JACKSON METROPOLITAN
PLANNING ORGANIZATION Surface Transportation Block Grant Project Submittal Guidelines

August, 2018

Non-Discrimination Policy l Equal Employment Opportunity Employer

The Central Mississippi Planning and Development District (CMPDD) does not discriminate on the basis of race, color, national origin, gender, sexual orientation, age, religion, creed or disability in admission to, access to, or operation of its programs, services, or activities.  CMPDD provides an equal employment opportunity to all its employees and applicants for employment. Title VI inquiries should be forwarded to Scott Speights and ADA inquiries should be forwarded to Shay Lipe: CMPDD 1170 Lakeland Drive Jackson, MS 39216, (601)981-1511.

Effective Date --	-	-------------------

APPROVED ON THE grH  DAY OF AUGUST, 2018 BY THE JACKSON METROPOLITAN PLANNING POLICY COMMITTEE.

BUTCH LEE, CHAIRMAN

METROPOLITAN PLANNING POLICY COMMITTEE JACKSON METROPOLITAN PLANNING  ORGANIZATION

Table of Contents 	

Introduction .................................................................................................................................... 1

Call For Projects .............................................................................................................................. 1
General Requirements for all Projects............................................................................................ 1

Evaluation Criteria........................................................................................................................... 3

Project Type:  Congestion Mitigation ......................................................................................... 5

Project Type:  Safety Improvements .......................................................................................... 9
Project Type: Pavement Management.................................................................................... 12

Project Type:  Bridge Repair ..................................................................................................... 14

Small Municipalities ...................................................................................................................... 16

Project Management Requirements ............................................................................................ 16

Attachments

Attachment A Matching Funds Resolution ................................................................................... 17

Attachment B Congestion Mitigation Project Information and Application ................................ 19

Attachment C Safety Improvement Project Information and Application ................................... 32

Attachment D Pavement Management Project Information and Application............................. 43
Attachment E Bridge Repair Project Information and Application............................................... 53

Attachment F Preventative Maintenance Guidelines................................................................... 64

INTRODUCTION                                                                                                                       

This document is intended to provide information and reference material to assist local governments in completing applications for Federal Surface Transportation Block Grant (STBG) Program funding available through the Jackson Metropolitan Planning Organization (MPO).  The guidelines in this document set the parameters by which the MPO evaluates requests for funding and programs STBG funds to locally sponsored projects.

CALL FOR PROJECTS                                                                                                                

When STBG funds are available, the Jackson MPO will issue a Call for Projects.  The Call for Projects will outline the amount of STBG funds available per eligible category, and the deadline for project submission as established by the MPO Planning Policy Committee.  Priority funding will be given to projects that meet Federal regulations, and help advance the goals and objectives of the Jackson Urbanized Area 2040 Metropolitan Transportation Plan in the following areas:

	Congestion Mitigation
	Safety Improvements
	Pavement Management
	Bridge Repairs

GENERAL REQUIREMENT FOR ALL PROJECTS                                                                    

All projects must meet eligibility requirements included in 23 U.S.C. 133 related to project location, project eligibility, and planning requirements.  Generally, eligibility requirements for Federal STBG funding through the Jackson MPO include:

	Project Sponsors must be eligible applicants for STBG funds.  Eligible applicants, include any local government (municipal or county) included in the projected urbanized area boundary for the Jackson Urbanized Area 2040 Metropolitan Transportation Plan.

	Proposed  projects  for  all  eligible  project  types  must  be  located  on  an  existing  or “projected” street functionally classified as an urban collector, minor arterial or principal arterial (inside the urban boundary) or on an existing or “projected” road in rural areas (outside the urban boundary, but in the planning area) that is not classified as a rural local road or a rural minor collector.  Proposed projects for congestion mitigation, pavement management, or bridge repair cannot be located on a roadway maintained by the State of Mississippi.

	A formal application with all required attachments must be submitted as outlined in the
Call for Projects by the deadline established by the MPO Planning Policy Committee.

	Project sponsors must provide the applicable local match (23 U.S.C. 120).  If a project is selected for funding, failure to provide the matching share in a timely manner shall result in the withdrawal of the Federal STBG funds by the MPO and re-distribution of the funds in accordance with the project selection procedures. It is the responsibility of the project

sponsor to cover any costs above the amount requested in the application, no additional Federal STBG funding shall be committed through the MPO above the amount requested in the application.

	The scope of work for a proposed project must include eligible activities for construction and construction engineering costs related to STBG funding (23 U.S.C. 133(b)).

	Proposed projects must complete a review by the MS Department of Transportation
(MDOT).

Bridge Repair
Evaluation Criteria	Weighted
Multiplier	
Replacement Index	40%	
Project Readiness	30%	
Requested Funding	20%	
Local Match	10%	
Maximum Score	1000	

EVALUATION CRITERIA                                                                                                           

When submitting a proposed project local governments must assign their application to the most appropriate project type (congestion mitigation, safety improvements, bridge repair, or pavement management) for funding evaluation.

Each project submitted will be evaluated by MPO staff based on the evaluation criteria established by the MPO Planning Policy Committee for the appropriate project type. Each evaluation criteria has been assigned a score ranging from zero to ten based on the type of evaluation (with zero being the least favored evaluation). Each score is then calculated using the weighted multipliers shown below, for a maximum total score of 1000 points for each project type.

Congestion Mitigation
Evaluation Criteria	
Weighted Multiplier	
Congestion Management  System Index Rating	30%	
Project Readiness	25%	
Requested Funding	15%	
Local Match	15%	
Livability	10%	
Multi-jurisdictional Interconnectivity	5%	
Maximum Score	1000	

Safety Improvements
Evaluation Criteria	Weighted
Multiplier	
Traffic Signal Warrants	40%	
Project Readiness	30%	
Requested Funding	20%	
Local Match	10%	
Maximum Score	1000	

Pavement Management
Evaluation Criteria	Weighted
Multiplier	
Pavement Management System Index Rating	75%	
Requested Funding	15%	
Local Match	10%	
Maximum Score	1000	

Projects ranked the highest in each category will be submitted to the MPO for consideration and approval for funding until all available funds have been committed.  In the event two or more projects rank equally, priority shall be given to the project located on the National Highway System (NHS).  In the event projects ranked equally are not located on the NHS or if all projects ranked equally are located on the NHS, funding shall be awarded based on project readiness for congestion mitigation. Project locations with the highest number of serious injuries and fatalities

as reported by the Safety Analysis Management System shall be used to break a tie for safety improvements. The project with the highest Annual Average Daily Traffic (AADT) volume shall be used to break a tie for pavement management and bridge repair projects.  If two or more projects which are ranked highest are considered equal in tie breaking factors, funding may be distributed equally among such projects.

PROJECT TYPE: CONGESTION MITIGATION

Congestion Mitigation Projects addresses recurring congestion by adding capacity to an existing roadway by widening a present facility or constructing a new roadway.  Congestion mitigation projects will be evaluated based on Project Readiness, Local Match, Requested Funding, Livability, Multijurisdictional Interconnectivity, and Congestion Management System (CMS) Index Rating. All proposed projects must be consistent with the latest version of the Jackson Urbanized Area Metropolitan Transportation Plan.  In accordance with Federal guidelines, project sponsors must provide a minimum 20% local match for congestion mitigation type projects. Each evaluation criteria for congestion mitigation projects are described below:

Project Readiness

The purpose of this criterion is to encourage projects that accelerate project completion through eliminating delays in the project development and delivery.   For the purpose of this scoring criterion, priority shall be given to projects that are ready to proceed to construction within a short timeframe after receiving STBG funds. Weighted Multiplier 25%

Assessment	Score	
Right-of-Way Acquisition
Project does not include ROW acquisition	
3	
Project includes ROW acquisition	0	
Utility Relocation
Project does not include utility relocation	
3	
Project includes utility relocation	0	
Environmental		
Project meets categorical exclusion	4	
Project has completed an Environmental Assessment and/or Impact and has received
Environmental approval.	
3	
Project will require an Environmental Assessment and/or Impact Statement	0	
Maximum Score	10 points

Local Match

The purpose of this criterion is to allow those projects that have funding sources greater than the minimum required local match (20%) to score higher.  For the purpose of this scoring criterion, the local match is any funding for construction or construction engineering costs committed to the project beyond the minimum requirement provided by the local entity.  Local match cannot include earmark funds or other Federal or State funds.   A resolution passed by the Board of Alderman/City Council or Board of Supervisors agreeing to pay the required local funding share, plus any amount above the minimum requirement must be included as part of the project application. Weighted Multiplier 15%

Assessment	Score	
Project has 50% or greater (30% or greater above the minimum)local match	10	
Project has 45% (25% above the minimum)local match	9	
Project has 40% (20% above the minimum)local match	8	
Project has 35% (15% above the minimum)local match	6	
Project has 30% (10% above the minimum)local match	4	
Project has 25% (5% above the minimum)local match	2	
Project only has 20% minimum required local match	0	
Maximum Score	10 points

Requested Funding

The purpose of this criterion is to place priority on projects requesting the least amount of Federal STBG funding. The goal of this criterion is to spread a small amount of funding around to more projects. Each project shall be ranked based on the percent of total congestion mitigation funds being requested from the MPO in order from least to greatest with those projects requesting the smallest amount of Federal STBG congestion mitigation funding receiving priority. Weighted Multiplier 15%

Assessment	Score	
Project request 20% or less of the MPO’s Congestion Mitigation Funds	10	
Project request 21% - 30% of the MPO’s Congestion Mitigation Funds	8	
Project request 31% - 40% of the MPO’s Congestion Mitigation Funds	6	
Project request 41% - 50% of the MPO’s Congestion Mitigation Funds	2	
Project request 51% or more of the MPO’s Congestion Mitigation Funds	0	
Maximum Score	10 points

Livability

The purpose of this criterion is to encourage projects that enhance more than a single mode of travel and incorporate improvements beyond minimum design standards.  For the purpose of this scoring criterion, priority shall be given to projects that incorporate non-motorized transportation and attractiveness within the view shed.  Weighted Multiplier 10%

Assessment	Score	
The project will enhance connectivity		
Project will connect to an existing bicycle and/or pedestrian facility	5	
Project does not connect to an existing bicycle and/or pedestrian facility	0	
The project will enhance bicycle and/or pedestrian travel and related connections		
Project includes Separate Facilities/Shared Use facilities for bicycle and/or pedestrian	3	
Project is located next to existing bicycle and/or pedestrian facilities, but the  proposed
improvements do not include enhancements to the existing alternative modes of  travel	2	
Project includes Striped Lanes for bicycle travel	2	
Project includes Paved Shoulder	2	
Project includes Sidewalks	2	
Project includes a Signed Bike Route	1	
Project will not accommodate bicycle and/or pedestrian modes of travel	0	
The project will enhance landscaping and other scenic beautification
Project improves visual environment with streetscaping (e.g. shrubs, trees,
brick paving, street furnishing, etc…)	

2	
Project does not include improvements to landscaping	0	
		
Maximum Score	10
points

Multi-jurisdictional Interconnectivity

The purpose of this criterion is to encourage projects to be developed through multi-jurisdictional collaboration and to give projects with regional impacts a higher priority. For the purpose of this scoring criterion, priority shall be given to those projects that utilize multiple local contributing partners. Weighted Multiplier 5%

Assessment	Score	
Project was developed through considerable multi-jurisdictional collaboration of 2 or
more jurisdictions providing a shared match	
10	
Project was developed through multi-jurisdictional collaboration and is sponsored by 2
or more jurisdictions without a shared match	
5	
Project has a single sponsor	0	
Maximum Score	10 points

Congestion Management System (CMS) Index Rating

The purpose of this criterion is to encourage projects with higher congestion levels to receive priority.  Using the Congestion Management System (CMS) index rating from the latest Jackson Urbanized Area Metropolitan Transportation Plan local governments will submit the index rating for their proposed project.  Those projects with the most congestion will receive priority.  If a proposed project includes portions of multiple CMS index rating sections each section must be used to determine an Average CMS Index Rating for the proposed project. For new construction, a parallel route that is most likely to see congestion relief if the proposed roadway is constructed should be used to determine the index rating. Weighted Multiplier 30%

Assessment	Score	
Congestion Management System (CMS) Index Rating 10.01 or Above	10	
Congestion Management System (CMS) Index Rating 9.01 – 10.00	9	
Congestion Management System (CMS) Index Rating 8.01 – 9.00	8	
Congestion Management System (CMS) Index Rating 7.00 – 8.00	7	
Congestion Management System (CMS) Index Rating 6.99 or below	2	
Maximum Score	10 points

PROJECT TYPE: SAFETY IMPROVEMENTS

Safety Improvements primarily includes new traffic signals, signal upgrades, the installation of connected or Intelligent Transportation Systems (ITS) and/or geometric improvements such as roundabouts or turn lanes.  Safety improvement projects will be evaluated based on Project Readiness, Local Match, Requested Funding, and Traffic Signal Warrants. In accordance with Federal guidelines, Project sponsors, subject to eligibility and MDOT approval, may receive 100% federal funding for eligible traffic safety improvement projects. Each evaluation criteria is described below:

Project Readiness

The purpose of this criterion is to encourage projects that accelerate project completion through eliminating delays in the project development and delivery.   For the purpose of this scoring criterion, priority shall be given to projects that are ready to proceed to construction within a short timeframe after receiving STBG funds. Weighted Multiplier 30%

Assessment	Score	
Right-of-Way Acquisition
Project does not include ROW acquisition	
3	
Project includes ROW acquisition	0	
Utility Relocation		
Project does not include utility relocation	3	
Project includes utility relocation	0	
Environmental
Project meets categorical exclusion
Project has completed an Environmental Assessment and/or Impact and has received
Environmental approval.
Project will require an Environmental Assessment and/or Impact Statement	
4

3

0	
Maximum Score	10 points

Local Match

Safety-related projects, as allowed by Federal regulations and based on approval by MDOT, may be financed using 100% Federal funds.  The purpose of this criterion is to allow those projects that have a local match investment by the local entity to score higher.    For the purpose of this scoring criterion, the local match is any funding for construction or construction engineering costs committed to the project by the local entity. Local match cannot include earmark funds or other Federal or State funds.  A resolution passed by the Board of Alderman/City Council or Board of Supervisors agreeing to pay the local funding share must be included as part of the project application. Weighted Multiplier 10%

Assessment for projects using 100% federal funding	Score	
Project has 50% or greater local match	10	
Project has 45% local match	9	
Project has 40% local match	8	
Project has 35% local match	6	
Project has 30% local match	5	
Project has 25% local match	4	
Project has 20% local match	3	
Project has less than 20% local match	2	
Project includes 100% Federal funding and does not include local match	0	
Maximum Score	10 points

Assessment for projects requiring a 20% local match	Score	
Project has 50% or greater (30% or greater above the minimum)local match	10	
Project has 45% (25% above the minimum) local match	9	
Project has 40% (20% above the minimum) local match	8	
Project has 35% (15% above the minimum) local match	6	
Project has 30% (10% above the minimum) local match	4	
Project has 25% (5% above the minimum) local match	2	
Project only has 20% minimum required local match	0	
Maximum Score	10 points

Requested Funding

The purpose of this criterion is to place priority on projects requesting the least amount of Federal STBG funding. The goal of this criterion is to spread a small amount of funding around to more projects. Once all applications have been received by the deadline established, MPO staff members will rank each project based on the percent of total safety improvement funds being requested from the MPO in order from least to greatest with those projects requesting the smallest amount of Federal STBG safety improvements funding receiving priority.   Weighted Multiplier 20%

Assessment	Score	
Project request 20% or less of the MPO’s Safety Improvement Funds	10	
Project request 21% - 30% of the MPO’s Safety Improvement Funds	8	
Project request 31% - 40% of the MPO’s Safety Improvement Funds	6	
Project request 41% - 50% of the MPO’s Safety Improvement Funds	2	
Project request 51% or more of the MPO’s Safety Improvement Funds	0	
Maximum Score	10 points

Traffic Signal Warrants

The purpose of this criterion is to encourage projects that enhance traffic operation and safety by installing new traffic signals, signal upgrades, ITS, and/or geometric improvements.  Priority shall be given to projects that meet Warrants 1, 2, 6, and 7 in the latest edition of the Manual on Uniform Traffic Control Devices (MUTCD) for Streets and Highways published by the Federal Highway Administration.   Applications for safety improvements must be accompanied by an engineer’s signed traffic control needs study indicating which traffic signal warrants are met. Weighted Multiplier 40%

Assessment	Score	
Warrant 1, Eight-hour Vehicular Volume	10	
Warrant 2, Four-hour Vehicular Volume	8	
Warrant 3, Peak Hour Vehicular Volume	2	
Warrant 4, Pedestrian Volume	2	
Warrant 5, School Crossing	2	
Warrant 6, Coordinated Signal System	6	
Warrant 7, Crash (Accident) Experience	10	
Warrant 8, Roadway Network	2	
Warrant 9, Intersection near a grade crossing	2	
Maximum Score	10 points

PROJECT TYPE: PAVEMENT MANAGEMENT

Pavement Management projects include both reconstruction and simple overlay/resurfacing of an existing roadway. Pavement Management projects will be evaluated based on Local Match, Requested Funding, and Pavement Management Index Ratings. For the purpose of this project type overlay/resurfacing projects must follow accepted preventative maintenance guidelines (Attachment F) established by MDOT and Federal Highway.   In accordance with Federal guidelines, project sponsors must provide a minimum 20% local match for pavement management type projects. Each evaluation criteria is described below:

Pavement Management System Index Rating

The purpose of this criterion is to encourage projects with the highest need for pavement repairs. Priority shall be given to projects with the highest index value as determined by the latest pavement management inventory conducted by CMPDD.  Index rankings are determined using Road Surface Management System (RSMS) software using three factors:   traffic volume, roughness and road condition. If a proposed project includes portions of multiple sections from the Pavement Management System (PMS) index ratings, each section must be used to determine an Average PMS Index Rating for the proposed project.  Weighted Multiplier 75%

Assessment	Score	
Index Value of .80 or greater	10	
Index Value of .70 - .799	9	
Index Value of .60 - .699	8	
Index Value of .50 - .599	7	
Index Value of .40 - .499	6	
Index Value of .30 - .399	5	
Index Value of .20 - .299	4	
Index Value of .10 - .199	3	
Index Value of less than .10	0	
Maximum Score	10 points

Requested Funding

The purpose of this criterion is to place priority on projects requesting the least amount of Federal STBG funding. The goal of this criterion is to spread a small amount of funding around to more projects. Once all applications have been received by the deadline established, MPO staff members will rank each project based on the percent of total pavement management funds being requested from the MPO in order from least to greatest with those projects requesting the smallest amount of Federal STBG pavement management funding receiving priority.  Weighted Multiplier 15%

Assessment	Score	
Project request 20% or less of the MPO’s Pavement Management Funds	10	
Project request 21% - 30% of the MPO’s Pavement Management Funds	8	
Project request 31% - 40% of the MPO’s Pavement Management Funds	6	
Project request 41% - 50% of the MPO’s Pavement Management Funds	2	
Project request 51% or more of the MPO’s Pavement Management Funds	0	
Maximum Score	10 points

Local Match

The purpose of this criterion is to allow those projects that have funding sources greater than the minimum required local match (20%) to score higher.  For the purpose of this scoring criterion, the local match is any funding for construction or construction engineering costs committed to the project beyond the minimum requirement.  Local match cannot include earmark funds or other Federal or State funds. A resolution passed by the Board of Alderman/City Council or Board of Supervisors agreeing to pay the required local funding share, plus any amount above the minimum requirement must be included as part of the project application.  Weighted Multiplier
10%

Assessment	Score	
Project has 50% or greater (30% or greater above the minimum)local match	10	
Project has 45% (25% above the minimum) local match	9	
Project has 40% (20% above the minimum) local match	8	
Project has 35% (15% above the minimum) local match	6	
Project has 30% (10% above the minimum) local match	4	
Project has 25% (5% above the minimum) local match	2	
Project only has 20% minimum required local match	0	
Maximum Score	10 points

PROJECT TYPE: BRIDGE REPAIR

Bridge Repair Improvements primarily involves bridge rehabilitation or replacement by addressing bridge deficiencies.   Bridge repair projects will be evaluated based on Project Readiness, Local Match, Requested Funding, and the Bridge Replacement Index. In accordance with Federal guidelines, project sponsors must provide a minimum 20% local match for bridge repair projects. The evaluation criteria for bridge repair projects is described below:

Project Readiness

The purpose of this criterion is to encourage projects that accelerate project completion through eliminating delays in the project development and delivery.   For the purpose of this scoring criterion, priority shall be given to projects that are ready to proceed to construction within a short timeframe after receiving STBG funds.  Weighted Multiplier 30%

Assessment	Score	
Right-of-Way Acquisition
Project does not include ROW acquisition	
3	
Project includes ROW acquisition	0	
Utility Relocation		
Project does not include utility relocation	3	
Project includes utility relocation	0	
Environmental
Project meets categorical exclusion
Project has completed an Environmental Assessment and/or Impact and has received
Environmental approval.
Project will require an Environmental Assessment and/or Impact Statement	
4

3

0	
Maximum Score	10 points

Requested Funding

The purpose of this criterion is to place priority on projects requesting the least amount of Federal STBG funding. The goal of this criterion is to spread a small amount of funding around to more projects. Once all applications have been received by the deadline established, MPO staff members will rank each project based on the percent of total bridge repair funds being requested from the MPO in order from least to greatest with those projects requesting the smallest amount of Federal STBG bridge repair funding receiving priority.  Weighted Multiplier 20%

Assessment	Score	
Project request 20% or less of the MPO’s Bridge Repair Funds	10	
Project request 21% - 30% of the MPO’s Bridge Repair Funds	8	
Project request 31% - 40% of the MPO’s Bridge Repair Funds	6	
Project request 41% - 50% of the MPO’s Bridge Repair Funds	2	
Project request 51% or more of the MPO’s Bridge Repair Funds	0	
Maximum Score	10 points

Local Match

The purpose of this criterion is to allow those projects that have funding sources greater than the minimum required local match (20%) to score higher.  For the purpose of this scoring criterion, the local match is any funding for construction or construction engineering costs committed to the project beyond the minimum requirement provided by the local entity.  Local match cannot include earmark funds or other Federal or State funds.   A resolution passed by the Board of Alderman/City Council or Board of Supervisors agreeing to pay the required local funding share, plus any amount above the minimum requirement must be included as part of the project application. Weighted Multiplier 10%

Assessment	Score	
Project has 50% or greater (30% or greater above the minimum)local match	10	
Project has 45% (25% above the minimum)local match	9	
Project has 40% (20% above the minimum)local match	8	
Project has 35% (15% above the minimum)local match	6	
Project has 30% (10% above the minimum)local match	4	
Project has 25% (5% above the minimum)local match	2	
Project only has 20% minimum required local match	0	
Maximum Score	10 points

Bridge Replacement Index

The purpose of this criterion is to encourage projects with the highest need for bridge repairs. Priority shall be given to projects with the highest replacement index value as determined by the latest National Bridge Inventory prepared by the Mississippi Department of Transportation. The replacement index is computed considering a combination of the effects of the traffic detour factor, daily traffic volume, and the structure evaluation. Weighted Multiplier 40%

Assessment	Score	
Replacement Index Value 50.1 or greater	10	
Replacement Index Value 40.1 – 50.0	9	
Replacement Index Value 30.1 – 40.0	5	
Replacement Index Value 20.1 – 30.0	3	
Replacement Index Value 1 – 20.0	0	
Maximum Score	10 points

SMALL MUNICIPALITIES                                                                                                         

A small municipality for purposes of the Jackson MPO has been established as any local government with a population according to the latest decennial Census of 5,000 or less within the MPO planning area.  The MPO Planning Policy Committee may make available a set aside amount of funding for Small Municipalities when STBG funding is available, if they choose.  If available, small municipalities may apply for funds from any of the priority project types established by the MPO Planning Policy Committee.  Small Municipalities shall follow the same guidelines and application process outlined in the Call for Projects. However, proposed projects submitted by a small municipality shall only be scored against other small municipalities.  Unless otherwise noted, minimum match requirements for all project types for small municipalities shall be 80% Federal and 20% local funds for construction and construction engineering costs.  Local match cannot include earmark funds or other Federal or State funds.   To-date, those municipalities within the MPO planning area that meet the population threshold to be classified, for MPO purposes, as a small municipality include:   Bolton, Flora, Florence, Pelahatchie, Raymond, and Terry.

PROJECT MANAGEMENT REQUIREMENTS                                                                         

Following the commitment of Federal STBG funding by the Jackson MPO all projects must adhere to the Project Management (Section 207.04) guidelines outlined in the latest Prospectus of the Jackson MPO.

ATTACHMENT A

Matching Funds Resolution
Jackson MPO Surface Transportation Block Grant Program

ATTACHMENT A

WHEREAS, Surface Transportation Block Grant (STBG) Program funds have been made available for transportation improvements within the Jackson Urbanized Area; and

WHEREAS, 	has selected a project to submit to the
Name of local entity (municipality or county)
Jackson Metropolitan Planning Organization (MPO) for consideration for funding; and

WHEREAS, the selected project includes  	
Brief project description

WHEREAS,  	hereby requests Federal STBG funding from
Name of local entity (municipality or county)
the Jackson MPO in the amount of  	_; and
$ Amount of requested STBG funding
WHEREAS,  	agrees to provide local matching funds for
Name of local entity (municipality or county)
the project in the amount of  	_. The local entity agrees to provide
$ Amount of local match
said matching funds in a timely manner.

NOW, THEREFORE, BE IT RESOLVED:  	acknowledges if
Name of local entity (municipality or county)
said project is selected for funding through the MPO selection process said project is subject to
all applicable Federal and State laws and regulations regarding STBG funding, as well as subject to the rules and procedures established by the Jackson MPO regarding approved STBG projects.

Print Name (Chief Elected Official or Board President)

Signature (Chief Elected Official or Board President)

ATTEST:

Signature (City Clerk/Board Attorney/or County Administrator)	Date

ATTACHMENT B

Congestion Mitigation
Project Information and Application
Jackson MPO Surface Transportation Block Grant Program

Congestion Mitigation
Project Application Information
Jackson MPO Surface Transportation Block Grant Program

1.   Project Sponsor	Name of submitting agency	
2.   Sponsor Contact	Name of person responsible for completing the project
application	
3.   Telephone	Phone number for the person responsible for completing the
application	
4.   Email Address	Email for the person responsible for completing the application	
5.   Mailing Address	Office mailing address for the submitting agency	
6.   Additional Sponsors	Name of any co-sponsors (if applicable)	
7.   Co-Sponsor Contact Name(s)	Name of co-sponsor responsible for helping to complete the
application (if applicable)	
8.   Project Title	Provide a brief one sentence description of the location and the
type of project (e.g. Widening of ABC Street)	
9.   Project Type	Specify the type of congestion mitigation project (e.g. street
widening from two to four lanes or new construction)	
10. County	List the County the project is located within	
11. Municipality	List the Municipality the project is located within (if applicable)	
12. Small Municipality	Specify, Yes or No, whether or not the applicant qualifies as a
small municipality (for MPO purposes a municipality with a population of 5,000 or less)	
13. Small Municipality Population	If the applicant qualifies as a small municipality, indicate the
population for the municipality according to the latest U.S. decennial Census	
14. Project Location	Identify the project location; be sure to include the beginning
and ending termini for the project including all roadway intersections and/or roadway segments included in the project. Include as Attachment B a map preferably on an 8 ½ x 11 inch or
11 x 17 inch paper identifying the full scope of the project’s location. If an application is submitted by a jurisdiction and the project location is within the boundary of a different jurisdiction, a fully executed Interlocal Agreement outlining the roles and responsibilities of each entity must be included as Attachment D.	
15. Functional Class	Identify the functional classification for the proposed segment.
All projects must be located on a roadway that is functionally classified as a principal arterial, minor arterial or collector.	
16. NHS Roadway	Indicate whether or not the proposed project is located on the
National Highway System (NHS)	
17. Historic District	Indicate whether or not the proposed project is located in a
Historic Preservation District.	
18. Detailed Project Description	Provide a one to two paragraph detailed description of the
project.  Be sure to clearly state the problem the project aims to address and how that will be achieved by the project. (e. g. The project’s primary objective is to reduce peak hour congestion and delays along ABC Street by widening the roadway to add	

	one additional lane in both directions.)  Include as part of the
supporting Attachments a site plan of proposed construction or illustrations of proposed work; be sure to include beginning and ending termini, project right-of-way and typical cross-sections (if applicable).	
19. Overall Project Budget	Provide a complete budget.  All cost estimates must meet
current design standards for the type of improvement requested. A copy of the estimated computations, together
with a listing of the source of those figures should be included as Attachment C for all requested STBG funding.  Requested STBG funding should be based upon the “Year of Expenditure”, meaning a reasonable inflation factor has been used to determine future costs based upon the anticipated construction date for the proposed project.	
20. Federal STBG Funds
Requested	Provide the amount of Federal STBG funds you are requesting
for the proposed project.	
21. Matching Funds Provided	Provide the amount of matching funds being provided by the
local jurisdiction. Capacity Deficiency Projects require a minimum 20% local match for construction costs.   A resolution by the Board of Alderman/City Council or Board of Supervisors agreeing to pay the required funding share, plus any amount above the minimum requirement must be included as Attachment A in the application. If matching funds are being allocated by a Special Commission supporting documentation in addition to the Matching Funds Resolution must also be included to demonstrate the Commission’s commitment to the project.	
22. Total for STBG Portion of
Project	Add Columns 20 and 21 together to provide the total costs for
the STBG portion of construction costs for the project.  This total should match the total funds listed in the shaded area of question 19.	
23. Source of Matching Funds	If multiple jurisdictions are contributing matching funds for this
project, list each contributing jurisdiction and the amount of funds being provided by each jurisdiction. Furthermore, provide a brief explanation of how the matching funds will be secured
for this project. (e.g. The $20,000 in matching funds will be
provided by the City of ABC through the sale of bonds in 2018, or the $20,000 in matching funds will be provided by the City of
ABC through sales tax revenue collected during fiscal years 2017 and 2018.)	
24. Date Available	Provide the date the local matching funds will be available.	
25. Milestone Dates	Provide estimated completion dates for each phase of the
project.  If a phase has already been completed please list the date it was completed.  Estimated completion dates cannot exceed the amount of time allowed in the Jackson MPO Prospectus project management guidelines.	
26. CMS Index Rating	Provide the Congestion Management System (CMS) index rating
from the latest Jackson Urbanized Area Metropolitan	

	Transportation Plan for each road segment included in the
proposed project. For new construction, a parallel route that is most likely to see congestion relief if the proposed roadway is constructed should be used to determine the index rating. If a project includes portions of multiple CMS index rating sections, each section must be used to determine an Average CMS index rating for the proposed project. The average CMS index rating will be completed by MPO staff.	
27. Project Design	---	
a.   Preliminary Design	Indicate whether or not preliminary design work has begun.	
b.   Preliminary Design	Describe any design work that has been completed to-date.  Any supporting documentation should be included as part of
supporting attachments.	
28. Environmental	---	
a.   Categorical Exclusion	Indicate whether or not the project meets a categorical
exclusion.	
b.   Environmental Process	Indicate whether or not the project requires an environmental
assessment or environmental impact statement.	
c.	Environmental Process	Indicate whether or not the project has an approved
environmental assessment or environmental impact statement. Documentation demonstrating approval status must be included in the supporting attachments.	
d.   Environmental Process	Provide a brief explanation of why the project meets a
categorical exclusion or why an environmental assessment or impact statement is required.	
29. Right-of-Way Acquisition	---	
a.   ROW	Indicate whether or not the project requires right-of-way
acquisition.	
b.   ROW	Indicate the number of parcels to be acquired through right-of-
way acquisition.	
30. Utility Relocation	---	
a.   Utility Relocation	Indicate whether or not the project requires utility relocation.	
b.   Utility Types	Provide a list of the types of utilities to be relocated.	
31. Potential Delays	Provide a brief description of any known factors that may cause
potential delays with the project slowing down the project schedule.	
32. Landscaping/Streetscaping	Indicate whether or not the project includes landscaping and/or
other streetscaping enhancements (e.g. shrubs, trees, brick
paving, street furnishing, etc…)	
33. Landscaping/Streetscaping	Provide a brief explanation of the landscaping and/or
streetscaping elements included in the proposed project.  Please note if points are awarded in the application review process for including livability enhancements in a project those elements should not be removed during the construction phase for reasons such as budget overages without prior approval from the MPO.	
34. Alternative Transportation	Indicate whether or not the project includes any or all of the
alternative transportation elements listed. Indicate all that	

	apply to the project.  Please note if points are awarded in the
application review process for including livability enhancements in a project those elements should not be removed during the construction phase for reasons such as budget overages without prior approval from the MPO.	
35. Required Attachments	1.   Attachment A – Resolution
Acknowledges amount of Federal funds requested, local
match requirement, and compliance with all applicable
Federal and State laws regarding STBG funding.
2.   Attachment B – Project Map
Map showing the project location with the proposed improvements clearly labeled preferably on an 8 ½ x 11 inch or 11 x 17 inch paper
3.   Attachment C – Detailed Budget
Provide a detailed copy of the estimated computations and an explanation of the source of those figures for all requested STBG funding.  Requested STBG funding should be based upon the “Year of Expenditure”, meaning a reasonable inflation factor has been used to determine future costs based upon the anticipated construction date for the proposed project.
4.   Attachment D– Executed Interlocal Agreement
(if applicable)
If an application is submitted by a jurisdiction and the project location is within the boundary of a different jurisdiction, a fully executed Interlocal Agreement outlining the roles and responsibilities of each entity must be included as part of the application. (e.g. A County submits an application for a capacity deficiency project located inside of a municipality within the county).	
36. Additional Supporting
Attachments	Any additional information the project sponsor would like to
provide to document the need for the project application.	

Congestion Mitigation Project Application
Jackson MPO Surface Transportation Block Grant Program

The following information must be completed for all Congestion Mitigation proposed Jackson MPO STBG projects.  MPO staff will use the information contained in the project application to assign points to proposed projects based on the Project Submittal Guidelines. The establishment of project eligibility and each project score will then be used by the Intermodal Technical Committee and Metropolitan Planning Policy Committee to program projects to be funded with Jackson MPO STBG funds.  A separate application must be submitted for each type of project. For example, do not combine a street widening project with a traffic signal improvement project.

Applicant Information

1.	
Project Sponsor	

2.	
Sponsor Contact	

3.	Telephone   		4.   Email   		

5.	
Mailing Address		

6.   Additional Sponsors    	

7.   Co-Sponsor Contact Name(s)	 	

Project Description

8.   Project Title    	

9.   Project Type	 	

10. County     	  11. Municipality   	

12. Small Municipality    	

13. Small Municipality population according to the latest U.S. Census    	

14. Project Location	 	

15. Functional Class	 	

16. Is this project located on the National Highway System (NHS)?	 	

17. Is this project located in a Historic  Preservation District?

18. Detailed Project  Description

Project Costs

19. Total Project Costs

Description	Federal Funds	Local Funds	

Environmental	
  $ 		
  $ 		

Design	
  $ 		
  $ 		

Right-of-Way Acquisition	
  $ 		
  $ 		

Eligible for STBG funding	
Construction Engineering	$	$	

Construction	$	
$	

Other, please specify

 		  $ 		  $ 	

 		  $ 		  $ 	

 		  $ 		  $ 	

 		  $ 		  $ 	

 		  $ 		  $ 	

TOTAL Estimated Project Cost

STBG Funds Requested

Construction & Construction Engineering Costs Only
Amount 	%

20. Federal STBG Funds Requested	$

Can’t be more than 80% of
construction costs

21. Matching Funds Provided	$

Can’t be less than 20% of
construction costs

22. TOTAL for STBG Portion of Project	$	100%

23. Source of Matching Funds

24. Date Available

Project Schedule

25. Milestone Dates

Completion of Preliminary Design

Completion of Environmental Clearances

Completion of Final Design

Initiation of Right-of-Way Plan Review

Completion of Right-of-Way Plan Review

Initiation of Utilities Relocation

Completion of Utilities Relocation

Completion of Plans, Specifications and Estimates and/or Authorization for Advertisement

Anticipated  Construction  Advertisement  Date  or
Purchase Date

Congestion Management System (CMS) Index Rating

26. CMS Index Rating

Road Segment 	CMS Index Rating

Average CMS Index Rating

To be completed by
MPO Staff

Project Readiness

27. Project Design

Yes or No

27 a. Has preliminary design work been created for the proposed project?

27 b. If Yes, please provide a brief description of the work performed to-date.

28. Environmental

Yes or No

28 a. Does the proposed project meet a categorical exclusion?

28 b. Does the proposed project require the development of an
Environment Assessment or Environmental Impact Statement?	 	

28 c. Has the project received environmental approval?

28 d. Please provide a brief explanation of why the proposed project meets a categorical exclusion or why an Environmental Assessment or Environmental Impact Statement is required.

29. Right-of-Way Acquisition	Yes or No

29 a. Does the proposed project require right-of-way acquisition?	 	

29 b. If Yes, how many parcels are involved?

30. Utility Relocation	Yes or No

30 a. Does the proposed project require utility relocation?

30 b. What utilities will have to be relocated?

31. Describe any potential delays or obstacles that have been identified that would interfere with the schedule for this project or the readiness of the project to proceed to construction.

Livability
If points are awarded based on proposed livability elements, those elements should not be removed during the construction phase for reasons such as budget overages without prior approval from the MPO.

Yes or No

32. Does the proposed project include enhancements to landscaping and/or streetscape?

33. If yes, provide a brief explanation of the enhancements to landscaping and/or the streetscape included in the project.

34. Please indicate whether or not the proposed project includes the
following elements:	Yes or No

The proposed project includes a Signed Bike Route

The proposed project includes Sidewalks

The proposed project includes Paved Shoulders

The proposed project includes Striped Lanes for bicycle travel	 	

The  proposed   project  includes  Separate  Facilities/Shared  Use
Facilities for bicycle and/or pedestrian travel

The proposed project is located adjacent to existing bicycle and/or pedestrian facilities, but the proposed project does not include enhancements to the existing facilities

The livability enhancements included as part of the proposed project will connect to an existing bicycle and/or pedestrian facility

ATTACHMENT C

Safety Improvements
Project Information and Application
Jackson MPO Surface Transportation Block Grant Program

Safety Improvements
Project Application Information
Jackson MPO Surface Transportation Block Grant Program

1.   Project Sponsor	Name of submitting agency	
2.   Sponsor Contact	Name of person responsible for completing the project
application	
3.   Telephone	Phone number for the person responsible for completing the
application	
4.   Email Address	Email for the person responsible for completing the application	
5.   Mailing Address	Office mailing address for the submitting agency	
6.   Additional Sponsors	Name of any co-sponsors (if applicable)	
7.   Co-Sponsor Contact Name(s)	Name of co-sponsor responsible for helping to complete the
application (if applicable)	
8.   Project Title	Provide a brief one sentence description of the location and the
type of project (e.g. A new traffic signal at the intersection of
ABC Street and EFG Street)	
9.   Project Type	Specify the type of safety improvement. (e.g. geometric
improvements, signal upgrade, or new signal) The Installation of a new traffic signal requires preapproval by the MS Department of Transportation (MDOT). A preapproval letter from MDOT must be included as Attachment C if a proposed project involves the installation of a traffic signal at a location that does not currently have a signal.	
10. County	List the County the project is located within	
11. Municipality	List the Municipality the project is located within (if applicable)	
12. Small Municipality	Specify, Yes or No, whether or not the applicant qualifies as a
small municipality (for MPO purposes, a municipality with a population of 5,000 or less)	
13. Small Municipality Population	If the applicant qualifies as a small municipality, indicate the
population for the municipality according to the latest U.S. decennial Census	
14. Project Location	Identify the project location; be sure to include the beginning
and ending termini for the project including all roadway intersections and/or roadway segments included in the project. Include as Attachment B a map preferably on an 8 ½ x 11 inch or
11 x 17 inch page identifying the project location. Include as part of the supporting attachments for traffic signal improvements and other safety projects as applicable photographs of the project location.  If an application is submitted by a jurisdiction and the project location is within the boundary of a different jurisdiction, a fully executed Interlocal Agreement outlining the roles and responsibilities of each entity must be included as Attachment F.	
15. Functional Class	Identify the functional classification for the proposed segment.
All projects must be located on a roadway that is functionally classified as a principal arterial, minor arterial or collector.	

16. NHS Roadway	Indicate whether or not the proposed project is located on the
National Highway System (NHS)	
17. Historic District	Indicate whether or not the proposed project is located in a
Historic Preservation District.	
18. Detailed Project Description	Provide a one to two paragraph detailed description of the
project.  Be sure to clearly state the problem the project aims to address and how that will be achieved by the project. (e. g. The project’s primary objective is to reduce the number of crashes at the intersection by installing traffic signals.)	
19. Overall Project Budget	Provide a complete budget.  All cost estimates must meet
current design standards for the type of improvement requested. A copy of the estimated computations, together
with a listing of the source of those figures should be included as
Attachment D for all requested STBG funding. Requested STBG funding should be based upon the “Year of Expenditure”, meaning a reasonable inflation factor has been used to determine future costs based upon the anticipated construction date for the proposed project.	
20. Federal STBG Funds
Requested	Provide the amount of Federal funds you are requesting for the
proposed project.	
21. Matching Funds	Provide the amount of local match being provided by the local
entity. Safety-related projects, as allowed by Federal regulations, may be financed using 100% Federal funds, but requires approval by MDOT.  If a local entity, who qualifies for
100% safety-related funding, chooses to provide local match a resolution by the Board of Alderman/City Council or Board of Supervisors agreeing to pay the local match share must be included as Attachment A in the application. If matching funds are being allocated by a Special Commission supporting documentation in addition to the Matching Funds Resolution must also be included to demonstrate the Commission’s commitment to the project.	
22. Total for STBG Portion of
Project	Add Columns 20 and 21 together to provide the total costs for
the STBG portion or construction costs for the project. The total should match the total funds listed in the shaded area of question 19.	
23. Source of Local Match	If multiple jurisdictions are contributing matching funds for this
project, list each contributing jurisdiction and the amount of funds being provided by each jurisdiction. Furthermore, provide a brief explanation of how the matching funds will be secured
for this project. (e.g. The $20,000 in matching funds will be provided by the City of ABC through the sale of bonds in fiscal year 2018.) (if applicable)	
24. Date Available	Provide the date the local match funding will be available. (if
applicable)	
25. Milestone Dates	Provide estimated completion dates for each phase of the
project.  If a phase has already been completed please list the date it was completed.  Estimated completion dates cannot	

exceed the amount of time allowed in the Jackson MPO
Prospectus project management guidelines.	
26. Traffic Signal Warrants	Indicate which traffic signal warrants are needed based on an
engineer’s signed traffic control needs study. Include an original signed engineer’s traffic control needs study as Attachment E in the application.	
27. Project Design	---		
a.   Preliminary Design	Indicate whether or not preliminary design work has been
created.	
b.   Preliminary Design	Describe any design work that has been completed to-date. Any
supporting documentation should be included as part of supporting attachments.	
28. Environmental	---		
a.   Categorical Exclusion	Indicate whether or not the project meets a categorical
exclusion.	
b.   Environmental Process	Indicate whether or not the project requires an environmental
assessment or environmental impact statement.	
c.	Environmental Process	Indicate whether or not the project has an approved
environmental assessment or environmental impact statement. Documentation demonstrating approval status must be included in the supporting attachments.	
d.   Environmental Process	Provide a brief explanation of why the project meets a categorical exclusion or why an environmental assessment or
impact statement is required.	
29. Right-of-Way Acquisition	---		
a.   ROW	Indicate whether or not the project requires right-of-way
acquisition.	
b.   ROW	Indicate the number of parcels to be acquired through ROW
acquisition.	
30. Utility Relocation	---		
a.   Utility Relocation	Indicate whether or not the project requires utility relocation.	
b.   Utility Types	Provide a list of the type of utilities to be relocated.	
31. Potential Delays	Provide a brief description of any known factors that may cause potential delays with the project slowing down the project
schedule.	
32. Required Attachments		1.   Attachment A – Resolution
Acknowledges amount of Federal funds requested, local match requirement, and compliance with all applicable Federal and State laws regarding STBG funding.
2.   Attachment B – Project Map
Map showing the project location with the proposed improvements clearly labeled preferably on an 8 ½ x 11 inch or 11 x 17 inch page
3.   Attachment C – MDOT Preapproval Letter
The Installation of a new traffic signal requires preapproval by the MS Department of Transportation (MDOT) if a proposed project involves the installation of a traffic signal at a location that does not currently have	

	a signal. Applicants should contact MDOT’s District 5
LPA Office to discuss the preapproval process for the installation of a new traffic signal.

4.   Attachment D – Detailed Budget
Provide a detailed copy of the estimated computations and an explanation of the source of those figures for all requested STBG funding.  Requested STBG funding should be based upon the “Year of Expenditure”, meaning a reasonable inflation factor has been used to determine future costs based upon the anticipated construction date for the proposed project.
5.   Attachment E – Traffic Warrant Needs Study
Provide an original signed Engineer’s Traffic Warrants
Needs Study
6.   Attachment F– Executed Interlocal Agreement
(if applicable)
If an application is submitted by a jurisdiction and the
project location is within the boundary of a different jurisdiction, a fully executed Interlocal Agreement outlining the roles and responsibilities of each entity must be included as part of the application. (e.g. A County submits an application for a traffic operational improvement project located inside of a municipality within the county).	
33. Additional Supporting
Attachments	Any additional information the project sponsor would like to
provide to document the need for the project application.	

Safety Improvements Project Application
Jackson MPO Surface Transportation Block Grant Program

The following information must be completed for all Safety Improvements proposed Jackson MPO STBG projects.  MPO staff will use the information contained in the project application to assign points to proposed projects based on the Project Submittal Guidelines. The establishment of project eligibility and each project score will then be used by the Intermodal Technical Committee and the Metropolitan Planning Policy Committee to program projects to be funded with Jackson MPO STBG funds.  A separate application must be submitted for each type of project.  For example, do not combine traffic signal improvements for multiple streets in one application.

Applicant Information

1.	
Project Sponsor	

2.	
Sponsor Contact	

3.   Telephone   		4.   Email   	

5.   Mailing Address	 	

6.   Additional Sponsors    	

7.   Co-Sponsor Contact Name(s)	 	

Project Description

8.   Project Title    	

9.   Project Type	 	

10. County     	  11. Municipality   	

12. Small Municipality    	

13. Small Municipality population according to the latest U.S. Census    	

14. Project Location	 	

15. Functional Class	 	

16. Is the project located on the National Highway System (NHS)?    	

17. Is this project located in a Historic Preservation District?	 	

18. Detailed Project Description

Project Costs

19. Total Project Costs

Description	Federal Funds	Local Funds	

Environmental	
  $ 		
  $ 		

Design	
  $ 		
  $ 		

Right-of-Way Acquisition	
  $ 		
  $ 		

Eligible for STBG funding	
Construction	$	$	

Construction Engineering	$	
$	

Other, please specify

 		  $ 		  $ 	

 		  $ 		  $ 	

 		  $ 		  $ 	

 		  $ 		  $ 	

 		  $ 		  $ 	

TOTAL Estimated Cost

STP Funds Requested

Construction & Construction Engineering Costs Only
Amount 	%

20. Federal STBG Funds Requested	  $ 	

21. Local Match Provided if applicable	  $ 	

22. TOTAL STBG Portion of Project	  $ 		 	100% 	

23. Source of Local Match	 	

24.  Date Available

Project Schedule

25. Milestone Dates

Completion of Preliminary Design

Completion of Environmental Clearances

Completion of Final Design

Initiation of Right-of-Way Plan Review

Completion of Right-of-Way Plan Review

Initiation of Utilities Relocation

Completion of Utilities Relocation

Completion of Plans, Specifications and Estimates and/or Authorization for Advertisement

Anticipated  Construction  Advertisement  Date  or
Purchase Date

Traffic Signal Warrants

26. Traffic Signal Warrants

Project Readiness

27. Project Design

Yes or No

27 a. Has preliminary design work been created for the proposed project?

27 b. If Yes, please provide a brief description of the work performed to-date.

28. Environmental

Yes or No

28 a. Does the proposed project meet a categorical exclusion?

28 b. Does the proposed project require the development of an
Environment Assessment or Environmental Impact Statement?	 	

28 c. Has the project received environmental approval?

28 d. Please provide a brief explanation of why the proposed project meets a categorical exclusion or why is requires an environmental assessment or environmental impact statement.

29. Right-of-Way Acquisition	Yes or No

29 a. Does the proposed project require right-of-way acquisition?	 	

29 b. If Yes, how many parcels are involved?

30. Utility Relocation	Yes or No

30 a. Does the proposed project require utility relocation?

30 b. What utilities will have to be relocated?

31. Describe any potential delays or obstacles that have been identified that would interfere with the schedule for this project or the readiness of the project to proceed to construction.

ATTACHMENT D

Pavement Management
Project Information and Application
Jackson MPO Surface Transportation Block Grant Program

Pavement Management
Project Application Information
Jackson MPO Surface Transportation Block Grant Program

1.   Project Sponsor	Name of submitting agency	
2.   Sponsor Contact	Name of person responsible for completing the project
application	
3.   Telephone	Phone number for the person responsible for completing the
application	
4.   Email Address	Email for the person responsible for completing the application	
5.   Mailing Address	Office mailing address for the submitting agency	
6.   Additional Sponsors	Name of any co-sponsors (if applicable)	
7.   Co-Sponsor Contact Name(s)	Name of co-sponsor person responsible for helping to
complete the application (if applicable)	
8.   Project Title	Provide a brief one sentence description of the location and
the type of project (e.g. Overlay of ABC Street)	
9.   Project Type	Specify the type of pavement management improvements	
10. County	List the County the project is located within	
11. Municipality	List the Municipality the project is located within (if applicable)	
12. Small Municipality	Specify, Yes or No, whether or not the applicant qualifies as a
small municipality (for MPO purposes, a municipality with a population of 5,000 or less)	
13. Small Municipality Population	If the applicant qualifies as a small municipality, indicate the
population for the municipality according to the latest U.S. decennial Census	
14. Project Location	Identify the project location; be sure to include the beginning
and ending termini for the project including all roadway intersections and/or roadway segments included in the project. Include as Attachment B a map preferably on an 8 ½ x 11 inch
or 11 x 17 inch page identifying the project location. If an
application is submitted by a jurisdiction and the project location is within the boundary of a different jurisdiction, a fully executed Interlocal Agreement outlining the roles and responsibilities of each entity must be included as part of the application as Attachment E.	
15. Functional Class	Identify the functional classification for the proposed segment.
All projects must be located on a roadway that is functionally classified as a principal arterial, minor arterial or collector.	
16. NHS Roadway	Indicate whether or not the proposed project is located on the
National Highway System (NHS)	
17. Historic District	Indicate whether or not the proposed project is located in a
Historic Preservation District.	
18. Detailed Project Description	Provide a one to two paragraph detailed description of the
project.  Be sure to clearly state the problem the project aims to address and how that will be achieved by the project. Include as part of the supporting Attachments illustrations of proposed work; be sure to include beginning and ending	

	termini, project right-of-way and typical cross-sections (if
applicable).	
19. Overall Project Budget	Provide a complete budget.  All cost estimates must meet
current design standards for the type of improvement requested. A copy of the estimated computations, together with a listing of the source of those figures should be included as Attachment D for all requested STBG funding. Requested STBG funding should be based upon the “Year of Expenditure”, meaning a reasonable inflation factor has been used to determine future costs based upon the anticipated construction date for the proposed project.	
20. Federal STBG Funds Requested	Provide the amount of Federal funds you are requesting for the
proposed project.	
21. Matching Funds	Provide the amount of local match being provided by the local
entity. Pavement management projects require a minimum
20% local match for construction costs.  A resolution by the Board of Alderman/City Council or Board of Supervisors agreeing to pay the required funding share, plus any amount above the minimum requirement must be included as Attachment A in the application. If matching funds are being allocated by a Special Commission supporting documentation in addition to the Matching Funds Resolution must also be
included to demonstrate the Commission’s commitment to the
project.	
22. Total for STBG Portion of
Project	Add Columns 20 and 21 together to provide the total costs for
the STBG portion or construction costs for the project.  The total should match the total funds listed in the shaded area of question 19.	
23. Source of Local Funds	If multiple jurisdictions are contributing matching funds for this
project, list each contributing jurisdiction and the amount of funds being provided by each jurisdiction. Furthermore, provide a brief explanation of how the matching funds will be secured for this project. (e.g. The $20,000 in matching funds will be provided by the City of ABC through the sale of bonds in fiscal year 2018.)	
24. Date Available	Provide the date the local match funding will be available.	
25. Milestone Date	Provide estimated completion dates for each phase of the
project.  If a phase has already been completed please list the date it was completed.  Estimated completion dates cannot exceed the amount of time allowed in the Jackson MPO Prospectus project management guidelines.	
26. PMS Index Rating	Provide the latest Pavement Management System (PMS) index
rating as determined by CMPDD for the project area.  If a project includes portions of multiple PMS index rating sections, each section must be used to determine an Average PMS index rating for the project.  The average PMS index rating will be completed by MPO staff.	

27. Potential Delays	Provide a brief description of any known factors that may
cause potential delays with the project slowing down the project schedule.	
28. Annual Average Daily Traffic
(AADT)	Provide the Annual Average Daily Traffic (AADT) volume for the
roadway. The AADT must be determined using a traffic count that has taken place within the last 24 months of the date of the application.  The count may be performed by CMPDD or a registered Engineer who certifies that the count is accurate and was performed using standard MDOT procedures for determining AADT volume. If a count has not been performed within the last 24 months the sponsoring entity may request CMPDD to perform a traffic count on the roadway.
Attachment C of the application should include either a traffic count summary page provided by CMPDD or a certified statement from a registered Engineer.	
29. Required Attachments	1.   Attachment A – Resolution
Acknowledges amount of Federal funds requested, local match requirement, and compliance with all applicable Federal and State laws regarding STBG funding.
2.   Attachment B – Project Map
Map showing the project location with the proposed improvements labeled preferably on an 8 ½ x 11 inch or 11 x 17 inch page
3.   Attachment C – Annual Average Daily Traffic Volume A traffic count summary page requested from CMPDD stating the AADT volume for the project roadway or a certified statement from a registered Engineer stating the count was performed using standard MDOT procedures. The date the traffic count was conducted must also be listed.
4.   Attachment D – Detailed Budget
Provide a detailed copy of the estimated computations and an explanation of the source of those figures for all requested STBG funding.  Requested STBG funding should be based upon the “Year of Expenditure”, meaning a reasonable inflation factor has been used to determine future costs based upon the anticipated construction date for the proposed project.	

	5.   Attachment E – Executed Interlocal Agreement
(if applicable)
If an application is submitted by a jurisdiction and the project location is within the boundary of a different jurisdiction, a fully executed Interlocal Agreement outlining the roles and responsibilities of each entity must be included as part of the application. (e.g. A County submits an application for a pavement management project located inside of a municipality within the county.)	
30. Additional Supporting
Attachments	Any additional information the project sponsor would like to
provide to document the need for the project.	

Pavement Management Project Application
Jackson MPO Surface Transportation Block Grant Program

The following information must be completed for all Pavement Management proposed Jackson MPO STBG projects.  MPO staff will use the information contained in the project application to assign points to proposed projects based on the Project Submittal Guidelines. The establishment of project eligibility and each project score will then be used by the Intermodal Technical Committee and the Metropolitan Planning Policy Committee to program projects to be funded with Jackson MPO STBG funds.  A separate application must be submitted for each type of project.  For example, do not combine multiple overlay projects in one application.  A separate application should be completed for each roadway.

Applicant Information

1.	
Project Sponsor	

2.	
Sponsor Contact	

3.   Telephone   		4.   Email   	

5.   Mailing Address	 	

6.   Additional Sponsors    	

7.   Co-Sponsor Contact Name(s)	 	

Project Description

8.   Project Title    	

9.   Project Type	 	

10. County     	  11. Municipality   	

12. Small Municipality    	

13. Small Municipality population according to the latest U.S. Census    	

14. Project Location	 	

15. Functional Class	 	

16. Is the project located on the National Highway System (NHS)?    	

17. Is this project located in a Historic Preservation District?	 	

18. Detailed Project Description

Project Costs

19. Total Project Costs

Description	Federal Funds	Local Funds	

Environmental	
  $ 		
  $ 		

Design	
  $ 		
  $ 		

Right-of-Way Acquisition	
  $ 		
  $ 		

Eligible for STBG funding	
Construction Engineering	$	$	

Construction	$	
$	

Other, please specify

 		  $ 		  $ 	

 		  $ 		  $ 	

 		  $ 		  $ 	

 		  $ 		  $ 	

 		  $ 		  $ 	

TOTAL Estimated Cost

STBG Funds Requested

Construction & Construction Engineering Costs Only
Amount 	%

20. Federal STBG Funds Requested	  $ 	

21. Matching Funds Provided	  $ 	

22. TOTAL for STBG Portion of Project	  $ 		 	100% 	

23. Source of Local Funds	 	

24.  Date Available

Project Schedule

25. Milestone Dates

Completion of Preliminary Design

Completion of Environmental Clearances

Completion of Final Design

Initiation of Right-of-Way Plan

Completion of Right-of-Way Plan Review

Review Initiation of Utilities Relocation

Completion of Utilities Relocation

Completion of Plans, Specifications and Estimates and/or Authorization for Advertisement

Anticipated  Construction  Advertisement  Date  or
Purchase Date

Pavement Management System (PMS) Index Rating

26. PMS Index Rating

Road Segment 	PMS Index Rating

Average PMS Index Rating

To be completed by
MPO Staff

27. Describe any potential delays or obstacles that have been identified that would interfere with the schedule for this project or the readiness of the project to proceed to construction.

28. Annual Average Daily Traffic

AADT	Date count was conducted

ATTACHMENT E

Bridge Repairs
Project Information and Application
Jackson MPO Surface Transportation Block Grant Program

Bridge Repair
Project Application Information
Jackson MPO Surface Transportation Block Grant Program

1.   Project Sponsor	Name of submitting agency	
2.   Sponsor Contact	Name of person responsible for completing the project
application	
3.   Telephone	Phone number for the person responsible for completing the
application	
4.   Email Address	Email for the person responsible for completing the application	
5.   Mailing Address	Office mailing address for the submitting agency	
6.   Additional Sponsors	Name of any co-sponsors (if applicable)	
7.   Co-Sponsor Contact Name(s)	Name of co-sponsor responsible for helping to complete the
application (if applicable)	
8.   Project Title	Provide a brief one sentence description of the location and
the type of project.	
9.   Project Type	Specify the type of improvement bridge rehabilitation or
replacement	
10. County	List the County the project is located within	
11. Municipality	List the Municipality the project is located within (if applicable)	
12. Small Municipality	Specify, Yes or No, whether or not the applicant qualifies as a
small municipality (for MPO purposes, a municipality with a population of 5,000 or less)	
13. Small Municipality Population	If the applicant qualifies as a small municipality, indicate the
population for the municipality according to the latest U.S. decennial Census	
14. Project Location	Identify the project location; be sure to include the beginning
and ending termini for the project including all roadway intersections and/or roadway segments included in the
project.  Include as Attachment B a map preferably on an 8 ½ x
11 inch or 11 x 17 inch page identifying the project location. If an application is submitted by a jurisdiction and the project location is within the boundary of a different jurisdiction, a fully executed Interlocal Agreement outlining the roles and responsibilities of each entity must be included as Attachment D.	
15. Functional Class	Identify the functional classification for the proposed segment.
All projects must be located on a roadway that is functionally classified as a principal arterial, minor arterial or collector.	
16. NHS Roadway	Indicate whether or not the proposed project is located on the
National Highway System (NHS)	
17. Historic District	Indicate whether or not the proposed project is located in a
Historic Preservation District.	
18. Detailed Project Description	Provide a one to two paragraph detailed description of the
project.  Be sure to clearly state the problem the project aims to address and how that will be achieved by the project. If the project involves work to a historic bridge structure, please be	

	sure to include this information in your project description.
Include as part of the supporting Attachments a site plan of proposed construction or illustrations of proposed work; be sure to include beginning and ending termini, project right-of- way and typical cross-sections (if applicable).	
19. Overall Project Budget	Provide a complete budget.  All cost estimates must meet
current design standards for the type of improvement requested. A copy of the estimated computations, together with a listing of the source of those figures should be included as Attachment C for all requested STBG funding. Requested STBG funding should be based upon the “Year of Expenditure”, meaning a reasonable inflation factor has been used to determine future costs based upon the anticipated construction date for the proposed project.	
20. Federal STBG Funds Requested	Provide the amount of Federal funds you are requesting for
the proposed project.	
21. Matching Funds	Provide the amount of local match being provided by the local
entity. A resolution by the Board of Alderman/City Council or Board of Supervisors agreeing to pay the local match share must be included as Attachment A in the application. If matching funds are being allocated by a Special Commission supporting documentation in addition to the Matching Funds Resolution must also be included to demonstrate the Commission’s commitment to the project.	
22. Total for STBG Portion of
Project	Add Columns 20 and 21 together to provide the total costs for
the STBG portion or construction costs for the project. The total should match the total funds listed in the shaded area of question 19.	
23. Source of Local Match	If multiple jurisdictions are contributing matching funds for this
project, list each contributing jurisdiction and the amount of funds being provided by each jurisdiction. Furthermore, provide a brief explanation of how the matching funds will be secured for this project. (e.g. The $20,000 in matching funds will be provided by the City of ABC through the sale of bonds in fiscal year 2018.)	
24. Date Available	Provide the date the local match funding will be available.	
25. Milestone Dates	Provide estimated completion dates for each phase of the
project.  If a phase has already been completed please list the date it was completed.  Estimated completion dates cannot exceed the amount of time allowed in the Jackson MPO Prospectus project management guidelines.	
26. Bridge Replacement Index	Provide the latest National Bridge Inventory Bridge
Replacement Index score for the proposed project.  The Bridge Replacement Index score can be obtained by contacting MPO staff members.	
27. Project Design	---	
a.   Preliminary Design	Indicate whether or not preliminary design work has been
created.	

b.   Preliminary Design	Describe any design work that has been completed to-date.
Any supporting documentation should be included as part of supporting attachments.	
28. Environmental	---		
a.   Categorical Exclusion	Indicate whether or not the project meets a categorical
exclusion.	
b.   Environmental Process	Indicate whether or not the project requires an environmental
assessment or environmental impact statement.	
c.	Environmental Process	Indicate whether or not the project has an approved
environmental assessment or environmental impact statement. Documentation demonstrating approval status must be included in the supporting attachments.	
d.   Environmental Process	Provide a brief explanation of why the project meets a
categorical exclusion or why an environmental assessment or impact statement is required.	
29. Right-of-Way Acquisition	---		
a.   ROW	Indicate whether or not the project requires right-of-way
acquisition.	
b.   ROW	Indicate the number of parcels to be acquired through ROW
acquisition.	
30. Utility Relocation	---		
a.   Utility Relocation	Indicate whether or not the project requires utility relocation.	
b.   Utility Types	Provide a list of the types of utilities to be relocated.	
31. Potential Delays	Provide a brief description of any known factors that may
cause potential delays with the project slowing down the project schedule.	
32. Required Attachments		1.   Attachment A – Resolution
Acknowledges amount of Federal funds requested, local match requirement, and compliance with all applicable Federal and State laws regarding STBG funding.

2.   Attachment B – Project Map
Map showing the project location with the proposed improvements clearly labeled preferably on an 8 ½ x
11 inch or 11 x 17 inch page

3.   Attachment C – Detailed Budget
Provide a detailed copy of the estimated computations
and an explanation of the source of those figures for all requested STBG funding.  Requested STBG funding should be based upon the “Year of Expenditure”, meaning a reasonable inflation factor has been used to determine future costs based upon the anticipated construction date for the proposed project.

4.   Attachment D– Executed Interlocal Agreement
(if applicable)	

	If an application is submitted by a jurisdiction and the
project location is within the boundary of a different jurisdiction, a fully executed Interlocal Agreement outlining the roles and responsibilities of each entity must be included as part of the application. (e.g. A County submits an application for a bridge repair project located inside of a municipality within the county).	
33. Additional Supporting
Attachments	Any additional information the project sponsor would like to provide to document the need for the project application.	

Bridge Repair Project Application
Jackson MPO Surface Transportation Block Grant Program

The following information must be completed for all Bridge Repair proposed Jackson MPO STBG projects. MPO staff will use the information contained in the project application to assign points to proposed projects based on the Project Submittal Guidelines.  The establishment of project eligibility and each project score will then be used by the Intermodal Technical Committee and the Metropolitan Planning Policy Committee to program projects to be funded with Jackson MPO STBG funds. A separate application must be submitted for each type of project. For example, do not combine rehabilitation of multiple bridges in one application.

Applicant Information

1.	
Project Sponsor	

2.	
Sponsor Contact	

3.   Telephone   		4.   Email   	

5.   Mailing Address	 	

6.   Additional Sponsors    	

7.   Co-Sponsor Contact Name(s)	 	

Project Description

8.   Project Title    	

9.   Project Type	 	

10. County     	  11. Municipality   	

12. Small Municipality    	

13. Small Municipality population according to the latest U.S. Census    	

14. Project Location	 	

15. Functional Class	 	

16. Is the project located on the National Highway System (NHS)?    	

17. Is the project located in a Historic Preservation District?	 	

18. Detailed Project Description

Project Costs

19. Total Project Costs

Description	Federal Funds	Local Funds	

Environmental	
  $ 		
  $ 		

Design	
  $ 		
  $ 		

Right-of-Way Acquisition	
  $ 		
  $ 		

Eligible for STBG funding	
Construction	$	$	

Construction Engineering	$	
$	

Other, please specify

 		  $ 		  $ 	

 		  $ 		  $ 	

 		  $ 		  $ 	

 		  $ 		  $ 	

 		  $ 		  $ 	

TOTAL Estimated Cost

STBG Funds Requested

construction & construction engineering costs only
Amount 	%

20. Federal STBG Funds Requested	  $ 	

21. Local Match Provided	  $ 	

22. TOTAL STBG Portion of Project	  $ 		 	100% 	

23. Source of Local Match	 	

24.  Date Available

Project Schedule

25. Milestone Dates

Completion of Preliminary Design

Completion of Environmental Clearances

Completion of Final Design

Initiation of Right-of-Way Plan Review

Completion of Right-of-Way Plan Review

Initiation of Utilities Relocation

Completion of Utilities Relocation

Completion of Plans, Specifications and Estimates and/or Authorization for Advertisement

Anticipated  Construction  Advertisement  Date  or
Purchase Date

Bridge Replacement Index

26. Bridge Replacement Index Score

Project Readiness

27. Project Design

Yes or No

27 a. Has preliminary design work been created for the proposed project?

27 b. If Yes, please provide a brief description of the work performed to-date.

28. Environmental

Yes or No

28 a. Does the proposed project meet a categorical exclusion?

28 b. Does the proposed project require the development of an
Environment Assessment or Environmental Impact Statement?	 	

28 c. Has the project received environmental approval?

28 d. Please provide a brief explanation of why the proposed project meets a categorical exclusion or why is requires an environmental assessment or environmental impact statement.

29. Right-of-Way Acquisition	Yes or No

29 a. Does the proposed project require right-of-way acquisition?	 	

29 b. If Yes, how many parcels are involved?

30. Utility Relocation	Yes or No

30 a. Does the proposed project require utility relocation?

30 b. What utilities will have to be relocated?

31. Describe any potential delays or obstacles that have been identified that would interfere with the schedule for this project or the readiness of the project to proceed to construction.

ATTACHMENT F

Preventative Maintenance Guidelines
Established by MS Department of Transportation
And Federal Highway Administration

Federal Aid Eligibility Requirements for Preventative Maintenance

I) 	Preservation Components

A)  Seal coats, joint repairs, and other approved preventative maintenance activities and treatments which comply with Federal Regulations

B) Thin lift overlay:  One lift 2" HMA maximum (milled or un-milled surface)

1)  Pre-leveling Options
a.  As directed by Engineer
b.  Included in Trench Widening Operation

2)  Two foot (2') Trench Widening Entire Project Limits a.   Separate operation:  3" HMA Trench
b.  Combined operation:  Pre-leving & 3" HMA Trench

3)  Rumble Stripe Placement on 2ft. Paved/Widened Shoulders

4)  Rumble Strip Placement on Full Width Shoulders if Rumble Stripe is deemed inappropriate

5)  Milling Options
a.  Transitions
b.  As needed to address safety issues
c.  Entire roadway 2" & variable (Milling not covered by a orb  will require written justification and approval by MDOT)

II) 	Guardrail upgrade in compliance with NCHRP 350 Report or MASH

III) 	Submission of project or site specific design exception request for bridges

IV) 	Address ADA and Railroad/Highway crossing issues

V) 	Known Safety Issues as Identified by MDOT must be adequately addressed.