HDT Business Partner Application

HDT Business Partner Program Benefits – By completing the online application below, you become eligible for the following benefits:

Access to regular free COVID-19 testing for business employees
Access to free Personal Protective Equipment (PPE) (e.g. masks, gloves, hand sanitizer, etc.)
Access to grant funds to reimburse eligible expenditures for public health related improvements
Access to gift card incentives to recognize employees and patrons for excellent public health practices
Marketing support including but not limited to:
- Marketing materials/signage (including HDT window decal, storefront signage, and a toolkit with social media assets, promotional copy for newsletters, and banners for websites)
- Features of participating businesses in HDT Partner advertising and social media
Procurement of goods and services from participating businesses to support HDT programs
Access to expertise provided by a UC Davis public health specialist and other technical assistance

HDT Business Partners Program Requirements – by signing this agreement you are confirming that your business satisfies all of the following criteria:

Your business operates in the City of Davis
You possess an active business license from the City of Davis
Your business is in compliance with applicable zoning, permit, and code requirements
Your business is current on City of Davis bills and obligations
Your business is not subject to any liens or judgments by the City of Davis or Yolo County
You agree to adhere to current public service mandates and guidelines as applicable to your type of business
You agree to provide requested data related to distributing and tracking gift incentives (cards/certificates
You agree to submit required accounting related to grant reimbursement and gift incentives
You regularly provide photos, quotes, video, and stories related to the program for use in HDT media (e.g. photos of customers receiving gift incentives)
You encourage and provide the opportunity for all employees to be tested regularly for COVID-19 through the free HDT testing program
You encourage and provide information to all employees regarding use of California COVID Notify exposure notification smart phone application
You complete and submit a short monthly program survey
You allow HDT Partners representatives (e.g. Business Ambassadors and Program Coordinators) to regularly visit and inspect business to assist with compliance
You agree to participate in HDT Partners marketing

Business Name*
Business Address*
Street Address Address Line 2 City ZIP Code
Primary Business Phone Number*
Owner Name*
Owner Contact Phone*
Owner Email*
General Manager Name
General Manager Contact Phone
General Manager Email
City of Davis Business License Number*
Business License Date*
MM
DD
YYYY
Total Number of Employees*
Are you a “consumer facing” business (i.e. do you have walk-in customers)?*
- Yes
- No
Are you a professional office open by appointment only?*
- Yes
- No
Do you operate your business from your home?*
- Yes
- No
Does your business offer curbside pickup/service for customers?*
- Yes
- No
Does your business serve age-restricted products or services that require an ID to purchase?*
- Yes
- No
What are your peak business hours (large # of customers):*
What are your daily hours of operation? (e.g. 9-6 or 10-7)*
Sun Mon Tue Wed Thu Fri Sat
Are you closed for business during any portion of any day (e.g. from 12:00 to 1:00pm for lunch)? Please provide details.*
Does your business face any unique circumstances related to operating successfully under COVID-19 restrictions? Please explain?*
By signing below I attest that I have read and understood this form, the information I have provided about my business is true and correct, and I agree to comply with the requirements described above:
Business Name*
Authorized Business Representative*
First Last
Title*

Sun	Mon	Tue	Wed	Thu	Fri	Sat