VPR ctr060474.pdf
PDF 941 KB Posted
- Attached to
- Master Agreement AZ|CTR060474
- Contract number
- CTR060474
- Issued by
- Arizona
About this file
This document is an invoice and supporting documentation from Kimley-Horn and Associates, Inc. for professional services provided to the Arizona Department of Transportation (ADOT) Multimodal Planning Division under contract ADOT17-171963. The project, designated as MPD0021-21 H80, is a CPS Statewide Summary, involving coordination with ADOT Northwest District staff, FHWA, and focused on transportation planning and mobility performance assessment.
The contract has a total project award of $71,650.00, with this specific invoice requesting $11,700.00 for services rendered through January 31, 2024. The work includes developing trip generation and assignment volumes for future land uses near US 93, calculating volume-to-capacity ratios, and initiating mobility performance reassessment calculations. The invoice details labor hours from various team members including a project manager, project engineer, analysts, and consultants, with billing rates ranging from $125 to $260 per hour. The project has a 0.00% DBE (Disadvantaged Business Enterprise) commitment, and no DBE subcontractors were involved in this phase of work.
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Text version
No Partial - In Progress
0.00% 0
Billing Start Date
1/1/2024 Billing
End Date 1/31/2024
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
1,500.00$ 1,500.00$ -$ 1,500.00$ 1,500.00$ -$ $ - $ 1,500.00
32,245.00$ 37,905.00$ 70,150.00$ 33,397.50$ 36,752.50$ 33,397.50$ 36,752.50$ 11,700.00$ -$ $ 11,700.00 $ 25,052.50
TOTALS 33,745.00$ 37,905.00$ 71,650.00$ 33,397.50$ -$ 38,252.50$ 33,397.50$ 38,252.50$ 11,700.00$ -$ 11,700.00$ 26,552.50$
Date Signed / Invoice Date
2/29/2024 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
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 - Expenses
Task 2 - CPS Statewide Summary Labor
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 27106095
Please Leave BlankPrime PM Email
Billing Summary / Reimbursement Request For use by: Vendors / Contractors / Suppliers of MPD
(Version 07/01/2023)
Chris LaVoie Project Title
(For Research Project add SPR Number)
CPS Statewide Summary MPD Tracking Number
{Use Format: MPDnnnn-yy};
{RTAP use " MPDRTAP-yy"}
MPD0021-21 H80ADOT 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 PO0000613378
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: 92D9F87E-05B9-442C-9B8B-7C46B237A4B7DocuSign Envelope ID: 46250B7C-CED5-4FC8-A8BA-2609654711DC
X
REC #1368946
03/04/2024 Enter Date Received by MPD and Receipt Number
Accounts Payable DocuSignIN QUEUE FOR PROCESSING3/5/2024 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 Brent Crowther Consultant 13.0 Michael Grandy Consultant 119.0 13.0 Raj Christian Consultant 3.0 Keith Christian Engineer 9.0 Kristen Faltz Analyst 24.0 Chris Joannes Planner 8.0 0.5 Eve Fillingham Planner 0.0 Matthew Hernandez Planner 0.0 Angela McHugh Planner 0.0 Jason Getz GIS 55.0 Taylor Dunkle Engineer 133.0 16.5 Karina Trejo Analyst 10.0 18.5 Dan Iwicki Engineer 24.0 Ajdin Spahic Analyst 0.0 Isaac Wotherspoon Analyst 0.0 9.0 Logan Prescott Analyst 126.0 Greg Honiotes Analyst 0.0 9.5 Jessie Jensen Admin/Financial 0.0 Bill Tran Analyst 0.0 Mike Dayton Admin/Financial 9.0 1.5
$ 99,687.50 Staff Name
AZ Certified
DBE?
$ of Contract Award $ 99,687.50
Purchase Order Number PO0000613378
Vendor Hours Contribution Table & DBE Compliance Report MPD Tracking Number MPD0021-21 H80
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 27106095
Decreases in DBE Firm Participation or Removal MUST be Authorized by the BECO Office in Advance. Total Project Award 71,650.00$
Please update Actual Hours
DocuSign Envelope ID: 92D9F87E-05B9-442C-9B8B-7C46B237A4B7DocuSign Envelope ID: 46250B7C-CED5-4FC8-A8BA-2609654711DC
TOTALS 533.0 68.5
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 5.0
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
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
4 5 103 8 9
AZ Certified
DBE?
$ of Contract Award
6 7 11
10 11
AZ Certified
DBE?
$ of Contract Award $ -
3 4 5 8 96 7
10 113 4 5 6 7 8 9
$ of Contract Award $ -
4 5
AZ Certified
DBE?
6 7 8 9 11
AZ Certified
DBE?
$ of Contract Award $ -
3 10
Staff Name
Staff Name 1 2
Staff Name 1 2
Staff Name 1 2
DocuSign Envelope ID: 92D9F87E-05B9-442C-9B8B-7C46B237A4B7DocuSign Envelope ID: 46250B7C-CED5-4FC8-A8BA-2609654711DC
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
##### 137.00 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 0.00 0.00 5.00 0.00 0.00 0.00 0.00
Notes, Comments
AZ Certified
DBE?
$ of Contract Award
3 4 5 8 96 7 10 11
Staff Name 1 2
TOTALS
DocuSign Envelope ID: 92D9F87E-05B9-442C-9B8B-7C46B237A4B7DocuSign Envelope ID: 46250B7C-CED5-4FC8-A8BA-2609654711DC
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 MPD0021-21 H80 CPS Statewide Summary
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
PO0000613378
27106095
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: 92D9F87E-05B9-442C-9B8B-7C46B237A4B7DocuSign Envelope ID: 46250B7C-CED5-4FC8-A8BA-2609654711DC
Project Delivery was within the agreed upon schedule.
1611 W Jackson Phoenix, AZ 85007
Project Objectives have been met.
Chris LaVoie
Performance is within expected standards.
ADOT17-171963
X
Invoicing requirements were met.
602-712-8181 CLaVoie@azdot.gov
PM
3/5/2024
CPS Statewide Summary
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 94163 P.O. BOX 913221 Account Number:
ABA#:
2073089159554 121000248
DENVER, CO 80291-3221
10pt blank space
ARIZONA DEPARTMENT OF TRANSPORTATION
ADOT MULTIMODAL PLANNING DIVISION
ATTN: CHRIS LAVOIE
206 S. 17TH AVE., MD 310B
PHOENIX, AZ 85007
Federal Tax Id: 56-0885615 For Services Rendered through Jan 31, 2024
Invoice No: 27106095 Invoice Date: Jan 31, 2024 Invoice Amount: $11,700.00
Project No: 291199015.3 Project Name: CPS STATEWIDE SUMMARY Project Manager: GRANDY, MICHAEL
Client Reference: ADOT17-171963
PO#0000613378
Description Contract Value Amount Earned to Date Previous Amount
Billed Current Amount
Due
SERVICES RENDERED 71,650.00 45,097.50 33,397.50 11,700.00
Total Invoice: $11,700.00 291199015.3
If you have questions, please contact Mike Dayton at (602) 789-3848, or Mike.Dayton@kimley-horn.com 81MRD
DocuSign Envelope ID: 92D9F87E-05B9-442C-9B8B-7C46B237A4B7DocuSign Envelope ID: 46250B7C-CED5-4FC8-A8BA-2609654711DC
ARIZONA DEPARTMENT OF TRANSPORTATION
ADOT MULTIMODAL PLANNING DIVISION
ATTN: CHRIS LAVOIE
206 S. 17TH AVE., MD 310B
PHOENIX, AZ 85007
Invoice No: 27106095 Invoice Date: Jan 31, 2024
Project No: 291199015.3 Project Name: CPS STATEWIDE SUMMARY
Project Manager: GRANDY, MICHAEL
COST PLUS MAX 002072291199015.3W10563291199015.3CPM-1DTCPM
Task Category Description/Name Hrs/Qty Rate Current Amount
Due
STATEWIDE SUMMARY ADMIN/FINANCIAL DAYTON, MIKE 1.5 125.00 187.50
ANALYST HONIOTES, GREG 1.5 135.00 202.50
TOTAL STATEWIDE SUMMARY2T 3.0 390.00
MOBILITY REASSESSMENT ANALYST HONIOTES, GREG 8.0 135.00 1,080.00
TREJO, KARINA 18.5 135.00 2,497.50
CONSULTANT GRANDY, MICHAEL 13.0 260.00 3,380.00
ENGINEER DUNKLE, TAYLOR 16.5 185.00 3,052.50
ANALYST WOTHERSPOON, ISAAC 9.0 135.00 1,215.00
PLANNER JOANNES, CHRIS 0.5 170.00 85.00
TOTAL MOBILITY REASSESSMENT6T 65.5 11,310.00
TOTAL LABOR AND EXPENSE DETAIL 11,700.00
This page is for informational purposes only. Please pay amount shown on cover page.
81MRD
DocuSign Envelope ID: 92D9F87E-05B9-442C-9B8B-7C46B237A4B7DocuSign Envelope ID: 46250B7C-CED5-4FC8-A8BA-2609654711DC
2/29/2024 ADOT MPD_0021-21_H80_Update_Progress Report_Jan 2024(CPS STATEWIDE).docx 1 of 1
PROGRESS REPORT NO. 8
Arizona Department of Transportation
Task Assignment: MPD0021-21 H80
CPS Statewide Summary Contract # ADOT17-171963
Kimley-Horn Project No. 291199015
Reporting Period: Through January 31, 2024
Key Project Staff
Michael Grandy, Project Manager Taylor Dunkle, Project Engineer
Progress and Accomplishments during the Reporting Period
Task 1 – CPS Statewide Summary Conducted project management activities.
Met with ADOT Northwest District staff and reviewed preliminary findings.
Developed trip generation and assignment volumes for future land uses near US 93.
Calculated volume-to-capacity ratio on US 93.
Coordinated with FHWA to schedule a meeting with them.
Initiated mobility performance reassessment calculations.
Contacts Made
Coordinated with Chris LaVoie and Paul Patane.
Met with ADOT Northwest District staff.
Coordinated with FHWA staff.
Information Generated
Trip generation and assignment volumes.
Next Month Anticipated Activities
Identification of needed improvements along US 93.
Meeting with FHWA.
DocuSign Envelope ID: 92D9F87E-05B9-442C-9B8B-7C46B237A4B7DocuSign Envelope ID: 46250B7C-CED5-4FC8-A8BA-2609654711DC
Certificate Of Completion Envelope Id: 92D9F87E05B9442C9B8B7C46B237A4B7 Status: Completed
Subject: Complete with DocuSign: KIMLEY-HORN_INVOICE_27106095_MPD_0021-21_H80_Jan(CPS STATEWIDE).pdf
Source Envelope:
Document Pages: 8 Signatures: 1 Envelope Originator:
Certificate Pages: 1 Initials: 0 Mike Dayton
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-05:00) Eastern Time (US & Canada)
401 Fayetteville St.
Suite 600
Raleigh, NC 27601
Mike.Dayton@kimley-horn.com
IP Address: 137.83.223.169
Record Tracking Status: Original
2/29/2024 1:49:09 PM
Holder: Mike Dayton
Mike.Dayton@kimley-horn.com
Location: DocuSign
Signer Events Signature Timestamp Chris LaVoie
Clavoie@azdot.gov
PM
ADOT
Security Level: Email, Account Authentication (None)
Signature Adoption: Pre-selected Style
Using IP Address: 68.226.103.203
Sent: 2/29/2024 1:51:49 PM
Viewed: 3/1/2024 5:13:32 PM
Signed: 3/1/2024 5:13:40 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 2/29/2024 1:51:49 PM
Certified Delivered Security Checked 3/1/2024 5:13:32 PM
Signing Complete Security Checked 3/1/2024 5:13:40 PM
Completed Security Checked 3/1/2024 5:13:40 PM
Payment Events Status Timestamps
DocuSign Envelope ID: 46250B7C-CED5-4FC8-A8BA-2609654711DC
| BillingReport |
| VendorHoursContribution |
| Vendor Performance Report |
| 2024-03-05T15:01:03-0800 | |
| Digitally verifiable PDF exported from www.docusign.com |
File details come from the government source that posted it. Updated .