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Forms
Economic Stimulus (click here for Economic Stimulus Funding Information)
Alaska Clean Water Fund
| Loan Application Packet (Required prior to executing agreement) |
| ACWF Loan Application
PDF |
This is the actual loan application paperwork. |
| ACWF Load Application (Stimulus) |
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| Economic Stimulus Supplimental Application |
This supplimental form must be completed along with the loan application form if the funding includes stimulus funds |
| ACWF Financial Information Document |
This provides us with current financial information and utility trends. |
| ACWF Model Resolution |
This shows us that the local governing body has authorized an appropriate official to apply for and execute the loan document. |
EPA Form 4700
Adobe PDF |
Because the ACWF includes some federal funds, EPA requires us to ensure that federal anti-discrimination policies are followed. |
Attorney's Certification Letter
Example 1 | Example 2
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We need to have your attorney certify that your community (or system) has legal authority to incur debt for this specific project for the dollar amount of this loan. |
ACWF Reimbursement Request
ACWF Force Account Labor Worksheet
(Optional - required only for force account construction projects)
Debarment Certification
Antilobbying Certification
Alaska Drinking Water Fund
| Loan Application Packet (Required prior to executing agreement) |
| ADWF Loan Application |
This is the actual loan application paperwork. |
| ADWF Loan Application (Stimulus) |
|
| Economic Stimulus Supplimental Application |
This supplimental form must be completed along with the loan application form if the funding includes stimulus funds |
| ADWF Financial Information Document |
This provides us with current financial information and utility trends. |
| ADWF Model Resolution |
This shows us that the local governing body has authorized an appropriate official to apply for and execute the loan document. |
EPA Form 4700
Adobe PDF |
Because the ADWF includes some federal funds, EPA requires us to ensure that federal anti-discrimination policies are followed. |
Attorney's Certification Letter
Example 1 | Example 2
|
We need to have your attorney certify that your community (or system) has legal authority to incur debt for this specific project for the dollar amount of this loan. |
| Capacity Assessment Worksheet |
This information provides us the technical, financial and managerial capabilities of the water system, for assessing a systems long-term operation capabilities. |
ADWF Reimbursement Request
ADWF Force Account Labor Approval Form
(Optional - required only for force account construction projects)
Debarment Certification
Antilobbying Certification
Financial Capacity Assessmennt Review & Flow Chart
Alaska SRF Financial Capacity Analysis Model (Excel)
Alaska SRF Model User Guide
Good Faith Effort and Contract Administration Requirements
Program Summary
DBE Forms - Handout
(Includes DBE Subcontractor Participation and Performance Forms)
ADEC/EPA Form 5700-52A
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