2021 ACAF Pavement Award Application
Please have a photo of the project and smoothness report ready before beginning the application. Not all fields will be applicable to all awards.
Contractor Name
*
Award Category
*
Please Select
A.P. Bolton
Urban Resurfacing
Rural Resurfacing
Roads & Streets, FDOT
Roads & Streets, Non-FDOT
Special Projects
Location
*
Provide route name/number with starting and ending points. Provide city if Urban job.
Project Number
*
FDOT District
*
Please Select
1
2
3
4
5
6
7
Turnpike
N/A
County
*
Nature of Project
Start Date
*
-
Month
-
Day
Year
Date
Completion Date
*
-
Month
-
Day
Year
Date
Length (ft)
Width (ft)
Total Lane Miles
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Asphalt Mix Information
Pavement Details
Mix Type
Thickness (in)
Tons Placed
Composite Pay Factor
Friction
Surface
Leveling
Base
Total Tons
*
Asphalt Plant Location
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Contractor Staff
Project Manager
Plant Foreman
Road Foreman
QC Manager
QC Technician, Plant
QC Technician, Roadway
Agency Staff
Resident Engineer
FDOT
Consultant CEI
Project Administrator
FDOT
Consultant CEI
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Smoothness & Quality
Ride Acceptance Spec
Please Select
Rolling Straight Edge
Ride Number
IRI
Smoothness Statistic
(Ex. RN 4.4)
How many patches were placed in final friction course?
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File Upload
For FDOT Projects, provide a copy of the Ride Number, IRI, or Straightedge Deficiency Report for friction course only
Browse Files
Drag and drop files here
Choose a file
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of
For non-FDOT projects, provide a letter of recommendation from the agency or owner.
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Please upload one high resolution photo of the project that should be used for promotional materials and awards
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
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Submission
Upon submission the Association will verify everything is complete and then you will be in invoiced $250 for this application. You can pay by check or online.
Your Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Email Invoice to:
*
example@example.com
Signature
*
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Submit
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