Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 110325   Estimate Number: 0004 , Final     Spec Year: 2009
Primary JP: 27785(04)   Residency: PURCELL (03200)     Contract No: 710332
Date Created: 10/16/2012   Contractor FEI: 731213593     Account No: 400350

Project Number(s): STP-114B(276)AG
Contract Description: PEDESTRIAN IMPROVEMENT CITY STREET (12TH STREET): FROM SANTA FE AVENUE, EXTEND EAST TO JANEWAY AVENUE IN THE CITY OF MOORE. PROJECT LENGTH = 0.52 MILES.
Primary County: CLEVELAND              
Name of Road: CITY STREET              
Prime Contractor: RUDY CONSTRUCTION CO.           Time Charged: 87.00
    3101 NE 63RD STREET           Time Allowed: 87.00
    OKLAHOMA CITY , OK   73121           Percent Time: 100.00 %

  Paid To Date: $167,662.05 Payable This Statement: $9,320.55

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.                                
RUDY CONSTRUCTION CO.                               
 
_________________________________________________
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:    10/16/2012
Contract ID: 110325   Estimate Number: 0004     Contract No: 710332
Residency: PURCELL (03200)   Estimate Type: Final     Account No: 400350

Project Number(s): STP-114B(276)AG
Primary Job Piece No: 27785(04)
Contract Description: PEDESTRIAN IMPROVEMENT CITY STREET (12TH STREET): FROM SANTA FE AVENUE, EXTEND EAST TO JANEWAY AVENUE IN THE CITY OF MOORE. PROJECT LENGTH = 0.52 MILES.
Primary County: CLEVELAND              
Name of Road: CITY STREET              
Prime Contractor: RUDY CONSTRUCTION CO.              
    3101 NE 63RD STREET              
    OKLAHOMA CITY , OK   73121              
Surety Company: TRAVELERS INDEMNITY COMPANY              

Date Let: 08/18/2011 NTP Effective Date: 12/05/2011 Pay Period: 03/01/2012  TO  10/16/2012
Date Awarded: 09/12/2011 Date Work Began: 12/05/2011 Original Contract Time: 60
Date Contract Executed: 09/26/2011 Date Time Stopped: 02/29/2012 Current Time Charged: 87.00
Date NTP Issued: 09/29/2011 Completion Date: 02/29/2012 Current Time Allowed: 87.00
General Liability Expires: 08/01/2013 Workman's Comp Expires: 08/01/2013 Percent Time Used: 100.00 %
Specification Year: 2009        

Current Contract Amount: $167,662.05 Total to Date Prev to Date This Estimate
Bid Amount: $158,341.50 Participating: $167,662.05 $166,149.20 $1,512.85
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $0.00 Total Earnings: $167,662.05 $166,149.20 $1,512.85
Unearned Balance: $-9,320.55 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $167,662.05 $166,149.20 $1,512.85
Other Adjustments: $0.00 $5,692.30 $-5,692.30
Liq Dam/Disincentive: $0.00 $-13,500.00 $13,500.00
TOTAL: $167,662.05 $158,341.50 $9,320.55

Estimate Adjustment Detail

Contract ID: 110325   Estimate Number: 0004     Primary JP: 27785(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Time adjustment for additional work Approved 08/29/2012 27.0 $0.00
002 CO FINALIZING CONTRACT ITEM QUANTITIES Approved 10/15/2012 0.0 $9,320.55


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 0003 --27 $500.00 $-13,500.00
System Application of Liquidated Damages 0004 -27.0 $500.00 $13,500.00
Subtotals For Liquidated Damages $0.00


CONTRACT ADJUSTMENTS HISTORY
Adjustment Description Estimate Nbr Adjustment Amount
LD Adjustment (Prog. Est. Only) 0003 $13,500.00
Withhold to Funds Avail(Prog. Est. Only) 0003 $-7,807.70
LD Adjustment (Prog. Est. Only) 0004 $-13,500.00
Withhold to Funds Avail(Prog. Est. Only) 0004 $7,807.70
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: 110325   Estimate Number: 0004     Primary JP: 27785(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-114B(276)AG Project:    27785(04) Category:    0100/ROADWAY
0001 SELECTIVE CLEARING 201 0181 LSUM 1.000 1.000   1.000 $4,000.00 $0.00 $4,000.00
0002 TEMPORARY SILT FENCE 221(C) 2801 LF 2,800.000 0.000   0.000 $1.50 $0.00 $0.00
0003 (PL)TEMPORARY INLET SEDIMENT FILTER 221(H) 0450 EA 2.000 0.000   0.000 $75.00 $0.00 $0.00
0004 SOLID SLAB SODDING 230(A) 2806 SY 1,571.000 2,848.490 55.630 2,848.490 $2.50 $139.08 $7,121.23
0005 TRAFFIC BOUND SURFACE COURSE TYPE A 402(A) 0217 TON 41.000 0.000   0.000 $27.00 $0.00 $0.00
0006 2'-8" COMB. CURB & GUTTER (6" BARRIER) 609(B) 1525 LF 156.000 434.330 170.230 434.330 $20.00 $3,404.60 $8,686.60
0007 4" CONCRETE SIDEWALK 610(A) 0602 SY 1,642.000 1,679.470 -28.520 1,679.470 $40.00 $-1,140.80 $67,178.80
0008 6" CONCRETE DRIVEWAY 610(B) 0604 SY 625.000 730.700 -48.500 730.700 $60.00 $-2,910.00 $43,842.00
0009 TACTILE WARNING DEVICE-NEW 610(I) 4610 SF 269.000 200.000   200.000 $40.00 $0.00 $8,000.00
0010 VALVE BOXES ADJUST TO GRADE 612(E) 0647 EA 8.000 8.000 1.000 8.000 $150.00 $150.00 $1,200.00
0011 METER BOXES ADJUST TO GRADE 612(F) 0648 EA 2.000 2.000   2.000 $150.00 $0.00 $300.00
0012 REMOVAL OF CURB AND GUTTER 619(B) 4726 LF 316.000 264.000   264.000 $7.00 $0.00 $1,848.00
0013 REMOVAL OF CONCRETE DRIVEWAY 619(B) 4766 SY 627.000 802.680 5.350 802.680 $7.00 $37.45 $5,618.76
0014 REMOVAL OF SIDEWALK 619(B) 4792 SY 233.000 267.950 -16.050 267.950 $7.00 $-112.35 $1,875.65
0015 SAWING PAVEMENT 619(C) 0924 LF 855.000 863.670 98.290 863.670 $3.00 $294.87 $2,591.01
Subtotals For Category     0100/ROADWAY    $-137.15 $152,262.05
Fed/State Project Number:    STP-114B(276)AG Project:    27785(04) Category:    0300/TRAFFIC
0016 (PL)REMOVE & RESET GROUND MOUNTED SIGN 805(D) 8760 EA 3.000 2.000 2.000 2.000 $200.00 $400.00 $400.00
0017 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $5,000.00 $0.00 $5,000.00
Subtotals For Category     0300/TRAFFIC    $400.00 $5,400.00
Fed/State Project Number:    STP-114B(276)AG Project:    27785(04) Category:    0600/STAKING
0018 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000   1.000 $5,000.00 $0.00 $5,000.00
Subtotals For Category     0600/STAKING    $0.00 $5,000.00
Fed/State Project Number:    STP-114B(276)AG Project:    27785(04) Category:    0640/CONSTRUCTION
0019 MOBILIZATION 641 1552 LSUM 1.000 1.000 0.250 1.000 $5,000.00 $1,250.00 $5,000.00
Subtotals For Category     0640/CONSTRUCTION    $1,250.00 $5,000.00
Subtotals For Project STP-114B(276)AG /27785(04) $1,512.85 $167,662.05