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Texas Water Development Board <br />SFY 2010 DWSRF IUP Solicitation Packet <br />Project Information Form <br />Section ADDITIONAL PROJECT . . <br />Additional projects which are vital to the integrity of the system may be eligible to receive funding, as long as their costs represent <br />50% or less of the total project costs. The priority list is ranked based on the principal project only, not the additional projects. <br />Additional projects are optional. <br />Provide a brief description of any additional project and how it will address any problems or needs of your water system(s) <br />that are not identified in Sections 5 and 6. <br />Additional Project <br />Problem/Need Addressed <br />Replace bridge and culvert on road from City to WTP. <br />Access to the WTP is vital to the operation of this WTP. <br />Section ATED COSTS <br />Cost Category <br />Principal Project <br />Cost <br />Additional <br />Project Cost <br />Total <br />Cost <br />1. <br />Treatment <br />$432,690.00 <br />$432,690.00 <br />2. <br />Transmission and Distribution <br />$6,720,790.66 <br />$6,720,790.66 <br />3. <br />Source <br />4. <br />Storage <br />$723,515.63 <br />$723,515.63 <br />5. <br />Purchase of System <br />6. <br />Restructuring <br />7. <br />Land Acquisition <br />8. <br />Source Water Protection Project <br />9. <br />Engineering <br />$625,545.00 <br />$21,600.00 <br />$647,145.00 <br />10. <br />General, Legal, Financial <br />$59,000.00 <br />$59,000.00 <br />11. <br />Contingency <br />$838,196.00 <br />$64,900.00 <br />$903,096.00 <br />12. <br />Other (Describe cost.) <br />600 <br />00 <br />8 <br />705 <br />00 <br />$261 <br />additional engineering <br />$253,105.00 <br />. <br />$ <br />, <br />, <br />. <br />13. <br />Subtotal (Add lines 1-12.) <br />$9,220,152.29 <br />$527,790.00 <br />$9,747,942.29 <br />14. <br />Financing from Local Funds <br />$0.00 <br />15. <br />Financing from Other Sources <br />$0.00 <br />16. <br />Subtotal, SRF-Funded Amount (Subtract lines 14 and 15 from line 13.) <br />$9,747,942.29 <br />17. <br />TWDB Loan Origination Fee (Calculate 2.25% of line 16.) <br />$219,328.70 <br />18. <br />Grand Total (Add lines 16 and 17.) <br />$9,967,270.99 <br />19. <br />Requested Loan Amount (Round up line 18 to the nearest $5,000.) <br />$9,970,000 <br />Section 0 • D SIGNATURE <br />Printed Name and Title of Entity's Authorized Representative <br />T@I2pIlOt1 <br />Seal of Registered Professional Engineer Certifying <br />@ NO. <br />Estimated Costs (Required if Requested Loan Amount <br />exceeds $100,000.) <br />903-784- <br />Shawn Napier, P.E., City Engineer <br />9292 <br />Signature of Authorized Representative <br />Date <br />(mmldd/yy <br />. <br />yy) <br />Form DW-007 (10/08) 6" 00022J <br />