Sheet: Sheet1

Sheet: Sheet2

Sheet: Sheet3

Sheet: Module3

USDA - RUS

BORROWER AND LOAN DESIGNATION

GFR  CHECKLIST  AND  REPORT  FOR

(insert borrower and loan designation in cell M2, pg 1)

ELECTRIC  LOAN  APPLICATION

CUTOFF DATE

(insert cutoff date in cell M4)

 the last page.  An asterisk should be placed in the appropriate column opposite the item to call attention to the footnote.  Only items not

 previously reported to RUS or on which there have been significant changes need to be discussed in the Field Activities Report.

NAME OF SUPPLEMENTAL LENDER:

  APPLICATION AMOUNT

 TOTAL  .    .    .    .    .    .    .    .    .    .    .   .   .   .   .   .   .   . 

0.0

National Rural Utilities Cooperative Finance

      RUS     .     .     .     .     .     .     .     .     .     .   .   .   .   .   .               

0.0

  Corporation   (CFC)

      SUPPLEMENTAL FOR FACILITIES  .   .   .   .   .   .   .   .  

0.0

      EQUITY INVESTMENT      .    .    .    .   .   .   .   .   .   .   .  

0.0

      GUARANTEED      .     .     .     .     .   .   .   .   .   .   .   .   . 

SUPP. LOAN PERCENTAGE 

CTC PERCENTAGE REQUIRED

      100 PERCENT OTHER      .     .     .   .   .   .   .   .   .   .  . 

0.0

   DATES SUPPORTING STUDIES APPROVED

ITEM

BOARD

RUS

 LONG RANGE PLAN (LRP)

(insert dates in col. M)

(insert dates in col. O)

 CONSTRUCTION WORK PLAN (CWP)

 POWER REQUIREMENTS STUDY (PRS)

 FINANCIAL FORECAST (FF)

 ENERGY CONSERVATION WORK PLAN AND BUDGET

N/A

N/A

          (CHECK)

ITEM

YES

NO

N/A

 A.

   GFR'S REVIEW OF BORROWER'S ORGANIZATION, MANAGEMENT AND FINANCIAL OPERATIONS

1.

Manager has been in current position for

years.

2.0

Manager's prior position

3.

Resolutions and/or plans in regard to action to correct any unsatisfactory condition included in loan materials

(IDENTIFY)

4.

Headquarters  facilities  adequate.

5

Relations satisfactory:

a.  Board and Manager

b.   Member

c.   Public

d.   Labor

6.     If

 merger or

comments section.

7.

Retail  Rates: 

a.   Existing rates adequate.

b.   Rate  revision  study  completed  or  underway.

c.   Rates  being  implemented  as  written.

d.   Rates are

less   

 about  the  same

5 - 25% more

   25%  more  than  adjoining  utility

           (average usage including adjustments).

8.

Equal  Employment  Opportunity  and  Nondiscrimination.

a.   SF-100, Equal Employment Opportunity Employer Report EEO-1, submitted to the Dept. of Labor as required.

b.   RUS  Form  291,  Certification  of  Nonsegregated  Facilities  or  RUS  Form  290,  Equal  

     Employment Opportunity Resolution  on  file  in  RUS.

9.

a.   Policy  prohibiting.

b.   Employee/Directors  accounts  receivable  are  current.

        10.

Public  Service  Commission,  if  any,  has  jurisdiction.

If  "yes"  does  jurisdiction  covers:

a.   Territory.

b.   Retail  Rates.

c.   Financing.

        11.

  RUS FORM  138  

(REV. 8-85)

Computer generated form. (9/97 ,version 4)

   PAGE  1  OF  3  PAGES

USDA - RUS

BORROWER AND LOAN DESIGNATION

GFR  CHECKLIST  AND  REPORT  FOR

(insert borrower and loan designation in cell M2, pg 1)

ITEM

(CHECK)

YES

NO

N/A

12.

If  answer  "no",  appropriate  action  being  taken  to  eliminate  disputes?

13.

Pending  litigation  reported.

 B.

REVIEW OF LOAN APPLICATION

1.

Borrower's  Form  726  is  properly  completed.

2.

Estimated number of consumers and kWh usages to be provided for in the loan application are consistent with those 

in the CWP, PRS, and FF.

3.

New loan funds required for loan period on Form 325g are in reasonable agreement with net loan funds requested on

RUS  Form  740c.

4.

Cost  estimates  for  consumer  connections,  system improvements,  meters,  transformers,  security lights  and

ordinary  replacements  appear  reasonable,  based  upon  historical  data  which  has  been  submitted.

5.

Information  to  justify  Budget  Purposes  2,  3,  4,  5,  and  6  is  included.

6.

A  Power  Survey  has  been  requested  when  required  per  Bulletin  111-3.

7.

New  large  power  loads  supported  by  Form  170,  Large  Power  Application  or  appropriate  studies.

8.

RUS Forms  7,  324,  602,  740c  and  740g  (if  necessary)  have  been  submitted.

9.

Facilities  previously  included a in  loan  but  not  constructed  and  to  be  constructed  but  financing  assistance  not

requested  are  identified  in  CWP  for  new  loan.

10.

Borrower was advised of need for title clearance from OGC on real estate purchases for substation and headquarters

11.

a.   Borrower  has  ability  to  complete  construction  during

 year loan period.

b.   If  necessary,  commitment  to  use  contractors  has  been  provided.

12.

Loan  application  includes  breakdown  of  consumers  and  facilities  by  State.

13.

14.

Is  borrower  participating  in  Energy  Resource  Conservation  loan  program?

 C.

REVIEW OF SYSTEM OPERATIONS AND MAINTENANCE ACTIVITIES

1.

A review and evaluation of borrower's O & M program has been made in accordance with RUS Bulletin 161-5 within the

past three years.   Date of review

 .

2.

System is being satisfactorily operated and maintained and sufficient funds are being budgeted for future adequate

 operation and maintenance.

3.

Management developed and board has approved corrective measures to be taken where O&M program is inadequate.

4.

a.   Average hours interruption per consumer per year of

 is based on five-year's records, 19

 through 19

b.   If average exceeds 5 hrs/cons/yr,  statement submitted by borrower giving reasons and board has approved corrective

     measures which are to be taken.

 D.

1.

BER  provided  appears  satisfactory.

2.

Appropriate agencies have been contacted.  Their comments have been addressed in the BER.  Copies of all 

correspondence with those agencies have been included in the BER.

3.

Do any of the facilities included in the loan application require an Environmental Assessment (EA) or an Environmental

Impact Statement (EIS) as required by 7 CFR Part 1794?

4.

a.   Appropriate notice(s) published in local newspapers for EA/EIS projects or projects impacting floodplains/wetlands.

b.   Copy of newspaper advertisement, copies of all comments received, and borrower's recommendations,  when

      called for in  7 CFR Part 1794 are included with BER.

 E.

POWER SUPPLY MATTERS

1.

Firm written commitment for power delivery has been obtained and submitted to  RUS for all new delivery points or

increases in capacity.

2.

Power contract negotiations started for new wholesale power delivery points or for additional capacity required of existing

delivery points.

3.

G&T borrower or power supplier concurs in planning for additional wholesale power delivery points for additional

capacity required at existing delivery points.

4.

Projected wholesale power costs at end of year two of  FF is

 cents / kWh.

5.

Projected wholesale power costs at end of year five of  FF is

 cents / kWh.

Computer generated form. (9/97 ,version 4)

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USDA - RUS

BORROWER AND LOAN DESIGNATION

GFR  CHECKLIST  AND  REPORT  FOR

(insert borrower and loan designation in cell M2, pg 1)

 F.

A  current  RUS  Form  268  is  on  file  with  RUS.

The  borrower  is  in  compliance  with  Flood  Hazard  Insurance  Requirements.

 G.

I certify that I have sufficiently reviewed all materials and information discussed and referred to above.  Based on this review

and my personal knowledge of the operation and condition of the system, it is my opinion that (1) this application for loan funds

conforms with the provisions of RUS Bulletin 20-2,  and (2) the borrower will be able to provide adequate and dependable

service to existing and new consumers upon completion of the proposed facilities.  I therefore recommend that the application

be given favorable consideration.

Based on same review as indicated above,  I recommend that the application, except portions indicated under comments above

be given favorable consideration.

I  recommend  the  loan  application  not  be  given  favorable  consideration  for  reasons  indicated  under  comments  above.

(insert date in cell L65)

SIGNATURE

DATE

Computer generated form. (9/97 ,version 4)

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