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4217 Attachment - Webloans Loan ApplicationWebloans Loan Application PDF FA Number 1319 Application for Tillsonburg, The Corporation of The Town of Comments andlor Special Requests Project Life Span (Years) Project Financial Information SIT Project Construction/Purchase Construction/Purchase ID ID Project Name Start End Project Cost OILC Loan Amount Fire Comm Infrastructure-Ripley's6930 10/01/2017 12/01/2017 28,823.00 28,823.00DispatchEquipment 694 2 Fire Comm Console 07/01/2018 10/31/2018 157,800.00 93,500.00 695 0 Service Truck No. 044 Replacement 08107/2017 06/30/2018 172,142.00 172,14200 696 0 Fire Comm Infrastructure -Hanover 10/01/2016 12/01/2016 26,400.00 26,400.00 Broadway & Brock Streets6970 06/01/2018 09/302018 60,000.00 60,000.00AcessibleUpgrade 698 6 LED Streellight Conversion 05/012018 11/30/2018 7500,000.00 1,500,000.00 699 7 TCC Reboil 01101/2018 11/30/2018 2,340,000.00 2085,000.00 700 8 Waterpark Renos 05/012018 07/312018 129,000.00 100,000.00 701 9 TCC LED Conversion 07/012018 12/01/2018 50,000.00 40,000.00 Downtown LED Screed[&- 702 10 Conversic,, 05/012018 11/30/2018 115,000.00 115,000.00 Iletails of Project Fire Comm Infrastructure Ripley's Dispatch Equipment Project Category municipal Otner Intrastrucmre J Work Type Fire J Project Name =ire Comm Infrastructure - Ripley's Dispatch Equipment Construction/Purchase Start - Construction/Purchase End -- Energy Conservation r Project Address 1 Eas Project Address 2 City / Town ?illsonbt, a Province ON Postal Code Description New fire dispatch equipment to provide fire dispatch services for Ripley, ntan0 Comments andlor Special Requests Project Life Span (Years) Project Financial Information Project Cost (A) Other Project Funding / Financing (BI: Other Project Funding/Financing Total E) OILC Loan Amount (A -B) 0.00 Only Include long-term borrowing in this section. If you anticipate that you will require short-term financing during the construction phase of the project, the information will be gathered as part of the Financing Agreement. Required Date Amount Tem Type Serial J Long-term Borrowing Total _. Details of Project Fire Comm Console Project Category %%jr tical Utner Infrastructure Work Type Fire J Project Name - - - Construction/Purchase Start ConstructioniPurchase End Energy Conservation t - Project Address t Project Address 2 City / Town Province Postal Code Description Ne >na, ';il ^le -. Comments and/or Special Requests Project Life Span (Years) Project Cost (A) Other Proiect Funding / Financing (B): Description Timing Amount Reserves Existing $37,800.00 Taxation Existing $26,500.00 Other Project Funding/Financing Total (B) 564 300.00 OILC Loan Amount (A-8) .. - Only include long-term borrowing in this section. If you anticipate that you will require short-term financing during the construction phase of the project, the information will be gathered as part of the Financing Agreement. Required Date Amount Tam Type 10 J Serial J Long-term Borrowing Total - Project Category Clean Water Infrastructure Project Name - - ConstructionlPurchase Start - ConstructionlPurchase End Energy Conservation r Project Address 1 - Project Address 2 City / Town Province - Postal Code Description Comments and/or Special Requests J Project Life Span (Years) Project Financial Information Project Cost (A) Other Pro act Fundina I Financing (6): Other Project Funding/Financing Total (B) 50.00 OILC Loan Amount (A -B) _ Only include long-term borrowing in this section. Ifyou anticipate that you will require short-term financing during the construction phase of the project, the Information will be gathered as part of the Financing Agreement. Required Date Amount Tenn Type 10 Serial J Long-term Borrowing Total Project Category Municipal Other Infrastructure Work Type Fire Project Name - Construction/Purchase Start Construction/Purchase End - - Energy Conservation r Project Address 1 - Project Address 2 City / Town - Province Postal Code J A Description Comments and/or Special Requests Project Life Span (Years) Project Cost (A) Other Project Funding I Financino (B), Other Project Funding/Financing Total (B) OILC Loan Amount (A -B) Only include long-term borrowing in this section. If you anticipate that you will require short-term financing during the construction phase of the project, the information will be gathered as part of the Financing Agreement. Required Date Amount Term Type 26 4^.5. n0 5 Serial Long-term Borrowing Total Details of • - Broadway Streets_ • - Upgrade Project Category Municipal Roads Infrastr,: tLf: J Project Name I Broadway & Brock Streets Acessible Upgrade Construction/Purchase Star 06/01/2018 ConstructioniPurchase End 09/30/2018 Energy Conservation i - Project Address 1 Broadway & Brock Streets Intersech. Project Address 2 City/Town Province Postal Code Description Comments and/or Special Requests Project Life Span (Years) Project Cost (A) Other Proiect Funding / Financing (B)• Other Project Funding/Financing Total (B) 50.00 OILC Loan Amount (A -B) , 'i" Only include long-term borrowing in this section. If you anticipate that you will require short-term financing during the construction phase of the project, the information will be gathered as part of the Financing Agreement. Required Date Amount Tenn Type 20 Serial A Longterm Borrowing Total Project Category Project Name Construction/Purchase Start Construction/Purchase End Energy Conservation Project Address 1 Project Address 2 City / Town Province Postal Code Description Comments and/or Special Requests w.apal Roads Intrasiructure r Project Life Span (Years) - Project J Project Cost (A) _ Other Project Funding / Financing (B), Other Project Funding/Financing Total (B) 50.00 OILC Loan Amount (A -B) - Only include long-term borrowing in this section. If you anticipate that you will require short-term financing during the construction phase of the project, the information will be gathered as part of the Financing Agreement. Required Date Amount Term Type 10 Serial J Long-term Borrowing Total Details of •. ject TCC Retrofit Project Category Recreation Infrastructure J Work Type Muni Indoor & Outdoor Cap Infr J Project Name Construction/Purchase Start Construction/Purchase End Energy Conservation r Project Address Project Address 2 City / Town Province Postal Code Description Energy retrofit project to provide a life cycle replacement to aging - refrigeration equipment whileupgrading to a modern, high, efficiency refrigeration system. as well as modifications to ventilation to provide demand control ventilation (DCV) and reduced tan consumption using variable frequency drives VFD51 on fans. Micro co -gen turbines are to be installed to reduce grid -based electncny consumption. provide back- up power in the event of emergenciesand to recover waste neat for building healing. Comments and/or Special Requests Project Life Span (Years) Project Financial Information Project Cost (A) Other Project Funding / Financing IB)• Description Timing Amount Rebates Expected 255,000.00 Other Project Funding/Financing Total E) $255.000.00 OILC Loan Amount (A -B) Only include long-term borrowing in this section. If you anticipate that you will require short-term financing during the construction phase of the Project, the information will be gathered as part of the Financing Agreement. Required Date Amount Tenn Type 20 J Serial Long-term Borrowing Total Details of • - Project Category Recreation Infrastructure Work Type Muni Indoor & Outdoor Cap Infr Project Name Construction/Purchase Start - - Construction/Purchase End Energy Conservation r Project Address t Project Address 2 City l Town Province Postal Code Description --- Comments and/or Special Requests Project Life Span (years) Project Cost (A) Other Prolecl Funding / Financing IBI Description Taxation Other Project Funding/Financing Total (13) OILC Loan Amount (A -B) Timing Existing Amount 29,000.00 529,000.00 Only include long -tens borrowing in this section. If you anticipate that you will require short-term financing during the construction phase ofthe project, the information will be gathered as part of the Financing Agreement. Required Date Amount Tenn Type 10 Serial Long-term Borrowing Total -- Project Category Recreation Infrastructure Work Type Muni Indoor & Outdoor Cap Infr Project Name - Construction/Purchase Start Construction/Purchase End - Energy Conservation r Project Address 1 Project Address 2 City/Town - - Province Postal Code Description J J Comments and/or Special Requests Project Life Span (Years) Project Financial Information Project Cost (A) Other Proiect Funding I F' (B), Description Timing Amount Reserves Existing $10,000.00 Other Project Funding/Financing Total E) SIO 000.00 OILC Loan Amount (A -B) Only include long-term borrowing in this section. If you anticipate that you will require short-term financing during the construction phase of the project, the Information will be gathered as part of the Financing Agreement. Required Date Amount Term Type 10 J Serial J Long-term Borrowing Total Details of Project Downtown LED Streetlight Conversion Project Category Municipal Roads Infrastructure J Project Name Downtown LED Sireenighl Cone. Construction/Purchase Start 05/01/2018 Construction/Purchase End 111301'2018 Energy Conservation r Project Address 1 Downtown Business Improvement Area Project Address City / Town Tillsonburg Province ON — Postal Code Description Replace existing streetlights in Business Improvement Area with LL fixtures Comments andfor Special Requests Prtijr t Life Span (Years) Project Financial Information Project Cost (A) Other Project Funding / Financing (B)• Other Project Funding/Financing Total (8) OILC Loan Amount (A -B) 0.00 Only include long-term borrowing in this section. If you anticipate that you will require short-term financing during the construction phase of the project, the information will be gathered as part of the Financing Agreement. Required Date Long-term Borrowing Total Amount Term 10 Has there been any new/undisclosed debt acquired since last FIR was submitted? Please describe any re -financing plans for any existing "interest only" debt, if applicable. r Yes ; No Type J Serial J In the last 10 years, has the borrower ever failed to make a loan payment or debenture repayment on time to any lender, Including the Provincial Government? If yes, please provide details. 11-C Loan Repayment Please indicate the source(s) of revenue you plan to use to repay the OILC Loan Taxation User Fees Service Charges - - - Development Charges Connection Fees - Repayment Subsidies - Other Total Documentation and Acknowledgements Please ensure all required documents are submitted with the signed application. OILC requires originals as noted below to be mailed or coudered. Also, please retain a copy of all documents submitted to OILC for your records. To obtain templates for documents see listed below, Loan Application Signature Page signed and dated by the appropriate individual (original to be submitted) Certificate and sealed copy of OILC template By -Law authorizing project borrowing and applying for a loan (odginal with seal) Certificate of Treasurer Regarding Litigation using the OILC template (original, signed & sealed) Updated Certified Annual Repayment Limit Calculation (original) 17 1 acknowledge and agree Nat all of the above referenced documents must be submitted in the form required by OILC and understand that the application will not be processed until such documents have been fully completed and received by Infrastructure Ontario. Please note: OILC retains the right to request and review any additional information or documents at its discretion, ConfidentialInformation OILC is an institution to which the Freedom of Infonnafion and Protection of Privacy Act (Ontario) applies. Information and supporting documents submitted by the Borrower to process the loan application will be kept secure and confidential, subject to any applicable laws or rules of a court or tribunal having jurisdiction. Infrastructure Ontario, CopyrghlciOueen s PmIM for Ontano. 2018