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HomeMy WebLinkAboutcentennial signature.• • • �• • A`r. • • • •Air•' 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 gym.. 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