Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120248   Estimate Number: 0008 , Final     Spec Year: 2009
Primary JP: 26231(04)   Residency: MADILL (02300)     Contract No: 810225
Date Created: 02/10/2014   Contractor FEI: 731561772     Account No: 400200

Project Number(s): BRFY-107B(151)
Contract Description: BRIDGE AND APPROACHES US-69B: OVER MINERAL BAYOU CREEK 0.5 MILE SOUTH OF US-70. PROJECT LENGTH = 0.152 MILES.
Primary County: BRYAN              
Name of Road: US-69B              
Prime Contractor: L & N BRIDGE, LLC           Time Charged: 87.00
    P.O. BOX 1088           Time Allowed: 154.00
    ANTLERS , OK   74523           Percent Time: 56.49 %

  Paid To Date: $1,476,246.10 Payable This Statement: $57,654.15

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.                                
L & N BRIDGE, LLC                                
 
_________________________________________________
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:    02/10/2014
Contract ID: 120248   Estimate Number: 0008     Contract No: 810225
Residency: MADILL (02300)   Estimate Type: Final     Account No: 400200

Project Number(s): BRFY-107B(151)
Primary Job Piece No: 26231(04)
Contract Description: BRIDGE AND APPROACHES US-69B: OVER MINERAL BAYOU CREEK 0.5 MILE SOUTH OF US-70. PROJECT LENGTH = 0.152 MILES.
Primary County: BRYAN              
Name of Road: US-69B              
Prime Contractor: L & N BRIDGE, LLC              
    P.O. BOX 1088              
    ANTLERS , OK   74523              
Surety Company: WESTFIELD INSURANCE COMPANY              

Date Let: 07/19/2012 NTP Effective Date: 12/03/2012 Pay Period: 03/01/2013  TO  02/10/2014
Date Awarded: 08/06/2012 Date Work Began: 11/07/2012 Original Contract Time: 150
Date Contract Executed: 08/21/2012 Date Time Stopped: 03/05/2013 Current Time Charged: 87.00
Date NTP Issued: 08/24/2012 Completion Date: 03/05/2013 Current Time Allowed: 154.00
General Liability Expires: 09/01/2014 Workman's Comp Expires: 09/01/2014 Percent Time Used: 56.49 %
Specification Year: 2009        

Bid Amount: $1,417,551.48 Total to Date Prev to Date This Estimate
Funds Available (Bid + Positive C/O): $1,479,262.39 Participating: $1,478,262.39 $1,420,608.24 $57,654.15
Percent Complete: 99.80 % Non Participating: $0.00 $0.00 $0.00
Unearned Balance: $3,016.29 Total Earnings: $1,478,262.39 $1,420,608.24 $57,654.15
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $1,478,262.39 $1,420,608.24 $57,654.15
Other Adjustments: $-2,016.29 $-2,016.29 $0.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $1,476,246.10 $1,418,591.95 $57,654.15

Estimate Adjustment Detail

Contract ID: 120248   Estimate Number: 0008     Primary JP: 26231(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 ADD AND FUND ONE NEW PAY ITEM Approved 11/28/2012 0.0 $809.76
002 Add and Fund Two New Pay Items Approved 01/02/2013 4.0 $9,094.12
003 Change Order for Incentive/Disincentive for Early/Late Comp. Approved 07/01/2013 0.0 $50,000.00
004 Adjustment for non-conforming materials Approved 11/08/2013 0.0 $-1,000.00
005 Final Quantity Change Order Approved 02/04/2014 0.0 $1,807.03


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
26231(04) 0016 SUPERPAVE, TYPE S3(PG 76-28 OK) Asphalt Binder Adjustment 0005 418.73 $-1.04 $-437.47
26231(04) 0017 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0005 893.62 $-1.04 $-933.61
26231(04) 0018 SUPERPAVE, TYPE S4(PG 76-28 OK) Asphalt Binder Adjustment 0005 491.73 $-1.19 $-587.13
26231(04) 0019 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0005 48.64 $-1.19 $-58.08
Subtotals For Line Item Adjustments $-2,016.29


MILESTONE INFORMATION
Milestone Number Milestone Description Start Date End Date Current Time Allowed Rate Milestone Closed
01 Incentive/Disincentive for Early/Late Completion 11/06/2012 02/01/2013 130.00 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: 120248   Estimate Number: 0008     Primary JP: 26231(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:    BRFY-107B(151) Project:    26231(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201(A) 0102 LSUM 1.000 1.000   1.000 $7,500.00 $0.00 $7,500.00
0002 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 3,606.000 3,606.000 200.000 3,606.000 $5.00 $1,000.00 $18,030.00
0003 TYPE A-SALVAGED TOPSOIL 205(A) 4229 LSUM 1.000 1.000   1.000 $4,000.00 $0.00 $4,000.00
0004 TEMPORARY SILT FENCE 221(C) 2801 LF 1,513.000 360.000   360.000 $1.40 $0.00 $504.00
0005 TEMPORARY SILT DIKE 221(F) 0100 LF 70.000 0.000   0.000 $8.95 $0.00 $0.00
0006 (PL)TEMPORARY INLET SEDIMENT FILTER 221(H) 0450 EA 4.000 0.000   0.000 $175.00 $0.00 $0.00
0007 SOLID SLAB SODDING 230(A) 2806 SY 2,622.000 2,515.000 -10.000 2,515.000 $1.70 $-17.00 $4,275.50
0008 VEGETATIVE MULCHING 233(A) 2817 AC 0.550 0.000   0.000 $800.00 $0.00 $0.00
0009 MOWING 241 2832 AC 1.200 0.000   0.000 $200.00 $0.00 $0.00
0010 AGGREGATE BASE TYPE A 303(A) 2100 CY 984.000 978.000   978.000 $42.00 $0.00 $41,076.00
0011 SEPARATOR FABRIC 325 5271 SY 1,248.000 1,167.000   1,167.000 $1.50 $0.00 $1,750.50
0012 MOISTURE BARRIER MEMBRANE 325 5280 SY 3,100.000 3,102.000   3,102.000 $4.50 $0.00 $13,959.00
0013 TRAFFIC BOUND SURFACE COURSE TYPE E 402(E) 0225 TON 497.000 498.830   498.830 $20.00 $0.00 $9,976.60
0014 TACK COAT 407(B) 0250 GAL 574.000 500.000   500.000 $4.50 $0.00 $2,250.00
0015 PRIME COAT 408 5774 GAL 967.000 0.000   0.000 $9.00 $0.00 $0.00
0016 SUPERPAVE, TYPE S3(PG 76-28 OK) 411(B) 5935 TON 409.000 418.730   418.730 $120.00 $0.00 $50,247.60
0017 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 969.000 893.620   893.620 $110.50 $0.00 $98,745.01
0018 SUPERPAVE, TYPE S4(PG 76-28 OK) 411(C) 5950 TON 314.000 491.730   491.730 $141.60 $0.00 $69,628.97
0019 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 56.000 48.640   48.640 $167.00 $0.00 $8,122.88
0020 CLASS AA CONCRETE 509(A) 1326 CY 4.200 4.200   4.200 $850.00 $0.00 $3,570.00
0021 REINFORCING STEEL 511(A) 0332 LB 804.000 804.000   804.000 $1.00 $0.00 $804.00
0022 TYPE I PLAIN RIPRAP 601(A) 0297 TON 94.000 75.580   75.580 $35.00 $0.00 $2,645.30
0023 1'-8" COMB. CURB & GUTTER (6" BARRIER) 609(B) 1513 LF 512.000 519.000   519.000 $20.00 $0.00 $10,380.00
0024 2'-8" COMB. CURB & GUTTER (6" BARRIER) 609(B) 1525 LF 124.000 124.000   124.000 $50.00 $0.00 $6,200.00
0025 2'-8" COMB. CURB & GUTTER (8" BARRIER) 609(B) 1526 LF 73.000 73.000   73.000 $45.00 $0.00 $3,285.00
0026 MANHOLE (4' DIAMETER) 611(A) 2657 EA 2.000 2.000   2.000 $2,000.00 $0.00 $4,000.00
0027 ADD'L.DEPTH IN MANHOLE (4' DIAMETER) 611(B) 2680 VF 4.000 5.660   5.660 $125.00 $0.00 $707.50
0028 INLET CI DES. 2 (D) 611(G) 5115 EA 1.000 1.000   1.000 $4,500.00 $0.00 $4,500.00
0029 INLET W/SMALL JCT. BOX, CI, DES.2(2D) 611(G) 5980 EA 1.000 1.000   1.000 $7,500.00 $0.00 $7,500.00
0030 INLET W/SMALL JCT. BOX, CI, DES.3 611(G) 5982 EA 1.000 1.000   1.000 $7,500.00 $0.00 $7,500.00
0031 INLET W/SMALL JCT. BOX, CI, DES.3(2D) 611(G) 5992 EA 1.000 1.000   1.000 $9,500.00 $0.00 $9,500.00
0032 ADD'L DEPTH IN INLET CI DES. 2(D) 611(H) 5305 VF 1.000 1.500   1.500 $200.00 $0.00 $300.00
0033 ADD'L DEPTH IN INLET W/SJB, CI, DES. 2(2D) 611(H) 5980 VF 2.000 1.500   1.500 $450.00 $0.00 $675.00
0034 ADD'L DEPTH IN INLET W/SJB, CI, DES. 3 611(H) 5982 VF 2.000 1.750   1.750 $600.00 $0.00 $1,050.00
0035 ADD'L DEPTH IN INLET W/SJB, CI, DES. 3(2D) 611(H) 5992 VF 1.000 1.500   1.500 $800.00 $0.00 $1,200.00
0036 18" R.C.PIPE CLASS III 613(A) 0491 LF 24.000 22.500   22.500 $30.00 $0.00 $675.00
0037 24" R.C.PIPE CLASS III 613(A) 0492 LF 537.000 537.000   537.000 $35.00 $0.00 $18,795.00
0038 EDGE DRAIN CONDUIT-PERFORATED 613(J) 5915 LF 746.000 700.000   700.000 $7.00 $0.00 $4,900.00
0039 EDGE DRAIN OUTLET LATERAL-NONPERFORATED 613(K) 5916 LF 80.000 0.000   0.000 $7.00 $0.00 $0.00
0040 24" PREFAB. CULVERT END SECTION, ROUND 613(L) 5730 EA 3.000 3.000   3.000 $900.00 $0.00 $2,700.00
0041 TYPE B6 CULVERT END TREATMENT 613(M) 7197 EA 2.000 2.000   2.000 $1,100.00 $0.00 $2,200.00
0042 STANDARD BEDDING MATERIAL, CLASS B 613(S) 1186 CY 191.000 220.180 -0.001 220.180 $32.00 $-0.03 $7,045.76
0043 TRENCH EXCAVATION 613(V) 1180 CY 458.000 322.640   322.640 $2.00 $0.00 $645.28
0044 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 1.000 1.000   1.000 $2,500.00 $0.00 $2,500.00
0045 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 1,918.000 1,895.330   1,895.330 $4.00 $0.00 $7,581.32
0046 SAWING PAVEMENT 619(C) 0924 LF 125.000 148.000   148.000 $5.00 $0.00 $740.00
0047 BEAM GUARDRAIL W-BEAM SINGLE 623(A) 0932 LF 86.000 86.000   86.000 $13.75 $0.00 $1,182.50
0048 GUARDRAIL END TREATMENT (GET) 623(G) 8571 EA 3.000 3.000   3.000 $1,900.00 $0.00 $5,700.00
0049 GUARDRAIL BRIDGE CONNECTION-TYPE A 623(I) 8675 EA 3.000 3.000   3.000 $1,750.00 $0.00 $5,250.00
0050 FENCE-STYLE WWF 624(A) 4281 LF 23.000 0.000   0.000 $10.00 $0.00 $0.00
8001 REMOVAL OF CURB AND GUTTER 619(B) 4726 LF 0.000 542.000   542.000 $2.38 $0.00 $1,289.96
8002 REMOVAL OF CONCRETE PAVEMENT 619(B) 4727 SY 0.000 1,742.000   1,742.000 $4.48 $0.00 $7,804.16
Subtotals For Category     0100/ROADWAY    $982.97 $462,891.84
Fed/State Project Number:    BRFY-107B(151) Project:    26231(04) Category:    0200/BRIDGE "A"
0051 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 1,190.000 1,190.000   1,190.000 $1.00 $0.00 $1,190.00
0052 GRANULAR BACKFILL 501(F) 6352 CY 11.000 11.000   11.000 $120.00 $0.00 $1,320.00
0053 CLSM BACKFILL 501(G) 6309 CY 38.000 38.000   38.000 $200.00 $0.00 $7,600.00
0054 PRESTRESSED CONCRETE BEAMS 503(A) 6123 LF 1,270.500 1,270.500   1,270.500 $270.00 $0.00 $343,035.00
0055 APPROACH SLAB 504(A) 1304 SY 244.800 244.800   244.800 $200.00 $0.00 $48,960.00
0056 SAW-CUT GROOVING 504(B) 1305 SY 711.100 711.100   711.100 $4.05 $0.00 $2,879.96
0057 CONCRETE RAIL (TR4) 504(D) 6245 LF 320.000 320.000   320.000 $75.00 $0.00 $24,000.00
0058 STRUCTURAL STEEL 506(A) 1322 LB 1,095.000 1,095.000   1,095.000 $5.00 $0.00 $5,475.00
0059 ELASTOMERIC BEARING PADS 507(C) 6282 EA 66.000 66.000   66.000 $100.00 $0.00 $6,600.00
0060 CLASS AA CONCRETE 509(A) 1326 CY 121.000 121.000   121.000 $580.00 $0.00 $70,180.00
0061 CLASS A CONCRETE 509(B) 1328 CY 134.000 134.000   134.000 $400.00 $0.00 $53,600.00
0062 CLASS C CONCRETE 509(D) 1331 CY 3.000 3.000   3.000 $380.00 $0.00 $1,140.00
0063 EPOXY COATED REINFORCING STEEL 511(B) 6010 LB 52,460.000 59,284.000 6,824.000 59,284.000 $1.10 $7,506.40 $65,212.40
0064 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 504.000 504.000   504.000 $25.00 $0.00 $12,600.00
0065 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 504.000 499.870   499.870 $15.00 $0.00 $7,498.05
0066 (PL)PILOT HOLES 514(K) 6260 LF 200.000 200.000   200.000 $35.00 $0.00 $7,000.00
0067 WATER REPELLENT (VISUALLY INSPECTED) 515(A) 6013 SY 264.000 264.000   264.000 $4.00 $0.00 $1,056.00
0068 DRILLED SHAFTS 48" DIAMETER 516(A) 6094 LF 348.000 348.000   348.000 $450.00 $0.00 $156,600.00
0069 TYPE I-A PLAIN RIPRAP 601(B) 1353 TON 491.000 299.220   299.220 $35.00 $0.00 $10,472.70
0070 TYPE I-A FILTER BLANKET 601(C) 1355 TON 93.000 100.490 7.490 100.490 $22.00 $164.78 $2,210.78
0071 6" PERFORATED PIPE UNDERDRAIN ROUND 613(H) 6204 LF 114.000 114.000   114.000 $10.00 $0.00 $1,140.00
0072 6" NON-PERF.PIPE UNDERDRAIN RND. 613(I) 6207 LF 30.000 30.000   30.000 $6.00 $0.00 $180.00
0073 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $20,000.00 $0.00 $20,000.00
0074 FENCE-STYLE CLF (7' HIGH, CLASS B) 624(E) 4298 LF 420.000 394.000   394.000 $50.00 $0.00 $19,700.00
8004 ADJUSTMENT FOR NON-CONFORMING MATERIALS 105 2100 LSUM 0.000 1.000 1.000 1.000 $-1,000.00 $-1,000.00 $-1,000.00
Subtotals For Category     0200/BRIDGE "A"    $6,671.18 $868,649.89
Fed/State Project Number:    BRFY-107B(151) Project:    26231(04) Category:    0300/TRAFFIC
0075 (PL)REMOVAL OF EXISTING SIGNS 805(A) 8722 LSUM 1.000 1.000   1.000 $250.00 $0.00 $250.00
0076 SHEET ALUMINUM SIGNS 850(A) 8110 SF 42.680 42.680   42.680 $14.00 $0.00 $597.52
0077 2" SQUARE TUBE POST 851(C) 8324 LF 126.000 126.000   126.000 $7.75 $0.00 $976.50
0078 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 2,896.000 2,896.000   2,896.000 $1.50 $0.00 $4,344.00
0079 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $4,500.00 $0.00 $4,500.00
8000 PORT.CHANGEABLE MESSAGE SIGN 882(A) 8306 SD 0.000 192.000   192.000 $28.92 $0.00 $5,552.64
Subtotals For Category     0300/TRAFFIC    $0.00 $16,220.66
Fed/State Project Number:    BRFY-107B(151) Project:    26231(04) Category:    0600/STAKING
0080 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000   1.000 $2,500.00 $0.00 $2,500.00
Subtotals For Category     0600/STAKING    $0.00 $2,500.00
Fed/State Project Number:    BRFY-107B(151) Project:    26231(04) Category:    0640/CONSTRUCTION
0081 SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $3,000.00 $0.00 $3,000.00
0082 FIELD OFFICE 640(A) 1426 EA 1.000 0.000   0.000 $5,500.00 $0.00 $0.00
0083 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $75,000.00 $0.00 $75,000.00
8003 INCENTIVE FOR EARLY COMPLETION 108 0175 DAY 0.000 25.000 25.000 25.000 $2,000.00 $50,000.00 $50,000.00
Subtotals For Category     0640/CONSTRUCTION    $50,000.00 $128,000.00
Subtotals For Project BRFY-107B(151) /26231(04) $57,654.15 $1,478,262.39