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<br />C\YCB Construction Fund Loan Application <br /> <br />loans. govenunent agency loans. hand issues. accounts payable, etc. Include names and <br />addresses of lenders. amounts, due dates and maturity dates. Attach a separate schedule. if <br />needed. <br /> <br />Lender Name & Address <br />Colorado /Vater & Power Authoritv <br /> <br />Remaining <br />Amount <br /> <br />Annual <br />Payment <br /> <br />Maturity <br />Date <br /> <br />Nov 2002 <br /> <br />5185,000 <br /> <br />5102,000 <br /> <br />2. Are any of the above liabilities now in default, or been in default at any time in the past? <br />YES NO --L. lfYES. please give detailed explanation. <br /> <br />3. Please provide a summary of all revenues received during the last two fiscal years by category <br />(such as service charges, tap fees, assessments, etc.). <br />Sen'ice fees -1999 5297,945 20005347,047 <br /> <br />Propertl' ((L<eS -1999 5156,921 20005162,204 <br /> <br />Tap fees - 1999 5380,000 20005226,000 <br /> <br />4. 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. Rural Dt:velopmcnt. <br />NRCS. Colorado Water Resources and Po\ver Development Authority. Colorado Division of <br />Local Government, etc.). Bank. bondinK and lease/purchase are beinK explored. <br /> <br />S. What collateral \\ill you be offering for this loan? Possibilities include the project itself. pledge <br />of revenues. real estate. water rights. Water rif!.hts <br /> <br />The above statements are true. to the best of my knowledge: <br /> <br />~i~t~s ~ <br /> <br />Printed Name Robert D. Polich <br />Title Administrator <br /> <br />Dale Au!{Ust 30, 2001 <br /> <br />4 <br />