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Local Projects Division
LPA Guidelines Manual Checklists

Checklists
 for LPA Guidelines Manual
 for Use by NDOR Staff and Others

Scroll down the page to the Chapter you need, then select the appropriate Checklist.
 If you have questions about these Checklists, please contact
Mike Kleffner, 402-479-4881

Some Checklists have a DR Form that is to be used for reference ONLY
Do not fill in the DR Reference Form

NOTE: The Checklists are Microsoft Word Fill-In docs
 You will need to have Microsoft Word to fill them in

2 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 14

 
Chapter 2 Checklists - Programming the Project
02 10 Programming Request Review Checklist
          • Reference ONLY - DR 530 - pdf
 Word

DR530
02 20 Project Program Agreement Review Checklist Word
02 50 ROW Obligation Verification Checklist Word
02 70 Construction Engineering Obligation Checklist Word
Chapter 4 Checklists - Consultant Selection
04 10 Review of Draft Request for Proposal (RFP) Package Word
04 20 Post RFP Advertising and Preliminary Ranking Review Word
04 25 Final Consultant Ranking Approval Review Checklist Word
04 30 Review of the Detailed Work Plan & Independent Cost Estimate Word
04 40 Review of the LPA's Pre-Negotiation Memo & Consultant Fee Proposal Word
04 50 Review of the Post-Negotiation Documentation Word
04 60 Professional Services Agreement Closure Checklist Word
04 70 Locally Funded Consultant Procurement Checklist Word
Chapter 5 Checklists - Environmental
05 07 Section 106 Concurrence Request Review Checklist for NDOR Project Coordinators Word
05 08 Section 106 Concurrence Request Review Checklist for NDOR Environmental Section Word
05 10 Environmental Programmatic Categorical Exclusion Form Review Checklist Word
05 32 Biological Evaluation Form Review Checklist Word
05 35 Biological Assessment Review Checklist Word
05 42 Environmental Categorical Exclusion Form Review Checklist Word
05 44 Environmental Assessment Document Review Checklist Word
Chapter 6 Checklists - Design
06 01 90% LPA Concrete Box Culvert Plan Review Word
06 05 Project Engineering Review Document Checklist Word
06 10 Plan-in-Hand (30%) Plan Review Checklist Word
06 12 Preliminary Pavement Design Word
06 15 Bridge Hydraulic and TS & L Plan Review Checklist Word
06 20 Plan-in-Hand Field Review Checklist Word
06 30 Plan-in-Hand Report Review Checklist Word
06 35 Traffic Analysis Checklist Word
06 45 Functional Design Plan Review Checklist Word
06 60 Bridge 90% Design Plan Review Checklist Word
06 65 100% LPA Bridge Plan Review Checklist Word
06 66 100% LPA Concrete Box Culvert Plan Review Word
06 70 Final Roadway Design Plan Review Word
06 75 Final Pavement Design, Final Quantities, and Special Provisions Word
06 90 Final Traffic Control Plans Word
Chapter 7 Checklists - ROW
07 05 ROW Cursory Plan Review Checklist Word
07 10
ROW Plan Checklist
07 20
ROW Cost Estimate Checklist
07 30
Appraisal Checklist
07 40
Residential Relocation Checklist
07 45
Business Relocation Checklist
 Word
07 50
Donation Tract File Review Checklist
07 60
Purchase Tract File Review Checklist
07 70
ROW Project File Review Checklist
Chapter 8 Checklists - Utilities
08 25 Utility Conflict Workshop Checklist Word
08 30 Final Design Plan Review Checklist
            • Reference ONLY - DR 118 - pdf
 Word

DR118
08 52 Utility Rehabilitation Cost Estimate Review Checklist Word
08 60 Final Utility Engineering Agreement Checklist Word
08 64 DRAFT Supplement Agreement for Utility Construction Checklist Word
08 66 Final Supplemental Agreement for Construction
and Construction Engineering Checklist		 Word
08 80 Status of Utilities Checklist Word
08 90 Utility Reimbursement Review Checklist Word
08 100 Final Utility Reimbursement Review Checklist Word
Chapter 9 Checklists - Railroad Coordination
09 10 DRAFT Railroad Construction and Maintenance Agreement Review Checklist Word
09 20 Final Railroad Construction and Maintenance Agreement Review Checklist Word
09 30 Railroad Special Provisions Review Checklist Word
09 40 Device Installation Verification Checklist Word
Chapter 10 Checklists - Civil Rights
10 10 LPA/Consultant Title VI Program Review Checklist Word
10 40 ADA Program Compliance Review Checklist Word
Chapter 11 Checklists - PS & E and Bid Letting
11 20 Construction Cost Estimate Review Checklist Word
11 40 Contract Letting Document & Award Review Checklist
            • Reference ONLY - FHWA TA 5080
            • Reference ONLY - 23CFR 635.102
 Word

Link
 Link
Chapter 12 Checklists - Construction
Disclaimer
 These checklists are not intended to assure that all conditions defined by the contract are met.  These checklists are a tool being used for each project built with Federal Aid Funds, to document minimum quality assurance activities that will be performed
by the LPA and/or NDOR at critical times during construction
12 10 Materials Sampling/Testing Activity Report Word
12 15 Monitor DBE Activity During Construction Word
12 18 Verify Labor Compliance
 Word


DR98
12 20 Environmental Compliance Inspection Audit Form Word
12 30 Construction Project File Review Checklist Word
12 50 Diary Entry Review Checklist Word
12 61 Asphalt Paving Checklist Word
12 62 Asphalt Plant Checklist Word
12 63 Concrete Structure Checklist Word
12 66 Concrete Pavement Placement Checklist Word
12 67 Grading Checklist Word
12 68 Structures-Piling Checklist Word
12 69 Pipe Installation Checklist Word
12 72 Work Zone Checklist - Inspection Report Word
12 75 Final Punch List Word
Chapter 14 Checklists - Project Closeout
14 10 CE Final Review Process Word
14 20 LPA RC Final Review Word
14 40 District Reviewer Final Review Word
14 50 Final Review Section Final Review Word

 

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