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: Xxx Xxxx, PE/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 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxx Xxxxx/City Engineer 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 5010% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxx Xxxxxxx/City Engineer 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 500% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxx Xxxxx/City Engineer Service 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 5035% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxxxxx Xxxxxxx/City Engineer Director ACDOES 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: Xxx Xxxx, PEXxxxxxxx Xxxxx/City Engineer 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 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxx Xxxxx/City Engineer Service Department Supervisor 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: Xxx Xxxx, PEXxxxxxxxxx/City Engineer Underground Utilities 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 5026% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxxx/City Engineer 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: Xxx Xxxx, PEXxxxxx Xxxxxxxx/City Engineer 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 5076% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxx Xxxxxxx/City Engineer Public Works 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 5090% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxx Xxxxx/City Engineer Funding 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: Xxx Xxxx, PEXxxxxx/City Engineer Project 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 5031% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxx Xxxxxx/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 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxx/City Engineer 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: Xxx Xxxx, PEXxxx Xxxxxxxxx/City Engineer 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 5035% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxx Xxxxxx/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 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxx Xxxxxxx/City Engineer Assistant Administrator of Operations 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: Xxx Xxxx, PEXxxx Xxxxxxxxx/City Engineer 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 5086% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxx Xxxxxx/City Engineer 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: Xxx Xxxx, PEXxxxxx Xxxxxx/City Engineer 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: Xxx Xxxx, PEXxxxx/City Engineer 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: Xxx Xxxx, PEXxxxxx Xxxxxx/City Engineer 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 5092% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx XxxxXxxx Xxxxxxx, PE/City P.E., S.I./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: Xxx Xxxx, PEXxxxx/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 5035% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxx Xxxxxxx/City Engineer 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 5067% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxx Xxxxx/City Engineer Funding 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 5029% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxxxx Xxxxxxxx/City Engineer Vice Pres. 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: Xxx Xxxx, PEXxxxx Xxxxx/City Engineer Service 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 5010% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxx Xxxxx/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 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxx Xxxxx/City Engineer 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: Xxx Xxxxx Xxxx, PE/City Engineer 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 5037% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxxx Blue/City Engineer 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: Xxx Xxxx, PEXxxxx Xxxxxxxx/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 504% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxxx Xxxx, PE/City Engineer Superintedent 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: Xxx Xxxx, PEXxxxxxxxxx/City Civil 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: Xxx Xxxx, PEXxxx Xxxxxx/City Engineer 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 5051% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxx/City Engineer Councilman 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: Xxx Xxxx, PEXxxxx Xxxxx/City Engineer Sewer Services 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 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 5011% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxx Xxxxxx/City Engineer 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 500% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxx Xxxxx/City Engineer Road Maintenance 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: Xxx Xxxx, PEXxxxxx Xxxxxx/City Engineer 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 500% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxxx Xxxx, PE/City Engineer 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 505% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxxxxx/City Engineer 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 5031% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxxxx/City Engineer 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: Xxx Xxxx, PEXxxxx/City Engineer 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: Xxx Xxxxx Xxxx, PE/City Engineer Grants & 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 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 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxxx Xxxx, PE/City Engineer Service Dir. 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 5016% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxxx/City Engineer Project 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 5040% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxx Xxxxxx/City Engineer 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 5086% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxxxx Xxxx, PE/City Engineer 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: Xxx Xxxx, PEXxxxx Xxxxx/City Engineer 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 5075% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxx X. Xxxxx/City Engineer 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 5041% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxx/City Engineer Service Supervisor 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: Xxx XxxxXxxxx Xxxxxxxxxx, PE/City P.E./Acting 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 5095% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxx Xxxxxx/City Engineer 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 5056% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxx Xxxxx/City Engineer Funding 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: Xxx Xxxx, PE/City Engineer Utilities 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 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 5016% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxx Xxxxxx/City Engineer 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 5026% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxx Deal/City Engineer 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 505% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxx Xxxxxx/City Engineer Public Services 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 5010% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxx Xxxxxx/City Engineer Maintenance Supervisor 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 5041% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PESkip Apple/City Engineer Township 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 5071% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PE/City Engineer 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 5070% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxx Xxxxx/City Engineer Village 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: Xxx Xxxx, PEXxxx Xxxxx/City Engineer 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 5057% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxx Xxxxx/City Engineer 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: Xxx Xxxx, PEXxxx Xxxxxxxxx/City Engineer Public Works 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 5067% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxx/City Engineer 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 5091% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxx Xxxxx/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 5016% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxx Xxxxxx/City Engineer Service Directr 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: Xxx Xxxx, PEXxxxxx Xxxxxxxxxxx/City Engineer Vg. 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 5015% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxx Xxxxx/City Engineer 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: Xxx Xxxx, PEXxxxx/City Engineer 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 5019% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxx Xxxxx/City Engineer 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: Xxx Xxxx, PE/City Engineer Utilities 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 5046% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxx Xxxxx/City Engineer Street 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 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: Xxx Xxxx, PEXxxxxx Xxxxxxxx/City Engineer 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: Xxx Xxxx, PEXxxxx Xxxxxx/City 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: Xxx Xxxx, PEXxxxxxxx Xxxxxxx/City Engineer Director of 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 5058% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxxxx Xxxx, PE/City P.E., P.S./Senior 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 5053% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxx Xxxxx/City Engineer 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 5031% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxx Xxxxx/City Engineer 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 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxxx Xxxxxx/City Engineer 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: Xxx Xxxx, PEXxxxx Xxxxxxxxxxxx/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 5096% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxx Xxxxx/City Engineer Project Manger 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: Xxx XxxxXxxx Xxxxxx, PE/City Engineer P.E./Principal, JMA Consultants 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: Xxx Xxxx, PEXxxx Xxxxxxxxx/City Engineer 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 5061% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxx/City Engineer 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 5075% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxxx Xxxxxx/City Engineer 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 5010% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxx X. Xxxxx/City Engineer 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 5023% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxx/City Engineer 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 505% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxx/City Engineer 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 5058% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxx Xxxxx/City Engineer 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 5016% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxx Xxxxx/City Engineer 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 5031% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxxxx Xxxxxx/City Engineer 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 500% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxxxx Xxxxxx/City Engineer 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 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 50% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxxx Xxxxxxx/City 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: Xxx XxxxXxxxxx Xxxxx, PE/City P.E., P.S./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 500% of the total project cost. PROJECT MANAGER CERTIFICATION: Xxx Xxxx, PEXxxx Xxxxx/City Engineer Manager CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER CERTIFICATION: