KIMLEY-HORN_INVOICE_29749626_MPD0371-23_H94.7 September(SHSP & ATSAP).pdf

No Partial - In Progress

0.00% 0

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

5,295.00$ 5,295.00$ 3,310.50$ 1,984.50$ 3,310.50$ 1,984.50$ -$ $ - $ 1,984.50

1,271,536.00$ 1,271,536.00$ 938,362.21$ 333,173.79$ 938,362.21$ 333,173.79$ 41,442.46$ -$ $ 41,442.46 $ 291,731.33

TOTALS 1,276,831.00$ -$ 1,276,831.00$ 941,672.71$ -$ 335,158.29$ 941,672.71$ 335,158.29$ 41,442.46$ -$ 41,442.46$ 293,715.83$

Date Signed / Invoice Date

10/29/2024 Date Signed / Invoice Date

Phone Number Phone Number

Please leave blank

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.

Please Leave Blank

Michael Grandy SignatureSignature

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

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

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

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

(Version 07/01/2023)

Daniel Oldham & Elaine Mariolle Project Title

(For Research Project add SPR Number)

SHSP & ATSAP Update and Implementation MPD Tracking Number

{Use Format: MPDnnnn-yy};

{RTAP use " MPDRTAP-yy"}

MPD0371-23 H94.7ADOT 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 PO0000666933

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 29749626

Please Leave BlankPrime PM Email

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

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 2 - Travel

Task 1 - SHSP & ATSAP Update and Implementation

Area Reserved Color Key

Docusign Envelope ID: B7232702-F758-4ADD-BC69-91DF673E3830

X

10/29/2024

REC #1546413

Enter Date Received by MPD and Receipt Number

AP RECEIVED 10/29/24

Accounts Payable DocuSign10/29/2024 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 Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Michael Grandy* Technical Expert 40.0 15.0 15.0 10.0 40.0 1.5 20.0 30.5 80.0 50.0 19.0 20.0 15.0 20.0 0.0 20.0 20.0 10.0 10.0 5.0 15.0 10.0 10.0 40.0 0.5 20.0 30.0 Mike Colety Principal 4.0 2.0 3.0 2.0 5.0 3.0 5.0 5.0 4.0 0.0 5.0 13.0 5.0 25.0 0.0 2.0 2.0 2.0 2.0 5.0 2.0 2.0 2.0 5.0 Molly O'Brien Technical Expert 10.0 3.0 3.0 2.0 5.0 5.0 10.0 5.0 9.0 0.0 3.0 10.0 0.0 0.0 5.0 2.0 2.0 2.0 2.0 2.0 2.0 2.0 5.0 Brent Crowther* Technical Expert 40.0 5.0 3.0 2.0 15.0 5.0 0.0 30.0 4.0 0.0 0.0 5.0 0.0 0.0 30.0 25.0 20.0 20.0 30.0 20.0 20.0 60.0 40.0 0.5 Deanna Haase Technical Expert 0.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.5 Amy Garinger Technical Expert 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 John Karachepone Technical Expert 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 Tim Burrows Technical Expert 4.0 0.0 3.0 2.0 15.0 3.0 0.5 0.0 30.0 4.0 0.0 0.0 0.0 0.0 0.0 0.0 5.0 5.0 0.0 5.0 0.0 2.0 0.0 5.0 0.5 Darryl DePencier Consultant 80.0 0.0 3.0 2.0 10.0 3.0 0.0 10.0 4.0 0.0 0.0 10.0 0.0 0.0 0.0 15.0 10.0 5.0 10.0 5.0 5.0 0.0 4.0 Lina Bearat* Consultant 10.0 5.0 3.0 2.0 15.0 3.0 0.0 30.0 4.0 0.0 30.0 5.0 0.0 0.0 0.0 5.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Benjamin Petru Consultant 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Anita Johari Technical Expert 4.0 0.0 0.0 2.0 15.0 3.0 0.0 30.0 4.0 0.0 0.0 5.0 0.0 0.0 0.0 0.0 0.0 0.0 10.0 5.0 5.0 0.0 7.0 Dan Miller Consultant 0.0 0.0 3.0 0.0 0.0 0.0 0.0 0.0 24.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 5.0 0.0 0.0 0.0 0.0 0.0 0.0 Sangida Mazumder Developer 0.0 0.0 3.0 0.0 0.0 0.0 0.0 0.0 48.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 5.0 0.0 0.0 0.0 0.0 0.0 0.0 Zak Omar Agha Developer 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Lindsay Saner Consultant 4.0 5.0 3.0 5.0 30.0 0.5 20.0 0.0 70.0 28.0 5.0 10.0 30.0 15.0 5.0 0.0 5.0 0.0 0.0 0.0 0.0 0.0 10.0 5.0 Keith Christian Consultant 40.0 0.0 40.0 0.0 0.0 0.0 0.0 0.0 8.0 0.0 5.0 0.0 0.0 0.0 0.0 0.0 20.0 0.0 0.0 0.0 0.0 0.0 3.0 Amalia Andrews Consultant 20.0 0.0 0.0 0.0 10.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 20.0 5.0 Chris Joannes Consultant 30.0 5.0 0.0 2.0 15.0 40.0 0.0 10.0 8.0 20.0 10.0 10.0 10.0 20.0 0.0 0.0 5.0 5.0 10.0 15.0 10.0 40.0 40.0 Danielle McCray Technical Expert 30.0 0.0 3.0 2.0 5.0 10.0 0.0 5.0 4.0 5.0 0.0 0.0 0.0 5.0 0.0 5.0 5.0 0.0 5.0 0.0 2.0 5.0 5.0 Jason Getz GIS 30.0 0.0 40.0 0.0 0.0 20.0 0.0 0.0 24.0 0.0 0.0 5.0 0.0 0.0 0.0 5.0 30.0 0.0 20.0 0.0 0.0 0.0 20.0 Karina Trejo Analyst 80.0 0.0 20.0 0.0 20.0 30.0 0.0 40.0 48.0 10.0 30.0 30.0 20.0 10.0 0.0 0.0 0.0 0.0 10.0 0.0 0.0 0.0 10.0 Kristen Faltz Analyst 20.0 0.0 0.0 0.0 0.0 0.0 0.0 20.0 24.0 5.0 5.0 5.0 5.0 5.0 15.0 15.0 30.0 10.0 30.0 30.0 20.0 80.0 40.0 5.0 Ajdin Spahic Analyst 120.0 0.0 20.0 0.0 20.0 5.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 10.0 0.0 0.0 0.0 10.0 Greg Honiotes Analyst 40.0 0.0 0.0 0.0 0.0 5.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 30.0 60.0 10.0 60.0 60.0 40.0 120.0 40.0 Kayla Morris Graphic Designer 15.0 2.0 0.0 0.0 15.0 30.0 0.0 0.0 8.0 0.0 0.0 15.0 10.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 40.0 20.0 Yasmeen Kanaan Graphic Designer 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Joseph Greco Graphic Designer 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Melissa Alvarez Planner 5.0 0.0 0.0 0.0 0.0 10.0 0.0 0.0 0.0 0.0 0.0 10.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 10.0 Eileen Miller Planner 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Joseph Cuffari Planner 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Jose Gavieres Planner 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 James Huggins Planner 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Mike Dayton Administrative/Financial Support 6.0 2.0 3.0 3.0 6.0 10.0 75.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.0 25.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Emily Hilby Planner 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Meeya Apelu Analyst 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Olivia Bitton Analyst 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Jonathan Pasternack Analyst 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Giovanni Catanzaro Analyst 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Ryan McKell Analyst 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 37.5 Emma Luken Analyst 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Abbey Ibarra Analyst 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Mitchell Hadfield Analyst 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Ana Perez Analyst 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Jaide Bosen Analyst 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Makena Gove Analyst 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 4.0 Tatiana Lundstrom Analyst 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Quincy Miller Analyst 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Matthew Hernandez Graphic Designer 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 John Jackson Planner 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Sully Israel Analyst 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Tyler Lindberg Analyst 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Karen hanas Administrative/Financial Support 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Brandi Weaver Administrative/Financial Support 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Tamie Schofield Administrative/Financial Support 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

TOTALS 632.0 0.0 44.0 0.0 168.0 0.0 36.0 0.0 241.0 2.0 225.0 33.5 170.0 0.0 335.0 0.0 276.0 0.0 65.0 0.0 113.0 14.0 165.0 0.0 85.0 0.0 65.0 0.0 97.0 0.0 124.0 0.0 209.0 0.0 59.0 0.0 222.0 0.0 149.0 0.0 118.0 0.0 419.0 0.5 294.0 81.0

Vendor Hours Contribution Table & DBE Compliance Report MPD Tracking Number MPD0371-23 H94.7

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.

$ 28,205.00 $ 40,230.00 $ 13,305.00

This information will also be used if auditing the project for DBE Commercially Useful Function. Vendor's Invoice Number 29749626

Decreases in DBE Firm Participation or Removal MUST be Authorized by the BECO Office in Advance. Total Project Award 1,276,831.00$

Please update Actual Hours

3 4

AZ Certified

DBE?

$ of Contract Award $ 966,590.00

Purchase Order Number PO0000666933

$ 127,425.00 $ 11,325.00 $ 34,220.00 $ 9,315.00 $ 20,855.00 Staff Name 5 6 152

$ 56,550.00 $ 46,080.00

$ 59,720.00 $ 26,805.00 $ 23,855.00 $ 83,355.00 20 21 2216 17 18 19

$ 42,925.00 7 8 9 10 11 12 13 14

$ 42,690.00 $ 98,400.00 $ 69,000.00 $ 18,480.00 $ 30,510.00 $ 43,140.00 $ 21,720.00 $ 18,480.00

Docusign Envelope ID: B7232702-F758-4ADD-BC69-91DF673E3830

Task No Awarded $

Functional Role Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Scott Omer Principal 4.0 0.0 8.0 6.0 8.0 0.0 0.0 Scott Beck Technical Expert 24.0 6.0 76.0 29.0 158.0 52.0 11.5 20.0 136.0 Sandy Thoms Technical Expert 0.0 0.0 16.0 60.0 0.0 0.0 0.0 Helayne Dominguez Engineer 0.0 64.0 24.0 40.0 0.0 0.0 0.0 William Gil Engineer 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Sarah Schmid Engineer 0.0 0.0 0.0 0.0 0.0 7.0 0.0 0.0 Jacob Moffo Consultant 0.0 96.0 0.0 0.0 0.0 27.5 0.0 0.0 Paulina Lopez Consultant 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Rebecca Fleischer Consultant 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Gilberto Zarate Consultant 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Leslie Lee Consultant 0.0 0.0 0.0 0.0 1.8 0.0 0.0 0.0 Charles Misra Consultant 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Lisa Saldin Consultant 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Andrew Ceifetz Technical Expert 0.0 40.0 8.0 0.0 32.0 0.0 0.0 Alex Albert Consultant 8.0 0.0 0.0 102.0 0.0 0.0 19.0 Jessica Parks Consultant 24.0 0.0 0.0 439.0 6.5 0.0 0.0 58.0 Laura Lamorette Consultant 0.0 0.0 0.0 196.0 22.3 0.0 0.0 116.0 Corrine Bailey Administrative/Financial 2.0 1.0 4.0 4.0 7.0 4.0 32.0 0.0

TOTALS 62.0 7.0 280.0 0.0 89.0 0.00 1008.0 30.5 96.0 46.0 52.0 0.0 329.0 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 Plan Actual Plan Actual Plan Actual Jothan Samuelson Technical Expert 1.0 280.0 10.0 10.0 12.0 20.0 39.0 10.0 10.0 1.0 2.0 20.0 2.0 1.0 Ryan Blum Consultant 30.0 2.0 2.0 4.0 1.0 5.0 1.0 1.0 0.0 0.0 0.0 0.0 0.0 Greg Rothwell Developer 30.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Wenqi Ding GIS 310.0 0.0 0.0 0.0 50.0 66.0 10.0 10.0 0.0 0.0 80.0 0.0 0.0 Martina Todorova GIS 90.0 8.0 8.0 12.0 30.0 37.0 10.0 10.0 0.0 0.0 20.0 2.0 0.0

TOTALS 1.0 0.0 740.0 0.0 20.0 0.0 20.0 0.0 28.0 0.0 101.0 0.0 147.0 0.0 31.0 0.0 31.0 0.0 1.0 0.0 2.0 0.0 120.0 0.0 4.0 0.0 1.0 0.0

695.00 7.00 1064.00 0.00 277.00 0.00 1064.00 30.50 365.00 48.00 378.00 33.50 646.00 0.00 366.00 0.00 307.00 0.00 66.00 0.00 115.00 14.00 285.00 0.00 89.00 0.00 66.00 0.00 97.00 0.00 124.00 0.00 209.00 0.00 59.00 0.00 222.00 0.00

5 6 $ 158,587.00 $ 23,428.00

AZ Certified

DBE?

Staff Name 2 3

$ 155.00 $ 91,190.00

$ 18,788.00

WORKS CONSULTING, LLC

$ 11,328.00

$ 73,525.20

TOTALS

Staff Name

2 3 $ 12,346.00 $ 46,020.00

4 5 6 8 11 12 13 15 17 18 239 $ 2,564.00 $ 2,564.00 $ 3,536.00 $ 13,194.00 $ 20,169.60 $ 4,326.00 $ 4,326.00 $ 186.00 $ 310.00 $ 13,020.00 $ 486.00 $ 155.00

Notes, Comments

$ of Contract Award $ 156,181.60

SubContractor Firm DBE % 0.00%WSP USA INC.

AZ Certified

DBE?

$ of Contract Award $ 344,022.20

Contact Division/Unit

Title Location Address

Email Telephone

Supplier Name Supplier Contact

Contract No. Purchase Order #

Date Invoice #

Project Title Interim VPR

Email Date

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:

Procurement Officer

PO0000666933

29749626

Reporting Contact Information

Kimley-Horn and Associates, Inc. Michael Grandy

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

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 MPD0371-23 H94.7 SHSP & ATSAP Update and Implementation

PROCUREMENT ACTION

Docusign Envelope ID: B7232702-F758-4ADD-BC69-91DF673E3830 services

Project Delivery was within the agreed upon schedule.

Invoicing requirements were met.

1611 W Jackson St, Phoenix, AZ 85007

MPD /

X

480-318-3133

Active Transportation Coordinator emariolle@azdot.gov

10/29/2024

Elaine Mariolle

Performance is within expected standards.

approve invoice

Project Objectives have been met.

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

ADOT - ENGINEERING CONSULTANTS SECTION

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: $41,442.46

Invoice No: 29749626 Invoice Date: Sep 30, 2024

Project No: 291199016.3 Project Name: ADOT SHSP & ATSAP Project Manager: GRANDY, MICHAEL

Client Reference: MPD0371-23 H89 DBE0

PO #0000666933

Description Contract Value Amount Earned to Date Previous Amount

Billed Current Amount

Due

SERVICES RENDERED 1,276,831.00 983,115.17 941,672.71 41,442.46

291199016.3 Total Invoice: $41,442.46

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

ARIZONA DEPARTMENT OF TRANSPORTATION

ADOT - ENGINEERING CONSULTANTS SECTION

205 SOUTH 17TH AVE., ROOM 219E

MAIL DROP 616E

PHOENIX, AZ 85007

Invoice No: 29749626 Invoice Date: Sep 30, 2024

Project No: 291199016.3 Project Name: ADOT SHSP & ATSAP Project Manager: GRANDY, MICHAEL

HOURLY NOT TO EXCEED 002072291199016.3W10563291199016.3CPM-1DTCPM

Task Category Description/Name Hrs/Qty Rate Current Amount

Due

EAS & STRATEGIES TECHNICAL EXPERT GRANDY, MICHAEL 1.5 275.00 412.50

SANER, LINDSAY 0.5 260.00 130.00

TOTAL EAS & STRATEGIES2T 2.0 542.50

DOCUMENTATION & IMP PLAN ANALYST LUKEN, EMMA 1.0 135.00 135.00

TECHNICAL EXPERT BURROWS, TIM 0.5 275.00 137.50

GRANDY, MICHAEL 30.5 275.00 8,387.50

HAASE, DEANNA 0.5 275.00 137.50

KARACHEPONE, JOHN 1.0 275.00 275.00

TOTAL DOCUMENTATION & IMP PLAN5T 33.5 9,072.50

ARIZONA HSIP SUPPORT ADMIN/FINANCIAL SUPPORT DAYTON, MIKE 1.0 125.00 125.00

PRINCIPAL COLETY, MIKE 13.0 290.00 3,770.00

TOTAL ARIZONA HSIP SUPPORT2T 14.0 3,895.00

STAKEHOLDER-PUBLIC INVOLV TECHNICAL EXPERT GRANDY, MICHAEL 0.5 275.00 137.50

TOTAL STAKEHOLDER-PUBLIC INVOLV1T 0.5 137.50

FINAL DOCUMENTS ANALYST GOVE, MAKENA 4.0 135.00 540.00

MCKELL, RYAN 37.5 135.00 5,062.50

CONSULTANT GARINGER, AMY 1.0 275.00 275.00

PLANNER FALTZ, KRISTEN 5.0 135.00 675.00

TECHNICAL EXPERT BURROWS, TIM 0.5 275.00 137.50

CROWTHER, BRENT 0.5 275.00 137.50

GRANDY, MICHAEL 30.0 275.00 8,250.00

HAASE, DEANNA 1.5 275.00 412.50

KARACHEPONE, JOHN 1.0 275.00 275.00

TOTAL FINAL DOCUMENTS9T 81.0 15,765.00

TRAVEL EXPENSES EXPENSES TRAVEL - AIRFARE 257.96

TOTAL TRAVEL EXPENSES1T 257.96

WSP SUPPORT EXPENSES SUBCONSULTANTS 11,772.00

TOTAL WSP SUPPORT1T 11,772.00

TOTAL LABOR AND EXPENSE DETAIL 41,442.46

81MRD

10/29/2024 ADOT MPD_0371-23_H94.7_Update_Progress Report_Sept 2024(SHSP & ATSAP).docx 1 of 1

PROGRESS REPORT NO. 14

Arizona Department of Transportation

Task Assignment: MPD0371-23 H94.7

ADOT SHSP & ATSAP

Contract # CTR060474

Kimley-Horn Project No. 291199016

Reporting Period: Through September 30, 2024

Key Project Staff

Michael Grandy, Project Manager Mike Colety, Principal Molly O’Brien, QA/QC

Progress and Accomplishments during the Reporting Period

Task 5 – Emphasis Areas and Strategies Attended bi-weekly SHSP check-in meetings Conducted SHSP Executive Committee Meeting #9 on 9/4

Task 6 – Final Documentation and Implementation Plan

Conducted project management activities Updated SHSP pre-final document based on review comments Updated logos Submittal of pre-final SHSP document

Task 11 – Arizona HSIP Support

Updated HSIP target slides Presented to MAG Safety Committee on 9/24

Task 22 – Stakeholder and Public Involvement

Coordinated with ADOT on tribal outreach

Task 23 – Final Documentation

Conducted project management activities Conducted bi-weekly ATSAP check-in meetings Updated ATSAP pre-final document based on review comments Updated logos Submittal of pre-final ATSAP document

Contacts Made

SHSP Executive Committee Meeting participants

Information Generated

Review comments

Next Month Anticipated Activities

Submittal of SHSP final report Submittal of ATSAP final report

Travel notice

OAK PHX

Confirmation # 2PGJ5M Corporate ID: 99102931 Confirmation date: 08/20/2024

PASSENGER

RAPID REWARDS #

TICKET #

EST. POINTS EARNED

Michael David Colety 33758292

5262552033674

1,272

Mike Colety <mdcolety@gmail.com>

You're going to Phoenix on 09/23 (2PGJ5M)!

1 message

Southwest Airlines <southwestairlines@ifly.southwest.com> Wed, Sep 11, 2024 at 1:52 PM Reply-To: Southwest Airlines <no-reply@ifly.southwest.com> To: mdcolety@gmail.com

Here's your itinerary & receipt. See ya soon!

View in web browser | View our mobile site

Manage Flight | Flight Status | My Account

REAL ID Requirement: Do you have a REAL ID? Beginning May 7, 2025, you will need a state-issued REAL ID compliant license or identification card, or another acceptable form of ID (such as a U.S. Passport), to fly within the United States. Visit www.tsa.gov for a list of acceptable forms of ID and additional information regarding REAL ID requirement.

Hi Michael David, We're looking forward to flying together! It can't come soon enough.

Below you'll find your itinerary, important travel information, and trip receipt. See you onboard soon!

SEPTEMBER 23 - SEPTEMBER 24

Oakland to Phoenix

Rapid Rewards® points are only estimations. Cash + Points bookings will not earn Rapid Rewards points, tier qualifying points for A-List or A-List preferred status or Companion Pass qualifying points.

Your itinerary

9/11/24, 1:53 PM Gmail - You're going to Phoenix on 09/23 (2PGJ5M)!

https://mail.google.com/mail/u/1/?ik=4e2e8d831d&view=pt&search=all&permthid=thread-f:1809934378956045991%7Cmsg-f:1809934378956045991… 1/4

Docusign Envelope ID: B7232702-F758-4ADD-BC69-91DF673E3830 https://t.ifly.southwest.com/r/?id=hb3b8a9ed,198c6433,b79a4fe&RSD=0000&RMID=AIRPURCHASE&SRC=MAILTXNCONF0EMAIL18XXXX&RRID=0dccc4694712a90582e9d9971943290f835637612beed79f144ad73640050661&RR_NUMBER=2f335741491c7b87bd3626b217211124be62a3da&p1=%40fWBWpQM0l1W97TwitJXLIjEZ2sWXr18ndCZ3UV3z8CU%3D https://t.ifly.southwest.com/r/?id=hb3b8a9ed,198c6433,b79a4ff&RSD=0000&RMID=AIRPURCHASE&SRC=MAILTXNCONF0EMAIL18XXXX&RRID=0dccc4694712a90582e9d9971943290f835637612beed79f144ad73640050661&RR_NUMBER=2f335741491c7b87bd3626b217211124be62a3da https://t.ifly.southwest.com/r/?id=hb3b8a9ed,198c6433,b79a500&RSD=0000&RMID=AIRPURCHASE&SRC=MAILTXNCONF0EMAIL18XXXX&RRID=0dccc4694712a90582e9d9971943290f835637612beed79f144ad73640050661&RR_NUMBER=2f335741491c7b87bd3626b217211124be62a3da https://t.ifly.southwest.com/r/?id=hb3b8a9ed,198c6433,b79a502&RSD=0000&RMID=AIRPURCHASE&SRC=MAILTXNCONF0EMAIL18XXXX&RRID=0dccc4694712a90582e9d9971943290f835637612beed79f144ad73640050661&RR_NUMBER=2f335741491c7b87bd3626b217211124be62a3da https://t.ifly.southwest.com/r/?id=hb3b8a9ed,198c6433,b79a502&RSD=0000&RMID=AIRPURCHASE&SRC=MAILTXNCONF0EMAIL18XXXX&RRID=0dccc4694712a90582e9d9971943290f835637612beed79f144ad73640050661&RR_NUMBER=2f335741491c7b87bd3626b217211124be62a3da https://t.ifly.southwest.com/r/?id=hb3b8a9ed,198c6433,b79a503&RSD=0000&RMID=AIRPURCHASE&SRC=MAILTXNCONF0EMAIL18XXXX&RRID=0dccc4694712a90582e9d9971943290f835637612beed79f144ad73640050661&RR_NUMBER=2f335741491c7b87bd3626b217211124be62a3da&p1=OAK&p2=PHX&p3=2178 https://t.ifly.southwest.com/r/?id=hb3b8a9ed,198c6433,b79a503&RSD=0000&RMID=AIRPURCHASE&SRC=MAILTXNCONF0EMAIL18XXXX&RRID=0dccc4694712a90582e9d9971943290f835637612beed79f144ad73640050661&RR_NUMBER=2f335741491c7b87bd3626b217211124be62a3da&p1=OAK&p2=PHX&p3=2178 https://t.ifly.southwest.com/r/?id=hb3b8a9ed,198c6433,b79a504&RSD=0000&RMID=AIRPURCHASE&SRC=MAILTXNCONF0EMAIL18XXXX&RRID=0dccc4694712a90582e9d9971943290f835637612beed79f144ad73640050661&RR_NUMBER=2f335741491c7b87bd3626b217211124be62a3da https://t.ifly.southwest.com/r/?id=hb3b8a9ed,198c6433,b79a505&RSD=0000&RMID=AIRPURCHASE&SRC=MAILTXNCONF0EMAIL18XXXX&RRID=0dccc4694712a90582e9d9971943290f835637612beed79f144ad73640050661&RR_NUMBER=2f335741491c7b87bd3626b217211124be62a3da

Monday, 09/23/2024 Est. Travel Time: 2h Wanna Get Away®

FLIGHT

# 2178

DEPARTS

OAK 04:20PM

Oakland

ARRIVES

PHX 06:20PM

Phoenix

Tuesday, 09/24/2024 Est. Travel Time: 1h 55m Wanna Get Away®

FLIGHT

# 1997

DEPARTS

PHX 06:05PM

Phoenix

ARRIVES

OAK 08:00PM

Oakland

Flight 1:

Flight 2:

Payment information Total cost

Air - 2PGJ5M Base Fare $ 211.87 U.S. Transportation Tax $ 15.89 U.S. 9/11 Security Fee $ 11.20 U.S. Flight Segment Tax $ 10.00 U.S. Passenger Facility Chg $ 9.00

Total $ 257.96

Payment

August 20, 2024 Payment Amount $257.96 Amer Express ending in 4004

Fare rules: If you decide to make a change to your current itinerary it may result in a fare increase.

Your ticket number : 5262552033674

All your perks, all in one place. (Plus a few reminders.)

Wanna Get Away® fare: Your two bags fly free®, no change or cancel fees, 6X Rapid Rewards® points, and free same-day standby (taxes and fees may apply but refunds will be provided). Learn more.

Make sure you know when to arrive at your airport. Times vary by city.

If your plans change, cancel your reservation at least 10 minutes before the original scheduled departure time of your flight to receive a flight credit. If you don't cancel your reservation in time, your funds will be forfeited.

Prepare for takeoff

9/11/24, 1:53 PM Gmail - You're going to Phoenix on 09/23 (2PGJ5M)!

https://mail.google.com/mail/u/1/?ik=4e2e8d831d&view=pt&search=all&permthid=thread-f:1809934378956045991%7Cmsg-f:1809934378956045991… 2/4

Docusign Envelope ID: B7232702-F758-4ADD-BC69-91DF673E3830 https://t.ifly.southwest.com/r/?id=hb3b8a9ed,198c6433,b79a50a&RSD=0000&RMID=AIRPURCHASE&SRC=MAILTXNCONF0EMAIL18XXXX&RRID=0dccc4694712a90582e9d9971943290f835637612beed79f144ad73640050661&RR_NUMBER=2f335741491c7b87bd3626b217211124be62a3da https://t.ifly.southwest.com/r/?id=hb3b8a9ed,198c6433,b79a50a&RSD=0000&RMID=AIRPURCHASE&SRC=MAILTXNCONF0EMAIL18XXXX&RRID=0dccc4694712a90582e9d9971943290f835637612beed79f144ad73640050661&RR_NUMBER=2f335741491c7b87bd3626b217211124be62a3da https://t.ifly.southwest.com/r/?id=hb3b8a9ed,198c6433,b79a514&RSD=0000&RMID=AIRPURCHASE&SRC=MAILTXNCONF0EMAIL18XXXX&RRID=0dccc4694712a90582e9d9971943290f835637612beed79f144ad73640050661&RR_NUMBER=2f335741491c7b87bd3626b217211124be62a3da https://t.ifly.southwest.com/r/?id=hb3b8a9ed,198c6433,b79a51e&RSD=0000&RMID=AIRPURCHASE&SRC=MAILTXNCONF0EMAIL18XXXX&RRID=0dccc4694712a90582e9d9971943290f835637612beed79f144ad73640050661&RR_NUMBER=2f335741491c7b87bd3626b217211124be62a3da

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5262552033674: NONREF/NONTRANSFERABLE -BG WN OAK WN PHX110.59WN OAK101.28USD211.87END ZP OAK5.00PHX5.00

XF OAK4.5PHX4.5

ALNUH2H/S00

JXNUR2H

If you do not plan to travel on your flight: In accordance with Southwest's No-Show Policy, if you are not planning to travel on any portion of this itinerary, please cancel your reservation at least 10 minutes prior to the scheduled departure time of your flight. Any Customer who fails to cancel reservations for a Wanna Get Away® or Wanna Get Away Plus™ fare segment at least ten (10) minutes prior to the scheduled departure time and who does not board the flight will be considered a no-show, and all remaining unused Wanna Get Away or Wanna Get Away Plus funds will be forfeited. All remaining unused Business Select® or Anytime funds will be converted to a flight credit. If you no-show for your reward travel reservation, the points will be redeposited to the purchaser's Rapid Rewards® account. Any taxes and fees associated with your reward travel reservation will be held for future use in the form of a flight credit. Starting July 1, 2023 (12:00 a.m. CT), for Wanna Get Away® or Wanna Get Away Plus™ reward travel reservations (booked with points): If you do not cancel your reservation at least 10 minutes before the flight’s original scheduled departure time, any points used for booking will be forfeited, along with any taxes and fees associated with your reward travel reservation. For Anytime or Business Select® reward travel reservations: the points used for booking will be redeposited to the purchaser's Rapid Rewards® account, and any taxes and fees associated with the reward travel reservation will be converted into a Transferable Flight Credit™ for future use.

Prohibition on Multiple/Conflicting Reservations: to promote seat availability for our Customers, Southwest® prohibits multiple reservations for the same Passenger departing from the same city on the same date, or any multiple reservations containing conflicting or overlapping itineraries (such as departures for the same Customer from multiple cities at the same time). Furthermore, without advance notice to the Passenger or purchaser, Southwest may cancel such reservations, or any other reservations that it believes, in its sole discretion, were made without intent to travel. With the exception of Southwest gift cards, funds from proactively canceled reservations by Southwest will be returned to the original form of payment. Reservations paid for with a Southwest gift card will have the amount applied from the gift card held as a flight credit for use by the Customer on a future Southwest Airlines® flight.

9/11/24, 1:53 PM Gmail - You're going to Phoenix on 09/23 (2PGJ5M)!

https://mail.google.com/mail/u/1/?ik=4e2e8d831d&view=pt&search=all&permthid=thread-f:1809934378956045991%7Cmsg-f:1809934378956045991… 3/4

Docusign Envelope ID: B7232702-F758-4ADD-BC69-91DF673E3830 https://t.ifly.southwest.com/r/?id=hb3b8a9ed,198c6433,b79a524&RSD=0000&RMID=AIRPURCHASE&SRC=MAILTXNCONF0EMAIL18XXXX&RRID=0dccc4694712a90582e9d9971943290f835637612beed79f144ad73640050661&RR_NUMBER=2f335741491c7b87bd3626b217211124be62a3da&p1=undefined https://t.ifly.southwest.com/r/?id=hb3b8a9ed,198c6433,b79a524&RSD=0000&RMID=AIRPURCHASE&SRC=MAILTXNCONF0EMAIL18XXXX&RRID=0dccc4694712a90582e9d9971943290f835637612beed79f144ad73640050661&RR_NUMBER=2f335741491c7b87bd3626b217211124be62a3da&p1=undefined https://t.ifly.southwest.com/r/?id=hb3b8a9ed,198c6433,b79a525&RSD=0000&RMID=AIRPURCHASE&SRC=MAILTXNCONF0EMAIL18XXXX&RRID=0dccc4694712a90582e9d9971943290f835637612beed79f144ad73640050661&RR_NUMBER=2f335741491c7b87bd3626b217211124be62a3da&p1=undefined 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REMIT TO:

By Check: WSP USA Inc., P.O. Box 732476, Dallas, TX, 75373, US By Transfer: JP MORGAN CHASE BANK, One Chase Manhattan Plaza, New York, NY 10005, US Account Name: WSP USA Inc. Account Number: 9102685634 ABA: 021000021 SWIFT: CHASUS33XXX

WSP USA Inc.

One Penn Plaza, 4th Floor, New York, NY, 10119, US

480-966-8295 Company Tax ID: 11-1531569

BILL TO INVOICE

KIMLEY-HORN AND ASSOCIATES, INC.

2615 CENTENNIAL BLVD, SUITE 102

TALLAHASSEE, FL

32308

Invoice Number: 40086306 Invoice Date: 17-SEP-2024 Contract Number: US-WSP-31000691 Currency: USD

Professional Services Provided from 03-AUG-2024 to 30-AUG-2024 Project Name: ADOT SHSP & ATSAP UPDATE 31000691.000 (US-WSP-31000691.000) Project Manager: Scott Beck

SUMMARY OF COSTS

Contract Value

Current Invoice

Previous Billed

Total Billed to Date

Contract Balance

Percent Invoiced

Professional Services 277,363.00 11,772.00 210,577.27 222,349.27 55,013.73 80.17%

Total 277,363.00 11,772.00 210,577.27 222,349.27 55,013.73 80.17%

Invoice Number: 40086306

Project Name: ADOT SHSP & ATSAP UPDATE 31000691.000 (US-WSP-31000691.000)

Task Name: Adequate Ldrshp (002)

LABOR

Professional Personnel Hours Bill Rate Bill Amount

Bailey, Corinne Administrative/Financia l Support

1.00

125.00 125.00

Beck, Scott Technical Expert 6.00

272.00 1,632.00

Labor Total Adequate Ldrshp 7.00 1,757.00

Task Total Adequate Ldrshp (002) 1,757.00

Task Name: Select Emph Areas (005)

LABOR

Professional Personnel Hours Bill Rate Bill Amount

Lamorette, Laura Consultant 22.25

118.00 2,625.50

Lee, Leslie Consultant 1.75

118.00 206.50

Parks, Jessica Consultant 6.50

122.00 793.00

Labor Total Select Emph Areas 30.50 3,625.00

Task Total Select Emph Areas (005) 3,625.00

Task Name: Final Doc/Implement (006)

LABOR

Professional Personnel Hours Bill Rate Bill Amount

Beck, Scott Technical Expert 11.50

272.00 3,128.00

Moffo, Jacob Consultant 27.50

84.00 2,310.00

Schmid, Sarah Engineer 7.00

136.00 952.00

Labor Total Final Doc/Implement 46.00 6,390.00

Task Total Final Doc/Implement (006) 6,390.00

Invoice Number: 40086306

Invoice Total

11,772.00 (USD)

OUTSTANDING INVOICES

Invoice Number Date Days Outstanding Balance

40046415 17-JUN-2024 92 22,353.39

40071687 12-AUG-2024 36 23,564.47

Total: 45,917.86