Home 5 Employers 5 When Natural Disasters Strike 5 Pajaro Disaster Assistance – Round 2 Beautification Request 5 Pajaro Disaster Fund Round 2 – Beautification Existing Business Application Pajaro Disaster Fund Round 2 – Beautification Existing Business Application Pajaro Small Business Beautification Request - Round 2 Application (Existing Business Applicant) SECTION 1. BUSINESS INFORMATION1. Preferred language for communication:(Required) English Spanish Other 2. Application Number(Required)3. Business name (Legal Entity and DBA):(Required)4. Date established (MM/DD/YYYY):(Required) MM slash DD slash YYYY 5. Business phone number:(Required)6. Business Address (on March 10, 2023):(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code 7. Business website address: 8. Business owner's first, middle, last name:(Required) First Middle Last 9. Business owner's home address on March 10, 2023:(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code 10. Business owner's phone number:(Required)11. Business owner's email address:(Required) 12. Primary contact's first and last name (if different from business owner): First Last 13. Primary contact phone number:14. Primary contact email address: SECTION 2. GRANT REQUEST INFORMATION15. The business building is:(Required) Owned by the business owner Rented from a landlord If the business owner does not own the building, written approval from the landlord guaranteeing that the tenant will neither be evicted nor have rent increased after beautification is completed is required.16. What new beautification work do you want to request funding for? Check all that apply.(Required) Exterior / Interior Painting Landscaping Fascia / Signage Lighting Security Cameras Driveway / Parking Lot Other (Please specify) No new beautification work is being requested, only additional funding to help offset costs from Round 1 * All repairs and beautification work are required to be completed by a licensed contractor.16b. Please elaborate:17. Did your final invoice total for approved beautification work in Round 1 exceed $15,000?(Required) Yes No 18. If you selected "Yes" in Question #17, are you interested in being reimbursed for part or all of the difference?(Required) Yes No 19. Total amount requested for Round 2 - Beautification ($15,000 maximum):(Required)Please enter a number less than or equal to 15000.The amount entered must match the Beautification Request Form.SECTION 3. DOCUMENTATIONThe following documentation is required and must accompany your application for applicants requesting funding for NEW BEAUTIFICATION WORK ONLY. If you are requesting additional funding to help offset costs from Round 1, no documents are required. Please ensure that no documents are missing. Required documentation subject to change to allow as much flexibility as possible. Beautification Request Form accompanied by beautification quotes from licensed contractors that match the items and totals listed. Quotes from Licensed Contractors that match the items and totals listed for beautification work that has not yet been done. Upload your documentation here: Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 128 MB. SECTION 4. CERTIFICATIONI hereby certify that I am authorized to commit the business to legally binding contracts and agreements. I further certify that the information given as part of and attached to this application are accurate and true. I am aware that any false information or intended omissions may subject me to civil or criminal penalties for filing of false public records and/or forfeiture of any funds approved through this program. I attest that my business meets all the requirements listed below: Business is owned, operated, and located in Pajaro on one of the streets in either the evacuation or flood zone. Business was established and in operation prior to March 10, 2023. Business owner resided either in Monterey County and/or within a 20-mile radius of Pajaro prior to March 10, 2023 Business experienced financial losses and/or building damage as a result of the flood. Business is not requesting duplication of benefits previously received from FEMA, insurance, state compensation, nonprofits, etc. I understand and agree that: The Monterey County Workforce Development Board (MCWDB) exercises the right to share my business’ information with other agencies as needed to properly determine funding eligibility. All funds issued that are later determined to be a duplication of benefits or are not used for approved beautification are required to be repaid to the MCWDB within 60 days or may lead to litigation. Funding is not guaranteed as it is subject to availability of funds, meeting the eligibility requirements, and providing all requested documentation and information. The MCWDB is not authorized to provide legal and/or tax advice to applicants. All businesses requesting Phase 2 Beautification funding must undergo onsite inspections before and after completion of approved work by a licensed contractor. I declare under penalty of perjury that if awarded a grant, I commit to only using the funds for one or more of the following eligible expenses: Exterior/Interior Painting Landscaping Fascia/Signage Lighting Security Cameras Driveway/Parking Lot