ࡱ>  6bjbjss 4. %%uuu8f\Y*L( \ \ \ \ \ \ \R^`v \uz z z \%%4 \p'p'p'z j%8u \p'z \p'p'=]-@p/) >[6\0f\>^ja Fja4-@jau-@+p'|a+++ \ \*$F+++f\z z z z ja+++++++++ : ˿Ƶ Qualified School Construction Bond (QSCB) Program Application for 2010 District or Charter School Name: FORMTEXT County-District Number: District or Charter School Contact Person: Address 1: Address 2: City: Zip Code: Telephone: Email Address:  Bond Authorization Requested The maximum bond authorization that may be requested per district or charter school per allocation year is the greater of either: 1) $5,000,000; or 2) {$5,000,000 + [$500 x (20092010 Public Education Information Management System student enrollment 400)]}. The maximum bond authorization that may be requested per district or charter school per allocation year may be increased by an additional 5 percent if the district or charter school commits to designing and constructing its projects so that they receive certification under a high-performance building standard such as: the Leadership in Energy and Environmental Design (LEED) Green Building Rating System; the Texas Collaborative for High Performance Schools (TX-CHPS) Criteria; the Green Building Initiative's Green Globes criteria; or an equivalent standard adopted by the municipality or county in which the projects are located. ( Acknowledgement of intent to design and construct projects so that they receive certification under a high-performance building standard (please check if applicable) Numeric amount of the bond authorization requested:(Example: $5,250,000)Written amount of the bond authorization requested:(Example: Five million two hundred fifty thousand dollars) Applicant must commit to spend at least 10 percent of the proceeds within six months and 100 percent of the proceeds within three years of issue of the QSCB bonds: Anticipated issue date:Anticipated amount of funds spent six months after issue:$Anticipated amount of funds spent three years after issue:$ ˿Ƶ Qualified School Construction Bond (QSCB) Program Application for 2010 County-District Number:District or Charter School Name: Project Description(s) CAMPUS NAMEPROJECT TYPE (check one box only for each project)ESTIMATED COSTNARRATIVE DESCRIPTIONProject 1 FORMCHECKBOX New campus$ FORMCHECKBOX New campus with land acquisition FORMCHECKBOX Addition(s) only FORMCHECKBOX Additions and repairs or rehabilitation FORMCHECKBOX Repairs or rehabilitation onlyProject 2 FORMCHECKBOX New campus$ FORMCHECKBOX New campus with land acquisition FORMCHECKBOX Addition(s) only FORMCHECKBOX Additions and repairs or rehabilitation FORMCHECKBOX Repairs or rehabilitation onlyProject 3 FORMCHECKBOX New campus$ FORMCHECKBOX New campus with land acquisition FORMCHECKBOX Addition(s) only FORMCHECKBOX Additions and repairs or rehabilitation FORMCHECKBOX Repairs or rehabilitation onlyProject 4 FORMCHECKBOX New campus$ FORMCHECKBOX New campus with land acquisition FORMCHECKBOX Addition(s) only FORMCHECKBOX Additions and repairs or rehabilitation FORMCHECKBOX Repairs or rehabilitation onlyIssuance costs (if any):$Cannot exceed 2% of the bond authorization amount requestedTOTAL PROJECT COSTS & ISSUANCE COSTS:$Must equal the bond authorization amount requested This page may be reproduced to provide additional space as needed. ˿Ƶ Qualified School Construction Bond (QSCB) Program Application for 2010 County-District Number:District or Charter School Name: As used in this application: "Agency" means the ˿Ƶ (TEA); "Applicant" means the entity eligible to apply for bond authorization. If the application is approved, applicant means the entity granted the bond authorization. Statement of provisions and assurances for the bond authorization requested in this application: A. The applicant certifies that 100 percent of the proceeds of the qualified school construction bonds will be used for some or all of the following qualified purposes: Construction of public school facilities; Rehabilitation or repair of public school facilities; Acquisition of land on which public school facilities will be constructed with proceeds of issuance; Equipment related to the project(s) constructed or rehabilitated with the proceeds of issuance; or Issuance costs not to exceed 2 percent of total bond proceeds. Within six months of issuance, the applicant must have entered into contract(s) for use of proceeds equal to 10 percent of issuance. Additionally, 100 percent of the bond proceeds are to be used for a qualified purpose and must be spent within three years of the date of issuance. B. Debt instruments: A school district applicant shall issue one or more of the following four types of debt instruments: General Obligation Bond - authorized under the authority of the Texas Education Code, Chapter 45, Subchapter A; Lease Purchase - authorized under the Texas Local Government Code, 271.004 or 271.005; Time Warrant - authorized under the Texas Education Code, 45.103; or Maintenance Tax Note - authorized under the Texas Education Code, 45.108. A charter applicant shall issue only the following type of debt instrument: Revenue Bond - as authorized under the Texas Education Code, Chapter 53, Subchapter C. C. Compliance with the Davis-Bacon Act: The applicant certifies that all laborers and mechanics employed by contractors and subcontractors on projects funded directly by or assisted in whole or in part by and through the federal government pursuant to this authorization shall be paid wages at rates not less than those prevailing on projects of a character similar in the locality as determined by the secretary of labor in accordance with 40 United States Code (USC), Chapter 31, Subchapter IV. With respect to the labor standards specified in this section, the secretary of labor shall have the authority and functions set forth in Reorganization Plan Numbered 14 of 1950 (64 Stat. 1267; 5 USC Appendix) and 40 USC, 3145 (Section 1606). The applicant certifies that all contracts will include language that acknowledges that all contractors or subcontractors must pay laborers and mechanics employed under the contract no less than locally prevailing wages for corresponding work on similar projects in the area. The U.S. Department of Labor determines locally prevailing wage rates. Wage determinations:  HYPERLINK "http://www.access.gpo.gov/davisbacon/" http://www.access.gpo.gov/davisbacon/ Texas wage determinations are linked from the following site:  HYPERLINK "http://www.access.gpo.gov/davisbacon/TX.html" http://www.access.gpo.gov/davisbacon/TX.html D. The applicant certifies that the applicant will comply with any arbitrage and rebate requirements that may be applicable on governmental tax-exempt bonds. ˿Ƶ Qualified School Construction Bond (QSCB) Program Application for 2010 County-District Number:District or Charter School Name: Statement of provisions and assurances for the bond authorization requested in this application (continued): E. No other agreement, written or oral, purporting to alter or amend this application shall be valid. F. The applicant certifies that the person signing this application has been properly delegated this authority. G. In the conduct of the bond authorization, the applicant shall be subject to Texas State Board of Education rules and commissioner of education rules pertaining to school facilities and the bond authorization and to the laws of the State of Texas governing this bond authorization. This document constitutes the entire agreement between the agency and the applicant for the bond authorization. H. The agency may conduct desk reviews or on-site monitoring reviews to determine compliance with the approved application and the applicable statute(s), law(s), regulations, and guidelines. I. If the applicant, in the agencys sole determination, fails or refuses for any reason to perform any of its obligations under this contract, the agency may impose such sanctions as it may deem appropriate. The cancellation, termination, or suspension of this bond authorization, if imposed, shall become effective at the close of business on the day of the applicants receipt of written notice thereof from the agency. J. The applicant, to the extent permitted by law, shall hold the agency harmless from and shall indemnify the agency against any and all claims, demands, and causes of action of whatever kind or nature asserted by any third party and occurring or in any way incident to, arising from, or in connection with any acts of the applicant, its agents, employees, and subcontractors, done in the conduct of the bond authorization. K. The applicant shall maintain its records and accounts in a manner that assures a full accounting for all funds received and expended by the applicant in connection with the bond authorization. These records and accounts shall be retained by the applicant and made available for programmatic or financial audit by the agency and by others authorized by law or regulation to make such an audit for a period of not less than five years from the date of the end of debt service. If an audit has been announced, the records shall be retained until such audit has been completed. L. The applicant certifies that no funds provided under this bond authorization shall be used to purchase supplies, equipment, or services from any companies found to be guilty of unfair business practices within 12 months from the determination of guilt. M. The applicant certifies that no funds will be used to pay for religious worship, instruction, or proselytization, or for any equipment or supplies for such, or for any construction, remodeling, repair, operation, or maintenance of any facility or part of a facility to be used for religious worship, instruction, or proselytization (34 Code of Federal Regulations, 76.532 and Public Law 107-110, 9505). N. The applicant certifies that any construction or major renovation of an existing or new instructional facility using funds obtained by the applicant under this bond authorization shall consider, in the design of the instructional facility, security criteria developed by the Texas School Safety Center under the Texas Education Code, 37.2051. ˿Ƶ Qualified School Construction Bond (QSCB) Program Application for 2010 County-District Number:District or Charter School Name: I certify that to the best of my knowledge, the information in this application is true and correct. I further certify that any ensuing program and activity will be conducted in accordance with all applicable federal and state laws and regulations, application guidelines and instructions, and the statement of provisions and assurances contained herein.  Printed Name of Superintendent or Other Authorized District or Charter School OfficialXX Original Signature (Blue Ink Preferred) of Superintendent or Other Authorized District or Charter School Official Date Please return to: ˿Ƶ Document Control Center, Room 6-108 ATTN: QSCB 1701 North Congress Avenue Austin, TX 78701 Fax or email submissions will not be accepted. Completed applications will be considered on a first-come, first-served basis, with an application deadline of 5:00 p.m. (CDT), June 30, 2010. Questions? Call Sam Lester of the State Funding Division at (512) 475-2029 or Gary Marek of the State Funding Division at (512) 463-9190.      ]^_`, - . 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