CDBG CONTRACT & SUBCONTRACT ACTIVITY REPORT (EO-1)

							                                                                                                                                                                                           Revised
                                                                                                                                                                                           11/06


                                                CDBG CONTRACT & SUBCONTRACT ACTIVITY REPORT (EO-1)
                                          Applies to All Contracts & Subcontracts for Current Quarter (regardless of amount)
Grantee:                                                           Grant #(s):                                         Reporting Date:

Contact Person:                                                    Phone #:                                            Quarter:         1/5         4/5             7/5      10/5

               CDBG                                                                                                                  Name and Address of Contractor or Subcontractor
   Date       Funds in      Type              WOB          Contractor         Sec   Subcontractor    Sec
 Contract    Contract ($     of      Ethnic                ID or S.S.#         3     ID or S.S.#      3
 Executed      Only)       Trade*    Code*
                                                                                                                          Name                            Address                   City       State    Zip
                                                                                                                                                                                                       Code




Submit this form as an attachment to the Q-1 Quarterly Report, if contracts are awarded during the current quarter.

* Type of Trade                 * Ethnic/Racial Code                                                                    WOB                                         Sec.3
1= Construction                 1=White Americans                        4=Hispanic Americans                           (woman-owned business)                      (Section 3 Contractor/Subcontractor)
2=Education                     2=Black Americans                        5=Asian/Pacific Americans                      Yes or No                                   --See definitions below
3=Other                         3=Native Americans                       6=Hasidic Jew                                                                              Yes or No

Section 3 Business Concern:                                                                                *Section 3 Resident:
   1. A business that is 51% or more owned by Section 3 residents, or                                       An individual residing in a public housing project or within the non-metropolitan county in
   2. A business whose permanent full-time work force is at least 30% Section 3 residents*, or              which the project is located and whose income does not exceed 80% of the higher of median
   3. A business which commits to subcontract with Section 3 businesses for 25% of the total contract.      income, adjusted by family size, for the county of residence, or the non-metropolitan area of the
                                                                                                            state.