FY21_BikePed_Village North_Inv TDA Article 3: Claims/Change Request
Type of Request TDA Article 3:Claims
Project Title Village North Pedestrian Improvements
Project Type Bike and Pedestrian Project
Contact Name Julie Ryan
Agency Apple Valley
Contact Phone 7602407000
Contact Email jryan@applevalley.org
Type of Claim Reimbursement Request
Reimbursement Request
Reimbursement Art3_AppleValley_FY21_BikePed_VillageNorth_CI... 379.28KB
Request Form
Backup KNC Invoices Feb-Apr 2025.pdf 2.5MB
Documentation AP Check-TOAV-PDF(EFT)-720_3119_N.pdf 210.85KB
AP Check-TOAV-PDF(EFT)-758_3119_N.pdf 211.44KB
AP Check-TOAV-PDF(EFT)-864_3119_N.pdf 212.71 KB
Completion
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San Bernardino County Transportation Authority ATTACHMENT 1
Reimbursement Request
Article 3 Grant Program
Town of Aplley Allocation #:
Complete fields in yellow below.
Total Project
Cost
Percent
Article 3 Local Match
Village North Pedestrian Improvements $723,637.50 50.00%$361,819.50
Section 1: Required for ALL Reimbursement Requests Section 2: Required for Progressive Reimbursements ONLY
A: Current Request for Reimbursement A: Project Completion (turns red if % completed is significantly less than invoice)
$361,818.00 100%1) Overall % Completed
$361,819.50 2) Mileage Completed (if applicable)Share Completed:0.00%
$0.00
$723,637.50 Enter total only
*Shares will be automatically calculated based on non-rounded formula.
$361,818.00 100.0%
$361,819.50 100.0%
$0.00 0.0%
$723,637.50 100.0%
$72,363.60
TDA Article 3 $0.00 0.0%
$0.00 0.0%
$0.00 0.0%
$0.00 0.0%
5) Check to verify expenses claimed are consistent with the approved scope.
Total Project Miles (if applicable)1
By signing below, I certify that the information on this Financial Reporting form is true and accurate to the best of my knowledge.
Signed:Date:6/30/2025
Progressive Reimbursement
Invoice should be for a
minimum of 20% of TDA
Article 3 award amount
Progressive Reimbursement
must not go below 20% retention
until project completionC: Balance Remaining
B: Summary of Project Status
3) If either number turned red above, please provide a project schedule that demonstrates
how the project will be completed on schedule within the budget. Provide attachments as
needed.
No numbers turned red.
TDA Article 3 Reimbursement Amount Requested
Local Match
B: Project Costs to Date (include amount requested above)
$72,363.60
ATP Funds Utilized
4) ATP (if applicable)
2) TDA Article 3
3) Local Match
Total
1) Total Spent*
Article 3 Award
Amount
$361,818.00
L18-0702-0737-00
ATP Funds
(if applicable)
$0.00
Grant Information (completed by SBCTA)
Project Name
Claimant:
ATP Funds (if applicable)
Local Match
Total
Construct a new continuous accessible pedestrina pathway in Apply Valle Village.
Art3_AppleValley_FY21_BikePed_VillageNorth_Claim
Reimbursement Request Page 1
Douglas B. Robertson
San Bernardino County Transportation Authority ATTACHMENT 1
Reimbursement Request
Article 3 Grant Program
(Authorized Agent specified in Authorizing Resolution)
Art3_AppleValley_FY21_BikePed_VillageNorth_Claim
Reimbursement Request Page 1
APPLICATION AND CERTIFICATION FOR PAYMENT AIA DOCUMENT G702
TO OWNER:PROJECT:Village N Sidewalk APPLICATION NO:THREE Distribution to:
Improvement Project
OWNER
Address:Outer Hwy 18 North ARCHITECT
Navajo to Headquarters, Quinnault & Pioneer OTHER
PERIOD TO:04/30/25
FROM CONTRACTOR:
KNC Construction, Inc.
12277 Apple Valley Rd.
Apple Valley, CA 92308
PROJECT NO:2024-03
COUNTY PO NO:
START DATE:2/18/2025
CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge,
Application is made for payment, as shown below, in connection with the Contract.information and belief the Work covered by this Application for Payment has been
Continuation Sheet, AIA Document G703, is attached.completed in accordance with the Contract Documents, that all amounts have been paid by
the Contractor for Work for which previous Certificates for Payment were issued and
payments received from the Owner, and that current payment shown herein is now due.
CONTRACTOR:KNC Construction, Inc.
1. ORIGINAL CONTRACT SUM $1,884,882.69
2. Net change by Change Orders $0.00
3. CONTRACT SUM TO DATE (Line 1 ± 2) $1,884,882.69 By: Date:
4. TOTAL COMPLETED & STORED TO $1,069,163.76
DATE (Column G on G703)OWNER:
5. RETAINAGE:
a.5 % of Completed Work $53,458.19
(Column D + E on G703)By: Date:
b.% of Stored Material $0 San Bernardino County Department of Public Works - Special Districts
(Column F on G703)Project Management Division
Total Retainage (Lines 5a + 5b or
Total in Column I of G703) $839,730.36
6. TOTAL EARNED LESS RETAINAGE $1,015,705.57
(Line 4 Less Line 5 Total)
7. LESS PREVIOUS CERTIFICATES FOR
PAYMENT (Line 6 from prior Certificate) $303,379.09
8. CURRENT PAYMENT DUE $304,051.38
9. BALANCE TO FINISH, INCLUDING RETAINAGE $869,177.12
(Line 3 less Line 6)
CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS
Total changes approved
in previous months by Owner
Total approved this Month
TOTALS This Certificate is not negotiable. The AMOUNT CERTIFIED is payable only to the
Contractor named herein. Issuance, payment and acceptance of payment are without
NET CHANGES by Change Order prejudice to any rights of the Owner or Contractor under this Contract.$0.00
05/14/25
$0.00 $0.00
$0.00 $0.00
$0.00
Malia Caminiti
PM: Rich Berger, Silvia Urenda
14950 Dale Evans Parkway
Apple Valley CA 92307
Town of Apple Valley
$0.00
CONTINUATION SHEET AIA DOCUMENT G703
AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO:THREE
Contractor's signed certification is attached.APPLICATION DATE:4/1/2025
In tabulations below, amounts are stated to the nearest dollar.PERIOD TO:4/30/2025
PROJECT NO:2024-03
A B C D E F G H IITEMDESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL %BALANCE RETAINAGENO.VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G ÷ C)5%
APPLICATIONS STORED AND STORED (C - G)
(D + E)(NOT IN TO DATE
D OR E)(D+E+F)
1 Mobilization, Demo, Insurance, Bonds $90,767.20 45,383.60$ $0.00 -$ 45,383.60$ 50.00%45,383.60$ 2,269.00$
2 Staging/Traffic Control/Public Notice $103,500.00 103,500.00$ $0.00 -$ 103,500.00$ 100.00%5,175.00$
3 SWPPP, Good Housekeeping & BMP $55,200.00 55,200.00$ $0.00 -$ 55,200.00$ 100.00%2,760.00$
4 Clear and prepare subgrade for area $51,840.88 23,002.62$ $7,698.60 -$ 30,701.22$ 59.22%21,139.66$ 1,535.00$
5 Sawcut and Remove Existing AC Pavement $63,273.75 41,697.23$ $1,213.30 -$ 42,910.53$ 67.82%20,363.22$ 2,146.00$
6 Sawcut and Remove Existing Concrete $51,810.15 37,741.41$ $5,558.07 -$ 43,299.48$ 83.57%8,510.67$ 2,165.00$
7 Sawcut and Remove Existing Curb, Gutter, Drive $6,905.34 3,161.99$ $336.31 -$ 3,498.30$ 50.66%3,407.04$ 175.00$
8 Remove and replace mailbox $8,970.05 1,582.95$ $0.00 -$ 1,582.95$ 17.65%7,387.10$ 79.00$
9 Remove and replace sign $18,859.96 1,347.14$ $0.00 -$ 1,347.14$ 7.14%17,512.82$ 67.00$
10 Remove Concrete Wheel Stop $920.00 920.00$ $0.00 -$ 920.00$ 100.00%46.00$
11 Relocate back flow and vent $5,265.85 5,265.85$ $0.00 -$ 5,265.85$ 100.00%263.00$
12 Relocate irrigation as needed $5,750.00 -$ $0.00 -$ -$ 0%5,750.00$ -$
13 Relocate landscaping trees $34,500.00 -$ $0.00 -$ -$ 0%34,500.00$ -$
14 Construct Sidewalk per SB County STD 109 $453,102.00 154,887.41$ $90,865.32 -$ 245,752.73$ 54.24%207,349.27$ 12,288.00$
15 Construct curb ramp per SB County STD 110 $79,051.00 -$ $22,586.00 -$ 22,586.00$ 28.57%56,465.00$ 1,129.00$
16
Construct curb ramp 2021 SPPWC STD Plan
111-5 Case D Type 2 $22,586.00 -$ $0.00 -$ -$ 0%22,586.00$ -$
17
Construct curb ramp per 2021 SPPWC STD Plan 111-5
Case B Type 1 $11,293.00 -$ $0.00 -$ -$ 0%11,293.00$ -$
18 Construct driveway per Detail 1 Sheet 19 $64,159.64 25,481.10$ $1,449.82 -$ 26,930.92$ 41.97%37,228.72$ 1,347.00$
19
Construct curb per 2021 SPPWC STD Plan 120-3 A1.
Match existing curb height $92,919.80 34,227.42$ $0.00 -$ 34,227.42$ 37%58,692.38$ 3,423.00$
20
Construct curb and gutter per 2021 SPPWC STD Plan
120-3 A2. Match existing curb width & curb height $61,296.40 -$ $0.00 -$ -$ 0%61,296.40$ -$
21
Patch AC Pavement, Per 2021 SPPWC STD Plan 133-4
Case II $135,700.11 24,181.54$ $61,277.68 -$ 85,459.22$ 63%50,240.89$ 8,546.00$
22
Patch concrete pavement per 2021 SPPWC STD Plan
132-4 $16,674.00 6,669.60$ $0.00 -$ 6,669.60$ 5%10,004.40$ 667.00$
23 Tree Root Prune per STD DWG 2 Sheet 19 $4,600.00 -$ $0.00 -$ -$ 0%4,600.00$ -$
24 Install Decomposed Granite $8,044.40 8,044.40$ $0.00 -$ 8,044.40$ 100.00%402.00$
25
AC Patch behind sidewalk per SPPWC STD Plan 133-4
Case 1area $120,234.50 26,275.33$ $13,716.81 -$ 39,992.14$ 33.26%80,242.36$ 2,000.00$
26 Construct commercial drivceway per SBC STD 129B $60,490.01 -$ $25,924.29 -$ 25,924.29$ 42.86%34,565.72$ 1,296.00$
27
Construct 6" curb and 1.5' gutter SPPWC Plan 120-3,
A2 $43,930.10 -$ $39,893.28 -$ 39,893.28$ 90.81%4,036.82$ 1,995.00$
28
Construct 8" curb and 1.5' gutter SPPWC Plan 120-3,
A2 $64,228.95 55,665.09$ $0.00 -$ 55,665.09$ 86.67%8,563.86$ 2,783.00$
APPLE VALLEY VILLAGE SIDEWALK PROJECT
2 of 5
29 Construct local depression SBC STD 206 $4,600.00 -$ $4,600.00 -$ 4,600.00$ 100.00%230.00$
30 Construct Catch Basin Type A per SBC STD 206 $18,128.60 -$ $18,128.60 -$ 18,128.60$ 100.00%906.00$
31
Construct Class 5 Injection Well per Town Detail DW-
1 $94,875.00 94,875.00$ $0.00 -$ 94,875.00$ 100%9,488.00$
32 Reconstruct Parkway Drain per SPPWC Plan 151-3 $3,450.00 -$ $3,450.00 -$ 3,450.00$ 100%345.00$
33 Construct Catch Basin per SPPWC Plan 304-4 $23,356.00 -$ $23,356.00 -$ 23,356.00$ 100%2,336.00$
34
Construct Parkway Culvert w/Steel Plate Cover per
plans $4,600.00 -$ $0.00 -$ -$ 0%4,600.00$ -$
CO400071-HANDRAIL $5,613.75 -$ -$ -$ 5,613.75$ -$
CO400072-MAILBOXES $17,151.10 -$ $0.00 -$ -$ 0%17,151.10$ -$
CO400067-WALL FOOTING GRIND $1,246.58 -$ $0.00 -$ -$ 1,246.58$ -$
$0.00 -$ $0.00 -$ -$ 0%-$
$0.00 -$ $0.00 -$ -$ -$
$0.00 -$ $0.00 -$ -$ -$
$0.00 -$ $0.00 -$ -$ -$
GRAND TOTALS $1,884,882.69 749,109.68$ $320,054.08 -$ 1,069,163.76$ 57%839,730.36$ 65,861.00$
5% RETENTION $37,455 $16,002.70
BALANCE OWED 711,654.20$ $304,051.38
3 of 5
START DATE:END DATE:
A B C
ITEM DESCRIPTION OF WORKNO.TO DATE
COMPLETE
1 Mobilization, Demo, Insurance, Bonds 1 0.00 0.00 0.00 0.00 $90,767.20 $0.00
2 Staging/Traffic Control/Public Notice 1 1.00 0.00 1.00 1.00 $103,500.00 $0.00
3 SWPPP, Good Housekeeping & BMP 1 1.00 0.00 1.00 1.00 $55,200.00 $0.00
4 Clear and prepare subgrade for area 28,484 12638.80 4230.00 16868.80 4230.44 $51,840.88 $7,698.60
5 Sawcut and Remove Existing AC Pavement 26,925 17743.50 516.30 18259.80 516.96 $63,273.75 $1,213.30
6 Sawcut and Remove Existing Concrete 12,985 9459.00 1393.00 10852.00 1393.73 $51,810.15 $5,558.07
7 Sawcut and Remove Existing Curb, Gutter, Drive 2,043 935.50 99.50 1035.00 99.96 $6,905.34 $336.31
8 Remove and replace mailbox 17 3.00 0.00 3.00 0.18 $8,970.05 $0.00
9 Remove and replace sign 14 1.00 0.00 1.00 0.07 $18,859.96 $0.00
10 Remove Concrete Wheel Stop 4 4.00 0.00 4.00 1.00 $920.00 $0.00
11 Relocate back flow and vent 1 1.00 0.00 1.00 1.00 $5,265.85 $0.00
12 Relocate irrigation as needed 1 0.00 0.00 0.00 0.00 $5,750.00 $0.00
13 Relocate landscaping trees 4 0.00 0.00 0.00 0.00 $34,500.00 $0.00
14 Construct Sidewalk per SB County STD 109 22,200 7588.80 4452.00 12040.80 4452.34 $453,102.00 $90,865.32
15 Construct curb ramp per SB County STD 110 7 0.00 2.00 2.00 2.00 $79,051.00 $22,586.00
16
Construct curb ramp 2021 SPPWC STD Plan
111-5 Case D Type 2 2 0.00 0.00 0.00 0.00 $22,586.00 $0.00
17
Construct curb ramp per 2021 SPPWC STD Plan 111-
5 Case B Type 1 1 0.00 0.00 0.00 0.00 $11,293.00 $0.00
18 Construct driveway per Detail 1 Sheet 19 6,284 2495.70 142.00 2637.70 142.40 $64,159.64 $1,449.82
19
Construct curb per 2021 SPPWC STD Plan 120-3 A1.
Match existing curb height 790 291.00 0.00 291.00 0.37 $92,919.80 $0.00
20
Construct curb and gutter per 2021 SPPWC STD Plan
120-3 A2. Match existing curb width & curb height 440 0.00 0.00 0.00 0.00 $61,296.40 $0.00
21
Patch AC Pavement, Per 2021 SPPWC STD Plan 133-4
Case II 7,371 1313.50 3328.50 4642.00 3328.68 $135,700.11 $61,277.68
22
Patch concrete pavement per 2021 SPPWC STD Plan
132-4 1,050 420.00 0.00 420.00 0.40 $16,674.00 $0.00
23 Tree Root Prune per STD DWG 2 Sheet 19 4 0.00 0.00 0.00 0.00 $4,600.00 $0.00
24 Install Decomposed Granite 2,210 2210.00 0.00 2210.00 1.00 $8,044.40 $0.00
25
AC Patch behind sidewalk per SPPWC STD Plan 133-4
Case 1area 9,550 2087.00 1089.50 3176.50 1089.72 $120,234.50 $13,716.81
26 Construct commercial drivceway per SBC STD 129B 7 0.00 3.00 3.00 3.00 $60,490.01 $25,924.29
27
Construct 6" curb and 1.5' gutter SPPWC Plan 120-3,
A2 370 0.00 336.00 336.00 336.00 $43,930.10 $39,893.28
28
Construct 8" curb and 1.5' gutter SPPWC Plan 120-3,
A2 405 351.00 0.00 351.00 0.87 $64,228.95 $0.00
29 Construct local depression SBC STD 206 1 0.00 1.00 1.00 1.00 $4,600.00 $4,600.00
30 Construct Catch Basin Type A per SBC STD 206 1 0.00 1.00 1.00 1.00 $18,128.60 $18,128.60
31
Construct Class 5 Injection Well per Town Detail DW-
1 1 1.00 0.00 1.00 1.00 $94,875.00 $0.00
32 Reconstruct Parkway Drain per SPPWC Plan 151-3 1 0.00 1.00 1.00 1.00 $3,450.00 $3,450.00
33 Construct Catch Basin per SPPWC Plan 304-4 1 0.00 1.00 1.00 1.00 $23,356.00 $23,356.00
34
Construct Parkway Culvert w/Steel Plate Cover per
plans 1 0.00 0.00 0.00 0.00 $4,600.00 $0.00
GRAND TOTALS 57545.80 15595.80 $1,884,882.69 $320,054.08
5% RETENTION $16,002.70
BALANCE OWED $304,051.37
APPLE VALLEY VILLAGE N SIDEWALK IMPROVEMENT PROJECT
PERFORMANCE LOG
4/1/25 4/30/25
QTY
QTY
COMPLETE
PREVIOUS
QTY
COMPLETE
THIS PERIOD
%
COMPLETE
SCHEDULED
VALUES AMOUNT DUE
VENDOR NUMBER VENDOR NAME
INVOICEA MOUNTINVOICE DATE INVOICEN UMBER DESCRIPTION
PO #:
Pay To
The
Order Of
Vendor Number
720 03/27/2025 $303,379.09
Town of Apple Valley - 14955 Dale Evans Pkwy, Apple Valley, CA 92307
CHECK NUMBER CHECK DATE CHECK AMOUNT
3119 KNC CONSTRUCTION
02/18/2025 G702-022825 Village North Sidewalk Improvement Project $303,379.09
20250078 - HOUSING AND COMMUNITY DEV
EFT NOTICE COPY
NON-NEGOTIABLE
Accounts Payable
14955 Dale Evans Parkway
Apple Valley, Ca 92307
760-240-7000
3119
Check Number
720
Check Date
03/27/2025
KNC CONSTRUCTION12277APPLEVALLEY RD #144APPLEVALLEY, CA 92308
$303,379.09*** Three Hundred Three Thousand Three Hundred Seventy-Nine Dollars And Nine Cents ***
PAGE:1 OF 1
VENDOR NUMBER VENDOR NAME
INVOICEA MOUNTINVOICE DATE INVOICEN UMBER DESCRIPTION
PO #:
Pay To
The
Order Of
Vendor Number
758 04/17/2025 $408,275.09
Town of Apple Valley - 14955 Dale Evans Pkwy, Apple Valley, CA 92307
CHECK NUMBER CHECK DATE CHECK AMOUNT
3119 KNC CONSTRUCTION
03/31/2025 TWO Village North Sidewalk Improvement Project $408,275.09
20250078 - HOUSING AND COMMUNITY DEV
EFT NOTICE COPY
NON-NEGOTIABLE
Accounts Payable
14955 Dale Evans Parkway
Apple Valley, Ca 92307
760-240-7000
3119
Check Number
758
Check Date
04/17/2025
KNC CONSTRUCTION12277APPLEVALLEY RD #144APPLEVALLEY, CA 92308
$408,275.09*** Four Hundred Eight Thousand Two Hundred Seventy-Five Dollars And Nine Cents ***
PAGE:1 OF 1
VENDOR NUMBER VENDOR NAME
INVOICEA MOUNTINVOICE DATE INVOICEN UMBER DESCRIPTION
PO #:
Pay To
The
Order Of
Vendor Number
864 06/13/2025 $304,051.38
Town of Apple Valley - 14955 Dale Evans Pkwy, Apple Valley, CA 92307
CHECK NUMBER CHECK DATE CHECK AMOUNT
3119 KNC CONSTRUCTION
04/30/2025 THREE Village North Sidewalk Improvement Project $304,051.38
20250078 - HOUSING AND COMMUNITY DEV
EFT NOTICE COPY
NON-NEGOTIABLE
Accounts Payable
14955 Dale Evans Parkway
Apple Valley, Ca 92307
760-240-7000
3119
Check Number
864
Check Date
06/13/2025
KNC CONSTRUCTION12277APPLEVALLEY RD #144APPLEVALLEY, CA 92308
$304,051.38*** Three Hundred Four Thousand Fifty-One Dollars And Thirty-Eight Cents ***
PAGE:1 OF 1