Appendix_AC-109.02 Request for Progress Payment Forms_RPR(1).xlsx
XLSX spreadsheet 41 KB Posted
- Solicitation number
- 693C73-24-R-000030
About this file
This document appears to be a set of forms related to requesting progress payments for a federal design-build contract opportunity. The forms include the PP01 Progress Payment Request, PP02A Request for Lump Sum Bid Item Payment for the Base Contract, and PP02B Request for Lump Sum Bid Item Payment for Option 1. The forms contain line items and pricing information for various elements of the project, such as partnering, construction survey and staking, mobilization, reimbursement for municipality tax payments, cultural and biological assessment, contractor QA/QC, and various construction activities. The related federal contract opportunity is for the "BRIDGE REPLACEMENTS IN CANOVANAS - PR ER PRMNT RPR(1)" project, with a solicitation number of 693C73-24-R-000030, issued by the Department of Transportation Federal Highway Administration. The project appears to be a two-phase design-build solicitation, with the first phase being a Request for Qualifications.
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PP01
| Form PP01 | ||
| Progress Payment Request for: | ||
| PROJECT No. PR ST ER PRMNT RPR(1) | ||
| Bridge Replacements in Canovanas |
| Contractor: | |
| Progress Payment Number: | |
| Progress Payment Dates: | to |
| Form Number | Description | Form Subtotal |
| PP02A | Base Contract (Schedule A) Request for Lump Sum Bid Item Payment | $ |
| PP02B | Option 1 (Schedule B) 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 | |
| Request for Lump Sum Bid Item Payment | |
| Base Contract (Schedule A) |
| Contractor: | |
| Progress Payment Number: | |
| Progress Payment Dates: | to |
| Item Number | Description | Unit | Total Quantity | Bid Price | Current Quantity | Previous Quantity | To Date Quantity | Extension |
| 103 | Partnering | ALL | CTSM | $ 20,000.00 | $ 0 | |||
| 150 | Construction Survey and Staking | ALL | LS | $ 0 | $ 0 | |||
| 151 | Mobilization | ALL | LS | $ 0 | $ 0 | |||
| 151 | Reimbursement for Municipality Tax Payments | ALL | CTSM | $ 1,250,000.00 | $ 0 | |||
| 154 | Cultural and Biological Assessment | ALL | CTSM | $ 130,000.00 | $ 0 | |||
| 154 | Contractor QA/QC, Sampling, and Testing | ALL | LS | $ 0 | $ 0 | |||
| 155 | Schedule for Site | ALL | LS | $ 0 | $ 0 | |||
| 201 | Clearing and Grubbing | ALL | LS | $ 0 | $ 0 | |||
| 203 | Earthwork | ALL | LS | $ 0 | $ 0 | |||
| 304 | Aggregate Base | ALL | LS | $ 0 | $ 0 | |||
| 401 | Hot Plant Mix Asphalt Concrete | ALL | LS | $ 0 | $ 0 | |||
| 550 | Bridge Construction | ALL | LS | $ 0 | $ 0 | |||
| 603 | Storm Drain System | ALL | LS | $ 0 | $ 0 | |||
| 606 | Guardrail, Barriers, and Bridge Transition | ALL | LS | $ 0 | $ 0 | |||
| 611 | Field Office | ALL | LS | $ 0 | $ 0 | |||
| 627 | Temporary and Permanent Erosion Control | ALL | LS | $ 0 | $ 0 | |||
| 635 | Adjustment of Facilities of the Puerto Rico Electric Power Authority (PREPA) | ALL | CTSM | $ 25,000.00 | $ 0 | |||
| 636 | Adjustment of Facilities of the Puerto Rico Aqueducts and Sewers Authority (PRASA) | ALL | CTSM | $ 25,000.00 | $ 0 | |||
| 638 | Temporary and Permanent Traffic Control | ALL | LS | $ 0 | $ 0 | |||
| 668 | Design-Build (Design of All Schedules) | ALL | LS | $ 0 | $ 0 | |||
| Form Subtotal = | $ 0 |
Note: Offeror is responsible for ensuring the equations within all Forms are calculating correctly.
PP02B
| Form PP02B | |
| Request for Lump Sum Bid Item Payment | |
| Option 1 (Schedule B) |
| Contractor: | |
| Progress Payment Number: | |
| Progress Payment Dates: | to |
| Item Number | Description | Unit | Total Quantity | Bid Price | Current Quantity | Previous Quantity | To Date Quantity | Extension |
| 103 | Partnering | ALL | CTSM | $ 20,000.00 | $ 0 | |||
| 150 | Construction Survey and Staking | ALL | LS | $ 0 | $ 0 | |||
| 151 | Mobilization | ALL | LS | $ 0 | $ 0 | |||
| 151 | Reimbursement for Municipality Tax Payments | ALL | CTSM | $ 280,000.00 | $ 0 | |||
| 154 | Cultural Resource Assessment, Phase I/II | ALL | CTSM | $ 130,000.00 | $ 0 | |||
| 154 | Contractor QA/QC, Sampling, and Testing | ALL | LS | $ 0 | $ 0 | |||
| 155 | Schedule for Site | ALL | LS | $ 0 | $ 0 | |||
| 201 | Clearing and Grubbing | ALL | LS | $ 0 | $ 0 | |||
| 203 | Earthwork | ALL | LS | $ 0 | $ 0 | |||
| 304 | Aggregate Base | ALL | LS | $ 0 | $ 0 | |||
| 401 | Hot Plant Mix Asphalt Concrete | ALL | LS | $ 0 | $ 0 | |||
| 550 | Bridge Construction | ALL | LS | $ 0 | $ 0 | |||
| 611 | Field Office | ALL | LS | $ 0 | $ 0 | |||
| 627 | Temporary and Permanent Erosion Control | ALL | LS | $ 0 | $ 0 | |||
| 635 | Adjustment of Facilities of the Puerto Rico Electric Power Authority (PREPA) | ALL | CTSM | $ 25,000.00 | $ 0 | |||
| 636 | Adjustment of Facilities of the Puerto Rico Aqueducts and Sewers Authority (PRASA) | ALL | CTSM | $ 25,000.00 | $ 0 | |||
| 638 | Temporary and Permanent Traffic Control | ALL | LS | $ 0 | $ 0 | |||
| Form Subtotal = | $ 0 |
Note: Offeror is responsible for ensuring the equations within all Forms are calculating correctly.
PP03A
| Form PP03A | |
| EXAMPLE Schedule of Values Form |
| 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 | $20,000.00 | 1 | $ | ||||
| 11101 | Roadway design | LS | |||||||
| 11103 | Environmental Management | LS | |||||||
| 11104 | Geotechnical design | LS | |||||||
| 11105 | Bridge design | LS | |||||||
| 11106 | Hydraulic/Drainage design | LS | |||||||
| 11107 | Temporary & Permanent Traffic Control design | LS | |||||||
| 0150 | Construction Survey and Staking | LS | $340,000.00 | 1 | |||||
| 15101 | Mobilization | LS | $1,539,266.99 | ||||||
| 66100 | Project Funding Sign | LS | $9,000.00 | ||||||
| 99920 | Design Contingency | LS | $2,495,000.00 | ||||||
| 93501 | Locate Utility, Test Pit | Ea | $3,800.00 | ||||||
| 0151 | Mobilization | LS | $4,047,066.99 | 1 | |||||
| 15401 | Reimbursement for Municipality Tax Payments | CTSM | $315,000.00 | ||||||
| 0151 | Reimbursement for Municipality Tax Payments | CTSM | $315,000.00 | 1 | |||||
| 15401 | Contractor Testing (Cultural Resource Protection and Monitoring) | LS | $130,000.00 | ||||||
| 0154 | Cultural and Biological Assessment | CTSM | $130,000.00 | 1 | |||||
| 15401 | Contractor Testing | LS | $315,000.00 | ||||||
| 0154 | Contractor QA/QC, Sampling, and Testing | LS | $315,000.00 | 1 | |||||
| 15501 | Construction Schedule | LS | $190,000.00 | ||||||
| 0155 | Schedule for Site | LS | $190,000.00 | 1 | |||||
| 0201 | Clearing and Grubbing | LS | $49,878.00 | 1 | ∠ | ||||
| 20420 | Embankment Construction | Cuyd | $513,500.00 | ||||||
| 20701 | Separation‐Stabilization Geotextile, Class 1, Type B | Sqyd | $15,000.00 | ||||||
| 20701 | Separation‐Stabilization Geotextile, Class 2, Type E | Sqyd | $47,000.00 | ||||||
| 20703 | Geogrid | Sqyd | $268,000.00 | ||||||
| 21101 | Roadway Obliteration, Method 1 | Sqyd | $22,000.00 | ||||||
| 25501 | Mechanically Stabilized Earth Wall, Precast Concrete Panel Faced | Sqyd | $1,760,000.00 | ||||||
| 26110 | Select Granular Backfill (#57 Stone) | Cuyd | $1,053,000.00 | ||||||
| 0203 | Earthwork | LS | $3,678,500.00 | error | ∠ | ||||
| 30101 | Aggregate Base Grading C or D | Cuyd | $202,500.00 | ||||||
| 61501 | Sidewalk, Concrete | Sqyd | $180,000.00 | ||||||
| 0304 | Aggregate Base | LS | $382,500.00 | error | ∠ | ||||
| 40101 | Asphalt Concrete Pavement, Gyratory Mix, 3/8‐Inch Nominal Maximum Size Aggregate, 0.3 To <3 Million ESAL | Tons | $364,000.00 | ||||||
| 41201 | Tack Coat (Bridge Drainage System) | Tons | $5,850.00 | ||||||
| 41301 | Asphalt Pavement Milling, 2‐Inch Depth | Sqyd | $12,541.91 | ||||||
| 0401 | Hot Plant Mix Asphalt Concrete | LS | $382,391.91 | error | ∠ | ||||
| 0550 | Bridge Construction | LS | $6,900,000.00 | error | ∠ | ||||
| 25101 | Placed Riprap, Method A, Class 4 | Cuyd | $361,634.46 | ||||||
| 60510 | 6‐Inch Collector Pipe (Preforated) | M | $15,605.76 | ||||||
| 60510 | 6‐Inch Collector Pipe (Non-Preforated) | M | $9,326.88 | ||||||
| 60901 | Curb, Concrete, 18‐Inch Depth | M | $72,420.48 | ||||||
| 0603 | Storm Drain System | LS | $458,987.58 | error | ∠ | ||||
| 20302 | Removal of Guardrail | M | $14,996.16 | ||||||
| 61701 | Guardrail System Mgs, Type 2, Class A Steel Posts | M | $146,304.00 | ||||||
| 61702 | Terminal Section, Type Mgs Flared | Ea | $24,000.00 | ||||||
| 61802 | Concrete Guardwall | M | $256,000.00 | ||||||
| 0606 | Guardrail, Barriers, and Bridge Transition | LS | $441,300.16 | error | ∠ | ||||
| 0611 | Field Office | LS | $26,000.00 | 1 | |||||
| 15700 | Soil Erosion Control | Lnft | $625,000.00 | ||||||
| 62500 | Turf Establishment | Lnft | $51,799.36 | ||||||
| 0627 | Temporary and Permanent Erosion Control | LS | $676,799.36 | error | |||||
| 63502 | Utility Company Compensation (PREPA) | CTSM | $10,000.00 | ||||||
| 63501 | Adjustment of PREPA Facilities | LS | $15,000.00 | ||||||
| 0635 | Adjustment of Facilities of the Puerto Rico Electric Power Authority (PREPA) | CTSM | $25,000.00 | error | ∠ | ||||
| 63602 | Utility Company Compensation (PRASA) | CTSM | $10,000.00 | ||||||
| 63601 | Adjustment of PRASA Facilities | LS | $15,000.00 | ||||||
| 0636 | Adjustment of Facilities of the Puerto Rico Aqueducts and Sewers Authority (PRASA) | CTSM | $25,000.00 | error | ∠ | ||||
| 63401 | Pavement Markings, Type H, Solid | M | $36,579.00 | ||||||
| 63501 | Temporary Traffic Control | LS | $190,000.00 | ||||||
| 0638 | Temporary and Permanent Traffic Control | LS | $226,579.00 | 1 | |||||
| 0668 | Design-Build (Design of All Schedules) | LS | $1,205,000.00 | 1 | ∠ |
| Notes: |
| Offeror is responsible for ensuring the equations within all Forms are calculating correctly. |
| ∈ 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 |
PP03B
| Form PP03B | 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. | |||
| 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 | $20,000.00 | 1 | $ | ||||
| 11101 | Roadway design | LS | |||||||
| 11103 | Environmental Management | LS | |||||||
| 11104 | Geotechnical design | LS | |||||||
| 11105 | Bridge design | LS | |||||||
| 11106 | Hydraulic/Drainage design | LS | |||||||
| 11107 | Temporary & Permanent Traffic Control design | LS | |||||||
| 0150 | Construction Survey and Staking | LS | $75,000.00 | 1 | |||||
| 15101 | Mobilization | LS | $345,728.91 | ||||||
| 66100 | Project Funding Sign | LS | $9,000.00 | ||||||
| 99920 | Design Contingency | LS | $555,000.00 | ||||||
| 93501 | Locate Utility, Test Pit | Ea | $3,800.00 | ||||||
| 0151 | Mobilization | LS | $913,528.91 | error | |||||
| 0151 | Reimbursement for Municipality Tax Payments | CTSM | $280,000.00 | 1 | |||||
| 15401 | Contractor Testing (Cultural Resource Protection and Monitoring) | LS | $130,000.00 | ||||||
| 0154 | Cultural and Biological Assessment | CTSM | $130,000.00 | 1 | |||||
| 15401 | Contractor Testing | LS | $70,000.00 | ||||||
| 0154 | Contractor QA/QC, Sampling, and Testing | LS | $70,000.00 | 1 | |||||
| 15501 | Construction Schedule | LS | $42,000.00 | ||||||
| 0155 | Schedule for Site | LS | $42,000.00 | 1 | |||||
| 0201 | Clearing and Grubbing | LS | $4,212.00 | 1 | ∠ | ||||
| 20401 | Roadway Excavation | Cuyd | $60,000.00 | ||||||
| 20403 | Unclassified Borrow | Cuyd | $9,174.66 | ||||||
| 20801 | Structural Excavation | Cuyd | $100,170.00 | ||||||
| 0203 | Earthwork | LS | $169,344.66 | error | ∠ | ||||
| 30101 | Aggregate Base Grading C or D | Cuyd | $87,400.00 | ||||||
| 31302 | Aggregate‐Topsoil Course | Sqyd | $17,600.00 | ||||||
| 61501 | Sidewalk, Concrete | Sqyd | $15,105.00 | ||||||
| 0304 | Aggregate Base | LS | $120,105.00 | error | ∠ | ||||
| 40101 | Asphalt Concrete Pavement, Gyratory Mix, 3/8‐Inch Nominal Maximum Size Aggregate, <0.3 Million ESAL | Tons | $230,400.00 | ||||||
| 41201 | Tack Coat | Tons | $8,000.00 | ||||||
| 41301 | Asphalt Pavement Milling | Sqyd | $16,806.16 | ||||||
| 0401 | Hot Plant Mix Asphalt Concrete | LS | $255,206.16 | error | ∠ | ||||
| 20301 | Removal of Bridge | Ea | $60,000.00 | ||||||
| 55201 | Structural Concrete, Class A (AE) | Cuyd | $546,000.00 | ||||||
| 55201 | Structural Concrete, Class A (AE), (Deck, Diaphragms and Backwall) | Cuyd | $287,500.00 | ||||||
| 55202 | Structural Concrete, Class A (AE), For Approach Slabs, Type 1 | Sqyd | $103,840.00 | ||||||
| 55302 | Precast, Prestressed Concrete Aashto Girder (Type Iii) | M | $322,850.00 | ||||||
| 55401 | Reinforceing Steel, Epoxy Coated | LB | $262,288.00 | ||||||
| 55601 | Bridge Railing, Steel, Two Rail | M | $39,895.00 | ||||||
| 55601 | Bridge Railing, Steel, Three Rail | M | $43,430.00 | ||||||
| 56401 | Bearing Device Elastomeric | Ea | $25,200.00 | ||||||
| 56501 | Drilled Shaft | M | $360,000.00 | ||||||
| 0550 | Bridge Construction | LS | $2,051,003.00 | error | ∠ | ||||
| 0611 | Field Office | LS | $60,000.00 | 1 | |||||
| 15700 | Soil Erosion Control | Lnft | $140,000.00 | ||||||
| 62500 | Turf Establishment | Lnft | $27,508.59 | ||||||
| 0627 | Temporary and Permanent Erosion Control | LS | $167,508.59 | error | |||||
| 63502 | Utility Company Compensation (PREPA) | CTSM | $10,000.00 | ||||||
| 63501 | Adjustment of PREPA Facilities | LS | $15,000.00 | ||||||
| 0635 | Adjustment of Facilities of the Puerto Rico Electric Power Authority (PREPA) | CTSM | $25,000.00 | error | ∠ | ||||
| 63602 | Utility Company Compensation (PRASA) | CTSM | $10,000.00 | ||||||
| 63601 | Adjustment of PRASA Facilities | LS | $15,000.00 | ||||||
| 0636 | Adjustment of Facilities of the Puerto Rico Aqueducts and Sewers Authority (PRASA) | CTSM | $25,000.00 | error | ∠ | ||||
| 63316 | Remove and Reset Sign | Ea | $1,650.00 | ||||||
| 63401 | Pavement Markings, Type A, Solid | M | $13,441.68 | ||||||
| 63501 | Temporary Traffic Control | LS | $42,000.00 | ||||||
| 0638 | Temporary and Permanent Traffic Control | LS | $57,091.68 | error |
| Notes: |
| Offeror is responsible for ensuring the equations within all Forms are calculating correctly. |
| ∈ 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 .