Green Ontario Fund (GreenON)

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Derek Simmons
5 years ago
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1 Grn Ontario Fund (GrnON) BUSINESS CASE SUMMARY submission du March 15/18 List all of th rtrofit and rnovation rpairs idntifid in your submission, including stimatd costs and proposd timlins (commncmnt and compltion dats), in ordr of priority (highst to lowst): All work approvd undr GrnOn must b 100% complt by March 31, 2021 # Typ of Rtrofit/Rnovation/ Rpair Total Estimatd Costs Associatd Timlins Commncmnt Compltion I / W it our Businss Cas for considration undr th trms, conditions and provisions outlind in this Rqust for Businss Cas. h r b y s u b m I/W, th undrsignd, acknowldg that I/W hav rcivd and rviwd th Grn Ontario Fund (GrnON) guidlins, and that this submission complis with th program guidlins. SIGNED SEALED AND DELIVERED in th prsnc of: Authorizd Signing Authority: (Must b signd off by two Board Mmbrs with authority to bind th corporation) Print Nam: Print Nam: Position or Titl: Position or Titl: Signatur: Signatur: Dat: Dat: I/W hav th authority to bind th corporation.

2 5.2. BUSINESS CASE Plas provid all of th information rqustd blow. You must complt this form for ach rtrofit/rnovation/ rpair rqust and includ all supporting documntation. B sur to includ financial considrations and proposd commncmnt and compltion of work dats for ach rqust. If th proposd work has an impact on tnants/mmbrs, plas includ dtails on how tnants/mmbrs will b kpt informd of th work, and if ncssary, includ a tnant/mmbr rlocation and placmnt plan HOUSING PROVIDER INFORMATION Housing Providr: Total Numbr of Units: Projct Addrss: Numbr of Units Affctd: Numbr of Buildings: Providr Typ: Non-Profit Co-oprativ Numbr of Buildings Affctd: Clint Typ: Sniors Familis Singls Supportiv Aboriginal Othr (list) Building Typ: High-ris Low-ris Othr (list) Ag of building(s) rquiring rtrofit/rnovation/ rpairs: Any outstanding municipal/rgional work-ordrs or Fir Cod Violations? If ys, includ a copy with your submission Rtrofit/Rnovation/Rpair Information YES NO a. Gnral Dscription Estimatd Cost: _ Funds Rqustd: $ b. Classification Grnhous Gas Emission Rduction nrgy fficincy othr, spcify c. Proposd Commncmnt Dat d. Proposd Compltion Dat. Justification (attach sparat sht, if rquird)

3 Th information providd should clarly xplain th xisting condition, functionality of lmnts, rmaining usful lif, all prvious rpair history, any physical/social bnfits rlvant to th rqust and any potntial savings. You should also includ any consquncs and/or associatd costs of inaction or dlaying th work, any impact on th ovrall projct viability and/or on th tnants/ mmbrs whil work is bing prformd and upon compltion. f. Supporting Documntation (i.., tchnical, lgal). List all documntation attachd to your Businss Cas

4 5.2.3 FINANCIAL CONSIDERATIONS GrnON funding may not covr 100% of th proposd work. Funding approval will b basd on th stimats submittd by th Housing Providr. Should th actual cost of th approvd rtrofit/rpair(s) xcd th approvd funding allocation, th Housing Providr will b rsponsibl to fund any ovrags. a. Capital Rsrv Balanc: b. List th balanc of funds availabl: Annual Capital Rsrv allocation accumulatd surpluss othr funding sourcs, if availabl (idntify sourc and amount) TOTAL c. Estimatd cost of rtrofit/rnovation/ rpair, including all profssional fs and contingncy d. Funds availabl for capital rpair (total from b. abov). Amount of Funds rqustd (Itm c minus d) JUSTIFICATION FOR FIGURES (ABOVE)

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Employment Application Last First MI Dat of Application Employmnt Application Th Nlrod Company dba Fox Enrgy Spcialists Is An Equal Opportunity Employr Fox Enrgy Spcialists 3109 Lubbock Avnu Fort Worth, TX 76109 1-866-448-0961