Fort Walton Beach Council agenda — 11-23-2010 Regular — reading text

5 7) AVAILABILITY OF PLEDGED REVENUES ...................................................... ............................... 5 8) LOAN SERVICE FEE ............................................................................................. ............................... 5 PART IV - AUTHORIZATION AND ASSURANCES 1) AUTHORIZATION ................................................................................................. ............................... 5 2) ASSURANCES ....................................................................................................... ............................... 5 PART V - SUPPLEMENTARY INFORMATION SCHEDULE OF PRIOR AND PARITY LIENS ............................................................. ............................... 8 SCHEDULE OF ACTUAL REVENUES AND DEBT COVERAGE ............................ ............................... 9 SCHEDULE OF PROJECTED REVENUES AND DEBT COVERAGE ...................... ............................... 10 LISTOF ATTACHMENTS ............................................................................................. ...............................11 Form 62- 503. 900( 2) - 1- Effective Date 7 -29 -04  LOAN APPLICATION 1) SUBMITTAL. Submit the application and attachments to the Department of Environmental Protection, MS 3505, Bureau of Water Facilities Funding, 2600 Blair Stone Road, Tallahassee, Florida 32399 -2400. 2) COMPLETING THE APPLICATION. a) Thisapplication consists of five parts: ( I) ADMINISTRATIVE INFORMATION; ( II) PROJECT INFORMATION; ( III) FINANCIAL INFORMATION; ( IV) AUTHORIZATION AND ASSURANCES; and V) SUPPLEMENTARY INFORMATION. b) All information provided on this application must be printed. Monetary amounts may be rounded. c) Forms and attachments to be submitted are denoted with italic print. 3) ASSISTANCE. Completing this application may require information that can be obtained from Bureau of Water Facilities Funding staff. Please call (850) 245 -8358 or SUNCOM 205 -8358 for assistance in completing this application. PART I - ADMINISTRATIVE INFORMATION 1) PROJECT SPONSOR City of Fort Walton Beach Federal Employer Identification Number 59- 6000323 2) AUTHORIZED REPRESENTATIVE ( person authorized to sign or attest loan documents). Name Robert T. Mearns Title City Manager Telephone ( 850) 833 -9502 FAX ( 850) 833 -9640 Email rmearnsL& fwb.org Mailing Address 107 Miracle Strip Parkway SW Fort Walton Beach, FL 32548 3) PRIMARY CONTACT (person to answer questions regarding this application). Name Michael D. Beedie, P. E. Title Engineering & Utility Services Director Telephone ( 850) 833 -9612 FAX ( 850) 833 -9926 Email mbeedieLtbfwb. org Employer City of Fort Walton Beach Mailing Address 105 Miracle Strip Parkway SW Fort Walton Beach, FL 32548 4) ADDITIONAL CONTACTS. If more than one additional person is to receive copies of Department correspondence, attach the information (Attachment # ). Name Brandy Wunker Title Finance Director Telephone 850- 833 -9513 FAX 850- 833 -9640 Email bwunkerL& fwb. org Employer City of Fort Walton Beach Mailing Address 107 Miracle Strip Parkway SW Fort Walton Beach, FL 32548 5) PROJECT NUMBER (listed on the Department' s priority list). WW46060 Form 62- 503. 900( 2) Page 1 of 11 Effective Date 7 -29 -04  6) CAPITALIZATION GRANT PROJECT REQUIREMENTS. An Applicant may have to comply with certain Federal requirements for loans from funds that, in aggregate, are equivalent to the amount of the federal grant awarded to the Department to partially capitalize the State Revolving Fund. Please check with the Department to determine if the project is subject to such requirements. Is this project subject to special federal requirements? ® Yes No If this project is subject to special federal requirements complete an EPA Preaward Compliance Review Report and attach in Part V, List ofAttachments. ( Attachment #___ I. 7) FINANCIAL HARDSHIP. To qualify for a financial hardship loan the affordability index of a small community to be served by the project shall be less than 100. A small community is a municipality or unincorporated community with a total service area population of 20,000 or less as of the most recent decennial census. Please check with the Department to determine if the project qualifies for a financial hardship loan. Does the loan qualify for financial hardship consideration? Yes ® No 8) DIRECT AND LEVERAGED LOANS. A local government project sponsor that receives a loan from proceeds of bonds issued by the Florida Water Pollution Control Financing Corporation will be subject to certain limitations resulting from the tax exempt status of such bonds. Please check with the Department to determine if the loan is subject to such limitations. Is this loan subject to the special leveraged loan limitations? ® Yes No PART II —PROJECT INFORMATION If you are applying for a loan to plan and design a project that will involve construction, complete only Subpart A below. If you are applying for a loan to construct a project that is already planned and designed, complete only Subpart B below. A. PRECONSTRUCTION PROJECT Information should be provided for each separate facility to be planned and designed as appropriate. For design/ build projects or those where multiple facilities, segments, or phases are involved, please attach information for activities, schedule, and cost for each. ( Attachment # ) 1) ACTIVITIES. loan. Attach a brief description of the scope of planning and design activities to be financed by this Include a list of any specialized studies to be performed. ( Attachment # ) Are these activities the same as those scheduled on Request for Inclusion Form? ® Yes No. If "No ", please explain. Attachment # ) 2) SCHEDULE. a) Provide proposed completion dates for the items. ( Please call Department staff to discuss time frames needed to complete required tasks.) Planning documentation N/A Engineering work N/ A Certification of site availability N/A Permit N/A b) Do you anticipate that an interlocal agreement with another party will be necessary to Yes No implement the project? If "Yes ", please explain. ( Attachment # ) c) Is this a design/ build project? Yes No 3) COST. Is the cost information submitted for the preconstruction loan priority list Yes No Form 62- 503. 900( 2) Page 2 of 1 I Effective Date 7 -29 -04  current? If "No ", please explain and submit revised cost information using the appropriate page of the Request for Inclusion Form. ( Attachment # ) Note that the disbursable amount will be limited to the priority list amount. PRECONSTRUCTION LOAN APPLICANTS PROCEED TO PART III. B. CONSTRUCTION PROJECT 1) ACTIVITIES. a) Attach a brief description of construction activities to be financed by this loan. Include a list of the construction contracts ( by title) corresponding to the plans and specifications accepted by the Department Attachment # ). Are these contracts the same as those scheduled on the Requestfor Inclusion Form? Yes No If "No ", please explain. ( Attachment # ) b) Have any of the contracts been bid? Yes ® No If "Yes ", indicate which contracts have been bid. ( Attachment # ) c) Was the planning and design for this project financed with a preconstruction loan? Yes ® No If "Yes ", give the preconstruction loan number. d) Does this project involve an interlocal agreement with other local governments or other Yes No entities? If "Yes ", attach a copy of the Department letter accepting the interlocal agreement. ( Attachment # ) Is the interlocal agreement, as accepted by the Department, fully executed and Yes No enforceable? If "No ", please explain (Attachment # ). 2) SCHEDULE. month and year) a) What is the estimated date for the start of construction? May 2011 b) What is the estimated date for construction completion? February 2012 c) What is the date for start up of the facilities? March 2012 3) COST. Is the cost information submitted for the priority list current? Yes No If "No", please explain and submit revised cost information using the appropriate page of the Request for Inclusion Form. ( Attachment # ) Note that the disbursable amount will be limited to the priority list amount. Form 62- 503. 900( 2) Page 3 of I I Effective Date 7 -29 -04  PART III - FINANCIAL INFORMATION Please check with the Department to establish estimates of the capitalized interest rate, project useful life for financial