KIMLEY-HORN_INVOICE_30834177_MPD0541-24_H94.3 Jan(NHFN,CUFC,CRFC).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

199,183.99$ 199,183.99$ 35,527.05$ 163,656.94$ 35,527.05$ 163,656.94$ 16,898.65$ -$ $ 16,898.65 $ 146,758.29

750.00$ 750.00$ 750.00$ 750.00$ -$ $ - $ 750.00

TOTALS 199,933.99$ -$ 199,933.99$ 35,527.05$ -$ 164,406.94$ 35,527.05$ 164,406.94$ 16,898.65$ -$ 16,898.65$ 147,508.29$

Date Signed / Invoice Date

2/24/2025

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

Deanna Haase SignatureSignature

Deanna.Haase@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)

Heidi Yaqub Project Title

(For Research Project add SPR Number)

Update to NHFN, CUFC, and CRFC MPD Tracking Number

{Use Format: MPDnnnn-yy};

{RTAP use " MPDRTAP-yy"}

MPD0541-24ADOT 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 PO0000709322

Deanna.Haase@Kimley-horn.com Please Leave Blank

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

Deanna Haase DBE Commitment % How many DBE Subcontractors performed on the Project?

Invoice Number 30834177

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 Freight and Goods Movement Planning

Task 2 Travel

Area Reserved Color Key

Docusign Envelope ID: 6A40D619-5526-4888-8A00-AF5530B485B2

X

REC # 1625429

02/24/2025

Enter Date Received by MPD and Receipt Number

Accounts Payable DocuSign IN QUE FOR PROCESSING2/25/2025 mailto:Deanna.Haase@Kimley-horn.com mailto:Deanna.Haase@Kimley-horn.com mailto:Deanna.Haase@kimley-horn.com mailto:Deanna.Haase@kimley-horn.com mailto:Deanna.Haase@Kimley-horn.com

Prime Firm Name No 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 6.0 5.0 6.0 0.5 7.0 14.0 2.0 5.0 Deanna Haase Technical Expert 36.0 6.0 12.0 4.0 34.0 16.5 14.0 4.0 8.0 7.0 Chris Joannes* Consultant 0.0 0.0 8.0 3.0 14.0 0.0 5.0 Joseph Culfari Planner 0.0 0.0 0.0 47.0 0.0 20.0 4.0 Ajdin Spahic Analyst 30.0 0.5 50.0 14.0 3.0 65.0 52.5 45.0 9.0 27.0 Giovanni Catanzaro Analyst 28.0 40.0 2.0 14.0 15.0 0.0 19.0 Greg Honiotes Analyst 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Emma Luken Admin/Financial Support 0.0 0.0 0.0 0.0 0.0 0.0 0.0 Tamie Schofield Admin/Financial Support 0.0 4.0 0.0 4.0 4.0 0.0 2.0 Mike Dayton Admin/Financial Support 12.0 1.0 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 Haitau Yu Project Manager 24.0 8.0 16.0 10.0 40.0 Dan Andersen Technical Expert 8.0 4.0 4.0 10.0 16.0 Elaine McKenzie Technical Expert 4.0 4.0 20.0 Seth LaRue Planner 16.0 16.0

$ 20,996.30

Purchase Order Number PO0000709322

Vendor Hours Contribution Table & DBE Compliance Report MPD Tracking Number MPD0541-24

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 30834177

Decreases in DBE Firm Participation or Removal MUST be Authorized by the BECO Office in Advance. Total Project Award 199,933.99$

Please update Actual Hours

3 - Collect Data 4 - Conduct

Consultations

5 - Update & Develop an Approach &

Criteria

6 - Public Involvement

Plan 7 - Final Memo 8 9 10 11

AZ Certified

DBE?

$ of Contract Award $ 119,856.05

1 - Project Mgmt

2 - Review previous CRFC

& CUFCStaff Name

Staff Name 1 2

$ 3,103.27 6 7 8 9 11

$ 6,559.39

Cambridge Systems AZ Certified

DBE?

$ of Contract Award $ 80,077.94

3 10

$ 21,850.74 $ 18,130.80 $ 7,377.36 $ 32,630.23 $ 12,311.23

4 5

Charly Gutierrez Analyst 16.0 80.0 Weslene Uy Senior Analyst 24.0 8.0 80.0

Notes, Comments

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

PO0000709322

30834177

Reporting Contact Information

Kimley-Horn and Associates, Inc. Deanna Haase

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)

45712

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 MPD0541-24 Update to NHFN, CUFC, and CRFC

PROCUREMENT ACTION

Docusign Envelope ID: 6A40D619-5526-4888-8A00-AF5530B485B2

Project Objectives have been met.

HYaqub@azdot.gov

Invoicing requirements were met.

1611 W Jackson St, Phoenix, AZ 85007

NA

Regional/Freight Planner

Heidi Yaqub

Performance is within expected standards.

Project Delivery was within the agreed upon schedule.

602-712-7644

X

MPD /4210

2/25/2025

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

MULTIMODAL PLANNING DIVISION

ATTN: HEIDI YAQUB

206 SOUTH 17TH AVE, MD310B

PHOENIX, AZ 85007

Federal Tax Id: 56-0885615 For Services Rendered through Jan 31, 2025

Invoice Amount: $16,898.65

Invoice No: 30834177 Invoice Date: Jan 31, 2025

Project No: 291199019.3 Project Name: UPDATE TO NHFN/CUCF/C Project Manager: HAASE, DEANNA

Client Reference: CONTRACT #CTR060474

MPD0541-24 H94.3

Description Contract Value Amount Earned to Date Previous Amount

Billed Current Amount

Due

SERVICES RENDERED 199,933.99 52,425.70 35,527.05 16,898.65

291199019.3 Total Invoice: $16,898.65

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

ARIZONA DEPARTMENT OF TRANSPORTATION

MULTIMODAL PLANNING DIVISION

ATTN: HEIDI YAQUB

206 SOUTH 17TH AVE, MD310B

PHOENIX, AZ 85007

Invoice No: 30834177 Invoice Date: Jan 31, 2025

Project No: 291199019.3 Project Name: UPDATE TO NHFN/CUCF/C Project Manager: HAASE, DEANNA

HOURLY NOT TO EXCEED 005129291199019.3W10563291199019.3CPM-1DTCPM

Task Category Description/Name Hrs/Qty Rate Current Amount

Due

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

ANALYST SPAHIC, AJDIN 0.5 140.67 70.34

TECHNICAL EXPERT HAASE, DEANNA 6.0 286.55 1,719.30

TOTAL PROJECT MANAGEMENT3T 7.5 1,919.89

DATA COLLECTION ANALYST SPAHIC, AJDIN 3.0 140.67 422.01

PRINCIPAL GRANDY, MICHAEL 0.5 302.18 151.09

TOTAL DATA COLLECTION2T 3.5 573.10

CONDUCT CONSULTATION ANALYST SPAHIC, AJDIN 52.5 140.67 7,385.18

TECHNICAL EXPERT HAASE, DEANNA 16.5 286.55 4,728.08

TOTAL CONDUCT CONSULTATION2T 69.0 12,113.26

PUBLIC INVOLVEMENT TECHNICAL EXPERT HAASE, DEANNA 8.0 286.55 2,292.40

TOTAL PUBLIC INVOLVEMENT1T 8.0 2,292.40

TOTAL LABOR AND EXPENSE DETAIL 16,898.65

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

81MRD

2/24/2025 ADOT MPD_0541-24_H94.3_Update_Progress Report_Jan 2025(NHFN,CUFC,CRFC).docx 1 of 2

PROGRESS REPORT NO. 4

Arizona Department of Transportation

Task Assignment: MPD0541-24 H94.3

ADOT Update to National Highway Freight Network (NHFN), Critical Urban Freight Corridors (CUFC) and Critical Rural Freight Corridors (CRFC)

Contract # CTR060474 Kimley-Horn Project No. 291199019

Reporting Period: Through January 31, 2025

Key Project Staff

Deanna Haase, Technical Expert Michael Grandy, Principal

Progress and Accomplishments during the Reporting Period

Task 1 – Project Management Agendas for Friday project progress meetings on 1/10 and 1/24 Addressing comments on WP1

Task 2 – Review Previous CRFC and CUFC No activity during invoice period

Task 3 – Collect Data Prepared materials for TAC and FAC meetings this month Completed TAC meeting on 1/22 Completed FAC meeting on 1/22

Task 4 – Conduct Consultations

Consultation with Florida DOT on 1/13 Consultation with LHCMPO on 1/13 Consultation with CAG on 1/23 Consultation with Illinois DOT on 1/24 Consultation with PAG on 1/24 Consultation with Colorado DOT on 1/30 Consultation with BHCMPO on 1/30 Creating GIS layer for recommended critical freight corridor with context from consultation feedback Working on WP2

Task 5 – Update & Develop an Approach & Criteria

Task 6 – Public Involvement Plan

Coordination of all consultations for meetings in January and February

Task 7 – Final Memo

2/24/2025 ADOT MPD_0541-24_H94.3_Update_Progress Report_Jan 2025(NHFN,CUFC,CRFC).docx 2 of 2

Contacts Made

Coordinated with Heidi Yaqub of ADOT

Information Generated

Consultation feedback from peer interviews and virtual meetings with COGs/MPOs around the state

Additional feedback on contact list and trucking industry involvement

Next Month Anticipated Activities

Continue to engage contacts for MPO/COG/TAC/FAC meetings Continue summary of all consultations made for the development of WP2 Begin development of approach and criteria for designation