Program Questions:
Excelsior Jobs Program

Q_41

Does this project predominantly involve any of the following activities at the project location, and will it meet the minimum job creation requirements OR the minimum job retention requirements in NYS? Please click on "Scoring Tips" for project activity definitions.

(1) Manufacturing: minimum job creation = 5 net new jobs, OR minimum job retention = 5.

(2) Scientific research and development: minimum job creation = 5 net new jobs, OR minimum job retention = 25.

(3) Software development: minimum job creation = 5 net new jobs, OR minimum job retention = 25.

(4) Agricultural production or support; minimum job creation = 5 net new jobs, OR minimum job retention = 25.

(5) Back office operation: minimum job creation = 25 net new jobs, OR minimum job retention = 25.

(6) Financial Services: minimum job creation = 25 net new jobs, OR minimum job retention = 25.

(7) Distribution center: minimum job creation = 50 net new jobs, OR minimum job retention = 25.

(8) Life Sciences: minimum job creation = 5 net new jobs, OR minimum job retention = 25.

(9) Music production: minimum job creation = 5 net new jobs, OR minimum job retention = 25.

(10) Entertainment company: minimum job creation = 100 net new jobs, OR minimum job retention = 25.

https://esd.ny.gov/sites/default/files/Excelsior-Regs-2818.pdf
  • Threshold
  • Yes
  • Yes/No
  • If the project activity does not meet one of the definitions as outlined, you are not eligible to participate in the Excelsior Jobs Program.

     

    Excelsior Jobs Program Project Activity Definitions   

      https://esd.ny.gov/sites/default/files/Excelsior-Regs-2818.pdf

Q_1856

Are you a not-for-profit, municipality or public benefit corporation?
  • Threshold
  • Yes
  • Yes/No
  • If you are a not-for-profit entity, municipality or public benefit corporation you are not eligible to participate in the Excelsior Jobs Program.

Q_928

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).
  • Location
  • Yes
  • Short Answer

Q_565

Project City
  • Location
  • Yes
  • Short Answer

Q_568

Project State
  • Location
  • Yes
  • Single Choice Dropdown
  • AA,AL,AK,AZ,AR,CA,CO,CT,DE,FL,GA,HI,ID,IL,IN,IA,KS,KY,LA,ME,MD,MA,MI,MN,MS,MO,MT,NE,NV,NH,NJ,NM,NY,NC,ND,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VT,VA,WA,WV,WI,WY,AS,DC,FM,GU,MH,MP,PW,PR,VI
  • AA

Q_572

Project Latitude (This question's value will be filled automatically, based on the project address, when the application is finalized.)
  • Location
  • No
  • Decimal

Q_573

Project Longitude (This question's value will be filled automatically, based on the project address, when the application is finalized.)
  • Location
  • No
  • Decimal

Q_1034

Project ZIP Code. (please use ZIP+4 if known)
  • Location
  • Yes
  • Zip Code
  • To locate a Zip Code, click HERE

     

     

Q_3527

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.)
  • Location
  • No
  • Single Choice Dropdown
  • 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27
  • To determine the US Congressional District, click HERE

Q_972

Project county or counties.
  • Location
  • Yes
  • NYS County Multiple Choice

Q_184

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.)
  • Location
  • No
  • Integer

Q_190

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.)
  • Location
  • No
  • Integer

Q_556

Select an applicant ID type from the list below that you normally use to identify your organization on application forms.
  • Basic
  • Yes
  • Single Choice Radio Button
  • Charity Reg #, Duns Number, Federal Tax ID Number, NYS Unemployment Insurance Tax Number,NYS Vendor Identification Number (SFS),Employee Identification Number (EIN),Unique Entity Identifier (UEI)
  • Applicants will be required to provide the specified ID number upon request by the funding agencies.

Q_551

Applicant Street Address
  • Basic
  • Yes
  • Short Answer

Q_552

Applicant City
  • Basic
  • Yes
  • Short Answer

Q_553

Applicant State
  • Basic
  • Yes
  • State Dropdown

Q_554

Applicant ZIP Code. (please use ZIP+4 if known)
  • Basic
  • Yes
  • Zip Code
  • To look up a zip code, click HERE

Q_651

Applicant Telephone Number (please include area code)
  • Basic
  • Yes
  • Phone

Q_555

Applicant Email Address
  • Basic
  • Yes
  • Email

Q_547

Contact First Name
  • Basic
  • Yes
  • Short Answer

Q_1049

Contact Last Name
  • Basic
  • Yes
  • Short Answer

Q_1050

Contact Title
  • Basic
  • No
  • Short Answer

Q_562

Primary Contact Phone Number. (please include area code)
  • Basic
  • Yes
  • Phone

Q_1052

Additional Project Contact First Name
  • Basic
  • No
  • Short Answer

Q_970

Additional Project Contact Last Name
  • Basic
  • No
  • Short Answer

Q_1051

Additional Contact Title
  • Basic
  • No
  • Short Answer

Q_561

Additional Contact Email Address
  • Basic
  • No
  • Email

Q_929

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

Q_975

Estimated Project Timeline: include project start/completion dates, estimates for design, permitting and construction or other major steps.
  • Basic
  • Yes
  • Long Rich Text (HTML)
  • 1 - 850

Q_580

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".
  • Basic
  • Yes
  • Long Answer
  • 1 - 400

Q_549

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
City
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.
  • Basic
  • Yes
  • Single Choice Dropdown
  • For-Profit, Not-for-Profit, Government
    1. If For-Profit is selected then Q_15475 will be displayed
    2. If Government is selected then Q_15478 will be displayed
    3. If Not-for-Profit is selected then Q_15477 will be displayed

Q_15475

Select the for-profit entity of the applicant applying for funding:
  • Basic
  • Yes
  • Single Choice Radio Button
  • Limited Liability Corporation (LLC), Limited Liability Partnership (LLP), Sole Proprietorship, S Corporation, C Corporation, Limited Partnership (LP), Other
    1. If Other is selected then Q_15483 will be displayed

Q_15483

Enter the applicant's 'Other' for-profit entity designation.
  • Basic
  • Yes
  • Short Answer

Q_15477

Select the not-for-profit entity of the applicant applying for funding:
  • Basic
  • Yes
  • Single Choice Radio Button
  • 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/horticultural associations, 501(c)(6) Business leagues/chambers of commerce/etc. that are not organized for profit, 501(c)(7) Recreational organizations, Other
    1. If Other is selected then Q_15484 will be displayed

Q_15484

Enter the applicant's 'Other' not-for-profit entity designation.
  • Basic
  • Yes
  • Short Answer

Q_15478

Select the government entity of the applicant applying for funding:
  • Basic
  • Yes
  • Single Choice Radio Button
  • Federal, State, County, City, 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
    1. If Other is selected then Q_15485 will be displayed

Q_15485

Enter the applicant's 'Other' government entity designation.
  • Basic
  • Yes
  • Short Answer

Q_12603

Is the applicant a DBA?
  • Basic
  • Yes
  • Yes/No
    1. If Yes is selected then Q_550 will be displayed

Q_550

What is the applicant's DBA name?
  • Basic
  • Yes
  • Short Answer

Q_546

Organization Legal Name
  • Applicant Information
  • Basic
  • Yes
  • Short Answer
  • If applying in the name of a business please type in the name as it appears on your business papers. If applying as an individual insert your name here.

Q_3688

Contact Street Address
  • Basic
  • Yes
  • Short Answer

Q_3689

Contact City
  • Basic
  • Yes
  • Short Answer

Q_3690

Contact State
  • Basic
  • Yes
  • State Dropdown

Q_3691

Contact ZIP Code (please use ZIP+4 if known)
  • Basic
  • Yes
  • Zip Code

Q_3692

Contact Email
  • Basic
  • Yes
  • Email

Q_3693

Additional Contact Street Address
  • Basic
  • No
  • Short Answer

Q_3694

Additional Contact City
  • Basic
  • No
  • Short Answer

Q_3695

Additional Contact State
  • Basic
  • No
  • State Dropdown

Q_3696

Additional Contact ZIP (please use ZIP+4 if known)
  • Basic
  • No
  • Zip Code

Q_3697

Additional Contact Telephone Number (please include area code)
  • Basic
  • No
  • Phone

Q_4199

Please select the primary sector or characterization that best defines this project.
  • Basic
  • Yes
  • Single Choice Dropdown
  • Agriculture, Arts/Culture/Cultural Institutions, Biomedical/Medical, Community Development, Education/College/University, Energy, Environment, Financial Services, Food/Beverage, Healthcare, Historic Preservation, Hospitality, Housing, Industrial/Manufacturing, Information Technology Services/Communications, Infrastructure, Municipal/Government, Office, Recreation,Research & Development, Tourism/Travel, Transportation, Water/Wastewater/Sewer, Waterfront Revitalization, Workforce Development,Business Development,Technology Commercialization

Q_4198

Please select the secondary sector or characterization that best defines this project.
  • Basic
  • Yes
  • Single Choice Dropdown
  • Agriculture, Arts/Culture/Cultural Institutions, Biomedical/Medical, Community Development, Education/College/University, Energy, Environment, Financial Services, Food/Beverage, Healthcare, Historic Preservation, Hospitality, Housing, Industrial/Manufacturing, Information Technology Services/Communications, Infrastructure, Municipal/Government, Office, Research & Development, Tourism/Travel, Transportation, Water/Wastewater/Sewer, Waterfront Revitalization, Workforce Development,Business Development,Technology Commercialization

Q_575

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.
  • Project Description
  • Basic
  • Yes
  • Long Rich Text (HTML)
  • 1 - 1200
  • Please include details relevant to all programs on this application. Programs on this application are: {{program_list}}

Q_976

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.
  • Basic
  • Yes
  • Long Rich Text (HTML)
  • 1 - 850
  • Provide a brief summary of the need for the project in the geographic area proposed, the project's financing needs, including funding gaps and, where applicable, describe the additional short and long term jobs that will be created through the development of the proposed project.

Q_12606

Does this project require State and/or Federal Environmental Review?
  • Basic
  • Yes
  • Yes/No
    1. If Yes is selected then these questions will be displayed:
      - Q_2364
      - Q_12607

Q_2364

What is the status of State and/or Federal Environmental Review?
  • Basic
  • No
  • Short Answer

Q_12625

Has the applicant or project been awarded funding in prior CFA rounds?
  • Prior CFA Funding
  • Basic
  • Yes
  • Yes/No
    1. If Yes is selected then Q_2362 will be displayed

Q_2362

What were the CFA numbers for which funding was awarded? (separate multiple CFA numbers with commas)
  • Basic
  • No
  • Short Answer

Q_930

Explain what makes your project a regional economic priority - for example creates jobs, economic investment, sustainability and community revitalization, government efficiency or consolidation etc.
  • REDC
  • Yes
  • Long Answer
  • 1 - 1000
  • The REDC and Upstate Revitalization Initiative’s (URI) are designed to support projects that will help transform the region’s economy. Applicants seeking these resources should explain why the project is a priority for the region. Providing details on the impact of the project such as the ability to create net new high paying jobs, the extent of private sector support, the impact it has on the community, and how the project will advance, in a meaningful way, the implementation of the REDC/URI plans, will help the REDCs and state during review.

Q_2366

How does your project align with the Regional Economic Development Council’s Strategic Plan/Upstate Revitalization Initiative Plan? (strategic plans are located at https://regionalcouncils.ny.gov/ )
  • REDC
  • Yes
  • Long Answer
  • 1 - 1000
  • Describe how the proposed project advances the REDC/URI plan for the region, specifically linking the project to the region’s goals, strategies, and targeted industry clusters. A response to this question should directly and specifically link the project to a section or sections of REDC/URI plan for the region.

Q_17170

List all entities and their EIN that the employment is being reported to DOL under.
ALL NYS Locations
  • Jobs
  • Yes
  • Long Rich Text (HTML)
  • any

Q_17171

List all entities and their EIN that the employment is being reported to DOL under.
Project location only
  • Jobs
  • Yes
  • Long Rich Text (HTML)
  • any

Q_17162

A. Total Employees / Jobs
(this should add up to the sum of Total Full Time Employees + Total Part Time Employees + Total Contract Employees)
  • Jobs
  • Yes
  • Integer

Q_17163

A. Total Employees / Jobs (Project Location Only)
(this should add up to the sum of Total Full Time Employees + Total Part Time Employees + Total Contract Employees)
  • Jobs
  • Yes
  • Integer

Q_17164

B. Total Full Time Employees / Jobs Only
All NYS Locations
  • Jobs
  • Yes
  • Integer

Q_17165

B. Total Full Time Employees / Jobs Only
Project Location Only
  • Jobs
  • Yes
  • Integer

Q_14039

C. Total Part-time Employees/Jobs Only
  • Jobs
  • Yes
  • Integer

Q_14040

C. Total Part-time Employees/Jobs Only Project Location Only
  • Jobs
  • Yes
  • Integer

Q_1365

D. Total Contract Employees/Jobs Only ALL NYS Locations
  • Jobs
  • Yes
  • Integer
  • A Full-time Contract Employee a full-time private sector employee (or self-employed person) who is not on the Recipient’s payroll but who works exclusively for the Recipient at the project location for a minimum of 35 hours per week for not less than four consecutive weeks, providing services that would otherwise be provided by a Full-time Permanent Employee. The position held by a Full-time Contract Employee must be a year-round position.

Q_1366

D. Total Contract Employees/Jobs Only Project Location Only
  • Jobs
  • Yes
  • Integer
  • A Full-time Contract Employee is a full-time private sector employee (or self-employed person) who is not on the Recipient’s payroll but who works exclusively for the Recipient at the project location for a minimum of 35 hours per week for not less than four consecutive weeks, providing services that would otherwise be provided by a Full-time Permanent Employee. The position held by a Full-time Contract Employee must be a year-round position.

Q_17166

E. Total Full Time Equivalents (FTEs)
(this should be calculated from part-time employees only (C) using the FTE definition from the top of the page)
ALL NYS Locations
  • Jobs
  • Yes
  • Integer

Q_17167

E. Total Full Time Equivalents (FTEs)
(this should be calculated from part-time employees only (C) using the FTE definition from the top of the page)
Project location only
  • Jobs
  • Yes
  • Integer

Q_2195

F. Total Full Time Employees + Total FTEs (B+E) All NYS LOCATIONS.
  • Jobs
  • Yes
  • Integer
  • A Full-time equivalent job equals any combination of two or more part-time jobs that, when combined together, constitute the equivalent of a job of at least 35 hours per week.  NOTE: Your base employment for Excelsior is calculated using the prior 4 quarters from when you are accepted into the program.

     

Q_2196

F. Total Full Time Employees + Total FTEs (B+E) PROJECT LOCATION Only
  • Jobs
  • Yes
  • Integer
  •  NOTE: A full-time equivalent job equals any combination of two or more part-time jobs that, when combined together, constitute the equivalent of a job of at least 35 hours per week. Please note if any of these positions are contract employees and if so, how many of the total are contract employees.

     

     

Q_2199

G. Average Annual Wage (Full Time Employees and FTEs) All NYS Locations as of the date this application is finalized
  • Jobs
  • Yes
  • Money

Q_1186

G. Average Annual Wage (Full Time Employees and FTEs) Project Location Only as of the date this application is finalized.
  • Jobs
  • Yes
  • Money

Q_1196

H. At Risk Positions (From Existing Full Time Employees and FTEs)
How many of the existing jobs at the project location(s) are at risk if the project does not go forward.
  • Jobs
  • Yes
  • Integer
  •  

    "At Risk" shall mean a permanent Full-time employee position currently located in New York State that is found by ESD to be at risk of being lost or moved out of state based on compelling information provided by the applicant.

     

Q_17168

I. Average Annual Wage of at Risk Employees/Jobs (Full Time Employees and FTEs)
project location only
  • Jobs
  • Yes
  • Money

Q_17169

J. Percentage of Employees that are residents of New York State
ALL NYS locations
  • Jobs
  • Yes
  • Integer

Q_2175

J. Percentage of Employees that are residents of New York State Project Location Only
  • Jobs
  • Yes
  • Integer

Q_2372

K. Construction Jobs: Estimate the number of construction jobs to be created by the proposed project.
  • Jobs
  • Yes
  • Integer
  • K. Construction Jobs: Estimate the number of construction jobs to be created by the proposed project.

Q_1415

Indicate what the average percentage is of the applicants' total employees' gross wages paid in benefits (exclude mandated benefits such as Federal Insurance Contributions Act (FICA), Medicare tax, unemployment insurance or workers' compensation insurance.
  • Jobs
  • Yes
  • Integer

Q_3064

Net New Job Information (Enter Cumulatively) 1. Enter the type of job by general category.
2. Enter the gross annual wages for each job type.
3. List the number of net new jobs. Please enter CUMULATIVE job totals, i.e. if there are 10 jobs being created each year for 5 years, enter as 10, 20, 30, 40, 50.

Please note that if you are completing the URI Phase 1 - Intent to Propose, you are not required to complete the table below at this time as this information will be available to enter in during phase 2 of the application.
  • Jobs
  • No
  • Short Answer

Q_3065

Net New Job Information
  • Jobs
  • No
  • Money

Q_3066

Net New Job Information
  • Jobs
  • No
  • Integer

Q_3067

Net New Job Information
  • Jobs
  • No
  • Integer

Q_3068

Net New Job Information
  • Jobs
  • No
  • Integer

Q_3069

Net New Job Information
  • Jobs
  • No
  • Integer

Q_3070

Net New Job Information
  • Jobs
  • No
  • Integer

Q_3071

Net New Job Information Job Type/Category
  • Jobs
  • No
  • Short Answer

Q_3072

Net New Job Information 2 Avg Gross Wages/Job Type
  • Jobs
  • No
  • Money

Q_3073

Net New Job Information 2 Year 1 -
  • Jobs
  • No
  • Integer

Q_3074

Net New Job Information 2 Year 2 -
  • Jobs
  • No
  • Integer

Q_3075

Net New Job Information 2 Year 3 -
  • Jobs
  • No
  • Integer

Q_3076

Net New Job Information 2 Year 4 -
  • Jobs
  • No
  • Integer

Q_3077

Net New Job Information 2 Year 5 -
  • Jobs
  • No
  • Integer

Q_3078

Net New Job Information (Enter Cumulatively) Job Type/Category
  • Jobs
  • No
  • Short Answer

Q_3079

Net New Job Information (Enter Cumulatively) 3 Avg Gross Wages/Job Type
  • Jobs
  • No
  • Money

Q_3080

Net New Job Information (Enter Cumulatively) 3 Year 1 -
  • Jobs
  • No
  • Integer

Q_3081

Net New Job Information (Enter Cumulatively) 3 Year 2 -
  • Jobs
  • No
  • Integer

Q_3082

Net New Job Information (Enter Cumulatively) 3 Year 3 -
  • Jobs
  • No
  • Integer

Q_3083

Net New Job Information (Enter Cumulatively) 3 Year 4 -
  • Jobs
  • No
  • Integer

Q_3084

Net New Job Information (Enter Cumulatively) 3 Year 5 -
  • Jobs
  • No
  • Integer

Q_3086

Net New Job Information (Enter Cumulatively) Job Type/Category
  • Jobs
  • No
  • Short Answer

Q_3089

Net New Job Information (Enter Cumulatively) 4 Avg Gross Wages/Job Type
  • Jobs
  • No
  • Money

Q_3090

Net New Job Information (Enter Cumulatively) 4 Year 1 -
  • Jobs
  • No
  • Integer

Q_3091

Net New Job Information (Enter Cumulatively) 4 Year 2 -
  • Jobs
  • No
  • Integer

Q_3092

Net New Job Information (Enter Cumulatively) 4 Year 3 -
  • Jobs
  • No
  • Integer

Q_3093

Net New Job Information (Enter Cumulatively) 4 Year 4 -
  • Jobs
  • No
  • Integer

Q_3094

Net New Job Information (Enter Cumulatively) 4 Year 5 -
  • Jobs
  • No
  • Integer

Q_3095

Net New Job Information (Enter Cumulatively) Job Type/Category
  • Jobs
  • No
  • Short Answer

Q_3096

Net New Job Information (Enter Cumulatively) 5 Avg Gross Wages/Job Type
  • Jobs
  • No
  • Money

Q_3097

Net New Job Information (Enter Cumulatively) 5 Year 1 -
  • Jobs
  • No
  • Integer

Q_3098

Net New Job Information (Enter Cumulatively) 5 Year 2 -
  • Jobs
  • No
  • Integer

Q_3099

Net New Job Information (Enter Cumulatively) 5 Year 3 -
  • Jobs
  • No
  • Integer

Q_3100

Net New Job Information (Enter Cumulatively) 5 Year 4 -
  • Jobs
  • No
  • Integer

Q_3101

Net New Job Information (Enter Cumulatively) 5 Year 5 -
  • NEW NET JOBS TO BE CREATED AS A RESULT OF THE PROJECT

    In the Table below, provide a breakdown by general category/job type to indicate how many net new full-time employees/jobs the company will create cumulatively by year (using the definition in the question above) as a result of the project. The total in the bottom right-hand corner needs to equal the number in the subsequent question that follows this table.

    1) Enter the type of job by general category.

    2) Enter the average gross annual wages for each job type.

    3) Enter CUMULATIVE job totals in the table below. Cumulative job totals mean that each subsequent year in the chart includes jobs created in all prior years. The job number in the bottom right-hand corner on the chart is the full number of jobs created over all five years and needs to equal the number in the subsequent question that follows this table. The number of net new jobs in each cell should be consistent with the definitions from the top of the page, where total new full-time employees/jobs are added to total new full-time equivalent employees/jobs to get the total number of net new jobs that can counted.

    i.e. if there are 10 jobs being created each year for 5 years in one category, enter 10 for year 1; 20 for year 2; 30 for year 3; 40 for year 4; 50 for year 5.

    If awarded, your company or entity will be held to the job creation commitments as outlined in the table below and question above. For grants, should you fail to meet the job creation commitments, recapture provisions may apply. For Excelsior, each years job commitment is evaluated separately to determine if tax credits can be issued.

    Applicants should reach out to the regional office in which their project is located if they have any questions on how to fill this table out.
  • Jobs
  • No
  • Integer

Q_7506

Indicate how many net new full-time jobs the company will create over 5 years. Please ensure this number is the same as the cumulative total number of jobs you entered for year 5 from the Net New Job Infromation table above.

The number of net new jobs should be consistent with the definitions from the top of the page, where total new full-time employees/jobs are added to total new full-time equivalent employees/jobs to get the total number of net new jobs that can counted.

If awarded, your company or entity will be held to the job creation commitments as outlined in this question and table below. For grants, should you fail to meet the job creation commitments, recapture provisions may apply. For Excelsior, each years job commitment is evaluated separately to determine if tax credits can be issued.
  • Jobs
  • Yes
  • Integer

Q_17898

Indicate the average annual salary for the net new jobs created as a result of this project.
  • Jobs
  • Yes
  • Money

Q_14397

What percentage of the project’s net-new employees will work remotely (in part or fully)?
If none, then enter 0(zero).
  • Jobs
  • Yes
  • Integer

Q_4167

Indicate the year employment begins under Year 1 for your project for the Net New Job table above.
  • Jobs
  • Yes
  • Integer
  • Please reference job definitions at the top of this page.

    The base employment for Excelsior is calculated using the prior 4 quarters from when you are accepted into the program.

     

Q_2331

Attach an organizational chart along with a brief description of the ownership structure. Please specify the ownership of the applicant’s business including the names of principal owners, include the percentage of ownership for each individual entity (if applicable), and if the company is a parent, subsidiary and/or affiliate of another company, please provide a description of the relationship. Additional financial information may be requested.
  • Attachment
  • Yes
  • Attachment

Q_17161

Attach interim financial documents for 2025

For privately owned companies, IDAs, not-for-profits, educational institutions, start-ups, municipalities, or any business or organization other than publicly traded companies, please provide audited or reviewed financials, or compiled financials with signed tax returns, for 2025. For-publicly traded companies, please provide Form 10-K for 2025.
  • Attachment
  • Yes
  • Attachment
  • Financial statements should be audited or reviewed.  If the statements are only compiled, they must be accompanied by copies of signed Federal tax returns (3 yrs).  Financial statements should be provided by the parent company or any individual owning 50% or greater of the Applicant) unless the Applicant prepares separate audited or reviewed financial statements or files separate tax returns from the parent.

     

    For information about this requirement, contact your local ESD Regional Office. https://esd.ny.gov/regions

    If you are applying to the ONRAMP program, contact workforce@esd.ny.gov 

Q_17160

Attach 2024 financial documents

For privately owned companies, IDAs, not-for-profits, educational institutions, start-ups, municipalities, or any business or organization other than publicly traded companies, please provide audited or reviewed financials, or compiled financials with signed tax returns, for 2024. For-publicly traded companies, please provide Form 10-K for 2024.
  • Attachment
  • Yes
  • Attachment
  • Financial statements should be audited or reviewed.  If the statements are only compiled, they must be accompanied by copies of signed Federal tax returns (3 yrs).  Financial statements should be provided by the parent company or any individual owning 50% or greater of the Applicant) unless the Applicant prepares separate audited or reviewed financial statements or files separate tax returns from the parent.

     

    For information about this requirement, contact your local ESD Regional Office. https://esd.ny.gov/regions

    If you are applying to the ONRAMP program, contact workforce@esd.ny.gov 

Q_15218

Attach 2023 financial documents

For privately owned companies, IDAs, not-for-profits, educational institutions, start-ups, municipalities, or any business or organization other than publicly traded companies, please provide audited or reviewed financials, or compiled financials with signed tax returns, for 2023. For-publicly traded companies, please provide Form 10-K for 2023.
  • Attachment
  • Yes
  • Attachment
  • Financial statements should be audited or reviewed.  If the statements are only compiled, they must be accompanied by copies of signed Federal tax returns (3 yrs).  Financial statements should be provided by the parent company or any individual owning 50% or greater of the Applicant) unless the Applicant prepares separate audited or reviewed financial statements or files separate tax returns from the parent.

     

    For information about this requirement, contact your local ESD Regional Office. https://esd.ny.gov/regions

    If you are applying to the ONRAMP program, contact workforce@esd.ny.gov 

Q_13592

Attach 2022 financial documents

For privately owned companies, IDAs, not-for-profits, educational institutions, start-ups, municipalities, or any business or organization other than publicly traded companies, please provide audited or reviewed financials, or compiled financials with signed tax returns, for 2022. For-publicly traded companies, please provide Form 10-K for 2022.
  • Attachment
  • Yes
  • Attachment
  • Financial statements should be audited or reviewed.  If the statements are only compiled, they must be accompanied by copies of signed Federal tax returns (3 yrs).  Financial statements should be provided by the parent company or any individual owning 50% or greater of the Applicant) unless the Applicant prepares separate audited or reviewed financial statements or files separate tax returns from the parent.

     

    For information about this requirement, contact your local ESD Regional Office. https://esd.ny.gov/regions

    If you are applying to the ONRAMP program, contact workforce@esd.ny.gov 

Q_6946

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).
  • Attachment
  • No
  • Attachment

Q_2333

If review of the project has been completed pursuant to State Environmental Quality Review Act (SEQRA) or National Environmental Policy Act (NEPA), please submit the Negative Declaration or Findings Statement, or Finding of No Significant Impact or Record of Decision.
  • Attachment
  • No
  • Attachment

Q_2332

Attach a short or long Environmental Assessment Form

Project review pursuant to the State Environmental Quality Review Act (SEQRA) must be completed prior to the award of any state funds. For projects classified as Type I or Unlisted actions, submit a short or long Environmental Assessment Form. See "View Help" for links to forms.

Q_16310

Have any other entities completed a Climate Impact Statement or other similar form for this project?
  • CLIMATE IMPACT STATEMENT - PART A
    The following questions make up part of the Climate Impact Statement and will assist Empire State Development in determining whether a proposed approval, undertaking, support, or funding for a project by ESD is consistent with the State’s greenhouse gas emission reduction targets. Not all questions/answers may be relevant to all projects.

  • Attachment
  • Yes
  • Yes/No
    1. If No is selected then Q_16312 will be displayed
    2. If Yes is selected then Q_16311 will be displayed

Q_16311

Attach a copy of the completed Climate Impact Statement or similar form.
  • Attachment
  • Yes
  • Attachment

Q_16312

Has an Environmental Impact Statement been prepared for this project?
  • Attachment
  • Yes
  • Yes/No
    1. If No is selected then Q_16314 will be displayed
    2. If Yes is selected then Q_16313 will be displayed

Q_16313

Attach copy of the Greenhouse Gas Emission section.
  • Attachment
  • Yes
  • Attachment

Q_16314

Have the greenhouse gas emissions expected from the project been quantified in any other way?
  • Attachment
  • Yes
  • Yes/No
    1. If Yes is selected then Q_16315 will be displayed

Q_16315

Attach copy of the supporting calculations and other material.
  • Attachment
  • Yes
  • Attachment

Q_1339

Applicant website
  • Standard Question
  • No
  • URL

Q_740

What is the applicant's Federal Tax ID#?
  • Company/Applicant Questions
  • Standard Question
  • Yes
  • Integer
  • This is a Restricted Question. The dissemination of information provided in response to a Restricted Question is intended to be limited to the Economic Development Power Allocation Board, NYPA’s Board of Trustees, and NYPA staff. If you need to disclose information you believe should be treated as confidential, please do so only in response to Restricted Questions. Also, please identify in the “Other Information” section of the CFA all responses to Restricted Questions that you believe contain confidential information.  Once in NYPA’s possession, this information will be accorded the protections to which it is entitled under New York law, including Public Officers Law Article 6 (Freedom of Information Law).

Q_595

Indicate the principal North American Industrial Classification System (NAICS) Code of the Company.
  • Standard Question
  • Yes
  • Integer
  • Please reference the most recent NAICS code file:   NAICS 

     

Q_1142

Indicate the Primary North American Industrial Classification System (NAICS) Code associated with the activity of the business at the project location.
  • Standard Question
  • Yes
  • Integer
  • For help determining the NAICS Code, click HERE.

Q_1075

Describe the ownership of the applicant’s business including, if applicable, the names of principal owners:
  • Standard Question
  • Yes
  • Long Answer
  • 0 - 800

Q_1076

Identify the applicant’s parent and subsidiary companies (if none, please respond with N/A):
  • Company/Applicant Questions
  • Standard Question
  • Yes
  • Long Answer
  • 0 - 500

Q_900

Electric Utility Company Name
  • Company/Applicant Questions
  • Standard Question
  • Yes
  • Short Answer

Q_902

Natural Gas Utility Company Name
  • Company/Applicant Questions
  • Standard Question
  • Yes
  • Short Answer

Q_2221

Is the applicant an Empire Zone certified entity? If so, please provide the Empire Zone address location.
  • Company/Applicant Questions
  • Standard Question
  • No
  • Short Answer
  • Empire Zones are geographically defined areas within New York State. Qualifying businesses located within the zone are eligible for Empire Zone program tax benefits.  
     
    Note: The Empire Zones program is closed to new applicants.

Q_3134

A third party completing this application is required to disclose their name, company and contact name. Is a third party completing this application?
  • Company/Applicant Questions
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then Q_3136 will be displayed

Q_3136

Provide the third party name and contact info.
  • Standard Question
  • Yes
  • Long Answer
  • 0 - 100

Q_1410

Briefly describe what the project involves in terms of product(s) or services(s) that will be provided at the project location.
  • Standard Question
  • Yes
  • Long Answer
  • 0 - 2000

Q_1224

Have any expenditures for the project been made prior to the date of this application? If yes, explain.
  • General Project Questions
  • Standard Question
  • Yes
  • Short Answer

Q_12654

Has the applicant applied for and/or been awarded funding from other New York State or local entities for this project?
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then these questions will be displayed:
      - Q_12655
      - Q_13264

Q_12655

Please detail the funding applied to for this project and the entity administering the funding. Do not include funding that has been awarded.
  • Standard Question
  • Yes
  • Long Answer
  • 1 - 850

Q_13264

Please detail the funding awarded to this project and the entity administering the funding.
  • Standard Question
  • Yes
  • Long Answer
  • 0 - 850

Q_13265

Has the applicant applied to and/or been awarded funding from a local IDA?
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then these questions will be displayed:
      - Q_13266
      - Q_13267

Q_13266

Please detail the funding applied for this project and the entity administering the funding. Do not include funding that has been awarded.
  • Standard Question
  • Yes
  • Long Answer
  • 0 - 850

Q_13267

Please detail the funding awarded to this project and the entity administering the funding.
  • Standard Question
  • Yes
  • Long Answer
  • 0 - 850

Q_11965

Does this project meet the definition of an Excelsior Jobs Program green project per the program regulations?
  • Green Project Questions
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then Q_11967 will be displayed

Q_11967

If this is an Excelsior green project, please describe how this project specifically meets the requirements set forth in the green project definition.
  • Green Project Questions
  • Standard Question
  • No
  • Long Answer
  • 0 - 750

Q_3012

Qualified Investments Land Acquisition Year 1
  • Standard Question
  • Yes
  • Money
  • 0
  • * Eligible investment for ESD Grant Funds; generally not eligible investment for Excelsior Jobs Program.

Q_3006

Qualified Investments -Building Acquisition Year 1
  • Standard Question
  • Yes
  • Money
  • 0
  • Excelsior Jobs Program: Qualified investments are tangible personal property, including a building or structural component of a building, owned by the applicant that is depreciable per IRC Section 164, has a useful life of 4 years or more, is acquired by purchase as defined in IRC Section 179(d), is located in NYS, and is placed in service on or after the date certified eligible for the Excelsior Jobs Program.

Q_3014

Qualified Investments Demolition & environmental remediation Year 1
  • Standard Question
  • Yes
  • Money
  • 0

Q_3007

Qualified Investments Building Renovation Year 1
  • Standard Question
  • Yes
  • Money
  • 0

Q_3008

Qualified Investments New Construction Year 1
  • Standard Question
  • Yes
  • Money
  • 0

Q_17172

Qualified Investments Production Machinery & Equipment- Purchasing within NYS only Year 1
  • Standard Question
  • Yes
  • Money
  • 0

Q_17173

Qualified Investments Production Machinery & Equipment- Purchasing outside NYS only - year 1
  • Standard Question
  • Yes
  • Money
  • 0

Q_3010

Qualified Investments Furniture, fixtures & equipment Year 1
  • Standard Question
  • Yes
  • Money
  • 0

Q_3015

Qualified Investments Soft Costs Year 1
  • Standard Question
  • Yes
  • Money
  • 0

Q_3024

Qualified Investments Land Acquisition * Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_3017

Qualified Investments Building Acquisition Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_3027

Qualified Investments Demolition Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_3018

Qualified Investments Building Renovation Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_3019

Qualified Investments New Construction Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_17174

Qualified Investments Production Machinery & Equipment- Purchasing within NYS only - year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_17175

Qualified Investments Production Machinery & Equipment- Purchasing outside NYS only Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_3022

Qualified Investments Furniture, fixtures Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_3028

Qualified Investments Soft Costs Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_3036

Qualified Investments Land Acquisition * Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_3030

Qualified Investments Building Acquisition Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_3039

Qualified Investments Demolition Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_3031

Qualified Investments Building Renovation Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_3032

Qualified Investments New Construction Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_17176

Qualified Investments Production Machinery & Equipment- Purchasing within NYS only Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_17177

Qualified Investments Production Machinery & Equipment- Purchasing outside NYS only Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_3034

Qualified Investments Furniture, fixtures Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_3040

Qualified Investments Soft Costs Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_3048

Qualified Investments Land Acquisition * Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_3042

Qualified Investments Building Acquisition year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_3050

Qualified Investments Demolition Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_3043

Qualified Investments Building Renovation Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_3044

Qualified Investments New Construction Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_17178

Qualified Investments Production Machinery & Equipment- Purchasing within NYS only Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_17179

Qualified Investments Production Machinery & Equipment- Purchasing outside NYS only Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_3046

Qualified Investments Furniture, fixtures Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_3051

Qualified Investments Soft Costs Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_3059

Qualified Investments Land Acquisition * Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_3053

Qualified Investments Building Acquisition
  • Standard Question
  • Yes
  • Money
  • 0

Q_3061

Qualified Investments Demolition Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_3054

Qualified Investments Building Renovation Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_3055

Qualified Investments New Construction Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_17180

Qualified Investments Production Machinery & Equipment- Purchasing within NYS only Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_17181

Qualified Investments Production Machinery & Equipment- Purchasing outside NYS only Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_3057

Qualified Investments Furniture, fixtures Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_3062

Qualified Investments Soft Costs Year 5
  • QUALIFIED INVESTMENT TABLE INSTRUCTIONS

    Please enter the annual anticipated Project Costs based on the year that the investment will be made. These Project Costs should match the information in the Program Budget section.

    Please note:
    1. Anything marked with an asterisks (*) is typically considered an eligible investment for ESD Regional Council Capital Funds but generally not an eligible investment for the Excelsior Jobs Program.
    2. For 'Production Machinery & Equipment- purchasing within NYS ONLY' - this is for in NYS purchases only. If your project is awarded, you will be required to show proof that these items purchased within NYS.
  • Standard Question
  • Yes
  • Money
  • 0

Q_12273

Will this project include the applicant undertaking or sponsoring new child care services for its employees?
  • Childcare Questions
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then these questions will be displayed:
      - Q_12274
      - Q_12281
      - Q_12282
      - Q_12283
      - Q_12284
      - Q_12285

Q_12274

Please provide a summary of the project, including the location, hours of operation, and specific services to be provided. In the qualified investments table below, include your anticipated child care capital expenses in the applicable categories by year.
  • Childcare Questions
  • Standard Question
  • Yes
  • Long Answer
  • 0 - 2000

Q_12281

Childcare Capital Expense- Year 1
  • Standard Question
  • Yes
  • Money
  • 0
  •  In the table below, 'Qualified Investments-Childcare Capital Expenses', separate your anticipated child care capital expenses from other project costs.

Q_12282

Childcare Capital Expense- Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_12283

Childcare Capital Expense- Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_12284

Childcare Capital Expense- Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_12285

Childcare Capital Expense- Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_12275

Will this project incur net new childcare services expenses (non-capital)?
  • Childcare Questions
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then these questions will be displayed:
      - Q_12276
      - Q_12277
      - Q_12278
      - Q_12279
      - Q_12280
  • If yes, please fill out the Net New Childcare Expenditures Table. 

    "Net new child care services expenditures" means the calculation of new, annual participant expenditures on child care services whether internal or provided by a third party (including coverage for full or partial discount of employee rates), minus any revenues received by the participant through a third-party operator (i.e. rent paid to the participant by the child care provider) or employees and may be further defined by the commissioner in regulations. For the purposes of this definition, expenditures for child care services that a participant has incurred prior to admission to this program shall not be eligible for the credit.

Q_12276

New New Childcare Expenditures- Year1
  • Standard Question
  • Yes
  • Money
  • 0

Q_12277

Net New Childcare Expenditures- Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_12278

Net New Childcare Expenditures- Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_12279

Net New Childcare Expenditures- Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_12280

Net New Childcare Expenditures- Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_14398

Do you wish to learn more about incentives for establishing or expanding childcare services on site or nearby?
  • Standard Question
  • Yes
  • Yes/No

Q_14323

Does your company take advantage of or is considering taking advantage of employer provided childcare federal and state credits?
  • Responses to the following two questions will not affect potential ESD incentives, but rather are intended to inform New York State strategy as we try to improve access to affordable childcare for your workers and all others in New York.
  • Standard Question
  • Yes
  • Yes/No

Q_14324

Does your company offer or is your company considering offering dependent care flexible spending accounts?
  • Responses to the following two questions will not affect potential ESD incentives, but rather are intended to inform New York State strategy as we try to improve access to affordable childcare for your workers and all others in New York.
  • Standard Question
  • Yes
  • Yes/No

Q_3525

Do you conduct, or plan to conduct, research & development activities at this project location? Indicate Y/N. If "Y", please describe.

Q_3001

Research & Development
  • Standard Question
  • No
  • Money
  • R&D Projected Expenditures (expenses that qualify under the federal R&D credit per IRC Section 41 and are attributed to activities conducted in NYS)

Q_3002

Research & Development
  • Standard Question
  • No
  • Money

Q_3003

Research & Development
  • Standard Question
  • No
  • Money

Q_3004

Research & Development
  • Standard Question
  • No
  • Money

Q_3005

Research & Development
  • Standard Question
  • No
  • Money

Q_3526

Estimate the future annual real property taxes or annual PILOT payments based on the investments in the property. What are the annual savings on real property taxes resulting from a PILOT agreement based on the investments in the property?
  • REAL PROPERTY
  • Standard Question
  • No
  • Long Answer
  • any
  • PILOT:  Payment In Lieu Of Taxes

Q_1368

Please indicate the current annual real property taxes or PILOT payments.
  • REAL PROPERTY
  • Standard Question
  • No
  • Money
  • PILOT:  Payment In Lieu Of Taxes

Q_1367

Does, or will, the applicant own the property(ies) or have a lease specifying that it will pay the property taxes to the taxing jurisdiction for this project location(s)?
  • Standard Question
  • Yes
  • Single Choice Radio Button
  • Yes, No, N/A

Q_16316

Is the project located in or within a half mile of a Disadvantaged Community as identified by the Disadvantaged Communities map maintained by NYSERDA?
  • CLIMATE IMPACT STATEMENT
    The following questions make up the remainder of the Climate Impact Statement and will assist Empire State Development in determining whether a proposed approval, undertaking, support, or funding for a project by ESD is consistent with the State’s greenhouse gas emission reduction targets. Not all questions/answers may be relevant to all projects.

  • Standard Question
  • Yes
  • Yes/No

Q_16391

Did you answer yes to the any one of the following three questions?

Q_16310: Have any other entities completed a Climate Impact Statement or other similar form for this project?

Q_16312: Has an Environmental Impact Statement been prepared for this project?

Q_16314 Have the greenhouse gas emissions expected from the project been quantified in any other way?
  • Standard Question
  • Yes
  • Yes/No
    1. If No is selected then these questions will be displayed:
      - Q_16363
      - Q_16372
    2. If Yes is selected then Q_16510 will be displayed

Q_16510

Have you uploaded supporting documentation in the attachments section of this application?
  • Standard Question
  • Yes
  • Yes/No

Q_16372

Does the project involve new building construction or renovation of an existing building?

You should select 'Yes' only if the project involves new building construction or the renovation of an existing building. If you answer 'Yes' to less than 4 questions in this section (Part B - The Building), not including this question, and are awarded, you may be contacted to incorporate greenhouse gas mitigation measures into your project.
  • CLIMATE IMPACT STATEMENT - Part B - The Building
    This section is only required if a Climate Impact Statement, Environmental Impact Statement, Greenhouse Gas Emissions Quantification or other similar form has not yet been completed and provided in this application in the documents section. Not all questions/answers may be relevant to all projects.

    Please note that if you are required to complete this section (Part B- The Building) and are awarded, if you answer 'Yes' to less than 4 of the questions in this section (Part B - The Building), you may be contacted to incorporate greenhouse gas mitigation measures into your project.
  • Standard Question
  • Yes
  • Yes/No
    1. If YES is selected then these questions will be displayed:
      - Q_16317
      - Q_16319
      - Q_16321
      - Q_16323
      - Q_16325
      - Q_16327
      - Q_16329
      - Q_16331
      - Q_16339
      - Q_16341
      - Q_16343
      - Q_16345
      - Q_16347
      - Q_16350
  • Sample GHG Mitigation Measures*

    Building Design and Operation Measures
    • Design an energy efficient building envelop to reduce cooling/heating requirements
    • Install high-efficiency HVAC systems
    • Construct green roofs
    • Eliminate or reduce use of refrigerants in HVAC systems
    • Use high-albedo roofing materials
    • Maximize interior daylighting
    • Reduce energy demand using peak shaving or load shifting strategies
    • Incorporate window glazing to optimize daylighting, heat loss and solar heat gain
    • Incorporate super insulation to minimize heat loss
    • Incorporate motion sensors and lighting and climate control
    • Use efficient, directed exterior lighting
    • Use water conserving fixtures that exceed building code requirements
    • Re-use gray water and/or collect and re-use rainwater
    • Provide for storage and collection of recyclables (including paper, corrugated cardboard, glass, plastic and metals) in building design
    • Re-use building materials and products
    • Use building materials with recycled content
    • Use building materials that are extracted and/or manufactured within the region
    • Use rapidly renewable building materials
    • Use wood that is locally produced and/or certified in accordance with the Sustainable Forestry Initiative or the Forestry Stewardship Council's Principles and Criteria
    • Conduct 3rd party building commissioning to ensure energy performance (e.g. LEED)
    • Track energy performance of building and develop strategy to maintain efficiency
    • Provide construction and design guidelines to facilitate sustainable design for build-out by tenants

    Efficiency or Mitigation Measures for On-site GHG Sources
    • Use energy efficient boilers, heaters, furnaces, incinerators, or generators
    • Use process design efficiency for industrial process sources
    • Incorporate co-firing of biomass or use of bio-fuels
    • Collect biogas and use for power generation
    • Use biodiesel or bioheat for heating fuel or in vehicles/equipment
    • Incorporate on-site renewable energy sources into project, such as wind or solar
    • Incorporate combined heat and power (CHP) technologies
    • Pursue carbon collection, capture, and reuse or sequestration Site

    Selection and Design Measures
    • Provide access to public transportation
    • Minimize energy use through building orientation
    • Select brownfields or greyfields for redevelopment to minimize vegetation/forest loss
    • Incorporate mixed-use design to promote short commutes for employment and shopping
    • Provide permanent protection for open space on the project site
    • Manage forested areas for carbon sequestration
    • Select site with potential for carbon sequestration (for large CO2 generators)
    • Conserve and restore natural areas on-site
    • Minimize building footprint
    • Design project to support alternative transportation (walking and bicycling)
    • Use low impact development for stormwater design
    • Design water efficient landscaping

    Transportation Measures
    • Locate new buildings in or near areas designated for transit-oriented development (TOD)
    • Incorporate TOD principles in employee and customer activity patterns
    • Purchase alternative fuel and/or fuel efficient vehicles for fleet, including the range of maintenance and operation vehicles used on-site.
    • Incorporate idling reduction policies
    • Join or form a Transportation Management Association
    • Provide new transit service or support extension/expansion of existing transit (buses, trains, shuttles, water transportation)
    • Support expansion of parking at Park-n-Ride Lots and/or transit stations
    • Develop or support multi-use paths to and through site
    • Size parking capacity to meet, but not exceed, local parking requirements and, where possible, seek reductions in parking supply through special permits or waivers
    • Pursue opportunities to minimize parking supply through shared or banked parking
    • Develop a parking management program to minimize parking requirements such as parking cash-out, parking charges, preferential carpool or vanpool parking, limiting parking available to employees
    • Develop and implement a marketing/information program that includes posting and distribution of ride sharing transit information
    • Subsidize transit passes
    • Provide for the use of pre-tax dollars for non-single occupancy vehicle commuting costs
    • Reduce employee trips during peak periods through alternative work schedules, telecommuting and/or flex-time
    • Provide a guaranteed ride home program
    • Provide on-site amenities such as banks, dry cleaning, food service, childcare
    • Provide bicycle storage and showers/changing rooms
    • Roadway improvements to improve traffic flow
    • Traffic signalization and coordination to improve traffic flow and support pedestrian and
    • bicycle safety

    Waste Reduction or Management Measures
    • For landfills, recover organics from waste streams, enhance landfill gas collection, use flaring, or use landfill gas for energy production
    • Utilize composting
    • Promote and facilitate recycling
    • Incorporate internal environmental accounting practices to promote waste reduction

    * Sample GHG mitigation measures compiled by DEC as a menu of possible items to implement. Many of these options are already in regular use and have successfully been deployed to reduce energy use, energy costs, and GHG emissions

Q_16317

Is the project an adaptive reuse of an existing building?
  • Standard Question
  • Yes
  • Single Choice Dropdown
  • YES, NO, N/A
    1. If NO is selected then Q_16373 will be displayed
    2. If YES is selected then Q_16318 will be displayed

Q_16318

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16373

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16319

Will the project reuse building materials?
  • Standard Question
  • Yes
  • Single Choice Dropdown
  • YES, NO, N/A
    1. If NO is selected then Q_16374 will be displayed
    2. If YES is selected then Q_16320 will be displayed

Q_16320

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16374

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16321

Will the project recycle rehabbed building materials?
  • Standard Question
  • Yes
  • Single Choice Dropdown
  • YES, NO, N/A
    1. If NO is selected then Q_16375 will be displayed
    2. If YES is selected then Q_16322 will be displayed

Q_16322

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16375

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16323

Will the project incorporate low-carbon building materials into construction?
Some examples of low-carbon materials and products in the market include low-carbon bricks, concrete, tiles and recycled metals.
  • Standard Question
  • Yes
  • Single Choice Dropdown
  • YES, NO, N/A
    1. If NO is selected then Q_16376 will be displayed
    2. If YES is selected then Q_16324 will be displayed

Q_16324

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16376

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16325

Will the project utilize an energy efficient building envelope or improve building weatherization through, for example, insulation, air sealing, and/or replacing poorly performing windows and doors?
  • Standard Question
  • Yes
  • Single Choice Dropdown
  • YES, NO, N/A
    1. If NO is selected then Q_16377 will be displayed
    2. If YES is selected then Q_16326 will be displayed

Q_16326

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16377

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16327

Will the project adopt measures to avoid, reduce or re-use waste?
  • Standard Question
  • Yes
  • Single Choice Dropdown
  • YES, NO, N/A
    1. If NO is selected then Q_16378 will be displayed
    2. If YES is selected then Q_16328 will be displayed

Q_16328

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16378

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16329

Will the project utilize climate friendly refrigerants (those with a Global Warming Potential of less than 10) instead of hydrofluorocarbons?
  • Standard Question
  • Yes
  • Single Choice Dropdown
  • YES, NO, N/A
    1. If NO is selected then Q_16379 will be displayed
    2. If YES is selected then Q_16330 will be displayed

Q_16330

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16379

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16331

Will the project incorporate energy efficiency measures such as smart thermostats, energy efficient lighting, or heat pumps for space heating and cooling?
  • Standard Question
  • Yes
  • Single Choice Dropdown
  • YES, NO, N/A
    1. If NO is selected then Q_16380 will be displayed
    2. If YES is selected then Q_16338 will be displayed

Q_16338

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16380

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16339

Will the project make use of thermal energy networks, such as those that utilize, for example, ground-source heat pumps, waste heat, or industrial process heat to provide space heating, cooling and/or domestic hot water?
  • Standard Question
  • Yes
  • Single Choice Dropdown
  • YES, NO, N/A
    1. If NO is selected then Q_16381 will be displayed
    2. If YES is selected then Q_16340 will be displayed

Q_16340

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16381

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16341

Will the project incorporate infrastructure for charging/fueling zero-emission vehicles?
  • Standard Question
  • Yes
  • Single Choice Dropdown
  • YES, NO, N/A
    1. If NO is selected then Q_16382 will be displayed
    2. If YES is selected then Q_16342 will be displayed

Q_16342

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16382

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16343

Will the project install on-site renewable energy systems and/or on-site battery storage systems to contribute to the project’s energy needs?
  • Standard Question
  • Yes
  • Single Choice Dropdown
  • YES, NO, N/A
    1. If NO is selected then Q_16383 will be displayed
    2. If YES is selected then Q_16344 will be displayed

Q_16344

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16383

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16345

Will the project utilize renewable energy for at least 50% of its electricity?
  • Standard Question
  • Yes
  • Single Choice Dropdown
  • YES, NO, N/A
    1. If NO is selected then Q_16384 will be displayed
    2. If YES is selected then Q_16346 will be displayed

Q_16346

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16384

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16347

Will the building systems be 100% electrified?
  • Standard Question
  • Yes
  • Single Choice Dropdown
  • YES, NO, N/A
    1. If NO is selected then Q_16390 will be displayed
    2. If YES is selected then Q_16348 will be displayed

Q_16348

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16390

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16350

Are there any renewable energy or energy efficiency improvements being made to the building as part of the project that are not reflected in the items above?
  • Standard Question
  • Yes
  • Single Choice Dropdown
  • YES, NO, N/A
    1. If NO is selected then Q_16385 will be displayed
    2. If YES is selected then Q_16351 will be displayed

Q_16351

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16385

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16363

Does the project involve the installation, expansion or renovation of a manufacturing process?
  • CLIMATE IMPACT STATEMENT - Part C -The Manufacturing Process
    This section is only required if a Climate Impact Statement, Environmental Impact Statement, Greenhouse Gas Emissions Quantification or other similar form has not yet been completed and provided in this application in the documents section. Not all questions/answers may be relevant to all projects.

    *The information in this section (Part C- The Manufacturing Process) is being collected for awareness and informational purposes only at this time.
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then these questions will be displayed:
      - Q_16352
      - Q_16354
      - Q_16357
      - Q_16359
      - Q_16361

Q_16352

Will the project use innovative measures to reduce emissions such as low-carbon thermal solutions or carbon capture, storage, and utilization?
  • Standard Question
  • Yes
  • Single Choice Dropdown
  • YES, NO, N/A
    1. If NO is selected then Q_16386 will be displayed
    2. If YES is selected then Q_16353 will be displayed

Q_16353

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16386

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16354

Will the project use cleaner fuels, such as hydrogen formed without greenhouse gas emissions through the use of electrolysis powered by renewable electricity, to replace or displace the use of fossil fuels?
  • Standard Question
  • Yes
  • Single Choice Dropdown
  • YES, NO, N/A
    1. If NO is selected then Q_16356 will be displayed
    2. If YES is selected then Q_16355 will be displayed

Q_16355

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16356

Please identify the fuels and systems that will be employed in the manufacturing process and explain why cleaner fuels or electrification will not be used.
  • Standard Question
  • Yes
  • Short Answer

Q_16357

Will the project incorporate mitigation measures for process emissions?
  • Standard Question
  • Yes
  • Single Choice Dropdown
  • YES, NO, N/A
    1. If NO is selected then Q_16387 will be displayed
    2. If YES is selected then Q_16358 will be displayed

Q_16358

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16387

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16359

Will the project use best available control technology for mitigating and controlling greenhouse gas emissions?
  • Standard Question
  • Yes
  • Single Choice Dropdown
  • YES, NO, N/A
    1. If NO is selected then Q_16388 will be displayed
    2. If YES is selected then Q_16360 will be displayed

Q_16360

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16388

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16361

Are there any renewable energy or energy efficiency improvements being made to the manufacturing process as part of the project that are not reflected in the items above?
  • Standard Question
  • Yes
  • Single Choice Dropdown
  • YES, NO, N/A
    1. If NO is selected then Q_16389 will be displayed
    2. If YES is selected then Q_16362 will be displayed

Q_16362

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_16389

Explain briefly:
  • Standard Question
  • Yes
  • Short Answer

Q_1872

Pursuant to section 354(2) of the New York State economic development law: As the preparer of this application, I attest to being an authorized representative of the applicant and, by placing my name in the box below, I hereby: 1. Agree to allow the Department of Taxation and Finance to share tax information with the Department of Economic Development. However, any information shared as a result of this agreement shall not be available for disclosure or inspection under the State Freedom of Information law; 2. Agree to allow the Department of Labor to share tax and employer information with the Department of Economic Development. However, any information shared as a result of this agreement shall not be available for disclosure or inspection under the State Freedom of Information Law; 3. Agree to disqualify for empire zone benefits at any location or locations that qualify for Excelsior Jobs Program benefits if admitted into the excelsior jobs program; 4. Allow the Department and its agents access to any and all books and records the Department of Economic Development may require to monitor compliance; 5. Provide to the Department of Economic Development, upon its request, the information outlined in Section 354 (e) of Article 17 of the Economic Development Law; 6. Provide a clear and detailed presentation of all related persons as defined in subparagraph (c) of paragraph 3 of subsection (b) of section 465 of the Internal Revenue Code to the applicant to assure the Department of Economic Development that the jobs indicated in this application are not being shifted within the State; 7.Certify, under penalty of perjury, that the applicant is in substantial compliance with all environmental, worker protection, and local, state and federal tax laws.
  • Agreements - For Applicants To the Excelsior Jobs Program
  • Certification
  • Yes
  • Short Answer
  • see IRC SECTION 465 (B) (3) (C) – Related Person

     https://esd.ny.gov/excelsior-jobs-program 

Q_1038

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.
  • Certification
  • Yes
  • Short Answer