Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120178   Estimate Number: 0009 , Final     Spec Year: 2009
Primary JP: 24867(07)   Residency: ENID (04300)     Contract No: 711169
Date Created: 09/09/2013   Contractor FEI: 730626847     Account No: 434400

Project Number(s): CIRB-124C(112)RB
Contract Description: GRADE, DRAIN, SURFACE, AND BRIDGE COUNTY ROAD (NS-293): FROM 7.5 MILES SOUTH OF US-64, EXTEND NORTH. PROJECT LENGTH = 4.973 MILES.
Primary County: GARFIELD              
Name of Road: COUNTY ROAD              
Prime Contractor: THE CUMMINS CONSTRUCTION CO., INC.           Time Charged: 95.00
    P. O. BOX 748           Time Allowed: 90.00
    ENID , OK   73702           Percent Time: 105.56 %

  Paid To Date: $2,768,132.13 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.                                
THE CUMMINS 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:    09/09/2013
Contract ID: 120178   Estimate Number: 0009     Contract No: 711169
Residency: ENID (04300)   Estimate Type: Final     Account No: 434400

Project Number(s): CIRB-124C(112)RB
Primary Job Piece No: 24867(07)
Contract Description: GRADE, DRAIN, SURFACE, AND BRIDGE COUNTY ROAD (NS-293): FROM 7.5 MILES SOUTH OF US-64, EXTEND NORTH. PROJECT LENGTH = 4.973 MILES.
Primary County: GARFIELD              
Name of Road: COUNTY ROAD              
Prime Contractor: THE CUMMINS CONSTRUCTION CO., INC.              
    P. O. BOX 748              
    ENID , OK   73702              
Surety Company: HARTFORD ACCIDENT & INDEMNITY COMPANY              

Date Let: 04/19/2012 NTP Effective Date: 06/18/2012 Pay Period: 08/01/2013  TO  09/09/2013
Date Awarded: 05/07/2012 Date Work Began: 07/17/2012 Original Contract Time: 90
Date Contract Executed: 05/16/2012 Date Time Stopped: 02/13/2013 Current Time Charged: 95.00
Date NTP Issued: 05/18/2012 Completion Date: 02/13/2013 Current Time Allowed: 90.00
General Liability Expires: 09/01/2013 Workman's Comp Expires: 01/01/2014 Percent Time Used: 105.56 %
Specification Year: 2009        

Current Contract Amount: $2,771,882.11 Total to Date Prev to Date This Estimate
Bid Amount: $2,915,938.66 Participating: $0.00 $0.00 $0.00
Percent Complete: 99.86 % Non Participating: $2,771,882.13 $2,771,882.13 $0.00
Funds Available: $3,749.98 Total Earnings: $2,771,882.13 $2,771,882.13 $0.00
Unearned Balance: $147,806.53 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $2,771,882.13 $2,771,882.13 $0.00
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $-3,750.00 $-3,750.00 $0.00
TOTAL: $2,768,132.13 $2,768,132.13 $0.00

Estimate Adjustment Detail

Contract ID: 120178   Estimate Number: 0009     Primary JP: 24867(07)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Multi-Polimer stripe replacement Approved 10/08/2012 0.0 $0.00
002 Ride Specification Approved 07/24/2013 0.0 $35,559.44
003 FQCO Approved 08/22/2013 0.0 $-179,615.99


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 0005 --5.0 $750.00 $-3,750.00
Subtotals For Liquidated Damages $-3,750.00


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
24867(07) 0006 CEMENTITIOUS STABILIZED SUBGRADE * Missing Material Certification 0001 -53,688.00 $2.00 $-107,376.00
24867(07) 0006 CEMENTITIOUS STABILIZED SUBGRADE * Missing Material Certification 0002 53,688.00 $2.00 $107,376.00
24867(07) 0007 PROCESSING EXISTING BASE & SURFACE, METHOD D * Missing Material Certification 0001 -21,120.00 $3.80 $-80,256.00
24867(07) 0007 PROCESSING EXISTING BASE & SURFACE, METHOD D * Missing Material Certification 0002 21,120.00 $3.80 $80,256.00
24867(07) 0014 FLY ASH * Missing Material Certification 0001 -1,714.64 $59.15 $-101,420.96
24867(07) 0014 FLY ASH * Missing Material Certification 0003 1,714.64 $59.15 $101,420.96
24867(07) 0024 TRAFFIC STRIPE(PLASTIC)(4" WIDE) * Missing Material Certification 0005 -74,010.00 $0.40 $-29,604.00
24867(07) 0024 TRAFFIC STRIPE(PLASTIC)(4" WIDE) * Missing Material Certification 0006 74,010.00 $0.40 $29,604.00
24867(07) 0026 BRIDGE TRAFFIC RAIL * Missing Material Certification 0001 -131.50 $105.00 $-13,807.50
24867(07) 0026 BRIDGE TRAFFIC RAIL * Missing Material Certification 0002 -394.50 $105.00 $-41,422.50
24867(07) 0026 BRIDGE TRAFFIC RAIL * Missing Material Certification 0003 394.50 $105.00 $41,422.50
24867(07) 0026 BRIDGE TRAFFIC RAIL * Missing Material Certification 0004 131.50 $105.00 $13,807.50
24867(07) 0027 RAPID CURE JOINT SEALANT * Missing Material Certification 0005 -65.00 $55.25 $-3,591.25
24867(07) 0027 RAPID CURE JOINT SEALANT * Missing Material Certification 0006 65.00 $55.25 $3,591.25
24867(07) 0028 ELASTOMERIC MORTAR * Missing Material Certification 0005 -5.42 $1,240.00 $-6,720.80
24867(07) 0028 ELASTOMERIC MORTAR * Missing Material Certification 0006 5.42 $1,240.00 $6,720.80
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: 120178   Estimate Number: 0009     Primary JP: 24867(07)



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:    CIRB-124C(112)RB Project:    24867(07) Category:    0100/ROADWAY
0001 EARTHWORK 202(H) 0185 LSUM 1.000 1.000   1.000 $54,000.00 $0.00 $54,000.00
0002 TEMPORARY SILT FENCE 221(C) 2801 LF 1,316.000 0.000   0.000 $1.30 $0.00 $0.00
0003 TEMPORARY SILT DIKE 221(F) 0100 LF 1,200.000 0.000   0.000 $8.50 $0.00 $0.00
0004 SOLID SLAB SODDING 230(A) 2806 SY 20,426.000 19,816.600   19,816.600 $1.40 $0.00 $27,743.24
0005 VEGETATIVE MULCHING 233(A) 2817 AC 4.220 0.000   0.000 $685.00 $0.00 $0.00
0006 CEMENTITIOUS STABILIZED SUBGRADE 307(E) 4240 SY 67,114.000 70,628.000   70,628.000 $2.00 $0.00 $141,256.00
0007 PROCESSING EXISTING BASE & SURFACE, METHOD D 311(D) 0154 LF 26,602.000 26,001.000   26,001.000 $3.80 $0.00 $98,803.80
0008 TRAFFIC BOUND SURFACE COURSE TYPE E 402(E) 0225 TON 393.000 538.080   538.080 $32.60 $0.00 $17,541.41
0009 TACK COAT 407(B) 0250 GAL 3,367.000 3,552.000   3,552.000 $3.75 $0.00 $13,320.00
0010 PRIME COAT 408 5774 GAL 10,537.000 0.000   0.000 $4.00 $0.00 $0.00
0011 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 15,383.000 14,638.620   14,638.620 $70.00 $0.00 $1,024,703.40
0012 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 7,839.000 8,202.360   8,202.360 $83.50 $0.00 $684,897.06
0013 RUMBLE STRIP-METHOD HMA-CYC GROUP 413(B) 4862 EAGP 4.000 4.000   4.000 $1,050.00 $0.00 $4,200.00
0014 FLY ASH 426(C) 5097 TON 3,794.000 2,745.900   2,745.900 $59.15 $0.00 $162,419.99
0015 CLASS C CONCRETE 509(D) 0325 CY 20.000 0.000   0.000 $331.50 $0.00 $0.00
0016 18" CORR. GALV. STEEL PIPE 613(B) 0689 LF 100.000 100.000   100.000 $50.00 $0.00 $5,000.00
0017 24" CORR. GALV. STEEL PIPE 613(B) 0690 LF 62.000 62.000   62.000 $61.90 $0.00 $3,837.80
0018 15" CORR. GALV. STEEL PIPE 613(B) 5717 LF 286.000 334.000   334.000 $47.50 $0.00 $15,865.00
0019 TYPE A4 CULVERT END TREATMENT 613(M) 7186 EA 16.000 18.000   18.000 $917.00 $0.00 $16,506.00
0020 TYPE B4 CULVERT END TREATMENT 613(M) 7187 EA 2.000 2.000   2.000 $995.00 $0.00 $1,990.00
0021 REMOVAL OF GUARDRAIL 619(B) 4780 LF 100.000 100.000   100.000 $1.70 $0.00 $170.00
0022 GUARDRAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 1.000 1.000   1.000 $2,150.00 $0.00 $2,150.00
0023 SHEET ALUMINUM SIGNS 850(A) 8110 SF 51.000 50.440   50.440 $33.15 $0.00 $1,672.09
0024 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 70,088.000 0.000   0.000 $0.40 $0.00 $0.00
0025 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $4,420.00 $0.00 $4,420.00
8000 TRAFFIC STRIPE(MULTI-POLY.)(4" WIDE) 856(A) 8530 LF 0.000 73,464.000   73,464.000 $0.40 $0.00 $29,385.60
8001 PAVEMENT/BRIDGE SMOOTHNESS ADJUSTMENT 430 5010 LSUM 0.000 1.000   1.000 $35,559.44 $0.00 $35,559.44
Subtotals For Category     0100/ROADWAY    $0.00 $2,345,440.83
Fed/State Project Number:    CIRB-124C(112)RB Project:    24867(07) Category:    0200/BRIDGE 'B'
0026 BRIDGE TRAFFIC RAIL 504 6179 LF 526.000 526.000   526.000 $105.00 $0.00 $55,230.00
0027 RAPID CURE JOINT SEALANT 504(G) 6390 LF 132.000 65.000   65.000 $55.25 $0.00 $3,591.25
0028 ELASTOMERIC MORTAR 504(H) 6389 CF 10.000 5.420   5.420 $1,240.00 $0.00 $6,720.80
0029 STRUCTURAL STEEL 506(A) 1322 LB 500.000 0.000   0.000 $1.75 $0.00 $0.00
0030 CLASS AA CONCRETE 509(A) 1326 CY 11.000 11.000   11.000 $718.00 $0.00 $7,898.00
0031 TYPE I-A PLAIN RIPRAP 601(B) 1353 TON 1,570.000 1,279.390   1,279.390 $55.00 $0.00 $70,366.45
0032 TYPE I-A FILTER BLANKET 601(C) 1355 TON 526.000 153.600   153.600 $51.00 $0.00 $7,833.60
0033 REMOVAL OF BRIDGE ITEMS 619(B) 2500 LSUM 1.000 1.000   1.000 $22,650.00 $0.00 $22,650.00
0034 REMOVAL OF GUARDRAIL 619(B) 4780 LF 2,626.320 2,626.000   2,626.000 $1.70 $0.00 $4,464.20
0035 BEAM GUARDRAIL W-BEAM SINGLE 623(A) 1418 LF 2,251.320 2,232.000   2,232.000 $16.00 $0.00 $35,712.00
0036 GUARDRAIL ANCHOR UNIT (TYPE B) 623(F) 4447 EA 3.000 0.000   0.000 $498.00 $0.00 $0.00
0037 GUARDRAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 4.000 4.000   4.000 $2,150.00 $0.00 $8,600.00
Subtotals For Category     0200/BRIDGE 'B'    $0.00 $223,066.30
Fed/State Project Number:    CIRB-124C(112)RB Project:    24867(07) Category:    0600/STAKING
0038 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000   1.000 $75,600.00 $0.00 $75,600.00
Subtotals For Category     0600/STAKING    $0.00 $75,600.00
Fed/State Project Number:    CIRB-124C(112)RB Project:    24867(07) Category:    0640/CONSTRUCTION
0039 SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $8,300.00 $0.00 $8,300.00
0040 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $105,000.00 $0.00 $105,000.00
0041 (SP)CONTRACTORS QUALITY CONTROL 643 0087 LSUM 1.000 1.000   1.000 $14,475.00 $0.00 $14,475.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $127,775.00
Subtotals For Project CIRB-124C(112)RB /24867(07) $0.00 $2,771,882.13