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/ Consultant Services
Review of the Detailed Work PlanIndependent Cost Estimate
Instructions for Use: The form is to be completed by the PC prior to the selectedConsulting firm providing their cost proposal to the LPA. Upon review and approval thePCwill provide written approval of the detailed work plan and ICE to the RC and advise the RC to request the Consultant Fee proposal .
Local Public Agency (LPA): / LPA Responsible Charge:
State Project No.: / Project Name and Location:
State Control No.: / Date of Review: / This Form was Completed By:
QBS Category:
Small Purchase Large Purchase / Phase of Work:
PE or CE

Do the Scope of Services, Staffing Plan, and ICE include the following:

Item
# / Task Description or Questions / Completed / If No, Define
Corrective Action / Details or Information
Used to Verify Content / AdditionalComments
Yes / No / N/A
1. / Project scope and location consistent with the DR 530? / For PE contracts, refer to DR530.
2. / Tasks that allow for design alternatives that meet the Purpose and Need as stated on DR 530? / This question refers to PE contracts only.
3. / Items to be provided by the LPA?
4. / Items to be provided by the Consultant?
5. / Section describing nonparticipating tasks, work that is eligible for federal reimbursement and the work that is not eligible?
6. / Design standards and applicable publications and guidelines for completing the requested services?
7. / Description of workcategories to be provided by the consultant? (ie:Feasibility Study, Environmental, Preliminary Design, Final Design, Construction Engineering)?
8. / Specific work sub categories(Survey, Roadway Design, Bridge Design, Lighting Design, Lab and Field Testing, Inspection, etc.), for each of the described work categories?
9. / Work tasks for each work subcategory? (ie:alignment, abutment design, etc.)?
10. / Scope of work with the requirement that the CE will develop checklists to ensure Environmental and ROW Commitment compliance during construction? (This will include requirements defined in plans, green sheets, and all applicable permits) / CE Contracts only.
11. / Description of the level of project management needed for the work category defined?
12. / Progress meetings for the type of work defined?
13. / Field reviews for the project?
14. / List of deliverables?
15. / Schedule for completion of work tasks, consultant evaluations and submittal of deliverables that is attainable per letting dates, project complexity, etc? / Review the Clarity schedule, Letting Dates, Environmental Commitments, & ROW Commitments.
16. / Number of hours for the work categories, subcategories and work tasks?
17. / Staffing Plan with labor rates?

General Information:

18. / Is the cost portion of the Scope, Staffing Plan, and ICE accurate? / PC do a cursory review of the totals to make sure all the columns, rows, or tabs of the spreadsheet are added correctly.
19. / If public involvement activities are required for the project, do the activities correlate with the DR-53?
20. / Was the fixed fee for profit worksheet submitted and does the worksheet match the ICE? / The fixed fee worksheet is provided on

04-30, November 2012Checklist No. 04-30