Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 100086   Estimate Number: 0014 , Final     Spec Year: 1999
Primary JP: 27195(04)   Residency: STILLWATER (04500)     Contract No: 511014
Date Created: 07/07/2011   Contractor FEI: 141879794     Account No: 555400

Project Number(s): STP-STIM(456)EH
Contract Description: PEDESTRIAN IMPROVEMENTS SH-33: FROM CHOCTAW ROAD, EXTEND EAST IN THE TOWN OF LANGSTON. PROJECT LENGTH = 0.893 MILES. PREQUALIFICATION FOR THIS PROJECT HAS BEEN WAIVED.
Primary County: LOGAN              
Name of Road: SH-33              
Prime Contractor: SAC SERVICES, INC.           Time Charged: 254.00
    3600 S. ROSS AVE.           Time Allowed: 241.00
    OKLAHOMA CITY , OK   73119           Percent Time: 105.39 %

  Paid To Date: $1,357,622.53 Payable This Statement: $20,000.00

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.                                
SAC SERVICES, 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:    07/07/2011
Contract ID: 100086   Estimate Number: 0014     Contract No: 511014
Residency: STILLWATER (04500)   Estimate Type: Final     Account No: 555400

Project Number(s): STP-STIM(456)EH
Primary Job Piece No: 27195(04)
Contract Description: PEDESTRIAN IMPROVEMENTS SH-33: FROM CHOCTAW ROAD, EXTEND EAST IN THE TOWN OF LANGSTON. PROJECT LENGTH = 0.893 MILES. PREQUALIFICATION FOR THIS PROJECT HAS BEEN WAIVED.
Primary County: LOGAN              
Name of Road: SH-33              
Prime Contractor: SAC SERVICES, INC.              
    3600 S. ROSS AVE.              
    OKLAHOMA CITY , OK   73119              
Surety Company: GRANITE RE, INC.              

Date Let: 02/25/2010 NTP Effective Date: 05/03/2010 Pay Period: 07/01/2011  TO  07/01/2011
Date Awarded: 03/01/2010 Date Work Began: 05/03/2010 Original Contract Time: 90
Date Contract Executed: 03/17/2010 Date Time Stopped: 01/11/2011 Current Time Charged: 254.00
Date NTP Issued: 03/22/2010 Completion Date: 01/11/2011 Current Time Allowed: 241.00
General Liability Expires: 08/30/2011 Workman's Comp Expires: 10/01/2011 Percent Time Used: 105.39 %
Specification Year: 1999        

Current Contract Amount: $1,367,372.49 Total to Date Prev to Date This Estimate
Bid Amount: $1,428,547.18 Participating: $1,367,372.53 $1,367,372.53 $0.00
Percent Complete: 99.29 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $9,749.96 Non ARRA: $0.00 $0.00 $0.00
Unearned Balance: $70,924.65 Total Earnings: $1,367,372.53 $1,367,372.53 $0.00
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $1,367,372.53 $1,367,372.53 $0.00
Other Adjustments: $0.00 $-20,000.00 $20,000.00
Liq Dam/Disincentive: $-9,750.00 $-9,750.00 $0.00
TOTAL: $1,357,622.53 $1,337,622.53 $20,000.00

Estimate Adjustment Detail

Contract ID: 100086   Estimate Number: 0014     Primary JP: 27195(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 To add days to the contract. Approved 09/29/2010 16.0 $0.00
002 To add days to the contract Approved 11/08/2010 18.0 $0.00
003 Deduction for Failing Materials and Pay Plan Qty Excavation. Approved 04/11/2011 0.0 $-18,914.66
004 Asphalt Binder Adjustment Approved 05/16/2011 0.0 $3,332.81
005 Final Contract Items Quantity Approved 06/21/2011 0.0 $-45,592.84


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 0007 -2.0 $750.00 $-1,500.00
System Application of Liquidated Damages 0008 -15.0 $750.00 $-11,250.00
System Application of Liquidated Damages 0009 --4.0 $750.00 $3,000.00
System Application of Liquidated Damages 0010 -16.0 $750.00 $-12,000.00
System Application of Liquidated Damages 0011 -4.0 $750.00 $-3,000.00
System Application of Liquidated Damages 0012 --3.0 $750.00 $2,250.00
System Application of Liquidated Damages 0013 --17 $750.00 $12,750.00


CONTRACT ADJUSTMENTS HISTORY
Adjustment Description Estimate Nbr Adjustment Amount
Withhold to Funds Avail(Prog. Est. Only) 0013 $-20,000.00
Withhold to Funds Avail(Prog. Est. Only) 0014 $20,000.00
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
27195(04) 0011 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0010 0.00 $0.00 $2,180.82
27195(04) 0011 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0011 0.00 $0.00 $1,151.99
27195(04) 0011 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) * Material Discrepancy Adjustments 0011 0.00 $0.00 $-50,517.35
27195(04) 0011 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) * Asphalt Binder Adjustment 0013 0.00 $0.00 $-3,332.81
27195(04) 0011 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) * Material Discrepancy Adjustments 0013 0.00 $0.00 $50,517.35
Subtotals For Line Item Adjustments $0.00
* = 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: 100086   Estimate Number: 0014     Primary JP: 27195(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(456)EH Project:    27195(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201 0102 LSUM 1.000 1.000   1.000 $7,685.00 $0.00 $7,685.00
0002 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 382.000 382.000   382.000 $7.00 $0.00 $2,674.00
0003 UNCLASSIFIED BORROW 202(C) 0184 CY 4,072.000 2,853.600   2,853.600 $14.50 $0.00 $41,377.20
0004 TEMPORARY BALE BARRIER 222 2801 LF 827.000 0.000   0.000 $6.25 $0.00 $0.00
0005 TEMPORARY SILT FENCE 223 2801 LF 9,067.000 7,830.000   7,830.000 $1.95 $0.00 $15,268.50
0006 TEMPORARY SILT DIKE 227 0100 LF 286.000 140.000   140.000 $7.50 $0.00 $1,050.00
0007 SOLID SLAB SODDING 230(A) 2806 SY 9,906.000 12,283.030   12,283.030 $1.95 $0.00 $23,951.90
0008 SEEDING METHOD B 232(B) 2814 AC 2.000 0.000   0.000 $850.00 $0.00 $0.00
0009 AGGREGATE BASE 303 0192 CY 1,754.000 2,266.380   2,266.380 $45.55 $0.00 $103,233.62
0010 TACK COAT 407 0250 GAL 692.000 425.000   425.000 $5.00 $0.00 $2,125.00
0011 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) 411(S4) 5960 TON 3,181.000 2,499.860   2,499.860 $70.00 $0.00 $174,990.20
0012 8" H.E.S. CONCRETE PAVEMENT 414(B) 0290 SY 2,294.000 3,066.680   3,066.680 $46.95 $0.00 $143,980.63
0013 10" H.E.S. CONCRETE PAVEMENT 414(B) 0302 SY 307.000 366.670   366.670 $62.00 $0.00 $22,733.54
0014 COLD MILLING PAVEMENT 417 5267 SY 12,573.000 9,430.000   9,430.000 $3.45 $0.00 $32,533.50
0015 FABRIC REINFORCEMENT 420(A) 4242 SY 6,287.000 2,479.360   2,479.360 $8.60 $0.00 $21,322.50
0016 STRUCTURAL EXCAVATION UNCLASSIFIED 501(A) 0313 CY 7.000 8.830   8.830 $50.00 $0.00 $441.50
0017 HANDRAILING 504(G) 6006 LF 172.000 163.000   163.000 $77.00 $0.00 $12,551.00
0018 CLASS A CONCRETE 509(B) 0321 CY 64.000 57.810   57.810 $480.00 $0.00 $27,748.80
0019 CLASS C CONCRETE 509(D) 0325 CY 14.000 13.960   13.960 $335.00 $0.00 $4,676.60
0020 REINFORCING STEEL 511(A) 0332 LB 5,222.000 5,982.600   5,982.600 $1.00 $0.00 $5,982.60
0021 2'-8" COMB. CURB & GUTTER (6" BARRIER) 609(B) 1525 LF 7,486.000 8,411.500   8,411.500 $12.98 $0.00 $109,181.27
0022 4" CONCRETE SIDEWALK 610(A) 0602 SY 5,648.000 5,381.850   5,381.850 $35.75 $0.00 $192,401.15
0023 8" CONCRETE DRIVEWAY (H.E.S.) 610(B) 0400 SY 3,135.000 3,220.960   3,220.960 $47.27 $0.00 $152,254.78
0024 (PL)TACTILE WARNING DEVICE-NEW 610(I) 4610 SF 1,208.000 872.000   872.000 $18.50 $0.00 $16,132.00
0025 MANHOLE (4' DIAMETER) 611(A) 2657 EA 2.000 2.000   2.000 $1,500.00 $0.00 $3,000.00
0026 MANHOLE FRAME & COVER 611(D) 4215 EA 2.000 3.000   3.000 $310.00 $0.00 $930.00
0027 INLET CICI DES. 2 (STD) 611(E) 5112 EA 1.000 2.000   2.000 $2,000.00 $0.00 $4,000.00
0028 INLET CICI DES. 3 (STD) 611(E) 5120 EA 4.000 6.000   6.000 $2,600.00 $0.00 $15,600.00
0029 INLET CICI DES. 3 (B) 611(E) 5121 EA 2.000 0.000   0.000 $3,100.00 $0.00 $0.00
0030 INLET (SMD-TYPE 2) 611(E) 6002 EA 1.000 1.000   1.000 $3,375.00 $0.00 $3,375.00
0031 ADDITIONAL DEPTH IN INLET 611(F) 5196 VF 7.000 0.000   0.000 $210.00 $0.00 $0.00
0032 INLET FRM&GRT (SSIF-FRM,CIG-GRT-VG-F) 611(G) 4488 EA 26.000 28.000   28.000 $367.00 $0.00 $10,276.00
0033 CAST IRON CURB INLETS 611(K) 4488 EA 30.000 28.000   28.000 $150.00 $0.00 $4,200.00
0034 18" R.C.PIPE CLASS III 613(B) 0491 LF 223.000 228.000   228.000 $37.25 $0.00 $8,493.00
0035 24" R.C.PIPE CLASS III 613(B) 0492 LF 148.000 152.000   152.000 $47.80 $0.00 $7,265.60
0036 18" R.C.PIPE CLASS IV 613(B) 0582 LF 1,428.000 1,422.000   1,422.000 $35.80 $0.00 $50,907.60
0037 TRENCH EXCAVATION 613(S) 1180 CY 1,096.000 616.910   616.910 $3.50 $0.00 $2,159.20
0038 STANDARD BEDDING MATERIAL 613(T) 1181 CY 560.000 425.650   425.650 $21.00 $0.00 $8,938.65
0039 (PL)SLOTTED DRAIN 615(H) 0200 LF 17.000 17.000   17.000 $65.00 $0.00 $1,105.00
0040 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 1.000 1.000   1.000 $4,785.00 $0.00 $4,785.00
0041 REMOVAL OF HEADWALL 619(B) 0291 EA 6.000 5.000   5.000 $350.00 $0.00 $1,750.00
0042 REMOVAL OF CURB AND GUTTER 619(B) 4726 LF 200.000 247.000   247.000 $5.00 $0.00 $1,235.00
0043 REMOVAL OF CONCRETE PAVEMENT 619(B) 4727 SY 256.000 290.000   290.000 $7.00 $0.00 $2,030.00
0044 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 5,576.000 7,999.950   7,999.950 $6.00 $0.00 $47,999.70
0045 REMOVAL OF CONCRETE DRIVEWAY 619(B) 4766 SY 662.000 670.290   670.290 $6.00 $0.00 $4,021.74
0046 REMOVAL OF SIDEWALK 619(B) 4792 SY 17.000 65.340   65.340 $15.00 $0.00 $980.10
0047 REMOVAL OF EXISTING PIPE 619(B) 5918 LF 210.000 215.000   215.000 $10.00 $0.00 $2,150.00
0048 SAWING PAVEMENT 619(C) 0924 LF 414.000 1,000.000   1,000.000 $2.00 $0.00 $2,000.00
0049 4" PVC SCH.40 PLASTIC CONDUIT TRENCHED 802(B) 8350 LF 1,439.000 1,558.000   1,558.000 $5.75 $0.00 $8,958.50
0050 TRAFFIC STRIPE(PAINT)(4" WIDE) 854(A) 8800 LF 9,430.000 7,852.000   7,852.000 $0.75 $0.00 $5,889.00
0051 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $8,895.00 $0.00 $8,895.00
0052 (PL)REMOVE & RESET GROUND MOUNTED SIGN 890A/B 8760 EA 35.000 21.000   21.000 $180.00 $0.00 $3,780.00
8000 DEDUCTION FOR FAILING MATERIAL 105 2100 LSUM 0.000 -1.000   -1.000 $18,914.66 $0.00 $-18,914.66
8001 ASPHALT BINDER PRICE ADJUSTMENT 109 1150 LSUM 0.000 1.000   1.000 $3,332.81 $0.00 $3,332.81
Subtotals For Category     0100/ROADWAY    $0.00 $1,313,437.53
Fed/State Project Number:    STP-STIM(456)EH Project:    27195(04) Category:    0600/STAKING
0053 STAKING 642 0098 LSUM 1.000 1.000   1.000 $15,735.00 $0.00 $15,735.00
Subtotals For Category     0600/STAKING    $0.00 $15,735.00
Fed/State Project Number:    STP-STIM(456)EH Project:    27195(04) Category:    0640/CONSTRUCTION
0054 (SP)SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $3,100.00 $0.00 $3,100.00
0055 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $35,100.00 $0.00 $35,100.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $38,200.00
Subtotals For Project STP-STIM(456)EH /27195(04) $0.00 $1,367,372.53