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HomeMy WebLinkAbout471CERTIFICATE OF RECORDING OFFICER (Continued) 1. That the attached resolution is a true and correct copy of the resolution as finally adopted at a meeting of the gov- erning body held on the 2 day of Apri 1 , 19_62, and duly recorded in my office; 2. That such meeting was duly convened and held in all respects in accordance with law and to the extent required by law, due and proper notice of such meeting was given; and a legal quorum was present throughout the meeting, and a legally sufficient number of members of the governing body voted in the proper manner and for the adoption of said resolution; and that all other requirements and proceedings under the law incident to the proper adoption or passage of said resolution, in- cluding publication, if required, have been duly fulfilled, carried out, and otherwise observed; and that I am authorized to execute this certificate; 3. That if an impression of a seal has been affixed below, it constitutes the official seal of the applicant and this certificate is hereby executed under such official seal; but if no seal has been affixed, the applicant does not have an offi- cial seal; IN WITNESS WHEREOF, I have hereunto set my hand this~SL_ __ dayof ____ ~A~p~r~i~l=-------19_Q£_, (Signature of Officer) City Clerk If applicant has an official seal, impress here. (Type or print name of officer) (SEAL) RESOLUTION 4 71 (To be usecl""Unless contrary"""i;lo;;;rl~) Authorizing filing of application with the United States of America for an advance to provide for the planning of public works under the terms of Public Law 560, 83rd Congress of the United States, as amended. WHEREAS, _____ ..=C:.:i::.t.::..~.y_o=-=f':-K::..:.Oe:....:n:c::....::t=--=-----;:----:-----------(here in called the "A pp li cant") after (Legal name of applicant) thorough consideration of the various aspects of the problei'TI and struction of certain public works, generally described as Additions to Water Supply System Transmission Facilities. study of available data has hereby determined that the con- and Improvements to Water is desirable and in the public interest and to that end it is necessary that action preliminary to the construction of said work.c: 'be taken immediately; and WHEREAS, under the terms of Public Law 560, 83rd Congress, as amended, the United States of America has authorized the making of advances to public bodies to aid in financing the cost of engineering and architectural surveys, designs, plans, working drawings, specifications or other action preliminary to and in preparation for the construction of public works; and WHEREAS, the applicant has examined and duly considered such act and the applicant considers it to be in the public interest and to its benefit to file an application under said act and to authorize other action in connection therewith; NOW, THEREFORE, BE IT RESOLVED BY City Council of Kent the governing body of said applicant, as follows: 1. That the construction of said public works is essential to and is to the best interests of the applicant, and to the end that such public works may be provided as promptly as practicable it is desirable that action preliminary to the construction thereof be undertaken immediately; 2. That ____ ~T~h~e~M~a~v~o~r~-------------------------------------------------------------- be hereby authorized to file in behalf of the applicant an application (in form required by the United States and in conformity with said act) for an advance to be made by the United States to the applicant to aid in defraying the cost of plan preparation for the above described public works, which shall consist generally of--......------ Preliminary studies for Additions to water Supply System and Improvements to Water Transmission Facilities. 3. That if such advance be made, the applicant shall provide or make necessary arrangements to provide such funds, in addition to the advance, as may be required to defray the cost of the plan preparation of such public works; 4. The said Mavor is hereby authorized to furnish such information and take such action as may be necessary to enable the applicant to qualify for the advance; 5. That the officer designated in the preceding paragraph is hereby designated as the authorized representative of the applicant for the purpose of furnishing to the United States such information, data, and documents pertaining to the application for an advance as may be required; and otherwise to act as the authorized representative of the applicant in connection with this application. 6. That certified copies of this resolution be included as part of the application for an advance to be submitted to the United States. U.S. GOYE:RNMINT PRINTING O,ICI: 1111 0-510341 CFA-.01 ll2-60l Fonn approved Budget Bureau No. 63-R874.2 HOUSING AND HOME FINANCE AGENCY FOR GOVERNMENT USE ONLY COMMUNITY FACILITIES ADMINISTRATION APPLICATION NO. DATE RECEIVED PROGRAM OF ADVANCES FOR PUBLIC WOHKS PLANNING CITY OR COUNTY APPLICATION FOR ADVANCE FOR PUBLIC WORKS PLANNING (Detailed instructions for preparation of this application appear in HHF A Form CFA-402.) TYPE OF PROJECT The applicant requests the United States of America to advance $ under Public Law 560, 83rd (See Item Sc below) . Congress, as amended by P ,L, 345, 84th Congress, to aid in financing the cost of plan preparation for the public work proj- ect described in Item 4. The applicant represents that it will make every possible effort to have available, when needed, sufficient funds to de- fray the cost of constructing such public works; that the data in support of this application for an advance are true, correct, and complete; that the filing of this application has been duly authorized by its governing body; that the undersigned officer has been duly authorized by formal action of said governing body to file this application for and in behalf of the applicant, to provide to the United States such additional information and documents as may be required and otherwise to act as the authorized representative of the applicant in connection with this application; and that a certified copy of the instrument evi- dencing such authorization is hereby made a part of this application. IN WITNESS WHEREOF the applicant has caused this application to be duly executed in its name by its undersigned officer and its official seal (if applicant has seal) to be hereunto affixed and attested by its proper officer on , 19--, at , County of ' State of (SEAL) ATTEST: (Legal Corporate Name of Applic<int) (Signature of Attesting Officer) By (Signature of Authorized Representative) (Title of Attesting Officer) (Officer's Title) APPLICATION DATA 1. Applicant's Authorized. Representative (Name, Title, Address, Office Phone) 2. Applicant's Architect or Engineer, if Selecteri (Name, Address, and State License No.) 3. Legal Information (a) Full and exact legal name of applicant agency: City, Town or Township County State (b) Cite the applicant's basic legal authority for the following actions with respect to proposed planning and public work. Give specific statutory citation on each line, (1) To plan •....•.... (2) To finance ....... (3) To construct ..... (c) Attach a copy of any special charter. ( Attached Not applicable) (d) Name and address of applicant's attorney 4. Proposed Public Work (a) Description of public work. APPLICATION DATA (Continued) 4. Proposed Public Work (Coneinued) (b) Location (city, town, eownship, couney, Staee) If applicant is a district not coextensive with a political unit, attach map showing boundaries and project location. Has site been selected? DYes 0 No Under option? 0 Yes 0No Title obtained? 0 Yes 0No (c) Applicant's population. 1950 Census Present estimate ----.-------- Population to be served by public work ----------- (d) Description of public need for proposed public work. (Attach a copy of any available planning or survey report on ehe need for the project.) (e) Estimated cost of public work (1) Land and rights-of-way ................................................. $ ___________ _ (2) Construction .................... ~ .................................... . (3) Equipment ............................................................ . (4) Plan preparation -preliminary ........................................... . (5) Plan preparation -final ................................................ . (6) Supervision of construction ...... · ....................................... . (7) All other costs (legal, administrative, contingencies, etc.) .................. . (8) Total .................................... ·· .. ························· (f) Maximum cost which applicant will set for the public work: ...................... S 5. Proposed Planning Work (a) Description of planning to be done. Attach statement describing in some detail the services to be performed by the architect/engineer and/or other con- sultant, List all planning data and documents to be prepared. (b) Also describe briefly any such work already performed, noting whether done by consultant or applicant's forces, when done, and whether costs have been paid. (c) Cost of proposed planning work to be done: Preliminary Planning (1) Federal advance request~d ....................... $ ____ _ (2) Applicant contribution .........................• Total estimated cost. . . . . . . . . . . . . . . . . . . . . . . . $ ____ _ (d) Conformance to area plans Final Planning s ___ _ s ___ _ Total s __ _ s __ _ (1) All proposed public works must conform to any applicable overall State, local or regional plan, Is there such a plan for the applicant's area? 0 Yes, a statement of clearance from the applicable planning agency is attached. 0 No, a letter from applicant's chief executive officer is attached as prescribed in Form CFA-400. (2) If the proposed public work is included in an existing public works capital budget or comparable device approved by the applicant's governing body, a copy should be attached. If a public works plan and program has been filed with HHF A as part of the applicant's workable program, show date of filing ; another copy need not be supplied. (3) If proposed public work is a school, health, water, or sanitary sewer facility, attach a letter from the State De- partment of Education or Health commenting on the proposed planning and public work. (4) Attach letter of comment or clearance from any other non-Federal agency having authority over planning or con· struction of public works of the type proposed, APPLICATION DATA (Continued) 5. Proposed Planning Work (Continued) (e) Use of Federal planning funds (See Section VIll of Form CFA-400.) (1) Does the requested advance include foods to reimburse the applicant for disbursements made, or to defray any costs incurred prior to the date borne by the Federal offer? DYes 0No (2) Does the requested advance include funds to defray the cost of any contract entered into or to be entered into by the applicant prior to approval of the application, if in such contract the applicant is obligated to finance the plan preparation from other funds? DYes 0No (3) Attach a copy of any architectural or engineering contract that has been executed for all or part of the planning described above.· (4) Does the requested advance contain any funds to cover costs of planning work which will be performed by appli- cant's own forces? D No DYes; such costs are estimated at $ _________ , (f) Plan completion Plan preparation will begin within calendar days after applicant's execution of the Federal agreement for public works plan preparation, and the completed plans will be submitted within calendar days. This estimate includes enough time to obtain all required State or local approvals. (g) Target date for start of construction 6. Anticipated Method for Financing Construction (a) Indicate sources of funds and amount from each source to finance the proposed public work. ( 1) General obligation bonds -authorized. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ ---------- -to be authorized ................................... . (2) Revenue bonds -authorized ................................................. . -to be authorized ............................................ . (3) Assessment or improvement bonds -authorized ................................. . · ·· .. to be authorized ............................ . (4) Other .sources (specify) (5) Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ --------- (b) Attach a copy of applicant's latest annual financial statement and complete the following items: (I) Total assessed valuation .................................................... $ ----------,--- (2) Valuation is __ % of actual valuation (3) Tax rate per $100 ........................•................................•. (4) Current legal tax limit per $100 ..................... ~ ......................... . (c) If general obligation bonds will be issued, show unused general obligation debt capacity: S ---------- If an increase in present unused debt capacity is necessary, how will this be effected? (d) If bonds payable from project revenues will be issued, attach a statement showing the estimated number of connec- tions or users, estimated gross yearly revenue and yearly maintenance and operation expense. If the public work consists of extensions or additions to a presently owned revenue-producing facility, include number of present con- nections and rates for service, and attach a copy of the latest operating statement of the revenue-producing facilities. (e) If assessment or improvement bonds will be issued, attach description of method of assessment, i.e., front foot or other basis, and of determination of benefits, the anticipated number of parties to be assessed, gross annual income from assessments, and the anticipated annual maintenance and operation expenses. CERTIFICATE OF RECORDING OFFICER (To be used unless contrary to local law) I, the undersigned, the duly qualified and acting-----------:=:--:---:-::-:-::----:-----------of the (Title of Officer) (Applicant) (hereing called the "Applicant") and the keeper of the records of the applicant, including the journal of proceedings of the ---------:::------::---:--:----:----------(herein called the "governing body"), do hereby certify: (Governing Body of the Applicant)