Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 100067   Estimate Number: 0010 , Final     Spec Year: 1999
Primary JP: 26759(04)   Residency: EDMOND (04400)     Contract No: 511005
Date Created: 11/08/2010   Contractor FEI: 731053214     Account No: 400400

Project Number(s): STP-STIM(421)AG
Contract Description: RESURFACE (ASPHALT) CITY STREET (CORNWELL ROAD): FROM N.W. 10TH TO VANDAMENT IN THE CITY OF YUKON. PROJECT LENGTH = 0.845 MILES.
Primary County: CANADIAN              
Name of Road: CITY STREET              
Prime Contractor: SCHWARZ PAVING CO., INC.           Time Charged: 147.00
    8251 W. RENO           Time Allowed: 154.00
    OKLAHOMA CITY , OK   73127           Percent Time: 95.45 %

  Paid To Date: $745,537.03 Payable This Statement: $540.88

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.                                
SCHWARZ PAVING 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:    11/08/2010
Contract ID: 100067   Estimate Number: 0010     Contract No: 511005
Residency: EDMOND (04400)   Estimate Type: Final     Account No: 400400

Project Number(s): STP-STIM(421)AG
Primary Job Piece No: 26759(04)
Contract Description: RESURFACE (ASPHALT) CITY STREET (CORNWELL ROAD): FROM N.W. 10TH TO VANDAMENT IN THE CITY OF YUKON. PROJECT LENGTH = 0.845 MILES.
Primary County: CANADIAN              
Name of Road: CITY STREET              
Prime Contractor: SCHWARZ PAVING CO., INC.              
    8251 W. RENO              
    OKLAHOMA CITY , OK   73127              
Surety Company: FIDELITY & DEPOSIT INSURANCE COMPANY OF MARYLAND              

Date Let: 02/18/2010 NTP Effective Date: 05/03/2010 Pay Period: 10/01/2010  TO  11/08/2010
Date Awarded: 03/01/2010 Date Work Began: 05/03/2010 Original Contract Time: 120
Date Contract Executed: 03/17/2010 Date Time Stopped: 09/26/2010 Current Time Charged: 147.00
Date NTP Issued: 03/23/2010 Completion Date: 09/26/2010 Current Time Allowed: 154.00
General Liability Expires: 10/01/2011 Workman's Comp Expires: 10/01/2011 Percent Time Used: 95.45 %
Specification Year: 1999        

Current Contract Amount: $747,550.64 Total to Date Prev to Date This Estimate
Bid Amount: $721,873.90 Participating: $747,550.65 $744,996.15 $2,554.50
Percent Complete: 99.73 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $2,013.61 Non ARRA: $0.00 $0.00 $0.00
Unearned Balance: $-23,663.13 Total Earnings: $747,550.65 $744,996.15 $2,554.50
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $747,550.65 $744,996.15 $2,554.50
Other Adjustments: $-2,013.62 $0.00 $-2,013.62
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $745,537.03 $744,996.15 $540.88

Estimate Adjustment Detail

Contract ID: 100067   Estimate Number: 0010     Primary JP: 26759(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Amendment to Special Provision 414.04(v) Approved 05/19/2010 0.0 $0.00
002 Bonded Overlay Overrun Approved 09/20/2010 0.0 $45,620.00
003 Final Quantities Approved 11/05/2010 0.0 $-19,943.26


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
Withhold to Funds Avail(Prog. Est. Only) 0008 $-19,910.30
Withhold to Funds Avail(Prog. Est. Only) 0009 $19,910.30
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
26759(04) 0008 (SP)PORTLAND CEMENT CONCRETE FOR BONDED PAVEMENT OVERLAY * Material Discrepancy Adjustments 0010 1.00 $-2,013.62 $-2,013.62
Subtotals For Line Item Adjustments $-2,013.62
* = 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: 100067   Estimate Number: 0010     Primary JP: 26759(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(421)AG Project:    26759(04) Category:    0100/ROADWAY
0001 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 130.000 4.990   4.990 $15.00 $0.00 $74.85
0002 TEMPORARY SILT FENCE 223 2801 LF 1,000.000 0.000   0.000 $1.50 $0.00 $0.00
0003 SOLID SLAB SODDING 230(A) 2806 SY 5,000.000 1,493.570   1,493.570 $1.30 $0.00 $1,941.64
0004 AGGREGATE BASE 303 5912 TON 407.000 366.770   366.770 $28.50 $0.00 $10,452.95
0005 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 200.000 0.000   0.000 $20.00 $0.00 $0.00
0006 (PL)CRACK SEALING P.C.PAVEMENT 414 5169 LF 13,890.000 6,609.000   6,609.000 $1.00 $0.00 $6,609.00
0007 H.E.S. CONCRETE (FULL DEPTH PATCHING) 414(B) 5913 SY 1,130.000 989.000   989.000 $40.00 $0.00 $39,560.00
0008 (SP)PORTLAND CEMENT CONCRETE FOR BONDED PAVEMENT OVERLAY 414(J) 5410 CY 1,897.000 2,370.000 0.000 2,370.000 $120.00 $0.00 $284,400.00
0009 (SP)PORTLAND CEMENT CONCRETE PAVEMENT, BONDED OVERLAY, 414(K) 5500 SY 22,764.000 22,547.570   22,547.570 $8.00 $0.00 $180,380.56
0010 COLD MILLING PAVEMENT 417 5267 SY 22,764.000 22,547.570   22,547.570 $2.50 $0.00 $56,368.93
0011 COMBINED CURB & GUTTER (8" BARRIER) 609(B) 0384 LF 1,177.000 1,256.710 74.000 1,256.710 $22.50 $1,665.00 $28,275.98
0012 2'-8" COMB. CURB & GUTTER (8" BARRIER-NOTCHED) 609(B) 0396 LF 131.000 0.000   0.000 $22.50 $0.00 $0.00
0013 4" CONCRETE SIDEWALK 610(A) 0602 SY 563.000 650.750 17.790 650.750 $50.00 $889.50 $32,537.50
0014 (PL)TACTILE WARNING DEVICE-NEW 610(I) 4610 SF 532.000 364.000   364.000 $12.50 $0.00 $4,550.00
0015 VALVE BOXES ADJUST TO GRADE 612(G) 0647 EA 12.000 8.000   8.000 $350.00 $0.00 $2,800.00
0016 REMOVAL OF CURB AND GUTTER 619(B) 4726 LF 1,308.000 1,256.710   1,256.710 $4.00 $0.00 $5,026.84
0017 REMOVAL OF CONCRETE PAVEMENT 619(B) 4727 SY 1,073.000 989.000   989.000 $6.00 $0.00 $5,934.00
0018 REMOVAL OF SIDEWALK 619(B) 4792 SY 458.000 524.420   524.420 $6.00 $0.00 $3,146.52
0019 SAWING PAVEMENT 619(C) 0924 LF 3,370.000 3,353.760   3,353.760 $4.00 $0.00 $13,415.04
Subtotals For Category     0100/ROADWAY    $2,554.50 $675,473.81
Fed/State Project Number:    STP-STIM(421)AG Project:    26759(04) Category:    0300/TRAFFIC
0020 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 18,070.000 11,362.000   11,362.000 $0.32 $0.00 $3,635.84
0021 TRAFFIC STRIPE(PLASTIC)(24" WIDE) 855(A) 8825 LF 132.000 126.000   126.000 $3.50 $0.00 $441.00
Subtotals For Category     0300/TRAFFIC    $0.00 $4,076.84
Fed/State Project Number:    STP-STIM(421)AG Project:    26759(04) Category:    0301/TRAFFIC CONTROL
0022 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $12,000.00 $0.00 $12,000.00
Subtotals For Category     0301/TRAFFIC CONTROL    $0.00 $12,000.00
Fed/State Project Number:    STP-STIM(421)AG Project:    26759(04) Category:    0600/STAKING
0023 STAKING 642 0098 LSUM 1.000 1.000   1.000 $1,000.00 $0.00 $1,000.00
Subtotals For Category     0600/STAKING    $0.00 $1,000.00
Fed/State Project Number:    STP-STIM(421)AG Project:    26759(04) Category:    0640/CONSTRUCTION
0024 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $55,000.00 $0.00 $55,000.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $55,000.00
Subtotals For Project STP-STIM(421)AG /26759(04) $2,554.50 $747,550.65