Form
Number |
Title |
Format |
|
Word |
|
U1A |
Affidavit (for Utility Owner) |
 |
|
U1B |
Affidavit (for Disinterested Party) |
 |
|
U1C |
Affidavit (for Property Owner) |
 |
|
U13 |
Reimbursable Authorization Letter |
 |
|
U27A |
Certificate of Partial Payment for Utility Estimate |
 |
|
U27B |
Support for Certificate of Partial Payment for Utility Estimate
Showing Estimated Work Completed as of______ |
 |
|
U35 |
Standard Utility Agreement |
 |
|
U40 |
Signature Authority |
 |
|
U43A |
Standard Utility Agreement Lump Sum - Local Government |
 |
|
U43B |
Standard Utility Agreement Actual Cost - Local Government |
 |
|
U45 |
Tabulation of Utility Adjustments (SUP) |
 |
|
U47A |
Tabulation and Certificate of Partial Payment for Utility
Adjustment (LUP) |
 |
|
U47B |
Tabulation and Certificate of Partial Payment for Utility
Adjustment - Final (LUP) |
 |
|
U48 |
Statement Covering Utility Construction Contract Work (As
Appearing in Estimate) |
 |
|
U84 |
Compensable Interest Certificate |
 |
|
U139 |
Indemnity Agreement for Fiber Optic Facility |
 |
|
U139A |
Master Indemnity Agreement for Fiber Optic Facility |
 |
|
UAdjCheck |
Utility Adjustment Checklist (to be included with submittal) |
 |
|
UBillChkDist |
Utility Payment/Billing Checklist - District |
 |
|
UBillChkDiv |
Utility Payment/Billing Checklist - Division |
 |
|
UCFUA |
Certification for Utility Accommodation |
 |
|
UCLEARANCE |
Utility Clearance Letter |
 |
|
UCOA |
Standard Utility Agreement Supplemental Agreement No.___ to U-___ |
 |
|
UEWA |
Emergency Work Authorization Post-highway Letting |
 |
|
UJUAA |
Utility Joint Use Acknowledgement Reimbursable Utility Adjustment |
 |
|
UJUAB |
Utility Joint Use Acknowledgement Non-reimbursable Utility Adjustment |
 |
|
UJUACheck |
Utility Joint Use Agreement Checklist (to be included with
submittal) |
 |
|
UMOU1 |
Utility Memorandum of Understanding (For use with utility
entities) |
 |
|
UMOU2 |
Utility Memorandum of Understanding (For use with utility industry
associations) |
 |
|
UUAD |
Utility Accommodation Declaration |
 |
|
UUAWS |
Utility Assignment Work Sheet Pre-highway Letting |
 |