Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120152   Estimate Number: 0011 , Final     Spec Year: 2009
Primary JP: 27370(04)   Residency: CIRCUIT ENGR. DISTRICT # 3 (02013)     Contract No: 711186
Date Created: 06/12/2013   Contractor FEI: 202558015     Account No: 436200

Project Number(s): ACBRF-103C(127)CI
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (EW-186): OVER UNNAMED CREEK 1.0 MILES WEST OF THE US-69 JUNCTION. PROJECT LENGTH = 0.094 MILES.
Primary County: ATOKA              
Name of Road: COUNTY ROAD              
Prime Contractor: C-GAWF CONSTRUCTION, INC.           Time Charged: 89.00
    101 E SHURDEN INDUSTRIAL BLVD           Time Allowed: 90.00
    HENRYETTA , OK   74437           Percent Time: 98.89 %

  Paid To Date: $421,502.88 Payable This Statement: $374.71

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.                                
C-GAWF CONSTRUCTION, 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:    06/12/2013
Contract ID: 120152   Estimate Number: 0011     Contract No: 711186
Residency: CIRCUIT ENGR. DISTRICT # 3 (02013)   Estimate Type: Final     Account No: 436200

Project Number(s): ACBRF-103C(127)CI
Primary Job Piece No: 27370(04)
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (EW-186): OVER UNNAMED CREEK 1.0 MILES WEST OF THE US-69 JUNCTION. PROJECT LENGTH = 0.094 MILES.
Primary County: ATOKA              
Name of Road: COUNTY ROAD              
Prime Contractor: C-GAWF CONSTRUCTION, INC.              
    101 E SHURDEN INDUSTRIAL BLVD              
    HENRYETTA , OK   74437              
Surety Company: INTERNATIONAL FIDELITY INSURANCE COMPANY              

Date Let: 04/19/2012 NTP Effective Date: 08/06/2012 Pay Period: 02/01/2013  TO  05/29/2013
Date Awarded: 05/07/2012 Date Work Began: 08/08/2012 Original Contract Time: 90
Date Contract Executed: 05/22/2012 Date Time Stopped: 12/05/2012 Current Time Charged: 89.00
Date NTP Issued: 05/29/2012 Completion Date: 12/05/2012 Current Time Allowed: 90.00
General Liability Expires: 01/03/2014 Workman's Comp Expires: 01/03/2014 Percent Time Used: 98.89 %
Specification Year: 2009        

Current Contract Amount: $421,511.99 Total to Date Prev to Date This Estimate
Bid Amount: $434,146.30 Participating: $421,511.99 $421,137.28 $374.71
Percent Complete: 100 % Non Participating: $0.00 $0.00 $0.00
Funds Available: $9.11 Total Earnings: $421,511.99 $421,137.28 $374.71
Unearned Balance: $12,643.42 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $421,511.99 $421,137.28 $374.71
Other Adjustments: $-9.11 $-9.11 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $421,502.88 $421,128.17 $374.71

Estimate Adjustment Detail

Contract ID: 120152   Estimate Number: 0011     Primary JP: 27370(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 ADD PILE SPLICE Approved 03/28/2013 0.0 $400.00
002 FINAL QUANTITY CHANGE ORDER Approved 05/15/2013 0.0 $-13,034.31


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
27370(04) 0013 Concrete Beams & Bearing Pads Stockpiled Material Adjustment 0006 $-23,325.43
27370(04) 0013 Concrete Beams & Bearing Pads Stockpiled Material Initial Payment 0002 $23,325.43
27370(04) 0015 Reinforcing Steel for Concrete Rail Stockpiled Material Adjustment 0006 $-1,375.64
27370(04) 0015 Reinforcing Steel for Concrete Rail Stockpiled Material Initial Payment 0005 $1,375.64
27370(04) 0016 Structural Steel for Bridge A Stockpiled Material Adjustment 0006 $-495.22
27370(04) 0016 Structural Steel for Bridge A Stockpiled Material Initial Payment 0005 $495.22
27370(04) 0017 Fixed Bearing Assembly Stockpiled Material Adjustment 0006 $-830.70
27370(04) 0017 Fixed Bearing Assembly Stockpiled Material Initial Payment 0005 $830.70
27370(04) 0018 Expansion Bearing Assembly Stockpiled Material Initial Payment 0005 $830.70
27370(04) 0018 Expansion Bearing Assembly Stockpiled Material Adjustment 0006 $-830.70
27370(04) 0021 Reinforcing Steel for Bridge A Stockpiled Material Initial Payment 0005 $9,825.25
27370(04) 0021 Reinforcing Steel for Bridge A Stockpiled Material Adjustment 0005 $-4,348.54
27370(04) 0021 Reinforcing Steel for Bridge A Stockpiled Material Adjustment 0006 $-5,476.71
27370(04) 0022 10" H-Pile & Pile Points Stockpiled Material Adjustment 0005 $-4,264.00
27370(04) 0022 10" H-Pile & Pile Points Stockpiled Material Initial Payment 0001 $4,264.00
27370(04) 0023 12" H-Pile & Pile Points Stockpiled Material Adjustment 0005 $-11,541.32
27370(04) 0023 12" H-Pile & Pile Points Stockpiled Material Initial Payment 0001 $12,134.00
27370(04) 0023 12" H-Pile & Pile Points Stockpiled Material Closure 0009 $-592.68
27370(04) 0024 Pile Encasements Stockpiled Material Initial Payment 0005 $126.73
27370(04) 0024 Pile Encasements Stockpiled Material Adjustment 0005 $-126.73
27370(04) 0025 Pile Encasements Stockpiled Material Closure 0009 $-6.19
27370(04) 0025 Pile Encasements Stockpiled Material Adjustment 0005 $-120.55
27370(04) 0025 Pile Encasements Stockpiled Material Initial Payment 0005 $126.74
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
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
27370(04) 0005 SOLID SLAB SODDING * Permanent Erosion Control-Out of Season 0009 0.00 $0.00 $-14,700.00
27370(04) 0005 SOLID SLAB SODDING * Permanent Erosion Control-Out of Season 0010 0.00 $0.00 $14,700.00
27370(04) 0006 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0007 104.90 $-0.02 $-2.75
27370(04) 0006 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0010 0.21 $-0.02 $-0.01
27370(04) 0006 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0011 0.01 $-0.23 $0.00
27370(04) 0007 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0007 211.40 $-0.03 $-6.34
27370(04) 0007 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0010 0.30 $-0.03 $-0.01
Subtotals For Line Item Adjustments $-9.11
* = 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: 120152   Estimate Number: 0011     Primary JP: 27370(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:    ACBRF-103C(127)CI Project:    27370(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201(A) 0102 LSUM 1.000 1.000   1.000 $4,750.00 $0.00 $4,750.00
0002 EARTHWORK 202(H) 0185 LSUM 1.000 1.000   1.000 $42,500.00 $0.00 $42,500.00
0003 TEMPORARY SILT FENCE 221(C) 2801 LF 800.000 0.000   0.000 $2.95 $0.00 $0.00
0004 TEMPORARY SILT DIKE 221(F) 0100 LF 100.000 0.000   0.000 $9.00 $0.00 $0.00
0005 SOLID SLAB SODDING 230(A) 2806 SY 2,700.000 4,998.110   4,998.110 $2.95 $0.00 $14,744.42
0006 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 500.000 369.360 0.010 369.360 $135.00 $1.35 $49,863.60
0007 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 300.000 378.330   378.330 $150.00 $0.00 $56,749.50
0008 TYPE I PLAIN RIPRAP 601(A) 0297 TON 180.000 0.000   0.000 $36.50 $0.00 $0.00
0009 60" CORR. GALV. STEEL PIPE 613(B) 0696 LF 300.000 300.000   300.000 $66.50 $0.00 $19,950.00
0010 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 3,600.000 4,535.000   4,535.000 $1.15 $0.00 $5,215.25
Subtotals For Category     0100/ROADWAY    $1.35 $193,772.77
Fed/State Project Number:    ACBRF-103C(127)CI Project:    27370(04) Category:    0200/BRIDGE A
0011 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 180.000 180.000   180.000 $15.00 $0.00 $2,700.00
0012 CLSM BACKFILL 501(G) 6309 CY 66.000 66.000   66.000 $150.00 $0.00 $9,900.00
0013 PRESTRESSED CONCRETE BEAMS (TYPE II) 503(A) 1311 LF 164.000 164.000   164.000 $225.00 $0.00 $36,900.00
0014 SAW-CUT GROOVING 504(B) 1305 SY 142.200 152.000   152.000 $15.00 $0.00 $2,280.00
0015 CONCRETE RAIL (TR3) 504(D) 6239 LF 165.600 165.600   165.600 $65.00 $0.00 $10,764.00
0016 STRUCTURAL STEEL 506(A) 1322 LB 280.000 280.000   280.000 $3.75 $0.00 $1,050.00
0017 WEATHERING STEEL FIXED BEARING ASSEMBLY 507(A) 6172 EA 3.000 3.000   3.000 $750.00 $0.00 $2,250.00
0018 WEATHERING STEEL EXPANSION BEARING ASSEMBLY 507(B) 6176 EA 3.000 3.000   3.000 $750.00 $0.00 $2,250.00
0019 CLASS AA CONCRETE 509(A) 1326 CY 45.000 45.000   45.000 $575.00 $0.00 $25,875.00
0020 CLASS A CONCRETE 509(B) 1328 CY 56.800 60.400   60.400 $575.00 $0.00 $34,730.00
0021 REINFORCING STEEL 511(A) 1332 LB 19,160.000 19,160.000   19,160.000 $1.13 $0.00 $21,650.80
0022 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 192.000 198.920   198.920 $35.00 $0.00 $6,962.20
0023 PILES, FURNISHED (HP 12X53) 514(A) 6011 LF 450.000 450.000   450.000 $40.00 $0.00 $18,000.00
0024 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 192.000 195.590 -3.330 195.590 $8.00 $-26.64 $1,564.72
0025 PILES, DRIVEN (HP 12X53) 514(B) 6294 LF 450.000 428.110   428.110 $8.00 $0.00 $3,424.88
0026 TYPE I-A PLAIN RIPRAP 601(B) 1353 TON 330.000 147.790   147.790 $36.50 $0.00 $5,394.34
0027 FILTER FABRIC (RIPRAP) 601(I) 6312 SY 250.000 91.780   91.780 $3.25 $0.00 $298.28
0028 6" PERFORATED PIPE UNDERDRAIN ROUND 613(H) 6204 LF 52.000 52.000   52.000 $20.00 $0.00 $1,040.00
0029 6" NON-PERF.PIPE UNDERDRAIN RND. 613(I) 6207 LF 80.000 64.000   64.000 $20.00 $0.00 $1,280.00
0030 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $7,500.00 $0.00 $7,500.00
0031 GUARDRAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 4.000 4.000   4.000 $2,450.00 $0.00 $9,800.00
0032 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $3,200.00 $0.00 $3,200.00
8001 PILE SPLICE, H-PILE (NON-BIDDABLE) 514(L) 6220 EA 0.000 1.000 1.000 1.000 $400.00 $400.00 $400.00
Subtotals For Category     0200/BRIDGE A    $373.36 $209,214.22
Fed/State Project Number:    ACBRF-103C(127)CI Project:    27370(04) Category:    0600/STAKING
0033 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000   1.000 $4,750.00 $0.00 $4,750.00
Subtotals For Category     0600/STAKING    $0.00 $4,750.00
Fed/State Project Number:    ACBRF-103C(127)CI Project:    27370(04) Category:    0640/CONSTRUCTION
0034 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $13,775.00 $0.00 $13,775.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $13,775.00
Subtotals For Project ACBRF-103C(127)CI /27370(04) $374.71 $421,511.99