� /'v la /2-[_ I I DA!'No. !RBS lLACO U.S. Department of Transportation I I · L�l�L�J - �
Federal Highway Administration- Shi:ct# 1 of fed era! Project # EO ER - ( ) California Division-- Title 23 Dtas!t:r No. CA 2 PR ER -Damage Assessment Form (DAF) [ 1 I I - □ ( )
Tvre ofReoair EO· AGE!ICY FORCES CT WDl"I,:. Ordcrf(s�------
EA(s): __________ _
Descrin..!iJ>n ofWork Design and mplemenl detm.r for the Paramount Boulevard closi.re. (X210000441) Evaluation of roadway lo detecmine pavement degradation due ta the increased traffic (X210000449).
EQ. CONTRACT
EO EA(s): Contracr with Shertffs for detour enforcement
(X210000440) and Newspapers for adve,tising the ----------+ detour.
Cost Summarv PE 18,000
CE 9.000
Constnrtion 18,000
PE
CE
Construction 22.000
NOTE: Environmental doeumfflllllion filr EO i, req uircd. [I is generally slarlcd after work bas begun. R/W 0
I SublCUI !:mer gen �y Open iDg PR- CONSTRUCTION
� ,::: ] ·i LO Conb'act D FA � e 8 C: -� �, PREAs
FA 1cqui1es an approved Pff
NOTE:l'RlOR AUfHORJZATION (APf>ROVED E-76) 1S "REQUIRED TO PROCEED WITH PEltMANENT RESTORATION "R/W & CONSTRUCTION
PE
CE
Construction
R,W
$67,000
Applicant Count) lnciden\ Date (mmlddlyyyy) lnsp,ection Los Angeles County DPW I Los Angeles 12/14/2011 I V1 I /"v/1,0fz,
Federal-aid Hi!_!:h\wy? Location of DJ1magc; Per Site l{_J or LJ Per Mk I Nam� ofRoad/Bridgc: Paramount Boulevard over State Roule 60 Y for )CS, ifnu, ineligible for ER lunds iYl
PM Begin: R007.77 PM Length: Map No I 13 V 25 I (in �ct) PM End: R007.77 functional Classification Type:
Road/Bridge Data:
Traveled Way:
Shoulder:
Bridge Nu
Width
Width
531910
Type:
Type:
Type:
PCC B PCC
AC
AC B Gravel GraVl!I 0th er Principal .Alteri al
Route N -Forest Hwy? YIN □
Existirg ADT: -·
lnte1state? YIN L
Description The Paramount Boulevard bridge over S R-60 failed due la s lanker lire that occurred an the Freeway below. The of. resulting fa�ure required that the County implement a detour 10 direct people around the closure.
Damage:
COST ES1lMAlE
NOTE: Env i ronmcn la) cleara n te for perrnancn I r�toralion is Subtotal Pcnnancnl Restontu� $0 conducted lhrnu�h nonnal "Federal-a id oro�cdures
Eligible
�a Yes L � -� Yes L: LJ Yes LJ�
Signature Dale I Local ll#S!J,'Yif app� . / / .... � �---- "/// //Z....
. ' .
PE Total
CE Total
RJWTotal
Cone1ruction 1·a1ai
$16,000
$9,000
$0
$40,000
TOTAL F.STLMATE $67,000
Agency sig. Name (prinl): �� /21�r.; ,->:7_f .;l ') FHWA Sig. Namc(print): CTasig:11ature N� (printi ,J bkPI) :5 A,/2..M l'&f:/:@ DAF Prepared by (print): Original; Caltrum Piit.ict Copi•3: FBWA, Division of Local Assi,;lanc.c(local rMd,;), F•den,\ Rc.�ources (�tate hv.,Y).IIQ Major Damagefn�ineer(:s1Jltc hwy) •Wrl� �NIA" in FHW A signature blcck if theprojeetbn no Fodera\ ER funding or federal ER fonding delegated to the Stale. FHWA Sig11a111re REQUTRF.D (ot; all Fed•ral Funded Sl;ll\' prniects REQUIRED for 1111)1 . J a;a) AfM9' Pooiaas with I) a11y 8.ETTERMENT, 2) more lhan 2 ROW takes or 3) wh•npav,ng ism
----- ---------
0 DAF # RBS - LAGO - 0 0 1 -
U.S. Depmtmenl ofTransportation Sheet# 2 of F cde raJ H Lghway Administration Applicant
Califi:lmia Division- Title 23 Los Angeles County DPW Damage A�scssment Form (OAF)
Agency-EO Cale I✓ I EO contractT T- PR Cale □_
Unit Price Labor, Materials, and E_guioment Unit* Quantitv* 10,000.00 Newspaper Advertis ng LS 1 i 12,000.00 Traffic Control (LA County Sheriff's) LS 1
359.29 Fabricate and install signs 29 EA
7,048.87 Update Signal timing LS 1
Total
* Lump Sum wi!I general!y only be accep1ed for non biddable items, such as Mobilization.
J ustifications!t.:ommcnts: Non-typical Scope, PE/CE Cost Engineering estimates etc.
Cost 10,000.00
12,000.00
10,419.41
7,048.87
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
39,468.28
FlIWA CA Form (CA Rev 12/08/09)
https://39,468.28https://7,048.87https://10,419.41https://12,000.00https://10,000.00https://7,048.87https://12,000.00https://10,000.00https://39,468.28https://7,048.87https://7,048.87https://10,419.41https://12,000.00https://12,000.00https://10,000.00https://10,000.00
-----
------
DAF # RBS - LAGO
U.S. Department of Transportation Sheet# of Federal Highway Administration Applicant
California Division-Title 23 ECELV�� Damage Assessment Fann (OAF)
Photos. Sketches and/or Narrative
BY: --------Paramount Blvd at Bradbury Dive Looking South
l>i 10 t o d . escnp 1. ,on:
FHWA CAForn1 (CA Rev 12/08!09)
-----DAf # RBS _ LAGO U.S. Department of Transportation Sheet# of Federal Highway Administration
Applicant California Division- Title 23
Damage Assessment Form (OAF)
Photos, Sketches and/or Narrative
Paramount Blvd at Bradbury Dive Looking South Ph o o t d escnp . 1. 10n:
FHWA CA Fnm1 (CA Rev 12/0&/09}
OAF# RBS - LAGO - 0 0 1 _ 0 U.S. Department of Transportation Sheet# of Federal Highway Administration
Applicant Califomia Division- Title 23
Damage Assessment Form (OAF)
Photos, Sketches and/or Narrative
Paramount Blvd at Bradbury Dive Looking South I)h o t o d . escnp 1. 10n:
FHWA CA Form (CA Rev 12/08/09)
c,""1,1c0ro,, ""
PARAMOUNT BOULEVARD 0"
I MORA
o,;1X ST .2.00 .�
IGffi:_ ST_ _ .;
fRWY
99 GAMPO� VIA
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• SAN __ ,_ CARLO __ ,.
;i,AN __ (?_EJ.-!'_�RO
100
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DEPARTMENT OF PUBLIC WORKS
900 S. FremontAve.
Alhambra, CA 91803
TRAFFIC & LIGHTING DIVISION
DESIGN SECTION
Data contained in this m"-' is prodl.lOed il"I whole or part il�m the L, Covnt)' Department of Public Wort
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COUNTY C I I I
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DEPARTMENT I I I I I I I I I I I I I I I I I I I I I I I I I I I > I
LOS ANGELES
OF PUBLIC WORKS
SJGN LEGEND
LINCOLN AV
LOS ANGELES COUNTY DEPARTMENT OF PUBLIC WORKS
TRAFFIC AND LIGHTINC DIVISION
TRAi-!="1C DtTOLJR PLAN
PARAMOUNT BLVD AT POMONA FWY
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Federal Aid Data System Page 1 of2
FridaY. Jung 15. 2012 HELP !Rev 112012) You are logged in as: Federal Aid Data System 5127512 REYNALDO SARMIENTO
Project Request OAF Reports User Proli!e Ad minis tr a ti on Log Off Home
Listing ofRevisionsforTllis DAF Selecl EdoI.to update tne OAF belOw. Selecl Delete todelele lhe OAF. Select Create Rev9(/� lo create a revison for lh,o OAF. i 1o
Report No: RBS-LACO .w1 Disaster No: CA2012.1 County: 037 - LA
Rev No Crea led By Create Date Last Updated By Update Date
Edi\ Del�t� 0 SARMIENTO. REYNALDO 06/15/2012 SARMIENTO, REYNALDO 00115/2012 Cr�_aJ.�B.ev[?on io
DAF Slalus I Report No: RBS- lACO - 001--0 Disaster No: CA2012-1 County: 037 • LA lnci den I Date: 11211412011 ! ii!il mmtddlyyy y Inspect Date: 1osr1212012 lttiii
Responsibl" A9encY: District: ! o7 Admin: j LOCAL
·oApplicant: ILOS ANGELES CO DEPT OF PUBLIC WO�
Road/Bridge ---------�� Per Sile o.r Per Begin End Total ___ · _ PM JJ7 ] PM:e� Feet: c:o. oo o_ __.olla1ne. ii'PRAM9UN1' BL OVER STATE ROUI,E 60/ Mile: f PEf.< SU :::J c:.::.... l I
Federal Aid H111'l': Ci Yes r No Map No: ,�V25 j Brodge No: 1531910 I Type; I io lie Forest Hwy System: r Yes Ci No Stale/Local Rle No: c=:J Traveled Way Widlh: i Type: [ Sele Cl one ;;:t• ;:=:::=:� I
Shoulder Width: L _o _ �I Type: Js.iectono:±1 lnterstatl3: ('"' Yes 10' No AOT {Existing): L__j _o
Damage Des.,-iption lat mos1o4CI0 characters): ITRoP"ARAMOUNT BL BRIDGE OVER SR.SO FAILED DUE TOA TANKER FIRE THAT OCCURRED ONT HE FREEWAY BELOW THE RE SUL TING FAILURE ;if 4 iREQUIRED THAT THE COUNTY IMPLEMENT A DE"l"OUR TO DIRECT THE PEOPLE AROUND THE CLOSURE.
l ________________________________________ �J....,'i:i!
COST ESTIMATE
Cosl Summary Erne r aeacv OP 1nin g Asienc x Farces Desciiption of Work PE: L 18,JlG0.OOj
DESIGNED & IMPLEMENTED DETOUR FOR THE PARAMOUNT BL CLOSURE .'-'-I EVALUATION OF ROADWAY TO DETERMINE PAVEMENT DEGRADATION DUE TO THE '""'."\
,...:,f Sf'N/Conlract No:eeL _o _ [ !INCRE.ASED TRAFFIC ___;;18.00o::.:,: '-' CON:o .::!JOi c:.: ··o :.;0o
CTWorkOrderNo: 1:l.� ----'o ... 8Le ��Je�..,,,J 3: _L __.e_o '- - ------'I 5: le ee ---e lee .. �o je2:oi., eo __ �e_] 4, 1 o---ee
EmeIQ!'Il,£Y..Q�!!l!!9.G..!tnl.@£! Descripllon of Work CONTRACTED WITI-1o11-IE SHERIFF FOR DETOUR ENFORCEMENT t NEWSPAPERS IFOR ADVERTISING THE DETOUR.
coN: �I ====22=�=00=.oo�I ! ·SPN/Conlracl No: IX210000440 ee RfW· i oooo
loSlblotal Emergency Opening:
Cost Summary
PE: i Description of Work I ;:::===;
CE: ; Contract Type: ) Solecl
nmtddlyyyy
nm/ddlyyyy
Federal Aid Data System Page 2 of2
Eli91b e Last NBflle First Name Osle l le Ye� r No r NIA Local Agency: iABRAMSON _ _j. !ALLAN i06 ,,112012 1 iil
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