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Docusign Envelope ID: E8E40881-80BB-4490-93AF-49F96DCE956C <br /> Fund Allocation Backup <br /> On-Call Agreement Name: <br /> On-Call Agreement#: <br /> Company Name: <br /> FA# Date Submitted Project Name Project Manager Allocated Closed By P,M Total Paid Re-Allocated <br /> Total 1$ $0.0 Is $o.00 1$ $o.00 <br /> Original Contract Amount <br /> Total Change In Service <br /> Revised Contract Amount $o.00 <br /> Total Previously Allocated $0.00 <br /> Total Released PO Funds $0.00 <br /> Contract Balance $0.00 <br /> Instructions <br /> This spreadsheet will be maintained by the Consultant and submitted with each Fund Allocation(FA). <br /> 1 The first Fund Allocation(FA)on each contract will be number 1.The next will be number 2,and then number 3,etc.If during the design,the Project Manager <br /> determines that additional funds are needed on an existing FA,then the Consultant will keep the same FA number,but add a.1 to the number.For example; <br /> for FA 1,any additional FA on the same project will be 1.1,1.2,1.3,etc.For FA 2,any additional FA on the same project will be 2.1,2.2,2.3,etc. <br /> 2 Use the date on the Fund Allocation Request Form next to the "Requested By"signature block. <br /> 3 Use the Project Name on the Fund Allocation Request Form. <br /> 4 Use the City Project Manager on the Fund Allocation Request Form. <br /> 5 Use the"Amount Requested"on the Fund Allocation Request Form. <br /> 6 "Yes"Or"No"Only. The City PM will indicate if the FA is closed;the Consultant will check with the PM once the final payment is made on each FA. <br /> 7 Use the amount from the Final Invoice. <br /> 8 Re-Allocated=Allocated-Total Paid <br /> Submit invoices via email to the City PM and copy kfoxworth@sanmarcostx.gov rev 2/6/2020 <br />