Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 110189   Estimate Number: 0018 , Final     Spec Year: 2009
Primary JP: 28313(04)   Residency: ATKINS NORTH AMERICA, INC. (AKA PBS & J) (04010)     Contract No: 710555
Date Created: 12/09/2013   Contractor FEI: 731450620     Account No: 404400

Project Number(s): SBR-109N(181)SB
Contract Description: BRIDGE REHABILITATION I-40: OVER MAYBERRY ROAD 5.0 MILES WEST OF US-270. PROJECT LENGTH = 0.075 MILES.
Primary County: CANADIAN              
Name of Road: I-40              
Prime Contractor: C-P INTEGRATED SERVICES, INC.           Time Charged: 289.00
    3007 NW 63RD, BLDG."B", STE 205           Time Allowed: 167.00
    OKLAHOMA CITY , OK   73116-3614           Percent Time: 173.05 %

  Paid To Date: $1,071,648.73 Payable This Statement: $9,059.34

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.                                
C-P INTEGRATED SERVICES, 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:    12/09/2013
Contract ID: 110189   Estimate Number: 0018     Contract No: 710555
Residency: ATKINS NORTH AMERICA, INC. (AKA PBS & J) (04010)   Estimate Type: Final     Account No: 404400

Project Number(s): SBR-109N(181)SB
Primary Job Piece No: 28313(04)
Contract Description: BRIDGE REHABILITATION I-40: OVER MAYBERRY ROAD 5.0 MILES WEST OF US-270. PROJECT LENGTH = 0.075 MILES.
Primary County: CANADIAN              
Name of Road: I-40              
Prime Contractor: C-P INTEGRATED SERVICES, INC.              
    3007 NW 63RD, BLDG."B", STE 205              
    OKLAHOMA CITY , OK   73116-3614              
Surety Company: ULLICO CASUALTY CO.              

Date Let: 10/20/2011 NTP Effective Date: 03/05/2012 Pay Period: 02/01/2013  TO  12/09/2013
Date Awarded: 11/07/2011 Date Work Began: 03/05/2012 Original Contract Time: 150
Date Contract Executed: 11/23/2011 Date Time Stopped: 04/02/2013 Current Time Charged: 289.00
Date NTP Issued: 12/07/2011 Completion Date: 04/02/2013 Current Time Allowed: 167.00
General Liability Expires: 01/31/2014 Workman's Comp Expires: 01/31/2014 Percent Time Used: 173.05 %
Specification Year: 2009        

Bid Amount: $1,207,042.00 Total to Date Prev to Date This Estimate
Funds Available (Bid + Positive C/O): $1,207,042.00 Participating: $0.00 $0.00 $0.00
Percent Complete: 88.78 % Non Participating: $1,163,154.14 $1,166,839.39 $-3,685.25
Unearned Balance: $135,393.27 Total Earnings: $1,163,154.14 $1,166,839.39 $-3,685.25
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $1,163,154.14 $1,166,839.39 $-3,685.25
Other Adjustments: $-5.41 $0.00 $-5.41
Liq Dam/Disincentive: $-91,500.00 $-104,250.00 $12,750.00
TOTAL: $1,071,648.73 $1,062,589.39 $9,059.34

Estimate Adjustment Detail

Contract ID: 110189   Estimate Number: 0018     Primary JP: 28313(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Time adjustment as compensation for needed adjustments Approved 04/08/2013 17.0 $0.00
002 FQCO Approved 11/21/2013 0.0 $-43,887.91


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
28313(04) 0018 REBAR-GR60 EPOXY CTD Stockpiled Material Adjustment 0010 $-3,034.20
28313(04) 0018 REBAR-GR60 EPOXY CTD Stockpiled Material Initial Payment 0004 $3,034.20
28313(04) 0021 REBAR-GR60 EPOXY CTD Stockpiled Material Initial Payment 0004 $2,156.00
28313(04) 0021 REBAR-GR60 EPOXY CTD Stockpiled Material Adjustment 0011 $-2,156.00
28313(04) 0025 REBAR-GR60 EPOXY CTD Stockpiled Material Initial Payment 0004 $15,837.92
28313(04) 0025 REBAR-GR60 EPOXY CTD Stockpiled Material Adjustment 0014 $-837.76
28313(04) 0025 REBAR-GR60 EPOXY CTD Stockpiled Material Adjustment 0010 $-15,000.16
28313(04) 0031 Reinforcing steel Bridge A Stockpiled Material Adjustment 0012 $-552.00
28313(04) 0031 Reinforcing steel Bridge A Stockpiled Material Adjustment 0007 $-552.00
28313(04) 0031 Reinforcing steel Bridge A Stockpiled Material Initial Payment 0004 $1,104.00
28313(04) 0037 REBAR-GR60 EPOXY CTD Stockpiled Material Adjustment 0010 $-3,034.20
28313(04) 0037 REBAR-GR60 EPOXY CTD Stockpiled Material Initial Payment 0004 $3,034.20
28313(04) 0040 REBAR-GR60 EPOXY CTD Stockpiled Material Initial Payment 0004 $2,156.00
28313(04) 0040 REBAR-GR60 EPOXY CTD Stockpiled Material Adjustment 0010 $-2,156.00
28313(04) 0044 REBAR-GR60 EPOXY CTD Stockpiled Material Adjustment 0015 $-837.76
28313(04) 0044 REBAR-GR60 EPOXY CTD Stockpiled Material Initial Payment 0004 $15,837.92
28313(04) 0044 REBAR-GR60 EPOXY CTD Stockpiled Material Adjustment 0009 $-15,000.16
28313(04) 0050 reinforcing steel bridge b Stockpiled Material Adjustment 0007 $-552.00
28313(04) 0050 reinforcing steel bridge b Stockpiled Material Initial Payment 0004 $1,104.00
28313(04) 0050 reinforcing steel bridge b Stockpiled Material Adjustment 0013 $-552.00
Subtotals For Stockpile Payments $0.00


LIQUIDATED DAMAGES HISTORY
Adjustment Description Estimate Nbr Time Units Rate Adjustment Amount
System Application of Liquidated Damages 0009 --6.0 $750.00 $-4,500.00
System Application of Liquidated Damages 0010 --16 $750.00 $-12,000.00
System Application of Liquidated Damages 0011 --29 $750.00 $-21,750.00
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 --14 $750.00 $-10,500.00
System Application of Liquidated Damages 0015 --15 $750.00 $-11,250.00
System Application of Liquidated Damages 0016 --23 $750.00 $-17,250.00
System Application of Liquidated Damages 0017 --6.0 $750.00 $-4,500.00
System Application of Liquidated Damages 0018 -17.0 $750.00 $12,750.00
Subtotals For Liquidated Damages $-91,500.00


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
28313(04) 0008 SUPERPAVE, TYPE S4(PG 76-28 OK) Asphalt Binder Adjustment 0018 32.93 $-0.16 $-5.41
Subtotals For Line Item Adjustments $-5.41


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: 110189   Estimate Number: 0018     Primary JP: 28313(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-109N(181)SB Project:    28313(04) Category:    0100/ROADWAY
0001 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 2,000.000 0.000   0.000 $9.87 $0.00 $0.00
0002 UNCLASSIFIED BORROW 202(D) 0184 CY 1,000.000 0.000   0.000 $12.85 $0.00 $0.00
0003 TEMPORARY SILT FENCE 221(C) 2801 LF 2,000.000 580.000   580.000 $1.88 $0.00 $1,090.40
0004 SEEDING METHOD A 232(A) 2813 AC 1.000 0.000   0.000 $1,059.19 $0.00 $0.00
0005 FOG SEAL 407(A) 4659 GAL 33.760 0.000   0.000 $10.03 $0.00 $0.00
0006 TACK COAT 407(B) 0250 GAL 126.680 126.680   126.680 $8.77 $0.00 $1,110.98
0007 PRIME COAT 408 5774 GAL 197.580 0.000   0.000 $12.53 $0.00 $0.00
0008 SUPERPAVE, TYPE S4(PG 76-28 OK) 411(C) 5950 TON 357.220 469.970 32.930 469.970 $145.46 $4,790.00 $68,361.84
0009 COLD MILLING PAVEMENT 412 5267 SY 2,709.730 1,822.220   1,822.220 $8.89 $0.00 $16,199.54
0010 CLASS C CONCRETE 509(D) 0325 CY 5.600 5.310 0.810 5.310 $243.98 $197.62 $1,295.53
0011 REMOVAL OF GUARDRAIL 619(B) 4780 LF 1,480.000 1,480.000   1,480.000 $1.07 $0.00 $1,583.60
0012 (PL)GUARDRAIL CURBING 623 0100 EA 4.000 2.000   2.000 $589.14 $0.00 $1,178.28
0013 BEAM GUARDRAIL W-BEAM SINGLE 623(A) 0932 LF 1,562.500 1,562.500   1,562.500 $15.98 $0.00 $24,968.76
0014 GUARDRAIL END TREATMENT (GET) 623(G) 8571 EA 4.000 4.000   4.000 $2,632.31 $0.00 $10,529.24
0015 GUARDRAIL BRIDGE CONNECTION-TYPE A 623(I) 8675 EA 4.000 4.000   4.000 $1,754.88 $0.00 $7,019.52
Subtotals For Category     0100/ROADWAY    $4,987.62 $133,337.69
Fed/State Project Number:    SBR-109N(181)SB Project:    28313(04) Category:    0200/BRIDGE 'A'
0016 CLSM BACKFILL 501(G) 6309 CY 5.000 0.000   0.000 $244.43 $0.00 $0.00
0017 (PL)FALSEWORK JACKING 502 6116 LSUM 1.000 1.000   1.000 $14,729.60 $0.00 $14,729.60
0018 APPROACH SLAB 504(A) 1304 SY 182.200 182.200   182.200 $193.12 $0.00 $35,186.46
0019 SAW-CUT GROOVING 504(B) 1305 SY 829.000 829.000   829.000 $4.51 $0.00 $3,738.79
0020 SEALED EXPANSION JOINT 504(C) 6250 LF 82.000 82.000   82.000 $244.91 $0.00 $20,082.62
0021 42" F-SHAPED PARAPET 504(E) 6190 LF 392.000 392.000   392.000 $88.29 $0.00 $34,609.68
0022 RAPID CURE JOINT SEALANT 504(G) 6390 LF 82.000 82.000   82.000 $20.21 $0.00 $1,657.22
0023 STRUCTURAL STEEL 506(A) 1322 LB 500.000 0.000   0.000 $9.40 $0.00 $0.00
0024 CLASS AA CONCRETE 509(A) 1326 CY 193.200 193.200   193.200 $460.44 $0.00 $88,957.01
0025 EPOXY COATED REINFORCING STEEL 511(B) 6010 LB 53,572.000 53,572.000   53,572.000 $0.86 $0.00 $46,071.92
0026 PAINTING EXISTING STRUCTURES 512(A) 1323 LSUM 1.000 1.000   1.000 $37,604.47 $0.00 $37,604.47
0027 COLLECTION AND HANDLING OF WASTE 512(B) 6303 LSUM 1.000 0.000 -1.000 0.000 $6,267.41 $-6,267.41 $0.01
0028 WATER REPELLENT (VISUALLY INSPECTED) 515(A) 6013 SY 311.700 311.700 311.700 311.700 $4.07 $1,268.62 $1,268.62
0029 SEALER CRACK PREPARATION 523(A) 6550 LF 41.000 41.000   41.000 $6.27 $0.00 $257.07
0030 SEALER RESIN 523(B) 6560 GAL 0.400 0.400   0.400 $626.74 $0.00 $250.70
0031 (PL)REPAIR BRIDGE ITEM (TYPE A) 540 4515 EA 48.000 48.000   48.000 $2,519.50 $0.00 $120,936.00
0032 (PL)REPAIR BRIDGE ITEM (TYPE B) 540 4520 LSUM 1.000 1.000   1.000 $14,146.80 $0.00 $14,146.80
0033 REMOVAL OF BRIDGE ITEMS 619(B) 2500 LSUM 1.000 1.000   1.000 $18,802.23 $0.00 $18,802.23
0034 REMOVAL OF BRIDGE ITEM (TYPE A) 619(B) 2510 LSUM 1.000 1.000   1.000 $1,880.22 $0.00 $1,880.22
Subtotals For Category     0200/BRIDGE 'A'    $-4,998.79 $440,179.42
Fed/State Project Number:    SBR-109N(181)SB Project:    28313(04) Category:    0201/BRIDGE 'B'
0035 CLSM BACKFILL 501(G) 6309 CY 5.000 0.000   0.000 $244.43 $0.00 $0.00
0036 (PL)FALSEWORK JACKING 502 6116 LSUM 1.000 1.000   1.000 $14,728.67 $0.00 $14,728.68
0037 APPROACH SLAB 504(A) 1304 SY 182.200 182.200   182.200 $193.21 $0.00 $35,202.86
0038 SAW-CUT GROOVING 504(B) 1305 SY 829.000 829.000   829.000 $4.51 $0.00 $3,738.79
0039 SEALED EXPANSION JOINT 504(C) 6250 LF 82.000 82.000   82.000 $236.17 $0.00 $19,365.94
0040 42" F-SHAPED PARAPET 504(E) 6190 LF 392.000 392.000   392.000 $88.29 $0.00 $34,609.68
0041 RAPID CURE JOINT SEALANT 504(G) 6390 LF 82.000 82.000   82.000 $20.21 $0.00 $1,657.22
0042 STRUCTURAL STEEL 506(A) 1322 LB 500.000 0.000   0.000 $9.40 $0.00 $0.00
0043 CLASS AA CONCRETE 509(A) 1326 CY 193.200 193.200   193.200 $460.44 $0.00 $88,957.00
0044 EPOXY COATED REINFORCING STEEL 511(B) 6010 LB 53,572.000 53,572.000   53,572.000 $0.86 $0.00 $46,071.92
0045 PAINTING EXISTING STRUCTURES 512(A) 1323 LSUM 1.000 1.000   1.000 $37,604.47 $0.00 $37,604.48
0046 COLLECTION AND HANDLING OF WASTE 512(B) 6303 LSUM 1.000 0.000 -1.000 0.000 $6,267.41 $-6,267.41 $0.01
0047 WATER REPELLENT (VISUALLY INSPECTED) 515(A) 6013 SY 311.700 311.700   311.700 $4.07 $0.00 $1,268.62
0048 SEALER CRACK PREPARATION 523(A) 6550 LF 41.000 41.000   41.000 $6.27 $0.00 $257.07
0049 SEALER RESIN 523(B) 6560 GAL 0.400 0.400   0.400 $250.70 $0.00 $100.28
0050 (PL)REPAIR BRIDGE ITEM (TYPE A) 540 4515 EA 48.000 48.000   48.000 $2,519.50 $0.00 $120,936.00
0051 (PL)REPAIR BRIDGE ITEM (TYPE B) 540 4520 LSUM 1.000 1.000   1.000 $14,146.80 $0.00 $14,146.80
0052 REMOVAL OF BRIDGE ITEMS 619(B) 2500 LSUM 1.000 1.000   1.000 $18,802.23 $0.00 $18,802.23
0053 REMOVAL OF BRIDGE ITEM (TYPE A) 619(B) 2510 LSUM 1.000 1.000   1.000 $1,880.22 $0.00 $1,880.22
Subtotals For Category     0201/BRIDGE 'B'    $-6,267.41 $439,327.80
Fed/State Project Number:    SBR-109N(181)SB Project:    28313(04) Category:    0300/TRAFFIC
0054 TRAFFIC STRIPE(PAINT)(4" WIDE) 854(A) 8800 LF 1,797.000 1,816.000 1,816.000 1,816.000 $0.92 $1,670.72 $1,670.72
0055 (PL)TRUCK MOUNTED ATTENUATOR 876(A) 8482 SD 150.000 316.000   316.000 $25.07 $0.00 $7,922.12
0056 DELIVER PORTABLE LONGITUDINAL BARRIER 877(B) 8484 LF 1,170.000 1,200.000   1,200.000 $45.13 $0.00 $54,156.00
0057 RELOCATION OF PORTABLE LONGITUDINAL BARRIER 877(C) 8486 LF 3,510.000 2,400.000   2,400.000 $3.13 $0.00 $7,512.00
0058 ARROW DISPLAY(TYPE C) 880(A) 8812 SD 150.000 582.000   582.000 $7.52 $0.00 $4,376.64
0059 CONSTRUCTION SIGNS 0 TO 6.25 SF 880(B) 8818 SD 750.000 3,770.000   3,770.000 $1.25 $0.00 $4,712.50
0060 CONSTRUCTION SIGNS 6.26 SF TO 15.99 SF 880(B) 8821 SD 3,000.000 2,212.000   2,212.000 $1.25 $0.00 $2,765.00
0061 CONSTRUCTION SIGNS 16.0 SF TO 32.99 SF 880(B) 8824 SD 1,350.000 2,190.000 -14.000 2,190.000 $1.25 $-17.50 $2,737.50
0062 CONSTRUCTION BARRICADES(TYPE III) 880(C) 8842 SD 2,400.000 1,738.000   1,738.000 $0.04 $0.00 $69.52
0063 WARNING LIGHTS(TYPE A) 880(E) 8860 SD 1,500.000 5,666.000   5,666.000 $0.31 $0.00 $1,756.46
0064 DRUMS 880(F) 8878 SD 6,000.000 16,265.000   16,265.000 $0.19 $0.00 $3,090.35
Subtotals For Category     0300/TRAFFIC    $1,653.22 $90,768.81
Fed/State Project Number:    SBR-109N(181)SB Project:    28313(04) Category:    0600/STAKING
0065 CONSTRUCTION STAKING LEVEL I 642(A) 0095 LSUM 1.000 1.000 0.100 1.000 $9,401.12 $940.11 $9,401.12
Subtotals For Category     0600/STAKING    $940.11 $9,401.12
Fed/State Project Number:    SBR-109N(181)SB Project:    28313(04) Category:    0640/CONSTRUCTION
0066 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $50,139.29 $0.00 $50,139.30
Subtotals For Category     0640/CONSTRUCTION    $0.00 $50,139.30
Subtotals For Project SBR-109N(181)SB /28313(04) $-3,685.25 $1,163,154.14