Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090531   Estimate Number: 0010 , Final     Spec Year: 1999
Primary JP: 23482(05)   Residency: MCALESTER (02400)     Contract No: 510377
Date Created: 11/16/2011   Contractor FEI: 202558015     Account No: 436200

Project Number(s): STP-STIM(233)CI
Contract Description: GRADE, DRAIN AND SURFACE COUNTY ROAD: CAUSEWAY OVER LAKE EUFAULA 2.0 MILES EAST OF CROWDER. PROJECT LENGTH = 0.407 MILES.
Primary County: PITTSBURG              
Name of Road: COUNTY ROAD              
Prime Contractor: C-GAWF CONSTRUCTION, INC.           Time Charged: 211.00
    101 E SHURDEN INDUSTRIAL BLVD           Time Allowed: 345.00
    HENRYETTA , OK   74437           Percent Time: 61.16 %

  Paid To Date: $1,205,538.57 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.                                
C-GAWF CONSTRUCTION, 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:    11/16/2011
Contract ID: 090531   Estimate Number: 0010     Contract No: 510377
Residency: MCALESTER (02400)   Estimate Type: Final     Account No: 436200

Project Number(s): STP-STIM(233)CI
Primary Job Piece No: 23482(05)
Contract Description: GRADE, DRAIN AND SURFACE COUNTY ROAD: CAUSEWAY OVER LAKE EUFAULA 2.0 MILES EAST OF CROWDER. PROJECT LENGTH = 0.407 MILES.
Primary County: PITTSBURG              
Name of Road: COUNTY ROAD              
Prime Contractor: C-GAWF CONSTRUCTION, INC.              
    101 E SHURDEN INDUSTRIAL BLVD              
    HENRYETTA , OK   74437              
Surety Company: EMPLOYERS MUTUAL CASUALTY COMPANY              

Date Let: 08/20/2009 NTP Effective Date: 02/01/2010 Pay Period: 11/16/2011  TO  11/16/2011
Date Awarded: 09/08/2009 Date Work Began: 10/26/2009 Original Contract Time: 210
Date Contract Executed: 09/24/2009 Date Time Stopped: 05/24/2010 Current Time Charged: 211.00
Date NTP Issued: 09/30/2009 Completion Date: 05/24/2010 Current Time Allowed: 345.00
General Liability Expires: 01/03/2012 Workman's Comp Expires: 01/03/2012 Percent Time Used: 61.16 %
Specification Year: 1999        

Current Contract Amount: $1,205,538.55 Total to Date Prev to Date This Estimate
Bid Amount: $1,753,429.98 Participating: $1,054,955.93 $1,054,955.93 $0.00
Percent Complete: 100 % Non Participating: $150,582.64 $150,582.64 $0.00
Funds Available: $-0.02 Non ARRA: $0.00 $0.00 $0.00
Unearned Balance: $547,891.41 Total Earnings: $1,205,538.57 $1,205,538.57 $0.00
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $1,205,538.57 $1,205,538.57 $0.00
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $1,205,538.57 $1,205,538.57 $0.00

Estimate Adjustment Detail

Contract ID: 090531   Estimate Number: 0010     Primary JP: 23482(05)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Vegetative Mulch Change Order Approved 04/16/2010 0.0 $9,392.43
002 Negotiated Settlement Approved 11/02/2011 0.0 $31,000.00
003 Final Quantity Change Order Approved 11/16/2011 0.0 $-588,283.86


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
23482(05) 0005 TEMPORARY SILT FENCE * Material Discrepancy Adjustments 0006 0.00 $0.00 $-1,731.25
23482(05) 0005 TEMPORARY SILT FENCE * Material Discrepancy Adjustments 0007 0.00 $0.00 $1,731.25
23482(05) 0006 TEMPORARY SILT DIKE * Material Discrepancy Adjustments 0006 0.00 $0.00 $-168.00
23482(05) 0006 TEMPORARY SILT DIKE * Material Discrepancy Adjustments 0007 0.00 $0.00 $168.00
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: 090531   Estimate Number: 0010     Primary JP: 23482(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(233)CI Project:    23482(05) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201 0102 LSUM 1.000 1.000   1.000 $22,500.00 $0.00 $22,500.00
0002 UNCLASSIFIED BORROW 202(C) 0184 CY 29,667.000 0.000   0.000 $7.25 $0.00 $0.00
0003 (PL)QUARRY STONE EMBANKMENT 202(E) 0130 TON 29,711.000 33,104.450   33,104.450 $23.50 $0.00 $777,954.58
0004 TYPE A-SALVAGED TOPSOIL 205 4229 LSUM 1.000 0.500   0.500 $22,500.00 $0.00 $11,250.00
0005 TEMPORARY SILT FENCE 223 2801 LF 2,535.000 1,385.000   1,385.000 $1.25 $0.00 $1,731.25
0006 TEMPORARY SILT DIKE 227 0100 LF 2,535.000 42.000   42.000 $4.00 $0.00 $168.00
0007 SOLID SLAB SODDING 230(A) 2806 SY 14,637.000 0.000   0.000 $1.75 $0.00 $0.00
0008 AGGREGATE BASE 303 0192 CY 374.000 0.000   0.000 $37.50 $0.00 $0.00
0009 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) 411(S3) 5945 TON 350.000 0.000   0.000 $108.24 $0.00 $0.00
0010 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) 411(S4) 5960 TON 850.000 0.000   0.000 $85.42 $0.00 $0.00
0011 (SP)ASPHALT CONCRETE TYPE S5(PG 64-22 OK) 411(S5) 5975 TON 354.000 0.000   0.000 $92.40 $0.00 $0.00
0012 COLD MILLING PAVEMENT 417 5267 SY 5,734.000 0.000   0.000 $2.95 $0.00 $0.00
0013 FABRIC REINFORCEMENT 420(A) 4242 SY 7,525.000 0.000   0.000 $3.49 $0.00 $0.00
0014 CLASS AA CONCRETE 509(A) 0319 CY 20.000 0.000   0.000 $375.00 $0.00 $0.00
0015 CLASS A CONCRETE 509(B) 0321 CY 50.000 30.000   30.000 $375.00 $0.00 $11,250.00
0016 TYPE I-A PLAIN RIPRAP 601(A-1)1353 TON 13,389.000 11,137.210   11,137.210 $23.75 $0.00 $264,508.75
0017 TYPE I-A FILTER BLANKET 601(A-2)0538 TON 3,434.000 0.000   0.000 $22.00 $0.00 $0.00
0018 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 1.000 0.750   0.750 $1,250.00 $0.00 $937.50
0019 SAWING PAVEMENT 619(C) 0924 LF 2,150.000 0.000   0.000 $1.00 $0.00 $0.00
0020 BEAM GUARD RAIL-W-BEAM-SINGLE 623(A) 0932 LF 50.000 0.000   0.000 $22.50 $0.00 $0.00
0021 GUARD RAIL ANCHOR UNIT (TYPE A) 623(F) 6029 EA 1.000 0.000   0.000 $2,250.00 $0.00 $0.00
0022 (PL)CABLE END ANCHOR UNIT 628 5110 EA 1.000 0.000   0.000 $2,500.00 $0.00 $0.00
0023 HIGH-TENSION CABLE BARRIER(TL-4) 628 5125 LF 1,894.000 0.000   0.000 $22.50 $0.00 $0.00
8001 DEDUCTION FOR FAILING MATERIAL 105 2100 LSUM 0.000 1.000   1.000 $-110,190.21 $0.00 $-110,190.21
Subtotals For Category     0100/ROADWAY    $0.00 $980,109.87
Fed/State Project Number:    STP-STIM(233)CI Project:    23482(05) Category:    0300/TRAFFIC
0024 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 8,597.000 0.000   0.000 $0.64 $0.00 $0.00
0025 CONSTRUCTION SIGNS 0 TO 6.25 SF 880(B) 8818 SD 3,150.000 570.000   570.000 $0.27 $0.00 $153.90
0026 CONSTRUCTION SIGNS 6.26 SF TO 15.99 SF 880(B) 8821 SD 1,575.000 1,710.000   1,710.000 $1.10 $0.00 $1,881.00
0027 CONSTRUCTION SIGNS 16.0 SF TO 32.99 SF 880(B) 8824 SD 630.000 3,030.000   3,030.000 $3.30 $0.00 $9,999.00
0028 BARRICADES(TYPE III) 880(C) 8842 SD 315.000 744.000   744.000 $0.55 $0.00 $409.20
0029 VERTICAL PANELS 880(D) 8854 SD 15,000.000 744.000   744.000 $0.06 $0.00 $44.64
0030 WARNING LIGHTS(TYPE A) 880(E) 8860 SD 1,500.000 1,719.000   1,719.000 $0.28 $0.00 $481.32
0031 WARNING LIGHTS(TYPE C) 880(E) 8872 SD 30,000.000 0.000   0.000 $0.03 $0.00 $0.00
0032 DRUMS 880(F) 8878 SD 15,000.000 0.000   0.000 $0.08 $0.00 $0.00
0033 TUBE CHANNELIZERS 880(G) 8884 SD 7,500.000 9,300.000   9,300.000 $0.39 $0.00 $3,627.00
0034 CONES(28" MEDIUM) 880(H) 8890 SD 7,500.000 0.000   0.000 $0.06 $0.00 $0.00
Subtotals For Category     0300/TRAFFIC    $0.00 $16,596.06
Fed/State Project Number:    STP-STIM(233)CI Project:    23482(05) Category:    0600/STAKING
0035 STAKING 642 0098 LSUM 1.000 0.500   0.500 $15,000.00 $0.00 $7,500.00
Subtotals For Category     0600/STAKING    $0.00 $7,500.00
Fed/State Project Number:    STP-STIM(233)CI Project:    23482(05) Category:    0640/CONSTRUCTION
0036 (SP)SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $3,250.00 $0.00 $3,250.00
0037 FIELD OFFICE 640 1398 EA 1.000 0.000   0.000 $1,250.00 $0.00 $0.00
0038 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $47,500.00 $0.00 $47,500.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $50,750.00
Fed/State Project Number:    STP-STIM(233)CI Project:    23482(05) Category:    0900/Federal Non Participating
8000 VEGETATIVE MULCHING 233(A) 2817 AC 0.000 4.550   4.550 $2,064.27 $0.00 $9,392.43
8002 NEGOTIATED SETTLEMENT OF CONTR'S CLAIM 109 1100 LSUM 0.000 1.000   1.000 $141,190.21 $0.00 $141,190.21
Subtotals For Category     0900/Federal Non Participating    $0.00 $150,582.64
Subtotals For Project STP-STIM(233)CI /23482(05) $0.00 $1,205,538.57