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HomeMy WebLinkAboutSignature pagesRenewable Energy Fund Round IX E Al:L►CA Grant Application — Heat Projects e ENERGYAUTHORITY SECTION 13 — AUTHORIZED SIGNERS FORM Community/Grantee Name: City of Seward, Alaska Regular Election is held: First Tuesday of each Date: 11 September 2015 October Authorized Grant Signer(s): Printed Name Title Term Signature Kris Erchinger Finance Director N/A Ron Long Ass't City Manager N/A Jim Hunt City Manager N/A I authorize the above person(s) to sign Grant Documents: (Must be authorized below by the highest ranking organization/community/municipal official) Printed Name Title Term Signature Jim Hunt City Manager N/A Grantee Contact Information: Mailing Address: PO Box 167 Seward, AK 99664 Phone Number: 907-224-4047 Fax Number: 907-224-4038 E-mail Address: Jhunt@cityofseward.net Federal Tax ID #: 92-600086 Please submit an updated form whenever there is a change to the above information. AEA 15003 Page 26 of 27 7/8/15 Renewable Energy Fund Round IX , A ASKA Grant Application — Heat Projects ©� 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 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 Jim Hunt Signature Title ity Manager Date 11 September 2015 AEA 15003 Page 27 of 27 7/8/15