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JVJ `ib00*EZ-DEL <br />7. Total the CDBG Funds Requested (2+5+6): <br />6. Enter CDBG Administrative Cost: <br />5. Total the CDBG Engineering Fees (4a+4b+4c+4d_): <br />4d. Additional Engineering Services: <br />4c. Preliminary Engineering Fee <br />4b. Resident Inspection Fee <br />4a. Basic Fee <br />4. Indicate the Appropriate RUS Used and Enter Engineering Funds: RUS Table Used: ❑ I ❑ II ❑ Both Prorated <br />3. Add the Activity Goal Scores in Column F (from both pages) to get the Total Activity Goal Score: 84.20 <br />(85 Point Maximum) <br />2. Add Column C (from both pages) to get the <br />Total CDBG Project Cost: $750,000.00 <br />CD <br />w <br />0 <br />w <br />03J <br />03J <br />03J <br />03J <br />03J <br />1. Activity Number and Name <br />(*Same points in the activity supported.) <br />D <br />Health Facility <br />Child Care Center <br />Water Tank/Well/Treatment Plant Improvements 6 <br />New Water Tank/Well/Treatment Plant 6 <br />Water Line Replacement 9 <br />Water Lines, New — Potable 15 <br />Water Hookups 14 <br />$0 <br />$0 <br />$0 <br />in <br />0 <br />to <br />0 <br />$0 <br />off, <br />(o <br />— <br />aai <br />m <br />— <br />v <br />cr <br />rI <br />_ <br />-1-1v <br />v <br />c <br />m <br />— <br />= <br />Table II $ <br />2 <br />cr m <br />= <br />Appropriate <br />RUS Enter CDBG <br />Engineering Activity Funds <br />Table <br />W <br />v <br />U-1 <br />o <br />o <br />b <br />0v <br />in. <br />t/r <br />t/> <br />to <br />to <br />t/- <br />in- <br />to <br />of CDBG Project <br />Cost (Col. C _ Total <br />CDBG Project Cost) <br />D E F <br />25 <br />25 <br />55 <br />55 <br />70 <br />00 <br />U'l <br />v <br />0 <br />85 <br />85 <br />o 0 <br />fL <br />Activity Goal <br />Score <br />(D x E) <br />D <br />03 <br />c <br />3 <br />0 <br />N <br />a1 <br />3 <br />0 <br />n <br />rr <br />rr <br />0 <br />0) <br />N <br />a) <br />0 <br />(D <br />z <br />O <br />3 <br />rt <br />3� <br />a <br />(D <br />D <br />0 <br />1-4 <br />09 -Js UJJO <br />