2004-08-24PI,EASE TURN OFF AT CELL PHONES & PAGERS IN COUNCIL CHAMBERS.
AGENDA
Open meeting
Action approving agenda, with any amendments
Page
3. Action approving minutes: August 10, 2004
o
o
Action to select consultant to prepare TIF Inspection Report 2-3
Consideration/action on timeline and events schedule for hotel project 4-7
Action approving LMCIT liability coverage waiver 8
Indian Knoll Report by Westport Properties, with any necessary action9-30
8. Adjourn
MOUND HOUSING AND REDEVELOPMENT AUTHORITY
AUGUST 10, 2004
The Housing and Redevelopment Authority of and for the City of Mound, Hennepin County,
Minnesota, met in regular session on Tuesday, August 10, 2004, at 7:20 p.m. in the council
chambers of city hall.
Members Present: Chairperson Pat Meisel; Commissioners Bob Brown, Mark Hanus, and
David Osmek.
Members Absent: Peter Meyer.
Others Present: Executive Director Kandis Hanson, City Clerk Bonnie Ritter, Nathan
Redding, David Patterson.
1. Open Meetinq
Chairperson Meisel opened the meeting at 7:20 p.m.
2. Approve Agenda
MOTION by Brown, seconded by Osmek to approve the agenda. All voted in favor.
carried.
Motion
3. Approve Minutes
MOTION by Hanus, seconded by Osmek to approve the minutes of the July 27, 2004
meeting. All voted in favor. Motion carried.
4. Extension of Preliminary Development Aqreement with Mound Harbor Renaissance
Development LLC
Meisel stepped down as Chairperson due to a perceived possible conflict of interest on this
item, and Acting Chair Hanus presided.
MOTION by Brown, seconded by Osmek to grant a 60-day extension to the Preliminary
Development Agreement with Mound Harbor Renaissance Development LLC, to October 14,
2004. Hanus asked how close this extension would get them to the final agreement. Hanson
informed him that they are expected to have a final Developer's Agreement by the end of this
extension. Upon vote taken, the following voted in favor: Brown, Hanus and Osmek. The
following voted against: None. Chair Meisel abstained from voting. Motion carried.
Chair Meisel returned to preside over the balance of the meeting.
5. Adjourn
MOTION by Brown, seconded by Osmek to adjourn at 7:26 p.m. All voted in favor.
carried.
Motion
Attest: Bonnie Ritter, City Clerk
Chair Pat Meisel
-1-
From:
Date:
Subject:
O
Kandis Hanson, City of Mound
Rebecca Kurtz & Jim Prosser, Ehlers & Associates
August 16, 2004
Summary of Proposals for Inspection Services for Mound Harbor
£HLERS
& ASSOCIATES INC
On June 28, 2004, Ehlers sent out an RFP, on behalf of the City, for property inspection services
related to creating and assessing qualifications of property for redevelopment eligibility and inclusion
within a TIF Redevelopment District. The inspections would consist of inspecting 51 parcels in the
Mound Harbor Renaissance project area.
The RFP responses were received on Friday, July 16, 2004 at 4:00 p.m. Ehlers received responses
from the following four Engineering/Architectural Firms:
Firm .~ Building Total Amount E pnce
~overage xes[ Inspections (not ~0 exeeed)(# Of Cities~istricts)
(not to exceed): ! ~
~n0t to eXCeea)
Alden
Associates $3,700 $5,800 $9,500 Not addressed
Architecture
2 TIF Districts plus numerous
Bonestroo $7,200 $22,030 $29,230 facility assessments
LHB Architects $1,000 $10,900 $11,900 8 TIF Districts plus numerous
facility assessments
S.E.H. $3,300 $9,000 $12,300 12 TIF Districts
Following is a listing of services included in base fees:
service Aiden Bonestroo LHB
Letter to property owners City provides City provides Will assist City in
preparing Not addressed
Consent of property owners X X X X
Phone calls to property owners Not addressed X X X
X
Personal visit with property owner Not addressed X Minimum of 3 X
calls
X
Documentation of attempts to gain access Not addressed X Minimum of 2 X
attempts
Coverage test X X X X
Interior inspection X X X X
Determine replacement cost X X X X
Determine existing condition of each building X X X X
Determine code deficiencies in each building X X X X
Determine system condition deficiencies Not addressed Not addressed Not addressed X
Prepare final report X X X
- Tabulated spreadsheet X Example included Example included Example included
Written analysis
LEADERS IN PUBLIC FINANCE
.I
~0~O(~'~i~'iz~"~i'~';C~;'"'iSi~'~$ Phone: 651-697-8516 Fax: 651-697-8555
Rosevitte, MN 55113-1105 _ - 2- Emait: rkurtz~ehters-inc.com
To be handled by
Third party challenges Not addressed Not addressed City Attorney Not addressed
Reimbursable charges (mileage, courier, Not included Included in fee Not included in Not included in
reproductions) in fee fee fee
GIS Access/Mapping X X X X
Copies of the RFP responses will be mailed to your offices.
Findings
According to your City Attorney, because this activity is classified as "professional services" the City
is not required to award to low bidder. Ehlers reviewed these proposals with the City's attorney, John
Dean and with Mound Harbor Renaissance. Based on that review the following findings are
provided:
1. Three firms have demonstrated experience to complete the necessary
compilation of information for a final report.
2. LHB may be best suited for this project for the following reasons:
inspections and
· Extent of experience
· Total cost to complete the project
· Comprehensive nature of final report
· Prior experience with the TIF inspections
development.
of property related
to the
MetroPlains
-3-
CHARTERED
470 pillsbmy Center
200 South Sixth Slreet
Minneapolis MN 55402
(612) 337-9300 telephone
(612) 337-9310 fax
http://www, kennedy-graven.com
8/19/04
To: HRA Board
From: John Dean
Subject: Proposed Time and Events Schedule/Hotel Project.
Every effort is being made to achieve the goal of commencing construction of the Hotel-Banquet-
Restaurant facility next Spring.
Although that seems a long ways off, a significant number of things need to happen in order to meet
the target construction date.
You will be presented a time and events schedule for consideration at your meeting on August 24.
This schedule has been prepared by the HRA staff, and has been reviewed and discussed with both
BFL2 and MHR.
As you know, time and events schedules are often seen as general guidelines which the parties
attempt to follow, but frequently are revised to meet the needs of the parties.
However, in this situation, the timelines and events described must take place at the times indicated,
or we will simply not be able to start the hotel next Spring; and to comply with the obligations that
are contained in the Term Sheet with Mound Harbor Renaissance. One example are the provisions
regarding the relocation of the MCES lift station. The lift station will not be moved by June, 2005
unless a chain of events takes place beginning later in the week begins.
It is important that everyone understands that there is really little flexibility in these dates, and
everyone needs to do their utmost to adhere to the schedule. Consequently, the HRA is being asked
to approve the time and events schedule, and take the position that compliance with it is viewed as
critical to achieving the construction of the hotel next Spring.
JBD-252133vl
MU195-18
$$41 Maywood Road
Mound, MN ,55364
(952) 472-3190
Memorandum Modified by JBD 8119104
To: BFL2 Team
From: Sarah Smith, Comm. Dev. Director
Date: 7/29/04
Re: BFL2 Hotel in Auditors Road Distdct - Preliminary Schedule of Approvals and Target Dates to
Facilitate Fall 2005 Construction Start
A. HRA
1. Contract For Private Redevelopment considered by HRA. September 15, 2004
Note: The CPD will also contain additional time schedules and other time-based
requirements.
2. Initial feasibility / market report considered by HRA. September 28, 2004
3. Last date for HRA to approve final feasibility / market report. December 1, 2004
4. Tax Increment Plan adopted December 14 (or sooner)
5. Last date to provide HRA with evidence of financing (assuming Spdng 2005
construction start). January 1, 2005. Final last date. May 1, 2005.
6. Last date to commence construction activities. May 2, 2006.
B. LAND USE
1. Sketch Plan
Submittal to staff. September 6, 2004
Planning Commission review. October 4, 2004
City Council review. October 26, 2004
2. Preliminary Plat I Development Plan I Rezoning I Comp. Plan I Review
Submittal to staff. January 3, 2005
Planning Commission review. February 7, 2005
City Council review. February 22, 2005 or March 8, 2005
3. Final Plat / Development Plan Review
J~BD-251861v3
MU195-18
-5-
Submittal to staff. April 4, 2005
City Council review. May 2, 2005
4. Development (subdivision) Agreement
City Council review. June 14, 2005 or June 28, 2005
................................................
6. Wetland delineation. If applicable, delineation to be done by O~ober ~ 5, 20~
durin~ ~mwin9 season.
7. List of other public agency pe~it(s) and/or approvals which may be needed:
a. Wetland Conse~ation Act ~CA)
b. Hennepin Coun~
c. NPDES MS4
d. Dept. of Health
e. MCES
C. ENVIRONMENTAL
:...
3. AUAR authorization by City Council. Auoust ~0, 2004.
4. AUAR decision by Ci~ Council. December ~4, 2004, or sooner.
D. PROPER~ ACQUISITION
1. CSAH 15
a. Tum back of foyer CSAH 15 ROW to CiW. December 31, 2004
2. MTC
JBD-251861vl
MU195-1g
-6-
I I1 ,a ,&,
3 Vacation of Glass Plus property by Custer per License Agreement. October 2004
INFRASTRUCTURE
MCES Intedm Lift Station Relocation.
a. Cooperative Agreement with MCES / City. September 30, 2004
b. Payment determination regarding MCES lift station with BFL2. August 27, 2004
c. Completion of lift station relocation. May 2005
CSAH 15.
1. Opening of CSAH 15. November 30, 2004
2. Landscaping completion. April/May 2005
3. Stormwater and erosion control permits (City). June 14, 2005 or June 28, 2005
MISCELLANEOUS TASKS AND/ORITEMS
1. Identification of intedm and temporary parking areas.
2. Designation of boat / snowmobile / trailer storage location(s).
3. Design coordination with MHR/BFL2 re: building construction issues.
4. Evaluation of existing utilities and possible hotel needs.
5. Stormwater treatment and/or ponding.
JBD-251861vl
MU195-18
-7-
LMCIT LIABILTIY COVERAGE - WAIVER FORM
Cities obtaining liability coverage from the League of Minnesota Cities Insurance Trust must decide
whether or not to waive the statutory tort liability limits to the extent of the coverage purchased. The
decision to waiv, e or not to waive the statutory limits has the following effects.
If the city does not waive the statutory tort limits, an individual claimant would be able to recover
no more than $300,000 on any claim to which the statutory tort limits apply. The total which all
claimants would be able to recover for a single occurrence to which the statutory tort limits apply
would be limited to $1,000,000. These statutory tort limits would apply regardless of whether or not the
city purchases the optional excess liability coverage.
If the city waives the statutory tort limits and does not purchase excess liability coverage, a single
claimant could potentially recover up to $1,000,000 on a single occurrence. The total which all
claimants would be able to recover for a single occurrence to which the statutory tort limits apply
would also be limited to $1,000,000, regardless of the number of claimants.
If the city waives the statutory tort limits and purchases excess liability coverage, a single claimant
could potentially recover an amount up to the limit of the coverage purchased. The total which all
claimants would be able to recover for a single occurrence to which the statutory tort limits apply would
also be limited to the amount of coverage purchased, regardless of the number of claimants.
Claims to which the statutory municipal tort limits do not apply are not affected by this decision.
The decision must be made by the city council. Cities purchasing coverage must complete and return
this form to the LMCIT before the effective date of the coverage. For further information, contact
LMCIT. You may also wish to discuss these issues with your city attomey.
TheC~ty-OI'"" Housing and Redevelopment Authority of Mound accepts liability coverage limits of
$ 300,000/1,000,000 from the League of Minnesota Cities Insurance Trust (LMCIT).
Check one:
XX Th~-~y'DOES NOT WAIVE the monetary limits on municipal tort liability established
by Minnesota Statutes 466.04.
The city WAIWES the monetary limits on tort liability established by Minnesota Statutes
466.04, to the extent of the limits of the liability coverage obtained from LMCIT.
Date of e_.jly..c,~n~ meeting Ja~mvW'2-~-g-Ot~-~ A;> ~-. ~ qi ~ ~ ~
Signature Position
Return this completed from to LMCIT, 145 University Ave. W., St. Paul MTg 55103-2044
LMCIT (11/00)(Rev. 11/03) -Page 1 of 1
-8-
I il &
I h. ll~l,.~N .I~NOL-L- ,,~,,~:T~T'/v~ N"I-...S
,~oj~_~t D~4, D~oo4
-g-
WELLS FARGO BANK, N.A.
NICOLLET MALL OFFICE
POST OFFICE BOX B 514
MINNEAPOLIS, MN 55479
I,l,l,,I,i,i,ll,,ili,,I,;I,,,ll,ll,,,,I,ll,,,I;I,,I,,,ll,ll,,I
HOUSZNG,& REDEVELOPMENT AUTHORZTY
SPECZAL ACCOUNT
CITY~OF'-MOUND
~'"F~NANCE: DZ RECTOR
53~'1 MAYWOOD RD
MOUND MN 5556~-I627
Page I of 3
/-2 5O4 "' (C0300)
Account Number: 000-003353P
Statement End Date: 07/31/0
Number of Enclosures: 2'/
If you have any questions about, this statement or your accounts, call: 800-225-5935 (1-800-CALL. WELLS).
Your Accounts. et a Glance ....
Account ~ -
Type
Basic Business Checking with Interest
000-0033530
Beginning Deposits/ Withdrawals/
Balance Credits Debits
32,664.14 16,066.48 - 16,08~37
Ending
Balance
32, 648.25
News from Wells Fargo
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- Cover unexpected o~.~&~s°nal expenses
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Plus, get quick and easy access to your line of credit with free BusinessLine checks, and online'or telePhone
transfers to your Wells Fargo checking account. Stop by your store, call 1-800-35 WELLS ext. 210 or visit
wellsfargospecial, com and enter keyword: lOOK, for more information.
Basic Business Checking with Interest 000-0033530
Housing & Redevelopment Authority
Special Account
Jun 30 Beginning Balance ..........
32,664.14
Jul 31 Ending Balance 32,648.25
Deposits and Credits ......................................................................... ~ .............................................
Date Transaction Detail
Jul 02 Deposit
Jul 02 Deposit
Jul 02 Deposit
Jul 02 Deposit
Jul 07 Deposit
Jul 07 Deposit
Jul 13 Hud Treas 303 Misc Pay 071304 410962421860103
RMT*VV*099054938 ........ hud Operating Fund MN0740
Jul 15 Deposit
Jul 15 Deposit
Jul 26 Deposit
Amount
2,466.00
2,406.00
984.00
798.00
3,296.00
941.00
4,149.00
476.0'
246.0(,
303.00
Continued on next page
-10-
I I1 ~& ,i,
Page 2 of 3
505
Housing & Redevelopment Authority Account Number: 000-0033530
SpecialAccount Statement End Date: 07/31/04
Deposits and Credits .......................................................................................................................
Date Transaction Detail Amount
Jul 30 Interest Payment ' 1.48
Checks Paid .......................................................................................................................................
Check # Date Amount Check # Date Amount
1594 Jul 01 380.00 1614 Jul 29 62.00
1604 * Jul 08 457.63 1616 * Jul 29 103.00
1605 Jul 06 47.52 1617 Jul 28 126.52
1606 Jul 01 169.27 1618 Jul 29 850.78
1607 Jul 01 30.00 1620 * Jul 29 150.00
1608 Jul 02 78.08 1622 * Jul 29 114.24
1609 Jul 02 94.20 1624 * Jul 29 155.70
1610 Jul 13 850.00 1625 Jul 29 122.92
1611 Jul 19 4,085.34 1626 Jul 30 324.27
1612 Jul 15 3,973.69 1628 * Jul 30 3,890.38
1613 Jul 29 16.83
* Gap in Check Sequence
Daily Balance Summary ........................................................................................................................
Date Balance Date Balance
Jun 30 32,664.14 Jul 15 42,345.75
Jul Of : 32,084.87 Jul 19 38,260.41
· Jul 02 38,566.59 Jul 26 . 38,563.41
Jul 06 38,519.07 Jul 28 38,436.89
Jul 07 42,756.07 Jul 29 36,861.42
Jul 08 42,298.44 Jul 30 32,648.25
Jul I3 45,597.44 .... ~,
Average Collected Balance
$ 39,018.96
Interest Summary ................................................................................................................................
Annual Percentage Weld Earned This Period 0.04%
Interest Earned During This Period 1,48
Year to Date Interest and Bonuses Paid ' 11.73
Increase your sales by as much as 25% when you provide your customers more payment options. Wells Fargo
Merchant Services can help grow your business by accepting payments at your location, over the phone or through
your~ we~s~te.,,And,~when you have a Wells Fargo Business Checking account, your. funds may. be deposited to your
account as soon as the ne~ business day. Call us at 1-866-380-0828 e~. 105 or visit wellstargospecial;com and enter
keyword: merchant, to find out about our credit and debit card processing solutions
Continued on next page
-11 -
Summary Statement
July 2004
For more information, call MBIA Asset Management at (800)395-5505
Fax: (800)765-7600
Mound Housing and Redevelopment Auth.
Account Number: MN-01-0258-2001 Account Name: GENERAL FUND
Beginning Contributions Withdrawals Income Average Daily Month End
Balance Earned Balance Balance
This Month $289,324.56 $50,000.00 $0.00 $268.61 $331,392.85 $339,593.17
Fiscal YTD
Ending 12/31/04 $278,231.50 $60,000.00 $0.00 $1,361.67 $292,674.72 $339,593.17
Account Number: MN-01-0258-2002 Account Name: MOUND HUD
Beginning Contributions Withdrawals Income Average Daily Month End
Balance Earned Balance Balance
This Month $11,477.25 $0.00 $0.00 $9.30 $11,481.93 $11,486.55
Fiscal YTD
Ending 12/31/04 $11,433.37 $0.00 $0.00 $53.18 $11,459.15 $11,486.55
Total of all accounts
Beginning Contributions Withdrawals Income Average Daily Month End
Balance Earned Balance Balance
This Month $300,801.81 $50,000.00 $0.00 $277.91 $342,874.781 $351,079.72
Fiscal YTD
Ending $289,664.87 $60,000.00 $0.00 $1,414.85 $304,133.87: $351,079.72
July 2004
Page: 1
-12-
Mound. MN Public Housinq
2020 Commerce Boulevard
Mound. MN 55364
As OF
June 30, 2004
BALANCE SHEET
ASSETS
111101-
111700-
112900-
116200-
121100-
140002-
140003-
14OOO5-
140007-
140008-
140009-
140016-
140017-
140055-
Cash General Fund
Petty Cash
City of Mound
General Fund Investments
Prepaid Insurance
Development Cost
Development Cost Contra
Accumlated Depreciation
Buildings
Furniture,Equipment,Machines-Dwelling
Fumiture,Equipment, Machines-Admin
Land Improvements
Building Improvements
Mod Cost Complete
140095 - Mod Cost Unoemptete
150600 - Mod Cost Uncomplete Contra
TOTAL ASSETS
31,389.41
100.00
910.11
11,433.37
1,271.98
1,505,904.64
(2,042,760.55)
(1,693,937.60)
1,642,970.53
31,901.13
16,477.02
8,68O.O0
516,849.64
536,855.91
75,247.79
(21,726.00)
621.567.38
SURPLUS AND LIABILITIES
211400 - Tenants Secudty Deposits
211499 - Security Deposit Interest
212900 - Notes Pay Levy Fund
213700- Payment in Lieu of Taxes
213701 - PILOT Current Year
280200 - HUD PHA Contribution
280600- Retained Earnings
Current Year Net Activity
TOTAL SURPLUS AND LIABILITIES
(10,178.00)
82.72
(8O,OOO.OO)
(508.27)
(2,413.35)
(391,547.73)
(125,102.80)
.... (11,899.95)
(621.567,3S)
Mound. MN Public Housino
2020 Commerce Boulevard
Mound, MN 55364
As Of
June 30, 2004
Statement of Operating Receipts & Expenditures
311000 - Dwelling Rental
312000 - Excess Utilities
Total Rental Income
361000 ~ Investment IntereSt/General FUnds
369000 - Other Income
802000 - Operating Subsidy
Total Other Operating Receipt~
Total Receipts
Expenses
411000 - Administrative Salary
411200 - Manager Payroll
413000 - Legal Expense
414000 - Staff Training
415000- Travel
41'7'000 - Accounting Fees
417100 - Auditing Fees
419000- Sundry-Administrative
419500 - Outside Management
Total Administrative Expense
422000 - Tenant Services
Total Tenant Services Expense
431000- Water
432000- Elsctdci~y
433000- Gas
439000 - Other Utility Expense
439100 - Garbage Removal
Total Utilities Expense
440000 * Maintenance & Operation
441000 - Maintenance Labor
442000- Materials
443000 - Contract Costs
448000 - Protective Services
Total Maintenance EXpense
YTD Over
Current Y'rD Prorated (Under)
~ ~ ~ Budget
(11,405,00) (91,715.69)
0.oo _~
(11,405.00) (91,938~24)
(g5,082,47) (4,3§6.78)
(96,607.44) 4,669.20
(1.40) (48.58) (322.47) (273.89)
(288.50) (6,082.07) (1,312.47) 4,749.60
(4,149.00) _ (37,341.00}' (43,686.72) ~
(4,438.90) (43,451.65) (45,321.66) 1,870.Ol
(13s,38~.a9) ~.
¢!5,m43.~ _,
6,539.21
0.00 2,159.80 0.00 2,159.80
2,100.O0 21,516.72 29,400.03 (7,883.31)
0.00 0.00 1,050.03 (I,050.03)
0.00 558.95 1,012.50 (453.55)
68.23 476.83 t 68.75 308.08
103.00 1,473.93 2,658.78 (1,184.85)
O. O0 5,500.00 3,629.97 1,870.03
1,425.87 11,188.33 7,732.53 3,455.80
1~800.00 7,750.00 7,650.00 100.00
5,497.10 50,624.56 53,302.59 (2,678.03) '
0.00
0,00 900.00
0.00 900.00
(9o0,00)
193.70 1,147.40 2,549.97 (1,402.57)
1,04%~8 8,368.58 8,92.5.03 (§~6..45)
0.00 21,789.69 10,874.97 10,894.72
951.15 9,225.87 6,599,97 2,625.90
399.39 3,159,70 4,050.00 ~90.30)
.._._.~2594.22 43,671.2~- 32,999-945 10,671.3~0
1,793.00
1,496,00
494.89
(250.23)
0.00
20,561,43 39,997.53 (19,436,10)
t2,112.92 0.00 12,112.92
4,216.05 6,750.00 ~,533.95)
10,629.88 7,499.97 3,129.91
359,75 0.00 359.75
4?,eeO.03 54r247-50 ..... (6,367..47')
3~533,6~6
-14-
0~/18/~00~ 10:~0 $1~9~90~ ~ESTPORT PROPERTI£$ P~£ 0~
Mound. MN Public Housin¢~
2020 Commerce Boulevard
Mound. MN 55364
As Of
June 30, 2004
Statement of Operating Receipts & Expenditures
451000 - Insurance
452000 - Pmts In Lieu Of Taxes
454000 - Employee Benefit Contributions
Total General Expense
Total Routine Expense
601000 - Prior Year Adjustments-Cash
Total Nonroutine EXpense
Total Expense
YTD Over
Current Y'rD Prorated (Under)
Activity ~ Budget Budget
792.92 9,680.33 10,874.97 (1,194.64)
440,54 2,413,35 6,360_03 (3,946,68)
1,126.85 7r.984.51 7r222.50 762.01
2,360.31 20~078.19 24r4S?.~- (4,379~31)
13~985.29 162,254.02
{1,339.00) (1~971.08)
{~,33,e.0o). (1,971,o8) '
12,646.29 160,282.94
165~907.53 (3,853,51)
o. oo
16S~907.53 {'~,624,59)
-15-
INDIAN KNOLL MANOR
2020 COMMERCE BLVD
MOUND, MN 55364
FROM July 1, 2004 THROUGH July 31, 2004
August 17, 2004
PAGE:
VENDOR VENDOR CHECK ACCTG CHECK M INVOICE Ih~VOICE CUMULATIVE
NUMBER NAME DATE DATE N-JMBER S NUMBER AMOUNT TOTAL
3 PROGRAMMED MANAGEMENT CORP 07-22-2004 JUL2004
19 S 70324263 122.92
TOTAL PAID 122.92 122.92
4 PARK SUPPLY INC 07-22-2004 JTJL2004 18 S 49105800 155.70
TOTAL PAID 155.70 278.62
6 WESTPORT PROPERTIES INC 07-02-2004 JTJL2004 1610 S JUN04 MGMT FEE 850.00
TOTAL PAID 850.00 1128,62
7 WESTPORT PROPERTIES PAYROLL 07-27-2004 JUL2004 1628 S 07/31/04 PAY 3890.38
7 WESTPORT PROPERTIES PAYROLL 07-13-2004 JUL2004 1612 S JUL15 PAYROLL 3973.69
TOTAL PAID 7864.07 8992.69
20 XCEL ENERGY 07-22-2004 JLrL2004 21 S 1920-008-243-177 1396.75
TOTAL PAID 1396.75 10389.44
34 HOME DEPOT CREDIT SERV-MOUND
34 HOME DEPOT CREDIT SERV-MOUND
34 HOME DEPOT CREDIT SERV-MOUND
34 HOME DEPOT CREDIT SERV-MOUND
34 HOME DEPOT CREDIT SERV-MOUND
34 HOME DEPOT CREDIT SERV-MOUND
07-22-2004 JUL2004 13 S 6020908 28.62
07-22-2004 JUL2004 13 S 7125163 20.55
07-22-2004 JUL2004 13 S 7206084 -9.25
07-22-2004 JUL2004 13 S 9021865 108.29
07-22-2004 JUL2004 13 S 071304 STMT 3.10
07-22-2004 JUL2004 13 S 061704 FCH CHRG 6.15
TOTAL PAID 157.46 10546.90
52 RETAIL SERVICES/MENARDS 07-22-2004 JUL2004 20 S 302415404098470 87.43
52 RETAIL SERVICES/MENARDS 07-22-2004 JUL2004 20 S 302416704093185 20.30
52 RETAIL SERVICES/MENARDS 07-22-2004 JUL2004 20 S 302714004025896 216.54
TOTAL PAID 324.27 10871.17
56 CenterPoint Energy 07-22-2004 JUL2004 12 S 543-002-050-900 551.96
56 CenterPoint Energy 07-22-2004 JUL2004 12 S 543-002-931-401 JUN 298.82
TOTAL PAID 850.78 11721.95
85 I.T. Machine 07-22-2004 JUL2004 14 S 1896 150.00
TOTAL PAID 150.00 11871.95
-16-
INDIAN KNOLL MANOR
2020 COMMERCE BLVD
MOUND, MN 55364
VE~rDOR VENDOR
NUMBER NAME
PAID INVOICES SORTED BY VENDOR
FROM JUly 1, 2004 THROUGH July 31, 2004
August 17, 2004
PAGE: 2
CHECK ACCTG CHECK M INVOICE INVOICE CUMULATIVE
DATE DATE NI/MBER S NI3MBER AMOb-NT TOTAL
92 CULLIGAN 07-22-2004 JUL2004 11 S 101X14184207 126.52
TOTAL PAID 126.52 11998.47
93 BFI WASTE SERVICES 07-22-2004 JUL2004 9 S 1113356-040600 448.05
TOTAL PAID 448.05 12446.52
95 B SYLVESTER, LLC 07-22-2004 JUL2004 8 S 070107 MTCS 62.00
TOTAL PAID 62.00 12508.52
98 All Seasons Landscape & Design07-09-2004 JUL2004 1611 S 052104 Contract Bal 4085.34
TOTAL PAID 4085.34 16593.86
101 C NABER and ASSOCIATES 07-22-2004 0q3L2004 10 S 28463 103.00
TOTAL PAID 103.00 16696.86
/~02 MOUND TRUE VALUE HARDWARE 07-22-2004 JUL2004 16 S 11735
11.37
102 MOUND TRUE VALUE HARDWARE 07-22-2004 JUL2004 16 S 11767 9.96
102 MOUND TRUE VALUE HARDWARE 07-22-2004 JUL2004 16 S 11817 28.98
102 MOUND TRUE VALUE HARDWARE 07-22-2004 JI/L2004 16 S 11851 24.99
102 MOUND TRUE VALUE HARDWARE 07-22-2004 JUL2004 16 S 12116 -24.99
102 MOUND TRUE VALUE HARDWARE 07-22-2004 JUL2004 16 S 12117 51.58
102 MOUND TRUE VALUE HARDWARE 07-22-2004 JUL2004 16 S 12175 9.16
102 MOUND TRUE VALUE HARDWARE 07-22-2004 0q3L2004 16 S 12773 3.19
TOTAL PAID 114.24 16811.10
105 IKON OFFICE SOLUTIONS 07-22-2004 J-rTL2004 15 S 62657580 133.13
TOTAL PAID 133.13 16944.23
111 AT & T Wireless 07-22-2004 JUL2004 7 S 13225982 ~ 16.83
TOTAL PAID 16.83 16961.06
-17-
INDIAN KNOLL MANOR
2020 COMMERCE BLVD
MOI/NI), MN 55364
LAST MONT'H FINA/~ CHECKS - ACTIVITY
FOR PERIOD OF JULY 2004
SOURCE 61 & 62 August 16, 2004
PAGE:
VENDOR CT{ECK CHECK SYSTEM MANUAL VOID
~ER VENDOR NAME NUMBER DATE CHECK CHECK CHECK
111 AT & T Wireless 7 07/22/2004 16.83 0.00 0.00
95 B SYLVESTER, LLC 8 07/22/2004 62.00 0.00 0.00
93 BFI WASTE SERVICES 9 07/22/2004 448.05 0.00 0.00
101 C NABER and ASSOCIATES 10 07/22/2004 103.00 0.00 0.00
92 CULLIGAN 11 07/22/2004 126.52 0.00 0.00
56 CenterPoint Energy 12 07~/22/2004 850.78 0.00 0.00
34 HOME DEPOT CREDIT SERV-MOUND 13 07/22/2004 157.46 0.00 0.00
85 I.T. Machine 14 07/22/2004 150.00 0.00 0.00
105 IKON OFFICE SOLUTIONS 15 07/22/2004 133.13 0.00 0.00
102 MOUIgD TRUE VALUE ~IARDWAP, E t6 07/22/2004 114.24 0.00 0.00
87 Office Depot 17 07/22/2004 159.70 0.00 -159.70
4 PARK SUPPLY INC 18 07/22/2004 155.70 0.00 0.00
3 PROGRAF~4EDMANAGEMENT CORP 19 07/22/2004 122.92 0.00 0.00
52 RETAIL SERVICES/MENAPdDS 20 07/22/2004 324.27 0.00 0.00
20 XCEL ENERGY 21 07/22/2004 1396.75 0.00 0.00
6 WESTPORT PROPERTIES INC 1610 07/02/2004 850.00 0.00 0.00
98 All Seasons Landscape & Design 1611 07/09/2004 4085.34 0.00 0.00
7 WESTPORT PROPERTIES PAYROLL 1612 07/13/2004 3973.69 0.00 0.00
7 WESTPORT PROPERTIES PAYROLL 1628 07/27/2004 3890.38 0.00 0.00
87 Office Depot 1630 08/05/2004 159.70 0.00 0.00
~TDTA3~S 17280.46 0.00 -159.70
CHECKS SUMMARY
SYSTEM CHECKS
LESS VOIDS
TOTAL SYSTEM CHECKS
17280.46
-159.70
17120.76
MANUAL CHECKS 0.00
LESS VOIDS 0.00
TOTAL MANUAL CHECKS 0.00
TOTAL CASH DISBURSEMENTS
17120.76
"*" . MANUAL C~ECK PAID WITH MULTIPLE INVOICES
-18-
U.S. Department of Housing OMB Approval No. 2577-0026 (,Exp. 06/30/2001)
t'HA/IHA Board Resolution aaa Urban Development
Approving Operating Budget or Calculation of office of ?ublic and Indian Housing
Performance Funding System Operating Subsidy
Public Reporting Burden for this collection of information is estimated to average 15 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 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 program
and provides summary of 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 PHA and the amounts are reasonable and that the PHA is in compliance
with procedures perscribed by HUD. Responses are required to obtain benefits. This information does not lend itself to confidentiality.
Acting on behalf of the Board of Commissioners of the below-named Public Housing Agency (PHA)/Indian Housing Authority (II-IA),
as its Chairman, I make the following certifications and agreements to the Department of Housing and Urban Development (HUD)
regarding the Board's approval of (check one or more as applicable):
(date)
Operating Budget Submitted on:
Operating Budget Revision Submitted on:
Calculation of Performance Funding System Submitted on:
Revised Calculation of Performance Funding System Submitted on:
I certify on behalf of the: (PHA/II-IA Name) MOUND HOUSING AUTHORITY
that:
3.
All regulatory and statutory requirements have been met;
The PHA has sufficient operating reserves to meet the worldng capital needs of its developments;
Proposed budget expenditures are necessary in the efficient and economical operation 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 calculation of eligibility for Federal funding is in accordance with the provisions of the regulations;
6. All proposed rental charges and expenditures will be consistent with provisions of law;
7. The PHA/IHA will comply with the wage rate requirements under 24 CFR 968.110(e) and (f) or 24 CFR 950.120(c) and (d)
8. The PHA/IHA will comply with the requirements for access to records and audits under 24 CFR 968.110(i) or 24 CFR 950.120(g);
and
9. The PHA/IHA will comply with the requirements for the reexamination of family income and composition under 24 CFR 960.209,
990.115 and 950.315.
I herby certify that all the information stated within, as well as any infot'mation provided in the accompaniment herewith, is true and accuratc.
1010, 101~2;31 U.S.C. 3729, 3802)
may result in criminal and/or civil penalties. (18 U.S.C. 1001,
~...wWarning: HUD will prosecute false claims and statements. Conviction
1.[ ,~oard Chairman's Name (type) [Signature: I":
tbrm HUD-52574 (10/95)
Previous edition is obsolete
ref. Handbook 7575.1
-19-
Certification of Payments
to influence Federal Transactions
U.S. Department of Housing
and Urban Development
Office of Public and Indian Housing
MOUND HOUSING AUTHORITY
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 any 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
subrecipients 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, I010, 1012; 31 U.S.C. 3729, 3802)
Name of Authorized Official Title:
Signature: IDate: (mm/dd/yyYy)
X
Previous edition is obsolete
form HUD SOOT1
TeL Handbooks 7417.1, 7475.13, 7485.1, & 74853
-20-
Certification for a
Drug-Free Workplace
U.S. Department of Housing
and Urban Development
Applicant Name
MOUND HOUSING AUTHORITY
Program/Activity Receiving Federal Grant Funding
Acting on behalf of the above named Applicant as its Authorized Official, I make the following certifications and agreements to
the Department of Housing and Urban Development (HUD) regarding the sites listed below:
I certify that the above named Applicant will or will continue
to provide a drug-free workplace by:
a. Publishing a statement notifying employees that the un-
lawful manufacture, disthbution, dispensing, possession, or use
of a controlled substance is prohibited in the Applicant's work-
place and specifying the actions that will be taken against
employees for violation of such prohibition.
b. Establishing an on-going drug-free awareness program to
inform employees --
(1) The dangers of drug abuse in the workplace;
(2) The Applicant's policy of maintaining a drag-free
workplace;
(3) Any available drug counseling, rehabilitation, and
employee assistance programs; and
(4) The penalties that may be imposed upon employees
for drug abuse violations occurring in the workplace.
c. Making it a requirement that each employee to be engaged
in the performance of the grant be given a copy of the statement
required by paragraph a.;
d. Notifying the employee in the statement required by para-
graph a. that, as a condition of employment under the grant, the
employee will ---
(1) Abide by the terms of the statement; and
(2) Notify the employer in writing of his or her convic-
tion for a violation of a criminal drug statute occurring in the
workplace no later than five calendar days after such conviction;
e. Notifying the agency in writing, within ten calendar days
after receiving notice under subparagraph d. (2) from an em-
ployee or otherwise receiving actual notice of such conviction.
Employer of convicted employees must provide notice, includ-
ing position tire, to every grant officer or other designee on
whose grant activity the convicted employee was working,
unless the Federal agency has designated a central point for the
receipt of such notices. Notice shall include the identification
number(s) of each affected grant;
f. Taking one of the following actions, within 30 calendar
days of receiving notice under subparagraph d. (2), with respect
to any employee who is so convicted ---
(1) Taking appropriate personnel action against such an
employee, up to and including termination, consistent with the
requirements of the Rehabilitation Act of 1973, as amended; or
(2) Requiring such employee to participate satisfacto-
rily in a drug abuse assistance or rehabilitation program ap-
proved for such purposes by Federal, State, or local health, law
enforcement, or other appropriate agency;
g. Making a good faith effort to continue to maintain a drag-
free workplace through implementation of paragraphs a. thru f.
2. Sites for work performance. The Applicant shall list (on separate pages) the site(s) for the performance of work done in connection with the
HUD funding of the program/activity shown above: Place of Performance shall include the street address, city, county, State, and zip code.
Identify each sheet with the Applicant name and address and the program/activity receiving grant funding.)
Check here ~'~ if there are workplaces on file that are not identified on the attached sheets.
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:
foma HUD 50070 (3/98)
ref. Handbooks 7417.1, 7475.13, 7485.1 & .3
-21 -
Operating Budget
u.s. Department of Housing
and Urban Development
Office of Public and Indian Housing
"OMB Approval No. 2577-0026 (exp. 6/30/2001)
See page four for instructions and Public reporting burden statement
a. Twe of Submission b. Fiscal Year Ending c. No. of months (check one)
~JX J Original U~ Revision No.: 09/30/05 E~12 mo. E~]other (specify)
e. Name of Public Housing Agency/Indian Housing Authority (PHA/IHA) MOUND HOUSING AUTHORITY
f. Address (city, State, zip code)
2020 COMMERCE BLVD
MOUND, MN 55364
g. ACC Number Ih. PAS/LOCCS Project No.
C-858 I MN07400105S
j. No. of Dwelling Units Ik. No. of UnitMonths
Available
49 58~
Line Acct. I
No. No. ~ Description
I
Im. No. of Project~
Homebuyers Monthly Payments for:
010 7710 Operating Expense
020 7712 IEamed Home Payments
030 7714 ~Nonroutine Maintenance Reserve
040 Total Break-Even Amount (sum of lines 010, 020, and 030)
050 7716 Excess (or deficitI in Break-Even
060 7790 Homebuyers Monthly Payments - Contra
Operating Receipts
070 3110 Dwelling Rental
080 3120 Excess Utilities
090 3190 Nondwellin~l Rental
100 Total Rental Income (sum of lines 070, 080, and 090/
110 3610 Interest on General Fund Investments
120 3690 Other Income
130 Total Rental Income (sum of lines 100, 110, and 120)
Operating Expenditures - Administration:
140 4112 Administrative Salades & Outside M~mt
150 4130 Legal Expense
160 4140 Staff Trainin~
170 4150 Travel
180 I 4170 IAccountin~ Fees
190 I 4171 IAuditin~l Fees
200 I 4190 IOtherAdministrative Expenses
210 ITotal ~Administrative Expense (sum of line 140 thru line 200)
Tenant Services:
220 4210 Salaries
230 4220 Recreation, Publications and Other Services
240 4230 Contract Costs, Training and Other
250 Total Tenant Serv cos Expense (sum of lines 220, 230, and 240)
Utilities:
260 4310 Water
270 4320 Electricity
280 4330 Gas
290 4340 Fuel
300 I 4390 IOther Utilities Expense
3i0 4391 IGarba~e Removal
320 Tota lUtilities Expense (sum of line 260 ihru line 310)
d. ~ of HUD assisted project(s)
__ 01 ~=~PHNIHA-Owned Rental Housing 02 ~=~ IHA Owned Mutual Help Homeownership
03 ~ PHNIHA Leased Rental Housing
04 ~,=~ PHNIHA Owned Turnkey III Homeownership
05 [~JPHA/IHA Leased Homeownership
i. HUD Field Off'me
Actual
Last Fiscal
Yr.
09/30103
PUM
(2)
0.00
~'~ Estimates
~'~or Actual
Current Budget
09/30/04
PUM
(3)
0.00
212.40 222.41
0.92 1.22
213.32 223.63
0.63 0,75
5.38 3.04
219,33 227.42
58.01
68.06
2.43
2.73
1.03 6.15
3.71 8.40
8.71
24.23
95.69
0.00
17.90
17.71
123.38
2.08
2.08
5.77 5.90
23.98 20.66
30.87 25.17
14.39 15.28
8.23 9.38
83.24 76.39
PHNIHA Estimates
Estimates
HUD Modifications
Amount
(to nearest $10)
(7)
Previous editions are obsolete
Page 1 of 4
form HUD-52564(3/95)
ref. Handbook 7475.1
-22-
me of PHNIHA IFiSCe~ Year Ending
ISING AUTHORITY J09/30/05
, Actual [] Estimates
Last Fiscal []or Actual
Yr. Cu~ent Budget Yr. HUD Modifications
Line Acct. 09/30/03 09/30/04 Amount Amount
NO. NO. Description PUM PUM PUM (Io nearest $10) PUM (to nearest $10)
(1) (2) (3) (4). (5) (6) (7)
Ordinary Maintenance and Operation:
330 4410 Labor 92.59 84.83 49,880
340 4420 Materials 14.21 15.63 13.61 8,000
350 4430 Contract Costs 106.83 17.36 11.43 6t720
360 Total Ordinary Maintenance & Operation Expense (lines 330 to 350) 121.04 125.58 109.86 64~600
Protective Services:
370 4460 Labor 0.00
380 4470 Materials 0.00
390 4480 Contract Costs 1.19 700
400 Total 3rotective Services Expense (sum of lines 370 to 390) 0.00 0.00 1.19 700
General Expense:
410 4510 Insurance 14.57 25,17 17.72 10,420
420 4520 Payments in Lieu of Taxes 6.50 14.72 12.28 7t220
430 4530 TerminalLeave Payments 23.71 0.00
440 4540 Employee Benefits Contributions 9.33 16.72 20.10 11,820
450 4570 Collection Losses 0.85 0.00 0
460 4590 Other General Expense 0.00
470 Total General Expense (sum of lines 410 to 460) 54.96 56.61 50.10 29,460
480 Total Routine Expense (sum of lines 210, 250, 320, 360, 400, and 470) 354.93 384.04 383.40 225,440
Rent for Leased Dwellings:
490 4710 Rents to Owners of Leased Dwellings 0.00
500 Tota OperatinCj Expense (sum of lines 480 and 490) 354.93 384.04 383.40 225,440
..nrouflneExpenditures:
4610 Extraordinary Maintenance 0.00 0
..,~0 7520 Replacement of Nonexpendable Equipment 0.00 0
530 7540 Property Betterments and Additions 0.00 0
540 Total Nonroutine Expenditures (sum of lines 510, 520, and 530/ 0.00 0,00 0.00 0
550 Total Operating Expenditures (sum of lines 500 and 540) 354.93 384.04 383.40 225~440
Prior Year Adjustnlents:
560 I 6010 IPdorYearAdjustmentsAffectin~l Residual Receipts (11,46) 0.00
Other Expenditures:
570 Deficiency in Residual Receipts at End of Precedin~ Fiscal Yr. 0.00
580 Total Operating Expenditures, including prior year adjustments and
other expenditures (line 550 plus or minus line 560 plus line 570) 343.47 384.04 383.40 225,440
590 Residual Receipts (or Deficit) before HUD Contributions and
)rovision for operating reserve (line 130 minus line 5801 (124.14) (156.62) (159.34) (93,690)
HUD Contributions:
600 8010 Basic Annual Contribution Earned-Leased Proiects:Current Year 0.00
610 8011 Pdor Year Adjustments - (Debit) Credit 0.00
620 Total ~asic Annual Contribution (line 600 plus or minus line 610) 0.00 0.00 0.00 0
630 8020 ;ontr!b~fiorts Earned-Op. Subsid}c-Cur. Yr.(before year-end adj) 89.48 86.44 135.75 79~824
640 Mandatory PFS Adjustments (net): 0.00
650 I Other (specify): 0.00
660 !Other (specify): 0.00
670 Total Year-End Adjustments/Other (plus or minus lines 640 thru 660) 0.00 0.00 0.00 0
680 8020 TotalOperatin~Subsidy-currentyear 0tne630pusormnusllne67° 89.48 86.44 135.75 79~824
690 Total HUD Contributions (sum of lines 620 and 680) 89,48 86.44 135.75 79~824
700 Residual Receipts (or Deficit) (sum of line 590 plus line 690)
Enter here and on line 810 (34.66) (70.18) (23.58) (13,866)
form HUD.52564(3/95)
Previous editions are obsolete
Page 2 of 4
ref. Handbook 7475.1
-23-
Name of PHNIHA Fiscal Year Ending
MOUND HOUSING AUTHORITY 09/30/05
Operating Reserve PHA/IHA Estimates HUD Modifications
Part I - Maximum Operating Reserve - End of Current Budget Year
740 2821 =HA/IHA-Leased Housing - Section 23 or 10(c)
50% of Line 480, column 5, form HUD-52564
!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)
] Estimated for FYE
] Actual for FYE
800 Operating Reserve at End of Current Budget Year (check one)
] Estimated for F'YE
[ Actual for FYE 0
810 Provision for Operating Reserve- Requested Budget Year Estimated for FYE
Enter Amount from line 700 (13,866)
820 Operating Reserve at End of Requested Budget Year Estimated for FYE
(Sum of lines 800 and 810) (13,866)
830 Cash Reserve Requirement- 25 % Of line 480 56,360
Comments
PHA I IHA Approval
Field Office Approval
Name
Title
Signature
Name
Title
Signature
Date
Date
form HUD.52564(3/9u)
Previous editions are obsolete
Page 3 of 4
ref. Handbook 7475.1
-24-
Operating Budget u.s. Department of Housing OMB Approval No. 2577-0026 (Exp. 6/30/2001)
Schedule of Administration Urban Development
xpense Other Than Salary or, ce of Public and Indian Housing
, a~lic Reporting Burden for this collection of information is estimated to average I 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 progr'.
and provides a summary of proposed/budgeted receipts and expeditures, approval of budgeted receipts and expenditures, and justifications of certain specifiec
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
~rescribed by HUD. Res ~onses are rec uired to obtain benefits. This information does not lend itself to confidentiality.
Name of Housing Authority: Locality: Fiscal Year End:
MOUND HOUSING AUTHORITY MOUND, MN 55364 09/30/05
(t) (2) (3) (4) (5) (6)
Description Total Management Development Section 8 Other
1 Legal Expense (see Special Note in Instruction) 700 700
2 Training (list and provide justification) 1,400 1,400
3 Travel
Trips To Conventions and Meetings (list and provide justification) 0
4 Other Travel:
Outside Area of Jurisdiction 700 700
5 Within Area of jurisdiction 100 100
6 Total Travel 800 800 0 0 0
7 Accounting 3,550 3~550
~,-~8 Auditing 5,500 5,500
,[
Sundry
Rental of Office Space 0
10 Publications 200 200
11 Membership Dues and Fees (List organization and amount) 0
12 Telephone~ Fax, Electronic Communications 5~710 5~710
13 Collection Agent Fees and Court Costs 0
14 Administrative Services Contracts (list and provide justification) 2,470 2,470
15 Forms, Stationary and Office Supplies 2~500 2~500
16 Other Sundry Expense (provide breakdown) 10,200 10~200
17 Total Sundry 21~080 21~080 0 0 0
18 Total .Administrative Expense Other Than Salaries 33,030 33,030 0 0 0
#2: Crime Prevention Training - CA., HUD - UIV Training, HUD - General Training
#14: IOS Capital 116.66/Monthly, IKON 47.52/Monthly, Rental Research 500.00
#16: Westport Contract 850.00/Month
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.
Warnihg: 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)
,~a~ ~ of authorized representative & Date:
X
Page 1 of 2
-25-
form HUD-52571(3/95)
ref Handbook 7475.1
-26-
Operating Budget u.s. Department of Housing 'OMB Approva( No. 2577-0026 (Exp, 6/30/2001)
Summary of Budget Data and Urban Development
and Justifications Office o! Pubic and indian Housing
Public Reporting Burden for this collection of information is estimated to average 45 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 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 iow-income housing program
and provides a summary of proposed/budget receipts and expeditures, 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 perscdbed by HUD. Responses are rec{uired to obtain benefits. This information does not lend itself to confidentiality/.
Name of Local Housing Authority Locality Fiscal Year Ending
MOUND HOUSING AUTHORITY MOUND, MN 55364 09/30/05
Operating Receipts
Dwelling Rental: Explain basis for estimate. For HUD-aided Iow-rent housing, other than Section 23 Leased housing, state amount of latest available total
H/A monthly rent roll, the number of dwelling units available for occupancy and the number accepted for the same month end. Cite HA policy 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 lease price, and whether or not the cost of utilities is included. If not included, explain method for payment at
utility costs by HA and/or tenant.
RENTAL REGISTER
TOTAL: 128,590
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 OH-100-2, 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. Utility Services Surcharged: Gas [] Electricity~'~ Other["-~ (Specify)
2. Comments
TOTAL: 0
Nondwelling Rent: (Not for Section 23 Leased Housing.) Complete Item 1, specifying each space rented, to whom, and the rental terms. For example: Communit
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 To Whom Rental Terms
2. Comments
TOTAL: 0
form HUD-52573 (3/95)
Previous Editions are obsolete
Page 1 of 4
-27-
ref Handbooks 7475.1
Interest on General Fund Investments: State the amount of present General Fund investment and the percentage of the General Fund it represents. Explain
cimumstances 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.
TOTAL: 400·00
Other Comments on Estimates of Operating Receipts: Give comments on all other significant sources of.income which will present a clear 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 2,760
TOTAL: 2,760
Operating Expenditures
Summary of Staffing and Salary Data
Complete the summary of information below on the basis of information shown on form HUD-52566, 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 HUD-52566.
Column (2) Enter the number of equivalent full-time positions allocable 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. (8/10 + 7/10 + 5/10).
Column (3) Enter the portion of total salary expenses shown in Column (5) or Column (6), form HUD-52566, allocable to HUD-aided housing in management, othE
than Section 23 Leased housing
Column (4) Enter the portion of total salary expenses shown in Column (5) or Column (10), form HUD-52586, allocable to Section 23 Leased housing in managerr
Column (5) Enter the portion of total salary expense shown in Column (5) or Column (7), form HUD-52556, allocable to Modernization 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-5256§, allocable to Section 8 Programs.
Note: The number of equivalent full-time positions and the amount of salary expenses for all positions designated "M" on form HUD-52566 must be equitably
distributed to account lines Ordinary Malntenace and Operation- Labor, Extraordinary Maintenance Work Projects, and Betterments and
Additions Work Pro)ects.
HUD-Aided Management Program
Equivalent Salary Expenses
Total Number Full-Time ~Section 23 lease~ Modernization Section 8
Account Line of positions Positions Management Housing Only Programs Program
(1 ) (2) (3) (4) (5) (6)
Administration-Nontechnical Salaries 1
Administration-Technical Salaries 1
Ordinary Maintenance and Operation-Labor 1
Utilities-Labor 1
Other (Specify) (Legal, etc.) 1
Extraordinary Maintenance Work Projects 2
Betterments and Addi~ns Work Projects 2 ,.
1 Carry forward to the appropriate line on HUD.52564 the amount of salary expense shown in column (3) on the corresponding line above. Carry forward to the
appropriate line on HUD-52564 (Section 23 Leased Housing Budget), the amount of salary expense shown in column (4) on the corresponding line above.
2 The amount of salary expense distributed to Extraordinary Maintenance Work Projects and to Betterments and Additions Work Projects is to be included in tt'
of each individual proiect to be performed by the HA staff, as shown on form HUD-52567.
t'orm HUD-52573 (3/95)
· Previous Edliions are obsolete Page 2 of 4 ref Handbooks 7475.1
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Specify all proposed new positions and all present positions to be abolished in the Requested Budget Year, Cite prior HUD concurrence in proposed
changes or present justification for such changes. Cite prior HUD concurrence in proposed salary increases for Administration Staff or give justification and
pertinent comparability information. 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 to 'Justification for Travel to Convection and
Meetings" shown on form HUD-52571, give an explanation of substantial Requested 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 "Other Utility Expense."
Water 4;000
er Electricity 17,700
//"~ Gas 18,900
nent. Fuel
Other Utilities 10,400
Garbage 5,400
TOTAL: 56,400
Ordinary Maintenance & Operation-Materials: Give an explanation of substantial Requested Budget Year estimated increase over the PUM rate of
expenditures for matters in the Current Budget Year.
MAINTENANCE SUPPLIES
8,000
TOTAL: 8,000
Ordinary Maintenance & Operation-Contract Costs: List each ordinary maintenance and operation service cu~t~acted 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 PUM
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.
ELEVATOR SERVICE 1,920
PEST CONTROL 680
MISC CONTRACTS 1,200
BOILER MAINTENANCE 800
SEWER CLEANING 720
FIRE ALARM & EXT 700
SECURITY 700
cost
TOTAL:
6,720
form HUD-52573 (3/95)
Previous Edilions are obsolele
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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.
BOND
COMMERCIAL PACKAGE & W/C
2OO
10,220
10,420
TOTAL
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 been given
FICA 6,820
EMPLOYEE BENEFITS 5,000
TOTAL: 11,820
Collection Losses: State the number of tenants accounts receivable to be written off and the number and total amount of all accounts receivable for both
present and vacated tenants as of the month in which the estimate was computed
TOTAL: 0
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 than 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 pedod. Justification must be provided for all contract services proposed for the requested Budget Year (RBY).
Explain substantial RBY increases over the PUM rate of expenditure for these contracts on the Current Budget Year
Previous Editions are obsolete
form HUD-52573 (3/95)
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