FHWA 1547 FORM-COMBINED-51ST AVE-BASELINE RD-OLD US 80-EMERGENCY REPAIRS....PDF

Maricopa County — Formal (2015-04-22)

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DETAILED DAMAGE INSPECTION REPORT Report Number
( Title 23, Federal-aid Highways)
Sheet of
FA Project No: MMA-0(260)S TRACS No: SE554 1 1
Location (Name of Road and Milepost FHWA Disaster Number
AZ - 2014 -1
Inspection Date
1. 51st Ave/Beltline/Riggs 2. Baseline Rd E/O 313th Ave 3. Old US 80/Patterson
Description of Damage Federal-aid Route Number
1. Shoulder Repair/Drainage 2. Road Shoulder Damage 3. Shoulder Repair State County
Cost Estimate AZ Maricopa
Description of Work to Date Unit Unit Price Quantity Cost
(Equipment, Labor, and Materials) Completed Remaining
1) 51st Ave/Beltline/Riggs
County Labor - See attached project report $ 4,666.86
County Equipment - See attached project report $ 327.00
County Materials $ 285.00
Mobilization LS $ 4,000.00 1 $ 4,000.00
Grade And Shape Subgrade SY $ 4.75 6000 $ 28,500.00
Concrete Sidewalk, MAG Det. 230 SF $ 21.00 155 $ 3,255.00
Traffic Control LS $ 6,000.00 1 $ 6,000.00
Mobilization CO#1 LS $ 1,000.00 1 $ 1,000.00
Repairs Grade And Shape Subgrade CO#1 SY $ 4.75 3380 $ 16,055.00
Traffic Control CO#1 LS $ 1,500.00 1 $ 1,500.00
Electrical Work And Concrete FoundationPreliminary LS $ 6,000.00 1 $ 6,000.00
Emergency Mobilization CO#2 LS $ 1,802.23 1 $ 1,802.23
Grade And Shape Subgrade CO#2 SY $ 4.75 2000 $ 9,500.00
2) Baseline Rd E/O 313th Ave
County Labor - See attached project report $ 2,841.89
County Equipment - See attached project report $ 2,782.00
Materials $ 1,138.04
3) Old US 80/Patterson
County Labor - See attached project report $ 1,595.59
County Equipment - See attached project report $ 3,324.10
Materials $ 1,315.88
Method Subtotal $ 95,888.59
_X_ Local Forces __ State Forces _X_ Contract PE/CE
Emergency Repair Total $ 95,888.59
Environmental Assessment Recommendation
___ Categorical Exclusion ___ EA/EIS Estimated Total
Recommendation FHWA Engineer Date
___ ___
Eligible Ineligible
Concurrence State Engineer Date
___ ___
Yes NO
Concurrence Local Agency Representative Date
___ ___
Yes No
Form FHWA-1547(Rev. 4-98)