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<br />GRANTREQUESTFORM <br />PublicWorks <br />CinimintHarper <br />Personrequestingcode:Dept: <br />12/21/16 <br />Coderequested:EffectiveDate: <br />18th&OakPatchSignalImprov <br />Title(: <br />max30characters) <br />Description: <br />StatewillreimburseCity100%eligiblecostsincurredtothemaximumamount.Fundsunderthis <br />agreementarelimitedto$596,718 <br />$596,718.00 <br />): <br />CFDA#( <br />AwardAmount: <br />ifapplicable <br />ODOT <br />GrantorAgency(): <br />Whoarewegetting$from <br />DirectAward()? <br />fromFeds <br />NO <br />Pass_thrufromAgency <br />otherthantheFeds: <br />CityMatchRequirement?Ifso,howmuch?: <br />NO <br />***SendCopyofAwardDocumenttoEugeneGL*** <br />