Document ID: chunk:federal_register_of_legislation:F2013C00209:body:0:p13
Version: federal_register_of_legislation:F2013C00209
Segment Type: other
Provision Reference: 
Character Range: 31821–35083

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.

Note 2:  The definition of 'own source revenue' corresponds to the definition of 'own source funds' in clause 1.(1).

…………………………………(signature of Chief Executive Officer/General Manager)

…./…./201x

Roads to Recovery Program Annual Report Proforma

PART 4 - STATEMENT OF OUTCOMES BY CHIEF EXECUTIVE OFFICER

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

…(name of funding recipient) … has achieved the following outcomes under the Roads to Recovery Program in 201x-1y:

Key outcomes

Outcome                                              Estimated % of Roads to Recovery Expenditure (all projects)
   1. Road Safety
  2.      Regional economic development
  3.      Achievement of asset maintenance strategy
  4.      Improved access for heavy vehicles
  5.      Promotion of tourism
  6.      Improvements of school bus routes
  7.      Access to remote communities
  8.      Access to intermodal facilities
  9.      Traffic management
  10.  Improved recreational opportunities
  11.  Amenity of nearby residents
  12.  Equity of access (remote areas)
  13.  Other
TOTAL                                                100.0

…………………………………(signature of Chief Executive Officer/General Manager)

…./…./201x

Roads to Recovery Program Annual Report Proforma

part 5 - reference amount

(see clause 6.3(f) of the funding conditions)

I, ………(name)…………….., Chief Executive Officer/General Manager of ……(name of funding recipient) ……, hereby state that, for the purposes of the funding conditions determined under section 90 of the Nation Building Program (National Land Transport) Act 2009, expenditure on the construction and maintenance of roads by [insert name of funding recipient] using its own sources funds were

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

   for 2005/06:     $ …………………….(fill in amount)

   for 2006/07:     $ …………………….(fill in amount)

   for 2007/08:     $ …………………….(fill in amount)

   for 2008/09:     $ …………………….(fill in amount)

The average of these amounts is:    $ …………   (fill in amount) – this is Amount A

The average of these amounts excluding the highest and lowest amounts is:  $ ………….   (fill in amount) – this is Amount B

The reference amount for the funding recipient as at 30 June 2009 was $................(fill