To:	mdteccs@mt.gov	Project Number:
Date:	Choose a date	Project Name:
Control Number:
From:	Work Type:	Choose Work Type
DPM	Designer:

CDB Projects Only
Consultant Contact:	Email:

This form provides verification that all deliverables necessary for construction contract advertising are complete. Links to deliverables are provided as necessary.

The following items are required:	Yes	No	Comments
County Soft Split Pro Rated Percentage if more than two counties, use remarks below	County	Percentage	%
County	Percentage	%
Additional Sub Work Types
Bridge Work Choose Work Type
Road Work Choose Work Type
Shared Use Path (620)
Sidewalk/ADA (621)
Service Connect (650)
965 PS&E Adobe Review (965 only)	(Insert link from PCMS, 965 only)
This is a tied project	Tied Project UPN#:
This project is on an Indian Reservation
This project is within a National Park
Remarks:

DPM is to complete this section when the report is complete, all PS&E review comments are documented and resolved, and the project is ready for advertisement.

DPM Final Authorization for ECCB Submittal:	Date: Choose a date

e-Distribution: MDT PSE Preliminary mdtpsepreliminary@mt.gov (black only) MDT PSE Final mdtpsefinal@mt.gov (includes black and red) Red: Final ECCB submittal only. Black: Both PS&E review package and Final ECCB submittal.
Kelly Williams	Consultant Design Bureau Chief	Andy Cullison	Bridge Engineer
Robert Stapley	Rail, Transit & Planning Div. Administrator	Damian Krings	Highways Engineer
Dave Gates	Construction Engineer	Gabe Priebe	Traffic and Safety Engineer
Jeff Jackson	Geotech Bureau	Jason Gilliam	Right-of-Way Bureau Chief
Jon Swartz	Maintenance Div. Administrator	Ryan Dahlke	Preconstruction Engineer
Tom Martin	Environmental Services Bureau Chief	Jeremy Terry	Road Design Engineer
Joe Green	Construction Bureau - VA Engineer	Jen Johnson	Hydraulics Engineer
Steve Giard	Utilities Engineering Manager	Bill Weber	Supervisor - Photogrammetry & Survey
Jonathan Ries	Lands Section Supervisor	Stanton Brelin	Traffic Operations Engineer
Bob Heiser	Acquisition Section Supervisor	Tyrel Murfitt	Traffic Design Engineer
Jon Burnett	R/W Access Management Section Mgr	Patricia Burke	Safety Engineer
Michelle Gale	Implementation Specialist	Brett Harris	Engineering Cost Analyst
Miles Yerger	Surfacing Design Supervisor	Oak Metcalfe	State Materials Engineer
Walt Ludlow	Field Services Engineer	Ki Stoddard	Materials – Steel Fabrication Specialist
Les Timmer	Bridge – Shop Drawing Review	Natalee Stout	Public Involvement Officer
Paul Johnson	Project Analysis Bureau	Rebecca Ridenour	Research Section Supervisor
Jean Riley	Planner	Darin Reynolds	Eng. Contract Plans Bureau Chief
Tom Gocksch	ESB, Engineering Section Supervisor	Lisa Hurley	Fiscal Programming Section
Vacant	Eng. Mgr, Bridge Mgmt System	David Phillips	Engineering Division
Megan Cail	Highways Design Engineer	Andy White	Secondary Roads Engineer
Darcy Goodson	Reclamation Specialist	Shelby Clark	Bicycle/Pedestrian Coordinator
Tyler Steffan	Bridge Design Engineer	Joe Radonich	Remediation and Assessment
Matt Maze	ADA Coordinator	Laura Evilsizer	Archeologist
Mike Poole	MCS Scale Site Coordinator	Hayden Burnett	Engineering Contract Specialist
Jon Axline	Historian	Ed Cohlhepp	Engineering Contract Specialist
Glen Larson	Engineering Contract Specialist	Erik Martini	Engineering Contract Specialist
Miki Lloyd	ECCB Section Supervisor
*Names and positions below are district/project specific. Include on both distributions.
Choose an Engineer	FHWA - Ops Engineer (PODI only)	Choose Checker	Checker
District Distribution	Choose a District Distribution
District Reviewers	Choose District
Maintenance Chief	Choose a Maintenance Chief

PLANS
Deliverable	REQUIRED	#E-Files	COMMENTS (Note files that are edited, added or deleted from the 964 submittal when completing the 965 submittal)
YES	NO
*Road Plans	Link
Hydraulic Details	include with road plans
Geotechnical Details	include with road plans
Environmental Details	include with road plans
Other Details	include with road plans
*Signing Plans	Link
*Electrical Plans	Link
*Bridge Plans	Link
*Cross-Section	Link
*Erosion Control Plans	Link
*Mass Diagram	Link
*As-Built Bridge Plans	Link
Other	Link
Other	Link
Other	Link
*Link PDF plan sets for ECCB to download from PCMS. .CPBs will no longer be used.

*SPECIFICATIONS SECTION I
DELIVERABLE	REQUIRED	E-Files	COMMENTS	STANDARD SPECIAL PROVISIONS	INCLUDE	COMMENTS
YES	NO	YES	NO
Section I (.docx format)	Road Design	Link	CEI Administered Projects 100-1
Bridge	Link	CEI Services Add. Req. 100-2
Hydraulics	Link	Railroad Flagging 107-13
Geotechnical	Link	Soil Boring Information 102-21
Electrical	Link	Status of Utilities 108-1
Signing	Link	Subcontracting consultants 108-3	I.D. Consultants
Environmental	Link	Moisture Sensitive Soils 203-1
CWA 404	Link	Contaminated Soil 208-4	Include stations
Sage Grouse	Include in Env Sp.	Increase in Turbidity 208-8
Eagle special	Include in Env Sp.	Noise Impact 208-9
Bull Trout	Include in Env Sp.	Impact Attenuator 606-2	Provide Cushion width (______)
SPA 124	Include in Env Sp.	Dep. Furn. Var. Mess. Sign 618-5
T&E species	Include in Env Sp.	Wide Load Accommodations 618-9	Single use sign quantity needed
Exp./Research Proj.	Include in Env Sp.	Wide Load Accommodations 618-9a	32 J Loads
Road User Cost	Included in PM Sp.	Traffic Act. Temp. Signals 618-10**	# of signals needed
Temporary Barrier Rail 618-11
Traffic Control – USAF Convoy 618-6
Motorcycle Advisory Signs 619-2
Construction Equipment on Structures	Use when structures exist within project limits
*ECCB uses this sheet to develop the proposal. Specials provided must be in the latest special provision template. Provided specials are manually compiled and incorporated into the proposal. This proposal is kept separate from specials on PCMS and is housed on ECCB’s share drive. Changes from PS&E review must be clearly communicated to ECCB as the PS&E proposal is edited and not re-built. **Need to provide the level of service I or II, and then fill out the maintenance of traffic.

*SPECIFICATIONS SECTION II
DELIVERABLE	REQUIRED	E-Files	COMMENTS (Note files that are edited, added or deleted from the 964 submittal when completing the 965 submittal)
YES	NO
Section II	Seeding	Link
SWPP Maps	Link	Required if ground disturbance, including crossovers, is greater than 1 acre. MSU design unit provides the maps when required.
Railroad Special Provision	Link
Other	Link
PSA (proj. spec. agr. w/tribe)	N/A	Provide a link if requested.
Geotechnical Boring Logs key	Link
Geotechnical Boring Logs	Link
*Include w/ PS&E review materials if required. Provide PCMS links on form. ECCB will assemble the PS&E review package and return to the DPM for distribution.

Timing Restriction/Permit Effective Dates
Permit/Restriction	Comments	Timing Restrictions/Permit Effective Dates
Effective Dates	Effective Days	Effective Hours	Affected STA
From	To	From	To	From	To

*ESTIMATES & CTC
DELIVERABLE	REQUIRED	E-Files	COMMENTS
YES	NO
Road Design Estimate	Link
Electrical Estimate	Link
Signing Estimate	Link
Bridge Estimate	Link
Other Estimate	Link
Contract Time Calculation	Link
*Include w/ PS&E review material if required.

Miscellaneous, New, Unique, or Modified Bid Items*
Bid Item	Unit Cost	Comments/Research/Justification
Use this table to provide any specialty items or researched bid items that are not in line with the AASHTOWare bid regression. All miscellaneous items need to be listed here with a description of what is being paid for under that item. *Materials reviews this section to ensure that all necessary testing equipment/procedures are acquired prior to Award.

Project R/W, Reports, Documents, Permits, Agreements, Etc. (not included in PS&E package)
Document	Required	Completed	E Files*	Comments
Yes	No	Yes	No
R/W	Right-of-Way Parcels/Agreements	N/A – do not link
* Railroad Agreements	N/A
Utility Agreements (city or other)	Link
Other
Agreements	City Agreements	Link
County Agreements	Link
Funding Agreements	Link
Other Agreements	Link
Other Agreements
Miscellaneous	* State Furnished Material	Include w/ Specs and Estimates worksheet
* Road User Cost	Include with Section I specials
* Flood Plain Permit	Include with Section I specials
Geotechnical Reports	N/A
Wetlands Coordinates	Link
Earthwork logs and txt	Link
Design Exceptions	Link
* Experimental/Research Project	Include with Section I specials
Non-Buy America Compliant (MT601) products	N/A
Research Project	Include with Section I specials
Work Zone Safety and Mobility (TMP Worksheet)	Link
Other
Environmental	COE 404 Permit	N/A
Endangered Species letter	N/A
Environmental Document (include re-evals)	Link
SPA 124 Permit	N/A
ALCO/ALPO Permit	N/A
Other
* Provide links to plans, special provisions and estimates as necessary on the "Plans" and " Specifications and Estimates" worksheets