Tile mosaic and sculpture designed by Guy Harvey on towers at four corners of the bridge_Port St. Lucie

LAP Forms

Form Number	Form Name	Revision Date	Form Owner	Format
Certification
	Local Agency Program Certification Tool	N/A	Program Management	Word
	Local Agency Program Certification - Materials Testing and Acceptance Quality Assurance Review	05/2022	Program Management	Word
	Sub Recipient Compliance Assessment Tool	04/25/2025	Program Management	Word
Agreements and Exhibits
350-000-15	Emergency Local Government Emergency Relief Reimbursement Agreement	04/28/2025	Program Management	Word
525-010-32	Local Agency Program Supplemental Agreement	03/03/2022	Program Management	Word
525-010-40	Local Agency Program Agreement	03/11/2025	Program Management	Word
525-010-40A	Local Agency Program Agreement - Exhibit A - Project Description and Responsibilities	05/12/2021	Program Management	Word
525-010-40B	Local Agency Program Agreement - Exhibit B - Schedule of Financial Assistance	08/18/2021	Program Management	Word
525-010-40C	Local Agency Program Agreement - Exhibit C - Title VI Assurances	05/12/2021	Program Management	Word
525-010-40D	Local Agency Program Agreement - Exhibit D - Recipient Resolution	05/12/2021	Program Management	Word
525-010-40E	Local Agency Program Agreement - Exhibit E - Federal Financial Assistance (Single Audit Act)	02/26/2025	Program Management	Word
525-010-40F	Local Agency Program Agreement - Exhibit F - Contract Payment Requirements	04/02/2024	Program Management	Word
525-010-40G	Local Agency Program Agreement - Exhibit G - FHWA 1273	10/24/2023	Program Management	Word
525-010-40H	Local Agency Program Agreement - Exhibit H - Alternative Advance Payment Financial Provisions	04/25/2024	Program Management	Word
525-010-40I	Local Agency Program Agreement - Exhibit I - State Funds Addendum	02/26/2025	Program Management	Word
525-010-40J	Local Agency Program Agreement - Exhibit J - State Financial Assistance	02/26/2025	Program Management	Word
525-010-40K	Local Agency Program Agreement - Exhibit K - Advance Project Reimbursement	09/23/2020	Program Management	Word
525-010-40L	Local Agency Program Agreement - Exhibit L - Landscape Maintenance	02/05/2025	Program Management	Word
525-010-40M	Local Agency Program Agreement - Exhibit M - Roadway Lighting Maintenance	02/20/2025	Program Management	Word
525-010-40N	Local Agency Program Agreement - Exhibit N - Traffic Signal Maintenance	02/26/2025	Program Management	Word
525-010-40O	Local Agency Program Agreement - Exhibit O - Terms & Conditions of Construction in Department Right of Way	05/12/2021	Program Management	Word
Project Certifications
	Clear Letter - No Environmental Permit Required	N/A	Program Management	Word
	Clear Letter - Permits Required	N/A	Program Management	Word
	Clear Letter - Railroad	N/A	Program Management	Word
	Clear Letter - Utilities	N/A	Program Management	Word
575-095-05	LAP Right of Way Certification, Certification with Exceptions and LAP Initial Design and Build	See Document	Right of Way	Consolidated
Procurement - Professional Services and Construction
	Appendices A&E, Nondiscrimination Contract Assurances (required in all contracts)	01/2025	Program Management	Word
275-030-11	DBE Bid Package Information	07/2024	Equal Opportunity Office	Word
375-020-27	Contract Bond (in Bid Blank)	08/2019	Contracts Administration	PDF
375-030-31	Affidavit Regarding Labor and Services	07/11/2024	Procurement	Word
375-030-32	Certification Regarding Debarment, Suspension...for Federal Aid Contracts	11/2015	Procurement	Word
375-030-33	Lobbying Certification	01/2024	Procurement	Word
375-030-34	Disclosure of Lobbying	02/2025	Procurement	Word
375-030-91	Vendor Eligibility Prior to Contract of Award	09/2024	Procurement	Word
375-030-83	DBE Bid Opportunity Form	10/2024	Procurement	Word
PSU Procurement
525-010-49	Local Agency Program (LAP) Checklist for Federally Funded Professional Services Contracts Federal and State Requirements	03/11/2025	Program Management	Word
375-030-18	Consultant Affirmation	04/03/2025	Procurement	PDF \| Word
375-020-08	Proposal (in Bid Blank)	06/27/2018	Contracts Administration	Consolidated
375-020-30	Contract Affidavit (in Bid Blank)	10/01/2007	Contracts Administration	PDF
375-030-30	Truth in Negotiation	05/01/2014	Procurement	Word
375-030-50	Conflict of Interest Certification	01/21/2020	Procurement	Word
375-040-84	LAP Terms for Federal Aid Professional Services Contracts	01/08/2024	Program Management	Word
	Calculating Fee Mockup	10/20/2021	Program Management	Excel \| PDF
700-010-04	Estimate of Contract Time	07/01/2006	Construction	Excel
Construction Procurement
FHWA 1273	Required Contract Provisions - Federal-Aid Construction Contracts	10/23/2023	FHWA	PDF
525-010-44	Local Agency Program (LAP) Checklist for Construction Contracts (Phase 58)-Federal Requirements	03/11/2025	Program Management	Word
575-060-13	Non-Collusion Declaration of Compliance	05/01/2001	Right of Way	Word
525-010-46	LAP Certification of Current Capacity	09/22/2020	Program Management	PDF \| Word
Construction Administration
	QAR Checklist - Developed by District 4 and District 6	05/21/2015	Program Management	Word
	QAR Checklist - Developed by District 4 and District 6 - Geotech	05/21/2015	Program Management	Word
700-050-56	Daily Log (Sample)	N/A	Construction
700-010-38	Certification of Payment (Sample)	01/01/2017	Construction	PDF
700-010-42	Certification for Stockpiled Materials (Sample)	02/01/2017	Construction	PDF
Invoicing
525-010-54	Local Programs Project Monitoring Status Report	02/13/2024	Program Management	Word
525-010-54	Instructions for the Local Programs Project Monitoring Status Report	02/13/2024	Program Management	PDF
525-010-53	Local Programs Invoicing Template	02/2025	Program Management	Excel
Project Close Out
525-010-42	Local Agency Program Final Inspection and Acceptance of Federal-Aid Project	03/04/2019	Program Management	PDF \| Word
525-010-47	Local Agency Program Record of Final Plans and Documents	05/22/2019	Program Management	Word
525-010-50	Local Agency Program Performance Evaluation	06/24/2022	Program Management	Word