PART 3STATEMENT on expenditure maintenance by Chief Executive Officer

PART 3 – STATEMENT on expenditure maintenance by Chief Executive Officer

(see paragraph 6.3(b) of this Determination)

I, ………(name)…………….., Chief Executive Officer/General Manager of …(name of funding recipient)..........., state that, in accordance with the conditions determined under section 90 of the National Land Transport Act 2014:

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

1(b) the reference amount applicable to [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 shown in 1(b) above:

2(a) expenditure on the construction or maintenance of roads by [insert name of funding recipient] using its own source funds for the year prior to the year to which this report relates 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 relates 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 source funds in the year two years before the year to which this report relates 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 relates and the previous two years was $……..………………

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

…./…./201x

Roads to Recovery Program Annual Report Proforma