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PROJECT AUTHORIZATION FORM <br /> Eugene Public Works <br /> Parks&Open Space <br /> GENERAL PROJECT INFORMATION <br /> Project Title Maurie Jacobs Park Service ID/ 100069 <br /> North Grand Sand Play Area GJN: <br /> Project Manager(Ph Ext.) Pam Symond(x4913) Date: 1/11/2016 <br /> Contractor(s) Contract# 2015- <br /> FUNDING SOURCES AND AMOUNTS: <br /> Funding Source Identification Account Code Amount <br /> City Funds A6 Funds 311-9335-6xxxxx-9xxxxx $20,200.00 <br /> City Funds Park SDC Reimbursement 336-9335-6xxxxx-9xxxxx-922 $12,000.00 <br /> Other Agency $0.00 <br /> Grant Funding $0.00 <br /> Donations _ _ $0.00 <br /> Total Funding $32,200.00 <br /> COMMENTS/SPECIAL PROJECT INFO./INTERDEPARTMENTAL WORK DESCRIPTION: <br /> Project Description: Develop a new sand play area for the North Grand playground at Maurie Jacobs Park which will be adjacent <br /> to the existing play area. <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 Pam Symond Date: 1/11/2016 <br /> Supervisor Philip Richardson Date: 1/21/16 <br /> Section Manager Neil Bjorklund Date: 1/21/16 <br /> Financial Analyst Lacey Risdal Date: 1/25/2016 <br /> Division Manager Craig Carnagey Date 1/25/2016 <br /> FOR USE BY ADMINISTRATION ONLY: <br /> Capital Project No. 965392 ACK 311-9335-6xxxx-965392 <br /> GL Title(limited to 30 characters) POS Maurie Jacobs N Grand Sand <br /> Assigned by Cinimint Harper Date: 01/28/2016 <br /> ATTACHMENTS ® Budget Estimate ❑ Revised Budget ® Map El Other <br /> PWM/POS 100 Revised: July 2015 <br />