2014-48RESOLUTION NO. 2014 - 48
COUNCIL MEMBER STEWART INTRODUCED THE FOLLOWING RESOLUTION:
BE IT RESOLVED BY THE MAYOR AND CITY COUNCIL OF THE CITY OF BLAIR,
NEBRASKA, AS FOLLOWS:
Whereas: City of Blair is developing a transportation project for which it intends to obtain Federal
funds;
Whereas: City of Blair 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;
Whereas: City of Blair and JEO Consulting Group, Inc. wish to enter into a Professional
Construction Engineering Services Agreement to provide construction engineering services for
the Federal -aid project.
Be It Resolved: by the City Council of the City of Blair, Nebraska that:
James Realph, Mayor of the City of Blair, is hereby authorized to sign the attached construction
engineering services agreement between the City of Blair, Nebraska and JEO Consulting Group,
Inc.
NDOR Project Number: URB- 6462(1)
NDOR Control Number: 22507
NDOR Project Description: Jackson Street, 3 rd — River Road
COUNCIL MEMBER STEWART MOVED THAT THE RESOLUTION BE ADOPTED AS
READ, WHICH SAID MOTION WAS SECONDED BY COUNCIL MEMBER HALL. UPON
ROLL CALL, COUNCIL MEMBERS VOTING "AYE" SHEPARD, STEWART, WILLIS,
KEPHART, WOLFF, ANDERSEN, HALL AND JENSEN AND COUNCIL MEMBERS NONE
VOTING "NAY ", THE MAYOR DECLARED THE FOREGOING RESOLUTION PASSED
AND ADOPTED THIS 9TH DAY OF DECEMBER, 2014.
CITY OF BLAIR, NEBRASKA
J E. REALPH, MAYOR
ATTEST:
BRENDA R. WHEELER, CITY CLERK
(SEAL.)
STATE OF NEBRASKA )
):ss:
WASHINGTON COUNTY )
BRENDA R. WHEELER, hereby certifies that she is the duly appointed, qualified, and acting City
Clerk of the City of Blair, Nebraska, and that the above and foregoing Resolution was passed and
adopted at a regular meeting of the Mayor and City Council of said City held on the 9th day of
December, 2014.
BRENDA R. WHEELER, CITY CLERK
TASK ORDER AGREEMENT
CONSTRUCTION ENGINEERING, CONSULTANT
LPA PROJECTS
CITY OF BLAIR
JEO CONSULTING GROUP, INC.
PROJECT NO: URB- 6462(1)
CONTROL NO. 22507
JACKSON STREET, 3 RD — RIVER ROAD
THIS AGREEMENT, made and entered into by and between the City of Blair, hereinafter
referred to as the Local Public Agency or LPA, and JEO Consulting Group Inc., hereinafter
referred to as the "Consultant," and collectively referred to as the "Parties ".
WITNESSETH:
WHEREAS in accordance with the terms of the Master Agreement for Consultant
Services Project (Master Agreement), State Agreement No. BK1235 and Supplemental No. 1,
executed by the Consultant on February 7, 2012, and by the State of Nebraska Department of
Roads (State) on February. 14, 2012, the State selected several consultants, including.
Consultant, t be available to complete services for various local public agency Federal -Aid
projects, and
WHEREAS, the LPA has completed or is in the process of completing plans, special
provisions, and standard specifications for the letting and construction of a federal -aid
transportation related project, and
WHEREAS, the LPA has selected Consultant to provide Construction Engineering
services hereinafter the "Services" for its project identified as Project No. URB- 6462(1), and
WHEREAS, solely for convenience, consistency and in an attempt.to obtain federal
funding for the consultant services, the Parties intend that this task order agreement, herein after
referred to as "Task Order ", include some of the provisions of *a February 14, 2012 Master
Agreement for on -call services between Consultant and the State of Nebraska, Department of
Roads, and
WHEREAS, LPA and Consultant wish to enter into this Task Order to specify the duties
and obligations of the Parties for the Services described herein, and
WHEREAS, the Consultant and LPA intend that the Services provided by Consultant
comply with all applicable federal -aid transportation project related program requirements, so
that Consultant's costs of Construction Engineering will be eligible for federal reimbursement,
and
WHEREAS, the LPA and Consultant intend that this Task Order be completed in
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accordance with the terms and conditions of the Nebraska LPA Guidelines Manual for Federal
Aid Projects; hereinafter referred to as LPA Manual (See definition in Section 1), and
WHEREAS, Consultants primary contact person for.LPA will be LPA's representative,
who has been designated as being in responsible charge of the project, and who is referred to
herein as RC or Responsible Charge.
NOW THEREFORE, in consideration of these facts, the Parties hereto agree as follows:
SECTION 1 DEFINITIONS (LPA.Task Order)
WHEREVER in this Task Order.the following terms are used, they shall have the
following meaning:
"LPA" stands for Local Public Agency, and in this Task Order means City of Blair (city or
county), unless the context otherwise requires. LPA may also be used to refer generally to
other Local Public Agencies. Local Public Agencies include, but are not necessarily limited to;
Nebraska Cities, Villages, Counties, Political Subdivisions, Native American Tribes, and other
entities or organizations found to be eligible sub recipients of federal funds for transportation
projects.
"CONSULTANT" means the firm of JEO Consulting Group, Inc. and any. employees
thereof, whose business and mailing address is 142 W. 11 Street, Wahoo, Nebraska, 68066.
"SUBCONSULTANT /SUBCONTRACTOR" means the firm of Felsburg Holt & Ullevig
and any employees thereof, whose business and mailing address is 11422 Miracle Hills Drive,
Suite 115, Omaha, Nebraska, 68154 and Thiele Geotech, Inc. and any employee thereof,
whose business and mailing address is 13478 Chandler Road, Omaha, Nebraska 68138.
"LPA MANUAL" shall mean the Nebraska Department of Roads' LPA Guidelines Manual :
for Federal -Aid Projects. The LPA Manual is a document approved by the Federal Highway
Administration (FHWA) that sets out the requirements for local federal -aid projects to be eligible
for federal reimbursement; the LPA Manual can be found in its entirety at the following web
address: http://www.dor.state.ne.us/qov-aff/Ipa/lpa-quidelines.pd f
"RESPONSIBLE CHARGE" or "RC" shall mean LPA's representative for the project
whose duties and responsibilities are identified in federal law and in the LPA Manual.
"STATE" means the Nebraska Department of Roads in Lincoln, Nebraska, its Director,
or authorized representative. The State represents the interests of the United States
Department of Transportation on federally funded transportation projects sponsored by a sub
recipient of federal funds and any reference to the "State" in this Task Order shall mean'the
State on behalf of the United States Department of Transportation.
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"FHWA" means the Federal Highway Administration, .United States Department of
Transportation, Washington, D.C. 20590, acting through its authorized representatives.
"DOT" means the United States Department of Transportation, Washington, D.C. 20590,
acting through its authorized representatives.
"STATE REPRESENTATIVE" means an employee of the State assigned by the State to
determine whether the LPA's project meets the eligibility requirements for federal funding and to
provide technical assistance when requested by the LPA, in LPAs efforts to comply with the
requirements for Federal -aid funded local projects.
To "ABANDON" the Task Order means that the LPA has determined that conditions or
intentions as originally existed have changed and that the Task Order as contemplated herein is
to be renounced and deserted for as long in the future as can be foreseen.
To "SUSPEND" the Task Order means that the LPA has determined that the conditions
or intentions as originally existed have changed and that the Task Order as contemplated herein
should be stopped on a temporary basis. This cessation will prevail until the State determines
to abandon or terminate the Task Order or to reinstate it under the conditions as defined in this
Task Order.
To "TERMINATE" or the "TERMINATION" of this Task Order is the cessation or quitting
of this Task Order based upon action or failure of action on the part of the Consultant as defined
herein and as determined by the LPA.
SECTION 2..TERM OF THE AGREEMENT
This Task Order becomes effective on the date it is signed by the LPA and will end upon:
(1) the waiver of an audit review or (2) the final completion of an audit review by the State or its
authorized representative, and the resolution of all issues identified in the audit report.
SECTION 3. TASK ORDER SCOPE OF SERVICES
LPA and Consultant understand that the Services provided by Consultant must be
completed in accordance with all federal -aid reimbursement requirements and conditions. LPA
and Consultant agree that the Scope of Services for this Task Order will be in two parts. Part
one of the Scope of Services is contained within the General Scope of Services set out below.
Part two of the Scope of Services is set out on the document attached hereto as Exhibit "A ",
entitled Scope of Services and Fee Proposal, which is hereby fully incorporated herein and made
a part hereof by this reference. Exhibit "A" is the result of the following process:
(1) LPA provided Consultant with a document describing the detailed proposed Scope of
Services for this project
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(2) Consultant made necessary and appropriate proposed additions, deletions, and
revisions to LPA's detailed Scope of Services document
(3) LPA and Consultant together reviewed the proposed Scope of Services, the proposed
revisions and negotiated the final detailed Scope of Services and Fee Proposal
document, which is attached as Exhibit "K.
Consultant and LPA have agreed that Exhibit "A" sets out the Services reasonably
necessary and the costs reasonably estimated for Consultant Services to adequately observe,
monitor, inspect, measure, manage, document and report so that LPA's project is constructed by
the contractor in compliance with the Construction Contract Documents (definition below), the
Manuals (definition below), State and Federal law, rule or regulation and policy.
General Scope of Services:
The Consultant services generally include, but are not limited to: project management;
construction: engineering; pre- construction staking; traffic control plans; conducting the
preconstruction conference; construction staking: project inspection; materials sampling and
testing during project construction; monitoring environmental commitments; preparing as -built
plans; progress computations; final computations; preparing contractor change orders and work
orders; and all project communications, including any necessary communication regarding
federal- funding project eligibility questions, issues and concerns.
The Consultant shall review and have a working knowledge of the project plans, special
provisions, standard specifications (the Standard Specifications for Highway Construction of
NDOR (Current Edition)), change orders and all other project related contract documents for the
construction of LPA's Federal -Aid project. The project plans, special provisions, standard
specifications, and other contract documents are hereby incorporated by reference into this
Task Order, as if they were fully set forth herein, and collectively, may be referred to as the
Construction Contract Documents. Consultant shall assume the duties of "Inspector ", (also
referred to in the NDOR Construction Manual as "Construction Technician "); "Project Manager;"
and also "Engineer" (unless the context of use of the term "Engineer" would otherwise require),
as those terms are defined and duties set out in the Standard Specifications for Highway
Construction (2007 Edition). Consultant shall assume that it is responsible for all duties of the
"Engineer" unless notified otherwise by RC on behalf of LPA.
Additionally, Consultant shall review and have a working knowledge of the following
authoritative guides and manuals related to highway construction, materials and federal aid
reimbursement:
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(1) NDOR Construction Manual - Current Edition
(2) Materials Sampling Guide (NDOR)
(3) Standard Methods of Tests — 2006 (NDOR)
(4) The LPA Manual
(5) The Manual on Uniform Traffic Control Devices
(6) AASHTO Standard Specifications for Transportation Materials and Methods of
Sampling and Testing
(7) The ASTM Standards
(8) NDOR Final Review Manual
These documents are hereby incorporated herein by reference as if fully set forth, and
these documents, collectively, may be referred to as the Manuals. Unless required otherwise by
the Construction Contract Documents, Consultant shall be responsible for timely completion of
all applicable checklists, tests, samples,'duties, requirements and provisions of the Manuals.
The Manuals will be used to determine what, when, how, the sequence, and other details of the
work that must be provided by Consultant, whenever Consultant's duties in these respects are
not clearly set out in the Construction Contract Documents. Consultant shall employ a sufficient
number of qualified employees on the project to adequately observe, monitor, inspect,. measure,
manage, document, report and carry out the other duties of this Task Order, so that the project
is constructed by the contractor in compliance with the Construction Contract Documents, the
Manuals, State and Federal law, rule or regulation and policy. Consultant shall fulfill all contract
duties of inspection, project management and construction engineering for the project in a timely
manner and shall communicate regularly about the progress of the construction with the LPA,
through the RC, and, when appropriate for federal funding or eligibility issues, the State
representative.
The Consultant is required to use Trans *Port Site Manager as the construction record-
keeping system for Services under this contract.
The Consultant shall be present at the project site when appropriate for each applicable
phase of construction to inspect, observe, monitor, measure, manage, document and report on
the progress of the work or as otherwise specifically agreed to by the LPA.
The Parties understand that the Consultant is not responsible for the Contractor's means
and methods of construction. To the extent the Construction Contract Documents and the
Manuals specify sequencing of work, equipment requirements, or other construction methods,
the Consultant shall keep the Owner's RC informed about the progress and quality of the
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portion of the work and shall advise the RC about observed or measured deficiencies in the
work.
Additional Requirements:
A. The Consultant shall advise the LPA when it appears any Disadvantaged Business
Enterprise (DBE) working on the project is in need of assistance.
B. The Consultant shall* make every effort to assist the Contractor or any Subcontractor in
interpreting Project Plans, Special Provisions, Standard Specifications, other Construction
Contract Documents, or the Manuals.
C. The Consultant will be present at the project site or available at LPA's Offices beginning on
the date specified in the LPA's notice to proceed to the contractor, unless project work has
not begun at the site; or, with at least 24 hours notice, at any prior date (1) when contract
work begins or when materials are delivered to the project that need to be tested; sampled or
inspected to verify conformance to the requirements of the Construction Contract
Documents.
D. The Consultant will promptly review and approve or reject all construction work on the
project, with the right, but not the duty, for the State and FHWA to review for compliance or
funding eligibility.
E. All reports of field tests performed by the Consultant will be submitted weekly to the State
Representative (two copies). Consultant will take prompt and appropriate action to reject or
cause Contractor to remedy the work or materials that do not conform to the contract
documents.
F. The Consultant shall comply with all Federal, State and local laws, rules or regulations,
policies or procedures, and ordinances applicable to the work contemplated in this Task
Order.
G. Project time delays attributed solely to the Contractor will constitute a basis for a request for
an equivalent extension of time for the Consultant. The Parties understand that federal
reimbursement of extra compensation must be approved in advance as described in the
Fees and Payments Section of this Task Order.
H. The sampling and testing type, method and frequency must be completed by Consultant
according to the current State of Nebraska Manuals, including the Materials Sampling Guide
and the State Standard Methods of Tests (www.dor.state.ne.us), and the Construction
Contract Documents. For sampling or testing issues or situations that are not covered in the
Construction Contract Documents or the Manuals, Consultant shall notify LPA, provide its
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advice and request that LPA decide what testing type, method or frequency should be
applied for this project. Any test methods or procedures that are proposed to be used and
.are not covered by NDOR procedures must receive prior concurrence for use from NDOR
and FHWA.
SECTION 4. STAFFING PLAN (TO CE)
The Consultant has furnished LPA with a staffing plan that identifies the employees of the
Consultant who will be part of the primary team for this project. The primary team is expected to
be directly responsible for providing the field services for the work under this Task Order. This
document shall specify the role that will be assigned to each member of the primary team. This
document is attached hereto as Exhibit "A" and is incorporated herein by this reference. During
construction, the Consultant may make occasional temporary changes to the primary team.
However, any permanent change to the primary team will require prior written approval from the
LPA.
Personnel who are added to the Staffing Plan as replacements must be persons of
comparable training and experience. Personnel added to the Staffing Plan as new personnel
and not replacements must be qualified to perform the intended services. Failure on the part of
the Consultant to provide acceptable replacement personnel or qualified new personnel to keep
the services on schedule will be cause for termination of this Task Order, with settlement.to be
made as provided in the SUSPENSION ABANDONMENT, OR TERMINATION section of this
Task Order.
SECTION 5. NEW EMPLOYEE WORK ELIGIBILITY STATUS
The Consultant agrees to use a federal immigration verification system to determine the
work eligibility status of new employees physically performing services within the State of
Nebraska. The Consultant hereby agrees to contractually require any Subconsultants to use a
federal immigration verification system to determine the work eligibility status of new employees
physically performing services within the State of Nebraska: A federal immigration verification
system means the electronic verification of the work authorization program authorized by the
Illegal Immigration Reform and.lmmigrant Responsibility. Act of 1996, 8 U.S.C. 1324a, known.as
the E- Verify Program, or an equivalent federal program designated by the United States
Department of Homeland Security or other federal agency authorized to verify the work eligibility
status of a newly hired employee. The undersigned duly authorized representative of the
Consultant, by signing this agreement, hereby attests to the truth of the following certifications,
and agrees as follows:
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Neb.Rev.Stat. § 4 -114. 1 certify compliance with the provisions of Section 4 -114 and,
hereby certify that this Consultant shall register with and use a federal immigration verification
system to determine the work eligibility status of new employees physically performing services
within the State of Nebraska. I agree to require all Subconsultants, by contractual agreement, to
require the same registration and verification process.
If the Consultant is an individual or sole proprietorship, the following applies:
1. The Consultant must complete the United States Citizenship Attestation form and'
attach it to this agreement. The form is_ available on the Department of Roads
website at www. transportation .nebraska.gov /proidev/ #save
2. If the Consultant indicates on such Attestation form that he or she is a qualified alien,
the Consultant agrees to provide the US Citizenship and Immigration Services
documentation required to verify the Consultant lawful presence in the United States
using the Systematic Alien Verification for Entitlements (SAVE) Program.
3. The Consultant understands and agrees that lawful presence in the United States is
required and the Consultant may be disqualified or the contract terminated if such
lawful presence cannot be verified as required by Neb. Rev. Stat. §4 -108.
SECTION 6. NOTICE TO PROCEED AND COMPLETION
The LPA will issue Consultant a written Notice-to-Proceed upon 1) full execution of this
Task Order, 2) LPA's determination that federal funding approval has been obtained for the
project and 3) State's concurrence that the form of this Task Order is acceptable for federal
funding eligibility. Any work or services performed by Consultant on the project prior to the date
specified in the written Notice -to- Proceed will not be eligible for reimbursement.
The Consultant shall complete all work under this Task Order within 45 calendar days
after the DR Form 91 "Notification of Contract Completion" is signed by the State. Any costs
incurred by Consultant after the completion deadline will not be eligible for federal funding
reimbursement unless the Consultant.has received a written extension of time from the LPA.
The completion date will not be extended because of any avoidable delay attributed to
the Consultant, but delays not attributable to the Consultant, such as delays attributable to the
Contractor, the State, or the LPA may constitute a basis for an extension of time.
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SECTION 7. FEES AND PAYMENTS
The general provisions concerning payment under this Task Order are set out on the
Exhibit "B ", attached hereto and made a part of this Task Order.
For performance of the services under the terms of this Task Order, the Consultant will
be paid a fixed - fee - for - profit of $19,271.15 and up to a maximum amount of $162,312.31 for
actual costs in accordance with Exhibit "A ". The total Task Order amount is $181,583.46.
SECTION 8. PROFESSIONAL PERFORMANCE (CE Task Order 12- 19 -11)
The Consultant understands that the LPA will rely on the professional training,
experience, performance and ability of the Consultant. Examination by the LPA, State, 'or.
FHVVA, or acceptance or use of, or acquiescence in the Consultant's work product, will not be
considered to be a full and comprehensive examination and will not be considered approval of
the Consultant's work product which would relieve the Consultant from liability or expense that
would be connected with the Consultant's sole responsibility for the propriety and integrity of the
professional work to be accomplished by the Consultant pursuant to this Task Order. The
Consultant further understands that acceptance or approval of any of the work of the Consultant
by the LPA or concurrence by the State /FHWA or of payment, partial or final, will not constitute
a waiver of any rights of the LPA to recover from the Consultant, damages that are caused by
the Consultant due to error, omission, or negligence of the Consultant in its work. That further,
if due to error, omission, or negligence of the Consultant, the work product of the Consultant is
found to be in error or there are omissions therein revealed during or after the construction of
the project and revision, reconsideration or reworking of the Consultant's work product is
necessary, the Consultant shall make such revisions without expense to the LPA. The
Consultant shall respond to the notice of any errors, omissions or negligence within 24 hours
and give immediate attention to necessary corrections. If the Consultant discovers errors,
omissions, or negligence in its work, it shall notify the LPA within 24 hours. Failure of the
Consultant to notify the LPA will constitute a breach of this Task Order. The Consultant's legal
liability for all damages incurred by the LPA caused by error, omission, or negligent-acts of the
Consultant will be borne by the Consultant without liability or expense to the LPA.
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SECTION 9 SUSPENSION ABANDONMENT OR TERMINATATION. (2/8112)
The LPA has the absolute right to suspend or abandon the work, or terminate this Task
Order at any time and such action on its part will in no event be deemed a breach of this Task
Order. The LPA will give the Consultant seven days written notice of such suspension,
abandonment, or termination. Any necessary change in Scope of Services shall follow the
Consultant Work Order Process outlined in the FEES AND PAYMENTS section above.
If the LPA suspends or abandons the work or terminates this Task Order as presently
outlined, the Consultant shall be compensated in accordance with the provisions of 48 CFR 31,
provided however, that in case of suspension., abandonment, or termination for breach of this
Task Order, the LPA will have the power to suspend payments, pending the Consultant's
compliance with the provisions of this Task Order. For an abandonment or termination of this
Task Order, payment to Consultant will be prorated based on the percentage of work completed
by the Consultant prior to abandonment or termination compared to the total amount of work
contemplated by this Task Order.
The ownership of all project plans and supporting documents completed or partially
completed at the time of such termination or abandonment will be retained by the LPA and the
Consultant shall immediately deliver all project plans and supporting documents to the LPA.
SECTION 10. SECTIONS INCORPORATED BY REFERENCE
For the convenience of the Parties, for consistency for funding review, and in an effort to
reduce the length of this Task Order, LPA and Consultant agree to be bound by and hereby
incorporate by this reference as if fully set forth herein, Sections 12 through 18 and 20 through 27
of the Master Agreement for on -call construction engineering services for LPA projects between
the Nebraska Department of Roads and Consultant, dated March, 2010, with one recurring
change:
The name of LPA should be substituted in for any reference in that Master Agreement to
State, State of Nebraska, Director or the Nebraska Department of Roads, unless the
context would otherwise require. The LPA and Consultant agree to meet the
requirements of all incorporated provisions and represent that by signing this Task Order,
they expressly certify to any required certifications contained in those provisions.
Although 'some of the provisions of the Master Agreement are incorporated herein by
reference, it is understood that the Nebraska Department of Roads is not a party to this
Task Order and shall have no obligations or duties under this Task Order.
SECTION 11 RESPONSIBILITY FOR CLAIMS AND LIABILITY INSURANCE (I -PA)
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The Consultant agrees to save harmless the LPA and State /FHWA from all claims and
liability due to the error, omission or negligence of the Consultant or those of the Consultant's
agents or employees in the performance of services under this Task Order. Further, it is
expected that in carrying out the work under this Task Order, Consultant will make various
decisions and judgments and Consultant will determine what actions are required by Consultant
and by others to properly complete the work. Nothing in this Task Order shall be interpreted to
relieve Consultant from any liability it would otherwise have to LPA or State in carrying out the
work under this Task Order.
Finally, in this connection, the Consultant shall for the life of this Task Order, carry
insurance as outlined in Exhibit "C" and attached hereto, and- hereby made a part of this Task
Order. In any contract Consultant has with a subconsultant, Consultant shall require that the
insurance requirements outlined in Exhibit "C" must be met by the subconsultant.
SECTION 12. CONSULTANT CERTIFICATIONS
The undersigned duly authorized representatives of the Consultant, by signing this
agreement, hereby swears, under the penalty of law, the truth of the following certifications, and
agrees as follows:
A. Neb. Rev. Stat. § 81- 1715(1). 1 certify compliance with the provisions of Section 81 -1715
and, to the extent that this contract is a lump sum or actual cost - plus -a -fixed fee professional
service contract, I hereby certify that wage rates and other factual unit costs supporting the
fees in this agreement are accurate, complete, and current.as of the date of this agreement.
I agree that the original contract price and any additions thereto shall be adjusted to exclude
any significant sums by which the'LPA determines the contract price had been increased
due to inaccurate, incomplete, or noncurrent wage rates and other factual unit costs.
B. Neb. Rev. Stat. §§ 81 -1717 and 1718. 1 hereby certify compliance with the provisions of
Sections 81 -1717 and 1718 and, except as noted below neither I nor any person associated
with the firm in the capacity of owner, partner, director, officer, principal investor, project
director, manager, auditor, or any position involving the administration of federal funds:
1. Has employed or retained for a commission, percentage, brokerage, contingent fee, or
other consideration, any firm or person (other than a bona fide employee working solely
for me or the above Consultant) to solicit or secure this agreement, or
2. Has agreed, as an express or implied condition for obtaining this agreement, to employ
or retain the services of any firm or person in connection with carrying out this
agreement, or
3. Has paid, or agreed to pay, to any firm, organization or person (other than a bona fide
employee working solely for me or the above Consultant) any fee, contribution, donation,
or consideration of any kind for, or in connection with procuring or carrying out this
agreement, except as here expressly stated (if any).
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C. Certification Regarding Debarment, Suspension, and Other Responsibility Matters -
Primary Covered Transactions. Section C1 below contains 10 instructions that consultant
agrees to follow in making the certifications contained in C2.
1. Instructions for Certification
a. By signing this agreement, the Consultant is providing the certification set out below.
b. The inability of a person to provide the certification required below will not
necessarily result in denial of participation in this project. The Consultant shall
submit an explanation of why it cannot provide the certification set out below. The
certification or explanation will be considered in connection with the State's
determination whether to enter into this agreement. However, failure of the
Consultant to furnish a certification or an explanation will disqualify the Consultant
from participation in this agreement.
c. The certification in this clause is a material representation of fact upon which reliance
was placed when the State determined to enter into this agreement. If it is later
determined that the Consultant knowingly rendered an erroneous certification, in
addition to other remedies available to the Federal government, the State may
terminate this agreement for cause or default.
d. The Consultant shall provide immediate written notice to the State if at any time the
Consultant learns that its certification was erroneous when submitted or has become
erroneous by reason of changed circumstances.
e. The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier
covered transaction," "participant," "person," "primary covered transaction,"
"principal," "proposal," and "voluntarily excluded," as used in this clause, have the
meanings set out in the Definitions and Coverage sections of the rules implementing
Executive Order 12549.
f. The Consultant agrees that should the proposed covered transaction be entered into,
it will not knowingly enter into any lower tier covered transaction with a person who is
debarred, suspended, declared ineligible, or voluntarily excluded from participation in
this covered transaction, unless authorized by the State before entering into this
agreement.
g. The Consultant further agrees to include the clause titled "Certification Regarding
Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered
Transaction," provided by the State without modification, in all lower tier covered
transactions and in all solicitations for lower tier covered transactions.
h. The Consultant in a covered transaction may rely upon a certification of a
prospective Subconsultant in a lower tier covered transaction that it is' not debarred,
suspended, ineligible, or voluntarily excluded from the covered transaction, unless it
knows that the certification is erroneous. A Consultant may decide the. method and
frequency by which it determines the eligibility of its principals.
i. Nothing contained in the foregoing will be construed to require establishment of a
system of records in order to render in good faith the certification required by this
clause. The knowledge and information of the Consultant is not required to exceed
Project No. URB- 6462(1) Page 12 of 15
Control No. 22507 Agreement No. BK466
Jackson Street, 3rd — River Road
that which is normally possessed by a prudent person in the ordinary course of
business dealings.
j. Except for transactions authorized under paragraph f of these instructions, if the
Consultant in a covered transaction knowingly enters into a lower tier covered
transaction with a person who is suspended, debarred, ineligible, or voluntarily
excluded from participation in this transaction, in addition to other remedies available
to the federal government, the State may terminate this agreement for cause or
default.
2. Certification Regarding Debarment, Suspension, and Other Responsibility
Matters - Primary Covered Transactions
a. By signing this agreement, the Consultant certifies to the best of its knowledge and
belief, that it and its principals:
L Are not presently debarred, suspended, proposed for debarment, declared
ineligible, or voluntarily excluded from covered transactions by any federal
department or agency;
ii. Have not.within a three -year period preceding this agreement been convicted of
or had a civil judgment rendered against them for commission of fraud or a
criminal offense in connection with obtaining, attempting to obtain, or performing
a public (federal, state, or local) transaction or contract under a public
transaction; violation of federal or state antitrust statutes or commission of
embezzlement, theft, forgery, bribery, falsification or destruction of records,
making false statements, or receiving stolen property;
iii. Are not presently indicted for or otherwise criminally or civilly charged by a
governmental entity (federal, state, or local) with commission of any of the
offenses enumerated in paragraph a.ii above; and
iv. Have not within a three -year period preceding this agreement had one or more
public transactions (federal, state, or local) terminated for cause or default.
b. Where the Consultant is unable to certify to any of the statements in this certification,
such Consultant shall attach an explanation to this agreement. I acknowledge that
this certification is to be furnished to the State and the FHWA in connection with this
agreement involving participation of federal -aid highway funds and is subject to
applicable, state and federal laws, both criminal and civil.
SECTION 13. LPA CERTIFICATION
By signing this Task Order, I do hereby certify that, to the best of my knowledge,: the
Consultant or its representative has not been required, directly or. indirectly as an express or
implied condition in connection with obtaining or carrying out this Task Order to:
(a) employ or retain, or agree to employ or retain, any firm or person, or
(b) pay or agree to pay to any firm, person, or organization, any fee, contribution,
donation, or consideration of any kind.
acknowledge that this certification is to be furnished to the FHWA, upon their request,
in connection with this Task Order involving participation of Federal -Aid highway funds and is
Project No. URB- 6462(1) Page 13 of 15
Control No. 22507 Agreement No. BK466
Jackson Street, 3 rd — River Road
subject to applicable state and federal laws, both criminal and civil.
SECTION 14. ALL ENCOMPASSED
This instrument embodies the entire agreement of the Parties. There are no promises,
terms, conditions, or obligations other than contained herein, and this agreement supersedes all
previous communications, representations, or other agreements or contracts between LPA and
Consultant, either oral or written hereto.
Project No. URB- 6462(1) Page 14 of 15
Control No. 22507 Agreement No. BK466
Jackson Street, 3 ` — River Road
IN WITNESS WHEREOF, the Parties hereby execute this agreement pursuant to lawful
authority as of the date signed by each party. Further, the Parties, by signing this agreement,
attest and affirm the truth of each and every certification and representation set out herein.
EXECUTED by the Consultant this day of c t c o, , -6 2014.
JEO CONSULTING GROUP, INC.
Ro S. Brigham
— 4 V
Prkde
STATE OFNEBRASKA)
)ss.
SAUNDERS COUNTY)
Subscribed and sworn to before me this `1 � day of ' ) cr ,v.�nc' {2014.
GENERAL NOTARY -State of Nebraska
MICHELLE VOBORIL
My Comm. Up. Oct 29, 2018
Notary Public
EXECUTED by the (LPA) this I day of �CGCn'1Je( 2014.
CITY OF BLAIR
James Realph
`�k L"- -
M or
Subscribed and sworn to before me this 9 day of
2014.
- &�e� OU"
Clerk
STATE OF NEBRASKA
DEPARTMENT OF ROADS
Form of Agreement Approved for
Federal Funding Eligibility: .
Date
AGRS -7 -TO (4 -5 -13)
Project No. URB- 6462(1) Page 15 of 15
Control No. 22507 Agreement No. BK466
Jackson Street, 3 ` — River Road
Version: 15 October 2014
Exhibit "A"
SCOPE OF SERVICES
CONSTRUCTION ENGINEERING
for
Project Name: Jackson St, 3rd — River Road, Blair
Project Number: URB -64621
Control Number: 22507
A. PROJECT DESCRIPTION
This scope provides for construction engineering services for Jackson Street, 3rd Street to River Road in
the City of Blair, Nebraska. The project consists of the following improvements: Street improvements that
include addition of a curb and gutter section, storm sewer construction, concrete trail on north side of
Jackson Street, replacement of an existing culvert and repair (removal and replacement) of River Road
from flooding damage.
JEO Consulting Group, (Consultant) shall serve as agent for City of Blair, (LPA), representing the LPA in all
matters related to construction'engineering services for this project.
It shall be the responsibility of the Consultant to administer, monitor, and inspect construction such that the
project is constructed in conformity with the plans, specifications, and special provisions.
The Consultant shall inspect the Contractor's work to determine the progress and quality of work, identify
discrepancies, report significant discrepancies to the LPA and Department, and direct the Contractor to
correct such observed discrepancies.
B. APPLICABLE PUBLICATIONS
Work shall be done in accordance with the following materials as currently adopted at the time of letting:
1. AASHTO Standard 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 on Uniform Traffic Control Devices (MUTCD) and NDOR's supplement to the
MUTCD.
9. 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
alignment, existing and new rights -of way (ROW) and easements, and LOC, if available
3. Two copies of the Plans and Special Provisions
4. Roadside safety guidelines (Survey Crew Traffic Control Policy, see NDOR website)
5. Survey Field Books with control points and bench marks
6.: NEPA Document
7. Other
These documents may be provided in either paper or electronic format.
D. CONSULTANT SHALL PROVIDE
1. Project Management 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.
Project Number..URB- 6462(1) Page 1 of 5
Control Number. 22507 Exhibit "A"
Construction Engineering Services
Version: 15 October 2014
1.1 Project Management activities shall include the following:
• Project Management — Provide management of project including staffing,
scheduling, invoicing, progress reports, and coordination with designer.
• Prepare Change Orders and submit copies to the appropriate parties for approval
and full execution.
• . Maintain detailed Project Records and keep, them current. All records shall be
available at the LPA's office.
• 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 project data and diary information into Site Manager on a daily
basis. Insure that inspectors and lab personnel are maintaining appropriate daily
work reports and all material records.
Meetings. Project staff will meet with the LPA, the Contractor, and NDOR when requested
by the State, and prepare minutes of the meeting. For some projects, .a public meeting
may be held and the consultant's attendance may be required.
2.1 Construction Inspection Planning Meeting - The LPA shall coordinate this meeting
prior to start of construction to ensure roles and responsibilities are clear.
Attendees should include the LPA RC, construction inspection personnel and
NDOR State Representative.
2.2 Pre - Construction Meeting - Prepare the agenda, attend, and distribute meeting
notes.
2.3 Construction Progress Meetings,- Prepare the agenda, attend, and conduct
periodic progress meetings with the LPA and /or NDOR personnel, contractor, sub-
contractors, utility personnel, and other agencies affected by the project. FHWA
shall be included for full Federal oversight projects. There will be approximately
27 meetings.
2.4 Assume 4 trips to the project site for meetings.
Traffic Control Plan. Consultant shall prepare a traffic control plan for the project site.
These plan sheet(s) are to be signed by a Professional Engineer licensed in the State of
Nebraska. 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 Consultant's
completion of this activity). Once the plans are completed, they are to be submitted to the
Person of Responsible Charge (RC).
3.1 Prepare Traffic Control Plan in accordance to NDOR Standard Plans, MUTCD and
the NDOR Supplement to the MUTCD. Sign and seal plans.
3.2 Submit Plans to the RC for their records.
SWPPP Inspections /Manual Updates Consultant shall conduct inspections bi- weekly and
after every Y2" or greater rain event according to permit regulations. The Stormwater
Pollution Prevention Plan ( SWPPP) Manual shall be updated according to NDOR and /or
LPA requirements.
4.1 Conduct 23 Inspections (14 bi- weekly and 9 rain event inspections)
4.2 Update SWPPP Manual and Temporary Erosion Control Plan
4.3 Assume 9 trips to the project site for SWPP Inspections.
Construction Survey /Staking. The following tasks are required if the Consultant is
providing Construction Surveying and Staking. This work shall be done in accordance with
the NDOR Construction Manual.
5.1 Provide coordination of staking needs with Contractor.
5.2 Consultant shall verify and re- establish if necessary the survey control used during
the preliminary engineering.
5.3 Mark removals including pavement removal limits.
5.4 Stake right -of -way and construction easements.
5.5 Provide slope stakes for grading.
5.6 Provide paving hubs.
• For curb sections hubs will be provided every 50 feet
Project Number. URB- 6462(1) . Page 2 of 5
Control Number. 22507 Exhibit "A"
Construction Engineering Services
Version: 15 October 2014
• For new paving hubs will be provided every 25 feet.and it is assumed that
paving will be completed full width. (except for Jackson /Fairview Road and
Marina Drive Intersection)
5.7 Provide cross - section for new culverts before providing a Culvert Order List to
Contractor. For structures storm sewer and pipe culverts, the consultant will
provide grade stakes.
5.8 Stake guardrail.
5.9 Stake silt fence.
5.10 - Verify existing tie -in elevations and locations and adjust new pavement grades to
meet existing pavement.
5.11 Assume 25 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 invoice the LPA for
the re- staking. If re- staking is required because of the activities of the Contractor, the fee
for re- staking will be withheld from Contractor payment.
Construction Consultation /Site Manager & Daily Work Report (DWR) Consultant shall
contact RC /Designer as needed to obtain plan clarifications /interpretations. Maintain and
review project materials and promptly enter information into Site Manager.
6.1 SiteManager & Daily Work Report (DWR)
• Review and Enter Data into SiteManager
• Maintain Project Field Diaries, Files, and Record data in SiteManager
• ' Document and Review Daily Work Reports (DWRs)
6.2 Construction Consultation with Design Engineer by Construction Engineer or
Project Manager
6.3 The Design Engineer will address requests for information from the RC,
Construction Engineer or Project Manager with a reply in writing. Any plan
revisions needed that are not due to an error or omission will be completed with a
supplemental agreement to the contract.
7. Girder Shim Surveying — Not applicable on this project
Perform Bearing Calculations — Not applicable on this project
Construction Inspection Consultant shall perform material sampling and testing and
complete inspection work and project management in accordance with the references list
in Section B of this Exhibit. Consultant shall assume the duties of "Inspector, (also referred
to in the NDOR Construction Manual as "Construction Technician "), "Project Manager",
and also "Engineer" (unless the context of use of the term "Engineer" would otherwise
.require), as those terms are defined and duties set out in the Standard Specifications for
Highway Construction. Consultant shall assume that it is responsible for all duties of the
"Engineer" unless notified otherwise by RC on behalf of LPA.
9.1 Construction Inspection: Duties for construction inspection will include, but are not
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 provisions.
• 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, SWPPP, Threatened and Endangered
Species, etc.)
• NDOR will provide the Initial Threatened and Endangered Species
surveys required as outlined in the conservation conditions; and follow up
survey training for the Consultant's environmental inspection personnel.
Project Number. URB- 6462(1) Page 3 of 5
Control Number. 22507 Exhibit "A"
Construction Engineering Services
Version: 15 Octobar 2014
Follow -up surveys as may be required will be the responsibility of the
Consultant. Any required surveys for compliance with the Migratory Bird
Treaty Act will also be the responsibility of the Consultant. NDOR will not
conduct these surveys.
• The Consultant will provide NDOR 30 days advance notice of the need for
the initial T &E surveys so that NDOR personnel can be scheduled to
perform this work.
• Review work zone traffic control devices daily and, at a minimum weekly
interval, conduct a nighttime drive through review of temporary traffic
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, sign /date, and file all delivery tickets and material certifications. All
required material certifications shall be submitted to NDOR Materials &
Research Division accompanied by a completed DR -12 sample ID form or
Site Manager Sample Record ID.
• Consultant shall forward shop drawings to the Design Engineer for review
and approval.
• Draft and review change order or time extension request including
explanation of the issue and resolution and the justification for accepted
prices and forward to RC. Once reviewed by NDOR and 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
Design Engineer.
• Prepare a field checked culvert order list
• Prepare guardrail order list
• Generate periodic progress 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.
• Locate permanent pavement markings
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 135 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 shall be certified to perform these duties in accordance with the NDOR
Materials Sampling Guide section 28. All non -NDOR Laboratories shall be pre - qualified 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
• Quality and Soundness acceptance testing
• Gradation verification testing
PG Binders & Emulsions
All required acceptance testing
All Steel Products
• All testing required for heat number pre - approval and acceptance testing
Chemical Lab
• All required source pre - approval and acceptance testing
Smoothness
• NDOR will run all 10% verification testing for projects with Smoothness
• Specifications for pavement. NDOR will perform bridge smoothness
testing on bridges receiving pavement on either side of the bridge
Project Number: URB= 6462(1) Page 4 of 5
Control Number 22507 Exhibit "A"
Construction Engineering Services
Version: 15 October 2014
CONSULTANT SHALL PROVIDE (List'of tests to be provided by NDO_R);
10.1 Collect, verify, document and deliver all samples to testing lab
102 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 with owner for
acceptance and incorporation into the project.
10.4 Assume 39 trips to the project site for Material Sampling and Testing.
11. As -Built Drawings Prepare As -built drawings according to the LPA manual and the
current directions from the NDOR Final Review Section.
11.1 As -Built Drawings .
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 Walkthrough of Site and Preparation of Punch List
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. Proiect Closeout. Assist RC with compiling project construction records as requested.
Assemble and transmit Final Construction Records to LPA RC in paper format (printed
single sided), including:
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 /Non- Concurrence 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
NDOR Rep for this. The Consultant should ensure that the LPA RC
sends a letter of Tentative Acceptance (per NDOR format) to the
Contractor — send copies to the NDOR Rep.
• 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.
• Project Culvert Field Book with information per the NDOR Construction
Manual
• 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)
E. SCHEDULE
1. Notice to Proceed: December 31; 2014
2. The Consultant shall provide a schedule of activities and deliverables upon award
Project Number: URB- 6462(1) Page 5 of 5
Control Number. • 22507 Exhibit "A"
Construction Engineering Services
Project Name: Jackson Street, 3rd - River Road
Project Number: URB- 6462(1)
Control Number: 22507
Location (City, County): Blair, NE
Firm Name: JEO Consulting Group Inc.
Consultant Project Manager: Julie Ogden
Phone /Email: 402,443.7483: jogden@ieo.com
LPA Responsible Charge: Alien Schoemaker
PhonelEmail: ( 402) 426 -4191; ars @ci.blair.ne.us
NDOR Project Coordinator: Greg Wood
PhonelEmail: 402,479.3831; greg.wdod @nebraska.gov
Date: November 7, 2014
Labor Costs:
Hours
Blendeii Rate
11 Amount
Code
I Classification Title
PR
lPrincipal
ADM = Administrative
PM = Project Manager SCM = Survey Crew Member
ENV = Enviornmental Scienl
PM
!Project Manager
87
$36.18
S3'147.66
ENG
IEn ineer
• 8
S38.34
5306.72+
DES
I Desiqner /CADD Technician
16
$32.41
'5518:56"
SCC
Surve Crew Chief
197
$23.80
$4688.60<
SCM
Surve Crew Member
87
S20.63
S1 794..81`
INSP 2linsoactor2
1219
528.03
534'168.57'
INSP 1
Inspector 1
191
S27.01
55 156.91"
ADM
Administrative
2
518.86
$37.72>
ENV
Enviornmental Scientist
$22.80
Sr. CADD Tech
S40.21
50 %'
TOTALS
1,807 =.
Survey Crew Chief
$49,821.55
Overhead Rate*: 198.69% Fee for Profit Rate': 12.95%
° Enter firms most recent Audited Overhead Rate, and Fee for Profit Rate calculated from the NDOR Fixed Fee Worksheet (available on the NDOR
website).
CLASSIFICATIONS":
PR = Principal SCC = Survey Crew Chief
ADM = Administrative
PM = Project Manager SCM = Survey Crew Member
ENV = Enviornmental Scienl
ENG = Engineer INSP 2 = Inspector 2
UD2 '_ = User Defined 2 .:
DES = DesigneriCADD Technician INSP 1 = Inspector 1
"For User-Defined Classifications, you will need to edit the Classifications Legend located above. To enter a new classification, replace "UDl" with
its abbreviation (ex. GRA) and replace "User Defined 1* with the corresponding title (ex. Graphic Artist). Once
the user - definitions are added, they
will self - populate in the Labor Costs Table, as well as the remaining sheets.
100%
RlpnAari Rntpc Tahlp
ConSU� Sairlr�BNT�ra�vK,c Njrtc�W, &f &s8rrt!V9c9r�rlM? enterin any cent ficat ons that employee holds.
Staffing Pan 1 % ssgned• must equal 100% for each personnel classification category. If one person in classification, list them as 100% for "% Assigned.
EXHIBIT "A"
Page 1 of 10
Blended Rate:
Project Manager
Julie Ogden
Project Manager
536.18
100%
Blended Rate:
$36.18
Engineer
Brian McDonald
Design Engineer
538.34
100%
Blended Rate:
$38,34
Designer /CADD Technician
Jim O'Gorman
Sr. CADD Tech
S24.60
50%
Mark Templeman
Sr. CADD Tech
S40.21
50 %'
Blended Rate:
$32,41
Survey Crew Chief
Ryan O'Toole
Surveyor
523.46
75%
Dean Fiala
Surveyor
S24.80
25%
Blended Rate:
$23.80
Survey Crew Member
Kenny Taft
Survev Tech
519.75
50%
Matt Fouts
Survey Tech
$21.50
50%
Blended Rate:
520.53
Inspector 2
Scott Cowles
Construction Engineer
528.03
100%
Blended Rate:
528.03
Inspector 1
Kevin Simons
Enoineer
524.32
40%
Jake Vasa
Engineer
528.59
30%
Nick Turner
Enoineer in Training
529.00
30%
Blended Rate:
$27.01
Administrative
Cindy Mainquist
517.25
50%
Evelyn Jansa
S20.47
50%
Blended Rate:
$18.86
Enviornmental Scientist
Michelle McPheron
$23.75
50%
Robert Hibbits
$21.85
50%
Blended Rate:
$22.80
Blended Rate:
ConSU� Sairlr�BNT�ra�vK,c Njrtc�W, &f &s8rrt!V9c9r�rlM? enterin any cent ficat ons that employee holds.
Staffing Pan 1 % ssgned• must equal 100% for each personnel classification category. If one person in classification, list them as 100% for "% Assigned.
EXHIBIT "A"
Page 1 of 10
Project Name: Jackson Street, 3rd - River Road
Project Number: URS- 6462(1)
Control Number: 22507
Location (City, County): Blair, NE
Firm Name: JEO Consulting Group Inc.
Consultant Project Manager: Julie Ogden
Phone /Email: 402.443.7483: jogden @jeo.com
LPA Responsible Charge: Alien Schoemaker
Phone /Email: (402) 426 -4191• ars@ci.blair.ne.us
NDOR Project Coordinator: Greg Wood
PhonelEmail: 402.479.3831: greg.wocd@nebraska.gov
Date: November 7, 2014
-
TASKS
PERSONNEL CLASSIFICATIONS "" -
Total
PR PM ENG DESi SCC . §CM- INSR 2 INSP__1 =ADM 1ENV '
ForConsttuction Engineering Services. -
1. Project Management and Coordination
1.1 Project Manaoament
Subtotall 1
60
60
_
60
60
2. Meetings '
2.1 Construction Inspection Planning Meeting
4
1
5
2.2 Pre - Construction Meeting
4
4
8
2.3 Construction Progress Meetings
27
27'
2.4 Trios to Site Travel Time for Meetings
Subtotal
4
12 1
4
36
8
48
3, Traffic Control Plan
3,1 Prepare Traffic Control Plan
3 1
2 1
6
F
11
3.2 Sign and Submit Plans to the RC
Subtotall
J
1
4 1
2 1
6 1
1
2
13
4, SWPPP Inspections/Manual U . dates
4.1 Conduct Inspections
23
23
4.2 U date SWPPP Manual and Temporary Erosion Control Plan
6
2
8
4.3 Trips to Site Travel Time for SWPPP Inse ctions
Subtotal
18
47
2
18
49
S. Construction Survey/Staking
5.1 -5.10 Totals From Survev - Slakin Worksheet enter hours in grey cells)
159 1
70
1
229
5.11 Trips to Site Travel Time for Construction Survey/Staking Survey/Staking
Subtotall
I
I 1
1 197
1 87
1
55
284
6. Construction Consultation /Site Manager & Daily Work Report DWR
6.1 SiteManaoer & Daily Work Report
54
54
6.1 Construction Engineer Consultation with Design Engineer
5
1
5
6.1 Design Engineer Consultation with Construction Engineer
Subt
by FHU subconsultant
1 5 1 1 1 1 1 54 1
59
7. Girder Shim Surveying Bride Projects Oni •
7.1 Girder Shim Surveying
Not Applicable
Subtotal
8. Perform Bearing Calculations
8.1 Perform Bearing Calculations Not Applicable '
Subtotal
1 Construction Inspection
9.1 Construction Inspection
6
550
139
695
9.2 Measure. calculate, and document quantities of pay items
250
14
264
9.3 Maintain records /data and prepare the Weekly Report of WDs
20
7
27'
9.4 Trips to Site Travel Time for Construction Inspection
200
20
220'
Subtotal
6
1,020
180
1,206
10: Perform Material Sam lin and Testin
10.1 Collect. verify. document and deliver all samples to testing lab
By Thiele Geotech subconsultant
10.2 Provide all required material certifications to the NDOR M & R Lab
10.3 Review and document all test results of all samoles
10.4 Trips to Site (Travel Time ) for Delivery and Collecting Samples
Subtotal
11, As -Built Drawings ,
11.1 Prepare As -Built Drawings
10
10 2
22
Subtotall
I
I I 10
I
1
10 2
1 22
12. Final Inspections
12.1 Waikthrou h of Site and Preparation of Punch List "
4
4
8
12.2 Review Project to verify that Punch List has been completed
8
8'
Subtotal
4
1
1
12
16
13. ` Pro ect Closeout
13.1 Project Closeout
2
40
8
50
Subtotal
2
40
8
50
Total Hours
87
. ': 8
16
197
87
1;219
191
2
1 1225.
Total Days (8 hrs)
10.9
' 1.0
2,0
124.8
10.9
152.4
2319
s 0.3
225.9
Total ravel Time
4
38.
17
222
20':
i'
301
TotaCHours'minus Travel Time-
83
8 .
16°
159=
70
997
171"
; 2-
1506
Consultant's Independent Cost Estimate for CE Services
Estimate of Hours
EXHIBIT "A"
Page 2 of 10
Project Name: Jackson Street, 3rd - River Road
Project Number: URB- 6462(1)
Control Number: 22507
Location (City, County): Blair, NE
Firm Name: JEO Consulting Group Inc.
Consultant Project Manager: Julie Ogden
Phone /Email: 402.443.7483*, jogden@ieo.com
LPA Responsible Charge: Allen Schoemaker ,ro
Phone /Email: (402) 426 -4191; ars @ci.blair.ne.us
NDOR Project Coordinator: Greg Wood
Phone /Email: 402.479.3831: greg wood @nebraska gov
Date: November 7, 2014
Tasks -
Direct Labor
Total Hours _Cost, -
Overhead
198 69'/ °.
Fee or Profit,
. _12.95%
- ; Total'
_Project Cost
For Construction Engjneering.Services;
1. Project Management and Coordination
60
S2,170.80
—
$4.313.16
5839.67
—
57,323.63
2. Meetings
48
51.443.24
52,867.57
5551
54:669,06
3. Traffic Control Plan
13
1 $442.87
5879.94
5171.30
51;494:11
4. SWPPP Inspections /Manual Updates
49
51.355.13
52,692.51
5524.17
54;571.81
S. Construction Survey/Staking.
284
56,483.41
$12,881.89
52,507.81
521,873.11
6. Construction Consultation /Site Manager & Daily Work Report (DWR)
59
$1,694.52
S3,366.84
S655.45
55;716.81
7. Girder Shim Surveying (Bridge Projects Only)
8. Perform Bearing Calculations
9. Construction Inspection
1,206
233,682.44
$66,923.64
$13,028.49
S113.634.57
10. Perform Material Sampling and Testing
11. As -Built Drawings
22
5658.42
$1,308.21
I $254.68
52.221.31
12. Final inspections
16
S481.08
5955.86
5186.08
- $1.623.02,
13. Project Closeout
50
$1,409.64
$2,800.81
$545.25
S4.755.70
Direct Ex enses
TOTAL
1,807
$49,821.55
598,990.43
,27
5191.15
513 500.32
$181,583,45
Consultant's Independent Cost Estimate for CE Services
Cost by Task EXHIBIT "N'
Page 3 of 10
'CONSTRUCTION ENGINEERING SERVICES
Project. Cost
Project Name: Jackson Street, 3rd - River Road
Project Number: URB- 6462(1)
Control Number: 22507
Location (City, County): Blair, NE
Firm Name: JEO Consulting Group Inc.
Consultant Project Manager: Julie Ogden
Phone /Email: 402.443.7483; jogden @ieo.com
LPA Responsible Charge:. Allen Schoemaker 12 1
Phone /Email: (402) 426.4191; ars @ci.blaicne.us
NDOR Project Coordinator: Greg Wood
Phone /Email: 402.479.3831; greg.wood @nebraska.go
Date: November 7, 2014
Direct Labor Costs:
Hours
i Rate
Amount
Personnel Classification
Principal
87
536.18
$3;147.66`
Project Mana er
8
S38.34
S306.72`
En ineer
16
$32.41
$518 56
Designer /CADD Technician
197
S23.80
$4,688.60
Survey Crew Chief
87
S20.63
S1.794.81
Survey Crew Member
1219
528.03
$34:168.57
Inspector 2
191
S27.01
55,158.91+
Insoector 1
2
$18.86
537,72
Administrative
Enviornmental Scientist
522.80
1807
$49,821.55
TOTALS
Direct Expenses: _-
Amo unt
Subconsultants
$13.311.00 '
Printing and Reproduction Costs
549.821.55'
Milea e/Travel
S98,990.44'
Lodging/ Meals
S148'811.99°
Material Testinq
Other Miscellaneous Costs
S189.32"
Direct Expenses
S13 500.32
TOTALS
513,500.32
Consultant's Independent Cost Estimate for CE Services
Project Cost EXHIBIT "A"
Page 4 of 10
Amount
Total Project Costs:
Direct Labor Costs
549.821.55'
Overhead 198.69%
S98,990.44'
Total Labor Costs
S148'811.99°
Fee for Profit Rate 1 12.95%
$19.271.15
Direct Expenses
S13 500.32
PROJECT COST
$181,583.46'
Consultant's Independent Cost Estimate for CE Services
Project Cost EXHIBIT "A"
Page 4 of 10
Project Name: Jackson Street, 3rd - River Road
Project Number: URS- 6462(1)
Control Number: 22507
Location (City, County): Blair, NE
Firm Name: JEO Consulting Group Inc.
Consultant Project Manager: Julie Ogden
Phone /Email: 402.443.7483; jogden @jeo.com
LPA Responsible Charge: Allen Schoemaker uu
Phone /Email: (402) 426 -4191 ars@ci.blair.ne.us
NDOR Project Coordinator: Greg Wood
Phone /Email: 402.479.i831; greg.wood@nebraska.gov
Date: November 7, 2014
ibconsultants:
-- Quanti , Unit Cost Amount '
1U (Design Engineer Consultation 1 53.500.00 "S3 500.0
iiele Geotech (MaterialsTestina 1 $9.811.00 S9 811,.0
;Subtotall 513,311.0
Printing and Reproduction: '- _
Quanti
Unit Cost
Amount -
Subtotal
flea e/Travel: Quanti [',Unit Cost + Amount
Subtotal
)d in IMeais: Quantity Unit Cost Amount
Subtotal
they Miscellaneous Costs: Quantitv, UnitCost Amount.
3cilities Caoital Cost of Money (0.38% of Direct Labor ) 5189.32 S189.3
Subtotal $189,3
)TAL DIRECT EXPENSES + $13,500.3
Consultant's Independent Cost Estimate for CE Services
Direct Expenses EXHIBIT "A"
Page 5 of 10
Project Name: Jackson and Blaine Street Construction Phase Services
Pi�ojectNumber: URB- 6462(1)
PR = Principal
SENG
Control Number. 22507
UDi = User Defined 1
Location (City, County): Blair, Washington County
' FL= LI_�URG
Firm Name: Felsburg Holt& Ullevig
H O L T
Consultant Project Manager: Matt McFadden
Phone /Email: 402.445.44051 matt.mcfadden @fhueng.com
L L V( G
LPA Responsible Charge: Men Schoemaker
UD3 = ' User Defined 3
Phone /Email: (402) 426 -4191 / ars @ci.blair.ne.us
DES
NDOR Project Coordinator:
Phone /Email:
classifications
Date: November 6, 2014
CLASSIFICATIONS':
PR = Principal
SENG
= Senior Engineer
UDi = User Defined 1
SENV = . Senior Environmental Scientist
ENG
= Engineer
UD2 = User Defined 2
ENV = Environmental Scientist
SDES
= Senior Designer/Terhnician
UD3 = ' User Defined 3
ADM = Administrative
DES
= Designer/Technician
*For Project Manager, use one of the technical
classifications
"For User - Defined Classifications, you will need to edit the Classifications Legend located above. To enter new classification, replace "UDi "with its
abbreviation (ex. GRA) and replace "User Defined 1" with the corresponding title (ex.' Graphic Artist). Once the user - definitions are added, they will self - populate
the Estimate of Hours table, as well as the remaining sheets.
EXHIBIT "A"
Page 6 of 10
Project Name: Jackson and Blaine Street Construction Phas Services
Hours
Project Number: URB- 6462(1)
Amount_
Control Number: 22507
CLASSIFICATION
Location (City, County): Blair Washington County
%ASSIGNED?
Firm Name: Felsburg Holt & Ullevig
FELSPURG
Consultant Project Manager: Matt McFadden
S62.50
. Phone /Email: 402.445.4405 / matt.mcfadden @fhueng.com
H 0 LT L
LPA Responsible Charge: Allen Schoemaker
U L L L V I G
Phone /Email: (402) 426-41911 ars @ci.blair.ne.us
NDOR Project Coordinator:
Environmental Scientist
Phone /Email:
Date: November 6. 2014
SENG
ENG
Labor-Costs: —
Hours
Blended Rate
Amount_
Code lClassification Title
CLASSIFICATION
-
%ASSIGNED?
PR
Principal
4
S62.50
$250.00
SENV
Senior Environmental Scientist
100.0%
ENV
Environmental Scientist
Senior Environmental Scientist
SENG
ENG
Senior Engineer
Engineer
6
18
$40.14
S36.06
S240,84'
S649.08
SDES
Senior Designer/Technician
DES
Designer/Technician
-
Senior Engineer
ADM
Administrative
Alan Kreisa
Engineer 4
$40.14
100.0%
Blended Rate:
$40:14 - ,
Engine
Josh Palik
Engineer 3
S36.06
100.0%
TOTALS
$36.061,?':_
28
1,139.92
CLASSIFICATIONS':
PR = Principal SENG = Senior Engineer UD1 = User Defined 1
SENV = Senior Environmental Scientist ENG = Engineer U132 = User Defined 2
ENV = Environmental Scientist SDES = Senior Designer /Technician UD3 = User Defined 3
ADM = Administrative DES = Designer /Technician
blendea Kat es worksneet
EMPLOYEE-NAME
CLASSIFICATION
SALARY RATE
%ASSIGNED?
Principal
Matt McFadden
Principal I
S62.50
100.0%
Blended Rate:
562.50 '
Senior Environmental Scientist
Blended Rate:
Environmental Scientist
Blended Rate:
-
Senior Engineer
Alan Kreisa
Engineer 4
$40.14
100.0%
Blended Rate:
$40:14 - ,
Engine
Josh Palik
Engineer 3
S36.06
100.0%
Blended Rate:
$36.061,?':_
Senior DesignedTechnician
Blended Rate:
Designer technician
Blended Rate:
Administrative
Blended Rate:
Input actual employee classification as designated by firm.
Z Total of "% Assigned" must equal 100% for each personnel classification category. If one person in classification, list them as 100% for "%
Assigned".
EXHIBIT "A"
Page 7of10
Construction Phase, Servicesi
Direct Expenses
Project Name: Jackson and Blaine Street Construction Phase Services
Subcor sultants:
none
Project Number: URB- 6462(1)
Amount
58.00
59.50
Control Number: 22507
Location (City, County): Blair, Washington County
, ' t T t;u
I LLSI� v [
Firm Name: Felsburg Holt & Ullevig
1 L T &
Consultant Project Manager: Matt McFadden
L L L F V I G
Phone /Email: 402.445.4405 / m att.mcfadden @fhueng.com
LPA Responsible Charge: Allen Schoemaker
Phone/Email: (402) 426.4191 tars @ci.blarr.ne.us
$17.50
NDOR Project Coordinator:
Phone/Email:
Date: November 6. 2014
anti ': Unit Cost _
- `— Qu Amount
Subcor sultants:
none
Unit Cost
0.08
0.19
Amount
58.00
59.50
Printing and Reproduction:
B &W Copies
Color Copies
�QuantltY
100
50
Unit Cost
0.08
0.19
Amount
58.00
59.50
Subtotal
$17.50
Mileage /Travel: -
ro
Travel to Blair, 3 trips - 50 miles Found trip
Quantity
150
= Unit Cost I Amount
0.56 584.00
i
Subtotal 564.00
Other Miscellaneous Costs: Quantity ;Unit Cost Amount
Misc, postage, fax, etc.. 1 25.41 S25.41'
Subtotall S25AI
TOTAL DIRECT EXPENSES $126.91'
EXHIBIT "A"
Page 8 of 10
f`nr�ctr��r+tinn'=
rUVJU
Project Name:
Jackson and Blaine Street Construction Phase S
Project Number.
URB- 6462(1)
Control Number:
22507
Location (City, County):
Blair, Washington County
Firm Name:
Felsburg Holt & Ullevig
Consultant Project Manager:
Matt McFadden
Phone/Email:
402.445.4405 / matt.mcfadden @fhueng.com
LPA Responsible Charge:
Alien Schoemaker
PhonelEmail:
(402)426- 41911ars @ci.blair.ne.us
NDOR Project Coordinator:
Phone/Email—
6
Date,
November 6. 2014
P, -A:A rr_LSrURG
HOLT
ULLEVIC,
Direct Labor Costs:
Hours
Rate
Amount
Personnel Classification
51,139.91
rintino and Reproduction Costs
Principal
4
$62.50
$250.00.
Senior Environmental Scientist
S396.5E
ether Miscellaneous Costs
Environmental Scientist
S25.41
_
OTALS
Senior Engineer
6
S40.14
_ 5240.64
Engineer
18
536.06
$649.06
Senior Designer/Technician
Designer/Technician
Administrative
TOTALS
28
$1,139.92
Irect Expenses- — _
—
-- Amount --
ubconsultants
51,139.91
rintino and Reproduction Costs
S17.5(
Iileagerrravel
S84.0C
Dd in / Meals
S396.5E
ether Miscellaneous Costs
S25.41
_
OTALS
$126.91
otal Project Costs: - -
Amount
irect Labor Costs
51,139.91
Werhead (a) 160.940%
S1.834.59
otal Labor Costs
$2.974.51
ixed Fee @ 13.40%
S396.5E
Direct Expenses ' '
',S126.91
ROJECT COST -
$3,500.0(
EXHIBIT "A"
Page 9 of 10
SOSIICE PEICEIGEO Tech Firm
PROJECT NAIVE - Jackson Street. 3rd to River Road, Blair, NE
PROJECT NO. URB- 6462(1) CN 22507
MANHOUR AND FEE ESTIMATE
CONSTRUCTION ENGINEERING / INSPECTION
Task Task Description PR2 PE2 Insp 2a lnsp 2b Total
1
2
3
4
o '
7
8
9
10
11
12
Laboratory Testing
Compressive Strength of Cylinders
Aggregate Gradations
Lab Standard Proctor
Atterberg Limits -With soil Proctors
Totals 0 0 0 0• 0 0 0 0
0 0
16
6
0.0
Concrete Plant Testing
By C."t - lor
Time minus travel 0 0 0 0 0 0 0 0
0 0
DIRECT LABOR COST SUMMARY
�Proiect Management
Air /Slump/i emplCasl 3 or 4 cylinders
Level 3 Technician
Field DensityTests
Trip Charge to Project Site (mileage)
Tnp Charge to Lincoln - Deliver NDOR Materials
Pavement Ceres
Caleciory
Hours '
Rate
2
2
Amount
PR2. Senior Project Engineer
0
50.00
50.00
$0.00
S
S
PE2 Protect Engineer
12
0
S108000
S
S
1,296100
-
SO.DO
DIRECT PROJECT EXPENSES F - r $8.515.
0
50.00
S
5000
50.00
Insp2a Inspector2
0
0
S
S
..C
0
S
0
50.00
S
0
$0.00
S
.� .
IR
TOTAL DIRECT LABOR
12
S
1,296.00
OVERHEAD
0.0%
S
-
TOTAL LABOR AND OVERHEAD
S
1,296.00
DIRECT PROJECT EXPENSES
•
Cost
Record Drawings
Project Closeout
Laboratory Testing
Compressive Strength of Cylinders
Aggregate Gradations
Lab Standard Proctor
Atterberg Limits -With soil Proctors
Totals 0 0 0 0• 0 0 0 0
0 0
16
6
0.0
Concrete Plant Testing
By C."t - lor
Time minus travel 0 0 0 0 0 0 0 0
0 0
DIRECT LABOR COST SUMMARY
Field Tech Testing
Air /Slump/i emplCasl 3 or 4 cylinders
Level 3 Technician
Field DensityTests
Trip Charge to Project Site (mileage)
Tnp Charge to Lincoln - Deliver NDOR Materials
Pavement Ceres
Caleciory
Hours '
Rate
2
2
Amount
PR2. Senior Project Engineer
0
50.00
50.00
$0.00
S
S
PE2 Protect Engineer
12
0
S108000
S
S
1,296100
-
SO.DO
DIRECT PROJECT EXPENSES F - r $8.515.
0
50.00
S
5000
50.00
Insp2a Inspector2
0
0
S
S
" - -' S0.00
0
S
0
50.00
S
0
$0.00
S
S
-
TOTAL DIRECT LABOR
12
S
1,296.00
OVERHEAD
0.0%
S
-
TOTAL LABOR AND OVERHEAD
S
1,296.00
DIRECT PROJECT EXPENSES
Cost
Laboratory Testing
Compressive Strength of Cylinders
Aggregate Gradations
Lab Standard Proctor
Atterberg Limits -With soil Proctors
72
$0.00
$17.00 /each 57,224.00
$7200 /each 51,152.00
$155.00 /each S930.00
$70.00 /each S420.00
16
6
6
Concrete Plant Testing
By C."t - lor
!hour 50.00
50.00
$0.00
Field Tech Testing
Air /Slump/i emplCasl 3 or 4 cylinders
Level 3 Technician
Field DensityTests
Trip Charge to Project Site (mileage)
Tnp Charge to Lincoln - Deliver NDOR Materials
Pavement Ceres
18
$75.00 /set $1,350.00
566.00 /hour $528.00
$32.00 /each $896.00
$0.65 /,mile S1,625.00
S130.D0 /each $260.00
S65.00 /each S130.00
8
J 28
2500
2
2
$0.00
$0.00
50.00
TOTAL DIRECT PROJECT EXPENSES 58,515.00
SUB CONSULTANTS Cost
.50.00,
TOTAL LABOR AND OVERHEAD $1,296.00
FIXED FEE 0.0% Range 10 9 ,b -15% 50.00
DIRECT PROJECT EXPENSES F - r $8.515.
TOTAL FEE $91811.00
Project No. STPAA - 5027(1)
Control No. 22173
Ralston, Nebraska
77th Street Reconstruction EXHIBIT "A"
Page 10 of 10
State of Nebraska Department of Roads
Required Document List
Contract ID 2507X
Control Number 22507 000
Project Number URB- 6462(1)
Location JACKSON ST, 3RD - RIVER RD, BLAIR
Type of Work GR CONC PAVE CULV GDRL
Letting Date 11113/2014
SG Version July 1, 2014
DISCLAIMER: This document may not include all material requirements for this project.
Please refer to the Materials Sampling Guide for a comprehensive list of
material requirements. This document will not reflect any changes mad
the project after the project letting.
Page 1 of 4 EXHIBIT "A"
Legend
TOS
Test or Sample
CC
Contractor's Certification
MC
Manufacturer Certification
COC
Certification of Compliance
COT
Certification of Test
APL
Approved Products List
PMV
Project Manager's Verification
SP
Special Provisions
NSS
Nebraska Standard Specification
MA
M &R Approval
th SG
Material Sampling Guide
e t SR
Shipping Report
Page 1 of 4 EXHIBIT "A"
G roup Line Item Item Co de _Descrip _ ______
Qua nttty
Unit =
:! Met Book M &R Contact ' _I
GROUP :0001
0030.10
MOBILIZATION
1.000
IS
0002
1000.00
LARGE TREE REMOVAL
1.000
EACH
0003
1009.00
GENERAL CLEARING AND GRUBBING
1.000
LS
0004
1010.50
REMOVAL OF UNSUITABLE MATERIAL
1631:000
CY
0005
1011.00
WATER
44.000
MGAL
0006
1030.00
EARTHWORK MEASURED IN EMBANKMENT
2951.000
CY
Soil Density- Embankment 0
TOS
SG 09 CHURCHWELL
0007
1101.00
REMOVE PAVEMENT
120.000
SY
0008
1102.00
REMOVE ASPHALTSURFACE
1246.000
SY
0009
1106.00
REMOVE DRIVEWAY
254.000
SY
0010
1107.00
REMOVE WALK
156.000
SY
0011
1121.00
REMOVE CONCRETE FLUME
1.000
EACH
0012
1701.18
18" DRIVEWAY CULVERT PIPE, TYPE 2,3,4,5,6,7 OR 8
22.000
LF
Reinforced Concrete Pipe 181n -Class III
SR
SG 19 KAREL
0013
2021.05
REMOVE AND RESET MAILBOX
14.000
EACH
0014
3010.55
REMOVE & SALVAGE BRICK PAVERS
10.000
SY
0015
4093.80
WALL MATERIALS
461.000
SF
APL
NSS715 KRASON
Soil Density - Modular Wail Backfill
TOS
SG 13 CHURCHWELL
0016
4095.12
LEVELING PAD
232.000
LF,
TOS
SP -137 LINDEMANN
0017
4310.18
18" FLARED -END SECTION
2.000
EACH
Concrete Flared End Section -18 in
SR
SG 19 KAREL
Buy America Cert- Producer /Supplier
MC
NSS106 KAREL
0018
4764.35
4" PERFORATED PIPE UNDERDRAIN
232.000
LF
TOS /COC
SG -19 KAREL
Pipe Underdrain Aggregate
TOS
SG 13 MACKE
Pipe Underdrain Fabric it
APL
SG 24 KAREL
0019
6105.02
ROCK RIPRAP, TYPE B
395.000
TON
Rock Riprap /Stone tt
APL
SG 24 MACKE
0020
7017.00
REMOVE GUARDRAIL
502.000
LF
0021
7151.00
REMOVE AND RESET FENCE
321.000
LF
0022
8024.50
SELECT GRANULAR BACKFILL FOR RETAINED EARTH STRUCTURE
17.000
CY
TOS /COT /CO(
NSS715 LINDEMANN
Soil Density - Select Granular Backfill li
TOS
SG 13 CHURCHWELL
0023
L006.00
COVER CROP SEEDING
1.000
ACRE
0024
L019.13
EROSION CONTROL, CLASS 1D
6195.000
SY
Erosion Control, Class 1D tt
APL
NSS807 DONDLINGER
0025
L022.11
FABRIC SILT FENCE -LOW POROSITY
3031.000
LF
Fabric Silt Fence -Low Porosity A
APL
NS5809 DONDLINGER
0026
L032.90
REMOVE AND SALVAGE LANDSCAPE ROCK
24.000
SY
0027
L032.91
RESET LANDSCAPE ROCK
24.000
SY
GROUP 0028
0030.30
MOBILIZATION
1.000
LS
0029
2010.03
CRUSHED ROCK SURFACE COURSE
131.000
TON
Crushed Rock Surface Course
TOS
SG 06 MACKE
0030
3014.11
COMBINATION CONCRETE CLASS 47B -3500 CURB AND GUTTER
6493.000
LF
Class R Aggregate
TOS
SG 15,16 MACKE
Hot Poured Joint Sealant -Field Use
APL
SG 15, 20 BYRE
Interground /Blended Cement
TOS
SG 14, 29 KRASON
Portland Cement Concrete
TOS
SG 15,16 KRASON
Pref Expansion A Filler
APL
. SG 15 KRASON
White Pigmented Cure Compound -Field Usett
APL
SG 15,16 KRASON
0031
3016.22
CONCRETE CLASS 478 -3500 SIDEWALKS
41.000
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
Pref Expansion Jt Filler
APL
SG 15 KRASON
White Pigmented Cure Compound -Field Usett
APL
SG 15,16 KRASON
0032
3016.39
DETECTABLE WARNING PANEL
126.000
SF
Detectable Warning Panels v
APL
PLANS KAREL
0033
3016.71
6" CONCRETE CLASS 4713-3500 BIKEWAY
2343.000
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 Usesi
APL
SG 15, 16 KRASON
0034
3017.27
6" CONCRETE CLASS 47BX -3500 IMPRINTED SIDEWALK
270.000
SY
TOS
SG -16. KRASON
0035
3017.59
INSTALL BRICK PAVERS
10.000
SY
0036
3020.24
CONCRETE CLASS 4713-3500 DRIVEWAY 6"
510.000
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 Usett
APL
SG 15,16 KRASON
0037
3075.32
8" CONCRETE PAVEMENT, CLASS 476 -3500
913.000
SY
Class R Aggregate
TOS
SG 15,16 MACKE
Epoxy Resin Bonding System -Grade 30
APL
SP -170 KRASON
Page 1 of 4 EXHIBIT "A"
State of Nebraska Department of Roads
Required Document List
Contract ID 2507X
Control Number 22507 000
Project Number URB- 6462(1)
Location JACKSON ST, 3RD - RIVER RD, BLAIR
Type of Work GR CONC PAVE CULV GDRL
Letting Date 11/13/2014
SG Version July 1, 2014
DISCLAIMER: This document may not include all material requirements for this project.
Please refer to the Materials Sampling Guide for a comprehensive list of
material requirements. This document will not reflect any changes mad
the project after the project letting.
Page 2 of 4 EXHIBIT "A"
Legend
TOS
Test or Sample
CC
Contractor's Certification
MC
Manufacturer Certification
COC
Certification of Compliance
COT
Certification of Test
APL
Approved Products List
PMV .
Project Manager's Verification
SP
Special Provisions
NSS
Nebraska Standard Specification
MA
M &R Approval
th SG
Material Sampling Guide
e t SR
Shipping Report
Page 2 of 4 EXHIBIT "A"
„
� — —
—�� •',
�
Acceptance •Reference,
G roup Line lte r i Code
Description _
Quantity, =
Unit - Method`
Book M & R Conta
_
Hardened Concrete
_
TOS
SG 15 WEIGEL
Hot Poured Joint Sealant -Field Use r[
APL
SG 15, 20 BYRE
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) r[
TOS /COT
SG 15, 16 KAREL
White Pigmented Cure Compound -Field User[
APL
SG 15, 16 KRASON
0038
3075.46
9" DOWELED CONCRETE PAVEMENT, CLASS 4713-3500
1437.000
SY
Class R Aggregate
TOS
SG 15, 16 MACKE
Epoxy Resin Bonding System -Grade 3r[
APL
SG 15, 20 KRASON
Hardened Concrete
TOS
SG 15 WEIGEL
Hot Poured Joint Sealant -Field User[
APL
SG 15, 20 BYRE
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) r[
TOS /COT
SG 15,16 KAREL
0039
4900.25
CURB INLET SEDIMENT FILTER
17.000
EACH
Curb Inlet Sediment Filter r(
APL
SP -140 DONDLINGER
0040
9034.00
PREPARATION OF INTERSECTIONS AND DRIVEWAYS
510:000
SY
0041
9111.00
WATER
28.000
MGAL
0042
9170.00
EARTH SHOULDER CONSTRUCTION
75.842
STA
0043
9173.20
SUBGRADE PREPARATION
2350.000
SY
Soil Density - Subgrade Preparation rf
TOS
SG 10, 11 CHURCHWELL
0044
L010.00'
SODDING
1198
SY
0045
W600.03
ADJUST VALVE BOX TO GRADE
7.000
EACH
GROUP 10046
0030.40
MOBILIZATION
1.000
LS
0047
1119.01
REMOVE GRATE INLET
2.000
EACH
0048
1119.05
REMOVE AREA INLET
1.000
EACH
0049
4002.00
CAST IRON COVER AND FRAME
1750.000
LB
Cast Iron Cover and Frame
COC
SG 25 KAREL
0050
4004.50
CAST IRON GRATE AND FRAME
3220.000
LB
Cast Iron Grate and Frame
COC
SG 25 KAREL
0051
4004.80
STRUCTURALSTEEL FOR FACE ARMOR
3010.000
LB
Structural Steel for Substructure
COC
SG 20 KAREL -
0052
4005.00
CAST IRON RING AND COVER
2760.000
LB
.
Cast Iron Ring and Cover
COC
SG 25 KAREL
0053
4015.50
RECONSTRUCT MANHOLE
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
0054
4016.00
MANHOLE AT STA. 107 +60.60 -15' LT
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) o
TOS /COT
SG 15,16 KAREL
0055
4016.01
MANHOLE AT STA. 120 +70.00 -20' 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) r[
TOS /COT
SG 15, 16 KAREL
0056
4016.02
MANHOLE AT STA.127 +75.00 -15' 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) r[
TOS /COT
SG 15,16 KAREL
0057
4016.03
MANHOLE AT STA.127 +75.95 - 21.67' LT
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) r[
TOS /COT
SG 15,16 KAREL
0058
4016.04
MANHOLE AT STA.130 +45.71- 45.54' LT
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) N
TOS /COT
SG 15,16 KAREL
0059•
4016.05
MANHOLE ATSTA. 135+32.11-36.96'LT
1.000
EACH
Page 2 of 4 EXHIBIT "A"
State of Nebraska Department of Roads
Required Document List
Contract ID 2507X
Control Number 22507 000
Project Number URB- 6462(1)
Location JACKSON ST, 3RD - RIVER RD, BLAIR
Type of Work GR CONC PAVE CULV GDRL
Letting Date 11/13/2014
SG Version July 1, 2014
DISCLAIMER: This document may not include all material requirements for this project.
Please refer to the Materials Sampling Guide for a comprehensive list of
material requirements. This document will not reflect any changgs mad
the project after the project letting.
Page 3 of 4 EXHIBIT "A"
Legend
TOS
Test or Sample
CC
Contractor's Certification
MC
Manufacturer Certification
COC
Certification of Compliance
COT
Certification of Test
APL
Approved Products List
PMV
Project Manager's Verification
SP
Special Provisions
NSS
Nebraska Standard Specification
MA
M &R Approval
th SG
Material Sampling Guide
e t SR
Shipping Report
Page 3 of 4 EXHIBIT "A"
-
-
Acceptance Reference 1
G Line Iten Item Code
D _ _�_
Qua ntity, i
Unit
M ethod;
Book _ M &R Contact
Class R Aggregate
TOS
SG 15, 16 MACKE
Interground /Blended Cement
TOS
SG 14, 29 KRASON
Portland Cement Concrete
TOS
SG 15,16 KRASON
0060
4016.06
MANHOLE AT STA. 121+57.63-25' 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
0061
4043.50
REMOVE SEWER PIPE
43.000
LF
0062
4105.59
CLASS 47B -3000 CONCRETE FOR INLET AND JUNCTION BOX
68.750
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 User(
APL
SG 15,16 KRASON
0063
4107.07
CLASS 47B -3000 CONCRETE FOR CONCRETE COLLARS
0.530
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 User(
APL
SG 15,16 KRASON
0064
4155.50
REINFORCING STEEL FOR INLET AND JUNCTION BOX
4463.000
LB
Non- Shrink Grout )l
APL
SG 20, 21 KRASON
Reinforcing Steel -Field Sample
TOS /COT
SG 15, 16 KAREL
Reinforcing Steel(pretested) r(
TOS /COT
SG 15,16 KAREL
0065
4157.00
REINFORCING STEEL FOR COLLARS
43.000
LB
Non - Shrink Grout i
APL
SG 20, 21 KRASON
Reinforcing Steel - Field Sample
TOS /COT
SG 15,16 KAREL
Reinforcing Steel - (pretested) r(
TOS /COT
SG 15, 16 KAREL
0066
4460.30
30" CONCRETE FLARED -END SECTION
. 1.006
EACH
SR*
SG -19 KAREL
0067
4670.05
CULVERTSANDFILL
4.000
CY
Class R Aggregate
TOS
SG 15, 16 MACKE
Portland Cement Concrete
TOS
SG 15, 16 KRASON
Fiowable Fill Concrete
TOS
SG -25 KRASON
Culvert Sandfill 0
TOS
SG 25 MACKE
0068
P702.18
18" STORM SEWER PIPE, TYPE 1
979.000
LF
Soil Density -Pipe Backfiill ri
TOS
SG 13 CHURCHWELL
Reinf Conc Sewer Pipe 18in -Class III
MC
SG 19 KAREL
0069
P702.24
24" STORM SEWER PIPE, TYPE 1
3.000
LF
Soil Density -Pipe Backfill r(
TOS
SG 13 CHURCHWELL
Reinf Conc Sewer Pipe 24in -Class III
MC
SG 19 KAREL
0070
P702.30
30" STORM SEWER PIPE, TYPE 1
495.000
LF
Reinf Conc Sewer Pipe 30in -Class III
MC
SG 19 KAREL
GROUP 10071
0030.40
MOBILIZATION
1.000
LS
0072
4045.00
REMOVE STRUCTURE AT STA.136 +50
1.000
EACH
0073
4051.01
EXCAVATION FOR BOX CULVERTS
1308.000
CY
0074
4101.06
CLASS 47B -3000 CONCRETE FOR BOX CULVERT
384.680
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 User[
APL
SG 15,16 KRASON
0075
4151.00
REINFORCING STEEL FOR BOX CULVERT
43383.000
LB
Non- Shrink Groutr(
APL
SG 20, 21 KRASON
Reinforcing Steel- Field Sample
TOS /COT
SG 15,16 KAREL
Reinforcing Steel- (pretested) r(
TOS /COT
SG 15, 16 KAREL
0076
8010.03
CRUSHED ROCK FOR BASE COURSE
72.000
CY
TOS
SP -137 MACKE
GROUP ;0077
0030.70
MOBILIZATION
1.000
LS
0078
7011.20
W -BEAM GUARDRAIL
472.000
LF
TOS /COT
SG -17 KAREL
Buy America Cert- Producer /Supplier
MC
NSS106 KAREL
0079
7024.27
GUARDRAIL END TREATMENT, TYPE 11
1.000
EACH
COC
SP -146 KAREL
Buy AmericaCert- Producer /Supplier
MC
NSS106 KAREL
0080
7024.50
GUARDRAIL END TREATMENT TL- 225' -0"
3.000
EACH
COC
PLANS KAREL
GROUP: 0081
0001.08
BARRICADE, TYPE II
2925.000
BDAY
Barricade Warning Lights Type C v
APL
SG 23 KAREL
Reflective Sheeting X
TOS
SG 23• DONDLINGER
0082
0001.10
BARRICADE, TYPE III
750.000
BDAY
Barricade Warning Lights Type A r(
APL
SG 23 KAREL
Reflective Sheeting N
TOS
SG 23 DONDLINGER
0083
0001.90
SIGN DAY
2160.000
EACH
0084
0001.99
CONTRACTOR FURNISHED SIGN DAY
315.000
EACH
0085
0003.10
FLAGGING
80.000
DAY
0086
0003.74
TEMPORARY TRAFFIC SIGNAL
1.000
EACH
0087
0020.00
TRAINING
500.000
HOUR
0088
0030.00
MOBILIZATION
1.000
LS
Page 3 of 4 EXHIBIT "A"
State of Nebraska Department of Roads
Required Document List
Contract ID 2507X
Control Number 22507 000
Project Number URB- 6462(1)
Location JACKSON ST, 3RD - RIVER RD, BLAIR
Type of Work GR CONC PAVE CULV GDRL
Letting Date 11113/2014
SG Version July 1, 2014
DISCLAIMER: This document may not include all material requirements for this project.
Please refer to the Materials Sampling Guide for a comprehensive list of
material requirements. This document will not reflect any changes mad
the project after the project letting.
BUY AMERICA CERTIFICATION (PRIME CONTRACTOR)
CC SP -90 KAREL
Page 4 of 4 EXHIBIT "A"
Legend
TOS
Test or Sample
CC
Contractor's Certification
MC
Manufacturer Certification
COC
Certification of Compliance
COT
Certification of Test
APL
Approved Products List
PMV
Project Manager's Verification
SP
Special Provisions
NSS
Nebraska Standard Specification
MA
M &R Approval
th SG
Material Sampling Guide
e t SR
Shipping Report
BUY AMERICA CERTIFICATION (PRIME CONTRACTOR)
CC SP -90 KAREL
Page 4 of 4 EXHIBIT "A"
'
Acceptance Reference
Group Line lten Item Co de De scription _ _
Quantit
Umt;
Meth ` Book M &R Co ntact
0089
9110.01
RENTAL OF LOADER, FULLY OPERATED
40.000
HOUR
0090
9110.02
RENTAL OF MOTOR GRADER, FULLY OPERATED
10.000
HOUR
0091
9110.03
RENTAL OF DUMP TRUCK, FULLY OPERATED
40.000
HOUR
0092
9110.07
RENTAL OF SKID LOADER, FULLY OPERATED
40.000
HOUR
0093
9110:27
RENTAL OF CRAWLER MOUNTED HYDRAULIC EXCAVATOR, FULL` 40.000
HOUR
0094
L022.75
TEMPORARY SILT CHECK
300.000
LF
APL DONDLINGER
0095
L022.90
TEMPORARY SILT FENCE
300.000
LF
APL NSS809 DONDLINGER
0096
L860.24
STORM EVENT RESTORATION - INCENTIVE
15.000
EACH
0097
L860.50
ENVIRONMENTAL COMMITMENTS- CONTRACTOR COMPLIANCE
1.000
LS
BUY AMERICA CERTIFICATION (PRIME CONTRACTOR)
CC SP -90 KAREL
Page 4 of 4 EXHIBIT "A"
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FEES AND PAYMENTS
EXHIBIT "B"
A. Payment Method. Payment under this agreement will be made based on actual costs
up to a Maximum - Not -To- Exceed amount of $181,583.46.
B. Total Agreement Amount. For performance of the services as outlined in this
Agreement, the Consultant will be compensated for actual services performed up to a
maximum amount of $181,583.46 in accordance with paragraph G of this section. The
Consultant's compensation shall not exceed this maximum amount without prior written
approval of the State.
C. Ineligible Costs. The LPA is not responsible for costs incurred prior to the Notice-to-
Proceed date or after the completion deadline date set out in the NOTICE TO
PROCEED AND COMPLETION section of this agreement or as provided in a written
time extension notification.
D. Federal Cost Principles. For performance of Services under the terms of this
agreement, the Consultant will be paid subject to the terms of this agreement and all
requirements and limitations of the federal cost principles contained in the Federal
Acquisition Regulation (48 CFR 31).
E. Federal -aid. (2 -1 -12) LPA will not make payments directly to Consultant for services
performed under this agreement. Instead, the State will serve as a paying agent for
LPA, and will pay Consultant directly for properly submitted and approved invoices using
both LPA and Federal funds based on the applicable project federal cost participation
percentage. The following process shall apply whenever the LPA, the State or the
FHWA determines that certain costs, previously paid to Consultant, should not. have
been paid with federal funds by the State to Consultant. Consultant shall immediately
repay the State the federal share of the previously paid amount and may invoice LPA for
the costs repaid to the State. LPA shall promptly pay the full amount of the invoice from
its own funds unless LPA, in good faith, disputes whether the Consultant is entitled to
the payment under the agreement or the amount of the invoice. In the event of a dispute
between LPA and Consultant, the dispute resolution process of Section 18 herein shall
be used by the parties.
F. Subconsultant Over -runs and Under -runs. The Consultant shall require any
subconsultant to notify Consultant if at any time the subconsultant determines that its
costs will exceed its negotiated fee estimate. The Consultant shall not allow any
subconsultant to exceed its negotiated fee estimate without prior written approval of the
Project No. URB- 6462(1) EXHIBIT "B"
Control No. 22507 Sheet 1 of 6
Jackson Street, 3` — River Road
LPA. The Consultant understands that the amount of any subconsultant cost under -run
will be subtracted from the total compensation to be paid to Consultant under this
agreement, unless prior written approval is obtained from the LPA and, when applicable,
FHWA.
F.' Out of Scope Services and Consultant Work Orders. The LPA may request that
Consultant provide services that in the opinion of Consultant, are in addition to or
different from those set out in the Scope of Services. When the LPA decides that these
services require an adjustment in costs, the Consultant shall: (a) describe the proposed
services, (b) provide an explanation why Consultant believes that the proposed services
are not within the original scope of services and additional work effort is therefore
required, and (c) estimate the cost to complete the services. Consultant must receive
written approval from the LPA before proceeding with the out -of -scope services. Before
written approval will be given by the LPA, the LPA must determine that the situation
meets the following criteria:
• That the additional work is beyond the scope of services initially negotiated with
Consultant; and
• That the proposed services are within the scope of the Request for Proposal under
which Consultant was selected and contract entered into; and
• That it is in the best interest of the LPA that the services be performed under this
agreement.
Once the need for a modification has been established, a supplemental agreement will
be prepared.
If the additional work requires.the Consultant to incur costs prior to execution of a
supplemental agreement, the LPA shall use the process set out below:
The Consultant Work Order (CWO) — DR Form 250 shall be used to describe and
provide necessary justification for the additional the scope of services, effort, the
deliverables, modification of schedule, and to document the cost of additional
services. The CWO form is available on the Department of Roads website at
www. roads.nebraska,gov /qov- aff /lpa- guide- man.htmI#forms4 The CWO must be
executed to provide authorization for the additional work and to specify when that
work may begin. This agreement will be supplemented after one or more.CWOs
have been authorized and approved for funding.
Project No. URB- 6462(1) EXHIBIT "B"
Control No. 22507 Sheet 2 of 6
Jackson Street, 3` — River Road
G. Payments. Payment for work under this agreement will be made based on actual costs
up to a Maximum - Not -To- Exceed amount identified in Paragraph A of this section.
Actual costs include direct labor costs and direct non -labor costs.
(1) Direct Labor Costs is an individual's hours charged for the time they are working
directly on the project multiplied by the individual's established hourly billing rate.
(a) Established Hourly Billing Rates The established hourly billing rates shall be in
accordance with Exhibit "A ".
(b) Time reports The hours charged to the project must be supported by adequate
tirne distribution records that clearly indicate the distribution of hours to all
projects /activities on a daily basis for the entire pay period. Time reports must
provide a clear identifying link to the projects: such as project description, project
number, pertinent work phase, dates of service, and the individual's name and
position. There must be an adequate system of internal controls in place to
ensure that time charges are correct and have the appropriate supervisory
approval.
(2) Direct Non -Labor Costs: These costs include all necessary, actual, and allowable
costs related to completing the work under the agreement, including but not limited
to: meals, lodging, mileage, subject to the limitations outlined below; communication
costs; reproduction and printing costs; special equipment and materials required for
the project; special insurance premiums if required solely for this agreement; and
such other allowable items.
A non -labor cost charged as a direct cost cannot be included in the Consultant's
overhead rate. If for reasons of practicality, the consultant is treating a direct non -
labor cost category, in its entirety, as an overhead cost, then costs from that category
are not eligible to be billed to this project as a direct expense.
Consultant shall submit to the LPA an invoice or billing itemizing all direct non -labor
costs claimed for work under this agreement, and all supporting receipts or invoices.
The State, on behalf of the LPA, will pay the Consultant for all necessary, allowable,
eligible and properly documented direct non -labor costs related to the work under
this agreement.
The following expenses will be reimbursed at actual costs, not to exceed the rates as
shown below.
(a) The reimbursement for mileage associated with the use of company owned
vehicles shall be the prevailing standard rate as established by the Internal
Project No. URB- 6462(1) EXHIBIT "B"
Control No. 22507 Sheet 3 of 6
Jackson Street, 3` — River Road
Revenue Service (IRS) through its Revenue Procedures.. Reimbursement for
mileage associated with the use of a privately owned vehicle (POV), is limited
to the lesser of:
1) The mileage rate which the consultant reimbursed to the person who
submitted the claim for POV use, or
2) The prevailing standard rate as established by the IRS.
(b) Automobile Rentals and Air Fares will be actual reasonable cost, and if
discounts are applicable the Consultant shall give the LPA the benefit of all
discounts.
(c) The reimbursement for meal and lodging rates shall be limited to the prevailing
standard rate as indicated in the current website address for U.S. General
Services Administration's (GSA) rates which is indicated below:
http://www.,qsa.gov/portal/categorV/lQOI 20
1) For the Consultant and its employees to be eligible for the meal
allowance, the following criteria must be met.
Breakfast:
a) Employee is required to depart at or before 6:30 a.m., or
b) Employee is on overnight travel.
Lunch:
a) Employee must be on overnight travel. No reimbursement for
same day travel..
b) Employee is required to leave for overnight travel at or before
11:00 a.m., or
c) Employee returns from overnight travel at or after 2:00 p.m.
Dinner:
a) Employee returns from overnight travel or work location at or after
7:00 p.m., or
b) Employee is on overnight travel.
Meals are not eligible for reimbursement if the employee eats within 20 miles of
the headquarters town of the employee.
The Consultant shall note the actual lodging and meal costs in a daily diary,
expense report, or on the individual's time report along with the time of
departure to the project and time of return to the headquarters town. The total
daily meal costs must not exceed the GSA rates set out above.
Project No. URB- 6462(1) EXHIBIT "B"
Control No: 22507 Sheet 4 of 6
Jackson Street, 3 — River Road
applied. Upon determination by the LPA and the State that the work was adequately
substantiated and completed in accordance with this agreement, payment will be made
in the amount of the approved final invoice. The acceptance by the Consultant of the
final payment will constitute and operate as a release to the LPA and the State for all
claims and liability to the Consultant, its representatives, and assigns, for any and all
things done, furnished, or relating to the services rendered by or in connection with this
agreement or any part thereof.
K. Agreement Close -Out. After the Consultant submits their final invoice, the Consultant
must complete and submit DR Form 39a — Notification of Completion Pre - letting
Consultant Professional Services Notification of Completion. The form must be
submitted electronically in accordance with the instructions on the form. DR Form 39a is
available on the Department of Roads' website at
http://www.roads.nebraska.gov/qov-aff/lpa-guide-man.html#forms
L. Audit and Final Cost Adjustment. Upon acceptance by the LPA and the State, the
State, or its authorized representative, may complete an audit review of the payments
made under this agreement. The Parties understand that the audit may require an
adjustment of the payments made under this agreement. The Consultant agrees to
reimburse the State for any overpayments identified in the audit review, and State
agrees to pay Consultant for any identified underpayments.
M. Consultant Cost Record Retention. The Consultant shall maintain, and also require
that its Subconsultants /Subcontractors maintain, all books, documents, papers,
accounting records, and other evidence pertaining to costs incurred and shall make such
material available for examination at its office at all reasonable times during the
agreement period and for three years from the date of final cost settlement by FHWA
and project closeout by the State. Such materials must be available for inspection by
the LPA, State, FHWA, or any authorized representative of the federal government, and
when requested, the Consultant shall furnish copies.
Project No. URB- 6462(1) EXHIBIT "B"
Control No. 22507 Sheet 6 of 6
Jackson Street, 3` — River Road
INSURANCE REQUIREMENTS FOR
PROFESSIONAL SERVICE PROVIDERS
LPA PROJECTS
Consultant agrees to:
(1) Make a detailed review of its existing insurance coverage,
(2) Compare that coverage to the expected scope of the work under this contract,
(3) Obtain the insurance coverage that it deems necessary to fully protect
Consultant from loss associated with the work. Also, Consultant shall have at a
minimum the insurance described below:
General Liability —
Limits of at least:
$ 1,000,000 Per Occurrence
$ 2,000,000 General Aggregate
$ 2,000,000 Completed Operations Aggregate (if applicable)
$ 1,000,000 Personal /Advertising Injury
• Consultant shall be responsible for the payment of any deductibles.
• Coverage shall be provided by a standard form Commercial General Liability Policy
covering bodily injury, property damage including loss of use, and personal injury.
• General Aggregate to apply on a Per Project Basis.
• The LPA shall be named as Additional Insured on a primary and non - contributory basis
including completed operations (the completed work/product) for three (3) years after the
work/product is complete.
• Consultant agrees to waive its rights of recovery against the LPA. Waiver of Subrogation
in favor of the LPA shall be added to, or included in, the policy.
• Contractual liability coverage shall be on a broad form basis and shall not be amended
by any limiting endorsements.
• If work is being done near a railroad track, the 50' railroad right of way exclusion must be
deleted.
• In the event that this contract provides for consultant to construct, reconstruct or produce
a completed product, products and completed operations coverage in the amount
provided above shall be maintained for the duration of the work, and shall be further
maintained for a minimum period of five years after final acceptance and payment.
Project No. URB- 6264(1) Exhibit "C"
Control No. 22507 Page 1 of 3
Jackson Street, 3` — River Road, Blair
• Policy shall not contain a total or absolute pollution exclusion. Coverage shall be
provided for pollution exposures arising from products and completed operations (as per
standard CG0001 Pollution Exclusion or equivalent). (If the standard pollution exclusion
as provided by CG0001 has been amended, please refer to the following section entitled
Pollution Coverage. ")
• Pollution Coverage —
• In the event that the standard pollution exclusion as provided by CG0001 has been
amended, coverage may be substituted with a separate Pollution Liability policy or a
Professional Liability policy that includes pollution coverage in the amount of $1.0 million
per occurrence or claim and $1.0 million aggregate. If coverage is provided by a "claims
made" form, coverage will be maintained for three years after project completion. Any
applicable deductible is the responsibility of the Consultant.
Automobile Liability —
Limits of at least: $ 1,000,000 CSL Per Accident
• Coverage shall apply to all Owned, Hired, and Non -Owned Autos.
Workers' Compensation —
Limits: Statutory coverage for the State where the project is located.
Employer's Liability limits: $100,000 Each Accident
$100,000 Disease — Per Person
$500,000 Disease — Policy Limit
• Consultant agrees to waive its rights of recovery against the LPA. Waiver of
Subrogation in favor of the LPA shall be added to, or included in, the policy
Professional Liability —
Limits of at least: $ 1,000,000 Per Claim and Annual Aggregate
• Coverage shall be provided for three years after work/project completion.
Electronic Data and Valuable Papers —
Limits of at least: $100,000 Electronic Data Processing Data and Media
$25,000 Valuable Papers
Umbrella/Excess —
Limits of at least: $1,000,000 Per Occurrence and Annual Aggregate
• Policy shall provide liability coverage in excess of the specified Employers Liability,
Commercial General Liability and Auto Liability.
• The LPA, shall be an "Additional Insured ".
Consultant agrees to waive its rights of recovery against the LPA. Waiver of subrogation
Project No. URB- 6264(1) Exhibit "C"
Control No. 22507 Page 2 of 3
Jackson Street, 3` — River Road, Blair
in favor of the LPA shall be provided.
Additional Requirements —
• Any insurance policy shall be written by a reputable insurance company acceptable to
the LPA or with a current Best's Insurance Guide Rating of A — and Class VII or better,
and authorized to do business in Nebraska.
• Evidence of such insurance coverage in effect shall be provided to the LPA in the form
of an Accord certificate of insurance executed by a licensed representative of the
participating insurer(s).
• For so long as insurance coverage is required under this agreement, the Consultant
shall have a duty to notify the LPA and the State of Nebraska Department of Roads
(State) when the Consultant knows, or has reason to believe, that any insurance
coverage required under this agreement will lapse, or may be canceled or terminated.
The Consultant must forward any pertinent notice of cancelation or termination to the
LPA and to the State by mail (return receipt requested), hand - delivery or facsimile
transmission within 2 business days of receipt by Consultant of any such notice from an
insurance carrier. Copies of notices received by the Consultant shall be sent to the LPA,
in care of the LPA's Responsible Charge and to the State at the following address:
Nebraska Department of Roads
Construction Division — Insurance Section
1500 Highway 2, P. O. Box 94759
Lincoln, NE 68509 -4759
Facsimile No. 402 - 479 -4854
• Failure of the owner or any other party to review, approve, and /or reject a certificate of
insurance in whole or in part does not waive the requirements of this agreement.
• The Limits of Coverage's set forth in this document are suggested minimum limits of
coverage. The suggested limits of coverage shall not be construed to be a limitation of
the liability on the part of the consultant or any of its subconsultants /tier subconsultants.
The carrying of insurance described shall in no way be interpreted as relieving the
consultant, subconsultant, or tier subconsultant of any responsibility of liability under the
contract.
• If there is a discrepancy of coverage between this document and any other insurance
specification for this project, the greater limit or coverage requirement shall prevail.
Project No. URB- 6264(1) Exhibit "C"
Control No. 22507 Page 3 of 3
Jackson Street, 3` — River Road, Blair