Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120085   Estimate Number: 0009 , Final     Spec Year: 2009
Primary JP: 28080(05)   Residency: ATKINS NORTH AMERICA, INC. (AKA PBS & J) (03010)     Contract No: 710961
Date Created: 12/16/2013   Contractor FEI: 730960939     Account No: 400350

Project Number(s): STPG-114A(297)AG
Contract Description: SAFETY IMPROVEMENT (SIGNALS AND SIDEWALKS) SH-9: FROM MCGEE DRIVE, EXTEND EAST IN THE CITY OF NORMAN.
Primary County: CLEVELAND              
Name of Road: SH-9              
Prime Contractor: MIDSTATE TRAFFIC CONTROL, INC.           Time Charged: 101.00
    12501 N. SANTA FE AVE.           Time Allowed: 93.00
    OKLAHOMA CITY , OK   73114           Percent Time: 108.60 %

  Paid To Date: $369,586.21 Payable This Statement: $-11,526.29

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.                                
MIDSTATE TRAFFIC CONTROL, 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:    12/16/2013
Contract ID: 120085   Estimate Number: 0009     Contract No: 710961
Residency: ATKINS NORTH AMERICA, INC. (AKA PBS & J) (03010)   Estimate Type: Final     Account No: 400350

Project Number(s): STPG-114A(297)AG
Primary Job Piece No: 28080(05)
Contract Description: SAFETY IMPROVEMENT (SIGNALS AND SIDEWALKS) SH-9: FROM MCGEE DRIVE, EXTEND EAST IN THE CITY OF NORMAN.
Primary County: CLEVELAND              
Name of Road: SH-9              
Prime Contractor: MIDSTATE TRAFFIC CONTROL, INC.              
    12501 N. SANTA FE AVE.              
    OKLAHOMA CITY , OK   73114              
Surety Company: LIBERTY MUTUAL INSURANCE COMPANY              

Date Let: 02/16/2012 NTP Effective Date: 06/04/2012 Pay Period: 11/13/2013  TO  12/10/2013
Date Awarded: 03/05/2012 Date Work Began: 06/02/2012 Original Contract Time: 60
Date Contract Executed: 03/20/2012 Date Time Stopped: 03/05/2013 Current Time Charged: 101.00
Date NTP Issued: 03/21/2012 Completion Date: 03/05/2013 Current Time Allowed: 93.00
General Liability Expires: 03/01/2014 Workman's Comp Expires: 03/01/2014 Percent Time Used: 108.60 %
Specification Year: 2009        

Bid Amount: $363,490.00 Total to Date Prev to Date This Estimate
Funds Available (Bid + Positive C/O): $404,725.96 Participating: $373,586.21 $391,112.50 $-17,526.29
Percent Complete: 91.32 % Non Participating: $0.00 $0.00 $0.00
Unearned Balance: $35,139.75 Total Earnings: $373,586.21 $391,112.50 $-17,526.29
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $373,586.21 $391,112.50 $-17,526.29
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $-4,000.00 $-10,000.00 $6,000.00
TOTAL: $369,586.21 $381,112.50 $-11,526.29

Estimate Adjustment Detail

Contract ID: 120085   Estimate Number: 0009     Primary JP: 28080(05)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 CO to address overruns and additional work required Approved 04/11/2013 21.0 $41,235.96
002 FQCO Approved 11/04/2013 0.0 $-31,139.76
003 To add contract days for utility delays Approved 11/25/2013 12.0 $0.00


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 0004 --13 $500.00 $-6,500.00
System Application of Liquidated Damages 0005 --14 $500.00 $-7,000.00
System Application of Liquidated Damages 0006 --14 $500.00 $-7,000.00
System Application of Liquidated Damages 0008 -21.0 $500.00 $10,500.00
System Application of Liquidated Damages 0009 -12.0 $500.00 $6,000.00
Subtotals For Liquidated Damages $-4,000.00


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
No line item adjustments have been created on this contract.
Subtotals For Line Item Adjustments $0.00


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: 120085   Estimate Number: 0009     Primary JP: 28080(05)



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:    STPG-114A(297)AG Project:    28080(05) Category:    0100/ROADWAY
0001 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 90.000 0.000   0.000 $10.00 $0.00 $0.00
0002 UNCLASSIFIED BORROW 202(D) 0184 CY 1,200.000 2,220.000   2,220.000 $10.00 $0.00 $22,200.00
0003 SOLID SLAB SODDING 230(A) 2806 SY 4,060.000 3,815.610   3,815.610 $2.00 $0.00 $7,631.22
0004 CLASS C CONCRETE 509(D) 0325 CY 15.000 20.280   20.280 $200.00 $0.00 $4,056.00
0005 1'-8" COMB. CURB & GUTTER (6" BARRIER) 609(B) 1513 LF 220.000 86.000   86.000 $25.00 $0.00 $2,150.00
0006 4" CONCRETE SIDEWALK 610(A) 0602 SY 2,330.000 1,954.710 -409.500 1,954.710 $65.00 $-26,617.50 $127,056.15
0007 TACTILE WARNING DEVICE-NEW 610(I) 4610 SF 810.000 883.830   883.830 $25.00 $0.00 $22,095.75
0008 24" CORR. GALV. STEEL PIPE 613(B) 0690 LF 40.000 40.000   40.000 $30.00 $0.00 $1,200.00
0009 30" CORR. GALV. STEEL PIPE 613(B) 0691 LF 100.000 102.000   102.000 $36.00 $0.00 $3,672.00
0010 28" X 20" CORR. GALV. STEEL PIPE ARCH 613(B) 4528 LF 65.000 65.000   65.000 $31.50 $0.00 $2,047.50
0011 TYPE B6 CULVERT END TREATMENT 613(M) 7197 EA 3.000 2.000   2.000 $2,000.00 $0.00 $4,000.00
0012 TYPE C6 CULVERT END TREATMENT 613(M) 7198 EA 3.000 4.000   4.000 $2,500.00 $0.00 $10,000.00
8002 CONSTRUCTION MISCELLANEOUS 104 0700 LSUM 0.000 1.000 1.000 1.000 $3,110.40 $3,110.40 $3,110.40
Subtotals For Category     0100/ROADWAY    $-23,507.10 $209,219.02
Fed/State Project Number:    STPG-114A(297)AG Project:    28080(05) Category:    0300/TRAFFIC
0013 2" PVC SCH.40 PLASTIC CONDUIT BORED 802(B) 8340 LF 315.000 344.000   344.000 $15.00 $0.00 $5,160.00
0014 2" PVC SCH.40 PLASTIC CONDUIT TRENCHED 802(B) 8342 LF 260.000 493.000   493.000 $3.50 $0.00 $1,725.50
0015 3" PVC SCH.40 PLASTIC CONDUIT BORED 802(B) 8344 LF 20.000 167.000   167.000 $18.00 $0.00 $3,006.00
0016 PULL BOX(SIZE II) 803(A) 8066 EA 31.000 32.000   32.000 $300.00 $0.00 $9,600.00
0017 10' MTG.HT.TS PED.POLE(G.STL.) 806(B) 8894 EA 20.000 23.000   23.000 $500.00 $0.00 $11,500.00
0018 PEDESTRIAN PUSH BUTTON 830 8000 EA 59.000 59.000   59.000 $540.00 $0.00 $31,860.00
0019 5/C TRAFFIC SIGNAL ELECTRICAL CABLE 834(A) 8207 LF 3,530.000 792.000   792.000 $1.25 $0.00 $990.00
0020 7/C TRAFFIC SIGNAL ELECTRICAL CABLE 834(A) 8208 LF 2,575.000 2,027.000   2,027.000 $1.50 $0.00 $3,040.50
0021 9/C TRAFFIC SIGNAL ELECTRICAL CABLE 834(A) 8209 LF 230.000 2,257.000   2,257.000 $1.75 $0.00 $3,949.75
0022 2/C SHIELDED LOOP DETECTOR LEAD-IN CABLE 834(B) 8220 LF 640.000 472.000   472.000 $5.00 $0.00 $2,360.00
0023 TRAFFIC STRIPE(PLASTIC)(24" WIDE) 855(A) 8825 LF 4,870.000 3,670.750   3,670.750 $1.50 $0.00 $5,506.13
0024 PAVEMENT MARKING REMOVAL(TRAFFIC STRIPE) 857(F) 8006 LF 40.000 3,968.000   3,968.000 $3.25 $0.00 $12,896.00
0025 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000 0.070 1.000 $2,500.00 $175.00 $2,500.00
0026 (PL)TRAFFIC ITEMS 890 7700 LSUM 1.000 1.000   1.000 $57,955.00 $0.00 $57,955.00
Subtotals For Category     0300/TRAFFIC    $175.00 $152,048.88
Fed/State Project Number:    STPG-114A(297)AG Project:    28080(05) Category:    0600/STAKING
0027 CONSTRUCTION STAKING LEVEL I 642(A) 0095 LSUM 1.000 1.000 0.100 1.000 $1,000.00 $100.00 $1,000.00
Subtotals For Category     0600/STAKING    $100.00 $1,000.00
Fed/State Project Number:    STPG-114A(297)AG Project:    28080(05) Category:    0640/CONSTRUCTION
0028 SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000 0.250 1.000 $3,000.00 $750.00 $3,000.00
0029 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $1,000.00 $0.00 $1,000.00
8000 CONSTRUCTION MISCELLANEOUS 104 0600 EA 0.000 1.000   1.000 $2,362.50 $0.00 $2,362.50
8001 CONSTRUCTION MISCELLANEOUS 104 0600 EA 0.000 23.000 23.000 23.000 $215.47 $4,955.81 $4,955.81
Subtotals For Category     0640/CONSTRUCTION    $5,705.81 $11,318.31
Subtotals For Project STPG-114A(297)AG /28080(05) $-17,526.29 $373,586.21