Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 110153   Estimate Number: 0016 , Final     Spec Year: 2009
Primary JP: 25087(04)   Residency: COBB ENGINEERING CO., INC. (03003)     Contract No: 710575
Date Created: 08/16/2013   Contractor FEI: 730592341     Account No: 434300

Project Number(s): CIRB-141C(191)RB
Contract Description: SURFACING COUNTY ROAD (EW-87): BELL COW LAKE ROAD FROM US-177 EXTEND EAST. PROJECT LENGTH = 5.938 MILES.
Primary County: LINCOLN              
Name of Road: COUNTY ROAD              
Prime Contractor: THE QUAPAW COMPANY           Time Charged: 210.00
    P. O. BOX 609           Time Allowed: 215.00
    STILLWATER , OK   74076           Percent Time: 97.67 %

  Paid To Date: $2,372,568.07 Payable This Statement: $4,140.71

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.                                
THE QUAPAW 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:    08/16/2013
Contract ID: 110153   Estimate Number: 0016     Contract No: 710575
Residency: COBB ENGINEERING CO., INC. (03003)   Estimate Type: Final     Account No: 434300

Project Number(s): CIRB-141C(191)RB
Primary Job Piece No: 25087(04)
Contract Description: SURFACING COUNTY ROAD (EW-87): BELL COW LAKE ROAD FROM US-177 EXTEND EAST. PROJECT LENGTH = 5.938 MILES.
Primary County: LINCOLN              
Name of Road: COUNTY ROAD              
Prime Contractor: THE QUAPAW COMPANY              
    P. O. BOX 609              
    STILLWATER , OK   74076              
Surety Company: OHIO CASUALTY INSURANCE COMPANY              

Date Let: 10/20/2011 NTP Effective Date: 03/05/2012 Pay Period: 02/16/2013  TO  07/24/2013
Date Awarded: 11/07/2011 Date Work Began: 03/05/2012 Original Contract Time: 90
Date Contract Executed: 11/21/2011 Date Time Stopped: 01/25/2013 Current Time Charged: 210.00
Date NTP Issued: 11/22/2011 Completion Date: 01/25/2013 Current Time Allowed: 215.00
General Liability Expires: 10/01/2013 Workman's Comp Expires: 04/01/2014 Percent Time Used: 97.67 %
Specification Year: 2009        

Current Contract Amount: $2,370,370.76 Total to Date Prev to Date This Estimate
Bid Amount: $2,323,488.45 Participating: $0.00 $0.00 $0.00
Percent Complete: 100 % Non Participating: $2,370,370.78 $2,362,777.91 $7,592.87
Funds Available: $-2,197.31 Total Earnings: $2,370,370.78 $2,362,777.91 $7,592.87
Unearned Balance: $-49,079.62 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $2,370,370.78 $2,362,777.91 $7,592.87
Other Adjustments: $2,197.29 $5,649.45 $-3,452.16
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $2,372,568.07 $2,368,427.36 $4,140.71

Estimate Adjustment Detail

Contract ID: 110153   Estimate Number: 0016     Primary JP: 25087(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Revise Typical Section Approved 03/05/2012 0.0 $74,154.92
002 Add CKD Stabilization Approved 07/02/2012 50.0 $148,587.00
003 Add Concrete Drives Approved 02/05/2013 0.0 $9,500.00
004 Time Credit Approved 02/08/2013 75.0 $0.00
005 FQCO Approved 07/19/2013 0.0 $-185,359.61


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
25087(04) 0017 Beam guardrail Stockpiled Material Adjustment 0013 $-26,821.79
25087(04) 0017 Beam guardrail Stockpiled Material Initial Payment 0006 $26,821.79
Subtotals For Stockpile Payments $0.00


LIQUIDATED DAMAGES HISTORY
Adjustment Description Estimate Nbr Time Units Rate Adjustment Amount
System Application of Liquidated Damages 0009 -0.0 $750.00 $0.00
System Application of Liquidated Damages 0010 -0.0 $750.00 $0.00
System Application of Liquidated Damages 0011 --39 $750.00 $-29,250.00
System Application of Liquidated Damages 0012 --14 $750.00 $-10,500.00
System Application of Liquidated Damages 0013 --16 $750.00 $-12,000.00
System Application of Liquidated Damages 0014 --1.0 $750.00 $-750.00
System Application of Liquidated Damages 0015 -70.0 $750.00 $52,500.00
Subtotals For Liquidated Damages $0.00


CONTRACT ADJUSTMENTS HISTORY
Adjustment Description Estimate Nbr Adjustment Amount
LD Adjustment (Prog. Est. Only) 0011 $29,250.00
LD Adjustment (Prog. Est. Only) 0012 $10,500.00
LD Adjustment (Prog. Est. Only) 0013 $-39,750.00
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
25087(04) 0012 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0004 2,331.77 $0.56 $1,314.77
25087(04) 0012 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0005 4,325.30 $0.56 $2,438.82
25087(04) 0012 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0006 1,000.56 $0.77 $774.28
25087(04) 0012 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0007 1,449.35 $0.77 $1,121.58
25087(04) 0012 SUPERPAVE, TYPE S3(PG 64-22 OK) * HMA Deduction as per Sec. 411 0016 -55.68 $62.00 $-3,452.16
Subtotals For Line Item Adjustments $2,197.29
* = 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: 110153   Estimate Number: 0016     Primary JP: 25087(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:    CIRB-141C(191)RB Project:    25087(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201(A) 0102 LSUM 1.000 1.000   1.000 $10,000.00 $0.00 $10,000.00
0002 EARTHWORK 202(H) 0185 LSUM 1.000 1.000   1.000 $75,000.00 $0.00 $75,000.00
0003 OBLITERATING ABANDONED ROAD 210 0121 LF 3,600.000 3,679.000   3,679.000 $6.15 $0.00 $22,625.85
0004 TEMPORARY SILT FENCE 221(C) 2801 LF 1,500.000 888.800   888.800 $2.25 $0.00 $1,999.80
0005 TEMPORARY SILT DIKE 221(F) 0100 LF 500.000 238.000 -7.000 238.000 $6.75 $-47.25 $1,606.50
0006 SOLID SLAB SODDING 230(A) 2806 SY 19,528.000 19,914.610   19,914.610 $1.35 $0.00 $26,884.72
0007 VEGETATIVE MULCHING 233(A) 2817 AC 0.450 2.910 0.002 2.910 $675.00 $1.35 $1,964.25
0008 PROCESSING EXISTING BASE & SURFACE, METHOD B 311(B) 0152 LF 20,963.000 9,145.160 0.140 9,145.160 $5.40 $0.76 $49,383.87
0009 TRAFFIC BOUND SURFACE COURSE TYPE E 402(E) 0225 TON 12,540.000 7,676.830 -294.060 7,676.830 $21.00 $-6,175.26 $161,213.43
0010 TACK COAT 407(B) 0250 GAL 4,780.000 3,542.000 -992.370 3,542.000 $3.40 $-3,374.06 $12,042.79
0011 PRIME COAT 408 5774 GAL 7,687.000 6,588.110 1,152.770 6,588.110 $6.50 $7,493.01 $42,822.73
0012 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 15,922.000 14,573.280 9.610 14,573.280 $62.00 $595.82 $903,543.36
0013 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 9,511.000 9,708.400   9,708.400 $66.50 $0.00 $645,608.60
0014 24" CORR. GALV. STEEL PIPE 613(B) 0690 LF 108.000 108.000   108.000 $30.00 $0.00 $3,240.00
0015 TYPE B4 CULVERT END TREATMENT 613(M) 7187 EA 4.000 4.000   4.000 $1,200.00 $0.00 $4,800.00
0016 REMOVAL OF GUARDRAIL 619(B) 4780 LF 3,750.000 3,895.000   3,895.000 $1.15 $0.00 $4,479.25
0017 BEAM GUARDRAIL W-BEAM SINGLE 623(A) 0932 LF 2,550.000 2,775.000   2,775.000 $14.50 $0.00 $40,237.50
0018 GUARDRAIL ANCHOR UNIT (TYPE A) 623(F) 4446 EA 8.000 12.000 6.000 12.000 $950.00 $5,700.00 $11,400.00
0019 GUARDRAIL ANCHOR UNIT (TYPE D-BF) 623(F) 5686 EA 12.000 8.000   8.000 $1,500.00 $0.00 $12,000.00
0020 SHEET ALUMINUM SIGNS 850(A) 8110 SF 110.330 110.330 17.500 110.330 $40.00 $700.00 $4,413.20
0021 2" SQUARE TUBE POST 851(C) 8324 LF 270.000 270.000 40.500 270.000 $3.75 $151.88 $1,012.51
0022 TRAFFIC STRIPE(PAINT)(4" WIDE) 854(A) 8800 LF 101,950.000 107,069.000 40.000 107,069.000 $0.09 $3.60 $9,636.21
0023 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000 0.070 1.000 $2,500.00 $175.00 $2,500.00
8000 AGGREGATE BASE TYPE A 303(A) 2100 CY 0.000 1,743.590   1,743.590 $42.42 $0.00 $73,963.09
8001 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 0.000 1,563.790 -111.100 1,563.790 $5.00 $-555.50 $7,818.95
8002 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 0.000 627.780 111.110 627.780 $7.00 $777.77 $4,394.46
8003 UNCLASSIFIED BORROW 202(D) 0184 CY 0.000 516.670   516.670 $8.00 $0.00 $4,133.36
8004 CEMENT KILN DUST 307(B) 4210 TON 0.000 1,060.850 -0.060 1,060.850 $70.00 $-4.20 $74,259.50
8005 CEMENTITIOUS STABILIZED SUBGRADE 307(E) 4240 SY 0.000 23,928.670 -0.010 23,928.670 $5.00 $-0.05 $119,643.35
8006 6" CONCRETE DRIVEWAY (H.E.S.) 610(B) 0399 SY 0.000 97.300   97.300 $95.00 $0.00 $9,243.50
Subtotals For Category     0100/ROADWAY    $5,442.87 $2,341,870.78
Fed/State Project Number:    CIRB-141C(191)RB Project:    25087(04) Category:    0600/STAKING
0024 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000 0.100 1.000 $11,500.00 $1,150.00 $11,500.00
Subtotals For Category     0600/STAKING    $1,150.00 $11,500.00
Fed/State Project Number:    CIRB-141C(191)RB Project:    25087(04) Category:    0640/CONSTRUCTION
0025 SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000 0.250 1.000 $4,000.00 $1,000.00 $4,000.00
0026 FIELD OFFICE 640(A) 1426 EA 1.000 1.000   1.000 $4,500.00 $0.00 $4,500.00
0027 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $8,500.00 $0.00 $8,500.00
Subtotals For Category     0640/CONSTRUCTION    $1,000.00 $17,000.00
Subtotals For Project CIRB-141C(191)RB /25087(04) $7,592.87 $2,370,370.78