Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120086   Estimate Number: 0005 , Final     Spec Year: 2009
Primary JP: 28215(04)   Residency: ADA (03100)     Contract No: 710989
Date Created: 02/06/2014   Contractor FEI: 731005798     Account No: 400300

Project Number(s): NHY-017N(239)3P
Contract Description: RESURFACE (ASPHALT) US-75: FROM 7.5 MILES NORTH OF THE ATOKA COUNTY LINE, EXTEND NORTH. PROJECT LENGTH = 2.09 MILES.
Primary County: COAL              
Name of Road: US-75              
Prime Contractor: JOB CONSTRUCTION CO., INC.           Time Charged: 54.00
    P. O. BOX 549           Time Allowed: 55.00
    POTEAU , OK   74953           Percent Time: 98.18 %

  Paid To Date: $916,693.12 Payable This Statement: $5,189.11

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.                                
JOB CONSTRUCTION CO., 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:    02/06/2014
Contract ID: 120086   Estimate Number: 0005     Contract No: 710989
Residency: ADA (03100)   Estimate Type: Final     Account No: 400300

Project Number(s): NHY-017N(239)3P
Primary Job Piece No: 28215(04)
Contract Description: RESURFACE (ASPHALT) US-75: FROM 7.5 MILES NORTH OF THE ATOKA COUNTY LINE, EXTEND NORTH. PROJECT LENGTH = 2.09 MILES.
Primary County: COAL              
Name of Road: US-75              
Prime Contractor: JOB CONSTRUCTION CO., INC.              
    P. O. BOX 549              
    POTEAU , OK   74953              
Surety Company: MID-CONTINENT CASUALTY COMPANY              

Date Let: 02/16/2012 NTP Effective Date: 07/02/2012 Pay Period: 03/01/2013  TO  11/30/2013
Date Awarded: 03/05/2012 Date Work Began: 07/02/2012 Original Contract Time: 45
Date Contract Executed: 03/14/2012 Date Time Stopped: 01/31/2013 Current Time Charged: 54.00
Date NTP Issued: 03/22/2012 Completion Date: 01/31/2013 Current Time Allowed: 55.00
General Liability Expires: 11/25/2014 Workman's Comp Expires: 11/25/2014 Percent Time Used: 98.18 %
Specification Year: 2009        

Bid Amount: $812,724.80 Total to Date Prev to Date This Estimate
Funds Available (Bid + Positive C/O): $924,846.18 Participating: $922,215.73 $917,026.62 $5,189.11
Percent Complete: 99.12 % Non Participating: $0.00 $0.00 $0.00
Unearned Balance: $8,153.06 Total Earnings: $922,215.73 $917,026.62 $5,189.11
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $922,215.73 $917,026.62 $5,189.11
Other Adjustments: $-5,522.61 $-5,522.61 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $916,693.12 $911,504.01 $5,189.11

Estimate Adjustment Detail

Contract ID: 120086   Estimate Number: 0005     Primary JP: 28215(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Overrun of Major Items Approved 01/28/2013 10.0 $48,696.01
002 Overrun of Asphalt Pay Items Approved 03/05/2013 0.0 $58,242.33
003 CO for Roadway Smoothness Bonus Approved 08/13/2013 0.0 $5,183.04
004 Finalizing Contract Item Qtys Approved 11/04/2013 0.0 $-2,630.45


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 0003 --8.0 $500.00 $-4,000.00
System Application of Liquidated Damages 0004 -8.0 $500.00 $4,000.00
Subtotals For Liquidated Damages $0.00


CONTRACT ADJUSTMENTS HISTORY
Adjustment Description Estimate Nbr Adjustment Amount
Withhold to Funds Avail(Prog. Est. Only) 0003 $-97,937.65
Withhold to Funds Avail(Prog. Est. Only) 0004 $97,937.65
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
28215(04) 0003 SUPERPAVE, TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0001 663.63 $1.62 $1,079.06
28215(04) 0003 SUPERPAVE, TYPE S4(PG 70-28 OK) * HMA Deduction as per Sec. 411 0002 2,037.05 $-1.00 $-2,037.05
28215(04) 0003 SUPERPAVE, TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0002 3,127.95 $0.42 $1,332.51
28215(04) 0003 SUPERPAVE, TYPE S4(PG 70-28 OK) * HMA Deduction as per Sec. 411 0002 584.13 $-1.00 $-584.13
28215(04) 0003 SUPERPAVE, TYPE S4(PG 70-28 OK) * Asphalt Binder Adjustment 0004 -4,275.49 $1.00 $-4,275.49
28215(04) 0003 SUPERPAVE, TYPE S4(PG 70-28 OK) * HMA Deduction as per Sec. 411 0004 -1.00 $2,901.43 $-2,901.43
28215(04) 0004 SUPERPAVE, TYPE S5(PG 70-28 OK) Asphalt Binder Adjustment 0002 2,435.98 $0.47 $1,145.84
28215(04) 0004 SUPERPAVE, TYPE S5(PG 70-28 OK) Asphalt Binder Adjustment 0003 1,526.60 $0.47 $718.08
Subtotals For Line Item Adjustments $-5,522.61
* = 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: 120086   Estimate Number: 0005     Primary JP: 28215(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:    NHY-017N(239)3P Project:    28215(04) Category:    0100/ROADWAY
0001 UNCLASSIFIED BORROW 202(D) 0184 CY 200.000 40.400   40.400 $22.00 $0.00 $888.80
0002 TACK COAT 407(B) 0250 GAL 2,037.000 4,999.500   4,999.500 $3.36 $0.00 $16,798.32
0003 SUPERPAVE, TYPE S4(PG 70-28 OK) 411(C) 5955 TON 3,614.000 3,791.580   3,791.580 $78.59 $0.00 $297,980.27
0004 SUPERPAVE, TYPE S5(PG 70-28 OK) 411(D) 5970 TON 3,614.000 3,962.580   3,962.580 $84.55 $0.00 $335,036.14
0005 COLD MILLING PAVEMENT 412 5267 SY 40,738.000 42,654.390 2.390 42,654.390 $2.54 $6.07 $108,342.15
0006 4" CONCRETE SIDEWALK 610(A) 0602 SY 129.000 161.250   161.250 $300.00 $0.00 $48,375.00
0007 TACTILE WARNING DEVICE-NEW 610(I) 4610 SF 232.000 224.000   224.000 $80.00 $0.00 $17,920.00
0008 TACTILE WARNING DEVICE-RETROFIT 610(I) 4615 SF 120.000 144.000   144.000 $90.00 $0.00 $12,960.00
0009 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 33,106.000 35,124.000   35,124.000 $0.50 $0.00 $17,562.00
0010 TRAFFIC STRIPE(PLASTIC)(12" WIDE) 855(A) 8818 LF 740.000 228.000   228.000 $3.00 $0.00 $684.00
0011 TRAFFIC STRIPE(PLASTIC)(ARROWS) 855(B) 8818 EA 8.000 7.000   7.000 $120.00 $0.00 $840.00
0012 TRAFFIC STRIPE(PLASTIC)(WORDS) 855(B) 8821 EA 5.000 5.000   5.000 $125.00 $0.00 $625.00
0013 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $20,000.00 $0.00 $20,000.00
8001 4" CONCRETE SIDEWALK 610(A) 0602 SY 0.000 127.110   127.110 $273.35 $0.00 $34,745.52
8002 ASPHALT BINDER PRICE ADJUSTMENT 109 1150 LSUM 0.000 1.000   1.000 $4,275.49 $0.00 $4,275.49
8003 PAVEMENT/BRIDGE SMOOTHNESS ADJUSTMENT 430 5015 EA 0.000 5,183.040 5,183.040 5,183.040 $1.00 $5,183.04 $5,183.04
Subtotals For Category     0100/ROADWAY    $5,189.11 $922,215.73
Subtotals For Project NHY-017N(239)3P /28215(04) $5,189.11 $922,215.73