HomeMy WebLinkAboutEminate Domain Agreement - 9.18.2023OMB Number: 0610-0096
Expiration Date: 01/31/2025
Part Three
Owner's Certification Regarding Eminent Domain
I, Quentin Hart the undersigned
(Insert Name)
Mayor of the Owner,
(Insert Title)
referenced in Part One above, do hereby certify and confirm that:
1. The Owner will not use any available power of eminent domain (including the
commencement of eminent domain proceedings) for the purpose of advancing the economic
interests of private parties in connection with any property comprising the Project.
2. To the best of my knowledge and belief, prior to the Effective Date of this Certification, the
Owner has not exercised any available power of eminent domain (including the commencement
of eminent domain proceedings) for the purpose of advancing the economic interests of private
parties in connection with any property comprising the Project.
3. The Owner was or will be required to properly use an available power of eminent domain in
connection with the following aspects of the Project. (If more space is needed, please attach
additional documentation describing the location and purpose of the Owner's proper use of
eminent domain as an attachment and label each additional page "Exhibit 3A". If the use of
eminent domain is not anticipated, please mark this section "N/A").
N/A
4. If an available power of eminent domain may be used in connection with the Project, the
Owner will immediately contact the EDA regional office.
5. I am authorized on behalf of the Applicant to make this Certification which is binding on the
Applicant.
WITNESS MY HAND, this the 1 8th day of September
Querdia 1-tar( SIGNEG'
20 23
Owner's Signature
715 Mulberry Street
Address
Waterloo IA
City State
319-291-4301
Telephone
Economic Development Administration Page 5/5
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