Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 100196   Estimate Number: 0006 , Final     Spec Year: 1999
Primary JP: 27381(04)   Residency: TETRA TECH (08002)     Contract No: 511165
Date Created: 10/17/2012   Contractor FEI: 581401469     Account No: 400800

Project Number(s): STP-STIM(505)IG
Contract Description: RESURFACE (ASPHALT) CITY STREET (HOUSTON ST.): FROM SOUTH ASPEN AVE., EXTEND EAST IN THE CITY OF BROKEN ARROW. PROJECT LENGTH = 0.898 MILES.
Primary County: TULSA              
Name of Road: CITY STREET              
Prime Contractor: APAC-CENTRAL, INC.           Time Charged: 275.00
    240 N. BLOCK ST.           Time Allowed: 275.00
    FAYETTVILLE , AR   72702           Percent Time: 100.00 %

  Paid To Date: $467,752.57 Payable This Statement: $664.19

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.                                
APAC-CENTRAL, 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:    10/17/2012
Contract ID: 100196   Estimate Number: 0006     Contract No: 511165
Residency: TETRA TECH (08002)   Estimate Type: Final     Account No: 400800

Project Number(s): STP-STIM(505)IG
Primary Job Piece No: 27381(04)
Contract Description: RESURFACE (ASPHALT) CITY STREET (HOUSTON ST.): FROM SOUTH ASPEN AVE., EXTEND EAST IN THE CITY OF BROKEN ARROW. PROJECT LENGTH = 0.898 MILES.
Primary County: TULSA              
Name of Road: CITY STREET              
Prime Contractor: APAC-CENTRAL, INC.              
    240 N. BLOCK ST.              
    FAYETTVILLE , AR   72702              
Surety Company: FEDERAL INSURANCE COMPANY              

Date Let: 03/18/2010 NTP Effective Date: 07/05/2010 Pay Period: 05/24/2012  TO  10/17/2012
Date Awarded: 04/12/2010 Date Work Began: 07/06/2010 Original Contract Time: 45
Date Contract Executed: 04/27/2010 Date Time Stopped: 04/06/2011 Current Time Charged: 275.00
Date NTP Issued: 05/04/2010 Completion Date: 04/06/2011 Current Time Allowed: 275.00
General Liability Expires: 09/01/2013 Workman's Comp Expires: 09/01/2013 Percent Time Used: 100.00 %
Specification Year: 1999        

Current Contract Amount: $469,670.52 Total to Date Prev to Date This Estimate
Bid Amount: $448,562.09 Participating: $471,401.48 $470,737.29 $664.19
Percent Complete: 99.59 % Non Participating: $-1,730.94 $-1,730.94 $0.00
Funds Available: $1,917.95 Non ARRA: $0.00 $0.00 $0.00
Unearned Balance: $-19,190.48 Total Earnings: $469,670.54 $469,006.35 $664.19
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $469,670.54 $469,006.35 $664.19
Other Adjustments: $-1,917.97 $-1,917.97 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $467,752.57 $467,088.38 $664.19

Estimate Adjustment Detail

Contract ID: 100196   Estimate Number: 0006     Primary JP: 27381(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Patching Quantity Approved 05/22/2012 20.0 $21,943.13
002 FQCO Approved 10/16/2012 0.0 $-834.70


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 0003 --12 $500.00 $-6,000.00
System Application of Liquidated Damages 0004 --8.0 $500.00 $-4,000.00
System Application of Liquidated Damages 0005 -20.0 $500.00 $10,000.00
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
27381(04) 0003 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0005 98.15 $4.45 $437.48
27381(04) 0003 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) * Asphalt Binder Adjustment 0005 0.00 $0.00 $-437.48
27381(04) 0003 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) * Asphalt Binder Adjustment 0005 98.15 $2.74 $269.08
27381(04) 0004 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * HMA Deduction as per Sec. 411 0004 -36.47 $62.76 $-2,289.48
27381(04) 0004 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0004 36.40 $2.81 $102.43
Subtotals For Line Item Adjustments $-1,917.97
* = User applied Line Item Adjustments


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: 100196   Estimate Number: 0006     Primary JP: 27381(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(505)IG Project:    27381(04) Category:    0200/ROADWAY
0001 EARTHWORK 202(G) 0185 LSUM 1.000 1.000 0.000 1.000 $2,354.33 $0.00 $2,354.33
0002 SOLID SLAB SODDING 230(A) 2806 SY 250.000 157.450   157.450 $2.51 $0.00 $395.20
0003 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) 411(S3) 6210 TON 186.000 330.150   330.150 $177.26 $0.00 $58,522.39
0004 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 4,650.000 4,618.170   4,618.170 $62.76 $0.00 $289,836.35
0005 COLD MILLING PAVEMENT 417 5267 SY 27,412.000 27,217.530   27,217.530 $1.24 $0.00 $33,749.74
0006 CLASS A CONCRETE 509(B) 0321 CY 2.000 2.200 0.000 2.200 $924.20 $0.00 $2,033.24
0007 COMBINED CURB & GUTTER (6" BARRIER) 609(B) 0383 LF 630.000 618.300 0.000 618.300 $17.29 $0.00 $10,690.41
0008 4" CONCRETE SIDEWALK 610(A) 0602 SY 930.000 885.480 0.000 885.480 $42.95 $0.00 $38,031.37
0009 VALVE BOXES ADJUST TO GRADE 612(G) 0647 EA 4.000 4.000   4.000 $352.84 $0.00 $1,411.36
0010 24" R.C.PIPE CLASS III 613(B) 0492 LF 20.000 20.000 0.000 20.000 $112.72 $0.00 $2,254.40
0011 SPECIAL END SECTION OF 24" RCP ROUND 613(C) 4375 EA 2.000 2.000   2.000 $691.32 $0.00 $1,382.64
0012 REMOVAL OF CURB AND GUTTER 619(B) 4726 LF 25.000 32.000   32.000 $6.05 $0.00 $193.60
0013 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 414.000 583.100   583.100 $10.95 $0.00 $6,384.95
0014 REMOVAL OF SIDEWALK 619(B) 4792 SY 352.000 271.990   271.990 $16.13 $0.00 $4,387.20
0015 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 12,375.000 14,213.280 1,014.670 14,213.280 $0.59 $598.66 $8,385.84
0016 TRAFFIC STRIPE(PLASTIC)(ARROWS) 855(B) 8818 EA 32.000 32.000 1.000 32.000 $65.53 $65.53 $2,096.96
0017 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $932.50 $0.00 $932.50
Subtotals For Category     0200/ROADWAY    $664.19 $463,042.48
Fed/State Project Number:    STP-STIM(505)IG Project:    27381(04) Category:    0640/CONSTRUCTION
0018 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $8,359.00 $0.00 $8,359.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $8,359.00
Fed/State Project Number:    STP-STIM(505)IG Project:    27381(04) Category:    0900/FEDERAL NON PARTICIPATING
8102 COMPENSATION FOR CANCELED WORK ITEMS 109 1125 LSUM 0.000 -1.000   -1.000 $1,730.94 $0.00 $-1,730.94
Subtotals For Category     0900/FEDERAL NON PARTICIPATING    $0.00 $-1,730.94
Subtotals For Project STP-STIM(505)IG /27381(04) $664.19 $469,670.54