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

Exhibit C - GRU Construction Inspection & Submittal Form

This document is a construction inspection and submittal form issued by Gainesville Regional Utilities (GRU) in Florida for surface restoration projects involving asphalt and concrete work. The form serves as a standardized template for contractors to document work completion and submit payment requests for various surface restoration activities, including asphalt overlays at different thicknesses (1.0" and 1.5"), concrete sidewalks and driveways, curb installation, brick paver placement, pavement markings, and temporary traffic control services. Contractors must submit the form with each invoice and corresponding work order, providing general project information, contractor representative contact details, work completion date, and total area measurements. The form includes a comprehensive submittal checklist requiring pre- and post-work photographs, batch tickets, mix design documentation, material certifications, calibration certificates, MOT/TTC plans, density test results, and warranty acknowledgments.

The form establishes specific quality standards and inspection requirements aligned with FDOT (Florida Department of Transportation) specifications, including asphalt density verification, concrete finish compliance, proper grading and slope matching, curb alignment, ADA compliance verification, and site cleanup documentation. Both contractors and GRU field inspectors must certify work acceptance, with inspectors verifying quantities, photo documentation, and Cityworks database entries before payment authorization. Contractors must warrant that all materials and workmanship conform to GRU and FDOT specifications and maintain coverage under the applicable warranty provisions, ensuring accountability throughout the project lifecycle and establishing a clear verification pathway for invoice processing and work acceptance.

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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 .