
LAP Forms
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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 | |
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 | |
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 | |
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 | |
700-010-42 | Certification for Stockpiled Materials (Sample) | 02/01/2017 | Construction | |
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 | |
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 |