KIMLEY-HORN_INVOICE_30913715_MPD0371-23_H94.7 January(SHSP & ATSAP) (1).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

5,295.00$ 5,295.00$ 3,817.79$ 1,477.21$ 3,817.79$ 1,477.21$ -$ $ - $ 1,477.21

1,271,536.00$ 84,809.29$ 1,356,345.29$ 1,070,777.27$ 285,568.02$ 1,070,777.27$ 285,568.02$ 29,950.81$ -$ $ 29,950.81 $ 255,617.21

TOTALS 1,276,831.00$ 84,809.29$ 1,361,640.29$ 1,074,595.06$ -$ 287,045.23$ 1,074,595.06$ 287,045.23$ 29,950.81$ -$ 29,950.81$ 257,094.42$

Date Signed / Invoice Date

2/27/2025 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.

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)

Steve Neher 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 PO0000732977

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 30913715

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: 2E0D1BBD-1295-4058-A709-9BCFB66A23B8

X

REC #162779902/27/2025

Enter Date Received by MPD and Receipt Number

Accounts Payable DocuSign

2/28/2025 AP RECEIVED 2/28/25

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 80.0 50.0 60.5 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 Mike Colety Principal 4.0 2.0 3.0 2.0 5.0 3.0 5.0 5.0 2.5 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 3.0 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 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 1.5 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 Stewart Allen Technical Expert 0.0 0.0 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 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 0.0 0.0 17.5 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 Anita Johari Technical Expert 4.0 0.0 0.0 2.0 15.0 3.0 0.0 30.0 5.5 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 0.0 10.0 2.0 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 Planner 20.0 0.0 0.0 0.0 0.0 0.0 0.0 20.0 7.0 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 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 0.0 0.0 0.0 0.0 0.0 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 1.0 0.0 0.0 0.0 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 Planner 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 4.0 0.0 0.0 0.0 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 0.0 170.0 0.0 335.0 106.0 276.0 0.0 65.0 0.0 113.0 0.0 165.0 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

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 30913715

Decreases in DBE Firm Participation or Removal MUST be Authorized by the BECO Office in Advance. Total Project Award 1,361,640.29$

Please update Actual Hours

3 4

AZ Certified

DBE?

$ of Contract Award $ 915,598.55

Purchase Order Number PO0000732977

$ 127,425.00 $ 11,325.00 $ 34,220.00 $ 9,315.00 $ 20,855.00 Staff Name 5 6 152

$ 158,590.00 $ 52,025.00

$ 59,720.00 $ 26,805.00 $ 23,855.00 $ 85,334.27 20 21 2216 17 18 19

$ 42,925.00 7 8 9 10 11 12 13 14

$ 7,115.00 $ 16,400.00 $ 12,605.00 $ 3,080.00 $ 128,374.28 $ 7,190.00 $ 3,620.00 $ 3,080.00

Docusign Envelope ID: 2E0D1BBD-1295-4058-A709-9BCFB66A23B8

SubContractor Firm DBE % 0.00%

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 76.0 29.0 158.0 52.0 3.5 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 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 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 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 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 2.0 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 0.00 96.0 3.5 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 2.00 1064.00 0.00 277.00 0.00 1064.00 0.00 365.00 3.50 378.00 0.00 646.00 0.00 366.00 106.00 307.00 0.00 66.00 0.00 115.00 0.00 285.00 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 $ 204,391.75 $ 24,774.00

AZ Certified

DBE?

Staff Name 2 3

$ 155.00 $ 91,525.99

$ 18,788.00

WORKS CONSULTING, LLC

WSP USA INC.

$ 1,963.00

AZ Certified

DBE?

$ of Contract Award $ 320,934.75

$ 12,652.00

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 $ 5,354.00 $ 3,536.00 $ 2,629.00 $ 3,527.00 $ 845.00 $ 845.00 $ 155.00 $ 310.00 $ 13,020.00 $ 486.00 $ 155.00

Notes, Comments

$ of Contract Award $ 125,106.99

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

PO0000732977

30913715

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: 2E0D1BBD-1295-4058-A709-9BCFB66A23B8

SNeher@azdot.gov

Project Objectives have been met.

602-309-9981

X

2/27/2025

MPD / Traffic Safety

Project Delivery was within the agreed upon schedule.

Transportation Engineering Specialist

Performance is within expected standards.

Invoicing requirements were met.

1611 W Jackson St, Phoenix, AZ 85007

Steve Neher

Services

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: $29,950.81

Invoice No: 30913715 Invoice Date: Jan 31, 2025

Project No: 291199016.3 Project Name: ADOT SHSP & ATSAP Project Manager: GRANDY, MICHAEL

Client Reference: MPD0371-23 H94.7 DBE0

PO #0000732977

Description Contract Value Amount Earned to Date Previous Amount

Billed Current Amount

Due

SERVICES RENDERED 1,361,640.29 1,104,545.87 1,074,595.06 29,950.81

291199016.3 Total Invoice: $29,950.81

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: 30913715 Invoice Date: Jan 31, 2025

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

EA TEAMS & PLANS ADMIN/FINANCIAL SUPPORT DAYTON, MIKE 1.0 130.25 130.25

CONSULTANT JOANNES, CHRIS 2.0 270.92 541.84

PETRU, BENJAMIN 17.5 270.92 4,741.10

PLANNER FALTZ, KRISTEN 7.0 177.14 1,239.98

MCKELL, RYAN 4.0 177.14 708.56

PRINCIPAL COLETY, MIKE 2.5 302.18 755.45

TECHNICAL EXPERT ALLEN, STEWART 1.5 286.55 429.83

BURROWS, TIM 1.5 286.55 429.83

CROWTHER, BRENT 3.0 286.55 859.66

GRANDY, MICHAEL 60.5 286.55 17,336.28

JOHARI, ANITA 5.5 286.55 1,576.03

TOTAL EA TEAMS & PLANS11T 106.0 28,748.81

WSP SUPPORT EXPENSES SUBCONSULTANTS 1,202.00

TOTAL WSP SUPPORT1T 1,202.00

TOTAL LABOR AND EXPENSE DETAIL 29,950.81

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

81MRD

2/27/2025 ADOT MPD_0371-23_H94.7_Update_Progress Report_Jan 2025(SHSP & ATSAP).docx 1 of 1

PROGRESS REPORT NO. 18

Arizona Department of Transportation

Task Assignment: MPD0371-23 H94.7

ADOT SHSP & ATSAP

Contract # CTR060474

Kimley-Horn Project No. 291199016

Reporting Period: Through January 31, 2025

Key Project Staff

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

Progress and Accomplishments during the Reporting Period

Task 8 – EA Team Meetings and Action Plans Conducted project management activities Attended SHSP Implementation check-in meetings Refined SHSP action tracking tool Updated rosters for Emphasis Area Teams Prepared for and conducted Emphasis Area Team meetings Prepared notes for Emphasis Area Team meetings Participated in safety education campaign vendor interviews

Contacts Made

Coordinated with ADOT and Emphasis Area Teams

Information Generated

Updated Emphasis Area Teams’ rosters

Next Month Anticipated Activities

Identify Chair and Vice-Chairs for each Emphasis Area Team Schedule next quarterly meeting for each Emphasis Area Team Assist in selection of safety education campaign vendor Continue refining SHSP action tracking tool Continue updating rosters for Emphasis Area Teams

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: 40135586 Invoice Date: 10-JAN-2025 Contract Number: US-WSP-31000691 Currency: USD

Professional Services Provided from 30-NOV-2024 to 27-DEC-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 1,202.00 247,284.67 248,486.67 28,876.33 89.59%

Total 277,363.00 1,202.00 247,284.67 248,486.67 28,876.33 89.59%

WSP USA Inc.

Invoice Number: 40135586

Task Name: Adequate Ldrshp (002)

LABOR

Professional Personnel Hours Bill Rate Bill Amount

Bailey, Corinne Administrative/Financia l Support

2.00

125.00 250.00

Labor Total Adequate Ldrshp 2.00 250.00

Task Total Adequate Ldrshp (002) 250.00

Task Name: Final Doc/Implement (006)

LABOR

Professional Personnel Hours Bill Rate Bill Amount

Beck, Scott Technical Expert 3.50

272.00 952.00

Labor Total Final Doc/Implement 3.50 952.00

Task Total Final Doc/Implement (006) 952.00

Invoice Total

1,202.00 (USD)

OUTSTANDING INVOICES

Invoice Number Date Days Outstanding Balance

40124899 12-DEC-2024 26 2,963.50

Total: 2,963.50

Company Name: WSP USA Inc.

Invoice Number: 18

Invoice Period Ending: December 27, 2024

None

No activity

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 No activity

Task 6: Final Documentation and Implementation Plan Start implementation scheduling.

Task 2: Ensure Adequate Leadership, Collaboration, and Communication

ADOT SHSP and ATSAP Progress Report

Task 1: 2023 Vulnerable Road User Safety Assessment No activity