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CCR2009163-Water System Bonds-Exh.A EXHIBIT A (Form of Municipal Obligation) REGISTERED UNITED STATES OF AMERICA REGISTERED NO. _____ STATE OF WISCONSIN $_________ WAUKESHA COUNTY CITY OF MUSKEGO WATER SYSTEM REVENUE BOND, SERIES 2009 Final Date of Maturity Date Original Issue May 1, 2029 _____, 20__ REGISTERED OWNER: STATE OF WISCONSIN SAFE DRINKING WATER LOAN PROGRAM FOR VALUE RECEIVED the City of Muskego, Waukesha County, Wisconsin (the "Municipality") hereby acknowledges itself to owe and promises to pay to the registered owner shown above, or registered assigns, solely from the fund hereinafter specified, the principal sum of an amount not to exceed ________________________ DOLLARS ($_________) (but only so much as shall have been drawn hereunder, as provided below) on May 1 of each year commencing May 1, 2010 until the final maturity date written above, together with interest thereon (but only on amounts as shall have been drawn hereunder, as provided below) from the dates the amounts are drawn hereunder or the most recent payment date to which interest has been paid, at the rate of 2.668% per annum, calculated on the basis of a 360-day year made up of twelve 30-day months, such interest being payable on the first days of May and November of each year, with the first interest being payable on May 1, 2010. The principal amount evidenced by this Bond may be drawn upon by the Municipality in accordance with the Financial Assistance Agreement entered by and between the Municipality and the State of Wisconsin by the Department of Natural Resources and the Department of Administration including capitalized interest transferred (if any). The principal amounts so drawn shall be repaid in installments on May 1 of each year commencing on May 1, 2010 in an amount equal to an amount which when amortized over the remaining term of this Bond plus current payments of interest (but only on amounts drawn hereunder) at Two and 668/1000ths percent (2.668%) per annum shall result in equal annual payments of the total of principal and the semiannual payments of interest. The State of Wisconsin Department of Administration shall record such draws and corresponding principal repayment schedule on a cumulative basis in the format shown on the attached Schedule A. A-1 QB\\9101999.1 Both principal and interest hereon are hereby made payable to the registered owner in lawful money of the United States of America. On the final maturity date, principal of this Bond shall be payable only upon presentation and surrender of this Bond at the office of the Municipal Treasurer. Principal hereof (except the final maturity) and interest hereon shall be payable by electronic transfer or by check or draft dated on or before the applicable payment date and mailed from the office of the Municipal Treasurer to the person in whose name this Bond is registered at the close of business on the fifteenth day of the calendar month next preceding such interest payment date. The Bonds shall not be redeemable prior to their maturity, except with the consent of the registered owner. This Bond is transferable only upon the books of the Municipality kept for that purpose at the office of the Municipal Treasurer, by the registered owner in person or its duly authorized attorney, upon surrender of this Bond, together with a written instrument of transfer (which may be endorsed hereon) satisfactory to the Municipal Treasurer, duly executed by the registered owner or its duly authorized attorney. Thereupon a replacement Bond shall be issued to the transferee in exchange therefor. The Municipality may deem and treat the person in whose name this Bond is registered as the absolute owner hereof for the purpose of receiving payment of or on account of the principal or interest hereof and for all other purposes. This Bond is issuable solely as a negotiable, fully-registered bond, without coupons, and in denominations of $0.01 or any integral multiple thereof. This Bond is issued for the purpose of providing for the payment of the cost of constructing improvements to the Water System of the Municipality, pursuant to Article XI, Section 3, of the Wisconsin Constitution, Section 66.0621, Wisconsin Statutes, and a resolution adopted November 10, 2009, and entitled: "Resolution Authorizing the Issuance and Sale of Up to $453,974 Water System Revenue Bonds, Series 2009, and Providing for Other Details and Covenants With Respect Thereto" and is payable only from the income and revenues derived from the operation of the Water System of the Municipality (the "Utility"). The Bonds are issued on a parity with the Municipality's Water System Revenue Bonds, dated February 1, 1999, Water System Revenue Bonds, dated January 1, 2000, Water System Revenue Bonds, Series 2001D, dated December 1, 2001, and Water System Revenue Bonds, dated September 1, 2008, as to the pledge of income and revenues of the Utility. This Bond does not constitute an indebtedness of said Municipality within the meaning of any constitutional or statutory debt limitation or provision. It is hereby certified, recited and declared that all acts, conditions and things required to exist, happen, and be performed precedent to and in the issuance of this Bond have existed, have happened and have been performed in due time, form and manner as required by law; and that sufficient of the income and revenue to be received by said Municipality from the operation of its Utility has been pledged to and will be set aside into a special fund for the payment of the principal of and interest on this Bond. A-2 QB\\9101999.1 IN WITNESS WHEREOF, the Municipality has caused this Bond to be signed by the signatures of its Mayor and City Clerk, and its corporate seal to be impressed hereon, all as of the date of original issue specified above. CITY OF MUSKEGO, WISCONSIN (SEAL) By:__________________________ John R. Johnson Mayor By:__________________________ Janice Moyer City Clerk A-3 QB\\9101999.1 (Form of Assignment) FOR VALUE RECEIVED the undersigned hereby sells, assigns and transfers unto ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ (Please print or typewrite name and address, including zip code, of Assignee) Please insert Social Security or other identifying number of Assignee _____________________________ the within Bond and all rights thereunder, hereby irrevocably constituting and appointing ________________________________________________________________ Attorney to transfer said Bond on the books kept for the registration thereof with full power of substitution in the premises. Dated:_______________ ________________________________________ NOTICE: The signature of this assignment must correspond with the name as it appears upon the face of the within Bond in every particular, without alteration or enlargement or any change whatever. Signature(s) guaranteed by __________________________________ A-4 QB\\9101999.1 SCHEDULE A $453,974 CITY OF MUSKEGO, WISCONSIN WATER SYSTEM REVENUE BONDS, SERIES 2009 Amount of Disburse- Date of Series of Principal Principal ment Disbursement Bonds Repaid Balance ________ ____________ ________ ________ ________ ________ ____________ ________ ________ ________ ________ ____________ ________ ________ ________ ________ ____________ ________ ________ ________ ________ ____________ ________ ________ ________ ________ ____________ ________ ________ ________ ________ ____________ ________ ________ ________ ________ ____________ ________ ________ ________ ________ ____________ ________ ________ ________ ________ ____________ ________ ________ ________ SA-1 QB\\9101999.1 SCHEDULE A (continued) PRINCIPAL REPAYMENT SCHEDULE Principal Date Amount May 1, 2010 $17,473.24 May 1, 2011 17,939.43 May 1, 2012 18,418.05 May 1, 2013 18,909.44 May 1, 2014 19,413.95 May 1, 2015 19,931.91 May 1, 2016 20,463.70 May 1, 2017 21,009.67 May 1, 2018 21,570.20 May 1, 2019 22,145.70 May 1, 2020 22,736.54 May 1, 2021 23,343.16 May 1, 2022 23,965.95 May 1, 2023 24,605.36 May 1, 2024 25,261.83 May 1, 2025 25,935.82 May 1, 2026 26,627.79 May 1, 2027 27,338.22 May 1, 2028 28,067.60 May 1, 2029 28,816.44 SA-2 QB\\9101999.1