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GJN4616 ODOT Rev 2009-00261
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GJN4616 ODOT Rev 2009-00261
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Last modified
8/26/2014 2:54:41 PM
Creation date
6/11/2009 11:57:07 AM
Metadata
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PW_Capital
PW_Document_Type_Capital
Contracts
PW_Active
Yes
External_View
No
GJN
004616
GL_Project_Number
995844
Identification_Number
2009-00261
COE_Contract_Number
2009-00261
Retention_Destruction_Date
12/10/2023
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City of Eugene/ODOT <br /> .Agreement No. 25723 <br /> Exhibit B <br /> Oregon Department of Transportation <br /> RIGHT OF WAY CERTIFICATION <br /> Local Government ARRA 1 R Projects. <br /> <br /> 1. Pro'ect Information: <br /> Section Bid Opening <br /> Highway FAP No. <br /> County/City Key No. <br /> R/W Map # NONE <br /> 2. Prima Declaration: <br /> (Modify or delete statements that do not apply then delete this instruction). <br /> I certify that to the best of my knowledge the following statements are correct with regard to the right-of- <br /> way for this project (23 CFR 635.309): <br /> No additional right-of-way was acquired. Construction can be accomplished within the existing <br /> right-of-way. <br /> 3. Si nature of Certi In A enC : (Both signatures required on Local Public Agency Projects). <br /> (enter name),. Asst. State R/W Manager Local Government Agency <br /> Date. Date <br /> 4. DIStrlbUtlOn: (modify the distribution to fif your particular Region, with the exception of f2/1N Project Administration) <br /> Original: RNV Project Administration <br /> Copy: Local Governments Section <br /> Copy: Region R/W Manager <br /> Copy: Region Local Agency Liaison <br /> <br />
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