MHTC Agenda Item Checklist Complete this form for all MHTC agenda items except employee grievances and recurring reports not requiring MHTC approval. The following individuals must concur with this item prior to submitting it to the Commission and Secretary’s Office: (1) District Engineer (if a district item), (2) Division leader, (3) Respective organizational team leader (Director, Chief Engineer, Chief Financial Officer, or Assistant Chief Engineer). Send links to the completed form and backup electronically to the MHTCAgenda email group. See the Office SharePoint site for due dates and additional information. Commission Secretary’s Reviewed by: Concur Concur Do Not Concur No Comments With Comments Comments Mandatory (begin with originator) Comments section at bottom of page or in the document(s) in SharePoint in track changes mode. Place comments in Reviewers’ Checklist and Backup Due to Office Commission Secretary’s SECTION A Meeting Date: Agenda Type: MHTC AGENDA ITEM TITLE: Include title, brief description, and name and title of individual(s) making the presentation as it will appear on the Commission agenda for public distribution. Respective District Engineer should be listed for items originating in the districts. Originating or Coordinating Central Office Division / Unit: District (if applicable): Person initiating this form: Title: Phone: CONTRACTS: Does the transaction require a contract(s) other than a (1) Contract and Bond for roadwork (lowest responsible bidder under state statute) or (2) purchase of equipment or materials by purchase order or other contract under MoDOT procurement rules? If yes, complete Section B, for each contract contemplated by this agenda item. Yes No Is there the appearance of or an actual conflict of interest involving a member of the CONFLICT OF INTEREST: Commission? If yes, complete Section C. Yes No Comments, if any, of those listed in the review box above. REVIEWERS’ COMMENTS: Comments may also be made on the actual documents in SharePoint in track changes mode.
MHTC Agenda Item Checklist Complete this form for all MHTC agenda items except employee grievances and recurring reports not requiring MHTC approval. The following individuals must concur with this item prior to submitting it to the Commission Secretary’s Office: (1) District Engineer (if a district item), (2) Division leader, and (3) Respective organizational team leader (Director, Chief Engineer, Chief Financial Officer, or Assistant Chief Engineer). Send links to the completed form and backup electronically to the MHTCAgenda email group. See the Commission Secretary’s Office SharePoint site for due dates and additional information. Reviewed by: (begin with originator) Concur No Comments Concur With Comments Do Not Concur Comments Mandatory Place comments in Reviewers’ Comments section at bottom of page or in the document(s) in SharePoint in track changes mode. Checklist and Backup Due to Commission Secretary’s Office SECTION A Meeting Date: Agenda Type: MHTC AGENDA ITEM TITLE: Include title, brief description, and name and title of individual(s) making the presentation as it will appear on the Commission agenda for public distribution. Respective District Engineer should be listed for items originating in the districts. Originating or Coordinating Central Office Division / Unit: District (if applicable): Person initiating this form: Title: Phone: CONTRACTS: Does the transaction require a contract(s) other than a (1) Contract and Bond for roadwork (lowest responsible bidder under state statute) or (2) purchase of equipment or materials by purchase order or other contract under MoDOT procurement rules? If yes, complete Section B, for each contract contemplated by this agenda item. Yes No CONFLICT OF INTEREST: Is there the appearance of or an actual conflict of interest involving a member of the Commission? If yes, complete Section C. Yes No REVIEWERS’ COMMENTS: Comments, if any, of those listed in the review box above. Comments may also be made on the actual documents in SharePoint in track changes mode.
237.9_MHTC_Agenda_Item_Checklist_2017.docx