Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 110310   Estimate Number: 0016 , Final     Spec Year: 2009
Primary JP: 21843(04)   Residency: ADA (03100)     Contract No: 710150
Date Created: 06/04/2013   Contractor FEI: 730764097A     Account No: 400300

Project Number(s): BRFY-162B(121)
Contract Description: BRIDGE AND APPROACHES SH-99: OVER BOIS D' ARC CREEK, 4.57 MILES SOUTH OF THE SH-3 JUNCTION. PROJECT LENGTH = 0.064 MILES.
Primary County: PONTOTOC              
Name of Road: SH-99              
Prime Contractor: MANHATTAN ROAD & BRIDGE COMPANY           Time Charged: 164.00
    5601 S. 122ND E. AVE.           Time Allowed: 134.00
    TULSA , OK   74146           Percent Time: 122.39 %

  Paid To Date: $1,036,430.61 Payable This Statement: $17,162.65

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.                                
MANHATTAN ROAD & BRIDGE COMPANY                               
 
_________________________________________________
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:    06/04/2013
Contract ID: 110310   Estimate Number: 0016     Contract No: 710150
Residency: ADA (03100)   Estimate Type: Final     Account No: 400300

Project Number(s): BRFY-162B(121)
Primary Job Piece No: 21843(04)
Contract Description: BRIDGE AND APPROACHES SH-99: OVER BOIS D' ARC CREEK, 4.57 MILES SOUTH OF THE SH-3 JUNCTION. PROJECT LENGTH = 0.064 MILES.
Primary County: PONTOTOC              
Name of Road: SH-99              
Prime Contractor: MANHATTAN ROAD & BRIDGE COMPANY              
    5601 S. 122ND E. AVE.              
    TULSA , OK   74146              
Surety Company:              

Date Let: 06/16/2011 NTP Effective Date: 11/07/2011 Pay Period: 01/01/2013  TO  05/31/2013
Date Awarded: 07/11/2011 Date Work Began: 11/07/2011 Original Contract Time: 90
Date Contract Executed: 07/22/2011 Date Time Stopped: 08/30/2012 Current Time Charged: 164.00
Date NTP Issued: 07/29/2011 Completion Date: 08/30/2012 Current Time Allowed: 134.00
General Liability Expires: 10/01/2013 Workman's Comp Expires: 10/01/2013 Percent Time Used: 122.39 %
Specification Year: 2009        

Current Contract Amount: $1,059,557.04 Total to Date Prev to Date This Estimate
Bid Amount: $1,020,063.41 Participating: $1,059,557.04 $1,054,628.30 $4,928.74
Percent Complete: 97.82 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $23,126.43 Total Earnings: $1,059,557.04 $1,054,628.30 $4,928.74
Unearned Balance: $-16,367.20 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $1,059,557.04 $1,054,628.30 $4,928.74
Other Adjustments: $-626.43 $-110.34 $-516.09
Liq Dam/Disincentive: $-22,500.00 $-35,250.00 $12,750.00
TOTAL: $1,036,430.61 $1,019,267.96 $17,162.65

Estimate Adjustment Detail

Contract ID: 110310   Estimate Number: 0016     Primary JP: 21843(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Pay Method changed from Field meas. to Pay Plan Approved 01/06/2012 0.0 $0.00
002 Adding Pay Items for Backfill Material Approved 06/18/2012 27.0 $25,220.00
003 Revising Method of Measurement, Time Approved 01/28/2013 17.0 $0.00
004 Finalizing Contract Item Qtys Approved 05/29/2013 0.0 $14,273.63


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
21843(04) 0024 MOH 96" CGSP Stockpiled Material Adjustment 0004 $-23,742.92
21843(04) 0024 MOH 96" CGSP Stockpiled Material Initial Payment 0002 $23,742.92
Subtotals For Stockpile Payments $0.00


LIQUIDATED DAMAGES HISTORY
Adjustment Description Estimate Nbr Time Units Rate Adjustment Amount
System Application of Liquidated Damages 0008 --14 $750.00 $-10,500.00
System Application of Liquidated Damages 0009 --12 $750.00 $-9,000.00
System Application of Liquidated Damages 0010 --16 $750.00 $-12,000.00
System Application of Liquidated Damages 0011 --12 $750.00 $-9,000.00
System Application of Liquidated Damages 0012 -24.0 $750.00 $18,000.00
System Application of Liquidated Damages 0013 --17 $750.00 $-12,750.00
System Application of Liquidated Damages 0016 -17.0 $750.00 $12,750.00
Subtotals For Liquidated Damages $-22,500.00


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
21843(04) 0018 SUPERPAVE, TYPE S3(PG 70-28 OK) Asphalt Binder Adjustment 0011 131.39 $0.55 $73.26
21843(04) 0018 SUPERPAVE, TYPE S3(PG 70-28 OK) * HMA Deduction as per Sec. 411 0012 34.62 $-1.00 $-34.62
21843(04) 0019 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0006 759.07 $-0.13 $-104.41
21843(04) 0019 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0011 602.40 $0.55 $335.87
21843(04) 0019 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0013 94.30 $0.55 $52.58
21843(04) 0020 SUPERPAVE, TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0012 156.49 $0.63 $99.72
21843(04) 0021 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0006 255.81 $-0.15 $-40.21
21843(04) 0021 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0011 71.13 $0.63 $45.32
21843(04) 0021 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0013 66.93 $0.63 $42.65
21843(04) 0023 CLASS C CONCRETE * COMPRESSIVE STRENGTH 0016 1.00 $-516.09 $-516.09
21843(04) 0035 CLASS AA CONCRETE * COMPRESSIVE STRENGTH 0010 -1.00 $580.50 $-580.50
Subtotals For Line Item Adjustments $-626.43
* = 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: 110310   Estimate Number: 0016     Primary JP: 21843(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:    BRFY-162B(121) Project:    21843(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201(A) 0102 LSUM 1.000 1.000   1.000 $7,300.00 $0.00 $7,300.00
0002 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 3,441.000 3,441.000   3,441.000 $3.00 $0.00 $10,323.00
0003 ROCK EXCAVATION 202(C) 0182 CY 1,042.000 1,042.000   1,042.000 $29.00 $0.00 $30,218.00
0004 UNCLASSIFIED BORROW 202(D) 0184 CY 4,039.000 4,039.000   4,039.000 $10.00 $0.00 $40,390.00
0005 TYPE A-SALVAGED TOPSOIL 205(A) 4229 LSUM 1.000 1.000   1.000 $20,000.00 $0.00 $20,000.00
0006 TEMPORARY SILT FENCE 221(C) 2801 LF 1,190.000 671.000   671.000 $1.50 $0.00 $1,006.50
0007 TEMPORARY SILT DIKE 221(F) 0100 LF 120.000 77.000   77.000 $7.00 $0.00 $539.00
0008 TEMPORARY ROCK FILTER DAM TYPE 4 221(G) 0153 CY 111.000 0.000   0.000 $50.00 $0.00 $0.00
0009 SOLID SLAB SODDING 230(A) 2806 SY 6,328.000 14,148.560   14,148.560 $1.19 $0.00 $16,836.79
0010 VEGETATIVE MULCHING 233(A) 2817 AC 1.000 0.000   0.000 $250.00 $0.00 $0.00
0011 MOWING 241 2832 AC 5.500 0.000   0.000 $50.00 $0.00 $0.00
0012 LIME 307(D) 4230 TON 90.000 33.050   33.050 $95.00 $0.00 $3,139.75
0013 LIME STABILIZED SUBGRADE 307(H) 4270 SY 3,776.000 1,510.000   1,510.000 $2.50 $0.00 $3,775.00
0014 TRAFFIC BOUND SURFACE COURSE TYPE E 402(E) 0225 TON 19.000 74.120   74.120 $25.00 $0.00 $1,853.00
0015 FOG SEAL 407(A) 4659 GAL 60.000 0.000   0.000 $5.10 $0.00 $0.00
0016 TACK COAT 407(B) 0250 GAL 679.000 513.880 -173.250 513.880 $3.42 $-592.52 $1,757.46
0017 PRIME COAT 408 5774 GAL 825.000 916.470   916.470 $5.46 $0.00 $5,003.93
0018 SUPERPAVE, TYPE S3(PG 70-28 OK) 411(B) 5940 TON 135.000 131.390   131.390 $94.10 $0.00 $12,363.80
0019 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 1,285.000 1,455.770   1,455.770 $69.87 $0.00 $101,714.65
0020 SUPERPAVE, TYPE S4(PG 70-28 OK) 411(C) 5955 TON 146.000 156.410   156.410 $97.72 $0.00 $15,284.38
0021 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 306.000 393.920   393.920 $95.78 $0.00 $37,729.66
0022 COLD MILLING PAVEMENT 412 5267 SY 590.000 666.670   666.670 $11.22 $0.00 $7,480.04
0023 CLASS C CONCRETE 509(D) 0325 CY 20.000 11.820 0.000 11.820 $225.00 $0.00 $2,659.50
0024 96" CORR. GALV. STEEL PIPE 613(B) 4819 LF 256.000 256.000   256.000 $110.00 $0.00 $28,160.00
0025 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 1.000 1.000   1.000 $1,500.00 $0.00 $1,500.00
0026 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 2,833.000 2,729.100 663.540 2,729.100 $2.30 $1,526.14 $6,276.93
0027 SAWING PAVEMENT 619(C) 0924 LF 411.000 48.000   48.000 $3.00 $0.00 $144.00
0028 FENCE-STYLE SWF (5 BARBED WIRE) 624(C) 4459 LF 618.000 175.000   175.000 $3.16 $0.00 $553.00
0029 MAILBOX INSTALLATION-SINGLE 629(A) 4958 EA 3.000 4.000   4.000 $71.40 $0.00 $285.60
0030 MAILBOX 629(C) 4960 EA 3.000 4.000   4.000 $25.50 $0.00 $102.00
0031 REMOVAL OF MAILBOX INSTALLATION 629(D) 4961 EA 3.000 4.000   4.000 $10.20 $0.00 $40.80
Subtotals For Category     0100/ROADWAY    $933.62 $356,436.79
Fed/State Project Number:    BRFY-162B(121) Project:    21843(04) Category:    0200/BRIDGE 'A'
0032 UNCLASSIFIED EXCAVATION 202(A) 1301 CY 2,880.000 2,880.000   2,880.000 $1.00 $0.00 $2,880.00
0033 ROCK EXCAVATION 202(C) 0182 CY 2,880.000 2,880.000   2,880.000 $29.00 $0.00 $83,520.00
0034 STRUCTURAL EXCAVATION UNCLASSIFIED 501(A) 1306 CY 592.000 592.000   592.000 $29.00 $0.00 $17,168.00
0035 CLASS AA CONCRETE 509(A) 1326 CY 1,124.700 1,124.700   1,124.700 $300.00 $0.00 $337,410.00
0036 REINFORCING STEEL 511(A) 1332 LB 210,890.000 210,890.000   210,890.000 $0.70 $0.00 $147,623.00
0037 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $10,000.00 $0.00 $10,000.00
8001 CONSTRUCTION MISCELLANEOUS 104 0150 TON 0.000 584.030   584.030 $35.00 $0.00 $20,441.05
8002 SEPARATOR FABRIC 325 5271 SY 0.000 1,250.000   1,250.000 $1.50 $0.00 $1,875.00
Subtotals For Category     0200/BRIDGE 'A'    $0.00 $620,917.05
Fed/State Project Number:    BRFY-162B(121) Project:    21843(04) Category:    0300/TRAFFIC SIGNING AND STRIPING
0045 (PL)REMOVE & RESET EXISTING SIGNS 805(D) 8756 EA 2.000 2.000   2.000 $112.20 $0.00 $224.40
0046 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 1,976.000 2,404.000 264.000 2,404.000 $1.43 $377.52 $3,437.72
Subtotals For Category     0300/TRAFFIC SIGNING AND STRIPING    $377.52 $3,662.12
Fed/State Project Number:    BRFY-162B(121) Project:    21843(04) Category:    0302/TRAFFIC CONTROL
0047 CONSTRUCTION TRAFFIC STRIPE(PAINT)(4" WIDE) 857(A) 8839 LF 2,800.000 3,834.000   3,834.000 $0.37 $0.00 $1,418.58
0048 REMOVABLE PAVEMENT MARKING TAPE(4" WIDE) 857(C) 8851 LF 500.000 0.000   0.000 $0.71 $0.00 $0.00
0049 (PL)CONSTRUCTION ZONE PAVEMENT MARKERS(FLEX TAB)TYPE 2-1 857(E) 8887 EA 40.000 0.000   0.000 $1.02 $0.00 $0.00
0050 PAVEMENT MARKING REMOVAL(TRAFFIC STRIPE) 857(F) 8006 LF 1,000.000 326.000   326.000 $0.26 $0.00 $84.76
0051 (SP)CONST.ZONE IMPACT ATTEN. 871(B) 8705 SD 100.000 154.000 58.000 154.000 $41.82 $2,425.56 $6,440.28
0052 DELIVER PORTABLE LONGITUDINAL BARRIER 877(B) 8484 LF 460.000 460.000   460.000 $17.00 $0.00 $7,820.00
0053 CONSTRUCTION SIGNS 0 TO 6.25 SF 880(B) 8818 SD 1,200.000 1,664.000 136.000 1,664.000 $0.02 $2.72 $33.28
0054 CONSTRUCTION SIGNS 6.26 SF TO 15.99 SF 880(B) 8821 SD 840.000 1,976.000 255.000 1,976.000 $0.51 $130.05 $1,007.76
0055 CONSTRUCTION SIGNS 16.0 SF TO 32.99 SF 880(B) 8824 SD 120.000 2,418.000 221.000 2,418.000 $3.06 $676.26 $7,399.08
0056 CONSTRUCTION BARRICADES(TYPE III) 880(C) 8842 SD 240.000 390.000 102.000 390.000 $1.53 $156.06 $596.70
0057 WING BARRICADES 880(C) 8848 SD 240.000 832.000 68.000 832.000 $0.61 $41.48 $507.52
0058 VERTICAL PANELS 880(D) 8854 SD 1,200.000 1,300.000 340.000 1,300.000 $0.02 $6.80 $26.00
0059 WARNING LIGHTS(TYPE A) 880(E) 8860 SD 1,080.000 2,782.000 391.000 2,782.000 $0.31 $121.21 $862.42
0060 DRUMS 880(F) 8878 SD 1,140.000 845.000 221.000 845.000 $0.26 $57.46 $219.70
0061 CHANNELIZER CONES 880(G) 8890 SD 300.000 0.000   0.000 $0.03 $0.00 $0.00
0062 PORT.CHANGEABLE MESSAGE SIGN 882(A) 8306 SD 120.000 0.000   0.000 $30.60 $0.00 $0.00
Subtotals For Category     0302/TRAFFIC CONTROL    $3,617.60 $26,416.08
Fed/State Project Number:    BRFY-162B(121) Project:    21843(04) Category:    0600/STAKING
0063 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000   1.000 $3,825.00 $0.00 $3,825.00
Subtotals For Category     0600/STAKING    $0.00 $3,825.00
Fed/State Project Number:    BRFY-162B(121) Project:    21843(04) Category:    0640/CONSTRUCTION
0064 SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $2,000.00 $0.00 $2,000.00
0065 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $46,300.00 $0.00 $46,300.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $48,300.00
Subtotals For Project BRFY-162B(121) /21843(04) $4,928.74 $1,059,557.04