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Contract Submission Form
Welcome to the new online cultural contract submission form. We want to minimize errors, and increase how quickly we can disburse your grant!
Please note the following:
Two hard copies of the contract, with original signatures, are still required for legal purposes. However, by submitting your contract here first, we may confirm completeness, indicate errors to correct before you mail in the hardcopy, and begin processing.
Label your files as directed in each attachment option below.
When complete, the contract will be sent on from DEP to, in order, the Erie County Department of Law for legal review, the Erie County Executive's Office for signatures and final approval, the Erie County Budget Office for accounting purposes, and the Erie County Comptroller's Office, who disburses the grant. This process may take several weeks to months.
Please note the details and instructions for each attachment before submitting to ensure your documents are complete and correct and we can process your contract as quickly as possible!
Thank you!
Organization Legal Name
Contact Name and Title/Position
Contact Email
Contact Phone Number
Grant Amount
- Select -
UNDER $10,000.00
$10,000 or MORE
Type of Grant
- Select -
Operating
Capital
If you have BOTH types, please submit for ONE type of grant at a time and SPECIFY which one is currently being submitted.
Contract
Upload
MUST be signed and witnessed
Ensure the following are included in this attachment:
Exhibit B - Additional Understandings
Exhibit E - Equal Pay Certification
REQUIRED even if no paid employees
MUST be signed and notarized
FILE NAME: [ORG ACRONYM].Contract
One file only.
5 MB limit.
Allowed types: pdf.
Exhibit A - Scope of Work
Upload
FILE NAME: [ORG ACRONYM].A
One file only.
5 MB limit.
Allowed types: Pdf.
Exhibit C – Insurance Certificates
Upload
Liability Insurance
(Acord, Form 25 (from your insurer; "County of Erie, 95 Franklin St, Buffalo NY 14202" as additional insured and certificate holder) or Erie County Standard Form)
*Names Erie County as “Additional Insured” & Certificate Holder*
AND at least ONE of the following:
Worker’s Compensation
(
NYS Form C-105.2
or
Form U 26.3
(State Insurance Form))
-OR-
Attestation of Exemption
(
NYS Form CE-200
)
*Must be signed and dated*
-OR-
Workers Disability
(
NYS Form DB-120.1
)
FILE NAME: [ORG ACRONYM].C
One file only.
5 MB limit.
Allowed types: pdf.
Exhibit D – Equal Pay Certification
Upload
FILE NAME: [ORG ACRONYM].D
REQUIRED even if no paid employees
MUST be signed and notarized
One file only.
5 MB limit.
Allowed types: PDF.
Invoices from Organization
Upload
Provide TWO (2) invoices on the organization's letterhead as follows:
1. Invoice #1 -
Dated same date as the contract was signed by the organization
2. Invoice #2 - Dated July 15, 2023
FILE NAME: [ORG ACRONYM].Invoice
One file only.
5 MB limit.
Allowed types: pdf.
Invoice from Organization
Upload
Provide an invoice on the organization's letterhead d
ated the same day as the contract was signed by the organization
FILE NAME: [ORG ACRONYM].Invoice
One file only.
5 MB limit.
Allowed types: pdf.
Additional Documents
Upload
FILE NAME: [ORG ACRONYM].Additional
You may attach additional documents here such as SEQRA determinations, site plans/construction documents, and/or contractor estimates.
One file only.
10 MB limit.
Allowed types: pdf.
Submit
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