Exhibit_C_-_GRU_Construction_Inspection_Form.docx

DOCX document 37 KB Posted

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

About this file

This is a Construction Inspection and Submittal Form (Exhibit C) developed by GRU (Gainesville Regional Utilities) in Florida for surface restoration projects involving asphalt and concrete work. The form serves as a standardized document to be submitted with each invoice and corresponding work order for projects that include asphalt resurfacing, concrete sidewalks and driveways, curb and gutter work, brick pavers, and pavement markings. Contractors must provide detailed general information including contractor name, GRU PO and work order numbers, work location, and description of work completed. The form requires submission of extensive supporting documentation with each pay request, including pre-work and post-work timestamped photographs (four of each), batch tickets, mix design specifications, material certifications, calibration certificates, traffic control plans, density or quality control test results, and warranty acknowledgments. Bid items specified include SP-12.5 asphalt at varying depths (1.0" and 1.5"), prime and tack coat applications, concrete sidewalks and driveways, concrete sidewalk ramps, concrete curb, brick pavers, painted and thermoplastic pavement markings, raised pavement markers, demolition and milling work, and temporary traffic control services.

The form incorporates a quality inspection section to be completed by the contractor certifying that surface restoration matches specified grades and slopes, asphalt density and finish meet FDOT standards, concrete finishes comply with FDOT requirements, curb alignment and elevation are consistent, brick patterns match existing conditions, pavement striping is correctly applied, sites are cleaned of debris, ADA compliance is verified, and temporary traffic control is removed upon completion. All materials and workmanship must conform to GRU and FDOT specifications and are covered under warranty per Section 01780. A GRU field inspector must verify work order entries in Cityworks, confirm quantities, review all photos and submittals, and provide final acceptance before payment authorization. The form establishes a standardized process for documentation, quality assurance, and payment verification for surface restoration contracts under GRU authority.

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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 .