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CWCB Water Project Loan Application <br />2. Are any of the above liabilities now in default, or been in default at any time in the past? <br />YES NO lV L. 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, NRCS, Colorado Water Resources and Power Development Authority, Colorado <br />Division of Local Government, etc.). <br />Water Supply Reserve Acct - Rdtable & Statewide - $600,000; DOLA EIAF - $600,000 <br />CWCB Water Loan - $600,000; CO River District - $19,600 award in 2012, <br />& apply for $100,000 in 2013; Town - $161,243 (mostly in kind engineering) <br />4. What collateral will you be offering for this loan? Possibilities include a pledge of revenues, <br />the project itself, real estate, water rights. The project and water fund revenues <br />The above statements are true, to the best of my knowledge: <br />Signature of Appli <br />Printed Name Jen Coates <br />Title Town Manager <br />Date 7/12/12; updated 8/09/12 <br />2 <br />Remaining <br />Annual <br />Maturity <br />Lender Name & Address <br />Amount <br />Payment <br />Date <br />CWCB 1580 Logan St Denver 80203 <br />$53,142.62 <br />$7571 <br />2020 <br />DOLA 1313 Sherman St Denver 80203 <br />$9795 <br />2021 <br />CWRPDA 1580 Logan <br />405,000 <br />$22,500 <br />5/1/30 <br />2. Are any of the above liabilities now in default, or been in default at any time in the past? <br />YES NO lV L. 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, NRCS, Colorado Water Resources and Power Development Authority, Colorado <br />Division of Local Government, etc.). <br />Water Supply Reserve Acct - Rdtable & Statewide - $600,000; DOLA EIAF - $600,000 <br />CWCB Water Loan - $600,000; CO River District - $19,600 award in 2012, <br />& apply for $100,000 in 2013; Town - $161,243 (mostly in kind engineering) <br />4. What collateral will you be offering for this loan? Possibilities include a pledge of revenues, <br />the project itself, real estate, water rights. The project and water fund revenues <br />The above statements are true, to the best of my knowledge: <br />Signature of Appli <br />Printed Name Jen Coates <br />Title Town Manager <br />Date 7/12/12; updated 8/09/12 <br />2 <br />