Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 110513   Estimate Number: 0009 , Final     Spec Year: 2009
Primary JP: 26850(04)   Residency: ANADARKO (07300)     Contract No: 710666
Date Created: 09/06/2013   Contractor FEI: 731419591     Account No: 436700

Project Number(s): BRO-116D(182)CI
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (EW-152): OVER WHISKEY CREEK, 1.8 MILES EAST OF I-44. PROJECT LENGTH = 0.189 MILES.
Primary County: COMANCHE              
Name of Road: COUNTY ROAD              
Prime Contractor: BRIDGECO CONTRACTORS, INC.           Time Charged: 88.00
    P.O. BOX 119           Time Allowed: 90.00
    WELLSTON , OK   74881           Percent Time: 97.78 %

  Paid To Date: $362,417.88 Payable This Statement: $824.50

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:    09/06/2013
Contract ID: 110513   Estimate Number: 0009     Contract No: 710666
Residency: ANADARKO (07300)   Estimate Type: Final     Account No: 436700

Project Number(s): BRO-116D(182)CI
Primary Job Piece No: 26850(04)
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (EW-152): OVER WHISKEY CREEK, 1.8 MILES EAST OF I-44. PROJECT LENGTH = 0.189 MILES.
Primary County: COMANCHE              
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: 07/01/2012  TO  01/13/2013
Date Awarded: 12/05/2011 Date Work Began: 02/07/2012 Original Contract Time: 90
Date Contract Executed: 12/16/2011 Date Time Stopped: 12/05/2012 Current Time Charged: 88.00
Date NTP Issued: 12/20/2011 Completion Date: 12/05/2012 Current Time Allowed: 90.00
General Liability Expires: 08/01/2014 Workman's Comp Expires: 08/13/2014 Percent Time Used: 97.78 %
Specification Year: 2009        

Current Contract Amount: $362,417.87 Total to Date Prev to Date This Estimate
Bid Amount: $358,418.20 Participating: $362,417.88 $361,593.38 $824.50
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $-0.01 Total Earnings: $362,417.88 $361,593.38 $824.50
Unearned Balance: $-3,999.68 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $362,417.88 $361,593.38 $824.50
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $362,417.88 $361,593.38 $824.50

Estimate Adjustment Detail

Contract ID: 110513   Estimate Number: 0009     Primary JP: 26850(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Additional Appropriations Request Approved 06/07/2012 0.0 $4,863.00
002 Final Quantity Change Order Approved 09/04/2013 0.0 $-863.33


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
26850(04) 0019 Prestressed Concrete Beams(Type III) Stockpiled Material Adjustment 0003 $-33,906.41
26850(04) 0019 Prestressed Concrete Beams(Type III) Stockpiled Material Initial Payment 0001 $33,906.41
Subtotals For Stockpile Payments $0.00


LIQUIDATED DAMAGES HISTORY
Adjustment Description Estimate Nbr Time Units Rate Adjustment Amount
No liquidated damages have been assessed on this contract.
Subtotals For Liquidated Damages $


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
26850(04) 0008 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0006 547.64 $1.32 $723.38
26850(04) 0009 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0006 317.08 $1.50 $478.66
26850(04) 8000 ASPHALT BINDER PRICE ADJUSTMENT * Asphalt Binder Adjustment 0007 0.00 $0.00 $-1,202.04
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: 110513   Estimate Number: 0009     Primary JP: 26850(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-116D(182)CI Project:    26850(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201(A) 0102 LSUM 1.000 1.000   1.000 $5,000.00 $0.00 $5,000.00
0002 EARTHWORK 202(H) 0185 LSUM 1.000 1.000   1.000 $20,700.00 $0.00 $20,700.00
0003 TEMPORARY SILT FENCE 221(C) 2801 LF 1,300.000 1,150.000   1,150.000 $2.00 $0.00 $2,300.00
0004 TEMPORARY SILT DIKE 221(F) 0100 LF 60.000 49.000   49.000 $6.00 $0.00 $294.00
0005 SOLID SLAB SODDING 230(A) 2806 SY 5,965.000 4,480.000   4,480.000 $1.75 $0.00 $7,840.00
0006 VEGETATIVE MULCHING 233(A) 2817 AC 2.500 0.000   0.000 $500.00 $0.00 $0.00
0007 TRAFFIC BOUND SURFACE COURSE TYPE E 402(E) 0225 TON 8.000 8.330   8.330 $35.00 $0.00 $291.55
0008 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 580.000 547.640   547.640 $85.45 $0.00 $46,795.84
0009 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 296.000 317.080   317.080 $91.20 $0.00 $28,917.70
0010 CLASS C CONCRETE 509(D) 0325 CY 10.000 0.000   0.000 $250.00 $0.00 $0.00
0011 TYPE I PLAIN RIPRAP 601(A) 0297 TON 140.000 206.210   206.210 $31.00 $0.00 $6,392.51
0012 28" X 20" CORR. GALV. STEEL PIPE ARCH 613(B) 4528 LF 88.000 88.000   88.000 $25.00 $0.00 $2,200.00
0013 28" X 20" PREFAB. CULVERT END SECTION, ARCH 613(L) 4516 EA 6.000 6.000   6.000 $221.00 $0.00 $1,326.00
0014 SHEET ALUMINUM SIGNS 850(A) 8110 SF 5.180 5.180 5.180 5.180 $25.00 $129.50 $129.50
0015 2" SQUARE TUBE POST 851(C) 8324 LF 13.000 13.000 13.000 13.000 $15.00 $195.00 $195.00
0016 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $2,600.00 $0.00 $2,600.00
8000 ASPHALT BINDER PRICE ADJUSTMENT 109 1150 LSUM 0.000 1.000   1.000 $1,202.04 $0.00 $1,202.04
Subtotals For Category     0100/ROADWAY    $324.50 $126,184.14
Fed/State Project Number:    BRO-116D(182)CI Project:    26850(04) Category:    0200/BRIDGE
0017 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 200.000 200.000   200.000 $10.00 $0.00 $2,000.00
0018 GRANULAR BACKFILL 501(F) 6352 CY 88.000 88.000   88.000 $43.00 $0.00 $3,784.00
0019 PRESTRESSED CONCRETE BEAMS (TYPE III) 503(A) 1312 LF 209.000 209.000   209.000 $213.00 $0.00 $44,517.00
0020 SAW-CUT GROOVING 504(B) 1305 SY 85.000 192.230   192.230 $15.00 $0.00 $2,883.45
0021 CONCRETE RAIL (TR3) 504(D) 6239 LF 213.300 213.300   213.300 $62.00 $0.00 $13,224.60
0022 STRUCTURAL STEEL 506(A) 1322 LB 320.000 320.000   320.000 $3.00 $0.00 $960.00
0023 WEATHERING STEEL FIXED BEARING ASSEMBLY 507(A) 6172 EA 3.000 3.000   3.000 $630.00 $0.00 $1,890.00
0024 WEATHERING STEEL EXPANSION BEARING ASSEMBLY 507(B) 6176 EA 3.000 3.000   3.000 $650.00 $0.00 $1,950.00
0025 CLASS AA CONCRETE 509(A) 1326 CY 58.800 58.800   58.800 $400.00 $0.00 $23,520.00
0026 CLASS A CONCRETE 509(B) 1328 CY 75.200 75.200   75.200 $400.00 $0.00 $30,080.00
0027 REINFORCING STEEL 511(A) 1332 LB 26,570.000 26,570.000   26,570.000 $1.00 $0.00 $26,570.00
0028 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 106.000 106.000   106.000 $28.50 $0.00 $3,021.00
0029 PILES, FURNISHED (HP 12X53) 514(A) 6011 LF 231.000 231.000   231.000 $37.65 $0.00 $8,697.15
0030 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 106.000 89.920   89.920 $18.00 $0.00 $1,618.56
0031 PILES, DRIVEN (HP 12X53) 514(B) 6294 LF 231.000 230.790   230.790 $18.00 $0.00 $4,154.22
0032 TYPE I-A PLAIN RIPRAP 601(B) 1353 TON 460.000 648.920   648.920 $30.00 $0.00 $19,467.60
0033 TYPE I-A FILTER BLANKET 601(C) 1355 TON 156.000 202.720   202.720 $28.00 $0.00 $5,676.16
0034 6" PERFORATED PIPE UNDERDRAIN ROUND 613(H) 6204 LF 62.000 62.000   62.000 $10.00 $0.00 $620.00
0035 6" NON-PERF.PIPE UNDERDRAIN RND. 613(I) 6207 LF 70.000 70.000   70.000 $10.00 $0.00 $700.00
0036 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $5,000.00 $0.00 $5,000.00
0037 GUARDRAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 4.000 4.000   4.000 $1,925.00 $0.00 $7,700.00
Subtotals For Category     0200/BRIDGE    $0.00 $208,033.74
Fed/State Project Number:    BRO-116D(182)CI Project:    26850(04) Category:    0600/STAKING
0038 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000   1.000 $5,200.00 $0.00 $5,200.00
Subtotals For Category     0600/STAKING    $0.00 $5,200.00
Fed/State Project Number:    BRO-116D(182)CI Project:    26850(04) Category:    0640/CONSTRUCTION
0039 SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000 0.250 1.000 $2,000.00 $500.00 $2,000.00
0040 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $21,000.00 $0.00 $21,000.00
Subtotals For Category     0640/CONSTRUCTION    $500.00 $23,000.00
Subtotals For Project BRO-116D(182)CI /26850(04) $824.50 $362,417.88