HomeMy WebLinkAbout2022 10 24 Regular 500 - State Revolving Fund Loan Application for East & West Waste Water Facility Replacement Engineering • REGULAR AGENDA ITEM 500
,n m=ared CITY COMMISSION AGENDA I OCTOBER 24, 2022 REGULAR MEETING
1959
TITLE
State Revolving Fund Loan Application for East & West Waste Water Facility
replacement engineering.
SUMMARY
On June 13th the City Commission approved Resolution 2022-12 adopting the
Clean Water State Revolving Fund Wastewater Facilities Plan for the
implementation of the East and West Water Reclamation Facility
replacements. The plan included findings and summary of necessary
improvements for the purpose of designing and constructing Waste Water
Facilities.
On September 12th the City received notification from the Florida
Department of Environmental Protection (FDEP) that the City's request to be
included on the "FY 2023 CWSRF Water Pollution Control Priority List" for
State Revolving Fund (SRF) funding for design services for Winter Springs was
approved in the amount of$5,452,000.
Please find attached Resolution 2022-31 and FDEP Loan Application for
approval to submit the City's loan application for design engineering.
RECOMMENDATION
Staff recommends the City Commission consider and approve Resolution
2022-31 authorizing the City Manager to execute and submit a loan
application with the Florida Department of Environmental Protection for
Project WW59062 - East & West Waste Water Facility replacement
engineering.
145
RESOLUTION NO. 2022-31
A RESOLUTION OF CITY OF WINTER SPRINGS, FLORIDA, RELATING TO THE
STATE REVOLVING FUND LOAN PROGRAM; MAKING FINDINGS;
AUTHORIZING THE LOAN APPLICATION; AUTHORIZING THE LOAN
AGREEMENT; ESTABLISHING PLEDGED REVENUES; DESIGNATING
AUTHORIZED REPRESENTATIVES; PROVIDING ASSURANCES; PROVIDING
FOR CONFLICTS, SEVERABILITY, AND EFFECTIVE DATE.
WHEREAS, Florida Statutes provide for loans to local government agencies to finance the
construction of wastewater treatment facilities; and
WHEREAS, Florida Administrative Code rules require authorization to apply for loans, to establish
pledged revenues, to designate an authorized representative; to provide assurances of
compliance with loan program requirements; and to enter into a loan agreement; and
WHEREAS, after careful consideration and study and being duly advised by technical experts and
City staff, the City Commission has determined that the City of Winter Springs is in need of
replacing its two existing sewer treatment plants that are reaching the end of life span; and
WHEREAS, the City has estimated that the cost of replacing the two existing sewer treatment
plants is approximately $69,584,000.00 and it is necessary to obtain funding to complete the
replacement project; and
WHEREAS, the State Revolving Fund loan priority list designates the design engineering for
Project No. WW59062 as eligible for available funding; and
WHEREAS, the City of Winter Springs, Florida, intends to enter into a loan agreement with the
Department of Environmental Protection under the State Revolving Fund for project financing;
and
WHEREAS, the City Commission of the City of Winter Springs declares that this Resolution is in
the best interests of the public health, safety, welfare, convenience, and morals of the citizens of
Winter Springs.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE CITY OF WINTER
SPRINGS, FLORIDA, AS FOLLOWS:
SECTION I. The foregoing findings are incorporated herein by reference and made a part hereof.
City of Winter Springs
Resolution No. 2022-31
Page 1
146
SECTION II. The City of Winter Springs, Florida, is authorized to apply for a loan to finance the
Project.
SECTION III. The revenues pledged for the repayment of the loan are net water and sewer system
revenues after payment of debt service on the following prior senior debt:
(1) Water and Sewer Refunding Revenue Bonds, Series 2000;
(2) Water and Sewer Revenue Refunding Note Payable, Series 2016;
(3) Water and Sewer Revenue Refunding Note Payable, Series 2020; and
(4) City of Winter Springs, Florida, SRF Loan DW590610.
SECTION IV. The City Manager is hereby designated as the authorized representative to provide
the assurances and commitments required by the loan application.
SECTIOIN V. The Mayor, or the Deputy Mayor in the absence of the Mayor, is hereby designated
as the authorized representative to execute the loan agreement which will become a binding
obligation in accordance with its terms when signed by both parties. The Mayor, or the Deputy
Mayor in the absence of the Mayor, and the City Manager are authorized to represent the City in
carrying out the City's responsibilities under the loan agreement. The City Manager is authorized
to delegate responsibility to appropriate City staff to carry out technical, financial, and
administrative activities associated with the loan agreement. The City Attorney is authorized to
represent the City in carrying out the City's legal related responsibilities underthe loan agreement.
SECTION VI. The legal authority for borrowing moneys to construct this Project is the adoption
of this Resolution by the City Commission, by majority vote, in accordance with the powers vested
in the City Commission under the Constitution and laws of the State of Florida, including
particularly, Chapter 166, Florida Statutes, and other applicable provisions of law, including the
City Charter and Code of Ordinances.
SECTION VII. All resolutions or part of Resolutions in conflict with any of the provisions of this
Resolution are hereby repealed.
SECTION VIII. If any section or portion of a section of this Resolution proves to be invalid, unlawful,
or unconstitutional, it shall not be held to invalidate or impair the validity, force, or effect of any
other section or part of this Resolution.
SECTION IX. This Resolution shall become effective immediately upon its passage and adoption
by the City Commission of the City of Winter Springs, Florida.
[Signature Page Follows]
City of Winter Springs
Resolution No. 2022-31
Page 2
147
RESOLVED, by the City Commission of the City of Winter Springs, Florida, in a regular meeting
assembled on the 24" day of October, 2022.
KEVIN McCANN, Mayor
ATTEST:
CHRISTIAN GOWAN, City Clerk
Approved as to legal form and sufficiency for
the City of Winter Springs only:
ANTHONY A. GARGANESE, City Attorney
City of Winter Springs
Resolution No. 2022-31
Page 3
148
STATE OF FLORIDA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
STATE REVOLVING FUND LOAN
PROGRAM for
Point Source Water Pollution Control
LOAN APPLICATION
P I'D E r�
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v
' N TA L
Florida Department of Environmental Protection
State Revolving Fund Program
Marjory Stoneman Douglas Building
3900 Commonwealth Blvd.,MS 3505
Tallahassee,FL 32399-3000
Form Application 1
Incorporated in 62-503.430(1)(a),F.A.C. Effective Date March 9,2022 149
TABLE OF CONTENTS
Page
Number
LOAN APPLICATION
(1) SUBMITTAL.......................................................................................................................................... 1
(2) COMPLETING THE APPLICATION................................................................................................... 1
(3) ASSISTANCE........................................................................................................................................ 1
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) INTERIM FINANCING......................................................................................................................... 1
PART II-PROJECT INFORMATION
A. PRECONSTRUCTION PROJECT
(1) ACTIVITIES .......................................................................................................................................... 2
(2) SCHEDULE............................................................................................................................................ 2
(3) COST...................................................................................................................................................... 2
B. CONSTRUCTION PROJECT
(1) ACTIVITIES .......................................................................................................................................... 2
(2) SCHEDULE............................................................................................................................................ 3
(3) COST...................................................................................................................................................... 3
PART III-FINANCIAL INFORMATION
(1) PRINCIPAL ........................................................................................................................................... 3
(2) TERMS AND REPAYMENT................................................................................................................ 3
(3) ANNUAL FUNDING LIMIT................................................................................................................. 3
(4) INFORMATION ON LIENS ................................................................................................................. 3
(5) ACTUAL AND PROJECTED REVENUES.......................................................................................... 4
(6) AVAILABILITY OF PLEDGED REVENUES..................................................................................... 4
(7) LOAN SERVICE FEE............................................................................................................................ 4
PART IV-AUTHORIZATION AND ASSURANCES
(1) AUTHORIZATION................................................................................................................................ 4
(2) ASSURANCES ...................................................................................................................................... 4
PART V-SUPPLEMENTARY INFORMATION
SCHEDULE OF PRIOR AND PARITY LIENS............................................................................................ 7
SCHEDULE OF ACTUAL REVENUES AND DEBT COVERAGE............................................................ 8
SCHEDULE OF PROJECTED REVENUES AND DEBT COVERAGE...................................................... 9
LISTOF ATTACHMENTS............................................................................................................................ 10
Form Application 1
Incorporated in 62-503.430(1)(a),F.A.C. Effective Date March 9,2022 150
LOAN APPLICATION
(1) SUBMITTAL. Submit the application and attachments to the Department of Environmental Protection,MS 3505,State
Revolving Fund Program,3900 Commonwealth Blvd.,Tallahassee,Florida 32399-3000. The application(and backup)
may be submitted electronically to the Department's Project Manager.
(2) COMPLETING THE APPLICATION.
(a) This application consists of five parts: (1) ADMINISTRATIVE INFORMATION; (II) PROJECT INFORMATION;
(111) 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 Clean Water State
Revolving Fund Program staff. Please email SRF_Reporting@dep.state.fl.us for assistance in completing this
application.
PART I-ADMINISTRATIVE INFORMATION
(1) PROJECT SPONSOR City of Winter Springs
Federal Employer Identification Number 59-1026364
DUNS Number 025212655
(2) AUTHORIZED REPRESENTATIVE(person authorized to sign or attest loan documents).
Name Shawn Boyle Title City Manager
Telephone 407-327-5957 FAX 407-327-4753 Email sboyle@winterspringsfl.org
Mailing Address 1126 East SR 434 Winter Springs, FL 32708
(3) PRIMARY CONTACT(person to answer questions regarding this application).
Name Scott Borror Title Director of Finance
Telephone 407-327-7590 FAX 407-327-4753 Email sborror(cDwinterspringsfl.org
Employer City of Winter Springs
Mailing Address 1126 East SR 434 Winter Springs, FL 32708
(4) ADDITIONAL CONTACTS. If more than one additional person is to receive copies of Department correspondence,attach
the information(Attachment# ).
Name Donna Bruno Title City Controller
Telephone 407-327- 6550 FAX 407-327-4753 Email dbruno@winterspringsfl.org
Employer City of Winter Springs
Mailing Address 1126 East SR 434 Winter Springs, FL 32708
(5) PROJECT NUMBER(listed on the Department's priority list). WW59062
(6) INTERIM FINANCING. A local government project sponsor that has interum financing may be subject to certain
conditions regarding such financing.
Is the project currently being funded with interim financing? ❑ Yes No
Form Application l
Incorporated in 62-503.430(1)(a),F.A.C. Page 1 of 10 Effective Date March 9,2022
151
PART II—PROJECT INFORMATION
If you are applying for a planning,design,or SSES loan for 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. PLANNING,DESIGN OR SSES PROJECT
Information should be provided for each separate facility to be planned and designed as appropriate. For design/build projects
(not eligible for design loans) or those where multiple facilities, segments, or phases are involved,please attach information
for activities,schedule,and cost for each. (Attachment# 1 )
(1) ACTIVITIES. 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 pe rmed. (Attachment# 2__I) Are these activities the same as those
scheduled on the Request for Inclusion Form? MYes ❑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 Completed - Resolution 2022-12
Engineering work September 2023
Certification of site availability October 2023
Permit November 2023
(b) Do you anticipate that an interlocal agreement with another party will be necessary to implement ❑ Yes W No
the project? If"Yes",please explain. (Attachment# )
(c) Is this a design/build project? ❑ Yes ls� No
(3) COST. Is the cost information submitted for the planning,design or SSES loan priority list current? V Yes ❑ 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.
PRECONSTRUCTION LOAN APPLICANTS PROCEED TO PART III.
B. CONSTRUCTION OR UI REHABILITATION PROJECT
(1) ACTIVITIES.
(a) Attach a brief description of construction or 1/I rehabilitation activities to be financed by this loan. Include a list of the
contracts(by title)corresponding to the plans and specifications accepted by the Department(Attachment# ).
Are these contracts the same as those scheduled on the Request for Inclusion Form? ❑ Yes ❑ No
If"No",please explain. (Attachment# )
(b) Have any of the contracts been bid? ❑ Yes ❑ No
If"Yes",indicate which contracts have been bid. (Attachment# )
(c) Was planning,design,or SSES for this project financed in another SRF loan? ❑ Yes ❑ No
If"Yes",give the SRF loan number.
(d) Does this project involve an interlocal agreement with other local governments or other entities? ❑ Yes ❑ No
If"Yes",attach a copy of the interlocal agreement. (Attachment# )
Is the interlocal agreement fully executed and enforceable? ❑ Yes ❑ No
If"No",please explain(Attachment#—).
Form Application 1
Incorporated in 62-503.430(1)(a),F.A.C. Page 2 of 10 Effective Date March 9,2022
152
(2) SCHEDULE. (month and year)
(a) Anticipated notice to proceed for first construction contract.
(b) Anticipated completion of all construction contracts.
(3) COST. Is the cost information submitted for the priority list current? ❑ Yes ❑ 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.
PART III-FINANCIAL INFORMATION
Estimates of the capitalized interest,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 may be obtained by contacting staff in the State Revolving Fund Management Section.
(1) PRINCIPAL. The requested amount of the loan which does not include capitalized interest is $ 5,452,000.00
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 20 years. Finance charges and principal are paid semiannually.
What is the useful life of the project? 30 (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 Service 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? ❑ Yes V No
If"Yes",please list. (Attachment# )
(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) INFORMATION ON LIENS.
(a) Describe, if applicable, all debt obligations having a prior or parity lien on the revenues pledged to repay this loan.
(Attachment# 3 ) For example: City Name,Florida,Water and Sewer System Revenue 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.
(b) Using the Part V,Schedule of Prior and Parity Liens,provide debt service information,if applicable,on each prior and
parity obligation.
Form Application l
Incorporated in 62-503.430(1)(a),F.A.C. Page 3 of 10 Effective Date March 9,2022
153
(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# 4 ).
(d) Describe any other notes and loans payable from the revenues pledged to repay this loan.(Attachment# 3 ).
(5) 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.
(6) AVAILABILITY OF PLEDGED REVENUES. All sources must be supported by a written legal opinion. (Attachment
# 5 ) 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.
(7) 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# 6 )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 Clean Water State Revolving Fund
Program staff as to the applicability of the requirements if the necessity for the assurances is 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.
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.
Form Application l
Incorporated in 62-503.430(1)(a),F.A.C. Page 4 of 10 Effective Date March 9,2022
154
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.
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 186,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.
Form Application l
Incorporated in 62-503.430(l)(a),F.A.C. Page 5 of 10 Effective Date March 9,2022
155
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.
(c) Assurances for all projects.The loan recipient certifies that it is not listed on the governmentwide exclusions in the
System for Award Management(SAM),in accordance with the OMB guidelines at 2 CFR 180 that implement
Executive Orders 12549(3 CFR part 1986 Comp.,p. 189)and 12689(3 CFR part 1989 Comp.,p.235),"Debarment
and Suspension."
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 assurances.
Signed this Day of 20
Authorized Representative
(signature) (name typed or printed)
Attachments
Form Application 1
Incorporated in 62-503.430(1)(a),F.A.C. Page 6 of 10 Effective Date March 9,2022
156
See Attachment #7
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.
#1 #2 #3
Identify Each
Obligation
Coverage % % %
Insured? Yes No Yes No Yes No
Total Debt
Fiscal Annual Debt Service (Principal Plus Interest) Total Service Incl.
Year #1 #2 #3 Debt Service Coverage
2011 $ $ $ $ $
2012 $ $ $ $ $
2013 $ $ $ $ $
2014 $ $ $ $ $
2015 $ $ $ $ $
2016 $ $ $ $ $
2017 $ $ $ $ $
2018 $ $ $ $ $
2019 $ $ $ $ $
2020 $ $ $ $ $
2021 $ $ $ $ $
2022 $ $ $ $ $
2023 $ $ $ $ $
2024 $ $ $ $ $
2025 $ $ $ $ $
2026 $ $ $ $ $
2027 $ $ $ $ $
2028 $ $ $ $ $
2029 $ $ $ $ $
2030 $ $ $ $ $
2031 $ $ $ $ $
2032 $ $ $ $ $
2033 $ $ $ $ $
2034 $ $ $ $ $
2035 $ $ $ $ $
2036 $ $ $ $ $
2037 $ $ $ $ $
Form Application 1
Incorporated in 62-503.430(1)(a),F.A.C. Page 7 of 10 Effective Date March 9,2022
157
See Attachment #7
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.)
FY 20 21 FY 2022
(a) Operating Revenues(Source)
(b) Interest Income
(c) Other Income or Revenue (Identify)
(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)
(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# 3 )
(i) Attach worksheets reconciling this page with the appropriate financial statements(for example,
backing out depreciation and interest payments from operating expenses). (Attachment# 8 )
(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 Application 1
Incorporated in 62-503.430(I)(a),F.A.C. Page 8 of 10 Effective Date March 9,2022
158
See Attachment #7
PART V—SUPPLEMENTARY INFORMATION
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 20 FY 20 FY 20 FY 20 FY 20
(a) Operating Revenue
(b) Interest Income
(c) Other Income or Revenue
(identify)
(d) Total Revenues
(e) Operating Expenses(excluding
interest on debt,depreciation,and
other non-cash items)
(f) Net Revenues(f=d-e)
(g) Revenue(including coverage)
pledged to debt service,excluding
SRF loans
(h) Revenue(including coverage)
pledged to outstanding SRF loans
(i) Revenue Available for this SRF
Loan[(i)_(fl—(g)—(h)]
(j) Identify the source of the above information and explain methods used to develop the projections(Attachment# ).
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 ❑ Yes ❑ No
feasibility information?
If"No",please explain. (Attachment# )
Form Application 1
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PART V—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
Resolution 2022-12 - includes WW Facilities PLan #1
Request for Inclusion Form #2
Information on Liens- Notes from Annual Comprehensive Audit Report #3
Listed Obligations Documentation #4
Availability of Pledged Revenues #5
Authorizing Resolution #6
Part V - Supplementary Information #7
Reconciliation of Schedule of Actual Revenues and Debt Coverage #8
Form Application 1
Incorporated in 62-503.430(1)(a),F.A.C. Page 10 of 10 Effective Date March 9,2022
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