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STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION <br />LOCAL AGENCY PROGRAM (LAP) PERFORMANCE EVALUATION <br />525-010-29 <br />Production Support <br />OGC - 09/13 <br />District <br />FDOT Project Manager <br />Municipality <br />Local Project Manager <br />Project Name <br />Financial Project Number <br />LAP Agreement ft <br />Project Amount (all phases) <br />PERFORMANCE RATING SCALE <br />3 Above Satisfactory Performance <br />Local Agency developed the project in accordance with applicable Federal and State regulations, standards and <br />procedures, without District involvement/oversight. <br />2 Satisfactory Performance <br />Local Agency developed the project in accordance with applicable Federal and State regulations, standards and <br />procedures, with minimal District involvement/oversight. <br />1 Unsatisfactory Performance <br />Local Agency failed to develop the project in accordance with applicable Federal and State regulations, standards <br />and procedures, required excessive District involvement/oversight, or the project was brought in-house by FDOT <br />[COMPOSITESCORE <br />Note: An overall score of 2 is considered satisfactory performance. The maximum attainable score is 3. <br />FDOT District LAP Administrator's Signature Date <br />FDOT Program Management Administrator/Engineer's Signature Date <br />Instructions: <br />In the score box for each item, select from the dropdown list. COMMENTS MUST BE ENTERED FOR ALL RATINGS <br />Page 1 of 6 <br />