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Community/Grantee Name: City and Borough of Sitka
Regular Election is held: first Tuesday in October
(two of seven Assembly members up for re-
election)
13
Authorized Grant Si ner s
Printed Name Title Term Signature
Jay Sweeney Interim Municipal NA
Administrator
I authorize the above persons) to sign Grant Documents:
(Highest ranking organization/community/municipal official)
Printed Name
Title
Term
Signature
Mim McConnell
Mayor
10/2014
see Resolution 2013-15
in Attachment 5
Grantee Contact Information:
Mailing Address:
City and Borough of Sitka
100 Lincoln Street
Sitka AK 99835
Phone Number:
(907) 747-1883
Fax Number:
(907) 747-3158
E-mail Address:
davidl@cityofsitka.com
Federal Tax ID #:
92-0041163
Please submit an updated form whenever there is a change to the above information.
AEA 2014-006 Grant Application Page 21 of 22 7/212013
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Renewable Energy Fund Round VII
Grant ADDlication - Heat Proiects
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 Lf.
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
77'
Signature
Title
Date
o2 0 S L3
AEA 2014-006 Grant Application Page 22 of 22 7/2/2013