Disclaimers

1) National Grid has the sole responsibility for selecting grant recipients.

2) National Grid retains the right to conduct pre-installation and post-installation site visits.

3) National Grid makes no warranty, guarantee, or representation, express or implied, with regard to any economic benefits, energy savings, or improved energy quality resulting from use of Program grants. While the Programs are intended to provide benefits to recipients, the recipient understands and agrees that National Grid is not liable for any losses resulting from the recipient's participation in the Programs or from the Programs' failures to result in benefits to recipients.

4) In the event the grant recipient utilizes a contractor to accomplish the project goals, National Grid makes no warranty, guarantee, or representation, express or implied, with regard to any materials or workmanship provided by any contractors engaged by the recipients or the reasonableness of the prices charged by them. The recipient understands and agrees that the contractor alone is responsible for the work, and not National Grid. National Grid assumes no liability or responsibility for any damages or claims resulting from your use of any contractor.

5) The information contained in this application, the required attachments and any site visit made by an authorized National Grid employee will be used to evaluate your project. An incomplete application will be disqualified.

6) Funds granted through this program may only be used by the applicant for the use stated and approved. National Grid reserves the right to withhold funding if the substance of the project changes or the requirements of the program are not met.

7) All Economic Development Programs will be administered in accordance with the applicable tariffs as specified in PSC No. 207, Rule 34 and Service Classification No. 12.

8) All materials become the property of National Grid and will not be returned. National Grid reserves the right to use any submitted material for marketing the Economic Development Program.

9) Program assistance is only available to customers who are current in payments with National Grid or have executed a deferred payment agreement.

Attestments and Signatures

APPLICANT: I certify that all statements made in this application, including all attachments, are correct to the best of my knowledge and that I have reviewed and agree to the terms stated on this form, including those provisions regarding warranties and liabilities.

Signed by Applicant: ______________________________________________________________________________________

Signature Printed Name_____________________________________________________________________________________

Title: ______________________________________________, Date: ______________________________________________

For Manufacturing Productivity Program only:

Signed by Co-Applicant (RTDC): _____________________________________________________________________________

Signature Printed Name_____________________________________________________________________________________

Title: ______________________________________________, Date: ______________________________________________

THE FOLLOWING DOCUMENTATION IS REQUIRED DEPENDING ON WHICH PROGRAM YOU ARE APPLYING FOR

SECTION A, Marketing Programs:

Strategic Economic Development Outreach

1. Completed and Signed Application
   
2. Completed, signed and dated W-9 Form
   
3. Marketing Plan
   
4. Project Budget
   
5. Commitment letters or documentation of secured funding
   
6. Final or draft collateral material
   

Cooperative Business Recruitment

1. Completed and Signed Application
   
2. Completed, signed and dated W-9 Form
   
3. Marketing Plan
   
4. Project Budget
   
5. Commitment letters or documentation of secured funding (including applicants)
   
6. Final or draft collateral material
   

SECTION B, Electric Capital Investment, Natural Gas Capital Investment, CleanTech Incubation, Site Development, Revitalization & Urban Development and Sustainable Gas and Economic Development Programs:

Industrial Building Redevelopment

1. Completed and Signed Application including IDA sponsorship signature
   
2. Completed, signed and dated W-9 Form
   
3. Project Prospectus / Detailed Project Description
   
4. Project cost estimates including detailed cost estimates for any specific energy infrastructure improvements.
5. Commitment letters or documentation of secured funding (including applicants)
   
6. Marketing Plan, if you have one
   

ShovelReady Incentive

1. Completed and Signed Application
   
2. Completed, signed and dated W-9 Form
   
3. Shovel-Ready site application questionnaire and designation letter issued by the New York State BuildNowNY program or certification from NYS as a "shovelready" site
   
4. Project Prospectus / Detailed Project Description
   
5. Project cost estimates including detailed cost estimates for any specific energy infrastructure improvements.
   
6. Commitment letters or documentation of secured funding (including applicants)
   
7. Marketing Plan
   

Electric Capital Investment Incentive

1. Completed and Signed Application
   
2. Completed, signed and dated W-9 Form
   
3. Project Prospectus / Detailed Project Description
   
4. Project cost estimates including detailed cost estimates for any specific energy infrastructure improvements.
   
5. Commitment letters or documentation of secured funding (including applicants)
   
6. Documentation from the NYS Empire State Development Corporation or a local development agency indicating your efforts to obtain state and local Economic Development incentives for the project and their disposition of your request
   
7. Letter of endorsement from industrial development agency or other public development agency
   

Natural Gas Capital Investment Incentive

1. Completed and Signed Application
   
2. Completed, signed and dated W-9 Form
   
3. Project Prospectus / Detailed Project Description
   
4. Project cost estimates including detailed cost estimates for any specific energy infrastructure improvements.
   
5. Commitment letters or documentation of secured funding (including applicants)
   
6. Documentation from the NYS Empire State Development Corporation or a local development agency indicating your efforts to obtain state and local Economic Development incentives for the project and their disposition of your request
   
7. Letter of endorsement from industrial development agency or other public development agency
   

CleanTech Incubation

1. Completed and signed application (print this signature page, sign and date it and upload it to your application)
   
2. Completed, signed and dated W-9 Form
   
3. Project Prospectus / Detailed Project Description
   
4. Project cost estimates including detailed cost estimates for any specific energy infrastructure improvements.
   
5. Commitment letters or documentation of secured funding (including applicants)
   
6. Business Attraction/Marketing Plan, if available
   

3-Phase Power Incentive

1. Completed application
   
2. Completed, signed and dated W-9 Form
   
3. Brief project description
   
4. Commitment letters or documentation of secured funding (including applicants)
   
5. Business Case that demonstrates the economic development value of extending 3-phase power and details your exploration of alternatives to 3-phase power. The value of extending 3-phase may be shown in such indicators as new or retained jobs, increased capital investment, improved product output. Your discussion of the alternatives to 3-phase power you have explored would summarize the other energy options you have considered (such as on-site generation, written-pole motors) AND why you have rejected each
   
6. Detailed cost estimate for 3-phase power extension
   
7. If you are implementing an alternative to 3-phase power, please attach your Statement of Work Agreement from NYSERDA
   

Brownfield Redevelopment

1. Completed and signed application
   
2. Completed, signed and dated W-9 Form
   
3. Project Prospectus / Detailed Project Description
   
4. Project cost estimates including detailed cost estimates for any specific energy infrastructure improvements.
   
5. Commitment letters or documentation of secured funding (including applicants)
   
6. Business Attraction/Marketing Plan, if available
   

Building Ready Upstate

1. Completed and Signed Application
   
2. Completed, signed and dated W-9 Form
   
3. Marketing Plan
   
4. Project Budget
   
5. Preliminary or final site-building plan and documentation to show approval from local municipality and/or planning board
   
6. Letter of support from local IDA or LDC

Mainstreet Revitalization Program

1. Completed and signed application
   
2. Completed, signed and dated W-9 Form
   
3. Project Prospectus / Detailed Project Description
   
4. Project cost estimates including detailed cost estimates for any specific energy infrastructure improvements.
   
5. Commitment letters or documentation of secured funding (including applicants)
   
6. Business Attraction/Marketing Plan, if available
   
7. Letter of support/endorsement from the host Municipality
   

Urban Center/Commercial District Revitalization

1. Completed and signed application
   
2. Completed, signed and dated W-9 Form
   
3. Project Prospectus / Detailed Project Description
   
4. Project cost estimates including detailed cost estimates for any specific energy infrastructure improvements.
   
5. Commitment letters or documentation of secured funding (including applicants)
   
6. Letter of support from the Municipality, IDA or a local development corporation indicating your efforts to obtain state and local Economic Development incentives for the project and their disposition of your request
   
7. Business Attraction/Marketing Plan, if available
   
8. If owner or developer obtains letter of endorsement from industrial development agency or other public development agency.
   

Sustainable Gas and Economic Development

1. Completed and signed application
   
2. Completed, signed and dated W-9 Form
   
3. Project Prospectus / Detailed Project Description
   
4. Project cost estimates including detailed cost estimates for any specific energy infrastructure improvements.
   
5. Commitment letters or documentation of secured funding (including applicants)
   
6. Letter of support from the Municipality, IDA or a local development corporation indicating your efforts to obtain state and local Economic Development incentives for the project and their disposition of your request
   
7. Business Attraction/Marketing Plan, if available
   
8. If owner or developer obtains letter of endorsement from industrial development agency or other public development agency.
   

     1.  Completed and Signed Application
     2.  Completed, signed and dated W-9 Form
     3.  Detailed project description
     4.  Project cost estimates
     5.  Contract with Regional Technology Development Center (RTDC)
     6.  Commitment letters or documentation of secured funding

Energy Efficiency in the Empire Zones

1. Completed and Signed Application
   
2. Completed, signed and dated W-9 Form
   
3. Copy of your New York State Empire Zone Certification
   
4. Detailed project description
   
5. Project cost estimates
   
6. Commitment letters or documentation of secured funding (including applicants)
   

 Power Quality Enhancement