Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120039   Estimate Number: 0014 , Final     Spec Year: 2009
Primary JP: 27592(04)   Residency: MUSKOGEE (01100)     Contract No: 710855
Date Created: 07/22/2013   Contractor FEI: 208746250     Account No: 404100

Project Number(s): SSR-014N(085)SR, SSR-156N(174)SR, SSR-156N(181)SR
Contract Description: RESURFACE (ASPHALT) US-75: BEGIN JUST NORTH OF US-62E, EXTEND NORTH. PROJECT LENGTH = 9.26 MILES.
Primary County: OKMULGEE              
Name of Road: US-75              
Prime Contractor: GLOVER & ASSOCIATES, INC.           Time Charged: 144.00
    2832 N. COUNTRY CLUB           Time Allowed: 150.00
    MUSKOGEE , OK   74403           Percent Time: 96.00 %

  Paid To Date: $2,599,991.08 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.                                
GLOVER & ASSOCIATES, 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:    07/22/2013
Contract ID: 120039   Estimate Number: 0014     Contract No: 710855
Residency: MUSKOGEE (01100)   Estimate Type: Final     Account No: 404100

Project Number(s): SSR-014N(085)SR, SSR-156N(174)SR, SSR-156N(181)SR
Primary Job Piece No: 27592(04)
Contract Description: RESURFACE (ASPHALT) US-75: BEGIN JUST NORTH OF US-62E, EXTEND NORTH. PROJECT LENGTH = 9.26 MILES.
Primary County: OKMULGEE              
Name of Road: US-75              
Prime Contractor: GLOVER & ASSOCIATES, INC.              
    2832 N. COUNTRY CLUB              
    MUSKOGEE , OK   74403              
Surety Company: WESTFIELD INSURANCE COMPANY              

Date Let: 01/19/2012 NTP Effective Date: 07/02/2012 Pay Period: 05/10/2013  TO  07/22/2013
Date Awarded: 02/06/2012 Date Work Began: 08/29/2012 Original Contract Time: 150
Date Contract Executed: 02/21/2012 Date Time Stopped: 04/30/2013 Current Time Charged: 144.00
Date NTP Issued: 02/28/2012 Completion Date: 04/30/2013 Current Time Allowed: 150.00
General Liability Expires: 02/01/2014 Workman's Comp Expires: 02/01/2014 Percent Time Used: 96.00 %
Specification Year: 2009        

Current Contract Amount: $2,649,432.48 Total to Date Prev to Date This Estimate
Bid Amount: $2,800,836.17 Participating: $0.00 $0.00 $0.00
Percent Complete: 98.13 % Non Participating: $2,649,432.50 $2,649,432.50 $0.00
Funds Available: $49,441.40 Total Earnings: $2,649,432.50 $2,649,432.50 $0.00
Unearned Balance: $200,845.09 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $2,649,432.50 $2,649,432.50 $0.00
Other Adjustments: $-49,441.42 $-49,441.42 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $2,599,991.08 $2,599,991.08 $0.00

Estimate Adjustment Detail

Contract ID: 120039   Estimate Number: 0014     Primary JP: 27592(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Final Contract Item Quantities Approved 07/19/2013 0.0 $-151,403.69


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
27592(04) 0008 SUPERPAVE, TYPE S4(PG 76-28 OK) * HMA Deduction as per Sec. 411 0005 -30.00 $78.00 $-2,340.00
27592(04) 0009 SUPERPAVE, TYPE S4(PG 64-22 OK) * HMA Deduction as per Sec. 411 0005 -70.00 $66.77 $-4,673.90
27592(04) 0009 SUPERPAVE, TYPE S4(PG 64-22 OK) * HMA Deduction as per Sec. 411 0006 -90.00 $66.77 $-6,009.30
27592(05) 0025 SUPERPAVE, TYPE S4(PG 76-28 OK) * HMA Deduction as per Sec. 411 0003 -61.45 $78.00 $-4,793.10
27592(05) 0025 SUPERPAVE, TYPE S4(PG 76-28 OK) * HMA Deduction as per Sec. 411 0004 -200.00 $78.00 $-15,600.00
27592(05) 0025 SUPERPAVE, TYPE S4(PG 76-28 OK) * HMA Deduction as per Sec. 411 0008 -19.04 $78.00 $-1,485.12
27592(05) 0026 SUPERPAVE, TYPE S4(PG 64-22 OK) * HMA Deduction as per Sec. 411 0004 -70.00 $74.00 $-5,180.00
29013(04) 0041 SUPERPAVE, TYPE S4(PG 76-28 OK) * HMA Deduction as per Sec. 411 0006 -60.00 $78.00 $-4,680.00
29013(04) 0041 SUPERPAVE, TYPE S4(PG 76-28 OK) * HMA Deduction as per Sec. 411 0007 -60.00 $78.00 $-4,680.00
Subtotals For Line Item Adjustments $-49,441.42
* = 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: 120039   Estimate Number: 0014     Primary JP: 27592(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-014N(085)SR Project:    27592(04) Category:    0200/ROADWAY - SSR-014N(085)SR
0001 EARTHWORK 202(H) 0185 LSUM 1.000 1.000   1.000 $38,000.00 $0.00 $38,000.00
0002 TEMPORARY SILT FENCE 221(C) 2801 LF 800.000 190.000   190.000 $6.98 $0.00 $1,326.20
0003 SOLID SLAB SODDING 230(A) 2806 SY 200.000 0.000   0.000 $7.00 $0.00 $0.00
0004 AGGREGATE BASE TYPE A 303(A) 2100 CY 389.000 235.400   235.400 $38.48 $0.00 $9,058.19
0005 TRAFFIC BOUND SURFACE COURSE TYPE E 402(E) 0225 TON 10.000 0.000   0.000 $208.83 $0.00 $0.00
0006 TACK COAT 407(B) 0250 GAL 5,951.000 6,309.500   6,309.500 $2.33 $0.00 $14,701.14
0007 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 242.000 242.820   242.820 $85.00 $0.00 $20,639.70
0008 SUPERPAVE, TYPE S4(PG 76-28 OK) 411(C) 5950 TON 7,500.000 7,573.440   7,573.440 $78.00 $0.00 $590,728.32
0009 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 3,100.000 3,565.730   3,565.730 $66.77 $0.00 $238,083.79
0010 SUPERPAVE, TYPE S4(PATCH)(PG64-22OK) 411(I) 6310 TON 30.000 0.000   0.000 $200.16 $0.00 $0.00
0011 COLD MILLING PAVEMENT 412 5267 SY 30,342.000 24,393.680   24,393.680 $0.68 $0.00 $16,587.70
0012 RUMBLE STRIP-METHOD HMA-CYC 413(B) 4863 LF 48,370.000 18,899.000   18,899.000 $0.22 $0.00 $4,157.78
0013 RAPID CURE JOINT SEALANT 504(G) 6390 LF 240.000 112.000   112.000 $22.24 $0.00 $2,490.88
0014 ELASTOMERIC MORTAR 504(H) 6389 CF 20.000 20.700   20.700 $222.40 $0.00 $4,603.68
0015 REMOVAL OF CONCRETE PAVEMENT W/ASPHALT OVERLAY 619(B) 4763 SY 200.000 105.800   105.800 $13.49 $0.00 $1,427.24
0016 LOOP DETECTOR WIRE 828(B) 8136 LF 550.000 564.000   564.000 $5.56 $0.00 $3,135.84
0017 TRAFFIC STRIPE (PLASTIC)(SYMBOLS, WORDS, ETC.) 855(B) 3300 EA 36.000 48.000   48.000 $133.44 $0.00 $6,405.12
0018 TRAFFIC STRIPE(MULTI-POLYMER)(4" WIDE) 856(A) 8530 LF 53,207.000 44,362.000   44,362.000 $0.37 $0.00 $16,413.94
0019 TRAFFIC STRIPE(MULTI-POLY.)(6" WIDE) 856(A) 8535 LF 12,093.000 5,976.000   5,976.000 $0.56 $0.00 $3,346.56
0020 TRAFFIC STRIPE(MULTI-POLY)(12" WIDE) 856(A) 8548 LF 224.000 0.000   0.000 $6.67 $0.00 $0.00
0021 ARROW DISPLAY(TYPE A) 880(A) 8800 SD 180.000 90.000   90.000 $5.56 $0.00 $500.40
0022 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $9,763.55 $0.00 $9,763.56
Subtotals For Category     0200/ROADWAY - SSR-014N(085)SR    $0.00 $981,370.04
Subtotals For Project SSR-014N(085)SR /27592(04) $0.00 $981,370.04


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-156N(174)SR Project:    27592(05) Category:    0200/ROADWAY - SSR-156N(174)SR
0023 TRAFFIC BOUND SURFACE COURSE TYPE E 402(E) 0225 TON 943.000 0.000   0.000 $26.40 $0.00 $0.00
0024 TACK COAT 407(B) 0250 GAL 7,955.000 7,543.000   7,543.000 $2.33 $0.00 $17,575.20
0025 SUPERPAVE, TYPE S4(PG 76-28 OK) 411(C) 5950 TON 11,043.000 10,959.340   10,959.340 $78.00 $0.00 $854,828.52
0026 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 2,707.000 2,603.030   2,603.030 $74.00 $0.00 $192,624.22
0027 SUPERPAVE, TYPE S4(PATCH)(PG64-22OK) 411(I) 6310 TON 30.000 0.000   0.000 $180.89 $0.00 $0.00
0028 COLD MILLING PAVEMENT 412 5267 SY 46,790.000 47,114.700   47,114.700 $0.65 $0.00 $30,624.56
0029 RUMBLE STRIP-METHOD HMA-CYC 413(B) 4863 LF 39,500.000 52,130.000   52,130.000 $0.23 $0.00 $11,989.90
0030 TRAFFIC STRIPE (PLASTIC)(SYMBOLS, WORDS, ETC.) 855(B) 3300 EA 20.000 15.000   15.000 $133.44 $0.00 $2,001.60
0031 TRAFFIC STRIPE(MULTI-POLYMER)(4" WIDE) 856(A) 8530 LF 83,800.000 80,903.000   80,903.000 $0.37 $0.00 $29,934.11
0032 TRAFFIC STRIPE(MULTI-POLY.)(6" WIDE) 856(A) 8535 LF 18,300.000 10,374.000   10,374.000 $0.56 $0.00 $5,809.44
0033 TRAFFIC STRIPE(MULTI-POLY)(12" WIDE) 856(A) 8548 LF 175.000 144.000   144.000 $6.67 $0.00 $960.48
0034 PAVEMENT MARKING REMOVAL(TRAFFIC STRIPE) 857(F) 8006 LF 35,400.000 5,567.000   5,567.000 $0.07 $0.00 $389.69
0035 ARROW DISPLAY(TYPE A) 880(A) 8800 SD 180.000 43.000   43.000 $5.56 $0.00 $239.08
0036 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $15,000.00 $0.00 $15,000.00
Subtotals For Category     0200/ROADWAY - SSR-156N(174)SR    $0.00 $1,161,976.80
Subtotals For Project SSR-156N(174)SR /27592(05) $0.00 $1,161,976.80


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-156N(181)SR Project:    29013(04) Category:    0200/ROADWAY - SSR-156N(181)SR
0037 TEMPORARY SILT FENCE 221(C) 2801 LF 50.000 0.000   0.000 $10.83 $0.00 $0.00
0038 SOLID SLAB SODDING 230(A) 2806 SY 50.000 0.000   0.000 $16.68 $0.00 $0.00
0039 FABRIC REINFORCEMENT 409(A) 4242 SY 42,580.000 39,668.130   39,668.130 $0.62 $0.00 $24,594.24
0040 BITUMINOUS BINDER 409(B) 4268 GAL 10,675.000 9,917.750   9,917.750 $2.50 $0.00 $24,794.38
0041 SUPERPAVE, TYPE S4(PG 76-28 OK) 411(C) 5950 TON 4,770.000 4,359.460   4,359.460 $78.00 $0.00 $340,037.88
0042 SUPERPAVE, TYPE S4(PATCH)(PG64-22OK) 411(I) 6310 TON 30.000 0.000   0.000 $150.00 $0.00 $0.00
0043 COLD MILLING PAVEMENT 412 5267 SY 42,580.000 39,660.910   39,660.910 $0.69 $0.00 $27,366.02
0044 HANDRAILING 504(F) 6006 LF 50.000 33.000   33.000 $44.48 $0.00 $1,467.84
0045 4" CONCRETE SIDEWALK 610(A) 0602 SY 688.000 227.420   227.420 $78.95 $0.00 $17,954.81
0046 TACTILE WARNING DEVICE-NEW 610(I) 4610 SF 350.000 238.000   238.000 $27.80 $0.00 $6,616.40
0047 REMOVAL OF CURB AND GUTTER 619(B) 4726 LF 520.000 170.000   170.000 $10.50 $0.00 $1,785.00
0048 LOOP DETECTOR WIRE 828(B) 8136 LF 3,950.000 3,633.000   3,633.000 $5.56 $0.00 $20,199.48
0049 TRAFFIC STRIPE (PLASTIC)(SYMBOLS, WORDS, ETC.) 855(B) 3300 EA 69.000 55.000   55.000 $133.44 $0.00 $7,339.20
0050 TRAFFIC STRIPE(MULTI-POLYMER)(4" WIDE) 856(A) 8530 LF 33,550.000 19,671.000   19,671.000 $0.37 $0.00 $7,278.27
0051 TRAFFIC STRIPE(MULTI-POLY.)(6" WIDE) 856(A) 8535 LF 1,450.000 2,694.000   2,694.000 $0.56 $0.00 $1,508.64
0052 TRAFFIC STRIPE(MULTI-POLY)(12" WIDE) 856(A) 8548 LF 568.000 638.000   638.000 $6.67 $0.00 $4,255.46
0053 TRAFFIC STRIPE(MULTI-POLY.)(24" WIDE) 856(A) 8555 LF 520.000 514.000   514.000 $11.12 $0.00 $5,715.68
0054 ARROW DISPLAY(TYPE A) 880(A) 8800 SD 180.000 31.000   31.000 $5.56 $0.00 $172.36
0055 ARROW DISPLAY(TYPE C) 880(A) 8812 SD 60.000 0.000   0.000 $5.56 $0.00 $0.00
0056 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $15,000.00 $0.00 $15,000.00
Subtotals For Category     0200/ROADWAY - SSR-156N(181)SR    $0.00 $506,085.66
Subtotals For Project SSR-156N(181)SR /29013(04) $0.00 $506,085.66