ADMINISTRATION NEW JERSEY DEPARTMENT OF NEW DIVISION TRANSPORTATION REQUEST FOR APPROVAL OF PATENTED/PROPRIETARY ITEMS ON FEDERALLY FUNDED PROJECTS Regulatory References: 23 CFR 635.411 Federal funds shall not participate, directly or indirectly, in payment for any patented and proprietary material, specification, or process set forth in the plans and specifications for a project unless: The patented or proprietary item is purchased or obtained through competitive bidding with 2 or more equally suitable unpatented items; or The State certifies either the patented or proprietary item is essential for synchronization or no suitable alternative exists; or The patented/proprietary item is used for research or for a distinctive type of construction on relatively short sections of road for experimental purposes. Section A: STATE CERTIFIES AND/OR REQUESTS A PUBLIC INTEREST DETERMINATION FOR Synchronization with existing facilities (23 CFR 635.411 (a)(2)) No suitable Alternative/Sole Source (23 CFR 635.411 (a)(2)) Experimental or Research Purposes (23 CFR 635.411 (a)(3)); (NOTE: If item is for research and experimental purposes then NJDOT, New Technologies & Products Unit (NTP), must submit a workplan and follow procedures outlined and guidance for Experimental within FHWA’s policy “Construction Projects Incorporating Features”.) () Section B: STATEWIDE OR SPECIFIC PROJECT DETERMINATION Is the request to be used for 2 or more federally funded Yes (If yes, then do not complete No (If no, then proceed to projects (Statewide/multiple projects)? Section C. Proceed to Section D Section C through Section through Section F). F). Section C: SPECIFIC PROJECT INFORMATION Proj. Delivery (Pipeline): I II III IV Other Proj. Delivery Types: _____________________ Federal Project Number: Project Description: UPC#: Route: Section: County: Section D: PRODUCT DESCRIPTION (NOTE: Provide detailed information concerning the intended use of the product. Attach relevant product information as warranted.)
ADMINISTRATION NEW DIVISION NEW JERSEY DEPARTMENT OF TRANSPORTATION REQUEST FOR APPROVAL OF PATENTED/PROPRIETARY ITEMS ON FEDERALLY FUNDED PROJECTS Regulatory References: 23 CFR 635.411 Federal funds shall not participate, directly or indirectly, in payment for any patented and proprietary material, specification, or process set forth in the plans and specifications for a project unless: The patented or proprietary item is purchased or obtained through competitive bidding with 2 or more equally suitable unpatented items; or The State certifies either the patented or proprietary item is essential for synchronization or no suitable alternative exists; or The patented/proprietary item is used for research or for a distinctive type of construction on relatively short sections of road for experimental purposes. Section A: STATE CERTIFIES AND/OR REQUESTS A PUBLIC INTEREST DETERMINATION FOR Synchronization with existing facilities (23 CFR 635.411 (a)(2)) No suitable Alternative/Sole Source (23 CFR 635.411 (a)(2)) Experimental or Research Purposes (23 CFR 635.411 (a)(3)); (NOTE: If item is for research and experimental purposes then NJDOT, New Technologies & Products Unit (NTP), must submit a workplan and follow procedures outlined within FHWA’s policy and guidance for “Construction Projects Incorporating Experimental Features”.) () Section B: STATEWIDE OR SPECIFIC PROJECT DETERMINATION Is the request to be used for 2 or more federally funded projects (Statewide/multiple projects)? Yes (If yes, then do not complete Section C. Proceed to Section D through Section F). No (If no, then proceed to Section C through Section F). Section C: SPECIFIC PROJECT INFORMATION Proj. Delivery (Pipeline): I II III IV Other Proj. Delivery Types: _____________________ Federal Project Number: Project Description: UPC#: Route: Section: County: Section D: PRODUCT DESCRIPTION (NOTE: Provide detailed information concerning the intended use of the product. Attach relevant product information as warranted.)
PIFF-RequestForm.docx