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ICAP

Industrial and Commercial Abatement

FINAL APPLICATION FOR CERTIFICATE OF ELIGIBIITY

8. AGREEMENTS AND REPRESENTATIONS

The undersigned agrees and represents that:

12. The applicant will comply with the Rules of the Office of the Mayor for

implementation of Executive Order no. 50 (1982) and amendments,

He or she has personal knowledge or information sufficient to make a

relating to equal employment programs, to the same extent as if the

materially correct response to the questions asked in this application

applicant was a contractor with the City of New York, and will not

form, and that he or she knows or believes all matters stated herein to

commence construction, or award any contract to a contractor for

be true.

construction work if required, until at least 15 days have elapsed without

The applicant and its employees and agents will comply with all

comment after filing Employment Reports for itself and each such

provisions of law and rules relating to the program.

contractor. Employment Reports forms are available from the Division of

All taxes and charges due on property within the project site have been

Labor Services. Employment Reports shall be filed with the:

paid or are currently being paid pursuant to an installment agreement.

Department of Small Business Services

The applicant will pay all taxes due on the property within the project

Labor Services Unit

site, including taxes due upon revocation pursuant to the rules.

110 William Street, 7th Floor

The applicant has paid the application fee and will pay all other fees and

New York, NY 10038

penalties payable under the rules.

(212) 513-6323

The applicant agrees to be personally liable for the payments described

13. The applicant will comply with the provisions outlined under Local Law

in items (4) and (5) to the extent provided by the rules.

67 of 2008, with the understanding that no ICAP benefits shall be

The applicant will seek benefits only to the extent described in the

granted for any construction work unless the applicant participates in

application and any amended application permitted by the rules.

the program, established in section 11-278 of the law, to encourage

meaningful participation of M/WBEs in construction work for which the

The applicant will not seek benefits in excess of those awardable on

applicant receives benefits.

the basis of the determination of eligibility made by the Department

pursuant to article 18 of the rules, unless such determination is changed

14. The applicant will notify the Department of Finance in writing within

upon review sought and obtained in the manner provided by the rules.

fifteen (15) days before commencing any demolition or construction

work at the project site.

The applicant will comply with all applicable provisions of law and rules

relating to the construction, maintenance and operation of buildings.

15. The applicant will submit the above reports, and any others required by

this or other departments at a later date, as described in the rules.

10. The applicant or subject property does not have any adjudicated

uncured code violations as listed in § 11-266, subdivision b of the

16. The Department of Finance may deny, reduce, suspend, revoke, or

administrative code of the city of New York.

terminate any benefits under this program, if the recipient:

11. Within seven years immediately preceding the date of application,

a) fails to comply with the requirements of this program;

neither the applicant nor any person having a substantial interest in the

b) knowingly misstates or omits information in the application;

project site, was finally adjudicated by a court of competent jurisdiction

c) is discovered to have building, fire or air pollution control code

to be guilty of arson or harassment, or was an officer, director or

violations on the subject property;

general partner of any such person at the time such act or harassment

17. The applicant(s) agrees to submit to the jurisdiction of the Department

was committed.

over any determination of eligibility or noncompliance under the

program and will submit any claim under the program to administrative

review as provided in the rules before seeking any other remedy.

9. APPLICATION AFFIDAVIT

STATE OF

COUNTY

DATE

_______________________________________________________________, being duly sworn, says under penalty of perjury that s/he

is the applicant or the ________________________________________________________________ of the applicant, that the statements

contained in this application, including any attachments to this application, are true to his/her knowledge.

SIGNATURE OF APPLICANT OR REPRESENTATIVE

AFFIX OFFICIAL STAMP OR SEAL OF THE NOTARY HERE

Subscribed and sworn to before me this

day of

. 20

_______________

_____________________________________________

___________

NOTARY PUBLIC OR COMMISSIONER OF DEEDS SIGNATURE

6/28/2017

Industrial And Commercial Abatement Final Application For Certificate Of Eligibility - Nyc Department Of Finance Page 9

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