I:\Construction Forms\Final Closeout Package\0 Routing Sheet for Final Package.doc (rev. 2/14)

FINAL CONSTRUCTION REPORT ROUTING AND DISTRIBUTION SHEET

Project Name: Plack Road Bicycle Pedestrian Facility Project Number: 77248

I. ROUTING Initials/Date A. Project Engineer to Concurrent Review ... _____/______ B. Concurrent Review to Project Manager ... _____/______ C. Project Manager to Quality Assurance Engineer _____/______ D. QA Engineer to QA Concurrent Review for Distribution (email notification to Proj Eng & Proj Mgr) _____/______

E. To Contractor: (CERTIFIED MAIL - RETURN RECEIPT REQUESTED) _____/______ 1. Originals of: Certificate of Final Estimate (25D-116) & Contractor's Release (25D-117*)2. Copy of Summary of Quantities & Previous Payments. (25D-025)

F. When returned from Contractor: 1. To QA Concurrent Review for verification of Contractor Signature Compliance _____/______

G. Final Acceptance Letter: to Regional Construction Engineer for initials & then Director’s Office for signature _____/______

II. IMMEDIATE DISTRIBUTION (AFTER CONST. CHIEF'S SIGNATURE)A. ORIGINALS: Originals - (Make cc's to keep in Final Packet).

1. Contractor: Send Original Final Acceptance Letter (usually done by Director’s Secretary)2. Finance:

a. Final Estimate Review Report (25D-031)

b. Certification of Final Estimate (25D-116)

c. All Summary of Quantities Sheets (25D-025)

d. Contractor's Release (25D-117*)

e. Completion Report Cover Sheet3. Right-of-Way:

a. Proof of Const. R.O.W. (25D-173) ONLY IF APPLICABLE

b. Proof of Use Material. Source (25D-174) ONLY IF APPLICABLE

c. Materials Site Records and Drawings ONLY IF APPLICABLE

III. ELECTRONIC DISTRIBUTIONA. Final Scanned into Computer & saved in Adobe Acrobat format (as PDF) _____/______ B. Final PDF placed on servers:

1. Local Server: (Fileshare on 'Fai_dot1'/Current Final Packets) : _____/______ 2. FTP site: http://www.dot.state.ak.us/nreg/Construction_Finals_PDF/

C. E-Mail sent to “Distribution List” informing them of new final being placed on server _____/______

ORIGINAL Final Assembly Packet forwarded to Contracts Section. _____/______ COPY w/Regional Files to QA for archiving OR Electronic file uploaded to project by SiteManger Administrator_____/______

DISTRIBUTION LIST 1.Project Control, Fbks Shelley Dykema:(Shelley.dykema@alaska.gov)

Final Acceptance Letter & Final FAA Construction Report8.H.Q. Finance, Fed Aid Sect., Anch Mona Lisa Denia :(monaliza.denia@alaska.gov)

(Fed Project only) Final Acceptance Letter2.Contracts, Fbks Barbara Tanner:(barbara.tanner@alaska.gov)

Final Acceptance Letter & Final FAA Construction Report9.FHWA, Juneau: Michael Cain (michael.cain@dot.gov) Complete Final Packet

3.Planning, Fbks Judy Chapman (judy.chapman@dot.gov) Final Estimate Review Report (25D-031) & Project History

10.Bridge Design, Juneau Richard Pratt (Richard.Pratt@alaska.gov) Complete Final Packet

4.Finance, Fbks Edward Deal:(edward.deal@alaska.gov) Final Acceptance Letter

11.Dept. of Labor, Andrea Quintyne (andrea.quintyne@alaska.gov) Final Acceptance Letter

5.E&O, Juneau Roger Healy:(roger.healy@alaska.gov) Final Acceptance Letter & Final FAA Construction Report

12.Statewide Materials, Anch Michael San Angelo: (Michael.sanangelo@alaska.gov)

6.Civil Rights Office, Anch.Dennis Good:(dennis.good@alaska.gov) Final Acceptance Letter, Summary of Disadvantaged Business Enterprise(25A-335), & DBE Adjustments Worksheet, if applicable)

13. Environmental, Fbks Brett Nelson (brett.nelson@alaska.gov)

7.Regional Pre-Const. Engineer, Fbks Ryan Anderson(ryan.anderson@alaska.gov)

14. Regional SiteManager Administrator: Jaclyn Elmes (jaclyn.elmes@alaska.gov)

LS 12/13/16

12/15/16

LS 12/15/16

12/29/16 LS

LS LS LS

LS LS

CB 12/30/16

1/4/17 1/4/17 1/4/17 1/4/17

1/4/17

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Staft, Lauren A (DOT)

From: Staft, Lauren A (DOT)Sent: Thursday, December 15, 2016 1:56 PMTo: 'JGalterio@COLASKA.com'Cc: Maniaci, Caroline S (DOT); LEFEBVRE, Sarah (NORTP) (SLefebvre@COLASKA.com)Subject: !! Final Document Transmittal for Plack Road Project, Please Sign and ReturnAttachments: Plack Final Estimate.pdf; Plack Certification of Final Estimate.pdf; Plack Contractor's

Release.pdf

Mr. Galterio, The following documents, relating to the contract indicated in the subject line, are attached for your review and signature: Final Progress Estimate Certification of Final Estimate Contractor's Release

Please sign the Final Progress Estimate, Certification of Final Estimate, and the Contractor's Release* and return them to lauren.staft@alaska.gov within 14 days of receipt. The attached Progress Estimate will be considered to be the Final Estimate for this project.

*When a Contractor is incorporated, the Contractor’s Release must be signed by two (2) authorized corporate officers of record. The officers on file with the State of Alaska can be found at  https://www.commerce.alaska.gov/CBP/Main/SearchInfo.aspx. If the officers have changed or been added, a copy of the properly executed corporate resolution identifying the officers, their powers, and giving an effective date needs to be provided.

Please reply to this email indicating that the attached documents have been successfully received. Feel free to contact me if you have any questions or would like to receive hard copies of these forms.  Lauren Staft, P.E. | Sr. Concurrent Review Engineer | Northern Region Construction | Alaska Department of Transportation  2301 Peger Road; Fairbanks, AK 99709 | : 907.451.5416 office I : 907.322.7625 cell | : 907.451.5487 | :lauren.staft@alaska.gov  

1 I:\Construction Forms\Final Package Forms\00Closeure Checklist.xls Rev. 1/15/14 JA

STATE FUNDED PROJECT CLOSEOUT PACKAGE CHECKLISTMat. Sum Review Project Manager: Caroline Maniaci, P.E. Project Number: 77248

Project Engineer: Joseph Forrest

Contractor: Exclusive Paving

Ref No. % Done Task Duration

Expected Completion Date

1 100 7/21/2016 LS

2 100 7/21/2016 Final Estimate & Estimate Summary by Funding Report LS

3 100 7/21/2016 Contractor’s Release w / Certificate (2 sided) (25D-117) DO NOT 3-HOLE PUNCH THIS FORM LS

4 No escrow on State Projects - leave blank N/A

5 100 7/21/2016 Final Construction Report Summary Sheet w/copy of Project Completion Letter attached & 670 MMA Manufacturer Warranty (if applicable) LS

6 100 11/18/2015 Explanation of Over / Under-run (major pay items (≥5% original contract; varying more than 25%) / Summary of Change Documents LS

7 100 11/18/2015 Project Records Index & Copy of email (only) to QA Engineer transmitting two before and after photos LS

8 No DBE on State Projects - leave blank N/A

9 100 12/22/2015 Project Materials Certification LS

10 100 12/22/2015 Copy of Materials Inspection Summary & MCL (DSC for SiteManager Projects) LS

Tax Clearance for Contract Closure 11 100 7/21/2016 1. Dept. of Revenue, Income & Excise Audit Compliance Division / email: bill.thompson@alaska.gov LS

100 7/21/2016 2. Dept of Labor: Fbks Field Tax Office (Nor. Region Contractors) / email: lee.hanna@alaska.gov LS

Anch Field Tax Office (Central Region Contractors) / email: lee.bulaong-cortez@alaska.govWasilla Field Tax Office (Contractors: Glenn Hwy South, Valdez & Cordova) / email: patty.windel@alaska.gov

Juneau Field Tax Office (Other Contractors) / Email: lee.hanna@alaska.gov, phone 465-59003. Dept. of Labor (Wage & Hour) Approved Notice of Completion Form from Contractor LS

Other Deliverables12 100 As-Built Drawings (Electrical As-Builts if applicable) Transmit to Concurrent Review Engineer with project records. LS

13 100 11/19/2015 ROW Clearance Forms: Proof of Use of ROW 25D-173 & Materials/Encroachment Cert. 25D-174 LS

Copy of Email from DNR transmitting Material Sales Contractor clearance / email: susan.malen@alaska.gov N/A

14 100 10/29/2015 Land Survey Monument Record (Transmittal Letter to Marty Shurr, ROW) LS

15 Permit Clearance Forms: 1. Copy of COE NWP Permit 'Enclosure' LS

100 11/5/2015 2. Contractor's & DOT's N.O.T. and Acknowlegement letter from ADEC LS

3. N.O.V. proof of payment if any (copy of Email from Stormwater Engineer transmitting SWPPP clearance) LS

16 N/A Catalog Cuts (Transmittal Letter to M&O Northern Region or M&O Nome), if applicable N/A

17 100 12/17/2015 Printout from Lessons Learned database LS

18 Copy of Piledriving Logs to: (if applicable) N/A

1. Bridge Design, Juneau and 2. Foundation Engineer, Statewide Materials

Ref No.

Materials turned into Andrew Culley 11/03/2015

EXPLANATION OF POSSIBLE DELAYS

Completed By Project Engineer

Certification of Final Estimate (25D-116)

Date of Final Punch List

DO NOT 3-HOLE PUNCH

Approved by QA (Initials)

DO NOT 3-HOLE PUNCH THIS FORM

Project Name: Plack Road Bicycle/Pedestrian Facility

25D-031 (NR - 4/08)

Project Number ContractorProject NameDescription of Work

Required Project Completion Date / Calendar DaysDate Contract Time Stopped / Calendar DaysProject Manager Project EngineerDays Overrun Liquidated Damages Assessed N/AFinal Amount Bid AmountMaterials Certification Date Federal Document Date N/ADept of Labor (W&H) Clearance Date Right of Way Clearance Date N/ADept of Labor (Tax) Clearance Date Dept of Revenue Clearance Date 7/14/2016

**************************************************CLASSIFICATION OF COSTS -- FINAL PROJECT AMOUNTS

Total Activity Phase$3,400,084.27 153N TC4000

Total $3,400,084.27

Remarks:

Signature of Reviewer Date Submitted

Funding Source CodeFunding Source CodeFunding Source Code

I certify that my review of this project, in accordance with State policy, indicates that all work has been completed within the terms on the contract and authorized change documents; and it also indicates that State and Federal Aid funds have been properly classified unless otherwise noted above.

11/7/2016

Z772480000

12/2/20167/14/2016

Program

6/30/2016Caroline Maniaci, P.E.

$2,329,969.21

STATE OF ALASKA

AND PUBLIC FACILITIES

Northern RegionFINAL ESTIMATE REVIEW REPORT

N/A

Plack Road Bicycle/Pedestrian Facility

DEPARTMENT OF TRANSPORTATION

77248 Exclusive Paving, Inc.

6/30/2016

Construct a bicycle/pedestrian facility on Plack Road from Badger Road to Nelson Road.

Funding Source Code

Liquidated Damages

Joe Forrest

$3,400,084.27

Funding Source Code

12/13/2016

From: Deal, Edward N (DOT)To: Staft, Lauren A (DOT); Dutra, Monica L (DOT)Subject: RE: Payments to Date for Plack Road 77248Date: Thursday, November 17, 2016 2:37:18 PM

Here you go

Payments in AKSAS LC Program Total to date

30241641 57450 $1,082,047.44 $1,082,047.44

Payments in IRIS Program Activity Total to date

Z772480000 153N $2,296,273.92 $2,296,273.92

Total to Date Program Activity Total to date

Z772480000 153N $3,378,321.36 $3,378,321.36

From: Staft, Lauren A (DOT) Sent: Thursday, November 17, 2016 9:30 AMTo: Dutra, Monica L (DOT); Deal, Edward N (DOT)Subject: Payments to Date for Plack Road 77248 Hi Monica and Ed,I thought I had asked you for this already, but I can’t find the coding in my files. I don’t know if thisone will be weird or not – this was the one we tried to close and then re-opened for additionalwork…. Can you please provide the payments to date and coding breakdown for:Project: Plack RoadNumber: 77248Contractor: Exclusive Paving Thanks!

Labor Standards and Safety675 7th Avenue, Station J­1Fairbanks, AK 99701­4596Phone: (907) 451­2886Fax: (907) 451­2885

The Notice of Completion for this project has been APPROVED.

   

 

Notice of Completion1. Contractor

Exclusive PavingP.O.Box 60750Phone: 9074888833Fairbanks, AK  99706

2. Project InformationDOL Project Number 15/03­66815FAgency Project Number 77248Federal Project NumberName PLACK ROAD BICYCLE/PEDESTRIAN FACILITYDescription Facility ImprovementsContracting Awarding Agency (DOT/PF) Dept. of Transportation & Public FacilitiesAgency Contact Tony WeberAgency Contact Phone Number 9074888833Agency Address 2200 E. 42ND Ave.City, State, Zip Anchorage, AK  99507Location NORTH POLEDate Work Start 04/15/2015Completion Date 06/30/2016Final Contract Amount $3,400,084.27

3. Contractors and SubcontractorsPrime Contractor Name Exclusive PavingPrime Contractor Owner/Operator? NoPrime T/M? NoPrime Contractor Amount $2,924,738.59Contractor Name O/O Type of Work T/M AmountArctic Surveys No Survey No $25,149.00Becker Trucking No Trucking No $171,281.25Emulsion Products No Distr Truck No $15,002.22FW Scott Ent No Landscaping No $53,482.65Jolt Construction No Signs No $70,213.50KJ Enterprises No Striping No $18,200.00MAPPA No Testing No $1,120.00TJs Land Clearing No Clearing No $86,118.31PFK Enterprises No Trucking No $34,778.75Contract Total      

4. FeesFee Amount $5,000.00Fees Paid $5,000.00Fees Due $0.00

Westervelt, Moira E  

DOLWD Signature

12/02/2016  

Date

1

From: Forrest, Joseph A (DOT) Sent: Thursday, July 14, 2016 3:34 PM To: Sastamoinen, Shawna (DOT) Cc: Maniaci, Caroline S (DOT); Staft, Lauren A (DOT) Subject: Plack Road SWPPP Clearance

Shawna,

Plack Road is back in the closeout process again after doing crack repairs this spring. Hopefully Plack is still cleared forSWPPP. If so, please send Lauren and e mail and cc me.

ThanksJoe