Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 100043   Estimate Number: 0009 , Final     Spec Year: 1999
Primary JP: 26732(04)   Residency: EDMOND (04400)     Contract No: 511182
Date Created: 03/29/2011   Contractor FEI: 731084433     Account No: 400400

Project Number(s): STP-STIM(304)AG
Contract Description: RESURFACE (ASPHALT) CITY STREETS (15TH ST./DANFORTH RD./EDMOND RD./ KELLY AVE./ BRYANT AVE./COLTRANE RD.): AT VARIOUS LOCATIONS IN EDMOND. PROJECT LENGTH = 2.5 MILES.
Primary County: OKLAHOMA              
Name of Road: CITY STREETS              
Prime Contractor: T.J. CAMPBELL CONSTRUCTION CO.           Time Charged: N/A
    P. O. BOX 15129           Time Allowed: N/A
    OKLA. CITY , OK   73155           Percent Time: N/A

  Paid To Date: $1,754,265.32 Payable This Statement: $-2,646.62

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.                                
T.J. CAMPBELL CONSTRUCTION CO.                               
 
_________________________________________________
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:    03/29/2011
Contract ID: 100043   Estimate Number: 0009     Contract No: 511182
Residency: EDMOND (04400)   Estimate Type: Final     Account No: 400400

Project Number(s): STP-STIM(304)AG
Primary Job Piece No: 26732(04)
Contract Description: RESURFACE (ASPHALT) CITY STREETS (15TH ST./DANFORTH RD./EDMOND RD./ KELLY AVE./ BRYANT AVE./COLTRANE RD.): AT VARIOUS LOCATIONS IN EDMOND. PROJECT LENGTH = 2.5 MILES.
Primary County: OKLAHOMA              
Name of Road: CITY STREETS              
Prime Contractor: T.J. CAMPBELL CONSTRUCTION CO.              
    P. O. BOX 15129              
    OKLA. CITY , OK   73155              
Surety Company: TRAVELERS INDEMNITY COMPANY              

Date Let: 03/18/2010 NTP Effective Date: 06/28/2010 Pay Period: 10/01/2010  TO  03/08/2011
Date Awarded: 04/12/2010 Date Work Began: 05/24/2010 Original Contract Time: N/A
Date Contract Executed: 04/27/2010 Date Time Stopped: 10/27/2010 Current Time Charged: N/A
Date NTP Issued: 05/04/2010 Completion Date: 10/27/2010 Current Time Allowed: N/A
General Liability Expires: 04/01/2011 Workman's Comp Expires: 07/01/2011 Percent Time Used: N/A
Specification Year: 1999 FIXED COMPLETION DATE: 10/30/2010    

Current Contract Amount: $1,750,627.12 Total to Date Prev to Date This Estimate
Bid Amount: $1,797,147.20 Participating: $1,750,627.18 $1,753,239.93 $-2,612.75
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $-3,638.20 Non ARRA: $0.00 $0.00 $0.00
Unearned Balance: $42,881.88 Total Earnings: $1,750,627.18 $1,753,239.93 $-2,612.75
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $1,750,627.18 $1,753,239.93 $-2,612.75
Other Adjustments: $3,638.14 $3,672.01 $-33.87
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $1,754,265.32 $1,756,911.94 $-2,646.62

Estimate Adjustment Detail

Contract ID: 100043   Estimate Number: 0009     Primary JP: 26732(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Time Extension / Extend Project Limits Approved 09/01/2010 122.0 $0.00
002 Traffic Stripe Items Approved 01/24/2011 0.0 $689.15
003 Final Quantity Approved 03/07/2011 0.0 $-47,209.23


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
LD Adjustment (Prog. Est. Only) 0004 $23,250.00
LD Adjustment (Prog. Est. Only) 0004 $-23,250.00
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
26732(04) 0001 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0001 0.00 $0.00 $36.37
26732(04) 0001 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0002 0.00 $0.00 $107.87
26732(04) 0001 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0003 0.00 $0.00 $1.48
26732(04) 0001 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0009 27.79 $-0.36 $-10.07
26732(04) 0002 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0002 0.00 $0.00 $3,679.78
26732(04) 0002 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0003 0.00 $0.00 $1.43
26732(04) 0002 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * Material Discrepancy Adjustments 0007 1.00 $-4,713.19 $-4,713.19
26732(04) 0020 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0002 0.00 $0.00 $39.85
26732(04) 0021 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0002 0.00 $0.00 $1,322.63
26732(04) 0036 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0002 0.00 $0.00 $3.92
26732(04) 0037 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0002 0.00 $0.00 $501.33
26732(04) 0049 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0001 0.00 $0.00 $22.84
26732(04) 0049 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0002 0.00 $0.00 $89.54
26732(04) 0049 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0009 62.94 $-0.36 $-22.80
26732(04) 0050 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0002 0.00 $0.00 $2,571.08
26732(04) 0050 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0003 0.00 $0.00 $7.08
Subtotals For Line Item Adjustments $3,639.14
* = 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: 100043   Estimate Number: 0009     Primary JP: 26732(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(304)AG Project:    26732(04) Category:    0100/ROADWAY
0001 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) 411(S3) 6210 TON 1,450.000 340.540 27.790 340.540 $69.25 $1,924.46 $23,582.40
0002 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 5,920.000 8,224.230   8,224.230 $71.25 $0.00 $585,976.38
0003 COLD MILLING PAVEMENT 417 5267 SY 50,000.000 74,598.700 0.020 74,598.700 $0.85 $0.02 $63,408.89
0004 2'-8" COMB. CURB & GUTTER (8" BARRIER) 609(B) 1526 LF 246.000 651.000 -679.000 651.000 $25.00 $-16,975.00 $16,275.00
0005 4" CONCRETE SIDEWALK 610(A) 0602 SY 1,550.000 1,161.440 239.910 1,161.440 $37.50 $8,996.63 $43,554.01
0006 (PL)TACTILE WARNING DEVICE-NEW 610(I) 4610 SF 700.000 770.000 57.000 770.000 $19.00 $1,083.00 $14,630.00
0007 (PL)TACTILE WARNING DEVICE-RETROFIT 610(I) 4615 SF 210.000 0.000   0.000 $35.00 $0.00 $0.00
0008 MANHOLES ADJUST TO GRADE 612(A) 0641 EA 14.000 3.000   3.000 $325.00 $0.00 $975.00
0009 VALVE BOXES ADJUST TO GRADE 612(G) 0647 EA 16.000 15.000 9.000 15.000 $225.00 $2,025.00 $3,375.00
0010 METER BOXES ADJUST TO GRADE 612(H) 0648 EA 12.000 2.000 2.000 2.000 $325.00 $650.00 $650.00
0011 REMOVAL OF CURB AND GUTTER 619(B) 4726 LF 246.000 651.000 -217.800 651.000 $7.70 $-1,677.06 $5,012.70
0012 LOOP DETECTOR WIRE 828(B) 8138 LF 11,816.000 16,731.560 -3.570 16,731.560 $3.00 $-10.71 $50,194.68
0013 TRAFFIC STRIPE(THERMOPLASTIC)(4" WIDE) 855(A) 3320 LF 40,090.000 41,065.000 6,728.000 41,065.000 $0.52 $3,498.56 $21,353.80
0014 TRAFFIC STRIPE(PLASTIC)(24" WIDE) 855(A) 8825 LF 507.000 1,810.000 352.000 1,810.000 $4.50 $1,584.00 $8,145.00
0015 TRAFFIC STRIPE(PLASTIC)(ARROWS) 855(B) 8818 EA 8.000 22.000 2.000 22.000 $115.00 $230.00 $2,530.00
0016 TRAFFIC STRIPE(PLASTIC)(WORDS) 855(B) 8821 EA 5.000 11.000 1.000 11.000 $200.00 $200.00 $2,200.00
0017 TRAFFIC STRIPE(PLASTIC)(SYMBOLS) 855(B) 8824 EA 4.000 4.000   4.000 $515.00 $0.00 $2,060.00
0018 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $6,000.00 $0.00 $6,000.00
0019 (PL)TRAFFIC ITEMS 890 7700 LSUM 1.000 1.000   1.000 $47,500.00 $0.00 $47,500.00
Subtotals For Category     0100/ROADWAY    $1,528.90 $897,422.86
Fed/State Project Number:    STP-STIM(304)AG Project:    26732(04) Category:    0101/ADD ALT 1
0020 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) 411(S3) 6210 TON 300.000 85.270   85.270 $69.25 $0.00 $5,904.95
0021 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 2,750.000 2,918.660   2,918.660 $71.25 $0.00 $207,954.53
0022 COLD MILLING PAVEMENT 417 5267 SY 23,480.000 25,641.710 -0.010 25,641.710 $0.85 $-0.01 $21,795.46
0023 2'-8" COMB. CURB & GUTTER (8" BARRIER) 609(B) 1526 LF 80.000 230.500 -173.500 230.500 $25.00 $-4,337.50 $5,762.50
0024 4" CONCRETE SIDEWALK 610(A) 0602 SY 220.000 318.220 49.790 318.220 $37.50 $1,867.13 $11,933.26
0025 (PL)TACTILE WARNING DEVICE-NEW 610(I) 4610 SF 200.000 190.000   190.000 $19.00 $0.00 $3,610.00
0026 (PL)TACTILE WARNING DEVICE-RETROFIT 610(I) 4615 SF 60.000 0.000   0.000 $35.00 $0.00 $0.00
0027 MANHOLES ADJUST TO GRADE 612(A) 0641 EA 2.000 0.000   0.000 $325.00 $0.00 $0.00
0028 VALVE BOXES ADJUST TO GRADE 612(G) 0647 EA 2.000 0.000   0.000 $250.00 $0.00 $0.00
0029 METER BOXES ADJUST TO GRADE 612(H) 0648 EA 2.000 2.000 2.000 2.000 $325.00 $650.00 $650.00
0030 REMOVAL OF CURB AND GUTTER 619(B) 4726 LF 80.000 230.500 -4.700 230.500 $7.50 $-35.25 $1,728.75
0031 LOOP DETECTOR WIRE 828(B) 8138 LF 1,140.000 617.520 -40.360 617.520 $3.00 $-121.08 $1,852.56
0032 TRAFFIC STRIPE(THERMOPLASTIC)(4" WIDE) 855(A) 3320 LF 16,120.000 15,580.000 2,386.000 15,580.000 $0.45 $1,073.70 $7,011.00
0033 TRAFFIC STRIPE(PLASTIC)(ARROWS) 855(B) 8818 EA 2.000 1.000   1.000 $85.00 $0.00 $85.00
0034 TRAFFIC STRIPE(PLASTIC)(WORDS) 855(B) 8821 EA 1.000 0.000   0.000 $180.00 $0.00 $0.00
0035 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $3,000.00 $0.00 $3,000.00
Subtotals For Category     0101/ADD ALT 1    $-903.01 $271,288.01
Fed/State Project Number:    STP-STIM(304)AG Project:    26732(04) Category:    0102/ADD ALT 2
0036 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) 411(S3) 6210 TON 680.000 8.390   8.390 $69.25 $0.00 $581.01
0037 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 2,050.000 938.820   938.820 $71.25 $0.00 $66,890.93
0038 COLD MILLING PAVEMENT 417 5267 SY 17,180.000 8,059.900 0.010 8,059.900 $0.85 $0.01 $6,850.92
0039 2'-8" COMB. CURB & GUTTER (8" BARRIER) 609(B) 1526 LF 80.000 171.000 -158.600 171.000 $25.00 $-3,965.00 $4,275.00
0040 4" CONCRETE SIDEWALK 610(A) 0602 SY 160.000 170.260 25.110 170.260 $37.50 $941.63 $6,384.76
0041 (PL)TACTILE WARNING DEVICE-NEW 610(I) 4610 SF 160.000 120.000   120.000 $19.00 $0.00 $2,280.00
0042 MANHOLES ADJUST TO GRADE 612(A) 0641 EA 2.000 0.000   0.000 $325.00 $0.00 $0.00
0043 VALVE BOXES ADJUST TO GRADE 612(G) 0647 EA 2.000 0.000   0.000 $250.00 $0.00 $0.00
0044 METER BOXES ADJUST TO GRADE 612(H) 0648 EA 2.000 0.000   0.000 $325.00 $0.00 $0.00
0045 REMOVAL OF CURB AND GUTTER 619(B) 4726 LF 80.000 171.000 -12.600 171.000 $7.70 $-97.02 $1,316.70
0046 LOOP DETECTOR WIRE 828(B) 8138 LF 868.000 217.840 -0.120 217.840 $3.00 $-0.36 $653.52
0047 TRAFFIC STRIPE(THERMOPLASTIC)(4" WIDE) 855(A) 3320 LF 15,120.000 4,692.000   4,692.000 $0.41 $0.00 $1,923.72
0048 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $3,000.00 $0.00 $3,000.00
8001 TRAFFIC STRIPE(PLASTIC)(24" WIDE) 855(A) 8825 LF 0.000 133.000 133.000 133.000 $2.55 $339.15 $339.15
8002 TRAFFIC STRIPE(PLASTIC)(ARROWS) 855(B) 8818 EA 0.000 2.000 2.000 2.000 $85.00 $170.00 $170.00
8003 TRAFFIC STRIPE(PLASTIC)(WORDS) 855(B) 8821 EA 0.000 1.000 1.000 1.000 $180.00 $180.00 $180.00
Subtotals For Category     0102/ADD ALT 2    $-2,431.59 $94,845.71
Fed/State Project Number:    STP-STIM(304)AG Project:    26732(04) Category:    0103/ADD ALT 3
0049 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) 411(S3) 6210 TON 590.000 303.430 62.940 303.430 $69.25 $4,358.60 $21,012.54
0050 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 5,150.000 4,831.850   4,831.850 $71.25 $0.00 $344,269.31
0051 COLD MILLING PAVEMENT 417 5267 SY 44,250.000 37,946.540 -0.010 37,946.540 $0.85 $-0.01 $32,254.56
0052 2'-8" COMB. CURB & GUTTER (8" BARRIER) 609(B) 1526 LF 120.000 423.900 -337.300 423.900 $25.00 $-8,432.50 $10,597.50
0053 4" CONCRETE SIDEWALK 610(A) 0602 SY 360.000 635.700 147.140 635.700 $37.50 $5,517.75 $23,838.75
0054 (PL)TACTILE WARNING DEVICE-NEW 610(I) 4610 SF 240.000 460.000 12.500 460.000 $19.00 $237.50 $8,740.00
0055 (PL)TACTILE WARNING DEVICE-RETROFIT 610(I) 4615 SF 80.000 0.000   0.000 $35.00 $0.00 $0.00
0056 MANHOLES ADJUST TO GRADE 612(A) 0641 EA 2.000 0.000   0.000 $325.00 $0.00 $0.00
0057 VALVE BOXES ADJUST TO GRADE 612(G) 0647 EA 2.000 0.000   0.000 $225.00 $0.00 $0.00
0058 METER BOXES ADJUST TO GRADE 612(H) 0648 EA 2.000 0.000   0.000 $325.00 $0.00 $0.00
0059 REMOVAL OF CURB AND GUTTER 619(B) 4726 LF 120.000 423.900 -188.400 423.900 $7.70 $-1,450.68 $3,264.03
0060 LOOP DETECTOR WIRE 828(B) 8138 LF 5,000.000 4,544.640 -1.520 4,544.640 $3.00 $-4.56 $13,633.92
0061 TRAFFIC STRIPE(THERMOPLASTIC)(4" WIDE) 855(A) 3320 LF 24,430.000 22,298.000 -800.000 22,298.000 $0.43 $-344.00 $9,588.14
0062 TRAFFIC STRIPE(PLASTIC)(24" WIDE) 855(A) 8825 LF 272.000 1,087.000 -133.000 1,087.000 $2.55 $-339.15 $2,771.85
0063 TRAFFIC STRIPE(PLASTIC)(ARROWS) 855(B) 8818 EA 10.000 12.000 -2.000 12.000 $85.00 $-170.00 $1,020.00
0064 TRAFFIC STRIPE(PLASTIC)(WORDS) 855(B) 8821 EA 7.000 6.000 -1.000 6.000 $180.00 $-180.00 $1,080.00
0065 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $3,300.00 $0.00 $3,300.00
Subtotals For Category     0103/ADD ALT 3    $-807.05 $475,370.60
Fed/State Project Number:    STP-STIM(304)AG Project:    26732(04) Category:    0640/CONSTRUCTION
0066 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $11,700.00 $0.00 $11,700.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $11,700.00
Subtotals For Project STP-STIM(304)AG /26732(04) $-2,612.75 $1,750,627.18