Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 110423   Estimate Number: 0010 , Final     Spec Year: 2009
Primary JP: 24867(04)   Residency: ENID (04300)     Contract No: 710679
Date Created: 09/16/2013   Contractor FEI: 730626847     Account No: 404400

Project Number(s): CIRB-124C(111)RB
Contract Description: GRADE, DRAIN, SURFACE, AND BRIDGE COUNTY ROAD (NS-293): FROM 6.0 MILES NORTH OF THE KINGFISHER COUNTY LINE, EXTEND NORTH. PROJECT LENGTH = 2.42 MILES.
Primary County: GARFIELD              
Name of Road: COUNTY ROAD              
Prime Contractor: THE CUMMINS CONSTRUCTION CO., INC.           Time Charged: 149.00
    P. O. BOX 748           Time Allowed: 147.00
    ENID , OK   73702           Percent Time: 101.36 %

  Paid To Date: $1,639,696.88 Payable This Statement: $-14,101.23

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.                                
THE CUMMINS CONSTRUCTION CO., 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:    09/16/2013
Contract ID: 110423   Estimate Number: 0010     Contract No: 710679
Residency: ENID (04300)   Estimate Type: Final     Account No: 404400

Project Number(s): CIRB-124C(111)RB
Primary Job Piece No: 24867(04)
Contract Description: GRADE, DRAIN, SURFACE, AND BRIDGE COUNTY ROAD (NS-293): FROM 6.0 MILES NORTH OF THE KINGFISHER COUNTY LINE, EXTEND NORTH. PROJECT LENGTH = 2.42 MILES.
Primary County: GARFIELD              
Name of Road: COUNTY ROAD              
Prime Contractor: THE CUMMINS CONSTRUCTION CO., INC.              
    P. O. BOX 748              
    ENID , OK   73702              
Surety Company: HARTFORD ACCIDENT & INDEMNITY COMPANY              

Date Let: 11/17/2011 NTP Effective Date: 03/05/2012 Pay Period: 11/16/2012  TO  09/16/2013
Date Awarded: 12/05/2011 Date Work Began: 03/13/2012 Original Contract Time: 135
Date Contract Executed: 12/20/2011 Date Time Stopped: 03/05/2013 Current Time Charged: 149.00
Date NTP Issued: 12/29/2011 Completion Date: 03/05/2013 Current Time Allowed: 147.00
General Liability Expires: 09/01/2014 Workman's Comp Expires: 01/01/2014 Percent Time Used: 101.36 %
Specification Year: 2009        

Current Contract Amount: $1,641,196.89 Total to Date Prev to Date This Estimate
Bid Amount: $1,676,860.73 Participating: $0.00 $0.00 $0.00
Percent Complete: 99.91 % Non Participating: $1,623,276.06 $1,637,377.29 $-14,101.23
Funds Available: $1,500.01 Total Earnings: $1,623,276.06 $1,637,377.29 $-14,101.23
Unearned Balance: $37,163.85 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $1,623,276.06 $1,637,377.29 $-14,101.23
Other Adjustments: $17,920.82 $17,920.82 $0.00
Liq Dam/Disincentive: $-1,500.00 $-1,500.00 $0.00
TOTAL: $1,639,696.88 $1,653,798.11 $-14,101.23

Estimate Adjustment Detail

Contract ID: 110423   Estimate Number: 0010     Primary JP: 24867(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 CLSM, new anchor bolts Approved 10/02/2012 12.0 $31,679.70
002 FQCO Approved 08/16/2013 0.0 $-85,264.37
003 Asphalt Binder Adjustment Approved 09/13/2013 0.0 $17,920.83


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 0006 --12 $750.00 $-9,000.00
System Application of Liquidated Damages 0007 --2.0 $750.00 $-1,500.00
System Application of Liquidated Damages 0008 -12.0 $750.00 $9,000.00
Subtotals For Liquidated Damages $-1,500.00


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
24867(04) 0009 TACK COAT * Missing Material Certification 0008 -1,400.00 $3.75 $-5,250.00
24867(04) 0009 TACK COAT * Missing Material Certification 0009 1,400.00 $3.75 $5,250.00
24867(04) 0011 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0006 6,924.22 $1.53 $10,600.29
24867(04) 0012 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0006 4,184.12 $1.74 $7,320.54
24867(04) 0015 INLET (SMD-TYPE 1) * Missing Material Certification 0006 -1.00 $2,120.00 $-2,120.00
24867(04) 0015 INLET (SMD-TYPE 1) * Missing Material Certification 0007 1.00 $2,120.00 $2,120.00
24867(04) 0017 18" CORR. GALV. STEEL PIPE * Missing Material Certification 0006 -100.00 $24.50 $-2,450.00
24867(04) 0017 18" CORR. GALV. STEEL PIPE * Missing Material Certification 0007 100.00 $24.50 $2,450.00
24867(04) 0018 30" CORR. GALV. STEEL PIPE * Missing Material Certification 0006 -78.00 $35.45 $-2,765.10
24867(04) 0018 30" CORR. GALV. STEEL PIPE * Missing Material Certification 0007 78.00 $35.45 $2,765.10
24867(04) 0019 15" CORR. GALV. STEEL PIPE * Missing Material Certification 0006 -98.00 $22.70 $-2,224.60
24867(04) 0019 15" CORR. GALV. STEEL PIPE * Missing Material Certification 0007 98.00 $22.70 $2,224.60
24867(04) 0020 TYPE A4 CULVERT END TREATMENT * Missing Material Certification 0006 -8.00 $795.00 $-6,360.00
24867(04) 0020 TYPE A4 CULVERT END TREATMENT * Missing Material Certification 0007 8.00 $795.00 $6,360.00
24867(04) 0021 TYPE B4 CULVERT END TREATMENT * Missing Material Certification 0006 -1.00 $848.00 $-848.00
24867(04) 0021 TYPE B4 CULVERT END TREATMENT * Missing Material Certification 0007 1.00 $848.00 $848.00
24867(04) 0022 TYPE C4 CULVERT END TREATMENT * Missing Material Certification 0006 -2.00 $1,590.00 $-3,180.00
24867(04) 0022 TYPE C4 CULVERT END TREATMENT * Missing Material Certification 0007 2.00 $1,590.00 $3,180.00
24867(04) 0028 PRESTRESSED CONCRETE BEAMS (TYPE IV) * Missing Material Certification 0002 -416.17 $194.50 $-80,945.07
24867(04) 0028 PRESTRESSED CONCRETE BEAMS (TYPE IV) * Missing Material Certification 0003 416.17 $194.50 $80,945.07
24867(04) 0041 TYPE I-A PLAIN RIPRAP * Missing Material Certification 0002 -228.41 $44.35 $-10,129.98
24867(04) 0041 TYPE I-A PLAIN RIPRAP * Missing Material Certification 0005 228.41 $44.35 $10,129.98
24867(04) 0042 TYPE I-A FILTER BLANKET * Missing Material Certification 0002 -46.48 $40.55 $-1,884.76
24867(04) 0042 TYPE I-A FILTER BLANKET * Missing Material Certification 0005 46.48 $40.55 $1,884.76
24867(04) 0044 GUARDRAIL ANCHOR UNIT (TYPE II) * Missing Material Certification 0006 -4.00 $2,200.00 $-8,800.00
24867(04) 0044 GUARDRAIL ANCHOR UNIT (TYPE II) * Missing Material Certification 0007 4.00 $2,200.00 $8,800.00
Subtotals For Line Item Adjustments $17,920.83
* = 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: 110423   Estimate Number: 0010     Primary JP: 24867(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:    CIRB-124C(111)RB Project:    24867(04) Category:    0100/ROADWAY
0001 EARTHWORK 202(H) 0185 LSUM 1.000 1.000   1.000 $50,000.00 $0.00 $50,000.00
0002 TEMPORARY SILT FENCE 221(C) 2801 LF 2,400.000 0.000   0.000 $1.48 $0.00 $0.00
0003 TEMPORARY SILT DIKE 221(F) 0100 LF 1,000.000 0.000   0.000 $6.35 $0.00 $0.00
0004 SOLID SLAB SODDING 230(A) 2806 SY 21,170.000 16,842.510 -4,157.490 16,842.510 $1.35 $-5,612.61 $22,737.39
0005 VEGETATIVE MULCHING 233(A) 2817 AC 2.500 0.000   0.000 $318.00 $0.00 $0.00
0006 CEMENTITIOUS STABILIZED SUBGRADE 307(E) 4240 SY 30,606.000 34,512.650   34,512.650 $2.20 $0.00 $75,927.83
0007 PROCESSING EXISTING BASE & SURFACE, METHOD D 311(D) 0154 LF 11,976.000 12,838.000   12,838.000 $4.15 $0.00 $53,277.70
0008 TRAFFIC BOUND SURFACE COURSE TYPE E 402(E) 0225 TON 491.000 490.650 -4.290 490.650 $37.25 $-159.80 $18,276.72
0009 TACK COAT 407(B) 0250 GAL 1,577.000 1,400.000   1,400.000 $3.75 $0.00 $5,250.00
0010 PRIME COAT 408 5774 GAL 4,927.000 0.000   0.000 $5.50 $0.00 $0.00
0011 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 7,285.000 6,924.220   6,924.220 $64.85 $0.00 $449,035.67
0012 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 3,953.000 4,184.120   4,184.120 $75.70 $0.00 $316,737.88
0013 FLY ASH 426(C) 5097 TON 1,703.000 1,396.950   1,396.950 $59.00 $0.00 $82,420.05
0014 CLASS C CONCRETE 509(D) 0325 CY 20.000 0.000   0.000 $296.90 $0.00 $0.00
0015 INLET (SMD-TYPE 1) 611(G) 6000 EA 1.000 1.000   1.000 $2,120.00 $0.00 $2,120.00
0016 24" R.C.PIPE CLASS III 613(A) 0492 LF 70.000 70.000   70.000 $40.10 $0.00 $2,807.00
0017 18" CORR. GALV. STEEL PIPE 613(B) 0689 LF 100.000 100.000   100.000 $24.50 $0.00 $2,450.00
0018 30" CORR. GALV. STEEL PIPE 613(B) 0691 LF 78.000 78.000   78.000 $35.45 $0.00 $2,765.10
0019 15" CORR. GALV. STEEL PIPE 613(B) 5717 LF 98.000 98.000   98.000 $22.70 $0.00 $2,224.60
0020 TYPE A4 CULVERT END TREATMENT 613(M) 7186 EA 8.000 8.000   8.000 $795.00 $0.00 $6,360.00
0021 TYPE B4 CULVERT END TREATMENT 613(M) 7187 EA 1.000 1.000   1.000 $848.00 $0.00 $848.00
0022 TYPE C4 CULVERT END TREATMENT 613(M) 7188 EA 2.000 2.000   2.000 $1,590.00 $0.00 $3,180.00
0023 SHEET ALUMINUM SIGNS 850(A) 8110 SF 150.760 141.040 -9.720 141.040 $24.40 $-237.17 $3,441.37
0024 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 25,402.000 35,334.000 780.000 35,334.000 $0.65 $507.00 $22,967.10
0025 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $1,214.00 $0.00 $1,214.00
8004 ASPHALT BINDER PRICE ADJUSTMENT 109 1150 LSUM 0.000 1.000   0.000 $17,920.83 $0.00 $0.00
Subtotals For Category     0100/ROADWAY    $-5,502.58 $1,124,040.41
Fed/State Project Number:    CIRB-124C(111)RB Project:    24867(04) Category:    0200/BRIDGE 'A'
0026 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 120.000 120.000   120.000 $10.00 $0.00 $1,200.00
0027 UNCLASSIFIED BACKFILL 501(D) 6353 CY 162.000 162.000   162.000 $9.60 $0.00 $1,555.20
0028 PRESTRESSED CONCRETE BEAMS (TYPE IV) 503(A) 1313 LF 416.170 416.170   416.170 $194.50 $0.00 $80,945.07
0029 SAW-CUT GROOVING 504(B) 1305 SY 314.710 297.220 11.890 297.220 $7.00 $83.23 $2,080.54
0030 CONCRETE RAIL (TR3) 504(D) 6239 LF 291.180 291.180   291.180 $68.90 $0.00 $20,062.30
0031 STRUCTURAL STEEL 506(A) 1322 LB 340.000 340.000 -9.000 340.000 $4.00 $-36.00 $1,360.00
0032 WEATHERING STEEL FIXED BEARING ASSEMBLY 507(A) 6172 EA 4.000 4.000   4.000 $954.00 $0.00 $3,816.00
0033 WEATHERING STEEL EXPANSION BEARING ASSEMBLY 507(B) 6176 EA 4.000 4.000   4.000 $954.00 $0.00 $3,816.00
0034 CLASS AA CONCRETE 509(A) 1326 CY 80.900 80.900   80.900 $516.75 $0.00 $41,805.08
0035 CLASS A CONCRETE 509(B) 1328 CY 78.400 78.400   78.400 $567.10 $0.00 $44,460.64
0036 REINFORCING STEEL 511(A) 1332 LB 28,679.000 28,679.000   28,679.000 $0.95 $0.00 $27,245.05
0037 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 140.000 140.000   140.000 $27.45 $0.00 $3,843.00
0038 PILES, FURNISHED (HP 12X53) 514(A) 6011 LF 378.000 378.000   378.000 $33.40 $0.00 $12,625.20
0039 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 140.000 122.420   122.420 $11.75 $0.00 $1,438.44
0040 PILES, DRIVEN (HP 12X53) 514(B) 6294 LF 378.000 335.100 12.000 335.100 $14.31 $171.72 $4,795.28
0041 TYPE I-A PLAIN RIPRAP 601(B) 1353 TON 1,566.000 1,227.380   1,227.380 $44.35 $0.00 $54,434.30
0042 TYPE I-A FILTER BLANKET 601(C) 1355 TON 429.000 313.920   313.920 $40.55 $0.00 $12,729.45
0043 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $20,700.00 $0.00 $20,700.00
0044 GUARDRAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 4.000 4.000   4.000 $2,200.00 $0.00 $8,800.00
0045 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $2,337.00 $0.00 $2,337.00
8000 CLSM BACKFILL 501(G) 6309 CY 0.000 90.000 -60.000 90.000 $146.96 $-8,817.60 $13,226.40
8001 CONSTRUCTION MISCELLANEOUS 104 0700 LSUM 0.000 1.000   1.000 $6,635.70 $0.00 $6,635.70
8002 6" PERFORATED PIPE UNDERDRAIN ROUND 613(H) 0450 LF 0.000 40.000   40.000 $50.00 $0.00 $2,000.00
8003 6" NON-PERF.PIPE UNDERDRAIN RND. 613(I) 1096 LF 0.000 20.000   20.000 $50.00 $0.00 $1,000.00
Subtotals For Category     0200/BRIDGE 'A'    $-8,598.65 $372,910.65
Fed/State Project Number:    CIRB-124C(111)RB Project:    24867(04) Category:    0600/STAKING
0046 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000   1.000 $44,255.00 $0.00 $44,255.00
Subtotals For Category     0600/STAKING    $0.00 $44,255.00
Fed/State Project Number:    CIRB-124C(111)RB Project:    24867(04) Category:    0640/CONSTRUCTION
0047 SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $15,900.00 $0.00 $15,900.00
0048 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $51,750.00 $0.00 $51,750.00
0049 (SP)CONTRACTORS QUALITY CONTROL 643 0087 LSUM 1.000 1.000   1.000 $14,420.00 $0.00 $14,420.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $82,070.00
Subtotals For Project CIRB-124C(111)RB /24867(04) $-14,101.23 $1,623,276.06


1 CURRENT QUANTITIES DO NOT MATCH THE QUANTITY PAID TO DATE