Difference between revisions of "Category:101 Standard Forms"
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*[https://epg.modot.org/forms/BR/Bridge%20Division%20Memo.dot Bridge Division Memo] | *[https://epg.modot.org/forms/BR/Bridge%20Division%20Memo.dot Bridge Division Memo] | ||
− | *[[media: | + | *[[media:101_Bridge_Hydraulics_Report_Feb_2022.dotx|Bridge Hydraulics Report]] |
*[https://epg.modot.org/forms/BR/Change%20Order.dot Change Order] | *[https://epg.modot.org/forms/BR/Change%20Order.dot Change Order] | ||
− | <div id="Constructability | + | <div id="Constructability Questionnaire"></div> |
*[https://epg.modot.org/forms/BR/Constructability%20Questionnaire.dot Constructability Questionnaire] | *[https://epg.modot.org/forms/BR/Constructability%20Questionnaire.dot Constructability Questionnaire] | ||
− | *[ | + | *[https://modotgov.sharepoint.com/:w:/r/sites/br/Hydraulics/Shared%20Docs/Hydraulics_Report_Forms/Culvert%20Hydraulics%20Report/Culvert_Hydraulics_Report.docx?d=w0b58cefc4aac4f36a2b08ede9373beb4&csf=1&web=1&e=DZof11 Culvert Hydraulics Report] |
[[image:101 Bridge.jpg|right|150px]] | [[image:101 Bridge.jpg|right|150px]] | ||
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*[https://epg.modot.org/forms/CM/AC_Index_Price_Adjustment_Undersealing.xlsx AC Index Price Adjustment – Undersealing] | *[https://epg.modot.org/forms/CM/AC_Index_Price_Adjustment_Undersealing.xlsx AC Index Price Adjustment – Undersealing] | ||
− | *[[ | + | *[https://epg.modot.org/forms/CM/ADA_Checklist.pdf ADA Checklist (PDF) (Rev. June 15, 2022)] |
+ | |||
+ | *[https://epg.modot.org/forms/CM/ADA_Checklist.docx ADA Checklist (MS Word) (Rev. June 15, 2022)] | ||
*[https://epg.modot.org/forms/CM/Aggregate_Base_Random_Locations.xlsm Aggregate Base Random Locations] | *[https://epg.modot.org/forms/CM/Aggregate_Base_Random_Locations.xlsm Aggregate Base Random Locations] | ||
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:* [https://epg.modot.org/forms/CM/Contractors_Affidavit_C-242.pdf Contractor's Affidavit Regarding Settlement of Claims (C-242)] | :* [https://epg.modot.org/forms/CM/Contractors_Affidavit_C-242.pdf Contractor's Affidavit Regarding Settlement of Claims (C-242)] | ||
+ | |||
+ | :* [https://epg.modot.org/forms/CM/Contractors_Affidavit_C-242_With_Exceptions.pdf Contractor's Affidavit Regarding Settlement of Claims (C-242) with Exceptions] | ||
:* [https://epg.modot.org/forms/CM/Contractor_Questionnaire.pdf Contractor Questionnaire] (to bid contracts less than $2,000,000) | :* [https://epg.modot.org/forms/CM/Contractor_Questionnaire.pdf Contractor Questionnaire] (to bid contracts less than $2,000,000) | ||
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:*[https://epg.modot.org/forms/CM/GS013F4.pdf PAL Program Inclusion Certifications and Guarantee Statement] | :*[https://epg.modot.org/forms/CM/GS013F4.pdf PAL Program Inclusion Certifications and Guarantee Statement] | ||
− | :*[https://epg.modot.org/forms/CM/Producer_Supplier_List. | + | :*[https://epg.modot.org/forms/CM/Producer_Supplier_List.pdf Producer/Supplier List] |
:*[https://epg.modot.org/forms/CM/PipeShippingReportForm_Thermoplastic.pdf PVC & HDPE Pipe Shipping Report Form] | :*[https://epg.modot.org/forms/CM/PipeShippingReportForm_Thermoplastic.pdf PVC & HDPE Pipe Shipping Report Form] | ||
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:* [https://epg.modot.org/forms/CM/AWP_MA_Associating_Material_To_Source.docx AWP MA Associating Material to Source] | :* [https://epg.modot.org/forms/CM/AWP_MA_Associating_Material_To_Source.docx AWP MA Associating Material to Source] | ||
+ | |||
+ | :* [https://epg.modot.org/forms/CM/AWP_MA_Checking_For_UnAuthorized_Sample_Records.doc AWP MA Checking For Unauthorized Sample Records] | ||
:* [https://epg.modot.org/forms/CM/AWP_MA_DEC_Sample_Record.docx AWP MA DEC Sample Record] | :* [https://epg.modot.org/forms/CM/AWP_MA_DEC_Sample_Record.docx AWP MA DEC Sample Record] | ||
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*[[media:747 Bridge Survey Report.docx| Bridge Survey Report Form]] | *[[media:747 Bridge Survey Report.docx| Bridge Survey Report Form]] | ||
− | *[ | + | *[[media:751.1.3.2_Structural_Rehabilitation_Checklist.xlsm|Structural Rehabilitation Checklist (Excel)]] |
*[[media:131.1 Vertical Clearance Coord Form Jul 2018.pdf|Vertical Clearance Design Exception Coordination with SDDCTEA]] | *[[media:131.1 Vertical Clearance Coord Form Jul 2018.pdf|Vertical Clearance Design Exception Coordination with SDDCTEA]] | ||
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*[[media:124.2.4 Design Progress Check list.docx|Design Progress Check List]] | *[[media:124.2.4 Design Progress Check list.docx|Design Progress Check List]] | ||
− | *[[media:D- | + | *[[media:D-12_May_2022.pdf|District Final Design Checklist - D-12]] |
*[[media:124.2.4 Check List for Preliminary Plans.docx|Preliminary Plans Check List]] | *[[media:124.2.4 Check List for Preliminary Plans.docx|Preliminary Plans Check List]] | ||
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===Contracts=== | ===Contracts=== | ||
− | *[[media:District_Award. | + | *[[media:District_Award.dotx|District Award]] |
*[http://www.modot.org/business/standards_and_specs/documents/ComputerDeliverableContractPlans.pdf Computer Deliverable Contract Plans 2005] | *[http://www.modot.org/business/standards_and_specs/documents/ComputerDeliverableContractPlans.pdf Computer Deliverable Contract Plans 2005] | ||
− | |||
− | |||
− | |||
− | |||
*[https://epg.modot.org/forms/DE%202017%20Forms/BiddingContract/DE11_Municipal_Agreement.doc DE11] | *[https://epg.modot.org/forms/DE%202017%20Forms/BiddingContract/DE11_Municipal_Agreement.doc DE11] | ||
− | *[[media:Sample_Scope_of_Services_-_Location_and_Environment. | + | *[[media:Sample_Scope_of_Services_-_Location_and_Environment.dotx|Sample Scope of Services - Location and Environment]] |
− | *[[media:Sample_Scope_of_Services_Design. | + | *[[media:Sample_Scope_of_Services_Design.dotx|Sample Scope of Services Design]] |
===Design Forms=== | ===Design Forms=== | ||
− | *[ | + | *[[media:3R_Conceptual_Study_Report.dotx|3R Conceptual Study Report]] |
− | *[ | + | *[[media:4R_Conceptual_Study_Report.dotx|4R Pavement Rehabilitation Analysis Data and Conceptual Study Report]] |
− | *[ | + | *[[media:Commission_Backup_Form_Blank.dotx|Commission Backup Form Blank]] |
− | *[ | + | *[[media:Commission_Backup_Form_Instructions.dotx|Commission Backup Form Instructions]] |
− | *[ | + | *[[media:Conceptual Study Report.dotx|Conceptual Study Report]] |
*[[media:134.2.2.5.1 May 2017.doc|Consultant Rating Form]] | *[[media:134.2.2.5.1 May 2017.doc|Consultant Rating Form]] | ||
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*[[media:131.1 Design Exception 2020.docx|Design Exception Information]] | *[[media:131.1 Design Exception 2020.docx|Design Exception Information]] | ||
− | *[ | + | *[[media:Equipment_and_Materials_List.dotx|Equipment and Materials List]] |
*[https://epg.modot.org/forms/DE/SWPPP_Project_Specific_Form_806.8.2.pdf Form 806.8.2, Project-Specific SWPPP Information] | *[https://epg.modot.org/forms/DE/SWPPP_Project_Specific_Form_806.8.2.pdf Form 806.8.2, Project-Specific SWPPP Information] | ||
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*[[media:Form D21 2018.pdf|Highway Lighting Warrants D21]] | *[[media:Form D21 2018.pdf|Highway Lighting Warrants D21]] | ||
− | *[ | + | *[[media:Location Study Report.dotx|Location Study Report]] |
* [[media:M-40 2013.docx|M-40 Request for Drilling Services]] | * [[media:M-40 2013.docx|M-40 Request for Drilling Services]] | ||
− | *[ | + | *[[media:Pavement_Distress_Log_Form_-_Asphalt_-_11x17.dotx|Pavement Distress Log Form - Asphalt - 11x17]] |
− | *[ | + | *[[media:Pavement_Distress_Log_Form_-_Concrete_11x17.dotx|Pavement Distress Log Form - Concrete 11x17]] |
− | *[ | + | *[[media:Pavement_Repair_Log.dotx|Pavement Repair Log]] |
− | *[ | + | *[[media:Preliminary_Plans_Proposal_Review.dotx|Preliminary Plans Proposal Review]] |
− | *[ | + | *[[media:Project_Data_for_BAMS.dotx|Project Data for BAMS]] |
− | *[ | + | *[[media:Project Initialization Estimate Form.dotx|Project Initialization Estimate Form]] |
*[https://spexternal.modot.mo.gov/sites/de/_layouts/15/WopiFrame.aspx?sourcedoc=%7bC825A659-7DD3-4CF3-8F3D-284E3BFF6E39%7d&file=JSP-Formatting-Guide.doc&action=default Roadway Job Special Provision Formatting Guide] | *[https://spexternal.modot.mo.gov/sites/de/_layouts/15/WopiFrame.aspx?sourcedoc=%7bC825A659-7DD3-4CF3-8F3D-284E3BFF6E39%7d&file=JSP-Formatting-Guide.doc&action=default Roadway Job Special Provision Formatting Guide] | ||
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*[[media:134.2.2.2 2019.docx|Submittal to Professional Services Committee]] | *[[media:134.2.2.2 2019.docx|Submittal to Professional Services Committee]] | ||
− | *[ | + | *[[media:Suggested_Revision_to_a_CADD_Standard.dotx|Suggested Revision to a CADD Standard]] |
− | *[ | + | *[[media:Test-Cultural_Resource_Assessment_Letter.dotx|Test-Cultural Resource Assessment Letter]] |
− | *[ | + | *[[media:Traffic_Signal_Warrants,_Form_D22.dotx|Traffic Signal Warrants, Form D22]] |
− | *[ | + | *[[media:Utility_Print_Submittal_Letter.dotx|Utility Print Submittal Letter]] |
− | *[ | + | *[[media:Utility_Print_Submittal_Letter_Revised_Plans.dotx|Utility Print Submittal Letter, Revised Plans]] |
− | *[[media: | + | *[[media:124_Work_Day_Study_a.dotx|Work Day Study]] |
===[https://epg.modot.org/index.php?title=Category:134_Engineering_Professional_Services#134.1.3_Consultant_Qualification Engineering Professional Services]=== | ===[https://epg.modot.org/index.php?title=Category:134_Engineering_Professional_Services#134.1.3_Consultant_Qualification Engineering Professional Services]=== | ||
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===Materials=== | ===Materials=== | ||
− | *[ | + | *[[media:101_Request_for_Asphalt_Cement_%_Grade.dotx|Request for Asphalt Cement % Grade]] |
− | *[ | + | *[[media:101_Soil_Info_Request.dotx|Soil Info Request]] |
− | *[ | + | *[[media:101_Soil_Survey_Request.dotx|Soil Survey Request]] |
===Planning=== | ===Planning=== | ||
− | *[ | + | *[[media:101_ARAN_Report_Request.dotx|ARAN Report Request]] |
− | *[ | + | *[[media:101_Conceptual_Study_Traffic_Count_Request.dotx|Conceptual Study Traffic Count Request]] |
− | *[ | + | *[[media:101_Fis_Formc.dotx|Fis Formc]] |
*[http://sp/sites/tp/sysanlysis/Traffic/Shared%20Documents/ExecutiveFiles/Road%20User%20Costs%20Request%20Form.pdf Road User Costs Request Form] | *[http://sp/sites/tp/sysanlysis/Traffic/Shared%20Documents/ExecutiveFiles/Road%20User%20Costs%20Request%20Form.pdf Road User Costs Request Form] | ||
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*[http://sp/sites/tp/sysanlysis/Traffic/Shared%20Documents/ExecutiveFiles/Traffic%20Forecast%20Request%20Form.pdf Traffic Forecast Request Form] | *[http://sp/sites/tp/sysanlysis/Traffic/Shared%20Documents/ExecutiveFiles/Traffic%20Forecast%20Request%20Form.pdf Traffic Forecast Request Form] | ||
− | *[ | + | *[[media:101_Turning_Movement_Traffic_Count_Request.dotx|Turning Movement Traffic Count Request]] |
===Public Involvement=== | ===Public Involvement=== | ||
− | *[ | + | *[[media:101_Public_Hearing_Statement_Form.dotx|Public Hearing Statement Form]] |
*[https://epg.modot.org/forms/DE/Public%20Involvement/Sample%20Letter%20Advertising%20a%20Public%20Hearing.docx Sample Letter Advertising a Public Hearing] | *[https://epg.modot.org/forms/DE/Public%20Involvement/Sample%20Letter%20Advertising%20a%20Public%20Hearing.docx Sample Letter Advertising a Public Hearing] | ||
*[https://epg.modot.org/forms/DE/Public%20Involvement/Sample%20Notice%204f.docx Sample Notice 4F] | *[https://epg.modot.org/forms/DE/Public%20Involvement/Sample%20Notice%204f.docx Sample Notice 4F] | ||
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===Scoping=== | ===Scoping=== | ||
− | *[ | + | *[[media:101_Bridge_Checklist.dotx|Bridge Checklist]] |
− | *[ | + | *[[media:101_Construction_and_Materials_Checklist.dotx|Construction and Materials Checklist]] |
*[https://epg.modot.org/forms/DE%202017%20Forms/DELiaison/104.6_Design_Checklist_Apr_26,_2012.doc Design Checklist] | *[https://epg.modot.org/forms/DE%202017%20Forms/DELiaison/104.6_Design_Checklist_Apr_26,_2012.doc Design Checklist] | ||
− | *[https://epg.modot.org/forms/DE%202017%20Forms/DELiaison/ | + | *[https://epg.modot.org/forms/DE%202017%20Forms/DELiaison/104.6_Design_Liaison_Checklist.doc Design Liaison Checklist] |
+ | |||
+ | *[[media:101_FHWA_Checklist.dotx|FHWA Checklist]] | ||
− | *[ | + | *[[media:101_Maintenance_Checklist.dotx|Maintenance Checklist]] |
[[image:101 survey.jpg|right|150px]] | [[image:101 survey.jpg|right|150px]] | ||
− | *[ | + | *[[media:101_Planning_Checklist.dotx|Planning Checklist]] |
− | |||
− | |||
*[https://epg.modot.org/forms/DE%202017%20Forms/DELiaison/104.6_Project_Scoping_Checklist_Apr_26,_2012.doc Project Scoping Checklist] | *[https://epg.modot.org/forms/DE%202017%20Forms/DELiaison/104.6_Project_Scoping_Checklist_Apr_26,_2012.doc Project Scoping Checklist] | ||
− | *[ | + | *[[media:101_Public_Information_and_Outreach_Checklist.dotx|Public Information and Outreach Checklist]] |
− | *[ | + | *[[media:101_Railroad_Checklist.dotx|Railroad Checklist]] |
− | *[ | + | *[[media:101_Right_of_Way_Checklist.dotx|Right of Way Checklist]] |
− | *[ | + | *[[media:101_Traffic_Checklist.dotx|Traffic Checklist]] |
− | *[ | + | *[[media:101_Utilities_Checklist.dotx|Utilities Checklist]] |
===Survey=== | ===Survey=== |
Revision as of 14:13, 21 June 2022
EPG articles are not referenced as "sections" but as EPG XXX.X (example: EPG 401.3) to avoid confusion with MoDOT specs (which are contractually binding). |
Contents
- 1
- 2 Bridge
- 3 Construction and Materials
- 4 Design
- 5 External Civil Rights
- 6 Financial Services
- 7 Highway Safety/Traffic
- 8 Maintenance
- 9 Motor Carrier Services
- 10 Planning
- 11 Right of Way
- 11.1 General Information
- 11.2 Right of Way Organization and Personnel
- 11.3 Administration
- 11.4 Description Writing and Titles
- 11.5 Property Management
- 11.6 Appraisal and Appraisal Review
- 11.7 Negotiation
- 11.8 Relocation Assistance Program
- 11.9 Asbestos Abatement-Removal of Building Improvement
- 11.10 Right Of Way Condemnation
- 11.11 Mediation
- 11.12 Quality Assurance Reviews
- 11.13 Designing Right of Way Plans
- 11.14 Change in Route Status Report
- 11.15 Requests from Cities for Annexations
- 11.16 Outdoor Advertising
- 11.17 Junkyards
- 11.18 Local Public Agency Land Acquisition
Standard forms organized by functional unit are accessible from this page. The files accessible by the links below are identical to those accessed through Word, Excel or other software application by MoDOT employees. Many of these file links are also contained in Engineering Policy Guide articles that refer to the forms.
Bridge
Construction and Materials
Forms for Contractor Use
Construction and Contractor Related
- Contractor Questionnaire (to bid contracts less than $2,000,000)
- Prequalification Contractor Questionnaire (to bid a contract of any size)
Materials Related
Posters, Federal Aid
Please refer to EPG 110.2 Federal-Aid Projects, Required Notices and Posters.
Posters, State Aid
Please refer to EPG 110.2 Federal-Aid Projects, Required Notices and Posters.
Utility or Right of Way Related
Quick Reference Guides (QRGs)
AASHTOWare Project Quick Reference Guides (QRGs)
Storm Water Database Quick Reference Guides (QRGs)
Design
Microstation D-Sheets |
Signing |
D-28, D-29 through D-34 |
Signals |
D-37A through D-37d, D-38 through D-38e |
Typical Sections |
D-49 through D-70 |
Miscellaneous |
D-71 |
Bridge
Checklist
Contracts
Design Forms
Engineering Professional Services
Environmental and Cultural
Materials
Planning
Public Involvement
- Public Hearing Statement Form
- Sample Letter Advertising a Public Hearing
- Sample Notice 4F
- Sample Notice of Public Hearing
- Sample Opportunity for a Public Hearing/Meeting Notice
- Sample Public Involvement Plan or Communication Plan
- Sample Request for Approval of Location and/or Design of Highways to State Design Engineer
- Sample Request for Approval of Location to the Commission
- Sample Transcript
Right of Way
Scoping
Survey
External Civil Rights
DBE
OJT
Workforce Diversity JSP
Financial Services
Highway Safety/Traffic
Maintenance
Chip Seal Forms
- Application Adjustment Factor Form
- Traffic Evaluation Factor (TEF) for Asphalt Application Adjustment
Bridge Maintenance
- Blank Inspection Report
- Bridge Maintenance Repair Report (Excel)
- Cathodic System Evaluation
- CIF (Critical Inspection Finding)
- FAR (Follow-Up Action Required)
- Maintenance Material Usage (Excel)
- Maintenance Recommendation Report
- Paint Data Report (Excel)
- Photo Log Sheet (Excel)
Snow & Ice Control
Rest Areas
Commuter Lots
Disasters
Performance Indicators
Pavement Management
Motor Carrier Services
Planning
Right of Way
General Information
Right of Way Organization and Personnel
Administration
Description Writing and Titles
Property Management
Appraisal and Appraisal Review
Negotiation
Relocation Assistance Program
Asbestos Abatement-Removal of Building Improvement
Right Of Way Condemnation
Mediation
Quality Assurance Reviews
Designing Right of Way Plans
Change in Route Status Report
Requests from Cities for Annexations
Outdoor Advertising
Junkyards
Local Public Agency Land Acquisition