Page3 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 OMB No. 2577-0226
Expires 4/30/2011
Part II: Supporting Pages
PHA Name: Davis Community Housing Authority
Grant Type and Number
Capital Fund Program Grant No: UT06P00950108
CFFP (Yes/ No): NO
Replacement Housing Factor Grant No:
Federal FFY of Grant: 01/01/08 to 12/31/09
Development Number
Name/PHA-Wide
Activities
General Description of Major Work
Categories
Development
Account No.
Quantity Total Estimated Cost Total Actual Cost Status of Work
Original Revised
Funds
Obligated
2
Funds
Expended
2
HA Wide Energy Audit 1408 3,650 0
Operations 1406 23,900 23,900 23,900 13,900
Mgt Improve Training 1408 3,500 1,400 1,400
Fees and Costs Section 504 1430 4,400 7,504 7,504 4,626
Admin. software/licensing/hardware 1408 3,700 0
Departmental document scanners 1408 4,600 0
Administration Housing Authority Staff Payroll and
Benefits to Administer Capital Funds 1410 23,897 23,897 23,897 23,897
UT 9-3 MW Landscaping/drainage Sec 504 1450 4,445 12,471 12,471
Access Controls Commons Room/Exits 1450 4,200 0
Window Coverings 1460 3,500 0
Plumbing Units Section 504 1460 24,000 23,074 23,074
Common painting Section 504 related 1460 10,700 9,986 9,986
Public restrooms remodel Section 504 1460 9,500 22,474 22,474
Cabinets & Case Work Section 504 1460 0 20,214 20,214
New appliances Section 504 1465 2,667 5,931 5,931
Site work accessible route Section 504 1450 3,000 27,758 27,758
Floor Covering Section 504 1460 9,980 2,307 2,307
Bathtub tile surround R/R Section 504 1460 0 8,575 8,575
Wall Modifications Section 504 1460 0 14,453 14,453
Unit Door Modifications Section 504 1460 0 8,435 8,435
Ceiling R/R Section 504 1460 0 13,397 13,397
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.