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2011 Discretionary Grant Programs

Innovative Bridge Research and Deployment Program - Application

Download a Word version of this application: ibrd2011appl.docx, 22 KB

State:

State's Priority Ranking: # _____ of _____

Project type: (new construction, replacement, rehabilitation, or repair)

NBI structure number:

County:

Congressional District:

Name of Congressional Representative:

Structure Name and/or Identifying Description (e.g., Number/Name of Route on the Bridge and Feature Crossed):

Structure description (e.g., bridge type, number of spans, length, width, material):

Innovative designs, materials and construction methods (describe the designs, materials, and/or construction methods; and how they are used and how the project meets one or more of the program goals). Each application (proposal) shall include and address the following items:

  1. Project Name:
  2. Project classification/technology: such as, PBES, GRS etc.
  3. Project Summary:
  4. Project Description:
    1. Describe designs, materials and construction methods;
    2. Describe how the project(s) meet the FHWA's Every Day Counts (EDC) Initiative on Accelerating Technology & Innovation Deployment (please see the solicitation memorandum for details); and
    3. Technical merits (technical details, quality of innovation, technically sound, cost effective, likelihood of having a lasting impact on the State, and likelihood of having a national lasting impact.) Note: Please limit the narrative (proposal) on this section to 2 pages.

Schedule for start of work (month/year):

Cost Estimates:

Total project cost (P):

Preliminary engineering cost, if requested (A):

Cost of "innovative material/method" portion of the construction (B):

Cost of documenting construction practice evaluation and lessons learned (C):

Cost of post-construction evaluation, if warranted (D):

PE costs + construction costs + evaluation costs = (A + B + C + D) = T

Total Federal Program Funds Requested:

Commitment of Other Funds:

State Department of Transportation Contact Person:

Name:

Title:

Agency:

Ph:

Fax:

E-mail:

Local Agency Contact Person (if applicable):

Name:

Title:

Agency:

Ph:

Fax:

E-mail:

FHWA Division Office Contact Person:

Name:

Title:

Agency:

Ph:

Fax:

E-mail:

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