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25E - AGMT - PAVEMENT MNGT
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25E - AGMT - PAVEMENT MNGT
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Last modified
12/11/2015 10:46:52 AM
Creation date
12/11/2015 10:42:07 AM
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
25E
Date
12/15/2015
Destruction Year
2020
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AGREEMENT NO. C- 5.3632 <br />EXHIBIT C <br />ARTERIAL PAVEMENT MANAGEMENT PROGRAM <br />FINAL PROJECT REPORT FORM <br />OCTA <br />I hereby certify that the statements provided here are true and correct. <br />Proiect Title <br />Yes No N/A <br />1 The project is designed to city /county and other participating jurisdictions' standards. <br />❑ <br />❑ <br />❑ <br />2 The project contract was awarded on: <br />❑ <br />❑ <br />❑ <br />I ENTER DATE <br />3 The total cost of the contract is equal to or less than the total APM <br />❑ <br />❑ <br />❑ <br />funds awarded and matching funds provided, <br />4 The city /county provided matching funds to the project. <br />❑ <br />❑ <br />❑ <br />Right -of -way was acquired in conformance with city /county procedures. ❑ ❑ ❑ <br />e All required environmental documentation is complete and certified. El El <br />An updated project schedule is included with the final invoice. ❑ ❑ ❑ <br />8IThe final invoice is attached with all the necessary documentation. ❑ ❑ ❑ <br />Name <br />Title <br />Signature Date <br />25E -21 Page 1 <br />
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