HomeMy WebLinkAbout800565.tiff V1t Fr°F
_�ryl�np�I1p�1 . DEPART. ..4T OF HOUSING AND URBAN DEVELOPM. f
REGIONAL/AREA OFFICE
EXECUTIVE TOWER- 1405 CURTIS STREET
44 NO 0. DENVER,COLORADO 80202
January 9, 1980
REGION VIII IN REPLY REFER TO:
8CS
Mr. Norman Carlson
Chairman, Weld County
Commissioners
P.O. Box 758
Greeley, Colorado 80631
Dear Mr. Carlson:
Your Certificate of Completion submitted for Community Development
Block Grant Program Project Number B-77-DS-08-0010 has been
reviewed and approved. An approved copy of the Certificate is
enclosed for your records. The project is now considered closed.
Thank you for your cooperation.
Si nclerelty,
l;
Robrt J. Matuschek
j!,� 0Di vecetor
ffic of Regional Community
Planning and Development
Enclosure
no ttMM1SSIPM�R`'
G,(EELE,Y
"056,,
AREA OFFICE
Denver,Colorado
Ov ti.. AT-R!!7,
- ! U.S. LEFA:TPH•' : r V;.Z. ANC UREsAP DEvELOPME NT A. r. c Or FIECOoitt41
COMMUNITY DEVELCPtiEN T CLOCK GRANT PROGRAM Weld. fount-r. CQ1Qrad,n
S. APPLICATION/Gr1AI:T AGKE(e.iIT NUMEEt
CEi;T1t IC1.TE OF COMPLETION: B-77—DS-08-0010
-
C. FINAL STATEMENT OF COST
10 b
TO BE COMPLETED BY RECIPIENT COMPLETED
BY HUD
PAID UNPAID TOTAL COSTS APPROVED
PROGRAM ACTIVITY CATEGORIES COSTS COSTS (Cot. + c.) TOTAL COSTS
(d) (1) (c) (d} (e)
C-1 Acquisition_qf Real PropE
C-2 Public Works, Facilities, Sit* Improvements ,
C-3 Code Enforcement
C-4 Clearance. Demolition. Rehabilitation
C-5 Rehabilitation Loans and Grants _156,119.25 —0— 156,119.25, 156,119.25
C.6 Special Projects for Elderly and Handicapped _
C-7 Payments for Loss of Rental Income
C-8 Disposition of Real Property _
C-9 Provision of Public Services
C-10 Payment of Non-Federal Shares _
C-11 Completion of Urban-Renew/a-IND?Protects
C-12 Relocation Poyments and Assistance
C-13 Planning and Management Development
C-14 Administration _-__- 3241.55 -0- 38,2111.55 38,2111.55
C-15 Continuation of Model Cities Activities
C-16 Totol Program Cost (Lill, (:-1 thru (-15) 191.E�360.80 -0- 191 ,360.80 191}060.80
C-17 Less: ,Program Income App ied to Program Costs --0- — -0- _ -0- -0-
C-18
Equals: Grant Amount Applied to Program Costs 191 ,360.80 . —0— 194,360.80 191.1,360.80
D. COMPUTATION OF GRANT BALANCE
TO BE TO BE
COMPLETED BY COMPLETED
RECIPIENT BY MUD
DESCRIPTION
AMOUNT APPROVED
AMOUNT
(a) (b) (c)
,D•1 Grant Amunt_Applied to Program Costs f Frum Line 0181 _1911 i 3k)_An 1 9)1,3An_cn ,
D-2 Estimated Amount for Unsettled Third-Party Claims —0— —0—
tO3 Subtotal _-- 1911360.80 1911,360.80
D-4 Grant Amount per Grant Aoreement(s) _ . 202.000.00 202.000.00
D S Unutilited Grant to be Cancelled (Lin, L-I n,inuc A-3) _ l 7,639.20 7,639.20
0-6 Grant Funds Received —�--- —0— —0—
D-7 Balance of Gran! Payable(Line li.?minus D.6)• —0— —0—
*/f Line D-o exceeds Line D-3, enter the amount of the excess on Line 0-7 as a negative amount. This amount shall
be repaid to IIL`U by check.
E. UNPAID COSTS AND UNSETTLED THIRD•PARTY CLAIMS
LIST ANY UNPAID COSTS AND UNSETTLED TMIRO PARTY CLAIMS AGAINST THE RECIPIENT'S GRANT. DESCRIBE
CIRCUMSTANCES AND AMOUNTS INVOLVED.
AA.VIS tW
tip : fie ]S6L
CMECK IF CONTINUED ON ADDITIONAL SHEET AR1p.AaF1+RC n ��t1;'$
HUD-4011 (2-77) `� , I
.
Anr_
•
•
CHECK IF CONTINUED ON ADDITIONAL SHEET AND ATTACH.
G. CERTIFICATION OF RECIPIENT
:. is .:erebc certified that all activities undertaken by the Recipient with, funds provided under the grant agreement
id:iiied on page 1 hereof, have, to the best of my knowledge, been carried out in accordance with the grant
a;-e-men'., that proper provision has Leen made by the Recipient for the payment of all unpaid costs and unsettled
fthird-party claims identified on page 1 hereof, that the United States of America is under no obligation to make
any further payment to the Recipient under the grant agreement in excess of the amount identified on Line D-7
hereof; and that every statement and amount set forth in this instrument is, to the best of my knowledge, true and
correct as of this date.
DATE TYPED NAME AND TITLE OF RECIPIENT'S SIGNATURE OF RECIPIENT'S AUTHORIZED
AUTHORIZED REPRESENTATIVE RE SENTATIVE
Norman Carlson, Chairman
Weld County Board of Commissioners 800440 .
H. HUD APPROVAL
This Certification of Completion is hereby approved. Therefore, I authorize cancellation of the unutilized contract
commitment and related funds reservation and obligation of f +6F 9^20 p Line , less $
previouslc authorized for cancellation.
DATE TYPED NAME AND TITLE OF HUD SIGN TU,RE OF HL) I AUTHp�ED OFFICIAL
AUTHORIZED OFFICIAL Y+A !! /— / 1
- Robert J. Matuschek ILJ
`✓1 Director of CPD
HUP-[c11 (2-77, - -
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