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OMB No. 2130-0548
Public reporting burden for this information collection is estimated to average 20 hours per response, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. According to the Paperwork Reduction Act of 1995, a federal agency may not conduct or sponsor, and a person is not required to
respond to a collection of information unless it displays a currently valid OMB control number. The valid OMB control number for this
information collection is 2130-0548. All responses to this collection of information are mandatory. Send comments regarding this burden
estimate or any other aspect of this collection, including suggestions for reducing this burden to: Information Collection Officer, Federal Railroad
Administration, 1200 New Jersey Ave., N.W., Washington D.C. 20590.
FEDERAL RAILROAD ADMINISTRATION
Railroad Rehabilitation and Improvement Financing Program
Loan Application
Applicant:
Amount of loan request:
Date:
Please use this form as your Railroad Rehabilitation and Improvement Financing (RRIF)
Program loan application. It will provide the Federal Railroad Administration (FRA) with the
basic information necessary to begin processing your application. The information requested in
this form is the same as that required in 49 CFR Part 260, the RRIF implementing regulation.
The related section of the regulation is identified for each item.
IMPORTANT: FRA will approve or disapprove a request for a loan within 90 days after receipt
of a complete application. Applications will be deemed complete after:
1) The FRA has fulfilled its obligations under the National Environmental Policy Act (NEPA)
and related laws, regulations and orders.
Note: Compliance with NEPA may require preparation of detailed environmental
assessments, consultation with Federal and State authorities, publication of
documents, and public review and comment on these documents. In order to expedite
the application review process, applicants may submit responses to item 20 below, in
advance of filing an application.
2) The FRA has reviewed the application and, if additional information and/or clarification has
been requested, the applicant has provided the requested information. This initial review of an
application by FRA will not exceed 30 days.
Note: Since a great variety of projects are eligible to be funded under the RRIF Program, it
is impossible to anticipate all the information that will be necessary to evaluate a
project for which funding is requested or the level of detail that will be provided by
an applicant. Therefore, a short period of time will be necessary to review
applications and determine if there is a need for additional information.
FRA F 216 (01/12)
Railroad Rehabilitation and Improvement Financing Program
Loan Application
1. Applicant Identification [260.23(a)]
Provide the full and correct name and principal business address of the Applicant in the
spaces below:
Legal entity name: ___________
Address 1:
______________
Address 2:
_____________
City:
State:
__________________
Zip:
2. Incorporation Status [260.23(b)]
Provide information on the nature of the applicant's organizational structure in the spaces
below.
Date of incorporation:
Place of incorporation:
__________________
___________________
Provide a list of Applicant’s owners with the percentage of ownership of each (disregard if
the Applicant’s stock is publicly traded), as Attachment 2a.
Provide a list of affiliated companies, including subsidiaries, parent, companies sharing
common ownership, or other related companies, describing the nature of the relationship,
as Attachment 2b.
If the Applicant is not a corporation, provide a brief description either:
As Attachment 2c - Description of Organization, or
Below
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
FRA F 216 (01/12)
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Railroad Rehabilitation and Improvement Financing Program
Loan Application
3. Contact Information [260.23(c)]
Provide contact information in the spaces below of the person with whom FRA may
communicate regarding the application.
Name:
Title:
Address 1:
Address 2:
City:
State: __________
Zip code: _____________________
Phone: _____________________________
FAX: _________________
Email:
4. Other Participant(s) in Loan Application (if any) [260.23(d)]
Does the project involves another railroad or other participant, through joint execution,
coordination, or otherwise?
No other participants
Yes
If yes, please describe the relationship between the Applicant and such other railroad or
participant in the project, including financial statements (if applicable) and financing
arrangements, portion of the work to be performed by each participant, and anticipated level of
usage of the equipment or facility of each participant when the work is completed.
Other participant description is provided:
As Attachment 4 - Description of Other Participants, or
Below
_____________________________________
_____________________________________
_____________________________________
_____________________________________
FRA F 216 (01/12)
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Railroad Rehabilitation and Improvement Financing Program
Loan Application
5. Executive Summary
Provide a separate executive summary of the application, outlining the project and the recent
traffic volumes moved and gross and net revenues, as Attachment 5 – Executive Summary.
6. Project Description [260.23(e)(1)]
Provide, as Attachment 6a - Project Description, which includes:
A detailed description of the amount and timing of the requested financial assistance;
The purpose or purposes of the requested financial assistance;
Itemized summaries, by location, of each work activity, the material quantities for each,
and the corresponding cost estimates for labor and material (shown separately); and
Unit costs and assumptions used as a basis for the cost estimates.
Presenting information in a table format is desirable, but any well-organized and easily
readable format is acceptable, provided the necessary information is included.
Track work for sidings and yards should be shown on separate lines from that done on main
tracks, and subtotals provided when useful: as for main, sidings, yard - or for totaling work
shown on individual tracks in a yard or in separate spans of a bridge. For rail replacement,
weight of existing rail in the segment should be shown, and with that table, assumption for
salvage value or explanation of other disposition (as: relay in another location).
For projects that include major rehabilitation, upgrade, relocation, or construction of any
infrastructure, provide drawings and/or illustrations adequate to permit an independent review
of cost estimates as Attachment 6b – Drawings/Photographs. This would include work such as
rehabilitation or construction of buildings, bridges, yards and terminal facilities; power, water,
fueling, environmental mitigation, and signal systems; major earthwork or drainage work; and
roadbed stabilization. Photographs of the site or existing structures are often helpful as well.
Also, provide documentation of how the cost estimate was developed (e.g., applicant’s
experience, estimates by qualified engineers, proposals by firms to undertake the work, etc.).
FRA F 216 (01/12)
4
Railroad Rehabilitation and Improvement Financing Program
Loan Application
Using the space below, check all that apply and enter approximate cost and loan request.
Project Elements
Total Cost
Loan Request
Line or company acquisition
$
$
Line rehabilitation or upgrade
$
$
Bridge rehabilitation or upgrade
$
$
Locomotive
$
$
Rail cars
$
$
Other
$
$
$
$
MOE shop
$
$
Storage
$
$
Office
$
$
Other:
$
$
$
$
Rail Equipment acquisition
Equipment rehabilitation
Other facility acquisition or upgrade
Refinancing (see below)
Other: Please describe:
Total
$
0.00
$
0.00
For each existing debt that you wish to refinance provide, as Attachment 6c - Refinancing:
copy of the documentation for the original loan
original loan date
original lender
original loan amount
original purpose, and
remaining balance
FRA F 216 (01/12)
5
Railroad Rehabilitation and Improvement Financing Program
Loan Application
7. Project Purpose 260.23(e)(1)]
Describe the project purpose:
Using Attachment 7 - Project Purpose, or
Using the summary outline below.
_____________________________________
_____________________________________
_____________________________________
_____________________________________
____________________________________
Please check each category that applies and provide a brief narrative description of the
applicant’s views on how the proposed project aligns with these areas of interest.
Enhance public safety
Promote economic development
Enhance international competitiveness of U.S. companies
Preserve or enhance rail service to small communities or rural areas
Increase rail traffic
Reduce operating costs
Permit use of higher load rail cars
Other (describe below)
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
FRA F 216 (01/12)
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Railroad Rehabilitation and Improvement Financing Program
Loan Application
8. Description of Affected Facilities and Equipment [260.23(e)(2)]
Provide a description of facilities and equipment affected directly or indirectly by this project and
their current physical condition:
As Attachment 7 - Description of Affected Facilities or Equipment, or
Below
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
9. Project Components and Schedule for Completion [260.23(e)(3)]
Describe each component into which the project may reasonably be divided.
Not applicable; project is not subdivided into components
As Attachment 9 - Project Components, or
In the table below
Project Component
FRA F 216 (01/12)
Cost
($000)
7
Railroad Rehabilitation and Improvement Financing Program
Loan Application
10. Project Timing [260.23(e)(4)]
Provide commencement and completion dates and estimated timing of the expenditure of the
proceeds of the financial assistance being requested for the overall project and by project
component
Project Planned Commencement Date: __________
Project Planned Completion Date: _____________
Expenditure Schedule is provided:
As Attachment 10 - Expenditure Schedule, or
In table below
Project Component
FRA F 216 (01/12)
Expenditure Amount
($000)
8
Beginning/Ending Dates
Railroad Rehabilitation and Improvement Financing Program
Loan Application
11. Railroad and Project Map [260.23(e)(5)]
Provide a map of the existing railroad (even if the project is not line-related) with location of
project indicated, if appropriate.
A railroad map is provided:
As Attachment 11 - Railroad and Project Map, or
Below
_____________________________________
_____________________________________
_____________________________________
_____________________________________
12. Collateral Description [260.23(f)]
List and describe the collateral offered to secure the financial assistance sought and provide its
liquidation value. Include the assets to be acquired, rehabilitated, or improved with the
proceeds of the loan requested.
If a general mortgage on the entire business is being offered, provide the going concern value
of the business.
Collateral description is provided:
As Attachment 12 - Collateral Description, or
Below
Collateral Description
Net Liquidation
Value ($000)
Basis of
Valuation*
*Indicate "Basis of Valuation" as follows:
A = Independent Appraisal
C = Current Replacement Cost
FRA F 216 (01/12)
B = Applicant's Estimate
D = Other (Describe Here:
9
)
Railroad Rehabilitation and Improvement Financing Program
Loan Application
13. Financial Claims Involving the U.S. Government [260.23(g)(1)]
Describe any claims against the Applicant, or any affiliated corporate entity, by the U.S.
Government (example, fines, tax claims, etc.), and any claims by the Applicant against the U.S.
Government.
None
Claims involving the U.S. Government are listed:
As Attachment 13 -Claims Involving the U.S. Government, or
Below
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
14. Debits and Credits with the U.S. Government [260.23(g)(2)]
Describe all outstanding debits (e.g., loans) or credits with the U.S. government (routine
accounts receivable need not be listed)
None
Described in Attachment 14 - Debits and Credits Involving the U.S. Government, or
Below
_____________________________________
_____________________________________
_____________________________________
_____________________________________
FRA F 216 (01/12)
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Railroad Rehabilitation and Improvement Financing Program
Loan Application
15. Market Analysis [260.23(h)(1)]
To the extent such information is available, provide all market analyses and studies that have
been performed to determine
present and future demand for the rail services or facilities involved in the project,
whether the financing is justified by present and future probable demand for rail services
or facilities,
whether the project will meet existing needs for such services or facilities, and
whether the project will provide shippers or passengers with improved service.
No supporting market analyses available
Analyses provided as Attachment 15 - Market Analyses, or
Below
_____________________________________
_____________________________________
_____________________________________
_____________________________________
16. Traffic [260.23(h)(2)]
Provide historic levels of traffic moved by Applicant for the past five years, by commodity. If
the Applicant has not owned the property for the five years, please provide traffic levels of
prior owner. Also, provide a discussion and appropriate analysis that demonstrates the
projected level of traffic can be accommodated on the applicant’s system as proposed,
including connections to other carriers.
Provided as Attachment 16a - Traffic, or
In table below
Commodity
Current
Current Year
Minus 1
Current Year
Minus 2
Item 1
Originated
Terminated
Overhead
Local
Item 2
Originated
FRA F 216 (01/12)
11
Current Year
Minus 3
Current Year
Minus 4
Railroad Rehabilitation and Improvement Financing Program
Loan Application
Terminated
Overhead
Local
Describe the impact of the project upon the projected freight or passenger traffic to be
originated, terminated, or carried by the Applicant for the next five years, including
assumptions and justifications for projected changes.
Data and information regarding the traffic impact:
Provided as Attachment 16b - Traffic Impact, or
In table below
Commodity
Current
Current Year
Plus 1
Current Year
Plus 2
Current Year
Plus 3
Current Year
Plus 4
Item 1
Originated
Terminated
Overhead
Local
Item 2
Originated
Terminated
Overhead
Local
Please explain the bases for the above projections, including a list of assumptions made and
description of the data used in establishing those assumptions.
17. Cost Savings and Other Benefits [260.23(h)(4)]
Describe the cost savings or any other benefit to the applicant that would accrue from
the project.
Provided as Attachment 17 - Cost Savings and Other Benefits, or
Below
FRA F 216 (01/12)
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Railroad Rehabilitation and Improvement Financing Program
Loan Application
18. Safety Improvements [260.23(i)]
Provide a statement as to how the project will contribute to, or enhance, the safe operation of
the railroad (consider effects on employees, passengers, and facilities).
Provided as Attachment 18 - Safety Improvements, or
Below
_____________________________________
_____________________________________
_____________________________________
_____________________________________
Provide a list of violations of FRA safety standards cited by FRA or State inspectors over the
preceding 5 years and how these violations have been addressed.
19. Description of Applicant's Maintenance Program [260.23(j)]
Describe the your maintenance program for your entire rail system and planned maintenance
program for the equipment or facilities financed by the proceeds of the financial assistance
Provided as Attachment 19 - Maintenance Program, or
Below
_____________________________________
_____________________________________
_____________________________________
_____________________________________
FRA F 216 (01/12)
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Railroad Rehabilitation and Improvement Financing Program
Loan Application
20. Environmental Impacts [260.23(l)]
Provide information relevant to the potential environmental impacts of the project in the
context of applicable Federal laws:
If you believe your project has no potential for environmental impact and that it
should be categorically excluded from detailed environmental review (please
refer to section 4(c) of FRA’s Procedures for Considering Environmental
Impacts [accessible from the RRIF home page on FRA’s web site] for
additional information), the applicant should submit a completed FRA
Categorical Exclusion Worksheet as Attachment 20 – Environmental
Worksheet.
If you believe your project may have potential environmental impacts or for a
project that does not fit into of the existing categories of excluded actions
(please refer to section 4(c) of FRA’s Procedures for Considering
Environmental Impacts [accessible from the RRIF home page on FRA’s web
site] for additional information), you will need to consult with the FRA
environmental analysis staff to determine whether an Environmental
Assessment or an Environmental Impact Statement may be required for the
proposed project.
If you believe your project may have potentially significant environmental impacts, the
applicant should consult with FRA’s environmental analysis staff before submitting any
assessment of environmental impacts because of special requirements that apply to the
preparation of environmental impact statements.
Note: An application is not complete until FRA has concluded that the proposed project meets
FRA’s obligations under NEPA and related laws, regulations and orders.
21. Financial Statements [260.25(b)(1)]
Provide, as Attachment 21 – Financial Statements, Balance Sheets and Income Statements
(audited if available, otherwise complied or reviewed by an independent Certified Public
Accountant) for the past 4 full years of operation (or all that is available if applicant has not
been in operation for that period) and the current partial year up to the date of this application.
Also provide a statement of capital expenditures undertaken each year during that period.
FRA F 216 (01/12)
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Railroad Rehabilitation and Improvement Financing Program
Loan Application
22. Financial Projections [260.25(b)(2)]
Provide, as Attachment 22 – Financial Projections, Balance Sheets, Income Statements and
Cash Flow Statements projected for each of the next 5 years, after giving effect to the savings
to be generated by the project to be funded with proceeds of the funding requested in this
application. Also include a statement of yearly planned capital expenditures for the next 5
years.
23. Credit Rating [260.23(n)]
Applicant has a credit rating from a nationally recognized rating agency
Agency:
Rating:
Date:
Please attached as Attachment 23 – Credit Rating
Applicant does not have a credit rating
Note: If you have a credit rating, skip items 24 and 25. If you do not have a credit rating,
please continue to complete the remaining items.
24. Business Plan [260.25(a)
Provide a statement describing your current and prospective traffic base, by commodity,
major markets served and major interchange points and market development plans, if any.
Please include a discussion of your operating patterns and planned changes, planned maintain
of equipment and rights-of-way both before and after the project, and any plans to rationalize
marginal or uneconomic service.
Also describe any anticipated changes in traffic volume (both total and by commodity),
revenue per carload, shippers or the competitive environment in which Applicant operates.
Provided:
As Attachment 24 - Business Plan, or
Below
_____________________________________
_____________________________________
_____________________________________
_____________________________________
FRA F 216 (01/12)
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Railroad Rehabilitation and Improvement Financing Program
Loan Application
25. Management Team [260.25(f)]
Provide a description of your management team, including the rail experience of the top
managers, management’s plans for growth, and the your workforce.
Provided:
As Attachment 25 - Management Team, or
Below
_____________________________________
_____________________________________
_____________________________________
_____________________________________
Thank you for completing the RRIF Loan Application. Please be aware that after reviewing your
application, the Administrator may require that you submit additional information necessary to
complete the application [260.23(n)]. An analyst will contact you.
Date:
Submitted by:
Title:
Please submit the original application with four paper copies and a CD-ROM with the electronic
version of the Application and supporting documents and attachments. Your completed
application package should be sent by overnight delivery to:
RRIF Application
Federal Railroad Administration
Office of Innovative Finance (RPD-12)
Mailstop 20
1200 New Jersey Ave., S.E.
Washington, D.C. 20590
FRA F 216 (01/12)
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File Type | application/pdf |
File Title | Microsoft Word - appformJP4-2008 _2_ |
Author | Kim.Toone |
File Modified | 2014-05-07 |
File Created | 2012-01-06 |