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Materials & Research Division - Local Projects Section
Master List of LPD
Docs, Forms, Templates & Samples


The Master List is Alpha by Item Name
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A | B | C | D | E | F | G | I | L | M | N | O | P | Q | R | S | T | U | W
 

Checklists shown throughout this Master List are NOT the LPA Guidelines Manual CHECKLISTS
Use the DROPDOWN Menu above - right, to go to the LPA Manual Checklists

A

ADA Overview of Requirements

PDF

 

ADA Policy Sample

PDF

Word

ADA Resolution Template

PDF

Word

Annual Certification for Architect, Engineer & Related Services, DR 497

PDF

Word

B

Biological Evaluation Form for LPAs Example Template

PDF

Word

Biological Evaluation Form for LPAs Instructions - READ FIRST

PDF

 
Biological Evaluation Process (Matrix) for the Federal Aid Transportation Program in Nebraska - 24M file PDF  

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C

CE Documentation Form for Federal-Aid Projects

PDF

Word

CE Guidelines - READ FIRST

PDF

 

Certification - Design PDF Word
Certification - Environmental PDF Word
Certification - Railroad Impact PDF Word

Change Order Report

PDF

Excel

Combined Resolution Template (includes Financial Management Systems Certification & Signing Resolution) PREFERRED SUBMITTAL

PDF

Word

Concrete Box Culverts, NDOR Procedures PDF  
Concrete Box Culvert Request Sheet - DR 67   Word

Conflict of Interest Disclosure Form for Consultants

PDF

Word

Conflict of Interest Disclosure Form for Local Public Officials, Employees, & Agents

PDF

Word

Conflict of Interest Guidance Document for Consultants

PDF

 

Conflict of Interest Guidance Document for Local Public Officials, Employees, & Agents

PDF

 

Consultant Dispute Resolution Form, DR 99

PDF

Word

Consultant Evaluation Form, DR 54

PDF

Word

Consultant Selection Criteria Sample

PDF

 

Consultant Interview Notification Letter Template - NOT Selected   Word
Consultant Short-List Notification Letter Template - NOT Selected   Word
Consultant Management Resolution Template PDF Word

Consultant Selection Resolution Template

PDF

Word

Consultant Work Order, DR 250

PDF

Word

Consultant Work Order, DR 250, Instructions

PDF

 

Consultant Work Order, DR 250, SAMPLE

PDF

 

Consultants, 110 Bldg. Design Inspections

PDF

 

Consultants, Certified All

PDF

 

Consultants, Certified for Construction Inspection Services

PDF

 

Consultants, NEPA Studies

PDF

 

Consultants, On-Call CE State Map by District

PDF

 

Consultants, On-Call Construction Engineering (CE) Consultants Proposals & Questionnaires

PDF

 

Consultants, On-Call Environmental Services (ES) Consultants Proposals PDF  

Consultants, Qualified Consultant Laboratories

PDF

 

Consultants, Wetlands Delineation Consultants List (Qualified Scientists), Approved

PDF

 

Cost Breakdown Form, DR 162

PDF

Word

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D

DBE Goal Achievement, DR 441

PDF

Word

DBE Identification of Work Performed, DR 442

PDF

Word

DEADLINES for FY 2013 County Projects PDF  

E

Environmental & Planning Reference Materials

PDF

 

Environmental Justice & NEPA Guidance, FHWA Memo                         

PDF

 

Environmental Status of LPA Projects PDF  

Estimating Quantities in English & Metric

PDF

 

Expense Reimbursement REQUEST - LPA/NDOR Workforce Development ONLY   Word
Expense Reimbursement CHECKLIST - LPA/NDOR Workforce Development ONLY PDF  

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F

Fee for Profit Worksheet (formerly the Fixed Fee Worksheet)

PDF

Excel
FFPP documents Link  

Final Selection Criteria Form (On-Call Construction)

PDF

Word

Final Selection Memorandum PDF Word

Final Selection Memorandum (On-Call Construction)

PDF

Word

Final Selection Memorandum (On-Call Environmental)

PDF

Word

Final Selection Ranking Form

PDF

Word

Final Selection Ranking Forms and Selection Memo Sample

PDF

 

Final Selection Ranking Summary Form

PDF

Word

Financial Management Systems Certification & Signing Resolution Template

PDF

Word

FTP Access Instructions for LPA's PDF -----

G

Green Sheet Form

PDF

Word

Green Sheet Procedure Overview

PDF

 

Green Sheets Completion Guidelines

PDF

 

Green Sheets in One Document

PDF

Word

I

Independent Cost Estimate (ICE) and Scope of Services Sample (SOS)

PDF

 

Independent Cost Estimate (ICE) Instructions (On-Call Environmental) - READ FIRST

PDF

 

Independent Cost Estimate (ICE) Template (On-Call Environmental)

PDF

 

Independent Cost Estimate Sample

PDF

 

Insurance Requirements for Professional Service Providers (NDOR Projects)

PDF

 

Insurance Requirements for Professional Service Providers (LPA Projects) PDF  

Interlocal Cooperation Act Agreement - Sample

PDF

Word

Interlocal Agreement Cooperation Act - Agreement Signing Resolution Template PDF Word

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L

Load Rating Summary Sheet (Bridge Related)   Word

Local Program Project Financial Management Systems Expectations

PDF

 

Locally Funded LPA/Consultant Professional Services Agreement

PDF

 

Locally Funded Procurement Certification Statement

PDF

Word

Locally Funded Professional Services Agreement, LPA & Consultant

PDF

 

LPA Consultant Selection Procedure for On-Call Construction Engineering (CE) Services PDF  

LPA Consultant Selection Procedure for On-Call Environmental Services

PDF

 

LPA Contract Closeout Handout

PDF

 

LPA Reimbursement Procedures

PDF

 

LPD Plan Review Checklist

PDF

 

M

Master IDIQ Agreement for On Call CE Services

PDF

 

Master IDIQ Agreement for CE Services Template

PDF

 

Master IDIQ Agreement for Environmental Services Template (On-Call Environmental)

PDF

 

N

Negotiation Memoranda Examples

PDF

 

NEPA Re-evaluation Form

PDF

Word

NEPA Resolution Template

PDF

Word

NEPA Studies Certification Instructions          

PDF

 

Notice of Contract Completion, DR 91

PDF

Word

Notification of Completion (DR 39a) - Pre-Letting Consultant Professional Services - includes instructions --- Word
Notification of Completion (DR 39b) - Pre-Letting LPA Professional Services - includes instructions --- Word

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O

On-Call CE State Map by District

PDF

 

On-Call Construction Engineering (CE) Consultants Proposals & Questionnaires

PDF

 

On-Call Environmental Services (ES) Consultants Proposals PDF  

  P 

Pavement Design Course (Link to Logon to Nebraska LTAP site) Link  
Pavement Design Guidance for LPA's PDF  
Pavement Design Manual PDF  
Pavement Determination Data Sheet for LPA's Excel  
PC Guidelines Manual Link  

Plan in Hand Report Outline

PDF

 

Plan in Hand Report Template   Word

Post-Negotiation Memo Template  

PDF

Word

Pre-Negotiation Memo Sample

PDF

 

Pre-Negotiation Memo Template                      

PDF

Word

Probable Class of NEPA Action Form, DR 53     

PDF

Word

Probable Class of NEPA Action, DR 53, Guidance Document

PDF

 

Probable Class of NEPA Action, DR 53, Instructions for Completion

PDF

 

Programmatic Agreement (PA), At-Grade Railroad Crossing Improvement Activities

PDF

 

Programmatic Agreement (PA), Bridge Inspections

PDF

 

Programmatic Agreement (PA), Lighting and Signal Repair and Replacement Activities

PDF

 

Programmatic Agreement (PA), Pavement Marking Activities

PDF

 

Programmatic Agreement (PA), Projects Not Leading Directly to Construction

PDF

 

Programmatic Agreement (PA),Sign Installation and Replacement Activities

PDF

 

Programmatic Agreement Guidance

PDF

 

Programmatic Categorical Exclusion PCE Form Instructions

PDF

 

Programmatic Categorical Exclusion (PCE) Form         

PDF

Word

Project Construction Conformity Certification, DR 299

PDF

Word

Project Descriptions for BOTH NEPA & CE Forms Project Description Sections Guidelines for Writing

PDF

 

Project Information Sheet, DR 342

PDF

Word

Project Programming Request (Non-Infrastructure Projects ONLY), DR 530a

PDF

Word

Project Programming Request, DR 530

PDF

Word

Project Programming Request, DR 530, Guidance Document

PDF

 

Project Quantity Estimates - large excel file 16M   Excel

Project Quantity Sheet, DR 343E

PDF

Word

Provisional RC Policy PDF  
PS & E Required Sheet DR 263   Word

Q

Qualified Consultant Laboratories

PDF

 

Qualified Scientist Qualification Requirements (Wetlands)

PDF

 

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R

RC Cost Estimates & Fringe Benefits Calculator (CE)

  PDF

Excel

RC Cost Policy

 PDF

Word

RC Pre-Qualification Form

PDF

Word

Report of Labor Compliance Interview - DR 98 PDF Word

Request for Proposal (RFP) Advertisement Template

PDF

Word

Request for Proposal (RFP) Template

PDF

Word

Required Testing List, Sample

PDF

 

S

Scope of Services (CE) PDF Word

Scope of Services (SOS) Example (On-Call Environmental)

PDF

 

Scope of Services Sample, Detailed

PDF

 

Scope of Services Template (Cat Ex PE)

PDF

Word

Scope of Services Template (Wetlands)

PDF

Word

Section 106 (Historical & Cultural Resource) Clearance for LPA Federal-Aid Transportation Projects

PDF

Word

Section 106 Instructions - READ FIRST

PDF

 

Section 4(f) DeMinimis Form

PDF

Word

Selection Criteria Forms (On-Call Environmental)

PDF

Word

Short List Ranking Form

PDF

Word

Short List Ranking Summary Form

PDF

Word

Signing Resolution Template - Engineering Services Agreement

PDF

Word

Signing Resolution Template - Project Program Agreement

PDF

Word

Signing Resolution Template for Agreement - Interlocal Agreement Cooperation Act PDF Word

SRTS Draft Infrastructure Application

PDF

Word

SRTS Draft Non-Infrastructure Application

PDF

Word

SRTS Final Infrastructure Application

PDF

Word

SRTS Final Non-Infrastructure Application

PDF

Word

Staffing Plan Sample

PDF

 

Standard Work Categories, NDOR-2010

PDF

 

Status of Utilities Report - Template PDF Word

Supplement to Statement of Qualifications for Architect, Engineer & Related Services, DR 498

PDF

Word

Supplemental Project Program Agreement Signing Resolution Template

PDF

Word

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T

TE 2011 Intent to Apply Form

PDF

Word

TE Application Guidelines 2011

PDF

 

TE Draft Application Form

PDF

Word

TE Final Application Form

PDF

Word

Title VI Civil Rights Resolution/Disclaimer Sample

PDF

Word

Title VI Overview and Explanation

PDF

 

Title VI Plan Development Guidelines

PDF

 

Title VI Plan for Agencies OVER 100,000 Sample

PDF

Word

Title VI Plan for Agencies UNDER 100,000 Sample

PDF

Word

U

Uniform Act Resolution Template

PDF

Word

W

Wetland Delineation Consultants

PDF

 

Wetland Determination Checklist

PDF

Word

Wetland Determination Checklist Instructions -READ FIRST

PDF

 

Wetland Review Requirements for Federal-Aid Transportation Projects

PDF

 

Work Plan for Consultants (CE)

  PDF

Excel

Work Plan for Consultants Template (Cat Ex PE)

PDF

Excel

Work Plan for Consultants Template (Wetlands)

PDF

Excel

Work Plan for LPA's (CE)

  PDF

Excel

Work Plan for LPA's Template (Wetlands)

PDF

Excel

Work Plan for LPA's Template (Cat Ex PE)

PDF

Excel

Work Plan Matrix Sample, Detailed

PDF

 

Work Plan for Sub-Consultant Survey/Staking Services (CE)

  PDF

Excel
     

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