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Pages 82-111

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From page 82...
... 82 A p p e n d i x d Sample Forms
From page 83...
... Sam ple Form s 83 PROJECT PRIORITY RANKING Project: Runway 9R/27L Safety Area Date: January 31, 2013 Reveiwer: John Smith Relative Weight of Criteria (Sum to total 100%) Prioritization Criteria Ranking Methodology/Details SCORE (1 - 10)
From page 84...
... 84 procuring and Managing professional Services for Airports Sample Risk Register 5 = Very High 4 = High 3 = Moderate 2 = Low 1 = Very Low 0 = none Risk Types Risk Number Date Identified Risk Description Probability Risk Score Control Measures Risk Owner Technical (1) 1.1 2/1/2013 Responses from the client are not timely 4 3 Technical (1)
From page 85...
... Sam ple Form s 85 ACRP 01-20 Handbook - Appendix D – Sample Forms Page 1 of 2 Sample Quality Assurance / Quality Control Procedures by Project Value Design Stage Documentation Review & Approval Actions Required Project or Contract Scope under $1,000,000 $1,000,000 to $10,000,000 over $10,000,000 Review / Action Formal Approval Review / Action Formal Approval Review / Action Formal Approval Project Definition Project Definition Memo or Report: problem / solution alternatives & sketch plan materials, staging operating impacts costs & schedule external issues & permits safety Value Engineering Plan TAC Members Proj Mgr Const Mgmt Interested Depts Supervisor Dir of Const Mgmt Mgr of Env Svcs Using Depts Proj Mgr TAC Const Mgmt Interested Depts Using Depts Supervisor SMAC Chief Engineer Proj Mgr TAC Const Mgmt Interested Depts Using Depts SMAC Chief Engineer Exec Dir 30 % Complete Design Memo / Report: changes from Project Definition Documents updated schedule / costs N/A N/A Proj Mgr TAC Const Mgmt Interested Depts. Supervisor Using Depts SMAC Chief Engineer Proj Mgr TAC Const Mgmt Experts *
From page 86...
... 86 procuring and M anaging professional Services for Airports ACRP 01-20 Handbook - Appendix D – Sample Forms Page 2 of 2 Sample Quality Assurance / Quality Control Procedures by Project Value (cont) Design Stage Documentation Review & Approval Actions Required Project or Contract Scope under $ 1,000,000 $1,000,000 to $10,000,000 over $ 10,000,000 Review / Action Formal Approval Review / Action Formal Approval Review / Action Formal Approval 90% Complete Plans & Specifications*
From page 87...
... Sam ple Form s 87 SAMPLE INVOICE SUMMARY FORM Contract # Payments Received (If applicable) Date Submitted From Through BUSINESS ADDRESS (CITY, STATE, ZIP)
From page 88...
... 88 procuring and Managing professional Services for Airports ACRP 01-20 Handbook - Appendix D – Sample Forms Page 1 of 1 SAMPLE CLOSE-OUT CHECKLIST CONTRACT NUMBER: Project No: Project Title: Professional Services Provider: Prepared by: Phone #: After final acceptance of all services under a Professional Services Contract, print the above information and assemble documents in the order listed below with this checklist on top. Enter a check mark " " for each item attached or mark " " over item numbers that are not applicable.
From page 89...
... Sample Forms 89 ACRP 01-20 Handbook - Appendix D – Sample Forms Page 1 of 4 PROJECT DEFINITION FORM PROJECT: __________________________________________________________________ PROJECT MANAGER: __________________________________ DATE: ____________ LEAD DESIGNER/FIRM: __________________________________ FILE: ____________ Attached please find a report outlining the proposed design concept for the above referenced project. Please review this document to ensure it addresses operational needs, is cost effective, and meets time frame requirements.
From page 90...
... 90 procuring and Managing professional Services for Airports ACRP 01-20 Handbook - Appendix D – Sample Forms Page 2 of 4 IDENTIFICATION OF USER REQUIREMENTS: Discussions were held with the following personnel to define the work scope and user requirements: 1.
From page 91...
... Sample Forms 91 ACRP 01-20 Handbook - Appendix D – Sample Forms Page 3 of 4 ALTERNATIVES ANALYSIS: The following alternatives (were) (will be)
From page 92...
... 92 procuring and Managing professional Services for Airports ACRP 01-20 Handbook - Appendix D – Sample Forms Page 4 of 4 ENVIRONMENTAL ISSUES: Design and/or construction of this project will be impacted by the following environmental issues, which will be addressed as indicated: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ PERMITTING AND APPROVALS: The following permits or approvals are expected to be required for this project: Construction Soil Erosion/Sediment Control Environmental State Review FAA Historic Preservation City ___________________ Other ___________________ PROJECTED COSTS/SCHEDULE Estimated Design Cost: $___________________ Estimated Construction Cost: $___________________ Estimated Force Account Cost: $___________________ Current Available Budget: $___________________ PROJECTED DESIGN COMPLETION DATES: 30% __________ 60% __________ VE __________ 90% __________ 50% __________ 100% __________ c: others as necessary
From page 93...
... Sam ple Form s 93 Sample Cost Estimating Template version 1 Date: Period of Performance: Position Jan (4)
From page 94...
... 94 procuring and Managing professional Services for Airports ACRP 01-20 Handbook - Appendix D – Sample Forms Page 1 of 8 Sample Cost Estimating Template – Version 2, Part A Total Estimated Costs By Phase Phase Description Cost Per Phase A Design $ 1 Review Existing Information 2 Field Survey 3 Schematic Plans 4 Phasing Plans 5 Periodic Submissions 6 Final Plans 7 Agency, Utility and Environmental Coordination 8 Presentation 9 As Builts $ $ $ $ $ $ $ $ $ B
From page 95...
... Sample Forms 95 ACRP 01-20 Handbook - Appendix D – Sample Forms Page 2 of 8 Total Estimated Percentages Phase Description Percent by Phase A Design ___% 1 Existing Plans ___ % 2 Field Survey ___ % 3 Schematic Plans ___ % 4 Phasing Plans ___ % 5 Periodic Submissions ___ % 6 Final Plans ___ % 7 Agency, Utility and Environmental Coordination ___ % 8 Presentation ___ % 9 As Builts ___ % B
From page 96...
... 96 procuring and Managing professional Services for Airports ACRP 01-20 Handbook - Appendix D – Sample Forms Page 3 of 8 Assumptions # Units Total Duration of Runway Project ___ Months Design Duration of Runway Project ___ Months Construction Duration of Runway Project ___ Months Main A/E % ___ % DBE % ___ % Civil ___ Sheets General Sheets ___ Sheets Geotech ___ Sheets Existing Condition/Demo ___ Sheets Construction plans/Sections/Details ___ Sheets Erosion and Sedimentation ___ Sheets Grading ___ Sheets Profiles ___ Sheets Pavement marking ___ Sheets Electrical ___ Sheets General Sheets ___ Sheets Existing Demo ___ Sheets Construction plans/Sections/Details ___ Sheets Schedules/Sections/Details ___ Sheets Signage/Sensors/Details ___ Sheets TOTAL NUMBER OF SHEETS: ___ Sheets CADD Techs ___ % ___ Hours Civil/Electrical Engineers ___ % ___ Hours Specifications for Spec Writers ___ % ___ Hours Specifications for Tech Writers ___ % ___ Hours Project Manager ___ % ___ Hours Principal in Charge ___ % ___ Hours Administrative ___ % ___ Hours Hours for Drawings ___ Hours Hours for spec ___ Hours TOTAL HOURS PER SHEET ___ Hours # of Hours per sheet is projected average across all drawing sheets. Percentage for Drawings ___ % Percentage for Spec ___ % % of hours for Schematic ___ % % of hours for Design Package ___ % TOTAL COST OF ESTIMATE $________
From page 97...
... Sam ple Form s 97 C A D D T e c h n i c i a n C i v i l E n g i n e e r s C o n t r a c t A d m i n i s t r a t o r s E l e c t r i c a l E n g i n e e r s S p e c i fi c a ti o n W r i t e r s T e c h n i c a l W r i t e r s P r i n c i p a l i n C h a r g e P r o j e c t M a n a g e r s A d m i n i s t r a ti v e C o s t S u b t o t a l C A D D T e c h n i c i a n C i v i l E n g i n e e r s C o n t r a c t A d m i n i s t r a t o r s E l e c t r i c a l E n g i n e e r s S p e c i fi c a ti o n W r i t e r s T e c h n i c a l W r i t e r s P r i n c i p a l i n C h a r g e P r o j e c t M a n a g e r s A d m i n i s t r a ti v e C o s t S u b t o t a l A Design Services Runway 1.
From page 98...
... 98 procuring and M anaging professional Services for Airports C A D D T e c h n i c i a n C i v i l E n g i n e e r s C o n t r a c t A d m i n i s t r a t o r s E l e c t r i c a l E n g i n e e r s S p e c i fi c a ti o n W r i t e r s T e c h n i c a l W r i t e r s P r i n c i p a l i n C h a r g e P r o j e c t M a n a g e r s A d m i n i s t r a ti v e C o s t S u b t o t a l C A D D T e c h n i c i a n C i v i l E n g i n e e r s C o n t r a c t A d m i n i s t r a t o r s E l e c t r i c a l E n g i n e e r s S p e c i fi c a ti o n W r i t e r s T e c h n i c a l W r i t e r s P r i n c i p a l i n C h a r g e P r o j e c t M a n a g e r s A d m i n i s t r a ti v e C o s t S u b t o t a l A/E Consultant (Prime) A/E Consultant (Sub Consultants as Necessary)
From page 99...
... Sam ple Form s 99 9. As Builts 0 401 $46,746.62 Prepare As Built drawings 369 $42,612.25 120 60 60 2 16 40 $33,133.27 20 20 20 2 8 1 $9,478.99 Submit As Built drawings 32 $4,134.36 4 4 4 2 2 $1,985.08 4 4 4 1 2 1 $2,149.28 B
From page 100...
... 100 procuring and M anaging professional Services for Airports C A D D T e c h n i c i a n C i v i l E n g i n e e r s C o n t r a c t A d m i n i s t r a t o r s E l e c t r i c a l E n g i n e e r s S p e c i fi c a ti o n W r i t e r s T e c h n i c a l W r i t e r s P r i n c i p a l i n C h a r g e P r o j e c t M a n a g e r s A d m i n i s t r a ti v e C o s t S u b t o t a l C A D D T e c h n i c i a n C i v i l E n g i n e e r s C o n t r a c t A d m i n i s t r a t o r s E l e c t r i c a l E n g i n e e r s S p e c i fi c a ti o n W r i t e r s T e c h n i c a l W r i t e r s P r i n c i p a l i n C h a r g e P r o j e c t M a n a g e r s A d m i n i s t r a ti v e C o s t S u b t o t a l A/E Consultant (Prime) A/E Consultant (Sub Consultants as Necessary)
From page 101...
... Sam ple Form s 101 C A D D T e c h n i c i a n C i v i l E n g i n e e r s C o n t r a c t A d m i n i s t r a t o r s E l e c t r i c a l E n g i n e e r s S p e c i fi c a ti o n W r i t e r s T e c h n i c a l W r i t e r s P r i n c i p a l i n C h a r g e P r o j e c t M a n a g e r s A d m i n i s t r a ti v e C o s t S u b t o t a l C A D D T e c h n i c i a n C i v i l E n g i n e e r s C o n t r a c t A d m i n i s t r a t o r s E l e c t r i c a l E n g i n e e r s S p e c i fi c a ti o n W r i t e r s T e c h n i c a l W r i t e r s P r i n c i p a l i n C h a r g e P r o j e c t M a n a g e r s A d m i n i s t r a ti v e C o s t S u b t o t a l A/E Consultant (Prime) A/E Consultant (Sub Consultants as Necessary)
From page 102...
... 102 procuring and Managing professional Services for Airports ACRP 01-20 Handbook - Appendix D – Sample Forms Page 1 of 1 COMMITTEE SCORING SHEET Before the Committee meets, prepare this form by entering: Project Title, Evaluators' Names, and Weights for each Professional Service Provider. You will total Ratings, Criteria Scores and Total Score after Committee deliberations with Evaluators ratings.
From page 103...
... Sample Forms 103 ACRP 01-20 Handbook - Appendix D – Sample Forms Page 1 of 1 Project Title / Project Number: Evaluator's Name / Phone Number: Evaluator's Signature / Date: PROPOSERS>> EVALUATOR RATING SHEET version 1 PR O FE SS IO NA L SE RV IC E PR O VI DE R 1 PR O FE SS IO NA L SE RV IC E PR O VI DE R 2 PR O FE SS IO NA L SE RV IC E PR O VI DE R 3 PR O FE SS IO NA L SE RV IC E PR O VI DE R 4 PR O FE SS IO NA L SE RV IC E PR O VI DE R 5 PR O FE SS IO NA L SE RV IC E PR O VI DE R 6 PR O FE SS IO NA L SE RV IC E PR O VI DE R 7 PR O FE SS IO NA L SE RV IC E PR O VI DE R 8 PR O FE SS IO NA L SE RV IC E PR O VI DE R 9 PR O FE SS IO NA L SE RV IC E PR O VI DE R 10 CRITERIA WGT Evaluators must independently Rate Criterion #1-9: "3" = Exceeds Expectations; "2" = Meets Expectations; "1" = Does not Meet Expectations 1. Objectives & Services 2.
From page 104...
... 104 procuring and Managing professional Services for Airports Evaluator Rating Sheet – version 2 RFP No. yy-### Architectural/Engineering Services for: _______________________________ ACRP 01-20 Handbook - Appendix D – Sample Forms Page 1 of 4 Firm: Evaluator: Rating Factors: (Note: Comments are required for all scores)
From page 105...
... Sample Forms 105 Evaluator Rating Sheet – version 2 RFP No. yy-### Architectural/Engineering Services for: _______________________________ ACRP 01-20 Handbook - Appendix D – Sample Forms Page 2 of 4 Evaluation Criteria Weight Rating Score team can deliver projects on time, in budget and with high quality?
From page 106...
... 106 procuring and Managing professional Services for Airports Evaluator Rating Sheet – version 2 RFP No. yy-### Architectural/Engineering Services for: _______________________________ ACRP 01-20 Handbook - Appendix D – Sample Forms Page 3 of 4 Evaluation Criteria Weight Rating Score 6.
From page 107...
... Sample Forms 107 Evaluator Rating Sheet – version 2 RFP No. yy-### Architectural/Engineering Services for: _______________________________ ACRP 01-20 Handbook - Appendix D – Sample Forms Page 4 of 4 Technical Proposal Scoring Summary Criteria Weight Rating Score 1 30 2 20 3 20 4 10 5 10 6 10 Total 100 n/a Overall Reference Evaluation for Firm (Team)
From page 108...
... 108 procuring and Managing professional Services for Airports Pre-Negotiation Checklist ACRP 01-20 Handbook - Appendix D – Sample Forms Page 1 of 1 In advance of meeting with a potential vendor to discuss/negotiate a contract for professional services, the following are items that should be established internally by the Agency. Some may already be in place based upon the standard contracting forms of your Agency.
From page 109...
... Sam ple Form s 109 Sample Risk Questionnaire NO. Phase Impacted Opportunity/ Threat Probability Cost Impact (CI)
From page 110...
... 110 procuring and M anaging professional Services for Airports Sample Risk Questionnaire NO. Phase Impacted Opportunity/ Threat Probability Cost Impact (CI)
From page 111...
... Abbreviations and acronyms used without definitions in TRB publications: A4A Airlines for America AAAE American Association of Airport Executives AASHO American Association of State Highway Officials AASHTO American Association of State Highway and Transportation Officials ACI–NA Airports Council International–North America ACRP Airport Cooperative Research Program ADA Americans with Disabilities Act APTA American Public Transportation Association ASCE American Society of Civil Engineers ASME American Society of Mechanical Engineers ASTM American Society for Testing and Materials ATA American Trucking Associations CTAA Community Transportation Association of America CTBSSP Commercial Truck and Bus Safety Synthesis Program DHS Department of Homeland Security DOE Department of Energy EPA Environmental Protection Agency FAA Federal Aviation Administration FHWA Federal Highway Administration FMCSA Federal Motor Carrier Safety Administration FRA Federal Railroad Administration FTA Federal Transit Administration HMCRP Hazardous Materials Cooperative Research Program IEEE Institute of Electrical and Electronics Engineers ISTEA Intermodal Surface Transportation Efficiency Act of 1991 ITE Institute of Transportation Engineers MAP-21 Moving Ahead for Progress in the 21st Century Act (2012) NASA National Aeronautics and Space Administration NASAO National Association of State Aviation Officials NCFRP National Cooperative Freight Research Program NCHRP National Cooperative Highway Research Program NHTSA National Highway Traffic Safety Administration NTSB National Transportation Safety Board PHMSA Pipeline and Hazardous Materials Safety Administration RITA Research and Innovative Technology Administration SAE Society of Automotive Engineers SAFETEA-LU Safe, Accountable, Flexible, Efficient Transportation Equity Act: A Legacy for Users (2005)

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