Category:101 Standard Forms: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
No edit summary |
||
(74 intermediate revisions by the same user not shown) | |||
Line 1: | Line 1: | ||
<div style="float: right; margin-left: 30px; margin-bottom: 30px;">__TOC__</div> | |||
=== === | |||
---- | |||
---- | |||
<div style="float: right; width: 550px; margin-top: 8px; margin-bottom: 8px; padding: 5px; border: 2px solid black; box-shadow:5px 5px 5px #888888"> | |||
EPG articles are not referenced as "sections" but as EPG XXX.X or as "articles" to avoid confusion with MoDOT specs (which are contractually binding). | |||
Standard forms organized by functional unit are accessible from this page. '''The files accessible by the links below are identical to those accessed through Word, Excel or other software application by MoDOT employees.''' Many of these file links are also contained in Engineering Policy Guide articles that refer to the forms. | </div> | ||
Standard forms organized by functional unit are accessible from this page.</br> | |||
'''The files accessible by the links below are identical to those accessed through Word, Excel or other software application by MoDOT employees.'''</br> | |||
Many of these file links are also contained in Engineering Policy Guide articles that refer to the forms. | |||
---- | |||
---- | |||
==Bridge== | ==Bridge== | ||
[[image:101 Bridge.jpg|right|150px]] | [[image:101 Bridge.jpg|right|150px]] | ||
<div style="margin-left: 30px;"> | |||
<div | |||
*[https://epg.modot.org/forms/BR/Missouri- | <div class="mw-customtoggle-BR1" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Bridge Forms</div> | ||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-BR1"> | |||
*[[ | <div class="mw-collapsible-content"> | ||
* [https://epg.modot.org/forms/general_files/BR/BridgeDivisionMemo.dotx Bridge Division Memo] | |||
* [https://epg.modot.org/forms/general_files/BR/101_Bridge_Hydraulics_Report_Feb.dotx Bridge Hydraulics Report] | |||
* [https://epg.modot.org/forms/general_files/BR/ChangeOrder.dotx Change Order] | |||
* [https://epg.modot.org/forms/general_files/BR/ConstructabilityQuestionnaire.dotx Constructability Questionnaire] | |||
* [https://epg.modot.org/forms/general_files/BR/Culvert_Hydraulics_Report.docx Culvert Hydraulics Report] | |||
* [https://epg.modot.org/forms/general_files/BR/131.1_Design_Exception.docx Design Exception Information] | |||
* [https://epg.modot.org/forms/general_files/BR/DesignExceptToDistrict.dotx Design Except to District] | |||
* [https://epg.modot.org/forms/general_files/BR/101_Design_Layout_Box.docx Design Layout (Box)] | |||
* [https://epg.modot.org/forms/general_files/BR/DesignLayout-Grade.dotx Design Layout (Grade)] | |||
* [https://epg.modot.org/forms/general_files/BR/101_Design_Layout_Stream.docx Design Layout (Stream)] | |||
* [https://epg.modot.org/forms/general_files/BR/DesignLayout-Wall.dotx Design Layout (Wall)] | |||
* [https://epg.modot.org/forms/general_files/BR/101_Floodplain_Development_Permit_Application.pdf Floodplain Development Permit/Application] | |||
* [https://epg.modot.org/forms/general_files/BR/101_Floodplain_Development_Permit_To_District_Cover_Letter.docx Floodplain Development Permit To District Cover Letter]] | |||
* [https://epg.modot.org/forms/general_files/BR/LayouttoFHWA.dotx Layout to FHWA] | |||
* [https://epg.modot.org/forms/general_files/BR/LayoutToRailroad.dotx Layout to Railroad] | |||
* [https://epg.modot.org/forms/general_files/BR/Missouri-IllinoisBorderBridgeClearinghouseForm.dotx Missouri-Illinois Border Bridge Clearinghouse Form] | |||
* [https://epg.modot.org/forms/general_files/BR/101_No_Rise_Certificate.pdf No-Rise Certificate] | |||
* [https://epg.modot.org/forms/general_files/BR/Request_for_Final_Soundings_for_Structures_Form.xlsx Request for Final Soundings for Structures Form] | |||
* [https://epg.modot.org/forms/general_files/BR/Telefax.dotx Telefax] | |||
* [https://epg.modot.org/forms/general_files/BR/TransmittalLetter.dotx Transmittal Letter] | |||
* [https://epg.modot.org/forms/general_files/BR/131.1_Vertical_Clearance_Coord_Form.pdf Vertical Clearance Design Exception Coordination with SDDCTEA] | |||
</div> | |||
</div> | |||
</div> | |||
==Construction and Materials== | ==Construction and Materials== | ||
[[image:101CM.jpg|right|150px]] | [[image:101CM.jpg|right|150px]] | ||
<div style="margin-left: 30px;"> | |||
===Forms for MoDOT Use === | |||
<div class="mw-customtoggle-CM1" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] General Forms</div> | |||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM1"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
*[https://epg.modot.org/forms/CM/Final_Plans_Certification.pdf Final Plans Certification] | <div class="mw-customtoggle-CM1a" style="font-size:1.15em; margin-left:15px; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;">[+/-] Project Closeout and As-Built Plans</div> | ||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM1a" style="margin-left:15px;"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
* [https://epg.modot.org/forms/CM/As_Built_Final_Plans_Checklist_SL_District.pdf As Built Plans Checklist - SL District] | |||
* [https://epg.modot.org/forms/CM/Bridge_Clearance_Report_C239A.pdf Bridge Clearance Report (C-239A)] | |||
* [https://epg.modot.org/forms/CM/Contractors_Affidavit_C-242.pdf Contractor Affidavit Regarding Settlement of Claims] | |||
* [https://epg.modot.org/forms/CM/Contractors_Affidavit_C-242_With_Exceptions.pdf Contractor's Affidavit Regarding Settlement of Claims (C-242) with Exceptions] | |||
* [https://epg.modot.org/forms/CM/Final_Acceptance_C_239.pdf Final Acceptance Report (C-239), pdf version] | |||
* [https://epg.modot.org/forms/CM/Final_Plans_Certification.pdf Final Plans Certification] | |||
* [https://epg.modot.org/forms/CM/Final_Plans_Checklist.pdf Final Plans Checklist] | |||
* [https://epg.modot.org/forms/CM/KC_Final_Plans_Memo.pdf Final Plans Memo] | |||
* [https://epg.modot.org/forms/CM/C13_Final_Utility_Report.pdf Final Utility Report (C-13)] | |||
* [https://epg.modot.org/forms/CM/Bluebeam_Revu_Editing_As-Built_Plans.pdf Preparing As-Built (Final) Plans in Construction Using Bluebeam Revu] | |||
* [https://epg.modot.org/forms/CM/Semi_Final_Inspection_C_236.pdf Semi-Final Inspection (C-236)] | |||
</div> | |||
</div> | |||
*[https://epg.modot.org/forms/CM/ | ---- | ||
* [https://epg.modot.org/forms/CM/30_Day_Reminder_Final_Invoice_Letter.pdf 30 Day Reminder Final Invoice Letter] | |||
* [https://epg.modot.org/forms/CM/60_Day_Final_Acceptance_Letter.pdf 60 Day Final Acceptance Letter] | |||
* [https://epg.modot.org/forms/CM/ADA_Checklist.pdf ADA Checklist (PDF)] | |||
* [https://epg.modot.org/forms/CM/ADA_Checklist.docx ADA Checklist (MS Word)] | |||
* [https://epg.modot.org/forms/CM/Aggregate_Base_Random_Locations.xlsm Aggregate Base Random Locations] | |||
* [https://epg.modot.org/forms/CM/Asbestos_Bulk_Sample_Bridge_CL_EL_5.pdf Asbestos Bulk Sample Bridge CL EL 5] | |||
* [https://epg.modot.org/forms/CM/Asbestos_Bulk_Sample_Parcel_CL_EL_5.pdf Asbestos Bulk Sample Parcel CL EL 5] | |||
* [https://epg.modot.org/forms/CM/Asbestos_Survey_Report_T746_T747_T748_C760.pdf Asbestos Survey Report - All Suspect ACM (Form T746), Nonfriable ACM (Form T747) and All Materials (Form T748)] | |||
* [https://epg.modot.org/forms/CM/Bluebeam_Revu_2015_Training_Manual.pdf Bluebeam Revu Training Manual] | |||
* [https://epg.modot.org/forms/CM/Bridge_Bearings.xlsx Bridge Bearings] | |||
* [https://epg.modot.org/forms/CO/Bridge%20Fabrication%20Report.dot Bridge Fabrication Report] | |||
* [https://epg.modot.org/forms/CM/Change%20Order.XLS Change Order] | |||
* [https://epg.modot.org/forms/CM/CUF_Determination_Form.pdf Commercially Useful Function (CUF) Determination Form] | |||
* [https://epg.modot.org/forms/CM/Compressive%20Strength%20for%20Forney.xls Compressive Strength for Forney] | |||
* [https://epg.modot.org/forms/CM/Contingent_Item_Price_Check.pdf Contingent Item Price Check] | |||
* [https://epg.modot.org/forms/CM/Contractor_Performance_Evaluation_Letter.pdf Contractor Performance Evaluation Letter] | |||
* [https://epg.modot.org/forms/CM/Contractor_Performance_Evaluation_Signature_Page.pdf Contractor Performance Evaluation Signature Page] | |||
* [https://epg.modot.org/forms/CM/C9_Daily_Utility_Report.pdf Daily Utility Report (C-9)] | |||
* [https://epg.modot.org/forms/CM/Dimensions%20To%20Tons%20Converter.xlsx Dimensions To Tons Converter] | |||
* [https://epg.modot.org/forms/CM/Documentation_Record.pdf Documentation Record] | |||
* [https://epg.modot.org/forms/CM/EEO_Checklist.pdf EEO Checklist] | |||
* [https://epg.modot.org/forms/CM/Fence_Removal_Notice.pdf Fence Removal Notice] | |||
* [https://epg.modot.org/forms/CM/Force_Account_Spreadsheet.xlsx Force Account Spreadsheet] | |||
* [https://epg.modot.org/forms/CM/Form%20M-45%20Bitumin%20Distributor%20Calibration.doc Form M-45 Bitumin Distributor Calibration] | |||
* [https://epg.modot.org/forms/CM/Inspectors_Pay_Qty_Report_IPQR.pdf Inspectors Pay Qty Report (IPQR)] | |||
* [https://epg.modot.org/forms/CM/IRI_Inertial_Profiler_Report_with_Bonus.xlsm IRI Inertial Profiler Report with Bonus] | |||
* [https://epg.modot.org/forms/CM/Job_Site_Bulletin_Board_Checklist_fillable.pdf Job Site Bulletin Board Checklist] | |||
* [https://epg.modot.org/forms/CM/KC_Milestone_Memo.pdf Milestone Memo] | |||
* [https://epg.modot.org/forms/CM/Milestone_Worksheet.pdf Milestone Worksheet] | |||
* [https://epg.modot.org/forms/CM/Mobile_Mixer_Calibration.xlsx Mobile Mixer Calibration] | |||
* [https://epg.modot.org/forms/CM/Mobile_Mixer_Verification_Sheet.pdf Mobile Mixer Verification Sheet]] | |||
* [https://epg.modot.org/forms/CM/NCR_Non_Conformance_Report.pdf Nonconformance Report (NCR)] | |||
* [https://epg.modot.org/forms/CM/Nuclear_Density_C709ND.pdf Nuclear Density (C-709ND)] | |||
* [https://epg.modot.org/forms/CM/Nuclear_Density_of_Plastic_Portland_Cement_Concrete_C_710ND.pdf Nuclear Density of Plastic Portland Cement Concrete (C-710ND)] | |||
* [https://epg.modot.org/forms/CM/Order_Record.pdf Order Record (C-259)] | |||
* [https://epg.modot.org/forms/CM/Outlier%20Analysis.xls Outlier Analysis] | |||
* [https://epg.modot.org/forms/CM/Pavement_Type_Selection_Submittal.pdf Pavement Type Selection Submittal Information (PTS Submittal Form)] | |||
* [https://epg.modot.org/forms/CM/Payroll_Log.xltx Payroll Log Form] | |||
* [https://epg.modot.org/forms/general_files/BR/Pile_Driving_Set_Calculator.xlsx Pile Driving Set Calculator] | |||
* [https://epg.modot.org/forms/CM/Pile_Driving_Data.pdf Pile Driving Data] | |||
* [https://epg.modot.org/forms/CM/Pile_Driving_Data_PDA.pdf Pile Driving Data PDA] | |||
* [https://epg.modot.org/forms/CM/PODI_Bridge_Deck_Pour_Checklist.pdf PODI Bridge Deck Pour Checklist] | |||
* [https://epg.modot.org/forms/CM/Pore_Pressure_Report_Type_A.pdf Pore Pressure Report - Type A] | |||
* [https://epg.modot.org/forms/CM/Pore_Pressure_Report_Type_B.pdf Pore Pressure Report - Type B] | |||
* [https://epg.modot.org/forms/CM/PreCon_Letter_Federal.pdf PreCon Letter - Federal] | |||
* [https://epg.modot.org/forms/CM/PreCon_Letter_State.pdf PreCon Letter - State] | |||
* [https://epg.modot.org/forms/CM/Prestress_Deficiency_Report.pdf Prestress Deficiency Report (1029-01)] | |||
* [https://epg.modot.org/forms/CM/Price_Verification.xlsx Price Verification] | |||
* [https://epg.modot.org/forms/CM/Railroad_Crossing_Inspection.pdf Railroad Crossing Inspection] | |||
* [https://epg.modot.org/forms/CM/RE_Letterhead.pdf RE Letterhead] | |||
* [https://epg.modot.org/forms/CM/RE_Letterhead.docx RE Letterhead – Word Format] | |||
* [https://epg.modot.org/forms/CM/Retroreflectivity_Payment_Adjustment.xlsm Retroreflectivity Payment Adjustment] | |||
* [https://epg.modot.org/forms/CM/Retroreflectometer_Request.xlsm Retroreflectometer Request] | |||
* [https://epg.modot.org/forms/CM/RoCap_Test_Form_Long_Bolts.pdf RoCap Test Form - Long Bolts] | |||
* [https://epg.modot.org/forms/CM/RoCap_Test_Form_Short_Bolts.pdf RoCap Test Form - Short Bolts] | |||
* [https://epg.modot.org/forms/CM/Semi_Annual_Labor_Compliance_Report.dotx Semi-annual Labor Compliance Report] | |||
* [https://www.modot.org/contractor-pay Contractor Payment Schedule] | |||
* [https://epg.modot.org/forms/CM/Standard%20Compaction%20Test%20Blank.xls Standard Compaction Test Blank] | |||
* [https://epg.modot.org/forms/CM/Survey%20Calculator.xlsx Survey Calculator] | |||
* [https://epg.modot.org/forms/CM/Tank%20Capacity%202.0.xls Tank Capacity] | |||
* [https://epg.modot.org/forms/CM/Tension_Log_Form.xlsx Tension Log Form] | |||
* [https://epg.modot.org/forms/CM/CR1_Wage_Rate_Interview.pdf Wage Interview (Form CR-1)] | |||
* [https://modotgov.sharepoint.com/sites/ts/Lists/WZInspect/NewForm.aspx?Source=https%3A%2F%2Fmodotgov%2Esharepoint%2Ecom%2Fsites%2Fts%2FLists%2FWZInspect%2FAllItems%2Easpx&ContentTypeId=0x0100F67DC01F15B8954690AE254DC67C2082&RootFolder=%2Fsites%2Fts%2FLists%2FWZInspect Work Zone Inspection Form] | |||
</div> | |||
</div> | |||
*[https://epg.modot.org/forms/CM/ | <div class="mw-customtoggle-CM2" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Job Order Forms</div> | ||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM2"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
* [https://epg.modot.org/forms/CM/JOC_2020_Asphalt_Pavement_Repair.xlsm JOC 2020 Asphalt Pavement Repair] | |||
* [https://epg.modot.org/forms/CM/JOC_2021_Asphalt_Pavement_Repair.xlsm JOC 2021 Asphalt Pavement Repair] | |||
* [https://epg.modot.org/forms/CM/JOC_2022_Asphalt_Pavement_Repair.xlsm JOC 2022 Asphalt Pavement Repair] | |||
* [https://epg.modot.org/forms/CM/JOC_2023_Asphalt_Pavement_Repair.xlsm JOC 2023 Asphalt Pavement Repair] | |||
* [https://epg.modot.org/forms/CM/JOC_2024_Asphalt_Pavement_Repair.xlsm JOC 2024 Asphalt Pavement Repair] | |||
* [https://epg.modot.org/forms/CM/JOC_2021_Bridge_Repair_Spreadsheet.xlsm JOC 2021 Bridge Repair Spreadsheet] | |||
* [https://epg.modot.org/forms/CM/JOC_2022_Bridge_Repair_Spreadsheet.xlsm JOC 2022 Bridge Repair Spreadsheet] | |||
* [https://epg.modot.org/forms/CM/JOC_2023_Bridge_Repair_Spreadsheet.xlsm JOC 2023 Bridge Repair Spreadsheet] | |||
* [https://epg.modot.org/forms/CM/JOC_2024_Bridge_Repair_Spreadsheet.xlsm JOC 2024 Bridge Repair Spreadsheet] | |||
* [https://epg.modot.org/forms/CM/JOC_2021_Concrete_Pavement_Repair.xlsm JOC 2021 Concrete Pavement Repair] | |||
* [https://epg.modot.org/forms/CM/JOC_2022_Concrete_Pavement_Repair.xlsm JOC 2022 Concrete Pavement Repair] | |||
* [https://epg.modot.org/forms/CM/JOC_2023_Concrete_Pavement_Repair.xlsm JOC 2023 Concrete Pavement Repair] | |||
* [https://epg.modot.org/forms/CM/JOC_2024_Concrete_Pavement_Repair.xlsm JOC 2024 Concrete Pavement Repair] | |||
* [https://epg.modot.org/forms/CM/JOC_2022_Fence_Repair_Spreadsheet.xlsm JOC 2022 Fence Repair Spreadsheet] | |||
* [https://epg.modot.org/forms/CM/JOC_2023_Fence_Repair_Spreadsheet.xlsm JOC 2023 Fence Repair Spreadsheet] | |||
* [https://epg.modot.org/forms/CM/JOC_2024_Fence_Repair_Spreadsheet.xlsm JOC 2024 Fence Repair Spreadsheet] | |||
* [https://epg.modot.org/forms/CM/JOC_2020_Rail_Cable_Fence_Spreadsheet.xlsm JOC 2020 Rail Cable Fence Spreadsheet] | |||
* [https://epg.modot.org/forms/CM/JOC_2021_Rail_Cable_Fence_Spreadsheet.xlsm JOC 2021 Rail Cable Fence Spreadsheet] | |||
* [https://epg.modot.org/forms/CM/JOC_2022_Rail_Cable_Repair_Spreadsheet.xlsm JOC 2022 Rail Cable Fence Spreadsheet] | |||
* [https://epg.modot.org/forms/CM/JOC_2023_Rail_Cable_Repair_Spreadsheet.xlsm JOC 2023 Rail Cable Fence Spreadsheet] | |||
* [https://epg.modot.org/forms/CM/JOC_2024_Rail_Cable_Repair_Spreadsheet.xlsm JOC 2024 Rail Cable Fence Spreadsheet] | |||
* [https://epg.modot.org/forms/CM/JOC_Lighting_Repair.xlsx JOC Lighting Repair] | |||
* [https://epg.modot.org/forms/CM/JOC_Microsurfacing_Spreadsheet.xlsx JOC Microsurfacing Spreadsheet] | |||
* [https://epg.modot.org/forms/CM/JOC_Signal_and_Lighting_Repair.xlsm JOC Signal and Lighting Repair] | |||
</div> | |||
</div> | |||
*[https://epg.modot.org/forms/CM/ | <div class="mw-customtoggle-CM3" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] AC Index Price and Fuel Adjustment Forms</div> | ||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM3"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
* [https://epg.modot.org/forms/CM/AC_Index_Price_Adjustment_Hot_Mix_Asphalt_SY.xlsx AC Index Price Adjustment – Hot mix asphalt (per SY)] | |||
* [https://epg.modot.org/forms/CM/AC_Index_Price_Adjustment_Hot_Mix_Asphalt_Ton.xlsx AC Index Price Adjustment – Hot mix asphalt (per Ton)] | |||
* [https://epg.modot.org/forms/CM/AC_Index_Price_Adjustment_Seal_Coat.xlsx AC Index Price Adjustment – Sealcoat] | |||
* [https://epg.modot.org/forms/CM/AC_Index_Price_Adjustment_UBAWS_Hot_Mix_and_Membrane.xlsx AC Index Price Adjustment – UBAWS Hot Mix and Membrane] | |||
* [https://epg.modot.org/forms/CM/AC_Index_Price_Adjustment_Undersealing.xlsx AC Index Price Adjustment – Undersealing] | |||
* [https://epg.modot.org/forms/CM/Fuel_Adjustment_Calculation.xlsx Fuel Adjustment Calculation] | |||
</div> | |||
</div> | |||
*[https://epg.modot.org/forms/CM/ | <div class="mw-customtoggle-CM4" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Asphalt Inspection Forms</div> | ||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM4"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
* [https://epg.modot.org/forms/CM/Asphalt_Core_Spreadsheet.xlsx Asphalt Core Spreadsheet] | |||
* [https://epg.modot.org/forms/CM/Asphalt_Mix_Design.xlsm Asphalt Mix Design] | |||
* [https://epg.modot.org/forms/CM/Asphalt_Random_Locations.xlsm Asphalt Random Locations] | |||
* [https://epg.modot.org/forms/CM/Asphalt_Roadway_Report.xlsm Asphalt Roadway Report] | |||
</div> | |||
</div> | |||
<div class="mw-customtoggle-CM5" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Concrete Inspection Forms</div> | |||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM5"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
*[https://epg.modot.org/forms/CM/ | <div class="mw-customtoggle-CM5a" style="font-size:1.15em; margin-left:15px; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Ready Mix Forms</div> | ||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM5a" style="margin-left:15px;"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
* [https://epg.modot.org/forms/CM/RM_Aggregate_Scale_Calibration_200.dotx RM Aggregate Scale Calibration - 200] | |||
* [https://epg.modot.org/forms/CM/RM_Aggregate_Scale_Calibration_300.dotx RM Aggregate Scale Calibration - 300] | |||
* [https://epg.modot.org/forms/CM/RM_Aggregate_Scale_Calibration_350.dotx RM Aggregate Scale Calibration - 350] | |||
* [https://epg.modot.org/forms/CM/RM_Air_Dispenser_Calibration.dotx RM Air Dispenser Calibration] | |||
* [https://epg.modot.org/forms/CM/RM_Cement_Scale_Calibration_150.dotx RM Cement Scale Calibration - 150] | |||
* [https://epg.modot.org/forms/CM/RM_Cement_Scale_Calibration_175.dotx RM Cement Scale Calibration - 175] | |||
* [https://epg.modot.org/forms/CM/RM_Cement_Scale_Calibration_200.dotx RM Cement Scale Calibration - 200] | |||
* [https://epg.modot.org/forms/CM/RM_Concrete_Systems_Form.dotx RM Concrete Systems Form] | |||
* [https://epg.modot.org/forms/CM/RM_Equipment_Calibrated_and_Verified_Form.dotx RM Equipment Calibrated and Verified Form] | |||
* [https://epg.modot.org/forms/CM/RM_Truck_Mixer_Information_Form.dotx RM Truck Mixer Information Form] | |||
* [https://epg.modot.org/forms/CM/RM_Water_Calibration.dotx RM Water Calibration] | |||
</div> | |||
</div> | |||
*[https://epg.modot.org/forms/CM/ | ---- | ||
* [https://epg.modot.org/forms/CM/Concrete%20Daily%20Inspection%20Report%20C-681.xls Concrete Daily Inspection Report, C-681] | |||
* [https://epg.modot.org/forms/CM/Concrete_Cylinder_Sample_Sent_to_Central_Lab.doc Concrete Cylinder Sample Sent to Central Lab] | |||
* [http://eprojects/Templates/AWP_CIW_Mainline_Paving.xlsm Concrete Inspection Worksheet – Mainline QC/QA Paving] | |||
* [https://epg.modot.org/forms/CM/Concrete_Roadway_Report.pdf Concrete Roadway Report] | |||
</div> | |||
</div> | |||
*[https://epg.modot.org/forms/CM/ | ===Forms for Contractor Use === | ||
<!-- NOTE: FORMS FOR CONTRACTOR USE SHOULD MATCH WHAT IS OUT ON https://www.modot.org/forms-contractor-use --> | |||
<div class="mw-customtoggle-CM7" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;">[+/-] Construction and Contract Administration Forms</div> | |||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM7"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
* [https://epg.modot.org/forms/CM/Blank_2AA_Sheet.pdf 2AA Sheet-Blank] | |||
* [https://epg.modot.org/forms/CM/Example_2AA_Sheet.pdf 2AA Sheet-Example] | |||
* [https://epg.modot.org/forms/CM/ADA_Checklist.pdf ADA Checklist - PDF] | |||
* [https://epg.modot.org/forms/CM/ADA_Checklist.docx ADA Checklist - Word Document] | |||
* [https://epg.modot.org/forms/CM/Affidavit_for_Compliance_with_Prevailing_Wage.pdf Affidavit for Compliance with Prevailing Wage] | |||
* [https://epg.modot.org/forms/CM/Contractors_Affidavit_C-242.pdf Contractor Affidavit Regarding Settlement of Claims] | |||
* [https://epg.modot.org/forms/CM/CPRQuestionnaire.pdf Contractor Performance Questionnaire] | |||
* [https://epg.modot.org/forms/CM/Contractor_Questionnaire.pdf Contractor Questionnaire] | |||
* [https://epg.modot.org/forms/CM/CUF_Determination_Form.pdf CUF Determination Form] | |||
* [https://epg.modot.org/forms/CM/Lead_Abatement_MODOT_Contractor_Informational_Packet.pdf Lead Abatement MoDOT Contractor Informational] | |||
* [https://epg.modot.org/forms/CM/Lead_Abatement_MODOT_FA_Project_Notification.pdf Lead Abatement MoDOT FA Project Notification Must be Filled out by RE] | |||
* [https://epg.modot.org/forms/CM/Lead_Abatement_MODOT_Project_Notification.pdf Lead Abatement MoDOT Project Notification] | |||
* [https://epg.modot.org/forms/CM/Lead_Abatement_MODOT_Project_Re_Notification.pdf Lead Abatement MoDOT Project Re-Notification] | |||
* [https://epg.modot.org/forms/CM/Lead_Abatement_Program_Contact_Info.pdf Lead Abatement Program Contact Info] | |||
* [https://epg.modot.org/forms/CM/Mobilization_Payments_Calculator.xlsx Mobilization Payments Calculator] | |||
* [https://epg.modot.org/forms/CM/NCR_Non_Conformance_Report.pdf Nonconformance Report (NCR)] | |||
* [https://epg.modot.org/forms/general_files/BR/Pile_Driving_Set_Calculator.xlsx Pile Driving Set Calculator] | |||
* [https://epg.modot.org/forms/CM/Prequalification_Questionnaire.pdf Prequalification Questionnaire] | |||
* [https://epg.modot.org/forms/CM/Request_to_Subcontract_C_220.pdf Request to Subcontract Work (C-220)] | |||
* [https://epg.modot.org/forms/CM/Request_to_Subcontract_C_220_Excel.xlsm Request to Subcontract Work (C-220), Excel] | |||
* [https://epg.modot.org/forms/CM/Sign_Certification_of_Destruction.pdf Sign Certification of Destruction (PDF)] | |||
* [https://epg.modot.org/forms/CM/Sign_Delivery_Certification.pdf Sign Delivery Certification (PDF)] | |||
* [https://epg.modot.org/forms/CM/Subcontractor_Certification_Regarding_Affirmative_Action.pdf Subcontractor Certification Regarding Affirmative Action] | |||
* [https://epg.modot.org/forms/CM/Tension_Log_Form.xlsx Tension Log Form] | |||
* [https://epg.modot.org/forms/CM/Value_Engineering_Proposal_C_104.pdf Value Engineering Change Proposal (C-104)] | |||
* [https://epg.modot.org/forms/CM/Wage_Flow_Chart_for_Federal_Jobs.pdf Wage Flowchart for Federal Jobs-Precon] | |||
* [https://epg.modot.org/forms/CM/Wage_Flow_Chart_for_State_Jobs.pdf Wage Flowchart for State Jobs-Precon] | |||
* [https://epg.modot.org/forms/CM/Waste_Disposal_Agreement.pdf Waste Disposal Agreement] | |||
</div> | |||
</div> | |||
*[https://epg.modot.org/forms/CM/ | <div class="mw-customtoggle-CM8" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Materials Forms</div> | ||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM8"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
* [https://epg.modot.org/forms/CM/Asphalt_Mix_Design.xlsm Asphalt Mix Design Submittal] | |||
* [https://epg.modot.org/forms/CM/CERTIFICATE_OF_MATERIALS_ORIGIN.pdf Buy America Materials of Origin] | |||
* [https://epg.modot.org/forms/CM/CERTIFICATE_OF_MATERIALS_ORIGIN_NONIRON_STEEL.pdf Buy America Materials of Origin Non-Iron/Steel (PDF)] | |||
* [https://epg.modot.org/forms/CM/Concrete%20Mix%20Design%20Submittal%20Form.xls Concrete Mix Design Submittal Form] | |||
* [https://epg.modot.org/forms/CM/Missouri%20CoreLok%20Aggregate%20Workbook.xls Corelok Aggregate Workbook] | |||
* [https://epg.modot.org/forms/CM/Durable%20Aggregate%20Calculation.xls Durable Aggregate Calculation] | |||
* [https://epg.modot.org/forms/CM/Illinois_Flexibility_Index_Test.pdf Illinois Flexibility Index Test] | |||
* [https://epg.modot.org/forms/CM/NewProductEvaluationForm.pdf New Product Evaluation Form] | |||
* [https://epg.modot.org/forms/CM/GS013F4.pdf PAL Program Inclusion Certifications and Guarantee Statement] | |||
* [https://epg.modot.org/forms/CM/GS013F2.pdf PAL Fabricators Receival Form] | |||
* [https://epg.modot.org/forms/CM/GS013F3.pdf PAL Shippers Transmittal Form] | |||
* [https://epg.modot.org/forms/CM/PipeShippingReportForm2.pdf CMP, RCP, Pipe Shipping Submittal Form: Precast Drainage Unit and Precast Box Culvert Shipping Report Form] | |||
* [https://epg.modot.org/forms/CM/PipeShippingReportForm_Thermoplastic.pdf Pipe Shipping Submittal Form: Thermoplastic] | |||
* [https://epg.modot.org/forms/CM/Producer_Supplier_List.pdf Producer Supplier Listing Form] | |||
* [https://epg.modot.org/forms/CM/RecycleBinderContribution.xls Recycle Binder Contribution v2.12] | |||
* [https://epg.modot.org/forms/CM/RecycleBinderContribution_401.xls Recycle Binder Contribution v2.20] | |||
* [https://epg.modot.org/forms/CM/Section1040,1043,1044_Inclusion_Certification.pdf Section 1040, 1043 and 1044 Inclusion Certification Statement] | |||
* [https://epg.modot.org/forms/CM/Section1040,1043,1044_Shipping_Report_Form_Fillable.pdf Section 1040, 1043 and 1044 Shipping Report Form] | |||
* [https://epg.modot.org/forms/CM/Request_to_Transfer_Inspected_Matl.pdf Transfer Request of Inspected Material] | |||
</div> | |||
</div> | |||
<div class="mw-customtoggle-CM9" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Civil Rights Related Forms and Posters</div> | |||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM9"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
*[https://epg.modot.org/forms/CM/ | <div class="mw-customtoggle-CM9a" style="font-size:1.15em; margin-left:15px; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;">[+/-] DBE Forms</div> | ||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM9a" style="margin-left:15px;"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
* [https://epg.modot.org/forms/CM/DBE_and_non_DBE_Subcontractor_Reporting_Form.pdf DBE and non DBE Subcontractor Reporting Form]</br> | |||
* [https://epg.modot.org/forms/CM/DBE_Change_Form.pdf DBE Change Form]</br> | |||
* [https://epg.modot.org/forms/CM/DBE_Contractor_Project_Trucker_Equipment_List_Form.pdf DBE Contractor/Subcontractor Project Trucker and Equipment List]</br> | |||
* [https://epg.modot.org/forms/CM/DBE_Contractor_Subcontractor_Project_Trucker_Form_Instructions.pdf DBE Contractor/Subcontractor Project Trucker and Equipment List - Instructions]</br> | |||
* [https://epg.modot.org/forms/CM/DBE_Identification_Submittal_Form_MoDOT_Excel.xlsm DBE Identification Submittal Form (Excel)]</br> | |||
* [https://epg.modot.org/forms/CM/DBE_Identification_Submittal_Form_LPA_Excel.xlsm DBE Identification Submittal Form LPA (Excel)]</br> | |||
* [https://epg.modot.org/forms/CM/DBE_Final_Payment_Form.xlsm DBE Final Payment Form]</br> | |||
* [https://epg.modot.org/forms/CM/DBE_Termination_Form.pdf DBE Termination Form] | |||
</div> | |||
</div> | |||
*[https://epg.modot.org/forms/CM/ | <div class="mw-customtoggle-CM9b" style="font-size:1.15em; margin-left:15px; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;">[+/-] On the Job Training Forms</div> | ||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM9b" style="margin-left:15px;"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
* [https://epg.modot.org/forms/CM/OJT_1_Trainee_Notification.pdf OJT 1, Training Notification]</br> | |||
* [https://epg.modot.org/forms/CM/OJT_2_Contractor_Monthly_Trainee_Report.pdf OJT 2, Contractor Monthly Trainee Report]</br> | |||
* [https://epg.modot.org/forms/CM/OJT_3_Training_Completion.pdf OJT 3, Training Completion Report]</br> | |||
* [https://epg.modot.org/forms/CM/OJT_4_Trainee_Contact.pdf OJT 4, Trainee Contact]</br> | |||
* [https://epg.modot.org/forms/CM/OJT_5_Discrimination_Complaint.pdf OJT 5, Discrimination Complaint]</br> | |||
* [https://epg.modot.org/forms/CM/OJT_6_Final_Trainee_Summary.pdf OJT 6, Training Summary] | |||
</div> | |||
</div> | |||
*[https://epg.modot.org/forms/CM/ | <div class="mw-customtoggle-CM9c" style="font-size:1.15em; margin-left:15px; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;">[+/-] Workforce Diversity Forms</div> | ||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM9c" style="margin-left:15px;"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
* [https://epg.modot.org/forms/CM/WF_2%20_Contractor_Monthly_New_Hire_report.pdf Contractor Monthly New Hire Report]</br> | |||
* [https://epg.modot.org/forms/CM/MoDOT_Workforce_Pre_Construction_Diversity_Plan_Report.xlsx Initial Workforce Diversity Plan]</br> | |||
* [https://epg.modot.org/forms/CM/MODOT_Workforce_JSP_Cummulative_Workforce_Hours_Report.xlsx Monthly Workforce Reporting Report]</br> | |||
* [https://epg.modot.org/forms/CM/WF_1_New_Hire_Notification.pdf New Hire Notification]</br> | |||
* [https://epg.modot.org/forms/CR/WF_3_Sample_Workforce_Action_Plan.pdf Sample Workforce Action Plan] | |||
</div> | |||
</div> | |||
<div class="mw-customtoggle-CM9d" style="font-size:1.15em; margin-left:15px; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;">[+/-] Federal Aid Job Site Posters</div> | |||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM9d" style="margin-left:15px;"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
:Please refer to [https://epg.modot.org/index.php?title=Category:110_State_and_Federal_Wage_Rates_and_Other_Requirements#Required_Notices_and_Posters EPG 110.2 Federal-Aid Projects, Required Notices and Posters]. | |||
</div> | |||
</div> | |||
<div class="mw-customtoggle-CM9e" style="font-size:1.15em; margin-left:15px; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;">[+/-] State Aid Job Site Posters</div> | |||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM9e" style="margin-left:15px;"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
:Please refer to [https://epg.modot.org/index.php?title=Category:110_State_and_Federal_Wage_Rates_and_Other_Requirements#Required_Notices_and_Posters EPG 110.2 Federal-Aid Projects, Required Notices and Posters]. | |||
</div> | |||
</div> | |||
</div> | |||
</div> | |||
<div class="mw-customtoggle-CM10" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Permit Forms for Working on Right of Way</div> | |||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM10"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
* [https://www6.modot.mo.gov/ElectronicPermitting/ElectronicPermitting.html Permit for Work on Right of Way] | |||
* [https://www.modot.org/notice-intent MoDOT Notice of Intent to Perform Work] | |||
</div> | |||
</div> | |||
<div | |||
<div | |||
= | |||
: | |||
===Quick Reference Guides (QRGs)=== | ===Quick Reference Guides (QRGs)=== | ||
== | <div class="mw-customtoggle-CM11" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] AASHTOWare Project</div> | ||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM11"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
* '''[https://epg.modot.org/forms/CM/AWP_QRG_Revision_Dates.xlsx AWP QRG Revision Dates]''' | |||
* [https://epg.modot.org/forms/CM/AWP_CM_AASHTOWARE_Project_Terminology.docx AWP CM AASHTOWARE Project Terminology] | |||
* [https://epg.modot.org/forms/CM/AWP_CM_Certified_Testers.doc AWP CM Certified Testers] | |||
* [https://epg.modot.org/forms/CM/AWP_CM_Filters.doc AWP CM Filters] | |||
* [https://epg.modot.org/forms/CM/AWP_CM_Filters_for_Sample_Records_or_Acceptance_Actions.doc AWP CM Filters for Sample Records or Acceptance] | |||
* [https://epg.modot.org/forms/CM/AWP_CM_Test_Equipment.doc AWP CM Test Equipment] | |||
* [https://epg.modot.org/forms/CM/AWP_CO_1ChangeOrderOverview.doc AWP CO 1 Change Order Overview] | |||
* [https://epg.modot.org/forms/CM/AWP_CO_2ChangeOrderAddingNewItemorOverrunUnderrunExisting.doc AWP CO 2 Change Order Adding New Item or Overrun/Underrun of Existing Items] | |||
* [https://epg.modot.org/forms/CM/AWP_CO_3ChangeOrderTimeExtension.doc AWP CO 3 Change Order Time Extension] | |||
* [https://epg.modot.org/forms/CM/AWP_CO_4ChangeOrderValueEngineering.doc AWP CO 4 Change Order Value Engineering] | |||
* [https://epg.modot.org/forms/CM/AWP_CO_5ChangeOrderNoCostContractModification.doc AWP CO 5 Change Order, No Cost Contract Modification] | |||
* [https://epg.modot.org/forms/CM/AWP_CO_7ChangeOrderApproval.doc AWP CO 7 Change Order Approval] | |||
* [https://epg.modot.org/forms/CM/AWP_CO_Change_Order_Codes.doc AWP CO Change Order Codes] | |||
* [https://epg.modot.org/forms/CM/AWP_CO_Change_Order_Reports.doc AWP CO Change Order Reports] | |||
* [https://epg.modot.org/forms/CM/AWP_CO_CUF_Entry.doc AWP CO Commercially Useful Function (CUF) Review Date Entry] | |||
* [https://epg.modot.org/forms/CM/CUF_Determination_Form.pdf Commercially Useful Function (CUF) Determination Form)] | |||
* [https://epg.modot.org/forms/CM/AWP_CO_Construction_Stockpiles.doc AWP CO Construction Stockpiles] | |||
* [https://epg.modot.org/forms/CM/AWP_CO_Contract_Payment_Estimate_Exception_Override.doc AWP CO Contract Payment Estimate Exception Override] | |||
* [https://epg.modot.org/forms/CM/AWP_CO_ContractVendorAssets.doc AWP CO Contract Vendor Assets] | |||
* [https://epg.modot.org/forms/CM/AWP_CO_Contract_Adjustments.doc AWP CO Contract Adjustments] | |||
* [https://epg.modot.org/forms/CM/AWP_CO_Contract_Times.doc AWP CO Contract Times] | |||
* [https://epg.modot.org/forms/CM/AWP_CO_DailyDiary.doc AWP CO Daily Diary] | |||
* [https://epg.modot.org/forms/CM/AWP_CO_DailyDiaryAdjustments.doc AWP CO Daily Diary Adjustments] | |||
* [https://epg.modot.org/forms/CM/AWP_CO_DailyWorkReport.doc AWP CO Daily Work Report] | |||
* [https://epg.modot.org/forms/CM/AWP_CO_DailyWorkReport_Deleting_Postings_and_Acceptance_Records.doc AWP CO Daily Work Report, Deleting DWR Postings and Acceptance Records] | |||
* [https://epg.modot.org/forms/CM/AWP_CO_Disposition_Remarks_PAL_Material.doc AWP CO Disposition Remarks for PAL Material] | |||
* [https://epg.modot.org/forms/CM/AWP_CO_Documentation_Records.docx AWP CO Documentation Records] | |||
* [https://epg.modot.org/forms/CM/AWP_CO_EmergencyContacts.doc AWP CO Emergency Contacts] | |||
* [https://epg.modot.org/forms/CM/AWP_CO_Estimate.doc AWP CO Estimate] | |||
* [https://epg.modot.org/forms/CM/AWP_CO_Estimate_Final.doc AWP CO Estimate Final] | |||
* [https://epg.modot.org/forms/CM/AWP_CO_Item_Adjustments.doc AWP CO Item Adjustments] | |||
* [https://epg.modot.org/forms/CM/AWP_CO_Milestones.doc AWP CO Milestones] | |||
* [https://epg.modot.org/forms/CM/AWP_CO_Signal_Maintenance.doc AWP CO Signal Maintenance] | |||
* [https://epg.modot.org/forms/CM/AWP_CO_Change_Order_Reason_Codes_for_SL_Time_Extension_Change_Orders.doc AWP CO SL District Reason Codes for Time Extension Change Orders] | |||
* [https://epg.modot.org/forms/CM/AWP_CO_Subcontract.doc AWP CO Subcontract] | |||
* [http://eprojects/Templates/AWP_Guide_For_Creating_QA_%20Sample_Records_Using%20E2O%20Spreadsheets.doc AWP Guide for Creating QA Sample Records Using E20 Spreadsheets (Internal Use Only)] | |||
* [https://epg.modot.org/forms/CM/AWP_MA_Adding_Contract_Lines_For_Acceptance_Actions.doc AWP MA Adding Contract Lines For Acceptance Actions] | |||
:* [https://epg.modot.org/forms/CM/ | * [https://epg.modot.org/forms/CM/AWP_MA_Adding_Concrete_Mix_Design.doc AWP MA Adding New Concrete Mix Design] | ||
* [https://epg.modot.org/forms/CM/AWP_MA_Associating_Material_To_Source.docx AWP MA Associating Material to Source] | |||
:* [https://epg.modot.org/forms/CM/ | * [https://epg.modot.org/forms/CM/AWP_MA_Checking_For_UnAuthorized_Sample_Records.doc AWP MA Checking For Unauthorized Sample Records] | ||
* [https://epg.modot.org/forms/CM/AWP_MA_DEC_Sample_Record.docx AWP MA DEC Sample Record] | |||
:* [https://epg.modot.org/forms/CM/ | * [https://epg.modot.org/forms/CM/AWP_MA_DeletingMaterialsFromAcceptanceActions.doc AWP MA Deleting materials From Acceptance] | ||
* [https://epg.modot.org/forms/CM/AWP_MA_EditingContractAcceptanceActionsAndActionRelationships.doc AWP MA Editing Contract Acceptance Actions and Action Relationships] | |||
* [https://epg.modot.org/forms/CM/AWP_MA_Generating_Contract_SampleChecklist.doc AWP MA Generating Contract Sample Checklist] | |||
* [https://epg.modot.org/forms/CM/AWP_MA_IAS_Lab_Audit.doc AWP MA I.A.S. Lab Audit] | |||
* [https://epg.modot.org/forms/CM/AWP_MA_PAL_Plant_Inspection_Record.doc AWP MA PAL Plant Inspection Record] | |||
* [https://epg.modot.org/forms/CM/AWP_MA_ReGenerating_Contract_Lines_For_Original_Materials_And_Acceptance_Actions.doc AWP MA Regenerating Contract Lines for Original Materials and Acceptance Actions] | |||
* [https://epg.modot.org/forms/CM/AWP_MA_Sample_Record_Acceptance_By_Certification.docx AWP MA Sample Record Acceptance By Certification] | |||
* [https://epg.modot.org/forms/CM/AWP_MA_Sample_Record_Changing_Material_Code_Source_or_SampleType.docx AWP MA Sample Record Changing Material Code Source or Sample Type] | |||
* [https://epg.modot.org/forms/CM/AWP_MA_Sample_Record_General.docx AWP MA Sample Record, General] | |||
* [https://epg.modot.org/forms/CM/AWP_MA_Sample_Record_General_IAS_Audit_Record.docx AWP MA Sample Record, General IAS Audit Record] | |||
* [https://epg.modot.org/forms/CM/AWP_MA_Sampling_and_Testing_Status_Report.docx AWP MA Sampling and Testing Status Report] | |||
* [https://epg.modot.org/forms/CM/AWP_MA_UsingFindSample.docx AWP MA Using the Find Sample Function] | |||
* [http://eprojects/Templates/AWP_QA_Asphalt.xlsm AWP QA Asphalt] | |||
</div> | |||
</div> | |||
:* [https://epg.modot.org/forms/CM/ | <div class="mw-customtoggle-CM12" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Digital Signatures</div> | ||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM12"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
* [https://epg.modot.org/forms/CM/Digital_Signatures_using_Adobe_DC_Reader_Pro.docx Digital Signatures using Adobe DC Reader/Pro] | |||
* [https://epg.modot.org/forms/CM/Digital_Signatures_using_Bluebeam_Revu.pdf Digital Signatures using Bluebeam Revu] | |||
</div> | |||
</div> | |||
:* [ | <div class="mw-customtoggle-CM13" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Storm Water Database</div> | ||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-CM13"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
* [[media:101 How to Fill Out Land Disturbance Inspection Record.pdf|How to Fill Out Land Disturbance Inspection Record]] | |||
* [[media:101 Land Disturbance Deficiencies QRG 2019.pdf|Land Disturbance Deficiencies]] | |||
* [[media:101 Land Disturbance Storm Water Database Closeout Procedure QRG 2020.pdf|Land Disturbance Storm Water Database Closeout Procedure]] | |||
* [[media:101 Land Disturbance Storm Water Database Initial Setup for Construction Projects 2020.pdf|Land Disturbance Storm Water Database Initial Setup for Construction Projects]] | |||
* [[media:101 Land Disturbance Storm Water Database Initial Setup for Maintenance Projects QRG 2020.pdf|Land Disturbance Storm Water Database Initial Setup for Maintenance Projects]] | |||
* [[media:101 Land Disturbance Storm Water Database 7 Day Reviews QRG.pdf|Land Disturbance Storm Water Database 7-Day Reviews]] | |||
* [[media:101 Storm Water Land Disturbance Erosion Reporting QRG Dec 2020.pdf|Storm Water Land Disturbance Erosion Reporting]] | |||
</div> | |||
</div> | |||
</div> | |||
==Design== | ==Design== | ||
<div style="margin-left: 30px;"> | |||
*[[media: | <div class="mw-customtoggle-DE1" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Bridge</div> | ||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE1"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
* [[media:101 404 Permit.dotx|404 Permits]] | |||
* [[media:747 Bridge Survey Checklist.xlsx|Bridge Survey Checklist]] | |||
* [[media:747 Bridge Survey Location Request Dec 2019.docx|Bridge Survey Location Request]] | |||
* [[media:747 Bridge Survey Report.docx| Bridge Survey Report Form]] | |||
* [[media:751.1.3.2_Structural_Rehabilitation_Checklist.xlsm|Structural Rehabilitation Checklist (Excel)]] | |||
* [https://epg.modot.org/forms/general_files/BR/131.1_Vertical_Clearance_Coord_Form.pdf Vertical Clearance Design Exception Coordination with SDDCTEA] | |||
</div> | |||
</div> | |||
*[https://epg.modot.org/forms/DE | <div class="mw-customtoggle-DE2" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Checklist</div> | ||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE2"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
* [[media:124.2.4 Design Progress Check list.docx|Design Progress Check List]] | |||
* [https://epg.modot.org/forms/general_files/DE/D-12-form.pdf District Final Design Checklist - D-12] | |||
* [[media:124.2.4 Check List for Preliminary Plans.docx|Preliminary Plans Check List]] | |||
* [https://epg.modot.org/forms/general_files/DE/Project_Review_Checklist.pdf Project Review Checklist] | |||
* [https://epg.modot.org/forms/RW/Chapter%2013_Designing%20Right%20of%20Way%20Plans/Right%20Way%20Plans%20Checklist%20Form%20236.13.7.docx Right of Way Plan Review Check List] | |||
</div> | |||
</div> | |||
<div class="mw-customtoggle-DE3" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Contracts</div> | |||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE3"> | |||
*[[media: | <div class="mw-collapsible-content" style="margin-bottom:15px;"> | ||
* [[media:District_Award.dotx|District Award]] | |||
*[https://epg.modot.org/forms/DE/ | * [http://www.modot.org/business/standards_and_specs/documents/ComputerDeliverableContractPlans.pdf Computer Deliverable Contract Plans 2005] | ||
* [https://epg.modot.org/forms/DE%202017%20Forms/BiddingContract/DE11_Municipal_Agreement.doc DE11] | |||
*[[media: | * [[media:Sample_Scope_of_Services_-_Location_and_Environment.dotx|Sample Scope of Services - Location and Environment]] | ||
* [[media:Sample_Scope_of_Services_Design.dotx|Sample Scope of Services Design]] | |||
*[[media: | </div> | ||
</div> | |||
<div class="mw-customtoggle-DE4" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Design</div> | |||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE4"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
* [[media:3R_Conceptual_Study_Report.dotx|3R Conceptual Study Report]] | |||
* [[media:4R_Conceptual_Study_Report.dotx|4R Pavement Rehabilitation Analysis Data and Conceptual Study Report]] | |||
* [[media:Commission_Backup_Form_Blank.dotx|Commission Backup Form Blank]] | |||
* [[media:Commission_Backup_Form_Instructions.dotx|Commission Backup Form Instructions]] | |||
* [[media:Conceptual Study Report.dotx|Conceptual Study Report]] | |||
* [[media:134.2.2.5.1 May 2017.doc|Consultant Rating Form]] | |||
* [https://epg.modot.org/forms/DE%202017%20Forms/DELiaison/D-28.doc D-28 Sign Design Order Form] | |||
* [https://epg.modot.org/forms/general_files/BR/131.1_Design_Exception.docx Design Exception Information] | |||
* [[media:Equipment_and_Materials_List.dotx|Equipment and Materials List]] | |||
* [https://epg.modot.org/forms/DE/SWPPP_Project_Specific_Form_806.8.2.pdf Form 806.8.2, Project-Specific SWPPP Information] | |||
* [[media:Form D21 2018.pdf|Highway Lighting Warrants D21]] | |||
* [[media:Location Study Report.dotx|Location Study Report]] | |||
* [[media:M-40 2013.docx|M-40 Request for Drilling Services]] | * [[media:M-40 2013.docx|M-40 Request for Drilling Services]] | ||
* [[media:Pavement_Distress_Log_Form_-_Asphalt_-_11x17.dotx|Pavement Distress Log Form - Asphalt - 11x17]] | |||
* [[media:Pavement_Distress_Log_Form_-_Concrete_11x17.dotx|Pavement Distress Log Form - Concrete 11x17]] | |||
* [[media:Pavement_Repair_Log.dotx|Pavement Repair Log]] | |||
* [[media:Preliminary_Plans_Proposal_Review.dotx|Preliminary Plans Proposal Review]] | |||
* [[media:Project_Data_for_BAMS.dotx|Project Data for BAMS]] | |||
* [[media:Project Initialization Estimate Form.dotx|Project Initialization Estimate Form]] | |||
* [[Job_Special_Provisions|Roadway Job Special Provision Formatting Guide]] | |||
* [https://modotgov.sharepoint.com/sites/DE/JSP/Forms/JSPByTitle.aspx Roadway Job Special Provision Instructions (MoDOT access only)] | |||
* [[Job_Special_Provisions|Roadway Job Special Provision Template]] | |||
* [[media:134.2.2.2 2019.docx|Submittal to Professional Services Committee]] | |||
* [[media:Suggested_Revision_to_a_CADD_Standard.dotx|Suggested Revision to a CADD Standard]] | |||
* [[media:Test-Cultural_Resource_Assessment_Letter.dotx|Test-Cultural Resource Assessment Letter]] | |||
* [[media:Traffic_Signal_Warrants,_Form_D22.dotx|Traffic Signal Warrants, Form D22]] | |||
* [[media:Utility_Print_Submittal_Letter.dotx|Utility Print Submittal Letter]] | |||
* [[media:Utility_Print_Submittal_Letter_Revised_Plans.dotx|Utility Print Submittal Letter, Revised Plans]] | |||
* [[media:124_Work_Day_Study_a.dotx|Work Day Study]] | |||
</div> | |||
</div> | |||
<div style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"><span style="margin-left:36px;">[[:Category:134_Engineering_Professional_Services#134.1.3_Consultant_Qualification|Engineering Professional Services]]</span></div> | |||
*[[media: | <div class="mw-customtoggle-DE5" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Environmental and Cultural</div> | ||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE5"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
* [[media:127.14 Categorical Exclusion Determination 2021.docx|Categorical Exclusion Form]] | |||
* [[media: 127.11 Farmland Conversion Impact Rating Corridor.pdf|Farmland Conversion Impact Rating (Corridor)]] | |||
* [[media: 127.11 Farmland Conversion Impact Rating Site.pdf| Farmland Conversion Impact Rating (Site)]] | |||
* [https://www6.modot.mo.gov/EnvironmentalRequest/Pages/Login.aspx Request for Environmental Services (RES) Form] | |||
* [https://epg.modot.org/forms/general_files/DE/ENV/RES_Instruction_Manual.docx Instructions for the RES Form] | |||
* [[media:Property_Permission_Letter_E-HP_sample-07-23.docx| Sample letter requesting permission]] | |||
</div> | |||
</div> | |||
*[[media: | <div class="mw-customtoggle-DE6" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Materials</div> | ||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE6"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
* [[media:101_Request_for_Asphalt_Cement_%_Grade.dotx|Request for Asphalt Cement % Grade]] | |||
* [[media:101_Soil_Info_Request.dotx|Soil Info Request]] | |||
* [[media:101_Soil_Survey_Request.dotx|Soil Survey Request]] | |||
</div> | |||
</div> | |||
*[[media: | <div class="mw-customtoggle-DE7" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Planning</div> | ||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE7"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
* [[media:101_ARAN_Report_Request.dotx|ARAN Report Request]] | |||
* [[media:101_Conceptual_Study_Traffic_Count_Request.dotx|Conceptual Study Traffic Count Request]] | |||
* [[media:101_Fis_Formc.dotx|Fis Formc]] | |||
* [https://epg.modot.org/forms/general_files/TP/Road_User_Costs_Request_Form.pdf Road User Costs Request Form] | |||
* [https://epg.modot.org/forms/general_files/TP/Traffic_Forecast_Request_Form.pdf Traffic Forecast Request Form] | |||
* [[media:101_Turning_Movement_Traffic_Count_Request.dotx|Turning Movement Traffic Count Request]] | |||
</div> | |||
</div> | |||
*[[media: | <div class="mw-customtoggle-DE8" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Public Involvement</div> | ||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE8"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
* [[media:101_Public_Hearing_Statement_Form.dotx|Public Hearing Statement Form]] | |||
* [https://epg.modot.org/forms/DE/Public%20Involvement/Sample%20Letter%20Advertising%20a%20Public%20Hearing.docx Sample Letter Advertising a Public Hearing] | |||
* [https://epg.modot.org/forms/DE/Public%20Involvement/Sample%20Notice%204f.docx Sample Notice 4F] | |||
* [https://epg.modot.org/forms/DE/Public%20Involvement/Sample%20Notice%20of%20Public%20Hearing.docx Sample Notice of Public Hearing] | |||
* [https://epg.modot.org/forms/DE/Public%20Involvement/Sample_Opportunity_for_Public_Hearing.doc Sample Opportunity for a Public Hearing/Meeting Notice] | |||
* [[media:129 Sample Public Involvement or Communication Plan.docx|Sample Public Involvement Plan or Communication Plan]] | |||
* [https://epg.modot.org/forms/DE/Public%20Involvement/SampleRequestforApprovelofLocationorDesigntoStateDesignEngineer.docx Sample Request for Approval of Location and/or Design of Highways to State Design Engineer] | |||
* [https://epg.modot.org/forms/DE/Public%20Involvement/SampleRequestforApprovelofLocationorDesigntotheCommission.docx Sample Request for Approval of Location to the Commission] | |||
* [https://epg.modot.org/forms/DE/Public%20Involvement/SampleTranscript.pdf Sample Transcript] | |||
</div> | |||
</div> | |||
<div style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"><span style="margin-left:36px;">[[:Category:236_Right_of_Way|Right of Way]]</span></div> | |||
*[https:// | <div class="mw-customtoggle-DE9" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Scoping</div> | ||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE9"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
* [[media:101_Bridge_Checklist.dotx|Bridge Checklist]] | |||
* [[media:101_Construction_and_Materials_Checklist.dotx|Construction and Materials Checklist]] | |||
* [https://epg.modot.org/forms/DE%202017%20Forms/DELiaison/104.6_Design_Checklist_Apr_26,_2012.doc Design Checklist] | |||
* [https://epg.modot.org/forms/DE%202017%20Forms/DELiaison/104.6_Design_Liaison_Checklist.doc Design Liaison Checklist] | |||
* [[media:101_FHWA_Checklist.dotx|FHWA Checklist]] | |||
* [[media:101_Maintenance_Checklist.dotx|Maintenance Checklist]] | |||
* [[media:101_Planning_Checklist.dotx|Planning Checklist]] | |||
* [https://epg.modot.org/forms/DE%202017%20Forms/DELiaison/104.6_Project_Scoping_Checklist_Apr_26,_2012.doc Project Scoping Checklist] | |||
* [[media:101_Public_Information_and_Outreach_Checklist.dotx|Public Information and Outreach Checklist]] | |||
* [[media:101_Railroad_Checklist.dotx|Railroad Checklist]] | |||
* [[media:101_Right_of_Way_Checklist.dotx|Right of Way Checklist]] | |||
* [[media:101_Traffic_Checklist.dotx|Traffic Checklist]] | |||
* [[media:101_Utilities_Checklist.dotx|Utilities Checklist]] | |||
</div> | |||
</div> | |||
*[https:// | <div class="mw-customtoggle-DE10" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Survey</div> | ||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-DE10"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
* [[media:747 Bridge Survey Location Request Dec 2019.docx|Bridge Survey Location Request]] | |||
* [https://epg.modot.org/forms/DE%202017%20Forms/CADD/238.2.18.2_Plat_Review_Checklist.pdf Form 238.2.18.2 Plat Review Checklist] | |||
* [https://epg.modot.org/forms/DE%202017%20Forms/CADD/238.2.17_Professional_Land_Surveyor_2013.doc Professional Land Surveyor Description Review Form] | |||
* [https://epg.modot.org/forms/DE%202017%20Forms/DELiaison/238.2_Sample_Letter_Notifying_Property_Owner_of_Survey.doc Sample Letter Notifying Property Owner of Survey] | |||
</div> | |||
</div> | |||
</div> | |||
==Financial Services== | |||
= | <div style="margin-left: 30px;"> | ||
*[ | <div class="mw-customtoggle-FS1" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Financial Services Forms</div> | ||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-FS1"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
* [[media:235 Agreements Checklist.doc|Agreements Checklist]] | |||
</div> | |||
</div> | |||
</div> | |||
==Highway Safety & Traffic== | |||
<div style="margin-left: 30px;"> | |||
=== | <div class="mw-customtoggle-HS1" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Highway Safety & Traffic Forms</div> | ||
*[[media: | <div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-HS1"> | ||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
* [[media:902.5.8.3.1 checklist.xlsx|Statewide Signal/Lighting/Flasher Preventive Maintenance Checklist]] | |||
</div> | |||
</div> | |||
</div> | |||
==Maintenance== | ==Maintenance== | ||
<div style="margin-left: 30px;"> | |||
=== | <div class="mw-customtoggle-MT1" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Bridge Maintenance</div> | ||
*[ | <div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MT1"> | ||
*[http:// | <div class="mw-collapsible-content" style="margin-bottom:15px;"> | ||
* [[media:101 Maintenance - blankinspreport.pdf|Blank Inspection Report]] | |||
* [[media:101 Maintenance - bridgemaintenancerepairreport.xls|Bridge Maintenance Repair Report (Excel)]] | |||
* [http://ghepg01/forms/BR/774_Cathodic_System_Evaluation.dotx Cathodic System Evaluation] | |||
* [[media:101 Maintenance - CIF - Written form.dot|CIF (Critical Inspection Finding)]] | |||
* [[media:101 Maintenance - Follow-up Action Required-Written form.doc|FAR (Follow-Up Action Required)]] | |||
* [[media:101 Maintenance - maintmatlusage.xls|Maintenance Material Usage (Excel)]] | |||
* [[media:101 Maintenance - Maintenance Recommendation Report.pdf|Maintenance Recommendation Report]] | |||
* [[media:101 Maintenance - paintdatareportformblank.xls|Paint Data Report (Excel)]] | |||
* [[media:101 Maintenance - Photo Log.xls|Photo Log Sheet (Excel)]] | |||
</div> | |||
</div> | |||
== | <div class="mw-customtoggle-MT2" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Chip Seal Forms</div> | ||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MT2"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
* [http://wwwi/maintenance/Forms/App%20Adjust%20Form.pdf Application Adjustment Factor Form] | |||
* [http://wwwi/maintenance/Forms/Traffic%20Eval%20Factor.pdf Traffic Evaluation Factor (TEF) for Asphalt Application Adjustment] | |||
</div> | |||
</div> | |||
*[ | |||
*[ | |||
=== | <div class="mw-customtoggle-MT3" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Commuter Lots</div> | ||
*[[media:101 Maintenance - | <div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MT3"> | ||
*[[media:101 Maintenance - | <div class="mw-collapsible-content" style="margin-bottom:15px;"> | ||
* [[media:101 Maintenance - Commuter Lot Inspection Form.xls|Commuter Lot Inspection (Excel)]] | |||
* [[media:101 Maintenance - Commuter Lot Survey.pdf|Commuter Lot Survey]] | |||
</div> | |||
</div> | |||
=== | <div class="mw-customtoggle-MT4" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Disasters</div> | ||
*[[media:101 Maintenance - | <div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MT4"> | ||
*[[media:101 Maintenance - | <div class="mw-collapsible-content" style="margin-bottom:15px;"> | ||
* [[media:101 Maintenance - DDIR.xls|Detailed Damage Inspection Report (Excel)]] | |||
* [[media:101 Maintenance - Non Federal Aid Route DDIR.xls|FEMA Detailed Damage Inspection Report (Excel)]] | |||
</div> | |||
</div> | |||
=== | <div class="mw-customtoggle-MT5" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Miscellaneous Forms</div> | ||
*[[media: | <div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MT5"> | ||
*[ | <div class="mw-collapsible-content" style="margin-bottom:15px;"> | ||
* [[media:127.29.9 FRCP.pdf|Facility Runoff Control Plans (FRCP)]] | |||
* [http://sharepoint/systemdelivery/TR/mo/travinfoitsworkzonemanagment/workzones/Shared%20Documents/Inspections/WorkZone_Inspection-form%202014.pdf Work Zone Inspection Form] | |||
</div> | |||
</div> | |||
=== | <div class="mw-customtoggle-MT6" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Rest Areas</div> | ||
*[[media:101 Maintenance - | <div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MT6"> | ||
*[[media:101 Maintenance - | <div class="mw-collapsible-content" style="margin-bottom:15px;"> | ||
* [[media:101 Maintenance - Rest Area Truck Parking.xls|Rest Area Truck Parking (Excel)]] | |||
* [[media:101 Maintenance - REST AREA inspection_2005.doc|Rest Area Inspection]] | |||
</div> | |||
</div> | |||
=== | <div class="mw-customtoggle-MT7" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Snow and Ice Control</div> | ||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MT7"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
* [[media:101 Maintenance - Snow and Ice Control Equipment Inventory.xls|Snow and Ice Control Equipment Inventory (Excel)]] | |||
* [[media:101 Maintenance - Chemical Requirements.xls|Chemical Requirements (Excel)]] | |||
* [[media:101 Maintenance - Salt Storage.xls|Salt Storage (Excel)]] | |||
</div> | |||
</div> | |||
</div> | |||
==Motor Carrier Services== | ==Motor Carrier Services== | ||
<div style="margin-left: 30px;"> | |||
*[https://www.modot.org/IFTA International Fuel Tax Agreement Forms] | <div class="mw-customtoggle-MC1" style="font-size:1.25em; margin-bottom:5px; cursor:pointer; color:black; background-color: #EBEBEB;"> [+/-] Bridge Maintenance</div> | ||
<div class="mw-collapsible mw-collapsed" id="mw-customcollapsible-MC1"> | |||
<div class="mw-collapsible-content" style="margin-bottom:15px;"> | |||
* [https://www.modot.org/HazWaste Hazardous Waste Transport Forms] | |||
* [https://www.modot.org/HHGoods Household Goods Transport Forms, Tariff Information, ''Moving in Missouri'' brochure] | |||
* [https://www.modot.org/IFTA International Fuel Tax Agreement Forms] | |||
* [https://www.modot.org/IRP International Registration Plan Forms] | |||
* [https://www.modot.org/MOPA Missouri Operating Authority Forms] | |||
* [https://www.modot.org/OSOW Oversize Overweight Permitting Forms] | |||
* [https://www.modot.org/SC Missouri Intrastate Skill Performance Evaluation for Medical Exemption Forms] | |||
* [https://www.modot.org/WasteTire Waste Tire Transporter Forms] | |||
</div> | |||
</div> | |||
</div> | |||
[[image:101 bottom.jpg|center|1025px]] | |||
[[Category:100_GENERAL]] | |||
[[ |
Latest revision as of 11:48, 12 December 2024
EPG articles are not referenced as "sections" but as EPG XXX.X or as "articles" to avoid confusion with MoDOT specs (which are contractually binding).
Standard forms organized by functional unit are accessible from this page.
The files accessible by the links below are identical to those accessed through Word, Excel or other software application by MoDOT employees.
Many of these file links are also contained in Engineering Policy Guide articles that refer to the forms.
Bridge
[+/-] Bridge Forms
- Bridge Division Memo
- Bridge Hydraulics Report
- Change Order
- Constructability Questionnaire
- Culvert Hydraulics Report
- Design Exception Information
- Design Except to District
- Design Layout (Box)
- Design Layout (Grade)
- Design Layout (Stream)
- Design Layout (Wall)
- Floodplain Development Permit/Application
- Floodplain Development Permit To District Cover Letter]
- Layout to FHWA
- Layout to Railroad
- Missouri-Illinois Border Bridge Clearinghouse Form
- No-Rise Certificate
- Request for Final Soundings for Structures Form
- Telefax
- Transmittal Letter
- Vertical Clearance Design Exception Coordination with SDDCTEA
Construction and Materials
Forms for MoDOT Use
[+/-] General Forms
[+/-] Project Closeout and As-Built Plans
- As Built Plans Checklist - SL District
- Bridge Clearance Report (C-239A)
- Contractor Affidavit Regarding Settlement of Claims
- Contractor's Affidavit Regarding Settlement of Claims (C-242) with Exceptions
- Final Acceptance Report (C-239), pdf version
- Final Plans Certification
- Final Plans Checklist
- Final Plans Memo
- Final Utility Report (C-13)
- Preparing As-Built (Final) Plans in Construction Using Bluebeam Revu
- Semi-Final Inspection (C-236)
- 30 Day Reminder Final Invoice Letter
- 60 Day Final Acceptance Letter
- ADA Checklist (PDF)
- ADA Checklist (MS Word)
- Aggregate Base Random Locations
- Asbestos Bulk Sample Bridge CL EL 5
- Asbestos Bulk Sample Parcel CL EL 5
- Asbestos Survey Report - All Suspect ACM (Form T746), Nonfriable ACM (Form T747) and All Materials (Form T748)
- Bluebeam Revu Training Manual
- Bridge Bearings
- Bridge Fabrication Report
- Change Order
- Commercially Useful Function (CUF) Determination Form
- Compressive Strength for Forney
- Contingent Item Price Check
- Contractor Performance Evaluation Letter
- Contractor Performance Evaluation Signature Page
- Daily Utility Report (C-9)
- Dimensions To Tons Converter
- Documentation Record
- EEO Checklist
- Fence Removal Notice
- Force Account Spreadsheet
- Form M-45 Bitumin Distributor Calibration
- Inspectors Pay Qty Report (IPQR)
- IRI Inertial Profiler Report with Bonus
- Job Site Bulletin Board Checklist
- Milestone Memo
- Milestone Worksheet
- Mobile Mixer Calibration
- Mobile Mixer Verification Sheet]
- Nonconformance Report (NCR)
- Nuclear Density (C-709ND)
- Nuclear Density of Plastic Portland Cement Concrete (C-710ND)
- Order Record (C-259)
- Outlier Analysis
- Pavement Type Selection Submittal Information (PTS Submittal Form)
- Payroll Log Form
- Pile Driving Set Calculator
- Pile Driving Data
- Pile Driving Data PDA
- PODI Bridge Deck Pour Checklist
- Pore Pressure Report - Type A
- Pore Pressure Report - Type B
- PreCon Letter - Federal
- PreCon Letter - State
- Prestress Deficiency Report (1029-01)
- Price Verification
- Railroad Crossing Inspection
- RE Letterhead
- RE Letterhead – Word Format
- Retroreflectivity Payment Adjustment
- Retroreflectometer Request
- RoCap Test Form - Long Bolts
- RoCap Test Form - Short Bolts
- Semi-annual Labor Compliance Report
- Contractor Payment Schedule
- Standard Compaction Test Blank
- Survey Calculator
- Tank Capacity
- Tension Log Form
- Wage Interview (Form CR-1)
- Work Zone Inspection Form
[+/-] Job Order Forms
- JOC 2020 Asphalt Pavement Repair
- JOC 2021 Asphalt Pavement Repair
- JOC 2022 Asphalt Pavement Repair
- JOC 2023 Asphalt Pavement Repair
- JOC 2024 Asphalt Pavement Repair
- JOC 2021 Bridge Repair Spreadsheet
- JOC 2022 Bridge Repair Spreadsheet
- JOC 2023 Bridge Repair Spreadsheet
- JOC 2024 Bridge Repair Spreadsheet
- JOC 2021 Concrete Pavement Repair
- JOC 2022 Concrete Pavement Repair
- JOC 2023 Concrete Pavement Repair
- JOC 2024 Concrete Pavement Repair
- JOC 2022 Fence Repair Spreadsheet
- JOC 2023 Fence Repair Spreadsheet
- JOC 2024 Fence Repair Spreadsheet
- JOC 2020 Rail Cable Fence Spreadsheet
- JOC 2021 Rail Cable Fence Spreadsheet
- JOC 2022 Rail Cable Fence Spreadsheet
- JOC 2023 Rail Cable Fence Spreadsheet
- JOC 2024 Rail Cable Fence Spreadsheet
- JOC Lighting Repair
- JOC Microsurfacing Spreadsheet
- JOC Signal and Lighting Repair
[+/-] AC Index Price and Fuel Adjustment Forms
[+/-] Asphalt Inspection Forms
[+/-] Concrete Inspection Forms
[+/-] Ready Mix Forms
- RM Aggregate Scale Calibration - 200
- RM Aggregate Scale Calibration - 300
- RM Aggregate Scale Calibration - 350
- RM Air Dispenser Calibration
- RM Cement Scale Calibration - 150
- RM Cement Scale Calibration - 175
- RM Cement Scale Calibration - 200
- RM Concrete Systems Form
- RM Equipment Calibrated and Verified Form
- RM Truck Mixer Information Form
- RM Water Calibration
Forms for Contractor Use
[+/-] Construction and Contract Administration Forms
- 2AA Sheet-Blank
- 2AA Sheet-Example
- ADA Checklist - PDF
- ADA Checklist - Word Document
- Affidavit for Compliance with Prevailing Wage
- Contractor Affidavit Regarding Settlement of Claims
- Contractor Performance Questionnaire
- Contractor Questionnaire
- CUF Determination Form
- Lead Abatement MoDOT Contractor Informational
- Lead Abatement MoDOT FA Project Notification Must be Filled out by RE
- Lead Abatement MoDOT Project Notification
- Lead Abatement MoDOT Project Re-Notification
- Lead Abatement Program Contact Info
- Mobilization Payments Calculator
- Nonconformance Report (NCR)
- Pile Driving Set Calculator
- Prequalification Questionnaire
- Request to Subcontract Work (C-220)
- Request to Subcontract Work (C-220), Excel
- Sign Certification of Destruction (PDF)
- Sign Delivery Certification (PDF)
- Subcontractor Certification Regarding Affirmative Action
- Tension Log Form
- Value Engineering Change Proposal (C-104)
- Wage Flowchart for Federal Jobs-Precon
- Wage Flowchart for State Jobs-Precon
- Waste Disposal Agreement
[+/-] Materials Forms
- Asphalt Mix Design Submittal
- Buy America Materials of Origin
- Buy America Materials of Origin Non-Iron/Steel (PDF)
- Concrete Mix Design Submittal Form
- Corelok Aggregate Workbook
- Durable Aggregate Calculation
- Illinois Flexibility Index Test
- New Product Evaluation Form
- PAL Program Inclusion Certifications and Guarantee Statement
- PAL Fabricators Receival Form
- PAL Shippers Transmittal Form
- CMP, RCP, Pipe Shipping Submittal Form: Precast Drainage Unit and Precast Box Culvert Shipping Report Form
- Pipe Shipping Submittal Form: Thermoplastic
- Producer Supplier Listing Form
- Recycle Binder Contribution v2.12
- Recycle Binder Contribution v2.20
- Section 1040, 1043 and 1044 Inclusion Certification Statement
- Section 1040, 1043 and 1044 Shipping Report Form
- Transfer Request of Inspected Material
[+/-] Civil Rights Related Forms and Posters
[+/-] DBE Forms
- DBE and non DBE Subcontractor Reporting Form
- DBE Change Form
- DBE Contractor/Subcontractor Project Trucker and Equipment List
- DBE Contractor/Subcontractor Project Trucker and Equipment List - Instructions
- DBE Identification Submittal Form (Excel)
- DBE Identification Submittal Form LPA (Excel)
- DBE Final Payment Form
- DBE Termination Form
[+/-] On the Job Training Forms
[+/-] Workforce Diversity Forms
[+/-] Federal Aid Job Site Posters
- Please refer to EPG 110.2 Federal-Aid Projects, Required Notices and Posters.
[+/-] State Aid Job Site Posters
- Please refer to EPG 110.2 Federal-Aid Projects, Required Notices and Posters.
[+/-] Permit Forms for Working on Right of Way
Quick Reference Guides (QRGs)
[+/-] AASHTOWare Project
- AWP QRG Revision Dates
- AWP CM AASHTOWARE Project Terminology
- AWP CM Certified Testers
- AWP CM Filters
- AWP CM Filters for Sample Records or Acceptance
- AWP CM Test Equipment
- AWP CO 1 Change Order Overview
- AWP CO 2 Change Order Adding New Item or Overrun/Underrun of Existing Items
- AWP CO 3 Change Order Time Extension
- AWP CO 4 Change Order Value Engineering
- AWP CO 5 Change Order, No Cost Contract Modification
- AWP CO 7 Change Order Approval
- AWP CO Change Order Codes
- AWP CO Change Order Reports
- AWP CO Commercially Useful Function (CUF) Review Date Entry
- Commercially Useful Function (CUF) Determination Form)
- AWP CO Construction Stockpiles
- AWP CO Contract Payment Estimate Exception Override
- AWP CO Contract Vendor Assets
- AWP CO Contract Adjustments
- AWP CO Contract Times
- AWP CO Daily Diary
- AWP CO Daily Diary Adjustments
- AWP CO Daily Work Report
- AWP CO Daily Work Report, Deleting DWR Postings and Acceptance Records
- AWP CO Disposition Remarks for PAL Material
- AWP CO Documentation Records
- AWP CO Emergency Contacts
- AWP CO Estimate
- AWP CO Estimate Final
- AWP CO Item Adjustments
- AWP CO Milestones
- AWP CO Signal Maintenance
- AWP CO SL District Reason Codes for Time Extension Change Orders
- AWP CO Subcontract
- AWP Guide for Creating QA Sample Records Using E20 Spreadsheets (Internal Use Only)
- AWP MA Adding Contract Lines For Acceptance Actions
- AWP MA Adding New Concrete Mix Design
- AWP MA Associating Material to Source
- AWP MA Checking For Unauthorized Sample Records
- AWP MA DEC Sample Record
- AWP MA Deleting materials From Acceptance
- AWP MA Editing Contract Acceptance Actions and Action Relationships
- AWP MA Generating Contract Sample Checklist
- AWP MA I.A.S. Lab Audit
- AWP MA PAL Plant Inspection Record
- AWP MA Regenerating Contract Lines for Original Materials and Acceptance Actions
- AWP MA Sample Record Acceptance By Certification
- AWP MA Sample Record Changing Material Code Source or Sample Type
- AWP MA Sample Record, General
- AWP MA Sample Record, General IAS Audit Record
- AWP MA Sampling and Testing Status Report
- AWP MA Using the Find Sample Function
- AWP QA Asphalt
[+/-] Digital Signatures
[+/-] Storm Water Database
- How to Fill Out Land Disturbance Inspection Record
- Land Disturbance Deficiencies
- Land Disturbance Storm Water Database Closeout Procedure
- Land Disturbance Storm Water Database Initial Setup for Construction Projects
- Land Disturbance Storm Water Database Initial Setup for Maintenance Projects
- Land Disturbance Storm Water Database 7-Day Reviews
- Storm Water Land Disturbance Erosion Reporting
Design
[+/-] Bridge
[+/-] Checklist
[+/-] Contracts
[+/-] Design
- 3R Conceptual Study Report
- 4R Pavement Rehabilitation Analysis Data and Conceptual Study Report
- Commission Backup Form Blank
- Commission Backup Form Instructions
- Conceptual Study Report
- Consultant Rating Form
- D-28 Sign Design Order Form
- Design Exception Information
- Equipment and Materials List
- Form 806.8.2, Project-Specific SWPPP Information
- Highway Lighting Warrants D21
- Location Study Report
- M-40 Request for Drilling Services
- Pavement Distress Log Form - Asphalt - 11x17
- Pavement Distress Log Form - Concrete 11x17
- Pavement Repair Log
- Preliminary Plans Proposal Review
- Project Data for BAMS
- Project Initialization Estimate Form
- Roadway Job Special Provision Formatting Guide
- Roadway Job Special Provision Instructions (MoDOT access only)
- Roadway Job Special Provision Template
- Submittal to Professional Services Committee
- Suggested Revision to a CADD Standard
- Test-Cultural Resource Assessment Letter
- Traffic Signal Warrants, Form D22
- Utility Print Submittal Letter
- Utility Print Submittal Letter, Revised Plans
- Work Day Study
[+/-] Environmental and Cultural
[+/-] Materials
[+/-] Planning
[+/-] Public Involvement
- Public Hearing Statement Form
- Sample Letter Advertising a Public Hearing
- Sample Notice 4F
- Sample Notice of Public Hearing
- Sample Opportunity for a Public Hearing/Meeting Notice
- Sample Public Involvement Plan or Communication Plan
- Sample Request for Approval of Location and/or Design of Highways to State Design Engineer
- Sample Request for Approval of Location to the Commission
- Sample Transcript
[+/-] Scoping
[+/-] Survey
Financial Services
[+/-] Financial Services Forms
Highway Safety & Traffic
[+/-] Highway Safety & Traffic Forms
Maintenance
[+/-] Bridge Maintenance
[+/-] Chip Seal Forms
[+/-] Commuter Lots
[+/-] Disasters
[+/-] Miscellaneous Forms
[+/-] Rest Areas
[+/-] Snow and Ice Control
Motor Carrier Services
[+/-] Bridge Maintenance
- Hazardous Waste Transport Forms
- Household Goods Transport Forms, Tariff Information, Moving in Missouri brochure
- International Fuel Tax Agreement Forms
- International Registration Plan Forms
- Missouri Operating Authority Forms
- Oversize Overweight Permitting Forms
- Missouri Intrastate Skill Performance Evaluation for Medical Exemption Forms
- Waste Tire Transporter Forms