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METROPOLITAN COUNCIL ENVIRONMENTAL SERVICES <br />2014 STATE BOND FUND <br />MUNICIPAL INFLOW & INFILTRATION (I&I) <br />GRANT APPLICATION FORM <br />NOTICE TO APPLICANTS: Submission of this application form confirms your city's intention to participate in the <br />Metropolitan Council Environmental Services (MCES) 2014 State Bond Fund Municipal I/I Grant program (Grantee <br />Program). <br />Applicants must review the Grantee Program design and process details which, along with the draft agreement that must <br />be entered into with the Metropolitan Council, can be found at the following link: <br />httn://www.metrocouncil.ora/Wastewater-Water/Fundina-Finance/Available-Funding-Grants.asnx <br />Submission of all information requested herein is mandatory and becomes the basis for determining your city's <br />Preliminary Minimum Allocation (PMA) and an estimated Final Reimbursement Amount (FRA) that will accompany the <br />Letter of Intent all qualifying applicants will receive. <br />Grant agreements will be sent for signature simultaneously for all participants subsequent to receipt and review of all <br />project information that will form each participant's final PMA and FRA. <br />CITY NAME: <br />The City's <br />participation <br />NAME: <br />TITLE: <br />STREET: <br />CITY, ZIP: <br />PHONE: <br />EMAIL: <br />City of Ramsey <br />designated authorized representative (all correspondence and city responsibility regarding <br />in the Grantee Program should be should be addressed to individual named below) is: <br />John Nelson <br />Utility Supervisor <br />7550 Sunwood Dr <br />Ramsey Mn 55303 <br />763-433-9863 <br />Jnelson(a,citvoframsev.com <br />Secondary Contact Information: <br />NAME: <br />TITLE: <br />STREET: <br />CITY, ZIP: <br />PHONE: <br />EMAIL: <br />Grant Riemer <br />Public Works Superintendent <br />7550 Sunwood Dr <br />Ramsey Mn 55303 <br />763-433-9863 <br />Griemera,citvoframsev.com <br />A city resolution must be included with the final signed agreement confirming the designated representatives' <br />authority and certification to participate in the grant program. <br />Page - 1 I METROPOLITAN COUNCIL <br />