $1,019.83

Estimate Adjustment Detail

Contract ID: 090393   Estimate Number: 0012     Primary JP: 21643(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 02/01/2010 0.0 $-2,716.32


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
21643(04) 0017 Prestressed Concrete Beams (Type IV) Stockpiled Material Initial Payment 0001 $49,418.98
21643(04) 0017 Prestressed Concrete Beams (Type IV) Stockpiled Material Adjustment 0003 $-49,418.98
21643(04) 0018 Stockpiled Material Closure 0012 $0.01
21643(04) 0018 Concrete Rail (TR1) Stockpiled Material Adjustment 0005 $-474.31
21643(04) 0018 Concrete Rail (TR1) Stockpiled Material Initial Payment 0002 $948.61
21643(04) 0018 Concrete Rail (TR1) Stockpiled Material Adjustment 0004 $-474.31
21643(04) 0022 Stockpiled Material Closure 0012 $0.01
21643(04) 0022 Reinforcing Steel Stockpiled Material Adjustment 0004 $-6,354.46
21643(04) 0022 Reinforcing Steel Stockpiled Material Initial Payment 0002 $8,170.19
21643(04) 0022 Reinforcing Steel Stockpiled Material Adjustment 0002 $-907.87
21643(04) 0022 Reinforcing Steel Stockpiled Material Adjustment 0003 $-907.87
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
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: 090393   Estimate Number: 0012     Primary JP: 21643(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(204)CO Project:    21643(04) Category:    0100/ROADWAY BRO-STIM(204)CO
0001 CLEARING AND GRUBBING 201 0102 LSUM 1.000 1.000   1.000 $11,000.00 $0.00 $11,000.00
0002 EARTHWORK 202(G) 0185 LSUM 1.000 1.000   1.000 $73,000.00 $0.00 $73,000.00
0003 TEMPORARY SILT FENCE 223 2801 LF 2,595.000 1,182.000   1,182.000 $1.65 $0.00 $1,950.30
0004 TEMPORARY SILT DIKE 227 0100 LF 375.000 117.000   117.000 $7.00 $0.00 $819.00
0005 SOLID SLAB SODDING 230(A) 2806 SY 9,700.000 11,733.260 -0.290 11,733.260 $2.08 $-0.60 $24,405.18
0006 VEGETATIVE MULCHING 233(A) 2817 AC 4.000 0.000   0.000 $795.00 $0.00 $0.00
0007 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 963.000 940.930 -22.070 940.930 $29.50 $-651.07 $27,757.43
0008 CLASS C CONCRETE 509(D) 0325 CY 10.000 4.810   4.810 $290.00 $0.00 $1,394.90
0009 TYPE I PLAIN RIPRAP 601(A) 0297 TON 55.000 46.620   46.620 $44.00 $0.00 $2,051.28
0010 FILTER FABRIC 602(C) 4155 SY 120.000 118.060 0.060 118.060 $8.00 $0.48 $944.48
0011 24" CORR. GALV. STEEL PIPE 613(D) 0690 LF 162.000 162.000   162.000 $24.00 $0.00 $3,888.00
0012 24" PREFAB. CULVERT END SECTION, ROUND 613(M) 5730 EA 6.000 6.000   6.000 $275.00 $0.00 $1,650.00
0013 BEAM GUARD RAIL-W-BEAM-SINGLE 623(A) 0932 LF 25.000 25.000   25.000 $20.00 $0.00 $500.00
0014 SHEET ALUMINUM SIGNS 850(A) 8110 SF 5.180 5.180 5.180 5.180 $75.00 $388.50 $388.50
Subtotals For Category     0100/ROADWAY BRO-STIM(204)CO    $-262.69 $149,749.07
Fed/State Project Number:    BRO-STIM(204)CO Project:    21643(04) Category:    0200/BRIDGE 'A' BRO-STIM(204)CO
0015 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 96.000 96.000   96.000 $10.00 $0.00 $960.00
0016 UNCLASSIFIED BACKFILL 501(D) 6353 CY 114.000 114.000   114.000 $10.00 $0.00 $1,140.00
0017 PRESTRESSED CONCRETE BEAMS (TYPE IV) 503(A) 1313 LF 416.170 416.170   416.170 $165.00 $0.00 $68,668.05
0018 CONCRETE RAIL (TR1) 504(E) 1380 LF 283.170 283.170 0.000 283.170 $55.00 $0.00 $15,574.36
0019 STRUCTURAL STEEL 506(A) 1322 LB 2,020.000 2,020.000   2,020.000 $3.10 $0.00 $6,262.00
0020 CLASS AA CONCRETE 509(A) 1326 CY 80.900 80.900   80.900 $500.00 $0.00 $40,450.00
0021 CLASS A CONCRETE 509(B) 1328 CY 63.800 63.800   63.800 $525.00 $0.00 $33,495.00
0022 REINFORCING STEEL 511(A) 1332 LB 26,935.000 26,935.000 0.000 26,935.000 $0.73 $0.00 $19,662.55
0023 PILES, FURNISHED (HP 12X53) 514(A) 6011 LF 1,310.000 1,310.000   1,310.000 $33.00 $0.00 $43,230.00
0024 PILES, DRIVEN (HP 12X53) 514(B) 6294 LF 1,310.000 1,166.530 5.000 1,166.530 $10.00 $50.00 $11,665.30
0025 TYPE I-A PLAIN RIPRAP 601(A-1)1353 TON 1,345.000 1,412.510   1,412.510 $35.00 $0.00 $49,437.85
0026 TYPE I-A FILTER BLANKET 601(A-2)1355 TON 410.000 469.230   469.230 $33.50 $0.00 $15,719.21
0027 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $4,000.00 $0.00 $4,000.00
0028 GUARD RAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 3.000 3.000   3.000 $2,450.00 $0.00 $7,350.00
0029 GUARD RAIL ANCHOR UNIT (TYPE III) 623(F) 6034 EA 1.000 1.000   1.000 $2,400.00 $0.00 $2,400.00
0030 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $3,300.00 $0.00 $3,300.00
Subtotals For Category     0200/BRIDGE 'A' BRO-STIM(204)CO    $50.00 $323,314.32
Fed/State Project Number:    BRO-STIM(204)CO Project:    21643(04) Category:    0600/STAKING BRO-STIM(204)CO
0031 STAKING 642 0098 LSUM 1.000 1.000 0.050 1.000 $4,650.00 $232.50 $4,650.00
Subtotals For Category     0600/STAKING BRO-STIM(204)CO    $232.50 $4,650.00
Fed/State Project Number:    BRO-STIM(204)CO Project:    21643(04) Category:    0640/CONSTRUCTION BRO-STIM(204)CO
0032 (SP)SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000 0.250 1.000 $4,000.00 $1,000.00 $4,000.00
0033 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $21,000.00 $0.00 $21,000.00
Subtotals For Category     0640/CONSTRUCTION BRO-STIM(204)CO    $1,000.00 $25,000.00
Subtotals For Project BRO-STIM(204)CO /21643(04) $1,019.81 $502,713.39