PART 3STATEMENT on expenditure maintenance by Chief Executive Officer

PART 3 – STATEMENT on expenditure maintenance by Chief Executive Officer

(Conditions cl.5.4(b))

I, ………(name)…………….., Chief Executive Officer of …(name of funding recipient), state that, in accordance with the funding conditions determined under section 90 of the AusLink (National Land Transport) Act 2005:

1(a) expenditure on the construction and maintenance of roads by [insert name of funding recipient] using its own sources funds in the year to which this report refers was $ …………………….(fill in amount)

1(b) The reference amount (see clause 2.1) for [insert name of funding recipient] is $……………………. (fill in amount).

The following information need only be provided if the expenditure shown in 1(a) does not exceed the reference amount as shown in 1(b) above:

2(a) expenditure on the construction or maintenance of roads by [insert name of funding recipient] using its own sources funds for the year prior to the year to which this report refers was $……………………. (fill in amount).

2(b) The average of expenditure on the construction or maintenance of roads by this funding recipient for the year to which this report refers and the previous year was $……………………. (fill in amount).

The following information need only be provided if the expenditure shown in 2(b) does not exceed the reference amount as shown in 1(b) above:

3(a) expenditure on the construction or maintenance of roads by [insert name of funding recipient] using its own sources funds in the year two prior to the year to which this report refers was $……………………. (fill in amount).

3(b) The average of expenditure by this funding recipient for the year to which this report refers and the previous two years was $……………………. (fill in amount).

…………………………………(signature of Chief Executive Officer)

…./…./200x