LOCAL AGENCY BILLING SUMMARY
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1 LOCAL AGENCY BILLING SUMMARY INDIRECT COST RATES Date: October 5, 2011 Approved by Caltrans: YES / NO Agency: City of Moreland Rate(s) Fiscal Year(s) Local Assistance Project Number: STPL 2596(107) 9.73% 08/09 Project Location: Green Street from C to D streets Project Description: Pavement overlay and sidewalk upgrade ALLOCATIONS / AUTHORIZATION(S) / FUND(S) AVAILABLE Date Program Supplement Approved:: April 11, 2008 Page 1 of 6 FEDERAL and / or STATE FUNDS COMPONENT / DATE PHASE FUNDING REIMBURSEMENT OBLIGATED / TOTAL PREVIOUS FUNDS CURRENTLY PHASE AUTHORIZED SOURCE RATE ALLOCATED PAYMENTS REMAINING INVOICED PRELIMINARY 4/11/2008 Q % 5, , ENGINEERING State Match 11.47% RIGHT OF WAY CONSTRUCTION 8/3/2010 Q % 1, ENGINEERING Q % 2, , , CONSTRUCTION 8/3/2010 Q % 60, , TOTAL 68, , , , Include only the applicable sections (Consultants Contract, PE, R/W, CE and CON) below were reimbursement is sought thus far. CONSULTANT CONTRACT(S) CONSULTANTS TYPE CONTRACT EXECUTION DATE CONTRACT AMOUNT PUBLICLY ADVERTIZED (YES/ NO) APPLICABLE FEDERAL PHASE(S) GENERAL SERVICES PROVIDED CONSULTANT A Initial On Call Contract 5/7/ ,000 Yes PE Environmental Studies Task Order 7/8/ ,000 No PE Environmental Studies CONSULTANT B Initial Contract 4/16/ ,000 Yes PE Design Amendment 6/23/ ,000 No PE, CE Design and CM Services CONSULTANT C Initial Contract (N.P.) 9/10/ ,000 Yes CE Inspection
2 PRELIMINARY LOCAL AGENCY STAFF COSTS ENGINEERING TIME PERIOD AGENCY STAFF PE COSTS From To Participating Nonparticipating TOTAL 12/11/2008 6/30/2009 3, , /3/ /31/2009 2, , /31/ /31/ Staff Subtotal 7, , DIRECT COSTS Corresponding Payment Transaction EXPENDITURE DETAILS POSTING DIRECT PE COSTS Number DATE PARTICIPATING NONPARTICIPATING TOTAL , Consultant A 10/20/2008 3, , , Consultant A 10/28/2008 1, , , Consultant B 3/17/ , Consultant A 3/21/2009 1, , X Direct Subtotal 2, , PE TOTAL 9, , , Page 2 of 6
3 RIGHT OF WAY LOCAL STAFF COSTS (INCIDENTIAL) TIME PERIOD AGENCY STAFF R/W COSTS From To Participating Nonparticipating TOTAL Staff Incidental Subtotal CORRESPONDING PAYMENT TRANSACTION EXPENDITURE DETAILS POSTING INCIDENTIAL R/W COSTS DIRECT COSTS (INCIDENTIAL) Number DATE Participating Nonparticipating TOTAL Direct Costs Incidental Subtotal INCIDENTAL TOTAL CAPITAL COSTS CORRESPONDING PAYMENT TRANSACTION EXPENDITURE DETAILS POSTING CAPITAL R/W COSTS Number DATE Participating Nonparticipating TOTAL Acquistion Type, Parcel Number / Name RAP Rental / Sales Income Authorized Utility Relocation* (separate from construction contract) Utility Name, Size, Type Subtotal Authorized Utilities* Authorized Utility Relocation (included in construction contract and funds under CON E 76) Name, size, type Name, Size, Type Descrip./Bid Item No. Qty or % Price Part. PG&E 4" Gas Trans 10, PG&E 4" Gas AC / 2 Ton Transmisssion Sidewalk / 3 Feet , , < Subtotal > 6, CAPITAL TOTAL *Fed reimbursement cannot exceed the utility authorization without obtaining Caltrans preapproval and modification of the authorized amount. Page 3 of 6
4 CONSTRUCTION Contractor: Granite Construction Original Contract : $847, EXPENDITURE DETAILS DIRECT COSTS CON Bill # Corresponding Payment Transaction RETENTION INFORMATION Posting CONSTRUCTION CONTRACT Number Disbursement Retention Date Participating Nonparticipating TOTAL C 4, /20/2008 5, , C /17/ , , /18/2009 3, , X 8, < TOTALS> 3, , Page 4 of 6 <Part. Utilities Billed to R/W* > < Retention Released < Total > , <Retention Balance > Note: Include the "Bid Summary / Cost to Date" Form or a copy of the most recent approved contractor s quantities to date summary provided it contains the same information and that participating / nonparticipating costs are clearly annotated and totaled. *Participating Utilities done by contractor billed to R/W LOCAL AGENCY STAFF COSTS CONSTRUCTION ENGINEERING TIME PERIOD AGENCY STAFF CE COSTS From To Participating Nonparticipating TOTAL 8/3/ /31/2010 2, , /31/ /31/ X Staff Subtotal 3, , Corresponding Payment Transaction EXPENDITURE DETAILS DIRECT CE COSTS DIRECT COSTS Number POSTING DATES Participating Nonparticipating TOTAL , P Consultant C 10/20/2008 3, , , P Consultant C 10/28/2008 1, , , Mailing 3/17/ X , Advertizing 3/17/2009 2, , X , Copying 3/18/ X Direct Costs Subtotal 4, , CE TOTAL 8, , ,110.57
5 BID SUMMARY / COST TO DATE Item No. Item Description Qty or % Page 5 of 6 Construction Contract Expenditures to Date Date: October 5, 2011 Agency: City of Moreland Fed. Project #: STPL 2596(107) Bid Current Total Participating Nonparticipating Price Lump Sum Qty or % Price Qty or % 1 Moblization LS 100% 5, , , % 5, , AC Ton , Sidewalk Feet , , , Bid 18, <Particpating > 3, <Nonparticpating > , CHANGE ORDER SUMMARY Price Total Total CCOs Contract Item Price> Total CCOs Force Acct. / Agreed Price> Contract Change Order CCO Contract Item Price Force Acct/Agreed Price No. Brief Description Total Expended Participating Expended Particpating TOTAL> 4, , Original Contract : 18, Additional AC and tree removal * Contract Changes Orders: Revised Contract : 19, Work Complete to Date: 24% AUTHORIZED UTILITIES (If Applicable)* Utility Name, Size, Type / Item Participating Authorized No. Description Qty or % Price PG&E 4" Gas Trans. / $30,000 2 AC Ton Sidewalk Feet , Subtotal > > 6, * Include this section if Specific Authorization for Utilities under Construction has been approved. Utilities need to be subtotal individually. If utilities are being billed under R/W then they should be list as N.P on the Bid Summary Cost to Date Form and will be accounted for under R/W.
6 LOCAL AGENCY STAFF TIME SUMMARY DOCUMENT Journal Entries PHASE: PRELIMINARY ENGINEERING Hours Average Labor Labor Fringe Local Agency Labor Costs Date Name, Title Worked Rate Benefits Participating Nonparticipating TOTAL Prev. Time Period: 1/26/08 to 1/26/08 Subtotal Prev. Time Period: 1/27/08 to 2/26/08 Subtotal Date A Name A, Title Date C Name C, Title Name B, Title Date D Name B, Title Date I Name B, Title Time Period: 3/25/11 to 3/25/11 Subtotal Phase Total * An equivalent alternative would be to reverse the first two columns and organize the data by Name, then chronologically by Date. If an agency s internal accounting system captures all the information above and complies into a readily discernible printout, the printout accompanied with the simplified summary table (shown below) would be an acceptable alternative. Phase Summary PHASE: PRELIMINARY ENGINEERING Staff Average Labor Labor Fringe Local Agency Labor Costs Name Title Hours Rate Benefits Participating Nonparticipating TOTAL Name A Title A Name B* Title B Name C Title C Time Period: 3/26/08 to 3/25/11 Phase Total 1, , * Individuals with both participating and nonparticipating costs should be separated into two corresponding entries. * The project specific Task(s) / Function(s) info is preferred but optional and will help justify expenditures if the typical Caltrans/FHWA guidelines are exceeded. Page 6 of 6
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