KIMLEY-HORN_INVOICE_29798293_MPD0371-23_H94.7 October(SHSP & ATSAP) (1).pdf

No Partial - In Progress

0.00% 0

Billing Start Date

10/1/2024 Billing

End Date 10/31/2024

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$ 301.68$ -$ $ 301.68 $ 1,682.82

1,271,536.00$ 1,271,536.00$ 979,804.67$ 291,731.33$ 979,804.67$ 291,731.33$ 51,156.90$ -$ $ 51,156.90 $ 240,574.43

TOTALS 1,276,831.00$ -$ 1,276,831.00$ 983,115.17$ -$ 293,715.83$ 983,115.17$ 293,715.83$ 51,458.58$ -$ 51,458.58$ 242,257.25$

Date Signed / Invoice Date

11/27/2024 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 29798293

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: 81A67CA6-00A0-4D2A-A9D8-74A12ABEB1CD

X

REC #1569171

Enter Date Received by MPD and Receipt Number

11/27/2024

AP

Accounts Payable DocuSign

12/3/2024 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 20.0 39.5 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 20.0 6.0 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 3.0 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 Deanna Haase 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 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 John Karachepone 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 Tim Burrows Technical Expert 4.0 0.0 3.0 2.0 15.0 3.0 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 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 63.0 0.0 0.0 0.0 0.0 0.0 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 20.0 1.0 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 4.0 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 3.5 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 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 1.5 Emma Luken 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 1.0 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 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 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 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 6.5 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

TOTALS 632.0 0.0 44.0 0.0 168.0 0.0 36.0 0.0 241.0 0.0 225.0 111.0 170.0 0.0 335.0 0.0 276.0 0.0 65.0 0.0 113.0 7.5 165.0 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 0.0 294.0 13.5

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 29798293

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: 81A67CA6-00A0-4D2A-A9D8-74A12ABEB1CD

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 3.5 76.0 29.0 158.0 52.0 35.5 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 1.5 0.0 0.0 Jacob Moffo Consultant 0.0 96.0 0.0 0.0 0.0 16.5 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 5.0 0.0 0.0 0.0 Leslie Lee Consultant 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Charles Misra Consultant 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Erika Rubio Consultant 0.0 0.0 0.0 0.0 1.8 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 18.5 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 4.5 280.0 0.0 89.0 0.00 1008.0 31.8 96.0 53.5 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 4.50 1064.00 0.00 277.00 0.00 1064.00 31.75 365.00 53.50 378.00 111.00 646.00 0.00 366.00 0.00 307.00 0.00 66.00 0.00 115.00 7.50 285.00 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.

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

29798293

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: 81A67CA6-00A0-4D2A-A9D8-74A12ABEB1CD

Performance is within expected standards.

emariolle@azdot.gov

Active Transportation Coordinator

X

12/3/2024

480-318-3133

Invoicing requirements were met.

MPD /Planning Elaine Mariolle

Project Objectives have been met.

please pay invoice services

Project Delivery was within the agreed upon schedule.

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

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 Oct 31, 2024

Invoice Amount: $51,458.58

Invoice No: 29798293 Invoice Date: Oct 31, 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 1,034,573.75 983,115.17 51,458.58

291199016.3 Total Invoice: $51,458.58

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: 29798293 Invoice Date: Oct 31, 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

DOCUMENTATION & IMP PLAN ADMIN/FINANCIAL SUPPORT HANAS, KAREN 1.0 125.00 125.00

CONSULTANT PETRU, BENJAMIN 63.0 260.00 16,380.00

ADMIN/FINANCIAL SUPPORT SCHOFIELD, TAMIE 6.5 125.00 812.50

TECHNICAL EXPERT GRANDY, MICHAEL 39.5 275.00 10,862.50

SANER, LINDSAY 1.0 260.00 260.00

TOTAL DOCUMENTATION & IMP PLAN5T 111.0 28,440.00

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

ANALYST PASTERNACK, JONATHAN 3.5 135.00 472.50

PRINCIPAL COLETY, MIKE 3.0 290.00 870.00

TOTAL ARIZONA HSIP SUPPORT3T 7.5 1,467.50

FINAL DOCUMENTS ANALYST LUKEN, EMMA 1.0 135.00 135.00

MCKELL, RYAN 1.5 135.00 202.50

FALTZ, KRISTEN 4.0 135.00 540.00

TECHNICAL EXPERT GRANDY, MICHAEL 6.0 275.00 1,650.00

HAASE, DEANNA 1.0 275.00 275.00

TOTAL FINAL DOCUMENTS5T 13.5 2,802.50

TRAVEL EXPENSES EXPENSES TRAVEL - LODGING 175.61

TRAVEL - MEALS 64.93

TRAVEL - OTHER 61.14

TOTAL TRAVEL EXPENSES3T 301.68

WSP SUPPORT EXPENSES SUBCONSULTANTS 18,446.90

TOTAL WSP SUPPORT1T 18,446.90

TOTAL LABOR AND EXPENSE DETAIL 51,458.58

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

81MRD

CONSULTANT

11/27/2024 ADOT MPD_0371-23_H94.7_Update_Progress Report_Oct 2024(SHSP & ATSAP).docx 1 of 1

PROGRESS REPORT NO. 15

Arizona Department of Transportation

Task Assignment: MPD0371-23 H94.7

ADOT SHSP & ATSAP

Contract # CTR060474

Kimley-Horn Project No. 291199016

Reporting Period: Through October 31, 2024

Key Project Staff

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

Progress and Accomplishments during the Reporting Period

Task 6 – Final Documentation and Implementation Plan Conducted project management activities Attended bi-weekly SHSP check-in meetings Conducted SHSP Executive Committee Meeting #9 in-person Updated and submitted SHSP final document Prepared and submitted hard copies of SHSP final document Attended SHSP progress check-in meeting Presented at Rural Transportation Summit Presented at ITE luncheon Updated safety-data sharing brochure Developed action tracking tool

Task 11 – Arizona HSIP Support Updated HSIP target setting spreadsheet and slides

Task 23 – Final Documentation Attended bi-weekly ATSAP check-in meetings Updated and submitted ATSAP final document Prepared and submitted hard copies of ATSAP final document Notified TAC of ATSAP final document

Contacts Made

Coordination with Daniel Oldham and Elaine Mariolle

Information Generated

Final recommendations and documents for the SHSP and ATSAP

Next Month Anticipated Activities

Refine action tracking tool and kick-off implementation phase of SHSP

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: 40098298 Invoice Date: 07-OCT-2024 Contract Number: US-WSP-31000691 Currency: USD

Professional Services Provided from 31-AUG-2024 to 27-SEP-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 18,446.90 222,349.27 240,796.17 36,566.83 86.82%

Total 277,363.00 18,446.90 222,349.27 240,796.17 36,566.83 86.82%

Invoice Number: 40098298

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 3.50

272.00 952.00

Labor Total Adequate Ldrshp 4.50 1,077.00

Task Total Adequate Ldrshp (002) 1,077.00

Task Name: Select Emph Areas (005)

LABOR

Professional Personnel Hours Bill Rate Bill Amount

Lamorette, Laura Consultant 18.50

118.00 2,183.00

Parks, Jessica Consultant 6.50

122.00 793.00

Rubio, Erika Consultant 1.75

118.00 206.50

Zarate, Gilberto Consultant 5.00

118.00 590.00

Labor Total Select Emph Areas 31.75 3,772.50

EXPENSES

Expenses

Books and Publications

Parks, Jessica 12-AUG-2024 ER009184037979 2,309.88

Expenses Total Select Emph Areas 2,309.88

Task Total Select Emph Areas (005) 6,082.38

Task Name: Final Doc/Implement (006)

LABOR

Professional Personnel Hours Bill Rate Bill Amount

Beck, Scott Technical Expert 35.50

272.00 9,656.00

Moffo, Jacob Consultant 16.50

84.00 1,386.00

Invoice Number: 40098298

Schmid, Sarah Engineer 1.50

136.00 204.00

Labor Total Final Doc/Implement 53.50 11,246.00

Task Total Final Doc/Implement (006) 11,246.00

Task Name: Direct Expense (1620)

EXPENSES

Expenses

Travel

Travel Mileage

Beck, Scott 05-JUN-2024 ER009389479796 13.62

Beck, Scott 07-AUG-2024 ER009389479796 13.62

Beck, Scott 11-JUN-2024 ER009389479796 14.28

Expenses Total Travel 41.52

Expenses Total Direct Expense 41.52

Task Total Direct Expense (1620) 41.52

Invoice Total

18,446.90 (USD)

OUTSTANDING INVOICES

Invoice Number Date Days Outstanding Balance

40086306 17-SEP-2024 24 11,772.00

Total: 11,772.00

ACCOUNT NAME ACCOUNT # PAGE #

Adot/Wsp Engineering 1386766 1 of 1

INVOICE # BILLING PERIOD PAYMENT DUE DATE

0006409069 Apr 1- Apr 30, 2024 May 20, 2024

PREPAY

(Memo Info)

UNAPPLIED

(included in amt due)

TOTAL CASH AMT DUE*

$0.00 $0.00 $2,221.25

BILLING ACCOUNT NAME AND ADDRESS

Adot/Wsp Engineering 1230 W Washington ST # 405 Tempe, AZ 85288-1245

BILLING INQUIRIES/ADDRESS CHANGES 1-877-736-7612 or smb@ccc.gannett.com FEDERAL ID 47-2390983

To sign-up for E-mailed invoices and online payments please contact abgspecial@gannett.com.

Legal Entity: Gannett Media Corp.

Terms and Conditions: Past due accounts are subject to interest at the rate of 18% per annum or the maximum legal rate (whichever is less). Advertiser claims for a credit related to rates incorrectly invoiced or paid must be submitted in writing to Publisher within 30 days of the invoice date or the claim will be waived. Any credit towards future advertising must be used within 30 days of issuance or the credit will be forfeited.

All funds payable in US dollars.

Date Description Amount

4/1/24 Balance Forward $0.00

Digital Advertising:

Campaign Dates Billing Date

Product/Placement Targeting

Description PO Number Impressions Gross Amount Net Amount

4/17/24-4/19/24 Apr

Directory and Listings Adot/Wsp Engineering - Q2 2024

- Print

Fixed Price $40.00

Print Advertising:

Start-End Date Product Description PO Number Run Dates Ad Size Rate Gross Amount Net Amount

4/17/24-4/17/24 PNI Arizona Republic Adot/Wsp Engineering - Q2 2024 - Print

4/17 3/16 Page Fixed Price $1,406.25

4/19/24-4/19/24 PNI Lavoz TVyMas Adot/Wsp Engineering - Q2 2024 - Print

4/19 1/2 Page V Tab

Fixed Price $750.00

Miscellaneous:

Start-End Date Product Description Net Amount

4/30/24 Ad Processing Fee Monthly Fee $25.00

Total Cash Amount Due $2,221.25

Service Fee 3.99% $88.63

*Cash/Check/ACH Discount -$88.63

*Payment Amount by Cash/Check/ACH $2,221.25

Payment Amount by Credit Card $2,309.88

As an incentive for customers, we provide a discount off the total invoice cost equal to the 3.99% service fee if you pay with Cash/Check/ACH. Pay by Cash/Check/ACH and Save!

PLEASE DETACH AND RETURN THIS PORTION WITH YOUR PAYMENT

ACCOUNT NAME ACCOUNT NUMBER INVOICE NUMBER AMOUNT PAID

Adot/Wsp Engineering 1386766 0006409069

CURRENT

DUE

30 DAYS

PAST DUE

60 DAYS

PAST DUE

90 DAYS

PAST DUE

120+ DAYS

PAST DUE

UNAPPLIED

PAYMENTS

TOTAL CASH AMT DUE*

$2,221.25 $0.00 $0.00 $0.00 $0.00 $0.00 $2,221.25

REMITTANCE ADDRESS (Include Account# & Invoice# on check) TO PAY WITH CREDIT CARD PLEASE CALL:

To sign up for E-mailed invoices and online payments please contact abgspecial@gannett.com

0001386766000000000000064090690022212590164

TOTAL CREDIT CARD

AMT DUE

Gannett Arizona LocaliQ PO Box 632099

Cincinnati, OH 45263-2099

1-877-736-7612 $2,309.88