Program Questions:
OSWD - ESD Workforce Development Capital & Pay for Performance Operating Grants

Q_15601

Are you applying for the ESD’s Office of Strategic Workforce Development (OSWD) Capital Grant and/or Pay for Performance Operating Grant?

Q_13327

Is your organization a company seeking funding to train only your employees?

Q_15602

Is the applicant organization one of the following eligible applicant types: community-based organizations, not-for-profit organizations, chambers of commerce and trade associations, certain governmental organizations (such as workforce development boards, Boards of Cooperative Educational Services (BOCES), municipalities, etc.), higher education institutions (public or private four-year colleges/universities, or two-year community colleges), career and technical education providers, organized labor training programs, and for-profit training providers?

Q_13558

Do jobs obtained through the associated training program/s meet the “good jobs” definition of being skilled jobs that pay minimally a living wage for workers to support themselves in the modern economy, allow for career and salary growth, provide economic security, and remove the need for public assistance?

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).

Q_565

Project City

Q_568

Project State
  • 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

Q_972

Project county or counties.

Q_1034

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

Q_572

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

Q_573

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

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.)
  • 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

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.)

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.)

Q_12606

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

Q_12607

Please indicate the lead agency (if applicable).

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.
  • 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:
  • 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.

Q_15477

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

Q_15478

Select the government entity of the applicant applying for funding:
  • 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.

Q_12603

Is the applicant a DBA?
    1. If Yes is selected then Q_550 will be displayed

Q_550

What is the applicant's DBA name?

Q_556

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

Q_2655

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

Q_969

If you are a business, have you been certified as a New York State Minority or Women-owned Business Enterprise (MWBE)?
  • Yes, No, N/A

Q_546

Organization Legal Name

Q_5416

Applicant First Name

Q_5417

Applicant Last Name

Q_551

Applicant Street Address

Q_552

Applicant City

Q_553

Applicant State

Q_554

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

Q_651

Applicant Telephone Number (please include area code)

Q_555

Applicant Email Address

Q_5257

Contact Salutation
  • Mr., Mrs., Ms., Dr.

Q_547

Contact First Name

Q_1049

Contact Last Name

Q_1050

Contact Title

Q_5490

Primary Organization

Q_3688

Contact Street Address

Q_3689

Contact City

Q_3690

Contact State

Q_3691

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

Q_562

Primary Contact Phone Number. (please include area code)

Q_3692

Contact Email

Q_5475

Contract Salutation
  • Mr., Mrs., Ms., Dr.

Q_5476

Contract First

Q_5477

Contract Last

Q_5478

Contract Title

Q_5491

Authorized Organization

Q_5479

Contract Street

Q_5480

Contract City

Q_5481

Contract State

Q_5482

Contract Zip (please use ZIP+4 if known)

Q_5483

Contract Phone (please include area code)

Q_5484

Contract Email

Q_5493

Additional Salutation
  • Mr., Mrs., Ms., Dr.

Q_1052

Additional Project Contact First Name

Q_970

Additional Project Contact Last Name

Q_1051

Additional Contact Title

Q_5492

Additional Organization

Q_3693

Additional Contact Street Address

Q_3694

Additional Contact City

Q_3695

Additional Contact State

Q_3696

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

Q_3697

Additional Contact Telephone Number (please include area code)

Q_561

Additional Contact Email Address

Q_4199

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

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)

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".

Q_12604

Has a National Environmental Policy Act (NEPA) Record of Decision been issued?
    1. If Yes is selected then Q_1054 will be displayed

Q_1054

Please explain decision and include date of Record of Decision.

Q_12625

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

Q_4160

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.

Q_13257

Please provide a detailed overview of the Program Curriculum.

Q_15664

Please provide letters of commitment from each of the partnering organizations involved in recruitment, training, job placement, or external providers of wraparound services. Letters should explain the organization’s specific role(s) in the project.

Q_15901

Are you applying for a Workforce Capital Grant?
    1. If Yes is selected then these questions will be displayed:
      - Q_13331
      - Q_13332
      - Q_13333
      - Q_13334
      - Q_13335
      - Q_13336
      - Q_13337

Q_13331

If available, please provide applicable proof of site control.

Q_13332

If available, please provide applicable design plans.

Q_13333

If available, please provide applicable floor plans.

Q_13334

If available, please provide applicable engineering and/or environmental analyses.

Q_13335

If available, please provide applicable cost estimates.

Q_13336

If available, please provide applicable specification sheets.

Q_13337

If available, please provide applicable market analyses.

Q_13349

If you would like to include additional letters of support for your project, please scan and upload them all as one document.

Q_13328

Please provide detailed overviews of curricula for all training programs for which this capital project is applicable.

Q_13260

Please provide an organizational chart and the resumes of key personnel involved in program implementation.

Q_13547

Please provide letters of commitment from each of the industry partner companies listed in the grant application. Letters should explain the company's specific role(s) in the project such as financial commitment, involvement in curriculum development, instructional partnership, apprenticeship/internship/job placement partnership, recruitment of program trainees, projected hiring needs, etc.

Q_15217

Attach interim financials for 2024

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 interim financials for 2024, certified by a company officer. For publicly traded companies, please provide the most recent Form 10-Q.

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.

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.

Q_12593

Attach 2021 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 2021. For publicly traded companies please provide Form 10-K for 2021.

Q_15939

Using the budget template linked below, please upload a draft budget detailing all eligible programmatic expenses, including both expenses supported by grant funding and match funding.

Q_15940

Using the budget template linked below, please upload a REVISED budget incorporating OSWD feedback and detailing all eligible programmatic expenses, including both expenses supported by grant funding and match funding.

Q_15902

Are you applying for a Workforce Capital Grant?
    1. If Yes is selected then these questions will be displayed:
      - Q_13242
      - Q_13245
      - Q_13329

Q_13242

Does the applicant own the site or have a long-term lease with authorization to make capital improvements?
    1. If No is selected then Q_13243 will be displayed

Q_13243

Describe how you plan to acquire the site or obtain a long-term lease with authorization for capital improvements.

Q_13245

Have any professional services been engaged?
    1. If Yes is selected then Q_13246 will be displayed

Q_13246

List and describe all. (i.e. architect, third-party cost estimates, construction manager/general contractor, equipment identified, etc.)

Q_13329

Is there contingency funding available for this project to account for unanticipated or underestimated expenses?
    1. If Yes is selected then Q_13330 will be displayed

Q_13330

Please explain the contingency funding available for this project.

Q_15904

Are you applying to a Pay for Performance Operating Grant?
    1. If Yes is selected then Q_13304 will be displayed

Q_13304

Current state of project development (initial planning, final design, developing course materials, etc.)

Q_12613

Does your project provide opportunities for Veterans to participate in the workforce, or improve services to the Veterans’ and military families in New York?
    1. If Yes is selected then Q_12614 will be displayed

Q_12614

Please explain how your project impacts the Veterans’ and military families in New York.

Q_13298

Describe how the training program will be sustained financially once the grant period is over.

Q_15655

If awarded, Workforce Capital and P4P Operating Grant funding will be distributed via reimbursement for approved expenses and will not be available for at least six months after an award is announced (for Operating grants) or until project completion (for Capital grants). What is the applicant organization’s plan to secure other sources of funding to cover up-front costs associated with the project prior to reimbursement?

Q_15656

Please select which of OSWD’s priority industries the training program prepares participants for:
  • Advanced Manufacturing and Materials, Biotech and Life Sciences, Cleantech and Renewable Energy, Construction, Electronics & Optics Photonics and Imaging (OPI), Film and TV Production and Post-Production, Software and Digital Media, Other

Q_15658

Provide a detailed description of the scope of the specific project for which funding is requested, including the issues/opportunities to be addressed and expected outcomes and deliverables. For Capital projects, identify the physical location and what will be planned, designed, acquired, and/or constructed.

Q_15659

Please list specific occupations program graduates are qualified for following training.

Q_15660

Please provide a detailed timeline for implementation with proposed actions and deliverables. Please start timeline at least six months from application proposal and organize timeline in quarterly intervals. Include estimates for relevant cohorts start and completion dates and hiring and planning activities. For Capital projects, also include estimates for design, permitting and construction or other major steps.

Q_15661

How many trainees does the project anticipate serving during the proposed grant period? This estimate should only include trainees who begin and complete training during the grant period.

Q_15662

Describe the specific outcomes and goals of the project and how progress made toward these goals will be measured. How will the project have an impact on both the industry it will assist and the population it will serve?

Q_15663

Excluding any funding from OSWD or other ESD grant programs, are you able to secure, at a minimum, 50% matching funds (for Capital grants) or 25% matching funds (for Operating grants) of the total cost of the project?

Q_15665

For each training program supported by this project, describe which industry/industries are prioritized by the training program. Explain how this meets the criteria of an in-demand job category in which training is needed and how your approach is responsive to the needs of industry, specifically the business and industry partners of the program.

Q_15666

Describe the specific needs and challenges each applicable training program is addressing in the community and/or the priority population and explain how your approach will address those needs and challenges.

Q_15667

At the time of this application, how many full-time, permanent workers are employed at all New York State locations?

Q_15668

At the time of this application, how many full-time, permanent workers are employed at all New York State locations?

Q_13305

Is this project in support of a new training program or an existing training program?
  • New,Existing

Q_13308

How long has the training program been in operation?

Q_13309

Is the training program applicable to jobs related to the renewable and clean energy sector?
  • Yes,No
    1. If Yes is selected then Q_13310 will be displayed

Q_13310

Please describe how the training program is applicable to jobs related to the renewable and clean energy sector.

Q_13545

Will this project take place on multiple sites across New York State?
    1. If Yes is selected then Q_13546 will be displayed

Q_13546

Please list the names and addresses of the locations where this project will take place.

Q_13244

What tasks and steps need to be completed before the project can begin (i.e. obtaining permits, licenses, etc.)?

Q_15657

Provide a detailed description of the training program associated with the project. Include the distinct features of the program such as the purpose it serves, learning outcomes, credentials earned, geographic location focus, duration of training, applicable placements/apprenticeships, and professional skills training.

Q_13314

Please describe any wraparound services that are currently offered to program participants by your organization and describe any partnerships with other organizations that currently provide support services for program participants.

Q_13559

Please describe how the training program leads to “good jobs,” or skilled jobs that pay minimally a living wage for workers to support themselves in the modern economy, allow for career and salary growth, provide economic security, and remove the need for public assistance.

Q_13249

Describe the skills and/or industry-recognized credentials that program participants will earn (e.g. specific professional skills, technical skills, certificate(s), license or certification, etc.). If it is an industry-recognized credential, please specify the credentialing organization.

Q_13556

What is the cost for the participants to enroll in the training? If participants do not pay, please explain how the cost is subsidized. Explain all costs associated with the program that are expected to be paid by training participants.

Q_13343

How does the applicable training program/s provide career pathway opportunities for entry-level and mid-skill workers? Please list specific upskilling opportunities that workers would be skilled for based on participation in the program/s to continue to advance their career, including those typically referenced in job postings.

Q_13557

Describe the organization's strategy for recruiting program applicants, particularly those from historically marginalized communities.

Q_13342

Using the table below please detail the specific types of jobs and job titles the program/s will prepare participants for. Refer to O*Net at https://www.onetonline.org/ and provide O*Net codes for a maximum of 10 titles in which the participant will be trained. If you do not have the O*Net code, please put n/a. Job descriptions should be concise and contain primary skills and/or requirements. Please use this initial space for any notes on the jobs table below. If no additional notes, then put n/a and proceed to filling out the table.

Q_13268

Job Title #1

Q_13269

Job #1 O*Net Code (format= xx-xx-xxxx.xx)

Q_13270

Job #1 description

Q_13271

Job Title #2

Q_13272

Job #2 O*Net Code (format= xx-xx-xxxx.xx)

Q_13273

Job #2 description

Q_13274

Job Title #3

Q_13275

Job #3 O*Net Code (format= xx-xx-xxxx.xx)

Q_13276

Job #3 description

Q_13277

Job Title #4

Q_13278

Job #4 O*Net Code (format= xx-xx-xxxx.xx)

Q_13279

Job #4 description

Q_13280

Job Title #5

Q_13281

Job Title #6

Q_13282

Job Title #7

Q_13283

Job Title #8

Q_13284

Job Title #9

Q_13285

Job Title #10

Q_13286

Job #5 O*Net Code (format= xx-xx-xxxx.xx)

Q_13287

Job #6 O*Net Code (format= xx-xx-xxxx.xx)

Q_13288

Job #7 O*Net Code (format= xx-xx-xxxx.xx)

Q_13289

Job #8 O*Net Code (format= xx-xx-xxxx.xx)

Q_13290

Job #9 O*Net Code (format= xx-xx-xxxx.xx)

Q_13291

Job #10 O*Net Code (format= xx-xx-xxxx.xx)

Q_13292

Job #5 description

Q_13293

Job #6 description

Q_13294

Job #7 description

Q_13295

Job #8 description

Q_13296

Job #9 description

Q_13297

Job #10 description

Q_13552

Please provide a detailed overview of training success metrics for both the current and previous calendar year including number of cohorts per year, number of participants enrolled, number of participants who completed, and number of participants placed in good jobs.

Q_13554

Please describe how this project will increase trainee completion and placement rates.

Q_13254

Explain the mission of the applicant organization and how it relates to this proposal. Who will be involved in developing and implementing the project and what are their qualifications, including their participation in projects of a similar size and scope in the past?

Q_13255

What is the organization’s experience with projects of similar size and scale to the one proposed in this application? Please give specific examples of results and successes that demonstrate the organization’s established track record of effective training and trusted relationships within the communities it is proposing to serve (methods used for recruiting participants, number of individuals trained, placement and retention levels, anecdotal evidence from employers or trainees, etc.).

Q_13256

Describe partnerships relevant to this project including business and industry, training and education, and/or community partnerships. Please describe each partner’s roles and responsibilities.

Q_13261

Explain the need for funding through this program, including why funding is necessary to complete the project and why funding for this project cannot be acquired from existing funding sources. How does the funding you are seeking make it possible to reach your program or project goals, such as change to the number of participants or types of training that can be offered, or other results relevant to your goals?

Q_3175

Should the full amount of the Applicant's ESD funding request not be awarded, at what minimum level of ESD funding does the project become unfeasible?

Q_15938

Does the applicant have any outstanding applications for funding from other public or private sources (i.e. federal, state, local, philanthropic) for this project?
    1. If Yes is selected then Q_15937 will be displayed

Q_15937

Please detail the funding applied for and the entity administering the funding.

Q_13317

Is the project receiving funds through an Industrial Development Agency (IDA)?
    1. If Yes is selected then Q_13318 will be displayed

Q_13318

Through which IDA is the project receiving funding and what is the net value of IDA exemptions?

Q_13303

Please provide your Federal Employer Identification Number (FEIN). If you do not have a FEIN enter NA.

Q_13319

At the time of this application, how many full-time, permanent workers are employed at the site?

Q_13320

At the time of this application, how many part-time, permanent workers are employed at the site?

Q_13321

At the time of this application, how many full-time, temporary/seasonal workers are employed at the site?

Q_13322

At the time of this application, how many part-time, temporary/seasonal workers are employed at the site?

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.

Q_7341

By entering your name in the box below, you certify, under penalty of perjury, that the information given herein is true and correct in all respects for the company or organization applying for funding (the "Company"), presently and for the past five years: -the Company is not a party to any litigation or any litigation is not pending or anticipated that could have an adverse material effect on the company's financial condition;

-the Company does not have any contingent liabilities that could have a material effect on its solvency;

-the Company, its affiliates or any member of its management or any other concern with which such members of management have been officers or directors, have never been involved in bankruptcy, creditor's rights, or receivership proceedings or sought protection from creditors;

-the Company is not delinquent on any of its state, federal or local tax obligations;

-No principal, officer of the Company, owner or majority stockholder of any firm or corporation, or member of the management has been charged or convicted of a misdemeanor or felony, indicted, granted immunity, convicted of a crime or subject to a judgment, or the subject of an investigation, whether open or closed, by any government entity for a civil or criminal violation for: (i) any business-related activity including, but not limited to, fraud, coercion, extortion, bribe or bribe receiving, giving or accepting unlawful gratuities, immigration or tax fraud, racketeering, mail fraud, wire fraud, price fixing or collusive bidding; or (ii) any crime, whether or not business related, where the underlying conduct relates to truthfulness, including but not limited to, the filing of false documents or false sworn statements, perjury or larceny;

-the Company or any of the Company's affiliates, principal owners or Officers has not received a violation of State Labor Law deemed "willful";

-the Company or any of its affiliates has never been cited for a violation of State, Federal, or local laws or regulations with respect to labor practices, hazardous wastes, environmental pollution or other operating practices;

-there are not any outstanding judgments or liens pending against the Company other than liens in the normal course of business.

-the Company or any of its affiliates, principal owners or officers the company has not been the subject of any judgments, injunctions, or liens including, but not limited to, judgments based on taxes owed, fines and penalties assessed by any governmental agency, or elected official against the Company.

- the Company or any of its affiliates, principal owners or officers the company has not been investigated by any governmental agency, including, but not limited to, federal, state and local regulatory agencies

-the Company or any of its affiliates, principal owners or officers the company has not been debarred from entering into any government contract; been found non-responsible on any government contract; been declared in default ore terminated for cause on any government contract; been determined to be ineligible to bid or propose on any contract; been suspended from bidding on any government contract; received an overall unsatisfactory performance rating from any government agency on any contract; agree to a voluntary exclusion from bidding or contracting on a government contract.

- the Company or any of its affiliates, principal owners or officers the company has not failed to file any of the required forms with any government entity regulating the Company. By entering your name in the box below, you agree to allow the Department of Taxation to share the Company tax information with ESD. By entering your name in the box below, you agree to allow the Department of Labor to share tax and employer information with ESD. Note: If any of the statements above are not true, in addition to entering your name, also include an explanation in the box below, indicating which issue you are addressing.

Q_2365

By entering your name in the box below, you are acknowledging that ESD’s Contractor & Supplier Diversity policy will apply to this project. You are further acknowledging that you are aware of ESD’s agency-wide Minority and Women Business Enterprise (‘MWBE’) utilization goal of 30%. Please note that each project will be assigned an individual contract-specific goal, which may be higher or lower than 30%. Furthermore, you understand that, should this project receive a funding award, the Applicant shall be required to use good faith efforts to achieve the prescribed MWBE goals assigned to this project and failure to attain MWBE goal could result in grant amount being reduced.

Q_6854

By entering your name in the box below, you certify and agree that you are aware that your application is a commitment specifically in regards to your organization's matched funds and as such, if your application is successfully awarded, at the full requested amount, your organization is committed to the amount of the match as written in your application. A reduction in a committed match will likely result in a reduction in the award amount.