Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 110466   Estimate Number: 0013 , Final     Spec Year: 2009
Primary JP: 24670(04)   Residency: CIRCUIT ENGR. DISTRICT # 7 (05005)     Contract No: 710411
Date Created: 03/05/2013   Contractor FEI: 731427175     Account No: 436500

Project Number(s): BRO-120D(153)CI
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (EW-89): OVER DEER CREEK, 3.2 MILES WEST OF THE SH-33 JUNCTION. PROJECT LENGTH = 0.199 MILES.
Primary County: CUSTER              
Name of Road: COUNTY ROAD              
Prime Contractor: K & R BUILDERS, INC.           Time Charged: 127.00
    P.O. BOX 656           Time Allowed: 120.00
    WHEATLAND , OK   73097           Percent Time: 105.83 %

  Paid To Date: $553,503.55 Payable This Statement: $1,741.29

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:    03/05/2013
Contract ID: 110466   Estimate Number: 0013     Contract No: 710411
Residency: CIRCUIT ENGR. DISTRICT # 7 (05005)   Estimate Type: Final     Account No: 436500

Project Number(s): BRO-120D(153)CI
Primary Job Piece No: 24670(04)
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (EW-89): OVER DEER CREEK, 3.2 MILES WEST OF THE SH-33 JUNCTION. PROJECT LENGTH = 0.199 MILES.
Primary County: CUSTER              
Name of Road: COUNTY ROAD              
Prime Contractor: K & R BUILDERS, INC.              
    P.O. BOX 656              
    WHEATLAND , OK   73097              
Surety Company: OHIO CASUALTY INSURANCE COMPANY              

Date Let: 09/15/2011 NTP Effective Date: 02/06/2012 Pay Period: 10/01/2012  TO  02/01/2013
Date Awarded: 10/03/2011 Date Work Began: 01/23/2012 Original Contract Time: 120
Date Contract Executed: 10/12/2011 Date Time Stopped: 11/06/2012 Current Time Charged: 127.00
Date NTP Issued: 10/14/2011 Completion Date: 11/06/2012 Current Time Allowed: 120.00
General Liability Expires: 05/01/2013 Workman's Comp Expires: 07/01/2013 Percent Time Used: 105.83 %
Specification Year: 2009        

Current Contract Amount: $557,003.54 Total to Date Prev to Date This Estimate
Bid Amount: $565,376.10 Participating: $557,003.55 $555,993.51 $1,010.04
Percent Complete: 99.37 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $3,499.99 Total Earnings: $557,003.55 $555,993.51 $1,010.04
Unearned Balance: $11,872.55 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $557,003.55 $555,993.51 $1,010.04
Other Adjustments: $0.00 $-731.25 $731.25
Liq Dam/Disincentive: $-3,500.00 $-3,500.00 $0.00
TOTAL: $553,503.55 $551,762.26 $1,741.29

Estimate Adjustment Detail

Contract ID: 110466   Estimate Number: 0013     Primary JP: 24670(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Deduction for Low Air Concrete Approved 07/23/2012 0.0 $-300.00
002 Deduction for Low Air Content Approved 09/14/2012 0.0 $-100.00
003 Final Quantity Change Order Approved 01/28/2013 0.0 $-7,972.56


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
24670(04) 0011 PC BR ITM FABS (AML) Stockpiled Material Adjustment 0009 $-39,028.84
24670(04) 0011 PC BR ITM FABS (AML) Stockpiled Material Initial Payment 0001 $39,028.84
24670(04) 0012 PC BR ITM FABS (AML) Stockpiled Material Adjustment 0007 $-32,423.74
24670(04) 0012 PC BR ITM FABS (AML) Stockpiled Material Initial Payment 0006 $32,423.74
24670(04) 0014 RSTL FABS (AML)(IA) Stockpiled Material Initial Payment 0007 $2,556.56
24670(04) 0014 RSTL FABS (AML)(IA) Stockpiled Material Adjustment 0010 $-2,556.56
24670(04) 0016 SSTL FABS (AML) Stockpiled Material Initial Payment 0007 $3,771.45
24670(04) 0016 SSTL FABS (AML) Stockpiled Material Adjustment 0008 $-3,771.45
24670(04) 0017 SSTL FABS (AML) Stockpiled Material Adjustment 0008 $-3,771.45
24670(04) 0017 SSTL FABS (AML) Stockpiled Material Initial Payment 0007 $3,771.45
24670(04) 0020 RSTL FABS (AML)(IA) Stockpiled Material Adjustment 0009 $-2,293.66
24670(04) 0020 RSTL FABS (AML)(IA) Stockpiled Material Adjustment 0008 $-976.51
24670(04) 0020 RSTL FABS (AML)(IA) Stockpiled Material Initial Payment 0007 $7,062.31
24670(04) 0020 RSTL FABS (AML)(IA) Stockpiled Material Adjustment 0007 $-3,792.14
Subtotals For Stockpile Payments $0.00


LIQUIDATED DAMAGES HISTORY
Adjustment Description Estimate Nbr Time Units Rate Adjustment Amount
System Application of Liquidated Damages 0010 --7.0 $500.00 $-3,500.00
Subtotals For Liquidated Damages $-3,500.00


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
24670(04) 0005 TRAFFIC BOUND SURFACE COURSE TYPE E * Missing Material Certification 0010 -501.68 $26.05 $-13,068.76
24670(04) 0005 TRAFFIC BOUND SURFACE COURSE TYPE E * Missing Material Certification 0011 501.68 $26.05 $13,068.76
24670(04) 0026 GUARDRAIL ANCHOR UNIT (TYPE II) * Missing Material Certification 0010 -4.00 $2,250.00 $-9,000.00
24670(04) 0026 GUARDRAIL ANCHOR UNIT (TYPE II) * Missing Material Certification 0012 4.00 $2,250.00 $9,000.00
24670(04) 0029 SWPPP DOCUMENTATION AND MANAGEMENT * Missing Material Certification 0012 -0.25 $2,925.00 $-731.25
24670(04) 0029 SWPPP DOCUMENTATION AND MANAGEMENT * Material Discrepancy Adjustments 0013 0.25 $2,925.00 $731.25
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: 110466   Estimate Number: 0013     Primary JP: 24670(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:    BRO-120D(153)CI Project:    24670(04) Category:    0100/ROADWAY
0001 EARTHWORK 202(H) 0185 LSUM 1.000 1.000   1.000 $24,800.00 $0.00 $24,800.00
0002 TEMPORARY SILT FENCE 221(C) 2801 LF 800.000 553.200   553.200 $1.35 $0.00 $746.82
0003 SOLID SLAB SODDING 230(A) 2806 SY 7,500.000 5,697.670   5,697.670 $1.55 $0.00 $8,831.39
0004 VEGETATIVE MULCHING 233(A) 2817 AC 1.550 0.380   0.380 $150.00 $0.00 $57.00
0005 TRAFFIC BOUND SURFACE COURSE TYPE E 402(E) 0225 TON 534.000 501.680   501.680 $26.05 $0.00 $13,068.76
0006 CLASS C CONCRETE 509(D) 0325 CY 15.000 0.000   0.000 $242.50 $0.00 $0.00
0007 28" X 20" CORR. GALV. STEEL PIPE ARCH 613(B) 4528 LF 112.000 112.000   112.000 $21.00 $0.00 $2,352.00
0008 TYPE B4 CULVERT END TREATMENT 613(M) 7187 EA 4.000 4.000   4.000 $950.00 $0.00 $3,800.00
Subtotals For Category     0100/ROADWAY    $0.00 $53,655.97
Fed/State Project Number:    BRO-120D(153)CI Project:    24670(04) Category:    0200/BRIDGE 'A'
0009 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 80.000 80.000   80.000 $7.67 $0.00 $613.60
0010 UNCLASSIFIED BACKFILL 501(D) 6353 CY 50.000 50.000   50.000 $10.67 $0.00 $533.50
0011 PRESTRESSED CONCRETE BEAMS (TYPE II) 503(A) 1311 LF 313.340 313.340   313.340 $147.50 $0.00 $46,217.65
0012 PRESTRESSED CONCRETE BEAMS (TYPE III) 503(A) 1312 LF 236.670 236.670   236.670 $173.00 $0.00 $40,943.91
0013 SEALED EXPANSION JOINT 504(C) 6250 LF 29.420 29.420   29.420 $220.00 $0.00 $6,472.40
0014 CONCRETE RAIL (TR3) 504(D) 6239 LF 337.000 337.000   337.000 $62.67 $0.00 $21,119.79
0015 STRUCTURAL STEEL 506(A) 1322 LB 489.000 489.000   489.000 $3.10 $0.00 $1,515.90
0016 WEATHERING STEEL FIXED BEARING ASSEMBLY 507(A) 6172 EA 12.000 12.000   12.000 $820.00 $0.00 $9,840.00
0017 WEATHERING STEEL EXPANSION BEARING ASSEMBLY 507(B) 6176 EA 12.000 12.000   12.000 $820.00 $0.00 $9,840.00
0018 CLASS AA CONCRETE 509(A) 1326 CY 106.000 106.000   106.000 $470.00 $0.00 $49,820.00
0019 CLASS A CONCRETE 509(B) 1328 CY 86.200 86.200   86.200 $478.33 $0.00 $41,232.05
0020 REINFORCING STEEL 511(A) 1332 LB 36,324.000 36,324.000   36,324.000 $0.90 $0.00 $32,691.60
0021 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 700.000 700.000   700.000 $23.10 $0.00 $16,170.00
0022 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 700.000 671.940   671.940 $9.90 $0.00 $6,652.21
0023 DRILLED SHAFTS 48" DIAMETER 516(A) 6094 LF 152.000 157.630   157.630 $497.00 $0.00 $78,342.11
0024 TYPE I-A PLAIN RIPRAP 601(B) 1353 TON 2,300.000 2,273.320 27.210 2,273.320 $37.12 $1,010.04 $84,385.64
0025 TYPE I-A FILTER BLANKET 601(C) 1355 TON 800.000 741.470   741.470 $29.40 $0.00 $21,799.22
0026 GUARDRAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 4.000 4.000   4.000 $2,250.00 $0.00 $9,000.00
0027 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $2,300.00 $0.00 $2,300.00
8000 DEDUCTION FOR FAILING MATERIAL 105 2325 EA 0.000 6.000   6.000 $-50.00 $0.00 $-300.00
8001 DEDUCTION FOR FAILING MATERIAL 105 2325 EA 0.000 2.000   2.000 $-50.00 $0.00 $-100.00
Subtotals For Category     0200/BRIDGE 'A'    $1,010.04 $479,089.58
Fed/State Project Number:    BRO-120D(153)CI Project:    24670(04) Category:    0600/STAKING
0028 CONSTRUCTION STAKING LEVEL II 642(B) 0096 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:    BRO-120D(153)CI Project:    24670(04) Category:    0640/CONSTRUCTION
0029 SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000 0.000 1.000 $2,925.00 $0.00 $2,925.00
0030 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $16,333.00 $0.00 $16,333.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $19,258.00
Subtotals For Project BRO-120D(153)CI /24670(04) $1,010.04 $557,003.55