2 PAIHS FCAP and Quarters SOW.pdf

PDF 465 KB Posted Apr 12, 2023

Attached to: Facility Assessment Federal contract opportunity
Solicitation number: IHS1467714
Issued by: Department of Health and Human Services Indian Health Service

View the file

Other files for this federal contract opportunity

Other files attached to Facility Assessment, newest first.
File	Type	Posted
RFI 25 APR 23.pdf	PDF	Apr 25, 2023
Quarters Checklist.docx	DOCX document	Apr 25, 2023
Area Asbestos Summary Page.xlsx	XLSX spreadsheet	Apr 25, 2023
Service Unit Square Footages.xlsx	XLSX spreadsheet	Apr 24, 2023
3. Amended Clauses and Provisions.docx.pdf	PDF	Apr 17, 2023
1. Amended Instructionns to Offerors.pdf	PDF	Apr 17, 2023
3 Clauses and Provisions.pdf	PDF	Apr 12, 2023
1 Instructions to Offerors.pdf	PDF	Apr 12, 2023
4 FCAP Work Sheet.xlsx	XLSX spreadsheet	Apr 12, 2023
5 IEE Representation Form.pdf	PDF	Apr 12, 2023

On GovTribe

Work with this file on GovTribe

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

Scope of Work Page 1 of 7 Phoenix Area Condition Assessments

SCOPE OF WORK

Healthcare Facilities and Residential Quarters Condition Assessments

Phoenix Area IHS Service Units

A. Project Description

The Phoenix Area Indian Health Service (PAIHS) is seeking a team of professionals (Contractor) to perform evaluation of the physical condition and functional performance of the real property (i.e., structure, appurtenances), building service equipment, utilities, and grounds, at PAIHS Service Units indicated in Appendix A .

B. Scope of work

Scheduling - Contractor shall submit a proposed schedule including all site visits, see section F. A minimum of three weeks prior to each site visit, in coordination with the COR, an updated schedule shall be delivered to the COR via email. The COR shall confirm the schedule via email to the contractor following coordination with the facility manager and contractor to ensure suitability of the proposed schedule.

Section B 1. “Healthcare Facility In Depth Inspections” is only applicable to the base year of this contract. Section B 2. “Quarters Annual Inspections” is applicable to base plus all exercised option year.

1. Healthcare Facility In Depth Inspections -

The Contractor shall -

a. Comply with all masking and screening entry requirements assigned by individual service units.

b. Attend a pre-assessment meeting, scheduled by the COR following notice to proceed, before performing on-site work. This meeting will cover the following:

• Introductions

• Discussion of entry requirements of the service unit

• Discussion concerning information required of the government by the contractor

• Establishment of appropriate points of contact

• Dates scheduled for assessment visit

c. Perform one in depth assessment at each service unit listed in appendix A to determine deficiencies and potential deficiencies expected to cost greater than $25,000 to correct. The primary assessment areas include:

• Operational state of the facility

• Physical condition of the real property

• Compliance with codes, standards and guidelines

• Program requirements to meet current and future needs to ensure safe, efficient, and effective delivery of services

Scope of Work Page 2 of 7

• Restoration requirements that address the recapitalization of the facility.

Deficiency - An existing item, component, structure, system, or equipment that is in poor physical condition or that is not in compliance with codes and standards listed in section D or a required item, component, structure, system or equipment that does not exist and must be installed to meet current mandatory standards.

Deficiencies include items that must be corrected to meet public law, regulatory provisions, and recognized engineering and management standards.

Potential defects that have not manifested into physical defects that affect mission or operation are not classified as a 'deficiency' since they are not reflective of the condition of the facility. However, conditions that have not yet manifested into physical deficiencies, but, based on analysis of industry standard estimated useful life data, will become deficiencies within the next 5 years shall be reported as a ‘potential deficiency’.

d. Provide a Facility Condition Index (FCI) benchmark for each facility

e. Develop cost estimates for each identified deficiency and potential deficiency using current industry cost data and methods.

f. Coordinate during site visits with pertinent POC.

g. Complete all inspections and provide deliveries to COR prior to the end of calendar year 2023.

2. Quarters Annual Inspections

The Contractor shall –

a. Properly don and wear an N95 mask, shoe covering, and gloves at all times during quarters inspections.

b. Perform one inspection annually at each quarters site associated with the Service Unit identified in appendix A (Ft Yuma and the YRTC service units do not require quarters annual inspections), inspecting each quarters unit.

c. Complete the Quarters Inspection Checklist for each quarters unit. (There is no minimum deficiency cost requirement for quarters inspections.) Each quarters unit shall have a unique checklist completed per inspection, see Appendix C. Written description of findings identified repeatedly in multiple quarters units shall include descriptive language distinguishing the finding from other, similar findings in other quarters units.

d. Develop cost estimates for each identified deficiency and potential deficiency using current industry cost data and methods.

e. Coordinate site visits with pertinent POC.

f. Complete all inspections and provide deliveries by the end of calendar years for subsequent annual inspections.

See Appendix D for service unit quarters data.

Scope of Work Page 3 of 7

C. Deliverables

1. Healthcare facility in-depth inspection - Electronic report including –

• List of identified deficiencies

• Repair/replacement options including:

1. Recommended prioritization of correction

2. Recommendations for repair or replacement

3. Cost estimates in MS Excel format.

• Facilities Condition Index

2. Quarters survey – completed “Quarters Deficiency Checklist” for each quarters unit in MS

Word format.

D. Applicable Code and Law

1. Contractors work shall refer to and comply with

a. NFPA 101 – 2016

b. NFPA 99 - 2016

c. International Building Code, latest edition

d. International Residential Code, latest edition

e. United States Access Board

f. EPA RCRA

E. Experience Requirements

1. Minimum of 5 years experience in hospital facilities assessment including –

a. Building systems

1. Electrical power distribution systems

a. Panels

b. Transformers

c. Motor control

2. Photovoltaic systems

3. HVAC mechanical systems

a. Boilers

b. Chillers

c. Heat exchangers

d. Cooling towers

e. Air handling units

4. Fire alarm and suppression

b. Emergency power generating systems

5. Emergency generators

6. Automatic Transfer Switches

c. Structural systems

7. Permanent construction

8. Modular buildings

d. Civil site features

9. Parking lots

10. Sewer

F. Submittals

Scope of Work Page 4 of 7

a. Schedule of tentative visits necessary to complete base year scope of work, including final deliverables. Schedule shall be constructed such that deliverables are received by the government before 12/31/2023

b. Written documentation of contractor’s estimation methodology.

c. Pertinent certification, healthcare inspection experience, education or training verifying the requirements covered in section D. of all professional team members performing inspections. For quarters inspections, in addition to residential inspection professionals, one environmental health professional shall be included on the inspection team.

G. Government Points of contact

COR and Service Unit POC Quarters POC Christian Guess, MS, PE, CHFM Trent Breshears Phoenix Area Indian Health Service Phoenix Area Indian Health Service Division of Facilities Engineering Division of Facilities Engineering Two Renaissance Square Two Renaissance Square 40 N. Central Avenue, Suite 720 40 N. Central Avenue, Suite 720 Phoenix, AZ 85004-4424 Phoenix, AZ 85004-4424 602-364-5074 602-364-5056

Facility specific points of contact shall be established during the pre-assessment meeting and delivered to the contractor prior to commencing work at each service uni

Scope of Work Page 5 of 7

Appendix A Service Units

Whiteriver Service Unit (WRSU)

Whiteriver Indian Hospital - Fort Apache Indian Reservation P.O. Box 860 Whiteriver, AZ 85941-0860

Cibecue Health Center 2 West 3rd Street P.O. Box 80039 Cibecue, AZ 85911-0039

Phoenix Service Unit Phoenix Indian Medical Center (PIMC) 4212 North 16th Street Phoenix, AZ 85016-5319

Fort Yuma Service Unit (FYSU) Fort Yuma Health Center (FYHC) One Indian Hill Road Winterhaven, CA 92283

Colorado River Service Unit (CRSU) Supai Clinic - Havasupai Reservation 1 Main Street Supai, AZ 86435-5000 Coconino County, Arizona (This facility is in the bottom of the Grand Canyon. The only access to the facility is via helicopter, foot, or mule.)

Peach Springs Health Center 943 Hualapai Way Peach Springs, AZ 86434

Keams Canyon Service Unit (KCSU) Hopi Health Care Center (HHCC) Hwy 246 Mile Marker 388 Polacca, AZ 86042

Keams Canyon Housing 107 S St Keams Canyon, AZ 86034

Uintah-Ouray Service Unit (UOSU) Fort Duchesne PHS Indian Health Center 6822 E. 1000 S.

Fort Duchesne, UT 84026

YRTC Service Unit (No Quarters) Desert Visions Youth Wellness Center 198 Skill Center Rd Sacaton, AZ 85147

Nevada Skies Youth Wellness 104 Big Bend Ranch Road Wadsworth, NV 89442

Scope of Work Page 6 of 7

Appendix B PAIHS Map

Scope of Work Page 7 of 7

Appendix C Quarters Checklist (Checklist will be submitted with RFP)

Exterior *Bold Items Must Be Supported By Documentation & Photos

Item Rating Remarks/Comments Est. Repair/Replacement $

Are there any notable signs indicating problems with the Roof (e.g., shingles curling or buckling, missing shingles, etc.)?

Rain Gutters/Downspouts/Drains

Damage to Exterior Walls /Siding

Damage to Exterior HVAC Heat/Air Unit Or Heat Source Unit Or Window Unit

Exterior Doors/Storm Door/Screens

Functioning Windows/Screens (e.g., lock, open or close properly)

Are Porch/Steps/Fence Or Patio Damaged or Need Repair?

Are Sidewalk/Driveway/Pathways Damaged or Need Repair?

Is there any known Asbestos or Lead Based Paint at the unit?

Are there indications of Moisture Issues, Water Damage Or Mold Issues at this unit?

Are there Radon Fans or reports of Radon at the unit?

Any signs of Chimney/Boiler Stack/Fire Place damaged or in need of repair?

Condition of Garage/Carport

Condition Of Outside Shed

Flammable Liquids Stored/Gas or Charcoal Grill Located Close To Quarters

Any Indications of Rodents/Insects Or Other Pests

Condition Of Lawn & Landscaping

Other Basement Used For Storage. Is there an egress d i ?

Basement Used for Other than Storage

Is the basement used for bedrooms

Are there any moisture issues or visual signs of damage or leaks in the basement? If so, where?

Is there a sump pump? If so, is it operational?

What is the condition of sump pump?

Is the furnace operational? If so, define its

Is the Heating/Cooling System Operational?

Define condition and type of system

Scope of Work Page 8 of 7

Appendix D Service Unit Quarters Inventories

Inventory

* Total Administrative Deductions cannot exceed 60% of Monthly CPI-Adjusted Base Rent where isolation occurs or 50% of CPI-Adjusted Base where isolation does not occur, per OMB Circular A-45R.

January 23, 2023 Page 1 of 2

Agency: IHS Agency Region: Phoenix Installation: FORT DUCHESNE UT PHS IHC Survey Region: CU

Housing Unit No.

Community, State

Isolation Points Rent Class

Total Sq Ft

Official Use Sq Ft

Unused Sq Ft

Beds / Used

No. of Beds

Baths / Used

Int / Ext Condition

Garage / Carport

Planned Tenants

Last Rent Date

Monthly Unit Fed Rent

00000028 , 8.0 House 1288 0 0 3 / 3 1.75 / 1.75

Good / Good

1 Car Garage

1 3/13/2022 $1,144.00

* Deductions: None

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity Tenant Pays Direct, Natural Gas Tenant Pays Direct

Appliances/Services Included: Central Cooling (Refrigerated), Central Heating (Forced Air), Range, Refrigerator, Water Heater

00000029 , 8.0 House 1288 0 0 3 / 3 1.75 / 1.75

Poor / Poor 1 Car Garage

1 3/13/2022 $1,127.25

* Deductions: None

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity Tenant Pays Direct, Natural Gas Tenant Pays Direct

Appliances/Services Included: Central Cooling (Refrigerated), Central Heating (Forced Air), Dishwasher, Range, Refrigerator, Water Heater

00000030 8.0 House 1171 0 0 2 / 2 1.5 / 1.5 Fair / Poor 1 Car Garage

1 5/17/2022 $919.25

* Deductions: None

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity Tenant Pays Direct, Natural Gas Tenant Pays Direct, Trash Disposal Tenant Pays Direct

Appliances/Services Included: Central Cooling (Refrigerated), Central Heating (Forced Air), Dishwasher, Range, Refrigerator, Water Heater

00000033 8.0 House 1288 0 0 3 / 3 1.75 / 1.75

Poor / Fair 1 Car Garage

1 5/16/2022 $1,089.00

* Deductions: None

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity Tenant Pays Direct, Natural Gas Tenant Pays Direct

Appliances/Services Included: Central Cooling (Refrigerated), Central Heating (Forced Air), Range, Refrigerator, Water Heater

00000127 8.0 House 1171 0 0 2 / 2 1.5 / 1.5 Poor / Fair 1 Car Garage

1 3/13/2022 $916.00

* Deductions: None

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity Tenant Pays Direct, Natural Gas Tenant Pays Direct

Appliances/Services Included: Central Cooling (Refrigerated), Central Heating (Forced Air), Range, Refrigerator, Water Heater

* Total Administrative Deductions cannot exceed 60% of Monthly CPI-Adjusted Base Rent where isolation occurs or 50% of CPI-Adjusted Base where isolation does not occur, per OMB Circular A-45R.

January 23, 2023 Page 2 of 2

Agency: IHS Agency Region: Phoenix Installation: FORT DUCHESNE UT PHS IHC Survey Region: CU

Housing Unit No.

Community, State

Isolation Points Rent Class

Total Sq Ft

Official Use Sq Ft

Unused Sq Ft

Beds / Used

No. of Beds

Baths / Used

Int / Ext Condition

Garage / Carport

Planned Tenants

Last Rent Date

Monthly Unit Fed Rent

00000128 8.0 House 1171 0 0 2 / 2 1.5 / 1.5 Fair / Poor 1 Car Garage

1 3/13/2022 $1,123.95

* Deductions: None

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Natural Gas iQMIS Estimate

Appliances/Services Included: Central Cooling (Refrigerated), Central Heating (Forced Air), Range, Refrigerator, Water Heater

00000129 8.0 House 1288 0 0 3 / 3 1.75 / 1.75

Excellent / Excellent

1 Car Garage

1 1/20/2023 $1,235.00

* Deductions: None

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity Tenant Pays Direct, Natural Gas Tenant Pays Direct

Appliances/Services Included: Central Cooling (Refrigerated), Central Heating (Forced Air), Range, Refrigerator, Water Heater

00000130 8.0 House 1171 0 0 2 / 2 1.5 / 1.5 Poor / Poor 1 Car Garage

1 3/12/2023 $976.00

* Deductions: None

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity Tenant Pays Direct, Natural Gas Tenant Pays Direct

Appliances/Services Included: Central Cooling (Refrigerated), Central Heating (Forced Air), Range, Refrigerator, Water Heater

00000131 8.0 House 1288 0 0 3 / 3 1.75 / 1.75

Fair / Fair 1 Car Garage

1 3/13/2022 $1,094.00

* Deductions: None

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity Tenant Pays Direct, Natural Gas Tenant Pays Direct

Appliances/Services Included: Central Cooling (Refrigerated), Central Heating (Forced Air), Range, Refrigerator, Water Heater

TOTAL UNITS IN FORT DUCHESNE UT PHS IHC 9

* Total Administrative Deductions cannot exceed 60% of Monthly CPI-Adjusted Base Rent where isolation occurs or 50% of CPI-Adjusted Base where isolation does not occur, per OMB Circular A-45R.

January 19, 2023 Page 1 of 13

Agency: IHS Agency Region: Phoenix Installation: KEAMS CANYON AZ PHS INST SUPP Survey Region: NM

Housing Unit No.

Community, State

Isolation Points Rent Class

Total Sq Ft

Official Use Sq Ft

Unused Sq Ft

Beds / Used

No. of Beds

Baths / Used

Int / Ext Condition

Garage / Carport

Planned Tenants

Last Rent Date

Monthly Unit Fed Rent

00000067 70.0 House 960 0 0 2 / 2 1 / 1 Fair / Good 1 Car Garage

1 3/13/2022 $332.30

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Propane Tenant Pays Direct, Trash Disposal Tenant Pays Direct

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Dryer, Range, Refrigerator, Washer, Water Heater

00000068 70.0 House 960 0 0 2 / 2 1 / 1 Fair / Good 1 Car Garage

1 12/29/2022 $325.00

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Propane Tenant Pays Direct, Trash Disposal Tenant Pays Direct

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Range, Refrigerator, Water Heater

00000069 70.0 House 960 0 0 2 / 2 1 / 1 Fair / Good 1 Car Garage

1 11/2/2022 $325.00

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Propane Tenant Pays Direct, Trash Disposal Tenant Pays Direct

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Range, Refrigerator, Water Heater

00000070 70.0 House 960 0 0 2 / 2 1 / 1 Fair / Good 1 Car Garage

1 12/28/2022 $325.00

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Propane Tenant Pays Direct, Trash Disposal Tenant Pays Direct

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Range, Refrigerator, Water Heater

00000071 70.0 House 960 0 0 2 / 2 1 / 1 Good / Good

1 Car Garage

1 12/28/2022 $351.00

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Propane Tenant Pays Direct, Trash Disposal Tenant Pays Direct

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Range, Refrigerator, Water Heater

* Total Administrative Deductions cannot exceed 60% of Monthly CPI-Adjusted Base Rent where isolation occurs or 50% of CPI-Adjusted Base where isolation does not occur, per OMB Circular A-45R.

January 19, 2023 Page 2 of 13

Agency: IHS Agency Region: Phoenix Installation: KEAMS CANYON AZ PHS INST SUPP Survey Region: NM

Housing Unit No.

Community, State

Isolation Points Rent Class

Total Sq Ft

Official Use Sq Ft

Unused Sq Ft

Beds / Used

No. of Beds

Baths / Used

Int / Ext Condition

Garage / Carport

Planned Tenants

Last Rent Date

Monthly Unit Fed Rent

00000072 70.0 House 960 0 0 2 / 2 1 / 1 Excellent / Good

1 Car Garage

1 3/12/2023 $397.00

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Propane Tenant Pays Direct, Trash Disposal Tenant Pays Direct

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Range, Refrigerator, Water Heater

00000073 70.0 House 960 0 0 2 / 2 1 / 1 Good / Good

1 Car Garage

1 3/12/2023 $364.00

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Propane Tenant Pays Direct, Trash Disposal Tenant Pays Direct

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Range, Refrigerator, Water Heater

00000074 70.0 House 960 0 0 2 / 2 1 / 1 Fair / Good 1 Car Garage

1 3/12/2023 $340.85

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Propane Tenant Pays Direct, Trash Disposal Tenant Pays Direct

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Free-Standing Stove, Range, Refrigerator, Water Heater

00000075 70.0 House 960 0 0 2 / 2 1 / 1 Fair / Good 1 Car Garage

1 3/13/2022 $325.00

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Propane Tenant Pays Direct, Trash Disposal Tenant Pays Direct

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Range, Refrigerator, Water Heater

00000076 70.0 House 1152 0 0 3 / 3 1 / 1 Good / Good

1 Car Garage

1 12/28/2022 $456.00

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Propane Tenant Pays Direct, Trash

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Range, Refrigerator, Water Heater

* Total Administrative Deductions cannot exceed 60% of Monthly CPI-Adjusted Base Rent where isolation occurs or 50% of CPI-Adjusted Base where isolation does not occur, per OMB Circular A-45R.

January 19, 2023 Page 3 of 13

Agency: IHS Agency Region: Phoenix Installation: KEAMS CANYON AZ PHS INST SUPP Survey Region: NM

Housing Unit No.

Community, State

Isolation Points Rent Class

Total Sq Ft

Official Use Sq Ft

Unused Sq Ft

Beds / Used

No. of Beds

Baths / Used

Int / Ext Condition

Garage / Carport

Planned Tenants

Last Rent Date

Monthly Unit Fed Rent

00000077 70.0 House 1152 0 0 3 / 3 1 / 1 Good / Good

1 Car Garage

1 3/13/2022 $456.00

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Propane Tenant Pays Direct, Trash Disposal Tenant Pays Direct

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Range, Refrigerator, Water Heater

00000078 70.0 House 1152 0 0 3 / 3 1 / 1 Fair / Good 1 Car Garage

1 1/2/2023 $430.00

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Propane Tenant Pays Direct, Trash Disposal Tenant Pays Direct

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Range, Refrigerator, Water Heater

00000079 70.0 House 960 0 0 2 / 2 1 / 1 Fair / Good 1 Car Garage

1 3/13/2022 $325.00

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Propane Tenant Pays Direct, Trash Disposal Tenant Pays Direct

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Range, Refrigerator, Water Heater

00000080 70.0 House 960 0 0 2 / 2 1 / 1 Fair / Good 1 Car Garage

1 3/13/2022 $325.00

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Propane Tenant Pays Direct, Trash Disposal Tenant Pays Direct

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Range, Refrigerator, Water Heater

00000081 70.0 House 960 0 0 2 / 2 1 / 1 Good / Good

1 Car Garage

1 8/28/2022 $351.00

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Propane Tenant Pays Direct, Trash

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Range, Refrigerator, Water Heater

* Total Administrative Deductions cannot exceed 60% of Monthly CPI-Adjusted Base Rent where isolation occurs or 50% of CPI-Adjusted Base where isolation does not occur, per OMB Circular A-45R.

January 19, 2023 Page 4 of 13

Agency: IHS Agency Region: Phoenix Installation: KEAMS CANYON AZ PHS INST SUPP Survey Region: NM

Housing Unit No.

Community, State

Isolation Points Rent Class

Total Sq Ft

Official Use Sq Ft

Unused Sq Ft

Beds / Used

No. of Beds

Baths / Used

Int / Ext Condition

Garage / Carport

Planned Tenants

Last Rent Date

Monthly Unit Fed Rent

00000082 70.0 House 1456 0 0 3 / 3 1 / 1 Good / Good

1 Car Garage

1 3/13/2022 $531.00

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Propane Tenant Pays Direct, Trash Disposal Tenant Pays Direct

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Range, Refrigerator, Water Heater

00000083 70.0 House 1152 0 0 3 / 3 1 / 1 Good / Good

1 Car Garage

1 3/13/2022 $456.00

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Propane Tenant Pays Direct, Trash Disposal Tenant Pays Direct

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Range, Refrigerator, Water Heater

00000084 70.0 House 1152 0 0 3 / 3 1 / 1 Fair / Good 1 Car Garage

1 3/13/2022 $430.00

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Propane Tenant Pays Direct, Trash Disposal Tenant Pays Direct

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Range, Refrigerator, Water Heater

00000085 70.0 House 1600 0 0 4 / 4 1.75 / 1.75

Excellent / Good

1 Car Garage

1 3/13/2022 $714.00

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Propane Tenant Pays Direct, Trash Disposal Tenant Pays Direct

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Range, Refrigerator, Water Heater

00000086 70.0 House 1152 0 0 3 / 3 1 / 1 Good / Good

1 Car Garage

1 3/13/2022 $456.00

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Propane Tenant Pays Direct, Trash

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Range, Refrigerator, Water Heater

* Total Administrative Deductions cannot exceed 60% of Monthly CPI-Adjusted Base Rent where isolation occurs or 50% of CPI-Adjusted Base where isolation does not occur, per OMB Circular A-45R.

January 19, 2023 Page 5 of 13

Agency: IHS Agency Region: Phoenix Installation: KEAMS CANYON AZ PHS INST SUPP Survey Region: NM

Housing Unit No.

Community, State

Isolation Points Rent Class

Total Sq Ft

Official Use Sq Ft

Unused Sq Ft

Beds / Used

No. of Beds

Baths / Used

Int / Ext Condition

Garage / Carport

Planned Tenants

Last Rent Date

Monthly Unit Fed Rent

00000087 70.0 House 1152 0 0 3 / 3 1 / 1 Excellent / Good

1 Car Garage

1 3/13/2022 $486.00

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Propane Tenant Pays Direct, Trash Disposal Tenant Pays Direct

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Range, Refrigerator, Water Heater

00000088 70.0 House 1152 0 0 3 / 3 1 / 1 Good / Good

1 Car Garage

1 3/13/2022 $456.00

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Propane Tenant Pays Direct, Trash Disposal Tenant Pays Direct

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Range, Refrigerator, Water Heater

00000089 70.0 House 1152 0 0 3 / 3 1 / 1 Good / Good

1 Car Garage

1 3/12/2023 $477.00

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Propane Tenant Pays Direct, Trash Disposal Tenant Pays Direct

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Range, Refrigerator, Water Heater

00000090 70.0 House 1152 0 0 3 / 3 2 / 2 Good / Good

1 Car Garage

1 3/13/2022 $549.30

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Propane Tenant Pays Direct, Trash Disposal Tenant Pays Direct

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Dryer, Range, Refrigerator, Washer, Water Heater

00000091 70.0 House 1152 0 0 3 / 3 2 / 2 Good / Good

1 Car Garage

1 1/3/2023 $542.00

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Propane Tenant Pays Direct, Trash

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Range, Refrigerator, Water Heater

* Total Administrative Deductions cannot exceed 60% of Monthly CPI-Adjusted Base Rent where isolation occurs or 50% of CPI-Adjusted Base where isolation does not occur, per OMB Circular A-45R.

January 19, 2023 Page 6 of 13

Agency: IHS Agency Region: Phoenix Installation: KEAMS CANYON AZ PHS INST SUPP Survey Region: NM

Housing Unit No.

Community, State

Isolation Points Rent Class

Total Sq Ft

Official Use Sq Ft

Unused Sq Ft

Beds / Used

No. of Beds

Baths / Used

Int / Ext Condition

Garage / Carport

Planned Tenants

Last Rent Date

Monthly Unit Fed Rent

00000101 70.0 Apartment 1084 0 0 2 / 2 2 / 2 Excellent / Excellent

Carport 1 3/13/2022 $946.94

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Trash Disposal In Rent

Appliances/Services Included: Central Cooling (Refrigerated), Central Heating (Heat Pump), Dryer, Furnished Rooms, Internet, Microwave Oven, Range, Refrigerator, Satellite TV Basic, Washer, Water Heater

00000102 70.0 Apartment 1084 0 0 2 / 2 2 / 2 Excellent / Excellent

Carport 1 3/22/2022 $946.94

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Trash Disposal In Rent

00000103 70.0 Apartment 602 0 0 1 / 1 1 / 1 Excellent / Excellent

Carport 1 11/22/2022 $609.59

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Trash Disposal In Rent

00000104 70.0 Apartment 758 0 0 1 / 1 1 / 1 Excellent / Excellent

Carport 1 1/2/2023 $660.40

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Trash Disposal In Rent

00000105 70.0 Apartment 602 0 0 1 / 1 1 / 1 Excellent / Excellent

Carport 1 3/13/2022 $609.59

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Trash Disposal In Rent

* Total Administrative Deductions cannot exceed 60% of Monthly CPI-Adjusted Base Rent where isolation occurs or 50% of CPI-Adjusted Base where isolation does not occur, per OMB Circular A-45R.

January 19, 2023 Page 7 of 13

Agency: IHS Agency Region: Phoenix Installation: KEAMS CANYON AZ PHS INST SUPP Survey Region: NM

Housing Unit No.

Community, State

Isolation Points Rent Class

Total Sq Ft

Official Use Sq Ft

Unused Sq Ft

Beds / Used

No. of Beds

Baths / Used

Int / Ext Condition

Garage / Carport

Planned Tenants

Last Rent Date

Monthly Unit Fed Rent

00000106 70.0 Apartment 758 0 0 1 / 1 1 / 1 Excellent / Excellent

Carport 1 3/12/2023 $700.55

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Trash Disposal In Rent

00000107 70.0 Apartment 602 0 0 1 / 1 1 / 1 Excellent / Excellent

Carport 1 12/8/2022 $609.59

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Trash Disposal In Rent

00000108 70.0 Apartment 758 0 0 1 / 1 1 / 1 Excellent / Excellent

Carport 1 3/13/2022 $660.40

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Trash Disposal In Rent

00000109 70.0 Apartment 602 0 0 1 / 1 1 / 1 Excellent / Excellent

Carport 1 3/13/2022 $609.59

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Trash Disposal In Rent

00000110 70.0 Apartment 758 0 0 1 / 1 1 / 1 Excellent / Excellent

Carport 1 3/13/2022 $660.40

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Trash Disposal In Rent

Appliances/Services Included: Central Cooling (Refrigerated), Central Heating (Heat Pump), Dryer, Furnished Rooms, Internet, Microwave Oven, Range,

* Total Administrative Deductions cannot exceed 60% of Monthly CPI-Adjusted Base Rent where isolation occurs or 50% of CPI-Adjusted Base where isolation does not occur, per OMB Circular A-45R.

January 19, 2023 Page 8 of 13

Agency: IHS Agency Region: Phoenix Installation: KEAMS CANYON AZ PHS INST SUPP Survey Region: NM

Housing Unit No.

Community, State

Isolation Points Rent Class

Total Sq Ft

Official Use Sq Ft

Unused Sq Ft

Beds / Used

No. of Beds

Baths / Used

Int / Ext Condition

Garage / Carport

Planned Tenants

Last Rent Date

Monthly Unit Fed Rent

00000111 70.0 Apartment 602 0 0 1 / 1 1 / 1 Excellent / Excellent

Carport 1 3/13/2022 $609.59

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Trash Disposal In Rent

00000112 70.0 Apartment 758 0 0 1 / 1 1 / 1 Excellent / Excellent

Carport 1 8/28/2022 $660.40

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Trash Disposal In Rent

00000113 70.0 Apartment 602 0 0 1 / 1 1 / 1 Excellent / Excellent

Carport 1 3/13/2022 $609.59

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Trash Disposal In Rent

00000114 70.0 Apartment 758 0 0 1 / 1 1 / 1 Excellent / Excellent

Carport 1 3/13/2022 $773.45

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Trash Disposal In Rent

Appliances/Services Included: Central Cooling (Refrigerated), Central Heating (Heat Pump), Dryer, Furnished Rooms, Internet, Maid Service, Microwave Oven, Range, Refrigerator, Satellite TV Basic, Washer, Water Heater

00000115 70.0 Apartment 602 0 0 1 / 1 1 / 1 Excellent / Excellent

Carport 1 3/13/2022 $609.59

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Trash Disposal In Rent

Appliances/Services Included: Central Cooling (Refrigerated), Central Heating (Heat Pump), Dryer, Furnished Rooms, Internet, Microwave Oven, Range,

* Total Administrative Deductions cannot exceed 60% of Monthly CPI-Adjusted Base Rent where isolation occurs or 50% of CPI-Adjusted Base where isolation does not occur, per OMB Circular A-45R.

January 19, 2023 Page 9 of 13

Agency: IHS Agency Region: Phoenix Installation: KEAMS CANYON AZ PHS INST SUPP Survey Region: NM

Housing Unit No.

Community, State

Isolation Points Rent Class

Total Sq Ft

Official Use Sq Ft

Unused Sq Ft

Beds / Used

No. of Beds

Baths / Used

Int / Ext Condition

Garage / Carport

Planned Tenants

Last Rent Date

Monthly Unit Fed Rent

00000116 70.0 Apartment 758 0 0 1 / 1 1 / 1 Excellent / Excellent

Carport 1 3/23/2022 $660.40

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Trash Disposal In Rent

00000117 70.0 Apartment 602 0 0 1 / 1 1 / 1 Excellent / Excellent

Carport 1 12/8/2022 $609.59

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Trash Disposal In Rent

00000118 70.0 Apartment 758 0 0 1 / 1 1 / 1 Excellent / Excellent

Carport 1 3/13/2022 $660.40

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Trash Disposal In Rent

00000119 70.0 Apartment 770 0 0 1 / 1 1 / 1 Excellent / Excellent

Carport 1 3/13/2022 $660.40

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Trash Disposal In Rent

00000174 70.0 Mobile Home

840 0 0 2 / 2 1 / 1 Excellent / Excellent

No Garage or Carport

1 3/22/2022 $390.55

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Trash Disposal Tenant Pays Direct

Appliances/Services Included: Central Cooling (Refrigerated), Central Heating (Heat Pump), Dishwasher, Dryer, Range, Refrigerator, Washer, Water Heater

* Total Administrative Deductions cannot exceed 60% of Monthly CPI-Adjusted Base Rent where isolation occurs or 50% of CPI-Adjusted Base where isolation does not occur, per OMB Circular A-45R.

January 19, 2023 Page 10 of 13

Agency: IHS Agency Region: Phoenix Installation: KEAMS CANYON AZ PHS INST SUPP Survey Region: NM

Housing Unit No.

Community, State

Isolation Points Rent Class

Total Sq Ft

Official Use Sq Ft

Unused Sq Ft

Beds / Used

No. of Beds

Baths / Used

Int / Ext Condition

Garage / Carport

Planned Tenants

Last Rent Date

Monthly Unit Fed Rent

00000175 70.0 Mobile Home

840 0 0 2 / 2 1 / 1 Excellent / Excellent

No Garage or Carport

1 10/29/2022 $390.55

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Trash Disposal Tenant Pays Direct

Appliances/Services Included: Central Cooling (Refrigerated), Central Heating (Heat Pump), Dishwasher, Dryer, Range, Refrigerator, Washer, Water Heater

00000176 70.0 Mobile Home

840 0 0 2 / 2 1 / 1 Excellent / Excellent

No Garage or Carport

1 3/13/2022 $390.55

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Trash Disposal Tenant Pays Direct

Appliances/Services Included: Central Cooling (Refrigerated), Central Heating (Heat Pump), Dishwasher, Dryer, Range, Refrigerator, Washer, Water Heater

00000177 70.0 Mobile Home

840 0 0 2 / 2 1 / 1 Excellent / Excellent

No Garage or Carport

1 3/13/2022 $390.55

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Trash Disposal Tenant Pays Direct

Appliances/Services Included: Central Cooling (Refrigerated), Central Heating (Heat Pump), Dishwasher, Dryer, Range, Refrigerator, Washer, Water Heater

00000178 70.0 Mobile Home

840 0 0 2 / 2 1 / 1 Excellent / Excellent

No Garage or Carport

1 3/13/2022 $390.55

* Deductions: Isolation $350.00

Utilities Included: Water Tenant Pays Direct, Sewer Tenant Pays Direct, Electricity Tenant Pays Direct, Trash Disposal Tenant Pays Direct

Appliances/Services Included: Central Cooling (Refrigerated), Central Heating (Heat Pump), Dishwasher, Dryer, Range, Refrigerator, Washer, Water Heater

00000179 70.0 House 1760 0 0 4 / 4 2 / 2 Excellent / Excellent

No Garage or Carport

1 3/13/2022 $1,531.28

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Trash Disposal In Rent

Appliances/Services Included: Central Cooling (Refrigerated), Central Heating (Heat Pump), Dishwasher, Dryer, Furnished Rooms, Internet, Microwave Oven, Range, Refrigerator, Satellite TV Basic, Washer, Water Heater

* Total Administrative Deductions cannot exceed 60% of Monthly CPI-Adjusted Base Rent where isolation occurs or 50% of CPI-Adjusted Base where isolation does not occur, per OMB Circular A-45R.

January 19, 2023 Page 11 of 13

Agency: IHS Agency Region: Phoenix Installation: KEAMS CANYON AZ PHS INST SUPP Survey Region: NM

Housing Unit No.

Community, State

Isolation Points Rent Class

Total Sq Ft

Official Use Sq Ft

Unused Sq Ft

Beds / Used

No. of Beds

Baths / Used

Int / Ext Condition

Garage / Carport

Planned Tenants

Last Rent Date

Monthly Unit Fed Rent

0000092A 70.0 Plex 744 0 0 1 / 1 1 / 1 Good / Good

No Garage or Carport

1 3/22/2022 $482.47

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Propane iQMIS Estimate, Trash Disposal In Rent

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Dryer, Furnished Rooms, Internet, Microwave Oven, Range, Refrigerator, Washer, Water Heater

0000092B 70.0 Plex 744 0 0 1 / 1 1 / 1 Good / Good

No Garage or Carport

1 3/22/2022 $482.47

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Propane iQMIS Estimate, Trash Disposal In Rent

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Dryer, Furnished Rooms, Internet, Microwave Oven, Range, Refrigerator, Washer, Water Heater

000095-1 70.0 Plex 639 0 0 1 / 1 1 / 1 Good / Good

No Garage or Carport

1 3/22/2022 $608.31

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Propane iQMIS Estimate, Trash Disposal In Rent

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Dryer, Furnished Rooms, Internet, Maid Service, Microwave Oven, Range, Refrigerator, Satellite TV Basic, Washer, Water Heater

000095-2 70.0 Plex 639 0 0 1 / 1 1 / 1 Good / Good

No Garage or Carport

1 12/2/2022 $608.31

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Propane iQMIS Estimate, Trash Disposal In Rent

000095-3 70.0 Plex 639 0 0 1 / 1 1 / 1 Good / Good

No Garage or Carport

1 3/13/2022 $608.31

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Propane iQMIS Estimate, Trash Disposal In Rent

* Total Administrative Deductions cannot exceed 60% of Monthly CPI-Adjusted Base Rent where isolation occurs or 50% of CPI-Adjusted Base where isolation does not occur, per OMB Circular A-45R.

January 19, 2023 Page 12 of 13

Agency: IHS Agency Region: Phoenix Installation: KEAMS CANYON AZ PHS INST SUPP Survey Region: NM

Housing Unit No.

Community, State

Isolation Points Rent Class

Total Sq Ft

Official Use Sq Ft

Unused Sq Ft

Beds / Used

No. of Beds

Baths / Used

Int / Ext Condition

Garage / Carport

Planned Tenants

Last Rent Date

Monthly Unit Fed Rent

000095-4 70.0 Plex 639 0 0 1 / 1 1 / 1 Good / Good

No Garage or Carport

1 3/22/2022 $495.26

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Propane iQMIS Estimate, Trash Disposal In Rent

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Dryer, Furnished Rooms, Internet, Microwave Oven, Range, Refrigerator, Satellite TV Basic, Washer, Water Heater

000100-1 70.0 Plex 639 0 0 1 / 1 1 / 1 Good / Good

No Garage or Carport

1 3/13/2022 $608.31

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Propane iQMIS Estimate, Trash Disposal In Rent

000100-2 70.0 Plex 639 0 0 1 / 1 1 / 1 Good / Good

No Garage or Carport

1 12/2/2022 $495.26

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Propane iQMIS Estimate, Trash Disposal In Rent

000100-3 70.0 Plex 639 0 0 1 / 1 1 / 1 Good / Good

No Garage or Carport

1 3/13/2022 $608.31

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Propane iQMIS Estimate, Trash Disposal In Rent

000100-4 70.0 Plex 639 0 0 1 / 1 1 / 1 Good / Good

No Garage or Carport

1 3/22/2022 $495.26

* Deductions: Isolation $350.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Propane iQMIS Estimate, Trash Disposal In Rent

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Dryer, Furnished Rooms, Internet, Microwave Oven, Range,

* Total Administrative Deductions cannot exceed 60% of Monthly CPI-Adjusted Base Rent where isolation occurs or 50% of CPI-Adjusted Base where isolation does not occur, per OMB Circular A-45R.

January 19, 2023 Page 13 of 13

Agency: IHS Agency Region: Phoenix Installation: KEAMS CANYON AZ PHS INST SUPP Survey Region: NM

Housing Unit No.

Community, State

Isolation Points Rent Class

Total Sq Ft

Official Use Sq Ft

Unused Sq Ft

Beds / Used

No. of Beds

Baths / Used

Int / Ext Condition

Garage / Carport

Planned Tenants

Last Rent Date

Monthly Unit Fed Rent

KCRV01 0.0 Trailer Pad 480 0 0 0 / 0 0 / 0 ---- / ---- 1 9/16/2022 $280.71

* Deductions: None

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Trash Disposal Tenant Pays Direct

Appliances/Services Included: None

KCRV02 0.0 Trailer Pad 480 0 0 0 / 0 0 / 0 ---- / ---- 1 3/13/2022 $280.71

* Deductions: None

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity iQMIS Estimate, Trash Disposal Tenant Pays Direct

Appliances/Services Included: None

KCRV03 0.0 Trailer Pad 450 0 0 0 / 0 0 / 0 ---- / ---- 1 3/13/2022 $274.51

* Deductions: None

Utilities Included: Electricity iQMIS Estimate, Trash Disposal In Rent

Appliances/Services Included: None

TOTAL UNITS IN KEAMS CANYON AZ PHS INST SUPP 63

* Total Administrative Deductions cannot exceed 60% of Monthly CPI-Adjusted Base Rent where isolation occurs or 50% of CPI-Adjusted Base where isolation does not occur, per OMB Circular A-45R.

January 23, 2023 Page 1 of 2

Agency: IHS Agency Region: Phoenix Installation: PEACH SPRINGS AZ Survey Region: AN

Housing Unit No.

Community, State

Isolation Points Rent Class

Total Sq Ft

Official Use Sq Ft

Unused Sq Ft

Beds / Used

No. of Beds

Baths / Used

Int / Ext Condition

Garage / Carport

Planned Tenants

Last Rent Date

Monthly Unit Fed Rent

00000301 51.0 House 1081 0 0 2 / 2 1 / 1 Fair / Fair 1 Car Garage

1 3/13/2022 $499.05

* Deductions: Isolation $191.00 Streets/Sidewalks/Lights 1%

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity Tenant Pays Direct, Propane Tenant Pays Direct, Trash Disposal In Rent

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Range, Refrigerator, Water Heater

00000302 51.0 House 1081 0 0 2 / 2 1 / 1 Excellent / Excellent

1 Car Garage

1 3/13/2022 $615.87

* Deductions: Isolation $191.00 Streets/Sidewalks/Lights 1%

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity Tenant Pays Direct, Propane Tenant Pays Direct, Trash Disposal In Rent

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Range, Refrigerator, Water Heater

00000305 51.0 Mobile Home

1296 0 0 3 / 3 1.5 / 1.5 Poor / Fair Carport 1 3/13/2022 $587.05

* Deductions: Isolation $191.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity Tenant Pays Direct, Propane Tenant Pays Direct, Trash Disposal In Rent

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Range, Refrigerator, Water Heater

00000306 51.0 Mobile Home

1296 0 0 3 / 3 2 / 2 Good / Fair Carport 1 3/13/2022 $635.05

* Deductions: Isolation $191.00

Utilities Included: Water iQMIS Estimate, Sewer iQMIS Estimate, Electricity Tenant Pays Direct, Propane Tenant Pays Direct, Trash Disposal In Rent

Appliances/Services Included: Central Cooling (Evaporative), Central Heating (Forced Air), Range, Refrigerator, Water Heater

* Total Administrative Deductions cannot exceed 60% of Monthly CPI-Adjusted Base Rent where isolation occurs or 50% of CPI-Adjusted Base where isolation does not occur, per OMB Circular A-45R.

January 23, 2023 Page 2 of 2

A…

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated Apr 12, 2023.