Local Public Agency Certification Program Application - Section A: Certification Training

Certification Training

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 (current form)
  2. Project Delivery History
  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.

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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Metropolitan Planning Organization/Regional Transportation Planning Agency

Project Name as shown in Transportation Improvement Program

Provide name of LPA Certification Program Liaison

Provide e-mail address for LPA Certification Program Liaison

Provide phone number for LPA Certification Program Liaison

Provide name and contact information

LPA Designee name and contact information or contracted consultant service

LPA Designee name and contact information or contracted consultant service

LPA Designee name and contact information and company name or contracted consultant service

LPA Designee name and contact information and company name or contracted consultant service

Please provide the name(s) and contact information of the LPA staff member(s) who has/have completed the following Local Program E-Learning Modules:

This training is located at: https://360.articulate.com/review/content/2c847049-bb37-4fbb-9bba-b8fb0abcbd26/review

*Note: The Person in Responsible Charge should complete this training

This training is located at: https://360.articulate.com/review/content/115de337-6a99-4818-a863-1278bedd86ca/review

*Note: All key staff should take this training

Authorization, Invoicing, Eligible Costs, Participating Costs, Matching Funds, Indirect Costs, Deadlines, Documentation, Audits, etc.

This training is located at: https://360.articulate.com/review/content/3f5bc766-f7e6-4032-8446-a7e119c1e480/review

Title VI prohibits discrimination

American Disability Act (ADA) requirements fall under Title II.

Note: User must select and upload all documents shown in dropdown list to submit form

Select
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Use this section to upload the following documents:


  1. Project Location Map *
  2. CIP Budget Sheet *
Drag and drop files here or