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Municipal Loans Program
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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)  
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
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 Assessment

Financial Capacity Assessmennt Review & Flow Chart

Alaska SRF Financial Capacity Analysis Model (Excel)

Alaska SRF Model User Guide

 

DBE (Disadvantaged Business Enterprises) Forms

Good Faith Effort and Contract Administration Requirements

Program Summary

DBE Forms - Handout
(Includes DBE Subcontractor Participation and Performance Forms)

MBE/WBE Minority Business Enterprise/Women Business Enterprise Reporting (DBE Reporting)

ADEC/EPA Form 5700-52A

 

 
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