KIMLEY-HORN_INVOICE_29486823_MPD0437-24_H80_DBEO September(Climb & Pass Lane Study).pdf

No Partial - In Progress

0.00% 0

No Billing

Start Date 9/1/2024

Billing End Date

9/30/2024

Originally Awarded

Budget Amount

Approved Modifications

Amount

Total Awarded Budget

$ Invoiced Previously

$ Rejected or Disallowed on

Previous Invoices

$ Remaining Project Budget (Total Awarded - $

Invoiced Previously + $ Rejected on Prev.

Invoices)

$ Paid by ADOT Previously

Purchase Order Balance Prior to

This Invoice (Total Awarded -

$ Paid)

$ Invoiced Today

$ Disallowed ($ Invoiced

Exceeds Remaining

Budget)

Net Amount Due for

This Invoice

Balance After This Invoice

447.00$ 447.00$ 447.00$ 447.00$ -$ $ - $ 447.00

20,000.00$ 20,000.00$ 20,000.00$ 20,000.00$ -$ $ - $ 20,000.00

229,552.23$ 229,552.23$ 117,690.49$ 111,861.74$ 117,690.49$ 111,861.74$ 34,357.50$ -$ $ 34,357.50 $ 77,504.24

TOTALS 249,999.23$ -$ 249,999.23$ 117,690.49$ -$ 132,308.74$ 117,690.49$ 132,308.74$ 34,357.50$ -$ 34,357.50$ 97,951.24$

Date Signed / Invoice Date

10/29/2024 Date Signed / Invoice Date

Phone Number Phone

Number

Please leave blank

SUMMARY OF WORK FOR WHICH PAYMENT IS REQUESTED

Task or Deliverable Description from PO Line (Identifies which PO line(s) should be received for this submission) Additional Optional Information

Task 1 Travel

Task 2 Other Direct Cost

Task 3 Statewide Climbing and Passing Study

Michael.Grandy@kimley-horn.com Please Leave Blank

Prime PM Name (Notify if Unaccepted / Rejected / Paid)

Michael Grandy DBE Commitment % How many DBE Subcontractors performed on the Project?

Invoice Number 29486823

Please Leave BlankPrime PM Email

Billing Summary / Reimbursement Request For use by: Vendors / Contractors / Suppliers of MPD

(Version 07/01/2023)

Heidi Yaqub Project Title

(For Research Project add SPR Number)

Statewide Climbing and Passing Lane Study MPD Tracking Number

{Use Format: MPDnnnn-yy};

{RTAP use " MPDRTAP-yy"}

MPD0437-24 H80 ADOT PM Name

Prime Contractor Firm Name Kimley-Horn and Associates, Inc.

Is the Prime an AZ Certified

DBE?

Project Status

(Select from Drop Down) Purchase Order Number PO0000627483

White Field with RED Text =

Urgent Information

Pink with Red Text = Entry/Correction Required Pale Orange = Form Calculated field

Teal = Label Only - Do not Enter Text

Grey = Disregard Field

FMS PROCESSING - SECTION RESERVED FOR FMS PROCESSING

Invoice Received for Processing Please Leave Blank

Date Received by Optional Comment Optional NoteDate Received by

White Field = Entry in Field Permitted

Pink Field = Mandatory Field

Area Reserved Color Key

ADOT PROGRAM/PROJECT MANAGER REVIEW

Invoicing aligns with Progress and Awarded Budget / Pricing

Support Documents align to Invoice and adequately supports costs

Status Reason for Rejection

Progress toward Scope aligns with Awarded Requirements Invoice Approved

Invoice Rejected

Confirmed - Zero DBE SubContractors performed work on the Project

Please Leave Blank

ADOT PM Signature RequiredTravel charges are in accordance with State/ADOT Policy The ADOT Project Manager is required to review for each of these items.

By approving this invoice, you certify these requirements are met

Michael Grandy SignatureSignature

Michael.Grandy@Kimley-Horn.com Email AddressEmail Address

Submitter: I hereby certify / confirm the above statements Optional 2nd Submitter: I hereby certify / confirm the above statements

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

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).

I Confirm DBE Goal Committment was made for the Project and No AZ DBE Firms Participated.

3) I certify that my typed in signature below is a legally-binding signature.

Enter Brief Reason for Not Meeting the DBE Commitment for this Project

Federal Funding for this Project (Locate in PO Reference/Description text)

FHWA

Submitter Certification (Required with Every Invoice)

Docusign Envelope ID: AEFE1110-9B5F-448A-AB9C-E2FA0ADB97AA

X

Enter Date Received by MPD and Receipt Number

10/29/2024

REC #1546814

AP RECEIVED 10/30/24Accounts Payable DocuSign10/30/2024 mailto:Michael.Grandy@kimley-horn.com mailto:Michael.Grandy@kimley-horn.com mailto:Michael.Grandy@Kimley-Horn.com mailto:Michael.Grandy@kimley-horn.com mailto:Michael.Grandy@Kimley-Horn.com

Prime Firm Name DBE % 0.00%

Task No

Awarded $ Functional Role Plan Actual Plan Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual

Michael Grandy* Technical Expert 53.0 3.5 5.0 16.0 15.0 28.0 20.0 33.5 41.0 12.0 Brent Crowther Technical Expert 8.0 2.0 3.0 2.0 2.0 2.0 3.0 Curtis Rowe Technical Expert 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Deanna Haase Technical Expert 0.0 1.0 0.0 0.0 0.0 0.0 0.0 0.0 Raj Christian Principal 2.0 0.0 0.0 0.0 1.0 0.0 1.0 Keith Christian Consultant 8.0 2.0 32.0 0.0 2.0 2.0 32.0 Chris Joannes Consultant 8.0 20.0 3.0 0.0 24.0 2.0 2.0 Siva Sivakumar Consultant 8.0 2.0 2.0 34.0 3.0 51.0 2.0 Anita Johari Technical Expert 0.0 1.0 8.0 0.0 12.0 2.0 1.0 Allen Hathcock Technical Expert 0.0 1.0 2.0 18.0 2.0 60.0 2.0 Taylor Dunkle Engineer 0.0 3.0 9.0 0.0 3.0 2.0 2.0 Karina Trejo Analyst 17.0 8.0 16.0 51.0 23.0 2.0 4.0 Kristen Faltz Planner 0.0 3.0 10.0 2.0 16.0 2.0 2.0 Joseph Cuffari Planner 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Tom Stafford Analyst 0.0 1.0 2.0 2.0 2.0 40.0 3.0 Giovanni Catanzaro Analyst 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Greg Honiotes Analyst 0.0 14.0 37.0 2.0 18.0 2.0 40.0

$ 51,942.00 $ 29,230.00 $ 16,655.00 $ 34,920.00 $ 30,945.00 $ 26,915.00

Staff Name

Task 7 - Final Report and Executive Summary

Task 8 - Modifications

Not Used Not Used Not Used

AZ Certified

DBE?

$ of Contract Award $ 221,752.00

Task 1 - Project Mgmt

Task 2 - Review

Previous Work/Best Practices

$ 31,145.00

Purchase Order Number PO0000627483

Vendor Hours Contribution Table & DBE Compliance Report MPD Tracking Number MPD0437-24 H80

The hours reported on this table are provided to enable visual assessment by the ADOT Project Manager of progress on work tasks. Race Conscious DBE Goal Commitment 0.00%

This information will also be used to verify that the level of team member and/or individual designated for the task is actually performing the work.

This information will also be used if auditing the project for DBE Commercially Useful Function. Vendor's Invoice Number 29486823

Decreases in DBE Firm Participation or Removal MUST be Authorized by the BECO Office in Advance. Total Project Award 249,999.23$

Please update Actual Hours

Task 3 - Collect Data

Task 4 - Conduct

Interviews and Consultations

Task 5 - Update Methodology, Revise Prioritization/

Recommendation s

Task 6 - Field Visits and

Project Sheets

Ajdin Spahic Analyst 0.0 0.5 26.0 29.0 35.5 2.0 30.0 108.5 2.0 20.0 Jason Getz GIS 2.0 0.0 14.0 4.0 1.0 1.0 6.0 10.0 Justin Gilbert Graphic Designer 4.0 1.0 2.0 2.0 1.0 0.0 6.0 Karen Hanas Admin/Financial Support 4.0 1.0 2.0 0.0 0.0 4.0 2.0 Tamie Schofield Admin/Financial Support 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Alexis Hamilton Admin/Financial Support 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Mike Dayton Admin/Financial Support 16.0 1.0 0.0 0.0 0.0 0.0 0.0 0.0

TOTALS 130.0 6.0 90.0 0.0 187.0 50.5 147.0 0.0 160.0 143.0 220.0 0.0 144.0 0.0

SubContractor Firm

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

Tyrone Atkin Technical Expert 20.0 1.0 1.0 1.0 5.0 2.0 1.0 Katrina Trice-Hall Admin/Financial Support 6.0 0.0 0.0 0.0 0.0 0.0 0.0 Stephanie Admin/Financial Support 6.0 0.0 0.0 0.0 0.0 0.0 0.0

TOTALS 32.0 0.0 1.0 0.0 1.0 0.0 1.0 0.0 5.0 0.0 2.0 0.0 1.0 0.0

SubContractor

Firm

DBE % 0.00%

Task No

Awarded $ Functional Role

See Task 6 Other Direct Costs

$ 20,000.00

Not Used Not Used Task 3 - Collect

Data

Task 4 - Conduct

Interviews and Consultations

Task 5 - Update Methodology, Revise Prioritization/

Recommendation s

Task 6 - Field Visits and

Project Sheets

Task 7 - Final Report and Executive Summary

Task 8 - Modifications

Not Used

$ of Contract Award $ 20,000.00

Task 4 - Conduct

Interviews and Consultations

Task 5 - Update Methodology, Revise Prioritization/

Recommendation s

$ 227.99 $ 227.99 $ 1,139.95

RVD SYSTEMS

AZ Certified

DBE?

Task 6 - Field Visits and

Project Sheets

Task 7 - Final Report and Executive Summary

$ 455.98 $ 227.99

Task 8 - Modifications

Not Used Not Used

HORROCKS

AZ Certified

DBE?

$ of Contract Award $ 8,247.23

Task 3 - Collect Data

Not Used Staff Name

Task 1 - Project Mgmt

Task 2 - Review

Previous Work/Best Practices

$ 5,739.34 $ 227.99

Staff Name

Task 1 - Project Mgmt

Task 2 - Review

Previous Work/Best Practices

Contact Division/Unit

Title Location Address

Email Telephone

Supplier Name Supplier Contact

Contract No. Purchase Order #

Date Invoice #

Project Title Interim VPR

Email Date

Describe details of the action taken:

based on, {with MPD revisions to performance section}:

ADOT Vendor Performance Report (11/21)

Describe Compliance with Invoicing Requirements:

Describe Project Delivery Compared with Schedule:

Describe Project Outcomes Compared with Objectives:

Describe Vendor Performance

Services, Goods or Equipment:

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

MPD Tracking Number MPD0437-24 H80 Statewide Climbing and Passing Lane Study

PROCUREMENT ACTION

Vendor Performance Report Procurement Office 1739 W. Jackson St., Ste. A, MD 100P

Phoenix, AZ 85007

Email: Procurement@azdot.gov

Documenting positive or negative performance and procurement actions, as requested

Reporting Contact Information

Procurement Officer

PO0000627483

29486823

Reporting Contact Information

Kimley-Horn and Associates, Inc. Michael Grandy

DateSignature of Agency Representative

MPD Contracts will submit an electronic copy of the completed form to the ADOT Procurement Office at Procurement@azdot.gov.

Reporting incident, no action requested.

Requesting action:

Docusign Envelope ID: AEFE1110-9B5F-448A-AB9C-E2FA0ADB97AA

MPD /4210

X

HYaqub@azdot.gov

1611 W Jackson St, Phoenix, AZ 85007

Heidi Yaqub

Performance is within expected standards.

Project Objectives have been met.

Project Delivery was within the agreed upon schedule.

Invoicing requirements were met.

602-712-7644

10/29/2024

Scoping document

Regional/Freight Planner

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: $34,357.50

Invoice No: 29486823 Invoice Date: Sep 30, 2024

Project No: 291199017.3 Project Name: ADOT CLIMB-PASSLANE STUDY Project Manager: GRANDY, MICHAEL

Client Reference: MPD0437-24

PO0000627483

Description Contract Value Amount Earned to Date Previous Amount

Billed Current Amount

Due

SERVICES RENDERED 249,999.23 152,047.99 117,690.49 34,357.50

291199017.3 Total Invoice: $34,357.50

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

002072291199017.3W10563291199017.3CPM-1DTCPM

Task Category Description/Name Hrs/Qty Rate Current Amount

Due

PROJECT MGMT ADMIN/FINANCIAL SUPPORT DAYTON, MIKE 1.0 125.00 125.00

ANALYST SPAHIC, AJDIN 0.5 135.00 67.50

TECHNICAL EXPERT GRANDY, MICHAEL 3.5 275.00 962.50

HAASE, DEANNA 1.0 275.00 275.00

TOTAL PROJECT MGMT4T 6.0 1,430.00

DATA COLLECTION ANALYST SPAHIC, AJDIN 35.5 135.00 4,792.50

TECHNICAL EXPERT GRANDY, MICHAEL 15.0 275.00 4,125.00

TOTAL DATA COLLECTION2T 50.5 8,917.50

METHODOLOGY & PRIORITY ANALYST SPAHIC, AJDIN 108.5 135.00 14,647.50

GIS GETZ, JASON 1.0 150.00 150.00

TECHNICAL EXPERT GRANDY, MICHAEL 33.5 275.00 9,212.50

TOTAL METHODOLOGY & PRIORITY3T 143.0 24,010.00

TOTAL LABOR AND EXPENSE DETAIL 34,357.50

HOURLY NOT TO EXCEED

10/29/2024 ADOT MPD_0437-24_H80_Update_Progress Report_Sept 2024(Climb & Pass Lane Study).docx 1 of 2

PROGRESS REPORT NO. 9

Arizona Department of Transportation

Task Assignment: MPD0437-24 H80

ADOT Statewide Climbing and Passing Lane Study Contract # CTR060474

Kimley-Horn Project No. 291199017

Reporting Period: Through September 30, 2024

Key Project Staff

Michael Grandy, Project Manager Raj Christian, Principal Brent Crowther, QA/QC

Progress and Accomplishments during the Reporting Period

Task 1 – Project Management Conducted project management activities Updated project schedule Coordinated with Heidi Yaqub

Task 2 – Review Previous Work/Best Practices

No activity during invoice period

Task 3 – Collect Data

Refined data Refined and submitted Working Paper 1 for review

Task 4 – Conduct Interviews and Consultations

Task 5 – Update Methodology, Revise Prioritization/Recommendations

Refined prioritization methodology Updated GIS maps showing prioritization results Updated prioritization tables Developed Working Paper 2

Task 6 – Field Visits and project Sheets

Task 7 – Final Report and Executive Summary

No activity during invoice period

Contacts Made

Coordinated with Heidi Yaqub

Information Generated

ADOT review comments

10/29/2024 ADOT MPD_0437-24_H80_Update_Progress Report_Sept 2024(Climb & Pass Lane Study).docx 2 of 2

Next Month Anticipated Activities

Further development on Working Paper 2