14-18 Exhibit-Application for Discharge Site Remediation Funds from HDSRF.pdf

SECTION H. OTHER FUNDING SOURCES Indicate all other sources of financial assistance sought for the remediation of the site. Check here if no other funding sought Insurance Coverage NJRA Brownfield Redevelopment Initiative UST Fund Green Acres 75% Brownfield Reimbursement NJ Environmental Infrastructure Trust Entity(s) responsible for conducting the remediation Other: ____________________________________________ SECTION I. WORK PROPOSAL Attach Work Proposal to application. Name of Company Preparing the Work Proposal: Matrix New World Engineering Preparer Name: Tamara Grillon Phone: (973) 585-5267 Email Address: tgrillon@matrixneworld.com SECTION J. COST ESTIMATE Attach Detailed Cost Estimate to application. SECTION K. DEMONSTRATION OF NEED FOR LOAN APPLICANTS N/A Loan applicants must demonstrate that they cannot obtain commercial funding by submitting denial letters from two lending institutions. Provide letters with application. SECTION L. FINANCIAL INFORMATION (Private Entities, Except for Innocent Party Applicants) N/A Homeowners must submit Federal tax returns for the last three years. Businesses and private matching grant applicants must attach business, as well as personal, financial statements for the last three years. Provide financial information with application. HDSRF Application Part I Page 3 of 4 Version 1.3 12/11/13