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DocuSign Envelope ID: E1A0E30C-7C28-45F5-5C00-3FE5E3A80950 <br />202401002 <br />SOURCES--* <br />NAHTF <br />CASH MATCH <br />TOTAL <br />USES (Activities), <br />$10,000 <br />$394,500 <br />$15,000 <br />Rehabilitation <br />$526,000 <br />$167,000 <br />$693,000 <br />Housing Management <br />$15,000 <br />$0 <br />$15,000 <br />General Administration <br />$20,000 <br />$0 <br />$20,000 <br />Lead Based Paint Testing <br />$4,500 <br />$0 <br />$4,500 <br />TOTAL <br />$565,500 <br />$167,000 <br />$732,500 <br />The table above provides an overview of the Trust Funds and Cash Match needed for <br />completion of the Project. The Pro Forma submitted by the Recipient includes a Development <br />Cost Budget, Sources and Uses of Funds and additional detailed information about the Project. <br />The initial rents for the Project's units shall have rents in accordance with the rent limits <br />prescribed by the Department. <br />General Administration Reimbursements <br />Source documentation will not be required for general administration payment requests. <br />Expenses will be entered into AmpliFund and may be submitted for payment request without <br />source documentation attached. Payment Requests will follow the schedule in the table <br />located below. <br />Recipient shall submit a one-time payment request upon receipt of the Release of Funds <br />letter, for 10% of the awarded General Administration budget of Two Thousand Dollars <br />($2,000) needed to cover the expenses resulting from staff time spent completing Special <br />Condition Requirements. <br />The remaining amount will be reimbursed in twenty-five percent (25%) increments up to a <br />maximum of five (5) payment request submissions during the contract period and in <br />accordance with benchmarks described in the table below: <br />When NAHTF Non -Administrative Expense <br />Reimbursement Requests have Reached the <br />below amounts: <br />(25% Benchmarks for $526,000 Project costs) <br />Recipient may request an amount not to <br />exceed the below maximum which includes the <br />10% request at time of Release of Funds, if <br />applicable. <br />$131,500 <br />$5,000 <br />$263,000 <br />$10,000 <br />$394,500 <br />$15,000 <br />$526,000 <br />$20,000 <br />As long as the current payment request reaches the 25% benchmark in NAHTF non- <br />administrative reimbursement request, the General Administrative reimbursement may be <br />requested on the same payment request. <br />NAHTF 23-TFRH-34010—Page 7 of 18 <br />