KIMLEY-HORN_INVOICE_29749179_MPD0545-24_H94.3 September(CPS SR287_SR87).pdf

No Partial - In Progress

0.00% 0

Billing Start Date

8/27/2024 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

227,003.02$ 227,003.02$ 227,003.02$ 227,003.02$ 16,666.81$ -$ $ 16,666.81 $ 210,336.21

400.00$ 400.00$ 400.00$ 400.00$ -$ $ - $ 400.00

TOTALS 227,403.02$ -$ 227,403.02$ -$ -$ 227,403.02$ -$ 227,403.02$ 16,666.81$ -$ 16,666.81$ 210,736.21$

Date Signed / Invoice Date

10/29/2024

Date Signed / Invoice Date

Phone Number Phone

Number

Please leave blank

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

FHWA

Submitter Certification (Required with Every Invoice)

The ADOT Project Manager is required to review for each of these items.

By approving this invoice, you certify these requirements are met

White Field = Entry in Field Permitted

Pink Field = Mandatory Field

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 Active Transportation Planning

Task 2 Travel

Area Reserved Color Key

Taylor.Dunkle@Kimley-horn.com Please Leave Blank

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

Taylor Dunkle DBE Commitment % How many DBE Subcontractors performed on the Project?

Invoice Number 29749179

Please Leave BlankPrime PM Email

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

(Version 07/01/2023)

William Randolph Project Title

(For Research Project add SPR Number)

SR 287 / SR 87 Corridor Study MPD Tracking Number

{Use Format: MPDnnnn-yy};

{RTAP use " MPDRTAP-yy"}

MPD0545-24ADOT 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 PO0000697863

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

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

Taylor Dunkle SignatureSignature

Taylor.Dunkle@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.

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

Please Leave Blank

Docusign Envelope ID: 5D0870F2-DDAA-4998-B073-E632C8DF9EDD

X

REC #1546627

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

10/30/2024 Accounts Payable DocuSign AP RECEIVED 10/29/24 mailto:Taylor.Dunkle@Kimley-horn.com mailto:Taylor.Dunkle@Kimley-horn.com mailto:Taylor.Dunkle@kimley-horn.com mailto:Taylor.Dunkle@Kimley-horn.com mailto:Taylor.Dunkle@kimley-horn.com

Prime Firm Name 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* Principal 10.0 6.0 15.0 3.5 15.0 5.0 5.0 Taylor Dunkle Project Manager 40.0 14.0 40.0 6.0 45.0 45.0 30.0 Keith Christian Consultant 5.0 25.0 10.0 5.0 5.0 Chris Joannes Consultant 5.0 20.0 0.0 0.0 0.0 Allen Hathcock Technical Expert 5.0 0.0 5.0 20.0 0.0 Anita Johari Technical Expert 5.0 0.0 10.0 20.0 0.0 Kristen Faltz Planner 5.0 25.0 0.0 0.0 0.0 Dan Iwicki Engineer 5.0 25.0 5.0 5.0 5.0 Karina Trejo Analyst 5.0 25.0 5.0 5.0 5.0 Lina Youssef Analyst 0.0 40.0 40.0 60.0 60.0 Evan Omta Analyst 0.0 60.0 60.0 40.0 40.0 Greg Honiotes Analyst 0.0 15.0 1.5 15.0 15.0 15.0 Jalen Woodward Analyst 0.0 0.0 23.0 0.0 0.0 0.0 Isaac Wotherspoon Analyst 0.0 0.0 19.5 0.0 0.0 0.0 Ajdin Spahic Analyst 10.0 25.0 15.0 10.0 10.0 Jason Getz GIS 0.0 45.0 15.0 30.0 20.0 5.0 Justin Gilbert Graphic Designer 10.0 0.0 0.0 0.0 10.0 Tamie Schofield Admin/Financial Support 8.0 1.0 4.0 4.0 4.0 8.0 Mike Dayton Admin/Financial Support 6.0 1.0 4.0 4.0 4.0 4.0

$ 25,789.50 $ 67,461.10 $ 48,479.05 $ 49,200.05 Staff Name

7 8 9 10 11

AZ Certified

DBE?

$ of Contract Award $ 224,299.75

1 - Project Management

2 - Current Conditions

$ 33,370.05

Purchase Order Number PO0000697863

Vendor Hours Contribution Table & DBE Compliance Report MPD Tracking Number MPD0545-24

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 29749179

Decreases in DBE Firm Participation or Removal MUST be Authorized by the BECO Office in Advance. Total Project Award 227,403.02$

Please update Actual Hours

3 - Needs & Solution

Development

4 - Solution & Prioritization

5 - Final Report

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 Sharon Morris Project Manager Dirk Rice Analyst Nicholas Smith Analyst

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

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

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

119.00 22.00 368.00 68.50 263.00 0.00 258.00 0.00 202.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

AZ Certified

DBE?

$ of Contract Award $ -

3 4 5

10 113 4 5 6 7 8 9

Notes, Comments

3 6 7 118 9

TOTALS

Staff Name

AZ Certified

DBE?

$ of Contract Award $ -

4 5 10

8 96 7

1 2

$ of Contract Award $ -

4 5

AZ Certified

DBE?

6 7 8 9 11

Field Daya Services of Arizona, Inc.

AZ Certified

DBE?

$ of Contract Award $ 3,103.27

3 10

Staff Name 1 2

Staff Name

Staff Name 1 2

$ 3,103.27

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)

45594

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 MPD0545-24 SR 287 / SR 87 Corridor 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

PO0000697863

29749179

Reporting Contact Information

Kimley-Horn and Associates, Inc. Taylor Dunkle

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:

Regional Planner wrandolph@azdot.gov

WRandolph@azdot.gov

Invoicing requirements were met. Please add subconsultants projected hours for task 2 in the Vendor hours contribution table next invoice.

Please add subconsultants projected hours for task 2 in the Vendor hours contribution table for next invoice

Project Objectives have been met.

Project Delivery was within the agreed upon schedule.

602-712-7025

X

Performance is within expected standards.

MPD /Multi modal planning

10/29/2024

1611 W Jackson St, Phoenix, AZ 85007

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

ATTN: WILLIAM RANDOLPH

205 SOUTH 17TH AVE., ROOM 219E

MAIL DROP 616E

PHOENIX, AZ 85007

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

Invoice Amount: $16,666.81

Invoice No: 29749179 Invoice Date: Sep 30, 2024

Project No: 291199018.3 Project Name: CPS SR287/SR87 Project Manager: DUNKLE, TAYLOR

Client Reference: MPD0545-24

PO0000697863

Description Contract Value Amount Earned to Date Previous Amount

Billed Current Amount

Due

SERVICES RENDERED 227,403.02 16,666.81 0.00 16,666.81

291199018.3 Total Invoice: $16,666.81

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

Invoice No: 29749179 Invoice Date: Sep 30, 2024

Project No: 291199018.3 Project Name: CPS SR287/SR87 Project Manager: DUNKLE, TAYLOR

ARIZONA DEPARTMENT OF TRANSPORTATION

ATTN: WILLIAM RANDOLPH

205 SOUTH 17TH AVE., ROOM 219E

MAIL DROP 616E

PHOENIX, AZ 85007

HOURLY NOT TO EXCEED 017379291199018.3W10563291199018.3CPM-1DTCPM

Task Category Description/Name Hrs/Qty Rate Current Amount

Due

PROJECT MANAGEMENT ADMIN/FINANCIAL SUPPORT DAYTON, MIKE 1.0 130.25 130.25

SCHOFIELD, TAMIE 1.0 130.25 130.25

PROJECT MANAGER DUNKLE, TAYLOR 14.0 250.08 3,501.12

PRINCIPAL GRANDY, MICHAEL 6.0 302.18 1,813.08

TOTAL PROJECT MANAGEMENT4T 22.0 5,574.70

CURRENT CONDITIONS ANALYST HONIOTES, GREG 1.5 140.67 211.01

WOODWARD, JALEN 23.0 140.67 3,235.42

GIS GETZ, JASON 15.0 156.30 2,344.50

PROJECT MANAGER DUNKLE, TAYLOR 6.0 250.08 1,500.48

PRINCIPAL GRANDY, MICHAEL 3.5 302.18 1,057.63

ANALYST WOTHERSPOON, ISAAC 19.5 140.67 2,743.07

TOTAL CURRENT CONDITIONS6T 68.5 11,092.11

TOTAL LABOR AND EXPENSE DETAIL 16,666.81

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

81MRD

10/29/2024 ADOT MPD_0545-45_H94.3_Update_Progress Report_Sep 2024(CPS SR 287-SR87).docx 1 of 1

PROGRESS REPORT NO. 1

Arizona Department of Transportation

Task Assignment: MPD0545-24 H94.3

ADOT SR 287 / SR 87 Corridor Study Contract # CTR060474

Kimley-Horn Project No. 291199018

Reporting Period: Through September 30, 2024

Key Project Staff

Taylor Dunkle, Project Manager Michael Grandy, Principal

Progress and Accomplishments during the Reporting Period

Task 1 – Project Management Bi-weekly meetings with PM team.

Development of Technical Advisory Committee (TAC) Roster Prep for, lead, and develop meeting minutes for TAC meeting 1 Attendance at the North-South Kick off Meeting.

Task 2 – Current Conditions

Corridor segmentation development.

Developed corridor level basemaps.

Existing Literature Review.

Compiling existing data.

Task 3 – Needs and Solution Development

No activity during invoice period

Task 4 – Solution and Prioritization

No activity during invoice period

Task 5 – Final Report

No activity during invoice period

Contacts Made

Coordinated with Will Randolph Meeting with TAC

Information Generated

Corridor segmentation with TAC input.

Existing plans and documents within study area.

Existing data for Bridge, Pavement, Safety, and some Mobility and Freight performance areas

Next Month Anticipated Activities

Work on Existing Conditions Analysis Develop Four Southern Tribes presentation materials.