Exhibit_C_-_GRU_Construction_Inspection_Form.docx

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Attached to
City Sidewalk Project
Solicitation number
2026-005
Issued by
Alachua County, Graceville City, Florida

About this file

Summary

This is a construction inspection and submittal form developed by Gainesville Regional Utilities (GRU) in Florida for surface restoration projects involving asphalt, concrete, and related materials. The form serves as a standardized document for contractors to submit with each invoice and work order, requiring comprehensive documentation of completed work including pre- and post-work photographs, material certifications, calibration certificates, and quality test results. Contractors must itemize work performed across multiple bid categories including SP-12.5 asphalt (1.0" and 1.5" applications), prime and tack coats, concrete sidewalks and driveways, concrete ramps, concrete curb, brick pavers, pavement markings (painted and thermoplastic), reflective pavement markers, demolition and milling, and temporary traffic control. The form includes a quality inspection checklist covering surface grading and slopes, asphalt density and finish, concrete quality, curb alignment, brick pattern consistency, pavement marking application, site cleanliness, ADA compliance, and removal of traffic control measures, with final verification completed by GRU field inspectors.

The submittal form requires contractors to certify that all materials and workmanship conform to GRU and FDOT specifications under warranty provisions outlined in Section 01780. Contractors must submit the completed form with each pay request, including all supporting documentation, and designate a contractor representative with contact information responsible for the work. GRU field inspectors verify work order entries in the Cityworks system, confirm submitted quantities and documentation completeness, and determine final work acceptance or rejection. The form does not specify pricing structures, contract terms, or set-aside requirements; these elements are addressed through the associated pricing form and separate GRU procurement documents.

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Text version

EXHIBIT C

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 .