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4. 2022 Yakima County ARPA Funds Application

   Yakima County is accepting applications for American Rescue Plan Act (ARPA) Funding. 

   To be considered for funding, the individual/organization’s (hereafter “applicant”) project must align with both a project category as set forth by Yakima County and an expenditure category as set forth by the U.S. Department of the Treasury.

8. Español

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10. 
14. During this application you will have the ability to save your progress so that you may continue at another time. Please be sure to save your progress. You can do so by clicking the "Save Progress" button located at the top of this form.
16. 
20. Throughout this application, there are several forms that need to be downloaded and saved to your computer. These forms will need to be downloaded, filled out, saved to your computer, and then attached at the bottom of this application prior to submitting.

    Please be sure to download, fill out, and save the following forms to your computer: 

    w-9 Form (if applying on behalf of a business or nonprofit organization)

    ARPA Project Budget Form

    Please attach these forms to this application prior to submitting.

22. Requesting Entity Name*

    Please type the name of the requesting entity applying for this grant. 

23. Date*
    Date
25. Project Name*

    Please enter the name of your project. 

27. Yakima County Project Categories

    Examples listed below are general in nature, intended to convey a broad illustration of corresponding projects. Please review the following project categories. By selecting yes or no, please indicate which category your project best aligns with. 

29. Supporting Recovery

    Yakima County is committed to helping our community recover from the pandemic. It is important to ensure that health and welfare insecurities that have been created or intensified by the pandemic are addressed. Investments in fire and emergency response and our local healthcare system will increase the quality of care and emergency response.  

    Examples of projects in this category include: programs providing mental health services, child care, access to youth sports/activities, support for families experiencing homelessness, and fire/life/safety equipment.

    1. Yes

    1. No
31. Reconnecting Community

    COVID-19 has forced us into social distancing, isolation and quarantine. These conditions may foster widespread anxiety and loneliness in our community. Through the expansion and refurbishment trails and parks, vibrant public spaces and community events, the residents of Yakima County will enjoy the benefits of good health.  It’s important to remedy negative emotional climates with strategies to reconnect our community.

    Examples of projects in this category include: programs support local events, tourism, and economic development.

    1. Yes

    1. No
33. Building Resiliency

    With a focus on shovel ready projects, Yakima County will expand existing road and utility infrastructure which will increase the ability of households to connect to municipal drinking water, superior wells, sewer, or superior drain fields, and expand broadband across the County.  These improvements will increase public health and safety while simultaneously increasing affordable housing development opportunities.

    Examples of projects in this category include: programs investing in physical plant improvements, and purchase of equipment. 

    1. Yes

    1. No
35. Department of the Treasury Expenditure Category*

    Review the Expenditure Categories on the County’s website here and in the box above, type in which Treasury expenditure category with which your project aligns.

37. Checklist

    This checklist is provided as a tool to assist you in the completion of your application. Remember, late and/or incomplete applications will not be accepted. If you have questions regarding your application, please contact Craig Warner at (509) 574-1313 or craig.warner@co.yakima.wa.us. (Check all boxes after reading):

39. Yakima County ARPA funds will be distributed on a reimbursable basis.*

    1. Yes
41. Applicant’s household, organization, and/or clients are located within the County limits of Yakima County?*

    1. Yes
43. Does the proposed project meet at least one of the Yakima County Project Categories and at least one of the Federal Expenditure categories detailed above?*

    1. Yes
45. Applications will only be accepted electronically through the application process.*

    1. Yes
47. If applying on behalf of a business or nonprofit organization, did you attach a completed W-9 form to your application? A fillable W-9 form is available below for download.*

    W-9 Form

    1. Yes
49. Upload your completed W-9 Form here in PDF or JPG.

    *If applying for a nonprofit organization or a business, this is a required field

51. I have downloaded, filled out, and attached the required ARPA Project Budget form to this application before submission.*

    ARPA Project Budget Form

    1. Yes
53. Upload your completed ARPA Project Budget Form here in PDF or JPG.

    *This is a required field

55. I have reviewed and will abide by Chapter 2, Part 200 of the Code of Federal Regulation (CFR) and Title 6 of the Civil Rights Act of 1964.*

    Chapter 2, Part 200 of the Code of Federal Regulation (CFR) 

    Title 6 of the Civil Rights Act of 1964

    1. Yes
57. The County will be developing and implementing a communication plan to share stories of how ARPA funds have impacted the community. Applicant agrees to participate in County communication activities, and to provide the County with information about how ARPA funds have impacted the Awardee – either individually or in a corporate capacity – and/or the Yakima County community.*

    1. Yes
59. I understand a project wrap-up report is required upon completion of project.*

    1. Yes
61. Did you complete the Categorization questions above, read and agree to all Certification statements below, and complete this checklist?*

    • Categorization questions are listed under "Yakima County Project Categories" on this form.
    • Certification statements are located after "Budget Narrative" on this form.

    1. Yes
65. SUBMISSION DEADLINE

    Friday, June 24th, 2022

    4:30 p.m.

     Completed applications must be filed electronically and received by the date and time specified. Applications must be electronically filed. 

67. Applicant Information (Business or Nonprofit Organization)

    If applying on behalf of an individual/household, please skip to Application Information (Individual or Household).

    * All fields marked as such are required fields. Response required for application to be considered complete.

69. Legal Name of the Applicant (if applicable):

    * This is a required field

71. Doing Business As (DBA) Name (if applicable):
73. Unified Business Identifier (UBI) Number (if applicable):

    * This is a required field

75. Applicant Street Address:

    * This is a required field

77. City

    * This is a required field

78. State

    * This is a required field

79. Zip Code

    * This is a required field

81. Applicant Mailing Address (if different from above):
83. City
84. State
85. Zip Code
87. Applicant Website (Please enter "N/A" if none):

    * This is a required field

89. Applicant Name:

    * This is a required field

91. Applicant Title:

    * This is a required field

93. Applicant Phone Number:

    * This is a required field

94. Applicant Email Address:

    * This is a required field

96. Project Contact (if different from applicant):
98. Project Contact Phone:
99. Project Contact Email:
103. Applicant Information (Individual or Household)
105. Applicant Street Address:

     * This is a required field

107. City:

     *This is a required field

108. State:

     *This is a required field

109. Zip Code:

     *This is a required field

111. Applicant Mailing Address (if different from above):
113. City:
114. State:
115. Zip Code:
117. Applicant Phone:

     *This is a required field

118. Applicant Email:

     *This is a required field

120. Applicant Name:

     * This is a required field

122. Project Contact (if different from applicant):
124. Project Contact Phone:
125. Project Contact Email:
129. Project Evaluation
131. Please select the eligible use category that fits your needs:*
     -- Select One --Public HealthNegative Economic ImpactsPublic SafetySewer InfrastructureBroadband
133. Describe how the applicant will use ARPA funds, if awarded:*

     *Maximum 500 characters

135. Briefly describe the applicant’s qualifications to administer the award and produce the project:*

     *Maximum 500 characters

137. Briefly describe the applicant’s capacity to produce this project:*

     * Maximum 500 characters

139. How does this project support at least one of the Yakima County's Project Categories: Supporting Recovery, Reconnecting Community, or Building Resiliency?*

     *Maximum 500 characters

     Category descriptions available listed above in "Yakima County Project Categories"

141. How does this project specifically support the Federal Expenditure category identified above in your application?*

     *Maximum 500 characters

     The Expenditure Categories can be found above, or by clicking here

143. Please indicate how much, if any, other COVID-relief funding your organization has received and what it was used for:*
145. Please indicate any other COVID-related relief that you have applied for or will be applying for that you are awaiting a response.*
149. Demonstration of Need
151. Is this project included in an adopted City/County plan or another documented community need?*

     *Maximum 500 characters 

     Yakima County Comprehensive Plan: https://www.yakimacounty.us/846/Horizon-2040-Comprehensive-Plan

     Yakima County Homelessness Policy Advisory Committee recommendations: https://www.yakimacounty.us/DocumentCenter/View/23705/Yakima-County-5-Year-Plan-to-Address-Homelessness-2019-2024?bidId=

      Please identify the Community plan if not listed above.

153. Briefly describe the need of the Yakima community that this project addresses:*

     *Maximum 500 characters

155. Community Support and Partnerships
157. Has the applicant secured partnerships within the Yakima County community to achieve the project? Briefly describe such partnerships and list community and/or business partners.*

     *Maximum 500 characters

159. Financial Support
161. Briefly describe non-County funding sources that will provide financial support to this project, if any:*

     *Maximum 500 characters

163. Has the applicant applied for other Federal, State or local funding? If so, describe the source(s) and amount(s) applied for, and any awards received:*

     *Maximum 500 characters

165. List any other funding sources (e.g. fees, donations, grants) the applicant has received or is pursuing to support the project:*

     *Maximum 500 characters

167. Will the project be complete with requested funds?*

     *Maximum 500 characters

169. Can the project be completed with an award of partial funding? If so, briefly describe how the project will be adapted if partial funding is awarded:*

     *Maximum 500 characters

171. How will the applicant support the project after ARP funds are no longer available?:*

     *Maximum 500 characters

173. Has your organization been made ineligible to receive federal assistance due to debarment, suspension, or by voluntary exclusion for lower tier covered transactions?*
     -- Select One --YesNo
177. Project Budget

     Please provide an attached line-item detailed budget (including whether your various match items will be cash or in-kind) for the project in the attachment section at the bottom of this application.

     This form is available for download here

     For an example of a line-item detailed budget see example image below:  

179. 
181. If you have not already, please upload your completed ARPA Project Budget Form here in PDF or JPG.

     *This is a required field

183. Budget Narrative
185. In the space below, please include any information which you feel may provide useful background on your proposed project budget, such as source and rate at which matching labor costs are calculated, etc.*
189. Certification

     By checking "Agree" or "Disagree" on this certification, I understand and affirm that:

     
     

191. Yakima County ARPA awards will be distributed on a reimbursement basis. Yakima County will only reimburse those costs actually incurred and only after the expense is incurred, paid for, and a signed Request for Reimbursement form (or other form acceptable to the County) has been submitted to the County, including copies of the invoices and payment documents. Purchases/expenses made prior to contract execution are not eligible.*

     1. Agree
193. Business/nonprofit applicants, or an identified partner, must have a Washington State Business License or a documented 501(c)3 or (c)6 designation. Such status is required to be eligible for receipt of ARPA funds. I understand it may take 30-60 days from the date of County Commissioner approval for a contract to be fully executed, and that I cannot expend monies on reimbursable expenses until that time.*

     1. Agree
195. Applicants may apply for multiple projects, but only one application per project.*

     1. Agree
197. If awarded, funds will be used only for purposes described in this application. I understand that any award is a one-time award which does not create an obligation or guarantee of continued funding by the Yakima County, and the use of funds is subject to audit by the Washington State Auditor.*

     1. Agree
199. If awarded, I or my organization intends to enter into a services contract with the Yakima County, provide liability insurance and additional insured endorsement documentation as may be required for the duration of the contract naming Yakima County as an additional insured and in an amount determined by the County.*

     1. Agree
201. I have reviewed, and if awarded funds, will abide by federal and Yakima County procurement policies.*

     Policy documents available for review here at the bottom of the page.

     1. Agree
203. Awards will be determined by Yakima County in its sole discretion. Applications may be awarded for the full or a partial amount of the total requested, or declined. If not awarded the full requested amount, applicant can decline the award; if not declined, applicant will provide additional information of how a partial award will be expended.*

     1. Agree
205. I certify that I have the legal authority of the individual or organization represented herein to submit this request for funding on its/their behalf, and I further certify that the information submitted is true and correct to the best of my knowledge. I understand that Yakima County will rely on the accuracy of the submittals and certifications made in conjunction with this application. Any misrepresentation of inaccurate information may result in a repayment of funds.*

     1. Agree
207. In submitting this application, I swear under penalty of perjury under the laws of the State of Washington that the foregoing information contained in this application is true and correct to the best of my knowledge and belief.
209. First and Last Name*
211. Title*
212. Date*
214. Please attach any supporting materials that would assist us in assessing your application (pre-COVID or COVID); financial statements, operational metrics, key invoices/quotes, a detailed list for proposed use of funds, project plans for water, sewer or broadband infrastructure projects, etc.

215. PLEASE NOTE: The maximum file size limit for attachments is 25MB. If your file(s) exceed this size, please compress the files (by using a file compression software, such as WinZip) prior to attaching them to this form.

Leave This Blank:


217. 1. Receive an email copy of this form.
218. Email address

     This field is not part of the form submission.

219. Submit

* indicates a required field