ADVANCED FUNDING AGREEMENTAdvanced Funding Agreement • October 23rd, 2012
Contract Type FiledOctober 23rd, 2012PSURA No.: UDS No.: Work Order No.: Date Executed: Work Order Revision No.: Date Executed: OWNER: OWNER Has 100% COST Responsibility for construction of the RelocationIf construction of the Relocation Delegated to Contractor, Payment Basis is: LUMP SUM $ ; OR, ACTUAL COST $ Funds Advanced by CDOT for construction of the Relocation Total Amount of Advanced Funds: $ WORK Responsibility for construction of the Relocation by CDOT’s Contractor: ; OR, by Owner CDOT Funds Advance Start Date:Date CDOT provides funds to Owner (if Owner Performs Relocation ) ; OR Date CDOT provides funds to Contractor (if Contractor Performs Relocation ) Owner Repayment Schedule:Owner Repayment Start Date: Owner Repayment Completion Date: FOR CDOT INTERNAL ACCOUNTING PURPOSES ONLY:CDOT Advanced Funds encumbered under: PSURA $ ; and/or DB Contract $ ; and/or Other .