Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090509   Estimate Number: 0019 , Final     Spec Year: 1999
Primary JP: 26752(04)   Residency: EDMOND (04400)     Contract No: 510210
Date Created: 08/16/2011   Contractor FEI: 731053214     Account No: 400400

Project Number(s): STP-STIM(414)AG
Contract Description: RESURFACE (ASPHALT) CITY STREETS (N.W. 10TH ST., MAY AVE., MACAURTHUR BLVD., N. MERIDIAN AVE.): AT VARIOUS LOCATIONS IN OKLA CITY. PROJECT LENGTH = 5.952 MILES.
Primary County: OKLAHOMA              
Name of Road: CITY STREET              
Prime Contractor: SCHWARZ PAVING CO., INC.           Time Charged: 542.00
    8251 W. RENO           Time Allowed: 547.00
    OKLAHOMA CITY , OK   73127           Percent Time: 99.09 %

  Paid To Date: $2,335,920.70 Payable This Statement: $7,475.00

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.                                
SCHWARZ 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:    08/16/2011
Contract ID: 090509   Estimate Number: 0019     Contract No: 510210
Residency: EDMOND (04400)   Estimate Type: Final     Account No: 400400

Project Number(s): STP-STIM(414)AG
Primary Job Piece No: 26752(04)
Contract Description: RESURFACE (ASPHALT) CITY STREETS (N.W. 10TH ST., MAY AVE., MACAURTHUR BLVD., N. MERIDIAN AVE.): AT VARIOUS LOCATIONS IN OKLA CITY. PROJECT LENGTH = 5.952 MILES.
Primary County: OKLAHOMA              
Name of Road: CITY STREET              
Prime Contractor: SCHWARZ PAVING CO., INC.              
    8251 W. RENO              
    OKLAHOMA CITY , OK   73127              
Surety Company: FIDELITY & DEPOSIT INSURANCE COMPANY OF MARYLAND              

Date Let: 07/23/2009 NTP Effective Date: 09/28/2009 Pay Period: 08/02/2011  TO  08/05/2011
Date Awarded: 08/03/2009 Date Work Began: 09/15/2009 Original Contract Time: 60
Date Contract Executed: 08/19/2009 Date Time Stopped: 03/10/2011 Current Time Charged: 542.00
Date NTP Issued: 08/21/2009 Completion Date: 03/10/2011 Current Time Allowed: 547.00
General Liability Expires: 10/01/2011 Workman's Comp Expires: 10/01/2011 Percent Time Used: 99.09 %
Specification Year: 1999        

Current Contract Amount: $2,335,920.67 Total to Date Prev to Date This Estimate
Bid Amount: $2,224,975.30 Participating: $2,328,445.70 $2,328,445.70 $0.00
Percent Complete: 100 % Non Participating: $7,475.00 $0.00 $7,475.00
Funds Available: $-0.03 Non ARRA: $0.00 $0.00 $0.00
Unearned Balance: $-110,945.40 Total Earnings: $2,335,920.70 $2,328,445.70 $7,475.00
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $2,335,920.70 $2,328,445.70 $7,475.00
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $2,335,920.70 $2,328,445.70 $7,475.00

Estimate Adjustment Detail

Contract ID: 090509   Estimate Number: 0019     Primary JP: 26752(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Time Extension / Extend Project Limits Approved 09/01/2010 35.0 $0.00
002 Extend Project Limits Approved 10/05/2010 0.0 $0.00
003 Remobilization Approved 04/18/2011 0.0 $40,158.39
004 Final Quantities Approved 08/01/2011 0.0 $70,786.98


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 0007 -2.0 $750.00 $-1,500.00
System Application of Liquidated Damages 0008 --2.0 $750.00 $1,500.00
System Application of Liquidated Damages 0009 -3.0 $750.00 $-2,250.00
System Application of Liquidated Damages 0010 -16.0 $750.00 $-12,000.00
System Application of Liquidated Damages 0011 --18 $750.00 $13,500.00
System Application of Liquidated Damages 0012 -0.0 $750.00 $0.00
System Application of Liquidated Damages 0013 -0.0 $750.00 $0.00
System Application of Liquidated Damages 0014 -0.0 $750.00 $0.00
System Application of Liquidated Damages 0014 -0.0 $750.00 $0.00
System Application of Liquidated Damages 0014 -2.0 $750.00 $-1,500.00
System Application of Liquidated Damages 0014 -18.0 $750.00 $-13,500.00
System Application of Liquidated Damages 0014 --3.0 $750.00 $2,250.00
System Application of Liquidated Damages 0014 --16 $750.00 $12,000.00
System Application of Liquidated Damages 0014 --2.0 $750.00 $1,500.00
System Application of Liquidated Damages 0016 -3.0 $750.00 $-2,250.00
System Application of Liquidated Damages 0017 --2.0 $750.00 $1,500.00
System Application of Liquidated Damages 0017 --16 $750.00 $12,000.00
System Application of Liquidated Damages 0017 --3.0 $750.00 $2,250.00
System Application of Liquidated Damages 0017 -18.0 $750.00 $-13,500.00
System Application of Liquidated Damages 0017 -2.0 $750.00 $-1,500.00
System Application of Liquidated Damages 0017 -0.0 $750.00 $0.00
System Application of Liquidated Damages 0017 -0.0 $750.00 $0.00
System Application of Liquidated Damages 0017 -0.0 $750.00 $0.00
System Application of Liquidated Damages 0017 --2.0 $750.00 $1,500.00
System Application of Liquidated Damages 0017 --18 $750.00 $13,500.00
System Application of Liquidated Damages 0017 -3.0 $750.00 $-2,250.00
System Application of Liquidated Damages 0017 -16.0 $750.00 $-12,000.00
System Application of Liquidated Damages 0017 -2.0 $750.00 $-1,500.00
System Application of Liquidated Damages 0017 -0.0 $750.00 $0.00
System Application of Liquidated Damages 0017 --3.0 $750.00 $2,250.00


CONTRACT ADJUSTMENTS HISTORY
Adjustment Description Estimate Nbr Adjustment Amount
Withhold to Funds Avail(Prog. Est. Only) 0016 $-67,234.17
Withhold to Funds Avail(Prog. Est. Only) 0017 $3,922.15
Withhold to Funds Avail(Prog. Est. Only) 0018 $63,312.02
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
26752(04) 0002 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0004 0.00 $0.00 $133.31
26752(04) 0002 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0015 260.75 $2.27 $592.75
26752(04) 0002 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) * Asphalt Binder Adjustment 0017 1.00 $-592.75 $-592.75
26752(04) 0002 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) * Asphalt Binder Adjustment 0017 1.00 $-133.31 $-133.31
26752(04) 0003 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0005 0.00 $0.00 $2,591.40
26752(04) 0003 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0006 0.00 $0.00 $4,453.84
26752(04) 0003 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0014 1,811.87 $2.59 $4,707.24
26752(04) 0003 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0015 3,356.35 $2.59 $8,719.80
26752(04) 0003 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0016 1,524.27 $2.59 $3,960.05
26752(04) 0003 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * Asphalt Binder Adjustment 0017 1.00 $-2,591.40 $-2,591.40
26752(04) 0003 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * Asphalt Binder Adjustment 0017 1.00 $-4,453.84 $-4,453.84
26752(04) 0003 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * Asphalt Binder Adjustment 0017 1.00 $-4,707.24 $-4,707.24
26752(04) 0003 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * Asphalt Binder Adjustment 0017 1.00 $-8,719.80 $-8,719.80
26752(04) 0003 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * Asphalt Binder Adjustment 0017 1.00 $-3,960.05 $-3,960.05
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: 090509   Estimate Number: 0019     Primary JP: 26752(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(414)AG Project:    26752(04) Category:    0100/ROADWAY STP-STIM(414)AG
0001 TACK COAT 407 0250 GAL 16,093.000 7,125.000   7,125.000 $1.65 $0.00 $11,756.25
0002 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) 411(S3) 6210 TON 2,823.000 608.540   608.540 $65.00 $0.00 $39,555.10
0003 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 18,507.000 22,777.500   22,777.500 $68.00 $0.00 $1,548,870.00
0004 (PL)CRACK SEALING P.C.PAVEMENT 414 5169 LF 2,742.000 2,742.000   2,742.000 $2.50 $0.00 $6,855.00
0005 COLD MILLING BITUMINOUS PAVEMENT 417 4267 SY 160,943.000 185,111.330   185,111.330 $0.75 $0.00 $138,833.51
0006 CONCRETE JOINT REHABILITATION 419 4152 LF 27,423.000 24,980.000   24,980.000 $2.50 $0.00 $62,450.00
0007 2'-8" COMB. CURB & GUTTER (8" BARRIER) 609(B) 1526 LF 2,539.000 2,030.000   2,030.000 $19.00 $0.00 $38,570.00
0008 6" CONCRETE SIDEWALK 610(A) 0605 SY 2,753.000 2,252.590   2,252.590 $42.00 $0.00 $94,608.78
0009 (PL)TACTILE WARNING DEVICE-NEW 610(I) 4610 SF 2,030.000 2,130.000   2,130.000 $31.50 $0.00 $67,095.02
0010 MANHOLES ADJUST TO GRADE 612(A) 0641 EA 17.000 18.000   18.000 $500.00 $0.00 $9,000.00
0011 VALVE BOXES ADJUST TO GRADE 612(G) 0647 EA 18.000 7.000   7.000 $200.00 $0.00 $1,400.00
0012 REMOVAL OF CURB AND GUTTER 619(B) 4726 LF 2,539.000 2,030.000   2,030.000 $8.40 $0.00 $17,052.00
0013 SAWING PAVEMENT 619(C) 0924 LF 3,750.000 3,189.000   3,189.000 $3.15 $0.00 $10,045.35
0014 LOOP DETECTOR WIRE 828(B) 8138 LF 24,948.000 17,909.000   17,909.000 $3.50 $0.00 $62,681.50
0015 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 149,330.000 111,862.000   111,862.000 $0.40 $0.00 $44,744.80
0016 TRAFFIC STRIPE(PLASTIC)(ARROWS) 855(B) 8818 EA 60.000 68.000   68.000 $68.25 $0.00 $4,641.00
0017 TRAFFIC STRIPE(PLASTIC)(WORDS) 855(B) 8821 EA 19.000 24.000   24.000 $126.00 $0.00 $3,024.00
0018 TRAFFIC STRIPE(PLASTIC)(SYMBOLS) 855(B) 8824 EA 2.000 4.000   4.000 $420.00 $0.00 $1,680.00
0019 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 0.000   0.000 $12,900.00 $0.00 $0.00
8002 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 0.000 1.000   1.000 $20,425.00 $0.00 $20,425.00
8003 ASPHALT BINDER PRICE ADJUSTMENT 109 1150 LSUM 0.000 1.000   1.000 $25,158.39 $0.00 $25,158.39
Subtotals For Category     0100/ROADWAY STP-STIM(414)AG    $0.00 $2,208,445.70
Fed/State Project Number:    STP-STIM(414)AG Project:    26752(04) Category:    0640/CONSTRUCTION STP-STIM(414)AG
0020 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $120,000.00 $0.00 $120,000.00
Subtotals For Category     0640/CONSTRUCTION STP-STIM(414)AG    $0.00 $120,000.00
Fed/State Project Number:    STP-STIM(414)AG Project:    26752(04) Category:    0900/FEDERAL NON PARTICIPATING
8001 (PL)RE-MOBILIZATION 641 1400 EA 0.000 1.000 1.000 1.000 $7,475.00 $7,475.00 $7,475.00
Subtotals For Category     0900/FEDERAL NON PARTICIPATING    $7,475.00 $7,475.00
Subtotals For Project STP-STIM(414)AG /26752(04) $7,475.00 $2,335,920.70