Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 100155   Estimate Number: 0016 , Final     Spec Year: 1999
Primary JP: 27172(04)   Residency: MUSKOGEE (01100)     Contract No: 511292
Date Created: 01/18/2012   Contractor FEI: 208746250     Account No: 555100

Project Number(s): STP-STIM(434)EH, STP-STIM(434)PART 3 EH
Contract Description: PEDESTRIAN IMPROVEMENTS/RESURFACE (ASPHALT) SH-51: FROM MAPLE ST., EXT EAST IN THE TOWN OF HULBERT. PROJECT LENGTH = 0.613 MILES.
Primary County: CHEROKEE              
Name of Road: SH-51              
Prime Contractor: GLOVER & ASSOCIATES, INC.           Time Charged: 419.00
    2832 N. COUNTRY CLUB           Time Allowed: 384.00
    MUSKOGEE , OK   74403           Percent Time: 109.11 %

  Paid To Date: $385,343.55 Payable This Statement: $950.00

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.                                
GLOVER & ASSOCIATES, 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:    01/18/2012
Contract ID: 100155   Estimate Number: 0016     Contract No: 511292
Residency: MUSKOGEE (01100)   Estimate Type: Final     Account No: 555100

Project Number(s): STP-STIM(434)EH, STP-STIM(434)PART 3 EH
Primary Job Piece No: 27172(04)
Contract Description: PEDESTRIAN IMPROVEMENTS/RESURFACE (ASPHALT) SH-51: FROM MAPLE ST., EXT EAST IN THE TOWN OF HULBERT. PROJECT LENGTH = 0.613 MILES.
Primary County: CHEROKEE              
Name of Road: SH-51              
Prime Contractor: GLOVER & ASSOCIATES, INC.              
    2832 N. COUNTRY CLUB              
    MUSKOGEE , OK   74403              
Surety Company: WESTFIELD INSURANCE COMPANY              

Date Let: 04/15/2010 NTP Effective Date: 08/02/2010 Pay Period: 12/06/2011  TO  01/06/2012
Date Awarded: 05/03/2010 Date Work Began: 09/20/2010 Original Contract Time: 90
Date Contract Executed: 05/19/2010 Date Time Stopped: 09/24/2011 Current Time Charged: 419.00
Date NTP Issued: 05/27/2010 Completion Date: 09/24/2011 Current Time Allowed: 384.00
General Liability Expires: 02/01/2012 Workman's Comp Expires: 02/01/2012 Percent Time Used: 109.11 %
Specification Year: 1999        

Current Contract Amount: $405,872.40 Total to Date Prev to Date This Estimate
Bid Amount: $384,793.70 Participating: $405,872.42 $405,872.42 $0.00
Percent Complete: 94.94 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $20,528.85 Non ARRA: $0.00 $0.00 $0.00
Unearned Balance: $-549.85 Total Earnings: $405,872.42 $405,872.42 $0.00
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $405,872.42 $405,872.42 $0.00
Other Adjustments: $-3,028.87 $-3,978.87 $950.00
Liq Dam/Disincentive: $-17,500.00 $-17,500.00 $0.00
TOTAL: $385,343.55 $384,393.55 $950.00

Estimate Adjustment Detail

Contract ID: 100155   Estimate Number: 0016     Primary JP: 27172(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Final Contract Item Quantities Approved 01/03/2012 0.0 $21,078.70


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 0003 -3.0 $500.00 $-1,500.00
System Application of Liquidated Damages 0004 -16.0 $500.00 $-8,000.00
System Application of Liquidated Damages 0005 -4.0 $500.00 $-2,000.00
System Application of Liquidated Damages 0006 -7.0 $500.00 $-3,500.00
System Application of Liquidated Damages 0007 -0.0 $500.00 $0.00
System Application of Liquidated Damages 0008 -0.0 $500.00 $0.00
System Application of Liquidated Damages 0009 -0.0 $500.00 $0.00
System Application of Liquidated Damages 0010 -0.0 $500.00 $0.00
System Application of Liquidated Damages 0011 -0.0 $500.00 $0.00
System Application of Liquidated Damages 0012 -0.0 $500.00 $0.00
System Application of Liquidated Damages 0013 -0.0 $500.00 $0.00
System Application of Liquidated Damages 0014 -0.0 $500.00 $0.00
System Application of Liquidated Damages 0015 -5.0 $500.00 $-2,500.00


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
27172(04) 0002 CONSTRUCTION MISCELLANEOUS * Overrun 0015 -1.00 $950.00 $-950.00
27172(04) 0002 CONSTRUCTION MISCELLANEOUS * Overrun Re-adjustment 0016 1.00 $950.00 $950.00
27172(06) 0030 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * ROADWAY DENSITY 0010 -24.00 $88.00 $-2,112.00
27172(06) 0030 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0010 1,243.84 $-0.49 $-619.43
27172(06) 0030 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * 0010 2.50 $-88.00 $-220.00
27172(06) 0030 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * ROADWAY DENSITY 0015 -0.88 $88.00 $-77.44
Subtotals For Line Item Adjustments $-3,028.87
* = 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: 100155   Estimate Number: 0016     Primary JP: 27172(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(434)EH Project:    27172(04) Category:    0100/ROADWAY - STP-STIM(434)EH
0001 CONSTRUCTION MISCELLANEOUS 104 0300 LF 231.000 458.030   458.030 $34.00 $0.00 $15,573.02
0002 CONSTRUCTION MISCELLANEOUS 104 0600 EA 3.000 4.000 0.000 4.000 $950.00 $0.00 $3,800.00
0003 TEMPORARY BALE BARRIER 222 2801 LF 150.000 52.000   52.000 $3.00 $0.00 $156.00
0004 TEMPORARY SILT FENCE 223 2801 LF 350.000 0.000   0.000 $2.00 $0.00 $0.00
0005 SOLID SLAB SODDING 230(A) 2806 SY 2,150.000 0.000   0.000 $1.91 $0.00 $0.00
0006 TRAFFIC BOUND SURFACE COURSE TYPE E 403(E) 0225 TON 80.000 18.340 0.000 18.340 $24.00 $0.00 $440.16
0007 (SP)ASPHALT CONCRETE, TYPE S4(PATCHING)(PG 64-22 OK) 411(S4) 6310 TON 200.000 0.000   0.000 $120.00 $0.00 $0.00
0008 COMBINED CURB & GUTTER (6" BARRIER) 609(B) 0383 LF 535.000 1,233.000 0.000 1,233.000 $15.40 $0.00 $18,988.20
0009 4" CONCRETE SIDEWALK 610(A) 0602 SY 1,915.000 2,246.780   2,246.780 $35.30 $0.00 $79,311.33
0010 6" CONCRETE SIDEWALK 610(A) 0605 SY 92.000 91.660   91.660 $34.00 $0.00 $3,116.44
0011 6" CONCRETE DRIVEWAY (H.E.S.) 610(B) 0399 SY 1,025.000 1,299.320   1,299.320 $35.50 $0.00 $46,125.88
0012 (PL)TACTILE WARNING DEVICE-NEW 610(I) 4610 SF 214.000 192.000   192.000 $29.50 $0.00 $5,664.00
0013 VALVE BOXES ADJUST TO GRADE 612(G) 0647 EA 1.000 0.000   0.000 $82.50 $0.00 $0.00
0014 TYPE A4 CULVERT END TREATMENT 613(CC) 7186 EA 2.000 2.000   2.000 $550.00 $0.00 $1,100.00
0015 15" CORR. GALV. STEEL PIPE 613(D) 5717 LF 24.000 24.000   24.000 $19.80 $0.00 $475.20
0016 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 1.000 1.000   1.000 $38,500.00 $0.00 $38,500.00
0017 SAWING PAVEMENT 619(C) 0924 LF 2,140.000 1,582.000   1,582.000 $2.50 $0.00 $3,955.00
0018 1 1/2" PIPE RAILING 622(A) 4743 LF 153.000 201.900   201.900 $66.00 $0.00 $13,325.40
Subtotals For Category     0100/ROADWAY - STP-STIM(434)EH    $0.00 $230,530.63
Fed/State Project Number:    STP-STIM(434)EH Project:    27172(04) Category:    0300/TRAFFIC - STP-STIM(434)EH
0019 STRUCTURAL CONCRETE 804(A) 2915 CY 1.000 0.560 0.000 0.560 $330.00 $0.00 $184.80
0020 SHEET ALUMINUM SIGNS 850(A) 8110 SF 3.000 51.930   51.930 $15.00 $0.00 $778.95
0021 2"@3.65 GALV.STEEL PIPE POST 851(B) 3216 LF 18.000 78.000   78.000 $11.00 $0.00 $858.00
0022 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 500.000 554.000   554.000 $2.10 $0.00 $1,163.40
0023 TRAFFIC STRIPE(PLASTIC)(24" WIDE) 855(A) 8825 LF 120.000 216.000   216.000 $6.60 $0.00 $1,425.60
0024 TRAFFIC STRIPE(PLASTIC)(SYMBOLS) 855(B) 8824 EA 2.000 2.000   2.000 $220.00 $0.00 $440.00
0025 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $7,000.00 $0.00 $7,000.00
0026 (PL)REMOVE & RESET GROUND MOUNTED SIGN 890A/B 8760 EA 9.000 12.000   12.000 $220.00 $0.00 $2,640.00
Subtotals For Category     0300/TRAFFIC - STP-STIM(434)EH    $0.00 $14,490.75
Fed/State Project Number:    STP-STIM(434)EH Project:    27172(04) Category:    0600/STAKING - STP-STIM(434)EH
0027 STAKING 642 0098 LSUM 1.000 1.000   1.000 $6,500.00 $0.00 $6,500.00
Subtotals For Category     0600/STAKING - STP-STIM(434)EH    $0.00 $6,500.00
Fed/State Project Number:    STP-STIM(434)EH Project:    27172(04) Category:    0640/CONSTRUCTION - STP-STIM(434)EH
0028 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $28,000.00 $0.00 $28,000.00
Subtotals For Category     0640/CONSTRUCTION - STP-STIM(434)EH    $0.00 $28,000.00
Subtotals For Project STP-STIM(434)EH /27172(04) $0.00 $279,521.38


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(434)PART 3 EH Project:    27172(06) Category:    0100/ROADWAY - STP-STIM(434)PT. 3 EH
0029 TACK COAT 407 0250 GAL 550.000 762.500   762.500 $2.63 $0.00 $2,005.38
0030 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 1,200.000 1,243.840 0.000 1,243.840 $88.00 $0.00 $109,457.92
0031 COLD MILLING BITUMINOUS PAVEMENT 417 4267 SY 10,300.000 12,009.340   12,009.340 $0.83 $0.00 $9,967.75
0032 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 7,000.000 9,283.000   9,283.000 $0.53 $0.00 $4,919.99
Subtotals For Category     0100/ROADWAY - STP-STIM(434)PT. 3 EH    $0.00 $126,351.04
Subtotals For Project STP-STIM(434)PART 3 EH /27172(06) $0.00 $126,351.04