Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090504   Estimate Number: 0008 , Final     Spec Year: 1999
Primary JP: 26730(04)   Residency: PURCELL (03200)     Contract No: 510204
Date Created: 07/07/2011   Contractor FEI: 730731258     Account No: 432300

Project Number(s): STP-STIM(302)AG, STP-STIM(401)AG, STP-STIM(407)AG
Contract Description: RESURFACE (ASPHALT) CITY STREETS: AT VARIOUS LOCATIONS IN CLEVELAND COUNTY. PROJECT LENGTH = 11.09 MILES.
Primary County: CLEVELAND              
Name of Road: CITY STREET              
Prime Contractor: HASKELL LEMON CONSTRUCTION CO.           Time Charged: N/A
    P. O. BOX 75608           Time Allowed: N/A
    OKLAHOMA CITY , OK   73147-0608           Percent Time: N/A

  Paid To Date: $2,608,664.71 Payable This Statement: $224.70

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.                                
HASKELL LEMON CONSTRUCTION CO.                               
 
_________________________________________________
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:    07/07/2011
Contract ID: 090504   Estimate Number: 0008     Contract No: 510204
Residency: PURCELL (03200)   Estimate Type: Final     Account No: 432300

Project Number(s): STP-STIM(302)AG, STP-STIM(401)AG, STP-STIM(407)AG
Primary Job Piece No: 26730(04)
Contract Description: RESURFACE (ASPHALT) CITY STREETS: AT VARIOUS LOCATIONS IN CLEVELAND COUNTY. PROJECT LENGTH = 11.09 MILES.
Primary County: CLEVELAND              
Name of Road: CITY STREET              
Prime Contractor: HASKELL LEMON CONSTRUCTION CO.              
    P. O. BOX 75608              
    OKLAHOMA CITY , OK   73147-0608              
Surety Company: WESTERN SURETY COMPANY              

Date Let: 07/23/2009 NTP Effective Date: 10/30/2009 Pay Period: 06/01/2011  TO  07/07/2011
Date Awarded: 08/03/2009 Date Work Began: 08/31/2009 Original Contract Time: N/A
Date Contract Executed: 08/12/2009 Date Time Stopped: 04/23/2010 Current Time Charged: N/A
Date NTP Issued: 08/12/2009 Completion Date: 04/23/2010 Current Time Allowed: N/A
General Liability Expires: 07/01/2012 Workman's Comp Expires: 07/01/2012 Percent Time Used: N/A
Specification Year: 1999 FIXED COMPLETION DATE: 04/23/2010    

Current Contract Amount: $2,611,722.24 Total to Date Prev to Date This Estimate
Bid Amount: $2,628,774.00 Participating: $2,599,811.76 $2,599,587.06 $224.70
Percent Complete: 99.88 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $3,057.53 Non ARRA: $0.00 $0.00 $0.00
Unearned Balance: $20,109.29 Total Earnings: $2,599,811.76 $2,599,587.06 $224.70
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $2,599,811.76 $2,599,587.06 $224.70
Other Adjustments: $8,852.95 $8,852.95 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $2,608,664.71 $2,608,440.01 $224.70

Estimate Adjustment Detail

Contract ID: 090504   Estimate Number: 0008     Primary JP: 26730(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Add line item for Pavement Smoothness Approved 12/08/2009 0.0 $33,646.15
002 Adjust "to be completed by" date Approved 09/16/2010 174.0 $0.00
003 CO FINALALIZING CONNTRACT ITEMS QUANTITIES Approved 05/02/2011 0.0 $-62,833.09
004 ASPHALT BINDER ADJUSTMENT Approved 05/23/2011 0.0 $11,910.48
005 CHANGE ORDER TO ADD NEW PAY ITEM Approved 07/07/2011 0.0 $224.70


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 0004 -30.0 $750.00 $-22,500.00
System Application of Liquidated Damages 0005 -105 $750.00 $-78,750.00
System Application of Liquidated Damages 0007 --30 $750.00 $22,500.00
System Application of Liquidated Damages 0007 --105 $750.00 $78,750.00


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
26730(04) 0004 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0002 0.00 $0.00 $2,885.92
26730(04) 0004 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0006 131.86 $4.27 $564.10
26730(04) 0008 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0002 0.00 $0.00 $80.45
26730(04) 0009 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0002 0.00 $0.00 $1,317.43
26739(04) 0013 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0002 0.00 $0.00 $20.86
26739(04) 0013 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0004 0.00 $0.00 $161.62
26739(04) 0014 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0003 0.00 $0.00 $130.14
26739(04) 0014 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * QAQC 0004 0.00 $0.00 $-32.60
26739(04) 0014 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0004 0.00 $0.00 $1,572.76
26739(04) 0014 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * QAQC 0006 0.00 $0.00 $-141.43
26739(04) 0021 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0004 0.00 $0.00 $461.85
26739(04) 0024 4" CONCRETE SIDEWALK * COMPRESSIVE STRENGTH 0003 0.00 $0.00 $-42.30
26739(04) 0024 4" CONCRETE SIDEWALK * COMPRESSIVE STRENGTH 0004 0.00 $0.00 $-15.55
26739(04) 0024 4" CONCRETE SIDEWALK * COMPRESSIVE STRENGTH 0006 0.00 $0.00 $-81.65
26745(04) 0029 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0002 0.00 $0.00 $73.85
26745(04) 0029 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0004 0.00 $0.00 $16.36
26745(04) 0029 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0006 16.57 $3.74 $62.03
26745(04) 0030 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * QAQC 0002 0.00 $0.00 $-2,800.00
26745(04) 0030 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * QAQC 0002 0.00 $0.00 $-1,568.00
26745(04) 0030 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0002 0.00 $0.00 $1,568.31
26745(04) 0030 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * QAQC 0003 0.00 $0.00 $588.00
26745(04) 0030 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * QAQC 0003 0.00 $0.00 $2,800.00
26745(04) 0030 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * QAQC 0003 0.00 $0.00 $-1,764.00
26745(04) 0030 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0004 0.00 $0.00 $2,994.80
Subtotals For Line Item Adjustments $8,852.95
* = 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: 090504   Estimate Number: 0008     Primary JP: 26730(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(302)AG Project:    26730(04) Category:    0100/ROADWAY CLEVELAND COUNTY - STP-STIM(302)AG
0001 TRAFFIC BOUND SURFACE COURSE TYPE A 403(A) 0217 TON 50.000 49.370   49.370 $50.00 $0.00 $2,468.50
0002 TACK COAT 407 0250 GAL 2,640.000 2,172.340   2,172.340 $2.00 $0.00 $4,344.68
0003 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) 411(S3) 6210 TON 550.000 0.000   0.000 $80.00 $0.00 $0.00
0004 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 5,914.000 6,720.720   6,720.720 $67.00 $0.00 $450,288.24
0005 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 84,480.000 72,661.000   72,661.000 $0.40 $0.00 $29,064.40
8000 PAVEMENT/BRIDGE SMOOTHNESS ADJUSTMENT 430 5015 EA 0.000 3,757.150   3,757.150 $1.00 $0.00 $3,757.15
8003 ASPHALT BINDER PRICE ADJUSTMENT 109 1150 LSUM 0.000 1.000   0.000 $4,847.90 $0.00 $0.00
Subtotals For Category     0100/ROADWAY CLEVELAND COUNTY - STP-STIM(302)AG    $0.00 $489,922.97
Fed/State Project Number:    STP-STIM(302)AG Project:    26730(04) Category:    0101/ROADWAY SLAUGHTERVILLE - STP-STIM(302)AG
0006 TRAFFIC BOUND SURFACE COURSE TYPE A 403(A) 0217 TON 20.000 23.860   23.860 $50.00 $0.00 $1,193.00
0007 TACK COAT 407 0250 GAL 1,320.000 1,341.700   1,341.700 $2.00 $0.00 $2,683.40
0008 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) 411(S3) 6210 TON 275.000 209.890   209.890 $80.00 $0.00 $16,791.20
0009 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 2,950.000 3,007.840   3,007.840 $67.00 $0.00 $201,525.28
0010 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 42,240.000 36,693.000   36,693.000 $0.40 $0.00 $14,677.20
Subtotals For Category     0101/ROADWAY SLAUGHTERVILLE - STP-STIM(302)AG    $0.00 $236,870.08
Fed/State Project Number:    STP-STIM(302)AG Project:    26730(04) Category:    0640/CONSTRUCTION - STP-STIM(302)AG
0011 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $3,000.00 $0.00 $3,000.00
Subtotals For Category     0640/CONSTRUCTION - STP-STIM(302)AG    $0.00 $3,000.00
Subtotals For Project STP-STIM(302)AG /26730(04) $0.00 $729,793.05


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(401)AG Project:    26739(04) Category:    0100/ROADWAY - STP-STIM(401)AG
0012 TACK COAT 407 0250 GAL 5,584.000 2,174.080   2,174.080 $2.00 $0.00 $4,348.16
0013 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) 411(S3) 6210 TON 122.000 476.090   476.090 $80.00 $0.00 $38,087.20
0014 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 4,170.000 3,887.900   3,887.900 $70.00 $0.00 $272,153.00
0015 COLD MILLING PAVEMENT 417 5267 SY 37,230.000 34,156.300   34,156.300 $0.80 $0.00 $27,325.04
0016 4" CONCRETE SIDEWALK 610(A) 0602 SY 828.000 1,179.440   1,179.440 $50.00 $0.00 $58,972.00
0017 (PL)TACTILE WARNING DEVICE-NEW 610(I) 4610 SF 560.000 500.000   500.000 $20.00 $0.00 $10,000.00
0018 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 15,000.000 13,728.000   13,728.000 $0.45 $0.00 $6,177.60
0019 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $5,000.00 $0.00 $5,000.00
8002 PAVEMENT/BRIDGE SMOOTHNESS ADJUSTMENT 430 5015 EA 0.000 13,725.130   13,725.130 $1.00 $0.00 $13,725.13
8004 ASPHALT BINDER PRICE ADJUSTMENT 109 1150 LSUM 0.000 1.000   0.000 $2,347.23 $0.00 $0.00
Subtotals For Category     0100/ROADWAY - STP-STIM(401)AG    $0.00 $435,788.13
Fed/State Project Number:    STP-STIM(401)AG Project:    26739(04) Category:    0101/ADD ALTERNATE NE 12TH STREET - STP-STIM(401)AG
0020 TACK COAT 407 0250 GAL 1,512.000 295.130   295.130 $2.00 $0.00 $590.26
0021 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 1,127.000 1,054.460   1,054.460 $70.00 $0.00 $73,812.20
0022 H.E.S. CONCRETE (FULL DEPTH PATCHING) 414(B) 5913 SY 1,450.000 728.150   728.150 $70.00 $0.00 $50,970.50
0023 COLD MILLING PAVEMENT 417 5267 SY 10,059.000 9,800.000   9,800.000 $0.80 $0.00 $7,840.00
0024 4" CONCRETE SIDEWALK 610(A) 0602 SY 247.000 343.650   343.650 $50.00 $0.00 $17,182.50
0025 (PL)TACTILE WARNING DEVICE-NEW 610(I) 4610 SF 230.000 440.000   440.000 $20.00 $0.00 $8,800.00
0026 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 4,700.000 4,614.000   4,614.000 $0.45 $0.00 $2,076.30
0027 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $1,000.00 $0.00 $1,000.00
8006 H.E.S. CONCRETE (FULL DEPTH PATCHING) 414(B) 5913 SY 0.000 3.210 3.210 3.210 $70.00 $224.70 $224.70
Subtotals For Category     0101/ADD ALTERNATE NE 12TH STREET - STP-STIM(401)AG    $224.70 $162,496.46
Subtotals For Project STP-STIM(401)AG /26739(04) $224.70 $598,284.59


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(407)AG Project:    26745(04) Category:    0100/ROADWAY - STP-STIM(407)AG
0028 TACK COAT 407 0250 GAL 3,965.000 4,071.410   4,071.410 $2.00 $0.00 $8,142.82
0029 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) 411(S3) 6210 TON 290.000 251.920   251.920 $80.00 $0.00 $20,153.60
0030 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 11,050.000 10,418.050   10,418.050 $70.00 $0.00 $729,263.50
0031 H.E.S. CONCRETE (FULL DEPTH PATCHING) 414(B) 5913 SY 2,395.000 1,976.050   1,976.050 $70.00 $0.00 $138,323.50
0032 COLD MILLING BITUMINOUS PAVEMENT 417 4267 SY 78,860.000 122,113.690   122,113.690 $0.80 $0.00 $97,690.95
0033 4" CONCRETE SIDEWALK 610(A) 0602 SY 1,212.000 1,655.140   1,655.140 $50.00 $0.00 $82,757.00
0034 (PL)TACTILE WARNING DEVICE-NEW 610(I) 4610 SF 808.000 1,242.000   1,242.000 $20.00 $0.00 $24,840.00
0035 (PL)TACTILE WARNING DEVICE-RETROFIT 610(I) 4615 SF 512.000 288.340   288.340 $50.00 $0.00 $14,417.00
0036 (PL)TRAFFIC ITEMS 890 7700 LSUM 1.000 1.000   1.000 $55,000.00 $0.00 $55,000.00
8001 PAVEMENT/BRIDGE SMOOTHNESS ADJUSTMENT 430 5015 EA 0.000 16,719.920   16,719.920 $1.00 $0.00 $16,719.92
8005 ASPHALT BINDER PRICE ADJUSTMENT 109 1150 LSUM 0.000 1.000   0.000 $4,715.35 $0.00 $0.00
Subtotals For Category     0100/ROADWAY - STP-STIM(407)AG    $0.00 $1,187,308.29
Fed/State Project Number:    STP-STIM(407)AG Project:    26745(04) Category:    0300/TRAFFIC - STP-STIM(407)AG
0037 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 55,804.000 44,737.000   44,737.000 $0.45 $0.00 $20,131.65
0038 TRAFFIC STRIPE(PLASTIC)(24" WIDE) 855(A) 8825 LF 3,300.000 3,757.670   3,757.670 $2.50 $0.00 $9,394.18
0039 TRAFFIC STRIPE(PLASTIC)(ARROWS) 855(B) 8818 EA 56.000 37.000   37.000 $100.00 $0.00 $3,700.00
0040 TRAFFIC STRIPE(PLASTIC)(WORDS) 855(B) 8821 EA 12.000 0.000   0.000 $200.00 $0.00 $0.00
0041 TRAFFIC STRIPE(PLASTIC)(SYMBOLS) 855(B) 8824 EA 4.000 4.000   4.000 $300.00 $0.00 $1,200.00
0042 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $10,000.00 $0.00 $10,000.00
Subtotals For Category     0300/TRAFFIC - STP-STIM(407)AG    $0.00 $44,425.83
Fed/State Project Number:    STP-STIM(407)AG Project:    26745(04) Category:    0640/CONSTRUCTION - STP-STIM(407)AG
0043 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $40,000.00 $0.00 $40,000.00
Subtotals For Category     0640/CONSTRUCTION - STP-STIM(407)AG    $0.00 $40,000.00
Subtotals For Project STP-STIM(407)AG /26745(04) $0.00 $1,271,734.12


3 CURRENT QUANTITIES DO NOT MATCH THE QUANTITY PAID TO DATE