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CWCB Construction Fund Loan Application <br /> 1. List any existing long-term liability (multi-year) or indebtedness that exceeds one thousand <br /> dollars. For example, bank loans, government agency loans, bond issues, accounts payable, etc. <br /> Include names and addresses of lenders, amounts, due dates and maturity dates. Attach a <br /> separate schedule, if needed. <br /> Remaining Annual Maturity <br /> Lender Name&Address Amount Payment Date <br /> Dolores Water Conservancy District $2, 022,400. 00 $63, 200 . 00 12/2038 <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. 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.). NRCS, In house <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. Pledge of revenues and project <br /> The above statements are true,to .- best of my knowledge: <br /> Signature of Applicant /w. A <br /> Printed Name ' <br /> �Gnc� L �f vet-- <br /> Title -P(z �Qwti- h��VI L .a0,4 vd <br /> Date 3/25/0'] <br /> 4 <br />