Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 100084   Estimate Number: 0006 , Final     Spec Year: 1999
Primary JP: 27185(04)   Residency: WEWOKA (03300)     Contract No: 510882
Date Created: 02/07/2011   Contractor FEI: 271621817     Account No: 555300

Project Number(s): STP-STIM(446)EH
Contract Description: PEDESTRIAN IMPROVEMENTS SH-18: FROM HAYES STREET, EXTEND NORTH IN THE CITY OF AGRA. PROJECT LENGTH = 0.262 MILES.
Primary County: LINCOLN              
Name of Road: SH-18              
Prime Contractor: DEVINE DOZER & CONSTRUCTION LLC           Time Charged: 99.00
    6003 E. 68TH           Time Allowed: 99.00
    STILLWATER , OK   74074           Percent Time: 100.00 %

  Paid To Date: $166,601.84 Payable This Statement: $-74.05

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.                                
DEVINE DOZER & CONSTRUCTION LLC                               
 
_________________________________________________
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:    02/07/2011
Contract ID: 100084   Estimate Number: 0006     Contract No: 510882
Residency: WEWOKA (03300)   Estimate Type: Final     Account No: 555300

Project Number(s): STP-STIM(446)EH
Primary Job Piece No: 27185(04)
Contract Description: PEDESTRIAN IMPROVEMENTS SH-18: FROM HAYES STREET, EXTEND NORTH IN THE CITY OF AGRA. PROJECT LENGTH = 0.262 MILES.
Primary County: LINCOLN              
Name of Road: SH-18              
Prime Contractor: DEVINE DOZER & CONSTRUCTION LLC              
    6003 E. 68TH              
    STILLWATER , OK   74074              
Surety Company: AMERICAN SAFETY CASUALTY INSURANCE CO.              

Date Let: 01/28/2010 NTP Effective Date: 04/05/2010 Pay Period: 09/01/2010  TO  12/14/2010
Date Awarded: 02/01/2010 Date Work Began: 04/09/2010 Original Contract Time: 60
Date Contract Executed: 02/10/2010 Date Time Stopped: 07/12/2010 Current Time Charged: 99.00
Date NTP Issued: 02/18/2010 Completion Date: 07/12/2010 Current Time Allowed: 99.00
General Liability Expires: 02/09/2011 Workman's Comp Expires: 02/12/2011 Percent Time Used: 100.00 %
Specification Year: 1999        

Current Contract Amount: $166,601.84 Total to Date Prev to Date This Estimate
Bid Amount: $152,277.20 Participating: $146,747.48 $146,821.53 $-74.05
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $0.00 Non ARRA: $19,854.36 $19,854.36 $0.00
Unearned Balance: $-14,324.64 Total Earnings: $166,601.84 $166,675.89 $-74.05
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $166,601.84 $166,675.89 $-74.05
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $166,601.84 $166,675.89 $-74.05

Estimate Adjustment Detail

Contract ID: 100084   Estimate Number: 0006     Primary JP: 27185(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 This Change Order is to change Uncl. Excav. to Plan Qty. Approved 06/23/2010 0.0 $0.00
002 Compensate Contractor for correcting drainage problem. Approved 06/23/2010 0.0 $-2,346.00
003 Add'l work due discovering drainage problem. Approved 07/15/2010 0.0 $14,400.36
004 Final Quantity Change Order Approved 11/23/2010 0.0 $2,270.28


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
No line item adjustments have been created on this contract.
Subtotals For Line Item Adjustments $0.00


MILESTONE ADJUSTMENTS
Milestone Number Milestone Description Time Allowed Time Used Rate Total
No milestones exist for this contract.

Line Item Detail

Contract ID: 100084   Estimate Number: 0006     Primary JP: 27185(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(446)EH Project:    27185(04) Category:    0100/ROADWAY
0001 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 310.500 310.500   310.500 $12.00 $0.00 $3,726.00
0002 SOLID SLAB SODDING 230(A) 2806 SY 99.000 1,111.220 206.000 1,111.220 $5.00 $1,030.00 $5,556.10
0003 AGGREGATE BASE 303 0192 CY 422.000 322.580 -31.530 322.580 $35.00 $-1,103.55 $11,290.30
0004 TRAFFIC BOUND SURFACE COURSE TYPE A 403(A) 0217 TON 9.500 9.500   9.500 $31.00 $0.00 $294.50
0005 HANDRAILING 504(G) 6006 LF 45.000 45.000   45.000 $90.00 $0.00 $4,050.00
0006 CLASS A CONCRETE FOR SMALL STRUCTURES 509(C) 0322 CY 13.000 0.000   0.000 $600.00 $0.00 $0.00
0007 COMBINED CURB & GUTTER (6" BARRIER) 609(B) 0383 LF 763.000 751.410   751.410 $19.00 $0.00 $14,276.79
0008 COMBINED CURB & GUTTER (8" BARRIER) 609(B) 0384 LF 62.000 62.000   62.000 $19.50 $0.00 $1,209.00
0009 4" CONCRETE SIDEWALK 610(A) 0602 SY 1,449.000 1,490.070   1,490.070 $39.00 $0.00 $58,112.73
0010 6" CONCRETE DRIVEWAY (H.E.S.) 610(B) 0399 SY 224.000 204.440 -0.010 204.440 $50.00 $-0.50 $10,222.00
0011 (PL)SPECIAL INLET DRAIN 611(E) 4012 EA 1.000 1.000   1.000 $1,000.00 $0.00 $1,000.00
0012 VALVE BOXES ADJUST TO GRADE 612(G) 0647 EA 1.000 1.000   1.000 $50.00 $0.00 $50.00
0013 (PL)RESET LIGHT POLES 612(P) 0674 EA 2.000 2.000   2.000 $2,000.00 $0.00 $4,000.00
0014 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 1.000 1.000   1.000 $200.00 $0.00 $200.00
0015 REMOVAL OF CURB AND GUTTER 619(B) 4726 LF 816.000 814.000   814.000 $4.00 $0.00 $3,256.00
0016 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 104.000 105.780   105.780 $4.00 $0.00 $423.12
0017 REMOVAL OF CONCRETE DRIVEWAY 619(B) 4766 SY 194.000 194.670   194.670 $4.00 $0.00 $778.68
0018 REMOVAL OF SIDEWALK 619(B) 4792 SY 1,011.000 1,012.640   1,012.640 $4.00 $0.00 $4,050.56
0019 SAWING PAVEMENT 619(C) 0924 LF 926.000 1,338.000   1,338.000 $4.75 $0.00 $6,355.50
Subtotals For Category     0100/ROADWAY    $-74.05 $128,851.28
Fed/State Project Number:    STP-STIM(446)EH Project:    27185(04) Category:    0300/TRAFFIC
0020 2 1/4" SQUARE TUBE POST 851(C) 8327 LF 112.000 0.000   0.000 $15.00 $0.00 $0.00
0021 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $2,000.00 $0.00 $2,000.00
0022 (PL)REMOVE & RESET OVERHEAD SIGN STRUCTURE 890A/B 8758 EA 6.000 0.000 -6.000 0.000 $0.00 $0.00 $0.00
Subtotals For Category     0300/TRAFFIC    $0.00 $2,000.00
Fed/State Project Number:    STP-STIM(446)EH Project:    27185(04) Category:    0600/STAKING
0023 STAKING 642 0098 LSUM 1.000 1.000   1.000 $2,000.00 $0.00 $2,000.00
Subtotals For Category     0600/STAKING    $0.00 $2,000.00
Fed/State Project Number:    STP-STIM(446)EH Project:    27185(04) Category:    0640/CONSTRUCTION
0024 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $13,896.20 $0.00 $13,896.20
Subtotals For Category     0640/CONSTRUCTION    $0.00 $13,896.20
Fed/State Project Number:    STP-STIM(446)EH Project:    27185(04) Category:    0850/NON ARRA FUNDING
8001 CONSTRUCTION MISCELLANEOUS 104 0700 LSUM 0.000 1.000   1.000 $5,454.00 $0.00 $5,454.00
8002 CONSTRUCTION MISCELLANEOUS 104 0700 LSUM 0.000 1.000   1.000 $9,700.18 $0.00 $9,700.18
8003 CONSTRUCTION MISCELLANEOUS 104 0700 LSUM 0.000 1.000   1.000 $4,700.18 $0.00 $4,700.18
Subtotals For Category     0850/NON ARRA FUNDING    $0.00 $19,854.36
Subtotals For Project STP-STIM(446)EH /27185(04) $-74.05 $166,601.84