List of application questions.pdf

IMPORTANT NOTE: The online application form cannot be saved to return to later, once it has been started. It is recommended for Applicants to draft content on a separate document to then copy and paste responses into the application fields below. To assist you in preparing your answers, please refer to this preview list of application questions (PDF) to review the questions in this application.

Response fields include drop-down choices and also text narrative where applicable. Answer should be written in English:

Applications must be electronically received through the application portal (via Smartsheet https://app.smartsheet.com/b/form/019abc94e7c976fc9fe5e2eb7911e962) no later than 4:00 pm PT, on January 20, 2026. Pressing the send button will submit your answers as final. Please only submit one application per project. For questions, contact the RFA Coordinator at

OEDCProcurement@Commerce.wa.gov.

Completed answers to the following application questions should be informative and detailed:

APPLICANT & ORGANIZATION INFORMATION

Provide Applicant organization, street address, city, state, zip code, website (if applicable), and select Applicant type.

Provide Applicant name, role, contact email and phone number.

Select organization type, number of employees, year and month organization established, select licensed status, Uniform Business Identifier (if applicable), Statewide Vendor Number (if applicable, name of executive authority for organization and contact details.

Select previous grant status from Commerce or other public sources, select status if organization has been subject to contract termination for default, up to three (3) business references for the

Applicant.

PROJECT PROPOSAL:

1. What is the total amount of grant funding requested within the range of $40,000 to $500,000?

2. What is the name of the project described in this application (if applicable)?

3. What is the physical location of Applicant's proposed project? Please list the address where the scope of work will take place (street, city, and zip code):

4. The Industrial Symbiosis Grant Program is one tool to help strengthen Washington’s circular economy. How does this application align with the program’s purpose and funding objectives found in RFA sections 1.1 and 1.2? Please include the specific waste reduction issues the proposed project seeks to address (if applicable):

5. What project management approach and technical methodology will the organization use for proposed project? Please also outline the key project milestones and expected deliverables:

https://app.smartsheet.com/b/form/019abc94e7c976fc9fe5e2eb7911e962 https://app.smartsheet.com/b/form/019abc94e7c976fc9fe5e2eb7911e962

6. How is organization prepared to successfully deliver the scope of work? Include proposed team structure and the key staff members who will contribute to and work on this project and details related to demonstrated experience, knowledge, and background (as found in RFA section 1.3)

Please provide the details if organization intends to subcontract any proposed work, including criteria that will be used to select subcontractors:

7. If awarded a contract with Commerce, how will organization efficiently and effectively utilize the grant funding during the performance period? What internal project controls will be implemented to ensure accountability and success?

8. What potential risks and challenges could significantly impact delivery of the proposed project scope, and how will organization monitor and mitigate these risks where feasible?

9. If selected for a contract award with Commerce, what is organization’s proposed plan to meet the

1:1 (one to one) match funding requirement?

10. How does the requested funding amount in application directly correspond to the proposed project’s estimated budget?

11. Is a required detailed budget provided as part of the application submission? Project budget should align with the requested grant amount and (not to exceed the maximum award amount in

RFA section 1.4). NOTE: this will not be scored in the application evaluation process. Include costs of all things necessary to carry out the services of this RFA. Please upload budget in

Attachments section.

SPECIAL PREFERENCE:

RFA section 1.2 describes Commerce's special preference for projects to facilitate the development of industrial symbiosis parks across Washington state. To determine if this optional project consideration may apply, please describe how project application meets any of the listed three (3) criteria in the following questions.

12. *Optional special preference: Does project application demonstrate progress steps taken among two or more organizations to co-locate at a planned location and to also share integrated resource streams? This can be provided through a letter of intent and/or a memorandum of understanding with partner(s). Please include the land use zoning and/or regulatory permits required to achieve the proposed project:

13. *Optional special preference: Does project application demonstrate progress steps taken at an existing operational site to enable future capacity for additional businesses/organizations to co-locate and to share integrated resource streams? Please include the land use zoning and/or regulatory permits required to achieve the proposed project:

14. *Optional special preference: Does project application demonstrate progress steps taken among two or more organizations to innovate industrial by-products and waste materials into valuable resources for shared use, unrelated to co-location status? This can be provided through a letter of intent and/or memorandum of understanding with partner(s).

IMPACTS & OUTCOMES

15. Identify and describe the proposed project’s physical location. Will the scope of work outlined in application provide benefits to surrounding communities and help reduce environmental health disparities? For research and development projects, includes anticipated benefits once the technology is developed and commercialized. Applicants should reference data from the

Washington Department of Health’s Environmental Health Disparities Map and the Washington

Office of Financial Management’s Overburdened Communities Mapping Tool (found in RFA section 1.2)

16. How does proposed project help support Washington’s commitment to reducing and mitigating greenhouse gas impacts in overburdened communities as outlined in the Climate Commitment

Act, as found in RCW 70A.65.260?

17. How will organization measure the outcomes of this project? Include tracking and reporting on data such as waste diverted, greenhouse gas reductions, benefits to overburdened communities, cost savings, job creation, efficiency gains, market development, or other relevant results. Please include the target metrics you will anticipate reaching as a result of this project:

18. Will proposed project result in the creation of direct full-time equivalent (FTE) jobs? If applicable, include specific job types and number of positions anticipated. Please include the target metrics you will anticipate reaching as a result of this project:

19. Will any current or former Washington state employees be paid to participate in this project or do they serve on any board of directors involved in this project as of the date of this application?

The additional files listed below should be attached/submitted in PDF format. Zipped files cannot be received by Commerce.

Project Budget

Match Funding Plan

Letter of Intent/Memorandum of Understanding/Land Use Zoning or Regulatory Permits (if applicable)

Certifications and Assurances (Exhibit A) - form must have a signature of the individual within the organization authorized to bind the organization to the offer

Diverse Business Inclusion Plan (Exhibit B)

Workers’ Rights Certification (Exhibit C) https://doh.wa.gov/data-and-statistical-reports/washington-tracking-network-wtn/washington-environmental-health-disparities-map https://ofm.wa.gov/spending/environmental-justice-heal-act/identifying-overburdened-communities/ https://ofm.wa.gov/spending/environmental-justice-heal-act/identifying-overburdened-communities/ https://app.leg.wa.gov/RCW/default.aspx?cite=70A.65.260