Pajaro Small Business Assistance Program

Pajaro Small Business Assistance Program Application (Home-Based Business)

SECTION 1. BUSINESS INFORMATION

1. Preferred language for communication:(Required)

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6. Business/Home Address (on March 10, 2023):(Required)
8. Business owner's first, middle, last name:(Required)
11. Primary contact's first and last name (if different from business owner):

SECTION 2. DISCLOSURES

14. Was the business in operation prior to March 10, 2023?(Required)
15. What is the current status of your business?(Required)
18a. Has the business received any funds from the following?(Required)
Check all that apply.

SECTION 3. GRANT REQUEST INFORMATION

22a. What business expenses from March 10, 2023 to December 31, 2023 do you want reimbursed for if your business is awarded a grant?(Required)
Check all that apply
Please enter a number less than or equal to 5000.

SECTION 4. DOCUMENTATION

The following documentation is required and must accompany your application. Please ensure that no documents are missing. Required documentation subject to change to allow as much flexibility as possible.

  • Government-Issued Photo Identification such as Driver’s License, Identification Card, Passport / Passport Card, US Military Identification Card, etc.

  • Utility Bill, Lease Agreement, or Credit Card Statement Valid on March 10, 2023 to verify that the business owner’s residence is either in Monterey County or within a 20-mile radius of Pajaro.

  • 2022 Federal Tax Return Schedule C / Form 1040 to verify the business’ authenticity.

  • Request for Taxpayer Identification Number and Certification / Form W-9 attesting the business’ information to enable payment.

  • Withholding Exemption Certificate / Form 590 attesting the business’ headquarters location required by Monterey County Auditor-Controller to process payment to businesses.

  • Vendor Data Record Form required by Monterey County Auditor-Controller to issue payment to approved businesses.

  • Invoice for Reimbursement Form accompanied by proof of payment(s) from March 10, 2023 to December 31, 2023 that match the items and totals listed.

  • Proof of Payment dated from March 10, 2023 to December 31, 2023 for eligible expenses.

Drop files here or
Accepted file types: jpg, png, pdf, Max. file size: 128 MB.

    SECTION 5. CERTIFICATION

    I hereby certify that I am authorized to commit the business to legally binding contracts and agreements. I further certify that the information given as part of and attached to this application are accurate and true. I am aware that any false information or intended omissions may subject me to civil or criminal penalties for filing of false public records and/or forfeiture of any funds approved through this program.

    I attest that my business meets all the requirements listed below:

    • Business is owned, operated, and located in Pajaro on one of the streets in either the evacuation or flood zone.
    • Business was established and in operation prior to March 10, 2023.
    • Business experienced financial losses and/or building damage as a result of the flood.
    • Business is not requesting duplication of benefits previously received from FEMA, insurance, state compensation, nonprofits, etc.

    I understand and agree that:

    • The Monterey County Workforce Development Board (MCWDB) exercises the right to share my business’ information with other agencies as needed to properly determine funding eligibility.
    • All funds issued that are later determined to be a duplication of benefits are required to be repaid to the MCWDB within 60 days.
    • Funding is not guaranteed as it is subject to availability of funds, meeting the eligibility requirements, and providing all requested documentation and information.
    • The MCWDB is not authorized to provide legal and/or tax advice to applicants.
    • All businesses requesting Phase 2 Beautification funding must undergo onsite inspections before and after completion of approved work by a licensed contractor.

    I declare under penalty of perjury that if awarded a grant, I commit to only using the funds for one or more of the following eligible expenses:

    • Inventory – Goods available for sale that were damaged or lost and needed to be replenished.
    • Computers / Laptops / Tablets; Printer / Copier / Fax Machine – Damaged electronic devices that needed to be replaced to continue business operations.
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