ESBD_File_336296_SOLICIEXH_F.9_405-23R0007034_AE Payment Voucher.xls
XLS spreadsheet 98 KB Posted
- Solicitation number
- 405-23R0007034
- Issued by
- Travis County, Texas
About this file
This document is an A/E Payment Voucher from the Texas Department of Public Safety (DPS) related to a contract for Engineering, Architectural, and Land Surveying Services. DPS is requesting responses from qualified firms to provide professional services for deferred maintenance and renovation projects to design, construct, maintain, improve, or expand its facilities and utility infrastructure. The contract covers services such as schematic design, design development, construction documents, bidding/award, and construction administration for both new construction and renovation projects. Payment details are provided, including the percent fee, percent completed, amount earned, and amount now due for the various service categories.
The contract includes basic services for new construction and renovation projects, as well as additional services, testing, and other general expenses. Pricing details are not provided in the document, but the contract opportunity indicates DPS is seeking the most experienced and qualified firms. No other details on pricing terms, set asides, incumbents, funding sources, or other salient information are included in the provided documentation.
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Text version
Sheet1
| STATE OF TEXAS A/E PAYMENT VOUCHER | Agency Voucher No. | ||||||||||||
| Comptroller's Vendor Number | Agency No. | Agency Name | DPS Project Number | ||||||||||
| 405 | DPS | ||||||||||||
| Pay to: (Name, Address, City State, Zip Code) | Period of Service | ||||||||||||
| From: | To: | Contract Date | |||||||||||
| Invoice Date | Invoice Number | Total Voucher Amount | |||||||||||
| $0.00 | |||||||||||||
| Approval Section Sign and Date | Architect/Engineer: | ||||||||||||
| Project Cost Description | Project Cost Amount | Approval Section Sign and Date | Architect/Engineer: | ||||||||||
| Contract/Agreement Number | DPS Project Manager | ||||||||||||
| Contract Date | |||||||||||||
| Original Construction Cost | DPS Facilities Director: | ||||||||||||
| Change Order Cost | |||||||||||||
| Fee Basis (%) | DPS Executive Approval: | ||||||||||||
| Total Basic Services Fee | |||||||||||||
| Description of Service | |||||||||||||
| A/E Basic Services (New Construction) | Percent | Fee | Percent Completed | Amount Earned | Previously Approved | Now Due | |||||||
| Schematic Design/Draft Prelim Report | |||||||||||||
| Design Development/Final Preliminary Report | |||||||||||||
| Construction Documents/Final Report | |||||||||||||
| Bidding and Award | |||||||||||||
| Construction Administration | $0.00 | ||||||||||||
| Less Retainage | |||||||||||||
| Total A/E Fee (New Construction) (Class-871) | 0.00 | ||||||||||||
| A/E Basic Services (Renovation) | Percent | Fee | Percent Completed | Amount Earned | Previously Approved | Now Due | |||||||
| Schematic Design/Draft Prelim Report | |||||||||||||
| Design Development/Final Preliminary Report | |||||||||||||
| Construction Documents/Final Report | |||||||||||||
| Bidding and Award | |||||||||||||
| Construction Administration | |||||||||||||
| Less Retainage | |||||||||||||
| Total A/E Fee (Renovation) (Object Class 871) | 0.00 | ||||||||||||
| Additional Services | Now Due | ||||||||||||
| Amendment Number: | |||||||||||||
| Amendment Number: | |||||||||||||
| Amendment Number: | |||||||||||||
| Less Retainage | |||||||||||||
| Total Additonal Services (Object Class 873) | 0.00 | ||||||||||||
| Testing & Other General Expenses (Provide detail supporting documents in accordance with your contract agreement) | Now Due | ||||||||||||
| Testing Services (Provide Detail Supporting Documents)(884) | |||||||||||||
| Surveys (882) | |||||||||||||
| Printing and Reproduction (874) | |||||||||||||
| Misc. Expenses: (896) | |||||||||||||
| Total Testing & Other General Expenses | 0.00 | ||||||||||||
| TOTAL AMOUNT DUE THIS PAY VOUCHER: | $0.00 | ||||||||||||
| AGENCY CERTIFICATION | |||||||||||||
| I certify that the above services were rendered or goods received; that they correspond every particular with the contract under which they were procured; that the invoice is true and unpaid; and that the claim was presented to the State within the applicable limitations period. | PRICES ABOVE ARE APPROVED |
Texas Department of Public Safety
| Signature of DPS, FDC Accountant or Auditor: | ||
| FOR STATE PAYING AGENCY FISCAL USE ONLY | ||
| (Circle One) |
Send to USAS Yes No
| Batch No: | ||||||||||
| Remittance Vendor ID | DT | Source Code | Batch Date | |||||||
| Entered By: | ||||||||||
| Amount | PCC | Date Entered: | ||||||||
| Warrant/Direct Deposit No.: | ||||||||||
| Encumbrance No. | C | Req # | Order Date | Invoice # | Received Date | AY | Agency Fund | Object Class | Org Code | |
| Amount | Payment Due Date | Request Payment Date | Interest Override | Description (includes vendor account#) | ||||||
| Descriptive / Legal Text | ||||||||||
| Prepared by: | Date: | Approved by: | Date: |
Sheet2
Sheet3
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