Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 090678   Estimate Number: 0008 , Final     Spec Year: 1999
Primary JP: 26692(04)   Residency: CLAREMORE (08300)     Contract No: 510725
Date Created: 09/14/2011   Contractor FEI: 730960939     Account No: 400800

Project Number(s): STP-STIM(272)IG
Contract Description: TRAFFIC SIGNALS AND STRIPING CITY STREET (CHEROKEE STREET): AT THE SOUTH SCHOOL ENTRANCE ROAD IN THE CITY OF CATOOSA.
Primary County: ROGERS              
Name of Road: CITY STREET              
Prime Contractor: MIDSTATE TRAFFIC CONTROL, INC.           Time Charged: 242.00
    12501 N. SANTA FE AVE.           Time Allowed: 257.00
    OKLAHOMA CITY , OK   73114           Percent Time: 94.16 %

  Paid To Date: $146,370.26 Payable This Statement: $1,120.00

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.                                
MIDSTATE TRAFFIC CONTROL, 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:    09/14/2011
Contract ID: 090678   Estimate Number: 0008     Contract No: 510725
Residency: CLAREMORE (08300)   Estimate Type: Final     Account No: 400800

Project Number(s): STP-STIM(272)IG
Primary Job Piece No: 26692(04)
Contract Description: TRAFFIC SIGNALS AND STRIPING CITY STREET (CHEROKEE STREET): AT THE SOUTH SCHOOL ENTRANCE ROAD IN THE CITY OF CATOOSA.
Primary County: ROGERS              
Name of Road: CITY STREET              
Prime Contractor: MIDSTATE TRAFFIC CONTROL, INC.              
    12501 N. SANTA FE AVE.              
    OKLAHOMA CITY , OK   73114              
Surety Company: LIBERTY MUTUAL INSURANCE COMPANY              

Date Let: 11/19/2009 NTP Effective Date: 04/12/2010 Pay Period: 03/01/2011  TO  09/13/2011
Date Awarded: 12/07/2009 Date Work Began: 04/21/2010 Original Contract Time: 120
Date Contract Executed: 12/21/2009 Date Time Stopped: 12/09/2010 Current Time Charged: 242.00
Date NTP Issued: 01/12/2010 Completion Date: 12/09/2010 Current Time Allowed: 257.00
General Liability Expires: 03/01/2012 Workman's Comp Expires: 03/01/2012 Percent Time Used: 94.16 %
Specification Year: 1999        

Current Contract Amount: $146,370.26 Total to Date Prev to Date This Estimate
Bid Amount: $154,755.50 Participating: $145,820.26 $145,420.56 $399.70
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $0.00 Non ARRA: $550.00 $550.00 $0.00
Unearned Balance: $8,385.24 Total Earnings: $146,370.26 $145,970.56 $399.70
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $146,370.26 $145,970.56 $399.70
Other Adjustments: $0.00 $-720.30 $720.30
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $146,370.26 $145,250.26 $1,120.00

Estimate Adjustment Detail

Contract ID: 090678   Estimate Number: 0008     Primary JP: 26692(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Supplemental agreement adjusting work order date. Approved 03/31/2010 0.0 $0.00
002 Supplemental agreement adding pedestrian pole. Approved 09/29/2010 0.0 $816.00
004 Final Contract Item Quantities Approved 04/11/2011 0.0 $-9,334.94
005 As-Built Quantity Adjustment Approved 07/07/2011 0.0 $-266.00
006 Additional Appropriation Approved 09/02/2011 0.0 $399.70


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
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
26692(04) 0003 SOLID SLAB SODDING * Material Discrepancy Adjustments 0003 -140.00 $8.00 $-1,120.00
26692(04) 0003 SOLID SLAB SODDING * Missing Material Certification 0008 140.00 $8.00 $1,120.00
26692(04) 0009 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0002 0.00 $0.00 $195.89
26692(04) 0009 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) * Asphalt Binder Adjustment 0008 0.00 $0.00 $-195.89
26692(04) 0010 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0002 0.00 $0.00 $203.81
26692(04) 0010 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) * Asphalt Binder Adjustment 0008 0.00 $0.00 $-203.81
26692(04) 0049 (PL)E.P.S. 2 CHANNEL PHASE SELECTOR * Material Discrepancy Adjustments 0005 -1.00 $1,850.00 $-1,850.00
26692(04) 0049 (PL)E.P.S. 2 CHANNEL PHASE SELECTOR * Material Discrepancy Adjustments 0006 1.00 $1,850.00 $1,850.00
26692(04) 0050 MAST ARM MOUNTED SIGNS(ALUMINUM) * Material Discrepancy Adjustments 0003 -89.00 $45.00 $-4,005.00
26692(04) 0050 MAST ARM MOUNTED SIGNS(ALUMINUM) * Material Discrepancy Adjustments 0007 89.00 $45.00 $4,005.00
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: 090678   Estimate Number: 0008     Primary JP: 26692(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(272)IG Project:    26692(04) Category:    0100/STP-STIM(272)IG - ROADWAY
0001 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 150.000 102.430   102.430 $10.00 $0.00 $1,024.30
0002 TYPE A-SALVAGED TOPSOIL 205 4229 LSUM 1.000 1.000   1.000 $1,500.00 $0.00 $1,500.00
0003 SOLID SLAB SODDING 230(A) 2806 SY 100.000 140.000 0.000 140.000 $8.00 $0.00 $1,120.00
0004 AGGREGATE BASE 303 0192 CY 60.000 60.000   60.000 $50.00 $0.00 $3,000.00
0005 SEPARATOR FABRIC 325 5271 SY 225.000 0.000   0.000 $5.50 $0.00 $0.00
0006 (SP)MODIFIED SUBGRADE 327(J) 4290 SY 225.000 0.000   0.000 $8.00 $0.00 $0.00
0007 TACK COAT 407 0250 GAL 40.000 6.000   6.000 $5.00 $0.00 $30.00
0008 PRIME COAT 408 5774 GAL 50.000 0.000   0.000 $5.00 $0.00 $0.00
0009 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) 411(S3) 5945 TON 70.000 49.870 0.000 49.870 $110.00 $0.00 $5,485.70
0010 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) 411(S4) 5960 TON 30.000 45.400 0.000 45.400 $132.00 $0.00 $5,992.80
0011 4" CONCRETE SIDEWALK 610(A) 0602 SY 5.000 0.000   0.000 $99.00 $0.00 $0.00
0012 18" R.C.PIPE CLASS III 613(B) 0491 LF 55.000 55.000   55.000 $66.00 $0.00 $3,630.00
0013 18" PREFAB. CULVERT END SECTION, ROUND 613(M) 5726 EA 1.000 1.000   1.000 $1,000.00 $0.00 $1,000.00
0014 TRENCH EXCAVATION 613(S) 1180 CY 50.000 32.290   32.290 $55.00 $0.00 $1,775.95
0015 STANDARD BEDDING MATERIAL 613(T) 1181 CY 40.000 15.070   15.070 $44.00 $0.00 $663.08
0016 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 1.000 1.000   1.000 $1,500.00 $0.00 $1,500.00
0017 SAWING PAVEMENT 619(C) 0924 LF 150.000 38.000   38.000 $5.00 $0.00 $190.00
8001 ASPHALT BINDER PRICE ADJUSTMENT 109 1150 LSUM 0.000 1.000 1.000 1.000 $399.70 $399.70 $399.70
Subtotals For Category     0100/STP-STIM(272)IG - ROADWAY    $399.70 $27,311.53
Fed/State Project Number:    STP-STIM(272)IG Project:    26692(04) Category:    0300/STP-STIM(272)IG - TRAFFIC
0018 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 6,200.000 6,063.000   6,063.000 $0.50 $0.00 $3,031.50
0019 TRAFFIC STRIPE(PLASTIC)(ARROWS) 855(B) 8818 EA 6.000 8.000   8.000 $90.00 $0.00 $720.00
0020 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $2,500.00 $0.00 $2,500.00
Subtotals For Category     0300/STP-STIM(272)IG - TRAFFIC    $0.00 $6,251.50
Fed/State Project Number:    STP-STIM(272)IG Project:    26692(04) Category:    0301/STP-STIM(272)IG - TRAFFIC SIGNALS
0021 3" PVC SCH.40 PLASTIC CONDUIT BORED 802(B) 8344 LF 200.000 173.000   173.000 $22.00 $0.00 $3,806.00
0022 3" PVC SCH.40 PLASTIC CONDUIT TRENCHED 802(B) 8346 LF 200.000 237.000   237.000 $10.00 $0.00 $2,370.00
0023 PULL BOX(SIZE II) 803 8066 EA 3.000 3.000   3.000 $580.00 $0.00 $1,740.00
0024 PULL BOX(SIZE III) 803 8067 EA 1.000 1.000   1.000 $835.00 $0.00 $835.00
0025 STRUCTURAL CONCRETE 804(A) 2915 CY 10.000 8.360   8.360 $400.00 $0.00 $3,344.00
0026 REINFORCING STEEL 804(B) 2916 LB 1,200.000 1,275.110   1,275.110 $1.00 $0.00 $1,275.11
0027 32'MH POLE 25'TS & 8'LMA(G.STL.) 806(A) 8286 EA 1.000 1.000   1.000 $3,414.00 $0.00 $3,414.00
0028 32'MH POLE 35'TS & 8'LMA(G.STL.) 806(A) 8307 EA 2.000 2.000   2.000 $4,650.00 $0.00 $9,300.00
0029 32'MH POLE 45'TS & 8'LMA(G.STL.) 806(A) 8309 EA 1.000 1.000   1.000 $6,650.00 $0.00 $6,650.00
0030 (PL)ROADWAY LUMINAIRE 809(A) 8090 EA 4.000 1.000   1.000 $300.00 $0.00 $300.00
0031 SERVICE POLE 810(A) 3118 EA 1.000 1.000   1.000 $200.00 $0.00 $200.00
0032 1/C NO.6 ELECTRICAL CONDUCTOR 811 8040 LF 500.000 376.000   376.000 $0.75 $0.00 $282.00
0033 1/C NO.8 ELECTRICAL CONDUCTOR 811 8042 LF 200.000 58.500   58.500 $0.75 $0.00 $43.87
0034 1/C NO.10 ELECTRICAL CONDUCTOR 811 8044 LF 350.000 153.000   153.000 $0.60 $0.00 $91.80
0035 1/C NO.12 ELECTRICAL CONDUCTOR 811 8046 LF 625.000 376.500   376.500 $0.40 $0.00 $150.60
0036 VEH.ACT.SOL.ST.TRAF.SIG.CON.ASM 825 8550 EA 1.000 1.000   1.000 $17,880.00 $0.00 $17,880.00
0037 (PL)DETECTION SYSTEM (VIDEO) 828 8132 LSUM 1.000 1.000   1.000 $31,700.00 $0.00 $31,700.00
0038 PEDESTRIAN PUSH BUTTON 830 8000 EA 6.000 6.000   6.000 $200.00 $0.00 $1,200.00
0039 1WAY 3SEC. ADJ. SIG. HD. S-6 831 8231 EA 3.000 3.000   3.000 $625.00 $0.00 $1,875.00
0040 1WAY 3SEC. ADJ. SIG. HD. S-10 831 8262 EA 1.000 1.000   1.000 $610.00 $0.00 $610.00
0041 1WAY 5SEC. ADJ. SIG. HD. S-19 831 8286 EA 4.000 4.000   4.000 $1,016.00 $0.00 $4,064.00
0042 1WAY 2SEC. ADJ. PED. SIG. HD. S-20 831 8295 EA 6.000 6.000   6.000 $900.00 $0.00 $5,400.00
0043 5/C TRAF.SIG.ELECT.CABLE 834(A) 8207 LF 600.000 248.000   248.000 $1.00 $0.00 $248.00
0044 7/C TRAF.SIG.ELECT.CABLE 834(A) 8208 LF 600.000 202.500   202.500 $1.10 $0.00 $222.75
0045 21/C TRAF.SIG.EL.CABLE 834(A) 8213 LF 600.000 376.000   376.000 $2.00 $0.00 $752.00
0046 2/C SHIELDED LOOP DETECTOR LEAD-IN CABLE 834(B) 8220 LF 600.000 303.000   303.000 $0.70 $0.00 $212.10
0047 (PL)E.P.S. OPTICAL DETECTOR 840(B) 8593 EA 2.000 2.000   2.000 $675.00 $0.00 $1,350.00
0048 (PL)E.P.S. OPTICAL DETECTOR CABLE 840(C) 8594 LF 350.000 86.000   86.000 $1.00 $0.00 $86.00
0049 (PL)E.P.S. 2 CHANNEL PHASE SELECTOR 840(D) 8595 EA 1.000 1.000   1.000 $1,850.00 $0.00 $1,850.00
0050 MAST ARM MOUNTED SIGNS(ALUMINUM) 850(C) 8118 SF 60.000 89.000   89.000 $45.00 $0.00 $4,005.00
Subtotals For Category     0301/STP-STIM(272)IG - TRAFFIC SIGNALS    $0.00 $105,257.23
Fed/State Project Number:    STP-STIM(272)IG Project:    26692(04) Category:    0600/STP-STIM(272)IG - STAKING
0051 STAKING 642 0098 LSUM 1.000 1.000   1.000 $2,500.00 $0.00 $2,500.00
Subtotals For Category     0600/STP-STIM(272)IG - STAKING    $0.00 $2,500.00
Fed/State Project Number:    STP-STIM(272)IG Project:    26692(04) Category:    0640/STP-STIM(272)IG - CONSTRUCTION
0052 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $4,500.00 $0.00 $4,500.00
Subtotals For Category     0640/STP-STIM(272)IG - CONSTRUCTION    $0.00 $4,500.00
Fed/State Project Number:    STP-STIM(272)IG Project:    26692(04) Category:    0850/NON ARRA FUNDING
8000 12' MTG.HT.TS PED.POLE(G.STL.) 806(B) 8896 EA 0.000 1.000   1.000 $550.00 $0.00 $550.00
Subtotals For Category     0850/NON ARRA FUNDING    $0.00 $550.00
Subtotals For Project STP-STIM(272)IG /26692(04) $399.70 $146,370.26