Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120252   Estimate Number: 0016 , Final     Spec Year: 2009
Primary JP: 27281(04)   Residency: CIRCUIT ENGR. DISTRICT # 8 (04009)     Contract No: 810210
Date Created: 08/27/2014   Contractor FEI: 480679774     Account No: 436400

Project Number(s): BRO-127D(171)CI
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (EW-12) : OVER TRIBUTARY TO SAND CREEK 2.0 MILES NORTH AND 0.4 MILE EAST OF THE SH-11/SH-132 JUNCTION. PROJECT LENGTH = 0.275 MILE.
Primary County: GRANT              
Name of Road: COUNTY ROAD              
Prime Contractor: KING CONSTRUCTION CO., INC. & SUBSIDIARIES           Time Charged: 125.00
    301 N. LANCASTER           Time Allowed: 120.00
    HESSTON , KS   67062           Percent Time: 104.17 %

  Paid To Date: $662,498.17 Payable This Statement: $-10,506.80

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.                                
KING CONSTRUCTION CO., INC. & SUBSIDIARIES                               
 
_________________________________________________
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:    08/27/2014
Contract ID: 120252   Estimate Number: 0016     Contract No: 810210
Residency: CIRCUIT ENGR. DISTRICT # 8 (04009)   Estimate Type: Final     Account No: 436400

Project Number(s): BRO-127D(171)CI
Primary Job Piece No: 27281(04)
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (EW-12) : OVER TRIBUTARY TO SAND CREEK 2.0 MILES NORTH AND 0.4 MILE EAST OF THE SH-11/SH-132 JUNCTION. PROJECT LENGTH = 0.275 MILE.
Primary County: GRANT              
Name of Road: COUNTY ROAD              
Prime Contractor: KING CONSTRUCTION CO., INC. & SUBSIDIARIES              
    301 N. LANCASTER              
    HESSTON , KS   67062              
Surety Company: FIDELITY & DEPOSIT INSURANCE COMPANY OF MARYLAND              

Date Let: 07/19/2012 NTP Effective Date: 11/05/2012 Pay Period: 06/01/2013  TO  08/15/2014
Date Awarded: 08/06/2012 Date Work Began: 10/29/2012 Original Contract Time: 120
Date Contract Executed: 08/21/2012 Date Time Stopped: 11/04/2013 Current Time Charged: 125.00
Date NTP Issued: 09/17/2012 Completion Date: 11/04/2013 Current Time Allowed: 120.00
General Liability Expires: 02/01/2015 Workman's Comp Expires: 02/01/2015 Percent Time Used: 104.17 %
Specification Year: 2009        

Bid Amount: $679,607.00 Total to Date Prev to Date This Estimate
Funds Available (Bid + Positive C/O): $683,983.41 Participating: $666,465.06 $676,977.95 $-10,512.89
Percent Complete: 96.86 % Non Participating: $0.00 $0.00 $0.00
Unearned Balance: $21,485.24 Total Earnings: $666,465.06 $676,977.95 $-10,512.89
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $666,465.06 $676,977.95 $-10,512.89
Other Adjustments: $-1,466.89 $-1,472.98 $6.09
Liq Dam/Disincentive: $-2,500.00 $-2,500.00 $0.00
TOTAL: $662,498.17 $673,004.97 $-10,506.80

Estimate Adjustment Detail

Contract ID: 120252   Estimate Number: 0016     Primary JP: 27281(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 ced8 Earthwork and pipe overruns Approved 03/08/2013 0.0 $4,376.41
002 ced08 Type B End Treatments. Approved 05/07/2014 0.0 $-5,730.00
003 ced8 FQCO King Const. Approved 06/20/2014 0.0 $-11,788.35


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
27281(04) 0023 PC BR ITM FABS (AML) Stockpiled Material Adjustment 0009 $-43,582.64
27281(04) 0023 PC BR ITM FABS (AML) Stockpiled Material Initial Payment 0003 $43,582.64
27281(04) 0025 REBAR-GR60 Stockpiled Material Initial Payment 0004 $1,763.45
27281(04) 0025 REBAR-GR60 Stockpiled Material Adjustment 0011 $-1,763.45
27281(04) 0027 SSTL FABS (AML) Stockpiled Material Adjustment 0009 $-2,673.00
27281(04) 0027 SSTL FABS (AML) Stockpiled Material Initial Payment 0003 $2,673.00
27281(04) 0028 SSTL FABS (AML) Stockpiled Material Initial Payment 0003 $2,673.00
27281(04) 0028 SSTL FABS (AML) Stockpiled Material Adjustment 0009 $-2,673.00
27281(04) 0031 REBAR-GR60 Stockpiled Material Initial Payment 0004 $13,237.95
27281(04) 0031 REBAR-GR60 Stockpiled Material Adjustment 0007 $-2,436.72
27281(04) 0031 REBAR-GR60 Stockpiled Material Adjustment 0006 $-1,439.88
27281(04) 0031 REBAR-GR60 Stockpiled Material Adjustment 0010 $-9,361.35
27281(04) 0032 Stockpiled Material Initial Payment 0001 $6,193.88
27281(04) 0032 Stockpiled Material Adjustment 0005 $-6,193.88
27281(04) 0033 Stockpiled Material Initial Payment 0001 $25,590.10
27281(04) 0033 Stockpiled Material Adjustment 0005 $-25,590.10
Subtotals For Stockpile Payments $0.00


LIQUIDATED DAMAGES HISTORY
Adjustment Description Estimate Nbr Time Units Rate Adjustment Amount
System Application of Liquidated Damages 0012 --3.0 $500.00 $-1,500.00
System Application of Liquidated Damages 0013 --1.0 $500.00 $-500.00
System Application of Liquidated Damages 0014 --1.0 $500.00 $-500.00
Subtotals For Liquidated Damages $-2,500.00


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
27281(04) 0012 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0013 885.30 $-1.04 $-924.92
27281(04) 0012 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0016 -61.03 $-0.09 $6.09
27281(04) 0013 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0013 459.01 $-1.19 $-548.06
Subtotals For Line Item Adjustments $-1,466.89


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: 120252   Estimate Number: 0016     Primary JP: 27281(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-127D(171)CI Project:    27281(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201(A) 0102 LSUM 1.000 1.000   1.000 $4,500.00 $0.00 $4,500.00
0002 EARTHWORK 202(H) 0185 LSUM 1.000 1.000   1.000 $38,000.00 $0.00 $38,000.00
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 1,500.000 445.000   445.000 $1.85 $0.00 $823.25
0005 TEMPORARY SILT DIKE 221(F) 0100 LF 350.000 0.000   0.000 $7.50 $0.00 $0.00
0006 SOLID SLAB SODDING 230(A) 2806 SY 8,850.000 12,064.950 1,023.470 12,064.950 $2.00 $2,046.94 $24,129.90
0007 VEGETATIVE MULCHING 233(A) 2817 AC 3.640 0.000   0.000 $350.00 $0.00 $0.00
0008 FLY ASH 307(A) 4200 TON 157.000 140.750   140.750 $63.00 $0.00 $8,867.25
0009 CEMENTITIOUS STABILIZED SUBGRADE 307(E) 4240 SY 3,850.000 3,726.330 -123.670 3,726.330 $2.75 $-340.09 $10,247.41
0010 TRAFFIC BOUND SURFACE COURSE TYPE E 402(E) 0225 TON 175.000 237.400   237.400 $40.00 $0.00 $9,496.00
0011 TACK COAT 407(B) 0250 GAL 275.000 137.500 -137.500 137.500 $4.50 $-618.75 $618.75
0012 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 836.000 824.270 -61.030 824.270 $98.00 $-5,980.94 $80,778.46
0013 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 403.000 459.010   459.010 $99.00 $0.00 $45,441.99
0014 CLASS C CONCRETE 509(D) 0325 CY 10.000 0.000   0.000 $300.00 $0.00 $0.00
0015 18" CORR. GALV. STEEL PIPE 613(B) 0689 LF 208.000 288.000 80.000 288.000 $30.00 $2,400.00 $8,640.00
0016 24" CORR. GALV. STEEL PIPE 613(B) 0690 LF 162.000 162.000 -80.000 162.000 $35.00 $-2,800.00 $5,670.00
0017 TYPE A4 CULVERT END TREATMENT 613(M) 7186 EA 6.000 6.000   6.000 $1,000.00 $0.00 $6,000.00
0018 TYPE B4 CULVERT END TREATMENT 613(M) 7187 EA 4.000 4.000   4.000 $1,150.00 $0.00 $4,600.00
0019 SAWING PAVEMENT 619(C) 0924 LF 36.000 0.000   0.000 $20.00 $0.00 $0.00
0020 TRAFFIC STRIPE(PAINT)(4" WIDE) 854(A) 8800 LF 5,800.000 5,840.000   5,840.000 $0.32 $0.00 $1,868.80
8000 UNCLASSIFIED BORROW 202(D) 0184 CY 0.000 309.100   309.100 $5.10 $0.00 $1,576.41
Subtotals For Category     0100/ROADWAY    $-5,292.84 $255,258.22
Fed/State Project Number:    BRO-127D(171)CI Project:    27281(04) Category:    0200/BRIDGE
0021 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 220.000 220.000   220.000 $60.00 $0.00 $13,200.00
0022 CLSM BACKFILL 501(G) 6309 CY 102.000 102.000   102.000 $120.00 $0.00 $12,240.00
0023 PRESTRESSED CONCRETE BEAMS (TYPE IV) 503(A) 1313 LF 284.000 284.000   284.000 $290.00 $0.00 $82,360.00
0024 SAW-CUT GROOVING 504(B) 1305 SY 242.200 242.200   242.200 $15.00 $0.00 $3,633.00
0025 CONCRETE RAIL (TR3) 504(D) 6239 LF 271.300 271.300   271.300 $50.00 $0.00 $13,565.00
0026 STRUCTURAL STEEL 506(A) 1322 LB 590.000 590.000   590.000 $3.00 $0.00 $1,770.00
0027 WEATHERING STEEL FIXED BEARING ASSEMBLY 507(A) 6172 EA 3.000 3.000   3.000 $1,200.00 $0.00 $3,600.00
0028 WEATHERING STEEL EXPANSION BEARING ASSEMBLY 507(B) 6176 EA 3.000 3.000   3.000 $1,200.00 $0.00 $3,600.00
0029 CLASS AA CONCRETE 509(A) 1326 CY 77.800 77.800   77.800 $525.00 $0.00 $40,845.00
0030 CLASS A CONCRETE 509(B) 1328 CY 79.400 79.400   79.400 $525.00 $0.00 $41,685.00
0031 REINFORCING STEEL 511(A) 1332 LB 33,300.000 33,300.000   33,300.000 $0.90 $0.00 $29,970.00
0032 PILES, FURNISHED (HP 10X42) 514(A) 6010 LF 308.000 308.000   308.000 $30.00 $0.00 $9,240.00
0033 PILES, FURNISHED (HP 12X53) 514(A) 6011 LF 1,008.000 1,008.000   1,008.000 $34.00 $0.00 $34,272.00
0034 PILES, DRIVEN (HP 10X42) 514(B) 6292 LF 308.000 304.100   304.100 $12.00 $0.00 $3,649.20
0035 PILES, DRIVEN (HP 12X53) 514(B) 6294 LF 1,008.000 999.080 -0.050 999.080 $13.00 $-0.65 $12,988.04
0036 TYPE I-A PLAIN RIPRAP 601(B) 1353 TON 725.000 508.640 -0.100 508.640 $44.00 $-4.40 $22,380.16
0037 TYPE I-A FILTER BLANKET 601(C) 1355 TON 242.000 140.380   140.380 $38.00 $0.00 $5,334.44
0038 6" PERFORATED PIPE UNDERDRAIN ROUND 613(H) 6204 LF 60.000 60.000   60.000 $15.00 $0.00 $900.00
0039 6" NON-PERF.PIPE UNDERDRAIN RND. 613(I) 6207 LF 30.000 55.000 -5.000 55.000 $15.00 $-75.00 $825.00
0040 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $7,500.00 $0.00 $7,500.00
0041 BEAM GUARDRAIL W-BEAM SINGLE 623(A) 1418 LF 175.000 175.000   175.000 $15.00 $0.00 $2,625.00
0042 GUARDRAIL ANCHOR UNIT (TYPE D-BF) 623(F) 5686 EA 4.000 4.000   4.000 $1,150.00 $0.00 $4,600.00
0043 GUARDRAIL ANCHOR UNIT (TYPE II) 623(F) 6033 EA 6.000 0.000 -6.000 0.000 $2,000.00 $-12,000.00 $0.00
0044 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $2,400.00 $0.00 $2,400.00
8001 GUARDRAIL ANCHOR UNIT (TYPE B) 623(F) 6030 EA 0.000 6.000 6.000 6.000 $1,045.00 $6,270.00 $6,270.00
Subtotals For Category     0200/BRIDGE    $-5,810.05 $359,451.84
Fed/State Project Number:    BRO-127D(171)CI Project:    27281(04) Category:    0600/STAKING
0045 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000 0.050 1.000 $8,800.00 $440.00 $8,800.00
Subtotals For Category     0600/STAKING    $440.00 $8,800.00
Fed/State Project Number:    BRO-127D(171)CI Project:    27281(04) Category:    0640/CONSTRUCTION
0046 SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000 0.050 1.000 $3,000.00 $150.00 $3,000.00
0047 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $39,955.00 $0.00 $39,955.00
Subtotals For Category     0640/CONSTRUCTION    $150.00 $42,955.00
Subtotals For Project BRO-127D(171)CI /27281(04) $-10,512.89 $666,465.06