APPLICATION FOR ARRA SHORT LINE RAILROAD PROJECT GRANT FUNDS

Section 1: GENERAL INFORMATION

1. Project Name:

/

Location:

2. Applicant Name:
3. Contact Person: / Title:
4. Complete Mailing Address:
Street Address and/or Box No.
Phone
City State Zip Area Code -Number
Please complete the following:
Type of Project :
5.Development of a New Rail Line
6. Improvement of an Existing Rail Line
7. Both
Purpose of Project:
8. Expanding an Existing Development
9.Attracting a New Development
10. Retaining an Existing Development
11. Improving the capacity or efficiency of an existing rail line
12. Other
13. If “other,” explain
14. Has any part of this development or railway project been started? Yes No
15. If yes, explain
16. Does the project involve relocation of economic activity from elsewhere in Kansas? Yes No
17. If yes, explain

Section 2: FINANCIAL INFORMATION

18. This application is forfederal funding as a: Loan Grant Combination
19. Grant Amount
20. Total federal funds requested for railway project
21. Description of security offered
22. Value of the security offered
23. Matching funds available for railway project
List below the source(s) and amount of matching funds:
Source(s) / Amount
% of total project cost
24. 1.
25. 2.
26. 3.
27. Total matching funds available for project
TOTAL CAPITAL INVESTMENT
28. Matching funds available for railway project (from line 27)
29. ARRA Grant Request
30.Total Capital Investment (Project Cost)

Section 3: SHIPPING PROJECTIONS

31. Please estimate the annual tons of freight shipped/will be shipped by rail each year:

32. Please estimate the annual car loads of freight shipped/will be shipped by rail each year:

33. Please estimate the distance in miles freight will travel by rail per year:

34. Please estimate the transportation cost savings by the use of rail:

Section 4: ECONOMIC INFORMATION
Please state the number of permanent, full-time direct jobs created and/or retained as a result of the economic development activity being supported by this project.
35. Initial direct jobs created / Permanent, full-time jobs at present
(within first two years)
36. Future direct jobs created
37. Total direct jobs created / Total direct jobs retained
Employee Compensation
38. Average hourly wage rate for all classifications
39. Other employee benefits as a % of hourly wage rate

DOCUMENTATION INFORMATION

The following documents must be attached to this application. In the upper right-hand corner of each document, please write the letter shown below which the document supports. Narratives can not be more than one type-written page in length.

Please check that the following items are attached as “Exhibits A thru H”:

  1. A NARRATIVE describing the potential direct economic development along withany associated economic development of this project. The narrative should establish a nexus between the planned direct economic developments and expected associated economic development. Please describe the direct job creation and indirect job creation associated with this project.
  2. A NARRATIVE assessing existing condition, outlining the proposed concept of the railway project, and providing adequate economically supported transportation justification. The narrative should make the case that public benefits will be greater than public cost or investment in the project.
  3. A MAP identifying the location of the railway project.
  4. A SKETCH PLAN (overhead plan view or system map) of the railway project.
  5. A TIME SCHEDULE for the total development, including the railway project.
  6. DOCUMENTATION that arrangements have been made for rail service (letter from the serving railroad) and non-railway factors intrinsic to the success of the development.
  7. An ITEMIZED BREAKDOWN of total railway project costs.

H.A DESCRIPTION OF ASSOCIATED ECONOMIC DEVELOPMENT AND JOBS to include

  • A description and history of the business, including the location of company headquarters, all current plants (both in and out-of-state), and the number of full-time and part-time employees at each location.
  • Data supporting historical and projected growth potential.
  • Other Kansas companies that could be considered as your competitors.

CERTIFICATION

To the best of my knowledge and belief, all information included in this application is true and accurate, including the commitment of all physical and financial resources. This application has been duly authorized by the applicant(s). I understand the attached RESOLUTION(S) binds the participating applicant(s) to assume responsibility that additional funds are committed, and to ensure ongoing annual maintenance of any new or improved rail facilities.

I hereby certify, under penalty of perjury, that any award of the ARRA Short Line Railroad Grant Program funds; any subsequent letting of contracts for construction, reconstruction, or improvement; or the furnishing of materials therefore; shall not involve direct or indirect interestof any state, county, or city official, elective or appointive. Any award of ARRA Short Line Railroad Grant Program funding or any letting of a contract in violation of the foregoing provisions shall invalidate the award the Grant Program funding and authorize a complete recovery of any funds previously disbursed.

I understand that, although this information is sufficient to secure a commitment of funds, a firm contract between the applicant and the Department is required prior to the authorization of funds.

Representing the
Signed:
Signature in Ink / Date Signed
Typed Name and Title / Typed Date
Attested:
Signature in Ink / Date Signed
Typed Name and Title / Typed Date

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