65, Administration (may not exceed 10% of line 21) 65, Audit Liquidated Damages Fees and Costs

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1 Expires 06/30/207 Part I: Summary PHA Name: Des Moines Municipal Housing Agency Des Moines, IA, 5030 Capital Fund Program Grant No: IA0P of CFFP: FFY of Grant: 208 FFY of Grant Approval: Type of Grant Original Annual Statement Reserve for Disasters/Emergencies Revised Annual Statement (revision no: ) Performance and Evaluation Report for Period Ending: Final Performance and Evaluation Report Line Summary by Development Account Total Estimated Cost Total Actual Cost Total non-cfp Funds Original Revised 2 Obligated Expended Operations (may not exceed 20% of line 2) 3 3, Management Improvements 65, Administration (may not exceed 0% of line 2) 65, Audit 6 45 Liquidated Damages Fees and Costs 0, Site Acquisition Site Improvement 34, Dwelling Structures 333, Dwelling Equipment Nonexpendable Non-dwelling Structures 3, Non-dwelling Equipment 0, Demolition Moving to Work Demonstration Relocation Costs 5, Development PHAs with under 250 units in management may use 00% of CFP Grants for operations. 4 RHF funds shall be included here. Page form HUD (07/204)

2 Expires 06/30/207 Part I: Summary PHA Name: Des Moines Municipal Housing Agency Des Moines, IA 5030 Capital Fund Program Grant No: IA0P of CFFP: FFY of Grant:208 FFY of Grant Approval: Type of Grant Original Annual Statement Reserve for Disasters/Emergencies Revised Annual Statement (revision no: ) Performance and Evaluation Report for Period Ending: Final Performance and Evaluation Report Line Summary by Development Account Total Estimated Cost Total Actual Cost Original Revised 2 Obligated Expended 8a 8ba 50 Collateralization or Debt Service paid by the PHA 9000 Collateralization or Debt Service paid Via System of Direct Payment Contingency (may not exceed 8% of line 20) 20 Amount of Annual Grant:: (sum of lines 2-9) 2 Amount of line 20 Related to LBP 658, Amount of line 20 Related to Section Amount of line 20 Related to Security - Soft Costs 24 Amount of line 20 Related to Security - Hard Costs 25 Amount of line 20 Related to Energy Conservation Measures Signature of Executive Director Signature of Public Housing Director 2 3 PHAs with under 250 units in management may use 00% of CFP Grants for operations. 4 RHF funds shall be included here. Page2 form HUD (07/204)

3 Expires 06/30/207 Part II: Supporting Pages Des Moines, IA, 5030 Capital Fund Program Grant No: IA0P CFFP (Yes/ No): Federal FFY of Grant: 208 General Description of Major Work Categories Development Account No. Quantity Total Estimated Cost Total Actual Cost Status of Work Original Revised Funds Obligated 2 PHA Wide Operations 406 3,787 PHA Wide Management Improvements ,893 PHA Wide Administration 40 65,893 Fees & Cost Architectural & Engineering 430 0,000 PHA Wide Non- Computer equipment ,000 Dwelling Equipment PHA Wide Re-location Cost ,000 PHA Wide Non- Dwelling Structures Admin space furniture, & equipment 470 3,000 Funds Expended 2 2 Page3 form HUD (07/204)

4 Expires 06/30/207 Part II: Supporting Pages Des Moines, IA, 5030 Capital Fund Program Grant No: IA0P CFFP (Yes/ No): Federal FFY of Grant: 208 General Description of Major Work Categories Development Account No. IA Replace kit cabinets & C-tops ,000 Royal View Manor Replace Appls.(stove & fridge) (apts) 0,000 Update Public Restrooms ,000 Replace F/A Devices 460 0,000 Quantity Total Estimated Cost Total Actual Cost Status of Work Original Revised Funds Obligated 2 Funds Expended 2 IA Replace Front entry doors ,000 East View Manor Repairs to Emergency Generator 460 5,000 Repair Apartment ceilings ,000 IA Replace common area carpeting ,000 South view Manor IA Replace Chillers ,36 Haven Homes HVAC Piping & pipe insulation 460 5,000 Landscape updates 450 5,000 PHA Wide R&R retain g wall (3308 Kinsey) 450 4,000 Replace Roofs 460 0,000 Concrete Replacement 450 5,000 Furnace & WH Replacements 460 8,000 Basement waterproofing 460 0,000 Page4 form HUD (07/204)

5 2 Annual Statement/Performance and Evaluation Report Expires 06/30/207 Part III: Implementation Schedule for Capital Fund Financing Program Des Moines, IA, 5030 All Fund Obligated Original Obligation End Actual Obligation End IA RVM 08/6/ /6/2022 Original Expenditure End All Funds Expended Actual Expenditure End Federal FFY of Grant: 208 Reasons for Revised Target s IA EVM 08/6/ /6/2022 IA SVM 08/6/ /6/2022 IA Haven Homes 08/6/ /6/2022 PHA Wide Mod 08/6/ /6/2022 Obligation and expenditure end dated can only be revised with HUD approval pursuant to Section 9j of the U.S. Housing Act of 937, as amended. Page5 form HUD (07/204)

6 Expires 06/30/207 Part III: Implementation Schedule for Capital Fund Financing Program Des Moines, IA, 5030 All Fund Obligated Original Obligation End Actual Obligation End Original Expenditure End All Funds Expended Actual Expenditure End Federal FFY of Grant: 208 Reasons for Revised Target s Obligation and expenditure end dated can only be revised with HUD approval pursuant to Section 9j of the U.S. Housing Act of 937, as amended. Page6 form HUD (07/204)