Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120298   Estimate Number: 0017 , Final     Spec Year: 2009
Primary JP: 23482(11)   Residency: CIRCUIT ENGR. DISTRICT # 3 (02013)     Contract No: 810381
Date Created: 10/14/2014   Contractor FEI: 730764097A     Account No: 434200

Project Number(s): CIRB-261C(007)RB
Contract Description: GRADE, DRAIN, AND SURFACE COUNTY ROAD (CROWDER BLOCKER ROAD): FROM THE CAUSEWAY OVER LAKE EUFAULA (2.0 MILES EAST OF CROWDER), EXTEND EAST. PROJECT LENGTH = 0.417 MILE.
Primary County: PITTSBURG              
Name of Road: COUNTY ROAD              
Prime Contractor: MANHATTAN ROAD & BRIDGE COMPANY           Time Charged: 224.00
    5601 S. 122ND E. AVE.           Time Allowed: 224.00
    TULSA , OK   74146           Percent Time: 100.00 %

  Paid To Date: $2,484,795.79 Payable This Statement: $-303.70

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:    10/14/2014
Contract ID: 120298   Estimate Number: 0017     Contract No: 810381
Residency: CIRCUIT ENGR. DISTRICT # 3 (02013)   Estimate Type: Final     Account No: 434200

Project Number(s): CIRB-261C(007)RB
Primary Job Piece No: 23482(11)
Contract Description: GRADE, DRAIN, AND SURFACE COUNTY ROAD (CROWDER BLOCKER ROAD): FROM THE CAUSEWAY OVER LAKE EUFAULA (2.0 MILES EAST OF CROWDER), EXTEND EAST. PROJECT LENGTH = 0.417 MILE.
Primary County: PITTSBURG              
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: 08/16/2012 NTP Effective Date: 12/03/2012 Pay Period: 09/16/2014  TO  09/30/2014
Date Awarded: 09/10/2012 Date Work Began: 12/03/2012 Original Contract Time: 210
Date Contract Executed: 09/27/2012 Date Time Stopped: 09/19/2013 Current Time Charged: 224.00
Date NTP Issued: 10/26/2012 Completion Date: 09/19/2013 Current Time Allowed: 224.00
General Liability Expires: 10/01/2015 Workman's Comp Expires: 10/01/2015 Percent Time Used: 100.00 %
Specification Year: 2009        

Bid Amount: $2,318,698.35 Total to Date Prev to Date This Estimate
Funds Available (Bid + Positive C/O): $2,499,833.92 Participating: $0.00 $0.00 $0.00
Percent Complete: 99.40 % Non Participating: $2,485,099.49 $2,485,099.49 $0.00
Unearned Balance: $15,038.13 Total Earnings: $2,485,099.49 $2,485,099.49 $0.00
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $2,485,099.49 $2,485,099.49 $0.00
Other Adjustments: $21,696.30 $22,000.00 $-303.70
Liq Dam/Disincentive: $-22,000.00 $-22,000.00 $0.00
TOTAL: $2,484,795.79 $2,485,099.49 $-303.70

Estimate Adjustment Detail

Contract ID: 120298   Estimate Number: 0017     Primary JP: 23482(11)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 UNILATERAL CO FOR ADDITIONAL APPROPRIATIONS DUE Approved 07/01/2013 0.0 $120,571.96
002 ADD TEMPORARY FIBER LOG PAY ITEM Approved 08/13/2013 0.0 $1,479.60
003 ADD NEW PAY ITEM, ADD TIME Approved 10/08/2013 13.0 $-14,734.44
004 ADD SPECIAL PROVISION 708.26 TO CONTRACT Approved 08/22/2013 0.0 $0.00
005 CHANGE TRAFFIC STRIPING FROM THERMOPLASTIC TO MULTI POLYMER Approved 10/07/2013 0.0 $0.00
006 INCREASE BORROW QUANTITY AND TIME ADJUSTMENT Approved 04/08/2014 14.0 $18,583.75
007 Final Quantity Change Order Approved 09/09/2014 0.0 $40,500.26


STOCKPILE PAYMENT HISTORY
Project Line Nbr Stockpile Description Adjustment Type Estimate Nbr Adjusted Amount
23482(11) 0035 Sheet Piling Stockpiled Material Adjustment 0002 $-675,300.07
23482(11) 0035 Sheet Piling Stockpiled Material Initial Payment 0001 $675,300.07
Subtotals For Stockpile Payments $0.00


LIQUIDATED DAMAGES HISTORY
Adjustment Description Estimate Nbr Time Units Rate Adjustment Amount
System Application of Liquidated Damages 0013 --13 $750.00 $-9,750.00
System Application of Liquidated Damages 0014 --1.0 $750.00 $-750.00
System Application of Liquidated Damages 0015 -14.0 $750.00 $10,500.00
Subtotals For Liquidated Damages $0.00


CONTRACT ADJUSTMENTS HISTORY
Adjustment Description Estimate Nbr Adjustment Amount
Milestone Adjust. (Prog. Est. Only) 0015 $22,000.00
Withhold to Funds Avail(Prog. Est. Only) 0015 $-7,696.57
Withhold to Funds Avail(Prog. Est. Only) 0016 $8,000.27
Withhold to Funds Avail(Prog. Est. Only) 0017 $-303.70
Subtotals For Contract Adjustments $22,000.00


LINE ITEM ADJUSTMENT HISTORY
Project Item Nbr Line Item Description Adjustment Type Estimate Nbr Adj Quantity Unit Price Adjusted Amount
23482(11) 0014 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0012 1,132.24 $-0.13 $-148.61
23482(11) 0014 SUPERPAVE, TYPE S3(PG 64-22 OK) Asphalt Binder Adjustment 0015 -1.87 $-0.13 $0.25
23482(11) 0015 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0012 1,035.61 $-0.15 $-155.34
Subtotals For Line Item Adjustments $-303.70


MILESTONE INFORMATION
Milestone Number Milestone Description Start Date End Date Current Time Allowed Rate Milestone Closed
01 Disincentive Crowder/Blocker Road 07/10/2013 08/05/2013 27.00 DYS $2,000.00 Y


MILESTONE ADJUSTMENTS
Milestone Number Milestone Adjustment Description Estimate Nbr Total
01 System Application of Disincentive Adj 0010 $-12,000.00
01 System Application of Disincentive Adj 0011 $-10,000.00
Subtotals For Milestones $-22,000.00

Line Item Detail

Contract ID: 120298   Estimate Number: 0017     Primary JP: 23482(11)



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-261C(007)RB Project:    23482(11) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201(A) 0102 LSUM 1.000 1.000   1.000 $30,000.00 $0.00 $30,000.00
0002 UNCLASSIFIED EXCAVATION 202(A) 0183 CY 10,697.180 3,613.000   3,613.000 $4.00 $0.00 $14,452.00
0003 UNCLASSIFIED BORROW 202(D) 0184 CY 22,988.370 30,049.130   30,049.130 $12.50 $0.00 $375,614.13
0004 UNCLASSIFIED BORROW (TOPSOIL) 202(D) 4781 CY 6,848.000 0.000   0.000 $7.50 $0.00 $0.00
0005 TEMPORARY BALE BARRIER 221(B) 2801 LF 1,530.000 0.000   0.000 $1.00 $0.00 $0.00
0006 TEMPORARY SILT FENCE 221(C) 2801 LF 3,116.000 1,230.000   1,230.000 $1.00 $0.00 $1,230.00
0007 SOLID SLAB SODDING 230(A) 2806 SY 16,435.000 21,642.770   21,642.770 $1.85 $0.00 $40,039.13
0008 VEGETATIVE MULCHING 233(A) 2817 AC 3.400 0.000   0.000 $1,295.00 $0.00 $0.00
0009 AGGREGATE BASE TYPE B 303(B) 2110 CY 467.000 1,855.350   1,855.350 $74.00 $0.00 $137,295.90
0010 TACK COAT 407(B) 0250 GAL 2,288.000 350.000   350.000 $3.75 $0.00 $1,312.50
0011 PRIME COAT 408 5774 GAL 588.000 0.000   0.000 $5.85 $0.00 $0.00
0012 FABRIC REINFORCEMENT 409(A) 4242 SY 7,676.000 0.000   0.000 $4.25 $0.00 $0.00
0013 BITUMINOUS BINDER 409(B) 4268 GAL 1,919.000 0.000   0.000 $7.25 $0.00 $0.00
0014 SUPERPAVE, TYPE S3(PG 64-22 OK) 411(B) 5945 TON 1,610.000 1,130.370   1,130.370 $78.00 $0.00 $88,168.86
0015 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 961.000 1,035.610 0.000 1,035.610 $75.00 $0.00 $77,670.75
0016 COLD MILLING PAVEMENT 412 5267 SY 5,305.000 4,611.440   4,611.440 $2.35 $0.00 $10,836.88
0017 REMOVAL OF ASPHALT PAVEMENT 619(B) 4728 SY 1,448.000 5,304.440   5,304.440 $16.00 $0.00 $84,871.04
0018 REMOVAL OF GUARDRAIL 619(B) 4780 LF 1,721.560 1,863.500   1,863.500 $3.15 $0.00 $5,870.03
0019 SAWING PAVEMENT 619(C) 0924 LF 44.000 22.000   22.000 $5.00 $0.00 $110.00
0020 (PL)GUARDRAIL CURBING 623 0100 EA 2.000 2.000   2.000 $1,500.00 $0.00 $3,000.00
0021 BEAM GUARDRAIL W-BEAM SINGLE 623(A) 0932 LF 4,200.000 4,200.000   4,200.000 $16.00 $0.00 $67,200.00
0022 GUARDRAIL TRAIL END TURNDOWN (31") 623(F) 8300 EA 2.000 4.000   4.000 $2,300.00 $0.00 $9,200.00
0023 GUARDRAIL BRIDGE CONN-THRIE BEAM (31") 623(I) 8700 EA 2.000 4.000   4.000 $1,750.00 $0.00 $7,000.00
0024 (SP)PORTABLE TRAFFIC SIGNAL SYSTEM 823 8478 SD 135.000 0.000   0.000 $135.00 $0.00 $0.00
0025 DELINEATORS(TYPE 1, CODE 1) 853 9024 EA 85.000 87.000   87.000 $13.00 $0.00 $1,131.00
0026 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 8,800.000 0.000   0.000 $0.70 $0.00 $0.00
0027 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $15,000.00 $0.00 $15,000.00
0028 PORT.CHANGEABLE MESSAGE SIGN 882(A) 8306 SD 56.000 0.000   0.000 $30.00 $0.00 $0.00
8001 TEMPORARY FIBER LOG 221(K) 0600 LF 0.000 912.000   912.000 $3.30 $0.00 $3,009.60
8005 TRAFFIC STRIPE(MULTI-POLY.)(4" WIDE) 856(A) 8530 LF 0.000 8,800.000   8,800.000 $0.70 $0.00 $6,160.00
Subtotals For Category     0100/ROADWAY    $0.00 $979,171.82
Fed/State Project Number:    CIRB-261C(007)RB Project:    23482(11) Category:    0200/BRIDGE
0029 UNCLASSIFIED EXCAVATION 202(A) 1301 CY 295.000 136.000   136.000 $25.00 $0.00 $3,400.00
0030 CLSM BACKFILL 501(G) 6309 CY 263.900 136.000   136.000 $80.00 $0.00 $10,880.00
0031 APPROACH SLAB 504(A) 1304 SY 86.200 86.200   86.200 $225.00 $0.00 $19,395.00
0032 CONCRETE PARAPET 504(E) 1381 LF 60.000 60.000   60.000 $125.00 $0.00 $7,500.00
0033 ELASTOMERIC MORTAR 504(H) 6389 CF 2.250 0.000   0.000 $600.00 $0.00 $0.00
0034 MECHANICAL SPLICES 511 6306 EA 62.000 62.000   62.000 $50.00 $0.00 $3,100.00
0035 SHEET PILING, FURNISHED 514(H) 6355 SY 5,040.240 5,602.590   5,602.590 $205.00 $0.00 $1,148,530.95
0036 SHEET PILING, DRIVEN 514(I) 6360 SY 5,040.240 5,397.260   5,397.260 $16.00 $0.00 $86,356.16
0037 PNEUMATICALLY PLACED MORTAR 521(A) 6210 SY 15.000 0.000   0.000 $1,500.00 $0.00 $0.00
0038 (PL)REPAIR BRIDGE ITEM (TYPE A) 540 4510 LSUM 1.000 0.000   0.000 $10,000.00 $0.00 $0.00
0039 (PL)REPAIR BRIDGE ITEM (TYPE B) 540 4525 EA 4.000 4.000   4.000 $5,000.00 $0.00 $20,000.00
0040 REMOVAL OF BRIDGE ITEMS 619(B) 2500 LSUM 1.000 1.000   1.000 $25,000.00 $0.00 $25,000.00
8002 (PL)REPAIR BRIDGE ITEM (TYPE C) 540 4530 LSUM 0.000 1.000   1.000 $17,765.56 $0.00 $17,765.56
Subtotals For Category     0200/BRIDGE    $0.00 $1,341,927.67
Fed/State Project Number:    CIRB-261C(007)RB Project:    23482(11) Category:    0600/STAKING
0041 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000   1.000 $8,500.00 $0.00 $8,500.00
Subtotals For Category     0600/STAKING    $0.00 $8,500.00
Fed/State Project Number:    CIRB-261C(007)RB Project:    23482(11) Category:    0640/CONSTRUCTION
0042 SWPPP DOCUMENTATION AND MANAGEMENT 220 2800 LSUM 1.000 1.000   1.000 $3,500.00 $0.00 $3,500.00
0043 FIELD OFFICE 640(A) 1426 EA 1.000 1.000   1.000 $12,000.00 $0.00 $12,000.00
0044 MOBILIZATION 641 1552 LSUM 1.000 1.000   1.000 $140,000.00 $0.00 $140,000.00
Subtotals For Category     0640/CONSTRUCTION    $0.00 $155,500.00
Subtotals For Project CIRB-261C(007)RB /23482(11) $0.00 $2,485,099.49