P3 Project Candidate Form

P3 System

P3 Project Candidate Form

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Indicates Mandatory Fields

Please enter full description where applicable. Do not only reference attachments

Online submissions are preferred. Manual submissions are acceptable

Please complete your online submission with in 30 minutes, submissions over 50 mb (including attachments) should be submitted manually by downloading the Form, and emailing the completed request to ra-pdp3forpa@pa.gov

APPLICANT INFORMATION

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Applicant Name

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Contact Person

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Address Line 1

Address Line 2

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City

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State

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Postal Code

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Phone Number

Ext

Fax Number

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Email Address

PROJECT BACKGROUND

Date

12/15/25

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Project Name

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Application Type

Sponsoring Entity

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Applicable Planning Region

Current Authorization

Transportation Related P3 Priority of the Governor

Legislative Mandate

Twelve Year Transportation Improvement Program

Port Authority Master Plan

Airport Capital Improvement Plan

MPO/RPO Transportation Improvement Program

MPO/RPO Regional Transportation Plan

Others

PROJECT DETAILS

( attach copies of any information on project details)

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Project Description (location, length, general scope)

[Max 1000 Characters] You have 1000 characters left.

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Purpose & Need Statement

[Max 500 Characters] You have 500 characters left.

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Total Estimated Project Cost(preliminary engineering, right-of-way, construction, operations & maintenance, other costs)

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Projects with a total cost of equal to $10 million or greater will require a deposit of $ 50,000 to serve as a review fee if the application advances beyond the Pass/Fail and High level Project Screening
process.

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Preliminary Financial Plan

[Max 500 Characters] You have 500 characters left.

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Impacted Jurisdictions

[Max 500 Characters] You have 500 characters left.

EXPECTED PROJECT BENEFITS

( attach copies of any information on Expected project details)

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Benefits(improved mobility, reduced congestion, economic development, etc.)

[Max 500 Characters] You have 500 characters left.

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Rationale for/Benefit of P3 Implementation Relative to Conventional Project Delivery

[Max 500 Characters] You have 500 characters left.

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Precedent (Are any other states utilizing P3 or a similar innovative project delivery approach?)

[Max 500 Characters] You have 500 characters left.

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Outside Expertise (Is there supporting information available from other states, the federal government, trade associations, etc.)

[Max 500 Characters] You have 500 characters left.

HYPERLINKS

Category	Link text	Comments

ATTACHMENTS

Category	Name	Comments

OWNER OF PROPERTY/FACILITY

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Entity

Point of Contact

Mailing Address

Telephone

Email Address

SUBMITTER AGREEMENT

By clicking the checkbox, I here by submit the equivalent of my signature -

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1) Verifying that i am authorized to make this application as an individual owner of the property or as a legally authorized representative of the owner of the property

2) Certifying that the information and documentation in this application or required by the Department is accurate, under
penalty of perjury pursuant to 18 Pa C.S 4904 (relating to this misdemeanor offense of unsworn falsification to authorities);

3) Indicating my acceptance of all conditions, restrictions and regulation prescribed by the Department (see in particular
67 Pa. Code, Chapter 212, 441 and 459) and on the issued permit, form M-945P and the attachment thereto; and

4) If a co-applicant is listed, certifying that the other applicants have had the opportunity to review the application and
associated materical attached and have authorized me to submit on behalf of them.