2020 Americans with Disabilities Act Municipal Self-Analysis and Transition Plan for Pedestrian Infrastructure Application
Please contact cward@cdtcmpo.org with any questions.
Municipality
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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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Does your community have an ADA Self Analysis or Transition Plan?
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Please Select
Yes
No
If yes, are you updating your old document or creating a new, standalone pedestrian infrastructure self-analysis and transition plan?
Please Select
Updating existing
Creating new
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, CDTC provided you with an inventory of sidewalk locations. List here any additional data you have. This could be locations of other types of pedestrian infrastructure and/or condition information.
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Has your community constructed or added new sidewalks since that time?
Yes
No
Please describe the extent and location of the new sidewalks.
Please describe.
Please upload any files of the new sidewalks.
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Will you need to evaluate the condition of any pedestrian infrastructure that is not along a sidewalk?
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Please Select
Yes
No
Please explain. What is the infrastructure and where is it?
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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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While there is no minimum, some match funding is required, either in-kind or cash match. 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
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 Kickoff meeting, including staff and/or members of the public, particularly people who may have a disability. This advisory group may meet up to two additional times over the course of the project, as determined by you, CDTC, and/or the project consultant.
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Title/Representing
First Name
Last Name
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How will the advisory group members listed above ensure success of the project?
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
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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Do you want to evaluate infrastructure other than pedestrian infrastructure as part of this project? For example, buidings or parks. If so, please explain. Local funding will be required to evaluate these components.
Letter of commitment - To help us assess community support for this project, CDTC 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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