HomeMy WebLinkAboutELV-SignedAppFormsRenewable Energy Fund Round 13 A IL AS) K A
Grant Application — Standard Form E N R i G'
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THOR,
SECTION I RIZEDSIG NERS,F6RM
Community/Grantee Name: Community of Elfin Cove
Regular Election is held: Annually Date: August
Printed Name
Jiro-, Wild
Title
Hydro Project Manager
Term
�xp 8 E , /22
Signature
I authorize the above person(s) to sign Grant Documents:
Printed Name
Title
Term
Signature
J`inni kVild
'Tice -Chairs"` an
CXP 8/22
Mailing Address:
I PC) Bcx 2
Phone Number:
907-239-222_72
Fax Number:
"90-11-239-222 2
Email Address:
Federal Tax ID #:
9 2 - 00 8 9 9 3 A
P ease mit
F- 1 sub an updated form whenever there is a change to the above inTormapon.
AEA 21010 Page 34 of 35 7/20/2020
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Renewable Energy Fund Round 13
Grant Application — Standard Form
ALAS KA
EN EE R G Y
U I HI A ORMV
A. Contact information and resumes of Applicant's Project Manager, Project Accountants), 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.
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 amountz
indicated in the application.
Authorizes the individual who signs the application has the authority to commit the organization
to the obligations under the grant.
Certifies the applicant is in compliance with applicable federal, state, and local, laws incluclin,,.t4
existing credit and federal tax obligations.
F. CERTIFICATION
The undersigned certifies that this application for a renewable energy grant is truthful and correct,
and that the applicant is in compliance with, and will continue to comply with, all federal and state
laws including existing credit and federal tax obligations and that they can indeed commit the entity to
these obligations.
Print Name I lit- Wild
Signature
Title
T Vice-Chairr-nan HvIC"Irlo Pro;ect Manager
Date 9/18/20
AEA 21010 Page 35 of 35 7/20/2020