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

LAP Forms


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Form NumberForm NameRevision DateForm OwnerFormat
Certification
 Local Agency Program Certification ToolN/AProgram ManagementWord
 Local Agency Program Certification - Materials Testing and Acceptance Quality Assurance Review05/2022Program ManagementWord
 Sub Recipient Compliance Assessment Tool04/25/2025Program ManagementWord
Agreements and Exhibits
350-000-15Emergency Local Government Emergency Relief Reimbursement Agreement04/28/2025Program ManagementWord
525-010-32 Local Agency Program Supplemental Agreement 03/03/2022Program ManagementWord
525-010-40Local Agency Program Agreement03/11/2025Program ManagementWord
525-010-40ALocal Agency Program Agreement - Exhibit A - Project Description and Responsibilities05/12/2021Program ManagementWord
525-010-40BLocal Agency Program Agreement - Exhibit B - Schedule of Financial Assistance08/18/2021Program ManagementWord
525-010-40CLocal Agency Program Agreement - Exhibit C - Title VI Assurances05/12/2021Program ManagementWord
525-010-40DLocal Agency Program Agreement - Exhibit D - Recipient Resolution05/12/2021Program ManagementWord
525-010-40ELocal Agency Program Agreement - Exhibit E - Federal Financial Assistance (Single Audit Act)02/26/2025Program ManagementWord
525-010-40FLocal Agency Program Agreement - Exhibit F - Contract Payment Requirements04/02/2024Program ManagementWord
525-010-40GLocal Agency Program Agreement - Exhibit G - FHWA 127310/24/2023Program ManagementWord
525-010-40HLocal Agency Program Agreement - Exhibit H - Alternative Advance Payment Financial Provisions 04/25/2024Program ManagementWord
525-010-40ILocal Agency Program Agreement - Exhibit I - State Funds Addendum02/26/2025Program ManagementWord
525-010-40JLocal Agency Program Agreement - Exhibit J - State Financial Assistance02/26/2025Program ManagementWord
525-010-40KLocal Agency Program Agreement - Exhibit K - Advance Project Reimbursement09/23/2020Program ManagementWord
525-010-40LLocal Agency Program Agreement - Exhibit L - Landscape Maintenance02/05/2025Program ManagementWord
525-010-40MLocal Agency Program Agreement - Exhibit M - Roadway Lighting Maintenance02/20/2025Program ManagementWord
525-010-40NLocal Agency Program Agreement - Exhibit N - Traffic Signal Maintenance02/26/2025Program ManagementWord
525-010-40OLocal Agency Program Agreement - Exhibit O - Terms & Conditions of Construction in Department Right of Way05/12/2021Program ManagementWord
Project Certifications
 Clear Letter - No Environmental Permit RequiredN/AProgram ManagementWord
 Clear Letter - Permits RequiredN/AProgram ManagementWord
 Clear Letter - RailroadN/AProgram ManagementWord
 Clear Letter - UtilitiesN/AProgram ManagementWord
575-095-05LAP Right of Way Certification, Certification with Exceptions and LAP Initial Design and BuildSee DocumentRight of WayConsolidated
Procurement - Professional Services and Construction
 Appendices A&E, Nondiscrimination Contract Assurances (required in all contracts)01/2025Program ManagementWord
275-030-11DBE Bid Package Information07/2024Equal Opportunity OfficeWord
375-020-27Contract Bond (in Bid Blank)08/2019Contracts AdministrationPDF
375-030-31Affidavit Regarding Labor and Services07/11/2024ProcurementWord
375-030-32Certification Regarding Debarment, Suspension...for Federal Aid Contracts11/2015ProcurementWord
375-030-33Lobbying Certification01/2024ProcurementWord
375-030-34Disclosure of Lobbying02/2025ProcurementWord
375-030-91Vendor Eligibility Prior to Contract of Award09/2024ProcurementWord
375-030-83DBE Bid Opportunity Form10/2024ProcurementWord
PSU Procurement
525-010-49Local Agency Program (LAP) Checklist for Federally Funded Professional Services Contracts Federal and State Requirements03/11/2025Program ManagementWord
375-030-18Consultant Affirmation04/03/2025ProcurementPDF | Word
375-020-08Proposal (in Bid Blank)06/27/2018Contracts AdministrationConsolidated
375-020-30Contract Affidavit (in Bid Blank)10/01/2007Contracts AdministrationPDF
375-030-30Truth in Negotiation05/01/2014ProcurementWord
375-030-50Conflict of Interest Certification01/21/2020ProcurementWord
375-040-84LAP Terms for Federal Aid Professional Services Contracts01/08/2024Program ManagementWord
 Calculating Fee Mockup 10/20/2021Program ManagementExcel | PDF
700-010-04Estimate of Contract Time07/01/2006ConstructionExcel
Construction Procurement
FHWA 1273Required Contract Provisions - Federal-Aid Construction Contracts10/23/2023FHWAPDF
525-010-44Local Agency Program (LAP) Checklist for Construction Contracts (Phase 58)-Federal Requirements03/11/2025Program ManagementWord
575-060-13Non-Collusion Declaration of Compliance05/01/2001Right of WayWord
525-010-46LAP Certification of Current Capacity09/22/2020Program ManagementPDF | Word
Construction Administration
 QAR Checklist - Developed by District 4 and District 605/21/2015Program ManagementWord
 QAR Checklist - Developed by District 4 and District 6 - Geotech05/21/2015Program ManagementWord
700-050-56Daily Log (Sample)N/AConstruction 
700-010-38Certification of Payment (Sample)01/01/2017ConstructionPDF
700-010-42Certification for Stockpiled Materials (Sample)02/01/2017ConstructionPDF
Invoicing
525-010-54Local Programs Project Monitoring Status Report02/13/2024Program ManagementWord
525-010-54Instructions for the Local Programs Project Monitoring Status Report02/13/2024Program ManagementPDF
525-010-53Local Programs Invoicing Template02/2025Program ManagementExcel
Project Close Out
525-010-42Local Agency Program Final Inspection and Acceptance of Federal-Aid Project03/04/2019Program ManagementPDF | Word
525-010-47Local Agency Program Record of Final Plans and Documents05/22/2019Program ManagementWord
525-010-50Local Agency Program Performance Evaluation06/24/2022Program ManagementWord