Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 100161   Estimate Number: 0006 , Final     Spec Year: 1999
Primary JP: 27192(04)   Residency: ENID (04300)     Contract No: 510898
Date Created: 04/03/2012   Contractor FEI: 263232724     Account No: 555400

Project Number(s): STP-STIM(453)EH
Contract Description: PEDESTRIAN IMPROVEMENTS US-81: FROM IOWA STREET, EXTEND NORTH IN THE CITY OF OKARCHE. PROJECT LENGTH = 0.454 MILES.
Primary County: KINGFISHER              
Name of Road: US-81              
Prime Contractor: TMC CONSTRUCTION COMPANY           Time Charged: 627.00
    15130 N.W. EXPRESSWAY           Time Allowed: 636.00
    PIEDMONT , OK   73078           Percent Time: 98.58 %

  Paid To Date: $338,300.20 Payable This Statement: $29,111.65

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.                                
TMC CONSTRUCTION COMPANY                               
 
_________________________________________________
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:    04/03/2012
Contract ID: 100161   Estimate Number: 0006     Contract No: 510898
Residency: ENID (04300)   Estimate Type: Final     Account No: 555400

Project Number(s): STP-STIM(453)EH
Primary Job Piece No: 27192(04)
Contract Description: PEDESTRIAN IMPROVEMENTS US-81: FROM IOWA STREET, EXTEND NORTH IN THE CITY OF OKARCHE. PROJECT LENGTH = 0.454 MILES.
Primary County: KINGFISHER              
Name of Road: US-81              
Prime Contractor: TMC CONSTRUCTION COMPANY              
    15130 N.W. EXPRESSWAY              
    PIEDMONT , OK   73078              
Surety Company: OHIO CASUALTY INSURANCE COMPANY              

Date Let: 01/28/2010 NTP Effective Date: 04/05/2010 Pay Period: 07/01/2010  TO  04/03/2012
Date Awarded: 02/01/2010 Date Work Began: 04/26/2010 Original Contract Time: 60
Date Contract Executed: 02/12/2010 Date Time Stopped: 12/22/2011 Current Time Charged: 627.00
Date NTP Issued: 02/17/2010 Completion Date: 12/22/2011 Current Time Allowed: 636.00
General Liability Expires: 03/22/2012 Workman's Comp Expires: 10/01/2012 Percent Time Used: 98.58 %
Specification Year: 1999        

Current Contract Amount: $338,300.19 Total to Date Prev to Date This Estimate
Bid Amount: $320,517.40 Participating: $338,300.20 $309,188.55 $29,111.65
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $-0.01 Non ARRA: $0.00 $0.00 $0.00
Unearned Balance: $-17,782.80 Total Earnings: $338,300.20 $309,188.55 $29,111.65
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $338,300.20 $309,188.55 $29,111.65
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $338,300.20 $309,188.55 $29,111.65

Estimate Adjustment Detail

Contract ID: 100161   Estimate Number: 0006     Primary JP: 27192(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Changing Borrow and Excavation to "Pay Plan Quantity" Approved 05/06/2011 0.0 $0.00
002 FQCO Approved 02/27/2012 0.0 $17,782.79


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.
Subtotals For Liquidated Damages $


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 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: 100161   Estimate Number: 0006     Primary JP: 27192(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(453)EH Project:    27192(04) Category:    0100/ROADWAY
0001 SELECTIVE CLEARING 201 0181 LSUM 1.000 1.000   1.000 $10,000.00 $0.00 $10,000.00
0002 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 32.000 32.000   32.000 $100.00 $0.00 $3,200.00
0003 UNCLASSIFIED BORROW 202(C) 0184 CY 250.000 250.000   250.000 $30.00 $0.00 $7,500.00
0004 TEMPORARY SILT DIKE 227 0100 LF 152.000 0.000   0.000 $10.00 $0.00 $0.00
0005 SOLID SLAB SODDING 230(A) 2806 SY 1,360.000 2,290.300 2,290.300 2,290.300 $4.50 $10,306.35 $10,306.35
0006 AGGREGATE BASE 303 0192 CY 237.000 243.390 26.290 243.390 $56.00 $1,472.24 $13,629.84
0007 8" H.E.S. CONCRETE PAVEMENT 414(B) 0290 SY 970.000 1,017.810 -11.950 1,017.810 $40.00 $-478.00 $40,712.40
0008 HANDRAILING 504(G) 6006 LF 87.000 68.920 68.920 68.920 $80.00 $5,513.60 $5,513.60
0009 2'-8" COMB. CURB & GUTTER (6" BARRIER) 609(B) 1525 LF 298.000 676.870   676.870 $26.00 $0.00 $17,598.62
0010 4" CONCRETE SIDEWALK 610(A) 0602 SY 2,032.000 2,052.780 0.660 2,052.780 $31.50 $20.79 $64,662.58
0011 8" CONCRETE DRIVEWAY (H.E.S.) 610(B) 0400 SY 1,357.000 1,340.210 -1.550 1,340.210 $45.00 $-69.75 $60,309.45
0012 (PL)TACTILE WARNING DEVICE-NEW 610(I) 4610 SF 350.000 340.000 340.000 340.000 $18.00 $6,120.00 $6,120.00
0013 VALVE BOXES ADJUST TO GRADE 612(G) 0647 EA 3.000 5.000   5.000 $50.00 $0.00 $250.00
0014 METER BOXES ADJUST TO GRADE 612(H) 0648 EA 6.000 2.000   2.000 $100.00 $0.00 $200.00
0015 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 1.000 1.000   1.000 $2,500.00 $0.00 $2,500.00
0016 REMOVAL OF CURB AND GUTTER 619(B) 4726 LF 583.000 791.650   791.650 $10.00 $0.00 $7,916.50
0017 REMOVAL OF CONCRETE PAVEMENT 619(B) 4727 SY 95.000 391.010 -22.510 391.010 $12.00 $-270.12 $4,692.12
0018 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 875.000 607.700 -5.660 607.700 $12.00 $-67.92 $7,292.40
0019 REMOVAL OF CONCRETE DRIVEWAY 619(B) 4766 SY 1,219.000 1,218.110 -51.940 1,218.110 $12.00 $-623.28 $14,617.32
0020 REMOVAL OF SIDEWALK 619(B) 4792 SY 1,387.000 1,423.970 -17.090 1,423.970 $10.00 $-170.90 $14,239.70
0021 SAWING PAVEMENT 619(C) 0924 LF 1,075.000 2,801.330 6.160 2,801.330 $4.00 $24.64 $11,205.32
0022 LOOP DETECTOR WIRE 828(B) 8138 LF 50.000 0.000   0.000 $15.00 $0.00 $0.00
0023 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 2,448.000 2,280.000 2,280.000 2,280.000 $1.80 $4,104.00 $4,104.00
0024 PAVEMENT MARKING REMOVAL(TRAFFIC STRIPE) 859(A) 8006 LF 120.000 96.000 96.000 96.000 $5.00 $480.00 $480.00
0025 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $10,000.00 $0.00 $10,000.00
0026 (PL)REMOVE & RESET GROUND MOUNTED SIGN 890A/B 8760 EA 8.000 1.000   1.000 $500.00 $0.00 $500.00
Subtotals For Category     0100/ROADWAY    $26,361.65 $317,550.20
Fed/State Project Number:    STP-STIM(453)EH Project:    27192(04) Category:    0600/STAKING
0027 STAKING 642 0098 LSUM 1.000 1.000   1.000 $5,000.00 $0.00 $5,000.00
Subtotals For Category     0600/STAKING    $0.00 $5,000.00
Fed/State Project Number:    STP-STIM(453)EH Project:    27192(04) Category:    0640/CONSTRUCTION
0028 (SP)SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000 0.500 1.000 $5,500.00 $2,750.00 $5,500.00
0029 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $10,250.00 $0.00 $10,250.00
Subtotals For Category     0640/CONSTRUCTION    $2,750.00 $15,750.00
Subtotals For Project STP-STIM(453)EH /27192(04) $29,111.65 $338,300.20