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2017-089
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2017-089
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Last modified
10/20/2017 9:41:51 AM
Creation date
6/19/2017 12:38:47 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
06/13/2017
Control Number
2017-089
Agenda Item Number
8.H.
Entity Name
Florida Department of Transportation
Hurricane Matthew
Federal Highway Adminsitration
Subject
Local Government Emergency Relief Reimbursement Agreement
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EXHIBIT F <br /> rj 1 Report Number <br /> � <br /> DETAILED DAMAGE INSPECTION REPORT I q r <br /> Z. <br /> U.S.Department I'1 tiS L`� <br /> of Transportation (Title 23, Federal-aid Highways) 1 Sheet <br /> tFederal Highway <br /> i 2 <br /> Administration ! of <br /> Location(Name of Road and Milepost) !FHWA Disaster Number <br /> ZML Ow-, i 0.---N C-:.;.,.....,!....."..-"‘r' ! PL -1'2_ — = '2_ <br /> � <br /> Vail l V t-/� t C Inspection Date <br /> e� ivim` ! tt/Z-2_(i <br /> Description of Damage {} (�\ \�\ Federal-aid Route umber <br /> 1....,*.c,r C. .(N Gu`Q -`i� `,^1 1 \ Q W\ � cu....,(,.�C� �V <br /> vl `V State County <br /> F L :E...1:c.,,,R\4 e.A <br /> Cost Estimate <br /> I Description of Work to Date Unit Unit Price QuantityI Cost <br /> (Equipment,Labor,and Materials) I I Completed ' Remaining <br /> i <br /> i �_ S s6b l' ' . <br /> ! <br /> �t�„R... S'•- -7 L <br /> I ,t °t' I I IA :est-1' <br /> 11 t-A,-t i c_ <br /> (ccti t n v kt en 5 rsIN .-i-lcv l.> I ! I:1 t4' 2.- •-3t-.1— 1 1 <br /> Vii(, c I I I I <br /> \24 0 i•G�7 c i M r..�(.e-h i .k i\�r i�w. I I 1 <br /> �I r, s)k_/oc 4 744-7'1 (eve. I 1 <br /> z) I I I IS1342., <br /> Method �/ Subtotal 17 3 c;9 ,,i-lid <br /> I�Local Forces , Li State Forces 0 Contract PE/CE I <br /> Emergency Repair Total I <br /> � t <br /> 1 1 I i <br /> _o ! I I ! <br /> m <br /> TA 1 <br /> c2I <br /> ) <br /> I I I <br /> I i I I <br /> Method Subtotal Tj <br /> D Local Forces n State Forces 0 Contract PE/CEI (j <br /> Right-of-Way 1 C) <br /> Perm.Repair Totals I t- • <br /> Envirornyltal Assessment Recomrgendation <br /> ! Categorical Exclusion. 1 ; EA/EIS ! � > 1 Q <br /> 1 — I 1 b Estimated Total Jt 1 <br /> .Recommendation t FHWA Engineer Date <br /> Eligible L Ineligible <br /> I Concurrence . State Engineer Date <br /> Yes ` i <br /> , No <br /> !Concurrence _ Local Agency Representative Date <br /> L..,_;Yes rTNo <br /> Form FHWA-1547(Rev.4-98) <br />
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