New York State
Storm Recovery Opportunities

Contractor Profile

Business/Contractor Profile and Application

All information obtained within this application will be held in strict confidence, subject to applicable law. We will not discriminate because of sex, age, race, physical disability, religion, ethnicity, marital status, ancestry, or place of origin.

 
  1. Business Information or Subrecipient/Applicant Information
  2. Section 3 Business Certification
  3. Disclaimer & Signature

1) Business Information

Please provide us with some basic information about yourself.






(Shift+click to select multiple keywords)


Yes No

(If there is no specific scope of work, please write GENERAL)

(Shift+click to select multiple areas)



 
  1. Business Information or Subrecipient/Applicant Information
  2. Section 3 Business Certification
  3. Disclaimer & Signature

Section 3 Business Certification

Your contract is funded either in whole or in part by the Community Development Block Grant Disaster Recovery Program (CDBG-DR) program, which is provided through the United States Department of Housing and Urban Development (HUD). HUD requires the state to collect work staff information on every developer, contractor, subcontractor, etc. that receives a CD-funded, construction-related contract in excess of $100,000, to ensure the state’s compliance with Section 3 of the U.S. Housing & Urban Development Act of 1968. Section 3 requires recipients of HUD financial assistance to provide training, employment and contracting opportunities to Section 3 residents and businesses to the greatest extent feasible, consistent with existing federal, state, and local laws and regulations.


(Shift+click to select multiple areas)


Yes No
Yes No
Yes No
From the answers listed above, your company qualifies as a Section 3 Business. Please indicate what documentation you will provide as evidence of status upon hire

For business claiming status as a Section 3 resident-owned enterprise: *

  • Copy of resident lease
  • Copy of receipt of public assistance
  • Copy of evidence of participation in a public assistance program
  • None

For business entity as applicable: *

  • Copy of Articles of Incorporation
  • Corporation Annual Report
  • Assumed Business Name Certificate
  • Organization chart with names and titles and brief function statement
  • Partnership Agreement
  • Latest Board minutes appointing officers
  • Certificate of Good Standing
  • List of owners/stockholders and % ownership of each
  • Additional Documentation
 
  1. Business Information or Subrecipient/Applicant Information
  2. Section 3 Business Certification
  3. Disclaimer & Signature

3) Disclaimer & Signature

I hereby state that all information provided is accurate and complete to the best of my knowledge. I understand that if any of this information is falsified or misleading, it will result the exclusion of this bid and any future bids.


CAPTCHA