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    Grant Payments and Other Documents 06 - 07

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    Monticello City Grant payments and other documents 06 - 07

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    Monticello City Grant payments and other documents 06 - 07

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    Grant Payments and Other Documents 06 - 07

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    Monticello City Grant payments and other documents 06 - 07

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    0348-0004 LZ escee REQUEST FOR ADVANCE [a cresrarbet tomes [2 eass oF REQUEST OR REIMBURSEMENT +. ICLADVANCE a REIMBURSE- Es newr Baeasw Pence | (See nsirucdons on back) recuserco | CrINAL _XPARTIAL DLAccRUAL USDA Rural Development RBEG 3 Tamamneartoner Preorewenccomraaa |e PERIOD COVERED TH REGUEST a cerns cee Paracas a $7-6000250 | 12400297) 9/1/06 9/30/07 Sesto RR poral Faro none City of Men tice Mle ee same PO Box 457 and Snot cn, gute, Monticel/o, UT SYS35 \Miebas and 2 Coos: i COMPUTATION OF AMOUNT OF REIMBURSEMENTS/ADVANCES REQUESTED, prooramsruncrionsacrumes me | vet |” ie Con tra cTva TOTAL services ameter we _|s 50, 360. cols s s 50 , 360.00 Less: Cunt program ncome 0.00 See ye amemmn carina 5D, 360.00 0.00 0.00] 50,360.00 TERT Ca OS EE 00 petod - Total (Sum offines © & d) 50, 360.00 0.00) 0.00 50,360.00 {.Non-Federal share of amount on line © 0.00 9. Feoral share of amount on ne © 50, 3bo-o £0,36 0.00 ‘. Fodorl payments previously requested 47, 800.00 47, Bo 0.00 ane 2,560.00 0.00] 0.00] 2,56 0.00 ee iter wang |_tstmont 0.00 1 Fedo! gene oop teri aang |_ 24 month 0.00 pedeatetetares | sa en ar % "ALTERNATE COMPUTATION FOR ADVANCES ONLY 4. Estimated Federal cash outays that wil be made during petod covered bythe advance is Las: Este bl of Fader cash on and ef begining of advance prod Amour requested (Linea mis te) * 0.00 ‘AUTHORIZED FOR LOCAL REPRODUCTION Tene OF ROVE FRR FORO R77) Preserbed by OMB Cicuars A102 and A110 Yes/o7 imprint? Faxed to Richard MeEutire Fax! Y3S- 39L- 7819 Y50A Reval bev. 340%, G00. Richereld, ur BY70/ Marled ordinals 187-446-7746 » aimprint.com #4375 B CERTIFICATION 1 cy baw he bee @ my PRES AT ER Sr aera trovtedge a ble he dts onthe aoe tov cet shat al tie D September 25, 2007 anramene Wee Dp ae nt conditions of other agreement erti, [CO0e, AER, Salta pamert ie duc and hea | CFE Gory D Martin leracere ieee anne Assistant City Manager YB5-587-227| “Ts eae er egmay ime ble reporting burden for te collection of Information f exinatd to average 60 minutos pe ‘reponse, Inudng time for revewing netuctone, searching eaotng dota souros, gathering and rananing the data needed, and completing and revewing the calecion of Inormaion. Sond ‘comments regarding the burden estmale of any other aspect of this calleton of infomation, incuding suppections fr reducing this burden, othe Offee of Management and Budge, Paperrk Reducon Project (0848-0004), Wastington, DC 20508. PLEASE D0 NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT ‘AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. INSTRUCTIONS. Please type or print legibly. Items 1, 3, 5,8, 10, 11e, 11f, 11g, 11, 12.and 13 are self-explanatory; specific Instructions for other items are as follows: tom Enty 2 Indicate whether request Is propared on cash or accrued ‘expenditure basis. All requests for advances shall be prepared on a cash basis 4 Enter the Federal grant number, or other identiying number assigned by the Federal sponsoring agency. If ‘the advance or reimbursement is for more than one grant or other agroement, insert N/A; then, show the aggregate amounts. On a separate sheet, ‘list each grant or ‘agreement number and the Federal share of outlays ‘made against the grant or agreement. 6 Enter the employer ifentifeation number assigned by tho US. Internal Revenue Service, or the FICE (institution) code if requested by the Federal agency. 7 This space is reserved for an account number or other Identying number that may be assigned by the recipient. 8 Enter the month, day, and year for the beginning and ‘ending ofthe period covered in this request. f the request is for an advance or for both an advance and reimbursement, show the period that the advance will cover. If the request Is for reimbursement, show the period for which the reimbursement is requested Note: The Federal sponsoring agencies have the option of requiring recipients to complete items 11 or 12, but not both. Item 12 should be used when only a minimum ‘amount of information is needed to make an advance and cutlay information contained in item 11 can be obtained in ‘a timely manner frm other reports. 41 The purpose of the vertical columns (a), (b), and (e) is to Provide space for separate cost breakdowns when a Project has been planned and budgeted by program, function, or item Entey ‘activiy. If addtional columns are needed, use as many ‘additional forms as needed and indioate page number in ‘space provided in upper right; however, the summary totals of all programs, functions, or activities should be ‘shown in the "total" colurnn on the first page, ‘11a Enter in “as of date," the month, day, and year of the fending of the accounting period to which this amount apples. Enter program outlays to date (net of refunds, rebates, and discounts), in the appropriate columns. For ‘oquests prepared on a cash basis, outlays are the sum ‘of actual cash disbursements for goods and services, the amount of indirect expenses charged, the value of in kiné contributions applied, and the amount of cash ‘advances and payments made to subcontractors and ubreciplents. For requests prepared on an accrued ‘expenditure basis, outlays are the sum of the actual ‘cash disbursements, the amount of indirect expenses incurred, and the net increase (or decrease) in the ‘amounts owed by the recipient for goods and other property received and for services performed by ‘employees, contracts, subgrantees and other payees. ‘tb Enter the cumulative cash Income received to date, if requests are prepared on a cash basis. For requests prepared on an accrued expenditure basis, enter the ‘cumulative income eamned to date. Under either basis, center only the amount applicable to program Income that was required to be used for the project or program by the terms ofthe grant or other agreement ‘id Only when making requests for advance payments, center the total estimated amount of cash outlays that wil bbe made during the period covered by the advance, 18 Complete the certification before submitting this request {SANOARD FOR 270 fe FT ac ‘Wasatch Wind Development LLC 357 West 910 South Suite A Invoice at Date ince # Heber, UT 84032 siiir2007 105 Bil To City af Montioato Attn: Greg Martin 17 North ist East Monticello, UT 84535 P.O.No. Terms Project Neto Quantity Description Rate ‘Amount ‘Wind Analysis from Augast 2006 to August 2007 - For all three met towers located in 256000 756000 ‘he Monticello area = per contrat ai Total $2,560.00 a _ City of Monticello V7 North 100East_* P.O. B0x.467 + Monticello, Utah 64535 + Phone (435) 687-2271 + Fax (435) 587-2272 FAX ** FAX ** FAX ** FAX ** FAX ** FAX Tot LvAnn Wilson Fax Number: fol- 524-440 From: Greg Martin Date: tfegfoe Subject: Forms 19¥0-) | 1942-46 Pages: Y incl. Cover LL Notes: Lo owill fax form SF 383 later, Twill send orig vels to Jason Tustesen, spa. Form RD 1940-1 REQUEST FOR OBLIGATION OF FUNDS (Rev 01-05), INSTRUGTIONS-TYPE IN CAPITALIZED ELITE TYPE IN SPACES MARKED( Complete Items 1 through 29 and applicable Items 30 through 34, See FM 7. CASE NUMBER LOAN NUMBER FISCAL YEAR ST CO BORROWER ID 52-019-876000250 00 [= BORROWER NANE "S-NUMBER NANE FIELDS IMonrzcento cry 3 | 0.2.ertfon an’) 7 STATE WANE po Box 457 Ora & COUNTY NAME IMonrrceno, ur 64535 SAN gUAN ‘GENERAL BORROWERILOAN INFORMATION = RAGEIETHNIC TVPEOR —sasccznmes | 8. COLLATERALCODE | 9, EMPLOYEE CLASSIFICATION APPLICANT ‘Secrraccum | EAGT teavuergtr | RELATIONSHIP CODE WO. SEX CODE FA oage, | MARITAL STATUS, YgpONCOEE [6 HETRSPORT cle, ERRREMPOR | | ete waco |_| e “a. DIRECT PAYMENT TETYPEOF PAYMENT | 16. FEE INSPECTION (ou ey peso temeeeey |ee “7, COMMUNITY SE 7 OF ECE SSE" Wess eer SOMPLETE FOR OBLIGATION OF FUNDS TE TWREOF a PURPOSE CODE 721. SOURCE OF FUNDS [2 1WPE OF ACTION ASSISTANCE, paenanerte (oz |e one of 1] :Seemoneecroaes 23, TYPE OF SUBNISSION 24, AMOUNT OF LOAN 35, AMOUNT OF GRANT Wirsamnmen $38,500.00 25, AMOUNT OF MEDIATE ir BATE OF TEWWTEREST RATE 20, REPAYMENT TERNS ‘ADVANCE, ‘APPROVAL MO DAY YR ow |o | ‘COMPLETE FOR COMMUNITY PROGRAM IBLE-FAILY ROUSING LOANS [a0: PROFIT TYPE acon 3 her fs fi o ‘CONPLETE FOR EM LOANS ONLY ‘COMPLETE FOR CREDIT SALE-ASSUMPTION 31. DISASTER DESIGNATION NUMBER BE TYPEOF SALE uy ay FINANCE OFFICE USE ONLY ‘COMPLETE FOR FP LOANS ONLY [33, OBLIGATION DATE 34. BEGINNING FARMERIRANCHER MO DA yR | seem (Fits cminal abr form rns di, relation o cnc of USDA anc, You ey ape don and ae rig may est Mette hn ofebering Pla ntrorm we hve sed ors pone nen 9 ORIGINAL Borrower's Case Folder COPY 1-Finance Office COPY2-ApplicantLender COPY -State Office CERTIFICATION APPROVAL For All Farmers Programs EM, OL, FO, and SW Loans ‘This loan is approved subject to the availability of funds, I this loan does not close for any reason within 90 days from the date of approval on this document, the approval official will request updated eligibility information. The undersigned loan applicant agrees thatthe approval official will have 14 working days to review any updated information prior to submitting this document for obligation of funds. If there have been significant changes that may affect eligibility, a decision as to eligibility and feasibility will be made within 30 days from the time the applicant provides the necessary information If this is a loan approval for which lien andlor title search is necessary, the undersigned applicant agrees that the 15-working-day Ioan closing requirement may be exceeded forthe purposes of the applicant's legal representative completing ttle work and completing loan closing. 35, COMMENTS AND REQUIREMENTS OF CERTIFYING OFFICIAL See Attached Letter of Conditions dated March 23,2006 36, THEREBY CERTIFY that Iam unable to obtain sufficient credit elsewhere to finance my actual needs at reasonable rates ‘nd terms, taking into consideration prevailing private and cooperative rates and terms in or near my community for loans for similar purposes and periods of time. I agree to use the sum specified herein, subject to and in accordance with rogulations applicable tothe type of assistance indicated above, and request payment of such sum. I agree to report to USDA any material adverse changes, financial or otherwise, that occur prior to loan closing. I certify that no part of the sum specified herein has been received. Ihave reviewed the loan approval requirements and comments associated with this loan request and agree to comply with these provisions. (For FP loan at clgibe terms only) If this lon is approved 1 elect the interest rate to be charged on my Toan o be the lower ofthe interest rate in effect tthe time of loan approval or loan closing f1 check "NOT, the interest rate charged on my Joan willbe the rte specified in item 28 of this form, YES NO WARNING: Whoever, in any matter within the jurisdiction of any department or agency of the United States knowingly and willfully falsfies, conceals or covers up by any trick, scheme, or device a material fact, or makes any false, fictitious or fraudulent statements or representations, or makes or uses any false writing or document knowing the same to contain any false, fictitious or fraudulent statement or entry, shall be fined under ths ttle or imprisoned not more than five years, or both.” ome R26 02 _Cbryen tlhe Date. 20. (Signature of Applicant) (Signature of Co-Applicant) 37. THEREBY CERTIFY that all of the committee and administrative determinations end certifications required by regulations prerequisite to providing assistance ofthe type indicated above have been made and that evidence thereof is in the docket, and ‘that all requirements of pertinent regulations have been complied with. I hereby approve the above-described assistance in the amount set forth above, and by this document, subject to the availability of funds, the Government agrees to advance such ‘amount tothe applicant for the purpose of and subject to the availability prescribed by regulations applicable to this type of assistance, (Signature of Approving Official) Date Approved: Title 38 TO THE APPLICANT: As of this date «this is notice that your application for financial assistance from the USDA has been approved, as indicated above, subject tothe availability of funds and other conditions requited by the USDA. If you have any questions contact the appropriate USDA Servicing Office. Poston 3 Form RD 1942-46 UNITED STATES DEPARTMENT OF AGRICULTURE FORM APPROVED ee ‘RURAL DEVELOPMENT 5 (Rev, 6-98) ey (OMB NO. 0575-0015 LETTER OF INT ¢ CONDITIONS Date _03-27-2006 ‘TO: United States Department of Agriculture Rural Development (Name of USDA Agency) 125 South State Street, Room 4311 salt Lake City, UT 94138 (USDA Agency Office Address) ‘We have reviewed and understand the conditions set forth in your letter dated 03-23-2006 Itis our intent to meet all of| ‘them not later than, : ‘The Clty of Monticello ve ET ep Mase ____ (Title) “According 10 the Parr Reduction Act of 185, no persons ar equred io respond to a colection of information ans dala a vad OMB conrol miner Hera Sait nae bs ts nfioncolecion& ES7S0015. Th oe vers to compl hs aoraion olteon exe o eee | hx [Por responce including het for reviewing nro, arching exiting datasources, gern ond maining he dea needed, ond completing and Fevcwg the collection of formation Form RD 1947-46 (Rev. 698) Form RD 400-1 FORM APPROVED ev 5-00) UNITED STATES DEPARTMENT OF AGRICULTURE OMB No. 0575-0018 EQUAL OPPORTUNITY AGREEMENT This agreement, dated Yl2t foo between City “of Monticello (herein called “Recipient” whether one or more) and United States Department of Agriculture (USDA), pursuant fo the rules and regulations of the Secretary of Labor (herein called the ‘Secretary’ issued under the authority of Executive Order 11246 as amended, witnesseth: In consideration of financial assistance (whether by a loan, gran, loan guaranty, or other form of financial assistance) made or to be ade by the USDA to Recipient, Recipient hereby agrees, ifthe cash cost of construction work performed by Recipient ora construction contract financed with such financial assistance exceeds $10,000 - unless exempied by rules, regulations or orders of the Secretary of Labor issued pursuant to section 204 of Executive Order 11246 of September 24, 196. 1. To incorporate or cause to be incorporated into any contract for construction work, or modification thereof, subject tothe relevant rules, regulations, and orders of the Secretary oof any’ prior authority that remain in effect, which is paid for in whole ot in part with the aid of such financial assistance, the following “Equal Opportunity Clause”: ring the performance ofthis contrac, the contractor agrees as follows: (@) The contractor will not discriminate against any employee or applicant for employment because of race, color, religion, sex or national origin. The contractor will take affirmative action to ensure that applicants are employed, and that employees are treated during employment, without regard to their rae, color, religion, sex, or national origin. Such action shall include, but not be limited, o the following: employment, upgrading, demotion or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or ther forms of compensation; and selection for training, including apprenticeship. The contractor agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided by the USDA setting forth the provisions of this nondiscrimination cause. (b) The contractor will, in all solicitations or advertisements for employees placed by or on behalf ofthe contractor, sate that all ‘qualified applicants will receive consideration for employment without regard to race, color, religion, sex or national origin. (© The contractor will send to each labor union or representative of workers with which he has a collective bargsining agreement or ole contact ot understanding, «notice, to be provided by the USDA, advising the said lor union or workers’ representative ‘ofthe contractor's commitments under this agreement and shall post copies ofthe notice in conspicuous places available to employees and applicants for employment. (@ The contractor will comply with all provisions of Executive Onder 11246 of September 24, 1965, and of all rules, regulations and relevant ordecs ofthe Secretary of Labor. (© The contiactor will furnish all information and reports required by Executive Order 11246 of September 24, 1965, rules, egulations, and orders, or pursuant thereto, and will permit access to his books, records, and accounts by the USDA Civil ights Office, and the Secretary of Labor for purposes of investigation to ascertain compliance with such rules, regulations, and orders. (® Inthe event of the contractor's noncompliance with the nondserimination clauses of this contractor with any of the said rules, regulations, or orders, this contrat may be cancelled, terminated, or suspended in whole or in pat andthe contractor may be declared ineligible for further Govemment contracts or federally asited constuction contracts in accordance with procedures ‘thorized in Executive Order No. 11246 of September 24, 1965, and such other sanctions may be imposed and remedies invoked as provided in Executive Order No, 11246 of September 24,1965 orby rule, eguston or order of te Secretary of Labor, ora otherwise provided by Law. ~ (@) The contractor will include the provisions of paragraph I and paragraph (a) trough (g) in every subcontractor purchase order, unless ‘exempted by the rules, regulations, or orders of the Secretary of Labor issued pursuant to Section 204 of Executive Order No. 11246 of September 24,1965, so that such provisions willbe binding upon each subcontractor or vendor. The contractor wil take such action with respec fo any suboontact or purchase order asthe USDA may direct as a meas of enforcing such provisions, including sanctions for noncompliance: Proved, however, that in the event the contacior becomes involved in, ori threatened with, tigation with a suboontractor or vendor asa result of such direction by the USDA, the contactor may request the United Stats to ener into such Iigation to protect interest ofthe United States Tecording to the Paperwork Reduction Act of 1998, an agency may not conduct or sponsor. and a perton is not required 10 respond fo. @ collection of information unless it digplays a valid OMB control number. The valid OMB control number for this information collections 1s 0575-0018. The time required to complete this information collection 1s estimated fo average 10 minutes per response, Including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and Completing and reviewing the collection of information RD 400-1 (Rev. 5-00) Position 6 2, To be bound by the above equal opportunity clause with respect to its own employment practices when it participates in federally assisted construction work: Provided, that if the organization so participating is a State or local government, the above equal opportunity clause is not applicable to any agency, instrumentality or subdivision of such government which does not participate in work on or under the contract. 3. To notify all prospective contractors to file the required ‘Compliance Statement’, Form RD 400-6, with their bids. 4, Form AD-425, Instructions to Contractors, will accompany the notice of award of the contract. Bid conditions for all nonexempt federal and federally assisted construction contracts require inclusion of the appropriate “Fometown’” or “Imposed” plan affirmative action and equal employment opportunity requirements. All bidders must comply with the bid conditions contained in the invitation to bbe considered responsible bidders and hence eligible forthe award. 5. To assist and cooperate actively with USDA and the Secretary in obtaining the compliance of contractors and subcontractors with the equal opportunity clause and the rales, regulations, and relevant orders ofthe Seretary that it will furnish USDA and the Secretary such information such as, but not limited to, Form AD 560, Certification of Nonsegregated Facilities, to submit the Monthly Employment Usiliztion Report, Form CC-257, as they may require forthe supervision of such compliance, and tha it will otherwise assist USDA in the discharge of USDA's primary responsibility for securing compliance. 6, To refrain from entering into any contract or contract modification subject to Executive Order 11246 of September 24, 1965, with « contractor debarred from, or who has not demonstrated eligibility for, Govemnment contracts and federally assisted construction ‘contracts pursuant to the Executive Order and will carry out such sanctions and penalties for violation ofthe equal opportunity clause as ‘ay be imposed upon contractors and subcontractors by USDA or the Secretary of Labor pursuant to Part II, Subpart D, of the Executive Order. 77. That ifthe recipient fails or refuses to comply with these undertakings, the USDA may take any or all of the following actions Cancel, terminate, or suspend in whole or in part this grant (contract, loan, insurance, guarantee); refrain from extending any further assistance to the organization under the program with respect to which the failure or refund occurred until satisfactory assurance of future compliance has been received from such organization; and refer the case to the Department of Justice for appropriate legal proceedings. ‘Signed by the Recipient on the date first written above. Dovalas L. Allen Recipient Recipient City of Montice /lo (CORPORATE SEAL) ‘Name of Corporate Recipient By Mayor Position 3 USDA FORM APPROVED Form RD 400-4 ASSURANCE AGREEMENT (OMB No. 0575-0018 (Rev. 3.97) (Under Tile VI, Civil Rights Act of 1964) me___City of Mentice//o : (ame oPresipiend Po box YS? Monticello, Utah FYF3S (adires) ( Recipient” herein) hereby assures the U. 8. Department of Agriculture that Recipient isin compliance with and will continue to ‘comply with Title VI ofthe Civil Rights Act of 1964 (42 USC 2000d et. 809), 7 CFR Pert 15, and Rural Housing Service, Rural ‘Business-Cooperative Service, Rural Ulities Service, or the Farm Service Agency, (hereafter known asthe” Agency”) regulations promulgated thereunder, 7 CER. §1901.202. In accordance with that Act a the regulations referred to above, Recipient agrees that in connection with any program or activity for which Recipient receives Federal financial assistance (as such term is defined in 7 CER. §142) no person inthe United States shal, onthe ground ofrace, color, or national origin, be excluded from participation o, ‘be denied the benefits of or be otherwise subjected to discrimination. 1. Recipient agrees that any transfer of any aided facility, other than personal property, by sale, lease or other conveyance of contrat, shall be, and sal be made expressly, subject othe obligations ofthis agreement and transferees assumption thereof. 2. Recipient shall (@) _ Keep such records and submit tothe Government such timely, complete, and accurate information asthe Government may determin to be necessary o ascertain out/ny compliance with this agreement an the regulations. (©) Permit access by authorized employees of the Agency or the U.S. Department of Agriculture during normal business hours to such books, records, accounts and other sources of information and is facilites asmay be pertinent to ascertaining such compliance. (©) Make available to users, participants, beneficiacies and other interested persons such information regarding the provisions ‘ofthis agreement and te regulations, andin such manner asthe Agency or the U.S. Department of Agriculture finds necessary to inform such persons ofthe protection assured them against discrimination. 3, The obligations ofthis agreement shall continue: @) _Astoany eal property, including any structure, acquired or improved wih the ad ofthe Federal financial asistance, 0 Jong as such real ropery is used forthe purpose for which the Federal financial assistance i made or for another purpose which affords similar services or benefis,or for as long asthe Recipient retains ownership or possession ofthe propery, whichever is longer. (©) Asto.any personal property aoquired or improved with the aid ofthe Federal financial assistance, so long as Recipient retains ownership or possession ofthe property (©) Astoany other sided facility or activity, until the last advance of funds under the loan or grant has been made. 4. Upon any breach or violation this agreement the Government may, atts option (@) Terminate or refuse to render or continue financial assistance forthe aid of the propety, facility, project, service or activi (©) Enforce this agreement by suit for specific performance or by any other available remedy under the laws of the United States or the Siate in which the breach or violation occurs. Rights and remedies provided for under this agreement shall be cumulative inwinesswiereot_City of Monticello {name ofrecipient _—___ on tis sot rrr hs iforaro elton 05785018 Th tine raped comps he fron timated overage 1S mies pr repose he ne “rg he Perr Rees to Ta ons ar pul non oon orn wall ld ONE cone mio Ts ae OE] tain eons oc eating dt tec ate nd mami te eto comping amt roving clef mroan 1. By signing and submitting this form, the prospective lower tier participant is providing the certification set out on the reverse side in accordance with these instructions. 2. The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was entered into. If itis later determined that the prospective lower tier participant knowingly rendered an erroneous certification, in addition to other remedies available to the Federal Government, the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment, 3. The prospective lower tier participant shall provide immediate written notice to the person to which this proposal is submitted if at any time the prospective lower tier participant learns that its certification was erroneous,when submitted or has become erroneous by reason of changed circumstances, ‘The terms “covered transaction,” "debarred,” "suspended," “ineligible,” “lower tier covered transaction, ‘participant,” "person," “primary covered transaction," "principal," "proposal," and "voluntarily excluded,” as used In this clause, have the meanings set out in the Definitions and Coverage sections of rules implementing Executive Order 12549. You may contact the person to which this proposal is submitted for assistance in obtaining a copy of those regulations, 5. The prospective lower tier participant agrees by submitting this form that, should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the department or agency with which this transaction originated, 6, The prospective lower tier participant further agrees by submitting this form that it will include this clause titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions," without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions. 7. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that it is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous. A participant may decide the method and frequency by which it determines the eligibility of its principals. Each participant may, but is not required to, check the Nonprocurement List. 8, _ Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. 9. Except for transactions authorized under paragraph 5 of these instructions, i a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred, Ineligible, or voluntarily excluded from participation inthis transaction, in addition to other remedies available to the Federal Government, the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment. Form AD-1048 (1/92) us 9?0.1996-157-7n0107 U.S. DEPARTMENT OF AGRICULTURE Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transactions ‘This’certification is required by the regulations implementing Executive Order 12549, Debarment and ‘Suspension, 7 CFR Part 3017, Section 3017.510, Participants’ responsibilities. The regulations were published ‘as Part IV Of the January 30, 1989, Federal Register (pages 4722-4733). Copies of the regulations may be obtained by contacting the Department of Agriculture agency with which this transaction originated (BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS ON REVERSE) (2) The prospective lower tier participant certifies, by submission of this proposal, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency. 2) Where the prospective lower tier participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal. City ef Monticello Wind Resowrse Assessment Feasiblit, Study Organidation Name ‘PRIAward Number or Projest Name Dovglas L. Alfew , Mayor [Name(s and Title(6) of Authorized Representative(s) « Mlb MDL. Ran BE, ‘Sigaatare(s) Date Form AD-1048 (1/92) Wasatch Wind Development LLC )}) 2700 Homestead Road Invoice aa Baie woes Park City, UT 84098 Ulead Jor BirTo Giy ofMontcto Ai: Greg Manin 17 Non it Eat Montel, UT 84535 P.O.No Terme Project N10 Quanity Description Rate ‘Amount 1 | Dismantle ad veil ower 13,000.00 75,900.00 1 | Wind Assessment & Equipment evaluation 725.00 "725.00 1 Environment Studies 2007 1,145 25 1,749.25 wd aAale ‘ ci Fossil Total $15,474.25 Uk Page 1 of 2 Ruth Skouson From: Christine Mikell [christine@wasatchwind,com] Sent: Monday, March 01, 2010 10:45 AM To: Ruth Skouson ‘Subject: RE: phone message Yes, the data will be able to be imported to excel. From: Ruth Skouson [mailto:Ruth@monticelloutah.org] Sent: Monday, March 01, 2010 10:22 AM To: Christine Mikell ‘Subject: RE: phone message Christine, Yes. We'll be talking about our plans for the towers this week and will let you know as soon as possible, We'll look for the package tomorrow, Also, the data will be in Excel format or able to be formatted easily in Exce!? That's what we're expecting, Thanks, Ruth Christine Mikell [mailto:christine@wasatchwind.com} Sent: Friday, February 26, 2010 To: Ruth Skouson Ce: Tom Lind Subject: RE: phone message HiRuth, ‘As a follow up, | wanted to be sure that we are sending all that you needed. | plan to mail it on Monday for Tuesday arrival Insurance expiration date Maps to the met towers and corresponding lock combinations Raw Met tower data Analyzed Met tower data from Rich Simon, one year based on contract and Rich's contact information ‘Any necessary permits that would need to be renewed, Mark Lewis's contact information for his to train the person who will be collecting data on behalf of Monticello Tom Lind’s contact information should you have a question on data | believe from you, we are waiting to hear if you would sell us the tower on the property west of the highway. As you mentioned on the phone, if you sell us the tower, the data on that tower would remain confidential, however all data from before that date would be public. Also, you were going to let us know in a week or two if any tower needed decommissioning. Let me know if | am missing anything so I can ensure it is included in the package of information | will be sending, ‘Thanks and have a nice weekend. Christine 3/1/2010 : Page 2 of 2 From: Ruth Skouson [mailto:Ruth@monticelloutah.org] Sent: Thursday, February 11, 2010 3:44 PM To: Christine Mikell Cc: Myron Lee; Doug Allen Subject: phone message Christine, | returned your phone message yesterday and haven't heard back. assume there are no other items outstanding which will provide further delay in providing wind data to the City of Monticello, The check, mailed yesterday, should arrive in your office by the end of the week. We look forward to receiving the data. Ruth Skouson Assistant City Manager City of Monticello PO Box 457 Monticello, UT 84535 Phone: (435) 887-3727 Fax:_(436) 587-2272 uth@monticelloutah.org 3/1/2010 May 170010332 Jeff Mikel 801-942-1075 p2 Monticello Wind Proposal Executive Summary: ‘Wasatch Wind would like to assist Monticello in developing its wind ssources, ‘We propose to perform a high level sereening of the wind resoqrce development ‘Potential in the area surrounding Monticello using a supercomputer thdt will identify the ‘best wind resources to develop in the area. ‘Along with the results ftom the supercomputer, we will have almoteorologist visit Monticello to determine the best locations for the installation of three 40 meter ‘meteorological towers. Then the three met towers will be installed and fhe data will be analyzed for a year. Upon the year’s end, Wasatch Wind will use the djta to correlate to ‘other met tower in the area und to confirm the results from the supercomputer mapping exercise. ‘This is necessary to get an understanding of long term wind data in the area. ‘There is an option to analyze the wind for an addition year should Monticello choose to do 50. ‘The results from this proposal will be uscd to evaluate the feasibility of the development ofa Wind Farm in the Monticello area. Wind Power Assessment for Monticello Tasks: Wind Resource Assessment Phase 1: Site Visit by Meteorologist and data collection A nationally respected meteorologist will visit site for three hours to detfmine the best locations for 3-50 moter meteorological towers. The Monticello plane w}ll be needed for ‘transportation. Data analysis of three 50 meter towers to be correlated to previous tall tdwer in the valley as well as airport dara. May 17 08 10:28 Jeff Mikal Phase 2: Wind Resource Analysis Mapping seniet: Provide Monticello with a detailed wind resource assessment for a. around Monticello, UT Reanalysis data used to normalize the data to long term averages. Phase 3: Installation of 3-50 meter towers Three meteorological towers shall be located based on supercomputer ructcorologist’s insight. Anemometers with be placed on three levels, ‘apemometer at the 50 meter ievel and two wind vanes. Deliverables: 1, Analysis for three towers for one year: $8,200 * Site visit by meteorologist 801-942.1875 ps. ‘area in and ‘using one year of existing archive data plus folty years of NCEP bn ith 0 = Capacity factor, 24X12 matrix and energy production numbers for ccach of the three 50 meter towers, * Option to extend wind resouree analysis $7,200 ‘Wind Resource Mapping Analysis: $13,000 * Preliminary analysis to site meteorological towel "Maps of normalized monthly and annual wind 5 m/s). per year. averages (in + Maps of normalized monthly and anaual gross egergy production (a MWh), + Maps of normalized monthly and annual capaci = Capacity factor and energy production numbers suitable wind farm site. ‘Purchase, installation and dismantle: $47,800 = 3-50 meter towers. = Dismantlement required of only sites determined| ‘Management Fee: $30,000 = 200 hours times $150, no charge = Responsibilities to include: © Procurement of Towers factors (in %). area of most lunfeasible ‘9 Coordination with meteorologist and wind mapping ‘company © Site Visits © Other development related tasks ‘Management foes will be absorbed by Wasatch Wind, LLC so. three years from date of tower erection. During this period, Ws ‘The above estimates are at cost and do not include any profits or markups. Jond as Wasatch Wind LLC has exclusive rights to all wind resource data for a peribd not to exceed Wind LLC May 17 06 10342 Jaf Mikal e01-042-1075 p4 may elect to develop any or all sites or waive this right and the ¢tty of Monticello would then have co-rights with the landowner for use of the 7. Wasatch Wind, LLC will absorb any and all costs should the estitnates above be less ‘than actual expense in consideration of the exclusivity clause abbve. Total Cost= $ 69,000.00 Payment Schedule For Meteorological towers, Wasatch Wind requires a payment of 50% upon order and the balance of payment upon installation. For all other work, payment to be received upon delivery of reports or analysis. Schedule © Site visit by meteorologist by July 1". © Fifty meter towers to be installed after site visit by meteorologitt, no later than Angust 1%, © Wind Resource Mapping Analysis to be conducted in two ssp, Analysis can be completed within two months of commissioning study and point study to be completed after a year's worth of 50 meter tall tower data. © Upon writen aceeptimee of this agreement, Wasatch Wind will bupply a contract within 10 business days, IN WITNESS. WHEREOF, the partes hereto have executed this Agrecfunt on the dats set forth below and this agreement shall be effective as of the later of such Hates. Wasatch Wind Monticello City A Utah limited liability company A Utah Municipality meen y By: aul A ile By: = LIE Name: Cl ist w Mill Name: 722K | Stanreve Ties “Pop eck Omen Tite: _C7¥ tbawagse Date: 201 Date: Saks Page 1 of 3 From: Christine Mikell[christine@wasatchwind.com] Sent: Thursday, October 08, 2009 12:35 AM ‘To: Ruth Skouson Ce: Brett Woodard; Myron Lee ‘Subject: RE: CREBs Info Hi Ruth, tam sorry, | responded to your message about a week ago (see below) but perhaps didn’t respond in enough detail. We are definitely open to working with you on CREB'sif that can be easily accomplished and if you all have the interest in pushing that forward. Let us know your aptitude on taking the lead on that. We would certainly provide you the information you would need to get that application submitted. Christine From: Christine Mikell Sent: Monday, September 28, 2009 12:28 PM Tos ‘Ruth Skouson’ Subject: RE: CREBs Info Hi Ruth, We are continuing to look at the project and collecting data. Our CFO said that we will release the data as soon as we get ibursed for costs that were agreed upon in the original contract for the met towers. Thanks, Christine From: Ruth Skouson {maltto:Ruth@monticelloutah.org] Sent: Wednesday, October 07, 2009 3:05 PM ‘To: Christine Mikel Ce: Brett Woodard; Myron Lee ‘Subject: RE: CREBs Info Christine, ''m following up my previous message to which I received no response. Monticello is interested in keeping communication open ‘and pursuing future options for wind energy. Is Wasatch Wind interested in the same? hope to hear from you soon, Ruth ‘Sent: Monday, September 28, 2009 1:19 PM To: ‘Christine Mikel 12/7/2009 Page 2 of 3 ez "bwoodard@wasatchwind.com’ ‘Subject: RE: CREBs Info Christine, ‘Thanks for the note. 1s Wasatch Wind still interested in working with the City to apply for CREBs funding. It's too late for this year, but will there be opportunity for subsequent years? Is there anything the City should be doing with regard to the met towers contract? ristine@wasatchwind.com) Sent: Monday, September 28, 2009 12:28 PM ‘Tos Ruth Skouson Subject: RE: CREBs Info Hi Ruth, We are continuing to look at the project and collecting data. Our CFO said that we will release the data as soon as we get, reimbursed for costs that were agreed upon in the original contract for the met towers. Thanks, Christine From: Ruth Skouson [maitto:Ruth@monticelloutah.org] ‘Sent: Monday, September 28, 2009 11:13 AM ‘To: Christine Mikel Ce: Brett Woodard ‘Subject: RE: CREBs Info Christine, It's been a month since my last message to you. | haven't received an update, so I'm checking in agi status is. | hope to hear from you soon. to see what the project Ruth From: Ruth Skouson ‘Sent: Thursday, August 27, 2009 10:09 AM Tos ‘Christine Mikel” Subject: RE: CREBS Info Christine, haven't heard any additional information regarding this project. What's the status? Has Wasatch Wind decided to abandon the idea? When will we receive the data from the wind studies that have been going on? Ruth From: Christine Mikell [mailto:christine@wasatchwind.com] Sent: Wednesday, July 01, 2009 2:37 PM To: Ruth Skouson 12/7/2009 Page 3 of 3 Ce: Brett Woodard ‘Subject: CREBs Info HiRuth, ur information will be coming in pieces to you, apologies for that. | wanted to get you the CREB’s application and summary sheet. See attached, to note, applications are due on August 4". | am in the process of finding a consultant who would do the application for you. if memory serves me right, it would cost somewhere between $5k-$10k dollars to complete the application and then help administer the associated paperwork if awarded to you. We still need to get you the process of how we would develop the project as well as a proforma, We hope to get that to you in the next week given the looming August 4"" date. Ifyou have any questions, please let me know. Christine 12/7/2009 [ST Te ee TT APPLICATION FOR Version 7103 FEDERAL ASSISTANCE Rare uBaTED [Ropicantnatar F7TYPE OF SUBWISSION: Is DATE RECEIVED ‘Sas FoplcatonWerifar ‘application Pre-appication _ ld: DATE RECEIVED BY FEDERAL AGENGY |Foderal Gentior ICT Construction ID construction ser ron or-onetcton = opal a Toiganiational On City of Monticello amar SamalnaDE 5 eg sy] coo se Rass ad aap nanba oT parson To Be Sonata on ma Stee PO Box VET nwoiving his apleation give area code) ee Pre Pret Greg — P Moutice lle mee Nome Pr Son Tuan BEM Martin Pr Utah ect By 625 ia ea : “USA ‘aceq. martin @montcelloutah. or 5" ERPCOYER IDENTCRTION ROWER PraniNender Gaseoncse) ax Nator Gre aay @iz-Blolelolaltsie 435-587-227) 435-597-2272 __| [S-TYPE OF APPLICATION: '7-TYPE OF APPLICANT: (Seo back ofform for Applicaton Typos) TE AREAS AFFECTED BY City of Monticelle San Tuan Counts New (i Continuation BX Revision CG. Municipal Revaion, eta appropriate) in Boxes) (See baoe of fom for ossipton cf eter) @ [por opecty) lotrerepecty NAME OF FEDERAL RGENGY: USDA - Rural D. velopment [0 CRTALOG OF FEDERAL DOMESTIC ASSISTANCE WOWBER F7. DESCRIPTIVE TITLE OF APPLICANT'S PROVECT: eee MG-FBG | wind Resource Assessment | (ame of Posen 56 Ew acct] Feasibility Study | 1d, CONGRESSIONAL DISTRICTS OF 73, PROPOSED PRONEST Eg a7 71 [0b “Oia 2nd | Utah 2nd "1618 APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE 7 ESTIMATED FUNOING! a Fada F "Tals PREASPLICATIONAPPLIGATION WAS WAGE 6G, 500 Yes. AVAILABLE TO THE STATE EXECUTIVE ORDER 12972 Pepa PROCESS FOR REVIEW OW ZB 500 co pare. 7/y0/ok ies no, (rj PROGRAM IS NOT COVERED BY E.0. 12572 is Omer [7 OR PROGRAM HAS NOT BEEN SELECTED BY STATE fon nenew fe Far 77-15 THE APPLIGANT DELINGUENT ON ANY FEDERAL DEBT? Jo: TOTAL 7b, bee Des if Yes" attach an explanation, Beno [ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED. "76, TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATIONIPREAPPLICATION ARE TRUE AND CORRECT. THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ‘Authorized for Local Reoroducton ae a rn a Sige = Asct Cily Mara aT Se Hee Previous Edition U: t 2 7 ‘Bland Form 424 Rev S203) - Prosorbed by OMB Circular A-102 Aimpaint moi le ony! to sas duster 2 fool?’ 4-877-446-7746 * dimprint.com #4375 INSTRUCTIONS FOR THE SF-424 Publi reporting burden for this colecion of information i estimated fo average 45 minutes por response, Inluding tine for reviewing instructions, searching existing data sources, gathering and maintaining the data noeded, and completing and reviewing the collection of information. Send comments regarding he burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, tothe Office of Management and Budget, Paperwork Reduction Project (0348-0043), Washington, DC 20508. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. ‘This isa standard form used by applicants as a required face sheet for pre-applcations and applications submited for Federal ‘assistance. Itwil be used by Federal agoncies to obtain applicant certification that States which have established a review and comment ‘procedure in response to Executive Order 12372 and have selected the program tobe included in their process, have been given an ‘opportunity fo review the applicant's submission. Tio Eni Tm Eni 1. | Seiad Type of Submission. 11. | Entor abit descrpive i ofthe project. mere fan one program involved, ou shoul append an explanation on & ‘Separate sheet. appropriate e.g, contructon oral property projects), attach a map showing project location. For Preapplatons use a separate sheotb provide 8 summary Soscrotion of this pojact, "& | Date appetion submited to Federal agency (or Ste Wappicabiy | 12. | List oni the largest polialeniliesafoced (og, Sal, {and applicants contol number Gf applicable). courts, io) ‘3 [isto use ony oF appeabey, "3 | Erior te proposed sat das and ond dale ofthe OA Z| Briar Date Recowed by FadoralAgonoy_ Ta, | Tite applicants Congrassinal Disict ad any Discs) Federal ionter number. I thie application Is a continuation or fected by the program or project revision to an existing star, rte the present Federal deter number. fora new projec eave blank. ‘SE loganaeme of apptoant. name of primary opanizaonal unk | 1S | Arrount requested orf Bo conbted dang ho Wat (eluding dviion,t appleabio), which wil undertake the ‘anangibudget period by each contribute, Valse of inked ‘assistance activ, enter th organization's DUNS rumor

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