Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 110522   Estimate Number: 0014 , Final     Spec Year: 2009
Primary JP: 28174(04)   Residency: ADA (03100)     Contract No: 710670
Date Created: 12/11/2012   Contractor FEI: 760202042     Account No: 404300

Project Number(s): SBR-162A(219)SB
Contract Description: BRIDGE REHABILITATION SH-1: OVER 18TH STREET, JUST SOUTHWEST OF ADA.
Primary County: PONTOTOC              
Name of Road: SH-1              
Prime Contractor: SCR CONSTRUCTION CO., INC.           Time Charged: 155.00
    5420 FM 2218 RD.           Time Allowed: 210.00
    RICHMOND , TX   77469           Percent Time: 73.81 %

  Paid To Date: $1,266,748.37 Payable This Statement: $10,296.94

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.                                
SCR CONSTRUCTION CO., 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:    12/11/2012
Contract ID: 110522   Estimate Number: 0014     Contract No: 710670
Residency: ADA (03100)   Estimate Type: Final     Account No: 404300

Project Number(s): SBR-162A(219)SB
Primary Job Piece No: 28174(04)
Contract Description: BRIDGE REHABILITATION SH-1: OVER 18TH STREET, JUST SOUTHWEST OF ADA.
Primary County: PONTOTOC              
Name of Road: SH-1              
Prime Contractor: SCR CONSTRUCTION CO., INC.              
    5420 FM 2218 RD.              
    RICHMOND , TX   77469              
Surety Company: LIBERTY MUTUAL INSURANCE COMPANY              

Date Let: 11/17/2011 NTP Effective Date: 05/07/2012 Pay Period: 09/01/2012  TO  11/15/2012
Date Awarded: 12/05/2011 Date Work Began: 02/20/2012 Original Contract Time: 210
Date Contract Executed: 12/20/2011 Date Time Stopped: 09/27/2012 Current Time Charged: 155.00
Date NTP Issued: 01/27/2012 Completion Date: 09/27/2012 Current Time Allowed: 210.00
General Liability Expires: 04/01/2013 Workman's Comp Expires: 04/01/2013 Percent Time Used: 73.81 %
Specification Year: 2009        

Current Contract Amount: $1,264,881.66 Total to Date Prev to Date This Estimate
Bid Amount: $1,340,399.50 Participating: $0.00 $0.00 $0.00
Percent Complete: 100 % Non Participating: $1,264,881.67 $1,254,584.73 $10,296.94
Funds Available: $-1,866.71 Total Earnings: $1,264,881.67 $1,254,584.73 $10,296.94
Unearned Balance: $73,651.13 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $1,264,881.67 $1,254,584.73 $10,296.94
Other Adjustments: $1,866.70 $1,866.70 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $1,266,748.37 $1,256,451.43 $10,296.94

Estimate Adjustment Detail

Contract ID: 110522   Estimate Number: 0014     Primary JP: 28174(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Traffic Surveilllance Approved 05/03/2012 0.0 $4,612.80
002 Trackless Tack Approved 06/07/2012 0.0 $0.00
003 Revising pay quantity of structural steel & Milestone Bonus Approved 08/09/2012 0.0 $14,676.80
004 Finalizing Contract Item Qtys Approved 11/19/2012 0.0 $-94,807.44


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
28174(04) 0021 Br A Appr Slab Rebar Stockpiled Material Initial Payment 0003 $3,922.06
28174(04) 0021 Br A Appr Slab Rebar Stockpiled Material Adjustment 0007 $-2,282.99
28174(04) 0021 Br A Appr Slab Rebar Stockpiled Material Adjustment 0005 $-1,639.07
28174(04) 0023 MOH Sealed Exp Joint Br A Ln 23 Stockpiled Material Adjustment 0007 $-8,085.00
28174(04) 0023 MOH Sealed Exp Joint Br A Ln 23 Stockpiled Material Initial Payment 0005 $14,612.50
28174(04) 0023 MOH Sealed Exp Joint Br A Ln 23 Stockpiled Material Adjustment 0008 $-6,527.50
28174(04) 0024 Br A Conc Rail Rebar Stockpiled Material Initial Payment 0003 $1,626.97
28174(04) 0024 Br A Conc Rail Rebar Stockpiled Material Adjustment 0006 $-1,595.94
28174(04) 0024 Br A Conc Rail Rebar Stockpiled Material Adjustment 0010 $-31.03
28174(04) 0028 Br A Epox Rebar Stockpiled Material Adjustment 0005 $-17,959.13
28174(04) 0028 Br A Epox Rebar Stockpiled Material Initial Payment 0003 $20,506.77
28174(04) 0028 Br A Epox Rebar Stockpiled Material Adjustment 0009 $-2,547.64
28174(04) 0039 Br B Appr Slab Rebar Stockpiled Material Initial Payment 0003 $3,807.06
28174(04) 0039 Br B Appr Slab Rebar Stockpiled Material Adjustment 0004 $-1,650.12
28174(04) 0039 Br B Appr Slab Rebar Stockpiled Material Adjustment 0007 $-2,156.94
28174(04) 0041 MOH Sealed Exp Joint Br B Ln 41 Stockpiled Material Initial Payment 0005 $14,612.50
28174(04) 0041 MOH Sealed Exp Joint Br B Ln 41 Stockpiled Material Adjustment 0008 $-6,510.00
28174(04) 0041 MOH Sealed Exp Joint Br B Ln 41 Stockpiled Material Adjustment 0007 $-8,102.50
28174(04) 0042 Br B Conc Rail Rebar Stockpiled Material Initial Payment 0003 $1,603.58
28174(04) 0042 Br B Conc Rail Rebar Stockpiled Material Adjustment 0006 $-1,603.58
28174(04) 0046 Br B Epox Rebar Stockpiled Material Adjustment 0003 $-13,889.02
28174(04) 0046 Br B Epox Rebar Stockpiled Material Adjustment 0009 $-1,852.24
28174(04) 0046 Br B Epox Rebar Stockpiled Material Initial Payment 0003 $15,741.26
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
28174(04) 0007 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0006 470.06 $1.32 $620.90
28174(04) 0007 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0010 199.95 $1.53 $306.10
28174(04) 0008 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0007 416.46 $1.50 $628.69
28174(04) 0008 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0010 177.76 $1.74 $311.01
Subtotals For Line Item Adjustments $1,866.70


MILESTONE INFORMATION
Milestone Number Milestone Description Start Date End Date Current Time Allowed Rate Milestone Closed
01 TIME 'B' BID 02/20/2012 07/18/2012 150.00 DYS $2,000.00 Y


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: 110522   Estimate Number: 0014     Primary JP: 28174(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-162A(219)SB Project:    28174(04) Category:    0100/ROADWAY
0001 UNCLASSIFIED BORROW 202(D) 0184 CY 1,200.000 0.000   0.000 $15.00 $0.00 $0.00
0002 SOLID SLAB SODDING 230(A) 2806 SY 3,000.000 2,785.170   2,785.170 $2.10 $0.00 $5,848.86
0003 AGGREGATE BASE TYPE B 303(B) 2110 CY 870.000 798.890 9.001 798.890 $65.00 $585.07 $51,927.86
0004 TRAFFIC BOUND SURFACE COURSE TYPE E 402(E) 0225 TON 91.000 0.000   0.000 $50.00 $0.00 $0.00
0005 TACK COAT 407(B) 0250 GAL 336.000 242.500   242.500 $8.00 $0.00 $1,940.00
0006 PRIME COAT 408 5774 GAL 348.000 584.640 -4.118 584.640 $12.00 $-49.42 $7,015.68
0007 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 376.000 643.780 -26.230 643.780 $110.00 $-2,885.30 $70,815.80
0008 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 673.000 594.220   594.220 $110.00 $0.00 $65,364.20
0009 FULL DEPTH P.C. CONCRETE PATCHING(PLACEMENT ONLY) 414(E) 0225 SY 144.000 180.000   180.000 $145.00 $0.00 $26,100.00
0010 P.C. CONCRETE FOR PAVEMENT 414(G) 5275 CY 36.000 45.000   45.000 $140.00 $0.00 $6,300.00
0011 CLASS C CONCRETE 509(D) 0325 CY 7.000 0.000   0.000 $1,000.00 $0.00 $0.00
0012 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 1.000 1.000   1.000 $7,000.00 $0.00 $7,000.00
0013 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 3,140.000 3,140.560 0.560 3,140.560 $8.00 $4.48 $25,124.48
0014 SAWING PAVEMENT 619(C) 0924 LF 40.000 40.000   40.000 $4.25 $0.00 $170.00
0015 BEAM GUARDRAIL W-BEAM SINGLE 623(A) 0932 LF 1,988.000 1,987.500   1,987.500 $16.00 $0.00 $31,800.00
0016 GUARDRAIL ANCHOR UNIT (TYPE B) 623(F) 4447 EA 4.000 4.000   4.000 $600.00 $0.00 $2,400.00
0017 GUARDRAIL END TREATMENT (GET) 623(G) 8571 EA 4.000 4.000   4.000 $2,300.00 $0.00 $9,200.00
0018 GUARDRAIL BRIDGE CONNECTION-TYPE A 623(I) 8675 EA 8.000 8.000   8.000 $1,500.00 $0.00 $12,000.00
8002 MILESTONE INCENTIVE COMPENSATION 644 7215 LSUM 0.000 1.000 1.000 1.000 $2,000.00 $2,000.00 $2,000.00
Subtotals For Category     0100/ROADWAY    $-345.17 $325,006.88
Fed/State Project Number:    SBR-162A(219)SB Project:    28174(04) Category:    0200/BRIDGE A
0019 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 60.000 26.670 -33.330 26.670 $50.00 $-1,666.50 $1,333.50
0020 CLSM BACKFILL 501(G) 6309 CY 65.000 60.990 -0.010 60.990 $150.00 $-1.50 $9,148.50
0021 APPROACH SLAB 504(A) 1304 SY 179.300 179.300   179.300 $160.00 $0.00 $28,688.00
0022 SAW-CUT GROOVING 504(B) 1305 SY 773.600 773.600   773.600 $10.00 $0.00 $7,736.00
0023 SEALED EXPANSION JOINT 504(C) 6250 LF 83.500 83.500   83.500 $250.00 $0.00 $20,875.00
0024 CONCRETE RAIL (TR4) 504(D) 6245 LF 354.900 354.900   354.900 $90.00 $0.00 $31,941.00
0025 STRUCTURAL STEEL 506(A) 1322 LB 4,500.000 5,371.000 871.000 5,371.000 $8.00 $6,968.00 $42,968.00
0026 SPECIAL CONCRETE FINISH 509 6152 SY 320.000 167.320   167.320 $15.50 $0.00 $2,593.46
0027 CLASS AA CONCRETE 509(A) 1326 CY 141.200 141.200   141.200 $780.00 $0.00 $110,136.00
0028 EPOXY COATED REINFORCING STEEL 511(B) 6010 LB 50,600.000 50,600.000   50,600.000 $1.00 $0.00 $50,600.00
0029 PAINTING EXISTING STRUCTURES 512(A) 1323 LSUM 1.000 1.000   1.000 $20,000.00 $0.00 $20,000.00
0030 WATER REPELLENT (VISUALLY INSPECTED) 515(A) 6013 SY 164.600 164.600 9.640 164.600 $4.20 $40.49 $691.32
0031 PREPARATION OF CRACKS, ABOVE WATER 520(A) 6058 LF 80.000 0.000   0.000 $50.00 $0.00 $0.00
0032 EPOXY RESIN, ABOVE WATER 520(C) 6060 GAL 3.000 0.000   0.000 $80.00 $0.00 $0.00
0033 PNEUMATICALLY PLACED MORTAR 521(A) 6210 SY 70.000 5.770   5.770 $570.00 $0.00 $3,288.90
0034 SEALER CRACK PREPARATION 523(A) 6550 LF 302.500 300.000   300.000 $5.50 $0.00 $1,650.00
0035 SEALER RESIN 523(B) 6560 GAL 3.300 3.300   3.300 $225.00 $0.00 $742.50
0036 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $40,000.00 $0.00 $40,000.00
Subtotals For Category     0200/BRIDGE A    $5,340.49 $372,392.18
Fed/State Project Number:    SBR-162A(219)SB Project:    28174(04) Category:    0201/BRIDGE B
0037 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 60.000 33.330 -26.670 33.330 $50.00 $-1,333.50 $1,666.50
0038 CLSM BACKFILL 501(G) 6309 CY 65.000 59.510   59.510 $150.00 $0.00 $8,926.50
0039 APPROACH SLAB 504(A) 1304 SY 177.800 177.800   177.800 $160.00 $0.00 $28,448.00
0040 SAW-CUT GROOVING 504(B) 1305 SY 772.300 772.300   772.300 $10.00 $0.00 $7,723.00
0041 SEALED EXPANSION JOINT 504(C) 6250 LF 83.600 83.600   83.600 $250.00 $0.00 $20,900.00
0042 CONCRETE RAIL (TR4) 504(D) 6245 LF 358.700 358.700   358.700 $90.00 $0.00 $32,283.00
0043 STRUCTURAL STEEL 506(A) 1322 LB 4,500.000 5,213.600 713.600 5,213.600 $8.00 $5,708.80 $41,708.80
0044 SPECIAL CONCRETE FINISH 509 6152 SY 310.000 167.320   167.320 $15.50 $0.00 $2,593.46
0045 CLASS AA CONCRETE 509(A) 1326 CY 141.200 141.200   141.200 $780.00 $0.00 $110,136.00
0046 EPOXY COATED REINFORCING STEEL 511(B) 6010 LB 50,300.000 50,300.000   50,300.000 $1.00 $0.00 $50,300.00
0047 PAINTING EXISTING STRUCTURES 512(A) 1323 LSUM 1.000 1.000   1.000 $20,000.00 $0.00 $20,000.00
0048 WATER REPELLENT (VISUALLY INSPECTED) 515(A) 6013 SY 164.400 164.400 9.440 164.400 $4.20 $39.65 $690.48
0049 PREPARATION OF CRACKS, ABOVE WATER 520(A) 6058 LF 80.000 0.000   0.000 $50.00 $0.00 $0.00
0050 EPOXY RESIN, ABOVE WATER 520(C) 6060 GAL 3.000 0.000   0.000 $80.00 $0.00 $0.00
0051 PNEUMATICALLY PLACED MORTAR 521(A) 6210 SY 70.000 13.930 -0.030 13.930 $570.00 $-17.10 $7,940.10
0052 SEALER CRACK PREPARATION 523(A) 6550 LF 302.900 300.000   300.000 $5.50 $0.00 $1,650.00
0053 SEALER RESIN 523(B) 6560 GAL 3.300 3.300   3.300 $225.00 $0.00 $742.50
0054 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $40,000.00 $0.00 $40,000.00
Subtotals For Category     0201/BRIDGE B    $4,397.85 $375,708.34
Fed/State Project Number:    SBR-162A(219)SB Project:    28174(04) Category:    0300/TRAFFIC
0055 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 7,800.000 5,411.000   5,411.000 $0.70 $0.00 $3,787.70
0056 SAND FILLED IMPACT ATTENUATION MODULE 870(A) 8485 SD 420.000 388.000 4.000 388.000 $5.00 $20.00 $1,940.00
0057 DELIVER PORTABLE LONGITUDINAL BARRIER 877(B) 8484 LF 1,065.000 1,065.000   1,065.000 $40.00 $0.00 $42,600.00
0058 RELOCATION OF PORTABLE LONGITUDINAL BARRIER 877(C) 8486 LF 1,065.000 1,065.000   1,065.000 $4.00 $0.00 $4,260.00
0059 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000 0.010 1.000 $35,000.00 $350.00 $35,000.00
0060 PORT.CHANGEABLE MESSAGE SIGN 882(A) 8306 SD 420.000 279.000 5.000 279.000 $10.00 $50.00 $2,790.00
8001 TRAFFIC SURVEILLANCE, POLICE 880(L) 8911 HOUR 0.000 76.250 -3.750 76.250 $57.66 $-216.23 $4,396.57
Subtotals For Category     0300/TRAFFIC    $203.77 $94,774.27
Fed/State Project Number:    SBR-162A(219)SB Project:    28174(04) Category:    0600/STAKING
0061 CONSTRUCTION STAKING LEVEL I 642(A) 0095 LSUM 1.000 1.000 0.100 1.000 $7,000.00 $700.00 $7,000.00
Subtotals For Category     0600/STAKING    $700.00 $7,000.00
Fed/State Project Number:    SBR-162A(219)SB Project:    28174(04) Category:    0640/CONSTRUCTION
0062 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $90,000.00 $0.00 $90,000.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $90,000.00
Subtotals For Project SBR-162A(219)SB /28174(04) $10,296.94 $1,264,881.67