Art3_Redlands_FY17_BikePed_EValleyInterconnect_Inv2_240708San Bernardino Associated Governments
Check List
Article 3 Grant Program
City of Redlands Date:7/8/2024
Please see below instructions and checkmark the items included in your submittal.
1.Claim Form (one-time submission)
Please submit a completed Claim Form prior to requesting reimbursement of funds. An authorizing
resolution is required with the Claim Form (see #2).
2.Authorizing Resolution (one-time submission)
Resolution authorizing the filing of the claim form and authorizing the submission of reimbursement
requests throughout the duration of the project. Please submit resolution with Claim Form.
X 3. Reimbursement Request Form (as needed)
This form is required for every reimbursement requested.
X 4. Back-up Documentation (required with Reimbursement Request Form)
Please attach documentation supporting the amount requested (e.g., invoices, paychecks,
purchase orders, etc.)
5.Certified Copy of Minute Action (completed projects only)
Certified copy of minute action authorizing the filing of the final claim and verifying project completion.
6. Photos of Completed Project (completed projects only)
7. Other (optional)
Attach any other information you wish to submit to support your claim.
Claimant:
Art3_Redlands_FY17_BikePed_EValleyInterconnect_Claim_2
Check List Page 1
Please mail check to our Corporate address:
KOA Corporation
1100 Corporate Center Drive, Suite 201, Monterey Park, CA 91754-7668
A California Corporation
3190 Shelby Street, Bldg C, Ontario, CA 91764
T: (909) 890-9693 | F: (909) 890-9694 | www.koacorp.com
MONTEREY PARK ORANGE ONTARIO SAN DIEGO LA QUINTA CULVER CITY
Invoice
July 16, 2020 KOA Project No: JB74075 City of Redlands KOA Invoice No: JB74075x18 Attn: Accounts Payable City P.O. #: P013586
PO Box 3005
Redlands, CA 92373
accountspayable@cityofredlands.org Project: ATP Cycle 3 East Valley Corridor Bike Route Interconnect
For Period 6/1/2020 – 6/28/2020
Progress Report:
• Coordination with project team
Total Budget 278,939.26
Total Billed to Date 255,175.59
Previous Fee Billing 254,413.59
Total Fee 762.00
Total now due $762.00
_____________________________ Ming Guan, PE, TE, Project Manager KOA Corporation
cc: Veronica Medina
Task Description
Project
Budget
Percent
Complete
Previous
Billed
Billed to
Date
Current
Billing
001 Project Management and Administration $31,038.77 99.11%$30,523.51 $30,763.51 $240.00
002 Utility Research and Coordination $5,537.95 96.70%$5,355.00 $5,355.00
003 Data Review, Field Survey and Base Map $59,477.19 99.84%$59,379.75 $59,379.75
004 Conceptual Alignment and Estimate $28,302.63 99.94%$28,286.50 $28,286.50
005 Right-of-Way Engineering (Optional)$0.00
006 Geotechnical Design Report $18,025.76 98.20%$17,701.20 $17,701.20
007 Environmental Document $56,312.99 83.88%$46,715.72 $47,237.72 $522.00
008 Prepare Interim and Final PS&E $66,225.53 99.17%$65,675.50 $65,675.50
009 Eng Support during Bid, Award & Constr $11,018.44 0.00%$0.00 $0.00
010 Reimbursables $3,000.00 25.88%$776.41 $776.41
Project Total $278,939.26 91.48%$254,413.59 $255,175.59 $762.00
Please mail check to our Corporate address:
KOA Corporation
1100 Corporate Center Drive, Suite 201, Monterey Park, CA 91754-7668
A California Corporation
3190 Shelby Street, Bldg C, Ontario, CA 91764
T: (909) 890-9693 | F: (909) 890-9694 | www.koacorp.com
MONTEREY PARK ORANGE ONTARIO SAN DIEGO LA QUINTA CULVER CITY
Invoice
August 18, 2020 KOA Project No: JB74075 City of Redlands KOA Invoice No: JB74075x19 Attn: Accounts Payable City P.O. #: P013586
PO Box 3005
Redlands, CA 92373
accountspayable@cityofredlands.org Project: ATP Cycle 3 East Valley Corridor Bike Route Interconnect
For Period 6/29/2020 – 8/2/2020
Progress Report:
• Coordination with project team
• Environmental document updates
Total Budget 278,939.26
Total Billed to Date 256,241.33
Previous Fee Billing 255,175.59
Total Fee 1,065.74
Total now due $1,065.74
_____________________________ Ming Guan, PE, TE, Project Manager KOA Corporation
cc: Veronica Medina
Task Description
Project
Budget
Percent
Complete
Previous
Billed
Billed to
Date
Current
Billing
001 Project Management and Administration $31,038.77 99.89%$30,763.51 $31,003.51 $240.00
002 Utility Research and Coordination $5,537.95 96.70%$5,355.00 $5,355.00
003 Data Review, Field Survey and Base Map $59,477.19 99.84%$59,379.75 $59,379.75
004 Conceptual Alignment and Estimate $28,302.63 99.94%$28,286.50 $28,286.50
005 Right-of-Way Engineering (Optional)$0.00
006 Geotechnical Design Report $18,025.76 98.20%$17,701.20 $17,701.20
007 Environmental Document $56,312.99 85.35%$47,237.72 $48,063.46 $825.74
008 Prepare Interim and Final PS&E $66,225.53 99.17%$65,675.50 $65,675.50
009 Eng Support during Bid, Award & Constr $11,018.44 0.00%$0.00 $0.00
010 Reimbursables $3,000.00 25.88%$776.41 $776.41
Project Total $278,939.26 91.86%$255,175.59 $256,241.33 $1,065.74
Please mail check to our Corporate address:
KOA Corporation
1100 Corporate Center Drive, Suite 201, Monterey Park, CA 91754-7668
A California Corporation
3190 Shelby Street, Bldg C, Ontario, CA 91764
T: (909) 890-9693 | F: (909) 890-9694 | www.koacorp.com
MONTEREY PARK ORANGE ONTARIO SAN DIEGO LA QUINTA CULVER CITY
Invoice
October 20, 2020 KOA Project No: JB74075 City of Redlands KOA Invoice No: JB74075x20 Attn: Accounts Payable City P.O. #: P013586
PO Box 3005
Redlands, CA 92373
accountspayable@cityofredlands.org Project: ATP Cycle 3 East Valley Corridor Bike Route Interconnect
For Period 8/3/2020 – 9/27/2020
Progress Report:
• Coordination with project team
• Environmental document updates
Total Budget 278,939.26
Total Billed to Date 257,014.45
Previous Fee Billing 256,241.33
Total Fee 773.12
Total now due $773.12
_____________________________ Ming Guan, PE, TE, Project Manager KOA Corporation
cc: Veronica Medina
Task Description
Project
Budget
Percent
Complete
Previous
Billed
Billed to
Date
Current
Billing
001 Project Management and Administration $31,038.77 99.89%$31,003.51 $31,003.51
002 Utility Research and Coordination $5,537.95 96.70%$5,355.00 $5,355.00
003 Data Review, Field Survey and Base Map $59,477.19 99.84%$59,379.75 $59,379.75
004 Conceptual Alignment and Estimate $28,302.63 99.94%$28,286.50 $28,286.50
005 Right-of-Way Engineering (Optional)$0.00
006 Geotechnical Design Report $18,025.76 98.20%$17,701.20 $17,701.20
007 Environmental Document $56,312.99 86.30%$48,063.46 $48,596.58 $533.12
008 Prepare Interim and Final PS&E $66,225.53 99.53%$65,675.50 $65,915.50 $240.00
009 Eng Support during Bid, Award & Constr $11,018.44 0.00%$0.00 $0.00
010 Reimbursables $3,000.00 25.88%$776.41 $776.41
Project Total $278,939.26 92.14%$256,241.33 $257,014.45 $773.12
Please mail check to our Corporate address:
KOA Corporation
1100 Corporate Center Drive, Suite 201, Monterey Park, CA 91754-7668
A California Corporation
3190 Shelby Street, Bldg C, Ontario, CA 91764
T: (909) 890-9693 | F: (909) 890-9694 | www.koacorp.com
MONTEREY PARK ORANGE ONTARIO SAN DIEGO LA QUINTA CULVER CITY
Invoice
November 17, 2020 KOA Project No: JB74075 City of Redlands KOA Invoice No: JB74075x21 Attn: Accounts Payable City P.O. #: P013586
PO Box 3005
Redlands, CA 92373
accountspayable@cityofredlands.org Project: ATP Cycle 3 East Valley Corridor Bike Route Interconnect
For Period 9/28/2020 – 11/12020
Progress Report:
• Coordination with project team
• Environmental document updates
Total Budget 278,939.26
Total Billed to Date 257,464.01
Previous Fee Billing 257,014.45
Total Fee 449.56
Total now due $449.56
_____________________________ Ming Guan, PE, TE, Project Manager KOA Corporation
cc: Veronica Medina
Task Description
Project
Budget
Percent
Complete
Previous
Billed
Billed to
Date
Current
Billing
001 Project Management and Administration $31,038.77 99.89%$31,003.51 $31,003.51
002 Utility Research and Coordination $5,537.95 96.70%$5,355.00 $5,355.00
003 Data Review, Field Survey and Base Map $59,477.19 99.84%$59,379.75 $59,379.75
004 Conceptual Alignment and Estimate $28,302.63 99.94%$28,286.50 $28,286.50
005 Right-of-Way Engineering (Optional)$0.00
006 Geotechnical Design Report $18,025.76 98.20%$17,701.20 $17,701.20
007 Environmental Document $56,312.99 87.10%$48,596.58 $49,046.14 $449.56
008 Prepare Interim and Final PS&E $66,225.53 99.53%$65,915.50 $65,915.50
009 Eng Support during Bid, Award & Constr $11,018.44 0.00%$0.00 $0.00
010 Reimbursables $3,000.00 25.88%$776.41 $776.41
Project Total $278,939.26 92.30%$257,014.45 $257,464.01 $449.56
Please mail check to our Corporate address:
KOA Corporation
1100 Corporate Center Drive, Suite 201, Monterey Park, CA 91754-7668
A California Corporation
3190 Shelby Street, Bldg C, Ontario, CA 91764
T: (909) 890-9693 | F: (909) 890-9694 | www.koacorp.com
MONTEREY PARK ORANGE ONTARIO SAN DIEGO LA QUINTA CULVER CITY
Invoice
December 28, 2020
KOA Project No: JB74075
City of Redlands KOA Invoice No: JB74075x22
Attn: Accounts Payable City P.O. #: P013586
PO Box 3005
Redlands, CA 92373
accountspayable@cityofredlands.org
Project: ATP Cycle 3 East Valley Corridor Bike Route Interconnect
For Period 11/2/2020 – 11/29/2020
Progress Report:
Coordination with project team
Environmental document updates
Total Budget 278,939.26
Total Billed to Date 261,484.01
Previous Fee Billing 257,464.01
Total Fee 4,020.00
Total now due $4,020.00
_____________________________
Ming Guan, PE, TE, Project Manager
KOA Corporation
cc: Veronica Medina
Task Description
Project
Budget
Percent
Complete
Previous
Billed
Billed to
Date
Current
Billing
001 Project Management and Administration $31,038.77 99.89% $31,003.51 $31,003.51
002 Utility Research and Coordination $5,537.95 96.70% $5,355.00 $5,355.00
003 Data Review, Field Survey and Base Map $59,477.19 99.84% $59,379.75 $59,379.75
004 Conceptual Alignment and Estimate $28,302.63 99.94% $28,286.50 $28,286.50
005 Right-of-Way Engineering (Optional) $0.00
006 Geotechnical Design Report $18,025.76 98.20% $17,701.20 $17,701.20
007 Environmental Document $56,312.99 94.23% $49,046.14 $53,066.14 $4,020.00
008 Prepare Interim and Final PS&E $66,225.53 99.53% $65,915.50 $65,915.50
009 Eng Support during Bid, Award & Constr $11,018.44 0.00% $0.00 $0.00
010 Reimbursables $3,000.00 25.88% $776.41 $776.41
Project Total $278,939.26 93.74% $257,464.01 $261,484.01 $4,020.00
Please mail check to our Corporate address:
KOA Corporation
1100 Corporate Center Drive, Suite 201, Monterey Park, CA 91754-7668
A California Corporation
3190 Shelby Street, Bldg C, Ontario, CA 91764
T: (909) 890-9693 | F: (909) 890-9694 | www.koacorp.com
MONTEREY PARK ORANGE ONTARIO SAN DIEGO LA QUINTA CULVER CITY
Invoice
February 26, 2021 KOA Project No: JB74075 City of Redlands KOA Invoice No: JB74075x23 Attn: Accounts Payable City P.O. #: P013586
PO Box 3005
Redlands, CA 92373
accountspayable@cityofredlands.org Project: ATP Cycle 3 East Valley Corridor Bike Route Interconnect
For Period 11/30/2020 – 12/27/2020
Progress Report:
• Updating project plans per City’s comments
Total Budget 278,939.26
Total Billed to Date 265,816.01
Previous Fee Billing 261,484.01
Total Fee 4,332.00
Total now due $4,332.00
_____________________________ Ming Guan, PE, TE, Project Manager KOA Corporation
cc: Veronica Medina
Task Description
Project
Budget
Percent
Complete
Previous
Billed
Billed to
Date
Current
Billing
001 Project Management and Administration $31,038.77 99.89%$31,003.51 $31,003.51
002 Utility Research and Coordination $5,537.95 96.70%$5,355.00 $5,355.00
003 Data Review, Field Survey and Base Map $59,477.19 99.84%$59,379.75 $59,379.75
004 Conceptual Alignment and Estimate $28,302.63 99.94%$28,286.50 $28,286.50
005 Right-of-Way Engineering (Optional)$0.00
006 Geotechnical Design Report $18,025.76 98.20%$17,701.20 $17,701.20
007 Environmental Document $56,312.99 94.58%$53,066.14 $53,258.14 $192.00
008 Prepare Interim and Final PS&E $66,225.53 99.53%$65,915.50 $65,915.50
009 Eng Support during Bid, Award & Constr $11,018.44 37.57%$0.00 $4,140.00 $4,140.00
010 Reimbursables $3,000.00 25.88%$776.41 $776.41
Project Total $278,939.26 95.30%$261,484.01 $265,816.01 $4,332.00
Please mail check to our Corporate address:
KOA Corporation
1100 Corporate Center Drive, Suite 201, Monterey Park, CA 91754-7668
A California Corporation
3190 Shelby Street, Bldg C, Ontario, CA 91764
T: (909) 890-9693 | F: (909) 890-9694 | www.koacorp.com
MONTEREY PARK ORANGE ONTARIO SAN DIEGO LA QUINTA CULVER CITY
Invoice
March 19, 2021 KOA Project No: JB74075 City of Redlands KOA Invoice No: JB74075x24 Attn: Accounts Payable City P.O. #: P013586
PO Box 3005
Redlands, CA 92373
accountspayable@cityofredlands.org Project: ATP Cycle 3 East Valley Corridor Bike Route Interconnect
For Period 12/28/2020 – 1/31/2021
Progress Report:
• Updating project plans per City’s comments
Total Budget 278,939.26
Total Billed to Date 270,794.51
Previous Fee Billing 265,816.01
Total Fee 4,978.50
Total now due $4,978.50
_____________________________ Ming Guan, PE, TE, Project Manager KOA Corporation
cc: Veronica Medina
Task Description
Project
Budget
Percent
Complete
Previous
Billed
Billed to
Date
Current
Billing
001 Project Management and Administration $31,038.77 99.89%$31,003.51 $31,003.51
002 Utility Research and Coordination $5,537.95 96.70%$5,355.00 $5,355.00
003 Data Review, Field Survey and Base Map $59,477.19 99.84%$59,379.75 $59,379.75
004 Conceptual Alignment and Estimate $28,302.63 99.94%$28,286.50 $28,286.50
005 Right-of-Way Engineering (Optional)$0.00
006 Geotechnical Design Report $18,025.76 98.20%$17,701.20 $17,701.20
007 Environmental Document $56,312.99 95.00%$53,258.14 $53,498.14 $240.00
008 Prepare Interim and Final PS&E $66,225.53 99.53%$65,915.50 $65,915.50
009 Eng Support during Bid, Award & Constr $11,018.44 80.58%$4,140.00 $8,878.50 $4,738.50
010 Reimbursables $3,000.00 25.88%$776.41 $776.41
Project Total $278,939.26 97.08%$265,816.01 $270,794.51 $4,978.50
Please mail check to our Corporate address:
KOA Corporation
1100 Corporate Center Drive, Suite 201, Monterey Park, CA 91754-7668
A California Corporation
3190 Shelby Street, Bldg C, Ontario, CA 91764
T: (909) 890-9693 | F: (909) 890-9694 | www.koacorp.com
MONTEREY PARK ORANGE ONTARIO SAN DIEGO LA QUINTA CULVER CITY
Invoice
April 9, 2021 KOA Project No: JB74075 City of Redlands KOA Invoice No: JB74075x25 Attn: Accounts Payable City P.O. #: P013586
PO Box 3005
Redlands, CA 92373
accountspayable@cityofredlands.org Project: ATP Cycle 3 East Valley Corridor Bike Route Interconnect
For Period 2/1/2021 – 2/28/2021
Progress Report:
• Updating project plans per City’s comments
Total Budget 278,939.26
Total Billed to Date 272,162.51
Previous Fee Billing 270,794.51
Total Fee 1,368.00
Total now due $1,368.00
_____________________________ Ming Guan, PE, TE, Project Manager KOA Corporation
cc: Veronica Medina
Task Description
Project
Budget
Percent
Complete
Previous
Billed
Billed to
Date
Current
Billing
001 Project Management and Administration $31,038.77 99.89%$31,003.51 $31,003.51
002 Utility Research and Coordination $5,537.95 96.70%$5,355.00 $5,355.00
003 Data Review, Field Survey and Base Map $59,477.19 99.84%$59,379.75 $59,379.75
004 Conceptual Alignment and Estimate $28,302.63 99.94%$28,286.50 $28,286.50
005 Right-of-Way Engineering (Optional)$0.00
006 Geotechnical Design Report $18,025.76 98.20%$17,701.20 $17,701.20
007 Environmental Document $56,312.99 96.84%$53,498.14 $54,536.14 $1,038.00
008 Prepare Interim and Final PS&E $66,225.53 100.03%$65,915.50 $66,245.50 $330.00
009 Eng Support during Bid, Award & Constr $11,018.44 80.58%$8,878.50 $8,878.50
010 Reimbursables $3,000.00 25.88%$776.41 $776.41
Project Total $278,939.26 97.57%$270,794.51 $272,162.51 $1,368.00
Please mail check to our Corporate address:
KOA Corporation
1100 Corporate Center Drive, Suite 201, Monterey Park, CA 91754-7668
A California Corporation
3190 Shelby Street, Bldg C, Ontario, CA 91764
T: (909) 890-9693 | F: (909) 890-9694 | www.koacorp.com
MONTEREY PARK ORANGE ONTARIO SAN DIEGO LA QUINTA CULVER CITY
Invoice
April 14, 2021 KOA Project No: JB74075 City of Redlands KOA Invoice No: JB74075x26 Attn: Accounts Payable City P.O. #: P013586
PO Box 3005
Redlands, CA 92373
accountspayable@cityofredlands.org Project: ATP Cycle 3 East Valley Corridor Bike Route Interconnect
For Period 3/1/2021 – 3/28/2021
Progress Report:
• Environmental review of the revised project plans
Total Budget 278,939.26
Total Billed to Date 273,953.51
Previous Fee Billing 272,162.51
Total Fee 1,791.00
Total now due $1,791.00
_____________________________ Ming Guan, PE, TE, Project Manager KOA Corporation
cc: Veronica Medina
Task Description
Project
Budget
Percent
Complete
Previous
Billed
Billed to
Date
Current
Billing
001 Project Management and Administration $31,038.77 99.89%$31,003.51 $31,003.51
002 Utility Research and Coordination $5,537.95 97.56%$5,355.00 $5,403.00 $48.00
003 Data Review, Field Survey and Base Map $59,477.19 99.84%$59,379.75 $59,379.75
004 Conceptual Alignment and Estimate $28,302.63 99.94%$28,286.50 $28,286.50
005 Right-of-Way Engineering (Optional)$0.00
006 Geotechnical Design Report $18,025.76 98.20%$17,701.20 $17,701.20
007 Environmental Document $56,312.99 99.94%$54,536.14 $56,279.14 $1,743.00
008 Prepare Interim and Final PS&E $66,225.53 100.03%$66,245.50 $66,245.50
009 Eng Support during Bid, Award & Constr $11,018.44 80.58%$8,878.50 $8,878.50
010 Reimbursables $3,000.00 25.88%$776.41 $776.41
Project Total $278,939.26 98.21%$272,162.51 $273,953.51 $1,791.00
Please mail check to our Corporate address:
KOA Corporation
1100 Corporate Center Drive, Suite 201, Monterey Park, CA 91754-7668
A California Corporation
3190 Shelby Street, Bldg C, Ontario, CA 91764
T: (909) 890-9693 | F: (909) 890-9694 | www.koacorp.com
MONTEREY PARK ORANGE ONTARIO SAN DIEGO LA QUINTA CULVER CITY
Invoice
September 15, 2022 KOA Project No: JB74075 City of Redlands KOA Invoice No: JB74075x27 Attn: Accounts Payable City P.O. #: P013586
PO Box 3005
Redlands, CA 92373
accountspayable@cityofredlands.org Project: ATP Cycle 3 East Valley Corridor Bike Route Interconnect
For period through 3/29/2021 – 7/31/2022
Progress Report:
• Completed PS&E
• Construction support
Total Budget 278,939.26
Total Billed to Date 278,939.26
Previous Fee Billing 273,953.51
Total Fee 4,985.75
Total now due $4,985.75
_____________________________ Ming Guan, PE, TE, Project Manager KOA Corporation
cc: Veronica Medina
Task Description
Project
Budget
Percent
Complete
Previous
Billed
Billed to
Date
Current
Billing
001 Project Management and Administration $31,038.77 100.00%$31,003.51 $31,038.77 $35.26
002 Utility Research and Coordination $5,537.95 100.00%$5,403.00 $5,537.95 $134.95
003 Data Review, Field Survey and Base Map $59,477.19 100.00%$59,379.75 $59,477.19 $97.44
004 Conceptual Alignment and Estimate $28,302.63 100.00%$28,286.50 $28,302.63 $16.13
005 Right-of-Way Engineering (Optional)$0.00
006 Geotechnical Design Report $18,025.76 100.00%$17,701.20 $18,025.76 $324.56
007 Environmental Document $56,312.99 100.00%$56,279.14 $56,312.99 $33.85
008 Prepare Interim and Final PS&E $66,225.53 100.03%$66,245.50 $66,245.50
009 Eng Support during Bid, Award & Constr $11,018.44 99.82%$8,878.50 $10,998.47 $2,119.97
010 Reimbursables $3,000.00 100.00%$776.41 $3,000.00 $2,223.59
Project Total $278,939.26 100.00%$273,953.51 $278,939.26 $4,985.75