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PROJECT WORKSHEET REPORT <br />,DECLARATION NO. FEMA-MN - DR1333 <br />FIPS NO. 123- 37502 -00 <br />PPLICANT NAME LITTLE CANADA CITY OF <br />SUBDIVISION <br />FEMA PW # 120 VSN 0 REF# 75 <br />PREPARED DATE 08/07/2000 <br />REPORT DATE 09/07/2000 17:57 <br />O INF <br />NON -INF <br />O REC <br />CATEGORY B. Protective Measures COUNTY RAMSEY FUNDING OPTION <br />STD PROJECT NO. 299 PROJECT TITLE EMERGENCY PROTECTIVE MEASURES <br />PROJECTED CMPLTN DT 12/27/2000 ACTUAL CMPLTN DT WORK COMPLETE AS OF 08/07/2000 100 % <br />COST SHARE 0.75 <br />ELIGIBILITY Yes <br />EGIN DESIGN DT <br />END DESIGN DT <br />-'REPARER DON SOEGAAD <br />ROLE PAC <br />STATE <br />IATE OBLGTD 08/21/2000 <br />PACKAGE ID 10 <br />AMOUNT ELIG $2,294.70 <br />BEGIN CONSTR DT <br />END CONSTR DT <br />DATA SOURCE Paper <br />PACKAGE DATE 08/21/2000 <br />PRIORITY Normal <br />—PW REVIEWER DATA <br />INITIAL REVIEW <br />FINAL REVIEW <br />REVIEWER NAME <br />DODINI,RONALD <br />DODINI,RONALD <br />DATE <br />08/16/2000 <br />08/16/2000 <br />MT PROP 0 Yes • No <br />PNP QUESTIONS 0 Yes el No <br />ATTACH 0 Yes No <br />VALIDATED • Yes 0 No <br />STATE RVWD • Yes 0 No <br />Does the Scope of Work change the pre - disaster conditions at the site? <br />Special Considerations issues included? <br />Is there insurance coverage on this facility? <br />Hazard Mitigation proposal included? <br />O Yes • No 0 Unsure <br />0 Yes • No 0 Unsure <br />O Yes • No 0 Unsure <br />O Yes • No 0 Unsure <br />SITE NUMBER 1 <br />rACILITY NAME CITY Latitude 45.0269 <br />ADDRESS Longitude 93.0875 <br />CITY STATE MN ZIP <br />SITE NUMBER 1 - LOCATION <br />CITYWIDE <br />>ITE NUMBER 1 - DAMAGE DIMENSIONS AND DESCRIPTION <br />STORM GENERATED DEBRIS, DOWNED TREES AND CAUSED POWER OUTAGES. THIS AFFECTED PUBLIC RIGHT <br />OF WAY, THE OPERATION OF SEVERAL PUMP STATIONS AND FRESH WATER BOOSTER STATION <br />317E NUMBER 1 - SCOPE OF WORK <br />OVERTIME LABOR AND EQUIPMENT TO PROVIDE ROAD CLEARANCE, EMERGENCY POWER AND PUMPING AT 2 <br />LIFT STATIONS AND BOOSTER PUMP STATION. <br />COST ESTIMATE <br />EM VSN CODE MATERIAL AND /OR DESCRIPTION <br />1 0 9999 LABOR, OT W/ BENEFITS <br />2 0 9008 EQUIPMENT <br />UOM <br />LS <br />LS <br />Eligible Amounts: <br />QTY <br />1 <br />UNIT PRICE <br />$1,041.29 <br />1 31,253.41 <br />Total (this version) <br />Total Oblig To Date <br />Unobiigated + Obligated <br />COST <br />51,041.29 <br />$1,253.41 <br />$2,294.70 <br />$2,294.70 <br />$2,294.70 <br />SPECIAL CONSIDERATIONS <br />1 Does the damaged facility or item of work have insurance coverage and/or is it an insurable risk (e.g., <br />buildings, equipment,vehicles,etc.)? <br />0 Yes <br />• No 0 Unsure <br />2 Is the damaged facility located within a floodplain or coastal high hazard area and /or does it have an 0 Yes • No 0 Unsure <br />impact on a floodplain or wetland? <br />Page 70 <br />