EXHIBIT A
SURF CITY ADA IMPROVEMENT GRANT PROGRAM
GRANT APPLICATION
This application is for reimbursement of qualifying accessibility improvements under the City of Huntington Beach Surf City ADA Improvement Grant Program. Maximum reimbursement is $10,000 per eligible business, subject to available Program funds and the Program Guidelines.
1. Applicant Information
Legal Business Name: _______________________________________________________ DBA (if applicable): _______________________________________________________ Business Address: _______________________________________________________ Mailing Address (if different): _______________________________________________________ Business Owner: _______________________________________________________ Title: _______________________________________________________ Phone: _______________________________________________________ Email: _______________________________________________________ City of Huntington Beach Business License Number:
_______________________________________________________ Average Number of Employees Over the Past Three Years (or operating period if less than three years):
_______________________________________________________
2. Eligibility
Please confirm each statement:
☐ The applicant is the owner of a small business with an average of 50 or fewer employees over the past three years, or for the period the business has been in operation if less than three years. ☐ The business is located in Huntington Beach and is open to the public. ☐ The business maintains an active City of Huntington Beach business license. ☐ The business and property are in good standing with the City. ☐ The qualifying accessibility improvements required a City permit and received final City inspection approval on or after January 1, 2026.
3. Project and Permit Information
Project/Property Address: _____________________________________________ City Permit Number: _____________________________________________ Final Inspection Approval Date: _____________________________________________ Summary of Accessible Upgrades - Form A attached: ☐ Yes ☐ No Qualifying accessibility improvements completed (check all that apply):
☐ Accessible path of travel
☐ Accessible entrance
☐ Accessible restroom improvements
☐ Accessible counters/service areas
☐ Other qualifying physical accessibility improvements identified through City plan review/permitting:
______________________________
Brief description of completed improvements:
__________________________________________________________________________________________ __________________________________________________________________________________________
4. Project Costs and Reimbursement Request
Contractor/Vendor Description of
Qualifying Work Invoice/Receipt # Amount Paid Amount Requested Total Qualifying Accessibility Improvement Cost: $____________ Total Reimbursement Requested (maximum $10,000): $____________
5. Required Supporting Documentation
☐ Itemized invoices and/or receipts identifying qualifying project costs ☐ Proof of payment for all costs submitted for reimbursement ☐ Photographs of completed qualifying accessibility improvements ☐ City permit/final inspection documentation or job card ☐ Summary of Accessible Upgrades - Form A
☐ Completed IRS Form W-9
☐ Documentation verifying small-business eligibility, if requested by the City
6. Applicant Certification
I certify that all information provided in this application is true and correct and that the improvements for which reimbursement is requested have been completed and received all required City permits and final inspections.
I understand that grant awards are made on a first-come, first-served basis, subject to submission of a complete application, verification of eligibility, availability of Program funds, and approval by the City. Submission of an application does not guarantee funding.
I certify that the costs submitted for reimbursement have not been reimbursed by another public or private funding source.
I understand that the City may verify all information and documentation submitted as part of this application.
Business Owner Signature: ______________________________________ Date: ______________
Business Owner Printed Name: ______________________________________________________________
EXHIBIT B
SURF CITY ADA IMPROVEMENT GRANT PROGRAM
PROGRAM GUIDELINES
1. Program Overview
The City of Huntington Beach (City) established the Surf City ADA Improvement Grant Program (Program) to help eligible small businesses offset the cost of qualifying physical accessibility improvements and create more accessible spaces for the public. The Program is funded through the City’s Disability Access Fund pursuant to California Government Code Section 4467.
The Program provides reimbursement grants of up to $10,000 per eligible business. A total of $500,000 is allocated to the Program. Funding is available on a first-come, first-served basis, subject to available Program funds and satisfaction of all eligibility and documentation requirements.
2. Applicant Eligibility
To be eligible, an applicant must meet all of the following requirements:
• Be the owner of a small business with an average of 50 or fewer employees over the past three years, or for the period the business has been in operation if less than three years. • Be located in Huntington Beach and open to the public. • Maintain an active City of Huntington Beach business license. • Have the business and property in good standing with the City. • Complete qualifying accessibility improvements identified in the Summary of Accessible Upgrades – Form A, which required a City permit and received final City inspection approval on or after January 1, 2026.
The City may require documentation necessary to verify eligibility, including employee-count information, business license status, property status, permits, inspections, and other Program requirements.
3. Eligible Improvements
Eligible improvements are physical accessibility improvements associated with a City permit and verified through the City’s plan review, permitting, and inspection process. Qualifying improvements may include:
• Accessible paths of travel;
• Accessible entrances;
• Accessible restroom improvements;
• Accessible counters and service areas; and
• Other qualifying physical accessibility improvements identified through the City’s plan review and permitting process.
Eligible improvements will be verified through City permit records, including the Summary of Accessible Upgrades - Form A.
4. Eligible Reimbursement Costs
Reimbursement is limited to costs actually incurred and paid by the applicant for qualifying physical accessibility improvements identified in the Summary of Accessible Upgrades – Form A and approved under the Program.
Eligible costs are limited to construction labor, materials, and equipment directly related to and incorporated into the qualifying accessibility improvements. The improvements and associated costs submitted for reimbursement must correspond with the improvements identified in Form A.
Costs must be supported by itemized invoices and/or receipts and proof of payment, along with any additional documentation requested by the City. Design, consulting, permit, inspection, administrative, and other nonconstruction or soft costs are not eligible for reimbursement.
Costs that cannot be adequately documented, do not correspond with the qualifying accessibility improvements identified in Form A, or are otherwise determined ineligible under the Program will not be reimbursed.
5. Grant Amount and Funding
• Maximum reimbursement: $10,000 per eligible business. • Total Program allocation: $500,000.
• Awards are made on a first-come, first-served basis, subject to available Program funds. • Submission of an application does not guarantee an award. • The City will not reimburse costs in excess of the amount approved in the reimbursement agreement.
6. Reimbursement Process
1. Obtain the required City permit for the qualifying accessibility improvements.
2. Complete the qualifying accessibility improvements.
3. Receive final City inspection approval on or after January 1, 2026.
4. Submit a complete Grant Application and all required supporting documentation.
5. City staff reviews the application and verifies applicant eligibility, qualifying improvements, eligible costs, proof of payment, and available funding.
6. If approved, execute a reimbursement agreement with the City.
7. Receive reimbursement for approved eligible costs, up to the amount authorized in the reimbursement agreement and the $10,000 Program maximum.
7. Required Application Documentation
• Completed Grant Application;
• Active City of Huntington Beach business license information; • Documentation verifying small-business eligibility, as requested by the City; • City permit number and documentation of final inspection approval or job card; • Summary of Accessible Upgrades - Form A;
• Itemized invoices and/or receipts identifying qualifying project costs; • Proof of payment for all costs submitted for reimbursement; • Photographs of the completed qualifying accessibility improvements; • Completed IRS Form W-9; and
• Any additional information reasonably requested by the City to verify eligibility or reimbursement.
8. Application Review and Award
Applications will be reviewed and prioritized for funding in the order that complete applications are received. An application will not be considered complete until the City has received all information necessary to determine eligibility and calculate the eligible reimbursement amount. City staff may request additional documentation or clarification.
Approval is subject to applicant eligibility, qualifying improvements, eligible and documented costs, available Program funding, and execution of the City’s reimbursement agreement. The Community Development Director, or designee, is authorized to administer the Program and execute reimbursement agreements and related documents with eligible applicants for individual awards not to exceed $10,000.
9. Tax Information
Grant funds may be considered taxable income. Grantees are responsible for any applicable federal, state, or local tax obligations. The City will issue applicable tax documentation as required. Applicants should consult their tax advisor regarding their individual circumstances.
10. Program Administration
The City reserves the right to interpret these Program Guidelines, request additional documentation, determine whether an improvement or cost is eligible, and deny or reduce a reimbursement request that does not satisfy Program requirements. Program funding is limited and applications may be closed when available funds are exhausted.
Program expenditures and financial assistance provided to small businesses will be included in the City’s annual reporting to the Division of the State Architect, as required by California Government Code Section 4467.
11. Compliance and Applicant Responsibility
Participation in the Program does not constitute a representation or warranty by the City that a business or property complies with all applicable federal, state, or local accessibility requirements. Applicants remain responsible for compliance with all applicable laws, codes, regulations, permit requirements, and conditions of approval.
12. Program Contact
City of Huntington Beach - Community Development Department (Economic Development) 2000 Main Street, Huntington Beach, CA 92648
Program Contact: Kriss Casanova; [email protected]; 714.536.5547