Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120037   Estimate Number: 0009 , Final     Spec Year: 2009
Primary JP: 29059(04)   Residency: SAND SPRINGS (08400)     Contract No: 710837
Date Created: 10/04/2013   Contractor FEI: 731316732     Account No: 404800

Project Number(s): SSR-219B(002)SR
Contract Description: PAVEMENT REHABILITATION (AC & PC) SH-33: BEGIN AT THE PAYNE COUNTY LINE, EXTEND EAST. SH-99B: BEGIN AT SH-33, EXTEND NORTH. PROJECT LENGTH = 1.787 MILES.
Primary County: CREEK              
Name of Road: SH-33 / SH-99B              
Prime Contractor: BECCO CONTRACTORS, INC.           Time Charged: 96.00
    P.O. BOX 9159           Time Allowed: 96.00
    TULSA , OK   74157           Percent Time: 100.00 %

  Paid To Date: $1,189,791.02 Payable This Statement: $0.00

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.                                
BECCO CONTRACTORS, 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:    10/04/2013
Contract ID: 120037   Estimate Number: 0009     Contract No: 710837
Residency: SAND SPRINGS (08400)   Estimate Type: Final     Account No: 404800

Project Number(s): SSR-219B(002)SR
Primary Job Piece No: 29059(04)
Contract Description: PAVEMENT REHABILITATION (AC & PC) SH-33: BEGIN AT THE PAYNE COUNTY LINE, EXTEND EAST. SH-99B: BEGIN AT SH-33, EXTEND NORTH. PROJECT LENGTH = 1.787 MILES.
Primary County: CREEK              
Name of Road: SH-33 / SH-99B              
Prime Contractor: BECCO CONTRACTORS, INC.              
    P.O. BOX 9159              
    TULSA , OK   74157              
Surety Company: MID-CONTINENT CASUALTY COMPANY              

Date Let: 01/19/2012 NTP Effective Date: 06/04/2012 Pay Period: 10/04/2013  TO  10/04/2013
Date Awarded: 02/06/2012 Date Work Began: 06/04/2012 Original Contract Time: 90
Date Contract Executed: 02/21/2012 Date Time Stopped: 07/02/2013 Current Time Charged: 96.00
Date NTP Issued: 02/27/2012 Completion Date: 07/02/2013 Current Time Allowed: 96.00
General Liability Expires: 03/01/2014 Workman's Comp Expires: 02/01/2014 Percent Time Used: 100.00 %
Specification Year: 2009        

Current Contract Amount: $1,187,676.89 Total to Date Prev to Date This Estimate
Bid Amount: $1,245,046.00 Participating: $0.00 $0.00 $0.00
Percent Complete: 100 % Non Participating: $1,187,676.90 $1,187,676.90 $0.00
Funds Available: $-2,114.13 Total Earnings: $1,187,676.90 $1,187,676.90 $0.00
Unearned Balance: $55,254.98 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $1,187,676.90 $1,187,676.90 $0.00
Other Adjustments: $2,114.12 $2,114.12 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $1,189,791.02 $1,189,791.02 $0.00

Estimate Adjustment Detail

Contract ID: 120037   Estimate Number: 0009     Primary JP: 29059(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 R&R traffic control for 4th Approved 07/10/2012 2.0 $3,067.68
002 Patching (brick section) Approved 06/06/2013 4.0 $95,730.20
003 Final Quantity Change Order Approved 10/03/2013 0.0 $-156,166.99


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 0006 --4.0 $750.00 $-3,000.00
System Application of Liquidated Damages 0007 -4.0 $750.00 $3,000.00
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
29059(04) 0006 SUPERPAVE, TYPE S3(PG 70-28 OK) * Material Discrepancy Adjustments 0004 -622.68 $60.00 $-37,360.80
29059(04) 0006 SUPERPAVE, TYPE S3(PG 70-28 OK) Asphalt Binder Adjustment 0004 622.68 $1.53 $953.26
29059(04) 0006 SUPERPAVE, TYPE S3(PG 70-28 OK) Asphalt Binder Adjustment 0005 594.02 $0.48 $285.66
29059(04) 0006 SUPERPAVE, TYPE S3(PG 70-28 OK) * Material Discrepancy Adjustments 0008 622.68 $60.00 $37,360.80
29059(04) 0007 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0004 671.94 $1.53 $1,028.67
29059(04) 0007 SUPERPAVE, TYPE S3(PG 64-22 OK) * Material Discrepancy Adjustments 0004 -671.94 $55.00 $-36,956.70
29059(04) 0007 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0005 599.93 $0.48 $288.51
29059(04) 0007 SUPERPAVE, TYPE S3(PG 64-22 OK) * Material Discrepancy Adjustments 0005 671.94 $55.00 $36,956.70
29059(04) 0008 SUPERPAVE, TYPE S4(PG 70-28 OK) * Material Discrepancy Adjustments 0004 -444.52 $74.00 $-32,894.48
29059(04) 0008 SUPERPAVE, TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0004 444.52 $1.74 $777.73
29059(04) 0008 SUPERPAVE, TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0005 445.43 $0.54 $244.81
29059(04) 0008 SUPERPAVE, TYPE S4(PG 70-28 OK) * Material Discrepancy Adjustments 0005 444.52 $74.00 $32,894.48
29059(04) 0008 SUPERPAVE, TYPE S4(PG 70-28 OK) * HMA Deduction as per Sec. 411 0005 -1.00 $1,975.69 $-1,975.69
29059(04) 0008 SUPERPAVE, TYPE S4(PG 70-28 OK) * HMA Deduction as per Sec. 411 0006 -1.00 $597.22 $-597.22
29059(04) 0008 SUPERPAVE, TYPE S4(PG 70-28 OK) * HMA Deduction as per Sec. 411 0007 1.00 $597.22 $597.22
29059(04) 0008 SUPERPAVE, TYPE S4(PG 70-28 OK) * HMA Deduction as per Sec. 411 0007 -1.00 $2,200.00 $-2,200.00
29059(04) 0008 SUPERPAVE, TYPE S4(PG 70-28 OK) * HMA Deduction as per Sec. 411 0007 1.00 $1,975.69 $1,975.69
29059(04) 0009 SUPERPAVE, TYPE S4(PG 64-22 OK) * Material Discrepancy Adjustments 0004 -328.56 $70.00 $-22,999.20
29059(04) 0009 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0004 328.56 $1.74 $574.85
29059(04) 0009 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0005 292.27 $0.54 $160.63
29059(04) 0009 SUPERPAVE, TYPE S4(PG 64-22 OK) * Material Discrepancy Adjustments 0005 328.56 $70.00 $22,999.20
29059(04) 0019 BEAM GUARDRAIL W-BEAM SINGLE * Missing Material Certification 0004 -100.00 $18.00 $-1,800.00
29059(04) 0019 BEAM GUARDRAIL W-BEAM SINGLE * Missing Material Certification 0006 100.00 $18.00 $1,800.00
29059(04) 0020 GUARDRAIL END TREATMENT (GET) * Missing Material Certification 0004 -2.00 $2,300.00 $-4,600.00
29059(04) 0020 GUARDRAIL END TREATMENT (GET) * Missing Material Certification 0005 -2.00 $2,300.00 $-4,600.00
29059(04) 0020 GUARDRAIL END TREATMENT (GET) * Missing Material Certification 0006 2.00 $2,300.00 $4,600.00
29059(04) 0020 GUARDRAIL END TREATMENT (GET) * Missing Material Certification 0006 2.00 $2,300.00 $4,600.00
Subtotals For Line Item Adjustments $2,114.12
* = 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: 120037   Estimate Number: 0009     Primary JP: 29059(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-219B(002)SR Project:    29059(04) Category:    0100/ROADWAY
0001 EARTHWORK 202(H) 0185 LSUM 1.000 1.000   1.000 $50,000.00 $0.00 $50,000.00
0002 AGGREGATE BASE TYPE A 303(A) 2100 CY 50.000 0.000   0.000 $75.00 $0.00 $0.00
0003 STABILIZED SUBGRADE 307(K) 4300 SY 8,300.000 0.000   0.000 $6.00 $0.00 $0.00
0004 TACK COAT 407(B) 0250 GAL 2,600.000 1,460.250   1,460.250 $3.00 $0.00 $4,380.75
0005 PRIME COAT 408 5774 GAL 1,750.000 0.000   0.000 $3.00 $0.00 $0.00
0006 SUPERPAVE, TYPE S3(PG 70-28 OK) 411(B) 5940 TON 1,200.000 1,216.700   1,216.700 $60.00 $0.00 $73,002.00
0007 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 1,225.000 1,271.870   1,271.870 $55.00 $0.00 $69,952.85
0008 SUPERPAVE, TYPE S4(PG 70-28 OK) 411(C) 5955 TON 2,400.000 2,476.910   2,476.910 $74.00 $0.00 $183,291.34
0009 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 675.000 620.830   620.830 $70.00 $0.00 $43,458.10
0010 SUPERPAVE, TYPE S4(PATCH)(PG64-22OK) 411(I) 6310 TON 100.000 0.000   0.000 $150.00 $0.00 $0.00
0011 COLD MILLING PAVEMENT 412 5267 SY 28,250.000 19,609.560   19,609.560 $1.50 $0.00 $29,414.35
0012 FULL DEPTH P.C. CONCRETE PATCHING(PLACEMENT ONLY) 414(E) 0225 SY 2,500.000 2,171.890   2,171.890 $50.00 $0.00 $108,594.50
0013 P.C. CONCRETE FOR PAVEMENT 414(G) 5275 CY 560.000 485.060   485.060 $250.00 $0.00 $121,265.00
0014 CONCRETE JOINT SEALING 415 6300 LF 27,000.000 15,904.000   15,904.000 $1.30 $0.00 $20,675.20
0015 DOWEL BAR RETROFIT 416 0100 EA 5,700.000 4,422.000   4,422.000 $30.00 $0.00 $132,660.00
0016 DIAMOND GRINDING CONCRETE PAVEMENT 425 5195 SY 18,000.000 17,985.830   17,985.830 $3.00 $0.00 $53,957.49
0017 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 6,900.000 6,888.880   6,888.880 $2.00 $0.00 $13,777.76
0018 REMOVAL OF GUARDRAIL 619(B) 4780 LF 100.000 200.000   200.000 $5.00 $0.00 $1,000.00
0019 BEAM GUARDRAIL W-BEAM SINGLE 623(A) 0932 LF 100.000 200.000   200.000 $18.00 $0.00 $3,600.00
0020 GUARDRAIL END TREATMENT (GET) 623(G) 8571 EA 4.000 4.000   4.000 $2,300.00 $0.00 $9,200.00
8001 FULL DEPTH P.C.C. PATCH(PLACEMENT ONLY) 414(E) 0225 SY 0.000 879.010   879.010 $82.79 $0.00 $72,773.24
8002 P.C. CONCRETE FOR PAVEMENT 414(G) 5275 CY 0.000 123.060   123.060 $303.00 $0.00 $37,287.18
Subtotals For Category     0100/ROADWAY    $0.00 $1,028,289.76
Fed/State Project Number:    SSR-219B(002)SR Project:    29059(04) Category:    0300/TRAFFIC
0021 (SP)PORTABLE TRAFFIC SIGNAL SYSTEM 823 8478 SD 60.000 68.000   68.000 $264.00 $0.00 $17,952.00
0022 GUARDRAIL DELINEATORS(TYPE 2, CODE 1) 853 9069 EA 10.000 14.000   14.000 $30.00 $0.00 $420.00
0023 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 9,900.000 8,442.000   8,442.000 $0.50 $0.00 $4,221.00
0024 TRAFFIC STRIPE (PLASTIC)(SYMBOLS, WORDS, ETC.) 855(B) 3300 EA 4.000 4.000   4.000 $110.00 $0.00 $440.00
0025 TRAFFIC STRIPE(MULTI-POLYMER)(4" WIDE) 856(A) 8530 LF 28,600.000 24,101.000   24,101.000 $0.46 $0.00 $11,086.46
0026 TRAFFIC STRIPE(MULTI-POLY.)(ARROWS) 856(B) 8860 EA 16.000 20.000   20.000 $110.00 $0.00 $2,200.00
0027 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $40,000.00 $0.00 $40,000.00
8000 CONSTRUCTION MISCELLANEOUS 104 0700 LSUM 0.000 1.000   1.000 $3,067.68 $0.00 $3,067.68
Subtotals For Category     0300/TRAFFIC    $0.00 $79,387.14
Fed/State Project Number:    SSR-219B(002)SR Project:    29059(04) Category:    0640/CONSTRUCTION
0028 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $80,000.00 $0.00 $80,000.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $80,000.00
Subtotals For Project SSR-219B(002)SR /29059(04) $0.00 $1,187,676.90