| Annual Statement /Performance and
Evaluation Report |
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| Capital
Fund Program and Capital Fund Program Replacement Housing Factor (CFP/CFPRHF) |
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| Part
II: Supporting Pages |
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| PHA Name: |
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Grant Type and Number |
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Federal
FY of Grant: 2010 |
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| Community Development Authority
of the City of Madison |
Capital Fund Program Grant No: WI39-P003-501-10 |
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| Replacement
Housing Factor Grant No: |
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| Development Number/Name |
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Development |
tity |
Total Estimated Cost |
Total Estimated Cost |
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| HA -
Wide
Activities |
General Description of Major
Work Categories |
Account Number |
Quan |
Original |
Revised |
Funds
Obligated |
Funds Expended |
Status of Proposed Work |
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1. Window replacement |
1450 |
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| Scattered |
2. siding replacement |
1450 |
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35,000.00 |
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| Sites |
1450 tot |
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77,224.94 |
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3. Bath Remodel ABC |
1460 |
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0.00 |
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4. Flooring Replacment |
1460 |
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5,760.00 |
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1460 tot |
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5,760.00 |
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5. Appliance replacement |
1465 |
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2,600.00 |
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6. Furnace replacement |
1465 |
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7,800.00 |
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7. Water Heater Replacement |
1465 |
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5,200.00 |
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8. Water softener replacement |
1465 |
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2,773.31 |
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1465 tot |
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18,373.31 |
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101,358.25 |
0.00 |
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| (1) To Be completed for Performance and Evaluation Report or a Revised Annual
Statement. (2) To be completed for
the Performance and Evaluation Report. |
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| Signature of Executive Director and
Date |
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Signature of Public
Housing Director/Office of Native American
Programs Administrator and Date |
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