Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 110203   Estimate Number: 0015 , Final     Spec Year: 2009
Primary JP: 24971(04)   Residency: DUNCAN (07100)     Contract No: 710572
Date Created: 01/27/2016   Contractor FEI: 731452852     Account No: 434700

Project Number(s): CIRB-134C(065)RB
Contract Description: GRADE, DRAIN, AND SURFACE COUNTY ROAD (NS-278): FROM US-70 EXTEND SOUTH. PROJECT LENGTH = 5.027 MILES.
Primary County: JEFFERSON              
Name of Road: COUNTY ROAD              
Prime Contractor: OVERLAND CORPORATION           Time Charged: 147.00
    P. O. BOX 1947           Time Allowed: 150.00
    ARDMORE , OK   73402           Percent Time: 98.00 %

  Paid To Date: $2,795,444.14 Payable This Statement: $10,532.66

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.                                
OVERLAND 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:    01/27/2016
Contract ID: 110203   Estimate Number: 0015     Contract No: 710572
Residency: DUNCAN (07100)   Estimate Type: Final     Account No: 434700

Project Number(s): CIRB-134C(065)RB
Primary Job Piece No: 24971(04)
Contract Description: GRADE, DRAIN, AND SURFACE COUNTY ROAD (NS-278): FROM US-70 EXTEND SOUTH. PROJECT LENGTH = 5.027 MILES.
Primary County: JEFFERSON              
Name of Road: COUNTY ROAD              
Prime Contractor: OVERLAND CORPORATION              
    P. O. BOX 1947              
    ARDMORE , OK   73402              
Surety Company: FIDELITY & DEPOSIT INSURANCE COMPANY OF MARYLAND              

Date Let: 10/20/2011 NTP Effective Date: 02/06/2012 Pay Period: 07/16/2015  TO  12/31/2015
Date Awarded: 11/07/2011 Date Work Began: 02/21/2012 Original Contract Time: 150
Date Contract Executed: 11/17/2011 Date Time Stopped: 07/09/2015 Current Time Charged: 147.00
Date NTP Issued: 11/22/2011 Completion Date: 07/09/2015 Current Time Allowed: 150.00
General Liability Expires: 08/01/2016 Workman's Comp Expires: 08/01/2016 Percent Time Used: 98.00 %
Specification Year: 2009        

Bid Amount: $2,787,256.70 Total to Date Prev to Date This Estimate
Funds Available (Bid + Positive C/O): $2,840,042.26 Participating: $0.00 $0.00 $0.00
Percent Complete: 98.43 % Non Participating: $2,820,887.29 $2,813,354.63 $7,532.66
Unearned Balance: $44,598.12 Total Earnings: $2,820,887.29 $2,813,354.63 $7,532.66
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $2,820,887.29 $2,813,354.63 $7,532.66
Other Adjustments: $-25,443.15 $-28,443.15 $3,000.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $2,795,444.14 $2,784,911.48 $10,532.66

Estimate Adjustment Detail

Contract ID: 110203   Estimate Number: 0015     Primary JP: 24971(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Adds Gates on Noble Wray Approved 02/20/2013 0.0 $2,583.06
002 Adjusts Planned Quantity for Reinforcing Steel Approved 03/12/2013 0.0 $977.00
003 Change Order Approved 12/26/2014 0.0 $-19,155.00
004 FINAL QUANTITY CHANGE ORDER Approved 01/04/2016 0.0 $49,225.50


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
Withhold to Funds Avail(Prog. Est. Only) 0014 $-3,000.00
Withhold to Funds Avail(Prog. Est. Only) 0015 $3,000.00
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
24971(04) 0003 TEMPORARY SILT FENCE * TEST CODE 0001 0.00 $0.00 $-17,559.35
24971(04) 0003 TEMPORARY SILT FENCE * Missing Material Certification 0002 0.00 $0.00 $17,559.35
24971(04) 0005 TEMPORARY SILT DIKE * Missing Material Certification 0003 0.00 $0.00 $-892.50
24971(04) 0005 TEMPORARY SILT DIKE * Missing Material Certification 0004 0.00 $0.00 $892.50
24971(04) 0012 SUPERPAVE, TYPE S3(PG 64-22 OK) * HMA Deduction as per Sec. 411 0005 0.00 $0.00 $-22,507.45
24971(04) 0012 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0006 2,061.71 $0.56 $1,162.50
24971(04) 0012 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0007 767.27 $0.56 $432.63
24971(04) 0012 SUPERPAVE, TYPE S3(PG 64-22 OK) * HMA Deduction as per Sec. 411 0007 0.00 $0.00 $-4,207.00
24971(04) 0012 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0008 669.50 $0.77 $518.09
24971(04) 0012 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0009 2,399.51 $0.77 $1,856.86
24971(04) 0012 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0014 350.51 $-3.71 $-1,301.74
24971(04) 0013 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0007 2,174.38 $0.64 $1,401.17
24971(04) 0013 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0008 185.80 $0.88 $164.32
24971(04) 0013 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0009 3,981.53 $0.88 $3,521.27
24971(04) 0013 SUPERPAVE, TYPE S4(PG 64-22 OK) * HMA Deduction as per Sec. 411 0010 0.00 $0.00 $-2,038.50
24971(04) 0013 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0014 0.02 $-4.24 $-0.09
24971(04) 0014 CLASS AA CONCRETE * COMPRESSIVE STRENGTH 0003 0.00 $0.00 $-738.80
24971(04) 0014 CLASS AA CONCRETE * COMPRESSIVE STRENGTH 0004 0.00 $0.00 $-9,303.00
24971(04) 0014 CLASS AA CONCRETE * COMPRESSIVE STRENGTH 0005 0.00 $0.00 $-519.27
24971(04) 0014 CLASS AA CONCRETE * COMPRESSIVE STRENGTH 0006 0.00 $0.00 $-504.63
24971(04) 0014 CLASS AA CONCRETE * COMPRESSIVE STRENGTH 0006 0.00 $0.00 $9,303.00
24971(04) 0014 CLASS AA CONCRETE * COMPRESSIVE STRENGTH 0007 0.00 $0.00 $-2,682.51
Subtotals For Line Item Adjustments $-25,443.15
* = 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: 110203   Estimate Number: 0015     Primary JP: 24971(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-134C(065)RB Project:    24971(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201(A) 0102 LSUM 1.000 1.000   1.000 $21,000.00 $0.00 $21,000.00
0002 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 17,039.000 15,157.990   15,157.990 $9.50 $0.00 $144,000.90
0003 TEMPORARY SILT FENCE 221(C) 2801 LF 47,496.000 23,774.000   23,774.000 $1.15 $0.00 $27,340.10
0004 TEMPORARY SEDIMENT FILTER 221(D) 2803 EA 34.000 0.000   0.000 $240.00 $0.00 $0.00
0005 TEMPORARY SILT DIKE 221(F) 0100 LF 336.000 119.000   119.000 $7.50 $0.00 $892.50
0006 SOLID SLAB SODDING 230(A) 2806 SY 42,858.000 101,197.830 4,047.020 101,197.830 $1.12 $4,532.66 $113,341.57
0007 SEEDING METHOD B 232(B) 2814 AC 8.850 0.000   0.000 $440.00 $0.00 $0.00
0008 VEGETATIVE MULCHING 233(A) 2817 AC 8.850 0.000   0.000 $460.00 $0.00 $0.00
0009 FLY ASH 307(A) 4200 TON 3,316.000 3,717.600   3,717.600 $67.00 $0.00 $249,079.20
0010 CEMENTITIOUS STABILIZED SUBGRADE 307(E) 4240 SY 76,691.000 76,691.340   76,691.340 $2.20 $0.00 $168,720.94
0011 PRIME COAT 408 5774 GAL 18,572.000 0.000   0.000 $5.00 $0.00 $0.00
0012 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 15,827.000 15,080.390   15,080.390 $63.50 $0.00 $957,604.80
0013 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 7,716.000 7,665.860   7,665.860 $75.50 $0.00 $578,772.44
0014 CLASS AA CONCRETE 509(A) 0319 CY 138.000 138.000   138.000 $1,050.00 $0.00 $144,900.00
0015 CLASS C CONCRETE 509(D) 0325 CY 20.000 0.000   0.000 $350.00 $0.00 $0.00
0016 REINFORCING STEEL 511(A) 0332 LB 19,883.000 20,860.000   20,860.000 $1.00 $0.00 $20,860.00
0017 TYPE I PLAIN RIPRAP 601(A) 0297 TON 9.000 0.000   0.000 $49.00 $0.00 $0.00
0018 24" R.C.PIPE CLASS III 613(A) 0492 LF 84.000 84.000   84.000 $57.00 $0.00 $4,788.00
0019 30" R.C.PIPE CLASS III 613(A) 0493 LF 32.000 32.000   32.000 $100.00 $0.00 $3,200.00
0020 18" CORR. GALV. STEEL PIPE 613(B) 0689 LF 64.000 64.000   64.000 $29.00 $0.00 $1,856.00
0021 24" CORR. GALV. STEEL PIPE 613(B) 0690 LF 30.000 30.000   30.000 $35.00 $0.00 $1,050.00
0022 21" X 15" CORR. GALV. STEEL PIPE ARCH 613(B) 4527 LF 450.000 465.000   465.000 $40.00 $0.00 $18,600.00
0023 28" X 20" CORR. GALV. STEEL PIPE ARCH 613(B) 4528 LF 56.000 56.000   56.000 $67.00 $0.00 $3,752.00
0024 21" X 15" PREFAB. CULVERT END SECTION, ARCH 613(L) 4504 EA 30.000 28.000   28.000 $285.00 $0.00 $7,980.00
0025 28" X 20" PREFAB. CULVERT END SECTION, ARCH 613(L) 4516 EA 4.000 4.000   4.000 $560.00 $0.00 $2,240.00
0026 18" PREFAB. CULVERT END SECTION, ROUND 613(L) 5726 EA 4.000 4.000   4.000 $365.00 $0.00 $1,460.00
0027 24" PREFAB. CULVERT END SECTION, ROUND 613(L) 5730 EA 6.000 6.000   6.000 $920.00 $0.00 $5,520.00
0028 30" PREFAB. CULVERT END SECTION, ROUND 613(L) 5732 EA 2.000 2.000   2.000 $1,000.00 $0.00 $2,000.00
0029 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 1.000 1.000   1.000 $25,000.00 $0.00 $25,000.00
0030 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 76,669.000 64,326.010   64,326.010 $0.85 $0.00 $54,677.11
0031 FENCE-STYLE SWF (4 BARBED WIRE) 624(C) 4458 LF 107.000 107.000   107.000 $4.10 $0.00 $438.70
0032 FENCE-STYLE SWF (5 BARBED WIRE) 624(C) 4459 LF 3,350.000 5,535.000 0.000 5,535.000 $4.10 $0.00 $22,693.50
0033 REMOVE AND RESET MAILBOX 629(E) 5048 EA 7.000 7.000   7.000 $110.00 $0.00 $770.00
0034 (PL)REMOVE & RESET EXISTING SIGNS 805(D) 8756 EA 4.000 4.000   4.000 $110.00 $0.00 $440.00
0035 SHEET ALUMINUM SIGNS 850(A) 8110 SF 63.230 63.230   63.230 $12.25 $0.00 $774.57
0036 2 1/4" SQUARE TUBE POST 851(C) 8327 LF 144.000 144.000   144.000 $10.25 $0.00 $1,476.00
0037 TRAFFIC STRIPE(PAINT)(4" WIDE) 854(A) 8800 LF 53,094.000 31,930.000   31,930.000 $0.13 $0.00 $4,150.90
0038 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $10,000.00 $0.00 $10,000.00
8000 (PL) GATE 624(H) 5920 EA 0.000 2.000   2.000 $1,291.53 $0.00 $2,583.06
8010 CONSTRUCTION MISCELLANEOUS 104 0300 LF 0.000 17,500.000   17,500.000 $8.90 $0.00 $155,750.00
Subtotals For Category     0100/ROADWAY    $4,532.66 $2,757,712.29
Fed/State Project Number:    CIRB-134C(065)RB Project:    24971(04) Category:    0600/STAKING
0039 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000 0.100 1.000 $30,000.00 $3,000.00 $30,000.00
Subtotals For Category     0600/STAKING    $3,000.00 $30,000.00
Fed/State Project Number:    CIRB-134C(065)RB Project:    24971(04) Category:    0640/CONSTRUCTION
0040 SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $3,000.00 $0.00 $3,000.00
0041 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $29,450.00 $0.00 $29,450.00
8020 MOBILIZATION 641 1552 LSUM 0.000 1.000   1.000 $725.00 $0.00 $725.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $33,175.00
Subtotals For Project CIRB-134C(065)RB /24971(04) $7,532.66 $2,820,887.29