ABCDEFGHIJKLMNOPQRSTUVWXYZ
1
2
UTILITY COST BREAKDOWN AND BILLING
3
Rev. 4/24
= data entry field
Yes
4
No
5
TO:Name:Amber Routson
6
Division:ConstructionPartial Billing
7
Final Billing
8
FROM: RE Name:
9
Company / RE crew:
PIN #:
10
11
Project #:CID #
12
13
Project Description:
Phase
14
15
UDOT Agreement #:
Utility Work Order #:
16
Utility Company name:
17
Utility Cost Breakdown
18
Work Performed by Utility Co:
(amount from utility agreement)
19
Work performed by UDOT:
(amount from utility agreement)
20
Total Estimated Cost of all work:
$0.00
21
Betterments:
(for information only, not reimbursable)
22
Betterments paid by UDOT?
(If betterments are paid by utility company, answer No)
23
UDOT Cost Share Percentage:
(typically 50% or 100%, but can be any percentage)
24
UDOT Cost Share Amount:
$0.00
25
Utility Co Cost Share Amount:
$0.00
26
Encumbrance:0
(Reimbursed amount to the Utility Company)
27
Collect from Utility Company:
0
(Receivable amount)
28
R709 Amount:0
(Estimated cost to UDOT)
29
30
Was there salvaged material?
If yes, provide explanation in Comments section below.
31
Comments:
Major Differences of +/- 10% of Estimate or Changes Should be Explained (attach additional pages if necessary)
32
33
Utility Billing/Invoicing
34
Total Authorized to Date:
35
Invoice NumberDateAmount
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Total Invoiced
$0.00
51
Balance$0.00
52
53
54
The Util Cost Breakdown & Billing form is located in the associated ProjectWise PIN under the Utility folder. The form is created and place in the Utility folder by the Utility specialist when they request funding for each agreement. The naming convention is PIN_UTIL_COST_BREAKDOWN_(COMPANY)_(AGREEMENT#). The form is formatted to deduct the invoice amount from the UDOT encumbrance and track the remaining balance.

Enter the invoice information in the corresponding agreement form and print the excel sheet to a pdf. Save and "Check in" the updated Utility form file back to ProjectWise. Each time an invoice is received open the form and enter the new invoice in the cells below the prior invoice. Once checked in, it will be ready for the next invoice to be added.

Send the pdf package to the RE or designated crew members for approval (UCOFN and Fiscal reviews require additional signatures). Attach all required documentation in one pdf package in the following order:

Util Cost Breakdown & Billing cover sheet
UCOFN (Only required when the balance is a negative amount.)
Invoice and backup documentation

Upon receipt of the Final invoice, complete one of the following forms and send with the pdf packet. This form will be a serperate document, please do not attach to the pdf invoice file.
Utility Fiscal Review or DB Utility Fiscal Review (Use DB Utility Fiscal Review only when the project is a Design Build project.)

Once the full packet is reviewed and signed by the required personnel, send the completed pdf packet to constructionpayments@utah.gov for processing.

Below is the correct completion of the invoice portion of the Util Cost Breakdown & Billing section. Note the running tally of costs and remaining balance.

55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100