Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 110173   Estimate Number: 0015 , Final     Spec Year: 2009
Primary JP: 24003(04)   Residency: MUSKOGEE (01100)     Contract No: 710136
Date Created: 05/08/2013   Contractor FEI: 208746250     Account No: 400100

Project Number(s): SEC1702-146C(088)HP
Contract Description: GRADE, DRAIN, AND SURFACE COUNTY ROAD (TEXANNA ROAD): FROM THE US-69 JUNCTION NEAR LAKE EUFAULA, EXTEND EAST. PROJECT LENGTH = 1.671 MILES.
Primary County: MCINTOSH              
Name of Road: COUNTY ROAD              
Prime Contractor: GLOVER & ASSOCIATES, INC.           Time Charged: 129.00
    2832 N. COUNTRY CLUB           Time Allowed: 129.00
    MUSKOGEE , OK   74403           Percent Time: 100.00 %

  Paid To Date: $943,378.89 Payable This Statement: $-5,318.60

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.                                
GLOVER & ASSOCIATES, 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:    05/08/2013
Contract ID: 110173   Estimate Number: 0015     Contract No: 710136
Residency: MUSKOGEE (01100)   Estimate Type: Final     Account No: 400100

Project Number(s): SEC1702-146C(088)HP
Primary Job Piece No: 24003(04)
Contract Description: GRADE, DRAIN, AND SURFACE COUNTY ROAD (TEXANNA ROAD): FROM THE US-69 JUNCTION NEAR LAKE EUFAULA, EXTEND EAST. PROJECT LENGTH = 1.671 MILES.
Primary County: MCINTOSH              
Name of Road: COUNTY ROAD              
Prime Contractor: GLOVER & ASSOCIATES, INC.              
    2832 N. COUNTRY CLUB              
    MUSKOGEE , OK   74403              
Surety Company: WESTFIELD INSURANCE COMPANY              

Date Let: 04/14/2011 NTP Effective Date: 08/29/2011 Pay Period: 07/01/2012  TO  05/08/2013
Date Awarded: 07/11/2011 Date Work Began: 09/12/2011 Original Contract Time: 90
Date Contract Executed: 07/27/2011 Date Time Stopped: 08/20/2012 Current Time Charged: 129.00
Date NTP Issued: 08/04/2011 Completion Date: 08/20/2012 Current Time Allowed: 129.00
General Liability Expires: 02/01/2014 Workman's Comp Expires: 02/01/2014 Percent Time Used: 100.00 %
Specification Year: 2009        

Current Contract Amount: $949,672.92 Total to Date Prev to Date This Estimate
Bid Amount: $1,101,011.74 Participating: $945,180.33 $935,452.95 $9,727.38
Percent Complete: 99.34 % Non Participating: $548.10 $0.00 $548.10
Funds Available: $6,294.03 Total Earnings: $945,728.43 $935,452.95 $10,275.48
Unearned Balance: $157,632.85 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $945,728.43 $935,452.95 $10,275.48
Other Adjustments: $-2,349.54 $13,244.54 $-15,594.08
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $943,378.89 $948,697.49 $-5,318.60

Estimate Adjustment Detail

Contract ID: 110173   Estimate Number: 0015     Primary JP: 24003(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Adding days to contract Approved 10/24/2011 6.0 $0.00
002 Adding Time to Contract Approved 01/04/2012 33.0 $0.00
003 Asphalt Binder Adjustment Approved 02/14/2012 0.0 $3,944.51
004 Change of Asph to S-5 and Agg Base Deduction Approved 03/30/2012 0.0 $-8,574.45
005 Changing from traffic stripe plastic to paint Approved 06/04/2012 0.0 $-0.37
006 Final Contract Item Quantities Approved 04/24/2013 0.0 $-147,256.61
007 18" CGSP (paid by invoce) Approved 05/03/2013 0.0 $548.10


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.
Subtotals For Liquidated Damages $


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
24003(04) 0012 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0003 494.84 $3.19 $1,582.13
24003(04) 0012 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0005 417.00 $2.46 $1,026.76
24003(04) 0012 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0006 533.44 $2.46 $1,313.46
24003(04) 0012 SUPERPAVE, TYPE S3(PG 64-22 OK) * HMA Deduction as per Sec. 411 0006 -54.00 $64.00 $-3,456.00
24003(04) 0012 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0009 314.19 $2.56 $806.60
24003(04) 0012 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0010 93.51 $3.61 $338.25
24003(04) 0012 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0011 40.29 $3.61 $145.74
24003(04) 0012 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0015 -0.01 $2.67 $-0.03
24003(04) 0013 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0010 2,598.21 $4.13 $10,741.00
24003(04) 0013 SUPERPAVE, TYPE S4(PG 64-22 OK) * HMA Deduction as per Sec. 411 0010 -1,222.96 $68.05 $-83,222.43
24003(04) 0013 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0011 495.78 $4.13 $2,049.56
24003(04) 0013 SUPERPAVE, TYPE S4(PG 64-22 OK) * HMA Deduction as per Sec. 411 0012 1,222.96 $68.05 $83,222.43
24003(04) 0013 SUPERPAVE, TYPE S4(PG 64-22 OK) * HMA Deduction as per Sec. 411 0012 -62.96 $68.05 $-4,284.43
24003(04) 0013 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0012 -5.00 $5.09 $-25.47
24003(04) 0013 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0014 28.97 $5.33 $154.53
24003(04) 0013 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0015 0.15 $3.05 $0.46
24003(04) 0037 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0006 9.00 $2.46 $22.16
24003(04) 0038 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0012 5.00 $5.09 $25.47
24003(04) 8002 SUPERPAVE, TYPE S5(PG 64-22 OK) Asphalt Binder Adjustment 0010 614.46 $4.56 $2,804.78
24003(04) 8002 SUPERPAVE, TYPE S5(PG 64-22 OK) Asphalt Binder Adjustment 0015 -1.01 $3.37 $-3.41
24003(04) 8002 SUPERPAVE, TYPE S5(PG 64-22 OK) * HMA Deduction as per Sec. 411 0015 -222.73 $70.00 $-15,591.10
Subtotals For Line Item Adjustments $-2,349.54
* = 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: 110173   Estimate Number: 0015     Primary JP: 24003(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:    SEC1702-146C(088)HP Project:    24003(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201(A) 0102 LSUM 1.000 1.000   1.000 $15,999.00 $0.00 $15,999.00
0002 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 20,155.000 11,425.400   11,425.400 $8.00 $0.00 $91,403.20
0003 TYPE A-SALVAGED TOPSOIL 205(A) 4229 LSUM 1.000 1.000   1.000 $36,000.00 $0.00 $36,000.00
0004 TEMPORARY SILT FENCE 221(C) 2801 LF 1,000.000 863.000   863.000 $1.90 $0.00 $1,639.70
0005 TEMPORARY SILT DIKE 221(F) 0100 LF 120.000 159.000   159.000 $6.97 $0.00 $1,108.23
0006 SOLID SLAB SODDING 230(A) 2806 SY 37,510.000 34,517.710 3,776.970 34,517.710 $1.05 $3,965.82 $36,243.60
0007 VEGETATIVE MULCHING 233(A) 2817 AC 7.750 0.000   0.000 $50.00 $0.00 $0.00
0008 AGGREGATE BASE TYPE A 303(A) 2100 CY 2,474.000 2,285.990 -0.010 2,285.990 $45.00 $-0.45 $102,869.55
0009 TRAFFIC BOUND SURFACE COURSE TYPE E 402(E) 0225 TON 2,253.000 1,635.650 63.370 1,635.650 $17.00 $1,077.29 $27,806.05
0010 TACK COAT 407(B) 0250 GAL 730.000 2,618.000   2,618.000 $2.50 $0.00 $6,545.00
0011 PRIME COAT 408 5774 GAL 4,599.000 957.000 410.110 957.000 $0.50 $205.06 $478.51
0012 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 2,213.000 1,893.260 -0.010 1,893.260 $64.00 $-0.64 $121,168.64
0013 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 3,632.000 3,118.110 0.150 3,118.110 $68.05 $10.21 $212,187.39
0014 SUPERPAVE, TYPE S6(PG 64-22 OK) 411(E) 5990 TON 599.000 0.000   0.000 $75.00 $0.00 $0.00
0015 COLD MILLING PAVEMENT 412 5267 SY 534.000 1,026.660   1,026.660 $4.25 $0.00 $4,363.31
0016 CLASS A CONCRETE, SMALL STRUCTURES 509(C) 0322 CY 2.000 2.060 0.060 2.060 $1,500.00 $90.00 $3,090.00
0017 CLASS C CONCRETE 509(D) 0325 CY 10.000 0.000   0.000 $575.00 $0.00 $0.00
0018 INLET (SMD-TYPE 1) 611(G) 6000 EA 1.000 1.000   1.000 $2,500.00 $0.00 $2,500.00
0019 JUNCTION BOXES 611(L) 0487 CF 56.000 64.200 0.980 64.200 $125.00 $122.50 $8,025.00
0020 30" R.C.PIPE CLASS III 613(A) 0493 LF 50.000 102.500   102.500 $104.00 $0.00 $10,660.00
0021 28" X 18" R.C.PIPE ARCH CLASS A-III 613(A) 4496 LF 88.000 88.000   88.000 $98.00 $0.00 $8,624.00
0022 36" X 22" R.C.PIPE ARCH CLASS A-III 613(A) 4497 LF 148.000 149.000   149.000 $135.00 $0.00 $20,115.00
0023 18" CORR. GALV. STEEL PIPE 613(B) 0689 LF 2,434.000 2,354.000   2,354.000 $18.56 $0.00 $43,690.24
0024 24" CORR. GALV. STEEL PIPE 613(B) 0690 LF 164.000 164.000   164.000 $52.75 $0.00 $8,651.00
0025 30" CORR. GALV. STEEL PIPE 613(B) 0691 LF 8.000 6.000   6.000 $143.00 $0.00 $858.00
0026 48" CORR. GALV. STEEL PIPE 613(B) 0694 LF 20.000 0.000   0.000 $90.00 $0.00 $0.00
0027 STANDARD BEDDING MATERIAL, CLASS C 613(T) 1187 CY 136.000 196.760 -0.750 196.760 $45.00 $-33.75 $8,854.20
0028 TRENCH EXCAVATION 613(V) 1180 CY 216.000 392.510 -2.100 392.510 $9.75 $-20.48 $3,826.97
0029 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 1.000 1.000   1.000 $7,500.00 $0.00 $7,500.00
0030 SAWING PAVEMENT 619(C) 0924 LF 6,877.000 6,104.000   6,104.000 $1.55 $0.00 $9,461.20
0031 BEAM GUARDRAIL W-BEAM SINGLE 623(A) 0932 LF 50.000 50.000   50.000 $26.55 $0.00 $1,327.50
0032 GUARDRAIL ANCHOR UNIT (TYPE B) 623(F) 4447 EA 4.000 4.000   4.000 $815.00 $0.00 $3,260.00
0033 REMOVE AND RESET MAILBOX 629(E) 5048 EA 50.000 25.000   25.000 $10.00 $0.00 $250.00
8001 ASPHALT BINDER PRICE ADJUSTMENT 109 1150 LSUM 0.000 1.000   0.000 $3,944.51 $0.00 $0.00
8002 SUPERPAVE, TYPE S5(PG 64-22 OK) 411(D) 5975 TON 0.000 613.450 -1.010 613.450 $70.00 $-70.70 $42,941.50
8003 AGGREGATE BASE TYPE A 303(A) 2100 CY 0.000 2,285.990 -0.010 2,285.990 $-2.25 $0.02 $-5,143.48
Subtotals For Category     0100/ROADWAY    $5,344.88 $836,303.31
Fed/State Project Number:    SEC1702-146C(088)HP Project:    24003(04) Category:    0102/ROADWAY ADD ALTERNATE 2
0034 AGGREGATE BASE TYPE A 303(A) 2100 CY 7.000 8.800   8.800 $37.00 $0.00 $325.60
0035 TACK COAT 407(B) 0250 GAL 2.000 2.000   2.000 $2.50 $0.00 $5.00
0036 PRIME COAT 408 5774 GAL 9.000 0.000   0.000 $0.50 $0.00 $0.00
0037 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 9.000 9.000   9.000 $64.00 $0.00 $576.00
0038 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 5.000 5.000   5.000 $68.05 $0.00 $340.25
0039 60" R.C.PIPE CLASS III 613(A) 0498 LF 50.000 50.000   50.000 $72.55 $0.00 $3,627.50
0040 STANDARD BEDDING MATERIAL, CLASS C 613(T) 1187 CY 77.000 90.150   90.150 $35.00 $0.00 $3,155.25
0041 TRENCH EXCAVATION 613(V) 1180 CY 115.000 148.130   148.130 $25.00 $0.00 $3,703.25
0042 SAWING PAVEMENT 619(C) 0924 LF 48.000 48.000   48.000 $25.45 $0.00 $1,221.60
8004 AGGREGATE BASE TYPE A 303(A) 2100 CY 0.000 8.800   8.800 $-1.85 $0.00 $-16.28
Subtotals For Category     0102/ROADWAY ADD ALTERNATE 2    $0.00 $12,938.17
Fed/State Project Number:    SEC1702-146C(088)HP Project:    24003(04) Category:    0300/TRAFFIC
0043 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 35,300.000 0.000   0.000 $0.41 $0.00 $0.00
0044 TRAFFIC STRIPE(PLASTIC)(SYMBOLS) 855(B) 8824 EA 2.000 0.000   0.000 $1,550.00 $0.00 $0.00
0045 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $12,500.00 $0.00 $12,500.00
0046 (PL)TRAFFIC ITEMS 890 7700 LSUM 1.000 1.000 1.000 1.000 $975.00 $975.00 $975.00
8005 TRAFFIC STRIPE(PAINT)(4" WIDE) 854(A) 8800 LF 0.000 35,046.000   35,046.000 $0.12 $0.00 $4,205.52
8006 TRAFFIC STRIPE(PAINT)(SYMBOLS) 854(B) 8809 EA 0.000 2.000   2.000 $550.00 $0.00 $1,100.00
8007 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 0.000 1.000   1.000 $4,583.33 $0.00 $4,583.33
Subtotals For Category     0300/TRAFFIC    $975.00 $23,363.85
Fed/State Project Number:    SEC1702-146C(088)HP Project:    24003(04) Category:    0600/STAKING
0047 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000 0.100 1.000 $31,575.00 $3,157.50 $31,575.00
Subtotals For Category     0600/STAKING    $3,157.50 $31,575.00
Fed/State Project Number:    SEC1702-146C(088)HP Project:    24003(04) Category:    0640/CONSTRUCTION
0048 SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000 0.250 1.000 $1,000.00 $250.00 $1,000.00
0049 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $40,000.00 $0.00 $40,000.00
Subtotals For Category     0640/CONSTRUCTION    $250.00 $41,000.00
Fed/State Project Number:    SEC1702-146C(088)HP Project:    24003(04) Category:    0900/NON-PARTICIPATING
8008 18" CORR. GALV. STEEL PIPE 613(B) 0689 LF 0.000 54.000 54.000 54.000 $10.15 $548.10 $548.10
Subtotals For Category     0900/NON-PARTICIPATING    $548.10 $548.10
Subtotals For Project SEC1702-146C(088)HP /24003(04) $10,275.48 $945,728.43


1 CURRENT QUANTITIES DO NOT MATCH THE QUANTITY PAID TO DATE