{"text_format":"1","workbook":"xlsx","n_sheets":7,"sheets":["0)Applicant Information","1)Instructions","2)Application","3)Reimbursement Request","4)Eligible Expenditure","5)Statutory Requirements","Reference Only"],"not_rendered":{"charts":0,"images":1,"macros":0,"external_links":1,"defined_names":14,"comments":1,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"0)Applicant Information","index":0,"n_rows":38,"n_cols":8,"rows_kept":38,"cut":false,"hidden":false,"merged":[[13,1,13,8],[14,1,14,8],[8,1,8,5],[9,1,9,8],[10,1,10,8],[11,1,11,8],[12,1,12,8],[30,4,30,8],[31,4,31,5],[24,4,24,5],[26,4,26,8],[27,4,27,8],[28,4,28,8],[37,2,37,3],[37,5,37,8],[33,1,33,3],[33,4,33,8],[34,2,34,3],[34,5,34,8],[36,1,36,3],[36,4,36,8],[15,1,15,8],[16,1,16,8],[17,1,17,8],[19,1,19,8],[20,1,20,8]]}
[]
[]
[]
[]
[]
[]
[]
[]
[null,"CARES Act"]
[null,"Coronavirus Relief Fund"]
[null,"Application for Funding"]
[null,"COVER PAGE"]
[null,"Commonwealth of Kentucky"]
[null,"         Office of the Governor"]
[null,"Department for Local Government"]
[null,"Dennis Keene, Commissioner"]
[null,"100 Airport Rd. Third Floor, Frankfort, KY 40601"]
[null,"DLG.CRF@ky.gov"]
[]
[null,"TEAM KENTUCKY"]
[null,"Coronavirus Relief Fund Application For Funding"]
[]
[null,"Applicant Information"]
[]
[null,"Date of Application"]
[]
[null,"Legal Applicant"]
[]
[]
[]
[null,"Address",null,"Street:"]
[null,null,null,"City:",null,null,"KY","Zip:"]
[]
[null,"Primary Contact for Application"]
[null,"phone:",null,null,"email:"]
[]
[null,"Secondary Contact "]
[null,"phone:",null,null,"email:"]

{"sheet":"1)Instructions","index":1,"n_rows":29,"n_cols":4,"rows_kept":29,"cut":false,"hidden":false,"merged":[[28,2,28,10],[1,1,1,3],[5,1,5,9],[13,11,13,19],[25,2,25,10],[26,2,26,10],[12,2,12,10],[13,2,13,10],[14,2,14,10],[15,1,15,9],[8,1,8,10]]}
[]
[null,"TEAM KENTUCKY"]
[null,"Coronavirus Relief Fund Application For Funding"]
[null,"Instructions for Applicants"]
[]
[null,"INTRODUCTION:  Through the CARES Act, the Commonwealth of Kentucky received Coronavirus Relief Fund (CRF) dollars from the US Department of Treasury.  This application aims to facilitate the coverage and reimbursement of eligible costs incurred by State agencies."]
[]
[null,"Eligible Applicants"]
[null,"Commonwealth of Kentucky State Agencies & Other State Government Entities."]
[]
[null,"Eligible Costs"]
[null,"The CARES Act provides that CRF payments may only be used to cover costs that:"]
[null,"1)","Are necessary expenditures incurred due to the COVID-19 public health emergency;"]
[null,"2)","Were not accounted for in the FY2020 approved budget; AND"]
[null,"3)","Were incurred during the period beginning March 1, 2020, and ending December 30, 2020."]
[null,"See worksheet \"4) Eligible Expenditures\" for the example list of expenditures \nprovided by the US Department of Treasury guidance."]
[]
[null,"How to Apply"]
[null,"1)","Read ALL worksheets in this workbook to understand eligible expenses:"]
[null,null,null,"0) Applicant Information"]
[null,null,null,"1) Instructions"]
[null,null,null,"2) Application"]
[null,null,null,"3) Reimbursement Request"]
[null,null,null,"4) Eligible Expenditures"]
[null,null,null,"5) Statutory Requirements"]
[null,"2)","Complete the 0)Applicant Information 2)Application  3)Reimbursement Request (including certification at bottom of 3) worksheets, and separate Duplication of Benefits Certification. .  Only enter information in the yellow cells.  All other cells are locked."]
[null,"3)","Submit application along with attachments to the Department for Local Government:"]
[null,null,"DLG.CRF@ky.gov"]
[null,"4)","Submit questions to DLG.CRF@ky.gov or call DLG at 502-573-2382."]

{"sheet":"2)Application","index":2,"n_rows":31,"n_cols":2,"rows_kept":31,"cut":false,"hidden":false,"merged":[[31,1,32,1]]}
[]
[null,"TEAM KENTUCKY"]
[null,"Coronavirus Relief Fund Application For Funding"]
[null,"Application Form"]
[]
[null,"1. Explain how your expenses are/were necessary due to the public health emergency"]
[null,"· Expenditures must be used for actions taken to respond to the public health emergency. Expenditures incurred to allow the State to respond directly to the emergency, such as:"]
[null,"a. addressing medical or public health needs"]
[null,"b. responding to second-order effects of the emergency, such as providing economic support to those suffering from employment or business interruptions."]
[null,"To paste text from another source, double-click in the text box and then select paste."]
[null,"Explain how your expenses meet the above requirement:                                                                                                                                                                                                                                                                                                                                                      ."]
[null,"· Expenditures must be “necessary.” Expenditures must be reasonably necessary for the intended use in the reasonable judgment of the government officials spending CRF payments. "]
[null,"To paste text from another source, double-click in the text box and then select paste."]
[null,"Explain how your expenses meet the above requirement:                                                                                                                                                                                                                                                                                                                                                      ."]
[null,"2. Costs must NOT be accounted for in the FY2020 budget."]
[null,"· Payments must be used only to cover costs NOT accounted for in the FY2020 State Budget. "]
[null,"· A cost meets this requirement if either: "]
[null,"a) the cost cannot lawfully be funded using a line item, allotment, or allocation within that budget or "]
[null,"b) the cost is for a substantially different use from any expected use of funds in such a line item, allotment, or allocation."]
[null,"· The “most recently approved” budget refers to the fiscal year 2019-2020 budget as enacted by the 2018 General Assembly."]
[null,"To paste text from another source, double-click in the text box and then select paste."]
[null,"Explain how your expenses meet the above requirement:                                                                                                                                                                                                                                                                                                                                                      ."]
[null,"3. Costs must be incurred  beginning March 1, 2020, and ending December 30, 2020"]
[null,"A cost is “incurred” when the unit of government has expended funds to cover the cost."]
[null,"To paste text from another source, double-click in the text box and then select paste."]
[null,"Explain how the timing of your expenditures meets the above requirement:                                                                                                                                                                                                                                                                                                                                                      ."]
[null,"4. Documentation of costs."]
[null,"a. For already incurred expenses, attach documentation of incurred expenses."]
[null,"b. For future incurred expenses, documentation will be required."]
[null,"To paste text from another source, double-click in the text box and then select paste."]
[null,"Describe your documentation of expenses and procedures for maintaining files.                                                                                                                                                                                                                                                                                                                                                      ."]

{"sheet":"3)Reimbursement Request","index":3,"n_rows":36,"n_cols":10,"rows_kept":36,"cut":false,"hidden":false,"merged":[[1,1,1,3],[4,2,5,2],[36,5,36,6],[36,2,36,3],[4,9,5,9],[4,8,5,8],[3,10,3,11],[4,6,4,7],[4,3,5,3],[4,4,4,5],[4,1,5,1]]}
[]
[null,"TEAM KENTUCKY",null,null,null,null,"Applicant:",{"$f":"'0)Applicant Information'!E27","v":0}]
[null,"Coronavirus Relief Fund Application For Funding",null,null,null,null,"Amount Requested:",{"$f":"D28","v":0}]
[null,"Reimbursement/Funding Request",null,null,null,null,"Amount Approved:",{"$f":"F28","v":0}]
[null,"Specific Use of CRF\n(see Tab 4)","Description of Costs","Amount Requested","DLG Use Only",null,"Date Range",null,"Is the expense necessary to COVID 19 response?","If CRF unavailable, \nhow did/will you cover the cost?"]
[null,null,null,null,"DLG Approval?","Amount to be funded by CRF","1st Date Cost was/ will be INCURRED","Last Date Cost was/ will be INCURRED"]
[null,"1a. COVID-19-related expenses of public hospitals, clinics, and similar facilities.",null,null,null,{"$f":"IF(E7=\"Yes\",D7,0)","v":0}]
[null,"1b. Expenses of establishing temporary public medical facilities and other measures to increase COVID-19 treatment capacity, including related construction costs.",null,null,null,0]
[null,"1c. Costs of providing COVID-19 testing, including serological testing.",null,null,null,0]
[null,"1d. Emergency medical response expenses, including emergency medical transportation, related to COVID-19.",null,null,null,0]
[null,"1e. Expenses for establishing and operating public telemedicine capabilities for COVID-19- related treatment.",null,null,null,0]
[null,"2a. Expenses for communication and enforcement by State governments of public health orders related to COVID-19.",null,null,null,0]
[null,"2b. Expenses for acquisition and distribution of medical and protective supplies, including sanitizing products and personal protective equipment, for medical personnel, police officers, social workers, child protection services, and child welfare officers, direct service providers for older adults and individuals with disabilities in community settings, and other public health or safety workers in connection with the COVID-19 public health emergency.",null,null,null,0]
[null,"2c. Expenses for disinfection of public areas and other facilities, e.g., nursing homes, in response to the COVID-19 public health emergency.",null,null,null,0]
[null,"2d. Expenses for technical assistance to local authorities or other entities on mitigation of COVID-19-related threats to public health and safety.",null,null,null,0]
[null,"2e. Expenses for public safety measures undertaken in response to COVID-19. Expenses for quarantining individuals.",null,null,null,0]
[null,"3. Eligible payroll expenses.",null,null,null,0]
[null,"4a. Expenses for food delivery to residents, including, for example, senior citizens and other vulnerable populations, to enable compliance with COVID-19 public health precautions.",null,null,null,0]
[null,"4b. Expenses to facilitate distance learning, including technological improvements, in connection with school closings to enable compliance with COVID-19 precautions.",null,null,null,0]
[null,"4c. Expenses to improve telework capabilities for public employees to enable compliance with COVID-19 public health precautions.",null,null,null,0]
[null,"4d. Expenses of providing paid sick and paid family and medical leave to public employees to enable compliance with COVID-19 public health precautions.",null,null,null,0]
[null,"4e. COVID-19-related expenses of maintaining state prisons and county jails, including as relates to sanitation and improvement of social distancing measures, to enable compliance with COVID-19 public health precautions.",null,null,null,0]
[null,"4f. Expenses for care for homeless populations provided to mitigate COVID-19 effects and enable compliance with COVID-19 public health precautions.",null,null,null,0]
[null,"5a. Expenditures related to the provision of grants to small businesses to reimburse the costs of business interruption caused by required closures.",null,null,null,0]
[null,"5b. Expenditures related to a State government payroll support program.",null,null,null,0]
[null,"5c. Unemployment insurance costs related to the COVID-19 public health emergency if such costs will not be reimbursed by the federal government pursuant to the CARES Act or otherwise.",null,null,null,0]
[null,"6.     Any other COVID-19-related expenses reasonably necessary to the function of government that satisfy the Fund’s eligibility criteria.",null,null,null,{"$f":"IF(E27=\"Yes\",D27,0)","v":0}]
[null,null,"TOTAL REQUEST:",{"$f":"SUM(D7:D27)","v":0},null,{"$f":"SUM(F7:F27)","v":0}]
[]
[null,"CERTIFICATION STATEMENT"]
[null,"The applicant agency certifies through the undersigned that:"]
[null,"(1) It has read and fully informed itself about the guidance included with this application;"]
[null,"(2) The information being provided by the applicant is complete and accurate; and "]
[null,"(3) The applicant agency will fully comply with all applicable requirements and assurances required under federal and state law, as a condition of receiving such funding."]
[]
[null,null,"NAME                                 ",null,null,"   TITLE"]

{"sheet":"4)Eligible Expenditure","index":4,"n_rows":37,"n_cols":3,"rows_kept":37,"cut":false,"hidden":false,"merged":[[1,1,1,3],[8,2,8,11],[10,2,10,11],[11,2,11,11],[14,2,14,11],[36,1,36,10],[20,1,21,10],[31,1,31,10],[25,2,25,11],[26,2,26,11],[27,2,27,11],[28,2,28,11],[29,2,29,11],[30,2,30,11],[32,2,32,11],[33,2,33,11],[34,2,34,11],[15,2,15,11],[16,2,16,11],[17,2,17,11],[18,2,18,11],[24,2,24,11]]}
[]
[null,"TEAM KENTUCKY"]
[null,"Coronavirus Relief Fund Application For Funding"]
[null,"Examples of eligible expenditures"]
[null,"Eligible expenditures include, but are not limited to, payment for:"]
[]
[null,"1.     Medical expenses such as:"]
[null,"·","1a. COVID-19-related expenses of public hospitals, clinics, and similar facilities."]
[null,"·","1b. Expenses of establishing temporary public medical facilities and other measures to increase COVID-19 treatment capacity, including related construction costs."]
[null,"·","1c. Costs of providing COVID-19 testing, including serological testing."]
[null,"·","1d. Emergency medical response expenses, including emergency medical transportation, related to COVID-19."]
[null,"·","1e. Expenses for establishing and operating public telemedicine capabilities for COVID-19- related treatment."]
[]
[null,"2.     Public health expenses such as:"]
[null,"·","2a. Expenses for communication and enforcement by State governments of public health orders related to COVID-19."]
[null,"·","2b. Expenses for acquisition and distribution of medical and protective supplies, including sanitizing products and personal protective equipment, for medical personnel, police officers, social workers, child protection services, and child welfare officers, direct service providers for older adults and individuals with disabilities in community settings, and other public health or safety workers in connection with the COVID-19 public health emergency."]
[null,"·","2c. Expenses for disinfection of public areas and other facilities, e.g., nursing homes, in response to the COVID-19 public health emergency."]
[null,"·","2d. Expenses for technical assistance to local authorities or other entities on mitigation of COVID-19-related threats to public health and safety."]
[null,"·","2e. Expenses for public safety measures undertaken in response to COVID-19. Expenses for quarantining individuals."]
[]
[null,"3.     Payroll expenses for public safety, public health, health care, human services, and similar employees whose services are substantially dedicated to mitigating or responding to the COVID- 19 public health emergency."]
[]
[]
[null,"4.     Expenses of actions to facilitate compliance with COVID-19-related public health measures, such as:"]
[null,"·","4a. Expenses for food delivery to residents, including, for example, senior citizens and other vulnerable populations, to enable compliance with COVID-19 public health precautions."]
[null,"·","4b. Expenses to facilitate distance learning, including technological improvements, in connection with school closings to enable compliance with COVID-19 precautions."]
[null,"·","4c. Expenses to improve telework capabilities for public employees to enable compliance with COVID-19 public health precautions."]
[null,"·","4d. Expenses of providing paid sick and paid family and medical leave to public employees to enable compliance with COVID-19 public health precautions."]
[null,"·","4e. COVID-19-related expenses of maintaining state prisons and county jails, including as relates to sanitation and improvement of social distancing measures, to enable compliance with COVID-19 public health precautions."]
[null,"·","4f. Expenses for care for homeless populations provided to mitigate COVID-19 effects and enable compliance with COVID-19 public health precautions."]
[]
[null,"5.     Expenses associated with the provision of economic support in connection with the COVID-19 public health emergency, such as:"]
[null,"·","5a. Expenditures related to the provision of grants to small businesses to reimburse the costs of business interruption caused by required closures."]
[null,"·","5b. Expenditures related to a State government payroll support program."]
[null,"·","5c. Unemployment insurance costs related to the COVID-19 public health emergency if such costs will not be reimbursed by the federal government pursuant to the CARES Act or otherwise."]
[]
[null,"6.     Any other COVID-19-related expenses reasonably necessary to the function of government that satisfy the Fund’s eligibility criteria."]

{"sheet":"5)Statutory Requirements","index":5,"n_rows":22,"n_cols":8,"rows_kept":22,"cut":false,"hidden":false,"merged":[[14,1,14,13],[17,1,17,13],[18,1,18,13],[9,1,9,13],[1,1,1,3],[12,1,12,13],[13,1,13,13],[3,5,3,6]]}
[]
[null,"TEAM KENTUCKY"]
[null,"Coronavirus Relief Fund Application For Funding"]
[null,"Eligible Expenditures",null,null,null,"US Treasury Site:",null,"https://home.treasury.gov/policy-issues/cares/state-and-local-governments"]
[null,"The CARES Act provides that payments from the Fund may only be used to cover costs that:"]
[null,"1.    are necessary expenditures incurred due to the COVID-19 public health emergency;"]
[null,"2.    were not accounted for in the budget most recently approved as of March 27, 2020 for the State or government; AND"]
[null,"3.    were incurred during the period that begins on March 1, 2020, and ends on December 30, 2020."]
[]
[null,"The following guidance sets forth Treasury’s interpretation of these limitations on the permissible use of CRF payments."]
[]
[null,"Necessary expenditures incurred due to the public health emergency"]
[null,"The requirement that expenditures be incurred “due to” the public health emergency means that expenditures must be used for actions taken to respond to the public health emergency. These may include expenditures incurred to allow the State government to respond directly to the emergency, such as by addressing medical or public health needs, as well as expenditures incurred to respond to second-order effects of the emergency, such as by providing economic support to those suffering from employment or business interruptions due to COVID-19-related business closures."]
[null,"Funds may not be used to fill shortfalls in government revenue to cover expenditures that would not otherwise qualify under the statute. "]
[null,"The statute also specifies that expenditures using Fund payments must be “necessary.” The Dept. of the Treasury understands this term broadly to mean that the expenditure is reasonably necessary for its intended use in the reasonable judgment of the government officials responsible for spending Fund payments."]
[]
[null,"Costs not accounted for in the budget most recently approved as of March 27, 2020"]
[null,"The CARES Act requires that payments be used only to cover costs that were not accounted for in the budget most recently approved as of March 27, 2020. A cost meets this requirement if either (a) the cost cannot lawfully be funded using a line item, allotment, or allocation within that budget or (b) the cost is for a substantially different use from any expected use of funds in such a line item, allotment, or allocation."]
[null,"The “most recently approved” budget refers to the enacted budget for the relevant fiscal period for the particular government, without taking into account subsequent supplemental appropriations enacted or other budgetary adjustments made by that government in response to the COVID-19 public health emergency. A cost is not considered to have been accounted for in a budget merely because it could be met using a budgetary stabilization fund, rainy day fund, or similar reserve account."]
[]
[null,"Costs incurred during the period that begins on March 1, 2020, and ends on December 30, 2020"]
[null,"A cost is “incurred” when the responsible unit of government has expended funds to cover the cost."]

{"sheet":"Reference Only","index":6,"n_rows":38,"n_cols":2,"rows_kept":38,"cut":false,"hidden":false,"merged":[]}
["EDIT WITH GREAT CARE!"]
[null,"General Eligible Uses"]
[null,"1. MEDICAL EXPENSES. (See Tab 4)"]
[null,"2.  PUBLIC HEALTH EXPENSES. (See Tab 4)"]
[null,"3.  PAYROLL for public safety, public health, health care, human services & similar employees substantially dedicated to mitigating/responding to COVID- 19. (See Tab 4)"]
[null,"4. Expenses of actions for FACILITATING COMPLIANCE COVID-19-related public health measures.  (See Tab 4)"]
[null,"5.  Expenses associated with provision of ECONOMIC SUPPORT in connection with the COVID-19.  (See Tab 4)"]
[null,"6. OTHER COVID-19-related expenses necessary to the function of government. (Explain)"]
[]
[null,"Specific Use of CRF"]
[null,"1a. COVID-19-related expenses of public hospitals, clinics, and similar facilities."]
[null,"1b. Expenses of establishing temporary public medical facilities and other measures to increase COVID-19 treatment capacity, including related construction costs."]
[null,"1c. Costs of providing COVID-19 testing, including serological testing."]
[null,"1d. Emergency medical response expenses, including emergency medical transportation, related to COVID-19."]
[null,"1e. Expenses for establishing and operating public telemedicine capabilities for COVID-19- related treatment."]
[null,"2a. Expenses for communication and enforcement by State governments of public health orders related to COVID-19."]
[null,"2b. Expenses for acquisition and distribution of medical and protective supplies, including sanitizing products and personal protective equipment, for medical personnel, police officers, social workers, child protection services, and child welfare officers, direct service providers for older adults and individuals with disabilities in community settings, and other public health or safety workers in connection with the COVID-19 public health emergency."]
[null,"2c. Expenses for disinfection of public areas and other facilities, e.g., nursing homes, in response to the COVID-19 public health emergency."]
[null,"2d. Expenses for technical assistance to local authorities or other entities on mitigation of COVID-19-related threats to public health and safety."]
[null,"2e. Expenses for public safety measures undertaken in response to COVID-19. Expenses for quarantining individuals."]
[null,"3. Eligible payroll expenses."]
[null,"4a. Expenses for food delivery to residents, including, for example, senior citizens and other vulnerable populations, to enable compliance with COVID-19 public health precautions."]
[null,"4b. Expenses to facilitate distance learning, including technological improvements, in connection with school closings to enable compliance with COVID-19 precautions."]
[null,"4c. Expenses to improve telework capabilities for public employees to enable compliance with COVID-19 public health precautions."]
[null,"4d. Expenses of providing paid sick and paid family and medical leave to public employees to enable compliance with COVID-19 public health precautions."]
[null,"4e. COVID-19-related expenses of maintaining state prisons and county jails, including as relates to sanitation and improvement of social distancing measures, to enable compliance with COVID-19 public health precautions."]
[null,"4f. Expenses for care for homeless populations provided to mitigate COVID-19 effects and enable compliance with COVID-19 public health precautions."]
[null,"5a. Expenditures related to the provision of grants to small businesses to reimburse the costs of business interruption caused by required closures."]
[null,"5b. Expenditures related to a State government payroll support program."]
[null,"5c. Unemployment insurance costs related to the COVID-19 public health emergency if such costs will not be reimbursed by the federal government pursuant to the CARES Act or otherwise."]
[null,"6. Other COVID-19-related expenses."]
[]
[null,"How to Cover if CRF Unavailable"]
[null,"Other CARES Act Funds"]
[null,"Other Federal Funds"]
[null,"General State Funds"]
[null,"Uncertain"]
[null,"Other"]