Federal Project Number

NMDOT Control Number

Project Name

Route Number, Section and Mileposts

County

Project Description

Engineer’s Estimate

Contract ID

Letting Date

PS&E Checklist review complete and ready for Authorization.

Engineer’s Signature:

Date

Reference (23 CFR x)

Item

Yes

No

N/A

450.216
450.220

Is this project programmed in the currently approved STIP?

450.322
450.324 

Is this project in an MPO area?

If so, is it programmed in the MTP and/or TIP?
MTP Ref. __________  
TIP Ref. ___________

Does the FMIS project description match the description and funds in the TIP/STIP?

Is the authorization request a conversion of a non Federal-aid funded project?

If so, does the project meet and document compliance with all Federal-aid requirements?

If so, does the authorization request include only those costs anticipated after authorization/obligation of funds?

627.1

Has a Value Engineering (VE) Study been conducted? 
(Required for projects > $25 Million, > $20 Million for bridge projects)

625.3(f)

Are any design exceptions incorporated into this project? 

If so, list design exception(s):
______________________________________________
Date Approved __________

Does the project involve new or revised Interstate Access?

If so, has the Interchange Justification/Modification Study been approved by the NMDOT and FHWA?
Date Approved __________

635-Subpart B
635.309(e)

Is the project being competitively bid? 

Is NMDOT or local force account construction work to be utilized on this project?

If so, has an emergency determination, or Cost Effective Determination been approved by the NMDOT and FHWA?
Type of Approval: __________
Date Approved: __________

635.407 

Are any materials to be supplied by the Local Public Agency or the NMDOT?
List Material(s): ______________________________________________

If so, has a Public Interest Finding (PIF) been approved by the NMDOT and FHWA?  Date Approved __________

635.411

Are patented or proprietary materials shown in the plans or specifications? 
List Material(s)/Product(s): ______________________________________________

If so, has the use of the proprietary material been approved by the NMDOT and FHWA?
Date Approved __________

Federal-aid Policy Guide G 6042.4

Are experimental features utilized on this project?
List Experimental Feature(s):
______________________________________________

If so, has a Work Plan been approved by the NMDOT and FHWA?  Date Approved __________

635.413

Warranties are approved.

620.101
620.103

Is the project located within 2 miles of an airport?

If so, has the project been coordinated with FAA?

If so, are air-highway clearances adequate for safe movement of traffic?

625.2(c)

Safety improvements are commensurate with level of work proposed.

Appropriate review of the PS&E package has been completed by the NMDOT and FHWA.

Plans have been approved by the appropriate official (PE if required).

All comments and issues from previous review reports, meeting summaries, etc. been satisfactorily addressed.

Environmental

771

Environmental documentation for the project has been approved. (select appropriate approval)
□ Programmatic Categorical Exclusion (PCE) 
□ Categorical Exclusion
□ Environmental Assessment (EA) / FONSI 
□ Environmental Impact Statement (EIS) / ROD 
Date Approved:  __________

771.129

Is a reassessment or re-evaluation of the environmental document needed?

771.113

Required public hearing transcripts have been received and accepted.

772.11g

Are noise walls included in the project?

Have environmental commitments been incorporated into the final design and contract documents? (select all that apply)
□ Historic Preservation (36 CFR 800)
□ Stream/Wetland Mitigation (23 CFR 777)
□ Noise Abatement  (23 CFR 772)
□ Section 4f (23 CFR 771.135)
□ Endangered Species Act  (50 CFR 402.12(c))
□ Other __________

635.407

Public interest findings are documented for mandatory waste or borrow sites.

Have all environmental permits for the project been secured?

Is the contractor responsible for obtaining any permits or external agency approvals for this project? 

If so, what Permit/Agency Approval(s) are required?
__________________________________________

Right-of-way

635.309

ROW certification has been approved.
Date Approved: __________

ROW acquisition and relocation is complete.

The acquired ROW is adequate to facilitate construction of the project.

If the ROW will not be clear prior to authorization, are proper stipulations contained in the proposal?

If so, list restrictions on the contractor:
______________________________________________

If so, when is it estimated the Right-of-Way will be clear? ______________________________________________

Utilities

635.309

Utility certification has been approved.
Date Approved: __________

Have utility agreements for all utilities affected by this project been completed and approved?

Have all utilities affected by this project been relocated or will be relocated prior to advertisement? 

If all utilities have not been relocated prior to advertisement, does the proposal include a special provision stipulating utility coordination with the prime contractor for each utility?

If utility relocation is required, the approved NTC is included in the contract documents.  

Railroad

635.309

Railroad certification has been approved.
Date Approved: __________

646

Does the project require use of or adjustment of railroad facilities?

646.107

If so, railroad insurance is provided.

646.216(d)

If so, agreement is in writing between the NMDOT and Railroad.

646.214(b)

If so, adequate railroad grade crossing warning devices are provided.

Work Zone

Work Zone checklists J and K have been completed.

Comments:

Item

Yes

No

N/A

Consultant design Name of consultant: ­­_________________

Do the contract plans contain the following:

Cover Sheet, Vicinity Map, Index, General Notes

Typical Sections

Summary of Quantities

Plan Sheets

Profile Sheets

Drainage Sheets

Cross Sections

Traffic Control Plans

Signing and Striping Plans

Lighting Plans

Traffic Signal Plans

Special Detail Sheets

Structure/Bridge Plans

Utility Relocation Plans

Other: ____________________________________________

Does the cover sheet include all required information (project number, NMDOT control number, termini, county, route, milepost, etc.)?

630.205 

Do the contract plans describe the location and design features and the construction requirements in sufficient detail to facilitate construction and the estimation of construction costs of the project?

Does the project utilize the current version of the NMDOT Standard Drawings?

Are local standard drawings, sepia drawings, or special details incorporated into the project?

If so, have they been reviewed and approved by NMDOT and FHWA?  Date Approved: __________

Are the details, typical sections and profile sheets adequate to show the complexity of work?

Have all pay items been checked against the construction plans?

Have all bridge plans been reviewed by Division Bridge/Structures Engineer and comments resolved?

Are Right-of-Way, easement, and control of access lines shown on the plans?

635.309(j)

Appropriate measures to ensure environmental conditions and commitments are met are clearly shown on the plans.

635.309(i)

Have provisions to minimize water pollution and soil erosion been included in the plans?

625.3
625.4

Have geometric design standards been met for:

Design Speed

Lane Width

Shoulder Width

Structural Capacity

Horizontal Alignment

Vertical Alignment

Grades

Stopping Sight Distance

Cross Slope

Super elevation

Horizontal Clearance

Vertical Clearance

626

Is the pavement design adequate?

625

Does the design conform to Federal-aid design standards for geometric and structural design of highways and/or NMDOT policy and guidance manuals?

Are the clear zone and safety appurtenances provided for this project in accordance with the current edition of the AASHTO Roadside Design Guide?

655.603
635.309(n)

Are all traffic control devices provided with this project consistent with the current edition of the Manual on Uniform Traffic Control Devices (MUTCD)?

Construction

Permanent

630 (J)

Is a temporary traffic control plan provided and consistent with regulations on Work Zone Safety & Mobility?

Has the Transportation Management Plan (TMP) been approved by NMDOT and FHWA?
Date Approved: __________

630.1012

Traffic management plan is approved and included.

652

Are appropriate accommodations provided for bicyclists and pedestrians along the project and intersecting roadways?

Are pedestrian facilities designed in accordance Americans with Disabilities Act requirements? 
( http://www.access-board.gov/ ) 

652.7(b)

Are pedestrian and bike routes pursuant to an overall plan?

650.117

Is the required hydraulic data shown on the plans?

Are the details sufficient to describe the required installation of drainage facilities including culverts, erosion control structures, headwalls, inlets, and manholes?

Overall plan quality is generally acceptable.

Comments:

Item

Yes

No

N/A

Does the project utilize the current version of the NMDOT Standard Specifications?

Are local specifications or supplemental specifications utilized on the project?

If so, have they been reviewed and approved by the NMDOT and FHWA?  Date Approved: __________

630.205

Special Provisions and Supplemental Specifications are satisfactory.

635.309(j)

Special Provisions contain commitments for environmental mitigation (which is contained in the environmental documentation).

630.205(b)

Specifications contain the written instructions for constructing the project.

Supplemental Specifications cover new or additional construction items or substantial changes regarding items not included in the standard specifications.

Are all pay items covered by an appropriate specification that agrees with the plans for basis of payment?

Detailed description of the work, materials, construction methods, measurement method, basis of payment, and pay item for each item of work is outlined.

Contract time is acceptable.

Appropriate documents from the NMDOT “Boiler Plate for Federal Funded Projects” have been included in the contract documents.  
Local Government Agreement Unit Boiler Plate for Federal Projects (PDF)

Comments:

Yes

No

N/A

Does the estimate include a pay item for all work included in the plans?

Are all estimated unit prices reasonable and comparable to average unit bid prices or construction industry trends?

Are Federal-aid non-participating items included in this project?

If so, non-participating items separately listed in the estimate and/or plans include items: __________

Is the amount of the estimate consistent with the amount of Federal-aid funding requested for the construction phase?

Engineer’s Estimate unit prices are reasonable for the areas, times, and characteristics of the work to be done.

Unit prices have been reviewed to determine if changes in estimated unit prices are needed to reflect any trends that have occurred within the past 3-6 months.

Incentive/disincentive or escalation clauses have been considered in determining the estimated unit costs.

Estimate includes an item number, description of the item, estimated quantity, unit, and price for each proposed item of work.

Haul road restoration item is provided.

State option borrow costs are provided.

Salvage credit is shown.

Utility and railroad force account work is covered.

Class and breakdown of funding are correct for highway classification.

Comments: