Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120149   Estimate Number: 0014 , Final     Spec Year: 2009
Primary JP: 27591(04)   Residency: JACOBS (04004)     Contract No: 810388
Date Created: 07/21/2015   Contractor FEI: 760202042     Account No: 404400

Project Number(s): SBR-155N(876)SB
Contract Description: BRIDGE REHABILITATION I-44: OVER RENO AVENUE IN OKLAHOMA CITY. PROJECT LENGTH = 0.05 MILE.
Primary County: OKLAHOMA              
Name of Road: I-44              
Prime Contractor: SCR CONSTRUCTION CO., INC.           Time Charged: 114.00
    5420 FM 2218 RD.           Time Allowed: 125.00
    RICHMOND , TX   77469           Percent Time: 91.20 %

  Paid To Date: $738,323.38 Payable This Statement: $-5,551.89

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.                                
SCR 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:    07/21/2015
Contract ID: 120149   Estimate Number: 0014     Contract No: 810388
Residency: JACOBS (04004)   Estimate Type: Final     Account No: 404400

Project Number(s): SBR-155N(876)SB
Primary Job Piece No: 27591(04)
Contract Description: BRIDGE REHABILITATION I-44: OVER RENO AVENUE IN OKLAHOMA CITY. PROJECT LENGTH = 0.05 MILE.
Primary County: OKLAHOMA              
Name of Road: I-44              
Prime Contractor: SCR CONSTRUCTION CO., INC.              
    5420 FM 2218 RD.              
    RICHMOND , TX   77469              
Surety Company: LIBERTY MUTUAL INSURANCE COMPANY              

Date Let: 08/16/2012 NTP Effective Date: 01/07/2013 Pay Period: 04/01/2014  TO  05/31/2015
Date Awarded: 09/10/2012 Date Work Began: 12/17/2012 Original Contract Time: 90
Date Contract Executed: 09/28/2012 Date Time Stopped: 03/31/2014 Current Time Charged: 114.00
Date NTP Issued: 10/08/2012 Completion Date: 03/31/2014 Current Time Allowed: 125.00
General Liability Expires: 04/01/2016 Workman's Comp Expires: 04/01/2016 Percent Time Used: 91.20 %
Specification Year: 2009        

Bid Amount: $657,392.00 Total to Date Prev to Date This Estimate
Funds Available (Bid + Positive C/O): $763,920.16 Participating: $0.00 $0.00 $0.00
Percent Complete: 96.65 % Non Participating: $738,323.38 $743,875.27 $-5,551.89
Unearned Balance: $25,596.78 Total Earnings: $738,323.38 $743,875.27 $-5,551.89
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $738,323.38 $743,875.27 $-5,551.89
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $738,323.38 $743,875.27 $-5,551.89

Estimate Adjustment Detail

Contract ID: 120149   Estimate Number: 0014     Primary JP: 27591(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Additional Funding for Overruns & Time Approved 06/04/2013 31.0 $89,924.45
002 Repair of Highway Lighting and Slopewall and Time Approved 04/08/2014 4.0 $14,603.71
003 Additional Removal Approved 03/04/2015 0.0 $2,000.00
004 Final Quantity Change Order Approved 05/05/2015 0.0 $-25,596.79


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
27591(04) 0008 MBrace Saturant Stockpiled Material Initial Payment 0004 $120.46
27591(04) 0008 MBrace Saturant Stockpiled Material Adjustment 0006 $-120.46
27591(04) 0019 MBrace Putty Stockpiled Material Initial Payment 0004 $147.22
27591(04) 0019 MBrace Putty Stockpiled Material Adjustment 0009 $-147.22
27591(04) 0020 Carbon Film Stockpiled Material Closure 0012 $-2,324.99
27591(04) 0020 Carbon Film Stockpiled Material Initial Payment 0004 $2,324.99
27591(04) 0020 Thorocoat Stockpiled Material Closure 0012 $-103.04
27591(04) 0020 Thorocoat Stockpiled Material Initial Payment 0004 $103.04
27591(04) 0022 Galvanized Anodes Stockpiled Material Adjustment 0007 $-7,162.24
27591(04) 0022 Galvanized Anodes Stockpiled Material Adjustment 0006 $-5,718.24
27591(04) 0022 Galvanized Anodes Stockpiled Material Adjustment 0005 $-6,007.04
27591(04) 0022 Galvanized Anodes Stockpiled Material Initial Payment 0004 $33,269.76
27591(04) 0022 Galvanized Anodes Stockpiled Material Adjustment 0009 $-8,981.68
27591(04) 0022 Galvanized Anodes Stockpiled Material Closure 0012 $-5,400.56
27591(04) 0031 MBrace Saturant Stockpiled Material Initial Payment 0004 $120.46
27591(04) 0031 MBrace Saturant Stockpiled Material Adjustment 0006 $-120.46
27591(04) 0042 MBrace Putty Stockpiled Material Initial Payment 0004 $147.22
27591(04) 0042 MBrace Putty Stockpiled Material Adjustment 0007 $-147.22
Subtotals For Stockpile Payments $0.00


LIQUIDATED DAMAGES HISTORY
Adjustment Description Estimate Nbr Time Units Rate Adjustment Amount
System Application of Liquidated Damages 0008 --11 $500.00 $-5,500.00
System Application of Liquidated Damages 0009 --13 $500.00 $-6,500.00
System Application of Liquidated Damages 0010 -24.0 $500.00 $12,000.00
Subtotals For Liquidated Damages $0.00


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
27591(04) 0002 CLASS C CONCRETE * Overrun 0006 -29.33 $9,000.00 $-263,970.00
27591(04) 0002 CLASS C CONCRETE * Overrun Re-adjustment 0012 29.33 $9,000.00 $263,970.00
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: 120149   Estimate Number: 0014     Primary JP: 27591(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-155N(876)SB Project:    27591(04) Category:    0100/ROADWAY
0001 TEMPORARY SILT FENCE 221(C) 2801 LF 1,000.000 464.000   464.000 $4.00 $0.00 $1,856.00
0002 CLASS C CONCRETE 509(D) 0325 CY 0.300 0.620   0.620 $9,000.00 $0.00 $5,580.00
0003 REMOVAL OF GUARDRAIL 619(B) 4780 LF 175.000 218.750   218.750 $4.00 $0.00 $875.00
0004 BEAM GUARDRAIL W-BEAM SINGLE 623(A) 0932 LF 100.000 125.000   125.000 $12.00 $0.00 $1,500.00
0005 GUARDRAIL BRIDGE CONNECTION-TYPE A 623(I) 8675 EA 4.000 5.000   5.000 $1,020.00 $0.00 $5,100.00
Subtotals For Category     0100/ROADWAY    $0.00 $14,911.00
Fed/State Project Number:    SBR-155N(876)SB Project:    27591(04) Category:    0200/BRIDGE A
0006 CLSM BACKFILL 501(G) 6309 CY 18.300 1.360 1.360 1.360 $200.00 $272.00 $272.00
0007 APPROACH SLAB 504(A) 1304 SY 27.400 27.400 -0.040 27.400 $280.00 $-11.20 $7,672.00
0008 CONCRETE PARAPET 504(E) 1381 LF 38.000 38.010 0.020 38.010 $220.00 $4.40 $8,362.20
0009 RAPID CURE JOINT SEALANT 504(G) 6390 LF 480.000 441.500   441.500 $28.00 $0.00 $12,362.00
0010 STRUCTURAL STEEL 506(A) 1322 LB 500.000 0.000   0.000 $5.00 $0.00 $0.00
0011 CLASS AA CONCRETE 509(A) 1326 CY 39.600 62.830 -0.810 62.830 $3,000.00 $-2,430.00 $188,490.00
0012 SLOPE WALL (4") 510(C) 6137 SY 2.800 5.910   5.910 $800.00 $0.00 $4,728.00
0013 REINFORCING STEEL 511(A) 1332 LB 10,049.000 14,201.490 392.560 14,201.490 $0.75 $294.42 $10,651.12
0014 CLASS A BRIDGE DECK REPAIR 513(A) 6018 SY 14.200 4.920   4.920 $425.00 $0.00 $2,091.00
0015 CLASS B BRIDGE DECK REPAIR 513(B) 6019 SY 3.600 0.000   0.000 $450.00 $0.00 $0.00
0016 WATER REPELLENT (VISUALLY INSPECTED) 515(A) 6013 SY 15.200 15.120 -0.080 15.120 $35.00 $-2.80 $529.20
0017 PREPARATION OF CRACKS, ABOVE WATER 520(A) 6058 LF 70.000 0.000   0.000 $25.00 $0.00 $0.00
0018 EPOXY RESIN, ABOVE WATER 520(C) 6060 GAL 2.800 0.000   0.000 $65.00 $0.00 $0.00
0019 PNEUMATICALLY PLACED MORTAR 521(A) 6210 SY 20.000 13.540 -0.010 13.540 $600.00 $-6.00 $8,124.00
0020 (SP)CARBON FIBER-REINFORCED POLYMER 524(A) 6610 SF 223.800 0.000   0.000 $46.00 $0.00 $0.00
0021 (SP)CORROSION INHIBITOR(SURFACE APPLIED) 535 6130 SY 225.000 306.320 -56.710 306.320 $30.00 $-1,701.30 $9,189.60
0022 (PL)REPAIR BRIDGE ITEM (TYPE A) 540 4515 EA 753.000 1,047.000   1,047.000 $35.00 $0.00 $36,645.00
0023 TYPE I-A PLAIN RIPRAP 601(B) 1353 TON 306.300 227.990 34.660 227.990 $60.00 $2,079.60 $13,679.40
0024 TYPE I-A FILTER BLANKET 601(C) 1355 TON 153.100 264.720 0.620 264.720 $50.00 $31.00 $13,236.00
0025 4" CONCRETE SIDEWALK 610(A) 0602 SY 10.800 18.060 0.710 18.060 $90.00 $63.90 $1,625.40
0026 REMOVAL OF BRIDGE ITEMS 619(B) 2500 LSUM 1.000 1.000   1.000 $4,000.00 $0.00 $4,000.00
0027 REMOVAL OF BRIDGE ITEM (TYPE A) 619(B) 2510 LSUM 1.000 1.000 -0.250 1.000 $4,000.00 $-1,000.00 $4,000.00
0028 REMOVAL OF EXISTING PARAPET 619(B) 6252 LF 25.600 38.250   38.250 $60.00 $0.00 $2,295.00
8003 REMOVAL OF BRIDGE ITEM (TYPE A) 619(B) 2510 LSUM 0.000 1.000 1.000 1.000 $2,000.00 $2,000.00 $2,000.00
Subtotals For Category     0200/BRIDGE A    $-405.98 $329,951.92
Fed/State Project Number:    SBR-155N(876)SB Project:    27591(04) Category:    0201/BRIDGE B
0029 CLSM BACKFILL 501(G) 6309 CY 17.200 0.000   0.000 $200.00 $0.00 $0.00
0030 APPROACH SLAB 504(A) 1304 SY 10.800 10.800 -0.760 10.800 $280.00 $-212.80 $3,024.00
0031 CONCRETE PARAPET 504(E) 1381 LF 25.300 25.300   25.300 $220.00 $0.00 $5,566.00
0032 RAPID CURE JOINT SEALANT 504(G) 6390 LF 612.000 730.500   730.500 $28.00 $0.00 $20,454.00
0033 STRUCTURAL STEEL 506(A) 1322 LB 500.000 0.000   0.000 $5.00 $0.00 $0.00
0034 CLASS AA CONCRETE 509(A) 1326 CY 25.100 35.750 -1.090 35.750 $3,000.00 $-3,270.00 $107,250.00
0035 SLOPE WALL (4") 510(C) 6137 SY 2.800 3.930   3.930 $750.00 $0.00 $2,947.50
0036 REINFORCING STEEL 511(A) 1332 LB 7,015.000 7,705.380 -396.320 7,705.380 $0.75 $-297.24 $5,779.04
0037 CLASS A BRIDGE DECK REPAIR 513(A) 6018 SY 18.500 30.300 0.010 30.300 $425.00 $4.25 $12,877.50
0038 CLASS B BRIDGE DECK REPAIR 513(B) 6019 SY 4.600 0.000   0.000 $450.00 $0.00 $0.00
0039 WATER REPELLENT (VISUALLY INSPECTED) 515(A) 6013 SY 27.900 27.600 -0.300 27.600 $35.00 $-10.50 $966.00
0040 PREPARATION OF CRACKS, ABOVE WATER 520(A) 6058 LF 47.000 0.000   0.000 $25.00 $0.00 $0.00
0041 EPOXY RESIN, ABOVE WATER 520(C) 6060 GAL 1.900 0.000   0.000 $65.00 $0.00 $0.00
0042 PNEUMATICALLY PLACED MORTAR 521(A) 6210 SY 31.600 47.280 0.010 47.280 $600.00 $6.00 $28,368.00
0043 (SP)CORROSION INHIBITOR(SURFACE APPLIED) 535 6130 SY 155.700 204.970 28.260 204.970 $30.00 $847.80 $6,149.10
0044 (PL)REPAIR BRIDGE ITEM (TYPE A) 540 4515 EA 393.000 393.000 142.000 393.000 $35.00 $4,970.00 $13,755.00
0045 TYPE I-A PLAIN RIPRAP 601(B) 1353 TON 306.300 227.970 34.640 227.970 $60.00 $2,078.40 $13,678.20
0046 TYPE I-A FILTER BLANKET 601(C) 1355 TON 153.200 264.750 2.630 264.750 $50.00 $131.50 $13,237.50
0047 4" CONCRETE SIDEWALK 610(A) 0602 SY 10.800 11.670 -0.190 11.670 $90.00 $-17.10 $1,050.30
0048 REMOVAL OF BRIDGE ITEMS 619(B) 2500 LSUM 1.000 1.000   1.000 $4,000.00 $0.00 $4,000.00
0049 REMOVAL OF BRIDGE ITEM (TYPE A) 619(B) 2510 LSUM 1.000 1.000   1.000 $4,000.00 $0.00 $4,000.00
0050 REMOVAL OF EXISTING PARAPET 619(B) 6252 LF 25.600 25.300   25.300 $60.00 $0.00 $1,518.00
8002 CONSTRUCTION MISCELLANEOUS 104 0700 LSUM 0.000 1.000   1.000 $4,984.99 $0.00 $4,984.99
Subtotals For Category     0201/BRIDGE B    $4,230.31 $249,605.13
Fed/State Project Number:    SBR-155N(876)SB Project:    27591(04) Category:    0300/TRAFFIC
0051 TRAFFIC STRIPE(MULTI-POLYMER)(4" WIDE) 856(A) 8530 LF 1,500.000 1,248.000   1,248.000 $1.20 $0.00 $1,497.60
0052 TRAFFIC STRIPE(MULTI-POLY.)(6" WIDE) 856(A) 8535 LF 1,500.000 454.000   454.000 $3.20 $0.00 $1,452.80
0053 REMOVABLE PAVEMENT MARKING TAPE(4" WIDE) 857(C) 8851 LF 2,160.000 1,528.000   1,528.000 $0.70 $0.00 $1,069.60
0054 PAVEMENT MARKING REMOVAL(TRAFFIC STRIPE) 857(F) 8006 LF 2,118.000 1,066.000   1,066.000 $1.00 $0.00 $1,066.00
0055 (PL)TRUCK MOUNTED ATTENUATOR 876(A) 8482 SD 210.000 37.000 12.000 37.000 $4.00 $48.00 $148.00
0056 DELIVER PORTABLE LONGITUDINAL BARRIER 877(B) 8484 LF 1,400.000 480.000 -1,440.000 480.000 $9.20 $-13,248.00 $4,416.00
0057 RELOCATION OF PORTABLE LONGITUDINAL BARRIER 877(C) 8486 LF 2,800.000 1,440.000 1,440.000 1,440.000 $2.50 $3,600.00 $3,600.00
0058 ARROW DISPLAY(TYPE C) 880(A) 8812 SD 270.000 67.000 -8.000 67.000 $1.00 $-8.00 $67.00
0059 CONSTRUCTION SIGNS 0 TO 6.25 SF 880(B) 8818 SD 990.000 1,975.000 184.000 1,975.000 $0.02 $3.68 $39.50
0060 CONSTRUCTION SIGNS 6.26 SF TO 15.99 SF 880(B) 8821 SD 8,280.000 4,694.000 4.000 4,694.000 $0.02 $0.08 $93.88
0061 CONSTRUCTION SIGNS 16.0 SF TO 32.99 SF 880(B) 8824 SD 2,520.000 5,635.000 458.000 5,635.000 $0.05 $22.90 $281.75
0062 CONSTRUCTION BARRICADES(TYPE III) 880(C) 8842 SD 7,560.000 558.000 157.000 558.000 $0.02 $3.14 $11.16
0063 WING BARRICADES 880(C) 8848 SD 630.000 1,290.000 306.000 1,290.000 $0.05 $15.30 $64.50
0064 WARNING LIGHTS(TYPE A) 880(E) 8860 SD 1,710.000 8,828.000 186.000 8,828.000 $1.00 $186.00 $8,828.00
0065 (PL) CONSTRUCTION ZONE SEQUENTIAL LIGHTING SYSTEM 880(E) 8900 LSUM 1.000 1.000   1.000 $12,350.00 $0.00 $12,350.00
0066 DRUMS 880(F) 8878 SD 12,780.000 6,986.000 -1.000 6,986.000 $0.02 $-0.02 $139.72
0067 TRAFFIC SURVEILLANCE, POLICE 880(L) 8911 HOUR 1,080.000 476.000   476.000 $60.00 $0.00 $28,560.00
0068 PORT.CHANGEABLE MESSAGE SIGN 882(A) 8306 SD 720.000 361.000 7.000 361.000 $0.10 $0.70 $36.10
0069 (PL)TRAFFIC ITEMS 890 7700 LSUM 1.000 1.000   1.000 $11,075.00 $0.00 $11,075.00
8001 CONSTRUCTION MISCELLANEOUS 104 0700 LSUM 0.000 1.000   1.000 $13,058.72 $0.00 $13,058.72
Subtotals For Category     0300/TRAFFIC    $-9,376.22 $87,855.33
Fed/State Project Number:    SBR-155N(876)SB Project:    27591(04) Category:    0640/CONSTRUCTION
0070 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $56,000.00 $0.00 $56,000.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $56,000.00
Subtotals For Project SBR-155N(876)SB /27591(04) $-5,551.89 $738,323.38