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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
02/28/2022
Part i; Summary
Grant Type and Number
Capital Fund Program Grant No.
Replacement Housing Factor Grant Ne.
Date of CFFP:
PHA Name:
City of Glendale Housing Authority
AZ20P00350118
FFY of Grant:
FFY of Grant Approval:
Type of Grant
n Ori
() Performance and Evaluation Report for Period Ending:
C1 Reserve for Disasters/Emergencies
Annual Statement
Revised Annual Statement (Revision No: ! d
Final Performance and Evaluation Report
Line Summary by Development Account Total Estimated Cost Total Actual Cost “)
Original Revised ® Obligated Expended
1 Total non-CFP Funds
2 1406 Operations $37,000.00 $37,000.00
3 1408 Management Improvement $3,000.00 $3,000.00
4 1410 Administration $3,076.00 | $3,076.00 g
5 1480 General Capital Activity $285,500.00 S289:2800T 99.2 Ze (>
6 1492 MovingToWorkDemonstration
7 1501 Collater Exp / Debt Srve
8 1503 RAD-CFP
9 1504 Rad Investment Activity
10 1505 RAD-CPT
11 1509 Preparing for, Preventing and Responding to Coronavirus (1509)
(1) To be completed for the Performance und 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 Granis for operations
(4) RHE funds shall be include here
Form HUD-50075.1(4/2008)
Annual Statement/Performance and Evaluation Report U.S. Department of Housing and Urban Development
Capital Fund Program, Capital Fund Program Replacement Housing Factor and Office of Public and Indian Housing
Capital Fund Financing Program 2577-0274
02/28/2022
Part li: Supporting Pages
PHA Name: Grant Type and Number
ene isames Capital Fund Program Grant No AZ20P003S0118 Federal FFY of Grant:
City of Glendale Housing Authority Replacement Housing Factor Grant No.
CFFP(Yes/No):
Development Number General Description of Major Development Quantity Total Estimated Cost Total Actual Cost_@) Status of Work
Name/PHA-Wide Activities Work Categories Account No. my TU Original Revised Funds Funds “uso
Obligated Expended
AZ003000001 - GLENDALE HOMES {| Administration (Administration (1410)) 1410 3,976.00 $3,02600
Description : Salaries and benefits for the
Bldg Maint. Supervisor working with
construction contractors on the remodel of
units. 255 housrs out of 2080 (13%
calculated at 39.17 for salary and benefits)
AZ003000001 - GLENDALE HOMES | Maintenance Equipment (Operations (1406)) | 1406 $7,000.00 $7,000.00
Description : Upgrade on large maintenance
equipment such as mini rooters, mitre saw,
plumbing pipe camera, wet saw tile cutter,
ete.
AZ003000001 - GLENDALE HOMES | Landscaping (Dwelling Unit-Site Work 1480 $90,000.00 $93,780.00
(1480))
Description : Landscaping, Tree Trimming,
and Tree Removal as needed.
(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
U.S. Department of Housing and Urban Development
Office of Public and Indian Housing
Capital Fund Financing Program 2577-0274
02/28/2022
Part Ii: Supporting Pages
PHAN: . Grant Type and Number
ame: Capital Fund Program Grant No AZ20P00350118 Federal FFY of Grant:
City of Glendale Housing Authority Replacement Housing Factor Grant No.
CFFP(Yes/No):
ect st. (2
Development Number General Description of Major Development Quantity FotaliEstimated Cost Total Actual Cost_( Status of Work
Name/PHA-Wide Activities Work Categories Account No. . Revised (7) Funds | Funds
Obligated Expended
AZ093000001 - GLENDALE HOMES | Replace Interior amd Exterior Doors 1480 $26,000.00 $20,000.00
(Dwelling Unit-Interior (1480),Dwelling ‘
Unit-Exterior (1480) it 3,078
Description : Will replace 30 interior doors _
& 30 exterior doors - PHA Wide
24,070
AZ003000001 - GLENDALE HOMES | Interior and Exterior Light Fixtures 1480 $8,000.00 $8,000.00
(Dwelling Unit-Exteriar (1480),Dwelling
Unit-Interior (1480))
Description : Will replace 80 light fixtures -
PHA Wide
AZ003000001 - GLENDALE HOMES | Water Heaters (Dwelling Unit-Interior 1480 $6,000.00 $6,000.00
(1480))
Description : Replace 20 water heaters -
PHA Wide
(2) 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)