Are you an eligible NYS local government entity for the Local Government Efficiency program? The Local Government Efficiency program defines “local government entities” as counties, cities, towns, villages, special improvement districts, fire districts, public libraries, association libraries, water authorities, sewer authorities, regional planning and development boards, school districts, and Boards of Cooperative Educational Services (BOCES) advancing certain joint projects.

Will this project help local governments reduce expenditures, add revenues, streamline government management or operations, or improve service delivery?

Is the applicant able to provide the required matching funds for the project? See scoring tips for the local match requirements.

Are you developing a plan for a local government consolidation or dissolution under 'the New New York Reorganization and Citizen Empowerment Act' - General Municipal Law, Article 17-A? For a local government re-organization planning project pursuant to General Municipal Law, Article 17-A, please contact the Department of State directly for other available funding opportunities.

Project Street Address: Please input the project street address (Street Number and Street Name only).

If the project has multiple locations, please input the primary street address of the project. If the project does not have a definite street address, please input the approximate street address of the project (Street Number and Street Name only).

Project City

Project county or counties.

Project State

Project ZIP Code. (please use ZIP+4 if known)

US Congressional District where the project is located. (This question's value will be filled automatically, based on the project address, when the application is finalized.)

For more than one project location, please provide full address(es) for each location. If Not Applicable, indicate "NA".

Project Longitude (This question's value will be filled automatically, based on the project address, when the application is finalized.)

Project Latitude (This question's value will be filled automatically, based on the project address, when the application is finalized.)

NYS Assembly District where the project is located. (This question's value will be filled automatically, based on the project address, when the application is finalized.)

NY Senate District where the project is located. (This question's value will be filled automatically, based on the project address, when the application is finalized.)

Type of Applicant (select one)
Applicants will first select a single applicant type from the categories below and then a subtype based on their initial selection. Applicants should review the selections below which provides a list of subtypes by main applicant type.

1. For Profit entity options:
Limited Liability Corporation (LLC)
Limited Liability Partnership (LLP)
Sole Proprietorship
S Corporation
C Corporation
Limited Partnership (LP)
Other- applicant will be required to list their other for-profit designation.

2. Not-for profit entity options:
501(c)(1) Any corporation that is organized under an act of Congress that is exempt from federal income tax;
501(c)(2) Corporations that hold a title of property for exempt organizations;
501(c)(3) Corporations/funds/foundations that operate for religious/ charitable/ scientific/ literary/ educational purposes;
501(c)(4) Nonprofit organizations that promote social welfare;
501(c)(5) Labor, agricultural, or horticultural associations;
501(c)(6) Business leagues/chambers of commerce/etc. that are not organized for profit;
501(c)(7) Recreational organizations; and
Other- applicant will be required to list their other not-for-profit designation.

3. Government entity options:
Federal
State
County
Town
Village
Tribal
School District
County or Town Improvement District
District Corporation
Public Authority
Business Improvement District
Fire District
Board of Cooperative Education Services (BOCES)
Public Library
Association Library
Other- applicant will be required to list their other government designation.

Select the for-profit entity of the applicant applying for funding:

Enter the applicant's 'Other' for-profit entity designation.

Select the not-for-profit entity of the applicant applying for funding:

Enter the applicant's 'Other' not-for-profit entity designation.

Select the government entity of the applicant applying for funding:

Enter the applicant's 'Other' government entity designation.

Select an applicant ID type from the list below that you normally use to identify your organization on application forms.

Based on your selection from the previous question, enter the associated ID number.

Organization Legal Name

Applicant First Name

Applicant Last Name

Applicant Street Address

Applicant City

Applicant State

Applicant ZIP Code. (please use ZIP+4 if known)

Applicant Telephone Number (please include area code)

Applicant Email Address

Contact Salutation

Contact First Name

Contact Last Name

Contact Title

Primary Organization

Contact Street Address

Contact City

Contact State

Contact ZIP Code (please use ZIP+4 if known)

Primary Contact Phone Number. (please include area code)

Contact Email

Contract Salutation

Contract First

Contract Last

Contract Title

Authorized Organization

Contract Street

Contract City

Contract State

Contract Zip (please use ZIP+4 if known)

Contract Phone (please include area code)

Contract Email

Additional Salutation

Additional Project Contact First Name

Additional Project Contact Last Name

Additional Contact Title

Additional Organization

Additional Contact Street Address

Additional Contact City

Additional Contact State

Additional Contact ZIP (please use ZIP+4 if known)

Additional Contact Telephone Number (please include area code)

Additional Contact Email Address

Please select the primary sector or characterization that best defines this project.

Please select the secondary sector or characterization that best defines this project.

Project Description. Concisely describe the project, indicating the location, what will be planned, designed, acquired, and/or constructed, the issues/opportunities to be addressed, and expected outcomes and deliverables. Additional details will be collected later in the application process.

Statement of need: Provide a brief summary of the need for the project in the geographic area proposed and the project's financing needs, including funding gaps of the proposed project.

Does the project align with the Regional Economic Development Council's Strategic Plan?

Explain how the project aligns with the Regional Economic Development Council's Strategic Plan.

Current State of Project Development (i.e. planning, preliminary engineering, final design, etc. You may enter N/A for non-project related applications)

Estimated Project Timeline: include project start/completion dates, estimates for design, permitting and construction or other major steps.

Provide a list of all federal, state, and local reviews, approvals, or permits needed or completed, including the dates when they are expected to be completed or were completed. If Not Applicable, indicate "NA".

Does this project require State and/or Federal Environmental Review?

What is the status of State and/or Federal Environmental Review?

Please indicate the lead agency (if applicable).

Has a National Environmental Policy Act (NEPA) Record of Decision been issued?

Please explain decision and include date of Record of Decision.

Has the applicant or project been awarded funding in prior CFA rounds?

What were the CFA numbers for which funding was awarded? (separate multiple CFA numbers with commas)

For each program to which you are applying under the CFA, explain your strategy for proceeding if the full amount of requested funding, required matching funds, and temporary financing are not secured as expected, or committed sources become unavailable.This explanation must address any proposed project phases, and both CFA and non-CFA sources of funds.

Using the Excel worksheet which may be accessed from the DOS website or through the link in the scoring tips section, applicants must provide an objective analysis of the anticipated financial impact of the project, including reductions in expenditures and/or increased revenues and potential tax levy impact resulting from the project, exclusive of any grant funding. Complete the worksheet with information from each applicant, save as a PDF and upload.

Using the Excel worksheet, which may be accessed from the DOS website or through the link in the scoring tips section, attach a Work Plan that includes the project timeline, and project objectives. Include a cost for each task and performance measure.

Applicants are required to submit the MWBE Compliance Form with their application confirming their understanding of the MWBE requirement and agreeing to show due-diligence and make good faith efforts to provide meaningful participation by MWBEs, whenever possible, if awarded the contract. The MWBE Compliance Form is available at https://dos.ny.gov/funding-bid-opportunities .

Attach resolutions, municipal agreements, executed Intermunicipal Agreements or other items to the submission to help illustrate support for the application/project .

If applicable upload the relevant documentation showing that the project is a part of an adopted Countywide Shared Services Plan. If the project is not in an adopted plan, upload letters from the chief elected official of the county and lead applicant, declaring the intent to include in a 2023 plan.

Please attach any additional information you would like to provide as support for the project.

Please provide Letters of Support for your project (if applicable). All letters should be scanned into a single PDF file and their total size cannot exceed 30 Megabytes (MB).

List all the partners involved in the project and provide contact information.

LGE Priorities Will the project implement a planning project completed with SMSI or LGE funds? Yes/No

If yes, provide information about the planning grant that was funded to help develop the implementation project described in this application.

LGE Priorities - Has the project been listed in a countywide shared services plan? Yes/No

If yes, provide the Countywide Shared Services Plan year and how it is a component of a countywide shared services plan.

LGE Priorities - Will the project impact any of the following: Cybersecurity, Emergency Services, Water/Wastewater Operations or Climate Change Mitigation? Yes/No

If yes, provide a summary of how the project will improve cybersecurity for local governments, enhance the delivery of emergency services, share or regionalize water or wastewater operations or help mitigate climate change through shared municipal services.

Is the application for a planning or implementation project? Briefly explain.

Explain the existing municipal conditions that are behind the submission of the application. This may include new financial challenges, service delivery concerns or local government management issues facing involved local governments.

Explain how the financial return on investment will positively impact the involved local governments and taxpayers. Be sure to complete the fiscal impact worksheet in question 12354 and describe the financial benefits to the involved local governments.

Explain the project’s impact across municipalities. Specifically will the project impact just two local governments, multiple local governments in the same county, all local governments in the same county, or have an impact across multiple counties.

Explain the complexity of the project in terms of the number of municipal services and functions impacted. Review will be based upon whether the project impacts just a single service, multiple services in a single municipal function or complete a full consolidation of a municipal function.

Explain the impact the project will have on the management and operational structure of the project partners. The review will be based upon whether the change will produce singular improvements to existing organization or management processes, or develop new operational and/or management structures for involved local governments.

Explain the applicants' capacity to complete the project on time. The review will include an assessment of past performance under previous LGE grants, as well as other funding programs.

Explain how prepared the applicants are to work together to implement the project. The assessment will include a review of the applicants’ commitment to the project, and to the partnership described in the application. Include any municipal resolutions, memoranda of understanding, and intermunicipal agreements that support project implementation.

Explain how the applicants will ensure transparency and public participation during project development and implementation. The assessment will include a review of public participation and stakeholder involvement for application development, as well project implementation. Please also describe the public processes needed for implementation.

Describe how the requested funding will be used to complete the individual tasks for all work plan objectives identified in the budget attached in Question 12358. Also provide detail on how the requested funds will be sufficient to meet work plan tasks.

The NYS Smart Growth Public Infrastructure Policy Act requires that a public infrastructure project meet the relevant smart growth criterion to the extent practicable. Public Infrastructure projects consist of construction or reconstruction of transportation, sewer, wastewater treatment, water, education, housing and other publicly supported infrastructure.Does the proposed project build new public infrastructure, expand public infrastructure or use, maintain, or improve existing public infrastructure?

If you are maintaining or improving existing public infrastructure, please answer “YES”. If you are building new public infrastructure or expanding public infrastructure, please answer "YES".

If this this is not applicable to your project, answer “NO”.

Explain how the proposed project will use, maintain, or improve existing infrastructure.

Please explain the need to build new infrastructure instead of using or improving existing infrastructure. If n/a, please type N/A.

Please explain how the proposed project is located in a municipal center.

Please explain how the proposed project is located in a developed area or an area designated for concentrated infill development in a municipally approved comprehensive land use plan, local waterfront revitalization plan and/or brownfield opportunity area plan. Specifically, explain how your project advances infill development or redevelopment in existing developed areas consistent with an approved plan.  Infill development includes redevelopment, rehabilitation and new development between existing buildings on vacant or under-utilized sites.

Please explain how the proposed project will protect, preserve and enhance the State's resources, including agricultural land, forests, surface and groundwater, air quality, recreation and open space, scenic areas, and significant historic and archeological resources. Beyond simply avoiding or minimizing negative environmental impacts, please indicate the resources that may be impacted by your project and how your project will preserve and enhance these resources.

Please explain how the proposed project will foster mixed land uses and compact development, downtown revitalization, Brownfield redevelopment, the enhancement of beauty in public spaces, the diversity and affordability of housing in proximity to places of employment, recreation and commercial development and the integration of all income and age groups. Specifically, explain how your project advances these objectives and improves the quality of life in your community.

Please explain how the proposed project will provide mobility through transportation choices including improved public transportation and reduced automobile dependency. There are many alternatives to automobile transportation.  Please explain how your project provides or complements alternatives to automobile travel such as bikes, pedestrians, public transit, air travel or rail travel.

Please explain how the proposed project will involve coordination between state and local government and inter-municipal and regional planning. Identify any interaction between the applicant and any municipal and county governments, planning boards, regional planning associations or similar organizations. Document any outreach by the applicant to these organizations regarding the project and any relevant correspondence.

Please explain how the proposed project will involve participation in community-based planning and collaboration. Specifically, explain how the project results from an inclusive, multi-stakeholder (including traditionally underserved populations) process of community-based planning and collaboration.  To assist with your explanation, identify any affected community groups or organizations with an interest in the proposed project and if the planning process involved outreach to citizens and stakeholders at all stages of development of the project.

Please explain how the proposed project will ensure predictability in building and land use codes. Provide any additional relevant information.

Please explain how the proposed project will promote sustainability by strengthening existing and creating new communities which reduce greenhouse gas emissions and do not compromise the needs of future generations, by among other means encouraging broad based public involvement in developing and implementing a community plan and ensuring the governance structure is adequate to sustain its implementation. Specifically, explain how your project promotes sustainability.  For example, does your project include buildings and plans that seek to minimize consumption of fossil fuels (coal, petroleum), reduce water usage / consumption, and encourage the use of renewable energy (wind, solar, and geo-thermal).

Please explain how the proposed project will mitigate future physical climate risk due to sea-level rise, and/or storm surges and/or flooding, based on available data predicting the likelihood of future extreme weather events, including hazard risk analysis data. Specifically, explain how your project demonstrates that future physical climate risk due to sea-level rise, storm surge and flooding have been considered. For example, have you demonstrated consideration of the flood risk applicable to your specific structure type? Explain how the siting and design have evaluated flood-risk considerations, including, but not limited to, human health and safety, environmental effects, cost, funding-source requirements, feasibility and community impact. For information on future climate risks, consult New York’s ClimAID report at: https://www.nyserda.ny.gov/climaid For information on implementation of the Community Risk and Resiliency Act at: http://www.dec.ny.gov/energy/102559.html

By entering your name in the box below, you certify that you are authorized on behalf of the applicant and its governing body to submit this application. You further certify that all of the information contained in this Application and in all statements, data and supporting documents which have been made or furnished for the purpose of receiving assistance for the project described in this application, are true, correct and complete to the best of your knowledge and belief. You acknowledge that offering a written instrument knowing that the written instrument contains a false statement or false information, with the intent to defraud the State or any political subdivision, public authority or public benefit corporation of the State, with the knowledge or belief that it will be filed with or recorded by the State or any political subdivision, public authority or public benefit corporation of the State, constitutes a crime under New York State Law.