Attachment_4_GRU_Construction_Inspection_Form_10.6.25.docx

DOCX document 37 KB Posted

Attached to
City Sidewalk Project
Solicitation number
2026-005
Issued by
Alachua County, Graceville City, Florida

About this file

This is a Construction Inspection and Submittal Form used by Gainesville Regional Utilities (GRU) in Florida for surface restoration projects involving asphalt and concrete services. The form serves as the primary documentation vehicle for contractors to submit invoices and work completion evidence for various surface restoration activities, including asphalt paving (SP-12.5 at 1.0" and 1.5" depths), concrete sidewalks, driveways, curbs, brick pavers, and pavement markings. Contractors must submit the form with each invoice and corresponding work orders, along with comprehensive supporting documentation including pre-work and post-work timestamped photographs, batch tickets, mix designs, material certifications, calibration certificates, and density or quality control test results as required. The form requires contractors to verify that work completion aligns with specified grades, slopes, and finish standards per FDOT specifications, with GRU field inspectors responsible for final verification and acceptance of completed work.

The form establishes a structured quality assurance and documentation protocol requiring contractors to certify that all materials and workmanship conform to GRU and FDOT specifications and are covered under warranty per Section 01780. The submittal checklist mandates adherence to multiple compliance requirements including traffic control plan certification, traffic control personnel certification, MOT removal verification, ADA compliance confirmation, and Cityworks system entries. Pricing verification is conducted through line-item bid pricing for each restoration category, with the form accommodating variable quantities and unit pricing for each work type. GRU inspectors conduct final verification confirming work order documentation in Cityworks, quantity verification against submittal forms, completeness of photographic and submittal documentation, and formal work acceptance or rejection prior to payment authorization.

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Text version

GRU Surface Restoration Construction Inspection & Submittal Form To be submitted with each invoice and corresponding Work Order(s).

1. General Information

Contractor Name:
Date of Submittal:
Invoice Number:
GRU PO Number:
GRU Work Order Number(s):
Address / Location of Work:
Description of Work:
Type of Work:
Date Work Completed:
Total Area (SF or LF):

Cityworks Entry Completed: ☐ Yes ☐ No

Contractor Representative:
Phone / Email:

2. Submittal Checklist (Required with Pay Request)

Submittal Item
Attached (Y/N)
Notes

Pre-work timestamped photos (4 required)

Post-work timestamped photos (4 required)

Batch tickets (signed, dated, time-stamped)

Mix Design (gradation, binder, temperature, PG grade)

Material Certifications (binder, aggregates, tack coat, etc.)

Calibration Certificates (paver, roller, scales)

MOT/TTC Plan (signed & sealed by PE)

MOT/TTC Certification of field personnel

Density or QC test results (if required)

Warranty acknowledgment

3. Quantity & Pricing Verification (Per Pricing Form)

Bid Item No.
Description
Unit
Quantity
Unit Price ($)
Total ($)
A.1
SP-12.5 Asphalt (1.0")
SF
A.2
SP-12.5 Asphalt (1.5")
SF
B
Prime / Tack Coat
SF
C
Concrete Sidewalk / Driveway
SF
D
Concrete Sidewalk Ramp
EA
E
Concrete Curb
LF
F
Brick Pavers
SF
G.1
Painted Pavement Markings
SF
G.2
Thermoplastic Pavement Markings
SF
G.3
RPMs
EA
H.1-H.4
Demolition / Milling
SF
I
Temporary Traffic Control
EA

Total Invoice Amount ($)

4. Quality Inspection (To be completed by Contractor)

Inspection Item
Pass/Fail
Notes

Surface restoration matches grades/slopes

Asphalt density & surface finish per FDOT

Concrete finish meets FDOT requirements

Curb alignment & elevation consistent

Brick pattern & elevation match existing

Pavement striping/markers correctly applied

Site cleaned and free of debris

ADA compliance verified

MOT removed after completion

5. Warranty Certification The Contractor certifies that all materials and workmanship conform to GRU and FDOT specifications and are covered under warranty per Section 01780.

Contractor Representative: ___________________________ Date: ________________ Signature: ____________________________________________

6. GRU Field Verification (To Be Completed by GRU Inspector) Work Order verified in Cityworks

Quantities verified

Photos and submittals complete

Work accepted ☐ Yes ☐ No

Inspector Name:

Date:

Signature:

Monday, October 6, 2025

File details come from the government source that posted it. Updated .