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02/24/2015 Resolutions 2015-52 RESOLUTION 2015-52 WHEREAS,the City of Grand Island is developing a transportation project for which it intends to obtain Federal funds; and WHEREAS, the City of Grand Island as a sub-recipient of Federal-Aid funding is charged with the responsibility of expending said funds in accordance with Federal, State and local laws,rules,regulations,policies and guidelines applicable to the funding of the Federal-aid project; and WHEREAS, the City of Grand Island and Olsson Associates wish to enter into a Professional Construction Engineering Services Agreement to provide construction engineering services for the Federal-aid project; and WHEREAS,Olsson Associates will be paid a fixed—fee-for-profit of$69,440.92 and up to a maximum amount of$533,401.18 for actual costs in accordance with Exhibit "A", with a total amount of$602,842.10. NOW, THEREFORE,BE IT RESOLVED BY THE MAYOR AND COUNCIL OF THE CITY OF GRAND ISLAND,NEBRASKA,that the Mayor is hereby authorized and directed to sign the attached Construction Engineering Services Agreement between the City of Grand Island and Olsson Associates of Grand Island, Nebraska. NDOR Project No.: URB-5436(5) NDOR Control No.: 42707 NDOR Project Description: Capital Avenue, Webb Rd—Broadwell Ave Adopted by the City Council of the City of Grand Island, Nebraska, February 24, 2105. Jerem n s Mayor Attest: RaNae Edwards, City Clerk Approved as to Form a February 2l,2015 n City Forney �3,t1, -:;1;?;,a �� Exhibit A SCOPE OF SERVICES CONSTRUCTION ENGINEERING for Project Name:Capital Avenue,Webb-Wheeler,Grand Island NE Pn�wxtNumbenUQB'5438X� ' Control Number:42707 A. PROJECT DESCRIPTION This scope provides for cons truction engineering services for Capital Avenue,Webb-Wheeler,Grand Island /o nd mHo County,Nebraska.The project consists of the following improvements:Capital Avenue will be remediated and replaced with 9"doweled concrete pavement along with the construction of a 6'concrete bike trail.This progress will start at the Wheeler Street intersection and proceed westward to the Webb Road intersection.The project will also consist of im m«aments to storm sewer,water main,sanitary sewer,and roadway lighting. Obonn/swociatea (Consultant)shall serve as agent for the City of Grand Island,(LPA),representing LPA n all matters related to construction engineering services for this project. It shall be th responsibility ultant to administer,monitor,and inspec construction such that the projec is constructed in conformity with the plans npnoifinabunv.and special provisions. The Consultant sha inspect the Contractor's work to determine the progres and quality of work identify discrepancies,report vwmncanromuapoo�os��oLPA and Depo�moot,and dim��mCnn�m'—r� ^°''"^`""u/vuuvw000mnmpanc�». Contractor B. APPLICABLE PUBLICATIONS Work shall be done in accordance with the following materials as currently adopted at the time of letting: 1. AASHTOStanderd Specifications for Transportation Materials and Methods of Sampling and Testing 2. The ASTM Standards 3. NDOR Materials Sampling Guide 4. NDOR Construction Manual 5. NDOR Standard Specifications for Highway Construction 6. Project Plans 7. Contract Special Provisions 8. Manual nn Uniform Traffic Control Devices(MUTCD)and NDOR'oeupp|emen��� o MUTCD. S. NDOR Final Review Manual 10. NDOR Standard Method of Tests for Laboratory and Field C. LPA SHALL PROVIDE The LPA,on an as needed basis,will furnish the following documents for the project. 1. Project description 2. Electronic Construction Plan files including current aerial photographs with project 3. a�nmon�e�c�nQand new hghb*uf and and if available � |wncopies of�e Plans and Special Provisions ' (ROW) easements, LOC, 4. Roadside _ 5. Survey Field Books with control points and bench marks �=������ Crew Policy,see NDOR website) 6. NEPA Document 7. Other These documents may be provided in either paper or electronic format, Pgject Number[RB'54Jd(5) Control mm�o 42707 Page Construction Exhibit"A" D. CONSULTANT SHALL PROVIDE 1. Pro'ect Mena ement and Coordination. This task includes activities to initiate and monitor project schedules,workload assignments and internal cost controls throughout the project. Also included are efforts to prepare and process invoices and monthly progress reports; prepare project correspondence with the LPA and/or NDOR;maintain project records;and perform other duties of the Project Manager as defined in the NDOR Standard Specifications for Highway Construction. 1.1� Project Management activities shall include the following: • Project Provide management of project including staffing, • scheduling, .,=u/w.pmO�nmpo�nand uoo��a0unwb �m�n� . rmpomChange O�e��douhm�oop�n��euppmp--~~~n^"` ���U�mou�m� 'atewmuvsnxappmva • Maintain detailed Project Records and keep them Cu n-ant. All records h ||b available ot�eLPA'ooffice. » a » • Generate contractor's progress and final Estimates in Site Manager • Review Contractor's Construction Schedule • Coordinate with LPA and RC regarding all project activities • Make entries of � basis. Insure data----' ~'^'~=' '`"»/�/mnnagarnnadui|y work pnUaandamope«m�and/abpemuon�nema��in�gappmpha�doUy .. material records. • Coordinate with required utility relocates prior to construction start date. 2. s, Project by the /� ' _.. . ^"=".=Ln�moconnao�candNOOR*honmquoo�d may be and prepare minutes=the«eemg. rmsome P«�no�apub�moo�nQ "=r �mmvconou8ont'sattendanoumoybarequired. 2.1 Construction inspection Planning Meeting The LFA shall coordinate this meeti pho/�»��ofuonotmxbon�anouem|oo and moponaib0Uenumdour nO Attendees should include the LPA RC,construction inspection personnel and ND0R State RopnmantaUvn 2.2 P�'Cun�oobonMaoUng'Pnepam the—agenda,attend,and distribute meeting 2.3 Construction Progress Meetings-Prepare the agenda,attend, and cond uct pohodioprogmoomooUngowdhthoLPAand/orm DOR personnel, contractor, utility pe=°*ml,u»nom»raOonomnaffected by the Pnojoo-FHWA shall be included fo full Federal oversight projects. There will be approximately 42 meetings. • 6 bi-weekly meetings during utility relocates ~ 16 weekly meetings during Phase 1 o 20 bi-weekly meetings for duration of project 2.4 Public Meeting(1) Assist the LPA with scheduling and conducting a Public Meeting with Contractor and Residents prior to the start of project Consultant will prepare exhibits and brief presentation. • 1 public meeting will be help prior to start of construction 2.5 Assume 12 trips to the project site for meetings. Majority of progress meetings will be held at Olsson's office. 3. Traffic Control Plan. Consultant sha//pepamo8offi000n8n|p|anfxthepnojootodo/naoap/onahoo¢o)ore to be signed by a Professional Engineer licensed in the State of Traffic Control plans shall be reviewed by the State Representative prior to placing in service(Owner will use checklist 12-72 to audit and document the C»»ouKa»y»uomplebono/thioocUvity).Onuuthep|onaaecomp|eteU'they are to be submitted to tho p»m»«ofRnopnneibleCharg*(RC). Project Number DRB'5436(5) «vnmxwmner427O7 Pn�eor/ cnmmommnsw�acm«�n�au �u�h�'\�`' cf, ���a ��2 ___ 3.1 PmpamTm�oCon�dP�n�ouoo�aouebND0RS�ndmdP�nnMUTCD and �oND0RGupp�mont��eMUTCD. 0mmn��o�o�owU|'S�n and u» seal plans. • It has been assumed that 8 separate plans will be needed for the 3.2 �,,.,^ _~w pn�eo11 set�reach nf�o8phases. ^*,~~, ' ~°_ -*,'=. ' ~ ' ~ ~_^ : , ^, 3.3 Submit Plan to the RC for their records. - 4. SWPPP Inspections/Manual Updates Consultant shall conduct inspections bi-weekly and after W or greater rain nowa t Storrnwater)Manual shall be updated according to NDOR and/or LPA requirements. 4.1 Conduct 36 Inspections • Assume 26 bi-weekly • Assume 10 special inspections related to rainfall 4.2 Update SWPPP Manual and Tempora Erosion Control Plan 4.3 Assume 36 trips to the project site for SWPP Inspections. 5. ConobncbonGumawStakinn. The following tasks are required if the Consultant is providing Construction Surveying and Staking This work shall be done in accord with�eND0RCono�un�nnMonua|. o»m» 5.1 Provide coordination of st king needs with Contractor 5.2 Cono��ntshall ve��and m'eo�h|�hifnwoeuxa�—the survey control used during the preliminary engineering. 5.3 Stake limits of construction throughout project.(Complete for each phase.) 5.4 Mark removals including pavement removal limits.Stake right-of-way and construction easements. 5.5 Provide rough grading stakes. 5.6 Provide paving hubs for roadway pavement and bike trail.For structures storm sewer and pipe culverts,the consultant will provide grade stakes 5.7 Verify pipe profiles before providing a Culvert Order List to Contractor. 5.8 Stake fence relocation. 5.9 Stake silt fence,water main,sanitary sewer,gas main,communication relocations owa�aodpower line�|ocm�on.|iQhbng and t�0cnigna|x ' 5.10 Vn��a�otingt�'ino|evaUonoand|ocahonn"and m�uotnew p - montg�doo� meet oxi�|nQpavement. -'- 5.11 Assume 70 trips to the project site for construction survey/staking, All items will be staked one time. Except for re-staking required for staking done incorrectly,re-staking will be considered out-of-scope Consultant will invo�w�aLPA�r the m���ng. |fm*��ng�mquimd because of�'aobvibaoof the Conbn�o��o�o �r�*�kingwiUbaw�hheNhnmCon�adbrpayment 6. Construction Consultation/Site Manager&Daily Work Report(DWR) Consultant shall unnta�RC/Designer aa needed�obtain plan dah8na�oos�n��m-bono Maintain and nevio*pn�odmo�ha|xondpmmpt|yonterin�nnaUonin�Si�Ma ~ � Manager. 6.1 Construction ConouUation/SiteMaoager&Daily Work Report(DYVR) • Review and Enter Data into Site Manager • Maintain Project Field Diaries,Files,and Record data in Site Manager ° Document and Review Daily Work Reports(DWRs) Project Number URB-5436(5) Control Number:42707 mgoomr cmxmommne�moe�nu��oo Exhibit"A" ‘" :-; 9. Construction Inspection. Consultant shall perform material sampling and testing and inspection work and project management in accordance with the references list in Sectio B of this Exhibit.Consultant shall assume the duties of"Inspector,(also referred tom the NDOR Construction Manual as"Construction Technician"),"Project Manager" 'onoasu^Enginoor(un|emotheountextofuoaof the term"Engineer"would otherwise require),as those terms are defined and duties set out in the Standard Specifications for MighwayCunntructian Consultant shall assume that it is m»p«»a|b/efor all duties uf the "Engineer unless notified otherwise byRCnn behalf ofL 9.1 Construction Inspection: Duties for construction inspection will include but amn� limited to,the following items: • Conduct wage rate interviews and review payrolls for correctness and Davis-Bacon Wage Rate compliance • Verify that the performance of the work is in conformance with the plans specifications,and special pm��000. ' � Conduct reviews for compliance with Disadvantaged Business Enterprise (DBE)commitments The Consultant is required to create checklists to document assessment and compliance with all environmental commitments for the project. An Environmental Compliance Inspection Audit will be conducted by NDOR personnel.(NDOR will use checklist 12-20 to document the audit of the Consultant.) The environmental check list is to monitor and document construction activities for compliance with NEPA(Environmental Review Checklist,Section 404,NPDES SWPPF,Threatened and Endangered Species,4�o�j • � , ~ ° -°*- ~'��=" " . eeP � ~* • Review work zone traffic contro devices daily and at a minimum weekly control devices(per ATSSA Quality Standards for Work Zone Traffic Control Devices). Perform reflectivity check(DR form 481)of temporary devises at the start of construction activities and at six(6)month intervals or as conditions warrant. • Collect,aign/dute,and file all delive tickets and material All required material certifications shall — certifications. be submitted Materials Ronoa�hOivio�nammmpeniedhyacomp|e�dDR,1 —� ''~~Oform --- Gi�Manager Sample R000�ID. �'amP/o| or • Record Materials Sampling/Sampling ID data in SiteManager. • Consultant shall forward reviewed shop drawings to the RC Shop drawing review is part of the scope of services for this construction engineering agreement Retaining Wall Block Project Number URB-5436(5) mnm�mx�oc4%7O7 Page CommomkmEh��u�nuvmmmx Exhibit"A" Brick Pavers Traffic Signal Items Lighting Items Water Main Items Sanitary Sewe items Storm Sewe Special Structures • Draft and review change order or time extension request including explanation of the issue and resolution and the thejustiflcation for accepted prices and forward to RC.Once reviewed by NDO end FHWA,proceed with the approval process. Forward a signed hardcopy to NDOR for further processing. • Communicate and coordinate plan revisions and change orders with the Designer. • Prepare a field checked culvert order list ~p'~ .* ~' . ° Generate periodic progres estimates using SiteManager and forward to RC for further approval. • Review critical path schedule prepared by the Contractor for appropriateness and Current Controlling Operation(CCO)designation. 9.2 Measure,calculate,and document quantities of pay items 9.3 Keep all records and data up-to-date so that all necessary information appears on the Weekly Report of Working Days when they are generated at mid-week. 9.4 Assume 325 trips to the site for construction inspection 10. Perform Material Sampling and Testing.The Consultant shall perform material testing as required in accordance with the references list in Section B of this Exhibit All testing and sampling personnel shali be certified to perform these duties in accordance with the NDOR Materials Sampling Guide section 28. All non-NDOR Laboratories shall be pre-qualifled by NDOR's Materials and Research Division to conduct the testing they are contracted to perform. NDOR SHALL PROVIDE: Typical testing done by NDOR Materials and Research's Central lab(sampling and delivery for these materials is done by Consultant and submitted to NDOR): All Aggregate • Gradation verification testing P 8idmrs&Emulsions All Steel Products • All testing required for heat number pre-approval and acceptance testing Shernial-L-aa Smoothness • NDOR will run all 10%verification tes ng for projects with Smoothness Specifications br pavement r~^_^ * on- ~w*'~~' CONSULTANT SHALL PROVIDE: (List of tests to be provided by NDOR) 10.1 Collect,verify,document and deliver all samples to testing lab Project Number:DRB'5436(5) Page xm/ Control Number:42707 Exhibit"A" Construction E,igineering Services • Soils Proctor:8 estimated • Mechanical Grain Analysis:16 estimated • Compressive Strength Testing:435 estimated 10.2 Collect,verify,document and deliver a copy of all required material certifications to the NDOR Materials and Research Central Lab 10.3 Review and document test results of all samples and coordinate withuwnorfor acceptance and incorporation into the project. 10.4 Assume 125 trips to the project site for Material Sampling and Testing • Concrete Testing:145 estimated � • Compaction Testing:390 estimated 11. A*BuikDrawnOn. Prepare As-built drawings accord �the LPA manual and�o ounentdim��nohom�aNDOR Final Review So�io~ 11.1 As-Built Drawings Separate record drawing for the water main,sanitary sewer,and traffic signals. A full size paper copy will be delivered to NDOR,and a half size paper copy and PDF containing the record drawings will be delivered to the City. Record drawings will be complete electronically 12. Final Inspections. Consultant shall prepare a punch list of items for the project site and conduct a final project walk-through inspection with the LPA RC and NDOR State Representative to verify that corrective work identified on the punch list has been completed. 12.1 Five Preliminary Walkthroughs of Site and Preparation of Punch List for each phase and one at the end of the project. _-- 12.2 Review Project to verify that Punch List work has been completed(Owner will use LPA Manual checklist 12-75 to audit and document the Consultant's completion of this activity) 13. Project Closeout. Assist RC with compiling project construction records as requested Assemble and Uanomd�na|Conobo��nRocm�o�LPARCin paper�nnot(phn�' aing|eo�ed).induding: (printed 13.1 Project Closeout activities shall include the following: • Project Manager's Final Estimate • Copy of Consultant PM's(representing LPA)Concurrence/Non Concurrence Letter w/Certified Mail Receipt Enclosed. • Copy of Contractor's signed Concurrence/NonConcunce Letter • Memo of Major Item Review • Memo of Time Allowance Review(Required only if the Contractor has overrun on the Contract Time Allowance.) • Borrow Site Memo • City Agreement Letter • Project Completion Memo-The Consultant's PM should perform this in an e-mail to the NDOR Rep with the required information—check with the NOOR Rep for this. The Consultant should ensure that the LPA RC sends a letter of Tentative Acceptance(per NDOR format)to the Contractor—nondnopieoto!hoNDDRRap. • Sign Deduction Memo(If required) • Material Review Memo • SiteManager PM Diary Report • SiteManager Contract Item Report for all Contract Items • All NDOR Spreadsheets and Workbooks used for Contract Item supportive documentation. Manual Project Number URB'5436(5) Control page omr Construction Exhibit"A" '16/ 2:)."-c;Smmry ;Z • Signed and stamped As Built Plans(full size) • Copy of Evaluation(s)of Contractor • LPA CE Project Closeout Checklist(LPA Manual Checklist 14-10) • Deliver Final Construction Records to LPA RC,including Form DR-299- Project Construction Conformity Certification and ensure that the LPA RC completes the LPA RC Project Closeout Checklist(LPA Manual checklist 14-20 and includes it in the Final Records provided to the NDOR State Representative for review) 14. Other. (Additional project specific tasks may be added here) 14.1 Observation and staking has been requested on a part time basis during the utility relocations at start of project. 14.2 City of Grand Island has requested for coordination with City Sanitary Sewer project along the Capital Avenue corridor.(Between Webb Road and Wheeler Street) 14.3 Work extensively with land owners and see that temporary access is maintained at all times. E. SCHEDULE 1. Notice to Proceed: .��^. 2. The Consultant shall provide a schedule of activities and deliverables upon award Project Number: Control ` ' Page Com���nanX�mmguemm* Exhibit"A" sF, Z �` 1` ao. ,;' 9 i r ' to »»t Ua� *,j 4Ar ProjectNama: Capital Avenue:Webb-Wheeler ...<.. Project Number. UR8 593(g) ControI Number 42707 Location(City,County): Grand Island/Hail Cou t---.•-____-_,_ Firm Name: Olsson Asso:;ates i AddConsuhantProject Manager: deR Pa k i Phone/Snuff: (306)384-8750 LPA Responsible Charge: Terry Brown i .r t Phone(Emaff: (308)384-5444 NOON Project Coordinator. Greg Wood PhonatEnrefl: (402)479.3831 "' "" °° Date: December 12,2014 ..... .._. PR Prinpp ( ,�.S.,A a., xc;_.:; r t PM Project Manager - .. ENG Engin yr 983 038 92 3. DES IDastghadCRDD Techn33sn 177 - 53836 *518&52. SCC Sarver Drea,Chief 76 9308$ $2{248:52- SCM :Sun*Craw Member 580 1 58a ss y-moo:. INSP2(sapadar2 610 51707 , tai41210.' l(VSP 1 Criapicfor l I 3700 52231 .; 47 Wit; ADM Adrninistrati )))f 1359 517,22 ,7.42 5:35. 87 518.64 4•42; 'ff1TR'fi,S Overhead Rita°: r..... 9 �$ 176.64% Fee for Profit Rohn°: 13,15% -Enter firms most recant Audited Overhead Rate,and Fee fur Profit Rate calculated from the MOOR Fired Fee Worksheet(available on the MOOR websita). CLASSIFICATIONS°°: PR - Pnncipai SCC = Survey Crew Chief PM = Project Manager SCM = Survey Crew Member PAM Admirstr�tvp ENG - Engineer INSP2 = Survey r2 (511v Fes" DES = Designer/CARD Technician INSP 1 = Inspector r" 3 _' "For User-Defrned Classifications,you will treed to edit tie Classifications Legend located above. To entera new dasaMye ion,replace'UDY"with its abbreviation(ex.GRA)and replace'User Defined 1-with the correspommng title(ex.GraphicArtirt).Once the uservderynitons are added they will self- populate in the Labor Costs Table,as well as the remaining sheets. Blended Rates Table .. e MKS s 474:64 -.`� °7" ja Mil i fit"`"aYr7 %A. :y - Prteol Pt' enx pnagar avastded � ,,..:. ., .tarp Palk PE.Office Leader 054.52 Steve Hancock Construction Team Leader 5 • 50f1% !b Enginee r Mended Rata:- 843.82 JMa Smn! PE,Casten Engineer $51.48 50% :,t*W t)Smi Err 52524 50% Des TechnIcion -_"roc 4� £,<-:H..:-1« Zech Loomis Cart 76500 rsan $28 27 tats% �.�.zf.> ?,.::: T �� ylr x 'na vim sg y 1 Spivey Chew Chia ${$7tdMf-4is: 7,$.2T Amidst LS:Survey Teen Leader Saess u Jesse Hutt L5.Sucre/craw chief $28.22 70% ,.. Survey Craw Member ,>� 9lemtast Rte $39 b'Sodenis Surveyor 5:6.80 50% 4 x Schist) / Surveyor $1733 50% tnspactor2 Bile»datRa�. .. 5't?'.07 Tim Welovick SeniorConslhtdian Tech. 323.10 60% Col Shinier- K a A M'Cansitucbon Tech. $1996 20% - -' ,>% ., � .Wit.� i3n ,•!,axkM.„44t.::r tnsl•9 "`-•og.'•:xre> $23.51 Jesse Ban Ruh Rudolf A ate Construction Tech. 519.95 60% Associate Construction Tech. $13.13 Ade irdstmSva %snder3 Rata; 5'57.3.2 Chris Dethlefs Teem Coordinator 51889 E > ?:4- . ,r -:' . a,x1r .. tOt4°b "r .,. „...Y". , ;:t ., .k. C.,�.ara&a :,tcr,�`!,,�:r .' a < ,::,.' .h atavtd4dR&t: $18.68 .• {:: x .. ue, ,t - 444,, SMend—Ri a ta: > `. .44747 , z -Input actual em P employee dassi6abon as rsgnated by prm.ALSO enter in any certikabbn5 mat ampbyee herds, a Tote!s!90 Ausprgd'must equal 700%for each persona Vansi nation mdego,y.If one person in classification,kw Themes 100%for-et Assigned' ' Consultant's Independent Cost Estimate for CE Services Staffing Plan EXHIBIT"A" Page 1 of 5 ; t ti -a.; ow , P', „ Project Hama: Cs Ital Avenue:' b6.5&t,8aler .. Project Wumber. U Control Number. 42707 Location(City,County): Grand!;land 7 Halt Cmnly Finn Henna: Jeff Olsson Pa fssociates f'- Coneut�nt Project d9anagar Jeff Pak It{ Add Phone/Email: (308)384-8750 r Logo Here 1 LPA Responsible Charge: Terry Dawn r Phone/Email: {308)384-5404 WDCR Project COordinaWn GIN Wood Phone/Emeh: (402)479-3831 Data: December,12,2014 t.r •.ectR1 .lament r. ' ,;;_ saij 1 21 Consfa>cbon ins =an Planar•Mardi t x 2.2 Pm-Construction Meath, "' - 4 F� a G,k x: Ka 'a ��;.g 4 y 2 � � ; 10! MIER 16 l,p.; a , k+1111111111111U 3.:7ral Cas i&48 Plan' ..-.. Subhr1t 157 21 - 116 6 28 OraiiikVinientikaninta 18 1©4 amasilimamomumunammosinisu 5.1-8.10 70fe1s From Survey-SSaphg WOMatteet(eater hours in grey cells) 20 a 5.11 Trios to Site(Travel Time)for Cansauctcn SobreeviStaMnis ms`s'4 yaz y'r� ,60-662 592 20 c 6 :1:336 .h.. 18 18 :•?Rak 398 Subtotal 20 60 880 610 22 1,998 B::CUrrslruciipll; � _ d:fa.X.q :: .. 61 Commotion Co suUabon15(ffi &Da Work R...n DWR rte,. • SuStmlat 81 Perform Oeannr Calculations _ .... Subtotal : r,„i„�,§ 1 51 Corlstn:Gtfon 1 :, 92 Measure,calcuteta.and dvruntantsuanuhes ol;�.items 96`° "�' ..? ,�.. 9,3 Maintain taoonle1dasn and.m..:. the Weekly Renal of Ms ,,.„ , Sub&Ral 146 101 EANKRAIIIIINCIINMEMINER 680 3.81 -. 10.Parfoml a L >.r `'at d'T 2,7a-t 103 Reslew end Ouuarimit a0 test lassos �M�a .' 10,1 Cogact, do:w 290161x2 rIakvar all sem .to*sh fah .':. 10.2 Pmvrds a8 redub22 rrratar'ar e.z,.2s,,.o5ena 12 me NOM R M&R Lab seat se .�. 7•lltt/ Era'a.E c . 10.47' teSite tame lime to;Dal and CoLecO.r Sam.,.:.: - r subtosail111111�t' •11111111111111111111111 11111111111111✓• 'rt' 11.1 PrepareAa-8ulit Drawings $Odtohe! ��,j .4 k' 2.0.-.z_`u`,' �sw,. 40 x )%i('1 ,• $$:,:: n,�<40: 44 .. ._...:.. .. .:.>: _.. 12.E Review'• 2# that Punch Liana been corn a :. 63.'Pta at#.Ouaaerift : 1�♦�1 �1� 13.1 Prolerr Closeout 50 '. ' OR y 80 1 24 a F_w, Subtotal 40 8D 24 ', 172. 222 ForogiwaiVEMINEM vi 11.$to tt ra.anirda' T33' ar R'l , Tag- 474 '1 .6 235 ', 8 42H8�t87 T444'( Consultants Independent Cost Estimate for CE Services Estimate of Hours EXHIBIT"A” Page 2 of 5 zt z Y • Project Name: Capital Avenue:Webb-Wheeler _b Project Number. 1.,UR8.5435(5) Control Number. 42707 Location(City,County): Grano Island r Hall County Firm Name: Olsson Associates AddConsuffant Project Manager: Jeff Palik Phone/Email: (308)384.8750 ere LPA Responsible Charge; .i.T4a Brown Phone/Email: (503),384-5444 NDOR Project Coordinator: Greg Wood Phone/Email: (402)479.3831 Date: December 12,2014 na Record a, • 34'222"Men sheet ,e4 5 times E. :vfv, Record Drawings 11"xl7"pan sheets.lilted 5 arms r5 50 20 sf j 1886 t' ,4t0 3.500 blank&white 054450 WM/sheef t ,560 50.08 Pubic Mee& 34"42"aria)sheets ploted 8 toes 52.50 of r $2S • g O S tl s U1}Ef �t �.':.S a:7si f": 4,4 PIVAa' 2 er-alarm a,?':..-V0 S: iaRti+ P;: *"tr,al•4;E Pmjoc(Msefngs.12 Ines to alto 012 mlrbfp ,Sltnule 4 1 SWPPP I spedtons.2550ps 45 site f 12 tilretp 0.51 mite 444. 80.51, $73-04:. iconsinzto3 Solvay;70 trlP5 to site*12 mirtno t,�r:51 mile 432 50.51 ffiI.t0:32: . 540 Construo50 t lnspec5on;325 trips t6:aite�A 12 mttop:{:;..51 Mile 5,so $0.51 Mater als Testing;125'11108 to:s)te 12 mQbip .51 mite 3 500 : S0 5• g f (pa 1200 ( $0.51 •'$78a,'rf(): Relocation of Existing Utilities:100 inps tn_sde 0 12 mutr(a A.51 silts 1,200 50.51 �012.fS0.: `-rAxl ` ✓ We A x a .. Neal *4-4 � triMmtffsmsrmssomann .�..,•�.` ', ', =u Co e Sren To;J 1 435 Conmeib T es;n, � Com•achon Testin' 380 ;e, ,E' er on gem nom own' . SUNISM.W.WWSIMAINMIPAI"" .. -": a a c�'"}j.. s y .3a�x ., c ANOrgga. yw r Mfacelarfaous Postage Mal0eit7 Deltvene5 C-2c. 1 S406 OD F.tYT�de33tt�"�'�'�ES•'t..®..:,�.,..�.�:i . -- - .- .:.. _ ... .�6,3Sf;36= Consultants independent Cost Estimate for CE Services Direct Expenses EXHIBIT"A" Page 3 of 5 ;r.! kft "114 NirM ;;.'r''lq:.WW:grtAgetirt;:{ , Iff2A44:44444414P:";1: :'4g:fa4:*4r.Vg0*AK4ie:7A111r4ffte:CMT';°'474144:Att4;4JW:;%4 1;; 1'0 1,M.'t ;' rl! 'niaafAgkeVfitgrgaArr;;;'r;r*45,r5ggfrit§l'rrM Project Proma: Capital Avenue:Webb-Wheeler Project Number URM.5436(5) Corroni Number: 42707 Location(Ctiy,County): Grand island f Hall County Firm Name: Olsson Associates Add Consultant Project Manager: Jeff Pak Logo Hero PhonsiErnall: (308)394,•8750 IPA Responsible Charge: Terry Brown Phone/Email: (308)384-5444 NBOR Project Coordinator: Greg Wood PhenneErnail: (402)479-3831 Oats: December 12,2014 ::.:.:•;;;*:',:;.::t.a%geja,t0Z14.8%WW12.44,,,,a0krtiStapitapg kret(11.,,Atgt. ;`A'Jw.:441Aa4rsi,';',= 4N•• WIWIAJJ.7:11,8M\ A,1 J'-. —111'1° t": "4;22 ",e4AttjtEMIg'''44:Jt.,,.'14*'.444'. ,MAINtatER et_ 1414,4"Wgr:;,.177W:pmg 1.Project Management and Coordinatiori MGM 319729,90 518958.86 93,902.55 •••v.J9357,5212.31. 2. Meetings 299 ,1 19375,49 318;35832 $317823 I,' r 932.5.10,04 3.Traffic Control Plan ao j 52904,34 53,545.01 $729.76 •921=43, 4.9WPPpinspectiOn9llaammt 1492565 117 j 33,610,27 I 84,516,00 j $959,25 tj..•j!:981.M3:52. • 8.Construction Survey/Making 1,380 ( 334.282,30 J 360,834.92 312.48029 ..,:9197:38741 B.cm..fruction comlittatimisitat;Amager&Daily Work Report.(Di/498) 450 314,90115 925,352,25 I 5642480 J :::546,8700• . 7.Girder Shim Surveying(etralge Projects.Only) 1 8,Parionn Boating Calm/Warts 1 F r•• 9.Construction Inspechort 3,517 j $90,746,28 j 5142,781.73 928.395,25 •24612,93329.:...jr: 10.Perform allaterial Sampling and Testing 930 91841740 I 932,56868 1 96,79483 r: .•552.692.41 11.As"BuIlt braivIngs 44 I 31,085.08 $198879 s588.83 • 1..O3,345.70: rr 12.Final InspectionS 96 95,173.04 j 95,921.81 91.157.81 ••13.Amiga CIOSainit 172 1 34;982.90 38,810.813 I 91,613.82 :.,•9.15M0210 14.Relocation of Existing titilitss i Z7.455.73 513,185 48 92,714.59 .A23.34749:: ,t9ena: TOTAL • rrrr •r r;r. 619094846 r r r:$3V445.5t.',,!rr Consultants Independent Cost Estimate for CE Services Cost by Task EXHIBIT"A" Page 4 of 5 ' F A,, hWRF _ r. itV g q!mtA54c 1 • Project Name: Capital Avenue:Webb-Wheeler Project Number: OsR 5436(5) Control Number: 42707 Location(City,County): Grand Island/Hall County Finn Name: Olsson Associates Consultant Project Manager. Jeff Path .. Add Phoneemaii: (308)384-8750 L Logo PA Reepanffiibte Charge: Terry 384-8 �- PhonatEmail: (308)384-5444 1NDOR Project Coordinator: Greg Wood Phone/Email: (402)479-3831 Date: December 12,2014 Prim `���`,I ,rLY • t�pat ,,.,..... .. ,. Project Manager Engineer 989 843.92 ...443;438.66 Deargner/CADD Technician 177 $28.36 jgg Survey Crew Chief 78 828.27 32.546ifi2,.. Sure- Crew Member 680 $30.66 320;848.80:: Inspector2 €€ 61Q 817.07 Y0.4Y2;:70. Insoectorl 1 3700 522.31 $8254 i00 Hdminiatrative 1354 $17.22 • ,323,315:88:. 67 818.64 .a 4lre> i.::t `;2,x ..r„r - Wfa "3„,:r tl?,SAll41...gkr: , 4s Subconsultants '. '., �, `''; .'�:m„s'''. < Prtrittrig and Reproduction Costs . Milgage/Trever, 382txY10 La99rngt Meals ?4,:R43i3G; Material Testing Other Miscellaneous Cosh ..-. $450.00 5C§FRL&, r 7Q `: ,. ., > .,, .>_.,,�,?..... ?,,xs.; s,..,✓ ;...."'a ae...:,. *� .',re�e f j t{"�i t t. t� m 4 Direct Labor Costs ,.r . .PY.Cc,, �� ?°fit, '�, ., •Y .Overhead(o) 176.84% 3190'316:38:. Total Labor Costs ^^-• -„.''� :.315:§41 Fee for Pratt Rate¢ 13.15% - 1 3526;D67'82: Direct .. , 5, 40:92. Consultants Independent Cost Estimate for CE Services Project Cost EXHIBIT"A” Page 5of5 State of Nebraska Department of Roads Required Document Use .- TOE Test or Sample Contract ID 4707 CC Contractor's Certification Control Number 42707 000 .MC Manufacturer Certification Project Number URB-5436(5] '.COC Certification of Compliance Location CAPITAL AVE,WEBB-WHEELER,GRAND ISLAND COT Certification of Test Type of Work GRAD CONC PAVE CULV WATER MAIN SAN SEED ELEC Letting Date 10/23/2014 API. Approved Products PMV Project Manager's Verification 56 Version July 1,2014 SP Special Provisions NSS DISCLAIMER:This document may not include all material requirements for this A DISCLAIMER: Standard Specification M&R Approval project. Please refer to the Materials Sampling Guide for a 5G Material Sampling Guide comprehensive list of the material requirements.This document SR Shipping Report will not reflect any changes made to the project after the project R . ._ 0. Y GROUP IGFO0D1 0030.10 MOBI LIZATION 1.000 LS 0002 2000.013 LARGE TREE REMOVAL 14.000 EACH 0003 1009.00 GENERAL CLEARING AND GRUBBING 1.600 LS 0004 1010.01 EXCAVATION(ESTABUSHED QUANTITY) 20760.000 CY Soil Density-Excavation-Fill Material s TOS SG 09 CHURCHWELL 0005 1010.50 REMOVAL OF UNSUITABLE MATERIAL 2500.000 CY 0006 1011.00 WATER 96.000 MGAL 0007 1101.00 REMOVE PAVEMENT 24447.000 SY 0008 1101,25 SAWING PAVEMENT 2320.000 LF 0009 1106.00 REMOVE DRIVEWAY 3940.000 SY 0010 1107.00 REMOVE WALK 2317.000 SY 0011 1108.00 REMOVE COMBINATION CURB AND GUTTER 45.000 LF 0012 1910.16 CONSTRUCTION ENTRANCE 1.000 LS 0013 2021.05 REMOVE AND RESET MAILBOX 18.000 EACH 0014 41393.80 WALL MATERIALS 1471.000 SF APL NSS715 KRASON Soil Density-Modular Wall Backfili TOS SG 13 CHURCHWELL 0015 4005.12 LEVELING PAD 328.000 LF N55715 Class R Aggregate TOE 5G 15,16 MACKE Interground/Blended Cement TOE SG 14,29 KRASON Portland Cement Concrete TOE- SG 15,16 REASON White Pigmented Cure Compound-Field Uses APL SG 15,16 KRASON 0016 8024.50 SELECT GRANULAR BACKFILL FOR RETAINED EARTH STRU150.000 CY TOS/COT/COC NSS715 LINDEMANN. Soil Density-Select Granular Backfill s TOE SG 13 CHURCHWELL 0027 1006.00 COVER CROP SEEDING 5.000 ACRE 0018 1019.13 EROSION CONTROL CLASS ID 32.000 SY Erosion Control,Class 10 APL NSS807 DONDUNGER 0019 1.022.11 FABRIC SILT FENCE-LOW POROSITY 4024.000 LF Fabric Silt Fence-Low Porosity s APL NS5809 DONDLINGER GROUP CC 0020 0030.30 MOBIUZATION 1.000 I5 002I 2010.03 CRUSHED ROCK SURFACE COURSE 144.300 TON Crushed Rock Surface Course TOS SG 06 MACKE 0022 3014.11 COMBINATION CONCRETE CLASS 476-3500 CURB AND GL 280.000 LF Class R Aggregate TOS SG 15,16 MACKE Hot Poured Joint Sealant-Field Use 0 APL SG 15,20 BYRE Interground/Blended Cement TOS 5G 14,29 KRASON Portland Cement Concrete TOS SG 15,16 KRASON Pref Expansion it Filler-Asphalt Types APL SG I5 KRASON White Pigmented Cure Compound-Field Used APL 5G 25,16 KRASON 0023 3014.13 COMBINATION CONCRETE CLASS 47B-3500 CURB AND 01.140.000 LF Class R Aggregate TOS SG 15,16 MACKE Hot Poured Joint Sealant-Field Use 0 AFL -SO15,20 BYRE Interground/Blended Cement TOE 5014,29 REASON Portland Cement Concrete TOS SG 15,16 KRASON White Pigmented Cure Compound-Field Uses APL 56 15,16 KRASON 0024 3016.03 CONCRETE CLASS 476-3000 SIDEWALKS" 3562.000 SY Class R Aggregate TOS 5G 15,16 MACKE Interground/Blended Cement TOS 50 14,29 KRASON Portland Cement Concrete TOS SO 15,16 KRASON Pref ExpansionJt Filler APL 50 15 KRASON White Pigmented Cure Compound-Field Uses APL SG 15,16 REASON 0025 3016.39 DETECTABLE WARNING PANEL 788.000 SF Detectable Warning Panels 0 APL SP-122 KAREL 0026 3016.71 6"CONCRETE CLASS 47B-3500 BIKEWAY 6891.000 SY Class R Aggregate TOS SG 15,16 MACKE interground/Blended Cement TOS SG 14,29 KRASON Portland Cement Concrete TOS SG 15,16 KRASON White Pigmented Cure Compound-Field Usea APL SG 15,16 KRASON 0027 3017.58 BRICK PAVERS 137.000 SY APL SP-129 KRASON 0028 3020.24 CONCRETE CLASS 47B-3500 DRIVEWAY 1631.000 SY Class R Aggregate TOS 5G 15,16 MACKE Interground/Blended Cement TOS SG 14,29 KRASON Portland Cement Concrete TOS 5G 15,16 KRASON White Pigmented Cure Compound-Field Uses APL SG 15,16 KRASON 0029 3020.32 CONCRETE CLASS 47B-HE-3506 DRIVEWAY 516.000 SY Class B Aggregate TOO SG 15,16 MACKE Class E Aggregate TOO 5G 15,16 MACKE Interground/Blended Cement TOS SG 14,29 REASON Portland Cement Concrete TOS SG 15,16 REASON White Pigmented Cure Compound-Field Uses API. SG 15,16 KRASON 0030 3075.42 9"CONCRETE PAVEMENT,CLASS 47B-3500 3572.000 SY Page 1 of 9 EXHIBIT'A" State of Nebraska Department of Roads Required Document List ...... _. Legend Contract ID 4707 TOS Test or Sample Control Number 42707 Oop CC Contractor's Certification Project Number tjRB-5436f5) MC Manufacturer tion o Certification Location CAPITAL AVE,WEBB-WHEELER,GRAND ISLAND COC Certification of Compliance Type of Work GRAD CONC PAVE CLOY WATER MAIN SAN SEED ELEC COT Certification Test Letting Date 10/23/2014 APL Appproveved d on Products List PMV Project Manager's Verification SG Version July 1,2014 SF Special Provisions NSS Nebraska Standard Specification DISCLAIMER:This document may not include all material requirements for this MA M&R Approval project. Please refer to the Materials Sampling Guide for a SG Material Sampling Guide comprehensive list of the material requirements.This document SIA Shipping Report will not reflect any changes made to the project after the project � y:.... .. 4 - y...: E.._ 3Kt ... P 0 .. rt y ' sYg i .:. . q. , l r NL,.c. t g�f.: r 111144144 . .Class R Aggregate TOS SG 15,16 MACKE Epoxy Resin Bonding System-Grade 3 n APL SG 15,20 KRASON Hardened Concrete TOS SG 15 WEIGEL Hot Poured Joint Sealant-Field Use 0 API SG 15,20 BYRE Interground/Blended Cement 105 SG 14,29 KRASON Portland Cement Concrete TOS SG 15,16 KRASON Reinforcing Steel-Field Sample T05/COT SG 15,16 KAREL Reinforcing Steel-(pretested)n TOS/COT SG 15,16 KAREL White Pigmented Cure Compound-Field Usen API SG 15,16 KRASON 0031 3075.4.6 9"DOWELED CONCRETE PAVEMENT,CLASS 47B-3500 43680.000 SY Class R Aggregate Epoxy Resin Bonding System-Grade 3 TOS SG 15,16 MACKE s APL SG 15,20 KRASON Hardened Concrete TOS SG 15 WEIGEL Hot Poured Joint Sealant-Field Use 0 API SG 15,20 BYRE Interground/Blended Cement TOS SG 14,29 KRASON Portland Cement Concrete TOS SG 15,15 KRASON Reinforcing Steel Field Sample TOS/CAT SG 15,16 KAREL Reinforcing Steel-(pretested)s TOS/COT 5G 15,16 KAREL White Pigmented Cure Compound-Field Users APL SG 15,16 KRASON 0032 4015.00 ADJUST MANHOLE TO GRADE 18.040 EACH Class R Aggregate TOS SG 15,16 MACKE Portland Cement Concrete TOS SG 35,16 KRASON 0033 4020.25 CONCRETE DITCH LINING 10.000 SY Class R Aggregate TOS SG 15,16 MACKE Interground/Blended Cement TOS SG 14,29 KRASON Portland Cement Concrete 105 SG 15,16 KRASON White Pigmented Cure Compound-Field Uses API SG 15,16 KRASON 0034 7330.50 STREET NAME SIGN 28.000 EACH 0035 7321.00 TYPE A SIGN 291.000 SF 0036 7333.00 SIGN POST 39.000 EACH 0037 7380.25 BOLLARD 2.000 EACH COC PLANS KAREL 0038 7500.60 ARROW,POLYUREA PAVEMENT MARKING,GROOVED 37.000 EACH APL SG-23 DONDUNGER 0039 7515.04 4'WHITE POLYUREA PAVEMENT MARKING,GROOVED 3904.000 LF Glass Beads-Thermo and Polyurea COC SG 23 DONDLINGER Polyurea Pavement Marking APL SG 23 DONDUNGER 0040 7515.12 12"WHITE POLYUREA PAVEMENT MARKING,GROOVED 50-000 LF Glass Beads-Thermo and Polyurea COC SG 23 DONDLINGER Polyurea Pavement Marking APL SG 23 DONDUNGER 0041 7515.24 24"WHITE POLYUREA PAVEMENT MARKING,GROOVED 1010.000 IF Glass Beads-Thermo and Polyurea COC SG 23 DONDLINGER Polyurea Pavement Marking APL SG 23 DONDLINGER 0042 7516.04 4"YELLOW POLYUREA PAVEMENT MARKING,GROOVED 13158.000 LF Glass Beads-Thermo and Polyurea COC SG 23 DONDLINGER Polyurea Pavement Marking APL SG 23 DONDUNGER 0043 7516.12 12"YELLOW POLYUREA PAVEMENT MARKING,GROOVED 49.000 II Glass Beads-Thermo and Polyurea COC SG 23 DONDUNGER Polyurea Pavement Marking API SG 23 DONDLINGER 0044 9009.79 TEMPORARY SURFACING 6" 2500.000 SY Class R Aggregate T05 5G 15,15 MACKE Portland Cement Concrete TOS SG 15,16 KRASON White Pigmented Cure Compound-Field Uses APL SG 15,16 KRASON Performance Graded Binder(64-22) TOS 5002 BYRE Performance Graded Binder(64-28) TOS SG 02 BYRE 0045 9934.00 PREPARATION OF INTERSECTIONS AND DRIVEWAYS 2147.000 SY 0046 9111.00 WATER 179.000 MGAL 0047 9170.00 EARTH SHOULDER CONSTRUCTION 124.240 STA 0048 9173.20 SUBGRADE PREPARATION 47252.000 SY Soil Density-Ssbgrade Preparation s TOS SG 10,11 CHURCHWELL 0045 1.010.00 SODDING 7791.000 SY 0050 W600.03 ADJUST VALVE BOX TO GRADE 16.000 EACH GROUP 4 EL 00S1 0030.40 MOBILIZATION 1.000 L5 0082 1117.00 REMOVE MANHOLE 7.000 EACH 0053 1119.00 REMOVE INLET 29.0D0 EACH 0054 4002.00 CAST IRON COVER AND FRAME 22875.000 LB Cast Iron Cover and Frame COC SG 25 KAREL 0055 4004.80 STRUCTURAL STEEL FOR FACE ARMOR 5495.000 LB Structural Steel for Substructure COC 51320 KAREL 0056 4011.14 CURB INLETTYPE A 12.000 EACH Class B Aggregate TOS SG 15,16 MACKE Class E Aggregate TOS SG 15,36 MACKE Page 2 of 9 EXHIBIT"A" State of Nebraska Department of Roads Required Document List __ .. Legend -,............,...._ .__. Contract ID 4707 105 Test or Sample Control Number 42707 000 CC Contractor's Certification Project Number 43707436(5] MC Manufacturer Certification Location CAPITAL AVE,WE68-1NHEELER,GRAND ISLAND COC Certification of Compliance COT Certification Type of Work GRAD CONC PAVE CULV WATER MAIN SAN SEED ELEC oeest Letting Date 10/23/2014 API Approved on d Prod ducts List SG Version July 1,3014 PMV Project Manager's Verification SP Special Provisions ASS DISCLAIMER:This document may not include all material requirements for this =MA Nebraska Standard Specification M&R Approval project. Please refer to the Materials Sampling Guide for a 5G Material Sampling Guide comprehensive list of the material requirements.This document SR Shipping Report will not reflect any changes made to the project after the project N,a • £" „ g p itr an x f f«c ' 4'.» rInterground/Blended Cement TOS S6:24,29 KRASO N Portland Cement Concrete White Pigmented Cure Compound-Field Usett TOS SG 15,16 KRASON 105 SG -126 KRASON 0057 4011.15 CURB INLET TYPE B 2.000 EACH TOS SG-16 KRASON 0058 4011.16 CURB INLET TYPE C 1.000 EACH TOS SG-16 KRASON 0059 4011.50 AREA INLET TYPE 8.000 EACH Class R Aggregate TOS SG 15,16 MACKE IntergroundfBlended Cement 105 SG 14,29 KRASON Portland Cement Concrete 105 SG 15,16 KRASON 0060 4011.51 AREA INLET TYPES 8.000 EACH Class R Aggregate TOS SG 15,16 MACKE IntergroundJelended Cement 105 SG 14,29 KRASON Portland Cement Concrete TOS SG 15,16 KRASON 0061 4015.50 RECONSTRUCT MANHOLE AT STATION 104+54 1.000 EACH Class R Aggregate TOS SG 15,16 MACKE Interground/Blended Cement 105 SG 24,29 KRASON Portland Cement Concrete 705 SG 15,16 KRASON 0062 4015.51 RECONSTRUCT MANHOLE AT STATION 143+37 1.000 EACH TOS SG 15,16 KRASON 0063 4015.52 RECONSTRUCT MANHOLE AT STATION 154+74 1.000 EACH TOS SG 15,16 KRASON 0064 4016.00 MANHOLE AT STATION 104+50 RT. 1.000 EACH Class R Aggregate TOS SG 15,16 MACKE Interground/Blended Cement TOS SG 14,29 KRASON _. Portland Cement Concrete TOS SG 15,16 KRASON Reinforcing Steel-Field Sample TOS/COT SG 15,16 KAREL Reinforcing Steel pretested)u TOS/COT 5615,16 KAREL 0065 4016.01 MANHOLE AT STATION 105+86 LT, 1.000 EACH Class R Aggregate Interground/Blended Cement TOS SG 25,16 MACKE TOS SG 14,29 KRASON Portland Cement Concrete TOS 5615,16 KRASON Reinforcing Steel-Field Sample TOS/COT SG 15,16 KAREL Reinforcing Steel-{pretested)It TOS/COT SG 15,16 KAREL 0066 4016.02 MANHOLE AT STATION 109+58 LT. 1.000 EACH Class R Aggregate TOS SG 15,16 MACKE Interground/Blended Cement 105 SG 14,29 KRASON Portland Cement Concrete TOS SG 15,16 KRASON Reinforcing Steel-Field Sample TOS/COT SG 15,16 KAREL Reinforcing Steel(pretested)a TOS/COT SG 15,16 KAREL 0067 4016.03 MANHOLE AT STATION 110+74 RT. 1.000 EACH Class R Aggregate ,TOS SG 15,16 MACKE Interground/blended Cement TOS SG 14,29 KRASON Portland Cement Concrete TOS SG 15,16 KRASON Reinforcing Steel-Field Sample TOS/COT SG 15,16 KAREL Reinforcing Steel-(pretested)tt TOS/COT SG Y5,15 KAREL 0068 4016.04 MANHOLE AT STATION 113+00 LT. 1.000 EACH Class R Aggregate TOS SG 15,16 MACKE Interground/Blended Cement TOS SG 14,29 KRASON Portland Cement Concrete Tot SG 15,16 KRASON Reinforcing Steel-Field Sample TOS/COT SG 15,16 KAREL Reinforcing Steel(pretested)It TOS/COT SG 15,16 KAREL 0069 4016.115 MANHOLE AT STATION 113+43 RT. 1.000 EACH Class R Aggregate TO5 SG 15,16 MACKE Interground/Blended Cement TOS SG 14,29 KRASON Portland Cement Concrete TOS SG 15,16 KRASON 0070 4016.06 MANHOLE AT STATION 117+36 RT. 1.000 EACH Class R Aggregate TOS SG 15,16 MACKE Interground/Blended Cement TOS SG 14,29 KRASON Portland Cement Concrete TOS 5G 15,16 KRASON 0071 4016.07 MANHOLE AT STATION 118+25 LT. 1.000 EACH Class R Aggregate TOS SG 15,16 MACKE Interground/Blended Cement TOS SG 14,29 KRASON Portland Cement Concrete T05 SG 15,16 KRASON 0072 4016.00 MANHOLE AT STATION 115+33 RT. 1.000 EACH Class R Aggregate TOS SG 15,16 MACKE Interground/Blended Cement TOS SG 14,29 KRASON Portland Cement Concrete Tot SG 15,16 KRASON 0073 4016.09 MANHOLE AT STATION 121+47 RT. 1.000 EACH Class R Aggregate TOS SG 15,16 MACKE Interground/Blended Cement 105 SG 14,29 KRASON Portland Cement Concrete TOS SG 15,16 KRASON 0074 4016.10 MANHOLE AT STATION 121+71 LT. 1.000 EACH Page 3 of 9 EXHIBIT"A" State of Nebraska Department of Roads Required Document List legend (( €TOS Test or Sample Contract ID 4707 CC Contractor's Certification Control Number 42707 000 MC Manufacturer Certification Project Number UM-5436(5j COC Certification of Compliance Location CAPITAL AVE,WEBB•WHEELER,GRAND ISLAND COT Certification of Test Type of Work GRAD COAT PAVE CULV WATER MAIN SAN SEED ELEC APL Approved Products List Letting Dane 10/23/2014 PMV Project Manager's Verification SG Version July 1,2014 SP Special Provisions NSS Nebraska Standard Specification DISCLAIMER;This document may not include all material requirements for this MA M&R Approval project.Please refer to the Materials Sampling Guide for a SG Material Sampling Guide comprehensive list of the material requirements,This document SR Shipping Report will not reflect any changes made to the project after the project Group ar *, r ry s I s r gv f y 3 . t. ,�. w r Y x Class R Aggregate _"' _.� '" TOS 5G 15,16 MACKE Interground/Blended Cement TOS SG 14,29 KRASON Portland Cement Concrete TOS SG 15,16 KRASON 0075 4016.11 MANHOLE AT STATION 124+25 LT. 1.000 EACH Class R Aggregate TOS 5G 15,16 MACKE Interground/Blended Cement TOS SG 14,29 KRASON Portland Cement Concrete TOS SG 15,16 KRASON 0076 4016.12 MANHOLE AT STATION 127+75 LT. 1.000 EACH Class R Aggregate TOS SG 15,16 MACKE Interground/Blended Cement TOS SG 14,29 KRASON Portland Cement Concrete TOS 5G 15,16 KRASON 0077 4016.13 MANHOLE AT STATION 130+25 RT. 1.000 EACH Class R Aggregate 70$ 5G 15,16 MACKE Interground/Blended Cement TOS 50 14,29 KRASON Portland Cement Concrete T05 SG 15,16 KRASON 0078 4016.14 MANHOLE AT STATION 131+34 LT. 1.000 EACH Class R Aggregate TOS SG 15,16 MACKE Interground/Blended Cement TOS 5G 14,29 KRASON Portland Cement Concrete TOS SG 15,16 KRASON 0079 4016.13 MANHOLE AT STATION 132+68 RT. 1.000 EACH Class R Aggregate TOS SG 15,16 MACKE Interground/Blended Cement TOS 5G 14,29 KRASON Portland Cement Concrete TOS SG 15,16 KRASON 0080 4016.16 MANHOLE ATSTATION 133+00 LT. 1.000 EACH Class R Aggregate TOS SG 15,16 MACKE Interground/Blended Cement 705 SG 14,29 KRASON Portland Cement Concrete TOS SG 15,16 KRASON 0081 4016.17 MANHOLE AT STATION 135+94 LT, 1.000 EACH Class R Aggregate TOS 5G 15,16 MACKE Interground/Blended Cement TOS SG 14,29.KRASON Portland Cement Concrete TOS SG 15,16 KRASON 0082 4016.18 MANHOLE AT STATION 136+19 RT. 1.000 EACH Class R Aggregate TOS SG 15,16 MACKE Interground/blended Cement T05 5G 14,29 KRASON Portland Cement Concrete TOS SG 15,16 KRASON 0083 4016.19 MANHOLE AT STATION 138+50 LT. 1.000 EACH Class R Aggregate TOS 5G 15,16 MACKE Interground/Blended Cement TOS SG 14,29 KRASON Portland Cement Concrete TOS SG 15,16 KRASON 0084 4016.20 MANHOLE AT STATION 139+65 RT. 1.000 EACH Class R Aggregate TOS 5G 15,16 MACKE Interground/Blended Cement TOS 5G 14,29 KRASON Portland Cement Concrete TOS SG 15,16 KRASON 0085 4016.21 MANHOLE AT STATION 140+35 RT. 1.000 EACH Class R Aggregate TOS SG 15,16 MACKE Interground/Blended Cement T05 SG 14,29 KRASON Portland Cement Concrete TOS 5G 15,16 KRASON 0086 4016.22 MANHOLE AT STATION 143+81 RT. 1.000 EACH Class R Aggregate TOS SG 15,16 MACKE interground/Blended Cement TOS SG 14,29 KRASON Portland Cement Concrete T05 SG 15,16 KRASON 0087 4016.23 MANHOLE AT STATION 145+40 LT. 1.000 EACH Class R Aggregate TOS SG 15,16 MACKE Interground/Blended Cement TOS 5G 14,29 KRASON Portland Cement Concrete TOS SG 15,16 KRASON 0088 4016.24 MANHOLE AT STATION 147+75 RT. 1.000 EACH Class R Aggregate TOS SG 15,16 MACKE Interground/Blended Cement T05 SG 14,29 KRASON Portland Cement Concrete TOS SG 15,16 KRASON 0089 4016.25 MANHOLE AT STATION 150+01 LT. 1.000 EACH Class R Aggregate TOS SG 15,16 MACKE Interground/Blended Cement T05 SG 14,29 KRASON Portland Cement Concrete TOS SG 15,16 KRASON 0090 4016.25 MANHOLE AT STATION 150+91 RT. 1.000 EACH Class R Aggregate T05 SG 15,16 MACKE Interground/Blended Cement T05 SO 14,29 KRASON Portland Cement Concrete TOS SG 15,16 KRASON 0091 4016.27 MANHOLE AT STATION 152+50 LT. 1.000 EACH Class R Aggregate TOS 5G 15,16 MACKE Interground/Blended Cement 105 SG 14,29 KRASON Page 4 of 9 EXHIBIT"A" State of Nebraska Department of Roads Required Document List '" - - - -Legend •TOS. Test or Sample ' Contract ID 4707 CC Contractor's Certification Control Number 42707 000 MC Manufacturer Certification Project Number URB-5436(5) COC Certification of Compliance Location CAPITAL AVE,WEBB-WHEELER,GRAND ISLAND COT Certification of Test Type of Work GRAD CONC PAVE CULV WATER MAIN SAN SEED ELEC 'APL Approved Products List Letting Date 10/33/2014 PMV Project Manager's Verification SG Version July 1,2014 .51ii Special Provisions NSS Nebraska Standard Specification DISCLAIMER:This document may not include all material requirements for this MA M&R Approval project. Please refer to the Materials Sampling Guide for a SG Material Sampling Guide comprehensive list of the material requirements.This document SR Shipping Report will not reflect any changes made to the project after the project } ,,...4. alli U z y . f... c�z V` rva z''', .r.' -''„'st :a ew t's Portland Cement Concrete TOS 5G 15,16 KRASON 0092 4016,28 MANHOLE AT STATION 152+50 RT. 1.000 EACH Class R Aggregate TOS SG 15,16 MACKE Interground/Blended Cement TOS SG 14,29 KRASON Portland Cement Concrete TOS SG 15,16 KRASON 0093 4016.29 MANHOLE AT STATION 154+74 RT. L000 EACH Class R Aggregate TOS SG 15,16 MACKE Interground/Blended Cement TOS 5G 14,29 KRASON Portland Cement Concrete TOS SG 15,16 KRASON 0094 4016.30 MANHOLE AT STATION 154*00 LT. 1.000 EACH TOS SG 15,16 KRASON 0095 4016.31 MANHOLE AT STATION 155+75 LT. 1.000 EACH TOS 56 15,16 KRASON 0096 4016.32 MANHOLE AT STATION 156+70 LT. 1.000 EACH TOS SG 15,16 KRASON 0097 4016.33 MANHOLE AT STATION 202+68 LT. 1.000 EACH TOS SG 15,16 KRASON 0098 4018.00 TAPPING EXISTING STRUCTURE 3.000 EACH 0099 4028.50 TAPPING EXISTING PIPE 2.000 EACH Class R Aggregate TOS 5G 15,16 MACKE Portland Cement Concrete TOS 5G 15,16 KRASON 0100 4035.00 REMOVE FLARED-END SECTION 1.000 EACH 0101 4043,50 REMOVE SEWER PIPE 1431.000 LF 0102 4045.00 REMOVE STRUCTURE AT STATION 104+16 TWIN 12'X 4'X 1.000 EACH 0103 4105.59 CLASS 47B-3000 CONCRETE FOR INLET AND JUNCTION BC 115.070 CY Class R Aggregate TOS SG 15,16 MACKE Interground/Blended Cement TOS SG 14,29 KRASON Portland Cement Concrete TOS SG 15,16 KRASON White Pigmented Cure Compound-Field Usett APL SG 15,16 KRASON 0104 410797 CLASS 47B-3000 CONCRETE FOR CONCRETE COLLARS 2.480 CY Class R Aggregate TO5 5G 15,16 MACKE Interground/Blended Cement TOS SG 14,29 KRASON • Portland Cement Concrete TOS SG 15,16 KRASON White Pigmented.Cure Compound-Field Uses APL SG 15,16 KRASON 0105 4130.06 CLASS 470-3000 CONCRETE FOR PIPE CULVERT PLUG 1.220 or Class R Aggregate TOS SG 15,16 MACKE' Interground/Blended Cement TOS SG 14,29 KRASON Portland Cement Concrete TOS 50•15,16 KRASON White Pigmented Cure Compound-Field Users APL SG Sac,16 KRASON 0106 4155.50 REINFORCING STEEL FOR INLET AND JUNCTION BOX 6984.000 LB Non-Shrink Grouts APL 5620,21 KRASON Reinforcing Steel-Field Sample TOS/COT 5G 15,16 KAREL Reinforcing Steel(pretested)0 TOS/COT SG 15,16 KAREL 0107 4157.00 REINFORCING STEEL FOR COLLARS 133.000 LB Non-Shrink Grout 0 APL SG 20,21 KRASON Reinforcing Steel-Field Sample TOS/COT 5G 15,16 KAREL Reinforcing Steel-(pretested)a TOS/COT SG 15,15 KAREL 0108 4510.42 42"ROUND EQUIVALENT CONCRETE FLARED-END SECTIO 1.000 EACH SR 5G-19 KAREL 0109 4731.15 15"STORM SEWER PIPE TYPE 0905 P.V.C. 92.000 LF SR SP-128 KAREL 0110 4731.18 18"STORM SEWER PIPE TYPE C905 P.V.C. 123.000 LF SR SP-128 KAREL 0111 4900.25 CURB INLET SEDIMENT FILTER 396.000 EACH Curb Inlet Sediment Filter a APL SP-219 DONDLINGER 0112 4900.26 CONCRETE HEADWALL AT STATION 103+84 1.000 EACH TOS 5G-16 KRASON 0113 4910.25 DEWATERING 2512.000 LF 0114 P702.15 15"STORM SEWER PIPE,TYPE 1 1365.000 LF Reinf Conc Sewer Pipe 15in-Class Ill SR SG 19 KAREL Sol)Density-Pipe Backfill a TOS SG 13 CHURCHWELL 0115 P702.18 18"STORM SEWER PIPE,TYPE 1 481.000 LF Soil Density-Pipe Backfill a TOS SG 13 CHURCHWELL Reinf Conc Sewer Pipe 18in-Gass III SR SG 19 KAREL 0116 P702.24 24"STORM SEWER PIPE,TYPE 1 1082,000 LF Soil Density-Pipe Backfill a TOS 5G 13 CHURCHWELL Reinf Conc Sewer Pipe 24In-Class III SR SG 19 KAREL _ 0117 P702.30 30"STORM SEWER PIPE,TYPE 1 360.000 LF Reinf Conc Sewer Pipe loin-Class Ill SR SG 19 KAREL 0118 P702.36 36"STORM SEWER PIPE,TYPE 1 493.000 LF Soil Density-Pipe Backfill e TOS SG 13 CHURCHWELL Reinf Conc Sewer Pipe 36in-Class III SR SG 19 KAREL 0119 P702.42 42"STORM SEWER PIPE,TYPE 1 2228.000 IF Reinf Conc Sewer Pipe 42in-Class III SR SG 19 KAREL 0120 P702.66 66"STORM SEWER PIPE,TYPE 1 36.000 LF SR SG 19 KAREL 0121 P709.12 12"STORM SEWER PIPE,TYPE 8 17.000 IF SR 56 19 KAREL Soil Density-Pipe Backfill a TOS SO 13 CHURCHWELL 0122 P775.42 42"ROUND EQUIVALENT STORM SEWER PIPE,TYPE 1 248.000 LF Page 5 of 9 EXHIBIT"A" State of Nebraska Department of Roads Required Document Ust - ..__. ._ Legend • ----....._ Contract ID 4707 TOS Test or Sample Control Number 42707 W6 .CC Contractor's Certification Project Number UR6-5436/6) MC Manufacturer Certification Location CAPITAL AVE,WEBS-WHEELER,GRAND ISLAND COC Certification of Compliance COT Certification of Test Type of Work GRAD CONC PAVE CULV WATER MAIN SAN SEED ECEC Letting Date 10/23/2014 APL Aroect d Products List SG Version July 1,2014 AR Project Manager's Verification SP Special Provisions NSS DISCLAIMER:This document may not include all material requirements for this MA Nebraska Standard Specification MAR Approval project. Please refer to the Materials Sampling Guide for a •SG Material Sampling Guide comprehensive list of the material requirements.This document SR Shipping Report will not reflect any changes made to the project after the project 0X z t 0Yx 0000 } F t•t d Relnf Cone Sewer Pipe 42in RE-Class III ' __I .-.. .''..�" ", rr" " � X19 .-''''. GROUP 4A it 0123 0030.40 MOBILIZATION SR SG 19 KAREL 0124 1117.00 REMOVE MANHOLE 1.00 15 3 0125 3010.46 REMOVE AND SALVAGE HYDRANT .0000 EACH 0126 4910.25 DEWATERING 100.0 EACH 0127 W100,11 1"CURB STOP 100,000 LF 0128 W100.12 2"CURB STOP 3.000 EACH COC SP-144 KAREL 1.000 EACH COC SP-144 KAREL 0129 W100.25 VALVE BOX 10.000 EACH COC SP-144 KAREL 0130 W100.55 WET CUT-IN 2.000 EACH COC SP-144 KAREL 0131 W101.06 6"UNE STOP 1.000 EACH COC SP-144 KAREL 0132 W101,113 18"UNE STOP 1.000 EACH COC SP-144 KAREL 0133 W175.01 1"CORPORATION STOP 3.000 EACH COC SP-144 KAREL 0134 W175.09 2"CORPORATION STOP 1.000 0135 W176.26 1"WATER SERVICE EACH COC SP-144 KAREL 0136 W176.30 2"WATER SERVICE 70. 0 LF COC SP-144 KAREL 70.000 W176.54 WATER SERVICE TEMPORARY 000 LF COC SP-144 KAREL 0138 W200.04 DUCTILE IRON FITTINGS,M.J. 1975. EACH 1975.000 LB COC 3G-19 KAREL 0139 W205.06 6"WATER MAIN PIPE D.I. 117.000 LF COC SG-19 KAREL Soil Density-Pipe Backfill 0 TOS SG 13 CHURCHWELL 0140 W205,65 12"WATER MAIN RESTRAIN JOINT D.l. 100.000 LF 0141 W219.66 6"GATE VALVE AND BOX COC 5G-19 KAREL 2.000 EACH COC SP--144 4 KAREL 0142 W221.97 FIRE HYDRANT ASSEMBLY 3.006 EACH COC SP-144 KAREL 0143 W350.39 18"X6"TAPPING SLEEVE AND VALVE 1.000 0144 W350.46 18"X 12"TAPPING SLEEVE AND VALVE EACH COC SP-144 KAREL 1.000 EACH COC SP-144 KAREL 0145 W725.00 RECONNECT WATER SERVICE 4.000 EACH 0146 W800.05 REMOVE GATE VALVE AND BOX 4.000 EACH 0147 W800.21 REMOVE WATER MAIN PIPE 658.000 IF 0148 60800.25 REMOVE POST INDICATOR VALVE 1.000 EACH 0149 W910.00 TEMPORARY CORPORATION STOP 4.000 EACH GROUP 4A 40150 0030,40 MOBILIZATION 1.000 IS 0151 4910.25 DEWATERING 305.000 LF 0152 W100.55 WET CUT-IN 1.000 EACH 0153 W175.01 1"CORPORATION STOP TEMPORARY 9.000 EACH 0154 W200.04 DUCTILE IRON FITTINGS,MJ. 3300.000 LB COC SP-133 WEL 0155 W205.04 4"WATER MAIN PIPE 0.1. 70.000 LF COC SG-19 KAREL Soil Density-Pipe Backfill o TOS 5G 13 CHURCH WELL 0156 W205.06 6"WATER MAIN PIPE D.1. 39.000 LF COC SG-19 KAREL Soil Density-Pipe Back-fill tt TOS SG 13 CHURCHWELL 0157 W205.08 8"WATER MAIN PIPE RESTRAINED D.1. 100.000 IF COC 3G-19 KAREL Soil Density-Pipe Backfill u TOS SG 13 CHURCHWELL 0158 W205.12 12"WATER MAIN PIPE RESTRAINED al. 205.000 LF COC 5G-19 KAREL Soil Density-Pipe Backfill ce TOS SG 13 CHURCHWELL 0159 W221.97 FIRE HYDRANT 3.000 EACH COC SP-144 KAREL 0160 W350.39 18"X 6"TAPPING SLEEVE AND VALVE 1.000 EACH COC SP-144 KAREL 0161 W350,46 18"X12"TAPPING SLEEVE AND VALVE 2.000 EACH COC SP-144 KAREL 0162 W350.47 18"X 4°TAPPING SLEEVE AND VALVE 1,000 EACH COC SP-144 KAREL 0163 W350.48 18"X 8"TAPPING SLEEVE AND VALVE 1.000 EACH COC SP-144 KAREL 0164 W750.11 TAPPING FIRE HYDRANT ASSEMBLY 2,000 EACH COC SP-144 KAREL 0165 W800.05 REMOVE GATE VALVE AND BOX 2.000 EACH 0166 W800.21 REMOVE WATER MAIN PIPE 398.000 LF GROUP 4850157 0030.40 MOBILIZATION 1.000 L5 0168 4048.53 RECONSTRUCT 2"SANITARY SEWER FORCE MAIN 113.000 LF 0169 4741.12 12"FORCE MAIN(D.I.) 30.000 LE 0170 W100.56 WET CUT-IN COC SG-19 KAREL 1.000 EACH 0171 W200.04 DUCTILE IRON FITTINGS,M.J. 1025.000 LB COC SP-133 KAREL 0172 60800.09 REMOVE PLUG 3.000 EACH GROUP 491S 0173 0030.40 MOBILIZATION 2. S 0174 4732,15 15"P.V.C.SANITARY SEWER PIPE 85.000 LF 0175 4732.16 15"P.V.C.SANITARY SEWER PLUG COC SP-128 KAREL 1.000 EACH COC SP-128 KAREL 0176 4732,19 18"P.V.C.SANITARY SEWER PIPE 136.5.0 000 LF COC SP-128 KAREL 0177 4732.19 18"P.V.C.SANITARY SEWER PLUG 1.000 EACH COC SP-128 KAREL 0178 4732.21 21"P.V.C.SANITARY SEWER PIPE 105.000 LF COC SP-128 KAREL 0179 4732.22 21"P.V.C.SANITARY SEWER PLUG 1.000 EACH COC SP-128 KAREL 0180 4910.25 DEWATERING 326.000 LF GROUPS SE 0181 0030.50 MOBILIZATION 1.000 S 0182 1001.03 SEEDING,TYPE C 5.000 ACRE 0183 1032.80 HYDROMULCH 8,000 TON GROUP 86 90184 0030.81 MOBILIZATION 0185 1116.02 REMOVE CABLE 1239. S 1 0186 1136,44 REMOVE DETECTION CAMERA LE 1.000 EACH Page 6 of 9 EXHIBIT"A" State of Nebraska Department of Roads Required Document Ust Legend TOS Test or Sample Contrast ID 4707 CC Contractor's Certification Control Number 42707 OW MC Manufacturer Certification Project Number URB-5436(5) COC Certification of Compliance Location CAPITALAVE,WE130-WHEELER,GRAND ISLAND COT Certification of Test Type of Work GRAD CONC PAVE CULV WATER MAIN SAN SEED RISC API Approved Products List Letting Date 10/23/2014 PMV Project Manager's Verification SG Version July 1,2014 5P Special Provisions 'N55 Nebraska Standard Specification DISCLAIMER:This document may not include all material requirements for this MA M&R Approval project.Please refer to the Materials Sampling Guide for a SG Material Sampling Guide comprehensive list of the material requirements.This document SR Shipping Report will not reflect any changes made to the project after the project rt a a ..` s,.; 1 i- .,,M..,.�a< ....�0 A ti, kN_ �.' V.tg A " k � �«'t liiii �C .i 0187 7320.50 STREET NAME SIGN 6.000 EACH 0188 7390.02 RELOCATE SIGN 1.000 EACH 0189 A00L05 PULL BOX,TYPE Pe-2 12.000 EACH APL 50-21 KAREL 0190 4001.12 PULL BOX,TYPE PB-5 54.000 EACH API SG-21 KAREL 0191 A001.16 PULL BOX,TYPE PB-6 1.000 EACH APL SG-21 KAREL 0192 A001.35 PULL BOX,TYPE FOR-27 6.000 EACH APL 5G-21 KAREL 0193 A001.36 PULL BOX,TYPE FOT-48 4.000 EACH APL SG-21 KAREL 0194 A001.58 SPLICE CONDUIT 3.000 EACH PMV 5G-21 KAREL 0195 A002.35 GPS SIGNAL PREEMPTION SYSTEM 3.000 EACH COC SP-178 KAREL 0196 A003.10 TRAFFIC SIGNAL,TYPE TS-1,T36 14.000 EACH APL 5G-21 KAREL 0197 41303.20 TRAFFIC SIGNAL,TYPE TS-1A,731 6.000 EACH APL 50-21 KAREL 0198 A004.15 TRAFFIC SIGNAL,TYPE TS-1B,T3X 4.000 EACH APL SG-21 KAREL 0199 A004.22 TRAFFIC SIGNAL,TYPE TS-1LB,T49 5.000 EACH APL 5G-21 KAREL 0200 40(15.50 TRAFFIC SIGNAL CONTROLLER,"TYPE NEMA 2.000 EACH PMV SG-21 KAREL 0201 A006.14 PEDESTRIAN SIGNAL,TYPE PS-1,T19 18.000 EACH Countdown Pedestrian Signal tF APL SG 21 KAREL Pedestrian Signals APL SG 21 KAREL 0202 A006.70 PEDESTRIAN PUSHBUTTON,TYPE PPB 18.000 EACH NOV SP-174 KAREL 0203 A095.84 PEDESTAL POLE,TYPE PP-10 3.000 EACH COC SG-21 KAREL Class R Aggregate TOS SG 15,16 MACKE Non-Shrink Grout 11 APL SG 20,21 KRASON Portland Cement Concrete TOS SG 15,16 KRASON _ 0204 4.007.75 STREET LIGHTING UNIT,TYPE SL-D-40-12-0.40 45.000 EACH COC SG-21 KAREL 0205 A007.78 STREET LIGHTING UNIT,TYPE SL-D-30.12-0.40 7.000 EACH COC 5G-21 KAREL 0206 4010.07 LUMINAIRE,TYPE HPS-400 11.000 EACH PMV 5G-21 KAREL 0207 A011.24 COMBINATION MAST ARM SIGNAL AND LIGHTING POLE,-1.000 EACH Class R Aggregate TOS SG 15,16 MACKE Non-Shrink Grout S APL SG 20 21 MASON Portland Cement Concrete TOS SG 15,16 MASON Ground Rod tt TOS 50 21 KAREL Anchor Bolts for SLU&Combination Pole COC 5G 21 KAREL Combination MastArm Signal/Lighting Pole COC 5G 21 KAREL 0208 A011.65 COMBINATION MAST ARM SIGNAL AND LIGHTING POLE,-3.000 EACH Class R Aggregate TOS SG 15,16 MACKE Non-Shrink Grout 0 APL 5G 20,21 KRASON Portland Cement Concrete TOS SG 15,16 KRASON Ground Rod u TOS SG 21 KAREL Anchor Bolts for SLU&Combination Pole COC SG 21 KAREL Combination MastArm Signal/lighting Pole COC SG 21 KAREL 0209 A012.05 COMBINATION MAST ARM SIGNAL AND LIGHTING POLE,-1.000 EACH Class R Aggregate TOS SG 15,16 MACKE. Non-Shrink Grout a APL 5G 20,21 MASON Portland Cement Concrete TOS SG 15,16 MASON Ground Rod tt TOS SG 21 KAREL Anchor Bolts for SLU&Combination Pole COC SG 21 KAREL Combination MastArm Signal/Lighting Pale COC SG 21 KAREL 0210 4012.08 COMBINATION MAST ARM SIGNAL AND LIGHTING POLE,-1.000 EACH Class R Aggregate TOS SG 15,16 .MACKE Non-Shrink Grout a APL SG 20;.21 MASON Portland Cement Concrete T05 SG 15,16 KRASON Ground Rod a TOS -56.21 KAREL Anchor Bolts for 510&Combination Pole COC 5G 21 KAREL Combination MastArm Signal/lighting Pole COC SG 21 KAREL 0211 A012.60 COMBINATION MAST ARM SIGNAL AND LIGHTING POLE,-3.000 EACH Class R Aggregate TOS SG 15,16 MACKE Non-Shrink Grout n APL SG20,21 MASON Portland Cement Concrete TOS 5G 15,16 MASON Ground Rod tt TOS SG 21 KAREL Anchor Bolts for SLU&Combination Pole COC SG 21 KAREL Combination MastArm Signal/Lighting Pole COC SG 21 KAREL 0212 A012.80 COMBINATION MAST ARM SIGNAL AND LIGHTING POLE,-1.000 EACH Class R Aggregate TOS SG 15,16 MACKE Non-Shrink Grout a APL 5G 20,21 KRASON Portland Cement Concrete TOS SG 15,16 KRASON Ground Rod tt TOS SG 21 KAREL Anchor Bolts for SLU&Combination Pole COC SG 21 KAREL Combination MastArm Signal/Lighting Pole COC 5G 21 KAREL 0213 A012.90 COMBINATION MAST ARM SIGNAL AND LIGHTING POLE,'1.000 EACH Class R Aggregate TOS SG 15,16 MACKE Non-Shrink Grout n API SG 20,21 KRASON Page 7 of 9 EXHIBIT"A" State of Nebraska Department of Roads Required Document List Legend ... .. Contract ID 4707 TOS Test or Sample Control Number 42707 000 CC Comfactu s Certification Project Number U1 -5435(5) MC Manufacturer Certification Location CAPITAL AVE,WE6B-WHEELER,GRAND ISLAND COC Certification of Compliance COT Certification Type of Work GRAD CONC PAVE CULV WATER MAIN SAN SEED ELEC APL Approved Products List Letting Date 1O/23/2014 PMV Project Manager's Verification SG Version July 1,2014 SP Special Provisions NSS Nebraska Standard Specification DISCLAIMER:This document may not Include all material requirements for this MA M&R Approval project.Please refer to the Materials Sampling Guide for a S6 Material Sampling Guide comprehensive list of the material requirements.This document ER Shipping Report will not reflect any changes made to the project after the project 4 � �a., ., lane' , �' `.ri T ;.ro r. ,Y H.ny . -. ? ;1" 4 1 Portland Cement Concrete -� TOE SG 15,15 KRASON Ground Rod II TOS SG 21 KAREL Anchor Bolts for SLU&Combination Pole COC SG 21 KAREL Combination MastArm Signal/Lighting Pole COC SG 21 KAREL 0214 A014.76 SERVICE METER AND PEDESTAL 2.000 EACH COC SP-120 KAREL 0215 6016.50 MAST ARM SIGNAL POLE,TYPE MP-30 L000 EACH Class R Aggregate TOS SG 15,16 MACKE Non-Shrink Grout n APL SG 20,21 KRASON Portland Cement Concrete TOE 5G 15,16 KRASON 0216 A020,75 UGHTING CONTROL CENTER 2.000 EACH PMV SG-21 KAREL 0217 A070.13 2-INCH CONDUIT IN TRENCH 23297.000 LF Buy America Cert-Producer/Supplier MC N55106 KAREL Electrical Conduit tt 0218 A070.18 3-INCH CONDUIT IN TRENCH APL SG 21 KAREL 196.D1M LF Buy America Cert-Producer/Supplier MC N5S106 KAREL Electrical Conduit n 0219 A072.14 2-INCH CONDUIT UNDER ROADWAY APL 56 21 KAREL fl840.000 LF Buy America Cert-Producer/Supplier MC N55106 KAREL Electrical Conduit t1 0220 6074.90 CATSE ETHERNET CABLE 56 APL SG 21 KAREL 5669.000 LF TOS SP-195 KAREL 0221 A077.18 7/C#14 AWG TRAFFIC SIGNAL CABLE 5739.000 LF 7/C#14 AWG Traffic Signal Cable TOE SG 21 KAREL 0222 A077.22 12/C#14 AWG TRAFFIC SIGNAL CABLE 127.000 LF -__ 12/C#14 AWG Traffic Signal Cable TOS SG 21 KAREL 0223 6077.30 20/C#14 AWG TRAFFIC SIGNAL CABLE 991.000 LF TOS SG 21 KAREL. 0224 A079.06 CAMERA DETECTOR CABLE 686.000. LF TOS SP-19S KAREL 0225 6079.2.6 24 STRAND SINGLE MODE FIBER 6020.000 LF COC SP-175 KAREL 0226 A079.36 3/C#14 AWG,PEDESTRIAN PUSH BUTTON CABLE 1671,1100 LF 3/C#14 AWG Pedestrian Push Button Cable TOS SG 21 KAREL 0227 A079.43 #8 GROUNDING CONDUCTOR 681.000 LF #B Grounding Conductor 7OS SG 21 KAREL 0228 6079.55 SERVICE CABLE#6 168.000 LF Service Cable No.1 USE TOE SG 21 KAREL Service Cable,No.3 USE TOE SG 22 KAREL Service Cable,No.6 USE TOS SG 21 KAREL 0229 A079.60 STREET UGHTING CABLE#6 502.000 LF Street Lighting Cable 1/c#6AWG CopperUSE TOE 5G 21 KAREL 0230 A080.04 STREET LIGHTING CABLE,NO.1/0 USE 212,000 IS Street Lighting Cable,No.1/0 USE TOE SG 21 KAREL 0231 6060.10 STREET LIGHTING CABLE,NO.2 USE 10306.000 LF Street Lighting Cable,No.2 USE TOS SG 21 KAREL 0232 6080.15 STREET LIGHTING CABLE,NO.4 USE 12224.000 LF Street Lighting Cable,No.4 USE TOS SG 21 KAREL 0233 A080.23 STREET LIGHTING CABLE,NO.6 BARE 106.000 LF Street Lighting Cable,No.6 BARE TOS SG 21 KAREL 0234 A080.30 STREET LIGHTING CABLE,NO.8 BARE 11265000 LF Street Lighting Cable,No.8 BARE TOS SO 21 KAREL 0235 A610.O0 REMOVE TRAFFIC SIGNAL,COMPLETE 1.000 EACH 0236 A610.19 REMOVE PEDESTRIAN SIGNAL HEAD 4.000 EACH 0237 A611,12 REMOVE PEDESTRIAN PUSHBUTTON 4.000 EACH 0238 A630.20 REMOVE PULL BOX 2.000 EACH 0239 A699.90 REMOVE COMBINATION POLE AND FOUNDATION 2.000 EACH 0240 A775.00 VEHICLE DETECTION SYSTEM{WMVDS A) 1.000 LS TOE SP-172 KAREL 0241 A775.01 VEHICLE DETECTION SYSTEM(WMVDS B) 1.000 L5 TOS SP-172 KAREL 0242 6779.45 VIDEO DETECTION CAMERA 4.000 EACH COC KAREL GROUP 10 G0243 0001.08 BARRICADE,TYPE II 39190.000 BOAT Barricade Warning Lights Type C a APL 5G 23 KAREL Reflective Sheeting 0 TOE SG 23 DONDLINGER 0244 0001.10 BARRICADE,TYPE III 14549.000 BDAY Barricade Warning Lights Type A n APL 5G 23 KAREL -- Reflective Sheeting 0 TOE SG 23 DONDLlNGER 0245 0001-90 SIGN DAY 24610.000 EACH 0246 0001.99 CONTRACTOR FURNISHED SIGN DAY 7992.000 EACH 0247 0002.44 TEMPORARY PAVEMENT MARKING,TYPE PAINT 10000.000 LF 0248 0010.04 FIELD OFFICE 1.000 EACH 0249 0020.00 TRAINING 2000.000 HOUR 0250 0030.10 MOBILIZATION 1.000 LS 0251 9110.01 RENTAL OF LOADER,FULLY OPERATED 120.000 HOUR 0252 9110.02 RENTAL OF MOTOR GRADER,FULLY OPERATED 120.000 HOUR 0253 9110.03 RENTAL OF DUMP TRUCK,FULLY OPERATED 120.000 HOUR Page 8 of 9 EXHIBIT"A" State of Nebraska Department of Roads Requited Document List Legend _. TOS Test orSample Contract ID 4707 'CC Contractor's Certification Control Number 42707 000 MC Manufacturer Certification Project Number URB-5436(5) LOG Certification of Compliance Location CAPITAL AVE,WEBB-WHEELER,GRAND ISLAND COT Certification of Test Type of Work GRAD CONC PAVE CULV WATER MAIN SAN SEED ELEC APL Approved Products List Letting Date 10/23®2014 PMV Project Manager's Verification SG Version July 1,2014 SP Special Provisions NSS Nebraska Standard Specification DISCLAIMER:This document may not include all material requirements for this MA M&R Approval project. Please refer to the Materials Sampling Guide for a 'SG Material Sampling Guide comprehensive list of the material requirements.This document SR Shipping Report will not reflect any changes made to the project after the project 0254 9110.07 RENTAL OF SKID LOADER,FULLY OPERATED - `'""'`' 120.000 HOUR 0255 9110.27 RENTAL OF CRAWLER MOUNTED HYDRAULIC EXCAVATOR 50.000 HOUR 0256 1022.75 TEMPORARY SILT CHECK 500.000 LF API DONDUNGER 0257 1022-90 TEMPORARY SILT FENCE 500.000 LF APL NS58Q9 DONDUNGER BUY AMERICA CERTIFICATION CC SP-86 KAREL PREFORMED EXPANION JOINT APL SP-26 KRASON URETHANE SEALANT APL PLANS BYRE Page 9 of 9 EXHIBIT"A" g.., ..., . 3 ›, - . ... g 12 i !.g ',-., fl i i i g g L1-... 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