Insert Date
Florida Department of Transportation
District ___
[Insert Street Address]
Attn: [Insert Project Manager/Construction Project Engineer]
Reference:
Independent Peer Review Category 2 Structures
Financial Project ID: [Insert FPID]
Federal Aid Number: [Insert Federal Aid Number]
Contract Number: [Insert CN]
Submittal:
90% Bridge [Insert Component/CSIP] Plans
Submittal [Insert Submittal No.]
Bridge Number(s): [Insert Bridge No.(s)]
Dear [Insert Project Manager/Construction Project Engineer],
Pursuant to the requirements of the Contract Documents, [Insert the name of the Independent
Peer Review Firm] hereby certifies that an independent peer review of the above-referenced
submittal has been conducted in accordance with Chapter 26 of the Plans Preparation Manual
and all other governing regulations. Component plans that were included in the peer review are
as follows:
[Insert a list of all component plans that underwent an Independent Peer Review]
Outstanding / Unresolved Comments and Issues:
[Provide a statement of outstanding/unresolved comments for the above-referenced review, and
actions being taken to resolve issues.]
Certification Statement:
I certify that the component plans listed in this letter have been verified by independent review
and are in compliance with all requirements presented in the Contract Documents. Independent
Peer Review comments and comment resolutions have been included in this submittal under
separate cover.
Please do not hesitate to contact me if you have any questions.
Name of Independent Peer Review Firm
[Insert Firm Name]
Name of Independent Peer Reviewer
[Insert Reviewer Name]
Title
[Insert Reviewer Title]
Signature
______________________________________
Florida Professional Engineer Lic. No.
[Insert License Number]