KIMLEY-HORN_INVOICE_29486820_MPD0086-21 H80_10142024.pdf

Vendor ADOT PM Name

Invoice Status {Select from List}

Partial - In Progress

Invoice Date 9/30/2024

1 2 328,718.00$ -$ 328,718.00$ 314,651.77$ 14,066.23$ 1,805.00$ -$ 0.00% -$ $ 1,805.00 $ 12,261.23

-$ -$ -$ -$ -$ 0.00% -$ $ - $ -

328,718.00$ -$ 328,718.00$ 314,651.77$ 14,066.23$ 1,805.00$ -$ -$ 1,805.00$ 12,261.23$

Please Leave Blank $0.00

Date Signed

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DateWarrant / Check / ACH Payment No and Date

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Pale Orange = Form Calculated field

Teal = Vendor/Customer Generated

White Field = Entry in Field Permitted

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Grey = Disregard Field

Not FTA Funded - Please leave section below blank

Pink with Red Text = Entry/Correction Required

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Color Key

White Label = Field Data Provided in ADOT Documentation

FMS PROCESSING

Status

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A/P or C/A Processed By

Support Documents align to Invoice and adequately supports costs

ADOT PROGRAM/PROJECT MANAGER REVIEW

ADOT PM Signature Required

Invoice Approved

Reason for Rejection

Confirmed: BECO required DBE Forms are attached.

Please Leave Blank

StatusTravel charges are in accordance with State/ADOT Policy

Progress toward Scope aligns with Awarded Requirements

Invoicing aligns with Progress and Awarded Budget / Pricing

Submitter Certification required pursuant to 2 CFR 200.415: By signing this report, I certify to the best of my knowledge and belief that the report is true, complete, and accurate, and the expenditures, disbursements and cash receipts are for the purposes and objectives set forth in the terms and conditions of the Federal award. I am aware that any false, fictitious, or fraudulent information, or the omission of any material fact, may subject me to criminal, civil or administrative penalties for fraud, false statements, false claims or otherwise. (U.S. Code Title 18, Section 1001 and Title 31, Sections 3729-3730 and 3801-3812).

Michael Grandy

Date Signed

10/29/2024 Optional - 2nd Authorized

Signatory

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Invoice Rejected

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I Confirm No Race Conscious DBE Goal was Assessed for the Project(s) and No AZ DBE Firms Participated.

I certify that my typed signature is a legally-binding signature.I certify that my typed signature is a legally-binding signature.

Submitter - Authorized Signatory

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Billing Period

Balance After This Invoice

STATE HIGHWAY RAIL GRADE CROSSING

Retainage % to Apply to this

Invoice

Retainage $ Applied to this

Line

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Balance (Total Budget -

Previously Invoiced)

Federal Funding Agency {Select from List}

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Through 9/30/2024

Selecting this option, confirms ACH is active on your State Vendor Profile. Leave Blank.

Vendor Comment (Optional)

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This section is only applicable to the FINAL reimbursement request submission - Please leave blank.

The fields completed on this page indicate this is the Final Invoice Reimbursement Request and that there was NO Race Conscious Goal On this Project.

The ADOT Project Manager is required to review for each of these items. By approving this invoice, you certify these requirements are met.

Arizona Department of Transportation Multimodal Planning Division Billing Summary / Reimbursement Request

Heidi Yaqub MPD Tracking Number

{Use Format: MPDnnnn-yy; RTAP use " MPDRTAP-yy"} {yy = last 2 digits of the State Fiscal Year (July 1 - June 30)}

Agency Name

Agency PM Name / Email (Notify if Unaccepted / Rejected / Paid)

KIMLEY-HORN AND ASSOCIATES, INC

GRANDY, MICHAEL/MIKE.DAYTON@KIMLEY-HORN.COM

Master Procurement Contract Number

Subrecipient or Vendor?

{Select from List}

Purchase Order Number

MPD0086-21 H80

ADOT17-171963

PO#0000597650

STATE HIGHWAY RAIL GRADE CROSSING ACTION PLAN

None - State $ Only

FHWA - All Programs

SUMMARY OF WORK FOR WHICH PAYMENT IS REQUESTED

$ (Net Amount) Invoiced

Previously

Originally Awarded Budget

Amount

Approved Changes (Cardinal Changes

Prohibited)

Total Awarded Budget

Other Reductions (e.g.

Fares, BECO Sanctions, Disallowed)

Billing for This Invoice

Prior to Reductions

Race Conscious DBE Goal % {Vendors who are AZ Certified DBEs, enter 100}

ACH (Direct Deposit)

8.63%

Net Amount Due for

This Invoice

TOTALS Click Button to Insert Line

Task or Deliverable Description Project Task No

Project Title (For Research Project add SPR Number)

Please Leave Blank

Funding Program {Select from List}

Invoice Number 29486820

Remit Payment to {Select from List}

PO Line No

Docusign Envelope ID: C3886C3E-9067-4745-A223-0CF2344CDF58

X

10/29/2024Enter Date Received by MPD and Receipt Number

REC #1546813

10/30/2024

Accounts Payable DocuSign

AP RECEIVED 10/30/24

Agency/ORG Agency Address

ADOT Contact Telephone Contact Address

Vendor Vendor Contact

Contract No. Date Invoice 29486820 Date 9/30/2024

Project Title Interim VPR

Action Taken:

Vendor Performance Report This document should be used to document positive or negative performance by a contractor and to state whether corrective action is required.

Please complete & return to ADOT Procurement.

Mail Drop 310B, 206 S. 17th Avenue, Phoenix, AZ 85007

GRANDY, MICHAEL/MIKE.DAYTON@KIMLEY-HORN.COM

Arizona Department of Transportation Procurement Group

1739 W. Jackson Street, 100P Phoenix, AZ 85007

Facsimile: 602.712.3717

Contract Officer Date

Signature of Agency Representative Date

Date of Action

PART 2 – ADOT PROCUREMENT ACTION

MPD Tracking Number MPD0086-21 H80

AGENCY REPORT

Arizona Department of Transportation / Multimodal Planning Division

KIMLEY-HORN AND ASSOCIATES, INC

ADOT17-171963 PO Number PO#0000597650

PART 1

Describe the performance issue. Be accurate, complete and factual. Use an attachment if necessary.

STATE HIGHWAY RAIL GRADE CROSSING ACTION PLAN

Describe Project Delivery Compared with Schedule:

Describe Project Outcomes Compared with Objectives:

Describe Compliance with Invoicing Requirements:

Describe Vendor Performance

Reporting incident, no action requested.

Specific action requested:

Docusign Envelope ID: C3886C3E-9067-4745-A223-0CF2344CDF58

602-712-7644

Performance is within expected standards.

Project Delivery was within the agreed upon schedule.

10/29/2024

X

Project Objectives have been met.

Invoicing requirements were met.

1611 W Jackson St, Phoenix, AZ 85007

Prime Firm Name

KIMLEY-HORN No DBE % 0.00%

Task No Awarded $

Functional Role Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Michael Grandy Project Manager - $240 30.0 80.0 20.0 20.0 7.0 30.0 40.0 Brent Crowther Principal- $290 1.0 1.0 1.0 1.0 1.0 3.0 Deanna Haase Technical Expert - $275 0.0 0.0 0.0 0.0 0.0 0.0 Tim White QA/QC- $260 1.0 1.0 5.0 5.0 10.0 10.0 Keith Christian Project Engineer - $185 15.0 80.0 0.0 40.0 10.0 5.0 Chris Joannes Project Planner-$170 0.0 0.0 40.0 0.0 0.0 60.0 Allison Munden Project Planner-$170 0.0 0.0 40.0 0.0 0.0 60.0 Melissa Alvarez Project Planner-$170 0.0 0.0 0.0 0.0 0.0 60.0 Lina Bearat Safety Engineer - $185 0.0 0.0 0.0 5.0 60.0 10.0 Corey Hill Senior Advisor - $260 0.0 0.0 10.0 0.0 0.0 3.0 Austin Stake Project Engineer -$185 0.0 0.0 0.0 0.0 60.0 5.0 Tom Stafford Project Analyst-$135 0.0 0.0 0.0 0.0 0.0 0.0 Justin Gilbert Project Analyst-$135 0.0 0.0 0.0 0.0 0.0 0.0 Karina Trejo Project Analyst-$135 0.0 0.0 10.0 80.0 60.0 20.0 Rose Voyles Project Analyst-$135 0.0 0.0 0.0 0.0 0.0 0.0 Sam Erdmann Project Analyst - $135 0.0 0.0 80.0 0.0 0.0 80.0 Dan Iwicki Project Analyst - $135 0.0 0.0 0.0 0.0 100.0 10.0 Kristen Faltz Project Analyst - $135 0.0 0.0 0.0 0.0 0.0 0.0 Greg Honiotes Project Analyst - $135 0.0 0.0 0.0 0.0 0.0 0.0 Mark Schneider Project Analyst - $135 0.0 0.0 0.0 0.0 0.0 0.0 Ajdin Spahic Project Analyst - $135 0.0 0.0 0.0 0.0 0.0 0.0 Meg Merry Visual Specialist-135 0.0 20.0 5.0 0.0 0.0 60.0 Kayla Morris Visual Specialist-135 0.0 0.0 0.0 0.0 0.0 0.0 Mike Dayton Project Accountant - $125 0.0 0.0 0.0 0.0 1.0 0.0 0.0 Jason Getz GIS/Technical-$130 0.0 0.0 0.0 0.0 0.0 0.0 Shawn Christian Sr. Project Accountant - $125 0.0 0.0 0.0 0.0 0.0 0.0 Lyndee Walborn Project Accountant - $125 8.0 0.0 0.0 0.0 0.0 0.0

4 61 2 109

0.0863

Staff Name

328,718.00$

MPD0086-21 H80

29486820

$ 10,640.00

DBE Compliance Contact Email

MIKE.DAYTON@KIMLEY-HORN.COM $ of Contract Award $ 185,015.00

$ 33,850.00 $ 24,900.00 $ 22,250.00 $ 48,425.00 $ 44,950.00 113 875

Vendor Hours Contribution Table & DBE Compliance Report MPD Tracking Number Race Conscious DBE Goal Commitment

Purchase Order: Release No Vendor's Invoice No Total Project Award

PO#0000597650The hours reported on this table are provided to enable visual assessment by the ADOT Project Manager of progress on work tasks.

AZ Certified

DBE?

DBE System Vendor

ID Number 10608

Decreases in DBE Firm Participation or Removal MUST be Authorized by the BECO Office in Advance.

Docusign Envelope ID: C3886C3E-9067-4745-A223-0CF2344CDF58 mailto:MIKE.DAYTON@KIMLEY-HORN.COM mailto:MIKE.DAYTON@KIMLEY-HORN.COM mailto:MIKE.DAYTON@KIMLEY-HORN.COM mailto:MIKE.DAYTON@KIMLEY-HORN.COM mailto:MIKE.DAYTON@KIMLEY-HORN.COM

Sub Firm Name Burgess & Niple, Inc. No DBE % 0.00%

Task No Awarded $

Functional Role Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual

Dana Biscan Suconsultant PM-$196 12.0 24.0 12.0 4.0 40.0 16.0

Nicole Waldheim Senior Advisor -$215 4.0 24.0 12.0 0.0 40.0 16.0 Dana Biscan Subconsultant PM - $245 0.0 0.0 0.0 0.0 0.0 0.0 J. Nickell Consultant - $171.25 0.0 0.0 0.0 0.0 0.0 0.0 Wes Scatena Cost Estimating - $165 0.0 0.0 0.0 0.0 0.0 0.0 Tristan Jackson Saftety Planner-$130 0.0 6.0 0.0 6.0 100.0 60.0 C. Alvarez Engineer - $135 0.0 0.0 0.0 0.0 0.0 0.0 Kris Popovich Senior GIS-$160 0.0 0.0 0.0 8.0 80.0 0.0 K. Schenk Senior Advisor - $215 0.0 0.0 0.0 0.0 0.0 0.0 R. Lengua Project Engineer $135 0.0 0.0 0.0 0.0 0.0 0.0 M. Huff Project Engineer $135 0.0 0.0 0.0 0.0 0.0 0.0 A. Joannes Planner - $136 0.0 0.0 0.0 0.0 0.0 0.0 B. Logan Project Engineer $135 0.0 0.0 0.0 0.0 0.0 0.0 Robert Settles Project Engineer $135 0.0 6.0 0.0 6.0 120.0 60.0 Yordy Hill Project Administrator -$124.91 0.0 0.0 0.0 0.0 0.0 0.0 Peggy Sayre Project Administrator -$124.91 12.0 0.0 0.0 0.0 0.0 0.0

Sub Firm Name Y2K Engineering LLC Yes DBE % 10.70%

Task No Awarded $

Functional Role Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Michelle Beckley Subconsultant PM-$165 4.0 0.0 0.0 65.0 0.0 Rae Stephani Project Engineer-$135 0.0 0.0 0.0 26.0 0.0 Denise Baker Designer-$120 0.0 0.0 0.0 85.0 0.0

Connor McAlinden Designer -120 0.0 0.0 0.0 0.0 0.0

Traveis Moe Designer-$120 0.0 0.0 0.0 12.0 0.0 Sam Cole Analyst-$110 0.0 0.0 0.0 79.0 0.0

Sub Firm Name RailPros, Inc No DBE % 0.00%

Task No Awarded $

Functional Role Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual

Alex Popovici Senior Advisor -$175

DBE Compliance Contact Email

$ of Contract Award $ 8,750.00

AZ Certified

DBE?

DBE Compliance Contact Email

$ of Contract Award

$ 99,728.00

$ 35,165.00

DBE Compliance Contact Email

$ of Contract Award

Staff Name 1 2 3 4 5 6 7

DBE System Vendor

ID Number 20480845

$ 4,608.00 $ 11,502.00 $ 5,016.00 $ 3,294.00 $ 53,920.00 $ 21,388.00

8 9 10

Staff Name 1 2 3 4 5 6 7 8 9 10 11

$ 600.00 $ 34,565.00

8 9 10 11 $ 8,750.00 Staff Name

1 2 3 4 5 6 7

AZ Certified

DBE?

DBE System Vendor

ID Number 20188265

AZ Certified

DBE?

DBE System Vendor

ID Number 20082851

87.00 0.00 242.00 0.00 235.00 0.00 442.00 8.00 711.00 0.00 578.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00TOTALS

Please remit payment electronically to: If paying by check, please remit to:

Account Name: KIMLEY-HORN AND ASSOCIATES, INC. KIMLEY-HORN AND ASSOCIATES, INC.

Bank Name and Address: WELLS FARGO BANK, N.A., SAN FRANCISCO, CA 94104 P.O. BOX 913221 Account Number:

ABA#:

2073089159554 121000248

DENVER, CO 80291-3221

Please send remittance information to: payments@kimley-horn.com

10pt blank space

ARIZONA DEPARTMENT OF TRANSPORTATION

MULTIMODAL PLANNING DIVISION

ATTN: HEIDI YAQUB

206 SOUTH 17TH AVE, MD310B

PHOENIX, AZ 85007

Federal Tax Id: 56-0885615 For Services Rendered through Sep 30, 2024

Invoice Amount: $1,805.00

Invoice No: 29486820 Invoice Date: Sep 30, 2024

Project No: 291199013.3 Project Name: RAIL CROSSING ACTION PLAN Project Manager: GRANDY, MICHAEL

Client Reference: MPD0086-21 H80

ADOT17-171963

PO#0000360386

HOURLY NOT TO EXCEED 002072291199013.3W10563291199013.3CPM-1T

Project Summary Contract Value 328,718.00 Previous Billings 314,651.77 Current Invoice 1,805.00 Remaining Contract Value 12,261.23

Description Current Amount Due

LABOR 1,805.00

EXPENSES 0.00

Subtotal 1,805.00

Total HOURLY NOT TO EXCEED 1,805.00

291199013.3 Total Invoice: $1,805.00

If you have questions, please contact Mike Dayton at (602) 789-3848, or Mike.Dayton@kimley-horn.com 81MRD

ARIZONA DEPARTMENT OF TRANSPORTATION

MULTIMODAL PLANNING DIVISION

ATTN: HEIDI YAQUB

206 SOUTH 17TH AVE, MD310B

PHOENIX, AZ 85007

Invoice No: 29486820 Invoice Date: Sep 30, 2024

Project No: 291199013.3 Project Name: RAIL CROSSING ACTION

PLAN

Project Manager: GRANDY, MICHAEL

HOURLY NOT TO EXCEED 002072291199013.3W10563291199013.3CPM-1TCPM

Task Category Description/Name Hrs/Qty Rate Current Amount

Due

DATA ANALYSIS ADMIN/FINANCIAL SUPPORT DAYTON, MIKE 1.0 125.00 125.00

PROJECT MANAGER GRANDY, MICHAEL 7.0 240.00 1,680.00

TOTAL DATA ANALYSIS2T 8.0 1,805.00

TOTAL LABOR AND EXPENSE DETAIL 1,805.00

This page is for informational purposes only. Please pay amount shown on cover page.

81MRD

10/29/2024 ADOT Rail Crossing Action Plan_Progress Report_through Sept_.docx 1 of 1

PROGRESS REPORT NO. 17

Arizona Department of Transportation

Task Assignment: MPD0086-21

STATE HIGHWAY-RAIL GRADE CROSSING ACTION PLAN

Contract # ADOT17-171963

Kimley-Horn Project No. 291199013

Reporting Period: Through September 30, 2024

Key Project Staff

Michael Grandy, Project Manager Tim White, QA/QC Keith Christian, Project Engineer

Progress and Accomplishments during the Reporting Period

Task 1 – Project Management No activity this period.

Task 2 – Public and Stakeholder Outreach/Involvement No activity this period.

Task 3 – Strategic Goals and Objectives No activity this period.

Task 4 – Data Analysis Conducted project management activities.

Reviewed updates to traffic volumes and compared to count data.

Coordinated with ADOT Project Manager.

Task 5 – Identify/Prioritize Key Areas for Improvement No activity this period.

Task 6 – Arizona State Highway-Rail Grade Crossing Safety Action Plan No activity this period.

Contacts Made

Coordination with ADOT Project Manager.

Information Generated

• Refined traffic volumes.

Next Month’s Activities

• Continue updating FHWA Crossing Inventory data.