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Expression of Interest Template
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U.S. Department of Transportation
Federal Highway Administration |
Tolling
and Pricing Opportunities
Expression of Interest |
If you have any questions completing this form, please contact Patrick DeCorla-Souza at (202) 366-4076. Please complete all applicable information and attach this request via email to TollingandPricingTeam@dot.gov
or via U.S. mail to:
Tolling and Pricing Team
Federal Highway Administration
Office of Innovative Program Delivery, Attn: Patrick DeCorla-Souza
1200 New Jersey Avenue, SE, Mail Stop E84-320
Washington, DC, 20590
Please copy your respective FHWA State Division Office
A) What is the requesting agency, authority, or public company? What
is the lead office within the requesting agency, authority, or private
company?
Name(s):
Project Website (if applicable) or Your Agency/Company Website:
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B) Contact Information
| Name:
Title:
Address:
Phone:
E-mail: |
C) What is the requesting agency seeking? (Please mark appropriate box)
Funding ONLY for this project or study (Federal authority already
granted or not necessary).
Federal Tolling Authority ONLY for this project or study (no funds
requested).
Funding AND tolling authority for this project or study.
Other, not listed.
Please briefly elaborate:
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D) Please provide a brief description of the tolling or pricing project
or study. Please identify and describe the subject facility or general
area to be tolled, priced or studied (i.e. name of project/study, location,
length, level of service, problem to be addressed, etc.)?
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E) Which type of facility is proposed to be tolled or studied?
Interstate
Non-Interstate
Project contains both types of facilities
Project is not specific to any type of facility |
F) Does the toll project involve ANY construction?
No
Yes (if so, please mark all that apply)
Not applicable
New construction
Expansion
Rehabilitation
Reconstruction
HOV to HOT Conversion
Other not listed.
Please briefly elaborate
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G) Does an HOV lane(s) currently exist on the facility?
| |
H) What is the timetable to enact the tolling or pricing project or
study?
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I) Are there expressions of support from public officials or the public?
Have any public meetings been held? If no public meetings or expressions
of support are available, please indicate the agency’s plans for
ensuring adequate public involvement and seeking public support for
the toll project or study.
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J) Where known (and if applicable), what is plan for implementing tolls
or prices and the strategies to vary toll rates or prices (i.e., the
formulae for variable pricing)?
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K) What is the reason(s) of the toll project or study? Please mark all
that apply.
Financing construction
Reducing congestion
Improving air quality
Other not listed.
Please briefly elaborate:
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L) Please provide a description of the public and/or private agency
that will be responsible for operation, maintenance, and/or enforcement
for the toll project or study?
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M) Please provide a description of how, if at all, any private entities
are involved in the up-front costs, or will share in project responsibilities,
debt retirement, or revenues?
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N) Please provide any additional information you feel is necessary.
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Expression of Interest-FHWA Office of Operations
Version 1.0 12/05
