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Materials & Research Division - Local Projects Section
LPA Guidelines Manual Page Index

The Web version of the Manual is ALWAYS the most current version

LPA Guidelines Manual for Federal Aid Projects (PDF)
(Bookmarked for your convenience)

Click a Chapter or Scroll Down to View Appendices
2 | 4 | 5 | 6 | 10 | 11 | 12 | 14

Checklists for LPA Guidelines Manual


LPA Manual - Mail-in Comment/Suggestion Form (PDF)
LPA Appeals Form
PDF or Word

Downloadable Forms and Links to Sites with the Forms
Use these Forms to apply for Transportation Program Funds for eligible Local Projects
In some cases the link is to the form, and in others,
the link is to the area on the NDOR site where the form may be easily found
DR 530 Documents    
  • DR 530 Project Programming Request
PDF Word
  • DR 530 Guidance Document
PDF -----
Project Program Agreement Signing Resolution Template PDF Word
Supplemental Project Program Agreement Signing Resolution Template PDF Word
Engineering Services Agreement Signing Resolution Template PDF Word
FCB Inspection Agreement Signing Resolution Template PDF Word
Transportation Enhancement (TE) Intent to Apply Form Link to TE Site
Transportation Enhancement (TE) Draft Application Form Link to TE Site
Transportation Enhancement (TE) Final Application Form Link to TE Site
Safe Routes to School (SRTS) Intent to Apply Form Link to SRTS Site
Safe Routes to School (SRTS) Draft Non-Infrastructure Application Link to SRTS Site
Safe Routes to School (SRTS) Non-Infrastructure Application Link to SRTS Site
Safe Routes to School (SRTS) Draft Infrastructure Application Link to SRTS Site
Safe Routes to School (SRTS) Infrastructure Application Link to SRTS Site
Nebraska Byways Application Form (Interactive fillable PDF) PDF ----
Forms & Templates
DR39a - Notification of Completion - Pre-Letting Consultant Professional Services - includes instructions ---- Word
DR 54 Consultant Evaluation Form PDF Word
DR 162 Cost Breakdown Form PDF Word
DR 250 Consultant Work Order for Local Projects PDF Word
DR 497 Annual Certification for Architect, Engineer & Related Services PDF Word
DR 498 Supplement to Statement of Qualifications for Architect, Engineer & Related Services PDF Word
Template RFP for Engineering Services PDF Word
LPA Conflict of Interest Forms
Conflict of Interest Guidance Document for Local Public Officials, Employees, & Agents PDF -----
Conflict of Interest Disclosure Form for Local Public Officials, Employees, & Agents PDF Word
Consultant Conflict of Interest Forms
Conflict of Interest Guidance Document for Consultants PDF -----
Conflict of Interest Disclosure Form for Consultants PDF Word
Consultant Selection Ranking Forms
  • Short-List Ranking Form
PDF Word
  • Short-List Ranking Summary Form
PDF Word
  • Final Selection Ranking Form
PDF Word
  • Final Selection Ranking Summary Form
PDF Word
Final Selection Memo PDF Word
Detailed Work Plan Matrices
NEPA Categorical Exclusion & Preliminary Engineering Services
  • Template Scope of Services
  • Template Work Plan for LPA
  • Template Work Plan for Consultants
Wetlands Services
  • Template Scope of Services
  • Template Work Plan for LPA
  • Template Work Plan for Consultants
Fixed Fee Worksheet Excel PDF
Pre-Negotiation Memo Template ----- Word
Post-Negotiation Memo Template ----- Word
Locally Funded Procurement Certification Statement PDF Word
LPA/Consultant Locally Funded Professional Services Agreement - (Sample Agreement, Stop Codes, and Instructions) PDF -----
LPA Reimbursement Request Package - RC Transmittal Memo Templates
  • RC Pre-Construction Expenses
  Word
  • Consultant Preliminary Engineering Invoice
  Word
  • Consultant Construction Engineering Invoice
  Word
  • RC Construction Expenses
  Word
     
Samples & Instructions
Sample RFP Advertisement PDF Word
Sample Ranking Forms & Final Selection Memo PDF -----
Sample Consultant Selection Criteria
PDF -----
Sample Detailed Scope of Services PDF Word
Sample Staffing Plan PDF -----
Sample Detailed Work Plan Matrix PDF -----
Sample Pre-Negotiation Memo PDF -----
Sample Post-Negotiation Memo PDF -----
Sample DR 250 Consultant Work Order PDF -----
Instructions for DR 250 Consultant Work Order for Local Projects PDF -----
Policies, Procedures, Guidance Documents & Flowcharts
Consultant Procurement & Agreement Procedure Flowchart
PDF -----
Consultant Work Order (CWO) Procedure Flowchart PDF -----
Locally Funded Procurement Procedure Flowchart
PDF -----
LPA Reimbursement Procedures PDF -----
RC Cost Policy Link -----
Conflict of Interest Guidance Document for Local Public Officials, Employees & Agents Link -----
Conflict of Interest Guidance Document for Consultants Link -----
Checklists for Chapter 4
04 10 Review of the Draft Request for Proposal (RFP) Link -----
04 20 Review of the Final Consultant Ranking Concurrence Link -----
04 30 Review of the Detailed Work Plan & Independent Cost Estimate Link -----
04 40 Review of the LPA's Pre-Negotiation Memo & Consultant Fee Proposal Link -----
04 50 Review of the Post-Negotiation Documentation Link -----
04 60 Professional Services Agreement Closeout Link -----
04 70 Locally Funded Consultant Procurement Link -----
Chapter 5 Appendix - Environmental
Programmatic Categorical Exclusion PCE Form Instructions Link to
LP Environmental Page
CE Documentation Form for Federal-Aid Projects Link to
LP Environmental Page
Biological Evaluation Form for LPAs Instructions Link to
LP Environmental Page
CE Documentation Form Link to
LP Environmental Page
Guidelines for Completing Green Sheets PDF ----
Overview of Green Sheet Procedure PDF ----
Green Sheet Form
PDF Word
Environmental & Planning Reference Materials PDF ----
Chapter 6 Appendix - Design
LPS Plan Review Checklist PDF ----
PIH Report Outline PDF ----
Chapter 10 Appendix - Civil Rights
Local Program Projects Financial Management
Systems Expectations
PDF ----
DR 441 DBE Goal Achievement PDF Word
DR 442 DBE Identification of Work Performed PDF Word
DR 98 Labor Compliance Interview Form PDF Word
Chapter 11 Appendix - PS & E
LPS PS & E Checklist PDF ----
NDOR Standard Change Order Form PDF Excel
Chapter 14 Appendix - Project Close Out
Transportation Enhancement (TE) Notice of Project Completion & Materials Certification - to be furnished to the Project Coordinator before the project can be closed out. Link to TE Site
DR 441 DBE Goal Achievement PDF Word
DR 442 DBE Identification of Work Performed PDF Word
DR 299 Notification of Project Completion PDF Word

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