Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090456   Estimate Number: 0005 , Final     Spec Year: 1999
Primary JP: 26709(04)   Residency: SAND SPRINGS (08400)     Contract No: 411331
Date Created: 03/12/2012   Contractor FEI: 730703325     Account No: 400800

Project Number(s): STP-STIM(290)3R
Contract Description: RESURFACE (ASPHALT) US-60: BEGIN AT THE KAY COUNTY LINE, EXTEND EAST. PROJECT LENGTH = 4.44 MILES.
Primary County: OSAGE              
Name of Road: US-60              
Prime Contractor: EVANS & ASSOCIATES CONSTRUCTION CO., INC.           Time Charged: 345.00
    P. O. BOX 30           Time Allowed: 350.00
    PONCA CITY , OK   74602           Percent Time: 98.57 %

  Paid To Date: $1,183,438.86 Payable This Statement: $14,224.55

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.                                
EVANS & ASSOCIATES 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:    03/12/2012
Contract ID: 090456   Estimate Number: 0005     Contract No: 411331
Residency: SAND SPRINGS (08400)   Estimate Type: Final     Account No: 400800

Project Number(s): STP-STIM(290)3R
Primary Job Piece No: 26709(04)
Contract Description: RESURFACE (ASPHALT) US-60: BEGIN AT THE KAY COUNTY LINE, EXTEND EAST. PROJECT LENGTH = 4.44 MILES.
Primary County: OSAGE              
Name of Road: US-60              
Prime Contractor: EVANS & ASSOCIATES CONSTRUCTION CO., INC.              
    P. O. BOX 30              
    PONCA CITY , OK   74602              
Surety Company: MID-CONTINENT CASUALTY COMPANY              

Date Let: 05/14/2009 NTP Effective Date: 07/06/2009 Pay Period: 08/08/2009  TO  03/12/2012
Date Awarded: 05/19/2009 Date Work Began: 07/01/2009 Original Contract Time: 30
Date Contract Executed: 06/03/2009 Date Time Stopped: 02/07/2012 Current Time Charged: 345.00
Date NTP Issued: 06/05/2009 Completion Date: 02/07/2012 Current Time Allowed: 350.00
General Liability Expires: 05/01/2012 Workman's Comp Expires: 05/01/2012 Percent Time Used: 98.57 %
Specification Year: 1999        

Current Contract Amount: $1,198,053.61 Total to Date Prev to Date This Estimate
Bid Amount: $1,313,447.68 Participating: $1,184,053.63 $1,172,472.83 $11,580.80
Percent Complete: 98.78 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $14,614.75 Non ARRA: $14,000.00 $0.00 $14,000.00
Unearned Balance: $130,008.82 Total Earnings: $1,198,053.63 $1,172,472.83 $25,580.80
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $1,198,053.63 $1,172,472.83 $25,580.80
Other Adjustments: $-14,614.77 $-3,258.52 $-11,356.25
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $1,183,438.86 $1,169,214.31 $14,224.55

Estimate Adjustment Detail

Contract ID: 090456   Estimate Number: 0005     Primary JP: 26709(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Final Quauntity Change Order Approved 08/04/2010 0.0 $-140,974.87
002 Additional Items Approved 02/23/2012 0.0 $25,580.80


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
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
26709(04) 0002 (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) Asphalt Binder Adjustment 0001 0.00 $0.00 $-1,017.95
26709(04) 0002 (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) Asphalt Binder Adjustment 0002 0.00 $0.00 $-2.31
26709(04) 0002 (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) * HMA Deduction as per Sec. 411 0005 1.00 $-11,356.25 $-11,356.25
26709(04) 0006 TRAFFIC STRIPE(PLASTIC)(4" WIDE) * Material Discrepancy Adjustments 0002 -31,765.00 $0.38 $-12,070.70
26709(04) 0006 TRAFFIC STRIPE(PLASTIC)(4" WIDE) * Material Discrepancy Adjustments 0003 31,765.00 $0.38 $12,070.70
26709(04) 0007 TRAFFIC STRIPE(PLASTIC)(ARROWS) * Material Discrepancy Adjustments 0002 -8.00 $130.00 $-1,040.00
26709(04) 0007 TRAFFIC STRIPE(PLASTIC)(ARROWS) * Material Discrepancy Adjustments 0003 8.00 $130.00 $1,040.00
26709(04) 0012 (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) Asphalt Binder Adjustment 0001 0.00 $0.00 $-689.34
26709(04) 0012 (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) Asphalt Binder Adjustment 0002 0.00 $0.00 $-2.32
26709(04) 0015 TRAFFIC STRIPE(PLASTIC)(4" WIDE) * Material Discrepancy Adjustments 0002 -24,656.00 $0.38 $-9,369.28
26709(04) 0015 TRAFFIC STRIPE(PLASTIC)(4" WIDE) * Material Discrepancy Adjustments 0003 24,656.00 $0.38 $9,369.28
26709(04) 0016 TRAFFIC STRIPE(PLASTIC)(ARROWS) * Material Discrepancy Adjustments 0002 -4.00 $130.00 $-520.00
26709(04) 0016 TRAFFIC STRIPE(PLASTIC)(ARROWS) * Material Discrepancy Adjustments 0003 4.00 $130.00 $520.00
26709(04) 0019 (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) Asphalt Binder Adjustment 0001 0.00 $0.00 $-597.13
26709(04) 0019 (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) Asphalt Binder Adjustment 0002 0.00 $0.00 $-166.68
26709(04) 0020 TRAFFIC STRIPE(PLASTIC)(4" WIDE) * Material Discrepancy Adjustments 0002 -24,224.00 $0.38 $-9,205.12
26709(04) 0020 TRAFFIC STRIPE(PLASTIC)(4" WIDE) * Material Discrepancy Adjustments 0003 24,224.00 $0.38 $9,205.12
26709(04) 0021 TRAFFIC STRIPE(PLASTIC)(ARROWS) * Material Discrepancy Adjustments 0002 -4.00 $130.00 $-520.00
26709(04) 0021 TRAFFIC STRIPE(PLASTIC)(ARROWS) * Material Discrepancy Adjustments 0003 4.00 $130.00 $520.00
26709(04) 0024 (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) Asphalt Binder Adjustment 0001 0.00 $0.00 $-575.24
26709(04) 0024 (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) Asphalt Binder Adjustment 0002 0.00 $0.00 $-207.55
26709(04) 0025 TRAFFIC STRIPE(PLASTIC)(4" WIDE) * Material Discrepancy Adjustments 0002 -16,261.00 $0.38 $-6,179.18
26709(04) 0025 TRAFFIC STRIPE(PLASTIC)(4" WIDE) * Material Discrepancy Adjustments 0003 16,261.00 $0.38 $6,179.18
Subtotals For Line Item Adjustments $-14,614.77
* = 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: 090456   Estimate Number: 0005     Primary JP: 26709(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:    STP-STIM(290)3R Project:    26709(04) Category:    0100/ROADWAY STP-STIM(290)3R
0001 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 420.000 420.000   420.000 $20.68 $0.00 $8,685.60
0002 (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) 411(S4) 5950 TON 6,062.000 5,783.750 0.000 5,783.750 $58.32 $0.00 $337,308.30
0003 COLD MILLING PAVEMENT 417 5267 SY 1,478.000 3,238.910   3,238.910 $6.59 $0.00 $21,344.42
0004 BEAM GUARD RAIL-W-BEAM-SINGLE 623(A) 0932 LF 1,760.000 0.000   0.000 $15.06 $0.00 $0.00
0005 (SP)G.E.T. GUARD RAIL END SECTION 623(H) 8571 EA 4.000 0.000   0.000 $2,750.00 $0.00 $0.00
0006 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 39,328.000 36,466.000   36,466.000 $0.38 $0.00 $13,857.08
0007 TRAFFIC STRIPE(PLASTIC)(ARROWS) 855(B) 8818 EA 4.000 8.000   8.000 $130.00 $0.00 $1,040.00
0008 TRAFFIC STRIPE(PLASTIC)(WORDS) 855(B) 8821 EA 1.000 0.000   0.000 $160.00 $0.00 $0.00
0009 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $3,867.00 $0.00 $3,867.00
0010 TRAFFIC SURVEILLANCE, POLICE 880(L) 8911 HOUR 360.000 0.000   0.000 $115.00 $0.00 $0.00
8000 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 0.000 215.000 215.000 215.000 $20.68 $4,446.20 $4,446.20
Subtotals For Category     0100/ROADWAY STP-STIM(290)3R    $4,446.20 $390,548.60
Fed/State Project Number:    STP-STIM(290)3R Project:    26709(04) Category:    0101/ROADWAY ADD ALT 1 STP-STIM(290)3R
0011 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 300.000 300.000   300.000 $20.68 $0.00 $6,204.00
0012 (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) 411(S4) 5950 TON 4,144.000 3,920.980   3,920.980 $58.32 $0.00 $228,671.56
0013 BEAM GUARD RAIL-W-BEAM-SINGLE 623(A) 0932 LF 1,760.000 0.000   0.000 $15.06 $0.00 $0.00
0014 (SP)G.E.T. GUARD RAIL END SECTION 623(H) 8571 EA 4.000 0.000   0.000 $2,750.00 $0.00 $0.00
0015 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 26,000.000 23,818.000   23,818.000 $0.38 $0.00 $9,050.84
0016 TRAFFIC STRIPE(PLASTIC)(ARROWS) 855(B) 8818 EA 4.000 4.000   4.000 $130.00 $0.00 $520.00
0017 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $1,000.00 $0.00 $1,000.00
8001 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 0.000 230.000 230.000 230.000 $20.68 $4,756.40 $4,756.40
Subtotals For Category     0101/ROADWAY ADD ALT 1 STP-STIM(290)3R    $4,756.40 $250,202.80
Fed/State Project Number:    STP-STIM(290)3R Project:    26709(04) Category:    0102/ROADWAY ADD ALT 2 STP-STIM(290)3R
0018 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 300.000 300.000   300.000 $20.68 $0.00 $6,204.00
0019 (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) 411(S4) 5950 TON 4,201.000 4,329.990   4,329.990 $58.32 $0.00 $252,525.02
0020 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 26,000.000 21,928.000   21,928.000 $0.38 $0.00 $8,332.64
0021 TRAFFIC STRIPE(PLASTIC)(ARROWS) 855(B) 8818 EA 4.000 4.000   4.000 $130.00 $0.00 $520.00
0022 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $1,000.00 $0.00 $1,000.00
8002 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 0.000 25.000 25.000 25.000 $20.68 $517.00 $517.00
Subtotals For Category     0102/ROADWAY ADD ALT 2 STP-STIM(290)3R    $517.00 $269,098.66
Fed/State Project Number:    STP-STIM(290)3R Project:    26709(04) Category:    0103/ROADWAY ADD ALT 3 STP-STIM(290)3R
0023 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 309.000 309.000   309.000 $20.68 $0.00 $6,390.12
0024 (SP)ASPHALT CONCRETE TYPE S4(PG 76-28 OK) 411(S4) 5950 TON 4,555.000 4,437.580   4,437.580 $58.32 $0.00 $258,799.67
0025 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 26,877.000 16,391.000   16,391.000 $0.38 $0.00 $6,228.58
0026 TRAFFIC STRIPE(PLASTIC)(ARROWS) 855(B) 8818 EA 4.000 0.000   0.000 $130.00 $0.00 $0.00
0027 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $924.00 $0.00 $924.00
8003 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 0.000 90.000 90.000 90.000 $20.68 $1,861.20 $1,861.20
Subtotals For Category     0103/ROADWAY ADD ALT 3 STP-STIM(290)3R    $1,861.20 $274,203.57
Fed/State Project Number:    STP-STIM(290)3R Project:    26709(04) Category:    0850/NON ARRA FUNDING
8004 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 0.000 1.000 1.000 1.000 $5,500.00 $5,500.00 $5,500.00
8005 MOBILIZATION 641 1399 LSUM 0.000 1.000 1.000 1.000 $8,500.00 $8,500.00 $8,500.00
Subtotals For Category     0850/NON ARRA FUNDING    $14,000.00 $14,000.00
Fed/State Project Number:    STP-STIM(290)3R Project:    26709(04) Category:    0900/FEDERAL FUNDING NON PARTICIPATING
Subtotals For Category     0900/FEDERAL FUNDING NON PARTICIPATING    $0.00 $0.00
Subtotals For Project STP-STIM(290)3R /26709(04) $25,580.80 $1,198,053.63