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<br />City of Eugene Public Works <br />Closeout Form <br />May 1, 2017 <br />GOOD JOB NUMBER004910 <br />PROJECT NUMBER945095 <br />PROJ / GJN DESCWW 2014 WW Rehab <br />BudgetExpendituresDifferencePM ActualsAJE adjBJE adj <br />FUND / DESC <br />532 - Wastewater Utility - Capital 1,171,320.00935,656.57235,663.43935,656.570.00(235,663.00) <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />Totals$1,171,320.00$935,656.57$235,663.43935,656.570.00(235,663.00) <br />Notes: <br />Warranty/As-built FeeBJE#89515$5,000 <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 />