Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 110331   Estimate Number: 0012 , Final     Spec Year: 2009
Primary JP: 28175(04)   Residency: PURCELL (03200)     Contract No: 710200
Date Created: 08/02/2013   Contractor FEI: 731427175     Account No: 404300

Project Number(s): SBR-125C(197)SB
Contract Description: BRIDGE REHABILITATION SH-74: OVER ROCK CREEK, 7.76 MILES NORTH OF THE CARTER COUNTY LINE. PROJECT LENGTH = 0.112 MILES.
Primary County: GARVIN              
Name of Road: SH-74              
Prime Contractor: K & R BUILDERS, INC.           Time Charged: 142.00
    P.O. BOX 656           Time Allowed: 144.00
    WHEATLAND , OK   73097           Percent Time: 98.61 %

  Paid To Date: $641,527.12 Payable This Statement: $-666.36

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:    08/02/2013
Contract ID: 110331   Estimate Number: 0012     Contract No: 710200
Residency: PURCELL (03200)   Estimate Type: Final     Account No: 404300

Project Number(s): SBR-125C(197)SB
Primary Job Piece No: 28175(04)
Contract Description: BRIDGE REHABILITATION SH-74: OVER ROCK CREEK, 7.76 MILES NORTH OF THE CARTER COUNTY LINE. PROJECT LENGTH = 0.112 MILES.
Primary County: GARVIN              
Name of Road: SH-74              
Prime Contractor: K & R BUILDERS, INC.              
    P.O. BOX 656              
    WHEATLAND , OK   73097              
Surety Company: OHIO CASUALTY INSURANCE COMPANY              

Date Let: 07/21/2011 NTP Effective Date: 01/23/2012 Pay Period: 09/01/2012  TO  08/02/2013
Date Awarded: 08/01/2011 Date Work Began: 01/23/2012 Original Contract Time: 120
Date Contract Executed: 08/09/2011 Date Time Stopped: 08/31/2012 Current Time Charged: 142.00
Date NTP Issued: 08/18/2011 Completion Date: 08/31/2012 Current Time Allowed: 144.00
General Liability Expires: 05/01/2014 Workman's Comp Expires: 07/01/2014 Percent Time Used: 98.61 %
Specification Year: 2009        

Current Contract Amount: $642,205.84 Total to Date Prev to Date This Estimate
Bid Amount: $585,584.77 Participating: $0.00 $0.00 $0.00
Percent Complete: 99.89 % Non Participating: $642,205.86 $642,200.46 $5.40
Funds Available: $678.72 Total Earnings: $642,205.86 $642,200.46 $5.40
Unearned Balance: $-55,942.35 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $642,205.86 $642,200.46 $5.40
Other Adjustments: $-678.74 $-6.98 $-671.76
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $641,527.12 $642,193.48 $-666.36

Estimate Adjustment Detail

Contract ID: 110331   Estimate Number: 0012     Primary JP: 28175(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 extend work order effective date Approved 12/19/2011 0.0 $0.00
002 Add Additional Pay Item Approved 09/11/2012 24.0 $70,235.00
003 CO FINALIZING CONTRACT ITEM QUANTITIES Approved 08/01/2013 0.0 $-13,613.93


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
28175(04) 0015 APPROACH SLAB - MOH Stockpiled Material Adjustment 0005 $-2,536.23
28175(04) 0015 APPROACH SLAB - MOH Stockpiled Material Adjustment 0006 $-932.97
28175(04) 0015 APPROACH SLAB - MOH Stockpiled Material Initial Payment 0004 $3,469.20
28175(04) 0017 SEJ - MOH Stockpiled Material Initial Payment 0004 $6,426.00
28175(04) 0017 SEJ - MOH Stockpiled Material Adjustment 0005 $-3,213.00
28175(04) 0017 SEJ - MOH Stockpiled Material Adjustment 0008 $-3,213.00
28175(04) 0018 CONCRETE RAIL - MOH Stockpiled Material Initial Payment 0004 $1,420.00
28175(04) 0018 CONCRETE RAIL - MOH Stockpiled Material Adjustment 0006 $-1,412.80
28175(04) 0018 CONCRETE RAIL - MOH Stockpiled Material Adjustment 0010 $-7.20
28175(04) 0019 FIXED BEARING - MOH Stockpiled Material Adjustment 0007 $-5,304.00
28175(04) 0019 FIXED BEARING - MOH Stockpiled Material Adjustment 0003 $-5,304.00
28175(04) 0019 FIXED BEARING - MOH Stockpiled Material Initial Payment 0001 $10,608.00
28175(04) 0020 EXPANSION BEARING - MOH Stockpiled Material Adjustment 0003 $-10,608.00
28175(04) 0020 EXPANSION BEARING - MOH Stockpiled Material Initial Payment 0001 $21,216.00
28175(04) 0020 EXPANSION BEARING - MOH Stockpiled Material Adjustment 0007 $-10,608.00
28175(04) 0022 RESTEEL - MOH Stockpiled Material Adjustment 0004 $-14.41
28175(04) 0022 RESTEEL - MOH Stockpiled Material Initial Payment 0004 $12,988.99
28175(04) 0022 RESTEEL - MOH Stockpiled Material Adjustment 0006 $-12,974.58
Subtotals For Stockpile Payments $0.00


LIQUIDATED DAMAGES HISTORY
Adjustment Description Estimate Nbr Time Units Rate Adjustment Amount
System Application of Liquidated Damages 0009 --10 $500.00 $-5,000.00
System Application of Liquidated Damages 0010 --11 $500.00 $-5,500.00
System Application of Liquidated Damages 0011 -21.0 $500.00 $10,500.00
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
28175(04) 0006 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0002 80.45 $-0.24 $-19.51
28175(04) 0006 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0009 3.00 $0.34 $1.04
28175(04) 0006 SUPERPAVE, TYPE S3(PG 64-22 OK) * Asphalt Binder Adjustment 0011 0.00 $0.00 $-1.04
28175(04) 0018 CONCRETE RAIL (TR4) * COMPRESSIVE STRENGTH 0008 0.00 $0.00 $-32.74
28175(04) 0018 CONCRETE RAIL (TR4) * COMPRESSIVE STRENGTH 0012 0.00 $0.00 $-671.76
28175(04) 8000 SUPERPAVE, TYPE S4(PG 64-22 OK) * Asphalt Binder Adjustment 0011 0.00 $0.00 $45.27
Subtotals For Line Item Adjustments $-678.74
* = 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: 110331   Estimate Number: 0012     Primary JP: 28175(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:    SBR-125C(197)SB Project:    28175(04) Category:    0100/ROADWAY
0001 TYPE A-SALVAGED TOPSOIL 205(A) 4229 LSUM 1.000 1.000   1.000 $1,600.00 $0.00 $1,600.00
0002 TEMPORARY SILT FENCE 221(C) 2801 LF 832.000 400.000   400.000 $1.00 $0.00 $400.00
0003 TEMPORARY SILT DIKE 221(F) 0100 LF 40.000 0.000   0.000 $7.00 $0.00 $0.00
0004 SOLID SLAB SODDING 230(A) 2806 SY 820.000 1,506.000   1,506.000 $3.35 $0.00 $5,045.10
0005 TRAFFIC BOUND SURFACE COURSE TYPE A 402(A) 0217 TON 340.000 361.510   361.510 $23.00 $0.00 $8,314.73
0006 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 69.000 145.610   145.610 $440.00 $0.00 $64,068.40
0007 CLASS C CONCRETE 509(D) 0325 CY 12.800 8.350   8.350 $525.00 $0.00 $4,383.75
0008 REMOVAL OF GUARDRAIL 619(B) 4780 LF 600.000 600.000   600.000 $2.75 $0.00 $1,650.00
0009 SAWING PAVEMENT 619(C) 0924 LF 832.000 532.000   532.000 $3.75 $0.00 $1,995.00
0010 BEAM GUARDRAIL W-BEAM SINGLE 623(A) 0932 LF 200.000 200.000   200.000 $16.75 $0.00 $3,350.00
0011 GUARDRAIL END TREATMENT (GET) 623(G) 8571 EA 4.000 4.000   4.000 $2,100.00 $0.00 $8,400.00
0012 GUARDRAIL BRIDGE CONNECTION-TYPE A 623(I) 8675 EA 4.000 4.000   4.000 $1,850.00 $0.00 $7,400.00
8000 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 0.000 156.260   156.260 $250.47 $0.00 $39,138.44
8001 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 0.000 59.360   59.360 $-44.00 $0.00 $-2,611.84
Subtotals For Category     0100/ROADWAY    $0.00 $143,133.58
Fed/State Project Number:    SBR-125C(197)SB Project:    28175(04) Category:    0200/BRIDGE 'A'
0013 UNCLASSIFIED BORROW 202(D) 0184 CY 25.000 0.000   0.000 $50.00 $0.00 $0.00
0014 (PL)FALSEWORK JACKING 502 6116 LSUM 1.000 1.000   1.000 $16,000.00 $0.00 $16,000.00
0015 APPROACH SLAB 504(A) 1304 SY 168.000 168.000   168.000 $215.00 $0.00 $36,120.00
0016 SAW-CUT GROOVING 504(B) 1305 SY 617.200 585.230   585.230 $4.50 $0.00 $2,633.54
0017 SEALED EXPANSION JOINT 504(C) 6250 LF 36.000 36.000   36.000 $265.00 $0.00 $9,540.00
0018 CONCRETE RAIL (TR4) 504(D) 6245 LF 355.000 355.000 0.000 355.000 $81.00 $0.00 $28,755.00
0019 STAINLESS STEEL FIXED BEARING ASSEMBLY 507(A) 6170 EA 8.000 8.000   8.000 $2,600.00 $0.00 $20,800.00
0020 STAINLESS STEEL EXPANSION BEARING ASSEMBLY 507(B) 6174 EA 16.000 16.000   16.000 $2,600.00 $0.00 $41,600.00
0021 CLASS AA CONCRETE 509(A) 1326 CY 122.200 122.200   122.200 $775.00 $0.00 $94,705.00
0022 EPOXY COATED REINFORCING STEEL 511(B) 6010 LB 45,900.000 45,900.000   45,900.000 $1.05 $0.00 $48,195.01
0023 WATER REPELLENT (VISUALLY INSPECTED) 515(A) 6013 SY 269.200 269.200   269.200 $4.40 $0.00 $1,184.48
0024 PNEUMATICALLY PLACED MORTAR 521(A) 6210 SY 31.000 30.670   30.670 $665.00 $0.00 $20,395.55
0025 SEALER CRACK PREPARATION 523(A) 6550 LF 172.500 172.500   172.500 $4.40 $0.00 $759.00
0026 SEALER RESIN 523(B) 6560 GAL 2.000 2.000   2.000 $150.00 $0.00 $300.00
0027 TYPE I-A PLAIN RIPRAP 601(B) 1353 TON 500.000 612.430   612.430 $31.50 $0.00 $19,291.55
0028 TYPE I-A FILTER BLANKET 601(C) 1355 TON 134.000 119.000   119.000 $24.00 $0.00 $2,856.00
0029 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $80,000.00 $0.00 $80,000.00
Subtotals For Category     0200/BRIDGE 'A'    $0.00 $423,135.13
Fed/State Project Number:    SBR-125C(197)SB Project:    28175(04) Category:    0300/TRAFFIC
0030 (PL)REMOVAL OF EXISTING SIGNS 805(A) 8722 LSUM 1.000 1.000   1.000 $350.00 $0.00 $350.00
0031 (SP)PORTABLE TRAFFIC SIGNAL SYSTEM 823 8478 SD 240.000 142.000   142.000 $94.00 $0.00 $13,348.00
0032 2" SQUARE TUBE POST 851(C) 8324 LF 880.000 0.000   0.000 $6.00 $0.00 $0.00
0033 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 2,376.000 3,717.000   3,717.000 $2.70 $0.00 $10,035.90
0034 CONSTRUCTION TRAFFIC STRIPE(PAINT)(4" WIDE) 857(A) 8839 LF 10,727.000 632.000   632.000 $0.22 $0.00 $139.04
0035 REMOVABLE PAVEMENT MARKING TAPE(4" WIDE) 857(C) 8851 LF 2,586.000 2,604.000 4.000 2,604.000 $1.35 $5.40 $3,515.40
0036 PORTABLE LONGITUDINAL BARRIER 877(A) 8483 LF 675.000 675.000   675.000 $17.75 $0.00 $11,981.25
0037 RELOCATION OF PORTABLE LONGITUDINAL BARRIER 877(C) 8486 LF 675.000 675.000   675.000 $3.00 $0.00 $2,025.00
0038 ARROW DISPLAY(TYPE C) 880(A) 8812 SD 120.000 0.000   0.000 $7.15 $0.00 $0.00
0039 CONSTRUCTION SIGNS 0 TO 6.25 SF 880(B) 8818 SD 720.000 284.000   284.000 $1.65 $0.00 $468.60
0040 CONSTRUCTION SIGNS 6.26 SF TO 15.99 SF 880(B) 8821 SD 960.000 1,420.000   1,420.000 $0.55 $0.00 $781.00
0041 CONSTRUCTION SIGNS 16.0 SF TO 32.99 SF 880(B) 8824 SD 2,640.000 3,976.000   3,976.000 $0.83 $0.00 $3,300.08
0042 CONSTRUCTION BARRICADES(TYPE III) 880(C) 8842 SD 480.000 284.000   284.000 $1.90 $0.00 $539.60
0043 WING BARRICADES 880(C) 8848 SD 480.000 568.000   568.000 $2.20 $0.00 $1,249.60
0044 WARNING LIGHTS(TYPE A) 880(E) 8860 SD 1,440.000 3,692.000   3,692.000 $0.19 $0.00 $701.48
0045 WARNING LIGHTS(TYPE C) 880(E) 8872 SD 8,760.000 2,556.000   2,556.000 $0.22 $0.00 $562.32
0046 DRUMS 880(F) 8878 SD 2,160.000 3,692.000   3,692.000 $0.39 $0.00 $1,439.88
Subtotals For Category     0300/TRAFFIC    $5.40 $50,437.15
Fed/State Project Number:    SBR-125C(197)SB Project:    28175(04) Category:    0600/STAKING
0047 CONSTRUCTION STAKING LEVEL I 642(A) 0095 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:    SBR-125C(197)SB Project:    28175(04) Category:    0640/CONSTRUCTION
0048 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $20,500.00 $0.00 $20,500.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $20,500.00
Subtotals For Project SBR-125C(197)SB /28175(04) $5.40 $642,205.86