Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120260   Estimate Number: 0010 , Final     Spec Year: 2009
Primary JP: 22181(04)   Residency: MUSKOGEE (01100)     Contract No: 810260
Date Created: 07/17/2013   Contractor FEI: 730764097A     Account No: 434100

Project Number(s): CIRB-156C(104)RB, CIRB-156D(105)RB
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (NS-395): OVER NEGRO CREEK 3.1 MILES NORTH AND 1.1 MILES WEST OF THE US-75/SH-56 JUNCTION. PROJECT LENGTH = 0.233 MILES.
Primary County: OKMULGEE              
Name of Road: COUNTY ROAD              
Prime Contractor: MANHATTAN ROAD & BRIDGE COMPANY           Time Charged: 72.00
    5601 S. 122ND E. AVE.           Time Allowed: 90.00
    TULSA , OK   74146           Percent Time: 80.00 %

  Paid To Date: $758,916.12 Payable This Statement: $625.00

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:    07/17/2013
Contract ID: 120260   Estimate Number: 0010     Contract No: 810260
Residency: MUSKOGEE (01100)   Estimate Type: Final     Account No: 434100

Project Number(s): CIRB-156C(104)RB, CIRB-156D(105)RB
Primary Job Piece No: 22181(04)
Contract Description: BRIDGE AND APPROACHES COUNTY ROAD (NS-395): OVER NEGRO CREEK 3.1 MILES NORTH AND 1.1 MILES WEST OF THE US-75/SH-56 JUNCTION. PROJECT LENGTH = 0.233 MILES.
Primary County: OKMULGEE              
Name of Road: COUNTY ROAD              
Prime Contractor: MANHATTAN ROAD & BRIDGE COMPANY              
    5601 S. 122ND E. AVE.              
    TULSA , OK   74146              
Surety Company: FIDELITY & DEPOSIT INSURANCE COMPANY OF MARYLAND              

Date Let: 07/19/2012 NTP Effective Date: 12/03/2012 Pay Period: 05/23/2013  TO  07/17/2013
Date Awarded: 08/06/2012 Date Work Began: 10/15/2012 Original Contract Time: 90
Date Contract Executed: 08/21/2012 Date Time Stopped: 05/31/2013 Current Time Charged: 72.00
Date NTP Issued: 08/24/2012 Completion Date: 05/31/2013 Current Time Allowed: 90.00
General Liability Expires: 10/01/2013 Workman's Comp Expires: 10/01/2013 Percent Time Used: 80.00 %
Specification Year: 2009        

Current Contract Amount: $760,147.45 Total to Date Prev to Date This Estimate
Bid Amount: $781,201.21 Participating: $0.00 $0.00 $0.00
Percent Complete: 99.84 % Non Participating: $760,147.45 $760,147.45 $0.00
Funds Available: $1,231.33 Total Earnings: $760,147.45 $760,147.45 $0.00
Unearned Balance: $22,285.09 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $760,147.45 $760,147.45 $0.00
Other Adjustments: $-1,231.33 $-1,856.33 $625.00
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $758,916.12 $758,291.12 $625.00

Estimate Adjustment Detail

Contract ID: 120260   Estimate Number: 0010     Primary JP: 22181(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Final Contract Item Quantities Approved 07/17/2013 0.0 $-21,053.76


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
22181(04) 0013 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0007 523.68 $-1.04 $-547.12
22181(04) 0014 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0007 295.94 $-1.19 $-353.35
22181(04) 0032 SWPPP DOCUMENTATION AND MANAGEMENT * Missing Material Certification 0009 -0.25 $2,500.00 $-625.00
22181(04) 0032 SWPPP DOCUMENTATION AND MANAGEMENT * Missing Material Certification 0010 0.25 $2,500.00 $625.00
22182(04) 0045 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0007 277.10 $-1.19 $-330.86
Subtotals For Line Item Adjustments $-1,231.33
* = 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: 120260   Estimate Number: 0010     Primary JP: 22181(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-156C(104)RB Project:    22181(04) Category:    0100/ROADWAY - CIRB-156C(104)RB
0001 CLEARING AND GRUBBING 201(A) 0102 LSUM 1.000 1.000   1.000 $23,000.00 $0.00 $23,000.00
0002 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 2,260.000 2,260.000   2,260.000 $7.00 $0.00 $15,820.00
0003 TYPE A-SALVAGED TOPSOIL 205(A) 4229 LSUM 1.000 1.000   1.000 $3,500.00 $0.00 $3,500.00
0004 TEMPORARY SILT FENCE 221(C) 2801 LF 250.000 0.000   0.000 $3.00 $0.00 $0.00
0005 TEMPORARY SILT DIKE 221(F) 0100 LF 180.000 7.000   7.000 $10.00 $0.00 $70.00
0006 SOLID SLAB SODDING 230(A) 2806 SY 2,320.000 3,951.080   3,951.080 $2.20 $0.00 $8,692.38
0007 VEGETATIVE MULCHING 233(A) 2817 AC 0.700 0.000   0.000 $1,000.00 $0.00 $0.00
0008 AGGREGATE BASE TYPE A 303(A) 2100 CY 425.000 453.500   453.500 $49.00 $0.00 $22,221.50
0009 MODIFIED SUBGRADE 307(J) 4290 SY 2,592.000 2,773.800   2,773.800 $7.00 $0.00 $19,416.60
0010 TRAFFIC BOUND SURFACE COURSE TYPE E 402(E) 0225 TON 114.000 100.300   100.300 $25.00 $0.00 $2,507.50
0011 TACK COAT 407(B) 0250 GAL 371.000 174.750   174.750 $2.85 $0.00 $498.04
0012 PRIME COAT 408 5774 GAL 956.000 0.000   0.000 $8.00 $0.00 $0.00
0013 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 568.000 523.680   523.680 $75.00 $0.00 $39,276.00
0014 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 275.000 295.940   295.940 $91.00 $0.00 $26,930.54
0015 CLASS C CONCRETE 509(D) 0325 CY 10.000 0.000   0.000 $285.00 $0.00 $0.00
0016 24" R.C.PIPE CLASS III 613(A) 0492 LF 34.000 32.000   32.000 $75.00 $0.00 $2,400.00
0017 24" PREFAB. CULVERT END SECTION, ROUND 613(L) 5730 EA 2.000 2.000   2.000 $643.00 $0.00 $1,286.00
0018 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 1.000 1.000   1.000 $4,000.00 $0.00 $4,000.00
0019 REMOVAL OF CONCRETE PAVEMENT W/ASPHALT OVERLAY 619(B) 4763 SY 1,872.000 1,735.560   1,735.560 $4.00 $0.00 $6,942.24
0020 SAWING PAVEMENT 619(C) 0924 LF 68.000 60.000   60.000 $4.00 $0.00 $240.00
0021 REMOVE AND RESET MAILBOX 629(E) 5048 EA 1.000 0.000   0.000 $100.00 $0.00 $0.00
0022 SHEET ALUMINUM SIGNS 850(A) 8110 SF 23.930 23.930   23.930 $33.00 $0.00 $789.69
0023 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 3,530.000 2,990.000   2,990.000 $0.86 $0.00 $2,571.40
Subtotals For Category     0100/ROADWAY - CIRB-156C(104)RB    $0.00 $180,161.89
Fed/State Project Number:    CIRB-156C(104)RB Project:    22181(04) Category:    0200/BRIDGE - CIRB-156C(104)RB
0024 STRUCTURAL EXCAVATION UNCLASSIFIED 501(A) 1306 CY 81.000 81.000   81.000 $40.00 $0.00 $3,240.00
0025 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 950.000 950.000   950.000 $4.50 $0.00 $4,275.00
0026 CLASS AA CONCRETE 509(A) 0319 CY 239.900 239.900   239.900 $358.00 $0.00 $85,884.20
0027 REINFORCING STEEL 511(A) 1332 LB 47,003.000 47,003.000   47,003.000 $0.85 $0.00 $39,952.55
0028 TYPE I PLAIN RIPRAP 601(A) 0297 TON 369.000 373.220   373.220 $37.00 $0.00 $13,809.14
0029 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $5,500.00 $0.00 $5,500.00
0030 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $2,000.00 $0.00 $2,000.00
Subtotals For Category     0200/BRIDGE - CIRB-156C(104)RB    $0.00 $154,660.89
Fed/State Project Number:    CIRB-156C(104)RB Project:    22181(04) Category:    0600/STAKING
0031 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000   1.000 $9,500.00 $0.00 $9,500.00
Subtotals For Category     0600/STAKING    $0.00 $9,500.00
Fed/State Project Number:    CIRB-156C(104)RB Project:    22181(04) Category:    0640/CONSTRUCTION
0032 SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000 0.000 1.000 $2,500.00 $0.00 $2,500.00
0033 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $63,000.00 $0.00 $63,000.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $65,500.00
Subtotals For Project CIRB-156C(104)RB /22181(04) $0.00 $409,822.78


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-156D(105)RB Project:    22182(04) Category:    0100/ROADWAY - CIRB-156D(105)RB
0034 CLEARING AND GRUBBING 201(A) 0102 LSUM 1.000 1.000   1.000 $26,500.00 $0.00 $26,500.00
0035 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 3,940.000 3,940.000   3,940.000 $8.00 $0.00 $31,520.00
0036 TYPE A-SALVAGED TOPSOIL 205(A) 4229 LSUM 1.000 1.000   1.000 $3,500.00 $0.00 $3,500.00
0037 TEMPORARY SILT FENCE 221(C) 2801 LF 545.000 170.000   170.000 $3.00 $0.00 $510.00
0038 TEMPORARY SILT DIKE 221(F) 0100 LF 270.000 14.000   14.000 $10.00 $0.00 $140.00
0039 SOLID SLAB SODDING 230(A) 2806 SY 2,180.000 3,673.310   3,673.310 $2.20 $0.00 $8,081.28
0040 VEGETATIVE MULCHING 233(A) 2817 AC 0.700 0.000   0.000 $1,000.00 $0.00 $0.00
0041 AGGREGATE BASE TYPE A 303(A) 2100 CY 520.000 502.530   502.530 $49.00 $0.00 $24,623.97
0042 MODIFIED SUBGRADE 307(J) 4290 SY 2,457.000 2,237.250   2,237.250 $7.00 $0.00 $15,660.75
0043 TRAFFIC BOUND SURFACE COURSE TYPE E 402(E) 0225 TON 106.000 117.970   117.970 $25.00 $0.00 $2,949.25
0044 PRIME COAT 408 5774 GAL 971.000 0.000   0.000 $8.00 $0.00 $0.00
0045 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 259.000 277.100   277.100 $91.00 $0.00 $25,216.10
0046 CLASS C CONCRETE 509(D) 0325 CY 10.000 0.000   0.000 $285.00 $0.00 $0.00
0047 18" CORR. GALV. STEEL PIPE 613(B) 0689 LF 34.000 34.000   34.000 $27.00 $0.00 $918.00
0048 18" PREFAB. CULVERT END SECTION, ROUND 613(L) 5726 EA 2.000 2.000   2.000 $190.00 $0.00 $380.00
0049 REMOVAL OF STRUCTURES & OBSTRUCTIONS 619(A) 0920 LSUM 1.000 1.000   1.000 $4,000.00 $0.00 $4,000.00
0050 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 1,535.000 1,515.780   1,515.780 $2.50 $0.00 $3,789.45
0051 SAWING PAVEMENT 619(C) 0924 LF 22.000 19.000   19.000 $4.00 $0.00 $76.00
0052 REMOVE AND RESET MAILBOX 629(E) 5048 EA 2.000 2.000   2.000 $100.00 $0.00 $200.00
0053 SHEET ALUMINUM SIGNS 850(A) 8110 SF 11.430 11.430   11.430 $33.00 $0.00 $377.19
0054 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 2,958.000 2,940.000   2,940.000 $0.86 $0.00 $2,528.40
Subtotals For Category     0100/ROADWAY - CIRB-156D(105)RB    $0.00 $150,970.39
Fed/State Project Number:    CIRB-156D(105)RB Project:    22182(04) Category:    0200/BRIDGE - CIRB-156D(105)RB
0055 STRUCTURAL EXCAVATION UNCLASSIFIED 501(A) 1306 CY 93.000 93.000   93.000 $40.00 $0.00 $3,720.00
0056 SUBSTRUCTURE EXCAVATION COMMON 501(B) 1307 CY 1,090.000 1,090.000   1,090.000 $4.50 $0.00 $4,905.00
0057 CLASS AA CONCRETE 509(A) 0319 CY 318.200 318.200   318.200 $358.00 $0.00 $113,915.60
0058 REINFORCING STEEL 511(A) 1332 LB 63,057.000 63,057.000   63,057.000 $0.85 $0.00 $53,598.45
0059 TYPE I PLAIN RIPRAP 601(A) 0297 TON 423.000 478.790   478.790 $37.00 $0.00 $17,715.23
0060 REMOVAL OF EXISTING BRIDGE STRUCTURE 619(D) 1397 LSUM 1.000 1.000   1.000 $5,500.00 $0.00 $5,500.00
Subtotals For Category     0200/BRIDGE - CIRB-156D(105)RB    $0.00 $199,354.28
Subtotals For Project CIRB-156D(105)RB /22182(04) $0.00 $350,324.67