Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120140   Estimate Number: 0014 , Final     Spec Year: 2009
Primary JP: 28315(04)   Residency: PERRY (04100)     Contract No: 711072
Date Created: 09/10/2013   Contractor FEI: 731427175     Account No: 404400

Project Number(s): SBR-136N(211)SB
Contract Description: BRIDGE REHABILITATION US-60B/US-177: OVER US-60 IN TONKAWA. PROJECT LENGTH = 0.062 MILES.
Primary County: KAY              
Name of Road: US-60B / US-177              
Prime Contractor: K & R BUILDERS, INC.           Time Charged: 96.00
    P.O. BOX 656           Time Allowed: 101.00
    WHEATLAND , OK   73097           Percent Time: 95.05 %

  Paid To Date: $1,219,562.95 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.                                
K & R BUILDERS, 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:    09/10/2013
Contract ID: 120140   Estimate Number: 0014     Contract No: 711072
Residency: PERRY (04100)   Estimate Type: Final     Account No: 404400

Project Number(s): SBR-136N(211)SB
Primary Job Piece No: 28315(04)
Contract Description: BRIDGE REHABILITATION US-60B/US-177: OVER US-60 IN TONKAWA. PROJECT LENGTH = 0.062 MILES.
Primary County: KAY              
Name of Road: US-60B / US-177              
Prime Contractor: K & R BUILDERS, INC.              
    P.O. BOX 656              
    WHEATLAND , OK   73097              
Surety Company: OHIO CASUALTY INSURANCE COMPANY              

Date Let: 03/15/2012 NTP Effective Date: 08/06/2012 Pay Period: 08/30/2013  TO  09/10/2013
Date Awarded: 04/02/2012 Date Work Began: 08/06/2012 Original Contract Time: 90
Date Contract Executed: 04/13/2012 Date Time Stopped: 07/24/2013 Current Time Charged: 96.00
Date NTP Issued: 04/18/2012 Completion Date: 07/24/2013 Current Time Allowed: 101.00
General Liability Expires: 05/01/2014 Workman's Comp Expires: 07/01/2014 Percent Time Used: 95.05 %
Specification Year: 2009        

Current Contract Amount: $1,219,562.95 Total to Date Prev to Date This Estimate
Bid Amount: $1,228,814.77 Participating: $0.00 $0.00 $0.00
Percent Complete: 100 % Non Participating: $1,219,562.97 $1,219,562.97 $0.00
Funds Available: $0.00 Total Earnings: $1,219,562.97 $1,219,562.97 $0.00
Unearned Balance: $9,251.82 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $1,219,562.97 $1,219,562.97 $0.00
Other Adjustments: $9,999.98 $9,999.98 $0.00
Liq Dam/Disincentive: $-10,000.00 $-10,000.00 $0.00
TOTAL: $1,219,562.95 $1,219,562.95 $0.00

Estimate Adjustment Detail

Contract ID: 120140   Estimate Number: 0014     Primary JP: 28315(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 ACCEPT PLAN QUANTITY FOR UNCLASSIFIED EXCAVATION Approved 08/17/2012 0.0 $0.00
002 ADD 4 DAYS TO MILESTONE AND CONTRACT TIME Approved 11/19/2012 8.0 $0.00
003 REVISE BRIDGE ITEM PLAN QTYS, ADD COST ADJUSTMENT, ADD TIME Approved 11/19/2012 8.0 $11,553.10
004 ADD BRIDGE SURFACE FINISH AND APPLY S4 ASPHALT DEDUCTION Approved 06/04/2013 0.0 $15,227.37
005 FINAL QUANTITY CHANGE ORDER Approved 09/09/2013 0.0 $-36,032.29


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
28315(04) 0021 Approach Slab Epoxy Reinf.Steel Stockpiled Material Adjustment 0003 $-1,997.67
28315(04) 0021 Approach Slab Epoxy Reinf.Steel Stockpiled Material Initial Payment 0002 $1,997.67
28315(04) 0024 Epoxy Reinf.Steel for Parapet walls Stockpiled Material Initial Payment 0002 $2,888.28
28315(04) 0024 Epoxy Reinf.Steel for Parapet walls Stockpiled Material Adjustment 0006 $-1,356.00
28315(04) 0024 Epoxy Reinf.Steel for Parapet walls Stockpiled Material Adjustment 0003 $-1,532.28
28315(04) 0027 Slope Wall Reinf.Steel Stockpiled Material Initial Payment 0002 $10,033.27
28315(04) 0027 Slope Wall Reinf.Steel Stockpiled Material Adjustment 0008 $-325.79
28315(04) 0027 Slope Wall Reinf.Steel Stockpiled Material Adjustment 0007 $-4,771.03
28315(04) 0027 Slope Wall Reinf.Steel Stockpiled Material Adjustment 0006 $-1,549.04
28315(04) 0027 Slope Wall Reinf.Steel Stockpiled Material Adjustment 0005 $-2,142.64
28315(04) 0027 Slope Wall Reinf.Steel Stockpiled Material Adjustment 0004 $-1,244.77
28315(04) 0028 Reinf.Steel for Abut.2 Encapsulation Stockpiled Material Adjustment 0008 $-15.58
28315(04) 0028 Reinf.Steel for Abut.2 Encapsulation Stockpiled Material Adjustment 0002 $-335.42
28315(04) 0028 Reinf.Steel for Abut.2 Encapsulation Stockpiled Material Initial Payment 0002 $351.00
28315(04) 0029 Epoxy Reinf.Steel for Bridge Deck - phase 1 Stockpiled Material Initial Payment 0001 $21,535.00
28315(04) 0029 Epoxy Reinf.Steel for Bridge Deck - phase 1 Stockpiled Material Adjustment 0002 $-21,535.00
28315(04) 0029 Epoxy Reinf.Steel for Barrier Slab Stockpiled Material Initial Payment 0002 $4,213.19
28315(04) 0029 Epoxy Reinf.Steel for Barrier Slab Stockpiled Material Adjustment 0002 $-4,213.19
Subtotals For Stockpile Payments $0.00


LIQUIDATED DAMAGES HISTORY
Adjustment Description Estimate Nbr Time Units Rate Adjustment Amount
System Application of Liquidated Damages 0007 --3.0 $750.00 $-2,250.00
System Application of Liquidated Damages 0008 -3.0 $750.00 $2,250.00
Subtotals For Liquidated Damages $0.00


CONTRACT ADJUSTMENTS HISTORY
Adjustment Description Estimate Nbr Adjustment Amount
Milestone Adjust. (Prog. Est. Only) 0006 $10,000.00
LD Adjustment (Prog. Est. Only) 0007 $2,250.00
LD Adjustment (Prog. Est. Only) 0008 $-2,250.00
Round Error Correction (Final Est. Only) 0013 $-0.02
Subtotals For Contract Adjustments $9,999.98


LINE ITEM ADJUSTMENT HISTORY
Project Item Nbr Line Item Description Adjustment Type Estimate Nbr Adj Quantity Unit Price Adjusted Amount
28315(04) 0009 SUPERPAVE, TYPE S4(PG 64-22 OK) * Material Discrepancy Adjustments 0006 0.00 $0.00 $-9,633.48
28315(04) 0009 SUPERPAVE, TYPE S4(PG 64-22 OK) * Material Discrepancy Adjustments 0012 0.00 $0.00 $9,633.48
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
01 Incentive/Disincentive for Early/Late Completion 08/06/2012 10/25/2012 80.00 DYS $2,000.00 Y


MILESTONE ADJUSTMENTS
Milestone Number Milestone Adjustment Description Estimate Nbr Total
01 System Application of Disincentive Adj 0006 $-10,000.00
Subtotals For Milestones $-10,000.00

Line Item Detail

Contract ID: 120140   Estimate Number: 0014     Primary JP: 28315(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:    SBR-136N(211)SB Project:    28315(04) Category:    0100/ROADWAY
0001 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 200.000 200.000   200.000 $11.00 $0.00 $2,200.00
0002 UNCLASSIFIED BORROW 202(D) 0184 CY 2,200.000 3,849.200   3,849.200 $12.99 $0.00 $50,001.11
0003 TEMPORARY SILT FENCE 221(C) 2801 LF 1,000.000 765.000   765.000 $1.95 $0.00 $1,491.75
0004 SOLID SLAB SODDING 230(A) 2806 SY 4,000.000 8,232.310   8,232.310 $2.40 $0.00 $19,757.54
0005 AGGREGATE BASE TYPE A 303(A) 2100 CY 152.000 173.920   173.920 $72.00 $0.00 $12,522.24
0006 FOG SEAL 407(A) 4659 GAL 49.360 0.000   0.000 $25.00 $0.00 $0.00
0007 TACK COAT 407(B) 0250 GAL 185.130 200.000   200.000 $4.00 $0.00 $800.00
0008 PRIME COAT 408 5774 GAL 392.000 0.000   0.000 $10.00 $0.00 $0.00
0009 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 660.370 405.620   405.620 $125.00 $0.00 $50,702.50
0010 COLD MILLING PAVEMENT 412 5267 SY 2,468.400 3,267.390   3,267.390 $11.00 $0.00 $35,941.29
0011 CLASS AA CONCRETE 509(A) 0319 CY 53.800 53.800   53.800 $495.00 $0.00 $26,631.00
0012 CLASS C CONCRETE 509(D) 0325 CY 17.300 17.320   17.320 $525.00 $0.00 $9,093.00
0013 EPOXY COATED REINFORCING STEEL 511(B) 4269 LB 7,496.000 7,496.000   7,496.000 $1.05 $0.00 $7,870.80
0014 REMOVAL OF GUARDRAIL 619(B) 4780 LF 510.000 510.000   510.000 $3.50 $0.00 $1,785.00
0015 SAWING PAVEMENT 619(C) 0924 LF 910.000 1,388.000   1,388.000 $5.75 $0.00 $7,981.00
0016 (PL)GUARDRAIL CURBING 623 0100 EA 4.000 4.000   4.000 $657.00 $0.00 $2,628.00
0017 BEAM GUARDRAIL W-BEAM SINGLE 623(A) 0932 LF 945.500 945.500   945.500 $18.00 $0.00 $17,019.00
0018 GUARDRAIL ANCHOR UNIT (TYPE B) 623(F) 4447 EA 2.000 2.000   2.000 $775.00 $0.00 $1,550.00
0019 GUARDRAIL END TREATMENT (GET) 623(G) 8571 EA 4.000 4.000   4.000 $2,500.00 $0.00 $10,000.00
0020 GUARDRAIL BRIDGE CONNECTION-TYPE A 623(I) 8675 EA 6.000 6.000   6.000 $1,500.00 $0.00 $9,000.00
8002 ADJUSTMENT FOR NON-CONFORMING MATERIALS 105 2100 LSUM 0.000 -1.000   -1.000 $9,633.48 $0.00 $-9,633.48
Subtotals For Category     0100/ROADWAY    $0.00 $257,340.75
Fed/State Project Number:    SBR-136N(211)SB Project:    28315(04) Category:    0200/BRIDGE A
0021 APPROACH SLAB 504(A) 1304 SY 204.400 204.400   204.400 $205.00 $0.00 $41,902.00
0022 SAW-CUT GROOVING 504(B) 1305 SY 1,078.200 1,078.200   1,078.200 $4.00 $0.00 $4,312.80
0023 SEALED EXPANSION JOINT 504(C) 6250 LF 92.000 92.000   92.000 $305.00 $0.00 $28,060.00
0024 CONCRETE PARAPET 504(E) 1381 LF 652.000 652.000   652.000 $95.00 $0.00 $61,940.00
0025 STRUCTURAL STEEL 506(A) 1322 LB 1,280.000 820.260   820.260 $5.50 $0.00 $4,511.43
0026 CLASS AA CONCRETE 509(A) 1326 CY 241.800 246.800   246.800 $780.00 $0.00 $192,504.00
0027 SLOPE WALL (4") 510(C) 6137 SY 2,983.100 1,832.610   1,832.610 $65.50 $0.00 $120,035.97
0028 REINFORCING STEEL 511(A) 1332 LB 622.000 1,244.000   1,244.000 $1.05 $0.00 $1,306.20
0029 EPOXY COATED REINFORCING STEEL 511(B) 6010 LB 78,845.000 78,845.000   78,845.000 $1.09 $0.00 $85,941.06
0030 PAINTING EXISTING STRUCTURES 512(A) 1323 LSUM 1.000 1.000   1.000 $33,500.00 $0.00 $33,500.00
0031 COLLECTION AND HANDLING OF WASTE 512(B) 6303 LSUM 1.000 1.000   1.000 $4,500.00 $0.00 $4,500.00
0032 WATER REPELLENT (VISUALLY INSPECTED) 515(A) 6013 SY 340.200 288.140   288.140 $4.60 $0.00 $1,325.44
0033 PREPARATION OF CRACKS, ABOVE WATER 520(A) 6058 LF 65.000 39.000   39.000 $55.00 $0.00 $2,145.00
0034 EPOXY RESIN, ABOVE WATER 520(C) 6060 GAL 2.500 0.380   0.380 $55.00 $0.00 $20.90
0035 PNEUMATICALLY PLACED MORTAR 521(A) 6210 SY 11.000 11.460   11.460 $650.00 $0.00 $7,449.00
0036 SEALER CRACK PREPARATION 523(A) 6550 LF 186.000 186.000   186.000 $4.00 $0.00 $744.00
0037 SEALER RESIN 523(B) 6560 GAL 1.900 1.000   1.000 $200.00 $0.00 $200.00
0038 (SP)CORROSION INHIBITOR(SURFACE APPLIED) 535 6130 SY 59.800 59.840   59.840 $25.00 $0.00 $1,496.00
0039 (PL)REPAIR BRIDGE ITEM (TYPE A) 540 4515 EA 4.000 0.000   0.000 $1,100.00 $0.00 $0.00
0040 (PL)REPAIR BRIDGE ITEM (TYPE B) 540 4525 EA 12.000 12.000   12.000 $1,800.00 $0.00 $21,600.00
0041 REMOVAL OF BRIDGE ITEMS 619(B) 2500 LSUM 1.000 1.000   1.000 $140,000.00 $0.00 $140,000.00
8000 CLASS AA CONCRETE 509(A) 1326 CY 0.000 10.000   10.000 $700.00 $0.00 $7,000.00
8001 PAINTING EXISTING STRUCTURES 512(A) 1323 LSUM 0.000 1.000   1.000 $24,860.85 $0.00 $24,860.85
Subtotals For Category     0200/BRIDGE A    $0.00 $785,354.65
Fed/State Project Number:    SBR-136N(211)SB Project:    28315(04) Category:    0300/TRAFFIC
0042 (SP)PORTABLE TRAFFIC SIGNAL SYSTEM 823 8478 SD 90.000 87.000   87.000 $150.00 $0.00 $13,050.00
0043 TRAFFIC STRIPE(PAINT)(4" WIDE) 854(A) 8800 LF 14,000.000 8,733.000   8,733.000 $0.10 $0.00 $873.30
0044 CONSTRUCTION TRAFFIC STRIPE(PAINT)(4" WIDE) 857(A) 8839 LF 4,144.000 4,544.000   4,544.000 $0.12 $0.00 $545.28
0045 PAVEMENT MARKING REMOVAL(TRAFFIC STRIPE) 857(F) 8006 LF 10,000.000 3,306.000   3,306.000 $0.07 $0.00 $231.42
0046 (SP)CONST.ZONE IMPACT ATTEN. 871(B) 8705 SD 360.000 0.000   0.000 $2.40 $0.00 $0.00
0047 (PL)TRUCK MOUNTED ATTENUATOR 876(A) 8482 SD 180.000 0.000   0.000 $8.95 $0.00 $0.00
0048 DELIVER PORTABLE LONGITUDINAL BARRIER 877(B) 8484 LF 1,000.000 1,154.000   1,154.000 $26.50 $0.00 $30,581.00
0049 RELOCATION OF PORTABLE LONGITUDINAL BARRIER 877(C) 8486 LF 1,000.000 1,154.000   1,154.000 $3.60 $0.00 $4,154.40
0050 ARROW DISPLAY(TYPE C) 880(A) 8812 SD 180.000 222.000   222.000 $7.00 $0.00 $1,554.00
0051 CONSTRUCTION SIGNS 0 TO 6.25 SF 880(B) 8818 SD 6,120.000 5,979.000   5,979.000 $0.07 $0.00 $418.53
0052 CONSTRUCTION SIGNS 6.26 SF TO 15.99 SF 880(B) 8821 SD 720.000 6,279.000   6,279.000 $3.60 $0.00 $22,604.40
0053 CONSTRUCTION SIGNS 16.0 SF TO 32.99 SF 880(B) 8824 SD 3,960.000 5,982.000   5,982.000 $0.30 $0.00 $1,794.60
0054 CONSTRUCTION BARRICADES(TYPE III) 880(C) 8842 SD 14,520.000 6,112.000   6,112.000 $0.07 $0.00 $427.84
0055 WING BARRICADES 880(C) 8848 SD 720.000 0.000   0.000 $0.18 $0.00 $0.00
0056 WARNING LIGHTS(TYPE A) 880(E) 8860 SD 2,790.000 18,591.000   18,591.000 $1.15 $0.00 $21,379.65
0057 DRUMS 880(F) 8878 SD 12,240.000 15,705.000   15,705.000 $0.43 $0.00 $6,753.15
Subtotals For Category     0300/TRAFFIC    $0.00 $104,367.57
Fed/State Project Number:    SBR-136N(211)SB Project:    28315(04) Category:    0600/STAKING
0058 CONSTRUCTION STAKING LEVEL I 642(A) 0095 LSUM 1.000 1.000   1.000 $7,500.00 $0.00 $7,500.00
Subtotals For Category     0600/STAKING    $0.00 $7,500.00
Fed/State Project Number:    SBR-136N(211)SB Project:    28315(04) Category:    0640/CONSTRUCTION
0059 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $65,000.00 $0.00 $65,000.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $65,000.00
Subtotals For Project SBR-136N(211)SB /28315(04) $0.00 $1,219,562.97