Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120238   Estimate Number: 0012 , Final     Spec Year: 2009
Primary JP: 26618(04)   Residency: CIRCUIT ENGR. DISTRICT # 7 (05005)     Contract No: 810145
Date Created: 03/04/2014   Contractor FEI: 731427175     Account No: 436500

Project Number(s): BRO-106D(116)CI
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD: OVER SALT CREEK, 4.7 MILES SOUTH OF SH-51. PROJECT LENGTH = 0.217 MILES.
Primary County: BLAINE              
Name of Road: COUNTY ROAD              
Prime Contractor: K & R BUILDERS, INC.           Time Charged: 132.00
    P.O. BOX 656           Time Allowed: 130.00
    WHEATLAND , OK   73097           Percent Time: 101.54 %

  Paid To Date: $441,286.84 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.                                
K & R BUILDERS, 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:    03/04/2014
Contract ID: 120238   Estimate Number: 0012     Contract No: 810145
Residency: CIRCUIT ENGR. DISTRICT # 7 (05005)   Estimate Type: Final     Account No: 436500

Project Number(s): BRO-106D(116)CI
Primary Job Piece No: 26618(04)
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD: OVER SALT CREEK, 4.7 MILES SOUTH OF SH-51. PROJECT LENGTH = 0.217 MILES.
Primary County: BLAINE              
Name of Road: COUNTY ROAD              
Prime Contractor: K & R BUILDERS, INC.              
    P.O. BOX 656              
    WHEATLAND , OK   73097              
Surety Company: OHIO CASUALTY INSURANCE COMPANY              

Date Let: 06/21/2012 NTP Effective Date: 11/05/2012 Pay Period: 03/01/2014  TO  03/04/2014
Date Awarded: 07/02/2012 Date Work Began: 10/25/2012 Original Contract Time: 120
Date Contract Executed: 07/20/2012 Date Time Stopped: 07/12/2013 Current Time Charged: 132.00
Date NTP Issued: 07/24/2012 Completion Date: 07/12/2013 Current Time Allowed: 130.00
General Liability Expires: 05/01/2014 Workman's Comp Expires: 07/01/2014 Percent Time Used: 101.54 %
Specification Year: 2009        

Bid Amount: $465,431.64 Total to Date Prev to Date This Estimate
Funds Available (Bid + Positive C/O): $465,909.64 Participating: $442,286.84 $442,286.84 $0.00
Percent Complete: 94.72 % Non Participating: $0.00 $0.00 $0.00
Unearned Balance: $24,622.80 Total Earnings: $442,286.84 $442,286.84 $0.00
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $442,286.84 $442,286.84 $0.00
Other Adjustments: $0.00 $0.00 $0.00
Liq Dam/Disincentive: $-1,000.00 $-1,000.00 $0.00
TOTAL: $441,286.84 $441,286.84 $0.00

Estimate Adjustment Detail

Contract ID: 120238   Estimate Number: 0012     Primary JP: 26618(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Add Type II Guardrail Units Approved 04/05/2013 5.0 $478.00
002 Contract Time Adjustment Approved 05/17/2013 5.0 $0.00
003 Reinforcing Steel Error Approved 10/18/2013 0.0 $-1,748.70
004 Final Quantity Change Order Approved 02/27/2014 0.0 $-21,874.10


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
26618(04) 0015 PC BR ITM FABS (AML) Stockpiled Material Initial Payment 0002 $36,619.91
26618(04) 0015 PC BR ITM FABS (AML) Stockpiled Material Adjustment 0005 $-36,619.91
26618(04) 0016 RSTL FABS (AML)(IA) Stockpiled Material Adjustment 0006 $-1,683.89
26618(04) 0016 RSTL FABS (AML)(IA) Stockpiled Material Initial Payment 0003 $1,683.89
26618(04) 0017 SSTL FABS (AML) Stockpiled Material Initial Payment 0003 $640.50
26618(04) 0017 SSTL FABS (AML) Stockpiled Material Adjustment 0006 $-640.50
26618(04) 0018 SSTL FABS (AML) Stockpiled Material Adjustment 0006 $-1,168.49
26618(04) 0018 SSTL FABS (AML) Stockpiled Material Initial Payment 0003 $1,168.49
26618(04) 0019 SSTL FABS (AML) Stockpiled Material Adjustment 0006 $-1,231.49
26618(04) 0019 SSTL FABS (AML) Stockpiled Material Initial Payment 0003 $1,231.49
26618(04) 0022 RSTL FABS (AML)(IA) Stockpiled Material Adjustment 0005 $-279.19
26618(04) 0022 RSTL FABS (AML)(IA) Stockpiled Material Adjustment 0006 $-3,325.52
26618(04) 0022 RSTL FABS (AML)(IA) Stockpiled Material Initial Payment 0003 $6,690.59
26618(04) 0022 RSTL FABS (AML)(IA) Stockpiled Material Adjustment 0004 $-3,085.88
Subtotals For Stockpile Payments $0.00


LIQUIDATED DAMAGES HISTORY
Adjustment Description Estimate Nbr Time Units Rate Adjustment Amount
System Application of Liquidated Damages 0008 --6.0 $500.00 $-3,000.00
System Application of Liquidated Damages 0009 --6.0 $500.00 $-3,000.00
System Application of Liquidated Damages 0010 -5.0 $500.00 $2,500.00
System Application of Liquidated Damages 0011 -5.0 $500.00 $2,500.00
Subtotals For Liquidated Damages $-1,000.00


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
26618(04) 0028 TYPE I-A FILTER BLANKET * Material Discrepancy Adjustments 0008 -1.00 $10,007.12 $-10,007.12
26618(04) 0028 TYPE I-A FILTER BLANKET * Missing Material Certification 0011 0.00 $0.00 $10,007.12
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: 120238   Estimate Number: 0012     Primary JP: 26618(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:    BRO-106D(116)CI Project:    26618(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201(A) 0102 LSUM 1.000 1.000   1.000 $7,000.00 $0.00 $7,000.00
0002 EARTHWORK 202(H) 0185 LSUM 1.000 1.000   1.000 $38,500.00 $0.00 $38,500.00
0003 TYPE A-SALVAGED TOPSOIL 205(A) 4229 LSUM 1.000 1.000   1.000 $5,250.00 $0.00 $5,250.00
0004 TEMPORARY SILT FENCE 221(C) 2801 LF 2,200.000 334.300   334.300 $1.70 $0.00 $568.31
0005 TEMPORARY SILT DIKE 221(F) 0100 LF 200.000 70.000   70.000 $7.25 $0.00 $507.50
0006 DITCH LINER PROTECTION 229 4318 LF 1,837.600 1,045.200   1,045.200 $1.00 $0.00 $1,045.20
0007 SOLID SLAB SODDING 230(A) 2806 SY 4,606.000 8,098.640   8,098.640 $2.07 $0.00 $16,764.18
0008 VEGETATIVE MULCHING 233(A) 2817 AC 1.000 1.210   1.210 $600.00 $0.00 $726.00
0009 TRAFFIC BOUND SURFACE COURSE TYPE E 402(E) 0225 TON 498.400 500.180   500.180 $36.09 $0.00 $18,051.50
0010 CLASS C CONCRETE 509(D) 0325 CY 50.600 40.860   40.860 $305.00 $0.00 $12,462.30
0011 18" CORR. GALV. STEEL PIPE 613(B) 0689 LF 50.000 50.000   50.000 $25.50 $0.00 $1,275.00
0012 TYPE A4 CULVERT END TREATMENT 613(M) 7186 EA 2.000 2.000   2.000 $845.00 $0.00 $1,690.00
Subtotals For Category     0100/ROADWAY    $0.00 $103,839.99
Fed/State Project Number:    BRO-106D(116)CI Project:    26618(04) Category:    0200/BRIDGE 'A'
0013 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 180.000 180.000   180.000 $8.00 $0.00 $1,440.00
0014 GRANULAR BACKFILL 501(F) 6352 CY 76.000 76.000   76.000 $65.00 $0.00 $4,940.00
0015 PRESTRESSED CONCRETE BEAMS (TYPE III) 503(A) 1312 LF 239.000 239.000   239.000 $218.00 $0.00 $52,102.00
0016 CONCRETE RAIL (TR3) 504(D) 6239 LF 222.000 222.000   222.000 $72.50 $0.00 $16,095.00
0017 STRUCTURAL STEEL 506(A) 1322 LB 510.000 510.000   510.000 $3.25 $0.00 $1,657.50
0018 WEATHERING STEEL FIXED BEARING ASSEMBLY 507(A) 6172 EA 6.000 3.000   3.000 $1,225.00 $0.00 $3,675.00
0019 WEATHERING STEEL EXPANSION BEARING ASSEMBLY 507(B) 6176 EA 6.000 3.000   3.000 $1,225.00 $0.00 $3,675.00
0020 CLASS AA CONCRETE 509(A) 1326 CY 63.700 63.700   63.700 $547.50 $0.00 $34,875.75
0021 CLASS A CONCRETE 509(B) 1328 CY 66.200 66.200   66.200 $590.00 $0.00 $39,058.00
0022 REINFORCING STEEL 511(A) 1332 LB 25,595.000 23,652.000   23,652.000 $0.90 $0.00 $21,286.80
0023 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 115.000 115.000   115.000 $32.20 $0.00 $3,703.00
0024 PILES, FURNISHED (HP 12X53) 514(A) 6011 LF 261.000 265.330   265.330 $35.70 $0.00 $9,472.28
0025 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 115.000 113.740   113.740 $13.80 $0.00 $1,569.61
0026 PILES, DRIVEN (HP 12X53) 514(B) 6294 LF 261.000 265.330   265.330 $15.30 $0.00 $4,059.55
0027 TYPE I-A PLAIN RIPRAP 601(B) 0536 TON 1,613.000 1,479.550   1,479.550 $47.09 $0.00 $69,672.01
0028 TYPE I-A FILTER BLANKET 601(C) 0538 TON 466.000 268.000   268.000 $37.34 $0.00 $10,007.12
0029 6" PERFORATED PIPE UNDERDRAIN ROUND 613(H) 6204 LF 52.000 52.000   52.000 $29.25 $0.00 $1,521.00
0030 6" NON-PERF.PIPE UNDERDRAIN RND. 613(I) 6207 LF 60.000 41.330   41.330 $31.75 $0.00 $1,312.23
0031 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $12,750.00 $0.00 $12,750.00
0032 GUARDRAIL ANCHOR UNIT (TYPE D-BF) 623(F) 5686 EA 4.000 0.000   0.000 $2,380.50 $0.00 $0.00
0033 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $3,200.00 $0.00 $3,200.00
8000 GUARDRAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 0.000 4.000   4.000 $2,500.00 $0.00 $10,000.00
Subtotals For Category     0200/BRIDGE 'A'    $0.00 $306,071.85
Fed/State Project Number:    BRO-106D(116)CI Project:    26618(04) Category:    0600/STAKING
0034 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000   1.000 $5,175.00 $0.00 $5,175.00
Subtotals For Category     0600/STAKING    $0.00 $5,175.00
Fed/State Project Number:    BRO-106D(116)CI Project:    26618(04) Category:    0640/CONSTRUCTION
0035 SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $3,200.00 $0.00 $3,200.00
0036 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $24,000.00 $0.00 $24,000.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $27,200.00
Subtotals For Project BRO-106D(116)CI /26618(04) $0.00 $442,286.84