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Resolution 545
PHA Board Resolution Approving Operating Budget U.S. Department of Housing and Urban Development Office of Public and Indian Housing Real Estate Assessment Center (PIH-REAC) OMB No. 2577-0026 (exp. 6/30/2022) Previous editions are obsolete form HUD -52574 (08/2005) Public reporting burden for this collection of Information is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency may not collect this information, and you are not required to complete this form, unless It displays 'a currently valid OMB control number. This information is required by Section 6(c)(4) of the U.S. Housing Act of 1937. The inrormation is the operating budget for the low-income public housing program and provides a summary of the proposed/budgeted receipts and expenditures, approval of budgeted receipts and expenditures, and justification of certain specified amounts. HUD reviews the information to determine if the operating plan adopted by the public housing agency (PHA) and the amounts are reasonable, and that the PHA is in compliance with procedures prescribed by HUD. Responses are r a—A *n nhfnin t e fi{e 7hie inFn tion A— nM Ions ifeelf 1- mnf�io Minlih. PHA Name: HOPKINS HOUSING AUTHORITY PHA Code: MN078 PHA Fiscal Year Beginning: 4/1/2022 Board Resolution Number: 545 Acting on behalf of the Board of Commissioners of the a ove-named PHA as its Chairperson, I make the following certification and agreement to the Department of Housing and Urban Development (HUD) regarding the Board's approval of (check one or more as applicable): DATE ❑ Operating Budgets(for COCC and all Projects) approved by Board 3/01/2022 resolution on: ❑ Operating Budget submitted to HUD, if applicable, on: ❑ Operating Budget revision approved by Board resolution on: ❑ Operating Budget revision submitted to HUD, if applicable, on: I certify on behalf of the above-named PHA that: 1. All statutory and regulatory requirements have been met; 2. The PHA has sufficient operating reserves to meet the working capital needs of its developments; 3. Proposed budget expenditure are necessary in the efficient and economical operating of the housing for the purpose of serving low-income residents; 4. The budget indicates a source of funds adequate to cover all proposed expenditures; 5. The PHA will comply with the wage rate requirement under 24 CFR 968.110(c) and (f); and 6. The PHA will comply with the requirements for access to records and audits under 24 CFR 968.325. 1 hereby certify that all the information stated within, as well as any information provided in the accompaniment herewith, if applicable, is true and accurate. Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (1 B U.S.C. 1001, 1010, 1012.31, U_S.C_ 3729 and 3802) Print Board Chairperson's Name:Signature- Date: Patrick Hanlon Previous editions are obsolete HUD -52574 (06/2019) Operating Budget U.S. Department of Housing and Urban Development Office of Public and Indian Housing See page four for instructions and Public reporting burden statement a. T of Submission b. Fiscal Year Ending c. `N,1o. of months (check one) X OriginalRevision Na: 03!31/23 IJ 12 mo. Other (specify) e. Name of Public Housing AgencylIndian Housing Augwrtly (PtWHA) - - HOPKINS HOUSING AUTHORITY f. Address (city, State, zip code) 01 10101 ST STREET PHAIIHA-Owned Rental Housing HOPKINS, MN 55343 Requested B Estimates PHAIIHA Estimates HUD ModlFcafions Amount Amount PUM (to nearest $1 D) PUM (to nearest S10) (4) (5) (6) g. ACC Number J - h. PASILOCCS Project No. C-942 MN078001 22M J. No. of Dwelling Ueda k No. of Unit Months 030 7714 Nonroutine Maintenance Reserve m. No. of Projects Avallable 0.00 76 912 ONE .OMB Approval W. 2577-0M (exp. Bt301200a) d. T e of HUD assisted projeet(s) 01 X PHAIIHA-Owned Rental Housing 02IHA Requested B Estimates PHAIIHA Estimates HUD ModlFcafions Amount Amount PUM (to nearest $1 D) PUM (to nearest S10) (4) (5) (6) Owned Mutual Halp HomeownarsNp 03 PHAIIHA Leased Rental Housing 04 030 7714 Nonroutine Maintenance Reserve PHAIIHA Owned Turkey III Homeownership as PHAIIHA Leased Homeownership HUD Field Office MINNEAPO Lina No. Acca. 140. Description 11} Actual Last Fiscai Yr. 3/31/21 PUM j iEstimatea []orAetual Current Budget yr. 3131122 PUM 3) Requested B Estimates PHAIIHA Estimates HUD ModlFcafions Amount Amount PUM (to nearest $1 D) PUM (to nearest S10) (4) (5) (6) Homebuyers Monthly Payments for. 010 1 77iD 10perAng Expense 021) 7712 Earned Home Payments 0.00 0.00 030 7714 Nonroutine Maintenance Reserve 0.00 Operating Recelpts 070 3110 Dwelling Rental 277.30 286.60 316.02 288,210 OBO 3120 Excess Utilities 5.86 4.93 4.93 4,500 090 3190 Nondwelfing Rental 0.00 0.00 0 100 Total Rental Income (sum of lines D70, 080, and 090) 283.16 291.53 320.95 292,710 110 3610 Interest on General Fund Investments 0.00 0.00 1 0.00 0 120 3690 Other Income 1.72 5.481 5.48 5.0Q0 130 Total Rental Income sum of Ibtes 100, 110, and 120 284.88 297.01 '326.44 297,710 Operating Expenditures -Administration: 140 4110 1Administrative salaries 100.97 109.65 109.65 100,000 145 1 4itona lAdministrative Beneft 8.60 12.06 12.06 11,000 150 4130 al nse 3.53 4.39 .4.39 4,000 180 4140 Staff Training 2.74 2.74 2,6W 170 4150 Travel 0.55 0.561 500 180 4170 Accounting Fees 4.16 4.93 4.93 4,500 190 4171 Auditing Fees 0.00 0 200 4190 Office Expense 17.27 15.35 15.35 14,000 200 4192 Advertising & Marketing 0.27 0.27 250 200 4194 Other Admin Expense 1.95 1.10 1.10 1.000 210 jTotall Administrative Expense (sum of line 140 thio line 200) 136.48 151.04 151.04 137,750 Tenant Services: 220 4210 JSaladw 0.00 0 225 4ztoes Tenant Services Benefits 0.00 230 4220 Recreation Publications and Other Services 0.00 240 4230 Contract Costs Training and Other 0.00 250 Total Tenant Services Expense sum of fines220 230 and 240 0.00 0.00 0.00 0 UtliiNes: 260 4310 JJWater 18.48 20.29 20.29 18,500 270 4320E 48.72 40.57 40.57 37,000. 280 4330 Gas 22.96 20.83 20.83 19.000 290 4340 Fuel 0.00 0 300 4390 Other Utilities Lxnse 23.38 16.45 16.45 15,000 310 4391 Garbage Removal 33.26 27.41 27.41 25,000 320 Total U80tles Expense sum of line 260 thru line 310 146.80 125.55 125.551 114,500 1 o.OD form HUD -52564(3195) Previous editions are obsolete Page 1 of 3 ref. Handbook 7475.1 Name of PHAIIHA HOPKINS HOUSING AUTHORITY 479.00 485.10 491.31 448,071.50 Fiscal Year Ending 1 03131123 0.00 Una No. Acel, Pio. Description Actual Last Fiscal Yr. 3131121 PUM EgFstimates FlorActual Cu,rem eodper Yr. 3131122 PLM PUM HUD Mortification Amount Amount (to nearest alit) PUM (to nearest s10) Ordinary Maintenance and Operation: 330 4410 Labor 84.39 87.72 92.11 84,000 335 141045 Maintenance Benefits 23.46 20.83 21.17 19 310 340 4420 Materials 18.12 18.64 18.641 17,000 350 4430 Mise contract Costs 17.62 14.25 14.25 13.000 350 4432 Heating 8 Cooling Contracts 2.26 2.74 2.74 2,500 350 4433 Snow Removal Contracts Total Year -End AdustmentslOther (plus or minus Imes 640 thru 860) 74.55 0,00 0 350 4434 Elevator Maintenanr:e Contracts 5.82 7.46 7,46 1 6,800 350 4435 Landsca 8 Grounds Contracts 0.60 1.97 1.97 1.8w 350 4438 Unit Turnaround Contracts 7A2 10.98 10.96 1(3,000 $50 4437 Electrical Contracts 0.55 1.64 1.64 1.5D0 350 4438 Plumbing Contracts 2.81 3.29 3.29 3,000 350 4438 Extermination Contracts 0.91 4.39 4.39 4,000 350 1 4440 Janitorial Contracts 0.00 0.00 0.00 0 350 1 44411 Routine Maintenance Contracts 4.04 0.00 0.00 0 360 Total Ordin Maintenance 8 Operation Expense f1 nes 330 to 350 168.00 173.89 178.63 162,910 Genaral Expense: 410 4510 1 Insurance - P 3.77 17.00 17.00 - 15,500 410 4511 Insurance - Uablifty 2.69 3.84 3.84 3,500 410 4512 insurance - Work Comp 3.08 4.93 4.93 4,500 410 4513 Insurance -Other 1.15 0.00 0 420 4520 Pawnents In Lieu of Taxes 6.82 8.30 9.77 8,912 430 4530 Terminal Leave Payments 0.00 450 4570 Collection Losses 0.79 0.55 0.55 500 460 459D Other General Expense 9.42 0.00 470 Tota( General Expense sum of lines 410 to 46q 27.72 34.62 36.09 32,912 480 Total Routine Exoense (sum of lines 210 25n 920 390 Ann and AM d79_tnn I dR.ri 1n 441 31 AAA n71 rn 550 TOtal Operating nes sum of lines 500 and 479.00 485.10 491.31 448,071.50 Prior Year Adjustments: 0.00 580 1 6010 LriorYearAdjustmentsA Residual Receipts -- 7.94 0.00 Other Expenditures: 0.00 570 Deficiency in Residual Receipts at End of Preceding Fiscal Yr. Total Basic Annual Contribution line 800 plus or minus line 610 0.00 580 Total Operating Expenditures, including prior year adjustments and 630 8020 ContrWons Earned -0p. Subsidy: -Cur. YT.(bef year-end ad) 112.58 135.10 otf+er ex nditures fine 550 plus or minus line 560 plus line 570 486.94 485.10 491.31 448,072 590 Residual Receipts (or Deficit) before HUD Contributions and 0.00 850 Other s oci : CF OPERATIONS provision for ofLeraft reserve line 130 minus fine 580 202.06 188.09 164.87 150 362 HUD Contributlom: 880 Others ) 600 8010 Basic Annual Contribution Eamed-Leased P jeds:CturentYear 0.00 610 8011 Prior Year A4ustments - (Dehi ) Credit 0.00 620 Total Basic Annual Contribution line 800 plus or minus line 610 0.00 0.00 0.00 0 630 8020 ContrWons Earned -0p. Subsidy: -Cur. YT.(bef year-end ad) 112.58 135.10 228.65 1 2022 estimated 640 l&Adatory PFS AJ'ustrnentr, (net)-, 0.00 850 Other s oci : CF OPERATIONS 74.55 0.00 880 Others ) 0.00 670 Total Year -End AdustmentslOther (plus or minus Imes 640 thru 860) 74.55 0.00 0.00 0 680 8020 Totat ok2rating Subskl -current eaT CM 630" ormMuaUna 67al 187.13 135.10 228.65 208,532 690 Total HUD CorMutfons "sum of fines 620 and 680 187.13 135.10 228.65 208,532 70D Residual Receipts (or De" (sum of line 590 plus line 690) Enter here and on fine 810 _ (14.93) (52.99) 63.78 58,171 T form HUD -525134(3195) Previous editions are obsolete Page 2 of 3 ref. Handbook 7475.1 Name of PHMHA Fiscal Year Ending HOPKINS HOUSING AUTHORITY 03/31123 PHMHA Estimates I HUD Modlfications Part I - Maximum Operating Reserve - End of Current Budget Year 740 2821 PHAAHA-Leased Housing • Section 23 or 10(e) 5D% of Une 480, column 5, form HUD -52564 Comments PHA! IHA Approval Name Title Signature Date Field Office Approval Name Previous editions are obsolete Title Signature Date form HUD -52564(3195) Page 3 of 3 ref. Handbook 7475.1 Part II -Provision for and Estimated or Actual Operating Reserve at Fiscal Year End _ 780 Operating Reserve at End of Previous Fiscal Year -Actual for FYE date': 790 Provision for Operating Reserve - Current Budget Year (check one) ❑X Estimated for FYE Actual for FYE Operating Reserve at End of Current Budget Year (check one) 800 FX Estimated for FYE L Actual for FYE Provision for Operating Reserve - Requested Budget Year Estimated for FYE NfA 810 Enter Amount from line 700 Operating Reserve at End of Requested Budget Year Estimated for FYE _ 0 820 Sum of lines 800 and 810 0 830 Cash Reserve Requirement 25 % Of tine 480 0 Comments PHA! IHA Approval Name Title Signature Date Field Office Approval Name Previous editions are obsolete Title Signature Date form HUD -52564(3195) Page 3 of 3 ref. Handbook 7475.1 k B k � V k | $ | MUM ©}§ §§§o ' APB§ /2§W ulE0UgF §ISk ��? $ z -■ _ ! � I • ! . 2 | � ! ! . � -- Cie ®- . � ase |I /| 2N L "\ | a -. §§ §§ \ �z »- #K ƒ■ �� I !§ !) !F .) §% �} � s �§ § §a. m k I %z Ia 7 ; 20 § Cc k {§ ! @ he c ! EIs ! @ 2 � A � 2 e ! . c 2ck k E w �: &° 2J m2 Ok Ic ■ ! e! | � s \ � � $! k� Lu �E . o� ■ \ ! ro lal �flf, �k �Lo!' $ � _ �. . _. ... ■ - � � el a to § k c 2 0 g / 2 0 0 $ 9 $ 2 ! ) f $� k 2 Operating Budget U.S. Department of Housing OMB Approval No. 25774W6(Exp.9/30/2006) Schedule Of Administration and Urban Development Expense Other Than Salary Office of Public and Indian Housing Public Reporting Burden. for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searchin existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless that collection displays a valid OMB control number. This information is required by Section 6 (c)(4) of the U.S. Housing Act of 1937. The information is the operating budget for the low-income housing progn and provides a summary of proposed/budgeted receipts and expeditures, approval of budgeted receipts and expenditures, and justifications of certain specifies amounts. HUD reviews the information to determine if the operating plan adopted by the PHA and the amounts are reasonable and that the PHA is in compli with i ••-ocedures p> escribed by HUD. Re,, onses are �ecjuired to obtain benefits. This information does not lend itself to confidentiality. Name of Housing Authority: HOPKINS HOUSING AUTHORITY Locality: HOPK,INS, MN Fiscal Year End: 03/31/23 (1) Des 'tion 1 LegalE (see Special Note in Instruction) (2) Total (3) M •ement (4) Development, (5) Section 8 (6) Other 4,00 4,000 2 Training (list and providejustification) 2,500 2,500 3 Travel. Tris To Conventions and Meetings list and providejustification.) 0 4 Other Travel: Outside Area of Jurisdiction 0 500 5 Within Area of jurisdiction 0 6 Total Travel 500 500 '0 0 0 7 Accounting 4,500 4,500 8 Auditing 0 9 Sundry Rental of Office Space 4180 0 16 Publications 4190 100 100 11 Membership Dues and Fees 4194 500 500 12 Collection Agent Fees and Court Costs 4190 13 Administrative Services Contracts 4190 500 500 14 Other Sundry Ex erase (Bank fees) 4194 500 500 15 Tele -phone, Fax, Electronic Communications 4190 7,2001 7,200 16 Focus, Stationary and Office Supplies 4190 6,200 6,200 17 Advertising & Marketing 4192. 250 250 1$ 1 Total Sundry 15.250 15.250 01 0 0 Total Administrative Expense Other Than Salaries 1 26,750 1 26,750 0 01. 0 To the best of my knowledge, all of 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) signature of authorized representative & Date: form HUD -52571(3/95) Page I of 1 ref Handbook 7475.1 Operating Budget U.S. Department of Housing "ossa Ap{vaval nb.26n-0026 (eW. 913o12ao6) Summary of Budget Data and Justifications and utban-Development Office of Pubic and Indian Housing Public Reporting burden for this collection of information Is estimated to average 45 minutes par response, Including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This agency may not conduct or sponsor, and a person is not required to respond to, a cbNec6on of information unless that collection displays a valid OMB control number. This information is required by Section 8 (c)(4) of the U.S. Housing Act of 1837. The information is the operating budget for the low-income housing program and provides a summary of proposed/budget receipts and expediitures, approval of budgeted receipts and expenditures, and justification of certain specified amounts. HUD reviews the information to determine if the operating plan adopted by the PHA and the amounts are reasonable and that the PHA is In compliance with procedures persenbed by HUD. Responses area ::Imd to obtain benefits. This information does not land itself to oonfidentiaVi . Name of Local Housing Authority I Locality I Fiscal Year Ending HOPKINS HOUSING orating Receipts MN nsrA inn Dwelling Rental: Explain basis for estimate. For HUD -aided law-rerrt housing, other than Section 23 Leased housing, state amount of latest available total WA monthly rent rol, the number of dwelling units available for occupancy and the number accepted for the same month end. Cite HA poky revisions and economic and other factors which may result in a greater or lesser average monthly rent roll during the Requested Budget Year. For Section 23 Leased housing, state the number of units under lease, the PUM tease price, and whether or not the cost of uUrities is included. If not included, explain mellod for payment at utility costs by HA andfor tenant. Currant 8 Montha 114105.00 X2=288210. Less 3% Vacancy .Estimate per Management 288,210.00 288,210.00 TOTAL: 242.000 Excess Utilities: (Not "for Section 23 Leased housing.) Check appropriate spaces in item 1, and explain "Other". Under item 2, explain basis for determining excess utility consumption. For example, Gas; Individual check meters at OH -100-1, proration of excess over allowances at 01-1400-2, etc. Cite effective date of present utility allowances. Explain anticipated changes in allowances or other factors which will cause a significant change in the total amount of excess utility charges during the Requested Budget Year. 1. UM services Surcharged: Gas ❑ FMCWclty x❑ Other[--] (Specify) 2. Comments Fac Utilities - AIC 4,500 TOTAL: 4,500 Nondwelling Reef: (Not for Section 23 Leased Housing.) Complete Item 1, specifying each space rented, to whom, and the rental terms. For example: Community Building Space - Nursery School - $50 per month, etc. Cite changes anticipated during the Requested Budget Year affecting estimated Non -dwelling Rental Income. 1 Space Rented 2- Comments To Whom Rental Terms TOTAL: _ 0 form HUD -52573 (3195) Previous Edltiais are obsolete Page 1 of 4 ref Handbooks 7475.1 Interest on Genera! Fund Investments: State the amount of present General Fund investment and the percentage of the General Fund it represents. Explain circumstances such as Increased or decreased operating reserves, dwelling rent, operating expenditures, etc., which will affect estimated average monthly total investments in the Requested Budget Year. Explain basis for distributions of interest income between housing programs. ESTIMATED TOTAL: Other Comments on Estimates of Operating Receipts: Give comments on all other significant sources of income which will present a dear and understanding - of the HA's prospective Operating Receipts situation during the Requested Budget Year. For Section 23 Leased housing explain basis for estimate of utility charges to tenants. LAUNDRY 1,500 RR CHARGES 3,500 TOTAL: 5,004 Operating Expenditures Summary of Staffing and Salary Data Complete the summary of information below on the basis of information shown on form HUD -52568. Schedule of all Positions and salaries, as follows: Column (1) Enter the total number of positions designated with the corresponding account line symbol as shown in Column (1), form MUD -52566. Column (2) Enter the number of equivalent full4ime positions alboable to HUD -aided housing in management. For example: A HA has three "A -NT" positions allocable to such housing at the rate of 80%, 70%, and 50% respectively. Thus, the equivalent full-time position is two. (8110 + 7/10 + 5/10). Column (3) Enter the portion of total salary expenses shown In Column (5) or Column (6), foam HUD -52666, slloceble to HUD -aided housing in management, other than Section 23 Leased housing • Column (4) Enter the portion of total salary expenses shown in Column (5) or Column (10), form HUD -52566, allocable to Section 23 Leased housing In management. Column (6) Enter the portion of total salary expense shown in Column (5) or Column (7), form HUD -52566, allocable to Motemtzation programs (Comprehensive Improvement Assistance Program or comprehensive Grant Program). Column (6) Enter the portion of total salary expense shown in Column (5) or Column (9), form HUD -52566, allocable to Section 8 Programs. Note: The number of equivalent full-time positions and the amount of salary expenses for all positions designated "W on form HUD -52566 muni be equitably distributed to account tines Ordinary Malmenace and Operation- Labor, Extraordinary Maintenance Work Projects, and Betterments and Additions Work Proietds. Account Line Equivalent Total Number Full -Time of positions Positions 1 _2; HUD -Aided Management ram — - Section 8 Program [6 Salary Expenses Management 3 Section 23 Housing Only 4 ModemtzaEion Programs 5 Administratbn—Nontechnical Salaries 1 Adminislrafion—Technkxt Salaries 1 r Ordinary Maintenance and Operation—Labor 1 Utilities—Labor 1 Other (Specify) (Legal, aft.) 1 Extraordinary Maintenance Work Projects 2 jI Beaemsents and Addiflons Work Projects 2 i starry rorwaro w me appropriate one on HUU-52564, the amount of salary expense Shown In column (3) on the corresponding fine above. Cary forward to the appropriate fine on HUD -52564 (Section 23 Leased Horsing Budget), the amount of salary expense shown in column 4 on the cores 2 The amo rd of salary expanse distributed to ExtraordinaryMaintenance Work P () corresponding b Ina above. Projects and to Berftertnerrts and Additions Work Projects Is to be included in the cost of each individual projed to be performed Dy the HA star, as shown on form HUD -52567. form HUD -52573 (3195) Previous EdNions are obsoiete Page 2 of 4 ref Handbooks 7475.1 Specify all proposed new positions and all present positions fo be abolished in the Requested Budget Year. Cite prior HUD concurrence in proposed staffing changes or present justification for such changes. Cite prior HUD concurrence, in proposed salary increases for Administration Staff or give justification and pertinent comparabilityInformation. Cite effective date for current approved wage rate (form HUD -52158) and justify all deviations from these rates. SEE HUD FORM 52566 Travel, Publication, Membership Dues and Fees, Telephone and Telegraph, and Sundry: In addition t0 "Justification for Travel to Convection and Meetings" shown on form HUD -52571, give an explanation of substantial Requester! Budget Year estimated increase over the PUM rate of expenditures for these accounts in the Current Budget Year. Explain basis for allocation of each element of these expenses. SEE HUD FORM 52571 Utilities. Give an explanation of substantial Requested Budget Year estimated increase over the PUM rate for each utility service in the Current Budget Year. Describe and state estimated cost of each element of'bther Utility Expense." Water 18,500 water $ofterrer Efacbicity 37,000 Gas 19,000 Fuel Miscellaneous Contracts 13,000 Other Utilities 15,001) Softener salt Garbage 25,000 TOTAL: 11400 Ordinary Maintenance & Operation-Materiats: Give an explanation of substantial Requested Budget Year estimated increase over the PUM rate of expenditures for matters in the Current Budget Year. GENERAL MAINTENANCE MATERIALS 17,x00 TOTAL.• 17.000 Ordinary Maintenance & Operation -Contract Costs: List each ordinary maintenance and operation service contracted for and give the estimated cost for each. Cite and justify new contract services proposed for the Requested Budget Year Explain substantial Requested Budget Year increases over the FUM rate of expenditure for Contract Services In the current Budget Year. if LHA has contract for maintenance of elevator cabs, give contract cost per cab. Miscellaneous Contracts 13,000 Nesting & Cooling 2,500 MaIntenenca Travel Snow Removal 0 Cable W Elevator Maintenance 8.800 Landscaping & Grounds 1,800 Unit Tumaround 10.000 Electrical 1,500 Plumbing 3,000 Extermination 4,000 Janitorial Contracts .. Routine Maintenance Contracts TOTAL 42,600 form HUD -52573 (3/95) Previous Efffflons are dwiete Page 3 of 4 ref Handbooks 7475.1 Insurance: Give an explanation of substantial Requested Budget Year estimated increases In the PUM rate of expenditures for insurance over the Current Budget Year, Cite changes in coverage, premium rates, etc. PROPERTY LIABILITY OTHER AUTO WIC - City of Hopkins 15,500 3,500 4,500 TOTAL 23,500 Employee Benefit Contributions: List all Employee Benefit plans participated in. Give justification for all plans to be instituted in the Requested Budget Year for which prior HUD concurrence has not bean given ADMIN FICA 8 100,000 X7.65% 7,6511 MAINTENANCE FICA $ 94,000 X 7.66% 6,430 ADMIN BENEFITS 3,350 MAINTENANCE BENEFITS 12,880 TOTAL: 30,310 Collection Losses: State :re number of tenants accounts receivable to be written off and the number and total amount of Pli accounts receivable for both present and vacated tenants as of the month in which the estimate was computed WRITE OFFS 500 TOTAL: 500 Extraordinary Maintenance, Replacement of Equipment, and Betterments and Additions: Cite prior HUD approval or give justification for each nonroutine work project included in the Requested Budget and for those for future years which make up the estimate on form HUD -52570. Justifying information Incorporated on or attached to formHUD-52567 need not be repeated here. SEE HUD FORM 52567 Contracts: List all contracts, other then those listed on page 3 of this form under Ordinary Maintenance & Operation (OMO). Cite the name of the contractor, type of contract, cost of contract and contract period. Justification must be provided for all contract services proposed for the requested Budget Year (RBY). Explain substantial REY Increases over the PUM rate of expenditure for these contracts on the Current Budget Year Prevraus Ecilions are absoWe Page 4 of form HUD -52573 (3195) ref Handbooks 7475,1