Oklahoma Department of Transportation
Final Estimate Affidavit
Contract ID: 110257   Estimate Number: 0025 , Final     Spec Year: 2009
Primary JP: 00464(16)   Residency: HEAVENER (02200)     Contract No: 611323
Date Created: 03/16/2015   Contractor FEI: 731133882     Account No: 400200
Project Number(s): ERSTP-139C(096)ER
Contract Description: GRADE, DRAIN, SURFACE, AND EROSION CONTROL SH-82: LANDSLIDE REPAIR FROM 4.8 MILES NORTH OF THE US-270 JUNCTION, EXTEND NORTH. PROJECT LENGTH = 0.700 MILE.
Primary County: LATIMER              
Name of Road: SH-82              
Prime Contractor: SHERWOOD CONSTRUCTION CO., INC.           Time Charged: 308.00
    P.O. BOX 10           Time Allowed: 308.00
    CATOOSA , OK   74015-0010           Percent Time: 100.00 %
  Paid To Date: $4,258,282.83 Payable This Statement: $17,720.94
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.                                
SHERWOOD CONSTRUCTION CO., 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:    03/16/2015
Contract ID: 110257   Estimate Number: 0025     Contract No: 611323
Residency: HEAVENER (02200)   Estimate Type: Final     Account No: 400200
Project Number(s): ERSTP-139C(096)ER
Primary Job Piece No: 00464(16)
Contract Description: GRADE, DRAIN, SURFACE, AND EROSION CONTROL SH-82: LANDSLIDE REPAIR FROM 4.8 MILES NORTH OF THE US-270 JUNCTION, EXTEND NORTH. PROJECT LENGTH = 0.700 MILE.
Primary County: LATIMER              
Name of Road: SH-82              
Prime Contractor: SHERWOOD CONSTRUCTION CO., INC.              
    P.O. BOX 10              
    CATOOSA , OK   74015-0010              
Surety Company: TRAVELERS INDEMNITY COMPANY              
Date Let: 04/14/2011 NTP Effective Date: 07/11/2011 Pay Period: 06/15/2013  TO  12/09/2014
Date Awarded: 05/02/2011 Date Work Began: 07/15/2011 Original Contract Time: 270
Date Contract Executed: 05/12/2011 Date Time Stopped: 12/20/2012 Current Time Charged: 308.00
Date NTP Issued: 05/26/2011 Completion Date: 12/20/2012 Current Time Allowed: 308.00
General Liability Expires: 01/01/2016 Workman's Comp Expires: 01/01/2016 Percent Time Used: 100.00 %
Specification Year: 2009        
Bid Amount: $4,322,783.60 Total to Date Prev to Date This Estimate
Funds Available (Bid + Positive C/O): $4,366,146.22 Participating: $4,258,282.83 $4,240,561.89 $17,720.94
Percent Complete: 97.53 % Non Participating: $0.00 $0.00 $0.00
Unearned Balance: $107,863.39 Total Earnings: $4,258,282.83 $4,240,561.89 $17,720.94
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $4,258,282.83 $4,240,561.89 $17,720.94
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $4,258,282.83 $4,240,561.89 $17,720.94

Estimate Adjustment Detail
Contract ID: 110257   Estimate Number: 0025     Primary JP: 00464(16)


CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Additional Days/Fuel Price Adj/Asph Binder Adj Approved 05/16/2013 38.0 $43,362.62
002 Fianl Quantity Change Order Approved 11/26/2014 0.0 $-107,863.41


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
System Application of Liquidated Damages 0020 --4.0 $1,000.00 $-4,000.00
System Application of Liquidated Damages 0021 --17 $1,000.00 $-17,000.00
System Application of Liquidated Damages 0022 --17 $1,000.00 $-17,000.00
System Application of Liquidated Damages 0024 -38.0 $1,000.00 $38,000.00
Subtotals For Liquidated Damages $0.00


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
00464(16) 0002 UNCLASSIFIED EXCAVATION Fuel Price Adjustment 0004 41,905.66 $-0.01 $-434.98
00464(16) 0002 UNCLASSIFIED EXCAVATION Fuel Price Adjustment 0005 48,911.57 $-0.04 $-1,975.05
00464(16) 0002 UNCLASSIFIED EXCAVATION Fuel Price Adjustment 0006 26,440.06 $-0.04 $-1,067.65
00464(16) 0002 UNCLASSIFIED EXCAVATION Fuel Price Adjustment 0010 10,000.00 $-0.05 $-583.80
00464(16) 0002 UNCLASSIFIED EXCAVATION Fuel Price Adjustment 0013 4,471.82 $-0.03 $-140.33
00464(16) 0002 UNCLASSIFIED EXCAVATION Fuel Price Adjustment 0016 7,108.00 $0.01 $95.11
00464(16) 0002 UNCLASSIFIED EXCAVATION Fuel Price Adjustment 0017 20,000.00 $0.01 $267.60
00464(16) 0002 UNCLASSIFIED EXCAVATION * Fuel Price Adjustment 0024 0.00 $0.00 $3,700.78
00464(16) 0002 UNCLASSIFIED EXCAVATION Fuel Price Adjustment 0024 -5,450.10 $-0.02 $138.32
00464(16) 0002 UNCLASSIFIED EXCAVATION Fuel Price Adjustment 0025 4,102.07 $-0.13 $-571.75
00464(16) 0002 UNCLASSIFIED EXCAVATION * Fuel Price Adjustment 0025 0.00 $0.00 $571.75
00464(16) 0009 SEEDING METHOD A * Missing Material Certification 0004 -6.73 $329.00 $-2,214.17
00464(16) 0009 SEEDING METHOD A * Missing Material Certification 0006 6.73 $329.00 $2,214.17
00464(16) 0018 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0004 1,263.18 $3.40 $4,303.97
00464(16) 0018 SUPERPAVE, TYPE S3(PG 64-22 OK) * Material Discrepancy Adjustments 0015 0.00 $0.00 $-740.32
00464(16) 0018 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0015 2,575.90 $2.56 $6,612.98
00464(16) 0018 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0022 4,409.14 $4.66 $20,578.56
00464(16) 0018 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0024 -0.09 $2.67 $-0.24
00464(16) 0018 SUPERPAVE, TYPE S3(PG 64-22 OK) * Asphalt Binder Adjustment 0024 0.00 $0.00 $-30,754.95
00464(16) 0019 SUPERPAVE, TYPE S4(PG 64-22 OK) * Material Discrepancy Adjustments 0004 0.00 $0.00 $-13,198.51
00464(16) 0019 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0004 598.19 $3.89 $2,329.35
00464(16) 0019 SUPERPAVE, TYPE S4(PG 64-22 OK) * Material Discrepancy Adjustments 0015 0.00 $0.00 $13,198.51
00464(16) 0019 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0022 2,646.64 $5.33 $14,117.18
00464(16) 0019 SUPERPAVE, TYPE S4(PG 64-22 OK) * Asphalt Binder Adjustment 0024 0.00 $0.00 $-16,446.53
00464(16) 0028 36" CORR. GALV. STEEL PIPE * Missing Material Certification 0004 -200.00 $70.40 $-14,080.00
00464(16) 0028 36" CORR. GALV. STEEL PIPE * Missing Material Certification 0005 200.00 $70.40 $14,080.00
Subtotals For Line Item Adjustments $0.00
* = 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: 110257   Estimate Number: 0025     Primary JP: 00464(16)


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:    ERSTP-139C(096)ER Project:    00464(16) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201(A) 0102 LSUM 1.000 1.000   1.000 $42,187.90 $0.00 $42,187.90
0002 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 360,000.000 357,074.910 4,102.070 357,074.910 $4.32 $17,720.94 $1,542,563.62
0003 TYPE A-SALVAGED TOPSOIL 205(A) 4229 LSUM 1.000 1.000   1.000 $26,526.89 $0.00 $26,526.90
0004 TEMPORARY SILT FENCE 221(C) 2801 LF 5,750.000 2,023.000   2,023.000 $1.18 $0.00 $2,387.14
0005 TEMPORARY SEDIMENT BASIN 221(E) 2804 EA 3.000 4.000   4.000 $493.50 $0.00 $1,974.00
0006 TEMPORARY SILT DIKE 221(F) 0100 LF 500.000 161.000   161.000 $6.58 $0.00 $1,059.38
0007 DITCH LINER PROTECTION 229 4318 LF 3,215.000 0.000   0.000 $1.16 $0.00 $0.00
0008 SOLID SLAB SODDING 230(A) 2806 SY 104,908.000 99,954.300   99,954.300 $1.09 $0.00 $108,950.19
0009 SEEDING METHOD A 232(A) 2813 AC 12.000 6.670   6.670 $329.00 $0.00 $2,194.43
0010 VEGETATIVE MULCHING 233(A) 2817 AC 14.000 6.670   6.670 $274.17 $0.00 $1,828.71
0011 AGGREGATE BASE TYPE A 303(A) 2100 CY 8,495.000 7,857.700   7,857.700 $42.21 $0.00 $331,673.52
0012 AGGREGATE BASE TYPE B 303(B) 2110 CY 600.000 429.400   429.400 $36.30 $0.00 $15,587.22
0013 SEPARATOR FABRIC 325 5271 SY 25,694.000 24,392.050   24,392.050 $1.16 $0.00 $28,294.78
0014 GEOGRID REINFORCEMENT 326(B) 0100 SY 25,694.000 24,392.050   24,392.050 $2.25 $0.00 $54,882.11
0015 TRAFFIC BOUND SURFACE COURSE TYPE E 402(E) 0225 TON 1,258.000 1,310.760   1,310.760 $20.77 $0.00 $27,224.48
0016 TACK COAT 407(B) 0250 GAL 2,600.000 3,800.000   3,800.000 $3.67 $0.00 $13,946.00
0017 PRIME COAT 408 5774 GAL 9,839.000 15,000.000   15,000.000 $4.17 $0.00 $62,550.00
0018 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 8,605.000 8,248.130   8,248.130 $64.51 $0.00 $532,086.86
0019 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 3,500.000 3,244.830   3,244.830 $70.90 $0.00 $230,058.45
0020 COLD MILLING PAVEMENT 412 5267 SY 3,066.000 3,133.340   3,133.340 $2.91 $0.00 $9,118.02
0021 RUMBLE STRIP-METHOD HMA-CON 413(A) 4861 LF 7,400.000 7,985.000   7,985.000 $0.86 $0.00 $6,867.10
0022 STRUCTURAL EXCAVATION UNCLASSIFIED 501(A) 0313 CY 32.000 32.200   32.200 $7.68 $0.00 $247.30
0023 CLASS AA CONCRETE 509(A) 0319 CY 75.300 75.300   75.300 $329.00 $0.00 $24,773.70
0024 CLASS C CONCRETE 509(D) 0325 CY 300.000 84.100   84.100 $263.20 $0.00 $22,135.11
0025 REINFORCING STEEL 511(A) 0332 LB 13,827.000 13,827.000   13,827.000 $0.82 $0.00 $11,338.14
0026 TYPE I PLAIN RIPRAP 601(A) 0297 TON 21,250.000 22,015.410   22,015.410 $30.22 $0.00 $665,305.70
0027 FILTER FABRIC 602(C) 4155 SY 10,585.000 10,425.790   10,425.790 $1.24 $0.00 $12,927.98
0028 36" CORR. GALV. STEEL PIPE 613(B) 0692 LF 200.000 200.000   200.000 $70.40 $0.00 $14,080.00
0029 12" P.V.C. PIPE ROUND 613(G) 1081 LF 106.000 106.000   106.000 $13.62 $0.00 $1,443.72
0030 8" PERFORATED PIPE UNDERDRAIN ROUND 613(H) 0500 LF 1,315.000 1,315.000   1,315.000 $10.14 $0.00 $13,334.10
0031 8" NON-PERF.PIPE UNDERDRAIN RND. 613(I) 1097 LF 415.000 460.000   460.000 $10.14 $0.00 $4,664.40
0032 12" NON-PERF.PIPE UNDERDRAIN RND. 613(I) 1099 LF 400.000 375.000   375.000 $12.77 $0.00 $4,788.75
0033 OUTLET LATERAL HEADWALL 613(Q) 5946 EA 1.000 1.000   1.000 $383.84 $0.00 $383.84
0034 PIPE UNDERDRAIN COVER MAT'L. 613(U) 1100 CY 358.000 324.450   324.450 $38.10 $0.00 $12,361.55
0035 TRENCH EXCAVATION 613(V) 1180 CY 955.000 1,026.520 0.001 1,026.520 $1.00 $0.00 $1,026.52
0036 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 1.000 1.000   1.000 $4,217.83 $0.00 $4,217.83
0037 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 43,577.000 24,357.480 0.002 24,357.480 $1.97 $0.00 $47,984.23
0038 REMOVAL OF EXISTING STRUCTURES 619(B) 4778 EA 1.000 1.000   1.000 $4,217.83 $0.00 $4,217.83
0039 REMOVAL OF CONCRETE DITCH LINER 619(B) 5881 LF 1,740.000 1,400.000   1,400.000 $1.68 $0.00 $2,352.00
0040 SAWING PAVEMENT 619(C) 0924 LF 492.000 125.000   125.000 $3.84 $0.00 $480.00
8000 FUEL PRICE ADJUSTMENT 109 1175 LSUM 0.000 1.000   1.000 $-3,839.10 $0.00 $-3,839.10
8001 ADJUSTMENT FOR NON-CONFORMING MATERIALS 105 2100 LSUM 0.000 1.000   1.000 $-740.32 $0.00 $-740.32
8002 ASPHALT BINDER PRICE ADJUSTMENT 109 1150 LSUM 0.000 1.000   1.000 $47,942.04 $0.00 $47,942.04
Subtotals For Category     0100/ROADWAY    $17,720.94 $3,933,386.13
Fed/State Project Number:    ERSTP-139C(096)ER Project:    00464(16) Category:    0300/TRAFFIC
0041 (SP)PORTABLE TRAFFIC SIGNAL SYSTEM 823 8478 SD 270.000 365.000   365.000 $191.92 $0.00 $70,050.80
0042 CONSTRUCTION TRAFFIC STRIPE(PAINT)(4" WIDE) 857(A) 8839 LF 25,000.000 22,642.000   22,642.000 $0.13 $0.00 $2,943.46
0043 PAVEMENT MARKING REMOVAL(TRAFFIC STRIPE) 857(F) 8006 LF 5,200.000 1,464.000   1,464.000 $0.16 $0.00 $234.24
0044 ARROW DISPLAY(TYPE C) 880(A) 8812 SD 270.000 0.000   0.000 $10.97 $0.00 $0.00
0045 CONSTRUCTION SIGNS 0 TO 6.25 SF 880(B) 8818 SD 7,560.000 5,760.000   5,760.000 $0.02 $0.00 $115.20
0046 CONSTRUCTION SIGNS 6.26 SF TO 15.99 SF 880(B) 8821 SD 1,620.000 9,479.000   9,479.000 $2.74 $0.00 $25,972.46
0047 CONSTRUCTION SIGNS 16.0 SF TO 32.99 SF 880(B) 8824 SD 5,940.000 8,796.000   8,796.000 $1.10 $0.00 $9,675.60
0048 CONSTRUCTION BARRICADES(TYPE III) 880(C) 8842 SD 4,320.000 6,119.000   6,119.000 $0.11 $0.00 $673.09
0049 WING BARRICADES 880(C) 8848 SD 1,080.000 1,650.000   1,650.000 $2.19 $0.00 $3,613.50
0050 VERTICAL PANELS 880(D) 8854 SD 29,600.000 26,212.000   26,212.000 $0.11 $0.00 $2,883.32
0051 WARNING LIGHTS(TYPE A) 880(E) 8860 SD 7,560.000 7,647.000   7,647.000 $0.16 $0.00 $1,223.52
0052 DRUMS 880(F) 8878 SD 29,160.000 21,121.000   21,121.000 $0.11 $0.00 $2,323.31
0053 CHANNELIZER CONES 880(G) 8890 SD 3,600.000 36,305.000   36,305.000 $0.11 $0.00 $3,993.55
0054 PORT.CHANGEABLE MESSAGE SIGN 882(A) 8306 SD 540.000 776.000   776.000 $21.93 $0.00 $17,017.68
Subtotals For Category     0300/TRAFFIC    $0.00 $140,719.73
Fed/State Project Number:    ERSTP-139C(096)ER Project:    00464(16) Category:    0301/SIGNING & STRIPING
0055 SHEET ALUMINUM SIGNS 850(A) 8110 SF 8.500 8.500   8.500 $16.45 $0.00 $139.82
0056 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 17,000.000 19,344.000   19,344.000 $0.66 $0.00 $12,767.04
Subtotals For Category     0301/SIGNING & STRIPING    $0.00 $12,906.86
Fed/State Project Number:    ERSTP-139C(096)ER Project:    00464(16) Category:    0600/STAKING
0057 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000   1.000 $35,093.52 $0.00 $35,093.52
Subtotals For Category     0600/STAKING    $0.00 $35,093.52
Fed/State Project Number:    ERSTP-139C(096)ER Project:    00464(16) Category:    0640/CONSTRUCTION
0058 SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $2,741.68 $0.00 $2,741.68
0059 FIELD OFFICE 640(A) 1426 EA 1.000 1.000   1.000 $3,838.35 $0.00 $3,838.35
0060 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $129,596.55 $0.00 $129,596.56
Subtotals For Category     0640/CONSTRUCTION    $0.00 $136,176.59
Subtotals For Project ERSTP-139C(096)ER /00464(16) $17,720.94 $4,258,282.83