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Emergency Response Grant for Small Businesses

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The location of the business described below must be within City of San Diego Limits. The person completing this application must be a primary business owner.

BUSINESS OWNER CERTIFICATION

1.  I uderstand the location and amount of my expenses determines the award amount. It is the City of San Diego's sole and entire discretion as to whether an applicant meets the requirements to qualify for  grant. Submitting an applicaition alone does not guarantee funding by the City of San Diego.

2.  I understand that: (a) the subject property must be located in the City of San Diego and must be occupied by a small business (12 or fewer employees); (b) the applicant business must hold valid City of San Diego Business Tax Certificate; and (c) the damage must qualify as described in the ERG Guidelines (incorporated herein by this reference).        

3.  I agree to comply fully with all applicable Federal, State, and local laws, ordinances, codes, regulations, permits, and design guidelines. The City of San Diego does not assume liability for compliance with national, state, or local building code standards. I assume responsibility for any costs arising from repairs or alterations caused by any violation of any law, ordinance, code, regulation, permit or design guideline.

4.  I shall not discriminate against any employee or applicant for employment on any basis prohibited by law and shall provide equal opportunity in all employment practices. For applicable rules and forms see: http://www.sandiego.gov/eoc/index.shtml.

5.  I waive any and all claims against the City of San Diego and its respective elected officials, officers, employees, agents, and representatives, arising out of activities conducted in connection with my application for any incentive(s) under the City of San Diego’s Emergency Response Grant for Small Businesses and Nonprofit Organizations Program. Without limiting the generality of the foregoing, the City of San Diego shall not be liable hereunder for any type of damages, whether direct, indirect, incidental, consequential, exemplary, reliance, punitive or special damages, including damages for loss of use regardless of the form of action, whether in contract, indemnity, warranty, strict liability or tort, including negligence of any kind.

6. I acknowledge and agree that I will make a good faith effort to and plan on staying in business in The City of San Diego for at least one calendar year

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Business Owner Name

BUSINESS INFORMATION


Business Ownership. Please list all owners that own 20% or more of the business:

Owner 1

Owner 2

Owner 3

Owner 4

Owner 5


Does this business employ more than 12 employees?

Is this a home-based business?

Are you a Sidewalk Vendor or do you have a County of San Diego MEHKO Food Preparer permit? If so, be sure to upload a copy of your permit in the Uploads section below.

FACTORS FOR CONSIDERATION

Did damage occur on or after 1/21/2024?

Is damage due to flash flooding?

Is damage due to mud?

Is the business located on the ground floor?

DECLARATION OF LOSS

Please list all incurred expenses related to damage by entering the amount spent for each category. Expenses need to be documented with invoices and/or receipts. Motorized vehicle damage or loss is not eligible for reimbursement. All expenses must be documented by 1) dated invoices or receipts clearly showing the nature of the expense and 2) copies of checks or receipts clearly showing payment.

Loss of inventory

Trash and/or debris removal

Mold and mildew remediation

Carpet/flooring cleaning or replacement

Drywall replacement

Re-painting

Professional restoration or cleaning services

Business equipment repair or replacement

Appliance and furniture replacement

Utility damage or restoration costs (Electrical, water/sewer, gas, phone/internet)

Insurance deductibles

Lost revenue (see ERG Guidelines)

UPLOADS

Please provide photos that clearly show proof of significant damages. Include interior photos from several different angles. Note that there is a 250 MB limit per upload box, which equals about 10 files. if you need to upload more than 10 photos or 10 backup documents, use the optional box(es) provided.

Upload File(s) - Photos of damage

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Upload File(s) - Photos of damage

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EVIDENCE OF COSTS INSTRUCTIONS

Copies of checks and invoices or receipts detailing the services/products for each expense must be submitted. Statements alone are not acceptable, but may be submitted in addition to the invoice or receipt. Only those invoices and checks that pertain to storm damage-related work are to be submitted.

Evidence of payment may be in the form of bank statements, bank website printouts, and/or credit card statements.

Lost Revenue can be demonstrated by providing a comparison of January 2023 and January 2024 financial statements showing decreased revenue or a comparison of seasonal income from 2023 and 2024

Upload File(s) - Evidence of costs already incurred

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Upload File(s) - Evidence of costs already incurred

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Upload File(s) - Completed and signed IRS W9 form. Please note that the name you put on line 1 of the W9 form MUST MATCH and be identical to your tax return.

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Upload File(s) - If applicable, Sidewalk Vendor Permit or MEHKO SD County Health Permit

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