Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 110512   Estimate Number: 0011 , Final     Spec Year: 2009
Primary JP: 23766(04)   Residency: JACOBS (AKA - CARTER-BURGESS) (03004)     Contract No: 710667
Date Created: 05/10/2013   Contractor FEI: 731419591     Account No: 400350

Project Number(s): STP-114D(176)AG, STP-114C(201)AG
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (EW-132/EW-141): OVER BUCKHEAD CREEK, 5.2 MILES EAST OF US-77. OVER NORTH CANADIAN RIVER TRIBUTARY, 3.0 MILES EAST OF THE MCCLAIN CCOUNTY LINE. PROJECT LENGTH = 0.108 MILES.
Primary County: CLEVELAND              
Name of Road: COUNTY ROAD              
Prime Contractor: BRIDGECO CONTRACTORS, INC.           Time Charged: 116.00
    P.O. BOX 119           Time Allowed: 105.00
    WELLSTON , OK   74881           Percent Time: 110.48 %

  Paid To Date: $475,645.53 Payable This Statement: $481.60

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.                                
BRIDGECO CONTRACTORS, 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:    05/10/2013
Contract ID: 110512   Estimate Number: 0011     Contract No: 710667
Residency: JACOBS (AKA - CARTER-BURGESS) (03004)   Estimate Type: Final     Account No: 400350

Project Number(s): STP-114D(176)AG, STP-114C(201)AG
Primary Job Piece No: 23766(04)
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (EW-132/EW-141): OVER BUCKHEAD CREEK, 5.2 MILES EAST OF US-77. OVER NORTH CANADIAN RIVER TRIBUTARY, 3.0 MILES EAST OF THE MCCLAIN CCOUNTY LINE. PROJECT LENGTH = 0.108 MILES.
Primary County: CLEVELAND              
Name of Road: COUNTY ROAD              
Prime Contractor: BRIDGECO CONTRACTORS, INC.              
    P.O. BOX 119              
    WELLSTON , OK   74881              
Surety Company: GRANITE RE, INC.              

Date Let: 11/17/2011 NTP Effective Date: 03/05/2012 Pay Period: 08/01/2012  TO  04/30/2013
Date Awarded: 12/05/2011 Date Work Began: 12/19/2011 Original Contract Time: 80
Date Contract Executed: 12/07/2011 Date Time Stopped: 10/31/2012 Current Time Charged: 116.00
Date NTP Issued: 12/08/2011 Completion Date: 10/31/2012 Current Time Allowed: 105.00
General Liability Expires: 08/01/2013 Workman's Comp Expires: 08/13/2013 Percent Time Used: 110.48 %
Specification Year: 2009        

Current Contract Amount: $480,598.57 Total to Date Prev to Date This Estimate
Bid Amount: $467,942.75 Participating: $480,598.57 $480,902.60 $-304.03
Percent Complete: 98.97 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $4,953.04 Total Earnings: $480,598.57 $480,902.60 $-304.03
Unearned Balance: $-7,702.78 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $480,598.57 $480,902.60 $-304.03
Other Adjustments: $46.96 $-738.67 $785.63
Liq Dam/Disincentive: $-5,000.00 $-5,000.00 $0.00
TOTAL: $475,645.53 $475,163.93 $481.60

Estimate Adjustment Detail

Contract ID: 110512   Estimate Number: 0011     Primary JP: 23766(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Obstructions/Filter Blanket/Deduct/Time Approved 07/23/2012 25.0 $36,377.37
002 Modifying existing pay items to pay plan quantity Approved 01/28/2013 0.0 $0.00
003 Final Quantity Change Order Approved 03/29/2013 0.0 $-23,721.55


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 --8.0 $500.00 $-4,000.00
System Application of Liquidated Damages 0007 --16 $500.00 $-8,000.00
System Application of Liquidated Damages 0008 --10 $500.00 $-5,000.00
System Application of Liquidated Damages 0009 --1.0 $500.00 $-500.00
System Application of Liquidated Damages 0010 -25.0 $500.00 $12,500.00
Subtotals For Liquidated Damages $-5,000.00


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
23766(04) 0004 TEMPORARY SILT FENCE * Missing Material Certification 0003 -634.00 $2.00 $-1,268.00
23766(04) 0004 TEMPORARY SILT FENCE * Missing Material Certification 0007 634.00 $2.00 $1,268.00
24610(04) 0031 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0008 47.74 $0.48 $22.96
24610(04) 0031 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0009 5.79 $1.53 $8.86
24610(04) 0032 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0008 27.54 $0.54 $15.14
24610(04) 0037 CLASS A CONCRETE * SUBSTANDARD ITEM 0002 -10.00 $400.00 $-4,000.00
24610(04) 0037 CLASS A CONCRETE * SUBSTANDARD ITEM 0007 0.00 $0.00 $3,214.37
24610(04) 0037 CLASS A CONCRETE * SUBSTANDARD ITEM 0011 0.00 $0.00 $785.63
Subtotals For Line Item Adjustments $46.96
* = 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: 110512   Estimate Number: 0011     Primary JP: 23766(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:    STP-114D(176)AG Project:    23766(04) Category:    0100/ROADWAY - STP-114D(176)AG
0001 CLEARING AND GRUBBING 201(A) 0102 LSUM 1.000 1.000   1.000 $2,000.00 $0.00 $2,000.00
0002 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 210.000 210.000   210.000 $8.00 $0.00 $1,680.00
0003 UNCLASSIFIED BORROW 202(D) 0184 CY 445.000 445.000   445.000 $10.00 $0.00 $4,450.00
0004 TEMPORARY SILT FENCE 221(C) 2801 LF 855.000 634.000   634.000 $2.00 $0.00 $1,268.00
0005 TEMPORARY SILT DIKE 221(F) 0100 LF 100.000 0.000   0.000 $7.00 $0.00 $0.00
0006 SOLID SLAB SODDING 230(A) 2806 SY 1,360.000 1,605.440 -71.560 1,605.440 $2.60 $-186.06 $4,174.14
0007 VEGETATIVE MULCHING 233(A) 2817 AC 0.600 0.000   0.000 $1,200.00 $0.00 $0.00
0008 STABILIZED SUBGRADE 307(K) 4300 SY 1,425.000 1,425.000   1,425.000 $7.40 $0.00 $10,545.00
0009 TACK COAT 407(B) 0250 GAL 60.000 50.000   50.000 $8.60 $0.00 $430.00
0010 PRIME COAT 408 5774 GAL 185.000 150.000   150.000 $5.30 $0.00 $795.00
0011 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 268.000 270.450   270.450 $68.05 $0.00 $18,404.12
0012 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 131.000 139.600   139.600 $98.35 $0.00 $13,729.66
0013 CLASS C CONCRETE 509(D) 0325 CY 10.000 0.000   0.000 $250.00 $0.00 $0.00
0014 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 1.000 1.000   1.000 $3,000.00 $0.00 $3,000.00
Subtotals For Category     0100/ROADWAY - STP-114D(176)AG    $-186.06 $60,475.92
Fed/State Project Number:    STP-114D(176)AG Project:    23766(04) Category:    0200/BRIDGE 'A' - STP-114D(176)AG
0015 UNCLASSIFIED EXCAVATION 202(A) 1301 CY 2,675.000 2,675.000   2,675.000 $6.00 $0.00 $16,050.00
0016 STRUCTURAL EXCAVATION UNCLASSIFIED 501(A) 1306 CY 210.000 210.000   210.000 $10.00 $0.00 $2,100.00
0017 CLASS A CONCRETE 509(B) 1328 CY 237.000 237.000   237.000 $400.00 $0.00 $94,800.00
0018 REINFORCING STEEL 511(A) 1332 LB 31,900.000 31,900.000   31,900.000 $0.95 $0.00 $30,305.00
0019 TYPE I-A PLAIN RIPRAP 601(B) 1353 TON 96.000 224.890 -1.110 224.890 $38.00 $-42.18 $8,545.82
0020 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $1,550.00 $0.00 $1,550.00
8000 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 0.000 1.000   1.000 $7,615.00 $0.00 $7,615.00
8001 TYPE I-A FILTER BLANKET 601(C) 1355 TON 0.000 89.620 -0.380 89.620 $49.00 $-18.62 $4,391.38
Subtotals For Category     0200/BRIDGE 'A' - STP-114D(176)AG    $-60.80 $165,357.20
Fed/State Project Number:    STP-114D(176)AG Project:    23766(04) Category:    0600/STAKING - STP-114D(176)AG
0021 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000   1.000 $6,500.00 $0.00 $6,500.00
Subtotals For Category     0600/STAKING - STP-114D(176)AG    $0.00 $6,500.00
Fed/State Project Number:    STP-114D(176)AG Project:    23766(04) Category:    0640/CONSTRUCTION - STP-114D(176)AG
0022 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $30,000.00 $0.00 $30,000.00
8003 MOBILIZATION 641 1399 LSUM 0.000 1.000   1.000 $2,100.00 $0.00 $2,100.00
Subtotals For Category     0640/CONSTRUCTION - STP-114D(176)AG    $0.00 $32,100.00
Subtotals For Project STP-114D(176)AG /23766(04) $-246.86 $264,433.12


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:    STP-114C(201)AG Project:    24610(04) Category:    0100/ROADWAY - STP-114C(201)AG
0023 CLEARING AND GRUBBING 201(A) 0102 LSUM 1.000 1.000   1.000 $3,000.00 $0.00 $3,000.00
0024 UNCLASSIFIED BORROW 202(D) 0184 CY 1,374.000 0.000   0.000 $10.00 $0.00 $0.00
0025 TEMPORARY SILT FENCE 221(C) 2801 LF 250.000 0.000   0.000 $2.00 $0.00 $0.00
0026 SOLID SLAB SODDING 230(A) 2806 SY 1,125.000 911.440   911.440 $2.60 $0.00 $2,369.75
0027 VEGETATIVE MULCHING 233(A) 2817 AC 0.500 0.000   0.000 $1,200.00 $0.00 $0.00
0028 AGGREGATE BASE TYPE A 303(A) 2100 CY 64.000 51.630   51.630 $114.00 $0.00 $5,885.82
0029 TACK COAT 407(B) 0250 GAL 14.000 25.000   25.000 $30.00 $0.00 $750.00
0030 PRIME COAT 408 5774 GAL 138.000 50.000   50.000 $6.50 $0.00 $325.00
0031 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 60.000 53.530   53.530 $110.00 $0.00 $5,888.30
0032 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 30.000 27.540   27.540 $147.00 $0.00 $4,048.38
0033 CLASS C CONCRETE 509(D) 0325 CY 10.000 0.000   0.000 $250.00 $0.00 $0.00
0034 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 1.000 1.000   1.000 $3,000.00 $0.00 $3,000.00
Subtotals For Category     0100/ROADWAY - STP-114C(201)AG    $0.00 $25,267.25
Fed/State Project Number:    STP-114C(201)AG Project:    24610(04) Category:    0200/BRIDGE 'A' - STP-114C(201)AG
0035 UNCLASSIFIED EXCAVATION 202(A) 1301 CY 2,760.000 2,760.000   2,760.000 $6.00 $0.00 $16,560.00
0036 STRUCTURAL EXCAVATION UNCLASSIFIED 501(A) 1306 CY 308.000 308.000   308.000 $10.00 $0.00 $3,080.00
0037 CLASS A CONCRETE 509(B) 1328 CY 255.400 255.400 0.000 255.400 $400.00 $0.00 $102,160.00
0038 REINFORCING STEEL 511(A) 1332 LB 48,140.000 48,140.000   48,140.000 $0.95 $0.00 $45,733.00
0039 TYPE I PLAIN RIPRAP 601(A) 1351 TON 120.000 505.540 -0.460 505.540 $38.00 $-17.48 $19,210.52
0040 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $1,550.00 $0.00 $1,550.00
8002 TYPE I-A FILTER BLANKET 601(C) 1355 TON 0.000 69.190 -0.810 69.190 $49.00 $-39.69 $3,390.31
8004 DEDUCTION FOR FAILING MATERIAL 105 2325 EA 0.000 -1.000   -1.000 $785.63 $0.00 $-785.63
Subtotals For Category     0200/BRIDGE 'A' - STP-114C(201)AG    $-57.17 $190,898.20
Subtotals For Project STP-114C(201)AG /24610(04) $-57.17 $216,165.45