Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120088   Estimate Number: 0010 , Final     Spec Year: 2009
Primary JP: 29089(04)   Residency: CLAREMORE (08300)     Contract No: 710960
Date Created: 05/28/2015   Contractor FEI: 208746250     Account No: 400800

Project Number(s): STPY-258C(002)3P, STPY-218C(004)3P, STPY-218C(005)3P
Contract Description: RESURFACE (ASPHALT) SH-25: FROM SH-2 EXTEND EAST. PROJECT LENGTH = 12.049 MILES.
Primary County: CRAIG              
Name of Road: SH-25              
Prime Contractor: GLOVER & ASSOCIATES, INC.           Time Charged: 128.00
    2832 N. COUNTRY CLUB           Time Allowed: 100.00
    MUSKOGEE , OK   74403           Percent Time: 128.00 %

  Paid To Date: $2,280,164.78 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:    05/28/2015
Contract ID: 120088   Estimate Number: 0010     Contract No: 710960
Residency: CLAREMORE (08300)   Estimate Type: Final     Account No: 400800

Project Number(s): STPY-258C(002)3P, STPY-218C(004)3P, STPY-218C(005)3P
Primary Job Piece No: 29089(04)
Contract Description: RESURFACE (ASPHALT) SH-25: FROM SH-2 EXTEND EAST. PROJECT LENGTH = 12.049 MILES.
Primary County: CRAIG              
Name of Road: SH-25              
Prime Contractor: GLOVER & ASSOCIATES, INC.              
    2832 N. COUNTRY CLUB              
    MUSKOGEE , OK   74403              
Surety Company: WESTFIELD INSURANCE COMPANY              

Date Let: 02/16/2012 NTP Effective Date: 07/02/2012 Pay Period: 10/09/2014  TO  03/09/2015
Date Awarded: 03/05/2012 Date Work Began: 08/14/2012 Original Contract Time: 100
Date Contract Executed: 03/19/2012 Date Time Stopped: 04/01/2013 Current Time Charged: 128.00
Date NTP Issued: 06/06/2012 Completion Date: 04/01/2013 Current Time Allowed: 100.00
General Liability Expires: 02/01/2016 Workman's Comp Expires: 02/01/2016 Percent Time Used: 128.00 %
Specification Year: 2009        

Bid Amount: $2,371,387.22 Total to Date Prev to Date This Estimate
Funds Available (Bid + Positive C/O): $2,428,410.34 Participating: $2,309,879.56 $2,309,879.56 $0.00
Percent Complete: 93.90 % Non Participating: $0.00 $0.00 $0.00
Unearned Balance: $148,245.56 Total Earnings: $2,309,879.56 $2,309,879.56 $0.00
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $2,309,879.56 $2,309,879.56 $0.00
Other Adjustments: $-8,714.78 $-8,714.78 $0.00
Liq Dam/Disincentive: $-21,000.00 $-21,000.00 $0.00
TOTAL: $2,280,164.78 $2,280,164.78 $0.00

Estimate Adjustment Detail

Contract ID: 120088   Estimate Number: 0010     Primary JP: 29089(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Pipe Approved 03/05/2014 0.0 $5,261.76
002 Profilograph Approved 10/07/2014 0.0 $51,761.36
003 Final Contract Item Quantities Approved 03/03/2015 0.0 $-118,530.80


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 --6.0 $750.00 $-4,500.00
System Application of Liquidated Damages 0005 --10 $750.00 $-7,500.00
System Application of Liquidated Damages 0006 --12 $750.00 $-9,000.00
Subtotals For Liquidated Damages $-21,000.00


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
29089(04) 0026 43" X 26" R.C.PIPE ARCH CLASS A-III * Missing Material Certification 0002 -15.00 $108.23 $-1,623.45
29089(04) 0026 43" X 26" R.C.PIPE ARCH CLASS A-III * Missing Material Certification 0008 108.23 $15.00 $1,623.45
29090(04) 0039 SUPERPAVE, TYPE S4(PG 70-28 OK) * HMA Deduction as per Sec. 411 0005 1,000.00 $-2.92 $-2,920.00
29090(04) 0040 SUPERPAVE, TYPE S6(PG 70-28 OK) * HMA Deduction as per Sec. 411 0005 588.90 $-9.84 $-5,794.78
Subtotals For Line Item Adjustments $-8,714.78
* = 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: 120088   Estimate Number: 0010     Primary JP: 29089(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:    STPY-258C(002)3P Project:    29088(04) Category:    0100/ROADWAY - STPY-258C(002)3P
0001 AGGREGATE BASE TYPE A 303(A) 2100 CY 30.000 17.400   17.400 $80.00 $0.00 $1,392.00
0002 TRAFFIC BOUND SURFACE COURSE TYPE E 402(E) 0225 TON 1,150.000 958.740   958.740 $18.00 $0.00 $17,257.32
0003 TACK COAT 407(B) 0250 GAL 4,870.000 3,525.000   3,525.000 $2.65 $0.00 $9,341.25
0004 SUPERPAVE, TYPE S4(PG 70-28 OK) 411(C) 5955 TON 6,850.000 6,406.830   6,406.830 $73.00 $0.00 $467,698.59
0005 SUPERPAVE, TYPE S3(PATCH)(PG64-22OK) 411(H) 6210 TON 75.000 18.560   18.560 $125.00 $0.00 $2,320.00
0006 SUPERPAVE, TYPE S4(PATCH)(PG64-22OK) 411(I) 6310 TON 50.000 0.000   0.000 $125.00 $0.00 $0.00
0007 COLD MILLING PAVEMENT 412 5267 SY 2,350.000 1,472.010   1,472.010 $2.50 $0.00 $3,680.03
8001 PAVEMENT/BRIDGE SMOOTHNESS ADJUSTMENT 430 5010 LSUM 0.000 1.000   1.000 $13,301.85 $0.00 $13,301.85
Subtotals For Category     0100/ROADWAY - STPY-258C(002)3P    $0.00 $514,991.04
Fed/State Project Number:    STPY-258C(002)3P Project:    29088(04) Category:    0300/TRAFFIC - STPY-258C(002)3P
0008 TRAFFIC STRIPE(PLASTIC)(THIN LINE)(4" WIDE) 855(A) 8840 LF 63,000.000 59,443.000   59,443.000 $0.34 $0.00 $20,210.62
0009 TRAFFIC STRIPE(PLASTIC)(SYMBOLS) 855(B) 8824 EA 2.000 2.000   2.000 $405.67 $0.00 $811.34
0010 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $3,500.00 $0.00 $3,500.00
Subtotals For Category     0300/TRAFFIC - STPY-258C(002)3P    $0.00 $24,521.96
Subtotals For Project STPY-258C(002)3P /29088(04) $0.00 $539,513.00


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:    STPY-218C(004)3P Project:    29089(04) Category:    0100/ROADWAY - STPY-218C(004)3P
0011 UNCLASSIFIED BORROW 202(D) 0184 CY 190.000 196.670   196.670 $25.00 $0.00 $4,916.75
0012 SOLID SLAB SODDING 230(A) 2806 SY 220.000 2,237.390   2,237.390 $5.10 $0.00 $11,410.69
0013 AGGREGATE BASE TYPE A 303(A) 2100 CY 35.000 0.000   0.000 $80.00 $0.00 $0.00
0014 TRAFFIC BOUND SURFACE COURSE TYPE E 402(E) 0225 TON 1,100.000 1,465.740   1,465.740 $18.00 $0.00 $26,383.32
0015 TACK COAT 407(B) 0250 GAL 4,985.000 3,800.000   3,800.000 $2.65 $0.00 $10,070.00
0016 SUPERPAVE, TYPE S4(PG 70-28 OK) 411(C) 5955 TON 7,030.000 6,730.030   6,730.030 $73.00 $0.00 $491,292.19
0017 SUPERPAVE, TYPE S3(PATCH)(PG64-22OK) 411(H) 6210 TON 75.000 86.520   86.520 $125.00 $0.00 $10,815.00
0018 SUPERPAVE, TYPE S4(PATCH)(PG64-22OK) 411(I) 6310 TON 50.000 0.000   0.000 $125.00 $0.00 $0.00
0019 COLD MILLING PAVEMENT 412 5267 SY 4,250.000 4,064.220   4,064.220 $2.00 $0.00 $8,128.44
0020 CLASS AA CONCRETE 509(A) 0319 CY 8.000 28.540   28.540 $1,500.00 $0.00 $42,810.00
0021 CLASS C CONCRETE 509(D) 0325 CY 10.000 24.770   24.770 $450.00 $0.00 $11,146.50
0022 REINFORCING STEEL 511(A) 0332 LB 828.000 552.070   552.070 $2.09 $0.00 $1,153.83
0023 36" R.C.PIPE CLASS III 613(A) 0494 LF 96.000 0.000   0.000 $97.44 $0.00 $0.00
0024 48" R.C.PIPE CLASS III 613(A) 0496 LF 104.000 105.000   105.000 $145.97 $0.00 $15,326.85
0025 36" X 22" R.C.PIPE ARCH CLASS A-III 613(A) 4497 LF 40.000 45.000   45.000 $110.05 $0.00 $4,952.25
0026 43" X 26" R.C.PIPE ARCH CLASS A-III 613(A) 4498 LF 76.000 90.000   90.000 $108.23 $0.00 $9,740.70
0027 36" X 23" PREFAB. CULVERT END SECTION, ARCH 613(L) 4528 EA 2.000 2.000   2.000 $1,607.59 $0.00 $3,215.18
0028 43" X 26" PREFAB. CULVERT END SECTION, ARCH 613(L) 4531 EA 4.000 4.000   4.000 $2,141.91 $0.00 $8,567.64
0029 48" PREFAB. CULVERT END SECTION, ROUND 613(L) 5738 EA 4.000 4.000   4.000 $2,156.98 $0.00 $8,627.92
0030 TYPE D4 SLOPED CONCRETE END SECTION 613(N) 7503 EA 6.000 0.000   0.000 $1,621.54 $0.00 $0.00
0031 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 1.000 1.000   1.000 $25,000.00 $0.00 $25,000.00
8002 PAVEMENT/BRIDGE SMOOTHNESS ADJUSTMENT 430 5010 LSUM 0.000 1.000   1.000 $12,691.15 $0.00 $12,691.15
8010 24" R.C.PIPE CLASS III 613(A) 0492 LF 0.000 150.000   150.000 $97.44 $0.00 $14,616.00
Subtotals For Category     0100/ROADWAY - STPY-218C(004)3P    $0.00 $720,864.41
Fed/State Project Number:    STPY-218C(004)3P Project:    29089(04) Category:    0300/TRAFFIC -STPY-218C(004)3P
0032 TRAFFIC STRIPE(PLASTIC)(THIN LINE)(4" WIDE) 855(A) 8840 LF 78,400.000 71,367.000   71,367.000 $0.34 $0.00 $24,264.78
0033 TRAFFIC STRIPE(PLASTIC)(SYMBOLS) 855(B) 8824 EA 2.000 2.000   2.000 $405.67 $0.00 $811.34
0034 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $3,500.00 $0.00 $3,500.00
0035 PORT.CHANGEABLE MESSAGE SIGN 882(A) 8306 SD 136.000 14.000   14.000 $23.18 $0.00 $324.52
Subtotals For Category     0300/TRAFFIC -STPY-218C(004)3P    $0.00 $28,900.64
Subtotals For Project STPY-218C(004)3P /29089(04) $0.00 $749,765.05


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:    STPY-218C(005)3P Project:    29090(04) Category:    0100/ROADWAY - STPY-218C(005)3P
0036 AGGREGATE BASE TYPE A 303(A) 2100 CY 120.000 583.390   583.390 $40.00 $0.00 $23,335.60
0037 TRAFFIC BOUND SURFACE COURSE TYPE E 402(E) 0225 TON 1,500.000 1,123.860   1,123.860 $18.00 $0.00 $20,229.48
0038 TACK COAT 407(B) 0250 GAL 9,520.000 6,812.510   6,812.510 $2.65 $0.00 $18,053.16
0039 SUPERPAVE, TYPE S4(PG 70-28 OK) 411(C) 5955 TON 7,210.000 6,500.150   6,500.150 $73.00 $0.00 $474,510.95
0040 SUPERPAVE, TYPE S6(PG 70-28 OK) 411(E) 5985 TON 3,300.000 3,151.560   3,151.560 $82.00 $0.00 $258,427.92
0041 SUPERPAVE, TYPE S3(PATCH)(PG64-22OK) 411(H) 6210 TON 300.000 438.070   438.070 $125.00 $0.00 $54,758.75
0042 SUPERPAVE, TYPE S4(PATCH)(PG64-22OK) 411(I) 6310 TON 200.000 0.000   0.000 $125.00 $0.00 $0.00
0043 COLD MILLING PAVEMENT 412 5267 SY 3,350.000 874.670   874.670 $2.37 $0.00 $2,072.97
0044 REMOVAL OF GUARDRAIL 619(B) 4780 LF 950.000 1,240.000   1,240.000 $0.58 $0.00 $719.20
0045 BEAM GUARDRAIL W-BEAM SINGLE 623(A) 0932 LF 925.000 950.000   950.000 $21.15 $0.00 $20,092.50
0046 GUARDRAIL END TREATMENT (GET) 623(G) 8571 EA 12.000 14.000   14.000 $2,318.14 $0.00 $32,453.96
0047 GUARDRAIL BRIDGE CONNECTION-TYPE B 623(I) 8680 EA 4.000 4.000   4.000 $1,622.70 $0.00 $6,490.80
8003 PAVEMENT/BRIDGE SMOOTHNESS ADJUSTMENT 430 5010 LSUM 0.000 1.000   1.000 $25,768.36 $0.00 $25,768.36
Subtotals For Category     0100/ROADWAY - STPY-218C(005)3P    $0.00 $936,913.65
Fed/State Project Number:    STPY-218C(005)3P Project:    29090(04) Category:    0300/TRAFFIC - STPY-218C(005)3P
0048 GUARDRAIL DELINEATORS(TYPE 2, CODE 1) 853 9069 EA 35.000 28.000   28.000 $3.48 $0.00 $97.44
0049 TRAFFIC STRIPE(PLASTIC)(THIN LINE)(4" WIDE) 855(A) 8840 LF 66,500.000 60,861.000   60,861.000 $0.34 $0.00 $20,692.74
0050 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $2,897.68 $0.00 $2,897.68
Subtotals For Category     0300/TRAFFIC - STPY-218C(005)3P    $0.00 $23,687.86
Fed/State Project Number:    STPY-218C(005)3P Project:    29090(04) Category:    0640/CONSTRUCTION - STPY-218C(005)3P
0051 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $60,000.00 $0.00 $60,000.00
Subtotals For Category     0640/CONSTRUCTION - STPY-218C(005)3P    $0.00 $60,000.00
Subtotals For Project STPY-218C(005)3P /29090(04) $0.00 $1,020,601.51