Laserfiche WebLink
7. Please include a general map of the service arealboundaries (label as Attachment G6): <br />8. [For Construction Projects Only] Does the ap licant have a contract with a private firm or another agency <br />for the operation of the facility to be financed? Yes 0 No <br />If yes, provide the name of the firm or agency and term (in years) of the agreement and attach a copy of the <br />agreement (label as Attachment G7) <br />CERTIFICATION AND SIGNATURE OF AUTHORIZED REPRESENTATIVE <br />To the best of my knowledge and belief, I certify that 1 am authorized to submit this application; the information <br />provided in this application is true and correct; the documentation has been duly authorized by the governing <br />body of the applicant; and the entity possesses the legal authority to apply for the financing and enter into a <br />financing agreement with the State Water Resources Control Board and to finance and construct the proposed <br />facilities. <br />Name of Authorized Representative: Nabil Saba Title: Water Resources Manager <br />Signature of Authorized Representative: Date: <br />ATTACHMENT CHECKLIST <br />Check the box next to each item attached to your application. <br />❑v. 31 • -. Ownership Documentation <br />❑ G2— CPUC Documentation (if applicable) <br />❑ G3— Organization Chart (if applicable) <br />❑ G4— Pending Litigation (if applicable) <br />❑ G5 — Lease Agreement (if applicable) <br />❑ G6 -- Service Area Map <br />❑ G7— Operating Agreement (if applicable) <br />Financial Assistance Application Page 5 of 6 General Information Package <br />(REV. 03/2016) Drinking Water State Revolving Fund <br />EXHIBIT 7 <br />55B -55 <br />