Common use of YES NO Clause in Contracts

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 500% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service Xxxxxx Xxxxxxx, P.E./Project Manager CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5052% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxx Xxxxxxxxxxxx/Director of Public Service City Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC OSGCIC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5031% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx Xxxxx/Director of Public Service Village Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxx Xxxxxx/Director of Public Service Chief Deputy Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5051% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service Xxxxxx, P.E./City Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5052% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service Xxx Xxxxxx, P.E./City Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5030% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxxx Xxxxxxxxx, PE/Director of Public Service Admin. Bureau Manager CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5076% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service Xxxxxxx Xxxxxxxx, P.E./Senior P.E., Engineering CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5060% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxx Xxxx/Director of Public Service Xxxxxxxx Township Trustee CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5053% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxx Xxxxxx/Director of Public Service Engineering & Construction Manager CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5026% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxx Xxxxxxxxxxx/Director of Public Service Trustee CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5040% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service Xxxxxxx Xxxxxxx, P.E., P.S./Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxxx Xxxxxxxx/Director of Development and Public Service CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC OSGCIC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 500% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxxx/Director of Public Service Grants Administrator CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC OSGCIC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5064% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxx Xxxxxxx/Director of Public Service Village Administrator CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC OSGCIC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5067% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxxx Xxxxxx/Director of Public Service Pres., GGC Engineers CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5064% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service Xxxxxx Xxxx, P.E./Roadway Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service Xxx Xxxxxxx, P.E., P.S./Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5026% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service Xxxxxx Xxxxxxxx, P.E., P.S./County Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5055% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxx Xxxxx/, P.E./Service Director of Public Service CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5077% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5042% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxxx Xxxxx/Director of Public Service Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5054% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxx Xxxxxxx/Director of Public Service Asst. Supt. CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC OSGCIC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5056% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Xxxxxxxxx Xxxxxxxxxx, P.E./Executive Director of Public Service CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5080% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxx Xxxxx/, P.E./Service Director of Public Service CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5066% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service Xxxxxxxxxxx Xxxxxx, P.E./Project Manager CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5054% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxx XxXxxx/Director of Public Service Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC OSGCIC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5031% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxx Xxxx/Director of Public Service Grants and Funding Specialist CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5077% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxxx Xxxxx/Director of Public Service Director CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5026% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxxx Xxxxxxx/Director of Public Service Athens Co Planner CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service Xxxx, P.E., P.S./Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5021% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxx/Director of Public Service Twp. Administrator CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5059% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service , P.E./Project Manager CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5020% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx Xxxxx/Public Works Director of Public Service CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5087% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service Xxx Xxxxxx, P.E., P.S./Major Programs Manager CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5035% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxx Xxxx/Director Chief, Division of Public Service Building and Zoning CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 500% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxx Xxxxxxxx/Director of Public Service Project Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service Xxx Xxxxxxxx, P.E./City Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 500% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXX Xxxxxx/Director of Public Service Project ManagerAccounting Coordinator CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5058% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxx Xxxxxx/Director of Public Service Director, Planning, & Dev. CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service Xxxxxx Xxxxxxxxx, P.E., P.S./Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5054% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxx Xxx Xxxxxxxx/Director of Public Service Project Manager CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5082% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service Xxxxx Xxxxxx, P.E./City Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC OSGCIC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5021% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx Xxxxx/Director of Public Service Project Manager CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5085% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxxx Xxxxxx/Director of Deputy Director, Public Service Works CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxXxxxxx/Public Works Director of Public Service CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxxx Xxxxxxxx/Director of Public Service Road Superintendent CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC OSGCIC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5071% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxx Xxxxxxx/Director of Public Service Village Administrator CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5069% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxxx Xxxxxxxx/Director of Public Service Superintendent CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC OSGCIC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5041% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxx/Director of Public Service Administrator CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 500% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxx Xxxxxxx/Director of Public Service Bridge Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5037% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxxx Xxxxxxxx/Director of Public Service Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5063% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxx Xxxxxx, PE, PS/Director of Public Service County Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5072% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director Xxxxx Xxxxxx, P.E./Director of Public Service Utilities CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5069% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxXxxxx/Director of Public Service Water and Sewer Operator CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx Xxxxx X. Xxxxx/Director of Public Service Xxxxxx. P.E., P.S./Village Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5021% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service Kar Xxxxx X.X./Engineering Mamager CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service Xxx Xxxxxxx, P.E., P.S./County Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service Xxxxx Xxxxxxxxxx, P.E./Assistant Chief Deputy Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxx Xxx Xxxxxxxx/Director of Public Service Project Manager CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC OSGCIC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5070% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxxxx Xxxxxxx/Director of Public Service Engineering CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxx Xxxxxx/Interim Director of Public Service Utilities CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5072% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxx Xxxxxxx/Director of Public Service Acting Division Manager CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5048% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxx Xxxxxxxxx/Director of Public Service Utilities Infrasture Coordinator CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service Xxxxx Xxxxxx, P.E./City Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 500% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxx Xxxxxxx/Director Manager of Public Service Engineering CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5048% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxx Xxxxxxxx/Community Dev. Director of Public Service CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 500% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXx Xxxxxxx/District Director of Public Service CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5031% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxx Xxxxxxx/Director of Public Service Proj. Manager CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxxx Xxxxxx/Director of Public Service CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5061% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxx Xxxx/Director Chief, Division of Public Service Building and Zoning CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC OSGCIC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5040% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service Xxx Xxxxxxx, Jr./Village Administrator CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC OSGCIC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5020% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxxx Xxxxxxxx/Director of Public Service Project Manager CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5025% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxxx Xxxxxx/Director of Public Service Project Manager CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC OSGCIC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5043% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx Xxxxx/Director of Public Service Project Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5059% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxxxxx/Director of Public Service Township Trustee CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service Xxxxxxx Xxxxxxx, P.E./Project Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 500% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxxxx/Director of Public Service Village Administrator CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxx Xxxxxxx/Safety-Service Director of Public Service CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 500% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxxxxxxx/Director of Public Service Village Administrator CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5073% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service Xxxxxx Xxx Xxxxxxxx, P.E., P.S./Project Manager CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxx Xxx Xxxxxxxx/Director of Public Service Project Manager CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx Xxxxx/Director of Public Service Project Manager CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxx Xxxxxxxxx/Admin./Finance Director of Public Service CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5051% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx Xxxxx X. Xxxxx/Director of Public Service Xxxxxx. P.E., P.S./Village Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5033% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxx Stuck/Director of Public Service Village Administrator CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service Xxx Xxxxxxxx, P.E./City Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC OSGCIC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5051% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service Xxxxxx Xxxxxx, P.E./Vg. Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5025% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxx Xxxxxxx/Director of Public Service Street Superintendent CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5010% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxx Xxxxxxx/Director of Public Service Xxxxxxxx Township Trustee CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service , P.E., P.S./Project Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC OSGCIC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5065% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxx/Director of Public Service Village Administrator CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC OSGCIC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5010% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service Xxxxx Xxxxxx, P.E./Village Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 500% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxxx Xxxxxxx/Public Works Director of Public Service CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5025% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx Xxxxx X. XxxxxXxxxxxxx/Director of Public Service Engineer CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service Xxxxx P.E./Project Manager CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5040% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. XxxxxXxxxxx Xxxxxxx/Director of Public Service Utility Department Superintendent CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5066% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx Xxxxxxx-Xxxxx/Director of Public Service Village Administrator CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION:

YES NO. If the answer is YES or if this disbursement uses the remainder of your OPWC assistance, your project file will be closed upon processing this request. As described in Appendix D of the Project Agreement, your minimum Percentage Contribution is 5026% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxxx X. Xxxxx/Director of Public Service Xxxxx Xxxxxxxxx, P.E./Vice President CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION: