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<br /> <br />,,1;.. <br /> <br />CWCB Construction Fund Loan Application <br /> <br />Lender Name & Address <br /> <br />Remaining <br />Amount <br /> <br />Annual <br />Payment <br /> <br />Maturity <br />Date <br /> <br />Listed in Town of Frederick Annual Audits <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 -L. If YES, please give detailed explanation. <br /> <br />3. Please provide a summary of all revenues received during the last two fiscal years by category <br />(such as service charges, tap fees, assessments, etc.). <br /> <br />See Audits <br /> <br />4. Please provide a brief narrative description of sources of funding, in addition to the CWCB, <br />which have been explored for this project (Examples would be Banks, Rural Development, <br />NRCS, Colorado Water Resources and Power Development Authority, Golo~ado Divisio~ of <br />Local Government, etc.). Have briefly discussed proiect with Don Sandoval, <br />Department of Local Affairs <br /> <br />5. What collateral will you be offering for this loan? Possibilities include the project itself, pledge <br />of revenues, real estate, water rights. Town will have sufficient revenues in Water <br /> <br />Department by not using treated water for irrigation. <br /> <br />The above statements are true, to the best of my knowledge: <br /> <br /> <br />Printed Name Richard <br /> <br />Title Mayor <br />Date October 3, 2002 <br /> <br />C: \Projects\Market\CFLA602 <br /> <br />4 <br /> <br />CFLA602 <br /> <br />