Resolution 2020-31 - Laserfiche WebLink

Home Browse Search

Emergency Solutions Grant Program Application for Louisville Small Businesses Impacted by the COVID-19 Pandemic how long each business has been open and operating within the City of Louisville—giving preference to businesses operating in Louisville the longest. How often do you file your Sales and/or Use Tax with the City of Louisville? (select one) □ Monthly □ Quarterly □ Yearly Business Opening Date in Louisville (day/month/year): Acknowledgements/Signature Please check each statement acknowledging that you have read and affirm the information you have submitted within this application is true and accurate to the best of your knowledge. □ Business meets program eligibility and requirements laid out in the Application Checklist □ Business has experienced or is projecting to experience a significant decline in revenue as a result of the COVID-19 pandemic □ Business is in good standing with the City of Louisville with respect to taxes and fees; and is in good standing with the County, State, and Federal governments □ Business is in Good Standing with the Colorado Secretary of State (the City will verify you have a Good Standing Certificate) □ As of March 10, 2020, business is not subject to an administrative order, civil lien, or civil judgment held by or on behalf of any federal, state, county, or municipal government; political subdivision; or special district; or criminal restitution order □ Any grant monies received will be used on business-related expenses in Louisville, including rent, mortgage, payroll, or other essential payments needed in order to stay in or restart operations. Eligible expenses also include those related to purchases or changes needed to operate during the pandemic Business Signature: Business Signature Title: Date: Other Information (this section is not required; the data is helpful to understand future strategies for business support but will not be used to evaluate your application)