Figures List for New LPA Manual

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1 EPG Introduction LPA Planning Process Chart MoDOT Programming Process Chart Right of Way Process Preliminary Plans Process Final Plans Specifications & Estimate Process Letting Plans & Contract Proposal Process Construction Process LPA MoDOT Agreement Process Chart Engineering Services Contract Process Chart Project Flowchart for Local Federal Aid Projects EPG Certification & Training EPG Federal Aid Basics Programming Data Form Programming Data Form for Non Infrastructure Utilities Scoping Checklist Non State Bridge Soft Match Credit Program Documentation Checklist HS 4, Safe Routes to School Program Agreement RM 11, STP Urban Program Agreement RM 12, Transportation Enhancement Funds Program Agreement RM 12 SUP, Transportation Enhancement Funds Supplemental Agreement RM 13, Off System Bridge Replacement and Rehabilitation Program Agreement RM 14, On System Bridge Replacement and Rehabilitation Program Agreement RM 15, Congestion Mitigation and Air Quality Agreement RM 16, Transportation and Community and System Preservation Program Agreement RM 17, Federal Aid Program Agreement RM 15E, Congestion Mitigation and Air Quality Agreement (Vehicle and Equipment Purchases) RM 15 SUP, CMAQ Supplemental

2 Sample Ordinance Work by Local Forces Proposal Sample Form for Submitting Invoices EPG Consultant Selection & Consultant Contract Management Engineering Services Contract Consultant Selection Criteria / Allowable Profit Curve as a % of Direct Salary Costs Supplemental Agreement to Engineering Services contract Consultant Performance Appraisal Form Common Unallowable Costs Sample Solicitation & Sample Scope of Services District Representative ESC Cover Letter Local Sponsor ESC Sample Cover Letter Just a link now Engineering Services Invoice Template NEW(n/a) Consultant Selection & ESC Submittal Checklist NEW(n/a) QBS Process Flowchart NEW(n/a) Consultant Services Q&A NEW(n/a) Checklist for reviewing Consultant Contracts NEW(n/a) Conflict of Interest Disclosure Form Just a link now Overhead Schedule Example Just a link now Engineering Services Invoice EXAMPLE NEW (n/a) Checklist for Engineering Services Invoice EPG Non Infrastructure New Services Provided Worksheet New Materials Worksheet New Equipment Usage Worksheet New Obligation Request Form?? EPG Environmental New Project Review Process flowchart New Key Environmental/Cultural Resources Compliance Milestones New Environmental/Cultural Resources Compliance Checklist New LPA Request for Environmental Review Just a Link Just a Link Categorical Exclusion Determination Instructions for Preparing Categorical Exclusion Determination New Generalized flowchart of the Section 106 Process for Local Public Agencies Just a Link Just a Link State Historic Preservation Office s Section 106 Project Information Form

3 Just a Link Just a Link State Historic Preservation Office s Section 106 Survey Form Just a Link Just a Link Instructions for Completing the SHPO 106 Survey Memo Memorandum of Agreement for Migration of Adverse Effects Just a Link Just a Link Advisory Council Model MOA LPA Section 4(f) Compliance Worksheet for Public Lands New Content of a Section 4(f) Evaluation Just a Link Just a Link Nationwide 404 Permit for Minor Road Crossings (NWP 14 Linear Transportation Projects) New Diagram of Typical Floodplain Floodplain Development Permit Engineering No Rise Certificate New Procedures for No Rise Certification for Proposed Development Just a Link Just a Link Farmland Conversion Impact Rating New Procedures for Environmental Clearance of Borrow Sites and Other Disturbed Areas Outside Right of Way EPG Design Table Dimensional Accuracy Just a link now Utility Depth and Encasement Requirements New Blank Structure Inventory and Appraisal Sheet New LFD Load Rating Summary Sheet New LRFR Load Rating Summary Sheet Example Notice of Public Hearing EPG Right of Way Acquisition Authority Request Adjustment of Value or Just Compensation Administrative Settlement Justification B Appraisal Monitor Checklist Appraisal Review A Assumptions and Limiting Conditions B Certificate of Appraiser Clearance Certification Statement C Comparable Lease Donation in Exchange for Construction Features Letter Final Vacancy Notice for Relocation Legal Justification for Settlement Legal Trial Report Just a link now Just a link LPA Right of Way Acquisition Brochure LPA Negotiator Services Agreement Negotiator s Report

4 A Nonresidential Sale Parcel File Checklist Plan Review Checklist Privately Donated Land as Credit for Match A Project Acquisition Monitor Checklist Proposal for Appraisal Work Just a link now Just a link Pro Rata Real Estate Tax Claim C Relocation Monitor Checklist B Residential Sale Review Appraiser Contract Just a link now Just a link Roster of Approved Contract Appraisers Sample Donation Letter & Waiver of Appraisal Sample Letter Offer Pay Estimate Sample Letter Offer Value Finding Scope of Assignment Standard Appraisal Format Summary of HB Summary Value of Tenant Interests Uniform Residential Appraisal Report Value Finding Appraisal Format Waiver Valuation Day Notice of Owners Rights EPG Plans, Specifications & Estimate (PS&E) PS&E Submittal Checklist Subcontractor Certification Regarding Affirmative Action Federal Project Bid Proposal Boilerplate ADA Post Inspection Checklist NEW LPA Certification of PS&E NEW Utility Status Letter NEW FHWA 1273 Just a link now DBE Provisions Just a link now DBE Submittal Forms New Example Itemized Bid Form New Example Estimate (with categories) New ADA Certification EPG Advertisement for Bid and Project Award Sample Advertisement New Bid Concurrence Checklist EPG Construction General Guideline for Preconstruction Conference Change Order Form

5 Progress Report Request for Approval of Subcontract DBE Subcontract Worksheet Contractor s Instructions for Filling out Request to Subcontract Work Wage Rate Interview (Labor Compliance/EEO) Form FHWA Contractor Certification Contractor s Affidavit Regarding Settlement of Claims Affidavit (Compliance with Prevailing Wage Law) Just a link now Just a link Off Systems Guide Schedule for Federal Aid Acceptance Sampling & Testing (FAST) Just a link now Site Visit Checklist Just a link now Job Bulletin Board Checklist

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