PART 5election of reference period by Chief Executive Officer (2005/06 only)

PART 5 – election of reference period by Chief Executive Officer (2005/06 only)

(Conditions cl.2.3)

I, ………(name)…………….., Chief Executive Officer of ……(name of funding recipient) ……, hereby state that, for the purposes of the funding conditions determined under section 90 of the AusLink (National Land Transport) Act 2005, expenditure on the construction and maintenance of roads by [insert name of funding recipient] using its own sources funds were

for 2000/01: $ …………………….(fill in amount)

for 2001/02: $ …………………….(fill in amount)

for 2002/03: $ …………………….(fill in amount)

for 2003/04: $ …………………….(fill in amount)

for 2004/05: $ …………………….(fill in amount)

I hereby elect that the reference period for[name of funding recipient] shall be the years:

…………………………………………………………….(enter the years)

The reference amount is the average of the amounts for the years in the Programme. Thus, the reference amount for this funding recipient is $ …………………….(fill in amount)

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

…./…./200x

Schedule 2