If entity is pay for 100% of the engineering/design consultant and has selected their engineer, please provide consultant information. Please note that companies that are on DOTD's disqualified or disbarred list cannot be used on Federal Aid projects. The lists may be found by going to . Go to "Doing Business with DOTD"/"Consultant Contract Services"/"Solicitation Information" Name of Company: Address: Zip: Contact Person: Title: Phone Number: Email: Fax Number: PROJECT BACKGROUND (BRIEF PROJECT INFORMATION) Name of Project (40 characters only including spaces): Roadway or Facility Name (If different from project name): Project Length with Beginning & Ending Points (if applicable): GPS Coordinates: Project Location (Attach Map) Parish(es): State House District No.: State Senate District No.: PURPOSE AND NEED State the Purpose (Reason for proposing the project; Example: The purpose of this project is to reduce the delay and improve operation of the intersection.)
If entity is pay for 100% of the engineering/design consultant and has selected their engineer, please provide consultant information. Please note that companies that are on DOTD's disqualified or disbarred list cannot be used on Federal Aid projects. The lists may be found by going to . Go to "Doing Business with DOTD"/"Consultant Contract Services"/"Solicitation Information" Name of Company: Address: Zip: Contact Person: Title: Phone Number: Email: Fax Number: PROJECT BACKGROUND (BRIEF PROJECT INFORMATION) Name of Project (40 characters only including spaces): Roadway or Facility Name (If different from project name): Project Length with Beginning & Ending Points (if applicable): GPS Coordinates: Project Location (Attach Map) Parish(es): State House District No.: State Senate District No.: PURPOSE AND NEED State the Purpose (Reason for proposing the project; Example: The purpose of this project is to reduce the delay and improve operation of the intersection.)
2016_LRSP_App_Jan.docx