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Template para evaluación de BP
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Page 1 of 6
Project Name County of Project Site
Full Address of Project Site Municipality of Project Site
Candidate Name Beneficiary of Award (enter "Candidate" if same) BP Submitted for Year/RoundSelect
Item #(s) Act Amount Amount Requested
District No. State Senator District No.
RACP Grant Request Prior RACP award this Project Total Match Funding$0 $0 $0 $0
Sources of Funds Amount Uses of Funds Amount Design StartDesign Complete
Bid DateBid Opening
Award ContractsStart Construction
Complete ConstructionPrior RACP award(s)
RACP Grant Request $0 DifferenceTOTAL Project $0 $0 $0
Prior RACP award(s)
A. Permanent Direct New Jobs
a. Full-time jobs 0
b. Part-time Jobs (for scoring purposes OB will calculate the Full Time Equivalent) 0
a. Full-time jobs 0
b. Part-time Jobs (for scoring purposes OB will calculate the Full Time Equivalent) 0
1. Full-time jobs 0
2. Part-time Jobs (for scoring purposes OB will calculate the Full Time Equivalent) 0
TAB 12. Business Plan Scoring Summary (Version: 2/5/2015)
Capital Budget Itemization Act(s) (Tab 1) Amount Available
Act Description
State Representative (Tab 2)
Project Description
Total Project Cost (Tab 10)
Project Budget (Tabs 10 & 11) Project Schedule (Tab 8)
Obtain ALL Permits
ME#(s) of prior RACP award(s) entered at left _
ME#(s) of prior RACP award(s) entered at left _
I. Economic Impact (as per Tab 3 of Business Plan):
1. Enter the number of NEW jobs from positions being CREATED, or vacant ones being filled. If relocating to PA from out of state, use 2. below.
2. Enter the number of "NEW" jobs to PA, TRANSFERRED FROM OUT OF STATE. "NEW" for this entry's purpose only includes existing, filled positions that will be transferred into PA from out of state.
B. Enter the number of Permanent Direct Jobs to be RETAINED. "RETAINED" for this purpose includes existing jobs, currently located elsewhere in PA or existing jobs retained at a current employment site that will be lost without the progression of this project.
Page 2 of 6
C. Enter the number of Permanent INDIRECT Jobs the project will create 0D. Enter the number of temporary CONSTRUCTION Jobs this project will create 0E. Wage Base of Jobs v Ratio v
1. Enter the MEDIAN ANNUAL WAGE of all new permanent direct full-time jobs being created $ -
$ -
F. Increase to State Tax Base $ -
A. Does the project involve redevelopment of Blighted, Brownfield, and/or Reclamation site?Select
Select
Select
Select
v convert vA. Is this project in the "Biotechnology/Pharmaceutical/Life Sciences" industry sector? SelectB. Is this project in the "High Tech & Advanced Manufacturing and Materials" industry sector? SelectC. Is this project in the "Energy Extraction & Mining" industry sector? SelectD. Is this project in the "Business & Financial Services" industry sector? SelectE. Is this project in the "Healthcare/Medical Research and/or Educational" industry sector? SelectF. Is this project in the "Agriculture" industry sector? Select
A. Key audited financial statement data - Insert data from latest audited financial statementsName of Entity on Financial Statements:
Financial Statement figures below are shown in: Select###
1. Cash #########
3. Current Assets ###4. Fixed Assets ###5. Total Assets ###6. Accounts Payable ###7. Current Liabilities ###8. Total Liabilities ###9. Net Worth/Equity ###10. Net Sales ###11. Net Income after Taxes ###
2. Enter the County PER CAPITA INCOME of where project is to be located per the U. S. Census Bureau at: http://quickfacts.census.gov/qfd/states/42000.html
II. Community Impact (as per Tab 4 of Business Plan)
B. Will the project increase the "Economic Health" of the county it is to be located in, per the parameters outlined in Tab 4 for this question?
C. Will the project improve the "Quality of Life" per the parameters outlined in Tab 4 for this question?
D. Does the project have a "Regional Impact" as per the parameters outlined in Tab 4 for this question?
III. Strategic Clusters for Development (as per Tab 5 of Business Plan)
IV. Organizational, Management & Strategic Business Plan (as per Tab 6 of Business Plan)
Year 1 (earliest) Date Ending
Year 2 Date Ending
Year 3 (latest) Date Ending
(Insert example: 12/31/2013) _
2. Accounts Receivable (net of Allowance for Doubtful Accounts)
a. On balance sheet at end of preceding year
Page 3 of 6
Select
v Ratio v
###
a. Enter the portion (dollar amount) of Line 1. above, that is "secured." ###
###
a. Enter the portion (dollar amount) of Line 2. above, that is "secured." ###
###
###
5. Enter amount of requested RACP award $ - $ -
7. Total match funding $ - 8. Total project cost $ -
B. Project Funding1. Percent of match "secured" 0.0%
Select
V. Project Schedule (as per Tab 8 of Business Plan)
A. Shovel Readiness - If construction has not started and it will commence within 180 days of the submission date of your application, select "180"; if construction has not started and it will commence within 181-365 days of the submission date of your application, select "365"; else select "365 Plus." If the project's construction started prior to your Business Plan submission date to RACP, and the project's primary occupancy permit has not been received, select "180," otherwise indicate "Completed."
VI. RDA-300 Form (Source of Funds) (as per Tab 10 of Business Plan)A. Dollars Leveraged by Project
1. Enter amount of non-public funding to be used as match in the project, excluding real estate (land).
2. Enter amount of public funding (i.e., local, other state, and/or federal), excluding RACP request, to be used as match in the project.
3. Enter amount of real estate (land) to be used as match in the project that was acquired within 1 year prior to business plan submission, or is a prospective acquisition.
4. Enter amount of real estate (land) to be used as match in the project that was acquired more than 1 year prior to business plan submission.
6. Enter total of prior RACP award(s) included in this Business Plan's Project Budget
2. If your funding match includes any loans, are they all 1) "long-term" (i.e., terms of 20 years or greater), 2) fully-amortized, AND 3) fully "secured?"
TAB 3. ECONOMIC IMPACT
Data:A. NEW Jobs:
1.
a. Full-time jobsb.
2.
a. Full-time jobsb.
B.
1. Full-time jobs2.
C.
D. Number of non-permanent direct (CONSTRUCTION) jobs created by the project. E. MEDIAN ANNUAL WAGE for all NEW permanent direct full-time jobs.F.
http://quickfacts.census.gov/qfd/states/42000.html
G. Total STATE TAX GENERATION (payroll, sales, corporate, etc.). Prior to project
Signature Title Date
Estimated within 1-year after
project completion
NEW permanent direct jobs from positions being CREATED, or vacant ones being filled.
Part-time jobs - For scoring purposes, 2.5 part-time jobs are considered a Full Time Equivalent (FTE). OB will calculate FTEs.
"NEW" permanent direct jobs TRANSFERRED TO PA FROM OUT OF STATE. "NEW" for this entry's purpose only includes existing, filled positions that will be transferred into PA from out of state.
Part-time jobs - For scoring purposes, 2.5 part-time jobs are considered an FTE. OB will calculate FTEs.
RETAINED permanent direct (non-construction) jobs. "RETAINED" for this purpose includes existing jobs, currently located elsewhere in PA or existing jobs retained at a current employment site that will be lost without the progression of this project.
Part-time jobs - For scoring purposes, 2.5 part-time jobs are considered an FTE. OB will calculate FTEs.
Number of permanent INDIRECT jobs created by support/supplier industries and secondary industries attracted by the project. Must supply multiplier basis used by the project.
Provide the PER CAPITA INCOME for the project's county per the U. S. Census Bureau at the following link:
I certify that the representations made in the above schedule and corresponding attachments and supplementary information are to the best of my knowledge complete and accurate.
Page 5 of 6
Redevelopment Assistance Capital Program OB Review Date:
Selection Committee Summary Review
PROJECT OVERVIEWProject Name: 0 County: 0Candidate Name: 0 Municipality:0Beneficiary Name: 0 Address: 0State Representative: 0 District No.: 0State Senator: 0 District No.: 0
Act Amount
0.00E+00 0 $0 $0 $0
Act Description: 0.00E+00
Total Project Cost RACP Grant Request Prior RACP award this Project Total Match Funding
$0 $0 $0 $0
0.00E+00
SELECTION CRITERIAJob Creation/Retention (40 MAX Points) Points Awarded/Possible:
Permanent New Construction
0/400 0 0 0 0
0/14 0/9 0/5 0/3 0/9
Community Impact (20 MAX Points)
Regional Impact
0/20No No No No
0/5 0/5 0/5 0/5
Agri-Business0/5
No No No No No No
Financial Impact (25 MAX Points)
Project Viability
0/25Select 0.00 $0 No
0/5 0/5 0/10 0/5
0-180 days 181-365 days0/10
TOTAL: 0/100
BUDGET & SCHEDULEProject Budget Project Schedule
Sources of Funds Amount Uses of Funds Amount Design Start:1 1 0 $0 Design Complete:2 2 0 $0 3 3 0 $0 Bid Date:4 4 0 $0 Bid Opening:5 5 0 $0 Award Contracts:6 6 0 $0 Start Construction:7 7 0 $0 Complete Construction:
Prior RACP in project $0 Current RACP Request $0
TOTAL Project $0 $0 $0
Redevelopment Assistance Capital Program
Capital Budget Itemization Act(s) Item #(s)Amount
AvailableAmount
Requested
Project Description:
Permanent Retention
Permanent Indirect
Wage Base of Jobs Multiplier
_ Data
_ Points (scored/possible)
Redevelopment of Blight / Brownfield /
Reclamation
Economic Health of
Community
Quality of Life
_ Data
_ Points (scored/possible)
Strategic Clusters (5 MAX Points: 3 points for 1 cluster; 5 points for 2 or more clusters)
Biotech/ Pharma/
Life Sciences
High Tech & Advanced
Manufacturer Materials
Energy Extraction &
Mining
Business & Financial Services
Healthcare / Medical
Research and/or Educational
Dollars Leveraged
(Ratio)
Increase toTax Base (Amount)
All Match at least 50% Secured; and Loan Match LT, Fully
Amortized & Secured_ Data
_ Points (scored/possible)
Shovel Readiness (10 MAX Points: 5 points for between 180 & 366 days; 10 points if < 181 days)
Obtain ALL Permits:
ME#(s) of prior RACP used in this project _
Prior RACP not in project ME#(s) of prior RACP not used in this project _
Page 6 of 6
Selection Committee Project Narrative
PROJECT OVERVIEW
Project Name: 0 County: 0
Candidate Name: 0 Municipality:0
Address: 0
SPECIFIC PROJECT DESCRIPTION
0.00E+00
COMMUNITY IMPACT SUMMARY
STRATEGIC CLUSTERS SUMMARY
FINANCIAL NECESSITY
BUSINESS STRATEGY/PLAN
ADDITIONAL REVIEW COMMENTS
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