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Fort Walton Beach Council agenda — 11-23-2010 Regular — reading text
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beaches or
shore.
Form 62- 503. 900( 2) Page 6 of 11 Effective Date 7 -29 -04
2. Chapter 163, Part II, F. S., the " Local Government Comprehensive Planning and Land Development Regulation
Act" which requires units of local government to establish and implement comprehensive planning programs to
control future development.
3. Chapter 186, F. S., State and Regional Planning, which requires conformance of projects with Regional Plans
and the State Comprehensive Plan.
4. Chapter 253, F. S., " Emergency Archaeological Property Acquisition Act of 1988" which requires protection of
archaeological properties of major statewide significance discovered during construction activities.
Chapter 258, Part III, F. S., which requires protection of components or potential components of the national
wild and scenic rivers system.
6. Chapter 267, F. S., the " Florida Historical Resources Act" which requires identification, protection, and
preservation of historic properties, archaeological and anthropological sites.
7. Chapter 287, Part I, F. S., which prohibits parties convicted of public entity crimes or discrimination from
participating in State -assisted projects and which requires consideration of the utilization of Minority Business
Enterprises in State -assisted projects.
8. Chapter 372, F. S., the Florida Endangered and Threatened Species Act which prohibits the killing or wounding
of an endangered, threatened, or special concern species or intentionally destroying their eggs or nest.
9. Chapter 373, Part IV, F. S., Florida Water Resources Act of 1972, which requires that activities on surface
waters or wetlands avoid adversely affecting: public health, safety, welfare, or property; conservation of fish
and wildlife, including endangered or threatened species or their habitats; navigation or the flow of water; the
fishing or recreational values or marine productivity; and significant historical and archaeological resources.
10. Chapter 380, Part I, F. S., Florida Environmental Land and Water Management Act of 1972 as it pertains to
regulation of developments and implementation of land and water management policies.
11. Chapter 381, F. S., Public Health, as it pertains to regulation of onsite wastewater systems.
12. Chapter 403, Part I, F. S., Florida Air and Water Pollution Control which requires protection of all waters of the
state.
13. Chapter 582, F. S., Soil and Water Conservation Act which requires conformance with Water Management
District' s regulations governing the use of land and water resources.
14. Governor' s Executive Order 95 -359, which requires State Clearinghouse review of project planning
documentation and intergovernmental coordination.
I, the undersigned Authorized Representative of the Applicant, hereby certify that all information contained herein
and in the attached is true, correct, and complete to the best of my knowledge and belief. I further certify that I have
been duly authorized to file the application and to provide these assurances.
Signed this Day of November , 20 10
Authorized Representative
signature) ( name typed or printed)
Attachments
Form 62- 503. 900( 2) Page 7 of 11 Effective Date 7 -29 -04
PART V —SUPPLEMENTARY INFORMATION
SCHEDULE OF PRIOR AND PARITY LIENS
EXCLUDING SRF LOANS)
List annual debt service beginning two years before the anticipated loan agreement date and continuing at least
three additional fiscal years. Use additional pages as necessary.
1 2 3
Identify Each Series 2005 Revenue Series 2000B Revenue Series 1998 Revenue
Obligation Bonds Bonds Bonds
Coverage 1. 25 1. 5 %
Insured? X Yes No X Yes No X Yes No
Total Debt
Fiscal Annual Debt Service ( Principal Plus Interest) Total Service Incl.
Year 1 2# 3 Debt Service Coverage
2003
2004
2005
2006
2007
2008 461, 993. 76 158, 555. 00 $ 291, 050.00 911, 598. 76 1, 106, 374. 70
2009 461, 993. 76 157, 195. 00 $ 292, 400.00 911, 588. 76 151053684. 70
2010 621, 993. 76 155, 532. 50 $ 289, 226. 00 1, 066, 752. 26 1, 300, 016. 95
2011 6223033. 76 153, 562. 50 $ 289, 294. 00 1, 064, 890.26 1, 297, 179. 95
2012 721, 671. 26 0$ 721, 671. 26 90209.08
2013 722, 558. 76 0$ 7225558. 76 903, 198. 45
2014 7221758. 76 0$ 722, 758. 76 903, 448. 45
2015 0$
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2027
2028
2029
2030
FormForm 62-62- 503.503. 900(900( 2)2) PagePage 88 ofof 1111 EffectiveEffective DateDate 77- - 2929- - 0404
PART V —SUPPLEMENTARY INFORMATION
SCHEDULE OF ACTUAL REVENUES AND DEBT COVERAGE
Provide information for the two fiscal years preceding the anticipated date of the SRF loan agreement.)
FY 2009 FY 2010
a) Operating Revenues ( Source)
Charges for Services $ 6, 403, 262. 00 6, 643, 407. 00
b) Interest Income 3025938. 00 $ 134, 944. 00
c)
Other Income or Revenue ( Identify)
Rental & Intergovernmental Income $ 305379. 00 76, 837. 00
Disposal of Assets & Miscellaneous $ 1035124. 00 3, 422. 00
d) Total Revenues $ 658395723. 00 6, 975, 751. 00
e)
Operating Expenses ( excluding
interest on debt, depreciation,
and other non -cash items) $ 45971, 352. 00 5, 255, 416. 00
f) Net Revenues [( f) = d)
( — (e)) $ 158681371. 00 15720, 335. 00
g) Debt Service ( including any
required coverage) $ 1, 1055684. 70 1, 2973179. 95
h) Attach audited annual financial report( s), or pages thereof, or other documentation necessary to
support the above information.
Include any notes or comments from the audit reports regarding
compliance with covenants of debt obligations having a prior or parity lien on the revenues pledged for
repayment of the SRF Loan. ( Attachment #)
i) Attach worksheets reconciling this page with the appropriate financial statements ( for example,
backing out depreciation and interest payments from operating expenses). ( Attachment #)
j) If the net revenues were not sufficient to satisfy the debt service and coverage requirement, please
explain what corrective action was taken. ( Attachment # )
Form 62- 503. 900( 2) Page 9 of 11 Effective Date 7 -29 -04
PART V —SUPPLEMENTARY INFORMATION
SCHEDULE OF PROJECTED REVENUES AND DEBT COVERAGE
Begin with the fiscal year preceding first anticipated semiannual loan payment and continuing for at least three
additional years.
Attach a separate page for previous State Revolving Fund loans. ( Attachment # )
FY 2011 FY 2012 FY 2013 FY 2014 FY 20
a)
Operating Revenue 7, 338, 900 7, 574, 200 7, 818, 700 8, 072, 000
b) Interest Income 300, 000 270, 000 280, 000 265, 000
c) Other Income or Revenue
identify)
Rental, Intergovernmental, 137, 000 $ 342, 400 $ 203, 800 $ 225, 600
Miscellaneous
d) Total Revenues 7, 775, 900 8, 049, 600 8, 302, 500 8, 562, 600
e)
Operating Expenses ( excluding
interest on debt, depreciation, and
other non -cash items) 6, 296, 100 6, 513, 200 6, 724, 700 6, 957, 100
f) Net Revenues ( g = e - f) 1, 479, 800 1, 536, 400 1, 577, 800 1, 605, 500
g) Revenue ( including coverage)
pledged to debt service, excluding
SRF loans 1, 297, 179 902, 089 903, 198 903, 448
h) Revenue ( including coverage)
pledged to outstanding SRF loans 0 0 0 0 0
i) Revenue Available for this SRF
Loan [( i) _ ( f) — ( (h)] $
g) — 182, 621 $ 816, 932 $ 674, 602 $ 702, 052
j) Identify the source of the above information and explain methods used to develop the projections (Attachment #).
Include an explanation of any revenue and expense growth or other adjustments; for example, any rate increases,
service growth, inflation adjustments, expense adjustments reflecting the cost of operating additional facilities, or other
considerations.
k) For construction loans, are the above projections consistent with the accepted financial ® Yes No
feasibility information?
If "No ", please explain. ( Attachment # )
Form 62-
