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<br />CWCB Constnlctioll Fund Loan AllPUcation <br /> <br />OWCB Contract No C153318 <br />OWCB Contract No. C153386 <br /> <br />owes Contract No. C153478 <br /> <br /> ~ Payment Date <br />$ 55.769.98 $ 3.893.40 2021 <br /> 432.484.75 32,063.05 2025 <br /> 508,350.40 34.716.20 2029 <br /> <br />Lender Name & Address <br /> <br />2. Are any of the above liabilities now in defiwlt, or been in defimlt at any time in the past? YES_ <br />NO -L. IfYES~ please give detailed explanation. <br /> <br />3. Please provide a summary of all revenues receiv~ during the last two fiscal years by category <br />($llcllas savice charges, tap fees, assessments, etc.). <br /> <br />See Attachnent # 1 for Sumnarv of Revenues <br />See Attachments #2 and #3 for Annual Reports for 2001 & 2002 <br /> <br />4. Please provide a brief narrative description of sources offunding, 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 />5. What collateral will you be offering for this loan? Possibilities include the project itself; pledge of <br />revenues, real estate~ water rights. Water RiQhts <br /> <br />The above. statements are true, to the best ofmy knowledge: <br /> <br />:;""p~ <br /> <br />Printed Name Trr:ivi $ I. _ Sm.; t:h <br /> <br />Title <br />Date <br /> <br />superintendent <br />March 4, 2003 <br /> <br />C:\Projects\Market\CFLA902 <br /> <br />4 <br /> <br />CFLA902 <br />