Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 100167   Estimate Number: 0009 , Final     Spec Year: 1999
Primary JP: 27216(04)   Residency: CLAREMORE (08300)     Contract No: 511008
Date Created: 06/13/2011   Contractor FEI: 731607296     Account No: 555800

Project Number(s): STP-STIM(477)EH
Contract Description: PEDESTRIAN IMPROVEMENTS US-60: FROM DELAWARE AVENUE, EXTEND SOUTH THEN EAST IN THE CITY OF NOWATA. PROJECT LENGTH = 0.747 MILES. PREQUALIFICATION FOR THIS PROJECT HAS BEEN WAIVED.
Primary County: NOWATA              
Name of Road: US-60              
Prime Contractor: CANTERA CONCRETE COMPANY, LLC           Time Charged: 220.00
    5601 S. 122 E. AVENUE           Time Allowed: 231.00
    TULSA , OK   74146           Percent Time: 95.24 %

  Paid To Date: $211,255.76 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.                                
CANTERA CONCRETE COMPANY, LLC                               
 
_________________________________________________
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:    06/13/2011
Contract ID: 100167   Estimate Number: 0009     Contract No: 511008
Residency: CLAREMORE (08300)   Estimate Type: Final     Account No: 555800

Project Number(s): STP-STIM(477)EH
Primary Job Piece No: 27216(04)
Contract Description: PEDESTRIAN IMPROVEMENTS US-60: FROM DELAWARE AVENUE, EXTEND SOUTH THEN EAST IN THE CITY OF NOWATA. PROJECT LENGTH = 0.747 MILES. PREQUALIFICATION FOR THIS PROJECT HAS BEEN WAIVED.
Primary County: NOWATA              
Name of Road: US-60              
Prime Contractor: CANTERA CONCRETE COMPANY, LLC              
    5601 S. 122 E. AVENUE              
    TULSA , OK   74146              
Surety Company: FEDERAL INSURANCE COMPANY              

Date Let: 02/25/2010 NTP Effective Date: 05/03/2010 Pay Period: 04/01/2011  TO  06/13/2011
Date Awarded: 03/01/2010 Date Work Began: 04/26/2010 Original Contract Time: 60
Date Contract Executed: 03/09/2010 Date Time Stopped: 12/03/2010 Current Time Charged: 220.00
Date NTP Issued: 03/16/2010 Completion Date: 12/03/2010 Current Time Allowed: 231.00
General Liability Expires: 10/01/2011 Workman's Comp Expires: 10/01/2011 Percent Time Used: 95.24 %
Specification Year: 1999        

Current Contract Amount: $211,255.74 Total to Date Prev to Date This Estimate
Bid Amount: $199,261.00 Participating: $204,516.45 $204,516.45 $0.00
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $-0.02 Non ARRA: $6,739.31 $6,739.31 $0.00
Unearned Balance: $-11,994.76 Total Earnings: $211,255.76 $211,255.76 $0.00
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $211,255.76 $211,255.76 $0.00
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $211,255.76 $211,255.76 $0.00

Estimate Adjustment Detail

Contract ID: 100167   Estimate Number: 0009     Primary JP: 27216(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Supplemental agreement adding standard bedding material. Approved 09/14/2010 0.0 $7,064.91
003 Final Contract Item Quantities Approved 02/24/2011 0.0 $5,255.43
004 As-Built Quantity Adjustment Approved 06/06/2011 0.0 $-325.60


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
27216(04) 0004 SOLID SLAB SODDING * Material Discrepancy Adjustments 0005 -45.83 $10.00 $-458.30
27216(04) 0004 SOLID SLAB SODDING * Material Discrepancy Adjustments 0008 45.83 $10.00 $458.30
27216(04) 0022 PIPE RAILING * Material Discrepancy Adjustments 0004 -17.00 $100.00 $-1,700.00
27216(04) 0022 PIPE RAILING * Material Discrepancy Adjustments 0005 -21.00 $100.00 $-2,100.00
27216(04) 0022 PIPE RAILING * Material Discrepancy Adjustments 0008 38.00 $100.00 $3,800.00
27216(04) 0023 TRAFFIC STRIPE(PLASTIC)(4" WIDE) * Material Discrepancy Adjustments 0005 -384.00 $3.00 $-1,152.00
27216(04) 0023 TRAFFIC STRIPE(PLASTIC)(4" WIDE) * Material Discrepancy Adjustments 0008 384.00 $3.00 $1,152.00
27216(04) 0025 STAKING * Material Discrepancy Adjustments 0007 -0.05 $3,600.00 $-180.00
27216(04) 0025 STAKING * Material Discrepancy Adjustments 0008 0.05 $3,600.00 $180.00
Subtotals For Line Item Adjustments $0.00
* = 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: 100167   Estimate Number: 0009     Primary JP: 27216(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(477)EH Project:    27216(04) Category:    0100/ROADWAY
0001 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 100.000 0.000   0.000 $14.00 $0.00 $0.00
0002 TEMPORARY SILT FENCE 223 2801 LF 100.000 0.000   0.000 $2.50 $0.00 $0.00
0003 TEMPORARY SEDIMENT FILTER 224 2803 EA 1.000 0.000   0.000 $150.00 $0.00 $0.00
0004 SOLID SLAB SODDING 230(A) 2806 SY 17.000 99.000   99.000 $10.00 $0.00 $990.00
0005 AGGREGATE BASE 303 0192 CY 386.000 45.550   45.550 $55.00 $0.00 $2,505.25
0006 (PL)ASPHALT CONCRETE 411 4275 SY 11.000 164.250   164.250 $110.00 $0.00 $18,067.50
0007 FULL DEPTH P.C. CONCRETE PATCHING(PLACEMENT ONLY) 414(A) 0225 SY 221.000 273.280   273.280 $55.00 $0.00 $15,030.40
0008 P.C. CONCRETE FOR PAVEMENT 414(I) 5275 CY 50.000 61.030   61.030 $150.00 $0.00 $9,154.50
0009 CLSM BACKFILL 501(G) 6309 CY 22.000 21.670   21.670 $100.00 $0.00 $2,167.00
0010 2'-8" COMB. CURB & GUTTER (6" MNTBLE) 609(B) 1524 LF 64.000 89.500   89.500 $25.00 $0.00 $2,237.50
0011 2'-8" COMB. CURB & GUTTER (6" BARRIER) 609(B) 1525 LF 496.000 720.000   720.000 $25.00 $0.00 $18,000.00
0012 4" CONCRETE SIDEWALK 610(A) 0602 SY 1,418.000 1,579.700   1,579.700 $30.00 $0.00 $47,391.00
0013 6" CONCRETE DRIVEWAY (H.E.S.) 610(B) 0399 SY 14.000 10.570   10.570 $30.00 $0.00 $317.10
0014 (PL)TACTILE WARNING DEVICE-NEW 610(I) 4610 SF 2,048.000 266.000   266.000 $12.50 $0.00 $3,325.00
0015 INLET CICI DES. 1 (STD) 611(E) 5100 EA 1.000 1.000   1.000 $2,500.00 $0.00 $2,500.00
0016 8" CAST IRON PIPE 613(V) 4646 LF 76.000 72.000   72.000 $150.00 $0.00 $10,800.00
0017 REMOVAL OF DRAINAGE INLETS 619(B) 4741 EA 1.000 1.000   1.000 $250.00 $0.00 $250.00
0018 REMOVAL OF CURB 619(B) 4791 LF 494.000 680.500   680.500 $6.50 $0.00 $4,423.25
0019 REMOVAL OF SIDEWALK 619(B) 4792 SY 1,224.000 1,597.590   1,597.590 $7.50 $0.00 $11,981.95
0020 PLUGGING ABANDONED SEWER 619(B) 8660 EA 2.000 2.000   2.000 $150.00 $0.00 $300.00
0021 SAWING PAVEMENT 619(C) 0924 LF 2,479.000 1,856.000   1,856.000 $4.00 $0.00 $7,424.00
0022 PIPE RAILING 622(A) 4746 LF 30.000 170.000   170.000 $100.00 $0.00 $17,000.00
Subtotals For Category     0100/ROADWAY    $0.00 $173,864.45
Fed/State Project Number:    STP-STIM(477)EH Project:    27216(04) Category:    0300/TRAFFIC
0023 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 393.000 384.000   384.000 $3.00 $0.00 $1,152.00
0024 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $6,000.00 $0.00 $6,000.00
Subtotals For Category     0300/TRAFFIC    $0.00 $7,152.00
Fed/State Project Number:    STP-STIM(477)EH Project:    27216(04) Category:    0600/STAKING
0025 STAKING 642 0098 LSUM 1.000 1.000   1.000 $3,600.00 $0.00 $3,600.00
Subtotals For Category     0600/STAKING    $0.00 $3,600.00
Fed/State Project Number:    STP-STIM(477)EH Project:    27216(04) Category:    0640/CONSTRUCTION
0026 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $19,900.00 $0.00 $19,900.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $19,900.00
Fed/State Project Number:    STP-STIM(477)EH Project:    27216(04) Category:    0850/NON ARRA FUNDING
8000 STANDARD BEDDING MATERIAL 613(T) 1181 CY 0.000 197.460   197.460 $34.13 $0.00 $6,739.31
Subtotals For Category     0850/NON ARRA FUNDING    $0.00 $6,739.31
Subtotals For Project STP-STIM(477)EH /27216(04) $0.00 $211,255.76