HomeMy WebLinkAboutSec. 10 and 11Renewable Energy Fund Round V11
Grant Application - Heat Proi
SECTION 10 — AUTHORIZED SIGNERS FORM
Community/Grantee Name:
City and Borough of Yakutat
Regular Election is held: Date:
October
Authorized Grant Sioner(s):
AL4S. A
ENERGY AUTHORITY
Printed Name
Title
Term
Signature
Frank Ryman
Manager, City and
Borough of Yakutat
n/a
34
OT-
Connie Klushkan
Finance Director, City
and Borough of Yakutat
n/a
I authorize the above person(s) to sign Grant Documents:
(Highest ranking organization/community/municipal official)
Printed Name
Title
Term
Signature
Cindy Bremner
Mayor
2014
Grantee Contact Information:
Mailing Address:
City and Borough of Yakutat
309 Max Italio Drive
Yakutat AK 99689
Phone NumberO
907 784-3323
Fax Number:
907 784-3281
E-mail Address:
sryman@yakutatak.us
Federal Tax ID #:
92-6001319
Please submit an updated form whenever there is a change to the above information.
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Renewable Energy Fund Round VII �y c=
Grant Aaolication - Heat Proiects a-- ENERGY AUTHORITY
SECTION 11 —ADDITIONAL DOCUMENTATION AND CERTIFICATION
SUBMIT THE FOLLOWING DOCUMENTS WITH YOUR APPLICATION:
A. Contact information, resumes of Applicant's Project Manager, key staff, partners,
consultants, and suppliers per application form Section 3.1 and 3.4. 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 8.
C. For heat projects only: 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. One paper copy and one 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
Frank Ryman,
Signature
Title
City and Borough Manager
Date
September 18, 2013
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