Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090398   Estimate Number: 0015 , Final     Spec Year: 1999
Primary JP: 22776(04)   Residency: ADA (03100)     Contract No: 510085
Date Created: 02/14/2011   Contractor FEI: 731394406     Account No: 432300

Project Number(s): BRO-STIM(205)CO, BRO-STIM(206)CO
Contract Description: BRIDGE AND APPROACHES CO. RD.: OVER GRAYSON CRK., 2 MI. S. & 6.7 MI. E. OF SH-59A/SH-3W JCT. OVER MILL CRK., 0.5 MI. N. AND 2.0 MI. E. OF FITTSTOWN. PROJECT LENGTH = 0.462 MILES.
Primary County: PONTOTOC              
Name of Road: COUNTY ROAD              
Prime Contractor: OBC, INC.           Time Charged: 267.00
    P.O. BOX 3817           Time Allowed: 280.00
    EDMOND , OK   73083           Percent Time: 95.36 %

  Paid To Date: $1,004,786.91 Payable This Statement: $-2,053.12

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.                                
OBC, 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:    02/14/2011
Contract ID: 090398   Estimate Number: 0015     Contract No: 510085
Residency: ADA (03100)   Estimate Type: Final     Account No: 432300

Project Number(s): BRO-STIM(205)CO, BRO-STIM(206)CO
Primary Job Piece No: 22776(04)
Contract Description: BRIDGE AND APPROACHES CO. RD.: OVER GRAYSON CRK., 2 MI. S. & 6.7 MI. E. OF SH-59A/SH-3W JCT. OVER MILL CRK., 0.5 MI. N. AND 2.0 MI. E. OF FITTSTOWN. PROJECT LENGTH = 0.462 MILES.
Primary County: PONTOTOC              
Name of Road: COUNTY ROAD              
Prime Contractor: OBC, INC.              
    P.O. BOX 3817              
    EDMOND , OK   73083              
Surety Company: LIBERTY MUTUAL INSURANCE COMPANY              

Date Let: 06/18/2009 NTP Effective Date: 09/08/2009 Pay Period: 05/26/2010  TO  05/26/2010
Date Awarded: 06/22/2009 Date Work Began: 09/01/2009 Original Contract Time: 210
Date Contract Executed: 06/30/2009 Date Time Stopped: 05/25/2010 Current Time Charged: 267.00
Date NTP Issued: 07/06/2009 Completion Date: 05/25/2010 Current Time Allowed: 280.00
General Liability Expires: 05/01/2011 Workman's Comp Expires: 06/30/2011 Percent Time Used: 95.36 %
Specification Year: 1999        

Current Contract Amount: $999,980.36 Total to Date Prev to Date This Estimate
Bid Amount: $1,014,494.39 Participating: $999,980.37 $1,002,033.49 $-2,053.12
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $-4,806.55 Non ARRA: $0.00 $0.00 $0.00
Unearned Balance: $9,707.48 Total Earnings: $999,980.37 $1,002,033.49 $-2,053.12
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $999,980.37 $1,002,033.49 $-2,053.12
Other Adjustments: $4,806.54 $4,806.54 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $1,004,786.91 $1,006,840.03 $-2,053.12

Estimate Adjustment Detail

Contract ID: 090398   Estimate Number: 0015     Primary JP: 22776(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Changing RCA from field Qty to Pay Plan Qty Approved 10/11/2010 0.0 $0.00
002 CO to add Piling Splices Approved 11/03/2010 0.0 $400.00
003 Finalizing Contract Item Qtys Approved 01/10/2011 0.0 $-14,914.03


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
22776(04) 0032 MOH Beams TY IV (205) Stockpiled Material Adjustment 0007 $-49,101.98
22776(04) 0032 MOH Beams TY IV (205) Stockpiled Material Initial Payment 0005 $49,101.98
22776(04) 0038 MOH 205 10.42 Piles Stockpiled Material Adjustment 0008 $-2,660.80
22776(04) 0038 MOH 205 10.42 Piles Stockpiled Material Initial Payment 0001 $2,993.40
22776(04) 0038 MOH 205 10.42 Piles Stockpiled Material Closure 0014 $-332.60
22776(04) 0039 MOH 205 12.53 Piles Stockpiled Material Initial Payment 0001 $11,916.64
22776(04) 0039 MOH 205 12.53 Piles Stockpiled Material Adjustment 0008 $-11,916.64
22777(04) 0017 MOH Beams TY II (206) Stockpiled Material Initial Payment 0005 $30,140.29
22777(04) 0017 MOH Beams TY II (206) Stockpiled Material Adjustment 0009 $-30,140.29
22777(04) 0018 MOH Beams TY III (206) Stockpiled Material Initial Payment 0005 $30,140.28
22777(04) 0018 MOH Beams TY III (206) Stockpiled Material Adjustment 0008 $-30,140.28
22777(04) 0025 MOH 206 10.42 Piles Stockpiled Material Adjustment 0008 $-5,604.31
22777(04) 0025 MOH 206 10.42 Piles Stockpiled Material Initial Payment 0001 $5,604.31
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
22776(04) 0011 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0012 0.00 $0.00 $2,701.53
22776(04) 0012 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0013 0.00 $0.00 $2,105.01
Subtotals For Line Item Adjustments $4,806.54


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

Line Item Detail

Contract ID: 090398   Estimate Number: 0015     Primary JP: 22776(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(205)CO Project:    22776(04) Category:    0100/ROADWAY BRO-STIM(205)CO
0001 CLEARING AND GRUBBING 201 0102 LSUM 1.000 1.000   1.000 $3,150.00 $0.00 $3,150.00
0002 EARTHWORK 202(G) 0185 LSUM 1.000 1.000   1.000 $15,225.00 $0.00 $15,225.00
0003 TEMPORARY SILT FENCE 223 2801 LF 1,158.000 1,300.000 100.000 1,300.000 $2.10 $210.00 $2,730.00
0004 TEMPORARY SILT DIKE 227 0100 LF 100.000 0.000   0.000 $7.25 $0.00 $0.00
0005 SOLID SLAB SODDING 230(A) 2806 SY 12,181.000 12,192.790   12,192.790 $1.73 $0.00 $21,093.53
0006 VEGETATIVE MULCHING 233(A) 2817 AC 5.030 0.000   0.000 $263.00 $0.00 $0.00
0007 AGGREGATE BASE 303 0192 CY 840.680 850.910 10.230 850.910 $34.86 $356.62 $29,662.72
0008 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 91.880 302.430 47.890 302.430 $21.00 $1,005.69 $6,351.03
0009 TACK COAT 407 0250 GAL 377.890 173.250 -0.010 173.250 $2.63 $-0.03 $455.64
0010 PRIME COAT 408 5774 GAL 601.590 563.630   563.630 $6.30 $0.00 $3,550.87
0011 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) 411(S3) 5945 TON 903.600 843.570   843.570 $77.70 $0.00 $65,545.39
0012 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) 411(S4) 5960 TON 400.280 433.130   433.130 $80.00 $0.00 $34,650.40
0013 CLASS A CONCRETE 509(B) 1328 CY 68.520 68.520 2.390 68.520 $470.00 $1,123.30 $32,204.40
0014 CLASS C CONCRETE 509(D) 0325 CY 55.330 48.260 -0.720 48.260 $250.00 $-180.00 $12,065.00
0015 REINFORCING STEEL 511(A) 0332 LB 4,579.360 4,579.360 -85.000 4,579.360 $0.88 $-74.80 $4,029.84
0016 TYPE I PLAIN RIPRAP 601(A) 0533 CY 32.790 139.650   139.650 $40.00 $0.00 $5,586.00
0017 FILTER FABRIC (RIPRAP) 601(E) 6312 SY 98.360 98.340 -0.020 98.340 $2.50 $-0.05 $245.85
0018 18" CORR. GALV. STEEL PIPE 613(D) 0689 LF 153.000 153.000   153.000 $22.00 $0.00 $3,366.00
0019 18" PREFAB. CULVERT END SECTION, ROUND 613(M) 5726 EA 8.000 8.000   8.000 $158.00 $0.00 $1,264.00
0020 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 1.000 1.000   1.000 $2,000.00 $0.00 $2,000.00
0021 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 1,532.980 1,638.000 110.220 1,638.000 $3.67 $404.51 $6,011.46
0022 SAWING PAVEMENT 619(C) 0924 LF 22.000 22.000   22.000 $5.00 $0.00 $110.00
0023 BEAM GUARD RAIL-W-BEAM-SINGLE 623(A) 0932 LF 277.500 277.500 -277.500 277.500 $14.70 $-4,079.25 $4,079.25
0024 GUARD RAIL ANCHOR UNIT (TYPE B) 623(F) 4447 EA 2.000 2.000 -2.000 2.000 $473.00 $-946.00 $946.00
0025 GUARD RAIL ANCHOR UNIT (TYPE D-BF) 623(F) 5686 EA 1.000 1.000 -1.000 1.000 $1,365.00 $-1,365.00 $1,365.00
0026 SHEET ALUMINUM SIGNS 850(A) 8110 SF 15.540 15.540   15.540 $20.00 $0.00 $310.80
0027 2 1/4" SQUARE TUBE POST 851(C) 8327 LF 28.500 28.500   28.500 $34.65 $0.00 $987.53
0028 TRAFFIC STRIPE(PLASTIC)(THIN-LINE)(4" WIDE) 855(A) 8815 LF 4,462.000 5,311.000 -26.000 5,311.000 $0.36 $-9.36 $1,911.96
0029 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $2,400.00 $0.00 $2,400.00
Subtotals For Category     0100/ROADWAY BRO-STIM(205)CO    $-3,554.37 $261,297.67
Fed/State Project Number:    BRO-STIM(205)CO Project:    22776(04) Category:    0200/BRIDGE 'A' BRO-STIM(205)CO
0030 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 96.000 96.000   96.000 $15.00 $0.00 $1,440.00
0031 UNCLASSIFIED BACKFILL 501(D) 6353 CY 140.000 140.000   140.000 $15.00 $0.00 $2,100.00
0032 PRESTRESSED CONCRETE BEAMS (TYPE IV) 503(A) 1313 LF 416.170 416.170 -0.006 416.170 $189.40 $-1.14 $78,822.59
0033 CONCRETE RAIL (TR1) 504(E) 1380 LF 283.170 283.170   283.170 $42.00 $0.00 $11,893.14
0034 STRUCTURAL STEEL 506(A) 1322 LB 2,020.000 2,020.000   2,020.000 $3.63 $0.00 $7,332.60
0035 CLASS AA CONCRETE 509(A) 1326 CY 80.900 80.900   80.900 $500.00 $0.00 $40,450.00
0036 CLASS A CONCRETE 509(B) 1328 CY 63.800 63.800   63.800 $500.00 $0.00 $31,900.00
0037 REINFORCING STEEL 511(A) 1332 LB 25,250.000 25,250.000   25,250.000 $0.89 $0.00 $22,472.50
0038 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 180.000 160.000   160.000 $25.00 $0.00 $4,000.00
0039 PILES, FURNISHED (HP 12X53) 514(A) 6011 LF 568.000 583.290 -4.210 583.290 $31.00 $-130.51 $18,081.99
0040 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 180.000 160.000   160.000 $15.00 $0.00 $2,400.00
0041 PILES, DRIVEN (HP 12X53) 514(B) 6294 LF 568.000 583.290   583.290 $15.00 $0.00 $8,749.35
0042 TYPE II-A SPECIAL PLAIN RIPRAP 601(B-1)1359 TON 280.000 285.250   285.250 $33.14 $0.00 $9,453.19
0043 TYPE II-A FILTER BLANKET 601(B-2)1361 TON 70.000 72.140   72.140 $26.71 $0.00 $1,926.86
0044 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $2,500.00 $0.00 $2,500.00
0045 GUARD RAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 2.000 2.000   2.000 $2,100.00 $0.00 $4,200.00
8001 SPLICE(12" PILE) 514 6210 EA 0.000 2.000 2.000 2.000 $200.00 $400.00 $400.00
Subtotals For Category     0200/BRIDGE 'A' BRO-STIM(205)CO    $268.35 $248,122.22
Fed/State Project Number:    BRO-STIM(205)CO Project:    22776(04) Category:    0600/STAKING BRO-STIM(205)CO
0046 STAKING 642 0098 LSUM 1.000 1.000 0.100 1.000 $4,100.00 $410.00 $4,100.00
Subtotals For Category     0600/STAKING BRO-STIM(205)CO    $410.00 $4,100.00
Fed/State Project Number:    BRO-STIM(205)CO Project:    22776(04) Category:    0640/CONSTRUCTION BRO-STIM(205)CO
0047 (SP)SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $3,500.00 $0.00 $3,500.00
0048 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $15,000.00 $0.00 $15,000.00
Subtotals For Category     0640/CONSTRUCTION BRO-STIM(205)CO    $0.00 $18,500.00
Subtotals For Project BRO-STIM(205)CO /22776(04) $-2,876.02 $532,019.89


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(206)CO Project:    22777(04) Category:    0100/ROADWAY BRO-STIM(206)CO
0001 CLEARING AND GRUBBING 201 0102 LSUM 1.000 1.000   1.000 $6,300.00 $0.00 $6,300.00
0002 EARTHWORK 202(G) 0185 LSUM 1.000 1.000   1.000 $42,425.00 $0.00 $42,425.00
0003 TEMPORARY SILT FENCE 223 2801 LF 1,691.000 831.000   831.000 $2.10 $0.00 $1,745.10
0004 TEMPORARY SILT DIKE 227 0100 LF 58.000 0.000   0.000 $7.25 $0.00 $0.00
0005 SOLID SLAB SODDING 230(A) 2806 SY 14,583.000 7,450.670 44.670 7,450.670 $1.74 $77.73 $12,964.17
0006 VEGETATIVE MULCHING 233(A) 2817 AC 6.020 0.000   0.000 $263.00 $0.00 $0.00
0007 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 572.120 635.710 51.220 635.710 $20.21 $1,035.16 $12,847.70
0008 TYPE I PLAIN RIPRAP 601(A) 0297 TON 66.670 90.340 -13.070 90.340 $22.17 $-289.76 $2,002.84
0009 FILTER FABRIC (RIPRAP) 601(E) 6312 SY 133.330 196.780 63.450 196.780 $2.50 $158.63 $491.96
0010 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 1.000 1.000   1.000 $3,000.00 $0.00 $3,000.00
0011 BEAM GUARD RAIL-W-BEAM-SINGLE 623(A) 0932 LF 110.000 110.000   110.000 $14.70 $0.00 $1,617.00
0012 GUARD RAIL ANCHOR UNIT (TYPE B) 623(F) 4447 EA 1.000 1.000   1.000 $475.00 $0.00 $475.00
0013 GUARD RAIL ANCHOR UNIT (TYPE D-BF) 623(F) 5686 EA 1.000 1.000   1.000 $1,365.00 $0.00 $1,365.00
0014 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $2,400.00 $0.00 $2,400.00
Subtotals For Category     0100/ROADWAY BRO-STIM(206)CO    $981.76 $87,633.77
Fed/State Project Number:    BRO-STIM(206)CO Project:    22777(04) Category:    0200/BRIDGE 'A' BRO-STIM(206)CO
0015 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 86.000 86.000   86.000 $15.00 $0.00 $1,290.00
0016 UNCLASSIFIED BACKFILL 501(D) 6353 CY 68.000 68.000   68.000 $15.00 $0.00 $1,020.00
0017 PRESTRESSED CONCRETE BEAMS (TYPE II) 503(A) 1311 LF 272.340 272.340   272.340 $165.00 $0.00 $44,936.10
0018 PRESTRESSED CONCRETE BEAMS (TYPE III) 503(A) 1312 LF 276.170 276.170   276.170 $167.00 $0.00 $46,120.39
0019 SEALED EXPANSION JOINT 504(C) 6250 LF 34.200 34.200   34.200 $206.00 $0.00 $7,045.20
0020 CONCRETE RAIL (TR1) 504(E) 1380 LF 345.170 345.170   345.170 $42.00 $0.00 $14,497.14
0021 STRUCTURAL STEEL 506(A) 1322 LB 4,370.000 4,370.000   4,370.000 $3.60 $0.00 $15,732.00
0022 CLASS AA CONCRETE 509(A) 1326 CY 106.900 106.900   106.900 $500.00 $0.00 $53,450.00
0023 CLASS A CONCRETE 509(B) 1328 CY 94.700 94.700   94.700 $500.00 $0.00 $47,350.00
0024 REINFORCING STEEL 511(A) 1332 LB 37,668.000 37,668.000   37,668.000 $0.93 $0.00 $35,031.24
0025 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 337.000 341.340 -6.110 341.340 $26.00 $-158.86 $8,874.84
0026 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 337.000 341.340   341.340 $15.00 $0.00 $5,120.10
0027 DRILLED SHAFTS 48" DIAMETER 516(A) 6094 LF 123.000 123.000   123.000 $400.00 $0.00 $49,200.00
0028 TYPE II-A SPECIAL PLAIN RIPRAP 601(B-1)1359 TON 610.000 475.920   475.920 $34.60 $0.00 $16,466.83
0029 TYPE II-A FILTER BLANKET 601(B-2)1361 TON 140.000 148.600   148.600 $26.87 $0.00 $3,992.87
0030 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $5,000.00 $0.00 $5,000.00
0031 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' BRO-STIM(206)CO    $-158.86 $361,426.71
Fed/State Project Number:    BRO-STIM(206)CO Project:    22777(04) Category:    0600/STAKING BRO-STIM(206)CO
0032 STAKING 642 0098 LSUM 1.000 1.000   1.000 $3,900.00 $0.00 $3,900.00
Subtotals For Category     0600/STAKING BRO-STIM(206)CO    $0.00 $3,900.00
Fed/State Project Number:    BRO-STIM(206)CO Project:    22777(04) Category:    0640/CONSTRUCTION BRO-STIM(206)CO
0033 (SP)SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $15,000.00 $0.00 $15,000.00
Subtotals For Category     0640/CONSTRUCTION BRO-STIM(206)CO    $0.00 $15,000.00
Subtotals For Project BRO-STIM(206)CO /22777(04) $822.90 $467,960.48