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Transportation Improvement Plan (TIP) Template This template will improve accuracy and communication between the Farmington MPO, NMDOT & local entities when requesting amendments or modification to the TIP. This form should be filled out by the lead agency/project manager & re-confirmed as accurate by the D-5 Liaison or the STIP coordinator. Project Name: Project Termini Project Descriptions: Start MP # End MP # TIP Amendment 1Federal SourceI Funding Category AI Funding Category BI Federal Transit Click item here Click item here Click item here Click item here LocalI OtherI StateI State SP Prog. Click item here Click item here Click item here Click item here $ $ $ $ $ Federal Funds State Funds Local Funds State Match Local Match Federal Fiscal Year Tip Amendment Tip Modification Control Number Select Year Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable ---PAGE BREAK--- 2 Federal Transit Federal SourceI Funding Category AI Funding Category BI Click item here Click item here Click item here Click item here LocalI OtherI StateI State SP Prog. Click item here Click item here Click item here Click item here 3Federal SourceI Funding Category AI Funding Category BI Federal Transit Click item here Click item here Click item here Click item here LocalI OtherI StateI State SP Prog. Click item here Click item here Click item here Click item here TIP Modification $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Federal Funds State Funds Local Funds State Match Local Match Federal Fiscal Year Federal Funds State Funds Local Funds State Match Local Match Federal Fiscal Year Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Select Year Not Applicable Not Applicable Not Applicable Select Year Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable