ROUTE/ROAD REGIONAL QUARTERLY STATUS REPORT PROJECT

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REGION:

AS OF:

PROJECTS RECEIVING AUTHORIZATION TO AWARD/AUTHORIZATION TO PROCEED:

LOTCIP ADMINISTRATIVE AWARD:

Grant Amount:

Funds Expended to Date:

LOCAL TRANSPORTATION CAPITAL IMPROVEMENT PROGRAM

Note: Quarterly Status Reports should be completed as of September 30, December 31, March 31,

and June 30th. *includes contract items, contingency, and incidentals

PROJECTS RECEIVING COMMITMENT LETTER TO FUND:

REGIONAL QUARTERLY STATUS REPORT

Rev. 11/21

Appendix M

ESTIMATEDFINAL DESIGNSUBMISSION

DATE TODEPARTMENT

ANTICIPATEDCONSTRUCTION

START DATECURRENT COST

ESTIMATE*

CURRENTCOMMITMENT

TO FUNDVALUE*PROJECT DESCRIPTIONROUTE/ROADTOWNLOTCIP #

LOTCIP # TOWN ROUTE/ROAD PROJECT DESCRIPTION

TOTAL GRANTAMOUNT*

(Based on Award)

ACTUAL ORANTICIPATED

PROJECTAWARD DATE

ESTIMATEDCOMPLETION

DATE

PROJECTEXPENDITURES

TO DATE*

ACTUALCOMPLETION

DATE

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