202, Audit Liquidated Damages Fees and Costs

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1 Annual Statement/Performance and Evaluation Report Capital Fund Financing Program OMB No Part I: Summary PHA Name: Brockton Housing Authority Capital Fund Program Grant No: MA06P04506 of CFFP: FFY of Grant: 06 Original 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 Obligated Expended 406 Operations (may not exceed 0% of line ) Management Improvements 4 40 Administration (may not exceed 0% of line ) 0, Audit 6 45 Liquidated Damages Fees and Costs 60, Site Acquisition Site Improvement Dwelling Structures 908, Dwelling Equipment Nonexpendable 470 Non-dwelling Structures Non-dwelling Equipment Demolition 5 49 Moving to Work Demonstration Relocation Costs 0, Development 4 3 PHAs with under 50 units in management may use 00% of CFP Grants for operations. 4 RHF funds shall be included here. Page form HUD (07/04)

2 Annual Statement/Performance and Evaluation Report Capital Fund Financing Program OMB No Part I: Summary PHA Name: Brockton Housing Authority Capital Fund Program Grant No: MA06P04506 of CFFP: FFY of Grant: 06 Original 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 Obligated Expended 8a 50 Collateralization or Debt Service paid by the PHA 8ba 9000 Collateralization or Debt Service paid Via System of Direct Payment 734, Contingency (may not exceed 8% of line 0) 0 Amount of Annual Grant:: (sum of lines - 9),05,809 Amount of line 0 Related to LBP Amount of line 0 Related to Section ,000 3 Amount of line 0 Related to Security - Soft Costs 4 Amount of line 0 Related to Security - Hard Costs 5 Amount of line 0 Related to Energy Conservation Measures Signature of Executive Director Signature of Public Housing Director 3 PHAs with under 50 units in management may use 00% of CFP Grants for operations. 4 RHF funds shall be included here. Page form HUD (07/04)

3 Annual Statement/Performance and Evaluation Report Part II: Supporting Pages Federal FFY of Grant: 06 Original Capital Fund Program Grant No: MA06P04506 CFFP (Yes/ No): General Description of Major Work Categories Development Account No. BHA Wide Salaries Division Director of Asset Management 40 75,300 Director of Capital Improvements 40 65,300 BHA Wide Office Manager/Section 3 Coordinator of Capital Improvements Construction for Physical Needs/Energy Efficiency Quantity Total Estimated Cost Total Actual Cost Status of Work 40 6, ,000 AMP A/E 4-7 Caffrey Towers A/E Services Caffrey Comp. Mod ,000 Original Revised Funds Obligated Funds Expended AMP GC 4-7 Caffrey Towers Resumption of Comp. Mod Standard unit work to include asbestos abatement, reconfiguration of kitchen, wallboard, painting, flooring, unit doors w/ hardware, kitchen cabinetry w/ counter tops, mill work, complete re-plumb (unit domestic, vent, waste, & all new fixtures), kitchen and bath electrical upgrade (panel w/ breakers), fixtures, devices, heating, phone, nurse call, appliances, sprinkler update, and HVAC modification. Balcony and facade waterproofing, repair, resurfacing, rail resetting, traffic coating and undercoating. New accessible common area and entranceway ,705 Page3 form HUD (07/04)

4 Annual Statement/Performance and Evaluation Report Part II: Supporting Pages Capital Fund Program Grant No: MA06P04506 CFFP (Yes/ No): Federal FFY of Grant: 06 Original AMP 4-7 Caffrey Towers Relocation Costs General Description of Major Work Categories Development Account No. Moving Services & Supplies ,000 Quantity Total Estimated Cost Total Actual Cost Status of Work Original Revised Funds Obligated Funds Expended AMP 4-4 Crescent Court Debt Service ,54 Page4 form HUD (07/04)

5 Annual Statement/Performance and Evaluation Report Part III: Implementation Schedule for Capital Fund Financing Program Federal FFY of Grant: 06 Original All Fund Obligated Original Obligation End Actual Obligation Original Expenditure All Funds Expended Actual Expenditure End Reasons for Revised Target s 4-7 Caffrey Towers 9/8/8 9/8/0 Physical Needs Energy Efficiency Study 9/8/8 9/8/0 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 (07/04)

6 Annual Statement/Performance and Evaluation Report Part III: Implementation Schedule for Capital Fund Financing Program Federal FFY of Grant: 06 Original All Fund Obligated Original Obligation End Actual Obligation Original Expenditure All Funds Expended Actual Expenditure End 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 (07/04)