Form DC-34  11/09	NEW JERSEY DEPARTMENT OF TRANSPORTATION
KEY CONTRACT PERSONNEL		Original
	Revision #     
	Project Completed	
INSTRUCTION TO RESIDENT ENGINEER
Prepare this form, original and copies, from information supplied by the contractor, and distribute copies per the distribution list at the bottom of this form			
NOTE:	When changes are made in key contract personnel, a revised DC-34 will be prepared and so labeled.  Highlight the fields that have changed on the revised submittal.		DATE:	
     	
ROUTE & SECTION:
     	TYPE OF CONSTRUCTION
     	
UPC NO.:
     	JOB NO.:
     	D.P. NO.:
     	FEDERAL JOB NO.:
     	
LOCAL NAME AND/OR PROJECT DESCRIPTION:
     	MILE POSTS:	     
FROM:      	TO      	
LOCATION(s) TOWN and COUNTY:
     	DATE PROJECT ACTUALLY STARTED:
     	ESTIMATE COMPLETION DATE:
     	

CONTRACTOR Emergency Personnel
PROJECT SUPERINTENDENT:
     	HOME PHONE:	     
2ND HOME PHONE:	     	CELLULAR:	     	
1ST ALTERNATE:
     	HOME PHONE:	     
2ND HOME PHONE:	     	CELLULAR:	     	
TRAFFIC COORDINATOR (1):
     	OFFICE PHONE:	     
HOME PHONE:	     	CELLULAR:	     	
TRAFFIC COORDINATOR (2):
     	OFFICE PHONE:	     
HOME PHONE:	     	CELLULAR:	     	

N.J.D.O.T. Personnel
RESIDENT ENGINEER:
     	TITLE:
     	HOME PHONE	     
CELL NO.:	     	
RESIDENT ENGINEER ALTERNATE:
     	TITLE:
     	HOME PHONE	     
CELL NO.:	     	
FIELD OFFICE ADDRESS:
     		FIELD OFFICE PHONE	     
FIELD OFFICE FAX:	     	
FIELD MANAGER:
     	OFFICE PHONE:	     
OFFICE FAX:	     	HOME PHONE	     
CELL NO.:	     	

Other N.J.D.O.T. and CONTRACTOR Personnel
REGIONAL CONSTRUCTION ENGINEER:
     	REGION:
     	OFFICE PHONE:	     
OFFICE FAX:  	     	
CONTRACTOR and CONTRACTOR HOME OFFICE ADDRESS:
     	HOME OFFICE PHONE	     
HOME OFFICE FAX:	     	
CONTRACTOR FIELD OFFICE ADDRESS:
     	FIELD OFFICE PHONE	     
FIELD OFFICE FAX:	     	
N.J.D.O.T. PROJECT MANAGER:
     	OFFICE PHONE	     
OFFICE FAX:	     	
TRAFFIC OPERATIONS:
     	OFFICE PHONE	     
OFFICE FAX:	     	CELLULAR:	     	
DISTRIBUTION
	Original (Project File)		Project Manager
	Regional Construction Engineer		Division  of Civil Rights and Affirmative Action
	Resident Engineer’s Field Manager		Bureau of Project Support & Engineering
	Regional Maintenance Office		Regional Design Office (Field Survey)
	Bureau of Construction Management		Municipalities & Police Departments
	Maintenance Crew Supervisor		Contractor
	NJ State Police Coordinator		Regional Electrical Supervisor
	Emergency Operations Central Trenton		Traffic Operations	  Manager, Bureau of Materials
  Regional Materials Engineer
  Regional Capital Program Safety Engineer	
		
	Resident Engineer (Signature)	

MULTIPLE AREAS LISTING

SITE NO. 1
LOCAL NAME AND/OR PROJECT DESCRIPTION
     	LOCATION (S) TOWN and COUNTY
     	
TYPE OF CONSTRUCTION
     	MILE POSTS:
FROM:	     	TO:	     	
SITE NO. 2
LOCAL NAME AND/OR PROJECT DESCRIPTION
     	LOCATION (S) TOWN and COUNTY
     	
TYPE OF CONSTRUCTION
     	MILE POSTS:
FROM:	     	TO:	     	
SITE NO. 3
LOCAL NAME AND/OR PROJECT DESCRIPTION
     	LOCATION (S) TOWN and COUNTY
     	
TYPE OF CONSTRUCTION
     	MILE POSTS:
FROM:	     	TO:	     	
SITE NO. 4
LOCAL NAME AND/OR PROJECT DESCRIPTION
     	LOCATION (S) TOWN and COUNTY
     	
TYPE OF CONSTRUCTION
     	MILE POSTS:
FROM:	     	TO:	     	
SITE NO. 5
LOCAL NAME AND/OR PROJECT DESCRIPTION
     	LOCATION (S) TOWN and COUNTY
     	
TYPE OF CONSTRUCTION
     	MILE POSTS:
FROM:	     	TO:	     	

INSTRUCTIONS TO THE RESIDENT ENGINEER

1.	Once information is supplied by contractor, immediately prepare and distribute this form.
2.	When changes are made in the key personnel, a revised DC-34 form will be prepared, appropriate box marked with revision number and distribute highlight the fields that have changed on the revision submittal.
3.	When the project is accepted by operations, a final DC-34 form will be prepared, the final (disregard) box marked, the field “Date project accepted by operation” filled and distribute.