Are you a regional planning council, not-for-profit or eligible county as defined in the RFA? NYS ECL Article 14 (The Ocean and Great Lakes Ecosystem Conservation Act) applies to all New York coastal waters, their sub-basins, interconnected tributaries, bays, estuaries and watersheds including Lake Erie, Lake Ontario, the Niagara River, and the St. Lawrence River; the Hudson River; the Mohawk River; and marine & coastal geographies including the Atlantic Ocean, Long Island Sound, Block Island Sound, and Jamaica Bay. These criteria exclude Broome and Chenango counties from eligibility.

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.)

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

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

Project City

Project county or counties.

Project State

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

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

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

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

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

Organization Legal Name

Applicant Street Address

Applicant City

Applicant State

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

Applicant Telephone Number (please include area code)

Contact First Name

Contact Last Name

Contact Title

Primary Organization

Contact Street Address

Contact City

Contact State

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

Primary Contact Phone Number. (please include area code)

Contact Email

Please enter your SFS ID number

For applications submitted by a not-for-profit organization or regional planning council on behalf of a county, the application must include a letter or resolution from the county participating in the project which demonstrates its consent and support for the application to be submitted on their behalf. Please attach a letter or resolution for applicants applying on behalf of a county.

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

Applicants are required to complete and submit the Gender-Based Violence and the Workplace Certification to certify that their organization has in place and has implemented a Gender-Based Violence and the Workplace Policy and has provided such policy to all of its employees, directors and board members. The certification may be found here: https://dos.ny.gov/procurement-forms. Such policy shall, at a minimum, meet the requirements of subdivision 11 of section five hundred seventy-five of the executive law. If the bidder cannot make this certification, they must include a signed statement setting forth in detail the reasons therefor.

Non-municipal applicants must comply with Executive Order No. 16, prohibiting State agencies and authorities from entering into any new contract or renewing any existing contract with an entity conducting business in Russia. This requirement does not apply to municipalities, however, all non-municipal applicants must complete and attach the Certification Form which can be found at https://ogs.ny.gov/system/files/documents/2022/04/eo16_certification.pdf

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

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

Complete a DOS Budget Summary & Detail table to demonstrate eligible costs. Document is available at the link provided.

Describe the community or area that is the subject of the proposed work. The description should be a brief, general overview of the place, focused on geography, character, population, economy, and environment.

Statement of need: Provide a brief summary of the need for the project in the geographic area proposed.

Explain how completing this project will advance priority project identification and implementation. Identify the specific future funding sources you intend to pursue (e.g., Clean Water, Clean Air, and Green Jobs Environmental Bond Act; Climate Smart Communities; Federal grants programs; or local capital funds) and provide a realistic strategy and timeline for securing these funds.

Provide a concise press-ready project description (500 characters or less) which identifies the grant recipient and other major project partners, provides a brief description of the project scope of work and describes the project goals/objectives.

Describe the local capacity and administrative/organizational structure in place to advance and complete the project. Identify the individuals who will be responsible for specific tasks, such as contract and grants administration, fiscal accounting, and project and consultant management, and describe their relevant experience.

Describe how the project will be implemented using a complete scope of work. Identify the set of discrete tasks necessary to complete the project and for each task provide relevant deliverables, anticipated timeframe, key personnel or parties responsible for completion, and cost per task.

Describe how resilience strategies, actions and priority projects identified in established local plans will be advanced and readied for implementation via this program. These plans must reflect local priorities and include actionable items developed through community engagement or public input. These plans may focus on water quality, natural resources, or sustainable land use and include, but are not limited to, Coastal Lakeshore Economy and Resiliency Regional (CLEAR) Plans, Comprehensive Plans, Harbor Management Plans, Hazard Mitigation Plans, Local Waterfront Revitalization Plans (LWRPs), Natural Resource Management Plans, Resilient NY flood mitigation studies, and Watershed Management Plans.

Describe how the project aligns with and advances the principles of Article 14 of the NYS Environmental Conservation Law as outlined in the Request for Applications.

Is the Applicant able to provide the required local portion (10%) of the total eligible costs of this project?

Describe and document how budget and costs were determined. Identify the person(s) responsible for compiling the budget; include relevant experience working on similar projects and the background of all parties. Include the method/approach that was used to arrive at estimates.

Explain your strategy for proceeding if the full amount of requested funding, required matching funds, and/or temporary financing are not secured as expected, or committed sources become unavailable.

By entering your name in the box below, you certify and agree that you are authorized on behalf of the applicant and its governing body to commit the applicant to comply with the requirements of Article 15-A of the New York State Executive Law: Participation By Minority Group Members and Women With Respect To State Contracts by providing opportunities for Minority-owned Business Enterprise (MBE)/Woman-owned Business Enterprise (WBE) participation. You further certify that the applicant will maintain such records and take such actions necessary to demonstrate such compliance throughout the completion of the project.

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.

By entering your name in the box below you are submitting an application under the NYSDOS Countywide Resilience Implementation Strategy Program, and hereby certify that all components of the requested Total Project Cost are reasonable and necessary for the conduct of the proposed project and that prudent analysis has been undertaken, as outlined below, to insure that all costs are consistent with current prevailing costs for such goods and services in the geographic area that will benefit from the project.