Form 0309A Health Care and Other Facilities Project Status Update F

Health Care and Other Facilities Project Status Update Form

Progress Report Form-0309

Health Care and Other Facilities Project Status Update Form- Construction Related

OMB: 0915-0309

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HCOF PROJECT STATUS UPDATE REPORT
FOR HRSA USE ONLY
Submission Tracking
Grant Number
Reporting Period
Number
01/01/2010 PRC7607372/1
C76HF09507
HEALTH CARE AND OTHER FACILITIES REPORT
03/31/2010
1. Facility
Florida Institute of Technology, 150 West University Blvd., Melbourne, Florida,
(Name and complete address, including ZIP
32901-6982
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration

code)

2. Contact Primary Point Of Contact Mary Beth Kenkel, Program Director, [email protected], (321) 674-8142
Information Alternate Point Of Contact
3. Total Allowable Cost (Federal + Non- $5,170,481.00
Federal)

4.
5.
6.
7.
8.

Project Completion Percentage
Drawdown Percentage
Start Date
Completion Date
Current Status

Previously Reported
Information
98.53%
86.16%
08/01/2008
06/30/2010

Current Information
X
X
X
X

X

Certification: I certify to the best of my knowledge and belief that this Status Information report are true and correct.
Typed or Printed Name and Title
Telephone (Area code, number and extention)
Signature of Authorized Certifying Official

Date Report Submitted
OMB No.: 0915-0309. Expiration Date: 10/31/2010


File Typeapplication/pdf
File Titlemhtml:file://C:\HRSA\BHPr\HCOF\Progress Report.mht
Authorsvijayakumar
File Modified2010-03-24
File Created2010-03-24

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