Oklahoma Department of Transportation
Final Estimate Affidavit

Contract ID: 120302   Estimate Number: 0015 , Final     Spec Year: 2009
Primary JP: 24512(04)   Residency: ANADARKO (07300)     Contract No: 810216
Date Created: 01/04/2016   Contractor FEI: 481302179     Account No: 404700

Project Number(s): SBR-108B(178)SB
Contract Description: BRIDGE REPAIR US-281: OVER SUGAR CREEK,0.4 MILE EAST OF THE SH-8/SH-152 JUNCTION IN THE CITY OF BINGER.
Primary County: CADDO              
Name of Road: US-281              
Prime Contractor: MERIDIAN CONTRACTING, INC.           Time Charged: 186.00
    17500 S SOONER ROAD           Time Allowed: 184.00
    NORMAN , OK   73701           Percent Time: 101.09 %

  Paid To Date: $1,132,291.09 Payable This Statement: $2,098.40

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.                                
MERIDIAN 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:    01/04/2016
Contract ID: 120302   Estimate Number: 0015     Contract No: 810216
Residency: ANADARKO (07300)   Estimate Type: Final     Account No: 404700

Project Number(s): SBR-108B(178)SB
Primary Job Piece No: 24512(04)
Contract Description: BRIDGE REPAIR US-281: OVER SUGAR CREEK,0.4 MILE EAST OF THE SH-8/SH-152 JUNCTION IN THE CITY OF BINGER.
Primary County: CADDO              
Name of Road: US-281              
Prime Contractor: MERIDIAN CONTRACTING, INC.              
    17500 S SOONER ROAD              
    NORMAN , OK   73701              
Surety Company: SAFECO INSURANCE COMPANY              

Date Let: 07/19/2012 NTP Effective Date: 12/03/2012 Pay Period: 01/01/2015  TO  06/26/2015
Date Awarded: 08/06/2012 Date Work Began: 11/15/2012 Original Contract Time: 150
Date Contract Executed: 08/17/2012 Date Time Stopped: 12/01/2014 Current Time Charged: 186.00
Date NTP Issued: 08/22/2012 Completion Date: 12/01/2014 Current Time Allowed: 184.00
General Liability Expires: 04/01/2016 Workman's Comp Expires: 04/01/2016 Percent Time Used: 101.09 %
Specification Year: 2009        

Bid Amount: $1,056,897.00 Total to Date Prev to Date This Estimate
Funds Available (Bid + Positive C/O): $1,158,457.81 Participating: $0.00 $0.00 $0.00
Percent Complete: 97.74 % Non Participating: $1,158,457.81 $1,156,359.41 $2,098.40
Unearned Balance: $26,166.72 Total Earnings: $1,158,457.81 $1,156,359.41 $2,098.40
Stockpiled Materials: $0.00 $0.00 $0.00
Gross Earnings: $1,158,457.81 $1,156,359.41 $2,098.40
Other Adjustments: $-24,666.72 $-24,666.72 $0.00
Liq Dam/Disincentive: $-1,500.00 $-1,500.00 $0.00
TOTAL: $1,132,291.09 $1,130,192.69 $2,098.40

Estimate Adjustment Detail

Contract ID: 120302   Estimate Number: 0015     Primary JP: 24512(04)



CHANGE ORDER HISTORY
Change Order Nbr. Change Order Description Status Approval Date Contract Time Adjustment Total Change Order Amount
001 Pier Cap Repair Approved 12/09/2014 34.0 $79,784.36
002 Add Funding for Overrun of Asphalt Approved 10/17/2014 0.0 $16,580.00
003 Final Quantity Change Order Approved 11/09/2015 0.0 $5,196.45


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 0009 --3.0 $750.00 $-2,250.00
System Application of Liquidated Damages 0010 --15 $750.00 $-11,250.00
System Application of Liquidated Damages 0011 --16 $750.00 $-12,000.00
System Application of Liquidated Damages 0013 -32.0 $750.00 $24,000.00
Subtotals For Liquidated Damages $-1,500.00


CONTRACT ADJUSTMENTS HISTORY
Adjustment Description Estimate Nbr Adjustment Amount
LD Adjustment (Prog. Est. Only) 0012 $105,284.36
Withhold to Funds Avail(Prog. Est. Only) 0012 $-19,512.61
Withhold to Funds Avail(Prog. Est. Only) 0013 $19,512.61
LD Adjustment (Prog. Est. Only) 0013 $-105,284.36
Smoothness Deduction 0013 $-21,782.51
Subtotals For Contract Adjustments $-21,782.51


LINE ITEM ADJUSTMENT HISTORY
Project Item Nbr Line Item Description Adjustment Type Estimate Nbr Adj Quantity Unit Price Adjusted Amount
24512(04) 0011 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0007 177.04 $-1.19 $-211.39
24512(04) 0011 SUPERPAVE, TYPE S4(PG 64-22 OK) Asphalt Binder Adjustment 0010 158.87 $-1.43 $-227.82
24512(04) 0026 CLASS AA CONCRETE * COMPRESSIVE STRENGTH 0011 -0.60 $750.00 $-450.00
24512(04) 0026 CLASS AA CONCRETE * COMPRESSIVE STRENGTH 0011 -2.66 $750.00 $-1,995.00
Subtotals For Line Item Adjustments $-2,884.21
* = 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: 120302   Estimate Number: 0015     Primary JP: 24512(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:    SBR-108B(178)SB Project:    24512(04) Category:    0100/ROADWAY
0001 CLEARING AND GRUBBING 201(A) 0102 LSUM 1.000 1.000   1.000 $5,000.00 $0.00 $5,000.00
0002 UNCLASSIFIED BORROW 202(D) 0184 CY 222.000 0.000   0.000 $15.00 $0.00 $0.00
0003 TYPE A-SALVAGED TOPSOIL 205(A) 4229 LSUM 1.000 1.000   1.000 $5,000.00 $0.00 $5,000.00
0004 TEMPORARY SILT FENCE 221(C) 2801 LF 300.000 295.000   295.000 $5.00 $0.00 $1,475.00
0005 TEMPORARY SILT DIKE 221(F) 0100 LF 20.000 42.000   42.000 $35.00 $0.00 $1,470.00
0006 SOLID SLAB SODDING 230(A) 2806 SY 900.000 900.000   900.000 $3.00 $0.00 $2,700.00
0007 WATERING 230(F) 2812 KGAL 36.000 0.000   0.000 $100.00 $0.00 $0.00
0008 FERTILIZING (10-20-10) 234(A) 2824 TON 0.090 0.090   0.090 $1,100.00 $0.00 $99.00
0009 AGGREGATE BASE TYPE A 303(A) 2100 CY 27.000 23.930   23.930 $120.00 $0.00 $2,871.60
0010 PRIME COAT 408 5774 GAL 68.000 192.950 -5.120 192.950 $35.00 $-179.20 $6,753.25
0011 SUPERPAVE, TYPE S4(PG 64-22 OK) 411(C) 5960 TON 252.000 335.910   335.910 $200.00 $0.00 $67,182.00
0012 COLD MILLING PAVEMENT 412 5267 SY 1,660.000 1,666.660   1,666.660 $10.00 $0.00 $16,666.60
0013 CLASS C CONCRETE 509(D) 0325 CY 14.000 13.710   13.710 $500.00 $0.00 $6,855.00
0014 REMOVAL OF GUARDRAIL 619(B) 4780 LF 773.000 823.000   823.000 $5.00 $0.00 $4,115.00
0015 BEAM GUARDRAIL W-BEAM SINGLE 623(A) 0932 LF 700.000 750.000   750.000 $22.00 $0.00 $16,500.00
0016 GUARDRAIL END TREATMENT (GET) 623(G) 8571 EA 4.000 4.000   4.000 $3,200.00 $0.00 $12,800.00
0017 GUARDRAIL BRIDGE CONNECTION-TYPE A 623(I) 8675 EA 4.000 5.000   5.000 $1,800.00 $0.00 $9,000.00
Subtotals For Category     0100/ROADWAY    $-179.20 $158,487.45
Fed/State Project Number:    SBR-108B(178)SB Project:    24512(04) Category:    0200/BRIDGE 'A'
0018 (PL)FALSEWORK JACKING 502 6116 LSUM 1.000 1.000   1.000 $20,000.00 $0.00 $20,000.00
0019 APPROACH SLAB 504(A) 1304 SY 214.400 214.400   214.400 $205.00 $0.00 $43,952.00
0020 SAW-CUT GROOVING 504(B) 1305 SY 1,140.600 1,140.600   1,140.600 $5.00 $0.00 $5,703.00
0021 SEALED EXPANSION JOINT 504(C) 6250 LF 114.000 114.000   114.000 $250.00 $0.00 $28,500.00
0022 CONCRETE RAIL (TR4) 504(D) 6245 LF 684.400 684.400   684.400 $100.00 $0.00 $68,440.00
0023 STRUCTURAL STEEL 506(A) 1322 LB 15,900.000 15,900.000   15,900.000 $5.00 $0.00 $79,500.00
0024 WEATHERING STEEL FIXED BEARING ASSEMBLY 507(A) 6172 EA 40.000 40.000   40.000 $1,200.00 $0.00 $48,000.00
0025 WEATHERING STEEL EXPANSION BEARING ASSEMBLY 507(B) 6176 EA 30.000 30.000   30.000 $1,200.00 $0.00 $36,000.00
0026 CLASS AA CONCRETE 509(A) 1326 CY 244.800 244.800   244.800 $750.00 $0.00 $183,600.00
0027 CLASS C CONCRETE 509(D) 1331 CY 6.000 6.000   6.000 $250.00 $0.00 $1,500.00
0028 MECHANICAL SPLICES 511 6306 EA 986.000 986.000   986.000 $15.00 $0.00 $14,790.00
0029 EPOXY COATED REINFORCING STEEL 511(B) 6010 LB 58,460.000 58,460.000   58,460.000 $1.30 $0.00 $75,998.00
0030 PAINTING EXISTING STRUCTURES 512(A) 1323 LSUM 1.000 1.000   1.000 $45,000.00 $0.00 $45,000.00
0031 COLLECTION AND HANDLING OF WASTE 512(B) 6303 LSUM 1.000 1.000   1.000 $4,000.00 $0.00 $4,000.00
0032 CLASS B BRIDGE DECK REPAIR 513(B) 6019 SY 5.000 0.000   0.000 $300.00 $0.00 $0.00
0033 CLASS C BRIDGE DECK REPAIR 513(C) 6020 SY 5.000 0.000   0.000 $450.00 $0.00 $0.00
0034 WATER REPELLENT (VISUALLY INSPECTED) 515(A) 6013 SY 988.000 988.000   988.000 $5.00 $0.00 $4,940.00
0035 PREPARATION OF CRACKS, ABOVE WATER 520(A) 6058 LF 51.000 101.000   101.000 $30.00 $0.00 $3,030.00
0036 EPOXY RESIN, ABOVE WATER 520(C) 6060 GAL 5.000 0.000   0.000 $950.00 $0.00 $0.00
0037 PNEUMATICALLY PLACED MORTAR 521(A) 6210 SY 12.900 13.500   13.500 $900.00 $0.00 $12,150.00
0038 SEALER CRACK PREPARATION 523(A) 6550 LF 392.400 392.400 392.400 392.400 $4.00 $1,569.60 $1,569.60
0039 SEALER RESIN 523(B) 6560 GAL 5.000 5.000 5.000 5.000 $140.00 $700.00 $700.00
0040 (PL)REPAIR BRIDGE ITEM (TYPE A) 540 4515 EA 5.000 5.000   5.000 $1,500.00 $0.00 $7,500.00
0041 (PL)REPLACE BRIDGE ITEM (TYPE A) 545 4815 EA 24.000 24.000   24.000 $1,000.00 $0.00 $24,000.00
0042 REMOVAL OF BRIDGE ITEMS 619(B) 2500 LSUM 1.000 1.000   1.000 $94,369.00 $0.00 $94,369.00
8000 (PL)REPAIR BRIDGE ITEM (TYPE B) 540 4525 EA 0.000 4.000   4.000 $19,946.09 $0.00 $79,784.36
Subtotals For Category     0200/BRIDGE 'A'    $2,269.60 $883,025.96
Fed/State Project Number:    SBR-108B(178)SB Project:    24512(04) Category:    0300/TRAFFIC
0043 (SP)PORTABLE TRAFFIC SIGNAL SYSTEM 823 8478 SD 120.000 173.000   173.000 $250.00 $0.00 $43,250.00
0044 TRAFFIC STRIPE(PLASTIC)(4" WIDE) 855(A) 8812 LF 1,685.000 1,698.000 8.000 1,698.000 $1.00 $8.00 $1,698.00
0045 SAND FILLED IMPACT ATTENUATION MODULE 870(A) 8485 SD 3,600.000 0.000   0.000 $0.75 $0.00 $0.00
0046 DELIVER PORTABLE LONGITUDINAL BARRIER 877(B) 8484 LF 920.000 920.000   920.000 $30.00 $0.00 $27,600.00
0047 RELOCATION OF PORTABLE LONGITUDINAL BARRIER 877(C) 8486 LF 920.000 920.000   920.000 $2.00 $0.00 $1,840.00
0048 CONSTRUCTION TRAFFIC CONTROL 880(J) 8905 LSUM 1.000 1.000   1.000 $4,000.00 $0.00 $4,000.00
Subtotals For Category     0300/TRAFFIC    $8.00 $78,388.00
Fed/State Project Number:    SBR-108B(178)SB Project:    24512(04) Category:    0600/STAKING
0049 CONSTRUCTION STAKING LEVEL II 642(B) 0096 LSUM 1.000 1.000   1.000 $8,000.00 $0.00 $8,000.00
Subtotals For Category     0600/STAKING    $0.00 $8,000.00
Fed/State Project Number:    SBR-108B(178)SB Project:    24512(04) Category:    0640/CONSTRUCTION
0050 MOBILIZATION 641 1399 LSUM 1.000 1.000   1.000 $30,556.40 $0.00 $30,556.40
Subtotals For Category     0640/CONSTRUCTION    $0.00 $30,556.40
Subtotals For Project SBR-108B(178)SB /24512(04) $2,098.40 $1,158,457.81