Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 100197   Estimate Number: 0007 , Final     Spec Year: 1999
Primary JP: 27401(04)   Residency: TETRA TECH (08002)     Contract No: 511167
Date Created: 04/04/2014   Contractor FEI: 201749126     Account No: 400800

Project Number(s): STP-STIM(512)IG, STP-STIM(513)IG
Contract Description: RESURFACE (ASPHALT) CITY STREET (EAST FLORENCE STREET/SOUTH 23RD STREET): FLORENCE STREET, FROM OLIVE AVENUE EXTEND EAST. 23RD STREET, FROM JASPER STREET EXTEND SOUTH. PROJECT LENGTH = 1.855 MILES.
Primary County: TULSA              
Name of Road: CITY STREET              
Prime Contractor: PARAGON CONTRACTORS, LLC           Time Charged: 1183.00
    11 E. 5TH ST., SUITE 500           Time Allowed: 1192.00
    TULSA , OK   74103           Percent Time: 99.24 %

  Paid To Date: $569,637.62 Payable This Statement: $16,262.20

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.                                
PARAGON CONTRACTORS, 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:    04/04/2014
Contract ID: 100197   Estimate Number: 0007     Contract No: 511167
Residency: TETRA TECH (08002)   Estimate Type: Final     Account No: 400800

Project Number(s): STP-STIM(512)IG, STP-STIM(513)IG
Primary Job Piece No: 27401(04)
Contract Description: RESURFACE (ASPHALT) CITY STREET (EAST FLORENCE STREET/SOUTH 23RD STREET): FLORENCE STREET, FROM OLIVE AVENUE EXTEND EAST. 23RD STREET, FROM JASPER STREET EXTEND SOUTH. PROJECT LENGTH = 1.855 MILES.
Primary County: TULSA              
Name of Road: CITY STREET              
Prime Contractor: PARAGON CONTRACTORS, LLC              
    11 E. 5TH ST., SUITE 500              
    TULSA , OK   74103              
Surety Company: THE GUARANTEE COMPANY OF NORTH AMERICA USA              

Date Let: 03/18/2010 NTP Effective Date: 07/05/2010 Pay Period: 03/01/2011  TO  04/04/2014
Date Awarded: 04/12/2010 Date Work Began: 07/05/2010 Original Contract Time: 90
Date Contract Executed: 04/29/2010 Date Time Stopped: 09/30/2013 Current Time Charged: 1183.00
Date NTP Issued: 05/06/2010 Completion Date: 09/30/2013 Current Time Allowed: 1192.00
General Liability Expires: 03/24/2015 Workman's Comp Expires: 03/22/2015 Percent Time Used: 99.24 %
Specification Year: 1999        

Bid Amount: $604,067.00 Total to Date Prev to Date This Estimate
Funds Available (Bid + Positive C/O): $608,353.00 Participating: $571,925.59 $560,638.23 $11,287.36
Percent Complete: 93.64 % Non Participating: $0.00 $0.00 $0.00
Unearned Balance: $38,715.38 Non ARRA: $4,286.00 $0.00 $4,286.00
Total Earnings: $576,211.59 $560,638.23 $15,573.36
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $576,211.59 $560,638.23 $15,573.36
Other Adjustments: $-6,573.97 $-6,762.81 $188.84
Liq Dam/Disincentive: $0.00 $-500.00 $500.00
TOTAL: $569,637.62 $553,375.42 $16,262.20

Estimate Adjustment Detail

Contract ID: 100197   Estimate Number: 0007     Primary JP: 27401(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Address Edge Drop offs Approved 09/11/2013 10.0 $4,286.00
002 FQCO Approved 04/04/2014 0.0 $-32,141.42


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 0006 --1.0 $500.00 $-500.00
System Application of Liquidated Damages 0007 -1.0 $500.00 $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
27401(04) 0001 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0001 0.00 $0.00 $15.48
27401(04) 0001 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0006 -10.46 $-0.36 $3.79
27401(04) 0001 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0007 69.12 $1.72 $119.39
27402(04) 0001 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0006 -14.71 $-0.36 $5.33
27402(04) 0001 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) Asphalt Binder Adjustment 0007 22.40 $1.72 $38.69
27401(04) 0002 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * ROADWAY DENSITY 0006 -14.45 $81.20 $-1,173.36
27401(04) 0002 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0006 41.44 $-0.41 $-17.16
27401(04) 0002 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * ROADWAY DENSITY 0006 -23.90 $81.20 $-1,940.68
27401(04) 0002 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0007 -14.06 $1.97 $-27.75
27402(04) 0002 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0005 704.96 $-0.05 $-38.07
27402(04) 0002 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * ROADWAY DENSITY 0006 -4.55 $81.20 $-370.14
27402(04) 0002 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0006 -0.01 $-0.41 $0.00
27402(04) 0002 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) * ROADWAY DENSITY 0006 -40.00 $81.20 $-3,248.00
27402(04) 0002 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0007 29.64 $1.97 $58.51
Subtotals For Line Item Adjustments $-6,573.97
* = 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: 100197   Estimate Number: 0007     Primary JP: 27401(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(512)IG Project:    27401(04) Category:    0200/ROADWAY - STP-STIM(512)IG
0001 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) 411(S3) 6210 TON 1,050.000 1,019.880 69.120 1,019.880 $111.00 $7,672.32 $113,206.68
0002 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 1,450.000 1,631.040 -14.060 1,631.040 $81.20 $-1,141.67 $132,440.45
0003 COLD MILLING PAVEMENT 417 5267 SY 12,768.000 640.000   640.000 $1.80 $0.00 $1,152.00
0004 FABRIC REINFORCEMENT 420(A) 4242 SY 12,768.000 12,515.810   12,515.810 $2.00 $0.00 $25,031.62
0005 4" CONCRETE SIDEWALK 610(A) 0602 SY 10.000 6.350   6.350 $134.00 $0.00 $850.90
0006 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 2,338.000 2,234.090 -15.990 2,234.090 $5.00 $-79.95 $11,170.45
0007 REMOVAL OF SIDEWALK 619(B) 4792 SY 10.000 6.100 -0.110 6.100 $11.00 $-1.21 $67.10
0008 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 15,100.000 15,452.500 97.500 15,452.500 $0.53 $51.68 $8,189.83
0009 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $3,500.00 $0.00 $3,500.00
Subtotals For Category     0200/ROADWAY - STP-STIM(512)IG    $6,501.17 $295,609.03
Fed/State Project Number:    STP-STIM(512)IG Project:    27401(04) Category:    0640/CONSTRUCTION - STP-STIM(512)IG
0010 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $7,500.00 $0.00 $7,500.00
Subtotals For Category     0640/CONSTRUCTION - STP-STIM(512)IG    $0.00 $7,500.00
Fed/State Project Number:    STP-STIM(512)IG Project:    27401(04) Category:    0850/NON ARRA FUNDING
Subtotals For Category     0850/NON ARRA FUNDING    $0.00 $0.00
Fed/State Project Number:    STP-STIM(512)IG Project:    27401(04) Category:    0900/FEDERAL NON PARTICIPATING
Subtotals For Category     0900/FEDERAL NON PARTICIPATING    $0.00 $0.00
Subtotals For Project STP-STIM(512)IG /27401(04) $6,501.17 $303,109.03


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(513)IG Project:    27402(04) Category:    0200/ROADWAY - STP-STIM(513)IG
0001 (SP)ASPHALT CONCRETE TYPE S3(PATCHING)(PG 64-22 OK) 411(S3) 6210 TON 995.000 940.100 22.400 940.100 $111.00 $2,486.40 $104,351.10
0002 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 1,600.000 1,436.640 29.640 1,436.640 $81.20 $2,406.77 $116,655.17
0003 COLD MILLING PAVEMENT 417 5267 SY 115.000 122.570 -12.300 122.570 $1.80 $-22.14 $220.63
0004 FABRIC REINFORCEMENT 420(A) 4242 SY 14,100.000 13,665.410 0.000 13,665.410 $2.00 $0.00 $27,330.82
0005 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 2,210.000 2,184.400 1.800 2,184.400 $5.00 $9.00 $10,922.00
0006 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 17,160.000 17,254.000 -204.000 17,254.000 $0.46 $-93.84 $7,936.84
0007 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $1,400.00 $0.00 $1,400.00
Subtotals For Category     0200/ROADWAY - STP-STIM(513)IG    $4,786.19 $268,816.56
Fed/State Project Number:    STP-STIM(513)IG Project:    27402(04) Category:    0850/NON ARRA FUNDING
8103 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 0.000 1.000 1.000 1.000 $754.00 $754.00 $754.00
8104 MOBILIZATION 641 1552 LSUM 0.000 1.000 1.000 1.000 $3,532.00 $3,532.00 $3,532.00
Subtotals For Category     0850/NON ARRA FUNDING    $4,286.00 $4,286.00
Fed/State Project Number:    STP-STIM(513)IG Project:    27402(04) Category:    0900/FEDERAL NON PARTICIPATING
Subtotals For Category     0900/FEDERAL NON PARTICIPATING    $0.00 $0.00
Subtotals For Project STP-STIM(513)IG /27402(04) $9,072.19 $273,102.56