Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 110396   Estimate Number: 0018 , Final     Spec Year: 2009
Primary JP: 25822(04)   Residency: ALTUS (05200)     Contract No: 710120
Date Created: 08/23/2013   Contractor FEI: 730764097A     Account No: 400500

Project Number(s): BRFY-105B(169)
Contract Description: BRIDGE AND APPROACHES US-283: OVER TIMBER CREEK, 0.50 MILES SOUTH OF THE ROGER MILLS COUNTY LINE. PROJECT LENGTH = 0.309 MILES.
Primary County: BECKHAM              
Name of Road: US-283              
Prime Contractor: MANHATTAN ROAD & BRIDGE COMPANY           Time Charged: 244.00
    5601 S. 122ND E. AVE.           Time Allowed: 224.00
    TULSA , OK   74146           Percent Time: 108.93 %

  Paid To Date: $1,305,371.93 Payable This Statement: $0.00

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:    08/23/2013
Contract ID: 110396   Estimate Number: 0018     Contract No: 710120
Residency: ALTUS (05200)   Estimate Type: Final     Account No: 400500

Project Number(s): BRFY-105B(169)
Primary Job Piece No: 25822(04)
Contract Description: BRIDGE AND APPROACHES US-283: OVER TIMBER CREEK, 0.50 MILES SOUTH OF THE ROGER MILLS COUNTY LINE. PROJECT LENGTH = 0.309 MILES.
Primary County: BECKHAM              
Name of Road: US-283              
Prime Contractor: MANHATTAN ROAD & BRIDGE COMPANY              
    5601 S. 122ND E. AVE.              
    TULSA , OK   74146              
Surety Company:              

Date Let: 06/30/2011 NTP Effective Date: 09/01/2011 Pay Period: 05/01/2013  TO  08/23/2013
Date Awarded: 07/11/2011 Date Work Began: 11/01/2011 Original Contract Time: 180
Date Contract Executed: 07/22/2011 Date Time Stopped: 01/10/2013 Current Time Charged: 244.00
Date NTP Issued: 07/29/2011 Completion Date: 01/10/2013 Current Time Allowed: 224.00
General Liability Expires: 10/01/2013 Workman's Comp Expires: 10/01/2013 Percent Time Used: 108.93 %
Specification Year: 2009        

Current Contract Amount: $1,320,371.91 Total to Date Prev to Date This Estimate
Bid Amount: $1,367,072.99 Participating: $1,320,371.93 $1,320,371.93 $0.00
Percent Complete: 98.86 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $14,999.98 Total Earnings: $1,320,371.93 $1,320,371.93 $0.00
Unearned Balance: $61,701.06 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $1,320,371.93 $1,320,371.93 $0.00
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $-15,000.00 $-15,000.00 $0.00
TOTAL: $1,305,371.93 $1,305,371.93 $0.00

Estimate Adjustment Detail

Contract ID: 110396   Estimate Number: 0018     Primary JP: 25822(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Time Adjustment Approved 10/20/2011 44.0 $0.00
002 Temporary Structure Approved 06/20/2012 0.0 $4,278.00
003 Changing unit of measure on the Unclassified Exavation Approved 04/01/2013 0.0 $-11,944.13
005 Pay adjustment for lost SWPPP documentation. Approved 07/19/2013 0.0 $-500.00
006 Final Quantity Change Order Approved 08/22/2013 0.0 $-38,534.95


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
25822(04) 0018 Type B6 SCE5 Stockpiled Material Initial Payment 0001 $1,477.68
25822(04) 0018 Type B6 SCE5 Stockpiled Material Closure 0014 $-1,477.68
25822(04) 0027 Reinforcing Steel Stockpiled Material Adjustment 0008 $-2,883.83
25822(04) 0027 Reinforcing Steel Stockpiled Material Initial Payment 0001 $20,596.65
25822(04) 0027 Reinforcing Steel Stockpiled Material Adjustment 0003 $-17,712.82
Subtotals For Stockpile Payments $0.00


LIQUIDATED DAMAGES HISTORY
Adjustment Description Estimate Nbr Time Units Rate Adjustment Amount
System Application of Liquidated Damages 0011 --10 $750.00 $-7,500.00
System Application of Liquidated Damages 0012 --10 $750.00 $-7,500.00
Subtotals For Liquidated Damages $-15,000.00


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
25822(04) 0004 TYPE A-SALVAGED TOPSOIL * Missing Material Certification 0013 -0.50 $5,000.00 $-2,500.00
25822(04) 0004 TYPE A-SALVAGED TOPSOIL * Missing Material Certification 0014 0.50 $5,000.00 $2,500.00
25822(04) 0023 FENCE-STYLE SWF (5 BARBED WIRE) * Missing Material Certification 0007 -1,460.00 $3.48 $-5,080.80
25822(04) 0023 FENCE-STYLE SWF (5 BARBED WIRE) * Missing Material Certification 0009 1,460.00 $3.48 $5,080.80
25822(04) 0030 TRAFFIC STRIPE(PLASTIC)(4" WIDE) * Missing Material Certification 0013 -6,053.00 $0.85 $-5,145.05
25822(04) 0030 TRAFFIC STRIPE(PLASTIC)(4" WIDE) * Missing Material Certification 0016 6,053.00 $0.85 $5,145.05
25822(04) 0031 CONSTRUCTION TRAFFIC STRIPE(PAINT)(4" WIDE) * Missing Material Certification 0007 -9,623.00 $0.30 $-2,886.90
25822(04) 0031 CONSTRUCTION TRAFFIC STRIPE(PAINT)(4" WIDE) * Missing Material Certification 0010 9,623.00 $0.30 $2,886.90
25822(04) 0035 SAND FILLED IMPACT ATTENUATION MODULE * Missing Material Certification 0007 -44.00 $0.70 $-30.80
25822(04) 0035 SAND FILLED IMPACT ATTENUATION MODULE * Missing Material Certification 0009 44.00 $0.70 $30.80
25822(04) 0036 DELIVER PORTABLE LONGITUDINAL BARRIER * Missing Material Certification 0007 -900.00 $14.75 $-13,275.00
25822(04) 0036 DELIVER PORTABLE LONGITUDINAL BARRIER * Missing Material Certification 0009 900.00 $14.75 $13,275.00
25822(04) 8001 18" CORR. GALV. STEEL PIPE * Missing Material Certification 0014 -80.00 $35.35 $-2,828.00
25822(04) 8001 18" CORR. GALV. STEEL PIPE * Missing Material Certification 0017 80.00 $35.35 $2,828.00
Subtotals For Line Item Adjustments $0.00
* = 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: 110396   Estimate Number: 0018     Primary JP: 25822(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-105B(169) Project:    25822(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201(A) 0102 LSUM 1.000 1.000   1.000 $5,000.00 $0.00 $5,000.00
0002 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 22,214.000 38,139.500   38,139.500 $3.25 $0.00 $123,953.38
0003 UNCLASSIFIED BORROW 202(D) 0184 CY 30,556.000 14,630.500   14,630.500 $4.00 $0.00 $58,522.00
0004 TYPE A-SALVAGED TOPSOIL 205(A) 4229 LSUM 1.000 1.000   1.000 $5,000.00 $0.00 $5,000.00
0005 TEMPORARY SILT FENCE 221(C) 2801 LF 2,000.000 1,694.000   1,694.000 $1.25 $0.00 $2,117.50
0006 TEMPORARY SILT DIKE 221(F) 0100 LF 120.000 0.000   0.000 $8.00 $0.00 $0.00
0007 SOLID SLAB SODDING 230(A) 2806 SY 27,104.000 32,067.380   32,067.380 $1.00 $0.00 $32,067.38
0008 VEGETATIVE MULCHING 233(A) 2817 AC 5.600 0.000   0.000 $300.00 $0.00 $0.00
0009 FLY ASH 307(A) 4200 TON 406.000 404.290   404.290 $66.50 $0.00 $26,885.29
0010 CEMENTITIOUS STABILIZED SUBGRADE 307(E) 4240 SY 7,467.000 7,467.000   7,467.000 $2.00 $0.00 $14,934.00
0011 TRAFFIC BOUND SURFACE COURSE TYPE E 402(E) 0225 TON 500.000 0.000   0.000 $26.00 $0.00 $0.00
0012 SUPERPAVE, TYPE S3(PG 70-28 OK) 411(B) 5940 TON 910.000 842.560   842.560 $75.68 $0.00 $63,764.94
0013 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 5,312.000 4,360.710   4,360.710 $68.59 $0.00 $299,101.10
0014 SUPERPAVE, TYPE S4(PG 70-28 OK) 411(C) 5955 TON 580.000 630.050   630.050 $86.50 $0.00 $54,499.33
0015 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 953.000 950.430   950.430 $85.62 $0.00 $81,375.82
0016 CLASS C CONCRETE 509(D) 0325 CY 25.000 0.000   0.000 $250.00 $0.00 $0.00
0017 24" R.C.PIPE CLASS III 613(A) 0492 LF 116.000 116.000   116.000 $92.00 $0.00 $10,672.00
0018 TYPE B6 SLOPED CONCRETE END SECTION 613(N) 7521 EA 2.000 2.000   2.000 $1,500.00 $0.00 $3,000.00
0019 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 1.000 1.000   1.000 $1,000.00 $0.00 $1,000.00
0020 REMOVAL OF FENCE 619(B) 4725 LF 5,996.000 3,933.000   3,933.000 $0.50 $0.00 $1,966.50
0021 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 4,867.000 12,355.550   12,355.550 $5.00 $0.00 $61,777.75
0022 REMOVAL OF GUARDRAIL 619(B) 4780 LF 300.000 1,052.000   1,052.000 $1.00 $0.00 $1,052.00
0023 FENCE-STYLE SWF (5 BARBED WIRE) 624(C) 4459 LF 2,550.000 4,218.000   4,218.000 $3.48 $0.00 $14,678.64
8001 18" CORR. GALV. STEEL PIPE 613(B) 0689 LF 0.000 80.000   80.000 $35.35 $0.00 $2,828.00
8002 INLET (SMD-TYPE 2) 611(G) 6002 EA 0.000 1.000   1.000 $1,450.00 $0.00 $1,450.00
Subtotals For Category     0100/ROADWAY    $0.00 $865,645.63
Fed/State Project Number:    BRFY-105B(169) Project:    25822(04) Category:    0200/BRIDGE 'A'
0024 UNCLASSIFIED EXCAVATION 202(A) 1301 CY 1,456.000 1,456.000   1,456.000 $3.00 $0.00 $4,368.00
0025 STRUCTURAL EXCAVATION UNCLASSIFIED 501(A) 1306 CY 278.000 278.000   278.000 $6.00 $0.00 $1,668.00
0026 CLASS AA CONCRETE 509(A) 1326 CY 759.000 759.000   759.000 $355.00 $0.00 $269,445.00
0027 REINFORCING STEEL 511(A) 1332 LB 107,621.000 107,621.000   107,621.000 $0.75 $0.00 $80,715.75
0028 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $2,000.00 $0.00 $2,000.00
Subtotals For Category     0200/BRIDGE 'A'    $0.00 $358,196.75
Fed/State Project Number:    BRFY-105B(169) Project:    25822(04) Category:    0300/TRAFFIC
0029 (PL)REMOVE & RESET EXISTING SIGNS 805(D) 8756 EA 3.000 0.000   0.000 $150.00 $0.00 $0.00
0030 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 6,400.000 6,053.000   6,053.000 $0.85 $0.00 $5,145.05
0031 CONSTRUCTION TRAFFIC STRIPE(PAINT)(4" WIDE) 857(A) 8839 LF 3,200.000 9,623.000   9,623.000 $0.30 $0.00 $2,886.90
0032 REMOVABLE PAVEMENT MARKING TAPE(4" WIDE) 857(C) 8851 LF 1,600.000 0.000   0.000 $0.65 $0.00 $0.00
0033 (PL)CONSTRUCTION ZONE PAVEMENT MARKERS(FLEX TAB)TYPE 2-1 857(E) 8887 EA 1,600.000 640.000   640.000 $0.40 $0.00 $256.00
0034 PAVEMENT MARKING REMOVAL(TRAFFIC STRIPE) 857(F) 8006 LF 3,200.000 2,116.000   2,116.000 $0.06 $0.00 $126.96
0035 SAND FILLED IMPACT ATTENUATION MODULE 870(A) 8485 SD 1,800.000 476.000   476.000 $0.70 $0.00 $333.20
0036 DELIVER PORTABLE LONGITUDINAL BARRIER 877(B) 8484 LF 1,800.000 1,020.000   1,020.000 $14.75 $0.00 $15,045.00
0037 CONSTRUCTION SIGNS 0 TO 6.25 SF 880(B) 8818 SD 2,660.000 2,722.000   2,722.000 $0.02 $0.00 $54.44
0038 CONSTRUCTION SIGNS 6.26 SF TO 15.99 SF 880(B) 8821 SD 1,080.000 1,956.000   1,956.000 $0.75 $0.00 $1,467.00
0039 CONSTRUCTION SIGNS 16.0 SF TO 32.99 SF 880(B) 8824 SD 720.000 3,775.000   3,775.000 $2.75 $0.00 $10,381.25
0040 CONSTRUCTION BARRICADES(TYPE III) 880(C) 8842 SD 240.000 596.000   596.000 $2.75 $0.00 $1,639.00
0041 WING BARRICADES 880(C) 8848 SD 840.000 1,080.000   1,080.000 $0.02 $0.00 $21.60
0042 WARNING LIGHTS(TYPE A) 880(E) 8860 SD 1,320.000 2,651.000   2,651.000 $0.45 $0.00 $1,192.95
0043 WARNING LIGHTS(TYPE C) 880(E) 8872 SD 2,520.000 4,050.000   4,050.000 $0.45 $0.00 $1,822.50
0044 DRUMS 880(F) 8878 SD 2,520.000 9,014.000   9,014.000 $0.55 $0.00 $4,957.70
Subtotals For Category     0300/TRAFFIC    $0.00 $45,329.55
Fed/State Project Number:    BRFY-105B(169) Project:    25822(04) Category:    0600/STAKING
0045 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000   1.000 $5,700.00 $0.00 $5,700.00
Subtotals For Category     0600/STAKING    $0.00 $5,700.00
Fed/State Project Number:    BRFY-105B(169) Project:    25822(04) Category:    0640/CONSTRUCTION
0046 SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 0.000 -0.500 0.000 $1,000.00 $-500.00 $0.00
0047 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $45,000.00 $0.00 $45,000.00
8003 SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 0.000 1.000 1.000 1.000 $500.00 $500.00 $500.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $45,500.00
Subtotals For Project BRFY-105B(169) /25822(04) $0.00 $1,320,371.93