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pdfAnnual Statement/Performance and Evaluation Report
Capital Fund Program, Capital Fund Program Replacement Housing Factor and
Capital Fund Financing Program
U.S. Department of Housing and Urban Development
Office of Public and Indian Housing
2577-0274
07/31/2017
Part I: Summary
Grant Type and Number
Capital Fund Program Grant No.
MD06P00350117
Replacement Housing Factor Grant No.
Date of CFFP:
PHA Name:
Frederick Housing Authority
FFY of Grant:
FFY of Grant Approval:
Type of Grant
Original Annual Statement
X Revised Annual Statement (Revision No: 1
Reserve for Disasters/Emergencies
Performance and Evaluation Report for Period Ending:
Summary by Development Account
Line
Final Performance and Evaluation Report
Total Estimated Cost
Original
1
Total non-CFP Funds
2
1406 Operations (may not exceed 20% of line 20)(3)
3
1408 Management Improvements
4
1410 Administration (may not exceed 10% of line 20)
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-Nonexpendable
)
Revised
Total Actual Cost
(2)
Obligated
(1)
Expended
(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
(3) PHAs with under 250 units in management may use 100% of CFP Grants for operations
(4) RHF funds shall be include here
Form HUD-50075.1(4/2008)
Annual Statement/Performance and Evaluation Report
Capital Fund Program, Capital Fund Program Replacement Housing Factor and
Capital Fund Financing Program
U.S. Department of Housing and Urban Development
Office of Public and Indian Housing
2577-0274
07/31/2017
Part I: Summary
Grant Type and Number
Capital Fund Program Grant No.
MD06P00350117
Replacement Housing Factor Grant No.
Date of CFFP:
PHA Name:
Frederick Housing Authority
FFY of Grant:
FFY of Grant Approval:
Type of Grant
Original Annual Statement
X Revised Annual Statement (Revision No: 1
Reserve for Disasters/Emergencies
Performance and Evaluation Report for Period Ending:
Summary by Development Account
Line
Final Performance and Evaluation Report
Total Estimated Cost
Original
12
1470 Non-dwelling Structures
13
1475 Non-dwelling equipment
14
1480 General Capital Fund
15
1485 Demolition
16
1492 Moving to Work Demonstration
17
1495.1 Relocation Costs
18a
1499 Development Activities (4)
18ba
1501 Collateralization or Debt Service paid by the PHA
19
9000 Collateralization or Debt Service paid via System of Direct Payment
20
1502 Contingency (may not exceed 8% of line 20)
21
Amount of Annual Grant: (sum of lines 2-20)
)
Revised
Total Actual Cost
(2)
Obligated
(1)
Expended
(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
(3) PHAs with under 250 units in management may use 100% of CFP Grants for operations
(4) RHF funds shall be include here
Form HUD-50075.1(4/2008)
Annual Statement/Performance and Evaluation Report
Capital Fund Program, Capital Fund Program Replacement Housing Factor and
Capital Fund Financing Program
U.S. Department of Housing and Urban Development
Office of Public and Indian Housing
2577-0274
07/31/2017
Part I: Summary
Grant Type and Number
Capital Fund Program Grant No.
MD06P00350117
Replacement Housing Factor Grant No.
Date of CFFP:
PHA Name:
Frederick Housing Authority
FFY of Grant:
FFY of Grant Approval:
Type of Grant
Original Annual Statement
X Revised Annual Statement (Revision No: 1
Reserve for Disasters/Emergencies
Performance and Evaluation Report for Period Ending:
Final Performance and Evaluation Report
Total Estimated Cost
Summary by Development Account
Line
Original
22
Amount of line 21 Related to LBP Activities
23
Amount of line 21 Related to Section 504 Activities
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
Signature of Executive Director
/S/ M57853
Date
)
01/04/2018
Revised
Signature of Public Housing Director
Total Actual Cost
(2)
Obligated
(1)
Expended
Date
(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
(3) PHAs with under 250 units in management may use 100% of CFP Grants for operations
(4) RHF funds shall be include here
Form HUD-50075.1(4/2008)
Annual Statement/Performance and Evaluation Report
Capital Fund Program, Capital Fund Program Replacement Housing Factor and
Capital Fund Financing Program
U.S. Department of Housing and Urban Development
Office of Public and Indian Housing
2577-0274
07/31/2017
Part II: Supporting Pages
Grant Type and Number
Capital Fund Program Grant No.
Replacement Housing Factor Grant No.
CFFP(Yes/No):
PHA Name:
Frederick Housing Authority
Development Number
Name/PHA-Wide Activities
General Description of Major
Work Categories
Development
Account No.
Federal FFY of Grant:
MD06P00350117
Total Estimated Cost
Quantity
Original
Revised
Not associated with any specific
development
Service Coordinator ( Management
Improvement (1408) )
$22,500.00
$22,500.00
Not associated with any specific
development
Drug Elimination Activities ( Management
Improvement (1408) )
$7,600.00
$7,600.00
Not associated with any specific
development
Investigative Services ( Management
Improvement (1408) )
$19,820.00
$19,820.00
Not associated with any specific
development
HACF Staff training ( Management
Improvement (1408) )
$2,000.00
$2,000.00
Total Actual Cost
(1)
(2)
Status of Work
Funds
Obligated
Funds
Expended
(1) To be completed for the Performance and Evaluation Report or a Revised Annual Statement
(2) To be completed for the Performance and Evaluation Report
Form HUD-50075.1(4/2008)
Annual Statement/Performance and Evaluation Report
Capital Fund Program, Capital Fund Program Replacement Housing Factor and
Capital Fund Financing Program
U.S. Department of Housing and Urban Development
Office of Public and Indian Housing
2577-0274
07/31/2017
Part II: Supporting Pages
Grant Type and Number
Capital Fund Program Grant No.
Replacement Housing Factor Grant No.
CFFP(Yes/No):
PHA Name:
Frederick Housing Authority
Development Number
Name/PHA-Wide Activities
General Description of Major
Work Categories
Development
Account No.
Federal FFY of Grant:
MD06P00350117
Total Estimated Cost
Quantity
Original
Revised
Not associated with any specific
development
Director of Physical Services ( Administration
(1410) )
$21,806.00
$21,806.00
Not associated with any specific
development
Information Clerk/Modernization Assistant (
Administration (1410) )
$30,114.00
$30,114.00
MD003000002 - LUCAS VILLAGE
Printing Specs for Fence replacement Lucas
Village ( Contract Administration (1480) )
$1,000.00
$1,000.00
MD003000002 - LUCAS VILLAGE
Replacement of fence at Lucas Village ( NonDwelling Site Work (1480) )
$57,362.00
$35,000.00
Total Actual Cost
(1)
(2)
Status of Work
Funds
Obligated
Funds
Expended
(1) To be completed for the Performance and Evaluation Report or a Revised Annual Statement
(2) To be completed for the Performance and Evaluation Report
Form HUD-50075.1(4/2008)
Annual Statement/Performance and Evaluation Report
Capital Fund Program, Capital Fund Program Replacement Housing Factor and
Capital Fund Financing Program
U.S. Department of Housing and Urban Development
Office of Public and Indian Housing
2577-0274
07/31/2017
Part II: Supporting Pages
Grant Type and Number
Capital Fund Program Grant No.
Replacement Housing Factor Grant No.
CFFP(Yes/No):
PHA Name:
Frederick Housing Authority
Development Number
Name/PHA-Wide Activities
General Description of Major
Work Categories
Development
Account No.
Federal FFY of Grant:
MD06P00350117
Total Estimated Cost
Quantity
Original
Revised
MD003000002 - LUCAS VILLAGE
Replace furnaces/AC at 12 Lucas Village units
( Dwelling Unit-Interior (1480) )
$252,000.00
$55,000.00
MD003000002 - LUCAS VILLAGE
Replacement of furnaces and AC to
Community Room, PAL bldg. and Family
Services Center at Lucas Village ( NonDwelling Construction - Mechanical (1480) )
$42,000.00
$42,000.00
Not associated with any specific
development
Purchase new dump truck ( Non-Dwelling
Construction-New Construction (1480) )
$60,000.00
$75,000.00
MD003000001 - GEO WASHINGTON Replace roof at bldg. 5 at Carver Apartments (
CARVER
Dwelling Unit-Exterior (1480) )
Total Actual Cost
(1)
(2)
Status of Work
Funds
Obligated
Funds
Expended
$20,000.00
(1) To be completed for the Performance and Evaluation Report or a Revised Annual Statement
(2) To be completed for the Performance and Evaluation Report
Form HUD-50075.1(4/2008)
Annual Statement/Performance and Evaluation Report
Capital Fund Program, Capital Fund Program Replacement Housing Factor and
Capital Fund Financing Program
U.S. Department of Housing and Urban Development
Office of Public and Indian Housing
2577-0274
07/31/2017
Part II: Supporting Pages
Grant Type and Number
Capital Fund Program Grant No.
Replacement Housing Factor Grant No.
CFFP(Yes/No):
PHA Name:
Frederick Housing Authority
Development Number
Name/PHA-Wide Activities
General Description of Major
Work Categories
MD003000006 - CATOCTIN MANOR
Replace Verti-Pak units at Catoctin Manor
Apts-23 units ( Dwelling Unit-Interior
(1480),Non-Dwelling Construction Mechanical (1480) )
Development
Account No.
Federal FFY of Grant:
MD06P00350117
Total Estimated Cost
Quantity
Original
Revised
Total Actual Cost
(1)
(2)
Status of Work
Funds
Obligated
Funds
Expended
$94,853.00
MD003000001 - GEO WASHINGTON Replace playground equipment and surface at
CARVER
Lincoln Apartments ( Dwelling Unit-Site Work
(1480) )
$20,000.00
MD003000002 - LUCAS VILLAGE
Replace yard fencing at scattered site units - 9
units ( Dwelling Unit-Site Work (1480) )
$35,000.00
MD003000001 - GEO WASHINGTON Replace bathroom vanities, sinks and related
CARVER
plumbing at Carver Apts - 57 units ( Dwelling
Unit-Interior (1480) )
$20,000.00
(1) To be completed for the Performance and Evaluation Report or a Revised Annual Statement
(2) To be completed for the Performance and Evaluation Report
Form HUD-50075.1(4/2008)
Annual Statement/Performance and Evaluation Report
Capital Fund Program, Capital Fund Program Replacement Housing Factor and
Capital Fund Financing Program
U.S. Department of Housing and Urban Development
Office of Public and Indian Housing
2577-0274
07/31/2017
Part II: Supporting Pages
Grant Type and Number
Capital Fund Program Grant No.
Replacement Housing Factor Grant No.
CFFP(Yes/No):
PHA Name:
Frederick Housing Authority
Development Number
Name/PHA-Wide Activities
General Description of Major
Work Categories
Development
Account No.
Federal FFY of Grant:
MD06P00350117
Total Estimated Cost
Quantity
Original
Revised
MD003000001 - GEO WASHINGTON Fees - Printing specs for replacement of
CARVER
playground and surface art Lincoln Apts. (
Contract Administration (1480) )
$1,000.00
MD003000006 - CATOCTIN MANOR
$500.00
Fees - Printing specs for replacement of VertiPak units at Catoctin Manor ( Contract
Administration (1480) )
MD003000001 - GEO WASHINGTON Fees - Printing specs for Roof Replacements at
CARVER
Carver Apts. ( Contract Administration (1480) )
$1,000.00
MD003000001 - GEO WASHINGTON Replace roof at Community Room bldg. at
CARVER
Carver Apts. ( Non-Dwelling Exterior (1480) )
$15,009.00
Total Actual Cost
(1)
(2)
Status of Work
Funds
Obligated
Funds
Expended
(1) To be completed for the Performance and Evaluation Report or a Revised Annual Statement
(2) To be completed for the Performance and Evaluation Report
Form HUD-50075.1(4/2008)
Annual Statement/Performance and Evaluation Report
Capital Fund Program, Capital Fund Program Replacement Housing Factor and
Capital Fund Financing Program
U.S. Department of Housing and Urban Development
Office of Public and Indian Housing
2577-0274
07/31/2017
Part II: Supporting Pages
Grant Type and Number
Capital Fund Program Grant No.
Replacement Housing Factor Grant No.
CFFP(Yes/No):
PHA Name:
Frederick Housing Authority
Development Number
Name/PHA-Wide Activities
General Description of Major
Work Categories
Development
Account No.
Federal FFY of Grant:
MD06P00350117
Total Estimated Cost
Quantity
Original
MD003000002 - LUCAS VILLAGE
Printing Specs Furnaces/AC's Lucas Village (
Contract Administration (1480),Dwelling UnitInterior (1480) )
$1,000.00
MD003000002 - LUCAS VILLAGE
Advertisement/furnaces and AC's Lucas
Village ( Contract Administration (1480) )
$2,000.00
Total:
$519,202.00
Revised
Total Actual Cost
(1)
(2)
Status of Work
Funds
Obligated
Funds
Expended
$519,202.00
(1) To be completed for the Performance and Evaluation Report or a Revised Annual Statement
(2) To be completed for the Performance and Evaluation Report
Form HUD-50075.1(4/2008)
Annual Statement/Performance and Evaluation Report
Capital Fund Program, Capital Fund Program Replacement Housing Factor and
Capital Fund Financing Program
U.S. Department of Housing and Urban Development
Office of Public and Indian Housing
2577-0274
07/31/2017
Part III: Implementation Schedule for Capital Fund Financing Program
PHA Name:
Federal FFY of Grant:
Frederick Housing Authority
Development Number
Name/PHA-Wide Activities
All Fund Obligated (Quarter Ending Date)
Original Obligation End
Date
Actual Obligation End
Date
All Funds Expended (Quarter Ending Date)
Original Expenditure
End Date
Actual Expenditure End
Date
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.
Form HUD-50075.1(4/2008)
| File Type | application/pdf |
| File Modified | 2018-03-09 |
| File Created | 2018-03-09 |