Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 100162   Estimate Number: 0014 , Final     Spec Year: 1999
Primary JP: 27193(04)   Residency: ENID (04300)     Contract No: 511291
Date Created: 08/08/2012   Contractor FEI: 263232724     Account No: 555400

Project Number(s): STP-STIM(454)EH, STP-STIM(454) PART 3 EH
Contract Description: PEDESTRIAN IMPROVEMENTS/RESURFACE (ASPHALT) US-81: FROM 7TH STREET, EXTEND NORTH IN THE CITY OF HENNESSEY. PROJECT LENGTH = 1.433 MILES.
Primary County: KINGFISHER              
Name of Road: US-81              
Prime Contractor: TMC CONSTRUCTION COMPANY           Time Charged: 491.00
    15130 N.W. EXPRESSWAY           Time Allowed: 514.00
    PIEDMONT , OK   73078           Percent Time: 95.53 %

  Paid To Date: $868,823.21 Payable This Statement: $76,847.03

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:    08/08/2012
Contract ID: 100162   Estimate Number: 0014     Contract No: 511291
Residency: ENID (04300)   Estimate Type: Final     Account No: 555400

Project Number(s): STP-STIM(454)EH, STP-STIM(454) PART 3 EH
Primary Job Piece No: 27193(04)
Contract Description: PEDESTRIAN IMPROVEMENTS/RESURFACE (ASPHALT) US-81: FROM 7TH STREET, EXTEND NORTH IN THE CITY OF HENNESSEY. PROJECT LENGTH = 1.433 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: 04/15/2010 NTP Effective Date: 07/05/2010 Pay Period: 06/14/2011  TO  08/08/2012
Date Awarded: 05/03/2010 Date Work Began: 08/11/2010 Original Contract Time: 90
Date Contract Executed: 05/19/2010 Date Time Stopped: 11/07/2011 Current Time Charged: 491.00
Date NTP Issued: 05/27/2010 Completion Date: 11/07/2011 Current Time Allowed: 514.00
General Liability Expires: 03/22/2012 Workman's Comp Expires: 10/01/2012 Percent Time Used: 95.53 %
Specification Year: 1999        

Current Contract Amount: $874,095.70 Total to Date Prev to Date This Estimate
Bid Amount: $814,376.50 Participating: $877,467.67 $792,961.24 $84,506.43
Percent Complete: 99.40 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $5,272.49 Non ARRA: $-3,371.95 $4,000.00 $-7,371.95
Unearned Balance: $-54,446.71 Total Earnings: $874,095.72 $796,961.24 $77,134.48
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $874,095.72 $796,961.24 $77,134.48
Other Adjustments: $-5,272.51 $-4,985.06 $-287.45
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $868,823.21 $791,976.18 $76,847.03

Estimate Adjustment Detail

Contract ID: 100162   Estimate Number: 0014     Primary JP: 27193(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Addit'l drives and sidewalk to better meet ADA requirements Approved 05/06/2011 25.0 $4,000.00
002 Deduction for failing asphalt Approved 07/26/2011 0.0 $-7,371.95
003 FQCO Approved 08/07/2012 0.0 $63,091.15


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 $500.00 $-1,000.00
System Application of Liquidated Damages 0008 --15 $500.00 $-7,500.00
System Application of Liquidated Damages 0009 -14.0 $500.00 $7,000.00
System Application of Liquidated Damages 0010 --15 $500.00 $-7,500.00
System Application of Liquidated Damages 0011 -15.0 $500.00 $7,500.00
System Application of Liquidated Damages 0012 -3.0 $500.00 $1,500.00
Subtotals For Liquidated Damages $0.00


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
27193(06) 0030 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0007 0.00 $0.00 $-4,599.32
27193(06) 0030 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0014 -99.19 $2.89 $-287.45
27193(06) 0031 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0007 0.00 $0.00 $-385.74
Subtotals For Line Item Adjustments $-5,272.51


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: 100162   Estimate Number: 0014     Primary JP: 27193(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(454)EH Project:    27193(04) Category:    0100/ROADWAY STP-STIM(454)EH
0001 SELECTIVE CLEARING 201 0181 LSUM 1.000 1.000   1.000 $2,500.00 $0.00 $2,500.00
0002 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 30.000 430.160 400.160 430.160 $100.00 $40,016.00 $43,016.00
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 106.000 0.000   0.000 $10.00 $0.00 $0.00
0005 SOLID SLAB SODDING 230(A) 2806 SY 2,950.000 6,140.440 6,140.440 6,140.440 $4.50 $27,631.98 $27,631.98
0006 AGGREGATE BASE 303 0192 CY 23.000 25.460 -5.260 25.460 $100.00 $-526.00 $2,546.00
0007 8" H.E.S. CONCRETE PAVEMENT 414(B) 0290 SY 94.000 211.480 119.700 211.480 $45.00 $5,386.50 $9,516.60
0008 HANDRAILING 504(G) 6006 LF 37.000 74.000 52.000 74.000 $100.00 $5,200.00 $7,400.00
0009 CLASS A CONCRETE FOR SMALL STRUCTURES 509(C) 0322 CY 2.000 0.760 -0.020 0.760 $1,000.00 $-20.00 $760.00
0010 REINFORCING STEEL 511(A) 0332 LB 28.000 0.000 -29.000 0.000 $1.00 $-29.00 $0.00
0011 2'-8" COMB. CURB & GUTTER (6" BARRIER) 609(B) 1525 LF 1,470.000 1,745.000 -2.000 1,745.000 $26.00 $-52.00 $45,370.00
0012 4" CONCRETE SIDEWALK 610(A) 0602 SY 4,418.000 4,273.280 411.690 4,273.280 $32.00 $13,174.08 $136,744.96
0013 8" CONCRETE DRIVEWAY (H.E.S.) 610(B) 0400 SY 2,137.000 2,831.290   2,831.290 $45.00 $0.00 $127,408.05
0014 (PL)TACTILE WARNING DEVICE-NEW 610(I) 4610 SF 585.000 542.000   542.000 $18.00 $0.00 $9,756.00
0015 VALVE BOXES ADJUST TO GRADE 612(G) 0647 EA 7.000 4.000   4.000 $100.00 $0.00 $400.00
0016 METER BOXES ADJUST TO GRADE 612(H) 0648 EA 51.000 43.000   43.000 $100.00 $0.00 $4,300.00
0017 REMOVAL OF CURB AND GUTTER 619(B) 4726 LF 674.000 2,621.000 60.000 2,621.000 $10.00 $600.00 $26,210.00
0018 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 114.000 175.670 55.000 175.670 $12.00 $660.00 $2,108.04
0019 REMOVAL OF CONCRETE DRIVEWAY 619(B) 4766 SY 2,020.000 2,664.090 -350.370 2,664.090 $12.00 $-4,204.44 $31,969.08
0020 REMOVAL OF SIDEWALK 619(B) 4792 SY 3,749.000 3,805.930 380.210 3,805.930 $10.50 $3,992.21 $39,962.29
0021 SAWING PAVEMENT 619(C) 0924 LF 2,287.000 2,265.000 -10.000 2,265.000 $4.00 $-40.00 $9,060.00
0022 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 576.000 0.000   0.000 $5.00 $0.00 $0.00
0023 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $12,000.00 $0.00 $12,000.00
0024 (PL)REMOVE & RESET GROUND MOUNTED SIGN 890A/B 8760 EA 17.000 35.000   35.000 $500.00 $0.00 $17,500.00
Subtotals For Category     0100/ROADWAY STP-STIM(454)EH    $91,789.33 $563,659.00
Fed/State Project Number:    STP-STIM(454)EH Project:    27193(04) Category:    0600/STAKING STP-STIM(454)EH
0025 STAKING 642 0098 LSUM 1.000 1.000   1.000 $1.00 $0.00 $1.00
Subtotals For Category     0600/STAKING STP-STIM(454)EH    $0.00 $1.00
Fed/State Project Number:    STP-STIM(454)EH Project:    27193(04) Category:    0640/CONSTRUCTION STP-STIM(454)EH
0026 (SP)SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000 0.100 1.000 $1.00 $0.10 $1.00
0027 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $6,000.00 $0.00 $6,000.00
Subtotals For Category     0640/CONSTRUCTION STP-STIM(454)EH    $0.10 $6,001.00
Fed/State Project Number:    STP-STIM(454)EH Project:    27193(04) Category:    0850/NON ARRA FUNDING
8000 MOBILIZATION 641 1399 LSUM 0.000 1.000   1.000 $2,000.00 $0.00 $2,000.00
8001 CONSTRUCTION MISCELLANEOUS 104 0600 EA 0.000 1.000   1.000 $2,000.00 $0.00 $2,000.00
Subtotals For Category     0850/NON ARRA FUNDING    $0.00 $4,000.00
Subtotals For Project STP-STIM(454)EH /27193(04) $91,789.43 $573,661.00


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(454) PART 3 EH Project:    27193(06) Category:    0100/ROADWAY STP-STIM(454)PT. 3 EH
0028 AGGREGATE BASE 303 0192 CY 50.000 6.900   6.900 $70.00 $0.00 $483.00
0029 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) 411(S3) 6210 TON 50.000 0.000   0.000 $200.00 $0.00 $0.00
0030 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 2,700.000 2,274.040 -99.190 2,274.040 $84.00 $-8,331.96 $191,019.36
0031 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) 411(S4) 5960 TON 300.000 199.040   199.040 $125.00 $0.00 $24,880.00
0032 COLD MILLING PAVEMENT 417 5267 SY 25,000.000 24,586.630 -0.670 24,586.630 $2.35 $-1.57 $57,778.58
0033 SPECIAL INLET CURB 611(M) 2667 LF 42.000 50.000 1.000 50.000 $100.00 $100.00 $5,000.00
0034 MANHOLES ADJUST TO GRADE 612(A) 0641 EA 1.000 0.000   0.000 $2,000.00 $0.00 $0.00
0035 VALVE BOXES ADJUST TO GRADE 612(G) 0647 EA 1.000 3.000 2.000 3.000 $500.00 $1,000.00 $1,500.00
Subtotals For Category     0100/ROADWAY STP-STIM(454)PT. 3 EH    $-7,233.53 $280,660.94
Fed/State Project Number:    STP-STIM(454) PART 3 EH Project:    27193(06) Category:    0300/TRAFFIC STP-STIM(454)PT. 3 EH
0036 LOOP DETECTOR WIRE 828(B) 8138 LF 2,000.000 2,224.360 -11.640 2,224.360 $4.25 $-49.47 $9,453.53
0037 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 23,000.000 19,658.000   19,658.000 $0.90 $0.00 $17,692.20
Subtotals For Category     0300/TRAFFIC STP-STIM(454)PT. 3 EH    $-49.47 $27,145.73
Fed/State Project Number:    STP-STIM(454) PART 3 EH Project:    27193(06) Category:    0850/NON ARRA FUNDING
8003 DEDUCTION FOR FAILING MATERIAL 105 2100 LSUM 0.000 1.000 1.000 1.000 $-7,371.95 $-7,371.95 $-7,371.95
Subtotals For Category     0850/NON ARRA FUNDING    $-7,371.95 $-7,371.95
Subtotals For Project STP-STIM(454) PART 3 EH /27193(06) $-14,654.95 $300,434.72