REQUIRED: For Applicant Organization Name, the entity Commerce will contract with needs to be the entity who is submitting the application. For Applicant Organization Name, enter the legal name of the entity we will contract with. If a third-party is completing this application on behalf of someone, the name of the Applicant Organization should not be the third-party’s name.

1. 1. If the applicant is registered with the Department of Revenue (DOR) you must enter the name of the business as it is indicated on your business license.
   2. If the applicant is not yet registered with DOR, be aware you will need to be registered with DOR before we will contract with your organization. For the Applicant Organization Name enter whatever name you intend to register with DOR.
   3. If the applicant is a tribal enterprise or a tribal member and the behavioral health business is sited on the reservation, you do not need to be registered with DOR for us to contract with you. Enter the name used while doing business on the reservation.

REQUIRED: For Project Name, we prefer if you give us the name of the facility where the award will be used plus a few words to indicate what the funds will be used for. For example, Washington Detox and Withdrawal Management – Acquisition and Facility Expansion. If there is no facility name at time of application, please use a short name for your project that will help us identify who and what the funding is for.

REQUIRED: For Amount Requested, this is the amount of funding that is being requested. Do not submit more in the Amount Requested field than is available for the funding category you are applying for.  This amount should also be the same amount you indicate in the Sources of Funds table on the Budget tab.

REQUIRED: Total Capital Project Costs: When entering an amount, this field is where appli­cants indicate the total cost for real property acquisition and construction of the behavioral health facility. This total should include all other capital costs in order to bring the behavioral health facility to completion. 

REQUIRED: Application Information and Organization Information:  When entering this information for:

1. 1. Applicant Information, please provide the Project Manager contact information as the main contact for this application.
   2. Organization Information, this is information for the applicant. If another entity is completing this application on behalf of the applicant, use the applicant's information.
   3. Providing the Executive Director, Chief Executive Officer, or President contact information is required.  This individual will be included on all communications for this application.
   4. If more than the Project Manager and ED/CEO/President should be included on communications about this application, enter those contact email addresses on the Application Summary page under Additional Contacts.

When answering questions, please be as thorough as possible. Do not attach documents and reference those documents as your answer to any of the questions in the application. If you do this, your response to the questions may be considered incomplete and the application not reviewed.  Assume the person reading and scoring the application does not know about your project, services or facility type. You must answer all applicable questions pertaining to your grant request.

**If you are not the service provider for the project being proposed, please answer all application questions as to what standards you will hold the provider to and how you will ensure that the service provider meets your standards as well as state WAC /RCWs. 

There are two types of documents associated with this application.

• If a document is indicated as "Required" and it is highlighted, this is information that is required in order for your application to be submitted. This means you will not be able to submit the application without uploading the requested document.  Don't upload a document telling us you don't have the requested information. The requested information is a required part of a complete application.  Information not provided may cause the application to be considered incomplete and may not be reviewed.
• If a document is not indicated as “Required” it is optional. This information is not required for your application to be considered complete. You may upload the requested information if it is applicable to your proposed project.  Providing optional requested information will help us better understand your proposal and while optional information is not specifically scored it does influence our scoring of your proposal.  If the document is a letter from a third-party and you’ve done the outreach to get the letter but the third-party has not provided it to you in time to submit with the application, you may upload the email correspondence between you and the third-party to prove you made an attempt to get the requested information.  

REQUIRED Documents

1. Site Control: Documentation showing the applicant either owns the real property associated with the proposed capital project (ie. a deed), has a lease on real property associated with the proposed capital project, or tell us your plan and timeline to secure real property.
2. Funding Commitment Statement(s): Funding sources identified in Column #1 & #2 on the Budget tab must be substantiated by uploading documentation that either shows the funds are committed or if funds are not committed, provide a plan and timeline for getting funds committed and a prequalifying letter or bank statement showing you have adequate cash to complete the project. If only BHF funds will be used, please uload a document stating that the project is N/A.
3. Operating Budget:  Documentation showing the applicant’s planned operating budget for the facility once the proposed capital project is complete and the facility is operational.  We have provided a spreadsheet template titled Budget Template for the applicant’s use. The categories identified in the budget template may be modified to reflect your actual facility and should take in to consideration the full operations for services identified throughout the application. If the applicant has their own budget documents those are allowed for upload in lieu of the Budget Template.  For more information about how to develop operating financial documents, see the Washington Small Business Development Center’s resources.
4. Projected Expenditure of BHF Grant: Please complete the provided template so we can see your estimated plan for expending the BHF grant.
5. Letters of support from the BH-ASO and MCO that is identified in the application.
6. Uses of Funds Budget Narrative: Use the provided template to give us more details about the development of the proposed capital project.
7. Operating Plan: This plan should reflect operations for the behavioral health facility once the proposed capital project is complete.  See the Washington Small Business Development Center’s resources for assistance in developing an operating plan.
8. Letters of support from the local government and community organizations for the behavioral health facility.
9. Zoning and permitting documentation showing the status of these activities for the proposed capital project.
10. Applicant Financial Statements, to demonstrate the ability to complete project.
11. All documents responsive to application questions, as detailed in the questions and the NOFO.

OPTIONAL Documents

1. Preliminary Construction and Equipment Bids: These documents should reflect the Budget tab for Column #1 & #2. If preliminary construction and equipment bids are not yet available for the project, the applicant may submit an estimate for costs as long as that estimate is produced by an authority that has a solid reputation estimating construction project costs and can accurately estimate costs within the parameters of the proposed project.  In the estimate, identify the name of the contractor (licensed in the state of Washington) providing the estimate, the name of the estimator and the date the estimate was developed.
2. Final construction and equipment bids
3. If the applicant indicated in the application they are a subsidiary or partner of another organization, provide a Letter of support from the applicant’s parent or partner organization for the proposed capital project.
4. If the applicant wishes to request confidentiality of proprietary information a letter following the process outlined in Section XIV of the NOFO should be uploaded so that Commerce may consider the request.