Extracted text (via pymupdf)
44434 characters
Capital Fund Program - Five-Year Action Plan
Office of Public and Indian Housing
U.S. Department of Housing and Urban Development
Part I: Summary
PHA Name :
Locality (City/County & State)
Original 5-Year Plan
Revised 5-Year Plan (Revision No:
)
Chandler Housing & Redevelopment Division
X
2577-0274
02/28/2022
PHA Number:
AZ028
Status:
Approval Date:
Approved By:
Approved
04/16/2021
CHONG, HERBERT
A.
Development Number and Name
Work Statement for
Work Statement for
Work Statement for
Work Statement for
Work Statement for
2020
2021
2022
2023
2024
Year 5
Year 4
Year 3
Year 2
Year 1
AUTHORITY-WIDE
$108,175.50
$63,000.00
$63,000.00
$63,000.00
$63,000.00
FAMILY SITES (AZ028000001)
$35,000.00
$230,000.00
$257,000.00
$292,000.00
$440,000.00
SCATTERED SITES/SENIOR SITES (AZ028000002)
$557,994.50
$307,000.00
$280,000.00
$245,000.00
$97,000.00
Form HUD-50075.2(4/2008)
Attachment H
Capital Fund Program - Five-Year Action Plan
Office of Public and Indian Housing
U.S. Department of Housing and Urban Development
Part II: Supporting Pages - Physical Needs Work Statements (s)
1
2577-0274
02/28/2022
Work Statement for Year
2020
Development Number/Name
Quantity
Estimated Cost
General Description of Major Work Categories
Identifier
AUTHORITY-WIDE (NAWASD)
$108,175.50
Capital Fund Program Salary & Supplies(Administration (1410)-Salaries)
$105,175.50
ID0013
Salaries and supplies
Staff Training(Management Improvement (1408)-Staff Training)
$3,000.00
ID0017
Training events for staff for Capital Fund Program
SCATTERED SITES/SENIOR SITES (AZ028000002)
$557,994.50
Radon Testing (Dwelling Unit-Interior (1480)-Other)
$10,000.00
ID0073
Test all the units at Kingston for radon. This is an ongoing testing requirement
since there are units that have test results above the EPA standard.
Heat Pump Replacements(Dwelling Unit-Interior (1480)-Mechanical)
$145,053.00
ID0043
Removal and replacement of 26 units at Single Family Homes.
Shower/Tub Surround Replacement(Dwelling Unit-Interior (1480)-Tubs and Showers)
$154,206.00
ID0063
Remove 29 damaged shower/tub surrounds and replace with new cultured marble
or composite surrounds at scattered site homes.
Form HUD-50075.2(4/2008)
Capital Fund Program - Five-Year Action Plan
Office of Public and Indian Housing
U.S. Department of Housing and Urban Development
Part II: Supporting Pages - Physical Needs Work Statements (s)
1
2577-0274
02/28/2022
Work Statement for Year
2020
Development Number/Name
Quantity
Estimated Cost
General Description of Major Work Categories
Identifier
Replace Kitchen & Bathroom Cabinets(Dwelling Unit-Interior (1480)-Bathroom Counters and
Sinks,Dwelling Unit-Interior (1480)-Kitchen Cabinets,Dwelling Unit-Interior (1480)-Kitchen Sinks
and Faucets)
$248,735.50
ID0071
Replace the kitchen and bathroom cabinets and associated plumbing fixtures in 29
homes.
FAMILY SITES (AZ028000001)
$35,000.00
Convert Unit 38 to UFAS Accessibility (Dwelling Unit-Interior (1480)-Kitchen Cabinets,Dwelling
Unit-Interior (1480)-Kitchen Sinks and Faucets,Dwelling Unit-Interior (1480)-Tubs and Showers)
$35,000.00
ID0082
Unit 38 at 73 S. Hamilton is currently a Hearing Impaired unit. However, one of
the adult residents had a stroke that placed him into a wheelchair. This work will
combine the two adjoining bathrooms to create a roll-in shower. The rest of the
bathroom will be brought up to UFAS standards. This work will also replace the
kitchen cabinets with UFAS compliant cabinets.
Subtotal of Estimated Cost
$701,170.00
Form HUD-50075.2(4/2008)
Capital Fund Program - Five-Year Action Plan
Office of Public and Indian Housing
U.S. Department of Housing and Urban Development
Part II: Supporting Pages - Physical Needs Work Statements (s)
2
2577-0274
02/28/2022
Work Statement for Year
2021
Development Number/Name
Quantity
Estimated Cost
General Description of Major Work Categories
Identifier
AUTHORITY-WIDE (NAWASD)
$63,000.00
Capital Fund Program Salary & Supplies(Administration (1410)-Salaries)
$60,000.00
ID0014
Salaries and supplies
Staff Training(Management Improvement (1408)-Staff Training)
$3,000.00
ID0018
Training events for staff for Capital Fund Program
FAMILY SITES (AZ028000001)
$230,000.00
Parking Lot Paint & Striping (Dwelling Unit-Site Work (1480)-Striping)
$10,000.00
ID0040
Paint and strip the parking lots at 5 family sites.
Replace Heat Pumps Site 3(Dwelling Unit-Interior (1480)-Mechanical)
$220,000.00
ID0077
Replace the Gas Heat Pumps and ducting on 40 units at family site 3.
SCATTERED SITES/SENIOR SITES (AZ028000002)
$307,000.00
Form HUD-50075.2(4/2008)
Capital Fund Program - Five-Year Action Plan
Office of Public and Indian Housing
U.S. Department of Housing and Urban Development
Part II: Supporting Pages - Physical Needs Work Statements (s)
2
2577-0274
02/28/2022
Work Statement for Year
2021
Development Number/Name
Quantity
Estimated Cost
General Description of Major Work Categories
Identifier
Install Block Fence (Dwelling Unit-Site Work (1480)-Fencing)
$52,000.00
ID0057
Replace existing chain link fence with fence block at 6 homes.
Heat Pump Replacements(Dwelling Unit-Interior (1480)-Mechanical)
$140,000.00
ID0080
Removal and replacement of 26 units at Single Family Homes.
Replace Kitchen & Bathroom Cabinets(Dwelling Unit-Interior (1480)-Bathroom Counters and
Sinks,Dwelling Unit-Interior (1480)-Kitchen Cabinets,Dwelling Unit-Interior (1480)-Kitchen Sinks
and Faucets)
$115,000.00
ID0081
Replace the kitchen and bathroom cabinets and associated plumbing fixture in 11
homes.
Subtotal of Estimated Cost
$600,000.00
Form HUD-50075.2(4/2008)
Capital Fund Program - Five-Year Action Plan
Office of Public and Indian Housing
U.S. Department of Housing and Urban Development
Part II: Supporting Pages - Physical Needs Work Statements (s)
3
2577-0274
02/28/2022
Work Statement for Year
2022
Development Number/Name
Quantity
Estimated Cost
General Description of Major Work Categories
Identifier
AUTHORITY-WIDE (NAWASD)
$63,000.00
Capital Fund Program Salary & Supplies(Administration (1410)-Salaries)
$60,000.00
ID0046
Salaries and Supplies
Staff Training(Management Improvement (1408)-Staff Training)
$3,000.00
ID0047
Training events for staff for Capital Fund Program
FAMILY SITES (AZ028000001)
$440,000.00
Sewer Line Rehab(Dwelling Unit-Site Work (1480)-Sewer Lines - Mains)
$240,000.00
ID0066
The sewer lines in the family sites are original cast iron that is reaching the
designed useful life. This project will install an epoxy liner, cured in-place
(CIPP) that will extend the life of the pipe another 20 plus years. Site-2
Replace Heat Pumps Site 2(Dwelling Unit-Interior (1480)-Mechanical)
$200,000.00
ID0076
Replace the Gas Heat Pumps and ducting on 38 units at family site 2.
SCATTERED SITES/SENIOR SITES (AZ028000002)
$97,000.00
Form HUD-50075.2(4/2008)
Capital Fund Program - Five-Year Action Plan
Office of Public and Indian Housing
U.S. Department of Housing and Urban Development
Part II: Supporting Pages - Physical Needs Work Statements (s)
3
2577-0274
02/28/2022
Work Statement for Year
2022
Development Number/Name
Quantity
Estimated Cost
General Description of Major Work Categories
Identifier
Roof Replacement(Dwelling Unit-Exterior (1480)-Roofs)
$97,000.00
ID0069
Replace the asphalt shingle roofs on 8 scattered site homes.
Subtotal of Estimated Cost
$600,000.00
Form HUD-50075.2(4/2008)
Capital Fund Program - Five-Year Action Plan
Office of Public and Indian Housing
U.S. Department of Housing and Urban Development
Part II: Supporting Pages - Physical Needs Work Statements (s)
4
2577-0274
02/28/2022
Work Statement for Year
2023
Development Number/Name
Quantity
Estimated Cost
General Description of Major Work Categories
Identifier
SCATTERED SITES/SENIOR SITES (AZ028000002)
$280,000.00
Install Block Fence(Dwelling Unit-Site Work (1480)-Fencing)
$280,000.00
ID0064
Install a fence block fence between 33 scattered site homes that currently have a
chain link fence.
AUTHORITY-WIDE (NAWASD)
$63,000.00
Capital Fund Program Salary & Supplies(Administration (1410)-Salaries)
$60,000.00
ID0067
Salaries and Supplies
Staff Training(Management Improvement (1408)-Staff Training)
$3,000.00
ID0068
Training events for staff for Capital Fund Program
FAMILY SITES (AZ028000001)
$257,000.00
Sewer Line Rehab(Dwelling Unit-Site Work (1480)-Sewer Lines - Mains)
$257,000.00
ID0074
The sewer lines in the family sites are original cast iron that is reaching the
designed useful life. This project will install an epoxy liner, cured in-place
(CIPP) that will extend the life of the pipe another 20 plus years. Site-1
Form HUD-50075.2(4/2008)
Capital Fund Program - Five-Year Action Plan
Office of Public and Indian Housing
U.S. Department of Housing and Urban Development
Part II: Supporting Pages - Physical Needs Work Statements (s)
4
2577-0274
02/28/2022
Work Statement for Year
2023
Development Number/Name
Quantity
Estimated Cost
General Description of Major Work Categories
Identifier
Subtotal of Estimated Cost
$600,000.00
Form HUD-50075.2(4/2008)
Capital Fund Program - Five-Year Action Plan
Office of Public and Indian Housing
U.S. Department of Housing and Urban Development
Part II: Supporting Pages - Physical Needs Work Statements (s)
5
2577-0274
02/28/2022
Work Statement for Year
2024
Development Number/Name
Quantity
Estimated Cost
General Description of Major Work Categories
Identifier
SCATTERED SITES/SENIOR SITES (AZ028000002)
$245,000.00
Shower/Tub Surround Replacement(Dwelling Unit-Interior (1480)-Tubs and Showers)
$74,550.00
ID0062
Remove 14 damaged shower/tub surrounds and replace with new cultured marble
or composite surrounds at scattered site homes.
Replace Kitchen & Bathroom Cabinets(Dwelling Unit-Interior (1480)-Bathroom Counters and
Sinks,Dwelling Unit-Interior (1480)-Kitchen Cabinets,Dwelling Unit-Interior (1480)-Kitchen Sinks
and Faucets)
$170,450.00
ID0070
Replace the kitchen and bathroom cabinets and associated plumbing fixture in 15
homes.
FAMILY SITES (AZ028000001)
$292,000.00
Parking Lot Paint & Striping (Dwelling Unit-Site Work (1480)-Striping)
$10,000.00
ID0065
Paint the lines and numbers at the five (5) family sites.
Replace Heat Pumps Site 1(Dwelling Unit-Interior (1480)-Mechanical)
$282,000.00
ID0075
Replace the Gas Heat Pumps and ducting on 53 units at family site 1.
AUTHORITY-WIDE (NAWASD)
$63,000.00
Form HUD-50075.2(4/2008)
Capital Fund Program - Five-Year Action Plan
Office of Public and Indian Housing
U.S. Department of Housing and Urban Development
Part II: Supporting Pages - Physical Needs Work Statements (s)
5
2577-0274
02/28/2022
Work Statement for Year
2024
Development Number/Name
Quantity
Estimated Cost
General Description of Major Work Categories
Identifier
Capital Fund Program Salary & Supplies(Administration (1410)-Salaries)
$60,000.00
ID0078
Salaries and Supplies
Staff Training(Management Improvement (1408)-Staff Training)
$3,000.00
ID0079
Training events for staff for Capital Fund Program
Subtotal of Estimated Cost
$600,000.00
Form HUD-50075.2(4/2008)
Capital Fund Program - Five-Year Action Plan
Office of Public and Indian Housing
U.S. Department of Housing and Urban Development
Part III: Supporting Pages - Management Needs Work Statements (s)
1
2577-0274
02/28/2022
Work Statement for Year
2020
Development Number/Name
Estimated Cost
General Description of Major Work Categories
Housing Authority Wide
Capital Fund Program Salary & Supplies(Administration (1410)-Salaries)
$105,175.50
Staff Training(Management Improvement (1408)-Staff Training)
$3,000.00
Subtotal of Estimated Cost
$108,175.50
Form HUD-50075.2(4/2008)
Capital Fund Program - Five-Year Action Plan
Office of Public and Indian Housing
U.S. Department of Housing and Urban Development
Part III: Supporting Pages - Management Needs Work Statements (s)
2
2577-0274
02/28/2022
Work Statement for Year
2021
Development Number/Name
Estimated Cost
General Description of Major Work Categories
Housing Authority Wide
Capital Fund Program Salary & Supplies(Administration (1410)-Salaries)
$60,000.00
Staff Training(Management Improvement (1408)-Staff Training)
$3,000.00
Subtotal of Estimated Cost
$63,000.00
Form HUD-50075.2(4/2008)
Capital Fund Program - Five-Year Action Plan
Office of Public and Indian Housing
U.S. Department of Housing and Urban Development
Part III: Supporting Pages - Management Needs Work Statements (s)
3
2577-0274
02/28/2022
Work Statement for Year
2022
Development Number/Name
Estimated Cost
General Description of Major Work Categories
Housing Authority Wide
Capital Fund Program Salary & Supplies(Administration (1410)-Salaries)
$60,000.00
Staff Training(Management Improvement (1408)-Staff Training)
$3,000.00
Subtotal of Estimated Cost
$63,000.00
Form HUD-50075.2(4/2008)
Capital Fund Program - Five-Year Action Plan
Office of Public and Indian Housing
U.S. Department of Housing and Urban Development
Part III: Supporting Pages - Management Needs Work Statements (s)
4
2577-0274
02/28/2022
Work Statement for Year
2023
Development Number/Name
Estimated Cost
General Description of Major Work Categories
Housing Authority Wide
Capital Fund Program Salary & Supplies(Administration (1410)-Salaries)
$60,000.00
Staff Training(Management Improvement (1408)-Staff Training)
$3,000.00
Subtotal of Estimated Cost
$63,000.00
Form HUD-50075.2(4/2008)
Capital Fund Program - Five-Year Action Plan
Office of Public and Indian Housing
U.S. Department of Housing and Urban Development
Part III: Supporting Pages - Management Needs Work Statements (s)
5
2577-0274
02/28/2022
Work Statement for Year
2024
Development Number/Name
Estimated Cost
General Description of Major Work Categories
Housing Authority Wide
Capital Fund Program Salary & Supplies(Administration (1410)-Salaries)
$60,000.00
Staff Training(Management Improvement (1408)-Staff Training)
$3,000.00
Subtotal of Estimated Cost
$63,000.00
Form HUD-50075.2(4/2008)
Annual Statement/Performance and Evaluation Report
Capital Fund Program, Capital Fund Program Replacement Housing Factor and
Capital Fund Financing Program
Office of Public and Indian Housing
U.S. Department of Housing and Urban Development
Part I: Summary
PHA Name:
Grant Type and Number
Capital Fund Program Grant No.
Replacement Housing Factor Grant No.
Date of CFFP:
FFY of Grant:
FFY of Grant Approval:
Type of Grant
Original Annual Statement
Performance and Evaluation Report for Period Ending:
Reserve for Disasters/Emergencies
Revised Annual Statement (Revision No: )
Final Performance and Evaluation Report
Chandler Housing & Redevelopment Division
AZ20P02850120
X
2
2577-0274
02/28/2022
Line
Summary by Development Account
Total Estimated Cost
Total Actual Cost
Original
Revised
Obligated
Expended
(1)
(2)
1
Total non-CFP Funds
2
1406 Operations
3
1408 Management Improvement
$3,000.00
$3,000.00
4
1410 Administration
$104,417.00
$105,175.50
5
1480 General Capital Activity
$588,700.00
$592,994.50
6
1492 MovingToWorkDemonstration
7
1501 Collater Exp / Debt Srvc
8
1503 RAD-CFP
9
1504 Rad Investment Activity
10
1505 RAD-CPT
11
1509 Preparing for, Preventing and Responding to Coronavirus (1509)
Form HUD-50075.1(4/2008)
(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
Annual Statement/Performance and Evaluation Report
Capital Fund Program, Capital Fund Program Replacement Housing Factor and
Capital Fund Financing Program
Office of Public and Indian Housing
U.S. Department of Housing and Urban Development
Part I: Summary
PHA Name:
Grant Type and Number
Capital Fund Program Grant No.
Replacement Housing Factor Grant No.
Date of CFFP:
FFY of Grant:
FFY of Grant Approval:
Type of Grant
Original Annual Statement
Performance and Evaluation Report for Period Ending:
Reserve for Disasters/Emergencies
Revised Annual Statement (Revision No: )
Final Performance and Evaluation Report
Chandler Housing & Redevelopment Division
AZ20P02850120
X
2
2577-0274
02/28/2022
Line
Summary by Development Account
Total Estimated Cost
Total Actual Cost
Original
Revised
Obligated
Expended
(1)
(2)
12
9000 Debt Reserves
13
9001 Bond Debt Obligation
14
9002 Loan Debt Obligation
15
RESERVED
16
RESERVED
17
RESERVED
18a
RESERVED
18ba
RESERVED
19
RESERVED
20
RESERVED
21
Amount of Annual Grant: (sum of lines 2-20)
$696,117.00
$701,170.00
Form HUD-50075.1(4/2008)
(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
Annual Statement/Performance and Evaluation Report
Capital Fund Program, Capital Fund Program Replacement Housing Factor and
Capital Fund Financing Program
Office of Public and Indian Housing
U.S. Department of Housing and Urban Development
Part I: Summary
PHA Name:
Grant Type and Number
Capital Fund Program Grant No.
Replacement Housing Factor Grant No.
Date of CFFP:
FFY of Grant:
FFY of Grant Approval:
Type of Grant
Original Annual Statement
Performance and Evaluation Report for Period Ending:
Reserve for Disasters/Emergencies
Revised Annual Statement (Revision No: )
Final Performance and Evaluation Report
Chandler Housing & Redevelopment Division
AZ20P02850120
X
2
2577-0274
02/28/2022
Line
Summary by Development Account
Total Estimated Cost
Total Actual Cost
Original
Revised
Obligated
Expended
(1)
(2)
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 Date
Signature of Public Housing Director Date
/S/ MABQ93
04/16/2021
Form HUD-50075.1(4/2008)
(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
Annual Statement/Performance and Evaluation Report
Capital Fund Program, Capital Fund Program Replacement Housing Factor and
Capital Fund Financing Program
Office of Public and Indian Housing
U.S. Department of Housing and Urban Development
Part II: Supporting Pages
PHA Name:
Grant Type and Number
Capital Fund Program Grant No.
Replacement Housing Factor Grant No.
CFFP(Yes/No):
Federal FFY of Grant:
Chandler Housing & Redevelopment Division
AZ20P02850120
2577-0274
02/28/2022
Development Number
Name/PHA-Wide Activities
General Description of Major
Work Categories
Total Estimated Cost
Total Actual Cost
Original
Revised
Funds
Obligated
Funds
Expended
(2)
(1)
Development
Account No.
Status of Work
Quantity
Not associated with any specific
development
Capital Fund Program Salary & Supplies
(Administration (1410))
Description : Salaries and supplies
1410
$104,417.00
$105,175.50
Not associated with any specific
development
Staff Training (Management Improvement
(1408))
Description : Training events for staff for
Capital Fund Program
1408
$3,000.00
$3,000.00
AZ028000002 - SCATTERED
SITES/SENIOR SITES
Heat Pump Replacements (Dwelling Unit-
Interior (1480))
Description : Removal and replacement of
26 units at Single Family Homes.
1480
$140,000.00
$145,053.00
Form HUD-50075.1(4/2008)
(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
Annual Statement/Performance and Evaluation Report
Capital Fund Program, Capital Fund Program Replacement Housing Factor and
Capital Fund Financing Program
Office of Public and Indian Housing
U.S. Department of Housing and Urban Development
Part II: Supporting Pages
PHA Name:
Grant Type and Number
Capital Fund Program Grant No.
Replacement Housing Factor Grant No.
CFFP(Yes/No):
Federal FFY of Grant:
Chandler Housing & Redevelopment Division
AZ20P02850120
2577-0274
02/28/2022
Development Number
Name/PHA-Wide Activities
General Description of Major
Work Categories
Total Estimated Cost
Total Actual Cost
Original
Revised
Funds
Obligated
Funds
Expended
(2)
(1)
Development
Account No.
Status of Work
Quantity
AZ028000002 - SCATTERED
SITES/SENIOR SITES
Shower/Tub Surround Replacement
(Dwelling Unit-Interior (1480))
Description : Remove 29 damaged
shower/tub surrounds and replace with new
cultured marble or composite surrounds at
scattered site homes.
1480
$154,206.00
$154,206.00
AZ028000002 - SCATTERED
SITES/SENIOR SITES
Replace Kitchen & Bathroom Cabinets
(Dwelling Unit-Interior (1480))
Description : Replace the kitchen and
bathroom cabinets and associated plumbing
fixtures in 29 homes.
1480
$284,494.00
$248,735.50
AZ028000002 - SCATTERED
SITES/SENIOR SITES
Radon Testing (Dwelling Unit-Interior
(1480))
Description : Test all the units at Kingston
for radon. This is an ongoing testing
requirement since there are units that have
test results above the EPA standard.
1480
$10,000.00
$10,000.00
Form HUD-50075.1(4/2008)
(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
Annual Statement/Performance and Evaluation Report
Capital Fund Program, Capital Fund Program Replacement Housing Factor and
Capital Fund Financing Program
Office of Public and Indian Housing
U.S. Department of Housing and Urban Development
Part II: Supporting Pages
PHA Name:
Grant Type and Number
Capital Fund Program Grant No.
Replacement Housing Factor Grant No.
CFFP(Yes/No):
Federal FFY of Grant:
Chandler Housing & Redevelopment Division
AZ20P02850120
2577-0274
02/28/2022
Development Number
Name/PHA-Wide Activities
General Description of Major
Work Categories
Total Estimated Cost
Total Actual Cost
Original
Revised
Funds
Obligated
Funds
Expended
(2)
(1)
Development
Account No.
Status of Work
Quantity
AZ028000001 - FAMILY SITES
Convert Unit 38 to UFAS Accessibility
(Dwelling Unit-Interior (1480))
Description : Unit 38 at 73 S. Hamilton is
currently a Hearing Impaired unit. However,
one of the adult residents had a stroke that
placed him into a wheelchair. This work
will combine the two adjoining bathrooms to
create a roll-in shower. The rest of the
bathroom will be brought up to UFAS
standards. This work will also replace the
kitchen cabinets with UFAS compliant
1480
$35,000.00
Total:
$696,117.00
$701,170.00
Form HUD-50075.1(4/2008)
(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
Annual Statement/Performance and Evaluation Report
Capital Fund Program, Capital Fund Program Replacement Housing Factor and
Capital Fund Financing Program
Office of Public and Indian Housing
U.S. Department of Housing and Urban Development
Part III: Implementation Schedule for Capital Fund Financing Program
PHA Name:
Federal FFY of Grant:
Chandler Housing & Redevelopment Division
2577-0274
02/28/2022
Development Number
Name/PHA-Wide Activities
All Fund Obligated (Quarter Ending Date)
All Funds Expended (Quarter Ending Date)
Original Obligation End
Date
Actual Obligation End
Date
Original Expenditure
End Date
Actual Expenditure End
Date
(1)
Reasons for Revised Target Dates
Form HUD-50075.1(4/2008)
(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.
Annual Statement/Performance and Evaluation Report
U.S. Department of Housing and Urban Development
Office of Public and Indian Housing
Expires 11/30/2023
Capital Fund Program, Capital Fund Program Replacement Housing Factor and
Capital Fund Financing Program OMB No. 2577-0157
“Public reporting burden for this collection of information is estimated to average 2.2 hours. This includes the time for collecting, reviewing, and reporting the data. The information
requested is required to obtain a benefit. This form is used to verify allowable and reasonableness of grant expenses. There are no assurances of confidentiality. HUD may not
conduct or sponsor, and an applicant is not required to respond to a collection of information unless it displays a currently valid OMB control number.
Type of Grant
Original Annual Statement Reserve for Disasters/Emergencies Revised Annual Statement (revision no:
PHA Name
Performance and Evaluation Report for Period Ending:
Final Performance and Evaluation Report
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.
Page 1
form HUD-50075.1 (07/2014)
Grant Type and Number
Capital Fund Program Grant No:
Replacement Housing Factor Grant No:
Date of CFFP:
FFY of Grant:
FFY of Grant Approval:
Line
Summary by Development Account
Total Estimated Cost
Total Actual Cost 1
Original
Revised2
Obligated
Expended
1
Total non-CFP Funds
2
1406 Operations (may not exceed 20% of line 15) 3
3
1408 Management Improvements
4
1410 Administration (may not exceed 10% of line 15)
5
1480 General Capital Activity
6
1492 Moving to Work Demonstration
7
1501 Collaterization Expense / Debt Service Paid by PHA
8
1503 RAD-CFP
9
1504 RAD Investment Activity
10
1505 RAD-CPT
11
9000 Debt Reserves
12
9001 Bond Debt Obligation paid Via System of Direct Payment
13
9002 Loan Debt Obligation paid Via System of Direct Payment
14
9900 Post Audit Adjustment
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 OMB No. 2577-0157
Expires 11/30/2023
* I certify that the information provided on this form and in any accompanying documentation is true and accurate. I acknowledge that making, presenting, or submitting a false,
fictitious, or fraudulent statement, representation, or certification may result in criminal, civil, and/or administrative sanctions, including fines, penalties, and imprisonment.
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.
Page 2
form HUD-50075.1 (07/2014)
Final Performance and Evaluation Report
Part I: Summary
PHA Name:
Grant Type and Number
Capital Fund Program Grant No:
Replacement Housing Factor Grant No:
Date of CFFP:
FFY of Grant:
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:
Line
Summary by Development Account
Total Estimated Cost
Total Actual Cost 1
Original
Revised 2
Obligated
Expended
15
Amount of Annual Grant:: (sum of lines 2 - 14)
16
Amount of line 15 Related to LBP Activities
17
Amount of line 15 Related Sect. 504, ADA, and Fair Housing Act Activities.
18
Amount of line 15 Related to Security - Soft Costs
19
Amount of line 15 Related to Security - Hard Costs
20
Amount of line 15 Related to Energy Conservation Measures
Signature of Executive Director *
Date
Signature of Public Housing Director Date
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 OMB No. 2577-0157
Expires 11/30/2023
Development Number
General Description of Major Work
Development
Quantity
Total Estimated Cost
Total Actual Cost
Status of Work
Name/PHA-Wide
Categories
Account No.
Activities
Original
Revised 1
Funds
Funds
Obligated2
Expended2
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.
Page 3
form HUD-50075.1 (07/2014)
Part II: Supporting Pages
PHA Name:
Grant Type and Number
Capital Fund Program Grant
No: CFFP (Yes/ No):
Replacement Housing
Factor Grant No:
Federal FFY of Grant:
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 OMB No. 2577-0157
Expires 11/30/2023
Development Number
General Description of Major Work
Development
Quantity
Total Estimated Cost
Total Actual Cost
Status of Work
Name/PHA-Wide
Categories
Account No.
Activities
Original
Revised 1
Funds
Funds
Obligated2
Expended2
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.
Page 4
form HUD-50075.1 (07/2014)
Part II: Supporting Pages
PHA Name:
Grant Type and Number
Capital Fund Program Grant
No: CFFP (Yes/ No):
Replacement Housing
Factor Grant No:
Federal FFY of Grant:
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 OMB No. 2577-0157
Expires 11/30/2023
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.
Page 5
form HUD-50075.1 (07/2014)
Part III: Implementation Schedule for Capital Fund Financing Program
PHA Name:
Federal FFY of Grant:
Development Number
Name/PHA-Wide
Activities
All Fund Obligated
(Quarter Ending Date)
All Funds Expended
(Quarter Ending Date)
Reasons for Revised Target Dates 1
Original
Obligation End
Date
Actual Obligation
End Date
Original Expenditure
End Date
Actual Expenditure End
Date
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 OMB No. 2577-0157
Expires 11/30/2023
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.
Page 6
form HUD-50075.1 (07/2014)
Part III: Implementation Schedule for Capital Fund Financing Program
PHA Name:
Federal FFY of Grant:
Development Number
Name/PHA-Wide
Activities
All Fund Obligated
(Quarter Ending Date)
All Funds Expended
(Quarter Ending Date)
Reasons for Revised Target Dates 1
Original
Obligation End
Date
Actual Obligation
End Date
Original Expenditure
End Date
Actual Expenditure End
Date
Capital Fund Program—Five-Year Action Plan
U.S. Department of Housing and Urban Development
Office of Public and Indian Housing
OMB No. 2577-0157
Expires 3/31/2020
Page 1 of 6
form HUD-50075.2 (4/2008)
Part I: Summary
PHA Name/Number
Locality (City/County & State)
Original 5-Year Plan
Revision No:
A.
Development Number and
Name
Work Statement
Work Statement for Year 2
forYear1
FFY
Work Statement for Year 3
FFY
Work Statement for Year 4
FFY
Work Statement for Year 5
FFY
FFY _______
B.
Physical Improvements
Subtotal
Annual Statement
C.
Management Improvements
D.
PHA-Wide Non-dwelling
Structures and Equipment
E.
Administration
F.
Other
G.
Operations
H.
Demolition
I.
Development
J.
Capital Fund Financing –
Debt Service
K.
Total CFP Funds
L.
Total Non-CFP Funds
M.
Grand Total
Capital Fund Program—Five-Year Action Plan
U.S. Department of Housing and Urban Development
Office of Public and Indian Housing
OMB No. 2577-0226
Expires 3/31/2020
Page 2 of 6
form HUD-50075.2 (4/2008)
Part I: Summary (Continuation)
PHA Name/Number
Locality (City/county & State)
Original 5-Year Plan
Revision No:
Development Number
Work
Work Statement for Year 2
and Name
Statement for
FFY
Work Statement for Year 3
FFY
Work Statement for Year 4
FFY
Work Statement for Year 5
FFY
Year 1
FFY _______
Annual
Statement
Capital Fund Program—Five-Year Action Plan
U.S. Department of Housing and Urban Development
Office of Public and Indian Housing
OMB No. 2577-0226
Expires 3/31/2020
Page 3 of 6
form HUD-50075.2 (4/2008)
Part II: Supporting Pages – Physical Needs Work Statement(s)
Work
Statement for
Year 1 FFY
______
Work Statement for Year
FFY
Work Statement for
FFY
Year:
Development Number/Name
General Description of Major Work
Categories
Quantity
Estimated Cost
Development Number/Name
General Description of Major Work
Categories
Quantity
Estimated Cost
See
Annual
Statement
Subtotal of Estimated Cost
$
Subtotal of Estimated Cost
$
Capital Fund Program—Five-Year Action Plan
U.S. Department of Housing and Urban Development
Office of Public and Indian Housing
OMB No. 2577-0226
Expires 3/31/2020
Page 4 of 6
form HUD-50075.2 (4/2008)
Part II: Supporting Pages – Physical Needs Work Statement(s)
Work
Statement for
Year 1 FFY
______
Work Statement for Year
Work Statement for Year:
FFY
FFY
Development Number/Name
General Description of Major Work Categories
Quantity
Estimated Cost
Development Number/Name
General Description of Major Work
Categories
Quantity
Estimated Cost
See
Annual
Statement
Subtotal of Estimated Cost
$
Subtotal of Estimated Cost
$
Capital Fund Program—Five-Year Action Plan
U.S. Department of Housing and Urban Development
Office of Public and Indian Housing
OMB No. 2577-0226
Expires 3/31/2020
Page 5 of 6
form HUD-50075.2 (4/2008)
Part III: Supporting Pages – Management Needs Work Statement(s)
Work
Statement for
Year 1 FFY
______
Work Statement for Year
Work Statement for Year:
FFY
FFY
Development Number/Name
General Description of Major Work Categories
Estimated Cost
Development Number/Name
General Description of Major Work Categories
Estimated Cost
See
Annual
Statement
Subtotal of Estimated Cost
$
Subtotal of Estimated Cost
$
Capital Fund Program—Five-Year Action Plan
U.S. Department of Housing and Urban Development
Office of Public and Indian Housing
OMB No. 2577-0226
Expires 3/31/2020
Page 6 of 6
form HUD-50075.2 (4/2008)
Part III: Supporting Pages – Management Needs Work Statement(s)
Work
Statement for
Year 1 FFY
______
Work Statement for Year
Work Statement for Year:
FFY
FFY
Development Number/Name
General Description of Major Work Categories
Estimated Cost
Development Number/Name
General Description of Major Work Categories
Estimated Cost
See
Annual
Statement
Subtotal of Estimated Cost
$
Subtotal of Estimated Cost
$
Capital Fund Program
U.S. Department of Housing
OMB Approval No. 2577-0075
(exp. 08/31/2023)
(CFP) Amendment
and Urban Development
to the Annual Contributions Contract (ACC)
Office of Public and Indian Housing
HUD-52840-A
Page 1 of 2
form 52840-A (04/2018)
The information collection requirements contained in this document have been approved by the Office of Management and Budget (OMB)
under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501-3520) and assigned OMB control number 2577-0075. There is no personal
information contained in this application. Information on activities and expenditures of grant funds is public information and is generally
available for disclosure. Recipients are responsible for ensuring confidentiality when disclosure is not required. In accordance with the
Paperwork Reduction Act, HUD may not conduct or sponsor, and a person is not required to respond to, a collection of information unless
the collection displays a currently valid OMB control number.
______________________________________________________________________________________________________________
Whereas, Public Housing Authority (as identified in the attached Addendum) (herein called the “PHA”) and the United States
of America, Secretary of Housing and Urban Development (herein called “HUD”) have entered into Annual Contributions
Contract(s) (ACC(s)) (HUD-53012), this CFP Amendment to the ACC(s) and the attached Addendum (collectively the
Consolidated Annual Contributions Contract).
Whereas, HUD has agreed to provide CFP assistance, to the PHA in the amount specified in the attached Addendum for the
purpose of assisting the PHA in carrying out development, capital and management activities at existing public housing projects
in order to ensure that such projects continue to be available to serve low-income families. HUD reserves the right to provide
additional CFP assistance in this FY to the PHA. HUD will provide a revised CFP Amendment with Addendum authorizing
such additional amounts.
Now Therefore, this CFP Amendment with the attached
Addendum amends the ACC(s) as follows:
1. This CFP Amendment with Addendum is a part of the
ACC(s).
2. The PHA must carry out all development, capital and
management activities in accordance with the United States
Housing Act of 1937 (the Act), 24 CFR Part 905 (the Capital
Fund Final rule) as well as other applicable HUD
requirements, except that the limitation in section 9(g)(1) of
the Act is increased such that of the amount of CFP
assistance provided for under this CFP amendment only, the
PHA may use no more than 25 percent for activities that are
eligible under section 9(e) of the Act only if the PHA’s
HUD-approved Five Year Action Plan provides for such use;
however, if the PHA owns or operates less than 250 public
housing dwelling units, such PHA may continue to use the
full flexibility in section 9(g)(2) of the Act.
3. The PHA has a HUD-approved Capital Fund Five Year
Action Plan and has complied with the requirements for
reporting on open grants through the Performance and
Evaluation Report. The PHA must comply with 24 CFR
905.300 of the Capital Fund Final rule regarding amendment
of the Five-Year Action Plan where the PHA proposes a
Significant Amendment to the Capital Fund Five Year Action
Plan.
4. For cases where HUD has approved a Capital Fund
Financing Amendment to the ACC, HUD will deduct the
payment for amortization scheduled payments from the grant
immediately on the effective date of this CFP Amendment.
The payment of CFP funds due per the amortization
scheduled will be made directly to a designated trustee within
3 days of the due date.
5. Unless otherwise provided, the 24-month time period in
which the PHA must obligate this CFP assistance pursuant to
section 9(j)(1) of the Act and 48-month time period in which
the PHA must expend this CFP assistance pursuant to section
9(j)(5) of the Act starts with the effective date of this CFP
amendment (the date on which CFP assistance becomes
available to the PHA for obligation). Any additional CFP
assistance this FY will start with the same effective date.
6. Subject to the provisions of the ACC(s) and paragraph 3,
and to assist in development, capital and management
activities, HUD agrees to disburse to the PHA or the
designated trustee from time to time as needed up to the
amount of the funding assistance specified herein.
7. The PHA shall continue to operate each public housing
project as low-income housing in compliance with the
ACC(s), as amended, the Act and all HUD regulations for a
period of twenty years after the last disbursement of CFP
assistance for modernization activities for each public
housing project or portion thereof and for a period of forty
years after the last distribution of CFP assistance for
development activities for each public housing project and
for a period of ten years following the last payment of
assistance from the Operating Fund to each public housing
project. However, the ACC shall remain in effect for so long
as HUD determines there is any outstanding indebtedness of
the PHA to HUD which arose in connection with any public
housing project(s) under the ACC(s), and provided further
that, no disposition of any project covered by this amendment
shall occur unless approved by HUD.
Page 2 of 2
form 52840-A (04/2018)
8. The PHA has accepted all CFP assistance provided for this
FY. If the PHA does not comply with any of its obligations
under this CFP Amendment and does not have its Annual
PHA Plan approved within the period specified by HUD,
HUD shall impose such penalties or take such remedial
action as provided by law. HUD may direct the PHA to
terminate all work described in the Capital Fund Annual
Statement. In such case, the PHA shall only incur additional
costs with HUD approval.
9. Implementation or use of funding assistance provided
under this CFP Amendment is subject to any corrective
action order(s) in effect.
10. The PHA is required to report in the format and
frequency established by HUD on all open Capital Fund
grants awarded, including information on the installation of
energy conservation measures.
11. If CFP assistance is provided for activities authorized
pursuant to agreements between HUD and the PHA under the
Rental Assistance Demonstration Program, the PHA shall
follow such applicable statutory authorities and all applicable
HUD regulations and requirements. For total conversion of
public housing projects, the provisions of the ACC shall
remain in effect for so long as HUD determines there is any
outstanding indebtedness of the PHA to HUD which arose in
connection with any public housing projects(s) under the
ACC(s), and provided further that, no disposition or
conversion of any public housing project covered by these
terms and conditions shall occur unless approved by HUD.
For partial conversion, the PHA shall continue to operate
each non-converted public housing project as low-income
housing in accordance with paragraph 7.
12. CFP assistance provided as an Emergency grant or a
Safety and Security grant shall be subject to a 12-month
obligation and 24-month expenditure time period. CFP
assistance provided as a Natural Disaster grant shall be
subject to a 24-month obligation and 48-month expenditure
time period. The start date shall be the date on which such
funding becomes available to the PHA for obligation. The
PHA must record the Declaration(s) of Trust within 60 days
of the effective date or HUD will recapture the funds.