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ARPA Project Request Form: City Departments/ Agencies/ Commissions

City Departments/Commissions Project Application Form

City Departments/Commissions Project Application Form

1.) Administrative Information:

A.) Project Requestor
A.) Project Requestor

2.) Name of ARPA Project:

3.) Type of Project:

4.) Estimated Project Timeline:

*Note – Projects must be under contract by 12/31/24 and completed by 12/31/26.

5.) Please note project milestones:

(e.g. launch, end of phase I, etc.). If available, attach a scope of work and project schedule in the attachments section.
Maximum upload size: 516MB

6.) Project Description:

7.) Identify the Category for Eligible Use:

8.) Allowable Expenditures for American Rescue Plan Act (ARPA) Funds:

Select an expenditure category for the proposed project (choose only one).

9.) Please explain how the project qualifies under the expenditure category noted above:

10.) How does the proposed project relate to the COVID-19 pandemic and how will ARPA funding help address this need?

11.) How will this project benefit residents and/or businesses in the City of Lynn?

12.) What specific outcomes or accomplishments will this project receive?

13.) Project Cost:

14.) Are the project costs ready to be appropriated, or will they be phased?

(e.g., costs for planning then costs for execution).

15.) Are matching funds available from another source?

16.) Are there other funding opportunities available that may reduce the amount of ARPA funding needed?

(i.e. other state or federal grants or programs)

17.) Will the proposed project incur any ongoing/recurring costs?

18.) Will this project result in savings for a City Department or Community beyond 2026?

19.) Will this project increase future revenues for the City of Lynn?

20.) Is additional staff required for the duration of the project?

(i.e. project management)

21.) Does the proposed project benefit residents disproportionately impacted by the COVID-19 pandemic?

(e.g., communities of color, people with disabilities, low-to-moderate income residents or elders)

22.) Does the proposed project reduce adverse climate impacts and/or promote environmental sustainability?

23.) Does the project benefit a neighborhood, region of the City, or the City as a whole?

We would like to hear from you. Please send us a message by filling out the form below and we will get back with you shortly.

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Lynn, Massachusetts 01901

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