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CWCB Construction ~nd Loan Application <br />1. List any existing long-term liability (multi-yeaz) or indebtedness that exceeds one thousand <br />dollars. For example, bank loans, government agency loans, bond issues, acxounts payable, ~c. <br />Include names and addnesses of lenders, amounts, due dates and maturity dates. Attach a <br />separate schedule, if needed. <br />L.~nder Name & Address <br />Remaining Annual Maturiry <br />Amount Pa ent Date <br />GENERAL OBLIGATION REFUNDING & IlVIPROVEMENT BOND: <br />AMERICAN NATIONAL BANK <br />3033 EAST FIRST AVE <br />DENVER. CO 80206 <br />$2.610.000 600.000 12J2013 <br />CATERPII,LAR FINANCIAL SERVICES <br />212l1 WE~ST END AVE. BOX 340001 ~ <br />NAS~iVILLE. ZN 372U3 $~59,797 33.634 6J2012 <br />2. Are any of the above liabilities now in default, or been in default at any time in the past? <br />YES NO X. If YES, please give detailed explanation. <br />3. <br />4. Please provide a brief pairative deseription of sources of funding, in addition to the CWCB, <br />which have been explozed for this projed (Examples would be Banks, USDA Rui~ai <br />Development, NRCS, Colorado Water Resources and Power Development Authority, Color~do <br />Division of Local Government, etc.). 17te District Lss researched aad reieded fund'ulg af <br />tlus oroieet t6rouQh a bond issne or a lo~n from Wel1s Fargo. The District alans to reaav <br />the CWCB loan aad the 10% balance not covered bv tl~e loan usina service fees end <br />systema develonma-t fec,s. <br />5. What collateral will you be offering for this loan? Possibilities include a pledge of revenues, <br />the project itself, real estate, water rights. The District wiU pledge revenaes and the prnject. <br />The above statements are true, to the best <br />Signat~ue of <br />Printed Narne Kit Hambv <br />Title District Mana¢er <br />Date March 27. 2009 <br />4 <br />