2005/04/13 Council Agenda Packet

i1 APPLICANT CERTIFICATION WHEREAS, (water system name) The City of Everett is applying to the Washington State Drinking Water State Revolving Fund program for a low-interest loan for an eligible project; and WHEREAS,the borrower's governing body has approved submission of this application; and WHEREAS, it is necessary that certain conditions be met as part of the application process; and WHEREAS, the local governing body will comply with applicable provision of Public Law 104-182, The Safe Drinking Water Act (SDWA) Amendments of 1996, Section 1452; EPA general grant provisions in 40 CFR Part 31; and other applicable state and federal laws; and WHEREAS, RCW 43.155.060 requires that the project will be advertised for competitive bids and administered according to standard local procedure; and WHEREAS, RCW 39.12 requires public works projects use state prevailing wages; and WHEREAS, the loan will not exceed 100%of eligible costs incurred for the project; and WHEREAS, any loan arising from this application constitutes a debt to be repaid, and (person/title) Tom Thetford, Utilities Director has reviewed and concluded it has the necessary capacity to repay such a loan; and WHEREAS,the information provided in this application is true and correct to the best of the applicant's belief and knowledge and it is understood that the state may verify information, and that untruthful or misleading information may be cause for rejection of this application or termination of any subsequent loan agreement. NOW THEREFORE, (borrower) City of Everett certifies that it meets these requirements, and further, that it intends to enter into a loan agreement with the Public Works Board,provided that the terms and conditions for a Drinking Water State Revolving Fund loan are satisfactory to both parties. Signed: Ray Stephanson Title Mayor Phone Number: 425-257-8700 Date: ATTEST: Application Forms-2005 14 DWSRF Loan Program 3