Public Private Partnership (P3) Program Application

Public Private Partnership (P3) Program Application
The Oklahoma Public Private Partnership (P3) Program allows Oklahoma communities to apply for utilization of the state's Pooled Finance Program for infrastructure development when there is also a benefit to for-profit companies in the region. These projects include critical infrastructure needs identified by the local government entity that will contribute to the competitiveness of the region's economy and are essential for government functions.

IMPORTANT NOTE: Awarded funds will not cover 100% of the total project costs, and the project MUST begin within 6 months of application approval.

Before filling out this application, find out if your project could qualify by contacting Jon Chiappe at the Oklahoma Department of Commerce at jon.chiappe@okcommerce.gov or 405-815-5210.

Download required accompanying documents to attach at the bottom of this application:

1. P3 Agreement for Potential Participation

2. P3 Participating Organization Addendum
Public Entity Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Federal Employer Identification Number*
Taxpayer ID
Contact First Name*
Contact Last Name*
Contact Title*
Contact Email*
example@example.com
Office Phone*
Format: (000) 000-0000.
Contact Mobile Phone
Format: (000) 000-0000.
Project Information
Provide a narrative description of the project. If needed, you may upload an extensive description in the Project Budget section file upload tool below.*
How will the project benefit businesses? Describe how the project will benefit the private company (companies)*
How many businesses will directly or indirectly benefit from the proposed project?*
What is the total current employment of the benefitting businesses?*
What is the total current payroll of the benefitting businesses?*
In whole dollars
YesNo
What is the timeframe for the creation of new jobs?*
Months and/or years after project completion
Project Budget

Uses of Funds
What is the total budget for the project?*
In whole dollars
YesNo
YesNo
If Yes, please provide documentation of the budget. If there are any further materials -- project profile, market studies, team profiles, detailed construction timelines, etc. you can provide, please upload here.*

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Project Budget

Sources of Funds
What additional Sources of Funds have been secured?*
For-Profit Companies (Upload Participating Organization Addendums)
Who are the for-profit entities participating in and benefiting from the project, and what are their FEI Numbers under which the withholding taxes are remitted? Upload/attach contact form here (one for each participating company found here at this link https://www.okcommerce.gov/wp-content/uploads/P3-Participating-Organization-Addendum.pdf ).*

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P3 Agreement Upload

This application must include a signed agreement found at https://www.okcommerce.gov/wp-content/uploads/P3-Incentive-Program-Agreement-for-Potential-Participation.pdf . It must be signed by a top executive, President or authorized representative of the institution.
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Certification and Legal Authority
I, the undersigned, hereby certify that this application is (a) complete; (b) contains no misrepresentation and is accurate and correct in all facts; (c) may be relied upon as a true representation of the nature of the project. I further certify that all subsequent documentation shall also be accurate, correct, and void of misrepresentation. This document has been duly authorized by duly authorized representatives of the applicant.

The organization, guarantors, and others required to submit proprietary information and financial disclosures are, by the act of applying for assistance, authorizing the distribution of the information to such persons as may be required for the review, approval, and administration of the expenditure. They are also authorizing reference and background investigations, and inquiries into their credit.
I agree
Authorized Representative*

First NameLast Name
Authorized Representative Job Title*
Authorized Representative Email*
example@example.com
Authorized Representative Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
I affirm
Signature*

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Should be Empty:

Public Private Partnership (P3) Program Application

Project Information

Project Budget

Project Budget

For-Profit Companies (Upload Participating Organization Addendums)

P3 Agreement Upload