Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090656   Estimate Number: 0010 , Final     Spec Year: 1999
Primary JP: 23475(04)   Residency: OLLAR & OLLAR ENGINEERING (02006)     Contract No: 510676
Date Created: 02/03/2011   Contractor FEI: 480531159     Account No: 432200

Project Number(s): BRO-STIM(433)CO
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (NS-4488): OVER BEAR CREEK 0.5 MILES NORTH OF LODI AND 0.6 MILES EAST OF SH-82. PROJECT LENGTH = 0.236 MILES.
Primary County: LATIMER              
Name of Road: COUNTY ROAD(NS-4488)              
Prime Contractor: BEACHNER CONSTRUCTION CO., INC.           Time Charged: 183.00
    P. O. BOX 128           Time Allowed: 197.00
    SAINT PAUL , KS   66771           Percent Time: 92.89 %

  Paid To Date: $527,901.38 Payable This Statement: $1,597.92

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.                                
BEACHNER CONSTRUCTION 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:    02/03/2011
Contract ID: 090656   Estimate Number: 0010     Contract No: 510676
Residency: OLLAR & OLLAR ENGINEERING (02006)   Estimate Type: Final     Account No: 432200

Project Number(s): BRO-STIM(433)CO
Primary Job Piece No: 23475(04)
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (NS-4488): OVER BEAR CREEK 0.5 MILES NORTH OF LODI AND 0.6 MILES EAST OF SH-82. PROJECT LENGTH = 0.236 MILES.
Primary County: LATIMER              
Name of Road: COUNTY ROAD(NS-4488)              
Prime Contractor: BEACHNER CONSTRUCTION CO., INC.              
    P. O. BOX 128              
    SAINT PAUL , KS   66771              
Surety Company: WESTERN SURETY COMPANY              

Date Let: 11/19/2009 NTP Effective Date: 04/05/2010 Pay Period: 09/16/2010  TO  01/31/2011
Date Awarded: 12/07/2009 Date Work Began: 04/05/2010 Original Contract Time: 120
Date Contract Executed: 12/18/2009 Date Time Stopped: 10/04/2010 Current Time Charged: 183.00
Date NTP Issued: 02/09/2010 Completion Date: 10/04/2010 Current Time Allowed: 197.00
General Liability Expires: 03/31/2011 Workman's Comp Expires: 03/31/2011 Percent Time Used: 92.89 %
Specification Year: 1999        

Current Contract Amount: $527,901.38 Total to Date Prev to Date This Estimate
Bid Amount: $544,507.35 Participating: $522,501.38 $520,903.46 $1,597.92
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $0.00 Non ARRA: $5,400.00 $5,400.00 $0.00
Unearned Balance: $16,605.97 Total Earnings: $527,901.38 $526,303.46 $1,597.92
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $527,901.38 $526,303.46 $1,597.92
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $527,901.38 $526,303.46 $1,597.92

Estimate Adjustment Detail

Contract ID: 090656   Estimate Number: 0010     Primary JP: 23475(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Beveled anchor plates for TT bms Approved 06/14/2010 0.0 $5,400.00
002 Final Quantity Change Order Approved 12/13/2010 0.0 $-22,005.97


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
23475(04) 0019 PC BR ITM FABS (AML) Stockpiled Material Adjustment 0004 $-127,748.81
23475(04) 0019 PC BR ITM FABS (AML) Stockpiled Material Initial Payment 0001 $127,748.81
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: 090656   Estimate Number: 0010     Primary JP: 23475(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(433)CO Project:    23475(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 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 2,237.000 2,237.000   2,237.000 $3.00 $0.00 $6,711.00
0003 UNCLASSIFIED BORROW 202(C) 0184 CY 12,351.000 12,351.000   12,351.000 $4.00 $0.00 $49,404.00
0004 TYPE A-SALVAGED TOPSOIL 205 4229 LSUM 1.000 1.000   1.000 $3,000.00 $0.00 $3,000.00
0005 TEMPORARY SILT FENCE 223 2801 LF 150.000 84.000   84.000 $5.00 $0.00 $420.00
0006 TEMPORARY SILT DIKE 227 0100 LF 200.000 0.000   0.000 $8.00 $0.00 $0.00
0007 SOLID SLAB SODDING 230(A) 2806 SY 6,950.000 7,178.880   7,178.880 $1.44 $0.00 $10,337.59
0008 VEGETATIVE MULCHING 233(A) 2817 AC 1.430 0.000   0.000 $495.00 $0.00 $0.00
0009 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 640.000 654.850 10.630 654.850 $20.00 $212.60 $13,097.00
0010 CLASS C CONCRETE 509(D) 0325 CY 20.000 0.000   0.000 $200.00 $0.00 $0.00
0011 TYPE I PLAIN RIPRAP 601(A) 0297 TON 535.000 519.740   519.740 $26.50 $0.00 $13,773.11
0012 43" X 26" R.C.PIPE ARCH CLASS A-III 613(B) 4498 LF 56.000 56.000   56.000 $115.00 $0.00 $6,440.00
0013 TYPE B4 CULVERT END TREATMENT 613(CC) 7187 EA 2.000 2.000   2.000 $200.00 $0.00 $400.00
0014 24" CORR. GALV. STEEL PIPE 613(D) 0690 LF 60.000 60.000   60.000 $23.50 $0.00 $1,410.00
0015 43" X 26" PREFAB. CULVERT END SECTION, ARCH 613(M) 4531 EA 4.000 4.000   4.000 $1,750.00 $0.00 $7,000.00
0016 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 1.000 1.000   1.000 $500.00 $0.00 $500.00
Subtotals For Category     0100/ROADWAY    $212.60 $117,492.70
Fed/State Project Number:    BRO-STIM(433)CO Project:    23475(04) Category:    0200/BRIDGE
0017 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 60.000 60.000   60.000 $25.00 $0.00 $1,500.00
0018 UNCLASSIFIED BACKFILL 501(D) 6353 CY 40.000 40.000   40.000 $65.00 $0.00 $2,600.00
0019 PRESTRESSED CONCRETE DOUBLE TEE 503(B) 6144 LF 817.500 817.500   817.500 $210.00 $0.00 $171,675.00
0020 CONCRETE RAIL (TR1) 504(E) 1380 LF 375.000 375.000   375.000 $55.00 $0.00 $20,625.00
0021 CLASS AA CONCRETE 509(A) 1326 CY 109.000 109.000   109.000 $430.00 $0.00 $46,870.00
0022 CLASS A CONCRETE 509(B) 1328 CY 60.800 60.800   60.800 $430.00 $0.00 $26,144.00
0023 REINFORCING STEEL 511(A) 1332 LB 27,875.000 27,875.000   27,875.000 $0.70 $0.00 $19,512.50
0024 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 195.000 195.000   195.000 $31.50 $0.00 $6,142.50
0025 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 195.000 133.840 5.010 133.840 $32.00 $160.32 $4,282.88
0026 DRILLED SHAFTS 36" DIAMETER 516(A) 6092 LF 48.000 50.110   50.110 $680.00 $0.00 $34,074.80
0027 TYPE I-A PLAIN RIPRAP 601(A-1)1353 TON 1,005.000 619.450   619.450 $30.00 $0.00 $18,583.50
0028 TYPE I-A FILTER BLANKET 601(A-2)1355 TON 268.000 172.340   172.340 $25.00 $0.00 $4,308.50
0029 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $4,500.00 $0.00 $4,500.00
0030 BEAM GUARD RAIL-W-BEAM-SINGLE 623(A) 1418 LF 74.000 0.000   0.000 $15.00 $0.00 $0.00
0031 GUARD RAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 3.000 3.000   3.000 $2,135.00 $0.00 $6,405.00
0032 GUARD RAIL ANCHOR UNIT (TYPE III) 623(F) 6034 EA 1.000 1.000   1.000 $2,135.00 $0.00 $2,135.00
0033 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000 0.250 1.000 $2,400.00 $600.00 $2,400.00
Subtotals For Category     0200/BRIDGE    $760.32 $371,758.68
Fed/State Project Number:    BRO-STIM(433)CO Project:    23475(04) Category:    0600/STAKING
0034 STAKING 642 0098 LSUM 1.000 1.000   1.000 $4,250.00 $0.00 $4,250.00
Subtotals For Category     0600/STAKING    $0.00 $4,250.00
Fed/State Project Number:    BRO-STIM(433)CO Project:    23475(04) Category:    0640/CONSTRUCTION
0035 (SP)SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000 0.250 1.000 $2,500.00 $625.00 $2,500.00
0036 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $26,500.00 $0.00 $26,500.00
Subtotals For Category     0640/CONSTRUCTION    $625.00 $29,000.00
Fed/State Project Number:    BRO-STIM(433)CO Project:    23475(04) Category:    0850/NON ARRA FUNDING
8000 CONSTRUCTION MISCELLANEOUS 104 0600 EA 0.000 60.000   60.000 $90.00 $0.00 $5,400.00
Subtotals For Category     0850/NON ARRA FUNDING    $0.00 $5,400.00
Subtotals For Project BRO-STIM(433)CO /23475(04) $1,597.92 $527,901.38