Local Public Agency (LPA) Guide

Executive Summary July 21, 2016
Table of Contents July 21, 2016

Chapter I
Introduction February 28, 2018

Attachments
Attachment 1 - Local Public Agency (LPA) Project Development Checklist (PDC)
Attachment 2 - Sample Resolution
Attachment 3 - Person in Responsible Charge Form
Attachment 4 - Subrecipient Risk Assessment Form (KYTC Employee Use)
Attachment 5 - Subrecipient Or Contractor Determination Checklist (KYTC Employee Use)

Chapter II
Project Team Meetings July 21, 2016

Attachments
Attachment 1 - Pre-Design Conference Template

Chapter III
Professional Services Procurement February 28, 2018​

Attachments
Attachment 1 - Sample RFP Advertisement
Attachment 2 - Sample RFP
Attachment 3​ - Sample Evaluation Template
​

Chapter IV
Environmental Requirements September 25, 2018

Attachments
Attachment 1 – Clearinghouse Instructions

Chapter V
Project Design February 28, 2018

Attachments
Attachment 1 - Local Public Agency (LPA) Project Development Checklist (PDC)
Attachment 2 - Traffic Management Plan (TMP)​

Chapter VI
Right-of-Way and Utilities February 28, 2018

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
Non-Construction Procurement May 22, 2017
No Chapter Attachments

Chapter VIII
Construction Procurement August 22, 2018

Attachments
Attachment 1 - Construction Procurement Checklist 1-2-24​
Attachment 2 - FHWA Form 1273
Attachment 3 - Affidavit for Bidders, Offerors, and Contractors
Attachment 4 - Construction Bid Proposal Template for Federal-Aid Projects (Editable)​ 05-09-25
Attachment 5 - Construction Bid Proposal Template for State Funded Projects (Editable) 05-05-22
Attachment 6 - FY 2024 Equipment Rates
Attachment 7 - Example Notice to Industry​​

Chapter IX
Construction and Inspection March 8, 2023
​
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
​

Chapter X
Reimbursement March 8, 2023

Attachments
Attachment 1 - OLP Reimbursement Request Form
Attachment 2 - District Reimbursement Request Form

Chapter XI
Project Completion August, 24, 2018

Attachments
Attachment 1 - OLP Project Closure Form
Attachment 2 - District Project Closure Form

Appendix A – Acronyms & Glossary