Program Questions:
CAP Initiative Program

Q_18452

Are you submitting an "Intent to Propose" application seeking funding through the Championing Albany's Potential program?
Eligible applicants must have site ownership/control OR written consent from the ownership entity consenting to the application for a project located within one square mile of the NYS Capitol Building.
  • Threshold
  • Yes
  • Yes/No

Q_565

Project City
  • Location
  • Yes
  • Short Answer

Q_972

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

Q_1034

Project ZIP Code. (please use ZIP+4 if known)
  • Location
  • Yes
  • Zip Code
  • To locate a Zip Code, visit: https://tools.usps.com/zip-code-lookup.htm

     

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_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_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_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_5416

Applicant First Name
  • Basic
  • Yes
  • Short Answer

Q_5417

Applicant Last Name
  • Basic
  • Yes
  • Short Answer

Q_5257

Contact Salutation
  • Basic
  • No
  • Single Choice Dropdown
  • Mr., Mrs., Ms., Dr.

Q_5490

Primary Organization
  • Basic
  • No
  • Short Answer

Q_5493

Additional Salutation
  • Basic
  • No
  • Single Choice Dropdown
  • Mr., Mrs., Ms., Dr.

Q_5492

Additional Organization
  • Basic
  • No
  • Short Answer

Q_12607

Please indicate the lead agency (if applicable).
  • Basic
  • Yes
  • Short Answer

Q_18182

Is this project subject to National Environmental Policy Act (NEPA)?
  • Basic
  • Yes
  • Yes/No

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_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_2655

Based on your selection from the previous question, enter the associated ID number.
  • Basic
  • Yes
  • Short Answer

Q_969

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

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_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_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_562

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

Q_3692

Contact Email
  • Basic
  • Yes
  • Email

Q_5475

Contract Salutation
  • Basic
  • No
  • Single Choice Dropdown
  • Mr., Mrs., Ms., Dr.

Q_5476

Contract First
  • Basic
  • Yes
  • Short Answer

Q_5477

Contract Last
  • Basic
  • Yes
  • Short Answer

Q_5478

Contract Title
  • Basic
  • No
  • Short Answer

Q_5491

Authorized Organization
  • Basic
  • No
  • Short Answer

Q_5479

Contract Street
  • Basic
  • Yes
  • Short Answer

Q_5480

Contract City
  • Basic
  • Yes
  • Short Answer

Q_5481

Contract State
  • Basic
  • Yes
  • State Dropdown

Q_5482

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

Q_5483

Contract Phone (please include area code)
  • Basic
  • Yes
  • Phone

Q_5484

Contract Email
  • Basic
  • Yes
  • Email

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_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_561

Additional Contact Email Address
  • Basic
  • No
  • Email

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, Semiconductors/Semiconductor Supply Chain

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, Semiconductors/Semiconductor Supply Chain

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_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_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
  • Yes
  • Short Answer

Q_12604

Has a National Environmental Policy Act (NEPA) Record of Decision been issued?
  • Basic
  • Yes
  • Yes/No
    1. If Yes is selected then Q_1054 will be displayed

Q_1054

Please explain decision and include date of Record of Decision.
  • Basic
  • Yes
  • Long Rich Text (HTML)
  • 0 - 850

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_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_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_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_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_2175

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

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_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_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_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_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

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_18539

If the project includes real estate acquisition, attach a current appraisal
  • Attachment
  • No
  • Attachment

Q_18540

Attach any pro formas or projections available to demonstrate feasibility/sustainability
  • Attachment
  • No
  • Attachment

Q_18541

Provide any available site plans or renderings
  • Attachment
  • No
  • Attachment

Q_4317

Please provide any documentation or letters of support for the project.
  • Attachment
  • No
  • Attachment
  • In order to effectively transform the region’s economy, the project must demonstrate that it has the connections and relationships in sufficient scale and strength to support and sustain growth, particularly in the region’s key clusters. Critical mass should be attained through the engagement of individuals and organizations whose knowledge and skills contribute to distinct projects, augment the scale of the plan, and generate transformational change in the region. Projects will be evaluated for the ability to establish these connections, develop complementary proposals that form a unified plan, and create critical mass.

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_2165

For Start-up companies, in addition to the documents listed above provide: 1) Financial projections (5 years) 2) Personal financial statements from a personal guarantor(s) of the start-up company 3) Principal resumes
  • Attachment
  • No
  • Attachment
  • For information about this requirement, contact your local ESD Regional Office. https://esd.ny.gov/regions

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_5689

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 "Click Here for Question Requirements" for links to forms.

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_2334

Provide a list of all other 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, please upload an attachment that indicates "NA".
  • Attachment
  • Yes
  • Attachment

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
  • For OSWD Pay for Performance Operating Grant applicants only: please be sure to answer "no" or "n/a" to CLCPA questions only, as these questions are not applicable to your program.

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_18456

In the first phase of the Application, you were asked to describe your overall project including the location, what will be planned, designed acquired, and/or constructed, the issues/opportunities to be addressed, and expected outcomes and deliverables. Please indicate if any of these items have changed since your original submission.
  • General Project Questions
  • Standard Question
  • Yes
  • Long Answer
  • 0 - 2000

Q_4276

Please describe the readiness of the project and identify when state funding would need to be made available.
  • Standard Question
  • Yes
  • Short Answer
  • As a part of developing comprehensive growth strategies, regions must demonstrate their readiness to implement the plan and take advantage of major state investment. Overall readiness will be considered, in addition to the readiness for large-scale capital projects. It is possible that a workforce development initiative will be ready earlier than a construction project involving more significant private sector investment. All projects submitted for consideration must work together to advance the region’s long-term plan.

Q_18454

How does your project align with the CAP Initiative strategy? (CAP info located at https://esd.ny.gov/cap-initiative)
  • Standard Question
  • Yes
  • Long Answer
  • 1 - 1000

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?
  • Standard Question
  • Yes
  • Long Answer
  • 0 - 1500

Q_5590

Please provide a concise narrative describing the applicant’s history and current operations. Include information about company/organization size, products, services, market share, position within the industry, competitors and the year in which the company was formed, etc.
  • Standard Question
  • Yes
  • Long Answer
  • 1 - 1000

Q_4277

Please identify the project partners including the project leader and others involved in the implementation of the project. See the help section for format.
  • Standard Question
  • Yes
  • Long Answer
  • 0 - 1000
  • Lead Organization Name:

    Project Leader Name (First/Last):

    Description of Duties:

    Partner Organization Name:

    Partner Name (First/Last):

    Description of Duties:

    Partner Organization Name:

    Partner Name (First/Last):

    Description of Duties:

    Partner Organization Name:

    Partner Name (First/Last):

    Description of Duties:

    Partner Organization Name:

    Partner Name (First/Last):

    Description of Duties:

Q_18453

Please enter the amount of funding you are requesting through the CAP Initiative.
  • Standard Question
  • Yes
  • Money

Q_2336

Briefly describe the activity that the project involves in terms of product(s) or services(s) that will be provided at the project location.
  • General Project Questions
  • Standard Question
  • Yes
  • Long Answer
  • 1 - 800

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_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_18457

Please enter the number of net new permanent private sector jobs that will be created.
  • Standard Question
  • Yes
  • Integer

Q_4279

Please enter the number of retained jobs associated with the project.
  • Standard Question
  • Yes
  • Integer

Q_1233

What tasks and steps need to be completed before the project can begin (e.g. obtaining permits, licenses, hiring staff, etc.)
  • Standard Question
  • Yes
  • Long Answer
  • any

Q_4281

Please enter the number of ancillary or other jobs associated with the project.
  • Standard Question
  • Yes
  • Integer

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_6064

Qualified Investments Building Acquisition Year 1
  • Standard Question
  • No
  • Money
  • Qualified investments are tangible personal property, including a building or structural component of a building.


    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.

Q_6065

Qualified Investments Building Acquisition Year 2
  • Standard Question
  • No
  • Money

Q_6066

Qualified Investments Building Acquisition Year 3
  • Standard Question
  • No
  • Money

Q_6067

Qualified Investments Building Acquisition Year 4
  • Standard Question
  • No
  • Money

Q_6068

Qualified Investments Building Acquisition Year 5
  • Standard Question
  • No
  • Money

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_3009

Qualified Investments Production Machinery & Equipment Year 1
  • Standard Question
  • Yes
  • Money
  • 0

Q_3010

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

Q_6056

Qualified Investments Year 1
  • Standard Question
  • No
  • Money

Q_3014

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

Q_3015

Qualified Investments Soft Costs Year 1
  • 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_3020

Qualified Investments Production Machinery Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_3022

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

Q_6057

Qualified Investments Land Acquisition* Year 2
  • Standard Question
  • No
  • Money

Q_3027

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

Q_3028

Qualified Investments Soft Costs Year 2
  • 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_3033

Qualified Investments Production Machinery Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_3034

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

Q_6058

Qualified Investments Land Acquisition* Year 3
  • Standard Question
  • No
  • Money

Q_3039

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

Q_3040

Qualified Investments Soft Costs Year 3
  • 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_3045

Qualified Investments Production Machinery Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_3046

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

Q_6059

Qualified Investments Land Acquisition* Year 4
  • Standard Question
  • No
  • Money

Q_3050

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

Q_3051

Qualified Investments Soft Costs Year 4
  • 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_3056

Qualified Investments Production Machinery Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_3057

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

Q_6060

Qualified Investments Land Acquisition* Year 5
  • Standard Question
  • No
  • Money

Q_3061

Qualified Investments Demolition 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.
  • Standard Question
  • Yes
  • Money
  • 0

Q_18458

Existing SqFt Housing
  • Standard Question
  • Yes
  • Integer

Q_18461

Proposed SqFt Housing
  • Standard Question
  • Yes
  • Integer

Q_18462

Existing Units Housing
  • Standard Question
  • Yes
  • Integer

Q_18463

Proposed Units Housing
  • Standard Question
  • Yes
  • Integer

Q_18464

Existing SqFt Commercial
  • Standard Question
  • Yes
  • Integer

Q_18465

Proposed Sq Ft Commercial
  • Standard Question
  • Yes
  • Integer

Q_18466

Existing Units Commercial
  • Standard Question
  • Yes
  • Integer

Q_18467

Proposed Units Commercial
  • CAP HOUSING & COMMERCIAL CAPACITY

    Provide the square footage and number of units for the housing and commercial portions of your project.

    Existing: The current capacity before the project begins.
    Proposed: The new capacity being added by the project.

    Note: Enter 0 if a field is not applicable or unknown.
  • Standard Question
  • Yes
  • Integer

Q_18468

If any of the housing units are considered affordable, please explain (enter "N/A" if not applicable):
  • Standard Question
  • Yes
  • Long Rich Text (HTML)
  • any

Q_5719

Does the project site involve or is it substantially contiguous to a property listed or recommended for listing in the NY State or National Registers of Historic Places? Consult the National Register Information System to find out if a property is listed. Or use the Cultural Resource Information System (CRIS) tool .
See question requirements for more information on SHPO consultation.
  • Environmental and Historic Preservation Questions
  • Standard Question
  • Yes
  • Single Choice Radio Button
  • Yes, No, N/A
    1. If Yes is selected then Q_5721 will be displayed
  •  If "yes", the project requires consultation with the State Historic Preservation Office (SHPO). 

Q_5721

Please identify the name of the resource, explain the status of the SHPO consultation, and if consultation is complete, please provide a link to SHPO's Letter of Determination of No Adverse Effect or Letter of Resolution to Mitigate Adverse Effect.
  • Environmental and Historic Preservation Questions
  • Standard Question
  • Yes
  • Long Answer
  • 1 - 600

Q_5720

Is the project site wholly or partially included within an identified archeologically sensitive area?
Consult the National Register Information System to find out if a property is listed. Or use the Cultural Resource Information System (CRIS) tool to identify archeologically sensitive areas.
See question requirements for more information on SHPO consultation.
  • Environmental and Historic Preservation Questions
  • Standard Question
  • Yes
  • Single Choice Radio Button
  • Yes, No, N/A
    1. If Yes is selected then Q_5722 will be displayed
  •  If "yes", the project requires consultation with the State Historic Preservation Office (SHPO). 

     

     

     

     

     

     

Q_5722

Please list the geographic information for the archeologically sensitive areas, explain the status of SHPO consultation, and if consultation is complete, please provide a link to SHPO's Letter of Determination of No Adverse Effect or Letter of Resolution to Mitigate Adverse Effect.
  • Environmental and Historic Preservation Questions
  • Standard Question
  • Yes
  • Long Answer
  • 1 - 600

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
  • For OSWD Pay for Performance Operating Grant applicants only: please be sure to answer "no" or "n/a" to CLCPA questions only, as these questions are not applicable to your program.

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
    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 will 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
    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_13611

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

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

If this this is not applicable to your project, answer “NO”.
  • Smart Growth Questions
  • Smart Growth
  • Yes
  • Yes/No
    1. If Yes is selected then these questions will be displayed:
      - Q_13612
      - Q_13613
      - Q_13614
      - Q_13615
      - Q_13616
      - Q_13617
      - Q_13618
      - Q_13619
      - Q_13620
      - Q_13621
      - Q_13622
      - Q_13623

Q_13613

Please explain the need to build new infrastructure instead of using or improving existing infrastructure. If n/a, please type N/A.
  • Smart Growth Questions
  • Smart Growth
  • Yes
  • Long Rich Text (HTML)
  • 0 - 1000

Q_13612

Explain how the proposed project will use, maintain, or improve existing infrastructure.
  • Smart Growth Questions
  • Smart Growth
  • Yes
  • Long Rich Text (HTML)
  • 0 - 400

Q_13614

Please explain how the proposed project is located in a municipal center.
  • Smart Growth Questions
  • Smart Growth
  • Yes
  • Long Rich Text (HTML)
  • 0 - 400
  • Municipal Centers are areas of concentrated and mixed land use that serve as centers of various activities (civic, commercial, recreational, and residential, among others).  Specific examples include Central Business Districts; Brownfield Opportunity Areas (BOAs); Downtowns in Local Waterfront Revitalization Program (LWRP) Areas; Transit-Oriented Development, Environmental Justice Areas and Hardship Areas; in many instances, an entire city, village or hamlet can be considered a municipal center.  This definition can include development “adjacent to municipal centers” and a “future municipal center” – an area planned and zoned to be a municipal center.   

    For specific guidance on rail/port, aviation, and other transportation projects please refer to Smart Growth Public Infrastructure Policy Act
     

Q_13615

Please explain how the proposed project is located in a developed area or an area designated for concentrated infill development in a municipally approved comprehensive land use plan, local waterfront revitalization plan and/or brownfield opportunity area plan. Specifically, explain how your project advances infill development or redevelopment in existing developed areas consistent with an approved plan.  Infill development includes redevelopment, rehabilitation and new development between existing buildings on vacant or under-utilized sites.
  • Smart Growth Questions
  • Smart Growth
  • Yes
  • Long Rich Text (HTML)
  • 0 - 400

Q_13616

Please explain how the proposed project will protect, preserve and enhance the State's resources, including agricultural land, forests, surface and groundwater, air quality, recreation and open space, scenic areas, and significant historic and archeological resources. Beyond simply avoiding or minimizing negative environmental impacts, please indicate the resources that may be impacted by your project and how your project will preserve and enhance these resources.
  • Smart Growth Questions
  • Smart Growth
  • Yes
  • Long Rich Text (HTML)
  • 0 - 400

Q_13617

Please explain how the proposed project will foster mixed land uses and compact development, downtown revitalization, Brownfield redevelopment, the enhancement of beauty in public spaces, the diversity and affordability of housing in proximity to places of employment, recreation and commercial development and the integration of all income and age groups. Specifically, explain how your project advances these objectives and improves the quality of life in your community.
  • Smart Growth Questions
  • Smart Growth
  • Yes
  • Long Rich Text (HTML)
  • 0 - 400

Q_13618

Please explain how the proposed project will provide mobility through transportation choices including improved public transportation and reduced automobile dependency. There are many alternatives to automobile transportation.  Please explain how your project provides or complements alternatives to automobile travel such as bikes, pedestrians, public transit, air travel or rail travel.
  • Smart Growth Questions
  • Smart Growth
  • Yes
  • Long Rich Text (HTML)
  • 0 - 400

Q_13619

Please explain how the proposed project will involve coordination between state and local government and inter-municipal and regional planning. Identify any interaction between the applicant and any municipal and county governments, planning boards, regional planning associations or similar organizations. Document any outreach by the applicant to these organizations regarding the project and any relevant correspondence.
  • Smart Growth Questions
  • Smart Growth
  • Yes
  • Long Rich Text (HTML)
  • 0 - 400

Q_13620

Please explain how the proposed project will involve participation in community-based planning and collaboration. Specifically, explain how the project results from an inclusive, multi-stakeholder (including traditionally underserved populations) process of community-based planning and collaboration.  To assist with your explanation, identify any affected community groups or organizations with an interest in the proposed project and if the planning process involved outreach to citizens and stakeholders at all stages of development of the project.
  • Smart Growth Questions
  • Smart Growth
  • Yes
  • Long Rich Text (HTML)
  • 0 - 400

Q_13621

Please explain how the proposed project will ensure predictability in building and land use codes. Provide any additional relevant information.
  • Smart Growth Questions
  • Smart Growth
  • Yes
  • Long Rich Text (HTML)
  • 0 - 400

Q_13622

Please explain how the proposed project will promote sustainability by strengthening existing and creating new communities which reduce greenhouse gas emissions and do not compromise the needs of future generations, by among other means encouraging broad based public involvement in developing and implementing a community plan and ensuring the governance structure is adequate to sustain its implementation. Specifically, explain how your project promotes sustainability.  For example, does your project include buildings and plans that seek to minimize consumption of fossil fuels (coal, petroleum), reduce water usage / consumption, and encourage the use of renewable energy (wind, solar, and geo-thermal).
  • Smart Growth Questions
  • Smart Growth
  • Yes
  • Long Rich Text (HTML)
  • 0 - 400

Q_13623

Please explain how the proposed project will mitigate future physical climate risk due to sea-level rise, and/or storm surges and/or flooding, based on available data predicting the likelihood of future extreme weather events, including hazard risk analysis data.

Specifically, explain how your project demonstrates that future physical climate risk due to sea-level rise, storm surge and flooding have been considered. For example, have you demonstrated consideration of the flood risk applicable to your specific structure type? Explain how the siting and design have evaluated flood-risk considerations, including, but not limited to, human health and safety, environmental effects, cost, funding-source requirements, feasibility and community impact.

For information on the State Climate Impacts Assessment visit:
https://nysclimateimpacts.org/about-the-assessment/what-is-the-assessment/

For information on implementation of the Community Risk and Resiliency Act visit:
https://dec.ny.gov/environmental-protection/climate-change/new-york-response/crra
  • Smart Growth Questions
  • Smart Growth
  • Yes
  • Long Rich Text (HTML)
  • 0 - 400

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.
  • Certification
  • Yes
  • Short Answer

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

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% and ESD's agency wide Service-Disabled Veteran-Owned Business ('SDVOB') utilization goal of 6%. Please note that each project will be assigned an individual contract-specific goal, which may be higher or lower than the 30% and 6%, respectively. 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 and SDVOB goals assigned to this project and failure to attain MWBE and SDVOB goals could result in grant amount being reduced.
  • Certification
  • Yes
  • Short Answer

Q_4182

By entering your name in the box below, you certify and agree that you are aware that your award will be reduced in proportion to the reduction of jobs and/or total project costs. Furthermore, you understand that, should this project receive a funding award, the Applicant will maintain such records and take such actions necessary to demonstrate such compliance throughout the completion of the project.
  • Certification
  • Yes
  • Short Answer