Change/Proposal – Utility Relocation Schedule Acceptance (L-2PA)
May 30, 2016
XXXX Contractor
Company
PO Box XXX
Town, MA 55555
Town
Route XXX – XXX Road over YYY River
MassDOT-Highway
Contract No. (#)
Project No. (#)
Dear XXX,
MassDOT has received (Contractor’s Company name)’s request to modify aspects of the
requirements of the previously approved utility relocations and has reviewed your utility
Proposal Schedule, with a data date of (date). In accordance with the requirements of
Subsection 8.14 Utility Coordination, Documentation, and Monitoring Responsibilities , and
Subsection 8.02 Schedule of Operations, MassDOT acknowledges and accepts the utility
changes to the schedule. We will continue to review the changes to the non-utility items on the
schedule.
If you have any questions or require any additional information, please contact the District
Responsible Party, (Name) (Phone #) (Email).
Sincerely yours,
(Name/Signature)
District Highway Director
(Author/Typist Initials)
CC:
(Name) – Resident Engineer
(Name) – State Utility Engineer
(Name) – District Utility Constructability Engineer
(Name) – District Construction Engineer
(Name) – Scheduler
Leading the Nation in Transportation Excellence