HomeMy WebLinkAboutFlorida Department of Environmental Protection - Point Source Water Pollution Control - 2004 07 29STATE OF FLORIDA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
for
Point Source Water Pollution Control
I-JOAN APPLICATION
Florida Department of Environmental Protection
Bureau of Water Facilities Funding
Twin. Towers Office Building
2600 Blair Stone Road, MS 3505
Tallahassee, FL 32399 -2400
Form 62- 503.900 {2} Effective Date 7 -29 -04
I "M I i
Page
Number
LOAN APPLICATION
(1) SUBMITTAL ......................................................................................................... ............................... .
(2) COMPLETING THE APPLICATION ............................. ...............................
........ ...............................
(3) ASSISTANCE ......................................................................................................... ...............................
PART I - ADMINISTRATIVE INFORMATION
(1)
..... ...............................
PROJECT SPONSOR .......................................................... ............................... 1
(2)
AUTHORIZED REPRESENTATIVE .................................................................... ............................... 1
(3)
PRIMARY CONTACT ........................................................................................... ............................... 1
(4)
.... ...............................
ADDITIONAL CONTACTS ................................................ ............................... 1
(5)
PROJECT NUMBER ...................................................................................... ............................... .... 1
(6)
CAPITALIZATION GRANT PROJECT REQUIREMENTS ................................ ............................... 2
(7)
FINANCIAL HARDSHIP ....................................................................................... ............................... 2
(8)
DIRECT AND LEVERAGED LOANS ................................................................... ............................... 2
PART II - PROJECT INFORMATION
A. PRECONSTRUCTION PROJECT
(1) ACTIVITIES ........................................................................................................... ............................... 2
(2) SCHEDULE ............................................ ...............................
(3) COST ....................................................................................................................... ............................... 3
B. CONSTRUCTION PROJECT
(1) ACTIVITIES ........................................................................................................... ............................... 3
(2) SCHEDULE ............................................................................................................. ............................... 3
(3) COST ....................................................................................................................... ............................... 3
PART III - FINANCIAL INFORMATION
(1)
PRINCIPAL ............................................................................................................ ............................... 4
(2)
........ ...............................
TERMS AND REPAYMENT .......................................... ............................... 4
(3)
ANNUAL FUNDING LIMIT ..................................... ............................... . ............. ............................... 4
(4)
LOAN REPAYMENT RESERVE .......................................................................... ............................... 4
(5)
INFORMATION ON LIENS ................................................................................... ............................... 4
(6)
ACTUAL AND PROJECTED REVENUES ........................................................... ............................... 5
(7)
AVAILABILITY OF PLEDGED REVENUES ...................................................... ............................... 5
(8)
LOAN SERVICE FEE ................................................ ............................... .... 5
PART IV - AUTHORIZATION AND ASSURANCES
(1) AUTHORIZATION ................................................................................................. ............................... 5
(2) ASSURANCES ........................................................................................................ ............................... 5
PART V - SUPPLEMENTARY INFORMATION
SCHEDULE OF PRIOR AND PARITY LIENS ................... . ... . ..................................... ............................... 8
SCHEDULE OF ACTUAL REVENUES AND DEBT COVERAGE ............................. ............................... 9
SCHEDULE OF PROJECTED REVENUES AND DEBT COVERAGE ....................... ............................... 10
LISTOF ATTACHMENTS ............................................... ...............................
Form 62- 503.900(2) - i - Effective Date 7 -29 -04
LOAN APPLICATION
(1) SUBMITTAL. Submit the application and attachments to the Department of Environmental Protection,
MS 3505, Bureau of Water Facilities Funding, 2600 Blair Stone Road, Tallahassee, Florida 32399 -2400.
(2) COMPLETING THE APPLICATION.
(a) This application consists of five parts: (I) ADMINISTRATIVE INFORMATION; (II) PROJECT
INFORMATION; (III) FINANCIAL INFORMATION; (IV) AUTHORIZATION AND ASSURANCES; and
(V) SUPPLEMENTARY INFORMATION.
(b) All information provided on this application must be printed. Monetary amounts may be rounded.
(c) Forms and attachments to be submitted are denoted with italic print.
(3) ASSISTANCE. Completing this application may require information that can be obtained from Bureau of Water
Facilities Funding staff. Please call (850) 245 -8358 or SUNCOM 205 -8358 for assistance in completing this application.
PART I - ADMINISTRATIVE INFORMATION
(1) PROJECT SPONSOR City of Winter Springs
Federal Employer Identification Number 59- 1026364
(2) AUTHORIZED REPRESENTATIVE (person authorized to sign or attest loan documents).
Name Kevin Smith
Telephone 407 - 327 -1800
Mailing Address
FAX 407- 327 -4753
1126 East State Road 43 4
Title City Manager
Email KSmith winters ringsfl.or
Winter Springs, Florida 32708
(3) PRIMARY CONTACT (person to answer questions regarding this application).
Name Kip Lockcuff Title Direct Water and Sewer
Telephone 407 - 327 -5989 FAX 407 - 327 -6695 Email KLockcuff(cr�,winterspringsfl.or
Employer City of Winter Springs
Mailing Address 1126 East State Road 434
Winter Springs, Florida 32708
(4) ADDITIONAL CONTACTS. If more than one additional person is to receive copies of Department
correspondence, attach the information (Attachment # ).
Name Shawn Boyle
Telephone 407 --327 -5960 FAX 407 -327 -4753
Employer City of Winter Springs
Mailing Address 1126 East State Road 434
Winter Springs, Florida 32708
Title Direct of Finance and Admin. Services
Email SBovle(a,wintersprin�sfl.or
Zn
(5) PROJECT NUMBER (listed on the Department's priority list).
WW59060
Form 62- 503.900(2) Page 1 of I I Effective Date 7 -29 -04
(b) CAPITALIZATION GRANT PROJECT REQUIREMENTS. An Applicant may have to comply with certain
Federal requirements for loans from funds that, in aggregate, are equivalent to the amount of the federal grant
awarded to the Department to partially capitalize the State Revolving Fund. Please check with the Department
to determine if the project is subject to such requirements.
Is this project subject to special federal requirements? X Yes ❑ No
If this project is subject to special federal requirements complete an EPA Preaward Compliance Review
.Deport and attach in Part V, List of Attachments. (Attachment #&
(7) FINANCIAL HARDSHIP. To qualify for a financial hardship loan the affordability index of a small
community to be served by the project shall be less than 100. A small community is a municipality or
unincorporated community with a total service area population of 20,000 or less as of the most recent
decennial census. Please check with the Department to determine if the project qualifies for a financial
hardship loan.
Does the loan qualify for financial hardship consideration? El Yes X No
(8) DIRECT AND LEVERAGED LOANS. A local government project sponsor that receives a loan from
proceeds of bonds issued by the Florida Water Pollution Control Financing Corporation will be subject to
certain limitations resulting from the tax exempt status of such bonds. Please check with the Department to
determine if the loan is subject to such limitations.
Is this loan subject to the special leveraged loan limitations? X Yes ❑ No
PART II — PROJECT INFORMATION
If you are applying for a loan to plan and design a project that will involve construction, complete only Subpart A
below. If you are applying for a loan to construct a project that is already planned and designed, complete only
Subpart B below.
A. PR.ECONSTRUCTION PROJECT
Information should be provided for each separate facility to be planned and designed as appropriate. For
design/build projects or those where multiple facilities, segments, or phases are involved, please attach information
for activities, schedule, and cost for each. (Attachment # )
(1) ACTNITIES. Attach a brief description of the scope of planning and design activities to be financed by this
loan. Include a list of any specialized studies to be performed. (Attachment # ) Are these activities the
same as those scheduled on Request for Inclusion Form? El Yes ❑ No. If "No ", please explain.
(Attachment # )
(2) SCHEDULE.
(a) Provide proposed completion dates for the items. (Please call Department staff to discuss time frames needed
to complete required tasks.)
Planning documentation
Engineering work
Certification of site availability
Permit
(b) Do you anticipate that an interlocal agreement with another party will be necessary to El Yes F-1 No
implement the project? If "Yes ", please explain. (Attachment # )
(c) Is this a design /build project? ❑ Yes EI No
Form 62- 503.900(2) Page 2 of 11 Effective Date 7 -29 -04
(3) COST. Is the cost information submitted for the preconstruction loan priority list FI Yes F-1 No
current? If "No ", please explain and submit revised cost information using the
appropriate page of the Request for Inclusion Form. (Attachment # ) Note that
the disbursable amount will be limited to the priority list amount.
PRECONSTRUCTION LOAN APPLICANTS PROCEED TO PART III.
B. CONSTRUCTION PROJECT
(I)
ACTIVITIES.
(a)
Attach a brief description of construction activities to be financed by this loan..
Include a list of the
construction contracts (by title) corresponding to the plans and specifications accepted by the Department
(Attachment #B).
Are these contracts the same as those scheduled on the Request for Inclusion Form?
X Yes ❑ No
If "No ", please explain. (Attachment#_ )
(b)
Have any of the contracts been bid?
X Yes ❑ No
If "Yes ", indicate which contracts have been bid. (Attachment #B)
(c)
was the planning and design for this project financed with a preconstruction loan?
❑ Yes X No
If "Yes ", give the preconstruction loan number.
(d)
Does this project involve an interlocal agreement with other local governments or other
El Yes X No
entities?
If "Yes ", attach a copy of the Department letter accepting the interlocal agreement. (Attachment # )
Is the interlocal agreement, as accepted by the Department, fully executed and
El Yes ❑ No
enforceable?
If "No ", please explain (Attachment # ).
(2) SCHEDULE. November 2010
(a) What is the estimated date for the start of construction? September 2011
(b) What is the estimated date for construction completion? May 2012
(c) What is the date for start up of the facilities? May 2012
(3) COST. Is the cost information submitted for the priority list current? X Yes [:1 No
If "No ", please explain and submit revised cost information using the appropriate page of the Request for
Inclusion Form. (Attachment # ) Note that the disbursable amount will be limited to the priority list
amount.
Form 62- 503.900(2) Page 3 of I I Effective Date 7 -29 -04
PART III - FINANCIAL INFORMATION
Please check with the Department to establish estimates of the capitalized interest rate, project useful life for
financial hardship loans, financing rate, pledged revenue coverage, limitations on annual loan amounts for large
projects, applicability and amount of repayment reserves, amount of the loan service fee and any other information
needed to complete this form.
(1) PRINCIPAL. The requested amount of the loan, excluding capitalized interest is $2,831,985
The estimate of the capitalized interest is
$0.00 based on a financing rate of 2.87%
Note that the disbursable amount will be limited to the priority list amount and must be consistent with the
project information provided under PART II of this application. Also note that the capitalized interest is an
inexact estimate., and it is subject to adjustment by the Department to reflect actual disbursement timing. The
principal amount of the loan does not include the loan service fee.
(2) TERMS AND REPAYMENT.
(a) Loans to local government project sponsors are amortized over the lesser of useful life of the project or 20
years unless the project is to serve a small community qualifying as having a financial hardship. Loans to
financial hardship communities may be amortized over the lesser of useful life of the project or 30 years.
Loans to non - governmental project sponsors are amortized over the lesser of the useful of the project or 10
years. Finance charges and principal are paid semiannually.
What is the useful life of the project?
50 (years)
Over how many years would you like to amortize the loan? 20 (years)
(b) List all revenues that are to be pledged for repayment of this loan. Water and Sewer Revenue.
(c) Pledged revenue receipts or collections by the project sponsor must exceed the amount of the repayments due
to the Department unless there are other collateral provisions. The excess revenue, or coverage, generally is
15% of each repayment.
What coverage is proposed for the loan? 15% (coverage percentage)
(d) Is any other financial assistance being applied to this project? X Yes ❑ No
If "Yes ", please list. (Attachment #C)
(3) ANNUAL FUNDING LIMIT. Large project funding (generally, loans in excess of $10 million) may be
provided in increments pursuant to the initial loan agreement and subsequent amendments. Each increment
shall have a separate financing rate as established in the agreement or amendment providing that increment.
(4) LOAN REPAYMENT RESERVE. Subject to the Department's approval, a local government may establish a
restricted or assigned reserve account, using its own funds, in an amount not less than the sum of two
semiannual loan repayments in order to reduce the pledged revenue coverage requirement to as low as 1.0
times the annual debt service.
Is a reserve expected to be established using local funds? El Yes X No
If "Yes," describe the locally funded reserve. (Attachment # )
(5) INFORMATION ON LIENS.
(a) Describe, if applicable, all debt obligations having a prior or parity lien on the revenues pledged to repay this
loan. (PART V of this application) For example: City Name, Florida, Water and Sewer System Revenue
• • • Y WI III
Bonds, Series 1996, issued in the amount of $10,000,000, pursuant to Ordinance No. 93 -104, as amended and
supplemented by Ordinance No. 96 -156.
Form 62- 503.900(2) Page 4 of 1 I Effective Date 7 -29 -04
(b) Using the Part V, Schedule of Prior and Parity Liens, provide debt service information, if applicable, on each
prior and parity obligation.
(c) For the listed obligations, provide a copy of the ordinance(s), resolution(s), official statement(s), or pages
thereof, setting forth the definitions, use of proceeds, debt service schedule, pledged revenues, rate covenants,
provisions for issuing additional debt, provisions for bond insurance, and debt rating. (Attachment #D -G).
(d) Describe any other notes and loans payable from the revenues pledged to repay this loan. (Attachment #).
(6) ACTUAL AND PROJECTED REVENUES.
(a) Complete the Part V, Schedule of Actual Revenues and Debt Coverage for the past two fiscal years.
(b) Complete the Part V, Schedule of Projected Revenues and Debt Coverage, demonstrating the availability of
pledged revenues for loan repayment.
(7) AVAII,ABILITY OF PLEDGED REVENUES. All sources must be supported by a written legal opinion.
(Attachment:4) The opinion must address the following:
(a) Availability of the revenues to repay the loan.
(b) Right to increase rates at which revenues shall be collected to repay the loan.
(c) Subordination of the pledge if pledged revenues are subject to a prior or parity lien.
(8) LOAN SERVICE FEE. A loan service fee is assessed on each loan. The fee is not part of the loan. The fee
along with interest thereon will be deducted from the first available repayments after the final amendment to
the loan agreement.
PART IV — AUTHORIZATION AND ASSURANCES
(1) AUTHORIZATION. Provide an authorizing resolution of the Applicant's governing body or other evidence
of authorization (Attachment #H) for the following:
(a) Pledging revenues to repay the loan.
(b) Designation of the Authorized Representative(s) to file this application, provide assurances, execute the loan
agreement, and represent the Applicant in carrying out responsibilities (including that of requesting loan
disbursements) under the loan agreement.
(2) ASSURANCES. The Applicant agrees to comply with the laws, rules, regulations, policies and conditions
relating to the loan for this project. Applicants should seek further information from the Bureau of water
Facilities Funding staff as to the applicability of the requirements if the necessity for the assurances are of
concern. Specifically, the Applicant certifies that it has complied, as appropriate, and will comply with the
following requirements, as appropriate, in undertaking the Project:
(a) Assurances for capitalization grant projects.
1. Complete all facilities for which funding has been provided.
2. The Archaeological and Historic Preservation Act of 1974, PL 93 --291, and the National Historic Preservation
Act of 1966, PL 89-665, as amended, regarding identification and protection of historic properties.
3. The Clean Air Act, 42 U.S.C. 7506(c), which requires conformance with State Air Quality Implementation
Plans.
4. The Coastal Zone Management Act of 1972, PL 92 -583, as amended, which requires assurance of project
consistency with the approved State management program developed under this Act.
5. The Endangered Species Act, 16 U.S.C. 1531, et seq., which requires that projects avoid disrupting threatened
or endangered species and their habitats.
Form 62- 503.900(2) Page 5 of 1 l Effective Date 7 -29 -04
6. Executive Order 11593, Protection. and Enhancement of the Cultural Environment, regarding preservation,
restoration and maintenance of the historic and cultural environment.
7. Executive Order 11988, Floodplain Management, related to avoiding, to the extent possible, adverse impacts
associated with floodplain occupancy, modification and development whenever there is a practicable
alternative.
8. Executive Order 11990, Protection of Wetlands, related to avoiding, to the extent possible, adverse impacts
associated with the destruction or modification of wetlands and avoiding support of construction in wetlands.
9. The Fish and Wildlife Coordination Act, PL 85 -624, as amended, which requires that actions to control
natural streams or other water bodies be undertaken to protect fish and wildlife resources and their habitats.
10. The Safe Drinking Water Act, Section 1424(e), PL 93 -523, as amended, regarding protection of underground
sources of drinking water.
11. The Wild and Scenic Rivers Act, PL 90 -542, as amended, related to protecting components or potential
components of the national wild and scenic rivers system.
12. The federal statutes relating to nondiscrimination, including. The Civil rights Act of 1964, PL 88 -352, which
prohibits discrimination on the basis of race, color or national origin; the Age Discrimination Act, PL 94 -135,
which prohibits discrimination on the basis of age; Section 13 of the Federal Water Pollution Control Act, PL
92 -500, which prohibits sex discrimination; the Rehabilitation Act of 1973, PL 93 -112, as amended, which
prohibits discrimination on the basis of handicaps.
13. Executive Order 11246, Equal Employment Opportunity, which provides for equal opportunity for all
qualified persons.
14. Executive Orders 11625 and 12138, Women's and Minority Business Enterprise, which require that small,
minority, and women's business and labor surplus areas are used when possible as sources of supplies,
equipment, construction and services.
15. The Coastal Barrier Resources Act, 16 U.S.C. 3501 et seq., regarding protection and conservation of the
coastal barrier resources.
16. The Farmland Protection Policy Act, 7 U.S.C. 4201 et seq., regarding protection of agricultural lands from
irreversible loss.
17. The Uniform Relocation and Real Property Acquisition Policies Act of 1970, PL 91 -646, which provides for
fair and equitable treatment of persons displaced or whose property is acquired as a result of federal or
federally assisted programs.
18. The Demonstration Cities and Metropolitan Development Act of 1966, PL 89 -754, as amended, which
requires that projects be carried out in accordance with area wide planning activities.
19. Section 306 of the Clean Air Act, Section 508 of the Clean Water Act and Executive Order 11738, which
prohibit manufacturers, firms, or other enterprises on the EPA's list of Violating Facilities from participating
in the Project.
20. Executive Order 12549, Debarment and Suspension, which prohibits any award to a party which is debarred
or suspended or is otherwise excluded from, or ineligible for, participation in federal assistance programs.
21. Minority and Women's Business Enterprise participation in project work using numerical goals, established
by the U.S. Environmental Protection Agency, and to be set forth in the specifications for construction and
materials contracts.
(b) Assurances for other projects.
1. Chapter 161, Part I, F. S., "Beach and Shore Preservation Act" and Part III, "Coastal Zone Protection Act of
1985" which regulate coastal zone construction and all activities likely to affect the condition of the beaches
or shore.
Form 62- 503.900(2) Page 6 of 11 Effective Date 7 -29 -04
2. Chapter 163, Part II, F.S., the "Local Government Comprehensive Planning and Land Development
Regulation Act" which requires units of local government to establish and implement comprehensive planning
programs to control future development.
3. Chapter 1.86, F.S., State and Regional Planning, which requires conformance of projects with Regional Plans
and the State Comprehensive Plan.
4. Chapter 253, F.S., "Emergency Archaeological Property Acquisition Act of 1988" which requires protection of
archaeological properties of major statewide significance discovered during construction activities.
5. Chapter 258, Part III, F.S., which requires protection of components or potential components of the national
wild and scenic rivers system.
6. Chapter 267, F.S., the "Florida Historical Resources Act" which requires identification, protection, and
preservation of historic properties, archaeological and anthropological sites.
7. Chapter 287, Part I, F.S., which prohibits parties convicted of public entity crimes or discrimination from
participating in State -- assisted projects and which requires consideration of the utilization of Minority Business
Enterprises in State -- assisted projects.
8. Chapter 372, F.S., the Florida Endangered and Threatened Species Act which prohibits the killing or
wounding of an endangered, threatened, or special concern species or intentionally destroying their eggs or
nest.
9. Chapter 373, Part IV, F.S., Florida Water Resources Act of 1972, which requires that activities on surface
waters or wetlands avoid adversely affecting: public health, safety, welfare, or property; conservation of fish
and wildlife, including endangered or threatened species or their habitats; navigation or the flow of water; the
fishing or recreational values or marine productivity; and significant historical and archaeological resources.
10. Chapter 380, Part I, F.S., Florida Environmental Land and Water Management Act of 1972 as it pertains to
regulation of developments and implementation of land and water management policies.
11. Chapter 381, F.S., Public Health, as it pertains to regulation of onsite wastewater systems.
12. Chapter 403, Part I, F.S., Florida Air and Water Pollution Control which requires protection of all waters of
the state.
13. Chapter 582, F.S., Soil and Water Conservation Act which requires conformance with Water Management
District's regulations governing the use of land and water resources.
14. Governor's Executive Order 95 -359, which requires State Clearinghouse review of project planning
documentation and intergovernmental coordination.
I, the undersigned Authorized Representative of the Applicant, hereby certify that all information contained herein
and in the attached is true, correct, and complete to the best of my knowledge and belief. I further certify that I have
been duly authorized to file the application and to provide these F?:surances.
Signed this
21 Day of
Authorized Representative
ignatu
Attachments
November
20 11
Charles Lace
(name typed or printed)
........... .
Form 62- 503.900(2) Page 7 of t I Effective Date 7 -29-04
PART V — SUPPLEMENTARY INFORMATION
SCHEDULE OF PRIOR AND PARITY LIENS
(EXCLUDING SRF LOANS)
List annual debt service beginning two years before the anticipated loan agreement date and continuing
at least three additional fiscal years. Use additional pages as necessary.
Form. 62- 503.900(2) Page 8 of 11 Effective Date 7 -29 -04
#1
#2
#3
94
Identify
Series 2000
Series 2011 -C
Series 2011
-A
Series
Each
Wachovia
BB &T Note
SunTrust
2011 -B
Obligation
BB &T
Coverage
1.10%
1.10%
1.10%
1.10%
Insured?
X Yes
X No
X No
X No
Total Debt
Fiscal
Annual Debt Service
(Principal Plus Interest
Total
Service Incl.
Year
#1
#2
#3
44
Debt
Coverage
Service
2003
$
$
$
$
$
2004
$
$
$
$
$
$
2005
$
$
$
$
$
$
2006
$
$
$
$
$
$
2007
$
$
$
$
$
$
2008
$
$
$
$
$
$
2009
$2161303
$
$
$
$
$ 2165303
2010
$2185453
$4731871
$11)1521)893
$
$1,8451,217
$15845,217
2011
$220,203
$4675396
$1,148,049
$
$118351648
$1. 835,648
2012
$
$991219
$1,0995181
$995238
$132971638
$1,297,63 8
2013
$
$4235400
$1,087,724
$901420
$1,601,044
$1,601,544
2014
$
$419,612
$1,086,004
$961878
$116025494
$1,602,494
2015
$
$415,151
$ 1,082,403
$1021833
$11600,387
$ 11)6005387
2016
$
$4245603
$1,081,512
$933560
$1,5995675
$1,5991675
2017
$
$4171961
$1,088,116
$99,149
$1,6051226
$156055266
2018
$
$420,23 8
$1,084,397
$99,13 5
$1035770
$1,603,770
2019
$
$416,504
$110831368
$98,851
$115981723
$1,598,723
2020
$
$421,585
$1,079,862
$98,299
$1,599,746
$1,599,746
2021
$1,045,627
$4201573
$
$102,345
$1,5681545
$1,568,545
2022
$1,8525986
$4181580
$
$
$292717566
$2,2711566
2023
$2,009,832
$
$
$
$2500,9832
$2,0091,832
2024
$2,0083106
$
$
$
$21t0085106
$2,008,106
2025
$2,006,43 8
$
$
$
$21006,43 8
$21,006,43 8
2026
$204,844
$21004,844
$204,844
2027
$250011,357
$
$
$
$2500,1357
$25001,357
2028
$200,026
$
$
$
$250090026
$2,000,026
2029
$1,998,769
$
$
$
$1,998,769
$1,998,769
2030
$ 4435269
$
$
$
$4431269
$ 443,269
Form. 62- 503.900(2) Page 8 of 11 Effective Date 7 -29 -04
PART V — SUPPLEMENTARY INFORMATION
SCHEDULE OF ACTUAL REVENUES AND DEBT COVERAGE
(Provide information for the two fiscal years preceding the anticipated date of the SRF loan agreement.)
(a) Operating Revenues (Source)
Charges for Service (2)
Other Operating Revenues
(b) Interest Income
(c) Other Income or Revenue (Identify)
Connection Fees
Other Revenue
(d) Total Revenues
(e) Operating Expenses (excluding
interest on debt, depreciation,
and other non -cash items)
(f) Net Revenues [(f) _ (d) — (e)]
(g) Debt Service (including any
required coverage)
FY 2009 FY 2010
$7,339,140
$8,0 14,508
$0.00
$0.00
$20,525
$84111.21
$13,932
$3,753
$17,259
$600
$7,390,856
$8,108,382
$5,298,633
$5,868,044
2,092,223
$2,240!)338
$2,025675
$2,029,737
(h) Attach audited annual financial report(s), or pages thereof, or other documentation necessary to
support the above information. Include any notes or comments from the audit reports regarding
compliance with covenants of debt obligations having a prior or parity lien on the revenues pledged
for repayment of the SRF Loan. (Attachment #I & J)
(i) Attach worksheets reconciling this page with the appropriate financial statements (for example,
backing out depreciation and interest payments from operating expenses). (Attachment #I & J)
(j) If the net revenues were not sufficient to satisfy the debt service and coverage requirement, please
explain what corrective action was taken. (Attachment # )
Form 62- 503.900 (2) Page 9 of 1 I Effective Date 7- -29 -04
PART V — SUPPLEMENTARY INFORMA,.TION
SCHEDULE OF PROJECTED REVENUES AND DEBT COVERAGE
Begin with the fiscal year preceding first anticipated semiannual loan payment and continuing for at least three
additional years. Attach a separate page for previous State Revolving Fund loans. (Attachment # )
FY 2011 FY 2012 FY 2013 FY 2014 FY 2015
(a)
Operating Revenue
(b)
Interest Income
(c)
Other Income or Revenue
411000
(identify)
401000
Additional Revenue from rate
401000
Increases
Other Revenue
Impact Fees
Connection Fees
$8,298,650
$8,2941512
$8,313,594
$81Y332,679
$8,35710012
361032
411000
427000
401000
401000
401000
0.00 539,165 7051740 8761445 1,05 11370
600
65120
6,242
65357
361032
1287394
1281394
1297394
51250
15,750
151750
15,750
(d) Total Revenues $8,386,932 $9,025,942 $9,2097721 $9,399,635
(e) Operating Expenses (excluding
interest on debt, depreciation, and
6,495
90,480
15,750
$9,555,856
other non -cash items) $51947,600 $6,127,392 $6,3121334 $654571054 $607,701
(f) Net Revenues (g = e - f) $21439,332 $21898,550 $2,897,387 $219421581 $259481155
(g) Revenue (including coverage)
pledged to debt service, excluding
SRF loans $2,019,212 $2,027,317
(h) Revenue (including coverage)
pledged to outstanding SRF loans 0 0
(i) Revenue Available for this SRF
Loan [(i) = (f) — (g) — (h)]
$2,0315192 $2,031)037 $2,0245109
0 0 0
$2,019,212 $25027,317 $2,031,192 $2,0311037 $210241109
(j) Identify the source of the above information and explain methods used to develop the projections (Attachment #K -M).
Include an explanation of any revenue and expense growth or other adjustments; for example, any rate increases, service
growth, inflation adjustments, expense adjustments reflecting the cost of operating additional facilities, or other
considerations.
(k) For construction loans, are the above projections consistent with the accepted financial X Yes F-1 No
feasibility information?
If "No ", please explain. (Attachment # )
Form 62- 503.900(2) Page 10 of 11 Effective Date 7 -29 -04
PART y — SUPPLEMENTARY INFORMATION
LIST OF ATTACHMENTS
LIST OF ATTACHMENTS. This application requires the submittal of attachments to provide supplemental
information. The application is not complete without the completed List of attachments. Please list all attachments
that you are including with this application form.
Attachment
Number
Preaward --- EPA Form 4700 -4
A
Construction Contracts and Explanation
B
St. Johns River Grant
C
Winter Springs Resolution 2011 -15 — Current Outstanding Debt
D
Winter Springs Resolution 2011 -19 — Current Outstanding Debt
E
Winter Springs Resolution 2011 -37 — Current Outstanding Debt
F
Winter Springs Resolution 2000 -32 — Current Outstanding Debt
G
State Revolving Loan Fund Resolution 2011-18
H
Audited 2009 CAFR Page 30 Water and Sewer
1
Audited 2010 CAFR Page 30 Water and Sewer
J
Schedule of Projected Revenues and Debt Coverage —Assumptions
K
Schedule of Projected Revenues and Debt Coverage --- Assumptions
L
Water and Wastewater Financial Forecasts (Multiple Tables)
M
Applicant's Governing body evidence of authorization
26
Audited 2009 CAFR Page 30 Water and Sewer
27
Audited 2010 CAFR Page 3 0 Water and Sewer
28
Form 62- 503.900(2) Page 11 of 11
Effective Date 7 -29 -04
Form 62- 503.900 {2} Page 12 of 11 Effective Date 7- 29.04