HomeMy WebLinkAboutExhibit 37. Capital Fund Program Annual Statement/Performance and Evaluation Report and Replacement
Housing Factor Not applicable to PHA FL145
Annual Statement/Performance and Evaluation Report
Capital Fund Program and Capital Fund Program Replacement Housing Factor (CFP/CFPRHF) Part I: Summary
PHA Name:
Grant Type and Number
Capital Fund Program Grant No:
_ Replacement Housing factor Grant No:
Federal FY
at Grant:
❑Original Annual Statement
❑Performance and Evaluation
■Reserve for Disasters/ Emergencies []Revised
Annual Statement (revision no: )
Performance and Evaluation Report
Report for Period Ending:._ ❑Final
Line No.
Summary by Development Account
Total Estimated Cost
'T
Total Actual Cost_
Original
Revised
Obligated
Expended
1
Total non-CFP Funds
2
1406•Operations _ _
3
1408 Management Improvements
4
1410 Administration
5
1411 Audit
6
1415 Liquidated Damages
7
1430 Fees and Costs
8
1440 Site Acquisition
9
1450 Site Improvement
10
1460 Dwelling Structures
11
1465.1 Dwelling Equipment. Nonexpendahle
12
1470 Nondwelling Structures
13
1475 Nondwelling Equipment
.
14
1485 Demolition
15
1490 Replacement Reserve
16
1492 Moving to Work Demonstration
17
1495.1 Relocation Costs
18
1499 Development Activities
19
1501 Collaterization or Debt Service
.
20
1502 Contingency
21
Amount ofAnnual Grant: (sum of lines 2 — 20)
22
Amount aline 21 Related to LISP Activities
23
Amount of line 21 Related to Section 504
compliance
24
_...
Amount of line 21 Related to Security — Soft Costs
-
25
Amount of Line 21 Related to Security — Hard
Costs•
26
Amount of line 21 Related to Energy Conservation
Measures
Page 11 of 16
form IUD-50075-SA (04/30/2003)
7. Capital Fund Program Annual Statement/Performance and Evaluation Report and Replacement
Housini Factor Not applicable to PHA FL145
Annual Statement/Performance and Evaluation Report
Capital Fund Program and Capital Fund Program Replacement Housing Factor (CFP/CFPRHF)
Part it: Supporting Pages
PHA Name:
Grant Type and Number
Capital Fund Program Grant No:
Replacement Housing Factor Grant No: _
Federal FY of Grant:
Development
Number
Name/HA-
Wide
Activities
General Description of
Major Work Categories
Dev. Acct
No.
Quantity
Total Estimated Cost
Total Actual Cost
Status of
Work
v
Original
Revised
Funds
Obligated
Funds
Expended
_
_ i
. .
r:
,
Page 12 of 16
form HUT)-50075-SA (04/3012003)
7. Capital Fund Program Annual Statement/Performance and Evaluation Report and Replacement
Housing Factor Not applicable to PHA FL145
Annual Statement/Performance and Evaluation Report
Capital Fund Program and Capital Fund Program Replacement Housing Factor (CFP/CFPRHF)
Part HI: implementation Schedule
PHA Name:
_
Grant Type and Number
Capital Fund Program No:
Replacement Housing Factor No:
Federal FY of Grant:
Development
Number
Name/HA-Wide
Activities
All Fund Obligated
(Quarter Ending Date)
All Funds Expended
(Quarter Ending Date)
Reasons for Revised Target Dates
Original
Revised
Actual
Original
Revised
Actual
Page 13 of 16 farm HUD-50075-SA (04/30/2003)
8. Capital Fund P roeram Five -Year Action Plan Not applicable to PHA FL145
Capital Fund Program Five -Year Action Plan
Part T: Summary
PHA Name
❑Original 5-Year flan
❑Revision No:
Development
Number/Name/
HA -Wide
Year 1 Work Statement
for Year 2
FFY Grant:
PHA FY:
Work Statement
for Year 3
FFY Grant:
PHA FY:
Work Statement
for Year 4
FFY Grant:
PHA FY:
Work Statement
for Year 5
FFY Grant:
PHA FY:
CFP Funds Listed
for 5-year
planning
Replacement
Housing Factor
Funds
Page 14of16
form FHUD _50075-SA (04/30/2003)
R. Capital Fund Program Five -Year Action Plan Not applicable to PHA FL145
Capital Fund Program Five -Year Action Plan
Part II: Su 'porting Pages —Work Activities
Activities Activities
for
Year 1
for Year :
Activities
for Year:
FFY Grant:
PHA FY:
FFY Grant:
PHA FY:
Development
Name/Number
Major Work
Categories
Estimated Cost
Development
Name/Number
Major Work
Categories
Estimated
Cost
Total CFP Estimated Cost
Page 15 of 16 form HUD-5075-SA (04/30/2003)
8. Capital Fund Program Five -Year Action Plan Not applicable to PHA FL145
Capital Fund Program Five -Year Action Plan
Part II: Supporting Pages :Work Activities
Activities
for Year :
Activities
for Year:
FFY Grant:
PHA FY:
FFY Grant:
PHA FY:
Development
Name/Number
Major Work
Categories
Estimated Cost
Development
Name/Number
Major Work
Categories
Estimated Cost
•
•
Total CFP Estimated Cost
$
$
Page 16 of 16 form HI1D-50075-SA (04/30/2003)