Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120267   Estimate Number: 0009 , Final     Spec Year: 2009
Primary JP: 20893(05)   Residency: CLAREMORE (08300)     Contract No: 810142
Date Created: 07/16/2013   Contractor FEI: 760202042     Account No: 404800

Project Number(s): SBR-249N(004)SB
Contract Description: BRIDGE REHABILITATION US-69: OVER CHOUTEAU CREEK, 9.4 MILES NORTH OF THE WAGONER COUNTY LINE.
Primary County: MAYES              
Name of Road: US-69              
Prime Contractor: SCR CONSTRUCTION CO., INC.           Time Charged: 82.00
    5420 FM 2218 RD.           Time Allowed: 82.00
    RICHMOND , TX   77469           Percent Time: 100.00 %

  Paid To Date: $685,841.18 Payable This Statement: $12,611.69

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.                                
SCR CONSTRUCTION CO., 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:    07/16/2013
Contract ID: 120267   Estimate Number: 0009     Contract No: 810142
Residency: CLAREMORE (08300)   Estimate Type: Final     Account No: 404800

Project Number(s): SBR-249N(004)SB
Primary Job Piece No: 20893(05)
Contract Description: BRIDGE REHABILITATION US-69: OVER CHOUTEAU CREEK, 9.4 MILES NORTH OF THE WAGONER COUNTY LINE.
Primary County: MAYES              
Name of Road: US-69              
Prime Contractor: SCR CONSTRUCTION CO., INC.              
    5420 FM 2218 RD.              
    RICHMOND , TX   77469              
Surety Company: LIBERTY MUTUAL INSURANCE COMPANY              

Date Let: 06/21/2012 NTP Effective Date: 08/13/2012 Pay Period: 01/01/2013  TO  07/15/2013
Date Awarded: 07/02/2012 Date Work Began: 08/24/2012 Original Contract Time: 80
Date Contract Executed: 07/18/2012 Date Time Stopped: 01/07/2013 Current Time Charged: 82.00
Date NTP Issued: 07/20/2012 Completion Date: 01/07/2013 Current Time Allowed: 82.00
General Liability Expires: 04/01/2014 Workman's Comp Expires: 04/01/2014 Percent Time Used: 100.00 %
Specification Year: 2009        

Current Contract Amount: $686,090.71 Total to Date Prev to Date This Estimate
Bid Amount: $668,821.90 Participating: $0.00 $0.00 $0.00
Percent Complete: 99.96 % Non Participating: $686,090.71 $679,864.08 $6,226.63
Funds Available: $249.53 Total Earnings: $686,090.71 $679,864.08 $6,226.63
Unearned Balance: $-17,019.28 Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $686,090.71 $679,864.08 $6,226.63
Other Adjustments: $-249.53 $-6,634.59 $6,385.06
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $685,841.18 $673,229.49 $12,611.69

Estimate Adjustment Detail

Contract ID: 120267   Estimate Number: 0009     Primary JP: 20893(05)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 12" CGMP Approved 09/27/2012 2.0 $4,408.00
002 Final Contract Item Quantities Approved 07/03/2013 0.0 $12,860.81


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
20893(05) 0008 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0001 344.99 $-0.30 $-106.86
20893(05) 0008 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0009 -0.05 $-1.25 $0.06
20893(05) 0009 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0006 119.54 $-1.19 $-142.73
20893(05) 0015 ELASTOMERIC BEARING PADS * Missing Material Certification 0004 -16.00 $600.00 $-9,600.00
20893(05) 0015 ELASTOMERIC BEARING PADS * Missing Material Certification 0005 16.00 $600.00 $9,600.00
20893(05) 0020 SEALER RESIN * Missing Material Certification 0006 -1.60 $40.00 $-64.00
20893(05) 0020 SEALER RESIN * Missing Material Certification 0008 1.60 $40.00 $64.00
20893(05) 0025 TRAFFIC STRIPE(MULTI-POLYMER)(4" WIDE) * Missing Material Certification 0007 -21,696.00 $0.70 $-15,187.20
20893(05) 0025 TRAFFIC STRIPE(MULTI-POLYMER)(4" WIDE) * Missing Material Certification 0008 12,574.57 $0.70 $8,802.20
20893(05) 0025 TRAFFIC STRIPE(MULTI-POLYMER)(4" WIDE) * Missing Material Certification 0009 9,121.43 $0.70 $6,385.00
Subtotals For Line Item Adjustments $-249.53
* = 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: 120267   Estimate Number: 0009     Primary JP: 20893(05)



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:    SBR-249N(004)SB Project:    20893(05) Category:    0100/ROADWAY
0001 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 300.000 300.000   300.000 $30.00 $0.00 $9,000.00
0002 UNCLASSIFIED BORROW 202(D) 0184 CY 150.000 150.000 150.000 150.000 $40.00 $6,000.00 $6,000.00
0003 TYPE A-SALVAGED TOPSOIL 205(A) 4229 LSUM 1.000 1.000   1.000 $6,000.00 $0.00 $6,000.00
0004 TEMPORARY SILT FENCE 221(C) 2801 LF 563.000 466.000   466.000 $2.00 $0.00 $932.00
0005 TEMPORARY SILT DIKE 221(F) 0100 LF 56.000 63.000   63.000 $9.00 $0.00 $567.00
0006 SOLID SLAB SODDING 230(A) 2806 SY 1,389.000 2,323.160   2,323.160 $2.00 $0.00 $4,646.32
0007 AGGREGATE BASE TYPE B 303(B) 2110 CY 240.000 221.460 0.010 221.460 $80.00 $0.80 $17,716.80
0008 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 345.000 344.940 -0.050 344.940 $90.00 $-4.50 $31,044.60
0009 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 110.000 119.540   119.540 $140.00 $0.00 $16,735.60
0010 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 856.000 1,030.590 0.010 1,030.590 $13.00 $0.13 $13,397.67
8000 12" CORR. GALV. STEEL PIPE 613(B) 0688 LF 0.000 160.000   160.000 $27.55 $0.00 $4,408.00
Subtotals For Category     0100/ROADWAY    $5,996.43 $110,447.99
Fed/State Project Number:    SBR-249N(004)SB Project:    20893(05) Category:    0200/BRIDGE "A"
0011 CLSM BACKFILL 501(G) 6309 CY 10.000 0.000   0.000 $380.00 $0.00 $0.00
0012 APPROACH SLAB 504(A) 1304 SY 214.400 214.240   214.240 $145.00 $0.00 $31,064.80
0013 SAW-CUT GROOVING 504(B) 1305 SY 1,049.400 1,049.400   1,049.400 $8.00 $0.00 $8,395.20
0014 CONCRETE RAIL (TR4) 504(D) 6245 LF 497.000 497.000   497.000 $115.00 $0.00 $57,155.00
0015 ELASTOMERIC BEARING PADS 507(C) 6282 EA 16.000 16.000   16.000 $600.00 $0.00 $9,600.00
0016 CLASS AA CONCRETE 509(A) 1326 CY 210.300 210.300   210.300 $750.00 $0.00 $157,725.00
0017 EPOXY COATED REINFORCING STEEL 511(B) 6010 LB 79,662.000 79,662.000   79,662.000 $1.05 $0.00 $83,645.10
0018 WATER REPELLENT (VISUALLY INSPECTED) 515(A) 6013 SY 731.000 731.000   731.000 $8.00 $0.00 $5,848.00
0019 SEALER CRACK PREPARATION 523(A) 6550 LF 160.800 160.800   160.800 $15.00 $0.00 $2,412.00
0020 SEALER RESIN 523(B) 6560 GAL 1.600 1.600   1.600 $40.00 $0.00 $64.00
0021 REMOVAL OF BRIDGE ITEMS 619(B) 2500 LSUM 1.000 1.000   1.000 $75,000.00 $0.00 $75,000.00
Subtotals For Category     0200/BRIDGE "A"    $0.00 $430,909.10
Fed/State Project Number:    SBR-249N(004)SB Project:    20893(05) Category:    0300/SIGNING AND STRIPING
0022 (PL)REMOVE & RESET EXISTING SIGNS 805(D) 8756 EA 4.000 4.000   4.000 $95.00 $0.00 $380.00
0023 2 1/2" SQUARE TUBE POST 851(C) 8330 LF 58.000 0.000   0.000 $10.00 $0.00 $0.00
0024 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 4,451.000 0.000   0.000 $1.10 $0.00 $0.00
0025 TRAFFIC STRIPE(MULTI-POLYMER)(4" WIDE) 856(A) 8530 LF 10,778.000 21,696.000 0.000 21,696.000 $0.70 $0.00 $15,187.20
Subtotals For Category     0300/SIGNING AND STRIPING    $0.00 $15,567.20
Fed/State Project Number:    SBR-249N(004)SB Project:    20893(05) Category:    0301/TRAFFIC CONTROL
0026 REMOVABLE PAVEMENT MARKING TAPE(4" WIDE) 857(C) 8851 LF 17,500.000 15,635.000   15,635.000 $0.67 $0.00 $10,475.45
0027 PAVEMENT MARKING REMOVAL(TRAFFIC STRIPE) 857(F) 8006 LF 8,200.000 13,932.000   13,932.000 $0.30 $0.00 $4,179.60
0028 DELIVER PORTABLE LONGITUDINAL BARRIER 877(B) 8484 LF 3,312.500 3,000.000   3,000.000 $11.40 $0.00 $34,200.00
0029 ARROW DISPLAY(TYPE C) 880(A) 8812 SD 120.000 224.000   224.000 $15.00 $0.00 $3,360.00
0030 CONSTRUCTION SIGNS 0 TO 6.25 SF 880(B) 8818 SD 2,040.000 3,346.000 -242.000 3,346.000 $0.10 $-24.20 $334.60
0031 CONSTRUCTION SIGNS 6.26 SF TO 15.99 SF 880(B) 8821 SD 3,600.000 3,020.000   3,020.000 $0.10 $0.00 $302.00
0032 CONSTRUCTION SIGNS 16.0 SF TO 32.99 SF 880(B) 8824 SD 2,240.000 3,148.000   3,148.000 $0.10 $0.00 $314.80
0033 CONSTRUCTION BARRICADES(TYPE III) 880(C) 8842 SD 420.000 2,213.000   2,213.000 $5.00 $0.00 $11,065.00
0034 WING BARRICADES 880(C) 8848 SD 160.000 339.000   339.000 $5.00 $0.00 $1,695.00
0035 WARNING LIGHTS(TYPE A) 880(E) 8860 SD 2,720.000 5,942.000 424.000 5,942.000 $0.60 $254.40 $3,565.20
0036 DRUMS 880(F) 8878 SD 7,740.000 13,089.000   13,089.000 $0.05 $0.00 $654.45
0037 CHANNELIZER CONES 880(G) 8890 SD 2,420.000 1,016.000   1,016.000 $0.02 $0.00 $20.32
Subtotals For Category     0301/TRAFFIC CONTROL    $230.20 $70,166.42
Fed/State Project Number:    SBR-249N(004)SB Project:    20893(05) Category:    0600/STAKING
0038 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000   1.000 $4,000.00 $0.00 $4,000.00
Subtotals For Category     0600/STAKING    $0.00 $4,000.00
Fed/State Project Number:    SBR-249N(004)SB Project:    20893(05) Category:    0640/CONSTRUCTION
0039 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $55,000.00 $0.00 $55,000.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $55,000.00
Subtotals For Project SBR-249N(004)SB /20893(05) $6,226.63 $686,090.71