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• <br /> • <br /> CONTRACT AND SUBCONTRACT ACTIVITY U.S.Department of Housing and Urban Development OMB Approval No.:2535-0117(exp.1/31/2013). <br /> ?ubhc Reporting Burden for this collection of information is estimated to average.50 hours 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 infomlation.This <br /> .nformation is voluntary.HUD may not collect this information,and you are not required to complete this form,unless it displays a currently valid OMB Control Number. <br /> Executive Order 12421 dated July 14,1983,directs the Minority Business Development Plans shall be developed by each Federal Agency and that these annual plans shall establish minority business development objectives.The information is used by HUD to monitor and evaluate MBE activities <br /> rgainstthe total program activity and the designated minority business enterprise(MBE)goals.The Department requires the information to provide guidance and oversight for programs for the development of minority business enterprise concerning Minority Business Development If the information is <br /> not collected HUD would not be able to establish meaningful MBE goals nor evaluate MBE performance against these goats.While no assurances of confidentiality is pledged to respondents,HUD generally discloses this data only in response to a Freedom of Information request. <br /> Privacy ActNotice-The United States Department of Housing and Urban Development,Federal Housing Administration,is authorized to solicit the information requested in this form by virtue of Title 12,United States Code,Section 1701 et seq.,and regulations promulgatedthereunder at Title 12, <br /> Code of Federal Regulations.It will not be disclosed or released outside the United States Department of Housing and Urban Development without your consent,except as required or permitted by law. <br /> 1.Grantee/Project Owner/Developer/Sponsor/Builder/Agency Check If: 2.Location(City,State,ZIP Code) <br /> City of Everett PHA ❑ 2930 Wetmore Ave,Everett,WA 98201 <br /> IHA 0 <br /> 3a.Name of Contact Person 3b.Phone Number(Including Area Code) 4.Reporting Period 5.Program Code(Not applicable for CPD programs.) 6.Date Submitted to Field Orrice <br /> Jan Meston 425-257-7164 2/18109-8/23/2012 See explanation of codes at bottom of page. N/A . <br /> Use a separate sheet for each program code. _ <br /> Grant/Project Number or Amount of Type of Contractor or Woman Prime Sec. Subcontractor Sec. Contractor/Subcontractor Name and Address <br /> HUD Case Number or Contract Trade Subcontractor Owned Contractor 3 Identification 3 <br /> other identification of property, or Subcontract Code Business Business Identification (ID) <br /> subdivision,dwelling unit,etc. (See Racial/Ethnic (Yes or (ID) • Number 71. <br /> below) Code No) Number <br /> (See below) <br /> 7a. 7b 7c 7d. 7e. 7f. 7g. 7h. 71. Name Street City State Zip Code <br /> N/A-No contracts or • <br /> subcontracts over$10,000 <br /> IV <br /> CTi <br /> • <br /> 7c:Type of Trade Codes: 7d:RaciaUEthnic Codes: 5:Program Codes(Complete for Housing and Public and Indian Housing programs only): <br /> CPD: 1=New Construction 0=Professional 1=WhiteAmedcans 1=All Insured,Including Section.5 5=Section 202 <br /> 1=New Construction 2=Substantial Rehab. 7=Tenant Services 2=Blade Americans 2=Flexible Subsidy 6=HUD-Held(Management) <br /> 2=Education/Training 3=Repair 5=Education/Training 3=Native Americans 3=Section 8 Noninsured,Non-HFDA 7=Publiclindan Housing <br /> 3=Other 4=Service e=Arch./Engrg.Appraisal 4=Hispanic Americans 4=Insured(Management B=Section 811 <br /> 5=Project Mengt 0=Other 5=Asian/Pacific Americans <br /> 6=Hasidic Jews <br /> Previous editions are obsolete. form HUD-2616(8/98) <br /> NSP1 Closeout Performance Report Page 8 of 12 <br /> CO• <br /> • <br />