Utility FISCAL Review and Salvage Report for Design Build.xlsx

	A	C	D	E	F	G	I	J
1								Upated (7/22)
2	UTILITY FISCAL REVIEW AND SALVAGE REPORT
3	For Design Build
4	Resident Engineer:				Project Number:
5	Agreement Number:				Utility Company:
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7	1. Relocation Completion Information:
8	Date Work Started:
9	Date Work Completed:
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11	2. Comparison of Estimate Billing:
12				Estimated		Actual	Difference
13	Utility Company Performed Work						$0.00
14	UDOT Performed Work						$0.00
15	Total			$0.00		$0.00	$0.00
16	Less Company's Share	0.00%	Enter decimal	$0.00		$0.00	$0.00
17	States Share	0.00%	Enter decimal	$0.00		$0.00	$0.00
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19	State's Share Less UDOT-Performed Work
20	States Obligated Share			$0.00		$0.00	$0.00
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22	3. Salvage:
23	Was there salvaged material?		If yes, provide explanation in Note section below.
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25	NOTE: Major Differences of +/- 10% of Estimate or Changes Should be Explained (attach additional pages if necessary)
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36	The project records were reviewed and found to be adequate for support of final payment. The Utah Department of Transportation certifies that the work is complete, acceptable, and in accordance with the terms of the agreement.
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39	Date	Resident Engineer
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