Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 100165   Estimate Number: 0006 , Final     Spec Year: 1999
Primary JP: 27405(04)   Residency: ARDMORE (07200)     Contract No: 511308
Date Created: 01/10/2012   Contractor FEI: 731204879     Account No: 555700

Project Number(s): STP-STIM(516)EH
Contract Description: PEDESTRIAN IMPROVEMENTS SH-7: FROM 9TH ST., EXTEND EAST IN THE CITY OF SULPHUR. PROJECT LENGTH = 0.404 MILES.
Primary County: MURRAY              
Name of Road: SH-7              
Prime Contractor: SILVER STAR CONSTRUCTION COMPANY, INC.           Time Charged: 339.00
    2401 S. BROADWAY           Time Allowed: 356.00
    MOORE , OK   73160           Percent Time: 95.22 %

  Paid To Date: $310,485.95 Payable This Statement: $10,684.42

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.                                
SILVER STAR CONSTRUCTION COMPANY, 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:    01/10/2012
Contract ID: 100165   Estimate Number: 0006     Contract No: 511308
Residency: ARDMORE (07200)   Estimate Type: Final     Account No: 555700

Project Number(s): STP-STIM(516)EH
Primary Job Piece No: 27405(04)
Contract Description: PEDESTRIAN IMPROVEMENTS SH-7: FROM 9TH ST., EXTEND EAST IN THE CITY OF SULPHUR. PROJECT LENGTH = 0.404 MILES.
Primary County: MURRAY              
Name of Road: SH-7              
Prime Contractor: SILVER STAR CONSTRUCTION COMPANY, INC.              
    2401 S. BROADWAY              
    MOORE , OK   73160              
Surety Company: AMERICAN STATES INSURANCE CO.              

Date Let: 04/15/2010 NTP Effective Date: 07/12/2010 Pay Period: 12/01/2010  TO  07/30/2011
Date Awarded: 05/03/2010 Date Work Began: 07/12/2010 Original Contract Time: 60
Date Contract Executed: 05/19/2010 Date Time Stopped: 06/15/2011 Current Time Charged: 339.00
Date NTP Issued: 05/28/2010 Completion Date: 06/15/2011 Current Time Allowed: 356.00
General Liability Expires: 05/19/2012 Workman's Comp Expires: 05/19/2012 Percent Time Used: 95.22 %
Specification Year: 1999        

Current Contract Amount: $310,599.08 Total to Date Prev to Date This Estimate
Bid Amount: $314,280.00 Participating: $310,599.09 $299,914.67 $10,684.42
Percent Complete: 99.96 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $113.13 Non ARRA: $0.00 $0.00 $0.00
Unearned Balance: $3,794.05 Total Earnings: $310,599.09 $299,914.67 $10,684.42
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $310,599.09 $299,914.67 $10,684.42
Other Adjustments: $-113.14 $-113.14 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $310,485.95 $299,801.53 $10,684.42

Estimate Adjustment Detail

Contract ID: 100165   Estimate Number: 0006     Primary JP: 27405(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 01/09/2012 0.0 $-3,680.92


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
27405(04) 0007 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0004 0.00 $0.00 $-113.14
Subtotals For Line Item Adjustments $-113.14


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

Line Item Detail

Contract ID: 100165   Estimate Number: 0006     Primary JP: 27405(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(516)EH Project:    27405(04) Category:    0100/ROADWAY
0001 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 334.000 334.000   334.000 $61.40 $0.00 $20,507.60
0002 TEMPORARY SILT FENCE 223 2801 LF 1,000.000 0.000   0.000 $1.90 $0.00 $0.00
0003 TEMPORARY SEDIMENT FILTER 224 2803 EA 3.000 0.000   0.000 $160.00 $0.00 $0.00
0004 TEMPORARY SILT DIKE 227 0100 LF 200.000 0.000   0.000 $5.30 $0.00 $0.00
0005 SOLID SLAB SODDING 230(A) 2806 SY 1,068.000 1,088.320   1,088.320 $1.30 $0.00 $1,414.82
0006 AGGREGATE BASE 303 0192 CY 330.000 265.900 1.640 265.900 $56.40 $92.50 $14,996.77
0007 (SP)ASPHALT CONCRETE TYPE S4(PG 64-22 OK) 411(S4) 5960 TON 168.000 227.180   227.180 $69.40 $0.00 $15,766.29
0008 RETAINING WALL 510(A) 6333 SY 68.000 58.890 -0.004 58.890 $277.00 $-1.11 $16,312.53
0009 REINFORCING STEEL 511(A) 0332 LB 2,016.000 1,933.200   1,933.200 $0.50 $0.00 $966.60
0010 COMBINED CURB & GUTTER (6" BARRIER) 609(B) 0383 LF 1,759.000 2,266.000 166.000 2,266.000 $16.20 $2,689.20 $36,709.20
0011 5" CONCRETE SIDEWALK 610(A) 0604 SY 1,447.000 1,447.790 0.010 1,447.790 $56.15 $0.56 $81,293.41
0012 6" CONCRETE DRIVEWAY (H.E.S.) 610(B) 0399 SY 324.000 343.950 11.710 343.950 $84.20 $985.98 $28,960.59
0013 (PL)TACTILE WARNING DEVICE-NEW 610(I) 4610 SF 64.000 104.000   104.000 $32.80 $0.00 $3,411.20
0014 (PL)SPECIAL INLET DRAIN 611(E) 4012 EA 2.000 2.000   2.000 $3,163.00 $0.00 $6,326.00
0015 INLET FRM&GRT (SSIF-FRM,CIG-GRT-VG-F) 611(G) 4488 EA 9.000 6.000   6.000 $1,150.00 $0.00 $6,900.00
0016 CAST IRON CURB INLETS 611(K) 4488 EA 19.000 16.000   16.000 $132.00 $0.00 $2,112.00
0017 INLETS ADJUST TO GRADE 612(E) 0645 EA 7.000 6.000   6.000 $685.00 $0.00 $4,110.00
0018 METER BOXES ADJUST TO GRADE 612(H) 0648 EA 1.000 1.000   1.000 $332.00 $0.00 $332.00
0019 FIRE HYDRANT RESET 612(J) 0650 EA 1.000 0.000   0.000 $3,720.00 $0.00 $0.00
0020 (PL)RESET LIGHT POLES 612(P) 0674 EA 3.000 0.000   0.000 $1,860.00 $0.00 $0.00
0021 REMOVAL OF CURB AND GUTTER 619(B) 4726 LF 1,712.000 1,731.000 165.000 1,731.000 $5.50 $907.50 $9,520.50
0022 REMOVAL OF CONCRETE PAVEMENT 619(B) 4727 SY 18.000 35.000   35.000 $32.50 $0.00 $1,137.50
0023 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 1,460.000 1,462.600 88.600 1,462.600 $6.90 $611.34 $10,091.94
0024 REMOVAL OF CONCRETE PAVEMENT W/ASPHALT OVERLAY 619(B) 4763 SY 82.000 225.670   225.670 $14.00 $0.00 $3,159.38
0025 REMOVAL OF CONCRETE DRIVEWAY 619(B) 4766 SY 33.000 157.200 66.770 157.200 $18.00 $1,201.86 $2,829.60
0026 REMOVAL OF SIDEWALK 619(B) 4792 SY 1,058.000 1,078.350 90.670 1,078.350 $7.60 $689.09 $8,195.46
0027 SAWING PAVEMENT 619(C) 0924 LF 2,863.000 2,712.000   2,712.000 $3.85 $0.00 $10,441.20
Subtotals For Category     0100/ROADWAY    $7,176.92 $285,494.59
Fed/State Project Number:    STP-STIM(516)EH Project:    27405(04) Category:    0300/TRAFFIC
0028 SHEET ALUMINUM SIGNS 850(A) 8110 SF 4.000 3.000   3.000 $22.30 $0.00 $66.90
0029 1 3/4" SQUARE TUBE POST 851(C) 8321 LF 32.000 24.000   24.000 $3.35 $0.00 $80.40
0030 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 1,254.000 1,234.000 300.000 1,234.000 $2.95 $885.00 $3,640.30
0031 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000 0.250 1.000 $3,840.00 $960.00 $3,840.00
Subtotals For Category     0300/TRAFFIC    $1,845.00 $7,627.60
Fed/State Project Number:    STP-STIM(516)EH Project:    27405(04) Category:    0600/STAKING
0032 STAKING 642 0098 LSUM 1.000 1.000 0.250 1.000 $6,650.00 $1,662.50 $6,650.00
Subtotals For Category     0600/STAKING    $1,662.50 $6,650.00
Fed/State Project Number:    STP-STIM(516)EH Project:    27405(04) Category:    0640/CONSTRUCTION
0033 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $10,826.90 $0.00 $10,826.90
Subtotals For Category     0640/CONSTRUCTION    $0.00 $10,826.90
Subtotals For Project STP-STIM(516)EH /27405(04) $10,684.42 $310,599.09