Fillable BRIDGEPORT City of Bridgeport Pandemic Financial Assistance for (City of Bridgeport)

Fill Online, Printable, Fillable, Blank BRIDGEPORT City of Bridgeport Pandemic Financial Assistance for (City of Bridgeport) Form

Use Fill to complete blank online CITY OF BRIDGEPORT (CT) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

BRIDGEPORT City of Bridgeport Pandemic Financial Assistance for (City of Bridgeport)

On average this form takes 12 minutes to complete

The BRIDGEPORT City of Bridgeport Pandemic Financial Assistance for (City of Bridgeport) form is 6 pages long and contains:

  • 1 signature
  • 24 check-boxes
  • 33 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Bridgeport

BROWSE CITY OF BRIDGEPORT (CT) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Page 1 of 6
City of Bridgeport
Financial Assistance for Local Businesses Impacted by COVID-19
Pandemic
Bridgeport Small & Minority Business COVID Relief Grant Program
Overview
Through the provisions of the US Coronavirus Aid, Relief, and Economic Security
(CARES) Act, the US Department of Housing and Urban Development (HUD) has
granted financial assistance to the City of Bridgeport, to prevent, prepare and respond
to the coronavirus, COVID-19. This CARES financial assistance is intended to address
some of the community impacts of the COVID-19 Pandemic.
The City has allocated $1 Million for financing to small and minority-owned for-profit
businesses in Bridgeport which have suffered a harmful loss of business or revenue due
to the Pandemic. For the purposes of this Grant Program, Applicants should have had
less than $1 Million in gross revenue in calendar year 2019, and employed 20 or fewer
persons as of March 15, 2020.
The financing is anticipated to be awarded in grants of varying size, up to a maximum of
$25,000, dependent on the circumstances and plans of the Applicant’s business. For
consideration, businesses seeking financial assistance are required to complete the
Application form. Award criteria and determinations may vary by applicant response and
the eligibility of neighborhoods, based on HUD regulations and HUD’s National
Objectives, such as Low and Moderate Income Benefit (LMI).
Eligibility and Uses of Financing
The Bridgeport Small & Minority Business COVID Relief Grant Program is intended
to prioritize and primarily benefit Bridgeport’s small and minority-owned businesses that
have experienced significant business revenue losses during the Pandemic, and those
businesses in particular that are determined to have presented feasible plans for
adapting to the business conditions and government restrictions of the Pandemic.
Previous participation or receipt of funding from recent federal or state initiatives will not
disqualify applicants, but priority may be given to applicants that previously received no
BRIDGEPORT
CHAMBER
OF
CO
MM
ER
CE
BRIDGEPO
RT
REG
IO
NA
L
BUSINESS
C
OU
l4C
ll
Page 2 of 6
Applicants may be required to demonstrate a practical and feasible business strategy
for surviving the Pandemic and thriving in the future. Applicants must have their primary
business operations within the City of Bridgeport and engage in legal business activities
that comply with all applicable federal, state, and local laws. Funds may not be used
for payment of non-business expenses, for political or lobbying activities or for any other
purpose deemed inappropriate or expressly prohibited by federal regulations.
funding or demonstrably inadequate funding from these programs. An Award of this
funding cannot be used for the same purpose or specific expense that other funding
was used for.
Eligible Uses of Awards
• Short term working capital and operating expenses
• Inventory, payment to essential vendors
• Advertising or marketing expenses related to publicizing changes in business
hours or offering
• Staff/ employee training in new operating procedures
• Newly acquired technology hardware and subscriptions related to adapting to the
Pandemic.
Awards may have strict provisions for uses of funds. Prospective Applicants
should note that certain types of businesses are ineligible for this Grant funding,
listed below.
Application Questions and Process
Applications may be completed and submitted online to Fred Gee
(Fred.Gee@Bridgeportct.gov) from the City of Bridgeport’s Small & Minority Business
Enterprise Office (SMBE) by 2:00 PM on Friday January 15, 2021. Applications may
also be submitted via hard copy in person or mailed to the following address, but must
be postmarked (if mailed) or delivered by 2:00 PM on Friday January 15, 2021.
Small & Minority Business Enterprise Office City
Hall Annex
999 Broad Street
Bridgeport, CT
Hard copy submissions should be in envelopes labeled “Bridgeport Small &
Minority Business COVID Relief Grant Program”.
Page 3 of 6
Applicants will receive confirmation of their submission from the Small & Minority
Business Enterprise Office. Applicants may be contacted by City officials or others to
discuss ambiguities, omissions, or specific details in/of their submitted applications.
It is anticipated that Applications will be reviewed in order of receipt. Applicants are
encouraged to submit as soon as possible. Notice of Awards will be made on a
continual basis until the funding is entirely gone.
Awards may be conditioned on the execution of grant agreements, affidavits, and other
documentation that may be requested by the City of Bridgeport. For assistance in
completing the Application, Applicants may call the Small & Minority Business
Enterprise Office, (203) 576-8473.
Applicants should register with the City of Bridgeport’s Purchasing Department.
The City reserves the right to revoke an Award Notice to an Applicant that fails to
register as a City Vendor in a timely manner.
Page 4 of 6
___
___
___
___
___
___
___
___
APPLICATION QUESTIONS: (R) INDICATES REQUIRED INFORMATION
1. Business Legal Name: (R)
2. Business dba, if
applicable:
3. Business TIN, EIN, or SSN, as
applicable: (R)
4. Business Type (check one):
(R)
Partnership
C-Corporation (Inc.)
Limited Liability Company (LLC)
S-Corporation
Other
5. Business Address: (R)
6. Website:
7. Social Media:
8. Business Owner(s) Name: (R)
9. Business Owner(s) Email: (R)
10. Business Owner(s) Phone:
(R)
11. Number of Employees as of
Application Date: (R)
Full-time:
Part-time:
Total Bridgeport residents:
12. Have you obtained the SBA Paycheck
Protection Program forgivable loan, Economic
Injury Disaster Loan, the State’s DECD
Bridge Loan, or some other form of recovery
financing in response to the COVID-19
pandemic? (R)
Yes
No
If Yes, Documentation may be required.
If No, Affidavit may be required.
13. How long has your business
been operating in Bridgeport?
LJ
□
□
LJ
□
BRIDGEPORT
CHAMBER
OF
COMMERCE
BR
I
DGEPORT
REGIONAL
BUSINESS
CO
U
NCIL
LJ
□
□
Page 5 of 6
14. What are your greatest
challenges due to the Pandemic
in the operation of your
business? (Check all that apply)
Dramatic decrease in business/sales
Dramatic cost increases of inventory and other
expenses
Inconsistent availability of inventory
Cashflow - payroll, rent, utilities
Access to capital
Hiring back or training qualified employees
Employing social distance guidelines for your
employees and customers or complying with other
government restrictions.
Implementing adequate disinfecting and cleaning
procedures
Marketing, bringing back my customer base
All of the above
Other
15. Do you have any significant
past-due business obligations?
If so, please list with approximate
$ amounts. (R)
16. Have you laid off, furloughed,
or reduced the hours of any
employees since March 15,
2020? (R)
No
Yes
If yes,
please provide details:
17. Have you taken or planned
any steps to permanently change
the way your business operates?
For planned activities/projects,
have you developed budgets or
estimated costs? If so, please
describe.
18. Amount of Grant Requested
(Attach Expenditure Plan for
Grant) (R)
19. Do you a have a Vendor
Number with the City of
Bridgeport?
Yes
If yes, please provide it:
No
tj
-
-
-
-
-
-
LJ LJ
LJ
___________________________________________________
Page 6 of 6
20. DUNS Number for the
business entity.
I affirm that the information presented in this application is true and accurate.
______________________________________ __________________________
Signature Date
_____________________________________
Name
APPLICANTS MAY ATTACH ADDITIONAL DOCUMENTS THAT ADDRESS THESE QUESTIONS.
Additional Required Documentation.
Please attach with this application or submit by email to Fred.Gee@Bridgeportct.gov.
• Documentation of any of the following you may have obtained: SBA Paycheck Protection
Program Loan, Economic Injury Disaster Loan, CT’s DECD Bridge Loan, DSSD Pandemic
Relaunch Grant, or any other form of recovery financing received in response to the COVID-
19 Pandemic.
• Expenditure Plan for Grant (list).
• IRS Form W-9, dated within one week of the submission of the Application.
• City of Bridgeport Request for Vendor Identification Numbers and Certification Form.
• Two most current signed Federal Tax returns, if they exist. Businesses must demonstrate an
operating history of a minimum of eighteen (18) months at the date of application.
• Formal documentation of business revenues and expenses (examples: bank statements,
year-end or quarterly financial statements).
• Any other evidence (documentation) of adverse financial impact due to the COVID-19
Pandemic.
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

BRIDGEPORT City of Bridgeport Pandemic Financial Assistance for (City of Bridgeport)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 22 January 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document