The completed Checklist must be reviewed and signed by Public Works Director, Agency Manager or equivalent senior level staff or their designee.
Please forward the URL of this form to the signee to enter the email and name for DocuSign. The signee does not need a DocuSign to complete this signature process.
Upon submission of the checklist, you will be able to download a PDF copy of your completed form.
MAKE SURE TO SUBMIT THIS ENTIRE FORM AFTER SIGNING USING THE "SUBMIT BUTTON" AT THE BOTTOM OF THE PAGE.