Form PP03A-03D.pdf

5A-85

Form PP03A

Example Schedule of Values Form Base Contract

Contractor:

Progress Payment Number:

Progress Payment Dates: to

Pricing Item Number ∈

Description ∈

Unit

Total Quantity (%,unit, or $)

Contribution

Factor ∉

Current Quantity

Previous

To Date

5=3+4

Percent

Complete 6=(5/1)*2

Extension 7=6*1

Partnering

Ctsm $ 20,000

1.0

0107-1

Hazardous/Special Waste Removal /Clean Up/Disposal (On EPG)

LS $ 500,000

0107-3

Investigative Work Plan and Site Investigation (on EPG)

LS $ XXX,XXX

Trainees

LS $ 30,000

11101

Roadway design

LS

0.200

11201

Bridge design

0.500

11301

Geotechnical design

11401

Hydrology/Hydraulics, Erosion Control, etc..

0.100

0110 Design

$XXX,XXX

0151 Mobilization

5A-86

0154 Contractor QA/QC & Testing

LS $XXX,XXX 1.0

0159 Field Office

20101

Clearing and grubbing

Acre

20305

Removal of structures and obstructions

0.900

0200 Clearing and grubbing, Removal of structures and obstructions

20401

Roadway excavation

Cuyd

0.050

20402

Subexcavation

20409

Embankment construction

25701

Retaining Wall

Sqft

0.800

0204 Earthwork

30101__

Aggregate base, grading C

T

1.000

0301 Aggregate base

41801

Superpave hot asphalt concrete pavement

1.00

0418 Superpave Asphalt Concrete Pavement

50101

Portland Cement Concrete Pavement, 10-inch depth

Sqyd

5A-87

(Base)

0501 Portland Cement Concrete Pavement (Base)

55101

Piles

Lnft

0.080

55201__

Structural concrete, class

A(AE)

0.310

Structural concrete, class HPC

0.150

55202__ for overlay

55207__

Structural concrete, class HPC, for approach slab

55203

Beams

0.300

55401

Reinforcing steel

Lb

0.020

55402

Epoxy coated reinforcing steel

0.040

55601

Concrete bridge rail

0550 Bridge

20802

Foundation fill

25102

Riprap, all classes

Tons

60104

Concrete headwall, all sizes

Ea

60201

Pipe culvert, all diameters

5A-88

60206

End sections, all diameters

60403

Inlets, all types

60901

Curb, all types

60902

Curb and gutter, all types

0600 Drainage

157__

Temporary erosion control

60801

Paved waterway, type 4

62401

Furnishing and placing topsoil, 100 mm depth

62509

Turf establishment

62601

Furnish and plant trees, all species and sizes

62701

Solid sod

62901

Erosion control mat, type 2

0625 Temporary and Permanent Erosion Control, Landscaping

63304

Signs, aluminum panels, type III sheeting

Pavement markings, type H, 5A-89

63401 solid Lnft 0.050

63501

Temporary traffic control

0.700

63602

Lighting Installation

0635 Temporary and Permanent Traffic Control

Notes:

∈ The information shown is intended to describe the appropriate level of detail and is for example only.

∉ The contribution factors shown are for example only.

∠ Sum of the aggregate Percent Complete values for that Lump Sum Bid Item

5A-90

Form PP03B

Option 1 Contractor:

Removal/Clean Up/Disposal

LS $ 100,000

5A-91

20305 Removal of structures and

LS 0.900

30101C

5A-92

5A-93

60902 Curb and gutter, all types

Lnft 0.100

63401 solid

5A-94

0635 Temporary and Permanent Traffic

∈ The information shown is intended to describe the appropriate level of detail and is for example only.

5A-95

Form PP03C

Option 2

Contractor:

Removal/Clean Up/Disposal

5A-96

20305 Removal of structures and

LS 0.900

5A-97

5A-98

60902 Curb and gutter, all types

Lnft 0.100

5A-99

0635 Temporary and Permanent Traffic

∈ The information shown is intended to describe the appropriate level of detail and is for example only.

5A-100

Form PP03D

Option 3

Contractor:

Removal /Clean Up/Disposal

0107-2

Hazardous Waste Removal /Clean Up/Disposal (Off EPG)

LS $ 500,000

5A-101

20305

Removal of structures and

0.900

5A-102

25102 Riprap, all classes

Tons 0.050

60902

Curb and gutter, all types

5A-103

0635 Temporary and Permanent Traffic

∈ The information shown is intended to describe the appropriate level of detail and is for example only.