ED_900_GA_1_2-V1.2.pdf

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ED-900 General Application for EDA Programs D:20060519172049- 04'00' D:20060519173626- 04'00' ED-900 – General Application for EDA Programs ..\..\Unknown.png EDA Logo OMB Number: 0610-0094 Expiration Date: 10/31/2024 This form is required for application to EDA grant programs, consistent with the requirements outlined in each programNotice of Funding Opportunity (NOFO). Applicants are strongly encouraged to clearly and concisely respond to each answer in the space provided. Applicants should not provide additional documents or narratives withoutprior written approval from EDA.

A. Applicant Information A.1. Please identify all applicants for this project.

The Lead Applicant is the party who is responsible for handling disbursements of funds and reporting to EDA.

Please note: Active registration with the System for Award Management (SAM) is required of all EDA applicants and awardees at www.SAM.gov. Please list the relevant Commercial and Government Entity CAGE Code and SAM expiration data for all applicants and co-applicants (if any) in the table below.

Name SAM.gov CAGE Code SAM.gov Registration Expiration Date Fiscal Year End Date (mm/dd) Agency Disclosure Notice: This information collection is authorized by OMB control #0610-0094. Public reporting burden for this collection of information is estimated to average 17.1 hours per response for non-construction projects and 43 hours per response for construction projects, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to U.S. Department of Commerce, Economic Development Administration at jknott@eda.gov. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.

B. Scope of Work

List the specific tasks/activities that will be undertaken as a result of this investment.

Applicants for construction assistance should also include a statement of project components, including whether the proposed project involves the construction of a new facility (or facilities) or the expansion, renovation, or replacement of an existing facility or facilities. Applicants should also describe the proposed project components in terms of dimensions, capacities, quantities, square footage, etc. and should verify the description aligns with the engineering description provided in the preliminary engineering report, the environmental narrative, and other application materials.

Applicants for Partnership Planning Assistance should provide a narrative on the economic development activities that will be undertaken, which must include managing and maintaining the Comprehensive Economic Development Strategy (CEDS) process.

Applicants for Short Term Planning Assistance or Local Technical Assistance should provide a narrative explaining how the proposed scope of work will enhance economic development planning capacity of the identified region. Applicants should include information regarding any relationship or collaboration with other public and private entities, and should explain how the strategy will expand the capacity of public officials and economic development organizations to work effectively with employers and enable the region to plan and coordinate the use of available resources to support economic recovery and the development of a regional economy and/or develop innovative approaches to economic revitalization in the region.

Applicants for State Planning Assistance should provide a narrative outlining the proposed scope of work for the project, including the relationship to any existing CEDS or similar planning processes, and the goals and objectives of the proposed project.

Applicants for a Revolving Loan Fund (RLF) should clearly define the service area of the proposed Revolving Loan Fund, the types and size of loans anticipated to be made under the RLF and the focus area of the RLF (if any). Applicants should describe how the RLF will be designed to make loans to businesses that cannot otherwise obtain traditional bank financing. Applicants should describe what (if any) technical assistance will be provided for loan applicants/borrowers and explain how quickly grant funds are expected to be deployed (i.e. lent) to potential borrowers.

C. Project Region C.1. Project Location Project location is the physical location where the project work occurs. Project location information helps EDA conduct application reviews and map projects. Providing complete and accurate information is important to the application review process. For revolving loan funds (RLF), the project location is the RLF lending area.

C.2.a. Underserved Populations/GeographiesDoes the majority of proposed project’s planned area of impact (as defined above) serve an underserved population or represent an underserved geography? For definitions of these terms in relation to the planned area of impact, please visit https://eda.gov/about/investment-priorities/. Please identify the specific populations/geographies below following the guidance provided at the website referenced above and describe how the project will intentionally attempt to improve the economic conditions of the underserved population or geography within the project’s planned area of impact.

D. Economic Development Needs D.3. Does the project align with the regional Comprehensive Economic Development Strategy(CEDS)? Except for grants to fund developing, updating or refining a CEDS as described in 13 C.F.R. § 303.7, the project must be consistent with the CEDS for the area in which the project will be located, unless EDA approves an alternative strategy. Information on the CEDS can be obtained at http://www.statsamerica.org/ceds/Default.aspx.

If No, then please attach an alternate strategic planning document with which the project aligns:

D.5. Attach a letter from the organization responsible for the CEDS indicating how the proposed project aligns with the CEDS. If the estimated impact area is not covered by a CEDS, attach a letter of support from the organization responsible for the alternative planning document.

E. Economic Impact of the Project E.2. Does the proposed project have one or more committed beneficiaries? A committed beneficiary is defined as a specific business that is expected to create or retain jobs and/or invest private funds as a result of the proposed project.

E.3. Beneficiaries of the project If applicants have identified specific private sector employers that are expected to create and/or save jobs as a result of the project, applicants should list those beneficiaries in the table provided below.

All job and private investment estimates should reflect the anticipated impact within nine years of the potential EDA investment. Jobs should be reported as full-time equivalents (FTEs) and should be attributable to the proposed EDA investment. Private investment reflects the amount of funds expected to be invested in the business as a result of the project.

Applicants should identify the North American Industry Classification System (NAICS) code for the major industry category of the beneficiary company (see https://www.census.gov/naics/ for a searchable list).

Form ED-900B must be completed and signed by an authorized representative of each beneficiary that expects to create and/or save 15 or more jobs as a result of the project.

Beneficiary Name NAICS Code Main product or service produced by beneficiary Estimated Jobs Created Estimated Jobs Retained Estimated Private Investment Total Beneficiary Name: Enter company name.

E.4. Do all "Other Parties" (as listed in question E.3.), i.e., businesses that estimate they will create and/or save 15 or more jobs as a result of the EDA project, understand and agree to comply with all applicable civil rights requirements listed in 13 C.F.R. § 302.20, including the requirement to provide signed assurances of compliance (Form ED-900B)?

E.5. Please identify the total estimated jobs expected to be created and retained and the amount of private investment expected to be generated by this project. If your project is not expected to generate/retain jobs or attract private investment please enter 0 for each category in the table below.

Estimated Jobs Created Estimated Jobs Retained Estimated Private Investment E.6. Please identify the source(s) of the jobs and private investment estimates provided above in E.5 (check as many as apply):

E.7. If your project is estimated to generate/retain jobs, will those jobs exceed the prevailing wage for the industry (ies) in the project area? Prevailing wage is defined by the Department of Labor as “the average wage paid to similarly employed workers in a specific occupation in the area of intended employment.” For more information, visit https://eda.gov/about/investment-priorities/.

E.8. If your project is estimated to generate/retain jobs, will the associated jobs be representedby a union?

If only some of the jobs will be represented by a union, please provide the percentage of jobs that will be represented by a union in the box below:

F. Capacity and Administration G. Budget and Match Information G.1. Are all non-EDA funds committed to the project, available as needed, and not conditioned or encumbered in any way that would preclude their use for the project?

G.1.a. Identify the source, nature and amount of all non-EDA funds. Applicants should identify the source, nature and amount of all non-EDA funds, including in-kind contributions (non-cash contributions may include space, equipment, services, or assumptions of debt). Explain the status of all funding commitments, including the date the funds will be available from each source, and describe any conditions or restrictions on the use of such funds. If in-kind contributions are included, explain the basis on which they are valued, and describe the source, amount and any terms and conditions of the funding, and when the funding will be available for use by the applicant.

Source Amount Date Available Type Restriction/Comments G.1.b. Do you plan to seek other federal financial assistance as part of or in connection with this project, including federal funds passed through by state governments or other entities? If so, identify the source, amount, timing of funding availability, and whether the funds are subject to any restrictions relevant to the project.

Revolving loan fund applicants should specify any other federal loan funds they administer, including source, amount, and focus.

G.1.c. Attach documentation confirming all non-EDA funding is available, committed, and unencumbered. Documentation is required from all sources of match. For example, if bonds are contemplated as match, counsel opinion of the applicant’s bonding authority and eligibility of the bonds for use as match, along with full disclosure of the type of bonds and the schedule of the applicant’s intended bond issue, are required.

G.1.d. This question should only be completed for construction projects.

Attach a budget narrative with a breakdown for each “cost classification” line item included on the SF-424C and its associated tasks. The budget narrative must include both EDA and non-EDA funds and be consistent with the detailed construction cost estimate in the preliminary engineering report.

G.1.e. This question should only be completed for design and engineering assistance only projects.

Attach a budget narrative with a breakdown for each “cost classification” line item included on the SF-424C and its associated tasks. The budget narrative must include both EDA and non-EDA funds.

G.1.f. The following questions should only be completed for non-construction projects.

Attach a budget narrative with a breakdown for each “cost classification” line item included on the Form SF-424A and its associated tasks. The budget narrative must include both EDA and non-EDA funds and be consistent with the detailed construction cost estimate in the preliminary engineering report.

G.1.f.1. Is your organization seeking indirect costs on your non-construction project?

G.1.f.2. Is your organization requesting the de minimis indirect cost rate on your non-construction project in accordance with Uniform Guidance at § 200.414.

If indirect costs are requested as part of the budget, attach a copy of your organization’s current federal negotiated indirect cost rate agreement or other indirect cost documentation as permitted under the applicable NOFO.

G.2. Justification for sole source procurement Will you contract work to complete part or all of this project?

If yes, will contracts be awarded by competitive bid?

G.3. Equipment Will any funds be used to purchase equipment? (Per 2 CFR § 200.33 equipment is defined as tangible personal property (including information technology systems) having a useful life of more than one year and a per-unit acquisition cost greater than $5,000).

If yes, will project funding be used to install the equipment?

Will the applicant provide EDA a security interest in the significant items of tangible personal property acquired or improved with EDA investment assistance? (For more information, see 13 C.F.R. 314.9).

Attach a list of equipment to be purchased, including unit price, quantity, description, purpose, and estimated useful life.

G.4. Business Incubators and Accelerators Does the applicant intend to construct or renovate a business incubator, accelerator, commercialization center, or similar project?

If Yes, please attach a feasibility study demonstrating the need for the Project and an operational plan based on the industry best practices demonstrating the plan for ongoing successful operations. See the applicable NOFO for additional information and guidance.

H. Regional Eligibility H.2. Economic Distress Public Works and Economic Adjustment Assistance projects must satisfy regional eligibility requirements (see the relevant NOFO for more details). This section will assist EDA in determining if the proposed project satisfies these eligibility requirements.

Planning and Technical Assistance applications: although meeting specific distress criteria is not a prerequisite for funding under these programs, the economic distress level of the region impacted by a project serves as the basis for establishing the EDA share of the total cost of the project and can inform competitiveness.

Check all that apply in establishing regional eligibility (see NOFO for more details):

H.3. Source of data provided for regional eligibility determination Check the box denoting what data source you used to establish eligibility:

If the project does not meet any of the criteria above, is it located in an Economic Development District (EDD), and will it provide substantial direct benefit to residents of an area within that EDD that does meet the distress criteria?

H.4. Substantial Direct Benefit If the project is located in a region that overall does not meet any of the criteria above, is the project located in a defined geographic area that meets EDA’s distress criteria for unemployment or per capita income? To qualify, a project must be physically located in a distressed area (for construction projects) or primarily intended to benefit the distressed area (for non-construction projects).

H.5. Location in a geographic area of distress I. Administrative Requirements I.1. Civil rights Do you understand and agree to comply with all applicable civil rights requirements (see 13 C.F.R. § 302.20)?

I.2. Lobbying certifications All applicants for federal financial assistance must certify that federal funds have not been used and will not be used for lobbying in connection with this request for federal financial assistance (Form CD-511). If non- federal funds have been or are planned to be used for lobbying in connection with this request for federal financial assistance, Form SF-LLL also must be completed. Applicants must comply with 13 C.F.R. § 302.10 regarding attorneys' and consultants' fees and the employment of expediters. This regulation requires that applicants identify and disclose the amount of fees paid to anyone engaged to assist the applicant in obtaining assistance under the Public Works and Economic Development Act of 1965 (PWEDA), as amended.

Will you be able to comply with federal requirements regarding lobbying?

I.3. Compliance with Executive Order 12372, State Single Point of Contact (SPOC) Does the state in which the project will be located have a project review process that requires submission to a Single Point of Contact (SPOC)? A list of states that maintain a Single Point of Contact can be found at https://www.whitehouse.gov/wp-content/uploads/2020/04/SPOC-4-13-20.pdf.

If Yes, does this request for EDA investment assistance require review by SPOC?

Please attach the comments/clearance:

Please attach evidence of your request for comments:

If Yes, were SPOC comments/clearance received?

I.4. Single Audit Act Requirement Did your organization expend more than $750,000 in federal funds during your previous fiscal year?

If yes, what is the date of the last submission of the audit Federal Audit Clearinghouse?

If no, please attach your organization’s most recent financial audit or financial statement.

J. Requirements for Non-Governmental Applicants (Excluding Public Universities and Certain District Organizations) Non-governmental applicants (excluding public universities and certain district organizations) must also provide a copy of the following items, either using the Attachments form that is part of the application package in www.Grants.gov.

J.1. Non-profit organizations must provide a current certificate of good standing or equivalent from the State in which they are incorporated.

J.2. Non-profit organization applicants must provide their Articles of Incorporation and By-Laws. Non- profits with an active EDA grant must either provide a) a revised copy of their Articles of Incorporation or By-Laws if these have been amended or b) a statement certifying that there has been no change in the organization’s Articles of Incorporation or By-Laws.

J.3. Non-profit organizations must provide a resolution passed by a general purpose political subdivision of a State (e.g., local government entity) or a letter signed by an authorized representative of a local government acknowledging that the applicant is acting in cooperation with officials of the political subdivision. EDA may waive this requirement for certain projects of significant regional or national scope (see 13 CFR § 301.2(b)).

J.4. If applying for a construction or RLF investment, an applicant must afford the appropriate general purpose governmental authority a minimum of 15 days to review and comment on the proposed project (13 CFR § 302.9(a)).

Will the applicant be able to provide these comments?

Enter the name of the Applicant Organization. This field is required.

List the specific tasks/activities that will be undertaken as a result of this investment. This field is required.:

No: Click to select this option.:

Underserved Populations: Does the majority of proposed project’s planned area of impact (as defined above) serve an underserved population or represent an underserved geography?

Yes: Click to select this option.:

Yes: Click to select this option.:

CEDS: Does the project align with the regional Comprehensive Economic Development Strategy (CEDS)?

No: Click to select this option.:

CEDS: Does the project align with the regional Comprehensive Economic Development Strategy (CEDS)?

N/A - Not Applicable: Click to select this option.:

Attach documentation confirming all non-EDA funding is available, committed, and unencumbered. Documentation is required from all sources of match.:

Attach a budget narrative with a breakdown for each “cost classification” line item included on the SF-424C and its associated tasks. The budget narrative must include both EDA and non-EDA funds and be consistent with the detailed construction cost estimate in the preliminary engineering report.:

Yes: Click to select this option.:

Committed Beneficiaries: Does the proposed project have one or more committed beneficiaries? A committed beneficiary is defined as a specific business that is expected to create or retain jobs and/or invest private funds as a result of the proposed project. This field is required.

No, Go to E.5: Click to select this option.:

Committed Beneficiaries: Does the proposed project have one or more committed beneficiaries? A committed beneficiary is defined as a specific business that is expected to create or retain jobs and/or invest private funds as a result of the proposed project. This field is required.

N/A: Click to select this option.:

Not Applicable (No Other Parties Identified): Click to select this option.:

Other Parties Civil Rights Requirements: Do all "Other Parties" (as listed in question E.3.), i.e., businesses that estimate they will create and/or save 15 or more jobs as a result of the EDA project, understand and agree to comply with all applicable civil rights requirements listed in 13 C.F.R. § 302.20, including the requirement to provide signed assurances of compliance (Form ED-900B)? This field is required.

Yes: Click to select this option.:

Other Parties Civil Rights Requirements: Do all "Other Parties" (as listed in question E.3.), i.e., businesses that estimate they will create and/or save 15 or more jobs as a result of the EDA project, understand and agree to comply with all applicable civil rights requirements listed in 13 C.F.R. § 302.20, including the requirement to provide signed assurances of compliance (Form ED-900B)? This field is required.

No (explain below): Click to select this option.:

No: Click to select this option.:

Prevailing Wage: If your project is estimated to generate/retain jobs, will those jobs exceed the prevailing wage for the industry (ies) in the project area? Prevailing wage is defined by the Department of Labor as “the average wage paid to similarly employed workers in a specific occupation in the area of intended employment."

Yes: Click to select this option.:

by a union?

No: Click to select this option.

Union Representation: If your project is estimated to generate/retain jobs, will the associated jobs be represented by a union?

Unknown: Click to select this option.

by a union?

Yes, all: Click to select this option.

Union Representation: If your project is estimated to generate/retain jobs, will the associated jobs be represented by a union?

Yes, some: Click to select this option.

Yes: Click to select this option.:

Funds Available: Are all non-EDA funds committed to the project, available as needed, and not conditioned or encumbered in any way that would preclude their use for the project? This field is required.

No (explain below): Click to select this option.:

Yes (explain below): Click to select this option.:

Other Federal Financial Assistance: Do you plan to seek other federal financial assistance as part of or in connection with this project, including federal funds passed through by state governments or other entities? If so, identify the source, amount, timing of funding availability, and whether the funds are subject to any restrictions relevant to the project. Revolving loan fund applicants should specify any other federal loan funds they administer, including source, amount, and focus. This field is required.

No: Click to select this option.:

This question should only be completed for design and engineering assistance only projects. Attach a budget narrative with a breakdown for each “cost classification” line item included on the SF-424C and its associated tasks. The budget narrative must include both EDA and non-EDA funds.:

The following questions should only be completed for non-construction projects. Attach a budget narrative with a breakdown for each “cost classification” line item included on the Form SF-424A and its associated tasks. The budget narrative must include both EDA and non-EDA funds and be consistent with the detailed construction cost estimate in the preliminary engineering report.:

Yes: Click to select this option.:

Seeking Indirect Costs: Is your organization seeking indirect costs on your non-construction project?

No: Click to select this option.:

De minimis Rate: Is your organization requesting the de minimis indirect cost rate on your non-construction project in accordance with Uniform Guidance at § 200.414.

Yes: Click to select this option.:

De minimis Rate: Is your organization requesting the de minimis indirect cost rate on your non-construction project in accordance with Uniform Guidance at § 200.414.

No: Click to select this option.:

Comments Clearance Document:

If Yes, please attach the comments/clearance received. This field is required.:

Comments Clearance Document - Add Attachment:

If Yes, please attach the comments/clearance received. This field is required.:

Yes: Click to select this option.:

Contract Work: Will you contract work to complete part or all of this project? This field is required.

No: Click to select this option.:

Yes: Click to select this option.:

Competitive Bid: If yes, will contracts be awarded by competitive bid?

No: Click to select this option.:

Yes: Click to select this option.:

Purchase Equipment: Will any funds be used to purchase equipment? This field is required.

No: Click to select this option.:

Yes: Click to select this option.:

Install Equipment: If yes, will project funding be used to install the equipment?

No: Click to select this option.:

Yes: Click to select this option.:

Security Interest: Will the applicant provide EDA a security interest in the significant items of tangible personal property acquired or improved with EDA investment assistance?

No (explain below): Click to select this option.:

If selected, please attach evidence of your request for comments. This field is required.:

Yes: Click to select this option.:

Business Incubator: Does the applicant intend to construct or renovate a business incubator, accelerator, commercialization center, or similar project?

No: Click to select this option.:

Please attach a current certificate of good standing or equivalent from the State in which they are incorporated.:

The most recent ACS data published by the U.S. Census Bureau: Click to select this option.:

Data Source: Check the box denoting what data source you used to establish eligibility.

The most recent Bureau of Labor Statistics Data: Click to select this option.:

Data Source: Check the box denoting what data source you used to establish eligibility.

The most recent other federal data for the region in which the project is located (e.g., U.S. Census Bureau or the Bureaus of Economic Analysis, Labor Statistics, Indian Affairs, etc.): Click to select this option.:

Data Source: Check the box denoting what data source you used to establish eligibility.

If no federal data are available, the most recent data available through the state government for the region in which the project is located: Click to select this option.:

Data Source: Check the box denoting what data source you used to establish eligibility.

Other data to substantiate regional eligibility based on a "Special Need" as defined in 13 C.F.R. 300.3: Click to select this option.:

Yes: Select this option.:

Located in Economic Development District: If the project does not meet any of the criteria above, is it located in an Economic Development District (EDD), and will it provide substantial direct benefit to residents of an area within that EDD that does meet the distress criteria?

No: Select this option.:

Yes: Click to select this option.:

Area of Distress: Is the project located in a defined geographic area that meets EDA’s distress criteria for unemployment or per capita income? This field is required.

No: Click to select this option.:

No (explain below): Click to select this option.:

Civil Rights Requirements: Do you understand and agree to comply with all applicable civil rights requirements? This field is required.

Yes: Click to select this option.:

Yes: Select this option.:

Federal Requirements Regarding Lobbying: Will you be able to comply with federal requirements regarding lobbying? This field is required.

No (explain below): Select this option.:

Yes: Click to select this option.:

SPOC: Does the state in which the project will be located have a project review process that requires submission to a Single Point of Contact (SPOC)? This field is required.

No, go to question I.4: Click to select this option.:

Yes: Click to select this option.:

SPOC Review: Does this request for EDA investment assistance require review by SPOC? This field is required.

No (explain below): Click to select this option.:

Yes: Click to select this option.:

SPOC Comments Received: Were SPOC comments/clearance received?

No. The review period has expired and no comments were received: Click to select this option.:

SPOC Comments Received: Were SPOC comments/clearance received?

No. Comments have been requested but the review period has not yet expired: Click to select this option.:

No: Click to select this option.: