ED_900B_1_1-V1.1 (1).pdf
PDF 264 KB Posted
- Opportunity number
- EDA-RECOMPETEPHASE2-2023
About this file
This document provides details on a federal grant opportunity from the Department of Commerce Economic Development Administration. The FY 2023 Distressed Area Recompete Pilot Program Phase 2 solicitation seeks applications under Assistance Listing 11.040, the Distressed Area Recompete Pilot Program. Eligible applicants will apply for funding to support economic development planning and projects in distressed communities. The grant program aims to help communities that have lost jobs or have high unemployment rates. The Economic Development Administration encourages applicants to propose projects that will create new jobs and leverage private investment to strengthen regional economies.
ED-900B
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Recompete_Pilot_Program_NOFO_Phase_2_vF.pdf | ||
| CD511-V1.1 (1).pdf | ||
| SFLLL_1_2_P-V1.2 (1).pdf | ||
| SF424D-V1.1 (1).pdf | ||
| ED_900C_1_1-V1.1.pdf | ||
| SF424A-V1.0.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
OMB Number: 0610-0094 Expiration Date: 11/30/2021
ED-900B – Beneficiary Information Form
A. General Information A.1. Proposed EDA Project Title:
proposed by Lead Applicant:
A.2. Beneficiary Organization Name:
A.3. Beneficiary Organization Address:
Street 1:
Street 2:
City:
County:
State:
Province:
Country:
Zip/Postal Code:
A.4. Please characterize the main industry/field of this beneficiary organization including the 6-digit NAICS code for the products and services produced by the organization:
B. Estimated Impact of the EDA Investment
Jobs Created Jobs Saved Private Investment
B.2. Please identify the basis for the estimated number of jobs that will be created or saved for your organization?
B.3. What types of private investment are likely to be generated?
B.4. Please describe the timeframe associated with the jobs and private investment identified in the table above:
B.5. Are there other ways that this project will benefit your business or organization?
C. Provision of Data on the EDA Investment
The Economic Development Administration (EDA) tracks job and private investment resulting from its awards.
If this application results in an award, each beneficiary must provide to the successful recipient job and private investment results up to 9 years after the EDA grant award in order to assist the grantee with fulfilling these reporting requirements.
Check box to indicate that your company intends to provide the recipient with information on jobs and private investment generated as a result of the EDA project.
Signature of authorized representative for the beneficiary organization Date
Name and title of beneficiary organization authorized representative
Name Title
D. Assurances by Beneficiary that is an "Other Party"
An authorized or corporate representative of any beneficiary that is considered an “Other Party” as defined below, must also sign to show that the beneficiary intends to comply with the U.S. Department of Commerce (DOC) and EDA regulations described below.
As defined at 13 C.F.R. § 302.20(b)(1), an “Other Party” is an entity that intends to create or save 15 or more permanent jobs as a result of this EDA-supported project and is specifically named in the application as benefiting from the project or will be located in a building; port; facility; or industrial, commercial, or business park constructed or improved in whole or in part with EDA investment assistance prior to EDA's final disbursement of funds.
By submitting these assurances, the Other Party certifies that it will comply with the following requirements:
• Section 601 of Title VI of the Civil Rights Act of 1964, as amended (42 U.S.C. 2000d et seq.), and the DOC's implementing regulations at 15 C.F.R. part 8, which proscribe discrimination on the basis of race, color, or national origin.
• 42 U.S.C. 3123, 42 U.S.C. 6709, and the DOC’s regulations at 15 C.F.R. part 8a, which proscribe discrimination on the basis of sex.
• Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 794), and the DOC’s implementing regulations at 15 C.F.R. part 8b, which proscribe discrimination on the basis of disabilities.
• The Age Discrimination Act of 1975, as amended (42 U.S.C. 6101 et seq.), and the DOC’s implementing regulations at 15 C.F.R. part 20, which proscribe discrimination on the basis of age.
Signature of authorized representative for the beneficiary ("Other Party") entity Date
Name and title of beneficiary organization authorized representative
Name Title
Instructions for the ED-900B – Beneficiary Information Form
This form must be completed as provided by EDA’s policies and at a minimum by an authorized or corporate representative of the identified beneficiary organization whose position reflects the authority required to make these assurances (such as the authority to hire employees). Legal authorization for a corporate official may be specified in the Corporation’s or LLC’s formation documentation, bylaws, or similar document and under the laws governing the Virgin Islands, American Samoa, Guam and the Commonwealth of the Northern Marianas Islands. In the case of an individual executing this form as a sole proprietor or private owner, the sole proprietor’s or owner’s role and position must be indicated. For other circumstances, please contact your Regional Office.
A. General Information
1. Enter the title of the proposed EDA project and the lead applicant.
2. Enter the name of the organization that is a “committed beneficiary” in the application for EDA assistance. Note that a separate form must be completed by each identified “committed beneficiary.”
3. Enter the address of the organization in #2.
4. Please characterize the main industry/field for the beneficiary organization. A searchable list of North American industries is available at http://www.census.gov/eos/www/naics/.
B. Estimated Impact of the EDA Investment This section should be completed by each beneficiary of the proposed project that has been identified as “committed” by the EDA applicant.
For the purposes of completing the table in this section
• Jobs created means that as a direct result of this project, these jobs will be generated.
• Jobs saved means that without this project, the jobs listed here would be lost.
Only long-term, full-time direct jobs should be listed in the table. Part-time jobs should be converted to full-time equivalents (sum the total part-time hours worked per week and divide by the hourly work week for full-time employees, normally 35-40 hours).
• Private Investment means the total private sector capital investment made because of the EDA investment, including investments in new plant and equipment. Do not report private sector contributions to project construction or loan fund capitalization reported above in this section.
C. Provision of Data on the EDA Investment
This section should be completed by each beneficiary of the proposed project that has been identified as “committed” by the EDA applicant.
D. Assurances by Beneficiary that is an "Other Party"
Any beneficiary that meets the definition of "Other Party" that will create or save 15 or more permanent jobs as a result of the EDA investment, must have an authorized representative for the beneficiary "Other Party" organization complete Section D.
ED-900B – Beneficiary Information Form D:20060519172049- 04'00' D:20060519173626- 04'00' ..\..\Unknown.png EDA Logo OMB Number: 0610-0094Expiration Date: 11/30/2021 ED-900B – Beneficiary Information Form A. General Information A.1. Proposed EDA Project Title:
proposed by Lead Applicant:
A.2. Beneficiary Organization Name:
A.3. Beneficiary Organization Address:
Street 1:
Street 2:
City:
County:
State:
Province:
Country:
Zip/Postal Code:
A.4. Please characterize the main industry/field of this beneficiary organization including the 6-digit NAICS code for the products and services produced by the organization:
B. Estimated Impact of the EDA Investment Jobs Created Jobs Saved Private Investment C. Provision of Data on the EDA Investment The Economic Development Administration (EDA) tracks job and private investment resulting from its awards. If this application results in an award, each beneficiary must provide to the successful recipient job and private investment results up to 9 years after the EDA grant award in order to assist the grantee with fulfilling these reporting requirements.
Check box to indicate that your company intends to provide the recipient with information on jobs and private investment generated as a result of the EDA project.
Signature of authorized representative for the beneficiary organization Date Name and title of beneficiary organization authorized representative Name Title D. Assurances by Beneficiary that is an "Other Party" An authorized or corporate representative of any beneficiary that is considered an “Other Party” as defined below, must also sign to show that the beneficiary intends to comply with the U.S. Department of Commerce (DOC) and EDA regulations described below.
As defined at 13 C.F.R. § 302.20(b)(1), an “Other Party” is an entity that intends to create or save 15 or more permanent jobs as a result of this EDA-supported project and is specifically named in the application as benefiting from the project or will be located in a building; port; facility; or industrial, commercial, or business park constructed or improved in whole or in part with EDA investment assistance prior to EDA's final disbursement of funds.
By submitting these assurances, the Other Party certifies that it will comply with the following requirements:
• Section 601 of Title VI of the Civil Rights Act of 1964, as amended (42 U.S.C. 2000d et seq.), and the DOC's implementing regulations at 15 C.F.R. part 8, which proscribe discrimination on the basis of race, color, or national origin.
• 42 U.S.C. 3123, 42 U.S.C. 6709, and the DOC’s regulations at 15 C.F.R. part 8a, which proscribe discrimination on the basis of sex.
• Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 794), and the DOC’s implementing regulations at 15 C.F.R. part 8b, which proscribe discrimination on the basis of disabilities.
• The Age Discrimination Act of 1975, as amended (42 U.S.C. 6101 et seq.), and the DOC’s implementing regulations at 15 C.F.R. part 20, which proscribe discrimination on the basis of age.
Signature of authorized representative for the beneficiary ("Other Party") entity Date Name and title of beneficiary organization authorized representative Name Title Instructions for the ED-900B – Beneficiary Information Form This form must be completed as provided by EDA’s policies and at a minimum by an authorized or corporate representative of the identified beneficiary organization whose position reflects the authority required to make these assurances (such as the authority to hire employees). Legal authorization for a corporate official may be specified in the Corporation’s or LLC’s formation documentation, bylaws, or similar document and under the laws governing the Virgin Islands, American Samoa, Guam and the Commonwealth of the Northern Marianas Islands. In the case of an individual executing this form as a sole proprietor or private owner, the sole proprietor’s or owner’s role and position must be indicated. For other circumstances, please contact your Regional Office.
A. General Information
1. Enter the title of the proposed EDA project and the lead applicant.
2. Enter the name of the organization that is a “committed beneficiary” in the application for EDA assistance. Note that a separate form must be completed by each identified “committed beneficiary.”
3. Enter the address of the organization in #2.
4. Please characterize the main industry/field for the beneficiary organization. A searchable list of North American industries is available at http://www.census.gov/eos/www/naics/.
B. Estimated Impact of the EDA Investment This section should be completed by each beneficiary of the proposed project that has been identified as “committed” by the EDA applicant.
For the purposes of completing the table in this section
• Jobs created means that as a direct result of this project, these jobs will be generated.
• Jobs saved means that without this project, the jobs listed here would be lost.
Only long-term, full-time direct jobs should be listed in the table. Part-time jobs should be converted to full-time equivalents (sum the total part-time hours worked per week and divide by the hourly work week for full-time employees, normally 35-40 hours).
• Private Investment means the total private sector capital investment made because of the EDA investment, including investments in new plant and equipment. Do not report private sector contributions to project construction or loan fund capitalization reported above in this section.
C. Provision of Data on the EDA Investment This section should be completed by each beneficiary of the proposed project that has been identified as “committed” by the EDA applicant.
D. Assurances by Beneficiary that is an "Other Party" Any beneficiary that meets the definition of "Other Party" that will create or save 15 or more permanent jobs as a result of the EDA investment, must have an authorized representative for the beneficiary "Other Party" organization complete Section D.
| Mandatory: |
| XDPFirstField: |
| Project Name: Enter the Proposed EDA Project Title. This field is required.: |
| Lead Applicant Name: Enter the Lead Applicant Name. This field is required.: |
| Beneficiary Organization: Enter the Beneficiary Organization Name. This field is required.: |
| Street 1: Enter the first line of the Street Address. This field is required.: |
| Street 2: Enter the second line of the Street Address.: |
| City: Enter the City. This field is required.: |
| County: Enter the County.: |
| State: Select the state, US possession or military code from the provided list. This field is required if Country is the United States.: |
| Province: Enter the Province. : |
| Country: Select the Country from the provided list. This field is required.: USA: UNITED STATES |
| Zip/Postal Code: Enter the Postal Code (e.g., ZIP code). This field is required if Country is the United States. : |
| Industry: Please characterize the main industry/field of this beneficiary organization including the 6-digit NAICS code for the products and services produced by the organization. This field is required.: |
| B1s: |
| Beneficiary Organization: Enter the Beneficiary Organization Name. This field is required.: |
| Jobs Created: Enter number of jobs created. This field is required.: |
| Jobs Saved: Enter number of jobs saved. This field is required.: |
| Private Investment: Enter the dollar amount. This field is required.: |
| Jobs Estimate Basis: Please identify the basis for the estimated number of jobs that will be created or saved for your organization. This field is required.: |
| Types of Private Investment: Enter the types of private investment likely to be generated. This field is required.: |
| Timeframe: Please describe the timeframe associated with the jobs and private investment identified in the table above. This field is required.: |
| Other Benefit: Are there other ways that this project will benefit your business or organization? This field is required.: |
| Provide Results: Check box to indicate that your company intends to provide the recipient with information on jobs and private investment generated as a result of the EDA project.: N: No |
| AOR Signature: Completed by Grants.gov upon submission.: |
| Date: Completed by Grants.gov upon submission.: |
| Authorized Representative Name: Enter the name of the beneficiary organization authorized representative. This field is required.: |
| Authorized Representative Title: Enter the title of the beneficiary organization authorized representative. This field is required.: |
| Authorized Representative Name: Enter the name of the beneficiary organization authorized representative. This field is required.: |
| Authorized Representative Title: Enter the title of the beneficiary organization authorized representative. This field is required.: |
| LastField: |
File details come from the government source that posted it. Updated .