Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 100131   Estimate Number: 0004 , Final     Spec Year: 1999
Primary JP: 26742(04)   Residency: OKLAHOMA CITY (04600)     Contract No: 511188
Date Created: 04/25/2011   Contractor FEI: 731127224     Account No: 400400

Project Number(s): STP-STIM(404)AG
Contract Description: TRAFFIC SIGNALS CITY STREET (N.E. 23RD STREET): AT NICHOLS DRIVE IN NICOMA PARK.
Primary County: OKLAHOMA              
Name of Road: CITY STREET              
Prime Contractor: TRAFFIC SIGNALS, INC.           Time Charged: 68.00
    P. O. BOX 30067           Time Allowed: 68.00
    EDMOND , OK   73003-0002           Percent Time: 100.00 %

  Paid To Date: $71,279.90 Payable This Statement: $0.00

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.                                
TRAFFIC SIGNALS, 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:    04/25/2011
Contract ID: 100131   Estimate Number: 0004     Contract No: 511188
Residency: OKLAHOMA CITY (04600)   Estimate Type: Final     Account No: 400400

Project Number(s): STP-STIM(404)AG
Primary Job Piece No: 26742(04)
Contract Description: TRAFFIC SIGNALS CITY STREET (N.E. 23RD STREET): AT NICHOLS DRIVE IN NICOMA PARK.
Primary County: OKLAHOMA              
Name of Road: CITY STREET              
Prime Contractor: TRAFFIC SIGNALS, INC.              
    P. O. BOX 30067              
    EDMOND , OK   73003-0002              
Surety Company: MID-CONTINENT CASUALTY CO.              

Date Let: 03/18/2010 NTP Effective Date: 07/26/2010 Pay Period: 04/06/2011  TO  04/25/2011
Date Awarded: 04/12/2010 Date Work Began: 07/26/2010 Original Contract Time: 30
Date Contract Executed: 04/23/2010 Date Time Stopped: 10/01/2010 Current Time Charged: 68.00
Date NTP Issued: 06/01/2010 Completion Date: 10/01/2010 Current Time Allowed: 68.00
General Liability Expires: 07/01/2011 Workman's Comp Expires: 02/01/2012 Percent Time Used: 100.00 %
Specification Year: 1999        

Current Contract Amount: $71,279.90 Total to Date Prev to Date This Estimate
Bid Amount: $72,188.75 Participating: $71,279.90 $71,279.90 $0.00
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $0.00 Non ARRA: $0.00 $0.00 $0.00
Unearned Balance: $908.85 Total Earnings: $71,279.90 $71,279.90 $0.00
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $71,279.90 $71,279.90 $0.00
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $71,279.90 $71,279.90 $0.00

Estimate Adjustment Detail

Contract ID: 100131   Estimate Number: 0004     Primary JP: 26742(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Final Quantity Approved 04/21/2011 0.0 $-908.85


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
26742(04) 0021 MAST ARM MOUNTED SIGNS(ALUMINUM) * Material Discrepancy Adjustments 0002 -68.00 $24.75 $-1,683.00
26742(04) 0021 MAST ARM MOUNTED SIGNS(ALUMINUM) * Material Discrepancy Adjustments 0003 0.00 $0.00 $1,683.00
26742(04) 0022 TRAFFIC STRIPE(PLASTIC)(4" WIDE) * Material Discrepancy Adjustments 0002 -1,404.00 $0.70 $-982.80
26742(04) 0022 TRAFFIC STRIPE(PLASTIC)(4" WIDE) * Material Discrepancy Adjustments 0003 0.00 $0.00 $982.80
26742(04) 0023 TRAFFIC STRIPE(PLASTIC)(8" WIDE) * Material Discrepancy Adjustments 0002 -162.00 $0.75 $-121.50
26742(04) 0023 TRAFFIC STRIPE(PLASTIC)(8" WIDE) * Material Discrepancy Adjustments 0003 0.00 $0.00 $121.50
26742(04) 0024 TRAFFIC STRIPE(PLASTIC)(24" WIDE) * Material Discrepancy Adjustments 0002 -88.00 $2.55 $-224.40
26742(04) 0024 TRAFFIC STRIPE(PLASTIC)(24" WIDE) * Material Discrepancy Adjustments 0003 0.00 $0.00 $224.40
26742(04) 0025 TRAFFIC STRIPE(PLASTIC)(ARROWS) * Material Discrepancy Adjustments 0002 -4.00 $188.00 $-752.00
26742(04) 0025 TRAFFIC STRIPE(PLASTIC)(ARROWS) * Material Discrepancy Adjustments 0003 0.00 $0.00 $752.00
26742(04) 0026 TRAFFIC STRIPE(PLASTIC)(WORDS) * Material Discrepancy Adjustments 0002 -3.00 $90.00 $-270.00
26742(04) 0026 TRAFFIC STRIPE(PLASTIC)(WORDS) * Material Discrepancy Adjustments 0003 0.00 $0.00 $270.00
26742(04) 0028 CONSTRUCTION TRAFFIC CONTROL * Material Discrepancy Adjustments 0001 -0.20 $1,800.00 $-360.00
26742(04) 0028 CONSTRUCTION TRAFFIC CONTROL * Material Discrepancy Adjustments 0002 0.20 $1,800.00 $360.00
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: 100131   Estimate Number: 0004     Primary JP: 26742(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(404)AG Project:    26742(04) Category:    0400/TRAFFIC
0001 1 1/2" PVC SCH.40 PLASTIC CONDUIT BORED 802(B) 8336 LF 200.000 361.000   361.000 $12.00 $0.00 $4,332.00
0002 1 1/2" PVC SCH.40 PLASTIC CONDUIT TRENCHED 802(B) 8338 LF 850.000 513.000   513.000 $3.60 $0.00 $1,846.80
0003 2" PVC SCH.40 PLASTIC CONDUIT TRENCHED 802(B) 8342 LF 50.000 0.000   0.000 $3.90 $0.00 $0.00
0004 3" PVC SCH.40 PLASTIC CONDUIT BORED 802(B) 8344 LF 250.000 218.000   218.000 $13.30 $0.00 $2,899.40
0005 3" PVC SCH.40 PLASTIC CONDUIT TRENCHED 802(B) 8346 LF 50.000 36.000   36.000 $4.20 $0.00 $151.20
0006 PULL BOX(SIZE I) 803 8065 EA 14.000 13.000   13.000 $315.00 $0.00 $4,095.00
0007 PULL BOX(SIZE II) 803 8066 EA 1.000 1.000   1.000 $455.00 $0.00 $455.00
0008 (PL)POLE & TWIN TS MST.ARM(G.STL.) 806(A) 8740 EA 2.000 2.000   2.000 $9,148.00 $0.00 $18,296.00
0009 1/C NO.6 ELECTRICAL CONDUCTOR 811 8040 LF 400.000 98.000   98.000 $0.95 $0.00 $93.10
0010 VEH.ACT.SOL.ST.TRAF.SIG.CON.ASM 825 8550 EA 1.000 1.000   1.000 $8,785.00 $0.00 $8,785.00
0011 SOL.STE.DIGITAL IND.VEH.LP.DET. 828(A) 8135 EA 7.000 7.000   7.000 $115.00 $0.00 $805.00
0012 LOOP DETECTOR WIRE 828(B) 8138 LF 3,200.000 3,360.000   3,360.000 $2.45 $0.00 $8,232.00
0013 1WAY 3SEC. ADJ. SIG. HD. S-6 831 8231 EA 7.000 7.000   7.000 $465.00 $0.00 $3,255.00
0014 1WAY 5SEC. ADJ. SIG. HD. S-19 831 8286 EA 3.000 3.000   3.000 $828.00 $0.00 $2,484.00
0015 BACKPLATE 833 3030 EA 10.000 10.000   10.000 $81.00 $0.00 $810.00
0016 5/C TRAF.SIG.ELECT.CABLE 834(A) 8207 LF 600.000 391.000   391.000 $1.15 $0.00 $449.65
0017 7/C TRAF.SIG.ELECT.CABLE 834(A) 8208 LF 300.000 185.000   185.000 $1.25 $0.00 $231.25
0018 12/C TRAF.SIG.ELECT.CABLE 834(A) 8210 LF 200.000 211.000   211.000 $2.20 $0.00 $464.20
0019 15/C TRAF.SIG.EL.CABLE 834(A) 8211 LF 50.000 0.000   0.000 $2.80 $0.00 $0.00
0020 2/C SHIELDED LOOP DETECTOR LEAD-IN CABLE 834(B) 8220 LF 1,200.000 1,798.000   1,798.000 $0.70 $0.00 $1,258.60
0021 MAST ARM MOUNTED SIGNS(ALUMINUM) 850(C) 8118 SF 68.000 68.000   68.000 $24.75 $0.00 $1,683.00
0022 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 1,630.000 1,804.000   1,804.000 $0.70 $0.00 $1,262.80
0023 TRAFFIC STRIPE(PLASTIC)(8" WIDE) 855(A) 8814 LF 150.000 162.000   162.000 $0.75 $0.00 $121.50
0024 TRAFFIC STRIPE(PLASTIC)(24" WIDE) 855(A) 8825 LF 95.000 88.000   88.000 $2.55 $0.00 $224.40
0025 TRAFFIC STRIPE(PLASTIC)(ARROWS) 855(B) 8818 EA 4.000 4.000   4.000 $188.00 $0.00 $752.00
0026 TRAFFIC STRIPE(PLASTIC)(WORDS) 855(B) 8821 EA 3.000 3.000   3.000 $90.00 $0.00 $270.00
0027 PAVEMENT MARKING REMOVAL(TRAFFIC STRIPE) 859(A) 8006 LF 1,400.000 0.000   0.000 $0.55 $0.00 $0.00
0028 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $1,800.00 $0.00 $1,800.00
0029 (PL)TRAFFIC ITEMS 890 7700 LSUM 1.000 1.000   1.000 $2,800.00 $0.00 $2,800.00
0030 (PL)REMOVAL OF EXISTING SIGNS 890(A) 8722 LSUM 1.000 1.000   1.000 $30.00 $0.00 $30.00
Subtotals For Category     0400/TRAFFIC    $0.00 $67,886.90
Fed/State Project Number:    STP-STIM(404)AG Project:    26742(04) Category:    0600/STAKING
0031 STAKING 642 0098 LSUM 1.000 1.000   1.000 $380.00 $0.00 $380.00
Subtotals For Category     0600/STAKING    $0.00 $380.00
Fed/State Project Number:    STP-STIM(404)AG Project:    26742(04) Category:    0640/CONSTRUCTION
0032 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $3,013.00 $0.00 $3,013.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $3,013.00
Subtotals For Project STP-STIM(404)AG /26742(04) $0.00 $71,279.90