, . , /TEXAS DEPARTMENT OF TRANSPORTATION -DIVISION OF AVIATION Request for Payment for Aviation Project Professional Services Name SECTION A (To be completed by TxDOT) TXldentificationNumber_--'.l4" "3'-'l""2""OI"'4""5""OO""O"'O"-O_________________ Address____􀁾􀀲􀁾􀀳􀁾􀀷􀁾􀁾􀁾􀁾􀁂􀁾􀁌􀁕􀁅􀁾􀁾􀁐􀁾􀁁􀁒􀁋􀁾􀁾􀁗􀁾􀁁􀁾􀁙􀁾_________________________________ 􀁃􀁩􀁾______􀁾􀁌􀁾􀁅􀁾􀁅􀁷􀀧􀁓􀁾􀁓􀁾􀁾􀁾􀁾􀁾 􀀬􀁾􀁍􀁾􀁏􀁾􀀮􀁾􀁍􀁾􀁏􀁾􀀶􀁾􀀳_______________________________ Airport:,___􀁾􀁁􀁄􀀢􀀢􀀢􀀧􀁄􀀡􀁤􀁉􀀢􀀧􀁓􀀢􀀢􀁏􀀢􀀢􀁎􀀧􀀭􀀧􀁁􀁉􀁒􀁐􀀢􀀢􀀢􀀧􀁾􀁏􀀢􀀢􀁒􀀢􀀧􀀭􀁔_____________________________________ Segment 76 DistIDiv 42 Fnnction Code 852 C Object Code 384 􀁔􀁘􀁄􀁏􀁔􀁃􀁓􀁊􀁎􀁏􀀺􀁾􀁏􀁾􀀱􀀱􀁾􀀸􀁾􀁁􀁄􀁾􀁄􀁾􀁏􀁰􀁎_______ TxDOT Contract No. lXlFA099 1-LQ.()S'Date Received: Eligible for Federal Reimbursement XX Yes ____ No Current Contract Amount (Grant Management) Total Fee Approved to Date (From Col. 6 Invoice Worksheet) Total Amount Approved for Payment to Date Amount Approved This Payment Return to Grant Management by: { • t t \ • 0'; APPROVALS: Project Manager ____􀀭􀀻􀀻􀁡􀀻􀀻􀀭􀀭􀀭􀀺􀀭􀀧􀀺􀀮􀀮􀀺􀀮􀀮􀀮􀁺􀀮􀀮􀀮􀀮􀁬􀀮􀀮􀀬􀁊􀀢􀁊􀀬􀀮􀀮􀀡􀀮􀁉􀁾􀀭􀀭􀀧􀁾􀁾􀁾􀀭􀀭 􀁾􀀠Manager, Project 􀁍􀁡􀁮􀁡􀁧􀁾􀁾􀀺􀀮􀀮􀀡􀀺􀁾􀁾􀁾􀁾􀁾􀁚􀁬􀁾􀀺􀀺􀀮􀁤􀁾􀁀􀀭􀁾􀀠SECTION B (to be completed by Consultant) Date of Request: _--lO"'6"'f3"'O'-\'O!.ilS'--__ Payment Request No. 26 Final Pay Request: ___Yes Dates Covered This Payment Request: From __",09""',,-01'-<.',,,04,-__ Tot.lFee to Date (From Col. 4 Invoice Worksheet) Total Payment Requested to Date Less Previous Payments Payment Due This Request RECEIVED JUL 0·52005 AVIATION DIVISION, TxDOT _-"X,,-_ No To ____􀁾􀀰􀀶􀁾􀀯􀀳􀁾􀁏􀁾􀀧􀁏􀁾􀀵______ $__􀁾􀀲􀁾􀀹􀁾􀀵􀀬􀁾􀀲􀀲􀁾􀀴􀁾􀀮􀁏􀁾􀁏______ $__􀁾􀀲􀁾􀀹􀁾􀀵􀀬􀁾􀀲􀀲􀁾􀀴􀁾􀀮􀁑􀁾􀁏______ $,__􀁾􀀲􀁾􀀸􀁾􀀸􀀬􀁾􀀴􀀷􀁾􀀳􀁾􀀮􀀰􀁾􀀰______ $,___􀁾􀀶􀀬􀀮􀁌􀀷􀀵􀀢􀀭􀁬􀀱􀀢􀀢􀀮􀁏􀀢􀀧􀀰____ NOTE: PAYMENT REQUEST MUST BE ACCOMPANIED BY INVOICE WORKSHEET & DBE REPORT. SECOON C (ro be signed by Consulting Engineer) CONCURRENCE AND CERTIFICATION OF CONSULT ANT :eNGINEER: certify that the above services were rendered., or goods 􀁲􀁥􀁥􀁥􀁩􀁾􀀠and that they correspond in eYeIY particular way with the oontmet Im.der which they were procured and that invoice is true, and tmpaid. Signature, Consultaut 􀁅􀁮􀁧􀁩􀁮􀁥􀁥􀁲􀁾􀁾􀁾􀁾􀁾� �􀀭􀁊􀁴􀁊􀀨􀀢􀀬􀀮􀀮􀀮􀀬􀀮􀀭􀀽􀁾􀁾􀀡􀁺􀀺􀀡􀁾􀁾􀀭􀀭􀀭􀁟􀀠Date __􀀭􀀢􀀰􀀢􀀢􀀶􀀯􀀳􀀬􀀬􀀬􀁏􀀬􀀬􀀬􀀧􀁾􀀰􀀵􀀬􀀬􀀭􀁟􀀠TillQT FormD-2-560D.FRM (02/98) INVOICE WORKSHEET Date 06/30/05 Project Name: Addison Airport Project No. 0018ADDON Basic Service Fee: $230,000 Payment Request No. 26 Period: From 09/01/04 To 06/30105 Consultant to complete columns 1-4 Columns 5 & 6 for TxDOT use $295,224.00 COL. 1 COL. 2 COL. 3 COL. 4 %ofPSAPHASE % Complete I Fee Earned to DateFeeContract COL. 5 % Complete COL. 6 Fee Earned to Date 􀁾•.:r"D 1$ "Z..'i".'!>\I).1ii \1l"Q 􀀮􀁾􀀠IS \t) oS,;:,.. . 􀁾􀀠\cro·N SO 2..'3. 􀀨􀀩􀁾•.r'i: \C!l:> 􀀮􀁾􀀠\t \"1., \ 30· ..-.::. \m. .&t> s: \+,T'fl:). n::. 􀁾􀀡􀀩􀂷􀀢􀁲􀁯􀀠..( '2J:). \04,..«"0 􀁜􀀼􀁭􀀮􀁾􀀠.st '2S\. \􀁾􀁑􀀮􀁾􀀠'\a.. .oTC> g c.."1. ...., .....-􀁾􀀮􀀡􀁲􀁯􀀠.s: \'1.. 4G"."'" \o:r".a... 􀁾10.(\$\.:r\) TOTAL FEE TO DATE TxDOT COMMENTS TxDOT Aviation Division Form S67b 1/93 COL. 1 COL. 2 COL. 3 COL. 4 COL. 5 COL. 6 From PSA Attachment E From PSA Section 5.1.1.1. including addenda [for lines "a" through "g' (COL. 1 x Basic Services Fee)/100] Consultanfs estimate of % of phase completed COL. 2 x COL. 3 TDA Project Manager's estimate estimate of % of phase completed COL. 2 X COL. 5 Associates Airport Consultants www.coffmanossoctates.com INVOICE TO: Texas Department of Transportation Aviation Division 125 E. 11th Street Austin, TX 78701-2483 01-MP-15-26 Invoice Number AnN: Ms. Margarita Garcia Assistant Grant Manager JUNE 30, 2005 Date RE: Addison Airport TxDOT CSJ No. 0118ADDON Coffman Associates Liz Oliphant Sim Wright, Inc. Reed Engineering Group Current Invoice Plus TOTAL AMOUNT DUE: RECEIVED JUl 052005 Certified by: 􀁲􀀭􀁻􀀮􀁊􀁾􀁾􀁾􀁾􀁲􀁲􀁦􀀨􀀻􀀭􀁾􀁾􀁾􀁲􀁥􀁾JEANETTE V. C CHIEF EXECU $6,751.00 $0.00 $0.00 751.00 .00 $6,751.00 • ! Kansas City • Phoenix 237 N.W. Blue Parkway, Suite 100, Lee's Summit, MO 64063 816-524·3500 • FAX 524·2575 TEXAS DEPARTMENT OF 􀁔􀁒􀁁􀁎􀁓􀁰􀁯􀀢􀀧􀁁􀁴􀀮􀁉􀁾􀁉􀀻􀀢􀀡􀀧􀁻􀀠 Request for Payment for 􀁁􀁶􀁩􀁡􀁴􀁩􀁯􀀢􀁾􀁣􀁕􀁬􀁸􀀮􀁩􀁉􀁉􀁩􀁬􀁛􀁊􀀻􀀻􀁳􀀠 Air ort Noise Com atibili Plannin Stud SECTION A (To be completed by TxDOT) Name ofPayee COFFMAN ASSOCIATES INC. TX Identification Number_--'1""4"'31..,2"'O:...14::c5"'O"'O"'O""OO"'-__________________ Address__.....􀀲􀀢􀀢􀀳􀁃􀀮􀀡􀀮􀀮􀀷􀀮􀀡􀀾􀀮􀁎� �􀁬􀀮􀁬􀀮􀁌􀀮􀀮􀀬􀁂􀀢􀀢􀁌􀁕􀁅􀀭􀀢􀀢􀀢􀀧􀀮􀀡􀀾􀀮􀁐􀂣􀀡􀁁􀁒􀁋􀀽􀀾􀂣􀀡􀀧􀀭􀀧􀀮􀁗􀀡􀀮􀀮􀂣􀁁􀁾􀁙􀀢􀁟􀁟_________________ 􀁃􀁩􀁾___􀁾􀁌􀁾􀁅􀁾􀁅􀁾􀀧􀁓􀁾􀁓􀁾􀁕􀁎􀁬􀁬􀁩􀁦􀁬􀁔􀁾􀁾􀁾􀀬􀁾􀁍􀁾􀁏􀁾􀀮􀁾􀀶􀁾􀀴􀀰􀁾􀀶� �􀀳__________________ Airport:,__􀁾􀁁􀁄􀁾􀁄􀀢􀀢􀀢􀀢􀀧􀁉􀁓􀀧􀀭􀀧􀁏􀀧􀀭􀀢􀁎􀀺􀁌􀁁􀁉􀁒􀁐􀀢􀀢􀀢􀀧􀀧􀀧􀀢􀀭􀀧􀀧􀀧􀁏􀀺􀀮􀀡􀀮􀁬􀁒...T____________________ Segment 76 DistiDiv 42 Function Code 852X Object Code 384 } 􀁾􀁤􀀮􀁦􀀮􀁴􀁦􀀰􀀳􀁊􀀠TXDOT CSJ NO: 􀀭􀀭􀀬􀁏􀀢􀀢􀀱􀀢􀀢􀀱􀀸􀀼􀂣􀀺􀁁􀁄􀀢􀀢􀀬􀀬􀀬􀀬􀁄􀀢􀀧􀁾􀀷􀀭___ TXDOT Contract No. 􀀭􀀭􀀬􀀽􀁬􀀢􀀧􀁬􀀱􀁾􀁉􀁴􀁾􀀭􀁩􀁉􀁬􀁬􀁾􀀧􀀧􀀡􀁬􀀺􀁩􀀧􀁾􀁬􀁌__� �􀀠1,\0 05Date Received: Eligible for Federal Reimbursement XX Yes No Current Contract Amount (Grant Management) $ 320,000.00 ->6', 􀀨􀀮􀀮􀁾􀁌􀁾Total Fee Approved to Date (From Col. 6 Invoice Worksheet) $ Total Amount Approved for Payment to Date $ oILl.I.o(oI,OO Amount Approved This Payment $ \ I cr-o-o. Qi) ,.. Return to Grant Management by: -1,ll-O) APPROVALS: Project Manager·___--,"""__􀀭􀀽􀁾􀀧􀀭􀀭􀀢􀀧􀁾􀁾􀀺􀀮􀀮􀁊􀁩􀀮􀀮􀀮􀀮􀁌􀁾􀀺􀀺􀁌___ Manager, Project Mana e SECTIONB (to be completed by Consultant) Date of Request: 6130105 Payment Request No. 􀁟􀁾􀀧􀀭􀀭􀁟􀀠Final Pay Request: X No Dates Covered This Payment Request: From 􀁟􀁾􀀵􀀢􀀬􀁉􀁏􀀢􀀬􀁉􀀢􀀬􀁉􀁏􀀢􀀬􀀵􀀬􀀭􀀭􀀭__ To 06130/05 Total Fee to Date (From Col. 4 Invoice Worksheet) $ 315,661.00 Total Payment Requested to Date $ 315.661.00 Less Previous Payments $ 314.661.00 Payment Due This Request $ 1,000.00 NOTE: PAYMENT REQUEST MUST BE ACCOMPANIED BY INVOICE WORKSHEET & DBE REPORT. SECTION C (To b. signed by Consulting Engineer) CONCURRENCE AND CERTIFICATION OF CONSULTANT ENGINEER: certifY that the above services were rendered, or goods received, and that they correspond in evtty particular way with the wntnle IU1der which they were 􀁾􀁲􀁯􀁣􀁵􀁲􀁥􀁤and that the invoice' true, and unpaid. Signature, Consultaut 􀁅􀁮􀁧􀁩􀁮􀁥􀁥􀁲􀂷􀀭􀀭� �􀀧􀀱􀀴􀀺􀀮􀀮􀀮􀀭􀀧􀁩􀁾􀀺􀁦􀀺􀀡􀀬􀁾􀁾􀁟􀁉􀁌􀀮􀀮􀀮􀀮􀀮􀀡􀀮􀀭􀁾􀁾􀀴􀀧􀁾􀀲􀀧􀁴􀀭􀀧􀁾􀁾􀁟􀀠Date _----"'6/""3"'0/""05"--_ ..􀁾􀀠 TxDOT Form D-2-S60D .FRM (02/98) -----------COL. 2 COL. 3 COL. 4COL. 1 %of Contract Fee % Complete I Fee earned to Date • INVOICE WORKSHEET Project Name: Addison ABasic Service Fee: $320,000 irport PaProject No. 0018ADDSN yment Request No. 24 Period: From Date 5101105 6130105 To SI30105 Consultant to complete columns 1-4 Columns 5 & 6 for TxOOT use PSAPHASE TOTAL FEE TO DATE------------' COL. 1 From PSA Atlachment E COL. 2 From PSASeclion 5.1.1.1, including addenda [for lines "a' through 'gO (COL. 1 x Basic Services Fee)/100j COL. 3 Consultant's estimate of % of phase completed COL. 4 COL. 2 x COL. 3 COL. 5 TDA Project Manager's estimate of % of phase completed COL 6 COL. 2 x COL. 5 TxDOT COMMENTS TxOOT Aviation Division Form 567b 1/93 COL. 5 % Complete COL.S Fee Earned to Oate \..,.. So ,I> :'\"",. ,.......... 5 S .A.<: ...h ..... \\ L,,,,,",.. \ot\,&'tIo $ '!oS .-."'...... I........ S \<\,_"" .......... .. .,.;:> q: \"' ............... ,.... 􀁾􀀠􀀬􀁾􀁾􀀮􀁣􀀢􀁏􀀠S S $'t. 􀀦􀁾... 􀁾􀀠....... <::.,...... 􀁜􀁃􀀧􀁴􀀺􀁬􀁾􀁓􀀧􀁢􀀠s: 􀀳􀁴􀀮􀁾􀀠""1:', . ..'1.4."'" JiI; • ..." t; :!o.s.....\..... Associates Airport Consultants WVIW.coffrnonassoclates.com INVOICE TO: Texas Department of Transportation Aviation Division 125 E.11th Street Austin, TX 78701-2483 01-SP-07-24 Invoice Number AnN; Ms. Margarita Garcia Assistant Grant Manager JUNE 30, 2005 Date RE: ADDISON AIRPORT TxDOT Detail No. 01 􀁾􀀸􀁁􀁄􀁄􀁓􀁎􀀠. Coffman Associates North Texas Aerial Surveys, Inc. Liz Oliphant & Associates, Inc. Current Invoice Plus TOTAL AMOUNT DUE: $1,000.00 $0.00 $0.00 .00 $1,000.00 Certified by: 􀁾􀁾􀁾􀁾􀀠􀁾􀀠/I JEANETTE V. C MAN CHIEF EXEC IVE OFFICER Kansas City • Phoenix 237 N,W. Blue Parkway, Suite 100, Lee's Summit,MO 64063 816-524-3500 • FAX 524-2575 TEXAS DEPARTMEJ OF TRANSPORTATION -DIVISION f AVIATION Request for Payment for Aviation Project Professional Services Master Plan SECTION A (To be completed by TxDOT) Name ofPayee_ COFFMAN ASSOCIATES, INC, TX Identification 􀁎􀁵􀁭􀁢􀁥􀁲􀁟􀀭􀀭􀀬􀀱􀀭􀀬􀀡􀀴􀀬􀀬􀀭􀀳􀀱􀀡􀁣􀀡􀀲􀁾􀁏􀀡􀀮􀀡􀀱􀀭􀀬􀀡􀀴􀀵􀁾􀁏􀁾􀁏􀀧􀀮􀀧􀀡􀁏􀁹􀁏􀁏􀁾___________________ Address 􀀲􀀳􀀷􀁎􀁖􀁖􀁂􀁌􀁕􀁅􀁐􀁁􀁒􀁋􀁗􀁁􀁾􀁙􀁾__ _______________ City LEE'S SUMMIT, MO, 64"'0"'63"--___________ Airport:___􀁾􀁁􀁄􀁏􀁤􀀮􀀡􀁄􀀯􀀻􀀡􀀬􀁉􀀡􀀻􀁓􀁾􀁏􀁾􀁎􀁾􀁁􀁉􀁒􀁐􀁾􀀢􀀢􀁟􀀢􀀧􀁏􀀢􀀢􀀧􀁒􀁔_________________ Segment 76 DistiDiv 42 Function Code 852 Object Code 384 . TxDOT CSJ NO: 0118ADDON TxDOT Contract No. Date Received: cr·q . O-f Eligible for Federal Reimbursement Current Contract Amount (Grant Management) Total Fee Approved to Date (From Col. 6 Invoice Worksheet) $ $ lXlFA099 XX Yes ___No 30Q,OOO.00 1..88 ??-] . cc Total Amount Approved for Payment to Date $ dg1&d, 2-(J) Amount Approved This Payment $ v /"' 4-<2.. vC • Return to Grant Management by: q. Ill·Ol{ Date__􀀷􀁟􀁾􀀽􀀨􀀺􀁟􀀭􀂷􀀷􀀧􀀢􀀷􀀭􀀭􀀧􀁃􀀺􀀺􀀺􀀮􀀮􀀮􀀮􀀭􀁾; Date r d ............. f.....,.A-""'--"-_"""""--I..___ SECTION B (to be completed by Consultant) Date of Request: _--'0"'3"'13"'1"'/0"'4'--___ Payment Request No. 24 Final Pay Request: _-,-X,,--_ No Dates Covered This Payment Request: From __0",3""10",1",10,,,4,--,__ To ____􀀭􀀢􀀧􀀰􀀳􀁾􀁄􀁾􀀱􀁾􀁲􀁯􀁾 􀀴______ Total Fee to Date (From Col. 4 Invoice Worksheet) rR::::--:E=-=C=-=E==-'-V--E-D--" $__􀁾􀀲􀁾􀀸􀀳􀁾􀀡􀀶􀁾􀀲􀁾􀁾􀀵􀀮􀁾􀁏􀁏􀁾__ __ Total Payment Requested to Date $__􀁾􀀲􀁾􀀸􀀳􀁾􀀮􀀶􀁾􀀲􀁾􀁓􀀮� �􀀰􀀰􀁾____ APR 0 5 2004 Less Previous Payments $__􀁾􀁚􀁾􀀷􀀷􀁾􀀬􀀶􀁾􀀲􀁾􀀵􀀮􀁾􀁑􀁏􀁾____ Payment Due This Request AVIATION DIVISION, TxDOT $____􀁾􀀶􀁾􀀬􀀰􀁾􀀰􀁾􀀰􀀮􀁾􀀰􀀰􀁾__ __ NOTE: PAYMENT REOUEST MUST BE ACCOMPANIED BY INVOICE WORKSHEET & DBE REPORT. SECTION C (To be signed by Consulting Engineer) CONCURRENCE AND CERTIFICATION OF CONSULTANT ENGINEER: certify that the above services were rendered, or goods received. and Ihat they correspond in cvt::i)' particular way with the contract under which they were pl"OCured il that the • ice is true, and unpaid. Signature, Consultant 􀁅􀁮􀁧􀁩􀁮􀁥􀁥􀁲􀀭􀁦􀀱􀀭􀀧􀀺􀀺􀀲􀁬􀁾􀁾􀁾􀀽􀀭􀁊􀁌􀀮􀀡􀀭􀁊􀀮􀀮􀀴􀁾􀁾􀀧􀀮􀀮􀁨􀀺􀁾___ Date _-"0",31""3",,11,,,,04,,,-_ C TxDOT Form D-2-S60D.FRM (02198) ----INVOICE WORKSHEET Date 03/31/04 Project Name: Addison Airport Project No. 0018AODON Basic Service Fee: $230,000 Payment Request No. 24 Period: From 03/01/04 To 03/31/04 Consultant to complete columns 1-4 PSAPHASE 1, Inventorv 2. Aviation Forecasts 3, Facility ReQuiremenll! 4. Airport Alternatives 5, Environmental Overview 6, Airport Plans 7, Financial ManaQemen! ProQram 8, Public Coordination/Deliverables 9, Pavement Stren9cth 􀁁􀁮􀁡􀁬􀁾􀁳􀁩􀁳􀀠Supplemental Aqreement No.1 TOTAL CONTRACT TOTAL FEE TO DATE -------COL. 1 COL. 2 COL. 3 %of Contract Fee % Complete 9,44 $28310 100,00 3,51 $10530 100.00 7.66 $23030 100,00 6,38 $19130 100.00 4,96 $14880 100,00 8,29 $24880 60,80 9,76 $29280 100,00 22,50 $67510 82.82 4,15 $12450 100,00 23,33 $70 000 100,00 100.000 $300 000 I COL. 4 Fee Earned to Date $28310,00 $10530,00 $23030,00 $19130,00 $14,880,00 $20104,00 $29280,00 $55 911,00 $12450.00 $70000,00 $283,625,00 COL. 1 From PSA Attachment E COL, 2 From PSA Section 5,1.1 '1, including addenda [for lines "8" through "g" (COL. 1 xBasic Services Feel/1001 COL. 3 Consultant's estimate of % of phase completed COL. 4 COL. 2 xCOL. 3 COL. 5 TDA Project Manager's estimate of % of phase completed COL. 6 COL. 2 xCOL. 5 TxDOT COMMENTS TxOOT Aviation Oivision Form 567b 1/93 Columns 5 & 6 for TxDOT use 􀀭􀀭􀀭􀀭􀀭􀀭􀁾COL. 5 COL.S Fee Earned to % Complete Date 5. -z:f.'CICI. 1m ,em -'t \c.s.::'SI>'¢'!> lGll.ttI 􀁾􀀠'Z:"., (\"'"' .<1:> Ir;t>,,;e .so. \'\ \';!.e..c'<> \e\> .ut> ..$ v ... 􀁮􀁥􀀮􀀮􀁾􀀠"!:CI .'{u ! .r:. 'l.t) 10 ....4:1::> \oS'\}.'\.(1;) 􀁜􀁣􀁳􀀮􀀮􀀮􀁾􀀠¢ \'!.,.brs<>. \aI:>.tU ;t '70 «Ut>o N [_u Is􀀧􀀡􀀺􀁴􀁾􀀬􀀨􀀬􀀬􀀱􀁓􀀮􀀠(n) I ....,Collman__ _ ________+_::R,_ECEIVED Associates APR 0􀀵􀀲􀀰􀀰􀁾􀀠Airport Consultants AVIATION DIVISION, TxDOTwww.coffmonassoclotes.com INVOICE TO: Texas Department of Transportation Aviation Division 125 E. 11th Street Austin, TX 78701-2483 ATTN: Ms. Margarita Garcia Assistant Grant Manager RE: Addison Airport TxDOT CS.I No. 0118ADDON Coffman Associates Liz Oliphant Sim Wright, Inc. Reed Engineering Group Current Invoice 01-MP-15-24 Invoice Number MARCH 31, 2004 Date $6,000.00 $0.00 $0.00 $0.00 Plus Balance: TOTAL AMOUNT DUE: .00 $6,000.00 Kansas Cily • Phoenix 237 NW. Blue Parkway, Suite 100, lee's Summit. MO 64063 816-524-3500 • FAX 524·2575 TEXAS DEPARTMEl\'T OF TRANSPORTA.sP Request for Payment for Aviation Project Profession. MasterPlan __􀀭􀀢􀀢􀀭􀀢􀀬􀀬􀀬􀀭􀀽􀁾􀀭􀀭􀀬􀀬􀀬􀀬􀀬􀀭􀀭􀀬___SECTION A (To be completed by TxDOT) DUE DATE Name of Payee COFFMAN ASSOCIATES, INC. TX Identification Number_--'1:z4"-31!.-'2"'°'"'14"'5"'°"'°"'°"-'0°"--__________________ Address,__􀀭􀀬􀀢􀀲􀀳􀀢􀀭􀀬􀀷􀀬􀀭􀀬􀁎􀁗􀁃􀀡􀀮􀀮􀀡􀀡􀀭􀀬􀁂􀀢􀀬􀁌� �􀀬􀁕􀀬􀀬􀀬􀁅􀁾􀁐􀁁􀁒􀁋􀀢􀀢􀀢􀀬􀁾􀁗􀀬􀀭􀀬􀁁􀀢􀀧􀁙􀁌􀀭__________________ Ciry___􀁾􀁌􀁅􀁾􀁅􀁾􀀧􀁾􀁓􀁾􀁓􀁾􀁾􀁾􀁾􀁉􀁾􀁔􀁾􀀬􀁍􀁾􀁏􀁾􀀮􀁾􀁾􀁾􀀰􀁾􀀶􀁾􀀳____________________ Airport:__􀀭􀀭􀀢􀀧􀁁􀁄􀁾􀁄􀀢􀀢􀁉� �􀀢􀀢􀁏􀀢􀀧􀁎􀀢􀀧􀀭􀀢􀁁􀀢􀀢􀁉􀁒􀁐􀀢􀀢􀀧􀀭􀀧􀁏􀀢􀀧􀁒􀀢􀀢􀁔􀁌􀀭____________________ Segment 76 DistfDiv 42 Function Code 􀀸􀀵􀀱􀁾􀀠Object Code -"=__ TxDOT CSJ NO: 0118ADDON TxDOT Contract No. 􀁟􀀮􀀮􀀡􀀮􀀱􀁾􀁘􀀢􀀬􀀢􀁬􀁆􀀡􀀺􀀮􀀡􀁁􀁾􀁏􀁬􀀡􀀬􀀻􀁬􀀹􀀲􀀹___ Date Received: 3 ,/0· 01 Eligible for Federal Reimbursement xx Yes ___ No Current Contract Amount (Grant Management) $ 300,000.00 Total Fee Approved to Date (From Col. 6 Invoice Worksheet) {2...1{, G:.?S. 􀁾􀀠Total Amount Approved for Payment to Date $ d, 73., 4Cfl. 00 Amount Approved This Payment Return to Grant Management by: ________ APPROVALS: Project Manager _____􀀭􀀴􀁾􀀮􀀮􀀮􀀮􀀢􀀮􀀮􀀮􀀮􀀬􀀢􀀢􀀢􀀧􀁾􀀭􀀧􀀭􀂥􀀧􀁾􀀭􀀭􀀭􀀭Date "'6 1\"2.,.[ 'Q A,I Date h 􀀯􀁚􀀱􀁥􀁌􀀢􀁾􀀠2.&19'Grant 􀁍􀁡􀁮􀁡􀁧􀁥􀁭􀁥􀁮 􀁴􀀺􀀭􀀱􀀮􀀮􀀽􀀢􀁌􀁉􀀮􀀮􀀮􀀮􀁉􀀮􀀺􀀺􀀮􀀮􀁁􀁁􀁾􀀮􀁌􀁾􀀮􀀮􀁌􀀮􀁢􀀺􀁾􀀺􀀺􀁳􀀮􀀮􀀮􀀦􀁩􀁾􀁾__ Date 3,15.o'f Manager, Project M a SECTION B (to be completed by Consultant) Date of Request: 62/29/04 Payment Request No. _-""'-_ Final Pay Request Yes No Dates Covered This Payment Request: From __1...,2""/1"'/0""3'---__ To 02/29104 Total Fee to Date (From Col. 4 Invoice Worksheet) $ 2V,625.00 Total Payment Requested to Date $ 277,625.00 Less Previous Payments $ 273,491.00 Payment Due This Request $ 4,134.00 NOTE: PAYMENT REOUEST MUST BE ACCOMPANIED BY INVOICE WORKSHEET & DBE REPORT. SECTION C (To be signed by Consulting Engineer) CONCURRENCE AND CERTIFICATION OF CONSULTANT ENGINEER; certiCy thal the above services were rendered. Of goods received. and that Ihey correspond in eYery particular way wilh!he 􀁯􀁯􀁮􀁾􀀬􀁴􀀠under whkb ,hey were procured and Omf the invoice' true, and unpaid, Signature, Consultant Engineer· ,;:..􀁾􀁾􀁾􀁾􀀺􀀮􀀡􀀲􀁬􀀲􀀺􀀮􀀮􀀮􀀭􀁩􀀮􀀺􀀺􀀺􀀮􀀮􀀮􀀮􀀬􀀭􀀭􀀧􀀺􀀮􀀮􀀮􀀮􀀮􀀮􀁴􀀻􀁴􀀮􀁾􀁾􀁵􀁾􀀭􀀭Date _-,0",21""2",9",,/04,,,-_7 TillOT FormD-2-560D.FRM (02198) INVOICE WORKSHEET Date 02/29/04 Project Name: Addison Airport Project No. 0018ADDON Basic Service Fee: $230,000 Payment Request No. 23 Period: From 􀀱􀁾􀀯􀀱􀀯􀀰􀀳􀀠To 02/29/04 Consultant to complete columns 1-4 Columns 5 & 6 for TxDOT use PSAPHASE COL. 1 %of Contract COL. 2 Fee COL. 3 % Complete COL. 4 Fee Earned to Date 1. Inventorv 9.44 $28310 100.00 $28310.00 2. Aviation Forecasts 3.51 $10530 100.00 $10530.00 3. Facility Requirements 7.68 $23030 100.00 $23030.00 4. Airport Altematives 6.38 $19130 100.00 $19130.00 5. Environmental Overview 4.96 $14880 100.00 $14880.00 6. Airoort Plans 8.29 $24880 80.80 $20104.00 7. Financial Management Program 9.76 $29280 100.00 $29280.00 8. Public Coordination/Deliverables 22.50 $67510 73.93 $49,911.00 9. Pavement Strenoth Analvsis 4.15 $12450 100.00 $12450.00 Suoolemental Aqreement No.1 23.33 $70000 100.00 $70000.00 TOTAL CONTRACT 100.000 $300000 TOTAL FEE TO DATE $277,625.00 COL. 5 % Complete COL. 6 Fee Earned to Date \em.1SO g; 2'(.􀁾\t>, II'\> \c-o .Bi> oS \D,S':)<:> S':)<:> ...... \..-0. 10 $. 􀁺􀀮􀀺􀀻􀀮􀁣􀀾􀀡􀁯􀁯􀀮􀁾􀀠\.rc. -􀁾􀀠s;: \"\ \.1.o.d'> 􀁜􀁾􀁟􀁲􀁯􀀠..A: \"'. <{t'O."" ",?o 􀁾􀁬􀀩􀀠􀁾'2,0 • \1:>'1< ..... 􀁜􀁜􀁓􀀢􀁏􀀮􀁾􀀠,g; "Z."I 􀀭􀁺􀀮􀀮􀁾􀀱􀀩􀀠.... '11. ."1.'> L" 4'\.'I.\\.C<> 􀁜􀁾􀀮􀁬􀀧􀁏􀀠􀁜􀁾􀀮􀁃􀀧􀁴􀀾􀀠.$ \"L .b,S".N .s 􀀢􀁬􀁯􀀮􀁾􀀭􀁾􀀠􀁉􀁾􀀠􀀧� �􀀮􀀮􀀧􀀱􀀱􀀬􀁾􀀧􀀲􀀤􀀮􀁾􀀠I TxDOT COMMENTS TxDOT Aviation Division Form 567b 1/93 COL. 1 From PSA Attachment E COL. 2 From PSA Section 5.1.1.1, including addenda [for lines "a" through "g" (COL. 1 x Basic Services Fee)/100] COL. 3 Consultant's estimate of % of phase completed COL. 4 COL. 2 x COL. 3 COL. 5 TDA Project Manager's estimate of % of phase completed COL. 6 COL. 2 x COL. 5 Ass[gciates Airport Consultants www.cOffmonossociates.com INVOICE TO: Texas Department of Transportation Aviation Division 125 E. 11th Street Austin, TX 78701-2483 ATTN: Ms. Margarita Garcia Assistant Grant Manager RE: Addison Airport TxDOT CSJ No. 0118ADDON 01-MP-15-23 Invoice Number FEBRUARY 29, 2004 Date Coffman Associates Liz Oliphant Sim Wright, Inc. Reed Engineering Group Current Invoice Amount: $4,134.00 $0.00 $0.00 $0.00 $4,134.00 ----! Plus Un aid Balance: $0.00 TOTAL AMOUNT DUE: $4,134.00 /Certified by: '",'􀀻􀀮􀀮􀁴􀀮􀁾􀁴􀀺􀀱􀀺􀀴􀀷􀁚􀁾􀀿􀀺􀁾􀀮􀁾􀁾􀁾􀁾􀁶􀁾􀁾� �4-:(/JEANETTE V '(1 FMAN CHIEF EXE, liVE OFFICER Kansas City • Phoenix 237 N.W. Blue Parkway. Suite 100. Lee's Summit. MO 64063 816-524-3500 • FAX 524-2575 TEXAS DEPARTMEl"< J' OF TRAi'lSPORTATION -DIVISIOl'Io v1" 􀁁􀁖􀁉􀁁􀁔􀁉􀁏􀁎􀁾􀀠COFFMAN 􀁁􀁓􀁓􀁏􀀢􀀢􀁃􀀢􀀬􀁉􀁁􀁾􀁔􀀢􀀢􀁅􀁓􀀢􀀢􀀬􀀬􀀭􀀬􀁉􀁎􀀬􀀭􀀬􀀭􀀬􀀬􀁃􀀬􀀬􀀭􀀬_______________ SECTION A (To be completed by TxDOT) . Name of Payee TX Identification 􀁎􀁵􀁭􀁢􀁥􀁲􀁾􀁟􀀱􀀴􀀬􀀭􀀢􀀬􀀳􀁣􀁣􀁬􀁾􀀲􀀰􀀢􀀬􀀢􀀱􀁾􀀴􀁣􀀢􀀺􀀵􀀢􀀬􀀭􀁏􀁏􀁏􀀢􀀢􀀢􀁏􀁏􀀬􀀬􀀬􀀭__________________ Address 237 NW 􀁾􀁌􀁕􀁅PARKWAY City ! EE'S SUMM.IT"'-'-!,M""""O,,-,.,,64"'0""6,,3_________________ Airport: ADDISON AIRPORT Segment 76 DistJDiv 42 Function Code 852 G Object Code 384 TxDOT CSJ NO: 0118ADDON TxDOT Contract No. _lXIFA099 Date Received: J1--/􀁾fJ'3 Eligible for Federal Reimbursement XX Yes ___ No Current Contract Amount (Grant Management) $ 300,""00"'0=.0"'0'--__ Total Fee Approved to Date (From Col. 6 Invoice Worksheet) $ 􀁌􀀱􀀵􀀩􀀴􀁾􀁜􀀮􀀠􀁾􀀠Total Amount Approved for Payment to Date $ al (ptJ., 􀁾lp'2. 00 Amount Approved This Payment $ 1S) 􀁾􀀠z..1t .(i) Return to Grant Management by: ; l.d-[0·03 APPROVALS: 􀁾􀀠C)\􀁾􀀠Project Manager 􀁾,W '..", 􀀨􀁾􀀠 Date._'.>.:2.I::::.I;..::vC!.lo",L5.=,-_ Date 􀁾􀁬􀁫􀁣􀀭􀀭􀁕􀁊􀀨􀁽􀁊 Manager, Project Mang;" tzni 􀁾􀀠Grant Management o 􀁑􀀱􀁊􀁾􀁉􀁟􀀠Date If), '(0-03 SECTION B (to be completed by Consultant) Date of Request: _. 11/30/03 ___YesPayment Request No. _.£±._ Final Pay Request: X No Dates Covered This Payment Request: From __lul.u/I"'/0"'3'---__ To 11/30/03 Total Fee to Date (From CoL 4 Invoice Worksheet) 􀁲􀀮􀀺􀁾􀀽􀀭􀀮􀀽􀀭􀀽􀀺􀀭􀀺􀀭􀀺􀀺􀀭􀀭􀀭􀀭􀀭􀀬RECEIV ED $ 213,491.QQ TOlal Payment Requested to Date $ 273,491.00 Less Previous Payments DEC a12003 $ 264.867.00 Payment Due This Request : AVIATION DIVISION, TxDOT $ 8.624.00 NOTE: PAYMENT REQUEST MUST BE ACCOMPANTED BY INVOICE WORKSHEET & DBE REPORT. SECIlON C (To be signed by Consulting Engineer) CONCURRENCE AND CERTIFICATION OF CONSUl.TANT ENGINEER: certify Ihilt tbe above services were rendered, or good!> received, and that lbey correspond in every particular way with the conl t under whien !hey were preCUt d and 􀁾􀁛􀀡􀁨􀁥i 'I':' true, nnd unpaid, Signature, Consultant Engineer , Date __1J130!03 TxDOT Form D-2-560D.FRM (02198) ----INVOICE WORKSHEET Date 11130/03 Project Name: Addison Airport Project No. 001 BADDON Basic Service Fee: $230,000 Payment Request No. 22 Period: From 11/1/03 To 11/30/03 Consultant to complete columns 1·4 Columns 5 & 6 for TxDOT use .. PSA PHASE 1 . Inventorv 2. Aviation Forecasts 3. Facility RelJuirements 4. Airport Alternatives 5. Environmental Overview 6. ALrport Plans 7. Financial Manaaement Proaram 8. Public CoordlnationlDeliverables 9. Pavement Strength Analysis Sup[1lemental Aareement No.1 TOTAL CONTRACT TOTAL FEE TO DATE COL. 1 COL. 2 COL. 3 %of Contract Fee % Complete 9.44 $28310 100.00 3.51 $10530 100.00 7.68 $23030 100.00 6.38 $19130 100.00 4.96 $14880 100.00 8.29 $24880 80.80 9.76 $29280 100.00 22.50 $67510 73.93 4.15 $12450 100.00 23.33 $70000 94.09 100.000 $300000 COL. 4 Fee Earned to Date .. $28310.00 $10530.00 $23030.00 $19130.00 $14880.00 $20104.00 $29280.00 $49911.00 $12450.00 $65866.00 $273,491.00 COL. 5 % Complete COL. 6 Fee Earned to Date II'II'..ao S'"Z:!I'.::\'''.m 􀁜􀁬􀁭􀂷􀁾􀀠S \0,$3I:>.Ct> 1_·1$b SO '2.3, 􀀨􀀩􀁾􀀮􀁴􀁜􀀠Im.t\:> eo 􀁜􀁾􀀬\oz.", •('Il \'\'I:).a S \'\.,'n'b.t1:> "'lc> lit> $ 1..6,\t,4.iro \\11:>. '" g '2..,\, 7.«b, t'> ...,'" !\'lo g; dA, ,I\., c<> \'ct>.!i:'I> S \7. o..s.. ,.tt> 􀁾􀀮􀁣􀀾􀀧􀀠􀁾􀁣􀀮􀀮􀀧􀁾􀁾􀁾􀀮􀁴􀀡􀀾􀀠TxDOT COMMENTS TxDOT Aviation Division Form 567b 1/93 [ 􀀱􀁓􀀻􀁺􀀮􀀮􀀢􀀱􀁬􀀬􀁾􀀧􀁜􀁜􀀮􀁴􀀧􀀾􀀠I COL. 1 From PSA Attachment E COL. 2 From PSA Section 5.1.1.1, including addenda [for lines "a" through "g" (COL. 1 xBasic Services Fee)/l00J COL 3 Consultanfs estimate of % of phase completed COL. 4 COL 2 x COL. 3 COL. 5 TDA Project Manager's estimate of % of phase completed COL. 6 COl. 2 x COl. 5 Collatan.." Associates Airport Consultants www.coffmanassociates.com RECEIVED DEC Q12003INVOICE TO: Texas Department of Transportation Aviation Division 125 E. 11th Street Austin, TX 76701-2463 AnN: Ms. Margarita Garcia Assistant Grant Manager RE: Addison Airport TxDOT CSJ No. 011 6ADDON Coffman Associates Liz Oliphant Sim Wright, Inc. Reed Engineering Group 01-MP-15-22 Invoice Number 11130/03 Date $4,624.00 $4,000.00 $0.00 $0.00 􀀭􀀭􀁾􀀮􀀭􀀭􀀭􀀭􀀭􀀭􀀢􀀺􀀧􀀻􀀺􀀻􀀧􀀻􀀻􀀧􀀻􀀽􀀭Current Invoice Amount: I\--= $8,624.00 i. 􀁟􀁾􀁾􀁐􀁾􀁬􀁵􀁾􀁳􀁾􀁕􀁾􀁮􀁾􀁰􀁾􀁡􀁾􀁩􀁤􀁾􀁂􀁾􀁡� �􀁬􀁡􀁾􀁮􀁾􀁣􀁾􀁥􀁾􀀺􀀮___________________________________􀁾􀀤􀁾􀁏􀁾􀀮􀁏􀀽􀁏__􀁾􀁩􀀠TOTAL AMOUNT DUE: Certified by: 􀀯􀁾􀁶􀀺􀁲􀀮􀁌􀁴􀁩􀀿􀀭􀀮􀀠II 􀁾􀀠Cl JEANETTE COFFMAN CHIEF EXECUTIVE OFFICER Kansas Cily • Phoenix 237 N,W, Blue Parkway. Suite 100. Lee's Summit. MO 64063 816-524-3500' FAX, 816·524·2575 $8,624.00 XX Yes TEXAS DEPARTMENT OF 􀁔􀁒􀁁􀁎􀁓􀁐􀁏􀁒􀁔􀁌􀁁􀁾􀀻􀁔􀁾􀁾􀁉􀀻􀁾􀁏􀁾􀁎􀁾􀁾􀁾􀁄􀁾Request for Payment for Aviation PI Master SECTION A (To be completed by T)d)OT) Name TX Identification Number_--'1"'4"'31!.<2"'O"I"'45"'OOO""'''''OO''-__________________ Address__-"'23"-!7...!NW.u!...!B.uL"'UE"-"'..LPA""""R.,K'"'-W!.lA".Y"----________________-City___-"'-I.E..,.EI<..'''''S..,S''''UMM'' '''''''''IT''''-,M"""O,,-.-"64O"""6!"'-3_____________--:-___ Airport:__􀀭􀁬􀀲􀁁􀁄􀁾􀁄􀀢􀀢􀀱􀁓􀀢􀁟􀀧􀁏􀀢􀀢􀁎􀁃􀁬􀀮􀀮􀂣􀀺􀁁􀁉􀁒􀁐􀁏􀀢􀀧􀀢􀀢􀀧􀁾􀁒􀀢􀀢􀁔􀀢􀀭􀀭􀀭􀀭__________-.:;;;r'________ 7,..... Segment 76 Dist/Div 42 Function Code -->8",5",-2_ ..... Object Code= 384 TxDOT CSJ NO: 0118ADDON TxDOT Contract No. _ ....1"'X""'lF""A"'O""9""9___ Date Received: I I,4--0-3 Eligible for Federal Reimbursement Current Contract Amount (Grant Management) Total Fee Approved to Date (From CoL 6 Invoice Worksheet) Total Amount Approved for Payment to Date Amount Approved This Payment Return to Grant Management by: APPROVALS: ProjectManager-_______􀁾􀁾􀀭􀀭􀀭􀀭􀁾􀁾􀁾􀁾􀁾􀁾􀁲􀁢􀁾􀁾􀁾􀀭􀀭􀀭􀀭􀀬􀀠􀁄􀁡􀁴􀁥􀁟􀁾􀁜􀀬􀁬􀁬􀀮􀁢􀁊􀀮􀁬􀁬􀀮􀀮􀀻􀀡􀀯􀀩􀁣􀀮􀀺􀀺􀁟􀀻􀀮􀀺􀁌􀁟􀁟􀀠 Manager, Project Manag 􀁭􀀮􀀧􀁖􀀧􀀬􀀺􀀭􀀮􀀮􀀮􀀢􀀮􀁲􀀮􀁣􀀮􀀮􀁴􀀺􀁾􀀽􀀢􀀢􀀧􀀧􀀧􀀧􀀧􀀧􀁰􀀧􀀭􀀧􀀧􀀧􀀺􀀼􀁃􀀮􀀼􀀧􀀧􀁟􀀧􀀻􀀺􀀽􀁣􀀺􀀺􀀺􀀮􀀻􀁩􀀧􀀧􀀧􀀧􀀧Grant Management ___􀁊􀀭􀀼􀁌􀁾􀀺􀀺􀁉􀀮􀀮􀀼􀀺􀁬􀀬􀀮􀀮􀀮􀀯􀁾􀁾􀀮􀁊� �􀀮􀀮􀁊􀁁􀁢􀁁􀀢􀀢􀀢􀀧􀀬􀀮􀁬􀁬􀀮􀀢􀀧􀁏􀀮􀁊􀀺􀀻􀀮􀁬􀀺􀀮􀀮􀀦􀀮􀀫􀀭Date /I. (I] f) '3 SECTION B (to be completed by Consultant) Date of Request: 111/31/03 Payment Request No. 􀁟􀀭􀀬􀀲􀀬􀀭􀀬􀀱􀁾􀁟􀀠Final Pay Request: ___Yes _'"""-_ No Dates Covered This Payment Request: From ___-"10",1...11,,,0,,-3___ TO ____􀀭􀁬􀁬􀁾􀁾______ Total Fee to Date (From CoL 4 Invoice 􀁗􀁯􀁲􀁫􀁳􀁨􀁾􀀠'R E eElV E D Total Payment Requested to Date $,_--,2",64"",8",6!1-7."'00"--___ NOV 042003Less Previous Payments $,_--'2"'60"",24""""2""'.00><--__ AVIATION DIVISION, TxDOTPayment Due This Request NOTE: PAYMENT REQUEST MUST BE ACCOMPANIED BY INVOICE WORKSHEET & DBE REPORT. SECTION C (To be signed by Consulting Engineer) CONCURRENCE AND CERTIFICATION OF CONSULTANT ENGINEER: certiry that the ;move services were rendered, or goods received, and that lheytorrespond in every panicular way with Ihe c n I under whlch they were procure and th invoice' •and unpaid. Signature, Consultant 􀁅􀁮􀁧􀁩􀁮􀁥􀁥􀁲􀁾􀁾􀁾􀀲􀀮􀀢􀀺􀁬􀁾􀁾􀁾􀀭􀂣􀁾􀀭􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀀺􀀺􀀺􀀺􀀺􀀺􀀮􀀮􀁟􀀠Date _---'-10'"13""1"""0"'3'--_ TxDOT Form D·2-560D.FRM (02198) INVOICE WORKSHEET Date 10131/03 Project Name: Addison Airport Project No. 0018ADDON Basic Service Fee: $230,000 Payment Request No. 21 Period: From 10/1(03 To 10/31/03 Consultant to complete columns 1-4 Columns 5 8. 6 for TxDOT use PSAPHASE COL. 1 %of Contract COL. 2 Fee COL. 3 % Complete COL. 4 Fee Ear!ted to Date 1. Inventorv " 9.44 $28310 100.00 $28310.00 2. Aviation Forecasts 3.51 $10530 100.00 $10530.00 3. Facility Requirements 7.68 $23030 100.00 $23030.00 4. Airport Alternatives 6.38 $19130 100.00 $19130.00 5. Environmental Overview 4.96 $14880 100.00 $14 a80.00 6. Airport Plans 8.29 $24880 80.80 $20 104.00 7. Financial Manaaement Proaram 9.76 $29280 100.00 $29280.00 8. Public Coordination/Deliverables 22.50 $67510 68.01 $45911.00 9. Pavement Stranoth Analvsis 4.15 $12450 100.00 $12450.00 Suoolemantal Aoreement No. 1 23.33 $70000 87.49 $61242.00 TOTAL CONTRACT 100.000 $300000 TOTAL FEE TO DATE $264.867.00 COL5 % Complete COL.S Fee Earned to Date \ rtI. 􀁾􀀠cr-b S '2.T '3'.\..􀀬􀁾􀀠􀁜􀀮􀁾􀀠.. a-o ¢. 'c. 􀀮􀀮􀀡􀀡􀀻􀀻􀀺􀀾􀁏􀁯􀀮􀁾􀀠" 0$ -z::l, c..:!.b. """ ,,,,,,."" 9; \,\, \':\ ..... _ \..... ...u " \.....,n......,. 􀁾􀁢􀀮􀀧􀁮􀀾􀀠-$ '2..0 ,\<:.0. ...... ,,",.ro S 􀁾"Zl(c..."'" f.V ." ..t ..1\6' ,'\\\,,.., 􀁜􀀮􀁾􀀭􀁾􀀠a; 􀀧􀀧􀀲􀀮􀀮􀀬􀀬􀀬􀀬􀀬􀁓􀀬􀀬􀀭􀁾􀀠'\'1_"<" It r.l 1A'!.."';) TxDOT COMMENTS TxDOT Aviation Division Form 567b 1/93 COL 1 COL 2 COL 3 COL. 4 COL. 5 COL 6 I$ 'ZoCoAt)"{ (.., 􀀬􀁾􀁉􀀠From PSA Attachment E From PSA Section 5.1 .1 .1. including addenda [for lines "a" through "g" (COL. 1 x Basic Services Fee)/l00] Consultant's estimate of % of phase completed COL2x COL. 3 TDA Project Manager's estimate of % of phase completed COL 2 x COL. 5 I.ssfJcil1tes Airport Consultants www.coffmanassociates.com INVOICE i • \: TO: Texas Department of Transportation Aviation Division 125 E. 11th Street Austin, TX 78701-2483 ATTN: Ms. Margarita Garcia Assistant Grant Manager RE: Addison Airport TxDOTCSJ No. 0118ADDON 01-MP-15-21 Invoice Number 10/31/03 Date . . 􀀧􀁆􀁏􀁒􀁐􀁒􀁇􀁆􀁅􀀺􀀤􀁓􀁦􀁏􀁎􀁧􀁌􀁴􀁳􀀧􀁅􀀻􀁒􀁖􀁈􀂱􀁅􀁓􀁬􀁾􀁅􀁎􀁄􀁅􀁒 􀁅􀁄􀀢􀀠.. :' .... .' .. Coffman Associates Liz Oliphant Sim Wright, Inc. Reed Engineering Group Current Invoice Amount: Plus Un aid Balance: TOTAL AMOLINT DUE: DUE UPON RECEIPT' JEANETTEV. CHIEF EXEC $4,625.00 $0.00 $0.00 $0.00 $4,625.00 $0.00 $4,625.00 " \ . RECEIVED NOV 0􀁾􀀠2003 AVIATION DIVISION, TxDO . i I Kansas City· Phoenix 237 N.W. Blue Parkway. Suite 100. Lee's Summit. MO 64063 816·524·3500' FAX: 816·524·2575 ')(YLU,c0 TEXAS DEPARTMEL OF TRANSPORTATION -DIVISION -..iF AVIATION Request for Payment for Aviation Projeet Professional Services SECTION A (To be completed by TxDOT) Name of Fayee COFFMAN ASSOCIATES TX Identification 􀁎􀁵􀁭􀁢􀁥􀁲􀁾􀀭􀀭􀀬􀀱􀀲􀀴3"-.1",2",0"14",5",0",0.,..0,,,00,,--_ MasterPlan C. 􀁁􀁤􀁤􀁲􀁥􀁳􀁳􀁾􀁟􀀭􀀭􀀢􀀬􀀲􀀳􀀢􀀭􀀬􀀷􀀬􀀭􀀬􀁎􀀢􀀭􀁗􀀮􀀡􀀮􀀡􀀮􀀮􀀮􀀮􀁬􀁂􀀢􀀢􀁌􀀢􀀢� �􀁅􀁾􀀢􀀢􀀭􀁐􀁁􀀬􀀭􀀬􀀭􀀢􀁒􀀢􀀬􀀬􀁋􀀬􀀭􀀬􀀬􀁗􀀬􀀭􀀬􀁁􀀬􀀢􀀬􀀭􀁙􀀬􀀬􀀬􀀭________􀁾􀁾􀁾_______ City___􀀭􀀢􀀧􀁌􀁅􀁅􀁾􀀧􀀭􀀢􀀧􀁓􀀭􀀢􀁓􀀢􀀢􀁕􀁍􀁾􀁍􀀢􀀧􀁉􀁔􀁾􀀮M....,.O....-"64""0"'6"'3'--________________ 􀁁􀁩􀁾􀁯􀁲􀁴􀀺__􀀭􀁄􀁁􀁾􀁄􀁾􀁄􀁾􀁉􀁓􀁾􀁏􀁾􀁎􀁾􀁁􀁾􀁦􀁦􀁩􀁐􀁾􀁏􀁾􀁒􀁾􀁔􀁌􀁟_________􀁾__________ Segment 76 DistIDiv 42 Function Code 852 Object Code 384 TxDOT CSJ NO: 0118ADDON TxDOT Contract No. _-",1""X""lF..,A",O",,9e<.9___ Date Received: 􀁬􀁯􀀭􀁯􀀿􀁾􀀰􀀳􀀠Eligible for Federal Reimbursement _,,-,X,,-X,,-_Yes No• $_3Daooo.ooCurrent Contract Amount (Grant Management) Total Fee Approved to Date (From CoL 6 Invoice Worksheet) $ 1...c.,D ) ) 2-a,'2... Total Amount Approved for Payment to Date 􀁾􀀰􀀴􀀱03';),OOJ&Yi Amount Approved This Payment $ 5<'0,'2.. \ 0 \ ro Return to Grant Management by: __..L[O,,-,,-_'...,[0",--'...􀁏􀁌􀀳􀁾􀀠APPROVALS: Project Manager __􀀭􀀭􀀻􀁁􀁟􀀭􀀭􀀮􀀺􀀺􀀺􀀽􀀽􀀺􀀺􀀺􀀺􀀮􀀮􀁬􀀢􀀢􀀢􀁢􀀮􀀦􀁾􀀺􀀺􀀽􀀺􀀺􀀺􀀮􀀺􀀺􀀻􀀻􀀻􀀺� �􀀭􀀭􀀭􀀭􀀭Date \<:1 h'"I",::, Manager, Project Ma Date 1'0 􀁣􀁏􀁾􀀠Grant Management...I"dL..l,..&<"-'''-......\-Iq" a ......􀁾􀀴􀁉􀀮􀀮􀀮􀁾􀀮􀀮􀁉􀀧􀁟􀀧􀀧􀀧􀀢􀀧􀀧􀁬􀀮􀀮􀀮􀁌􀀭􀀭Date Lo .H/() 3 SECTION B (to be completed by Consultant) Date of Request: _-"-91...3",,0/,,,0,,-3___ Payment Request Nc. 20 Final Pay Request: ___Yes _-,-X,--_ No Dates Covered This Payment Request: From __",9/"1",/0,,,3___ To ___' 􀀮􀁺􀀹􀁬􀀬􀀭􀀢􀀳􀀢􀀢􀁏􀀯􀀬􀀬􀀬􀁏􀁾􀀳􀁾__ Total Fee to Date (From Col. 4 Invoice 􀁗􀁯􀁲􀁴􀀭􀁋􀁓􀁦􀀧􀁾􀀢􀀽􀀬􀀢􀀺􀁜􀀽􀀭􀀽􀀭􀀽􀁾____􀁾􀀠􀀤􀁟􀁾􀀲􀁾􀀶􀀰􀁾􀀬􀁾􀁾􀀲� �􀀮􀁏􀁾􀁏_____ Total Payment Requested to Date RECEIVED $__􀁾􀀲􀁾􀁏􀁏􀁾􀀬􀀲􀁾􀀴􀁾􀀲􀀮􀁾􀁏􀁏􀁌􀀭____ Less Previous Payments OCT 0 7 2003 􀀤􀁟􀁾􀀲􀁾􀁍􀁍􀁾􀀬􀁾􀀰􀀳􀁾􀀲􀁾􀀬􀁏􀁾􀁏____ Payment Due This Request AVIATION DIVISION, TxDOT $_ 􀁾􀀬􀀬􀀬􀀬􀀬􀀲􀀡􀀮􀁜􀀱􀁏􀀬􀀬􀀬􀀮􀀰􀀬􀀬􀀬􀁏􀀬􀀭􀀭__ NOTE: PAYMENT REQUEST MUST BE ACCOMP ANlED BY INVOICE WORKSHEET & DBE REPORT. SECTION C (To be signed by Consulting Engineer) Signature, Consultant 􀁅􀁮􀁧􀁩􀁮􀁥􀁥􀁲􀁾􀀧􀀻􀁴􀁌􀀮􀀯􀁾􀀨􀁴􀂣􀀡􀁾􀁾􀀭􀁴􀁌􀀭􀀭􀀧􀀭􀁾􀁾􀁾􀁾􀁾􀀺􀁣􀀺􀀺􀀺􀀺􀀺􀀮􀀮􀀮􀀭􀀭􀀭Date __-",9/"",30""10,,.3,--_ TxDOT Form D·2·560D.FRM (02/98) Associates Airport Consultants www.coffmanassociates.com RECEIVED OC1 072003INVOICE 􀁁􀁖􀁾􀁁􀁔􀁾􀁏􀁩􀁬􀁬􀀠􀁭􀁖􀁾􀁓􀀱􀀰􀁎􀀬TxOQT . TO: Texas Department of Transportation 01-MP-15-20 Aviation Division Invoice Number 125 E. 11th Street Austin, TX 78701-2483 AnN: Ms. Margarita Garcia 09/30/03 Assistant Grant Manager Date RE: Addison Airport TxDOT CS.I No. 0118ADDON Coffman Associates $9,710.00 Liz Oliphant $0.00 Sim Wright, Inc. $46,500.00 Reed Engineering Group $0.00 Current Invoice ll.rnrmr,t· Balance: TOTAL AMOUNT DUE: $56,210.00 Certified by: 􀀴􀀮􀁀􀁪􀁾􀁾􀁲􀀲􀀻􀀺􀀭 􀀺􀁤􀀯􀀺􀀻􀀺􀀢􀀭􀀺􀀭􀀺􀀭􀁾􀁾􀁔􀁾􀁶􀀺􀁴􀁩􀁾􀁙􀀡􀁦􀁙􀁍􀁲􀁦􀀠JEANETIE V. C MAN CHIEF EXECU VE OFFICER Kansas City • Phoenix 237 NoW. Blue Parkway. Suite 100. lee's Summit. MO 64063 816-524-3500' FAX: 816-524-2575 INVOICE WORKSHEET Date 9/30/03 Project Name: Addison Airport Project No. 0018ADDON Basic Service Fee: $230,000 Payment Request No. 20 Period: From 9/1/03 To 9130/03 Consultant to complete columns 1·4 Columns 5 & 6 for TxDOT use PSAPHASE L Inventorv 2. Aviation Forecasts 3. Facility Requirements 4. Airport Alternatives 5. Environmental Overview S. Airport Plans 7. Financial Manaaement Proaram 8. Public CoordinationlDeliverables 9. Pavement Strength Analysis Supplemental Aareement No.1 TOTAL CONTRACT TOTAL FEE TO DATE 􀁾􀀠􀁾􀀠COL. 1 COL2 COL. 3 %of Contract Fee % Complete 9.44 $28310 100.00 3.51 $10530 100.00 7.68 $23030 100.00 6.38 $19130 100.00 4.96 $14880 100.00 8.29 $24880 80.80 9.76 $29280 100.00 22.50 $67510 68.01 4.15 $12450 100.00 23.33 $70000 80.88 100.000 $300000 -----COL. 4 Fee Earned to Date $28310.00 $10,530.00 $23030.00 $19130.00 $14880.00 $20104.00 $29280.00 $45911.00 $12450.00 .$56,617.00 -----. $260,242.00 􀀭􀀬􀁾􀀭􀀮􀀠I-$􀀧􀁚􀀮􀁃􀀮􀀼􀀺􀀩􀀬􀀲􀁁􀁚􀀮􀀮􀁾􀀠I '-"-' -----. COL. 5 COL.S Fee Earned to % Complete Date ,..-' 􀁜􀀨􀁓􀁏􀀮􀁾􀀠'£.'lX,"!> 􀁜􀁾􀀮􀀠¢'l> \cro .1:1:> \I> \0, S";!,c> ..... 􀁜􀀼􀀾􀀢􀀼􀀾􀀮􀁾􀀠$;u. <:)'!.C> •(1::, \ \1'\:) •.sC> $. \'" , \ 􀁾􀀼􀀾􀀠."" \(SIl .... 􀁾􀀠􀁜􀁾􀁬􀁬􀁔􀀧􀁑􀀮co '1:'t>::!t::> !!; '2.0,10 ..... """ In..ro !Ii' 'Z.q '2.'(b .'" (,11.<:.\ .$ AS,"\I\.C"C 11S't> • ...., So 1'2. .4&:b."" ,,{o:iT' $SI;.,C.I"a. COL. 1 From PSA Attachment E COL. 2 COL. 3 From PSA Section 5.1.1.1 , including addenda [for lines "a" through "g" (COL 1 xBasic Services Fee)/1001 Consultant's estimate of % of phase completed COL. 4 COL. 2 x COL. 3 COL. 5 TDA Project Manager's estimate of % of phase completed COL. 6 COL 2xCOL 5 TxDOT COMMENTS TxDOT Aviation Division Form 567b 1193 BU,uL TEXASDEPARTME,.1'OFTRANSPORTATION ·DIVISIOI\ 0F AVIATION Request for Payment for Aviation Project Professional Services MasterPlan SECTION A (To be completed by TxDOT) DUE 􀁄􀁦􀁴􀁌􀀢􀀧􀁾􀀢􀀢􀀬� �􀁾􀀺􀀺􀀺􀀺􀀧􀁌􀀮􀀧􀀺􀁾􀀽􀀢􀀧􀀮􀀮􀁌___ Name of 􀁐􀁡􀁹􀁥􀁥􀁟􀁾􀁃􀀺􀁏􀁆􀁆􀁍􀁁􀁎ASSOCIATES INC. Address,___2"'3",,7"'NW"-"-'B"'L"'UE"""-P _________L AR"""''''K"-''Wc£A''''Y''--_____. ---City____􀁌􀀢􀀢􀁅 􀀢􀀢􀁅􀀢􀀭􀀧􀀧􀀧􀀧􀀧􀁓􀀭􀀧􀀧􀀧􀁓􀀧􀀧􀀧􀀧􀁕􀁍􀁍􀁾􀀧􀀧􀀧􀀧􀁉􀁔􀁾􀀬M"""O"". ..,,640"""'6""'3_________________ Airport:___􀁁􀁾􀁄􀀡􀀩􀁉􀁓􀁏􀁎􀀠AIRPORT Segment 76 DistIDiv 42 Function Code 852 X Object Code 384 TxDOT CSJ NO: 0118ADDON TxDOT Contract No. lX1FA099 Date Received: q\􀀯􀁾􀀯􀂷􀁉􀁊􀀮􀀢􀀡__􀁾􀀬􀀠Eligible for Federal Reimbursement XX Yes ___ No__􀁾. Current Contract Amount (Grant Management) $ 300.000.00.0/$ 'LOi\-} 0 '&'1.... NTotal Fee Approved to Date (From Col. 6 Invoice Worksheet) Total Amount Approved for Payment to Date $ l[PQ 1'[' :l,{)O Amount Approved This Payment $ 3-4-,\ Cot) .ro Return to Grant Management by: 􀁾􀁟􀁑􀀢􀀫􀁟..41-"11.·-'o=-)?;-',APPROVALS: Project Manager ____􀀭􀀽􀀭􀀮􀀮􀀮􀀮􀀺􀀺􀀬􀀮􀀡􀀮􀀮􀀻􀀩􀀮􀀮􀀬􀁾􀁾􀁟􀀡􀁟􀀽􀁾􀁾􀁾� �􀀭􀀭􀀭􀁔􀀢􀀠 Date '\\ \\\ \)3 Date I':Z.-􀁾(3 Dale Q. (5:03 TX Identification Number_----'1.:!4"-31'-'2"'0"'14:L5""O",0""0"'OO"'--__􀁾􀁾􀁾___􀁾__'__+-=--='-"'----.;L-Manager, Project 􀁍􀁡􀁮􀁡􀀬􀁾􀁱􀁥􀀩􀁩􀀺􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀀢􀀢􀀧􀁤􀀮􀀬􀀻􀀮􀁾􀁾􀁟􀀺􀀺􀁴􀀮􀀺􀀮􀀮􀀮􀀮􀀭􀀮􀀠Grant Management_-'.=""''--''"'''"''''-.......􀀧􀀭􀀭􀀧􀀧􀀭􀀭􀁪􀁌􀁬􀀮􀁁􀀮􀁾􀀮􀀮􀀮􀀶􀀮􀀮􀀮􀀮􀀮􀁤􀀮􀁊􀀮􀀺􀁃􀀮􀀮􀀮􀀮􀀬􀀧� �􀁜􀀭􀁟􀀠SECTION B (to be completed by o.nsultant) Date of Request' _--'81"'3"'11"'0"'3'--___ Payment Request No. 19 Final Pay Request: ___Yes 􀁾􀀭􀀼􀁘􀀢􀀭􀀭􀁟􀀠No Dates Covered This Payment Request: From __􀀮􀀡􀀡􀁊􀀸􀀯􀀧􀀭􀀡􀀱􀀡􀁬􀀮􀀱􀀰􀁾􀀳__..,. To ___􀁾􀀸􀁾􀀱􀀳􀁵􀀱􀀯􀁾􀀰􀁾􀀳______ Total Fee to Date {From Col. 4 Invoice Worksheetr<-_____--:--:-:-::-. $,__􀁾􀀲􀁾􀁍􀁾􀀮􀁾􀀰􀀳􀁾􀀲� �􀀮􀁏􀁏􀁾_____ RECEIVEDTotal Payment Requested to Date 􀀤􀀧􀁟􀀭􀀭􀁦􀀬􀀲􀁾􀁍􀀢􀀢􀀮􀀰􀀢􀀢􀀳􀀬􀀬􀀬􀀬􀀲􀀮􀁾􀁏􀁏􀀬􀀬􀀭􀀭__ Less Previous Payments $__􀁾􀁉􀁾􀁀􀁾􀀮􀁾􀀸􀀷􀁾􀀲􀁾􀀮􀁏􀁏􀁾_____SEP 032003 Paymenl Due This Requesl AVIATIONDIVISION. TxDOT Ii $ 34.160.00 NOTE: PAYMENT REQUEST MUST BE ACCOMP ANIEO BY INVOICE WORKSHEET & DBE REPORT. SEmON C (To be signed by Consulting Engineer) CONCURRENCE AJ'l"D CERTIFICATION OF CONSULTANT ENGINEER: eenifY thnf the above servkes were rendered, or goods received. and dw: they com;;pond hI every particuJax way with the con ¢l under which Ihey were procured and Ihat invoice is true, ilnd unpaid, Signature, Consultant 􀁅􀁮􀁧􀁩􀁮􀁥􀁥􀁲􀀭􀁦􀁬􀀻􀁚􀀮􀀺􀁾􀁾􀁾􀁾􀀮􀁊􀀮􀁾􀁾􀁾􀀻􀁴􀀮􀀻􀀡􀀺􀀲􀀺􀀺􀀱􀀡􀀺􀀡􀀺􀀺􀀺􀀺􀀺􀀺􀀺􀀺􀀺􀀺 ____ Date 􀁟􀀭􀀭􀀬􀀸􀀡􀁴􀀮􀀱􀀳􀁾􀀱􀁾􀀱􀀰􀀢􀀢􀀬􀀳􀁬􀀮􀀮􀀮􀀮􀀮􀁟􀀠TxDOT Form D-2-560D.FRM (02198) INVOICE WORKSHEET Date 8131/03 Project Name: Addison Airport Project No. 0018ADDON Basic Service Fee: $230,000 Payment Request No. 19 Period: From 811/03 To 8131/03 Consultant to complete columns 1-4 Columns 5 & 6 for TxDOT use PSAPHASE 1. Inventorv 2. Aviation Forecasts 3. Facility Requirements 4. Airport Alternatives 5. Environmental Overview 6. Airport Plans 7. Financial Manallement Proqram 8. Public Coordination/Deliverables 9. Pavement Strenoth Analvsis Suoolemental Aareement No.1 TOTAL CONTRACT TOTAL FEE TO DATE COL. 1 COL. 2 COL.3 '¥oof Contract Fee % Complete 9.44 $28310 100.00 3.51 $10530 100.00 7.68 $23030 100.00 6.38 $19130 100.00 4.96 $14880 100.00 8.29 $24880 80.80 9.76 $29280 􀀧􀁾􀀠22.50 $67510 􀁳􀁾􀀠4.15 $12450 100.00 23.33 $70000 W 100.000 $300 000 COL. 4 Fee Earned to Date $28310.00 $10 530.00 $23 030.00 $19130.00 $14880.00 $20 104.00 $29280.00 $40335.00 $12450.00 $5983.00 $204,032.00 COL. 5 % Complete \ . co eOL.6 Fee Earned to Date S <.'i' 'l)\O,..o 􀀬􀁾􀀮􀁾􀀠,,,..."-' \ $. '\'\ ,-,,0. «> $. '.... '("'to. C'<> To !fo \"">.C'\:) S'l.;-'!S ,c.":> «.S: s: .$ '2."2,0'1-. .., 􀁾􀀠'2.'\ 􀀮􀁾􀂷􀁨􀀮􀀼􀀧􀁴􀀾􀀠SO J,., 􀀧􀀳􀁾􀀮􀁃􀁏􀀠S \ 'Z. 46'<>, "'" Sf s,"l:t:!..ro uum__ 1s."Zo.....􀁯􀁾􀀧􀁚􀀮􀀬􀀠... 1 COL. 1 From PSA Attachment E COL. 2 From PSA Section 5.1.1.1, including addenda [lor lines "a' through "g" (COL. 1 x Basic Services Fee)/l DO] COL. 3 Consultant's estimate 01 % 01 phase completed COL. 4 COL. 2xCOL3 COL. 5 TDA Project Manager's estimate of % of phase completed COL.B COL. 2 x COL. 5 TxDOT COMMENTS TxDOT Aviation Division ·Form 567b 1193 , Associates Airport Consultants www.coffmanassociates.com INVOICE TO: Texas Department of Transportation 01-MP-15-19 Aviation Division Invoice Number 125 E. 11 th Street Austin, TX 78701-2483 ATTN: Ms. Margarita Garcia AUGUST 31,2003 Assistant Grant Manager Date RE: Addison Airport TxDOT CSJ No. 0118ADDON Coffman Associates $19,960.00 Liz Oliphant $0.00 Dr. Lee McPheters $14,200.00 Reed Engineering Group $0.00 Current Invoice Amount: $34,160.00 Plus Unpaid Balance: $0.00 TOTAL AMOUNT DUE: $34,160.00 Certified by: 􀁔􀁦􀁻􀁚􀀱􀁾􀀺􀀧􀀭􀁾􀁾􀁾􀁾􀀮􀁌􀀻􀀺􀀻􀁾􀁾􀁲􀀭 􀂧JEANETTE V. C CHIEF EXECU' I 􀁾􀀮􀀠' : ... \" RECEIVED SEPn 32003 AVIATION DIVISION, TxDO Kansas Cily • Phoenix 237 N.W. Blue Parkway. Suite 100, Lee's Summit. MO 64063 816-524-3500 • FAX: 816·524·2575 I 􀁂􀀨􀁌􀀬􀀨􀀩􀂷􀀯􀁾􀁴􀀬􀀠TEXAS DEPARTMEJ,r OF TRANSPORTATION -DIVISIOl'; OF AVIATION Request for Payment for Aviation Project Professional Services MasterPlan SECTION A (To be completed by TxDOT) DUE DATE__􀀭􀀢􀁃􀀭􀀭􀀭􀀭􀀭􀀧􀁾􀁟􀀧􀁟􀁟􀁟􀀧􀀺􀀮􀀮􀀮􀀮􀀮􀀮􀀺􀀺􀀢􀀧􀁟􀀮􀁌􀁟__ Name of Payee __C.OFFMAN ASSOCIATES, INC, .. 'U • , TX Identification 􀁎􀁕􀁭􀁢􀁥􀁲􀀭􀀭􀀧􀀭􀀧􀀱􀀴􀁵􀀱􀀲􀀢􀀧􀀭􀁏􀁵􀁉 􀀴􀀺􀀺􀁲􀀮􀀮􀁓􀀢􀀧􀀰􀀢􀀧􀁏􀁏􀀡􀁌􀀾􀁏􀁻􀀾􀀡􀀮􀀰􀀧􀀭􀀭􀀭􀀭􀀭􀀮􀁓􀀢􀀢􀀧􀁐􀁉􀀢􀁬􀁊􀁏􀀢􀀢􀀢􀁎􀀢􀀢􀀧􀁓􀁾􀁏􀀭􀁬􀀭􀁬􀁒􀁉􀀮􀁬􀀭􀀭􀀱􀁃􀁐􀁏􀁈...􀀳􀁃􀁌􀁰􀁾􀀧􀁲􀀮Address 237 NW BL,VE PARKWAY City___􀁾􀁌􀀢􀀢􀁅􀀢􀀬 􀁅􀁩􀁯􀁌􀀧􀀢􀀬􀁓􀀮􀀮􀀮􀀬􀁓􀀢􀀬􀁕􀁍􀁍􀀮􀁬􀁬􀀡􀂣􀀢􀀢􀁉􀁔􀁾􀀬M""""O,,-,-><64",0""6,,,,3________________ 􀁁􀁩􀁾􀁯􀁲􀁴􀀺__􀁾􀁁􀁾􀁄􀁾􀁄􀁾􀁦􀁦􀁩􀁾􀁏􀁾􀁎􀁾􀁁􀁦􀁦􀁩􀁐􀁾􀁾􀁏􀁾􀁒􀁾􀁔􀁾􀁟􀁟􀁟􀀠􀁾________________ ______ ..-Segment 76 DistIDiv 42 Function Code 852 B Object Code 384 TxDOT CSJ NO: TxDOT Contract No. __-"'lX""""lF"-'A"'O""9"'9____ Date Recei ved: Eligible for Federal Reimbursement xx Yes No 􀁾􀀮􀁒􀁥􀀯􀁥􀁥􀁯􀀮􀀠Ger 􀀤􀁟􀁾􀀳􀁾􀁾􀁾􀁥􀀮􀁾􀁥􀀸􀁾􀀸􀁾􀀮􀀸􀁾􀁂􀁾􀁃􀀩􀁾􀁾􀀽􀀭􀁟􀀠Total Fee Approved to Date (From Col. 6 Invoice Worksheet) $ \(,Project 􀁍􀁡􀁮􀁡􀁧􀁥􀁲􀀺􀀮􀀮􀀮􀀮􀀭􀀭􀀮􀀭􀀽􀀻􀀻􀀺􀀺􀁉􀀮􀀺􀀺􀀭􀀺􀁲􀀭􀀭􀀭􀀳􀀢􀀭􀀮􀀮􀀮􀀲􀀮􀁾􀀺􀀭􀀢􀀢􀀢􀀧􀀺􀀧􀁴􀁊􀀭􀀽􀀺􀀺􀀺􀀺􀀺􀀺� �􀀺􀀺􀀺􀁲􀀯Grant Management . 􀀮􀀮􀀮􀀬􀀻􀀧􀀽􀀻􀀯􀀮􀁌􀀮􀁬􀀡􀁤􀀺􀀺􀀦􀁾􀀺􀀮􀀮􀀮􀀮􀀮􀀭􀀶􀀬􀁪􀁌􀀱􀀮􀁁􀀮􀀮􀀮􀁌􀁌􀀮􀀮􀁤􀀧􀀮􀁾􀀢􀁡􀀫__ Dale n du-r MJ2IJ Dale g '/3 -03 Manager, Project 􀁍􀁡􀁲􀁮􀁾􀀬􀁊􀀭SECTIO N B (to he completed by Consultant) Date of Request: _---".7,.,/3"'1/"'0.".3____ Payment Request No. _-,,18,,--_ Final Pay Request: ____yes _""'X......_No Dates Covered This Payment Request: From __7/"j/",11O=3___ To _____􀀷􀀡􀀮􀁌􀁬􀁩􀀡􀀮􀁊􀀳􀀱􀁬􀀡􀀮􀁬􀀯􀀰􀁾􀀳􀀺􀀮􀀮􀀮􀀮􀀮􀀮___ Total Fee to Date (From Col. 4 Invoice Worksheet) Total Payment Requested to Date Less Previous Payments Payment Due This Request ,----------.$ 169,872.00 R ECEIVEO --'="='-----'$__􀁾􀀱􀁾􀀶􀀹􀁾􀀮􀀸􀁾􀀷􀁾􀀲􀁾􀀮􀁏􀁏􀁾_____ AUG 0 5 2003 􀀤􀁟􀀭􀀧􀀱􀁾􀀵􀀵􀀧􀀢􀀢􀀮􀀹􀀢􀀢􀀢􀀳􀁑􀀽􀀮􀁑􀁑􀀢􀁟􀁟__ __ AVIATION DIVISION, TxOOf $__􀀭􀀧􀀮􀀱􀀳􀀢􀀮􀀮􀀬􀀹􀀢􀀧􀀴􀀢􀀢􀀲􀁾􀀮􀁑􀁬􀁌􀁏____ NOTE: PAYMENT REQUEST MUST BE ACCOMPANIED BY INVOICE WORKSHEET & DBE REPORT. SECTION C (To be: signed by Consulting IMtgineer) CONCURRENCE AND CERTIfiCATION OF CONSULT ANT ENGINEER: were rendered, or good$ received, and tbat Date _--,7J..,/3",IL\/0",3,--_ certify Ib;l;l the ttbove services lhey correspond in every 􀁰􀀨􀁕􀀧􀁴􀁪􀁾􀁵􀁬􀁬􀁬􀁴􀀠way with the <=01'1 under which they were procured llnd that the in ice is !rUe, and unpaid. Signature, Consultant 􀁅􀁮􀁧􀁪􀁮􀁥􀁥􀁲􀂷􀁾􀁚􀁊􀁾􀀡􀁬􀀺� �􀀱􀁾􀀺􀀺􀀳􀀺􀀺􀀺􀀮􀀺􀀮􀀮􀁴􀁾􀁊􀀺􀀮􀀴􀁾􀀠􀁾􀀽_____ TxDOT Form D·2-560D.FRM (02198) INVOICE WORKSHEET Date 7/31/03 Project Name: Addison Airport Project No. 0018ADDON Basic Service Fee: $230,000 Payment Request No. 18 Period: From 7/1/03 To 7/31/03 Consultant to complete columns 1-4 Columns 5 & 6 for TxDOT use PSAPHASE 1. Inventory 􀁾􀁾􀀲􀀮􀀠Aviation Forecasts 3. Facilitv Recuirements 4. Airport Alternatives 5. Environmental Overview B. Airport Plans 7. Financial Manaaement Proaram 8. Public Coordination/Deliverables 9. Pavement Strenath Analvsis Supolemental Aareement No.1 TOTAL CONTRACT TOTAL FEE TO DATE ----_._.COL. 1 %of Contract 9.44 3.51 7.68 6.38 4.96 8.29 9.76 22.50 4.15 23.33 100.000 , COL. 2 Fee $28310 $10530 $23030 $19130 $14880 $24 880 $29280 $67510 $12450 $70000 $300000 COL. 3 % Complete 100.00 100.00 100.00 100.00 100.00 80.80 51.50 39.04 100.00 0.00 I COL. 4 Fe. Earned to Date $28310.00 $10530.00 $23030.00 $19130.00 $14880.00 $20104.00 $15080.00 $26358.00 $12450.00 0.00 $169,872.00 COL. 5 COL. 6 Fee Earned to %Comptete Dale \/St>.{;'O $'. '2lI','''''0 ..... \a<> .N ... \c>.,s:!>O •." 􀀧􀀼􀁍􀀾􀀮􀁾􀀠.$ 􀁾􀀬􀁴􀀺􀁬􀀳􀁣􀁜􀀮􀁃􀀢􀀺􀁬􀀠􀁜􀁾􀀮􀁲􀁯􀀠$\'1, 􀀬􀁾􀀢􀀧􀀮􀁾􀀠\"" .... s-I.... 't'{CI· tl) 'C C) .'1'0 !!'i 1.0,􀁜􀁾􀀢􀀢􀀮􀁎􀀠5\.-:0 <$ \' 􀁃􀀩􀀢􀁉􀁾􀀮􀀼􀀧􀁏􀀠-:-'''1.1:.''' s;: 􀁾•"b$f. "" .."",.N '£ ,'to.""':O."" 1"$ \(,,'\,1"1 .... TxDOT COMMENTS TxDOT Aviation Division Form 567b 1/93 COL. 1 COL. 2 ·COL. 3 COL. 4 COL. 5 COL. 6 From PSA Attachment E From PSA Section 5.1.1.1. including addenda [for lines "a" through "g" (COL. 1 l< Basic Services Fee)/l00] Consultanfs estimate of % of phase completed COL. 2 l< COL. 3 TDA Project Manager's estimate of % of phase completed COL. 2 l< COL. 5 Associates Airport Consultants www.coffmanassociates.com INVOICE i i TO: Texas Department of Transportation 01-MP-15-18 Aviation Division Invoice Number i125 E. 11th Street Austin, TX 78701-2483 ATTN: Ms. Margarita Garcia JULY 31,2003 Assistant Grant Manager Date RE: Addison Airport ! TxDOT CSJ No. 0118ADDON , , '. " , ..,􀀧􀁦􀁐􀁒􀁐􀁒􀁏􀁆􀁾􀁾􀀬􀀤􀁬􀁱􀁎􀁩􀁜􀀡􀁦􀀧􀁓􀀺􀁾􀁒􀁖􀁲􀂢􀁅􀁓� �􀁾􀀬􀁧􀁎􀁢􀀬􀁾􀁒􀁅􀀻􀁛􀁙􀀧􀀠••"'(\.j: Coffman Associates $10,942.00 Liz Oliphant $3,000.00 Dr. Lee McPheters $0.00 Reed Engineering Group $0.00 Current Invoice Amount: $13,942.00 Plus Unpaid Balance: $0.00 iTOTAL AMOUNT DUE: $13,942.00 ..' .. ' .. 􀀢􀀧􀁾􀀢􀀩􀁬􀀬􀀾􀀧",'; :, .., .'C' , .. " '.􀁾􀁾􀀻􀁾􀀻􀀻􀀠..... ,L'::' ". 􀀢􀀬􀁾􀁜􀀮􀁾􀀮􀀧.., ..: ,-='\ .,".'. '.:' . .'.",' ". 􀂷􀂷􀀢􀁴􀀲􀀢􀀬􀁄􀁬􀁊􀀮􀁥􀁊􀁾􀁊􀁒􀁑􀁎􀀬􀁒􀁊􀁩􀁃􀁅􀁉􀁐􀁔􀀻􀀠. . 􀀭􀁾􀀬􀀠. Certified by: LflUc&--1: 􀀨􀀷􀁾􀁾h0 RECEIVED 􀁾􀀠􀁊􀁅􀁁􀁎􀁅􀁩􀁾􀁃􀁏􀁆􀁆􀁍􀁁􀁎􀀠CHIEF E ECUTIVE OFFICER AUG 0 5 2003 AVIATION DIVISION, TxDOT Kansas City • Phoenix 237 N.W. Blue Parkway. Suite 100. lee's Summit. MO 64063 􀀸􀀱􀀶􀁾􀀵􀀲􀀴􀂷􀀳􀀵􀀰􀀰􀀠• FAX, 816-524·2575 Beu"CL TEXAS DEPARTMENT OF TRANSPORTATION· DIVISION OF AVIATION Request for Payment for Aviation Project Professional Services MasterPlan SECTION A (To be completed by TxDOT) DUE 􀁄􀁁􀁔􀁅􀁟􀁾􀀠_---z. ';)';t: , 0 :5 Name of Payee COFFMAN ASSOCIATES, INC. TX Identification NUmber--"'14""'3'-"1"'20<-'lCI4S"->O"-"O"'-oOO""---'SIll'lilP .....RI"Il..........__O"Url'1lS!"k10 C􀁏􀀢􀀢􀀢􀁰􀁾􀁹􀁗􀀧􀀭Address . 237 NW BLUE 􀁐􀁁􀁒􀀢􀁋􀁯􀀮􀁬􀁗􀀡􀀲􀁁􀁾􀁹􀀬􀀬􀀭􀀭___-==-=----,=-I_'t__________ City 􀁌􀁅􀁅􀀧􀁓􀁓􀁾􀁉􀁔􀀧􀁷􀁍􀁵􀁏􀁾􀀮􀁾􀀶􀀴􀁾􀁏􀁾􀀶􀁌􀀳__________________ Airport: ADDISON AIRPO"'R""T_______________,< ::'___•. Segment 76 DistIDiv _=-_ Function Code 852 Object Code 384 TxDOT CSJ NO: 0118ADDON TxDOT Contract No. _-"1c!!X"'lF/i.A"""'09<-'9'--__ Date Received: Eligible for Federal Reimbursement XX Yes 􀁎􀁯􀀮􀀤􀁾􀀱􀀶􀀰􀀨􀁨􀁴'J/1103I I Current Contract Amount (Grant Management) Total Fee Approved to Date (From Col. 6 Invoice Worksheet) Total Amount Approved for Payment to Date Amount Approved This Payment Return to Grant Management by: __ __ 1-,-'-'..l􀁯􀀽􀀭􀀭􀁏􀀽􀀭􀂷􀁾􀀠APPROVALS: Project Manager·__􀀮􀀮􀀮􀀢􀀬􀀭􀀫􀀫􀀭􀁟􀀭􀀾􀀮􀁾􀀲􀀮􀀮􀁉􀀾􀀬􀁬􀀺􀀬􀀡􀀮􀀡􀀡􀀡􀀺􀀺􀀺􀀺􀀮􀀮􀀮􀀾􀀮 􀀮􀀮􀀻􀁾􀁾􀁲􀀭􀀭􀀭Manager, Project Man Grant 􀁍􀁡􀁮􀁡􀁧􀁥􀁭􀁥􀁮􀁴􀀬􀁟􀀮􀀮􀁉􀀮􀀮􀀴􀀭􀁌􀁾􀀽􀀺􀀮􀁬􀀮􀀮􀀮􀀮􀀧􀁟􀁟􀀢􀀮􀀬􀀻􀀻􀀺􀁪􀀮􀁌􀁬􀀮􀀮􀀮􀀮􀀡􀁬􀀮􀀮􀁾􀀺􀀡􀀬􀁬􀀬􀀮􀁾􀁾􀀬􀀯􀁌􀀧􀀭􀀭$ 3&;ie4P(9& 3aq QQJ: $ \.s.s;,􀁾'!::l;} .􀁾􀀠'1\\ $ 13Sj 9QO 00 􀁾􀀠􀁾􀀠, $.__'+".c""-i0..L.::.Lf\-O",,-,-,,,®= Date :11,,\ Q"\ Date /'/r"l,tLh!Y9 Date 1 '/5·0 3 SECTION B (to be completed by Consultant) Date of Request: 􀁟􀀭􀀢􀁾􀀧􀀭􀀢􀀢􀀭___ Payment Request No. _.!.171.-_ Final Pay Request: _ __Yes Dates Covered This Payment Request: From __",6/-"1/",0,,,3___ To __􀁾􀁾􀁾______ Total Fee to Date (From Col. 4 Invoice 􀁗􀁯􀁲􀁫􀁳􀁨􀁥􀁾________--, Total Payment Requested to Date Less Previous Payments Payment Due This Request RECEIVED JUL It 72003 •AVIATION DIVISION, TxDOT NOTE: PAYMENT REQUEST MUST BE ACCOMPANIED BY INVOICE WORKSHEET & DBE REPORT. SECTION C (To be signed by Consulting Engineer) CONCURRENCE AND CERTIFICATION OF CONSULiANT' 􀁅􀁎􀁏􀁉􀁎􀁅􀁅􀁒􀁾􀀠cer tify thilt the above services were rendered. or goods received, and Ibat they correspond in evePJ partif;ubr WOl)' wilh llIe eon f IJJlder whkb they 􀁷􀁾􀀧􀁰􀁴􀁻􀀩􀁃􀁵􀁲􀁥􀁾and that e invoke is true, and unpaid. Signature, Consultant Engineer ' 1/, Date 6/30/03 TxDOT Form D-2-560D.FRM (02/9&) INVOICE WORKSHEET Date 6130/03 Project Name: Addison Airport Project No. 0018ADDON Basic Service Fee: $230,000 Payment Request No. 17 Period: From 6/1/03 To 6130/03 Consultant to complete columns 1-4 Columns 5 & 6 for TxDOT use PSAPHASE 1. InventolY 2. Aviation Forecasts 3. Facility Requirements 4. Airport Alternatives 5. Environmental Overview 6. Airport Plans 7. Financial Management Prooram B. Public CoordinalioniDeliverables 9. Pavement Stren\1th Analvsis Supplemental AQreemenl No, 1 TOTAL CONTRACT TOTAL FEE TO DATE COL. 1 COL. 2 COL. 3 %of Contract Fee %Complele 9.44 $28310 100.00 3.51 $10530 100.00 7.68 $23030 100.00 6.38 $19130 100.00 4.96 $14880 ,8134 8.29 $24880 ,7678 9.76 $29280 ,3847 22,50 $67510 ,3164 4.15 $12450 ,8916 23.33 $70000 0,00 100.000 $300000 COL. 4 Fee Earnod 10 D.te $28310.00 $10530.00 $23030.00 $19130,00 $12104.00 $19104.00 $11 264.00 $21358,00 $11 iOO.OO 0.00 $155,930.00 COL.S % Complete COL. 6 Fee Earned to Date ICC.c;\:) \cro.1I:") \®.iIt> '¢>"Zli 􀁾􀁜􀀼􀀺􀀮􀁉􀀮¢':> .$ \c S!.<>. "" Q;, '2."> 􀁾􀀺􀀡􀀮􀁴􀀾􀀮􀀠In> \CltI.<'l::. ¢ 􀁜􀀬􀀬􀁜􀀳􀁣􀀺􀀮􀀮􀁾􀀠􀀱􀁜􀁾... g;. l'to " t)i>, • ro "'1. :1« 􀁾􀁴􀀬􀀮􀁉􀁲􀀧􀀠􀁾􀀠\"1.. \t\A,. "' I!> \\ 'to "'''''.N "0 \ .<.1Ir 'li-"2..\ 􀁾􀀮􀁾􀀠'1:'\. \1,. "" \I,\ 01(1 , '" 1$ 􀁜􀁓􀁓􀁾􀁾􀁶􀀮􀀼􀁓􀁜􀁬􀀠I COL 1 From PSA Attachment E COL. 2 From PSA Section 5.1,1.1, including addenda [for lines "a" through "gO (COL 1 x Basic Services Fee)/100] COL. 3 Consultant's estimate of % of phase completed COL 4 COL. 2 x COL 3 COLS TDA Project Manager's estimate of % of phase completed COL 6 COL 2 x COL. 5 TxDOT COMMENTS TxOOT Aviation Division Form 567b 1/93 Associates Airport Consultants www.coffmanassociates.com INVOICE TO: Texas Department of Transportation Aviation Division 125 E. 11th Street Austin, TX 78701-2483 AnN: Ms. Margarita Garcia Assistant Grant Manager RE: Addison Airport TxDOT CSJ No. 0118ADDON < 01-MP-15-17 Invoice Number JUNE 30, 2003 Date Coffman Associates $16,940.00 Liz Oliphant $0.00 Dr. Lee McPheters $0.00 Reed Engineering Group $0.00 _____ _____«Current Invoice Amount: 􀁾􀀠$16,940.00 Plus Unpaid Balance: $0.00 TOTAL AMOUNT DUE: $16,940.00 .< Certified by: 􀀴􀁁􀀯􀀯􀁾􀀠tI􀀨􀁾􀁨􀀠RECEIVEP {I JEANETTE V r.6FFMAN JUL 072003CHIEF EXEluflVE OFFICER AVIATION DIVISION. TxOT Kansas City • Phoenix 237 N.W< Blue Parkway. Suite 100. Lee's Summit. MO 64063 816-524-3500 • FAX: 816-524-2575 13r?LCL TEXAS 􀁄􀁅􀁐􀁁􀁒􀁔􀁍􀁊􀁪􀀻􀁬􀁾􀁔􀀠OF 􀁔􀁒􀁁􀁎􀁓􀁐􀁏􀁒􀁔􀁁􀁔􀁉􀁏􀁎􀁾􀁰􀁉􀁕􀁦􀁦􀁓􀁴􀁊􀀠Request for Payment for Aviation Project Pr 􀁉􀁾􀁏􀁰􀁹MasterPlan SECTION A (To be completed by TxDOT) DUE DATE____􀁾􀁟􀀭􀀧􀀭􀀭􀀭􀀽__L___ Name of Payee COFFMAN 􀁁􀁓􀁓􀁏􀁃􀁉􀁁􀀢􀀬􀁔􀁾􀁅􀀢􀀢􀁓􀁾􀀬IN"-,-,C,,,",__􀁾______________ TX Identification Number_--'1'''401-31..,2'''O'''I.'''45''''OOOO'' '''''''''O''--__________________ Address__􀀭􀀧􀀲􀀢􀀢􀀳􀀢􀀭􀀷􀂣􀁎􀁗􀀡􀀮􀀮􀀮􀀡􀁌􀁾􀁂􀁌􀀡􀁯􀀼􀁕􀁅􀁾􀀮􀀡􀀮􀁐􀁁􀁒􀀢􀀢􀀢􀀢􀀢􀁋􀀲􀀺􀁬􀁗􀁃􀀡􀀺􀁁􀀱􀀮􀀮􀀡􀁙􀁬􀀮􀀮􀁟___________􀁾____ 􀁃􀁩􀁾___􀁾􀁉􀁾􀁅􀁾􀁆􀁾􀀯􀂣 􀁓􀁾􀁓􀁾􀁾􀁾􀁾􀁉􀁔􀁾􀀬􀁍􀁾􀁏􀁾􀀬􀁾􀀶􀀴􀁾􀁏􀁾􀀶􀁾􀀳____________􀁾_____________ ADDISON AIRPO"'R"-T____________________Airport: Segment 76 DistIDiv 42 Function Code 852 Object Code 384 TXDOT CSJ NO: 0118ADDON TXDOT Contract No. _""1"-'X"'1!'.FA"""09"'9'--__ Date Received: La Jq I06 Eligible for Federal Reimbursement 􀁟􀁾􀁙􀁥􀁳__ No Current Contract Amount (Grant Management) Total Fee Approved to Date (From Col. 6 Invoice Worksheet) Total Total Amount Approved for Payment to Date Amount Approved This Payment Retnm to Grant Management by: ---t;!>'--'-'=--''''APPROVALS: . Project 􀁍􀁡􀁮􀁡􀁧􀁥􀁲􀀭􀀭􀀭􀀭􀀺􀁊􀀩􀀡􀁾􀀺􀀺􀀽􀀺􀁾􀁴􀀮􀁾􀀧􀁴􀁴􀁣􀀽􀀽􀁾􀀮􀀱􀀠 Manager, Project Manage 􀁥􀀧􀁴􀁬􀁌􀀭􀀭􀁩􀁾􀁾􀀢􀀢􀀧􀁣􀀨􀁦􀁪􀀲􀀮􀀬􀀮􀁟􀁟􀀯􀀮􀀡􀁄􀀮􀁦􀁴􀀮􀁤􀁌􀁾􀁾􀀿􀁪􀁌􀀠 $ 300,fJOLJ', DO $ \􀀱􀀻􀁾􀀧􀀯􀁾'\0 . ro $ IS31 iff] fl. () U􀁾􀀠$ 􀁓􀀻􀁾􀁳􀀧􀁴􀀠z ,CrtJ Date G" I􀀧􀀳􀁾􀁊􀁯􀁾􀀠 Date 50 􀁾􀁺􀀮􀁯􀀶􀀳􀀠 Date 7-1 '03 SECTION B (to be completed by Consultant) Date of Request: 5/31/03 ___ ___YesPayment Request No, 16 Fina! Pay Request: Dates Covered This Payment Request: From 􀁟􀁾􀀵􀀢􀀢􀁛􀁉􀀢􀀬􀀯􀀰􀀳􀀢􀀬􀀬􀀭􀀭__ Total Fee to Date (From CoL 4 Invoice Worksh Total Payment Requested to Date Less Previous Payments Payment Due This Request ECEIVED JUN 692003 AVIATION DIVISION, T)(DOT 􀁟􀀭􀀢􀁘􀁾􀁟􀀠No To __-",5/",3",11""0,,,,3___ $,__􀁾􀀱􀁾􀀳􀁾􀀸􀀬􀁾􀀹􀀹􀁾􀀰􀁾􀀮􀁏􀁾􀁏______ $,__􀁾􀀱􀁾􀀳􀁾􀀸􀀮􀁾􀀹􀀹􀁾􀁏􀁾􀀬􀁏􀁏􀁾_____ $__􀁾􀀱􀁾􀀳􀀳􀁾􀁁􀁾􀁏􀁾􀀸􀁾􀀬􀀰􀁾􀀰______ $____􀁾􀀵􀁾􀀬􀀵􀁾􀀸􀁾􀀲􀀮􀁾􀁏􀁏􀁾____ NOTE: PAYMENT REOUEST MUST BE ACCOMPANIED BY INVOICE WORKSHEET & DBE REPORT, SECTION C (To be signed by Consulting Engln ....) CONCURRENCE AND CERTIACATION OF CONSULTANT ENGINEER: certify that the above services were rendered, Of goods recci'>'elJ. and th:u they 􀁣􀁯􀁾􀁰􀁯􀁮􀁤in every panicular way witb the contrac under wmch they were procured and t!he in o· is true. !lfId unpaid. Signature, Consultant 􀁅􀁮􀁧􀁩􀁮􀁥􀁥􀁲􀀺􀀭􀀺􀀾􀀴􀀧􀀴􀀺􀀺􀀻􀀬􀁴􀀨􀁤􀁾􀁾􀂣􀀱􀀬􀁌􀀮􀀮􀁾􀀧􀀺􀀮􀀮􀀺􀀮􀀮􀁊􀀢􀀬􀀴􀁾􀁾􀁾􀀺􀁺􀀭􀀭􀀭􀁟􀀠Date _-",51",3",11",,03,,--_ TxDOT Fonn D-2-560D.FRM (02198) INVOICE WORKSHEET Date 5/31/03 Project Name: Addison Airport Project No. 0018ADDON Basic Service Fee: $230,000 Payment Request No. 16 Period: From • 5/1/03 To 5/31/03 Consultant to complete columns 1·4 Columns 5 & 6 for TxDOT use PSA PHASE 1. InventOry 2. Aviation Forecasts 3: Facilitv Requirements 4. Almort Alternatives 5. Environmental Overview 6. AirPort Plans 7. Financial Management Program 8. Public CoordinationlDeliverables 9. Pavement Strenqth Analvsis TOTAL CONTRACT TOTAL FEE TO DATE COL. 1 COL. 2 COL. a %of Contract Fee % Complete 12.309 $28310 100.00 4.576 $10530 100.00 10.013 $23030 100.00 8.317 $19130 100.00 6.470 $146aO .5802 10.617 $24880 .4799 12.731 $29280 .2645 29.352 $67510 .2751 5.413 $12450 .8916 > 100.000 $230000 COL. 4 Fee Earned to Date $28,:310.00 $10 530.00 $23 030.00 $19130.00 $8634.00 $11940.00 $7744.00 $18572.00 $11100.00 $138,990.00 i 􀁾􀀠COL. 5 COL.S Fee Earned 10 % Complete Dale 􀀧􀀭􀁟􀀭􀀭􀀧􀁉􀀭􀀧􀀮􀀮􀀮� �􀁜􀀷􀀺􀀬􀀧􀁦􀁾􀀧􀀨􀀩􀀬􀁾􀁉􀀠 COL. 1 From PSA Attachment E COL. 2 COL. 3 From PSA Seclion 5.1.1.1, including addenda [for lines "a" through "gO (COL 1 )( Basic Services Fee)fl00J Consultant's estimate of % of phase completed COL. 4 ,COL. 5 COl. 6 COL. 2 )( COL. 3 TDA Project Manager's estimate of % of phase completed COL. 2 )( COL. 5 TxDOT COMMENTS TxDOT Aviation Division Form 567b lf93 J' 􀁃􀁯􀁕􀁒􀁵􀁐􀀽􀁮􀁾____________􀁾___ Associates Airport Consultants www.coffmanassocia/es.com INVOICE TO: , Texas Department of Transportation Aviation Division . 125 E. 11th Street Austin, TX 78701-2483 01-MP-15-16 Invoice Number ATTN: Ms. Margarita Garcia Assistant Grant Manager MAY 31,2003 Date RE: Addison Airport TxDOT CSJ No. 0118ADDON . FORPROFE$SIONAI,.SERVICES RENDERED < •• Coffman Associates $5,582.00 Liz Oliphant $0.00 Dr. Lee McPheters $0.00 Reed Engineering Group $0.00 Current Invoice Amount: $5,582.00 􀀱􀁲􀀭􀁾􀁐􀁾􀁬􀁵􀀺􀀮􀀺􀁳􀀺􀀮􀀺􀁕􀀺􀀮􀀺􀁮􀀭􀀢􀁰􀀺􀀮􀀺􀀺􀁡􀀺􀀻􀀮􀀺􀁩􀁤􀀺􀀮􀀺􀁂􀀽􀀭􀁡􀀽􀁬􀀽􀁡􀁮􀁯􀀮􀀺􀀻􀁣􀀺􀀮􀀺􀁥􀀺􀀮􀀺􀀮􀀺_.________ ____ 􀁾______􀀮􀀮􀀮􀀺􀀻􀀤􀀡􀀺􀀬􀀺􀀺􀁏􀁾􀀠TOTAL AMOUNT DUE: $5,582.00 <. ;OUE 􀁬􀁩􀁾􀁏􀁎􀀠RECEIPT • <. JEANETIEV. CHIEF EXEC AN IVEOFFICER RECEIVED JUN 092003 AVIATION DIVISION. TxDOT Kansas City • Phoenix 237 NW. Blue Parkway, Sulle 100. Lee's Summit. MO 64063 816·524·3500' FAX: 816·524·2575 ___ TEXASDEPARTMh,!:Oo>l.lo'--____________--.:'-=-'L...:Cw..O",py Address__-=23""7wNWCU.!...1B"'L""UE """''''-PAR''''''''''K'''W'-'A''''Y''--__________________ 􀁃􀁩􀁾___􀀮􀀮􀀮􀀱􀁌􀁾􀁅􀁾􀁅􀁾􀀧􀁓􀁾􀁓􀁾􀁾􀁾􀁾􀁉􀁔􀁾􀀮􀁾􀁍􀁾􀁏􀁾􀀮􀁾􀀶􀁾􀀴􀀰􀁾􀀶􀁾􀀳__________________ 􀁁􀁩􀁾􀁯􀁲􀁴􀀺__􀁾􀁁􀁄􀁾􀁄􀁾􀁉􀁾􀁓􀁾􀁏� �􀁎􀁵􀁁􀁭􀁐􀁾􀁾􀁏􀁾􀁒􀁔􀂱􀀭___________________ Segment 76 DistIDiv 42 Function Code 852 Object Code 384 TxDOT CSJ NO: 0118ADDON TxDOT Contract No. _-"1"'X""lF"'A""O"'9"'9'--__ Date Received: MOJJ lp,r2()[f, Eligible for Federal Reimbursement _"""",--_"-0 ___No Current Contract Amount (Grant Management)",· $,__.=23""O"".O"'OO"'.O"'O'--__􀁾􀀠Total Fee Approved to Date (From Col. 6 Invoice Worksheet) 􀀤􀀮􀀭􀀭􀀭􀀬􀁜􀀺􀀮􀀮􀀽􀁾􀀽􀀶􀀺􀀮􀀮􀀮􀀮􀁊􀀡􀀡􀁌􀀮􀀡􀁌􀁜􀀭􀀭􀀽􀁯􀁾􀁾􀀮OU=-Total Amount Approved for Payment to Date $ fa';)• Q30.0() Amount Approved This Payment $,___--"-'f_;r-3L-1L-t'"--'---,®><=.. Return to Grant Management by: _-,,5-<-,IL..3.L-'O!..L3....L_ APPROVALS: Project Manager _____􀀭􀀭􀀧􀀾􀁬􀀧􀀭􀀮􀀺􀀺􀁌􀁾􀀮􀀮􀁵􀀮􀀮􀁬􀁩􀀮􀁯􀀮􀀮􀀮􀀮􀀮􀀬􀀺􀀬􀀮􀀮􀀬􀁝� �􀁾􀀴􀁟􀀭􀀭􀀭􀁟􀀠Date_-"'S2,JI'-'sl4\....o_"">'--2 Grant 􀁍􀁡􀁮􀁡􀁧􀁥􀁭􀁥􀁮􀁴􀀧􀀭􀀭􀀧􀀮􀀮􀀮􀀮􀀮􀀮􀀮􀀡􀀧􀀭􀀭􀀭􀀧􀁾􀀺􀀮􀁁􀀮􀀮􀀮􀀮􀁣􀀮􀀮􀁌􀀮􀀮􀀮􀁌􀁐􀀮􀀮􀁁􀁾􀀺􀀺􀀡􀀾􀀮􀀮􀀡􀀮􀁊􀀮􀁌􀁌􀀮􀀡􀀧􀀭􀀭__ Date 5·1'3 '03 Manager, Project 􀁍􀀮􀁾􀁴􀁧􀁾􀁮􀀠Date_.:::S",..IL"'I.....,l""C>L_ SECTION B (to be completed by Consultant) Date of Request: _--'4"'/3"'0"-/0"'3'-___ Payment Request No. _-,,15,,--_ Final Pay Request: ___Yes _.L>.._ No Dates Covered This Payment Request: From __4",1""1/,,,0,,-3___ To __-"4/",3",,(}f,,,O,,-3___ Total Fee to Date (From Col. 4 Invoice Worksh,ye"""et\__- -------. 􀀤􀀬􀁟􀁾􀀱􀀢􀀧􀀳􀀢􀀧􀀳􀀬􀀢􀀢􀀴􀀰􀀢􀀧􀀸􀀢􀀧􀀮􀁏􀁏􀀢􀀢􀀧􀁟􀀧___ RECEIVEDTotal Payment Requested to Date 􀀤􀀬􀁟􀁾􀀱􀁾􀀳􀁾􀀳􀀬􀁾􀀴􀀰􀁾􀀸􀁾􀀮􀁏􀁏􀁾___ Less Previous Payments 􀀤􀀬􀁟􀁾􀀱...2",5,""0 3"'0"'.00""'____MAY 0 6 2003 Payment Due This Request $,__􀁾􀀸􀀬􀁾􀀳􀀷􀁾􀀸􀁾􀀮􀀰􀁾􀁏􀁾___AVIATION DIVISION, TxOOT NOTE: PAYMENT REQUEST MUST BE ACCOMPANIED BY INVOICE WORKSHEET & DBE REPORT, SECTION C (To be s;gned by Consulting Engtn..,,) CONCURRENCE AND CERTIFICATION OF CONSULTAAT ENGINEER: certify that the above sct'Vlces were rendered, or goods received, llnd thilt they col."te.'lpond in every particular way with the contract nderwhlch I.bey were procured and thaI the· . is true, lUld unpaid. Signature, Consultant 􀁅􀁮􀁧􀁩􀁮􀁥􀁥􀁲􀀭􀀢􀀮􀀴􀁾􀁾􀁾􀁾􀁾􀀺􀀮􀂣� �􀁾􀀮􀀮􀀮􀂣􀀬􀁾􀁾􀁾􀀺􀀺􀀺􀀺􀀡􀀺􀀲􀀧􀀺􀀺􀀺􀀺􀀺􀀺􀀺􀀺􀀭􀀭Dale _---"4"'/3"'0"'/03"'-_ TxDOT Form D-2-560D.FRM (02198) INVOICE WORKSHEET Date 4/30/03 Project Name: Addison Airport . Project No. 0018AODON Basic Service Fee: $230,000 Payment Request No. 15 Period: From 4/1/03 To 4130103 Consultant to complete columns 1-4 Columns 5 8< 6 for TxDOT use COL. 1 COL. 2 COL. 3 COL. 4 PSAPHASE %of Contract Fee % Complete Fe. Earned to Date ---1. Inventory 12.309 $28310 100.00 $26310.00 2. Aviation Forecasts 4.578 $10530 100.00 $10530.00 3. Facilitv Requirements 10.013 $23030 100.00 $23030.00 4. Airoort Alternatives 8.317 $19130 100.00 $19130.00 5. Environmental Overview 6A70 􀁾􀀱􀀴􀀠8BO A869 $7246.00 6. Airport Plans 10.817 $24880 .4799 $11940.00 7. Financial ManaQement Program 12.731 $29280 .2164 $6,336.00 B. Public Coordination/Deliverables 29.352 $67510 .2338 $15786.00 9. Pavement StrenQ!h Analysis 5.413 $12450 .8916 $11 100.00 TOTAL CONTRACT 100.000 $230000 TOTAL FEE TO DATE $133,408.00 ---COL. 5 % Complete COL. 6 Fee Earned to Date ...ill).ru 􀁾Zi,'/)\'\:) .G"C 􀁜􀁾􀀮􀀨􀁏􀀠.$ \'C 􀁜􀁾􀁾􀀮􀀡􀁩􀁉􀀺􀁉􀀠'Co .tIt) ..s; ...,........... ...-.:. 􀁜􀁾􀀮􀁾􀀠.$ 􀁜􀁾􀀠􀁜􀁾􀀱􀀩􀀮􀀠. ..-.:. A......... Oh $ 1 1...Ac(..c. •􀁾􀀠􀀧􀀱􀀮􀀮􀀮􀀳􀀮􀁾􀀱􀀢􀀠..$ 􀁜􀁾􀀠􀁾􀁗􀁲􀀮,(til 􀀱􀀺􀁾􀀬􀁜􀀱􀀮􀀮􀀠S. \\. \«1> ...... I -1$􀁜􀁾􀁾􀀬􀀻􀀮􀀬􀁯􀀱􀁣􀁾􀀱􀀠 COL. 1 From PSA Attachment E COL. 2 From PSA Section 5.1.1.1, including addenda [for lines's" through 'g" (COL. 1 xBasic Services Fee)/10Dl COL.S COL4 Consultant's estimate of % of phase completed COL. 2 x COL. S COL. 5 COL. 6 TDA Project Manager's estimate of % of phase completed COL. 2 XCOL. 5 TxDOT COMMENTS TxDOT Aviation Division Form 567b 1/93 􀀽􀀽􀀽􀀽􀀽􀀽􀁾􀁾􀂧􀀽􀀽􀁾􀁾􀁾􀁾f"h+jJ+lySECTIONA (To be completed by TxDOT) DUE DATE___􀀭􀀢􀀭􀀭􀀭􀀧􀀭􀀧􀀧􀀧􀀧􀀭􀁬􀀭􀁾􀁾􀀧􀀢􀀧􀁟__ Name of Payee_.. COFFMAN ASSOCIATES. INC. TX Identification Number_---'1"'43""1""20"""'14""5"'O"'O"'OO"'0'--_________________ 􀁁􀁤􀁤􀁲􀁥􀁳􀁳􀀬􀁟􀀭􀀭􀀺􀀭􀀭􀀭􀀭􀀽􀀲􀀳􀀢􀀧􀀷􀁷􀁎􀁗􀁾􀀭􀀭􀀧􀁂􀀢􀀢􀁌􀀢􀀢􀁕􀁅􀀢􀀢􀀢􀀢􀀧􀀢􀁐􀁁􀁒􀀮􀀮􀀮􀀮􀀮􀀬􀀢􀀧􀁋􀀢􀀢􀁗􀀢􀀧􀁁...Y"______ _____________ City___􀀮􀀮􀀮􀀮􀀡􀁌􀀢􀀧􀁅􀁾􀁅􀀧􀀭􀀢􀁓􀀢􀀢􀁓􀁕􀁍􀁍􀁉􀁔􀀮􀀠MO. 64063 ( Airport:__􀀭􀀧􀁁􀁏􀁾􀁄􀀢􀀢􀁉􀀢􀀢􀁓􀀢􀀢􀁏􀀡􀀡􀀺􀁎􀀧􀀭􀀧􀁁􀁉􀁒􀁐􀁏􀀢􀀢􀀢􀀧􀀧􀀧􀀭􀀧􀀢􀀧..RT'''--____________________ Segment 76 DistIDiv 42 Function Code 852 Object Code 384 TxDOT CSJ NO: 0118ADDON TxDOT Contract No. lXlFA099 Date Received: 4--8􀁾􀁻􀀩􀀹􀀠Eligible for Federal Reimbursement XX Yes ___ No Current Contract Amount (Grant Management) 􀀤􀁟􀁾􀀲􀁾􀀳􀁾􀀰􀀮􀁾􀁏􀁏􀁏􀁾􀀮􀀰􀁾􀀰_____ ...... ;Tota! Fee Approved to Date (From Col. 6 Invoice Worksheet) $ \25,. 03:) 􀀬􀁾􀀠􀁾􀀠 Total Amount Approved for Payment to Date $ IIQ]2St.flo.OO Amount Approved Approved This Payment Return to Grant Management by: __L1--'-·-','-Y.J....:·O:..,:3=-_ APPROVALS: Project Manager ________=-'-"""''''''''.........:==>--__ Date -41 \010..3, Manager, Project MaplIiJ?I;;lrjI Date 4:[ 13> 􀁲􀁾􀀠Grant 􀁍􀁡􀁮􀁡􀁧􀁥􀁭􀁥􀁮􀁴􀁾􀁦􀀮􀀮􀀮􀀮􀀡􀁉􀁟􀁟􀁟􀀧􀁜􀀡􀁯􀁬􀁉􀀮􀀮􀀼􀀡􀁷􀀼􀁬􀀮􀀮􀀮􀀮􀀮􀀻􀀢 􀀬􀀬􀀡􀀬􀀮􀀮􀀮􀀮􀀮􀁰􀁵􀀮􀀮􀁾􀁕􀁬􀀮􀂣􀀮􀀮􀁸􀀮􀀬􀀮􀁉􀁌􀀭􀁴􀀭􀀭􀀭􀀭Date 􀁾􀀮􀀠tV:-03 SECTION B (to be completed by Consultant) Date of Request: 􀁟􀁾􀀳􀀢􀀬􀀯􀀳􀀺􀀮􀀡􀀮􀁩􀁬􀀯􀀢􀀬􀁏􀀢􀀬􀀳___ Payment Request No. 14 Final Pay Request: ___Yes _-,-X,,--_ No Dales Covered This Payment Request: From __""1I",,1I,,,Occ3___ To ____􀁾􀀳􀁾􀁱􀁾􀀱􀁾􀁭􀁾􀀳______ Total Fee to Date (From Col. 4 Invoice Worksh 't:, $__􀁾􀀱􀁾􀀲􀀵􀁾􀁾􀁾􀀳􀁾􀁏􀀮􀁾􀁏􀁏􀁾_____ .-..ECEIVED Total Payment Requested to Date $__􀀭􀀲􀀱􀁾􀁾􀁾􀀬􀁏􀁾􀀳􀁾􀁏􀀮􀁾􀁏􀁏􀁾_____ APR 082003 $__􀀭􀁊􀁬􀁾􀀱􀀹􀁾􀀬􀀸􀁾􀀴􀁾􀀶􀀮􀁾 􀁏􀁏􀁾_____Less Previous Payments AVIATION DIVISION, TxDOT $____􀁾􀀵􀁾􀀮􀀱􀁾􀁍􀁾􀀮􀁾􀁏􀁏􀁾_____ NOTE: PAYMENT REOUEST MUST BE ACCOMPANIED BY INVOICE WORKSHEET & DBE REPORT. Payment Due This Request SECTION C cro be signed by COIlS.mng Engineer) CONCURRENCE AND CERTlFlCATION OF CONSULTANT ENGJNEER: a:rtii}' lIlat the abo\"'e services were rendered, or good$. received, and trw they correspond in CVCi}' particular way with {he oontmct nder which they were procured and that the in ':i lrue, and unpold. Date 3/31m3 TxDOT Form D-2-560D.FRM (02198) INVOICE WORKSHEET Date 3131/03 Project Name: Addison Airport Project No. 0018ADDON Basic Service Fee: $230,000 Payment Request No. 14 Period: From 1/1/03 To 3/31/03 Consultant to complete columns 1-4 Columns 5 & 6 for TxDOT use --------COL.l COi..2 COL. 3 COL. 4 PSA PHASE %of Contract Fee % complete Fee Earned to Date 1. Inventorv 12.309 $28310 tOO.OO $28310.00 2. Aviation Forecasts 4.578 $10530 100.00 $10530.00 3. Facility Requirements 10.013 $23030 100.00 $23030.00 4. Airport Alternatives S.317 $19130 100.00 $19130.00 5. Environmental Overview 6.470 $14880 .3265 $4858.00 6. Airport Plans 10.817 $24880 .3359 $8358.00 7. Rnancial Manaaement Prooram 12.731 $29280 .1683 $4.928.00 8. Public Coordination/Deliverables 29.352 $67510 .2190 $14786.00 9. Pavement Slrenath Analvsis 5.413 $12450 .8916 $11 100.00 TOTAL CONTRACT 100.000 $230000 . TOTAL FEE TO DATE . ····./'·';:tI::· '. "-l. $125,030.00􀀻􀁾􀀾􀁦􀀺􀀧􀀢􀀠. COL.S %Cornplele COL. 6 Fee Earned to Date $ 2.'( 1.\,\), Ii':> [ . ..... ..1$ 􀁜􀀲􀀶􀀬􀁾􀀮􀀱􀁔􀀧􀀾􀀠I COL. 1 From PSA Attachment E . COL. 2 COL. 3 COL. 4 From PSA Sectlon 5.1.1.1, including addenda [for lines "a" through "g" (COL. 1 x Basic Services Fee)/1 00] Consultant's estimate of % of phase completed COL. 2 x COL. 3 COL 5 TOA Project Manager's estimate of % 01 phase completed COL. 6 COL. 2 x COL. 5 TxDOT COMMENTS TxDOT Aviation Division Form 567b 1/93 TEXAS 􀁄􀁅􀁐􀁁􀁒􀁔􀁍􀁾􀁬􀁾􀁔OF TRANSPORTATION • 􀁄􀁉􀁖􀁉􀁓􀁉􀀰􀀱􀁾􀁏􀁆􀀠AVIATION Request for Payment for Aviation Project Professional Services MasterPlan SECTION A (To be completed by TxDOT) DUE DATE j-@}·03 Name of Payee COFFMAN ASSOCIATES, INC. 􀀺􀀺􀁤􀀺􀀺􀀺􀁴􀁩􀁦􀁩􀁣􀁡􀁴􀁩􀁯􀀺􀀺􀁕􀀻􀀺􀀺􀁾􀁌􀀭􀁕􀁅􀀭􀀭􀀭􀀭􀀢􀀱􀀲􀀺􀀳􀀢􀀭􀁾􀀧􀀭􀀧􀀲􀀢􀁏􀀢􀁾􀀢􀀧􀀴􀀵􀀢􀀧􀀺􀀢􀀧􀀺􀀢􀀧􀁏􀀧􀀢􀁏􀁏􀀢􀀭􀀭� �􀀭􀀭􀀭􀀭􀀭􀀭􀁴􀁬􀀸􀁾􀁐O-:-.N-=8--0-R--C-opy .... City,___􀀭􀀭􀀡􀀮􀁌􀁤􀀮􀁅􀀻􀀬􀀡􀀬􀁅􀀧􀀭􀀧􀂷􀁓􀁾􀁓􀁕􀁍􀁾􀀡􀀡􀀡􀁍􀁾􀁉􀁔􀁷􀀮􀀮􀀬􀀮􀀢􀀬􀁍􀁾􀁏􀀢􀀭􀀬􀀬􀀬􀀬􀀻􀀶􀂣􀀺􀀡􀀴􀁬􀁩􀀺􀀰􀀶􀁾􀀳􀀧􀀭􀀭_________________ Airpon:__􀀭􀁌􀁬􀁁􀁄􀁾􀁄􀀢􀀬􀁉􀁓􀀢􀀬􀁏􀀾􀁌􀁎􀀢􀀭􀀭􀂣􀁁􀀢􀀬􀁉􀁒􀁐􀀢􀀢􀀢􀀬􀁏􀀢􀀬􀁒􀀢􀀬􀁔􀀭􀀬􀀭____________________ Segment 76 Dist/Div 42 Function Code 852 Object Code 384 TxDOT CSJ NO: 0118ADDON TxDOT Contract No. _-"1"'X""1±-F,.,A""09"'9'--__ Date Received: {1-/81-(J r Eligible for Federal Reimbursement xx Yes ___No Current Contract Amount (Grant Management) $,____􀀲􀁾􀀳􀁾􀁯􀁾􀀬􀁲 􀁮􀁭􀁾􀀬􀁯􀁾􀁯􀀧􀁟􀁟____ Total Fee Approved to Date (From Col. 6 Invoice Worksheet) $,_--,-\􀁜􀀧􀀭􀁾􀀮􀀾􀀮􀁥􀀬􀀮􀀭􀀧􀀧􀁻􀀬􀀭􀁌􀁜􀀧􀀮􀀺􀀮􀀮􀀾􀀡􀁯􀀬􀀭􀀮tiIJ,,-Total Amount Approved for Payment to Date $'_-'-/'-LI/;---'I􀁧􀀢􀀬􀀭􀀭􀀷􀁾􀁾􀀢􀀭􀂷􀀭􀀢􀀬􀀬􀀬􀀭􀁏􀀮􀀺􀀺􀀺􀀮􀀮􀀨􀀩􀀠Amount Approved This Payment $,---1-'-7)C3.._1_t>_,_'t'i=t:._ Return to Grant Management by: __+-_-+--""'-L_ APPROVALS: Project 􀁍􀁡􀁮􀁡􀁧􀁥􀁲􀁟􀁾􀁟􀁉􀀬􀀮􀀭􀀭􀁟􀀻􀀾􀁾􀁌􀀾􀀮􀁢􀁬􀁯􀁊......􀀢􀀧􀁦􀀧􀀺􀀽􀀮􀀢􀀢􀀢􀀧􀀧􀀧􀀧􀀧􀀧􀀧􀀺􀁟􀁟􀁾􀀭􀀭􀀭Manager. Proj ect Ma " Date \ \ '" \<1,3 Dat#; 􀁾-:uJd3 Date 1'13 -03 SECTION B (to be completed by Consultant) Date of Request: 12131/02 Payment Request No, _",13,,--_ Final Pay Request: Yes X No Dates Covered This Payment Request: From __􀀱􀀢􀀬􀀲􀀡􀀢􀀢􀀱􀀢􀀬 􀀯􀁏􀀬􀀬􀀬􀀬􀀲􀁾__ To 12/31/02 Total Fee to Date (From Col. 4 Invoice Worksheet) $ 119,846,00 Total Payment Requested to Date $ 119,846.00 Less Previous Payments $ 111.876.00 Payment Due This Request $ 7,970.00 NOTE: PAYMENT REQUEST MUST BE ACCOMPANIED BY INVOICE WORKSHEET & DBE REPORT. CONCURRENCE AND CERTIFiC ION OF CONSULTANT EN01N££R: cenlfy tMl the above services were rendered, or goods recciVf.ld, and thaI 􀁴􀁨􀁥􀁹􀁄􀂣􀁔􀀺􀀧􀁾􀀢􀀠􀁥􀁾􀁾􀁲􀁃􀁬􀀮􀁬􀁬􀁡􀁲􀀠wa with the contract under wrnclt they were proeured d that the in 'Oi is true, and unpaid, Signature. Consultant Engi er Date 12/31/02 AVIATION OIVISI0':l. r,nOT TxDOT Form D-2-560D.FRM (02/98) INVOICE WORKSHEET Date 12131/02 Projeot Name: Addison Airport Project No. 0018ADDON Basic Service Fee: $230,000 Payment Request No. 13 Period: From 1211f02 To 12131/02 Consultant to complete columns 1-4 Columns 5 & 6 for TxDOT use COL. 1 COL. 2 COL. 3 COL. 4 %ofPSA PHASE Contract Fee %Complele Fee Earned to Date 1. Inventorv 2. Aviation Forecasts 3. Facility Rl'1<1uirements 4. Airport Alternatives 5. Environmental Overview §. Airport Plans 7. Financial Man809ment Prcoram 8. Public Coordination/Deliverables 9. Pavement Sirenolh Analvsis TOTAL CONTRACT TOTAL FEE TO DATE 12.309 $28310 100.00 4.578 $10530 100.00 10.013 $23030 100.00 8.317 $19130 100.00 6.470 $14880 .2332 10.817 $24880 .2400 12.731 $29280 .1202 29.352 $67510 .2190 5.413 $12450 .8916 . . 100.000 $230000 . i ----$28310.00 $10530.00 $23030.00 $19130.00 $3470.00 $5970.00 $3,520.00 $14786.00 $11 100.00 $119,846.00 COL.5 % Complete ---COL.S Fee Earned to Date ---\ GO·\i'Q 􀁜􀁾􀀮􀀽􀀠$ 'Z.;( :<, \" •" S; 􀁜􀁏􀀬􀁾􀀻􀀳􀁉􀀾􀀮􀀵􀀧􀀾􀀠\ em.t';'> .$ 􀁾􀀬􀁏􀁾􀀭􀁉􀁉􀀧􀀾􀀠􀁜􀀮􀀽􀀮􀁾􀀠"'l.::!, .0,7.,.0 10< \'1., \S"'-"" 6; :!> ...."". '2-"> ..." Qo ..f""I ""\0.... \ '1.. .1:>'2.. 􀁾􀁓•􀀮􀁳􀁾􀀮􀁾􀀠'Z..\ . "-", IS' \lI,.,,,,,.t"> .'is' H, 􀁜􀁣􀁳􀀺􀁡􀀮􀁾􀁾􀀢􀀭.\\.. I I --I"l;; 􀁾􀁜􀁾􀁾􀁾􀀺􀁾􀀠I COL. 1 From PSA Attachment E COL. 2 From PSA Section 5.1.1.1, including addenda [for lines "a" through "9" (COL. 1 x Basic Services Feel/l00] COL. 3 Consultant's estimate of % of phase completed COL. 4 COL. 2 x COL. 3 COL. 5 TDA Project Manager's estimate of % of phase completed COL. 6 COL. 2 x COL. 5 TxDOT COMMENTS TxDOT Aviation Division Form 56Th 1/93 􀁾􀁥􀁶􀀠TEXAS DEPARTME.''iT OF TRANSPORTATION· DIVISION OF AVIATION Request for Payment for Aviation Project Professional Services MasterPlan SECTION A (To be completed by TxDOT) DUE DATE___􀀫􀀭􀀭􀀢􀀧􀀧􀀧􀀧􀀧􀀭􀀭􀀭􀀭􀀧􀀺􀀽􀀻􀀮􀀮􀀮􀀬􀀬􀁾􀀭Name of Payee COFFMAN ASSOCIATES. INC. 1 TX Identification Number ______14312014:S,ONSOB 􀁃􀁏􀁾􀁰􀀭􀀬􀀭􀀭􀀭__. Address 237 NW BLUE PARKWAY City_.....􀁟􀁾􀁌􀀢􀀢􀁅􀀧􀀭􀀧􀀽􀁅􀀧􀀢􀀧􀀢􀁓􀀬􀀭􀀡􀁓􀀢􀀢􀀬􀁕􀁍􀀢􀀢􀀢􀀬􀁍􀁾􀁬􀁔􀀢􀀢􀀬􀀮􀀭􀀢􀁍􀀮􀀮􀀬􀁏􀀬􀀬􀀢􀀬􀀮􀀭􀀬􀀶􀂣􀀺􀁬􀀴􀀬􀀬􀀬􀀬􀀰􀀶􀀬􀀬􀀬􀀬􀀳􀀬􀀭􀀭________________ Airport___ADDISON AIRPORT Segment 76 DistiDiv 42 Function Code 852 .-/Object Code 384 TxDOT CSJ NO: 0118ADDON TxDOT Contract No. 􀁟􀀭􀀢􀀱􀀢􀀢􀁘􀀢􀀬􀀱􀁾􀁆􀀮􀀧􀀭􀀧􀁁􀀢􀀬􀁏􀀬􀀬􀀬􀀬􀀭􀀹􀀹􀀬􀀬􀀭___ Date Received: /7--i9 <1-t;, r Eligible for Federal Reimbursement xx Yes ___No .....-Current Contract Amount (Grant Management) 􀀤􀁟􀁾􀀲􀁾􀀳􀁾􀁏􀀮􀁾􀁏􀁏􀁾􀁏􀁾􀀮􀁏􀁏􀁾_____ Total Fee Approved to Date (From Col. 6 Invoice Worksheet) $ 􀁜􀁜􀁜􀀬􀁾􀀱􀁢􀀼􀁍􀀩􀀠􀁊􀀮􀁾􀀠$ 104, 100 IoU 'V (}ITOITOTotal Amount Approved for Payment to Date Ie I Amount Approved This Payment $___1:..:'"'1-'-.:I_"_' COL.6 Fee Earned to Date 􀁾2.;g' .3.\t:. ,<:'1:> 􀁜􀁾.1'10 S' \1> 􀀬􀁃􀀻􀁾􀀬􀀠&t> \!:ill.a" S 20,<:>'b<>, (';> \"" t"" 'dP 1"1. \$t:., "" 􀀬􀀬􀁾􀀬􀀠$. "Z.,􀁾􀁾't.. Ti'> \,tl,-tlr.... S' :!> ,.5"i""Z.. 􀁾􀀠""( ,"2-\ g; '2., \ 􀁜􀁾􀁟􀀠"'" \'.-nr .!l;: I't.. ' 􀁾􀀠􀁾􀀮􀁜􀁜􀀮􀀮􀀠s: 􀁜􀁜􀀬􀁜􀁾􀀮􀀢􀀢􀀠􀁉􀁾􀀠􀁜􀁜􀁜􀁾􀀧􀀱􀀢􀀮􀀧􀁩􀁏􀀠I COL 1 From PSA Attachment E COL. 2 From PSA Section 5.1.1.1, including addenda [for lines "a" through "g" (COL. 1 x Basic Services Fee)/100j COL. 3 Consul!ant's estimate of % of phase completed COL. 4 COL. 2 xCOL. 3 COL. 5 TDA Project Manager's estimate of % of phase completed COL. 6 COL. 2 xCOL. 5 TxOOT COMMENTS TxDOT Aviation DIvision Form 567b 1193 I Co.llmaD.../Associates RECEIVEDAirport Consultants www.coffmanassociates.com DEC 4 -2002 AVIATION DIVISION. hOOT IINVOICE TO: Texas Department of Transportation Aviation Division 125 E.11th Street Austin, TX 78701-2483 ATTN: Ms; Margarita Garcia Assistant Grant Manager RE: Addison Airport TxDOT CSJ No. 0118ADDON Coffman Associates Liz Oliphant Dr. Lee McPheters Reed Engineering Group Current Invoice Amount: Plus Balance: TOTAL AMOUNT DUE: 01-MP-15-12 Invoice Number NOVEMBER 30, 2002 Date $7,776.00 $0.00 $0.00 $0.00 776.00 $7,776.00 Certified by: 􀀭􀁁􀁕􀁾􀁾􀁾􀁲􀀲􀀺􀀮􀀮􀁾􀀭􀀽􀀭􀀭􀁾􀁾􀀻􀀧􀁬􀁬􀀴􀁾􀀠JEANETTE V. C CHIEF EXECU I Kansas City· Phoenix 237 NW. Blue Parkway. Suite 100. Lee's Summit. MO 64063 816-524-3500' FAX, 816-524-2575 TEXAS DEPARTMENT OF TRANSPORTATION. DIVISIOI'nJF AVIATION 􀁒􀁥􀀬􀁾􀁵􀀧􀁬􀁩􀁩􀁴􀁦􀁯􀁲􀀠Payment for Aviation Project Professional Services SECTION A (To 􀁎􀁡􀁭􀁥􀁏􀁦􀁹􀁡􀁾􀁾􀁾􀁾􀀠TX Airport:__􀀭􀀬􀁁􀀢� �􀁄􀀢􀀢􀁄􀀢􀀢􀁉􀀢􀀬􀁓􀀢􀀢􀁏􀀧􀀡􀀮􀁊􀁎􀀮􀀮􀁌􀁁􀁉􀁒􀁐􀀢􀀢􀀢􀀢􀀬􀁯􀀮􀀻􀁏􀀢􀀬􀁒􀀢􀀬􀀭􀁔􀀬􀀭􀀭􀁟􀁾___􀀬􀁾____________ Segment 76 DistIDiv 42 Function Code 852 Object Code 384 TxDOT CSJ NO: ...J!118ADDON . ___ TxDOT Contract No_ lXlFA099..___ Date Received: t]-5-o p=: Eligible for Federal Reimbursement _LXX"",,_Yes ___/CUrrent Contract Amount (Grant Management) $__􀀭􀀬􀀲􀀢􀀢􀀳􀀢􀀬􀁏􀀢􀀢 􀁏􀀢􀁏􀀢􀀬􀁏􀀢􀀢􀀬􀁏􀀬􀀬􀀬􀁏􀁾___ Total Fee Approved to Date (From Col. 6 Invoice Worksheet) $-1....01\ ,\ lJO . 't'D Total Amount Approved for Payment to Date 􀀤􀁟􀀮􀀺􀀺􀀮􀀬􀁱􀀢􀀢􀀬􀀬􀁾􀁾􀁬0;:..:0-: ...;._-=-()I)-,=Amount Approved This Payment $ S,qqn,<:N• Return to Grant Management by: APPROVALS: Project Manager __.____􀀭􀀻􀀭􀀮􀀮􀀮􀀬􀀻􀀬􀀮􀀮􀀮􀀮􀀮􀀻􀀮􀀮􀀮􀀮􀀮􀁬􀀻􀀬􀀮􀁣􀀺􀀺􀀡􀀺􀀺􀀺􀀡􀀻􀁾􀀽􀀽􀀭􀀮 􀀮􀀮􀁉􀀮􀀮􀁾􀁾􀀭•.1 Date \\ h1..\ .$ 􀁾:c\(!,!.) • 4"C \13'0.111:> s;. \"I l 􀁜􀀬􀀺􀀮􀁬􀀬􀁾􀀠."'" \,.:'1"( [ 7'\.\<" g; \"2... lMro .'fi) .$ \\, \ rn· () 3",. """ 􀁾􀀮􀀢􀁬􀀢􀁜􀀠.$ \,. \-:;.... N \ \ .'1:';;-<$ Y ....... .", ""....\ \,.0 '$ \ \ \ <64"'O"'6:d-3______________􀁾___ Airport:__. Segment 76 ADDISON AIRPORT DistJDiv 42 Function Code 852 € Object Code 384 TxDOT CSJ NO: Date Received: 0118ADDON q ",,0 c...f-6 􀁾􀀠TxDOT Contract No. Eligible for Federal Reimbursement lXlFA099 XX Yes __􀁾􀁎􀁯􀀠Current Contract Amount (Grant Management) $ Total Fee Approved to Date (From Col. 6 Invoice Worksheet) $ Total Amount Approved for Payment to Date $ Amount "':pproved This Payment $,__---','+;'-"--'{.\'-'.3-'-'-,.::..li'U Return to Grant Management by: APPROVALS: Project Manager _______􀀭􀀺􀀺􀁾􀀻􀀺􀀺􀀺􀀻􀀺􀁾􀀻􀀡􀀬􀁊􀀬􀀮􀀮.....􀀢􀁏􀀢􀀢􀀡􀁾� �􀀥􀁟􀀭􀀭􀁄􀁡􀁴􀁥􀁟􀁾\ \'2..-\ 􀁾􀀧􀁦􀀮􀀮􀀮􀀠 rO( It ..It Manager, Project Grant Management._-lo'-__􀀭􀁉􀀭􀀧􀀧􀀧􀀧􀀷􀀮􀀢􀀢􀀮􀀬􀁾􀀭􀀧􀀭􀁾􀀽􀀭􀀮􀁣􀀽􀀭􀀭􀀽􀀽􀀧􀀭Date______ SECTION B (to be completed by Consultant) Date of Request: 8/31/02 Payment Request No, 9 Final Pay Request: Yes X No Dates Covered Tbis Payment Request: From 8/1102 To 8131102 Total Fee to Date (From Col. 4 Invoice Worksheet) $ 91.848,00 Total Payment Requested to Date $ 91.848,00 Less Previous Payments $ 90,035.00 Payment Due This Request $ 1,8\3,00 NOTE: PAYMENT REOUEST MUST BE ACCOMPANIED BY INVOICE WORKSHEET & DBE REPORT, SECfION C (To be signed by Consulting Engineer) CONCURRENCE AND CERTIFICATION OF CONSULTANT ENGINEER: certify lhttl: the above services were rendered. (Jt goods received. and that they oorrespond in every particular way with the con under which lhey were p[ocured aruilhllt the invoice is: lrUe, and unpaid. Signature. Consultant 􀁅􀁮􀁧􀁩􀁮􀁥􀁥􀁲􀀺􀀮􀀮􀀮􀂷􀀴􀁾􀁁􀁤􀁌􀁾􀁾􀁾􀀡􀀺􀁉􀀯􀁾􀀮􀁌􀀴􀀮􀁾􀁾􀁾􀀺􀀺􀀺􀀺􀀺􀀺􀀽􀀽􀀭􀀭Date 􀁟􀀭􀀢􀀸􀀢􀀢􀀯􀀳􀀬􀀬􀀬􀀱􀀢􀀬􀀬􀀱􀁏􀀬􀀬􀀬􀀬􀀲􀁾􀁾􀀠 TxDOT Form D·2·560D,FRM (02198) INVOICE WORKSHEET Project Name: Addison ABasic Service Fee: $230,000 irport PayProject No. 0018ADDON ment Request No. 9 Period: From Date 8/1/02 8/31/02 To 8131102 Consultant to complete columns 1·4 Columns 5 & 6 for TxDOT use PSAPHASE 1. Inventorv 2. Aviation Forecasts 3. Facilitv Reouirements . 4. Almor! Alternatives 5. Environmental Overview 6. Aimor! Plans 7. Financial Manaoernent Prooram a. Public CoordinationIDeliverables 9 . Pavement Strenath Analvsis . TOTAL CONTRACT TOTAL FEE TO DATE 􀁾.. . ---COL. 1 COL. 2 COL. 3 %of Contract Fee % Complete ---. 12.309 $28 310 100.00 4.578 $10530 100.00 10.013 $23030 100.00 8.317 $19130 .5686 6.470 $14880 10.817 $24880 12.731 $29280 29.352 $67510 .1185 5.413 $12450 .8916 100.000 $230000 ---COL. 4 Fee Earned to Date ----$28310.00 $10 530.00 $23030.00 $10878.00 $8 000.00 $11100.00 $91,848.00 --. COL.5 COL. 6 Fee Earned to % Complete Date 􀁜􀀡􀀾􀁬􀀺􀀩􀀮􀁾􀀠􀁾'li',"1>,t.} • tr"> \!St),G..) s,. \\),;5;o.Q.'" \ \S1:> ."'" .g;;. '2..2 􀂧􀁾􀁾􀀠􀀵􀀨􀀧􀁾􀀨􀁃􀀠'\l;' \0 􀁾􀀧􀀱􀀱􀀷. '" \.\.1:5 I:; "< ,..-rro. co> "1:'\'\", 1£ \1, \ CO .,0> ri;􀁾􀁜􀁩􀁾􀁾􀀮􀁾􀁊􀀠. ./COL. 1 From PSA Attachment E . COL. 2 COL. 3 From PSA Section 5.1.1.1, including addenda [for lines "a" through "gO (COL 1 x Basic Services Fee)/100] Consultant's estimate of % of phase completed COL. 4 COL2xCOL3 GaL. 5 TDA Project Manager's estimate of % of phase completed COL.S COL. 2 x COL. 5 TXDOT COMMENTS TxDOT Aviation Division Form 567b 1/93 SPONSOR FOR YOUR RECORDS \ , .JY TEXAS DEPARTMENT OF TRANSPORTATION -DIVISION OF AVIATION 􀁾􀁾􀁾􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀁒􀀽􀁥􀀽􀁱􀀽􀁵􀀽􀁾􀀽􀁴􀀽􀁦􀁵􀀽􀁲􀀽􀁰􀀽􀁾􀀽􀁭􀀽􀁥􀀽􀁮􀀽􀁴􀀽􀁦􀁵􀀽􀁲􀁾􀁁􀀽􀁖􀀽􀁩􀁡􀁾􀁴􀁩􀀽􀁯􀁮􀁾􀁰􀁲 􀀽􀁯􀀽􀁤􀁥􀁾􀁣􀀽􀁴􀁐􀀽􀁲􀀽􀁯􀀽� �􀁥􀀽􀁓􀁓􀀽􀁩􀁯􀀽􀁮􀀽􀁡􀀽􀁬􀁳􀀽􀁥􀀽􀁲􀁖􀀽􀁩􀀽􀁣􀁥􀀽􀁳􀁔􀀷􀀽􀀽􀁾􀁾􀀽􀀽􀀽􀀽􀁾􀀽􀀭\I" _ Master Plan SECTION A (To be completed by TxDOT) DUE DATE,___􀀭􀀭􀀽􀀧􀁬􀀺􀀺􀀮􀀮􀀬􀁟􀁯􀀩􀀭􀀽􀀭􀀮􀀮􀀮􀀻􀀻􀀺􀀺􀀺􀁴􀀽� �􀀭􀁟􀁏􀀮􀀻􀀻􀀻􀀮􀀭􀁟􀁾__ Name of Payee COFFMAN ASSOCIATES, INC. TX Identification Number_---'1C!4CL3"'12"'O"'1.:!4"'500""'OOO"""-_________________􀁾􀀠Address__􀀭􀀢􀀧􀀲􀀳􀀢􀀭􀀧􀀷􀁃􀀮􀀮􀀡􀁎􀁗􀀧􀀭􀀧􀀮� �􀀮􀀡􀀮􀀡􀀭􀀧􀁂􀀢􀀧􀁌􀀢􀀧􀁕􀁅􀁾􀁌􀁐􀁁􀁒􀀢􀀢􀀢􀀢􀀧􀁋􀀧􀁟􀀧􀁗􀀡􀀮􀁬􀁁􀀢􀀧􀁙􀀢􀀧􀁟____􀁾_____________ 􀁃􀁩􀁾___􀁾􀁌􀁅􀁅􀁾􀀧􀁾􀁓􀁾􀁓􀁾􀁕􀁍􀁾􀁎􀁉􀁔􀁔􀁾􀁾􀀮􀁍􀁾􀁏􀁾􀀮􀁾􀀶􀁾􀀴􀀰􀁾􀀶􀁾􀀳􀁾_________________ Airport:__-"'A""D""D""IS""O""Nc:!.,LA"'IRP"""O""R"'T"-____________________ Segment 76 Dis1iDiv 42 Function Code 852 􀁾􀀠Object Code 384 TxDOT CSJ NO, 0118ADDON TxDOT Contract No, _",l",X""l""FA"""09" '9'--__ Date Received: .)􀀭􀀢􀀬􀁏􀀬􀀭􀀢􀁾􀀢􀀬􀀬􀀬􀀧􀀭􀀧􀀭􀀭􀀧􀀭􀀧:3,."'.-() \G't).;-o 􀀮􀁾􀀠'2.:!-,'>::3.<:>. ro 0,,,\ 􀀮􀀮􀁾􀀧􀁜􀀠􀁾􀀠􀀧􀁜􀁾􀀮"'" \\ q :$ '[ 􀀮􀀡􀀬􀀩􀁾􀀮􀁲􀁯􀀠1\'\.\(.. 􀁾\\ ," '5; \O,S:'><:>. '"" ttl: ,<:", §; "'2-'2. :'i'<"" .'" I l':'l;S ,£,; """,.'" [-.. -.-] 􀀤􀁚􀀢􀁉􀁾􀁯􀀺􀁾􀀠I COL. 1 From PSA Attachment E COL. 2 From PSA Section 5.1.1.1, including addenda [for lines 'a' through 'ff (COL. 1 x Basic Services Fee)/l00J COL. 3 ConsLillanfs estimate of % of phase completed COL. 4 COL. 2 x COL. 3 COL. 5 TDA Project Manager's estimate of % of phase completed COL. 6 COL. 2 x COL. 5 TxDOT COMMENTS TxDOT Aviation Division Form 567b 1/93 SPONSOR FOR YOUR RECORDS ___ I TEXAS DEPARTMl!df OF TRANSPORTATION· DIVISIO:r.. OF AVIATION 􀁾􀀠Request for Payment for Aviation Project Professional Services 􀁐􀁊􀁾􀀠, Master Plan 􀁾􀀮􀀠SECTION A (To beeompleted by TxDOT) DUE DATE 5' d.-3.....'S..S.PMMIT,MO. 64063 Airpon:___AD""",,,,D,,,IS,,,O,,,,N,,,-£A,,,lRP,,,,,-,O,,,R""Lf____ Segment 76 DistIDiv 42 Function Code 852 Object Code 384 TxDOT CSJ NO: 01l8ADDON TxDOT Contract No. 􀁟􀀭􀀢􀀬􀀱􀀢􀀢􀁘􀀢􀀢􀀱􀀬􀀬􀀬􀁆􀁁􀀽􀀰􀀹􀁾􀀹􀀬􀀭􀀭􀀭__ Date Received: .5/q ,,0').,. Eligible for Federal Reimbursement 􀁾􀁘􀁘􀀢􀀢􀀬􀀬􀁟􀁙􀁥􀁳􀀠___ No Current Contract Amount (Grant Management) Total Fee Approved to Date (From Col. 6 Invoice Worksheet) Total Amount Approved for Payment to Date Amount Approved This Payment Return to Grani Management by: _=_-'-____ APPROVALS: Pt?ject Manager _____--'''-=:..L-...JO>'''>;''''''7'f=='T-__--;-_ Grant Managementt __􀀯􀀩􀁾􀀺􀀻􀀺􀀺􀀺􀁾􀁾􀁾􀁾􀀺 􀁬􀁴􀀺􀀺􀀺􀀺􀀺􀀺􀁴􀁺􀀮􀁾􀁾􀀽􀀭􀁟􀀠;::/"$ 􀁟􀁾􀀲􀀳􀀢􀀬􀁏􀀢􀀢􀁏􀁏􀁏􀀢􀀢􀀢􀀢􀀬􀀬􀀬􀀬􀀬􀀰􀀰􀀬􀀬􀀭􀀭__ 􀀤􀀬􀁟􀁾􀁾􀁟􀁢􀁾􀁜􀁜􀁾􀁜􀁾􀁾􀀮􀁾􀀠.//􀀤􀀬􀁟􀁾􀁾􀁾􀁏􀁟􀀬􀁾􀀡􀀳􀁾􀁏􀁾􀁉􀀬􀁾􀁏􀁟􀁑__􀁾􀁖􀀦􀀯􀁹􀁯􀀠$--3-- '4-S"----'.\􀀭􀀽􀀷􀀮􀀭􀁟􀁜􀀧􀀭􀀭􀁾􀁟􀀠Date .s;h::;, \i>'l-Date o4tYf 2<:.b:2Date 5/1Cf.-£):::.>-SECTION B (to be completed by Consultant) Date of Request: _----'413""'0"'/0"'2'-___ _ __Yes Dates Covered This Payment Request: From _---':!:LI.!.ll.L__ Payment Request No. _-"-_ Final Pay Request: Total Fee to Date (From Col. 4 Invoice Worksh Total Payment Requested ro Date Less Previous Payments ECEIVED MAY -:-'7 2002 AVIATION DIVISION, TxDOTPayment Due This Request _-,X,,-_ No To 4!:,\0/02 $ 60,113.00 .$ 60,113.00 .$ 50,30LQO $....􀁾􀀠9,812.00 NOTE: PAYMENT REQUEST MUST BE ACCOMPANIED BY lNVOICE WORKSHEET & DBE REPORT. SECTION C cr. be signed by Consulting Engineer) CONCURRENCE AND CERTIFICATION OF CONSULTANT ENGINEER: certify that the above scrnces: were rendered, O( goods reteived, and that they correspond in every particular wily with the co l under which they were procured and at invoice is true, and unpaid. Signature, Consultant Engineer Date 4/30/02 t/, TxDOT Form D-2-560D.FRM (02198) INVOICE WORKSHEET Date 4130/02 Project Name: Addison Airport Project No. 0018ADDON Basic Service Fee: $230,000 Payment Request No. 5 Period: From 411/02 To 4/30102 Consultant to complete columns 1-4 Columns 5 & 6 for TxDOT use ---------􀀭􀀭􀁾􀀠-----COL. 1 COL. 2 COL. 3 PSA PHASE %of Contract Fee % Complete 1. Inventorv 12.309 $28310 100.00 2. Aviation Forecasts 4.578 $10530 100.00 3. Facilihl Reouirements 10.013 $23030 .75 􀁾􀁟􀁟􀀠Aimert Alternatives 8.317 $19 130 i 5. Environmental Overview 6.470 $14880 6. Airoort Plans 10.817 $24880 7. Financial Manaqement PrOQram 12.731 :1;29280 8. Public Coordination/Deliverables 29.352 $67510 .0593 9. Pavement Strenoth Analvsis TOTAL CONTRACT TOTAL FEE TO DATE 5.413 $12450 100.000 $230 000 COL. 4 Fe. earned to Pate ----$28310.00 $10530.00 $17273.00 $4000.00 I $60,113.00 . -COL.5 COL. 6 Fee famed to % Complete Date \ tro·til 􀁾'ZSt,7:,,"'. \cri) • .., £I: ,D ,s.>o..N "'I.S •.su 'i!(, _\., ;2..,::; ..-v -.<; :"1:"'> S; -""',(S'1l"O . s-t> • .1 i 􀁚􀁾􀀾􀁜􀁜􀁾􀀮􀀱􀁎􀀠I COL. 1 From PSA Attachment E COL. 2 From PSA Section 5.1.1.1, including addenda [for lines "a" through "9" (COL. 1 xBasic Services Fee)!100] COL.:3 Consultanrs estimate of % of phase completed COL. 4 COL. 2 x COL. 3 COL. 5 TDA Project Manager's estimate of % of phase completed COL. 6 COL. 2 xCOL. 5 T"OOT COMMENTS T"OOT Aviation Division Form 567b 1/93 SPONSOR FOR YOUR RECORDS __ TEXAS DEPARTMh••TOF TRANSPORTATION -DIVISIO" OF AVIATION -vfJ-I Request for Payment for Aviation Project Professional Services 􀁾􀁃􀁖􀀽􀀽􀀭􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀁾􀁍� �􀁾􀀽􀀽􀁲􀁥􀀽􀁲􀀽􀁰􀁾􀁬􀁾􀁡􀁮􀀽􀀽􀀽􀀽􀁾􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀁾􀁾􀁾􀁾􀁾􀀽􀀽􀀽􀀽􀀽􀀠 SECTION A (To be completed by T:lt they correspond in every pnnkulill' way wIth the eo 'te is true, and llfltlrud.t underwblch theywerUrr.:d:d that the· Signature, Consultant Engineer z· Date 3131102 I TxDOT Form D-2-560D.FRM (02198) I '" 􀁾􀁯􀀠 ----INVOICE WORKSHEET Date 3131/02 Project Name: Addison Airport Project No. 0018ADDON Basic Service Fee: $230,000 Payment Request No. 4 Period: From 3/1/02 To 3131/02 Consultant to complete columns 1-4 Columns 5 & Gfor rxOOT use PSA PHASE 1. Inventorv 2. Aviation Forecasts 3. Facilitv Reaulrements 4. Aimort Alternatives 5. Environmental Overview 6. Aimort Plans 7. Financial Manaaement Proaram 8. Public CoordinationiDellverables 9. Pavement Strenoth Analvsis TOTAL CONTRACT TOTAL FEE TO DATE ---. ---. COL. 1 COL. 2 COL. 3 %of Contract Fee 'l'o Complete 12.309 $28310 96.03 4.578 $10530 76.93 10.013 $23030 47.83 8.317 $19130 --6.470 $14880 10.817 $24880 12.731 $29280 29.352 $67510 .0593 5.413 $12450 100.000 $230000 ' .. --COL. 4 Fee Earned to Date Si27165.00 §8,101.00 $11015.00 -$4000.00 ---. $SO,301.00 􀁾􀀠COL. 6 Fee Earned to 'l'o Complete I COL.S Date 􀁾qt...t) '"':> 􀁾􀀧􀁚􀀱􀀬􀁱􀁳􀀮􀀮􀀠ro "II, -"t'\ $ "'. \()\. ItO g \\, 'C)\S . N..0..1 •"<:.." Sl. A """" . Ii"'>􀀦􀁾􀀭􀀺􀀾􀀠I􀁾􀀮􀀮􀁳􀁄􀀻􀁾􀁜􀁟􀁭􀀠I TxOOT COMMENTS TxOOT Aviation Division Form 567b 1/93 COL. 1 From PSA Attachment E COL. 2 From PSA Section 5.1.1.1, including addenda [for lines "a" through "ti' (COL. 1 x Basic Services Fee)/l00J COL. 3 Consultant's estimate of'l'o of phase completed COL. 4 COL. 2 xCOL. 3 COL. 5 TDA Project Manager's estimate of 'l'o of phase completed COL, 6 COL. 2 x COL. 5 SPONSOR FOR YOUR RECORDS TEXAS DEPARTMB" f OF TRANSPORT A nON -DIVISIOJl. vF A VIA TION Request for Payment for Aviation Project Professional Services MasterPlan SECTION A (To be completed by TxDOT) DUE 􀁄􀁁􀁔􀁅􀀮􀁾􀁟􀀭􀀭􀀭� �􀀧􀁌􀁟􀁾􀀬􀀭􀀭􀀭􀀬􀁣􀁑􀀽􀀭􀀢􀀬􀀬􀀸􀁟􀀮􀀮􀀮􀀭􀁯􀀭􀀬􀀬􀀭􀁯􀁬􀀽__ Name of Payee_...-COFFMAN 􀁁􀁓􀁓􀁑􀁃􀁉􀁁􀁾􀁔􀁅􀁓􀀢􀀭􀀢􀀧􀀧􀀧􀀧􀀬􀀭􀀧􀀧􀁉􀁎􀀧􀀧􀀧􀁃􀀧􀀧􀀧􀀬􀁾_______________ TX Identification Number_--'J:;].4:=.3...12"'0"'1,245""00"""OOO""'-_______ Address__-"""23"-'7:...!NW"-!..!:...!B"'L""UE""""....􀁐􀁁􀁒􀁋􀁾􀀢􀀢􀀢􀀢􀁗􀀧􀁟􀀧􀁁􀀲􀁙􀀢􀁟􀁟__________________ City___􀁾􀁌􀁅􀁅􀀧􀁓􀀠SUMMIT, 􀁍􀁑􀀬􀀬􀁾􀀶􀀢􀀢􀀴􀀢􀀢􀀰􀀢􀀧􀀶􀀳􀀢􀀭􀀭__________________ Ai!port:.__􀁾􀁁....􀁄􀀢􀀢􀀢􀀧􀁄􀀢􀀢􀁉􀁓􀀢􀀢􀁏􀀢􀀧􀀢􀁎􀁾􀁁􀁵􀁉􀁒􀁐􀀮􀀮􀀮􀀢􀀮􀀮􀀬􀀮􀁑􀀢􀀢􀁒􀀢􀀢􀁔􀁟􀀠Segment 76 DistIDiv 42 Function Code 852 Object Code 384 TxDOT CSJ NO: 0118ADDON TxDOT Contract No. _-"1£!X""lF""A""O"",9,,,9___ Date Received: :5-/S/0;;1.. Eligible for Federal Reimbursement XX Yes ___ No Current Contract Amount (Grant Management) $ 230.000.00 Total Fee Approved to Date (From Col. 6 Invoice Worksheet) Total Amount Approved for Payrnentto Date Amount Approved This Payment Return to Grant Management by: .3 -0< 0 ---oOZ Date .3\\"tl􀁾􀀢􀀲􀀮Grant 􀁍􀁡􀁮􀁡􀁧􀁥􀁭􀁥􀁮􀁴􀀭􀀭􀀧􀁾􀀱􀁉􀀭􀀱􀁾􀀺􀀬􀁴􀀧􀂥􀀺􀁴􀀺􀁾􀁾􀁾􀁾􀀽􀁊􀀮􀀧􀁬􀁤􀀮􀁣􀀮􀀬􀀮􀀻􀀭􀀭􀀭􀀺􀀺􀀮􀀮􀀮__ Date Date (:7 􀁾􀀮􀁨􀀺􀁬􀁉􀁉􀀧􀁌􀀠􀀳􀁾􀀯􀀱􀁾􀁴􀁊􀀢􀀬􀀻􀁊􀀮􀀮􀀠SECTION B (to be completed by Consultant) Date of Request: 2128102 Payment Request No. 3 Final Pay Request: Yes X No Dates Covered This Payment Request: From 211102 To 2nS/02 Total Fee to Date (From Col. 4 Invoice Worksheet) $ 40,642.00 Total Payment Requested to Date $ 40.642.00 Less Previous Payments $ 34,330.00 Payment Due This Request $ 6,312.00 N01E: PAYMENT REQUEST MUST BE ACCOMPANIED BY INVOICE WQRKSHEET & DBE REPORT. SEcrION C (To be signed by Consulting Engineer) CONCURRENCE ANO CERTIFICATION OF CONSULTANT BNotNEER: et:rtlfy that the above $ef\ices were rendered, or goods received, and thaI' they correspOnd in e\"eI')' particular way wUh the co ct under whicb they were tocured and the invo1ce is t;'Ue, and unpaid. Signature, Consultant 􀁅􀁮􀁧􀁩􀁮􀁥􀁥􀁲􀀧􀀴􀀧􀀭􀁴􀀮􀁾􀁾􀁾􀁾􀀮􀀮􀀮􀀮􀀮􀁉􀀮􀁌􀀮􀁾􀁾􀁾􀀺􀁺􀀺􀀺􀀺􀀺􀁾􀀺􀀺􀀺􀀮􀀮􀀮____ Date _----'InSI'''02''''-_ ..... TxDOT Form D-2-560D.FRM (02/98) INVOICE WORKSHEET Date 2/28102 Project Name: Addison Airport Project No. 0018ADDON Basic Service Fee: $230,000 Payment Request No. 3 Period: From 211/02 To 2128/02 Consultant to complete columns 1-4 Columns 5 & 6 for TxDOT use COL. 1 COL. 2 COL. 3 PSA PHASE %of Contract Fee %Complele 1. Inventorv 12.309 $28310 96.03 2, Aviation Forecasts 4.578 $10530 47.97 3. Facilitv Reauirements 10.013 $23030 19.13 4. Airru>rt Alternatives 8.317 $19130 5. Environmental Overview 6.470 $14880 6. AiIPort Plans 10.817 $24880 7. Financial Manaaement Proaram 12.731 $29280 8. Publio Coordination/Oeliverables 29.352 $67510 .0593 9. Pavament StrenQlh Analvsis TOTAL CONTRACT TOTAL FEE TO DATE 5.413 $12450 100.000 $230000 COL 4 Fe. Earn.d to Oat. m27185.00 $5051.00 $4406.00 . MOOO.OO I $40,642.00 COL.S % Complete COL.S Fee Earned to Date 0./. ",,,,􀁾􀀿􀀺􀁬􀀠\"l:'C.. "" A'l 􀀮􀁾􀀧􀁜􀀠S, .£ 􀁾􀁜􀀬􀀬􀀬􀀬􀀬􀀬􀀠\"l:. 􀀮􀁜􀁾􀀠Sl> A, A·OI.o,at::> 􀀼􀀮􀀮􀀮􀁾􀀧􀀾􀀠oS <\ ,=."> nnnnu] 􀁾􀁃􀁰􀀩􀀨􀁁􀁾􀀮􀀬􀀢􀀢􀀠I CO L. 1 From PSA Attachment E COL. 2 From PSA Section 5.1.1.1, including addenda [for lines "a" through "g' (COL 1 "Basic Services Feel/l00] COL. 3 Consultant's estimate of % 01 phase completed COL 4 COL. 2 x COL. 3 COL 5 TDA Project 􀁍􀁡􀁮􀁡􀁧􀁥􀁾􀁳􀀠estimate of % of phase completed COL 6 COL 2 x COL. 5 TxDOT COMMENTS TxDOT Aviation Division Form S67b 1/93 SPONSOR FOR YOUR RECORDS RECEIVED w( TEXAS DEPARTMb,T OF TRANSPORTATION -DIVISIO" OF AVIA ON Request for Payment for Aviation Project Professional Services FEB 1 2 2002 . =.....􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽� �􀀽􀀽􀁾􀁾􀁾􀁡􀁳􀁾􀁴􀁾􀁥􀁲􀁾􀁐􀁾􀁉􀁾􀁡􀁾􀁮􀁾􀀽􀀽􀀽􀀽􀀽􀀽􀁾􀁆􀀽􀀮􀁾􀀽􀀽􀀽􀀽􀁾􀁾􀁾􀁾􀁾􀀠SECTION A (To be completed by TxDOT) DUE DA􀁔􀁅􀀺􀁟􀀭􀀽􀀳􀁾􀀬􀀻􀁾􀀵􀀽􀁾􀀮􀁲􀀺􀀺􀀺􀀬􀀰􀀳􀀺􀀮􀀲􀀮􀀮􀁾􀀮􀀮􀀮􀀺􀀺􀀺􀀽� �􀀽􀀽􀀺􀀺􀀺􀀺􀀺􀀻􀀻􀀻􀁖􀁾􀁉􀁓􀁾􀁪􀁏􀁾􀁎􀀲􀀬􀀮􀀡􀀮􀁔􀁾􀁸􀁏􀁾􀁏􀁾􀁔􀁾􀀱􀀠Name of Payee COFFMAN ASSOCIATES. INC. TX Identification Number_....l""43oLl"'2"'Q"'14""5""Q"'00Q""""0"-________ Address__􀀭􀀢􀀧􀀲􀀳􀀢􀀢􀀷􀀧􀀭􀀧􀁎􀁗􀁃􀀡􀀮􀀡􀀮􀀡􀀭􀀧􀁂􀀢􀀧􀁌􀀢􀀧􀁕􀁅􀁾􀀢􀀭􀁐􀁁􀁒􀁬􀁬􀀡􀀾􀀢􀀢􀁋􀀢􀀧􀀢􀁗􀀢􀁟􀀧􀁁􀁃􀀡􀀮􀁙􀀢􀁟_________􀁾_________ City___.....LE..􀁅􀀢􀀧􀀭􀂷􀀲􀀽􀀡􀁓􀀭􀀢􀁓􀀢􀀧􀁕􀁍􀁍􀁉􀁔􀀢� �􀀢􀀧􀁾􀁾􀀮M""",O,,-.-"6""40"'6""3'--________________ Airport:,__..£A..D«D""I""SO"'N"'-LAIRPO""""-"'''''R'''T_____________________ Segment 76 DistIDiv _=-_ Function Code 852 Object Code 384 TxDOT CSJ NO: 0118ADDON TxDOT Contract No. lXlFA099 lXlFA099 Date Received: ()d\'/() 􀁾􀀠Eligible for Federal Reimbursement XX Yes No Current Contract Amount (Grant Management) 􀀤􀁟􀁾􀀲􀁾􀀳􀁾􀀰􀁾 􀀮􀁾􀁾􀀮􀁑􀁾􀁑􀀬􀀭􀀭__ Total Fee Approved to Date (From Col. 6 Invoice Worksheet) $ 1> l>,-;1< 􀁾􀀶􀀠.<:0 Total Amount Approved for Payment to Date $ 13, g("9,6 d Amount Approved This Payment $_ "L-Q 4-(" \ ,trV Return to Grant Management by: AFPROVALS: Project Manager """"71 􀁾\"l \ '0 c:-\ 􀁾􀀠, ( 􀁾􀀠Date -z...b.."1 I!3'1..Manager. Project Management 􀁾􀁾,/Date 2le4i. 􀁾􀀠Grant Management 􀁾􀁾􀀠􀁾Date 􀀰􀀲􀀭􀀺􀀺􀁍􀁾􀀠(0 SECTION B (to be completed by Consultant) Date of Request: 1/31/02 Payment Request No. 2 Final Pay Request: Yes X No Dates Covered This Payment Request: From 1/1/02 To 1131102 Total Fee to Date (From Col. 4 Invoice Worksheet) $ 34.330.00 Total Payment Requested to Date $ 34.330.00 Less Previous Payments $ 13,869.00 Payment Due This Request $ 20.461.00 NOTE: PAYMENT REQUEST MUST BE ACCOMPANIED BY INVOICE WORKSHEET & DBE REPORT. SECTION C (To be signed by Consulting Engineer) CONCURRENCE AND CERTrFICATION OF CONSULTANT ENGINEER; certify that the above services were rendered, or goods received, and that they com:.spond in every particular way with the con f under which they were (ocure Ad ma . 'Dice is true, and unpaid. Signature. Consultant 􀁅􀁮􀁧􀁩􀁮􀁥􀁥􀁲􀁾􀁾􀀱􀁚􀁾􀁾􀀡􀀺􀀢􀀮􀁊􀀺􀀮􀁾􀁾􀁾􀁾􀁾􀀿􀀺􀁺􀁪􀁾􀁾􀀺􀀺􀀺􀀺􀀺􀀺􀀺___ Dale 􀁟􀁾􀁬􀁣􀁣􀀯􀀳􀀢􀀬􀀱􀀢􀀬􀀯􀁏􀀢􀀬􀀲􀀬􀀭 􀀭􀁟􀀠TxDOT Form D-2-560D.FRM (02/98) INVOICE WORKSHEET Date· 1131/02 Project Name: Addison Airport Project No. 0018ADDON Basic Service Fee: $230,000 Payment Request No. 2 Period: From 1/1/02 To 1/31/02 Consultant to complete columns 1·4 Columns 5 & 6 for TxDOT use PSA PHASE 1. InventOlv 2. Aviation Forecasts 3. Facility Requirements 4. Airoort Alternatives 5, EnvironmentalOvelView 6. Aimor! Plans 7. Financial Manaqement Proqram 8. Public CoordinanoniDeliverables 9, Pavement Strenath Analvsis ..IOIALCONTRACT TOTAL FEE TO DATE ----COL. 1 COL. 2 COL. 3 %of Contract Fee % Complete 12.309 $28310 96.03 4.578 $10530 29.87 10.013 $23030 8.317 $19130 6,470 $14880 10.817 $24880 12.731 $29280 29.352 $67510 .0593 5.413 $12450 100,000 $230000 ----COL. 4 Fee Earned to Date $27185,00 113145.00 $4,000.00 ----$34,330.00 􀁾􀀭COL. 5 COL. 6 Fee Earned to % Complete Date ------CI.<".l).., t'i; 'Z-1,11(:;. "'" 􀀷􀀮􀀮􀀮􀀢􀁴􀁾􀀢􀁜􀀠§ ... ,11., ..... 5 ,'1:;' g; 􀁁􀀬􀀮􀁾􀀮􀁎􀀠1_ I􀁾􀀠􀁾􀀮􀀻􀀬􀁾􀁥􀂷􀁾􀁬􀀠COL. 1 From PSA Attachment E COL. 2 COL 3 From PSA Section 5.1.1,1. including addenda [for lines "a" through "g" (COL. 1 x Basic SelVices Feel1100] Consultant's estimate of % of phase completed COL. 4 COL2xCOL3 COLS COLS TDA Project Manager's estimate of % of phase completed COL. 2 x COL. 5 TxDOT COMMENTS TxDOT Aviation Division Farm 567b 1193 SPONSOR FOR YOUR RECORDS TEXAS DEPARTMlw,T OF TRANSPORTATION· DIVISIOl, OF AVIATION Request for Payment for Aviation Project Professional Services MasterPlan SECTION A (To be completed by TldJOT) DUE DATE,___􀀭􀀫􀁉􀀭􀀧􀀭􀀢􀀧 􀀭􀀧􀀭􀁮􀀭􀀧􀀭􀀧􀀮􀀮􀀮􀁯􀀽􀀭􀀮􀀮􀀬􀁾􀀽􀁟__ Name of Payee COFFMAN 􀁁􀁓􀁓􀁏􀁃􀁉􀁁􀀱􀀧􀁅􀁓􀀢􀀬􀀮􀀬􀀭􀀢􀁉􀁎􀀡􀀮􀁬􀁬􀀼􀁃􀁾􀀬____.___________ TX Identification Number_-"-,14,,,,3,-,,14914S00000 Address 237 NW :6LUEPARKWAY City___-'-'LE...􀁅􀀢􀀧􀀭􀀧􀀧􀀧􀀧􀀧􀁓􀀭􀀧􀀧􀁓􀀧􀀧􀀧􀁕􀁍􀀧􀀧􀀧􀀧􀀧􀀧􀁍􀀧􀀧􀀧􀀧􀁉􀁔􀁾􀀬""M",O'-'..􀀭􀀢􀀶􀀴􀀼􀀺􀀡􀀰􀀢􀀬􀀶􀀬􀀬􀀬􀀳􀁾􀀠􀁁􀁩􀁾􀁯􀁲􀁴􀀺__􀀭􀁵􀁁􀁄􀁾􀁄􀁾􀁉􀁓􀁾􀁏􀁾􀁎 􀁕􀁌􀁁􀁉􀁒􀁐􀁾􀁾􀁏􀁾􀁒􀁾􀁔􀁾___________.__________ Segment 76 DistIDiv 42 Function Code 852 Object Code 384 TxDOT CSJ NO: 0118ADDON TillOT Contract No. 􀁟􀀭􀀢􀀱􀀢􀀬􀀬􀁘􀁾􀁉􀁆􀁁􀀰􀀹􀀹􀀠Date Received: /---Y--a@Eligible for Federal Reimbursemen$t XX Yes ___ /NO Current Contract Amount (Grant Management) 230.000.00 _ Total Fee Approved to Date (From Col. 6 Invoice Worksheet) 􀀤􀀤􀀭􀀭􀀭􀁾􀁜􀁾􀁾􀁊􀁾􀀽􀁾􀁾􀁾􀀧􀁾􀀽􀀭􀀭􀀭J Total Amount Approved for Payment to Date -0-OFf Amount Approved This Payment Return to Grant Management by: _ I -0 '1 -() <2 APPROVALS: Project Manager o 􀁜􀀭􀁉􀁾􀀠Date \ I:=tlc4.Manager, Project 􀁾􀁾􀁄􀁡􀁴􀁥􀀭􀀭􀀮􀁌􀀺􀁾􀀠􀁾􀀠 Grant 􀁍􀁡􀁮􀁡􀁧􀁥􀁭􀁥􀁮􀁴􀁾􀁦􀀺􀁊􀀮__􀁾􀁾􀀿􀀭􀀢􀀢􀀢􀁾􀀭􀁌􀁟􀀠􀁾Date /-g -0a..... SECTION B (to be completed by Consultant) Date of Request: 12/31101 Payment Request No. 􀁾􀀠Final Pay Request: Yes X No Dates Covered This Payment Request: From _----'1"'21"'0"'3/""0,,1___ To 12/31101 Total Fee to Date (From Col. 4 Invoice Worksheet) $ 13,869.00 Total Payment Requested to Date $ 13,869.00 Less Previous Payments $ 00.000.00 Payment Due This Request $ 13.869.00 NOTE: PAYMENT REOUEST MUST BE ACCOMPANIED BY INVOICE WORKSHEET & ORE REPORT. SECTION C (To be signed by Consulting Engln ..,) CONCURRENCE AND CERTlFlCATlON OF CONSULTANT ENGINEER: certify that the abo'le "ces were rendered, or goods. received, and that they correspond in every particular way with the CCntrac nder which they were ro ured and that the· · V?J. 'is true, and unpaid. "oJ Signature, Consultant 􀁅􀁮􀁧􀁩􀁮􀁥􀁥􀁲􀂷􀀿􀀴􀀺􀁧􀁾􀁾􀀺􀀺􀁦􀀺􀁾􀀮􀀮􀀯􀁌􀁾􀀭􀀭􀀮􀁉􀀮􀀮􀀮􀀱􀀮􀁾􀁾􀀻􀀿􀁌􀀱􀁾􀀽􀀭__ Date 12/31/01 (, TxDOT Form D·2·560D.FRM (02/98) ------------INVOICE WORKSHEET Date 12131/01 Project Name: Addison Airport Project No. 0018ADDON Basic Service Fee: $230,000 Payment Request No. 1 Period: From 12103101 To 12131/01 Consultant to complete columns 1-4 Columns 5 & 6 for TxDOT use COL. 1 COL. 2 COL. 3 PSAPHASE %of Contract Fee % Complete 1. Inventol'L 12.309 $28310 37.88 􀀲􀁾􀀠Aviation Forecasts 4.578 $10530 29.87 3. Facilitv Reouiremants 10.013 $23030 4. Aimort Alternatives 8.317 $19130 􀁾􀀠5. Environmental Overview 6.470 $14880 6. Aimort Plans 10.61? $24880 7. Rnancial Manaoement P,ooram 12.731 $29280 8. Public CoordinationlOeliverables 29.352 $67510 9. Pavement Strenoth Analvsis -TOTAL CONTRACT TOTAL FEE TO DATE 5.413 $12450 100.000 $230000 􀁾􀀠􀁾􀁾􀀮􀀠COL. 4 Fee Earned to Date 􀁾􀁾􀀠$10724.00 $3145.00 $13,869.00 COL.5 COL. 6 Fee Earned to % Complete Date "3'1 :'iY' 5) \0 :1􀀧􀀲􀀮􀀮􀁾􀀮􀀠􀁾􀀠'2..'\.Y' $ :-; .\