Date Paid SERB. Racial Ethnic Code (2)

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1 Item 11D MBE/ Enterprise & Plan Exhibit 9 GSM17 (PHFA Rev 3/96 for Project Owners) MONTHLY SECTION 3, MBE, BUSINESS UTILIZATION REPORT 2101 North Front Street, P.O. Box 8029, Harrisburg, PA FOR PROJECT OWNERS PROJECT OWNER NAME AND ADDRESS PROJECT NAME AND ADDRESS PHFA NO. Reporting Period: Owner s EIN No.: Covered Area (County) Established MPLs: Contractor Name, Address, Telephone Number to S-3%/C-10% 5% 3% Type of Contract MBE SERB Racial Ethnic Code (2) Date Paid Non-S3, MBE, Contract Contract MBE Contract Contract Totals-All Contracts this Period $ Totals - This Period: $ $ $ $ Totals-All Contracts To Date $ Cumulative Totals To Date: $ $ $ $ Cumulative Percentage To Date (Total of Columns Should Equal 100%) % % % % Contract Codes: C - Construction MS - Material Supplies S - Services (Professional, etc.) (2) Racial Ethnic Codes: 1.White Non-Hispanic 2.Black Non-Hispanic American 3.Native American 4.Hispanic American 5.Asian Pacific American 6.Hasidic Jews Mail this form to PHFA Compliance Officer monthly throughout construction period as payments are made to contractors. Attach evidence of MBE, or Status (DGS or PennDOT Certification for Ms and Self-Certification for firms.) Rev 03/05 41

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3 Item 11D MBE/ Enterprise & Plan Exhibit 10 GSM 17 (PHFA Rev 3/96 for Prime Contractors) MONTHLY SECTION 3, MBE, BUSINESS UTILIZATION REPORT 2101 North Front Street, P.O. Box 8029, Harrisburg, PA FOR PRIME CONTRACTORS CONTRACTOR NAME, ADDRESS, AND TELEPHONE PROJECT NAME AND ADDRESS PHFA NO. Reporting Period: Contractor s EIN No.: Covered Area (County) Established MPLs: to S-3%/C-10% 5% 3% or/supplier Name, Address, Telephone Number Type of Sub- Contract MBE Racial/ Ethnic Code (2) Date Non-S3, MBE, MBE Totals-All Contracts this Period $ Totals - This Period: $ $ $ $ Totals-All Contracts To Date $ Cumulative Totals To Date: $ $ $ $ Cumulative Percentage To Date (Total of Columns Should Equal 100%): % % % % Contract Codes: C - Construction MS - Material Supplies S - Services (Professional, etc.) (2) Racial Ethnic Codes: 1. White Non-Hispanic 2.Black Non-Hispanic American 3.Native American 4.Hispanic American 5.Asian Pacific American 6.Hasidic Jews Mail this form to PHFA s Compliance Officer monthly until project construction is complete and all contracts are paid in full. Attach evidence of MBE, or Status (DGS or PennDOT Certification for Ms and Self-Certification for firms.) Rev 03/05 43

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5 Item 11D MBE/ Enterprise & Plan Commonwealth of Pennsylvania Department of General Services GSM-18 5/93-(PHFA Rev 3/96) SUBCONTRACTOR S FIRM NAME ADDRESS Exhibit 11 SUBCONTRACTOR S MONTHLY UTILIZATION REPORT REPORTING PERIOD CONTRACT NUMBER (PLEASE PRINT) TELEPHONE CONTACT PERSON TYPE OF SUBCONTRACTOR: MBE DATE RECEIVED (Office Use Only) List The Prime Contractors Who Have Purchased Your Services And/Or Supplies In Reference To This Contract. COMPANY NAME ADDRESS TELEPHONE NUMBER DATE SERVICES/ SUPPLIES PROVIDED DATE INVOICE SENT AMOUNT INVOICED DATE INVOICE PAID AMOUNT PAID PREPARED BY TITLE DATE Mail this form to the PHFA Compliance Officer monthly until you complete your contract and receive payment in full for your contract. Please affix copies of your company s invoices to the project owner or prime contractor. Rev 03/05 45

6 Item 11D MBE/ Enterprise & Plan Exhibit 12 MONTHLY SECTION 3 EMPLOYMENT & TRAINING REPORT 2101 North Front Street, P.O. Box 8029, Harrisburg, PA FOR PROJECT OWNERS PROJECT OWNER NAME, ADDRESS, TELEPHONE PROJECT NAME AND ADDRESS PHFA NO. Reporting Period: to Name of New Employee or Trainee Owner s EIN No.: Established Goal: FFY % Min. of New Hires Job Category Racial/ Ethnic Code (2) Gender M F Residents Yes No Hours Worked Sec. 3 Non-Sec. 3 Covered Area (County): Hours as % NewHires as % Total - This Period: % % Cumulative Totals To Date: % % Job Categories: 1. Professionals 2. Technicians 3. Office/Clerical 4. Construction by Trade (specify) 5. Other (specify) (2) Racial Ethnic Codes: 1. White Non-Hispanic 2. Black American 3. Native American 4. Hispanic American 5. Asian Pacific American 6. Hasidic Jews Mail this form to the PHFA Compliance Officer Monthly, include all new hires from the date of PHFA Feasibility approval through Final Loan Closing. Page of Rev 03/05 46

7 Item 11D MBE/ Enterprise & Plan Exhibit 13 MONTHLY SECTION 3 EMPLOYMENT & TRAINING REPORT 2101 North Front Street, P.O. Box 8029, Harrisburg, PA FOR CONTRACTORS AND SUBCONTRACTORS CONTRACTOR/SUB NAME,ADDRESS,TELEPHONE PROJECT NAME AND ADDRESS PHFA NO. Reporting Period: to Name of New Employee or Trainee Owner s EIN No.: Established Goal: FFY % Min. of New Hires Job Category Racial/ Ethnic Code (2) Gender M F Residents Yes No Hours Worked Sec. 3 Non-Sec. 3 Covered Area (County): Hours as % NewHires as % Total - This Period: % % Cumulative Totals To Date: % % Job Categories: 1. Professionals 2. Technicians 3. Office/Clerical 4. Construction by Trade (specify) 5. Other (specify) (2) Racial Ethnic Codes: 1. White Non-Hispanic American 2. Black American 3. Native American 4. Hispanic American 5. Asian Pacific American 6. Hasidic Jews Mail this form to the PHFA Compliance Officer monthly, include all new hires from the date of PHFA Feasibility approval through Final Loan Closing. / Page of Rev 03/05 47