RECZIVSD) DEC - 272024 BY. uchaany DISTRIBU 1227124 toRraauE pent ORIGINAL Board of Commissioners Agenda Item Transmittal Form Procurement/Contratct Transmittal Form Rabhuhm Type of contract: iyearD Multi-yearD Single Event D Contract #:C-2024-58- col BOCApprovall Date: Submission. Information, Contact Name: Kimbry Peek, Sr. Department: Water Resources Project' Title: Loan No. DWLSL20ZZ177 Vendorlnformation Authority Vendor Name: Georgia Environmental Finance Address: Address: Email: Phone #: Contact: 47Trinity Avenue SWI Fifthl Fir Atlanta, GA 30334 watersewersourcescgelagagov Funding Account Number: Contract: amount: $155,000.00 Contract' Type: Goods0 Services0) Grant0) Contract Action: New0) Renewal0) Change Order (x) Original Contract. Number: C-2024-58 ChiefFinancial Officers Signature Ihaver revigwed thea attached contract, andt the amounti is approvedfor processing. Mielllikas Signgture: 404-584-1069 Kelvin Castro Dec, 2025 Term of contract: Ehhih Procurement: Manager Signature Ihave reviewed the attached contract, andi iti isi in compliance with Purchasing Policies of Rockdale County; dmalon luls Date: 1-7-2075 Date: 125 Signature: Detailed Summary of Contract: In Early2024 Rockdale County Water Resources applied for af forgivable Loant through the Georgla Environmental Finance Authority(GEFA): for thel Lead and CopperService Line Replacement Program, and was granted $155,0001 from thel Drinking Waters State Revolving Fundi for Construction: and Installation (Approved! by the BOC), The funds areto be activated and used no later than December 2024. Ift the funds are note exhaustedi by December2024, GEFAI required al letter of extension to use the funds beyondthe expiration. RWR: sental loan extension letterto GEFA.. Department Head/Elected Official Signature: Kinby L/ PeeSe Date: 12/27/24 3e35-09 ExhibitA Updated. DESCRIPTION OF THE PROJECT PROJECT: SCHEDULE Recipient: Loan Number: ROCKDALE COUNTY DWLSL2022177 Loan Extension Request Date: ik ACTION Bid Opening Notice to Proceed Completion of Construction DATE JUNE 2023 NOVEMBER 2023 DEÇEMBER 2023 DEGEMBER 2025/ Plans & Specs Submitted to EPD Initial Authorized Signature 3 OAn PrintName of Authorized Signature QBAVNASEIEA Rockdale Water Resources 958 Milstead Avenue, N.E. Conyers, GA 30012 ATTEST: Approvad ast tof form M. Qader A Balg, County Attomey Jennifer O. Rulledge, County Clerk Georgia Environmental Finance Authority GEFA Brian P. Kemp Hunter Hill Goyernor Executive Direçtor ACKNOWLEDGEMENT OF MODIFICATION FEE FORM Recipient: Rockdale Water Resources Loan. Amount: $155,000 Modification' Number:1 Type: Loan Number: DWLSL2022177 Modification Fee Amount: $0 Executivé Director's Increase Schedule 18 Scope 19 Other. By signing this form,lacknowledge the GEFA Loan Program Poleyanéescep-hetpsentedleakoer. ervigasseewtihintemeteapdlasiaowlagementn addition, Icertify thatlam authorized tof financially obligate and sign this acknowledgement on behalf of our governing body. Signature: SAM Print Name: OSBOD MESBIT,SR ATTEST: Title: CHAPMAD Date: a19004 Jennifer O. Rulledge, County Clerk TO BE COMPLETED BY GEFA Original loan information Board approval date: Loan execution date: Repayment date: Reason for Modification: Rockdale Water Resources (RWR) will fully utilize ther remaining funds oft the loan toi improve thé unknown inventory address list. Approved aet tof form M. Qader A. Balg, County Attomay 471 Thhity Ave SW T Fifth Floor Atlarta, GA: 30334 P:404-5B4-1000" T F.404-584-1069 gefa.geargia.goy