"small" guaranteed loan application template

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Sec. 9007 – Rural Energy For America Program (REAP) Guaranteed Loan Program “Stand-Alone” Guaranteed Loan ≤ $600,000 Application Template Please note: This template is designed for training and education and does not replace the 4280-B regulation. This guaranteed loan application template includes a sample title page, sample table of contents, a framework of divider pages to organize the application package, and copies or links to required forms. This template provides lender documentation requirements for a guaranteed loan ≤ $600,000 submitted as a “stand-alone” Sec. 9007 guaranteed loan application Please tab the divider pages as indicated and number all the pages within the application A project with total eligible costs of $200,000 or less must involve commercially available technology A project with total eligible costs of more than $200,000 can involve commercial or pre- commercial technology Lender submits the original and 2 copies of the application to: USDA Rural Development ATTENTION: Kevin Boone Whitney National Bank Building 905 Jefferson Street, Suite 320 Lafayette, Louisiana 70501-7913 For more information, contact Kevin Boone at the above address or by telephone at: (337) 262-6601, ext 133, or by e-mail at: [email protected] .

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Page 1: "Small" Guaranteed Loan Application Template

Sec. 9007 – Rural Energy For America Program (REAP)Guaranteed Loan Program

“Stand-Alone” Guaranteed Loan ≤ $600,000Application Template

Please note: This template is designed for training and education and does not replace the 4280-B regulation.

This guaranteed loan application template includes a sample title page, sample table of contents, a framework of divider pages to organize the application package, and copies or links to required forms.

This template provides lender documentation requirements for a guaranteed loan ≤ $600,000 submitted as a “stand-alone” Sec. 9007 guaranteed loan application

Please tab the divider pages as indicated and number all the pages within the application

A project with total eligible costs of $200,000 or less must involve commercially available technology

A project with total eligible costs of more than $200,000 can involve commercial or pre-commercial technology

Lender submits the original and 2 copies of the application to:

USDA Rural DevelopmentATTENTION: Kevin BooneWhitney National Bank Building905 Jefferson Street, Suite 320Lafayette, Louisiana 70501-7913

For more information, contact Kevin Boone at the above address or by telephone at: (337) 262-6601, ext 133, or by e-mail at: [email protected].

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REAP – Stand-Alone Guaranteed Loan Application ≤ $600,000

SAMPLE - Title Page

Title of Project:      

Applicant Name:      Address:      City:      County:      State:      Zip code:      Phone #:       E-mail:      Fax:      

Choose one: A Renewable Energy Systems Project

or An Energy Efficiency Improvements Project

$_      _ Guaranteed Loan Request

Date Submitted to Rural Development (RD)      

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REAP – Stand-Alone Guaranteed Loan Application ≤ $600,000

SAMPLE – Table of Contents

Table of Contents(Title of the Project) __      __

4280.128 (c) Application content for guaranteed loans $600,000 or less. Applications and documentation for guaranteed loans $600,000 or less must comply with paragraphs (c)(1)(i) through (iii) of this section. Applications must use 4279-1A and include documentation in paragraphs (b) (2)(iii), (vii), (viii), (ix), (x), and (xii) of this section. The lender must have the documentation contained in paragraphs (b)(2)(iii), (iv), (v), (vi), and (xi) available in its files for the Agency’s review.

Guaranteed loan application content. Applications and documentation for guaranteed loans $600,00 or less must provide the required information organized pursuant to a Table of Contents in a chapter format presented in the order shown in 4280.111(b)(2) through (8), except as specified in 4280.128(c)(1)(i) through (iii). Begin pagination immediately following the Table of Contents.

Stand-Alone Guaranteed Loan Application Components for projects ≤ $600,000

Tab Page

Title Page

Applicant/Borrower

Table of ContentsI. Project Summary

A. Title of Project B. Applicant Eligibility C. Project Eligibility D. Operation Description E. Financial Information for Size Determination

A                         

II. Financial InformationA. 3 years historical balance sheets and income statementsB. Current year balance sheet and income statement

C. Start-up + 3 years pro forma balance sheets, income statements, and cash flow

B               

III. Matching Funds Documentation C      IV. Self Evaluation Score D      V Energy Assessment or Audit (needed only if the project is

an energy efficiency project)E      

VI. Technical Report F      VII. Feasibility Study (needed only if project is a renewable

energy project with total project costs over $200,000)G      

Lender

VIII 4279-1A “Application for Loan Guarantee, Short Form” H      IX 1940-20 “Request for Environmental Information” and

attachmentsI      

X Lender’s complete written credit analysis J      XI Proposed Loan Agreement K      

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REAP – Stand-Alone Guaranteed Loan Application ≤ $600,000

SAMPLE – Divider Pages

Tab A Divider Page

(Information provided by applicant)

Project Summary 4280.111 (b) (3) (i) through (v)(Insert forms immediately after this divider page)

Please indicate with “X” (enclosed)

Title of the project      Applicant Eligibility (as per 4280.107)      Project Eligibility (as per 4280.108)      Operation Description      Financial Information for Size Determination      Documentation of commercially available or pre-commercial technology, including warranty

A-1      Third party contracts for management and maintenance(if applicable)

A-2      Evidence of site control A-3      IRS Forms and other Size Standard Documentation A-4      

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REAP – Stand-Alone Guaranteed Loan Application ≤ $600,000

SAMPLE – Project Summary

Applicant Name____________________________________________

Title of Project _____________________________________________

Type of Technology Renewable Energy or Energy Efficiency

Applicant Eligibility - 4280.107

Indicate with “X” statements that are applicable and “NA” statements not applicable

1. _______ If applying as an Agricultural Producer – more than 50% of the Applicant’s income is from agricultural production as explained in “Financial Information for Size Determination” and as documented in the attached tax return(s).

2. _______ If applying as a Rural Small Business – the business is “rural” as explained in “Project Eligibility – item 5” and the business meets SBA’s “small business” criteria as explained in “Financial Information for Size Determination” and as documented in the attached tax return(s).

3. _______ If applying as an individual for a renewable energy/energy efficiency project, the individual(s) are citizens of the United States or reside in the United States after being legally admitted for permanent residence.

4. _______ If applying as an entity for a renewable energy/energy efficiency project, the entity is at least 51percent owned, directly or indirectly, by individuals who are either citizens of the United States or reside in the United States after being legally admitted for permanent residence.

Indicate if statement is either “True” or “False”

5. _______ The Applicant has no outstanding judgment from Federal court, is not delinquent on federal income taxes or federal debt, and has not been debarred from receiving federal assistance.

Project Eligibility - 4280.109

1. _______ Type of Technology Renewable Energy or Energy Efficiency The project description is: _________________________________________________________________________ __________________________________________________________________________________________________________________________________________________

2. The project is for Commercially available and replicable technology Pre-Commercial and replicable technology

Pre-commercial technology – Technologies that have emerged through the research and development process and have technical and economic potential for commercial application, but are not yet commercially available.Commercially available - A system that has a proven operating history specific to the proposed application. Such a system is based on established design, and installation procedures and practice. Professional service providers, trades, large construction equipment providers, and labor are familiar with installation procedures and practices. Proprietary and balance of system equipment and spare parts are readily available. Service is readily available to properly maintain and operate system. An established warranty exists for parts, labor, and performance.

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Answer “Yes” or “No” 3 _______Documentation is attached to support the commercial availability of the technology in my

application. 4. _______The project has technical merit as demonstrated in the Technical Report, which follows Tab F

of this application. 5. _______The project is located in a rural area, as defined in 4280.103. The Project will be located in ________________________. The address is ___________________________________. The most recent decennial population census of the project location is ____________. The

project _____ is or ______ is not located in an urbanized area.

The owner of the project is __________________________________________.

Answer “Yes” or “No” 6. ________The owner of the project is the same entity as the Applicant.7. ________A third party is going to be under contract (copy of contract attached) to control revenues and

expenditures and operate/maintain the project.9. _______ Applicant will control the site where the project will be located - for the useful life of the

proposed technology.10._______ Attached is documentation showing Applicant’s control of the project site.11._______ Applicant has satisfactory sources of revenue in an amount sufficient to provide for the

operation, management, maintenance, and debt service of the project – for the life of the project

Operation Description - 4280.111(b)(3)(iv)

(1) Describe the Applicant’s total farm/ranch/business operation and the relationship of the proposed project to the Applicant’s total farm/ranch/business operation (for example, “this project will be sited on my farmland and will be used to produce income through the sale of wind-generated electricity”).      

(2) Provide a description of the ownership of the Applicant, including a list of individuals and/or entities with an ownership interest, names of any parent company, affiliates, and subsidiaries, as well as a description of the relationship, including products, between these entities.     

Financial Information for Size Determination - 4280.111(b)(3)(v)

Definition of rural: Any area other than a city or town that has a population of greater than 50,000 inhabitants and the urbanized area contiguous and adjacent to such a city or town according to the latest decennial census of the U.S.

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Attached is financial information to allow the Agency to determine the Applicant’s size. All information submitted under this paragraph has been substantiated by authoritative records. Financial size will determine the number of points the Applicant is eligible to receive – for scoring criteria #6 – Small agricultural producer – or – Very Small Business. Voluntarily providing tax returns is one means of satisfying this requirement and providing documentation for scoring criteria #6.

IRS forms submitted are as follows (please check as applicable): IRS form(s) 1120 – “C” Corporation IRS form(s) 1120S – “S” Corporation IRS form(s) 1065 – Partnership, LLC, LLP IRS Schedule(s) F – Farming (sole proprietorship) IRS Schedule(s) C – Business (sole proprietorship) IRS Form(s) 1040 - Individual

1. Complete this section if applying as an agricultural producer (An “agricultural producer” is directly engaged in the production of agricultural products including crops, livestock, forestry products, hydroponics, nursery stock, or aquaculture, whereby 50% or more of Applicant’s gross income is derived from operations.)

The Applicant’s business is engaged in the following type of agricultural production: __________________________________________________________________________________________________________________________________________________________________________________________

As demonstrated below, 50% or more of the Applicant’s gross income is derived from the production of agricultural products, including crops, livestock, forestry, hydroponics, nursery stock, or aquaculture.Gross market value of Applicant’s agriculturalproducts in immediatelyprevious year

Total annualgross receipts from agricultural production in immediately previous year

Total annual nonfarm income from all other

sources (including nonfarm income and

custom work) in immediately previous year

Year of these

receipts

Source of Data

$ $ $ IRS – filed tax return

Or

2. Complete the appropriate section below if Applicant is applying as a rural small business . (A “small business” must satisfy the definition as set forth in the Small Business Administration’s size standards.)

The NAICS code that best describes the Applicant’s business is _________, which is the NAICS code for “_____________________” business category.

(A) As demonstrated below, Applicant’s business (including parent, affiliates, and subsidiaries) combined average annual gross receipts over the past three years does not exceed SBA’s size standard of $___________ Name of Business Relationship to

ApplicantAnnual gross

receiptsYr

Annual gross

receiptsYr

Annual gross

receiptsYr

3 years average annual gross receipts

Source of data (e.g. tax returns)

Applicant $ $ $ Parent of

Applicant$ $ $

Subsidiary of Applicant

$ $ $

Affiliate of Applicant

$ $ $

Total $ $ $ $

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or(B) As demonstrated below, the Applicant’s business (including parent, affiliates, and subsidiaries) combined number of full time equivalent employees is less than _______.Name of Business Relationship to

Applicant# FTE employees

in immediately previous year

Year Source of data (e.g. payroll)

Applicant Parent of

Applicant

Subsidiary of Applicant

Affiliate of Applicant

Total

or(C) As demonstrated below, the Applicant’s business (including parent, affiliates, and subsidiaries) combined total electric output for the preceding fiscal year did not exceed 4 million megawatt hours.Name of Business Relationship to

ApplicantTotal Electric Output (MW)

Year Source of data

Applicant Parent of

Applicant

Subsidiary of Applicant

Affiliate of Applicant

Total

The undersigned hereby certifies that the above information is true and correct.

____________________________________________ Name of Applicant

____________________________________________

Signature of Authorized Representative of Applicant

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Tab B Divider Page

(Information provided by applicant)

Financial Information4280.111 (b) (4) (i) through (iii)

and4280.128 (b)(2)(viii)

Financial information typically includes income statements, balance sheets, and cash flow statements

(Insert forms immediately after this divider page)

Financial information is required on the total operation of the agricultural producer/rural small business and its parent, subsidiary, or affiliates at other locations. All information submitted under this paragraph must be substantiated by authoritative records. Please indicate with “X” (enclosed)

3 years historical financial statements

Historical financial statements prepared in accordance with Generally Accepted Accounting Practices (GAAP) for the past 3 years, including income statements and balance sheets. If agricultural producers are unable to present this information in accordance with GAAP, they may instead present financial information for the past years in the format that is generally required by commercial agriculture lenders.

     

Current year financial statement

Current balance sheet and income statement – Provide a current balance sheet and income statement prepared in accordance with generally accepted accounting principles (GAAP) and dated within 90 days of the application. Agricultural producers should present financial information in the format that is generally required by commercial agriculture lenders.

     

3 years pro forma financial statements

Pro Forma & Projections – Provide pro forma balance sheet at startup of the agricultural producer’s/rural small business’ business that reflects the use of the loan proceeds or grant award; and 3 additional years, indicating the necessary start-up capital, operating capital, and short-term credit; and projected cash flow and income statements for 3 years supported by a list of assumptions showing the basis for the projections.

     

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Tab C Divider Page

Matching Funds Documentation 4280.111 (b) (5)A spreadsheet identifying sources of matching funds, amounts and status of matching funds. The spreadsheet will also include a directory of matching funds source contact information. (Sample spreadsheet follows divider page)

     

Attach Lender Letters of Commitment (a letter of intent is not a commitment), applicant’s bank statement to evidence available cash-on-hand, and other documentation for the matching funds identified in the spreadsheet.

     If firm commitments are not yet available, attach any applications, correspondence, or other written communication between Applicant and matching fund sources.      

Without specific statutory authority, other Federal grant awards and applicant in-kind contributionscannot be used to meet the matching fund requirement. Third-party, in-kind contributions are limited to 10% of the matching fund requirement of the grant. The Agency will advise if the third-party, in-kind contributions are acceptable in accordance with 7 CFR part 3015.

Passive third party equity contributions are acceptable for renewable energy system projects, including those that are eligible for Federal production tax credits, provided the applicant meets the requirements of Section 4280.107 (applicant eligibility).

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Applicant/Grantee Name       Matching Funds Commitment Documentation Spreadsheet

Title of Project      Total Cost $_     _

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REAP – Stand-Alone Guaranteed Loan Application ≤ $600,000

Source of Funds Contact NamePhoneEmail

Dollars CommitmentLetter attached

1 9007 Guaranteed Loan

Kevin BooneRenewable Energy CoordinatorUSDA Rural DevelopmentWhitney National Bank Building905 Jefferson Street, Suite 320Lafayette, Louisiana [email protected]

$       Pending Award of Guaranteed Loan

2 Applicant funds Applicant Name       $            

3 Lending Institution Loan

               

$            

4                      

$            

5             $            

6 Investor funds                

$            

Total Project Cost $      

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Tab D Divider Page

(Information provided by applicant)Self Evaluation Score 4280.111 (b) (6)

Self-score the project using the evaluation criteria 4280.112 (e).

Use Appendix C to 4280-B – Scoring Guideline to complete the evaluation.

     

To justify the score, submit the total score along with appropriate calculations and attached documentation, or specific cross- references to information elsewhere in the application.

Tab the documentation attached to the score sheet to match the scoring criteria number. For example:

Scoring criteria #1 – tab the documentation #1Scoring criteria #2 – tab the documentation #2Etc. Etc.

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SAMPLE – Self-Evaluation Score SheetPer 4280-B Regulation – 4280.112(e)

Name of Applicant:

Name of Project:

Type of Technology:

Funding Request: $

Final Total Score – sum of all categories below (1 through 9):

(This is your opportunity to “self-score” your proposal and to draw attention to the particular strengths of your project that should be taken into consideration by Rural Development’s independent reviewers when they complete the official score that will be used to rank your request for funds. Be sure that your self-scoring claims are justified by documentation that is included within your Sec. 9007 application. Your Technical Report, Energy Assessment/Audit and Feasibility Study, as appropriate, are the primary supporting documents for your assertions and the applicable sections should be specifically referenced as appropriate. Additional sources may be cited too when applicable, and if so, they should be attached or referenced.)

(1) Quantity of Energy Replaced, Produced, or Saved(Points may only be awarded for one category – A, B or C. Award yourself 0, 5, 10, or 15 points based on your justification.)

(A) Energy replacementIf the proposed renewable energy system is intended primarily for self use by the agricultural producer or rural small business, and will provide energy replacement of:Greater than 0 but equal to or less than 25%, award 5 points.Greater than 25% but equal to or less than 50%, award 10 points.Greater than 50%, award 15 points.

Points

Determine energy replacement by dividing the estimated quantity of renewable energy to be generated over a 12-month period by the estimated quantity of energy consumed over the same 12-month period during the previous year by the applicable energy application. The estimated quantities of energy must be converted to British thermal units (BTU’s), Watts, or

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similar energy equivalents to facilitate scoring. If the estimated energy produced equals more than 150% of the energy requirements of the applicable process(es), score the project as an energy generation project.

Justification: The energy replacement for this §9007 project is expected to be %. This is based on (e.g., a professional report, professionally-developed vendor information, etc., as applicable) prepared by , whose credentials and expertise are Documentation substantiating this replacement level is included in this application via

Or

(B) Energy savingsIf the estimated energy expected to be saved by the installation of the energy efficiency improvements will be from:20% up to but not including 30%, award 5 points.30% up to but not including 35%, award 10 points.35% or greater, award 15 points.

Points

Energy savings will be determined by the projections in an energy assessment or audit.

Additional PointsIf the project has total eligible costs of $50,000 or less AND opts to obtain a professional energy audit, award an additional 5 points.

Points

Justification: The energy efficiency savings for this §9007 project is expected to be %. This is based on (e.g., a professional report, professionally-developed vendor information, etc., as applicable) prepared by , whose credentials and expertise are Documentation substantiating this replacement level is included in this application via

Or

(C) Energy generationIf the proposed renewable energy system is intended primarily for production of energy for sale, award 10 points.

Points

Justification: The energy generated from this §9007 project is primarily expected to be sold. This is based on . Documentation is included in this application via

(2) Environmental benefits(Award yourself 0-10 points based on your justification)Environmental benefits. If the purpose of the proposed system contributes to the environmental goals and objectives of other Federal, State, or local programs, award 10 points.

Points

Justification: This project will contribute to the environment goals and objectives of as evidenced by the attached letter of support.

(3) Commercial availability(Award yourself 0, 5 or 10 points based on your justification.)

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Commercial availability. If the proposed system or improvement is currently commercially available and replicable, award 5 points.If the proposed system or improvement is commercially available and replicable and is also provided with a 5-year or longer warranty providing the purchaser protection against system degradation or breakdown or component breakdown, award 10 points.

Points

Justification: As indicated in the Project Summary (Tab A, Project Eligibility), this §9007 project will use commercially-available technology. The proposed Sec. 9007 energy improvements (will/will not) be covered by a 5-year or longer warranty. A copy of the warranty information, reflecting the term of the warranty is included in the application via .

(4) Technical Merit

(Award yourself 0 to 3.5 points based on your justification.)(A) Qualifications of the project team. The applicant has described the project team service providers, their professional credentials, and relevant experience. The description supports that the project team service, equipment, and installation providers have the necessary professional credentials, licenses, certifications, or relevant experience to develop the proposed project. Maximum possible score 3.5 points.

Points

Justification: The qualifications of the project team are contained in Section “a” of the Technical Report (Tab F). In this regard, the following strengths of the team should be noted:

(Award yourself 0 to 1.75 points based on your justification.)(B) Agreements and Permits. The applicant has described the necessary agreements and permits required for the project and the schedule for securing those agreements and permits. Maximum possible score 1.75 points.

Points

Justification: The agreements and permits required for this project are discussed in Section “b” of the Technical Report (Tab F). In this regard, the following strengths of this project should be noted:

(Award yourself 0 to 3.5 points based on your justification.)(C) Energy or Resource Assessment. The applicant has described the quality and availability of a suitable renewable resource or an assessment of expected energy savings for the proposed system. Maximum possible score 3.5 points.

Points

Justification: The energy assessment for this project’s expected energy savings are discussed in Section “c” of the Technical Report (Tab F). In this regard, the following strengths of this project should be noted:

(Award yourself 0 to 10.5 points based on your justification.)(D) Design and Engineering. The applicant has described the design, engineering, and testing needed for the proposed project. The description supports that the system will be designed, engineered, and tested so as to meet its intended purpose, ensure public safety, and comply with applicable laws, regulations, agreements, permits, codes, and standards. Maximum possible score 10.5 points.

Points

Justification: The design and engineering requirements for this project are discussed in Section “d” of the Technical Report (Tab F). In this regard, the following strengths of this project should be noted:

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(Award yourself 0 to 1.75 points based on your justification.)(E) Project Development Schedule. The applicant has described the development method, including the key project development activities and the proposed schedule for each activity. The description identifies each significant task, its beginning and end, and its relationship to the time needed to initiate and carry the project through to successful completion. The description addresses grantee or borrower project development cash flow requirements. Maximum possible score 1.75 points.

Points

Justification: The project development schedule aspects of this project are discussed in Section “e” of the Technical Report (Tab F). In this regard, the following strengths of this project should be noted:

(Award yourself 0 to 7 points based on your justification.)(F) Project Economic Assessment. The applicant has described the financial performance of the proposed project, including the calculation of simple payback. The description addresses project costs and revenues, such as applicable investment and production incentives, and other information to allow the assessment of the project’s cost effectiveness. Maximum possible score 7.0 points.

Points

Justification: An economic assessment of this project is contained in Section “f” of the Technical Report (Tab F). In this regard, the following strengths of this project should be noted:

(Award yourself 0 to 1.75 points based on your justification.)(G) Equipment Procurement. The applicant has described the availability of the equipment required by the system. The description supports that the required equipment is available, and can be procured and delivered within the proposed project development schedule. Maximum possible score 1.75 points.

Points

Justification: The equipment procurement requirements of this project are contained in Section “g” of the Technical Report (Tab F). In this regard, the following strengths of this project should be noted:

(Award yourself 0 to 1.75 points based on your justification.)(H) Equipment Installation. The applicant has described the plan for site development and system installation. Maximum possible score 1.75 points.

Points

Justification: The equipment installation requirements of this project are contained in Section “h” of the Technical Report (Tab F). In this regard, the following strengths of this project should be noted:

(Award yourself 0 to 1.75 points based on your justification.)(I) Operations and Maintenance. The applicant has described the operations and maintenance requirements of the system necessary for the system to operate as designed over the design life. Maximum possible score 1.75 points.

Points

Justification: The O&M requirements of this project are contained in Section “i” of the Technical Report (Tab F). In this regard, the following strengths of this project should be noted:

(Award yourself 0 to 1.75 points based on your justification.)(J) Dismantling and disposal of project components. The applicant has described the requirements for dismantling and disposing of project

Points

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components at the end of their useful lives and associated wastes. Maximum possible score 1.75 points.

Justification: The decommissioning requirements of this project are contained in Section “j” of the Technical Report (Tab F). In this regard, the following strengths of this project should be noted:

(Total all of the recommended scores in “A” through “J” above.)Technical Merit Subtotal (Maximum possible Technical Merit subtotal score 35 points)

Points

The sum of the above recommend technical merit scores is:

(5) Readiness(Award yourself 0, 5, 10, or 15 points based on your justification.)Readiness Applicant has written commitments from the source(s) confirming commitment of: 50% up to, but not including, 75% of the matching funds, award 5 points.75% up to, but not including, 100% of the matching funds, award 10 points.100% of the matching funds, award 15 points.

Points

Justification: The funding sources for this §9007 project are set forth in the matching funds spreadsheet (Tab C). As indicated on the spreadsheet, % of the financing sources have provided written commitments.

(6) Small Agricultural Producer/Very Small Rural Business(Award yourself 0, 5, or 10 points based on your justification.)Applicant size. The applicant is an agricultural producer producing agricultural products with a gross market value of less than $600,000 in the preceding year, award 5 points.

Points

The applicant is an agricultural producer producing agricultural products with a gross market value of less than $200,000 in the preceding year, award 10 points.The applicant is a Very Small Rural Business as defined in 4280.103 (a business with less than 15 employees and less than $1 million in annual receipts), award 10 points.

Justification: As indicated in the Project Summary (Tab A), the applicant is an agricultural producer. As further stated in the Project Summary the gross market value of the agricultural products produced by the applicant was $ .

ORAs indicated in the Project Summary (Tab A), the applicant is a small business. As further stated there, the applicant’s total annual gross receipts in the previous year was $ and the applicant’s number of employees is .

(7) Simplified application(If you are using this template and your project’s total cost is ≤$200,000, you can claim the 5 “simplified application” points.)Simplified application. If an applicant is eligible for and uses the simplified application process or if the project has total eligible project costs of $200,000 or less, award 5 points.

Points

Justification: This Sec. 9007 application is for a project with total eligible costs of $ , and the project meets the other Sec. 9007 criteria for a “simplified application”. Therefore, the applicant is applying using the simplified application process.

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(8) Previous grantees and borrowers(If you have not received a previous Sec. 9006 or Sec. 9007 award, you can claim 5 points.) Previous award. If the applicant has not been awarded a grant or loan under this program within the 2 previous Federal fiscal years, award 5 points.

Points

Justification: The applicant hereby affirms that the applicant has not been awarded a grant or loan under the §9006 or §9007 program within the two previous federal fiscal years.

(9) Return on investment(Award yourself 0, 2, 4, or 10 points based on your justification.)Payback. The proposed project will return the cost of investment inLess than 4 years, award 10 points.4 years up to but not including 8 years, award 4 points.8 years up to 11 years, award 2 point.

Points

Justification: The Technical Report (Tab F), indicates a simple payback of the cost of the energy improvements proposed in months. (It is advisable to further explain the basis for this calculation.)

TOTAL SELF-EVALUATION SCORE (Add up all of the priority score categories and enter the sum.) Total Score (Maximum possible score 120 points)

Points

The sum of the above recommended scores is:

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Tab E Divider Page

(Information provided by applicant)Energy Assessment or Audit

(for Energy Efficiency Projects Only) 4280.111 (b) (7) (ii) (B) Please indicate with “X” (enclosed)

For energy efficiency improvement projects with total eligible project costs greater than $50,000, an energy audit must beconducted by or reviewed and certified by an energy auditor.

     

Energy audit – A report conducted by a Certified Energy Manager or Professional Engineer that focuses on potential capital-intensive projects and involves detailed gathering of field data and engineering analysis. The report will provide detailed project cost and savings information with a high level of confidence sufficient for major capital investment decisions. It will estimate costs, expected energy savings from the subject improvements, and dollars saved per year. The report will estimate weighted-average payback period in years.

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Tab FDivider Page

Technical Report(required of every project)

4280.111 (b) (7) (i) (A) and (C) The Technical Report must be prepared in accordance with Appendix A, for projects with total eligible project costs of $200,000 or less.      The Technical report must demonstrate that the renewable energy system or energy efficiency improvement project can be installed and perform as intended in a reliable, safe, cost effective, and legally compliant manner.

     All information provided in the Technical Report will be evaluated against the requirements provided in Appendix A of this subpart. Any Technical Report not prepared in the following format and in accordance with Appendix A, where applicable, will be penalized under scoring for technical merit.

     Technical Report Requirements – Please consult Appendix A guidelines

(A) Qualifications of the project team -The applicant has described the project team service providers, their professional credentials, and relevant experience. The description supports that the project team service, equipment, and installation providers have the necessary professional credentials, licenses, certifications, or relevant experience to develop the proposed project.

     

(B) Agreements and Permits -The applicant has described the necessary agreements and permits required for the project and the schedule for securing those agreements and permits.      (C) Energy or Resource Assessment -The applicant has described the quality and availability of a suitable renewable resource, or an assessment of expected energy savings for the proposed system.

     (D) Design and Engineering -The applicant has described the design, engineering, and testing needed for the proposed project. The description supports that the system will be designed, engineered, tested so as to meet its intended purpose, ensure public safety, and comply with applicable laws, regulations, agreements, permits, codes, and standards.

     (E) Project Development Schedule-The applicant has described the development method including the key project development activities and the proposed schedule for each activity. The description identifies each significant task, its beginning and end, and its relationship to the time needed to initiate and carry the project through to successful completion. The description addresses applicant or borrower project development cash flow requirements.

     

(F) Project Economic Assessment-The applicant has described the financial performance of the proposed project, including the calculation of simple payback. The description addresses project costs and revenues, such as applicable investment and production incentives and other information to allow the assessment of the project’s cost effectiveness.

     (G) Equipment Procurement - The applicant has described the availability of the equipment required by the system. The description supports that the required equipment is available, and can be procured and delivered within the proposed project development schedule.

     (H) Equipment Installation -The applicant has described the plan for site development and system installation.      (I) Operations and Maintenance -The applicant has described the operations and maintenance requirements of the system necessary for the system to operate as designed over the design life.

     (J) Dismantling and disposal of project components -The applicant has described the plan for dismantling and disposing of project components at the end of their useful lives and associated wastes.

     Examples of Important Supporting Documents:

(a) Site map      (b) Preliminary specifications, design drawings and process flowcharts      (c) Copies of permits      (d) At least one-year’s bill for those energy sources/fuel types affected by project      (e) Warranties      (f) Purchase Power Agreement      (g) Resumes or credentials of each important technical expert (energy auditor, project developer, etc.)      

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(Provided by applicant)

Feasibility Study4280.111 (b) (8) and 4280.128 (c)(1)(iii)

(required for renewable energy projects thatexceed $200,000 in total eligible costs)

Put an “X” for each item included behind this divider page.For each application for a renewable energy system project, with total eligible project costs greater than $200,000, a business-level feasibility study is required, An independent qualified consultant will be required by the Agency for start-up businesses or existing businesses.

An acceptable business-level feasibility study must at least include an evaluation of economic, market, technical, financial, and management feasibility.

     

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(Information provided by lender)4280.128 (b)(2)(i)

Please mark “X” if the item is included behind this divider page.

4279-1A “Application for Loan Guarantee, Short Form”      This certification is located on the 4279-1A application form.(xi) A certification by the lender that it has completed a comprehensive written analysis of the proposal, the borrower is eligible, the loan is for authorized purposes with technical merit, and there is reasonable assurance of repayment ability based on the borrower’s history, projections, equity, and the collateral to be obtained.

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(Information provided by lender)4280.128 (b)(2)(ii)

1940-20 – Request for Environmental Information – and documentation

[Consult with Rural Development State Energy Coordinator for level of documentation needed. Do not contact or mail form to the State Historic Preservation Officer (SHOP).]

These items must be available in lender’s files for the Agency’s review and do not need to be submitted with the application.(iii) A personal credit report for the borrower from an Agency approved credit reporting company for each owner, each partner, officer, director, key employee, and stockholder owning 20% or more interest in the borrower’s business except passive investors and those corporations listed on a major stock exchange.(iv) Appraisals completed in accordance with 4280.141. Completed appraisals should be submitted when the application is filed. If the appraisal has not been completed when the application is filed, the applicant must submit an estimated appraisal. In all cases, a completed appraisal must be submitted prior to the loan being closed.(v) Commercial credit reports obtained by the lender on the borrower and any parent, affiliate, and subsidiary firms.

(vi) Current personal and corporate financial statements of any guarantors(vii) Intergovernmental consultation comments in accordance with 7 CFR part 3015, subpart V, of this title. – NA in California

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(Information provided by lender)

Lender’s Complete Written Credit Analysis4280.128 (b)(2)(x)

Put a check or an “x” if the item is included behind this divider page.

Lender’s complete written analysis, including:- Spreadsheets of the balance sheets and income statements for the 3 previous years (for existing businesses), pro forma balance sheet at startup, and 3 years projected year end balance sheets and income statements- With appropriate ratios and comparisons with industrial standards (such as Dun & Bradstreet or Robert Morris Associates).

All data must be shown in total dollars and also in common size form, obtained by expressing all balance sheet items as a percentage of assets and all income and expense items as a percentage of sales.

     

     

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4280.128 (b)(2)(x): Lender’s complete comprehensive written analysis in accordance with 4280.139-Credit QualityThe lender must determine credit quality and must address all of the elements of credit quality in a written credit analysis including adequacy of equity, cash flow, collateral, history, management, and current status of the industry for which credit is to be extended. (a) Cash flow – All efforts will be made to structure debt so that the business has adequate debt coverage

and the ability to accommodate expansion. (b) Collateral – Collateral must have documented value sufficient to protect the interest of the lender and

the Agency. The discounted collateral value will normally be at least equal to the loan amount. Lenders will discount collateral consistent with sound loan-to-value policy. Guaranteed loans made under this subpart shall have at least parity position with guaranteed loans made under subpart B of part 4279 of this title.

(c) Industry. The current status of the industry will be considered. Borrowers developing well established commercially available renewable energy systems with significant support infrastructure may be considered for better terms and conditions than those borrowers developing systems with limited infrastructure.

(d) Equity – In determining the adequacy of equity, the lender must meet the criteria specified in paragraph (d) (1) of this section for loans over $600,000 and the criteria in paragraph (d)(2) of this section for loans of $600,000 or less. Cash equity injection, as discussed in paragraphs (d)(1) and (2) of this section, must be in the form of cash. Federal grant funds may be counted as cash. (2) For loans of $600,000 or less, borrowers shall demonstrate evidence of cash equity injection in the project of not less than 15 percent of eligible project costs. The fair market value of equity in real property that is to be pledged as collateral for the loan may be substituted in whole or in part to meet the cash equity requirement. However, the appraisal completed to establish the fair market value of the real property must not be more than one year old and must meet Agency appraisal standards.

(e) Lien Priorities. The entire loan will be secured by the same security with equal lien priority for the guaranteed and unguaranteed portions of the loan. The unguaranteed portion of the loan will neither be paid first nor given any preference or priority over the guaranteed portion. A parity or junior position may be considered provided that discounted collateral values are adequate to secure the loan in accordance with paragraph (b) of this section after considering prior liens.

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(Information provided by lender)

Proposed Loan Agreement4280.128 (b)(2)(xii)

(xii) A proposed Loan Agreement or a sample Loan Agreement with an attached list of the proposed Loan Agreement provisions. The following requirements must be addressed in the proposed or sample Loan Agreement:

(A) Prohibition against assuming liabilities or obligations of others.(B) Restriction on dividend payments.(C) Limitation on the purchase or sale of equipment and fixed assets.(D) Limitation on compensation of officers and owners.(E) Minimum working capital or current ratio requirement.(F) Maximum debt-to-net worth ratio.(G) Restrictions concerning consolidations, mergers, or other circumstances.(H) Limitations on selling the business without the concurrence of the lender.(I) Repayment and amortization of the loan.(J) List of collateral and lien priority for the loan including a list of persons and corporations guaranteeing the loan with a schedule for providing the lender with personal and corporate financial statements. Financial statements on the corporate and personal guarantors must be updated at least annually once the guarantee is provided.(K) Type and frequency of financial statements to be required from the borrower for the duration of the loan.(L) The addition of any requirements imposed by the Agency in Form RD 4279-3.(M) A reserved section for any Agency environmental requirement.(N) A provision for the lender or the Agency to have reasonable access to the project and its performance information during its useful life or the term of the loan, whichever is greater, including the periodic inspection of the project by a representative of the Lender or the Agency.

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