Each year, usually during National Preservation Week in May, the commission presents awards for restoration, rehabilitation, and new construction projects that the commission feels warrant recognition. Nominations are accepted from the public each year until March 31.
The commission replaced and rededicated a memorial bench overlooking burial grounds for residents of the Northampton State Hospital who were interred in unmarked graves. Members of the commission are working with other community volunteers appointed by the Citizens Advisory Committee (CAC) to memorialize Northampton State Hospital, its buildings, patients, and staff; one notable component of the memorialization is to refurbish the Victorian fountain which, was located in front of the building known as "Old Main."
Other commission projects include completing the Downtown Florence Historical Survey and compiling a registry of public monuments. The commission encourages and reviews applications for funding submitted to the Community Preservation Committee, when those applications are for projects relating to historic resource preservation.