KIMLEY-HORN_INVOICE_30834176_MPD0545-24_H94.3 January(CPS SR287_SR87).pdf

No Partial - In Progress

0.00% 0

Billing Start Date

1/1/2025 Billing

End Date 1/31/2025

Originally Awarded

Budget Amount

Approved Modifications

Amount

Total Awarded Budget

$ Invoiced Previously

$ Rejected or Disallowed on

Previous Invoices

$ Remaining Project Budget (Total

Awarded - $ Invoiced Previously + $

Rejected on Prev.

Invoices)

$ Paid by ADOT Previously

Purchase Order Balance Prior to

This Invoice (Total Awarded -

$ Paid)

$ Invoiced Today

$ Disallowed ($ Invoiced

Exceeds Remaining

Budget)

Net Amount Due for

This Invoice

Balance After This Invoice

227,003.02$ 227,003.02$ 80,099.30$ 146,903.72$ 80,164.80$ 146,838.22$ 5,884.70$ -$ $ 5,884.70 $ 140,953.52

400.00$ 400.00$ 65.50$ 334.50$ 400.00$ -$ $ - $ 400.00

TOTALS 227,403.02$ -$ 227,403.02$ 80,164.80$ -$ 147,238.22$ 80,164.80$ 147,238.22$ 5,884.70$ -$ 5,884.70$ 141,353.52$

Date Signed / Invoice Date

2/17/2025

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.

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

Please Leave Blank

Taylor Dunkle SignatureSignature

Taylor.Dunkle@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)

William Randolph Project Title

(For Research Project add SPR Number)

SR 287 / SR 87 Corridor Study MPD Tracking Number

{Use Format: MPDnnnn-yy};

{RTAP use " MPDRTAP-yy"}

MPD0545-24ADOT PM Name

Prime Contractor Firm Name Kimley-Horn and Associates, Inc.

Is the Prime an AZ Certified

DBE?

Project Status

(Select from Drop Down) Purchase Order Number PO0000697863

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

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

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

Invoice Number 30834176

Please Leave BlankPrime PM Email

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

Docusign Envelope ID: 00D9985B-4EBF-414A-925F-FCEC58B011E0

X

REC #1619734

Enter Date Received by MPD and Receipt Number

02/17/2025

2/18/2025 Accounts Payable DocuSign

AP RECEIVED 2/18/25

mailto:Taylor.Dunkle@Kimley-horn.com mailto:Taylor.Dunkle@Kimley-horn.com mailto:Taylor.Dunkle@kimley-horn.com mailto:Taylor.Dunkle@kimley-horn.com mailto:Taylor.Dunkle@Kimley-horn.com

Prime Firm Name DBE % 0.00%

Task No

Awarded $ Functional Role Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual

Michael Grandy* Principal 10.0 0.5 15.0 15.0 5.0 5.0 Taylor Dunkle Project Manager 40.0 1.0 40.0 1.5 45.0 5.0 45.0 30.0 Keith Christian Consultant 5.0 25.0 10.0 5.0 5.0 Chris Joannes Consultant 5.0 20.0 0.0 0.0 0.0 Allen Hathcock Technical Expert 5.0 0.0 5.0 20.0 0.0 Anita Johari Technical Expert 5.0 0.0 10.0 20.0 0.0 Kristen Faltz Planner 5.0 25.0 0.0 0.0 0.0 Dan Iwicki Engineer 5.0 25.0 5.0 5.0 5.0 Karina Trejo Analyst 5.0 25.0 5.0 4.0 5.0 5.0 Lina Youssef Analyst 0.0 40.0 40.0 60.0 60.0 Evan Omta Analyst 0.0 60.0 60.0 4.0 40.0 40.0 Greg Honiotes Analyst 0.0 15.0 15.0 15.0 15.0 Jalen Woodward Analyst 0.0 0.0 0.0 17.5 0.0 0.0 Isaac Wotherspoon Analyst 0.0 0.0 0.0 1.0 0.0 0.0 Ajdin Spahic Analyst 10.0 25.0 15.0 10.0 10.0 Jason Getz GIS 0.0 45.0 30.0 20.0 5.0 Justin Gilbert Graphic Designer 10.0 0.0 0.0 0.0 10.0 Tamie Schofield Admin/Financial Support 8.0 4.0 4.0 4.0 8.0 Mike Dayton Admin/Financial Support 6.0 1.0 4.0 4.0 4.0 4.0

$ 33,370.05

Purchase Order Number PO0000697863

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

The hours reported on this table are provided to enable visual assessment by the ADOT Project Manager of progress on work tasks. Race Conscious DBE Goal Commitment 0.00%

This information will also be used to verify that the level of team member and/or individual designated for the task is actually performing the work.

This information will also be used if auditing the project for DBE Commercially Useful Function. Vendor's Invoice Number 30834176

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

Please update Actual Hours

3 - Needs & Solution

Development

4 - Solution & Prioritization

5 - Final Report

6 7 8 9 10 11

AZ Certified

DBE?

$ of Contract Award $ 224,299.75

1 - Project Management

2 - Current Conditions

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

Docusign Envelope ID: 00D9985B-4EBF-414A-925F-FCEC58B011E0

SubContractor Firm

DBE % 0.00%

Task No Awarded $

Functional Role Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Sharon Morris Project Manager Dirk Rice Analyst Nicholas Smith Analyst

SubContractor Firm

DBE % 0.00%

Task No Awarded $

Functional Role Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual

SubContractor Firm

DBE % 0.00%

Task No Awarded $

Functional Role Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual

SubContractor Firm

DBE % 0.00%

Task No Awarded $

Functional Role Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual Plan Actual

119.00 2.50 368.00 1.50 263.00 31.50 258.00 0.00 202.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Staff Name 1 2

Staff Name

Staff Name 1 2

$ 3,103.27

6 7 8 9 11

Field Daya Services of Arizona, Inc.

AZ Certified

DBE?

$ of Contract Award $ 3,103.27

3 10

$ of Contract Award $ -

4 5

AZ Certified

DBE?

AZ Certified

DBE?

$ of Contract Award $ -

4 5 10

8 96 7

1 2

Notes, Comments

3 6 7 118 9

TOTALS

Staff Name

10 113 4 5 6 7 8 9

AZ Certified

DBE?

$ of Contract Award $ -

3 4 5

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

PO0000697863

30834176

Reporting Contact Information

Kimley-Horn and Associates, Inc. Taylor Dunkle

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)

45705

Describe Compliance with Invoicing Requirements:

Describe Project Delivery Compared with Schedule:

Describe Project Outcomes Compared with Objectives:

Describe Vendor Performance

Services, Goods or Equipment:

Describe the performance issue. Be accurate, complete and factual. Use an attachment if necessary.

MPD Tracking Number MPD0545-24 SR 287 / SR 87 Corridor Study

PROCUREMENT ACTION

Docusign Envelope ID: 00D9985B-4EBF-414A-925F-FCEC58B011E0

1611 W Jackson St, Phoenix, AZ 85007

See future invoice requests above.

X

2/18/2025

Project Objectives have been met.

Consulting Services

Regional Planner

Performance is within expected standards. Please submit requested invoice items for the next submitted invoice. Please add subconsultants projected hours for the subcontractor section, also tabulate total hours (from all the invoice to recent) for each task rather then invoice period. This is to see how many hours are remaining to be used for each task in the project. Thank you

Invoicing requirements were met. ***Please add subconsultants projected hours for the subcontractor section, also tabulate total hours for each task versus for each invoice period.

William Randolph

Project Delivery was within the agreed upon schedule.

MPD /

602.712.7025 WRandolph@azdot.gov

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 848376 Account Number:

ABA#:

2073089159554 121000248

LOS ANGELES, CA 90084-8376

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 Jan 31, 2025

Invoice Amount: $5,884.70

Invoice No: 30834176 Invoice Date: Jan 31, 2025

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

Client Reference: MPD0545-24

PO0000697863

Description Contract Value Amount Earned to Date Previous Amount

Billed Current Amount

Due

SERVICES RENDERED 227,403.02 86,049.50 80,164.80 5,884.70

291199018.3 Total Invoice: $5,884.70

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: 30834176 Invoice Date: Jan 31, 2025

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

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

Task Category Description/Name Hrs/Qty Rate Current Amount

Due

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

PROJECT MANAGER DUNKLE, TAYLOR 1.0 250.08 250.08

PRINCIPAL GRANDY, MICHAEL 0.5 302.18 151.09

TOTAL PROJECT MANAGEMENT3T 2.5 531.42

CURRENT CONDITIONS PROJECT MANAGER DUNKLE, TAYLOR 1.5 250.08 375.12

TOTAL CURRENT CONDITIONS1T 1.5 375.12

NEEDS & SOLUTION DEV ANALYST OMTA, EVAN 4.0 140.67 562.68

TREJO, KARINA 4.0 140.67 562.68

WOODWARD, JALEN 17.5 140.67 2,461.73

PROJECT MANAGER DUNKLE, TAYLOR 5.0 250.08 1,250.40

WOTHERSPOON, ISAAC 1.0 140.67 140.67

TOTAL NEEDS & SOLUTION DEV5T 31.5 4,978.16

TOTAL LABOR AND EXPENSE DETAIL 5,884.70

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

81MRD

2/17/2025 ADOT MPD_0545-45_H94.3_Update_Progress Report_Jan 2024(CPS SR 287-SR87).docx 1 of 1

PROGRESS REPORT NO. 5

Arizona Department of Transportation

Task Assignment: MPD0545-24 H94.3

ADOT SR 287 / SR 87 Corridor Study Contract # CTR060474

Kimley-Horn Project No. 291199018

Reporting Period: Through January 31, 2025

Key Project Staff

Taylor Dunkle, Project Manager Michael Grandy, Principal

Progress and Accomplishments during the Reporting Period

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

Coordination with GRICDOT members.

Developed draft Project Fact Sheet for distribution, if needed.

Task 2 – Current Conditions

Review comments on Working Paper 1.

Task 3 – Needs and Solution Development Work on Needs Assessment for Bridge, Freight, Mobility, Pavement, and Safety Needs.

Compile Needs Assessment into Needs Summary Spreadsheet.

Task 4 – Solution and Prioritization

No activity during invoice period

Task 5 – Final Report

No activity during invoice period

Contacts Made

Coordinated with Will Randolph and GRICDOT members

Information Generated

Needs Assessment results for Bridge, Freight, Mobility, Pavement, and Safety Needs.

Next Month Anticipated Activities

Finalize Needs Assessment.

Revise Existing Conditions based on TAC feedback.

Complete Needs Assessment.