West Oakland Zero-Emission Grant Program Application (Round 4) 

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WEST OAKLAND ZERO-EMISSION GRANT PROGRAM

GRANT APPLICATION

                                                                                                                                                                   




To apply for Round 4 of the West Oakland Zero-Emission Grant Program, please complete this form and attach the necessary documents, then mail one copy of the of the attached documents and a completed W-9 form to: 


Bay Area Air Quality Management District

ATTN: SID/West Oakland Zero Emission Grant Program

375 Beale Street, Suite 600

San Francisco, CA 94105


W-9 forms can be found on the IRS website at: https://www.irs.gov/pub/irs-pdf/fw9.pdf 


This application works best using Google Chrome or Mozilla Firefox browsers. Please do not use the backward/forward button of the browser to navigate through the application; this will cause data to be lost. Instead, click on the page numbers on the upper right of the page or use the buttons on the bottom to go to the desired page.


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CONTACT INFORMATION







Who should we contact about this application?





$
.00
$1,500,000 max


Attachments

The Project Description should list the type and quantity of vehicles and/or equipment being purchased or replaced, describe where, how, and how much (in terms of miles travelled or hours operating) the new vehicles or equipment will be used, and list the percent of miles driven or time operating in the Eligible Areas for each new vehicle or piece of equipment. The Project Description should not exceed one page.

Include: i. Specifications, including engine/vehicle model year, horsepower or kilowatt, gross vehicle weight rating (GVWR); ii. Planned use/operation of the new vehicles or equipment (mileage, hours of operation) including route maps for vehicles operating in a fixed-route service, and percentage in in each of the Eligible Areas; iii. Fuel consumption data for comparable petroleum- or natural gas-fueled vehicles or equipment.

For vehicles, include: i. Specifications, including engine/vehicle model year, horsepower or kilowatt, gross vehicle weight rating (GVWR), and a copy of the Executive Order for the engine (see: https://www.arb.ca.gov/msprog/onroad/cert/cert.php); ii. Odometer readings, annual vehicle miles travelled and hours of operation for the previous 24 months or fuel consumption logs; iii. Documentation of California DMV title/registration: iv. Documentation showing the vehicles are in operational or roadworthy condition such as CHP Biennial Inspection of Terminals (BIT) documentation.       For equipment, include: i. Specifications, including engine/vehicle model year, horsepower or kilowatt, and a copy of the Executive Order for the engine if available (see: https://www.arb.ca.gov/msprog/onroad/cert/cert.php); ii. Documentation as proof of ownership; iii. Operational logs, maintenance record, or fuel consumption logs.

A budget including a line-item estimate for each vehicle or piece of equipment with delivery date. A cost quote from a dealer or vendor must be provided and will be used during the evaluation phase. Project Sponsors may select a different dealer or vendor after a funding award is made, as long as there is no change to the Project Scope.

The amount and source(s) of match funds and documentation confirming that match funds have been secured.


Either: a) a signed letter of commitment from the applicant’s representative with authority (e.g., Chief Executive or Financial Officer, Executive Director, or City Manager); or b) a signed resolution from the governing body (e.g., City Council, Board of Supervisors, or Board of Directors).



Optional: Please provide any supporting documentation to substantiate claims made in the application.

Questions or Issues? Please contact us by email at grants@baaqmd.gov or by phone at 415-749-4994.

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By checking each box and signing below, I certify that:

Yes


 

Signed:                                        ___________________________________________   Date: ____________

                                   (Authorized Representative of Applicant)


Reminder: To complete the application process, you must mail one signed hard copy of the application along with any required supporting documentation to:

Bay Area Air Quality Management District
Strategic Incentives Division
Attn: Chengfeng Wang
375 Beale Street, Suite 600
San Francisco, CA 94105

By clicking the "PREVIEW AND PRINT" button below, you will be able to (1) preview your application, and (2) print one hard copy of your application to be mailed or delivered to the Air District.

Applicants must print a copy of the application prior to clicking "CONFIRM." After you have printed a copy, click the "CONFIRM" button to submit the application.