Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120229   Estimate Number: 0009 , Final     Spec Year: 2009
Primary JP: 20925(04)   Residency: SAND SPRINGS (08400)     Contract No: 810113
Date Created: 07/15/2013   Contractor FEI: 730764097A     Account No: 404800

Project Number(s): SSP-172N(355)SS
Contract Description: BRIDGE REPAIR US-64: OVER EUCHEE CREEK, 6.4 MILES SOUTHEAST OF THE OSAGE COUNTY LINE. PROJECT LENGTH = 0.074 MILES.
Primary County: TULSA              
Name of Road: US-64              
Prime Contractor: MANHATTAN ROAD & BRIDGE COMPANY           Time Charged: 97.00
    5601 S. 122ND E. AVE.           Time Allowed: 114.00
    TULSA , OK   74146           Percent Time: 85.09 %

  Paid To Date: $1,083,489.23 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.                                
MANHATTAN ROAD & BRIDGE COMPANY                               
 
_________________________________________________
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:    07/15/2013
Contract ID: 120229   Estimate Number: 0009     Contract No: 810113
Residency: SAND SPRINGS (08400)   Estimate Type: Final     Account No: 404800

Project Number(s): SSP-172N(355)SS
Primary Job Piece No: 20925(04)
Contract Description: BRIDGE REPAIR US-64: OVER EUCHEE CREEK, 6.4 MILES SOUTHEAST OF THE OSAGE COUNTY LINE. PROJECT LENGTH = 0.074 MILES.
Primary County: TULSA              
Name of Road: US-64              
Prime Contractor: MANHATTAN ROAD & BRIDGE COMPANY              
    5601 S. 122ND E. AVE.              
    TULSA , OK   74146              
Surety Company: FIDELITY & DEPOSIT INSURANCE COMPANY OF MARYLAND              

Date Let: 06/21/2012 NTP Effective Date: 08/06/2012 Pay Period: 06/01/2013  TO  07/15/2013
Date Awarded: 07/02/2012 Date Work Began: 09/04/2012 Original Contract Time: 90
Date Contract Executed: 07/11/2012 Date Time Stopped: 05/22/2013 Current Time Charged: 97.00
Date NTP Issued: 07/18/2012 Completion Date: 05/22/2013 Current Time Allowed: 114.00
General Liability Expires: 10/01/2013 Workman's Comp Expires: 10/01/2013 Percent Time Used: 85.09 %
Specification Year: 2009        

Current Contract Amount: $1,090,759.58 Total to Date Prev to Date This Estimate
Bid Amount: $1,100,714.80 Participating: $0.00 $0.00 $0.00
Percent Complete: 99.33 % Non Participating: $1,090,759.58 $1,090,759.58 $0.00
Funds Available: $7,270.35 Total Earnings: $1,090,759.58 $1,090,759.58 $0.00
Unearned Balance: $17,225.57 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $1,090,759.58 $1,090,759.58 $0.00
Other Adjustments: $-7,270.35 $-7,270.35 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $1,083,489.23 $1,083,489.23 $0.00

Estimate Adjustment Detail

Contract ID: 120229   Estimate Number: 0009     Primary JP: 20925(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Time charge adjustment Approved 10/15/2012 24.0 $0.00
002 Final Quantity Change Order Approved 07/12/2013 0.0 $-9,955.22


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
20925(04) 0005 TEMPORARY SILT FENCE * Missing Material Certification 0001 -100.00 $3.50 $-350.00
20925(04) 0005 TEMPORARY SILT FENCE * Missing Material Certification 0002 100.00 $3.50 $350.00
20925(04) 0006 TEMPORARY SILT DIKE * Missing Material Certification 0001 -28.00 $9.50 $-266.00
20925(04) 0006 TEMPORARY SILT DIKE * Missing Material Certification 0002 28.00 $9.50 $266.00
20925(04) 0007 SOLID SLAB SODDING * Permanent Erosion Control-Out of Season 0006 -2,916.57 $2.10 $-6,124.80
20925(04) 0007 SOLID SLAB SODDING * Permanent Erosion Control-Out of Season 0007 2,916.57 $2.10 $6,124.80
20925(04) 0007 SOLID SLAB SODDING * Permanent Erosion Control-Out of Season 0007 -2,937.90 $2.10 $-6,169.59
20925(04) 0007 SOLID SLAB SODDING * Permanent Erosion Control-Out of Season 0008 2,937.90 $2.10 $6,169.59
20925(04) 0014 CLASS AA CONCRETE * COMPRESSIVE STRENGTH 0004 -1.00 $7,270.35 $-7,270.35
Subtotals For Line Item Adjustments $-7,270.35
* = 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: 120229   Estimate Number: 0009     Primary JP: 20925(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:    SSP-172N(355)SS Project:    20925(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201(A) 0102 LSUM 1.000 1.000   1.000 $41,000.00 $0.00 $41,000.00
0002 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 100.000 0.000   0.000 $12.00 $0.00 $0.00
0003 UNCLASSIFIED BORROW 202(D) 0184 CY 15,786.000 15,786.000   15,786.000 $14.00 $0.00 $221,004.00
0004 TYPE A-SALVAGED TOPSOIL 205(A) 4229 LSUM 1.000 1.000   1.000 $7,500.00 $0.00 $7,500.00
0005 TEMPORARY SILT FENCE 221(C) 2801 LF 675.000 454.000   454.000 $3.50 $0.00 $1,589.00
0006 TEMPORARY SILT DIKE 221(F) 0100 LF 42.000 56.000   56.000 $9.50 $0.00 $532.00
0007 SOLID SLAB SODDING 230(A) 2806 SY 5,125.000 9,793.000   9,793.000 $2.10 $0.00 $20,565.30
0008 VEGETATIVE MULCHING 233(A) 2817 AC 2.120 0.000   0.000 $825.00 $0.00 $0.00
0009 MOWING 241 2832 AC 2.120 0.000   0.000 $105.00 $0.00 $0.00
0010 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 1.000 1.000   1.000 $5,880.00 $0.00 $5,880.00
0011 REMOVAL OF GUARDRAIL 619(B) 4780 LF 352.000 352.000   352.000 $3.00 $0.00 $1,056.00
Subtotals For Category     0100/ROADWAY    $0.00 $299,126.30
Fed/State Project Number:    SSP-172N(355)SS Project:    20925(04) Category:    0200/BRIDGE 'A'
0012 UNCLASSIFIED EXCAVATION 202(A) 1301 CY 2,830.000 2,830.000   2,830.000 $6.00 $0.00 $16,980.00
0013 STRUCTURAL EXCAVATION UNCLASSIFIED 501(A) 1306 CY 315.000 315.000   315.000 $35.00 $0.00 $11,025.00
0014 CLASS AA CONCRETE 509(A) 1326 CY 956.600 956.600   956.600 $375.00 $0.00 $358,725.00
0015 REINFORCING STEEL 511(A) 1332 LB 145,780.000 145,780.000   145,780.000 $0.85 $0.00 $123,913.00
0016 (PL)REPAIR BRIDGE ITEMS 540 4500 LSUM 1.000 1.000   1.000 $8,500.00 $0.00 $8,500.00
0017 TYPE I-A PLAIN RIPRAP 601(B) 1353 TON 2,675.000 2,675.000   2,675.000 $35.00 $0.00 $93,625.00
0018 TYPE I-A FILTER BLANKET 601(C) 1355 TON 1,160.000 1,160.000   1,160.000 $30.00 $0.00 $34,800.00
0019 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $60,000.00 $0.00 $60,000.00
Subtotals For Category     0200/BRIDGE 'A'    $0.00 $707,568.00
Fed/State Project Number:    SSP-172N(355)SS Project:    20925(04) Category:    0300/TRAFFIC CONTROL
0020 (PL)TRUCK MOUNTED ATTENUATOR 876(A) 8482 SD 90.000 0.000   0.000 $5.50 $0.00 $0.00
0021 CONSTRUCTION SIGNS 0 TO 6.25 SF 880(B) 8818 SD 180.000 0.000   0.000 $0.59 $0.00 $0.00
0022 CONSTRUCTION SIGNS 6.26 SF TO 15.99 SF 880(B) 8821 SD 900.000 1,044.000   1,044.000 $0.60 $0.00 $626.40
0023 CONSTRUCTION SIGNS 16.0 SF TO 32.99 SF 880(B) 8824 SD 720.000 432.000   432.000 $1.35 $0.00 $583.20
0024 CONSTRUCTION BARRICADES(TYPE III) 880(C) 8842 SD 900.000 1,044.000   1,044.000 $0.55 $0.00 $574.20
0025 WING BARRICADES 880(C) 8848 SD 180.000 432.000   432.000 $0.55 $0.00 $237.60
0026 WARNING LIGHTS(TYPE A) 880(E) 8860 SD 2,520.000 2,498.000   2,498.000 $0.11 $0.00 $274.78
0027 DRUMS 880(F) 8878 SD 1,800.000 0.000   0.000 $0.30 $0.00 $0.00
0028 CHANNELIZER CONES 880(G) 8890 SD 900.000 0.000   0.000 $0.27 $0.00 $0.00
0029 FLAGGER 880(I) 8902 SD 90.000 0.000   0.000 $110.00 $0.00 $0.00
0030 PORT.CHANGEABLE MESSAGE SIGN 882(A) 8306 SD 180.000 10.000   10.000 $26.91 $0.00 $269.10
Subtotals For Category     0300/TRAFFIC CONTROL    $0.00 $2,565.28
Fed/State Project Number:    SSP-172N(355)SS Project:    20925(04) Category:    0600/STAKING
0031 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000   1.000 $3,750.00 $0.00 $3,750.00
Subtotals For Category     0600/STAKING    $0.00 $3,750.00
Fed/State Project Number:    SSP-172N(355)SS Project:    20925(04) Category:    0640/CONSTRUCTION
0032 SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $2,750.00 $0.00 $2,750.00
0033 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $75,000.00 $0.00 $75,000.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $77,750.00
Subtotals For Project SSP-172N(355)SS /20925(04) $0.00 $1,090,759.58