Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 110505   Estimate Number: 0014 , Final     Spec Year: 2009
Primary JP: 28194(04)   Residency: ANTLERS (02100)     Contract No: 710698
Date Created: 03/25/2013   Contractor FEI: 730764097A     Account No: 434200

Project Number(s): SBR-103N(137)SB
Contract Description: BRIDGE REHABILITATION US-69: OVER NORTH BOGGY RIVER, 5.87 MILES NORTH OF THE SH-7 JUNCTION. PROJECT LENGTH = 0.207 MILES.
Primary County: ATOKA              
Name of Road: US-69              
Prime Contractor: MANHATTAN ROAD & BRIDGE COMPANY           Time Charged: 170.00
    5601 S. 122ND E. AVE.           Time Allowed: 156.00
    TULSA , OK   74146           Percent Time: 108.97 %

  Paid To Date: $1,999,799.55 Payable This Statement: $4,500.00

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:    03/25/2013
Contract ID: 110505   Estimate Number: 0014     Contract No: 710698
Residency: ANTLERS (02100)   Estimate Type: Final     Account No: 434200

Project Number(s): SBR-103N(137)SB
Primary Job Piece No: 28194(04)
Contract Description: BRIDGE REHABILITATION US-69: OVER NORTH BOGGY RIVER, 5.87 MILES NORTH OF THE SH-7 JUNCTION. PROJECT LENGTH = 0.207 MILES.
Primary County: ATOKA              
Name of Road: US-69              
Prime Contractor: MANHATTAN ROAD & BRIDGE COMPANY              
    5601 S. 122ND E. AVE.              
    TULSA , OK   74146              
Surety Company: FIDELITY & DEPOSIT INSURANCE COMPANY OF MARYLAND              

Date Let: 11/17/2011 NTP Effective Date: 04/02/2012 Pay Period: 01/16/2013  TO  01/31/2013
Date Awarded: 12/05/2011 Date Work Began: 03/05/2012 Original Contract Time: 150
Date Contract Executed: 12/20/2011 Date Time Stopped: 11/01/2012 Current Time Charged: 170.00
Date NTP Issued: 12/29/2011 Completion Date: 11/01/2012 Current Time Allowed: 156.00
General Liability Expires: 10/01/2013 Workman's Comp Expires: 10/01/2013 Percent Time Used: 108.97 %
Specification Year: 2009        

Current Contract Amount: $2,010,299.55 Total to Date Prev to Date This Estimate
Bid Amount: $1,894,957.50 Participating: $0.00 $0.00 $0.00
Percent Complete: 99.48 % Non Participating: $2,010,299.55 $2,010,299.55 $0.00
Funds Available: $10,500.00 Total Earnings: $2,010,299.55 $2,010,299.55 $0.00
Unearned Balance: $-104,842.05 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $2,010,299.55 $2,010,299.55 $0.00
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $-10,500.00 $-15,000.00 $4,500.00
TOTAL: $1,999,799.55 $1,995,299.55 $4,500.00

Estimate Adjustment Detail

Contract ID: 110505   Estimate Number: 0014     Primary JP: 28194(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 ADD ITEM FOR GLARE SCREEN Approved 05/11/2012 0.0 $2,073.60
002 ADD ITEM PAINTING EXISTING STRUCTURES Approved 05/29/2012 0.0 $4,626.00
003 Final Quantity Change Order Approved 01/08/2013 0.0 $108,642.45
004 Time adjustment due to additional and changes in work. Approved 01/31/2013 6.0 $0.00


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
28194(04) 0023 REBAR-GR60 EPOXY CTD Stockpiled Material Adjustment 0010 $-7.39
28194(04) 0023 REBAR-GR60 EPOXY CTD Stockpiled Material Initial Payment 0004 $6,732.29
28194(04) 0023 REBAR-GR60 EPOXY CTD Stockpiled Material Adjustment 0009 $-6,724.90
28194(04) 0026 REBAR-GR60 EPOXY CTD Stockpiled Material Adjustment 0010 $-10,353.20
28194(04) 0026 REBAR-GR60 EPOXY CTD Stockpiled Material Initial Payment 0004 $10,353.20
28194(04) 0027 SSTL FABS (AML) Stockpiled Material Initial Payment 0001 $105,575.40
28194(04) 0027 SSTL FABS (AML) Stockpiled Material Adjustment 0006 $-105,575.40
28194(04) 0029 SSTL FABS (AML) Stockpiled Material Adjustment 0006 $-8,534.00
28194(04) 0029 SSTL FABS (AML) Stockpiled Material Initial Payment 0001 $8,534.00
28194(04) 0034 REBAR-GR60 EPOXY CTD Stockpiled Material Adjustment 0009 $-48,281.75
28194(04) 0034 REBAR-GR60 EPOXY CTD Stockpiled Material Adjustment 0004 $-7,920.00
28194(04) 0034 REBAR-GR60 EPOXY CTD Stockpiled Material Initial Payment 0004 $56,201.75
Subtotals For Stockpile Payments $0.00


LIQUIDATED DAMAGES HISTORY
Adjustment Description Estimate Nbr Time Units Rate Adjustment Amount
System Application of Liquidated Damages 0012 --8.0 $750.00 $-6,000.00
System Application of Liquidated Damages 0013 --12 $750.00 $-9,000.00
System Application of Liquidated Damages 0014 -6.0 $750.00 $4,500.00
Subtotals For Liquidated Damages $-10,500.00


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
No line item adjustments have been created on this contract.
Subtotals For Line Item Adjustments $0.00


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: 110505   Estimate Number: 0014     Primary JP: 28194(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:    SBR-103N(137)SB Project:    28194(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201(A) 0102 LSUM 1.000 1.000   1.000 $80,000.00 $0.00 $80,000.00
0002 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 1,416.000 1,416.000   1,416.000 $15.00 $0.00 $21,240.00
0003 UNCLASSIFIED BORROW 202(D) 0184 CY 2,887.000 2,887.000   2,887.000 $6.00 $0.00 $17,322.00
0004 TYPE A-SALVAGED TOPSOIL 205(A) 4229 LSUM 1.000 1.000   1.000 $7,000.00 $0.00 $7,000.00
0005 TEMPORARY SILT FENCE 221(C) 2801 LF 1,451.000 1,001.000   1,001.000 $2.25 $0.00 $2,252.25
0006 TEMPORARY SEDIMENT FILTER 221(D) 2803 EA 2.000 2.000   2.000 $170.00 $0.00 $340.00
0007 SOLID SLAB SODDING 230(A) 2806 SY 2,796.000 6,908.540   6,908.540 $3.00 $0.00 $20,725.62
0008 AGGREGATE BASE TYPE A 303(A) 2100 CY 292.000 178.720   178.720 $45.00 $0.00 $8,042.40
0009 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 317.000 924.870   924.870 $170.50 $0.00 $157,690.34
0010 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 261.000 402.860   402.860 $176.00 $0.00 $70,903.36
0011 COLD MILLING PAVEMENT 412 5267 SY 1,112.000 0.000   0.000 $23.50 $0.00 $0.00
0012 RUMBLE STRIP-METHOD HMA-CON 413(A) 4861 LF 334.000 0.000   0.000 $3.00 $0.00 $0.00
0013 RUMBLE STRIP-METHOD PCC-CON 413(C) 4868 LF 334.000 0.000   0.000 $4.00 $0.00 $0.00
0014 BONDED CONCRETE OVERLAY 414(D) 0220 SY 1,112.000 820.000   820.000 $20.00 $0.00 $16,400.00
0015 P.C. CONCRETE FOR PAVEMENT 414(G) 5275 CY 195.000 136.700   136.700 $140.00 $0.00 $19,138.00
0016 18" CORR. GALV. STEEL PIPE 613(B) 0689 LF 186.000 186.000   186.000 $60.00 $0.00 $11,160.00
0017 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 656.000 329.660   329.660 $13.50 $0.00 $4,450.41
0018 REMOVAL OF GUARDRAIL 619(B) 4780 LF 750.000 925.000   925.000 $3.50 $0.00 $3,237.50
0019 BEAM GUARDRAIL W-BEAM SINGLE 623(A) 0932 LF 750.000 700.000   700.000 $16.50 $0.00 $11,550.00
0020 GUARDRAIL END TREATMENT (GET) 623(G) 8571 EA 2.000 2.000   2.000 $2,300.00 $0.00 $4,600.00
0021 GUARDRAIL BRIDGE CONNECTION-TYPE A 623(I) 8675 EA 2.000 2.000   2.000 $1,600.00 $0.00 $3,200.00
Subtotals For Category     0100/ROADWAY    $0.00 $459,251.88
Fed/State Project Number:    SBR-103N(137)SB Project:    28194(04) Category:    0200/BRIDGE 'A'
0022 CLSM BACKFILL 501(G) 6309 CY 120.000 153.520   153.520 $130.00 $0.00 $19,957.60
0023 APPROACH SLAB 504(A) 1304 SY 182.200 182.200   182.200 $160.00 $0.00 $29,152.00
0024 SAW-CUT GROOVING 504(B) 1305 SY 1,909.300 1,909.300   1,909.300 $4.50 $0.00 $8,591.85
0025 SEALED EXPANSION JOINT 504(C) 6250 LF 78.000 78.000   78.000 $245.00 $0.00 $19,110.00
0026 42" F-SHAPED PARAPET 504(E) 6190 LF 905.000 905.000   905.000 $65.00 $0.00 $58,825.00
0027 STRUCTURAL STEEL 506(A) 1322 LB 167,580.000 167,580.000   167,580.000 $2.50 $0.00 $418,950.00
0028 WEATHERING STEEL FIXED BEARING ASSEMBLY 507(A) 6172 EA 2.000 2.000   2.000 $16,000.00 $0.00 $32,000.00
0029 WEATHERING STEEL EXPANSION BEARING ASSEMBLY 507(B) 6176 EA 2.000 2.000   2.000 $6,000.00 $0.00 $12,000.00
0030 CLASS AA CONCRETE 509(A) 1326 CY 441.000 441.000   441.000 $425.00 $0.00 $187,425.00
0031 CLASS A CONCRETE 509(B) 1328 CY 107.400 107.400   107.400 $800.00 $0.00 $85,920.00
0032 CLASS C CONCRETE 509(D) 1331 CY 5.800 8.500   8.500 $600.00 $0.00 $5,100.00
0033 REINFORCING STEEL 511(A) 1332 LB 1,080.000 1,080.000   1,080.000 $1.50 $0.00 $1,620.00
0034 EPOXY COATED REINFORCING STEEL 511(B) 6010 LB 133,260.000 134,115.000   134,115.000 $1.00 $0.00 $134,115.00
0035 PAINTING EXISTING STRUCTURES 512(A) 1323 LSUM 1.000 1.000   1.000 $20,000.00 $0.00 $20,000.00
0036 COLLECTION AND HANDLING OF WASTE 512(B) 6303 LSUM 1.000 0.000   0.000 $1,500.00 $0.00 $0.00
0037 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 112.000 112.000   112.000 $50.00 $0.00 $5,600.00
0038 PILES, FURNISHED (HP 12X53) 514(A) 6011 LF 36.000 42.000   42.000 $75.00 $0.00 $3,150.00
0039 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 112.000 111.000   111.000 $22.50 $0.00 $2,497.50
0040 PILES, DRIVEN (HP 12X53) 514(B) 6294 LF 36.000 42.000   42.000 $22.50 $0.00 $945.00
0041 WATER REPELLENT (VISUALLY INSPECTED) 515(A) 6013 SY 876.000 876.000   876.000 $4.00 $0.00 $3,504.00
0042 DRILLED SHAFTS 30" DIAMETER 516(A) 6091 LF 19.000 19.000   19.000 $500.00 $0.00 $9,500.00
0043 DRILLED SHAFTS 60" DIAMETER 516(A) 6096 LF 86.000 66.000   66.000 $750.00 $0.00 $49,500.00
0044 SEALER CRACK PREPARATION 523(A) 6550 LF 164.000 164.000   164.000 $5.00 $0.00 $820.00
0045 SEALER RESIN 523(B) 6560 GAL 4.500 4.500   4.500 $150.00 $0.00 $675.00
0046 REMOVAL OF BRIDGE ITEMS 619(B) 2500 LSUM 1.000 1.000   1.000 $185,000.00 $0.00 $185,000.00
8001 PAINTING EXISTING STRUCTURES 512(A) 1323 LSUM 0.000 1.000   1.000 $4,626.00 $0.00 $4,626.00
Subtotals For Category     0200/BRIDGE 'A'    $0.00 $1,298,583.95
Fed/State Project Number:    SBR-103N(137)SB Project:    28194(04) Category:    0330/TRAFFIC CONTROL
0047 TRAFFIC STRIPE(MULTI-POLYMER)(4" WIDE) 856(A) 8530 LF 6,500.000 7,530.000   7,530.000 $1.00 $0.00 $7,530.00
0048 TRAFFIC STRIPE(MULTI-POLY.)(6" WIDE) 856(A) 8535 LF 1,732.000 228.000   228.000 $1.50 $0.00 $342.00
0049 CONSTRUCTION TRAFFIC STRIPE(PAINT)(4" WIDE) 857(A) 8839 LF 9,744.000 11,436.000   11,436.000 $0.20 $0.00 $2,287.20
0050 (PL)CONSTRUCTION ZONE PAVEMENT MARKERS(FLEX TAB)TYPE 2-1 857(E) 8887 EA 2,150.000 1,058.000   1,058.000 $0.50 $0.00 $529.00
0051 PAVEMENT MARKING REMOVAL(TRAFFIC STRIPE) 857(F) 8006 LF 2,500.000 9,846.000   9,846.000 $0.30 $0.00 $2,953.80
0052 DELIVER PORTABLE LONGITUDINAL BARRIER 877(B) 8484 LF 3,250.000 3,120.000   3,120.000 $25.00 $0.00 $78,000.00
0053 ARROW DISPLAY(TYPE C) 880(A) 8812 SD 180.000 438.000   438.000 $12.00 $0.00 $5,256.00
0054 CONSTRUCTION SIGNS 0 TO 6.25 SF 880(B) 8818 SD 4,500.000 7,655.000   7,655.000 $0.05 $0.00 $382.75
0055 CONSTRUCTION SIGNS 6.26 SF TO 15.99 SF 880(B) 8821 SD 2,880.000 9,249.000   9,249.000 $1.05 $0.00 $9,711.45
0056 CONSTRUCTION SIGNS 16.0 SF TO 32.99 SF 880(B) 8824 SD 1,980.000 3,881.000   3,881.000 $1.05 $0.00 $4,075.05
0057 CONSTRUCTION BARRICADES(TYPE III) 880(C) 8842 SD 2,160.000 2,984.000   2,984.000 $0.15 $0.00 $447.60
0058 WING BARRICADES 880(C) 8848 SD 360.000 657.000   657.000 $2.25 $0.00 $1,478.25
0059 WARNING LIGHTS(TYPE A) 880(E) 8860 SD 8,280.000 9,226.000   9,226.000 $0.02 $0.00 $184.52
0060 DRUMS 880(F) 8878 SD 8,640.000 34,950.000   34,950.000 $0.75 $0.00 $26,212.50
8000 MODULAR GLARE SCREEN (TEMPORARY) 878(B) 8487 SD 0.000 180.000   180.000 $11.52 $0.00 $2,073.60
Subtotals For Category     0330/TRAFFIC CONTROL    $0.00 $141,463.72
Fed/State Project Number:    SBR-103N(137)SB Project:    28194(04) Category:    0640/CONSTRUCTION
0061 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $100,000.00 $0.00 $100,000.00
0062 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000   1.000 $11,000.00 $0.00 $11,000.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $111,000.00
Subtotals For Project SBR-103N(137)SB /28194(04) $0.00 $2,010,299.55