BRIDGE NY 2016 Application Information

Prior to completing the Bridge and/or Culvert Application form(s), please review the Notice of Funding Availability Announcement at www.dot.ny.gov/BRIDGENY.

COMPLETING THE APPLICATION(S):

For each Application, please be sure to complete all required fields.

For the Bridge Application form: Select the appropriate regional application that corresponds to the region in which the project will be completed. After completing the Project Sponsor and Contact Information sections, please enter the Bridge Identification Number (BIN). Certain fields will populate using BDIS data once the BIN number is entered. Fields identified with green shading are not pre-populated and are required to be completed by the project Sponsor. For the Bridge Application, required fields include:

Project Sponsor : Municipality sponsoring the project; i.e. Albany County Name : Contact person for the project Sponsor Address, email & phone : Contact information for the project sponsor Project Priority : when multiple bridges are submitted by a project sponsor, each bridge should

be ranked numerically with 1 being the highest priority project. Construction Cost : project construction cost Total Cost : Construction cost plus additional project cost including design, inspection and ROW. SFY Letting : The anticipated letting date; month/year PIN : to be assigned by the NYSDOT Regional Office Project Scope Description : Brief description of what the project will accomplish. Project Commentary : Description of the unique elements and important factors that are not

readily captured by the available data.

In the event that you do not agree with a pre-populated value, please attach a brief narrative to the email submission explaining the justification(s) for the values you wish to substitute. Include the name, title and phone number of the person who can be contacted regarding the issues raised.

For the Culvert Application form: All fields are required fields. Data will need to be collected from Applicants, therefore, the form will not pre-populate.

ATTACHMENTS:

In addition to the required bridge and/or culvert application(s), project sponsors may also attach project budgets, plans, drawings, reports, environmental determinations or other supporting documentation as deemed appropriate. Attachments to the application should be included with the e-mail submission of

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your application form. Attached files should be of common business formats such as PDF, JPG, MS Word, MS Excel, etc. There is no limit on file size for attachments; however, large attachments may affect your ability to submit your application.

SUBMITTING YOUR APPLICATION TO NYSDOT:

Completed Applications should be sent to: BRIDGENY@dot.ny.gov by no later than September 9, 2016.

For Bridge Applications: Be sure to include “BRIDGE NY 2016” followed by the BIN number, project priority number that you have assigned it and county in the subject line of the email (i.e. BRIDGENY16-BIN3302115-01-Greene).

For Culvert Applications: Be sure to include “BRIDGE NY 2016” followed by the word “Culvert,” project priority number that you have assigned it and county in the subject line of the email (i.e. BRIDGENY16-CULVERT-01-Greene).

Questions regarding the Application process can be addressed to: BRIDGENY@dot.ny.gov

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