Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120001   Estimate Number: 0009 , Final     Spec Year: 2009
Primary JP: 28165(04)   Residency: ARDMORE (07200)     Contract No: 710877
Date Created: 08/01/2013   Contractor FEI: 731452852     Account No: 404700

Project Number(s): SSR-110A(235)SR
Contract Description: RESURFACE (ASPHALT) US-77: BEGIN 1.0 MILE NORTH OF US-70, EXTEND NORTH. PROJECT LENGTH = 2.25 MILES.
Primary County: CARTER              
Name of Road: US-77              
Prime Contractor: OVERLAND CORPORATION           Time Charged: 85.00
    P. O. BOX 1947           Time Allowed: 60.00
    ARDMORE , OK   73402           Percent Time: 141.67 %

  Paid To Date: $1,918,806.59 Payable This Statement: $-625.87

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.                                
OVERLAND CORPORATION                                
 
_________________________________________________
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:    08/01/2013
Contract ID: 120001   Estimate Number: 0009     Contract No: 710877
Residency: ARDMORE (07200)   Estimate Type: Final     Account No: 404700

Project Number(s): SSR-110A(235)SR
Primary Job Piece No: 28165(04)
Contract Description: RESURFACE (ASPHALT) US-77: BEGIN 1.0 MILE NORTH OF US-70, EXTEND NORTH. PROJECT LENGTH = 2.25 MILES.
Primary County: CARTER              
Name of Road: US-77              
Prime Contractor: OVERLAND CORPORATION              
    P. O. BOX 1947              
    ARDMORE , OK   73402              
Surety Company: LIBERTY MUTUAL INSURANCE COMPANY              

Date Let: 01/19/2012 NTP Effective Date: 05/07/2012 Pay Period: 10/01/2012  TO  02/19/2013
Date Awarded: 02/06/2012 Date Work Began: 05/07/2012 Original Contract Time: 60
Date Contract Executed: 02/15/2012 Date Time Stopped: 01/31/2013 Current Time Charged: 85.00
Date NTP Issued: 03/01/2012 Completion Date: 01/31/2013 Current Time Allowed: 60.00
General Liability Expires: 08/01/2013 Workman's Comp Expires: 08/01/2013 Percent Time Used: 141.67 %
Specification Year: 2009        

Current Contract Amount: $1,926,441.88 Total to Date Prev to Date This Estimate
Bid Amount: $1,958,640.16 Participating: $0.00 $0.00 $0.00
Percent Complete: 99.60 % Non Participating: $1,926,441.91 $1,926,675.78 $-233.87
Funds Available: $7,635.29 Total Earnings: $1,926,441.91 $1,926,675.78 $-233.87
Unearned Balance: $39,833.57 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $1,926,441.91 $1,926,675.78 $-233.87
Other Adjustments: $11,114.68 $11,506.68 $-392.00
Liq Dam/Disincentive: $-18,750.00 $-18,750.00 $0.00
TOTAL: $1,918,806.59 $1,919,432.46 $-625.87

Estimate Adjustment Detail

Contract ID: 120001   Estimate Number: 0009     Primary JP: 28165(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Video Detection System Upgrade Approved 05/11/2012 0.0 $46,305.00
002 Deduction for Stripe Retroreflectivity Approved 06/25/2013 0.0 $-4,443.93
003 Final Contract Item Quanitities Approved 07/31/2013 0.0 $-74,059.35


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 0004 --2.0 $750.00 $-1,500.00
System Application of Liquidated Damages 0005 --11 $750.00 $-8,250.00
System Application of Liquidated Damages 0006 --10 $750.00 $-7,500.00
System Application of Liquidated Damages 0007 --2.0 $750.00 $-1,500.00
Subtotals For Liquidated Damages $-18,750.00


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
28165(04) 0003 SUPERPAVE, TYPE S4(PG 76-28 OK) Asphalt Binder Adjustment 0004 3,832.69 $1.74 $6,705.67
28165(04) 0003 SUPERPAVE, TYPE S4(PG 76-28 OK) Asphalt Binder Adjustment 0005 3,893.79 $0.54 $2,140.03
28165(04) 0003 SUPERPAVE, TYPE S4(PG 76-28 OK) Asphalt Binder Adjustment 0006 465.53 $0.54 $255.86
28165(04) 0004 SUPERPAVE, TYPE S4(PG 64-22 OK) * ROADWAY DENSITY 0006 2.80 $70.00 $196.00
28165(04) 0004 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0006 1,863.44 $0.54 $1,024.15
28165(04) 0004 SUPERPAVE, TYPE S4(PG 64-22 OK) * Material Discrepancy Adjustments 0009 0.00 $0.00 $-196.00
28165(04) 0004 SUPERPAVE, TYPE S4(PG 64-22 OK) * ROADWAY DENSITY 0009 0.00 $0.00 $-196.00
28165(04) 0005 SUPERPAVE, TYPE S5(PG 76-28 OK) Asphalt Binder Adjustment 0001 2,009.19 $1.66 $3,349.02
28165(04) 0005 SUPERPAVE, TYPE S5(PG 76-28 OK) * Material Discrepancy Adjustments 0001 0.00 $0.00 $-24,900.00
28165(04) 0005 SUPERPAVE, TYPE S5(PG 76-28 OK) * Material Discrepancy Adjustments 0003 -300.00 $83.00 $-24,900.00
28165(04) 0005 SUPERPAVE, TYPE S5(PG 76-28 OK) * Material Discrepancy Adjustments 0003 -95.88 $83.00 $-7,958.04
28165(04) 0005 SUPERPAVE, TYPE S5(PG 76-28 OK) * Material Discrepancy Adjustments 0003 0.00 $0.00 $24,900.00
28165(04) 0005 SUPERPAVE, TYPE S5(PG 76-28 OK) Asphalt Binder Adjustment 0003 1,425.14 $1.93 $2,753.16
28165(04) 0005 SUPERPAVE, TYPE S5(PG 76-28 OK) Asphalt Binder Adjustment 0004 1,574.05 $1.93 $3,040.83
28165(04) 0005 SUPERPAVE, TYPE S5(PG 76-28 OK) * Material Discrepancy Adjustments 0004 0.00 $0.00 $24,900.00
Subtotals For Line Item Adjustments $11,114.68
* = 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: 120001   Estimate Number: 0009     Primary JP: 28165(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:    SSR-110A(235)SR Project:    28165(04) Category:    0200/ROADWAY
0001 FABRIC REINFORCEMENT 409(A) 4242 SY 66,670.000 65,883.320   65,883.320 $0.95 $0.00 $62,589.16
0002 BITUMINOUS BINDER 409(B) 4268 GAL 16,667.500 10,768.960   10,768.960 $3.05 $0.00 $32,845.33
0003 SUPERPAVE, TYPE S4(PG 76-28 OK) 411(C) 5950 TON 8,420.000 8,192.010   8,192.010 $77.50 $0.00 $634,880.79
0004 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 2,334.000 1,863.440 0.000 1,863.440 $70.00 $0.00 $130,440.80
0005 SUPERPAVE, TYPE S5(PG 76-28 OK) 411(D) 5965 TON 5,050.000 5,008.380   5,008.380 $83.00 $0.00 $415,695.54
0006 SUPERPAVE, TYPE S4(PATCH)(PG64-22OK) 411(I) 6310 TON 150.000 111.040   111.040 $135.00 $0.00 $14,990.40
0007 COLD MILLING PAVEMENT 412 5267 SY 105,502.000 97,307.080   97,307.080 $1.39 $0.00 $135,256.84
0008 FULL DEPTH P.C. CONCRETE PATCHING(PLACEMENT ONLY) 414(E) 0225 SY 3,000.000 3,181.980 15.147 3,181.980 $39.00 $590.73 $124,097.22
0009 P.C. CONCRETE FOR PAVEMENT 414(G) 5275 CY 750.000 795.520 3.810 795.520 $125.00 $476.25 $99,440.00
0010 5" CONCRETE SIDEWALK 610(A) 0604 SY 340.000 393.180   393.180 $53.60 $0.00 $21,074.45
0011 TACTILE WARNING DEVICE-NEW 610(I) 4610 SF 496.000 408.000   408.000 $45.00 $0.00 $18,360.00
0012 TACTILE WARNING DEVICE-RETROFIT 610(I) 4615 SF 48.000 0.000   0.000 $90.00 $0.00 $0.00
0013 REMOVAL OF CONCRETE PAVEMENT 619(B) 4727 SY 3,000.000 3,181.980   3,181.980 $18.00 $0.00 $57,275.64
0014 REMOVAL OF SIDEWALK 619(B) 4792 SY 400.000 485.390 1.300 485.390 $12.75 $16.58 $6,188.73
0015 PULL BOX(SIZE I) 803(A) 8065 EA 4.000 0.000   0.000 $400.00 $0.00 $0.00
0016 LOOP DETECTOR WIRE 828(B) 8136 LF 10,500.000 0.000   0.000 $4.15 $0.00 $0.00
0017 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 65,500.000 71,289.000   71,289.000 $0.31 $0.00 $22,099.59
0018 TRAFFIC STRIPE(PLASTIC)(24" WIDE) 855(A) 8825 LF 1,200.000 2,507.000 130.000 2,507.000 $2.05 $266.50 $5,139.35
0019 TRAFFIC STRIPE(PLASTIC)(ARROWS) 855(B) 8818 EA 24.000 33.000   33.000 $44.00 $0.00 $1,452.00
0020 TRAFFIC STRIPE(PLASTIC)(WORDS) 855(B) 8821 EA 13.000 13.000   13.000 $60.00 $0.00 $780.00
0021 TRAFFIC STRIPE(PLASTIC)(SYMBOLS) 855(B) 8824 EA 4.000 6.000   6.000 $200.00 $0.00 $1,200.00
0022 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000 0.050 1.000 $57,200.00 $2,860.00 $57,200.00
8002 ADJUSTMENT FOR NON-CONFORMING MATERIALS 105 2100 LSUM 0.000 1.000 1.000 1.000 $-4,443.93 $-4,443.93 $-4,443.93
Subtotals For Category     0200/ROADWAY    $-233.87 $1,836,561.91
Fed/State Project Number:    SSR-110A(235)SR Project:    28165(04) Category:    0900/NON- PARTICIPATION - TRAFFIC
8001 (PL)DETECTION SYSTEM (VIDEO) 828 8132 LSUM 0.000 1.000   1.000 $89,880.00 $0.00 $89,880.00
Subtotals For Category     0900/NON- PARTICIPATION - TRAFFIC    $0.00 $89,880.00
Subtotals For Project SSR-110A(235)SR /28165(04) $-233.87 $1,926,441.91