COB_Traffic_Control_Authorization_Request.pdf

This is a Traffic Control Authorization Request form used by the City of Bloomington, Illinois to manage traffic control measures for maintenance, construction, and other work activities within the city. The form requires contractors or agencies to identify the specific project location, inclusive days and hours of work, work type classification, and a detailed description of the work being performed. The requesting party must designate a responsible contact person, such as a construction foreman or traffic maintenance person, with office and mobile phone numbers. For work scheduled between 5:00 p.m. and 8:30 a.m. or on weekends and holidays, three additional emergency contacts must be provided with their respective phone numbers.

The form requires contractors to specify the traffic control measures to be implemented, including references to applicable Highway Standards or Manual sections, and any special controls proposed for the project. All requests must be submitted to the City of Bloomington Police, Fire, and City Engineer for approval before work commences. The form serves as the primary mechanism for coordinating traffic management, ensuring public safety, and maintaining proper documentation in the city's project files. Distribution includes submission to the project file, City of Bloomington Police, City of Bloomington Fire, and the City Engineer.