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SSPECIAL APPROPRIATION CHECKLIST This checklist provides a general listing of items that may apply to a project. Contact the PFA loan officer if you have questions regarding the applicability of particular items to your project. Items submitted to PFA with the application Forms 1-3, as applicable Items submitted to the PFA prior to grant award Revised Form 3 (Budget) based on as-bid costs. Bid tabulation/engineer’s recommendation of award. Copy of the fixed price construction contract, along with the payment and performance bond Documentation of total project funding, including matching funds, if required Copy of adopted water/wastewater/storm water ordinance and rate structure(s), as appropriate Annual operating budget for the system(s). Copy of adopted resolutions and meeting minutes relating to the project If applicable, copy of draft or final agreement with service provider for operation and maintenance of system, with costs based on the tasks and responsibilities described in the operation and maintenance manual and management plan. All use contracts for GO Bond funded projects must be approved by MN Management and Budget. Additional information can be found in the Capital Grants Manual. Approval letter for construction project plans and specifications from the MPCA or MDH, as appropriate Minnesota Public Facilities Authority 2020 Special Appropriation Forms 5 of 28 October 2020 Eͬ Eͬ Eͬ dŚĞƐĞŝƚĞŵƐǁĞƌĞŽƌŝŐŝŶĂůůǇĞŵĂŝůĞĚƚŽĞĐŬǇϭϮͲϮϮͲϮϬ͘ Resolution of applicant (example provided by PFA) For Special Districts, a copy of the organizational documents or Inter-municipal or Joint Powers Agreement (enacted) if more than one municipality involved in project Amortization schedules for any debt on systems impacted by the project. The most recently approved audit/financial report. ϮϬϮϬ&ZǁĂƐĞŵĂŝůĞĚϬϱͲϮϲͲϮϬϮϭ͘ ✔ ✔ ✔ ✔ ✔