Difference between revisions of "Category:101 Standard Forms"
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m (→Construction and Contractor Related: Per CM, "Contractor's Affidavit Regarding Settlement of Claims (C-242) with Exceptions" now available) |
m (→Construction and Materials: updated Job Site Bulletin Board Checklist link and removed extra link) |
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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] | ||
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*[https://epg.modot.org/forms/BR/Constructability%20Questionnaire.dot Constructability Questionnaire] | *[https://epg.modot.org/forms/BR/Constructability%20Questionnaire.dot Constructability Questionnaire] | ||
− | *[ | + | *[[media:Culvert_Hydraulics_Report-dec_2022.docx|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)] |
+ | |||
+ | *[https://epg.modot.org/forms/CM/ADA_Checklist.docx ADA Checklist (MS Word)] | ||
*[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/Change%20Order.XLS Change Order] | *[https://epg.modot.org/forms/CM/Change%20Order.XLS Change Order] | ||
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− | |||
*[https://epg.modot.org/forms/CM/CUF_Determination_Form.pdf Commercially Useful Function (CUF) Determination Form] | *[https://epg.modot.org/forms/CM/CUF_Determination_Form.pdf Commercially Useful Function (CUF) Determination Form] | ||
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*[https://epg.modot.org/forms/CM/IRI_Inertial_Profiler_Report_with_Bonus.xlsm IRI Inertial Profiler Report with Bonus] | *[https://epg.modot.org/forms/CM/IRI_Inertial_Profiler_Report_with_Bonus.xlsm IRI Inertial Profiler Report with Bonus] | ||
+ | |||
+ | *[https://epg.modot.org/forms/CM/Job_Site_Bulletin_Board_Checklist_fillable.pdf Job Site Bulletin Board Checklist] | ||
*[https://epg.modot.org/forms/CM/JOC_2020_Asphalt_Pavement_Repair.xlsm JOC 2020 Asphalt Pavement Repair] | *[https://epg.modot.org/forms/CM/JOC_2020_Asphalt_Pavement_Repair.xlsm JOC 2020 Asphalt Pavement Repair] | ||
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*[https://epg.modot.org/forms/CM/JOC_2022_Asphalt_Pavement_Repair.xlsm JOC 2022 Asphalt Pavement Repair] | *[https://epg.modot.org/forms/CM/JOC_2022_Asphalt_Pavement_Repair.xlsm JOC 2022 Asphalt Pavement Repair] | ||
+ | |||
+ | *[https://epg.modot.org/forms/CM/JOC_2023_Asphalt_Pavement_Repair.xlsm JOC 2023 Asphalt Pavement Repair] | ||
*[https://epg.modot.org/forms/CM/JOC_2021_Bridge_Repair_Spreadsheet.xlsm JOC 2021 Bridge Repair Spreadsheet] | *[https://epg.modot.org/forms/CM/JOC_2021_Bridge_Repair_Spreadsheet.xlsm JOC 2021 Bridge Repair Spreadsheet] | ||
*[https://epg.modot.org/forms/CM/JOC_2022_Bridge_Repair_Spreadsheet.xlsm JOC 2022 Bridge Repair Spreadsheet] | *[https://epg.modot.org/forms/CM/JOC_2022_Bridge_Repair_Spreadsheet.xlsm JOC 2022 Bridge Repair Spreadsheet] | ||
+ | |||
+ | *[https://epg.modot.org/forms/CM/JOC_2023_Bridge_Repair_Spreadsheet.xlsm JOC 2023 Bridge Repair Spreadsheet] | ||
*[https://epg.modot.org/forms/CM/JOC_2021_Concrete_Pavement_Repair.xlsm JOC 2021 Concrete Pavement Repair] | *[https://epg.modot.org/forms/CM/JOC_2021_Concrete_Pavement_Repair.xlsm JOC 2021 Concrete Pavement Repair] | ||
*[https://epg.modot.org/forms/CM/JOC_2022_Concrete_Pavement_Repair.xlsm JOC 2022 Concrete Pavement Repair] | *[https://epg.modot.org/forms/CM/JOC_2022_Concrete_Pavement_Repair.xlsm JOC 2022 Concrete Pavement Repair] | ||
+ | |||
+ | *[https://epg.modot.org/forms/CM/JOC_2023_Concrete_Pavement_Repair.xlsm JOC 2023 Concrete Pavement Repair] | ||
*[https://epg.modot.org/forms/CM/JOC_2022_Fence_Repair_Spreadsheet.xlsm JOC 2022 Fence Repair Spreadsheet] | *[https://epg.modot.org/forms/CM/JOC_2022_Fence_Repair_Spreadsheet.xlsm JOC 2022 Fence Repair Spreadsheet] | ||
+ | |||
+ | *[https://epg.modot.org/forms/CM/JOC_2023_Fence_Repair_Spreadsheet.xlsm JOC 2023 Fence Repair Spreadsheet] | ||
*[https://epg.modot.org/forms/CM/JOC_2020_Rail_Cable_Fence_Spreadsheet.xlsm JOC 2020 Rail Cable Fence Spreadsheet] | *[https://epg.modot.org/forms/CM/JOC_2020_Rail_Cable_Fence_Spreadsheet.xlsm JOC 2020 Rail Cable Fence Spreadsheet] | ||
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*[https://epg.modot.org/forms/CM/JOC_2022_Rail_Cable_Repair_Spreadsheet.xlsm JOC 2022 Rail Cable Fence Spreadsheet] | *[https://epg.modot.org/forms/CM/JOC_2022_Rail_Cable_Repair_Spreadsheet.xlsm JOC 2022 Rail Cable Fence Spreadsheet] | ||
+ | |||
+ | *[https://epg.modot.org/forms/CM/JOC_2023_Rail_Cable_Repair_Spreadsheet.xlsm JOC 2023 Rail Cable Fence Spreadsheet] | ||
*[https://epg.modot.org/forms/CM/JOC_Lighting_Repair.xlsx JOC Lighting Repair] | *[https://epg.modot.org/forms/CM/JOC_Lighting_Repair.xlsx JOC Lighting Repair] | ||
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*[https://epg.modot.org/forms/CM/RE_Letterhead.docx RE Letterhead – Word Format] | *[https://epg.modot.org/forms/CM/RE_Letterhead.docx RE Letterhead – Word Format] | ||
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− | |||
*[https://epg.modot.org/forms/CM/Retroreflectivity_Payment_Adjustment.xlsm Retroreflectivity Payment Adjustment] | *[https://epg.modot.org/forms/CM/Retroreflectivity_Payment_Adjustment.xlsm Retroreflectivity Payment Adjustment] | ||
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*[https://epg.modot.org/forms/CM/Semi_Final_Inspection_C_236.pdf Semi-Final Inspection (C-236)] | *[https://epg.modot.org/forms/CM/Semi_Final_Inspection_C_236.pdf Semi-Final Inspection (C-236)] | ||
− | *[ | + | *[https://www.modot.org/contractor-pay Contractor Payment Schedule] |
*[https://epg.modot.org/forms/CM/Standard%20Compaction%20Test%20Blank.xls Standard Compaction Test Blank] | *[https://epg.modot.org/forms/CM/Standard%20Compaction%20Test%20Blank.xls Standard Compaction Test Blank] | ||
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:*[https://epg.modot.org/forms/CM/AsphPlantInspNonCumulative.xls Asphalt Inspection Worksheet Non-Cumulative Gradation] | :*[https://epg.modot.org/forms/CM/AsphPlantInspNonCumulative.xls Asphalt Inspection Worksheet Non-Cumulative Gradation] | ||
+ | |||
+ | :*[https://epg.modot.org/forms/CM/CERTIFICATE_OF_MATERIALS_ORIGIN.pdf Buy America Materials of Origin] | ||
+ | |||
+ | :*[https://epg.modot.org/forms/CM/CERTIFICATE_OF_MATERIALS_ORIGIN_NONIRON_STEEL.pdf Buy America Materials of Origin Non-Iron/Steel (PDF)] | ||
:*[https://epg.modot.org/forms/CM/PipeShippingReportForm2.pdf CMP, RCP, Precast Drainage Units and Precast Box Culvert Shipping Report Form] | :*[https://epg.modot.org/forms/CM/PipeShippingReportForm2.pdf CMP, RCP, Precast Drainage Units and Precast Box Culvert Shipping Report Form] | ||
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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_CM_Filters.doc AWP CM Filters] | :* [https://epg.modot.org/forms/CM/AWP_CM_Filters.doc AWP CM Filters] | ||
+ | |||
+ | :* [https://epg.modot.org/forms/CM/AWP_CM_Filters_for_Sample_Records_or_Acceptance_Actions.doc AWP CM Filters for Sample Records or Acceptance] | ||
:* [https://epg.modot.org/forms/CM/AWP_CM_Test_Equipment.doc AWP CM Test Equipment] | :* [https://epg.modot.org/forms/CM/AWP_CM_Test_Equipment.doc AWP CM Test Equipment] | ||
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:* [https://epg.modot.org/forms/CM/AWP_CO_Subcontract.doc AWP CO Subcontract] | :* [https://epg.modot.org/forms/CM/AWP_CO_Subcontract.doc AWP CO Subcontract] | ||
+ | |||
+ | :* [http://eprojects/Templates/AWP_Guide_For_Creating_QA_%20Sample_Records_Using%20E2O%20Spreadsheets.doc AWP Guide for Creating QA Sample Records Using E20 Spreadsheets (Internal Use Only)] | ||
:* [https://epg.modot.org/forms/CM/AWP_MA_Adding_Contract_Lines_For_Acceptance_Actions.doc AWP MA Adding Contract Lines For Acceptance Actions] | :* [https://epg.modot.org/forms/CM/AWP_MA_Adding_Contract_Lines_For_Acceptance_Actions.doc AWP MA Adding Contract Lines For Acceptance Actions] | ||
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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] | ||
+ | |||
+ | :* [https://epg.modot.org/forms/CM/AWP_MA_DeletingMaterialsFromAcceptanceActions.doc AWP MA Deleting materials From Acceptance] | ||
:* [https://epg.modot.org/forms/CM/AWP_MA_EditingContractAcceptanceActionsAndActionRelationships.doc AWP MA Editing Contract Acceptance Actions and Action Relationships] | :* [https://epg.modot.org/forms/CM/AWP_MA_EditingContractAcceptanceActionsAndActionRelationships.doc AWP MA Editing Contract Acceptance Actions and Action Relationships] | ||
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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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*[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] | ||
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*[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] | ||
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*[https://www6.modot.mo.gov/EnvironmentalRequest/Pages/Login.aspx Request for Environmental Services (RES) Form] | *[https://www6.modot.mo.gov/EnvironmentalRequest/Pages/Login.aspx Request for Environmental Services (RES) Form] | ||
− | *[[media: | + | *[[media:2022-08-31_RES_Instruction_Manual.pdf|Instructions for the RES Form]] |
+ | |||
+ | *[[media:127.2.6_sample_letter.docx| Sample letter requesting permission]] | ||
===Materials=== | ===Materials=== | ||
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*[[media:101_Fis_Formc.dotx|Fis Formc]] | *[[media:101_Fis_Formc.dotx|Fis Formc]] | ||
− | *[ | + | *[https://modotgov.sharepoint.com/sites/tp/Shared%20Documents/Forms/AllItems.aspx?csf=1&web=1&e=SHzTNK%2F&FolderCTID=0x012000DD605E2170F8084F9DE64F06975E86E0&id=%2Fsites%2Ftp%2FShared%20Documents%2FTraffic%20Collection%2FExecutiveFiles%2FRoad%20User%20Costs%20Request%20Form%2Epdf&parent=%2Fsites%2Ftp%2FShared%20Documents%2FTraffic%20Collection%2FExecutiveFiles Road User Costs Request Form] |
− | *[ | + | *[https://modotgov.sharepoint.com/sites/tp/Shared%20Documents/Forms/AllItems.aspx?csf=1&web=1&e=SHzTNK%2F&FolderCTID=0x012000DD605E2170F8084F9DE64F06975E86E0&id=%2Fsites%2Ftp%2FShared%20Documents%2FTraffic%20Collection%2FExecutiveFiles%2FTraffic%20Forecast%20Request%20Form%2Epdf&parent=%2Fsites%2Ftp%2FShared%20Documents%2FTraffic%20Collection%2FExecutiveFiles Traffic Forecast Request Form] |
*[[media:101_Turning_Movement_Traffic_Count_Request.dotx|Turning Movement Traffic Count Request]] | *[[media:101_Turning_Movement_Traffic_Count_Request.dotx|Turning Movement Traffic Count Request]] |
Revision as of 13:22, 9 January 2023
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