Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 110377   Estimate Number: 0018 , Final     Spec Year: 2009
Primary JP: 20890(04)   Residency: SAND SPRINGS (08400)     Contract No: 710310
Date Created: 02/22/2013   Contractor FEI: 731394406A     Account No: 400800

Project Number(s): BRFY-119C(102)
Contract Description: BRIDGE AND APPROACHES SH-16: OVER ROCK CREEK, 2.2 MILES EAST OF THE SH-48 JUNCTION. PROJECT LENGTH = 0.099 MILES.
Primary County: CREEK              
Name of Road: SH-16              
Prime Contractor: OBC, INC./PLAINS BRIDGE CONTRACTING OF OKLAHOMA, LLC (JV)           Time Charged: 145.00
    P.O. BOX 3817           Time Allowed: 127.00
    EDMOND , OK   73083           Percent Time: 114.17 %

  Paid To Date: $920,368.53 Payable This Statement: $1,223.57

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.                                
OBC, INC./PLAINS BRIDGE CONTRACTING OF OKLAHOMA, LLC (JV)                               
 
_________________________________________________
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:    02/22/2013
Contract ID: 110377   Estimate Number: 0018     Contract No: 710310
Residency: SAND SPRINGS (08400)   Estimate Type: Final     Account No: 400800

Project Number(s): BRFY-119C(102)
Primary Job Piece No: 20890(04)
Contract Description: BRIDGE AND APPROACHES SH-16: OVER ROCK CREEK, 2.2 MILES EAST OF THE SH-48 JUNCTION. PROJECT LENGTH = 0.099 MILES.
Primary County: CREEK              
Name of Road: SH-16              
Prime Contractor: OBC, INC./PLAINS BRIDGE CONTRACTING OF OKLAHOMA, LLC (JV)              
    P.O. BOX 3817              
    EDMOND , OK   73083              
Surety Company: LIBERTY MUTUAL INSURANCE COMPANY              

Date Let: 08/18/2011 NTP Effective Date: 11/07/2011 Pay Period: 09/01/2012  TO  02/22/2013
Date Awarded: 09/12/2011 Date Work Began: 11/02/2011 Original Contract Time: 120
Date Contract Executed: 09/26/2011 Date Time Stopped: 11/27/2012 Current Time Charged: 145.00
Date NTP Issued: 09/28/2011 Completion Date: 11/27/2012 Current Time Allowed: 127.00
General Liability Expires: 05/01/2013 Workman's Comp Expires: 07/01/2013 Percent Time Used: 114.17 %
Specification Year: 2009        

Current Contract Amount: $938,519.43 Total to Date Prev to Date This Estimate
Bid Amount: $955,789.64 Participating: $938,519.44 $937,295.87 $1,223.57
Percent Complete: 98.07 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $18,150.90 Total Earnings: $938,519.44 $937,295.87 $1,223.57
Unearned Balance: $35,421.11 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $938,519.44 $937,295.87 $1,223.57
Other Adjustments: $-9,150.91 $-9,150.91 $0.00
Liq Dam/Disincentive: $-9,000.00 $-9,000.00 $0.00
TOTAL: $920,368.53 $919,144.96 $1,223.57

Estimate Adjustment Detail

Contract ID: 110377   Estimate Number: 0018     Primary JP: 20890(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Time chg. adjustment Approved 03/16/2012 3.0 $0.00
002 Rip Rap Approved 04/25/2012 4.0 $18,033.00
003 Final Change Order Approved 02/15/2013 0.0 $-35,303.21


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
20890(04) 0037 REBAR-GR60 Stockpiled Material Adjustment 0007 $-17,302.00
20890(04) 0037 REBAR-GR60 Stockpiled Material Adjustment 0009 $-9,279.93
20890(04) 0037 REBAR-GR60 Stockpiled Material Initial Payment 0007 $26,581.93
Subtotals For Stockpile Payments $0.00


LIQUIDATED DAMAGES HISTORY
Adjustment Description Estimate Nbr Time Units Rate Adjustment Amount
System Application of Liquidated Damages 0010 --5.0 $500.00 $-2,500.00
System Application of Liquidated Damages 0011 --8.0 $500.00 $-4,000.00
System Application of Liquidated Damages 0012 --5.0 $500.00 $-2,500.00
Subtotals For Liquidated Damages $-9,000.00


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
20890(04) 0004 TYPE A-SALVAGED TOPSOIL * Missing Material Certification 0010 -0.25 $7,140.00 $-1,785.00
20890(04) 0004 TYPE A-SALVAGED TOPSOIL * Missing Material Certification 0015 0.25 $7,140.00 $1,785.00
20890(04) 0005 TEMPORARY SILT FENCE * Missing Material Certification 0003 -200.00 $2.03 $-406.00
20890(04) 0005 TEMPORARY SILT FENCE * Missing Material Certification 0004 200.00 $2.03 $406.00
20890(04) 0008 SOLID SLAB SODDING * Missing Material Certification 0016 -14,306.00 $1.27 $-18,168.62
20890(04) 0008 SOLID SLAB SODDING * Missing Material Certification 0017 14,306.00 $1.27 $18,168.62
20890(04) 0009 SEEDING METHOD A * Missing Material Certification 0006 -0.92 $402.90 $-370.67
20890(04) 0009 SEEDING METHOD A * Missing Material Certification 0007 0.92 $402.90 $370.67
20890(04) 0013 FLY ASH * Material Discrepancy Adjustments 0006 -183.16 $60.67 $-11,112.32
20890(04) 0013 FLY ASH * Material Discrepancy Adjustments 0008 183.16 $60.67 $11,112.32
20890(04) 0015 SEPARATOR FABRIC * Missing Material Certification 0011 -2,000.00 $1.61 $-3,220.00
20890(04) 0015 SEPARATOR FABRIC * Missing Material Certification 0012 2,000.00 $1.61 $3,220.00
20890(04) 0019 SUPERPAVE, TYPE S3(PG 70-28 OK) * QAQC 0012 -229.52 $87.16 $-20,004.96
20890(04) 0019 SUPERPAVE, TYPE S3(PG 70-28 OK) * QAQC 0013 229.52 $87.16 $20,004.96
20890(04) 0019 SUPERPAVE, TYPE S3(PG 70-28 OK) * HMA Deduction as per Sec. 411 0013 -1,200.30 $1.00 $-1,200.30
20890(04) 0020 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0006 986.72 $-0.24 $-239.33
20890(04) 0020 SUPERPAVE, TYPE S3(PG 64-22 OK) * QAQC 0012 -589.77 $78.63 $-46,373.62
20890(04) 0020 SUPERPAVE, TYPE S3(PG 64-22 OK) * QAQC 0013 589.77 $78.63 $46,373.62
20890(04) 0020 SUPERPAVE, TYPE S3(PG 64-22 OK) * HMA Deduction as per Sec. 411 0013 -906.59 $1.00 $-906.59
20890(04) 0021 SUPERPAVE, TYPE S4(PG 70-28 OK) * QAQC 0012 -158.30 $100.13 $-15,850.58
20890(04) 0021 SUPERPAVE, TYPE S4(PG 70-28 OK) * QAQC 0013 158.30 $100.13 $15,850.58
20890(04) 0022 SUPERPAVE, TYPE S4(PG 64-22 OK) * QAQC 0012 -120.90 $82.36 $-9,957.32
20890(04) 0022 SUPERPAVE, TYPE S4(PG 64-22 OK) * QAQC 0013 120.90 $82.36 $9,957.32
20890(04) 0024 24" R.C.PIPE CLASS III * Missing Material Certification 0010 -64.00 $55.99 $-3,583.36
20890(04) 0024 24" R.C.PIPE CLASS III * Missing Material Certification 0012 64.00 $55.99 $3,583.36
20890(04) 0036 CLASS AA CONCRETE * QAQC 0004 1.00 $-6,804.69 $-6,804.69
20890(04) 0040 CONSTRUCTION TRAFFIC STRIPE(PAINT)(4" WIDE) * Missing Material Certification 0006 -5,120.00 $0.26 $-1,331.20
20890(04) 0040 CONSTRUCTION TRAFFIC STRIPE(PAINT)(4" WIDE) * Missing Material Certification 0007 5,120.00 $0.26 $1,331.20
Subtotals For Line Item Adjustments $-9,150.91
* = 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: 110377   Estimate Number: 0018     Primary JP: 20890(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-119C(102) Project:    20890(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201(A) 0102 LSUM 1.000 1.000   1.000 $8,160.00 $0.00 $8,160.00
0002 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 13,183.000 13,183.000   13,183.000 $4.48 $0.00 $59,059.84
0003 UNCLASSIFIED BORROW 202(D) 0184 CY 22,444.000 22,444.000   22,444.000 $5.27 $0.00 $118,279.88
0004 TYPE A-SALVAGED TOPSOIL 205(A) 4229 LSUM 1.000 1.000   1.000 $7,140.00 $0.00 $7,140.00
0005 TEMPORARY SILT FENCE 221(C) 2801 LF 1,890.000 1,100.000   1,100.000 $2.03 $0.00 $2,233.00
0006 TEMPORARY SILT DIKE 221(F) 0100 LF 210.000 70.000   70.000 $10.15 $0.00 $710.50
0007 DITCH LINER PROTECTION 229 4318 LF 108.000 0.000   0.000 $1.78 $0.00 $0.00
0008 SOLID SLAB SODDING 230(A) 2806 SY 13,186.000 14,306.010 0.010 14,306.010 $1.27 $0.01 $18,168.63
0009 SEEDING METHOD A 232(A) 2813 AC 7.210 0.920   0.920 $402.90 $0.00 $370.67
0010 VEGETATIVE MULCHING 233(A) 2817 AC 7.210 0.920   0.920 $504.90 $0.00 $464.51
0011 MOWING 241 2832 AC 14.420 0.000   0.000 $55.08 $0.00 $0.00
0012 AGGREGATE BASE TYPE B 303(B) 2110 CY 664.000 643.140   643.140 $53.12 $0.00 $34,163.60
0013 FLY ASH 307(A) 4200 TON 350.000 342.710 3.060 342.710 $60.67 $185.65 $20,792.22
0014 CEMENTITIOUS STABILIZED SUBGRADE 307(E) 4240 SY 6,745.000 6,482.110 0.010 6,482.110 $2.63 $0.03 $17,047.96
0015 SEPARATOR FABRIC 325 5271 SY 3,632.000 3,287.090   3,287.090 $1.61 $0.00 $5,292.21
0016 TRAFFIC BOUND SURFACE COURSE TYPE E 402(E) 0225 TON 519.000 285.470   285.470 $20.53 $0.00 $5,860.70
0017 TACK COAT 407(B) 0250 GAL 621.000 333.190 -0.810 333.190 $2.34 $-1.90 $779.66
0018 PRIME COAT 408 5774 GAL 1,886.000 0.000   0.000 $4.25 $0.00 $0.00
0019 SUPERPAVE, TYPE S3(PG 70-28 OK) 411(B) 5940 TON 230.000 229.520   229.520 $87.16 $0.00 $20,004.96
0020 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 1,335.000 1,576.490   1,576.490 $78.63 $0.00 $123,959.41
0021 SUPERPAVE, TYPE S4(PG 70-28 OK) 411(C) 5955 TON 151.000 158.300   158.300 $100.13 $0.00 $15,850.58
0022 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 472.000 120.960 0.060 120.960 $82.36 $4.94 $9,962.26
0023 CLASS C CONCRETE 509(D) 0325 CY 21.000 24.980 -0.040 24.980 $295.47 $-11.82 $7,380.84
0024 24" R.C.PIPE CLASS III 613(A) 0492 LF 128.000 128.000   128.000 $55.99 $0.00 $7,166.72
0025 6" PERFORATED PIPE UNDERDRAIN ROUND 613(H) 0450 LF 75.000 0.000   0.000 $22.44 $0.00 $0.00
0026 6" NON-PERF.PIPE UNDERDRAIN RND. 613(I) 1096 LF 25.000 0.000   0.000 $22.44 $0.00 $0.00
0027 24" PREFAB. CULVERT END SECTION, ROUND 613(L) 5730 EA 1.000 1.000   1.000 $780.30 $0.00 $780.30
0028 TYPE B6 CULVERT END TREATMENT 613(M) 7197 EA 2.000 2.000   2.000 $1,187.71 $0.00 $2,375.42
0029 OUTLET LATERAL HEADWALL 613(Q) 5946 EA 2.000 0.000   0.000 $470.41 $0.00 $0.00
0030 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 1.000 1.000   1.000 $4,590.00 $0.00 $4,590.00
0031 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 4,401.000 4,584.240 311.110 4,584.240 $2.04 $634.66 $9,351.85
0032 SAWING PAVEMENT 619(C) 0924 LF 1,144.000 505.000   505.000 $4.08 $0.00 $2,060.40
0033 FENCE-STYLE SWF (5 BARBED WIRE) 624(C) 4459 LF 1,986.000 1,435.000   1,435.000 $3.96 $0.00 $5,682.60
Subtotals For Category     0100/ROADWAY    $811.57 $507,688.72
Fed/State Project Number:    BRFY-119C(102) Project:    20890(04) Category:    0200/BRIDGE 'A'
0034 UNCLASSIFIED EXCAVATION 202(A) 1301 CY 3,553.000 3,553.000   3,553.000 $4.83 $0.00 $17,160.99
0035 STRUCTURAL EXCAVATION UNCLASSIFIED 501(A) 1306 CY 228.000 228.000   228.000 $8.80 $0.00 $2,006.40
0036 CLASS AA CONCRETE 509(A) 1326 CY 646.100 646.100   646.100 $327.35 $0.00 $211,500.84
0037 REINFORCING STEEL 511(A) 1332 LB 129,280.000 129,280.000   129,280.000 $0.75 $0.00 $96,960.00
0038 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $13,200.00 $0.00 $13,200.00
8000 TYPE I PLAIN RIPRAP 601(A) 1351 TON 0.000 246.300   246.300 $60.11 $0.00 $14,805.09
Subtotals For Category     0200/BRIDGE 'A'    $0.00 $355,633.32
Fed/State Project Number:    BRFY-119C(102) Project:    20890(04) Category:    0300/TRAFFIC
0039 TRAFFIC STRIPE(MULTI-POLYMER)(4" WIDE) 856(A) 8530 LF 2,000.000 5,760.000   5,760.000 $1.53 $0.00 $8,812.80
0040 CONSTRUCTION TRAFFIC STRIPE(PAINT)(4" WIDE) 857(A) 8839 LF 5,300.000 5,120.000   5,120.000 $0.26 $0.00 $1,331.20
0041 PAVEMENT MARKING REMOVAL(TRAFFIC STRIPE) 857(F) 8006 LF 1,600.000 6,417.000   6,417.000 $0.26 $0.00 $1,668.42
0042 (PL)TRUCK MOUNTED ATTENUATOR 876(A) 8482 SD 180.000 0.000   0.000 $1.02 $0.00 $0.00
0043 ARROW DISPLAY(TYPE C) 880(A) 8812 SD 180.000 0.000   0.000 $1.02 $0.00 $0.00
0044 CONSTRUCTION SIGNS 0 TO 6.25 SF 880(B) 8818 SD 1,530.000 2,528.000   2,528.000 $0.51 $0.00 $1,289.28
0045 CONSTRUCTION SIGNS 6.26 SF TO 15.99 SF 880(B) 8821 SD 810.000 917.000   917.000 $2.04 $0.00 $1,870.68
0046 CONSTRUCTION SIGNS 16.0 SF TO 32.99 SF 880(B) 8824 SD 1,620.000 1,762.000   1,762.000 $1.02 $0.00 $1,797.24
0047 CONSTRUCTION BARRICADES(TYPE III) 880(C) 8842 SD 270.000 568.000   568.000 $3.06 $0.00 $1,738.08
0048 WING BARRICADES 880(C) 8848 SD 450.000 544.000   544.000 $0.26 $0.00 $141.44
0049 WARNING LIGHTS(TYPE A) 880(E) 8860 SD 1,620.000 2,556.000   2,556.000 $0.51 $0.00 $1,303.56
0050 DRUMS 880(F) 8878 SD 4,050.000 1,296.000   1,296.000 $0.10 $0.00 $129.60
0051 CHANNELIZER CONES 880(G) 8890 SD 675.000 2,516.000   2,516.000 $0.26 $0.00 $654.16
0052 PORT.CHANGEABLE MESSAGE SIGN 882(A) 8306 SD 180.000 0.000   0.000 $5.10 $0.00 $0.00
Subtotals For Category     0300/TRAFFIC    $0.00 $20,736.46
Fed/State Project Number:    BRFY-119C(102) Project:    20890(04) Category:    0600/STAKING
0053 CONSTRUCTION STAKING LEVEL I 642(A) 0095 LSUM 1.000 1.000   1.000 $6,534.00 $0.00 $6,534.00
Subtotals For Category     0600/STAKING    $0.00 $6,534.00
Fed/State Project Number:    BRFY-119C(102) Project:    20890(04) Category:    0640/CONSTRUCTION
0054 SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000 0.100 1.000 $4,120.00 $412.00 $4,120.00
0055 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $43,806.93 $0.00 $43,806.94
Subtotals For Category     0640/CONSTRUCTION    $412.00 $47,926.94
Subtotals For Project BRFY-119C(102) /20890(04) $1,223.57 $938,519.44