The City is offering the Local Economic Assistance Program (LEAP) to small businesses in the community. The LEAP program is financed with Federal American Rescue Plan Act (ARPA) funds through the Department of the Treasury. Eligible businesses have the opportunity to receive up to $10,000 in grant funds. To qualify, the business must be able to show they have experienced a negative economic impact due to COVID-19 and must have 50 or fewer employees. To find out more information and see if your business qualifies for this program, please visit www.jurupavalley.org/LEAP or click the link below.
Select the legal nature of the business.
Which one of these categories best describes your business? If none, select other.
Did you receive your Jurupa Valley Business Registration as required? If so, when? If no, you need to obtain a business registration before submitting this form. Please contact City Hall at (951) 332-6464 for more information.
Some businesses have multiple owners.
Enter total revenue or gross sales for the business for 2020.
Has your business received any funds through the Economic Injury Disaster Loan Program, Paycheck Protection Program, or any other Federal assistance program?
How many full-time LEAP-eligible jobs will be added or retained with the use of grant funds? If none, put zero.
How many LEAP-eligible jobs will be added or retained with the use of grant funds? If none, put zero.
By submitting this form, I understand that this grant opportunity is being provided by the City of Jurupa Valley to provide relief for businesses impacted by COVID-19. I understand that this is Phase 1 of 3 of the application process. I understand that if I receive notice that my business qualifies to participate in the LEAP grant process, I will need to provide further documentation to be verified by the City of Jurupa Valley. Receiving preliminary approval by submitting this Phase 1 application does not guarantee grant funds for my business. I understand that to ultimately receive grant funds, my business must show negative economic impacts due to COVID-19 in accordance with the Local Economic Assistance Program guidelines. By submitting this application, I am certifying that no outstanding tax liens or legal judgments against my business currently exist. I agree that by submitting this Phase 1 application, I am authorizing the City of Jurupa Valley to verify sources of income, including, but not limited to, the submittal of a record request to the California Employment Development Department and other agencies administering unemployment benefits. By submitting this form, I certify that the above statements included in this application are true and correct to the best of my knowledge. I understand that a false statement may disqualify me from benefits.
Provide the date for the authorization/electronic signature.
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