|
0096
|
Out-of-State Applicant Affidavit of Certification |
Denise Cannon |
Office of Business Development |
11/10/15
|
|
0103E
|
Equal Opportunity Contract Compliance Data Form |
Denise Cannon |
Office of Business Development |
04/25/24
|
|
0103F
|
MDOT EEO Officer Notification |
Denise Cannon |
Office of Business Development |
02/15/17
|
|
0112
|
Title VI - Complaint Form |
Denise Cannon |
Office of Business Development |
03/11/24
|
|
0112A
|
Title VI Complaint - Arabic |
Denise Cannon |
Office of Business Development |
01/09/17
|
|
0112S
|
Formulario de Queja Titulo VI |
Denise Cannon |
Office of Business Development |
01/11/17
|
|
0113
|
Title VI Complaint Procedure & Investigation Guidelines |
Denise Cannon |
Office of Business Development |
07/13/17
|
|
0113A
|
Title VI Complaint Procedure & Investigation Guidelines - Arabic |
Denise Cannon |
Office of Business Development |
01/12/17
|
|
0113S
|
Procedimiento Para Levantar Una Queja Y Guia De Investigacion Por Titulo VI |
Denise Cannon |
Office of Business Development |
01/18/17
|
|
0125
|
Trainee Monthly Report, On-the-Job Training (OJT) Program |
Denise Cannon |
Office of Business Development |
03/16/16
|
|
0147
|
Work Classification Request |
Denise Cannon |
Office of Business Development |
12/08/15
|
|
0148
|
Work Experience Resume (Template) |
Denise Cannon |
Office of Business Development |
11/12/15
|
|
0156
|
DBE Educational/Training Program Application |
Denise Cannon |
Office of Business Development |
06/29/06
|
|
0156A
|
DBE Reimbursement Request |
Denise Cannon |
Office of Business Development |
06/29/06
|
|
0162
|
Consultant Services Program Application |
Denise Cannon |
Office of Business Development |
06/29/06
|
|
0163
|
Consultant Services Program Reimbursement Request |
Denise Cannon |
Office of Business Development |
06/29/06
|
|
0166A-Additional
|
DBE Certification Additional Information Required (Use if sending to MDOT) |
Denise Cannon |
Office of Business Development |
12/07/23
|
|
0167A
|
Disadvantaged Business Enterprise (DBE) - Annual Declaration of Eligibility (DOE) |
Denise Cannon |
Office of Business Development |
06/21/24
|
|
0168
|
MDOT Vendor Availability Questionnaire |
Denise Cannon |
Office of Business Development |
10/30/17
|
|
0170
|
DBE Program Association Membership Program |
Denise Cannon |
Office of Business Development |
06/29/06
|
|
0171
|
DBE Association Membership Reimbursement Request |
Denise Cannon |
Office of Business Development |
06/29/06
|
|
0172
|
DBE Program Subscription Services Program Application |
Denise Cannon |
Office of Business Development |
06/29/06
|
|
0173
|
DBE Program Subscription Services Reimbursement Request |
Denise Cannon |
Office of Business Development |
06/29/06
|
|
0179
|
Title VI Sub-Recipient Annual Certification Form |
Denise Cannon |
Office of Business Development |
10/15/19
|
|
0181
|
On-The-Job Training (OJT) Program Contractor Yearly Training Plan |
Denise Cannon |
Office of Business Development |
04/27/20
|
|
0182
|
Disadvantaged Business Enterprise (DBE) Participation (Service) |
Denise Cannon |
Office of Business Development |
01/25/23
|
|
0183
|
Application to Use Joint Checks |
Denise Cannon |
Office of Business Development |
03/03/08
|
|
0190
|
Request for On-the-Job Trainee Approval, On-the-Job Training (OJT) Program |
Denise Cannon |
Office of Business Development |
03/09/16
|
|
0191
|
On-The-Job Training (OJT) Program Trainee Interview Form |
Denise Cannon |
Office of Business Development |
06/30/20
|
|
0192
|
Petroleum Company Account(s) Information And Liquid Asphalt Cement Tractors and Trailers Information |
Denise Cannon |
Office of Business Development |
11/06/09
|
|
0193
|
Disadvantaged Business Enterprise (DBE) Supplier Participation Affidavit |
Denise Cannon |
Office of Business Development |
07/31/24
|
|
0194
|
Final Quantities of Liquid Asphalt Cement Supplied |
Denise Cannon |
Office of Business Development |
09/19/22
|
|
0196
|
Disadvantaged Business Enterprise (DBE) Removal/Substitution Request |
Denise Cannon |
Office of Business Development |
11/20/23
|
|
0197
|
Project Worker Interview Form |
Denise Cannon |
Office of Business Development |
05/30/23
|
|
0198
|
MDOT Complaint Consent/Release Form |
Denise Cannon |
Office of Business Development |
01/12/11
|
|
0203
|
Engineer's Estimate |
Angie Schwab |
Design Division |
02/28/01
|
|
0204
|
General Computation |
Mary Nurenberg |
BFS-Construction Field Services |
09/25/23
|
|
0205
|
Engineering Calculations |
Angie Schwab |
Design Division |
06/28/07
|
|
0222
|
Survey Notes Receipt & Transmittal |
Angie Schwab |
Design Division |
05/19/15
|
|
0222P
|
Photogrammetric Information: Receipts & Transmittal |
Angie Schwab |
Design Division |
02/02/09
|
|
0223
|
Utility Charge Estimate |
Stephen Albrecht |
DSD-Permits-Utility Coordination |
10/15/19
|
|
0226
|
Survey / Mapping Action Request |
Angie Schwab |
Design Division |
05/21/24
|
|
0258
|
Program Application for Local Agency Projects - Bridge Projects |
Damian Murchison |
DSD-Local Agency Program |
03/01/22
|
|
0259
|
Program Application for Local Agency Projects Transportation Alternative Funds Enhancement and Safe Routes to Schools |
Damian Murchison |
DSD-Local Agency Program |
03/01/22
|
|
0260
|
Program Application for Local Agency Projects - Road and Safety Projects |
Damian Murchison |
DSD-Local Agency Program |
03/01/22
|
|
0268
|
Project Cost Estimating Checklist |
Angie Schwab |
Design Division |
01/10/20
|
|
0291
|
Revision of Plans |
Angie Schwab |
Design Division |
09/25/24
|
|
0304
|
Proprietary Item Certification (PIC) and Public Interest Finding (PIF) |
Angie Schwab |
Design Division |
10/07/20
|
|
0333
|
Michigan Interstate Vertical Clearance |
Carol Casteel |
BOBS-Structure Design |
12/21/21
|
|
0343
|
Contractor Allocation Waiver Request, On-the-Job Training (OJT) Program |
Denise Cannon |
Office of Business Development |
04/29/16
|
|
0344
|
On-The-Job Training (OJT) Program - Trainee Warehouse Order Form |
Denise Cannon |
Office of Business Development |
11/10/19
|
0345
 |
Commercially Useful Function Issue Report |
Denise Cannon |
Office of Business Development |
10/24/19
|
|
0347
|
Training or Event Reimbursement, On-The-Job Training (OJT) Program |
Denise Cannon |
Office of Business Development |
05/19/16
|
|
0348
|
Mitigation Follow-up Summary Form for EA/EIS Project Contract |
Casandra Keip |
Environmental |
08/21/19
|
|
0349
|
Mitigation Follow-up Sign-Off Form for EA/EIS Project Contract |
Casandra Keip |
Environmental |
08/21/19
|
|
0363
|
Local Contracting Certification & Conditions for Local Contract Development & Administration |
Damian Murchison |
DSD-Local Agency Program |
02/21/13
|
|
0364
|
Proposal Certification |
Damian Murchison |
DSD-Local Agency Program |
02/21/13
|
|
0365
|
Request to Advertise |
Damian Murchison |
DSD-Local Agency Program |
02/14/13
|
|
0366
|
Certification of Contractor Selection & Request to Award |
Damian Murchison |
DSD-Local Agency Program |
02/21/13
|
|
0369
|
Local Agency Work Zone Safety & Mobility Determination Worksheet |
Damian Murchison |
DSD-Local Agency Program |
08/31/09
|
|
0370
|
ADA Statement of Accessibility Constraints |
Angie Schwab |
Design Division |
12/19/23
|
|
0372
|
FUSP Request Form |
Angie Schwab |
Design Division |
06/01/21
|
|
0376
|
Project Cost Reporting Certification form - Exhibit B |
Damian Murchison |
Development Services Division |
04/07/14
|
|
0377
|
Certification & Acceptance - Type 4 |
Angie Schwab |
Design Division |
07/08/14
|
|
0378
|
Request for Payment Form Exhibit-A Priority Roads Investment Program (PRIP) Fund Projects |
Damian Murchison |
Development Services Division |
03/13/20
|
|
0379
|
Project Cost Reporting & Certification Form Exhibit-B Priority Roads Investment Program (PRIP) Fund Projects |
Damian Murchison |
Development Services Division |
02/25/20
|
|
0380
|
Request for Payment Exhibit-A Local Agency Programs |
Damian Murchison |
DSD-Local Agency Program |
11/20/23
|
|
0381
|
Project Cost Reporting and Certification Exhibit-B Local Agency Programs |
Damian Murchison |
DSD-Local Agency Program |
08/04/22
|
|
0383
|
On The Job Training (OJT) Program - OJT Graduate Survey |
Denise Cannon |
Office of Business Development |
03/15/17
|
|
0384
|
Adopt-A-Highway Litter Pickup Report |
Diane Freeman |
BFS-Transportation Systems Management Operations |
01/31/20
|
|
0386
|
Heat Straightening Program General Information |
Carol Casteel |
BOBS-Structural Fabrication Unit |
03/14/23
|
|
0387
|
Heat Straightening Program Audit Checklist |
Carol Casteel |
BOBS-Structural Fabrication Unit |
10/19/20
|
|
0388
|
Heat Straightening Plan |
Carol Casteel |
BOBS-Structural Fabrication Unit |
11/22/24
|
|
0393
|
Drilled Shaft Concrete Volume Plot |
Carol Casteel |
BOBS-Geotechnical Services Section |
02/07/20
|
|
0394
|
AWS D1.1 Field Welding Plan |
Carol Casteel |
BOBS-Structural Fabrication Unit |
02/15/23
|
|
0395
|
AASHTO/AWS D1.5 - Field Welding Plan |
Carol Casteel |
BOBS-Structural Fabrication Unit |
02/22/23
|
|
0397
|
Work Zone Audit Report |
Mary Nurenberg |
BFS-Construction Field Services |
06/05/23
|
|
0410A
|
State Trunkline Maintenance Payroll Report |
Diane Freeman |
BFS-Transportation Systems Management Operations |
11/25/08
|
|
0411
|
State Trunkline Maintenance Materials Report |
Diane Freeman |
BFS-Transportation Systems Management Operations |
03/07/23
|
|
0412
|
State Trunkline Maintenance Equipment Report |
Diane Freeman |
BFS-Transportation Systems Management Operations |
11/25/08
|
|
0415
|
Highway Condition Report |
Diane Freeman |
BFS-Transportation Systems Management Operations |
11/14/00
|
|
0420
|
Summary of Maintenance Charges |
Diane Freeman |
BFS-Transportation Systems Management Operations |
11/03/23
|
|
0421
|
Trunkline Maintenance Expenditures |
Diane Freeman |
BFS-Transportation Systems Management Operations |
11/06/23
|
|
0426
|
Quotation Request for Services or Equipment |
Diane Freeman |
BFS-Transportation Systems Management Operations |
11/26/24
|
|
0428
|
Certificate of Insurance for State Hwy. Maint. Contract |
Diane Freeman |
BFS-Transportation Systems Management Operations |
02/01/01
|
|
0431
|
Maintenance Worker Work Experience Evaluation |
Diane Freeman |
BFS-Transportation Systems Management Operations |
03/20/23
|
|
0431A
|
Maintenance Work Element Program Progress Evaluation |
Diane Freeman |
BFS-Transportation Systems Management Operations |
03/13/23
|
|
0431B
|
Maintenance Work Element Program Exam Schedule |
Diane Freeman |
BFS-Transportation Systems Management Operations |
03/13/23
|
|
0431D
|
Maintenance Work Element Program Exam Request |
Diane Freeman |
BFS-Transportation Systems Management Operations |
06/30/02
|
|
0431E
|
Maintenance Work Element Program Revision Request |
Diane Freeman |
BFS-Transportation Systems Management Operations |
06/30/02
|
|
0437
|
Request for Maintenance Work Element Training |
Diane Freeman |
BFS-Transportation Systems Management Operations |
02/03/03
|
|
0437B
|
Maintenance Work Element Time Record |
Diane Freeman |
BFS-Transportation Systems Management Operations |
10/31/24
|
|
0437C
|
Maintenance Work Element Certification Request |
Diane Freeman |
BFS-Transportation Systems Management Operations |
03/09/06
|
|
0437F
|
Maintenance Work Element-Qualification Requirement Report |
Diane Freeman |
BFS-Transportation Systems Management Operations |
05/02/07
|
|
0443
|
Report of Department Property Damage |
Diane Freeman |
BFS-Transportation Systems Management Operations |
01/29/13
|
|
0452D
|
Winter Road Patrol Log |
Diane Freeman |
BFS-Transportation Systems Management Operations |
05/28/08
|
|
0455C
|
Report of Employee Benefit Cost (County Road Commission) |
Diane Freeman |
BFS-Transportation Systems Management Operations |
02/03/22
|
|
0455M
|
Report of Employee Benefit Costs for the Municipal Fiscal Year Ending ______ 20 __ |
Diane Freeman |
BFS-Transportation Systems Management Operations |
09/26/24
|
|
0461
|
County Equipment Questionnaire Expenses For Calendar Year |
Diane Freeman |
BFS-Transportation Systems Management Operations |
12/20/21
|
|
0471
|
Equipment Specifications & Rentals - Municipality |
Diane Freeman |
BFS-Transportation Systems Management Operations |
11/17/21
|
|
0476
|
Winter Material Usage Report |
Diane Freeman |
BFS-Transportation Systems Management Operations |
06/21/19
|
|
0483
|
State Trunkline Traffic Signal Materials Report |
Diane Freeman |
BFS-Transportation Systems Management Operations |
08/01/01
|
|
0489
|
Sign, Signal or Pavement Marking Job Report |
Diane Freeman |
BFS-Transportation Systems Management Operations |
10/01/17
|
|
0499
|
Electrical Devices Trouble Report |
Diane Freeman |
BFS-Transportation Systems Management Operations |
04/30/13
|
|
0500
|
Coring Request |
Mary Nurenberg |
BFS-Construction Field Services |
05/22/23
|
|
0501
|
Materials Source List |
Mary Nurenberg |
BFS-Construction Field Services |
06/07/23
|
|
0502
|
Pavement Core Record |
Mary Nurenberg |
BFS-Construction Field Services |
10/30/23
|
|
0503
|
Independent Assurance Concrete Tests |
Mary Nurenberg |
BFS-Construction Field Services |
01/02/24
|
|
0504
|
Independent Assurance Aggregate Tests |
Mary Nurenberg |
BFS-Construction Field Services |
01/24/24
|
|
0509
|
Independent Assurance Density Tests |
Mary Nurenberg |
BFS-Construction Field Services |
12/07/23
|
|
0511
|
Activity Report (Geoenvironmental Unit) |
Casandra Keip |
Environmental |
05/17/01
|
|
0513
|
Report of Strand Tensioning |
Carol Casteel |
BOBS-Structural Fabrication Unit |
10/21/20
|
|
0525
|
Context Sensitive Solutions for Multi-Use Non-Motorized Facility (MUNMF) IN MDOT Right-Of-Way |
Damian Murchison |
Development Services Division |
09/22/16
|
|
0525A
|
Context Sensitive Solutions for Alternative Use of Highway Right of Way |
Stephen Albrecht |
DSD-Permits-Construction |
09/02/21
|
|
0549
|
Radiological Safety Quality Assurance (RSQA) |
Mary Nurenberg |
BFS-Construction Field Services |
04/20/23
|
|
0552
|
Bond Coat Application - Inspector / Operators Checklist |
Mary Nurenberg |
BFS-Construction Field Services |
04/28/20
|
|
0553
|
Load Transfer Assembly Inspection Worksheet |
Mary Nurenberg |
BFS-Construction Field Services |
05/08/18
|
|
0556
|
HMA Crack Treatment Inspector Checklist |
Mary Nurenberg |
BFS-Construction Field Services |
09/17/24
|
|
0557
|
Chip Seal Construction Inspector Checklist |
Mary Nurenberg |
BFS-Construction Field Services |
02/15/24
|
|
0558
|
Request for Information |
Carol Casteel |
BOBS-Structural Fabrication Unit |
10/27/20
|
|
0559
|
Nonconformance Report |
Carol Casteel |
BOBS-Structural Fabrication Unit |
10/29/20
|
|
0560
|
Quality Assurance Nonconformance Report |
Carol Casteel |
BOBS-Structural Fabrication Unit |
10/27/20
|
|
0561
|
MDOT Lane Closure Notification/Request Form |
Mary Nurenberg |
BFS-Construction Field Services |
06/14/23
|
|
0562
|
Portable Nuclear Density Gauge - Incident Report Form |
Mary Nurenberg |
BFS-Construction Field Services |
04/20/23
|
|
0564
|
Worksheet for Sand Patch Test |
Mary Nurenberg |
BFS-Construction Field Services |
03/13/23
|
|
0566
|
Field Inspection Report |
Mary Nurenberg |
BFS-Construction Field Services |
09/27/04
|
|
0567
|
Concrete Surface Coating Warranty Inspection Form |
Mary Nurenberg |
BFS-Construction Field Services |
09/11/23
|
|
0568
|
Thin Epoxy Overlay for Bridge Deck Warrant Inspection Form |
Mary Nurenberg |
BFS-Construction Field Services |
09/11/23
|
|
0569
|
Work Zone Safety and Mobility Peer Review Team (PRT) Form |
Mary Nurenberg |
BFS-Construction Field Services |
10/30/20
|
|
0570
|
Bolt Verification Testing Checklist |
Carol Casteel |
BOBS-Bridge Construction |
03/02/22
|
|
0571
|
Welder Qualification Test Request |
Carol Casteel |
BOBS-Structural Fabrication Unit |
04/15/24
|
|
0572
|
Municipality Firm Unit Prices |
Diane Freeman |
BFS-Transportation Systems Management Operations |
03/13/24
|
|
0576
|
Mentor Protege Program Project for the Protege |
Denise Cannon |
Office of Business Development |
08/16/24
|
|
0577
|
Sole Source Justification |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
12/28/21
|
|
0579
|
Structure Foundation Inspection |
Carol Casteel |
BOBS-Geotechnical Services Section |
09/27/04
|
|
0580
|
Concrete Plant Equipment Inspection Report |
Mary Nurenberg |
BFS-Construction Field Services |
05/10/23
|
|
0580A
|
Concrete Plant Inspection |
Mary Nurenberg |
BFS-Construction Field Services |
05/30/23
|
|
0582B
|
Moisture & Density Determination - Nuclear Method |
Mary Nurenberg |
BFS-Construction Field Services |
10/26/23
|
|
0583
|
Record of Soils Recommendations |
Mary Nurenberg |
BFS-Construction Field Services |
06/22/04
|
|
0587
|
HMA Quality Assurance Plan |
Mary Nurenberg |
BFS-Construction Field Services |
10/08/19
|
|
0590
|
Field and Lab Test Report |
Carol Casteel |
BOBS-Structural Fabrication Unit |
10/27/20
|
|
0609
|
Application to Purchase MDOT Owned Railroad Property |
Damian Murchison |
DSD-Railroad |
04/30/08
|
|
0612
|
Appraisers Guide for Minimum Acceptable Requirements Pertaining to the Appraisal of Excess Property |
Damian Murchison |
DSD-Appraisal |
11/06/19
|
|
0612B
|
Certificate of Appraiser |
Damian Murchison |
DSD-Appraisal |
11/26/19
|
|
0612D
|
Restricted Appraisal Report for Non-Condemnation Related Valuation |
Damian Murchison |
DSD-Appraisal |
06/05/23
|
|
0612F
|
Excess Property Appraisal Checklist |
Damian Murchison |
DSD-Appraisal |
10/25/21
|
|
0612G
|
Comparable Information |
Damian Murchison |
DSD-Appraisal |
10/08/20
|
|
0621
|
Building Report |
Damian Murchison |
DSD-Acquisition |
12/18/06
|
|
0622
|
Fixture Appraisal Checklist |
Damian Murchison |
DSD-Appraisal |
11/14/19
|
|
0625B
|
Replacement Housing Determination |
Damian Murchison |
DSD-Relocation |
12/16/14
|
|
0625C
|
Replacement Rental Determination |
Damian Murchison |
DSD-Relocation |
12/16/14
|
|
0625D
|
Replacement Mobile Home Determination |
Damian Murchison |
DSD-Relocation |
12/16/14
|
|
0633
|
Requirements for Writing Appraisal Reports |
Damian Murchison |
DSD-Appraisal |
05/28/20
|
|
0633AR
|
Guidelines For Written Narrative Appraisal Review Analysis |
Damian Murchison |
DSD-Appraisal |
10/25/24
|
|
0633BC
|
Appraisal Review Report Summary |
Damian Murchison |
DSD-Appraisal |
11/14/19
|
|
0633C
|
Market Study Requirements and Guidelines |
Damian Murchison |
DSD-Appraisal |
12/07/21
|
|
0633E
|
Appraisal Checklist |
Damian Murchison |
DSD-Appraisal |
11/15/19
|
|
0633K
|
Certificate of Appraiser |
Damian Murchison |
DSD-Appraisal |
05/02/23
|
|
0633PP
|
Photo Page |
Damian Murchison |
Development Services Division |
06/01/20
|
|
0633Q
|
Request for Reconsideration of Valuation |
Damian Murchison |
DSD-Appraisal |
08/23/23
|
|
0633T
|
Application for Approval to Provide Real Estate Appraisal & Appraisal Review Services |
Damian Murchison |
DSD-Contracts |
11/30/14
|
|
0634
|
Rent Loss Agreement |
Damian Murchison |
DSD-Acquisition |
02/15/15
|
|
0637B
|
Quit Claim Deed (Restrictive Covenant) |
Damian Murchison |
DSD-Acquisition |
03/16/15
|
|
0640F
|
Consent to Obtain Soil Boring(s) |
Damian Murchison |
DSD-Acquisition |
03/16/15
|
|
0640G
|
Consent to Construct Temporary Drive |
Damian Murchison |
DSD-Acquisition |
02/16/15
|
|
0650
|
Unsecured Parcel Requirements |
Damian Murchison |
DSD-Acquisition |
02/16/15
|
|
0657
|
Replacement Dwelling Certification |
Damian Murchison |
DSD-Relocation |
12/16/14
|
|
0668
|
Rental Application |
Damian Murchison |
DSD-Property Management |
02/11/06
|
|
0669
|
Property Tax Information |
Damian Murchison |
DSD-Acquisition |
11/09/22
|
|
0728
|
Minor Construction Changes |
Damian Murchison |
DSD-Acquisition |
03/16/15
|
|
0734
|
Unsecured Parcel Transmittal |
Damian Murchison |
DSD-Acquisition |
03/16/15
|
|
0741A
|
Tax Proration Breakdown Schedule |
Damian Murchison |
DSD-Acquisition |
03/16/15
|
|
0749
|
Possession & Use Agreement |
Damian Murchison |
DSD-Acquisition |
02/16/15
|
|
0772
|
Application to Use MDOT Controlled Freight Railroad Property |
Tresa Beardslee |
Office of Rail |
12/19/22
|
|
0774
|
Tenant Certification of Total Gross Income |
Damian Murchison |
DSD-Relocation |
12/16/14
|
|
0802A
|
Airport Sponsor Reimbursement Request |
Karin Palmer |
Aeronautics |
05/22/23
|
|
0802NM
|
Local Agency Certification of Non-Monetary |
Jill Hubbard |
Financial Operations Division (FOD) |
12/28/16
|
|
0802NMP
|
Planning Agency Certification of Non-Monetary |
Michael Blackledge |
Contract Services Division |
06/06/17
|
|
0802P
|
Local Agency Request For Reimbursement |
Michael Blackledge |
Contract Services Division |
10/10/16
|
|
0802PL
|
Planning Agency Request for Reimbursement |
Michael Blackledge |
Contract Services Division |
06/07/17
|
|
0802Q
|
Railroad Request For Reimbursement |
Tresa Beardslee |
Office of Rail |
01/07/16
|
|
0828
|
Mentor Protege Application |
Denise Cannon |
Office of Business Development |
05/13/22
|
|
0831
|
Aviation Economic Benefit Worksheet |
Karin Palmer |
Aeronautics |
08/20/24
|
|
0838
|
Memorandum Job Report - Accounts Receivable |
Jill Hubbard |
Financial Operations Division (FOD) |
08/12/14
|
|
0848
|
Stores Receiving Report |
Jill Hubbard |
Financial Operations Division (FOD) |
10/02/17
|
|
0974
|
MDOT Welcome Center Vendor Information Updates Form |
Jill Hubbard |
Financial Operations Division (FOD) |
05/13/24
|
|
1013S
|
Inspector's Checklist for Inspection for Solar Boards |
Mary Nurenberg |
BFS-Construction Field Services |
11/15/23
|
|
1022N
|
New Materials Product Evaluation Request Form |
Mary Nurenberg |
BFS-Construction Field Services |
05/30/23
|
|
1022Q
|
Qualified Products Evaluation Request Form |
Mary Nurenberg |
BFS-Construction Field Services |
05/31/23
|
|
1029
|
Initial Acceptance for Pavement Warranty Work |
Mary Nurenberg |
BFS-Construction Field Services |
12/15/22
|
|
1029A
|
Initial Acceptance for Bridge Warranty Work |
Mary Nurenberg |
BFS-Construction Field Services |
10/17/17
|
|
1033-Byways
|
Pure MI Byways Planning Grant Activities |
Michele Klein |
Transportation Planning |
09/17/24
|
|
1033-RTF
|
Rural Task Force and Small Urban Program Assistance |
Michele Klein |
Transportation Planning |
09/17/24
|
|
1033-TPS
|
Transportation Planning Services |
Michele Klein |
Transportation Planning |
09/17/24
|
|
1034
|
Disadvantaged Business Enterprise (DBE) Program DBE Regular Dealer Inventory List |
Denise Cannon |
Office of Business Development |
08/14/24
|
|
1035
|
PAPI Angle Datasheet |
Karin Palmer |
Aeronautics |
11/26/24
|
|
1039
|
Interstate Certification Declaration of Eligibility (DOE) |
Denise Cannon |
Office of Business Development |
08/26/24
|
|
1042
|
Report of Ultrasonic Inspection |
Carol Casteel |
BOBS-Structural Fabrication Unit |
09/15/05
|
|
1043
|
Statewide Signs Job Request |
Carol Casteel |
BOBS-Structure Preservation and Management |
02/11/21
|
|
1046
|
CPM-HMA Crack Treatment Detailed Inspection |
Mary Nurenberg |
BFS-Construction Field Services |
08/10/23
|
|
1047
|
CPM-HMA Crack Treatment Cursory Inspection |
Mary Nurenberg |
BFS-Construction Field Services |
09/18/23
|
|
1100A
|
Extension of Contract Time-Request Number |
Mary Nurenberg |
BFS-Construction Field Services |
06/02/23
|
|
1100RR
|
RR - Recommendation and Authorization |
Tresa Beardslee |
Office of Rail |
07/16/24
|
|
1101
|
Force Account Statement |
Mary Nurenberg |
BFS-Construction Field Services |
04/18/17
|
|
1101A
|
Force Account - Daily Field Record |
Mary Nurenberg |
BFS-Construction Field Services |
10/20/00
|
|
1105
|
Final Estimate Submittal Form (Project Let Prior To October 5, 2018) |
Mary Nurenberg |
BFS-Construction Field Services |
08/16/18
|
|
1105A
|
Final Estimate Submittal Form |
Mary Nurenberg |
BFS-Construction Field Services |
12/20/23
|
|
1107
|
Daily Weight Record |
Mary Nurenberg |
BFS-Construction Field Services |
06/02/23
|
|
1107A
|
Weigh Tickets Storage Envelope (9 X 12 BrownKraft) |
Mary Nurenberg |
BFS-Construction Field Services |
09/27/04
|
|
1110
|
Project Engineer Evaluation (Confidential) |
Mary Nurenberg |
BFS-Construction Field Services |
03/01/00
|
|
1113A
|
Borrow Area Restoration Report |
Mary Nurenberg |
BFS-Construction Field Services |
05/01/00
|
|
1115
|
Concrete Pavement Warranty Cursory Inspection |
Mary Nurenberg |
BFS-Construction Field Services |
08/29/23
|
|
1116
|
Weekly Statement of Working Days Charged |
Mary Nurenberg |
BFS-Construction Field Services |
05/22/23
|
|
1117
|
Project Record Certification |
Mary Nurenberg |
BFS-Construction Field Services |
05/30/23
|
|
1119D
|
Damage Claim Notice |
Mary Nurenberg |
BFS-Construction Field Services |
08/24/22
|
|
1120
|
Final Inspection/Acceptance |
Mary Nurenberg |
BFS-Construction Field Services |
04/03/24
|
|
1122
|
On-the-Job Training (OJT) Program Trucking Tuition Voucher |
Denise Cannon |
Office of Business Development |
12/18/19
|
|
1122A
|
Inspector's Daily Record Of Contract Removal Items |
Mary Nurenberg |
BFS-Construction Field Services |
06/12/23
|
|
1122B
|
Inspector's Daily Report |
Mary Nurenberg |
BFS-Construction Field Services |
06/22/23
|
|
1122C
|
Inspector's Daily Report Worksheet |
Mary Nurenberg |
BFS-Construction Field Services |
06/07/23
|
|
1122C-2
|
Inspector's Daily Report Worksheet Continuation |
Mary Nurenberg |
BFS-Construction Field Services |
05/01/00
|
|
1122CA
|
Warranty Corrective Action Record |
Mary Nurenberg |
BFS-Construction Field Services |
06/01/22
|
|
1124
|
Earthwork Data Sheet |
Mary Nurenberg |
BFS-Construction Field Services |
05/01/00
|
|
1125
|
Permit to Place |
Mary Nurenberg |
BFS-Construction Field Services |
10/02/17
|
|
1126
|
National Pollutant Discharge Elimination System (NPDES) and Soil Erosion and Sedimentation Control (SESC) Inspection Report |
Mary Nurenberg |
BFS-Construction Field Services |
06/13/23
|
|
1130
|
Progress Schedule |
Mary Nurenberg |
BFS-Construction Field Services |
06/07/23
|
|
1130A
|
Progress Schedule - 2020 Spec Book |
Mary Nurenberg |
BFS-Construction Field Services |
04/04/24
|
|
1131
|
Bridge Decks Concrete Depth Measurements |
Carol Casteel |
BOBS-Bridge Construction |
11/04/15
|
|
1134
|
Superpave & Hot Mix Asphalt (First Cursory Inspection) |
Mary Nurenberg |
BFS-Construction Field Services |
07/24/23
|
|
1134A
|
Superpave & Hot Mix Asphalt (Second Cursory Inspection) |
Mary Nurenberg |
BFS-Construction Field Services |
07/24/23
|
|
1134C
|
Superpave & Hot Mix Asphalt (Detailed Inspection) |
Mary Nurenberg |
BFS-Construction Field Services |
07/24/23
|
|
1137
|
Work Order |
Mary Nurenberg |
BFS-Construction Field Services |
11/27/24
|
|
1138
|
Bridge Reinforcing Computations |
Carol Casteel |
BOBS-Bridge Construction |
09/08/20
|
|
1143
|
Testing Earth Grade With Compactor |
Mary Nurenberg |
BFS-Construction Field Services |
05/01/00
|
|
1145
|
Grade Check |
Mary Nurenberg |
BFS-Construction Field Services |
01/31/11
|
|
1147
|
Final Estimate Review Summary |
Mary Nurenberg |
BFS-Construction Field Services |
07/23/23
|
|
1155
|
Weekly Summary of Cert. Concrete/Comm. Central-Transit Mix |
Mary Nurenberg |
BFS-Construction Field Services |
10/17/17
|
|
1156-T1
|
Minimum Wage Rate Interview Sheet Tier 1 |
Mary Nurenberg |
BFS-Construction Field Services |
07/18/23
|
|
1156-T2
|
Minimum Wage Rate Interview Sheet Tier 2 |
Mary Nurenberg |
BFS-Construction Field Services |
08/06/23
|
|
1157
|
Test Pile Record |
Carol Casteel |
BOBS-Geotechnical Services Section |
02/07/20
|
|
1157L
|
Test Pile Record, LRFD |
Carol Casteel |
BOBS-Geotechnical Services Section |
02/13/20
|
|
1160
|
Report of Modulus Of Rupture |
Mary Nurenberg |
BFS-Construction Field Services |
09/27/04
|
|
1160A
|
Concrete Cylinder/Core Compression Test Results |
Mary Nurenberg |
BFS-Construction Field Services |
06/08/23
|
|
1161
|
Foundation Piling Record |
Carol Casteel |
BOBS-Geotechnical Services Section |
02/07/20
|
|
1161L
|
Foundation Piling Record, LRFD |
Carol Casteel |
BOBS-Geotechnical Services Section |
02/07/20
|
|
1165
|
Notice of Non-Compliance with Contract Requirements |
Mary Nurenberg |
BFS-Construction Field Services |
10/23/23
|
|
1167B
|
Field Evaluation of Warranty Performance Chip Seal CPM 2001 |
Mary Nurenberg |
BFS-Construction Field Services |
09/11/23
|
|
1174
|
Concrete Proportioning Plant Report |
Mary Nurenberg |
BFS-Construction Field Services |
06/27/05
|
|
1174R
|
Inspector's Report of Concrete Placed - Roadway |
Mary Nurenberg |
BFS-Construction Field Services |
08/22/12
|
|
1174S
|
Inspector's Report of concrete Placed - Structure |
Carol Casteel |
BOBS-Bridge Construction |
03/28/14
|
|
1178
|
Transfer of Tested Materials Report |
Mary Nurenberg |
BFS-Construction Field Services |
05/24/23
|
|
1182W
|
Contractor Performance Evaluation - Warranty |
Mary Nurenberg |
BFS-Construction Field Services |
08/16/10
|
|
1184
|
CPM-HMA overlay & ColdMill and HMA Overlay (Cursory Inspection) |
Mary Nurenberg |
BFS-Construction Field Services |
08/10/23
|
|
1190
|
Structure - Clearance Measurements |
Carol Casteel |
BOBS-Structure Preservation and Management |
07/09/18
|
|
1193A
|
CPM-HMA Overlay & ColdMill and HMA Overlay Detailed Inspection (Longitudinal Cracking/Open Joint) |
Mary Nurenberg |
BFS-Construction Field Services |
08/10/23
|
|
1193B
|
CPM-HMA Overlay & ColdMill and HMA Overlay Detailed Inspection (Debonding) |
Mary Nurenberg |
BFS-Construction Field Services |
08/10/23
|
|
1193C
|
CPM-HMA Overlay & ColdMill and HMA Overlay Detailed Inspection (Raveling) |
Mary Nurenberg |
BFS-Construction Field Services |
08/10/23
|
|
1193D
|
CPM-HMA Overlay & ColdMill and HMA Overlay Detailed Inspection (Flushing) |
Mary Nurenberg |
BFS-Construction Field Services |
08/10/23
|
|
1193E
|
CPM-HMA Overlay & ColdMill and HMA Overlay Detailed Inspection (Rutting) |
Mary Nurenberg |
BFS-Construction Field Services |
08/10/23
|
|
1198
|
Volume Sheet |
Mary Nurenberg |
BFS-Construction Field Services |
05/01/00
|
|
1237
|
Utility Invoice |
Chris Cousineau |
Accounting Service Center |
10/02/17
|
|
1238
|
Supplement to Procurement Card Application |
Michael Blackledge |
Contract Services Division |
08/22/22
|
|
1242
|
Consultant Prequalification Application |
Michael Blackledge |
Contract Services Division |
04/10/24
|
|
1300EZ
|
Statement of Current Contracts and Subcontracts |
Michael Blackledge |
Contract Services Division |
12/19/19
|
|
1302-FED
|
Subcontract-FED - For Projects Awarded Prior to October 23, 2023 |
Mary Nurenberg |
BFS-Construction Field Services |
06/08/23
|
|
1302-FED-2
|
Subcontract-FED-2 - For Projects Awarded After October 23, 2023 |
Mary Nurenberg |
BFS-Construction Field Services |
10/18/23
|
|
1302-FED-M
|
Subcontract-FED-M - For use with Four Tiers of Subcontracting |
Mary Nurenberg |
BFS-Construction Field Services |
11/13/23
|
|
1302-State
|
Subcontract- State |
Mary Nurenberg |
BFS-Construction Field Services |
06/08/23
|
|
1304A
|
Certificate of Insurance for Construction & Reconstruction Reconstruction of Michigan Department of Transportation Highway/Aeronautics Projects |
Michael Blackledge |
Contract Services Division |
04/08/20
|
|
1309
|
Account Receivable Verification |
Michael Blackledge |
Contract Services Division |
04/06/22
|
|
1310
|
Bank Statement Verification |
Michael Blackledge |
Contract Services Division |
04/06/22
|
|
1313
|
Confidential Construction Prequalification Application |
Michael Blackledge |
Contract Services Division |
08/16/24
|
|
1313B
|
Straight Line Depreciation Schedule |
Michael Blackledge |
Contract Services Division |
08/01/88
|
|
1313EZ
|
Confidential Construction Prequalification Renewal Application |
Michael Blackledge |
Contract Services Division |
08/16/24
|
|
1314
|
Notice of Lien Claim |
Michael Blackledge |
Contract Services Division |
09/10/15
|
|
1366
|
Contractor's Affidavit of Indebtedness |
Michael Blackledge |
Contract Services Division |
06/08/23
|
|
1367
|
Consent of Surety for Payment To Contractor |
Michael Blackledge |
Contract Services Division |
06/08/23
|
|
1381
|
Request for Eligibility to Bid |
Michael Blackledge |
Contract Services Division |
11/07/19
|
|
1386
|
Post Certification of Subcontract Compliance |
Mary Nurenberg |
BFS-Construction Field Services |
03/15/23
|
|
1391
|
Federal-Aid Highway Construction Contractors Annual EEO Report |
Denise Cannon |
Office of Business Development |
08/03/23
|
|
1391-Online
|
Instructions for Completing The 1391 Annual Employment Report - Online Submission |
Denise Cannon |
Office of Business Development |
08/03/23
|
|
1391-Paper
|
Instructions for Completing the 1391 Annual Employment Report - Paper Submission |
Denise Cannon |
Office of Business Development |
08/03/23
|
|
1396
|
Request to Add or Update Vendor in CTRAK |
Michael Blackledge |
Contract Services Division |
10/19/15
|
|
1397
|
Construction Joint Ventures Requests |
Michael Blackledge |
Contract Services Division |
10/21/19
|
|
1397W
|
Notice of Withdrawal from Joint Venture |
Michael Blackledge |
Contract Services Division |
10/21/19
|
|
1401
|
Application for Approval for Variance from Standard Clearance Per MCL362.339 |
Tresa Beardslee |
Office of Rail |
03/02/21
|
|
1401A
|
Inspection Report Variance From Standard Clearance |
Tresa Beardslee |
Office of Rail |
02/28/11
|
|
1413
|
Freight Economic Development Application Rail Customer Infrastructure Assistance |
Tresa Beardslee |
Office of Rail |
09/24/24
|
|
1425
|
Notification of Proposed Project Involving a Public Railroad Crossing |
Tresa Beardslee |
Office of Rail |
10/05/20
|
|
1431
|
Affidavit of Completed Ordered Work |
Tresa Beardslee |
Office of Rail |
05/07/21
|
|
1432
|
Request for an Inspection Regarding Alleged Unsafe Working Conditions |
Tresa Beardslee |
Office of Rail |
10/20/22
|
|
1433
|
Request for Close Clearance Inspection |
Tresa Beardslee |
Office of Rail |
06/02/20
|
|
1434
|
Train-Vehicle Fatality Initial Statutory Review |
Tresa Beardslee |
Office of Rail |
02/23/23
|
|
1435
|
School Bus Driver's Report of Railroad Crossing Concern |
Tresa Beardslee |
Office of Rail |
12/07/23
|
|
1436
|
Close Clearance/Alleged Unsafe Working Conditions Affidavit of Completed Ordered Work |
Tresa Beardslee |
Office of Rail |
02/23/23
|
|
1437
|
Alleged Unsafe Working Conditions Inspection Form |
Tresa Beardslee |
Office of Rail |
10/19/22
|
|
1444
|
Request Long-Term Use MDOT'S Accelerated Rail Corridor |
Tresa Beardslee |
Office of Rail |
11/29/22
|
|
1447
|
Mechanically Stabilized Earth Retaining Wall System Checklist |
Carol Casteel |
BOBS-Geotechnical Services Section |
06/19/17
|
|
1448
|
Drilled Shaft Excavation/Concrete Placement for Bridges |
Carol Casteel |
BOBS-Geotechnical Services Section |
07/19/23
|
|
1449
|
Work Zone Enforcement Agreement with Michigan State Police and MDOT |
Mary Nurenberg |
BFS-Construction Field Services |
08/08/24
|
|
1450
|
Frangible Light Standard Installation Inspection Report |
Carol Casteel |
BOBS-Structure Preservation and Management |
06/24/24
|
|
1451
|
Non-Frangible Light Standard Installation Inspection Report |
Carol Casteel |
BOBS-Structure Preservation and Management |
06/12/24
|
|
1452
|
Truss, Type C & D Installation Inspection Report |
Carol Casteel |
BOBS-Structure Preservation and Management |
07/03/24
|
|
1453
|
Truss, Type E Installation Inspection Report |
Carol Casteel |
BOBS-Structure Preservation and Management |
07/03/24
|
|
1454
|
Cantilever, Type E Installation Inspection Report |
Carol Casteel |
BOBS-Structure Preservation and Management |
07/03/24
|
|
1455
|
Cantilever, Type J Installation Inspection Report |
Carol Casteel |
BOBS-Structure Preservation and Management |
07/03/24
|
|
1456
|
Mast Arm, Cat I, II, & III Installation Inspection Report |
Carol Casteel |
BOBS-Structure Preservation and Management |
07/03/24
|
|
1456A
|
Steel Strain Pole Installation Inspection Report |
Carol Casteel |
BOBS-Structure Preservation and Management |
07/29/24
|
|
1457
|
DMS Support Structure Installation Inspection Report |
Carol Casteel |
BOBS-Structure Preservation and Management |
07/08/24
|
|
1458
|
Tower Lighting Unit Installation Inspection Report |
Carol Casteel |
BOBS-Structure Preservation and Management |
07/03/24
|
|
1458A
|
ESS Tower Installation Inspection Report |
Carol Casteel |
BOBS-Structure Preservation and Management |
09/17/24
|
|
1459
|
Structure Installation Inspection Request |
Carol Casteel |
BOBS-Structure Preservation and Management |
10/04/24
|
|
1465
|
Special Event Sponsor Certification |
Karin Palmer |
Aeronautics |
01/23/24
|
|
1466
|
Materials Source List |
Karin Palmer |
Aeronautics |
01/11/19
|
|
1467
|
Contractor's Daily Report Worksheet |
Karin Palmer |
Aeronautics |
01/11/19
|
|
1468
|
Systems Engineering Review Form (SERF) |
Diane Freeman |
BFS-Transportation Systems Management Operations |
10/13/21
|
|
1469
|
Exhibit 1 Consultant Selection - Advertisement Review Checklist |
Karin Palmer |
Aeronautics |
10/21/20
|
|
1469A
|
Guidelines for Installation and Maintenance of Small Cell Wireless Facilities (SCWF) on State Trunkline Highways |
Stephen Albrecht |
DSD-Permits-Construction |
03/21/19
|
|
1469B
|
Special Conditions for Installation and Maintenance of Small Cell Wireless Facilities (SCWF) on State Trunkline Highways |
Stephen Albrecht |
DSD-Permits-Construction |
03/14/19
|
|
1481
|
Transit Project Data Sheet for TIP |
Blayne Mitchell |
Passenger Transportation |
03/14/24
|
|
1482
|
Transit Agency Procurement Policy |
Blayne Mitchell |
Passenger Transportation |
07/10/19
|
|
1483
|
Request and Agreement to Shift Billboard Viewing Cone |
Stephen Albrecht |
DSD-Permits-Construction |
11/04/20
|
|
1483A
|
Request for Billboard Vegetation Management (BVM) Reconsideration |
Stephen Albrecht |
DSD-Permits-Construction |
08/09/24
|
|
1485
|
Nonmotorized Traffic Survey Request |
Michele Klein |
Transportation Planning |
12/13/22
|
|
1487
|
Michigan Maritime & Port Facility Assistance Grant Program Application |
Michele Klein |
Transportation Planning |
03/19/24
|
|
1500D
|
Solid State Traffic Signal Timing Permit, Advanced Timing Parameters Form, Preemption Information Form |
Diane Freeman |
BFS-Transportation Systems Management Operations |
07/30/20
|
|
1501
|
General Application for Guide Signing |
Diane Freeman |
BFS-Transportation Systems Management Operations |
12/15/22
|
|
1515B
|
Transp. Work Authorization Inspection/Completion Report |
Angie Schwab |
Design Division |
03/08/22
|
|
1515all
|
Transp. Work Authorization Inspection/Completion Report |
Stacy Whetstone |
Grand Region |
04/20/22
|
|
1516
|
Radio Survey Form |
Angie Schwab |
Design Division |
07/27/05
|
|
1518
|
Advisory Curve Speed Study |
Diane Freeman |
BFS-Transportation Systems Management Operations |
08/05/08
|
|
1519
|
Travel Expense Voucher - Michigan Traffic Safety Summit |
Diane Freeman |
BFS-Transportation Systems Management Operations |
04/17/24
|
|
1531
|
Electrical Devices Installation Completion Date |
Diane Freeman |
BFS-Transportation Systems Management Operations |
11/02/02
|
|
1568
|
Approval for Project Staging or Excess Material Locations on MDOT ROW |
Mary Nurenberg |
BFS-Construction Field Services |
05/16/23
|
|
1573
|
Michigan Airport Directory - Order Form |
Karin Palmer |
Aeronautics |
11/06/23
|
|
1574
|
Professional Services Agreement Approval |
Karin Palmer |
Aeronautics |
03/09/21
|
|
1575
|
Michigan Aircraft Registration Transfer Form |
Karin Palmer |
Aeronautics |
12/20/23
|
|
1578
|
Professional Engineering Service Cost Analysis |
Karin Palmer |
Aeronautics |
02/22/21
|
|
1579
|
State Local Program Application |
Karin Palmer |
Aeronautics |
10/23/24
|
|
1585
|
Pavement Marking Material Verification Checklist |
Diane Freeman |
BFS-Transportation Systems Management Operations |
06/13/23
|
|
1591
|
FY 20__ Project Summary -Ferry Boat Formula Program |
Blayne Mitchell |
Passenger Transportation |
12/17/20
|
|
1618
|
Rural Task Force Monthly Progress Report |
Michele Klein |
Transportation Planning |
01/04/19
|
|
1619
|
Local Rural Road / Transit Agency CMAQ Project Application |
Michele Klein |
Transportation Planning |
06/23/21
|
|
1627
|
Local Agency Programs Safety Project Submittal Form |
Damian Murchison |
DSD-Local Agency Program |
05/31/16
|
|
1630
|
Stakeholder Engagement Plan |
Angie Schwab |
Design Division |
12/04/13
|
|
1730
|
Traffic Analysis Request (TAR) |
Michele Klein |
Transportation Planning |
08/05/20
|
|
1776
|
Traffic Survey Request |
Michele Klein |
Transportation Planning |
08/04/23
|
|
1784
|
State Infrastructure Bank Initial Project Application |
Wendy Kraynak |
Office of Economic Development |
02/14/24
|
|
1797
|
Rural Task Force Transit Project Data Sheet Transit Job |
Blayne Mitchell |
Passenger Transportation |
09/26/24
|
|
1799
|
Rural Task Force Data Sheet Road Job |
Michele Klein |
Transportation Planning |
11/14/24
|
|
1799A
|
LAP Special Funding Programming Data Sheet |
Damian Murchison |
DSD-Local Agency Program |
11/29/23
|
|
1802
|
Bridge Painting Performance Warranty |
Mary Nurenberg |
BFS-Construction Field Services |
08/28/23
|
|
1806
|
Theoretical Max. Spec. Gravity - Bituminous Paving Mixtures |
Mary Nurenberg |
BFS-Construction Field Services |
07/24/01
|
|
1813
|
Submitted Mix Design Summary Sheet |
Mary Nurenberg |
BFS-Construction Field Services |
02/14/06
|
|
1820
|
Contractor's Bituminous Mix Design Communications |
Mary Nurenberg |
BFS-Construction Field Services |
02/05/15
|
|
1822
|
Marshall Mix Design Worksheet |
Mary Nurenberg |
BFS-Construction Field Services |
05/01/00
|
|
1829
|
Testing of Bituminous Mixtures (Calcualtion Worksheet) |
Mary Nurenberg |
BFS-Construction Field Services |
08/30/02
|
|
1831
|
JPCP/JRCP (Second Cursory Inspection - Worst Segments) |
Mary Nurenberg |
BFS-Construction Field Services |
09/11/23
|
|
1839
|
Testing of Bituminous Mixtures (Vacuum Worksheet) |
Mary Nurenberg |
BFS-Construction Field Services |
09/30/02
|
|
1842
|
Independent Assurance |
Mary Nurenberg |
BFS-Construction Field Services |
01/24/24
|
|
1843
|
Independent Assurance HMA Tests |
Mary Nurenberg |
BFS-Construction Field Services |
10/16/19
|
|
1849
|
Marshall Mix Design Checklist |
Mary Nurenberg |
BFS-Construction Field Services |
02/05/15
|
|
1850
|
Fine Aggregate Angularity NAA Procedure Method A ASTM C 1252 |
Mary Nurenberg |
BFS-Construction Field Services |
07/25/01
|
|
1851
|
Gyratory Conpacted Bulk Specific Gravity Worksheet |
Mary Nurenberg |
BFS-Construction Field Services |
03/21/08
|
|
1852
|
Coarse Aggregate Crush Content One & Two Face Crush |
Mary Nurenberg |
BFS-Construction Field Services |
07/31/01
|
|
1855
|
Contractor's Superpave Bituminous Mix Design Communication |
Mary Nurenberg |
BFS-Construction Field Services |
02/15/15
|
|
1858
|
Submitted Superpave Mix Design Summary Sheet |
Mary Nurenberg |
BFS-Construction Field Services |
03/21/08
|
|
1859
|
Coarse Aggregate Gravity |
Mary Nurenberg |
BFS-Construction Field Services |
03/01/00
|
|
1860
|
Fine Aggregate Gravity |
Mary Nurenberg |
BFS-Construction Field Services |
03/01/00
|
|
1862
|
Superpave Mix Design Checklist |
Mary Nurenberg |
BFS-Construction Field Services |
02/05/15
|
|
1867
|
Hot Mix Asphalt Certification Inspection Checklist |
Mary Nurenberg |
BFS-Construction Field Services |
09/04/02
|
|
1878
|
Testing of Bituminous Mixtures |
Mary Nurenberg |
BFS-Construction Field Services |
01/26/04
|
|
1879
|
RAP Stockpile Summary Data Sheet |
Mary Nurenberg |
BFS-Construction Field Services |
06/06/02
|
|
1881
|
Concrete Deck Overlay Material Workmanship Warranty |
Mary Nurenberg |
BFS-Construction Field Services |
03/30/02
|
|
1882
|
Modular Expansion Joint System |
Mary Nurenberg |
BFS-Construction Field Services |
03/30/02
|
|
1884
|
JPCP/JRCP (First Cursory Inspection) |
Mary Nurenberg |
BFS-Construction Field Services |
09/11/23
|
|
1885
|
JPCP/JRCP (Detail Inspection - Questionable Segments) |
Mary Nurenberg |
BFS-Construction Field Services |
09/11/23
|
|
1890
|
Special Feature Bridge Inspection Report |
Carol Casteel |
BOBS-Structure Preservation and Management |
04/14/03
|
|
1893
|
CPM - Microsurfacing (Cursory Inspection) Field Evaluation of Warranty Performance |
Mary Nurenberg |
BFS-Construction Field Services |
08/10/23
|
|
1894
|
CPM - Microsurfacing Worksheet, Field Evaluation of Warranty Performance |
Mary Nurenberg |
BFS-Construction Field Services |
08/10/23
|
|
1895
|
Hot Mix Asphalt Dispute Resolution Communication Sheet |
Mary Nurenberg |
BFS-Construction Field Services |
04/10/10
|
|
1900
|
Aggregate Inspection Daily Report |
Mary Nurenberg |
BFS-Construction Field Services |
04/26/23
|
|
1901
|
Mechanical Analysis Report |
Mary Nurenberg |
BFS-Construction Field Services |
05/11/23
|
|
1903
|
Daily Report of Bituminous Plant Inspection |
Mary Nurenberg |
BFS-Construction Field Services |
06/22/23
|
|
1903B
|
Report of Quality Assurance Testing |
Mary Nurenberg |
BFS-Construction Field Services |
08/12/24
|
|
1903C
|
Daily Report of Contractor's Quality Control Tests |
Mary Nurenberg |
BFS-Construction Field Services |
07/17/23
|
|
1905
|
Testing of Bituminous Mixtures (Centrifuge Worksheet) |
Mary Nurenberg |
BFS-Construction Field Services |
08/30/02
|
|
1907
|
MDOT Report of Compacted HMA Core Density & Percent Compaction |
Mary Nurenberg |
BFS-Construction Field Services |
10/18/23
|
|
1907J
|
Report of Compacted Longitudinal Joint Core Density & Percent Compaction |
Mary Nurenberg |
BFS-Construction Field Services |
11/07/23
|
|
1911
|
Job Mix Formula (JMF) HMA Field Communication |
Mary Nurenberg |
BFS-Construction Field Services |
08/12/24
|
|
1912
|
Testing of Bituminous Mixtures Ignition Furnace Worksheet |
Mary Nurenberg |
BFS-Construction Field Services |
08/30/02
|
|
1920
|
Field Report for Concrete Pipe |
Mary Nurenberg |
BFS-Construction Field Services |
05/24/23
|
|
1920A
|
Field Report For Precast Drainage Items |
Mary Nurenberg |
BFS-Construction Field Services |
08/28/23
|
|
1923
|
Sample Identification |
Mary Nurenberg |
BFS-Construction Field Services |
05/20/13
|
|
1923B
|
Sample Identification (Bituminous Materials) |
Mary Nurenberg |
BFS-Construction Field Services |
09/20/23
|
|
1927
|
Mechanical Anchoring System Proof Test |
Carol Casteel |
BOBS-Bridge Construction |
01/26/15
|
|
1928
|
Adhesive Anchoring System Proof Test |
Carol Casteel |
BOBS-Structural Fabrication Unit |
01/26/15
|
|
1934
|
Daily Bituminous Plant & Street Communication Worksheet |
Mary Nurenberg |
BFS-Construction Field Services |
05/01/00
|
|
1937
|
Tensile Strength Ratio (TSR) Worksheet |
Mary Nurenberg |
BFS-Construction Field Services |
08/09/04
|
|
1940
|
Soil Erosion and Sedimentation Control (SESC) Quality Assurance Review Checklist-Project Delivery |
Mary Nurenberg |
BFS-Construction Field Services |
09/17/24
|
|
1941
|
Inspector's Daily Report for Bridge Painting |
Carol Casteel |
BOBS-Bridge Construction |
05/10/05
|
|
1942
|
Fabrication Inspection File Checklist |
Carol Casteel |
BOBS-Structural Fabrication Unit |
01/24/23
|
|
1944
|
Bid Requests Fax Transmission |
Mary Nurenberg |
BFS-Construction Field Services |
10/02/17
|
|
1945
|
Report of Test |
Mary Nurenberg |
BFS-Construction Field Services |
05/24/23
|
|
1946
|
CPM-HMA Ultra-Thin Overlay (Worksheet) |
Mary Nurenberg |
BFS-Construction Field Services |
08/28/23
|
|
1947
|
CPM-HMA Ultra-Thin Overlay (Cursory Inspection) |
Mary Nurenberg |
BFS-Construction Field Services |
08/28/23
|
|
1948
|
CPM-Paver Placed Surface Seal (Cursory Inspection) |
Mary Nurenberg |
BFS-Construction Field Services |
08/10/23
|
|
1949
|
CPM - Paver Placed Surface Seal (Worksheets) |
Mary Nurenberg |
BFS-Construction Field Services |
08/10/23
|
|
1951
|
Prevailing Wage Claim Form |
Mary Nurenberg |
BFS-Construction Field Services |
07/11/23
|
|
1953
|
Claim Content and Certification |
Mary Nurenberg |
BFS-Construction Field Services |
01/31/08
|
|
1954
|
Certified Payroll Status Log |
Mary Nurenberg |
BFS-Construction Field Services |
07/22/09
|
|
1956
|
LRFD Pile and Driving Equipment Data |
Carol Casteel |
BOBS-Geotechnical Services Section |
02/10/20
|
|
1959
|
Technical Report Documentation Page |
Mary Nurenberg |
BFS-Construction Field Services |
10/08/08
|
|
1960
|
Checklist for Constructability Review Project Development Phase |
Angie Schwab |
Design Division |
10/08/20
|
|
1961
|
Checklist for Constructability Review Early Project Scoping |
Angie Schwab |
Design Division |
03/24/20
|
|
1962
|
Value Engineering Change Proposal |
Mary Nurenberg |
BFS-Construction Field Services |
08/12/22
|
|
1963
|
Interim Project File Review |
Mary Nurenberg |
BFS-Construction Field Services |
07/11/23
|
|
1964
|
Local Agency Project Field Review |
Mary Nurenberg |
BFS-Construction Field Services |
05/30/23
|
|
1965
|
Prevailing Wage Quality Assurance Review Checklist |
Mary Nurenberg |
BFS-Construction Field Services |
04/19/23
|
|
1967
|
Jobsite Poster Inspection Checklist |
Mary Nurenberg |
BFS-Construction Field Services |
06/06/23
|
|
1968
|
Sewage Disposal System Events Claim Information |
Casandra Keip |
Environmental |
11/06/24
|
|
1969
|
Engineer Certification and Final Project Reviews Contract and Related Documents Checklist |
Mary Nurenberg |
BFS-Construction Field Services |
04/08/19
|
|
1970
|
Engineer Certification and Final Project Reviews Construction Item/IDR Checklist |
Mary Nurenberg |
BFS-Construction Field Services |
01/24/19
|
|
1971
|
Engineer Certification and Final Project Reviews - HMA Items Checklist |
Mary Nurenberg |
BFS-Construction Field Services |
02/04/19
|
|
1972
|
Engineer Certification and Final Project Reviews - Material Review Checklist |
Mary Nurenberg |
BFS-Construction Field Services |
04/28/20
|
|
1973
|
Engineer Certification and Final Project Reviews -Concrete Items Review Checklist |
Mary Nurenberg |
BFS-Construction Field Services |
02/04/19
|
|
1976
|
Job Mix Formula (JMF) Concrete Field Communication |
Mary Nurenberg |
BFS-Construction Field Services |
06/27/24
|
|
1978
|
Proposed Ride Quality Excluded Areas |
Mary Nurenberg |
BFS-Construction Field Services |
09/14/11
|
|
1981
|
Repair Observation Report |
Diane Freeman |
BOBS-Structural Fabrication Unit |
10/27/20
|
|
1985
|
Bar Reinforcement Report |
Carol Casteel |
BOBS-Structural Fabrication Unit |
10/30/20
|
|
1988-20
|
Drilled Shaft Inspection Record for Ancillary Freeway Structures, Highway Signs, Luminaires, and Traffic Signal Foundations |
Carol Casteel |
BOBS-Geotechnical Services Section |
04/11/22
|
|
1989
|
Micropile Installation Record |
Carol Casteel |
BOBS-Geotechnical Services Section |
03/13/24
|
|
1990
|
Cofferdam Installation, Piling Placement, and Tremie Pour Inspector's Checklist |
Carol Casteel |
BOBS-Geotechnical Services Section |
02/26/13
|
|
1994
|
Stake Request Form |
Mary Nurenberg |
BFS-Construction Field Services |
06/02/23
|
|
1995
|
Work Zone Monitoring Report Form |
Mary Nurenberg |
BFS-Construction Field Services |
04/29/13
|
|
1997
|
Air Meter Calibration Sheets |
Mary Nurenberg |
BFS-Construction Field Services |
04/10/13
|
|
1997D
|
Air Meter Calibration Sheets |
Mary Nurenberg |
BFS-Construction Field Services |
04/10/13
|
|
1999
|
Concrete Field Cylinders Test Results |
Mary Nurenberg |
BFS-Construction Field Services |
12/18/23
|
|
2000
|
Mix Design Review Checklist |
Mary Nurenberg |
BFS-Construction Field Services |
05/08/19
|
|
2001
|
Fabrication Inspection File Checklist |
Carol Casteel |
BOBS-Structural Fabrication Unit |
04/07/21
|
|
2008A
|
Request for Change in the Major Street System |
Michele Klein |
Transportation Planning |
10/29/24
|
|
2008B
|
Additions and Deletions to City or Village Local Street System |
Michele Klein |
Transportation Planning |
10/29/24
|
|
2008D
|
Request for Change in County Primary Road System |
Michele Klein |
Transportation Planning |
10/29/24
|
|
2008E
|
Additions and Deletions to County Local Road Systems |
Michele Klein |
Transportation Planning |
10/29/24
|
|
2012
|
Resolution for Designation of Street Administration |
Jill Hubbard |
FOD-Act 51 |
08/20/19
|
|
2044
|
Engineering Reimbursement |
Jill Hubbard |
FOD-Act 51 |
05/08/24
|
|
2047
|
Project Agreement Checklist |
Damian Murchison |
Development Services Division |
09/22/22
|
|
2066
|
Alternate Overnight Parking Request |
Jill Hubbard |
Financial Operations Division (FOD) |
04/18/18
|
|
2067
|
Annual Certification of Employee-related Conditions - County Road Agency |
Jill Hubbard |
FOD-Act 51 |
08/16/19
|
|
2068
|
Annual Certification of Employee-related Conditions - City or Village |
Jill Hubbard |
FOD-Act 51 |
08/16/19
|
|
2072
|
Application for Extension of Time to Complete Ordered Work Issued by the Michigan Department of Transportation Office of Rail, Rail Safety Section |
Tresa Beardslee |
Office of Rail |
07/07/21
|
|
2073
|
Railroad Contact Form |
Tresa Beardslee |
Office of Rail |
05/01/23
|
|
2074
|
MDOT Office of Railroad Authority Contact Form |
Tresa Beardslee |
Office of Rail |
05/01/23
|
|
2075
|
Notice of Trespassing Railroad Property |
Tresa Beardslee |
Office of Rail |
02/23/23
|
|
2075A
|
Notice of Trespassing |
Tresa Beardslee |
Office of Rail |
02/28/23
|
|
2076
|
Notice of Encroachment |
Tresa Beardslee |
Office of Rail |
07/31/23
|
|
2077
|
Owned and Leased Fleet Equipment for DBE Credit |
Denise Cannon |
Office of Business Development |
02/27/18
|
|
2078
|
On-The-Job Training (OJT) Program - Dependent Child Care Reimbursement |
Denise Cannon |
Office of Business Development |
12/05/19
|
|
2079
|
ADA Complaint Form |
Denise Cannon |
Office of Business Development |
10/17/17
|
|
2080
|
ADA Complaint Appeal Form Request |
Denise Cannon |
Office of Business Development |
10/17/17
|
|
2081
|
MDOT Bridge Painting Project Office Checklist |
Carol Casteel |
BOBS-Bridge Construction |
07/25/17
|
|
2082
|
MDOT Bridge Deck Construction Inspection Checklist |
Carol Casteel |
BOBS-Bridge Construction |
09/27/24
|
|
2083
|
MDOT Bridge Deck Overlay Construction Inspection Checklist |
Carol Casteel |
BOBS-Bridge Construction |
06/28/17
|
|
2084
|
Stop Work Order - Notice of Violation |
Tresa Beardslee |
Office of Rail |
02/27/23
|
|
2085A
|
Guidelines for Establishing a Golf Cart Connector Routes (GCCR) on State Trunkline Highways |
Stephen Albrecht |
DSD-Permits-Construction |
04/25/19
|
|
2085B
|
Special Conditions for Golf Cart Connector Routes (GCCR) on State Trunkline Highways |
Stephen Albrecht |
DSD-Permits-Construction |
04/25/19
|
|
2122
|
MDOT Digital Signature Certificate Request Form |
Jessica Hughes |
Enterprise Information Management |
01/31/23
|
|
2124A
|
Prime Contractor Bi-Weekly Statement of Subcontractor/Supplier Payments |
Mary Nurenberg |
BFS-Construction Field Services |
03/16/22
|
|
2142
|
Category B: Community Service Infrastructure Fund Application |
Wendy Kraynak |
Office of Economic Development |
06/04/24
|
|
2169
|
Use of Photo Release |
Pamela Pung |
Communications |
05/20/20
|
|
2200
|
Adopt A Highway Individual App. for Use of State Trunkline |
Diane Freeman |
BFS-Transportation Systems Management Operations |
12/15/08
|
|
2205-1
|
General Conditions and Supplemental Specifications |
Stephen Albrecht |
DSD-Permits-Construction |
08/23/21
|
|
2207A
|
Performance and Indemnification Commitment |
Stephen Albrecht |
DSD-Permits-Construction |
10/12/11
|
|
2207B
|
Performance Resolution for Municipalities |
Stephen Albrecht |
DSD-Permits-Construction |
05/17/21
|
|
2207C
|
Performance & Imdemnification Resolution For Public School Districts |
Stephen Albrecht |
DSD-Permits-Construction |
10/12/11
|
|
2207D
|
Performance Resolution for Tribal Governments |
Stephen Albrecht |
DSD-Permits-Construction |
10/12/11
|
|
2207E
|
Performance Resolution for Universities or Colleges |
Stephen Albrecht |
DSD-Permits-Construction |
10/12/11
|
|
2207F
|
Resolution to Request Authorization to Adopt An Off Road Vehicle Ordinance |
Stephen Albrecht |
DSD-Permits-Construction |
08/11/14
|
|
2207G
|
Collateral Assignment of Certificate of Deposit |
Stephen Albrecht |
DSD-Permits-Construction |
03/10/16
|
|
2209
|
Certificate of Agency |
Stephen Albrecht |
DSD-Permits-Construction |
01/15/03
|
|
2213
|
Permit Inspection Report |
Stephen Albrecht |
DSD-Permits-Construction |
02/20/09
|
|
2223G
|
Notice of Violation- Billboards |
Stephen Albrecht |
DSD-Permits-Construction |
09/28/23
|
|
2225
|
Michigan Rail Enhancement Grant Program |
Tresa Beardslee |
Office of Rail |
12/22/22
|
|
2235
|
Construction Permit Fee Schedule |
Stephen Albrecht |
DSD-Permits-Construction |
10/02/14
|
|
2240
|
Special Conditions For Tree Removal, Tree Trimming & Herbicide Application |
Stephen Albrecht |
DSD-Permits-Construction |
09/17/14
|
|
2241
|
Permit To Establish, Expand And/Or Maintain A Junkyard |
Stephen Albrecht |
DSD-Permits-Construction |
06/23/08
|
|
2242
|
Environmental Review |
Stephen Albrecht |
DSD-Permits-Construction |
06/05/17
|
|
2243
|
Standard Condtions For Serving Refreshments In Rest Areas On Non-Holidays |
Stephen Albrecht |
DSD-Permits-Construction |
09/23/02
|
|
2251
|
Special Conditions For Seismic Explorations |
Stephen Albrecht |
DSD-Permits-Construction |
12/19/07
|
|
2252
|
Special Conditions For Discharge Of Treated Effluent |
Stephen Albrecht |
DSD-Permits-Construction |
05/10/05
|
|
2253
|
Special Conditions For Monitoring Wells |
Stephen Albrecht |
DSD-Permits-Construction |
06/01/99
|
|
2254
|
Special Conditions For Private Utility-Type Facilities Transverse Crossings |
Stephen Albrecht |
DSD-Permits-Construction |
06/01/99
|
|
2255
|
Application for Approval to Provide Real Estate Acquisition & Relocation Services |
Damian Murchison |
DSD-Contracts |
10/30/98
|
|
2271
|
Water Meter Letter |
Damian Murchison |
DSD-Acquisition |
09/21/20
|
|
2279
|
Special Conditions for Mowing and Brush Cutting |
Stephen Albrecht |
DSD-Permits-Construction |
05/18/16
|
|
2280
|
Trunkline Usage Review Sheet |
Stephen Albrecht |
DSD-Permits-Construction |
08/03/07
|
|
2286
|
Utilities Status Report |
Stephen Albrecht |
DSD-Permits-Utility Coordination |
06/27/17
|
|
2289
|
Consent to Access Highway via Joint Driveway System |
Stephen Albrecht |
DSD-Permits-Construction |
02/09/24
|
|
2292
|
Special Conditions For Closure
of a State Highway By Local
Governmental Agency |
Stephen Albrecht |
DSD-Permits-Construction |
06/13/23
|
|
2410
|
Protective Maintenance Use Permit |
Damian Murchison |
DSD-Property Management |
05/03/06
|
|
2411
|
Technician's Work Sheet |
Damian Murchison |
DSD-Technical |
05/08/02
|
|
2432
|
Special Conditions for Traffic Signal Installation |
Stephen Albrecht |
DSD-Permits-Construction |
02/17/05
|
|
2433
|
Special Conditions for Sidewalk Cafe Permits |
Stephen Albrecht |
DSD-Permits-Construction |
05/05/05
|
|
2445
|
Non-Residential Building Rental Agreement |
Damian Murchison |
DSD-Property Management |
04/30/08
|
|
2446
|
Residential Building Rental Agreement |
Damian Murchison |
DSD-Property Management |
04/30/08
|
|
2457
|
Special Conditions for Wild Flower Seed Collection |
Stephen Albrecht |
DSD-Permits-Construction |
03/31/06
|
|
2458
|
Special Conditions for Distribution of Travel Related Information |
Stephen Albrecht |
DSD-Permits-Construction |
03/31/06
|
|
2459
|
Special Conditions for Harvesting Hay |
Stephen Albrecht |
DSD-Permits-Construction |
03/30/09
|
|
2464
|
L-CAR/MITRIP Construction Restriction Request |
Stephen Albrecht |
DSD-Permits-Transport |
10/26/23
|
|
2465
|
Route Survey Certification |
Stephen Albrecht |
DSD-Permits-Transport |
05/14/19
|
|
2475
|
Special Conditions For Alternative Environmental Cleanup Methods |
Stephen Albrecht |
DSD-Permits-Construction |
01/30/02
|
|
2480
|
Letter Requesting Utility Information at Base Plan Stage |
Stephen Albrecht |
DSD-Permits-Utility Coordination |
06/13/23
|
|
2481
|
Letter to Public/Private Utilities at Preliminary Plan Stage |
Stephen Albrecht |
DSD-Permits-Utility Coordination |
06/13/23
|
|
2482
|
Letter to Municipal Utilities at Preliminary Plan Stage |
Stephen Albrecht |
DSD-Permits-Utility Coordination |
06/13/23
|
|
2483
|
Preliminary Planning/Scoping Letter |
Stephen Albrecht |
DSD-Permits-Utility Coordination |
04/07/21
|
|
2484
|
Drainage Design Checklist for Accessing State Trunklines |
Stephen Albrecht |
DSD-Permits-Construction |
11/01/22
|
|
2486
|
Environmental Requirements For Activities within MDOT Right Of Way |
Stephen Albrecht |
DSD-Permits-Construction |
03/28/14
|
|
2488
|
Reimbursable Utility Relocation Submittal Requirements |
Stephen Albrecht |
DSD-Permits-Utility Coordination |
10/01/19
|
|
2490
|
License Agreement for Private Use of Operational Right of Way |
Stephen Albrecht |
DSD-Permits-Construction |
05/08/18
|
|
2491
|
Guidelines for Issuing Permits for Litter Pickup by Organizations |
Stephen Albrecht |
DSD-Permits-Construction |
07/01/99
|
|
2492
|
Non-Holiday Coffee Break Permit Application Return Letter |
Stephen Albrecht |
DSD-Permits-Construction |
06/13/23
|
|
2493
|
Certificate of Compliance - Non-Holiday Rest Area Coffee Break Permit |
Stephen Albrecht |
DSD-Permits-Construction |
07/01/99
|
|
2494
|
Non-Profit Requirements for Serving Refreshments in Rest Areas on Non-Holidays |
Stephen Albrecht |
DSD-Permits-Construction |
07/01/99
|
|
2499
|
Special Conditions For Structures Over State Highways |
Stephen Albrecht |
DSD-Permits-Construction |
08/01/05
|
|
2524
|
Motor Vehicle Service and Repair Record |
Diane Freeman |
BFS-Transportation Systems Management Operations |
01/05/23
|
|
2560
|
Regional ITS Architecture Conformance and Maintenance Documentation Form |
Diane Freeman |
BFS-Transportation Systems Management Operations |
10/16/12
|
|
2606
|
Small Urban Program - Road Project Application |
Michele Klein |
Transportation Planning |
01/18/22
|
|
2608
|
Cost Module for Projects with Multiple Forms or for Custom Protocols |
Michele Klein |
Transportation Planning |
11/09/18
|
|
2609
|
Intersection Improvements (at One Approach Only) |
Michele Klein |
Transportation Planning |
10/13/13
|
|
2610
|
Intersection Improvement: Improvements are on Adjacent Approaches of Intersection |
Michele Klein |
Transportation Planning |
10/13/13
|
|
2611
|
Intersection Improvement: Improvements are on Opposite Approaches of Intersection |
Michele Klein |
Transportation Planning |
10/13/13
|
|
2612
|
Intelligent Transportation System (ITS) Development - General Approach |
Michele Klein |
Transportation Planning |
11/09/18
|
|
2613
|
Park and Ride Lot Development/Expansion |
Michele Klein |
Transportation Planning |
11/09/18
|
|
2614
|
Rideshare Promotion: Standard Program |
Michele Klein |
Transportation Planning |
10/13/13
|
|
2615
|
Ridesharing Promotion: Enhanced Program Including Telecommuting and Flexible Work Hours |
Michele Klein |
Transportation Planning |
10/13/13
|
|
2616
|
Traffic Monitoring Progression Improvements Automated (ATMS) |
Michele Klein |
Transportation Planning |
11/09/18
|
|
2617
|
Traffic Signal Interconnection, Modernization and/or Optimization |
Michele Klein |
Transportation Planning |
10/13/13
|
|
2618
|
Bus Purchase |
Michele Klein |
Transportation Planning |
10/13/13
|
|
2619
|
Travel Demand Management Program (TDM) |
Michele Klein |
Transportation Planning |
11/09/18
|
|
2620
|
Operation of New Public Transportation Service |
Michele Klein |
Transportation Planning |
06/23/23
|
|
2621
|
Construct Non-Motorized Pathway |
Michele Klein |
Transportation Planning |
11/09/18
|
|
2622
|
Signal Timing Revisions at One Location |
Michele Klein |
Transportation Planning |
10/13/13
|
|
2623
|
Diesel Engine Retrofits (Using Verified Technologies) |
Michele Klein |
Transportation Planning |
10/13/13
|
|
2638
|
MDOT Small Urban Program Transit Project Application |
Michele Klein |
Transportation Planning |
11/10/21
|
|
2639
|
Request for Temporary Employment Services |
Michael Blackledge |
Contract Services Division |
08/22/22
|
|
2640
|
HMA Sample Qualification |
Mary Nurenberg |
BFS-Construction Field Services |
09/20/23
|
|
2641
|
Quality Control Lab/Source Inspection Checklist |
Mary Nurenberg |
BFS-Construction Field Services |
11/17/22
|
|
2642
|
Dispute Review Board (DRB) Agreement |
Mary Nurenberg |
BFS-Construction Field Services |
12/21/22
|
|
2643
|
CRRSAA Reimbursement Form |
Karin Palmer |
Aeronautics |
12/21/21
|
|
2644
|
CRRSAA Concessions Reimbursement Form |
Karin Palmer |
Aeronautics |
12/21/21
|
|
2648
|
Payment, P-Card, and Purchasing Violation Report |
Michael Blackledge |
Contract Services Division |
02/25/22
|
|
2649
|
Contractor Withdrawal of Bid |
Michael Blackledge |
Contract Services Division |
01/10/22
|
|
2650
|
Post Construction Stormwater Treatment Maximum Extent Practicable (MEP) Statement of Constraints |
Casandra Keip |
Environmental |
10/01/24
|
|
2653
|
Contractor Good Faith Efforts |
Michael Blackledge |
Contract Services Division |
11/28/23
|
|
2653D
|
Detail Page for DBE Subcontractors |
Michael Blackledge |
Contract Services Division |
11/28/23
|
|
2653I
|
Form 2653 Contractor Good Faith Efforts - Instructions |
Michael Blackledge |
Contract Services Division |
01/16/24
|
|
2654
|
State of Michigan Request for Quote |
Michael Blackledge |
Contract Services Division |
03/20/20
|
|
2655
|
Request for Quote Worksheet |
Michael Blackledge |
Contract Services Division |
11/25/19
|
|
2658
|
Sign Language Interpreting Request Form |
Denise Cannon |
Office of Business Development |
02/24/21
|
|
2660
|
Local Agency Programs Conflict of Interest Self-Certification Form |
Damian Murchison |
DSD-Local Agency Program |
03/26/20
|
|
2661
|
MiTRIP Vehicle Configuration Data Reference Sheet |
Damian Murchison |
DSD-Administration |
05/28/20
|
|
2662
|
Donation in Exchange for Construction Features or Services |
Damian Murchison |
DSD-Acquisition |
02/05/21
|
|
2663
|
Option Agreement Wetland Property |
Damian Murchison |
DSD-Acquisition |
05/12/20
|
|
2664
|
Local Agency Programs Project Certification Form |
Damian Murchison |
DSD-Local Agency Program |
02/24/22
|
|
2665
|
Local Agency Programs Pre-Award Self-Compliance Checklist |
Damian Murchison |
DSD-Local Agency Program |
01/24/23
|
|
2666
|
Attestation for Disposal of Real Property Interests and ROW Agreements |
Damian Murchison |
DSD-Local Agency Program |
11/21/22
|
|
2703
|
MDOT Inventory Usage Report |
Jill Hubbard |
Financial Operations Division (FOD) |
02/02/21
|
|
2744-CLR
|
Claris Application Access Request |
Diane Freeman |
BFS-Transportation Systems Management Operations |
06/24/24
|
|
2744-ITS
|
ITS Asset Management Database Access Request Form |
Diane Freeman |
BFS-Transportation Systems Management Operations |
06/24/24
|
|
2744-MGS
|
MDOT Grant System (MGS) Access Request Form |
Wendy Kraynak |
Office of Economic Development |
05/12/23
|
|
2744-MUCP
|
Michigan Unified Certification Program (MUCP) Application Access Request |
Denise Cannon |
Office of Business Development |
05/06/22
|
|
2744-SWAD
|
Application Access Request - SWAD Database |
Mary Nurenberg |
BFS-Construction Field Services |
07/21/22
|
|
2744-TFM
|
TERRA Form Manager Application Access Request |
Diane Freeman |
BFS-Construction Field Services |
06/24/24
|
|
2744E
|
Application Access Request |
Diane Freeman |
BFS-Transportation Systems Management Operations |
05/24/23
|
|
2744F
|
CSCS Application Access Request |
Diane Freeman |
BFS-Transportation Systems Management Operations |
11/13/23
|
|
2744G
|
SIGAM TAMS/VUEWorks Application Access Request |
Diane Freeman |
BFS-Transportation Systems Management Operations |
09/11/23
|
|
2796
|
Training Cancellation Policy Computerized Office Technician and Computerized Office Technician - Recertification Courses Training |
Bertha Chester |
Office of Organizational Development (OOD) |
12/13/21
|
|
2797
|
Standard Pay Item Creation, Modification, Deletion Request Form |
Angie Schwab |
Design Division |
11/21/24
|
|
2912
|
Exception Risk Analysis |
Angie Schwab |
Design Division |
01/22/21
|
|
2913
|
Plan Review Material Submittal Order |
Angie Schwab |
Design Division |
08/18/11
|
|
2916
|
Addition of Vehicle |
Blayne Mitchell |
Passenger Transportation-Bus and Limo |
08/04/22
|
|
2917
|
Excess Real Property Inventory and Utilization Plan |
Blayne Mitchell |
Passenger Transportation |
12/12/12
|
|
2920
|
External Access Request Form |
Michael Blackledge |
Contract Services Division |
11/12/15
|
|
2920PL
|
External Access Request Form |
Michael Blackledge |
Contract Services Division |
11/10/16
|
|
2922
|
Technician Evaluation Record |
Mary Nurenberg |
BFS-Construction Field Services |
09/28/20
|
|
2923
|
Internal Laboratory Audit Checklist |
Mary Nurenberg |
BFS-Construction Field Services |
10/01/20
|
|
2925
|
Right-of-Way Scoping - Parcel Appraisal Problem Field Checklist |
Damian Murchison |
DSD-Appraisal |
04/14/22
|
|
2926-23
|
Federal Aid Buyout Program Exchange Request - FY 2023 |
Michele Klein |
Transportation Planning |
12/13/22
|
|
2926-24
|
Federal Aid Buyout Program Exchange Request - FY 2024 |
Michele Klein |
Transportation Planning |
11/07/22
|
|
2926-25
|
Federal Aid Buyout Program Exchange Request - FY 2025 |
Michele Klein |
Transportation Planning |
11/06/23
|
|
2927
|
MDOT Construction Prequalification 60-Day Extension Request |
Michael Blackledge |
Contract Services Division |
05/15/24
|
|
2930
|
Federal Aid Buyout Program Project Completion Report Form |
Michele Klein |
Transportation Planning |
05/21/24
|
|
3035
|
FY 20__ Vehicle Inventory for Section 5311 Tribal Application |
Blayne Mitchell |
Passenger Transportation |
08/01/24
|
|
3043
|
Request for Voluntary Revocation of Certificate of Authority |
Blayne Mitchell |
Passenger Transportation-Bus and Limo |
05/10/22
|
|
3052
|
Michigan Rail Loan Assistance Program (MRLAP) Application |
Tresa Beardslee |
Office of Rail |
09/02/20
|
|
3062
|
FY 20__ Vehicle Inventory |
Blayne Mitchell |
Passenger Transportation |
09/26/24
|
|
3067
|
FY 20__ Title VI Information |
Blayne Mitchell |
Passenger Transportation |
11/06/17
|
|
3069
|
FY 20__ Section 5310/New Freedom General Information Form |
Blayne Mitchell |
Passenger Transportation |
03/15/21
|
|
3072
|
FY20__ Section 5304 Program Application |
Blayne Mitchell |
Passenger Transportation |
10/04/23
|
|
3076
|
FY 20__ Contract Clauses Certification |
Blayne Mitchell |
Passenger Transportation |
08/23/21
|
|
3079
|
FY 20_ FTA Certifications and Assurances |
Blayne Mitchell |
Passenger Transportation |
09/13/22
|
|
3084
|
FY 20__ State Certifications and Assurances |
Blayne Mitchell |
Passenger Transportation |
05/25/22
|
|
3087
|
Name Change Request |
Blayne Mitchell |
Passenger Transportation-Bus and Limo |
08/08/22
|
|
3088
|
Deletion of Vehicle |
Blayne Mitchell |
Passenger Transportation-Bus and Limo |
01/23/23
|
|
3089
|
Address Change Request |
Blayne Mitchell |
Passenger Transportation-Bus and Limo |
05/09/22
|
|
3093
|
FY 20__ 5333(b) Labor Warranty |
Blayne Mitchell |
Passenger Transportation |
08/11/22
|
|
3127
|
FY 20__ Section 5310 Coordinated Public Transit-Human Services Transportation Plan Information |
Blayne Mitchell |
Passenger Transportation |
10/06/20
|
|
3128
|
FY 20__ Section 5310 Application |
Blayne Mitchell |
Passenger Transportation |
10/27/17
|
|
3129
|
FY 20__ Section 5310 Capital Budget |
Blayne Mitchell |
Passenger Transportation |
10/30/17
|
|
3134B
|
Box Culvert |
Angie Schwab |
Design Division |
10/13/23
|
|
3134C
|
Circular Culvert |
Angie Schwab |
Design Division |
10/19/23
|
|
3134E
|
Elliptical Culvert |
Angie Schwab |
Design Division |
10/18/23
|
|
3134P
|
Pipe Arch Culvert |
Angie Schwab |
Design Division |
10/18/23
|
|
3134S
|
Slab Culvert |
Angie Schwab |
Design Division |
10/18/23
|
|
3136
|
FY 20__ Section 5310 Budget Data Form |
Blayne Mitchell |
Passenger Transportation |
11/02/17
|
|
3138
|
Method of Procurement Decision Matrix |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
10/12/23
|
|
3139
|
Certification of Compliance with Federal Contract Clauses |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
04/10/23
|
|
3140
|
Written Record of Procurement History Checklist |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
04/12/23
|
|
3141
|
Fair and Reasonable Price Determination |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
07/16/24
|
|
3142
|
Independent Cost Estimate |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
06/24/22
|
|
3143
|
Quotations |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
04/13/23
|
|
3144
|
Fewer Than Three Offers Received Evaluation |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
01/27/20
|
|
3145
|
Price Analysis |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
07/20/23
|
|
3146
|
Cost Analysis |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
07/22/22
|
|
3147
|
Responsibility Determination |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
03/25/19
|
|
3148
|
Advertisement and Solicitation |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
04/04/19
|
|
3149
|
Bid Opening |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
07/29/21
|
|
3150
|
Proposal Tabulation |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
04/17/23
|
|
3151
|
Welcome Center Event Application and Permit |
Charlotte Sacker |
North Region |
02/21/12
|
|
3151A
|
Standard Process for Approving Events at Welcome Centers |
Charlotte Sacker |
North Region |
02/21/12
|
|
3151C
|
Standard Conditions for holding events at Welcome Centers |
Charlotte Sacker |
North Region |
02/21/12
|
|
3152
|
FY 20__ Project Summary - Tribal Program (Section 5311) |
Blayne Mitchell |
Passenger Transportation |
08/05/24
|
|
3156
|
FY 20__ Certification of Local Match for Section 5311 Tribal Program Application |
Blayne Mitchell |
Passenger Transportation |
11/02/17
|
|
3157
|
FY 20__ Tribal Program - Operating Budget Data Form |
Blayne Mitchell |
Passenger Transportation |
11/16/17
|
|
3159
|
Price Analysis for State Vehicle Purchasing Program Purchases |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
03/23/18
|
|
3160
|
A & E More Than $250,000 |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
08/19/24
|
|
3161A
|
All Federal Clauses |
Blayne Mitchell |
Passenger Transportation |
10/28/14
|
|
3162A
|
Construction Less Than $250,000 |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
01/18/24
|
|
3163
|
Construction More Than $250,000 |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
01/18/24
|
|
3164
|
Materials and Supplies Less than $250,000 |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
01/17/24
|
|
3165
|
Materials and Supplies More Than $250,000 |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
01/17/24
|
|
3166
|
Operations and Management Less Than $250,000 |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
05/13/24
|
|
3167
|
Operations and Management More Than $250,000 |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
04/23/24
|
|
3168
|
A & E Less Than $250,000 |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
08/19/24
|
|
3169
|
Professional Services Less Than $250,000 |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
06/21/24
|
|
3170
|
Professional Services More Than $250,000 |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
06/21/24
|
|
3171
|
FY__Intercity Service Development Project Proposal (Operating) |
Blayne Mitchell |
Passenger Transportation |
11/14/23
|
|
3174
|
MDOT Review of Procurements |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
11/14/24
|
|
3175
|
FY 20__ ADA Complaint Information |
Blayne Mitchell |
Passenger Transportation |
08/17/22
|
|
3177
|
Local Purchase Vehicle Verification |
Blayne Mitchell |
Passenger Transportation-Project Verification |
07/30/20
|
|
3178
|
Facility Project Information |
Blayne Mitchell |
Passenger Transportation-Project Verification |
12/20/22
|
|
3179
|
Vehicle Replacement and Milestone Information |
Blayne Mitchell |
Passenger Transportation-Project Verification |
02/23/22
|
|
3180
|
Equipment Project Information |
Blayne Mitchell |
Passenger Transportation-Project Verification |
05/13/21
|
|
3182
|
Procurement Guidelines-For Grantees Receiving Federal Transit Funds and/or State Funds Via MDOT |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
10/01/24
|
|
3184
|
Application for Authority-Motor Bus |
Blayne Mitchell |
Passenger Transportation-Bus and Limo |
08/14/22
|
|
3186
|
SDNT Review Sheet |
Blayne Mitchell |
Passenger Transportation |
06/21/17
|
|
3187
|
Pre-award Purchaser's Requirements Certification |
Blayne Mitchell |
Passenger Transportation |
09/27/24
|
|
3188
|
Post-delivery Purchaser's Requirements Certification |
Blayne Mitchell |
Passenger Transportation |
09/24/24
|
|
3189
|
Post-delivery FMVSS Compliance Certification |
Blayne Mitchell |
Passenger Transportation |
09/24/24
|
|
3190
|
Public Notice - Applicant Name Proposed State and Federal Application for Operating and/or Capital Assistance |
Blayne Mitchell |
Passenger Transportation |
10/19/22
|
|
3194
|
Project Wise Payment Form |
Blayne Mitchell |
Passenger Transportation |
07/09/24
|
|
3197
|
Transportation Alternatives Program and Safe Routes to School Program |
Wendy Kraynak |
Office of Economic Development |
09/19/19
|
|
3201
|
MiTRIP Name Change Request |
Damian Murchison |
DSD-Administration |
07/25/24
|
|
3202
|
Budget Adjustment |
Blayne Mitchell |
Passenger Transportation |
08/15/24
|
|
3203
|
Chemical Storage Facility Replacement Program Application |
Diane Freeman |
BFS-Transportation Systems Management Operations |
11/25/24
|
|
3273
|
MDOT Review of Payment/Compliance |
Blayne Mitchell |
Passenger Transportation |
07/30/24
|
|
3274
|
FY 20__ Service Initiatives Application |
Blayne Mitchell |
Passenger Transportation |
11/28/23
|
|
3304
|
MDOT Partial Tuition Reimbursement |
Bertha Chester |
Office of Organizational Development (OOD) |
02/25/22
|
|
3536
|
Compliance Certification Form for LAP Projects with Federal Aid Highway Program (FAHP) Funding |
Damian Murchison |
DSD-Local Agency Program |
06/14/23
|
|
3568
|
New Vehicle Delivery & Inspection Form |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
10/26/23
|
|
3574
|
Vehicle Purchase Specification Certification |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
08/03/23
|
|
3590
|
Invoice Summary Sheet |
Karin Palmer |
Aeronautics |
03/25/24
|
|
3591
|
ARPA Reimbursement Request Form |
Karin Palmer |
Aeronautics |
02/14/23
|
|
3593
|
Lane Closure and Oversize/Over Width Restriction Request |
Mary Nurenberg |
BFS-Construction Field Services |
06/28/23
|
|
3594
|
MDOT Aggregate Source Identification Request |
Mary Nurenberg |
BFS-Construction Field Services |
08/28/23
|
|
3595
|
Contractor Quality Control Anchor Bolt Pretension Record |
Carol Casteel |
BOBS-Structural Fabrication Unit |
04/11/23
|
|
3596
|
Checklist for Riprap |
Carol Casteel |
BOBS-Geotechnical Services Section |
03/31/23
|
|
3597
|
ProjectWise New User Registration |
Karin Palmer |
Aeronautics |
03/18/24
|
|
3600
|
Claim Of Damages Less Than $1,000 |
Mary Graddick |
Attorney General |
04/04/22
|
|
3650
|
Vehicle Disposal/Transfer Request Form |
Blayne Mitchell |
Passenger Transportation |
11/28/22
|
|
3651
|
Equipment Disposal/Transfer Request Form |
Blayne Mitchell |
Passenger Transportation |
06/13/24
|
|
3652
|
Rolling Stock Clauses More than $150,000 |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
08/24/18
|
|
3653
|
Rolling Stock Clauses Less Than $150,000 |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
08/29/18
|
|
3701
|
Overview/Introduction of Trenchless Installation within MDOT ROW |
Stephen Albrecht |
DSD-Permits-Construction |
11/30/06
|
|
3702
|
Trenchless Installation Application Requirements |
Stephen Albrecht |
DSD-Permits-Construction |
01/04/19
|
|
3703A
|
Special Conditions for Horizontal Directional Drilling (HDD) |
Stephen Albrecht |
DSD-Permits-Construction |
11/30/07
|
|
3703B
|
Special Conditions for Auger Boring (HAB) |
Stephen Albrecht |
DSD-Permits-Construction |
11/30/06
|
|
3703C
|
Special Conditions for Pipe Jacking (PJ) |
Stephen Albrecht |
DSD-Permits-Construction |
11/30/06
|
|
3703D
|
Special Conditions for Pipe Ramming (PR) |
Stephen Albrecht |
DSD-Permits-Construction |
11/30/06
|
|
3703E
|
Special Conditions for Pipe Bursting (PB) |
Stephen Albrecht |
DSD-Permits-Construction |
11/30/06
|
|
3703F
|
Special Conditions for Microtunneling (MT) |
Stephen Albrecht |
DSD-Permits-Construction |
11/30/06
|
|
3704A
|
Inspection Guide for Horizontal Directional Drilling (HDD) |
Stephen Albrecht |
DSD-Permits-Construction |
12/06/05
|
|
3704B
|
Inspection Guide for Auger Boring (HAB) |
Stephen Albrecht |
DSD-Permits-Construction |
11/19/06
|
|
3704C
|
Inspection Guide for Pipe Jacking (PJ) |
Stephen Albrecht |
DSD-Permits-Construction |
11/30/06
|
|
3704D
|
Inspection Guide for Pipe Ramming (PR) |
Stephen Albrecht |
DSD-Permits-Construction |
11/30/06
|
|
3704E
|
Inspection Guide for Pipe Bursting (PB) |
Stephen Albrecht |
DSD-Permits-Construction |
11/30/06
|
|
3704F
|
Inspection guide for Microtunneling (MT) |
Stephen Albrecht |
DSD-Permits-Construction |
11/30/06
|
|
3714
|
Grooming Snowmobile Trails Agreement |
Stephen Albrecht |
DSD-Permits-Construction |
07/31/08
|
|
3715
|
Snowmobile Trail Structures Agreement |
Stephen Albrecht |
DSD-Permits-Construction |
07/31/08
|
|
3717
|
Flowable Fill Special Provision for Utility Permits |
Stephen Albrecht |
DSD-Permits-Construction |
12/18/06
|
|
3718
|
Storm Drainage System Tap-Ins Checklist |
Stephen Albrecht |
DSD-Permits-Construction |
12/27/06
|
|
3726
|
Information for License Agreements |
Stephen Albrecht |
DSD-Permits-Construction |
09/30/14
|
|
3727
|
Context Sensitive Solutions for Adopt-A-Landscape |
Stephen Albrecht |
DSD-Permits-Construction |
09/22/08
|
|
3727A
|
Context Sensitive Solutions for Adopt-A-Landscape Community Support Document |
Stephen Albrecht |
DSD-Permits-Construction |
04/30/08
|
|
3728
|
Adopt-A-Landscape Instructions |
Stephen Albrecht |
DSD-Permits-Construction |
09/29/08
|
|
3732
|
Mobility Policy Requirements |
Damian Murchison |
Development Services Division |
11/20/08
|
|
3735
|
Adopt-A-Landscape Program Safety Requirement/Acknowledgement |
Stephen Albrecht |
DSD-Permits-Construction |
02/10/16
|
|
3737
|
Adopt-a-Landscape Site Plan Checklist |
Stephen Albrecht |
DSD-Permits-Construction |
03/30/08
|
|
3738
|
Adopt-A-Landscape Vegetation Management and Work Plan Checklist |
Stephen Albrecht |
DSD-Permits-Construction |
03/30/08
|
|
3739
|
Adopt-A-Landscape Context Sensitive Solutions Checklist |
Stephen Albrecht |
DSD-Permits-Construction |
03/30/08
|
|
3740
|
Adopt-A-Landscape Maintenance Plan Checklist |
Stephen Albrecht |
DSD-Permits-Construction |
09/22/08
|
|
3748
|
Adopt-a-Landscape Interest form |
Stephen Albrecht |
DSD-Permits-Construction |
03/10/10
|
|
3749
|
Adopt-a-Landscape Instructions for Master Gardener Clubs |
Stephen Albrecht |
DSD-Permits-Construction |
10/15/08
|
|
3755
|
Special Conditions for Survey Activities |
Stephen Albrecht |
DSD-Permits-Construction |
12/09/08
|
|
3756
|
Special Conditions for Earthwork Grading Activities |
Stephen Albrecht |
DSD-Permits-Construction |
06/22/09
|
|
3760
|
Environmental License Agreement |
Casandra Keip |
Environmental |
12/15/22
|
|
3760A
|
Instructions for Institutional Control License Agreement |
Stephen Albrecht |
DSD-Permits-Construction |
06/05/13
|
|
3760B
|
License Agreement Conditions |
Stephen Albrecht |
DSD-Permits-Construction |
10/10/13
|
|
3760C
|
Instructions for Technical Summary Report of Environmental Conditions |
Stephen Albrecht |
DSD-Permits-Construction |
09/09/14
|
|
3760D
|
Special Conditions for Institutional Control Permit Marker |
Stephen Albrecht |
DSD-Permits-Construction |
09/09/14
|
|
3761
|
MDOT Archaeological Short Report |
Casandra Keip |
Environmental |
05/31/24
|
|
3764A
|
Special Conditions for Authorized ORV Connector Routes on State Trunkline Highways |
Stephen Albrecht |
DSD-Permits-Construction |
08/11/14
|
|
3764B
|
Context Sensitive Solutions for Off-road Vehicle Connector Routes |
Stephen Albrecht |
DSD-Permits-Construction |
04/22/14
|
|
3767
|
Road Safety Audit Request Form |
Diane Freeman |
BFS-Transportation Systems Management Operations |
09/26/21
|
|
3768
|
Supplemental Warranty Lien Bond |
Mary Nurenberg |
BFS-Construction Field Services |
12/07/22
|
|
3769
|
Michigan Rail Enhancement Grant Program |
Tresa Beardslee |
Office of Rail |
09/23/24
|
|
3890
|
Design & Build Bridge Challenge |
Jessica Hughes |
Executive Office |
06/23/14
|
|
3891
|
Michigan TRAC Design and Build Bridge Challenge Reimbursement Form |
Bertha Chester |
Office of Organizational Development (OOD) |
08/07/23
|
|
3896
|
MDOT Application and Agreement for Remote Work |
Donna Martin |
Human Resources |
08/26/24
|
|
3917
|
Appendix A - Prohibition of Discrimination in State Contracts |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
08/21/18
|
|
4002
|
License Application for Airport Manager and Assistant Manager |
Karin Palmer |
Aeronautics |
01/29/24
|
|
4004
|
Application for Michigan Aircraft Registration Required by Act 327 |
Karin Palmer |
Aeronautics |
12/11/23
|
|
4004A
|
Application for Michigan Dealer Aircraft Registration |
Karin Palmer |
Aeronautics |
02/28/22
|
|
4006
|
Michigan Aircraft Registration Exemption Application |
Karin Palmer |
Aeronautics |
01/26/09
|
|
4009
|
Application for Flight School License |
Karin Palmer |
Aeronautics |
02/20/24
|
|
4015
|
2025 Air Service Revitalization Application |
Karin Palmer |
Aeronautics |
11/18/24
|
|
4018
|
Air Service Grant Program Application |
Karin Palmer |
Aeronautics |
01/12/17
|
|
4021
|
Application for Michigan Aircraft Dealer License |
Karin Palmer |
Aeronautics |
04/07/22
|
|
4045
|
Trend Monitoring Program Supplement |
Karin Palmer |
Aeronautics |
02/21/17
|
|
4076
|
Air Transportation Request |
Karin Palmer |
Aeronautics |
06/14/24
|
|
4077
|
Aircraft Accident Report |
Karin Palmer |
Aeronautics |
02/21/17
|
|
4086
|
Temporary Field Permit Application |
Karin Palmer |
Aeronautics |
01/29/24
|
|
4087
|
Aeronautical Facility License Application |
Karin Palmer |
Aeronautics |
11/26/24
|
|
4088
|
Hospital Heliport/Helistop and Manager License Application |
Karin Palmer |
Aeronautics |
02/23/24
|
|
4100
|
DBE Trucking Compliance Report |
Denise Cannon |
Office of Business Development |
09/26/19
|
|
4101
|
DBE Heavy Construction Trucking Credit Worksheet |
Denise Cannon |
Office of Business Development |
03/08/22
|
|
4104
|
On The Job Training (OJT) Program Trainee Reimbursement Request |
Denise Cannon |
Office of Business Development |
12/12/19
|
|
4106
|
Small Business Program Application |
Denise Cannon |
Office of Business Development |
09/25/24
|
|
4106R
|
Michigan Small Business Program Annual Declaration of Eligibility |
Denise Cannon |
Office of Business Development |
09/11/24
|
|
4109
|
Commercially Useful Function (CUF) Review |
Denise Cannon |
Office of Business Development |
03/27/24
|
|
4109T
|
Disadvantaged Business Enterprise (DBE) Annual Project Review |
Blayne Mitchell |
Passenger Transportation |
04/30/19
|
|
4111
|
DBE Trucking Lease Agreement |
Denise Cannon |
Office of Business Development |
05/23/18
|
|
5010
|
Pre-Project Site Visit - Roadway |
Wendy Kraynak |
Office of Economic Development |
03/25/16
|
|
5011
|
Pre-Project Site Visit - Development |
Wendy Kraynak |
Office of Economic Development |
03/25/16
|
|
5019
|
Transportation Economic Development Fund Category A - Post Grant Report |
Wendy Kraynak |
Office of Economic Development |
05/17/18
|
|
5020
|
Match Certification |
Wendy Kraynak |
Office of Economic Development |
10/31/17
|
|
5021 BF
|
Final Project Accounting - Category B/F Direct Grant |
Wendy Kraynak |
Office of Economic Development |
07/27/20
|
|
5021A
|
Final Project Accounting - Category A Direct Grant |
Wendy Kraynak |
Office of Economic Development |
06/12/20
|
|
5021D
|
Final Project Accounting - Category D Direct Disbursement |
Wendy Kraynak |
Office of Economic Development |
12/20/23
|
|
5026
|
Direct Grant Program Application - Transportation Economic Development Fund - Road and Bridge Projects |
Wendy Kraynak |
Office of Economic Development |
01/22/20
|
|
5027
|
Development Information Form |
Wendy Kraynak |
Office of Economic Development |
09/21/17
|
|
5030
|
Direct Grant Program Application Transportation Economic Development Fund Category B - Project |
Wendy Kraynak |
Office of Economic Development |
05/08/19
|
|
5100B
|
Checklist to Designate Areas of Evaluation for Proposal |
Michael Blackledge |
Contract Services Division |
01/27/23
|
|
5100B-R
|
Checklist to Designate Areas of Evaluation for Proposal - Research Administration Only |
Michael Blackledge |
Contract Services Division |
01/27/23
|
|
5100C
|
Score Sheet |
Michael Blackledge |
Contract Services Division |
12/18/23
|
|
5100C-BV
|
Best Value Score Sheet |
Michael Blackledge |
Contract Services Division |
12/18/23
|
|
5100C-MP
|
Score Sheet |
Michael Blackledge |
Contract Services Division |
12/18/23
|
|
5100D
|
Request for Proposal Cover Sheet |
Michael Blackledge |
Contract Services Division |
02/25/21
|
|
5100G
|
Changes to Key Personnel |
Michael Blackledge |
Contract Services Division |
06/23/17
|
|
5100J
|
Consultant Data and Signature Sheet |
Michael Blackledge |
Contract Services Division |
03/27/24
|
|
5100K
|
Second Tier As-Needed Selection Form |
Michael Blackledge |
Contract Services Division |
07/28/22
|
|
5101B-LAP
|
Derivation of Prime Consultant Costs |
Damian Murchison |
DSD-Local Agency Program |
02/29/24
|
|
5101C-LAP
|
Derivation of Subconsultant Costs |
Damian Murchison |
DSD-Local Agency Program |
04/02/24
|
|
5101LN
|
Limited Notice to Proceed |
Michael Blackledge |
Contract Services Division |
04/12/21
|
|
5102
|
Documentation of Changes to the MDOT Scope of Services |
Michael Blackledge |
Contract Services Division |
09/19/23
|
|
5105
|
Contract Request |
Michael Blackledge |
Contract Services Division |
06/15/23
|
|
5105R
|
DSD Contract Request |
Damian Murchison |
DSD-Contracts |
06/25/24
|
|
5106R
|
Service Vendor Performance Evaluation |
Damian Murchison |
DSD-Contracts |
10/11/21
|
|
5107
|
Construction Prequalification Reference Form |
Michael Blackledge |
Contract Services Division |
08/12/21
|
|
5108
|
Certification of Overhead Rate |
Michael Blackledge |
Contract Services Division |
11/30/18
|
|
5108L
|
Certificate of Overhead Cost Rate |
Damian Murchison |
DSD-Local Agency Program |
02/29/24
|
|
5109
|
Transfer Request Cover Sheet |
Michael Blackledge |
Contract Services Division |
01/30/17
|
|
5189
|
Overhead Submittal Intent |
Michael Blackledge |
Contract Services Division |
04/11/17
|
|
5191
|
Municipality Snow Hauling Calculation Form |
Diane Freeman |
BFS-Transportation Systems Management Operations |
02/06/24
|
|
5203
|
Prepaid Commercial Toll Account Application Form |
Cheryn Sanford |
International Bridge Administration |
01/04/11
|
|
5300
|
MDOT Underground Its Infrastructure Staking Request Form |
Diane Freeman |
BFS-Transportation Systems Management Operations |
12/10/18
|
|
5306
|
Research Administration Project Change Request |
Mary Nurenberg |
BFS-Construction Field Services |
10/21/20
|
|
5316
|
Deliverables Table |
Mary Nurenberg |
BFS-Research Administration |
10/16/12
|
|
5319
|
Research Proposal Budget Form Worksheet |
Mary Nurenberg |
BFS-Construction Field Services |
12/19/18
|
|
5323
|
Local Agency Environmental Clearance Form |
Damian Murchison |
DSD-Local Agency Program |
08/29/24
|
|
5400
|
Demographic Data Collection at Public Meetings |
Denise Cannon |
Office of Business Development |
03/31/17
|
|
5400-LA
|
Demographic Data Collecting at Public Meetings for Local Agencies |
Damian Murchison |
DSD-Local Agency Program |
11/14/17
|
|
5600
|
Statement of Digital Electronic Signature Validation |
Mary Nurenberg |
BFS-Construction Field Services |
03/18/15
|
|
5601
|
MDOT Core Log and Chain of Custody |
Mary Nurenberg |
BFS-Construction Field Services |
06/06/23
|
|
5602
|
Sworn Statement |
Mary Nurenberg |
BFS-Construction Field Services |
10/31/13
|
|
5611
|
Partial Conditional Waiver of Lien |
Mary Nurenberg |
BFS-Construction Field Services |
11/19/13
|
|
5612
|
Full Conditional Waiver |
Mary Nurenberg |
BFS-Construction Field Services |
11/19/13
|
|
5613
|
Full Unconditional Waiver |
Mary Nurenberg |
BFS-Construction Field Services |
11/19/13
|
|
5614
|
Partial Unconditional Waiver of Lien |
Mary Nurenberg |
BFS-Construction Field Services |
11/19/13
|
|
5617
|
Fabrication Inspection Report |
Carol Casteel |
BOBS-Structural Fabrication Unit |
10/28/20
|
|
5618
|
Welder Certification Program |
Carol Casteel |
BOBS-Structural Fabrication Unit |
10/01/18
|
|
5619
|
Welder Certification Program Checklist |
Carol Casteel |
BOBS-Structural Fabrication Unit |
10/03/18
|
|
5620
|
Welder Certification Test Report |
Carol Casteel |
BOBS-Structural Fabrication Unit |
04/13/22
|
|
5621
|
Longitudinal Joint Core Location Worksheet |
Mary Nurenberg |
BFS-Construction Field Services |
09/20/23
|
|
5622
|
HMA Sample Identification |
Mary Nurenberg |
BFS-Construction Field Services |
09/20/23
|
|
5623
|
Core Sample Identification Worksheet |
Mary Nurenberg |
BFS-Construction Field Services |
09/20/23
|
|
5624
|
Mainline Core Location worksheet |
Mary Nurenberg |
BFS-Construction Field Services |
03/17/15
|
|
5625
|
HMA Accumulation & Random Tonnage Worksheet |
Mary Nurenberg |
BFS-Construction Field Services |
03/17/15
|
|
5626
|
HMA Accumulation & Random Tonnage Worksheet |
Mary Nurenberg |
BFS-Construction Field Services |
03/17/15
|
|
5627
|
Pile Welding Quality Control Plan |
Carol Casteel |
BOBS-Structural Fabrication Unit |
01/06/22
|
|
5628
|
Pile Welding Splice Record |
Carol Casteel |
BOBS-Structural Fabrication Unit |
01/03/22
|
|
5629
|
Pile Welding Correction Record |
Carol Casteel |
BOBS-Structural Fabrication Unit |
01/03/22
|
|
5632
|
Open Ditch 3R/4R Freeway Work Zone Width Variance Request |
Mary Nurenberg |
BFS-Construction Field Services |
07/13/23
|
|
5634
|
Third Party Contract |
Blayne Mitchell |
Passenger Transportation-Procurement Forms |
04/06/23
|
|
5635
|
Official Entry Form - MDOT ACEC Partnership Charter Award |
Bertha Chester |
Office of Organizational Development (OOD) |
09/26/24
|
|
5636
|
Request for Information |
Carol Casteel |
BOBS-Bridge Construction |
03/30/21
|
|
5637
|
Construction Contractor's Designated Contact |
Michael Blackledge |
Contract Services Division |
12/29/22
|
|
CONEBLU
|
One Point Michigan Cone Test Chart Blue |
Mary Nurenberg |
BFS-Construction Field Services |
11/30/02
|
|
CP-347
|
Certified Payroll |
Mary Nurenberg |
BFS-Construction Field Services |
07/12/10
|
|
CP-347Instructions
|
Instructions for Completion of CP-347 MDOT Certified Payroll |
Mary Nurenberg |
BFS-Construction Field Services |
10/22/09
|
|
DE26
|
Design Exception Request - Trunkline |
Angie Schwab |
Design Division |
05/30/23
|
|
DE26-LA
|
Design Exception Request - Local Agency |
Damian Murchison |
DSD-Local Agency Program |
02/01/24
|
|
DE26_Instructions
|
Design Exception Request - Trunkline -INSTRUCTIONS- |
Angie Schwab |
Design Division |
09/01/22
|
|
DV26
|
Design Variance Request - Trunkline |
Angie Schwab |
Design Division |
01/31/23
|
|
DV26-LA
|
Design Variance Request - Local Agency |
Damian Murchison |
DSD-Local Agency Program |
03/05/24
|
|
FA-1
|
Flight Approval Request |
Karin Palmer |
Aeronautics |
10/02/17
|
|
FC33
|
Junkyard Survey |
Stephen Albrecht |
DSD-Permits-Construction |
01/30/02
|
|
PA-01
|
Utility Cuts, Trenches And Pavement Replacement Permit Attachment |
Stephen Albrecht |
DSD-Permits-Construction |
04/30/01
|
|
PA-02
|
Commercial Driveway Uncurbed Trunkline Specification Sheet Permit Attachment |
Stephen Albrecht |
DSD-Permits-Construction |
05/06/03
|
|
PA-03
|
Commercial Driveway Uncurbed Trunkline Specification Sheet Permit Attachment |
Stephen Albrecht |
DSD-Permits-Construction |
08/01/98
|
|
PA-04
|
Commercial Driveway Uncurbed Trunkline Specification Sheet Permit Attachment |
Stephen Albrecht |
DSD-Permits-Construction |
08/01/98
|
|
PA-05
|
Commercial Driveway Uncurbed Trunkline Specification Sheet Permit Attachment |
Stephen Albrecht |
DSD-Permits-Construction |
08/01/98
|
|
PA-06
|
Commercial Driveway Curbed Trunkline Specification Sheet Permit Attachment |
Stephen Albrecht |
DSD-Permits-Construction |
04/01/01
|
|
PA-07
|
Typical Driveway Profile And Highway Frontage Permit Attachment |
Stephen Albrecht |
DSD-Permits-Construction |
08/01/98
|
|
PA-08
|
Commercial Driveway Uncurbed Trunkline Driveway Specification Sheet Permit Attachment |
Stephen Albrecht |
DSD-Permits-Construction |
08/01/98
|
|
PA-09
|
Permit Plan for Rural And Urban Residential Driveways Permit Attachment |
Stephen Albrecht |
DSD-Permits-Construction |
08/01/98
|
|
PA-10
|
Jacked-In-Place And Directional Drilled Pipe Single Roadway Typical Permit Attachment |
Stephen Albrecht |
DSD-Permits-Construction |
08/01/98
|
|
PA-11
|
One On One Limits Of Excavation Permit Attachment |
Stephen Albrecht |
DSD-Permits-Construction |
08/01/98
|
|
PA-12
|
Sketch to Accompany Application For Permit (Permit Attachment) |
Stephen Albrecht |
DSD-Permits-Construction |
04/01/99
|
|
T-1
|
Maximum Legal Truck Loadings and Dimensions |
Stephen Albrecht |
DSD-Permits-Transport |
05/21/24
|
|
T-2
|
Information on the Movement of Oversize or Overweight Vehicles and Loads |
Stephen Albrecht |
DSD-Permits-Transport |
10/26/23
|
|
T-3
|
Movement of Mobil Homes and Buildings Modules |
Stephen Albrecht |
DSD-Permits-Transport |
07/27/22
|
|
T-99RED
|
One Point T-99 Test Chart Red |
Mary Nurenberg |
BFS-Construction Field Services |
11/30/02
|
|
TA-PK1003
|
Required Application Forms for Section 5310 Application |
Blayne Mitchell |
Passenger Transportation |
08/29/22
|
|
TA-PK1006
|
Required Application Forms for Section 5304 Program Application |
Blayne Mitchell |
Passenger Transportation |
10/04/23
|
|
TA-PK1010
|
Section 5311 Tribal Program |
Blayne Mitchell |
Passenger Transportation |
08/29/22
|
|
UP-03
|
Operation CARE |
Stephen Albrecht |
DSD-Permits-Construction |
03/11/14
|
|
UP-26
|
Checklist for Building Moving Permit |
Stephen Albrecht |
DSD-Permits-Transport |
01/19/24
|
|
UP-26A
|
Commercial Vehicle Safety Alliance |
Stephen Albrecht |
DSD-Permits-Transport |
05/02/12
|
|
UP-67
|
Parade Event Permit Application |
Stephen Albrecht |
DSD-Permits-Construction |
06/08/23
|
