Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090461   Estimate Number: 0017 , Final     Spec Year: 1999
Primary JP: 26712(04)   Residency: SAND SPRINGS (08400)     Contract No: 411310
Date Created: 09/19/2011   Contractor FEI: 430995985     Account No: 400800

Project Number(s): STP-STIM(293)3R, NH-STIM(294)3R
Contract Description: RESURFACE (CONCRETE) US-64: BEGIN AT SH-99 JUNCTION, EXTEND EAST. US-64/US-412: BEGIN AT JUNCTION SH-48, EXTEND EAST. PROJECT LENGTH = 14.35 MILES.
Primary County: PAWNEE              
Name of Road: US-64/US-412              
Prime Contractor: CHESTER BROSS CONSTRUCTION COMPANY/C.B. EQUIPMENT, INC.           Time Charged: 403.00
    6739 COUNTY ROAD 423           Time Allowed: 415.00
    PALMYRA , KS   63461           Percent Time: 97.11 %

  Paid To Date: $3,766,421.61 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.                                
CHESTER BROSS CONSTRUCTION COMPANY/C.B. EQUIPMENT, 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:    09/19/2011
Contract ID: 090461   Estimate Number: 0017     Contract No: 411310
Residency: SAND SPRINGS (08400)   Estimate Type: Final     Account No: 400800

Project Number(s): STP-STIM(293)3R, NH-STIM(294)3R
Primary Job Piece No: 26712(04)
Contract Description: RESURFACE (CONCRETE) US-64: BEGIN AT SH-99 JUNCTION, EXTEND EAST. US-64/US-412: BEGIN AT JUNCTION SH-48, EXTEND EAST. PROJECT LENGTH = 14.35 MILES.
Primary County: PAWNEE              
Name of Road: US-64/US-412              
Prime Contractor: CHESTER BROSS CONSTRUCTION COMPANY/C.B. EQUIPMENT, INC.              
    6739 COUNTY ROAD 423              
    PALMYRA , KS   63461              
Surety Company: WESTERN SURETY COMPANY              

Date Let: 05/14/2009 NTP Effective Date: 08/17/2009 Pay Period: 07/01/2011  TO  08/02/2011
Date Awarded: 05/19/2009 Date Work Began: 08/17/2009 Original Contract Time: 120
Date Contract Executed: 06/08/2009 Date Time Stopped: 09/23/2010 Current Time Charged: 403.00
Date NTP Issued: 07/17/2009 Completion Date: 09/23/2010 Current Time Allowed: 415.00
General Liability Expires: 08/01/2012 Workman's Comp Expires: 08/01/2012 Percent Time Used: 97.11 %
Specification Year: 1999        

Current Contract Amount: $3,784,543.68 Total to Date Prev to Date This Estimate
Bid Amount: $3,423,787.70 Participating: $3,747,985.93 $3,747,985.93 $0.00
Percent Complete: 99.52 % Non Participating: $36,557.76 $36,557.76 $0.00
Funds Available: $18,122.07 Non ARRA: $0.00 $0.00 $0.00
Unearned Balance: $-342,633.91 Total Earnings: $3,784,543.69 $3,784,543.69 $0.00
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $3,784,543.69 $3,784,543.69 $0.00
Other Adjustments: $-18,122.08 $-18,122.08 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $3,766,421.61 $3,766,421.61 $0.00

Estimate Adjustment Detail

Contract ID: 090461   Estimate Number: 0017     Primary JP: 26712(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Time adjustment Approved 02/11/2010 44.0 $0.00
002 Portable Tr. Signal Approved 02/11/2010 0.0 $26,255.48
003 Additional Quantity Approved 03/02/2010 0.0 $311,805.00
004 TBSC 'E' Approved 06/07/2010 0.0 $9,375.00
005 Stripe removal Approved 08/11/2010 0.0 $960.00
006 Final Quantity Change Order Approved 08/01/2011 0.0 $12,360.50


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
Withhold to Funds Avail(Prog. Est. Only) 0015 $-3,416.94
Withhold to Funds Avail(Prog. Est. Only) 0016 $3,416.94
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
26712(04) 0005 CONCRETE JOINT REHABILITATION * Material Discrepancy Adjustments 0013 -50,000.00 $0.79 $-39,500.00
26712(04) 0005 CONCRETE JOINT REHABILITATION * Material Discrepancy Adjustments 0015 50,000.00 $0.79 $39,500.00
26712(04) 0008 TRAFFIC STRIPE(PLASTIC)(4" WIDE) * Material Discrepancy Adjustments 0014 -50,000.00 $0.51 $-25,500.00
26712(04) 0008 TRAFFIC STRIPE(PLASTIC)(4" WIDE) * Material Discrepancy Adjustments 0015 50,000.00 $0.51 $25,500.00
26712(04) 0009 TRAFFIC STRIPE(PLASTIC)(ARROWS) * Material Discrepancy Adjustments 0014 -4.00 $67.80 $-271.20
26712(04) 0009 TRAFFIC STRIPE(PLASTIC)(ARROWS) * Material Discrepancy Adjustments 0015 4.00 $67.80 $271.20
26712(04) 0010 TRAFFIC STRIPE(PLASTIC)(WORDS) * Material Discrepancy Adjustments 0014 -2.00 $113.00 $-226.00
26712(04) 0010 TRAFFIC STRIPE(PLASTIC)(WORDS) * Material Discrepancy Adjustments 0015 2.00 $113.00 $226.00
26712(04) 0011 CONSTRUCTION TRAFFIC CONTROL * Material Discrepancy Adjustments 0005 -0.30 $36,000.00 $-10,800.00
26712(04) 0011 CONSTRUCTION TRAFFIC CONTROL * Material Discrepancy Adjustments 0006 -0.10 $36,000.00 $-3,600.00
26712(04) 0011 CONSTRUCTION TRAFFIC CONTROL * Material Discrepancy Adjustments 0007 0.40 $36,000.00 $14,400.00
26712(04) 0014 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0013 0.00 $0.00 $8,127.92
26712(04) 0014 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) * Asphalt Binder Adjustment 0016 1.00 $17.08 $17.08
26712(04) 0014 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) * HMA Deduction as per Sec. 411 0016 1.00 $-26,250.00 $-26,250.00
26712(04) 0014 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0016 -2.11 $8.09 $-17.08
26713(04) 0019 CONCRETE JOINT REHABILITATION * Material Discrepancy Adjustments 0013 20,000.00 $0.79 $15,800.00
26713(04) 0019 CONCRETE JOINT REHABILITATION * Material Discrepancy Adjustments 0015 -20,000.00 $0.79 $-15,800.00
26713(04) 0022 TRAFFIC STRIPE(PLASTIC)(4" WIDE) * Material Discrepancy Adjustments 0014 -60,000.00 $0.50 $-30,000.00
26713(04) 0022 TRAFFIC STRIPE(PLASTIC)(4" WIDE) * Material Discrepancy Adjustments 0015 60,000.00 $0.50 $30,000.00
26713(04) 0023 CONSTRUCTION TRAFFIC CONTROL * Material Discrepancy Adjustments 0005 -0.30 $24,500.00 $-7,350.00
26713(04) 0023 CONSTRUCTION TRAFFIC CONTROL * Material Discrepancy Adjustments 0006 -0.30 $24,500.00 $-7,350.00
26713(04) 0023 CONSTRUCTION TRAFFIC CONTROL * Material Discrepancy Adjustments 0007 0.60 $24,500.00 $14,700.00
Subtotals For Line Item Adjustments $-18,122.08
* = 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: 090461   Estimate Number: 0017     Primary JP: 26712(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(293)3R Project:    26712(04) Category:    0100/ROADWAY STP-STIM(293)3R
0001 AGGREGATE BASE 303 0192 CY 290.000 0.000   0.000 $54.50 $0.00 $0.00
0002 (PL)CRACK SEALING P.C.PAVEMENT 414 5169 LF 2,000.000 756.000   756.000 $1.13 $0.00 $854.28
0003 H.E.S. CONCRETE (FULL DEPTH PATCHING) 414(B) 5913 SY 1,700.000 2,912.800   2,912.800 $146.00 $0.00 $425,268.80
0004 COLD MILLING PAVEMENT 417 5267 SY 11,060.000 10,544.000   10,544.000 $1.53 $0.00 $16,132.32
0005 CONCRETE JOINT REHABILITATION 419 4152 LF 187,500.000 103,238.000   103,238.000 $0.79 $0.00 $81,558.02
0006 DIAMOND GRINDING CONCRETE PAVEMENT 425 5195 SY 109,900.000 105,610.450   105,610.450 $2.52 $0.00 $266,138.33
0007 DOWEL BAR RETROFIT 436 0100 EA 32,050.000 28,326.000   28,326.000 $25.35 $0.00 $718,064.10
0008 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 92,000.000 132,624.000   132,624.000 $0.51 $0.00 $67,638.24
0009 TRAFFIC STRIPE(PLASTIC)(ARROWS) 855(B) 8818 EA 6.000 8.000   8.000 $67.80 $0.00 $542.40
0010 TRAFFIC STRIPE(PLASTIC)(WORDS) 855(B) 8821 EA 3.000 2.000   2.000 $113.00 $0.00 $226.00
0011 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $36,000.00 $0.00 $36,000.00
0012 TRAFFIC SURVEILLANCE, POLICE 880(L) 8911 HOUR 360.000 0.000   0.000 $67.85 $0.00 $0.00
0013 PORT.CHANGEABLE MESSAGE SIGN 882(B) 8306 SD 120.000 0.000   0.000 $28.25 $0.00 $0.00
Subtotals For Category     0100/ROADWAY STP-STIM(293)3R    $0.00 $1,612,422.49
Fed/State Project Number:    STP-STIM(293)3R Project:    26712(04) Category:    0101/ROADWAY - ADD ALT STP-STIM(293)
0014 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) 411(S4) 5960 TON 6,690.000 6,434.420   6,434.420 $75.00 $0.00 $482,581.50
0015 COLD MILLING PAVEMENT 417 5267 SY 79,200.000 78,944.440   78,944.440 $1.10 $0.00 $86,838.89
Subtotals For Category     0101/ROADWAY - ADD ALT STP-STIM(293)    $0.00 $569,420.39
Fed/State Project Number:    STP-STIM(293)3R Project:    26712(04) Category:    0900/Federal Non Participating
8000 (PL)PORTABLE TRAFFIC SIGNAL SYSTEM 823 8478 SD 0.000 34.000   34.000 $772.22 $0.00 $26,255.48
8001 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 0.000 373.720   373.720 $25.00 $0.00 $9,343.00
8002 PAVEMENT MRKNG.REMOVAL(TRAF.STRP) 859(A) 8006 LF 0.000 3,997.000   3,997.000 $0.24 $0.00 $959.28
Subtotals For Category     0900/Federal Non Participating    $0.00 $36,557.76
Subtotals For Project STP-STIM(293)3R /26712(04) $0.00 $2,218,400.64


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:    NH-STIM(294)3R Project:    26713(04) Category:    0100/ROADWAY NH-STIM(294)3R
0016 AGGREGATE BASE 303 0192 CY 600.000 0.000   0.000 $52.75 $0.00 $0.00
0017 (PL)CRACK SEALING P.C.PAVEMENT 414 5169 LF 1,000.000 177.000   177.000 $1.13 $0.00 $200.01
0018 H.E.S. CONCRETE (FULL DEPTH PATCHING) 414(B) 5913 SY 3,100.000 3,329.910   3,329.910 $133.00 $0.00 $442,878.03
0019 CONCRETE JOINT REHABILITATION 419 4152 LF 12,840.000 96,485.000   96,485.000 $0.79 $0.00 $76,223.15
0020 DIAMOND GRINDING CONCRETE PAVEMENT 425 5195 SY 95,000.000 94,133.340   94,133.340 $3.25 $0.00 $305,933.36
0021 DOWEL BAR RETROFIT 436 0100 EA 14,400.000 26,700.000   26,700.000 $25.35 $0.00 $676,845.00
0022 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 95,000.000 75,737.000   75,737.000 $0.50 $0.00 $37,868.50
0023 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $24,500.00 $0.00 $24,500.00
0024 PORT.CHANGEABLE MESSAGE SIGN 882(B) 8306 SD 60.000 60.000   60.000 $28.25 $0.00 $1,695.00
Subtotals For Category     0100/ROADWAY NH-STIM(294)3R    $0.00 $1,566,143.05
Fed/State Project Number:    NH-STIM(294)3R Project:    26713(04) Category:    0900/Federal Non Participating
Subtotals For Category     0900/Federal Non Participating    $0.00 $0.00
Subtotals For Project NH-STIM(294)3R /26713(04) $0.00 $1,566,143.05