Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090493   Estimate Number: 0007 , Final     Spec Year: 1999
Primary JP: 26728(04)   Residency: STILLWATER (04500)     Contract No: 510211
Date Created: 07/07/2010   Contractor FEI: 730655143     Account No: 400400

Project Number(s): STP-STIM(300)AG, STP-STIM(309)AG
Contract Description: RESURFACE (ASPHALT) COUNTY ROAD: COUNTY LINE RD (NS-299) FROM SEWARD RD, EXT N. PENNSYLVANIA AVE (NS-306): FROM WATERLOO RD, EXT N. PROJECT LENGTH = 2.55 MILES
Primary County: LOGAN              
Name of Road: COUNTY ROAD              
Prime Contractor: ATLAS PAVING CO., INC.           Time Charged: 138.00
    P. O. BOX 75727           Time Allowed: 141.00
    OKLAHOMA CITY , OK   73147           Percent Time: 97.87 %

  Paid To Date: $624,168.02 Payable This Statement: $-27.57

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.                                
ATLAS PAVING 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:    07/07/2010
Contract ID: 090493   Estimate Number: 0007     Contract No: 510211
Residency: STILLWATER (04500)   Estimate Type: Final     Account No: 400400

Project Number(s): STP-STIM(300)AG, STP-STIM(309)AG
Primary Job Piece No: 26728(04)
Contract Description: RESURFACE (ASPHALT) COUNTY ROAD: COUNTY LINE RD (NS-299) FROM SEWARD RD, EXT N. PENNSYLVANIA AVE (NS-306): FROM WATERLOO RD, EXT N. PROJECT LENGTH = 2.55 MILES
Primary County: LOGAN              
Name of Road: COUNTY ROAD              
Prime Contractor: ATLAS PAVING CO., INC.              
    P. O. BOX 75727              
    OKLAHOMA CITY , OK   73147              
Surety Company: OHIO CASUALTY INSURANCE COMPANY (OKC)              

Date Let: 07/23/2009 NTP Effective Date: 09/28/2009 Pay Period: 04/02/2010  TO  05/25/2010
Date Awarded: 08/03/2009 Date Work Began: 09/28/2009 Original Contract Time: 75
Date Contract Executed: 08/18/2009 Date Time Stopped: 02/12/2010 Current Time Charged: 138.00
Date NTP Issued: 08/26/2009 Completion Date: 02/12/2010 Current Time Allowed: 141.00
General Liability Expires: 04/01/2011 Workman's Comp Expires: 04/01/2011 Percent Time Used: 97.87 %
Specification Year: 1999        

Current Contract Amount: $624,168.27 Total to Date Prev to Date This Estimate
Bid Amount: $626,398.50 Participating: $625,071.05 $625,098.62 $-27.57
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $0.25 Non ARRA: $-903.03 $0.00 $-903.03
Unearned Balance: $2,230.48 Total Earnings: $624,168.02 $625,098.62 $-930.60
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $624,168.02 $625,098.62 $-930.60
Other Adjustments: $0.00 $-903.03 $903.03
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $624,168.02 $624,195.59 $-27.57

Estimate Adjustment Detail

Contract ID: 090493   Estimate Number: 0007     Primary JP: 26728(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Add Traffic Stripe (Plastic)(Thin Line)(4" Wide) Approved 02/17/2010 0.0 $-0.03
002 Deduction for Failing Material & Asph Binder Adj Approved 04/02/2010 0.0 $-903.03
003 Final Contract Item Quantities Approved 05/19/2010 0.0 $-1,327.17


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
26728(04) 0005 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0004 0.00 $0.00 $25.54
26728(04) 0005 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0005 0.00 $0.00 $119.52
26728(04) 0005 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) * Asphalt Binder Adjustment 0007 0.00 $0.00 $-145.06
26728(04) 0006 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0005 0.00 $0.00 $1,025.39
26728(04) 0006 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) * Asphalt Binder Adjustment 0007 0.00 $0.00 $-1,025.39
26737(04) 0014 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0002 0.00 $0.00 $403.94
26737(04) 0014 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) * Material Discrepancy Adjustments 0002 0.00 $0.00 $-2,907.19
26737(04) 0014 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) * Material Discrepancy Adjustments 0003 0.00 $0.00 $-1,487.23
26737(04) 0014 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0003 0.00 $0.00 $676.71
26737(04) 0014 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) * Material Discrepancy Adjustments 0007 0.00 $0.00 $4,394.42
26737(04) 0014 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) * Asphalt Binder Adjustment 0007 0.00 $0.00 $-1,080.65
26737(04) 0015 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0003 0.00 $0.00 $746.79
26737(04) 0015 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) * Asphalt Binder Adjustment 0007 0.00 $0.00 $-746.79
26737(04) 0019 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0002 0.00 $0.00 $131.17
26737(04) 0019 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) * Asphalt Binder Adjustment 0007 0.00 $0.00 $-131.17
26737(04) 0020 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0003 0.00 $0.00 $94.32
26737(04) 0020 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) * Asphalt Binder Adjustment 0007 0.00 $0.00 $-94.32
26737(04) 0023 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0002 0.00 $0.00 $157.70
26737(04) 0023 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) * Asphalt Binder Adjustment 0007 0.00 $0.00 $-157.70
26737(04) 0024 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0003 0.00 $0.00 $110.31
26737(04) 0024 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) * Asphalt Binder Adjustment 0007 0.00 $0.00 $-110.31
Subtotals For Line Item Adjustments $0.00
* = 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: 090493   Estimate Number: 0007     Primary JP: 26728(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(300)AG Project:    26728(04) Category:    0100/ROADWAY STP-STIM(300)AG
0001 UNCLASSIFIED BORROW 202(C) 0184 CY 500.000 500.000   500.000 $4.00 $0.00 $2,000.00
0002 TEMPORARY SILT FENCE 223 2801 LF 500.000 0.000   0.000 $1.00 $0.00 $0.00
0003 SOLID SLAB SODDING 230(A) 2806 SY 2,347.000 2,632.500 0.010 2,632.500 $2.00 $0.02 $5,265.00
0004 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 50.000 49.240   49.240 $35.00 $0.00 $1,723.40
0005 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) 411(S3) 6210 TON 300.000 378.460 0.000 378.460 $70.00 $0.00 $26,492.20
0006 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) 411(S4) 5960 TON 2,385.000 2,341.080 0.000 2,341.080 $60.25 $0.00 $141,050.07
0007 TRAFFIC STRIPE(PLASTIC)(THIN-LINE)(4" WIDE) 855(A) 8815 LF 10,560.000 4,435.000 -91.960 4,435.000 $0.30 $-27.59 $1,330.50
0008 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $1,400.00 $0.00 $1,400.00
Subtotals For Category     0100/ROADWAY STP-STIM(300)AG    $-27.57 $179,261.17
Fed/State Project Number:    STP-STIM(300)AG Project:    26728(04) Category:    0850/Non ARRA Funding
8002 ASPHALT BINDER PRICE ADJUSTMENT 109 1150 LSUM 0.000 1.000 1.000 1.000 $1,170.45 $1,170.45 $1,170.45
Subtotals For Category     0850/Non ARRA Funding    $1,170.45 $1,170.45
Subtotals For Project STP-STIM(300)AG /26728(04) $1,142.88 $180,431.62


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(309)AG Project:    26737(04) Category:    0100/ROADWAY STP-STIM(309)AG
0009 UNCLASSIFIED BORROW 202(C) 0184 CY 600.000 0.000   0.000 $5.00 $0.00 $0.00
0010 TEMPORARY SILT FENCE 223 2801 LF 500.000 0.000   0.000 $2.00 $0.00 $0.00
0011 (SP)FLY ASH 327(A) 4200 TON 830.000 677.575 0.000 677.570 $54.80 $0.00 $37,130.84
0012 (SP)CEMENTITIOUS STABILIZED SUBGRADE 327(E) 4240 SY 20,625.000 20,687.330   20,687.330 $1.85 $0.00 $38,271.56
0013 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 270.000 925.000   925.000 $35.00 $0.00 $32,375.00
0014 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) 411(S3) 6210 TON 2,900.000 2,819.340 0.000 2,819.340 $49.00 $0.00 $138,147.66
0015 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) 411(S4) 5960 TON 1,750.000 1,705.000 0.000 1,705.000 $61.50 $0.00 $104,857.50
0016 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $1,690.00 $0.00 $1,690.00
8000 TRAFFIC STR.(PLAST.)(THIN-LINE)(4" WIDE) 855(A) 8815 LF 0.000 13,831.000   13,831.000 $0.30 $0.00 $4,149.30
Subtotals For Category     0100/ROADWAY STP-STIM(309)AG    $0.00 $356,621.86
Fed/State Project Number:    STP-STIM(309)AG Project:    26737(04) Category:    0101/ADD ALT 1 STP-STIM(309)AG
0017 (SP)FLY ASH 327(A) 4200 TON 110.000 99.270   99.270 $54.80 $0.00 $5,440.00
0018 (SP)CEMENTITIOUS STABILIZED SUBGRADE 327(E) 4240 SY 2,660.000 2,669.330   2,669.330 $1.85 $0.00 $4,938.26
0019 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) 411(S3) 6210 TON 375.000 342.200 0.000 342.200 $49.00 $0.00 $16,767.80
0020 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) 411(S4) 5960 TON 230.000 215.350 0.000 215.350 $61.50 $0.00 $13,244.03
Subtotals For Category     0101/ADD ALT 1 STP-STIM(309)AG    $0.00 $40,390.09
Fed/State Project Number:    STP-STIM(309)AG Project:    26737(04) Category:    0102/ADD ALT 2 STP-STIM(309)AG
0021 (SP)FLY ASH 327(A) 4200 TON 135.000 100.750   100.750 $54.80 $0.00 $5,521.10
0022 (SP)CEMENTITIOUS STABILIZED SUBGRADE 327(E) 4240 SY 3,330.000 2,987.830   2,987.830 $1.85 $0.00 $5,527.49
0023 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) 411(S3) 6210 TON 470.000 411.440 0.000 411.440 $49.00 $0.00 $20,160.56
0024 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) 411(S4) 5960 TON 285.000 251.850 0.000 251.850 $61.50 $0.00 $15,488.78
Subtotals For Category     0102/ADD ALT 2 STP-STIM(309)AG    $0.00 $46,697.93
Fed/State Project Number:    STP-STIM(309)AG Project:    26737(04) Category:    0640/MOBILIZATION STP-STIM(309)AG
0025 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $2,100.00 $0.00 $2,100.00
Subtotals For Category     0640/MOBILIZATION STP-STIM(309)AG    $0.00 $2,100.00
Fed/State Project Number:    STP-STIM(309)AG Project:    26737(04) Category:    0850/Non ARRA Funding
8003 DEDUCTION FOR FAILING MATERIAL 105 2100 LSUM 0.000 -1.000 -1.000 -1.000 $4,394.42 $-4,394.42 $-4,394.42
8004 ASPHALT BINDER PRICE ADJUSTMENT 109 1150 LSUM 0.000 1.000 1.000 1.000 $2,320.94 $2,320.94 $2,320.94
Subtotals For Category     0850/Non ARRA Funding    $-2,073.48 $-2,073.48
Subtotals For Project STP-STIM(309)AG /26737(04) $-2,073.48 $443,736.40