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City of Eugene Public Works <br />Closeout Form <br />February 14, 2011 <br />GOOD JOB NUMBER 004640 <br />PROJECT NUMBER 995315 <br />PROJ ( GJN DESC <br />WW09 Pipe &;Manhole Sealing <br />FUND / DESC Budget Expenditures Difference <br />532 - Wastewater Utility - Capital <br />90,000.00 <br />83,510.20 <br />6,489.80 <br />0.06- <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />Totals <br />$90,000.00 <br />$83,510.20 <br />$6,489.80 <br />Notes: <br />Project did not pay warranty fee - how much? Will tranfer balance to generic account. <br />Warranty/As-built Fee BJE# <br />Tree's BJE# <br />Project Manager Date <br />Principal Civil Engineer Date <br />1. Review funding and expenditures <br />2. Project Manager sign <br />3. Principal Civil Engineer sign <br />4. Forward to PWA <br />