Loading...
HomeMy Public PortalAboutResolution 2013-10-03 Authorizing Expenditures for the Purchase of a New Street Sweeper and Authorizing the Town Manager to Enter into a Contract TOWN OF FRASER RESOLUTION NO. 2013-10-03 A RESOLUTION AUTHORIZING EXPENDITURES FOR THE PURCHASE OF A NEW STREET SWEEPER AND AUTHORIZING THE TOWN MANAGER TO ENTER INTO A CONTRACT. BE IT RESOLVED BY THE BOARD OF TRUSTEES OF THE TOWN OF FRASER, COLORADO THAT: 1. The Town Board of Fraser, Colorado hereby authorizes the Town Manager to execute a lease agreement as attached. READ, PASSED ON ROLL CALL VOTE, AND ADOPTED BY THE BOARD OF TRUSTEES THIS 16th DAY OF OCTOBER, 2013. Votes in favor. BOARD OF TRUSTEES OF THE Votes opposed: TOWN,60FRA , COLORADO Absent: Abstained: BY: _. ay r ATTEST: (S E A L) CA'- Town Clerk SfateBank 1680 CHARLES PLACE 1877-587-4054 MANHATTAN,KS 66502 SENT VIA EMAIL:NHAVENS @TOWN.FRASER.CO.US September 16,2013 Mr. Nathaniel Havens Town of Fraser,Colorado Re: Financing for Town of Fraser,Colorado for One(1)Elgin Eagle Waterless Sweeper Dear Mr. Havens: Thank you for choosing Kansas State Bank of Manhattan as your financing source. Attached hereto, please find the Contract and documentation for your review and completion. Included is a Documentation Instruction sheet to guide you through the process. The interest rate you have been quoted is valid through October 6,2013. Please note that, depending on circumstances, we reserve the right to charge a reasonable fee to Obligor/broker, if this transaction is not funded. This fee is for expenses incurred and services performed related to the processing of the transaction. This fee will NOT be charged if the transaction is funded by Obligee. If you have any questions regarding the documentation please feel free to contact me at(877)587-4054. Sincerely, Abby Zarger Documentation Associate MEMBER FDIC , © MANHATTAN JUNCTION , ,, DOCUMENTATION INSTRUCTIONS The instructions listed below should be followed when completing the enclosed documentation. Documentation completed improperly will delay funding. If you have any questions regarding the Conditions to Funding,instructions or the documentation,please call us at(877)587-4054. I. Attached Documentation 1. Government Obligation Contract ♦ An authorized individual that is with the Obligor should sign on the first space provided. 2. Exhibit A—Description of Equipment ♦ Review equipment description.Complete serial number/VIN if applicable. ♦ List the location where the equipment will be located after delivery/installation. 3. Exhibit B—Payment Schedule ♦ Sign and print name and title 4. Exhibit C-Certificate of Acceptance ♦ Sign and print name and title S. Exhibit D-Obligor Resolution ♦ Type in the date of the meeting in which the purchase was approved. ♦ Print or type the name and title of the individual(s)who is authorized to execute the Contract. ♦ The secretary,chairman or other authorized board member of the Obligor must sign the Resolution where indicated. ♦ A second authorized individual that is with the Obligor should attest the Resolution where indicated. 6. Exhibit E-Bank Qualified Certificate ♦ Sign and print name and title 7. Insurance Requirements ♦ Complete insurance company contact information where indicated. 8. Debit Authorization—(Preferred) ♦ Complete form and attach a voided check 9. 8038G IRS Form ♦ Please read 8038 Review Form ♦ In Box 2,type Employer Identification Number ♦ Sign and print name and title II. Additional Documentation Required 1. First payment check as stated on attached invoice 2. Insurance Certificate as stated on the Insurance Requirements Form 3. Vendor Invoice for the amount to finance listing applicable SN/VIN,down payment,trade,etc. 4. Front and back copies of MSO or title listing"Kansas State Bank AOIA"as first lien holder III. Condition to Funding If,for any reason:(i)the required documentation is not returned by November 9,2013,is incomplete,or has unresolved issues relating thereto,or (ii)on,or prior to the return of the documentation,there is a change of circumstance which adversely affects the expectations,rights or security of the Obligee or its assignees;then Obligee or its assignees reserve the right to adjust the quoted interest rate or withdraw/void its offer to fund this transaction in its entirety. All documentation should be returned to: �q,..\, %@, Kansas State Bank of Manhattan 1680 Charles Place Manhattan, Kansas 66502 CO SFP Non-App BQ GOVERNMENT OBLIGATION CONTRACT Obligor Obligee Town of Fraser, Colorado Kansas State Bank of Manhattan 153 Fraser Avenue 1010 Westloop; P.O. Box 69 Fraser, Colorado 80442 Manhattan, Kansas 66505-0069 Dated as of September 1,2013 This Government Obligation Contract dated as of the date listed above is between Obligee and Obligor listed directly above. Obligee desires to finance the purchase of the Equipment described in Exhibit A to Obligor and Obligor desires to have Obligee finance the purchase of the Equipment subject to the terms and conditions of this Contract which are set forth below. I. Definitions Section 1.01 Definitions.The following terms will have the meanings indicated below unless the context clearly requires otherwise: "Additional Schedule"refers to the proper execution of additional schedules to Exhibit A and Exhibit B,as well as other exhibits or documents that may be required by the Obligee all of which relate to the financing of additional Equipment. "Budget Year"means the Obligor's fiscal year. "Commencement Date"is the date when Obligor's obligation to pay Contract Payments begins. "Contract"means this Government Obligation Contract and all Exhibits attached hereto,all addenda,modifications,schedules,refinancings,guarantees and all documents relied upon by Obligee prior to execution of this Contract. "Contract Payments"means the payments Obligor is required to make under this Contract as set forth on Exhibit B. "Contract Term"means the Original Term and all Renewal Terms. "Exhibit"includes the Exhibits attached hereto,and any"Additional Schedule",whether now existing or subsequently created. "Equipment"means all of the items of Equipment listed on Exhibit A and any Additional Schedule,whether now existing or subsequently created,and all replacements,restorations, modifications and improvements. "Government"as used in the title hereof means a State or a political subdivision of the State within the meaning of Section 103(a)of the Internal Revenue Code of 1986,as amended ("Code"),or a constituted authority or district authorized to issue obligations on behalf of the State or political subdivision of the State within the meaning of Treasury Regulation 1.103-1(b), or a qualified volunteer fire company within the meaning of section 150(e)(1)of the Code. "Obligee"means the entity originally listed above as Obligee or any of its assignees. "Obligor"means the entity listed above as Obligor and which is financing the Equipment through Obligee under the provisions of this Contract. "Original Term"means the period from the Commencement Date until the end of the Budget Year of Obligor. "Purchase Price"means the total cost of the Equipment,including all delivery charges,installation charges,legal fees,financing costs,recording and filing fees and other costs necessary to vest full,clear legal title to the Equipment in Obligor,subject to the security interest granted to and retained by Obligee as set forth in this Contract,and otherwise incurred in connection with the financing of this Equipment. "Renewal Term"means the annual term which begins at the end of the Original Term and which is simultaneous with Obligor's Budget Year and each succeeding Budget Year for the number of Budget Years necessary to comprise the Contract Term. "State"means the state in which Obligor is located. II. Obligor Warranties Section 2.01 Obligor represents,warrants and covenants as follows for the benefit of Obligee or its assignees: (a) Obligor is an"issuer of tax exempt obligations"because Obligor is the State or a political subdivision of the State within the meaning of Section 103(a)of the Internal Revenue Code of 1986,as amended,(the"Code")or because Obligor is a constituted authority or district authorized to issue obligations on behalf of the State or political subdivision of the State within the meaning of Treasury Regulation 1.103-1(b),or a qualified volunteer fire company within the meaning of section 150(e)(1)of the Code. (b) Obligor has complied with any requirement for a referendum and/or competitive bidding. (c) Obligor has complied with all statutory laws and regulations that may be applicable to the execution of this Contract;Obligor,and its officer executing this Contract,are authorized under the Constitution and laws of the State to enter into this Contract and have used and followed all proper procedures of its governing body in executing and delivering this Contract. The officer of Obligor executing this Contract has the authority to execute and deliver this Contract. This Contract constitutes a legal,valid,binding and enforceable obligation of the Obligor in accordance with its terms. (d) Obligor shall use the Equipment only for essential,traditional government purposes. (e) Should the IRS disallow the tax-exempt status of the interest portion of the Contract Payments as a result of the failure of the Obligor to use the Equipment for governmental purposes,or should the Obligor cease to be an issuer of tax exempt obligations,or should the obligation of Obligor created under this Contract cease to be a tax exempt obligation for any reason,then Obligor shall be required to pay additional sums to the Obligee or its assignees so as to bring the after tax yield on this Contract to the same level as the Obligee or its assignees would attain if the transaction continued to be tax-exempt. (f) Obligor has never non-renewed funds under a contract similar to this Contract. (g) Obligor will submit to the Secretary of the Treasury an information reporting statement as required by the Code. (h) Upon request by Obligee,Obligor will provide Obligee with current financial statements,reports,budgets or other relevant fiscal information. (i) Obligor shall retain the Equipment free of any hazardous substances as defined in the Comprehensive Environmental Response,Compensation and Liability Act,42 U.S.C.9601 et.seq. as amended and supplemented. (j) Obligor hereby warrants the General Fund of the Obligor is the primary source of funds or a backup source of funds from which the Contract Payments will be made. (k) Obligor presently intends to continue this Contract for the Original Term and all Renewal Terms as set forth on Exhibit B hereto. The official of Obligor responsible for budget preparation will include in the budget request for each Budget Year the Contract Payments to become due in such Budget Year,and will use all reasonable and lawful means available to secure the appropriation of money for such Budget Year sufficient to pay the Contract Payments coming due therein. Obligor reasonably believes that moneys can and will lawfully be appropriated and made available for this purpose. (1) Obligor has selected both the Equipment and the vendor(s)from whom the Equipment is to be purchased upon its own judgment and without reliance on any manufacturer, merchant,vendor or distributor,or agent thereof,of such equipment to the public. (m) Obligor owns free and clear of any liens any additional collateral pledged,subject only to the lien described herein;Obligor has not and will not,during the Contract Term,create, permit,incur or assume any levies,liens or encumbrances of any kind with respect to the Equipment and any additional collateral except those created by this Contract. Section 2.02 Escrow Agreement.In the event both Obligee and Obligor mutually agree to utilize an Escrow Account,then immediately following the execution and delivery of this Contract, Obligee and Obligor agree to execute and deliver and to cause Escrow Agent to execute and deliver the Escrow Agreement. This Contract shall take effect only upon execution and delivery of the Escrow Agreement by the parties thereto. Obligee shall deposit or cause to be deposited with the Escrow Agent for credit to the Equipment Acquisition Fund the sum of N/A,which shall be held,invested and disbursed in accordance with the Escrow Agreement. III. Acquisition of Equipment,Contract Payments and the Purchase Option Price Section 3.01 Acquisition and Acceptance.Obligor shall be solely responsible for the ordering of the Equipment and for the delivery and installation of the Equipment.Execution of the Acceptance Certificate or,alternatively,Payment Request and Equipment Acceptance Form,by a duly authorized representative of Obligor,shall constitute acceptance of the Equipment on behalf of the Obligor. Section 3.02 Contract Payments.Obligor shall pay Contract Payments exclusively to Obligee or its assignees in lawful,legally available money of the United States of America. The Contract Payments shall be sent to the location specified by the Obligee or its assignees. The Contract Payments shall constitute a current expense of the Obligor and shall not constitute an indebtedness of the Obligor. The Contract Payments,payable without notice or demand,are due as set forth on Exhibit B. Obligee shall have the option to charge interest at the highest lawful rate on any Contract Payment received later than the due date for the number of days that the Contract Payment(s)were late,plus any additional accrual on the outstanding balance for the number of days that the Contract Payment(s)were late.Obligee shall also have the option,on monthly payments only,to charge a late fee of up to 10%of the monthly Contract Payment that is past due.Furthermore,Obligor agrees to pay any additional fees/costs incurred by Obligee relating to Obligor's requirement that a certain payment mechanism be utilized. Once all amounts due Obligee hereunder have been received,Obligee will release any and all of its rights,title and interest in the Equipment. SECTION 3.03 Contract Payments Unconditional.Except as provided under Section 4.01,THE OBLIGATIONS OF OBLIGOR TO MAKE CONTRACT PAYMENTS AND TO PERFORM AND OBSERVE THE OTHER COVENANTS CONTAINED IN THIS CONTRACT SHALL BE ABSOLUTE AND UNCONDITIONAL IN ALL EVENTS WITHOUT ABATEMENT,DIMINUTION,DEDUCTION,SET-OFF,OR SUBJECT TO DEFENSE OR COUNTERCLAIM. Section 3.04 Purchase Option Price.Upon thirty(30)days written notice,Obligor shall have the option to pay,in addition to the Contract Payment,the corresponding Purchase Option Price which is listed on the same line on Exhibit B.This option is only available to the Obligor on the Contract Payment date and no partial prepayments are allowed. If Obligor chooses this option and pays the Purchase Option Price to Obligee then Obligee will transfer any and all of its rights,title and interest in the Equipment to Obligor. Section 3.05 Contract Term.The Contract Term shall be the Original Term and all Renewal Terms until all the Contract Payments are paid as set forth on Exhibit B except as provided under Section 4.01 and Section 9.01 below. If,after the end of the budgeting process which occurs at the end of the Original Term or any Renewal Term,Obligor has renewed as provided for in this Contract then the Contract Term shall be extended into the next Renewal Term and the Obligor shall be obligated to make all the Contract Payments that come due during such Renewal Term. Section 3.06 Disclaimer of Warranties. OBLIGEE MAKES NO WARRANTY OR REPRESENTATION,EITHER EXPRESS OR IMPLIED,AS TO THE VALUE,DESIGN,CONDITION,MERCHANTABILITY, FITNESS FOR PARTICULAR PURPOSE OR ANY OTHER WARRANTY WITH RESPECT TO THE EQUIPMENT. OBLIGEE IS NOT A MANUFACTURER,VENDOR OR DISTRIBUTER,OR AGENT THEREOF,OF SUCH EQUIPMENT;NOR IS OBLIGEE A MERCHANT OR IN THE BUSINESS OF DISTRIBUTING SUCH EQUIPMENT TO THE PUBLIC. OBLIGEE SHALL NOT BE LIABLE FOR ANY INCIDENTAL,INDIRECT, SPECIAL OR CONSEQUENTIAL DAMAGE ARISING OUT OF THE INSTALLATION,OPERATION,POSSESSION,STORAGE OR USE OF THE EQUIPMENT BY OBLIGOR. IV. Non-Renewal Section 4.01 Non-Renewal.The Contract shall terminate absolutely and without further obligation on the part of the Obligor at the end of each Budget Year during the Contract Term unless it is automatically renewed asset forth below. If Obligor chooses to not renew,then all obligations of the Obligor under this Contract regarding Contract Payments for all remaining Renewal Terms shall be terminated at the end of the then current Budget Year without penalty or liability to the Obligor of any kind provided that if Obligor has not delivered possession of the Equipment to Obligee as provided herein and conveyed to Obligee or released its interest in the Equipment by the end of the last Budget Year for which Contract Payments were paid,the termination shall nevertheless be effective but Obligor shall be responsible for the payment of damages in an amount equal to the amount of the Contract Payments thereafter coming due under Exhibit B which are attributable to the number of days after such Budget Year during which Obligor fails to take such actions and for any other loss suffered by Obligee as a result of Obligor's failure to take such actions as required.This Contract will automatically renew at the end of each Budget Year unless positive action is taken by Obligor as evidenced by a resolution passed by the Obligor's governing body to terminate the Contract. Obligor shall immediately notify the Obligee as soon as the decision to non-renew is made. If such non-renewal occurs, then Obligor shall deliver the Equipment to Obligee as provided below in Section 9.04. Obligor shall be liable for all damage to the Equipment other than normal wear and tear. If Obligor fails to deliver the Equipment to Obligee,then Obligee may enter the premises where the Equipment is located and take possession of the Equipment and charge Obligor for costs incurred. Anything contained herein to the contrary notwithstanding,the parties acknowledge and agree that the financial obligations of Obligor under this contract beyond the current fiscal year are subject to annual appropriation by the governing body of Obligor and shall not constitute or give rise to a general obligation or other indebtedness of Obligor within the meaning of any constitutional or statutory provision or limitation of the State of Colorado nor a mandatory charge or requirement against Obligor in any ensuing fiscal year beyond the current fiscal year. If the governing body of Obligor shall fail to budget and appropriate funds for payment of amounts due in subsequent fiscal years,this contract shall terminate as of the end of the fiscal year for which such funds were last budgeted and appropriated,subject to Obligor's continuing obligation to deliver the Equipment to Obligee as provided herein. V. Insurance,Damage,Insufficiency of Proceeds Section 5.01 Insurance. Obligor shall maintain both casualty insurance and liability insurance at its own expense with respect to the Equipment. Obligor shall be solely responsible for selecting the insurer(s)and for making all premium payments and ensuring that all policies are continuously kept in effect during the period when Obligor is required to make Contract Payments. Obligor shall provide Obligee with a Certificate of Insurance which lists the Obligee and/or assigns as a loss payee and an additional insured on the policies with respect to the Equipment. (a) Obligor shall insure the Equipment against any loss or damage by fire and all other risks covered by the standard extended coverage endorsement then in use in the State and any other risks reasonably required by Obligee in an amount at least equal to the then applicable Purchase Option Price of the Equipment. Alternatively,Obligor may insure the Equipment under a blanket insurance policy or policies. (b) The liability insurance shall insure Obligee from liability and property damage in any form and amount satisfactory to Obligee. (c) Obligor may self-insure against the casualty risks and liability risks described above. If Obligor chooses this option,Obligor must furnish Obligee with a certificate and/or other documents which evidences such coverage. (d) All insurance policies issued or affected by this Section shall be so written or endorsed such that the Obligee and its assignees are named additional insureds and loss payees and that all losses are payable to Obligor and Obligee or its assignees as their interests may appear. Each policy issued or affected by this Section shall contain a provision that the insurance company shall not cancel or materially modify the policy without first giving thirty(30)days advance notice to Obligee or its assignees. Obligor shall furnish to Obligee certificates evidencing such coverage throughout the Contract Term. Section 5.02 Damage to or Destruction of Equipment.Obligor assumes the risk of loss or damage to the Equipment. If the Equipment or any portion thereof is lost,stolen,damaged,or destroyed by fire or other casualty,Obligor will immediately report all such losses to all possible insurers and take the proper procedures to obtain all insurance proceeds. At the option of Obligee,Obligor shall either(1)apply the Net Proceeds to replace,repair or restore the Equipment or(2)apply the Net Proceeds to the applicable Purchase Option Price. For purposes of this Section and Section 5.03,the term Net Proceeds shall mean the amount of insurance proceeds collected from all applicable insurance policies after deducting all expenses incurred in the collection thereof. Section 5.03 Insufficiency of Net Proceeds.If there are no Net Proceeds for whatever reason or if the Net Proceeds are insufficient to pay in full the cost of any replacement,repair, restoration, modification or improvement of the Equipment,then Obligor shall,at the option of Obligee, either(1) complete such replacement, repair, restoration, modification or improvement and pay any costs thereof in excess of the amount of the Net Proceeds or(2)apply the Net Proceeds to the Purchase Option Price and pay the deficiency,if any,to the Obligee. Section 5.04 Obligor Negligence. Obligor assumes all risks and liabilities,whether or not covered by insurance,for loss or damage to the Equipment and for injury to or death of any person or damage to any property whether such injury or death be with respect to agents or employees of Obligor or of third parties,and whether such property damage be to Obligor's property or the property of others (including,without limitation, liabilities for loss or damage related to the release or threatened release of hazardous substances under the Comprehensive Environmental Response,Compensation and Liability Act,the Resource Conservation and Recovery Act or similar or successor law or any State or local equivalent now existing or hereinafter enacted which in any manner arise out of or are incident to any possession,use,operation,condition or storage of any Equipment by Obligor),which is proximately caused by the negligent conduct of Obligor,its officers,employees and agents. Section 5.05 Indemnification. Obligor hereby assumes responsibility for and agrees to reimburse Obligee for all liabilities,obligations,losses,damages,penalties,claims,actions,costs and expenses(including reasonable attorneys'fees)of whatsoever kind and nature,imposed on,incurred by or asserted against Obligee that in any way relate to or arise out of a claim,suit or proceeding,based in whole or in part upon the negligent conduct of Obligor,its officers,employees and agents,or arose out of installation,operation,possession,storage or use of any item of the Equipment,to the maximum extent permitted by law. VI. Title and Security Interest Section 6.01 Title.Title to the Equipment shall vest in Obligor when Obligor acquires and accepts the Equipment.Title to the Equipment will automatically transfer to the Obligee in the event Obligor chooses to not renew under Section 4.01 or in the event Obligor defaults under Section 9.01. In such event,Obligor shall execute and deliver to Obligee such documents as Obligee may request to evidence the passage of legal title to the Equipment to Obligee. Section 6.02 Security Interest.To secure the payment of all Obligor's obligations under this Contract,as well as all other obligations,debts and liabilities,plus interest thereon,whether now existing or subsequently created,Obligor hereby grants to Obligee a security interest under the Uniform Commercial Code constituting a first lien on the Equipment described more fully on Exhibit A,including any and all additional collateral listed on any other Exhibit A. The security interest established by this section includes not only all additions,attachments,repairs and replacements to the Equipment but also all proceeds therefrom.Obligor authorizes Obligee to prepare and record any Financing Statement required under the Uniform Commercial Code to perfect the security interest created hereunder. Obligor agrees that any Equipment listed on Exhibit A is and will remain personal property and will not be considered a fixture even if attached to real property. VII. Assignment Section 7.01 Assignment by Obligee.All of Obligee's rights,title and/or interest in and to this Contract may be assigned and reassigned in whole or in part to one or more assignees or sub- assignees by Obligee at any time without the consent of Obligor. No such assignment shall be effective as against Obligor until the assignor shall have filed with Obligor written notice of assignment identifying the assignee. Obligor shall pay all Contract Payments due hereunder relating to such Equipment to or at the direction of Obligee or the assignee named in the notice of assignment. Obligor shall keep a complete and accurate record of all such assignments. Section 7.02 Assignment by Obligor. None of Obligor's right,title and interest under this Contract and in the Equipment may be assigned by Obligor unless Obligee approves of such assignment in writing before such assignment occurs and only after Obligor first obtains an opinion from nationally recognized counsel stating that such assignment will not jeopardize the tax-exempt status of the obligation. VIII. Maintenance of Equipment Section 8.01 Equipment.Obligor shall keep the Equipment in good repair and working order,and as required by manufacturer's and warranty specifications. If Equipment consists of copiers,Obligor is required to enter into a copier maintenance/service agreement. Obligee shall have no obligation to inspect,test,service,maintain,repair or make improvements or additions to the Equipment under any circumstances. Obligor will be liable for all damage to the Equipment,other than normal wear and tear,caused by Obligor,its employees or its agents. Obligor shall pay for and obtain all permits,licenses and taxes necessary for the installation,operation,possession,storage or use of the Equipment. If the Equipment includes any titled vehicle(s),then Obligor is responsible for obtaining such title(s)from the State and also for ensuring that Obligee is listed as First Lienholder on all of the title(s). Obligor shall not use the Equipment to haul,convey or transport hazardous waste as defined in the Resource Conservation and Recovery Act,42 U.S.C.6901 et.seq. Obligor agrees that Obligee or its Assignee may execute any additional documents including financing statements,affidavits,notices,and similar instruments,for and on behalf of Obligor which Obligee deems necessary or appropriate to protect Obligee's interest in the Equipment and in this Contract.Obligor shall allow Obligee to examine and inspect the Equipment at all reasonable times. IX. Default Section 9.01 Events of Default defined.The following events shall constitute an"Event of Default"under this Contract: (a) Failure by Obligor to pay any Contract Payment listed on Exhibit B for fifteen(15)days after such payment is due according to the Payment Date listed on Exhibit B. (b) Failure to pay any other payment required to be paid under this Contract at the time specified herein and a continuation of said failure for a period of fifteen(15)days after written notice by Obligee that such payment must be made. If Obligor continues to fail to pay any payment after such period,then Obligee may,but will not be obligated to,make such payments and charge Obligor for all costs incurred plus interest at the highest lawful rate. (c) Failure by Obligor to observe and perform any warranty,covenant,condition,promise or duty under this Contract for a period of thirty(30)days after written notice specifying such failure is given to Obligor by Obligee,unless Obligee agrees in writing to an extension of time. Obligee will not unreasonably withhold its consent to an extension of time if corrective action is instituted by Obligor. Subsection(c)does not apply to Contract Payments and other payments discussed above. (d) Any statement,material omission,representation or warranty made by Obligor in or pursuant to this Contract which proves to be false,incorrect or misleading on the date when made regardless of Obligor's intent and which materially adversely affects the rights or security of Obligee under this Contract. (e) Any provision of this Contract which ceases to be valid for whatever reason and the loss of such provision would materially adversely affect the rights or security of Obligee. (f) Except as provided in Section 4.01 above,Obligor admits in writing its inability to pay its obligations. (g) Obligor defaults on one or more of its other obligations. (h) Obligor becomes insolvent,is unable to pay its debts as they become due,makes an assignment for the benefit of creditors,applies for or consents to the appointment of a receiver, trustee,conservator,custodian,or liquidator of Obligor,or all or substantially all of its assets,or a petition for relief is filed by Obligor under federal bankruptcy,insolvency or similar laws,or is filed against Obligor and is not dismissed within thirty(30)days thereafter. Section 9.02 Remedies on Default.Whenever any Event of Default exists,Obligee shall have the right to take one or any combination of the following remedial steps: (a) With or without terminating this Contract,Obligee may declare all Contract Payments and other amounts payable by Obligor hereunder to the end of the then current Budget Year to be immediately due and payable. (b) With or without terminating this Contract,Obligee may require Obligor at Obligor's expense to redeliver any or all of the Equipment and any additional collateral to Obligee as provided below in Section 9.04. Such delivery shall take place within fifteen(15)days after the Event of Default occurs.If Obligor fails to deliver the Equipment and any additional collateral,Obligee may enter the premises where the Equipment and any additional collateral is located and take possession of the Equipment and any additional collateral and charge Obligor for cost incurred. Notwithstanding that Obligee has taken possession of the Equipment and any additional collateral,Obligor shall still be obligated to pay the remaining Contract Payments due up until the end of the then current Original Term or Renewal Term. Obligor will be liable for any damage to the Equipment and any additional collateral caused by Obligor or Its employees or agents. (c) Obligee may take whatever action at law or in equity that may appear necessary or desirable to enforce its rights. Obligor shall be responsible to Obligee for all costs incurred by Obligee in the enforcement of its rights under this Contract including,but not limited to,reasonable attorney fees. Section 9.03 No Remedy Exclusive. No remedy herein conferred upon or reserved to Obligee is intended to be exclusive and every such remedy shall be cumulative and shall be in addition to every other remedy given under this Contract now or hereafter existing at law or in equity. No delay or omission to exercise any right or power accruing upon any default shall impair any such right or shall be construed to be a waiver thereof. Section 9.04 Return of Equipment and Storage. (a) Surrender:The Obligor shall,at its own expense,surrender the Equipment,any Additional Collateral and all required documentation to evidence transfer of title from Obligor to the Obligee in the event of a default or a non-renewal by delivering the Equipment and any Additional Collateral to the Obligee to a location accessible by common carrier and designated by Obligee. In the case that any of the Equipment and any Additional Collateral consists of software,Obligor shall destroy all intangible items constituting such software and shall deliver to Obligee all tangible items constituting such software.At Obligee's request,Obligor shall also certify in a form acceptable to Obligee that Obligor has complied with the above software return provisions and that they will immediately cease using the software and that they shall permit Obligee and/or the vendor of the software to inspect Obligor's locations to verify compliance with the terms hereto. (b) Delivery:The Equipment and any Additional Collateral shall be delivered to the location designated by the Obligee by a common carrier unless the Obligee agrees in writing that a common carrier is not needed. When the Equipment and any Additional Collateral is delivered into the custody of a common carrier,the Obligor shall arrange for the shipping of the item and its insurance in transit in accordance with the Obligee's instructions and at the Obligor's sole expense. Obligor at its expense shall completely sever and disconnect the Equipment and any Additional Collateral or its component parts from the Obligor's property all without liability to the Obligee. Obligor shall pack or crate the Equipment and any Additional Collateral and all of the component parts of the Equipment and any Additional Collateral carefully and in accordance with any recommendations of the manufacturer. The Obligor shall deliver to the Obligee the plans,specifications,operation manuals or other warranties and documents furnished by the manufacturer or vendor on the Equipment and any Additional Collateral and such other documents in the Obligor's possession relating to the maintenance and methods of operation of such Equipment and any Additional Collateral. (c) Condition:When the Equipment is surrendered to the Obligee it shall be in the condition and repair required to be maintained under this Contract. It will also meet all legal regulatory conditions necessary for the Obligee to sell or lease it to a third party and be free of all liens. If Obligee reasonably determines that the Equipment or an item of the Equipment,once it is returned,is not in the condition required hereby,Obligee may cause the repair,service,upgrade,modification or overhaul of the Equipment or an item of the Equipment to achieve such condition and upon demand,Obligor shall promptly reimburse Obligee for all amounts reasonably expended in connection with the foregoing. (d) Storage:Upon written request by the Obligee,the Obligor shall provide free storage for the Equipment and any additional collateral for a period not to exceed 60 days after the expiration of the Contract Term before returning it to the Obligee. The Obligor shall arrange for the insurance described to continue in full force and effect with respect to such item during its storage period and the Obligee shall reimburse the Obligor on demand for the incremental premium cost of providing such insurance. X. Miscellaneous Section 10.01 Notices.All notices shall be sufficiently given and shall be deemed given when delivered or mailed by registered mail,postage prepaid,to the parties at their respective places of business as first set forth herein or as the parties shall designate hereafter in writing. Section 10.02 Binding Effect.Obligor acknowledges this Contract is not binding upon the Obligee or its assignees unless the Conditions to Funding listed on the Documentation Instructions have been met to Obligee's satisfaction,and Obligee has executed the Contract. Thereafter,this Contract shall inure to the benefit of and shall be binding upon Obligee and Obligor and their respective successors and assigns. Section 10.03 Severability.In the event any provision of this Contract shall be held Invalid or unenforceable by any court of competent jurisdiction,such holding shall not invalidate or render unenforceable any other provision hereof. Section 10.04 Amendments,Addenda.Changes or Modifications.This Contract may be amended,added to,changed or modified by written agreement duly executed by Obligee and Obligor. Furthermore, Obligee reserves the right to directly charge or amortize into the remaining balance due from Obligor, a reasonable fee,to be determined at that time, as compensation to Obligee for the additional administrative expense resulting from such amendment,addenda,change or modification. Section 10.05 Execution in Counterparts.This Contract may be simultaneously executed in several counterparts,each of which shall be an original and all of which shall constitute but one and the same instrument. Section 10.06 Captions.The captions or headings in this Contract do not define,limit or describe the scope or intent of any provisions or sections of this Contract. Section 10.07 Master Contract.This Contract can be utilized as a Master Contract. This means that the Obligee and the Obligor may agree to the financing of additional Equipment under this Contract at some point in the future by executing one or more Additional Schedules to Exhibit A and Exhibit B,as well as other exhibits or documents that may be required by Obligee. Additional Schedules will be consecutively numbered on each of the exhibits which make up the Additional Schedule and all the terms and conditions of the Contract shall govern each Additional Schedule. Section 10.08 Entire Writing.This Contract constitutes the entire writing between Obligee and Obligor. No waiver,consent,modification or change of terms of this Contract shall bind either party unless in writing and signed by both parties,and then such waiver,consent,modification or change shall be effective only in the specific instance and for the specific purpose given. There are no understandings,agreements,representations,conditions,or warranties,express or implied,which are not specified herein regarding this Contract,the Equipment or any additional collateral,financed hereunder.Any terms and conditions of any purchase order or other documents submitted by Obligor in connection with this Contract which are in addition to or inconsistent with the terms and conditions of this Contract will not be binding on Obligee and will not apply to this Contract. Obligee and Obligor have caused this Contract to be executed in their names by their duly authorized representatives listed below. Town of er,Colorado Kansas State Bank of Manhattan Signature X i Signature Marsha Jarvis,Vice President Printed Name and Title QILU Printed Name and Title Schedule(01) EXHIBIT A DESCRIPTION OF EQUIPMENT RE: Government Obligation Contract dated as of September 1,2013,between Kansas State Bank of Manhattan(Obligee)and Town of Fraser, Colorado(Obligor) Below is a detailed description of all the items of Equipment including quantity,model number and serial number where applicable: One(1)Elgin Eagle Waterless Sweeper,SN:FW2792D.VIN:JNAPC81 L7AAC80286 Physical Address of Equipment after Delivery: 153 Fraser Avenue,Fraser,CO 80442 Schedule(01) EXHIBIT B PAYMENT SCHEDULE RE: Government Obligation Contract dated as of September 1,2013,between Kansas State Bank of Manhattan(Obligee)and Town of Fraser, Colorado(Obligor) Date of First Payment: At Closing Original Balance: $215,745.00 Total Number of Payments: Five(5) Number of Payments Per Year: One(1) Pmt Due Contract Applied to Applied to *Purchase No. Date Payment Interest Principal Option Price 1 At Closing $45,417.87 $0.00 $45,417.87 $171,853.29 2 01-Sep-14 $45,417.87 $4,479.61 $40,938.26 $130,319.30 3 01-Sep-15 $45,417.87 $3,402.93 $42,014.94 $87,846.65 4 01-Sep-16 $45,417.87 $2,297.94 $43,119.93 $44,414.11 5 01-Sep-17 $45,417.87 $1,163.87 $44,254.00 $0.00 Tow of aser rado Signature bo Printed Name and Title *Assumes all Contract Payments due to date are paid v I£ :01 �w gI � ?flEIOZ Schedule(01) EXHIBIT C CERTIFICATE OF ACCEPTANCE RE: Government Obligation Contract dated as of September 1,2013,between Kansas State Bank of Manhattan(Obligee)and Town of Fraser, Colorado(Obligor) I,the undersigned, hereby certify that I am a duly qualified representative of Obligor and that I have been given the authority by the Governing Body of Obligor to sign this Certificate of Acceptance with respect to the above referenced Contract. I hereby certify that: 1. The Equipment described on Exhibit A has been delivered and installed in accordance with Obligor's specifications. 2. Obligor has conducted such inspection and/or testing of the Equipment as it deems necessary and appropriate and hereby acknowledges that it accepts the Equipment for all purposes. 3. Obligor has appropriated and/or taken other lawful actions necessary to provide moneys sufficient to pay all Contract Payments required to be paid under the Contract during the current Budget Year of Obligor,and such moneys will be applied in payment of all Contract Payments due and payable during such current Budget Year. 4. Obligor has obtained insurance coverage as required under the Contract from an insurer qualified to do business in the State. 5. No event or condition that constitutes or would constitute an Event of Default exists as of the date hereof. 6. The governing body of Obligor has approved the authorization, execution and delivery of this Contract on its behalf by the authorized representative of Obligor who signed the Contract. 7. Please list the Source of Funds(Fund Item in Budget)for the Contract Payments that come due under Exhibit B of this Contract. Source of Funds: Capital Equipment Replacement Fund By signing below,Obligor hereby authorizes the General Fund of the Obligor as a backup source of funds from which the Contract Payments can be made. Town Fra r,Colo Signature Printed Name and Title Schedule(01) EXHIBIT D OBLIGOR RESOLUTION RE: Government Obligation Contract dated as of September 1,2013,between Kansas State Bank of Manhattan(Obligee)and Town of Fraser, Colorado(Obligor) At a duly called meeting of the Governing Body of the Obligor(as defined in the Contract)held on . Zo the following resolution was introduced and adopted: BE IT RESOLVED by the Governing Body of Obligor as follows: 1. Determination of Need. The Governing Body of Obligor has determined that a true and very real need exists for the acquisition of the Equipment described on Exhibit A of the Government Obligation Contract dated as of September 1,2013,between Town of Fraser,Colorado (Obligor)and Kansas State Bank of Manhattan(Obligee). 2. Approval and Authorization. The Governing Body of Obligor has determined that the Contract, substantially in the form presented to this meeting,is in the best interests of the Obligor for the acquisition of such Equipment,and the Governing Body hereby approves the entering into of the Contract by the Obligor and hereby designates and authorizes the following person(s) to execute and deliver the Contract on Obligor's behalf with such changes thereto as such person(s) deem(s) appropriate, and any related documents, including any Escrow Agreement,necessary to the consummation of the transaction contemplated by the Contract. Authorized Individual(s): �T)LO , G�-4 i (Printed r ted Name and Title of individuals)authorized to execute the Contract) 3. Adoption of Resolution.The signatures below from the designated individuals from the Governing Body of the Obligor evidence the adoption by the Governing 7BodyTfhis Resolution. Signature: (Signatur of cr Voarcl,Mr other memmbbe+r of the Governing Body) Printed Name&Title: c�M (Printed Name and Ti of di id I who signed directly above) Attested By: (Signatur o one additional per on ho can witness the passage of this Resolution) Printed Name&Title: � C°y G P`c 0L-cy1 d e.r (Printed Name of individual wh signed directly above) Schedule(01) EXHIBIT E BANK QUALIFIED CERTIFICATE RE: Government Obligation Contract dated as of September 1,2013,between Kansas State Bank of Manhattan(Obligee)and Town of Fraser, Colorado(Obligor) Whereas, Obligor hereby represents that it is a `Bank Qualified" Issuer for the calendar year in which this Contract is executed by making the following designations with respect to Section 265 of the Internal Revenue Code. (A"Bank Qualified Issuer"is an issuer that issues less than ten million($10,000,000)dollars of tax-exempt obligations during the calendar year). Now,therefor,Obligor hereby designates this Contract as follows: 1. Designation as Qualified Tax-Exempt Obligation.Pursuant to Section 265(b)(3)(B)(i)of the Internal Revenue Code of 1986 as amended (the "Code"),the Obligor hereby specifically designates the Contract as a"qualified tax-exempt obligation"for purposes of Section 265(b)(3)of the Code. In compliance with Section 265(b)(3)(D) of the Code, the Obligor hereby represents that the Obligor will not designate more than $10,000,000 of obligations issued by the Obligor in the calendar year during which the Contract is executed and delivered as such "qualified tax-exempt obligations". 2. Issuance Limitation.In compliance with the requirements of Section 265(b)(3)(C)of the Code,the Obligor hereby represents that the Obligor (including all subordinate entities of the Obligor within the meaning of Section 265(b)(3)(E)of the Code)reasonably anticipates not to issue in the calendar year during which the Contract is executed and delivered, obligations bearing interest exempt from federal income taxation under Section 103 of the Code (other than "private activity bonds" as defined in Section 141 of the Code) in an amount greater than $10,000,000. To o ra r;kit; Signature Printed Name and Title INSURANCE REQUIREMENTS Pursuant to Article V of the Government Obligation Contract, you have agreed to provide us evidence of insurance covering the Equipment. A Certificate of Insurance listing the information stated below should be sent to us no later than the date on which the equipment is delivered. Insured: Certificate Holder: Town of Fraser,Colorado Kansas State Bank of Manhattan 153 Fraser Avenue 1010 Westloop, P.O. Box 69 Fraser,Colorado 80442 Manhattan, Kansas 66505-0069 1. Equipment Description ♦ One(1)Elgin Eagle Waterless Sweeper,SN:FW2792D,VIN:JNAPC81 L7AAC80286 ♦ Please include all applicable VIN's,serial numbers,etc. 2. Deductible ♦ The deductible amounts on the insurance policy should not exceed$10,000.00. 3. Physical Damage ♦ All risk coverage to guarantee proceeds of at least$215,745.00. 4. Liability ♦ Minimum Combined Single Limit of$1,000,000.00 combined single-limit on bodily injury and property damage. 5. Additional Insured and Loss Payee ♦ Kansas State Bank and/or Its Assigns MUST be listed as additional insured and loss payee. Please forward certificate as soon as possible to: Fax: (785)587-4016 or Email:azarger @ksstatebank.com Please complete the information below and return this form along with the Contract. Town of Fraser,Colorado Insurance Company: C COIuR„� (�,64.Sti�r►n b4(ftr► Agent's Name: Telephone#: �'�t� Fax#: 3a3 -7!S 69 (c) Address: 3 666 CA&e_ City,State Zip: �2c)V-2 I Email: us Du_� . C-Lr % C)(—I StateBank INVOICE BILL TO: Town of Fraser,Colorado INVOICE DATE: September 16,2013 Attn: Accounts Payable CONTRACT NUMBER: 3345642 153 Fraser Avenue PAYMENT AMOUNT: $45,417.87 Fraser, Colorado 80442 PAYMENT DUE DATE: At Closing DESCRIPTION AMOUNT Contract Payment $45,417.87 Government Obligation Contract Dated as of September 1,2013 for One(1) Elgin Eagle Waterless Sweeper,SN: FW2792D,VIN:JNAPC81 1-7AAC80286 Additional interest will be assessed on any payment received after the due date. $45,417.87 Please remit payment to: Kansas State Bank Government Finance Dept. P.O. Box 69 Manhattan, KS 66505-0069 For inquiries: (877)587-4054 8038 REVIEW FORM The 8038 form attached hereto is an important part of the documentation package and must be properly filled out and submitted to the Department of the Treasury in order for you to receive the lower tax-exempt rate. Unless you instruct us otherwise, we have engaged a Paid Preparer to assist in the filling out of this form. The Paid Preparer has filled out the relevant portions of this form based on the current understanding of what is required by the Department of the Treasury. The responses on this 8038 form are based on the dates and amounts which you have requested(structure of the transaction)and which are on the Payment Schedule. 1. Please review our responses for accuracy.If anything is inaccurate,please contact our office so that we can make proper revisions. 2. If the information provided to you on this form is accurate,please sign where indicated and return with the document package. 3. If there are any changes to the structure of the transaction that occur prior to funding which require a change to the 8038 form,we will make such changes and provide notification to you. 4. We will return to you a copy of the 8038 form that was mailed to the Department of the Treasury. Important Note: The IRS is now requesting information regarding tax-exempt issuers' and borrowers' written policies and procedures designed to monitor post- issuance compliance with the federal tax rules applicable to tax-exempt obligations(boxes 43 and 44). Do not check items 43 and 44 on the 8038 form unless you have established written procedures in accordance with the instructions referenced directly below. If you choose to"check'items 43 and/or 44,please be prepared to provide copies of such written procedures to the Paid Preparer or any representatives of the IRS upon request. Written procedures should contain certain key characteristics,including making provisions for: •Due diligence review at regular intervals; •Identifying the official or employee responsible for review; •Training of the responsible official/employee; • Retention of adequate records to substantiate compliance(e.g.,records relating to expenditure of proceeds); •Procedures reasonably expected to timely identify noncompliance;and •Procedures ensuring that the issuer will take steps to timely correct noncompliance. For additional guidance on this 8038 form, you can refer to the Documentation Instructions located on the following government website: http://www.irs.gov/app/picklist/list/formslnstructions.html,or contact your local IRS office. Form 8038-G Information Return for Tax-Exempt Governmental Obligations (Rev.September 2011) ► Under Internal Revenue Code section 149(e) OMB No.1545-0720 Department of the Treasury ►See separate instructions. Internal Revenue Service Caution:If the issue price is under$100,000,use Form 8038-GC. Reporting Authority If Amended Return, check here ► ❑ 1 Issuer's name 2 Issuer's employer identification number(EIN) Town of Fraser,Colorado 84-0574911 3a Name of person(other than issuer)with whom the IRS may communicate about this return(see instructions) 3b Telephone number of other person shown on 3a NOc.r r nS 91 D.-2 Lb 19 4xi l k Lo 6 4 Number and street(or P.O.box if mail is not delivered to street address) Room/suite 5 Report number(For IRS Use Only) 153 Fraser Avenue I I&gp-.,, 4Z-0 13 6 City,town,or post office,state,and ZIP code 7 Date of issue Fraser,Colorado 80442 09/01/2013 8 Name of issue 9 CUSIP number Government Obligation Contract None 10a Name and title of officer or other employee of the issuer whom the IRS may call for more information(se 10b Telephone number of officer or other instructions) employee shown on 10a Type of Issue(enter the issue price).See the instructions and attach schedule. 11 Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 12 Health and hospital . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 13 Transportation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 14 Public safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 15 Environment(including sewage bonds) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 16 Housing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 17 Utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 18 Other.Describe► One(1)Elgin Eagle Waterless Sweeper,SN:FW2792D 18 216,032 06 19 If obligations are TANs or RANs,check only box 19a . . . . . . . . . . . . . . . . . . . I- El obligations are BANs,check only box 19b . . . . . . . . . . . . . . . . . . . . . . . . . Ili ❑ 20 If obligations are in the form of a lease or installment sale,check box . . . . . . . . . . . . . . . ► Description of Obligations.Complete for the entire issue for which this form is being filed. (a)Final maturity date (b)issue price (c)Stated redemption (d)Weighted (e)Yield price at maturity average maturity 21: 09/01/2017 $ 216,032.06 $ N/A 4.000 ears 2.630 Uses of Proceeds of Bond Issue(including underwriters'discount) 22 Proceeds used for accrued interest . . . . . . . . . . . . . . . . . . . . . . . . . . 22 23 Issue price of entire issue(enter amount from line 21,column(b)) . . . . . . . . . . . . 23 24 Proceeds used for bond issuance costs(including underwriters'discount) . . . . 24 25 Proceeds used for credit enhancement . . . . . . . . . . . . . . . . . . 25 26 Proceeds allocated to reasonably required reserve or replacement fund . . . . . 26 27 Proceeds used to currently refund prior issues . . . . . . . . . . . . . . . 27 28 Proceeds used to advance refund prior issues . . . . . . . . . . . . . . . 28 29 Total(add lines 24 through 28) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 30 Nonrefunding proceeds of the issue subtract line 29 from line 23 and enter amount here 30 Description of Refunded Bonds.Complete this part only for refunding bonds. 31 Enter the remaining weighted average maturity of the bonds to be currently refunded . . . . . . . . . . . . ► years 32 Enter the remaining weighted average maturity of the bonds to be advance refunded . . . . . . . . . . . . ► years 33 Enter the last date on which the refunded bonds will be called(MM/DD/YYYY) . . . . . . . . . . . . . . ► 34 Enter the date(s)the refunded bonds were issued ► (MM/DD/YYYY) . . . . . . . . . . . . . . . . . For Paperwork Reduction Act Notice,see separate instructions. Cat.No.63773S Form 8038-G (Rev.9-2011) 8038 REVIEW FORM The 8038 form attached hereto is an important part of the documentation package and must be properly filled out and submitted to the Department of the Treasury in order for you to receive the lower tax-exempt rate. Unless you instruct us otherwise, we have engaged a Paid Preparer to assist in the filling out of this form. The Paid Preparer has filled out the relevant portions of this form based on the current understanding of what is required by the Department of the Treasury. The responses on this 8038 form are based on the dates and amounts which you have requested(structure of the transaction)and which are on the Payment Schedule. 1. Please review our responses for accuracy.If anything is inaccurate,please contact our office so that we can make proper revisions. 2. If the information provided to you on this form is accurate,please sign where indicated and return with the document package. 3. If there are any changes to the structure of the transaction that occur prior to funding which require a change to the 8038 form,we will make such changes and provide notification to you. 4. We will return to you a copy of the 8038 form that was mailed to the Department of the Treasury. Important Note: The IRS is now requesting information regarding tax-exempt issuers' and borrowers' written policies and procedures designed to monitor post- issuance compliance with the federal tax rules applicable to tax-exempt obligations(boxes 43 and 44). Do not check items 43 and 44 on the 8038 form unless you have established written procedures in accordance with the instructions referenced directly below. If you choose to"check"items 43 and/or 44,please be prepared to provide copies of such written procedures to the Paid Preparer or any representatives of the IRS upon request. Written procedures should contain certain key characteristics,including making provisions for: •Due diligence review at regular intervals; •Identifying the official or employee responsible for review; •Training of the responsible official/employee; •Retention of adequate records to substantiate compliance(e.g.,records relating to expenditure of proceeds); •Procedures reasonably expected to timely identify noncompliance;and • Procedures ensuring that the issuer will take steps to timely correct noncompliance. For additional guidance on this 8038 form, you can refer to the Documentation Instructions located on the following government website: http://www.irs.gov/app/picklist/list/formsinstructions.html,or contact your local IRS office. Form 8038-G Rev.9-2011 Page 2 Miscellaneous 35 Enter the amount of the state volume cap allocated to the issue under section 141(b)(5) . . . . . . . . . . . 35 36a Enter the amount of gross proceeds invested or to be invested in a guaranteed investment contract (GIC) (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36a b Enter the final maturity date of the GIC ► c Enter the name of the GIC provider lo- 37 Pooled financings:Enter the amount of the proceeds of this issue that are to be used to make loans to other governmental units . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 38a If this issue is a loan made from the proceeds of another tax-exempt issue,check box► ❑ and enter the following information: b Enter the date of the master pool obligation ► c Enter the EIN of the issuer of the master pool obligation ► d Enter the name of the issuer of the master pool obligation ► 39 If the issuer has designated the issue under section 265(b)(3)(B)(i)(III)(small issuer exception),check box. . . . . . . . . . . . ► Q 40 If the issuer has elected to pay a penalty in lieu of arbitrage rebate,check box. . . . . . . . . . . . . . . . . . . . . . . ► ❑ 41a If the issuer has identified a hedge,check here► ❑ and enter the following information: b Name of hedge provider► c Type of hedge ► d Term of hedge► 42 If the issuer has superintegrated the hedge,check box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ► ❑ 43 If the issuer has established written procedures to ensure that all nonqualified bonds of this issue are remediated according to the requirements under the Code and Regulations(see instructions),check box . . . . . . . . . . . . . . . . ► ❑ 44 If the issuer has established written procedures to monitor the requirements of section 148,check box . . . . . . . . . . . . ► ❑ 45a If some portion of the proceeds was used to reimburse expenditures,check here► ❑ and enter the amount of reimbursement. . . . . . . . . . . ► b Enter the date the official intent was adopted lo- Under penalties of perjury,I declare that I have examined this return and accompanying schedules and statements,and to the best of my knowledge Signature and belief,they are true,correct,and complete.I further declare that I consent to the IRS's disclosure of the issuer's return information,as necessary to process this return,to the�persorrthatP-have authorized above. S and �►��.�� �luvcn Consent ' l dL1t�b�- 2at3 ' F►n�n« Signature of issuer's authorized representative Date Type or print name and title PrintrType preparer's name Preparer's signature I Date PTIN Paid (I Check❑if Preparer H.Evan Howe f�' Np1r ' 0 3:30"33 'os� a 09/16/2013 self-employed P01438994 Use Only Firm's Name► Ba stone Financial LLC Firm's EIN► 48-1223987 Firm's Address► 5350 College Blvd.,Overland Park,KS 66211 Phone no. 800 752-3562 Form 8038-G (Rev.9-2011) ("* 2��' C I'R S)A INJURED PROOF OF INSURANCE mame _____Aeo_______ INSUREDS: CIRSA,its members,and their Street Address_--_----__--_-'-----------�_----_�-_ City/Stote/Zip- _' --_�_����-_-------�-_--_-�-- and authorized volunteers Name of Driver ----- _ -------� Typeof |rVury-____.__ -----------------------------___----------_____ Attending Doctor __����_____________ Phone Number_- VEHICLE MODEL/YEAR: ZlorD Address _-�- _��-�-------------�--- Where Taken After Accident INSURER: CIRSA By Ambulance--- ----------or by Whom._-____________ Remarks, if any, About Accident_ --_-_-_------------------------ I LIMITS OF LIABILITY: As required by law Bodily Injury/Property Damage to: $150,000 Per Person manne-____--------------------- ____-'- Age__._-___ Street VEHICLES: The coverages afforded ChV/Stmte/Zip------------------------------ ---------- -----------�----------------------- under this policy apply to all vehicles owned, Name ofDriver Type of Injury �__-.______-_ ��___-. Attending Doctor--------------- ---------- Phone Nunmbo Address _-------�-_--__------ Where Taken After&ccident--- Claims can also be filed on our web site at www.cirsa.org By Ambulance_-------------nrbv Whom '------------------------------------ DRIVER'S REPORT-THE ACCIDENT Remarks, if any, About Accident-------- -'--- '----' Date------------------- ----------, 2O___Time__--------- --.AM/PK8 --- ------------------------- '--�'------'- --------- Location ��--------------- ���������������������-�������� The Light Conditions: [] Daylight [] Dusk card admit any liability for r the information 11 Dawn ODerk described herein. This information card will oe forwarded w the Colorado Weather: [] Rain OSnovv intergovernmental Risk Sharin Agency(CIRSA)for information purposes only. 11 Clear [] Fog The public entity will not take any further action relating to this information mud. This information card does with nor it is intended mcomply Road Surface: 1:1 Dry El Wet with the �n�m��m�un���y --'�7�-`----------' B �noxx [] |ce z�/* which meum*mrm/om~v�nsnome and m whom and when such notice must oegiven. Highway: [] Divided O Undivided Number of Lanes? -----___�--_- �--� Owner of Vehicle you were Operating_--___--------- " FARIS REMIT TO: FARIS MACHINERY MACHINERY Denver,00180 91.1827 3032893743 fax 1 303 287 9273 INVOICE TOUGH JOBS ITOUGH MACHINES FARIS MACHINERY COMPANY INVOICE NO INVOICE DATE 5770 EAST 77TH AVENUE CUSTOMER NO PAGE NO ESR000012-1 08/26/2013 COMMERCE CITY CO 80022 BP0000931 1 (303) 289-5743 PAYMENT TERMS CUSTOMER PO NET 30 DAYS EQUIPMENT SALES INVOICE Allen Nordin INVOICE TO: SHIP TO: TOWN OF FRASER FARIS MACHINERY COMPANY 153 Fraser Avenue 5770 EAST 77TH AVENUE P.O. Box 120 COMMERCE CITY CO 80022 Fraser CO 80442 SALESMAN: BROOKS, STEVE DELIVERY TERMS: FARIS DELIVERY EQUIPMENT ORDER: ESR000012 UNIT QTY UNIT PRICE TOTAL EQ0006068 ELGIN EAGLE WATERLESS SWEEPER -1 225,350,00 -225,350.00 ELGIN MODEL:EAGLE FW S/N:FW2792D I Dual Side Brooms High Dump Hopper Waterless Design NlSSan UD3300 Chassis Factory Mounting i AM/FM/CD Audio System Heated Remote Control Mirrors In-Cab Side Broom Tilt on Both Sides LED Stop/Tail/Turn Lights Conveyor Stall Alarm LED Beacon Light 2.5 Pound Fire Extinguisher Reflective Triangle Kit Auto Sweep/Transport Mode White Paint CHASSIS VIN. JNAPC81L7AAC80286 GVWR 32,900 SUB TOTAL -225,350.00 TOTAL PURCHASE -225,350.00 SALES TAX 0.00 TOTAL AMOUNT (USD) -225,350.00 A finance charge of 2%per month,which is an annual percentage rate of 24%,will be charged on past due accounts.When you provide a check as payment,you authorize us either to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. FARIS R EMIT TO: FARIS MACHINERY PO Box 911287 office 303 289 5743 MACHINERY Denver,CO 80291-1827 fax 303 287 9273 TOUGH JOGS I TOUGH MACHINES , INVOICE FARIS MACHINERY COMPANY INVO"PAYMENT ICE DATE 5770 EAST 77TH AVENUE [CUSTOMER NO PAGE NO ESA0026/2013 COMMERCE CITY CO 80022 000931 1 (303) 289-5743 S CUSTOMER PO EQUIPMENT SALES INVOICE Allen Nordin INVOICE TO: SHIP TO: TOWN OF FRASER TOWN OF FRASER 153 Fraser Avenue 153 Fraser Avenue P.O. Box 120 P.O. Box 120 Fraser CO 80442 Fraser CO 80442 SALESMAN: BROOKS, STEVE DELIVERY TERMS: FARIS DELIVERY EQUIPMENT ORDER: ESA000317 UNIT QTY UNIT PRICE TOTAL EQ0006068 ELGIN EAGLE WATERLESS SWEEPER 1 215,350.00 215,350.00 ELGIN MODEL:EAGLE FW S/N:FW2792D i i SUB TOTAL 215,350.00 TOTAL PURCHASE 215,350.00 SALES TAX 0.00 TOTAL AMOUNT (USD) 215,350.00 A finance charge of 2%per month,which is an annual percentage rate of 24%,will be charged on past due accounts.When you provide a check as payment,you authorize us either to use information from your check to make a one-time electronic fund transfer from your account orto process the payment as a check transaction. F�-i,v" c Oi-p�