Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120016   Estimate Number: 0005 , Final     Spec Year: 2009
Primary JP: 27434(04)   Residency: BUFFALO (06100)     Contract No: 710853
Date Created: 05/22/2013   Contractor FEI: 480952709     Account No: 404600

Project Number(s): SBR-130N(148)SB
Contract Description: BRIDGE REHABILITATION US-270: OVER OTTER CREEK, 13.6 MILES EAST OF THE BEAVER COUNTY LINE.
Primary County: HARPER              
Name of Road: US-270              
Prime Contractor: WILDCAT CONSTRUCTION CO., INC. & SUBSIDIARIES           Time Charged: 148.00
    P. O. BOX 750075           Time Allowed: 134.00
    TOPEKA , KS   66675           Percent Time: 110.45 %

  Paid To Date: $191,678.30 Payable This Statement: $11,050.40

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.                                
WILDCAT CONSTRUCTION CO., INC. & SUBSIDIARIES                               
 
_________________________________________________
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:    05/22/2013
Contract ID: 120016   Estimate Number: 0005     Contract No: 710853
Residency: BUFFALO (06100)   Estimate Type: Final     Account No: 404600

Project Number(s): SBR-130N(148)SB
Primary Job Piece No: 27434(04)
Contract Description: BRIDGE REHABILITATION US-270: OVER OTTER CREEK, 13.6 MILES EAST OF THE BEAVER COUNTY LINE.
Primary County: HARPER              
Name of Road: US-270              
Prime Contractor: WILDCAT CONSTRUCTION CO., INC. & SUBSIDIARIES              
    P. O. BOX 750075              
    TOPEKA , KS   66675              
Surety Company: TRAVELERS INDEMNITY COMPANY              

Date Let: 01/19/2012 NTP Effective Date: 06/04/2012 Pay Period: 11/01/2012  TO  05/22/2013
Date Awarded: 02/06/2012 Date Work Began: 09/01/2012 Original Contract Time: 45
Date Contract Executed: 02/17/2012 Date Time Stopped: 12/13/2012 Current Time Charged: 148.00
Date NTP Issued: 03/20/2012 Completion Date: 12/13/2012 Current Time Allowed: 134.00
General Liability Expires: 01/01/2014 Workman's Comp Expires: 01/01/2014 Percent Time Used: 110.45 %
Specification Year: 2009        

Current Contract Amount: $198,678.30 Total to Date Prev to Date This Estimate
Bid Amount: $192,397.20 Participating: $0.00 $0.00 $0.00
Percent Complete: 96.48 % Non Participating: $198,678.30 $187,627.90 $11,050.40
Funds Available: $7,000.00 Total Earnings: $198,678.30 $187,627.90 $11,050.40
Unearned Balance: $718.90 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $198,678.30 $187,627.90 $11,050.40
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $-7,000.00 $-7,000.00 $0.00
TOTAL: $191,678.30 $180,627.90 $11,050.40

Estimate Adjustment Detail

Contract ID: 120016   Estimate Number: 0005     Primary JP: 27434(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Delayed Work Start Date Approved 10/02/2012 89.0 $0.00
002 Finalizing Contr. Item Quantities Approved 05/20/2013 0.0 $6,281.10


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 0001 --59 $500.00 $-29,500.00
System Application of Liquidated Damages 0002 -59.0 $500.00 $29,500.00
System Application of Liquidated Damages 0004 --14 $500.00 $-7,000.00
Subtotals For Liquidated Damages $-7,000.00


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: 120016   Estimate Number: 0005     Primary JP: 27434(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-130N(148)SB Project:    27434(04) Category:    0200/BRIDGE 'A'
0001 SEALED EXPANSION JOINT 504(C) 6250 LF 94.000 94.000   94.000 $440.00 $0.00 $41,360.00
0002 CLASS AA CONCRETE 509(A) 1326 CY 35.400 35.400   35.400 $745.00 $0.00 $26,373.00
0003 MECHANICAL SPLICES 511 6306 EA 96.000 96.000   96.000 $33.00 $0.00 $3,168.00
0004 EPOXY COATED REINFORCING STEEL 511(B) 6010 LB 6,120.000 6,120.000   6,120.000 $1.90 $0.00 $11,628.00
0005 PREPARATION OF CRACKS, ABOVE WATER 520(A) 6058 LF 30.000 7.080   7.080 $30.00 $0.00 $212.40
0006 EPOXY RESIN, ABOVE WATER 520(C) 6060 GAL 3.000 0.250   0.250 $65.00 $0.00 $16.25
0007 PNEUMATICALLY PLACED MORTAR 521(A) 6210 SY 10.000 12.690 0.010 12.690 $1,000.00 $10.00 $12,690.00
0008 SEALER CRACK PREPARATION 523(A) 6550 LF 472.000 472.000   472.000 $4.30 $0.00 $2,029.60
0009 SEALER RESIN 523(B) 6560 GAL 5.000 5.000   5.000 $105.00 $0.00 $525.00
0010 (SP)CARBON FIBER-REINFORCED POLYMER 524(A) 6610 SF 192.000 256.910   256.910 $81.00 $0.00 $20,809.71
0011 (SP)CORROSION INHIBITOR(SURFACE APPLIED) 535 6130 SY 21.400 28.520   28.520 $82.00 $0.00 $2,338.64
0012 REMOVAL OF BRIDGE ITEMS 619(B) 2500 LSUM 1.000 1.000   1.000 $13,500.00 $0.00 $13,500.00
Subtotals For Category     0200/BRIDGE 'A'    $10.00 $134,650.60
Fed/State Project Number:    SBR-130N(148)SB Project:    27434(04) Category:    0300/TRAFFIC
0013 (SP)PORTABLE TRAFFIC SIGNAL SYSTEM 823 8478 SD 30.000 56.000 14.000 56.000 $75.00 $1,050.00 $4,200.00
0014 REMOVABLE PAVEMENT MARKING TAPE(4" WIDE) 857(C) 8851 LF 264.000 0.000   0.000 $1.50 $0.00 $0.00
0015 (PL)CONSTRUCTION ZONE PAVEMENT MARKERS(FLEX TAB)TYPE 2-2 857(E) 8890 EA 804.000 103.000   103.000 $0.70 $0.00 $72.10
0016 (SP)CONST.ZONE IMPACT ATTEN. 871(B) 8705 SD 60.000 112.000 28.000 112.000 $9.80 $274.40 $1,097.60
0017 (PL)TRUCK MOUNTED ATTENUATOR 876(A) 8482 SD 5.000 0.000   0.000 $15.00 $0.00 $0.00
0018 DELIVER PORTABLE LONGITUDINAL BARRIER 877(B) 8484 LF 1,237.500 1,237.500   1,237.500 $10.00 $0.00 $12,375.00
0019 RELOCATION OF PORTABLE LONGITUDINAL BARRIER 877(C) 8486 LF 1,237.500 1,237.500   1,237.500 $2.00 $0.00 $2,475.00
0020 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $12,000.00 $0.00 $12,000.00
0021 PORT.CHANGEABLE MESSAGE SIGN 882(A) 8306 SD 60.000 112.000 28.000 112.000 $34.00 $952.00 $3,808.00
Subtotals For Category     0300/TRAFFIC    $2,276.40 $36,027.70
Fed/State Project Number:    SBR-130N(148)SB Project:    27434(04) Category:    0600/CONSTRUCTION STAKING
0022 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 0.000   0.000 $4,650.00 $0.00 $0.00
Subtotals For Category     0600/CONSTRUCTION STAKING    $0.00 $0.00
Fed/State Project Number:    SBR-130N(148)SB Project:    27434(04) Category:    0640/CONSTRUCTION
0023 MOBILIZATION 641 1399 LSUM 1.000 1.000 0.313 1.000 $28,000.00 $8,764.00 $28,000.00
Subtotals For Category     0640/CONSTRUCTION    $8,764.00 $28,000.00
Subtotals For Project SBR-130N(148)SB /27434(04) $11,050.40 $198,678.30