Project No. 2957 KPWSLFDivision of Environment
Curtis State Office Bui lding
l 000 SW Jackson St., Suite 400
Topeka, KS 66612-1367
Lee A. Norman, M.D., Secretary
Martha A. Tasker, Director of Utilities
City of Salina
300WAsh
P.O. Box 736
Salina, KS 67402-0736
RE: KPWSLF Project No. 2957
Dear Ms. Tasker:
May 21 , 2021
Phone: 785-296-1535
Fax: 785-559-4264
www.kdheks.gov
Laura Kelly, Governor
Enclosed is a copy of the approved Request for Disbursement for the referenced project. Payment
has been processed and you will soon receive payment for the amount indicated on Line i.
According to our pay request disbursement records the loan is approximately 95% drawn.
Attached for your information is a Loan Payment History Record . The Payment History Record
shows the beginning balance, amendments, payments, and the balance available. The record also
shows, if applicable, any deductions made for the Reserve Account, and Interest and Service fees,
if you have asked that they be accrued.
If you should have questions, please contact this office. The member of our staff who is most
familiar with this subject, Debbie Gehrt, can be reached at 785-296-5538 or by e-mail at
Debra.Gehrt@ks.gov.
BSD.dsg
Enclosure
pc: Shandi Wicks, City Clerk
HOR, Jessica Adams-Weber
File
Sincerely yours,
~~
Brenda Diegel
Bureau of Water
R:\Admin\Loan Program\DW 5RF\Payments\Active Projects\5alina 2957\5alina Letter 2957 21-05-21.docx
KANSAS DEPARTMENT OF HEAL TH AND ENVIRONMENT
BUREAU OF WATER
Recipient: City of Salina
KPWSLF Project No: 2957
Date: May 21, 2021
Type of Payment:
Classification
a. Administrative Expense (loan admin
services, publ. fees, attorney f!JeS, etc.)
b. Engineering Services Expense
c. LC1nd, Easements (not allowable
under KWPCRF)
d. Construction Contract Expense
e. Equipment (by separate KDHE
approved contract or procedure
f. Miscellaneous Cost
(not categorized above) ..... · · ............ , ~-~·· ........ v-;-, .. · .. :···--................ 1'1.:.-......... ,. -· --... ............
g. Total of Invoices Submitted
(slim of lines a thru f)
h. Deductions for other sources of
PUBLIC WATER SUPPLY LOAN FUND
DISBURSEMENT REQUEST
BREAKDOWN
Vendor: 0000063020
Location: 001 Address:
Payment Request No: [ill
[K] Interim; 0Final
a) Total Amount b) Amount Approved c) Amount Approved
Approved to Date Previous Request This Request
o.oo
0.00
0.00
4,016,820.97 3,807, 167.97 209,653.00
0.00
0.00 •-·.····r-~ ' . . •.. .,.~ ....... "'="·"''· 'l'f.···--;,\ ......... ~."··----..·. -I ,. :~ ••.• ,-.:'./ -....... ~;. ,., .. _.~ . .•.,. --·····-···-·· ....... _ .. __ ···: ...
4,016,820.97 3,807,167.97 209,653.00
..
funding used (grants or cash on hand) ( ) ( ) ( 0.00)
i.
b.
Total Disbursement Requested
from KDHE (Lin~ g minus Line h) 4,016,820.97 3,807, 167.97
$ $
KDHE Concurrence to Exhibit E
KDHE Representative Certifying to line 8.ri. C. Mazaza M!awali
Signature of Authorized Certifying Official
o.S:-2).... 2-\
Typed or Printed Name and Tille:
Date Approved
May 21, 2021
Telephone (Area Code, Number & ext.)
785-296-5504
209,653.00
$ 209,653.00
95% Complete
Dept: 2645773401
Fund: 7968
Bud Unit: 8545
Program: 22731
Acct: 575550
PC Bus: 26400
Project ID: 2648545
Activity: Operations
EXHIBIT E -REQUEST FOR DISBURSEMENT FROM KDHE REVOLVING LOAN PROGRAMS
INDICATE WHICH LOAN PROGRAM THIS REQUEST IS FOR: KDHE PROJECT NUMBER (REFER TO LOAN AGREEMENT)
KANSAS WATER POLLUTION CONTROL REVOLVING FUND KWPCRF PROJECT# C20 ---
KANSAS PUBLIC WATER SUPPLY LOAN FUND v KPWSLF PROJECT# 2957 --
IS THIS THE FINAL DISBURSEMENT RECIPIENT INFORMATION
REQUEST FOR THIS LOAN?
v NAME : City of Salina, Kansas
YES NO ----
PAYMENT REQUEST ADDRESS or PO box (include P.O.Box 736, Salina, KS 67402-0736 NUMBER : 12 City, State, Zip):
The undersigned hereby requests that the following amounts be disbursed for the following Project Costs as defined in the loan agreement:
Invoice amounts (Invoices must Invoiced from (list payee(s)) Description
Classification be attached)
a. Administrative expense (loan admin
services, publication fees, attorney
fees, etc.)
b. Engineering services expense
c. Land, easements (Not allowable
under KWPCRF)
d. Construction Contract Expense $ 209,653.00 1. Smoky Hill, LLC 1. Water Main Replacement Project
No. 1
e. Equipment (by separate KDHE
approved contract or procedure)
f. Miscellaneous cost (not categorized
above)
Total of Invoices Submitted $ 209,653.00 RECEIVED g. (sum of lines a thru i)
h. Deductions for other sources of MAY 1 ·3 2021 funding used (from grants or cash on
hand)
i. Total Disbursement Requested from $ 209,653.00 BUREAU OF WATER
KDHE *(Line g minus line h)
CERTIFICATION: I hereby state and certify that: (i) the amounts requested, are or were necessary and appropriate in connection with the purchase, construction and
installation of the Project, have been properly incurred and are a proper disbursement of the proceeds of the Loan and that an inspection has been performed and all
work is in accordance with the terms of the Loan; have been paid or are justly due as stated above; and have not been the basis of any previous requisition from the
proceeds of the Loan; (ii) all representations made in the Agreement remain true as of the date of this request; and (iii) no adverse developments affecting the financial
condition of the Recipient or its ability to complete the Project or to repay the Loan have occurred.
RECIPIENT NAME:
City of Salina, Kansas
Signature of Authorized Certifying Official
f11v.;;tL ~-;Jd--
Typed or Printed Name and Title -
Martha A. Tasker, Director of Utilities
Date Signed Telephone (Area Code, number & ext.) Email
S-/J. zoz..t 785-309-5725 martha.tasker@salina.org
Revised 10/2016 'Total Approved by KDHE will be shown on separate sheet
LOAN PAYMENT HISTORY RECORD
RECIPIENT NAME: City of Salina RECIPIENT NUMBER: 2957
LOAN AGREEMENT AMOUNT: $ 4,250,000.00 LOAN AMEND. NO. 2: AMT$
DATE: July 2, 2018 DATE:
LOAN AMEND. NO. 1: AMT. $ -LOAN AMEND. NO. 3: AMT $
DATE: April 16, 2019 DATE:
PAYMENT OBLIGATIONS/ PAYMENT OBLIGATIONS/
NUMBER UNPAID BALANCES 4,250,000.00 % NUMBER UNPAID BALANCES 1, 144,331.09 %
DATE DATE
Payment 1,114,213.38 Payment 237,641 .24
1 04/15/19 26% 9 09/04/20 79%
BALANCE 3, 135, 786.62 BALANCE 906,689.85
DATE DATE
Payment 208,044.57 Payment
2 06/10/19 31 % 10 11/06/20 146,847.10 82%
BALANCE 2,927,742.05 BALANCE 759,842.75
DATE DATE
Payment 368,393.81 Payment
3 07/29/19 40% 11 03/26/21 317,010.73 90%
BALANCE 2,559,348.24 BALANCE 442,832.02
DATE DATE
Payment 65,532.64 Payment
4 09/03/19 41 % 12 05/21/21 209,653.00 95%
BALANCE 2,493,815.60 BALANCE 233,179.02
DATE DATE
Payment 177,407.68 Payment
5 10/21/19 45%
BALANCE 2,316,407 .92 BALANCE
DATE DATE
Payment 277,708.36 Payment
6 01/13/20 52%
BALANCE 2,038,699.56 BALANCE
DATE DATE
Payment 588,131 .57 Payment
7 04/10/20 66%
BALANCE 1,450,567 .99 BALANCE
DATE DATE
Payment 306 ,236.90 Payment
8 07/01/20 73%
BALANCE 1,144,331.09 BALANCE