Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120011   Estimate Number: 0010 , Final     Spec Year: 2009
Primary JP: 27795(04)   Residency: ATKINS NORTH AMERICA, INC. (AKA PBS & J) (03010)     Contract No: 710959
Date Created: 12/11/2015   Contractor FEI: 730960939     Account No: 400350

Project Number(s): STPG-114B(278)AG
Contract Description: LIGHTING CITY STREET: ON MAIN STREET, FROM MERKLE DRIVE, EXTEND WEST IN THE CITY OF NORMAN. PROJECT LENGTH = 1.46 MILES.
Primary County: CLEVELAND              
Name of Road: CITY STREET              
Prime Contractor: MIDSTATE TRAFFIC CONTROL, INC.           Time Charged: 208.00
    12501 N. SANTA FE AVE.           Time Allowed: 222.00
    OKLAHOMA CITY , OK   73114           Percent Time: 93.69 %

  Paid To Date: $1,122,036.10 Payable This Statement: $2,998.58

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.                                
MIDSTATE TRAFFIC CONTROL, 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:    12/11/2015
Contract ID: 120011   Estimate Number: 0010     Contract No: 710959
Residency: ATKINS NORTH AMERICA, INC. (AKA PBS & J) (03010)   Estimate Type: Final     Account No: 400350

Project Number(s): STPG-114B(278)AG
Primary Job Piece No: 27795(04)
Contract Description: LIGHTING CITY STREET: ON MAIN STREET, FROM MERKLE DRIVE, EXTEND WEST IN THE CITY OF NORMAN. PROJECT LENGTH = 1.46 MILES.
Primary County: CLEVELAND              
Name of Road: CITY STREET              
Prime Contractor: MIDSTATE TRAFFIC CONTROL, INC.              
    12501 N. SANTA FE AVE.              
    OKLAHOMA CITY , OK   73114              
Surety Company: LIBERTY MUTUAL INSURANCE COMPANY              

Date Let: 02/16/2012 NTP Effective Date: 07/19/2012 Pay Period: 08/16/2015  TO  11/04/2015
Date Awarded: 03/05/2012 Date Work Began: 07/20/2012 Original Contract Time: 60
Date Contract Executed: 03/20/2012 Date Time Stopped: 07/06/2015 Current Time Charged: 208.00
Date NTP Issued: 03/21/2012 Completion Date: 07/06/2015 Current Time Allowed: 222.00
General Liability Expires: 03/01/2016 Workman's Comp Expires: 03/01/2016 Percent Time Used: 93.69 %
Specification Year: 2009        

Bid Amount: $1,083,917.00 Total to Date Prev to Date This Estimate
Funds Available (Bid + Positive C/O): $1,160,180.25 Participating: $1,072,045.54 $1,076,545.54 $-4,500.00
Percent Complete: 96.71 % Non Participating: $49,990.56 $42,491.98 $7,498.58
Unearned Balance: $38,144.15 Total Earnings: $1,122,036.10 $1,119,037.52 $2,998.58
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $1,122,036.10 $1,119,037.52 $2,998.58
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $1,122,036.10 $1,119,037.52 $2,998.58

Estimate Adjustment Detail

Contract ID: 120011   Estimate Number: 0010     Primary JP: 27795(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 To add multiple new project pay items & utility delay Approved 10/06/2014 162.0 $76,263.25
002 FQCO Approved 06/23/2015 0.0 $-33,644.15
003 To correct 2 pay items incorrect on FQCO Approved 11/03/2015 0.0 $-4,500.00


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
27795(04) 0008 SINGLE MAST ARM Stockpiled Material Adjustment 0005 $-22,642.41
27795(04) 0008 SINGLE MAST ARM Stockpiled Material Initial Payment 0002 $22,642.41
27795(04) 0008 STRESS CRETE KCT2-31-BP-E40-AG Stockpiled Material Adjustment 0005 $-4,057.55
27795(04) 0008 STRESS CRETE KCT2-31-BP-E40-AG Stockpiled Material Adjustment 0007 $-104.04
27795(04) 0008 STRESS CRETE KCT2-31-BP-E40-AG Stockpiled Material Adjustment 0008 $-208.08
27795(04) 0008 STRESS CRETE KCT2-31-BP-E40-AG Stockpiled Material Adjustment 0006 $-2,913.11
27795(04) 0008 STRESS CRETE KCT2-31-BP-E40-AG Stockpiled Material Initial Payment 0002 $10,195.98
27795(04) 0008 STRESS CRETE KCT2-31-BP-E40-AG Stockpiled Material Closure 0009 $-2,913.20
27795(04) 0008 STRESS CRETE ANCHOR BOLTS Stockpiled Material Adjustment 0006 $-11,362.39
27795(04) 0008 STRESS CRETE ANCHOR BOLTS Stockpiled Material Initial Payment 0002 $39,764.30
27795(04) 0008 STRESS CRETE ANCHOR BOLTS Stockpiled Material Closure 0009 $-11,358.32
27795(04) 0008 STRESS CRETE ANCHOR BOLTS Stockpiled Material Adjustment 0008 $-811.60
27795(04) 0008 STRESS CRETE ANCHOR BOLTS Stockpiled Material Adjustment 0005 $-15,826.19
27795(04) 0008 STRESS CRETE ANCHOR BOLTS Stockpiled Material Adjustment 0007 $-405.80
27795(04) 0008 STRESSCRETE KCT2-31-BP-E40-AG Stockpiled Material Closure 0009 $-18,009.83
27795(04) 0008 STRESSCRETE KCT2-31-BP-E40-AG Stockpiled Material Initial Payment 0002 $27,488.38
27795(04) 0008 STRESSCRETE KCT2-31-BP-E40-AG Stockpiled Material Adjustment 0007 $-135.41
27795(04) 0008 STRESSCRETE KCT2-31-BP-E40-AG Stockpiled Material Adjustment 0006 $-3,791.42
27795(04) 0008 STRESSCRETE KCT2-31-BP-E40-AG Stockpiled Material Adjustment 0008 $-270.82
27795(04) 0008 STRESSCRETE KCT2-31-BP-E40-AG Stockpiled Material Adjustment 0005 $-5,280.90
27795(04) 0008 STRESSCRETE KA36-T-2-12 Stockpiled Material Adjustment 0008 $-47.39
27795(04) 0008 STRESSCRETE KA36-T-2-12 Stockpiled Material Closure 0009 $-3,151.81
27795(04) 0008 STRESSCRETE KA36-T-2-12 Stockpiled Material Initial Payment 0002 $4,810.47
27795(04) 0008 STRESSCRETE KA36-T-2-12 Stockpiled Material Adjustment 0005 $-924.11
27795(04) 0008 STRESSCRETE KA36-T-2-12 Stockpiled Material Adjustment 0006 $-663.46
27795(04) 0008 STRESSCRETE KA36-T-2-12 Stockpiled Material Adjustment 0007 $-23.70
27795(04) 0008 STRESSCRETE BANNER ARMS Stockpiled Material Adjustment 0008 $-575.48
27795(04) 0008 STRESSCRETE BANNER ARMS Stockpiled Material Closure 0009 $-38,270.90
27795(04) 0008 STRESSCRETE BANNER ARMS Stockpiled Material Adjustment 0005 $-11,221.91
27795(04) 0008 STRESSCRETE BANNER ARMS Stockpiled Material Adjustment 0007 $-287.74
27795(04) 0008 STRESSCRETE BANNER ARMS Stockpiled Material Adjustment 0006 $-8,056.76
27795(04) 0008 STRESSCRETE BANNER ARMS Stockpiled Material Initial Payment 0002 $58,412.79
27795(04) 0008 STRESSCRETE KA36-T-1-12 Stockpiled Material Adjustment 0005 $-9,373.71
27795(04) 0008 STRESSCRETE KA36-T-1-12 Stockpiled Material Initial Payment 0002 $48,791.86
27795(04) 0008 STRESSCRETE KA36-T-1-12 Stockpiled Material Adjustment 0006 $-6,729.84
27795(04) 0008 STRESSCRETE KA36-T-1-12 Stockpiled Material Closure 0009 $-31,967.26
27795(04) 0008 STRESSCRETE KA36-T-1-12 Stockpiled Material Adjustment 0008 $-480.70
27795(04) 0008 STRESSCRETE KA36-T-1-12 Stockpiled Material Adjustment 0007 $-240.35
27795(04) 0009 Double Mast Arm Stockpiled Material Adjustment 0007 $-14,408.81
27795(04) 0009 Double Mast Arm Stockpiled Material Initial Payment 0002 $14,408.81
27795(04) 0010 HOLOPHANE LEDG120354KAHKL3 Stockpiled Material Adjustment 0007 $-10,875.00
27795(04) 0010 HOLOPHANE LEDG120354KAHKL3 Stockpiled Material Adjustment 0005 $-7,975.00
27795(04) 0010 HOLOPHANE LEDG120354KAHKL3 Stockpiled Material Initial Payment 0002 $61,625.00
27795(04) 0010 HOLOPHANE LEDG120354KAHKL3 Stockpiled Material Adjustment 0008 $-42,775.00
27795(04) 0010 HOLOPHANE LEDG120354KASKL3R Stockpiled Material Initial Payment 0002 $13,158.00
27795(04) 0010 HOLOPHANE LEDG120354KASKL3R Stockpiled Material Adjustment 0007 $-5,117.00
27795(04) 0010 HOLOPHANE LEDG120354KASKL3R Stockpiled Material Adjustment 0005 $-8,041.00
27795(04) 0012 ELEC WIRE-BHL Stockpiled Material Closure 0009 $-2,901.60
27795(04) 0012 ELEC WIRE-BHL Stockpiled Material Adjustment 0006 $-2,410.40
27795(04) 0012 ELEC WIRE-BHL Stockpiled Material Adjustment 0007 $-1,508.00
27795(04) 0012 ELEC WIRE-BHL Stockpiled Material Initial Payment 0002 $6,820.00
27795(04) 0013 ELEC WIRE-BHL Stockpiled Material Adjustment 0008 $-2,525.64
27795(04) 0013 ELEC WIRE-BHL Stockpiled Material Initial Payment 0002 $2,525.64
27795(04) 0013 ELEC WIRE-BHL Stockpiled Material Adjustment 0008 $-3,642.75
27795(04) 0013 ELEC WIRE-BHL Stockpiled Material Initial Payment 0002 $3,642.75
27795(04) 0013 ELEC WIRE-BHL Stockpiled Material Initial Payment 0002 $1,262.82
27795(04) 0013 ELEC WIRE-BHL Stockpiled Material Adjustment 0008 $-1,262.82
Subtotals For Stockpile Payments $0.00


LIQUIDATED DAMAGES HISTORY
Adjustment Description Estimate Nbr Time Units Rate Adjustment Amount
System Application of Liquidated Damages 0003 --8.0 $750.00 $-6,000.00
System Application of Liquidated Damages 0004 --30 $750.00 $-22,500.00
System Application of Liquidated Damages 0005 --28 $750.00 $-21,000.00
System Application of Liquidated Damages 0006 --15 $750.00 $-11,250.00
System Application of Liquidated Damages 0007 --13 $750.00 $-9,750.00
System Application of Liquidated Damages 0008 --13 $750.00 $-9,750.00
System Application of Liquidated Damages 0009 -107 $750.00 $80,250.00
Subtotals For Liquidated Damages $0.00


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: 120011   Estimate Number: 0010     Primary JP: 27795(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:    STPG-114B(278)AG Project:    27795(04) Category:    0300/TRAFFIC
0001 1 1/2" PVC SCH.40 PLASTIC CONDUIT BORED 802(B) 8336 LF 8,600.000 8,983.000   8,983.000 $12.50 $0.00 $112,287.50
0002 1 1/2" PVC SCH.40 PLASTIC CONDUIT TRENCHED 802(B) 8338 LF 2,800.000 2,258.000   2,258.000 $3.00 $0.00 $6,774.00
0003 2" PVC SCH.40 PLASTIC CONDUIT BORED 802(B) 8340 LF 9,050.000 9,267.000   9,267.000 $13.00 $0.00 $120,471.00
0004 2" PVC SCH.40 PLASTIC CONDUIT TRENCHED 802(B) 8342 LF 2,800.000 2,258.000   2,258.000 $3.50 $0.00 $7,903.00
0005 PULL BOX(SIZE I) 803(A) 8065 EA 91.000 90.000 -2.000 90.000 $250.00 $-500.00 $22,500.00
0006 STRUCTURAL CONCRETE 804(A) 2915 CY 54.600 54.830   54.830 $500.00 $0.00 $27,415.00
0007 REINFORCING STEEL 804(B) 2916 LB 3,120.000 3,131.250   3,131.250 $1.20 $0.00 $3,757.50
0008 DECORATIVE POLE AND MAST ARM 806(E) 0200 EA 71.000 70.000   70.000 $6,901.00 $0.00 $483,070.00
0009 DECORATIVE POLE AND TWIN MAST ARM 806(E) 0210 EA 7.000 7.000   7.000 $8,591.00 $0.00 $60,137.00
0010 ROADWAY LUMINAIRE 809(A) 8090 EA 103.000 101.000 -4.000 101.000 $1,000.00 $-4,000.00 $101,000.00
0011 SERVICE POLE 810(A) 3118 EA 6.000 6.000   6.000 $3,500.00 $0.00 $21,000.00
0012 1/C NO.4 ELECTRICAL CONDUCTOR 811 8038 LF 34,100.000 20,868.000   20,868.000 $1.75 $0.00 $36,519.00
0013 1/C NO.6 ELECTRICAL CONDUCTOR 811 8040 LF 45,900.000 36,830.000   36,830.000 $1.10 $0.00 $40,513.00
0014 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $1,000.00 $0.00 $1,000.00
8000 4" CONCRETE SIDEWALK 610(A) 0602 SY 0.000 132.280   132.280 $65.00 $0.00 $8,598.20
8001 1/C NO.12 ELECT.COND. 811 8046 LF 0.000 15,680.000   15,680.000 $0.38 $0.00 $5,958.40
8002 REMOVAL OF EXISTING STRUCTURES 619(B) 4778 EA 0.000 43.000   43.000 $230.00 $0.00 $9,890.00
8006 CONSTRUCTION MISCELLANEOUS 104 0700 LSUM 0.000 1.000   1.000 $1,751.94 $0.00 $1,751.94
Subtotals For Category     0300/TRAFFIC    $-4,500.00 $1,070,545.54
Fed/State Project Number:    STPG-114B(278)AG Project:    27795(04) Category:    0600/STAKING
0015 CONSTRUCTION STAKING LEVEL I 642(A) 0095 LSUM 1.000 1.000   1.000 $500.00 $0.00 $500.00
Subtotals For Category     0600/STAKING    $0.00 $500.00
Fed/State Project Number:    STPG-114B(278)AG Project:    27795(04) Category:    0640/CONSTRUCTION
0016 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $1,000.00 $0.00 $1,000.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $1,000.00
Fed/State Project Number:    STPG-114B(278)AG Project:    27795(04) Category:    0900/FEDERAL NON PARTICIPATING
8003 NEGOTIATED SETTLEMENT OF CONTR'S CLAIM 109 1100 LSUM 0.000 1.000 0.150 1.000 $49,990.56 $7,498.58 $49,990.56
Subtotals For Category     0900/FEDERAL NON PARTICIPATING    $7,498.58 $49,990.56
Subtotals For Project STPG-114B(278)AG /27795(04) $2,998.58 $1,122,036.10