Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 100072   Estimate Number: 0010 , Final     Spec Year: 1999
Primary JP: 27210(04)   Residency: DUNCAN (07100)     Contract No: 511289
Date Created: 06/10/2013   Contractor FEI: 730799069     Account No: 555700

Project Number(s): STP-STIM(471)EH, STP-STIM(471) PART 3 EH
Contract Description: PEDESTRIAN IMPROVEMENTS/RESURFACE (ASPHALT) SH-65: FROM OREGON STREET, EXTEND SOUTH TO OKLAHOMA STREET IN THE CITY OF TEMPLE. PROJECT LENGTH = 0.719 MILES.
Primary County: COTTON              
Name of Road: SH-65              
Prime Contractor: T & G CONSTRUCTION, INC.           Time Charged: 250.00
    800 S. E. 1ST STREET           Time Allowed: 211.00
    LAWTON , OK   73501           Percent Time: 118.48 %

  Paid To Date: $450,060.82 Payable This Statement: $7,812.00

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.                                
T & G CONSTRUCTION, 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:    06/10/2013
Contract ID: 100072   Estimate Number: 0010     Contract No: 511289
Residency: DUNCAN (07100)   Estimate Type: Final     Account No: 555700

Project Number(s): STP-STIM(471)EH, STP-STIM(471) PART 3 EH
Primary Job Piece No: 27210(04)
Contract Description: PEDESTRIAN IMPROVEMENTS/RESURFACE (ASPHALT) SH-65: FROM OREGON STREET, EXTEND SOUTH TO OKLAHOMA STREET IN THE CITY OF TEMPLE. PROJECT LENGTH = 0.719 MILES.
Primary County: COTTON              
Name of Road: SH-65              
Prime Contractor: T & G CONSTRUCTION, INC.              
    800 S. E. 1ST STREET              
    LAWTON , OK   73501              
Surety Company: WESTFIELD INSURANCE COMPANY              

Date Let: 04/15/2010 NTP Effective Date: 07/12/2010 Pay Period: 01/01/2011  TO  03/18/2011
Date Awarded: 05/03/2010 Date Work Began: 07/12/2010 Original Contract Time: 90
Date Contract Executed: 05/19/2010 Date Time Stopped: 03/18/2011 Current Time Charged: 250.00
Date NTP Issued: 05/26/2010 Completion Date: 03/18/2011 Current Time Allowed: 211.00
General Liability Expires: 10/01/2013 Workman's Comp Expires: 10/01/2013 Percent Time Used: 118.48 %
Specification Year: 1999        

Current Contract Amount: $473,011.08 Total to Date Prev to Date This Estimate
Bid Amount: $463,962.76 Participating: $473,011.07 $473,871.10 $-860.03
Percent Complete: 95.15 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $22,950.27 Non ARRA: $0.00 $0.00 $0.00
Unearned Balance: $13,901.95 Total Earnings: $473,011.07 $473,871.10 $-860.03
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $473,011.07 $473,871.10 $-860.03
Other Adjustments: $-3,450.26 $-3,622.28 $172.02
Liq Dam/Disincentive: $-19,500.00 $-28,000.00 $8,500.00
TOTAL: $450,060.81 $442,248.82 $7,811.99

Estimate Adjustment Detail

Contract ID: 100072   Estimate Number: 0010     Primary JP: 27210(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Finalizing Contract Item Quantities Approved 04/18/2013 0.0 $9,048.32


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
System Application of Liquidated Damages 0005 --5.0 $500.00 $-2,500.00
System Application of Liquidated Damages 0006 --15 $500.00 $-7,500.00
System Application of Liquidated Damages 0007 --5.0 $500.00 $-2,500.00
System Application of Liquidated Damages 0008 --15 $500.00 $-7,500.00
System Application of Liquidated Damages 0009 --16 $500.00 $-8,000.00
System Application of Liquidated Damages 0010 -17.0 $500.00 $8,500.01
Subtotals For Liquidated Damages $-19,499.99


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
27210(04) 0009 CONCRETE CURB (6" BARRIER-INTEGRAL) * Rounding Error Correction 0007 -106.00 $8.00 $-848.00
27210(04) 0009 CONCRETE CURB (6" BARRIER-INTEGRAL) * Rounding Error Correction 0009 106.00 $8.00 $848.00
27210(04) 0022 REMOVAL OF CURB * Rounding Error Correction 0007 -111.00 $5.00 $-555.00
27210(04) 0022 REMOVAL OF CURB * Rounding Error Correction 0009 111.00 $5.00 $555.00
27210(04) 0023 REMOVAL OF SIDEWALK * Rounding Error Correction 0007 -57.78 $10.00 $-577.80
27210(04) 0023 REMOVAL OF SIDEWALK * Rounding Error Correction 0009 57.78 $10.00 $577.80
27210(06) 0033 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0008 1,394.76 $-2.17 $-3,037.79
27210(06) 0033 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0010 -94.01 $-1.57 $148.35
27210(06) 0034 (SP)ASPHALT CONCRETE, TYPE S4(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0008 268.36 $-2.17 $-584.49
27210(06) 0034 (SP)ASPHALT CONCRETE, TYPE S4(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0010 -15.00 $-1.57 $23.67
Subtotals For Line Item Adjustments $-3,450.26
* = User applied Line Item Adjustments


MILESTONE INFORMATION
Milestone Number Milestone Description Start Date End Date Current Time Allowed Rate Milestone Closed
No milestones exist for this contract.


MILESTONE ADJUSTMENTS
Milestone Number Milestone Adjustment Description Estimate Nbr Total
No milestones adjustments exist for this contract.
Subtotals For Milestones $

Line Item Detail

Contract ID: 100072   Estimate Number: 0010     Primary JP: 27210(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(471)EH Project:    27210(04) Category:    0100/ROADWAY - STP-STIM(471) EH
0001 TEMPORARY SILT FENCE 223 2801 LF 1,407.000 0.000   0.000 $2.20 $0.00 $0.00
0002 TEMPORARY SILT DIKE 227 0100 LF 200.000 0.000   0.000 $10.00 $0.00 $0.00
0003 SOLID SLAB SODDING 230(A) 2806 SY 541.000 486.300   486.300 $3.40 $0.00 $1,653.42
0004 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 60.000 67.820   67.820 $30.00 $0.00 $2,034.60
0005 HANDRAILING 504(G) 6006 LF 113.000 54.000 54.000 54.000 $75.00 $4,050.00 $4,050.00
0006 CLASS A CONCRETE 509(B) 0321 CY 6.000 6.720 -1.060 6.720 $900.00 $-954.00 $6,048.00
0007 REINFORCING STEEL 511(A) 0332 LB 483.000 516.000 32.200 516.000 $1.25 $40.25 $645.00
0008 PREFABRICATED PEDESTRIAN BRIDGE 535 6785 EA 7.000 6.000   6.000 $4,500.00 $0.00 $27,000.00
0009 CONCRETE CURB (6" BARRIER-INTEGRAL) 609(A) 0300 LF 1,164.000 1,701.820 0.000 1,701.820 $8.00 $0.00 $13,614.56
0010 4" CONCRETE SIDEWALK 610(A) 0602 SY 2,480.000 2,501.680 0.000 2,501.680 $38.97 $0.00 $97,490.46
0011 6" CONCRETE DRIVEWAY (H.E.S.) 610(B) 0399 SY 54.000 0.000   0.000 $43.65 $0.00 $0.00
0012 8" CONCRETE DRIVEWAY (H.E.S.) 610(B) 0400 SY 327.000 401.860   401.860 $49.00 $0.00 $19,691.14
0013 (PL)TACTILE WARNING DEVICE-NEW 610(I) 4610 SF 296.000 312.000 -8.000 312.000 $45.00 $-360.00 $14,040.00
0014 (PL)TACTILE WARNING DEVICE-RETROFIT 610(I) 4615 SF 8.000 8.000   8.000 $300.00 $0.00 $2,400.00
0015 VALVE BOXES ADJUST TO GRADE 612(G) 0647 EA 1.000 1.000   1.000 $300.00 $0.00 $300.00
0016 METER BOXES ADJUST TO GRADE 612(H) 0648 EA 2.000 2.000   2.000 $400.00 $0.00 $800.00
0017 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 1.000 1.000   1.000 $4,000.00 $0.00 $4,000.00
0018 REMOVAL OF HEADWALL 619(B) 0291 EA 1.000 1.000   1.000 $2,000.00 $0.00 $2,000.00
0019 REMOVAL OF CONCRETE PAVEMENT 619(B) 4727 SY 72.000 41.340   41.340 $8.00 $0.00 $330.72
0020 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 115.000 882.170 116.000 882.170 $8.00 $928.00 $7,057.36
0021 REMOVAL OF CONCRETE DRIVEWAY 619(B) 4766 SY 104.000 149.160 0.000 149.160 $12.00 $0.00 $1,789.92
0022 REMOVAL OF CURB 619(B) 4791 LF 784.000 1,259.000 -111.000 1,259.000 $5.00 $-555.00 $6,295.00
0023 REMOVAL OF SIDEWALK 619(B) 4792 SY 2,066.000 2,154.590 0.000 2,154.590 $10.00 $0.00 $21,545.90
0024 SAWING PAVEMENT 619(C) 0924 LF 2,946.000 838.000 0.000 838.000 $5.00 $0.00 $4,190.00
0025 REMOVE AND RESET MAILBOX 629(E) 5048 EA 2.000 2.000   2.000 $200.00 $0.00 $400.00
Subtotals For Category     0100/ROADWAY - STP-STIM(471) EH    $3,149.25 $237,376.08
Fed/State Project Number:    STP-STIM(471)EH Project:    27210(04) Category:    0300/TRAFFIC - STP-STIM(471) EH
0026 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 129.000 129.000 129.000 129.000 $0.85 $109.65 $109.65
0027 PAVEMENT MARKING REMOVAL(TRAFFIC STRIPE) 859(A) 8006 LF 129.000 0.000   0.000 $0.32 $0.00 $0.00
0028 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000 0.050 1.000 $6,600.00 $330.00 $6,600.00
0029 (PL)REMOVAL OF GROUND MOUNTED SIGNS 890(A) 8720 LSUM 1.000 1.000   1.000 $1,000.00 $0.00 $1,000.00
0030 (PL)REMOVE & RESET GROUND MOUNTED SIGN 890A/B 8760 EA 12.000 12.000 0.000 12.000 $200.00 $0.00 $2,400.00
Subtotals For Category     0300/TRAFFIC - STP-STIM(471) EH    $439.65 $10,109.65
Fed/State Project Number:    STP-STIM(471)EH Project:    27210(04) Category:    0600/STAKING - STP-STIM(471) EH
0031 STAKING 642 0098 LSUM 1.000 1.000 0.050 1.000 $6,850.00 $342.50 $6,850.00
Subtotals For Category     0600/STAKING - STP-STIM(471) EH    $342.50 $6,850.00
Fed/State Project Number:    STP-STIM(471)EH Project:    27210(04) Category:    0640/CONSTRUCTION - STP-STIM(471) EH
0032 MOBILIZATION 641 1552 LSUM 1.000 1.000 0.180 1.000 $30,000.00 $5,400.00 $30,000.00
Subtotals For Category     0640/CONSTRUCTION - STP-STIM(471) EH    $5,400.00 $30,000.00
Subtotals For Project STP-STIM(471)EH /27210(04) $9,331.40 $284,335.73


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(471) PART 3 EH Project:    27210(06) Category:    0100/ROADWAY - STP-STIM(471)PT 3 EH
0033 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) 411(S4) 5960 TON 1,600.000 1,300.750 -94.010 1,300.750 $71.80 $-6,749.92 $93,393.85
0034 (SP)ASPHALT CONCRETE, TYPE S4(PATCHING)(PG 64-22 OK) 411(S4) 6310 TON 50.000 253.360 -15.000 253.360 $200.00 $-3,000.00 $50,672.00
0035 H.E.S. CONCRETE (FULL DEPTH PATCHING) 414(B) 5913 SY 100.000 47.290   47.290 $200.00 $0.00 $9,458.00
0036 COLD MILLING BITUMINOUS PAVEMENT 417 4267 SY 11,212.000 11,054.190 -158.190 11,054.190 $2.00 $-316.38 $22,108.38
0037 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 5,214.000 13,163.000 -129.000 13,163.000 $0.97 $-125.13 $12,768.11
0038 TRAFFIC STRIPE(PLASTIC)(SYMBOLS) 855(B) 8824 EA 1.000 1.000   1.000 $275.00 $0.00 $275.00
Subtotals For Category     0100/ROADWAY - STP-STIM(471)PT 3 EH    $-10,191.43 $188,675.34
Subtotals For Project STP-STIM(471) PART 3 EH /27210(06) $-10,191.43 $188,675.34