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APPLICATI ON FOR FEDERAL ASSISTANCE I I Application OIhor ($petily) Pre-application ConlJtruction r: Rovi,lon o 0 ,. AVAILASLE TO PROCESS FOR D,.l,TE; 231-8601-4300 No. Iii ?ROGRAM IS NOT COVERED BY E. O. 12372 Ij 0 HAS NOT BEEN SELECTED SY$TATE o Yes if ""Yes" anath an eKplanatiOll. No for Local Reoroduttlon Prescribed !:Iv OMS

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APPLICATION FOR FEDERAL ASSISTANCE

I I Application

OIhor ($petily)

Pre-application

ConlJtruction

r: Rovi,lon

o 0

,.

AVAILASLE TO PROCESS FOR

D,.l,TE;

231-8601-4300

';:-Oii"'------T-----------~---I No. Iii ?ROGRAM IS NOT COVERED BY E. O. 12372 I j 0 HAS NOT BEEN SELECTED SY$TATE

o Yes if ""Yes" anath an eKplanatiOll. ~ No

for Local Reoroduttlon Prescribed !:Iv OMS

INSTRUCTIONS FOR THE SF-424

I Public reporting burden for this collection of Infomlation is estimated 10 average 45 minutes per response, including time for reviev.ing instructions, search:n; existing data sources, gathering and maintaining the data needed, and complebng and reviev.ing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information. including suggestions for reducing this burden. 10 Ihe Off"1C8 of Management and Budget, Paperwork Reduction Project (0348-0043), Washington, DC 20503.

PLEASE 00 NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED B Y THE SPONSORING AGENCY.

ThiS is .. star'\d&rd form used by lopplicants loS it r&<juired face si"l66! for pte-&pplicaitons .. ncl app,icaliools S<,rtmiUed for ;::ederai assistance. It will be used by Federal agencies to obtain applicant certification that States which have established a review and comment procedure In response to Executive Order 12372 and have selected the program to be Included in their process, have been given an opportunity to review the appllcanfs submission.

(tee./YeCllrom and ItWI complete addres.s of the appllc&ot (,"eluding counll)'l. name. telephone number. ~ ma~ and lax of 1M persQn 10 contact on matten; related to this applicallotl .

t Stale COntrolled lnstiwtlon of Higher learning ,. Private UnivElfSity

K. Indian Tribe C. lndivid1.la1 M. Profit Organization

G. N. Other (Specify) H. SclW O. Not for Profit

r .-'COI1~nuetlon' moans an &Klension lor an additional fundlnoC;ltludget period Iot;l project with a projeeted completion datto

In Ihe Federal Govemm&rlrS from iln existing

leller.

which assistance Is requested.

""

talr.es.

~t projed location. For

sheet to provide a SUl"tlm3ry

Sf..424 (Rev. 7·97) Bad<

OMB Approval No. 0348-004 1

BUDGET INFORMATION· Construct ion Programs NOTE: CAJrlOln Federsl ass/Slance IHIX/f8ms reou/re addiliOflai OOffloul&/lO/lS 10 atrive al lho FocJcrai share 01 proj8ct OO$IS ffllglb41 tot pl/ftIc/pIJliofl. "sliCIl ls lho ClJSfJ. you wIN be oolified.

COST CLASSIFICATION

1. Administra tive and tegal expenses

2. Land, structures. rights-of.way, appraisals. ate.

3. RelocatiOn expenses and payments

4 . Architectura l and engineering fees

5. Other erchitecturol and enginooring foes

6. Project inspection fees

7. Site work

•• Demolition and removal

9. Construction

10. Equipment

11. Misoollaneous

12. SUBTOTAL (sum oI limJs f -11)

13. Contingencies

14. SUBTOTAL

15. Projoct (program) income

16. TOTAL PROJECT COSTS (subtract #1 5 from #14)

17. Federal assistanc\! raquestod. t.1lcula te as follows: (Consult Foderal agency lor Federal percontago sharo.) Enter the resulting Federal share.

Prt'!vlous Edit ion Usable

a. Total Cost b. CoslS Not Allowable for ParticipatiOil

$ 4 ,000.00 , • 1,000 .00 $

• $

$ 37, 150 . 00 $

$ $

, $

• 20 ,900.00 $

$ • , 233 ,859 .32 $

• $

• 5,22 5 .00 • • 400 , 037, l 50.27 • 0.00

, 26, 000.00 • • 4. 00,037, 150.27 • 0.00

• • • 400 , 037, 150 . 27 , 0 .00

FEDERAl FUNDING

Enter ellgiDJe costs !rom line 16c Multiply X " Authorized for Local Roproducl lon

c. Total Allowable Costs (Columns a·b)

$ 4,000.00

• 1, 000 . 00

• 0 . 00

• 37 ,1.50.00

• 0.00

S 0.00

• 20, 900.00

$ 0 . 00

• 233,859.32

• 0.00

• 5,225. 00

• 302, 134 .32

• 26,000.00

• 328,134.32

• 0. 00

• 32 8,13 4 , 32

-

• 0.00

Siandard Form 424C (Rev. 7·97)

Prescribed by OMB Circular A·102

,

, I

I I

I

I

I I

I

I

I

, OMB Approval No. 0348-0042

ASSURANCES· CONSTRUCTION PROGRAMS

Public reporting burden for this coliection of information is es!imatec 10 average 15 minutes per response, including time for reviewing inslructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information. including suggestions for reducing this burden. to tt1e Office of Management and Budget. Paperwork Reduction Project (0348-0042). Washington. DC 20503.

PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET, SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY,

NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the Awarding Agency. Further, certain Federal assistance awarding agencies may require applicants to certify to additional assurances. [f such is the case, you will be notified.

As the duly aumon'zed representative of the applicant, I certify that the applicant

1. Has the legal authority to apply for Federal aSSistance, and the institutional, managerial and financial capability \. " """Olllg full'::,. s.r.'TIde; \' ' " ~oy Ii', .. r,or .... Fcool .. , Sf>l:lre of project costs) to ensure proper planning, management and completion of the project described in this application.

J.. \lV;ii gl~e th., (lwafCiing age;')(:1. tho Comptrolibf GE-nerai of the United States and, if appropriate. the State, through any authorized representative, access to and the right to examine all records. books. papers. or c~"m&nts r&latad (0 alE< a"sisla;;ca: an~ .. ~ilt eSlabiish a proper accounting system in acc;ordance with generally accepted accounting standards or agency directives.

3. Will not dispose 01, modify the use of, or change the terms of the real property title, or other interest in the site and facilities without permission and instr\Jctions from me ;;,w<ora,ng agency. w,t: fioCQrd t ...... f-&Oi;f;;': rmeres: I,)

the title of real property in accordance with awarding agency directives and will include a covenant in the title of real property acquired in whole or in part with Federal ass,stance lul)(lS to assure !lon- (Jiscr',minaUon (Juring the

usefuilife of the project.

4. Will comply with the requirements of the assistarn::e awarding agency wifn r89<1rd to the draffing. review ana approval of construction plans and specifications.

5. Will provide and maintain competent and adequate engineerin9 supervision at !he construction site to ensure tha! the complete wor1< conforms with the approved plans and specifications and will furnish progress reports and such other information as may be required by the asslstan(;e awarCling agerrey or ·State.

6. Will initiate and complete the work within the applicable time ffllme after receipt of approval of the awarding

agency.

7. Will establish safeguards to prohibit employees from usin9 their positions for a purpose that constitutes or presents the appearance of personal or organizational connict of interest, or personal gain.

8. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. §§47284763) relating to prescribed standards for m&rit sys,ems for programs runaea unoer one of the 19 statutes or regulations specified in Appendix A of OPM's Standards for a Merit System of Personnel Administration (5 C.F.R. 900. Subpart F).

-d. Wiii comply witr. me Leao-based Pa,m Po.sonlng Prevention Act (42 U.S.C. §§4801 et seq.) which prohibits the use of lead-based paint in construction or rehabilitation of residence structures.

10. Will comply with all Federal statutes relatm9 to non­discrimination. These include but are not limited to: (a) Title VI oftl1e Civil Rights Act of 1964 (P.l. 88-352) WllIeh pron)Dlts OlscmrnnatLO'1 on me i.l .. SIS 01 race. COiO( or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. §§1681 1683, and 1685-1686), which prohibits discrimination on the basis 01 sex; (c) Section SO .. of ~ Rehabilitation Act of 1973, as amended (29 U.S.C. §794). which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975. as amended (42 U.S.C. §§6101 -6107). which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.l. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (fl the Comprehensive Alcohol Abuse and Alcoholism Prevention. Treatment and Rehabilitation Act of 1970 (P.l. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) §§523 and 527 01 Ine Pubirc MealIn Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290 ee 3), as amended. relating to confldenUality of alcohol and drug abuse patient records: (h) Title VIII of the Civil Rigll!:5 Act of 19M (42 U.S.C. §§3QOl el seq.), as amended, relating to nondiscrimination in the sale. rental or financing of housing; (I) any other nondiscrimination provisions in the specific statute(s) unollfwhich application for Federal assiSlanCt! is lleing made; and. OJ the requirements of any other nondiscrimination statute(s) which may apply to the application.

Previous Edit ion Usable Aut horized for Local Reproduction

Standard Form 4240 (Rev. 7-97)

Prescribed by OMB Circular A -1 02

11. Will comply, or has already complied, with the requirements of Titles 11 and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91·646) which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal and federally·assisted !:''09!<!ms. T~ re<:!1Ji!~~ts eo~v!() a!1 ~t~r~sts L'"l !~al property acquired for project purposes regardless of Federal participation In purchases.

~2 W~! ~ with the ~sion, " f the Held' A~ {5U.$.C

§§I50H508 and 7324-7328) which Hmit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds.

13. Wilt comply. as applicable. with the provisions of dle Davis·

Bacon Act (40 U.S.C. §§276a to 276a·7). the Copeland Act (40 U.S.C. §276c and 18 U.S.C. §874). and the Contract Work H~.'''S ~,.,('I·s.3!'''''-:'1 -$tt>Nkn:1~ 1'..7. (~(lI_' . G.C. ¥,~?'7.

333) re9arding tabor standards for federally·assisted construction subagreements.

Section IOlla) of the Flood DiSaster Protection Act of 1973 (P.L. 93-234) which requires recipients in a special flood hazard area to participate in the program and to purchase

":' . .! :. :": -' .•. acquisition is $10.000 or more.

15. Will comply with environmental standards which may be -.----'-." - . -"'~" ..... '-~" .. " ... ,-, ,-_."",",--,' environmental quality control measures und8f' the

~A~'u;rjOF ~Hfi.ED CERTIFYING OFFICiAl

AP U ANT ORGANIZATION

village of Bear Lake

National Environmental Policy Act of 1969 (P.L. 91· 190) and Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO I I 738: (c) protection of wenands pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in accordance with EO 11988; (e) assurance of project consistency with the approved State management program developed undef the Coastal Zone Management Act of 1972 (16 U.S.C. §§1451 et seq.): (f) conformity of Federal adlons to State (Clean Air) Implementation Plans under Section 17~clof the Clea.n Air M of 1955. as amended C42 U.S.C. §§7401 et seQ.): (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974. as amended (P.l. 93-523): and. (h) rrol~inn ~f ~cI<,.~ ~~o:>~ '~r J.~ EnO"n'J~rerl Species Act of 1973. as amended (P.L. 93·205).

16 \.'I{~! camp!v v.~lh t.'le 'Wild :;md SOI'OI"~4': .~ ivt'!~ "'_";'. ~ '1968 (16 U.S.C. §§1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system.

17. W~I assist the awarding agency 1M assunng compliance with Section 106 of the National Historic Preservation Ad of 1966, as amended (16 U.S.C. §470). EO 11593

the Afcnaeological and HislOfic Preservation Act of 1974 (1 6 U.S.C. §§469a· ' et seq.).

compliance audits In accordance WIth the Single Audit Ad Amendments of 1996 and OMB Clf'Cl.llar No. A·' 33. "Audits of States. Local Governments. and Non-Profit I"Im"'''! .... t;"" .. H

19. Wit comply WIth all applical>ie requirements of all Olner Federal laws. executive orders. regulations. and policies governing this program.

TITLE Jeff Bair Vill.age President

DATE SUBMITTED

l ) \l) \ \ , SF4240 (Rev. 1·97) Back

RD Instruction 1942-A Guide 27

Attachment 1 Page 1

ATTACHMENT TO AlA DOCUMENT 8141-1997 , Standard Form of Agreement Between Owner and Architect With Standard Form of Architect 's Services

The p r ov i sions of this Attachment shall delete, modi fy and supplement the provisions conta i ned in the " Standard Form of Agreement Between Owner and Architect With Standard Form of Architect's Services," AlA Document B141 - 1997 Edition . The provisions contained in this Attachment wi ll supersede any conflicting provisions of the Al A Document . The term "Agency," as used in this Attachment, shall mean the United States of America, acting through the United States Department of Agriculture .

ARTICLE 1.2, RESPONSIBILITIES Of THE PARTIES

1. 2 . 2 Add the following subparagraph to paragraph 1 . 2 . 2 :

1 . 2 . 2.8 The Owner shall provide the Architect with Agency standard Construction Contract Document Guides .

ARTICLE 1 . 3 , TERMS AND CONDITIONS

1 . 3 . 5 . 2 Delete the words " unless the parties mutually agree otherwise" and substitute the words " if the parties mutually agree " in the first sentence of subparagraph 1 . 3 . 5 . 2 .

1 .3. 7 . 1 Delete subparagraph 1 . 3 . 7 .1 and substitute the following :

1 . 3 . 7 . 1 This Agreement shall be governed by the law of the Project location .

1 . 3.7 . 4 De lete subparagraph 1 . 3.7 . 4 .

1. 3 . 7 Add the following subparagraphs to paragraph 1 . 3.7 :

1 . 3.7 . 10 This Agreement shall not become effective until concurred \o,'ith in wri ting by the Agency. Such concurrence shall be evidenced by the signature of a duly authorized representative of the Agency in the space provided at the end of the Agency Attachment to this Agreement . The concurrence so evidenced by the Agency shall in no way commit the Agency to render financial assistance to the Owner and is without liability t o the Agency for any payment hereunder, but in the event such assistance is provided, the concurrence shall signify the provisions of this Agreement a-re consistent with the requirements of the .I\gency.

(08-26-98) PN 296

RD Instruction 1942-A Guide 27 A.ttachment 1 Page 2

1.3.7.11 If applicable, the Architect shall comply with section 319 of Public Law 101-121 , as supplemented by the Department of Agriculture regulations (7 C . F.R. part 3018) . This law pertains to restrictions on lobbying and applies to the recipients of contracts and subcontracts that exceed $100,000 at any tier under a Federal loan that exceeds $150,000 or a Federal grant that exceeds $100,000. If applicable, the Architect must complete a certification form on lobbying activities related to a specific Federal loan or grant that is a funding source for this Contract . The certification and disclosure forms shall ·be provided by the Owner .

1.3.7.12 The Architect agrees to abide by the requirements of 7 C.F.R. part 3017, which pertains to the debarment or suspension of a person from participating in a Federal program or activity. If the total compensation described in Article 1.5 exceeds $25,000, the Architect shall complete the relevant certification form provided by the Owner.

1.3.8.2 Delete the second sentence in subparagraph 1.3.8.2 and substitute the following :

When the Project is resumed, the Architect's compensation may be equitably adjusted, as mutually agreed , to provide for expenses incurred in the interruption and resumption of the Architect ' s services .

1 . 3.8.7 Insert the words "as mutually agreed" after "Termination Expenses" in subparagraph 1.3.8.7.

1 . 3 . 9 . 1 Delete the words "and for Reimbursable Expenses incurred," and add the following sentences to subparagraph 1.3.9.1:

Compensation computed in Paragraph 1.5.1 shall include all transportation, travel, communications, and fees that are required in connection with the Project. They shall also include the reproduction, postage and handling of Drawings, Specifications and other documents.

1 . 3.9.2 Delete subparagraph 1 . 3.9.2 .

1.3 . 9.3 Delete the words "of Reimbursable Expenses," and add the words "and the Agency" after the words "Owner ' s authorized representative " in subparagraph 1.3 . 9 . 3 .

RD Instruction 1942-A Guide 27

Attachment 1 Page 3

ARTICLE 1.4, SCOPE OF SERVICES AND OTHER SPECIAL TERMS AND CONDITIONS

1. 4 . 1

1. 4.2

Delete the word "both" from the end of the second sentence and conclude the sentence wi th "Owner , Architect and Agency. "

Add the following subparagraph :

1.4 . 2.1 This Agreement is modified and supplemented by RO Instruction 1942-A, Guide 27 , Attachment 1 .

ARTICLE 1.5, COMPENSATION

1. 5 . 4 Delete paragraph 1 . 5 . 4 .

1. 5. 5 Delete paragraph 1 . 5 . 5 .

ARTICLE 2.1, PROJECT ADMINISTRATION SERVICES

2.1. 5 Add the words " and concurrence by the Agency" after approval by the Owner " in paragraph 2 . 1.5 .

2.1 Add the following Paragraph to ARTICLE 2 . 1:

2.1 . 8 The Architect shall consult with the Agency Architect or Engineer about the Agency's requirements and procedures .

ARTICLE 2.3, EVALUATION AND PLANNING SERVICES

2 . 3 Add the following pa r ag r a p hs to article 2.3:

2 . 3 .4 The Architect shall submit ____ copies of the Prelimina r y Architectural Feasibili t y Repo r t followi ng Agency Instruc t ions and Guides .

2 . 3.5 When the Owner has accepted the prelimi nary Architectural Feasibility Report in writing and the Agency has concurred, the Architect may be authorized to proceed with developing the design .

(08-26-98) PN 296

RD Instruction 1942 - A Guide 27 Attachment 1 Page 4

ARTICLE 2 . 4, DESIGN SERVICES

2.4.4 Add the following subparagraphs to paragraph 2 . 4 . 4:

2.4 . 4.3 Prior to advertisement for bids, the Architect shall provide a maximum of 5 sets o f Construction Contract Documents for use by the Owner, Agency and the appropriate Federal, State and local agencies that must approve the Project. The cost of such Construction Contract Documents shall be included in the compensation paid to the Architect, notwithstanding subparagraph 1.3 . 9 . 2 . Construction Contract Documents shall be subject to Agency concurrence in writing prior to advertisement for bids. The Architect shall furnish additional copies of the Construction Contract Documents as requested by prospective bidders, material suppliers, and other interested parties, but may charge them a refundable deposit fee for the reasonable cost of such copies .

2.4.4.4 Upon award of the construction contract, the Architect shall furnish the Owner _3 ____ sets of Construction Contract Documents for execution. The cost of these sets shall be included in the compensation to the Architect.

ARTICLE 2.6, CONTRACT ADMINISTRATION SERVICES

2.6.1.3 Delete the first sentence of subparagraph 2.6.1 . 3 and substitute as follows .

The Architect shall be a representative of and shall advise and consult with the Owner during construction until final payment is due to the Contracto r, and at the Owner ' s direction during the period of correction of the Work described in the Contract for Construction . The Architect shall be available to furnish architectural services and consultations necessary to correct unforeseen construction defects normally encountered during this period. The Architect shall assist the Owner in performing a review of the Project during the 11th month after the date of Substantial Completion .

2.6.1.8 Delete the words, "and shall not be liable for results of interpretations or decisions so rendered in good faith" in the last sentence of subparagraph 2.6 . 1.8 .

2.6.1

RD Instruction 1942 - A Guide 27

Attachment 1 Page 5

Add the following subparagraphs to paragraph 2.6.1:

2 . 6.1.10 The Architect shall conduct on-site progr ess meetings no less than once a month during the periods of active construction . These meetings should be held with the Contractor, affected Sub­contractors, project Representative, Owner, representatives of the Owner, and other interested parties as appropriate, to review and discuss the Contractor ' s application for payment, work progress schedule , construction problems or disputes , and other appropriate matters .

2.6 . 1.11 The Architect shall participate in the Preconstruction Conference prior to Owner issuing the Notice to Proceed .

2 . 6.2.1 Add the following sentences to subparagraph 2.6.2.1:

2.6.2

Such visits to the site inspection report forms Contractor and Agency .

shall be documented in writing on standard with copies furnished to the Owner, Visits to the site shall be in accordance

with Agency requirements and procedures.

Add the following subparagraph to paragraph 2.6 . 2:

2.6.2 . 6 The Architect shall advise the Owner of required tests , inspections and reports, shall furnish coordination of such tests and inspections, and shall advise the Owner and Agency of the results of same. Copies of test results shall be furnished to the Owner, Contractor, and Agency, as appropriate .

2 . 6.3 Add the following subparagraph to paragraph 2 . 6 . 3 :

2.6.3.4 The Architect shall obtain Agency concurrence on all Certificates of Payment before payment is made.

2 . 6.5.1 Add the following sentences to subparagraph 2.6.5.1 :

Preparation of Change Orders which do not substantially affect the project shall be included in the compensation computed in paragraph 1.5.1. The Architect shall obtain Agency concurrence in writing for Change Orders prior to the performance of the Work.

(08 - 26 - 98) PN 296

RD Instruction 1942 - A Guide 27 Attachment 1 Page 6

2.6.6.1 Delete subparagraph 2 . 6.6 . 1 and substitute the following:

2.6.6.1 The Architect shall conduct an inspection prior to the issuance of the Certificate of Substantial Completion and shall submit a written report to the Owner, Agency and the Contractor about Work to be completed prior to final acceptance . Said inspection and Certificate of Substantial Completion shall be provided by the Architect for each Prime Contractor as appropriate. Such services shall be coordinated with the Agency . Prior to submitting the final Certificate for ?ayment, the Architect shall conduct an inspection, submit a Statement of Completion, receive and forward to the Owner, for the Owner's review and records, written warranties and related documents required by the Contract Documents and assembled by the Contractor .

ARTICLE 2.B, SCHEDULE OF SERVICES

2.8.3 Insert the word "Architect" under the heading "Responsibilty" for line items .16, .17, and .20 in the chart.

2.B.3 Add the following subparagraphs to paragraph 2.B.3 under the heading "Description of Services . " below the chart:

2.8.3.a The Architect shall provide a detailed cost estimate based on Construction Contract Documents .

2.B.3.b If full time representation at the site is required, the Architect shall provide one or more Project Representatives to assist in carrying out such additional on-site responsibilities. The selection and compensation of the Project Representative must be concurred with in writing by Agency.

2 . S.3.c __ 2 ___ sets of Record Drawings shall be provided to the Owner.

SIGNATURE BLOCK :

Delete the signature blocks on pages 1-12 and 2-12 of this Agreement and substitute the block on the following page in both locations:

RIl I n .5 .. ru.:'Ci·; :-: lS~2 -A G;,:id~ 2,

A'C -:'6.C h:ne:'. t ... ?e.;e 7

IN ~;!:~::S.5 1ii?..E:R!:O:. -;he ;xu:: .... 1e~ he::e-:,o h",ve ~ y' =c\,l ,: ec., .n c~\l~ed t..: be exec:.:. te';\ by ':h1!ir duly au::nor .lzec o!!icial.5, -:.h:'.!! Al;rl!:~nen:: in dupl':'c6.-:.e on t.he re~pe':t.:!.ve ·jat.e! ':'nct:l.c!l. t.ed ~l=~~:

A!IES::

:':'t.le ________________________ __

3y _____ _ ___ _

r:ltt.e

000

,Je -lI[,] C (:'f'.'l Ti,:_ \\ . \"" .~ ~« &,~{.,;i '''' ,. S. \ \ '-\ \ \ ="")

.;...':tC::!!~ r:T : !~ d By v...Sl.'>.-~

David S. Boersma, AlA

Architect

D~::; e 9/1412017

F. Annualoot@tingbydget.

1. Income - Include rate schedule. Project Income reallstic3l1y.

RD Instructlon 1942-A (Guide 6)

(Page 2)

~ration and maintenance costs· project costs realistJally. In the ;abserw:.e of other data, base­

on actual costs of other existing facilities of similar sile and complexity. Include facts in the report to substantiate operat ion and maintenance cost estimates.

~ICHIGAN ONLy) Repair and RepiKefTlent Reserve Account-To include capital improvements

for the project IlOt to exceed replacement of 15 years. (Example: HVAC, parldng tot flooring)

AMaRs. d@wings. sketches.iodphotographs.

I . Maps - Show Ioatlons, boundaries, elevations, population distribution, existing and proposed

faCility, right-of·~y. and land ownership.

2. Orawings and sketches· Show preliminary design and layout elevations.

3. Photographs - As needed.

C ~st~!it;on 2fPb!!m$. DiSCuss in detait - Include infotmation on items which may affea the con of

structlon.

Q£ond USioQ5 ;lnd recommendations. Discuss possible alternatives to propO$ed plans.