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 .