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 GRU Surface Restoration Construction Inspection and Submittal Form used by Gainesville Regional Utilities (GRU) in Florida for documenting and verifying asphalt and concrete surface restoration work. The form serves as the official documentation template for contractors performing road, sidewalk, curb, driveway, brick paver, and pavement marking restoration work resulting from GRU utility operations. Contractors must submit the completed form with each invoice and corresponding work order, including pre-work and post-work timestamped photographs, batch tickets, mix design documentation, material certifications, calibration certificates, and traffic control plans. The form requires contractors to itemize quantities and pricing for various work types, including SP-12.5 asphalt at 1.0" and 1.5" depths, prime and tack coats, concrete sidewalks and driveways, concrete ramps, concrete curb, brick pavers, painted and thermoplastic pavement markings, reflective pavement markers, demolition and milling work, and temporary traffic control services.
The inspection form establishes quality control and compliance verification procedures through a checklist requiring contractors to confirm that surface restoration matches design grades and slopes, asphalt meets FDOT density and finish specifications, concrete meets FDOT requirements, curb alignment and elevation are consistent, brick patterns and elevations match existing conditions, pavement striping is correctly applied, sites are cleaned and debris-free, and ADA compliance is verified. Contractors must provide warranty certification that all materials and workmanship conform to GRU and FDOT specifications per Section 01780, with the form signed by the contractor representative and verified by a GRU inspector who confirms work order entries in Cityworks, verifies quantities and submittals, and authorizes final work acceptance.
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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 .