Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 100027   Estimate Number: 0006 , Final     Spec Year: 1999
Primary JP: 27241(04)   Residency: JACOBS (AKA - CARTER-BURGESS) (03004)     Contract No: 510979
Date Created: 05/27/2011   Contractor FEI: 731204879     Account No: 400300

Project Number(s): STP-STIM(483)AG
Contract Description: RESURFACE (ASPHALT) CITY STREETS (BRYANT AVE.): BEGIN AT S.E. 27TH STREET IN THE CITY OF MOORE, EXTEND NORTH. PROJECT LENGTH = 1.58 MILES.
Primary County: CLEVELAND              
Name of Road: CITY STREET              
Prime Contractor: SILVER STAR CONSTRUCTION COMPANY, INC.           Time Charged: N/A
    2401 S. BROADWAY           Time Allowed: N/A
    MOORE , OK   73160           Percent Time: N/A

  Paid To Date: $871,069.83 Payable This Statement: $314.78

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.                                
SILVER STAR CONSTRUCTION COMPANY, 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:    05/27/2011
Contract ID: 100027   Estimate Number: 0006     Contract No: 510979
Residency: JACOBS (AKA - CARTER-BURGESS) (03004)   Estimate Type: Final     Account No: 400300

Project Number(s): STP-STIM(483)AG
Primary Job Piece No: 27241(04)
Contract Description: RESURFACE (ASPHALT) CITY STREETS (BRYANT AVE.): BEGIN AT S.E. 27TH STREET IN THE CITY OF MOORE, EXTEND NORTH. PROJECT LENGTH = 1.58 MILES.
Primary County: CLEVELAND              
Name of Road: CITY STREET              
Prime Contractor: SILVER STAR CONSTRUCTION COMPANY, INC.              
    2401 S. BROADWAY              
    MOORE , OK   73160              
Surety Company: AMERICAN STATES INSURANCE CO.              

Date Let: 02/25/2010 NTP Effective Date: 08/29/2010 Pay Period: 10/01/2010  TO  05/15/2011
Date Awarded: 03/01/2010 Date Work Began: 06/23/2010 Original Contract Time: N/A
Date Contract Executed: 03/19/2010 Date Time Stopped: 09/30/2010 Current Time Charged: N/A
Date NTP Issued: 03/24/2010 Completion Date: 09/30/2010 Current Time Allowed: N/A
General Liability Expires: 05/19/2011 Workman's Comp Expires: 05/19/2011 Percent Time Used: N/A
Specification Year: 1999 FIXED COMPLETION DATE: 09/30/2010    

Current Contract Amount: $883,928.98 Total to Date Prev to Date This Estimate
Bid Amount: $860,410.00 Participating: $847,860.35 $847,860.35 $0.00
Percent Complete: 98.55 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $12,859.15 Non ARRA: $0.00 $0.00 $0.00
Unearned Balance: $-10,659.83 Total Earnings: $847,860.35 $847,860.35 $0.00
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $847,860.35 $847,860.35 $0.00
Other Adjustments: $23,209.48 $22,894.70 $314.78
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $871,069.83 $870,755.05 $314.78

Estimate Adjustment Detail

Contract ID: 100027   Estimate Number: 0006     Primary JP: 27241(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Change Order for Completion Date Approved 11/03/2010 30.0 $0.00
002 Asphalt Binder Adjustment Approved 01/10/2011 0.0 $36,068.66
003 Final Quantity Change Order Approved 03/15/2011 0.0 $-12,549.68


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
27241(04) 0005 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) * QAQC 0004 -1.00 $2,586.00 $-2,586.00
27241(04) 0005 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0004 0.00 $0.00 $6,881.52
27241(04) 0005 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) * QAQC 0005 -1.00 $3,057.00 $-3,057.00
27241(04) 0005 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) * QAQC 0005 1.00 $2,586.00 $2,586.00
27241(04) 0005 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0005 -8.08 $1.79 $-14.52
27241(04) 0005 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) * QAQC 0006 1.00 $471.00 $471.00
27241(04) 0006 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0003 0.00 $0.00 $6,386.71
27241(04) 0006 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) * QAQC 0003 1.00 $-7,840.87 $-7,840.87
27241(04) 0006 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0004 0.00 $0.00 $4,506.94
27241(04) 0006 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) * QAQC 0004 -1.00 $1,468.36 $-1,468.36
27241(04) 0006 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) * QAQC 0005 1.00 $1,468.36 $1,468.36
27241(04) 0006 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) * QAQC 0005 -1.00 $537.07 $-537.07
27241(04) 0006 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) * QAQC 0005 -1.00 $1,739.02 $-1,739.02
27241(04) 0006 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) * QAQC 0005 1.00 $7,840.87 $7,840.87
27241(04) 0006 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0005 16.35 $2.05 $33.57
27241(04) 0006 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) * QAQC 0006 -1.00 $156.22 $-156.22
27241(04) 0018 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0002 0.00 $0.00 $8,968.53
27241(04) 0018 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0005 0.03 $2.05 $0.06
27241(04) 0024 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0002 0.00 $0.00 $9,306.36
27241(04) 0024 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) * QAQC 0005 -1.00 $7,840.87 $-7,840.87
27241(04) 0024 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0005 -0.25 $2.05 $-0.51
Subtotals For Line Item Adjustments $23,209.48
* = 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: 100027   Estimate Number: 0006     Primary JP: 27241(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(483)AG Project:    27241(04) Category:    0100/ROADWAY
0001 MACHINE GRADING 209 0120 STA 84.000 83.600   83.600 $176.50 $0.00 $14,755.40
0002 (SP)STABILIZED SUBGRADE 327(K) 4300 SY 22,983.000 23,003.740   23,003.740 $2.35 $0.00 $54,058.79
0003 TRAFFIC BOUND SURFACE COURSE TYPE A 403(A) 0217 TON 262.000 0.000   0.000 $40.00 $0.00 $0.00
0004 TACK COAT 407 0250 GAL 1,098.000 860.000   860.000 $3.00 $0.00 $2,580.00
0005 (SP)ASPHALT CONCRETE TYPE S3(PG 64-22 OK) 411(S3) 5945 TON 2,948.000 2,956.050 0.000 2,956.050 $43.10 $0.00 $127,405.75
0006 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) 411(S4) 5960 TON 3,336.000 3,753.430 0.000 3,753.430 $55.20 $0.00 $207,189.34
0007 COLD MILLING BITUMINOUS PAVEMENT 417 4267 SY 21,205.000 22,240.090   22,240.090 $1.05 $0.00 $23,352.10
0008 4" CONCRETE SIDEWALK 610(A) 0602 SY 150.000 40.790   40.790 $92.00 $0.00 $3,752.68
0009 (PL)TACTILE WARNING DEVICE-NEW 610(I) 4610 SF 80.000 80.000   80.000 $19.00 $0.00 $1,520.00
0010 MANHOLES ADJUST TO GRADE 612(A) 0641 EA 1.000 0.000   0.000 $545.00 $0.00 $0.00
0011 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 35,214.000 26,957.000   26,957.000 $0.35 $0.00 $9,434.95
0012 (PL)CONSTRUCTION ZONE PAVEMENT MARKERS(FLEX TAB)TYPE 2-2 856(G) 8890 EA 3,346.000 514.000   514.000 $0.50 $0.00 $257.00
0013 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $6,095.80 $0.00 $6,095.80
8001 ASPHALT BINDER PRICE ADJUSTMENT 109 1150 LSUM 0.000 1.000   0.000 $36,068.66 $0.00 $0.00
Subtotals For Category     0100/ROADWAY    $0.00 $450,401.81
Fed/State Project Number:    STP-STIM(483)AG Project:    27241(04) Category:    0101/ADD ALTERNATE 1
0014 MACHINE GRADING 209 0120 STA 44.000 44.000   44.000 $148.50 $0.00 $6,534.00
0015 (SP)STABILIZED SUBGRADE 327(K) 4300 SY 12,710.000 9,921.620   9,921.620 $2.80 $0.00 $27,780.54
0016 TRAFFIC BOUND SURFACE COURSE TYPE A 403(A) 0217 TON 135.000 0.000   0.000 $40.00 $0.00 $0.00
0017 TACK COAT 407 0250 GAL 603.000 500.000   500.000 $3.00 $0.00 $1,500.00
0018 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) 411(S4) 5960 TON 2,665.000 2,862.450   2,862.450 $50.95 $0.00 $145,841.83
0019 COLD MILLING BITUMINOUS PAVEMENT 417 4267 SY 11,733.000 11,265.300   11,265.300 $0.70 $0.00 $7,885.71
0020 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 18,080.000 15,648.000   15,648.000 $0.35 $0.00 $5,476.80
0021 (PL)CONSTRUCTION ZONE PAVEMENT MARKERS(FLEX TAB)TYPE 2-2 856(G) 8890 EA 1,760.000 332.000   332.000 $0.50 $0.00 $166.00
0022 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $2,246.15 $0.00 $2,246.16
Subtotals For Category     0101/ADD ALTERNATE 1    $0.00 $197,431.04
Fed/State Project Number:    STP-STIM(483)AG Project:    27241(04) Category:    0102/ADD ALTERNATE 2
0023 TACK COAT 407 0250 GAL 665.000 575.000   575.000 $3.00 $0.00 $1,725.00
0024 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) 411(S4) 5960 TON 3,040.000 2,969.990   2,969.990 $50.65 $0.00 $150,430.00
0025 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 21,666.000 19,096.000   19,096.000 $0.35 $0.00 $6,683.60
0026 (PL)CONSTRUCTION ZONE PAVEMENT MARKERS(FLEX TAB)TYPE 2-2 856(G) 8890 EA 2,112.000 418.000   418.000 $0.50 $0.00 $209.00
0027 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $1,999.90 $0.00 $1,999.90
Subtotals For Category     0102/ADD ALTERNATE 2    $0.00 $161,047.50
Fed/State Project Number:    STP-STIM(483)AG Project:    27241(04) Category:    0600/STAKING
0028 STAKING 642 0098 LSUM 1.000 1.000   1.000 $4,574.00 $0.00 $4,574.00
Subtotals For Category     0600/STAKING    $0.00 $4,574.00
Fed/State Project Number:    STP-STIM(483)AG Project:    27241(04) Category:    0640/CONSTRUCTION
0029 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $34,406.00 $0.00 $34,406.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $34,406.00
Subtotals For Project STP-STIM(483)AG /27241(04) $0.00 $847,860.35


1 CURRENT QUANTITIES DO NOT MATCH THE QUANTITY PAID TO DATE