KIMLEY-HORN_INVOICE_30378580_MPD0554-24_H94.3 November(PV Shared-Use Path ) (1).pdf
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- Attached to
- Master Agreement AZ|CTR060474
- Contract number
- CTR060474
- Issued by
- Arizona
About this file
This document is a billing summary and reimbursement request from Kimley-Horn and Associates, Inc. for the Arizona Department of Transportation's (ADOT) Multimodal Planning Division, specifically for the Prescott Valley Shared Use Path Study. The project is tracked under MPD tracking number MPD0554-24, with a purchase order number PO0000709071, and involves federal funding through the Federal Highway Administration (FHWA). The prime contractor is Kimley-Horn and Associates, Inc., and the ADOT project manager is Don Sneed.
The total awarded budget for the project is $376,533.87, with the current invoice requesting $4,907.83 for work completed through November 30, 2024. The project consists of nine tasks, including project management, public involvement planning, inventory of current conditions, forecasting future conditions, public involvement phases, evaluation criteria development, and report preparation. For this invoice period, the contractor completed project setup, startup meeting, project management plan development, kick-off meeting preparation, and initial public involvement plan development. The contractor has confirmed zero DBE (Disadvantaged Business Enterprise) subcontractors performed work on the project, and the DBE commitment percentage is 0.00%. The billing summary includes detailed labor hours and expenses, with key project staff including Chris Joannes as Project Manager and Michael Grandy as Principal.
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Text version
No Partial - In Progress
0.00% 0
Billing Start Date
10/3/2024 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
350,026.80$ 373,933.87$ 373,933.87$ 373,933.87$ 4,907.83$ -$ $ 4,907.83 $ 369,026.04
4,615.79$ 2,600.00$ 2,600.00$ 2,600.00$ -$ $ - $ 2,600.00
TOTALS 354,642.59$ -$ 376,533.87$ -$ -$ 376,533.87$ -$ 376,533.87$ 4,907.83$ -$ 4,907.83$ 371,626.04$
Date Signed / Invoice Date
12/17/2024
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
Chris.Joannes@Kimley-horn.com Please Leave Blank
Prime PM Name (Notify if Unaccepted / Rejected / Paid)
Ruth Garcia DBE Commitment % How many DBE Subcontractors performed on the Project?
Invoice Number 30378580
Please Leave BlankPrime PM Email
Billing Summary / Reimbursement Request For use by: Vendors / Contractors / Suppliers of MPD
(Version 07/01/2023)
Don Sneed Project Title
(For Research Project add SPR Number)
Prescott Valley Shared Use Path Study MPD Tracking Number
{Use Format: MPDnnnn-yy};
{RTAP use " MPDRTAP-yy"}
MPD0554-24ADOT 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 PO0000709071
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
Chris Joannes 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: CDBB630C-E435-4A80-AB78-40174A6ABEE2
X
12/17/2024Enter Date Received by MPD and Receipt Number
REC #1582226
AP RECEIVED 12/19/24Accounts Payable DocuSign12/19/2024 mailto:Chris.Joannes@Kimley-horn.com mailto:Chris.Joannes@Kimley-horn.com mailto:Taylor.Dunkle@kimley-horn.com mailto:Chris.Joannes@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 3.0 1.0 6.0 4.0 6.0 16.0 6.0 4.0 2.0 Chris Joannes* Project Manager 98.0 14.0 4.0 2.5 30.0 24.0 16.0 48.0 16.0 8.0 8.0 Rebeca Field Technical Expert 37.0 1.0 0.0 2.0 10.0 0.0 44.0 0.0 4.0 2.0 Andrew Baird Technical Expert 26.0 0.5 0.0 38.0 20.0 4.0 36.0 4.0 4.0 2.0 Kristen Faltz Planner 48.0 2.0 36.0 24.0 16.0 52.0 16.0 16.0 12.0 Taylor Dunkle Engineer 0.0 0.0 4.0 0.0 0.0 16.0 0.0 2.0 0.0 Joseph Cuffari Analyst 30.0 16.0 2.0 0.0 0.0 54.0 8.0 54.0 4.0 2.0 Greg Honiotes Analyst 0.0 0.0 16.0 0.0 0.0 32.0 0.0 10.0 0.0 Ajdin Spahic Analyst 0.0 0.0 0.0 44.0 0.0 32.0 0.0 16.0 0.0 Logan Lowery Analyst 0.0 0.0 0.0 44.0 0.0 42.0 0.0 16.0 8.0 Ryan McKell Analyst 0.0 0.5 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Addie Hopp Analyst 0.0 0.0 46.0 0.0 0.0 38.0 0.0 6.0 0.0 Jason Getz GIS 0.0 0.0 20.0 8.0 0.0 34.0 0.0 12.0 4.0 Emma Luken Graphic Designer 0.0 4.0 4.0 4.0 22.0 6.0 22.0 12.0 4.0 Tamie Schofield Admin/Financial Support 0.0 0.0 0.0 0.0 0.0 0.0 0.0 4.0 4.0 Mike Dayton Admin/Financial Support 20.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0
$ 79,598.38 $ 20,835.72
Staff Name
$ 60,294.85 $ 4,470.18 $ 40,735.82 $ 34,250.54
Task 7 - Second Phase of Public Involvement
Task 8 - Final Draft Report
Task 9 - Final Report
10 11
AZ Certified
DBE?
$ of Contract Award $ 291,986.69
Task 1 - Project
Management
Task 2 - Public Involvement
Plan
$ 22,685.72
Purchase Order Number PO0000709071
Vendor Hours Contribution Table & DBE Compliance Report MPD Tracking Number MPD0554-24
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.
$ 20,121.02 $ 8,994.46
This information will also be used if auditing the project for DBE Commercially Useful Function. Vendor's Invoice Number 30378580
Decreases in DBE Firm Participation or Removal MUST be Authorized by the BECO Office in Advance. Total Project Award 376,533.87$
Please update Actual Hours
Task 3 - Inventory of
Current Conditions
Task 4 - Forecast of
Future Conditions and
Deficiencies
Task 5 - First Phase of Public
Involvement
Task 6 - Develop
Evaluation Criteria and a
Plan for Improvements
Docusign Envelope ID: CDBB630C-E435-4A80-AB78-40174A6ABEE2
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 0.0 Actual Plan Actual Plan Actual Sharon Morris Project Manager 0.0 0.0 40.0 0.0 0.0 0.0 0.0 0.0 0.0 Dirk Rice Analyst 0.0 0.0 62.0 0.0 0.0 0.0 0.0 0.0 0.0 Nicholas Smith Analyst 0.0 0.0 120.0 0.0 0.0 0.0 0.0 0.0 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 Brandon Gonzalez Project Manager 20.0 0.0 10.0 20.0 0.0 20.0 0.0 0.0 0.0 Dave Foster Project Manager 0.0 0.0 30.0 0.0 0.0 60.0 0.0 0.0 0.0 Chloe Ward Planner 0.0 0.0 60.0 0.0 0.0 150.0 0.0 0.0 0.0
$ 20,591.60 $ 4,981.60 $ 46,497.40 10 113 4 5 6 7 8 9
Notes, Comments
$ of Contract Award $ 72,070.60
4 5 $ 7,496.98
Alta Planning + Design AZ Certified
DBE?
6 7 8 9 11
AZ Certified
DBE?
$ of Contract Award $ 7,496.98
Staff Name 1 2
$ 4,981.60
Staff Name 1 2
Field Data Services of Arizona, 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)
45643
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 MPD0554-24 Prescott Valley Shared Use Path 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
PO0000709071
30378580
Reporting Contact Information
Kimley-Horn and Associates, Inc. Ruth Garcia
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: CDBB630C-E435-4A80-AB78-40174A6ABEE2
Invoicing requirements were met.
480-679-5240
1611 W Jackson St, Phoenix, AZ 85007
RGarcia5@azdot.gov
Performance is within expected standards.
Ruth Garcia
Project Objectives have been met.
Project Delivery was within the agreed upon schedule.
MPD /
12/19/2024
X
ADOT MPD Regional Transportation Planner
Please remit payment electronically to: If paying by check, please remit to:
Account Name: KIMLEY-HORN AND ASSOCIATES, INC. KIMLEY-HORN AND ASSOCIATES, INC.
Bank Name and Address: WELLS FARGO BANK, N.A., SAN FRANCISCO, CA 94104 P.O. BOX 913221 Account Number:
ABA#:
2073089159554 121000248
DENVER, CO 80291-3221
Please send remittance information to: payments@kimley-horn.com
10pt blank space
ARIZONA DEPARTMENT OF TRANSPORTATION
ATTN: RUTH GARCIA
1611 W JACKSON ST, MD 310B
PHOENIX, AZ 85007
Federal Tax Id: 56-0885615 For Services Rendered through Nov 30, 2024
Invoice Amount: $4,907.83
Invoice No: 30378580 Invoice Date: Nov 30, 2024
Project No: 291199021.3 Project Name: ADOT PV SUP STUDY Project Manager: JOANNES, CHRIS
Client Reference: MPD0554-24 H94.3
PO0000709071
Description Contract Value Amount Earned to Date Previous Amount
Billed Current Amount
Due
SERVICES RENDERED 376,533.87 4,907.83 0.00 4,907.83
291199021.3 Total Invoice: $4,907.83
If you have questions, please contact Mike Dayton at (602) 789-3848, or Mike.Dayton@kimley-horn.com 81MRD
ARIZONA DEPARTMENT OF TRANSPORTATION
ATTN: RUTH GARCIA
1611 W JACKSON ST, MD 310B
PHOENIX, AZ 85007
Invoice No: 30378580 Invoice Date: Nov 30, 2024
Project No: 291199021.3 Project Name: ADOT PV SUP STUDY Project Manager: JOANNES, CHRIS
HOURLY NOT TO EXCEED 018584291199021.3W10563291199021.3CPM-1DTCPM
Task Category Description/Name Hrs/Qty Rate Current Amount
Due
PROJECT MGMT ANALYST MCKELL, RYAN 0.5 140.67 70.34
PROJECT MANAGER JOANNES, CHRIS 14.0 250.08 3,501.12
TECHNICAL EXPERT BAIRD, ANDREW 0.5 286.55 143.28
FIELD, REBECA 1.0 286.55 286.55
TOTAL PROJECT MGMT4T 16.0 4,001.29
PUBLIC INVOLVEMENT PLAN PROJECT MANAGER JOANNES, CHRIS 2.5 250.08 625.20
ANALYST CUFFARI, JOSEPH 2.0 140.67 281.34
TOTAL PUBLIC INVOLVEMENT PLAN2T 4.5 906.54
TOTAL LABOR AND EXPENSE DETAIL 4,907.83
This page is for informational purposes only. Please pay amount shown on cover page.
81MRD
12/17/2024 1-ADOT MPD_0554-24_H94.3_Progress Report_Nov 2024(PV Shared-Use Path).docx 1 of 2
PROGRESS REPORT NO. 1
Arizona Department of Transportation
Task Assignment: MPD0554-24 H94.3
Prescott Valley Shared Use Path Study Contract # CTR060474
Kimley-Horn Project No. 291199021
Reporting Period: Through November 30, 2024
Key Project Staff
Chris Joannes, Project Manager Michael Grandy, Principal
Progress and Accomplishments during the Reporting Period
Task 1 – Project Management Project setup and Startup meeting Project Management Plan development Kick-off meeting, preparation, and summary notes TAC Meeting #1 preparation
Task 2 – Public Involvement Plan
Public Involvement Plan development and submittal
Task 3 – Inventory of Current Conditions No activity during invoice period
Task 4 – Forecast of Future Conditions and Deficiencies
No activity during invoice period
Task 5 – First Phase of Public Involvement
No activity during invoice period
Task 6 – Develop Evaluation Criteria and a Plan for Improvements
No activity during invoice period
Task 7 – Second Phase of Public Involvement
No activity during invoice period
Task 8 – Final Draft Report
No activity during invoice period
Task 9 – Final Report
No activity during invoice period
Contacts Made
Technical Advisory Committee members
12/17/2024 1-ADOT MPD_0554-24_H94.3_Progress Report_Nov 2024(PV Shared-Use Path).docx 2 of 2
Information Generated
Draft Project Management Plan Draft Public Involvement Plan
Next Month Anticipated Activities
TAC Meeting #1 Branding guide development Data collection
| BillingReport |
| VendorHoursContribution |
| Vendor Performance Report |
| 2024-12-19T14:21:05-0800 | |
| Digitally verifiable PDF exported from www.docusign.com |
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