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HomeMy WebLinkAboutTanacrossSignaturePagesAEA0001Date. August 18,,, 201 '! 0 Grant Documents Authorized Signers Please clearly print or type all sections of this form. Co 'munity/Grantee Name: Native Village of Tanacross Regular Election is held: October 4, 201 1 thon'*zed Grant Sioner(s). I authorize the above person(s) to sign Grant Iocuments: (.Highest ranking or ganization/community/municipal official) (�r�nfno t'nnt�rt Infn nflnna Please submit an updated form whenever there iss a change to the above information, Please return the original completed form to: Alaska Energy Authority 813 W. Northern Lights Blvd. Anchorage, AK 99503 Attn: Butch White, Grants Administrator CADocuments and Seftings\Dawn\Local SetfingskTernporary Internet F*iles\Content,.IE5\j3B20010\GrantDocu entsAuthor'i'zedS*ignersS[I]edococ ENERGY AUTHORITY i T f ! - - r 'i - f if f - tea• ro L� F7 1 Vow LP qo- r � t # 4 ■ -was,# j � • ti '� � � yF J r ti f ■ : r It F ■ - M • * - s - b r •� i y _ � r damn 19 ti # _ r ; • &dill :6 - r �{ti � x - s r■ � � &P. *i # F F� X d ,4 ■3 • Jr lip f # ■ A4 rl R ti Mohair t !T"fM 1 f k F• +i i w ■ R F i i r � f ~� r t ■ � � ��� +'-�� -.lr.s ■r■f .� � F r ipo .ems i t dp it • _ t 1! rt } + r# 1 t Ij 3r { _ � 3 •�• .�.__ - �. i _ t � � ■J is 3.# i� ;f i �■I� *4 R �3 • =#i n •dp _ # ; ■ ' i # sp- - + fr Li - f g! P. Fes* F fro. � f � 4L fib i r i - ri * # ■ . Fix F ■ AL 1 } i ` •f 46 IL ■ # * II A 5 ■ _ F, * �� sir• r±#� � � � �"� � #' # � � f' Renewa., 'Energy Fund Grant Round V Grant Budgl. orm Source of Matching Anticipated RE- Fund' Grantee Matching Funds: Milestone or Task'Completion date Grant Funds Funds Cash/In-kind/Federal TOTALS Grants/Other State. Grants/Other (List milestones based on phase and type of project. $ $ $ See Attached Milestone list. ) 1. Grant agreement in -)lace 08/01/2012 $o.00 $o.00 $0.00 $0.00 2. Finalize biomass heating plant design 12/31/2012 $38,000 $0.00 $0.00 $ 38,0 0 0 3. Procure boiler system and hardware 03/31/2012 $132,000 $000 $0.00 $132100 0 4. Construct building shell and foundation 06/30/2013 $70,000 $0h00 $707000 $140,000 5. Install biIers,piUm ing, u 1I1 0rs &freight09/30/2013 $1202000 $0.00 $100,000 $220,000 6. Train workers to operate plant 09/30/2013 $ 57000 $0.00 $0.00 $ 51000 7. Reports to AEA/Administration On-gong/quarterly $20,000 $0.00 $0.00 $ 20,000 TOTALS $420,000 $590,000 Budget Categories: Direct Labor &Benefi s $507000 $ $50,000 Travel &Per Diem $5000 $ $5,000 Equipment $167,000 $ $167,000 Materials &SuPP11es $30,000 $170,000 $200,000 Contractual Services $90,000 $ $901000 Construction Services $78,000 $ $78,000 Other TOTALS $420,000 $170,000 $590,000 Applications should include a separate worksheet for each project phase (Reconnaissance, Feasibility, Design and Permitting, and Construction) - Add additional pages as needed AL4K:�D ASKA Renewable Energy Fund Grant Application Round 5 SECTION 110—Aftwn.eewwwInIONAL DOCUMENTATION AND CERTIFICATION SUBMIT THE FOLLOVWNG DOCUMEN'TS WffH YOUR APPUCATtON: A. Contact �nfarmation, resumes of Applicant's Project Manager, key stiff111''1111Dners, consultants, and suppliers per application form Section 3'.1 and 3.4. Applicants are asked 10- separate resumes submitted with anniicat�nns_ Iff the indlut not want their resumes fisted. B. Cost Worksheet per application form Section 4,,4.LAL C. Grant Budget Form per appi�caiion form Section 9. D. Letters demonstrating local support per application form Section 8. E. F kv An electronic version lioillif the entire application on CD per RFA Section 1.7. Authorized Signers Form. duals do G. Governing Body Resolution or other #orma! action taken by the applicant's governing bodyor na a a e per RFA Section 1x4 that: - Comillfts the organization to provide the matching resources for protect at the match amounts indicated in the application. - Authorizes the individual who signs the application has the authority tl commit the organization to the obligations under the grant Provides as point of contact t represent the appli*cant for purposes of this application. - Certifies the appl'iftcant is in compliance with a i*cable federal, s#a#e, and local, laws inciud�ng existing credit and fede I tax obligations. H. CERTIFICATION AEA1 2-o-001 Grant Application Page 18 of 18 7/11/2011 F TANACROSS VILLAGE COUNCIL P.O. Box 76009 Tanacross , Alaska 99706 Resolution Number �.� �- � 1 A RESOLUTION REQUESTING ALASKA ENERGY AUTHORITY ROUND 5 RENEWABLE ENERGY GRANT PROGRAM FUNDING FOR THE TANACROSS PUBLIC FACILITY BIOMASS SPACE HEATING PROJECT VMEREAS, theNat"veV*llage of Tanacross thri�ough its govemingbody,, Tanacross'"'I'Viliage, Council ,, is sole governing body of the Tanacross,, Alaska and WHEREAS, the public facilities at Tanacross are centrally clustered in the middle of village which makes them accessible to district heating options, and WHEREAS, the Tanacross Vi*llage Council has determined that the high cost of space heating its public lacilities with imported fuel oil is causing a significant cash drain on the economy of Tanacross and that there is opportunity to supplant feel oil space heating with locally harvested Woody biomass fired systems, lower energy costs, create local biomass employment opportunities ,and WHEREAS, the Tanacross Village Council has undertaken a thorough investigation of the costs and benefits o woody biomass space heating of its public facilities and determined that construction and operation of a centrally located woo y biomass space station will generate significant cast-savings to the Tribe and also create local employment of residents, and WHEREAS, the Tanacross Village Council (TVC) has in storage new building materials and insulated arctic piped sufficient to construct an insulated building for the planned Tanacross Public Facility Biomass Space Heating Project, extend heating piping to targeted public facilities Is and that TVC desires to donate these materials to the AEA Round 5 funding. NOW, THEREFORE BE IT RESOLVED, that the Tanacross Village Council respectfully requests an AEA Round 5 appropriation in the amount of $420,000 for purposes of fully fund the 0 planned Tanacross Public Facility Biomass Space Heating Project and authorizes its President, Roy Denny to sign all AEA application documents, and BE IT SOLVED, that the Tanacross Village Council hereby agrees to donate building materials and arctic sufficient to construction the building (at an estimated value of $170,000) for the planned Tanacross Public FacilitylomasSxmw Be Heating Project and also agrees to donate Sufficient arcti'0c pipe to extend the heating system lines to the targeted public facilities described in the AEA Round 5 funding application submitted by Tanacross Village Council. I. CERTIFICATION This resolution was duly adopted bythe Tanacross Village Council at ameetinc held at Tanacross Village, Alaska on AugUSLI011ZU11 by the following vote: Ayes 6-�o , Nays � ,Abstain ATTEST: Al Roy De*y -President Secretary