Oklahoma Department of Transportation
Final Estimate Affidavit
Contract ID: 100431   Estimate Number: 0008 , Final     Spec Year: 1999
Primary JP: 27454(04)   Residency: DUNCAN (07100)     Contract No: 610387
Date Created: 10/28/2013   Contractor FEI: 710669392     Account No: 400700
Project Number(s): IMG-44-1(116)030TR
Contract Description: SIGNING I-44: FROM THE SH-36 JUNCTION, EXTEND NORTH.
Primary County: COMANCHE              
Name of Road: I-44              
Prime Contractor: TIME STRIPING, INC.           Time Charged: 302.00
    5439 ARKHOLA RD.           Time Allowed: 311.00
    VAN BUREN , AR   72957           Percent Time: 97.11 %
  Paid To Date: $258,560.49 Payable This Statement: $5,537.02
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.                                
TIME STRIPING, 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:    10/28/2013
Contract ID: 100431   Estimate Number: 0008     Contract No: 610387
Residency: DUNCAN (07100)   Estimate Type: Final     Account No: 400700
Project Number(s): IMG-44-1(116)030TR
Primary Job Piece No: 27454(04)
Contract Description: SIGNING I-44: FROM THE SH-36 JUNCTION, EXTEND NORTH.
Primary County: COMANCHE              
Name of Road: I-44              
Prime Contractor: TIME STRIPING, INC.              
    5439 ARKHOLA RD.              
    VAN BUREN , AR   72957              
Surety Company: SURETEC INSURANCE CO.              
Date Let: 07/22/2010 NTP Effective Date: 01/17/2011 Pay Period: 11/16/2011  TO  10/15/2013
Date Awarded: 08/10/2010 Date Work Began: 05/03/2011 Original Contract Time: 120
Date Contract Executed: 08/25/2010 Date Time Stopped: 11/14/2011 Current Time Charged: 302.00
Date NTP Issued: 10/19/2010 Completion Date: 11/14/2011 Current Time Allowed: 311.00
General Liability Expires: 07/17/2014 Workman's Comp Expires: 07/17/2014 Percent Time Used: 97.11 %
Specification Year: 1999        
Current Contract Amount: $258,560.48 Total to Date Prev to Date This Estimate
Bid Amount: $381,248.95 Participating: $258,560.49 $253,023.47 $5,537.02
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $-0.01 Total Earnings: $258,560.49 $253,023.47 $5,537.02
Unearned Balance: $122,688.46 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $258,560.49 $253,023.47 $5,537.02
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $258,560.49 $253,023.47 $5,537.02

Estimate Adjustment Detail
Contract ID: 100431   Estimate Number: 0008     Primary JP: 27454(04)


CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Adds Structural Concrete & Reinforcing Steel Approved 02/25/2011 0.0 $9,989.74
002 Class C Conc. Sign Footings Approved 09/01/2011 0.0 $14,214.20
003 Adds 1 new item to correct error on signs Approved 09/01/2011 0.0 $1,069.39
004 Contract Time Extension Approved 07/11/2012 90.0 $0.00
005 Triangle Tops Approved 09/21/2012 0.0 $3,445.00
006 FINAL QUANTITY CHANGE ORDER Approved 10/23/2013 0.0 $-151,406.80


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 0001 --10 $500.00 $-5,000.00
System Application of Liquidated Damages 0002 --9.0 $500.00 $-4,500.00
System Application of Liquidated Damages 0003 --20 $500.00 $-10,000.00
System Application of Liquidated Damages 0004 --15 $500.00 $-7,500.00
System Application of Liquidated Damages 0005 --16 $500.00 $-8,000.00
System Application of Liquidated Damages 0006 --11 $500.00 $-5,500.00
System Application of Liquidated Damages 0007 -81.0 $500.00 $40,500.00
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
No line item adjustments have been created on this contract.
Subtotals For Line Item Adjustments $0.00


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: 100431   Estimate Number: 0008     Primary JP: 27454(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:    IMG-44-1(116)030TR Project:    27454(04) Category:    0300/TRAFFIC SIGNING
0001 SHEET ALUMINUM SIGNS 850(A) 8110 SF 1,643.910 2,192.840 163.430 2,192.840 $10.00 $1,634.30 $21,928.40
0002 EXTRUDED ALUMINUM PANEL SIGNS 850(B) 8112 SF 4,694.450 4,277.000 0.000 4,277.000 $15.00 $0.00 $64,155.00
0003 EXTRUDED ALUMINUM PANEL SIGNS(OVERHEAD SIGNS) 850(B) 8114 SF 1,350.000 1,347.000 0.000 1,347.000 $15.00 $0.00 $20,205.00
0004 4"@13 GALV.STEEL WIDE FLANGE BEAM POST 851(A) 3206 LF 472.250 460.960 0.000 460.960 $24.00 $0.00 $11,063.04
0005 6"@15 GALV.STEEL WIDE FLANGE BEAM POST 851(A) 3207 LF 500.850 489.370 1.000 489.370 $26.00 $26.00 $12,723.62
0006 6"@20 GALV.STEEL WIDE FLANGE BEAM POST 851(A) 3208 LF 152.900 159.660 0.000 159.660 $30.00 $0.00 $4,789.80
0007 6"@25 GALV.STEEL WIDE FLANGE BEAM POST 851(A) 3209 LF 55.800 51.900 0.000 51.900 $35.00 $0.00 $1,816.50
0008 8"@31 GALV.STEEL WIDE FLANGE BEAM POST 851(A) 3210 LF 315.300 323.010 0.000 323.010 $40.00 $0.00 $12,920.40
0009 2 1/2"@5.79 GALV.STEEL PIPE POST 851(B) 3217 LF 202.000 200.540 -0.150 200.540 $14.00 $-2.10 $2,807.56
0010 3"@7.58 GALV.STEEL PIPE POST 851(B) 3218 LF 680.000 312.830 30.000 312.830 $17.00 $510.00 $5,318.11
0011 3 1/2"@9.11 GALV.STEEL PIPE POST 851(B) 3219 LF 520.000 79.000 0.000 79.000 $19.00 $0.00 $1,501.00
0012 4"@10.79 GALV.STEEL PIPE POST 851(B) 3220 LF 252.000 187.790 0.000 187.790 $21.00 $0.00 $3,943.59
0013 2" SQUARE TUBE POST 851(C) 8324 LF 2,630.000 1,928.100 10.230 1,928.100 $2.50 $25.58 $4,820.26
0014 (PL)REPAIR OVHD.SN.STR.TYPE C-1 ALUM. 852(K) 8772 EA 4.000 4.000 0.000 4.000 $7,750.00 $0.00 $31,000.00
0015 OVHD.SN.STR.TYPE C-1 ALUM./G.STL.90' 852A/B 8970 EA 3.000 0.000   0.000 $31,000.00 $0.00 $0.00
0016 OVHD.SN.STR.TYPE C-1 ALUM./G.STL.135' 852A/B 8997 EA 1.000 0.000   0.000 $54,000.00 $0.00 $0.00
0017 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000 0.100 1.000 $5,000.00 $500.00 $5,000.00
8000 STRUCTURAL CONCRETE 804(A) 2915 CY 0.000 26.130 -0.620 26.130 $500.00 $-310.00 $13,065.00
8001 REINFORCING STEEL 804(B) 2916 LB 0.000 4,598.000 -86.000 4,598.000 $1.89 $-162.54 $8,690.22
8010 CONSTRUCTION MISCELLANEOUS 104 0600 EA 0.000 130.000 -1.000 130.000 $129.22 $-129.22 $16,798.60
8020 CONSTRUCTION MISCELLANEOUS 104 0600 EA 0.000 7.000 0.000 7.000 $152.77 $0.00 $1,069.39
8050 CONSTRUCTION MISCELLANEOUS 104 0600 EA 0.000 53.000 53.000 53.000 $65.00 $3,445.00 $3,445.00
Subtotals For Category     0300/TRAFFIC SIGNING    $5,537.02 $247,060.49
Fed/State Project Number:    IMG-44-1(116)030TR Project:    27454(04) Category:    0640/MOBILIZATION
0018 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $11,500.00 $0.00 $11,500.00
Subtotals For Category     0640/MOBILIZATION    $0.00 $11,500.00
Subtotals For Project IMG-44-1(116)030TR /27454(04) $5,537.02 $258,560.49