Local Public Agency Certification Program Application - Section B: Project Delivery History

Project Delivery History

The California Department of Transportation (Caltrans) through Stewardship and Oversight Agreement with FHWA, has the flexibility to allow local public agencies (LPAs) to administer transportation projects through the Federal-aid process. However, Caltrans is ultimately responsible and must assure local compliance with all Federal and State laws. The Local Public Agency Certification Qualification Form is for the LPA to demonstrate it meets the qualifications to successfully administer a federal-aid project. This form needs to be updated when there is a change in key personnel or as determined by the DLAE.


The LPA shall designate an LPA Certification Program Liaison and a Person in Responsible Charge. The Program Liaison shall serve as a Quality Control Coordinator for all federal-aid project submittals and a primary point of contact for the LPA. The designated Person in Responsible Charge is responsible for the project and must be a full-time employee of the LPA; and he/she accepts the responsibilities of the Person in Responsible Charge outlined in the Local Assistance Procedures Manual (LAPM) https://dot.ca.gov/-/media/dot-media/programs/local-assistance/documents/lapm/ch02.pdf


Submittal Requirements: LPA is required to complete the following four forms to apply for Certification:


  1. Certification Training
  2. Project Delivery History (current form)
  3. Project Delivery Process
  4. Civil Rights


LPA must recertify every 3 years. Once an LPA is certified, Project Delivery History, Project Delivery Process, and Civil Rights will only be updated if there are changes.


The LPA must have previously delivered and maintained capital improvement projects. Please list projects for reference. If the LPA does not have examples of Federal-aid capital improvement projects, please list locally funded projects.

Numeric identifier for each local agency or administering agency (assigned by the Division of Local Assistance)

Local Public Agency

Select or enter value
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Provide name of LPA Certification Program Liaison/Quality Control Coordinator

Provide e-mail address for LPA Certification Program Liaison/Quality Control Coordinator

Provide phone number for LPA Certification Program Liaison/Quality Control Coordinator