C150203 contract docs

• Contract/PO #: C150203
• Contractor Name: Florence, City of
• Contract Type: Grant
• Loan Projects - Doc Type: Contract Documents

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Non-Reimbursable Application - CWCB Construction �und
Form Revfsed August 2004
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What is the estimated cost of the study/demonstration project? Please include estimated Study, Planning,
Engineering, and Construction costs, if known :
Estima.ted Planning/Study Costs:
Land Acquisition
Estimated Engineering Costs:
Estimated Construction Costs:
Estimated Total Costs:
How much funding are you requesting?
Part C. - Project Sponsor Financial Information
2
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$ 898,000.00
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300,000.00
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12,400,000.00
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- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
14,098,000.00
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$200,000.00
The CWCB Conshuction Fund is primarily a revolving loan fund. Non-reimbursable
investments are approved only when the project or study is of statewide interest and
benefits a wide range of people. Provide copies of the two most recent annual reparts,
financial statements, corporate reports or other current documentation of financial
condition and operations with this application. 2002, 2003 Audi t Reports ( Exhi bi t J)
Financial statement 7/31/04 (Exhibit K)
Provide a brief nazrative description of potential sources of funding (in addition to the
CWCB) which have been explored or which wili be explored for the proposed project
or study. (Examples would be Local County and Town Governments, Water
Conservancy Districts, USDA Rural Development, The Natural Resources
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The above statements are true to the of ov
Signature of Applicant: I ��,� �,�
Print Applicant's Name: Tom Pi 1 ti ngsrud
Project Title: Oak Creek Reservoi r Feasi bi 1 i ty Study
Date: g/26/04
Return this application to:
Mr. Mike Serlet, P.E., Chief
Water Supply Planning and Finance Section
COLORADO WATER CONSERVATION BOARD
1580 Logan Street, Suite 750
Denver, CO 80203
To submit applications by Email, send to: mike_cerle �State_C(1_llS
To submit applications by Fax, send to: [phone]
For questions, call Telephone No.: [phone]