The City of Kingston and Kingston Economic Development Corporation have partnered together to provide a funding program to support small to medium sized businesses in the City of Kingston that have been negatively affected by COVID-19.  Kingston Economic Development Corporation will be administering the program with the overall objective to support business recovery and transformation.

• Application deadline is April 30, 2021 at 5:00pm.  

• All expenses must be incurred between January 1, 2021 and October 31, 2021.

• Final report and proof of payment can be submitted anytime after project completion and no later then November 7, 2021.

This application form will take approximately 30 minutes to complete.  Please note the application form does not have a save function so it is recommended to allocate enough time to fill in the application.  Applications will be reviewed by an independent committee and not all applications will be funded.  It is recommended to provide detailed responses.

BUSINESS DETAILS

Business Legal Name *

Business Operating Name *

Business Registration Number *

Business Address *

Business Website

Contact First Name *

Contact Last Name *

Email *

Phone Number *

Is the Business For-Profit * For-Profit Not-For-Profit

Number of Full-Time Employees Prior to March 2020 * Please indicate the number of Full-time Employees prior to March 2020

Number of Current Full-Time Employees * Please indicate the number of full-time employees you currently employ.

Business Type * 11: Agriculture, Forestry, Fishing and Hunting 23: Construction 31-33: Manufacturing 42: Wholesale 44-45: Retail Trade 48-49: Transportation and Warehousing 51: Information 52: Finance and Insurance 53: Real Estate and Rental and Leasing 54: Professional, Scientific, and Technical Services 71: Arts, Entertainment, and Recreation 72: Accommodation and Food Services 81: Other Services (including personal care, salons and spas) If your business falls under multiple categories, please select the industry that best represents your business.

Year Established *

FUNDING STREAM

Funding Streams Description - Stream 1 Stream 1 - Business ineligible for other Federal/Provincial Program due to lack of business revenue prior to April 2020.

Funding Streams Description - Stream 2 Stream 2 - Businesses from high impact industry sectors (Retail & Wholesale, Food Services & Accommodation, Information, Culture & Recreation, Other Services) who can demonstrate economic impact from the pandemic.

Funding Stream Description - Stream 3 Stream 3 - Other industry sector businesses that have had dramatic changes to business operations and/or customer markets as a result of the pandemic.

Which funding stream(s) are you applying to? * Stream 1Stream 2Stream 3 If you are eligible for more then one stream please select all boxes that apply.

COVID-19 IMPACT

Please describe how your business operations have been adversely affected by COVID-19 (Max 150 words) * Please identify details such as: Year over year average % of revenue loss, number of jobs impacted, % of jobs impacted, other relevant information

Please select the COVID-19 relief programs you have applied for (either successful or denied): * Canada Emergency Wage Subsidy (CEWS)Canada Emergency Business Account (CEBA)Canada Emergency Rent Subsidy (CERS)Regional Relief and Recovery Fund (RRRF)Ontario Small Business Support GrantOntario’s Main Street Relief Grant: PPE SupportDigital Main StreetKingston Tourism Business Support ProgramOtherNone Please select the Covid-19 relief programs that you have applied to (either successful or denied).

Please select the COVID-19 relief programs you have successfully accessed: * Canada Emergency Wage Subsidy (CEWS)Canada Emergency Business Account (CEBA)Canada Emergency Rent Subsidy (CERS)Regional Relief and Recovery Fund (RRRF)Ontario Small Business Support GrantOntario’s Main Street Relief Grant: PPE SupportDigital Main StreetKingston Tourism Business Support ProgramOtherNone

If you have not applied for any COVID-19 relief programs please identify why

PROJECT DESCRIPTION

Please provide a project description (max 200 words) * Please outline details such as: Please describe all project activities included in the budget. How will you best utilize the funding? What do you plan on accomplish with the fund? Are the activities building on other recovery initiative(s)?

How does your project support your COVID-19 recovery efforts? (Max 150 Words) *

Will the funds be used to help the business succeed by responding to changing market conditions with new technologies, business models or other creative solutions * Yes No

How will the funds be used to help the business succeed by responding to changing market conditions with new technologies, business models or other creative solutions? (Max 150 Words) *

Will The Funding Help Your Employees Return To Work? * Yes No

How many employees will return to work as a result of this fund? *

Were you able to maintain the majority staff throughout pandemic? * Yes No

Will the Funding Create New Jobs in Your Business? * Yes No

How many jobs will be created as a result of this fund? *

Will the funds be used to: * Maintain current business operations Grow your business

Will you seek other funding programs to support or amplify the project impact? * Yes No

Will your project support the Council Priority of environmental sustainability? For example use of biodegradable packaging, green technologies etc * Yes No

Will the grant funds benefit members of underrepresented groups or those disproportionately impacted by the pandemic including women, newcomers, racialized people, BIPOC, or people with disabilities? * Yes No

Do you intend to purchase locally where and if possible? * Yes No

PROJECT BUDGET

Matching contribution statement The Kingston Pandemic Business Recovery Grant will provide matching grant funding in the amount of 75% of eligible costs up to $10,000 (Total project value $13,333). Please provide an estimated project budget breakdown using the spaces below:

Costs related to training or skill development for employees or owners (excluding travel expenses) that contribute to business sustainability * Do not include any symbols. Please provide the estimated project cost for training or skill development. If not applicable, please put 0.

Costs related to marketing or promotion of the business including signage, digital marketing content creation, media campaigns or other marketing costs * Do not include any symbols. Please provide the estimated project cost for marketing or promotion. If not applicable, please put 0.

Costs related to business model transformation including new technologies, methodologies or creative solutions to assist the business to find new models of serving customers and acquiring new markets. *EG: Ecommerce, Patios, Software, etc. * Do not include any symbols. Please provide the estimated project costs towards business model transformation. If not applicable, please put 0.

Costs related to equipment purchases that increases productivity or supports revenue generation or replacement of old, outdated equipment * Do not include any symbols. Please provide the estimated project costs towards equipment purchases. If not applicable, please put 0.

Costs related to business advisory services including accounting, legal, digital marketing expertise that directly to support recovery efforts * Do not include any symbols. please provide the estimated project cost towards business advisory services. If not applicable, please put 0.

Total Estimated Project Cost * Do not include any symbols.

Total Funding Requested (Maximum 75% up to $10,000) * Do not include any symbols.

Name of business owner and/or authorized signor *

CERTIFICATION

(a) I have read and understand this request for support and understand the associated guidelines. (a) I have read and understand this request for support and understand the associated guidelines.

(b) I understand incomplete applications cannot be assessed and the applicant will be notified. (b) I understand incomplete applications cannot be assessed and the applicant will be notified.

(c) The information provided herein is complete, true and accurate. (c) The information provided herein is complete, true and accurate.

(d) Any other information given in the future in connection with the carrying out of the activities will also be complete, true and accurate. (d) Any other information given in the future in connection with the carrying out of the activities will also be complete, true and accurate.

(e) I acknowledge that Kingston Economic Development or the City of Kingston may request addition information and site inspection as a condition of approval and payment of the program. (e) I acknowledge that Kingston Economic Development or the City of Kingston may request addition information and site inspection as a condition of approval and payment of the program.

(f) I acknowledge that neither I or a member of my immediate household are employees of the City of Kingston, Kingston Economic Development Corporation or any other municipal entity. (f) I acknowledge that neither I or a member of my immediate household are employees of the City of Kingston, Kingston Economic Development Corporation or any other municipal entity.

(f) Costs incurred by the applicant in the absence of a signed approval letter are incurred at the sole risk of the applicant and any such costs may not be considered eligible. (f) Costs incurred by the applicant in the absence of a signed approval letter are incurred at the sole risk of the applicant and any such costs may not be considered eligible.

(g) Information provided to Kingston Economic Development and City of Kingston will be treated in confidence. (g) Information provided to Kingston Economic Development and City of Kingston will be treated in confidence.

Certification * I AgreeDisagree

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