Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120090   Estimate Number: 0007 , Final     Spec Year: 2009
Primary JP: 29092(04)   Residency: CLAREMORE (08300)     Contract No: 710962
Date Created: 01/30/2015   Contractor FEI: 581401469     Account No: 400800

Project Number(s): NHY-018N(068)3P
Contract Description: RESURFACE (ASPHALT) US-60: FROM 6.1 MILES EAST OF THE NOWATA COUNTY LINE, EXTEND EAST. PROJECT LENGTH = 5.722 MILES.
Primary County: CRAIG              
Name of Road: US-60              
Prime Contractor: APAC-CENTRAL, INC.           Time Charged: 72.00
    THUNDERHEAD           Time Allowed: 75.00
    Tulsa , OK   74116           Percent Time: 96.00 %

  Paid To Date: $1,122,897.86 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.                                
APAC-CENTRAL, 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:    01/30/2015
Contract ID: 120090   Estimate Number: 0007     Contract No: 710962
Residency: CLAREMORE (08300)   Estimate Type: Final     Account No: 400800

Project Number(s): NHY-018N(068)3P
Primary Job Piece No: 29092(04)
Contract Description: RESURFACE (ASPHALT) US-60: FROM 6.1 MILES EAST OF THE NOWATA COUNTY LINE, EXTEND EAST. PROJECT LENGTH = 5.722 MILES.
Primary County: CRAIG              
Name of Road: US-60              
Prime Contractor: APAC-CENTRAL, INC.              
    THUNDERHEAD              
    Tulsa , OK   74116              
Surety Company: XL SPECIALTY INSURANCE COMPANY              

Date Let: 02/16/2012 NTP Effective Date: 07/02/2012 Pay Period: 10/08/2014  TO  01/07/2015
Date Awarded: 03/05/2012 Date Work Began: 05/03/2012 Original Contract Time: 45
Date Contract Executed: 03/13/2012 Date Time Stopped: 09/27/2012 Current Time Charged: 72.00
Date NTP Issued: 03/21/2012 Completion Date: 09/27/2012 Current Time Allowed: 75.00
General Liability Expires: 09/01/2015 Workman's Comp Expires: 09/01/2015 Percent Time Used: 96.00 %
Specification Year: 2009        

Bid Amount: $961,840.42 Total to Date Prev to Date This Estimate
Funds Available (Bid + Positive C/O): $1,127,814.65 Participating: $1,108,827.95 $1,108,827.95 $0.00
Percent Complete: 99.56 % Non Participating: $0.00 $0.00 $0.00
Unearned Balance: $4,916.79 Total Earnings: $1,108,827.95 $1,108,827.95 $0.00
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $1,108,827.95 $1,108,827.95 $0.00
Other Adjustments: $14,069.91 $14,069.91 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $1,122,897.86 $1,122,897.86 $0.00

Estimate Adjustment Detail

Contract ID: 120090   Estimate Number: 0007     Primary JP: 29092(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Parapet Wall Approved 11/06/2012 30.0 $146,395.30
002 Profilograph Approved 10/06/2014 0.0 $19,578.93
003 Final Contract Item Quantities Approved 01/02/2015 0.0 $-18,986.74


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
29092(04) 0004 SUPERPAVE, TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0001 7,052.92 $1.38 $9,775.35
29092(04) 0004 SUPERPAVE, TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0002 3,098.42 $1.38 $4,294.41
29092(04) 0004 SUPERPAVE, TYPE S4(PG 70-28 OK) Asphalt Binder Adjustment 0004 0.09 $1.62 $0.15
29092(04) 0012 TRAFFIC STRIPE(PLASTIC)(THIN LINE)(4" WIDE) * Missing Material Certification 0002 -6,751.18 $0.31 $-2,092.87
29092(04) 0012 TRAFFIC STRIPE(PLASTIC)(THIN LINE)(4" WIDE) * Missing Material Certification 0004 6,751.18 $0.31 $2,092.87
Subtotals For Line Item Adjustments $14,069.91
* = 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: 120090   Estimate Number: 0007     Primary JP: 29092(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-018N(068)3P Project:    29092(04) Category:    0100/ROADWAY
0001 AGGREGATE BASE TYPE A 303(A) 2100 CY 30.000 0.000   0.000 $99.55 $0.00 $0.00
0002 TRAFFIC BOUND SURFACE COURSE TYPE E 402(E) 0225 TON 1,600.000 2,394.210   2,394.210 $18.14 $0.00 $43,430.97
0003 TACK COAT 407(B) 0250 GAL 6,800.000 3,039.920   3,039.920 $2.30 $0.00 $6,991.82
0004 SUPERPAVE, TYPE S4(PG 70-28 OK) 411(C) 5955 TON 10,020.000 10,151.430   10,151.430 $78.29 $0.00 $794,755.46
0005 SUPERPAVE, TYPE S3(PATCH)(PG64-22OK) 411(H) 6210 TON 75.000 0.000   0.000 $164.35 $0.00 $0.00
0006 SUPERPAVE, TYPE S4(PATCH)(PG64-22OK) 411(I) 6310 TON 50.000 0.000   0.000 $171.61 $0.00 $0.00
0007 COLD MILLING PAVEMENT 412 5267 SY 5,450.000 2,970.230   2,970.230 $2.57 $0.00 $7,633.49
0008 REMOVAL OF GUARDRAIL 619(B) 4780 LF 945.000 931.400   931.400 $5.19 $0.00 $4,833.97
0009 BEAM GUARDRAIL W-BEAM SINGLE 623(A) 0932 LF 650.000 424.000   424.000 $16.06 $0.00 $6,809.44
0010 GUARDRAIL END TREATMENT (GET) 623(G) 8571 EA 7.000 7.000   7.000 $2,208.82 $0.00 $15,461.74
8000 CONCRETE PARAPET 504(E) 1381 LF 0.000 184.240   184.240 $592.00 $0.00 $109,070.08
8001 REMOVAL OF EXISTING PARAPET 619(B) 6252 LF 0.000 184.120   184.120 $80.00 $0.00 $14,729.60
8002 GUARDRAIL BRIDGE CONNECTION-TYPE A 623(I) 8675 EA 0.000 8.000   8.000 $1,928.00 $0.00 $15,424.00
8010 PAVEMENT/BRIDGE SMOOTHNESS ADJUSTMENT 430 5010 LSUM 0.000 1.000   1.000 $19,578.93 $0.00 $19,578.93
Subtotals For Category     0100/ROADWAY    $0.00 $1,038,719.50
Fed/State Project Number:    NHY-018N(068)3P Project:    29092(04) Category:    0300/TRAFFIC
0011 GUARDRAIL DELINEATORS(TYPE 2, CODE 1) 853 9069 EA 22.000 30.000   30.000 $5.02 $0.00 $150.60
0012 TRAFFIC STRIPE(PLASTIC)(THIN LINE)(4" WIDE) 855(A) 8840 LF 108,000.000 104,410.920   104,410.920 $0.31 $0.00 $32,367.39
0013 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $3,263.03 $0.00 $3,263.04
8003 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 0.000 1.000   1.000 $2,175.30 $0.00 $2,175.30
Subtotals For Category     0300/TRAFFIC    $0.00 $37,956.33
Fed/State Project Number:    NHY-018N(068)3P Project:    29092(04) Category:    0640/CONSTRUCTION
0014 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $27,152.11 $0.00 $27,152.12
8004 MOBILIZATION 641 1552 LSUM 0.000 1.000   1.000 $5,000.00 $0.00 $5,000.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $32,152.12
Subtotals For Project NHY-018N(068)3P /29092(04) $0.00 $1,108,827.95