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CWCB Water Project Loan Application <br />Lender Name & Address <br />Remaining Annual Maturity <br />Amount Payment Date <br />Colorado Water Resources $3,105,000 $490.025 2020 <br />Power Development Authority <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 X I. If YES, please give detailed explanation. <br />3. 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, USDA Rural <br />Development, MRCS, Colorado Water Resources and Power Development Authority, Colorado <br />Division of Local Government, etc.). Department of Local Affairs (DOW-Energy <br />Impact Grant, USDA Rural Development, Legislative Sources, and State <br />Grants. <br />4. What collateral will you be offering for this loan? Possibilities include a pledge of revenues, the <br />project itself, real estate, water rights. It is anticipated that revenues from monthly <br />water charges and related fees will be pledged as collateral for the <br />loan. <br />The above statements are true, to the best of my knowledge: <br />Signature of <br />Printed Name James A. Fernandez <br />Title Utilities Superintendent <br />Date August 18, 2011 <br />4 <br />