Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120097   Estimate Number: 0007 , Final     Spec Year: 2009
Primary JP: 27446(04)   Residency: PERRY (04100)     Contract No: 810143
Date Created: 03/22/2013   Contractor FEI: 730703325     Account No: 404400

Project Number(s): SSR-136N(198)SR
Contract Description: RESURFACE (ASPHALT) I-35: FROM 3.98 MILES SOUTH OF THE KANSAS STATE LINE, EXTEND NORTH. PROJECT LENGTH = 3.98 MILES.
Primary County: KAY              
Name of Road: I-35              
Prime Contractor: EVANS & ASSOCIATES CONSTRUCTION CO., INC.           Time Charged: N/A
    P. O. BOX 30           Time Allowed: N/A
    PONCA CITY , OK   74602           Percent Time: N/A

  Paid To Date: $2,183,427.07 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.                                
EVANS & ASSOCIATES 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:    03/22/2013
Contract ID: 120097   Estimate Number: 0007     Contract No: 810143
Residency: PERRY (04100)   Estimate Type: Final     Account No: 404400

Project Number(s): SSR-136N(198)SR
Primary Job Piece No: 27446(04)
Contract Description: RESURFACE (ASPHALT) I-35: FROM 3.98 MILES SOUTH OF THE KANSAS STATE LINE, EXTEND NORTH. PROJECT LENGTH = 3.98 MILES.
Primary County: KAY              
Name of Road: I-35              
Prime Contractor: EVANS & ASSOCIATES CONSTRUCTION CO., INC.              
    P. O. BOX 30              
    PONCA CITY , OK   74602              
Surety Company: MID-CONTINENT CASUALTY COMPANY              

Date Let: 06/21/2012 NTP Effective Date: 10/15/2012 Pay Period: 01/16/2013  TO  03/22/2013
Date Awarded: 07/02/2012 Date Work Began: 09/12/2012 Original Contract Time: N/A
Date Contract Executed: 07/13/2012 Date Time Stopped: 11/21/2012 Current Time Charged: N/A
Date NTP Issued: 07/18/2012 Completion Date: 11/21/2012 Current Time Allowed: N/A
General Liability Expires: 05/01/2013 Workman's Comp Expires: 05/01/2013 Percent Time Used: N/A
Specification Year: 2009 FIXED COMPLETION DATE: 11/30/2012    

Current Contract Amount: $2,183,427.05 Total to Date Prev to Date This Estimate
Bid Amount: $2,369,970.00 Participating: $0.00 $0.00 $0.00
Percent Complete: 100 % Non Participating: $2,183,427.07 $2,183,427.07 $0.00
Funds Available: $-0.02 Total Earnings: $2,183,427.07 $2,183,427.07 $0.00
Unearned Balance: $186,542.93 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $2,183,427.07 $2,183,427.07 $0.00
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $2,183,427.07 $2,183,427.07 $0.00

Estimate Adjustment Detail

Contract ID: 120097   Estimate Number: 0007     Primary JP: 27446(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 ADD CONCRETE PATCHING, EXTEND FIXED COMPLETE DATE Approved 11/19/2012 30.0 $-14,808.92
002 ADD 4 ITEMS FOR ASPHALT DEDUCTIONS Approved 11/30/2012 0.0 $-8,145.29
003 PAVEMENT SMOOTHNESS BONUS Approved 01/02/2013 0.0 $-4,388.80
004 FINAL QUANTITY CHANGE ORDER Approved 03/20/2013 0.0 $-159,199.94


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
Smoothness Deduction 0005 $13,000.00
Smoothness Deduction 0006 $-13,000.00
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
27446(04) 0007 SUPERPAVE, TYPE S3(PG 76-28 OK) Asphalt Binder Adjustment 0001 4,711.13 $-0.83 $-3,932.62
27446(04) 0007 SUPERPAVE, TYPE S3(PG 76-28 OK) * Material Discrepancy Adjustments 0001 0.00 $0.00 $-317.68
27446(04) 0007 SUPERPAVE, TYPE S3(PG 76-28 OK) Asphalt Binder Adjustment 0002 3,726.95 $-1.04 $-3,893.73
27446(04) 0007 SUPERPAVE, TYPE S3(PG 76-28 OK) Asphalt Binder Adjustment 0003 299.35 $-1.04 $-312.75
27446(04) 0007 SUPERPAVE, TYPE S3(PG 76-28 OK) * Material Discrepancy Adjustments 0004 0.00 $0.00 $317.68
27446(04) 0007 SUPERPAVE, TYPE S3(PG 76-28 OK) * Asphalt Binder Adjustment 0004 0.00 $0.00 $8,139.10
27446(04) 0008 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0001 532.53 $-0.83 $-444.53
27446(04) 0008 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0002 4,985.62 $-1.04 $-5,208.73
27446(04) 0008 SUPERPAVE, TYPE S3(PG 64-22 OK) * Asphalt Binder Adjustment 0004 0.00 $0.00 $5,653.26
27446(04) 0009 SUPERPAVE, TYPE S4(PG 76-28 OK) Asphalt Binder Adjustment 0001 2,825.96 $-0.95 $-2,695.97
27446(04) 0009 SUPERPAVE, TYPE S4(PG 76-28 OK) Asphalt Binder Adjustment 0002 2,012.89 $-1.19 $-2,403.39
27446(04) 0009 SUPERPAVE, TYPE S4(PG 76-28 OK) Asphalt Binder Adjustment 0003 750.34 $-1.19 $-895.91
27446(04) 0009 SUPERPAVE, TYPE S4(PG 76-28 OK) * Asphalt Binder Adjustment 0004 0.00 $0.00 $5,995.27
27446(04) 0010 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0003 2,446.64 $-1.19 $-2,921.29
27446(04) 0010 SUPERPAVE, TYPE S4(PG 64-22 OK) * Asphalt Binder Adjustment 0004 0.00 $0.00 $2,921.29
Subtotals For Line Item Adjustments $0.00
* = 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: 120097   Estimate Number: 0007     Primary JP: 27446(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:    SSR-136N(198)SR Project:    27446(04) Category:    0200/ROADWAY
0001 SELECT BORROW 202(E) 0186 CY 1,500.000 0.000   0.000 $12.50 $0.00 $0.00
0002 EARTHWORK 202(H) 0185 LSUM 1.000 1.000   1.000 $61,200.00 $0.00 $61,200.00
0003 TEMPORARY SILT FENCE 221(C) 2801 LF 100.000 0.000   0.000 $10.48 $0.00 $0.00
0004 SOLID SLAB SODDING 230(A) 2806 SY 4,700.000 7,234.900   7,234.900 $3.34 $0.00 $24,164.57
0005 AGGREGATE BASE TYPE A 303(A) 2100 CY 100.000 0.000   0.000 $78.00 $0.00 $0.00
0006 FLY ASH 307(A) 4200 TON 60.000 62.630   62.630 $50.40 $0.00 $3,156.55
0007 SUPERPAVE, TYPE S3(PG 76-28 OK) 411(B) 5935 TON 9,300.000 8,737.430   8,737.430 $78.82 $0.00 $688,684.24
0008 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 6,000.000 5,518.150   5,518.150 $70.09 $0.00 $386,767.14
0009 SUPERPAVE, TYPE S4(PG 76-28 OK) 411(C) 5950 TON 5,700.000 5,589.190   5,589.190 $87.87 $0.00 $491,122.13
0010 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 3,200.000 2,446.640   2,446.640 $78.96 $0.00 $193,186.69
0011 COLD MILLING PAVEMENT 412 5267 SY 100,000.000 91,585.880   91,585.880 $1.20 $0.00 $109,903.06
0012 RUMBLE STRIP-METHOD HMA-CON 413(A) 4861 LF 39,900.000 38,923.000   38,923.000 $0.18 $0.00 $7,006.14
0013 CONCRETE JOINT SEALING 415 6300 LF 700.000 324.000   324.000 $5.55 $0.00 $1,798.20
0014 POLYURETHANE INJECTION FOR PAVEMENT 426(D) 5098 LB 8,800.000 13,314.400   13,314.400 $4.80 $0.00 $63,909.12
0015 24" R.C.PIPE CLASS III 613(A) 0492 LF 24.000 24.000   24.000 $107.59 $0.00 $2,582.16
0016 TYPE B4 CULVERT END TREATMENT 613(M) 7187 EA 1.000 1.000   1.000 $2,700.00 $0.00 $2,700.00
0017 REMOVAL OF HEADWALL 619(B) 0291 EA 1.000 1.000   1.000 $750.00 $0.00 $750.00
0018 REMOVAL OF CONCRETE PAVEMENT 619(B) 4727 SY 530.000 550.670   550.670 $8.27 $0.00 $4,554.04
0019 (SP)CONTRACTORS QUALITY CONTROL 643 0087 LSUM 1.000 1.000   1.000 $25,000.00 $0.00 $25,000.00
8000 FULL DEPTH P.C.C. PATCH(PLACEMENT ONLY) 414(E) 0225 SY 0.000 40.000   40.000 $135.00 $0.00 $5,400.00
8002 ASPHALT BINDER PRICE ADJUSTMENT 109 1150 LSUM 0.000 -1.000   -1.000 $22,708.92 $0.00 $-22,708.92
8003 ADJUSTMENT FOR NON-CONFORMING MATERIALS 105 2100 LSUM 0.000 -1.000   -1.000 $317.68 $0.00 $-317.68
8004 ADJUSTMENT FOR NON-CONFORMING MATERIALS 105 2100 LSUM 0.000 -1.000   -1.000 $284.38 $0.00 $-284.38
8005 ADJUSTMENT FOR NON-CONFORMING MATERIALS 105 2100 LSUM 0.000 -1.000   -1.000 $6,703.25 $0.00 $-6,703.25
8006 ADJUSTMENT FOR NON-CONFORMING MATERIALS 105 2100 LSUM 0.000 -1.000   -1.000 $839.98 $0.00 $-839.98
8007 PAVEMENT/BRIDGE SMOOTHNESS ADJUSTMENT 430 5010 LSUM 0.000 1.000   1.000 $14,361.20 $0.00 $14,361.20
Subtotals For Category     0200/ROADWAY    $0.00 $2,055,391.03
Fed/State Project Number:    SSR-136N(198)SR Project:    27446(04) Category:    0300/TRAFFIC
0020 LOOP DETECTOR WIRE 828(B) 8136 LF 1,000.000 542.000   542.000 $7.00 $0.00 $3,794.00
0021 TRAFFIC STRIPE(MULTI-POLYMER)(4" WIDE) 856(A) 8530 LF 6,100.000 6,885.000   6,885.000 $1.00 $0.00 $6,885.00
0022 TRAFFIC STRIPE(MULTI-POLY.)(6" WIDE) 856(A) 8535 LF 52,000.000 46,758.000   46,758.000 $0.60 $0.00 $28,054.80
0023 TRAFFIC STRIPE(MULTI-POLY.)(8" WIDE) 856(A) 8540 LF 500.000 454.000   454.000 $1.00 $0.00 $454.00
0024 TRAFFIC STRIPE(MULTI-POLY.)(24" WIDE) 856(A) 8555 LF 100.000 45.000   45.000 $5.50 $0.00 $247.50
0025 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $41,200.00 $0.00 $41,200.00
0026 TRAFFIC SURVEILLANCE, POLICE 880(L) 8911 HOUR 500.000 196.000   196.000 $45.00 $0.00 $8,820.00
0027 PORT.CHANGEABLE MESSAGE SIGN 882(A) 8306 SD 60.000 0.000   0.000 $25.00 $0.00 $0.00
0028 (PL)TRAFFIC ITEMS 890 7700 LSUM 1.000 1.000   1.000 $36,080.74 $0.00 $36,080.74
8001 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 0.000 1.000   1.000 $2,500.00 $0.00 $2,500.00
Subtotals For Category     0300/TRAFFIC    $0.00 $128,036.04
Subtotals For Project SSR-136N(198)SR /27446(04) $0.00 $2,183,427.07