PART 3STATEMENT on expenditure maintenance by Chief Executive Officer

PART 3 – STATEMENT on expenditure maintenance by Chief Executive Officer

(see subclause 6.3(b) of the funding conditions)

I, ………(name)…………….., Chief Executive Officer/General Manager of …(name of funding recipient)..........., state that, in accordance with the funding conditions determined under section 90 of the Nation Building Program (National Land Transport) Act 2009:

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

1(b) the reference amount for [insert name of funding recipient] is $………….....…………..

Note: the figure at 1(b) should be taken from Part 5 of the report.

The following information need only be provided if the expenditure shown in 1(a) is less than 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 $…………....…………..

2(b) the average of expenditure on the construction or maintenance of roads by [insert name of funding recipient] using its own source funds for the year to which this report refers and the previous year was $………..…………….

The following information need only be provided if the expenditure shown in 2(b) is less than 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 years before the year to which this report refers was $……....………….

3(b) the average of expenditure on the construction and maintenance of roads by [insert name of this funding recipient] using its own source funds for the year to which this report refers and the previous two years was $……..………………

The following information need only be provided if the expenditure shown at 3(b) is less than the reference amount as shown in 1(b) above:

4(a) the funding recipient’s average own source revenue (See Notes 1 and 2 below) during the reference period was $..............................

4(b) the funding recipient’s own source revenue during the year to which this report refers was $.....................................

4(c) please express the amount at 4(b) as a percentage of 4(a) ..................%.

4(d) please calculate the adjusted reference amount by multiplying the reference amount (from 1(b)) by the percentage at 4(c) ....................%.

Note 1: The average own source revenue for the reference period is either the average of the own source revenue for each of the years during the reference period (see clause 1.(1)) or the average of three of those five years except for the years where the revenue was highest and lowest.