Fillable COVID-19 Sales and Use Tax Exemption Benefits Up (monroe county)

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COVID-19 Sales and Use Tax Exemption Benefits Up (monroe county)

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COVID-19 Sales and Use Tax Exemption
Benefits Up To $100,000
Each applicant seeking assistance must complete this application and provide required supplemental form/documentation. A non-
refundable application fee of $350.00 must be included with this application, which will be applied to additional costs described on
page 8. Make check payable to COMIDA.
Please answer all questions. Use “None” or “Not Applicable” where necessary. Information in this application may be subject to public
review under New York State Law, except for information that is considered deniable by the Freedom of Information Law. This form
is available at www.monroe
countyida.com.
I. APPLICANT
A. Name
B. Owners of 20% or more of Applicant Company
Name % Corporate Title
Name
II. PROJECT
A. Address of proposed project facility
__________________________________________
__________________________________________
Tax Map Parcel Number ___________________________
City/Town/Village _________________________________
School District ___________________________________
Current Legal Owner of Property ____________________
B. Proposed User(s)/Tenant(s) of the Facility
If there are multiple Users/Tenants, please attach
additional pages.
Company Name _____________________________
Address ___________________________________
City/State/Zip _______________________________
Tax ID No. _________________________________
Contact Name ______________________________
Title ______________________________________
Telephone _________________________________
Email _____________________________________
Company Name ____________________________
% of facility to be occupied by company __________
C. Owners of 20% or more of User/Tenant Company
Name % Corporate Title
_______________________________________________
_______________________________________________
_______________________________________________
Address
City/State/Zip
Tax ID No.
Contact Name
Title
Telephone
E-Mail
C.
Firm
Address
City/State/Zip
Telephone
Fax
Email
Please mail completed applications and application fee of $350 to: COMIDA, 50 West Main Street, Suite 1150, Rochester, NY 14614
or
Email the completed application to mcplanning@monroecounty.gov and mail $350 check to address listed above.
1
D. Description of project (check all that apply)
☐ New Construction
☐ Existing Facility
☐ Acquisition
☐ Expansion
☐ Renovation/Modernization
☐ Acquisition of machinery/equipment
☐ Other (specify)
GENERAL DESCRIPTION OF THE PROJECT AND BACKGROUND ON USER(S) OF
THE FACILITY
(Attached additional sheets as necessary)
2
II. PROJECT (cont’d)
E. Are other facilities or related companies located
within New York State?
☐Yes ☐ No
Location:
Will the Project result in the removal of an industrial
or manufacturing plant of the Project occupant from
one area of the state to another area of the state?
☐Yes ☐ No
Will the Project result in the abandonment of one or
more plants or facilities of the Project occupant
located within the state?
☐Yes ☐ No
If Yes to either question, explain how,
notwithstanding the aforementioned closing or
activity reduction, the Agency’s Financial
Assistance is required to prevent the Project from
relocating out of the State, or is reasonably
necessary to preserve the Project
occupant’s competitive position in its respective
industry:
______________________________________
______________________________________
______________________________________
______________________________________
______________________________________
______________________________________
______________________________________
F. Would the project be undertaken without financial
assistance from the Agency?
☐Yes ☐ No
If yes, please explain:
______________________________________
______________________________________
______________________________________
______________________________________
______________________________________
______________________________________
______________________________________
G. PROJECT TIMELINE
Proposed Date of Acquisition
______________________________________
Proposed Commencement Date of Construction
_____________________________________
Anticipated Completion Date
_____________________________________
H. Contractor(s)
______________________________________________
______________________________________________
I. State Environmental Quality Review (SEQR) Act
Compliance
The Agency, in granting assistance to the Applicant, is
required to comply with the New York State Environmental
Quality Review Act (SEQR). This is applicable to projects
that require the state or local municipality to issue a
discretionary permit, license or other type of Approval for
that project.
Does the proposed project require discretionary permit,
license or other type of approval by the state or local
municipality?
☐ YES – Include a copy of any SEQR documents related to
this Project including Environmental Assessment Form,
Final Determination, Local Municipality Negative
Declaration, etc.
☐ NO
3
III. APPLICANT PROJECT COSTS
A. Estimate the costs necessary for the undertaking of the
project by the Applicant.
Project Costs
a. Materials a. $_________
b. Labor b. $_________
c. Non-Manufacturing Equipment c. $_________
d. Furniture and Fixtures d. $_________
e. Land and/or Building purchase e. $_________
f. Manufacturing Equipment f. $_________
g. Soft Costs (Legal, Architect, Engineering) g. $_________
Other (specify): h. ____________ h. $_____________
i. ____________ i. $______________
j. ____________ j. $______________
k. ____________ k. $_____________
Total Project Costs
B. Sources of Funds for Project Costs:
a. Bank Financing a. $_____________
b. Public Sources b. $_____________
Identify each state and
federal grant/credit
_______________ $ ____________
_______________ $ ____________
_______________ $ ____________
_______________ $ ____________
c. Equity c. $ ____________
TOTAL SOURCES $ ____________
C. Has the applicant made any arrangements fo the
financing of this project?
Yes No
If yes, please specify bank, underwriter, etc.
_____________________________________
_____________________________________
_____________________________________
IV. COMPLETE FOR EACH USER/TENANT
THAT IS SEEKING SALES TAX
EXEMPTIONS USER(S)/TENANT(S)
PROJECT COSTS
Use additional sheets as necessary
Company Name _______________________________
A. Estimate the costs necessary for the undertaking of the project by
the user(s)/tenant(s) for which a sales tax exemption is requested
Estimated Costs Eligible for Sales Tax Exemption Benefit
a. Materials a. $____________
b. Labor b. $____________
c. Non-Manufacturing Equipment c. $____________
d. Furniture and Fixtures d. $____________
e. Land and/or Building purchase e. $____________
f. Manufacturing Equipment f. $____________
g. Soft Costs (Legal, Architect, Engineering) g. $____________
Other (specify): h. ___________ h. $____________
i. ___________ i. $_____________
j. ___________ j. $_____________
k. ___________ k. $_____________
Total $ ____________
_____________________________________________________
User/Tenant Company
_____________________________________________________
Signature Title Date
For Office Use Only
Total Assessment Value
Land Building
Applicant 2602-
User/Tenant 2602
RM
4
0.00
0
0.00
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V. SALES TAX EXEMPTION BENEFIT:
Estimated value of sales tax exemption: $___________________________
Estimated duration of sales tax exemption: December 31, 2020
VI. PROJECTED EMPLOYMENT
Complete for each Applicant or User/Tenant
Company Name:
Applicant: ☐ or User/Tenant: ☐
Current # of jobs at
proposed project
location or to be
relocated to project
location
IF FINANCIAL
ASSISTANCE IS
GRANTED
– project the number of
FTE
and PTE jobs to be
RETAINED
Full time (FTE)
Part Time (PTE)
Total
** For purposes of this question, please estimate the number of FTE and PTE jobs that will be filled, as indicated in the third column, by
residents of the Labor Marker Area, in the fourth column. The Labor Marker Area includes: Monroe County, Orleans County, Genesee
County, Wyoming County, Livingston County, Ontario County, Wayne County, Yates County, and Seneca County chosen at the
Agency’s discretion.
[Remainder of this Page Intentionally Left Blank]
(To be completed by Agency staff)
5
Salary and Fringe Benefits for Jobs to be Retained and/or Created*:
Category of Jobs to
be Retained and
Created
Average Annual Salary or Range of Salary
Average Annual Fringe Benefits or Range of Fringe
Benefits (stated as a percentage)
Management
Professional
Administrative
Production
Independent
Contractor
Other
Estimated Annual Salary of NEW jobs
*This information constitutes a “trade secret” and/or “information obtained from a commercial enterprise and which if disclosed would cause substantial injury to
the competitive position of the subject enterprise”, and, is thereby exempt from disclosure pursuant to New York Freedom of Information Law.
[The Remainder of this Page Intentionally Left Blank]
AVERAGE
HIGH
LOW
6
VII. LOCAL LABOR
To be completed by all Applicants and Users/Tenants of Projects which include the
construction of new, expanded or renovated facilities:
Company Name
Applicant: ☐ or User/Tenant: ☐
All project employees of the general contractor, subcontractor, or sub to a subcontractor (contractors) working on
the project must reside within the following counties in the State of New York: Monroe, Genesee, Livingston,
Ontario, Orleans, Seneca, Steuben, Wayne, Wyoming or Yates. The All-Local Labor criterion will be verified
based on employment, payroll and related records.
The Agency understands that at certain times local labor may not be available within the local area. Under this
condition, applicants are required to complete a waiver request of the All-Local Labor requirement prior to
beginning construction. Contractors do not have to be local companies as defined herein, but must employ local
people to qualify under the All-Local Labor criterion.
The foregoing terms have been read, reviewed and understood by the Applicant or User/Tenant and all
appropriate personnel. Furthermore, the undersigned agrees and understands that the information contained
herein must be transmitted and conveyed in a timely fashion to all applicable subcontractors, suppliers and
materialman. Furthermore, the undersigned agrees to post and maintain a sign, provided by the Agency, in a
prominent, easily accessible location, identifying the project as a recipient of the Agency assistance and the local
labor requirements associated with this assistance.
Furthermore, the undersigned realizes that failure to abide by the terms herein could result in the Agency
revoking all or any portion of benefits it deems reasonable in its sole discretion for any violation hereof.
(APPLICANT or USER/TENANT COMPANY)
Signature , Title Date
7
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VIII. FEES
1. Application Fee - Send with Completed Application
A non-refundable application fee of Three Hundred Fifty Dollars ($350.00) shall be charged each
applicant, which will be applied against the Agency counsel fee.
2. Agency Counsel fee is $750 (before $350 credit)
(APPLICANT or USER/TENANT COMPANY)
Signature , Title Date
8
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IX. CERTIFICATION
The undersigned company officer and/or user/tenant officer each hereby certifies, on behalf of the company
and/or user/tenant, respectively (each singularly and together, the "Applicant"), as follows:
A. The information contained in this Application, including employment information, is true and correct. The
Applicant is aware that any material misrepresentation made in this Application constitutes an act of
fraud, resulting in revocation of The Agency benefits.
B. The undersigned, on behalf of the Applicant, hereby certifies that the Applicant, and all parties which own
a minimum of 20% of the Applicant are current and will remain current on all real property, federal, state,
sales, income and withholding taxes throughout the term of any agreements made in connection with this
Application.
C. Compliance with N.Y. GML Sec. 862(1): Applicant understands and agrees that the provisions of Section
862(1) of the New York General Municipal Law, as provided below, will not be violated if Financial
Assistance is provided for the proposed Project:
§ 862. Restrictions on funds of the agency. (1) No funds of the agency shall be used in respect of any
project if the completion thereof would result in the removal of an industrial or manufacturing plant of the
project occupant from one area of the state to another area of the state or in the abandonment of one or
more plants or facilities of the project occupant located within the state, provided, however, that neither
restriction shall apply if the agency shall determine on the basis of the application before it that the
project is reasonably necessary to discourage the project occupant from removing such other plant or
facility to a location outside the state or is reasonably necessary to preserve the competitive position of
the project occupant in its respective industry.
D. Compliance with Applicable Laws: The Applicant confirms and acknowledges that the owner, occupant,
or operator receiving Financial Assistance for the proposed Project is in substantial compliance with
applicable local, state and federal tax, worker protection and environmental laws, rules and regulations.
E. False and Misleading Information: The Applicant confirms and acknowledges that the submission of any
knowingly false or knowingly misleading information may lead to the immediate termination of any
Financial Assistance and the reimbursement of an amount equal to all or part of any tax exemption
claimed by reason of the Agency’s involvement the Project.
F. Recapture: Should the Applicant not expend as projected or hire as presented, the Agency may view
such information/status as failing to meet the established standards of economic performance. In such
events, some or all of the benefits taken by the Applicant will be subject to recapture.
G. Applicant hereby releases the Agency from, agrees that the Agency shall not be liable for, and agrees to
indemnify, defend and hold the Agency harmless from and against any and all liability arising from or
expense incurred by (A) the Agency's examination and processing of, and action pursuant to or upon, this
Application, regardless of whether or not this Application or the Project described herein or the tax
exemptions and other assistance requested herein are favorably acted upon by the Agency; (B) the
Agency's acquisition, construction, renovation and/or equipping of the Project described herein; and (C)
any further action taken by the Agency with respect to the Project; including, without limiting the
generality of the foregoing, all causes of action and attorneys' fees and any other expenses incurred in
defending any suits or actions which may arise as a result of any of the foregoing. Applicant hereby
understands and agrees, in accordance with Section 875(3) of the New York General Municipal Law, that
any New York State and local sales and use tax exemption claimed by the Applicant and approved by the
Agency in connection with the Project may be subject to recapture by the Agency under such terms and
conditions as will be set forth in the Agent Agreement to be entered into by and between the Agency and
the Applicant.
9
H. The Applicant further represents and warrants that the information contained in this Application, including
without limitation, information regarding the amount of New York State and local sales and use tax
exemption benefits, is true, accurate and complete.
APPLICANT COMPANY USER/TENANT COMPANY
Signature , Title Date Signature , Title Date
10
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COVID-19 Sales and Use Tax Exemption Benefits Up (monroe county)

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Completed 22 January 2021

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