WQIP Documents and Forms
Applicants awarded WQIP funding will be informed in writing. Notification begins a process for the applicant to develop a work plan and complete other necessary steps to enter into a contract with the DEC.
The documents and forms listed below are necessary to complete the steps in the contract process. Applicants should review and follow the Process for Successful WQIP Applicants to guide them through the contracting process. A Project Work Plan, budget and supporting documents are required to be submitted by successful applicants within 90 days of formal notification that their projects will be funded.
NOTE: All Vendors/Applicants/Grantees now have a new grants management website where they need to register. Please see the important notice below.
Project Work Plans
All contracts must use the new Statewide Master Grant Contract forms, regardless of which Round the original award was made.
- Attachment B-1 - Expenditure Based Budget (PDF, 1.3 MB) - This document must be submitted with all work plans.
- Attachment C - Work Plan (PDF, 136.2 kB) - This document outlines the summary and details of the project and must be submitted for all contracts.
Supporting Required Documents
- State Environmental Quality Review (SEQR) - This page provides instructions and forms to assist with the SEQR requirements.
- Municipal Resolution (PDF, 37 kB) - This document must be submitted with all work plans and must have an original signature and a raised seal.
- Minority and Women-Owned Business Enterprises/ Equal Employment Opportunity Program Requirements - This page provides instructions and forms for reporting compliance with the M/WBE program.
- Pollutant Load Reduction Estimate Report (PDF, 219.4 kB) - This report is required with all nonpoint source work plans. It assesses the effectiveness of the NPS project and the Best Management Practice used.
- Municipal Separate Storm Sewer System (MS4) Lead Applicant Self Certification Form (PDF, 109 kB) - All funded MS4 projects must submit this form certifying that an Intermunicipal Agreement or a signed commitment exists between the Lead Applicant and each participating MS4.
- Acknowledgement of Funding Source - This page identifies the requirements for signs identifying WQIP projects and the requirement to acknowledge the source of funding in public communications.
- Workers Compensation Benefits - It is now a requirement to provide the Department with proof of Workers' Compensation Benefits prior to entering into and executing a contract. The only forms which are accepted as proof of Workers' Compensation Insurance are as follows:
FORM # FORM TITLE C-105.2 Certificate of Workers' Compensation Insurance CE-200 Certificate of Attestation of Exemption - (no employees) U-26.3 State Insurance Fund Version of the C-105.2 form SI-12 Certificate of Workers' Compensation Self Insurance GSI-105.2 Certificate of Participation in Workers' Compensation Group Self-Insurance
An ACCORD form is NOT an acceptable proof of Workers' Compensation coverage. All the above referenced forms, EXCEPT CE-200 & SI-12 MUST name: The New York State Department of Environmental Conservation, Division of Water, 625 Broadway, Albany, NY 12233-3500 as the Entity Requesting Proof of Coverage (Entity being listed as the Certificate Holder).
Additional information can be obtained at the New York State Workers' Compensation website. A link to the website can be located in the right side column under Links Leaving DEC's Website.
- Vendor Responsibility Questionnaires - The Department requires Vendor Responsibility Questionnaires for both construction and non-construction subcontracting entities. The appropriate Questionnaire, either construction or non-construction, must be submitted by the subcontractor for each subcontract that equals or exceeds $100,000. Subcontractors/vendors should be registered in the New York State VendRep System. The Town as contractor then must submit each original signed and notarized Questionnaire. Vendors may file the required Vendor Responsibility Questionnaire online via the New York State VendRep System. If the subcontractor completes the Questionnaire online, please provide a copy of the system Certification only. (The Office of the State Comptroller encourages the latter approach.) The documents will become part of the contract package routed for review.
Additional information, guidance, and electronic versions of the forms are available on the New York State Office of the State Comptrollers website. A link to the website can be located in the right side column under Links Leaving DEC's Website.
Additional Contract Documents
NYS DEC will include these documents in each contract. They are being provided to applicants for review purposes only.
- State of New York Master Contract for Grants Face Page (PDF, 670 kB)
- Signature Page (PDF, 590 kB)
- State of New York Master Contract for Grants - Standard Terms and Conditions (PDF, 220 kB)
- Attachment A-1- Program Specific Terms and Conditions all NYSDEC Contract (PDF, 342.5 kB)
- Attachment A-1-B Program Specific Terms and Conditions - WQIP (PDF, 144.9 kB)
- Attachment D - Payment and Reporting Schedule (PDF, 633.1 kB)
- Attachment E - Signage Requirements (PDF, 154.5 kB)
Important Notice for All Vendors/Applicants/Grantees
All vendors (governmental organizations, not-for-profit organizations, Commissions, Authorities, Tribal organizations, etc.) should visit the NYS Grants Reform website and become familiar with the new statewide Grants Gateway, web-based grants management system. The Grants Gateway is an online system that will allow vendors to browse all NYS Agency anticipated and available grant opportunities, providing a one-stop location that will improve the way grants are administered by the State of New York.
Beginning January 1, 2014, all grant applicants/vendors must be registered in the NYS Grants Gateway to be eligible to apply for a NYS grant opportunity, to enter into a future contract, and to receive future grant payments.
It is imperative that all vendors immediately register in the NYS Grants Gateway. If you are a NFP organization you must also prequalify in the Grants Gateway before you will be considered eligible to apply for a NYS grant opportunity.
Due to the statutory changes that took effect on July 1, 2014 as a result of the Not For Profit Revitalization Act State agencies will suspend the prequalification requirement for any not-for-profit responding to an RFP from July 1, 2014 to September 30, 2014. During that time, not-for-profits will have the ability to access their document vaults in order to update their files without losing the ability to apply for any grant offered by a State agency. All not-for-profit organizations may apply for any State funding during this period regardless of their prequalification status. However, award of funds will be contingent on the ability of a not-for-profit successfully completing the prequalification prior to the execution of a contract. After September 30, 2014 prequalification will once again be required for any not-for-profit applying for State funds, excepting categories of not-for-profit s currently exempted.
More specific Prequalification information can be found on the NYS Grants Reform website.