Exceed Form.pdf
PDF 542 KB Posted
- Solicitation number
- 300000146520058
- Issued by
- Michigan
About this file
This is an authorization form for exceeding program caps issued by the City of Detroit's Housing Department, located at the Coleman A. Young Municipal Center. The form establishes procedures for approving additional work and costs that exceed established program caps across multiple housing repair categories. The document does not specify a particular contract term or renewal options but rather serves as an internal approval mechanism for case-by-case exceptions to program spending limits.
The form establishes specific program caps for four categories: Healthy Homes at $5,000, Lead Hazard Reduction at $19,999, Emergency Repair Roof at $15,000, and Emergency Repair Other at $8,500. Authorization to exceed these caps requires documentation and justification, with approval contingent upon case review and authorization by the Chief of Housing Inspections and verification of available program funds by the Program Manager or Supervisor. The form includes signature lines for the Single Family Director, Housing Compliance Inspector, Historic Designation Compliance Inspector, Chief of Housing Inspections, and Program Manager/Supervisor, indicating a multi-level approval process. No specific funding sources or total appropriations are identified in the document.
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Text version
DATE:
Case No:
Property Owner:
Property Address:
City, State, Zip: Detroit, MI
Fax No.
-$ Emergency: -$ HH Cap: (5,000.00)$ Roof Cap: (15,000.00)$ Exceed: Exceed:
-$ Emergency -$ LHR Cap: (19,999.00)$ Other Cap: (8,500.00)$ Exceed: Exceed:
Documentation/Reason to Exceed Cap:
(Please attach any additional pages of support documentation and justification to exceed cap)
1)
2)
OVERAGE DETAIL
LHR:
Auto-Generated Manually Generated Healthy Homes:
Coleman A. Young Municipal Center Phone: 313.224.6380
2 Woodward Avenue. Suite 908 Fax: 313.224.1629 Detroit, Michigan 48226 www.detroitmi.gov
Email-Alternate Phone #:
Program Name:
Caution: Please note the following conditions to exceed program cap:
No additional work is to proceed, where costs exceed program caps, without the case review and approval of the Chief of Housing Inspections.
No additional work is to proceed, where costs exceed program caps, without the review and verification of program funds, by the Program Manager/Supervisor.
Program Cap
Healthy Homes - $5,000 / Lead Hazard Reduction - $19,999 / Emergency Repair Roof - $15,000 / Emergency Repair Other - $8,500
Authorization and Justification to Exceed Program Cap
Single Family Director:
Signature Date
Phone #:
Signature Date
Housing Compliance Inspector:
Signature Date
Approved by Chief of Housing Inspections:
Reviewed by Program Manager/Supervisor: Verification of Funds
Signature Date
Historic Designation Compliance Insp.: Phone No.
File details come from the government source that posted it. Updated .