Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 100354   Estimate Number: 0011 , Final     Spec Year: 1999
Primary JP: 27324(04)   Residency: DUNCAN (07100)     Contract No: 610086
Date Created: 11/01/2013   Contractor FEI: 731452899     Account No: 404700

Project Number(s): SBR-134B(077)SB, SBR-134B(078)SB
Contract Description: BRIDGE REHABILITATION US-70: OVER WEST MUD CREEK, 6.21 MILES EAST OF THE US-81 JUNCTION; AND OVER UNNAMED CREEK, 7.95 MILES EAST OF THE US-81 JUNCTION. PROJECT LENGTH = 32.52 MILES.
Primary County: JEFFERSON              
Name of Road: US-70              
Prime Contractor: PBX CORPORATION           Time Charged: 564.00
    P.O. BOX 644           Time Allowed: 530.00
    SAPULPA , OK   74067           Percent Time: 106.42 %

  Paid To Date: $1,037,815.70 Payable This Statement: $-3.11

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.                                
PBX CORPORATION                                
 
_________________________________________________
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:    11/01/2013
Contract ID: 100354   Estimate Number: 0011     Contract No: 610086
Residency: DUNCAN (07100)   Estimate Type: Final     Account No: 404700

Project Number(s): SBR-134B(077)SB, SBR-134B(078)SB
Primary Job Piece No: 27324(04)
Contract Description: BRIDGE REHABILITATION US-70: OVER WEST MUD CREEK, 6.21 MILES EAST OF THE US-81 JUNCTION; AND OVER UNNAMED CREEK, 7.95 MILES EAST OF THE US-81 JUNCTION. PROJECT LENGTH = 32.52 MILES.
Primary County: JEFFERSON              
Name of Road: US-70              
Prime Contractor: PBX CORPORATION              
    P.O. BOX 644              
    SAPULPA , OK   74067              
Surety Company: WESTFIELD INSURANCE COMPANY              

Date Let: 05/20/2010 NTP Effective Date: 08/16/2010 Pay Period: 03/02/2012  TO  03/02/2012
Date Awarded: 06/07/2010 Date Work Began: 10/18/2010 Original Contract Time: 120
Date Contract Executed: 06/23/2010 Date Time Stopped: 03/01/2012 Current Time Charged: 564.00
Date NTP Issued: 07/02/2010 Completion Date: 03/01/2012 Current Time Allowed: 530.00
General Liability Expires: 10/05/2014 Workman's Comp Expires: 10/05/2014 Percent Time Used: 106.42 %
Specification Year: 1999        

Bid Amount: $1,085,152.59 Total to Date Prev to Date This Estimate
Funds Available (Bid + Positive C/O): $1,085,152.59 Participating: $0.00 $0.00 $0.00
Percent Complete: 95.64 % Non Participating: $1,065,356.63 $1,065,359.74 $-3.11
Unearned Balance: $47,336.89 Total Earnings: $1,065,356.63 $1,065,359.74 $-3.11
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $1,065,356.63 $1,065,359.74 $-3.11
Other Adjustments: $-2,040.93 $-2,040.93 $0.00
Liq Dam/Disincentive: $-25,500.00 $-25,500.00 $0.00
TOTAL: $1,037,815.70 $1,037,818.81 $-3.11

Estimate Adjustment Detail

Contract ID: 100354   Estimate Number: 0011     Primary JP: 27324(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Final Qty. Change Order Approved 10/15/2013 0.0 $-19,795.97


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 0005 --12 $750.00 $-9,000.00
System Application of Liquidated Damages 0006 --15 $750.00 $-11,250.00
System Application of Liquidated Damages 0007 --16 $750.00 $-12,000.00
System Application of Liquidated Damages 0008 -11.0 $750.00 $8,250.00
System Application of Liquidated Damages 0009 --2.0 $750.00 $-1,500.00
Subtotals For Liquidated Damages $-25,500.00


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
27324(04) 0006 (SP)ASPHALT CONCRETE TYPE S5(PG 64-22 OK) Asphalt Binder Adjustment 0004 222.93 $-2.40 $-536.12
27324(04) 0006 (SP)ASPHALT CONCRETE TYPE S5(PG 64-22 OK) Asphalt Binder Adjustment 0006 224.01 $-2.40 $-538.72
27328(04) 0006 (SP)ASPHALT CONCRETE TYPE S5(PG 64-22 OK) Asphalt Binder Adjustment 0005 199.97 $-2.40 $-480.90
27328(04) 0006 (SP)ASPHALT CONCRETE TYPE S5(PG 64-22 OK) Asphalt Binder Adjustment 0007 201.75 $-2.40 $-485.19
Subtotals For Line Item Adjustments $-2,040.93


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: 100354   Estimate Number: 0011     Primary JP: 27324(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:    SBR-134B(077)SB Project:    27324(04) Category:    0100/ROADWAY - SBR-134B(077)SB
0001 SELECT BORROW 202(D) 0186 CY 35.000 22.910   22.910 $125.00 $0.00 $2,863.75
0002 TEMPORARY BALE BARRIER 222 2801 LF 120.000 0.000   0.000 $6.50 $0.00 $0.00
0003 TEMPORARY SILT FENCE 223 2801 LF 640.000 0.000   0.000 $2.25 $0.00 $0.00
0004 SOLID SLAB SODDING 230(A) 2806 SY 430.000 0.000   0.000 $4.00 $0.00 $0.00
0005 TACK COAT 407 0250 GAL 120.000 112.500   112.500 $3.50 $0.00 $393.75
0006 (SP)ASPHALT CONCRETE TYPE S5(PG 64-22 OK) 411(S5) 5975 TON 464.000 446.940   446.940 $96.00 $0.00 $42,906.24
0007 COLD MILLING PAVEMENT 417 5267 SY 2,370.000 2,245.730   2,245.730 $4.50 $0.00 $10,105.79
0008 REMOVAL OF GUARD RAIL 619(B) 4780 LF 660.000 658.000   658.000 $2.00 $0.00 $1,316.00
0009 BEAM GUARD RAIL-W-BEAM-SINGLE 623(A) 0932 LF 400.000 400.000   400.000 $15.00 $0.00 $6,000.00
0010 THRIE BEAM BRIDGE CONNECTION-TYPE A 623(E) 7114 EA 4.000 4.000   4.000 $1,300.00 $0.00 $5,200.00
0011 (SP)G.E.T. GUARD RAIL END SECTION 623(H) 8571 EA 4.000 4.000   4.000 $2,100.00 $0.00 $8,400.00
Subtotals For Category     0100/ROADWAY - SBR-134B(077)SB    $0.00 $77,185.53
Fed/State Project Number:    SBR-134B(077)SB Project:    27324(04) Category:    0200/BRIDGE - SBR-134B(077)SB
0012 CLSM BACKFILL 501(G) 6309 CY 6.000 6.090   6.090 $250.00 $0.00 $1,522.50
0013 (PL)FALSEWORK JACKING 502 6116 LSUM 1.000 1.000   1.000 $2,500.00 $0.00 $2,500.00
0014 APPROACH SLAB 504(A) 1304 SY 134.000 134.000   134.000 $225.00 $0.00 $30,150.00
0015 CONCRETE RAIL (TR4) 504(E) 6245 LF 346.700 346.700   346.700 $100.00 $0.00 $34,670.00
0016 RAPID CURE JOINT SEALANT 504(H) 6390 LF 60.300 60.300   60.300 $25.00 $0.00 $1,507.50
0017 STRUCTURAL STEEL 506(A) 1322 LB 1,380.000 1,380.000   1,380.000 $5.00 $0.00 $6,900.00
0018 CLASS AA CONCRETE 509(A) 1326 CY 103.000 103.000   103.000 $900.00 $0.00 $92,700.00
0019 CLASS C CONCRETE 509(D) 1331 CY 10.000 10.000   10.000 $800.00 $0.00 $8,000.00
0020 (PL)MECHANICAL SPLICES 511 6306 EA 346.000 346.000   346.000 $25.00 $0.00 $8,650.00
0021 EPOXY COATED REINFORCING STEEL 511(B) 6010 LB 33,285.000 33,285.000   33,285.000 $1.25 $0.00 $41,606.25
0022 PAINTING EXISTING STRUCTURES 512(A) 1323 LSUM 1.000 1.000   1.000 $25,000.00 $0.00 $25,000.00
0023 COLLECTION & HANDLING OF WASTE 512(B) 6303 LSUM 1.000 1.000   1.000 $1,500.00 $0.00 $1,500.00
0024 PREPARATION OF CRACKS ABOVE WATER 520(A) 6058 LF 30.000 662.250   662.250 $35.00 $0.00 $23,178.75
0025 EPOXY RESIN ABOVE WATER 520(C) 6060 GAL 5.000 5.250   5.250 $70.00 $0.00 $367.50
0026 PNEUMATICALLY PLACED MORTAR 521(A) 6210 SY 20.000 2.860   2.860 $621.00 $0.00 $1,776.06
0027 (SP) SEALER CRACK PREPARATION 523(A) 6550 LF 193.700 193.700   193.700 $5.00 $0.00 $968.50
0028 (SP) SEALER RESIN 523(B) 6560 GAL 3.100 3.100   3.100 $45.00 $0.00 $139.50
0029 (PL)EXPANSION BEARING ASSEMBLY 535 6165 EA 10.000 10.000   10.000 $2,000.00 $0.00 $20,000.00
0030 (PL)REPAIR BRIDGE ITEM (TYPE A) 540 4515 EA 3.000 7.000   7.000 $1,500.00 $0.00 $10,500.00
0031 (PL)REMOVAL OF BRIDGE ITEMS 619(B) 2500 LSUM 1.000 1.000   1.000 $50,000.00 $0.00 $50,000.00
Subtotals For Category     0200/BRIDGE - SBR-134B(077)SB    $0.00 $361,636.56
Fed/State Project Number:    SBR-134B(077)SB Project:    27324(04) Category:    0300/TRAFFIC - SBR-134B(077)SB
0032 RELOCATION OF RENTED PORTABLE TYPE PRECAST CONCRETE MEDIAN 627(O) 4410 LF 950.000 950.000   950.000 $1.00 $0.00 $950.00
0033 RENTED PORTABLE TYPE PRECAST CONCRETE MEDIAN BARRIER 627(P) 4425 LF 950.000 950.000   950.000 $22.00 $0.00 $20,900.00
0034 (PL)PORTABLE TRAFFIC SIGNAL SYSTEM 823 8478 SD 90.000 92.000   92.000 $200.00 $0.00 $18,400.00
0035 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 2,936.000 3,460.000   3,460.000 $0.84 $0.00 $2,906.40
0036 (PL)CONST.ZONE IMPACT ATTEN. 871 8705 SD 180.000 176.000   176.000 $27.00 $0.00 $4,752.00
0037 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $15,000.00 $0.00 $15,000.00
0038 PORT.CHANGEABLE MESSAGE SIGN 882(B) 8306 SD 180.000 174.000   174.000 $55.00 $0.00 $9,570.00
Subtotals For Category     0300/TRAFFIC - SBR-134B(077)SB    $0.00 $72,478.40
Fed/State Project Number:    SBR-134B(077)SB Project:    27324(04) Category:    0600/STAKING
0039 STAKING 642 0098 LSUM 1.000 1.000   1.000 $3,000.00 $0.00 $3,000.00
Subtotals For Category     0600/STAKING    $0.00 $3,000.00
Fed/State Project Number:    SBR-134B(077)SB Project:    27324(04) Category:    0640/CONSTRUCTION - SBR-134B(077)SB
0040 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $59,650.00 $0.00 $59,650.00
Subtotals For Category     0640/CONSTRUCTION - SBR-134B(077)SB    $0.00 $59,650.00
Subtotals For Project SBR-134B(077)SB /27324(04) $0.00 $573,950.49


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:    SBR-134B(078)SB Project:    27328(04) Category:    0100/ROADWAY - SBR-134B(078)SB
0001 SELECT BORROW 202(D) 0186 CY 35.000 14.000   14.000 $125.00 $0.00 $1,750.00
0002 TEMPORARY BALE BARRIER 222 2801 LF 120.000 0.000   0.000 $6.50 $0.00 $0.00
0003 TEMPORARY SILT FENCE 223 2801 LF 640.000 0.000   0.000 $2.25 $0.00 $0.00
0004 SOLID SLAB SODDING 230(A) 2806 SY 430.000 0.000   0.000 $4.00 $0.00 $0.00
0005 TACK COAT 407 0250 GAL 120.000 125.000   125.000 $3.50 $0.00 $437.50
0006 (SP)ASPHALT CONCRETE TYPE S5(PG 64-22 OK) 411(S5) 5975 TON 464.000 401.720   401.720 $96.00 $0.00 $38,565.12
0007 COLD MILLING PAVEMENT 417 5267 SY 2,370.000 2,264.060   2,264.060 $4.50 $0.00 $10,188.28
0008 REMOVAL OF GUARD RAIL 619(B) 4780 LF 632.000 632.000   632.000 $2.00 $0.00 $1,264.00
0009 BEAM GUARD RAIL-W-BEAM-SINGLE 623(A) 0932 LF 350.000 350.000   350.000 $15.00 $0.00 $5,250.00
0010 THRIE BEAM BRIDGE CONNECTION-TYPE A 623(E) 7114 EA 4.000 4.000   4.000 $1,300.00 $0.00 $5,200.00
0011 (SP)G.E.T. GUARD RAIL END SECTION 623(H) 8571 EA 4.000 4.000   4.000 $2,100.00 $0.00 $8,400.00
Subtotals For Category     0100/ROADWAY - SBR-134B(078)SB    $0.00 $71,054.90
Fed/State Project Number:    SBR-134B(078)SB Project:    27328(04) Category:    0200/BRIDGE - SBR-134B(078)SB
0012 CLSM BACKFILL 501(G) 6309 CY 6.000 5.960   5.960 $250.00 $0.00 $1,490.00
0013 (PL)FALSEWORK JACKING 502 6116 LSUM 1.000 1.000   1.000 $2,000.00 $0.00 $2,000.00
0014 APPROACH SLAB 504(A) 1304 SY 134.000 134.000   134.000 $225.00 $0.00 $30,150.00
0015 CONCRETE RAIL (TR4) 504(E) 6245 LF 298.700 298.700   298.700 $100.00 $0.00 $29,870.00
0016 RAPID CURE JOINT SEALANT 504(H) 6390 LF 60.300 60.300   60.300 $25.00 $0.00 $1,507.50
0017 STRUCTURAL STEEL 506(A) 1322 LB 1,420.000 1,420.000   1,420.000 $5.00 $0.00 $7,100.00
0018 CLASS AA CONCRETE 509(A) 1326 CY 85.000 85.000   85.000 $900.00 $0.00 $76,500.00
0019 CLASS C CONCRETE 509(D) 1331 CY 10.000 10.500   10.500 $800.00 $0.00 $8,400.00
0020 (PL)MECHANICAL SPLICES 511 6306 EA 285.000 285.000   285.000 $25.00 $0.00 $7,125.00
0021 EPOXY COATED REINFORCING STEEL 511(B) 6010 LB 27,230.000 27,230.000   27,230.000 $1.25 $0.00 $34,037.50
0022 PAINTING EXISTING STRUCTURES 512(A) 1323 LSUM 1.000 1.000   1.000 $25,000.00 $0.00 $25,000.00
0023 COLLECTION & HANDLING OF WASTE 512(B) 6303 LSUM 1.000 1.000   1.000 $1,500.00 $0.00 $1,500.00
0024 PNEUMATICALLY PLACED MORTAR 521(A) 6210 SY 20.000 1.410 -0.005 1.410 $621.00 $-3.11 $875.60
0025 (SP) SEALER CRACK PREPARATION 523(A) 6550 LF 169.700 169.340   169.340 $5.00 $0.00 $846.70
0026 (SP) SEALER RESIN 523(B) 6560 GAL 2.700 2.000   2.000 $45.00 $0.00 $90.00
0027 (PL)FIXED BEARING ASSEMBLY 535 6164 EA 20.000 20.000   20.000 $2,000.00 $0.00 $40,000.00
0028 (PL)EXPANSION BEARING ASSEMBLY 535 6165 EA 10.000 10.000   10.000 $2,000.00 $0.00 $20,000.00
0029 (PL)REPAIR BRIDGE ITEM (TYPE A) 540 4515 EA 8.000 10.000   10.000 $1,200.00 $0.00 $12,000.00
0030 (PL)REPAIR BRIDGE ITEM (TYPE B) 540 4525 EA 6.000 6.000   6.000 $1,200.00 $0.00 $7,200.00
0031 (PL)REMOVAL OF BRIDGE ITEMS 619(B) 2500 LSUM 1.000 1.000   1.000 $50,000.00 $0.00 $50,000.00
Subtotals For Category     0200/BRIDGE - SBR-134B(078)SB    $-3.11 $355,692.30
Fed/State Project Number:    SBR-134B(078)SB Project:    27328(04) Category:    0300/TRAFFIC - SBR-134B(078)SB
0032 RELOCATION OF RENTED PORTABLE TYPE PRECAST CONCRETE MEDIAN 627(O) 4410 LF 920.000 920.000   920.000 $1.00 $0.00 $920.00
0033 RENTED PORTABLE TYPE PRECAST CONCRETE MEDIAN BARRIER 627(P) 4425 LF 920.000 920.000   920.000 $22.00 $0.00 $20,240.00
0034 (PL)PORTABLE TRAFFIC SIGNAL SYSTEM 823 8478 SD 90.000 91.000   91.000 $200.00 $0.00 $18,200.00
0035 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 2,840.000 1,878.500   1,878.500 $0.84 $0.00 $1,577.94
0036 (PL)CONST.ZONE IMPACT ATTEN. 871 8705 SD 180.000 182.000   182.000 $27.00 $0.00 $4,914.00
0037 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $16,607.00 $0.00 $16,607.00
0038 PORT.CHANGEABLE MESSAGE SIGN 882(B) 8306 SD 180.000 40.000   40.000 $55.00 $0.00 $2,200.00
Subtotals For Category     0300/TRAFFIC - SBR-134B(078)SB    $0.00 $64,658.94
Subtotals For Project SBR-134B(078)SB /27328(04) $-3.11 $491,406.14