Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 110447   Estimate Number: 0027 , Final     Spec Year: 2009
Primary JP: 26233(04)   Residency: HEAVENER (02200)     Contract No: 710437
Date Created: 04/08/2015   Contractor FEI: 202558015     Account No: 400200

Project Number(s): BRFY-164B(146)SS
Contract Description: BRIDGE AND APPROACHES US-271: OVER HARDY CREEK, 1.0 MILE NORTH OF THE SH-144 JUNCTION. PROJECT LENGTH = 0.164 MILE.
Primary County: PUSHMATAHA              
Name of Road: US-271              
Prime Contractor: C-GAWF CONSTRUCTION, INC.           Time Charged: 247.00
    101 E SHURDEN INDUSTRIAL BLVD           Time Allowed: 199.00
    HENRYETTA , OK   74437           Percent Time: 124.12 %

  Paid To Date: $1,365,784.78 Payable This Statement: $-0.02

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.                                
C-GAWF CONSTRUCTION, 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:    04/08/2015
Contract ID: 110447   Estimate Number: 0027     Contract No: 710437
Residency: HEAVENER (02200)   Estimate Type: Final     Account No: 400200

Project Number(s): BRFY-164B(146)SS
Primary Job Piece No: 26233(04)
Contract Description: BRIDGE AND APPROACHES US-271: OVER HARDY CREEK, 1.0 MILE NORTH OF THE SH-144 JUNCTION. PROJECT LENGTH = 0.164 MILE.
Primary County: PUSHMATAHA              
Name of Road: US-271              
Prime Contractor: C-GAWF CONSTRUCTION, INC.              
    101 E SHURDEN INDUSTRIAL BLVD              
    HENRYETTA , OK   74437              
Surety Company: EMPLOYERS MUTUAL CASUALTY COMPANY              

Date Let: 09/15/2011 NTP Effective Date: 05/21/2012 Pay Period: 11/18/2014  TO  02/27/2015
Date Awarded: 10/03/2011 Date Work Began: 06/11/2012 Original Contract Time: 180
Date Contract Executed: 10/12/2011 Date Time Stopped: 09/11/2013 Current Time Charged: 247.00
Date NTP Issued: 10/19/2011 Completion Date: 09/11/2013 Current Time Allowed: 199.00
General Liability Expires: 01/03/2016 Workman's Comp Expires: 01/03/2016 Percent Time Used: 124.12 %
Specification Year: 2009        

Bid Amount: $1,425,016.88 Total to Date Prev to Date This Estimate
Funds Available (Bid + Positive C/O): $1,427,260.88 Participating: $1,401,825.81 $1,401,825.82 $-0.01
Percent Complete: 95.69 % Non Participating: $0.00 $0.00 $0.00
Unearned Balance: $61,476.10 Total Earnings: $1,401,825.81 $1,401,825.82 $-0.01
Stockpiled Materials: $0.00 $0.01 $-0.01
Gross Earnings: $1,401,825.81 $1,401,825.83 $-0.02
Other Adjustments: $-41.03 $-41.03 $0.00
Liq Dam/Disincentive: $-36,000.00 $-36,000.00 $0.00
TOTAL: $1,365,784.78 $1,365,784.80 $-0.02

Estimate Adjustment Detail

Contract ID: 110447   Estimate Number: 0027     Primary JP: 26233(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Portable Changeable Message Board Approved 02/14/2013 0.0 $2,244.00
002 Add two pay items and credit back days Approved 11/17/2014 19.0 $-11,299.33
003 Final Change Order Approved 02/26/2015 0.0 $-14,135.79


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
26233(04) 0020 Reinforcing Steel(Bridge A)(Phase 1 & 3) Stockpiled Material Initial Payment 0003 $38,524.55
26233(04) 0020 Reinforcing Steel(Bridge A)(Phase 1 & 3) Stockpiled Material Adjustment 0005 $-2,025.47
26233(04) 0020 Reinforcing Steel(Bridge A)(Phase 1 & 3) Stockpiled Material Adjustment 0006 $-4.21
26233(04) 0020 Reinforcing Steel(Bridge A)(Phase 1 & 3) Stockpiled Material Closure 0007 $-36,494.87
26233(04) 0038 Traffic Rail Stockpiled Material Initial Payment 0012 $3,414.60
26233(04) 0038 Traffic Rail Stockpiled Material Adjustment 0020 $-3,414.60
26233(04) 0040 Stockpiled Material Closure 0027 $-0.01
26233(04) 0040 Reinforcing Steel(Br. A) Phase 1 & 3 Stockpiled Material Initial Payment 0007 $38,524.55
26233(04) 0040 Reinforcing Steel(Br. A) Phase 1 & 3 Stockpiled Material Adjustment 0009 $-7,455.52
26233(04) 0040 Reinforcing Steel(Br. A) Phase 1 & 3 Stockpiled Material Adjustment 0008 $-4,246.80
26233(04) 0040 Reinforcing Steel(Br. A) Phase 1 & 3 Stockpiled Material Adjustment 0013 $-13,266.91
26233(04) 0040 Reinforcing Steel(Br. A) Phase 1 & 3 Stockpiled Material Adjustment 0007 $-9,240.63
26233(04) 0040 Reinforcing Steel(Br. A) Phase 1 & 3 Stockpiled Material Adjustment 0014 $-4,314.68
26233(04) 0040 Str. 4 Reinforcing Steel Stockpiled Material Adjustment 0015 $-13,658.95
26233(04) 0040 Str. 4 Reinforcing Steel Stockpiled Material Adjustment 0014 $-9,494.02
26233(04) 0040 Str. 4 Reinforcing Steel Stockpiled Material Initial Payment 0012 $35,207.31
26233(04) 0040 Str. 4 Reinforcing Steel Stockpiled Material Adjustment 0013 $-12,054.34
Subtotals For Stockpile Payments $0.00


LIQUIDATED DAMAGES HISTORY
Adjustment Description Estimate Nbr Time Units Rate Adjustment Amount
System Application of Liquidated Damages 0012 --1.0 $750.00 $-750.00
System Application of Liquidated Damages 0013 --15 $750.00 $-11,250.00
System Application of Liquidated Damages 0014 --11 $750.00 $-8,250.00
System Application of Liquidated Damages 0015 --23 $750.00 $-17,250.00
System Application of Liquidated Damages 0016 --5.0 $750.00 $-3,750.00
System Application of Liquidated Damages 0017 --1.0 $750.00 $-750.00
System Application of Liquidated Damages 0021 --3.0 $750.00 $-2,250.00
System Application of Liquidated Damages 0022 --8.0 $750.00 $-6,000.00
System Application of Liquidated Damages 0026 -19.0 $750.00 $14,250.00
Subtotals For Liquidated Damages $-36,000.00


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
26233(04) 0015 SUPERPAVE, TYPE S3(PG 76-28 OK) Asphalt Binder Adjustment 0021 841.19 $-0.03 $-27.38
26233(04) 0015 SUPERPAVE, TYPE S3(PG 76-28 OK) Asphalt Binder Adjustment 0022 -0.70 $-0.03 $0.02
26233(04) 0016 SUPERPAVE, TYPE S4(PG 76-28 OK) Asphalt Binder Adjustment 0022 367.39 $-0.03 $-13.67
Subtotals For Line Item Adjustments $-41.03


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: 110447   Estimate Number: 0027     Primary JP: 26233(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-164B(146)SS Project:    26233(04) Category:    0100/ROADWAY ITEMS
0001 CLEARING AND GRUBBING 201(A) 0102 LSUM 1.000 1.000   1.000 $10,000.00 $0.00 $10,000.00
0002 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 3,627.000 12,610.000   12,610.000 $5.75 $0.00 $72,507.50
0003 ROCK EXCAVATION 202(C) 0182 CY 6,270.000 6,157.600   6,157.600 $13.75 $0.00 $84,667.01
0004 UNCLASSIFIED BORROW 202(D) 0184 CY 8,983.000 0.000   0.000 $7.75 $0.00 $0.00
0005 PRESPLITTING OF ROCK 202(G) 0189 F DR 400.000 330.000   330.000 $100.00 $0.00 $33,000.00
0006 TYPE A-SALVAGED TOPSOIL 205(A) 4229 LSUM 1.000 1.000   1.000 $7,500.00 $0.00 $7,500.00
0007 TEMPORARY SILT FENCE 221(C) 2801 LF 1,511.000 169.000   169.000 $2.50 $0.00 $422.50
0008 TEMPORARY SILT DIKE 221(F) 0100 LF 175.000 84.000   84.000 $9.00 $0.00 $756.00
0009 SOLID SLAB SODDING 230(A) 2806 SY 23,987.000 13,436.890   13,436.890 $1.59 $0.00 $21,364.66
0010 VEGETATIVE MULCHING 233(A) 2817 AC 4.960 0.000   0.000 $795.00 $0.00 $0.00
0011 AGGREGATE BASE TYPE A 303(A) 2100 CY 1,639.000 1,850.930   1,850.930 $39.00 $0.00 $72,186.27
0012 SEPARATOR FABRIC 325 5271 SY 7,819.000 4,047.770   4,047.770 $1.25 $0.00 $5,059.72
0013 TRAFFIC BOUND SURFACE COURSE TYPE E 402(E) 0225 TON 451.000 746.640   746.640 $22.00 $0.00 $16,426.08
0014 PRIME COAT 408 5774 GAL 2,538.000 2,250.000   2,250.000 $4.50 $0.00 $10,125.00
0015 SUPERPAVE, TYPE S3(PG 76-28 OK) 411(B) 5935 TON 970.000 1,327.870   1,327.870 $97.78 $0.00 $129,839.13
0016 SUPERPAVE, TYPE S4(PG 76-28 OK) 411(C) 5950 TON 742.000 758.610   758.610 $104.87 $0.00 $79,555.43
0017 STRUCTURAL EXCAVATION UNCLASSIFIED 501(A) 0313 CY 9.000 15.500   15.500 $20.00 $0.00 $310.00
0018 CLASS AA CONCRETE 509(A) 0319 CY 29.200 43.110   43.110 $500.00 $0.00 $21,555.00
0019 CLASS C CONCRETE 509(D) 0325 CY 35.000 0.000   0.000 $300.00 $0.00 $0.00
0020 REINFORCING STEEL 511(A) 0332 LB 4,090.000 5,779.290 -0.004 5,779.290 $1.50 $-0.01 $8,668.94
0021 INLET (SMD-TYPE 2) 611(G) 6002 EA 2.000 0.000   0.000 $2,250.00 $0.00 $0.00
0022 18" R.C.PIPE CLASS III 613(A) 0491 LF 88.000 0.000   0.000 $50.00 $0.00 $0.00
0023 18" CORR. GALV. STEEL PIPE 613(B) 0689 LF 70.000 70.000   70.000 $25.00 $0.00 $1,750.00
0024 TYPE A4 CULVERT END TREATMENT 613(M) 7186 EA 2.000 2.000   2.000 $800.00 $0.00 $1,600.00
0025 STANDARD BEDDING MATERIAL, CLASS C 613(T) 1187 CY 24.000 0.000   0.000 $50.00 $0.00 $0.00
0026 TRENCH EXCAVATION 613(V) 1180 CY 31.000 0.000   0.000 $10.00 $0.00 $0.00
0027 REMOVAL OF FENCE 619(B) 4725 LF 278.000 265.000   265.000 $5.00 $0.00 $1,325.00
0028 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 6,354.000 6,333.890   6,333.890 $2.50 $0.00 $15,834.73
0029 REMOVAL OF GUARDRAIL 619(B) 4780 LF 1,109.000 1,495.000   1,495.000 $2.00 $0.00 $2,990.00
0030 SAWING PAVEMENT 619(C) 0924 LF 600.000 219.000   219.000 $4.50 $0.00 $985.50
0031 BEAM GUARDRAIL W-BEAM SINGLE 623(A) 0932 LF 487.500 487.500   487.500 $17.60 $0.00 $8,580.00
0032 GUARDRAIL END TREATMENT (GET) 623(G) 8571 EA 2.000 2.000   2.000 $2,282.50 $0.00 $4,565.00
0033 GUARDRAIL BRIDGE CONNECTION-TYPE A 623(I) 8675 EA 2.000 2.000   2.000 $1,677.50 $0.00 $3,355.00
0034 FENCE-STYLE SWF (4 BARBED WIRE) 624(C) 4458 LF 284.000 268.000   268.000 $10.00 $0.00 $2,680.00
8001 GEOGRID REINFORCEMENT 326(B) 0100 SY 0.000 2,666.670   2,666.670 $2.50 $0.00 $6,666.68
Subtotals For Category     0100/ROADWAY ITEMS    $-0.01 $624,275.15
Fed/State Project Number:    BRFY-164B(146)SS Project:    26233(04) Category:    0200/BRIDGE 'A'
0035 UNCLASSIFIED EXCAVATION 202(A) 1301 CY 5,269.000 5,269.000   5,269.000 $8.75 $0.00 $46,103.76
0036 STRUCTURAL EXCAVATION UNCLASSIFIED 501(A) 1306 CY 363.700 363.700   363.700 $13.75 $0.00 $5,000.88
0037 CLSM BACKFILL 501(G) 6309 CY 48.500 0.000   0.000 $125.00 $0.00 $0.00
0038 CONCRETE RAIL (TR4) 504(D) 6245 LF 190.120 190.120   190.120 $65.00 $0.00 $12,357.80
0039 CLASS AA CONCRETE 509(A) 1326 CY 858.200 858.200   858.200 $375.00 $0.00 $321,825.00
0040 REINFORCING STEEL 511(A) 1332 LB 180,192.000 180,192.000 0.000 180,192.000 $0.80 $0.00 $144,153.60
0041 EPOXY COATED REINFORCING STEEL 511(B) 6010 LB 2,792.000 2,792.000   2,792.000 $1.25 $0.00 $3,490.00
0042 WATER REPELLENT (VISUALLY INSPECTED) 515(A) 6013 SY 117.700 117.700   117.700 $15.00 $0.00 $1,765.50
0043 TYPE I-A PLAIN RIPRAP 601(B) 1353 TON 562.000 562.000   562.000 $35.00 $0.00 $19,670.00
0044 TYPE I-A FILTER BLANKET 601(C) 1355 TON 94.000 98.270   98.270 $35.00 $0.00 $3,439.45
0045 6" PERFORATED PIPE UNDERDRAIN ROUND 613(H) 6204 LF 137.000 397.000   397.000 $19.00 $0.00 $7,543.00
0046 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $25,000.00 $0.00 $25,000.00
Subtotals For Category     0200/BRIDGE 'A'    $0.00 $590,348.99
Fed/State Project Number:    BRFY-164B(146)SS Project:    26233(04) Category:    0300/TRAFFIC ITEMS
0047 (PL)REMOVAL OF EXISTING SIGNS 805(A) 8724 EA 4.000 4.000   4.000 $220.00 $0.00 $880.00
0048 (PL)REMOVE & RESET EXISTING SIGNS 805(D) 8756 EA 6.000 6.000   6.000 $660.00 $0.00 $3,960.00
0049 2" SQUARE TUBE POST 851(C) 8324 LF 38.000 0.000   0.000 $13.20 $0.00 $0.00
0050 GUARDRAIL DELINEATORS(TYPE 2, CODE 1) 853 9069 EA 10.000 14.000   14.000 $25.00 $0.00 $350.00
0051 TRAFFIC STRIPE(PAINT)(4" WIDE) 854(A) 8800 LF 5,623.000 5,782.000   5,782.000 $0.20 $0.00 $1,156.40
0052 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 5,600.000 5,760.000   5,760.000 $0.50 $0.00 $2,880.00
0053 PAVEMENT MARKING REMOVAL(TRAFFIC STRIPE) 857(F) 8006 LF 5,623.000 2,417.000   2,417.000 $0.11 $0.00 $265.87
0054 (SP)CONST.ZONE IMPACT ATTEN. 871(B) 8705 SD 140.000 0.000   0.000 $13.20 $0.00 $0.00
0055 DELIVER PORTABLE LONGITUDINAL BARRIER 877(B) 8484 LF 2,404.000 1,921.000   1,921.000 $40.00 $0.00 $76,840.00
0056 CONSTRUCTION SIGNS 0 TO 6.25 SF 880(B) 8818 SD 1,080.000 4,381.000   4,381.000 $0.61 $0.00 $2,672.41
0057 CONSTRUCTION SIGNS 6.26 SF TO 15.99 SF 880(B) 8821 SD 2,300.000 3,381.000   3,381.000 $0.61 $0.00 $2,062.41
0058 CONSTRUCTION SIGNS 16.0 SF TO 32.99 SF 880(B) 8824 SD 1,580.000 3,206.000   3,206.000 $2.75 $0.00 $8,816.50
0059 CONSTRUCTION BARRICADES(TYPE III) 880(C) 8842 SD 280.000 774.000   774.000 $3.30 $0.00 $2,554.20
0060 WING BARRICADES 880(C) 8848 SD 360.000 1,060.000   1,060.000 $1.65 $0.00 $1,749.00
0061 WARNING LIGHTS(TYPE A) 880(E) 8860 SD 1,680.000 3,656.000   3,656.000 $0.28 $0.00 $1,023.68
0062 DRUMS 880(F) 8878 SD 5,750.000 10,405.000   10,405.000 $0.24 $0.00 $2,497.20
8000 PORT.CHANGEABLE MESSAGE SIGN 882(A) 8306 SD 0.000 24.000   24.000 $93.50 $0.00 $2,244.00
Subtotals For Category     0300/TRAFFIC ITEMS    $0.00 $109,951.67
Fed/State Project Number:    BRFY-164B(146)SS Project:    26233(04) Category:    0600/STAKING
0063 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000   1.000 $15,000.00 $0.00 $15,000.00
Subtotals For Category     0600/STAKING    $0.00 $15,000.00
Fed/State Project Number:    BRFY-164B(146)SS Project:    26233(04) Category:    0640/CONSTRUCTION
0064 SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $7,250.00 $0.00 $7,250.00
0065 FIELD OFFICE 640(A) 1426 EA 1.000 0.000   0.000 $2,500.00 $0.00 $0.00
0066 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $55,000.00 $0.00 $55,000.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $62,250.00
Subtotals For Project BRFY-164B(146)SS /26233(04) $-0.01 $1,401,825.81