annual statement/performance and evaluation report u.s ... · 1 to be completed for the performance...

PHA Name: FFY of Grant: 20142014

Fort Worth Housing Authority FFY of Grant Approval:2014

Line

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18a

18b

19

20

21

22

23

2425

______________________________

4 RHF funds shall be included here.

of 15

Replacement Housing Factor Grant No.:

Annual Statement/Performance and Evaluation ReportCapital Fund Program, Capital Fund Program Replacement Housing Factor andCapital Fund Financing Program

Capital Fund Program Grant No.: TX21P004501-14

-$

1,900.00$

19,020.00$

-$

-$

1,900.00$

-$

-$

303,140.00$

86,380.00$

151,570.00$

Revised Annual Statement (revision no: ) Final Performance and Evaluation Report

1406 Operations (may not exceed 20% of line 21) 3

Grant Type and Number

Date of CFFP: __08-01-14_____________

975,630.00$

19,020.00$

303,140.00$

-$

151,570.00$

-$

-$

500,000.00$

-$

-$

-$

form HUD-50075.1 (4/2008)

Amount of line 20 Related to Energy Conservation Measures

Type of Grant

1 To be completed for the Performance and Evaluation Report.2 To be completed for the Performance and Evaluation Report or a Revised Annual Statement.

151,570.00$

-$

-$

1,900.00$

19,020.00$

3 PHAs with under 250 units in management may use 100% of CFP Grants for operations.

303,140.00$

-$

1,515,397.00$

-$

-$

-$

Amount of line 20 Related to Security - Hard Costs

Amount of Annual Grant: (sum of lines 2 - 19)

Amount of line 20 Related to LBP Activities

Amount of line 20 Related to Section 504 Activities

Amount of line 20 Related to Security - Soft Costs

1501 Collateralization or Debt Service paid by the PHA

1502 Contingency (may not exceed 8% of line 20)

-$

1485 Demolition

1492 Moving to Work Demonstration

1460 Dwelling Structures

25,000.00$

80,000.00$

120,000.00$

-$

1465.1 Dwelling Equipment--Nonexpendable

1470 Non-dwelling Structures

1475 Non-dwelling Equipment

-$

-$

1408 Management Improvements

1410 Administration (may not exceed 10% of line 21)

-$

151,570.00$

303,140.00$

Original Annu Performance and Evaluation Report for Pe

Reserve for Disasters/Emergencies

Total Actual Cost 1Total Estimated CostOriginal Revised 2 Obligated Expended

Total non-CFP Funds

Summary by Development Account

1411 Audit

1415 Liquidated Damages

1430 Fees and Costs

1440 Site Acquisition

1450 Site Improvement

30,930.00$

37,000.00$

205,607.00$

-$

7,000.00$

-$

1,039,767.00$

Part I: Summary

U.S. Department of Housing and Urban DevelopmentOffice of Public and Indian Housing

OMB No. 2577-0226Expires 4/30/2014

1,515,397.00$

-$

1,039,767.00$

9000 Collateralization or Debt Service paid Via Syatem of District Payment

1495.1 Relocation Costs

1499 Development Activities 4-$

469,070.00$

1,515,697.00$

PHA Name:

Fort Worth Housing Authority

Line

Naomi W. Byrne, President

of 15


OMB No. 2577-0226Expires 4/30/2014


Part I: SummaryFFY of Grant:2014FFY of Grant Approval:2014

form HUD-50075.1 (4/2008)

Performance and Evaluation Report for Period Ending: Reserve for Disasters/Emergencies Original Annual Statement

ExpendedOriginalTotal Estimated Cost Total Actual Cost 1

Type of Grant


Summary by Development AccountRevised 2 Obligated

Signature of Public Housing Director DateSignature of Executive Director Date

Replacement Housing Factor Grant No.:Grant Type and Number

Date of CFFP: __08-01-14_____________


PHA Name:


Development Number Name/PHA-Wide

ActivitiesOriginal Revised 1 Funds Obligated

2Funds

Expended 2

TX 4-2 $ 111,040.00 $ 109,029.35 $ 109,029.35 $ 109,029.35

Butler/Butler Historical $ 5,000.00

$ -

$ 5,000.00

$ 1,380.00

$ 80,000.00

$ 30,000.00

$ 5,000.00

$ 1,000.00

$ 5,000.00

$ 5,000.00

$ 14,000.00

$ 2,500.00 $ 11,272.00 $ 11,272.00 $ 11,272.00

$ -

$ 5,000.00

$ 5,000.00 $ 1,900.00 $ 1,900.00 $ 1,900.00

0______________________________

of 15

1475

form HUD-50075.1 (4/2008)

1430

1470

1470

1450

1465.1

1475

1450

1460

2014

P. Exterior Non-Dwelling Repairs

C. Security

D. Resident Services Salaries

E. Resident Services Training

F. Site Improvements

1460

Development Account No.

1406

1408

1408

1408

1408

Total Estimated Cost

N. HVAC Equipment

Total Actual Cost Status of Work

Q. Inspector

G. Site Utilities

H. UPCS Repairs

I. Interior Dwelling Repairs

J. Exteritor Dwelling Repairs

K. Appliance Replacement

L. Purchase Maintenance Vehicles

M. Purchase Maintenance Equipment

O. Interior Non-Dwelling Repairs

1 To be completed for the Performance and Evaluation Report.

General Description of Major Work Categories

A. Operations

B. Management Improvements

2 To be completed for the Performance and Evaluation Report or a Revised Annual Statement.

1475

1475

Quantity

Date of CFFP: __08-01-14_____________ FFY of Grant Approval: 2014

Annual Statement/Performance and Evaluation Report U.S. Department of Housing and Urban DevelopmentCapital Fund Program, Capital Fund Program Replacement Housing Factor and Office of Public and Indian HousingCapital Fund Financing Program OMB No. 2577-0226

Expires 4/30/2014

Part I: SummaryGrant Type and Number FFY of Grant: 2014Capital Fund Program Grant No.: TX21P004501-14 Replacement Housing Factor Grant No.: 2014

PHA Name:




2Funds

Expended 2

TX 4-3 $ 92,957.00 $ 93,929.95 $ 93,929.95 $ 93,929.95

Cavile $ 5,000.00

$ -

$ 5,000.00

$ 1,514.00

$ 15,500.00

$ 10,000.00

$ 5,000.00

$ 5,000.00 $ - $ - $ -

$ 15,000.00

$ 5,000.00

$ 10,000.00 $ 7,448.00 $ 7,448.00 $ 7,448.00

$ 5,000.00

$ - $ 300.00 $ 300.00 $ 300.00

$ -

$ 5,000.00

$ -

0______________________________

of 15 form HUD-50075.1 (4/2008)


R. Inspector 1430

Q. Exterior Non-Dwelling Repairs 1470

M. HVAC Replacement 1475

L. Maintenance Vehicles 1475

P. Interior Non-Dwelling Repairs 1470

O. Maintenance Equipment 1475

N. Nondwelling Equipment 1475

I. Interior Dwelling Repairs 1460

H. Site Utilities 1475

K. Appliance Replacement 1465.1

J. Exterior Dwelling Repairs 1460

E. Resident Services Training 1408

D. Resident Service Salary 1408

G. UPCS Repairs 1450

F. Site Improvements 1450


C. Security 1408

B. Management Improvements 1408

General Description of Major Work Categories Development Account No.

Quantity Total Estimated Cost

A. Operations 1406

2014

Capital Fund Financing Program OMB No. 2577-0226Expires 4/30/2014

Part I: Summary

Annual Statement/Performance and Evaluation Report U.S. Department of Housing and Urban DevelopmentCapital Fund Program, Capital Fund Program Replacement Housing Factor and Office of Public and Indian Housing

FFY of Grant: 2014Capital Fund Program Grant No.: TX21P004501-14 Replacement Housing Factor Grant No.: 2014Date of CFFP: __08-01-14_____________ FFY of Grant Approval: 2014


PHA Name:




2Funds

Expended 2

TX 4-5 $ 49,021.00 $ 49,534.10 $ 49,534.10 $ 49,534.10

Hunter $ 5,000.00

$ -

$ 5,000.00

$ 553.00

$ 5,000.00

$ 5,000.00

$ 5,000.00

$ 500.00

$ 10,000.00

L. Computer Equipment $ -

$ 72,342.00

TX 4-6 $ 15,332.00 $ 15,492.47 $ 15,492.47 $ 15,492.47

Fair Oaks $ 5,000.00

$ -

$ 8,123.00

$ 354.00

$ 5,000.00

$ 2,000.00

$ 2,000.00

$ 4,930.00

$ 15,000.00

$ -

$ -

$ 1,000.00

N. Inspector

O. Maintenance Vehicles $ 8,000.00 P. Non-Dwelling Repairs $ - ______________________________

of 15 form HUD-50075.1 (4/2008)



2 To be completed for the Performance and Evaluation Report or a Revised Annual Statement.

J. Site Utilities 1475

K. Computer Equipment 1475


H. Interior Dwelling Repairs 1460

I. Appliance Replacement 1465.1

L. Maintenance Equipment

1430

1470

F. Exterior Dwelling Repairs 1470

C. Security


A. Operations 1406

D. Resident Services Salaries 1408

1408

1475

1475

H. Interior Dwelling Repairs 1460


M. Site Improvements 1450

J. Inspector 1430

I. Site Improvements 1450

M. Major Mechanical Improvements 1475

K. Maintenance Vehicle 1475

1475


C. Security 1408

F. Exterior Dwelling Repairs 1460


Capital Fund Program Grant No.: TX21P004501-14 Replacement Housing Factor Grant No.: 2014Date of CFFP: __08-01-14_____________ FFY of Grant Approval: 2014

2014

Capital Fund Financing Program


A. Operations 1406

Total Actual Cost Status of WorkGeneral Description of Major Work Categories Development Account No.


OMB No. 2577-0226Expires 4/30/2014

Part I: Summary


Grant Type and Number FFY of Grant: 2014

PHA Name:




2Funds

Expended 2

TX 4-12 $ 15,332.00 $ 15,492.47 $ 15,492.47 $ 15,492.47

Fair Park $ 5,000.00

$ -

$ 5,000.00

$ 5,261.00

$ 1,000.00

$ -

$ 2,500.00

$ 2,000.00

$ 2,000.00

$ 1,000.00

L. Computer Equipment $ -

$ 8,000.00

N. Site Utilities $ 5,265.00

TX 4-16 $ 19,458.00 $ 19,661.66 $ 19,661.66 $ 19,661.66

Scattered Sites $ 5,857.00

$ 5,000.00

$ 1,338.00

$ 5,000.00

$ 5,000.00

$ 16,000.00

$ 15,000.00

$ 15,000.00

$ 10,000.00

$ -

L. Maintenance Vehicle $ 8,000.00

$ -

N. Real Estate Specialist

______________________________

of 15 form HUD-50075.1 (4/2008)

O. Inspector 1430



M. Maintenance Equipment 1475

1475

1430

J. HVAC Equipment 1475

H. Exterior Dwelling Repairs 1460

F. UPCS Repairs 1450

G. Interior Dwelling Repairs 1460

I. Appliance Replacement 1465.1

1475

1408

E. Site Improvements 1450

D. Resident Services Training 1408

C. Resident Services Salaries

A. Operations 1406


O. Inspector 1430


M. Maintenance Vehicle 1475



H. UPCS Repairs 1450

G. Site Improvements Other 1450

K. Appliance 1465.1

1475

Expires 4/30/2014

Part I: Summary

C. Security 1408


Capital Fund Program Grant No.: TX21P004501-14 Replacement Housing Factor Grant No.: 2014Date of CFFP: __08-01-14_____________ FFY of Grant Approval: 2014

2014



Grant Type and Number FFY of Grant: 2014



A. Operations 1406

Total Actual Cost Status of WorkGeneral Description of Major Work Categories Development Account No.


OMB No. 2577-0226

PHA Name:




2Funds

Expended 2

PHA-Wide $ 10,000.00

Activities $ 2,000.00

Physical $ 2,000.00

$ 3,000.00

$ 5,000.00

$ 5,000.00

$ 2,500.00

$ 469,070.00 $ 1,039,767.00 $ 1,039,767.00 $ 500,000.00

PHA-Wide $ 12,000.00

Activities

Management

Improvement

PHA-Wide $ 151,570.00 $ 151,570.00 $ 151,570.00 $ 151,570.00


Administration $ 25,000.00

Costs

0______________________________

of 15 form HUD-50075.1 (4/2008)


C. Architectural/Consulting Services 1430

B. Audit 1411

E. Relocation Costs 1495.1

D. Demolition 1485

A. COCC 1410

H. Development 1499

A. Modernization Training & Travel 1408

E. 504 Accommodations 1470

D. Mechanical Non-Dwelling Reapirs 1470

G. Purchase Computer Equipment 1475

F. Security Improvements 1470


C. Exterior Non-Dwelling Repairs 1470

B. Interior Non-Dwelling Repairs 1470



A. Site Improvements 1450

2014

Capital Fund Financing Program OMB No. 2577-0226Expires 4/30/2014

Part I: Summary


FFY of Grant: 2014Capital Fund Program Grant No.: TX21P004501-14 Replacement Housing Factor Grant No.: 2014Date of CFFP: __08-01-14_____________ FFY of Grant Approval: 2014


Development Number Name/PHA-Wide Activities

Original Obligation End Date

Actual Obligation End Date

Original Expended End Date

Actual Expended End Date

TX 4-4

Butler Addition

A. Operations 5/12/2016 2/29/2016 5/12/2018

B. Management Improvements 5/12/2016 2/29/2016 5/12/2018

C. Security/Off Duty Police 5/12/2016 2/29/2016 5/12/2018

D. Resident Services Salaries 5/12/2016 2/29/2016 5/12/2018

E. Resident Services Training 5/12/2016 2/29/2016 5/12/2018

F. Soteware 5/12/2016 2/29/2016 5/12/2018

G. Audit 5/12/2016 2/29/2016 5/12/2018

H. Site Improvements (Cloths Poles & Retaining Walls) 5/12/2016 2/29/2016 5/12/2018

I. Site Utilities 5/12/2016 2/29/2016 5/12/2018

J. UPCS Repairs 5/12/2016 2/29/2016 5/12/2018

K. Playground 5/12/2016 2/29/2016 5/12/2018

L. Interior Dwelling Repairs 5/12/2016 2/29/2016 5/12/2018

M. Exterior Dwelling Repairs 5/12/2016 2/29/2016 5/12/2018

N. Appliance Replacement 5/12/2016 2/29/2016 5/12/2018

O. Purchase Maintenance Vehicles 5/12/2016 2/29/2016 5/12/2018

P. Purchase Maintenance Equipment 5/12/2016 2/29/2016 5/12/2018

Q. Computer Equipment/Software 5/12/2016 2/29/2016 5/12/2018

R. Interior Non-Dwelling Repairs 5/12/2016 2/29/2016 5/12/2018

S. Exterior Non-Dwelling Repairs 5/12/2016 2/29/2016 5/12/2018

T. Inspector 5/12/2016 2/29/2016 5/12/2018

0

______________________________

of 15


Expires 4/30/2014

Part III: Implementation Schedule for Capital Fund Financiang ProgramPHA Name: Fort Worth Housing Authority

All Fund Obligated Date of CFFP: __08-01-14_____________ Reasons for Revised Target Dates 1

1 Obligation and expenditure end dated can only be revised with HUD approval pursuant to Section 9j of the U.S. Housing Act of 1937, as amended.

(Quarter Ending Date) (Quarter Ending Date)






TX 4-3

Cavile Place

A. Operations 5/12/2016 2/29/2016 5/12/2018





F. Soteware 5/12/2016 2/29/2016 5/12/2018

G. Site Improvements (Parking Lots & Poles) 5/12/2016 2/29/2016 5/12/2018

H. UPCS Repairs 5/12/2016 2/29/2016 5/12/2018

I. Site Utilities 5/12/2016 2/29/2016 5/12/2018

J. Interior Dwelling Repairs 5/12/2016 2/29/2016 5/12/2018

K. Exterior Dwelling Repairs 5/12/2016 2/29/2016 5/12/2018

L. Appliance Replacement 5/12/2016 2/29/2016 5/12/2018

M. Maintenance Vehicles 5/12/2016 2/29/2016 5/12/2018

N. HVAC Replacement 5/12/2016 2/29/2016 5/12/2018

O. Computer Equipment/Software 5/12/2016 2/29/2016 5/12/2018

P. UPCS 5/12/2016 2/29/2016 5/12/2018

Q. Interior Non-Dwelling Repairs 5/12/2016 2/29/2016 5/12/2018

R. Exterior Non-Dwelling Repairs 5/12/2016 2/29/2016 5/12/2018

S. Inspector 5/12/2016 2/29/2016 5/12/2018

0______________________________

of 15


Expires 4/30/2014










TX 4-5

Hunter Plaza

A. Operations 5/12/2016 2/29/2016 5/12/2018





F. Soteware 5/12/2016 2/29/2016 5/12/2018

G. UPCS 5/12/2016 2/29/2016 5/12/2018

H. Exterior Dwelling Repairs 5/12/2016 2/29/2016 5/12/2018

I. UPCS Repairs 5/12/2016 2/29/2016 5/12/2018


K. Elevators 5/12/2016 2/29/2016 5/12/2018

L. Site Improvements 5/12/2016 2/29/2016 5/12/2018

M. Inspector 5/12/2016 2/29/2016 5/12/2018

N. Maintenance Vehicle 5/12/2016 2/29/2016 5/12/2018

O. Elevator Equipment 5/12/2016 2/29/2016 5/12/2018

P. Computer Equipment 5/12/2016 2/29/2016 5/12/2018

Q. Maintenance 5/12/2016 2/29/2016 5/12/2018

0

______________________________

of 15


Expires 4/30/2014










TX 4-6

Fair Oaks

A. Operations 5/12/2016 2/29/2016 5/12/2018





F. Soteware 5/12/2016 2/29/2016 5/12/2018

G. Exterior Dwelling Repairs 5/12/2016 2/29/2016 5/12/2018

H. UPCS Repairs 5/12/2016 2/29/2016 5/12/2018

I. Interior Dwelling Repairs 5/12/2016 2/29/2016 5/12/2018

J. Appliance Replacement 5/12/2016 2/29/2016 5/12/2018

K. Site Utilities 5/12/2016 2/29/2016 5/12/2018

L. Computer Equipment 5/12/2016 2/29/2016 5/12/2018

M. Site Improvements 5/12/2016 2/29/2016 5/12/2018

N. Inspector 5/12/2016 2/29/2016 5/12/2018O. Maintenance Vehicle 5/12/2016 2/29/2016 5/12/2018

0______________________________

of 15


Expires 4/30/2014










TX 4-12

Fair Park

A. Operations 5/12/2016 2/29/2016 5/12/2018




E. Modernization (Salaries & Training) 5/12/2016 2/29/2016 5/12/2018

F. Soteware 5/12/2016 2/29/2016 5/12/2018

G. Resident Services Training 5/12/2016 2/29/2016 5/12/2018

H. Site Improvements 5/12/2016 2/29/2016 5/12/2018

I. UPCS Repairs 5/12/2016 2/29/2016 5/12/2018




M. Site Utilities 5/12/2016 2/29/2016 5/12/2018

N. Site Improvements 5/12/2016 2/29/2016 5/12/2018

O. Inspector 5/12/2016 2/29/2016 5/12/2018

P. Computer Equipment 5/12/2016 2/29/2016 5/12/2018

Q. Maintenance Vehicle 5/12/2016 2/29/2016 5/12/2018

______________________________

of 15


Expires 4/30/2014


All Fund Obligated All Funds Expended Reasons for Revised Target Dates 1

Obligation and expenditure end dated can only be revised with HUD approval pursuant to Section 9j of the U.S. Housing Act of 1937, as amended.

(Quarter Ending Date) (Quarter Ending Date)(Quarter Ending Date) (Quarter Ending Date)






TX 4-16

Scattered Sites

A. Operations 5/12/2016 2/29/2016 5/12/2018


C. Security 5/12/2016 2/29/2016 5/12/2018


E. Modernization (Salaries & Training) 5/12/2016 2/29/2016 5/12/2018

F. Soteware 5/12/2016 2/29/2016 5/12/2018

G. Resident Services Training 5/12/2016 2/29/2016 5/12/2018

H. Site Improvements 5/12/2016 2/29/2016 5/12/2018

I. UPCS Repairs 5/12/2016 2/29/2016 5/12/2018




M. Site Utilities 5/12/2016 2/29/2016 5/12/2018

N. Inspector 5/12/2016 2/29/2016 5/12/2018

O. Computer Equipment 5/12/2016 2/29/2016 5/12/2018P. Maintenance Vehicle 5/12/2016 2/29/2016 5/12/2018

0______________________________

of 15


Expires 4/30/2014










PHA-Wide

Activities

Physical

A. Site Improvements 5/12/2016 2/29/2016 5/12/2018

B. Interior Non-Dwelling Repairs (Beach Office) 5/12/2016 2/29/2016 5/12/2018

C. Exterior Non-Dwelling Repairs (Admin Office) 5/12/2016 2/29/2016 5/12/2018

D. Mechanical Non-Dwelling Repairs (Offices) 5/12/2016 2/29/2016 5/12/2018

E. 504 Accommodations (All Offices) 5/12/2016 2/29/2016 5/12/2018

F. Security Improvements (All Offices) 5/12/2016 2/29/2016 5/12/2018

G. Purchase Computer Equipment 5/12/2016 2/29/2016 5/12/2018

H. Development 5/12/2016 2/29/2016 5/12/2018

PHA-Wide

Activities

Management

Improvement

A. Modernization Training & Travel 5/12/2016 2/29/2016 5/12/2018

______________________________

of 15


Expires 4/30/2014










PHA-Wide

Activities

Administration Costs

A. COCC (Subject to 10% Limitation) 5/12/2016 2/29/2016 5/12/2018

B. Audit 5/12/2016 2/29/2016 5/12/2018

C. Architectural/ Consulting Services 5/12/2016 2/29/2016 5/12/2018

D. Demolition 5/12/2016 2/29/2016 5/12/2018

E. Relocation Costs 5/12/2016 2/29/2016 5/12/2018

______________________________

of 15


Expires 4/30/2015





PHA Name:


: Line

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18a

18b

19

20

21

22

23

2425

______________________________

2 To be completed for the Performance and Evaluation Report or a Revised Annual Statement.3 PHAs with under 250 units in management may use 100% of CFP Grants for operations.4 RHF funds shall be included here.

Page 1 of 11




-$

-$

-$ -$

-$

111,181.00$

-$ 1411 Audit -$

-$

-$

-$

-$

-$

-$

-$

-$

-$

form HUD-50075.1 (4/2008)





Original Annual Statement Performance and Evaluation Report for Period Ending:



100,000.00$

27,744.00$






Type of Grant

150,000.00$

7,000.00$

-$

-$

-$

111,181.00$

1,000.00$



1485 Demolition


-$

-$

-$

-$

-$

-$


1430 Fees and Costs

Total non-CFP Funds


-$

62,170.00$

-$

95,500.00$


1499 Development Activities 4

58,704.00$

49,442.00$


1492 Moving to Work Demonstration


-$

18,958.00$

101,296.00$

-$

-$



-$

1,111,814.00$

1504 RAD Conversion

300,000.00$

140,000.00$

FFY of Grant:_2015__________________FFY of Grant Approval:_2015__________________


-$


Total Actual Cost 1

-$ -$

ExpendedOriginal Revised 2 Obligated

-$

-$

-$

-$

-$

-$

-$

-$

-$

-$

-$

-$

-$

-$

-$

-$

1,000,633.00$

1,111,814.00$

Part I: SummaryGrant Type and Number

Date of CFFP: __08-01-15___________________

1,111,814.00$

-$

-$

-$

-$

-$

1,111,814.00$

-$

-$

111,181.00$

-$

-$

-$

PHA Name:


: Line

Page 2 of 11

Naomi W. Byrne, President


Date of CFFP: 08-01-15


OMB No. 2577-0226Expires 4/30/2015




Type of Grant

FFY of Grant:_2015__________________FFY of Grant Approval:_2015__________________





Total Estimated CostOriginal Revised 2

form HUD-50075.1 (4/2008)

ExpendedSignature of Executive Director Date Signature of Public Housing Director Date

ObligatedTotal Actual Cost 1

PHA Name:



ActivitiesOriginal Revised 1 Funds

Obligated 2Funds

Expended 2

TX 4-2 $ 131,000.00

Butler/Butler $ 30,578.00

Historical $ 11,000.00

$ - $ -

$ 1,380.00 $ - $ - $ -

F. Site Improvements (parking, lights, utilities& general) $ 32,000.00

G. Site Utilities $ 5,000.00 $ - $ - $ -

$ 5,000.00 $ - $ - $ -

$ 23,938.00 $ - $ - $ -

$ 12,283.00 $ - $ - $ -

$ 7,814.00 $ - $ - $ -

$ 5,942.00 $ - $ - $ -

$ 3,500.00

$ -

$ 10,000.00

$ 7,000.00 $ - $ - $ -

$ 4,450.00

______________________________

Page 3 of 11

1475

FFY of Grant Approval:


2015

Expires 4/30/2015

Part I: SummaryGrant Type and Number FFY of Grant:Capital Fund Program Grant No.: TX21P004501-15 Replacement Housing Factor Grant No.: 2015Date of CFFP: 08-01-15



A. Operations


C. Security


J. Exterior Dwelling Repairs(Electrical upgrade, Handrails)



N. Computer Equipment




1406

1408

1408

K. Appliance Replacement



H. UPCS Repairs

1408

1460

1460

1475

1475

1475

Q. Inspector


1470

1470

1430

Quantity

1408

1450

1450

1465.1

form HUD-50075.1 (4/2008)




2Funds Expended 2

TX 4-3 $ 149,000.00

Cavile Place $ 50,778.00

$ 20,000.00

$ -

$ 1,514.00 $ - $ -

$ 20,500.00

$ 5,000.00

$ 10,000.00

$ 8,343.00

$ 11,812.00

$ 10,000.00 $ - $ - $ -

$ 5,000.00 $ - $ - $ -

$ 5,000.00 $ - $ - $ -

$ 5,000.00

$ -

P. Interior Non-Dwelling Repairs $ 7,000.00

$ 5,000.00 $ - $ - $ -

$ 126.00

______________________________

Page 4 of 11


Expires 4/30/2015

Part I: SummaryPHA Name: Fort Worth Housing Authority Grant Type and Number FFY of Grant:

Capital Fund Program Grant No.:TX21P004501-15 Replacement Housing Factor Grant No.: 2015Date of CFFP: 08-01-2015 FFY of Grant Approval:

2015General Description of Major Work Categories Development Account

No.Quantity Total Estimated Cost Total Actual Cost Status of Work

A. Operations 1406


C. Security 1408








K.Appliance Replacement


M. HVAC Replacement

1465.1

N. UPCS

1475

1450



R. Inspector 1430

1470

form HUD-50075.1 (4/2008)




Obligated 2Funds

Expended 2

TX 4-16 20,000.00

Scattered Sites 11,412.00

- - -

1,338.00 - - -

E. Site Improvements 4,000.00

F. UPCS Repairs 4,000.00 - - -

21,812.00 - - -

21,812.00

9,930.00 - - -

5,000.00 - - -

-

5,000.00 - -

-

28,854.00

1,000.00 - - -

Page 5 of 11


Expires 4/30/2015


Capital Fund Program Grant No.:Tx21P004501-15 Replacement Housing Factor Grant No.: 2015Date of CFFP: 08-01-2015 FFY of Grant Approval:




1408


I. Appliance Replacement

A. Operations 1406

C. Resident Services Salaries 1408

D. Resident Services Training

form HUD-50075.1 (4/2008)

1475


1475

O. Inspector 1430

N. Real Estate Specialist 1430

M. Nondwelling Equipment

L. Maintenance Vehicle

G. Interior Dwelling Repairs

1475

1460H. Exterior Dwelling Repairs

1450

1450

1460

J. HVAC Equipment

1465.1



Obligated 2Funds Expended

2

PHA-Wide $ 15,000.00 $ - $ - $ -

Activities $ 10,000.00 $ - $ - $ -

Physical $ 9,704.00 $ - $ - $ -

$ 5,000.00 $ - $ - $ -

$ 5,000.00 $ - $ - $ -

$ 5,000.00 $ - $ - $ -

$ 5,000.00 $ - $ - $ -

$ 101,296.00

$ - $ 1,000,633.00 $ - $ -

PHA-Wide $ 12,000.00 $ - $ - $ -

Activities $ 17,958.00 $ - -$ -$

Management

Improvement

PHA-Wide $ 150,000.00 $ 111,181.00 $ 111,181.00 $ 111,181.00


Administration Costs $ 9,782.00

$ 1,000.00 $ -

$ 18,958.00 $ -

______________________________

Page 6 of 11


Expires 4/30/2015


Capital Fund Program Grant No.:TX21P004501-15 Replacement Housing Factor Grant No.: 2015Date of CFFP: 08-01-2015 FFY of Grant Approval:






D. Mechanical Non-Dwelling Repairs 1470

E. 504 Accommodations (All Offices) 1470

F. Security Improvements (All Offices) 1470


H. Development 1499

I. RAD Conversion 1504


B. PNA and Energy Audits 1430

A. COCC (Subject to 10% Limitation) 1410

B. Audit 1411

C. Architectural/ Consulting Services 1430

D. Demolition 1485


form HUD-50075.1 (4/2008)





Original Expenditure End Date

Actual Expenditure End Date

TX 4-4

Butler Addition

A. Operations 4/12/2017 4/12/2019

B. Management Improvements 4/12/2017 4/12/2019

C. Security 4/12/2017 4/12/2019

D. Resident Services Salaries 4/12/2017 4/12/2019

E. Resident Services Training 4/12/2017 4/12/2019

F. Site Improvements (Cloths Poles & Retaining Walls) 4/12/2017 4/12/2019

G. Site Utilities 4/12/2017 4/12/2019

H. UPCS Repairs 4/12/2017 4/12/2019

I. Interior Dwelling Repairs 4/12/2017 4/12/2019

J. Exterior Dwelling Repairs 4/12/2017 4/12/2019

K. Appliance Replacement 4/12/2017 4/12/2019

L. Purchase Maintenance Vehicles 4/12/2017 4/12/2019

M. Purchase Maintenance Equipment 4/12/2017 4/12/2019

N. Interior Non-Dwelling Repairs 4/12/2017 4/12/2019

O. Exterior Non-Dwelling Repairs 4/12/2017 4/12/2019

P. Inspector 4/12/2017 4/12/2019

______________________________

Page 7 of 11


Expires 4/30/2015

Part III: Implementation Schedule for Capital Fund Financing ProgramPHA Name: Fort Worth Housing Authority

form HUD-50075.1 (4/2008)

All Funds Expended(Quarter Ending Date)

Reasons for Revised Target Dates 1


All Fund Obligated(Quarter Ending Date)






TX 4-3

Cavile Place

A. Operations 4/12/2017 4/12/2019


C. Security 4/12/2017 4/12/2019



F. Site Improvements (Parking Lots & Poles) 4/12/2017 4/12/2019

G. PCS Repairs 4/12/2017 4/12/2019

H. Site Utilities 4/12/2017 4/12/2019




L. Maintenance Vehicles 4/12/2017 4/12/2019

M. HVAC Replacement 4/12/2017 4/12/2019

N. UPCS 4/12/2017 4/12/2019

O. Interior Non-Dwelling Repairs 4/12/2017 4/12/2019

P. Exterior Non-Dwelling Repairs 4/12/2017 4/12/2019

Q. Inspector 4/12/2017 4/12/2019

______________________________

Page 8 of 11


Expires 4/30/2015


form HUD-50075.1 (4/2008)










TX 4-16

Scattered Sites

A. Operations 4/12/2017 4/12/2019


C. Security 4/12/2017 4/12/2019



F. Exterior Dwelling Repairs 4/12/2017 4/12/2019

G. UPCS Repairs 4/12/2017 4/12/2019

H. Interior Dwelling Repairs 4/12/2017 4/12/2019

I. Appliance Replacement 4/12/2017 4/12/2019

J. Site Utilities 4/12/2017 4/12/2019

K. Site Improvements 4/12/2017 4/12/2019

L. Inspector 4/12/2017 4/12/2019M. Maintenance Vehicle 4/12/2017 4/12/2019

______________________________

Page 9 of 11


Expires 4/30/2015


form HUD-50075.1 (4/2008)










PHA-Wide

Activities

Physical

A. Site Improvements 4/12/2017 4/12/2019

B. Interior Non-Dwelling Repairs (Beach Office) 4/12/2017 4/12/2019

C. Exterior Non-Dwelling Repairs (Admin Office) 4/12/2017 4/12/2019

D. Mechanical Non-Dwelling Repairs (Offices) 4/12/2017 4/12/2019

E. 504 Accommodations (All Offices) 4/12/2017 4/12/2019

F. Security Improvements (All Offices) 4/12/2017 4/12/2019

G. Purchase Computer Equipment 4/12/2017 4/12/2019

H. Development 4/12/2017 4/12/2019

PHA-Wide

Activities

Management

Improvement

A. Modernization Training & Travel 4/12/2017 4/12/2019

______________________________

Page 10 of 11


Expires 4/30/2015


form HUD-50075.1 (4/2008)










PHA-Wide

Activities


A. COCC (Subject to 10% Limitation) 4/12/2017 4/12/2019

B. Audit 4/12/2017 4/12/2019

C. Architectural/ Consulting Services 4/12/2017 4/12/2019

D. Demolition 4/12/2017 4/12/2019

E. Relocation Costs 4/12/2017 4/12/2019

______________________________

Page 11 of 11


Expires 4/30/2015


form HUD-50075.1 (4/2008)





PHA Name:


: Line

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18a

18b

19

20

21

22

23

2425

______________________________

4 RHF funds shall be included here.

Page 1 of 11

-$

1,150,560.00$ 1,150,560.00$ 1,150,560.00$ 1,150,560.00$

-$

-$

-$

-$

-$

-$

-$

-$

-$

115,056.00$

-$

-$

-$

-$

-$

-$

-$

-$

-$

-$

-$

-$

-$

-$


Date of CFFP: _____________________

-$


Total non-CFP Funds

-$

-$

115,056.00$

-$

115,056.00$

-$ 1411 Audit -$

-$


OMB No. 2577-0226Expires 6/30/2016

Part I: Summary

-$

-$

-$

-$

FFY of Grant:2016FFY of Grant Approval:2016



Total Actual Cost 1ExpendedOriginal Revised 2 Obligated


1499 Development Activities 4

24,850.00$

49,745.00$

1492 Moving to Work Demonstration -$

1,000.00$

335,504.00$

1,000.00$



1485 Demolition

form HUD-50075.1 (7/2014)

3 PHAs with under 250 units in management may use 100% of CFP Grants for operations.


7,000.00$

300,000.00$

100,000.00$ -$ -$

-$


-$

-$

-$

-$

-$

-$

-$

-$


-$

44,732.00$

-$






50,114.00$

13,279.00$






Type of Grant

150,000.00$


73,336.00$

1430 Fees and Costs



-$ -$ -$ -$


1504 RAD Conversion






-$ -$ -$ -$

-$ 1,035,504.00$

PHA Name:


: Line

Naomi W. Byrne President

Page 2 of 11

Original Revised 2 Obligated ExpendedTotal Actual Cost 1

Signature of Executive Director Date Signature of Public Housing Director Date


Annual Statement/Performance and Evaluation ReportCapital Fund Program, Capital Fund Program Replacement Housing Factor and

form HUD-50075.1 (4/2008)


OMB No. 2577-0226Expires 6/30/2017




Type of Grant

FFY of Grant:2016FFY of Grant Approval:2016






Date of CFFP:

PHA Name:




2Funds

Expended 2

TX 4-2 169,744.00 - - -

Butler/Butler 35,444.00 - - -

Historical 10,000.00 - - -

5,000.00 - - -

5,000.00 - - -

6,093.00 - - -

42,151.00 - - -

6,136.00 - - -

3,500.00 - - -

26,000.00 - - -

6,279.00 - - -

1,000.00 - - -

6,093.00 - - -

6,000.00 - - -

8,550.00 - - -

1,186.00 - - -

6,190.00 - - -

______________________________

Page 3 of 11 form HUD-50075.1 (7/2014)


1408

1450

1450



H. UPCS Repairs

1408

1460

1460

1475

1475

1475

Q. Inspector


1470

1470

1430

Quantity



A. Operations


C. Security


J. Exterior Dwelling Repairs(Electrical upgrade, Handrails)







1406

1408

1408

FFY of Grant Approval:


2016

Expires 6/30/2017

Part II: Supporting PagesGrant Type and Number FFY of Grant:Capital Fund Program Grant No.: TX21P004501-16 Replacement Housing Factor Grant No.: 2016Date of CFFP:

G. Site Utilities

F. Site Improvements (Lighting, Parking Playgrounds, etc.)

1450

K. Appliance Replacement / Repairs 1465.1



2Funds

Expended 2

TX 4-3 123,600.00 - - -

Cavile Place 20,100.00 - - -

10,000.00 - - -

5,000.00 - - -

5,000.00 - - -

7,538.00 - - -

7,538.00 - - -

4,000.00 - - -

8,076.00 - - -

10,538.00 - - -

6,000.00 - - -

7,538.00 - - -

9,076.00 - - -

7,538.00 - - -

2,500.00 - - -

7,538.00 - - -

2,576.00 - - -

7,544.00 - - -

______________________________

Page 4 of 11 form HUD-50075.1 (7/2014)




R. Inspector 1430

1470P. Interior Non-Dwelling Repairs


M. HVAC Replacement

1465.1


1475

1475



K.Appliance Replacement





G. Parking Repairs 1450

A. Operations 1406


C. Security 1408


Quantity Total Estimated Cost Total Actual Cost Status of Work


Expires 6/30/2017

Part II: Supporting PagesPHA Name: Fort Worth Housing Authority Grant Type and Number FFY of Grant:

Capital Fund Program Grant No.: TX21P004501-16 Replacement Housing Factor Grant No.: 2016Date of CFFP: FFY of Grant Approval:

2016



2Funds

Expended 2

TX 4-16 6,656.00 - - -

Scattered Sites 1,456.00 - - -

500.00 - - -

500.00 - - -

1,880.00 - - -

1,000.00 - - -

1,000.00 - - -

1,000.00 - - -

1,000.00 - - -

2,000.00 - - -

1,000.00 - - -

1,000.00 - - -

1,000.00 - - -

1,000.00 - - -

1,000.00 - - -

______________________________

Page 5 of 11 form HUD-50075.1 (7/2014)



L. Maintenance Vehicle 1475

N. Real Estate Specialist 1430

M. Maintenance Equipment 1475

O. Inspector 1430

D. Resident Services Training 1408

E. PHAS Repairs 1450

J. HVAC Equipment 1475

1450

1460

1460

1465.1

G. Interior Dwelling Repairs

H. Exterior Dwelling Repairs

I. Appliance Replacement

F. Site Improvements

A. Operations 1406


C. Resident Services Salaries 1408




Expires 6/30/2017



2016



2Funds

Expended 2

PHA-Wide 1,000.00 - - -

Activities 1,000.00 - - -

Physical 1,000.00 - - -

1,000.00 - - -

1,000.00 - - -

1,000.00 - - -

1,000.00 - - -

335,504.00 - - -

1,035,504.00

PHA-Wide 2,000.00 - - -

Activities

Management

Improvement

PHA-Wide 150,000.00 115,056.00 115,056.00 115,056.00

Activities 7,000.00 - - -

Administration Costs 8,998.00 - - -

1,000.00 - - -

1,000.00 - - -

20,000.00 - - -

______________________________

Page 6 of 11 form HUD-50075.1 (7/2014)



F. Green PNA and Energy Audits 1430

B. Audit 1411

C. Architectural/ Consulting Services 1430

D. Demolition 1485

A. COCC (Subject to 10% Limitation) 1410



H. Development 1499

I. RAD Conversion 1504

D. Mechanical Non-Dwelling Repairs 1470

E. 504 Accommodations (All Offices) 1470

F. Security Improvements (All Offices) 1470







Expires 6/30/2017



2016




g Expenditure End

DateActual Expenditure

End Date

TX 4-2

Butler Place Apaprtments

A. Operations 4/12/2018 4/12/2020


C. Security 4/12/2018 4/12/2020



F. Site Improvements (Cloths Poles & Retaining Walls) 4/12/2018 4/12/2020

G. Site Utilities 4/12/2018 4/12/2020

H. UPCS Repairs 4/12/2018 4/12/2020




L. Purchase Maintenance Vehicles 4/12/2018 4/12/2020

M. Purchase Maintenance Equipment 4/12/2018 4/12/2020

N. Interior Non-Dwelling Repairs 4/12/2018 4/12/2020

O. Exterior Non-Dwelling Repairs 4/12/2018 4/12/2020

P. Inspector 4/12/2018 4/12/2020

______________________________

Page 7 of 11 form HUD-50075.1 (7/2014)

Expires 6/30/2017


All Funds Expended Reasons for Revised Target Dates 1


All Fund Obligated








TX 4-3

J.A.Cavile Place Apaertments

A. Operations 4/12/2018 4/12/2020


C. Security 4/12/2018 4/12/2020



F. Site Improvements (Parking Lots & Poles) 4/12/2018 4/12/2020

G. PCS Repairs 4/12/2018 4/12/2020

H. Site Utilities 4/12/2018 4/12/2020




L. Maintenance Vehicles 4/12/2018 4/12/2020

M. HVAC Replacement 4/12/2018 4/12/2020

N. UPCS 4/12/2018 4/12/2020

O. Interior Non-Dwelling Repairs 4/12/2018 4/12/2020

P. Exterior Non-Dwelling Repairs 4/12/2018 4/12/2020

Q. Inspector 4/12/2018 4/12/2020

______________________________

Page 8 of 11 form HUD-50075.1 (7/2014)

Expires 6/30/2017











TX 4-16

Scattered Sites

A. Operations 4/12/2018 4/12/2020


C. Security 4/12/2018 4/12/2020



F. Exterior Dwelling Repairs 4/12/2018 4/12/2020

G. UPCS Repairs 4/12/2018 4/12/2020

H. Interior Dwelling Repairs 4/12/2018 4/12/2020

I. Appliance Replacement 4/12/2018 4/12/2020

J. Site Utilities 4/12/2018 4/12/2020

K. Site Improvements 4/12/2018 4/12/2020

L. Inspector 4/12/2018 4/12/2020M. Maintenance Vehicle 4/12/2018 4/12/2020

______________________________

Page 9 of 11 form HUD-50075.1 (7/2014)



Expires 6/30/2017









PHA-Wide

Activities

Physical

A. Site Improvements 4/12/2018 4/12/2020

B. Interior Non-Dwelling Repairs (Beach Office) 4/12/2018 4/12/2020

C. Exterior Non-Dwelling Repairs (Admin Office) 4/12/2018 4/12/2020

D. Mechanical Non-Dwelling Repairs (Offices) 4/12/2018 4/12/2020

E. 504 Accommodations (All Offices) 4/12/2018 4/12/2020

F. Security Improvements (All Offices) 4/12/2018 4/12/2020

G. Purchase Computer Equipment 4/12/2018 4/12/2020

H. Development 4/12/2018 4/12/2020

PHA-Wide

ActivitiesManagement

Improvement

A. Modernization Training & Travel 4/12/2018 4/12/2020

______________________________

Page 10 of 11 form HUD-50075.1 (7/2014)



Expires 6/30/2017









PHA-Wide

Activities


A. COCC (Subject to 10% Limitation) 4/12/2018 4/12/2020

B. Audit 4/12/2018 4/12/2020

C. Architectural/ Consulting Services 4/12/2018 4/12/2020

D. Demolition 4/12/2018 4/12/2020

E. Relocation Costs 4/12/2018 4/12/2020

______________________________

Page 11 of 11 form HUD-50075.1 (7/2014)



Expires 6/30/2017




form HUD-50075.2 (4/2008)

Capital Fund Program - Five-Year Action Plan U.S. Department of Housing and Urban DevelopmentOffice of Public and Indian Housing

Expires 4/30/2011

Original 5-Year Plan Revision No: 2

Development Number and Work Statement Work Statement for Year 2 Work Statement for Year 3 Work Statement for Year 4 Work Statement for Year 5A. Name for Year 1 FFY 2017 FFY 2018 FFY 2019 FFY 2020

PHA Wide FFY 2016

B. Physical Improvements Subtotal

Annual Statement 1,022,140 1,075,000 1,044,981 1,055,000

C. Management Improvements 105,000 125,000 115,000 125,000

D. PHA-Wide Non-dwelling Structures and Equipment

E. Administration 302,841 250,000 270,000 250,000F. Other 70,019 50,000 70,019 70,000G. OperationsH. DemolitionI. Development J. Capital Fund Financing -

Debt ServiceK. Total CFP FundsL. Total Non-CFP FundsM. Grand Total 1,500,000 1,500,000 1,500,000 1,500,000

Part I: SummaryPHA Name/ Number: Locality (City/ County & State) Fort Worth Housing Authority TX004 Fort Worth/ Tarrant County, Texas

form HUD-50075.2 (4/2008)


Expires 4/30/2011

Original 5-Year Plan Revision No: 1

Development Number and Work Statement Work Statement for Year 2 Work Statement for Year 3 Work Statement for Year 4 Work Statement for Year 5A. Name for Year 1 FFY 2017 FFY 2018 FFY 2019 FFY 2020

FFY 2016

Annual Statement $ 5,000 $ 30,000 $ 15,000 $ 5,000 $ 15,000 $ 80,000

PHA-Wide $ 95,000 $ 92,000

TOTAL $ 35,000 $ 115,000 $ 95,000 $ 92,000

Part I: Summary (Continuation)PHA Name/ Number: Locality (City/ County & State) Fort Worth Housing Authority TX004 Fort Worth/ Tarrant County, Texas

form HUD-50075.2 (4/2008)


Expires 4/30/2011

WorkStatement forYear 1 FFY Development Quantity Estimated Cost Development Quantity Estimated Cost

2016 Number/ Name Number/ NameGeneral Description of General Description ofMajor Work Categories Major Work Categories

See TX 4-2 TX 4-2Annual Butler Apartments Butler Apartments

Statement Butler Historical Butler HistoricalA. Site Improvement 2 135,000 A. Site Improvement 2 1,000B. Interior Dwelling Repairs 75 15,000 B. Interior Dwelling Repairs 70 30,000C. Exterior Dwelling Repairs 10 20,000 C. Exterior Dwelling Repairs 25 20,000D. UPSC Improvements 200 5,000 D. UPSC Improvements 20 10,000E. PHAS/ UPCS Repairs 50 5,000 E. PHAS/ UPCS Repairs 1 5,000F. Appliance Replacement/Repairs 100 5,000 F. Appliance Replacement/Repairs 1 5,000H. Painting 100 5,500 G. Parking lot improvements 1 5,000H. Security 100 10,000 H. Security 30 10,000I. Purchase Maintenance Vehicles 100 15,000 Q. Development Cost 2 5,000J. Purchase Maintenance Equipment 20 20,000 J. Purchase Maintenance Equipment 75 55,000K. Interior Non-Dwelling Repairs 25 10,000 K. Interior Non-Dwelling Repairs 1 10,000L. Exterior Non-Dwelling Repairs 2 15,000 L. Exterior Non-Dwelling Repairs 30 15,000M. Inspector 10 15,000 M. Inspector 10 5,000N. Computer Purchase 2 10,000O. HVAC Replacement 1 10,000Q. Development Cost 1 5,000

$300,500 $176,000Subtotal of Estimated Cost Subtotal of Estimated Cost

Part II: Supporting Pages - Physical Needs Work Statement(s)Work Statement for Year 2

FFY 2017Work Statement for Year 3

FFY 2018

form HUD-50075.2 (4/2008)


Expires 4/30/2011



See TX 4-3 TX 4-3Annual Cavile Apartments Cavile Apartments

Statement A. Site Improvement 40 10,000 A. Site Improvement 2 10,000B. Interior Dwelling Repairs 90 20,000 B. Interior Dwelling Repairs 50 30,000C. Exterior Dwelling Repairs 10 15,000 C. Exterior Dwelling Repairs 15 15,000D. UPSC Improvements 1 15,000 D. UPSC Improvements 25 5,000E. PHAS/ UPCS Repairs 2 10,000 E. PHAS/ UPCS Repairs 1 10,000F. Appliance Replacement/Repairs 2 1,000 F. Appliance Replacement/Repairs 1 5,000G. Painting 50 5,000 G. Parking lot improvements 1 10,000H. Security 15 10,000 H. Security 6 5,000I. Purchase Maintenance Vehicles 2 10,000 Q. Development Cost 75 10,000J. Purchase Maintenance Equipment 2 5,000 J. Purchase Maintenance Equipment 1 1,000K. Interior Non-Dwelling Repairs 1 10,000 K. Interior Non-Dwelling Repairs 1 1,000L. Exterior Non-Dwelling Repairs 1 1,000 L. Exterior Non-Dwelling Repairs 1 1,000M. Inspector 1 15,000 M. Inspector 1 1,000N. Computer Purchase 1 1,000O. HVAC Replacement 1 1,000Q. Development Cost 1 5,000


Part II: Supporting Pages - Physical Needs Work Statement(s)Work Statement for Year 2 Work Statement for Year 3

FFY 2017 FFY 2018

form HUD-50075.2 (4/2008)


Expires 4/30/2011



See TX 416 TX 4-16Annual Scattered Sites Scattered Sites

Statement A. Site Improvement 10 16,000 A. Site Improvement 5 21,000B. Interior Dwelling Repairs 25 21,000 B. Interior Dwelling Repairs 15 21,000C. Exterior Dwelling Repairs 2 18,000 C. Exterior Dwelling Repairs 11 31,000D. UPSC Improvements 15 16,000 D. UPSC Improvements 1 6,000E. PHAS/ UPCS Repairs 85 9,000 E. PHAS/ UPCS Repairs 1 11,000F. Appliance Replacement/Repairs 1 2,000 F. Appliance Replacement/Repairs 15 16,000G. Painting 1 2,000 G. Parking Lot Improvements 8 11,000H. Security 1 2,000 H. Security 20 2,000I. Purchase Maintenance Vehicles 1 2,000 I. Development Cost 20 21,000J. Purchase Maintenance Equipment 1 2,000 J. Purchase Maintenance Equipment 1 2,000K. Interior Non-Dwelling Repairs 1 2,000 K. Interior Non-Dwelling Repairs 1 6,000L. Exterior Non-Dwelling Repairs 1 2,000 L. Exterior Non-Dwelling Repairs 1 11,000M. Inspector 1 2,000 M. Inspector 1 6,000N. Computer Purchase 1 2,000O. HVAC Replacement 1 2,000Q. Development Cost 1 2,000



FFY 2017 FFY 2018

form HUD-50075.2 (4/2008)


Expires 4/30/2011



See PHA-Wide PHA-Wide Annual Physical Improvements Physical Improvements

StatementA. Development 1 344,640 A. Development 1 475,000B. 504 Accommodations 2 37,034 B. 504 Accommodations 6 45,000C. Security Improvements 1 52,500 C. Security Improvements 1 28,500D. PHAS / UPCS Repairs 1 15,733 D. PHAS / UPCS Repairs 1 37,500E. Purchase Maint. Equipment 2 15,733 E. Purchase Maint. Equipment 3 36,500F. PNA and Energy Audit 1 20,000 F. PNA and Energy Audit 1 7,500



FFY 2017 FFY 2018

form HUD-50075.2 (4/2008)


Expires 4/30/2011



See TX 4-2 TX 4-2Annual Butler Apartments Butler Apartments

Statement Butler Historical Butler HistoricalA. Site Improvement 2 20,000 A. Site Improvement 2 115,000B. Interior Dwelling Repairs 75 30,000 B. Interior Dwelling Repairs 90 20,000C. Exterior Dwelling Repairs 10 20,000 C. Exterior Dwelling Repairs 60 30,000D. UPSC Improvements 200 10,000 D. Appliance Replacement/Repairs 200 5,000E. PHAS/ UPCS Repairs 50 5,000 E. Interior Non-Dwelling Repairs 50 15,000F. Appliance Replacement/Repairs 100 1,000 F. Security 100 5,000G. Painting 100 5,000 G. Development Cost 100 5,000H. Security 100 15,000 H. Parking Lot Improvements 100 1,000I. Purchase Maintenance Vehicles 100 10,000 I. PHAS/ UPCS Repairs 100 8,000J. Purchase Maintenance Equipment 20 15,000 J. Exterior Non-Dwelling Repairs 20 25,000K. Interior Non-Dwelling Repairs 25 15,000 K. Inspector 25 5,000L. Exterior Non-Dwelling Repairs 2 20,000 L. Purchase Maintenance Equipment 2 1,000M. Inspector 10 15,000N. Computer Purchase 2 10,000O. HVAC Replacement 1 15,000Q. Development Cost 1 7,000



FFY 2019 FFY 2020

form HUD-50075.2 (4/2008)


Expires 4/30/2011



See TX 4-3 TX 4-3Annual Cavile Apartments Cavile Apartments

Statement A. Site Improvement 40 5,000 A. Site Improvement 40 5,000B. Interior Dwelling Repairs 90 20,000 B. Interior Dwelling Repairs 90 20,000C. Exterior Dwelling Repairs 10 15,000 C. Exterior Dwelling Repairs 10 15,000D. UPSC Improvements 1 8,000 D. Appliance Replacement/Repairs 1 8,000E. PHAS/ UPCS Repairs 2 10,000 E. Interior Non-Dwelling Repairs 2 10,000F. Appliance Replacement/Repairs 2 5,000 F. Security 2 5,000G. Painting 50 5,000 G. Development Cost 50 5,000H. Security 15 5,000 H. Parking Lot Improvements 15 5,000I. Purchase Maintenance Vehicles 2 5,000 I. PHAS/ UPCS Repairs 2 5,000J. Purchase Maintenance Equipment 2 5,000 J. Exterior Non-Dwelling Repairs 2 5,000K. Interior Non-Dwelling Repairs 1 5,000 K. Inspector 1 5,000L. Exterior Non-Dwelling Repairs 1 4,000 L. Purchase Maintenance Equipment 1 4,000M. Inspector 1 1,000N. Computer Purchase 1 1,000O. HVAC Replacement 1 1,000



FFY 2019 FFY 2020

form HUD-50075.2 (4/2008)


Expires 4/30/2011



See TX 4-16 TX 4-16Annual Scattered Sites Scattered Sites

Statement A. Site Improvement 10 21,000 A. Site Improvement 10 6,000B. Interior Dwelling Repairs 25 16,000 B. Interior Dwelling Repairs 25 31,000C. Exterior Dwelling Repairs 2 21,000 C. Exterior Dwelling Repairs 2 21,000D. UPSC Improvements 15 16,000 D. Appliance Replacement/Repairs 15 6,000E. PHAS/ UPCS Repairs 85 11,000 E. Interior Non-Dwelling Repairs 85 21,000F. Appliance Replacement/Repairs 1 2,000 F. Security 1 2,000G. Painting 1 2,000 G. Development Cost 1 6,000H. Security 1 2,000 H. Parking Lot Improvements 1 2,000I. Purchase Maintenance Vehicles 1 2,000 I. PHAS/ UPCS Repairs 1 2,000J. Purchase Maintenance Equipment 1 2,000 J. Exterior Non-Dwelling Repairs 1 2,000K. Interior Non-Dwelling Repairs 1 2,000 K. Inspector 1 6,000L. Exterior Non-Dwelling Repairs 1 2,000 L. Purchase Maintenance Equipment 1 2,000M. Inspector 1 2,000N. Computer Purchase 1 2,000O. HVAC Replacement 1 2,000Q. Development Cost 1 3,000



FFY 2019 FFY 2020

form HUD-50075.2 (4/2008)


Expires 4/30/2011



See PHA-Wide PHA-Wide Annual Physical Improvements Physical Improvements

StatementA. Development 1 342,481 A. Development 1 342,500B. 504 Accommodations 2 39,000 B. 504 Accommodations 6 6,000C. Security Improvements 1 52,500 C. Security Improvements 1 7,500D. PHAS / UPCS Repairs 1 15,000 D. PHAS / UPCS Repairs 1 75,000E. Purchase Maint. Equipment 2 15,000 E. Purchase Maint. Equipment 3 15,000F. HVAC 1 165,000 F. HVAC 1 175,000



FFY 2019 FFY 2020

form HUD-50075.2 (4/2008)


Expires 4/30/2011

WorkStatement forYear 1 FFY Estimated Cost Estimated Cost

2016See

AnnualStatement

10,000 10,00010,000 10,00085,000 65,000

40,000

150,000132,841 150,00020,000 100,000

0

A. Inspector 70,01950,000

$477,860 $425,000

C. PNA and Energy Audits

Fees and CostsA. Inspector

D. Computer Software

Administrative CostsA. COCCB. Support Staff Salaries

C. Security M

Administrative CostsA. COCCB. Support Staff Salaries

PHA Wide

Management ImprovementsA. Resident Services Training MB. Modernization Training M

Part III: Supporting Pages - Management Needs Work Statement(s)Work Statement for Year 2 Work Statement for Year 3

FFY 2017 FFY 2018

Subtotal of Estimated Cost Subtotal of Estimated Cost

Development Number/ NameGeneral Description of Major Work Categories

Development Number/ Name

B. Modernization Training M

General Description of Major Work CategoriesPHA Wide

Management ImprovementsA. Resident Services Training M

C. Security M

Fees and Costs


form HUD-50075.2 (4/2008)


Expires 4/30/2011

WorkStatement forYear 1 FFY Estimated Cost Estimated Cost

2016See

AnnualStatement

10,000 10,00010,000 10,00095,000 65,000

40,000

150,000100,000 150,00020,000 100,000

0

70,01950,00020,000

$455,019 $445,000

B. A&E Services

Fees and CostsA. Inspector Fees and Costs

A. Inspector

B. Support Staff Salaries A. COCCC. PNA and Energy Audits B. Support Staff Salaries


D. Computer SoftwareAdministrative CostsA. COCC Administrative Costs

General Description of Major Work Categories General Description of Major Work Categories

Subtotal of Estimated Cost Subtotal of Estimated Cost

PHA Wide PHA Wide

Management Improvements Management ImprovementsA. Resident Services Training M A. Resident Services Training MB. Modernization Training M B. Modernization Training MC. Security M C. Security M

Development Number/ Name Development Number/ Name

Part III: Supporting Pages - Management Needs Work Statement(s)Work Statement for Year 4 Work Statement for Year 5

FFY 2019 FFY 2020

annual statement/performance and evaluation report u.s ... · 1 to be completed for the performance...

Documents