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Forms
Alaska Clean Water Fund
| Loan Application Packet (Required prior to executing agreement) |
| ACWF Loan Application
PDF |
This is the actual loan application paperwork. |
| ACWF Financial Information Document |
This provides us with current financial information and utility trends. |
| ACWF Model Resolution |
This shows us that the local governing body has authorized an appropriate official to apply for and execute the loan document. |
EPA Form 4700
Adobe PDF |
Because the ACWF includes some federal funds, EPA requires us to ensure that federal anti-discrimination policies are followed. |
Attorney's Certification Letter
Example 1 | Example 2
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We need to have your attorney certify that your community (or system) has legal authority to incur debt for this specific project for the dollar amount of this loan. |
ACWF Reimbursement Request
ACWF Force Account Labor Worksheet
(Optional - required only for force account construction projects)
Debarment Certification - Federal; Excluded Parties List System
Alaska Drinking Water Fund
| Loan Application Packet (Required prior to executing agreement) |
| ADWF Loan Application |
This is the actual loan application paperwork. |
| ADWF Financial Information Document |
This provides us with current financial information and utility trends. |
| ADWF Model Resolution |
This shows us that the local governing body has authorized an appropriate official to apply for and execute the loan document. |
EPA Form 4700
Adobe PDF |
Because the ADWF includes some federal funds, EPA requires us to ensure that federal anti-discrimination policies are followed. |
Attorney's Certification Letter
Example 1 | Example 2
|
We need to have your attorney certify that your community (or system) has legal authority to incur debt for this specific project for the dollar amount of this loan. |
| Capacity Assessment Worksheet |
This information provides us the technical, financial and managerial capabilities of the water system, for assessing a systems long-term operation capabilities. |
ADWF Reimbursement Request
ADWF Force Account Labor Approval Form
(Optional - required only for force account construction projects)
Debarment Certification - Federal; Excluded Parties List System
Financial Capacity Assessment
Financial Capacity Assessmennt Review & Flow Chart
Alaska SRF Financial Capacity Analysis Model (Excel)
Alaska SRF Model User Guide
Special Davis-Bacon & DBE Construction Contract Language Requirements
DBE (Disadvantaged Business Enterprises) Forms
Good Faith Effort and Contract Administration Requirements
Program Summary - Handout (Revised, April 2011)
DBE Forms - Contract Forms (Revised, March 2011)
(Includes EEO Statement, DBE Subcontractor Participation and Performance Forms)
EEO Statement Form
DOT/PF - Civil Rights Office
MBE/WBE Minority Business Enterprise/Women Business Enterprise Reporting (DBE Reporting)
ADEC/EPA Form 5700-52A
Green Infrastructure Forms
ACWF/ADWF - Green Project Assessment Form
ADWF - Green Project Screening Tool
Business Case Guidance for Energy Savings
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