<br />City of Eugene Public Works <br />Closeout Form <br />December 12, 2016 <br />GOOD JOB NUMBER005016 <br />PROJECT NUMBER965225 <br />PROJ / GJN DESC2016 WW Extentions <br />BudgetExpendituresDifferencePM ActualsAJE adjBJE adj <br />FUND / DESC <br />532 - Wastewater Utility - Capital 292,054.00311,430.30(19,376.30)311,430.300.0019,376.30 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />Totals$292,054.00$311,430.30($19,376.30) <br />Notes: <br />PSF Still Due($150.00) <br />Warranty/As-built FeeBJE# 96367$1,000 <br />Tree'sBJE#$0 <br />Project ManagerDate <br />Principal Civil EngineerDate <br />1. Review funding and expenditures <br />2. Project Manager sign <br />3. Principal Civil Engineer sign <br />4. Forward to PWA <br />