Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 100302   Estimate Number: 0006 , Final     Spec Year: 1999
Primary JP: 26729(04)   Residency: OKLAHOMA CITY (04600)     Contract No: 610092
Date Created: 12/17/2010   Contractor FEI: 730655143     Account No: 400400

Project Number(s): STP-STIM(301)AG
Contract Description: RESURFACE (ASPHALT) US-62: FROM HENNY ROAD, EXTEND EAST TO CHOCTAW ROAD IN THE CITY OF CHOCTAW. PROJECT LENGTH = 0.396 MILES.
Primary County: OKLAHOMA              
Name of Road: US-62              
Prime Contractor: ATLAS PAVING COMPANY           Time Charged: 67.00
    P. O. BOX 75727           Time Allowed: 70.00
    OKLAHOMA CITY , OK   73147           Percent Time: 95.71 %

  Paid To Date: $355,831.94 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.                                
ATLAS PAVING COMPANY                                
 
_________________________________________________
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:    12/17/2010
Contract ID: 100302   Estimate Number: 0006     Contract No: 610092
Residency: OKLAHOMA CITY (04600)   Estimate Type: Final     Account No: 400400

Project Number(s): STP-STIM(301)AG
Primary Job Piece No: 26729(04)
Contract Description: RESURFACE (ASPHALT) US-62: FROM HENNY ROAD, EXTEND EAST TO CHOCTAW ROAD IN THE CITY OF CHOCTAW. PROJECT LENGTH = 0.396 MILES.
Primary County: OKLAHOMA              
Name of Road: US-62              
Prime Contractor: ATLAS PAVING COMPANY              
    P. O. BOX 75727              
    OKLAHOMA CITY , OK   73147              
Surety Company: OHIO CASUALTY INSURANCE COMPANY (OKC)              

Date Let: 05/20/2010 NTP Effective Date: 07/26/2010 Pay Period: 12/01/2010  TO  12/02/2010
Date Awarded: 06/07/2010 Date Work Began: 07/26/2010 Original Contract Time: 45
Date Contract Executed: 06/15/2010 Date Time Stopped: 09/30/2010 Current Time Charged: 67.00
Date NTP Issued: 06/23/2010 Completion Date: 09/30/2010 Current Time Allowed: 70.00
General Liability Expires: 04/01/2011 Workman's Comp Expires: 04/01/2011 Percent Time Used: 95.71 %
Specification Year: 1999        

Current Contract Amount: $356,902.56 Total to Date Prev to Date This Estimate
Bid Amount: $326,552.00 Participating: $356,902.57 $356,902.57 $0.00
Percent Complete: 99.70 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $1,070.62 Total Earnings: $356,902.57 $356,902.57 $0.00
Unearned Balance: $-29,279.94 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $356,902.57 $356,902.57 $0.00
Other Adjustments: $-1,070.63 $-1,070.63 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $355,831.94 $355,831.94 $0.00

Estimate Adjustment Detail

Contract ID: 100302   Estimate Number: 0006     Primary JP: 26729(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Pavement Smoothness Special Provision 430-2QA(99) Approved 10/25/2010 0.0 $-3,747.81
002 Final Quantity Approved 11/23/2010 0.0 $34,098.37


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
Withhold to Funds Avail(Prog. Est. Only) 0004 $-25,618.73
Withhold to Funds Avail(Prog. Est. Only) 0005 $25,618.73
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
26729(04) 0002 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0004 0.00 $0.00 $-836.57
26729(04) 0020 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0004 0.00 $0.00 $-234.06
26729(04) 0024 TRAFFIC STRIPE(PLASTIC)(THIN-LINE)(4" WIDE) * Material Discrepancy Adjustments 0004 -1,200.00 $0.24 $-288.00
26729(04) 0024 TRAFFIC STRIPE(PLASTIC)(THIN-LINE)(4" WIDE) * Material Discrepancy Adjustments 0005 0.00 $0.00 $288.00
26729(04) 0025 TRAFFIC STRIPE(PLASTIC)(ARROWS) * Material Discrepancy Adjustments 0004 -7.00 $75.00 $-525.00
26729(04) 0025 TRAFFIC STRIPE(PLASTIC)(ARROWS) * Material Discrepancy Adjustments 0005 0.00 $0.00 $525.00
26729(04) 0026 CONSTRUCTION TRAFFIC CONTROL * Material Discrepancy Adjustments 0001 -0.30 $250.00 $-75.00
26729(04) 0026 CONSTRUCTION TRAFFIC CONTROL * Material Discrepancy Adjustments 0002 0.30 $250.00 $75.00
26729(04) 0027 TRAFFIC STRIPE(PLASTIC)(THIN-LINE)(4" WIDE) * Material Discrepancy Adjustments 0004 -5,682.92 $0.27 $-1,534.39
26729(04) 0027 TRAFFIC STRIPE(PLASTIC)(THIN-LINE)(4" WIDE) * Material Discrepancy Adjustments 0005 0.00 $0.00 $1,534.39
26729(04) 0028 TRAFFIC STRIPE(PLASTIC)(ARROWS) * Material Discrepancy Adjustments 0004 -10.00 $75.00 $-750.00
26729(04) 0028 TRAFFIC STRIPE(PLASTIC)(ARROWS) * Material Discrepancy Adjustments 0005 0.00 $0.00 $750.00
26729(04) 0029 CONSTRUCTION TRAFFIC CONTROL * Material Discrepancy Adjustments 0001 -0.30 $2,170.00 $-651.00
26729(04) 0029 CONSTRUCTION TRAFFIC CONTROL * Material Discrepancy Adjustments 0002 0.30 $2,170.00 $651.00
Subtotals For Line Item Adjustments $-1,070.63
* = 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: 100302   Estimate Number: 0006     Primary JP: 26729(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(301)AG Project:    26729(04) Category:    0100/ROADWAY
0001 EARTHWORK 202(G) 0185 LSUM 1.000 1.000   1.000 $5,000.00 $0.00 $5,000.00
0002 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 1,445.000 1,679.860   1,679.860 $73.00 $0.00 $122,629.78
0003 COLD MILLING BITUMINOUS PAVEMENT 417 4267 SY 780.000 920.400   920.400 $5.00 $0.00 $4,602.00
0004 CLASS A CONCRETE 509(B) 0321 CY 180.000 260.910   260.910 $250.00 $0.00 $65,227.50
0005 CLASS A CONCRETE FOR SMALL STRUCTURES 509(C) 0322 CY 20.000 0.000   0.000 $250.00 $0.00 $0.00
0006 CLASS C CONCRETE 509(D) 0325 CY 70.000 57.660   57.660 $250.00 $0.00 $14,415.00
0007 REINFORCING STEEL 511(A) 0332 LB 1,750.000 2,742.650   2,742.650 $0.60 $0.00 $1,645.59
0008 2'-8" COMB. CURB & GUTTER (8" BARRIER) 609(B) 1526 LF 1,015.000 1,051.700   1,051.700 $21.00 $0.00 $22,085.70
0009 MANHOLE (5' DIAMETER) 611(A) 2658 EA 4.000 4.000   4.000 $2,200.00 $0.00 $8,800.00
0010 INLET CICI DES. 2 (STD) 611(E) 5112 EA 4.000 4.000   4.000 $2,700.00 $0.00 $10,800.00
0011 18" R.C.PIPE CLASS III 613(B) 0491 LF 35.000 19.500   19.500 $36.00 $0.00 $702.00
0012 24" R.C.PIPE CLASS III 613(B) 0492 LF 315.000 289.000   289.000 $38.00 $0.00 $10,982.00
0013 36" R.C.PIPE CLASS III 613(B) 0494 LF 400.000 374.000   374.000 $60.00 $0.00 $22,440.00
0014 18" PREFAB. CULVERT END SECTION, ROUND 613(M) 5726 EA 1.000 1.000   1.000 $1,000.00 $0.00 $1,000.00
0015 24" PREFAB. CULVERT END SECTION, ROUND 613(M) 5730 EA 2.000 2.000   2.000 $1,050.00 $0.00 $2,100.00
0016 36" PREFAB. CULVERT END SECTION, ROUND 613(M) 5734 EA 1.000 2.000   2.000 $1,350.00 $0.00 $2,700.00
0017 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 875.000 1,076.500   1,076.500 $6.00 $0.00 $6,459.00
0018 REMOVAL OF EXISTING STRUCTURES 619(B) 4778 EA 1.000 1.000   1.000 $100.00 $0.00 $100.00
0019 SAWING PAVEMENT 619(C) 0924 LF 2,000.000 1,968.000   1,968.000 $3.00 $0.00 $5,904.00
8000 PAVEMENT/BRIDGE SMOOTHNESS ADJUSTMENT 430 5010 LSUM 0.000 1.000   1.000 $-3,747.81 $0.00 $-3,747.81
Subtotals For Category     0100/ROADWAY    $0.00 $303,844.76
Fed/State Project Number:    STP-STIM(301)AG Project:    26729(04) Category:    0101/ADD ALT. 1
0020 (SP)ASPHALT CONCRETE TYPE S4(PG 70-28 OK) 411(S4) 5955 TON 470.000 470.000   470.000 $73.00 $0.00 $34,310.00
0021 CLASS A CONCRETE FOR SMALL STRUCTURES 509(C) 0322 CY 2.000 0.270   0.270 $250.00 $0.00 $67.50
0022 2'-8" COMB. CURB & GUTTER (8" BARRIER) 609(B) 1526 LF 50.000 68.000   68.000 $23.00 $0.00 $1,564.00
0023 LOOP DETECTOR WIRE 828(B) 8138 LF 250.000 1,288.000   1,288.000 $3.30 $0.00 $4,250.40
0024 TRAFFIC STRIPE(PLASTIC)(THIN-LINE)(4" WIDE) 855(A) 8815 LF 1,200.000 1,200.000   1,200.000 $0.24 $0.00 $288.00
0025 TRAFFIC STRIPE(PLASTIC)(ARROWS) 855(B) 8818 EA 7.000 7.000   7.000 $75.00 $0.00 $525.00
0026 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $250.00 $0.00 $250.00
Subtotals For Category     0101/ADD ALT. 1    $0.00 $41,254.90
Fed/State Project Number:    STP-STIM(301)AG Project:    26729(04) Category:    0300/TRAFFIC
0027 TRAFFIC STRIPE(PLASTIC)(THIN-LINE)(4" WIDE) 855(A) 8815 LF 5,200.000 5,677.420   5,677.420 $0.27 $0.00 $1,532.91
0028 TRAFFIC STRIPE(PLASTIC)(ARROWS) 855(B) 8818 EA 12.000 10.000   10.000 $75.00 $0.00 $750.00
0029 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $2,170.00 $0.00 $2,170.00
Subtotals For Category     0300/TRAFFIC    $0.00 $4,452.91
Fed/State Project Number:    STP-STIM(301)AG Project:    26729(04) Category:    0600/STAKING
0030 STAKING 642 0098 LSUM 1.000 1.000   1.000 $2,000.00 $0.00 $2,000.00
Subtotals For Category     0600/STAKING    $0.00 $2,000.00
Fed/State Project Number:    STP-STIM(301)AG Project:    26729(04) Category:    0640/CONSTRUCTION
0031 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $5,350.00 $0.00 $5,350.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $5,350.00
Subtotals For Project STP-STIM(301)AG /26729(04) $0.00 $356,902.57