Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120043   Estimate Number: 0016 , Final     Spec Year: 2009
Primary JP: 28261(04)   Residency: CLAREMORE (08300)     Contract No: 710847
Date Created: 07/29/2015   Contractor FEI: 731316732     Account No: 404800

Project Number(s): SBR-166C(254)SB
Contract Description: BRIDGE REHABILITATION SH-266: OVER VERDIGRIS RIVER, 5.6 MILES EAST OF THE TULSA COUNTY LINE. PROJECT LENGTH = 0.264 MILE.
Primary County: ROGERS              
Name of Road: SH-266              
Prime Contractor: BECCO CONTRACTORS, INC.           Time Charged: 186.00
    P.O. BOX 9159           Time Allowed: 188.00
    TULSA , OK   74157           Percent Time: 98.94 %

  Paid To Date: $1,886,181.72 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:    07/29/2015
Contract ID: 120043   Estimate Number: 0016     Contract No: 710847
Residency: CLAREMORE (08300)   Estimate Type: Final     Account No: 404800

Project Number(s): SBR-166C(254)SB
Primary Job Piece No: 28261(04)
Contract Description: BRIDGE REHABILITATION SH-266: OVER VERDIGRIS RIVER, 5.6 MILES EAST OF THE TULSA COUNTY LINE. PROJECT LENGTH = 0.264 MILE.
Primary County: ROGERS              
Name of Road: SH-266              
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: 03/19/2012 Pay Period: 03/06/2015  TO  06/15/2015
Date Awarded: 02/06/2012 Date Work Began: 03/19/2012 Original Contract Time: 180
Date Contract Executed: 02/15/2012 Date Time Stopped: 10/19/2012 Current Time Charged: 186.00
Date NTP Issued: 02/22/2012 Completion Date: 10/19/2012 Current Time Allowed: 188.00
General Liability Expires: 03/01/2016 Workman's Comp Expires: 02/01/2016 Percent Time Used: 98.94 %
Specification Year: 2009        

Bid Amount: $1,775,741.30 Total to Date Prev to Date This Estimate
Funds Available (Bid + Positive C/O): $1,948,877.07 Participating: $0.00 $0.00 $0.00
Percent Complete: 96.78 % Non Participating: $1,948,877.07 $1,948,877.07 $0.00
Unearned Balance: $62,695.35 Total Earnings: $1,948,877.07 $1,948,877.07 $0.00
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $1,948,877.07 $1,948,877.07 $0.00
Other Adjustments: $93,304.65 $93,304.65 $0.00
Liq Dam/Disincentive: $-156,000.00 $-156,000.00 $0.00
TOTAL: $1,886,181.72 $1,886,181.72 $0.00

Estimate Adjustment Detail

Contract ID: 120043   Estimate Number: 0016     Primary JP: 28261(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Add ten [10] calendar days Approved 10/24/2012 10.0 $0.00
002 Add time Approved 11/26/2012 27.0 $0.00
003 additional appropriations Approved 03/04/2015 0.0 $132,404.50
004 Final Contract Item Quantities Approved 06/03/2015 0.0 $40,731.27


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 0014 --6.0 $750.00 $-4,500.00
System Application of Liquidated Damages 0015 -6.0 $750.00 $4,500.00
Subtotals For Liquidated Damages $0.00


CONTRACT ADJUSTMENTS HISTORY
Adjustment Description Estimate Nbr Adjustment Amount
Smoothness Deduction 0015 $-6,404.34
Milstone Adjust. (C/O) 0015 $116,000.00
Subtotals For Contract Adjustments $109,595.66


LINE ITEM ADJUSTMENT HISTORY
Project Item Nbr Line Item Description Adjustment Type Estimate Nbr Adj Quantity Unit Price Adjusted Amount
28261(04) 0002 SOLID SLAB SODDING * Overrun 0014 -1,661.00 $4.00 $-6,644.00
28261(04) 0002 SOLID SLAB SODDING * Overrun Re-adjustment 0015 1,661.00 $4.00 $6,644.00
28261(04) 0003 SUPERPAVE, TYPE S4(PG 76-28 OK) Asphalt Binder Adjustment 0008 57.14 $1.74 $99.97
28261(04) 0004 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0008 73.74 $1.74 $129.02
28261(04) 0010 BEAM GUARDRAIL W-BEAM SINGLE * Missing Material Certification 0013 -17.00 $17.00 $-289.00
28261(04) 0010 BEAM GUARDRAIL W-BEAM SINGLE * Missing Material Certification 0014 17.00 $17.00 $289.00
28261(04) 0019 STRUCTURAL STEEL A36 * Material Discrepancy Adjustments 0004 -1,356.25 $5.00 $-6,781.25
28261(04) 0019 STRUCTURAL STEEL A36 * Material Discrepancy Adjustments 0006 1,356.25 $5.00 $6,781.25
28261(04) 0020 CLASS AA CONCRETE * COMPRESSIVE STRENGTH 0014 70.00 $-59.20 $-4,144.00
28261(04) 0020 CLASS AA CONCRETE * COMPRESSIVE STRENGTH 0014 70.00 $-144.80 $-10,136.00
28261(04) 0020 CLASS AA CONCRETE * COMPRESSIVE STRENGTH 0014 70.00 $-32.00 $-2,240.00
28261(04) 0021 MECHANICAL SPLICES * Missing Material Certification 0005 -1,044.00 $12.00 $-12,528.00
28261(04) 0021 MECHANICAL SPLICES * Missing Material Certification 0006 1,044.00 $12.00 $12,528.00
28261(04) 0038 TRAFFIC STRIPE(PLASTIC)(4" WIDE) * Missing Material Certification 0013 -6,637.00 $1.10 $-7,300.70
28261(04) 0038 TRAFFIC STRIPE(PLASTIC)(4" WIDE) * Missing Material Certification 0015 6,637.00 $1.10 $7,300.70
Subtotals For Line Item Adjustments $-16,291.01
* = User applied Line Item Adjustments


MILESTONE INFORMATION
Milestone Number Milestone Description Start Date End Date Current Time Allowed Rate Milestone Closed
01 Incentive/Disincentive for Early/Late Completion 03/19/2012 09/24/2012 179.00 DYS $4,000.00 Y


MILESTONE ADJUSTMENTS
Milestone Number Milestone Adjustment Description Estimate Nbr Total
01 System Application of Disincentive Adj 0011 $-60,000.00
01 System Application of Disincentive Adj 0012 $-60,000.00
01 System Application of Disincentive Adj 0013 $-36,000.00
Subtotals For Milestones $-156,000.00

Line Item Detail

Contract ID: 120043   Estimate Number: 0016     Primary JP: 28261(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-166C(254)SB Project:    28261(04) Category:    0100/ROADWAY
0001 TEMPORARY SILT FENCE 221(C) 2801 LF 1,520.000 125.000   125.000 $2.00 $0.00 $250.00
0002 SOLID SLAB SODDING 230(A) 2806 SY 500.000 5,762.230   5,762.230 $4.00 $0.00 $23,048.92
0003 SUPERPAVE, TYPE S4(PG 76-28 OK) 411(C) 5950 TON 110.000 130.580   130.580 $145.00 $0.00 $18,934.10
0004 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 84.000 131.950   131.950 $135.00 $0.00 $17,813.25
0005 COLD MILLING PAVEMENT 412 5267 SY 978.000 1,032.460   1,032.460 $10.00 $0.00 $10,324.60
0006 RUMBLE STRIP-METHOD HMA-CON 413(A) 4861 LF 400.000 400.000   400.000 $11.00 $0.00 $4,400.00
0007 CLASS C CONCRETE 509(D) 0325 CY 8.000 51.980   51.980 $500.00 $0.00 $25,990.00
0008 REMOVAL OF GUARDRAIL 619(B) 4780 LF 620.000 620.000   620.000 $3.00 $0.00 $1,860.00
0009 SAWING PAVEMENT 619(C) 0924 LF 1,482.000 56.000   56.000 $2.00 $0.00 $112.00
0010 BEAM GUARDRAIL W-BEAM SINGLE 623(A) 0932 LF 850.000 850.000   850.000 $17.00 $0.00 $14,450.00
0011 GUARDRAIL END TREATMENT (GET) 623(G) 8571 EA 4.000 4.000   4.000 $2,300.00 $0.00 $9,200.00
0012 GUARDRAIL BRIDGE CONNECTION-TYPE A 623(I) 8675 EA 4.000 4.000   4.000 $1,700.00 $0.00 $6,800.00
0013 GUARDRAIL DELINEATORS(TYPE 2, CODE 1) 853 9069 EA 17.000 22.000   22.000 $55.00 $0.00 $1,210.00
Subtotals For Category     0100/ROADWAY    $0.00 $134,392.87
Fed/State Project Number:    SBR-166C(254)SB Project:    28261(04) Category:    0200/BRIDGE 'A'
0014 CLSM BACKFILL 501(G) 6309 CY 31.000 56.240   56.240 $200.00 $0.00 $11,248.00
0015 APPROACH SLAB 504(A) 1304 SY 311.600 311.600   311.600 $200.00 $0.00 $62,320.00
0016 SAW-CUT GROOVING 504(B) 1305 SY 3,002.400 3,002.400   3,002.400 $3.50 $0.00 $10,508.40
0017 SEALED EXPANSION JOINT 504(C) 6250 LF 101.600 101.600   101.600 $340.00 $0.00 $34,544.00
0018 42" F-SHAPED PARAPET 504(E) 6190 LF 1,156.000 1,156.000   1,156.000 $125.00 $0.00 $144,500.00
0019 STRUCTURAL STEEL A36 506(A) 6005 LB 8,630.000 14,633.060   14,633.060 $5.00 $0.00 $73,165.30
0020 CLASS AA CONCRETE 509(A) 1326 CY 729.400 729.400   729.400 $800.00 $0.00 $583,520.00
0021 MECHANICAL SPLICES 511 6306 EA 2,204.000 2,203.000   2,203.000 $12.00 $0.00 $26,436.00
0022 EPOXY COATED REINFORCING STEEL 511(B) 6010 LB 234,220.000 234,220.000   234,220.000 $1.25 $0.00 $292,775.00
0023 PAINTING EXISTING STRUCTURES 512(A) 1323 LSUM 1.000 1.000   1.000 $37,000.00 $0.00 $37,000.00
0024 COLLECTION AND HANDLING OF WASTE 512(B) 6303 LSUM 1.000 1.000   1.000 $5,000.00 $0.00 $5,000.00
0025 CLASS B BRIDGE DECK REPAIR 513(B) 6019 SY 80.000 322.010   322.010 $500.00 $0.00 $161,005.00
0026 WATER REPELLENT (VISUALLY INSPECTED) 515(A) 6013 SY 1,614.000 1,614.000   1,614.000 $4.00 $0.00 $6,456.00
0027 PREPARATION OF CRACKS, ABOVE WATER 520(A) 6058 LF 50.000 0.000   0.000 $30.00 $0.00 $0.00
0028 EPOXY RESIN, ABOVE WATER 520(C) 6060 GAL 2.000 0.000   0.000 $55.00 $0.00 $0.00
0029 PNEUMATICALLY PLACED MORTAR 521(A) 6210 SY 10.000 2.760   2.760 $465.00 $0.00 $1,283.40
0030 SEALER CRACK PREPARATION 523(A) 6550 LF 1,173.000 1,173.000   1,173.000 $3.30 $0.00 $3,870.90
0031 SEALER RESIN 523(B) 6560 GAL 24.200 24.200   24.200 $100.00 $0.00 $2,420.00
0032 (PL)REPAIR BRIDGE ITEMS 540 4500 LSUM 1.000 1.000   1.000 $10,000.00 $0.00 $10,000.00
0033 (PL)REPAIR BRIDGE ITEM (TYPE A) 540 4515 EA 12.000 4.000   4.000 $1,400.00 $0.00 $5,600.00
0034 (PL)REPLACE BRIDGE ITEMS 545 4805 EA 21.000 47.000   47.000 $450.00 $0.00 $21,150.00
0035 REMOVAL OF BRIDGE ITEMS 619(B) 2500 LSUM 1.000 1.000   1.000 $13,000.00 $0.00 $13,000.00
0036 REMOVAL OF BRIDGE ITEM (TYPE A) 619(B) 2510 LSUM 1.000 1.000   1.000 $135,000.00 $0.00 $135,000.00
8001 CLASS B BRIDGE DECK REPAIR 513(B) 6019 SY 0.000 -222.010   -222.010 $50.00 $0.00 $-11,100.50
Subtotals For Category     0200/BRIDGE 'A'    $0.00 $1,629,701.50
Fed/State Project Number:    SBR-166C(254)SB Project:    28261(04) Category:    0300/TRAFFIC
0037 (SP)PORTABLE TRAFFIC SIGNAL SYSTEM 823 8478 SD 180.000 168.000   168.000 $165.00 $0.00 $27,720.00
0038 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 5,500.000 6,637.000   6,637.000 $1.10 $0.00 $7,300.70
0039 DELIVER PORTABLE LONGITUDINAL BARRIER 877(B) 8484 LF 1,925.000 1,350.000   1,350.000 $15.00 $0.00 $20,250.00
0040 RELOCATION OF PORTABLE LONGITUDINAL BARRIER 877(C) 8486 LF 1,925.000 1,350.000   1,350.000 $3.00 $0.00 $4,050.00
0041 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $8,000.00 $0.00 $8,000.00
0042 PORT.CHANGEABLE MESSAGE SIGN 882(A) 8306 SD 900.000 542.000   542.000 $11.00 $0.00 $5,962.00
Subtotals For Category     0300/TRAFFIC    $0.00 $73,282.70
Fed/State Project Number:    SBR-166C(254)SB Project:    28261(04) Category:    0600/STAKING
0043 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000   1.000 $1,500.00 $0.00 $1,500.00
Subtotals For Category     0600/STAKING    $0.00 $1,500.00
Fed/State Project Number:    SBR-166C(254)SB Project:    28261(04) Category:    0640/CONSTRUCTION
0044 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $110,000.00 $0.00 $110,000.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $110,000.00
Subtotals For Project SBR-166C(254)SB /28261(04) $0.00 $1,948,877.07