Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090572   Estimate Number: 0011 , Final     Spec Year: 1999
Primary JP: 22179(04)   Residency: ENID (04300)     Contract No: 510435
Date Created: 03/22/2011   Contractor FEI: 730776271     Account No: 432400

Project Number(s): BRO-STIM(429)CO
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (EW-71): OVER WOLF CRK. 2.0 MI. N. AND 2.2 MI. E. OF SH-74/SH-74C JCT. IN CRESCENT. PROJECT LENGTH = 0.302 MILES.
Primary County: LOGAN              
Name of Road: COUNTY ROAD              
Prime Contractor: SEWELL BROS., INC.           Time Charged: 232.00
    1220 E. MAIN           Time Allowed: 245.00
    CORDELL , OK   73632           Percent Time: 94.69 %

  Paid To Date: $429,918.44 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.                                
SEWELL BROS., 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:    03/22/2011
Contract ID: 090572   Estimate Number: 0011     Contract No: 510435
Residency: ENID (04300)   Estimate Type: Final     Account No: 432400

Project Number(s): BRO-STIM(429)CO
Primary Job Piece No: 22179(04)
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (EW-71): OVER WOLF CRK. 2.0 MI. N. AND 2.2 MI. E. OF SH-74/SH-74C JCT. IN CRESCENT. PROJECT LENGTH = 0.302 MILES.
Primary County: LOGAN              
Name of Road: COUNTY ROAD              
Prime Contractor: SEWELL BROS., INC.              
    1220 E. MAIN              
    CORDELL , OK   73632              
Surety Company: WESTFIELD INSURANCE COMPANY              

Date Let: 09/17/2009 NTP Effective Date: 01/04/2010 Pay Period: 01/05/2011  TO  03/22/2011
Date Awarded: 10/05/2009 Date Work Began: 11/30/2009 Original Contract Time: 90
Date Contract Executed: 10/20/2009 Date Time Stopped: 07/19/2010 Current Time Charged: 232.00
Date NTP Issued: 10/28/2009 Completion Date: 07/19/2010 Current Time Allowed: 245.00
General Liability Expires: 07/01/2011 Workman's Comp Expires: 07/01/2011 Percent Time Used: 94.69 %
Specification Year: 1999        

Current Contract Amount: $429,918.44 Total to Date Prev to Date This Estimate
Bid Amount: $434,641.26 Participating: $429,918.44 $429,918.44 $0.00
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $0.00 Non ARRA: $0.00 $0.00 $0.00
Unearned Balance: $4,722.82 Total Earnings: $429,918.44 $429,918.44 $0.00
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $429,918.44 $429,918.44 $0.00
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $429,918.44 $429,918.44 $0.00

Estimate Adjustment Detail

Contract ID: 090572   Estimate Number: 0011     Primary JP: 22179(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 FQCO Approved 03/15/2011 0.0 $-4,722.82


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
No line item adjustments have been created on this contract.
Subtotals For Line Item Adjustments $0.00


MILESTONE ADJUSTMENTS
Milestone Number Milestone Description Time Allowed Time Used Rate Total
No milestones exist for this contract.

Line Item Detail

Contract ID: 090572   Estimate Number: 0011     Primary JP: 22179(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:    BRO-STIM(429)CO Project:    22179(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201 0102 LSUM 1.000 1.000   1.000 $5,000.00 $0.00 $5,000.00
0002 EARTHWORK 202(G) 0185 LSUM 1.000 1.000   1.000 $62,000.00 $0.00 $62,000.00
0003 TYPE A-SALVAGED TOPSOIL 205 4229 LSUM 1.000 1.000   1.000 $5,500.00 $0.00 $5,500.00
0004 TEMPORARY SILT FENCE 223 2801 LF 500.000 796.000   796.000 $2.00 $0.00 $1,592.00
0005 TEMPORARY SILT DIKE 227 0100 LF 500.000 84.000   84.000 $5.00 $0.00 $420.00
0006 SOLID SLAB SODDING 230(A) 2806 SY 11,810.000 15,134.560   15,134.560 $1.60 $0.00 $24,215.30
0007 VEGETATIVE MULCHING 233(A) 2817 AC 2.440 0.000   0.000 $215.00 $0.00 $0.00
0008 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 775.000 783.950   783.950 $24.00 $0.00 $18,814.80
0009 CLASS C CONCRETE 509(D) 0325 CY 20.000 0.000   0.000 $285.00 $0.00 $0.00
0010 TYPE I PLAIN RIPRAP 601(A) 0297 TON 1,311.000 1,319.510   1,319.510 $36.00 $0.00 $47,502.36
0011 TYPE B4 CULVERT END TREATMENT 613(CC) 7187 EA 2.000 2.000   2.000 $800.00 $0.00 $1,600.00
0012 24" CORR. GALV. STEEL PIPE 613(D) 0690 LF 42.000 42.000   42.000 $24.00 $0.00 $1,008.00
Subtotals For Category     0100/ROADWAY    $0.00 $167,652.46
Fed/State Project Number:    BRO-STIM(429)CO Project:    22179(04) Category:    0200/BRIDGE
0013 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 84.000 84.000   84.000 $10.00 $0.00 $840.00
0014 UNCLASSIFIED BACKFILL 501(D) 6353 CY 82.000 82.000   82.000 $10.00 $0.00 $820.00
0015 PRESTRESSED CONCRETE BEAMS (TYPE IV) 503(A) 1313 LF 376.670 376.670   376.670 $148.00 $0.00 $55,747.16
0016 CONCRETE RAIL (TR1) 504(E) 1380 LF 255.000 255.000   255.000 $50.00 $0.00 $12,750.00
0017 STRUCTURAL STEEL 506(A) 1322 LB 1,810.000 1,810.000   1,810.000 $3.00 $0.00 $5,430.00
0018 CLASS AA CONCRETE 509(A) 1326 CY 73.400 73.400   73.400 $485.00 $0.00 $35,599.00
0019 CLASS A CONCRETE 509(B) 1328 CY 53.800 53.800   53.800 $500.00 $0.00 $26,900.00
0020 REINFORCING STEEL 511(A) 1332 LB 23,915.000 23,915.000   23,915.000 $0.70 $0.00 $16,740.50
0021 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 810.000 810.000   810.000 $18.00 $0.00 $14,580.00
0022 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 810.000 741.350   741.350 $12.00 $0.00 $8,896.20
0023 TYPE I-A PLAIN RIPRAP 601(A-1)1353 TON 1,250.000 1,164.720   1,164.720 $36.00 $0.00 $41,929.92
0024 TYPE I-A FILTER BLANKET 601(A-2)1355 TON 300.000 332.600   332.600 $32.00 $0.00 $10,643.20
0025 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $1,000.00 $0.00 $1,000.00
0026 GUARD RAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 4.000 4.000   4.000 $2,035.00 $0.00 $8,140.00
0027 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $1,750.00 $0.00 $1,750.00
Subtotals For Category     0200/BRIDGE    $0.00 $241,765.98
Fed/State Project Number:    BRO-STIM(429)CO Project:    22179(04) Category:    0600/STAKING
0028 STAKING 642 0098 LSUM 1.000 1.000   1.000 $3,500.00 $0.00 $3,500.00
Subtotals For Category     0600/STAKING    $0.00 $3,500.00
Fed/State Project Number:    BRO-STIM(429)CO Project:    22179(04) Category:    0640/CONSTRUCTION
0029 (SP)SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $5,000.00 $0.00 $5,000.00
0030 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $12,000.00 $0.00 $12,000.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $17,000.00
Subtotals For Project BRO-STIM(429)CO /22179(04) $0.00 $429,918.44