Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120156   Estimate Number: 0020 , Final     Spec Year: 2009
Primary JP: 21614(04)   Residency: DUNCAN (07100)     Contract No: 711180
Date Created: 02/13/2015   Contractor FEI: 581401469     Account No: 436700

Project Number(s): STP-116C(110)CI
Contract Description: GRADE, DRAIN, AND SURFACE COUNTY ROAD (EW-167): FROM SH-115, EXTEND EAST. PROJECT LENGTH = 5.356 MILES.
Primary County: COMANCHE              
Name of Road: COUNTY ROAD              
Prime Contractor: APAC-CENTRAL, INC.           Time Charged: 191.00
    THUNDERHEAD           Time Allowed: 184.00
    Tulsa , OK   74116           Percent Time: 103.80 %

  Paid To Date: $5,346,717.80 Payable This Statement: $-1,423.17

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.                                
APAC-CENTRAL, 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:    02/13/2015
Contract ID: 120156   Estimate Number: 0020     Contract No: 711180
Residency: DUNCAN (07100)   Estimate Type: Final     Account No: 436700

Project Number(s): STP-116C(110)CI
Primary Job Piece No: 21614(04)
Contract Description: GRADE, DRAIN, AND SURFACE COUNTY ROAD (EW-167): FROM SH-115, EXTEND EAST. PROJECT LENGTH = 5.356 MILES.
Primary County: COMANCHE              
Name of Road: COUNTY ROAD              
Prime Contractor: APAC-CENTRAL, INC.              
    THUNDERHEAD              
    Tulsa , OK   74116              
Surety Company: XL SPECIALTY INSURANCE COMPANY              

Date Let: 04/19/2012 NTP Effective Date: 08/06/2012 Pay Period: 12/16/2013  TO  12/31/2014
Date Awarded: 05/07/2012 Date Work Began: 07/09/2012 Original Contract Time: 165
Date Contract Executed: 05/16/2012 Date Time Stopped: 05/29/2013 Current Time Charged: 191.00
Date NTP Issued: 05/18/2012 Completion Date: 05/29/2013 Current Time Allowed: 184.00
General Liability Expires: 09/01/2015 Workman's Comp Expires: 09/01/2015 Percent Time Used: 103.80 %
Specification Year: 2009        

Bid Amount: $5,233,521.39 Total to Date Prev to Date This Estimate
Funds Available (Bid + Positive C/O): $5,365,663.54 Participating: $5,365,663.58 $5,367,086.75 $-1,423.17
Percent Complete: 99.65 % Non Participating: $0.00 $0.00 $0.00
Unearned Balance: $18,945.74 Total Earnings: $5,365,663.58 $5,367,086.75 $-1,423.17
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $5,365,663.58 $5,367,086.75 $-1,423.17
Other Adjustments: $-12,945.78 $-12,945.78 $0.00
Liq Dam/Disincentive: $-6,000.00 $-6,000.00 $0.00
TOTAL: $5,346,717.80 $5,348,140.97 $-1,423.17

Estimate Adjustment Detail

Contract ID: 120156   Estimate Number: 0020     Primary JP: 21614(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Adds Removal of Asphalt Pavement Approved 10/08/2013 0.0 $78,124.80
002 Adds 19 days to the contract Approved 08/23/2013 19.0 $0.00
003 Requests Additional Appropriations Approved 05/24/2013 0.0 $49,504.50
004 Adds 24" Traffic Stripe Approved 02/04/2014 0.0 $580.80
005 FINAL QUANTITY CHANGE ORDER Approved 01/06/2015 0.0 $3,932.05


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
System Application of Liquidated Damages 0012 --3.0 $1,000.00 $-3,000.00
System Application of Liquidated Damages 0013 --14 $1,000.00 $-14,000.00
System Application of Liquidated Damages 0014 --8.0 $1,000.00 $-8,000.00
System Application of Liquidated Damages 0018 -19.0 $1,000.00 $19,000.00
Subtotals For Liquidated Damages $-6,000.00


CONTRACT ADJUSTMENTS HISTORY
Adjustment Description Estimate Nbr Adjustment Amount
Withhold to Funds Avail(Prog. Est. Only) 0017 $-51,343.33
Withhold to Funds Avail(Prog. Est. Only) 0018 $51,343.33
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
21614(04) 0015 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0007 12,647.65 $-0.02 $-332.00
21614(04) 0015 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0008 5,649.30 $-0.02 $-148.29
21614(04) 0015 SUPERPAVE, TYPE S3(PG 64-22 OK) * HMA Deduction as per Sec. 411 0008 -108.00 $62.86 $-6,788.88
21614(04) 0015 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0010 6,223.15 $-0.02 $-163.36
21614(04) 0015 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0013 5,320.16 $-0.02 $-139.65
21614(04) 0015 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0019 0.03 $-0.55 $-0.02
21614(04) 0016 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0008 3,651.15 $-0.03 $-109.54
21614(04) 0016 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0009 3,491.95 $-0.03 $-104.76
21614(04) 0016 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0010 157.24 $-0.03 $-4.72
21614(04) 0016 SUPERPAVE, TYPE S4(PG 64-22 OK) * HMA Deduction as per Sec. 411 0010 64.80 $-67.81 $-4,394.09
21614(04) 0016 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0012 2,755.19 $-0.03 $-82.66
21614(04) 0016 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0013 2,300.76 $-0.03 $-69.02
21614(04) 0016 SUPERPAVE, TYPE S4(PG 64-22 OK) * HMA Deduction as per Sec. 411 0013 -5.60 $70.40 $-394.24
21614(04) 0016 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0014 1,011.69 $-0.03 $-30.35
21614(04) 0016 SUPERPAVE, TYPE S4(PG 64-22 OK) * ROADWAY DENSITY 0014 -8.00 $67.81 $-542.48
21614(04) 0016 SUPERPAVE, TYPE S4(PG 64-22 OK) * HMA Deduction as per Sec. 411 0019 5.60 $70.40 $394.24
21614(04) 0016 SUPERPAVE, TYPE S4(PG 64-22 OK) * HMA Deduction as per Sec. 411 0019 -14.13 $67.81 $-958.18
21614(04) 0016 SUPERPAVE, TYPE S4(PG 64-22 OK) * ROADWAY DENSITY 0019 8.00 $67.81 $542.48
21614(04) 0016 SUPERPAVE, TYPE S4(PG 64-22 OK) * HMA Deduction as per Sec. 411 0019 64.80 $67.81 $4,394.09
21614(04) 0016 SUPERPAVE, TYPE S4(PG 64-22 OK) * HMA Deduction as per Sec. 411 0019 -48.00 $67.81 $-3,254.88
21614(04) 0016 SUPERPAVE, TYPE S4(PG 64-22 OK) * HMA Deduction as per Sec. 411 0019 -11.20 $67.81 $-759.47
21614(04) 0051 GUARDRAIL ANCHOR UNIT (TYPE II) * SUBSTANDARD ITEM 0013 -6.00 $2,538.25 $-15,229.50
21614(04) 0051 GUARDRAIL ANCHOR UNIT (TYPE II) * SUBSTANDARD ITEM 0014 6.00 $2,538.25 $15,229.50
Subtotals For Line Item Adjustments $-12,945.78
* = 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: 120156   Estimate Number: 0020     Primary JP: 21614(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-116C(110)CI Project:    21614(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201(A) 0102 LSUM 1.000 1.000   1.000 $24,000.00 $0.00 $24,000.00
0002 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 22,679.000 22,679.000   22,679.000 $13.75 $0.00 $311,836.26
0003 TEMPORARY SILT FENCE 221(C) 2801 LF 3,700.000 1,877.000   1,877.000 $1.10 $0.00 $2,064.70
0004 TEMPORARY SEDIMENT FILTER 221(D) 2803 EA 11.000 0.000   0.000 $134.71 $0.00 $0.00
0005 TEMPORARY SILT DIKE 221(F) 0100 LF 2,550.000 1,123.000   1,123.000 $5.29 $0.00 $5,940.67
0006 SOLID SLAB SODDING 230(A) 2806 SY 70,490.000 147,658.680   147,658.680 $1.14 $0.00 $168,330.90
0007 SEEDING METHOD B 232(B) 2814 AC 15.000 0.000   0.000 $431.70 $0.00 $0.00
0008 VEGETATIVE MULCHING 233(A) 2817 AC 15.000 0.000   0.000 $431.70 $0.00 $0.00
0009 AGGREGATE BASE TYPE A 303(A) 2100 CY 4,382.000 4,327.100   4,327.100 $34.39 $0.00 $148,808.96
0010 FLY ASH 307(A) 4200 TON 5,480.000 5,237.240 -4.740 5,237.240 $75.56 $-358.15 $395,725.86
0011 CEMENTITIOUS STABILIZED SUBGRADE 307(E) 4240 SY 96,790.000 96,299.270 623.020 96,299.270 $1.46 $909.61 $140,596.94
0012 PROCESSING EXISTING BASE & SURFACE, METHOD C 311(C) 0153 LF 23,662.000 23,600.410 -122.000 23,600.410 $6.82 $-832.04 $160,954.79
0013 TACK COAT 407(B) 0250 GAL 10,583.000 4,737.500   4,737.500 $2.37 $0.00 $11,227.87
0014 PRIME COAT 408 5774 GAL 24,318.000 27,598.000   27,598.000 $6.57 $0.00 $181,318.86
0015 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 30,347.000 29,840.110 -0.180 29,840.110 $62.86 $-11.31 $1,875,749.33
0016 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 13,430.000 13,367.980   13,367.980 $67.81 $0.00 $906,482.72
0017 STRUCTURAL EXCAVATION UNCLASSIFIED 501(A) 0313 CY 70.000 70.000   70.000 $20.11 $0.00 $1,407.70
0018 CLASS AA CONCRETE 509(A) 0319 CY 131.800 131.800   131.800 $477.72 $0.00 $62,963.50
0019 CLASS A CONCRETE 509(B) 0321 CY 31.010 31.010   31.010 $557.91 $0.00 $17,300.79
0020 CLASS C CONCRETE 509(D) 0325 CY 20.000 0.000   0.000 $251.31 $0.00 $0.00
0021 REINFORCING STEEL 511(A) 0332 LB 28,843.000 28,843.000   28,843.000 $0.92 $0.00 $26,535.56
0022 TYPE I PLAIN RIPRAP 601(A) 0297 TON 760.000 825.980   825.980 $39.18 $0.00 $32,361.90
0023 6" CONCRETE DRIVEWAY 610(B) 0604 SY 72.000 171.380   171.380 $81.76 $0.00 $14,012.03
0024 24" R.C.PIPE CLASS III 613(A) 0492 LF 126.000 128.000   128.000 $68.38 $0.00 $8,752.64
0025 30" R.C.PIPE CLASS III 613(A) 0493 LF 200.000 251.000   251.000 $76.06 $0.00 $19,091.06
0026 36" R.C.PIPE CLASS III 613(A) 0494 LF 280.000 272.000   272.000 $103.90 $0.00 $28,260.80
0027 26" X 15" R.C.PIPE ARCH CLASS A-III 613(A) 4404 LF 120.000 120.000   120.000 $67.88 $0.00 $8,145.60
0028 22" X 13" R.C.PIPE ARCH CLASS A-III 613(A) 4495 LF 260.000 256.000   256.000 $59.68 $0.00 $15,278.08
0029 28" X 18" R.C.PIPE ARCH CLASS A-III 613(A) 4496 LF 50.000 40.000   40.000 $87.63 $0.00 $3,505.20
0030 36" X 22" R.C.PIPE ARCH CLASS A-III 613(A) 4497 LF 148.000 144.000   144.000 $97.08 $0.00 $13,979.52
0031 51" X 31" R.C.PIPE ARCH CLASS A-III 613(A) 4499 LF 126.000 140.000   140.000 $136.28 $0.00 $19,079.20
0032 18" CORR. GALV. STEEL PIPE 613(B) 0689 LF 102.000 102.000   102.000 $24.13 $0.00 $2,461.26
0033 21" X 15" CORR. GALV. STEEL PIPE ARCH 613(B) 4527 LF 1,682.000 1,816.000 -68.000 1,816.000 $23.78 $-1,617.04 $43,184.48
0034 28" X 20" CORR. GALV. STEEL PIPE ARCH 613(B) 4528 LF 466.000 528.000   528.000 $29.42 $0.00 $15,533.76
0035 35" X 24" CORR. GALV. STEEL PIPE ARCH 613(B) 4529 LF 236.000 236.000   236.000 $36.04 $0.00 $8,505.44
0036 21" X 15" PREFAB. CULVERT END SECTION, ARCH 613(L) 4504 EA 94.000 102.000   102.000 $214.89 $0.00 $21,918.78
0037 28" X 20" PREFAB. CULVERT END SECTION, ARCH 613(L) 4516 EA 26.000 28.000   28.000 $258.17 $0.00 $7,228.76
0038 35" X 24" PREFAB. CULVERT END SECTION, ARCH 613(L) 4522 EA 12.000 12.000   12.000 $314.29 $0.00 $3,771.48
0039 18" PREFAB. CULVERT END SECTION, ROUND 613(L) 5726 EA 6.000 6.000   6.000 $607.13 $0.00 $3,642.78
0040 TYPE AA4 CULVERT END TREATMENT 613(M) 7191 EA 6.000 6.000   6.000 $1,947.66 $0.00 $11,685.96
0041 TYPE BB4 CULVERT END TREATMENT 613(M) 7192 EA 2.000 2.000   2.000 $2,870.06 $0.00 $5,740.12
0042 TYPE CC4 CULVERT END TREATMENT 613(M) 7193 EA 4.000 4.000   4.000 $3,222.58 $0.00 $12,890.32
0043 TYPE DD4 CULVERT END TREATMENT 613(M) 7194 EA 4.000 4.000   4.000 $3,211.37 $0.00 $12,845.48
0044 SPECIAL END SECTION OF 24" RCP ROUND 613(O) 4375 EA 6.000 6.000   6.000 $721.91 $0.00 $4,331.46
0045 SPECIAL END SECTION OF 30" RCP ROUND 613(O) 4377 EA 2.000 2.000   2.000 $864.07 $0.00 $1,728.14
0046 SPECIAL END SECTION OF 28" X 18" RCP ARCH 613(O) 4804 EA 2.000 2.000   2.000 $697.69 $0.00 $1,395.38
0047 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 1.000 1.000   1.000 $22,288.94 $0.00 $22,288.95
0048 REMOVAL OF HEADWALL 619(B) 0291 EA 2.000 2.000   2.000 $1,234.32 $0.00 $2,468.64
0049 SAWING PAVEMENT 619(C) 0924 LF 325.000 365.000   365.000 $4.66 $0.00 $1,700.90
0050 BEAM GUARDRAIL W-BEAM SINGLE 623(A) 0932 LF 16.880 16.880   16.880 $44.23 $0.00 $746.60
0051 GUARDRAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 16.000 16.000   16.000 $2,538.25 $0.00 $40,612.00
0052 FENCE-STYLE SWF (5 BARBED WIRE) 624(C) 4459 LF 3,655.000 6,232.000   6,232.000 $9.08 $0.00 $56,586.56
0053 GATE, GALVANIZED STEEL 624(D) 4470 EA 2.000 2.000   2.000 $1,025.77 $0.00 $2,051.54
0054 REMOVE AND RESET MAILBOX 629(E) 5048 EA 53.000 50.000   50.000 $177.41 $0.00 $8,870.50
0055 SHEET ALUMINUM SIGNS 850(A) 8110 SF 52.870 63.230   63.230 $14.07 $0.00 $889.65
0056 2 1/4" SQUARE TUBE POST 851(C) 8327 LF 130.000 122.900   122.900 $10.05 $0.00 $1,235.15
0057 TRAFFIC STRIPE(PAINT)(4" WIDE) 854(A) 8800 LF 42,092.000 44,756.000 -792.000 44,756.000 $0.12 $-95.04 $5,370.72
0058 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $20,000.00 $0.00 $20,000.00
8000 CONSTRUCTION MISCELLANEOUS 104 0300 LF 0.000 132.000 132.000 132.000 $4.40 $580.80 $580.80
8001 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 0.000 14,874.910   14,874.910 $5.20 $0.00 $77,349.53
Subtotals For Category     0100/ROADWAY    $-1,423.17 $5,001,326.58
Fed/State Project Number:    STP-116C(110)CI Project:    21614(04) Category:    0600/STAKING
0059 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000   1.000 $80,000.00 $0.00 $80,000.00
Subtotals For Category     0600/STAKING    $0.00 $80,000.00
Fed/State Project Number:    STP-116C(110)CI Project:    21614(04) Category:    0640/CONSTRUCTION
0060 SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $10,000.00 $0.00 $10,000.00
0061 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $274,337.00 $0.00 $274,337.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $284,337.00
Subtotals For Project STP-116C(110)CI /21614(04) $-1,423.17 $5,365,663.58