KIMLEY-HORN_INVOICE_30222755_MPD0371-23_H94.7 November(SHSP & ATSAP).pdf

No Partial - In Progress

0.00% 0

Billing Start Date

11/1/2024 Billing

End Date 11/30/2024

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$ 3,612.18$ 1,682.82$ 3,612.18$ 1,682.82$ -$ $ - $ 1,682.82

1,271,536.00$ 1,271,536.00$ 1,030,961.57$ 240,574.43$ 1,030,961.57$ 240,574.43$ 24,765.00$ -$ $ 24,765.00 $ 215,809.43

TOTALS 1,276,831.00$ -$ 1,276,831.00$ 1,034,573.75$ -$ 242,257.25$ 1,034,573.75$ 242,257.25$ 24,765.00$ -$ 24,765.00$ 217,492.25$

Date Signed / Invoice Date

12/18/2024 Date Signed / Invoice Date

Phone Number Phone Number

Please leave blank

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

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 30222755

Please Leave BlankPrime PM Email

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

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

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.

Please Leave Blank

Docusign Envelope ID: A1405FB8-AF6E-4BCD-BE27-9E6399F408F4

X

12/18/2024

REC #1581589

Enter Date Received by MPD and Receipt Number

Accounts Payable DocuSign AP RECEIVED 12/19/24 12/19/2024 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 37.5 80.0 50.0 19.0 20.0 15.0 0.5 20.0 0.0 20.0 20.0 10.0 10.0 5.0 15.0 10.0 10.0 40.0 20.0 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 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 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 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 1.0 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 35.5 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 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 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 1.0 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 1.5 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 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 1.0 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 Angela McHugh Planner 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 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 1.5 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 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 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 0.0 0.0 0.0 0.0 0.0 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 0.0 225.0 80.5 170.0 0.0 335.0 0.0 276.0 0.0 65.0 0.0 113.0 1.5 165.0 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 0.0

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 $ 26,805.00 $ 23,855.00 $ 83,355.00

20 21 2216 17 18 19 $ 42,925.00

$ 59,720.00

$ 56,550.00 $ 46,080.00

Purchase Order Number PO0000666933

$ 127,425.00 $ 11,325.00 $ 34,220.00 $ 9,315.00 $ 20,855.00 Staff Name 5 6 15

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 30222755

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

Docusign Envelope ID: A1405FB8-AF6E-4BCD-BE27-9E6399F408F4

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 1.0 76.0 29.0 158.0 52.0 8.0 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 0.0 0.0 Jacob Moffo Consultant 0.0 96.0 0.0 0.0 0.0 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 5.5 0.0 0.0 0.0 Leslie Lee Consultant 0.0 0.0 0.0 0.0 0.5 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 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 2.0 0.0 0.0 58.0 Laura Lamorette Consultant 0.0 0.0 0.0 196.0 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 2.0 280.0 0.0 89.0 0.00 1008.0 8.0 96.0 8.0 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 2.00 1064.00 0.00 277.00 0.00 1064.00 8.00 365.00 8.00 378.00 80.50 646.00 0.00 366.00 0.00 307.00 0.00 66.00 0.00 115.00 1.50 285.00 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

$ of Contract Award $ 156,181.60

Notes, Comments

$ 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 4 5 6 8 11 12 13 15 17 18 239

$ 73,525.20

TOTALS

Staff Name

2 3 $ 12,346.00 $ 46,020.00

$ 155.00 $ 91,190.00

$ 18,788.00

WORKS CONSULTING, LLC

$ 11,328.00 5 6

$ 158,587.00 $ 23,428.00

AZ Certified

DBE?

Staff Name

SubContractor Firm DBE % 0.00% AZ Certified

DBE?

$ of Contract Award $ 344,022.20 WSP USA INC.

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

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

PO0000666933

30222755

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: A1405FB8-AF6E-4BCD-BE27-9E6399F408F4

Invoicing requirements were met.

Daniel Oldham TSMO /6501

Project Delivery was within the agreed upon schedule.

Services

12/18/2024

X

6027122332DOldham@azdot.gov

Project Objectives have been met.

SHSP Program Manager

Performance is within expected standards.

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 Nov 30, 2024

Invoice Amount: $24,765.00

Invoice No: 30222755 Invoice Date: Nov 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 1,059,338.75 1,034,573.75 24,765.00

291199016.3 Total Invoice: $24,765.00

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: 30222755 Invoice Date: Nov 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

DOCUMENTATION & IMP PLAN ANALYST HONIOTES, GREG 1.0 135.00 135.00

MCKELL, RYAN 1.5 135.00 202.50

CONSULTANT JOANNES, CHRIS 1.0 260.00 260.00

35.5 260.00 9,230.00

MCHUGH, ANGELA 0.5 170.00 85.00

ANALYST FALTZ, KRISTEN 1.5 135.00 202.50

TECHNICAL EXPERT BURROWS, TIM 1.0 275.00 275.00

GRANDY, MICHAEL 37.5 275.00 10,312.50

HAASE, DEANNA 1.0 275.00 275.00

TOTAL DOCUMENTATION & IMP PLAN9T 80.5 20,977.50

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

TECHNICAL EXPERT GRANDY, MICHAEL 0.5 275.00 137.50

TOTAL ARIZONA HSIP SUPPORT2T 1.5 262.50

WSP SUPPORT EXPENSES SUBCONSULTANTS 3,525.00

TOTAL WSP SUPPORT1T 3,525.00

TOTAL LABOR AND EXPENSE DETAIL 24,765.00

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

81MRD

PETRU, BENJAMIN

PLANNER

12/18/2024 ADOT MPD_0371-23_H94.7_Update_Progress Report_Nov 2024(SHSP & ATSAP).docx 1 of 1

PROGRESS REPORT NO. 16

Arizona Department of Transportation

Task Assignment: MPD0371-23 H94.7

ADOT SHSP & ATSAP

Contract # CTR060474

Kimley-Horn Project No. 291199016

Reporting Period: Through November 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 6 – Final Documentation and Implementation Plan Conducted project management activities Attended SHSP check-in meetings Refined Emphasis Area brochures discussing strategies and potential actions Continued developing SHSP action tracking tool Demonstrated SHSP action tracking tool to ADOT on 11/4 Prepared materials for and attended Arizona Traffic Safety Workshop for Law Enforcement and

Engineers on 11/6 Prepared slides for and conducted SHSP Emphasis Area Teams kick-off meeting on 11/19

Task 11 – Arizona HSIP Support

Addressed YMPO questions on safety targets

Contacts Made

Coordinated with ADOT and Emphasis Area Teams

Information Generated

Emphasis Area Teams’ roles and responsibilities

Next Month Anticipated Activities

Schedule individual meetings for each Emphasis Area Team

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: 40109208 Invoice Date: 11-NOV-2024 Contract Number: US-WSP-31000691 Currency: USD

Professional Services Provided from 28-SEP-2024 to 01-NOV-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 3,525.00 240,796.17 244,321.17 33,041.83 88.09%

Total 277,363.00 3,525.00 240,796.17 244,321.17 33,041.83 88.09%

Invoice Number: 40109208

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 1.00

272.00 272.00

Labor Total Adequate Ldrshp 2.00 397.00

Task Total Adequate Ldrshp (002) 397.00

Task Name: Select Emph Areas (005)

LABOR

Professional Personnel Hours Bill Rate Bill Amount

Lee, Leslie Consultant 0.50

118.00 59.00

Parks, Jessica Consultant 2.00

122.00 244.00

Zarate, Gilberto Consultant 5.50

118.00 649.00

Labor Total Select Emph Areas 8.00 952.00

Task Total Select Emph Areas (005) 952.00

Task Name: Final Doc/Implement (006)

LABOR

Professional Personnel Hours Bill Rate Bill Amount

Beck, Scott Technical Expert 8.00

272.00 2,176.00

Labor Total Final Doc/Implement 8.00 2,176.00

Task Total Final Doc/Implement (006) 2,176.00

Invoice Total

3,525.00 (USD)

OUTSTANDING INVOICES

Invoice Number: 40109208

Invoice Number Date Days Outstanding Balance

40086306 17-SEP-2024 55 11,772.00

40098298 07-OCT-2024 35 18,446.90

Total: 30,218.90

Company Name: WSP USA Inc.

Invoice Number: 40109208

Invoice Period Ending: November 1, 2024

Task 2: Ensure Adequate Leadership, Collaboration, and Communication

ADOT SHSP and ATSAP Progress Report

Task 1: 2023 Vulnerable Road User Safety Assessment No activity

None

Team meetings with ADOT and KHA.

Task 3: Data Collection and Analysis No activity

Task 4: Update Goals and Objectives No activity

Issues/Problems

Task 5: Select Emphasis Areas and Strategies Develop EA handouts.

Task 6: Final Documentation and Implementation Plan Review and QC final SHSP report.

Develop EA handouts.