Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 110303   Estimate Number: 0014 , Final     Spec Year: 2009
Primary JP: 26948(04)   Residency: SAND SPRINGS (08400)     Contract No: 710878
Date Created: 07/17/2013   Contractor FEI: 731427175     Account No: 432800

Project Number(s): BRO-174D(075)CO
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (EW-27): OVER KEELER CREEK 7.0 MILES SOUTH AND 2.8 MILES WEST OF US-60/US-75 JUNCTION. PROJECT LENGTH = 0.293 MILES.
Primary County: WASHINGTON              
Name of Road: COUNTY ROAD              
Prime Contractor: K & R BUILDERS, INC.           Time Charged: 181.00
    P.O. BOX 656           Time Allowed: 107.00
    WHEATLAND , OK   73097           Percent Time: 169.16 %

  Paid To Date: $529,264.87 Payable This Statement: $150.92

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:    07/17/2013
Contract ID: 110303   Estimate Number: 0014     Contract No: 710878
Residency: SAND SPRINGS (08400)   Estimate Type: Final     Account No: 432800

Project Number(s): BRO-174D(075)CO
Primary Job Piece No: 26948(04)
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (EW-27): OVER KEELER CREEK 7.0 MILES SOUTH AND 2.8 MILES WEST OF US-60/US-75 JUNCTION. PROJECT LENGTH = 0.293 MILES.
Primary County: WASHINGTON              
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: 11/17/2011 NTP Effective Date: 03/05/2012 Pay Period: 06/01/2013  TO  07/15/2013
Date Awarded: 01/09/2012 Date Work Began: 04/09/2012 Original Contract Time: 90
Date Contract Executed: 01/24/2012 Date Time Stopped: 05/22/2013 Current Time Charged: 181.00
Date NTP Issued: 01/26/2012 Completion Date: 05/22/2013 Current Time Allowed: 107.00
General Liability Expires: 05/01/2014 Workman's Comp Expires: 07/01/2014 Percent Time Used: 169.16 %
Specification Year: 2009        

Current Contract Amount: $568,874.93 Total to Date Prev to Date This Estimate
Bid Amount: $576,535.91 Participating: $568,874.95 $568,724.03 $150.92
Percent Complete: 93.04 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $39,610.06 Total Earnings: $568,874.95 $568,724.03 $150.92
Unearned Balance: $47,271.04 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $568,874.95 $568,724.03 $150.92
Other Adjustments: $-2,610.08 $-2,610.08 $0.00
Liq Dam/Disincentive: $-37,000.00 $-37,000.00 $0.00
TOTAL: $529,264.87 $529,113.95 $150.92

Estimate Adjustment Detail

Contract ID: 110303   Estimate Number: 0014     Primary JP: 26948(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Contract Time Adjustment Approved 05/29/2012 17.0 $0.00
002 Final Quantity Change Order Approved 07/16/2013 0.0 $-7,660.98


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
26948(04) 0030 PC BR ITM FABS (AML) Stockpiled Material Initial Payment 0001 $76,872.90
26948(04) 0030 PC BR ITM FABS (AML) Stockpiled Material Adjustment 0006 $-76,872.90
26948(04) 0038 REBAR-GR60 Stockpiled Material Adjustment 0006 $-2,537.98
26948(04) 0038 REBAR-GR60 Stockpiled Material Adjustment 0007 $-7,010.35
26948(04) 0038 REBAR-GR60 Stockpiled Material Adjustment 0005 $-2,609.28
26948(04) 0038 REBAR-GR60 Stockpiled Material Initial Payment 0005 $12,157.61
Subtotals For Stockpile Payments $0.00


LIQUIDATED DAMAGES HISTORY
Adjustment Description Estimate Nbr Time Units Rate Adjustment Amount
System Application of Liquidated Damages 0006 --7.0 $500.00 $-3,500.00
System Application of Liquidated Damages 0007 --15 $500.00 $-7,500.00
System Application of Liquidated Damages 0008 --14 $500.00 $-7,000.00
System Application of Liquidated Damages 0009 --24 $500.00 $-12,000.00
System Application of Liquidated Damages 0010 --13 $500.00 $-6,500.00
System Application of Liquidated Damages 0011 --1.0 $500.00 $-500.00
Subtotals For Liquidated Damages $-37,000.00


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
26948(04) 0010 SEPARATOR FABRIC * Missing Material Certification 0009 -4,518.24 $2.50 $-11,295.60
26948(04) 0010 SEPARATOR FABRIC * Missing Material Certification 0011 4,518.24 $2.50 $11,295.60
26948(04) 0012 SUPERPAVE, TYPE S4(PG 64-22 OK) * HMA Deduction as per Sec. 411 0009 -575.51 $94.00 $-54,097.94
26948(04) 0012 SUPERPAVE, TYPE S4(PG 64-22 OK) * HMA Deduction as per Sec. 411 0010 -1.00 $540.98 $-540.98
26948(04) 0012 SUPERPAVE, TYPE S4(PG 64-22 OK) * HMA Deduction as per Sec. 411 0010 575.51 $94.00 $54,097.94
26948(04) 0014 21" X 15" CORR. GALV. STEEL PIPE ARCH * Missing Material Certification 0002 -108.00 $20.00 $-2,160.00
26948(04) 0014 21" X 15" CORR. GALV. STEEL PIPE ARCH * Missing Material Certification 0003 108.00 $20.00 $2,160.00
26948(04) 0015 28" X 20" CORR. GALV. STEEL PIPE ARCH * Missing Material Certification 0002 -30.00 $24.50 $-735.00
26948(04) 0015 28" X 20" CORR. GALV. STEEL PIPE ARCH * Missing Material Certification 0003 30.00 $24.50 $735.00
26948(04) 0016 28" X 20" GALV. STEEL CULVERT END SECTION ARCH * Missing Material Certification 0002 -2.00 $275.00 $-550.00
26948(04) 0016 28" X 20" GALV. STEEL CULVERT END SECTION ARCH * Missing Material Certification 0003 2.00 $275.00 $550.00
26948(04) 0017 21" X 15" GALV. STEEL CULVERT END SECTION ARCH * Missing Material Certification 0002 -4.00 $270.00 $-1,080.00
26948(04) 0017 21" X 15" GALV. STEEL CULVERT END SECTION ARCH * Missing Material Certification 0003 4.00 $270.00 $1,080.00
26948(04) 0022 SHEET ALUMINUM SIGNS * Missing Material Certification 0010 -28.07 $12.00 $-336.84
26948(04) 0022 SHEET ALUMINUM SIGNS * Missing Material Certification 0011 28.07 $12.00 $336.84
26948(04) 0023 FLANGE CHANNEL POSTS(4 LB/FT) * Missing Material Certification 0010 -49.00 $10.50 $-514.50
26948(04) 0023 FLANGE CHANNEL POSTS(4 LB/FT) * Missing Material Certification 0011 -17.00 $10.50 $-178.50
26948(04) 0023 FLANGE CHANNEL POSTS(4 LB/FT) * Missing Material Certification 0012 17.00 $10.50 $178.50
26948(04) 0023 FLANGE CHANNEL POSTS(4 LB/FT) * Missing Material Certification 0012 49.00 $10.50 $514.50
26948(04) 0024 DELINEATORS(TYPE 2, CODE 1) * Missing Material Certification 0011 -11.00 $10.50 $-115.50
26948(04) 0024 DELINEATORS(TYPE 2, CODE 1) * Missing Material Certification 0012 11.00 $10.50 $115.50
26948(04) 0025 TRAFFIC STRIPE(PAINT)(4" WIDE) * Missing Material Certification 0012 -6,023.00 $0.28 $-1,686.44
26948(04) 0025 TRAFFIC STRIPE(PAINT)(4" WIDE) * Missing Material Certification 0013 6,023.00 $0.28 $1,686.44
26948(04) 0026 TRAFFIC STRIPE(PAINT)(SYMBOLS) * Missing Material Certification 0012 -1.00 $196.00 $-196.00
26948(04) 0026 TRAFFIC STRIPE(PAINT)(SYMBOLS) * Missing Material Certification 0013 1.00 $196.00 $196.00
26948(04) 0033 WEATHERING STEEL FIXED BEARING ASSEMBLY * Missing Material Certification 0006 -3.00 $1,200.00 $-3,600.00
26948(04) 0033 WEATHERING STEEL FIXED BEARING ASSEMBLY * Missing Material Certification 0007 3.00 $1,200.00 $3,600.00
26948(04) 0034 WEATHERING STEEL EXPANSION BEARING ASSEMBLY * Missing Material Certification 0006 -3.00 $1,000.00 $-3,000.00
26948(04) 0034 WEATHERING STEEL EXPANSION BEARING ASSEMBLY * Missing Material Certification 0007 3.00 $1,000.00 $3,000.00
26948(04) 0037 SLOPE WALL (4") * Material Discrepancy Adjustments 0011 -1.00 $2,069.10 $-2,069.10
26948(04) 0037 SLOPE WALL (4") * QAQC 0014 1.00 $-2,069.10 $-2,069.10
26948(04) 0037 SLOPE WALL (4") * Material Discrepancy Adjustments 0014 1.00 $2,069.10 $2,069.10
26948(04) 0047 6" PERFORATED PIPE UNDERDRAIN ROUND * Missing Material Certification 0007 -26.00 $28.25 $-734.50
26948(04) 0047 6" PERFORATED PIPE UNDERDRAIN ROUND * Missing Material Certification 0009 26.00 $28.25 $734.50
26948(04) 0050 BEAM GUARDRAIL W-BEAM SINGLE * Missing Material Certification 0010 -12.50 $14.60 $-182.50
26948(04) 0050 BEAM GUARDRAIL W-BEAM SINGLE * Missing Material Certification 0012 12.50 $14.60 $182.50
26948(04) 0051 GUARDRAIL ANCHOR UNIT (TYPE D-BF) * Missing Material Certification 0011 -4.00 $1,570.00 $-6,280.00
26948(04) 0051 GUARDRAIL ANCHOR UNIT (TYPE D-BF) * Missing Material Certification 0012 4.00 $1,570.00 $6,280.00
26948(04) 0052 GUARDRAIL ANCHOR UNIT (TYPE A) * Missing Material Certification 0010 -3.00 $1,260.00 $-3,780.00
26948(04) 0052 GUARDRAIL ANCHOR UNIT (TYPE A) * Missing Material Certification 0012 3.00 $1,260.00 $3,780.00
26948(04) 0053 GUARDRAIL ANCHOR UNIT (TYPE B) * Missing Material Certification 0010 -1.00 $900.00 $-900.00
26948(04) 0053 GUARDRAIL ANCHOR UNIT (TYPE B) * Missing Material Certification 0012 1.00 $900.00 $900.00
Subtotals For Line Item Adjustments $-2,610.08
* = 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: 110303   Estimate Number: 0014     Primary JP: 26948(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-174D(075)CO Project:    26948(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201(A) 0102 LSUM 1.000 1.000   1.000 $8,000.00 $0.00 $8,000.00
0002 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 2,885.000 2,885.000 61.660 2,885.000 $5.50 $339.13 $15,867.51
0003 UNCLASSIFIED BORROW 202(D) 0184 CY 2,778.000 2,778.000   2,778.000 $7.00 $0.00 $19,446.00
0004 TYPE A-SALVAGED TOPSOIL 205(A) 4229 LSUM 1.000 1.000   1.000 $5,850.00 $0.00 $5,850.00
0005 TEMPORARY SILT FENCE 221(C) 2801 LF 1,075.000 944.000   944.000 $1.55 $0.00 $1,463.20
0006 TEMPORARY SILT DIKE 221(F) 0100 LF 360.000 133.000   133.000 $6.00 $0.00 $798.00
0007 SOLID SLAB SODDING 230(A) 2806 SY 5,989.000 6,250.170 1.000 6,250.170 $2.20 $2.20 $13,750.37
0008 VEGETATIVE MULCHING 233(A) 2817 AC 2.600 0.000   0.000 $200.00 $0.00 $0.00
0009 AGGREGATE BASE TYPE A 303(A) 2100 CY 647.000 628.380 -68.130 628.380 $43.22 $-2,944.58 $27,158.58
0010 SEPARATOR FABRIC 325 5271 SY 4,518.000 4,518.300 0.060 4,518.300 $2.50 $0.15 $11,295.75
0011 PRIME COAT 408 5774 GAL 2,000.000 890.380 0.380 890.380 $4.00 $1.52 $3,561.52
0012 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 574.000 575.510   575.510 $94.00 $0.00 $54,097.94
0013 CLASS C CONCRETE 509(D) 0325 CY 10.000 0.000   0.000 $260.00 $0.00 $0.00
0014 21" X 15" CORR. GALV. STEEL PIPE ARCH 613(B) 4527 LF 108.000 108.000   108.000 $20.00 $0.00 $2,160.00
0015 28" X 20" CORR. GALV. STEEL PIPE ARCH 613(B) 4528 LF 78.000 78.000   78.000 $24.50 $0.00 $1,911.00
0016 28" X 20" GALV. STEEL CULVERT END SECTION ARCH 613(P) 4571 EA 4.000 4.000   4.000 $275.00 $0.00 $1,100.00
0017 21" X 15" GALV. STEEL CULVERT END SECTION ARCH 613(P) 7025 EA 6.000 4.000   4.000 $270.00 $0.00 $1,080.00
0018 MAILBOX INSTALLATION-SINGLE 629(A) 4958 EA 1.000 1.000   1.000 $78.40 $0.00 $78.40
0019 MAILBOX 629(C) 4960 EA 1.000 1.000   1.000 $28.00 $0.00 $28.00
0020 REMOVAL OF MAILBOX INSTALLATION 629(D) 4961 EA 1.000 0.000   0.000 $12.00 $0.00 $0.00
0021 REMOVE AND RESET MAILBOX 629(E) 5048 EA 1.000 1.000   1.000 $12.00 $0.00 $12.00
0022 SHEET ALUMINUM SIGNS 850(A) 8110 SF 30.320 30.320   30.320 $12.00 $0.00 $363.84
0023 FLANGE CHANNEL POSTS(4 LB/FT) 851(D) 8597 LF 66.000 66.000   66.000 $10.50 $0.00 $693.00
0024 DELINEATORS(TYPE 2, CODE 1) 853 9033 EA 12.000 12.000   12.000 $10.50 $0.00 $126.00
0025 TRAFFIC STRIPE(PAINT)(4" WIDE) 854(A) 8800 LF 6,200.000 6,023.000   6,023.000 $0.28 $0.00 $1,686.44
0026 TRAFFIC STRIPE(PAINT)(SYMBOLS) 854(B) 8809 EA 1.000 1.000   1.000 $196.00 $0.00 $196.00
Subtotals For Category     0100/ROADWAY    $-2,601.58 $170,723.55
Fed/State Project Number:    BRO-174D(075)CO Project:    26948(04) Category:    0200/BRIDGE 'A'
0027 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 120.000 120.000   120.000 $8.75 $0.00 $1,050.00
0028 SUBSTRUCTURE EXCAVATION ROCK 501(C) 1308 CY 45.000 44.440   44.440 $100.00 $0.00 $4,444.00
0029 GRANULAR BACKFILL 501(F) 6352 CY 95.000 95.000   95.000 $54.00 $0.00 $5,130.00
0030 PRESTRESSED CONCRETE BEAMS (TYPE J BT) 503(A) 6290 LF 359.000 359.000   359.000 $275.00 $0.00 $98,725.00
0031 CONCRETE RAIL (TR3) 504(D) 6239 LF 309.800 309.800   309.800 $69.00 $0.00 $21,376.20
0032 STRUCTURAL STEEL 506(A) 1322 LB 750.000 750.000   750.000 $2.25 $0.00 $1,687.50
0033 WEATHERING STEEL FIXED BEARING ASSEMBLY 507(A) 6172 EA 3.000 3.000   3.000 $1,200.00 $0.00 $3,600.00
0034 WEATHERING STEEL EXPANSION BEARING ASSEMBLY 507(B) 6176 EA 3.000 3.000   3.000 $1,200.00 $0.00 $3,600.00
0035 CLASS AA CONCRETE 509(A) 1326 CY 105.800 105.800   105.800 $500.00 $0.00 $52,900.00
0036 CLASS A CONCRETE 509(B) 1328 CY 73.800 73.800   73.800 $520.00 $0.00 $38,376.00
0037 SLOPE WALL (4") 510(C) 6137 SY 36.800 36.800 0.000 36.800 $285.00 $0.00 $10,488.00
0038 REINFORCING STEEL 511(A) 1332 LB 33,850.000 33,850.000   33,850.000 $0.86 $0.00 $29,111.00
0039 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 52.000 52.080   52.080 $36.00 $0.00 $1,874.88
0040 PILES, FURNISHED (HP 12X53) 514(A) 6011 LF 154.000 154.000   154.000 $42.00 $0.00 $6,468.00
0041 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 52.000 52.080   52.080 $18.00 $0.00 $937.44
0042 PILES, DRIVEN (HP 12X53) 514(B) 6294 LF 154.000 150.250   150.250 $20.00 $0.00 $3,005.00
0043 DRILLED SHAFTS 18" DIAMETER 516(A) 6089 LF 10.000 10.400 0.400 10.400 $900.00 $360.00 $9,360.00
0044 DRILLED SHAFTS 30" DIAMETER 516(A) 6091 LF 24.000 27.300 3.300 27.300 $725.00 $2,392.50 $19,792.50
0045 TYPE I-A PLAIN RIPRAP 601(B) 1353 TON 260.000 245.050   245.050 $30.66 $0.00 $7,513.24
0046 TYPE I-A FILTER BLANKET 601(C) 1355 TON 65.000 64.300   64.300 $22.64 $0.00 $1,455.76
0047 6" PERFORATED PIPE UNDERDRAIN ROUND 613(H) 6204 LF 52.000 52.000   52.000 $28.25 $0.00 $1,469.00
0048 6" NON-PERF.PIPE UNDERDRAIN RND. 613(I) 6207 LF 22.000 22.000   22.000 $40.00 $0.00 $880.00
0049 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $4,500.00 $0.00 $4,500.00
0050 BEAM GUARDRAIL W-BEAM SINGLE 623(A) 0932 LF 12.500 12.500   12.500 $14.60 $0.00 $182.50
0051 GUARDRAIL ANCHOR UNIT (TYPE D-BF) 623(F) 5686 EA 4.000 4.000   4.000 $1,570.00 $0.00 $6,280.00
0052 GUARDRAIL ANCHOR UNIT (TYPE A) 623(F) 6029 EA 3.000 3.000   3.000 $1,260.00 $0.00 $3,780.00
0053 GUARDRAIL ANCHOR UNIT (TYPE B) 623(F) 6030 EA 1.000 1.000   1.000 $900.00 $0.00 $900.00
0054 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $1,260.00 $0.00 $1,260.00
Subtotals For Category     0200/BRIDGE 'A'    $2,752.50 $340,146.02
Fed/State Project Number:    BRO-174D(075)CO Project:    26948(04) Category:    0600/STAKING
0055 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000   1.000 $10,200.00 $0.00 $10,200.00
Subtotals For Category     0600/STAKING    $0.00 $10,200.00
Fed/State Project Number:    BRO-174D(075)CO Project:    26948(04) Category:    0640/CONSTRUCTION
0056 SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $2,900.00 $0.00 $2,900.00
0057 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $44,905.38 $0.00 $44,905.38
Subtotals For Category     0640/CONSTRUCTION    $0.00 $47,805.38
Subtotals For Project BRO-174D(075)CO /26948(04) $150.92 $568,874.95