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STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525.010-44 LOCAL AGENCY PROGRAM CHECKLIST FOR CONSTRUCTION CONTRACTS (Phase 58) – PROGRAM MANAGEMENT Ions FEDERAL AND STATE REQUIREMENTS Pa90 1 of 6 Project Title. 43rd Avenue Sidewalk Improvements from Aviation Boulevard to Airport Drive West Federal-Aid Highway(Yes/No)' No Financial Management Number: 8886-493-A LAP Agreement Amount($)- 478,000.00 Federal-Aid Project Number: 431725-2-58-01 Scheduled Advertisement Date, 3/12 & 19/2017 Local Agency Name. Indian River County Specifications Used: FDOT® LAP Big Four❑ Local Agency I� Materials Certification and Acceptance (MAC) System Use Required (Yes/No): No SHS/NHS Project(Yes/No).No If yes, identify System. N/A Requirement Reference Local Agency Responsibilities District Monitoring Requirement Location- Responsibilities 1 Plan, Specification 23 CFR Submit PS&E package to FDOT for approval. Provide assurance Review/approve signed and Signed and sealed PS&E &Estimates(PS&E) 635.309(a) that all: sealed PS&E package Package and all Certifications Submittal AP Agreement must be uploaded to LAPIT prior L Right-of-way(ROW)clearances, NEPA compliance have been ROW Form#575-095-05 date: to executing this Checklist. Section 13.08 completed,and appropriate permits have been obtained. Utility 1/21/16 LAP Manual and railroad work arrangements and coordination must be made All permits issued must be and properly noticed in the bid proposal Executed Status of submitted to the Department and National Environmental Certification and incorporated into the PS&E Environmental SHS/NHS projects will be designed in accordance with the Plans Determination received from Package. Policy Act Preparation Manual Non-SHS and Non NHS projects will be DEMO date. (NEPA) designed in accordance with the Florida Green book 12/16/2015 Contract Local Agency uses its own Division I Specifications for all project — Administration types, but includes FDOT's Division 1 Specifications for Local Core Curriculum Clear Letters received dates, Manual,FHWA Agencies in the bid document located on the Department's Specs HIPA-30, on the Web page. Utilities October 2014 9/23/15 Local Agency will use FDOT's Division II and Division III Specifications when the construction project is on the SHS, NHS, Railroad or greater than$10 million in total costs. For Class C projects N/A with bridges or box culverts refer to IAP Bulletin 01-14 for specifications guidance No Permits When the project is off the SHSand NHS, Local Agency will use N/A FOOT's pre-approved Big 4 specifications for earthwork,concrete, permits Req. St.Johns River asphalt,and landscaping items,or will seek FDOT approval for Water Management District and local agency specifications Army Corps.of Engineers(Both Pending) 2. Advertisement 23 USC 112 Local Agency may not advertise until Authorization has been Review bid documents and Section 00100 received from FDOT.Advertisement must be a minimum of 21 verify minimum.3 week V 23 CFR days.The project must be advertised in a manner that reaches advertisement and regional 635.112 all interested bidders. publication.