1. Type of Federal Action: 2. Status of Federal Action: 3. Report … · 2020. 3. 25. · ID0013...

3/5/2020

U.S. Department of Housing & Urban Development Illinois State OfficeAttention: Donica Davis 77 W. Jackson BlvdRoom 2400Chicago, IL 60604

Re: Statement of Significant Amendment

The Pike County Housing Authority constitutes a significant amendment as the following;

Changes to rent or admissions policies or organization of the waiting list; Additions of non-emergency work items (items not included in the current Annual Statement or

Five-year Action Plan) or change in the use of replacement reserve funds under the CapitalFund;

Additions of new activities not included in the current PHDEP Plan; and Any change with regard to demolition or disposition, designation, homeownership programs or

conversion activities.

Sincerely,

Chris Bruns Executive Director

Pike County Housing Authority838 Mason Street, PO Box123

Barry, IL 62312Phone: 217-407-0707

Fax: 217-407-0708Web: www.pikehousing.com

3/5/2020

U.S. Department of Housing & Urban Development Illinois State OfficeAttention: Donica Davis 77 W. Jackson Blvd Room 2400Chicago, IL 60604

Re: 2020 Capital Fund Grant Certification of Compliance with Public Hearing

This letter is to certify that the IL071 – Pike County Housing Authority (PCHA) will conduct a public hearing in compliance with 24 CFR Part 905. This will be met with the timeline identified below.

4/1/2020 – It will be published in a local paper of PCHA's jurisdiction that the 2020 Capital Fund Grant draft will be available for a 45 day comment period. This advertisement is timed to run after the 2020 Capital Fund Grant draft is approved by the PCHA Board on 3/19/2020. All documents pertaining to the 2020 Capital Fund Grant draft will be available for review at both the PCHA office and website www.pikehousing.com.

5/19/2020 – PCHA will hold a Public Hearing at the PCHA office fielding all questions, comments, and concerns from participants and citizens regarding the 2020 Capital Fund Grant draft.

5/21/2020 - At its monthly Board Meeting on this date, PCHA will review all questions, comments, and concerns from the Public Hearing. Barring unforeseen circumstances, PCHA plans to ratify the 2020 Capital Fund Grant draft in full at this monthly Board Meeting. PCHA will maintain the 2020 CFP Grant submission for further review at the PCHA office.

Please let me know of you need anything further regarding this certification or if you have any additional questions.

Sincerely,


Pike County Housing Authority838 Mason Street, PO Box 123

Barry, IL 62312Phone: 217-407-0707

Fax: 217-407-0708Web: www.pikehousing.com

http://www.pikehousing.com/

Previous edition is obsolete form HUD 50071 ( )ref. Handbooks 7417.1, 7475.13, 7485.1, & 7485.3

OMB Approval No. 2577-0157 (Exp. 01/31/2017)Certification of Paymentsto Influence Federal Transactions

U.S. Department of Housing and Urban DevelopmentOffice of Public and Indian Housing

Applicant Name

Program/Activity Receiving Federal Grant Funding

The undersigned certifies, to the best of his or her knowledge and belief, that:

(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connec-tion with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.

(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, Disclosure Form to Report Lobbying, in accordance with its instructions.

(3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all sub recipients shall certify and disclose accordingly.

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

I hereby certify that all the information stated herein, as well as any information provided in the accompaniment herewith, is true and accurate.Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010, 1012; 31 U.S.C. 3729, 3802)

Name of Authorized Official Title

Signature Date (mm/dd/yyyy)

IL071 - Pike County Housing Authority

Capital Fund Program 2020

03/05/2020


DISCLOSURE OF LOBBYING ACTIVITIES Approved by OMB

Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 0348-0046

(See reverse for public burden disclosure.) 1. Type of Federal Action: 2. Status of Federal Action: 3. Report Type:

a. contract a. bid/offer/application a. initial filingb. grant b. initial award b. material changec. cooperative agreement c. post-award For Material Change Only: d. loan year _________ quarter _________ e. loan guarantee date of last report ______________ f. loan insurance

4. Name and Address of Reporting Entity: 5. If Reporting Entity in No. 4 is a Subawardee, Enter Nameand Address of Prime:

Tier ______, if known :

Congressional District, if known : Congressional District, if known : 6. Federal Department/Agency: 7. Federal Program Name/Description:

CFDA Number, if applicable: _____________

8. Federal Action Number, if known : 9. Award Amount, if known :

$

10. a. Name and Address of Lobbying Registrant b. Individuals Performing Services (including address if( if individual, last name, first name, MI): different from No. 10a )

(last name, first name, MI ):

11. Signature:

Print Name:

Title:

Telephone No.: _______________________

Authorized for Local Reproduction

Standard Form LLL (Rev. 7-97)

Information requested through this form is authorized by title 31 U.S.C. section 1352. This disclosure of lobbying activities is a material representation of fact upon which reliance was placed by the tier above when this transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be available for public inspection. required disclosure shall be subject to a not more than $100,000 for each such failure.

Prime Subawardee

Federal Use Only:

Date:

who fails to file the Any person $10,000 and than civil penalty of not less

b b a

N/A✘

18th

U.S. Department of Housing & Urban Development Public Housing Capital Fund 2020

14.872

IL01P07150120 444,674.00

N/A

N/A

Chris Bruns

Executive Director

217-407-0707 3/5/2020

PRINT

Pike County Housing Authority 838 Mason St, PO Box 123 Barry, IL 62312

Capital Fund Program - Five-Year Action Plan Office of Public and Indian HousingU.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: )

Pike County Housing Authority

X

2577-027407/31/2017

PHA Number: IL071

Status: Approval Date: Approved By:Submitted

A. Development Number and Name Work Statement for Work Statement for Work Statement for Work Statement for Work Statement for

2020 2021 2022 2023 2024Year 5Year 4Year 3Year 2Year 1

PITTSFIELD (IL071000001) $444,674.00 $400,000.00 $400,000.00 $400,000.00$400,000.00

Form HUD-50075.2(4/2008)

Capital Fund Program - Five-Year Action PlanOffice of Public and Indian Housing

U.S. Department of Housing and Urban Development

Part II: Supporting Pages - Physical Needs Work Statements (s)

1

2577-027407/31/2017

Work Statement for Year 2020

Development Number/Name Quantity Estimated CostGeneral Description of Major Work CategoriesIdentifier

PITTSFIELD (IL071000001) $444,674.00

Operations(Operations (1406)) $94,674.00ID0002 Operations

A&E Costs(Contract Administration (1480)-Other Fees and Costs) $30,000.00ID0009 A&E Costs

Landscaping, Water Heater Replacement(Dwelling Unit-Interior (1480)-Mechanical,Dwelling Unit-Site Work (1480)-Landscape,Dwelling Unit-Site Work (1480)-Signage)

$320,000.00ID0013 Landscaping, Water Heater Replacement, 71-1 Barry, 71-2 Barry, 71-3 PleasantHill, 71-4 Griggsville, 71-10 Barry, 71-5 Perry, 71-6 Baylis, 71-9 Pittsfield, 71-13Pittsfield, 71-14 New Canton, 71-15 Pittsfield

Subtotal of Estimated Cost $444,674.00

Form HUD-50075.2(4/2008)




2

2577-027407/31/2017



PITTSFIELD (IL071000001) $400,000.00



Fascia Repair/Replace, Siding Repair/Replace, Tuckpointing(Dwelling Unit-Exterior (1480)-Siding,Dwelling Unit-Exterior (1480)-Gutters - Downspouts,Dwelling Unit-Exterior (1480)-Soffits,Dwelling Unit-Exterior (1480)-Tuck-Pointing,Dwelling Unit-Interior (1480)-Mechanical)

$320,000.00ID0014 Fascia Repair/Replace, Siding Repair/Replace, Tuckpointing, Replace Gutters,Replace Dryer Vents, 71-1 Barry, 71-3 Pleasant Hill


Form HUD-50075.2(4/2008)




3

2577-027407/31/2017



PITTSFIELD (IL071000001) $400,000.00



Fascia Repair/Replace, Siding Repair/Replace, Tuckpointing(Dwelling Unit-Exterior (1480)-Gutters -Downspouts,Dwelling Unit-Exterior (1480)-Siding,Dwelling Unit-Exterior (1480)-Soffits,DwellingUnit-Exterior (1480)-Tuck-Pointing,Dwelling Unit-Interior (1480)-Mechanical)

$320,000.00ID0015 Fascia Repair/Replace, Siding Repair/Replace, Tuckpointing, Replace Gutters,Replace Dryer Vents, 71-2 Barry, 71-5 Perry, 71-4 Griggsville


Form HUD-50075.2(4/2008)




4

2577-027407/31/2017



PITTSFIELD (IL071000001) $400,000.00



Fascia Repair/Replace, Siding Repair/Replace, Tuckpointing(Dwelling Unit-Exterior (1480)-Siding,Dwelling Unit-Exterior (1480)-Gutters - Downspouts,Dwelling Unit-Exterior (1480)-Soffits,Dwelling Unit-Exterior (1480)-Tuck-Pointing,Dwelling Unit-Exterior (1480)-Windows,Dwelling Unit-Interior (1480)-Mechanical)

$120,000.00ID0016 Fascia Repair/Replace, Siding Repair/Replace, Tuckpointing, Replace Gutters,Replace Dryer Vents, Replace Windows 71-6 Baylis

HA Wide Accessibility Improvements(Dwelling Unit-Exterior (1480)-Other,Dwelling Unit-Interior(1480)-Other,Dwelling Unit-Site Work (1480)-Other)

$200,000.00ID0017 HA Wide Accessibility Improvements


Form HUD-50075.2(4/2008)




5

2577-027407/31/2017



PITTSFIELD (IL071000001) $400,000.00

HA Wide Accessibility Improvements(Dwelling Unit-Exterior (1480)-Other,Dwelling Unit-Interior(1480)-Other,Dwelling Unit-Site Work (1480)-Other)

$100,000.00ID0020 HA Wide Accessibility Improvements



Parking Lot/Road Repair(Non-Dwelling Site Work (1480)-Asphalt - Concrete - Paving,Non-DwellingSite Work (1480)-Curb and Gutter)

$190,000.00ID0023 Parking Lot/Road Repair71-1 Barry, 71-3 Pleasant Hill, 71-6 Baylis


Form HUD-50075.2(4/2008)

Annual Statement/Performance and Evaluation ReportCapital Fund Program, Capital Fund Program Replacement Housing Factor andCapital Fund Financing Program

Office of Public and Indian HousingU.S. Department of Housing and Urban Development

Part I: Summary

PHA Name: Grant Type and NumberCapital 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


X

2577-027407/31/2017

Line Summary by Development AccountTotal Estimated Cost Total Actual Cost

Original Revised Obligated Expended

(1)

(2)

1 Total non-CFP Funds

2 1406 Operations $94,674.00

3 1408 Management Improvement

4 1410 Administration

5 1480 General Capital Activity $350,000.00

6 1492 MovingToWorkDemonstration

7 1501 Collater Exp / Debt Srvc

8 1503 RAD-CFP

9 1504 Rad Investment Activity

10 1505 RAD-CPT

11 9000 Debt Reserves

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



Part I: Summary



Type of Grant






X

2577-027407/31/2017



(1)

(2)

12 9001 Bond Debt Obligation

13 9002 Loan Debt Obligation

14 RESERVED

15 RESERVED

16 RESERVED

17 RESERVED

18a RESERVED

18ba RESERVED

19 RESERVED

20 RESERVED

21 Amount of Annual Grant: (sum of lines 2-20) $444,674.00

Form HUD-50075.1(4/2008)




Part I: Summary



Type of Grant






X

2577-027407/31/2017



(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

Form HUD-50075.1(4/2008)




Part II: Supporting Pages

PHA Name:Grant Type and NumberCapital Fund Program Grant No.Replacement Housing Factor Grant No.CFFP(Yes/No):

Federal FFY of Grant:Pike County Housing Authority

2577-027407/31/2017

Development NumberName/PHA-Wide Activities

General Description of MajorWork Categories

Total Estimated Cost Total Actual Cost

Original Revised FundsObligated

FundsExpended

(2)

(1)DevelopmentAccount No. Status of WorkQuantity

IL071000001 - PITTSFIELD $94,674.00Operations (Operations (1406))Description : Operations

1406

IL071000001 - PITTSFIELD $30,000.00A&E Costs (Contract Administration (1480))Description : A&E Costs

1480

IL071000001 - PITTSFIELD $320,000.00Landscaping, Water Heater Replacement(Dwelling Unit-Interior (1480),Dwelling Unit-Site Work (1480))Description : Landscaping, Water HeaterReplacement, 71-1 Barry, 71-2 Barry, 71-3Pleasant Hill, 71-4 Griggsville, 71-10 Barry,71-5 Perry, 71-6 Baylis, 71-9 Pittsfield, 71-13Pittsfield, 71-14 New Canton, 71-15 Pittsfield

1480

$444,674.00Total:

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



Part III: Implementation Schedule for Capital Fund Financing Program

PHA Name: Federal FFY of Grant:


2577-027407/31/2017

Development NumberName/PHA-Wide Activities

All Fund Obligated (Quarter Ending Date) All Funds Expended (Quarter Ending Date)

Original Obligation EndDate

Actual Obligation EndDate

Original ExpenditureEnd Date

Actual Expenditure EndDate

(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.

1. Type of Federal Action: 2. Status of Federal Action: 3. Report … · 2020. 3. 25. · ID0013...

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