Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 110248   Estimate Number: 0014 , Final     Spec Year: 2009
Primary JP: 26119(04)   Residency: GARVER, LLC. (04011)     Contract No: 611360
Date Created: 05/15/2013   Contractor FEI: 731450620     Account No: 400450

Project Number(s): STP-155A(691)AG
Contract Description: BRIDGE AND APPROACHES CITY STREET (RENO AVENUE): OVER CROOKED OAK CREEK, AT BRYANT AVENUE IN DEL CITY. PROJECT LENGTH = 0.026 MILES.
Primary County: OKLAHOMA              
Name of Road: CITY STREET              
Prime Contractor: C-P INTEGRATED SERVICES, INC.           Time Charged: 348.00
    3007 NW 63RD, BLDG."B", STE 205           Time Allowed: 221.00
    OKLAHOMA CITY , OK   73116-3614           Percent Time: 157.47 %

  Paid To Date: $639,224.04 Payable This Statement: $291.65

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:    05/15/2013
Contract ID: 110248   Estimate Number: 0014     Contract No: 611360
Residency: GARVER, LLC. (04011)   Estimate Type: Final     Account No: 400450

Project Number(s): STP-155A(691)AG
Primary Job Piece No: 26119(04)
Contract Description: BRIDGE AND APPROACHES CITY STREET (RENO AVENUE): OVER CROOKED OAK CREEK, AT BRYANT AVENUE IN DEL CITY. PROJECT LENGTH = 0.026 MILES.
Primary County: OKLAHOMA              
Name of Road: CITY STREET              
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: 04/14/2011 NTP Effective Date: 08/01/2011 Pay Period: 10/01/2012  TO  04/30/2013
Date Awarded: 05/02/2011 Date Work Began: 08/01/2011 Original Contract Time: 90
Date Contract Executed: 05/18/2011 Date Time Stopped: 09/17/2012 Current Time Charged: 348.00
Date NTP Issued: 05/25/2011 Completion Date: 09/17/2012 Current Time Allowed: 221.00
General Liability Expires: 01/31/2014 Workman's Comp Expires: 01/31/2014 Percent Time Used: 157.47 %
Specification Year: 2009        

Current Contract Amount: $702,723.99 Total to Date Prev to Date This Estimate
Bid Amount: $641,907.69 Participating: $662,934.74 $662,643.09 $291.65
Percent Complete: 90.96 % Non Participating: $39,789.30 $39,789.30 $0.00
Funds Available: $63,499.95 Total Earnings: $702,724.04 $702,432.39 $291.65
Unearned Balance: $2,683.65 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $702,724.04 $702,432.39 $291.65
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $-63,500.00 $-63,500.00 $0.00
TOTAL: $639,224.04 $638,932.39 $291.65

Estimate Adjustment Detail

Contract ID: 110248   Estimate Number: 0014     Primary JP: 26119(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Addition of time & funds due to fiber optic conflict & obstr Approved 02/14/2012 100.0 $33,130.00
002 Rip Rap and Wingwall Revision Approved 10/09/2012 31.0 $42,211.76
003 Final Quantity Change Order Approved 05/02/2013 0.0 $-14,525.46


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
26119(04) 0016 STR-CV/DR (AML) Stockpiled Material Initial Payment 0004 $1,538.21
26119(04) 0016 STR-CV/DR (AML) Stockpiled Material Adjustment 0011 $-1,538.21
26119(04) 0017 STR-CV/DR (AML) Stockpiled Material Closure 0012 $-2,114.00
26119(04) 0017 STR-CV/DR (AML) Stockpiled Material Adjustment 0011 $-2,114.00
26119(04) 0017 STR-CV/DR (AML) Stockpiled Material Adjustment 0011 $-5,381.75
26119(04) 0017 STR-CV/DR (AML) Stockpiled Material Initial Payment 0011 $4,228.00
26119(04) 0017 STR-CV/DR (AML) Stockpiled Material Initial Payment 0004 $5,381.75
26119(04) 0017 STR-CV/DR (AML) Stockpiled Material Closure 0011 $-4,228.00
26119(04) 0017 STR-CV/DR (AML) Stockpiled Material Initial Payment 0004 $4,228.00
26119(04) 0018 STR-CV/DR (AML) Stockpiled Material Closure 0012 $-2,940.00
26119(04) 0018 STR-CV/DR (AML) Stockpiled Material Initial Payment 0011 $2,940.00
26119(04) 0018 STR-CV/DR (AML) Stockpiled Material Adjustment 0011 $-2,940.00
26119(04) 0018 STR-CV/DR (AML) Stockpiled Material Initial Payment 0004 $2,940.00
26119(04) 0018 STR-CV/DR (AML) Stockpiled Material Closure 0011 $-2,249.00
26119(04) 0018 STR-CV/DR (AML) Stockpiled Material Initial Payment 0004 $2,249.00
26119(04) 0035 REBAR-GR60 Stockpiled Material Adjustment 0010 $-4,692.96
26119(04) 0035 REBAR-GR60 Stockpiled Material Adjustment 0009 $-15,975.97
26119(04) 0035 REBAR-GR60 Stockpiled Material Adjustment 0009 $-822.83
26119(04) 0035 REBAR-GR60 Stockpiled Material Adjustment 0008 $-19,158.24
26119(04) 0035 REBAR-GR60 Stockpiled Material Adjustment 0008 $-7,869.02
26119(04) 0035 REBAR-GR60 Stockpiled Material Initial Payment 0007 $20,668.93
26119(04) 0035 REBAR-GR60 Stockpiled Material Initial Payment 0007 $21,026.65
26119(04) 0035 REBAR-GR60 Stockpiled Material Adjustment 0007 $-13,157.63
26119(04) 0035 REBAR-GR60 Stockpiled Material Adjustment 0007 $-8,465.84
26119(04) 0035 REBAR-GR60 Stockpiled Material Initial Payment 0003 $8,465.84
26119(04) 0035 REBAR-GR60 Stockpiled Material Initial Payment 0007 $19,981.07
26119(04) 0035 REBAR-GR60 Stockpiled Material Closure 0007 $-21,026.65
26119(04) 0035 REBAR-GR60 Stockpiled Material Initial Payment 0003 $21,026.65
26119(04) 0035 REBAR-GR60 Stockpiled Material Closure 0007 $-19,981.07
26119(04) 0035 REBAR-GR60 Stockpiled Material Initial Payment 0003 $19,981.07
26119(04) 0035 REBAR-GR60 Stockpiled Material Initial Payment 0003 $20,668.93
26119(04) 0035 REBAR-GR60 Stockpiled Material Closure 0007 $-20,668.93
Subtotals For Stockpile Payments $0.00


LIQUIDATED DAMAGES HISTORY
Adjustment Description Estimate Nbr Time Units Rate Adjustment Amount
System Application of Liquidated Damages 0003 --47 $500.00 $-23,500.00
System Application of Liquidated Damages 0004 --47 $500.00 $-23,500.00
System Application of Liquidated Damages 0005 -85.0 $500.00 $42,500.00
System Application of Liquidated Damages 0006 --14 $500.00 $-7,000.00
System Application of Liquidated Damages 0007 --15 $500.00 $-7,500.00
System Application of Liquidated Damages 0008 --46 $500.00 $-23,000.00
System Application of Liquidated Damages 0009 --15 $500.00 $-7,500.00
System Application of Liquidated Damages 0010 --16 $500.00 $-8,000.00
System Application of Liquidated Damages 0011 --12 $500.00 $-6,000.00
System Application of Liquidated Damages 0012 --31 $500.00 $-15,500.00
System Application of Liquidated Damages 0013 -31.0 $500.00 $15,500.00
Subtotals For Liquidated Damages $-63,500.00


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
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: 110248   Estimate Number: 0014     Primary JP: 26119(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:    STP-155A(691)AG Project:    26119(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201(A) 0102 LSUM 1.000 1.000   1.000 $3,155.97 $0.00 $3,155.97
0002 EARTHWORK 202(H) 0185 LSUM 1.000 1.000   1.000 $44,859.25 $0.00 $44,859.25
0003 TYPE A-SALVAGED TOPSOIL 205(A) 4229 LSUM 1.000 1.000   1.000 $602.87 $0.00 $602.88
0004 TEMPORARY SILT FENCE 221(C) 2801 LF 500.000 307.000   307.000 $2.99 $0.00 $917.93
0005 TEMPORARY SILT DIKE 221(F) 0100 LF 100.000 105.000   105.000 $13.19 $0.00 $1,384.95
0006 TEMPORARY ROCK FILTER DAM TYPE 3 221(G) 0152 CY 60.000 51.340   51.340 $104.42 $0.00 $5,360.92
0007 (PL)TEMPORARY INLET SEDIMENT FILTER 221(H) 0450 EA 2.000 0.000   0.000 $180.86 $0.00 $0.00
0008 SOLID SLAB SODDING 230(A) 2806 SY 930.000 1,591.000   1,591.000 $2.40 $0.00 $3,818.40
0009 VEGETATIVE MULCHING 233(A) 2817 AC 0.200 0.000   0.000 $149.26 $0.00 $0.00
0010 LIME STABILIZED SUBGRADE 307(H) 4270 SY 820.000 820.000   820.000 $23.97 $0.00 $19,655.40
0011 P.C.CONCRETE PAVEMENT(PLACEMENT) 414(A) 0210 SY 758.000 757.330   757.330 $16.28 $0.00 $12,329.33
0012 P.C. CONCRETE FOR PAVEMENT 414(G) 5275 CY 211.000 210.290   210.290 $102.49 $0.00 $21,552.62
0013 CLASS C CONCRETE 509(D) 0325 CY 10.000 28.910   28.910 $156.75 $0.00 $4,531.64
0014 CONCRETE CURB (8" BARRIER-INTEGRAL) 609(A) 0380 LF 210.000 100.800   100.800 $23.11 $0.00 $2,329.49
0015 6" CONCRETE DRIVEWAY 610(B) 0604 SY 203.000 0.000   0.000 $45.74 $0.00 $0.00
0016 MANHOLE (4' DIAMETER) 611(A) 2657 EA 1.000 1.000   1.000 $1,709.13 $0.00 $1,709.13
0017 INLET CI DES. 3 (D) 611(G) 5122 EA 2.000 2.000   2.000 $6,098.92 $0.00 $12,197.84
0018 INLET CI DES. 3 (2D) 611(G) 5125 EA 1.000 1.000   1.000 $7,354.99 $0.00 $7,354.99
0019 MANHOLES ADJUST TO GRADE 612(A) 0641 EA 1.000 0.000   0.000 $1,748.32 $0.00 $0.00
0020 30" CORR. GALV. STEEL PIPE 613(B) 0691 LF 46.000 46.000   46.000 $44.23 $0.00 $2,034.58
0021 36" CORR. GALV. STEEL PIPE 613(B) 0692 LF 37.000 42.170 5.000 42.170 $58.33 $291.65 $2,459.78
0022 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 756.000 757.330   757.330 $4.31 $0.00 $3,264.09
0023 REMOVAL OF CONCRETE DRIVEWAY 619(B) 4766 SY 163.000 0.000   0.000 $9.19 $0.00 $0.00
0024 REMOVAL OF EXISTING STRUCTURES 619(B) 4778 EA 2.000 2.000   2.000 $602.87 $0.00 $1,205.74
0025 GUARDRAIL END TREATMENT (GET) 623(G) 8571 EA 4.000 4.000   4.000 $2,652.62 $0.00 $10,610.48
0026 GUARDRAIL BRIDGE CONNECTION-TYPE A 623(I) 8675 EA 4.000 4.000   4.000 $1,446.88 $0.00 $5,787.52
0027 (PL)REMOVE & RESET EXISTING SIGNS 805(D) 8756 EA 5.000 5.000   5.000 $60.29 $0.00 $301.45
0028 TRAFFIC STRIPE(PAINT)(4" WIDE) 854(A) 8800 LF 710.000 404.000   404.000 $1.39 $0.00 $561.56
0029 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $4,280.36 $0.00 $4,280.36
8003 LOOP DETECTOR WIRE 828(B) 8136 LF 0.000 256.000   256.000 $6.05 $0.00 $1,548.80
Subtotals For Category     0100/ROADWAY    $291.65 $173,815.10
Fed/State Project Number:    STP-155A(691)AG Project:    26119(04) Category:    0200/BRIDGE 'A'
0030 UNCLASSIFIED EXCAVATION 202(A) 1301 CY 1,490.000 1,490.000   1,490.000 $10.97 $0.00 $16,345.30
0031 AGGREGATE BASE TYPE A 303(A) 2100 CY 440.000 440.000   440.000 $31.60 $0.00 $13,904.00
0032 STRUCTURAL EXCAVATION UNCLASSIFIED 501(A) 1306 CY 894.000 894.000   894.000 $15.33 $0.00 $13,705.03
0033 CONCRETE RAIL (TR4) 504(D) 6245 LF 109.500 109.500   109.500 $54.81 $0.00 $6,001.70
0034 CLASS AA CONCRETE 509(A) 1326 CY 915.000 915.000   915.000 $192.83 $0.00 $176,439.45
0035 REINFORCING STEEL 511(A) 1332 LB 152,550.000 152,550.000   152,550.000 $0.71 $0.00 $108,310.51
0036 WATER REPELLENT (VISUALLY INSPECTED) 515(A) 6013 SY 51.000 51.000   51.000 $15.07 $0.00 $768.57
0037 FILTER FABRIC 602(C) 4205 SY 1,128.000 1,128.000   1,128.000 $6.92 $0.00 $7,805.76
0038 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $39,619.29 $0.00 $39,619.30
8000 NEGOTIATED SETTLEMENT OF CONTR'S CLAIM 109 1100 LSUM 0.000 1.000   1.000 $14,154.00 $0.00 $14,154.00
8001 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 0.000 1.000   1.000 $18,976.00 $0.00 $18,976.00
8002 TYPE I-A PLAIN RIPRAP 601(B) 1353 TON 0.000 701.830   701.830 $53.88 $0.00 $37,814.60
8004 TYPE I-A FILTER BLANKET 601(C) 1355 TON 0.000 135.580   135.580 $19.51 $0.00 $2,645.17
Subtotals For Category     0200/BRIDGE 'A'    $0.00 $456,489.39
Fed/State Project Number:    STP-155A(691)AG Project:    26119(04) Category:    0600/STAKING
0039 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000   1.000 $2,486.83 $0.00 $2,486.83
Subtotals For Category     0600/STAKING    $0.00 $2,486.83
Fed/State Project Number:    STP-155A(691)AG Project:    26119(04) Category:    0640/CONSTRUCTION
0040 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $30,143.41 $0.00 $30,143.42
Subtotals For Category     0640/CONSTRUCTION    $0.00 $30,143.42
Fed/State Project Number:    STP-155A(691)AG Project:    26119(04) Category:    0900/NON-PARTICIPATING
0041 REMOVE AND RECONSTRUCT FENCE 625(B) 1252 LF 150.000 0.000   0.000 $12.06 $0.00 $0.00
0042 PORTABLE CHANGEABLE MESSAGE SIGN 882(A) 8303 EA 2.000 2.000   2.000 $19,894.65 $0.00 $39,789.30
Subtotals For Category     0900/NON-PARTICIPATING    $0.00 $39,789.30
Subtotals For Project STP-155A(691)AG /26119(04) $291.65 $702,724.04