ST9602-CS030909-=M 4 - P. S. & E. Submission Data
Z T m
I hantP�allon
Form 1002
(Rev. 1112001)
(GSD -EPC)
Page 1 of
Date September 9, 2003
This form should be completed and submitted with supporting papers. Complete this form for the Controlling project in contract.
(Complete all Blanks. State N/A if necessary.)
District Dallas Proposed Letting Date December, 2003
County Dallas Project CM 96(907)
Control 0918 -45 -321 Highway CS Length 0.121 km
Limits One (off- system) Intersection in the City of Coppell
A. Supporting Papers Checklist
* The number of copies of supporting papers will be one more than the number of review plans prints as shown in Item 11.
Submit 1 add1 set of review plans for hike /bike or building projects OR if est. cost of pedestrian elements exceeds $50,000.
( * * *) Submit 1 add'I set of review plans if PS &E contains any one or more of the following bid items: 610, 611, 612, 613, 614,
618, 620, 622, 624, 628 or 629.
No. Copies
No. Copies
Description
Required
Attached
(1)
List of Governing Specifications and Special Provisions
6
(2)
General Notes and Specification Data
6
GroupWise to processing office.
(3)
Plans Estimate
6
(4)
New Special Provisions and Special Specifications
n/a
GroupWise to processing office with Form 1814.
(5)
Triple Zero Special Provisions
3
0
GroupWise to processing office.
(6)
Engineer Sign, Seal and Date Supplemental Sheets
2
2
(8' /" x 11" Originals)
(7)
Contract Time Determination Summary
1
1
(8)
Right of Way and Utilities:
Certifications -
Right of Way
3
3
Relocation Advisory Assistance
3
3
Encroachments
3
3
Utilities
3
3
ROW Status Relocation Status Utility Status
Encroachment Status
® Clear ® Clear ® Clear
® Clear
❑ To be Clear ❑ To be Clear ❑ To be Clear
❑ To be Clear
(If ROW, Encroachments, and /or Utilities are NOT CLEAR, Submit a Triple
Zero Special Provision.)
(9)
Temporary Road Closure Request
3
n/a
(10)
Construction Speed Zone Request
3
n/a
(11)
Review Plans Prints:
Federal Funded HES Projects
6( * *)( * * *)
n/a
Federal Funded Projects - With Federal Oversight
5( * *)( * * *)
n/a
Federal Funded. Projects - With State Oversight
4( * *)( ** *)
5
State Funded Projects
4( * *)( * * *)
n/a
Surface Treatment and ACP Projects
3( * *)( * * *)
n/a
Traffic Signal & Signing Projects
3( " *)( * * *)
n/a
Intelligent Transportation System (ITS) Projects
6( * *)( * * *)
n/a
District Review Projects
1
n/a
* The number of copies of supporting papers will be one more than the number of review plans prints as shown in Item 11.
Submit 1 add1 set of review plans for hike /bike or building projects OR if est. cost of pedestrian elements exceeds $50,000.
( * * *) Submit 1 add'I set of review plans if PS &E contains any one or more of the following bid items: 610, 611, 612, 613, 614,
618, 620, 622, 624, 628 or 629.
Form 100,E
(Rev. 11/2001)
Page 2 of 4
B. STIP Year 2002
C. Financing
Work
CSJ Program No.
091845321 0305
STIP Page # VII.13
Authorized
Funds
$ 669,000.00
Estimated Funds
(excl. E &C & other part.)
$ 134,782.30
Overrun /Underrun
$ (534,217.70)
0.00
0.00
0.00
$ (534,217.70)
Total $ 669,000.00 $ 134,782.30
Attach separate sheet explaining overruns of programmed amounts. (In accordance with current Department Program
Overrun policy.)
Other Participation:
Indicate
Fixed Sum or Authorization
Amount Actual Cost Minute Order No.
County N/A $
City N/A _
Other (Specify) N/A _
Attach any necessary funding agreements.
D. Agreements
(1) Railroad Agreements
Required: Yes ® No ❑
Date Executed
(2) Other Agreements Required
Name ofAgency Dallas Cc
Purpose CMAQ Program
Name of Railroad DART
If Not Executed, Date Request Sent to TRF
Yes ® No ❑
E. Airway- Highway Clearance
Required Yes ❑ No ® Date Approved N/A
F. Contract Time
Working Days 60 or Calendar Days (Special Provision to Item 1 Required) 078
G. Project Manager in Charge of Construction Contract H.
Engineer No. 62
Name William R. Goodell, P.E.
Address 4777 E. Highway 80
D allas. Tx 75243
(Show on Contract Summary (C1) Screen in DCIS.)
I. Estimated Cost
Pedestrian Elements $ 0.00
District Contact Person
Name Sam H Moghadassi, P.E.
Telephone No. 214.320.6269
Fax No. 214.319.6470
J. Comments
Estimated fund includes $6000.00 rail road force account.
(RForm ev. 1
PROPOSED BASIC DESIGN DATA
Page 3 of 4
District DAL
County DALLAS
Control 0918 -45 -321
Project No. CM 96(907)
Highway CS
Limits Intersection MacArthur Blvd. & Beltline
Length 0.121 km
Waivers Requested
(English) (Metric)
Work Program Title(s) 0305 Congestion Mitigation
Work Type (Layman's Description) One (1) off - system Intersection Improvement
Proposed Design Standards (Structures) TxDOT Design Division Fourth Edition Hydraulic Manual Chapter 2,6
Proposed Design Standards (Roadway) Fourth Edition AASHTO Chapter VII Urban Arterial
Proposed Design Standards (Traffic) BC Standards, TCP Standards, Texas MUTCD
Design Speed (Applicable): 60 ❑ mph ® km/h Terrain Level
Traffic: Existing 30,000 ADT Projected (20 years) n/a
Highway Functional Class (Urban) Urban Arterial (Rural)
Design Criteria Recommended for Approval (District)
Design Criteria Approval (Division)
Date
Date
Signed
Signed
Title Director of Transportation, Planning & Development
Title
Exceptions Requested
Waivers Requested
(List and indicate occurrence, i.e., over
total project, at 3 locations, at 1 structure, etc.)
1.
1.
2.
2.
3.
3.
Design Exception Recommended for Approval: (District)
Waiver Recommended for Approval: (District)
Date
Date
Signed
Signed
Title
Title
----------------------------------------------
------ ----------------- --- — -- ----------- ---------
EXCEPTION COMMITTEE
---- -- -- -- -- ---- --- - -- ----- ------ ----- ----- -------- ----------------- -- ------- --- ---- ----- ----- ----- -- --
WAIVER COMMITTEE
(To be filled out in Austin)
(To be filled out in District Office)
Bridge Design
Bridge Design
Roadway Design
Roadway Design
Bicycle Lanes
Bicycle Paths
Traffic
Traffic
Recommended Action:
Recommended Action:
Approval
❑ Non - Approval ❑
Approval ❑ Non - Approval ❑
Reasons
Reasons
Date
Date
Signed
Signed
Deputy Director, Design Division
(Title)
Forth 1002
(Rev. 11120.21)
Page 4 of 4
ACCELERATED CONSTRUCTION PROCEDURES
District DAL
County Dallas
Control 0918 -45 -321 Project No. CM 96(907)
Highway cs Limits Intersection Improvement
The following types of projects will require the use of accelerated construction contract provisions. Check
all that apply to this project:
❑ Interstate or freeway project with lane closures during one or more phases of construction
❑ Bridge closure (either as the entire project or a portion of a larger project)
❑ Road closure
❑ Added Capacity projects
❑ Non - freeway with ADT >10,000 and lane closures during one or more phases of construction
❑ Provides access to a nearby school, emergency services (hospital, fire, etc.), or major traffic generator
® Project affects access to adjacent businesses
❑ Other (Projects that are time critical such as traffic signal work at high accident locations)
Explain:
The project is not characterized by the above.
❑ None of the above (Acceleration provisions are not required) Type of Work:
Check the accelerated contract provision(s) included on this project.
® Calendar Day
❑ Incentive Using Contract Administrative Cost
❑ Increased Liquidated Damages
❑ Incentives /Disincentives
❑ Lane Rental
❑ A +B Provisions
If accelerated contract provisions are not utilized, Design Division approval will be required. Request for
approval to not utilize accelerated contract provisions should be submitted in advance of PS &E submission
for letting.
_ - :['
:26
4:2
Ma}' 10, 2001
TRANSPORTATION IMPROVEMENT PROGRAM
DALLAS DISTRICT
PAGE 9
DALLAS -FORT
WORTH MPO
DRFTSTIP
- -------------------------------------------------------------
__ 2002
-' --
_______ _____ __ _______ ______ _ _FY
(NAME OR DESIGNATION
_ -_ 888 8 --- --
---- - - - - -- ___________________
-= _TRICT
ILOCATION (FROM),
IAPPN CAT
1 COST 1
___
IFEDERAL IPROJ pgO� 1 ID
-.RITY
(LOCATION (TO)
IAPPN CAT
2 COST 2
IETATE ILET DATE
-;
- --
DESCR IPTION OF WORK
IAPPN CAT
3 COST 3
I
(LOCAL IRVN DATE
COMMENT$
COMMENTS
IFPPN CAT
4 COST 4
I
ILCL CONTRIB (PHASE
----------
I________________ ______ ___________________ ____________________
I UNDING CATEGORY
I
ITOTAL I
r1B-24 -928
I VA
_I__- ___ - _ -
_ _ __ -__ - ___I______________
I
- =.CLAN
PARK AND RIDE - FACILITY IN THE NORTHWEST
C HAQ
$1,]55,000
I__________ -I
I $1,404,000 1 11139
]C LL IN
PLANO AREA
$0
I $0 1
$,HER
PARK AND RIDE FACILITY
I
$0
02106
I $351,000 1 09/2001
TDM2300
I
$0
I $585,,000 I C
_____________________________________________
___________ ___ _________________
S CMAQ
I $2,390,000
S -216
VA________________
-C
___
DALLAS
I VARIOUS ON- SYSTEM LOCATIONS
� Q
$1,240,750
I $992,600 1 9996
DALLAS
I
-
50
I $248,150 1 02/32
DALLAS
221 TRAFFIC SIGNALS AND /OR INTERSECTION IMPROVEMENTS
$0
I $0 1 09/2001
TCM;E%EMPT;TSM2100
I
$0
I $0 1 09/
- -- - --- --
I - - ----- ----- ---- -- ---
I s CHAQ
I
$1,240.]50
0918-45 -269
I CS ----
-- -- - ______________
_
DALLAS
^:.nLLA$
I ON INWOOD AT MOCKINGBIRD
I CMAQ
$6251000 I
-------
_ I
$500,000 1 526,2228
I FOREST PARK
$0 I
$0 1 02/08
:ALLAS
I ADD TURN LANES AND TRAFFIC SIGNAL IMPROVEMENT
I
50
$125,000 1 09/2001
I TCM;TSM2100
I
$0
,000 C
$623$623
--------------
----------------------- ---------------------- _________
S CMAQ
I
51 I
0918 -45 -270
CS ___________________________
____I______________I__________.
DALLAS
ON MOCKINGBIRD LN, DENTON DRIVE
CHA
$1,050,000 I
$840,000 1 0785
DALLA AIRDROME
50
$0 1 02/08
INTERSECTION IMPROVEMENT (TPASS)
$0
$210,000 09/2001
TCM;TSM2100
50
$365,000 I C
____________I___________
_____________
5 CMAQ
$1,415.000
938 -45 -271
I CB _________
_____________________
__I --------------
I
DALLAS
I ON LEMON AVE, MOCKINGBIRD
I CHAQ
$2,158,750 I
I
$1,727,000 1 525,2228
DALLAS
I OAKLAWN
$0 I
$0 1 02/08
DALLAS
I NORTHBOUND DUAL LEFT TURN LANE
$D I
$931,]50 1 09/2001
TCM; TSM2100
$0 I
$221,250 I C
______ ________I_______________
_____ ______________ ____________ ________________
5 CMAQ
I
$2.380.000 I .
0918 -45 -293
CS
- -
_1________
_ I
DALLAS
I VARIOUS LOCATIONS IN OUNCANVI LLE
I CMAQ
$1,441,500
_ _ _ __
51,153,2 1212,1213
DALLAS
(OFF - SYSTEM)
I
$0
$ 0
$0 1 02/06
DUNCANVILLE
1 8 INTERSECTION IMPROVEMENTS
I
i
I
$288,300 09/2001
TCM;CL£ARED;TSM2300;COG 1 219,1222,1223, 2228
I
$0
$0 1 09/2
__
I______________________________
5
I
$1,441,500
^ 18-45 -292
I CS _______________
________________
----
___I______________I
AS
I VARIOUS LOCATIONS ON N GARLAND AVE
I CHAQ
$515,000 I
_ ______ -___
I
$412,000 1 2228
AS
I IN GARLAND
I
50
0 02/07
$ $ 0 1
- ,RLAND
2 INTERSECTION IMPROVEMENTS
I
$0
$103,0 0
1 09/2001
I TCM;CLEARED;TSM2300
I
$0
$0 I ER
__________
5 CHAQ
$515,000
D918 -45 -316
I VA ---------------
I
I______________I___________
DALLAS
I VARIOUS INTERSECTIONS IN GRAND PRAIRIE
I CHAQ
$361,573 I
$289,258 1 1497
DALLAS
I
I
$0 I
$72,314 1 02/10
3RAND PRAIRI
1 31 TRAFFIC SIGNAL UPGRADE$ - ON SYSTEM
$0 I
$0 1 09/2001
TCM;E %EMPT;TSM2400
$0
$0 E
)918 -95 -318
I CS ___________
I___________________
_ _________________I___________ I
$361,573
` ALLAS
VARIOUS LOCATIONS IN GRAND PRAIRIE
I CMAQ
$760,000 I
$575,320 1 1529.1
ALLAS
'.PPND
I
$D I
$0 02/09
1
PRAIRI
13 OFF SYSTEM INTERSECTION . IMPROVEMENTS
$D I
$189,6 1 09/2001
TCM;CLEAREb;TSM2100;COG 2228
50 I
$0 I C,ER
------------
I_____.__ _____ _____ ____________ ________________________________
15 CMAQ
$]60.000 I I
918 -95 -321
CS
I__________________
__ _________________ I ___________
ALLAS
I VARIOUS LOCATIONS IN THE CITY OF CORRELL
I CMAQ
$669,000 I
$535,200 1 3096.4061
ALLAS
I
I
$0 I
$0 1 02/08
DPPELL
2 INTERSECTION IMPROVEMENTS
I
$D I
$133, BOD 1 09/2001
TCM;CLEARED; TSM2100; COG 4065 AND 4066
I
50 I
- $0 I C,ER
________ ________________________ _______ _________
S CMAQ
I
$669.000
)18 -95 -324 I
______________ ---------------------- -
C$
I I_________.____I
,LLAS I
VARIOUS LOCATIONS IN FARMERS BRANCH
I CHAQ $1,200,000
I
$960,000 1 2228
\LLAS
_
I
$0 I
$0 1 02/0]
RMERS BRAN 13
INTERSECTION IMPROVEMENTS
I
50
$240.000 001
09/2 09 /2
1 I
I
TOM; CLEARED; TSM2100
I
$0 I
$0 I
1 5 CMAQ
I $1,200,000
18 -45 -334 I
________________
CS
I____________________
__ _I______________I___________I
LLAS I
VARIOUS LOCATIONS ON LIVE OAK STREET
I CMAQ $1,165,000
I
$932,000 1 783, 788
LLAS
IN THE CITY OF DALLAS
$D I
$0 1 02/09
LLAS
12 OFF - SYSTEM INTERSECTION IMPROVEMENTS
I
$ I
$233,000 1 09/2001
--- --------
T
I
'I 5
$0 I
$0 109/2 I
I____________________
18 - 45 -349 I
____________ ______________________________
CB
CMAQ
I__________._ __
I $1,
__ ____I______________I___________
1Ci5, 000
LLAS I
AT DENTON DRIVE, AT MARSH LANE AND
I CHA $356.000 I
$284,800 1 783, 78]
-.AG
AT WALNUT HILL LANE IN THE CITY OF DALLA
50 I
$0 1 03/02
1 3
OFF SYSTEM INTERSECTION IMPROVEMENTS
$0 I
$71,200 1 09/2001
TOM;CLEARED;TSM2100;COG 836
I
$D I
$0 I C,ER
----------- ----------------------------
___
CMAQ
1_____ $356,000
C= CONSTRUCTION, E= ENGINEERING, R =ROW, T= TRANSFER
V11.13