| U. S. Environmental Protection Agency | ||
| Clean School Bus (CSB) Grant Program | ||
| Supplemental Application Template | ||
| Burden Statement for EPA Form 5900-680 | ||
| This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2060-NEW). Responses to this collection of information are voluntary (2 CFR 200 at 2 CFR 1500). An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The public reporting and recordkeeping burden for this collection of information is estimated to be 7.4 hours per response. Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates and any suggested methods for minimizing respondent burden to the Regulatory Support Division Director, U.S. Environmental Protection Agency (2821T), 1200 Pennsylvania Ave., NW,Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address. | ||
| Instructions | ||
| Per the CSB Notice of Funding Opportunity (NOFO), applicants should use the “Other Attachments” Form in Grants.gov to upload an .xls or .xlsx file and submit the Applicant Fleet Sheet. The purpose of the Applicant Fleet Description (also known as the Applicant Fleet Sheet) is to describe in detail the specific vehicles targeted for emissions reductions as well as installation of charging equipment to be implemented under the proposed project. Information provided in the Applicant Fleet Sheet will be used to help determine project eligibility and for evaluation purposes. Applicants are encouraged to use the sample format for the Applicant Fleet Sheet found at: www.epa.gov/cleanschoolbus. Please only update information for the specific quarter in which this fleet sheet is being submitted. Applicants only need to fill out shaded cells highlighted blue with a diagonal pattern (///). Please complete tabs in this workbook according to the instructions below. |
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| Excel Workbook Tab | Definition | |
| 1. Instructions | Basic instructions for all worksheets in this reporting workbook. | |
| 2. Fleet Description | The Fleet Description should detail all vehicles impacted under the project. Please only fill out shaded cells highlighted blue with a diagonal pattern (///). For third-party applicants, please list ALL school districts in this one worksheet. You do NOT need to make a separate worksheet for each school district. This Fleet Description is broken into two sections: 1) Current Vehicle Information and 2) New Vehicle Upgrade Information. The sheet has capacity for 100 vehicles. Please refer to the Fleet Description data definitions on tab 4 (Data Dictionary) for additional guidance on each field. | |
| 3. EV Infrastructure | The EV Infrastructure Description should detail all electric vehicle supply equipment (EVSE) and supporting infrastructure purchased under the project. For third-party and large school districts applicants, the EV Infrastructure needs to be listed by school district and/or city. That is, if School District A and School District B are procuring the same EVSE, the EVSE Equipment Information with appear as two separate EV Infrastructure Groups. Similarly, for large school districts, if EV infrastructure is being installed in two different locations, the EVSE equipment information needs to appear as two separate EV Infrastructure Groups. The EV Infrastructure worksheet should be updated quarterly as EVSEs are procured and installed. Please only fill out shaded cells highlighted blue with a diagonal pattern (///); however, additional rows may be add as needed to capture all EVSEs. Please refer to the EV Infrastructure data definitions on Tab 4 (Data Dictionary) for data field definitions. Reminder: All Level 2 EVSEs must be ENERGY STAR certified. All EVSE must comply with Build America, Buy America (BABA) requirements. | |
| 4. Data Dictionary | Please refer to the dictionary on this tab for support in completing the Fleet Description (Tab 2) and EV Infrastructure (Tab 3). | |
| U. S. Environmental Protection Agency | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Clean School Bus (CSB) Grant Program | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Fleet Description | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Instructions | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| The Fleet Description should detail all vehicles impacted under the project. The Fleet Description should be updated semi-annually with all vehicle upgrades completed. Please only fill out shaded cells highlighted blue with a diagonal pattern (///). For third-party applicants, please list ALL school districts in this one worksheet. You do NOT need to make a separate worksheet for each school district. This Fleet Description is broken into two sections: 1) Current Vehicle Information and 2) New Vehicle Upgrade Information. The sheet has capacity for 100 vehicles. Please refer to the Fleet Description data definitions on tab 11 (Data Dictionary) for additional guidance on each field. |
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| Table 1. CURRENT VEHICLE INFORMATION | Table 2: NEW REPLACEMENT VEHICLE INFORMATION | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Table 1a. Basic Vehicle Information | Table 1b. Basic Fleet Information & Place(s) of Performance | Table 2a. Upgrade Vehicle Information | Table 2b. New Vehicle Annual Activity Data | Table 2c. Zero Emission Vehicle Data | Table 2d. New Vehicle Fleet Information | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Primary Place of Performance | Secondary Place of Performance (please complete if applicable) | Additional Location Details (please complete if applicable) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Vehicle | Vehicle Identification Number | Vehicle Manufacturer | Vehicle Model | Baseline Vehicle Model Year | Baseline Engine Fuel Type | Engine Family Name (if unregulated, then NA) | GVWR | Class | Odometer (in miles) | Annual Miles Traveled (miles per vehicle) | Annual Idling Hours (hours per engine) | Annual Amount of Fuel Used (gallons/year per engine) | Remaining Life of Baseline Engine/Vehicle | Vehicle Disposition/Replacement Process | Did the applicant request a scrappage waiver? | Current Fleet Owner | Place of Performance: School District | Place of Performance: NCES ID | Place of Performance: State | Place of Performance: County | Percentage of Time operated in this County (Enter a value from 0-1, where 1 = 100%) |
Place of Performance: City | Place of Performance: Zip Code(s) | Place of Performance: School District_2 | Place of Performance: NCES ID_2 | Place of Performance: State_2 | Place of Performance: County_2 | Percentage of Time operated in this County (Enter a value from 0-1, where 1 = 100%)_2 |
Place of Performance: City_2 | Place of Performance: Zip Code(s)_2 | Additional Counties where Vehicle Operates | Additional School Districts where Vehicle Operates (Name & NCES ID) | Percent of Time Operated in Each Additional County | Year of Upgrade Action | VIN for New Vehicle(s) | New Vehicle Manufacturer | New Vehicle Model | New Vehicle Model Year | New Engine Family Name | New Vehicle Fuel Type | New Vehicle GVWR | Upgrade Cost per Bus | Total Federal Funds Expended Per Bus ($ of Total Cost per Unit) | New Vehicle Annual Idling Hours (hours per vehicle) | New Vehicle Annual Miles Traveled (miles per vehicle) | New Vehicle Annual Fuel Volume (estimated gallons/year for propane or CNG only) | New Vehicle Equipped with Auxiliary Heater? (Yes/No) | Auxiliary Heater Type (if not applicable, then NA) | Capable of Bidirectional Charging? (Yes/No/NA) | Estimate Range in Miles (for ZEV only) | Battery Capacity in kWh (for ZEV only) | Is the Battery Warranty Included? (Yes/No) | Battery: indicate Number of Years | Battery: Number of Miles | Battery: Total kWh of battery discharge | Powertrain Warranty Included? (Yes/No) | Powertrain: Number of Years | Powertrain: Number of Miles | Is the bus equipped with Telematics? (Yes/No) | EPA or its partners may contact me about participating in research opportunities to provide bus or EVSE data that could inform future transportation work. (Yes/No) | If Yes, Telematics Primary Point of contact (Name and email) | New Vehicle Fleet Owner | Does this bus operate in multiple school districts within this project? (Yes/No) | Place of Performance Replacement: School District (use a colon between school districts) | Place of Performance Replacement: NCES ID (use a colon between school districts) | Does this bus operate in multiple counties? (Yes/No) | % of Time Replacement operated in each County (use a colon between school districts) |
| Example Vehicle | 1234567891011 | Manufacturer Name | Model Name or # | 1995 | Diesel | N/A | 10150 | Class 6 | 140000 | 12000 | 1500 | 6000 | 3 | Approved Scrappage Waiver | Yes - waiver request rejected | Sarah Smith | Warren 01 | 123456 | SC | Marion County | 100% | Springhill | 22190 | 100% | 2023 | 1234567890ABCDE | Manufacturer Name | Model Name or # | 2023 | ABC | Electric | 12000 | $375,000.00 | $325,000.00 | N/A | 12000 | N/A | Yes | Spheros Thermo 300 | Yes | 125 | 168 | Yes | 8 | 160,000 | 200,000 | Yes | 4 | 100,000 | Yes | Yes | Sarah Smith, [email protected] | Sarah Smith | Yes | Warren 01: Jefferson 02 | 123456: 654321 | Yes | Warren 80%: Jefferson 20% | |||||||||
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| U. S. Environmental Protection Agency | ||||||||||||||||||||||||||||||||
| Clean School Bus (CSB) Grant Programs Fleet Sheet | ||||||||||||||||||||||||||||||||
| EV Infrastructure Description | ||||||||||||||||||||||||||||||||
| Instructions | ||||||||||||||||||||||||||||||||
| Below are three tables (3-5). Please complete all three. The EVSE Equipment Information (Table 21) should detail all electric vehicle supply equipment (EVSE) and supporting infrastructure purchased under the project. Table 3 focuses on on-site power generation systems and Table 4 on battery storage systems. For all three tables, third-party and large school districts applicants, the infrastructure needs to be listed by school district and/or city. That is, if School District A and School District B are procuring the same EVSE, the EVSE will appear as two separate EVSE Groups. Similarly, for large school districts, if EVSE are being installed in two different locations, the EVSE needs to appear as two separate EVSE Groups. The EV Infrastructure worksheet should be updated semi-annually as EVSEs and supporting infrastructure are procured and installed. Please only fill out shaded cells highlighted blue with a diagonal pattern (///); however, additional rows may be add as needed to capture all equipment. Please refer to the EV Infrastructure data definitions on Tab 11 (Data Dictionary) for data field definitions. Reminder: All Level 2 EVSEs must be ENERGY STAR certified. All EVSE, on-site power generation systems, and battery energy storage systems (BESS) must comply with Build America, Buy America (BABA) requirements. See below for more information on BABA. | ||||||||||||||||||||||||||||||||
| Build America, Buy America (BABA) requirements | ||||||||||||||||||||||||||||||||
| On November 15, 2021, the Infrastructure Investment and Jobs Act ("IIJA"), Pub. L. No. 117-58, which includes the Build America, Buy America Act (BABA), Public Law 117-58, §§ 70901-52, was signed into law. BABA requires that on or after May 14, 2022, all of the iron, steel, manufactured products, and construction materials used in infrastructure project are produced in the United States. If award recipient will be installing, upgrading, or replacing “infrastructure,” then BABA requirements apply to the infrastructure project, regardless of whether or not the infrastructure project was the primary basis for the award. Additionally, BABA requirements apply even if the award recipient will be using another source of funding, whether in part or wholly, for the infrastructure project. For more information, please visit https://www.epa.gov/cwsrf/build-america-buy-america-baba. | ||||||||||||||||||||||||||||||||
| Table 3. EVSE Equipment Information | Location of EV Infrastructure | School District Information | Infrastructure Installation Information | |||||||||||||||||||||||||||||
| Type of Charger | If Level 2, is it ENERGY STAR certified | EVSE Manufacturer | EVSE Model | EVSE Manufacture Year | Is the EVSE BABA Compliant? | EVSE Maximum Output Power (kW) | Number of Plugs on EVSE | Is the EVSE Capable of Bidirectional Charging? | Will the Bus and EVSE be Used for V2G? | EVSE Number of Units | EVSE Equipment Cost only Per Unit: | Total Federal Funds Expended Per EVSE Unit | Total Federal Funds Expended for EVSE | Date of EVSE Installation (mm/dd/yyyy) | State (select from dropdown) |
County (select from dropdown after selecting State) |
City | Zip Code | Street Adress | Who owns the charger? | Does the EVSE serve multiple school districts within this application? | Name of the School District(s) the EVSE will serve (use a colon between school districts) | NCES ID of School District that the EVSE will serve (use a colon between school districts) | Total Funds Expended Installation Cost | Total Federal Funds Expended Installation Cost: | Does the Infrastructure Equipment Cost Include Installation? | Description of Installation Work | Installation Work Performed By | Installation was conducted by an individual who meets the infrastructure electrician requirements as outlined in the program guidance? | Is waiver being used to fulfill BABA compliance for the Infrastructure Project | Total Federal Funds Expended Equipment and Installation | |
| Example EV Infrastructure | Level 2 | Yes | Manufacturer Name | Model Name | 2023 | Yes | 24 | 2 | No | No | 2 | $16,000.00 | $12,000.00 | $24,000.00 | 6/28/2024 | VA | Arlington County | Alexandria | 22305 | 400 1st Street | Walton School District | Yes | Walton School District: Franklin School District | 1234567: 7654321 | $12,000.00 | $7,000.00 | No | Upgrades to the electrical panel, wiring, and installation for two DCFC | XYZ Electric Co. | Yes - Certification from EVITP | No - Infrastructure meets all BABA requirements | $31,000.00 |
| EVSE Group 1 | $- | $- | ||||||||||||||||||||||||||||||
| EVSE Group 2 | $- | $- | ||||||||||||||||||||||||||||||
| EVSE Group 3 | $- | $- | ||||||||||||||||||||||||||||||
| EVSE Group 4 | $- | $- | ||||||||||||||||||||||||||||||
| EVSE Group 5 | $- | $- | ||||||||||||||||||||||||||||||
| EVSE Group 6 | $- | $- | ||||||||||||||||||||||||||||||
| EVSE Group 7 | $- | $- | ||||||||||||||||||||||||||||||
| EVSE Group 8 | $- | $- | ||||||||||||||||||||||||||||||
| EVSE Group 9 | $- | $- | ||||||||||||||||||||||||||||||
| EVSE Group 10 | $- | $- | ||||||||||||||||||||||||||||||
| EVSE Group 11 | $- | $- | ||||||||||||||||||||||||||||||
| EVSE Group 12 | $- | $- | ||||||||||||||||||||||||||||||
| EVSE Group 13 | $- | $- | ||||||||||||||||||||||||||||||
| EVSE Group 14 | $- | $- | ||||||||||||||||||||||||||||||
| EVSE Group 15 | $- | $- | ||||||||||||||||||||||||||||||
| EVSE Group 16 | $- | $- | ||||||||||||||||||||||||||||||
| EVSE Group 17 | $- | $- | ||||||||||||||||||||||||||||||
| EVSE Group 18 | $- | $- | ||||||||||||||||||||||||||||||
| EVSE Group 19 | $- | $- | ||||||||||||||||||||||||||||||
| EVSE Group 20 | $- | $- | ||||||||||||||||||||||||||||||
| EVSE Group 21 | $- | $- | ||||||||||||||||||||||||||||||
| EVSE Group 22 | $- | $- | ||||||||||||||||||||||||||||||
| EVSE Group 23 | $- | $- | ||||||||||||||||||||||||||||||
| EVSE Group 24 | $- | $- | ||||||||||||||||||||||||||||||
| EVSE Group 25 | $- | $- | ||||||||||||||||||||||||||||||
| EVSE Group 26 | $- | $- | ||||||||||||||||||||||||||||||
| EVSE Group 27 | $- | $- | ||||||||||||||||||||||||||||||
| EVSE Group 28 | $- | $- | ||||||||||||||||||||||||||||||
| EVSE Group 29 | $- | $- | ||||||||||||||||||||||||||||||
| EVSE Group 30 | $- | $- | ||||||||||||||||||||||||||||||
| Table 4. On-Site Power Generation Equipment Information | Location of On-site Power Generation Infrastructure | BABA Compliance | ||||||||||||||||||||||||||||||
| Type of energy generation | Manufacturer of On-site Power Generation | Model of On-site Power Generation | Manufacture Year of On-site Power Generation | Generation Capacity of the system (please indicate kW or MW) | Equipment Cost only Per Power Generation System | Total Federal Funds Expended Per Power Generation System | Total Funds Expended Installation Cost | Total Federal Funds Expended Installation Cost | Total Federal Funds Expended Equipment and Installation | Date the On-site Power Generation & Associated Equipment was Manufactured | Date the On-site Power Generation was Installed (mm/dd/yyyy) | Date the On-site Power Generation was Operational (mm/dd/yyyy) | State (select from dropdown) |
County (select from dropdown after selecting State) |
City | Zip Code | Street Adress | Who owns the equipment? | Name of the School District(s) the On-site Power Generation will serve | NCES ID of School District that the On-site Power Generation will serve | Is a waiver being used to fulfill BABA compliance for the On-site Power Generation? | |||||||||||
| Example On-site Power Generation | Solar | Manufacturer Name | Model Name | 2023 | 15 kW | $45,000.00 | $45,000.00 | $7,000.00 | $5,000.00 | $50,000.00 | solar panels: May 2024; wiring: Jan 2024 | 6/27/2024 | 8/28/2024 | VA | Arlington County | Alexandria | 22305 | 400 1st Street | Walton School District | Walton School District | 1234567 | No - Infrastructure meets all BABA requirements | ||||||||||
| On-site Power Generation 1 | $- | |||||||||||||||||||||||||||||||
| On-site Power Generation 2 | $- | |||||||||||||||||||||||||||||||
| On-site Power Generation 3 | $- | |||||||||||||||||||||||||||||||
| On-site Power Generation 4 | $- | |||||||||||||||||||||||||||||||
| On-site Power Generation 5 | $- | |||||||||||||||||||||||||||||||
| On-site Power Generation 6 | $- | |||||||||||||||||||||||||||||||
| On-site Power Generation 7 | $- | |||||||||||||||||||||||||||||||
| On-site Power Generation 8 | $- | |||||||||||||||||||||||||||||||
| On-site Power Generation 9 | $- | |||||||||||||||||||||||||||||||
| On-site Power Generation 10 | $- | |||||||||||||||||||||||||||||||
| Table 5. Battery Energy Storage System (BESS) Equipment Information | Location of BESS Infrastructure | BABA Compliance | ||||||||||||||||||||||||||||||
| Type of Battery | Manufacturer of BESS | Model of BESS | Manufacture Year of BESS | Energy Capacity (please indicate kWh or MWh) | Equipment Cost only Per Unit: | Total Federal Funds Expended Per Unit | Total Funds Expended Installation Cost | Total Federal Funds Expended Installation Cost: | Total Federal Funds Expended Equipment and Installation | Date the BESS & Associated Equipment was Manufactured | Date the BESS Installed (mm/dd/yyyy) | Date the BESS was Operational (mm/dd/yyyy) | State (select from dropdown) |
County (select from dropdown after selecting State) |
City | Zip Code | Street Adress | Who owns the equipment? | Name of the School District the BESS will serve | NCES ID of School District that the BESS will serve | Is a waiver being used to fulfill BABA compliance for the BESS? | |||||||||||
| BESS Example | Lithium-Ion | Manufacturer Name | Model Name | 2023 | 36kWh | $48,000.00 | $20,000.00 | $12,000.00 | $10,000.00 | $30,000.00 | battery: May 2024; wiring: Jan 2024 | 6/27/2024 | 8/28/2024 | VA | Arlington County | Alexandria | 22305 | 400 1st Street | Walton School District | Walton School District | 1234567 | No - Infrastructure meets all BABA requirements | ||||||||||
| BESS Group 1 | $- | |||||||||||||||||||||||||||||||
| BESS Group 2 | $- | |||||||||||||||||||||||||||||||
| BESS Group 3 | $- | |||||||||||||||||||||||||||||||
| BESS Group 4 | $- | |||||||||||||||||||||||||||||||
| BESS Group 5 | $- | |||||||||||||||||||||||||||||||
| BESS Group 6 | $- | |||||||||||||||||||||||||||||||
| BESS Group 7 | $- | |||||||||||||||||||||||||||||||
| BESS Group 8 | $- | |||||||||||||||||||||||||||||||
| BESS Group 9 | $- | |||||||||||||||||||||||||||||||
| BESS Group 10 | $- | |||||||||||||||||||||||||||||||
| Fleet Description Data Fields: Please refer to the following data field dictionary for support in completing tabs 2 and 3 | ||
| 2. FLEET DESCRIPTION | ||
| Current Vehicle Information | ||
| Basic Vehicle Information | ||
| Vehicle Identification Number | Enter the VIN number for each vehicle. | |
| Vehicle Manufacturer | Enter the manufacturer of the existing vehicle. | |
| Vehicle Model | Enter the model of the existing vehicle. | |
| Baseline Vehicle Model Year | Enter the model year of the existing vehicle. | |
| Baseline Engine Fuel Type | Select the type of fuel that is currently being used (prior to upgrade). | |
| Engine Family Name | Enter the Engine Family name of the existing Engine. NOTE: unregulated engines will not have an Engine Family Name. If unregulated, then NA | |
| GVWR | Enter the gross vehicle weight rating (GVWR) of the existing vehicle. | |
| Class | Select from the dropdown menu the bus. | |
| Odometer | Enter the existing bus's current odometer reading, in miles. | |
| Annual Miles Traveled | Enter the average number of vehicle miles traveled per year per vehicle. | |
| Annual Idling Hours | Enter the average number of hours the vehicle idles per year. | |
| Annual Amount of Fuel Used | Enter the amount of fuel used in gallons/year. | |
| Remaining Life of Baseline Vehicle | Enter the remaining life of baseline engine/vehicle in years at the time of the upgrade action. | |
| Vehicle Disposition/Replacement Process | Select a vehicle disposition option. | |
| Did the applicant request a scrappage waiver? | Select the outcome of a scrappage waiver request if applicable. | |
| Basic Fleet Information | ||
| Current Fleet Owner | Enter the first and last name and email address of the individual or organization that owns the fleet. | |
| Place of Performance: School District | Enter the name of the school district in which the bus to be scrapped, sold, or donated has operated in. | |
| Place of Performance: NCES ID | Enter the name of the National Center for Education Statistics (NCES) ID associated with the school district in which the bus to be scrapped, sold, or donated has operated in. If you are unsure of the district's NCES ID, you can search for the district at https://nces.ed.gov/ccd/districtsearch/. | |
| Place of Performance: State | Select the two letter postal code for the state in which the bus to be scrapped, sold, or donated has operated in. | |
| Place of Performance: County(s) | Enter the county in which the bus to be scrapped, sold, or donated has operated. If it has operated in multiple counties, record all and separate using a colon (e.g., Polk: Butler). | |
| Place of Performance: City | Enter the city in which the bus to be scrapped, sold, or donated has operated in. | |
| Place of Performance: Zip Code(s) | Enter the zip code in which the bus to be scrapped, sold, or donated has operated in. If it has operated in multiple zip codes, record all and separate using a colon (e.g., 50190 : 50191). | |
| Percentage of Time operated in each County | Enter the percent of time the bus to be scrapped, sold, or donated has operated in each county. If there is more than one. separate using a colon (Polk - 80%: Butler 20%). | |
| New Replacement Vehicle Information | ||
| Upgrade Vehicle Information | ||
| Year of Upgrade Action: | Enter the year the upgrade happened. | |
| VIN for New Vehicle(s) | Enter the vehicle identification numbers (VIN) of the new vehicle. | |
| New Vehicle Manufacturer: | Enter the manufacturer of the new vehicle. | |
| New Vehicle Model: | Enter the model of the new vehicle. | |
| New Vehicle Model Year: | Enter the model year of the new vehicle. | |
| New Engine Family Name: | Enter the engine family name of the new vehicle. | |
| New Vehicle Fuel Type: | Select the fuel type of the new vehicle. | |
| New Vehicle GVWR: | Enter the gross vehicle weight rating (GVWR) of the new vehicle. | |
| Upgrade Cost per Bus | Enter the cost of vehicle in dollars per unit. | |
| Total Federal Funds Expended Per Bus | Enter the federal funds expended per vehicle in dollars per unit. | |
| New Vehicle Annual Data | ||
| New Vehicle Annual Idling Hours | Enter the new average number of idling hours for the new engine. | |
| New Vehicle Annual Miles Traveled | Enter the average number of vehicle miles traveled per year per new vehicle. | |
| New Vehicle Annual Fuel Volume | Enter the new annual fuel volume, in gallons/year for propane or CNG only. | |
| New Vehicle Equipped with Auxiliary Heater? | Select yes or no to specify whether the vehicle is equipped with an auxiliary heater. | |
| Auxiliary Heater Type | If bus has an auxiliary heater, enter the type. | |
| Zero Emission Vehicle Data | ||
| Capable of Bidirectional Charging? | Select yes or no into the cell to specify whether the vehicle is capable of bidirectional charging. | |
| Estimate Range in Miles (for ZEV only) | Enter the estimated range in miles for the zero-emission vehicle. | |
| Battery Capacity in kWh (for ZEV only) | Enter the battery capacity in kilowatt-hours for the zero-emission vehicle. | |
| Is the Battery Warranty Included? | Select yes or no into the cell to specify whether the vehicle battery warranty is included. | |
| Battery indicate Number of Years | If the battery includes a warranty, indicate the number of years the coverage is valid for | |
| Battery: Number of Miles | If the battery includes a warranty, indicate the number of miles the coverage is valid for | |
| Battery: Total kWh of battery discharge | Enter the total kWh of battery discharge | |
| Powertrain Warranty Included? | Select yes or no into the cell to specify whether a powertrain battery warranty is included. | |
| Powertrain: Number of Years | If the powertrain includes a warranty, indicate the number of years the coverage is valid for | |
| Powertrain: Number of Miles | If the powertrain includes a warranty, indicate the number of miles the coverage is valid for | |
| Is the bus equipped with Telematics? | Select yes or no into the cells it specify whether the vehicle is equipped with telematics. | |
| EPA or its partners may contact me about participating in research opportunities to provide bus or EVSE data that could inform future transportation work. | Select yes or no. | |
| If Yes, Telematics Primary Point of contact (Name and email) | Enter First and Last name and email address. | |
| New Vehicle Fleet Information | ||
| New Vehicle Fleet Owner | Enter the first and last name and email address of the individual or organization that owns the fleet. | |
| Does this bus operate in multiple counties within the project? | Select yes or no. | |
| Place of Performance Replacement: School District | Enter the name of the school district in which the new bus will operate in. If it will operate in multiple school districts, list all and separate with a colon (e.g., Hampton School District: Edgewood School District). | |
| Place of Performance Replacement: NCES ID | Enter the name of the National Center for Education Statistics (NCES) ID associated with the school district in which the new bus will operate in. If it will operate in multiple school districts, list all NCES IDs and separate with a colon (e.g., 1234567: 7654321). | |
| Does this bus operate in multiple counties? | Select yes or no. | |
| % of Time Replacement operated in each County | Enter the percent of time the new bus will operate in each county. If there is more than one, separate using a colon (Polk 80%: Butler 20%) | |
| 3. EV INFRASTRUCTURE | ||
| EVSE Equipment Information | ||
| Type of Charger | Enter the type of charger, either Level 2 (AC charging up to 19.2 kW) or DC Fast Charging. | |
| If Level 2, is it ENERGY STAR certified | Confirm and select yes if applicable. Please see https://www.energystar.gov/ | |
| EVSE Manufacturer | Enter the manufacturer of the charging equipment | |
| EVSE Model | Enter the model name of the charging equipment. | |
| EVSE Manufacture Year | Enter the year the charging equipment was manufactured. | |
| Is the EVSE BABA Compliant? | Select an option. EVSE manufactured on or after July 1, 2024 must be meet BABA requirements. | |
| EVSE Maximum Output Power (kW) | Enter the maximum power output of the charging equipment, measured in kilowatts. | |
| Number of Plugs on EVSE | Enter the number of plugs installed on each unit of the charging equipment. | |
| Is the EVSE Capable of Bidirectional Charging? | Select yes or no into the cell to specify whether the charging equipment is capable of bidirectional charging. | |
| Will the Bus and EVSE be Used for V2G? | Select yes or no into the cell to specify whether the buses and charging equipment will be used for vehicle-to-grid (V2G) services. | |
| EVSE Number of Units | Enter the quantity of charging equipment unit | |
| EVSE Equipment Cost only Per Unit: | Enter the cost of the charging equipment per unit. | |
| Total Federal Funds Expended Per EVSE Unit | Enter the total Federal funds expend for charging equipment per unit. | |
| Total Federal Funds Expended for EVSE | No action - autopopulated | |
| Date of EVSE Installation (mm/dd/yyyy) | Enter the date on which the EVSE is permanently affixed. | |
| Location of EV Infrastructure | ||
| State | Select the two letter postal code for the state in which the charging equipment will be located. | |
| County | Enter the county in which the charging equipment will be located. | |
| City | Enter the city in which the charging equipment will be located. | |
| Zip Code | Enter the zip code in which the charging equipment will be located. | |
| Street Adress | Enter the street address in which the charging equipment will be located. | |
| Who owns the charger? | Enter the name of the school district or organization that owns the charging equipment. | |
| Does the EVSE serve multiple school districts within this application? | Select yes or no | |
| Name of the School District(s) the EVSE will serve (use a colon between school districts) | Enter the name of the school district in which the EVSE will serve. If it will serve multiple school districts, list all and separate with a colon (e.g., Hampton School District: Edgewood School District). | |
| NCES ID of School District that the EVSE will serve (use a colon between school districts) | Enter the name of the National Center for Education Statistics (NCES) ID associated with the school district in which the EVSE will serve. If it will serve multiple school districts, list all NCES IDs and separate with a colon (e.g., 1234567: 7654321). | |
| Infrastructure Installation Information | ||
| Total Funds Expended Installation Cost | Enter the total installation costs for the charging equipment for the EV infrastructure group column. | |
| Total Federal Funds Expended Installation Cost | Enter the total Federal funds expended for installation costs for the charging equipment for the EV infrastructure group column. | |
| Does the Infrastructure Equipment Cost Include Installation? | Please enter yes or no into the cell to specify whether the indicated cost of the charging equipment above includes any installation expenses. | |
| Description of Installation Work | Enter a description of the work performed to install the charging equipment, such as design and engineering, trenching, wiring and electrical upgrades, labor, and permitting. | |
| Installation Work Performed By | Enter the name(s) of the organization(s) that performed the installation work described above. | |
| Installation was conducted by an individual who meets the infrastructure electrician requirements as outlined in the program guidance? | Select electrician category | |
| Is waiver being used to fulfill BABA compliance for the Infrastructure Project | If a waiver is being used to meet BABA compliance requirements, select the waiver type | |
| Total Federal Funds Expended Equipment and Installation | Automated cell that will calculate the total Federal Funds expended for the charging equipment and installation for an EV Infrastructure Group. | |
| On-Site Power Generation Equipment Information | ||
| Type of energy generation | Select a type of energy generation, solar or wind. | |
| Generation Capacity of the system | Enter the generation capacity of the system as either kW or MW. Please indicate unit of measurement. | |
| Battery Energy Storage System (BESS) Equipment Information | ||
| Type of Battery | Select a type of battery | |
| Energy Capacity | Enter the generation capacity of the system as either kWh or MWh. Please indicate unit of measurement. | |
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |