Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 110251   Estimate Number: 0016 , Final     Spec Year: 2009
Primary JP: 22526(04)   Residency: PURCELL (03200)     Contract No: 710611
Date Created: 04/30/2013   Contractor FEI: 731427175     Account No: 436300

Project Number(s): BRO-144D(095)CI
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (EW-146): OVER FINN CREEK 0.9 MILE EAST OF SH-24 AND 1.0 MILE SOUTH OF SH-59. PROJECT LENGTH = 0.264 MILES.
Primary County: MCCLAIN              
Name of Road: COUNTY ROAD              
Prime Contractor: K & R BUILDERS, INC.           Time Charged: 207.00
    P.O. BOX 656           Time Allowed: 211.00
    WHEATLAND , OK   73097           Percent Time: 98.10 %

  Paid To Date: $789,220.03 Payable This Statement: $9,892.14

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.                                
K & R BUILDERS, 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:    04/30/2013
Contract ID: 110251   Estimate Number: 0016     Contract No: 710611
Residency: PURCELL (03200)   Estimate Type: Final     Account No: 436300

Project Number(s): BRO-144D(095)CI
Primary Job Piece No: 22526(04)
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (EW-146): OVER FINN CREEK 0.9 MILE EAST OF SH-24 AND 1.0 MILE SOUTH OF SH-59. PROJECT LENGTH = 0.264 MILES.
Primary County: MCCLAIN              
Name of Road: COUNTY ROAD              
Prime Contractor: K & R BUILDERS, INC.              
    P.O. BOX 656              
    WHEATLAND , OK   73097              
Surety Company: OHIO CASUALTY INSURANCE COMPANY              

Date Let: 10/20/2011 NTP Effective Date: 03/05/2012 Pay Period: 01/01/2013  TO  04/30/2013
Date Awarded: 11/07/2011 Date Work Began: 03/05/2012 Original Contract Time: 150
Date Contract Executed: 11/17/2011 Date Time Stopped: 02/04/2013 Current Time Charged: 207.00
Date NTP Issued: 11/22/2011 Completion Date: 02/04/2013 Current Time Allowed: 211.00
General Liability Expires: 05/01/2013 Workman's Comp Expires: 07/01/2013 Percent Time Used: 98.10 %
Specification Year: 2009        

Current Contract Amount: $789,220.02 Total to Date Prev to Date This Estimate
Bid Amount: $835,867.08 Participating: $789,220.03 $779,276.99 $9,943.04
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $-0.01 Total Earnings: $789,220.03 $779,276.99 $9,943.04
Unearned Balance: $46,647.05 Stockpiled Materials: $0.00 $50.90 $-50.90
Gross Earnings: $789,220.03 $779,327.89 $9,892.14
Other Adjustments: $0.00 $28,500.00 $-28,500.00
Liq Dam/Disincentive: $0.00 $-28,500.00 $28,500.00
TOTAL: $789,220.03 $779,327.89 $9,892.14

Estimate Adjustment Detail

Contract ID: 110251   Estimate Number: 0016     Primary JP: 22526(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Add pay item and adjust existing pay item Approved 04/11/2013 61.0 $9,618.00
002 CO FINALIZING CONTRACT ITEM QUANTITIES Approved 04/24/2013 0.0 $-56,265.06


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
22526(04) 0019 TYPE B4 CET - MOH Stockpiled Material Closure 0016 $-50.90
22526(04) 0019 TYPE B4 CET - MOH Stockpiled Material Initial Payment 0009 $50.90
22526(04) 0020 TYPE C4 CET - MOH Stockpiled Material Adjustment 0014 $-61.50
22526(04) 0020 TYPE C4 CET - MOH Stockpiled Material Initial Payment 0009 $61.50
22526(04) 0026 BEAMS - MOH Stockpiled Material Initial Payment 0001 $102,683.02
22526(04) 0026 BEAMS - MOH Stockpiled Material Adjustment 0007 $-102,683.02
22526(04) 0028 SEJ - MOH Stockpiled Material Initial Payment 0006 $4,288.00
22526(04) 0028 SEJ - MOH Stockpiled Material Adjustment 0010 $-4,288.00
22526(04) 0029 TR1 RAIL - MOH Stockpiled Material Initial Payment 0009 $2,304.70
22526(04) 0029 TR1 RAIL - MOH Stockpiled Material Adjustment 0011 $-2,304.70
22526(04) 0030 STRUCTURAL STEEL - MOH Stockpiled Material Initial Payment 0006 $338.20
22526(04) 0030 STRUCTURAL STEEL - MOH Stockpiled Material Adjustment 0009 $-338.20
22526(04) 0031 FIXED BEARING ASSEM - MOH Stockpiled Material Initial Payment 0006 $6,108.80
22526(04) 0031 FIXED BEARING ASSEM - MOH Stockpiled Material Adjustment 0007 $-6,108.80
22526(04) 0032 EXPANSION BEARING ASSEM - MOH Stockpiled Material Initial Payment 0006 $3,054.40
22526(04) 0032 EXPANSION BEARING ASSEM - MOH Stockpiled Material Adjustment 0007 $-3,054.40
22526(04) 0040 DRILLED SHAFTS - MOH Stockpiled Material Adjustment 0006 $-19,994.48
22526(04) 0040 DRILLED SHAFTS - MOH Stockpiled Material Initial Payment 0004 $19,994.48
Subtotals For Stockpile Payments $0.00


LIQUIDATED DAMAGES HISTORY
Adjustment Description Estimate Nbr Time Units Rate Adjustment Amount
System Application of Liquidated Damages 0012 --11 $500.00 $-5,500.00
System Application of Liquidated Damages 0013 --15 $500.00 $-7,500.00
System Application of Liquidated Damages 0014 --15 $500.00 $-7,500.00
System Application of Liquidated Damages 0015 --16 $500.00 $-8,000.00
System Application of Liquidated Damages 0016 -57.0 $500.00 $28,500.00
Subtotals For Liquidated Damages $0.00


CONTRACT ADJUSTMENTS HISTORY
Adjustment Description Estimate Nbr Adjustment Amount
LD Adjustment (Prog. Est. Only) 0015 $28,500.00
LD Adjustment (Prog. Est. Only) 0016 $-28,500.00
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
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: 110251   Estimate Number: 0016     Primary JP: 22526(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:    BRO-144D(095)CI Project:    22526(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201(A) 0102 LSUM 1.000 1.000   1.000 $23,095.24 $0.00 $23,095.24
0002 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 4,053.000 4,053.000   4,053.000 $2.00 $0.00 $8,106.00
0003 UNCLASSIFIED BORROW 202(D) 0184 CY 6,088.000 6,382.000 0.200 6,382.000 $3.00 $0.60 $19,146.00
0004 TYPE A-SALVAGED TOPSOIL 205(A) 4229 LSUM 1.000 1.000   1.000 $5,335.00 $0.00 $5,335.00
0005 TEMPORARY SILT FENCE 221(C) 2801 LF 100.000 256.000   256.000 $2.50 $0.00 $640.00
0006 TEMPORARY SILT DIKE 221(F) 0100 LF 200.000 84.000   84.000 $7.15 $0.00 $600.60
0007 SOLID SLAB SODDING 230(A) 2806 SY 9,056.000 12,850.400 201.700 12,850.400 $1.80 $363.06 $23,130.72
0008 VEGETATIVE MULCHING 233(A) 2817 AC 1.870 0.000   0.000 $100.00 $0.00 $0.00
0009 CEMENT KILN DUST 307(B) 4210 TON 184.000 195.030   195.030 $49.45 $0.00 $9,644.23
0010 CEMENTITIOUS STABILIZED SUBGRADE 307(E) 4240 SY 3,370.000 3,363.450   3,363.450 $3.42 $0.00 $11,503.00
0011 TRAFFIC BOUND SURFACE COURSE TYPE E 402(E) 0225 TON 71.000 24.790 24.790 24.790 $27.00 $669.33 $669.33
0012 PRIME COAT 408 5774 GAL 511.000 319.000 -0.010 319.000 $7.50 $-0.08 $2,392.50
0013 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 742.000 743.170   743.170 $79.00 $0.00 $58,710.43
0014 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 351.500 407.910   407.910 $94.00 $0.00 $38,343.54
0015 CLASS C CONCRETE 509(D) 0325 CY 20.000 4.000   4.000 $267.00 $0.00 $1,068.00
0016 TYPE I PLAIN RIPRAP 601(A) 0297 TON 730.000 123.220   123.220 $31.58 $0.00 $3,891.29
0017 18" CORR. GALV. STEEL PIPE 613(B) 0689 LF 50.000 0.000   0.000 $24.50 $0.00 $0.00
0018 30" CORR. GALV. STEEL PIPE 613(B) 0691 LF 50.000 50.000   50.000 $30.00 $0.00 $1,500.00
0019 TYPE B4 CULVERT END TREATMENT 613(M) 7187 EA 2.000 0.000 0.000 0.000 $825.00 $0.00 $0.00
0020 TYPE C4 CULVERT END TREATMENT 613(M) 7188 EA 2.000 2.000   2.000 $1,150.00 $0.00 $2,300.00
0021 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 2,580.000 2,580.000   2,580.000 $4.75 $0.00 $12,255.00
0022 SAWING PAVEMENT 619(C) 0924 LF 46.000 46.000   46.000 $11.48 $0.00 $528.08
0023 TRAFFIC STRIPE(PAINT)(4" WIDE) 854(A) 8800 LF 5,600.000 5,600.000   5,600.000 $0.37 $0.00 $2,072.00
8000 36" R.C.PIPE CLASS III 613(A) 0494 LF 0.000 96.000 96.000 96.000 $91.00 $8,736.00 $8,736.00
Subtotals For Category     0100/ROADWAY    $9,768.91 $233,666.96
Fed/State Project Number:    BRO-144D(095)CI Project:    22526(04) Category:    0200/BRIDGE
0024 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 88.000 88.000   88.000 $8.17 $0.00 $718.96
0025 UNCLASSIFIED BACKFILL 501(D) 6353 CY 90.000 90.000   90.000 $10.17 $0.00 $915.30
0026 PRESTRESSED CONCRETE BEAMS (TYPE III) 503(A) 1312 LF 828.510 828.510   828.510 $157.75 $0.00 $130,697.45
0027 SAW-CUT GROOVING 504(B) 1305 SY 633.000 618.220   618.220 $5.65 $0.00 $3,492.94
0028 SEALED EXPANSION JOINT 504(C) 6250 LF 33.550 33.550   33.550 $192.50 $0.00 $6,458.38
0029 CONCRETE RAIL (TR1) 504(E) 1380 LF 485.200 485.200   485.200 $63.83 $0.00 $30,970.32
0030 STRUCTURAL STEEL 506(A) 1322 LB 830.000 830.000   830.000 $3.00 $0.00 $2,490.00
0031 WEATHERING STEEL FIXED BEARING ASSEMBLY 507(A) 6172 EA 16.000 16.000   16.000 $750.00 $0.00 $12,000.00
0032 WEATHERING STEEL EXPANSION BEARING ASSEMBLY 507(B) 6176 EA 8.000 8.000   8.000 $750.00 $0.00 $6,000.00
0033 CLASS AA CONCRETE 509(A) 1326 CY 159.700 159.700   159.700 $488.33 $0.00 $77,986.30
0034 CLASS A CONCRETE 509(B) 1328 CY 96.200 96.200   96.200 $497.00 $0.00 $47,811.40
0035 REINFORCING STEEL 511(A) 1332 LB 46,820.000 46,820.000   46,820.000 $0.87 $0.00 $40,733.40
0036 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 196.000 196.000   196.000 $26.45 $0.00 $5,184.20
0037 PILES, FURNISHED (HP 12X53) 514(A) 6011 LF 449.000 448.710   448.710 $30.70 $0.00 $13,775.40
0038 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 196.000 180.420   180.420 $11.55 $0.00 $2,083.85
0039 PILES, DRIVEN (HP 12X53) 514(B) 6294 LF 449.000 401.210   401.210 $13.30 $0.00 $5,336.09
0040 DRILLED SHAFTS 48" DIAMETER 516(A) 6094 LF 178.000 178.000   178.000 $442.50 $0.00 $78,765.00
0041 TYPE I-A PLAIN RIPRAP 601(B) 1353 TON 2,060.000 1,091.320   1,091.320 $30.36 $0.00 $33,132.47
0042 TYPE I-A FILTER BLANKET 601(C) 1355 TON 660.000 269.440 -24.790 269.440 $23.23 $-575.87 $6,259.10
0043 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $6,435.00 $0.00 $6,435.00
0044 GUARDRAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 4.000 4.000   4.000 $2,230.00 $0.00 $8,920.00
0045 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $2,500.00 $0.00 $2,500.00
Subtotals For Category     0200/BRIDGE    $-575.87 $522,665.56
Fed/State Project Number:    BRO-144D(095)CI Project:    22526(04) Category:    0600/STAKING
0046 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000   1.000 $4,887.50 $0.00 $4,887.51
Subtotals For Category     0600/STAKING    $0.00 $4,887.51
Fed/State Project Number:    BRO-144D(095)CI Project:    22526(04) Category:    0640/CONSTRUCTION
0047 SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000 0.250 1.000 $3,000.00 $750.00 $3,000.00
0048 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $25,000.00 $0.00 $25,000.00
Subtotals For Category     0640/CONSTRUCTION    $750.00 $28,000.00
Subtotals For Project BRO-144D(095)CI /22526(04) $9,943.04 $789,220.03