, ;I TEXAS DEPAR1'luENT OF TRANSPORTATION· DIVISION OF AVIATION SECTION A (To be completed by TxDOT) Name of Payee COFFMAN ASSOClA TES. INC. TX Identification Number 14312014500000 apy Address___2""3"'7..... "'L".,UE"""'..u.u---N"-W!.!..2BPAR"'K...,.W,..,A::>.Y"-______________ City___-"'LE""E"'-'''''S-''S''''UM'''''''M''''''-'ITu.'eM.,O....,..,.,6'''4''''06'''3'--__________-----Air port:_-:--'-'A""D""D"'IS"'O""N"""-A.. TIRPO"""'-""""R...._____________________ Segment 76 DistIDiv 42 Function Code 852 Object Code 384 TxDOT CSJ NO: 0118ADDSN TxDOT C.:>ntract No. lXIFA631 Date Received: /2--j -V::S Eligible for Federal Reimbursement XX Yes ___No Current Contract Amount (Grant Management) $__􀀳􀁾􀀲􀁾􀁏􀁾􀀬􀁏􀀽􀀰􀀰􀁾􀀬􀁏􀁾􀁏􀁾___ Total Fee Approved to Date (From Col. 6 Invoice Worksheet) $__􀁾􀁟􀁥􀀺􀀬􀁟􀀢􀀨􀀭􀀭􀁉􀀭􀀧-",c',-"b<.l.,l.!-'cri)_ Total Amount Approved for Payment to Date $ 3Q5{Co2/.Ci) Amount Approved This Payment $.__-=-\ ___ ..... ISD=-'2..-1,o..--'-qO..l....>....:, Return to Grant Management by: 􀀭􀀫􀀼􀁾􀁾􀁬􀀮􀀮􀁌􀀭􀀧􀀭􀀢􀀢􀀢􀀭􀀬􀀮􀀬􀁌􀀠APPROVALS: Project Manager ______􀀯􀁾􀀽􀀺􀀺􀀺􀀮􀁾􀀧􀀺􀀢􀀧􀀧􀀧􀀧􀀧􀀺􀀧􀀧􀀭􀀻􀀭􀁾􀀽􀀽� �􀀺􀁲􀀭􀀭􀀭􀀻􀀭􀁟􀀠Date \'2..\:( 􀁉􀁃􀀡􀁾􀀠 Manager, Project 􀁍􀁡􀁮􀁡􀁧􀀧􀀧􀀧􀀧􀀧􀁦􀁙􀀧􀁟􀀮􀁊􀀼􀀺􀁪􀀧􀀮􀁌􀁊􀀧􀀧􀀧􀀧􀀧􀀧􀀧􀀽􀀧􀀧􀀭􀀺􀀺􀁊􀁊􀁊􀀭􀀣􀀺􀁚􀀧􀀧􀀧􀀧􀀧􀀧􀀧􀀭􀀧􀀧􀀧􀀧􀀧􀀧􀀧􀀧􀀧􀀧􀁾􀀧􀀭􀀭􀀭􀁟􀀠Da te & 􀁾􀀣􀀡􀀡􀀳􀀠 Grant 􀁍􀁡􀁮􀁡􀁧􀁥􀁭􀁥􀁮􀁴􀁾􀁟􀀶􀁦􀀭􀀭􀁾􀀺􀀺􀁲􀀱􀀶􀀮􀁌􀁢􀀭􀁬􀁯􀀭􀀭􀁬􀁤􀀺􀁢􀁾􀁢􀀮􀁁􀀮􀀮􀀮􀀮􀁌􀁾􀀬􀁬􀁌􀀱􀀭Date '/2,(0, 03 SECTION B (to be completed by Consultant) Date of Request: 11/30/03 Payment Request No, 22 Final Pay Request: ___Yes Dates Covered This Payment Request: From 􀀭􀀻􀀺􀀺􀀺􀀺􀀺􀀺􀀺􀀱􀀺􀀰􀀺􀀻􀀱􀀰􀀻􀀺􀀱􀁾􀀱􀀰􀀽􀀳􀀽􀀽􀀺􀀺􀀽􀀺􀀽􀀽􀀺􀀺􀀺􀀺􀀺􀀭􀀺􀀽􀀱􀀠Tota l Fee to Date (From Col. 4 Invoiee Works ,,; Less Previous Payments AVIATION DIVISION, T)(OOI Payment Due This Request _-"'-_ No To __􀀭􀀭􀁾􀁾􀁾􀀭􀀭􀀭$__􀁾􀀳􀁾􀁏􀁾􀀸􀀬􀁾􀀶􀀶􀁾􀀱􀁾􀀮􀁏􀁾􀁏______ $__􀁾􀀳􀁾􀁏􀁾􀀸􀀬􀁾􀀶􀀶􀁾􀀱􀁾􀀮􀁏􀁏􀁾_____ $__􀁾􀀲􀁾􀁾􀀹􀀵􀁾􀀬􀁾􀀶􀀷􀁵􀁬􀁾􀀮􀁏􀁏􀁾_____ 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: cenlf}' that the above services were rendered, or goods received, and thai IheYemTespond in every particular way with the con under 􀁷􀁾􀁷􀁥􀁲􀁥i0d thaI!' voice is true. ilntl unp::tid. Signature, Consultant Engineer /) Date _---!Llli""-'i.L_ TxDOT Form D-2-560D.FRM (02/98) INVOICE WORKSHEET Date 11130103 Project Name: Addison Airport Project No. 0018ADDSN Basic Service Fee: $320,000 Payment Request No. 22 Period: From 10/01/03 To 11130103 Consultant to complete columns 1-4 Columns 5 & 6 for TxDOT use ..􀁾􀁾.. COL. 1 COL. 2 COL. 3 COL. 4 PSAPHASE 'Yo of Contract Fee 0/0 Complete Fee Earned to Date 1. Initiation 3.350 $10720 100.00 $10720.00 2. Inventorv of Existino Conditions 13.725 $43920 100.00 $43920.00 3. Aviation Forecasts 3.566 $11,410 100.00 $11410.00 4. Aviation Noise AnalYSis 11.172 $35750 100.00 $35750.00 5. Noise Iml1.acts 4.678 $14970 100.00 $14970.00 6. Noise El IC7:) .CO 􀁾􀁁􀀬􀀰􀀳􀀧􀁚􀀮􀀮􀁃􀀺􀀩􀂷􀀽􀀠􀁉􀁾􀂷􀀼􀁴􀀺􀀾􀀠..$ \\,+\'\> • II:!> 􀁜􀁾􀀬􀁴􀁧􀀬􀀮􀀠$<:!6:1S0..... \at> .1St> .$ V ..!'\oj.,.«I> \. «> 􀁜􀁾􀀮􀁾􀀠􀁓􀀻􀀧􀀳􀀲􀀮􀀢􀁚􀀮􀀮􀁜􀁯􀀮􀁾􀀠\.11'1>.111> II!'!>.CO $'􀁾􀀮􀀡􀁊􀀱􀀮􀁃􀀮􀀢􀀢􀀠5: ;!!"Z. ,CoS,!>·.,. 􀁾􀀮􀁬􀀱􀀾􀀧􀁉􀀮􀀮􀀠S '7.s:."al,t1'> "H...o'\ 􀁾\2., "t'Co •it" ---[ 􀁾􀀱􀀤􀀢􀁢􀁣􀀾􀁾􀁾􀁾􀁜􀁾􀀱􀀠 COL. 1 From PM Attachment E COL. 2 From PSA Section 5.1.1.1, including addenda [for lines "a" through "g" (COL. 1 x Basic Services Fee)11001 COL. 3 Consultenfs estimate of % ot phase completed COL. 4 COL. 2 x COL. 3 COL. 5 TDA Project Manager's estimate of % of phase completed COL. 6 COL. 2 x COL 5 TxDOT COMMENTS TxDOT Aviation Division Form 567b 1/93 ../􀁃􀁯􀁾􀁾􀁮􀁾__________________ _ Associates Airport Consultants www.coffmanassociates.com RECEIVED DEC 0 1 2003INVOICE AVIATION DIVISION. 􀁔􀀢􀁄􀁾􀁾􀀠TO: Texas Department of Transportation Aviation Division 125 E. 11 th Street Austin, TX 78701-2483 01-SP-07-22 Invoice Number ATTN: Ms. Margarita Garcia Assistant Grant Manager NOVEMBER 30, 2003 Date RE: ADDISON AIRPORT TxDOT Detail No. 0118ADDSN , -, " , .. "'r=.OR;PRoFE$srbNALSl;iR\jICESR'I;NDERED" . .' Coffman Associates $8,990.00 North Texas Aerial Surveys, Inc. $0.00 Liz Oliphant & Associates, Inc. $4,000.00 Current Invoice Amount: $12,990.00 Plus Unpaid Balance: $0.00 TOTAL AMOUNT DUE: $12,990.00 ' ,,: .' ",'--"...􀀬􀀭􀀢􀁩􀀻􀁻􀀮􀁪􀀻􀀺􀀺􀀺􀁩􀀺􀀺􀂷􀀺􀀩􀀻􀀻􀁄􀁕􀁅􀀮􀁩􀁊􀁰􀁢􀁎􀀺􀁬􀁾􀀧􀁱􀁾􀁴􀁰􀁩􀀺􀁟􀀧􀁣􀁩􀀧􀀯 􀁾􀂷􀀱􀀠􀀬􀀬􀀮􀀺􀁩􀁳􀂷􀁾􀁪􀀻􀀧􀀭􀀧􀀧􀀧􀀭􀀧􀁙􀁽􀀧􀀧􀀠", .. ',-,," '..i,' i.· .• ,'i ••..i·,·i ,k -tZ;. t/: 􀁾􀀯􀀭􀀬􀀠7 Certified by: JEANETTEV·GOVFMAN CHIEF EXECUTIVE OFFICER Kansas City· Phoenix 237 N.W. Blue Parkway. Suite 100. Lee's Summit. MO 64063 816-524-3500 • FAX; 816-524-2575 I TEXAS DEPARTl.."NT OF TRANSPORTATION -DIVISIuN OF AVIATION SECTION A (To be completed by TxDOT) Name of Payee COFFMAN ASSOCIATES, INC. TX Identification Number_--'1"'4""3""12"'O"'1"'4"'S"'O""OO"'O" 'O'-___________________ Address___2""3'-'7.....􀁎􀀭􀀧􀀭􀁗􀀡􀀮􀀮􀀡􀀮􀀮􀀲􀁂􀀢􀀭􀀧􀁌􀀢􀀧􀁕􀁅􀁾􀁐􀀧􀀭􀀧􀁁􀀢􀀧􀁒􀀢􀀧􀁋􀀢􀀢􀀭􀀡􀀡􀁗􀀧􀁟􀀢􀁁􀀢􀁟􀀧􀁙􀀧􀁟􀁟__________________ City___--"'L""E""E'-'·S'-'S"-'UM" """"M........... IT M"""'O"-.""64::cO"'6""3'--_________________ Airport:__---'-'A"'D""D""IS"'O""N'-'...£A"'IRP""-'O""R"'T"'---____________________ Segment 76 DistIDiv 42 Function Code 852 Object Code 384 TxDOT CSJ NO: 0118ADDSN TxDOT Contract No, _ .....1""X""1""F"'A"'O"'3"'1___ Date Received: 10 -07-03 Eligible for Federal Reimbursement _-,-,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 Approved This Payment Return to Grant Management by: __-,-'-=0,--'\",O",-·-,-OL'2..L... APPROVALS: Project Manager___-r..--_--"'==;'--",loJo........􀁾􀀢􀁟􀁟􀀧􀀧􀀧􀀧􀀧􀀧􀀧􀁾􀀮􀀭__---,,-Date \.\) h .CU So \1.4\".""" \= • .,,;:. 􀁾􀀠-:loS :1.5....... \.ro. $. \'1-"1<>·... ,......... .$. V, .,.r 1>."" 􀁜􀁾􀁾􀁾􀀠$ 􀀳􀀺􀁴􀀮􀀧􀁴􀀮􀀮􀁜􀁯􀀮􀁾􀀠􀁜􀁃 􀀧􀁏􀀮􀁾􀀠$' "LI;. 5"& • dO 􀁜􀁾􀀮􀁃􀁜􀀩􀀬􀀠S '3'2.. ("S.,."" "'i:<\.:!o\ '%.':!> .<"1 $,\ :'1Q\.'" SO 3 ...."6.4:" UI-s '2..'\!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)/l DO] 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 TxOOT COMMENTS TxOOT Aviation Division Form 567b 1/93 Associates Airport Consultants www.coffmanassociates.com RECEIVED OCT 0 72003INVOICE AVIATION DIVISION, TxDOT TO: Texas Department of Transportation 01-SP-07-21 Aviation Division Invoice Number 125 E. 11 th Street Austin, TX 78701-2483 ATTN: Ms. Margarita Garcia 09/30/03 Assistant Grant Manager Date RE: ADDISON AIRPORT TxDOT Detail No. 0118ADDSN ..•. FOR 􀁐􀁒􀁏􀁆􀁅􀁓􀁓􀁉􀁏􀁎􀁁􀁌􀁓􀁅� �􀁖􀁉􀁃􀁅􀁓􀁒􀁅􀁎􀁄􀁅􀁒􀀮􀁅􀁄􀀧􀀭􀁾􀂷􀀻􀂷􀀾􀀻􀂷',' . , 􀁾􀀮􀀠.... ,'. ,.... _. -.􀁾􀀠, . . -. . -.. . ---'"-.-Coffman Associates $20,482.00 North Texas Aerial Surveys, Inc. $0.00 Liz Oliphant & Associates, Inc. $0.00 Current Invoice Amount: $20,482.00 Plus I.Jn aid Balance: $6,794.00 TOTAL AMOUNT DUE: $27,276.00 Certified by: 􀀭􀁴􀀧􀁬􀁴􀁩􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀀨􀁚􀀷􀀠JEANETTE V. C MAN CHIEF EXECUTIVE OFFICER Kansas City • Phoenix 237 N.W. Blue Parkway. Suite 100. Lee's Summit. MO 64063 816-524-3500' FAX. 816-524-2575 &U_L-<:l.TEXAS DEPARutlENT OF TRANSPORTATION -DIVISION OF AVIATION Request for Payment for Aviation Project Professional Services SECTION A (To be completed by TxDOT) P",' 􀁎􀁡􀁭􀁥􀁯􀁦􀁊􀁐􀁾􀀧􀁥􀁾__� �􀁾􀁅􀁅􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾__________ ......... 􀀬􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀀭􀀧􀁾􀁌􀁉􀀠r TX Identification Number_---"14:!.3!..!1.6i20"'1"'4t.L50"'O"-'O""0"-o____________--!.E!.......,/-O=-=3=::!:__ AddreSS__...237 NW BLUE PARKW"'A'-"Y___________________ City___􀀭􀀢􀀢􀁌􀁅􀀢􀀢􀁅􀀢􀀧􀀭􀀧􀀧􀀧􀀧􀁓􀀭􀀧􀀧􀁓􀀧􀀧􀀧􀁕􀁍􀀧􀀧􀀧􀀧􀀧􀀧􀀧􀀧􀀧􀁍􀀧􀀧􀀧􀀧􀁉􀁔􀁾􀀬M""",O,,-.-'/6""40"'6""3_________________ Airport:__-'A"'D""D""IS"""'O""N"'A""IRPO"""-"'R"T-'-____________________ Segment 76 DistIDiv _""'-__ Function Code 852 Object Code 384 TxDOT CSJ NO: 01l8ADDSN TxDOT Contract No. lXlFA031 Date Received: 913M3 Eligible for Federal Reimbursement XX Yes ___No Current Contract Amount (Grant Management) $,__3""'20""".0""00"".0""0'--.,/__ Total Fee Approved to Date (From Col. 6 Invoice Worksheet) Total Amount Approved for Payment to Date Amount Approved T.his Payment Return to Grant Management by: ----'--''''-'--''-.,2--APPROVALS: Project Manager ________􀀭􀀮􀀬􀀮􀀭􀀮􀀮􀀮� �􀀺􀀮􀀮􀀺􀀧􀀭􀀭􀀮􀁌􀀮􀁉􀀢􀀢􀀢􀀧􀁾􀀭􀀢􀀽􀀭􀀾􀀭􀀧􀀭􀁾􀀴􀀭Date '3 \\\\t) "> Manager, Project Ma 􀁄􀁡􀁴􀁥􀁬􀀭􀀲􀀮􀀭􀁾􀀠d...? Date Q, fS'-03 SECTION B (to be completed by Consultant) Date of Request: _-",8",13""1/,,,0,,-3___ Payment Request No. 20 Final Pay Request: _"'x'---_ No 􀁄􀁡􀁴􀁥􀁾􀀠Covered This Payment Request: From __--'0"'S,,/O"'I,,/O"'3_____ To ____􀁾􀀰􀀸􀁾􀀱􀀳􀁾􀁉􀁾􀁲􀁯􀁾 􀀳______ Total Fee to Date (From Col. 4 Invoice Work¥h"'e"'etl,L,______________.., $__􀁾􀀲􀁾􀀷􀀵􀁾􀀬􀁬􀁾􀁓􀁾􀀹􀀮􀁾􀁏􀁏􀁌􀁟____ RECEIVEDTotal Payment Requested to Date $__􀁾􀀲􀁾􀀷􀀵􀁾􀀬􀀱􀁾􀀸􀁾􀀹􀀮􀁾� �􀀰􀁌􀁟__ __ Less Previous Payments $__􀁾􀀲􀁾􀀶􀀸􀁾􀀬􀀳􀁾􀀹􀁾􀀵􀀮􀁾􀁏􀁏􀁾__ __ Payment Due This Request SEP 03 2003 $__􀀢􀀢􀀶􀀬􀀢􀀢􀀧􀀷􀀹􀀡􀀺􀀺􀀡􀀴􀁾􀀮􀁏􀁏􀀢􀁟__AVIATION DIVISION, TxDOT NOTE: PAYMENT REQUEST MUST BE ACCOMPANIED BY INVOICE WORKSHEET & DEE REPORT. SECTION C (To be signed by Consulting Engineer) CONCURRENCE AND CERTIFICATION OF CONSULTANT ENG1NEER: cenify 11m the above services were rendered, or goods 􀁲􀁾􀁥􀁩􀀧􀁩􀁥􀁤􀀮􀀠and thaI they correspond in eVery panicular way with the conttac def which mey were procured and thallhe invoice is !.nIe, and unpaid. Signature. Consultant 􀁅􀁮􀁧􀁩􀁮􀁥􀁥􀁲􀀭􀀻􀀮􀀻􀀲􀀻􀁌􀁳􀀮􀁾􀁾􀀺􀁚􀁾􀀺􀀺􀀺􀀺􀀮􀀮􀀮􀀮􀁩􀀡􀀮􀀮􀀮􀁓􀀺􀀺􀁾􀁾􀁾􀀡􀀺􀀲􀀡􀀡􀀽􀀽􀀭􀀭􀀭􀀭􀀭Date __----'0!28J3L2..!J1I..03"-_ TxDOT Form D-2-560D.FRM (02198) ----------------PSAPHASE 1. Initiation 2. Inventorv of Existina Condijions 3. Aviation Forecasts 4. Aviation Noise Analysis 5. Noise Impacts 6. Noise ExPosure Map Document 7. Noise Abatement Altematives 8. Land Use Alternatives 9. Noise ComoatibililV 􀁐􀁲􀁯􀁾􀁲􀁡􀁭􀀠10. Public Coordination & Communication 11. Noise Compatibilitv Program Document COL. 1 %of Contract 3.350 13.725 3.566 11.172 4.678 4.494 10.066 7.678 10.203 26.575 4.494 COL. 2 Fee $10720 $43 920 $11410 $35750 $14970 $14380 $32210 $24570 $32650 $85040 $14380 COL. 3 COL. 4 % Complete Fee Earned to Date 100.00 92.01 100.00 100.00 100.00 80.00 100.00 100.00 100.00 .7172 $10720.00 $40,414.00 $11 410.00 $35750.00 $14970.00 $11 504.00 $32210.00 $24570.00 $32650.00 $60991.00 TOTAL CONTRACT 100.000 $320000 TOTAL FEE TO DATE ____ I $275,189.00 INVOICE WORKSHEET Date 08/31/03 Project Name: Addison Airport Project No. oo18ADDSN Basic Service Fee: $320,000 Payment Request No. 20 Period: From 08/01/03 To 08131103 Consultant to complete columns 1-4 Columns 5 & 6 lor TxDOT use COL.S % Complete COL.S Fee Earned to Date \tIt> .£'0 ct'2. .(YL 􀁾􀁣􀁭􀀠.tt:. 􀁓􀀻􀁜􀁏􀀮􀀬􀀽􀀮􀁾􀀠􀁾􀀴􀀰􀁁􀁜􀁬􀀾􀀬􀀠tv S \\ .6"O.t"Q 􀁜􀁾,tt:. $35 􀁾􀁃􀀮􀁴􀁲􀁯􀀠\..tm .'¢.:> g;: \4: ,\10.1N 􀀧􀁜􀁯􀀮􀁾􀀠􀁾􀀠\t,S04.rt> \,\11) . • t'\l \1f'O, 􀁾􀀠,.g; '2.."t .s'1􀁾􀀮􀀠I'\:) \\TO .'<0 $; <3'2. t.i!>c>.􀁾􀀠1t;"11$ (..0 􀀢􀁜􀁾,.ro IS 􀀬􀀭􀀭􀁴􀁓􀀺􀀬􀁜􀁾􀀠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 Consultant's estimate of % of phase completed COL. 4 COL 2 x COL. 3 COL. 5 TDA Project Manage(s estimate of % of phase completed COL. 6 COL. 2 x COL. 5 TxDOT COMMENTS TxDOT 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 01-SP-07-20 Invoice Number AnN: Ms. Margarita Garcia Assistant Grant Manager AUGUST 31, 2003 RE: ADDISON AIRPORT ',..:. ",:,. TxDOT Detail No. 0118ADDSN Coffman Associates North Texas Aerial Surveys, Inc. Liz Oliphant & Associates, Inc. Current Invoice Amount: Plus TOTAL AMOUNT DUE: Certified by; 􀀮􀁾􀀠JEANETTE V. C' FMAN Date $6,794.00 $0.00 $0.00 794.00 $6,794.00 RECEIVE CHIEF EXEClJi IVE OFFICER SEP 032003 Kansas City· Phoenix 237 N.W. Blue Parkway. Suite 100. Lee's Summit. MO 64063 816-524-3500' FAX: 816-524-2575 TEXAS DEPAR'l,,1:ENT OF TRANSPORTATION" DIVISiON OF AVIATION Request for Payment for Aviation Project Professional Services Air SECTION A (To be completed by TxDOT) Name of Payee COFFMAN ASSOCIATES, INC, ... ort Noise Com atibili Plannin Stu DUSJ;>ATE'_""";d--£.L.!.li.:.L..¥..L___ .TX Identification Number_---'1"'4"'3",I2"'0'-'1"'45""00"""0""00"-...."'_,,--.,.______________ Address_--623.!.L,!7􀁎􀁗􀁾􀁂􀁌􀀢􀀢􀁕􀁅􀀢􀀭􀀡􀀮􀀡􀁐AR""",K",-"WC,D,JAY,-----=c'"􀀭􀁾􀀭􀀮􀀺􀀮􀀮􀁴􀂷􀀧􀀭􀀧􀁡􀁪􀁓􀁲􀀭􀁆􀁐􀀽􀀭􀁴􀀭􀁏􀁈􀁁􀁵􀀭􀀺􀁾􀁓􀁾􀁏􀁾􀁒􀁈􀁃􀀢􀀧􀁏􀀢􀀧􀁐􀀢􀀢􀀧􀀭􀀺􀀭􀁙􀀠City___-"'LE""'E"" '''''S''''S''''UM''''''M'''IT.......''''M''''O''''',,.,6'''4''''06''''3'--'=o'--_o____________-=--.!C-. Airport:__-"'A"'D"'D"'IS""O""Nf..'l..l:AIRP"""''-O'''R''''T"'---____________________ ':_ 􀁴􀁾􀀠./'Segment DistlDiv 42 Function Code --,8",5",,2_ Object Code 384 􀁾􀀠TxOOT CSJ NO: 0118ADDSN TxDOT Contract No. lXlFA031 Date Received: Eligible for Federal Reimbursement XX Yes ___NoB/5Jo3f J 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: _-'-'_L-..L:""'--L-_ APPROVALS: Project Manager ______􀀭􀀺􀀭􀀧􀀮􀀮􀀺􀀮􀀮􀀮􀀭􀀭􀀭􀀧􀀧􀀮􀀮􀁉􀀺􀀺􀁯􀁬� �􀀭􀀧􀀷􀀧􀀢􀀮􀀮􀀮􀀮􀀺􀁾􀁾􀁾􀁟􀀭􀀻􀀭􀁟􀀠Date 􀁲􀁬􀁜􀀢􀁺􀀮􀁨􀁾􀀠􀁄􀁡􀁴􀁥􀀯􀁊􀀻􀁾LtJl/] Date K . t3 "0) Manager, Project 􀁍􀀮􀁡􀁊􀁴􀁬􀁬􀁬􀁾􀁉􀁐􀁩􀀠Grant 􀁍􀁡􀁮􀁡􀁧􀁥􀁭􀁥􀁮􀁴􀁟􀀡􀀢􀀧􀀮􀁉􀁌􀀮􀁾􀀮􀁌􀀧􀀭􀀢� �􀀭􀀮􀀮􀀧􀀭􀀺􀀢􀀢􀀧􀂥􀁊􀀮􀀭􀀢􀀭􀁁􀀮􀀮􀀮􀁁􀀭􀁁􀀮􀁾􀀮􀀮􀁡􀀮􀁊􀀬􀀭__ SECTION B (to be completed by Consultant) Date of Request: 􀁟􀁾􀀷􀁴􀁌􀀯􀀳􀀢􀀬􀀱􀀡􀀡􀀺􀀯􀁏􀀢􀀬􀀳􀀬􀀭􀀭___ Payment Request No, _.!L_ Final Pay Request: _ __Yes _..A_No Dates Covered This Payment Request: From _---'0'-'7"'/0"'1"'10"'3___ To ___􀁑􀁾􀀷􀁾􀀯􀀳􀁾􀁉􀁾􀁭􀀢􀀬􀀳____ Total Fee to Date (From CoL 4 Invoice Worksheet) r--R-E-C-E-I-V-E-O-' $,__􀁾􀀲􀁾􀀶􀁾􀀸􀀮􀀢􀀬􀀳􀀹􀁾􀀵􀁾􀀬􀀰􀁾􀀰____ Total Payment Requested to Date $,_--"2""68"".3""9""5,""00"--__ 00"--__ AUG 052003Less Previous Payments 􀀤􀀬􀁟􀁾􀀲􀀢􀀧􀀴􀀢􀀢􀀹􀀬􀀢􀀢􀀰􀀹􀀢􀀢􀀵􀀢􀀧􀀬􀀰􀀰􀀢􀀧􀀭___ '''',T10N DIVISION. TxDOT $Payment Due This Request __...1""9.""300""",00"--__ NOTE: PAYMENT REOUEST MUST BE ACCOMPANIED BY INVOICE WORKSHEBT & DBE REPORT, SECTION C (To be signed by Consulting Engineer) CONCURRENCE AND CERTIPJCATION OF CONSULTANT ENGINEeR: tertify thar the aoove services were rendered, or goods received, and that they correspond in every particular way with the CO07 undet which they were procured and fhalthe 10'101 is Hoe, and unpaid" Signature. Consultant Engineer h. 􀁾􀁾Y .......--....., Date _---"""-"-"'-"'''--_ TxDOT F?rm D-2-560D,FRM (02/98) INVOICE WORKSHEET Date 07/31/03 Project Name: Addison Airport Project No. oo18ADDSN Basic Service Fee: $320,000 Payment Request No. 19 Period: From 07/01/03 To 07/31/03 Consultant to complete columns 1-4 Columns 5 & 6 for TxDOT use PSA PHASE 1. Iniliation 2. Inventorv of Existina Conditions 3. Aviation Forecasts 4. Aviation Noise Analvsis 5. Noise Impacts 6. Noise Exposure Map Document 7. Noise Abatement Alternatives 8. Land Use Alternatives 9. Noise Comoatibilitv Prooram 10. Public Coordination & Communication 11. Noise Comoatibilitv Proaram Document TOTAL CONTRACT TOTAL FEE TO DATE COL. 1 %of Contract 3.350 13.725 3.566 11.172 4.678 4.494 10.066 7.678 10.203 26.575 4.494 100.000 COL. 2 Fee $10720 $43 920 $11 410 $35750 $14970 $14380 $32210 $24570 $32650 $85040 $14380 $320.000 COL. 3 % Complete 100.00 90.85 100.00 100.00 100.00 80.00 100.00 100.00 100.00 .6434 COL. 4 Fee Earned to Date $10720.00 $39900.00 $11410.00 $35750.00 $14970.00 $11 504.00 $32210.00 $24570.00 $32650.00 $54711.00 -----$268,395.00 eOL.S eOL.S Fee Earned to % Complete Dale 􀀮􀁾􀀠 􀁾􀁡􀀺􀁜􀁓􀀺􀀠 \1\'0 ,\'l:) 1$ 􀀲􀀮􀀨􀀬􀀬􀀧􀁜􀀱􀀬􀀻� �􀀬􀁾􀀮􀀠d' 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)llooJ 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 Farm 567b 1193 CoUman.; Associates Airport Consultants www.coffmanassociates.com INVOICE TO: Texas Department of Transportation Aviation Division 125 E. 11th Street Austin, TX 78701-2483 01-SP-07-19 Invoice Number ATTN: Ms. Margarita Garcia Assistant Grant Manager JULY 31, 2003 Date RE: ADDISON AIRPORT TxDOT Detail No. 0118ADDSN Coffman Associates North Texas Aerial Surveys, Inc. liz Oliphant & Associates, Inc. Current Invoice Amount: $13,300.00 $0.00 $6,000.00 $19,300.00 Plus Un aid Balance: $0.00 TOTAL AMOUNT DUE: Certified by: 􀀭􀁲􀀧􀀴􀁊􀀮􀁾􀁾􀀺􀀰􀁩􀀺􀀺􀀮􀀮􀀮􀁌􀀮􀀮􀀡􀀭􀁾􀁾 􀁾􀀧􀁡􀀭JEANETTE v.. FFMAN CHIEF EXE UTIVE OFFICER $19,300.00 RECEIVED AUG 052003 AVIATION DIVISION. TxDOT Kansas Ci1y • Phoenix 237 NW. Blue Parkway. Suite 100. Lee's Summit. MO 64063 816-524-3500· FAX: 816-524-2575 DUE 􀁄􀁾􀁬􀀡􀀻􀁉􀁩􀀻􀀡􀀬􀀽􀀺􀁈􀁩􀀮􀀧􀁴􀁈􀀢􀀢􀀧􀁈􀁾􀁾􀁈􀁉􀀬􀀬􀀢􀀪􀀬􀁵􀀧􀀭􀁇􀀻􀀠B'L.lLt:..-L-, TEXAS DEPARTMENT OF TRANSPORTATION -DIVISION OF AVIATION SECTION A (To be completed by TxDOT) Name of Payee COFFMAN ASSOCIATES. INC. . '.e' , TX Identification Number_--'1"'4""3"'12"'0""1"'4""5""OOO""'0"'0'--___________________ Address,__􀁾􀀲􀀳􀀬􀀬􀀢􀀬􀀷􀁵􀁎􀁵􀁗􀁬􀀡􀁊􀁾􀁌􀁕􀁅􀀠PARKWAY City___􀀭􀀭􀀭􀀢􀁌􀀢􀀧􀁅􀀢􀀧􀁅􀀧􀀭􀀢􀁓􀀢􀀭􀁓􀀢􀀧􀀢􀁕􀁍􀁾􀀢􀀧􀁍􀀢􀀢􀁉􀁔􀀢􀀢􀀢􀀢􀀢􀀮􀁍􀁾􀁏􀀬􀀬􀀭􀀮-'6406"""""3'--_____ Airport: ADDISON AJRf'QRL Segment 76 DistIDiv 42 Function Code 852 Object Code 384 TxDOT CSJ NO: 0118ADDSN TxDOT Contract No. lXlFA031 Date Received: Eligible for Federal Reimbursement XX Yes ___ No"] /J103 Current Contract Amount (Grant Management) $ 320.000.00 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: J-IO 03 APPROVALS: Project Manager· __-;:.:>r-__􀀭􀀧􀀮􀀡􀀻􀀻􀀻􀀻􀀻􀀺􀁬􀀭􀁾􀁾􀁾􀀡􀀮􀀮􀀮􀀮􀁬􀀺􀁾􀁾􀁾􀀭􀀭􀁟􀁟􀀮􀀠Date_:1...L-'-l􀁾􀀽􀁾􀀽􀁏􀀮􀀮􀀺􀀺􀀺􀀡􀀺􀀾􀀽􀀭􀁟􀀠Manager, Project Date It 􀁾􀀿􀁃􀀷􀀺􀁊􀀡􀀾􀀠Grant 􀁍􀁡􀁮􀁡􀁧􀁥􀁭􀁥􀁮􀁴􀀭􀀫􀀭􀁬􀁉􀁷􀀮􀀬􀀢􀀢􀀢􀁾􀁾􀀭􀁬􀀮􀀮􀁌􀁁􀀮􀀮􀁌􀁊􀀮􀁾􀁾􀀺􀀲􀁉􀀮􀁾􀁾􀀮􀀺􀀮􀀮􀀮􀀮􀀮􀁬___ Date 1-15<0) SECTION B (to be completed by Consultant) Date of Request: _--.JlQJlLJl;L___ 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 aoove services were rendered, or goods received, and thnl they correspond in every poutlcutar way with the eo under 􀀺􀁨􀁩􀁣􀁾!heY? procuted and that invoice i5 􀁾􀀬and Wlpaid. Signature. Consultant Engine (1P' , Date 06/30103 TxDOT Form D·2-560D.FRM (02/98) ___YesPayment Request No. _..L18iL-_ Final Pay Request Dates Covered Tbis Payment Request: From _--,06/0"",""!J.II",, 0,,,3___ Total Fee to Date (From Col. 4 Invoice Wor Total Payment Requested to Date Less Previous Payments Payment Due This Request CEIVED JULO 72003 AVIATION DIVISION, TxDOT _-"X,,--_ No To __.Q!1fl!.QlQ;L__ $ 249,095.00 $__249"'.09""5"".00"--__ $ 244.497.00 INVOICE WORKSHEET Date 06130/03 Project Name: Addison Airport Project No. 0018ADDSN Basic Service Fee: $320,000 Payment Request No. 18 Period: From 06101/03 To 06130/03 Consultant to complete columns 1-4 Columns 5 & 6 for TxDOT use COL. 1 COL. 2 COL. 3 PSAPHASE %of Contract Fee % Complete 1. Initiation 3.350 $10720 100.00 2. Inventol)' of Existing Conditions 13.725 $43920 90.85 3. Aviation Forecasts 3,566 $11410 100.00 4. Aviation Noise Analysis 11,172 $35750 100,00 5. Noise Impacts 4.678 $14970 100,00 6. Noise Exposure Map Document 4.494 $14380 80.00 7, Noise Abatement Alternatives 10.066 $32210 100,00 8. Land Use Alternatives 7.678 $24570 100.00 9. Noise Compatibility Program 10.203 $32650 .8755 10. Public Coordination & Communication 26.575 $85040 .4642 11, Noise Compatibilitv Program Document 4.494 $14,380 TOTAL CONTRACT 100.000 $320000 TOTAL FEE TO DATE COL. 4 Fee Earned to Oate $10720.00 $39900,00 $11 410,00 $35750.00 $14970.00 $11 504.00 $32210,00 $24570.00 $28586.00 $39475,00 $249,095.00 COL. 5 %Complele COL.S Fee Earned 10 Dale 􀁜􀂮􀀮􀁾􀀠􀁾􀁜􀁣􀀺􀁬􀀬􀀢􀀧􀀺􀁬􀀮􀁩􀀺􀀺􀀾􀀮􀁾􀀠o,c.'tS g; ":!>"I ""!I'tI. 􀁾􀀠\.4"> \ 'I:t) .ro 􀁜􀀱􀁬􀁉􀀺􀀩􀀮􀁾􀀠􀀢􀁴􀁯􀀮􀁾􀀠\1>"0 oN 􀁜􀁾􀀮􀁲􀁩􀀺􀀩􀀠"{1."'-' $ '3S ,'1S(). ¢ \\.So'\.... !Ii: '31..'t,1<> • ..., $ '2A..s.,... N 􀁾'2.'f51'(, ,It> 4-1. 􀀮􀀶􀁴􀁾􀀠􀁾:1.'\ 415. &!:> I'i '2.<¥\ .0"\$.... 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)!1 OOJ COl. 3 Consultant's estimate of % of phase completed COL4 COL2xCOL3 COL 5 COL 6 TDA Project Manager's estimate of % of phase completed COL, 2 x COl. 5 rxOOT COMMENTS TxOOT Aviation Division Form 567b 1/93 Collman.,/Associates Airport Consultants www.coffmanassociales.com RECEIVED JUL 072003INVOICE AVIATION DIVISION, noOT I 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 TxDOT Detail No. 0118ADDSN 01-SP-07-18 Invoice Number JUNE 30. 2003 Date FOR PROFESSIONAL SERVICES R13ND6RED , Coffman Associates North Texas Aerial Surveys. Inc. Liz Oliphant & Associates, Inc. Current Invoice Amount: $4,598.00 $0.00 $0.00 $4,598.00 I Plus Unpaid Balance: $0.00 . TOTAL AMOUNT DUE: $4.598.00 . . .' '. . DUE Ol'ONRECEIPT ' •....•.... ... . .•... . .....,. . . 􀁃􀀢􀀢􀁤􀁢􀁹􀀡􀀻􀁾􀀠II. Wkh'7 /JEANETTE:tf-?FFMAN CHIEF EXE UTIVE OFFICER Kansas City· Phoenix 237 N,W, Blue Parkway. Suite 100. Lee's Summit. MO 64063 816·524·3500' FAX: 816·524·2575 DUE DATE::::-=-=--=--L-_-I--'""'-:::>",'--_ I TEXAS DEPARTMENT OF TRANSPORTATION -DIVISlON OF AVIATION SECTION A (To be compleled by TxDOT) Name of Payee COFFMAN ASSOCIATES, INC. SPONSOR COpy TX Identification Number 14;3.LJ1c;o2"'O-"14",5"'O"'O"'OO"'O'--_______ Address,__􀁾􀀭􀀢􀀧􀀲􀀳􀁾􀀷􀀧􀀭􀀭􀀧􀁎􀁗􀀢􀀭􀀢􀀧􀀮􀀮􀀮􀁩􀁂􀀢􀀧􀁌􀀢􀀢􀁕􀀢􀀧􀁅􀁾􀁐􀁌􀁬􀁁􀀢􀀧􀁒􀀢􀀧􀁋􀀧􀁟􀀧􀁗􀁟􀀧􀁟􀀧􀁁􀀢􀀢􀁙􀀢� �􀁟__________________ City___ LEE'S SUMMIT, MO. 64063 􀁁􀁩􀁾􀁯􀁲􀁴􀀺􀀭􀀭􀁟􀁵􀁁􀁾􀁄􀁾􀁄􀁾􀁉􀁓􀁾􀁏􀁾􀁎􀁾􀁁􀁉􀁒􀁐􀁾􀁾􀁏􀁾􀁒􀁾􀁔􀁾______________________ Segment 76 DistIDiv 42 Function Code 852 Object Code 384 TxDOT CSJ NO: 0118ADDSN TxDOT Contract No, _""1"'X""1"'-FA"""'03""1'--__ Date Received: '-Rig 103 Eligible for Federal Reimbursement XX Yes No I ' Current Contract Amount (Grant Management) $ 3:.60,000.00 Total Fee Approved to Date (From Col. 6 Invoice Worksheet) $ 􀀧􀀲􀀮􀀮􀁾􀀠,:4"1 ' ru Total Amount Approved for Payment to Date $ 􀁾􀀳􀁾􀀱􀀠gCJq.OO 􀁾􀀠Amount Approved This Payment $ s ,E;'1,,{ , to ) Return to Gram Management by: Co· I'd. . 0 '"S APPROVALS: Date Co[1Mlb3 Manager, Project Manage Dai'6 tJ r::kt4... 2/dl.J]. Grant Management,__􀁾􀀮􀀴􀀭􀀭􀀭􀀧􀀭􀀧􀀧􀀧􀀧􀀭􀀧􀀧􀀧􀀭􀀧􀀧􀀧􀀧􀀧􀀭􀀭􀀭􀀭􀀧􀀭􀀬􀁰􀀻􀀺􀀮􀀱􀀬􀀮􀀮􀁤􀀭􀂫􀀬􀀮􀀮􀀴􀀮􀁉􀀮􀀮􀀭􀀧􀀧􀀭􀀧􀀭􀁻􀀬􀀴􀀼􀁟􀁦􀁟􀀠Date 7·/'03 Project Manager ________􀀺􀀺􀀭􀀭􀀧􀀮􀁾􀁽􀀢􀀭􀀧􀀧􀀧 􀀧􀀢􀀧􀀧􀀭􀀧􀁾􀁾􀀺􀀭􀀧􀀭􀀮􀀮􀀮􀀮􀀬􀀬􀀧􀀧􀀧􀀧􀀺􀀧􀁾􀀭􀁟􀁲􀀠e'V'-'''''-4'-''+''-'-''''''I:.-::--9i'-'"''-'-''=-"''7'ii<-SECTION B (to be completed by COlISultant) Dale of Request: 􀁟􀁾􀁓􀀢􀀬􀀧􀀳􀀢􀀬􀀱� �􀀢􀀬􀁏􀀢􀀬􀀳􀀬􀀭􀀭___ NOTE: PAYMENT REQUEST MUST BE ACCOMPANIED BY INVOICE WORKSHEET & DBE REPORT. SECTION C (To be signed by Consulting Engineer) CONCURRENCE AND CERTIfICATION OF CONSULTj\NT ENGINEER: certify that me above services were rendered. or goods received, and that they correspond in every 􀁰􀁡􀁲􀁴􀁩􀁣􀁴􀁬􀁬􀁾􀀠way with the COntract der which 􀁾􀁪􀀢...􀁗􀁾􀁏􀂫􀁴􀁲􀁥􀁤􀀢􀁾􀁾􀁥inv oiee i$lrUe., and unpaid. Signature, Consultant Engineer 􀀬􀁾􀁆<-t:-'> Dale 05/31103 Payment Request No. _ .....17'--_ Final Pay Request: ___Yes Dates Covered This Payment Request: From 􀁟􀀭􀀭􀀢􀀰􀀢􀀢􀀵􀀬􀀬􀀬􀀬􀀰􀁾􀁉􀀱􀀬􀀬􀀬􀀰􀀬􀀬􀀬􀀬􀀳___ Total Fee to Date (From Col. 4 Invoice Workshe i''RECE I V E 0 Total Payment Requested to Date JUN 0 9 2003Less Previous Payments AVIATION DIVISION, TxDOTPayment Due This Request _-"X",-_ No To __---"05o!.!.'od,31!L'01.63'--__ $__􀁾􀀲􀁾􀀣􀁾􀀬􀁾􀀴􀀹􀁾􀀷􀁾􀀮􀀰􀁾􀁏_____ $,__􀁾􀀲􀁾􀀴􀁾􀀴􀀬􀁾􀀴􀀹􀁾􀀷􀁾􀀮􀁏􀁾􀁏______ $, __􀁾􀀲􀁾􀀳􀀸􀁾􀀬􀀸􀁾􀀹􀁾􀀹􀀮􀁾􀁏􀁏􀁾____ $,____􀁾􀀵􀀬􀁾􀀵􀀹􀁾􀀸􀁾􀀮􀁏􀁾􀁏______ TxDOTForm D-2-560D.FRM (02198) INVOICE WORKSHEET Date 05131/03 Project Name: Addison Airport Project No. 0018ADDSN Basic Service Fee: $320,000 Payment Request No. 17 Period: From 05101/03 To OS/31/03 Consultant to complete columns 1·4 Columns 5 & 6 for TxDOT use -----COL. 1 COL. 2 COL. 3 COL. 4 0/0 ofPSAPHASE Contract Fee % Complete Fee Earned to Date 1. Initiation 3.350 $10 720 100.00 2. Inventorv of Existina Conditions 13.725 $43920 90.85 3: Aviation Forecasts 3.566 $11 410 100.00 4. Aviation Noise Analysis 11.172 $35750 100.00 5. Noise Impacts 4.67B $14970 100.00 6. Noise Exposure Mao Document 4.494 $14380 BO.OO ]. Noise Abatement Altemaftves 10.066 $32210 100.00 B. Land Use Alternatives 7.678 $24570 100.00 9. Noise Compatibility Program 10.203 $32650 .7347 10. Public Coordination & Communication 26.575 $85 040 .4642 , 11. Noise Compatibililv Proaram Document 4.494 $14380 TOTAL CONTRACT 100.000 $320000 LT()TAL FEE TO DATE $10720.00 $39900.00 $11410.00 $35,750.00 $14970.00 $11504.00 $32210.00 $24570.00 $23988.00 $39475.00 $244,497.00 COL.S COL. 6 Fee Earned 10 %Complele Dale 􀀮􀁾􀀠.t\l U U ul$'2.""" 􀀬􀁾􀀽􀁲􀀬􀁾􀀠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 TxDOT COMMENTS TxDOT Aviation Division Form 567b 1193 Associates Airport Consultants www.coffmanassociates.com INVOICE TO: Texas Department of Transportation 01-SP-07-17 Aviation Division Invoice Number 125 E.J1th Street Austin, TX 78701-2483 AnN: Ms. Margarita Garcia MAY 31, 2003 Assistant Grant Manager Date RE: ADDISON AIRPORT TxDOT Detail No. 0 118AD DSN FOR PROFESSIONAL SERVICES RENDERED Coffman Associates $5,098.00 North Texas Aerial Surveys, Inc. $0.00 liz Oliphant & Associates, Inc. $500.00 Current Invoice Amount: $5,598.00 Plus Un aid Balance: $0.00 TOTAL AMOUNT DUE: $5,598.00 i '. DUE UPON RECEIPT RECEIVEDCertified by: /􀁾c/.' 􀁾􀀢􀀭􀀧􀀷􀀠r7 JEANETTE fl. COFFMAN JUN 0 9 2003 i CHIEF EXECUTIVE OFFICER AVIAllON DIVISION. TxDO Kansas City· Phoenix 237 N.W. Blue Parkway. Suite 100. Lee's Summit MO 64063 816-524-3500' FAX: 816-524-2575 i TEXAS DEPARTMENT OF TRANSPORTATION -DIVISION OF AVIATION Request for Payment for Aviation Project Professional Services Airport Noise Compatibility Planning Study SECTION A (To be completed by TxDOT) DUE DATE_an . Name of Payee COFFMAN ASSOCIATES. INC. -FuNSOR COpy TX Identification Number_---"1,,4d-31.u2""0"'1;t45"'0"'0"'0""00"-________________--'=_ Address__􀀮􀀮􀀮􀀮􀀮􀀮􀀬􀀬􀀲􀀳􀀢􀀭􀀧� �􀀧􀀭􀀭􀀧􀁎􀁗􀀧􀀢􀀧􀀭􀀧􀀭􀀧􀀭􀀧􀁂􀀢􀀭􀀧􀁌􀁾􀁕􀁅􀀢􀀢􀀢􀀧􀀭􀀢􀀢􀀧􀁐AR=",K,-,-WuA:>.Y,,-_ City____􀁌􀀢􀀢􀁅􀀢􀀢􀁅􀀢􀀧􀀭􀀧􀀧􀀧􀀧􀁓􀀭􀀧􀀧􀁓􀀧􀀧􀀧􀁕􀁍􀀧􀀧􀀧􀀧􀀧􀀧􀀧􀀧􀁍􀀧􀀧􀀢􀁲􀁲􀁾􀀮M,,-,,=O,,-.-"64""0"'6"" 3____ ADDISON AIRPORT'"'-___________________Airport: Segment 76 DistIDiv 42 Function Code 852 Object Code 384 TxDOT CSJ NO: 0118ADDSN TxDOT Contract No. lXlFA031 Date Received: ..AAd.y l"t9ctJ3 Eligible for Pederal Reimbursement XX Yes No Current Contract Amount (Grant Management)':' 􀀤􀁟􀁾􀀳􀁾􀀲􀁾􀀰􀀬􀁾􀀰􀀰􀁾􀀰􀁾􀀮􀀰􀁾􀀰􀁾___ Total Pee Approved to Date (Prom Col. 6 Invoice Worksheet) $ 􀀱􀀭􀀭􀁾"r I 􀁾'\. t"Q Total Amount Approved Approved for Payment to Date S a55j 83L}. DiJ Amount Approved This Payment $__--""''3'-t)=O=G:,5--=--au_ Return to Grant Management by: _...J6',-"-_'-I-L""3,l->Q"",,,,t3-LAPPROVALS: Project Manager ______􀁾􀀮􀁌􀀮􀀮􀀮􀁌􀀺􀀾􀁢􀀬􀀡􀁾􀀬􀀡􀀡􀀬􀀻􀀬􀁾􀁾􀀹􀀭􀀭􀀭􀀭Date 􀀮􀁳􀁾􀁾􀁾􀁴􀁬􀀺􀀳􀀮􀀠Manager, Project Man Date ..:; l<1!b.." Grant Management_-"-'-I""'''''''''''-'--'-I'' .................................LL...1-___ Date 􀀵􀀧􀀯􀀳􀁄􀁾􀀠SECTION B (to be completed by Consultant) Date of Request: _--'4"'13"'0""0""3'--___ Payment Request No. 16 Final Pay Request: ___Yes _-""-_ No Dates Covered This Payment Request: From _--,O",Ic,/O",I",IO",3___ To ____􀁾􀀰􀀴􀁾􀀯􀀳􀁾􀁏􀁾􀀯􀀰􀁾􀀳______ Total Fee to Date (From CoL 4 Invoice works'''''''''''--E-C--E-I-V-E--O--' S__􀁾􀀲􀁾􀀳􀁾􀀸􀀬􀁾􀀸􀀹􀁾􀀹􀁾􀀮􀁏􀁏􀁾_____ Total Payment Requested to Date $__􀁾􀀲􀁾􀀳􀀸􀁾􀀮􀀸􀁾􀀹􀁾􀀹􀀮􀁾􀁏􀁏􀁌􀁟____ Less Previous Payments MAY 0 6 2003 $__􀁾􀀲􀁾􀀳􀀵􀁾􀀮􀁾􀀸􀀳􀁑􀀴􀁾􀀮􀁏􀁏􀁾_____ Payment Due This Request AVIATION DIVISION. TxDOT I $____􀁾􀀳􀀬􀁾􀀰􀀶􀁾􀀵􀁾􀀮􀁏􀁏􀀦􀀭_____ NOTE: PAYMENT REQUEST MUST BE ACCOMPANIED BY INVOICE WORKSHEET & DBE REPORT. SECI10N C (To b. signed by Consulting Engineer) CONCURRENCE AND CERTrACATIQN OF CONSULTANT ENGINEER: certify Ihat the 􀁜􀀧􀁄􀀮􀀻􀀭􀁴􀁚􀁃􀀮􀁾􀀠o..1:)'l'S 6: 􀁾􀀢􀁜􀀠􀀢􀁜􀁾􀀮􀁾􀀠\ ('3:) .N .!It ,\ 􀀢􀀢􀀬􀀬􀀢􀀮􀁾􀀠􀁜􀂮􀀮􀁾􀀠.s 􀁾,""\50.. 􀁾, 􀁜􀁾􀀮􀀨􀁬􀀩􀀠t \.1,-,􀁾􀀧􀀱􀀢􀀬􀀮􀂮􀀠i 􀀧􀁴􀁜􀀺􀀩􀀮􀁾􀀠Cl; \ \ \ .Go.l,...!I'> S..'3'l.. $: \t' ':!>,,\o. r\) .Ai... .J,2oS -;?,"I .Ir'tS•.ro i .1 $ '2.3'&'􀀻􀁩􀁜􀁉􀁜􀀮􀁾􀁾􀀠 COL. 1 From PSA Attachment E .COL. 2 From PSA Section 5.1.1.1. including addenda [for lines Ua" through "g" (COL. 1 x Basic Services Fee)fl00] COL. 3 COL. 4 Consultant's estimate of % of phase completed 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 ,, ' TEXAS DEPAR', .•ENT OF TRANSPORTATION -􀁄􀁉􀁖􀁉􀁾􀀮􀁊􀁎􀀠OF AVIATION Request for Payment for Aviation Project Professional Services Airport Noise Compatibility Planning Study SECTION A (To be completed by TxDOT) DUE DATE I . 'd; I -D3 Name of Payee COFFMAN ASSOCIATES, INC. TX Identification Number 14312014500000 SPONSOR COpy Address 237 NW BLUE PARKWAY City___----"L"'E""E'-"􀁓􀀢� �􀀭􀀢􀀭􀁓􀁕􀁍􀀢􀀢􀀢􀀡􀀡􀁬􀁍􀀬􀀬􀀬􀁉􀀬􀀭􀀬􀀬􀁔􀁾􀀬M"",O,-,-,􀀭􀀭􀀬􀀶􀀢􀀬􀀴􀀢􀀬􀀬􀀰􀀶􀁾􀀳􀀬􀀭􀀭􀀭􀀭􀀭_________________ Airport:__----"'A"'D""D"'IS""O""NC!.LA"'IRP""'-'O"-R"'T-"----____________________ Segment 76 DistJDiv 42 Function Code 852 Object Code 384 TxDOT CSJ NO: 0118ADDSN TxDOT Contract No. _--,l",X",1",F",A",O",,3,,1___ Date Received: I J-./g!-II:' :r---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: _----'l_'""_g---"-,_'--,U=_2L$____􀀳􀁾􀀲􀁾􀀰􀁾􀀬􀀰􀁾􀀰􀀰􀁾􀀮􀀰􀁾􀀰􀁾__􀁾􀁟􀀠$ $ $ 􀁚􀁾􀀩􀁾􀀺􀀩􀁴􀁜􀀠􀀭􀁾􀀠dd1\, 17;-), CU 1) b b 2.., 􀁾􀀠GrantManagement._ _􀀫􀀭􀁾􀁾􀁾􀁾􀁜􀁲􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾APPROVALS: Project Manager_______-:-lI..:,..l..J»,,""".....,......,""l'T-____ Manager; Project Mana em Date \ 􀁜􀁸􀁬􀁾􀀿􀀺􀀾􀀠Date/a 􀁊􀁾􀀠􀀺􀀷􀁾􀀠Date ). /3 . 03 SECTION B (to be completed by Consultant) Date of Request: 12/31/02 Payment Request No. _--,1",5,__ Final Pay Request: Yes X No Dates Covered This Payment Request: From __1"2",-1..,1/",0,, ,-2___ To 12/31/02 Total Fee to'Date (From Col. 4 Invoice Worksheet) $ 235,834.00 Total Payment Requested to Date $ 235,834.00 Less Previous Payments $ 228.172.00 Payment Due This Request $ 7,662.00 NOTE: PAYMENT REOUEST MUST BE ACCOMPANIED BY INVOICE WORKSHEET & DBE REPORT. SECTION C (To be signed by Consulting Engineer) ervices were rendered, or goods reeeived, and that ce is true, and unp01id. Date 􀁟􀀭􀀭􀀭􀀭􀀧􀀱􀀢􀀧􀀲􀁾􀀯􀀳􀀧􀀭􀀧􀀱􀀧􀁟􀀧􀀱􀁏􀀢􀀧􀀲􀀧􀁟􀁟􀀠AVIATION DIVISION. TxDOT CONCURRENCE AND CERTIFICATION OF CONSULTANT ENGINEER: cenify that the above 􀁭􀁾􀁾􀁾􀁖􀁅􀁴􀁊􀁧􀀩􀁧􀁩􀀠DEC 3'1 2002 TxDor Form D-2-560D.F under which they were procured and that the in... INVOICE WORKSHEET Date 12131/02 Project Name: Addison Airport Project No. 0018ADDSN Basic Service Fee: $320,000 Payment Request No. 15 Period: From 1211/02 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 % Complete Fee Earned to Date 1. Initiation 3.350 $10720 100.00 2. Inventorv of Existino Conditions 13.725 $43920 90.85 3. Aviation Forecasts 3.566 $11,410 100.00 4. Aviation Noise Analvsis 11.172 $35,750 100.00 5. Noise Impacts 4.678 $14970 100.00 6. Noise Exposure Map Document 4.494 $14380 80.00 7. Noise Abatement Alternatives 10.066 $32210 100.00 8. Land Use Alternatives 7.678 . $24570 100.00 9. Noise Comoatibililv Prooram 10.203 $32650 .4694 10. Public Coordination & Communication 26.575 $85040 .4642 11. Noise Compatibililv Prooram Document 4.494 $14380 TOTAL CONTRACT 100.000 $320 000 TOTAL FEE TO DATE i I, . $10720.00 $39900.00 $11 410.00 $35750.00 $14970.00 $11504.00 $32210.00 $24570.00 $15325.00 $39475.00 $235,834.00 COL. 5 % Complete I&::).\S'C) 􀁯􀀮􀁾􀀧􀀺􀀧􀁩􀀭􀀧􀀢􀀠\ 1M:> .;t:) \m. .,1) \11".'" 􀁾􀀮􀁲􀁯􀀠\ "".til. 􀁜􀀢􀀢􀀧􀁾􀀠4;;.';1:4 A<.,.!, 􀁾􀀧􀀱􀁾....<$I> S \\, 􀁾􀀢􀀬􀀬􀀬"" "" "M 1$'c. '"' :!; \A,,'Ic......... ¢ \\ .5t>.!,.'" lOS 􀁾􀀢􀀲􀀮􀀻􀀢􀀲􀀮\". «> S" U'r, S"1<>,"" .$. 􀁾􀀠􀁾􀁾􀀠<1:1 􀁾􀀠􀀰􀀧􀁜􀀬􀀴􀁾􀀬􀀼􀁳􀁉􀀧􀀾􀀠i I􀀤􀀲􀁕􀀩􀀼􀁻􀁍􀀮􀁾􀀠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)11 OOJ COL. 3 Consu!!an!'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 567b 1/93 TEXAS DEPARTMENT OF TRANSPORTATION • DIVISIOk OF 􀁁􀁖􀁉􀁁􀁔􀁉􀁏􀁾􀀠SECTION A (To be completed by TxDOT) Name of Payee COFFMAN ASSOCIATES, INC. City___---" 􀁾􀀬􀀬􀁾􀀠.$ 􀀳􀀬􀁜􀀬􀁾t"1> • "" 􀀬􀁾􀀮􀀨􀁢􀀠.s. \I ,4\ I>,t\I'\\,'ctl S 3S""'lSI:>,(I:> 􀁜􀁬􀁲􀁜􀀮􀁾􀀠2i' \ ... 􀀬􀁾􀁾􀁢􀀠,f\) "fl> . ro 􀁾􀀠\ \ ,.5"",.';' \!Sl),"" $ '3'2. "Z.\..... 􀁾􀀠,-en. .<1> .s; '2A 5 -h ' "" '2...3.Dr' 50 -,) I.IJ.'" 4<' ,,,<"-z.... $ <3'\. ,-,>"'15 •"'" COL. 1 COL. 2 COL. 3 COL. 4 %ofPSA PHASE Contract Fee % Complete Fee Earned to Date 1. Initiation 3.350 $10,720 100.00 2. Inventorv 01 EXisting Conditions 13.725 $43920 90.85 3. Aviation Forecasts 3.566 $11,410 100.00 4. Aviation Noise Analysis 11.172 $35750 100.00 5. Noise Impacts 4.678 $14970 100.00 6. Noise Exposure Map Document 4.494 $14380 80.00 7. Noise Abatement Alternatives 10.066 $32210 100.00 8. Land Use Alternatives 7.678 $24570 100.00 9. Noise Compatibilitv ProQram 10.203 $32650 .2347 10. Public Coordination & Communication 26.575 $85040 .4642 11. Noise Compatibility Program Document 4.494 $14,380 TOTAL CONTRACT 100.000 $320-000 TOTAL FEE TO DATE $10720.00 $39900.00 $11410.00 $35,750.00 $14970.00 $11 504.00 $32210.00 $24570.00 $7663.00 $39,475.00 $228,172.00 􀀱􀁾􀀢􀀲􀀮􀀧􀀿􀀮􀀢􀀨􀀧􀀩􀁜􀀢􀀧􀀢􀁚􀀮􀂷􀁾􀀠I 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)/100] COL. 3 Consultant's estimate 01 % 01 phase completed COL. 4 COL. 2 x COL. 3 COL. 5 TDA Project Manager's estimate of % 6f phase completed COL. 6 COL. 2 x COL. 5 TxDOT COMMENTS TxDOT Aviation Division Form 567b 1/93 ADDISON TEXAS F.A.R. PART 150 NOISE COMPATffiILITY PROGRAM UPDATE ADDISON AIRPORT PROJECT OlSP07 COFFMAN ASSOCIATES' MONTHLY REPORT DESCRIPTION This progress report for the Texas Department ofTransportation summarizes the Consultant's efforts on this study through November 30, 2002. Element 1-Initiation. This Element is complete. Element 2-Inventory of Existing Conditions. This Element in 100 percent complete ($4,020 for aerial photography not used). Element 3-Aviation Forecasts. Aviation Forecast analysis is 100 percent complete. Element 4-Aviation Noise Analysis. Noise monitoring was completed January 20 to January 25,2002. Aviation noise analysis is 100 percent complete. Element 5-Noise Impacts. Noise impacts analysis is 100 percent complete. Element 6-Noise Exposure Map Documents. Work on final noise exposure map document is 60 percent complete. Draft final Noise Exposure Document was sent to Town staff August 20, 2002. Per our agreement from the September 4,2002 coordination meeting, 12 extra copies of of the Noise Exposure Maps (NEM) document for the Addison Airport F.A.R. Part 150 Noise Compatibility Study Update were printed and shipped at a total cost of$980.00. As we discussed, we have $5,000 for purchasing aerial photography that we did not use because ofthe availability ofNorth Central Texas Council of Governments aerial photography; therefore, no extra funds will be necessary to cover the cost ofthe extra 12 copies of the NEM documents. Element 7-Noise Abatement Alternatives. Noise Abatement Alternatives analysis is 100 percent complete. Element 8-Land Use Alternatives. Land Use Alternatives analysis is 100 percent complete. Element 9-Noise Compatibility Plan. Work has been initiated on the draft noise compatibility plan and is 25 percent complete Element 10-Public Coordination and Communication. First PAC and PIW meetings were held January 24, 2002. Second PAC and PIW meetings were held on May 23, 2002. Coordination meeting held September 4,2002 with Town staffTxDot, FAA, and mayor. Third PAC and and PIW meetings held on October 10, 2002. Coordination meeting held November 6, 2002 with Town staffTxDot, and FAA. Element 11-Noise Compatibility Program Documents. Work has been initiated on organizing the final noise compatibility documentation. Associates Airport Consultants www.Goffmanassociales.com RECEIVED DEC 4-2002INVOICE AVIA CION OlVIS10 " N. hDOT TO: ATTN: RE: Texas Department of Transportation Aviation Division 125 E. 11th Street Austin, TX 78701-2483 Ms. Margarita Garcia Assistant Grant Manager ADDISON AIRPORT TxDOT Detail No. 0118ADDSN Coffman Associates North Texas Aerial Surveys, Inc. Liz Oliphant & Associates, Inc. 01-SP-07-14 Invoice Number NOVEMBER 30, 2002 Date $11,843.00 $0.00 $0.00 TOTAL AMOUNT DUE: $11,843.00 Certified by: 􀀢􀀹􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀀮􀀭􀁴􀁾􀁾􀁦􀁦􀁩􀁾􀀠r JEANETTEV. AN CHIEF EXEC VE OFFICER Kansas City· Phoenix 237 N.W. Blue Parkway. Suite 100. Lee's Summit. MO 64063 816·524·3500 • FAX: 816-524-2575 Date Received: 11.-5-:0¥ 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: __􀀱􀁟􀁜􀀭􀀱􀀴􀀮􀀮􀀭􀀧􀁾􀀠APPROVALS: Project Manager <"\?' c:::; \ (\s.􀁌􀁾􀀠TEXAS nRIMIITlIifR\'IITOF TRANSPORTATION· DIVISION OF AVIATION for Payment for Aviation Project Professional Services 􀀽􀁓􀁅􀀽􀁃􀀽􀁔􀀽􀁉􀁏􀀢􀀧􀁎􀀢􀁁􀀺􀀽􀀨􀀽􀁔􀁉􀀽􀁯􀁾􀀽􀁾􀁩􀁾􀁾􀁾􀁾􀁢􀁾􀁙􀁾􀁔􀁸􀁾􀁄􀁾􀁏􀁾􀁔� �􀀩􀀺􀁾􀀺􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀁾􀀽􀁾􀀽􀁾􀀽􀁾==􀀽􀁾􀁒􀀽􀁾􀀽􀀻􀁾􀀺􀀽􀁾􀀽􀁾􀀺􀀽􀀺􀀺􀀽􀀽􀀷􀁾􀀮􀀠􀀱􀀴􀀳􀀱􀀲􀀰􀀱􀀴􀀵􀀰􀀰􀀰􀀰􀀬􀁾􀀰_____􀁾___________1!!I!!!'!II:ion Number LEE'S SUMMI,T. MO. 64063 ADDISON 􀁁􀁉􀁒􀁐􀁏􀀼􀀶􀁒􀀢􀀢􀁔􀁾􀁾􀀮______________􀁾__ Airport: Segment 76 DistIDiv 42 Function Code 852 Object Code 384 TxDOT CSJ NO: ....",O""1l..8,.,AD""""D",,SNu...___ TxDOT Contract No. _-"1""X...􀁬􀁾􀁆􀀮􀁡􀁁􀀬􀀬􀀬􀁏􀀬􀀬􀀳􀀱􀁌􀀭___ Manager, Project 􀁍􀁡􀁮􀁡􀁧􀁥􀁭􀁭􀁥􀁮􀁴􀁾􀁾􀀠Date 􀁉􀁲􀁾􀀠 Grant 􀁍􀁡􀁮􀁡􀁧􀁥􀁭􀁥􀁮􀁴􀀭􀁩􀁗􀁁􀀽􀀺􀀺􀀺􀀧􀀭􀀮􀀡􀁉􀀮􀀸􀁢􀁾􀁾􀁾􀁾􀁾􀀺􀀺􀀺􀀽􀁾􀀺� �􀀺􀀺􀀧___ Date--"l-'.-.-l-LS-Or SECTION B (to be completed by Consultant) Date of Request: 10131/02 Payment Request No. 13 Final Pay Request: Yes X No Dates Covered This Payment Request: Prom 􀁟􀀭􀀭􀀬􀀱􀀢􀀬􀀰􀀱􀀢􀀬􀀱􀀧􀀡􀁬􀀯􀁑􀀬􀀬􀀲􀁾__ To 10131/02 Total Pee to Date (From Col. 4 Invoice Worksheet) $ 216,329.00 Total Payment Requested to Date $ 216.329.00 Less Previous Payments $ 199,128.00 Payment Due This Request $ 17,20j.Op NOTE: PAYMENT REQUEST MUST BE ACCOMPANIED BY INVOICE WORKSHEET & DBE REPORT. SECfION C (To be Signed by Consulting Engineer) CONCURRENCE AND CERTIFICATION OF CONSULTANT ENGINEER: certify that tim alloW! services were rendered. or goods w;!lived, and lhat they correspond in every partieular way willi the contract under which they ",llere procured and Ihat the invoice is tnJe, and unpaid. 1013 1102teSignature, Consultant Engineer 􀁾C). r?-􀁬􀀱􀁾􀁃􀁅􀁉􀁖􀁅􀁄􀀠Nuv 5 -20G2TxDOT Porm Porm D-2-560D.PRM (02/98) INVOICE WORKSHEET Date 10/31/02 Project Name: Addison Airport Project No. 0018ADDSN Basic Service Fee: $320,000 Payment Request No. 13 Period: From 1011/02 To 10/31/02 Consultant to complete columns 1-4 Columns 5 & 6 for TxDOT use COL.' COL. 2 COL. 3 PSAPHASE %of Contract Fee % Complete 􀁾􀀮􀀠, 1. Initiation 3.350 $10720 100.00 2. Inventorv of Existina Conditions 13.725 $43 920 90.85 3. Aviation Forecasts 3.566 $11 410 100.00 4. Aviation Noise Anal,{§is 11.172 $35750 100.00 5. Noise Impacts 4.678 $14970 100.00 6. Noise Exposure Map Document 4.494 $14380 80.00 7. Noise Abatement Alternatives 10.066 $32210 100.00 B. Land Use Alternatives 7.678 $24570 100.00 9. Noise Compatibility Program 10.203 $32 650 10. Public Coordination & Communication 26.575 $85040 .4150 11. Noise Compatibility ProQram Document 4.494 $14380 TOTAL CONTRACT 100.000 $320 000 TOTAL FEE TO DATE _._... -_..... COL. 4 Fee Earned to Date $10720.00 $39900.00 $11410.00 $35750.00 $14970.00 $11504.00 $32,210.00 $24570.00 $35295.00 ,I $216,329.00 COL.S . %Completef􀁜􀀱􀁉􀁩􀀧􀀨􀀩􀀮􀁾􀀠COL. 6 Fee Eamedto Date $. \'lJ :-tv:> ,«) 􀁾􀁴􀁉􀁾􀀠$ 􀁾􀀢􀁜􀁾􀁾􀀠􀀮􀁾􀀠\ \i4) T'!:.l \<11) 􀀮􀁾􀀠$ \\ .A-\'>.1<'il ..S;. &5 .l S; 􀁾􀁉􀀾􀀬􀀭At'" 􀁾􀀠Th.ro $ \ \)$D""·1'l:> $ 􀁾􀀱􀀮􀀮􀀮􀀢􀁬􀀮􀀮􀀮􀁜􀁾􀀮􀁾\lS:1:I.t:"i:) \..-o.N Is '2.4 ,S''CI. tV ·_--' 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 $__-z..=:I-,+)􀁾􀁾􀀬􀀭􀀱 􀀡􀀮􀀮􀀭􀀧􀀧􀁴􀁊􀀢􀀬􀀭􀀭􀀧\iQ_ Return to Grant Management by: APPROVALS: --:? c:::.,\. 􀁾􀀠 Project Manager 􀁾hi • « , 􀁴􀁩􀁾􀀠Date \.1:1 t ,6,:\'-.7 Manager, Project 􀁍􀁡􀁮􀁡􀁧􀁥􀁭􀁥􀁮􀁴􀁾􀀯'./􀁄􀁡� �􀁥􀁊􀀵􀁍􀁾􀀠Grant 􀁍􀁡􀁮􀁡􀁧􀁥􀁭􀁥􀁮􀁴􀀭􀀧􀁃􀁩􀀢􀀬􀀭􀀭􀀬􀀽􀁾􀀢􀀬􀀭􀀬􀀭􀀢􀀢􀀬􀀬􀀬􀀬􀀬􀀬􀀬􀀽􀀬􀀬􀀬􀀭,.._"""'-'-Date L/O _________ t4.e'" D􀁾􀀠SECTION B (to be completed by Consultant) Date of Request: 9130/02 Payment Request No, 12 Final Pay Request. Yes X No Dates Covered This Payment Request: From 911102 To 9/30/02 Total Fee to Date (From Col. 4 Invoice Worksheet) $ 199,128.00 Total Payment Requested to Date $ 199,128.00 Less Previous Payments $ 171,258.00 Payment Due This Request $ 27,870.00 NOTE: PAYMENT REQUEST MUST BE ACCOMPANIED BY INVOICE WORKSHEET & DBE REPORT, SECfION'C (To be signed by Consulting Engineer) CONCURRENCE AND CERTIfICATiON OF CONSULTANT ENOlNEER: ceJ1:ify that the above $ervices were rendered, or goods received, and thaI they correspond in every partieulac way with the. con t under which they 􀁷􀁥􀁾􀁰􀁾a:d that ·n... Ice is true, and unpaid. Signature, Consultant Engineer d II: {, Date 9130/",0",2__ TxDOT Form D-2-560D.FRM (02/98) INVOICE WORKSHEET Date 9/30/02 Project Name: Addison Airport Project No. 0018ADDSN Basic Service Fee: $320,000 Payment Request No. 12 Period: From 9/1/02 To 9130/02 Consultant to complete columns 1·4 Columns 5 & 6 for TxDOT use """" 􀁾􀁾􀁾----------COL. 1 COL. 2 COL.S COL. 4 PSAPHASE %of Contract Fee % Complete Fee Earned to'Date 1. Initiation 3.350 $10720 100.00 $10720.00 -g. Inventorv of ExistinQ Conditions 13.725 $43920 90.85 $39900.00 3. Aviation Forecasts 3.566 $11 410 100.00 $11 410.00 4. Aviation Noise Analvsis 11.172 $35750 100.00 $35750.00 5. Noise Impacts 4.678 $14970 100.00 $14970.00 6. Noise Exposure Map Document 4.494 $14380 60.00 $8628.00 7. Noise Abatement Altematives 10.066 $32210 96.90 $31210.00 8. Land Use Alternatives 7.678 $24570 95.93 $23570.00 9. Noise Compatibility Proaram 10.203 $32650 10. Public Coordination & Communication 26.575 $85040 .2701 $22970.00 11. Noise Compatibility Program Document 4.494 $14380 TOTAL CONTRACT 100.000 $320000 : ' '.. TOTAL FEE TO DATE r $199,128.00 -_._.., . eOL.S COL.S Fee Eamedto % Complete Date \ \l'U .01:> So \0 .I"U>· "" <4, 1'> :"i,S $. 3\ "\t'C> •>A \ -.;:;:, 􀁜􀁾􀀠.tt> $ \.!r ,"'I.,,,...... r"" ."'" s;. "'( (,"Z."6•C':l "\1. !\t> \£ ";!, \ , ....".iN 􀁾􀁾􀀠.s 􀁾􀁓􀀢􀀱􀀢􀀮􀁾􀀠7.n.."\ 􀁾"2."2.,9.,".";::' I; .1 $) \.'\'\, 􀁜􀀧􀁚􀀭􀀱􀀾􀀮􀁾􀀠1 COL. 1 COL 2 From PSA Attachment E From PSA Section 5.1.1.1, including addenda TxDOT COMMENTS [for lines "e" through "gO (COL. 1 x Basic SelVices Fee)/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 Aviation Division Form 567b 1/93 Manager, Proj t Date Date 􀀱􀀧􀀲􀀭􀀭􀁊􀀣􀁾􀀠qA..3-()::L " P TEXAS DEPARTMENT OF TRANSPORTA TION • DIVISION OF A VIA TION h [V' Request for Payment for Aviation Project Professional Services /./Airport Noise Compatibility Planning Study SECTION A (To be completed by TxDOT) DUE DATE q......2..q.,y?-Name of Payee COFFMAN ASSOCIATES. INC, YYD 􀁾􀀠TX Identification 􀁎􀁵􀁭􀁢􀁥􀁲􀁟􀀭􀀬􀀱􀀺􀀺􀁴 􀀴􀀳􀀬􀁌􀁬􀁵􀀲􀀢􀀢􀁏􀁾􀀱􀀴􀀺􀀡􀀬􀀵􀀬􀁣􀀻􀀰􀀼􀁫􀁏􀀬􀀬􀀬􀀰􀁾􀀰􀀰􀁩􀁌􀀭_____________ 􀁾____ 􀀲􀀳􀀷􀁎􀁖􀁖􀁂􀁌􀁕􀁅􀁐􀁁􀁒􀁾􀁋􀁾􀁗􀁾􀁁􀁮􀁙􀁌􀀭____________________________Address City__... LEE'S SUMMl'T. MO. 640""6""-3___________________ Airport:__􀁾􀁁􀁄􀀢􀀢􀀢􀀧􀀧􀀧􀀧􀁄􀀧􀀧􀀧􀁉􀁓􀀧􀀧􀀧􀁏􀀧􀀧􀀧􀁎􀀧􀀧􀁟􀀧􀀧􀀧􀁁􀁉􀁒􀁐􀀧􀀧􀀧􀀧􀀧􀀧􀀧􀀧􀁟􀀧􀁏􀀾􀁌􀁒􀀧􀀧􀀧􀁔􀀧􀀧􀁟􀁟___________________ Segment 76 DistIDiv 42 Function Code 852 Object Code 384 TxDOT CSJ NO: 0118ADDSN TxDOT Contract No. 􀁟􀀮􀁊􀁬􀁤􀀡􀁘􀀢􀀧􀀱􀁅􀀮􀁆􀁾􀁁􀁾􀀰􀀳􀀻􀀡􀀡􀀱􀁌􀁟__ Date Received: 0 ./0 c..{ .-() 􀁾􀀠Eligible for Federal Reimbursement XX Yes No Current Contract Amount (Grant Grant Management) $ 320.000.00 . -􀁾􀀠 Total Fee Approved to Date (From Co!. 6 Invoice Worksheet) $ \ '\ \ 􀀢􀀲􀀮􀂣􀀱􀀻􀀮􀁾􀀠 Total Amount Approved for Payment to Date $ /S tl: Cc,q I. 00 4 I Amount Approved This Payment $,_..!..\􀁾􀁜􀀱􀀭􀀽􀀺􀀻􀀺􀀮􀀭􀁾􀀺􀀺􀀮􀀱􀀮􀀺􀀮􀀮􀀺􀀮􀀮􀀺􀀬􀀮􀀭􀁮􀁾􀀠 Retum to Grant Management by: __q-,--_I,--D_/_O_.:t__ APPROVALS: Date 􀁾􀁜􀁾􀀲􀁜􀀧􀁬􀁦􀁌􀀮Project 􀁍􀁡􀁮􀁡􀁧􀁥􀁲􀀭􀀭􀀭􀀭􀀭􀀭􀁔􀀭􀀢􀀧􀀭􀀺􀀮􀀮􀀮􀀮􀀮􀀮􀀮􀁾􀁾􀀽􀀢􀁩􀁩􀁩􀁾􀀻􀀻􀀺􀀺􀀽􀁊􀀭SECTION B (to be completed by CODSultant) Date of Request: 8/31/02 Payment Request No. 􀁟􀁌􀁉􀁉􀀡􀀮􀀮􀀮􀀭􀁾􀀠Final Pay Request: Yes X No Dates Covered This Payment Request: From 8/1102 To 8/31102 Total Fee to Date (From Col. 4'Invoice Worksheet) $ 171,258.00 Total Payment Requested to Date $ 171,258.00 Less Previous Payments $ 159.691.00 Payment Due This Request $ 11,567.00 NOTE: PAYMENT REQUEST MUST BE ACCOMPANIED BY INVOICE WORKSHEET & DBE REPORT. SECflON C cr. be sjgned by Consulting Engineer) CONCURRENCE AND CERTIFICATION OF CONSULTANT 6NGINEER: eertie), mal (he above services Were tendered, Of goods received, and that they correspond in f:very partieular way with the c t under which they were prpcured and I the i oi is true, Bnd unpaid. Signature, Consultant Engineer iJ . Date 􀁟􀀭􀀬􀀬􀀸􀀢􀀬􀀬􀀱􀀳􀀬􀀭􀀡􀀱􀁾􀀯􀀰􀁉􀀮􀀶􀀲􀁾􀁟􀀠 TxDOT Form D-2-560D.FRM (02198) -----------------------INVOICE WORKSHEET Date 8/31/02 Project Name: Addison Airport Project No. 0018ADDSN Basic Service Fee: $320,000 Payment Request No. 11 Period: From 811/02 To 8131/02 Consultant to complete columns 1-4 Columns 5 & 6 for TxDOT use 􀀮􀀭􀁾􀁾􀁾􀀭􀀭􀀭􀁾􀀠PSA PHASE 1. Inltia!ion 2. Inventorv of Existino Conditions 3. Aviation Forecasts 4. Avialion Noise Analvsis 5. Noise Impacts 6. Noise EXDOsure Mao Document 7. Noise Abatement Alternatives B. Land Use Alternatives Noise Comoatibililv Proaram 􀀭􀁾10. Public Coordination & Communication r'-'. Noise Comoatibililv Prooram Document 100.00030TAL CONTRACT TOTAL FEE TO DATE COL. 1 %01 Contract 3.350 13.725 3.566 11.172 4.678 4.494 10.066 7.678 10.203 26.575 4.494 􀁾􀀭􀀭􀀭􀀭􀁾􀁾􀀠􀁾􀁾COL. 2 Fee $10720 $43920 ;1;11 410 !l:35750 lt14970 lt14360 S32210 $24570 $32650 $85040 $14380 $320000 COL. 1 From PSA Atlachment E COL. 2 From PSA Section 5.1.1.1, including addenda [for lines "a" through '9" (COL. 1 x Basic SelVices Fee)l100J 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 xCOL. 5 TxDOT COMMENTS TxDOT AviatIon Division Form 567b 1/93 COL. 3 COL. 4 % Complete Fee Earned to Date 100.00 $10 720.00 88.62 $38920.00 100.00 ;1;11410.00 100.00 !li35750.00 100.00 lt14970.00 60.00 S8628.00 .4922 01:15855.00 .4898 $12035.00 .2701 $22 970.00COL. 5 % Complete COL.S Fee Earned to Dale 􀁜􀁜􀁜􀁴􀀩􀀮􀁾􀀠-$ \0 -\,Zl:.. ti) 'tr􀁟􀁾􀀢􀀯􀀮􀀮􀀮􀀠 S ""... 5tTh·n> \ 􀁾"&S .'"'L<::<:'.'''' \1;"O.\U 􀁾􀀠""."\"1•.􀁾􀀧􀁉􀀾􀀠l'tl. "" 􀁾'i: ,(;Z..A> .. co 􀀴􀁱􀀮􀁾􀀠$ \S.'{"s.;;. "" ;"L'l'f 5' \ '2... <:> "!>S•4'> '.2..1.0' 5'22.. 􀁾􀀢􀁜􀁥􀀮􀀧􀀧􀀧􀀧􀀠$171,258.00L I􀁾􀁜􀁜􀁜􀀾􀀿􀀮􀁾􀀮􀁾n_u TEXAS DEPARTMENT OF TRANSPORTATION -DIVISION OF AVIATION TX Identification 􀁎􀁵􀁭􀁢􀁥􀁲􀁟􀀭􀀭􀀬􀀱􀀢􀀬􀀴􀁤􀀮􀀳􀀭􀀬􀀭􀀬􀀱􀀲􀀢􀀬􀁏􀁌􀀡􀁉􀁾􀀴􀀵􀀢􀀢􀁏􀀢􀀬􀁏􀀢􀀬􀁏􀁏􀀢􀀢􀀬􀀭􀁏_________________􀁾􀀠Address__ _2""3""7CJNW.!..!.!CJl Y"--_______________--B"'L"'UE"-"'-"-PA"""R.,K'-"W'-'ACity____L""E611E"-'''''-S-''S''''UM:.!.!.llM''''IT''''-'-',􀁍􀁾􀁏􀀬􀀬􀀭􀀬-'!64':t06"""3'--________________ Airport:__-LlAD"""D"'IS"'O"""N"-'-£A"'IRP""'-O""""R"'-T_____________________ Segment DistIDiv 42 Function Code _-""'''-_ Object Code 384 TxDOT CSJ NO: TxDOT Contract No. _ ... FA"""'03><.!1'--__1"'X" "1...0118ADDSN Date Received: Eligible for Federal Reimbursement xx Yes ___ No, .1 Current Contract Amount (Grant Management) 􀀤􀁟􀁾􀀳􀁾􀀲􀁾􀁏􀁾􀀬􀁏􀁾􀁏􀁏􀁾􀀬􀁏􀁾􀁏􀁾____ Total Fee Approved to Date (From Col. 6 Invoice Worksheet) $ \5(,\) Co" \, cri) ! Total Amount Approved for Payment to Date $ I 􀁌􀀯􀁾􀀠K'0 '6. 00 '\ Amount Approved This Payment 􀀤􀁟􀀭􀀭􀀭􀀧􀁜􀁟􀁁􀀮􀀭􀀧􀀭􀁪􀀭􀀩􀀧􀀨􀀭� �􀀭􀀱􀀺􀀭􀀢􀀭􀀧􀀬􀀩􀁾􀁾􀀢Return to Grant Management by: __􀁾􀁟􀀢􀀧􀀭􀀬􀀭􀁻􀀭􀀽􀁾􀀽􀀭􀀮􀀮􀀨􀀩􀀮􀀺􀀺􀀮􀀮􀀻􀀩􀀮􀀢􀀧APPROVALS: Project Manager·_______􀀭􀀭􀀧􀁾􀀺􀀺􀁌􀀮􀂥􀀮􀀮􀀮􀁢􀁾􀁟􀀡􀀮􀀮􀀬􀀬􀁾􀁾􀁴􀀭􀀭􀀻� �􀀠Date Date SECTION B (to be 􀁣􀁯􀁭􀁾􀁬􀁥􀁴􀁥􀁤􀀠by Consultant) Date of Request: 􀁟􀁾􀀷􀀢􀀧􀀯􀀳􀀢􀀢􀀱􀀢􀁟􀀯􀁏􀀢􀀧􀀲􀀢􀀧􀁟___ Payment Request No. _.lJL__ Final Pay Request: _ __Yes _..A._No Dates Covered This Payment Request: From 􀁟􀀭􀀭􀀭􀀧􀀭􀀷􀀧􀀭􀀧􀀯􀁬􀀢􀀭􀀧􀁉􀁏􀀻􀀮􀀺􀀲􀁾__ To ___-""'="'___ Total Fee to Date (From Col. 4 Invoice Worksheet) 􀀤􀀬􀁟􀀭􀀧􀀭􀀧􀁉􀁾􀁓􀁾􀀹􀀬􀁾􀀶􀀹􀁾􀀱􀁾􀀮􀁏􀁾 􀁏􀀧􀀭􀀭__ Total Payment Requested to Date Less Previous Payments $,__􀁾􀁉􀁍􀁾􀀮􀀸􀁾􀀰􀁾􀀸􀀮􀁾􀀰􀀰􀁌􀁟____ Payment Due This 􀁒􀁥􀁱􀁾􀁥􀁳􀁴􀀠. 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 􀁳􀁥􀁦􀀧􀁯􀁩􀁦􀁾􀀠were rendered. or goods received. ana (bal they correspond .in every panicuiar way with the contract urufet which they were procured anti that the i 'ce is true, and unpaid. ./J I Signature, Consultant 􀁅􀁮􀁧􀁩􀁮􀁥􀁥􀁲􀁲􀀢􀀮􀀮􀀮􀀺􀀺􀀬􀂷􀀢􀀩􀂷􀂷􀁾􀁥􀁥􀀺􀁾􀁾􀁾􀁾􀁴􀀯􀁾􀀬􀀬􀀭􀁾􀀬􀀮􀁤􀀬􀁾􀀹􀀻􀀼􀀡􀀺􀀺􀀺􀁶􀁾􀁾􀁾􀀺􀀺􀀺􀀺􀀺􀀽􀀭__ Date _--'C!..i!J""-''--_.. TxDOT Form D-2-S60D.FRM (02/98) INVOICE WORKSHEET Date 7/31/02 Project Name: Addison Airport Project No. 0018ADDSN Basic Service Fee: $320,000 Payment Request No. 10 Period: From 7/1/02 To 7/31/02 Consultant to complete columns 1-4 Columns 5 & 6 for TxDOT use COL 1 COL 2 COL. 3 PSAPHASE %of Contract Fee % Complete 1. Initiation 3.350 !tl0 720 100.00 2. Inventorv of ExisUna Conditions 13.725 $43920 88.62 .3. Aviation Forecasts 3.566 !t11410 100.00 4. Aviation Noise Analysis 11.172 !t35750 100.00 5. Noise Imoeets 4.678 $14970 100.00 6. Noise EXDosure Mao Document 4.494 $14380 60.00 7. Noise Abatement Alternatives 10.066 !l:32210 .3337 8. Land Use Alternatives 7.678 $24570 .3286 9. Noise Comoatibilitv Proaram 10.203 $32 650 10. Public Coordination & Communication 26.575 $85040 24.07 11. Noise Comoatibilitv Prooram Document 4.494 $14380 TOTAL CONTRACT 100.000 !l:320 000 TOTAL FEE TO DATE ------_._.COL. 4 Fe. Earned to D.te !t10 720.00 $38920.00 it11410.00 !l:35750.00 $14970.00 $8628.00 !tl0749.00 $8074.00 $20470.00 $159,691.00 COL. 5 COL. 6 Fee Earned to % Complete Date 􀁜􀀨􀀧􀀻􀁬􀀺􀁜􀀮􀁾􀀠􀁓􀁜􀁏􀀢􀀱􀀲􀀰􀀮􀁾􀀠'i"Y 􀁴􀁾1.li 􀁾􀁹􀀠􀀧􀁜􀁎􀀮􀁾􀀠\(>\).'" 􀁾􀀠\\ A:,<:>,;r<:> \1OO. uu oS >3S IS". "'0 \ \\1}. '"" $ "'" ""'{(> • .N <"0 .4"" 􀁾􀀠􀁔􀀬􀁾􀀧􀁬􀀭􀁜..ro 'b').. ,....., .§ \o."I6,,\ • ..rv 'b'Z..""" I!i "r I:l"1 ... .:ro 2.A,'" oS ·w,t.,...􀁾􀁟􀁾... Ii 􀁜􀀬􀀧􀁓􀀻􀀢􀀬􀀬􀁾􀁾􀁾􀁾􀁾􀁉􀀠 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)11 00] COL. 3 Consultant's estimate of % of phase completed COLA 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 xx Yes . I 􀁾􀀠TEXAS DEPARTMENT OF TRANSPORTATION -DIVISION OF AVIATION\")l"" Request for Payment for Aviation Project Professional Services l./Airport Noise Compatibility Planning Study SECTION A (To be completed by TxDOT) DUE DATE Q,'Jilc2--6.:l Name of Payee COFFMAN ASSOCIATES, INC, TX Identification Number_--'1"'4d.3"'12""O"'1.:!45"'O"'O"'OO"""O__________________ Address.__-"2><.37L-NW"'-"!....B""L"'-UE"""'....P.;cA""R"'K...,W"'AQJ,.Y___________________ City___--"L""E"'-E·-"S'-'S'-"UMM"""""""-'ITc,.,-'!M""O"-'-,-'640C!:!£6""3'--________________ Airport:__􀀮􀀮􀀱􀀺􀀲􀁁􀁾􀁄􀁾􀁄􀀡􀀡􀁉􀁓􀁾􀁏􀁉􀀮􀁌􀁎􀀡􀀲􀀡􀀮􀀮􀀮􀂣􀁁􀁬􀁬􀁉􀁒􀁐􀀽􀁏􀁾􀁒􀀡􀀩􀀬􀁔􀀮􀀡􀀭____________________ Segment 76 Dist/Div 42 Function Code 852 Object Code 384 TxDOT CSJ NO: 0118ADDSN TxDOT Contract No, _-,lCfX..-l",Fe<:A",O",,3C!.1___ Date Received: '2---8.-oOl 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 '7􀁾􀀠J 1-0 􀁾􀀠Return to Grant Managemenl by: ___'--_'---__ APPROVALS: ""'\? 􀁾\ 􀁾􀀠 Project Manager ________ 􀁾􀁾􀀧􀀭􀀧􀀭􀀭􀀮􀀱􀁌􀀧􀁊􀁾􀀱􀁃􀀮􀀽􀁜__ Date :11"\\)1.....􀀳􀀺􀀩􀁟􀀧􀀭􀁬􀀮􀀮􀀺􀀻􀀻􀀬􀁜􀀧􀀭􀀭􀀡􀀮􀀮􀀢􀁎􀀮􀀬􀁾􀁾􀁫􀀢􀁟.. Grant 􀁍􀁡􀁮􀁡􀁧􀁥􀁭􀁥􀁮􀁴􀁟􀁌􀀮􀀭􀀡􀀮􀀮� �􀀭􀀮􀁬􀀮􀀻􀀻􀀺􀀺􀁴􀁾􀀺􀀺􀀺􀀡􀀺􀀺􀀺􀀺􀀺􀁳􀀮􀀮􀀺􀁴􀀺􀀮􀁾􀀶􀀮􀀮􀀮􀀮􀀮􀁾􀁾􀁾􀁾􀁾􀁟􀀠,..,; Manager. Project 􀁄􀁡􀁴􀁥􀀯􀀮􀀯􀁊􀁾􀀠Date ?--i 1--o::J.., SECTION B (to be completed by Consultaut) . Date of Request: _--'6"'/3"'0"'/0"'2'--___ Payment Request No. _-<-_ Final Pay Request: _..!.X,--_No Dates Covered'This Piyment Requesf: From _--""-"'''''-__ To ___"'61-".30"'1""02"'.'--__ Total Fee to Date (From CoL 4 Invoice Worksheet) 􀀤􀁟􀁾􀁉􀁾􀂫􀁾􀀬􀁾􀀸􀀰􀁾􀀸􀁾􀀮􀀰􀁾􀁏___ Total Payment Requested to Date $__"'14"'4"',8"'08"'.0"'0'--__ Less Previous Payments $__􀁾􀀱􀀳􀁾􀀹􀁾􀀮􀀰􀁾􀀵� �􀀶􀁾􀀮􀀰􀁾􀀰___ Payment 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 CONSU :rANT ENGINEER: certifY lhat the above SCOliCes were rendered, or g.oods received. and lhat they correspond in every particular way with the contract u er which they were procured and tha,t the i it IS true. and l.Ulpaid, Signature. Consultant 􀁅􀁮􀁧􀁩􀁮􀁥􀁥􀁲􀁟􀀭􀁲􀀧􀁱􀀮􀀮􀀮􀀮􀁴􀁉􀀡􀀺􀁾􀁾􀁣􀀲􀀱􀀧􀀡􀁚􀀺􀀮􀁾􀁾􀁾􀁾􀁦􀀴􀁾􀁕􀀺􀀺� �􀀺􀀺􀀺􀀺􀀽􀀭􀀭Date _.......!l6/3!..,ll/l01.\l,02,,--_ TxDOT Form D-2-560D.FRM (02/98) INVOICE WORKSHEET Date 6/30102 Project Name: Addison Airport Project No. 0018ADDSN Basic Service Fee: $320,OO@Payment Request No. 9 Period: From S/1I02 To S/30/02 Consultant to complete columns 1-4 Columns 5 8< 6 for TxDOT use COL.S COL.S Fee Earned to %Complele Date .1;0 ,oro I -$ 􀁜􀂥􀀻􀁃􀀨􀁩􀀧􀀶􀀬􀁾􀀱􀀠COL. 1 COL. 2 COL. 3 PSA PHASE %of Contract Fee % Complete 􀁉􀁾􀁾􀁾􀁾􀀠1. Initiation 3.350 $10720 100.00 2. I nventolY of ExistinQ Conditions " 13.725 $43 920 88.62 3. Aviation Forecasts 3.566 $11 410 100,00 4. Aviation Noise Analvsis 11.172 $35750 100.00 16. Noise Impacts 4.678 $14970 100.00 6. Noise Exposure Mao Document 4.494 $14380 50,00 7. Noise Abatement Alternatives 10.066 $32210 .0953 S. Land Use Alternatives 7.678 $24570 .0939 g, Noise ComoaUbililv Prooram 10.203 $32650 10, Public Coordination & Communication 26.575 $85040 24.07 11. Noise Compatibilitv Prooram Document 4.494 $14380 TOTAL CONTRACT 100.000 SiS20000 TOTAL FEE TO DATE 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)/l00] COL. 3 Consultant's estimate of % of phase completed TxDOT COMMENTS TxDOT Aviation Division Form 567b 1/93 COL4 COL2xCOL3 COL. 5 TDA Project Manager's estimate of % of phase completed COL 6 COL. 2 x COL. 5 COL. 4 Fee Earned to Date $10720.00 $38920.00 $11410.00 $35750.00 $14970.00 $7190.00 $3071.00 $2307.00 Si20470.00 $144,808,00 TEXAS DEPARTMENT OF TRANSPORTATION -DIVISION OF AVIATION 􀁾􀀠Request for Payment for Aviation Project Professional Services y 􀁾􀀠Airport Noise Compatibility Planning Study SECTION A (To be completed by TxDOT) DUE DATE G -" .;;:LO..--O-:>Name or Payee COFFMAN ASSOCIA1ES. INC. TX Identification Number_----'1.::t4d.31....2""O"'1.::t45""O""O"'oo"'O"-__________________ Address,__-=.23"'7'-'NW"--"'-'B"'L""UE"'-"'.-"-PLl""Y-'-________________-AR"""'K...,W:LA􀁃􀁩􀁾􀀭􀀭􀁟􀁾􀁌􀁾􀁅􀁅􀁾􀀧􀁓􀁾􀁓􀁾􀁕􀁍􀁾􀁍􀁾􀁉􀁔􀁵􀀬􀁅􀁍􀁾􀁏􀁾􀀮􀁾􀀶􀁾􀀴􀁾􀀰􀀶􀁾􀀳􀁾_________􀁾_______ Airport:__-""A""D"'D"'IS"'O""NCJ..,£AIRPO"""'''''''''R'''''''T_____________________ Segment 76 DistIDiv 42 Function Code 852 Object Code 384 TxDOT CSJ NO: 0118ADDSN TxDOT Contract No. _""1"'X"'lF""AW<>03""1'--__ Date Received: Eligible for Federal Reimbursement XX Yes ___ No&!:5<./{) ot Current Contract Amount (Grant Management) 􀀤􀁟􀁾􀀳􀁾􀀲􀁾􀁏􀁾􀀮􀁏􀁾􀁏􀁏􀁾􀀮􀁏􀁏􀁾___􀁾􀀠Total Fee Approved to Date (From Col. 6 Invoice Worksheet) $ \"3;\ , as<., • 􀁾􀀢􀀢􀁏􀀠Total Amount Approved for Payment to Date $ 􀀯􀁤􀁾􀀠005,00 ! Amount Approved This Payment $,__-".\_''--:;.j-I0..::...: ;::.5=-,"-...:.,00_ Return to Grant Management by: &--t /-O'a APPROVALS: Project Manager _________􀀭􀀻􀁜􀀮􀀮􀀿􀁣􀀮􀁊􀀬􀀮􀁾􀀢􀀢􀀭􀀮􀀮􀀮􀁌􀁾􀁾􀀭􀀭Date (" hi) \ 1.)'2_ Manager, Project Date ( c:J 􀁾.2-UlIL..c.,.,. -CO.-D?Grant Management:_-tL __􀀫􀀭􀀭􀁰􀁾􀁬􀁃􀀮􀁉􀀢􀀺􀀻􀀻􀀻􀀺􀀧􀀬􀀬􀀽􀀭􀀬􀀬􀀼􀀡􀀢􀀢􀀢􀁟􀀮􀀮􀀮􀀮􀁉􀀧􀀲􀁾􀀺􀀺􀁓􀀺􀀺􀀺􀀺􀀺􀀺􀁾􀀠Date SECTION B (to be completed by Consultant) Date of Request: 5131/02 Payment Request No. 8 Final Pay Request: X No Dates Covered This Payment Request: From 511102 To 5131/02 Total Fee to Date (From Col. 4 Invoice Worksheet) $ 139.056.00 Total Payment Requested to Date $ \39,056.00 Less Previous Payments $ 122,005.00 Payment Due This Request $ 17,051.00 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; certify that the above $ervices were rendered, or goods received, and thai they correspond ir; every panicubr way wich the 􀁃􀁾􀁲􀀨􀀻􀁴􀀠under which they were procured and that • voice is true, and unpaid. Signature, Consultant Engineer //Date 5/31/02 I -' L/TxDOT Form D-2-560D.FRM (02198) ------INVOICE WORKSHEET Project Name: Addison ABasic Service Fee: $320,000 irport PayProject No, 0018ADDSN ment Request No. 8 Period: From Date 511102 5/31102 To 5131102 Consultant to complete columns 1-4 Columns 5 & 5 for TxDOT usa COL. 5 % Complete \(50,\S'C 'l"i: ,101􀁜􀀨􀀧􀀩􀀬􀁉􀀩􀀭􀁾􀀠\ "'" . .\'0 \ .1:<:> \,;:, ."", '\ 􀀬􀁾􀀻􀀬􀀠'" .'7."\ 2." .!>"\ 􀀭􀁾􀁾􀀭􀀭􀁾􀁾􀀠􀁾􀀭 􀁾􀀠􀁾􀀭􀀭COL. 1 COL. 2 COL. 3 PSA PHASE %of Contract Fee % Complete 1. Initiation 3.350 $10720 100.00 2. InventoN of Existinq Conditions 13.725 $43920 88.62 3. Aviation Forecasts 􀀳􀁾􀀵􀀶􀀶􀀠$11410 􀀱􀀰􀀰􀁾􀀰􀀰􀀠4. Aviation Noise Analvsis 11.172 $35750 100.00 5. Noise Imoacts 4.678 $14970 􀀱􀀰􀀰􀁾􀁏􀁏􀀠6. Noise Exposure Map Document 4.494 $14380 10.00 7. Noise Abatement Alternatives 10.066 $32 􀀲􀁴􀁏􀁾􀀠.0953 8. Land Use Alternatives 7.678 $24570 .0939 9. Noise Comoatibilitv Proaram 10.203 $32650 10. Public Coordination & Communication 26.575 $85040 24.07 11. Noise Compatibilitv Proaram Document 4.494 $14380 TOTAL CONTRACT 100.000 100.000 $320000 TOTAL FEE TO DATE COL. 4 F•• Earned to Date $10720.00 $38920.00 $11410.00 $35750.00 $14970.00 $1438.00 $3071.00 $2307.00 $20470.00 $139,056.00 COL 6 Fee Earned to Date !t \0 :lVI,.s:-J "--'!i> ...... 0,.1.0. &'t> 􀁾􀀠\\ ""0."" S 'SS :"IS",."'" 􀁾􀀠V. "1..<>."., 􀁾􀀠\ 4o'-"'.&'<> !I; '3 ,,'1 \ . "" (Ii 0,.«> 􀁾􀀠2.'" '"1 <>. "'''' I $ 􀁜􀁾􀁾􀀩􀁑􀁓􀁉􀀮􀀬􀀬􀀽I COL. 1 From PSA Attachment E COL. 2 From PSA Section 5.1.1.1, including addenda [for lines Ua" through "g" (COL. 1 x Basic Services Fee)11 00) COL 3 Consuttant's estimate of % of phase completed COL. 4 COL. 2 xCOL 3 COL. 5 TDA Project 􀁍􀁡􀁮􀁡􀁧􀁥􀁾􀁳􀀠estimate of % of phase completed COL. 6 COL. 2 x COL. 5 TxDOT COMMENTS TxDOT Aviation Division Form 567b 1193 􀁾􀀠TEXAS 􀁄􀁅􀁐􀁾􀀡􀁾􀁾􀀡􀁾􀁾􀀻􀁡􀁾􀀡􀁥􀀡􀁴􀁾􀁾􀁾􀁾􀁾􀀡􀁾􀀡􀁾􀁾􀁰􀁾􀁏􀁾􀀡􀁾􀀺􀁾􀁾􀁾􀁾􀁩􀁾􀀻AVIATION III ___􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀁁􀁾􀁩􀁲􀁾􀁰􀁾􀁯􀁾􀁲􀁴􀁾􀁎􀁾􀁭􀀽􀀧􀁳􀁾􀁥􀁾􀁃􀁾􀁯􀁾􀁭􀁾􀁰� �􀁡􀀽􀁴􀁩􀀽􀀧􀁢􀁾􀁩􀁬􀁾􀁩􀁴􀁾􀁹􀀽􀁐􀁾􀁉􀀽􀁡􀁮􀀽􀁮􀀽􀁭􀀽􀁳􀁧􀀽􀁓􀀽􀁭􀀽􀁤􀁾􀁹􀁾􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀠SECTION A(To be completed by hDOT) DUE DATE '$"'-::>3L6!:l-Name of Payee COFFMAN ASSOCIATES. INC. TX Identification Number_---"'1""4"'3L!12""0"'1:::t45"'0""0"'0"'OO"-__________________ Address,__-'=-23,L7'--"NW'-'--'-''-'B'''L''''UE'''"''--''-P£!A'''R''''K'-'W L A'''Y-''-_______________-==City_====----"L""E"'E'-"S"---"-SUM"'-"''''M'''I'''T.>-.􀁍􀁾􀁏􀀧􀀭􀀧􀀭􀀮􀀭􀀧􀀶􀀢􀀧􀀴􀀰􀀢􀀢􀀢􀀧􀀶􀀳􀁌􀀭􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽____ 􀁁􀁩􀁾􀁯􀁲􀁴􀀺􀁟􀀽􀀽􀁾􀁁􀁾􀁄􀁾􀁄􀁾􀁾􀁾􀁏􀁾􀁎􀁾􀁁􀁉􀁒􀁐􀁾􀁾􀁏􀁾􀁒􀁬􀁬􀁔􀀮􀀮􀁌􀀭􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀁟􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀽􀀠Segment 76 Dist/Div 42 Function Code 852 Object Code 384 TxDOT CSJ NO: 0118ADDSN TxDOT Contract No. lXlFA031 Date Received: 􀁾􀀯q ..-02. Eligible for Federal Reimbursement XX Yes _==_ No Current Contract Amount (Grant Management) $ 320,000,00 \ "2 '2.., G-OS:. <>0Total Fee Approved to Date (From Col. 6 Invoice Worksheet) $ Cl,£ £/-3, 00 IcvdTotal Amount Approved for Payment to Date $ Amount Approved This Payment $ 􀀢􀁚􀀭􀁬􀁬􀁜􀁾􀀠􀀧􀁚􀀮􀀮􀀮􀀬􀁾􀀠 Return to Grant Management by: 􀁟􀀭􀀬􀁹􀁾􀀭􀀬􀀯􀀬􀀭􀀭􀁌􀀨􀀬􀀭􀀭􀁴􀁊􀁟􀀮􀀺􀀺􀀺􀀬􀁑􀀺􀀺􀀺􀀭􀀮􀀠 APPROVALS: Date ..sk;;,I􀁾􀀭􀁺􀂭Project 􀁍􀁡􀁮􀁡􀁧􀁥􀁲􀀭􀀭􀀭􀀭􀀮􀀮􀀮􀀮􀀺􀀺􀀮􀀺􀀮􀁾􀁾􀀢􀀢􀀢􀀢􀀬􀀮􀀬􀀬􀀢􀀺􀀻􀀻􀀻􀁾􀁾􀀷􀀽􀀺􀁲􀀭􀀭􀀭􀀭􀀭􀀷􀀠􀁄􀁡􀁴􀁥􀀰􀁧􀁾􀀠􀁾􀀠Grant 􀁍􀁡􀁮􀁡􀁧􀁥􀁭􀁥􀁮􀁴􀁾􀀭􀀽􀀺􀀺􀀺􀀺􀀺􀀭􀁌􀁾􀁾􀁾􀁾􀁾􀁾􀁌􀀻􀁾􀁾􀁾􀁾􀁾__ Date 5-11-r;.....0-;).,.. SECTION B (to be completed by Consultant) Date of Request: _--'4"'1"'30"'-''''02''-___ Payment Request No, 7 Final Pay Request: _-,Xl.-_ No To ____􀁾􀁾􀁾____Dates Covered This Payment Request: From _;::4I::l/:02===____:::-:=-. Tatar Fee to'Date(From Col. 4 Invoice Workshe< RECEIVED $,___􀀱􀁾􀀲􀁾􀀲􀀮􀁾􀁏􀁏􀁾􀀵􀁾􀀮􀁏􀁏􀁾_____ Total Payment Requested to Date $.____􀁾􀀱􀀲􀁾􀀲􀁾􀀬􀁏􀁾􀀰􀀵􀁾􀀮􀁏􀁏􀁾_____MAY :-72002 Less Previous Payments $,___􀀭􀀼􀀹􀀺􀀺􀀺􀁌􀀴􀀬􀁯􀀮􀀡􀀼􀀸􀀢􀀢􀀧􀀱􀀳􀀢􀀢􀀬􀁏􀁏􀁾_____ AVIATION DIVISION, TxDOT $____􀁾􀀲􀁾􀀷􀁾􀀬􀀱􀁾􀀹􀀲􀁾 􀀬􀁏􀁾􀁏􀁾____ NOTE: PAYMENT REOUEST MUST BE ACCOMPANIED BY INVOICE WORKSHEET & DBE REPORT. Payment Due This Request SECIION C cro b. Signed by Consulting Engineer) CONCURRENCE AND CERTIFICATION OF CONSULTANT ENGINEER: certify thilt the above services were rendered. or goods received, and !.hat !hey correspond in every particular way with the conlrn. under whkb !hey were procuretl and that the invoice' true, and unpaid, Signature, Consultant 􀁅􀁮􀁧􀁩􀁮􀁥􀁥􀁲􀀧􀀭􀀿􀀴􀁾􀁾􀁾􀁾􀁾􀀽􀀭􀀭􀀮􀁬􀁌􀁾􀁾􀀮􀀮􀀬􀁤􀁾􀀻􀀴􀁩􀁊􀀺􀀱􀀮􀁾􀁌􀁟􀀠Date _-"413""""Of".02"---_ TxDOT Form D-2-560D,FRM (02198) INVOICE WORKSHEET Project Name: Addison ABasic Service Fee: $320,000 irport PaProject Noyment Request No. 7 Period: From . Date 0018ADD411102 4130102 SN To 4130/02 Consultant to complete columns 1-4 Columns 5 & 6 for TxDOT use ---COL.1 COL. 2 COL.S PSAPHASE %of Contract Fee % Complete 1. Initiation 3.350 $10720 100.00 2. Inventorv of Existin" Condrtions 13.725 S:43920 88.62 3. Aviation Forecasts 3.566 􀁾􀀱􀀱􀀠410 100.00 4. Aviation Noise Analvsis 11.172 $35750 100.00 6, Noise Imoects 4.678 G;14970 100.00 6. Noise Exposure Mao Document 4.494 !l:14380 [, Noise Abatement Alternatives 10.066 $32210 8. Land Use Alternatives 7.678 $24570 9. Noise Comoatibilitv Prooram 10.203 $32650 10. Public Coordination & Communication 26.575 􀁾􀀸􀀵􀀠040 12.Q4 11. Noise Comoatibilitv Proaram Document 4.494 $14380 TOTAL CONTRACT 100.000 􀂷􀁾􀀳􀀲􀀰􀀠000 TOTAL FEE TO DATE COL. 4 Fee Earned to cate :1;10720.00 S:38920.00 $11410.00 $35750.00 G;14970.00 $10235.00 1 $122,005.00 COL. 5 COL. 6 Fee Earned to %Complele 􀁜􀁏􀁏􀀮􀁾􀀠n.b:'1Date 􀁾􀁜􀀨􀀩􀀬􀀮􀀬􀁗􀀮􀁮􀀾􀀠$ 31 . "t'l£:>. ('\:) 􀁜􀁾􀀮􀁾􀀠\ "'".1\> 􀁜􀀤􀀮􀁾􀀠\'Z,.Cl'" , $. \\ 􀀢􀀧􀁉􀁉􀀺􀀩􀀮􀁾􀀠1>0 '.!>S,"1<: c" \0 21.<;. ro COL. 1 From PSA Attachment E COL. 2 From PSA Section 5.1.1.1, including addenda [lor lines "a" through "gO (COL. 1 x Basic Services Fee)ll001 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 567b 1193 TEXAS DEPAR1",lENT OF TRANSPORTATION· DIVII>.vN OF AVIATION Request for Payment for Aviation Project Professional Services Airport Noise Compatibility Planning Study 􀁾􀀠SECTION A (To be tompleted by TxDOT) DUE DATE t./A, A:>?-Name of Payee COFFMAN ASSOCIATES, INC. TX Identification Number_-"1"'43"-'1,,2"'°"'14"'5""°""oo"""O°"-_________________-'Address___􀁾􀀲􀀳􀁾􀀷􀁾􀁎􀀾􀁖􀁾􀁾􀁂� �􀁌􀁾􀁕􀁅􀁾􀁾􀁐􀁁􀁾􀁒􀁾􀁋􀁾􀁗􀁾􀁁􀁾􀁙􀁾___________________________________ Ciry______􀁾􀁌􀁅􀁾􀁅􀁾􀀧􀁾􀁓􀁾􀁓􀁾􀁕􀁍􀁾􀁍􀁾􀁉􀁔􀁾􀀬􀁍􀁾􀁏􀁾􀀬􀁾􀀶􀀴􀁾􀁏􀁾􀀶􀁾􀀳__________________________________ 􀁁􀁩􀁾􀁯􀁲􀁴􀀺____􀁾􀁁􀁾􀁄􀁾􀁄􀁾􀁉􀁾􀁓􀁾􀁏􀁾􀁎􀁷􀁁􀁾􀁦􀁦􀁩􀁐􀁾􀁾􀁏􀁾􀁒􀁾􀁔_______________________________________ Segment 76 DistJDiv 42 Function Code 852 Object Code 384 TxDOT CSJ NO: 0118ADDSN TxDOT Contract No. _-"1""X"'lF""A"""03"-l1'--____ Date Received: '" AJ .;l"..()';;). Eligible for Federal Reimbursement _",XX"",-_Yes ---yo Current Contract Amount (Grant Management) 􀀤􀀧􀀭􀀭􀁟􀁾􀀳􀀢􀀧􀀲􀀢􀀧􀁏􀁾􀀬􀁏􀀢􀀭􀀧􀁏􀀢􀁏􀀢􀀧􀀬􀁏􀁏􀀢􀀢􀀧􀀭___ Total Total Fee Approved to Date (From Col. 6 Invoice Worksheet) $ <=\6.,"r\::',1N> //Total Amount Approved for Payment to Date $--'-S<.>.S.... il __ Ii ort -,f--jl􀁬􀀧􀀭􀀢􀁏􀁾􀀸􀀮􀁟􀁤__ Amount Approved This Payment 􀀤􀀭􀀭􀀭􀀭􀀹􀀮􀀭􀀧􀀭􀁔􀁬􀀭􀀺􀀱􀁌􀀮􀀮􀀺􀀺􀀺􀁾􀀽􀀭􀁌􀀺􀀬.:st>"-.Return to Grant Management by: APPROVALS: Project Manager Date 􀁾􀁁􀀭􀁜􀁾􀁌􀀠Date 􀁩􀁾􀁾􀁌􀀮􀀮􀁖􀀲􀀮􀀼􀁦􀀺􀀮􀀨􀁊􀁾Date SECTION B (to be tompleted by Consultant) Date of Request: 3131/02 Payment Request No, 6 Final Pay Request: Yes X No Dates Covered This Payment Request: From 311/02 To 3131/02Total Fee to Date (From Col. 4 Invoice Worksheet) $ 94,813.00 Total Payment Requested to Dale $ 94,813,00 Less Previous Payments $ 85,108,00 Payment Due This Request $ 9,705,00 NOTE: PAYMENT REOUEST MUST BE ACCOMPANIED BY INVOICE WORKSHEET & DBE REPORT. SECTION C (To be s,ned by Consulting Engineer) CONCURRE1'.'CE ANriCERTIfICATION OF CONSULTANT ENGINEER: certifY that the above services were rendered. or goods rece1'''ed, and !bat Ihey correspond in evert particular W3Y with the cont t under which they were procured and that invoice is true, and unpaid. Signature, Com/ultant Engineer tI'.......... Date 3/31102 _______􀀮􀀺􀀮􀀮􀀮􀀮􀁬􀀮􀀽􀀮􀀴􀀾􀁾􀁾􀀧􀀺􀀧􀁲􀁬􀀮􀀭􀀢􀀢􀀢� �􀀢􀀢􀁩􀁦􀀭􀀭􀁟􀀠"-TillOT Form D·2..560D,FRM (02198) INVOICE WORKSHEET Date 3/31/02 Project Name: Addison Airport Project No. 001SADDSN Basic Service Fee: $320,000 Payment Request No. 6 Period: From 􀁾􀀠To 3131'02 Consultant to complete columns 1-4 Columns 5 & 6 for TxDOT use ..---,-----, COL. 1 COL. 2 COL. 3 COL. 4 %ofPSA PHASE Contract I Fee % Complete I Fee Earned to Date -----1. Initiation 3.350 $10720 97.67 $10470.00 2. InventolV of ExistinQ Conditions 13.725 $43920 74.53 $32732.00 3,___Aviation Forecasts 3.566 $11410 72.98 $8327,00 4. Aviation Noise Analvsis 11.172 $35750 72.91 $26064.00 5. Noise Imoacts 4.678 $14970 46.66 $6985.00 6. Noise Exposure Mao Document 4.494 $14380 7. Noise Abatement AI!!!matives 10,066 $32210 8. Land Use Alternatives 7,678 $24570 9. Noise Compatibllitv ProQram 10.203 $32650 10. Public Coordination & Communication 26.575 $85040 12.04 $10235.00 11. Nois!! Comoatibilitv ProQram Document 4.494 ..1:14.380 TOTAL CONTRACT 100.000 I $320.000 I TOTAL FEE TO DATE 􀀤􀀹􀁾􀀬􀀸􀀱􀀳􀀮􀁯􀀰􀀠COL.S 􀁾􀁾􀀠COL. 6 Fee Earned to % Complete Date ",,<,.􀁾􀀢􀀢􀁜􀀠!!;. 􀁜􀁾􀀠<1("'(". "'" lA.,;;::' !!. '1>",1-:\"',,"" ,'<_"'-1' A..,.,b 1!. (.. "Y.'" .I;U \'2.,,", g \(\ .􀀢􀀢􀁾.. I'<> ---------.1 s,q.s.;t\l.-"" COL 1 From PSA Attachment E COL 2 From PSA Section 5.1.1.1, including addenda [for line,s "a" through "g" (COL. 1 x Basic SelVices Fee)!1 00] COL.3 Consultant's estimate of % of phase completed COL. 4 COL. 2 x COL. 3 , COL. 5 TDA Project Manager's estimate of % of phase completed COL 6 COL. 2 x COL. 5 TxDOT COMMENTS TxDOT Aviation Division Form 567b 1193 I TEXAS DEPARTMENT OF TRANSPORTATION· DIVISu)N OF AVIATION Request for Payment for Aviation Project Professional Services Airport Noise Compatibility Planning Study SECTION A (To be completed by TxDOT) DUE DATE 3&8􀁾􀀠Name of Payee COFFMAN ASSOCIATES. INC. TX Identification Number_-""1""4""31""2""O".1;z45",OOOOO""",,,,,,,,,__􀁾􀀠________________ Address,__-""'23""7""NW'-'-"'''''B''''L'''' UE''''''''....P''''A...,R'''K..,W''''A'''y""-__________________ City___􀁾􀁌􀁅􀀡􀀮􀁩􀀮􀁅􀀡􀀮􀁬􀀮􀂷􀀬􀀻􀀲􀁓􀀢􀀢􀁓􀀡􀀮􀁬􀀮􀁕􀁍􀀡􀀮􀁗􀁬􀁍􀀡􀀡􀁉􀁔􀁡􀀮􀀮􀀮􀀮. .!lM!l.O!"".􀀮􀀮􀀮􀀡􀀶􀀴􀀰􀁾􀀶􀀢􀀢􀀳􀀧􀁟􀁟____ ____________ 􀁁􀁩􀁾􀁯􀁲􀁴􀀺___􀁾􀁁􀁄􀁾􀁄􀁾􀁭􀁾􀁏􀁾􀁎􀁾􀁁􀁾􀁭􀁐􀁾􀁏􀁾􀁒􀁾􀁔_____________________ Segment 76 DisUDiv 42 Function Code 852 Object Code 384 TxDOT CSJ NO: 0118ADDSN TxDOT Contract No. lXlFA031 Date Received: 􀀰􀀭􀀱􀀵􀀺􀁾􀀹􀀠􀁾􀀠Eligible for Federal Reimbursement XX Yes ___ No Current Contract Amount (Graht Management) $ 􀀳􀁾􀁏􀀬􀁏􀁏􀁏􀀮􀁏􀁏􀀠Total Fee Approved to Date (From Col. 6 Invoice Worksheet) $ 􀀢􀀧􀁝􀁾􀀩\D1; ,SD SD Total Amount Approved for Payment to Date $ ""lOe 􀀦􀀧􀁣􀁊􀀬􀀢􀁾􀀠Amount Approved This Payment $ \ 1\ )"2-3(. ,ISO Return to Grant Management by: 􀁾􀀭􀀬􀀳􀀽􀀭􀀭􀁾􀀭􀀽􀀻􀀺􀀩􀁟􀁏􀀢􀀢􀀭􀀭􀀭􀁏􀁟􀁾􀀭􀀬􀀬􀀬􀀭􀁟􀀠APPROVALS: Date -3\\3 'Q'ZProject Manager ______􀀭􀀻􀀭􀀭􀀧􀀾􀀮􀁟􀀮􀀮􀁌􀀮􀀮􀁾􀁾􀀢􀁟􀀢􀀢􀀧􀁟􀁟􀁌􀀾􀁬􀀮􀀮� �􀀭􀀭􀀭􀁄􀁡􀁴􀁥􀁬􀁲􀁾􀁾􀀠3-lq-d 􀁾􀀮􀀺􀁳􀀵􀁗􀀮􀀠t\) i '\ '2...c "'" S \0,. 'Z..:>,S •Ii"\) I􀁾􀀱􀀺􀁾􀁬􀁜􀁯􀁾􀁾􀁾􀁵􀁬􀀠 COL. 1 From PSA Attachment E COL. 2 From PSA Section 5.1.1.1, including addenda [for lines's' through 'if (COL. 1 x Basic Services Fee)!1001 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 567b 1193 RECEIVEC TEXAS DEPAR'l ••.tENT OF TRANSPORTATION -􀁄􀁉􀁖􀁉􀁴􀀬􀁾􀁊􀁎􀀠OF AVIAT N FEB 12 20D2 AV ISION, TxDo' SECTION A (To be 􀁾􀁯􀁭􀁰􀁬􀁥􀁴􀁥􀁤􀀠by TxDOT) DUE DATE Name of Payee COFFMAN ASSOCIATES. INC. TX Identification 􀁎􀁵􀁭􀁢􀁥􀁲􀁟􀀭􀀢􀀢􀀱􀀺􀀺􀀡􀀮􀀴􀀳􀁾􀀱􀀢􀀬􀀲􀀢􀀢􀀰􀁃􀀡􀀺􀀱􀀴􀀢􀀬􀀵􀀢􀀬􀀰􀀢􀀬􀁏􀁏􀁏􀀬􀀬􀀬􀀬􀀬􀀬􀀰􀀬􀀬􀀭__________________ Address,__􀀭􀀢􀀬􀀲􀀳􀀢􀀢􀀷􀁷􀁎􀁗􀀢􀀭􀀡􀀮􀀡� �􀀬􀁂􀀢􀀢􀁌􀀢􀀢􀁕􀁅􀁾...PAR"""""Ko..!.WuA,,,Y,,--__________________ City___􀀭􀀢􀀧􀁌􀁅􀀢􀀧􀁅􀀢􀀢􀀢􀀢􀀢􀁓􀀭􀀢􀁓􀀢􀀢􀁕􀁍􀁾􀁍􀀢􀀧􀁉􀁔, M""",O,,-.-"64""0"'6""3_________________....... 􀁁􀁩􀁾􀁯􀁲􀁴􀀺__􀁾􀁁 􀁾􀁄􀁾􀁄􀁾􀁉􀁓􀁾􀁏􀁾􀁎􀁾􀁁􀁾􀁦􀁦􀁩􀁐􀁾􀁏􀁾􀁒􀁾􀁔􀁾___________________________ Segment 76 DistlDiv 42 Function Code 852 Object Code 384 TlL 1--0..2.. Project Manager 􀁾􀀢APPROVALS: 􀁾􀁾􀀠Manager, Project Management 􀁾􀁾􀀮1 Date 2\'6110'2.Date 2ff.4L h:IJL. Grant Management 􀁾􀁾􀁄􀁾Date 􀀮􀀢􀀬􀀲􀀭􀀦􀀮􀁫􀀧􀁾􀀠SECTION B (to be completed by Consultant) Date of Request: 􀁟􀀭􀀭􀀢􀁬􀁊􀁾􀀳􀀢􀀬􀁬􀁊􀀢􀀬􀁏􀀢􀀬􀀲_____ Payment Request No. __.::t..._ Final Pay Request: _-"'-_ No Dates Covered This Payment Request: From _---'lull"'JO,..Ze-__ To ___􀁾􀁉􀁂􀁾􀁬􀁾􀁊􀁾􀁾___ Total Fee to Date (From Col. 4 Invoice Worksheet) $,___􀁾􀀷􀁾􀁏􀀬􀁾􀀸􀀷􀁾􀀲􀁾􀀮􀁏􀁏􀁾_____ Total Payment Requested to Date $__􀀷􀁾􀁏􀁾􀀮􀀸􀁵􀀷􀀲􀁾􀀬􀁏􀁏􀁾___ Less Previous Payments $,__-"4"'7.""31....1"".0""0____ Payment Due This Request $,__􀀭􀀢􀀲􀀢􀀢􀀳􀀮􀀢􀀬􀀬􀀵􀀶􀀬􀀬􀀬􀀱􀀬􀀬􀀬􀀮􀁏􀁏􀁾_____ NOTE: PAYMENT REOUEST MUST BE ACCOMPANIED BY INVOlCE WORKSHEET & DBEREPORT. SECTION C (To be Signed by Consulting Engineer) CONCURRENCE AND CERTIFICATION OF CONSULTANT ENGINEER: certify tflat the above services were .rendered, or goods received, and tita.l they correspond in every partiwlarwaywith the CD ct under whicll they were procured I1lld thaI the in" '$ true, and uopJd. Signature, Consultant 􀁅􀁮􀁧􀁩􀁮􀁥􀁥􀁲􀀩􀀻􀁁􀁾􀁀􀁾􀁾􀁴� �􀁾􀁾􀀨􀁌􀁾􀀮􀀮􀀱􀁊􀀻􀁾􀁾􀁾􀁾􀀺􀀺􀀺􀀺􀀺􀀩􀀧􀀭􀀭􀁟􀀠Date __􀀭􀀬􀀱􀀢􀀭􀀬􀁊􀀳􀀬􀀭􀀬􀁉􀀬􀀬􀀬􀁊􀁏􀀬􀀮􀀮􀀲􀁾􀁟􀀠 TxDOT Form D-2-560D,FRM (02198) -----INVOICE WORKSHEET Date 1/31/02 Project Name: Addison Airport Project No. 0018ADDSN Basic Service Fee: $320,000 Payment Request No. 4 Period: From 1/1/02 To 1/31/02 Consultant to complete columns 1-4 Columns 5 & 6 for TxDOT use -----􀁾􀁾􀀭COL. 1 COL. 2 COL. 3 PSAPHASE %of Contract Fee % Complete 1. Initiation 3.350 $10720 97.67 2. Inventorv of Existine Conditions 13.725 $43 920 57.26 3. Aviation Forecasts 3.566 $11410 54.74 4. Aviation Noise Analysis 11.172 !i:35750 48.60 5. Noise Impacts 4.678 $14970 9.33 6. Noise Exoosure Mao Document 4.494 $14380 7. {l/Qise Abatement Alternatives 10.066 ;1;32210 8. Land Use Alternatives 7.678 $24570 9. Noise Compatibility Proeram 10.203 $32650 10. Public Coordination & Communication 26.575 $85040 12.04 11. Noise Comoatibilitv Proeram Document 4.494 $14380 TOTAL CONTRACT 100.000 $320000 TOTAL FEE TO DATE , , 􀁾􀁾􀀭􀁾􀀭􀁾􀀭COL. 4 Fee Earned to Date $10470.00 $25148.00 m6246.00 !i:17376.00 $1397.00 $10235.00 I EO,872.00 COL.S COL 6 Fee Earned to % Complete Date <\\.I." $. \<>, 410.il"> 􀀵􀀱􀀮􀀧􀁚􀀮􀁾􀀠S"2S \o,,-.J<.) SA :"\.... 􀁾􀁾...."'\..,.." A>r .100 $. 􀁜􀀢􀁬􀀬􀀢􀀱􀁾􀀮􀀼􀁲􀁏􀀠L.._________􀀭􀁉􀀭􀁦􀁟􀁙􀁾􀁯􀀮􀁷� �􀀺􀀲􀀢􀀭___ Address,__􀀭􀀭􀀭􀀢􀀢􀀲􀀳􀁾􀀷􀁵􀁎􀁗􀁬􀁬􀁬􀀮􀀡􀀧􀀮􀀮􀁊􀁂􀁾􀁌􀁾􀁕􀁅􀁾􀂣􀁐􀁁􀀢􀀢􀀧􀁒􀀢􀀧􀁋􀀮􀀮􀁲􀁗􀁲􀀮􀀮􀀻􀁁􀀺􀁬􀀮􀁙􀀮􀀡􀀮􀀮􀀮􀀭__________________ City___-""LE 􀀢􀀬􀁉􀁔􀁾􀀮M",-",O,,-.-'<64"" 0"'61-<3_________________..􀁅􀀡􀀮􀁩􀀡􀀮􀀧􀀮􀀾􀀡􀀮􀁓􀀭􀀢􀁓􀀢􀀧􀁕􀁍􀁍􀁾􀂷􀀠Airport:__--"'AD"""D""IS"'O,lJNI.l.LA"'IRP"""O""R"'T"-____________________ Segment 76 DistIDiv 42 Function Code 852 Object Code 384 TxDOT CSJ NO: 0118ADDSN TxDOT Contract No. _",1",X""1",FA"",,03,,,1L-__ ! Date Received: Eligible for Federal Reimbursement XX Yes ---J:f 􀁾􀀠Current Contract Amount (Grant Management) 􀀤􀀮􀁟􀁾􀀳􀀢􀀭􀀢􀀲􀀢􀀢􀀰􀀮􀀢􀀢􀁏􀁏􀀢􀀬􀀰􀀬􀀬􀀬􀀬􀀮􀁏􀁏􀁏􀀬􀀬􀀬􀀭__ Total Fee Approved to Date (From Col. 6 Invoice Worksheet) $.___􀁾􀁜􀀴􀁾􀁁􀁾􀁾􀁾􀀭􀁾􀂫􀀩___ $,____-__0___-____Tot al Amount Approved for Payment to Date Amount Approved This Payment $,__..>:\4:.w,,-,"',,,,,:.?Y,,-,,...:c-=-_ 0ClReturn to Grant Management by: ________ APPROVALS: Project Manager Date \ \ Wcn f Date /3 1V#)c"UD I /) --I <£-