Americans with Disabilities Act Municipal Self-Analysis and Transition Plan for Pedestrian Infrastructure Application
Please contact cward@capitalmpo.org with any questions.
Municipality (Name of Town, City, Village, or County)
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Municipality Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Municipality Website
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Contact Person Name
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First Name
Last Name
Contact Person Phone Number
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Area Code and Phone Number
Contact Person Email
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Form of Government (town, city, county, or village)
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Attach any and all required ADA-related documents that your municipality has. This may include your existing ADA Self Analysis and/or Transition Plan, and any other document that contains the municipal ADA policy statement, ADA Coordinator, and Complaint or Grievance Process.
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In or before 2018, the Transportation Council provided you with an inventory of sidewalk locations. Describe here any additional data you have. This could be locations of other types of pedestrian infrastructure and/or condition information. It could also be new sidewalks.
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Please upload any files of the additional data.
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Are there any paved or unpaved multi-use trails, not in the public right of way, under your jurisdiction?
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Please Select
Yes
No
Indicate mileage and describe or provide a map of their location(s).
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Upload file here if you want to provide a map of the multi-use trail locations.
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Which department and staff person is the lead contact and will ensure cooperation throughout the municipality?
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Enter the person's name, their position title, and department
Public outreach is required for ADA Transition Plans. As part of this project, you will be required to advise the public of this project and its process, and to solicit public input into the plan and its priorities. Please list here the groups and/or individuals that you will include as part of this effort. The list should include representation of people who have a disability.
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Name of Group or Individual
Representing
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Some match funding is required, either in-kind or cash match. While there is no minimum, the amount will be considered in the selection process. Will you provide any in-kind staff time?
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Please Select
Yes
No
Enter the staff positions that will contribute in-kind time, the total hours for each position, and the type of work or contribution they will provide.
Position Title
Total Hours
Fully allocated rate ($/hr)
Work Type/Contribution
Position 1
Position 2
Position 3
Position 4
Position 5
Position 6
Position 7
Will you provide cash match?
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Please Select
Yes
No
How much?
Enter Amount
Attach or describe any maintenance or ownership agreements for pedestrian infrastructure on state and/or county roads.
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Attach any maintenance or ownership agreement files here.
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Provide the participant list for the project advisory group, including staff and/or members of the public, particularly people who may have a disability. This advisory group will meet for a Kickoff meeting and up to two additional times over the course of the project, as determined by you, the Transportation Council, and/or the project consultant.
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Title/Representing
First Name
Last Name
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Do you have the ability to collect infrastructure locations?
Yes, with GPS, such as a Trimble unit
Yes, we have a tablet and data plan
No
Other
Do you have in-house GIS capabilities? If yes, please provide the primary GIS contact's name.
Yes
No
Name
First Name
Last Name
How do you plan to maintain the data resulting from this project? For example, GIS, spreadsheet, map, or other method. If you will use GIS, which program and version?
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Letter of commitment - To help us assess community support for this project, the Transportation Council requires a letter of commitment signed by the mayor, town supervisor or comparable elected leader. The letter should state the commitment of local elected leaders to complete the Self-Analysis and Transition Plan and to implement the Transition Plan over time. This letter must be included with this application.
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