Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120271   Estimate Number: 0012 , Final     Spec Year: 2009
Primary JP: 28473(04)   Residency: CIRCUIT ENGR. DISTRICT # 7 (05005)     Contract No: 810389
Date Created: 06/10/2014   Contractor FEI: 731130155     Account No: 436500

Project Number(s): STP-120C(197)CI
Contract Description: GRADE, DRAIN, AND SURFACE COUNTY ROAD (EW-101/NS-244): FROM AIRPORT ROAD IN WEATHERFORD EXTEND EAST ON EW-101 THEN NORTH ON NS-244. PROJECT LENGTH = 1.523 MILES.
Primary County: CUSTER              
Name of Road: COUNTY ROAD              
Prime Contractor: CASWELL CONTRACTING, INC.           Time Charged: 189.00
    P.O. BOX 1886           Time Allowed: 195.00
    ELK CITY , OK   73648           Percent Time: 96.92 %

  Paid To Date: $811,296.35 Payable This Statement: $810.72

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.                                
CASWELL CONTRACTING, 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:    06/10/2014
Contract ID: 120271   Estimate Number: 0012     Contract No: 810389
Residency: CIRCUIT ENGR. DISTRICT # 7 (05005)   Estimate Type: Final     Account No: 436500

Project Number(s): STP-120C(197)CI
Primary Job Piece No: 28473(04)
Contract Description: GRADE, DRAIN, AND SURFACE COUNTY ROAD (EW-101/NS-244): FROM AIRPORT ROAD IN WEATHERFORD EXTEND EAST ON EW-101 THEN NORTH ON NS-244. PROJECT LENGTH = 1.523 MILES.
Primary County: CUSTER              
Name of Road: COUNTY ROAD              
Prime Contractor: CASWELL CONTRACTING, INC.              
    P.O. BOX 1886              
    ELK CITY , OK   73648              
Surety Company: WESTFIELD INSURANCE COMPANY              

Date Let: 08/16/2012 NTP Effective Date: 02/18/2013 Pay Period: 01/01/2014  TO  05/13/2014
Date Awarded: 09/10/2012 Date Work Began: 02/18/2013 Original Contract Time: 120
Date Contract Executed: 09/27/2012 Date Time Stopped: 02/10/2014 Current Time Charged: 189.00
Date NTP Issued: 10/02/2012 Completion Date: 02/10/2014 Current Time Allowed: 195.00
General Liability Expires: 12/01/2014 Workman's Comp Expires: 12/01/2014 Percent Time Used: 96.92 %
Specification Year: 2009        

Bid Amount: $775,444.37 Total to Date Prev to Date This Estimate
Funds Available (Bid + Positive C/O): $872,961.85 Participating: $813,495.17 $812,685.04 $810.13
Percent Complete: 92.94 % Non Participating: $0.00 $0.00 $0.00
Unearned Balance: $61,665.50 Total Earnings: $813,495.17 $812,685.04 $810.13
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $813,495.17 $812,685.04 $810.13
Other Adjustments: $-2,198.82 $-2,199.41 $0.59
Liq Dam/Disincentive: $0.00 $0.00 $0.00
TOTAL: $811,296.35 $810,485.63 $810.72

Estimate Adjustment Detail

Contract ID: 120271   Estimate Number: 0012     Primary JP: 28473(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 TIme Extension Approved 08/01/2013 45.0 $0.00
002 Class C Ditch Liner Approved 11/04/2013 30.0 $69,804.67
003 Add erosion control pay items Approved 11/04/2013 0.0 $27,712.81
004 Final Quantity Change Order Approved 05/09/2014 0.0 $-59,466.69


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
System Application of Liquidated Damages 0007 --20 $500.00 $-10,000.00
System Application of Liquidated Damages 0008 --4.0 $500.00 $-2,000.00
System Application of Liquidated Damages 0010 -24.0 $500.00 $12,000.00
Subtotals For Liquidated Damages $0.00


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
28473(04) 0009 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0004 2,407.05 $-0.02 $-63.19
28473(04) 0009 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0005 1,082.23 $-0.23 $-255.68
28473(04) 0009 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0006 483.47 $-0.23 $-114.22
28473(04) 0010 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0007 2,689.29 $-0.63 $-1,694.25
28473(04) 0010 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0008 114.40 $-0.63 $-72.07
28473(04) 0010 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0012 -0.37 $-1.59 $0.59
Subtotals For Line Item Adjustments $-2,198.82


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: 120271   Estimate Number: 0012     Primary JP: 28473(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:    STP-120C(197)CI Project:    28473(04) Category:    0100/ROADWAY
0001 EARTHWORK 202(H) 0185 LSUM 1.000 1.000   1.000 $65,405.00 $0.00 $65,405.00
0002 TEMPORARY SILT FENCE 221(C) 2801 LF 5,000.000 4,552.000   4,552.000 $1.55 $0.00 $7,055.60
0003 TEMPORARY SILT DIKE 221(F) 0100 LF 700.000 497.000   497.000 $8.94 $0.00 $4,443.18
0004 SOLID SLAB SODDING 230(A) 2806 SY 30,000.000 17,913.000   17,913.000 $1.61 $0.00 $28,839.93
0005 VEGETATIVE MULCHING 233(A) 2817 AC 5.920 0.000   0.000 $558.95 $0.00 $0.00
0006 AGGREGATE BASE TYPE A 303(A) 2100 CY 735.000 0.000   0.000 $52.32 $0.00 $0.00
0007 PROCESSING EXISTING BASE & SURFACE, METHOD B 311(B) 0152 LF 8,100.000 8,044.000   8,044.000 $6.76 $0.00 $54,377.44
0008 TRAFFIC BOUND SURFACE COURSE TYPE E 402(E) 0225 TON 118.000 246.400   246.400 $27.53 $0.00 $6,783.39
0009 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 3,958.000 3,972.750   3,972.750 $69.64 $0.00 $276,662.31
0010 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 2,691.000 2,803.320 -0.370 2,803.320 $76.45 $-28.29 $214,313.81
0011 CLASS C CONCRETE 509(D) 0325 CY 10.000 179.690   179.690 $279.47 $0.00 $50,217.96
0012 TYPE I-A PLAIN RIPRAP 601(B) 1353 TON 150.000 0.000   0.000 $40.00 $0.00 $0.00
0013 TYPE I-A FILTER BLANKET 601(C) 1355 TON 50.000 0.000   0.000 $45.50 $0.00 $0.00
0014 28" X 18" R.C.PIPE ARCH CLASS A-IV 613(A) 4512 LF 206.000 200.000   200.000 $45.86 $0.00 $9,172.00
0015 36" X 22" R.C.PIPE ARCH CLASS A-IV 613(A) 4513 LF 78.000 78.000   78.000 $69.14 $0.00 $5,392.92
0016 28" X 20" CORR. GALV. STEEL PIPE ARCH 613(B) 4528 LF 100.000 100.000   100.000 $24.56 $0.00 $2,456.00
0017 28" X 18" PREFAB. CULVERT END SECTION, ARCH 613(L) 4515 EA 8.000 8.000   8.000 $612.01 $0.00 $4,896.08
0018 28" X 20" PREFAB. CULVERT END SECTION, ARCH 613(L) 4516 EA 4.000 4.000   4.000 $122.97 $0.00 $491.88
0019 36" X 22" PREFAB. CULVERT END SECTION, ARCH 613(L) 4526 EA 6.000 6.000   6.000 $680.91 $0.00 $4,085.46
0020 REMOVE AND RESET MAILBOX 629(E) 5048 EA 2.000 0.000   0.000 $111.79 $0.00 $0.00
0021 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 16,000.000 16,474.000   16,474.000 $0.57 $0.00 $9,390.18
0022 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $4,605.72 $0.00 $4,605.71
8001 CLASS C CONCRETE 509(D) 0325 CY 0.000 179.690   179.690 $108.22 $0.00 $19,446.05
8002 MOBILIZATION 641 1399 LSUM 0.000 1.000   1.000 $2,935.35 $0.00 $2,935.35
8003 CONSTRUCTION MISCELLANEOUS 104 0150 TON 0.000 440.640   440.640 $43.65 $0.00 $19,233.94
8004 CONSTRUCTION MISCELLANEOUS 104 0150 TON 0.000 221.670   221.670 $38.25 $0.00 $8,478.88
Subtotals For Category     0100/ROADWAY    $-28.29 $798,683.07
Fed/State Project Number:    STP-120C(197)CI Project:    28473(04) Category:    0600/STAKING
0023 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000   1.000 $2,794.73 $0.00 $2,794.73
Subtotals For Category     0600/STAKING    $0.00 $2,794.73
Fed/State Project Number:    STP-120C(197)CI Project:    28473(04) Category:    0640/CONSTRUCTION
0024 SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000 0.250 1.000 $3,353.68 $838.42 $3,353.69
0025 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $8,663.67 $0.00 $8,663.68
Subtotals For Category     0640/CONSTRUCTION    $838.42 $12,017.37
Subtotals For Project STP-120C(197)CI /28473(04) $810.13 $813,495.17