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<br />PROJECT AUTHORIZATION FORM <br /> <br /> <br /> <br /> <br />GENERAL PROJECT INFORMATION <br />Service ID / <br />Project Title Hays Tree Garden Renovations – Bascom Donation 1000_____ <br /> <br />GJN: <br />Project Manager (Ph Ext.) Philip Richardson (x4906)9/15/2014 <br />Date: <br /> <br /> <br />Contractor(s) <br />TBD Contract # <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />FUNDING SOURCES AND AMOUNTS: <br />Funding Source Identification Account Code Amount <br />City Funds $0.00 <br />Other Dept. $0.00 <br />Other Agency Hayes Memorial Trust Interest 186-9335-6xxxx-925262 $4,932.00 <br />Grant Funding $0.00 <br />Donations Bascom Estate Donation 186-9335-6xxxx-945432 $83,068.00 <br />Total Funding $88,000.00 <br /> <br />COMMENTS/SPECIAL PROJECT INFO./INTERDEPARTMENTAL WORK DESCRIPTION <br />: <br />Project Description: 3,000s.f. of concrete paving on West Viewing Path; Construction of 1,200 s.f. new concrete path from Phase <br />1 to isolated donor nodes; filling of 580 empty tile spaces with blank tile material. <br /> <br />All staff time should be charged to project 945432, and only M&S should be charged to 925262. <br /> <br />APPROVAL <br />(Each approver should type their name into the form, along with the date they acknowledge <br />approval, then forward the document to the next approver. When all approvals have been completed, <br />forward the approved document with the approval email string to the Contract Administrator for <br /> <br />processing.): <br /> <br />Project Manager Date: 9/15/2014 <br />Philip Richardson <br /> <br />Section Manager Date: <br /> <br /> <br />Section Manager Date: <br />Neil Bjorklund - <br /> <br />Financial Analyst Date: <br />Lacey Risdal 10/30/14 <br /> <br />Division Manager Date <br />Craig Carnagey 10/31/14 <br /> <br />FOR USE BY ADMINISTRATION ONLY: <br /> <br />Capital Project No. ACK <br /> <br /> <br />GL Title (limited to 30 characters) <br /> <br /> <br />Assigned by Date: <br /> <br /> <br />ATTACHMENTS <br /> Budget Estimate Revised Budget Map Other <br />PWM/POS 100 Revised: November 2013 <br /> <br />