APPENDIX F: CALTRANS COST ESTIMATE TEMPLATE (included in Appendix AA of the CALTRANS Project Development Procedures Manual)

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APPENDIX F: CALTRANS COST ESTIMATE TEMPLATE (included in Appendix AA of the CALTRANS Project Development Procedures Manual) PROJECT DESCRIPTION: (Enter Type of Project Planning Cost Estimate as Title) Program Code Limits Proposed Improvement (Scope) Alternate SUMMARY OF PROJECT COST ESTIMATE TOTAL ROADWAY ITEMS TOTAL STRUCTURE ITEMS SUBTOTAL CONSTRUCTION COSTS TOTAL RIGHT OF WAY ITEMS TOTAL PROJECT CAPITAL OUTLAY COSTS Reviewed by District Program Manager Approved by Project Manager Phone No. Date (Signature) _ Date (Signature) I. ROADWAY ITEMS Section 1 Earthwork Quantity Unit Unit Price Item Cost Section Cost Roadway Excavation $ Imported Borrow $ Clearing & Grubbing $ Develop Water Supply $ $ $ 28

$ Subtotal Earthwork Section 2 Pavement Structural Section* PCC Pavement ( Depth) PCC Pavement ( Depth) Asphalt Concrete Lean Concrete Base Cement-Treated Base Aggregate Base Treated Permeable Base Aggregate Subbase Pavement Reinforcing Fabric Edge Drains Subtotal Pavement Structural Section Section 3 Drainage Large Drainage Facilities Storm Drains Pumping Plants Project Drainage (X-Drains, overside, etc.) Subtotal Drainage *Reference sketch showing typical pavement structural section elements of the roadway. Include (if available) T.I., R- Value and date when tests were performed. NOTE: Extra lines are provided for items not listed, use additional lines as appropriate. Section 4 Specialty Items Quantity Unit Unit Price Item Cost Section Cost Retaining Walls $ Noise Barriers $ Barriers and Guardrails $ 29

Equipment/Animal Passes $ Highway Planting $ Replacement Planting $ Irrigation Modification $ Relocate Private Irrigation Facilities $ Erosion Control $ Slope Protection $ Water Pollution Control $ Hazardous Waste Mitigation Work $ Environmental Mitigation $ Resident Engineer Office Space $ $ $ $ Subtotal Specialty Items Section 5 Traffic Items Lighting Traffic Delineation Items Traffic Signals Overhead Sign Structures Roadside Signs Traffic Control Systems Transportation Management Plan Subtotal Traffic Items TOTAL SECTIONS 1 thru 5 NOTE: Extra lines are provided for items not listed, use additional lines as appropriate. Section 6 Minor Items Item Cost Section Cost x (5 to 10%) = (Subtotal Sections 1 thru 5) TOTAL MINOR ITEMS Section 7 Roadway Mobilization x (10%) = 30

TOTAL ROADWAY MOBILIZATION Section 8 Roadway Additions Supplemental Work Contingencies x (5 to 10%) = x (**%) = TOTAL ROADWAY ADDITIONS TOTAL ROADWAY ITEMS (Subtotal Sections 1 thru 8) Estimate Checked By Phone# Date ** Use appropriate percentage per Chapter 20. II. STRUCTURES ITEMS Bridge Name Structure Type Width (out to out) - (m) Span Lengths - (m) Total Area - (m 2 ) Footing Type (pile/spread) Cost Per m 2 (incl. 10% mobilization and 20% contingency) Total Cost for Structure Structure Structure Structure (1) (2) (3) SUBTOTAL STRUCTURES ITEMS _ (Sum of Total Cost for Structures) Railroad Related Costs: 31

SUBTOTAL RAILROAD ITEMS _ COMMENTS: TOTAL STRUCTURES ITEMS _ (Sum of Structures Items plus Railroad Items) NOTE: If appropriate, attach additional pages and backup. III. RIGHT OF WAY ITEMS ESCALATED VALUE A. Acquisition, including excess lands, damages to remainder(s) and Goodwill _ B. Utility Relocation (State share) _ C. Relocation Assistance _ D. Clearance/Demolition _ E. Title and Escrow Fees _ F. Construction Contract Work Brief Description of Work: TOTAL RIGHT OF WAY ITEMS (Escalated Value) Anticipated Date of Right of Way Certification (Date to which Values are Escalated) Right of Way Branch Cost Estimate for Work * * This dollar amount is to be included in the Roadway and/or Structures Items of Work, as appropriate. Do not include in Right of Way Items. COMMENTS: 32