14-Texas Capital Fund Infrastructure Grant Program to construct a water main to supply Daisy FarmsCITY COUNCIL AGENDA ITEM BRIEFING SHEET
Submittal Date:
Originating Department:
Presented By:
Agenda Item No.:
08/17/09
Council Date:
City Manager
Kim Lacey
14.
08/24/09
RECOMMENDED MOTION:
Move to approve a resolution authorizing a$1,000,000 application for a Texas Capital Fund
Infrastructure Grant Program to construct a water main to supply Daisy Farms and authorizing the City
Manager to negotiate and execute all necessary documents.
POLICY ISSUE(S):
Economic development; Required by program
BACKGROUND:
The Texas Capital Fund (TCF) provides no-match grants for up to $1,000,000 to build public
infrastructure to assist a business that commits to create and/or retain permanent jobs, of which a
minimum of 51 percent or more the jobs must benefit persons who qualify as low- and moderate-
income. The proposed project will build a water main from the south boundary of Chisum ISD south
along Hwy. 19/24 approximately four miles to the proposed location of Daisy Farms. In exchange,
Daisy Farms agrees to create a minimum of 100 new jobs. Although the estimated cost of the project is
greater than the amount of the grant, Daisy Farms has committed to pay for the difference between the
grant funds and the total cost of the water main. The grant consultant will be paid out of the $60,000
included in the grant for administration.
BOARD/COMMISSION RECOMMENDATION:
EXHIBITS:
Texas Capital Fund program description; Resolution; Application
ACTION:
BUDGET INFO:
❑ Financial Report ❑ Minute Order
Expense
$
❑ Department Report Z Resolution
Budgeted Amt.
$
❑ Presentation ❑ Ordinance
y'I'D Actual
$
Z Public Hearing ❑ Other
Acct. Name
Acct. Number
FISCAL NOTES:
REVIEWED AND APPROVED BY:
Z Administration Z City Cletk ❑ Community Development ❑ EMS/IT ❑ Finance ❑ Fire
❑ Municipal Court Z Legal ❑ Library ❑ Police ❑ Eng./Public Works ❑ Urilities
City of Paris
Revised 2/04/08
Texas Capital Fund
What is the Texas Capital Fund?
The Texas Capital Fund (TCF) program is administered by the Texas Department of Agriculture
through an interagency agreement with the Office of Rural Community Affairs (ORCA). The
TCF program encourages business development, retention, or expansion by providing funds to
eligible applicants. Funds will be awarded for the express purpose of assisting in the creation of
new permanent jobs or retention of existing permanent jobs, primarily for low and moderate
income (LMI) persons. In order to comply with the national goal of expanding economic
opportunities for LMI persons, a minimum of 51 percent or more of all the jobs created or
retained by the business must benefit persons who qualify as LMI.
These funds are a part of the U. S. Department of Housing and Urban Development's (HUD)
Community Development Block Grant (CDBG) program and is known as the Texas Community
Development Program (TCDP) in our state. The program is only available to non-entitlement
city or county governments. Non-entitlement cities/counties do not receive direct funding from
HUD and typically include cities with a population of less than 50,000 and counties of less than
200,000. There are over 1,200 eligible cities and counties in the state. Awarded cities and
counties receive funds to make public infrastructure and/or real estate improvements to support a
specific business that is expanding or beginning operations in the applicant's jurisdiction and are
contingent upon the business making a capital investment and creating/retaining jobs for Texans.
INFRASTRUCTURE PROGRAM OVERVIEW
The Texas Capital Fund Infrastructure Development Program is an economic development tool
designed to provide financial resources to non-entitlement communities. Funds from this
program can be utilized for public infrastructure needed to assist a business which commits to
create and/or retain permanent jobs, primarily for low and moderate income persons. This
program encourages new business development and expansions.
USE OF PROCEEDS:
Funds may be used for the following public infrastructure:
• Water and sewer lines and facilities
• Road/street improvements
• Natural gas lines
• Electric, telephone, and fiber optic lines
• Harbor/channel dredging
• Purchase of real estate related to infrastructure
• Drainage channels and ponds
• Pre-treatment facilities
Municipal Development Services
P. O. Box 1705
(972) 564-9298
Kim Lacey, Director
Forney, Texas 75126
(972) 564-5503 fax
C
D RAFT
F.attorney\reswork\current\TCDP-TDA Grant App - Daisy Farm Res 2009
October 12, 2007
RESOLUTION N0.
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF PARIS, TEXAS;
APPROVING AN APPLICATION FOR FUNDING THROUGH THE TEXAS
DEPARTMENT OF AGRICULTURE, OFFICE OF RURAL COMMUNITY
AFFAIRS FOR THE TEXAS CAPITAL FUND INFRASTRUCTURE GRANT
PROGRAM FOR INFRASTRUCTURE IMPROVEMENTS TO PROVIDE A
SUPPLY OF TREATED WATER FOR A COMMERCIAL DAIRY OPERATION
LOCATING I1V LAMAR COUIVTY, TEXAS; AUTHORIZIIVG THE EXECUTION
OF ANY AND ALL DOCUMENTS NECESSARY FOR ACCEPTANCE AND
IMPLEMEIVTATION OF SAID GRANT UPON 1VOTICE THEREOF; MAKIIVG
OTHER FIIVDINGS A1VD PROVISIONS RELATED TO THE SUBJECT; AND
DECLARING AN EFFECTIVE DATE.
WHEREAS, the Texas Department of Agriculture/Office of Rural Community Affairs
through the Texas Capital Fund infrastructure grant Program provides funding for
infrastructure projects, and the City of Paris wishes to apply for up to $1,000,000 of grant
funds to provide infrastructure improvements to provide a supply of treated water from
the City's treated water system to a commercial dairy operation locating in Lamar County,
Texas; and,
WHEREAS, on August 24, 2009, following notice and publication as required by law,
the City Council of the Ciry of Paris conducted a public hearing on the proposed submission
of an application to the Texas Department of Agriculture/Office of Rural Community
Affairs, Texas Capital Fund (TCF) Infrastructure Grant program for funding infrastructure
improvements to provide a supply of treated water from the City of Paris to Daisy Farms, a
new commercial dairy farm to locate in Lamar County, Texas, and having considered the
recommendations of staff and the testimony and evidence introduced at said public
hearing, found and determined that approving the aforesaid grant application would be in
the best interests of the citizens of the City of Paris.
WHEREAS, The City Council of the City of Paris is desirous of processing an
application to the Texas Department of Agriculture/Office of Rural Community Affairs for
the Texas Capital Fund (TCF) Infrastructure Grant Program in the amount of $1,000,000.00
to fund infrastructure improvements for a commercial dairy operation locating in Lamar
County, Texas and the City Manager should be authorized to execute any and all documents
necessary for acceptance and implementation of said grant upon notice thereof.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY
OF PARIS, TEXAS, THAT:
~
Section 1. The findings set out in the preamble to this resolution are hereby in
all things approved.
Section 2. The submission of an application to the Texas Department of
Agriculture, Office of Rural Community Affairs Texas Capital Fund Infrastructure Grant
Program be, and the same is hereby approved to provide infrastructure improvements for
a commercial dairy farm to locate in Lamar Counry, Texas, in the amount of $1,000,000.00
with $940,000.00 to be for the infrastructure project and $60,000.00 for the administration
of said grant.
Section 3. The City of Paris agrees to comply with all commitments and
assurances set forth in the grant application and, if funded, the award, and the City
Manager of the City of Paris be, and he is hereby authorized and directed to execute on
behalf of the City of Paris, an application for said grant.
Section 4. The City Engineer be, and he is hereby appointed as Project Director
and is hereby authorized and directed to execute and deliver, on behalf of the City of Paris
all reports, communications, assurances, and documents necessary for the completion of
said project.
Section 5. That the Director of Finance be, and he is hereby, authorized and
directed to serve as the Financial Officer for said project and to receive and distribute funds
for said infrastructure project.
Section 6. That the Ciry Mayor, City Manager, the City Engineer and Finance
Director be authorized and directed to execute, on behalf of the City of Paris, and and all
documents necessary for acceptance and implementation of said grant upon notice of
award thereof by the Texas Department of Agriculture under the terms and conditions and
in the forms approved by the City Attorney, and to proceed with the use of said funds upon
receipt thereof for purposes stated herein and in accordance with the grant conditions.
Section 7. The City has reviewed and hereby agrees not to participate in
program income recapture and will return all program income to the state to be placed in a
statewide Revolving Loan Fund to be used by the state to fund future economic
development awards. By agreeing to this measure, the City understands that it will be
eligible to receive as many Texas Capital Fund awards per program year as it has eligible
projects.
Section 8. This resolution shall be effective immediately upon passage.
AYES: NAYES: ABSENT:
~
DULY PASSED AND APPROVED this 24th day of August, 2009.
ATTEST:
Janice Ellis, City Clerk
APPROVED AS TO FORM:
W. Kent McIlyar, City Attorney
Jesse James Freelen, Mayor
Texas Capital Fund
Real Estate and Infrastructure
Application
Program Year 2009
Di
Texas Department of Agriculture
1700 N. Congress
P.O. Box 12847
Austin, Texas 78711
2009
Page 1 of 55
1-30-09
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Application/Review checklist for Texas Capital Fund
Infrastructure & Real Estate Development Programs
The following items must be included in the application in the order in which they are listed, and all documents must be originals.
Only one complete application should be submitted in a three-ring binder with tabs identifying each section. All documentation
must be placed in the appropriate section. F8IIU1'e t0 COmpIV I11aV CCSUIt lrt IOSS Of appllCatlOll pOlI1tS, unnecessarv delav of
evaluation of the application and/or a more extensive deficiency letter.
If the application is found to be substantially incomplete it will be denied without further consideration. Scores are reviewed and
finalized based on information contained in the application on the due date. Information and/or documentation received after the due
date will not be considered for scoring purposes. Applications in the funding range that have deficiencies will be given 10 business
days to satisfy those deficiencies before the evaluation process is continued. Failure to respond to deficiency requests may result in an
application being denied.
a indicates information that should generally be prepared/submitted by the applicant & the business(es)
b indicates information that should generally be prepared/submitted by the business(es)
° mdicates mtormahon that should aenerallv be nrenared/submitteci bv tne apnllcant
Applicant
TEXAS CAPITAL FUND Use
For Department
Use only (All pages referenced are in the Application unless otherwise noted) lnitial if
complete
Application Contents NA if not
Complete Incompkte a licable
rCG3Gl1L'ALIV1I Vl t1 I1L31LlV11
1. Ori inals onl
2. A lication resented in a three-rin binder with divider tabs
3. The followin documentation must be laced in the immediate front of the binder:
a. A lication/Review checklist executed b business and a licant
b. Score Sheet - see a e 8 for 2009 version
c. All documentation to su ort the score ou claim in each cate o
Section A- Proiect Summaries a
I
1 1. A lication In ormation - see a e 9
~
2. Pro'ect Information - see a e 14
Section B- Employment Forms/Letters and Low and Moderate lncome (LMI) Documentation b
Must be provided bv each business in "multiple business" applications.
l. Em lo ment Forms
a. Em loyment Pro'ections Form - see a e 16
b. Job commitment letters from business(es) - see sam le a es 17 and 18
c. Documentation to su ort 'ob retention
2. Low and Moderate Income (LMI) Documentation
a. Famil Income/Size Certi ication form for created and/or retained 'obs - see a e 19
b. Documentation to su ort low/moderate income beneficiaries throu census information.
Section C- Sources and Uses and Budget Justifications a
1. Sources and Uses of Funds Form and instructions - see pages 20 & 21
2. Budget Justifications (see Guidelines)
(All items listed below are required for TCF dollars requested, match injection, and equity injection,
unless otherwise noted.)
a. Land or building acquisition, building construction and/or improvements, or real estate
1. Appropriate value documentation of property
(i.e. current county tax appraisal or 3`d party state certified
~
Applicant
For Department
TEXAS CAPITAL FUND
use
use only
(All pages referenced are in the Application unless otherwise noted)
Initial if
complete
A lication Contents
PP
NA if not
Complete Incompkte
a licable
2. Lien Search (for e uit value documentation onl )
3. Required documentation on unimproved land purchased no more than 90 days prior to the
application due date: i.e. canceled checks, settlement statements, receipts (match value only)
see Guidelines
4. Complete legal description
b. En ineerin Architectural Services
1. Descri tion of services and related costs
2. Name of individuallfirm who re ared the 'ustification, date of re aration & en ineer's seal
c. Infrastructure
1. Quanti /size
2. T e of material
3. Labor costs must include Davis-Bacon wa e rates (if TCF funded)
4. Statement for minimum im rovements
5. Name of individuaUfirm re arin statement, date, & en ineer's seal
6. Transcribed locations of each length of infrastructure to include To, From, Along, &
Distance in linear feet (see in Guidelines)
7. Support Information for Infrastructure Projects - see a es 22-23
d. Buildin Construction/Rehabilitation
1. Size of buildin and s ecifications
2. Itemized material/construction activi costs
3. Descri tion of construction/rehabilitation activities
4. Labor costs must include Davis-Bacon wa e(if TCF funded)
5. Architectural and/or en ineerin costs and name of individual/firm
e. Machine and E ui ment (match onl )
1. T e and descri tion
2. Itemized rice/value listin for new urchases
3. A ro riate market value for existin M/E (for e uit value onl )
a. Itemized market value list for existin M/E
b. Invoice if urchased less than 1 ear revious to a lication
c. 3` value a raisal with credentials (dated less than 1 ear)
4. Required documentation on existing machinery & equipment; i.e. canceled checks, invoices,
and receipts. (see Guidelines)
5. Lien search (for equity value only)
f. Workin Ca ital (match onl )
1. Descri tion (invento , salaries, o erational costs, etc.)
. Administration Costs
`r)
~ a
For Department
Use Only
Complete Incomplete
TEXAS CAPITAL FUND
(All pages referenced are in the Application unless otherwise noted)
Application Contents
Applicant
use
Initial if
complete
NA if not
a licable
3. Color Coded Infrastructure Site Plan/Map - With Key, drawn to scale, identifying
public/private infrastructure improvements (if applicable), (see Guidelines)
4. Color coded Project Site Plan - With Key, drawn to scale, identifying improvements and location
of all businesses and buildings benefiting from the improvements AND/OR site survey (if existing).
(see Guidelines)
5. Area Ma , drawn to scale, showin ro'ect site location in communi (see Guidelines)
6. Business Financial Commitment Letter (see a e 24 & Guidelines) All businesses.
7. Business Verification of De osit(s) (see a e 25 & Guidelines) All businesses.
8. Lender Commitment Letter (see a e 26)
9. Other Financial Commitment Letter/Resolution
10. Other veriflcation of De osit(s)
11. Letter From Applicant - Provide a letter addressing the inability to fund the project citing
specific reasons.
Section D- Business Plan b- see Appendix C
Must be provided by each business in "multiple business" applications.
Please have company provide detailed information on all business plan topics. A lack of adequate
information will result in a deficiency for that topic.
1. Business History (include information on business strengths and business weaknesses, legal
structure, owners, etc.)
2. Product/Services (include information on business strengths and business weaknesses, legal
structure, owners, etc.
3. Market (include information on product demand, total market, target market, competition, the
niche of the business, etc.)
4. Operations (include information on location, physical facility, area labor market, suppliers,
employee training requirements, regulatory requirements, etc.)
5. Marketing (include information on how the business intends to market product, promotions,
advertising, distribution channels, customer conveniences, etc.)
6. Mana ement histo and Or anization Chart
7. Descri tion of Pro osed TCF Pro'ect
8. Business References
9. Resumes (Must include a resume for each person with 20 percent or more ownership and the
management team.
10. Written response to "Does your business, its owners or majority stockholders own a 20 percent
interest or more in another business?" If yes, provide their names and relationship with your
business along with the last fiscal year end's balance sheet and operating statement for each.
11. Written response to "Do you buy, sell to, or use the services of any concern in which someone in
your business has a significant financial interest?" If yes, provide the name9s) and relationship
with your business along with the last fiscal year end's balance sheet and operating statement for
each.
business" a lications.
1. Last three ear's financial statements
2. Last three ear's tax returns, unless audited financial statements rovided
3. Interim financial statement, dated within 90 da s of a lication submission
4. Schedule of Debt to match interim fnancial statement (see a e 27)
5. Projections (must include the following: quarterly cash flow and income for three years, plus
11*lA C/ll/1*PCl fCP 11A(TPC /R - /Ql
6. Break-even anal sis if business has been o eratin for less than 3 ears
7. Provide total sala amounts, location as resented in financial statement and ro'ections
Section E- Business Financial Information b
Must be rovided b each business in "multi le
~ a\
~
Applicant
TEXAS CAPITAL FUND use
For Department
use only (All pages referenced are in the Application unless otherwise noted) Initial if
complete
Complete Incomplete Application Contents 8 A 1 CBbIC
OGI:LIUil r- r waucia► iiuurwauvu vi r i wc~Erai vWucI a
(A lies to all rinci als and s ouses, with a 20% ownershi interest or more)
1. Authorization to Investi ate Credit and Disclosure Form - Individual (see a e 31)
2. Current Personal Financial Statement, include s ouse (see a es 32 - 33)
3. Most recent federal income tax return
Section G- Business Structure b
Must be nrovided bv each business in "multinle business" annlications.
1. Cor orate Resolution (identi in authorized individuals)
2. Cor orate Charter, Articles of Incor oration & Incor oratin B-laws
3. Cor orate/Partnershi Disclosure Form (see a e 30)
4. Certificate of Good Standin from Com troller's Office
5. Assumed Name Certificate (dba form)
6. Partnershi A reement
Sectinn H- Annlicant Renresentatinns and Fnrmc `
1. A licant Resolution (see a e 34)
2. Executed Certifications
a. General Certifications (see a e 35)
b. Certification Regarding Lobbying for Contracts, Grants, Loans, and Cooperative Agreements
(see page 36)
3. Local Citizen Com laint Procedures (see sam le a es 37-40 & Guidelines)
Section I- Public Hearing/Notice `(see Guidelines )
1. Public Hearin Notice ublishers affidavit or tear sheet)
2. 2" Public Notice ( ublishers affidavit or tear sheet)
3. Listin of local or anizations notified of ublic hearin
Sectinn .i - Annlicant Financialc and Ruduet `
l. Communit Needs Assessment Questionnaire (see a e 41)
2. Most recent audited financial statement
3. Current ear fiscal o eratin bud et w/ado tion resolution
Section K- Pro ram Income and Fair Housin `
1. Pro ram Income Re ort (see a e 42)
2. Fair Housin Activities Re ort (see a e 42)
Section L- Disclosure Re ort ` with instructions (see a es 43-47)
Applicant
TEXAS CAPITAL FUND Use
For Department
Use Only (All pages referenced are in the Application unless otherwise noted) Initial if
complete
Application Contents NA if not
com lete Incom iete applicable
Additional Items for Real Estate Development Proaram
Section M - Acquisition b
Earnest Money Contract for the proposed land and/or building that will be acquired with TCF
monies. This contract should be assignable or transferable to the Applicant, if initiated by another
Section N- Shared Ownership of Real Estate `(see Guidelines) Since the TCF program may not
provide sufficient funds far the needed real estate, a local economic/industrial development
organization may share in the ownership, if they provide a portion of the funding. In this case
rovide the followin information for such or anization.
1. Resolution b or anization authorizin contribution/ artici ation
2. Articles of Incorporation and By-laws - these must show ability to engage in economic
development activities
3. Evidence of financial abilitv/commitment, if not provided in Section C
Section O- Survey of Other Vacant Buildings ` Applicant must identify any other available
commercial buildings in the community and document suitability for business. This should include
size of building, location, type of structure, amenities, etc.
We, as applicants of the Texas Capital Fund, Certify that the information, exhibits, and schedules contained herein are true and
accurate statements, and represent fairly the financial condition as of the date stated herein:
Citv/Countv
Jesse Freelen
Typed or Printed Name
Signature
Local Government Title
Date
Typed or Printed Name
Signature
Business Title
Date
Business(es)
David Sokolsk
Typed or Printed Name
Signature
Mana er
Business Title
Date
Typed or Printed Name
Signature
Business Title
Date
j~' ~~v
2009 Texas Capital Fund Application Scores
Name of Applicant
PLACE SUPPORT DOCUMENTATION IMMEDIATEL Y BEHIND THIS FORM.
submitted or veri ication ur oses, otherwise the cate o will be scored D.
Support documentation must be
Proposed
Communi Distrvss/Need sx 48 Points
Score
Unemployment Rate: Applicant's most recently available quarterly (most recent 3 months averaged)
county rate. Score 5 points if this figure meets or exceeds the state average for the same time frame.
0
(Maximum 5 oints)
Poverty Rate: Applicant's annual county poverty rate for individuals (from 2000 Census) is 16.35%
Score 5 points if this figure meets or exceeds the state average of 15.4%. Score 10 points if this figure
S
exceeds 17.7%. (Maximum 10 oints)
Awarded Contracts: Score 10 points if the community has been awarded zero TCF contracts in the current
0
or the recedin 2 calendar ears.
Community Size: Points are awarded to applying small cities and counties using 2000 census data. For
cities: score 5 points if the city is located in a county with a population of 35,000 or less; and score 5
0
additional points if the population of the city is less than 5,000. For counties: score 5 points if the county
population is less than 35,000 and score 5 additional points if the county population is less than 15,000.
Community population figures are net of the population held in adult/juvenile correctional institutions.
(Maximum 10 oints)
Per Capita Income: Award 5 points to applicant's that have a per capita income level below the state
S
avera e of $19,617, usin 2000 Census data. (Maximum 5 oints)
Jobs ax 35 iuts
Job Impact: Business's (all businesses combined) job commitment, created &/or retained, 179 divided
by applicant's 2000 population 25,885 = job impact ratio .0069 . Score 5 points if this figure exceeds
S
.00485; score 10 points if this figure exceeds .00969 and score 15 points if this figure exceeds .01455.
(Maximum 15 oints)
Cost per job: The total amount of the TCF award is $ 1,000,000 , including administration, divided by the
total number of jobs created/retained by all businesses 179 = Applicant's cost per job $ 5,586 . Score 10
10
points if the cost per job is less than $15,000; and score 5 points if the cost per job is less than $20,000.
(Maximum 10 oints)
Wage Impact: Awarded by taking the business' average weekly wage commitment, far all jobs proposed to
be created and retained, and dividing by applicant's most recent county, quarterly, private sector average
10
weekly wage. Score 5 points if this figure exceeds 0.50 and score 10 points if this figure exceeds 0.60.
(Maximum 10 oints)
Eeonamic Em hasis Mex 25 ints
Primary Jobs: Awarded if the jobs to be created/retained are or will be employed by a benefiting businesses
with the following primary NAICS codes. This is based on the code reported on the business's Texas
20
Workforce Commission (TWC) Quarterly Contribution Report Form C-3, their Business IRS tax return, or
other documentation from the TWC. In a multi-business app, the major employer's NAICS code determines
the eligible points. 20 points for NAICS category 31-33 Manufacturing
15 oints for the followin NAICS cate ories:
111 Crop Production
42 Wholesale Trade
112 Animal, milk, poultry & egg production
48-49 Transportation/Warehousing
113 Forestry/Logging
51 Information (excluding 512-theaters)
114 Commercial Fishing
5182 Data Processing, Hosting, & Related
115 Support Activities-Agriculture/Forestry
Services
211-213 Minin
62 Health Care
5 points for projects involving non-primary jobs, when the business offers a choice of inedical and
rescri tion dru benefits to em lo ees, includin covera e for the famil
Small/HUB Businesses: Score 5 points if each benefiting business (in a"multiple business" application)
employs less than 100 people OR has been certified by the Texas Building and Procurement Commission
0
(TBPC) as a Historically Underutilized Business (HUB). Provide current employee count for any/all
locations combined and related businesses .(Max 5 oints)
TOTAL SCORE (A minimum threshold score of 25 points is required)
SS
Details for the individual score categories and resources may be found on pages 26-28 In the Vuideiines.
2009
Page 7 of 55
1-30-09
~~a - p
APPLICATION INFORMATION FORM
TRACKING #
APPLICANT INFORMATION
Locality Name CITY OF PARIS
11 Digit Texas I.D.
#
756000635
°PHYSICAL ADDRESS
Address (No P.O. Box)
135 S. E. ls` Street
City
State
Zip
County
Paris
TX
75460
Lamar
MMLFNG AUDRESS
Q
P.O. Box
~
Same
U
City
State
Zip
County
r
~
Short Description of Project: Construction of water line
Fiscal Year End 9/30
improvements to benefit Daisy Farms in Paris, Lamar County,
Texas.
Type of Project
Infrastructure Z
Real Estate ❑
Infrastructure and Real Estate ❑
: THIEF
ELEC'I'ED OFFICIAL
Z Mayor.
First Name
M. I.
Last Name
❑ Judge
Jesse
Freelen
Primary Phone
(903) 784 - 9202 Ext.
Secondary Phone (optional)
Fax (optional)
pa
( ) - Ext.
(903)785 - 8519 Ext.
z
~
E~
Date of term expiration:
5110
~
E-mail address required
Would you prefer to be contacted by E-mail?
kcarruth ,paristexas.gov
Z Yes ❑ No
MMLING ~DRES5
Address
135 S. E. lg` Street
City
State
Zip
County
Paris
TX
75460
Lamar
2009 Page 8 of 55 1-30-09
t,
LOCALITY C4N`I`ACT
E Mr. ❑ Mrs.
First Name
M. I.
Last Name
❑ Ms. ❑
Kevin
Carruth
Title
Primary Phone
City Manager
(903) 784 - 9202 Ext.
V
Secondary Phone (optional)
Fax (optional)
z
( ) - Ext.
(903) 785 - 8519 Ext.
O
H
E-mail
Would you prefer to be contacted by E-mail?
W
kcarruth@paristexas.gov
Z Yes ❑ No
~
MAII.ING ADDRESS
Address
same
City
State
Zip
County
FREAWAR
D FERS
ON TU CONTACT
❑ Mr. E Mrs.
First Name
M. I.
Last Name
❑ Ms. ❑
Kim
A
Lacey
Title: Consultant
Primary Phone
Company name : Municipal Development Services
(972) 564 - 9298 Ext.
0
Secondary Phone (optional)
Fax (optional)
z
(903) 715 - 2719 Ext.
(903) 782 - 9473 Ext.
O
H
E-mail
Would you prefer to be contacted by E-mail?
V
W
kimalacev(&,hughes.net
~ Yes ❑ No
~
MAIi;MG ADDRESS
Address
Same
City
State
Zip
County
FINANCE
DMCT012
~ Mr. ❑ Mrs.
First Name
M. I.
Last Name
❑ Ms. ❑ _
Gene
Anderson
Title
Primary Phone
Finance Director
(903) 784 - 9241 Ext.
W
Secondary Phone (optional)
Fax (optional)
z
( ) - Ext.
(903) 785 - 8519 Ext.
O
F~
E-mail
Would you prefer to be contacted by E-mail?
W
gandersongparistexas.gov_
E Yes ❑ No
~
M4ILING ADDRESS
Address
same
City
State
Zip
County
LEGISLAT-IVE I+OTIFICATIM INFORMA'TIfll"4T DISTRICT NUMBERS
U. S. Representative
District #
telephone numbers: Washington Off- Regional Off-
State Senator
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telephone numbers: Austin Off- Regional Off-
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State Representative
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telephone numbers: Austin Off- Regional Off-
State Representative
telephone numbers: Austin Off- Regional Off-
State Representative
telephone numbers: Austin Off- Regional Off-
Comnlete one Dage for each business in a"multinle business" annlications.
BVSMSS 'I'YPE
Please provide the following information on all the Operating Business(es) that will create/retain jobs and meet the LMI
goals for this Texas Capital Fund project.
Is the operating business: Z Existing ❑ To be established. When?
~ Corporation
❑ Limited Liability Co.
❑ Limited Partnership
❑ General Parinership
❑ Sole Proprietorship
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Type of Business: El
Primary NAICS/SIC code of business:
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BUSINESS INFflRMATION
V
Full legal business name (owner's name if sole proprietar - no aliases)
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Daisy Brand, Inc.
D.B.A. (if applicable)
Federal Taxpayer ID No.
DLTN's Number (required)
Physical Location of Project:
Census Tract:
Block Group:
FERSON TO C(jNTE4CT usiness)
Z Mr. F~ Mrs.
First Name
M. I.
Last Name
❑ Ms. ❑
David
Sokolsky
x
Title
Primary Phone
Z
Owner
( ) - Ext.
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Secondary Phone (optional)
Fax (optional)
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( ) - Ext.
( ) - Ext.
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E-mail
Would you prefer to be contacted by E-mail?
dsokolsky(~a,daisvbrand.com
~ Yes ❑ No
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MAILfNG ADDRESS
z
Address
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City
State
Zip
County
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JQB CREA'TIQN IlNFORMATION
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Total number of jobs to be created
179
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Total number of jobs to be retained
0
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Total number of Low and Moderate Income jobs to be created
90
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Total number of Low and Moderate Income jobs to be retained
0
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SIGNATITRES
The applicant and business(es), by and through their agent's signatures below (1) certify that all information provided in
connection with this application at any time is true and correct to the best of their knowledge; (2) acknowledge that any
misrepresentation or false statement made in connection with this application, whether intentional or not, will constitute
grounds for denial, pursuant to this application and/ar assessment of monetary administrative penalties. If signed by an agent
(including employee) of the applicant or business(es), the person signing certifies that he or she is autharized to make the
preceding certifications.
Chief Elected Official (Printed Name)
Title
Jesse Freelen
Mayor
Applicant Signature
Date
x
Month day year
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Business Representative (Printed Name)
Title
F,
David Sokolsky
Manager
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Business Representative's Signature
Date
Month day year
Business Representative (Printed Name)
Title
Business Representative's Signature
Date
Month day year
Business Representative (Printed Name)
Title
Business Representative's Signature
Date
Month day year
PROJECT INFORMATION
Fill in the blanks and provide extra sheets where necessary.
1. Will the assistance requested have any negative impact(s) or effect(s) on the environment?
Yes No X Provide a brief description of potential environmental problems, if any.
Note: All applicants and businesses funded by the TCF will have to comply with federal regulations
regarding environmental clearance prior to spending TCF funds, as outlined on the Sources and Uses of
Funds form. See requirements and exceptions under environmental review in the program guidelines.
2. Will the assistance requested cause the displacement of individuals, families, businesses, or farms?
Yes No X Number of: Individuals:
Families:
Businesses:
Farms:
3. Are you or your business(es) involved in any pending lawsuits?
Yes No X If yes, provide an explanation.
4. Has the business(es) or principal(s) included in this project ever been involved in bankruptcy or insolvency
proceedings? If yes, identify the specific business and or principal(s).
Chapter 7
Yes
No
X
Date
Chapter 11
Yes
No
X
Date
Chapter 13
Yes
No
X
Date
Other
Yes
No
X
Date
Note: Generally, business and/or principal bankruptcy disqualifies a project; on a case by case basis
extenuating circumstances will be evaluated. Provide an explanation and a description of the current legal
status.
5. Will this project assist "brownfields" being redeveloped? No
6. Has the business previously received assistance from the Community Development Block Grant program (in this state
or any other state)?
If yes, provide an explanation to include when, where, amount, purpose/use
Yes No X of funds, and contact information.
7. Is there sufficient other infrastructure (except as requested in this application) to support this project?
Yes X No
8. Discuss any existing or proposed financial incentives (i.e. tax abatement) being provided/offered by local government
to the business. Financial incentives are being negotiated at this time.
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9. Is the applicant located in a Texas Water Development Board, Economically Distressed Areas Program (EDAP)
County?
Yes No X
If yes, Has the applicant adopted the Model subdivision Rules? If yes, when?
Yes X No
10. Does this project involve a relocation of any kind?
Yes No X
If yes, please explain the details of the relocation: (see Relocating Projects in Section 1 the Guidelines)
11. Will any additional business(es) benefit from or access the proposed infrastructure improvements?
Yes No X
lf yes, please list the business(es) which will benefit from the proposed improvements. Also, please identify this
business(es) on a map in relation to the infrastructure improvements. If any business(es) will be benefiting from the
proposed improvements to be paid by TCF, the one (1) year tap-in requirement may apply. See Tap-In Requirement
page 30 in the Guidelines for more details.
12. Is the business a Historically Underutilized Business?
Yes No X
If yes, business must attach the Texas Building and Procurement Commission certification.
13. Do(es) the business(es) being assisted provide a product or service to the neighborhood or community?
Yes X No
14. Does this project involve building rehabilitation? If yes, how many?
Applicant Minority Hiring Information
Provide information on the current status of minority hiring within your city/county as follows and insert into the
appropriate area of the application.
Total Population
Minority Population'
% Minority Population
25,885
Applicant Employzment Level
Applxcant Minarity Emplayment Level
% Minority Population
306
28
9%
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Employment Projections Form
Applicant Name Business Name
BUSINESS INFORMATION
1. Number of current employees (excluding principals) Daisy Brand
2. Please describe the CURRENT jobs this activity will retain
. JOB CATEGORY / GROUP #F/T #P/T AVG
(see Appendix E for category definitions) ANNUAL
WAGE
A. Officials and Managers
B. Professionals
C. Technicians
D. Sales
E. Office and Clerical
F. Craft Worker (skilled)
G. Operatives (semi-skilled)
H. Laborers (unskilled)
I. Service Workers
TOTALS:
3. Please describe the NEW jobs this activity will create
JOB CATEGORY / GROUP
(see Appendix E far category definitions)
A.
Officials and Managers
B.
Professionals
C.
Technicians
D.
Sales
E.
Office and Clerical
F.
Craft Worker (skilled)
G.
Operatives (semi-skilled)
H.
Laborers (unskilled)
I.
Service Workers
TOTALS:
#F/T
Please see
attached
lict
#P/T AVG
ANNUAL
WAGE
4. How was the level of new jobs determined? Please explain in detail. Daisy Brand determined the number
of jobs to be created based on their need for products as determined by their historic sales.
5. Does the business provide employer sponsored health care? If yes, how many of the created/retained jobs
specified above will be covered? Yes. The employer does provide health care. All full-time employees
will receive benefit.
Full-Time must be 35 hrs. or more and Part-Time must be 20 hrs. or more per week. All wages must be converted
to an annual basis.
SOURCES AND USES OF FUNDS
1NSTRUCTIONS
The Sources and Uses of Funds form displays the total budget for all proposed activities and provides the total
projected expenditures for the TCF contract period. At a minimum, review the program requirements for the
following items: budget justifications, leverage requirements, equity requirements, eligible uses of funds,
ineligible uses of funds, selection criteria/scoring (under selection procedures), and environmental review.
1-6. Self Explanatory.
7. Sub-total each column vertically and horizontally.
Enter the applicant's costs for administration of this project.
9. Total each column both vertically and horizontally.
NOTE: Funds and costs, as outlined on the Sources and Uses of Funds form, may not be spent or incurred
,prior to a contract award date from the TCF.
All dollar amounts should be rounded to the nearest one hundred dollars ($100).
If the applicant has Program Income from a previous CDBG award, contact Department for
clarification.
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SUPPORT INFORMATION FOR INFRASTRUCTURE PROJECTS
Provide the following information for any infrastructure activiTy (included on the Sources and Uses of Funds):
(1) Water Improvements
(a) Indicate when the treatment facility was constructed.
(b) If reconstruction or replacement of lines is involved, indicate when the existing line(s) were installed, the diameter(s)
of the existing line(s), the material type of the existing lines, and the previous history regarding line cleaning or TVed.
(c) Indicate the design flow and/or population capacity for the existing facility before and after any proposed
improvements.
(d) Indicate the source of water for the system.
(e) Indicate the average daily and peak time demands for the existing jurisdiction before and after any proposed
expansion relating to this project.
(f) Indicate if any of the existing capacity/pressure improvements and any of the proposed improvements (such as
looping or gate valves) are primarily far fire protection. Indicate if fire hydrants currently exist and if any are being
proposed for this project. Does the applicant have an adequate water supply, adequate water pressure, and an
adequate number of fire hydrants to fight local fires?
(g) Indicate if acquisition of real property (including easements and rights-of-way) is needed for this project.
(h) Indicate if there are any special assessments, including service connection costs and fees, involved relating to this
project.
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