Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120200   Estimate Number: 0013 , Final     Spec Year: 2009
Primary JP: 24823(04)   Residency: GUYMON (06200)     Contract No: 810122
Date Created: 12/17/2013   Contractor FEI: 730765687     Account No: 434600

Project Number(s): CIRB-113C(058)RB
Contract Description: GRADE, DRAIN, AND SURFACE COUNTY ROAD (EW-35): FROM THE US-287/TEXAS STATE LINE JUNCTION, EXTEND WEST. PROJECT LENGTH = 6.151 MILES.
Primary County: CIMARRON              
Name of Road: COUNTY ROAD              
Prime Contractor: HIGHWAY CONTRACTORS, INC.           Time Charged: 86.00
    P. O. BOX 487           Time Allowed: 120.00
    GUYMON , OK   73942           Percent Time: 71.67 %

  Paid To Date: $3,388,628.28 Payable This Statement: $1,250.00

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.                                
HIGHWAY CONTRACTORS, 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:    12/17/2013
Contract ID: 120200   Estimate Number: 0013     Contract No: 810122
Residency: GUYMON (06200)   Estimate Type: Final     Account No: 434600

Project Number(s): CIRB-113C(058)RB
Primary Job Piece No: 24823(04)
Contract Description: GRADE, DRAIN, AND SURFACE COUNTY ROAD (EW-35): FROM THE US-287/TEXAS STATE LINE JUNCTION, EXTEND WEST. PROJECT LENGTH = 6.151 MILES.
Primary County: CIMARRON              
Name of Road: COUNTY ROAD              
Prime Contractor: HIGHWAY CONTRACTORS, INC.              
    P. O. BOX 487              
    GUYMON , OK   73942              
Surety Company: TRAVELERS INDEMNITY COMPANY              

Date Let: 06/21/2012 NTP Effective Date: 08/13/2012 Pay Period: 07/01/2013  TO  12/17/2013
Date Awarded: 07/02/2012 Date Work Began: 08/09/2012 Original Contract Time: 120
Date Contract Executed: 07/18/2012 Date Time Stopped: 06/17/2013 Current Time Charged: 86.00
Date NTP Issued: 07/20/2012 Completion Date: 06/17/2013 Current Time Allowed: 120.00
General Liability Expires: 08/01/2014 Workman's Comp Expires: 04/01/2014 Percent Time Used: 71.67 %
Specification Year: 2009        

Bid Amount: $3,382,570.79 Total to Date Prev to Date This Estimate
Funds Available (Bid + Positive C/O): $3,473,551.97 Participating: $0.00 $0.00 $0.00
Percent Complete: 97.56 % Non Participating: $3,423,081.61 $3,421,831.61 $1,250.00
Unearned Balance: $84,923.69 Total Earnings: $3,423,081.61 $3,421,831.61 $1,250.00
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $3,423,081.61 $3,421,831.61 $1,250.00
Other Adjustments: $-34,453.33 $-34,453.33 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $3,388,628.28 $3,387,378.28 $1,250.00

Estimate Adjustment Detail

Contract ID: 120200   Estimate Number: 0013     Primary JP: 24823(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Earthwork Approved 09/27/2012 0.0 $3,000.00
002 Pipe Safety Grates Approved 11/29/2012 0.0 $1,720.48
003 Pavement Smoothness Approved 01/08/2013 0.0 $85,238.00
004 Additional Signs for Project Approved 04/01/2013 0.0 $1,022.70
005 Final Quantity Change Order Approved 12/12/2013 0.0 $-50,470.37


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
24823(04) 0012 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0003 2,493.25 $-0.83 $-2,081.24
24823(04) 0012 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0004 16,220.71 $-1.04 $-16,946.59
24823(04) 0012 SUPERPAVE, TYPE S3(PG 64-22 OK) * HMA Deduction as per Sec. 411 0004 0.00 $0.00 $-4,542.12
24823(04) 0013 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0005 9,115.06 $-1.19 $-10,883.38
Subtotals For Line Item Adjustments $-34,453.33
* = 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: 120200   Estimate Number: 0013     Primary JP: 24823(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:    CIRB-113C(058)RB Project:    24823(04) Category:    0100/ROADWAY
0001 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 9,514.000 0.000   0.000 $4.75 $0.00 $0.00
0002 UNCLASSIFIED BORROW 202(D) 0184 CY 2,024.000 0.000   0.000 $7.50 $0.00 $0.00
0003 MACHINE GRADING 209 0120 LF 29,334.000 29,334.000   29,334.000 $1.50 $0.00 $44,001.00
0004 TEMPORARY SILT FENCE 221(C) 2801 LF 1,250.000 151.000   151.000 $1.30 $0.00 $196.30
0005 TEMPORARY SILT DIKE 221(F) 0100 LF 1,050.000 0.000   0.000 $5.94 $0.00 $0.00
0006 SOLID SLAB SODDING 230(A) 2806 SY 30,704.000 22,163.120   22,163.120 $5.00 $0.00 $110,815.60
0007 VEGETATIVE MULCHING 233(A) 2817 AC 6.350 10.380   10.380 $900.00 $0.00 $9,342.00
0008 CEMENTITIOUS STABILIZED SUBGRADE 307(E) 4240 SY 86,578.000 86,300.000   86,300.000 $5.00 $0.00 $431,500.00
0009 TRAFFIC BOUND SURFACE COURSE TYPE E 402(E) 0225 TON 3,227.000 3,299.410   3,299.410 $27.50 $0.00 $90,733.78
0010 TACK COAT 407(B) 0250 GAL 6,154.000 4,860.000   4,860.000 $2.99 $0.00 $14,531.40
0011 PRIME COAT 408 5774 GAL 18,182.000 23,570.000   23,570.000 $4.00 $0.00 $94,280.00
0012 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 18,846.000 18,713.960   18,713.960 $81.40 $0.00 $1,523,316.34
0013 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 9,136.000 9,115.060   9,115.060 $87.15 $0.00 $794,377.48
0014 18" R.C.PIPE CLASS III 613(A) 0491 LF 100.000 100.000   100.000 $50.00 $0.00 $5,000.00
0015 24" R.C.PIPE CLASS III 613(A) 0492 LF 49.000 56.000   56.000 $65.00 $0.00 $3,640.00
0016 TYPE A4 CULVERT END TREATMENT 613(M) 7186 EA 2.000 2.000   2.000 $2,200.00 $0.00 $4,400.00
0017 TYPE B4 CULVERT END TREATMENT 613(M) 7187 EA 2.000 2.000   2.000 $2,200.00 $0.00 $4,400.00
0018 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 1,218.000 1,221.960   1,221.960 $5.00 $0.00 $6,109.80
0019 SAWING PAVEMENT 619(C) 0924 LF 104.000 125.000   125.000 $3.00 $0.00 $375.00
0020 SHEET ALUMINUM SIGNS 850(A) 8110 SF 75.440 75.440   75.440 $28.00 $0.00 $2,112.32
0021 TRAFFIC STRIPE(MULTI-POLYMER)(4" WIDE) 856(A) 8530 LF 111,533.000 84,570.000   84,570.000 $0.37 $0.00 $31,290.91
0022 TRAFFIC STRIPE(MULTI-POLY.)(SYMBOLS) 856(B) 8870 EA 2.000 2.000   2.000 $1,250.00 $0.00 $2,500.00
0023 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $11,565.00 $0.00 $11,565.00
8000 EARTHWORK 202(H) 0185 LSUM 0.000 1.000   1.000 $60,371.50 $0.00 $60,371.50
8001 REMOVAL OF EXISTING STRUCTURES 619(B) 4778 EA 0.000 1.000   1.000 $3,000.00 $0.00 $3,000.00
8002 CONSTRUCTION MISCELLANEOUS 104 0700 LSUM 0.000 1.000   1.000 $1,720.48 $0.00 $1,720.48
8003 PAVEMENT/BRIDGE SMOOTHNESS ADJUSTMENT 430 5010 LSUM 0.000 1.000   1.000 $85,238.00 $0.00 $85,238.00
8004 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 0.000 1.000   1.000 $1,022.70 $0.00 $1,022.70
Subtotals For Category     0100/ROADWAY    $0.00 $3,335,839.61
Fed/State Project Number:    CIRB-113C(058)RB Project:    24823(04) Category:    0600/STAKING
0024 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000   1.000 $31,000.00 $0.00 $31,000.00
Subtotals For Category     0600/STAKING    $0.00 $31,000.00
Fed/State Project Number:    CIRB-113C(058)RB Project:    24823(04) Category:    0640/CONSTRUCTION
0025 SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000 0.250 1.000 $5,000.00 $1,250.00 $5,000.00
0026 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $51,242.00 $0.00 $51,242.00
Subtotals For Category     0640/CONSTRUCTION    $1,250.00 $56,242.00
Subtotals For Project CIRB-113C(058)RB /24823(04) $1,250.00 $3,423,081.61