Chapter 17: Forms and Documents

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Section 1: Forms and Guidance Documents

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List of Forms

This manual references the following forms. Most TxDOT forms can be found through the E-Forms link on Crossroads.

Anchor: #i1039096Contract Administration Forms and Description

Description of Form

Form Name/Number

Location

Bridge – Piling Report (used for production piles)

TxPlng.xlsm

SiteManager Forms

Test Pile Data (used for Test Piles)

Form 181

BRG – Field Operations (internal access only)

Traffic Control Devices Inspection Checklist

Form 599

E-Forms

BRG – Drill Shaft Report

TxDrlShft.xlsm

SiteManager Forms

Daily Report of Force Account Work

Form 316

Construction Forms

Daily Report of Law Enforcement Force Account Work (Original Form is kept by TxDOT)

Form 318

Construction Forms

Identification of Material Samples

Form 202

www.txdot.gov

Construction Storm Water Pollution Prevention Plan Field Inspection & Maintenance Report

Form 2118

E-Forms

Environmental Management System Policy Memo

EMS Policy Statement

EMS SharePoint page (internal access only)

* Required Contract Provisions Federal-aid Construction Contracts (Also required on all Subcontracts)

FHWA 1273 (Federal Highway Administration)

FHWA Website

* Contractors Annual EEO Report

FHWA 1391 (Federal Highway Administration)

Diversity Management System

* Federal-aid Highway Construction Contracts Annual EEO Report

FHWA 1392 (Federal Highway Administration)

Diversity Management System

Final Inspection of Federal-Aid

Form 2235

E-Forms

* Semiannual Labor Compliance Enforcement Report (Sent out every six months by CST)

FHWA 1494 (Federal Highway Administration)

Issued by CST

Payroll

WH-347 (Department of Labor)

EPRS/ LCP Tracker

Request for Payment of Materials on Hand Summary Page

Form 1914

E-Forms

Request for Payment of Material on Hand

From 1915

E-Forms

Prompt Payment Certification/Audit Form

Form 2177

E-Forms

Prompt Payment Acknowledgment Sample Letter

Prompt Payment Acknowledgment Sample Letter

CST - Website

Storm Water Discharges Associated with Industrial Activity Under a TPDES General Permit (TXR150000) Permit (NOI, NOC, NOT, CSN)

STEERS (Texas Commission On Environmental Quality)

TCEQ

Website

Supplemental Agreement (SA) Form

For alternations to the contract not covered by Change Order

Contact CST-Construction Support

Example of Supplemental Agreement

Prime Contractor is bought out by another contractor; Change in Surety; etc.

Change Orders:

  • Change Order Form
  • Tables A & B
  • Advance Funding (Third Party Participating CO)
  • Change Order Reason Code Chart
  • Change Order Checklist

Form 2146

E-Forms

Federal On-The-Job (OTJ) Training Program Enrollment Form-Civil Rights Division sends form directly to Contractor, Form is available for districts on E-Forms

Form 2201

E-Forms

Federal On-The-Job (OTJ) Training Program Monthly Reporting Form-Civil Rights Division sends form directly to Contractor, Form is available for districts on E-Forms

Form 2202

E-Forms

Summary Materials Received and Used; may be used to Aid MOH

Form 1259

E-Forms

Material Verification Report - (CIS 26) used for verifying Prefabricated Structural items.

Material Verification Report - (CIS 26)

SiteManager - Production Server

Labor Standards Review

Form 2220

E-Forms

Intent to Default

https://crossroads.dot.state.tx.us/cst/Pages/construction-support.aspx

CST-Website

Default Letter

Voluntary Default Letter

Termination

Takeover Agreements

Additional Classification and Wage Rate Request

Form CST-C-1

E-Forms

Final Acceptance Memo

Form 2323

E-Forms

Materials Certification Letters;

Final certification of testing sent to FHWA and MTD

Materials Certification Letter

Appendix E & D - QADBB

Public Interest Finding

Request- For proprietary items

Form 2325

E-Forms

Public Interest Finding

Request- For Extending Project Limits or Change in Scope Request

Contact CST-Construction Section

CST-Construction Section

TDLR Request for Inspection Form

https://crossroads.dot.state.tx.us/cst/Documents/Construction%20Contracting/RAS%20Program.pdf

CST-Homepage

FHWA & TxDOT Oversight Project Review Plan

http://gsd-ultraseek/txdotmanuals/cah/Oversght.pdf

ENV – Removal of USTs Encountered During Construction

Removal of USTs Encountered During Construction

EPIC (Environmental, Permits, Issues, and Commitment)

Project Plans

Construction Stage Gate Checklist

Form 2448

E-Forms

Flow chart Aid for Subcontractor Approval

Subcontracting & Payroll Requirements

CST-Construction Support Website

2014 Construction Specification Required Shop/Working Drawing Submittal

http://ftp.dot.state.tx.us/pub/txdot-info/library/pubs/bus/bridge/electronic_submission.pdf

Txdot.gov

PreCon Agenda Example

https://crossroads.dot.state.tx.us/cst/Pages/construction-support.aspx

CST Website

Voluntary Default

Shop Drawing Process

https://www.txdot.gov/business/resources/specifications/shop-drawings.html

Txdot.gov

Procedure 125

https://portal.txspd.com/spdrecordscenter/SitePages/Procedures.aspx

PFD Website

Major Project Financial Plan Guidance

https://www.fhwa.dot.gov/majorprojects/financial_plans/guidance14.cfm

FHWA Website

*Required by FHWA for federally funded projects.



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