HomeMy WebLinkAboutKotzebue BESS Round 13 signature pagesRenewable Energy Fund Round 13 ALASKA
Grant Application — Standard Form
=. ENERGY
AUTHORITY
SECTION 14 —ADDITIONAL DOCUMENTATION AND CERTIFICATION
SUBMIT THE FOLLOWING DOCUMENTS WITH YOUR APPLICATION:
A. Contact information and resumes of Applicant's Project Manager, Project Accountant(s),
key staff, partners, consultants, and suppliers per application form Section 3.1, 3.4 and
3.6.
Applicants are asked to provide resumes submitted with applications in separate electronic
documents if the individuals do not want their resumes posted to the project web site.
B. Letters or resolutions demonstrating local support per application form Section 9.
C. For projects involving heat: Most recent invoice demonstrating the cost of heating fuel
for the building(s) impacted by the project.
D. Governing Body Resolution or other formal action taken by the applicant's governing
body or management per RFA Section 1.4 that:
• Commits the organization to provide the matching resources for project at the match
amounts indicated in the application.
• Authorizes the individual who signs the application has the authority to commit the
organization to the obligations under the grant.
• Provides as point of contact to represent the applicant for purposes of this
application.
• Certifies the applicant is in compliance with applicable federal, state, and local, laws
including existing credit and federal tax obligations.
E. An electronic version of the entire application on CD or other electronic media, per RFA
Section 1.7.
F. CERTIFICATION
AEA 21010 Page 37 of 38 7/20/2020
Renewable Energy Fund Round 13
SKA
Grant Application — Standard Form ENERGY
N E1RG
Y F
AUTHORITY
SECTION 13 — AUTHORIZED SIGNERS FORM
Community/Grantee Name: Kotzebue
Regular Election is held:
October
Date:
Authorized Grant Signer(s):
Printed Name Title Term Signature
Martin Shroyer GM/CEO n/a
I authorize the above person(s) to sign Grant Documents:
(Must be authorized b the hi hest rankingorganizat�2020-20m2,
/comuni /municipal official
Printed Name Title Term Signature
Harold Lambert Chairman
Grantee Contact Information:
Please submit an updated form whenever there is a change to the above information.
AEA 21010 Page 36 of 38 7/20/2020