Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120015   Estimate Number: 0010 , Final     Spec Year: 2009
Primary JP: 25980(04)   Residency: ARDMORE (07200)     Contract No: 710865
Date Created: 11/06/2014   Contractor FEI: 730626847     Account No: 400700

Project Number(s): IMY-0035-2(323)055 3P
Contract Description: RESURFACE (ASPHALT) AND BRIDGE REPAIR I-35: BEGIN 6.56 MILES NORTH OF THE CARTER COUNTY LINE, EXTEND NORTH 3.3 MILES; AND BRIDGE REPAIR OVER WILD HORSE CREEK, 2.0 MILES NORTH OF SH-7. PROJECT LENGTH = 3.33 MILES.
Primary County: GARVIN              
Name of Road: I-35              
Prime Contractor: THE CUMMINS CONSTRUCTION CO., INC.           Time Charged: 85.00
    P. O. BOX 748           Time Allowed: 90.00
    ENID , OK   73702           Percent Time: 94.44 %

  Paid To Date: $3,071,854.67 Payable This Statement: $25,170.32

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.                                
THE CUMMINS 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:    11/06/2014
Contract ID: 120015   Estimate Number: 0010     Contract No: 710865
Residency: ARDMORE (07200)   Estimate Type: Final     Account No: 400700

Project Number(s): IMY-0035-2(323)055 3P
Primary Job Piece No: 25980(04)
Contract Description: RESURFACE (ASPHALT) AND BRIDGE REPAIR I-35: BEGIN 6.56 MILES NORTH OF THE CARTER COUNTY LINE, EXTEND NORTH 3.3 MILES; AND BRIDGE REPAIR OVER WILD HORSE CREEK, 2.0 MILES NORTH OF SH-7. PROJECT LENGTH = 3.33 MILES.
Primary County: GARVIN              
Name of Road: I-35              
Prime Contractor: THE CUMMINS CONSTRUCTION CO., INC.              
    P. O. BOX 748              
    ENID , OK   73702              
Surety Company: HARTFORD ACCIDENT & INDEMNITY COMPANY              

Date Let: 01/19/2012 NTP Effective Date: 03/26/2012 Pay Period: 03/16/2013  TO  02/04/2014
Date Awarded: 02/06/2012 Date Work Began: 04/02/2012 Original Contract Time: 90
Date Contract Executed: 02/21/2012 Date Time Stopped: 11/12/2013 Current Time Charged: 85.00
Date NTP Issued: 02/24/2012 Completion Date: 11/12/2013 Current Time Allowed: 90.00
General Liability Expires: 09/01/2015 Workman's Comp Expires: 01/01/2015 Percent Time Used: 94.44 %
Specification Year: 2009        

Bid Amount: $3,095,260.14 Total to Date Prev to Date This Estimate
Funds Available (Bid + Positive C/O): $3,141,142.10 Participating: $2,360,849.02 $2,336,478.70 $24,370.32
Percent Complete: 97.79 % Non Participating: $694,487.73 $693,687.73 $800.00
Unearned Balance: $69,287.43 Total Earnings: $3,055,336.75 $3,030,166.43 $25,170.32
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $3,055,336.75 $3,030,166.43 $25,170.32
Other Adjustments: $16,517.92 $16,517.92 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $3,071,854.67 $3,046,684.35 $25,170.32

Estimate Adjustment Detail

Contract ID: 120015   Estimate Number: 0010     Primary JP: 25980(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Adjust Inlets to Grade Approved 05/04/2012 0.0 $3,636.00
002 Cold Milling Pavement - Reclassified - Unit Price Reduction Approved 08/14/2012 0.0 $-12,067.00
003 Smoothness Incentive Change Order Approved 03/01/2013 0.0 $42,245.96
004 Final Contract Item Quantities Approved 09/03/2014 0.0 $-73,738.35


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
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
25980(04) 0004 SUPERPAVE, TYPE S4(PG 76-28 OK) Asphalt Binder Adjustment 0002 10,033.73 $0.54 $5,514.54
25980(04) 0004 SUPERPAVE, TYPE S4(PG 76-28 OK) Asphalt Binder Adjustment 0003 1,801.69 $1.50 $2,719.83
25980(04) 0004 SUPERPAVE, TYPE S4(PG 76-28 OK) * Material Discrepancy Adjustments 0003 0.00 $0.00 $-2,467.61
25980(04) 0005 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0001 1,502.61 $0.54 $825.83
25980(04) 0005 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0002 2,430.76 $0.54 $1,335.95
25980(04) 0005 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0003 2,070.98 $1.50 $3,126.35
25980(04) 0005 SUPERPAVE, TYPE S4(PG 64-22 OK) * Material Discrepancy Adjustments 0003 0.00 $0.00 $-810.60
25980(04) 0006 SUPERPAVE, TYPE S5(PG 76-28 OK) Asphalt Binder Adjustment 0001 7,510.18 $0.60 $4,557.55
25980(04) 0021 SUPERPAVE, TYPE S4(PG 76-28 OK) Asphalt Binder Adjustment 0005 325.23 $1.74 $569.02
25980(04) 0021 SUPERPAVE, TYPE S4(PG 76-28 OK) Asphalt Binder Adjustment 0006 655.61 $1.74 $1,147.06
Subtotals For Line Item Adjustments $16,517.92
* = 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: 120015   Estimate Number: 0010     Primary JP: 25980(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:    IMY-0035-2(323)055 3P Project:    25980(04) Category:    0100/ROADWAY
0001 EARTHWORK 202(H) 0185 LSUM 1.000 1.000 0.050 1.000 $22,150.00 $1,107.50 $22,150.00
0002 FABRIC REINFORCEMENT 409(A) 4242 SY 96,096.000 97,436.460 5,621.350 97,436.460 $1.60 $8,994.16 $155,898.34
0003 BITUMINOUS BINDER 409(B) 4268 GAL 24,024.000 17,677.230 2,270.250 17,677.230 $4.05 $9,194.51 $71,592.78
0004 SUPERPAVE, TYPE S4(PG 76-28 OK) 411(C) 5950 TON 11,700.000 11,835.420   11,835.420 $71.90 $0.00 $850,966.70
0005 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 7,659.000 6,048.860   6,048.860 $57.90 $0.00 $350,228.99
0006 SUPERPAVE, TYPE S5(PG 76-28 OK) 411(D) 5965 TON 7,484.000 7,510.180   7,510.180 $74.00 $0.00 $555,753.32
0007 COLD MILLING PAVEMENT 412 5267 SY 116,459.000 112,832.870 -814.660 112,832.870 $0.60 $-488.80 $67,699.72
0008 RUMBLE STRIP-METHOD HMA-CON 413(A) 4861 LF 66,528.000 62,346.000 -121.000 62,346.000 $0.12 $-14.52 $7,481.52
0009 FULL DEPTH P.C. CONCRETE PATCHING(PLACEMENT ONLY) 414(E) 0225 SY 400.000 398.890   398.890 $122.00 $0.00 $48,664.58
0010 P.C. CONCRETE FOR PAVEMENT 414(G) 5275 CY 100.000 99.720 -0.030 99.720 $162.50 $-4.88 $16,204.50
0011 CONCRETE PARAPET 504(E) 1381 LF 25.850 25.850   25.850 $280.00 $0.00 $7,238.00
0012 REMOVAL OF CONCRETE PAVEMENT 619(B) 4727 SY 400.000 398.890 -0.010 398.890 $25.40 $-0.25 $10,131.81
0013 BEAM GUARDRAIL W-BEAM SINGLE 623(A) 0932 LF 3,325.000 3,325.000   3,325.000 $14.20 $0.00 $47,215.00
0014 GUARDRAIL ANCHOR UNIT (TYPE B) 623(F) 4447 EA 2.000 2.000   2.000 $1,525.00 $0.00 $3,050.00
0015 GUARDRAIL END TREATMENT (GET) 623(G) 8571 EA 9.000 9.000   9.000 $2,850.00 $0.00 $25,650.00
0016 GUARDRAIL BRIDGE CONNECTION-TYPE A 623(I) 8675 EA 5.000 5.000   5.000 $2,540.00 $0.00 $12,700.00
0017 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 87,000.000 85,727.000 -9,206.000 85,727.000 $0.40 $-3,682.40 $34,290.80
0018 TRAFFIC STRIPE(PLASTIC)(6" WIDE) 855(A) 8813 LF 10,000.000 15,534.000 9,232.000 15,534.000 $1.00 $9,232.00 $15,534.00
0019 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $12,000.00 $0.00 $12,000.00
0020 PORT.CHANGEABLE MESSAGE SIGN 882(A) 8306 SD 180.000 47.000 3.000 47.000 $11.00 $33.00 $517.00
8000 INLET ADJUST TO GRADE 612(C) 0645 EA 0.000 2.000   2.000 $1,818.00 $0.00 $3,636.00
8003 PAVEMENT/BRIDGE SMOOTHNESS ADJUSTMENT 430 5010 LSUM 0.000 1.000   1.000 $42,245.96 $0.00 $42,245.96
Subtotals For Category     0100/ROADWAY    $24,370.32 $2,360,849.02
Fed/State Project Number:    IMY-0035-2(323)055 3P Project:    25980(04) Category:    0900/ROADWAY - NON-PARTICIPATING
0021 SUPERPAVE, TYPE S4(PG 76-28 OK) 411(C) 5950 TON 742.000 980.840   980.840 $98.00 $0.00 $96,122.32
0022 COLD MILLING PAVEMENT 412 5267 SY 169.000 168.880   168.880 $21.00 $0.00 $3,546.48
0023 DIAMOND GRINDING CONCRETE PAVEMENT 425 5195 SY 4,171.600 4,171.600   4,171.600 $7.20 $0.00 $30,035.52
8001 COLD MILLING PAVEMENT 412 5267 SY 0.000 2,108.380   2,108.380 $7.53 $0.00 $15,876.10
Subtotals For Category     0900/ROADWAY - NON-PARTICIPATING    $0.00 $145,580.42
Fed/State Project Number:    IMY-0035-2(323)055 3P Project:    25980(04) Category:    0901/BRIDGE 'A' - NORTHBOUND - NON-PARTICIPATING
0024 SEALED EXPANSION JOINT 504(C) 6250 LF 122.600 122.600   122.600 $305.00 $0.00 $37,393.00
0025 REMOVING EXISTING OVERLAY 505(B) 6070 SY 2,208.200 2,208.200   2,208.200 $27.00 $0.00 $59,621.40
0026 ASPHALT MEMBRANE OVERLAY 505(D) 6080 SY 2,207.600 2,207.600   2,207.600 $19.30 $0.00 $42,606.68
0027 CLASS B BRIDGE DECK REPAIR 513(B) 6019 SY 82.000 31.940   31.940 $245.00 $0.00 $7,825.30
0028 CLASS C BRIDGE DECK REPAIR 513(C) 6020 SY 45.800 49.430   49.430 $495.00 $0.00 $24,467.85
Subtotals For Category     0901/BRIDGE 'A' - NORTHBOUND - NON-PARTICIPATING    $0.00 $171,914.23
Fed/State Project Number:    IMY-0035-2(323)055 3P Project:    25980(04) Category:    0902/BRIDGE 'B' - SOUTHBOUND - NON-PARTICIPATING
0029 SEALED EXPANSION JOINT 504(C) 6250 LF 122.600 122.600   122.600 $300.00 $0.00 $36,780.00
0030 REMOVING EXISTING OVERLAY 505(B) 6070 SY 2,208.200 2,208.200   2,208.200 $27.00 $0.00 $59,621.40
0031 ASPHALT MEMBRANE OVERLAY 505(D) 6080 SY 2,207.600 2,207.600   2,207.600 $19.30 $0.00 $42,606.68
0032 CLASS B BRIDGE DECK REPAIR 513(B) 6019 SY 43.000 24.910   24.910 $245.00 $0.00 $6,102.95
0033 CLASS C BRIDGE DECK REPAIR 513(C) 6020 SY 45.800 42.990   42.990 $495.00 $0.00 $21,280.05
Subtotals For Category     0902/BRIDGE 'B' - SOUTHBOUND - NON-PARTICIPATING    $0.00 $166,391.08
Fed/State Project Number:    IMY-0035-2(323)055 3P Project:    25980(04) Category:    0903/TRAFFIC - NON-PARTICIPATING
0034 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 2,172.000 5,160.000   5,160.000 $0.40 $0.00 $2,064.00
0035 TRAFFIC STRIPE(PLASTIC)(6" WIDE) 855(A) 8813 LF 290.000 408.000   408.000 $1.00 $0.00 $408.00
0036 SAND FILLED IMPACT ATTENUATION MODULE 870(A) 8485 SD 3,420.000 1,919.000   1,919.000 $1.00 $0.00 $1,919.00
0037 DELIVER PORTABLE LONGITUDINAL BARRIER 877(B) 8484 LF 2,075.000 1,800.000   1,800.000 $10.00 $0.00 $18,000.00
0038 RELOCATION OF PORTABLE LONGITUDINAL BARRIER 877(C) 8486 LF 2,075.000 1,800.000   1,800.000 $2.00 $0.00 $3,600.00
0039 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000 0.050 1.000 $16,000.00 $800.00 $16,000.00
0040 PORT.CHANGEABLE MESSAGE SIGN 882(A) 8306 SD 180.000 101.000   101.000 $11.00 $0.00 $1,111.00
Subtotals For Category     0903/TRAFFIC - NON-PARTICIPATING    $800.00 $43,102.00
Fed/State Project Number:    IMY-0035-2(323)055 3P Project:    25980(04) Category:    0904/CONSTRUCTION - NON-PARTICIPATING
0041 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $167,500.00 $0.00 $167,500.00
Subtotals For Category     0904/CONSTRUCTION - NON-PARTICIPATING    $0.00 $167,500.00
Subtotals For Project IMY-0035-2(323)055 3P /25980(04) $25,170.32 $3,055,336.75