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JAN, AUTHORIZATION FORM <br /> Eugene Public Works <br /> Parks & Open Space <br /> GENERAL PROJECT INFORMATION <br /> Project Title Park Playground Assessment - Citywide Service I D / 1000 60 <br /> (Include location & work description) GJN: <br /> Project Manager (Ph Ext.) Emily Proudfoot, x4915 Date: 12/11/2014 <br /> Contractor(s) TBD Contract # TBD <br /> FUNDING SOURCES AND AMOUNTS: <br /> Funding Source Identification Account Code Amount <br /> City Funds SDC 336 - 9335 -6xxxx -922 $15,000 - &10\iti <br /> Other Dept. $0.00 -yyl <br /> Other Agency $0.00 <br /> Grant Funding $0.00 q 25l5 <br /> Donations $0.00 <br /> Total Funding $15,000 <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> Project Description: Inventory, assess and develop a maintenance and repair management plan for POS Operated playgrounds <br /> throughout the City. <br /> Reallocating $15,000 of the funding originally allocated to spray play planning. <br /> APPROVAL (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 /> processing.): <br /> Project Manager Emily Proudfoot, Landscape Architect Date: 12/14/2014 <br /> Section Manager Neil Bjorklund, Parks Planning Manager Date: 12/15/2014 <br /> Section Manager Date: <br /> Financial Analyst Lacey Risdal, Financial Analyst Date: 12/12/2014 <br /> Division Manager Craig Carnagey, PW /POS Director Date 12/15/2014 <br /> FOR USE BY ADMINISTRATION ONLY: <br /> Capital Project No. 955080 ACK 336- 9335 -6xxxx -922 <br /> GL Title (limited to 30 characters) POS Park Playground Assessment <br /> Assigned by Tammy Smith Date: 12/18/2014 <br /> ATTACHMENTS ® Budget Estimate ❑ Revised Budget ❑ Map ❑ Other <br /> PWM /POS 100 Revised: November 2013 <br /> 30 It <br /> vv� PL > — <br />