C150003 PIF Documents

• Contract/PO #: C150003
• Contractor Name: Dolores Water Conservancy District
• Contract Type: Loan
• Loan Projects - Doc Type: Contract Documents

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Twe the undersigned authonied individualist,agree to the terms and conditions of this account as
contained in this account agreement and Vectra Bank Colorado's Rules and Regulations,which have
been received and incorporated herein,as they may be amended. By signing this signature card Uwe
acknowledge receipt of a copy of and agree to the terms of the following disclosures: FOLD CARD AS INSTRUCTED BEFORE SEPARATING
0D Personal Account Terms 0 Business Account Terms MI Rate Information
BACK UP WITHHOLDING CERTIFICATION-Under penalty of perjury,by my signature
below on this signature card,I certify that:
IX The number shown on this form is my correct taxpayer identification number
(TIN).
IX I am not subject to backup withholding either because I have not been notified
that I am subject to backup withholding as a result of a failure to report all
interest or dividends,or the Internal Revenue Service(IRS)has notified me that
I am no longer subject to backup withholding.
❑ Exempt Recipients-I am en exempt recipient under the Internal Revenue
Service Regulations.
O Nonresident Aliens•I am not a United States person or if I am an Individual,
I am neither a citizen nor a resident of the United States.
COLORADO WATER CONSERVATION BOARD 491-950194-2
Account Title Account Number
13-0838200 03-14-00
Taxpayer I D. Number DWI Mother's Maiden Name Date
SUPERSEDES CARD DATED
. al a. .., , ,,- ,
AUTHBRIi11t SIdNRRS RK N#PUR._.
X
PETER EVANS, DIRECTOR
DAN MCAULIFFE X
DEPUTY DIRECTOR Lr• -
X
X 1. FOLD THIS FLAP BACK t
B
Identification Employer
❑ NATURAL PERSONISI OR DBA 0 SOLE PROPRIETORSHIP 0 LIMITED LIABILITY CO.
❑ TRUST/TRUSTEE 0 PARTNERSHIP/LLP 0 PUBLIC FUNDS
❑ ASSOCIATION-OR CLUB LX CORPORATION
O INDIVIDUAL 0 ESTATE
❑ JOINT
CERTIFICATE OF DEPOSIT DATA
PURCHASE AMOUNTS ****16,611.10
TERM 036 AD MONTHS 0 DAYS
2. FOLD THIS FLAP FORWARD 4
NEXT MATURITY DATE 01-14-03
INTEREST RATE 04.89 % ANNUAL PERCENTAGE YIELD 05.01 %
INTEREST PAYMENT FREQUENCY: INTEREST FOR THIS ACCOUNT IS:
❑ AT MATURITY(12 mos.or less) Z COMPOUNDED DAILY
❑ ANNUALLY 0 SIMPLE •
❑ QUARTERLY
f] MONTHLY
INTEREST PAYMENT METHOD:
❑CAPITALIZED
gl PAY BY CHECK
❑TRANSFER TO ACCOUNT #
❑CHECKING/MONEY MARKET
❑SAVINGS a
Renewing certificates will automatically renew for the same maturity period if not presented for 3. FOLD THIS FLAP FORWARD AND TUCK INSIDE 1
payment within ten 1101 calendar days after any maturity date,or unless the Bank Issues or mails
notice otherwise to the address then on Bank records,at least thirty 1301 days before any maturity
dare.This applies only to certificates with maturities over thirty 1301 days.The renewal interest rate TEAR ALONG PERFORATION,AND DISCARD
and annual percentage yield will be those prevailing at the time of maturity for certificates of like
duration and amount.
Nonrenewing certificates reaching maturity will remain in the account until withdrawal is requested.
These certificates will-riot eccnrefnterest after maturity unless transferred to another interest bearing
account.
We use the daily balance method to calculate interest on your account. This method applies a
periodic rate to the principal in the account each day.
II you withdraw any of the principal In the account before the maturity date,a penalty may be
imposed as follows:For certificates with maturities of 12 months or less,the penalty shall be one
month's interest;for certificates with maturities greeter than one year,the penalty shall be three
month's interest.
Additional deposits are permitted to consumer accounts with an initial maturity date of 12 months
or less. Fm accounts with initial maturities greater than 12 months or with opening deposits greater
than 5100,000.00,additional deposits are not permitted.
X ( i l V A_R. 1./ (2-W l i
OPENED BY