Attachment_H.2-_Scanned_G703_sample.pdf

This is a scanned G703 sample form attachment related to Citrus County, Florida's ITB 25-111 Small County Outreach Program (SCOP) road resurfacing project for S. Apopka Avenue. The project involves milling and resurfacing approximately 3.6 miles of roadway from US 41 to E. Anna Jo Drive, divided into two distinct segments with varying specifications. The first segment (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. The second segment (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 work must comply with current Florida Department of Transportation (FDOT) Standard Specifications for Road and Bridge Construction, FY 2025-26, and 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, vegetation treatment, asphalt paving, pavement markings, shoulder grading, sodding, sweeping, testing, and hauling of millings to the County Road Maintenance Facility.

The G703 form serves as a standardized progress payment application format used in construction contracting. Asphalt used on the project must appear on a current FDOT Asphalt Mix Design Plant Assignment Sheet, which bidders must submit with their bid proposals. Only one production facility may be used unless the County grants prior written approval. All hot-mix asphalt paving operations must meet strict quality standards, with any asphalt placed without an approved MTV classified as non-conforming work subject to removal and replacement at no cost to the County. The document reflects the County's commitment to maintaining quality control throughout the resurfacing project while ensuring compliance with state transportation standards and specifications.