Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120134   Estimate Number: 0021 , Final     Spec Year: 2009
Primary JP: 23018(04)   Residency: STILLWATER (04500)     Contract No: 711066
Date Created: 09/16/2014   Contractor FEI: 731419591     Account No: 400450

Project Number(s): STP-142C(119)AG
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (NS-310/BROADWAY STREET): OVER COTTONWOOD CREEK 0.5 MILE SOUTH AND 3.5 MILES WEST OF THE I-35/US-77 JUNCTION. PROJECT LENGTH = 0.302 MILE.
Primary County: LOGAN              
Name of Road: COUNTY ROAD              
Prime Contractor: BRIDGECO CONTRACTORS, INC.           Time Charged: 187.00
    P.O. BOX 119           Time Allowed: 187.00
    WELLSTON , OK   74881           Percent Time: 100.00 %

  Paid To Date: $1,148,691.18 Payable This Statement: $4,474.47

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.                                
BRIDGECO CONTRACTORS, 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:    09/16/2014
Contract ID: 120134   Estimate Number: 0021     Contract No: 711066
Residency: STILLWATER (04500)   Estimate Type: Final     Account No: 400450

Project Number(s): STP-142C(119)AG
Primary Job Piece No: 23018(04)
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (NS-310/BROADWAY STREET): OVER COTTONWOOD CREEK 0.5 MILE SOUTH AND 3.5 MILES WEST OF THE I-35/US-77 JUNCTION. PROJECT LENGTH = 0.302 MILE.
Primary County: LOGAN              
Name of Road: COUNTY ROAD              
Prime Contractor: BRIDGECO CONTRACTORS, INC.              
    P.O. BOX 119              
    WELLSTON , OK   74881              
Surety Company: GRANITE RE, INC.              

Date Let: 03/15/2012 NTP Effective Date: 07/02/2012 Pay Period: 05/14/2014  TO  07/08/2014
Date Awarded: 04/02/2012 Date Work Began: 07/23/2012 Original Contract Time: 180
Date Contract Executed: 04/12/2012 Date Time Stopped: 09/09/2013 Current Time Charged: 187.00
Date NTP Issued: 04/18/2012 Completion Date: 09/09/2013 Current Time Allowed: 187.00
General Liability Expires: 08/01/2015 Workman's Comp Expires: 08/13/2015 Percent Time Used: 100.00 %
Specification Year: 2009        

Bid Amount: $1,115,636.70 Total to Date Prev to Date This Estimate
Funds Available (Bid + Positive C/O): $1,148,691.18 Participating: $1,148,691.18 $1,144,216.71 $4,474.47
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Unearned Balance: $0.00 Total Earnings: $1,148,691.18 $1,144,216.71 $4,474.47
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $1,148,691.18 $1,144,216.71 $4,474.47
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $1,148,691.18 $1,144,216.71 $4,474.47

Estimate Adjustment Detail

Contract ID: 120134   Estimate Number: 0021     Primary JP: 23018(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Add Epoxy Coated Reinf Steel to the contract Approved 06/07/2012 0.0 $7,044.80
002 Add Removal of Existing Riprap Approved 10/03/2012 0.0 $9,600.00
003 Add Mobilization and Guardrail Anchor Unit Ty D-BF Approved 10/08/2013 7.0 $1,226.96
004 Final Contract Item Quantities Approved 05/07/2014 0.0 $10,708.25
005 Additional Riprap Type 1-A Approved 07/07/2014 0.0 $4,474.47


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
23018(04) 0031 Prestressed Concrete Beams (Type III) Stockpiled Material Initial Payment 0004 $109,131.80
23018(04) 0031 Prestressed Concrete Beams (Type III) Stockpiled Material Adjustment 0008 $-72,754.12
23018(04) 0031 Prestressed Concrete Beams (Type III) Stockpiled Material Adjustment 0006 $-36,377.68
Subtotals For Stockpile Payments $0.00


LIQUIDATED DAMAGES HISTORY
Adjustment Description Estimate Nbr Time Units Rate Adjustment Amount
System Application of Liquidated Damages 0014 --7.0 $750.00 $-5,250.00
System Application of Liquidated Damages 0018 -7.0 $750.00 $5,250.00
Subtotals For Liquidated Damages $0.00


CONTRACT ADJUSTMENTS HISTORY
Adjustment Description Estimate Nbr Adjustment Amount
Withhold to Funds Avail(Prog. Est. Only) 0019 $-9,808.25
Withhold to Funds Avail(Prog. Est. Only) 0020 $9,808.25
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
23018(04) 0010 TACK COAT * Material Discrepancy Adjustments 0015 -225.00 $4.00 $-900.00
23018(04) 0010 TACK COAT * Material Discrepancy Adjustments 0020 0.00 $0.00 $900.00
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: 120134   Estimate Number: 0021     Primary JP: 23018(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:    STP-142C(119)AG Project:    23018(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201(A) 0102 LSUM 1.000 1.000   1.000 $6,000.00 $0.00 $6,000.00
0002 EARTHWORK 202(H) 0185 LSUM 1.000 1.000   1.000 $88,000.00 $0.00 $88,000.00
0003 TYPE A-SALVAGED TOPSOIL 205(A) 4229 LSUM 1.000 1.000   1.000 $7,400.00 $0.00 $7,400.00
0004 TEMPORARY SILT FENCE 221(C) 2801 LF 600.000 1,550.000   1,550.000 $2.00 $0.00 $3,100.00
0005 TEMPORARY SILT DIKE 221(F) 0100 LF 600.000 112.000   112.000 $6.00 $0.00 $672.00
0006 SOLID SLAB SODDING 230(A) 2806 SY 14,774.000 22,699.000   22,699.000 $1.80 $0.00 $40,858.20
0007 VEGETATIVE MULCHING 233(A) 2817 AC 2.270 0.000   0.000 $750.00 $0.00 $0.00
0008 CEMENTITIOUS STABILIZED SUBGRADE 307(E) 4240 SY 6,050.000 5,401.670   5,401.670 $5.00 $0.00 $27,008.35
0009 TRAFFIC BOUND SURFACE COURSE TYPE E 402(E) 0225 TON 325.000 283.150   283.150 $35.00 $0.00 $9,910.25
0010 TACK COAT 407(B) 0250 GAL 290.000 225.000   225.000 $4.00 $0.00 $900.00
0011 PRIME COAT 408 5774 GAL 1,300.000 0.000   0.000 $7.50 $0.00 $0.00
0012 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 1,170.000 1,151.780   1,151.780 $69.85 $0.00 $80,451.83
0013 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 570.000 618.990   618.990 $84.85 $0.00 $52,521.30
0014 CLASS C CONCRETE 509(D) 0325 CY 20.000 20.500   20.500 $250.00 $0.00 $5,125.00
0015 TYPE I PLAIN RIPRAP 601(A) 0297 TON 310.000 228.260   228.260 $39.00 $0.00 $8,902.14
0016 36" CORR. GALV. STEEL PIPE 613(B) 0692 LF 86.000 86.000   86.000 $38.00 $0.00 $3,268.00
0017 28" X 20" CORR. GALV. STEEL PIPE ARCH 613(B) 4528 LF 92.000 92.000   92.000 $27.00 $0.00 $2,484.00
0018 TYPE B4 CULVERT END TREATMENT 613(M) 7187 EA 4.000 4.000   4.000 $850.00 $0.00 $3,400.00
0019 TYPE D4 CULVERT END TREATMENT 613(M) 7189 EA 2.000 2.000   2.000 $600.00 $0.00 $1,200.00
0020 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 1.000 1.000   1.000 $3,000.00 $0.00 $3,000.00
0021 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 3,601.000 3,601.000   3,601.000 $2.50 $0.00 $9,002.50
0022 SAWING PAVEMENT 619(C) 0924 LF 45.000 169.000   169.000 $8.00 $0.00 $1,352.00
0023 BEAM GUARDRAIL W-BEAM SINGLE 623(A) 0932 LF 200.000 200.000   200.000 $16.00 $0.00 $3,200.00
0024 GUARDRAIL END TREATMENT (GET) 623(G) 8571 EA 4.000 4.000   4.000 $2,100.00 $0.00 $8,400.00
0025 GUARDRAIL BRIDGE CONNECTION-TYPE A 623(I) 8675 EA 4.000 0.000   0.000 $1,985.00 $0.00 $0.00
0026 SHEET ALUMINUM SIGNS 850(A) 8110 SF 5.180 5.180   5.180 $35.00 $0.00 $181.30
0027 2 1/4" SQUARE TUBE POST 851(C) 8327 LF 12.500 12.500   12.500 $30.00 $0.00 $375.00
0028 TRAFFIC STRIPE(PAINT)(4" WIDE) 854(A) 8800 LF 3,200.000 6,419.500   6,419.500 $0.62 $0.00 $3,980.09
8002 GUARDRAIL ANCHOR UNIT (TYPE D-BF) 623(F) 5686 EA 0.000 4.000   4.000 $1,985.00 $0.00 $7,940.00
8003 MOBILIZATION 641 1399 LSUM 0.000 1.000   1.000 $1,226.96 $0.00 $1,226.96
Subtotals For Category     0100/ROADWAY    $0.00 $379,858.92
Fed/State Project Number:    STP-142C(119)AG Project:    23018(04) Category:    0200/BRIDGE 'A'
0029 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 84.000 84.000   84.000 $10.00 $0.00 $840.00
0030 UNCLASSIFIED BACKFILL 501(D) 6353 CY 80.000 80.000   80.000 $12.00 $0.00 $960.00
0031 PRESTRESSED CONCRETE BEAMS (TYPE III) 503(A) 1312 LF 890.000 890.000   890.000 $164.25 $0.00 $146,182.50
0032 SAW-CUT GROOVING 504(B) 1305 SY 828.000 828.000   828.000 $5.05 $0.00 $4,181.40
0033 SEALED EXPANSION JOINT 504(C) 6250 LF 35.420 35.420   35.420 $260.00 $0.00 $9,209.20
0034 CONCRETE RAIL (TR1) 504(E) 1380 LF 507.000 507.000   507.000 $48.00 $0.00 $24,336.00
0035 STRUCTURAL STEEL 506(A) 1322 LB 734.000 734.000   734.000 $1.95 $0.00 $1,431.30
0036 WEATHERING STEEL FIXED BEARING ASSEMBLY 507(A) 6172 EA 12.000 12.000   12.000 $625.00 $0.00 $7,500.00
0037 WEATHERING STEEL EXPANSION BEARING ASSEMBLY 507(B) 6176 EA 12.000 12.000   12.000 $625.00 $0.00 $7,500.00
0038 CLASS AA CONCRETE 509(A) 1326 CY 204.900 204.900   204.900 $420.00 $0.00 $86,058.00
0039 CLASS A CONCRETE 509(B) 1328 CY 103.500 103.500   103.500 $420.00 $0.00 $43,470.00
0040 REINFORCING STEEL 511(A) 1332 LB 69,240.000 18,920.000   18,920.000 $1.02 $0.00 $19,298.40
0041 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 977.000 1,024.420   1,024.420 $29.00 $0.00 $29,708.18
0042 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 977.000 1,024.420   1,024.420 $10.00 $0.00 $10,244.20
0043 DRILLED SHAFTS 54" DIAMETER 516(A) 6095 LF 197.000 227.380   227.380 $465.00 $0.00 $105,731.70
0044 TYPE I-A PLAIN RIPRAP 601(B) 1353 TON 2,753.000 2,772.400 114.730 2,772.400 $39.00 $4,474.47 $108,123.60
0045 TYPE I-A FILTER BLANKET 601(C) 1355 TON 596.000 561.370   561.370 $34.00 $0.00 $19,086.58
0046 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $25,000.00 $0.00 $25,000.00
0047 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $3,700.00 $0.00 $3,700.00
8000 EPOXY COATED REINFORCING STEEL 511(B) 6010 LB 0.000 50,320.000   50,320.000 $1.16 $0.00 $58,371.20
8001 REMOVAL OF EXISTING RIPRAP 619(B) 6364 LSUM 0.000 1.000   1.000 $9,600.00 $0.00 $9,600.00
Subtotals For Category     0200/BRIDGE 'A'    $4,474.47 $720,532.26
Fed/State Project Number:    STP-142C(119)AG Project:    23018(04) Category:    0600/STAKING
0048 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000   1.000 $5,500.00 $0.00 $5,500.00
Subtotals For Category     0600/STAKING    $0.00 $5,500.00
Fed/State Project Number:    STP-142C(119)AG Project:    23018(04) Category:    0640/CONSTRUCTION
0049 SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $2,800.00 $0.00 $2,800.00
0050 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $40,000.00 $0.00 $40,000.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $42,800.00
Subtotals For Project STP-142C(119)AG /23018(04) $4,474.47 $1,148,691.18