HomeMy WebLinkAbout2014-157ACLOSEOUT APPROVAL
i 1,1E COPY
E; IICAT;ON ON LAST PAGE
,,.k. SMITH, CLEHK
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I certify that, to the best of my knowledge, all activities undertaken by the local government with funds
under this grant agreement have been carried out in accordance with the grant agreement, that proper
provision has been made for the payment of all paid costs identified; that the State of Florida is under no
obligation to make further payment to the local government under the grant agreement in excess of the
amount identified on Line 3 of the STATUS OF ACCOMPLISHMENTS AND EXPENDITURES form submitted
with this closeout report; that every statement and amount set forth in this instrument is true and correct
as of this date; that all required audits as of this date have been submitted and approved; and I
acknowledge that DEO reserves the right to recover any disallowed costs identified in an audit completed
after this closeout.
Chief Elected Official or Authorized Designee
r•J�\1 E.O. M1ss/O
Wesley S. Davis, Board of County Commissioners Chairman
Name and Title
1/6.
Date
For DEO use only:
APPROVE AS TO PO
AN b G L FF
WILLIAM K. DEERAAL
DEPUTY COUNTY ATTORNEY
Approval of this Closeout Package authorizes the de -obligation of unexpended NSP contract funds in the
amount of $
Division of Community Development DEO Finance and Accounting Section
Name and Title Name and Title
Date Date
Florida Department of Economic Development
Administrative Closeout
Neighborhood Stabilization Programs
(Revised 12/2014)
lust be submitted to the Department of Economic Opportunity (DEO), Neighborhood Stabilization Program, after grant funds have been drawn
ising units are occupied. Please note the following important instructions:
can only be submitted after all amendments have been executed and all requests for funds submitted. The Department will not process a request
Dr amendment that is submitted with a closeout.
nal equest for funds must be submitted prior to submission of the closeout since funds not requested will be de -obligated at closeout.
amendment that is necessary for final reconciliation of the grant funds must be executed prior to the submission of the closeout.
ecipients must complete the Beneficiary Data form and the Status of Accomplishments and Expenditures form.
Dut Approval form must be signed by the Chief Elected Official or another individual authorized by resolution to sign NSP documents. Enter the
n requested or circle the response.
and return only the sections that are applicable to your contract. Contact Jeannie Russell @ 850-717-8440 or Jeanniesussell@deo.myflorida.com
:ions. Use the tab key or the cursor to move between form fields. Click on the appropriate check box to put an "X" for "Yes, No or N/A"
ty NSP -1 Contract #10DB-4X-10-40-01-F13
IPLISHMENTS AND EXPENDITURES (Use additional pages if necessary)
(B)
ivity Activity
ft Name
(C)
DRGR #
(D)
NSP
Accomplishments
DEO Use Only Contracted To Date
(E)
Current
Approved NSP
Budget
(F)
NSP Funds
Received To Date
(G)
Program Income
Funds
Expended
l A Administration $ 294,317.48 $ 294,317.48 $ 102,120.92
15 Housing Counseling $ 725.00 $ 725.00 $ 1,150.00
4A Housing Rehab $ 540,275.05 $ 540,275.05 $ 253,463.31
)1 NSP Acquisition - General 16 27 $ 1,835,718.87 $ 1,835,718.87 $ 937,215.82
)1 NSP Acquisition Rentals 120% 5 5 $ 742,570.47 $ 742,570.47 $ 37,103.12
1A NSP Rehabilitation SF Rentals 120% $ 134,342.31 $ 134,342.31 $ 9,560.43
)1 NSP Set -Aside Acquisition 9 13 $ 957,826.56 $ 957,826.56 $ 195,892.11
-TOTALS 30 45 $ 4,505,775.74 $ 4,505,775.74 $ 1,536,505.71
otal NSP Approved Budget: Total of Column (E) $
'otal NSP Funds Received To Date: Total of Column (F) $
ry-,
,-a.c
efund Due to DEO: If Line (K) is greater than Line (7) indicate the difference $ __
-.--,<
\mount to be Deobligated: If Line (K) is less than Line (J) indicate the difference $ I.
r -
co
ro
3>
G>
%) (B)
vity Activity
Name
(C)
DRGR #
(D)
NSP
Accomplishments
DEO Use Only Contracted To Date
(E)
Current
Approved NSP
Budget
(F)
NSP Funds
Received To Date
(G)
Program Income
Funds
Expended
NSP Set -Aside Housing (SF) Rehab $ 175,049.26 $ 175,049.26 $ 159,133.70
$
$ $ $
$ $ $
$ $ $
%LS 30 45 $ 4,680,825.00 $ 4,680,825.00 $ 1,695,639.41
)tal NSP Approved Budget: Total of Column (E)
$ 4,680,825.00
otal NSP Funds Received To Date: Total of Column (F) $ 4,680,825.00
efund Due to DEO: If Line (K) is greater than Line (J) indicate the difference $ 0.00
_�t
mount to be Deobligated: If Line (K) is Tess than Line (J) indicate the difference
- c)
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TA - Beneficiaries of housing units are measured in households (HH), not number of people living in household.
Activity#01 Gen Activity #01 Acq. Rental Activity #01 Set -Aside
Ac q' 120% Acq. Activity #
oposed 16 5 9
Vtual 27 5 13
aries Proposed (0-50% AMI) 0 0 9
aries Actual (0-50% AMI) 6 0 13
.neficiaries Proposed (51%-80% AMI) 4 5 0
,neficiaries Actual (51%-80% AMI) 11 1 0
ficiaries Proposed (81%-120% AMI) 12 0 0
ficiaries Actual (81%-120% AMI) 10 4 0
For Housing Grants Only -
Enter Summary Information # of # of # of # of # of # of
from Page 6 Total Hispanic Total Hispanic Total Hispanic Total Hispanic Total Hispanic Total Hispanic
# Owner # Renter Ethnicity Ethnicity Ethnicity Ethnicity Ethnicity Ethnicity
Occupied Occupied
24 9 27 3 5 0 13 0
tlaskan
fic
Alaskan
i White
Activity # Activity #
2 9
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