Program Questions:
Long Island Achieve Program

Q_3116

Have any of the expenses for this project (or, in the case of a multi-phase project, the phase of the project for which funds are being requested) been incurred or are expected to be incurred prior to an award for funding?
  • Threshold
  • Yes
  • Yes/No
  • ESD funding awards are offered as an incentive to undertake a project. Therefore, ESD cannot consider assistance for project activities commenced or committed to (such as ordering machinery and equipment and committing to land purchase) prior to the announcement of funding awards. In addition, investment and expenses incurred prior to submission of a CFA should not be included in project budgets. By selecting no, you are confirming that project activity (or, in the case of a project with multiple stages, activity for the project stage described in this application) will not commence or be committed to prior to the announcement of funding awards.  If your project has extenuating circumstances that present a conflict with this requirement, please contact your ESD Regional Office.

Q_3118

Does the proposed project budget include a 10% cash equity contribution from the Applicant?
  • Threshold
  • Yes
  • Yes/No
  • Equity is defined as cash injected into the project by the Applicant or by investors and should be auditable through Applicant financial statements or accounts, if so requested by ESD.  Equity cannot be borrowed money secured by the assets in the project or grants from a government source.

     

     

Q_18180

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

Q_12626

Does the project align with the Regional Economic Development Council's Strategic Plan?
  • Basic
  • Yes
  • Yes/No
    1. If Yes is selected then Q_12627 will be displayed

Q_12627

Explain how the project aligns with the Regional Economic Development Council's Strategic Plan.
  • Basic
  • Yes
  • Long Rich Text (HTML)
  • any
  • Describe how the proposed project advances the REDC/URI plan for the region, specifically linking the project to the region’s goals, strategies, and targeted industry clusters. A response to this question should directly and specifically link the project to a section or sections of REDC/URI plan for the region.

Q_16509

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_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_5416

Applicant First Name
  • Basic
  • Yes
  • Short Answer

Q_5417

Applicant Last Name
  • Basic
  • Yes
  • Short Answer

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_5257

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

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_5490

Primary Organization
  • 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_5493

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

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_5492

Additional Organization
  • 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_12607

Please indicate the lead agency (if applicable).
  • 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_12625

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

Q_2362

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

Q_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.
  • Basic
  • Yes
  • Long Rich Text (HTML)
  • 1 - 5000

Q_17170

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

Q_17171

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

Q_17162

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

Q_17163

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

Q_17164

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

Q_17165

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

Q_14039

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

Q_14040

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

Q_1365

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

Q_1366

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

Q_17166

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

Q_17167

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

Q_2195

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

     

Q_2196

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

     

     

Q_2199

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

Q_1186

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

Q_1196

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

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

     

Q_17168

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

Q_17169

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

Q_2175

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

Q_2372

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

Q_2178

Will any other non-construction jobs result from the project? If so, please estimate how many jobs, explain how these jobs will be created, and explain the method used to determine the job number estimate.

For example: This could include jobs created by tenants at an incubator or mixed-use development or as a result of the creation of a job training center.
  • Jobs
  • Yes
  • Long Answer
  • 0 - 1000

Q_3064

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

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

Q_3065

Net New Job Information
  • Jobs
  • No
  • Money

Q_3066

Net New Job Information
  • Jobs
  • No
  • Integer

Q_3067

Net New Job Information
  • Jobs
  • No
  • Integer

Q_3068

Net New Job Information
  • Jobs
  • No
  • Integer

Q_3069

Net New Job Information
  • Jobs
  • No
  • Integer

Q_3070

Net New Job Information
  • Jobs
  • No
  • Integer

Q_3071

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

Q_3072

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

Q_3073

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

Q_3074

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

Q_3075

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

Q_3076

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

Q_3077

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

Q_3078

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

Q_3079

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

Q_3080

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

Q_3081

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

Q_3082

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

Q_3083

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

Q_3084

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

Q_3086

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

Q_3089

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

Q_3090

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

Q_3091

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

Q_3092

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

Q_3093

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

Q_3094

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

Q_3095

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

Q_3096

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

Q_3097

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

Q_3098

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

Q_3099

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

Q_3100

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

Q_3101

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

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

    1) Enter the type of job by general category.

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

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

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

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

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

Q_7506

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

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

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

Q_17898

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

Q_14397

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

Q_4167

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

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

     

Q_1415

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

Q_16274

For the developer, 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.

For a start-up company with no operating history for this year, attach personal financial statements from a personal guarantor(s) of the start-up company for 2023.
  • Attach 2023 financial documents.
  • Attachment
  • Yes
  • Attachment

Q_18345

For the developer, 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.

For a start-up company with no operating history for this year, attach personal financial statements from a personal guarantor(s) of the start-up company for 2024.
  • Attach 2024 financial documents.
  • Attachment
  • Yes
  • Attachment

Q_18344

For the developer, 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.

For a start-up company with no operating history for this year, attach personal financial statements from a personal guarantor(s) of the start-up company for 2025.
  • Attach 2025 financial documents.
  • Attachment
  • Yes
  • Attachment

Q_18343

For the developer, please provide interim financials for 2026, certified by a company officer. For publicly traded companies, please provide the most recent Form 10-Q.

For a start-up company with no operating history for this year, attach personal financial statements from a personal guarantor(s) of the start-up company for interim 2026.
  • Attach interim financials for 2026
  • Attachment
  • Yes
  • Attachment

Q_16271

Is the development company also the entity that will be providing the guarantee on the proposed ESD award?
  • Attachment
  • Yes
  • Yes/No
    1. If No is selected then these questions will be displayed:
      - Q_16269
      - Q_16276
      - Q_16277
      - Q_16278
      - Q_16279

Q_16269

Please attach a list of affiliated corporate entities or individuals that will be providing the guarantee on the ESD award, if selected for award.
  • Attachment
  • Yes
  • Attachment

Q_16276

For the corporate entities or individuals providing the guarantee, 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.

For a start-up company with no operating history for this year, attach personal financial statements from a personal guarantor(s) of the start-up company for 2021.
  • Attachment
  • Yes
  • Attachment

Q_16277

For the corporate entities or individuals providing the guarantee, 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.

For a start-up company with no operating history for this year, attach personal financial statements from a personal guarantor(s) of the start-up company for 2022.
  • Attachment
  • Yes
  • Attachment

Q_16278

For the corporate entities or individuals providing the guarantee, 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.

For a start-up company with no operating history for this year, attach personal financial statements from a personal guarantor(s) of the start-up company for 2023.
  • Attachment
  • Yes
  • Attachment

Q_16279

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

For a start-up company with no operating history for this year, attach personal financial statements from a personal guarantor(s) of the start-up company for interim 2024.
  • Attachment
  • Yes
  • Attachment

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_2332

Attach a short or long Environmental Assessment Form

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

Q_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_16262

Pro Forma Workbook – Please email nys-longisland@esd.ny.gov requesting a standard pro forma template. Please populate the model with the details of the project and attach a completed template to this question. Let us know if you encounter any issues. Please populate the sources with all planned permanent financing sources.
  • Please be advised that ESD cannot review your application unless each of the financial documents requested below is submitted or completed satisfactorily. If you believe that an item requested does not apply to your project, please provide sufficient evidence in support of that assumption. Signed term sheets for permanent debt facilities are of particular importance, as ESD cannot consider applications for projects that do not have permanent financing sources in place.
  • Attachment
  • Yes
  • Attachment

Q_16264

Equity Breakdown – Sources of equity funds, terms and conditions with partners, and/or proof of sufficient cash on hand
  • Attachment
  • Yes
  • Attachment

Q_16265

Term Sheets – Please provide signed term sheets for any debt facilities that will serve as permanent funding sources on the project.
  • Attachment
  • Yes
  • Attachment

Q_16267

Ownership Chart – Please provide a chart that clarifies the structure of all stakeholding entities involved in this transaction/development, including all ownership percentages.
  • Attachment
  • Yes
  • Attachment

Q_14645

For all organizations and entities, provide financial projections for 10 years.
  • Attachment
  • Yes
  • Attachment

Q_14774

Please attach bios and resumes for all principals in the project in PDF format.
  • Attachment
  • Yes
  • Attachment

Q_15341

Is the applicant a city, town, or village that is applying for capital funding?
  • Standard Question
  • Yes
  • Yes/No
    1. If No is selected then these questions will be displayed:
      - Q_15728
      - Q_15774
    2. If Yes is selected then Q_15342 will be displayed

Q_14623

Is the applicant organization a subsidiary?
  • Applicant and Beneficiary Information
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then these questions will be displayed:
      - Q_14625
      - Q_14626
      - Q_14627
      - Q_14628
      - Q_14629

Q_14625

Parent Company name:
  • Standard Question
  • Yes
  • Short Answer

Q_14626

Parent Company Street Address:
  • Standard Question
  • Yes
  • Short Answer

Q_14627

Parent Company City:
  • Standard Question
  • Yes
  • Short Answer

Q_14628

Parent Company Zip:
  • Standard Question
  • Yes
  • Long Rich Text (HTML)
  • 5 - 10

Q_14629

Parent Company County:
  • Standard Question
  • Yes
  • NYS County Single Choice

Q_14630

Is the applicant applying on behalf of another organization or entity that will be the recipient of, or that will benefit from, the award if funds are awarded to the project?
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then these questions will be displayed:
      - Q_14631
      - Q_14632
      - Q_14634
      - Q_14635
      - Q_14636
      - Q_14637
      - Q_14638
      - Q_14639
      - Q_14640
      - Q_14641
      - Q_14642
      - Q_14643
      - Q_14644
      - Q_14645

Q_14631

Beneficiary Legal Organization Name:
  • Standard Question
  • Yes
  • Short Answer

Q_14632

Is the beneficiary a DBA?
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then Q_14633 will be displayed

Q_14633

Beneficiary DBA Name:
  • Standard Question
  • Yes
  • Short Answer

Q_14634

Beneficiary Street Address:
  • Standard Question
  • Yes
  • Short Answer

Q_14635

Beneficiary City:
  • Standard Question
  • Yes
  • Short Answer

Q_14636

Beneficiary Zip:
  • Standard Question
  • Yes
  • Long Rich Text (HTML)
  • 5 - 10

Q_14637

Beneficiary County:
  • Standard Question
  • Yes
  • NYS County Single Choice

Q_14638

Beneficiary Contact First Name:
  • Standard Question
  • Yes
  • Short Answer

Q_14639

Beneficiary Contact Last Name:
  • Standard Question
  • Yes
  • Short Answer

Q_14640

Beneficiary Contact Job Title:
  • Standard Question
  • Yes
  • Short Answer

Q_14641

Beneficiary Contact Phone:
  • Standard Question
  • Yes
  • Phone

Q_14642

Beneficiary Contact Email:
  • Standard Question
  • Yes
  • Email

Q_14643

Select an applicant ID type from the list below that you normally use to identify your organization on application forms.
  • Standard Question
  • Yes
  • Single Choice Dropdown
  • 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_14644

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

Q_14646

Is the Beneficiary company a subsidiary?
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then these questions will be displayed:
      - Q_14647
      - Q_14648
      - Q_14649
      - Q_14650
      - Q_14651

Q_14647

Beneficiary Parent Company Name:
  • Standard Question
  • Yes
  • Short Answer

Q_14648

Beneficiary Parent Company Street Address:
  • Standard Question
  • Yes
  • Short Answer

Q_14649

Beneficiary Parent Company City:
  • Standard Question
  • Yes
  • Short Answer

Q_14650

Beneficiary Parent Company Zip:
  • Standard Question
  • Yes
  • Long Answer
  • 5 - 10

Q_14651

Beneficiary Parent Company County:
  • Standard Question
  • Yes
  • NYS County Single Choice

Q_18373

Will the funds be used by the recipient (applicant) to create a program to disburse funds to sub-recipients?
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then Q_18374 will be displayed
  • Block grant projects and revolving loan funds are not eligible to apply for ESD Grant funds. Fully describe the infrastructure investments required including: cost, ownership, timeframe for improvements, and who will maintain the infrastructure improvements.

Q_18374

Please describe in detail the sub-recipient organizations, anticipated services to be rendered and anticipated disbursement amounts.
  • Standard Question
  • Yes
  • Long Rich Text (HTML)
  • any

Q_14653

Please select the type of business that will enter into a contract, if funding is awarded.
  • For all questions below, the term 'organization' or 'entity; refers to the organization or entity that would benefit and receive the funding if the project is awarded.
    If the applicant is applying on behalf of another entity or organization, please provide answers for the beneficiary organization.
    If the applicant is also the beneficiary (not applying on behalf of another organization) please provide answers for the applicant organization.
  • Standard Question
  • Yes
  • Single Choice Dropdown
  • Sole Proprietorship, Limited Liability Company, Partnership, Subchapter S Corporation, Business Corporation, Not-for-Profit Corporation, Local Development Corporation, Industrial Development Agency, Municipality, Other Public Entity

Q_14654

Is the organization or entity New York State certified as minority-owned or woman-owned?
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then Q_14655 will be displayed

Q_14655

Please enter the New York State certification number.
  • Standard Question
  • Yes
  • Long Rich Text (HTML)
  • 0 - 30

Q_14656

Is the organization a manufacturer?
  • Standard Question
  • Yes
  • Yes/No

Q_14657

Provide all the North American Industrial Classification (NAICS) numbers used to classify each type of the organization's business activity. If more than one NAICS code, separate by commas.
  • Standard Question
  • Yes
  • Short Answer

Q_14658

Describe in detail the qualifications of the organization to undertake this project, including the organization's experience with projects of similar size and scope.
  • Standard Question
  • Yes
  • Long Rich Text (HTML)
  • 0 - 1000

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_1409

What is the first project year? (e.g. the year equipment will be ordered or when first expenditures are expected to be made)
  • Standard Question
  • Yes
  • Short Answer

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_14680

Does the project site contain or is it substantially contiguous to buildings that are more than 50 years old and/or buildings/lands that are known to be historically, architecturally, or culturally significant?
  • Environmental and Historic Preservation Questions
  • Standard Question
  • Yes
  • Yes/No

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_6069

Does your application contain 1) trade secrets, (2) information that, if disclosed, would cause substantial injury to the competitive position of your organization, or (3) critical infrastructure information? (All efforts should be made to provide such Information in the questions marked as “restricted.”)
  • Other Project Questions
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then Q_6070 will be displayed
  • Applications to the State, including their accompanying documents, are subject to the Freedom of Information Law (FOIL) found in Article 6 of the N.Y. Public Officer Law. FOIL provides that certain records are exempt from disclosure, including those that contain (1) trade secrets, (2) information that, if disclosed, would cause substantial injury to the competitive position of your organization, or (3) critical infrastructure information. Records may be redacted to protect only the portions of documents that fall within a FOIL exemption. An entire document may not be withheld if only a portion of the document is exempt from disclosure. Blanket assertions that information is a trade secret, confidential, or proprietary are insufficient to justify withholding information under FOIL. The identified information will be reviewed and a determination will be made as to whether the information is exempt from disclosure under FOIL.  The State’s determination may be appealed pursuant to POL §89(5)(c). Pursuant to POL §87(2)(b), the State will redact information that “if disclosed would constitute an unwarranted invasion of personal privacy.”

     

Q_6070

Please identify the Question # and specific language for those portions of your application and accompanying documents you believe fall under these exemptions, and provide a detailed justification for the exemption from disclosure. See 'Click Here for Question Requirements' for formatting and additional information.
  • Other Project Questions
  • Standard Question
  • Yes
  • Long Answer
  • 0 -
  •  Examples:

     

    Q_1234 - The information provided in Line 6 includes the vendor, equipment specifications and a cost structure that will give “John Smith’s Manufacturing Inc.” a competitive disadvantage if our competitors were to find out the specifications of the machines used to manufacture our product.

    Q_4321 (Attachment) – Page 3, lines 6, 7, and 8, contains specifics of our manufacturing process that are proprietary and if revealed would put “John Smith’s Manufacturing Inc.” at a competitive disadvantage.

Q_3006

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

Q_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_3012

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

Q_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_3017

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

Q_3018

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

Q_3019

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

Q_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_3024

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

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_3030

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

Q_3031

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

Q_3032

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

Q_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_3036

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

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_3042

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

Q_3043

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

Q_3044

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

Q_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_3048

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

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_3053

Qualified Investments Building Acquisition
  • 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_3059

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

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_18387

Salaries - Year 1
  • Standard Question
  • Yes
  • Money
  • 0

Q_18388

Salaries - Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_18389

Salaries - Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_18390

Salaries - Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_18414

Salaries - Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_18392

Consulting Fees - Year 1
  • Standard Question
  • Yes
  • Money
  • 0

Q_18400

Consulting Fees - Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_18399

Consulting Fees - Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_18397

Consulting Fees - Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_18421

Consulting Fees - Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_18423

Marketing - Year 1
  • Standard Question
  • Yes
  • Money
  • 0

Q_18425

Marketing - Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_18426

Marketing - Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_18428

Marketing - Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_18427

Marketing - Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_18429

Lease Expenses - Year 1
  • Standard Question
  • Yes
  • Money
  • 0

Q_18430

Lease Expenses - Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_18431

Lease Expenses - Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_18432

Lease Expenses - Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_18433

Lease Expenses - Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_18434

Other Facility Operational Costs - Year 1
  • Standard Question
  • Yes
  • Money
  • 0

Q_18435

Other Facility Operational Costs - Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_18436

Other Facility Operational Costs - Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_18437

Other Facility Operational Costs - Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_18438

Other Facility Operational Costs - Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_18439

Programming/Training - Year 1
  • Standard Question
  • Yes
  • Money
  • 0

Q_18440

Programming/Training - Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_18441

Programming/Training - Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_18442

Programming/Training - Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_18443

Programming/Training - Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_18444

Other - Year 1
  • Standard Question
  • Yes
  • Money
  • 0

Q_18445

Other - Year 2
  • Standard Question
  • Yes
  • Money
  • 0

Q_18446

Other - Year 3
  • Standard Question
  • Yes
  • Money
  • 0

Q_18447

Other - Year 4
  • Standard Question
  • Yes
  • Money
  • 0

Q_18448

Other - Year 5
  • Standard Question
  • Yes
  • Money
  • 0

Q_18449

Did you enter a dollar values greater than $0 for the "Other" row in the above "Working Capital Investments" table?
  • Standard Question
  • Yes
  • Yes/No
    1. If Yes is selected then Q_18450 will be displayed

Q_18450

Please specify the "Other" costs
  • Standard Question
  • Yes
  • Long Rich Text (HTML)
  • any

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_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_18242

By entering your name in the box below, you are acknowledging that ESD’s Contractor & Supplier Diversity policy will apply to this project Pursuant to New York State Executive Law Articles 15-A and Article 3 of New York State Veterans’ Services Law, ESD recognizes its obligation under the law to promote opportunities for maximum feasible participation of certified New York State minority and women-owned business enterprises (MWBEs) and service-disabled veteran-owned businesses (SDVOBs) in the performance of ESD projects. The Recipient shall be required to use Good Faith Efforts (pursuant to 5 NYCRR §142.8 and 9 NYCRR § 252.2(n) to achieve MWBE and SDVOB Participation. In addition, ESD’s MWBE and SDVOB Participation/Equal Employment Opportunity Policy will apply to this program. Specific goals related to the total value of ESD’s funding will be established on a grant-by grant basis. ESD has an agency-wide goal of 30% for MWBE participation, 15% for New York State-certified Minority-owned Business Enterprise (“MBE”) participation and 15% for New York State-certified Women-owned Business Enterprise (“WBE”) participation (based on the current availability of MBEs and WBEs). ESD has an agency-wide goal of 6% for SDVOB participation, based on the current availability of qualified SDVOBs.
  • Certification
  • No
  • Short Answer

Q_15809

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, and not meeting and maintaining affordable housing requirements. 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

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_18346

By entering your name in the box below, you acknowledge that you will pay a 1% commitment fee to ESD and be responsible for out-of-pocket costs at the time of board approval.
  • Certification
  • No
  • Short Answer