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Business Relief Grant Round 3

  1. DESCRIPTION

    With the use of CDBG CV funds, Mariposa County has made a business relief grant program available to support local businesses that have been impacted by the novel coronavirus pandemic. This application may be used for the loss recovery application. Please review this page before completing an application. 

    LOSS RECOVERY 

    Eligible Expenses Net losses (e.g. $10,000 in 2020/2021 net revenue, including aid, compared with $40,000 for the same period in 2019/2020 would be a $30,000 loss) 

    Basic documentation requirements requires total revenue and expense numbers for the same time period in 2020/21 and 2019. Must include: 

    -Documentation of any aid. 
    -Documentation confirming retention of at least one full time employee (FTE) and 51% of jobs created/retained by Low to Moderate Income (LMI) individuals will be required. (Flexibilities for income documentation) 

    Total Available Funding $461,906 available 

    Other Information/ program requirements: Businesses that opened in 2020 are still eligible for funding. Use projections for 2019 P&L. Must provide adequate documentation on job retention/ job creation, especially that jobs would not be retained, but for this assistance. Each business creates/ retains at least 1 FTE and 51% of jobs created/ retained are held by or made available to LMI individuals. Requires ongoing compliance with current COVID mitigation guidelines 

    Requires ongoing compliance with current COVID mitigation guidelines.

    If you have questions, please contact Tara Schiff, Economic Development Specialist, at tschiff@mariposacounty.org or (209) 742-1214.


  2. ELIGIBILITY*
    1) Is the business for which the grant is being applied located within Mariposa County?
  3. YOU ARE INELIGIBLE FOR FUNDS.
  4. 2) Is the applicant the owner or operator of the business?
  5. YOU ARE INELIGIBLE FOR FUNDS
  6. 3) Is the business a for-profit organization?*
  7. YOU ARE INELIGIBLE FOR FUNDS.
  8. 4) Does the business or the applicant have any outstanding judgments, tax liens, or pending lawsuits against them?
  9. YOU ARE INELIGIBLE FOR FUNDS.
  10. 5) Is the applicant currently suspended or debarred from contracting with the Federal Government?
  11. YOU ARE INELIGIBLE FOR FUNDS.
  12. 7) Is your business in compliance with all federal, State and local laws and regulations?*
  13. YOU ARE INELIGIBLE FOR FUNDS
  14. ADMINISTRATIVE DATA
  15. Continue to Impacts?
  16. IMPACTS
  17. Documentation
  18. Did the business experience net losses as a result of COVID-19 public health safety measures?
  19. (If no comparable period exists, applicant can use any combination of projections used for a business loan, pre-COVID winter numbers, and/or numbers from other comparable businesses in a similar community.)
  20. (If no comparable period exists, applicant can use any combination of projections used for a business loan, pre-COVID winter numbers, and/or numbers from other comparable businesses in a similar community.)
  21. Continue to Uploads?*
  22. UPLOADS
    Upload your completed W-9 form, and verifications in this section.
    DOWNLOAD A W-9 HERE.
  23. CERTIFICATION
  24. By my signature below, I have read and understand the Business Assistance Grant Program. I make the following representations and acknowledge agreement to the following terms and conditions:

    - Upon approval of this application, as evidenced by the signature of the authorized County representative below, this application becomes a binding contract between the entity named above and Mariposa County.

    - I am the duly authorized representative of the entity named above and can bind the entity to the terms of this agreement.

    - In no event shall the County’s financial responsibility exceed the approved amount set forth below.

    - I bear full responsibility for any and all tax consequences of receiving grant funds including, but not limited to, issuance of a 1099 by the County.

    - Applicant shall defend and indemnify the County and its employees from and against any claim, injury, liability, loss, cost and/or expense or damage from activities reimbursed under this program.

    - The representations made by applicant in this application are material terms of the agreement.

    The County may cancel this agreement at any time upon discovery that any of the information set forth above is inaccurate, or that any terms set forth above have been violated.
  25. DIGITAL SIGNATURE*
    By checking the "I agree" box below, you agree and acknowledge that:
    1) your application will not be signed in the sense of a traditional paper document,
    2) by signing in the alternate manner below, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and
    3) you may still be required to provide a traditional signature at a later date.
  26. Leave This Blank:

  27. This field is not part of the form submission.