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OFFICIALS <br /> Name Office Year Term Began Year Term Ends <br /> Mayor/Chair <br /> Member <br /> Member <br /> Member <br /> Member <br /> Clerk/Treasurer <br /> Administrator <br /> REQUIRED ATTACHMENTS <br /> ❑ Electronic copy of the borrower's most recent audited financial statement(3 years for Mega.) <br /> ❑ Provide a payment schedule for any debt obligations not shown in last audit. (None: ) <br /> ❑ Provide a list of any capital projects/debt to be issued during the next 12 months. (None: ) <br /> ❑ Mega borrowers will be required to provide additional information—we will advise what is needed. <br /> CLOSING: Transfer of funds is normally accomplished by cashier or certified check mailed to the borrower on <br /> the date of closing. Midi-and Mega-Loan borrowers(not Micro-Loan)have the option of receiving funds by wire <br /> if wiring instructions are provided below(or attached): <br /> Wiring Instructions: <br /> CERTIFICATIONS <br /> • The Borrower is applying for a Micro-, Midi-or Mega-Loan. The final loan terms will be outlined in a <br /> resolution to be approved by the governing board at a future date. <br /> • The Program Fees(outlined above)will be added to the requested loan amount and paid automatically <br /> at closing. Payment of the program fee is contingent upon Loan closing. Payment of the rating fee, if <br /> required, is the Borrower's responsibility if Loan is not closed. <br /> • For all Loans, David Drown Associates, Inc.will be retained as your financial advisor. MSRB rules <br /> require municipal advisors to act in the Borrower's best interest. The Borrower does hereby certify it <br /> has read and accepted the terms outlined in the attached Standard Agreement and Engagement Letter. <br /> • Fryberger, Buchanan,Smith&Frederick, P.A serves as the Program's standard bond counsel. <br /> ❑ We wish to use the Program's bond counsel and hereby certify we have read and accepted the <br /> terms outlined in the Standard Bond Counsel Services Agreement. (document on file at <br /> www.MRWA.com). <br /> ❑ We wish to use another bond counsel firm or lender(additional fees will apply). <br /> Name of firm and/or lender. <br /> • When required, Northland Trust Services will be retained as the paying agent, registrar,transfer and <br /> fiscal agent for the Loan.The Borrower hereby certifies it has read and accept the terms outlined in the <br /> Standard Trust Services Agreement(document on file at www.MRWA.com). <br /> • The Borrower does hereby certify that the project financed by the Loan will be owned, occupied, used <br /> and operated entirely/exclusively by the Borrower. No part of the project will be leased to,occupied by, <br /> or provide a special benefit to a non-governmental entity(attach a note describing any exceptions). <br /> • The Borrower further certifies that there is no litigation threatened or pending that would question the <br /> Borrower's right to issue debt or impair the Borrower's ability to make payments on debt outstanding or <br /> contemplated(attach a note describing any exceptions). <br /> • The Borrower has never defaulted in the payment of any indebtedness(attach a note if exceptions). <br /> By our signatures below,the Borrower certifies that all the above information is true and accurate. <br /> Authorized Official Date <br />