Attachment_H.1_-_Scanned_G702_sample.pdf

This is a scanned G702 sample form attachment related to a road resurfacing project issued by Citrus County, Florida for the Small County Outreach Program (SCOP). The project involves milling and resurfacing of S. Apopka Avenue from US 41 to E. Anna Jo Drive, covering approximately 3.6 miles. Work must comply with the current Florida Department of Transportation Standard Specifications for Road and Bridge Construction, FY 2025-26. The project is divided into two distinct segments with different specifications: the first segment from US 41 to Daffodil Street requires a minimum 2.25-inch milling with placement of 2.25 inches of FC-12.5 asphalt with PG 76-22 polymer-modified binder at Traffic Level C, while the second segment from Daffodil Street to E. Anna Jo Drive requires uniform 2.5-inch milling followed by two 1.5-inch lifts of the same asphalt specification. All hot-mix asphalt paving operations must utilize an approved Material Transfer Vehicle (MTV) for continuous non-contact transfer and remixing, with direct truck-to-paver dumping prohibited.

Work scope includes pre-construction survey and video documentation, pavement edge exposure and cleaning, dyed herbicide and sterilant vegetation treatment, milling, asphalt paving, temporary and permanent pavement markings and reflective pavement markers, shoulder grading for positive drainage, sodding, sweeping, testing, and hauling of all millings to the County Road Maintenance Facility. Bidders must submit current FDOT Asphalt Mix Design Plant Assignment Sheets and approved mix designs with their bids. Only one production facility may be used unless the County grants prior written approval. The G702 form attachment serves as a sample document for payment certification during the contract performance period.