Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120193   Estimate Number: 0006 , Final     Spec Year: 2009
Primary JP: 28131(04)   Residency: ALTUS (05200)     Contract No: 810119
Date Created: 05/23/2013   Contractor FEI: 480596521     Account No: 404500

Project Number(s): SBR-105C(197)SB
Contract Description: BRIDGE REHABILITATION SH-34: OVER FLAT CREEK, 4.3 MILES SOUTH OF SH-152.
Primary County: BECKHAM              
Name of Road: SH-34              
Prime Contractor: REECE CONSTRUCTION CO., INC.           Time Charged: 56.00
    P.O. BOX 68           Time Allowed: 60.00
    SCANDIA , KS   66966           Percent Time: 93.33 %

  Paid To Date: $538,964.24 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.                                
REECE 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:    05/23/2013
Contract ID: 120193   Estimate Number: 0006     Contract No: 810119
Residency: ALTUS (05200)   Estimate Type: Final     Account No: 404500

Project Number(s): SBR-105C(197)SB
Primary Job Piece No: 28131(04)
Contract Description: BRIDGE REHABILITATION SH-34: OVER FLAT CREEK, 4.3 MILES SOUTH OF SH-152.
Primary County: BECKHAM              
Name of Road: SH-34              
Prime Contractor: REECE CONSTRUCTION CO., INC.              
    P.O. BOX 68              
    SCANDIA , KS   66966              
Surety Company: PACIFIC INDEMNITY COMPANY              

Date Let: 06/21/2012 NTP Effective Date: 11/05/2012 Pay Period: 05/01/2013  TO  05/15/2013
Date Awarded: 07/02/2012 Date Work Began: 10/10/2012 Original Contract Time: 60
Date Contract Executed: 07/17/2012 Date Time Stopped: 01/08/2013 Current Time Charged: 56.00
Date NTP Issued: 09/24/2012 Completion Date: 01/08/2013 Current Time Allowed: 60.00
General Liability Expires: 12/01/2013 Workman's Comp Expires: 12/31/2013 Percent Time Used: 93.33 %
Specification Year: 2009        

Current Contract Amount: $539,345.89 Total to Date Prev to Date This Estimate
Bid Amount: $552,243.09 Participating: $0.00 $0.00 $0.00
Percent Complete: 99.93 % Non Participating: $539,345.90 $539,345.90 $0.00
Funds Available: $381.65 Total Earnings: $539,345.90 $539,345.90 $0.00
Unearned Balance: $13,278.85 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $539,345.90 $539,345.90 $0.00
Other Adjustments: $-381.66 $-381.66 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $538,964.24 $538,964.24 $0.00

Estimate Adjustment Detail

Contract ID: 120193   Estimate Number: 0006     Primary JP: 28131(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Incentive / Disincentive, Addition of Guardrail Delineators Approved 04/01/2013 0.0 $6,189.00
002 Final Quantity Change Order Approved 05/22/2013 0.0 $-19,086.20


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
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
28131(04) 0001 TACK COAT * Missing Material Certification 0004 -145.00 $6.13 $-888.85
28131(04) 0001 TACK COAT * Missing Material Certification 0005 145.00 $6.13 $888.85
28131(04) 0002 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0004 319.65 $-1.19 $-381.66
28131(04) 0025 TRAFFIC STRIPE(PLASTIC)(4" WIDE) * Missing Material Certification 0004 -3,738.00 $0.62 $-2,317.56
28131(04) 0025 TRAFFIC STRIPE(PLASTIC)(4" WIDE) * Missing Material Certification 0005 3,738.00 $0.62 $2,317.56
28131(04) 0026 CONSTRUCTION TRAFFIC CONTROL * Missing Material Certification 0001 -0.10 $5,375.00 $-537.50
28131(04) 0026 CONSTRUCTION TRAFFIC CONTROL * Missing Material Certification 0002 -0.27 $5,375.00 $-1,451.25
28131(04) 0026 CONSTRUCTION TRAFFIC CONTROL * Missing Material Certification 0005 0.37 $5,375.00 $1,988.75
28131(04) 0027 PORT.CHANGEABLE MESSAGE SIGN * Missing Material Certification 0001 -16.00 $20.00 $-320.00
28131(04) 0027 PORT.CHANGEABLE MESSAGE SIGN * Missing Material Certification 0005 16.00 $20.00 $320.00
Subtotals For Line Item Adjustments $-381.66
* = 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 10/10/2012 11/30/2012 55.00 DYS $2,000.00 Y


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: 120193   Estimate Number: 0006     Primary JP: 28131(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-105C(197)SB Project:    28131(04) Category:    0100/ROADWAY
0001 TACK COAT 407(B) 0250 GAL 300.000 145.000   145.000 $6.13 $0.00 $888.85
0002 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 500.000 319.650   319.650 $86.64 $0.00 $27,694.48
0003 COLD MILLING PAVEMENT 412 5267 SY 2,000.000 1,701.740   1,701.740 $4.25 $0.00 $7,232.40
0004 REMOVAL OF GUARDRAIL 619(B) 4780 LF 650.000 650.000   650.000 $4.00 $0.00 $2,600.00
0005 BEAM GUARDRAIL W-BEAM SINGLE 623(A) 0932 LF 300.000 300.000   300.000 $14.00 $0.00 $4,200.00
0006 GUARDRAIL END TREATMENT (GET) 623(G) 8571 EA 4.000 4.000   4.000 $2,000.00 $0.00 $8,000.00
0007 GUARDRAIL BRIDGE CONNECTION-TYPE A 623(I) 8675 EA 4.000 4.000   4.000 $1,300.00 $0.00 $5,200.00
8001 DELINEATORS(TYPE 1, CODE 2) 853 9027 EA 0.000 12.000   12.000 $15.75 $0.00 $189.00
8002 MILESTONE INCENTIVE COMPENSATION 644 7215 LSUM 0.000 1.000   1.000 $6,000.00 $0.00 $6,000.00
Subtotals For Category     0100/ROADWAY    $0.00 $62,004.73
Fed/State Project Number:    SBR-105C(197)SB Project:    28131(04) Category:    0200/BRIDGE 'A'
0008 APPROACH SLAB 504(A) 1304 SY 143.000 143.000   143.000 $248.00 $0.00 $35,464.00
0009 SAW-CUT GROOVING 504(B) 1305 SY 376.000 376.000   376.000 $5.00 $0.00 $1,880.00
0010 SEALED EXPANSION JOINT 504(C) 6250 LF 66.340 66.340   66.340 $336.00 $0.00 $22,290.24
0011 CONCRETE RAIL (TR4) 504(D) 6245 LF 262.700 262.700   262.700 $110.00 $0.00 $28,897.00
0012 STRUCTURAL STEEL 506(A) 1322 LB 41,920.000 41,920.000   41,920.000 $2.49 $0.00 $104,380.80
0013 WEATHERING STEEL FIXED BEARING ASSEMBLY 507(A) 6172 EA 15.000 15.000   15.000 $959.00 $0.00 $14,385.00
0014 WEATHERING STEEL EXPANSION BEARING ASSEMBLY 507(B) 6176 EA 15.000 15.000   15.000 $976.00 $0.00 $14,640.00
0015 SPECIAL CONCRETE FINISH 509 6153 LSUM 1.000 1.000   1.000 $6,298.00 $0.00 $6,298.00
0016 CLASS AA CONCRETE 509(A) 1326 CY 77.200 77.200   77.200 $1,091.00 $0.00 $84,225.20
0017 CLASS A CONCRETE 509(B) 1328 CY 35.200 35.200   35.200 $891.00 $0.00 $31,363.20
0018 EPOXY COATED REINFORCING STEEL 511(B) 6010 LB 24,160.000 24,160.000   24,160.000 $1.00 $0.00 $24,160.00
0019 WATER REPELLENT (VISUALLY INSPECTED) 515(A) 6013 SY 308.000 308.000   308.000 $4.00 $0.00 $1,232.00
0020 TYPE I-A PLAIN RIPRAP 601(B) 1353 TON 250.000 251.080   251.080 $64.00 $0.00 $16,069.12
0021 TYPE I-A FILTER BLANKET 601(C) 1355 TON 60.000 48.380   48.380 $50.00 $0.00 $2,419.00
0022 REMOVAL OF BRIDGE ITEMS 619(B) 2500 LSUM 1.000 1.000   1.000 $50,625.00 $0.00 $50,625.00
Subtotals For Category     0200/BRIDGE 'A'    $0.00 $438,328.56
Fed/State Project Number:    SBR-105C(197)SB Project:    28131(04) Category:    0300/TRAFFIC
0023 SHEET ALUMINUM SIGNS 850(A) 8110 SF 10.670 10.670   10.670 $15.00 $0.00 $160.05
0024 2" SQUARE TUBE POST 851(C) 8324 LF 30.000 30.000   30.000 $8.00 $0.00 $240.00
0025 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 4,530.000 3,738.000   3,738.000 $0.62 $0.00 $2,317.56
0026 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $5,375.00 $0.00 $5,375.00
0027 PORT.CHANGEABLE MESSAGE SIGN 882(A) 8306 SD 28.000 16.000   16.000 $20.00 $0.00 $320.00
Subtotals For Category     0300/TRAFFIC    $0.00 $8,412.61
Fed/State Project Number:    SBR-105C(197)SB Project:    28131(04) Category:    0600/STAKING
0028 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000   1.000 $5,100.00 $0.00 $5,100.00
Subtotals For Category     0600/STAKING    $0.00 $5,100.00
Fed/State Project Number:    SBR-105C(197)SB Project:    28131(04) Category:    0640/CONSTRUCTION
0029 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $25,500.00 $0.00 $25,500.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $25,500.00
Subtotals For Project SBR-105C(197)SB /28131(04) $0.00 $539,345.90