Art3_Redlands_FY13_BikePed_OBTIII_Inv05_160623_CLOSED City of
x REDLANDS MUEDUED DIGGS
Director
• Incorporated IM8
' Municipal Utilities& Engineering Department MICHAEL POOL
O Interim City Engineer
AoR a 35 Cajon Street, Suite 15A
R
Redlands, CA 92373
909-798-7698
June 23, 2016
Nancy Strickert
San Bernardino Associated Governments
1170 W. 3rd Street, 2nd Floor
San Bernardino, CA 92410-1715
ORANGE.BLOSSOM TRAIL PRASE III PROGRESS PAYWi T REQUEST #5
Ms. Strickert,
City of Redlands submits to San Bernardino Associated Governments (SANBAG) progress
payment request #5 for Phase III of the Orange Blossom Trail. City Resolution No. 7299,
adopted on July 16, 2013, accepted Transportation Development Act Article 3 grant funding in
the amount of$918,722.00 and allocated $162,128.00 of City's Palmetto Grove Fund to be used
as the grant match. Progress payment request#5 is in the amount of$12,708.37.
Attached are the following documents for your review and processing:
1. Claim Form Checklist
2. Claim Form
3. Financial Reporting Form
4. Invoice, check and backup documents for payments
If you have any questions, please contact me at 909-798-7524 Ext. 1. Q� a
Sincer �b
R ittman
nior Project Manager
SUN 2 7 20ti6
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San Bernardino County Transportation Commission
Local Transportation Fund - Article 3 Pedestrian, Bicycle Facilities
and Access to Transit
Claim Form
Claimant: City of Redlands Date: 6/23/2016
The Check-List below are items that must be included with your submission for reimbursement
x 1. Claim Form
x 2. Financial Reporting Form
(Complete the estimated column for anticipated interest, refunds and expenditures)
x 3. Request for Progress Payment (projects over$200,000)
(Certified copy of resolution or minute action authorizing the filing of the claim and
requesting progress payments)
4. Governing Body Authorization (Completed Projects)
(Certified copy of minute action or resolution authorizing the filing of the claim and
Project acceptance)
5. Project Completion Report
(Council's Project acceptance can be used. Pictures of completed project must be
included.)
x 6. Other (optional)
(List any other information you wish to submit to support your claim)
#5-Check List, Claim Form & Financial Reporting Form
Check List Page 1
San Bernardino County Transportation Commission
Local Transportation Fund - Article 3
Pedestrian, Bicycle Facilities and Access to Transit
Claim Form
Fiscal Year: FY2016
Claimant: City of Redlands Attention: Ross Wittman
35 Cajon Street, Suite 15A Senior Project Manager _
Redlands, CA 92373 Phone M 909-798-7698
Amount: $ 12,708.37
PURPOSE: ( }Article 3, PUC Section 99234a Pedestrian Facilities
(x)Article 3, PUC Section 99234a Bicycle Facilities
{ )Article 3, PUC Section 99234a Pedestrian Access to Transit Facilities
Authorizing Signature:
(Signature)
Chris_ Diggs, MUED Director
(Type dame&Title)
Condition of Approval:
Approval of this claim and payment by the County Auditor to this claimant are subject to monies being available and to the
provision that such monies will be used only in accordance with the allocation instruction.
#5-Check List,Claim Form&Financial Reporling Form
Claim Form
Page 2
San Bernardino County Transportation Commission
Local Transportation Fund - Article 3
Bicycle, Pedestrian and Access to Transit
Financial Reporting Form
Claimant: City of Redlands Date: 6/23/2016
Project % Project
Budget TDA Actual
Cost Budget Cost
1. Project Name: Orange Blossom Trail Phase Total Project Expenditure $ 1,080,850 $ 14,951.02
S TDA Article 3 (S13821) $ 918,722 85% $ 12,708.37 1
* Local Match $ 162,128 $ 2,242.65
2. Project Name: Total Project Expenditure $ _
TDA Article 3 (SB 821) $ _
Local Match $ _
3. Project Name: Total Project Expenditure $ _
TDA Article 3 (SB 821) $ _
Local Match $ _
I certify that the information on this Financial Reporting form is true and accurate to the best of my knowledge.
--Z7"-��
Signed:
Chris Diggs, MUED Director
#5-Check List,Claim Form&Financial Reporting Form Page 3
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oRDE MICHAEL BAKET IN' 'E ATTT.ONAL
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INVOICE DATE INVOICE NO. PO NO. AMOUNT PAID DESCRIPTION
05/25/16 943529 P012563 14, 951 . 02 ENGINEERING AND DESIGN
CITY OF REDLANDS
VENDOR ACCT NO, CHECK DATE CHECK TOTAL VENDOR NO. CHECK NO.
fO6/16/16 14, 951 . 02 V00004146 167456
CITY OF
R,EbW" PURCHASE ORDER
P.O. NUMBER P012563
c a I. r P o 1N I n BATE 0 7 2 9 15
Pp Sox 3 Redlands,CA 92373 VENDOR I.Q. VO 0 0 0414 6
Phone(909)798-98-7525 FAX(909)79B-7522
LIVERY DATE
TO: rMFOB
ICHAEL BAKER INTERNATIONAL REQU SITiON NO 72971
14725 ALTON PKWY OUR PURCHASE ORDER NUMBER MUST
I RV INE, CA 9 2 618-2 0 2 7 APPEAR ON ALL INVOICES,PACKING
LIST AND CORRESPONDENCE
P012563
DELIVER ITEMS TO: SEND INVOICE TO:
MUED
35 CAJON STREET STE 15A CITY OF REDLANDS
REDLANDS, CA 92373 ATTN: ACCOUNTS PAYABLE
P.O. BOX 3005
REDLANIJIS, CA 92373 j
ITEM
U�ITPCNit ASCRIPTION QTY. EXTENSION E
0001 ENGINEERING AND DESIGN 9$ 000 LT
SERVICES FOR THE ORANGE 9'0617# formation MlchaeC Bake International
BLOSSOM TRAIL PHASE 3 AS PER ! -
COUNCIL APPROVAL AND AGREEMENT PO Numb Or 12563
DATED MAY 15,2015 Progress ayment Nu ber 6
Invoice N mber 943529
ATTENTION! REFERENCING Please Pay Amount $ 14,961.02
PURCHASE ORDER NUMBER ON -
Progr- Payment N tes
INVOICE WILL EXPEDITE PAYMENT.
SEE ATTACHED COPY OF
THE TERMS AND CONDITIONS. I
Original C' ntract
NOTE: PURCHASE ORDER WILL BE Contin en
VAILD ONLY WITH A CURRENT Original C ntract Including C ntin enc $_ 9.07,$O0:0Q..
APPROVED MINIMUM LIABILITY Value of V fork Com pie ted to,Date M" -V2 Q7546.=
COVERAGE ON FILE WITH RISK Total Amo, nt of Chanc e Orders
MANAGEMENT. Total Amount Billed This Period
Total Amo int Due TNE Period $ 1495102<
Previous Flayments $ 2.74
r`2444
Depa e t Head bbte
Tax it 0.00 IF
0�
Account Numbers: Project Manage
240400 51.90 47019 0 THE ARTICLES SPECIFlE.D E JEC THE FOLLOWING CONDITION/$:
i. Goods other than those sp d o er n substituted or prices thong t tit lion.
2• The right of cancelkAWn
3. If the quantity shipped is short of the p rSQQ City,specify on the packing slip fYh'dt quantity is on
back order or cancelled.
4. Prepay shipping charges,if any,and add to invoice.
S. Ship"Open Account" No C.O.D.'s will be accepted_
AUTHORIZED SIGNATURE
I certify that the Articles and/or Services have
been received and that same have been inspected
and accepted as otherwise indicated hereon.
Date: Signed:
Michael
Date: May zs,2016
1 N T E R N A T 1 0 N A L Project No: 147057
Invoice No: 943529
City of Redlands Michael Baker International
Attn:Accounts Payable PO Box 515714
35 Cajon Street Los Angeles,CA 90051-5195
Redlands,CA 92373
Project No: 147057 Orange Blossom Trail-Phase 3
Project Manager:Jeremy Franzini(949)472-3415
Project Biller:Wendy Van Leuven(949)855-7086
Professional consulting services related to the agreement dated May 5,2015,to perform engineering and design services for Orange
Blossom Trail-Phase 3.
Professional Services:through Mav 1 2016
Billed to
Task Fee Percent Complete Date Current
1 Kick off Meeting $1,320.00 100.00% $1,320.00
2 Topographic Survey $0.00
$9,535.40 140.00% $9,535.00 $0.00
3 Data Collection and Review of Existing Conditions $4,666.00 100.001Y. $4,666.00 $0.00
4 Demolition Plan $5,324.00 60.00% $3,194.44
5 Roadway and Trail Improvements $3,194.40
$18,Oi8.04 60.003'0 $10,$11.00 $1,802.00
6 Storm Water Pollution Prevention Plann(SWPPP) $5,096.00 0.00% $0.00 $0.00
7 Water Quality Management Plan(WQMP) $8,235.00 0.00% $0.00
8 Construction Details .
$4,835.00 6p.009'0 $2,901.60 $2,901D1.60
0
9 Irrigation Pans and Details $11,150.00 0.00% $0.00 $0.00
10 Construction/Planting Plans and Details $14,050.00 60.00% $8,430.00 $7,025.00
11 Technical Specifications $2,890.00 0.00% $0.00 $0.00
12 Construction Cost Estimate $2,816.00 0.00% $0.00 $Q.00
13 Project Coordination and Meeting Attendance $4,034.00 20.00% $806.00 $0.00
14 Construction Services $4,666.00 0.00% $0.00 $0.00
Reimbursable Expenses Allowance $1,368.00 $411.46 $28.02
Total Fee 96 632.0 $42,075.46 14 951.02
Previous Fee Billing $27,124.44
TOTAL AMOUNT DUE THIS INVOICE $14,951.02
Electronic Payment Remit to: Lockbox Remit to:
Michael Baker international Michael Baker International
Citizens Bank PO Box 515714
ABA:036-076-150 Los Angeles,CA 90051-5195
Account No.: 6101710975
,SWIFT: C rZIUs33 MUNICIPAL UTI iTIES DEPARTMENT
OK TO
.1
BY DATE ��
Remit Payment to:
*NEW Remit Payment Address- Invoice No: 1-8180413
ABC Imaging of Washington, Inc.
P.O.Box 791319
Baltimore, MD 21279-1319
f M A I N G For Credit card payments,call(202)429-8870
Bill To: MICBAKPA Invoice Date 04/17/2016
Michael Baker international Project No. 147057900
14725 Allon Parkway
Irvine,CA 92618 Project Name ODC
Contract No. MASTER RSF
Contract Name Master Rbf
Item description Unit Price Quantity Item Subtotal Amount
Laser Print(Per Side)11x17 Premium White Paper $0.12 56
Laser Pnnt`(Per Side)8 5x11,.Premium Wlt1te Paper
$0:05
29 $1 45
Laser Color Print 8.5x11 $0.22 3
Laser Color,Pnnt 11x17
$0.44
-- 4
Invoice Subtotal $ 10.59
92618-ORANGE(CA)(8.0%) $ 0.85
Invoice Total $11.44
-Total Amount
a.
Dte Upon Receipf
TERMS:PAYABLE UPON RECEIPT
In Partnership with
1 112%INTEREST CHARGE PER MONTH WILL BE ADDED TO ALL PAST DICE INVOICES OLDER THAN 30 DAYS
Page 1 of 1
This application was created using the trial version of the XtraReports-
Express
Tracking Number De livery—Date Only Baker Project Baker Task Shipper Name Shipper City Recipient Name Recipient City Total
776102867917 20160414 147057 900 DIANE ENRiQUEZ UDELL IRVINE Joey Long REDLANDS 16.58