NYS Grown & Certified Agricultural Producers Grant Application

Transcription

1 NYS Grown & Certified Agricultural Producers Grant Application Please te: The information shared through this application will not, under any circumstances, be shared with anyone other than staff from GrowNYC, HMRCD, HVADC, Peconic Land Trust or the New York State Department of Agriculture and markets. We are required by our grant funder to collect the information below. Applicant Information Name: County: Legal Name of Farm Operation/Applicant: Name of Person Authorized to Apply on Behalf of Operation: Street Address of Farm Operation/Applicant: City: State: Mailing Address (if differs from Physical: Phone: Zip: Federal Taxpayer ID: Tax Map #: DEC Permit #: (shellfish operations) Are you eligible? (/): The farm operation is located wholly within New York State and produces an agricultural product as defined by the New York State Grown and Certified program guidelines. (See for Program Guidelines) Attestations (/): IF YES TO ALL QUESTIONS, PROCEED WITH ATTESTATIONS. Your farm qualifies for the agricultural assessment for town and county property taxes All owners materially and substantially participate in the dayto-day production of an agricultural product grown or raised on the farm operation. Has the applicant/owner(s) been or is the applicant/owner(s) involved in bankruptcy, a creditor s rights or receivership proceeding, or sought protection from creditors? Is the applicant or any owner presently the subject of any litigation or is litigation threatened which will likely have a material adverse effect on the applicant s financial condition? 1

2 Attestations cont. (/) Has the applicant or any owner settled a debt with a lending institution for less than the full amount outstanding within the Attestations last 3 years? cont. (/) Has the applicant or any owner ever settled been a debt convicted with a of lending any felony institution or misdemeanor, for less than other full than amount a minor outstanding traffic violation, within the or are last any 3 years? such charges pending? Has the applicant or any owner ever been out convicted of compliance of any with federal, state or local laws or regulations with respect to felony or misdemeanor, other than a minor traffic violation, labor practices, hazardous wastes, environmental pollution or or are any such charges pending? operating practices? Are there any outstanding judgments or liens pending against the theapplicant or orowner other than than liens liensin in the thenormal course of business? Are there any outstanding judgments or liens pending against Has the applicant or any owner ever defaulted on an the applicant or owner other than liens in the normal course of obligation business? to the New York State Urban Development Corporation, Has the applicant doing orbusiness any owner as Empire ever defaulted State Development on an obligation (ESD) or any to other New agency Yorkor State public Urban benefit Development corporation of the State Corporation, of New doing York? business as Empire State Development (ESD) or any other agency or public benefit corporation of the If State a farm of New owner s York? spouse is not identified as an owner of the If farm a farm operation, owner s has spouse the spouse is not identified had an ownership as an owner of the interest farm operation in any farmer in Section operation 5 C(1) of since the April application, 1, 2007? has the spouse had an ownership interest in any farm operation since April 1, 2007? IF YOU ANSWERED NO TO THE ABOVE QUESTIONS, IF YOU ANSWERED NO TO THE ABOVE QUESTIONS, PROCEED WITH THE FULL APPLICATION PROCEED WITH THE FULL APPLICATION If you answered YES to any of the above questions provide a detailed explanation on the attached sheet and submit it with a complete application. Your application will be reviewed, however program eligibility cannot be guaranteed. 2

3 Business Description: if you require additional space, please attach a separate document Please Choose the agricultural product(s) you wish to I am already a Grown & Certified Producer receive New York State Grown and Certified Status for: YES NO Produce Dairy Egg Shellfish Maple Beef Poultry Pork Craft Beverage Ingredients Cut Flowers Wine Spirits Beer Cider Please attach your Certificates/Letters of Incorporation to the Application Business Corporation Subchapter S Corporation Sole Proprietorship Limited Liability Company Partnership Cooperative t-for-profit Other (Please Specify) Please check all categories that apply to your operation: Beginning and emerging farmer, including second-career, next generation, or transitioning farmers. Farmer transitioning to new commodities, methods of production, or a new business plan Farmer upgrading equipment and infrastructure to come into compliance with the food Safety Modernization Act (FSMA) or other food safety regulations. Farmer actively enrolling in the New York Stage Grown & Certified Program How many years has the farm operation been producing an agricultural product and what is your farming experience? How many acres is the farm operation in total? How many, if any, acres are owned? How many, if any, acres are leased? What types and quantities of agricultural products do you want to be NYS G&C? 3

4 Have you previously accomplished any tier (1 through 5) of Agricultural Environmental Management (AEM) plan for your farm with your local Soil and Water Conservation District? If so, what level of completion? What is the annual, or if a beginning farmer, projected, revenues from the sale of agricultural products for the past three years? Please attach your Schedule F tax returns OR balance sheets, income statements and cash flow statements from the previous 3 years. Please describe any significant changes planned to your business operation in the next five years (e.g. retirement/succession, major growth/downsizing, adding new market channels, etc.) Is there anything else important for us to know about your operation and/or application? Please include additional photos, product descriptions, blue prints or other collateral that are pertinent to the project. 4

5 Project Description add additional pages as necessary Briefly describe the proposed project: How will this project fulfill the food safety requirements of the NYS Grown & Certified Program? If you are a current Grown & Certified participant, explain why this project is necessary to maintain the food safety requirements of the program, significantly improve food safety practices, or how it will enable additional producers to meet the food safety requirements of the program: What opportunities will this capital investment create and what kind of economic impact will this investment have on your operation (e.g. expanded market opportunities, job creation/retention, etc.)? Please describe how you plan to fund the proposed project? If you do not have the funds to complete the project, will you be seeking a loan to cover the expenses 5

6 If you do not have the funds to complete the project, will you be seeking a loan to cover the expenses before reimbursement is issued? What are the biggest challenges you foresee in completing your project? What are the biggest challenges you foresee in maintaining your New York State Grown and Certified certification over the next 5 years? Why do you want to become New York State Grown and Certified? 6

7 Workplan and Required Funds: Describe in detail how you will carry out the project and the proposed timeline. If the project requires multiple stages of production, please break expenses into subsections associated with that phase. Include itemized expenses for necessary labor and equipment. Attach additional pages as necessary. Phase: (Please fill in blank) How will this project improve the food safety practices on your farm?: Start Date: Completion Date: Required Funds: Equipment/Materials: Price per unit # of Units Subtotal Subtotal: Construction/Services: Start Date Completion Date Subtotal Subtotal: Phase 1 Subtotal: Funding Source: *te: If your project requires additional Phases, Copy and Paste the table above. 7

8 Project Financial Summary: Total Expenses: $ Grower Match (10% of total expenses): $ Source (loan, personal funds, may include documented costs associated with food-safety-related training): Remaining Necessary Funds (90% of total project expenses): $ Source (loan, personal funds, etc.): Reimbursable Expenses through New York State Agriculture and Markets via NYS Grown & Certified Agricultural Producers Grant (Equal to Remaining Necessary Funds amount): $ 8

9 Product Specific Requirements: Below are product specific requirements of the NYS Grown & Certified program for various commodities. Please review and check all of the products that you will be certifying under the NYS G&C program and mark or on whether you currently meet each individual product requirement. Produce: NY Requirements: Labeled produce is grown in New York State Annual USDA GAP/GHP or similar third party food safety audit (AIS, Primus etc.) for at least one crop field and handling process. Participation in NYS Agricultural Environmental Management (AEM) program with completion of Tier 2 or higher within the past 3 years. FSMA Compliance: : Your company s combined annual Direct-To-Consumer revenue (farmer s markets, pickyour-own, farmstand, restaurants, etc), less than $500,000. : The majority of your farm s sales to consumers, restaurants or retailers in NY State or within 275 miles of your farm. GAPs Certification: (Applicants seeking GAP/GHP certification must first contact the Ag & Markets GAP Certification Program - Rochester and Western NY: ; Albany and Eastern NY: ): Please select the level of food safety compliance established on your farm currently: Completed and Passed On-Farm GAP audit Completed and Passed Desk GAP audit Implemented a working Farm Food Safety Plan with 3 months of completed logs Designed a Farm Food Safety Plan Attended a GAP training course ne of the above If you have passed a GAP audit, which standard of GAP compliance did you choose USDA Global GAP SQF Primus Other If you are already GAP certified, please list the specific products that are certified 9

10 PECONIC LAND TRUST ate Option 3 Dairy: : Majority of milk supply is from New York State, processor is located in NYS Dairy: : Annual third party food safety audit (SQF, or similar). foodofhandling training course farm processors). : Safe Majority milk supply is from New(on York State, processor is located in NYS : : Processor Plant Supervisor Training (PPS). : Clean Ag & Markets inspection record for 1 year prior to application. Annual third party food safety audit (SQF, or similar). : Producer or majority of producers participated in county Soil and Water Safe food handling training course (only for on farm processors). OR has a CAFO permit. Agricultural Environmental Management Program (AEM) at Tier 2 level Processor Plant Supervisor Training (PPS). Clean Ag & Markets inspection record for 1 year prior to application. Shellfish: NY Requirement: are grown in New York State. in county Soil and Water Agricultural Environmental Produceroysters or majority of producers participated : Labeled : Seed may be purchased out-oftoadec guidelines Management Program (AEM) atstate, Tier 2according level or has CAFO permit. (north of NY). : State, county or municipality, or private Aquaculture Lease. Shellfish Food Safety: : NYSDEC Shellfish Digger/ Dealer/ Shipper Permits as applicable. Hazard Labeled oysters are grown in New York State : Analysis and Critical Control Point (HACCP) Plan, if applicable. : Adhere to Vibrio parahaemolyticus (Vp) Control Plan. NYSGrownAndCertified@agriculture.ny.gov : HACCP NYSDECtraining permit:course, Class Aif- applicable. Shellfish shipper : and DealerClass Education Course (every 5 years.) NYSDEC permit: B - Shellfish processor Digger NYSDEC permit: Class C - Shellfish re-shipper On/Off NYSDEC. : NYSDECbottom permit:culture Class DPermit - Shellfish digger/shipper NYSDEC permit: Class E - Bay Scallop shucker/packer Eggs: HACCP Training Certificate (shippers/dealers), if applicable Attestation of written HACCP plan, if required by your permit. : Labeled eggsofare from New Yorkplan, Stateifhens a written control required by NYSDEC permit. Attestation Food Safety: Importation Permit (if seed is obtained from another state) Farms with >3,000 hens: : Participation in FDA s Salmonella Surveillance Program/ Prevention of Salmonella Enteritis NYSDEC On/Off Bottom Culture Permit. Please provide copy State, County, Township, or Private of underwater Deed for privately owned Vaccination : program to protect birdslease and eggs against S. beds; enteritis. underwater rights Farms < 3,000 hens: : Annual Salmonella testing program (through Ag&Markets or veterinarian) : National Poultry Improvement Plan (NPIP), US Pullorum-Typhoid Clean Status. : Farms with offsite Packing houses: : Third party food safety/safe egg handling audit program. : Producer or majority of producers participate in New York State Agricultural Environmental Management (AEM) program, administered by the Department of Agriculture and Markets, with the completion of Tier 2 of the program (or higher) within the past three years OR has a CAFO permit. 10

11 Beef: : Animal spends 2/3 of life in New York State. : Animals are slaughtered/processed in a USDA Inspected Slaughter Plant. : Participation in a herd management program, such as NY Beef Quality Assurance program at Tier 2 level. : Animals must have official identification prior to slaughter (RFID preferred.) : Producer or majority of producers participate in the New York State Agricultural Environmental Management (AEM) program, administered by the Department of Agriculture and Markets, with the completion of Tier 2 of the program (or higher) within the past three years OR has a CAFO permit. Poultry: : Chicks brought to NY within 1 week of birth. : Animals are slaughtered in a USDA Inspected Slaughter Plant or a 5-A State Plant. : Producer or majority of producers participate in the New York State Agricultural Environmental Management (AEM) program, administered by the Department of Agriculture and Markets, with the completion of Tier 2 of the program (or higher) within the past three years OR has a CAFO permit. Pork: NY Requirements: : Animal spends 2/3 of life in New York State. : Animals are slaughtered/processed in a USDA Inspected Slaughter Plant. : Participation in a third-party management program, such as the Pork Quality Assurance- Plus program. : Animals sold or moved from farm must have official ID. : Producer or majority of producers participate in the New York State Agricultural Environmental Management (AEM) program, administered by the Department of Agriculture and Markets, with the completion of Tier 2 of the program (or higher) within the past three years OR has a CAFO permit. Maple: : Syrup is sourced from New York maple trees and processed in New York State. When syrup of a desired grade is not available as required, up to 25% may be sourced from out-of-state. : Certificate of completion of Cornell Cooperative Extension s Maple Food Safety Class and compliance with food safety best practices subject to onsite audit.

12 Producer participates in one of the following environmental management programs, or equivalent: :» New York State Agricultural Environmental Management (AEM) program, administered by the Department of Agriculture and Markets, with the completion of Tier 2 of the program (or higher) within three years of admission into the New York State Grown & Certified program; :» Certified Tree Farmer, administered by the American Tree Farm System; :» Sustainable Forestry Initiative (SFI) Certified Chain of Custody; or :» Forest Stewardship Council (FSC) Forest Management Certification Cut Flowers: : Labeled flowers are grown in New York State. : Participation in the New York State Agricultural Environmental Management (AEM) program, administered by the Department of Agriculture and Markets, with the completion of Tier 2 of the program (or higher) within the past three years. Beer: : Minimum 60% hops, malts, and grains (by volume) grown in New York. : 100% of New York hops, malts, and grains must be from NYS Grown & Certified farms. : Beverage manufacturers must have a 20-C OR farm brewery license. Any inspection related issues must be resolved within 30 days. Farm suppliers must participate in AEM at Tier 2. Wine: : Minimum 75% grapes/fruit (by volume) grown in New York. : 100% of NY grapes must be from NYS Grown & Certified farms. : Beverage manufacturers must have a 20-C OR farm winery license. Any inspection related issues must be resolved within 30 days. : Farms must participate in AEM at Tier 2. Cider: : 100% apples or other pome fruit (by volume) must be from NYS Grown & Certified farms. : Beverage manufacturers must have a 20-C OR farm cidery license. Any inspection related issues must be resolved within 30 days. : Farms must participate in AEM at Tier 2. 12

13 Spirits: Ye s : Minimum 75% of fruits, vegetables, grain and grain products, honey, maple sap or other agricultural products must be grown in NY. 100% of these inputs must be from Grown & Certified Farms. : Manufacturers must have a 20-C license OR farm distillery license. Any inspection related issues must be resolved within 30 days. : Farms must participate in AEM at Tier 2. Beverage Ingredient Producer: : 100% Grown in NY : Applicable at processor/manufacturer level. Manufacturers must have a 20-C License OR farm brewery/distillery/cidery/winery license. : Farms must participate in the Agricultural Environmental Management administered by the Department of Agriculture and Markets, with the completion of Tier 2 of the program (or higher) within the past three years. Grape growers may substitute the Vine Balance Program for AEM. Eggs: Labeled eggs are from New York State hens Farms with >3,000 hens : Participation in FDA s Salmonella Surveillance Program/ Prevention of Salmonella Enteritis Vaccination program to protect birds and eggs against S. enteritis. Farms < 3,000 hens: Annual Salmonella testing program (through Ag&Markets or veterinarian) National Poultry Improvement Plan (NPIP), US Pullorum-Typhoid Clean Status. Farms with offsite packing houses: Third party food safety/safe egg handling audit program. Producer, or majority of producers, participate in New York State Agricultural Environmental Management (AEM) program with the completion of Tier 2 or higher within the past 3 years or has a CAFO permit. 13

14 If you answered to fulfilling any of the above requirements, please indicate how, and the timeframe in which you will fulfill them: