ON-ROAD HEAVY-DUTY TRUCK APPLICATION

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CARL MOYER MEMORIAL AIR QUALITY STANDARDS ATTAINMENT PROGRAM ON-ROAD HEAVY-DUTY TRUCK APPLICATION Revised 08/2016 1 of 11

CARL MOYER RURAL ASSISTANCE PROGRAM Instruction Sheet The California Air Pollution Control Officers Association (CAPCOA) is offering additional assistance through the Carl Moyer Grant Program to applicants located in rural air districts in California. To apply, please fill out the application as completely as possible, as this will expedite our processing. Below is a checklist of items that must be included when submitting an application. Total Funding Amount Requested Application is Signed and Dated Itemized Vendor Quote (within the last 12 months) Executive Order for New Engine (if applicable) http://www.arb.ca.gov/html/eo.htm You will be notified of receipt of your application as to its completeness. If more information is needed, we will contact you directly. All information necessary for completing this application is available in the 2011 Carl Moyer Program Guidelines, which can be viewed at: www.arb.ca.gov/msprog/moyer/guidelines/current.htm Completed applications may be submitted via mail, e-mail, or fax (information below). Method Mail E-mail Fax Deliver To CAPCOA Moyer RAP 1107 Ninth Street, Suite 1005 Sacramento, CA 95814 josh@capcoa.org (916) 441-5708 For assistance or questions regarding the application, please contact Josh Lowe, Air Quality Specialist at (916) 441-5700 or e-mail him at josh@capcoa.org. The deadline to submit an application is March 16th 2 of 11

ON-ROAD HEAVY-DUTY TRUCK APPLICATION ELIGIBILITY CRITERIA Please print clearly or type all information on this application and on all attachments. Fill out one application for each engine or piece of equipment. All information necessary for completing the application is available in the 2011 Carl Moyer Program Guidelines. This document can be viewed at: http://www.arb.ca.gov/msprog/moyer/guidelines/current.htm Eligibility Criteria To be eligible for funding, projects must meet the criteria described in the 2011 Carl Moyer Program Guidelines and all current Carl Moyer Program Advisories. These criteria include but are not limited to the following: Emission reductions obtained through Carl Moyer Program projects must not be required by any federal, state or local regulation, memorandum of agreement/understanding with a regulatory agency, settlement agreement, mitigation requirement, or other legal mandate. Projects must meet a cost-effectiveness of $18,260 per weighed ton of NOx, Reactive Organic Gases (ROG), and Particulate Matter (PM10) reduced calculated in accordance with the cost-effectiveness methodology in Appendix C of the 2011 Guidelines. All state funds plus any other funds under a district s budget authority or fiduciary control contributed toward a project must be included in the cost-effectiveness calculation. Projects must have a minimum project life of three years, except for engines subject to the Stationary Diesel In-Use Agricultural Engine Airborne Toxic Control Measure (ATCM), which must have a minimum project life of one year. Maximum project life for on-road projects: Buses > 60,001 gross combined weight or gross vehicle weight (GVW) New School buses 33,001 GVW New School buses 33,000 GVW or Other On-road New Repower Only (No Retrofit) School bus Electric Conversions Repowers + Retrofits Retrofits 12 years 20 years 10 years 7 years 5 years 5 years 5 years No emission reductions generated by the Carl Moyer Program shall be used as marketable emission reduction credits, or to offset any emission reduction obligation of any person or entity. No project funded by the Carl Moyer Program shall be used for credit under any federal or state emission averaging banking and trading program. Funded projects must have at least 75 percent of their total activity for the project life in California. Emission reduction technologies must be certified/verified by the Air Resources Board (ARB) for sale in California and must comply with durability and warranty requirements. Revised 08/2016 3 of 11

ON-ROAD HEAVY-DUTY TRUCK APPLICATION ELIGIBILITY CRITERIA For the purposes of the Carl Moyer Program, a technology granted a conditional certification/verification by ARB is considered certified/verified. ARB has adopted many fleet rules that effect on-road heavy-duty diesel-fueled vehicles. There are limited funding opportunities for vehicles subject to these rules. The first step in evaluating Moyer eligibility is determining whether an engine or project type is subject to a rule: Table 4-1 Summary of On-Road Heavy-Duty Funding Opportunities Vehicle Type Subject to ARB Fleet Rule More Funding Opportunities 1 Urban Buses Fleet Rule for Transit Very limited opportunity Transit Fleet Vehicles Solid Waste Collection Vehicles, excluding transfer trucks Agencies 2 Solid Waste Collection Vehicle Regulation 3 Very limited opportunities for oxides of nitrogen (NOx) Transport Refrigeration Units (TRU) Auxiliary Power Units (APU) Municipal Vehicles and Utility Vehicles Drayage Trucks Most other On-Road Heavy-Duty Vehicles TRU Air Toxic Control Measure (ATCM) 4 Idling ATCM 5 Fleet Rule for Public Agencies and Utilities 6 Drayage Truck Regulation 7 Statewide Truck & Bus Regulation 8 Very limited opportunity Very limited opportunity; zero emission projects only Low-population counties some opportunity through 2017 High-population very limited opportunity Very limited opportunity Limited opportunity for fleets with ten vehicles or less 1 Limited opportunities means a fleet s compliance status with the ARB regulation must be determined. Contact air district Carl Moyer Program staff or consult fleet rule Carl Moyer Implementation Charts at: http://www.arb.ca.gov/msprog/moyer/guidelines/supplemental-docs.htm in addition to these guidelines. 2 Fleet Rule for Transit Agencies: http://www.arb.ca.gov/msprog/bus/bus.htm 3 Solid Waste Collection Vehicle Regulation: http://www.arb.ca.gov/msprog/swcv/swcv.htm 4 TRU Air Toxic Control Measure (ATCM): http://www.arb.ca.gov/regact/trude03/fro1.doc 5 Idling ATCM: http://www.arb.ca.gov/regact/hdvidle/frorev.pdf 6 Fleet Rule for Pubic Agencies and Utilities: http://www.arb.ca.gov/msprog/publicfleets/publicfleets.htm 7 Drayage Truck Regulation: http://www.arb.ca.gov/msprog/onroad/porttruck/porttruck.htm 8 Statewide Truck & Bus Regulation: http://www.arb.ca.gov/msprog/onrdiesel/onrdiesel.htm Revised 08/2016 4 of 11

ON-ROAD HEAVY-DUTY TRUCK APPLICATION ELIGIBILITY CRITERIA Project Types: Taking the above table into consideration, the following categories may be eligible for funding: 1. Truck Replacement Projects (Fleet Modernization and On-Road VIP): The replacement of an older, dirtier truck with a newer, cleaner one. Most funding opportunities for on-road heavy-duty trucks are available for trucks in fleets of ten or fewer trucks through Fleet Modernization or On-Road VIP. The existing engine must be model year 2006 or older. Please see Chapter 5 for Fleet Modernization guidelines or the On-Road VIP Guidelines at www.arb.ca.gov/msprog/moyer/voucher/voucher.htm. 2. New Vehicle Purchase: The purchase of new vehicles with engines cleaner than those required by law. Funding opportunities in this source category will be limited due to the lack of availability of new vehicles with engines certified below the 0.20 grams per brake horsepower (g/bhp-hr) NOx emissions standard. 3. Repower Existing Vehicle: Repower with an engine cleaner than that currently in the vehicle. Due to technological constraints presented with newer engines fitting into older chassis, funding opportunities are limited. 4. Retrofit Purchase: The installation of a verified diesel emission control strategy. Diesel particulate filters are required for most on-road heavy-duty diesel vehicles in California, either as original equipment manufacturer (OEM) equipment in new trucks or through phased compliance schedules for older trucks complying with ARB rules and regulations. Funding is limited to retrofits that provide early or extra emission reductions to the regulations. 5. Transport Refrigeration Units (TRU): Due to the Air Toxic Control Measure (ATCM) that sets in-use performance standards for TRUs, projects available for funding are limited. 6. Idling Reduction: Idling reduction projects include electric auxiliary power units (APU), as well as truck stop electrification for both on-board and off-board infrastructure. Funding is limited to projects that provide emission reductions beyond what is required by regulation, such as zero emission technologies. 7. Electric Conversion: the replacement of a fossil-fueled engine and drivetrain with an all-electric motor and drivetrain. Revised 08/2016 5 of 11

A. APPLICANT INFORMATION 1. Company name/ Organization name/ Individual name: 2. Business type: 3. Contact name and title: 4. Business mailing address and contact information: Street: City: State: Zip Code: c. Phone: ( ) Ext: d. Fax: ( ) e. E-mail: 5. Person with contract signing authority (if different from above): 6. How many vehicles/engines/retrofits are being applied for? 7. Total funding amount requested in this application: B. FUNDING DISCLOSURE 1. Have any engines or vehicles listed in this application applied for or have been awarded Carl Moyer Program funding or other grants? Yes No 2. If yes, complete the following for each engine or vehicle: a. Agency applied to: b. Date/Number of Agency Solicitation: c. Funding Amount Requested: d. Baseline Engine Serial Number: e. Status of Application: 6 of 11

I hereby certify that all information provided in this application and any attachments are true and correct. Printed Name of Responsible Party: Signature of Responsible Party: Title: Date: Third Party Certification I have completed the application, in whole or in part, on behalf of the applicant. Printed Name of Third Party: Title: Signature of Third Party: Date: Amount Being Paid for Application Completion in Whole or Part: Source of funding to Third Party: 7 of 11

For each engine or vehicle, please complete sections C, D, E, F, G, and H (as appropriate). Please include project cost documentation including vendor quotes and other substantiating data to support cost estimates provided in this application. C. PROJECT ACTIVITY INFORMATION 1. Project name: 2. Project address (if different from business address): Street: City: State: Zip Code: 3. Annual Hours of Operation: 4. Total Annual Miles Traveled or Gallons of Fuel Consumed (specify): 5. Percent Operation in California: 6. List counties in California in which the vehicle operates and percent of operation in each: 7. Project Life: Maximum Other: years Maximum Project Life Buses > 60,001 GVWR New 12 years Other On-road New 10 years Repower Only (No Retrofit) 7 years Repowers + Retrofits 5 years Retrofits 5 years D. Electronic Monitoring Unit (EMU) 1. Will a new eligible EMU be installed as part of this project? Yes No 2. If yes, complete the following for each engine or vehicle: a. EMU Make: b. EMU Model: c. EMU Year: d. EMU ID Number: e. EMU Cost: 8 of 11

E. EXISTING VEHICLE INFORMATION (Fill out for each piece of equipment) 1. Vehicle Type/Function: 2. Vehicle Make: 3. Vehicle Model: 4. Vehicle Model Year: 5. Vehicle Identification Number (VIN): 6. Vehicle GVWR Class: 7. Vehicle License Plate Number: 8. Department of Transportation Number (if interstate): 9. California Highway Patrol Number: 10. Number of Main Engines on this Vehicle: 11. Vehicle Location: Street: City: State: Zip Code: 12. Engine Family: 13. Engine Make: 14. Engine Model: 15. Engine Model Year: 16. Engine Horsepower: 17. Engine Serial Number: 18. Engine Fuel Type: 19. If the new vehicle has an auxiliary engine, complete the following: Auxiliary Engine a. Make: b. Model: c. Model Year: d. Serial Number: e. Horsepower: f. Tier: g. Fuel: h. Engine family (if applicable): 9 of 11

F. REPOWER (ENGINE REPLACEMENT) PROJECTS 1. Baseline Main Engine a. Engine Family: b. Engine Make: c. Engine Model: d. Engine Model Year: e. Engine Serial Number: 1. Baseline Main Engine Rebuild Cost a. Parts Cost: b. Labor Cost: 3. Reduced-Emission Main Engine a. Engine Family: b. Engine Make: c. Engine Model: d. Engine Model Year: e. Engine Serial Number (if available): f. Fuel Type: 4. ARB Executive Order Number (if Engine Certified to Alt NOx Standard): 5a. Reduced-Emission Main Engine Cost: 6. Baseline Auxiliary Engine a. Engine Family: b. Engine Make: 5b. Reduced-Emission Main Engine Installation Cost: c. Engine Model: d. Engine Model Year: e. Horsepower: f. Engine Serial Number (if available): g. Tier: h. Fuel Type: i. Baseline Aux. Engine Rebuild Cost a. Parts Cost: b. Labor Cost: 7. Reduced-Emission Auxiliary Engine a. Engine Family: b. Engine Make: c. Engine Model: d. Engine Model Year: e. Horsepower: f. Engine Serial Number (if available): g. Tier: h. Fuel Type i. Reduced Emission Engine Cost: j. Auxiliary Engine Installation Cost: 10 of 11

G. RETROFIT PROJECTS 1. ARB-verified Retrofit Device Name: 2. Retrofit Device Make: 3. Retrofit Device Model: 4. Retrofit Device ARB Executive Order Number: 5. Retrofit Device Family: 6. Retrofit Device Serial Number (if available): 7. Verification Level (circle one): LEVEL1 LEVEL 2 LEVEL 3 a. ARB-Verified NOx Reduction (%): b. ARB-Verified PM Reduction (%): c. ARB Verified ROG Reduction (%): 8. Retrofit Device Cost: 9. Cost of Retrofit Installation: 10. Cost of Retrofit Maintenance for Project Life: H. FUNDING AMOUNT REQUEST 1. Total Amount Requested for this Piece of Equipment (Not to exceed $100,000): Submit your application, Executive Order, and vendor quotes by mailing to: CAPCOA Moyer RAP 1107 Ninth Street, Suite 1005 Sacramento, CA 95814 11 of 11