LOCAL GOVERNMENT LETTER HEAD

April 8, 2019

MDOT State Highway Administration 
District ## Office
Address

ATTN: ##, District Engineer

SUBJECT: Replacement of Bridge No. ### on ### Road over ###

RE: Request for Construction Inspection Services 

Dear (District Engineer Name):

We request the use of SHA personnel or a SHA open-end consultant for Construction Inspection Services at the bridge replacement project (Bridge No. ###) on ## Road over ###. Specifically, ### County does not have adequate manpower at this time to perform the Construction Inspection Services for the subject project. Therein, we request that this work be completed with District Construction personnel or through a District open-end consultant. The scope of work to be performed by the SHA open-end consultant includes, but is not necessarily limited to, providing all Construction Inspection Services as required by the County/State for Federal Aid Bridge Replacement Projects. Specific details regarding the scope of work are set forth in the enclosed Contract Plans, Specifications, and Estimate. This scope of work also includes attending various project meetings and providing/obtaining the appropriate project documentation as the work progresses.

Our anticipated Notice to Proceed date for construction of this project is in June 20## (this date is based upon the anticipated time to complete all necessary reviews, advertise, and award the project) with approximately ## calendar days scheduled to complete the construction at an estimated construction cost of $##.

The County understands that payment for 80 percent of the costs for these services will be deducted from the County Federal Bridge Replacement and Rehabilitation Funds while the remaining 20 percent will be repaid by the County to the State upon receipt of SHA billings.

The person authorized on the behalf of ## County to execute the SHA Form 30.0-032L is ##, Chief Engineer. All billings relating to these requested services should be sent to the ## County Engineering Department, Address, Attention: name.

Sincerely,

Name
## County Bridge Engineer

cc:  Division Chief - MDOT SHA FAPS