Form FHWA 1585 FHWA 1585 Monthly Recipient Project Status Report

"This collection of information is voluntary and will be used to determine eligibility of project for possible Federal funding. Public reporting burden is estimated to average 1 hour per response, including the time for reviewing instructions searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Please note that an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this collection is 2125-0623 with an expiration date of 9/30/2009. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Highway Administration, 1200 New Jersey Ave SE, Washington, DC 20590".

MONTHLY RECIPIENT PROJECT STATUS REPORT

AMERICAN RECOVERY AND REINVESTMENT ACT

PROJECT DATA

1. State

2. Report Month (mm/yyyy)

3. Contracting Agency

4. Federal-aid Project Number

5. State Project Number or Identification Number

6. Contract Number

7. Advertisement Date (mm/dd/yyyy)

8. Award Date (mm/dd/yyyy)

9. Notice to Proceed Date (mm/dd/yyyy)

Contract Amount

12. DBE Goal (percent)

13. DBE Commitment (percent)

14. DBE Actual Payment ($)

15. Percent Complete

Contractor Information

10. R.A. Funds ($)

11. Total Funds ($)

16.Contractor Name

17. Address

18. DUNS Number

19. E-mail Address

Street

Zip Code

necessary to obtain data on multiple contractors

on a State project

1201(c )(2)(A)

1201(c )(2)(A)

Title XII - "that section 1101(b) of Public Law

109-59 shall apply to funds apportioned under

this heading

Form FHWA-1585 (Rev. 4-21)