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For Week of

Through

JOBS SUBSTANTIALLY COMPLETED

JOB NO.

DATE SUBSTANTIALLY COMPLETE

JOBS UNDER LIQUIDATED DAMAGES WITH NO ESTIMATE THIS PERIOD

JOB NO.

LIQUIDATED DAMAGES ACCRUED TO DATE

TOTAL DAYS CHARGED

No.

Resident Engineer

Rev.10-20-00

Figure 109-1A Jobs Substantially Completed Form

Rev. 2-16-04

Page 100-122

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