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<br />'r- <br /> <br />CWCB Construction Fund Loan Application <br /> <br />Colorado Water Conservation Board <br /> <br />$876,691.00 <br /> <br />$60,591.00 <br /> <br />5/1/2025 <br /> <br />2. Are any of the above liabilities now in default, or been in default at any time in the past? <br />YES_ NO _' If YES, please give detailed explanation. <br /> <br />3. Please provide a summary of all revenues received during the <br />last two fiscal years by category (such as service charges, <br />tap feesl assessmentsl etc <br /> <br />Please see attachments <br /> <br />Please provide a brief narrative description of sources of funding, in addition to the CWCB, which <br />have been explored for this project (Examples would be Banks, Rural Development, NRCS, <br />Colorado Water Resources and Power Development Authority, Colorado Division of Local <br />Government, etc.). <br /> <br />$90,000 of the anticipated purchase price of $250,000 will be provided by the Mineral Springs <br />Foundation. <br /> <br />5. What collateral will you be offering for this loan? Possibilities include the project itself, pledge <br /> <br />of revenues, real estate, water rights. <br /> <br />Pledge of revenues. <br /> <br />The above statements are true, to the best of my knowledge: <br />Signature of Applicant <br />By <br />Printed Name <br />Title <br />Date <br /> <br />C:\Projects\Market\CFLA902 <br /> <br />s <br /> <br />CFLA 902 <br />