Common use of Proposed Scope of Work Clause in Contracts

Proposed Scope of Work. 1. What type of work will be included in this work plan application? Check all applicable. □ Planning □ Investigative ☐✔ Construction/Rehab □ Post Project Evaluation □ Training □ Other 2. What is the total value of the request by the municipality for funding through the PPII program for work outlined in this work plan? $ 430,000.00 3. Provide the scope of work that will be included in this work plan. The work includes the rehabilitation of 21 sanitary laterals in the Terrace Drive Area, in the Village of Elm Grove. The sanitary sewer laterals were televised in 2017, as part of the investigative phase. The 21 selected laterals showed moderate to severe defects. The proposed work includes lateral root cleaning, lateral replacement by pipe bursting existing vitrified clay pipe (15 laterals), open-cut spot repairs (5 laterals), and chemical grout repairs (4 laterals). For the laterals being pipe burst or open-cut, the new lateral would terminate at a location as close to the building foundation as possible. The consultant and Village staff will coordinate with the property owners to determine exact location, taking into account any landscaping or hardscaping features along the lateral route. The connection between the existing pipe and new pipe will be made with a fernco that provides a watertight seal. The trench, ditch and pavement will be fully restored in-kind. 4. What entity is responsible for each work scope item e.g. municipality staff, consultant, contractor, District, etc. -Public outreach and informational meeting: consultant, Village staff, District -Onsite layout of lateral location and determination of replacement length: consultant, homeowner, Village staff -Preparation of bidding documents and exhibits: consultant -Bid procurement: consultant -Bid evaluation and award of contract: consultant, Village staff, District -Construction: contractor -Construction review: consultant 5. What is the total number of properties in the project area? 21 6. What is the assumed number of participating properties? 18 7. What is your justification for the assumed participation rate? ☐ Prioritization of properties □✔ Assumed percent of total ☐ Existing ▇▇▇ agreements based on investigative work based on previous projects ☐ Other (Fill in Blank):

Proposed Scope of Work. 1Completion of the conceptual design, permitting, bid plans/documents and construction oversight. What type Removal of the existing 3' wide x 6' height concrete bridge. Installation of an 8' wide x 6' height precast box culvert with an opening size of 8' wide x 4' height. The road is very narrow over the existing stream. This new culvert will allow for a 24' road and guard rails. Detailed Cost Estimate (below or attached): See attached cost estimate. Estimated Project Amount: $ 206,000.00 Estimated Completion Date: 10/15/2021 Municipality has adopted Codes & Standards that meet or exceed the State approved template? ✔ YES NO Municipality has a current Network Inventory? ✔ YES NO Municipality MUST complete the following environmental resource checklist: EXISTING STRUCTURES: (check all that apply) Steel Tube Culvert Concrete Box Culvert Stone Culvert ✔ Concrete Bridge Ditch Rolled Beam/Plate Girder Bridge Metal Truss Bridge Wooden Covered Bridge There are foundation remains, mill ruins, stone walls or other Masonry Structure Stone Abutments or Piers Buildings (over 50 yrs old) within 300 feet of work Other: PROJECT DESCRIPTION: (check all that apply) The project involves engineering / planning only The project consists of repaving existing paved surfaces only The project consists of reestablishing existing ditches only within existing footprint All work will be included in this work plan application? Check all applicable. □ Planning □ Investigative ☐done from the existing road or shoulder ✔ ConstructionThe structure is being replaced on existing location / alignment There will be excavation within 300 feet of a river or stream New structure on new alignment Repair/Rehab □ Post Project Evaluation □ Training □ Other 2. What of existing structure There will be excavation within a flood plain Road reclaiming, reconstruction, or widening ✔ Tree cutting / clearing Temporary off-road access is the total value required New ditches will be established The roadway will be realigned The municipality has included photos of the request by the municipality for funding through the PPII program for work outlined in this work plan? $ 430,000.00 3project. Provide the scope of work that will be included in this work plan. The work includes the rehabilitation of 21 sanitary laterals in the Terrace Drive Area, in the Village of Elm Grove. The sanitary sewer laterals were televised in 2017, Must show infrastructure and surrounding features as part of the investigative phase. The 21 selected laterals showed moderate to severe defects. The proposed work includes lateral root cleaning, lateral replacement by pipe bursting existing vitrified clay pipe (15 laterals), open-cut spot repairs (5 laterals), and chemical grout repairs (4 laterals). For the laterals being pipe burst or open-cut, the new lateral would terminate at a location as close to the building foundation much as possible. The consultant and Village staff will coordinate with the property owners to determine exact location, taking into account any landscaping or hardscaping features along the lateral route. The connection between the existing pipe and new pipe will be made with a fernco that provides a watertight seal. The trench, ditch and pavement will be fully restored in-kind. 4. What entity is responsible for each work scope item e.g. municipality staff, consultant, contractor, District, etc. -Public outreach and informational meeting✔ YES NO Recommended Award Amount: consultant, Village staff, $ 175,000.00 District -Onsite layout of lateral location and determination of replacement lengthStaff Approval: consultant, homeowner, Village staff -Preparation of bidding documents and exhibits: consultant -Bid procurement: consultant -Bid evaluation and award of contract: consultant, Village staff, District -Construction: contractor -Construction review: consultant 5. What is the total number of properties in the project area? 21 6. What is the assumed number of participating properties? 18 7. What is your justification for the assumed participation rate? ☐ Prioritization of properties □✔ Assumed percent of total ☐ Existing (name) ▇▇▇▇ agreements based on investigative work based on previous projects ☐ Other ▇▇▇▇▇▇▇▇▇ Date: May 10, 2021 Projects may involve impacts to protected historic or archaeological resources. For more information, responsible parties are encouraged to contact the District staff. Item Description Quantity Unit Unit Cost Total Cost 1 Mobilization/demobilization 1 LS $8,000 $8,000 2 Construction Sign Package 1 LS $2,000 $2,000 3 Traffic Control Plan 1 LS $1,000 $1,000 4 Tree removal/stumping 1 LS $1,000 $1,000 5 Erosion Control 1 ALL $2,000 $2,000 6 Removal of Existing structure 1 LS $5,000 $5,000 7 Temporary drainage 1 LS $15,000 $15,000 8 Concrete footings for 1 LS $12,000 $12,000 9 8’ x 6’ x 35’ Box w/ headwalls 1 EA $80,000 $80,000 10 8’ wingwall 4 EA $5,000 $20,000 11 Place and compact 12” coarse 50 CY $60 $3,000 12 Place and compact 12” fine gravel 50 CY $60 $3,000 13 Fine Grading 1 LS $2,000 $2,000 14 Sloping 1 LS $2,000 $2,000 15 Type 3 rip-rap 20 CY $80 $1,600 16 Seeding/mulching 1 LS $1,000 $1,000 17 Guard Rail with 6' posts 206 LF $30 $6,180 18 Guard Rail anchors 4 EA $500 $2,000 19 Misc. cleanup 1 LS $2,000 $2,000 20 Boulders 20 CY $50 $1,000 TOTAL: $169,780 Construction Contingency (Fill in Blank):10%) $16,978 Final design, permitting & bid $5,000 Construction Engineering $6,791 Permitting w/fees ($5,000 $5,000 Easements (Legal Work) $2,000 Total Estimated Project Cost $205,549 USE $206,000 for Project Cost HYDRAULICS UNIT‌ FROM: ▇▇▇▇▇▇ ▇▇▇▇▇▇▇, P.E., Hydraulics Project Manager We have completed our hydraulic study for the above referenced site, and offer the following information for your use: