Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120017   Estimate Number: 0017 , Final     Spec Year: 2009
Primary JP: 27812(04)   Residency: JACOBS (08004)     Contract No: 711167
Date Created: 08/06/2015   Contractor FEI: 450699862     Account No: 400850

Project Number(s): STP-158B(182)UR
Contract Description: BRIDGE AND APPROACHES CITY STREET (EAST CENTRAL AVENUE): OVER TAR CREEK 0.25 MILE WEST OF ELM STREET IN THE CITY OF MIAMI. PROJECT LENGTH = 0.238 MILE.
Primary County: OTTAWA              
Name of Road: CITY STREET              
Prime Contractor: B & B BRIDGE COMPANY, LLC           Time Charged: 197.00
    411 SIXTH STREET           Time Allowed: 120.00
    ST. PAUL , KS   66771           Percent Time: 164.17 %

  Paid To Date: $1,667,850.24 Payable This Statement: $3,328.94

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.                                
B & B BRIDGE COMPANY, LLC                               
 
_________________________________________________
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:    08/06/2015
Contract ID: 120017   Estimate Number: 0017     Contract No: 711167
Residency: JACOBS (08004)   Estimate Type: Final     Account No: 400850

Project Number(s): STP-158B(182)UR
Primary Job Piece No: 27812(04)
Contract Description: BRIDGE AND APPROACHES CITY STREET (EAST CENTRAL AVENUE): OVER TAR CREEK 0.25 MILE WEST OF ELM STREET IN THE CITY OF MIAMI. PROJECT LENGTH = 0.238 MILE.
Primary County: OTTAWA              
Name of Road: CITY STREET              
Prime Contractor: B & B BRIDGE COMPANY, LLC              
    411 SIXTH STREET              
    ST. PAUL , KS   66771              
Surety Company: WESTERN SURETY COMPANY              

Date Let: 04/19/2012 NTP Effective Date: 08/06/2012 Pay Period: 09/01/2013  TO  04/03/2015
Date Awarded: 05/07/2012 Date Work Began: 07/23/2012 Original Contract Time: 120
Date Contract Executed: 05/18/2012 Date Time Stopped: 11/27/2013 Current Time Charged: 197.00
Date NTP Issued: 05/31/2012 Completion Date: 11/27/2013 Current Time Allowed: 120.00
General Liability Expires: 03/31/2016 Workman's Comp Expires: 03/31/2016 Percent Time Used: 164.17 %
Specification Year: 2009        

Bid Amount: $1,745,041.78 Total to Date Prev to Date This Estimate
Funds Available (Bid + Positive C/O): $1,756,604.03 Participating: $1,733,126.86 $1,722,304.67 $10,822.19
Percent Complete: 94.95 % Non Participating: $0.00 $0.00 $0.00
Unearned Balance: $88,753.79 Total Earnings: $1,733,126.86 $1,722,304.67 $10,822.19
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $1,733,126.86 $1,722,304.67 $10,822.19
Other Adjustments: $-7,526.62 $-33.37 $-7,493.25
Liq Dam/Disincentive: $-57,750.00 $-57,750.00 $0.00
TOTAL: $1,667,850.24 $1,664,521.30 $3,328.94

Estimate Adjustment Detail

Contract ID: 120017   Estimate Number: 0017     Primary JP: 27812(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Add Pay Item for Removal of Concrete Pavement w/AC overlay Approved 01/07/2013 0.0 $7,162.25
002 This change order adds TBSC Type E to the contract Approved 02/14/2013 0.0 $4,400.00
003 Final Quantity Change Order Approved 02/26/2015 0.0 $-23,477.16


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
27812(04) 0032 Prestressed Concrete Beams (Type II) Stockpiled Material Adjustment 0007 $-129,654.27
27812(04) 0032 Prestressed Concrete Beams (Type II) Stockpiled Material Initial Payment 0001 $129,654.27
Subtotals For Stockpile Payments $0.00


LIQUIDATED DAMAGES HISTORY
Adjustment Description Estimate Nbr Time Units Rate Adjustment Amount
System Application of Liquidated Damages 0009 --11 $750.00 $-8,250.00
System Application of Liquidated Damages 0010 --15 $750.00 $-11,250.00
System Application of Liquidated Damages 0011 --14 $750.00 $-10,500.00
System Application of Liquidated Damages 0012 --14 $750.00 $-10,500.00
System Application of Liquidated Damages 0013 --16 $750.00 $-12,000.00
System Application of Liquidated Damages 0014 --6.0 $750.00 $-4,500.00
System Application of Liquidated Damages 0015 --1.0 $750.00 $-750.00
Subtotals For Liquidated Damages $-57,750.00


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
27812(04) 0011 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0013 774.39 $-0.02 $-20.33
27812(04) 0011 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0014 17.90 $-0.02 $-0.47
27812(04) 0011 SUPERPAVE, TYPE S3(PG 64-22 OK) * HMA Deduction as per Sec. 411 0017 0.00 $0.00 $-1,758.88
27812(04) 0012 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0013 404.94 $-0.03 $-12.15
27812(04) 0012 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0014 14.10 $-0.03 $-0.42
27812(04) 0012 SUPERPAVE, TYPE S4(PG 64-22 OK) * HMA Deduction as per Sec. 411 0017 0.00 $0.00 $-2,011.39
27812(04) 0033 BRIDGE TRAFFIC RAIL * CONCRETE DEDUCTION AS PER SPEC 509 0017 0.00 $0.00 $-1,382.98
27812(04) 0051 DRILLED SHAFTS 60" DIAMETER * CONCRETE DEDUCTION AS PER SPEC 509 0017 0.00 $0.00 $-2,340.00
Subtotals For Line Item Adjustments $-7,526.62
* = 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: 120017   Estimate Number: 0017     Primary JP: 27812(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:    STP-158B(182)UR Project:    27812(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201(A) 0102 LSUM 1.000 1.000   1.000 $12,000.00 $0.00 $12,000.00
0002 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 1,940.000 1,940.000   1,940.000 $4.00 $0.00 $7,760.00
0003 UNCLASSIFIED BORROW 202(D) 0184 CY 9,660.000 9,660.000   9,660.000 $12.00 $0.00 $115,920.00
0004 TEMPORARY SILT FENCE 221(C) 2801 LF 2,270.000 1,921.000   1,921.000 $2.75 $0.00 $5,282.75
0005 TEMPORARY SILT DIKE 221(F) 0100 LF 250.000 252.000   252.000 $7.00 $0.00 $1,764.00
0006 SOLID SLAB SODDING 230(A) 2806 SY 6,210.000 11,164.480   11,164.480 $1.95 $0.00 $21,770.74
0007 VEGETATIVE MULCHING 233(A) 2817 AC 2.600 0.000   0.000 $695.00 $0.00 $0.00
0008 STABILIZED SUBGRADE 307(K) 4300 SY 3,685.000 3,577.460 267.000 3,577.460 $7.75 $2,069.25 $27,725.31
0009 TACK COAT 407(B) 0250 GAL 472.000 324.000 174.000 324.000 $2.53 $440.22 $819.72
0010 PRIME COAT 408 5774 GAL 774.000 210.000   210.000 $5.27 $0.00 $1,106.70
0011 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 880.000 792.290 0.000 792.290 $74.00 $0.00 $58,629.46
0012 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 360.000 419.040 0.000 419.040 $80.00 $0.00 $33,523.20
0013 CLASS C CONCRETE 509(D) 0325 CY 10.000 4.900   4.900 $350.00 $0.00 $1,715.00
0014 1'-8" COMB. CURB & GUTTER (6" BARRIER) 609(B) 1513 LF 2,052.000 2,030.000   2,030.000 $15.00 $0.00 $30,450.00
0015 6" CONCRETE SIDEWALK 610(A) 0605 SY 975.000 934.060   934.060 $33.00 $0.00 $30,823.98
0016 6" CONCRETE DRIVEWAY 610(B) 0604 SY 17.000 17.000   17.000 $150.00 $0.00 $2,550.00
0017 TACTILE WARNING DEVICE-NEW 610(I) 4610 SF 36.000 32.000   32.000 $40.00 $0.00 $1,280.00
0018 INLET CI DES. 2 (STD) 611(G) 5112 EA 2.000 2.000   2.000 $2,900.00 $0.00 $5,800.00
0019 ADDITIONAL DEPTH IN INLET 611(H) 5196 VF 1.660 2.660 1.580 2.660 $300.00 $474.00 $798.00
0020 MANHOLES ADJUST TO GRADE 612(A) 0641 EA 1.000 1.000   1.000 $300.00 $0.00 $300.00
0021 24" R.C.PIPE CLASS III 613(A) 0492 LF 58.000 59.750   59.750 $38.00 $0.00 $2,270.50
0022 18" CORR. GALV. STEEL PIPE 613(B) 0689 LF 64.000 64.000   64.000 $30.00 $0.00 $1,920.00
0023 18" PREFAB. CULVERT END SECTION, ROUND 613(L) 5726 EA 2.000 2.000   2.000 $400.00 $0.00 $800.00
0024 TYPE B4 CULVERT END TREATMENT 613(M) 7187 EA 1.000 1.000   1.000 $700.00 $0.00 $700.00
0025 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 1.000 1.000   1.000 $2,500.00 $0.00 $2,500.00
0026 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 3,615.000 149.900   149.900 $3.85 $0.00 $577.11
0027 BEAM GUARDRAIL W-BEAM SINGLE 623(A) 0932 LF 100.000 100.000   100.000 $16.00 $0.00 $1,600.00
0028 GUARDRAIL ANCHOR UNIT (TYPE B) 623(F) 4447 EA 2.000 2.000   2.000 $500.00 $0.00 $1,000.00
0029 GUARDRAIL ANCHOR UNIT (TYPE D-BF) 623(F) 5686 EA 2.000 2.000   2.000 $1,250.00 $0.00 $2,500.00
8001 REMOVAL OF CONC.PAV.W/ASPH.OVERLAY 619(B) 4763 SY 0.000 2,958.330   2,958.330 $6.80 $0.00 $20,116.64
8002 TRAFFIC BOUND SURFACE COURSE TYPE E 402(E) 0225 TON 0.000 119.160   119.160 $22.00 $0.00 $2,621.52
Subtotals For Category     0100/ROADWAY    $2,983.47 $396,624.63
Fed/State Project Number:    STP-158B(182)UR Project:    27812(04) Category:    0200/BRIDGE 'A'
0030 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 310.000 310.000   310.000 $20.00 $0.00 $6,200.00
0031 CLSM BACKFILL 501(G) 6309 CY 120.000 120.000   120.000 $100.00 $0.00 $12,000.00
0032 PRESTRESSED CONCRETE BEAMS (TYPE II) 503(A) 1311 LF 920.000 920.000   920.000 $225.00 $0.00 $207,000.00
0033 BRIDGE TRAFFIC RAIL 504 6179 LF 502.900 502.900 0.000 502.900 $110.00 $0.00 $55,319.00
0034 APPROACH SLAB 504(A) 1304 SY 286.800 286.800   286.800 $190.00 $0.00 $54,492.00
0035 SAW-CUT GROOVING 504(B) 1305 SY 933.800 933.800   933.800 $4.05 $0.00 $3,781.89
0036 SEALED EXPANSION JOINT 504(C) 6250 LF 47.630 47.630   47.630 $450.00 $0.00 $21,433.50
0037 HANDRAILING 504(F) 6006 LF 209.750 209.750   209.750 $145.00 $0.00 $30,413.75
0038 STRUCTURAL STEEL 506(A) 1322 LB 1,590.000 1,590.000   1,590.000 $3.00 $0.00 $4,770.00
0039 WEATHERING STEEL FIXED BEARING ASSEMBLY 507(A) 6172 EA 20.000 20.000   20.000 $1,250.00 $0.00 $25,000.00
0040 WEATHERING STEEL EXPANSION BEARING ASSEMBLY 507(B) 6176 EA 10.000 10.000   10.000 $1,250.00 $0.00 $12,500.00
0041 CLASS AA CONCRETE 509(A) 1326 CY 215.000 215.000   215.000 $500.00 $0.00 $107,500.00
0042 CLASS A CONCRETE 509(B) 1328 CY 214.000 214.000   214.000 $500.00 $0.00 $107,000.00
0043 REINFORCING STEEL 511(A) 1332 LB 3,180.000 3,180.000   3,180.000 $1.00 $0.00 $3,180.00
0044 EPOXY COATED REINFORCING STEEL 511(B) 6010 LB 90,170.000 90,170.000 -3,044.000 90,170.000 $1.00 $-3,044.00 $90,170.00
0045 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 100.000 100.000   100.000 $34.50 $0.00 $3,450.00
0046 PILES, FURNISHED (HP 12X53) 514(A) 6011 LF 386.000 386.000   386.000 $42.00 $0.00 $16,212.00
0047 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 100.000 84.330   84.330 $23.00 $0.00 $1,939.59
0048 PILES, DRIVEN (HP 12X53) 514(B) 6294 LF 386.000 377.210 -2.000 377.210 $23.00 $-46.00 $8,675.83
0049 (PL)PILOT HOLES 514(K) 6260 LF 386.000 363.210 53.620 363.210 $186.00 $9,973.32 $67,557.06
0050 WATER REPELLENT (VISUALLY INSPECTED) 515(A) 6013 SY 1,135.000 1,135.000   1,135.000 $3.80 $0.00 $4,313.00
0051 DRILLED SHAFTS 60" DIAMETER 516(A) 6096 LF 60.000 61.410 0.000 61.410 $2,600.00 $0.00 $159,666.00
0052 SEALER CRACK PREPARATION 523(A) 6550 LF 47.000 47.000   47.000 $4.00 $0.00 $188.00
0053 SEALER RESIN 523(B) 6560 GAL 0.500 0.500   0.500 $150.00 $0.00 $75.00
0054 TYPE I-A PLAIN RIPRAP 601(B) 1353 TON 1,385.000 907.370 80.400 907.370 $28.00 $2,251.20 $25,406.36
0055 TYPE I-A FILTER BLANKET 601(C) 1355 TON 425.000 238.250 -80.400 238.250 $27.00 $-2,170.80 $6,432.75
0056 6" PERFORATED PIPE UNDERDRAIN ROUND 613(H) 6204 LF 97.000 94.000   94.000 $30.00 $0.00 $2,820.00
0057 6" NON-PERF.PIPE UNDERDRAIN RND. 613(I) 6207 LF 50.000 54.000   54.000 $30.00 $0.00 $1,620.00
0058 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $35,000.00 $0.00 $35,000.00
0059 (PL) ORNAMENTAL FENCE 624 4100 LF 250.300 250.300   250.300 $300.00 $0.00 $75,090.00
Subtotals For Category     0200/BRIDGE 'A'    $6,963.72 $1,149,205.73
Fed/State Project Number:    STP-158B(182)UR Project:    27812(04) Category:    0300/LIGHTING
0060 1" GALV. STEEL ELECTRICAL CONDUIT EXPOSED 802(A) 8302 LF 155.000 155.000   155.000 $11.00 $0.00 $1,705.00
0061 1" PVC SCH.40 PLASTIC CONDUIT TRENCHED 802(B) 8334 LF 60.000 60.000   60.000 $5.00 $0.00 $300.00
0062 JUNCTION BOX(6" X 6" X 4") 802(E) 8370 EA 3.000 3.000   3.000 $398.00 $0.00 $1,194.00
0063 PULL BOX(SIZE I) 803(A) 8065 EA 1.000 1.000   1.000 $300.00 $0.00 $300.00
0064 ENHANCEMENT LIGHTING (COMPLETE) 809 8090 EA 3.000 3.000   3.000 $2,750.00 $0.00 $8,250.00
0065 1/C NO.10 ELECTRICAL CONDUCTOR 811 8044 LF 452.000 452.000   452.000 $1.00 $0.00 $452.00
0066 1/C NO.12 ELECTRICAL CONDUCTOR 811 8046 LF 108.000 108.000   108.000 $1.00 $0.00 $108.00
Subtotals For Category     0300/LIGHTING    $0.00 $12,309.00
Fed/State Project Number:    STP-158B(182)UR Project:    27812(04) Category:    0301/TRAFFIC CONTROL
0067 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 2,730.000 3,237.500   3,237.500 $1.00 $0.00 $3,237.50
0068 TRAFFIC STRIPE(PLASTIC)(ARROWS) 855(B) 8818 EA 2.000 2.000   2.000 $125.00 $0.00 $250.00
0069 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $3,000.00 $0.00 $3,000.00
Subtotals For Category     0301/TRAFFIC CONTROL    $0.00 $6,487.50
Fed/State Project Number:    STP-158B(182)UR Project:    27812(04) Category:    0600/STAKING
0070 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000   1.000 $15,000.00 $0.00 $15,000.00
Subtotals For Category     0600/STAKING    $0.00 $15,000.00
Fed/State Project Number:    STP-158B(182)UR Project:    27812(04) Category:    0640/CONSTRUCTION
0071 SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000 0.250 1.000 $3,500.00 $875.00 $3,500.00
0072 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $150,000.00 $0.00 $150,000.00
Subtotals For Category     0640/CONSTRUCTION    $875.00 $153,500.00
Subtotals For Project STP-158B(182)UR /27812(04) $10,822.19 $1,733,126.86