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Kentucky Print Services
Local Public Agency (LPA) Guide
Transportation Redesign
>
Program Management
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Local Public Agency (LPA) Guide
Page Content
Executive Summary July 21, 2016
Table of Contents July 21, 2016
Chapter I – Introduction February 28, 2018
Chapter 1 Attachments
Attachment 1-Local Public Agency (LPA) Project Development Checklist (PDC)
Attachment 2 – Sample Resolution
Attachment 3 – Person in Responsible Charge Form
Chapter II – Project Team Meetings
July 21, 2016
Chapter 2 Attachments
Attachment 1 – Pre-Design Conference Template
Chapter III – Professional Services Procurement
February 28, 2018
Chapter III Attachments
Attachment 1 – Price Contract Selection Form
Attachment 2 – Sample RFP Advertisement
Attachment 3 – Sample RFP
Attachment 4 – Sample Evaluation Template
Attachment 5 - FY 22-23 Finance Cabinet List for Price Contract Option
Chapter IV – Environmental Requirements
September 25, 2018
Chapter IV Attachments
Attachment 1 – Clearinghouse Instructions
Chapter V – Project Design
February 28, 2018
Chapter V Attachments
Attachment 1-Local Public Agency (LPA) Project Development Checklist (PDC)
Chapter VI
–
Right-of-Way and Utilities
February 28, 2018
Chapter VI Attachments
Attachment 1 – Right-of-Way Certification Form
Attachment 2 – Encroachment Permit Form
Attachment 3 – Sample Minor Acquisition Review (MAR)
Attachment 4 – Sample Permanent Easement
Attachment 5 – Sample Consent and Release
Attachment 6 – LPA and Maintenance Project Utilities and Rail Certification Note
Chapter VII – NonConstruction Procurement May 22, 2017
No Chapter Attachments
Chapter VIII – Construction Procurement A
ugust 22, 2018
Chapter VIII Attachments
Attachment 1 – Construction Procurement Checklist
12-19-22
Attachment 2 – FHWA Form 1273
Attachment 3 – Affidavit for Bidders, Offerors, and Contractors
Construction Bid Proposal Template for FEDERAL-AID PROJECTS (Editable) 12-13-22
Construction Bid Proposal Template for STATE FUNDED PROJECTS(Editable) 05-05-22
Attachment 5 - FY 2021 Equipment Rates 7-7-20
Chapter IX – Construction and Inspection
March 8, 2023
Chapter IX Attachments
Attachment 1 – Subcontractor Request Form
Attachment 2 – Affidavit for Bidders, Offerors, and Contractors
Attachment 3 – Daily Inspection Report
Attachment 4- Daily Inspection Report Example
Attachment 5 – OLP Change Order Request Form
Attachment 6 – District Change Order Request Form
Attachment 7– Formal Acceptance Report Template
Attachment 8 –
Construction Inspection Plan Template (Editable) 12-28-16
Chapter X - Reimbursement
March 8, 2023
Chapter X Attachments
Attachment 1 – OLP Reimbursement Request Form
Attachment 2 – District Reimbursement Request Form
Chapter XI – Project Completion August, 24, 2018
Chapter XI Attachments
Attachment 1 – OLP Project Closure Form
Attachment 2 – District Project Closure Form
Appendix A – Acronyms & Glossary
This page is maintained by
Jackie.Jones@ky.gov
who may be contacted to make corrections or changes.
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