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 |
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 |
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 |
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 |