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JVJ 'ib00'EZ-DEL <br />m <br />3 <br />et <br />(D <br />3' <br />(D <br />I <br />(D <br />01 <br />0- <br />0) <br />3 <br />0. <br />N <br />01 <br />LII m <br />o f▪ . <br />0n <br />3C <br />r+ -I <br />• (D <br />K <br />O) <br />x_ <br />3 <br />C <br />3 <br />o <br />Check the Health and Safety ❑ Option A. ['Option B. ['Option C. ['Option D. ❑ Option E. ❑ N/A <br />Score being claimed. (50 Points) (40 Points) (25 Points) (30 Points) (Prorated) <br />Enter the cost of <br />activities subject to <br />A, B, C, or D <br />Apra, Lw <br />If Option E was selected, complete the following equation: <br />•I. <br />Enter the CDBG Project Cost <br />(not including Engineering or <br />Admin. Costs) <br />II <br />Enter the result (%) as <br />a four digit decimal <br />x <br />Enter the Appropriate <br />Multiplier <br />(50, 40, 25 or 30) <br />II <br />Option E Score <br />T <br />0 <br />N <br />n <br />cin <br />cn o <br />