Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 100164   Estimate Number: 0008 , Final     Spec Year: 1999
Primary JP: 27181(04)   Residency: ANTLERS (02100)     Contract No: 510879
Date Created: 09/02/2010   Contractor FEI: 731174172     Account No: 555200

Project Number(s): STP-STIM(442)EH
Contract Description: PEDESTRIAN IMPROVEMENTS US-70/US-259: ON US-70, FROM N. PARK DRIVE, EXTEND EAST. ON US-259, FROM CRAIG ROAD, EXTEND NORTH IN BROKEN BOW. PROJECT LENGTH = 0.868 MILES.
Primary County: MCCURTAIN              
Name of Road: US-70/US-259              
Prime Contractor: HUB CONSTRUCTION, INC.           Time Charged: 118.00
    ROUTE 1, BOX 350           Time Allowed: 108.00
    BOSWELL , OK   74727           Percent Time: 109.26 %

  Paid To Date: $247,255.93 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.                                
HUB CONSTRUCTION, 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:    09/02/2010
Contract ID: 100164   Estimate Number: 0008     Contract No: 510879
Residency: ANTLERS (02100)   Estimate Type: Final     Account No: 555200

Project Number(s): STP-STIM(442)EH
Primary Job Piece No: 27181(04)
Contract Description: PEDESTRIAN IMPROVEMENTS US-70/US-259: ON US-70, FROM N. PARK DRIVE, EXTEND EAST. ON US-259, FROM CRAIG ROAD, EXTEND NORTH IN BROKEN BOW. PROJECT LENGTH = 0.868 MILES.
Primary County: MCCURTAIN              
Name of Road: US-70/US-259              
Prime Contractor: HUB CONSTRUCTION, INC.              
    ROUTE 1, BOX 350              
    BOSWELL , OK   74727              
Surety Company: OHIO CASUALTY INSURANCE COMPANY              

Date Let: 01/28/2010 NTP Effective Date: 04/05/2010 Pay Period: 08/01/2010  TO  08/01/2010
Date Awarded: 02/01/2010 Date Work Began: 03/25/2010 Original Contract Time: 60
Date Contract Executed: 02/10/2010 Date Time Stopped: 07/20/2010 Current Time Charged: 118.00
Date NTP Issued: 02/17/2010 Completion Date: 07/20/2010 Current Time Allowed: 108.00
General Liability Expires: 07/01/2011 Workman's Comp Expires: 01/01/2011 Percent Time Used: 109.26 %
Specification Year: 1999        

Current Contract Amount: $252,255.93 Total to Date Prev to Date This Estimate
Bid Amount: $252,256.80 Participating: $252,255.93 $252,255.93 $0.00
Percent Complete: 98.02 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $5,000.00 Non ARRA: $0.00 $0.00 $0.00
Unearned Balance: $5,000.87 Total Earnings: $252,255.93 $252,255.93 $0.00
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $252,255.93 $252,255.93 $0.00
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $-5,000.00 $-5,000.00 $0.00
TOTAL: $247,255.93 $247,255.93 $0.00

Estimate Adjustment Detail

Contract ID: 100164   Estimate Number: 0008     Primary JP: 27181(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Final Quantity Change Order Approved 08/06/2010 0.0 $-0.87


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 0005 -7.0 $500.00 $-3,500.00
System Application of Liquidated Damages 0006 -3.0 $500.00 $-1,500.00
System Application of Liquidated Damages 0007 -0.0 $500.00 $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
No line item adjustments have been created on this contract.
Subtotals For Line Item Adjustments $0.00


MILESTONE ADJUSTMENTS
Milestone Number Milestone Description Time Allowed Time Used Rate Total
No milestones exist for this contract.

Line Item Detail

Contract ID: 100164   Estimate Number: 0008     Primary JP: 27181(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(442)EH Project:    27181(04) Category:    0100/ROADWAY
0001 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 250.000 130.000   130.000 $10.00 $0.00 $1,300.00
0002 UNCLASSIFIED BORROW 202(C) 0184 CY 250.000 130.000   130.000 $10.00 $0.00 $1,300.00
0003 SOLID SLAB SODDING 230(A) 2806 SY 1,158.630 1,294.970   1,294.970 $5.00 $0.00 $6,474.85
0004 AGGREGATE BASE 303 0192 CY 457.050 460.890   460.890 $100.00 $0.00 $46,089.00
0005 9" H.E.S. CONCRETE (PATCHING) 414(B) 5072 SY 108.890 165.650   165.650 $100.00 $0.00 $16,565.00
0006 CONCRETE CURB (6" BARRIER-INTEGRAL) 609(A) 0300 LF 552.190 583.500   583.500 $25.00 $0.00 $14,587.50
0007 2'-8" COMB. CURB & GUTTER (6" BARRIER) 609(B) 1525 LF 452.770 443.000   443.000 $40.00 $0.00 $17,720.00
0008 4" CONCRETE SIDEWALK 610(A) 0602 SY 1,583.660 1,420.160   1,420.160 $40.00 $0.00 $56,806.40
0009 6" CONCRETE DRIVEWAY (H.E.S.) 610(B) 0399 SY 1,085.050 1,154.160   1,154.160 $25.00 $0.00 $28,854.00
0010 (PL)TACTILE WARNING DEVICE-NEW 610(I) 4610 SF 209.130 208.000   208.000 $35.00 $0.00 $7,280.00
0011 MANHOLES ADJUST TO GRADE 612(A) 0641 EA 1.000 1.000   1.000 $300.00 $0.00 $300.00
0012 INLETS ADJUST TO GRADE 612(E) 0645 EA 8.000 8.000   8.000 $1,500.00 $0.00 $12,000.00
0013 METER BOXES ADJUST TO GRADE 612(H) 0648 EA 1.000 1.000   1.000 $300.00 $0.00 $300.00
0014 WATER METERS RESET 612(L) 0652 EA 1.000 1.000   1.000 $150.00 $0.00 $150.00
0015 REMOVAL OF CONCRETE PAVEMENT 619(B) 4727 SY 52.450 66.980   66.980 $6.00 $0.00 $401.88
0016 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 259.130 290.890   290.890 $5.00 $0.00 $1,454.45
0017 REMOVAL OF CONCRETE DRIVEWAY 619(B) 4766 SY 919.900 916.730   916.730 $10.00 $0.00 $9,167.30
0018 REMOVAL OF CURB 619(B) 4791 LF 700.800 697.000   697.000 $6.00 $0.00 $4,182.00
0019 REMOVAL OF SIDEWALK 619(B) 4792 SY 1,459.550 1,444.710   1,444.710 $5.00 $0.00 $7,223.55
Subtotals For Category     0100/ROADWAY    $0.00 $232,155.93
Fed/State Project Number:    STP-STIM(442)EH Project:    27181(04) Category:    0300/TRAFFIC
0020 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $8,000.00 $0.00 $8,000.00
0021 (PL)REMOVE & RESET EXISTING SIGNS 890A/B 8756 EA 7.000 7.000   7.000 $300.00 $0.00 $2,100.00
Subtotals For Category     0300/TRAFFIC    $0.00 $10,100.00
Fed/State Project Number:    STP-STIM(442)EH Project:    27181(04) Category:    0600/STAKING
0022 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(442)EH Project:    27181(04) Category:    0640/CONSTRUCTION
0023 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $5,000.00 $0.00 $5,000.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $5,000.00
Subtotals For Project STP-STIM(442)EH /27181(04) $0.00 $252,255.93