2016 Measure B logo which is primarily blue and white.
  • 2016 Measure B Complete Streets Checklist: Spot Improvement Projects

  • The 2016 Measure B Program requires all capital projects to consider Complete Streets improvements and to incorporate pedestrian, bicycle, and transit infrastructure or information technology improvements identified in local, regional, or countywide planning documents if they fall within the project limits, unless an exception is declared and approved by the 2016 Measure B Program.

    A Complete Streets checklist must be submitted when requesting funding. An updated checklist must be submitted with each new funding request or when project enters another major phase. 

    In the instance that a Complete Streets exception is requested, the Project Manager is still responsible to complete this checklist. All exceptions are subject to review and approval by the 2016 Measure B Program Office. For more information about Complete Streets exceptions, please contact 2016MeasureB@vta.org.

    Spot Improvements Checklist Screening

    This Spot Improvements checklist may be used for projects that meet the screening criteria below: 

    • Project does not modify or impact transit operations or level of service, and; 
    • Project does not negatively impact bicycle or pedestrian infrastructure by degrading the safety, comfort, or convenience of bicycles/pedestrians. 
    • If the Project does not meet the above criteria, the Project Sponsor must complete the appropriate checklist: 
      • Pavement Management Plan checklist
      • Capital Projects checklist
      • Planning Studies checklist
         

    Instructions

    Jotform

    • You can navigate through Jotform by clicking individual tabs at the top of the form. 
    • You can save your work by clicking the "Save" button at the bottom of the page. 
      • You will be prompted to either sign-up for an account with an email address, or "skip create an account."
      • It is recommended to choose "skip create an account" as this route will provide you with a shareable link that you may share with your colleagues to continue working on the application. 
      • If you create an account, you will not be able to work on the form with a colleague unless you share your account information.
    • You must press "Submit" after the form has been signed. Signed forms are not automatically submitted and thus are not complete. 
        

    General

    • The form must be signed by the Public Works Director, Agency Manager, or equivalent senior level staff. 
    • Upon submission, the 2016 Measure B Program Office will review the checklist and contact the Project Manager for next steps.
    • Completed and approved checklists will be posted on the 2016 Measure B Transparency Website. 

     Please contact 2016MeasureB@vta.org if you have any questions. 

  • PART 1: SPONSOR INFORMATION

  • Format: (000) 000-0000.
  • PART 2: PROJECT INFORMATION

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  • 9. What project phase(s) does this Complete Streets checklist cover? Check only those that apply to this checklist.*
  • 10. Checklist status*
  • PART 3. COMPLETE STREETS EXCEPTIONS

    All Complete Streets exceptions are subject to review and approval by the 2016 Measure B Program Office. Should a Complete Streets exception be requested, a reasonable explanation must be provided.
  • 11. Are you requesting a Complete Streets exception?*
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  • NOTE: If project sponsor selects 'Yes' in question 11 and requests a project-level exception, you can skip to the end of the checklist for exception declaration and DocuSign signature. 

  • PART 4: PROJECT USERS

    Purpose of this section is to document the existing and future users of the project.
  • 14. How do people travel through the project limits, now or in the future? Applicants are required to provide data for all modes that currently travel through the project limits.
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  • 16. Are there hospitals, clinics, schools, community centers, senior living facilities, or similar facilities within 1/4 mile of the project limits?
  • PART 5: EXISTING INFRASTRUCTURE AND PROPOSED IMPROVEMENTS

  • 18. What infrastructure exists within the project limits now? What proposed improvements or modifications will the project add? TIP: click into the cells under column "Proposed modification or improvement" to enter text.
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  • PART 6: SAFETY

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  • PART 7: REVIEW & SIGN

  • 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. 

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