Documents Required for ROW Division Processing of Utility Agreements

Document Type	State	Federal	LPA
Utility Adjustment Checklist	1 Electronic Copy	1 Electronic Copy	1 Electronic Copy
Transmittal Memo	1 Electronic Copy	1 Electronic Copy	1 Electronic Copy
Standard Utility Agreement	1 Electronic Copy with original or electronic signatures **	1 Electronic Copy with original or electronic signatures	No agreement required
Utility Joint Use Agreement, Form ROW-U-JUA	1 Electronic Copy with original or electronic signatures **	1 Electronic Copy with original or electronic signatures **	1 Electronic Copy with original or electronic signatures (only for on-system projects) **
Affidavit (Form ROW-U-Affidavit)	1 Electronic Copy with original or electronic signatures and 1 copy of recorded instruments	Required only for Interstate replacement easement or right of way; otherwise, use documents shown for State.	1 copy with original or electronic signatures and 1 copy of recorded instruments
Form ROW-U-48(Statement of Contract Work)	1 Electronic Copy, if applicable	1 Electronic Copy, if applicable	TxDOT form is not required
Estimate & Schedule of Work	1 Electronic Copy	1 Electronic Copy	1 Electronic Copy
Plans	1 Electronic Copy	1 Electronic Copy	1 Electronic Copy
Supporting Documentation	1 Electronic Copy ***	1 Electronic Copy ***	1 Electronic Copy ***
* Under the LPA Process, utility agreements are not required when using the actual cost method. ** May be deferred until final billing stage *** Supporting documentation may not be required for all agreement packages. Grant of Signature Authority only required for documents executed by non-company officers who do not already have signature authorization on file with TxDOT.

For State.

The utility will prepare a plan and estimate to support its claim for reimbursement. Additionally, there must be a written agreement stating the separate responsibilities for accomplishing and financing the adjustment work. The Standard Utility Agreement was designed to fit this need. The utility should become familiar with the provisions of 23CFR Parts 645A and B, and amendments, since several provisions of the agreement form provide for compliance with this Federal regulation. The District will complete all spaces at the top of page 1 of the agreement form through the

“Entity”

section. No other sections of the Standard Utility Agreement apply for the State.

For LPA.

On LPA projects with TxDOT cost participation, a written agreement between TxDOT and the utility is not required. However, if desired, the LPA may execute a separate written agreement with the utility .