Appendix K_109.08 Request for Progress Payment Forms.xlsx
XLSX spreadsheet 34 KB Posted
- Attached to
- George Washington Memorial Parkway Mount Vernon Trail Reconstruction - VA NP GWMP MVT(4)
- Solicitation number
- 693C73-24-R-000018
About this file
This document is a set of Request for Progress Payment forms related to a federal contract opportunity. The forms include a cover sheet (PP01), two Lump Sum Bid Item Payment request forms (PP02A and PP02B), and an example Schedule of Values form (PP03A). The related federal contract opportunity is for the reconstruction of the George Washington Memorial Parkway Mount Vernon Trail in Virginia, with a Solicitation Number of 693C73-24-R-000018 and a Contracting Agency of the Department of Transportation Federal Highway Administration. The forms provide templates for the contractor to request progress payments, including details on the base contract, option 1, and the breakdown of work activities and their contribution factors. The Schedule of Values form is an example and is not meant to be a fillable form. Overall, this document provides the necessary forms and instructions for the contractor to submit progress payment requests for this federal construction project.
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Text version
PP01
| Form PP01 | NOTES: | ||
| Progress Payment Request for: | Yellow highlights are for the Contractor to fill out. | ||
| PROJECT No. VA NP GWMP MVT(4) | Red text is the minimum text for the Designer to change to match their project. | ||
| City of Alexandria and Arlington County, Virginia and Washington, D.C. |
| Contractor: | |
| Progress Payment Number: | |
| Progress Payment Dates: | to |
| Form Number | Description | Form Subtotal | |
| PP02A | Base Contract Request for Lump Sum Bid Item Payment | $ | Insert rows as needed for the number of Schedules and Options for your project. Ensure the Price Form 02X tabs match this Table. |
| PP02B | Option 1 Request for Lump Sum Bid Item Payment | $ | |
| Total = | $ 0 | ||
| Total Previously Paid = | $ | ||
| Total to be Paid this Estimate = | $ |
Note: Offeror is responsible for ensuring the equations within all Forms are calculating correctly.
PP02A
| Form PP02A | NOTES: | |
| Request for Lump Sum Bid Item Payment | Adjust the Item Numbers to match your project's scope use FP-14 sections as a guild. | |
| Base Contract | ||
| PROJECT No. VA NP GWMP MVT(4) | ||
| City of Alexandria and Arlington County, Virginia and Washington, D.C. |
| Contractor: | |
| Progress Payment Number: | |
| Progress Payment Dates: | to |
| Item Number | Description | Unit | Total Quantity | Bid Price | Current Quantity | Previous Quantity | To Date Quantity | Extension | Copy value from Price Form 02A. |
| 103 | Partnering | CTSM | ALL | $ 20,000.00 | $ 0 | ||||
| 151 | Mobilization | LS | ALL | $ 0 | $ 0 | ||||
| 152 | Construction Survey and Staking | LS | ALL | $ 0 | $ 0 | ||||
| 154 | Contractor Sampling and Testing | LS | ALL | $ 0 | $ 0 | ||||
| 157 | Soil Erosion Control | LS | ALL | $ 0 | $ 0 | ||||
| 203 | Clearing and Removals | LS | ALL | $ 0 | $ 0 | ||||
| 403 | Asphalt Concrete Pavement | LS | ALL | $ 0 | $ 0 | ||||
| 601 | Drainage | LS | ALL | $ 0 | $ 0 | ||||
| 625 | Permanent Erosion Control | LS | ALL | $ 0 | $ 0 | ||||
| 633 | Permanent Traffic Control | LS | ALL | $ 0 | $ 0 | ||||
| 635 | Temporary Traffic Control | LS | ALL | $ 0 | $ 0 | ||||
| 637 | Field Office | LS | ALL | $ 0 | $ 0 | ||||
| 645 | Utilities | LS | ALL | $ 0 | $ 0 | ||||
| 66801-0000 | Design-Build (Design) | LS | ALL | $ 0 | $ 0 | ||||
| Form Subtotal = | $ 0 |
PP02B
| Form PP02B | NOTES: | |
| Request for Lump Sum Bid ItemPayment | Adjust the Item Numbers to match your project's scope use FP-14 sections as a guild. | |
| Option 1 | ||
| PROJECT No. VA NP GWMP MVT(4) | ||
| City of Alexandria and Arlington County, Virginia and Washington, D.C. |
| Contractor: | |
| Progress Payment Number: | |
| Progress Payment Dates: | to |
| Item Number | Description | Unit | Total Quantity | Bid Price | Current Quantity | Previous Quantity | To Date Quantity | Extension | Copy value from Price Form 02B. |
| 151 | Mobilization | LS | ALL | $ 0 | $ 0 | ||||
| 152 | Construction Survey and Staking | LS | ALL | $ 0 | $ 0 | ||||
| 154 | Contractor Sampling and Testing | LS | ALL | $ 0 | $ 0 | ||||
| 157 | Soil Erosion Control | LS | ALL | $ 0 | $ 0 | ||||
| 203 | Clearing and Removals | LS | ALL | $ 0 | $ 0 | ||||
| 403 | Asphalt Concrete Pavement | LS | ALL | $ 0 | $ 0 | ||||
| 601 | Drainage | LS | ALL | $ 0 | $ 0 | ||||
| 625 | Permanent Erosion Control | LS | ALL | $ 0 | $ 0 | ||||
| 633 | Permanent Traffic Control | LS | ALL | $ 0 | $ 0 | ||||
| 635 | Temporary Traffic Control | LS | ALL | $ 0 | $ 0 | ||||
| 637 | Field Office | LS | $ ALL | $ 0 | $ 0 | ||||
| 645 | Utilities | LS | $ ALL | $ 0 | $ 0 | ||||
| Form Subtotal = | $ 0 |
PP03A
| Form PP03A | NOTE: | |||
| EXAMPLE Schedule of Values Form | This tab is an example ONLY. It is not meant to be a fillable form ready for the Contractor. | |||
| PROJECT No. VA NP GWMP MVT(4) | ||||
| City of Alexandria and Arlington County, Virginia and Washington, D.C. | ||||
| However, you may want to edit the Price Items, Descriptions, and Contribution Factors to better match your project's scope to limit confusion. | ||||
| Contractor: | ||||
| Progress Payment Number: | ||||
| Progress Payment Dates: | to |
| Pricing Item Number ∈ | Description ∈ | Unit | Total Quantity (%, unit, or $) | Contribution Factor ∉ | Current Quantity | Previous Quantity | To Date Quantity | Percent Complete | Extension |
| 1 | 2 | 3 | 4 | 5=3+4 | 6=(5/1)*2 | 7=6*1 | |||
| 0103 | Partnering | CTSM | $20,000 | 1 | $ | ||||
| 12101 | Roadway design | LS | 0.4 | ||||||
| 12102 | Environmental Management | LS | 0.05 | ||||||
| 12103 | Geotechnical design | LS | 0.2 | ||||||
| 12104 | Hydraulic/Drainage design | LS | 0.3 | ||||||
| 12105 | Temporary & Permanent Traffic Control Design | LS | 0.05 | ||||||
| 66801-0000 | Deisgn-Build (Design) | LS | $XXX,XXX | 1 | ∠ | ||||
| 0151 | Mobilization | LS | $XXX,XXX | 1 | |||||
| 0152 | Construction Survey and Staking | LS | $XXX,XXX | 1 | |||||
| 0154 | Contractor Sampling and Testing | LS | $XXX,XXX | 1 | |||||
| 0637 | Field Office | LS | $XXX,XXX | 1 | |||||
| 20202 | Selective Clearing | Sqyd | 0.25 | ||||||
| 20303__ | Removal of concrete | Sqyd | 0.75 | ||||||
| 0203 | Clearing and Removals | LS | $XXX,XXX | 1 | ∠ | ||||
| 40101 | Asphalt Concrete Pavement | T | 0.7 | ||||||
| 41201 | Tack Coat | T | 0.05 | ||||||
| 0401 | Asphalt Concrete Pavement | LS | $XXX,XXX | error | ∠ | ||||
| 55101 | Piles | Lnft | 0.08 | ||||||
| 55201__ | Structural concrete, class A(AE) | Cuyd | 0.31 | ||||||
| 55201__ | Structural concrete, class HPC | Cuyd | 0.15 | ||||||
| 55202__ | Structural concrete, class HPC for overlay | Cuyd | 0.05 | ||||||
| 55207__ | Structural concrete, class HPC, for approach slab | Cuyd | 0.15 | ||||||
| 55203 | Beams | Lnft | 0.16 | ||||||
| 55401 | Reinforcing steel | Lb | 0.02 | ||||||
| 55402 | Epoxy coated reinforcing steel | Lb | 0.04 | ||||||
| 55601 | Concrete bridge rail | Lnft | 0.04 | ||||||
| 0550 | Bridge | LS | $XXX,XXX | 1 | ∠ | ||||
| 2080 | Foundation fill | Cuyd | 0.05 | ||||||
| 2510 | Riprap, all classes | Tons | 0.05 | ||||||
| 6010 | Concrete headwall, all sizes | Ea | 0.05 | ||||||
| 60201 | Pipe culvert, all diameters | Lnft | 0.5 | ||||||
| 60206 | End sections, all diameters | Ea | 0.05 | ||||||
| 60403 | Inlets, all types | Ea | 0.1 | ||||||
| 60901 | Curb, all types | Lnft | 0.1 | ||||||
| 60902 | Curb and gutter, all types | Lnft | 0.1 | ||||||
| 0601 | Drainage | LS | $XXX,XXX | 1 | ∠ | ||||
| 0615 | Pedestrian Facilities | LS | $XXX,XXX | 1 | |||||
| 25102 | Riprap, all classes | T | 0.25 | ||||||
| 62401 | Furnishing and placing topsoil, 4 inch depth | Sqyd | 0.5 | ||||||
| 62509 | Turf establishment | Acre | 0.1 | ||||||
| 62601 | Furnish and plant trees, all species and sizes | Ea | 0.05 | ||||||
| 62701 | Solid sod | Sqyd | 0.1 | ||||||
| 0625 | Permanent Erosion Control | LS | $XXX,XXX | 1 | ∠ | ||||
| 63304 | Signs, aluminum panels, type III sheeting | Sqft | 0.03 | ||||||
| 63401__ | Pavement markings, type C, solid | Lnft | 0.02 | ||||||
| 63401__ | Pavement markings, type L, solid | Lnft | 0.95 | ||||||
| 0633 | Permanent Traffic Control | LS | $XXX,XXX | 1 | ∠ | ||||
| 0635 | Temporary Traffic Control | LS | $XXX,XXX | 1 |
| Notes: |
| ∈ The information shown is intended to describe the appropriate level of detail and is for example only. |
| ∉ The contribution factors shown are for example only. |
| ∠ Sum of the aggregate Percent Complete values for that Lump Sum Bid Item |
File details come from the government source that posted it. Updated .