Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090395   Estimate Number: 0015 , Final     Spec Year: 1999
Primary JP: 23075(04)   Residency: COBB ENGINEERING CO., INC. (03003)     Contract No: 510081
Date Created: 11/15/2010   Contractor FEI: 731194867     Account No: 432300

Project Number(s): BRF-STIM(207)CO
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD: OVER POPSHEGO CREEK, 0.5 MILE NORTH AND 2.9 MILES EAST OF THE CITY OF ST. LOUIS. PROJECT LENGTH = 0.387 MILE.
Primary County: POTTAWATOMIE              
Name of Road: COUNTY ROAD              
Prime Contractor: CIMARRON CONSTRUCTION COMPANY           Time Charged: 353.00
    7409 N.W. 85TH STREET           Time Allowed: 353.00
    OKLAHOMA CITY , OK   73132           Percent Time: 100.00 %

  Paid To Date: $764,568.30 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.                                
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:    11/15/2010
Contract ID: 090395   Estimate Number: 0015     Contract No: 510081
Residency: COBB ENGINEERING CO., INC. (03003)   Estimate Type: Final     Account No: 432300

Project Number(s): BRF-STIM(207)CO
Primary Job Piece No: 23075(04)
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD: OVER POPSHEGO CREEK, 0.5 MILE NORTH AND 2.9 MILES EAST OF THE CITY OF ST. LOUIS. PROJECT LENGTH = 0.387 MILE.
Primary County: POTTAWATOMIE              
Name of Road: COUNTY ROAD              
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: 09/17/2010  TO  10/15/2010
Date Awarded: 06/22/2009 Date Work Began: 09/09/2009 Original Contract Time: 120
Date Contract Executed: 07/07/2009 Date Time Stopped: 08/26/2010 Current Time Charged: 353.00
Date NTP Issued: 07/10/2009 Completion Date: 08/26/2010 Current Time Allowed: 353.00
General Liability Expires: 01/01/2011 Workman's Comp Expires: 01/01/2011 Percent Time Used: 100.00 %
Specification Year: 1999        

Current Contract Amount: $764,568.26 Total to Date Prev to Date This Estimate
Bid Amount: $746,197.56 Participating: $756,577.29 $756,577.29 $0.00
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $-0.04 Non ARRA: $0.00 $0.00 $0.00
Unearned Balance: $-18,370.74 Total Earnings: $756,577.29 $756,577.29 $0.00
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $756,577.29 $756,577.29 $0.00
Other Adjustments: $7,991.01 $7,991.01 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $764,568.30 $764,568.30 $0.00

Estimate Adjustment Detail

Contract ID: 090395   Estimate Number: 0015     Primary JP: 23075(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Unit price reduction for CLSM Approved 12/07/2009 0.0 $13,273.20
002 Change the method of measure for Asphalt pay items Approved 06/07/2010 0.0 $-5,011.34
003 Time Credit Approved 08/24/2010 50.0 $0.00
004 Penalty for failing material Approved 08/24/2010 0.0 $-5,890.80
005 Aggregate Base and Asphalt Binder overrun Approved 09/27/2010 0.0 $34,975.11
006 Final Quantity Change Order Approved 10/11/2010 0.0 $-18,975.47


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 0008 -5.0 $500.00 $-2,500.00
System Application of Liquidated Damages 0009 -29.0 $500.00 $-14,500.00
System Application of Liquidated Damages 0010 -15.0 $500.00 $-7,500.00
System Application of Liquidated Damages 0011 -1.0 $500.00 $-500.00
System Application of Liquidated Damages 0012 -0.0 $500.00 $0.00
System Application of Liquidated Damages 0013 --5.0 $500.00 $2,500.00
System Application of Liquidated Damages 0013 --29 $500.00 $14,500.00
System Application of Liquidated Damages 0013 --15 $500.00 $7,500.00
System Application of Liquidated Damages 0013 --1.0 $500.00 $500.00
System Application of Liquidated Damages 0013 -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
23075(04) 0013 (SP)ASPHALT CONCRETE TYPE S3(PG 70-28 OK) Asphalt Binder Adjustment 0009 0.00 $0.00 $2,416.73
23075(04) 0013 (SP)ASPHALT CONCRETE TYPE S3(PG 70-28 OK) Asphalt Binder Adjustment 0010 0.00 $0.00 $1,213.32
23075(04) 0013 (SP)ASPHALT CONCRETE TYPE S3(PG 70-28 OK) Asphalt Binder Adjustment 0013 0.00 $0.00 $-0.30
23075(04) 0013 (SP)ASPHALT CONCRETE TYPE S3(PG 70-28 OK) * Asphalt Binder Adjustment 0014 0.00 $0.00 $0.05
23075(04) 0014 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0009 0.00 $0.00 $264.91
23075(04) 0014 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0010 0.00 $0.00 $4,096.59
23075(04) 0014 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0013 0.00 $0.00 $-0.34
23075(04) 0014 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * Asphalt Binder Adjustment 0014 0.00 $0.00 $0.05
Subtotals For Line Item Adjustments $7,991.01
* = User applied Line Item Adjustments


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

Line Item Detail

Contract ID: 090395   Estimate Number: 0015     Primary JP: 23075(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(207)CO Project:    23075(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201 0102 LSUM 1.000 1.000   1.000 $13,000.00 $0.00 $13,000.00
0002 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 4,125.000 4,125.000   4,125.000 $7.00 $0.00 $28,875.00
0003 UNCLASSIFIED BORROW 202(C) 0184 CY 7,647.000 7,647.000   7,647.000 $9.25 $0.00 $70,734.76
0004 OBLITERATING ABANDONED ROAD 210 0121 STA 8.700 11.780   11.780 $775.00 $0.00 $9,129.50
0005 TEMPORARY SILT FENCE 223 2801 LF 3,885.000 2,200.000   2,200.000 $1.80 $0.00 $3,960.00
0006 TEMPORARY SILT DIKE 227 0100 LF 400.000 78.000   78.000 $7.95 $0.00 $620.10
0007 SOLID SLAB SODDING 230(A) 2806 SY 9,840.000 13,767.200   13,767.200 $1.50 $0.00 $20,650.80
0008 VEGETATIVE MULCHING 233(A) 2817 AC 4.100 0.000   0.000 $295.00 $0.00 $0.00
0009 AGGREGATE BASE 303 0192 CY 1,200.000 2,099.470   2,099.470 $30.00 $0.00 $62,984.10
0010 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 210.000 103.230   103.230 $21.00 $0.00 $2,167.83
0011 TACK COAT 407 0250 GAL 280.000 300.000   300.000 $2.50 $0.00 $750.00
0012 PRIME COAT 408 5774 GAL 3,086.000 1,187.300   1,187.300 $5.00 $0.00 $5,936.50
0013 (SP)ASPHALT CONCRETE TYPE S3(PG 70-28 OK) 411(S3) 5940 TON 936.000 1,039.880   1,039.880 $84.65 $0.00 $88,025.85
0014 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 1,001.000 915.220   915.220 $84.65 $0.00 $77,473.38
0015 CLASS C CONCRETE 509(D) 0325 CY 10.000 0.000   0.000 $250.00 $0.00 $0.00
0016 28" X 20" CORR. GALV. STEEL PIPE ARCH 613(D) 4528 LF 282.000 275.000   275.000 $27.60 $0.00 $7,590.00
0017 28" X 20" PREFAB. CULVERT END SECTION, ARCH 613(M) 4516 EA 12.000 10.000   10.000 $175.00 $0.00 $1,750.00
0018 SHEET ALUMINUM SIGNS 850(A) 8110 SF 36.000 17.680   17.680 $14.00 $0.00 $247.52
0019 2" SQUARE TUBE POST 851(C) 8324 LF 37.500 37.500   37.500 $8.00 $0.00 $300.00
0020 TRAFFIC STRIPE(PLASTIC)(THIN-LINE)(4" WIDE) 855(A) 8815 LF 8,200.000 8,228.000   8,228.000 $0.55 $0.00 $4,525.40
8005 DEDUCTION FOR FAILING MATERIAL 105 2200 SY 0.000 3,927.200   3,927.200 $-1.50 $0.00 $-5,890.80
8006 ASPHALT BINDER PRICE ADJUSTMENT 109 1150 LSUM 0.000 1.000   0.000 $7,991.01 $0.00 $0.00
Subtotals For Category     0100/ROADWAY    $0.00 $392,829.94
Fed/State Project Number:    BRF-STIM(207)CO Project:    23075(04) Category:    0200/BRIDGE 'A'
0021 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 81.640 81.640   81.640 $8.00 $0.00 $653.12
0022 UNCLASSIFIED BACKFILL 501(D) 6353 CY 61.480 61.480   61.480 $12.00 $0.00 $737.76
0023 CLSM BACKFILL 501(G) 6309 CY 10.000 122.800   122.800 $134.00 $0.00 $16,455.20
0024 PRESTRESSED CONCRETE BEAMS (TYPE IV) 503(A) 1313 LF 416.170 416.170   416.170 $162.00 $0.00 $67,419.54
0025 APPROACH SLAB 504(A) 1304 SY 126.670 126.670   126.670 $147.00 $0.00 $18,620.49
0026 CONCRETE RAIL (TR1) 504(E) 1380 LF 283.000 283.000   283.000 $69.00 $0.00 $19,527.00
0027 STRUCTURAL STEEL 506(A) 1322 LB 2,100.000 2,100.000   2,100.000 $2.00 $0.00 $4,200.00
0028 CLASS AA CONCRETE 509(A) 1326 CY 97.700 97.700   97.700 $528.00 $0.00 $51,585.60
0029 CLASS A CONCRETE 509(B) 1328 CY 67.460 67.460   67.460 $515.00 $0.00 $34,741.91
0030 REINFORCING STEEL 511(A) 1332 LB 34,889.000 34,889.000   34,889.000 $0.60 $0.00 $20,933.40
0031 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 290.000 290.000   290.000 $28.20 $0.00 $8,178.00
0032 PILES, FURNISHED (HP 12X53) 514(A) 6011 LF 959.000 959.000   959.000 $32.40 $0.00 $31,071.60
0033 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 290.000 258.670   258.670 $12.70 $0.00 $3,285.11
0034 PILES, DRIVEN (HP 12X53) 514(B) 6294 LF 959.000 821.590   821.590 $14.55 $0.00 $11,954.14
0035 TYPE I-A PLAIN RIPRAP 601(A-1)1353 TON 1,120.000 889.210   889.210 $33.30 $0.00 $29,610.69
0036 TYPE I-A FILTER BLANKET 601(A-2)1355 TON 333.000 260.810   260.810 $26.90 $0.00 $7,015.79
0037 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $10,000.00 $0.00 $10,000.00
0038 GUARD RAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 4.000 4.000   4.000 $2,100.00 $0.00 $8,400.00
0039 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $2,100.00 $0.00 $2,100.00
8000 CONSTRUCTION MISCELLANEOUS 104 0600 EA 0.000 -122.800   -122.800 $15.00 $0.00 $-1,842.00
Subtotals For Category     0200/BRIDGE 'A'    $0.00 $344,647.35
Fed/State Project Number:    BRF-STIM(207)CO Project:    23075(04) Category:    0600/STAKING
0040 STAKING 642 0098 LSUM 1.000 1.000   1.000 $5,600.00 $0.00 $5,600.00
Subtotals For Category     0600/STAKING    $0.00 $5,600.00
Fed/State Project Number:    BRF-STIM(207)CO Project:    23075(04) Category:    0640/CONSTRUCTION
0041 (SP)SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $5,000.00 $0.00 $5,000.00
0042 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $8,500.00 $0.00 $8,500.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $13,500.00
Subtotals For Project BRF-STIM(207)CO /23075(04) $0.00 $756,577.29


1 CURRENT QUANTITIES DO NOT MATCH THE QUANTITY PAID TO DATE