Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120065   Estimate Number: 0007 , Final     Spec Year: 2009
Primary JP: 28128(39)   Residency: ENID (04300)     Contract No: 710894
Date Created: 11/14/2013   Contractor FEI: 731374355     Account No: 404400

Project Number(s): BTOP-247N(001), BTOP-224N(001)
Contract Description: SAFETY IMPROVEMENTS (FIBER OPTIC CABLE) US-412: FROM THE CITY OF ORIENTA EAST TO I-35. PROJECT LENGTH = 65.8 MILES.
Primary County: GARFIELD              
Name of Road: US-412              
Prime Contractor: B & H CONSTRUCTION, INC           Time Charged: 151.00
    1471 SW 12TH AVE.           Time Allowed: 210.00
    GOLDSBY , OK   73093           Percent Time: 71.90 %

  Paid To Date: $2,080,707.42 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.                                
B & H CONSTRUCTION, 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:    11/14/2013
Contract ID: 120065   Estimate Number: 0007     Contract No: 710894
Residency: ENID (04300)   Estimate Type: Final     Account No: 404400

Project Number(s): BTOP-247N(001), BTOP-224N(001)
Primary Job Piece No: 28128(39)
Contract Description: SAFETY IMPROVEMENTS (FIBER OPTIC CABLE) US-412: FROM THE CITY OF ORIENTA EAST TO I-35. PROJECT LENGTH = 65.8 MILES.
Primary County: GARFIELD              
Name of Road: US-412              
Prime Contractor: B & H CONSTRUCTION, INC              
    1471 SW 12TH AVE.              
    GOLDSBY , OK   73093              
Surety Company: ARCH INSURANCE CO.              

Date Let: 01/19/2012 NTP Effective Date: 03/12/2012 Pay Period: 09/16/2013  TO  11/14/2013
Date Awarded: 02/06/2012 Date Work Began: 03/12/2012 Original Contract Time: 210
Date Contract Executed: 02/13/2012 Date Time Stopped: 05/15/2013 Current Time Charged: 151.00
Date NTP Issued: 02/15/2012 Completion Date: 05/15/2013 Current Time Allowed: 210.00
General Liability Expires: 10/01/2014 Workman's Comp Expires: 10/01/2014 Percent Time Used: 71.90 %
Specification Year: 2009        

Bid Amount: $1,643,186.00 Total to Date Prev to Date This Estimate
Funds Available (Bid + Positive C/O): $2,117,986.00 Participating: $0.00 $0.00 $0.00
Percent Complete: 98.24 % Non Participating: $2,088,707.42 $2,088,707.42 $0.00
Unearned Balance: $37,278.58 Total Earnings: $2,088,707.42 $2,088,707.42 $0.00
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $2,088,707.42 $2,088,707.42 $0.00
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $-8,000.00 $-8,000.00 $0.00
TOTAL: $2,080,707.42 $2,080,707.42 $0.00

Estimate Adjustment Detail

Contract ID: 120065   Estimate Number: 0007     Primary JP: 28128(39)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 River Crossing Poly Pipe Approved 05/01/2012 0.0 $9,800.00
002 Item Overruns Approved 09/09/2013 0.0 $465,000.00
003 FQCO Approved 11/12/2013 0.0 $-29,278.58


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
28128(38) 0003 TEMPORARY SILT FENCE * Missing Material Certification 0001 -687.00 $2.50 $-1,717.50
28128(38) 0003 TEMPORARY SILT FENCE * Missing Material Certification 0006 0.00 $0.00 $1,717.50
28128(38) 0007 3" GALV. STEEL ELECTRICAL CONDUIT PUSHED OR BORED * Missing Material Certification 0001 -255.00 $40.00 $-10,200.00
28128(38) 0007 3" GALV. STEEL ELECTRICAL CONDUIT PUSHED OR BORED * Missing Material Certification 0006 0.00 $0.00 $10,200.00
28128(39) 0031 TEMPORARY SILT FENCE * Missing Material Certification 0001 -350.00 $2.50 $-875.00
28128(39) 0031 TEMPORARY SILT FENCE * Missing Material Certification 0006 0.00 $0.00 $875.00
28128(39) 0035 3" GALV. STEEL ELECTRICAL CONDUIT PUSHED OR BORED * Missing Material Certification 0001 -255.00 $35.00 $-8,925.00
28128(39) 0035 3" GALV. STEEL ELECTRICAL CONDUIT PUSHED OR BORED * Missing Material Certification 0006 0.00 $0.00 $8,925.00
28128(39) 0036 1 1/2" HIGH DENSITY PE PIPE - BORED * TEST CODE 0005 0.00 $0.00 $-80,000.00
28128(39) 0036 1 1/2" HIGH DENSITY PE PIPE - BORED * Missing Material Certification 0006 0.00 $0.00 $80,000.00
Subtotals For Line Item Adjustments $0.00
* = User applied Line Item Adjustments


MILESTONE INFORMATION
Milestone Number Milestone Description Start Date End Date Current Time Allowed Rate Milestone Closed
01 Incentive/Disincentive Conduit & Ground Boxes 03/12/2012 06/19/2012 145.00 DYS $2,000.00 Y
02 Incentive/Disincentive Fiber Optic Cable Installation 06/19/2012 08/28/2012 65.00 DYS $2,000.00 Y


MILESTONE ADJUSTMENTS
Milestone Number Milestone Adjustment Description Estimate Nbr Total
02 System Application of Disincentive Adj 0006 $-8,000.00
Subtotals For Milestones $-8,000.00

Line Item Detail

Contract ID: 120065   Estimate Number: 0007     Primary JP: 28128(39)



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:    BTOP-247N(001) Project:    28128(38) Category:    0300/TRAFFIC - BTOP-247N(001)
0001 RAILROAD FLAGGING 104 0900 HOUR 48.000 0.000   0.000 $104.17 $0.00 $0.00
0002 CLEARING AND GRUBBING 201(A) 0102 LSUM 1.000 0.000   0.000 $5,000.00 $0.00 $0.00
0003 TEMPORARY SILT FENCE 221(C) 2801 LF 2,000.000 687.000   687.000 $2.50 $0.00 $1,717.50
0004 SOLID SLAB SODDING 230(A) 2806 SY 2,000.000 0.000   0.000 $2.50 $0.00 $0.00
0005 CLASS A CONCRETE 509(B) 0321 CY 17.000 10.000   10.000 $500.00 $0.00 $5,000.00
0006 3" GALV. STEEL ELECTRICAL CONDUIT EXPOSED 802(A) 8316 LF 3,100.000 0.000   0.000 $40.00 $0.00 $0.00
0007 3" GALV. STEEL ELECTRICAL CONDUIT PUSHED OR BORED 802(A) 8318 LF 205.000 375.000   375.000 $40.00 $0.00 $15,000.00
0008 1 1/2" HIGH DENSITY PE PIPE - BORED 802(C) 8551 LF 12,265.000 41,751.000   41,751.000 $15.00 $0.00 $626,265.00
0009 1 1/2" HIGH DENSITY PE PIPE - TRENCHED 802(C) 8556 LF 35,905.000 4,323.000   4,323.000 $2.00 $0.00 $8,646.00
0010 1 1/2" HIGH DENSITY PE PIPE - PLOWED 802(C) 8565 LF 148,735.000 152,486.000   152,486.000 $1.71 $0.00 $260,751.06
0011 GROUND BOX (R3248) 803(B) 8135 EA 45.000 39.000   39.000 $1,000.00 $0.00 $39,000.00
0012 GROUND BOX (B2-48) 803(B) 8150 EA 26.000 29.000   29.000 $1,500.00 $0.00 $43,500.00
0013 REINFORCING STEEL 804(B) 2916 LB 312.000 0.000   0.000 $9.62 $0.00 $0.00
0014 (SP)FIBER OPTIC CABLE, 96 SMF 818(A) 8730 LF 209,400.000 206,315.000   206,315.000 $0.24 $0.00 $49,515.60
0015 (SP) FIBER OPTIC CABLE, 24 INDOOR/OUTDOOR PLENUM 818(A) 8738 LF 835.000 670.000   670.000 $11.98 $0.00 $8,026.60
0016 (SP)FIBER OPTIC PATCH PANEL, 24 PORT 818(B) 8745 EA 1.000 1.000   1.000 $10,000.00 $0.00 $10,000.00
0017 (SP)FIBER OPTIC PATCH PANEL, 96 PORT 818(B) 8755 EA 1.000 1.000   1.000 $10,000.00 $0.00 $10,000.00
0018 (SP)FIBER OPTIC CABLE SPLICE 818(C) 8735 EA 8.000 8.000   8.000 $2,500.00 $0.00 $20,000.00
0019 (SP)FIBER OPTIC CABLE TERMINATION 818(D) 8740 EA 200.000 200.000   200.000 $200.00 $0.00 $40,000.00
0020 (SP) SHIELD ISOLATION PEDESTAL 818(F) 8370 EA 3.000 1.000   1.000 $1,666.67 $0.00 $1,666.67
0021 (SP) SHIELD ISOLATION PEDESTAL (MINI) 818(F) 8375 EA 11.000 11.000   11.000 $454.54 $0.00 $4,999.94
0022 (SP)FIBER OPTIC ROUTE SIGN & INSTALLATION 818(G) 5570 EA 174.000 203.000   203.000 $50.00 $0.00 $10,150.00
8000 CONSTRUCTION MISCELLANEOUS 104 0300 LF 0.000 1,400.000   1,400.000 $47.00 $0.00 $65,800.00
Subtotals For Category     0300/TRAFFIC - BTOP-247N(001)    $0.00 $1,220,038.37
Fed/State Project Number:    BTOP-247N(001) Project:    28128(38) Category:    0301/TEMPORARY TRAFFIC - BTOP-247N(001)
0023 (PL)TRUCK MOUNTED ATTENUATOR 876(A) 8482 SD 170.000 0.000   0.000 $88.24 $0.00 $0.00
0024 FLAGGER 880(I) 8902 SD 40.000 0.000   0.000 $250.00 $0.00 $0.00
0025 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $25,000.00 $0.00 $25,000.00
0026 PORT.CHANGEABLE MESSAGE SIGN 882(A) 8306 SD 170.000 0.000   0.000 $58.82 $0.00 $0.00
Subtotals For Category     0301/TEMPORARY TRAFFIC - BTOP-247N(001)    $0.00 $25,000.00
Fed/State Project Number:    BTOP-247N(001) Project:    28128(38) Category:    0640/CONSTRUCTION - BTOP-247N(001)
0027 SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $30,000.00 $0.00 $30,000.00
0028 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $20,000.00 $0.00 $20,000.00
8001 INCENTIVE FOR EARLY COMPLETION 108 0175 DAY 0.000 45.000   45.000 $2,000.00 $0.00 $90,000.00
Subtotals For Category     0640/CONSTRUCTION - BTOP-247N(001)    $0.00 $140,000.00
Subtotals For Project BTOP-247N(001) /28128(38) $0.00 $1,385,038.37


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:    BTOP-224N(001) Project:    28128(39) Category:    0300/TRAFFIC - BTOP-224N(001)
0029 RAILROAD FLAGGING 104 0900 HOUR 48.000 0.000   0.000 $208.33 $0.00 $0.00
0030 CLEARING AND GRUBBING 201(A) 0102 LSUM 1.000 0.000   0.000 $5,000.00 $0.00 $0.00
0031 TEMPORARY SILT FENCE 221(C) 2801 LF 2,000.000 350.000   350.000 $2.50 $0.00 $875.00
0032 SOLID SLAB SODDING 230(A) 2806 SY 2,000.000 0.000   0.000 $2.50 $0.00 $0.00
0033 CLASS A CONCRETE 509(B) 0321 CY 13.000 0.000   0.000 $500.00 $0.00 $0.00
0034 3" GALV. STEEL ELECTRICAL CONDUIT EXPOSED 802(A) 8316 LF 670.000 0.000   0.000 $35.00 $0.00 $0.00
0035 3" GALV. STEEL ELECTRICAL CONDUIT PUSHED OR BORED 802(A) 8318 LF 315.000 255.000   255.000 $35.00 $0.00 $8,925.00
0036 1 1/2" HIGH DENSITY PE PIPE - BORED 802(C) 8551 LF 5,235.000 14,398.000   14,398.000 $18.00 $0.00 $259,164.00
0037 1 1/2" HIGH DENSITY PE PIPE - TRENCHED 802(C) 8556 LF 7,295.000 11,642.000   11,642.000 $2.25 $0.00 $26,194.50
0038 1 1/2" HIGH DENSITY PE PIPE - PLOWED 802(C) 8565 LF 144,720.000 142,658.000   142,658.000 $1.50 $0.00 $213,987.00
0039 GROUND BOX (R3248) 803(B) 8135 EA 30.000 37.000   37.000 $1,000.00 $0.00 $37,000.00
0040 GROUND BOX (B2-48) 803(B) 8150 EA 19.000 13.000   13.000 $1,500.00 $0.00 $19,500.00
0041 REINFORCING STEEL 804(B) 2916 LB 228.000 0.000   0.000 $10.96 $0.00 $0.00
0042 (SP)FIBER OPTIC CABLE, 96 SMF 818(A) 8730 LF 166,850.000 166,850.000   166,850.000 $0.30 $0.00 $50,055.00
0043 (SP) FIBER OPTIC CABLE, 48 INDOOR/OUTDOOR PLENUM 818(A) 8739 LF 600.000 400.000   400.000 $13.33 $0.00 $5,332.00
0044 (SP)FIBER OPTIC PATCH PANEL, 96 PORT 818(B) 8755 EA 5.000 5.000   5.000 $1,600.00 $0.00 $8,000.00
0045 (SP)FIBER OPTIC CABLE SPLICE 818(C) 8735 EA 56.000 56.000   56.000 $428.57 $0.00 $23,999.92
0046 (SP)FIBER OPTIC CABLE TERMINATION 818(D) 8740 EA 384.000 384.000   384.000 $83.33 $0.00 $31,998.72
0047 (SP) SHIELD ISOLATION PEDESTAL 818(F) 8370 EA 3.000 1.000   1.000 $1,333.34 $0.00 $1,333.34
0048 (SP) SHIELD ISOLATION PEDESTAL (MINI) 818(F) 8375 EA 9.000 9.000   9.000 $444.44 $0.00 $3,999.96
0049 (SP)FIBER OPTIC ROUTE SIGN & INSTALLATION 818(G) 5570 EA 137.000 130.000   130.000 $50.00 $0.00 $6,500.00
Subtotals For Category     0300/TRAFFIC - BTOP-224N(001)    $0.00 $696,864.44
Fed/State Project Number:    BTOP-224N(001) Project:    28128(39) Category:    0301/TEMPORARY TRAFFIC - BTOP-224N(001)
0050 (PL)TRUCK MOUNTED ATTENUATOR 876(A) 8482 SD 130.000 0.000   0.000 $57.69 $0.00 $0.00
0051 FLAGGER 880(I) 8902 SD 30.000 0.000   0.000 $100.00 $0.00 $0.00
0052 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $6,804.61 $0.00 $6,804.61
0053 PORT.CHANGEABLE MESSAGE SIGN 882(A) 8306 SD 130.000 0.000   0.000 $57.69 $0.00 $0.00
Subtotals For Category     0301/TEMPORARY TRAFFIC - BTOP-224N(001)    $0.00 $6,804.61
Subtotals For Project BTOP-224N(001) /28128(39) $0.00 $703,669.05