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<br />Advance Funding Agreement Special Approvals <br />Transmittal Form (per 43 T AC ~15.52) <br /> <br />As determined in staff meetings and as written in the contract and approved by the Local Government <br />(LG) by resolution/ordinance, the LG requests that it be permitted to perform the indicated item. The <br />District concurs and recommends this request be approved. <br /> <br />From: Austin - Pat Crews-Weight <br />(District/Division) <br />CSJ: 0914-33-053 Local Government: <br />Brief Project Description: Construct bike/oed facility <br /> <br />Date: 3/14/07 <br /> <br />City of San Marcos <br /> <br />(1) To: Amadeo Saenz, Jr., P.E., Admin <br /> <br />Request for approval of a local government to (check all that apply)*I**: <br />Check <br /> <br />Perform force account work on a highway improvement <br />Outsourcing preliminary project engineering and design for which reimbursement is <br />requested (all roads) <br />X Perform bid opening (all roads) <br />Award construction to a contractor (all roads) <br />X Perform construction management or hire a consultant to perform construction management <br />(all roads) <br /> <br />Funding Structure: Fixed Price <br /> <br />Incremental Payments <br />DATE: 3] 2,7/f:J7 <br /> <br />APPROVED BY AED/EO: <br /> <br />If> <br /> <br />AN D/OR <br />(2) To: District Engineer Date <br />Request for approval of a local government to perform force account work on projects or <br />activities appurtenant to a state highway (on-system) (check all that apply, initial and date)*: <br />Check Applicable Activities <br />Drainage facilities Landscaping <br />Surveying Guardrails <br />Traffic counts Driveway Construction <br />Other items incidental to the roadway such as signing, pavement markings, signals, <br />illumination, and traffic management systems <br /> <br />APPROVED BY DE: <br /> <br />DATE: <br /> <br />Please return this form to OGC-CSS in order to process the related AFA. OGC-cSS will provide <br />CST, DES, BRG, or TRF with a copy of the approvals, as needed. <br /> <br />* Approval will not be given by anyone for a project for the improvement of freeway main lanes on the state highway <br />system per 915 52. **Note: For on-system, non-standard program, if locals construct, they must contribute more <br />than 50% of cost. <br /> <br />AFA - AFASA <br /> <br />Page 1 of 3 <br /> <br />Rev. 2/1/05 <br />