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Home My WebLink About2015.07.21_OPWA AgendaRECEIVED PUBLIC NOTICE OF THE MEETING OF THE OWASSO PUBLIC WORKS AUTHORITY JUL 17 2915,Gw — ifTrCler�s_uf;iCe Council Chambers, Old Central Building 109 N Birch, Owasso, OK 74055 Regular Meeting Tuesday, July 21, 2015 - 6:30 pm 1. Call to Order Chair Jeri Moberly 2. Roll Call 3. Consideration and appropriate action relating to a request for approval of the Consent Agenda. (All matters listed under "Consent" are considered by the Trustees to be routine and will be enacted by one motion. Any Trustee may, however, remove an item from the Consent Agenda by request. A motion to adopt the Consent Agenda is non - debatable.) A. Approve minutes • July 7, 2015 Regular Meeting • July 14, 2015 Regular Meeting B. Approve claims C. Receive monthly budget status report 4. Consideration and appropriate action relating to items removed from the Consent Agenda 5. Consideration and appropriate action relating to the acceptance of the Metal Pole Barn Project and authorization for final payment Roger Stevens Staff recommends acceptance of the Metal Pole Barn Project and authorization for final payment to Helterbrand Builders in the amount of $64,900. 6. Report from OPWA Manager 7. Report from OPWA Attorney 8. New Business (New Business is any item of business which could not have been foreseen at the time of posting of the agenda) 9. Adjournment Notice of Public Meeting filed in the office of the City Clerk and Agenda posted at City Hall bulletin board at 6:00 pm on Friday, July 17, 2015. 1 ,y— u i n M. Stevens, Deputy City Clerk OWASSO PUBLIC WORKS AUTHORITY MINUTES OF REGULAR MEETING Tuesday, July 7, 2015 The Owasso Public Works Authority met in regular session on Tuesday, July 7, 2015, in the Council Chambers at Old Central, 109 N Birch, Owasso, Oklahoma per the Notice of Public Meeting filed in the office of the City Clerk and Agenda posted on the City Hall bulletin board at 6:00 pm on Thursday, July 2, 2015. 1. Call to Order Chair Jeri Moberly called the meeting to order at 7:54 pm. 2. Roll Call Present Absent Chair - Jeri Moberly None Vice -Chair - Lyndell Dunn Trustee - Doug Bonebrake Trustee - Bill Bush Trustee - Chris Kelley A quorum was declared present. Staff: Assistant Authority Manager- Sherry Bishop Authority Attorney - Julie Lombardi 3. Consideration and appropriate action relating to a request for approval of the Consent Agenda. (Ail matters listed under "Consent' are considered by the Trustees to be routine and will be enacted by one motion. Any Trustee may, however, remove an item from the Consent Agenda by request. A motion to adopt the Consent Agenda is non - debatable.) A. Approve minutes - June 16, 2015 Regular Meeting B. Approve claims Mr. Bonebrake moved, seconded by Dr. Kelley to approve the Consent Agenda with claims totaling $536,166.93. Also, included for review were the payroll reports for 6/13/15 and 6/27/15. YEA: Bonebrake, Bush, Dunn, Kelley, Moberly NAY: None Motion carried: 5 -0 4. Consideration and appropriate action relating to items removed from the Consent Agenda None 5. Report from OPWA Manager None 6. Report from OPWA Attorney None Owasso Public Works Authority July 7, 2015 Page 2 7. New Business None 8. Adjournment Mr. Bush moved, seconded by Dr. Kelley to adjourn the meeting. YEA: Bonebrake, Bush, Dunn, Kelley, Moberly NAY: None Motion carried 5 -0 and the meeting adjourned at 7:55 pm. Jeri Moberly, Chair Juliann M. Stevens, Minute Clerk OWASSO CITY COUNCIL, OPWA & OPGA MINUTES OF JOINT REGULAR MEETING Tuesday, July 14, 2015 The Owasso City Council, Owasso Public Works Authority, and Owasso Public Golf Authority met in a joint regular meeting on Tuesday, July 14, 2015 in the Council Chambers at Old Central, 109 N Birch Street, Owasso, Oklahoma per the Notice of Public Meeting and Agenda filed in the office of the City Clerk and posted on the City Hall bulletin board at 6:00 pm on Friday, July 10, 2015. 1. Call to Order Mayor Moberly called the meeting to order at 6:02 pm. Present Absent Mayor /Chair- Jeri Moberly None Vice - Mayor /Vice -Chair - Lyndell Dunn Councilor /Trustee - Doug Bonebrake Councilor /Trustee - Bill Bush Councilor /Trustee - Chris Kelley A quorum was declared present. 2. Discussion relating to Community Development items A. Final Plat- Coffee Creek Play Park B. Final Plat - The Cottages at Tailgrass Point C. Planned Unit Development Amendment - Morrow Place D. Tax - Credit Senior Housing - Request for Resolution of Support Bronce Stephenson presented the items and discussion was held. it was further explained that items 2A and 2B would be placed on the July 21, 2015 agenda for consideration and action and items 2C and 2D would appear on the August worksession for additional discussion. 3. Discussion relating to Public Works items A. Sports Park Regional Detention- Engineering Agreement & Budget Amendment B. Central Park Stormwater Improvements - Engineering Agreement & Budget Amendment C. FY 2016 Street Rehabilitation Priority List D. Transportation Master Plan Roger Stevens presented the items and discussion was held. It was further explained that each item would be placed on the July 21, 2015 agenda for consideration and action. 4. Discussion relating to Finance Department item A. Water and Sewer Rate Changes Linda Jones presented the item and discussion was held. It was further explained that this item would be placed on August worksession agenda for additional discussion. 5. Discussion relating to City Manager items Arbitration Interest Award - Michael Denton Part 2, Section 2-411, Rules of Debate - Ordinance Amendment City Manager Report Owasso City Council /OPWA /OPGA July 14. 2015 Page 2 Warren Lehr advised that an item would be placed on the July 21, 2015 agenda for consideration and action related to the payment of interest to Michael Denton as ordered by the supplemental arbitrator's award and discussion was held. Julie Lombardi advised that she is working on amendments to the City's Code of Ordinances Section 2 -411, Rules of Debate, for consideration in August and discussion was held. Under the City Manager's report, Warren Lehr shared that the City Managers Conference will be held July 15 -17, 2015 in Claremore to include presentations by Teresa Willson, IT Director, Bronce Stephenson, Community Development Director, and Jerry Fowler, Strong Neighborhoods Program Coordinator. 6. City Council /Trustee comments and inquiries Doug Bonebrake reported on a discussion at the Tulsa Transportation Task Force meeting regarding the Owasso's Strong Neighborhood Program. 7. Adjournment Mayor Moberly adjourned the meeting at 9:32 pm. Jeri Moberly, Mayor /Chair Juliann M. Stevens, Minute Clerk Claims List 7/21/2015 Budget Unit Title Vendor Name I Payable Description Payment Amount OPWA JAMERICAN MUNICIPAL SERVICES CORP. 1COLLECTION SERVICES 1 336.70 TOTAL OPWA 336.70 OPWA ADMINISTRATION UNIFIRST HOLDINGS LP UNIFORM CLEANING 36.76 ONEOK, INC OKLAHOMA NATURAL GAS NATURAL GAS USAGE 82.64 BLUE ENERGY FUELS, LLC CNG FUEUJUN2015 97.50 UNITED STATES CELLULAR CORPORATION PW CELL PHONES 56.54 JPMORGAN CHASE BANK ACE HARDWARE -GATE REMOTE 38.99 JPMORGAN CHASE BANK SAMSCLUB- MONITOR 149.86 JPMORGAN CHASE BANK SAMSCLUB- SUPPLIES 224.98 JPMORGAN CHASE BANK PAM DIST- SECURITY KIT 749.00 AT &T CONSOLIDATED PHONE BILL 147.44 JPMORGAN CHASE BANK INTERSTATE - BATTERIES 117.05 CITY OF OWASSO ADMINISTRATIVE OVERHEAD 15,424.00 CITY GARAGE LABOR /OVERHEAD - JUL2015 152.41 AT &T LONG DISTANCE BILL 7.30 JPMORGAN CHASE BANK CHARACTER TRAINING 176.58 JPMORGAN CHASE BANK OFFICE DEPOT - NOTARY STAMP 43.99 JPMORGAN CHASE BANK 1OFFICE DEPOT- SUPPLIES 29.98 TOTAL OPWA ADMINISTRATION 17,535.02 UTILITY BILLING TECHNICAL PROGRAMMING SERVICES INC BILLING SERVICES 1,396.73 TODD C. KIMBALL METER READER 423.45 KATHLEEN A BALSIGER METER READER 518.40 TODD C. KIMBALL METER READER 773.10 TYRONE EUGENE DINKINS METER READER 279.90 TOTAL UTILITY BILLING 3,391.58 WATER BLUE ENERGY FUELS, LLC CNG FUEL /JUN2015 80.46 FLEETCOR TECHNOLOGIES FUELPURCHASE 1,122.24 UNIFIRST HOLDINGS LP UNIFORM CLEANING 55.02 JPMORGAN CHASE BANK GELLCO -BOOTS 125.99 JPMORGAN CHASE BANK LOWES- SPRINKLER HEAD 11.47 JPMORGAN CHASE BANK UTILITY SUPPLY - SUPPLIES 349.56 JPMORGAN CHASE BANK LOWES- FENCING 35.20 CITY OF TULSA UTILITIES WATER 95,124.71 CITY OF TULSA UTILITIES WATER 165,398.29 VERDIGRIS VALLEY ELECTRIC COOP WATER CONTROL ELECTRIC 30.60 CITY GARAGE LABOR /OVERHEAD - JUL2015 1,687,33 CITY GARAGE GARAGE PARTSIJUNE2015 1,228.71 JPMORGAN CHASE BANK J QUINTON- PLUMBING 400.00 JPMORGAN CHASE BANK GELLCO -WORK BOOTS 125.99 JPMORGAN CHASE BANK MAXWELL- MATERIALS 175.15 Page 1 Claims List 7/21/2015 Budget Unit Title Vendor Name Payable Description Payment Amount WATER... JPMORGAN CHASE BANK MAXWELL - MATERIALS 204.34 JPMORGAN CHASE BANK LOWES -HOLE SAW 9.97 JPMORGAN CHASE BANK FASTENAL- NUTS /BOLTS 12.71 JPMORGAN CHASE BANK SHOE CARNIVAL -WORK SHOES 89.98 JPMORGAN CHASE BANK SHOE CARNIVAL -WORK BOOTS 104.98 JPMORGAN CHASE BANK TRANSCO -PPE 19.05 TOTAL WATER 266,591.75 WASTEWATER TREATMENT JPMORGAN CHASE BANK TRANSCO -PPE 19.05 AT &T LONG DISTANCE BILL 1.45 JPMORGAN CHASE BANK ALLMAX -MAINT PROGRAM 880.00 JPMORGAN CHASE BANK ROSE ST COLLEGE -TRNG FEE 295.00 JPMORGAN CHASE BANK GELLCO- SAFETY BOOTS 134.99 VERIZON WIRELESS WIRELESS CONNECTION 80.02 JPMORGAN CHASE BANK AIR MAC - DIGESTERS BLOWER 7,862.21 JPMORGAN CHASE BANK HD SUPPLY - PLUMBING PARTS 56.36 CITY GARAGE GARAGE PARTSMUNE2015 47.77 CITY GARAGE LABOR /OVERHEAD - JUL2015 937.75 JPMORGAN CHASE BANK INSITE- MOUNTING BRACKET 214.00 JPMORGAN CHASE BANK HACH- TESTING VIALS 134.76 JPMORGAN CHASE BANK LOWES -PVC PIPE 5.51 AT &T CONSOLIDATED PHONE BILL 64.76 JPMORGAN CHASE BANK LOWES- WRENCH SET 54.97 JPMORGAN CHASE BANK GR COUNTRY TEST - TESTING 50.00 UNIFIRST HOLDINGS LP UNIFORM CLEANING 97.08 JPMORGAN CHASE BANK DOEQ -EXAM FEE 62.00 JPMORGAN CHASE BANK FORT BEND - POLYMER 1,422.00 JPMORGAN CHASE BANK WASTE MGMT- SLUDGE REMOVAL 2,356.30 FLEETCOR TECHNOLOGIES FUELPURCHASE 726.96 GREELEY & HANSEN, LLC LBX 619776 ENGINEERING SERVICES 5,763.00 JPMORGAN CHASE BANK DALE & LEES -A/C REPAIRS 276.00 JPMORGAN CHASE BANK BUMP28UMP -VALVE 14.23 JPMORGAN CHASE BANK FEDEX- SHIPPING 338.36 JPMORGAN CHASE BANK FEDEX- SHIPPING 131.99 TOTAL WASTEWATER TREATMENT 22,026.52 WASTEWATER COLLECTION; JPMORGAN CHASE BANK FASTENAL -BOLTS 51.42 JPMORGAN CHASE BANK OREILLYS- SUPPLIES 22.40 JPMORGAN CHASE BANK OREILLYS- SUPPLIES 14.98 JPMORGAN CHASE BANK STUART IRBY- CREDIT -14.65 ONEOK, INC OKLAHOMA NATURAL GAS NATURAL GAS USAGE 178.46 FLEETCOR TECHNOLOGIES FUELPURCHASE 1,016.41 BLUE ENERGY FUELS, LLC CNG FUELIJUN2015 292.67 JPMORGAN CHASE BANK AUTOZONE -SPARK PLUGS 4.48 Page 2 Claims List 7/21/2015 Budget Unit Title Vendor Name Payable Description Payment Amount WASTEWATER COLLECTION! JPMORGAN CHASE BANK LOWES-A/C WINDOW UNIT 519.00 JPMORGAN CHASE BANK HD SUPPLY - SUPPLIES 84.82 JPMORGAN CHASE BANK P & K -FUEL PUMP 164.92 JPMORGAN CHASE BANK HOME DEPOT - BATTERIES 125.76 UNIFIRST HOLDINGS LP UNIFORM CLEANING 45.65 JPMORGAN CHASE BANK LOWES- MATERIALS 42.41 JPMORGAN CHASE BANK AMERIFLEX- SUPPLIES 65.00 JPMORGAN CHASE BANK HD SUPPLY -RING & LID 260.98 JPMORGAN CHASE BANK HD SUPPLY - LOCATES 166.80 VERDIGRIS VALLEY ELECTRIC COOP GARRETT CREEK ELECTRIC 185.23 VERDIGRIS VALLEY ELECTRIC COOP GARRETT CREEK ELECTRIC 275.76 CITY GARAGE LABORIOVERHEAD - JUL2015 1,355.91 CITY GARAGE GARAGE PARTS /JUNE2015 151.89 JPMORGAN CHASE BANK HD SUPPLY- MAINHOLE REPAIR 131.60 VERIZON WIRELESS WIRELESS CONNECTION 80.02 JPMORGAN CHASE BANK GRAINGER -FLOAT SWITCH 116.51 JPMORGAN CHASE BANK ATWOODS- MATERIALS 64.96 JPMORGAN CHASE BANK FASTENAL- SUPPLIES 2.34 JPMORGAN CHASE BANK LOWES -LATEX GLOVES 9.98 JPMORGAN CHASE BANK MAXWELL - MATERIALS 116.77 VERDIGRIS VALLEY ELECTRIC COOP COFFEE CREEK ELECTRIC 685.03 JPMORGAN CHASE BANK TRANSCO -PPE 19.05 TOTAL WASTEWATER COLLECTIONS 6,236.56 REFUSE COLLECTIONS JPMORGAN CHASE BANK TRANSCO -PPE 19.05 JPMORGAN CHASE BANK BUMPER TO BUMPER -DEF 23.70 VERIZON WIRELESS WIRELESS CONNECTION 29.65 FLEETCOR TECHNOLOGIES FUELPURCHASE 5,026.64 CITY GARAGE GARAGE PARTS /JUNE2015 385.99 JPMORGAN CHASE BANK AMERICAN PW- REGISTRATION 785.00 AT &T CONSOLIDATED PHONE BILL 10.80 THE METROPOLITAN ENVIRONMENTAL TRUS MET MEMBERSHIP DUES 3,859.41 THE METROPOLITAN ENVIRONMENTAL TRUS FIRST HALF ASSESSMENT 3,262.23 BLUE ENERGY FUELS, LLC CNG FUEUJUN2015 1,163.31 UNIFIRST HOLDINGS LP UNIFORM CLEANING 4131 COVANTA LANCASTER, INC REFUSE TIPPING FEES 5,580.44 UNITED STATES CELLULAR CORPORATION PW CELL PHONES 51.46 JPMORGAN CHASE BANK FLEETPRIDE -SPOT MIRROR 24.66 JPMORGAN CHASE BANK ALSUMA -TRUCK REPAIRS 3,463.75 CITY GARAGE LABOR /OVERHEAD - JUL2015 6,488.33 TOTAL REFUSE COLLECTIONS 30,216.13 RECYCLE CENTER NATIONAL WASTE & DISPOSAL, INC. GLASS ROLLOFF 200.00 NATIONAL WASTE & DISPOSAL, INC. IRECYCLE ROLLOFFS 160.00 Page 3 Claims List 7/21/2015 Budget Unit Title Vendor Name Payable Description Payment Amount RECYCLE CENTER... ALLEMANN JAMES & ALLEMANN JOHN ROLL -OFF CONTAINERS 22,756.00 UNIFIRST HOLDINGS LP UNIFORM CLEANING 11.05 AT &T CONSOLIDATED PHONE BILL 10.80 JPMORGAN CHASE BANK SAMSCLUB- MONITOR 149.86 JPMORGAN CHASE BANK PAM DIST- SECURITY KIT 749.00 JPMORGAN CHASE BANK LOWES -TOOLS 69.93 CITY GARAGE LABOR /OVERHEAD - JUL2015 427.08 AT &T LONG DISTANCE BILL 0.04 TOTAL RECYCLE CENTER 24,533.76 FUND GRAND TOTAL 370,868.0 OPWA ST SUB - DEBT SERV SF SHOPS INVESTORS, L.P. IDEVELOPMENT AGREEMENT 70,608.39 TOTAL OPWA ST SUB -DEBT SERV 70,608.39 FUND GRAND TOTAL 70,608.3 OPWA GRAND TOTAL $441,476.41 Page 4 Department OPWA Administration Utility Billing Water Wastewater Wastewater Collection Refuse Recycle Center OWASSO PUBLIC WORKS AUTHORITY PAYROLL PAYMENT REPORT PAY PERIOD ENDING DATE 07/11/15 Payroll Expenses Total Expenses 9,796.78 5,226.40 13, 978.60 11,762.35 9,236.13 12,453.63 960.00 14,682.00 9,314.54 23,887.04 20,990.58 14,513.14 19,399.27 1,544.39 FUND TOTAL 63,413.89 104,330.96 OWASSO PUBLIC WORKS AUTHORITY - OPERATING FUND FISCAL YEAR 2014 -2015 Budgetary Basis Statement of Revenues & Expenses As of June 30, 2015 OPERATING REVENUES: Water Wastewater Refuse & recycle Other Utility fees TOTAL OPERATING REVENUES OPERATING EXPENSES: OPWA administration Utility Billing Water Wastewater Refuse & Recycle Debt payments TOTAL OPERATING EXPENSES OPERATING REVENUES OVER EXPENSES NONOPERATING REVENUES (EXPENSES) Interest Other revenues Transfers in Transfers out TOTALTRANSFERS MONTH YEAR TO -DATE TO -DATE PERCENT BUDGET OFBUDGET $ 377,732 $ 4,968,325 $ 5,131,900 96.81% 343,155 3,750,502 3,845,050 97.54% 326,014 165,598 1,852,981 1,854,000 99.95% 3,217,259 19,058 250,519 283,400 88.40% 1,973,616 905,544 10,822,327 11,114,350 97.37% 96.34% $ 84,240 $ 777,357 $ 887,004 87.64% 39,931 387,959 384,158 100.99% 326,014 3,861,209 4,328,599 89.20% 194,853 3,217,259 3,457,534 93.05% 139,623 1,176,866 1,973,616 59.63% 229,696 3,496,689 3,629,697 96.34% 1,014,358 12,917,340 14,660,608 88.11% (108,814) (2,095,013) (3,546,258) $ 1,058 $ 13,791 $ 16,000 86.20% 1,470 20,238 17,200 117.66% - 241,801 248,734 97.21% (100,000) (400,000) (400,000) 100.00% (97,472) (124,170) (118,066) LONG -TERM DEBT PROCEEDS AND EXPENDITURES Proceeds of long -term debt $ $ 1,390,305 $ 1,587,729 Expenditures of long -term debt (1,189,868) (1,386,992) TOTAL LONG -TERM DEBT PROCEEDS AND EXPENDITURES 200,436 200,737 NET INCOME (LOSS) ENCUMBRANCES OUTSTANDING WORKING CAPITAL - Beginning Balance WORKING CAPITAL - Ending Balance $ (206,286) $ (2,018,746) $ (3,463,587) $ (491,266) 2,744,477 2,744,477 $ 234,465 $ (719,110) O__ _ _ - The city wit out limits. TO: The Honorable Chair and Trustees Owasso Public Works Authority FROM: Roger Stevens Public Works Director SUBJECT: Public Works Metal Pole Barn, Authorization for acceptance and final payment DATE: July 17, 2015 BACKGROUND: On March 17, 2015, OPWA Chair and Trustees approved and awarded a contract to Helterbrand Builders in the amount of $64,900 to build a 40' X 120' X 16' insulated metal building to organize, store and secure needed tools and equipment. In 1999, the Public Works Department moved to its current location (301 West 2�d Avenue) and over a sixteen -year period, has experienced a large amount of growth. This building allows for additional work space within the facility compound. The project was completed in July 2015 and all work meets standards for acceptance. FUNDING: Funding is available in the Owasso Public Works Administration budget. RECOMMENDATION: Staff recommends acceptance of the work and authorization for final payment to Helterbrand Builders in the amount of $64,900. ATTACHMENTS: Location Map Final Pay Application PUBLIC WORKS METAL BUILDING v �- 1" = 376 ft LOCATION MAP 0710612015' s This map represents a visual display of related geographic information- Data provided hereon is not a guarantee of actual field conditions. To be sure of complete accuracy. please contact Owasso Public staff for the most up -to -date information. EXHIBIT "A" PUBLIC WORKS POLL: BARN 2015 — CITY OF OWASSO — PAY ESTIMATE NO. FINAL PCRIOD 05/18/2015 to 06/30 12015 CONTRACTOR Hclterbrand Builders, LLC BID AMOUNT OF ORIGINAL CONTRACT: CONTRACT ADJUSTMENTS: ADJUSTED BID AMOUNT: TOTAL COMPLETE WORK MATERIALS STORED (per attached tabulation): LESS 5% RETAINAGE: TOTAL EARNED LESS 5% RETAINAGE: PERCENTAGE OF PROJECT COMPLETION: 100% LESS PREVIOUS PAYMENTS: AMOUNT DUE THIS ESTIMATE: s64, 900.00 . s 0.00 $64,900.00 664,900.00 $ 0.00 0.00 $64,900.00 $64,900.00 'Ile undersiped Contractor certifies that to the bust of the Contractor's knowledge. infornmtiou ;n d belief the Work covered by this Payment E.slinuac has been completed in necordauce with coulract documents, that all mnounts have been paid by the Contractor for Work which previous I'nymenl Estimates were issued and paynrenls rcccived from the Owner, and (lint currant payment shown herein is nmv due. CONTRACTOR NAME: � Q 6 : Proliat� cil lie ltcI rand State of Oklahoma County of. Tulsa Subscribed & sw'om to before me this 30 " day of June. 2015 Recon� ed fo - ayro t Ci sso -— Approved for Payment by: S. L CLOUD Notary point Date: laa 0,20t5 8ta(e of Oklahoma Commission u e, S,; 734 My Commission EzpV 0 Sep I2, 2015 Notary Public S.L. Cloud My Commission Expires: 09/12/2015 Date City of Owasso Date CERTIFICATE FOR PAYMENT In accordance with the contract documents, based on on -site observations and the date comprising the above application, Helterbrand Builders, LLC certifies to the Owner that to the best of Helterbrand Builders, LLC knowledge, information and belief, the Work has progressed as indicated, the quality of the Work is in accordance with the Contract Documents, and the Contractor is entitled to payment of the amount certified. AMOUNT CERTIFIED $ 64,900.00 (Attach explanation if amount certified differs from the amount applied for.) Helterbrand Builders, LLC By: a Date: June 30, 2015 Merl Helterbrand This certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the contractor named herein. Issuance, payment and acceptance of payment is without prejudice to any rights of the Owner or Contractor tinder this Contract. CONTINUA'T'ION SHEET Page I o£1 Application and Certification for Payment, containing Contractor's signed Certification is attached. Application Number: Final Application Date: June 30, 2015 Period to: June 30, 2015 In tabulations below, amounts are stated to the nearest dollar. Use Column T on Contracts where variable retainage for line items may apply. A B C D E (cont)n ITEM DESCRIPTION SCHEDULED WORK COMPLETED FROM PREVIOUS WORK COMPLETED NO. OF WORK VALUE APPLICATION THIS PERIOD 1 General 6,755.00 0.00 6,755.00 Conditions 2 Mobilization 3.240.00 0.00 3,240.00 3 Metal Pole Barn 51,660.00 0.00 51,660.00 4 Fee 3,245.00 3,245,00 Total 64,900.00 0.00 64,900.00 (cont) F G H I RE)MATERIALS IOTALCOMPLFTED BALANCE PRESENTLY STOKE ANDSTORED D TO DATE (G /C) TO FINISH RETAINAGE (NOT IN DO (D +E +q (-O) C -G) 0.00 6,755.00 0.00 0.00 0.00 0.00 3,240.00 0.00 0.00 0.00 0.00 51,660.00 0.00 0.00 0.00 0.00 0.00 0.00 Total 64,900.00 0.00 0.00 0.00 NOTE: At bottom of each column, run totals. CLAIM OR INVOICE AFFIDAVIT STATE OF OKLAHOMA ) )SS COUNTY OF TULSA ) The undersigned (Architect, Contractor, Supplier, Engineer or Supervisory Official), of lawful age, being first duly sworn, on oath says that this (Invoice, Claim or Contract) is true and correct. Affiant further states that the (work, services or materials) as shown by this Invoice or Claim have been (completed or supplied) in accordance with the Plans, Specifications, orders or requests furnished to the Affiant. Affiant further states that (s)he has made no payment, nor given, nor donated, or agreed to pay, give, or donate, either directly or indirectly, to any elected official, officer, or employee of the State, County, or City of money or any other thing of value to obtain payment or the award of this contract. Contractor or Merl rand Subscribed and sworn to before me this 30th day of Tune, 2015. Notary Public S. L. Cloud Commission #03011734 My Camuission Expires: 09/ 12/2015 S. L. CLOUD — Notary Puohc slate of Oklahoma Commission # 03011734 Commission Expires Sep 12, 2015 Architect, Engineer or other Supervisory Official Subscribed and sworn to before me ibis day of Notary Public Commission # My Commission Expires: