Section I: Applicant Eligibility Questionnaire

Instructions: Please answer the following questions to demonstrate your organization's eligibility for the Vaccine Equity Partner Engagement NYCHA COVID-19 Recovery Program. For more information on applicant eligibility, please refer to pages 3-4 of the RFP.

Question Title

* 1. Is your organization:

Applicants applying with a fiscal sponsor will be required to provide a written, signed fiscal sponsorship agreement and the sponsor’s IRS determination letter upon notification of award.

Question Title

* 2. Does your organization have a site in New York City and provide services within the five boroughs?

Question Title

* 3. If awarded, does your organization, or its fiscal sponsor, agree to register as a City of New York approved vendor? Technical assistance will be made available to assist C/FBOs with the registration process. For more information, please refer to page 18 of the RFP.

Question Title

* 4. If awarded, does your organization, or its fiscal sponsor, agree to provide proof of required insurance coverage prior to work commencing? Guidance will be provided to assist C/FBOs with meeting this requirement. For more information, please refer to page 18 of the RFP.

Applicants selected for award, or their fiscal sponsor, will be required to maintain a commercial general liability insurance policy in the amount of $1,000,000 per incident and $3,000,000 aggregate. Contractors will also be required to provide proof of Worker’s Compensation. FPHNYC and the City of New York shall be named as Additional Insureds on the commercial general liability policy and as Certificate Holders for all other required insurance.
Please press "Next" to continue. If your organization is found eligible, you will proceed to Section II: Applicant Information.

T