Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120095   Estimate Number: 0006 , Final     Spec Year: 2009
Primary JP: 28218(04)   Residency: ADA (03100)     Contract No: 710971
Date Created: 04/18/2013   Contractor FEI: 730626847     Account No: 400300

Project Number(s): STPY-135B(130)3P, STPY-135B(131)3P
Contract Description: RESURFACE (ASPHALT) SH-99: FROM THE MARSHALL COUNTY LINE, EXTEND NORTH. PROJECT LENGTH = 6.04 MILES.
Primary County: JOHNSTON              
Name of Road: SH-99              
Prime Contractor: THE CUMMINS CONSTRUCTION CO., INC.           Time Charged: 55.00
    P. O. BOX 748           Time Allowed: 49.00
    ENID , OK   73702           Percent Time: 112.24 %

  Paid To Date: $934,961.68 Payable This Statement: $74.13

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.                                
THE CUMMINS 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:    04/18/2013
Contract ID: 120095   Estimate Number: 0006     Contract No: 710971
Residency: ADA (03100)   Estimate Type: Final     Account No: 400300

Project Number(s): STPY-135B(130)3P, STPY-135B(131)3P
Primary Job Piece No: 28218(04)
Contract Description: RESURFACE (ASPHALT) SH-99: FROM THE MARSHALL COUNTY LINE, EXTEND NORTH. PROJECT LENGTH = 6.04 MILES.
Primary County: JOHNSTON              
Name of Road: SH-99              
Prime Contractor: THE CUMMINS CONSTRUCTION CO., INC.              
    P. O. BOX 748              
    ENID , OK   73702              
Surety Company: HARTFORD ACCIDENT & INDEMNITY COMPANY              

Date Let: 02/16/2012 NTP Effective Date: 07/02/2012 Pay Period: 09/16/2012  TO  04/15/2013
Date Awarded: 03/05/2012 Date Work Began: 05/09/2012 Original Contract Time: 45
Date Contract Executed: 03/14/2012 Date Time Stopped: 09/27/2012 Current Time Charged: 55.00
Date NTP Issued: 03/21/2012 Completion Date: 09/27/2012 Current Time Allowed: 49.00
General Liability Expires: 09/01/2013 Workman's Comp Expires: 01/01/2014 Percent Time Used: 112.24 %
Specification Year: 2009        

Current Contract Amount: $926,054.92 Total to Date Prev to Date This Estimate
Bid Amount: $1,062,142.16 Participating: $926,054.91 $928,230.78 $-2,175.87
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $-8,906.76 Total Earnings: $926,054.91 $928,230.78 $-2,175.87
Unearned Balance: $127,180.48 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $926,054.91 $928,230.78 $-2,175.87
Other Adjustments: $13,406.77 $13,406.77 $0.00
Liq Dam/Disincentive: $-4,500.00 $-6,750.00 $2,250.00
TOTAL: $934,961.68 $934,887.55 $74.13

Estimate Adjustment Detail

Contract ID: 120095   Estimate Number: 0006     Primary JP: 28218(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Trackless Tack Approved 06/18/2012 0.0 $0.00
002 Revising Pay Items Approved 07/30/2012 0.0 $0.00
003 CO for Roadway Smoothness Bonus Approved 09/10/2012 0.0 $24,635.65
004 Additional Time Due to Substantial Completion Approved 10/01/2012 4.0 $0.00
005 Finalizing Contract Item Qtys Approved 03/29/2013 0.0 $-160,722.89


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 --6.0 $750.00 $-4,500.00
System Application of Liquidated Damages 0004 --3.0 $750.00 $-2,250.00
System Application of Liquidated Damages 0006 -3.0 $750.00 $2,250.00
Subtotals For Liquidated Damages $-4,500.00


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
28218(04) 0003 SUPERPAVE, TYPE S5(PG 64-22 OK) Asphalt Binder Adjustment 0001 7,204.58 $1.53 $11,025.75
28218(04) 0003 SUPERPAVE, TYPE S5(PG 64-22 OK) * HMA Deduction as per Sec. 411 0001 -2,426.04 $1.00 $-2,426.04
28218(04) 0003 SUPERPAVE, TYPE S5(PG 64-22 OK) Asphalt Binder Adjustment 0002 1,546.39 $1.79 $2,776.36
28218(04) 0003 SUPERPAVE, TYPE S5(PG 64-22 OK) * HMA Deduction as per Sec. 411 0003 1.00 $404.34 $404.34
28220(04) 0008 SUPERPAVE, TYPE S2(PG 64-22 OK) Asphalt Binder Adjustment 0003 635.23 $1.25 $796.19
28220(04) 0009 SUPERPAVE, TYPE S5(PG 64-22 OK) Asphalt Binder Adjustment 0003 450.39 $1.79 $808.62
28220(04) 0009 SUPERPAVE, TYPE S5(PG 64-22 OK) Asphalt Binder Adjustment 0004 12.00 $1.79 $21.55
Subtotals For Line Item Adjustments $13,406.77
* = 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: 120095   Estimate Number: 0006     Primary JP: 28218(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-135B(130)3P Project:    28218(04) Category:    0100/ROADWAY - STPY-135B(130)3P
0001 TRAFFIC BOUND SURFACE COURSE TYPE E 402(E) 0225 TON 764.000 1,661.830   1,661.830 $28.90 $0.00 $48,026.89
0002 TACK COAT 407(B) 0250 GAL 7,687.000 7,988.250 -1,000.000 7,988.250 $3.10 $-3,100.00 $24,763.58
0003 SUPERPAVE, TYPE S5(PG 64-22 OK) 411(D) 5975 TON 9,139.000 8,750.850   8,750.850 $67.39 $0.00 $589,719.78
0004 COLD MILLING PAVEMENT 412 5267 SY 667.000 1,568.110   1,568.110 $10.30 $0.00 $16,151.53
0005 TRAFFIC STRIPE(PLASTIC)(THIN LINE)(4" WIDE) 855(A) 8840 LF 91,580.000 97,534.000   97,534.000 $0.32 $0.00 $31,210.88
0006 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000 0.050 1.000 $10,000.00 $500.00 $10,000.00
8002 PAVEMENT/BRIDGE SMOOTHNESS ADJUSTMENT 430 5015 EA 0.000 24,623.280 -12.370 24,623.280 $1.00 $-12.37 $24,623.28
Subtotals For Category     0100/ROADWAY - STPY-135B(130)3P    $-2,612.37 $744,495.94
Subtotals For Project STPY-135B(130)3P /28218(04) $-2,612.37 $744,495.94


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-135B(131)3P Project:    28220(04) Category:    0100/ROADWAY - STPY-135B(131)3P
0007 TACK COAT 407(B) 0250 GAL 441.000 340.380   340.380 $3.10 $0.00 $1,055.18
0008 SUPERPAVE, TYPE S2(PG 64-22 OK) 411(A) 5930 TON 2,075.000 0.000   0.000 $62.10 $0.00 $0.00
0009 SUPERPAVE, TYPE S5(PG 64-22 OK) 411(D) 5975 TON 1,038.000 462.390   462.390 $72.42 $0.00 $33,486.28
0010 COLD MILLING PAVEMENT 412 5267 SY 17,647.000 2,730.890   2,730.890 $2.85 $0.00 $7,783.03
0011 FULL DEPTH P.C. CONCRETE PATCHING(PLACEMENT ONLY) 414(E) 0225 SY 160.000 173.520   173.520 $150.00 $0.00 $26,028.00
0012 P.C. CONCRETE FOR PAVEMENT 414(G) 5275 CY 36.000 38.560   38.560 $120.00 $0.00 $4,627.20
0013 CONCRETE JOINT SEALING 415 6300 LF 8,517.000 8,523.000 6.000 8,523.000 $4.00 $24.00 $34,092.00
0014 4" CONCRETE SIDEWALK 610(A) 0602 SY 93.000 118.890   118.890 $150.00 $0.00 $17,833.50
0015 TACTILE WARNING DEVICE-NEW 610(I) 4610 SF 152.000 136.000   136.000 $32.00 $0.00 $4,352.00
0016 TACTILE WARNING DEVICE-RETROFIT 610(I) 4615 SF 32.000 0.000   0.000 $30.00 $0.00 $0.00
0017 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 20,742.000 9,325.000   9,325.000 $0.32 $0.00 $2,984.00
0018 TRAFFIC STRIPE(PLASTIC)(12" WIDE) 855(A) 8818 LF 144.000 162.000   162.000 $10.00 $0.00 $1,620.00
0019 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000 0.050 1.000 $8,250.00 $412.50 $8,250.00
8001 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 0.000 635.230   635.230 $62.10 $0.00 $39,447.78
Subtotals For Category     0100/ROADWAY - STPY-135B(131)3P    $436.50 $181,558.97
Subtotals For Project STPY-135B(131)3P /28220(04) $436.50 $181,558.97