| FINAL SECTION ALL PROGRAMS: Signatures, Attestments and Disclaimers: Please read
the disclaimers carefully and sign the application.
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:
______________________________________________
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THE FOLLOWING DOCUMENTATION IS REQUIRED DEPENDING ON WHICH PROGRAM YOU ARE APPLYING FOR
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Cooperative Business Recruitment Program
- Completed and Signed Application
- Completed, signed and dated W-9 Form
- Marketing Plan
- Project Budget
- Commitment letters or documentation of
secured funding (including applicants)
- Final or draft collateral material
Capital Investment Programs:
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Natural Gas
Capital Investment Incentive
- Completed and Signed Application
- Completed, signed and dated W-9 Form
- Project Prospectus / Detailed Project
Description
- Project cost estimates including
detailed cost estimates for any specific energy
infrastructure improvements.
- Commitment letters or documentation of
secured funding (including applicants)
- 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
- Letter of endorsement from industrial
development agency or other public development agency
Site Development Programs:
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Cindrella Program
- Completed and signed application (print the signature page, sign and date it and upload it to your application)
- Copy of your W-9 Form (link to blank W-9 Form)
- Project Prospectus / Detailed Project Description
- Project cost estimates including detailed cost estimates for any specific energy infrastructure improvements.
- Commitment letters or documentation of secured funding (including applicants)
- Business Attraction/Marketing Plan, if available
- Letter of support/endorsement from the industrial development agency, other public development agency, or local community groups/elected officials, if applicable
Industrial Building Redevelopment Program
- Completed and Signed Application
including IDA sponsorship signature
- Completed, signed and dated W-9 Form
- Project Prospectus / Detailed Project
Description
- Project cost estimates including
detailed cost estimates for any specific energy
infrastructure improvements.
- Commitment letters or documentation of
secured funding (including applicants)
- Marketing Plan, if you have one
CleanTech Incubation
- Completed and signed application (print
this signature page, sign and date it and upload it to your
application)
- Completed, signed and dated W-9 Form
- Project Prospectus / Detailed Project
Description
- Project cost estimates including
detailed cost estimates for any specific energy
infrastructure improvements.
- Commitment letters or documentation of
secured funding (including applicants)
- Business Attraction/Marketing Plan, if
available
Brownfield Redevelopment Assistance Program
- Completed and signed application
- Completed, signed and dated W-9 Form
- Project Prospectus / Detailed Project
Description
- Project cost estimates including
detailed cost estimates for any specific energy
infrastructure improvements.
- Commitment letters or documentation of
secured funding (including applicants)
- Business Attraction/Marketing Plan, if
available
-
Letter of support/endorsement from the host Municipality
Sustainable Gas and Economic Development
- Completed and signed application
- Completed, signed and dated W-9 Form
- Project Prospectus / Detailed Project
Description
- Project cost estimates including
detailed cost estimates for any specific energy
infrastructure improvements.
- Commitment letters or documentation of
secured funding (including applicants)
- 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
- Business Attraction/Marketing Plan, if
available
- If owner or developer obtains letter of
endorsement from industrial development agency or other
public development agency.
Natural Gas Manufacturing Productivity Programs:
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Natural Gas Manufacturing Productivity Program
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
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