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HomeMy WebLinkAbout24-233 0 __.5- Resolution No. 24-233 RESOLUTION AUTHORIZING EXECUTION OF A LOCAL PUBLIC AGENCY ENGINEERING SERVICES AGREEMENT WITH HAMPTON, LENZINI & RENWICK, INC. FOR PROFESSIONAL ENGINEERING SERVICES IN CONNECTION WITH THE LILLIAN STREET-SOUTH STREET-WALNUT AVENUE RESURFACING PROJECT BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF ELGIN, ILLINOIS, that pursuant to Elgin Municipal Code Section 5.02.020B(9)the City Council hereby finds that an exception to the requirements of the procurement ordinance is necessary and in the best interest of the city; and BE IT FURTHER RESOLVED BY THE CITY COUNCIL OF THE CITY OF ELGIN, ILLINOIS, that Richard G. Kozal, City Manager, and Kimberly A. Dewis, City Clerk, be and are hereby authorized and directed to execute an Local Public Agency Engineering Services Agreement on behalf of the City of Elgin with Hampton,Lenzini,&Renwick,Inc.,for professional engineering services in connection with the Lillian Street-South Street-Walnut Avenue Resurfacing project, a copy of which is attached hereto and made a part hereof by reference. David J. Kaptain, Mayor Presented: October 9, 2024 Adopted: Vote: Yeas Nays: Recorded: Attest: Kimberly A. Dewis, City Clerk Resolution No. 24-233 RESOLUTION AUTHORIZING EXECUTION OF A LOCAL PUBLIC AGENCY ENGINEERING SERVICES AGREEMENT WITH HAMPTON, LENZINI & RENWICK, INC. FOR PROFESSIONAL ENGINEERING SERVICES IN CONNECTION WITH THE LILLIAN STREET-SOUTH STREET-WALNUT AVENUE RESURFACING PROJECT BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF ELGIN, ILLINOIS, that pursuant to Elgin Municipal Code Section 5.02.020B(9)the City Council hereby finds that an exception to the requirements of the procurement ordinance is necessary and in the best interest of the city; and BE IT FURTHER RESOLVED BY THE CITY COUNCIL OF THE CITY OF ELGIN, ILLINOIS, that Richard G. Kozal, City Manager, and Kimberly A. Dewis, City Clerk, be and are hereby authorized and directed to execute an Local Public Agency Engineering Services Agreement on behalf of the City of Elgin with Hampton,Lenzini,&Renwick,Inc.,for professional engineering services in connection with the Lillian Street-South Street-Walnut Avenue Resurfacing project, a copy of which is attached hereto and made a part hereof by reference. s/David J. Kaptain David J. Kaptain, Mayor Presented: October 9, 2024 Adopted: October 9, 2024 Vote: Yeas: 8 Nays: 0 Attest: s/Kimberly Dewis Kimberly Dewis, City Clerk Illinois Department Local Public Agency of Transportation Engineering Services Agreement Agreement For Agreement Type Using Federal Funds? x❑ Yes ❑ No Federal CE Original LOCAL PUBLIC AGENCY Local Public Agency County Section Number Job Number CITY OF ELGIN Kane 24-00206-00-RS C-91-197-24 Project Number Contact Name Phone Number Email J60Q(786) MIKE PUBENTZ, PE (847) 931-5968 PUBENTZ_M@CITYOFELGIN.ORG SECTION PROVISIONS Local Street/Road Name Key Route Length Structure Number LILLIAN STREET 1149 FEET Location Termini Add Location WESTON AVENUE TO SOUTH STREET Remove Location SECTION PROVISIONS Local Street/Road Name Key Route Length Structure Number SOUTH STREET 2000 FEET Location Termini Add Location LILLIAN STREET TO WALNUT AVENUE • Remove Location SECTION PROVISIONS Local Street/Road Name Key Route Length Structure Number WALNUT AVENUE 630 FEET Location Termini Add Location SOUTH STREET TO WILCOX AVENUE Remove Location Project Description The work consists of removal and replacement of asphalt binder and surface course, pavement patching, pavement markings, sidewalk removal and replacement for accessible crosswalks, and all incidental and collateral work. Engineering Funding ❑x Federal ® MFT/TBP ❑ State ❑ Other Anticipated Construction Funding El Federal ❑x MFT/TBP ❑ State ❑ Other AGREEMENT FOR ❑ Phase I-Preliminary Engineering ❑ Phase II-Design Engineering ❑x Phase III-Construction Engineering CONSULTANT Prime Consultant(Firm)Name Contact Name Phone Number Email Hampton, Lenzini & Renwick, Inc. RYAN LIVINGSTON (847) 697-6700 RLIVINGSTON@HLRENG.COM Address City State Zip Code 1707 N. RANDALL ROAD, SUITE 100 ELGIN IL 60123 THIS AGREEMENT IS MADE between the above Local Public Agency(LPA)and Consultant(ENGINEER)and covers certain professional engineering services in connection with the improvement of the above SECTION. Project funding allotted to the LPA by the State of Illinois under the general supervision of the State Department of Transportation,hereinafter called the"DEPARTMENT,"will be used entirely or in part to finance ENGINEERING services as described under AGREEMENT PROVISIONS. Completed07/29/24 Page 1 of 10 BLR 05530(Rev.07/08/22) Since the services contemplated under the AGREEMENT are professional in nature, it is understood that the ENGINEER, acting as an individual, partnership,firm or legal entity, qualifies for professional status and will be governed by professional ethics in its relationship to the LPA and the DEPARTMENT.The LPA acknowledges the professional and ethical status of the ENGINEER by entering into an AGREEMENT on the basis of its qualifications and experience and determining its compensation by mutually satisfactory negotiations. WHEREVER IN THIS AGREEMENT or attached exhibits the following terms are used,they shall be interpreted to mean: Regional Engineer Deputy Director, Office of Highways Project Implementation, Regional Engineer. Department of Transportation Resident Construction Supervisor Authorized representative of the LPA in immediate charge of the engineering details of the construction PROJECT In Responsible Charge A full time LPA employee authorized to administer inherently governmental PROJECT activities AGREEMENT EXHIBITS The following EXHIBITS are attached hereto and made a part of hereof this AGREEMENT: ❑x EXHIBIT A: Scope of Services Xx EXHIBIT B: Project Schedule ❑x EXHIBIT C: Qualification Based Selection (QBS)Checklist ❑x EXHIBIT D: Cost Estimate of Consultant Services(CECS)Worksheet(BLR 05513 or BLR 05514 ) ® EXHIBIT E:Sub-consultant CECS I. THE ENGINEER AGREES, 1. To perform or be responsible for the performance of the Scope of Services presented in EXHIBIT A for the LPA in connection with the proposed improvements herein before described. 2. The Classifications of the employees used in the work shall be consistent with the employee classifications and estimated staff hours.If higher-salaried personnel of the firm, including the Principal Engineer,perform services that are to be performed by lesser-salaried personnel,the wage rate billed for such services shall be commensurate with the payroll rate for the work performed. 3. That the ENGINEER shall be responsible for the accuracy of the work and shall promptly make necessary revisions or corrections required as a result of the ENGINEER'S error,omissions or negligent acts without additional compensation.Acceptance of work by the LPA or DEPARTMENT will not relieve the ENGINEER of the responsibility to make subsequent correction of any such errors or omissions or the responsibility for clarifying ambiguities. 4. That the ENGINEER will comply with applicable Federal laws and regulations. State of Illinois Statutes, and the local laws or ordinances of the LPA. 5. To pay its subconsultants for satisfactory performance no later than 30 days from receipt of each payment from the LPA. 6. To invoice the LPA for Preliminary and/or Design Engineering:The ENGINEER shall submit all invoices to the LPA within three months of the completion of the work called for in the AGREEMENT or any subsequent Amendment or Supplement. 7. To submit a completed BLR 05613. Engineering Payment Report,to the DEPARTMENT within three months of the completion of the work called for in this AGREEMENT or any subsequent Amendment or Supplement.The form shall be submitted with the final invoice. 8. The ENGINEER or subconsultant shall not discriminate on the basis of race,color, national origin or sex in the performance of this AGREEMENT.The ENGINEER shall carry out applicable requirements of 49 CFR part 26 in the administration of US Department of Transportation(US DOT)assisted contract. Failure by the Engineer to carry out these requirements is a material breach of this AGREEMENT,which may result in the termination of this AGREEMENT or such other remedy as the LPA deems appropriate. 9. That none of the services to be furnished by the ENGINEER shall be sublet assigned or transferred to any other party or parties without written consent of the LPA.The consent to sublet,assign or otherwise transfer any portion of the services to be furnished by the ENGINEER shall be construed to relieve the ENGINEER of any responsibility for the fulfillment of this AGREEMENT. 10. For Construction Engineering Contracts: (a)The ENGINEER shall be prequalified with the STATE in Construction Inspection.All employees of the ENGINEER serving as the onsite resident construction supervisor or providing construction inspection shall have a valid Documentation of Contract Quantities certification. (b)For all projects where testing is required. the ENGINEER shall obtain samples according to the STATE Bureau of Materials."Manual of Test Procedures for Materials,"submit STATE Bureau of Materials inspection reports;and verify compliance with contract specifications. Completed07/29/24 Page 2 of 10 BLR 05530(Rev.07/08/22) 11. That the engineering services shall include all equipment, instruments, supplies,transportation and personnel required to perform the duties of the ENGINEER in connection with this AGREEMENT(See DIRECT COST tab in BLR 05513 or BLR 05514). II. THE LPA AGREES, 1. To certify by execution of this AGREEMENT that the selection of the ENGINEER was performed in accordance with the following: (a)Professional Services Selection Act(50 ILCS 510), The Brooks Act(40 USC 11),and the Procurement. Management, and Administration of Engineering,and Design Related Services(23 CFR part 172). Exhibit C is required to be completed with this AGREEMENT. 2. To furnish the ENGINEER all presently available survey data, plans, specifications,and project information. 3. For Construction Engineering Contracts: (a)To furnish a full time LPA employee to be In Responsible Charge authorized to administer inherently governmental PROJECT activities. (b)To submit approved forms BC 775 and BC 776 to the DEPARTMENT when federal funds are utilized. 4. To pay the ENGINEER: (a) For progressive payments-Upon receipt of monthly invoices from the ENGINEER and the approval thereof by the LPA,monthly payments for the work performed shall be due and payable to the ENGINEER,such payments to be equal to the value of the partially completed work minus all previous partial payments made to the ENGINEER. (b) Final Payment-Upon approval of the work by the LPA but not later than 60 days after the work is completed and reports have been made and accepted by LPA and DEPARTMENT,a sum of money equal to the basic fee as determined in this AGREEMENT less the total of the amount of partial payments previously paid to the ENGINEER shall be due and payable to the ENGINEER. 5. To pay the ENGINEER as compensation for all services rendered in accordance with the AGREEMENT on the basis of the following compensation method as discussed in 5-5.10 of the BLR Manual. Method of Compensation: ❑ Lump Sum Specific Rate ❑x Cost plus Fixed Fee: Fixed Total Compensation=DL+DC+OH +FF Where: DL is the total Direct Labor, DC is the total Direct Cost, OH is the firm's overhead rate applied to their DL and FF is the Fixed Fee. Where FF =(0.33 + R)DL+ %SubDL,where R is the advertised Complexity Factor and %SubDL is 10% profit allowed on the direct labor of the subconsultants. The Fixed Fee cannot exceed 15%of the DL+ OH. Field Office Overhead Rates: Field rates must be used for construction engineering projects expected to exceed one year in duration or if the construction engineering contract exceeds$1,000,000 for any project duration. 6. The recipient shall not discriminate on the basis of race, color, national original or sex in the award and performance of any US DOT-assisted contract or in the administration of its DBE program or the requirements of 49 CFR part 26.The recipient shall take all necessary and reasonable steps under 49 CFR part 26 to ensure nondiscrimination in the award and administration of US DOT-assisted contracts.The recipient's DBE program,as required by 49 CFR part 26 and as approved by US DOT. is incorporated by reference in this agreement. Implementation of this program is a legal obligation and failure to carry out its terms shall he treated as violation of this AGREEMENT. Upon notification to the recipient of its failure to carry out its approved program, the Department may impose sanctions as provided for under part 26 and may, in appropriate cases, refer the matter for enforcement under 18 U.S.C. 1001 and/or the Program Fraud Civil Remedies Act of 1986 (31 U.S.0 3801 et seq.). III. IT IS MUTUALLY AGREED, 1. No work shall be commenced by the ENGINEER prior to issuance by the IDOT of a written Notice to Proceed. 2. To maintain. for a minimum of 3 years after the completion of the contract.adequate hooks, records and supporting documents to verify the amount, recipients and uses of all disbursements of funds passing in conjunction with the contract: the contract and all books, records and supporting documents related to the contract shall be available for review and audit by the Auditor General, and the DEPARTMENT.the Federal Highways Administration (FHWA)or any authorized representative of the federal government,and to provide full access to all relevant materials. Failure to maintain the books, records and supporting documents required by this section shall establish a presumption in favor of the DEPARTMENT for the recovery of any funds paid by the DEPARTMENT under the contract for which adequate books. records and supporting documentation are not available to support their purported disbursement. 3. That the ENGINEER shall be responsible for any and all damages to property or persons arising out of an error,omission and/or negligent act in the prosecution of the ENGINEER's work and shall indemnify and save harmless the LPA,the DEPARMTENT, and their officers,agents, and employees from all suits,claims, actions or damage liabilities,costs or damages of any nature Completed07/29/24 Page 3 of 10 BLR 05530(Rev.07/08/22) soever resulting there from.These indemnities shall not be limited by the listing of any insurance policy. The LPA will notify the ENGINEER of any error or omission believed by the LPA to be caused by the negligence of the ENGINEER as soon as practicable after the discovery.The LPA reserves the right to take immediate action to remedy any error or omission if notification is not successful; if the ENGINEER fails to reply to a notification,or if the conditions created by the error or omission are in need of urgent correction to avoid accumulation of additional construction costs or damages to property and reasonable notice is not practicable. 4. This AGREEMENT may be terminated by the LPA upon giving notice in writing to the ENGINEER at the ENGINEER's last known post office address. Upon such termination, the ENGINEER shall cause to be delivered to the LPA all drawings, plats,surveys. reports. permits, agreements. soils and foundation analysis, provisions, specifications. partial and completed estimates and data, if any from soil survey and subsurface investigation with the understanding that all such material becomes the property of the LPA.The LPA will be responsible for reimbursement of all eligible expenses incurred under the terms of this AGREEMENT up to the date of the written notice of termination. 5. In the event that the DEPARMENT stops payment to the LPA.the LPA may suspend work on the project. If this agreement is suspended by the LPA for more than thirty(30)calendar days.consecutive or in aggregate,over the term of this AGREEMENT, the ENGINEER shall be compensated for all services performed and reimbursable expenses incurred as a result of the suspension and resumption of its services,and the ENGINEER'S schedule and fees for the remainder of the project shall be equitably adjusted. 6. This AGREEMENT shall continue as an open contract and the obligations created herein shall remain in full force and effect until the completion of construction of any phase of professional services performed by others based upon the service provided herein. All obligations of the ENGINEER accepted under this AGREEMENT shall cease if construction or subsequent professional services are not commenced within 5 years after final payment by the LPA. 7. That the ENGINEER shall be responsible for any and all damages to property or persons arising out of an error, omission and/or negligent act in the prosecution of the ENGINEER's work and shall indemnify and have harmless the LPA,the DEPARTMENT. and their officers,employees from all suits, claims. actions or damages liabilities,costs or damages of any nature whatsoever resulting there from.These indemnities shall not be limited by the listing of any insurance policy. 8. The ENGINEER and LPA certify that their respective firm or agency: (a) has not employed or retained for commission, percentage, brokerage, contingent fee or other considerations,any firrr or person(other than a bona fide employee working solely for the LPA or the ENGINEER)to solicit or secure this AGREEMENT, (b)has not agreed,as an express or implied condition for obtaining this AGREEMENT, to employ or retain the services of any firm or person in connection with carrying out the AGREEMENT or (c)has not paid,or agreed to pay any firm,organization or person(other than a bona fide employee working solely for the LPA or the ENGINEER)any fee, contribution. donation or consideration of any kind for.or in connection with. procuring or carrying out the AGREEMENT. (d)that neither the ENGINEER nor the LPA is/are not presently debarred. suspended. proposed for debarment.declared ineligible or voluntarily excluded from covered transactions by any Federal department or agency, (e)has not within a three-year period preceding the AGREEMENT been convicted of or had a civil judgment rendered against them for commission of fraud or criminal offense in connection with obtaining,attempting to obtain or performing a public(Federal,State or local)transaction;violation of Federal or State antitrust statutes or commission of embezzlement,theft,forgery, bribery,falsification or destruction of records, making false statements or receiving stolen property, (f) are not presently indicated for or otherwise criminally or civilly charged by a government entity(Federal, State or local)with commission of any of the offenses enumerated in paragraph(e)and (g)has not within a three-year period preceding this AGREEMENT had one or more public transaction (Federal, State or local)terminated for cause or default. Where the ENGINEER or LPA is unable to certify to any of the above statements in this certification,an explanation shall be attached to this AGREEMENT. 9. In the event of delays due to unforeseeable causes beyond the control of and without fault or negligence of the ENGINEER no claim for damages shall be made by either party.Termination of the AGREEMENT or adjustment of the fee for the remaining services may be requested by either party if the overall delay from the unforeseen causes prevents completion of the work within six months after the specified completion date.Examples of unforeseen causes include but are not limited to: acts of God or a public enemy; act of the LPA, DEPARTMENT,or other approving party not resulting from the ENGINEER's unacceptable services;fire; strikes;and floods. If delays occur due to any cause preventing compliance with the PROJECT SCHEDULE, the ENGINEER shall apply in writing to the LPA for an extension of time. If approved,the PROJECT SCHEDULE shall be revised accordingly. 10. This certification is required by the Drug Free Workplace Act(30 ILCS 580).The Drug Free Workplace Act requires that no grantee or contractor shall receive a grant or be considered for the purpose of being awarded a contract for the procurement of any property or service from the DEPARTMENT unless that grantee or contractor will provide a drug free workplace. False certification or violation of the certification may result in sanctions including, but not limited or suspension of contract on grant payments,termination of a contract or grant and debarment of the contracting or grant opportunities with the DEPARTMENT for a' Completed 07/29/24 Page 4 of 10 BLR 05530(Rev.07/08/22) least one(1)year but not more than(5)years. For the purpose of this certification,"grantee"or"Contractor"means a corporation,partnership or an entity with twenty-five(25)or more employees at the time of issuing the grant or a department,division or other unit thereof,directly responsible for the specific performance under contract or grant of$5,000 or more from the DEPARTMENT,as defined the Act. The contractor/grantee certifies and agrees that it will provide a drug free workplace by. (a)Publishing a statement: (1)Notifying employees that the unlawful manufacture,distribution,dispensing, possession or use of a controlled substance,including cannabis, is prohibited in the grantee's or contractor's workplace. (2)Specifying actions that will be taken against employees for violations of such prohibition. (3)Notifying the employee that,as a condition of employment on such contract or grant,the employee will: (a)abide by the terms of the statement;and (b)notify the employer of any criminal drug statue conviction for a violation occurring in the workplace no later than(5)days after such conviction. (b)Establishing a drug free awareness program to inform employees about: (1)The dangers of drug abuse in the workplace; (2)The grantee's or contractor's policy to maintain a drug free workplace; (3)Any available drug counseling,rehabilitation and employee assistance program; and (4)The penalties that may be imposed upon an employee for drug violations. (c)Providing a copy of the statement required by subparagraph(a)to each employee engaged in the performance of the contract or grant and to post the statement in a prominent place in the workplace. (d)Notifying the contracting,or granting agency within ten(10)days after receiving notice under part(b)of paragraph(3) of subsection(a)above from an employee or otherwise, receiving actual notice of such conviction. (e)Imposing a sanction on,or requiring the satisfactory participation in a drug abuse assistance or rehabilitation program. (f)Assisting employees in selecting a course of action in the event drug counseling,treatment and rehabilitation is required and indicating that a trained referral team is in place. Making a good faith effort to continue to maintain a drug free workplace through implementation of the Drug Free Workplace Act, the ENGINEER,LPA and the Department agree to meet the PROJECT SCHEDULE outlined in EXHIBIT B.Time is of the essence on this project and the ENGINEER's ability to meet the PROJECT SCHEDULE will be a factor in the LPA selecting the ENGINEER for future project.The ENGINEER will submit progress reports with each invoice showing work that was completed during the last reporting period and work they expect to accomplish during the following period. 11. Due to the physical location of the project,certain work classifications may be subject to the Prevailing Wage Act(820 ILCS 130/0.01 et seq.). 12. For Construction Engineering Contracts: (a)That all services are to be furnished as required by construction progress and as determined by the LPA employee In Responsible Charge.The ENGINEER shall complete all services herein within a time considered reasonable to the LPA,after the CONTRACTOR has completed the construction contract. (b)That all field notes,test records and reports shall be turned over to and become the property of the LPA and that during the performance of the engineering services herein provided for,the ENGINEER shall be responsible for any loss or damage to the documents herein enumerated while they are in the ENGINEER's possession and any such loss or damage shall be restored at the ENGINEER's expense. (c)That any difference between the ENGINEER and the LPA concerning the interpretation of the provisions of this AGREEMENT shall be referred to a committee of disinterested parties consisting of one member appointed by the ENGINEER,one member appointed by the LPA,and a third member appointed by the two other members for disposition and that the committee's decision shall be final. (d)That in the event that engineering and inspection services to be furnished and performed by the LPA(including personnel furnished by the ENGINEER)shall,in the opinion of the STATE be incompetent employed on such work at the expense of the LPA. (e)Inspection of all materials when inspection is not provided by the sources by the STATE Central Bureau of Materials, and submit inspection reports to the LPA and STATE in accordance with the STATE Central Bureau of Materials "Project Procedures Guide"and the policies of the STATE. AGREEMENT SUMMARY Prime Consultant(Firm)Name TIN/FEIN/SS Number Agreement Amount Hampton, Lenzini & Renwick, Inc. 36-2555986 $140,319.00 Subconsultants TIN/FEIN/SS Number Agreement Amount RUBINO ENGINEERING INC. 80-0450719 $18,970.00 Subconsultant Total $18,970.00 Completed 07/29/24 Page 5 of 10 BLR 05530(Rev.07/08/22) Prime Consultant Total $140,319.00 II Total for all work $159,289.00 AGREEMENT SIGNATURES Local Public Agency Type Local Public Agency Attest The 1CitY of CITY OF ELGIN By y(Signs re&Date) - (Si• &Date? _ 10/9/24 10/9/24 Local Public Agency - Local Public Agency Type Title CITY OF ELGIN City Clerk Richard G. Kozal,City Manager EAL) • Executed by the ENGINEER: Prime Consultant(Finn)Name Attest: Hampton, Lenzinl&Renwick, Inc. B S ature&Date By(Signature&Date) /NYNAT Title C t?C.t -i vc _ Tide VICE PRESIDENT j CORPORATE SECRETARY Treo s or- Completed07/29/24 Page 6 of 10 BLR 05530(Rev.07/08/22) Local Public Agency Prime Consultant(Firm)Name County Section Number CITY OF ELGIN Hampton, Lenzini & Renwick, Inc. Kane 24-00206-00-RS EXHIBIT A SCOPE OF SERVICES To perform or be responsible for the performance of the engineering services for the LPA, in connection with the PROJECT herein before described and enumerated below SEE ATTACHED SCOPE OF SERVICES "ATTACHMENT A" Cornpleted07/29/24 Page 7 of 10 BLR 05530(Rev.07/08/22) Local Public Agency Prime Consultant(Firm)Name County Section Number CITY OF ELGIN J Hampton, Lenzini & Renwick, Inc. Kane 1 24-00206-00-RS EXHIBIT B PROJECT SCHEDULE NOVEMBER, 2024 - BID OPENING DECEMBER, 2024 -ANTICIPATED CITY COUNCIL AWARD OF CONSTRUCTION ENGINEERING SERVICES AGREEMENT AND CONSTRUCTION CONTRACT MAY, 2025 -ANTICIPATED PRE-CONSTRUCTION MEETING JUNE, 2025- CONSTRUCTION START AUGUST, 2025 - CONSTRUCTION SUBSTANTIAL COMPLETION SEPTEMBER, 2025 - CONSTRUCTION FINAL COMPLETION NOVEMBER, 2025 -PROJECT CLOSEOUT Completed07/29/24 Page 8 of 10 BLR 05530(Rev.07/08/22) Local Public Agency Prime Consultant(Firm)Name County Section Number CITY OF ELGIN Hampton, Lenzini & Renwick, Inc. Kane 24-00206-00-RS Exhibit C Qualification Based Selection(QBS)Checklist The LPA must complete Exhibit D. If the value meets or will exceed the threshold in 50 ILCS 510,QBS requirements must be followed. Under the threshold, QBS requirements do not apply.The threshold is adjusted annually.If the value is under the threshold with federal funds being used,federal small purchase guidelines must be followed. ❑ Form Not Applicable(engineering services less than the threshold) Items 1-13 are required when using federal funds and QBS process is applicable.Items 14-16 are required when using State funds and the QBS process is applicable. No Yes 1 Do the written QBS policies and procedures discuss the initial administration(procurement,management ❑ ❑x and administration)concerning engineering and design related consultant services? 2 Do the written QBS policies and procedures follow the requirements as outlined in Section 5-5 and ❑ ❑x specifically Section 5-5.06(e)of the BLRS Manual? 3 Was the scope of services for this project clearly defined? ❑ ❑x 4 Was public notice given for this project? ❑ If yes Due date of submittal 05/28/24 Method(s)used for advertisement and dates of advertisement Website 510/24-5/28/24 5 Do the written QBS policies and procedures cover conflicts of interest? ❑ ❑x 6 Do the written QBS policies and procedures use covered methods of verification for suspension and ❑ debarment? 7 Do the written QBS policies and procedures discuss the methods of evaluation? ❑ Project Criteria Weighting Technical Approach 20% Firm Experience 20% Specialized Expertise 10% Staff Capabilities 20% Past Performance 30% 8 Do the wntten QBS policies and procedures discuss the method of selection? ❑1 ❑x Selection committee(titles)for this project PUBLIC SERVICES DIRECTOR, CIVIL ENGINEER Top three consultants ranked for this project in order 1 HAMPTON, LENZINI & RENWICK, INC. 2 THOMAS ENGINEERING 3 V3 9 Was an estimated cost of engineering for this project developed in-house prior to contract negotiation? ❑ ❑x 10 Were negotiations for this project performed in accordance with federal requirements. ❑ ❑x 11 Were acceptable costs for this project verified? ❑ ❑x 12 Do the written QBS policies and procedures cover review and approving for payment, before forwarding the ❑ ❑x request for reimbursement to IDOT for further review and approval? Do the written OBS policies and procedures cover ongoing and finalizing administration of the project 13 (monitoring,evaluation,closing-out a contract,records retention,responsibility,remedies to violations or ❑ ❑x breaches to a contract,and resolution of disputes)? 14 QBS according to State requirements used? ❑ ❑x 15 Existing relationship used in lieu of QBS process? x❑ Completed07/29/24 Page 9 of 10 BLR 05530(Rev.07/08/22) Local Public Agency Prime Consultant(Firm)Name County Section Number _ ICITY OF ELGIN Hampton, Lenzini & Renwick, Inc. wane 124-00206-00-RS 1 16 LPA Is a home rule community(Exempt from QBS). [ED Completed07/29/24 Page 10 of 10 BLR 05530(Rev.07/08/22) EXHIBIT A SCOPE OF SERVICES Hampton, Lenzini and Renwick, Inc. (HLR) is pleased to submit the following scope of service for the Lillian, South, Walnut Resurfacing and Sidewalk Improvements. It is understood that the following streets will be included in the resurfacing program: • Lillian Street from McLean Boulevard to South Street(-0.28 mi) • South Street from Lillian Street to Walnut Avenue (-0.38 mi) • Walnut Avenue from South Street to Wilcox Avenue(-0.11 mi) Total Improvement Length=0.77 miles Below is the proposed Scope of Services for the Lillian, South, Walnut Resurfacing and Sidewalk Improvements 1. Contractor Document Submittals: HLR will review contractor submittals such as shop drawings or coordinate the review by IDOT as required and provide recommendations to the City on their approval or rejection. 2. Project Start: HLR will participate in the IDOT administered pre-construction meeting with the Contractor. HLR will coordinate the construction start with IDOT, Contractor(s), the City, local businesses/residents, and any other impacted stakeholders, which includes but is not limited to the coordination of the distribution of bilingual(English and Spanish) resident notification letters prior to the start of construction to make persons in areas impacted by construction aware of the upcoming work. The physical distribution of the notification letters will be performed or at a minimum coordinated by HLR depending on the terms of the contractor documents for the project. 3. Project Layout: HLR will layout the project limits and location of improvements prior to Contractor mobilization for all resurfacing limits, sidewalk replacement, and curb and gutter replacement. 4. Construction Observation: HLR's Resident Engineer will monitor all work being done to ensure construction is completed according to the intent of the plans and project specifications. Since the construction schedule is solely outside of HLR's control, timeframe represented in this agreement are based on the best available information. At this time, HLR estimates that from the beginning of construction to completion will be 12 weeks. For purposes in this agreement Full Time is considered to be no more than 40 hours per week. For purposes of this Contract, we have accounted for 5 hours of overtime per week for the Resident Engineer/Technician. Based on the level of on-site construction engineering desired by the Client, increases to the duration of construction or increases to staffing required to observe contactor operations will constitute additional work. HLR will notify the Client when the contractor is behind schedule since this could cause the need for additional work,not anticipated by the agreement. EXHIBIT A SCOPE OF SERVICES a. Staffing:Based on anticipated construction activities and the anticipated contractor schedule,HLR will provide the following personnel: i. Resident Engineer/Technician—Full Time 1. 40 Hours Per Week at standard rates 2. 5 Hours per Week at 1.5x standard rates ii. Project Manager—Part Time 1. 8 Hours Per Week at standard rates b. Materials Testing: HLR will coordinate materials testing services with a subconsultant and review all testing reports. c. Materials Inspection: HLR will collect all material documentation and review to ensure compliance. d. Documentation: HLR will complete all necessary documentation on a daily basis, which includes daily construction summary emails to the City. HLR will complete and submit all necessary documentation as required by IDOT. e. Weekly Reports: HLR will prepare and distribute weekly reports consisting of the week's work and any anticipated change in project schedule. This will be distributed via email to the City and posted on Elgin's 311 Construction Command page. f. Contractor Coordination: HLR will coordinate and conduct construction progress meetings on a weekly basis throughout the course of construction, or as needed as determined by the IDOT. g. Contractor/Sub-consultant Submittals: HLR will review and coordinate the submittal of all subcontractor documentation. h. Resident Coordination: HLR will update Elgin's 311 Construction Command page daily with project status. HLR will coordinate with all residents as necessary through the project. Particular attention will be given to residents with mobility issues. 5. Project Close-out: HLR will ensure the project is closed out in a timely manner and construction is 100%complete. a. Punch-list: HLR will prepare the final punch list with City staff, submit to the contractor,and ensure timely completion of remaining items. b. As-Builts: HLR will prepare any necessary as-built drawings. c. Final Documentation: HLR will prepare and submit all necessary project closeout documentation to IDOT. Follow-Up: HLR will follow up with the City to ensure the project has closed out successfully and confirm our services are fully completed under the current agreement. EXHIBIT D Illinois Department0 COST ESTIMATE OF CONSULTANT SERVICES(CECS)WORKSHEET of Transportation FIXED RAISE Local Public Agency County Section Number CITY OF ELGIN KANE 24-00206-00-RS Prime Consultant(Firm) Name Prepared By Date HAMPTON, LENZINI AND RENWICK, INC. RYAN LIVINGSTON 7/29/2024 Consultant/ Subconsultant Name Job Number HAMPTON, LENZINI AND RENWICK, INC. C-91-197-24 Note: This is name of the consultant the CECS is being completed for This name appears at the top of each tab. Remarks PAYROLL ESCALATION TABLE CONTRACT TERM ' 6 MONTHS OVERHEAD RATE 169.18% START DATE 6/1/2025 COMPLEXITY FACTOR RAISE DATE 1/6/2025 %OF RAISE 2.00% END DATE 11/30/2025 ESCALATION PER YEAR %of Year First Date Last Date Months Contract 0 6/1/2025 1/6/2025 -5 -83.33% 1 1/7/2025 12/6/2025 11 187.00% The total escalation = 3.67% BLR 05514(Rev. 02/09/23) Printed 7/29/2024 3:02 PM ESCALATION Page 1 of 13 Local Public Agency County Section Number CITY OF ELGIN KANE 24-00206-00-RS Consultant / Subconsultant Name Job Number HAMPTON, LENZINI AND RENWICK. INC. C-91-197-24 PAYROLL RATES EXHIBIT D COST ESTIMATE OF CONSULTANT SERVICES (CECS) WORKSHEET FIXED RAISE MAXIMUM PAYROLL RATE 86.00 ESCALATION FACTOR 3.67% IDOT CLASSIFICATION PAYROLL RATES CALCULATED RATE ON FILE PRINCIPAL $89.50 $86 00 ENGINEER 6 $76.50 $79.31 ENGINEER 5 $65.36 $67.76 ENGINEER 4 $58.59 $60 74 ENGINEER 3 $46.50 $48.21 ENGINEER 2 $36.75 $38.10 ENGINEER 1 $34.17 $35.42 STRUCTURAL 2 $77.00 $79.82 STRUCTURAL 1 $62.00 $64.27 TECHNICIAN 3 $51.20 $53.08 TECHNICIAN 2 $39 10 $40.53 TECHNICIAN 1 $30.43 $31.55 INTERN/TEMPORARY $20 00 $20.73 LAND ACQUISITION $59 00 $61.16 SURVEY 2 $55 00 $57.02 SURVEY 1 $29.00 $30.06 ENVIRONMENTAL 3 $56.50 $58.57 ENVIRONMENTAL 2 $39 40 $40.84 ENVIRONMENTAL 1 $26.33 $27.30 ADMINISTRATION 2 $53 63 $55.60 ADMINISTRATION 1 $30.80 $31 93 BLR 05514 (Rev. 02/09/23) Printed 7/29/2024 3:02 PM RATES Page 2 of 13 Local Public Agency County Section Number CITY OF ELGIN KANE 24-00206-00-RS Consultant/Subconsultant Name Job Number HAMPTON, LENZINI AND RENWICK, INC. C-91-197-24 SUBCONSULTANTS EXHIBIT D COST ESTIMATE OF CONSULTANT SERVICES (CECS) WORKSHEET Contribution to Prime NAME Direct Labor Total Consultant RUBINO ENGINEERING 4,769 00 476.90 Total 4,769.00 476.90 NOTE: Only subconsultants who fill out a cost estimate that splits out direct labor may be listed on this sheet. BLR 05514(Rev.02/09/23) Printed 7/29/2024 3:02 PM SUBS Page 3 of 13 Local Public Agency County Section Number ICITY OF ELGIN IKANE 24-00206-00-RS Consultant/Subconsultant Name Job Number HAMPTON,LENZINI AND RENWICK.INC C-91-197-24 DIRECT COSTS WORKSHEET List ALL direct costs required for this project Those not listed on the form will not be eligible for reimbursement by the LPA on this project. EXHIBIT D COST ESTIMATE OF CONSULTANT SERVICES(CECS)WORKSHEET CONTRACT ITEM ALLOWABLE QUANTITY RATE TOTAL Lodging Actual Cost (per GOVERNORS TRAVEL CONTROL BOARD) (Up to state rate maximum) $0.00 Lodging Taxes and Fees Actual Cost $0 00 (per GOVERNOR'S TRAVEL CONTROL BOARD) Air Fare Coach rate,actual cost,requires minimum two weeks' $0 00 notice,with prior IDOT approval Vehicle Mileage Up to state rate maximum $0.00 (per GOVERNORS TRAVEL CONTROL BOARD) Vehicle Owned or Leased $32.50/half day(4 hours or less)or$65/full day $0.00 Vehicle Rental Actual Cost(Up to$55/day) $0.00 Tolls Actual Cost $0.00 Parking Actual Cost $0.00 Overtime Premium portion(Submit supporting documentation) 60 $18 38 $1,102.50 Shift Differential Actual Cost(Based on firm's policy) $0 00 Overnight Delivery/Postage/Courier Service Actual Cost(Submit supporting documentation) $0 00 Copies of Deliverables/Mylars(In-house) Actual Cost(Submit supporting documentation) $0.00 Copies of Deliverables/Mylars(Outside) Actual Cost(Submit supporting documentation) $0.00 Project Specific Insurance Actual Cost $0.00 Monuments(Permanent) Actual Cost $0.00 Photo Processing Actual Cost $0.00 2-Way Radio(Survey or Phase III Only) Actual Cost $0.00 Telephone Usage(Traffic System Monitoring Only) Actual Cost $0 00 CADD Actual Cost(Max$15/hour) $0.00 Web Site Actual Cost(Submit supporting documentation) $0.00 Advertisements Actual Cost(Submit supporting documentation) $0.00 Public Meeting Facility Rental Actual Cost(Submit supporting documentation) $0 00 Public Meeting Exhibits/Renderings&Equipment Actual Cost(Submit supporting documentation) $0 00 Recording Fees Actual Cost $0 00 Transcriptions(specific to project) Actual Cost $0 00 Courthouse Fees Actual Cost $0.00 Storm Sewer Cleaning and Televising Actual Cost(Requires 2-3 quotes with IDOT approval) $0.00 Traffic Control and Protection Actual Cost(Requires 2-3 quotes with IDOT approval) $0.00 Aerial Photography and Mapping Actual Cost(Requires 2-3 quotes with IDOT approval) $0.00 Utliity Exploratory Trenching Actual Cost(Requires 2-3 quotes with IDOT approval) $0.00 Testing of Soil Samples Actual Cost $0 00 Lab Services Actual Cost(Provide breakdown of each cost) $0.00 Equipment and/or Specialized Equipment Rental Actual Cost(Requires 2-3 quotes with IDOT approval) $0 00 $0 00 $0.00 $0.00 $0.00 DLit 06614(R.A.ON09123) Prints d 7/29/2024 3:02 PM TOTAL DIRECT COSTS: $1,102111RECT COSTS Paw—. ", Local Public Agency County Section Number CITY OF ELGIN KANE 24-00206-00-RS Consultant / Subconsultant Name Job Number HAMPTON. LENZINI AND RENWICK. INC. C-91-197-24 COST ESTIMATE WORKSHEET EXHIBIT D COST ESTIMATE OF CONSULTANT SERVICES (CECS) WORKSHEET OVERHEAD RATE 169.18% COMPLEXITY FACTOR 0 DIRECT COSTS (not included in OVERHEAD&FRINGE SERVICES BY %OF GRAND TASK row totals) STAFF HOURS PAYROLL BENEFITS FIXED FEE OTHERS TOTAL TOTAL PRECONSTRUCTION 84 4,551 7.700 1,502 13,753 8.63% CONSTRUCTION INSPECTION 1,103 689 31,412 53,142 10,366 94.920 59.59% CONSTRUCTION MATERIAL TESTING - - - 18.970 18.970 11.91% POST CONSTRUCTION 184 9,950 16.833 3.283 30.066 18.88% Subconsultant DL $476.90 0.30`/ Direct Costs Total=__> $1,102 50 $1,102.50 0.69% TOTALS 9571 45.913 I 77.675 ] 15,151 I 18.970 159.289 100 00% 173 SItf3 BLR 05514(Rev. 02/09/23) Printed 7/29/2024 3:02 PM COST EST Page 5 of 13 Local Public Agency County Section Number CITY OF ELGIN KANE 24-00206-00-RS Consultant / Subconsultant Name Job Number HAMPTON, LENZINI AND RENWICK, INC. C-91-197-24 AVERAGE HOURLY PROJECT RATES EXHIBIT D COST ESTIMATE OF CONSULTANT SERVICES (CECS) WORKSHEET SHEET 1 OF 1 CONSTRUCTION CONSTRUCTION PAYROLL AVG TOTAL PROJ.RATES PRECONSTRUCTION INSPECTION MATERIAL TESTING POST CONSTRUCTION HOURLY Hours % Wgtd Hours % Wgtd Hours % Wgtd Hours % Wgtd Hours % Wgtd Hours % Wgtd CLASSIFICATION RATES Part. Avg Part. Avg Part. Avg Part. Avg Part. Avg Part. Avg PRINCIPAL 86 00 0 0 • ENGINEER 6 79 31 25 0 2 6 4 4.76% 3.78 _ 1.89°%° 1.50 8 4 .,. - 3 45 ENGINEER 5 67 76 284 0 29 68 40 47.62% 32.27 =_ 22.64% 15.34 88 •. - ' ENGINEER 4 60 74 0 0 ENGINEER 3 48 21 0.0 ENGINEER 2 38 10 648 0 67 71% 25 80 4G 47-62% 18 14 520 75 47% 28 75 88 4 :. ENGINEER 1 35 42 0 0 STRUCTURAL 2 79 82 0 0 STRUCTURAL 1 64 27 0 0 TECHNICIAN 3 53.08 0.0 TECHNICIAN 2 40 53 0 0 TECHNICIAN 1 31 55 0 0 INTERN/TEMPORARY 20 73 0 0 LAND ACQUISITION 61 16 0 0 SURVEY 2 57 02 0 0 SURVEY 1 30 06 0 0 ENVIRONMENTAL 3 58 57 0 0 ENVIRONMENTAL 2 40 84 0 0 ENVIRONMENTAL 1 27 30 0 0 ADMINISTRATION 2 55 60 0 0 ADMINISTRATION 1 31 93 0 0 0.0 00 00 00 00 00 • TOTALS 957.0 100% _ - 08 :4 _ 100.00% 554 18 689 0 100% S45 59 0 0 0% S0 00 184.0 100% 554 07 0 0 _ S Printed 7/29/2024 3:02 PM BLR 05514 (Rev. 02/09/23) Page 6 of 13 AVG 1 Local Public Agency County Section Number CITY OF ELGIN KANE 24-00206-00-RS Consultant / Subconsultant Name Job Number HAMPTON, LENZINI AND RENWICK. INC. C-91-197-24 AVERAGE HOURLY PROJECT RATES EXHIBIT D COST ESTIMATE OF CONSULTANT SERVICES (CECS) WORKSHEET SHEET 2 OF 1 PAYROLL AVG HOURLY Hours % Wgtd Hours % Wgtd Hours % Wgtd Hours % Wgtd Hours % Wgtd Hours % Wgtd CLASSIFICATION RATES Part. Avg Part. Avg Part. Avg Part. Avg Part. Avg Part. Avg PRINCIPAL 86 00 ENGINEER 6 79.31 ENGINEER 5 67 76 ENGINEER 4 60 74 ENGINEER 3 48.21 ENGINEER 2 38 10 ENGINEER 1 35 42 STRUCTURAL 2 79 82 STRUCTURAL 1 64 27 TECHNICIAN 3 53.08 TECHNICIAN 2 40 53 TECHNICIAN 1 31.55 INTERN/TEMPORARY 20.73 LAND ACQUISITION 61.16 SURVEY 2 57.02 SURVEY 1 30.06 ENVIRONMENTAL 3 58 57 ENVIRONMENTAL 2 40.84 ENVIRONMENTAL 1 27.30 ADMINISTRATION 2 55 60 ADMINISTRATION 1 31 93 TOTALS 0 0 0 SO 00 0 0 0% S0.00 0 0 0% SO 00 0 0 0'- SO 00 0 0 SO 00 0 0 SO 00 Printed 7/29/2024 3:02 PM BLR 05514 (Rev. 02/09/23) Page7of13 AVG2 Local Public Agency County Section Number 'CITY OF ELGIN KANE 24-00206-00-RS Consultant / Subconsultant Name Job Number HAMPTON, LENZINI AND RENWICK, INC. L AVERAGE HOURLY PROJECT RATES EXHIBIT D COST ESTIMATE OF CONSULTANT SERVICES (CECS) WORKSHEET SHEET 3 OF 1 PAYROLL AVG HOURLY Hours % Wgtd Hours % Wgtd Hours % Wgtd Hours % Wgtd Hours % Wgtd Hours % Wgtd CLASSIFICATION RATES Part. Avg Part. Avg Part. Avg Part. Avg Part. Avg Part. Avg PRINCIPAL 86 00 ENGINEER 6 79 31 ENGINEER 5 67 76 ENGINEER 4 60 74 ENGINEER 3 48.21 ENGINEER 2 38 10 ENGINEER 1 3542 STRUCTURAL 2 79 82 STRUCTURAL 1 64.27 TECHNICIAN 3 53 08 TECHNICIAN 2 40.53 TECHNICIAN 1 31 55 INTERN/TEMPORARY 20 73 LAND ACQUISITION 61 16 SURVEY 2 57 02 SURVEY 1 30 06 ENVIRONMENTAL 3 58 57 ENVIRONMENTAL 2 40 84 ENVIRONMENTAL 1 27 30 ADMINISTRATION 2 55 60 ADMINISTRATION 1 31 93 TOTALS 2 S0 00 00 0% S0 00 0.0 0% 50 00 0.0 SO 00 0.0 O' SO 00 _ _ BLR 05514 (Rev. 02/09/23) Printed 7/29/2024 3:02 PM AVG 3 Page 8 of 13 Local Public Agency County Section Number CITY OF ELGIN KANE 24-00206-00-RS Consultant / Subconsultant Name Job Number HAMPTON. LENZINI AND RENWICK. INC. AVERAGE HOURLY PROJECT RATES EXHIBIT D COST ESTIMATE OF CONSULTANT SERVICES (CECS) WORKSHEET SHEET 4 OF 1 PAYROLL AVG HOURLY Hours % Wgtd Hours % Wgtd Hours °/° Wgtd Hours % Wgtd Hours / Wgtd Hours % Wgtd CLASSIFICATION RATES Part. Avg Part. Avg Part. Avg Part. Avg Part. Avg Part. Avg PRINCIPAL 86.00 ENGINEER 6 79.31 ENGINEER 5 67.76 ENGINEER 4 60.74 ENGINEER 3 48.21 ENGINEER 2 38.10 ENGINEER 1 35.42 STRUCTURAL 2 79.82 STRUCTURAL 1 64.27 TECHNICIAN 3 53.08 TECHNICIAN 2 40.53 TECHNICIAN 1 31.55 INTERN/TEMPORARY 20.73 LAND ACQUISITION 61.16 SURVEY 2 57 02 SURVEY 1 30.06 ENVIRONMENTAL 3 58.57 ENVIRONMENTAL 2 40.84 ENVIRONMENTAL 1 27.30 ADMINISTRATION 2 55.60 ADMINISTRATION 1 31.93 TOTALS 0 0 0 . S0.00 0 0 0- SO 00 0 0 0 SO 00 0 0 0' SO 00 0 0 0 S0.00 0.0 0-< So.00 Printed 7/29/2024 3:02 PM BLR 05514 (Rev. 02/09/23) Page 9 of 13 AVG 4 Local Public Agency County Section Number CITY OF ELGIN KANE 24-00206-00-RS Consultant / Subconsultant Name Job Number HAMPTON. LENZINI AND RENWICK, INC. AVERAGE HOURLY PROJECT RATES EXHIBIT D COST ESTIMATE OF CONSULTANT SERVICES (CECS) WORKSHEET SHEET 5 OF 1 PAYROLL AVG HOURLY Hours % Wgtd Hours % Wgtd Hours % Wgtd Hours % Wgtd Hours % Wgtd Hours % Wgtd CLASSIFICATION RATES Part. Avg Part. Avg Part. Avg Part Avg Part. Avg Part. Avg PRINCIPAL 86 00 ENGINEER 6 79 31 ENGINEER 5 67 76 ENGINEER 4 60 74 ENGINEER 3 48 21 ENGINEER 2 38 10 ENGINEER 1 35 42 STRUCTURAL 2 79 82 STRUCTURAL 1 64.27 TECHNICIAN 3 53.08 TECHNICIAN 2 40 53 TECHNICIAN 1 31 55 INTERN/TEMPORARY 20 73 LAND ACQUISITION 61 16 SURVEY 2 57 02 SURVEY 1 30 06 ENVIRONMENTAL 3 58 57 ENVIRONMENTAL 2 40.84 ENVIRONMENTAL 1 27 30 ADMINISTRATION 2 55 60 ADMINISTRATION 1 31 93 TOTALS . _ 0 SO 00 0 0 0"- S0 00 0 0 SO OC 0 0 50 CC, BLR 05514 (Rev 02/09/23) Printed 7/29/2024 3:02 PM AVG 5 Page 10 of 13 Instructions for BLR 05514 Form instructions are not to be submitted with the form EXHIBIT D COST ESTIMATE OF CONSULTANT SERVICES(CECS)WORKSHEET FIXED RAISE This form shall be used as and exhibit with BLR 05530,Local Public Agency Engineering Services Agreement,when Cost Plus Fixed is selected as the method of compensation with the raise date selected by the user. For more information, refer to the Bureau of Local Roads and Streets Manual(BLRS)Chapter 5 Fields completed on one tab that are required on other tabs are automatically populated based on the entry on the first tab ESCALATION TAB Local Public Agency Insert the name of the Local Public Agency(LPA) County Insert the county name in which the LPA is located. Section Number Insert the section number associated with this project Prime Consultant(Firm)Name Insert the name of the pnme consultant for this agreement Prepared By Insert the name of the person who prepared this document Date Insert the date the document was prepared Consultant/Subconsultant Name Insert the name of the consultant or subconsultant exhibit is for This is the name that will be displayed at the top of all the other sheets. Job Number Insert the job number(s)for associated with this project Remarks Insert remarks and/or comments associated with this project or associated Payroll Escalation Table Contract Term Insert the contract term in months. Overhead Rate Insert the IDOT approved overhead rate in place at the time of this agreement. Start Date Insert the start date of this agreement Complexity Factor Insert the complexity factor assigned to this project A complexity factor is assigned to the project.not to the LPA Raise Date Insert the initial raise date. %of Raise No entry necessary,this is set at two percent. End Date No entry necessary,this field is automatically calculated based on the start date and contract term Escalation Per Year No entry necessary,all fields are automatically calculated based on contract term,start date,and raise date RATES TAB Local Public Agency This field is automatically completed based on entries on the Escalation Tab County This field is automatically completed based on entries on the Escalation Tab Section Number This field is automatically completed based on entries on the Escalation Tab. Consultant I Subconsultant Name This field is automatically completed based on entries on the Escalation Tab Job Number This field is automatically completed based on entries on the Escalation Tab Maximum Payroll Rate This is the maximum payroll rate allowable on this agreement Escalation Factor This field is automatically completed based on entries on the Escalation Tab Classification List each payroll classification who will work on this project,on a separate line IDOT Payroll Rates on File Enter the IDOT approved rate for the classification listed to the left Calculated Rate No entry necessary,this field is automatically completed based on the approved rate times the escalation factor. SUBS TAB Local Public Agency This field is automatically completed based on entries on the Escalation Tab County This field is automatically completed based on entries on the Escalation Tab. Section Number This field is automatically completed based on entries on the Escalation Tab. Consultant/Subconsultant Name This field is automatically completed based on entries on the Escalation Tab. Job Number This field is automatically completed based on entries on the Escalation Tab Name List subconsultants that will be used on this project,using a separate line Printed 7/29/2024 3 02 PM BLR 05514(Rev.02/09/23) Page 11 of 13 INSTRUCTIONS Instructions for BLR 05514 Form instructions are not to be submitted with the form for each Direct Labor Total Insert the direct labor for the consultant listed to the left. Contribution to Prime Consultant No entry necessary.this field is automatically completed It is the Direct Labor Total times 10% DIRECT COSTS TAB Local Public Agency This field is automatically completed based on entries on the Escalation Tab County This field is automatically completed based on entries on the Escalation Tab. Section Number This field is automatically completed based on entries on the Escalation Tab. Consultant/Subconsultant Name This field is automatically completed based on entries on the Escalation Tab Job Number This field is automatical y completed based on entries on the Escalation Tab. Item&Allowable List ALL direct costs required for this project Those not listed on the form will NOT be eligible for reimbursement by the LPA on this project Quanity&Contract Rate Enter Quantity AND Contract Rate Total is automatically calculated COST EST TAB Local Public Agency This field is automatically completed based on entries on the Escalation Tab County This field is automatically completed based on entries on the Escalation Tab Section Number This field is automatically completed based on entries on the Escalation Tab Consultant/Subconsultant Name This field is automatically completed based on entries on the Escalation Tab Job Number This field is automatically completed based on entries on the Escalation Tab Overhead Rate This field is automatically completed based on entries on the Escalation Tab Complexity Factor This field is automatically completed based on entries on the Escalation Tab Task Insert the tasks required for this project use a separate line for each task Staff hours No entry necessary.this is automatically completed based on entries under the AVG tabs for each task It will be the total hours for all payroll classifications for the task listed to the left Payroll No entry necessary.this is automatically completed based on entries under the AVG tabs for each task It will be the total payroll for the task listed to the left Overhead&Fringe Benefits No entry necessary.this is automatically completed based on payroll listed to the left times the overhead rate. Direct Costs Insert the amount of direct costs for the task listed to the left Fixed Fee No entry necessary.this is automatically completed based the lessor of minimum of the payroll plus the overhead and fringe benefits times fifteen percent,or 0 33 plus the complexity factor times Services by Others Insert the amount of services by others for the task listed to the left Total No entry necessary,this is the total of the payroll overhead&fringe benefits. direct costs.fixed fee and services by others of Grand Total No entry necessary,this is the%of the grand total for the task listed to the left Subconsultant DL This field is automatically completed based on the information completed on the SUB tab Totals Totals fields are automatically completed based on the entries in the column above AVG 1-AVG 5 TABs Local Public Agency This field is automatically completed based on entries on the Escalation Tab County This field is automatically completed based on entries on the Escalation Tab Section Number This field is automatically completed based on entries on the Escalation Tab Consultant/Subconsultant Name This field is automatically completed based on entries on the Escalation Tab Job Number This field is automatically completed based on entries on the Escalation Tab Payroll Classification This field is automatically completed based on entries on the Rates Tab Avg Hourly Rates This field is automatically completed based on entries on the Rates Tab for the classification listed to the left.no payroll classification listed to the left Total Project Rates Hours This is the total hours based on entries under each task for the payroll Printed 7/29/2024 3 02 PM BLR 05514(Rev.02/09/23) Page 12 of 13 INSTRUCTIONS Instructions for BLR 05514 Form instructions are not to be submitted with the form entry is necessary. %Part No entry is necessary,this is the percent of participation for the payroll classification listed to the left,of the total project Wgtd Avg No entry is necessary,this is the weighted average for the payroll classification listed to the left Task Each task will automatically be completed based on task entries on the COST EST tab. Hours Enter the number of hours the payroll classification listed to the left will perform for the task listed above %Part No entry necessary,this is the percent of participation for the payroll classification listed to the left for the task listed above Wgtd Avg No entry necessary,this is the weighted average for the payroll classification listed to the left for the task above Totals No entry necessary,this is the sum of the column above Printed 7/29/2024 3 02 PM BLR 05514(Rev 02/09/23) Page 13 of 13 INSTRUCTIONS EXHIBIT D 6 Illinois Department COST ESTIMATE OF CONSULTANT SERVICES (CECS)WORKSHEET of Transportation FIXED RAISE Local Public Agency County Section Number CITY OF ELGIN KANE 24-00206-00-RS Prime Consultant(Firm) Name Prepared By Date HAMPTON, LENZINI AND RENWICK, INC. MICHELLE LIPINSKI 7/29/2024 Consultant/ Subconsultant Name Job Number RUBINO ENGINEERING C-91-197-24 Note This is name of the consultant the CECS is being completed for. This name appears at the top of each tab. Remarks PAYROLL ESCALATION TABLE CONTRACT TERM 6 MONTHS OVERHEAD RATE 176.27% START DATE 6/1/2025 COMPLEXITY FACTOR RAISE DATE 3/1/2025 % OF RAISE 2.00% END DATE 11/30/2025 ESCALATION PER YEAR %of Year First Date Last Date Months Contract 0 6/1/2025 3/1/2025 -3 -50.00% 1 3/2/2025 12/1/2025 9 153.00% The total escalation = 3.00% BLR 05514(Rev. 02/09/23) Printed 7/29/2024 3.02 PM ESCALATION Page 1 of 13 Local Public Agency County Section Number CITY OF ELGIN KANE 24-00206-00-RS Consultant/ Subconsultant Name Job Number RUBINO ENGINEERING C-91-197-24 PAYROLL RATES EXHIBIT D COST ESTIMATE OF CONSULTANT SERVICES (CECS) WORKSHEET FIXED RAISE MAXIMUM PAYROLL RATE 86.00 ESCALATION FACTOR 3.00% IDOT CLASSIFICATION PAYROLL RATES CALCULATED RATE ON FILE PRINCIPAL $74 00 $76.22 MATERIAL TESTER 1 &2 $44 04 $45.36 PROJECT MANAGER/ENGINEER $50.22 $51.73 STAFF ENGINEER/GEOLOGIST/SOIL SCIENTIST $37 07 $38.18 LABORATORY STAFF $32.00 $32.96 BLR 05514(Rev 02/09/23) Printed 7/29/2024 3:02 PM RATES Page 2 of 13 Local Public Agency County Section Number CITY OF ELGIN KANE 24-00206-00-RS Consultant/Subconsultant Name Job Number RUBINO ENGINEERING C-91-197-24 SUBCONSULTANTS EXHIBIT D COST ESTIMATE OF CONSULTANT SERVICES (CECS)WORKSHEET Contribution to Prime NAME Direct Labor Total Consultant Total 0.00 0.00 NOTE: Only subconsultants who fill out a cost estimate that splits out direct labor may be listed on this sheet. BLR 05514(Rev.02/09/23) Printed 7/29/2024 3 02 PM SUBS Page 3 of 13 Local Public Agency County Section Number !CITY OF ELGIN (KANE 24-00206-00-RS Consultant/Subconsultant Name Job Number RUBINO ENGINEERING C-91-197-24 DIRECT COSTS WORKSHEET List ALL direct costs required for this project. Those not listed on the form will not be eligible for reimbursement by the LPA on this project. EXHIBIT D COST ESTIMATE OF CONSULTANT SERVICES(CECS)WORKSHEET CONTRACT ITEM ALLOWABLE QUANTITY RATE TOTAL Lodging Actual Cost $0 00 (per GOVERNOR'S TRAVEL CONTROL BOARD) (Up to state rate maximum) Lodging Taxes and Fees Actual Cost $0.00 (per GOVERNOR'S TRAVEL CONTROL BOARD) Air Fare Coach rate,actual cost,requires minimum two weeks' SO 00 notice,with prior IDOT approval Vehicle Mileage (per GOVERNOR'S TRAVEL CONTROL BOARD) Up to state rate maximum $0.00 Vehicle Owned or Leased $32.50/half day(4 hours or less)or$65/full day 8 $65.00 $520.00 Vehicle Rental Actual Cost(Up to$55/day) $0.00 Tolls Actual Cost $0.00 Parking Actual Cost $0.00 Overtime Premium portion(Submit supporting documentation) $0.00 Shift Differential Actual Cost(Based on firm's policy) $0.00 Overnight Delivery/Postage/Courier Service Actual Cost(Submit supporting documentation) $0 00 Copies of Deliverables/Mylars(In-house) Actual Cost(Submit supporting documentation) $0 00 Copies of Deliverables/Mylars(Outside) Actual Cost(Submit supporting documentation) $0.00 Project Specific Insurance Actual Cost $0.00 Monuments(Permanent) Actual Cost $0.00 Photo Processing Actual Cost $0.00 2-Way Radio(Survey or Phase III Only) Actual Cost $0.00 Telephone Usage(Traffic System Monitoring Only) Actual Cost $0 00 CADD Actual Cost(Max$15/hour) $0 00 Web Site Actual Cost(Submit supporting documentation) $0.00 Advertisements Actual Cost(Submit supporting documentation) $0.00 Public Meeting Facility Rental Actual Cost(Submit supporting documentation) $0 00 Public Meeting Exhibits/Renderings&Equipment Actual Cost(Submit supporting documentation) $0.00 Recording Fees Actual Cost $0.00 Transcriptions(specific to project) Actual Cost $0 00 Courthouse Fees Actual Cost $0 00 Storm Sewer Cleaning and Televising Actual Cost(Requires 2-3 quotes with IDOT approval) $0.00 Traffic Control and Protection Actual Cost(Requires 2-3 quotes with IDOT approval) $0.00 Aerial Photography and Mapping Actual Cost(Requires 2-3 quotes with IDOT approval) $0.00 Utliity Exploratory Trenching Actual Cost(Requires 2-3 quotes with IDOT approval) $0.00 Testing of Soil Samples Actual Cost 2 $112.00 $224 00 Lab Services Actual Cost(Provide breakdown of each cost) 7 $349.00 $2,443.00 Equipment and/or Specialized Equipment Rental Actual Cost(Requires 2-3 quotes with IDOT approval) $0.00 Nuclear Gauge INHOUSE DIRECT COST 2 $50.00 $100.00 Standard Proctor INHOUSE DIRECT COST 1 $267.00 $267.00 Cylinders INHOUSE DIRECT COST 20 $19.50 $390.00 Hydrometer+Atterberg Limit+Moisture Content INHOUSE DIRECT COST 1 $275 90 $275.90 DUI 0604(Oa. OD 09/23) Print(d 7/29/2024 3:02 PM TOTAL DIRECT COSTS: $4,21S)SCT LOSTS Pagra^"' Local Public Agency County Section Number CITY OF ELGIN KANE 24-00206-00-RS Consultant / Subconsultant Name Job Number RUBINO ENGINEERING C-91-197-24 COST ESTIMATE WORKSHEET EXHIBIT D COST ESTIMATE OF CONSULTANT SERVICES (CECS) WORKSHEET OVERHEAD RATE 176.27% COMPLEXITY FACTOR 0 DIRECT COSTS (not included in OVERHEAD&FRINGE SERVICES BY %OF GRAND TASK row totals) STAFF HOURS PAYROLL BENEFITS FIXED FEE OTHERS TOTAL TOTAL Material Tester 1 &2 4.220 104 4 769 8 407 1.574 14 750 77 75' -Subconsultant DL S0.00 Direct Costs Total===> 54.219 90 $4,219.90 22.25% TOTALS _ 1041 4.769I 8.407I 1,574I - 18.970 100.007 13.176 BLR 05514(Rev. 02/09/23) Printed 7/29/2024 3.02 PM COST EST Page 5 of 13 Local Public Agency County Section Number CITY OF ELGIN KANE 24-00206-00-RS Consultant / Subconsultant Name Job Number RUBINO ENGINEERING C-91-197-24 AVERAGE HOURLY PROJECT RATES EXHIBIT D COST ESTIMATE OF CONSULTANT SERVICES (CECS) WORKSHEET SHEET 1 OF 1 PAYROLL AVG TOTAL PROJ.RATES Material Tester 1&2 HOURLY Hours % Wgtd Hours % Wgtd Hours % Wgtd Hours % Wgtd Hours % Wgtd Hours % Wgtd CLASSIFICATION RATES Part. Avg Part. Avg Part. Avg Part. Avg Part. Avg Part. Avg PRINCIPAL 76.22 2 0 1 92% 1 47 2 1 92% 1 47 MATERIAL TESTER 1&2 45.36 80.0 76 92% 34 89 80 76 92% 34 89 PROJECT MANAGER/ENGINEER 51 73 14.0 13.46% 6.96 14 13.46% 6.96 STAFF ENGINEER/GEOLOGIST/SOIL SCIENTIST 38 18 0 0 LABORATORY STAFF 32.96 8 0 7.69% 2.54 8 7 69./ 2 54 00 00 00 00 0.0 0.0 0.0 0.0 00 0.0 00 00 00 00 00 00 00 00 00 0.0 00 00 TOTALS 104 0 100 i S45 86 104 0 100 00% 545-86 0 0 0'14, 50 00 0 0 07.. 50.00 0 0 $0 00 0 0 0% 50 00 Printed 7/29/2024 3 02 PM BLR 05514(Rev. 02/09/23) Page 6 of 13 AVG 1 Local Public Agency County Section Number CITY OF ELGIN KANE 24-00206-00-RS Consultant / Subconsultant Name Job Number RUBINO ENGINEERING C-91-197-24 AVERAGE HOURLY PROJECT RATES EXHIBIT D COST ESTIMATE OF CONSULTANT SERVICES (CECS) WORKSHEET SHEET 2 OF 1 PAYROLL AVG HOURLY Hours % Wgtd Hours % Wgtd Hours % Wgtd Hours % Wgtd Hours % Wgtd Hours % Wgtd CLASSIFICATION RATES Part. Avg Part. Avg Part. Avg Part. Avg Part. Avg Part. Avg PRINCIPAL 76.22 MATERIAL TESTER 1 &2 45.36 PROJECT MANAGER/ENG 51.73 STAFF ENGINEER/GEOLO 38.18 LABORATORY STAFF 32.96 -41 TOTALS 0 0 0% SO 00 0 0 0 SO 00 0 0 0°c SO 00 0 0 0- SO 00 0 0 0% SO 00 0.0 0°- SO 00 Printed 7/29/2024 3:02 PM BLR 05514 (Rev 02/09/23) Page 7 of 13 AVG 2 Local Public Agency County Section Number CITY OF ELGIN KANE 24-00206-00-RS Consultant / Subconsultant Name Job Number RUBINO ENGINEERING AVERAGE HOURLY PROJECT RATES EXHIBIT D COST ESTIMATE OF CONSULTANT SERVICES (CECS) WORKSHEET SHEET 3 OF 1 PAYROLL AVG HOURLY Hours % Wgtd Hours % Wgtd Hours % Wgtd Hours % Wgtd Hours % Wgtd Hours % Wgtd CLASSIFICATION RATES Part. Avg Part. Avg Part. Avg Part. Avg Part. Avg Part. Avg PRINCIPAL 76 22 MATERIAL TESTER 1 &2 45,36 PROJECT MANAGER/ENG 51.73 STAFF ENGINEER/GEOLO 38.18 LABORATORY STAFF 32.96 TOTALS - SO 00 0 0 0% S0 00 0.0 0% S0 00 0.0 0', S0.00 0 0 0° SO 00 0 0 - S0 00 BLR 05514 (Rev. 02/09/23) Printed 7/29/2024 3:02 PM AVG 3 Page 8 of 13 Local Public Agency County Section Number CITY OF ELGIN KANE 24-00206-00-RS Consultant / Subconsultant Name Job Number RUBINO ENGINEERING AVERAGE HOURLY PROJECT RATES EXHIBIT D COST ESTIMATE OF CONSULTANT SERVICES (CECS) WORKSHEET SHEET 4 OF 1 PAYROLL AVG HOURLY Hours % Wgtd Hours % Wgtd Hours % Wgtd Hours % Wgtd Hours % Wgtd Hours % Wgtd CLASSIFICATION RATES Part. Avg Part. Avg Part. Avg Part. Avg Part. Avg Part. Avg PRINCIPAL 76.22 MATERIAL TESTER 1 &2 45.36 PROJECT MANAGER/EN( 51.73 STAFF ENGINEER/GEOL.( 38.18 LABORATORY STAFF 32.96 TOTALS 0-0 0`. S0 00 0 0 0- SO 00 0 0 0 - SO 00 0.0 0% SO 00 0.0 0 S0.00 0.0 0`, SO 00 Printed 7/29/2024 3:02 PM BLR 05514 (Rev. 02/09/23) Page 9 of 13 AVG 4 Local Public Agency County Section Number CITY OF ELGIN KANE 24-00206-00-RS Consultant / Subconsultant Name Job Number RUBINO ENGINEERING AVERAGE HOURLY PROJECT RATES EXHIBIT D COST ESTIMATE OF CONSULTANT SERVICES (CECS) WORKSHEET SHEET 5 OF 1 PAYROLL AVG HOURLY Hours % Wgtd Hours % Wgtd Hours % Wgtd Hours % Wgtd Hours % Wgtd Hours % Wgtd CLASSIFICATION RATES Part. Avg Part. Avg Part. Avg Part. Avg Part. Avg Part. Avg PRINCIPAL 76.22 MATERIAL TESTER 1 &2 45.36 PROJECT MANAGER/ENGI 51 73 STAFF ENGINEER/GEOLOC 38 18 LABORATORY STAFF 32 96 _ TOTALS 0 0 0°'- SO 00 0 0 0% SO 00 0 0 0% $0.00 0 0 0% SO.00 0 0 0- SO 00 0 0 0% SO 00 BLR 05514 (Rev. 02/09/23) Printed 7/29/2024 3:02 PM AVG 5 Page 10 of 13 Instructions for BLR 05514 Form instructions are not to be submitted with the form EXHIBIT D COST ESTIMATE OF CONSULTANT SERVICES(CECS)WORKSHEET FIXED RAISE This form shall be used as and exhibit with BLR 05530,Local Public Agency Engineering Services Agreement,when Cost Plus Fixed is selected as the method of compensation with the raise date selected by the user. For more information, refer to the Bureau of Local Roads and Streets Manual(BLRS)Chapter 5. Fields completed on one tab that are required on other tabs are automatically populated based on the entry on the first tab ESCALATION TAB Local Public Agency Insert the name of the Local Public Agency(LPA). County Insert the county name in which the LPA is located Section Number Insert the section number associated with this project Prime Consultant(Firm)Name Insert the name of the prime consultant for this agreement Prepared By Insert the name of the person who prepared this document. Date Insert the date the document was prepared Consultant/Subconsultant Name Insert the name of the consultant or subconsultant exhibit is for This is the name that will be displayed at the top of all the other sheets Job Number Insert the job number(s)for associated with this project Remarks Insert remarks and/or comments associated with this project or associated Payroll Escalation Table Contract Term Insert the contract term in months. Overhead Rate Insert the IDOT approved overhead rate in place at the time of this agreement. Start Date Insert the start date of this agreement. Complexity Factor Insert the complexity factor assigned to this project. A complexity factor is assigned to the project,not to the LPA Raise Date Insert the initial raise date. of Raise No entry necessary,this is set at two percent. End Date No entry necessary,this field is automatically calculated based on the start date and contract term Escalation Per Year No entry necessary,all fields are automatically calculated based on contract term,start date,and raise date. RATES TAB Local Public Agency This field is automatically completed based on entries on the Escalation Tab County This field is automatically completed based on entries on the Escalation Tab Section Number This field is automatically completed based on entries on the Escalation Tab Consultant/Subconsultant Name This field is automatically completed based on entries on the Escalation Tab Job Number This field is automatically completed based on entries on the Escalation Tab Maximum Payroll Rate This is the maximum payroll rate allowable on this agreement Escalation Factor This field is automatically completed based on entries on the Escalation Tab Classification List each payroll classification who will work on this project,on a separate line IDOT Payroll Rates on File Enter the IDOT approved rate for the classification listed to the left Calculated Rate No entry necessary,this field is automatically completed based on the approved rate times the escalation factor SUBS TAB Local Public Agency This field is automatically completed based on entries on the Escalation Tab County This field is automatically completed based on entries on the Escalation Tab Section Number This field is automatically completed based on entries on the Escalation Tab Consultant/Subconsultant Name This field is automatically completed based on entries on the Escalation Tab Job Number This field is automatically completed based on entries on the Escalation Tab Name List subconsultants that will be used on this project,using a separate line Printed 7/29/2024 3.02 PM BLR 05514(Rev.02/09/23) Page 11 of 13 INSTRUCTIONS Instructions for BLR 05514 Form instructions are not to be submitted with the form for each Direct Labor Total Insert the direct labor for the consultant listed to the left. Contribution to Pnme Consultant No entry necessary.this field is automatically completed. It is the Direct Labor Total times 10% DIRECT COSTS TAB Local Public Agency This field is automatically completed based on entries on the Escalation Tab County This field is automatically completed based on entries on the Escalation Tab Section Number This field is automatically completed based on entries on the Escalation Tab Consultant/Subconsultant Name This field is automatically completed based on entries on the Escalation Tab Job Number This field is automatically completed based on entries on the Escalation Tab Item&Allowable List ALL direct costs required for this protect Those not listed on the form will NOT be eligible for reimbursement by the LPA on this protect. Quanity&Contract Rate Enter Quantity AND Contract Rate Total is automatically calculated COST EST TAB Local Public Agency This field is automatically completed based on entries on the Escalation Tab County This field is automatically completed based on entries on the Escalation Tab Section Number This field is automatically completed based on entries on the Escalation Tab Consultant/Subconsultant Name This field is automatically completed based on entries on the Escalation Tab Job Number This field is automatically completed based on entries on the Escalation Tab Overhead Rate This field is automatically completed based on entries on the Escalation Tab Complexity Factor This field is automatically completed based on entries on the Escalation Tab Task Insert the tasks required for this protect.use a separate line for each task Staff hours No entry necessary.this is automatically completed based on entries under the AVG tabs for each task It will be the total hours for all payroll classifications for the task listed to the left Payroll No entry necessary.this is automatically completed based on entries under the AVG tabs for each task It will be the total payroll for the task listed to the left Overhead&Fringe Benefits No entry necessary,this is automatically completed based on payroll listed to the left times the overhead rate Direct Costs Insert the amount of direct costs for the task listed to the left Fixed Fee No entry necessary.this is automatically completed based the lessor of minimum of the payroll plus the overhead and fnnge benefits times fifteen percent or 0 33 plus the complexity factor times Services by Others Insert the amount of services by others for the task listed to the left Total No entry necessary.this is the total of the payroll.overhead&fringe benefits, direct costs,fixed fee and services by others of Grand Total No entry necessary.this is the%of the grand total for the task listed to the left. Subconsultant DL This field is automatically completed based on the information completed on the SUB tab Totals Totals fields are automatically completed based on the entries in the column above AVG 1-AVG 5 TABs Local Public Agency This field is automatically completed based on entries on the Escalation Tab County This field is automatically completed based on entries on the Escalation Tab Section Number This field is automatically completed based on entries on the Escalation Tab Consultant/Subconsultant Name This field is automatically completed based on entries on the Escalation Tab Job Number This field is automatically completed based on entries on the Escalation Tab Payroll Classification This field is automatically completed based on entries on the Rates Tab Avg Hourly Rates This field is automatically completed based on entries on the Rates Tab for the classification listed to the left.no payroll classification listed to the left. Total Project Rates Hours This is the total hours based on entries under each task for the payroll Printed 7/29/2024 3.02 PM BLR 05514(Rev 02/09/23) Page 12 of 13 INSTRUCTIONS Instructions for BLR 05514 Form instructions are not to be submitted with the form entry is necessary Part No entry is necessary.this is the percent of participation for the payroll classification listed to the left,of the total project Wgtd Avg No entry is necessary,this is the weighted average for the payroll classification listed to the left Task Each task will automatically be completed based on task entries on the COST EST tab Hours Enter the number of hours the payroll classification listed to the left will perform for the task listed above Part No entry necessary,this is the percent of participation for the payroll classification listed to the left for the task listed above Wgtd Avg No entry necessary.this is the weighted average for the payroll classification listed to the left for the task above. Totals No entry necessary.this is the sum of the column above Printed 7/29/2024 3.02 PM BLR 05514(Rev 02/09/23) Page 13 of 13 INSTRUCTIONS