HomeMy WebLinkAbout2010-189 X117 /I 0 �� y EXH I B T A TRUE COPY AERTIFICATION ON LAST PAGE
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATIOrt J . K . BARYON C 525 0 0-33
LOCAL AGENCY CERTIFICATION QUALIFICATION AGREEMENT PRODUCTION SUPPORT
03/099
Page 1 of 3
LOCAL AGENCY Indian River County
The noted Local Agency hereby agrees to comply with the following requirements when developing all projects on and off
the Federal -aid Highway System :
1 . The Local Agency Program (LAP) Manual and all policies and guidelines promulgated by the State of Florida
Department of Transportation ( Department) which accomplish the policies and objectives set forth in Title 23 ,
U . S . C . , Highways and the Regulations issued pursuant thereto .
2 . The overall approval authorities and conditions will be as follows :
a . The project design will be reviewed and approved by the following State of Florida registered
Professional Engineer ( s ) .
Public Works Director or County Engineer
Position Title ( s ) Only
b . The hearing ' s findings ( if required ) will be reviewed and approved by the following official ( s ) .
Public Works Director or County Engineer
Position Title ( s ) Only
C . The contract plans , specifications , and estimate of cost will be reviewed and approved by the following
State of Florida registered Professional Engineer ( s ) .
Public Works Director or County Engineer
Position Title ( s ) Only
d . Agreements will be signed by the following responsible local official ( s ) .
( 1 ) Railroad Chairman , Board of County Commissioners
Position Title ( s ) Only
(2 ) Utility Chairman Board of County Commissioners
Position Title (s ) Only
( 3 ) Consultant Chairman Board of County Commissioners
Position Title ( s ) Only
(4 ) Technical Services Chairman , Board of County Commissioners
Position Title ( s) Only
e . The award of contract will be signed by the following responsible official .
Chairman Board of County Commissioners
Position Title ( s ) Only
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A TRUE COPY
CERTIFICATION ON LAST PAGE
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION J . K . BARTON , CLERK525-010-33
LOCAL AGENCY CERTIFICATION QUALIFICATION AGREEMENT PRODUCTION SUPPORT
03/09
Page 2 of 3
f. The following person or persons will be the Disadvantage Business Enterprise ( DBE) Liaison Officer,
Title VI Officer, Equal Employment Opportunity ( EEO )/Affirmative Action Officer, and Americans with
Disabilities Act (ADA) Coordinator.
One person may serve in all four positions or a separate person in each position .
Alan Polackwich County Attorney 772 -226- 1405 DBE
Name Position Title Contact Information
Alan Polackwich County Attorney 772 -226- 1405 (Title VI )
Name Position Title Contact Information
Jim Sexton Human Resource Director 772 -226- 1504 EEO
Name Position Title Contact Information
David Hays Land Development Manager 772 -226- 1596 (ADA)
Name Position Title Contact Information
g . All projects will be designed and constructed in accordance with the requirements of the LAP Manual.
h . The Contract Administration will be supervised by the following State of Florida registered Professional
Engineer.
Public Works Director or County Engineer
Position Title Only
i . Construction Administration and Material Sampling and Testing will be accomplished in accordance
with the requirements of the LAP Manual.
3 . The Local Agency agrees that it has the means to provide adequate expertise and will have support staff
available to perform the functions being subdelegated . The support staff may include consultant or State
services .
4 . The Local Agency agrees to submit the names of the approving authorities noted in Section 2 above
with
each project prospectus .
5 . All projects under Local Agency Certification shall be available for review by the Federal Highway
Administration ( FHWA) and the Department at any time . All project documents shall be retained and available
for inspection during the plan development and construction stages and for a three-year period following
acceptance of the project by FHWA.
6 . The Department' s District LAP Administrator' s approval of the Local Agency Certification may be rescinded at
any time upon request by the Local Agency or if in the Department' s District LAP Administrator' s opinion , it is
necessary to do so . The rescission may be applied to all or part of the functional areas or projects approved
in the Local Agency Certification .
7 . The Local Agency must receive a Recertification of Qualification after a period of three years of inactivity or at
the discretion of the Department's District LAP Administrator. Failure to receive a Recertification
of
Qualification and/or unsatisfactory performance by the Local Agency will result in a Decertification
of
Qualification .
August 17 , 2010
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STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-010-33
LOCAL AGENCY CERTIFICATION QUALIFICATION AGREEMENT PRODUCTION SUPPORT
03109
Page 3 of 3
STATE OF FLORIDA DEPARTMENT
OF TRANSPORTATION
The Local Agency is certified in the following functional areas : ❑ Planning ❑ Environmental Documentation
❑ Design ❑ Consultant Selection ❑ Bid and Award Project
El Construction Administration
❑ Right of Way Documentation
Approved By :
District Secretary or Designee Date
STATE OF,FLORIQA -
INDIAPd'RI:...ER COUkT 71�
THIS IS T&CERTIFYTHAA TRUCAND-CORRECrT CTHE LE �z
GINXQQN- FIMI
REY K. TON , CLERKI'
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D. C .