Forms
- Facilities Plan Checklist/Guidance
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Loan Application Form (NDWILF11)
For projects ranked on the DWSIRLF Intended Use Plan (IUP) Priority List, this document must be completed and submitted by the Loan Application Package deadline in the IUP. [info]
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DWSIRLF Request for Ranking and Consideration for Funding
Form 1298, March 14, 2022
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Davis Bacon Certification
March 8, 2022
- Application for Federal Assistance SF-424
- Application for Federal Assistance SF-424 Instructions
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Supplemental General Conditions for Construction of Drinking Water Systems
HDWI077 - April 27, 2016
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Required Contract Document Provisions Drinking Water Systems Improvements Revolving Loan Fund Projects
HDWI75 - April 27, 2016
- FFY2021-FFY2023 DWSIRLF Request for Ranking and Consideration for Funding Form
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Supplemental General Conditions for Construction of Drinking Water Systems, Attachment 1 - EPA DBE-WBE Directory
HDWI077 - June22, 2017
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Procurement Certification (NDWILF74)
This document is a Related Item which must be completed and included as part of a complete loan application package.
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Debarment/Suspension Certification (NDWILF88)
This document is a Related Item which must be completed and included as part of a complete loan application package.
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Legal Certification (NDWILF69)
This document is a Related Item which must be completed and included as part of a complete loan application package.
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Pre-award Compliance Review Report (EPA Form 4700-4)
To view this form download it to your device and view with the latest Adobe Acrobat Reader. This document is a Related Item which must be completed and included as part of a complete loan application package.
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Sample User Charge Ordinance/Resolution (NDWILF39)
This document is an example to assist in preparation of a Related Item which must be prepared and included as part of a complete loan application package.
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Engineering Services Contracts Checklist (NDWILF44)
This document contains guidance to assist in preparation of a Related Item which must be prepared and included as part of a complete loan application package.
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Sample Authorizing Resolution (NDWILF7)
This document is an example to assist in preparation of a Related Item which must be prepared and included as part of a complete loan application package.
- Plans, Specifications, and Contract Documents: Checklist/Guidance
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Payment Request Form (HDWILF8)
This document must be used to request reimbursement of DWSIRLF loan eligible costs.
To view/print pdf documentation you will need Adobe Reader
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