Bayfield CARES Grant Application Grant funding available. The Town of Bayfield has grant money to assist businesses with expenses due to the COVID-19 pandemic. Questions? beth@bayfieldgov.org or 970.749.1877 OK Question Title * 1. Please provide us with your contact information. Thank you! Name Company Address Address 2 City/Town State/Province ZIP/Postal Code Email Address Phone Number OK Question Title * 2. Type of Business For Profit Tax Exempt OK Question Title * 3. EIN Number OK Question Title * 4. Business Owners OK Question Title * 5. Business Website - if applicable OK Question Title * 6. Number of full-time or full-time equivalents. Please note: Grant funds are for businesses or non-profits with 50 or less as March 16, 2020. OK Question Title * 7. How many years has your business been operating in Bayfield? OK Question Title * 8. Please tell us how the pandemic has affected your business Number of days your were closed? Number of employees, including owner out-of-work for more than 30 days? Income decreased by $$ from prior year time period: March - October Expenses increased by $$ from prior year time period: March - October Additional hardship information More comments as needed OK Question Title * 9. How have you adapted? Brief description i.e., moved to online sales, pickup &delivery, remote office, expanded space, etc OK Question Title * 10. How much funding are you applying for? (Up to $3,000) OK Question Title * 11. To be reimbursed for expenses that have already occurred, please detail these costs. Proof of purchase will be requested as your grant advances through the process. Personal Protective Equipment and counter shields Building safety upgrades to protect customers and employees and/or encourage social distancing Tent or other equipment to expand outside service Propane or electric heaters Remodeling of existing space or an addition Office equipment for remote work Creation or re-do to a business website to boost e-commerce Marketing materials, print, on-line, brochures Employee training Technology upgrades, i.e. contactless POS, touch-less entry/exits Other OK Question Title * 12. To request fund for new expenses, please detail these costs. Estimates or quotes for now. Receipts will be required by 12/21/2020 Personal Protective Equipment and counter shields Building safety upgrades to protect customers and employees and/or encourage social distancing Tent or other equipment to expand outside service Propane or electric heaters Remodeling of existing space or an addition Office equipment for remote work Creation or re-do to a business website to boost e-commerce Marketing materials, print, on-line, brochures Employee training Technology upgrades, i.e. contactless POS, touch-less entry/exits Other OK Question Title * 13. Certifications: As the funding for the Bayfield CARES grant originates from the Federal Government and the Colorado Dept. of Local Affairs, the following are required. I acknowledge that my business self-certified with San Juan Basin Public Health or was deemed essential and didn't cease operating. I acknowledge that my business is in compliance with Public Health Order 20-28 at present I will email my Certificate of Good Standing from the Colorado Secretary of State's office when requested I acknowledge that the Bayfield CARES grant will not be used for costs that have already been covered by other pandemic-related funding source If awarded a grant from Bayfield CARES, I will use the funds as specificied by the grant award agreement by December 30, 2020 I agree to provide a post-grant report, if requested to do so. All of the information submitted in this application is true and accurate to the best of my knowledge. OK DONE
