5900-690 Clean Ports Project Reporting Template

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Overview

1. Instructions
2. Cover Sheet for Awardee
3. Amendments
4. Financial Summary
5. Year 1
6. Year 2
7. Year 3
8. Year 4
9. Clean Ports Priorities
10. Climate & Air Quality Plans
11a. Fleet Description
11b. Scrappage Information
12. Infrastructure
13. Final Report
14. Data Dictionary

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Sheet 1: 1. Instructions

U. S. Environmental Protection Agency
Clean Ports Program
Interannual Project AND Final Project Reporting Template
Burden Statement for EPA Form Number: 5900-690
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 6.8 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 grant agreement terms and conditions, this reporting template should be submitted 1) at regular intervals as described in the program guidance throughout the project period of performance and 2) a Final Report (120-days after) the completion of the grant period. Please work with relevant parties (i.e., transportation contractor, port authority, etc.) to ensure information submitted is accurate. Information that is submitted on quarterly reports should NOT be changed in future quarterly report submissions unless approved by EPA. Please only update information for the specific period in which this report is being submitted. The grant recipient only needs to fill out shaded cells highlighted blue with a diagonal pattern (///). Cells highlighted yellow are simply for informative purposes and/or automated from other tabs in this spreadsheet. Additional fields may autopopulate with bold diagonal patterns (///), indicating that a response to those fields is not necessary, based on prior responses entered. Please complete tabs in this workbook according to the instructions below.
Excel Workbook Tab	Definition
1. Instructions	Basic instructions for all worksheets in this reporting workbook.
2. Cover Sheet	This Tab provides an overview of the Participant Details, lists Project Partners, Project Location Information, and subawardees, if applicable. All fields are required unless otherwise stated.
3. Amendments	The Amendments tab should be used to update any changes in vehicle or equipment numbers, charging or fueling infrastructure numbers, planned project activities and/or funding amounts post-award. Please update this tab on an annual basis at the end of each year of project performance and at project closeout.
4. Financial Summary	Financial summary for the entire grant period of performance. Please only complete shaded cells highlighted blue with a diagonal pattern (///) that contain grantee and original project budget information. Other cells on this worksheet will automatically feed from information in tabs 5-8 (Year 1-Year 4). If a modification to the grant is approved, please update the financial tabs accordingly.
5. Year 1	Financial summary for the first year of the project period. For each interannual report, please complete all financial and narrative descriptive cells highlighted blue with a diagonal pattern (///) for each reporting period required. Other cells in this worksheet are informative or may be automated from subsequent tabs. Below the financial information, please ensure to complete the programmatic questions regarding the grant.
6. Year 2	Financial summary for the second year of the project period if grant period of performance is longer than one year. For each interannual report, please complete all financial and narrative descriptive cells highlighted blue with a diagonal pattern (///) for each reporting period required. Other cells in this worksheet are informative or may be automated from subsequent tabs. Below the financial information, please ensure to complete the programmatic questions regarding the grant.
7. Year 3	Financial summary for the third year of the project period if grant period of performance is longer than two years. For each interannual report, please complete all financial and narrative descriptive cells highlighted blue with a diagonal pattern (///) for each reporting period required. Other cells in this worksheet are informative or may be automated from subsequent tabs. Below the financial information, please ensure to complete the programmatic questions regarding the grant.
8. Year 4	Financial summary for the third year of the project period if grant period of performance is longer than two years. For each interannual report, please complete all financial and narrative descriptive cells highlighted blue with a diagonal pattern (///) for each reporting period required. Other cells in this worksheet are informative or may be automated from subsequent tabs. Below the financial information, please ensure to complete the programmatic questions regarding the grant.
9. Clean Ports Priorities	The tab should be completed based upon environmental justice, community engagement, sustainability, workforce development, climate impact resiliency, and/or leveraging of additional external funds commitments defined in the proposed workplan. Please complete this tab during regular interannual reporting periods, if the proposed workplan committed to ANY environmental justice, community engagement, sustainability, workforce development, climate impact resiliency, and/or leveraging of additional external funds commitments as referred to in the evaluation metrics defined in the NOFO. During each interannual reporting period of the project period of performance, please complete updates on these defined project commitments. The final report submission for the project should contain the end results of environmental justice, community engagement, sustainability, workforce development, climate impact resiliency, and/or leveraging of additional external funds commitments completed during the project period.
10. Climate & Air Quality Plans	The tab should be completed for those projects featuring Climate and Air Quality Plans, and detail the affected locations and costs associated with each planning activity funded through the Climate and Air Quality Plans Funding. This tab should be updated interannually and reflect the work completed with these funds during the project period at final submission.
11a. Fleet Description	The Fleet Description should detail all new vehicles and equipment proposed under the project. The Fleet Description should be updated quarterly with all vehicle upgrades completed. Please only fill out shaded cells highlighted blue with a diagonal pattern (///). The sheet has capacity for 100 vehicles. Please refer to the Fleet Description data definitions on tab 14 (Data Dictionary) for additional guidance on each field.
11b. Scrappage Information	The Scrappage Information is only required for those project that have made a commitment to scrap and/or otherwise replace vehicles as part of their project plans. This data sheet captures current vehicle and equipment information, and links to the Fleet Description to autopopulate the corresponding 'new' vehicle or equipment. The Scrappage Information tab should be updated quarterly reflecting completed scrapped project. Please only fill out shaded cells highlighted blue with a diagonal pattern (///). The sheet has capacity for 100 vehicles. Please refer to the Fleet Description data definitions on tab 14 (Data Dictionary) for additional guidance on each field.
12. Infrastructure	The Infrastructure Description should detail all electric vehicle supply equipment (EVSE) and zero emission supporting infrastructure purchased under the project. The Infrastructure worksheet should be updated quarterly as zero emission supporting infrastructure components 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 supporting infrastructure. Please refer to the Infrastructure data definitions on Tab 14 (Data Dictionary) for data field definitions. Reminder: All Level 2 EVSEs must be ENERGY STAR certified. All zero emission supporting infrastructure must comply with Build America, Buy America (BABA) requirements.
13. Final Report	Final project details including actual emission and programmatic results. Please only complete shaded cells highlighted blue with a diagonal pattern (///).
14. Data Dictionary	Please refer to the dictionary on this tab for support in completing the following tabs: Climate & Air Quality Plans (tab 10), Fleet Description (Tab 11a), Scrappage Information (Tab 11b), and Infrastructure (Tab 12).

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Sheet 2: 2. Cover Sheet for Awardee

U. S. Environmental Protection Agency
Clean Ports Program
Project Reporting Template Cover Sheet
Instructions
Please enter in the required fields in blue, detailing an overview of the Participant Details, the complete list of Project Partners, Project Location Information, and subawardees, if applicable. All fields below are required unless otherwise stated.
Table 1: Recipient & Project Details
Recipient Organization Name				Project Title	One descriptive sentence only
Recipient Address Information	Street			Project Period of Performance For Zero Emissions Technology projects, project periods may be up to 4 years. For Climate & Air Quality Planning projects, project periods may be up to three years.	Project Start Date
	City				Project End Date
	State (Select from dropdown)			Short Project Description Briefly describe your project in one to three sentences only, especially noting the expected outputs and outcomes.
	Zip Code
Primary Contact Information	Name
	Title/Role
	Phone			Total EPA Funding Requested
	Email			Total EPA Funding for ZE Equipment This field will auto-populate upon completing 'Fleet Description' tab	$-	Total EPA Funding for Fueling Infrastructure This field will auto-populate upon completing 'Infrastructure' tab	$-	Total EPA Funding for Climate and Air Quality Planning Activities This field will auto-populate upon completing the Climate & Air Quality Planning Tab	$-
Recipient Type	Select from Dropdown
Affiliate Port Authority (if applicable)				Port Sectors Affected These fields will auto-populate with ✔ upon completing 'Fleet Description' tab.		Fueling Infrastructure Affected These fields will auto-populate with ✔ upon completing 'Infrastructure' tab.		List of Climate and Air Quality Planning Activities These fields will auto-populate with ✔ and text upon completing 'Climate & Air Quality Planning' tab.
SAM.gov Unique Entity ID (UEI)				Onroad		Electric Vehicle Service Equipment (EVSE)		Emissions Inventory and/or Accounting Practice		Plan to Increase Resilience of Port
Grant Number				Cargo Handling Equipment & Nonroad		Shore Power Infrastructure		Emissions Reduction Strategy Analysis		Formal Stakeholder Engagement
Program and Fiscal Year	Select from Dropdown			Locomotive		Hydrogen Fueling Infrastructure		Development of Emissions Reduction Target		Workforce Planning Analysis
Project Type	Select from Dropdown			Ocean-Going Vessels & Harbor Craft		On-site Power Generation		Plan for Reducing Future Port Emissions		Other Activity
Tribal Applicant? See NOFO Section III.A for specifications	Select from Dropdown			Project Features Scrappage? This field will auto-populate with ✔ based on responses to the "Scrappage Information Tab"		Battery Energy Storage System		Port Resiliency Assessment		Other Planning Activities Featured:
Small Water Port Project? See NOFO Section II.C for specifications	Select from Dropdown
Table 2: Project Partners
Project Partner Organization Name	Primary Contact Information for Project Partner(s)				Type of Organization		Nature of Partnership with Awardee	Role in Project
	Name		Email	Phone	Select from Dropdown	If Other, describe		Select from Dropdown	If Other, describe
Example Partner Organization	Ali Raymond	Director of Advancement			Other	Non-governmental Organization	Trustee of Funds	Other	Site Manager
Table 3: Project Location(s)
Table 3a: Port Location(s)
Port Name If a Port spans more than 1 county, please enter a new line for each unique county.	Project Site ID	Port Authority Name (if applicable)	State (Select from dropdown)	County (Select from dropdown)	City	Description of Project Activity at Port (if known)	Estimate of the Share of Project Activity at this site (For Climate and Air Quality Planning projects only; enter a value between 0-1, where 1 is 100%)	County Contains Nonattainment Area?	County Contains Maintenance Area?	County Contains Air Toxics Area?	County Contains Environmental Justice and Disadvantaged Communities, as defined in Section 4 of NOFO?
Port of Miami	1		FL	Miami-Dade County	Miami	Deployment of ZE equipment	100%	Yes	Yes	No	Yes
	Primary Place of Performance			please provide state first
	2			please provide state first
	3			please provide state first
	4			please provide state first
	5			please provide state first
	6			please provide state first
	7			please provide state first
	8			please provide state first
	9			please provide state first
	10			please provide state first
Table 3b: Additional Project Locations Use this table to identify additional project locations found outside of the ports listed in Table 3a above.
Site Name If an Additional Site spans more than 1 county, please enter a new line for each unique county.	Project Site ID	Port(s) Served by Location (separate additional ports by semicolon)	State (Select from dropdown)	County (Select from dropdown)	City	Description of Project Activity at Port (if known)	Estimate of the Share of Project Activity at this site (For Climate and Air Quality Planning projects only; enter a value between 0-1, where 1 is 100%)	County Contains Nonattainment Area?	County Contains Maintenance Area?	County Contains Air Toxics Area?	County Contains Environmental Justice and Disadvantaged Communities, as defined in Section 4 of NOFO?
Hialeah Fueling Depot	Additional Site 1.	Port of Miami; Port Everglades	FL	Miami-Dade County	Miami	Deployment of EVSE	100%	Yes	Yes	No	Yes
	Additional Site 1			please provide state first
	Additional Site 2			please provide state first
	Additional Site 3			please provide state first
	Additional Site 4			please provide state first
	Additional Site 5			please provide state first
	Additional Site 6			please provide state first
	Additional Site 7			please provide state first
	Additional Site 8			please provide state first
	Additional Site 9			please provide state first
	Additional Site 10			please provide state first
Table 4: Subawardee (if applicable)
Subawardee Name	Subawardee Unique ID (if applicable)	Primary Contact Information for Subawardee			Type of Organization		Project Site ID	Project Site Name	Role in Project
Subawardee Organization 1	SO1	Name	Email	Phone	Select from Dropdown	If Other, describe	Select from Dropdown	Auto populates from Table 3a and 3b	Select from Dropdown	If Other, describe

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Sheet 3: 3. Amendments

U. S. Environmental Protection Agency
Clean Ports Program
Amendments
Instructions
Please use this tab to indicate any changes in planning activities, vehicle or equipment numbers, as well as numbers of infrastructure items, and/or funding amounts post-award. Use one row per amendment made; more rows may be added if needed. Fill out this tab at the end of each year of project performance.
							Number of Amendments By Year	Change in Funding Amount by Year
Were there any changes to planning activities, vehicle or equipment numbers, number of infrastructure items, and/or funding amounts in Year 1 of the project period of performance? If yes, please indicate the change(s) using the table below.				(Y or N)		Project Year 1	0	$-
Were there any changes to planning activities, vehicle or equipment numbers, number of infrastructure items, and/or funding amounts in Year 2 of the project period of performance? If yes, please indicate the change(s) using the table below.				(Y or N)		Project Year 2	0	$-
Were there any changes to planning activities, vehicle or equipment numbers, number of infrastructure items, and/or funding amounts in Year 3 of the project period of performance? If yes, please indicate the change(s) using the table below.				(Y or N)		Project Year 3	0	$-
Were there any changes to planning activities, vehicle or equipment numbers, number of infrastructure items, and/or funding amounts in Year 4 of the project period of performance? If yes, please indicate the change(s) using the table below.				(Y or N)		Project Year 4	0	$-
Table 5. Post-Award Amendments
			Changes to Climate and Air Quality Planning Activities		Changes to Zero Emissions Equipment Deployment				Corresponding EPA Funding Changes			Affected Project Areas
Amendment Number	Update Year (select from dropdown)	Type of Amendment (Select from dropdown)	Original Planning Activity	Updated Planning Activity	Original Vehicle or Equipment Type	Updated Vehicle or Equipment Type	Original Quantity of Vehicle or Equipment Type	Updated Quantity of Vehicle or Equipment Type	Original Funding Request Amount	Updated Funding Request Amount	Change in Funding Amount	Project Site ID (Select from dropdown)	Port or Associated Site Name (Autopopulates based on Cover Page)	Subawardee (if applicable; select from list)
Ex 1	Year 1 Update	Changes to Climate and Air Quality Planning Activities	Equipment inventory for on-road, locomotive, and nonroad sectors at port	Equipment inventory for on-road and nonroad sectors at port	NA	NA	NA	NA	$150,000	$115,000	$35,000	Primary Place of Performance	River Port of State X	N/A
Ex 2	Year 1 Update	Changes to Zero Emission Vehicle or Equipment Deployment	NA	NA	Company A RTG Electric Crane v2000	Company A RTG Electric Crane v3000	25	20	$1,250,000	$1,300,000	$(50,000)	Primary Place of Performance	River Port of State X	N/A
1											$-
2											$-
3											$-
4											$-
5											$-
6											$-
7											$-
8											$-
9											$-
10											$-
11											$-
12											$-
13											$-
14											$-
15											$-

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Sheet 4: 4. Financial Summary

U. S. Environmental Protection Agency

Clean Ports Program

Financial Summary - Project Lifetime

Grant Recipient

EPA Project Award Amount

$-

Grant Number

Total Non-CP Project Costs

$-

Program and Fiscal Year

Total Applicant Funds

$-

Project Period of Performance

Total Additional Leveraged Funds

$-

Project Title

EPA Funds Expended to Date

$-

EPA Funds Remaining

$-

Table 6. Summary Rate of Expenditure

Record project budget funds ONLY from approved final workplan. All other numbers will reflect automatically from subsequent tabs.

Financial Summary

Project Budget

Total Expenses to Date

Remaining Balance

EPA Funds

Applicant Funds

Additional Leveraged Funds

Total Project Cost

EPA Funds

Applicant Funds

Additional Leveraged Funds

Total Project Cost

EPA Funds

Applicant Funds

Additional Leveraged Funds

Total Project Cost

Personnel

$-

$-

$-

$-

$-

$-

$-

$-

$-

Fringe Benefits

$-

$-

$-

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Travel

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Equipment

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Supplies

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Contractual

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Subawards

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Other

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Direct Cost Total

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Indirect Charges

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TOTALS

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$-

Table 7. Annual Rate of Expenditure

No Entry Needed - ALL numbers will reflect automatically from subsequent tabs.

Financial Summary

Year 1

Year 2

Year 3 (if applicable)

Year 4 (if applicable)

EPA Funds

Applicant Funds

Additional Leveraged Funds

Total Project Cost

EPA Funds

Applicant Funds

Additional Leveraged Funds

Total Project Cost

EPA Funds

Applicant Funds

Additional Leveraged Funds

Total Project Cost

EPA Funds

Applicant Funds

Additional Leveraged Funds

Total Project Cost

Personnel

$-

$-

$-

$-

$-

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Fringe Benefits

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Travel

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Equipment

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Supplies

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Contractual

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Subawards

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Other

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Direct Cost Total

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Indirect Charges

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TOTALS

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Sheet 5: 5. Year 1

U. S. Environmental Protection Agency

Clean Ports Program

Financial and Narrative Summary - Year 1

Grant Recipient

Total EPA Funds Expended: Year 1

$-

Grant Number

Reporting Cadence

Quarterly

Project Title

Project Reporting Period

Table 10. Year 1 Annual Rate of Expenditure

Record and update project expenses at each interval according to the reporting cadence determined by your Project Officer. Previous fields should remain and edits should be made to the whenever interannual reports are submitted. Note the table will update based upon the Reporting Cadence field, selected above.

Quarter 1

Quarter 2

Quarter 3

Quarter 4

Enter Dates For this Reporting Period

EPA Funds

Applicant Funds

Additional Leveraged Funds

Total Project Cost

EPA Funds

Applicant Funds

Additional Leveraged Funds

Total Project Cost

EPA Funds

Applicant Funds

Additional Leveraged Funds

Total Project Cost

EPA Funds

Applicant Funds

Additional Leveraged Funds

Total Project Cost

Personnel

$-

$-

$-

$-

Fringe Benefits

$-

$-

$-

$-

Travel

$-

$-

$-

$-

Equipment

$-

$-

$-

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Supplies

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Contractual

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Other

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Direct Cost Total

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Indirect Charges

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TOTALS

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$-

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$-

Table 11. Project Updates - Narrative Responses

Record and update project updates below.

Please paste the planned activities, outputs, and outcome from the submitted workplan information. Provide updates and if any changes occurred, please provide that information accordingly. In the 'Progress to Date' column, please use the dropdown to indicate if the activity is 1) Not yet started, 2) In progress, or 3) Completed.

Activities

Anticipated Outputs

Anticipated Outcomes

Progress to Date

Progress Notes

Q1

Q2

Q3

Q4

Write below, as appropriate.

Please provide programmatic and narrative financial updates on the project. As quarterly reports are submitted, indicate updates or changes for each quarter. For each quarter, please indicate if there was a change from the previous quarter. If yes, please provide an explanation in the subsequent cell.

Question

Quarter 1 Update

Quarter 2 Update

Quarter 3 Update

Quarter 4 Update

1. Provide a comparison of actual accomplishments to the objectives established for the reporting period.

2. If anticipated outputs/outcomes and/or timelines/milestones are not met, why not? Did you encounter any problems during the reporting period which may interfere with meeting project objectives?

3. If any additional external leveraged funds are reported for this Reporting Period in Table 5 above, identify the source of the funds.

4. Have there been any major personnel changes during this reporting period?

5. Did any public relations events regarding this grant take place during the reporting period?

6. Are you using websites or other tools used to relay information about this grant to the public?

7. What project activities are planned for the next reporting period?

8. Was any program income generated during the reporting period? Identify amount of program income, how it was generated, and how the program income was/will be used.

9. Have any vehicles or activities changed from those included in the final workplan?

10. Do you have any other comments or feedback?

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Sheet 6: 6. Year 2

U. S. Environmental Protection Agency

Clean Ports Program

Financial and Narrative Summary - Year 1

Grant Recipient

Total EPA Funds Expended: Year 1

$-

Grant Number

Reporting Cadence

Quarterly

Project Title

Project Reporting Period

Table 10. Year 1 Annual Rate of Expenditure

Record and update project expenses quarterly. Previous fields should remain and edits should be made to the quarterly report being submitted. Note the table will update based upon the Reporting Cadence field, selected above.

Quarter 1

Quarter 2

Quarter 3

Quarter 4

Enter Dates For this Reporting Period

EPA Funds

Mandatory Cost Share

Additional Leveraged Funds

Total Project Cost

EPA Funds

Mandatory Cost Share

Additional Leveraged Funds

Total Project Cost

EPA Funds

Mandatory Cost Share

Additional Leveraged Funds

Total Project Cost

EPA Funds

Mandatory Cost Share

Additional Leveraged Funds

Total Project Cost

Personnel

$-

$-

$-

$-

Fringe Benefits

$-

$-

$-

$-

Travel

$-

$-

$-

$-

Equipment

$-

$-

$-

$-

Supplies

$-

$-

$-

$-

Contractual

$-

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$-

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Other

$-

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$-

$-

Direct Cost Total

$-

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Indirect Charges

$-

$-

$-

$-

TOTALS

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Table 11. Project Updates - Narrative Responses

Record and update project updates below.

Please paste the planned activities, outputs, and outcome from the submitted workplan information. Provide updates and if any changes occurred, please provide that information accordingly. In the 'Progress to Date' column, please use the dropdown to indicate if the activity is 1) Not yet started, 2) In progress, or 3) Completed.

Activities

Anticipated Outputs

Anticipated Outcomes

Progress to Date

Progress Notes

Q1

Q2

Q3

Q4

Write below, as appropriate.

Please provide programmatic and narrative financial updates on the project. As quarterly reports are submitted, indicate updates or changes for each quarter. For each quarter, please indicate if there was a change from the previous quarter. If yes, please provide an explanation in the subsequent cell.

Question

Quarter 1 Update

Quarter 2 Update

Quarter 3 Update

Quarter 4 Update

1. Provide a comparison of actual accomplishments to the objectives established for the reporting period.

2. If anticipated outputs/outcomes and/or timelines/milestones are not met, why not? Did you encounter any problems during the reporting period which may interfere with meeting project objectives?

3. If any additional external leveraged funds are reported for this Reporting Period in Table 5 above, identify the source of the funds.

4. Have there been any major personnel changes during this reporting period?

5. Did any public relations events regarding this grant take place during the reporting period?

6. Are you using websites or other tools used to relay information about this grant to the public?

7. What project activities are planned for the next reporting period?

8. Was any program income generated during the reporting period? Identify amount of program income, how it was generated, and how the program income was/will be used.

9. Have any vehicles or activities changed from those included in the final workplan?

10. Do you have any other comments or feedback?

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Sheet 7: 7. Year 3

U. S. Environmental Protection Agency

Clean Ports Program

Financial and Narrative Summary - Year 3

Grant Recipient

Total EPA Funds Expended: Year 3

$-

Grant Number

Reporting Cadence

Quarterly

Project Title

Project Reporting Period

Table 10. Year 3 Annual Rate of Expenditure

Record and update project expenses quarterly. Previous fields should remain and edits should be made to the quarterly report being submitted. Note the table will update based upon the Reporting Cadence field, selected above.

Quarter 1

Quarter 2

Quarter 3

Quarter 4

Enter Dates For this Reporting Period

EPA Funds

Mandatory Cost Share

Additional Leveraged Funds

Total Project Cost

EPA Funds

Mandatory Cost Share

Additional Leveraged Funds

Total Project Cost

EPA Funds

Mandatory Cost Share

Additional Leveraged Funds

Total Project Cost

EPA Funds

Mandatory Cost Share

Additional Leveraged Funds

Total Project Cost

Personnel

$-

$-

$-

$-

Fringe Benefits

$-

$-

$-

$-

Travel

$-

$-

$-

$-

Equipment

$-

$-

$-

$-

Supplies

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$-

$-

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Contractual

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$-

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Other

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$-

$-

$-

Direct Cost Total

$-

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Indirect Charges

$-

$-

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$-

TOTALS

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Table 11. Project Updates - Narrative Responses

Record and update project updates below.

Please paste the planned activities, outputs, and outcome from the submitted workplan information. Provide updates and if any changes occurred, please provide that information accordingly. In the 'Progress to Date' column, please use the dropdown to indicate if the activity is 1) Not yet started, 2) In progress, or 3) Completed.

Activities

Anticipated Outputs

Anticipated Outcomes

Progress to Date

Progress Notes

Q1

Q2

Q3

Q4

Write below, as appropriate.

Please provide programmatic and narrative financial updates on the project. As quarterly reports are submitted, indicate updates or changes for each quarter. For each quarter, please indicate if there was a change from the previous quarter. If yes, please provide an explanation in the subsequent cell.

Question

Quarter 1 Update

Quarter 2 Update

Quarter 3 Update

Quarter 4 Update

1. Provide a comparison of actual accomplishments to the objectives established for the reporting period.

2. If anticipated outputs/outcomes and/or timelines/milestones are not met, why not? Did you encounter any problems during the reporting period which may interfere with meeting project objectives?

3. If any additional external leveraged funds are reported for this Reporting Period in Table 5 above, identify the source of the funds.

4. Have there been any major personnel changes during this reporting period?

5. Did any public relations events regarding this grant take place during the reporting period?

6. Are you using websites or other tools used to relay information about this grant to the public?

7. What project activities are planned for the next reporting period?

8. Was any program income generated during the reporting period? Identify amount of program income, how it was generated, and how the program income was/will be used.

9. Have any vehicles or activities changed from those included in the final workplan?

10. Do you have any other comments or feedback?

---

Sheet 8: 8. Year 4

U. S. Environmental Protection Agency

Clean Ports Program

Financial and Narrative Summary - Year 4

Grant Recipient

Total EPA Funds Expended: Year 4

$-

Grant Number

Reporting Cadence

Quarterly

Project Title

Project Reporting Period

Table 10. Year 4 Annual Rate of Expenditure

Record and update project expenses quarterly. Previous fields should remain and edits should be made to the quarterly report being submitted. Note the table will update based upon the Reporting Cadence field, selected above.

Quarter 1

Quarter 2

Quarter 3

Quarter 4

Enter Dates For this Reporting Period

EPA Funds

Mandatory Cost Share

Additional Leveraged Funds

Total Project Cost

EPA Funds

Mandatory Cost Share

Additional Leveraged Funds

Total Project Cost

EPA Funds

Mandatory Cost Share

Additional Leveraged Funds

Total Project Cost

EPA Funds

Mandatory Cost Share

Additional Leveraged Funds

Total Project Cost

Personnel

$-

$-

$-

$-

Fringe Benefits

$-

$-

$-

$-

Travel

$-

$-

$-

$-

Equipment

$-

$-

$-

$-

Supplies

$-

$-

$-

$-

Contractual

$-

$-

$-

$-

Other

$-

$-

$-

$-

Direct Cost Total

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Indirect Charges

$-

$-

$-

$-

TOTALS

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Table 11. Project Updates - Narrative Responses

Record and update project updates below.

Please paste the planned activities, outputs, and outcome from the submitted workplan information. Provide updates and if any changes occurred, please provide that information accordingly. In the 'Progress to Date' column, please use the dropdown to indicate if the activity is 1) Not yet started, 2) In progress, or 3) Completed.

Activities

Anticipated Outputs

Anticipated Outcomes

Progress to Date

Progress Notes

Q1

Q2

Q3

Q4

Write below, as appropriate.

Please provide programmatic and narrative financial updates on the project. As quarterly reports are submitted, indicate updates or changes for each quarter. For each quarter, please indicate if there was a change from the previous quarter. If yes, please provide an explanation in the subsequent cell.

Question

Quarter 1 Update

Quarter 2 Update

Quarter 3 Update

Quarter 4 Update

1. Provide a comparison of actual accomplishments to the objectives established for the reporting period.

2. If anticipated outputs/outcomes and/or timelines/milestones are not met, why not? Did you encounter any problems during the reporting period which may interfere with meeting project objectives?

3. If any additional external leveraged funds are reported for this Reporting Period in Table 5 above, identify the source of the funds.

4. Have there been any major personnel changes during this reporting period?

5. Did any public relations events regarding this grant take place during the reporting period?

6. Are you using websites or other tools used to relay information about this grant to the public?

7. What project activities are planned for the next reporting period?

8. Was any program income generated during the reporting period? Identify amount of program income, how it was generated, and how the program income was/will be used.

9. Have any vehicles or activities changed from those included in the final workplan?

10. Do you have any other comments or feedback?

---

Sheet 9: 9. Clean Ports Priorities

U. S. Environmental Protection Agency
Clean Ports Program
Clean Port Program Priorities
Grant Recipient
Program FY
Grant Number
Project Title
Instructions
Please complete this tab if your organization committed to ANY environmental justice, community engagement, sustainability, workforce development, climate impact resiliency, or leveraging of additional external funds actions or commitments in your application, as referred to in the evaluation metrics defined in section V.A. Evaluation Criteria in the NOFO. Only cells shaded in blue need to be filled out; cells shaded in yellow will automatically populate based on information entered in earlier tabs. If planned activities or commitments changed between the submitted application and approved workplan, please indicate on the first question below. Please use the drop downs for columns to indicate any updates that occurred during the reporting period indicating continued progress towards commitments. At the end of each of the sections below, there is a cell to provide additional narrative responses, as appropriate. Please take care to ensure all questions are answered; the final question is on row 136 of this sheet.
Did any planned activities or commitments change between the submitted application and the approved workplan?									(Y or N or N/A)
If no, please jump to the next section, "Environmental Justice and Disadvantaged Communities." If yes, please provide context and details to the approved changes (example: the number of drayage trucks was reduced due to partial funding).
Table 16. Environmental Justice and Disadvantaged Communities
	1a. Did the workplan demonstrate that the project will benefit communities located in a low-income disadvantaged community area within a nonattainment area , as described in Section IV.A. of the NOFO?								(Y or N or N/A)
	2. Did the workplan demonstrate that the project will benefit communities located in a low-income disadvantaged community area with air toxics concerns, as described in Section IV.A. of the NOFO?								(Y or N or N/A)
	3a. Did the workplan demonstrate that input was sought, and the proposed project is responsive to comments and concerns of near-port communities, especially with respect to environmental justice concerns?								(Y or N or N/A)
	3b. If yes to the above, how did the workplan demonstrate engagement with the communities identified above, especially local residents, to ensure their meaningful participation with respect to the design, planning, and performance of the project?
	4a. Did the workplan demonstrate a plan from the applicant and/or project partners to meaningfully engage with near-port communities, especially those with to environmental justice concerns, during the execution of project activities?								(Y or N or N/A)
	4b. If yes to the above, describe the plan to meaningfully engage with near-port communities during the execution of project activities.
	5a. Did the workplan demonstrate a plan from the applicant and/or project partners to establish a long-term policy or process for meaningful community engagement to get their input on port operations and projects that impact air quality and to address their concerns?								(Y or N or N/A)
	5b. Did the applicant and/or project partners commit to establishing a long-term policy or process for meaningful community engagement to get their input on port operations and projects that impact air quality and to address their concerns?								(Y or N or N/A)
	5c. If yes to either of the above, describe the proposed policy or process, and steps planned to implement the policy or process by the end of the project period.
Table 17. Community Engagement
	Did the workplan demonstrate actions and/or commitments to engage communities? If no, please jump to the next section, "Project Sustainability". If yes, please complete the rest of this section.								(Y or N or N/A)
	1. How did the workplan demonstrate engagement with the communities identified above, especially local residents, to ensure their meaningful participation with respect to the design, planning, and performance of the project?
	Policy/Process to Engage Communities and Point of Contact						Application	Status Update	Quarter Completed
	1. Did the workplan for this project demonstrate that the recipient and/or project partner(s) has an existing clear point of contact in a public platform (e.g., newsletter, website) for community issues and complaints (specific to air quality or broader) and a publicly documented policy or process to engage communities and get their input on operations and projects that impact air quality? The process could be a meeting in the past year and/or a policy or process to have a meeting or otherwise get input (e.g., a standing citizens advisory committee). Please include any narrative details in question 2.						(Y or N or N/A)
	1.a. If no, did the workplan for this project demonstrate that the recipient and/or project partner(s) commit to completing one before the end of the project period?						(Y or N or N/A)
	1.b. To date, has the recipient and/or project partner(s) completed this commitment?							Select Status	Select Quarter
	2. Please provide any additional details and/or a status update to be provided for this category, including but not limited to the URL(s) where the public can find the clear point of contact and policy or process; a description of the point of contact and policy or process; and any other relevant information. Please use the drop downs under 'Please Select One' to indicate which year the update was completed. Note: Do not delete data from prior quarterly reports. If providing updates for multiple quarters in one year, please indicate all updates in the same cell.
									Please Select One
									Please Select One
									Please Select One
Table 18. Project Sustainability
Did the workplan demonstrate actions and/or commitments to promote sustainable project results and benefits? If no, please jump to the next section, "Workforce Development". If yes, please complete the rest of this section.									(Y or N or N/A)
	1. How did the workplan demonstrate that project results and benefits will be sustainable and that the applicant and project partners have the ability to promote and continue efforts to reduce emissions at ports after EPA funding for the project has ended?
	For Zero-Emission Projects Only						Application	Status Update	Quarter Completed
	A1. Did the workplan for this project demonstrate coordination and/or consultation with utilities on the feasibility of the project? This could include, but is not limited to, discussion with utilities on project charging needs, project upgrade needs, project costs, rates for future service, and/or the timeframe for necessary upgrades. Please include any narrative details in question A3.						(Y or N or N/A)
	A2.a. If no, did the workplan for this project demonstrate that the recipient and/or project partner(s) commit to such coordination before the end of the project period?						(Y or N or N/A)
	A2.b. To date, has the recipient and/or project partner(s) completed this commitment?							Select Status	Select Quarter
	A3. Please provide additional details and any relevant status updates for this section, including but not limited to describing the extent of coordination with utilities, noting the timing and frequency of discussions with utilities, and any project decisions impacted by these discussions. Please use the drop downs under 'Please Select One' to indicate which year the update was completed. Note: Do not delete data from prior quarterly reports. If providing updates for multiple quarters in one year, please indicate all updates in the same cell.
									Please Select One
									Please Select One
									Please Select One
	For Climate and Air Quality Planning Projects Only						Application	Status Update	Quarter Completed
	B1. Did the workplan for this project demonstrate coordination and/or consultation with affected port(s) and near-port community(ies) to implement or act on the planning conducted by this project? This could include, but is not limited to, discussion with utilities on project charging needs, efforts to sustain community engagement after the end of the project, establishment of community engagement policies, and/or identification of immediate next steps after planning is complete. project upgrade needs, project costs, rates for future service, and/or the timeframe for necessary upgrades. Please include any narrative details in question B3.						(Y or N or N/A)
	B2.a. If no, did the workplan for this project demonstrate that the recipient and/or project partner(s) commit to such coordination before the end of the project period?						(Y or N or N/A)
	B2.b. To date, has the recipient and/or project partner(s) completed this commitment?							Select Status	Select Quarter
	B3. Please provide additional details and any relevant status updates for this section. Please use the drop downs under 'Please Select One' to indicate which year the update was completed. Note: Do not delete data from prior quarterly reports. If providing updates for multiple quarters in one year, please indicate all updates in the same cell.
									Please Select One
									Please Select One
									Please Select One
Table 19. Workforce Development
Did the workplan demonstrate actions and/or commitments to promote workforce development? If no, please jump to the next section, "Project Resilience to Climate Impacts". If yes, please complete the rest of this section.									(Y or N or N/A)
	1. How did the workplan demonstrate a plan to prepare the workforce for the project?
							Application	Status Update	Quarter Completed
	2. Did the workplan for this project demonstrate that current drivers, operators, mechanics, electricians, and other essential personnel have received training to safely operate and maintain the new vehicles, equipment, and infrastructure? This could include the establishment of workforce training programs for zero emission vehicles and equipment and ZE charging or fueling infrastructure. Please include any narrative details in question 6.						(Y or N or N/A)
	2.a. If no, did the workplan for this project demonstrate that the recipient and/or project partner(s) commit to ensuring current drivers, mechanics, electricians, and other essential personnel receive training to safely operate and maintain the new vehicles, equipment, and infrastructure before the end of the project period?						(Y or N or N/A)
	2.b. To date, has the recipient and/or project partner(s) completed this commitment?							Select Status	Select Quarter
	3. Did the workplan for this project demonstrate that the recipient and/or project partner(s) have clarified protections to ensure existing workers are not replaced or displaced because of new technologies? Please include any narrative details in question 6.						(Y or N or N/A)
	3.a. If no, did the workplan for this project demonstrate that the recipient and/or project partner(s) commit to clarifying protections to ensure existing workers are not replaced for displaced because of new technologies before the end of the project period?						(Y or N or N/A)
	3.b. To date, has the recipient and/or project partner(s) completed this commitment?							Select Status	Select Quarter
	4. Did the workplan for this project demonstrate that the recipient and/or project partner(s) have increased the availability of domestic manufacturing and workforce for zero- and near-zero emission vehicles, engines, and other key components (e.g., batteries)? Please include any narrative details in question 6.						(Y or N or N/A)
	4.a. If no, did the workplan for this project demonstrate that the recipient and/or project partner(s) commit to increasing the availability of domestic manufacturing and workforce for zero- and near-zero emission vehicles, engines, and other key components (e.g., batteries) before the end of the project period?						(Y or N or N/A)
	4.b. To date, has the recipient and/or project partner(s) completed this commitment?							Select Status	Select Quarter
	5. Did the workplan for this project demonstrate that the recipient and/or project partner(s) have other measures and/or policies in place to promote workforce development? If yes, please describe the other measures and/or policies in more detail below. Please include any narrative details in question 6.						(Y or N or N/A)
	5.a. If no, did the workplan for this project demonstrate that the recipient and/or project partner(s) commit establishing measures and/or policies to promote workforce development before the end of the project period?						(Y or N or N/A)
	5.b. To date, has the recipient and/or project partner(s) completed this commitment?							Select Status	Select Quarter
	6. Please provide additional details and any relevant status updates for this section, including but not limited to details on training programs, protections for existing workers, measures taken to increase the availability of domestic manufacturing and workforce, and/or descriptions of any additional policies and measures to promote workforce development, as well as any changes made to these throughout the project period. Please use the drop downs under 'Please Select One' to indicate which year the update was completed. Note: Do not delete data from prior quarterly reports. If providing updates for multiple quarters in one year, please indicate all updates in the same cell.
									Please Select One
									Please Select One
									Please Select One
Table 20. Project Resilience to Climate Impacts
Did the workplan demonstrate actions and/or commitments to promote project resilience to climate impacts? If no, please jump to the next section, "Leveraging of Additional External Funds". If yes, please complete the rest of this section.									(Y or N or N/A)
	1. How did the workplan demonstrate planning or action taken towards building project resilience and reducing vulnerabilities to climate impacts?
							Application	Status Update	Quarter Completed
	2. Did the workplan for this project demonstrate that the recipient and/or project partner(s) have assessed and implemented climate change adaptation considerations to help ensure that the project achieves its expected outcomes even as the climate changes? This could include assessing project vulnerability to local climate impacts when making siting decision and operational plans, ensuring fleets and equipment are protected from climate change impacts, and/or protecting infrastructure from storm damage. Please include any narrative details in question 4.						(Y or N or N/A)
	2.a. If no, did the workplan for this project demonstrate that the recipient and/or project partner(s) commit to assessing and implementing climate change adaptation considerations before the end of the project period?						(Y or N or N/A)
	2.b. To date, has the recipient and/or project partner(s) completed this commitment?							Select Status	Select Quarter
	3. Did the workplan for this project demonstrate that the recipient and/or project partner(s) have other measures and/or policies in place to promote project resilience to climate impacts? If yes, please describe the other measures and/or policies in more detail below. Please include any narrative details in question 4.						(Y or N or N/A)
	3.a. If no, did the workplan for this project demonstrate that the recipient and/or project partner(s) commit establishing measures and/or policies to promote project resilience to climate impacts before the end of the project period?						(Y or N or N/A)
	3.b. To date, has the recipient and/or project partner(s) completed this commitment?							Select Status	Select Quarter
	4. Please provide additional details and any relevant status updates for this section, including but not limited to details on climate impact assessments, descriptions of project decisions impacted by these assessments, and/or descriptions of any additional policies and measures to promote project resilience to climate impacts, as well as any changes made to these throughout the project period. Please use the drop downs under 'Please Select One' to indicate which year the update was completed. Note: Do not delete data from prior quarterly reports. If providing updates for multiple quarters in one year, please indicate all updates in the same cell.
									Please Select One
									Please Select One
									Please Select One
Table 21. Leveraging of Additional External Funds
	Did the workplan demonstrate that the recipient has leveraged or plans to leverage additional external funds in order to support proposed project activities? If no, please jump to the next section, "Other". If yes, please complete the rest of this section.								(Y or N or N/A)
	1. How did the workplan demonstrate that the recipient has leveraged or plans to leverage additional external funds in order to support proposed project activities, as well as how these funds will be used to contribute to the performance and success of the project?
	2. Please provide updates on proposed or secured additional external funds using the rows below. This should include additional external leveraged funds, but should not include applicant funds. Refer to the following definitions when selecting Status: "Not Yet Started:" Funding is proposed but the application process has not yet begun "In Progress:" The funding application or selection process is underway, but funds have not been awarded "Awarded:" Funding has been officially awarded "Not Awarded:" Funding that had been applied for was not awarded Note: Please add additional rows as needed.
	Source Name				Amount ($)		Status		Quarter Awarded
							Please Select One		Select Quarter
							Please Select One		Select Quarter
							Please Select One		Select Quarter
							Please Select One		Select Quarter
							Please Select One		Select Quarter
							Please Select One		Select Quarter
							Please Select One		Select Quarter
							Please Select One		Select Quarter
							Please Select One		Select Quarter
							Please Select One		Select Quarter
	3. Are there any updates to be provided or additional information for any proposed or secured additional external funds? If yes, please provide additional details and a status update below, including a description of how any secured funds are being used to support proposed project activities and how they are contributing to the performance and success of the project. If any proposed funding was not awarded, use the space provided to indicate your plans to make up for these funds. Please use the drop downs under 'Please Select One' to indicate which year the update was completed. Note: Do not delete data from prior quarterly reports. If providing updates for multiple quarters in one year, please indicate all updates in the same cell.								(Y or N or N/A)
									Please Select One
									Please Select One
									Please Select One
OTHER: Please provide any additional details or comments regarding environmental justice, community engagement, sustainability, workforce development, resiliency to climate impacts, or leveraged additional external funds of the project.

---

Sheet 10: 10. Climate & Air Quality Plans

U. S. Environmental Protection Agency

Clean Ports Program | Climate and Air Quality Planning Competition

Climate & Air Quality Planning

Grant Recipient

Program FY

Grant Number

Project Title

Instructions

Complete the following table for those projects featuring Climate and Air Quality Plans, and detail the affected locations and costs associated with each planning activity funded through the Climate and Air Quality Plans Funding. This tab should be updated interannually at each regularly reporting interval and reflect the work completed with these funds during the project period at final submission. For more details about each field, please see the data dictionary (Tab 14).

Table 22: Climate and Air Quality Planning Activity Details

Type of Planning Activity (select from dropdown)

If Other Planning Activity not listed, describe

Primary Port Affected by Planning Activity (select from dropdown)

If Primary location of activity is not at a port, provide the Name of the Additional Project Location (select from dropdown)

Project Site ID

State

County

Percentage of Planning Activity Affecting Site (enter value 0-1, where 1 = 100%)

City

Secondary Port Affected by Planning Activity (select from dropdown, if applicable)_2

If Secondary location of activity is not at a port, provide the Name of the Additional Project Location (select from dropdown)

Project Site ID_2

State_2

County_2

Percentage of Planning Activity Affecting Site (enter value 0-1)_2

City_2

Additional Counties where Planning Takes Place

% of Planning Affecting Additional Counties

Outcome of Planning Activity

Publicly Available Documentation of Outcome (e.g., link to published emissions inventory, link to page with community outreach policy, etc.)

Total Cost of Planning Activity

Total EPA Funds Expended for Planning Activity

If third party contractors provided support for this planning activity, provide names and roles.

Example Planning Activity

Port Resiliency Assessment

Port of Miami

Primary Place of Performance

FL

Miami-Dade County

50%

Miami

Hialeah Fueling Depot

Additional Site 1

FL

Miami-Dade County

45%

Miami

Broward County, FL; Monroe County, FL

4% in Broward County; 1% in Monroe County

$125,000.00

$100,000.00

Planning Activity 1

Planning Activity 2

Planning Activity 3

Planning Activity 4

Planning Activity 5

Planning Activity 6

Planning Activity 7

Planning Activity 8

Planning Activity 9

Planning Activity 10

Planning Activity 11

Planning Activity 12

Planning Activity 13

Planning Activity 14

Planning Activity 15

Planning Activity 16

Planning Activity 17

Planning Activity 18

Planning Activity 19

Planning Activity 20

---

Sheet 11: 11a. Fleet Description

U. S. Environmental Protection Agency

Clean Ports Program | Zero-Emission Technology Deployment Competition

Fleet Description

Instructions

The Fleet Description should detail all vehicles, vessels, and other mobile source equipment that will be purchased as part of the project. Please only fill out shaded cells highlighted blue with a diagonal pattern (///); field in yellow will be autopopulated, and some fields will be hashed out if they are not applicable based on the information entered. Please list ALL port and other locations where the project will take place in this worksheet. You do NOT need to make a separate worksheet for each port featured in the project. This Fleet Description is connected to the Scrappage and Disposal Information (Tab 11b). The sheet has capacity for 100 vehicles or equipment. Please refer to the Fleet Description data definitions on tab 14 (Data Dictionary) for additional guidance on each field.

Table 23. New Vehicle, Equipment, or Engine Information

Table 23a: Vehicle/Equipment Overview

Table 23b: Place(s) of Performance

Table 23c: Details of New Vehicle, Vessel, and/or Equipment

Table 23d. Engine Repower Details (if applicable)

Table 23e. Vehicle or Equipment Activity Data

Table 23f. Details for Battery Electric Vehicles or Equipment

Table 23g. Battery Warranty

Table 23h. Powertrain Warranty

Table 23i. Vehicle or Equipment Information - Hydrogen Fuel Cell

Table 23j. Emergency Power Systems

Table 23k. Optional Future of Transportation Research

Primary Place of Performance

Secondary Place of Performance (if applicable)

Additional Location Details (if applicable)

Vehicle or Equipment

Equipment Type (select from dropdown)

Vehicle or Equipment Target Fleet (select from dropdown; must select Type first)

Vocation (select from dropdown; onroad & marine only)

If Other, Describe

Upgrade Type (select from dropdown)

Fleet Owner

Vehicle or Equipment Operates in Multiple Performance Locations Within this project? (Yes/No)

Primary Port (select from dropdown, if applicable)

If Primary location of vehicle/equipment is not at a port, provide the Name of the Additional Project Location (select from dropdown)

Project Site ID

State

County

Percentage of Time operated in County (enter value 0-1, where 1= 100%)

City

Zip Code

Secondary Port (select from dropdown, if applicable)_2

If Secondary location of vehicle/equipment is not at a port, provide the Name of the Additional Project Location (select from dropdown)_2

Project Site ID_2

State_2

County_2

Percentage of Time operated in County (enter value 0-1, where 1= 100%)_2

City_2

Zip Code_2

Additional Counties where Vehicle Operates

% of time operated in each Additional County

Vehicle Class (Onroad vehicles only)

Vehicle GVWR (Onroad Vehicle Only)

Vehicle or Equipment Manufacturer

Vehicle or Equipment Model

Vehicle or Equipment Model Year

Powertrain Family Name

Vehicle or Equipment Identification Number

Acquisition Cost per Vehicle or Equipment ($ of Cost per Unit)

Total EPA Funds Expended Per Vehicle or Equipment Acquisition ($ of Total Cost per Unit)

Engine Make

Engine Model

Engine Model Year

Engine Horsepower

Engine Family Name

Engine Serial Number

Number of Propulsion Engines (Marine and Harbor Craft Only)

Number of Auxiliary Engines (Marine and Harbor Craft Only)

Total Acquisition Cost per Engine ($ of Cost per Unit)

EPA Funds Expended for Engine Acquisition ($ of Cost per Unit)

Total Funds Expended for Labor Cost related to Engine Installation or Repower (Only applies to ZE repowers)

EPA Funds Expended for Labor Cost related to Engine Installation or Repower (Only applies to ZE repowers)

Total Combined Acquisition and Labor Costs per Engine

Total Federal EPA Funds Expended for Acquisition and Installation

Vehicle Annual Hours of Operation (Nonroad Equipment)

Annual idling hours

Vehicle Annual Miles Traveled (miles per vehicle; Onroad Only)

Annual hoteling hours (Marine and Harbor Craft Only)

Vehicle or Equipment Capable of Bidirectional Charging? (Yes/No/NA)

Manufacturer of Battery Pack

Number of Battery Packs

Battery Capacity per Battery Pack (kWh)

Vehicle or Equipment Total Battery Capacity, (kWh)

Rated Charging Power (kW)

Estimated Range in Miles (for Onroad Battery Electric only)

Estimated Range in Hours (for Nonroad Battery Electric only)

Is the Battery Warranty Included? (Yes/No)

Battery Warranty: Number of Years

Battery Warranty: Number of Miles

Battery Warranty: Total kWh of Energy discharge over Warranty Period

Vehicle or Equipment Equipped with Battery Thermal Management System? (Yes/No)

Powertrain Warranty Included? (Yes/No)

Powertrain Warranty: Number of Years

Powertrain Warranty: Number of Miles

Powertrain Warranty: Number of Hours

Manufacturer of Fuel Cell System (if known)

Fuel Cell Capacity (kW)

Hydrogen Fuel Tank Capacity (kg)

Vehicle or Equipment Equipped with Internal Combustion Engine (ICE) Emergency Power Unit? (Yes/No)

ICE Emergency Power Type (if not applicable, then NA)

Vehicle or Equipment Equipped with Telematics? (Yes/No)

EPA or its partners may contact me about participating in research opportunities to provide vehicle/equipment or charging/fueling data that could inform future transportation work. (Yes/No)

If Yes, Telematics Primary Point of contact (Name and email)

Example New Vehicle

Onroad

Short Haul - Combination

Drayage

New Vehicle - Battery Electric

Sarah Smith

Yes

Port of Miami

Hialeah Fueling Depot

50%

45%

Broward County, FL; Monroe County, FL

4% in Broward County; 1% in Monroe County

Class 7

12000

Manufacturer Name

Model Name or #

2023

ABC

1234567890ABCDEFG

$150,000.00

$112,000.00

ZE Engine Co.

ZE 1000

2023

750

ABC

4548155

2

2

$375,000.00

$300,000.00

$50,000.00

$25,000.00

$425,000.00

$325,000.00

10,000

12,000

100,000

300

Yes

Battery & Co.

6

90

540

360

200

16

Yes

8

120,000

125

Yes

Yes

8

150,000

160,000

Fuel Cell Co.

140

800

Yes

diesel powered generator

Yes

Yes

Sarah Smith, [email protected]

Vehicle/ Equipment 1

Vehicle/ Equipment 2

Vehicle/ Equipment 3

Vehicle/ Equipment 4

Vehicle/ Equipment 5

Vehicle/ Equipment 6

Vehicle/ Equipment 7

Vehicle/ Equipment 8

Vehicle/ Equipment 9

Vehicle/ Equipment 10

Vehicle/ Equipment 11

Vehicle/ Equipment 12

Vehicle/ Equipment 13

Vehicle/ Equipment 14

Vehicle/ Equipment 15

Vehicle/ Equipment 16

Vehicle/ Equipment 17

Vehicle/ Equipment 18

Vehicle/ Equipment 19

Vehicle/ Equipment 20

Vehicle/ Equipment 21

Vehicle/ Equipment 22

Vehicle/ Equipment 23

Vehicle/ Equipment 24

Vehicle/ Equipment 25

Vehicle/ Equipment 26

Vehicle/ Equipment 27

Vehicle/ Equipment 28

Vehicle/ Equipment 29

Vehicle/ Equipment 30

Vehicle/ Equipment 31

Vehicle/ Equipment 32

Vehicle/ Equipment 33

Vehicle/ Equipment 34

Vehicle/ Equipment 35

Vehicle/ Equipment 36

Vehicle/ Equipment 37

Vehicle/ Equipment 38

Vehicle/ Equipment 39

Vehicle/ Equipment 40

Vehicle/ Equipment 41

Vehicle/ Equipment 42

Vehicle/ Equipment 43

Vehicle/ Equipment 44

Vehicle/ Equipment 45

Vehicle/ Equipment 46

Vehicle/ Equipment 47

Vehicle/ Equipment 48

Vehicle/ Equipment 49

Vehicle/ Equipment 50

Vehicle/ Equipment 51

Vehicle/ Equipment 52

Vehicle/ Equipment 53

Vehicle/ Equipment 54

Vehicle/ Equipment 55

Vehicle/ Equipment 56

Vehicle/ Equipment 57

Vehicle/ Equipment 58

Vehicle/ Equipment 59

Vehicle/ Equipment 60

Vehicle/ Equipment 61

Vehicle/ Equipment 62

Vehicle/ Equipment 63

Vehicle/ Equipment 64

Vehicle/ Equipment 65

Vehicle/ Equipment 66

Vehicle/ Equipment 67

Vehicle/ Equipment 68

Vehicle/ Equipment 69

Vehicle/ Equipment 70

Vehicle/ Equipment 71

Vehicle/ Equipment 72

Vehicle/ Equipment 73

Vehicle/ Equipment 74

Vehicle/ Equipment 75

Vehicle/ Equipment 76

Vehicle/ Equipment 77

Vehicle/ Equipment 78

Vehicle/ Equipment 79

Vehicle/ Equipment 80

Vehicle/ Equipment 81

Vehicle/ Equipment 82

Vehicle/ Equipment 83

Vehicle/ Equipment 84

Vehicle/ Equipment 85

Vehicle/ Equipment 86

Vehicle/ Equipment 87

Vehicle/ Equipment 88

Vehicle/ Equipment 89

Vehicle/ Equipment 90

Vehicle/ Equipment 91

Vehicle/ Equipment 92

Vehicle/ Equipment 93

Vehicle/ Equipment 94

Vehicle/ Equipment 95

Vehicle/ Equipment 96

Vehicle/ Equipment 97

Vehicle/ Equipment 98

Vehicle/ Equipment 99

Vehicle/ Equipment 100

---

Sheet 12: 11b. Scrappage Information

U. S. Environmental Protection Agency

Clean Ports Program | Zero-Emission Technology Deployment Competition

Scrappage and/or Disposal Information

Instructions

The Scrappage and/or Disposal Information table should detail all vehicles and pieces of equipment that will be scrapped or otherwise replaced under the project. Please only fill out shaded cells highlighted blue with a diagonal pattern (///). This Scrappage and/or Disposal Information table is connected to the Fleet Description (Tab 11a). The sheet has capacity for 100 vehicles or equipment. Please refer to the Data Dictionary for additional guidance on each field.

Table 24. Current Vehicle or Equipment Committed for Scrappage Information

Table 24a. Basic Fleet Information and Place(s) of Performance | Note: Yellow fields for the Basic Fleet Information will Automatically Populate upon selecting the corresponding new equipment

Table 24b. Current Vehicle or Equipment Specifications

Table 24c. Current Engine Information

Table 24d. Current Annual Vehicle Activity Data & Estimated Remaining Life

Primary Place of Performance

Secondary Place of Performance (if applicable)

Additional Location Details (if applicable)

Current Vehicle or Equipment

Corresponding New Vehicle, Equipment, or Engine (select from dropdown)

Equipment Type

Vehicle or Equipment Target Fleet

Vocation

Upgrade Type

Fleet Owner

Vehicle or Equipment Operates in Multiple Performance Locations Within this project? (Yes/No)

Primary Port

Project Site Name

Project Site ID

State

County

Percentage of Time operated in County

City

Zip Code

Secondary Port (select from dropdown, if applicable)_2

Project Site Name_2

Project Site ID_2

State_2

County_2

Percentage of Time operated in County (enter value 0-1, where 1= 100%)_2

City_2

Zip Code_2

Additional Counties where Vehicle Operates

% of time operated in each Additional County

Current Vehicle Class (Onroad Current Vehicles only)

Current Vehicle GVWR (Onroad Current Vehicle Only)

Current Vehicle or Equipment Manufacturer

Current Vehicle or Equipment Model

Current Vehicle or Equipment Model Year

Current Powertrain Family Name

Current Vehicle or Equipment Identification Number

Method of Vehicle or Equipment Disposal

If not scrapped, provide state and county where vehicle will operate

Engine Serial Number(s)

Engine Make

Engine Model

Engine Model Year

Engine Tier (nonroad, locomotive, and marine only)

Tier 4 Standards (Tier 4 only)

Engine After-Treatment Technology (Tier 4 nonroad only)

Engine Horsepower

Engine Cylinder Displacement (liters/cylinder; marine only)

Engine Number of Cylinders (# of cylinders per engine; marine only)

Engine Total Displacement (liters per engine; marine only)

Engine Family Name (if unregulated, then NA)

Baseline Engine Fuel Type

Total # of Propulsion Engines (per vessel; marine only)

Total # of Auxiliary Engines (per vessel; marine only)

Annual Amount of Fuel Used (gallons/year per engine):

Annual Usage Hours (hours per year per engine; includes idling hours; nonroad, locomotive, and marine only)

Annual Miles Traveled (miles per vehicle; onroad only):

Annual Idling Hours (hours per engine; on-highway only)

Annual Hoteling Hours (hours per year per engine; class 8 long-haul combination only)

Remaining Life of Baseline Engine/Vehicle (years per engine; total # of years of engine life remaining at time of upgrade action):

Example Old Vehicle

Example New Vehicle

Onroad

Short Haul - Combination

Drayage

New Vehicle - Battery Electric

Sarah Smith

Yes

Port of Miami

Hialeah Fueling Depot

0

0

0

50%

0

0

0

0

0

0

0

45%

0

0

Broward County, FL; Monroe County, FL

4% in Broward County; 1% in Monroe County

Class 7

12000

Manufacturer Name

Taurus

1995

ABC

1234567890ABCDEFG

Scrapped

Maricopa County, AZ

4548154

ABC

ABC1000

1995

Tier 2

N/A

No DPF, Yes SCR

660

5.0 <= size <15.0

N/A

N/A

N/A

ULSD (diesel)

N/A

N/A

6000

3000

12000

1500

N/A

3

Current Vehicle or Equipment 1

#NAME?

Current Vehicle or Equipment 2

Current Vehicle or Equipment 3

Current Vehicle or Equipment 4

Current Vehicle or Equipment 5

Current Vehicle or Equipment 6

Current Vehicle or Equipment 7

Current Vehicle or Equipment 8

Current Vehicle or Equipment 9

Current Vehicle or Equipment 10

Current Vehicle or Equipment 11

Current Vehicle or Equipment 12

Current Vehicle or Equipment 13

Current Vehicle or Equipment 14

Current Vehicle or Equipment 15

Current Vehicle or Equipment 16

Current Vehicle or Equipment 17

Current Vehicle or Equipment 18

Current Vehicle or Equipment 19

Current Vehicle or Equipment 20

Current Vehicle or Equipment 21

Current Vehicle or Equipment 22

Current Vehicle or Equipment 23

Current Vehicle or Equipment 24

Current Vehicle or Equipment 25

Current Vehicle or Equipment 26

Current Vehicle or Equipment 27

Current Vehicle or Equipment 28

Current Vehicle or Equipment 29

Current Vehicle or Equipment 30

Current Vehicle or Equipment 31

Current Vehicle or Equipment 32

Current Vehicle or Equipment 33

Current Vehicle or Equipment 34

Current Vehicle or Equipment 35

Current Vehicle or Equipment 36

Current Vehicle or Equipment 37

Current Vehicle or Equipment 38

Current Vehicle or Equipment 39

Current Vehicle or Equipment 40

Current Vehicle or Equipment 41

Current Vehicle or Equipment 42

Current Vehicle or Equipment 43

Current Vehicle or Equipment 44

Current Vehicle or Equipment 45

Current Vehicle or Equipment 46

Current Vehicle or Equipment 47

Current Vehicle or Equipment 48

Current Vehicle or Equipment 49

Current Vehicle or Equipment 50

Current Vehicle or Equipment 51

Current Vehicle or Equipment 52

Current Vehicle or Equipment 53

Current Vehicle or Equipment 54

Current Vehicle or Equipment 55

Current Vehicle or Equipment 56

Current Vehicle or Equipment 57

Current Vehicle or Equipment 58

Current Vehicle or Equipment 59

Current Vehicle or Equipment 60

Current Vehicle or Equipment 61

Current Vehicle or Equipment 62

Current Vehicle or Equipment 63

Current Vehicle or Equipment 64

Current Vehicle or Equipment 65

Current Vehicle or Equipment 66

Current Vehicle or Equipment 67

Current Vehicle or Equipment 68

Current Vehicle or Equipment 69

Current Vehicle or Equipment 70

Current Vehicle or Equipment 71

Current Vehicle or Equipment 72

Current Vehicle or Equipment 73

Current Vehicle or Equipment 74

Current Vehicle or Equipment 75

Current Vehicle or Equipment 76

Current Vehicle or Equipment 77

Current Vehicle or Equipment 78

Current Vehicle or Equipment 79

Current Vehicle or Equipment 80

Current Vehicle or Equipment 81

Current Vehicle or Equipment 82

Current Vehicle or Equipment 83

Current Vehicle or Equipment 84

Current Vehicle or Equipment 85

Current Vehicle or Equipment 86

Current Vehicle or Equipment 87

Current Vehicle or Equipment 88

Current Vehicle or Equipment 89

Current Vehicle or Equipment 90

Current Vehicle or Equipment 91

Current Vehicle or Equipment 92

Current Vehicle or Equipment 93

Current Vehicle or Equipment 94

Current Vehicle or Equipment 95

Current Vehicle or Equipment 96

Current Vehicle or Equipment 97

Current Vehicle or Equipment 98

Current Vehicle or Equipment 99

Current Vehicle or Equipment 100

---

Sheet 13: 12. Infrastructure

U. S. Environmental Protection Agency

Clean Ports Program | Zero-Emission Technology Deployment Competition

Infrastructure Description

Instructions

Below are 5 tables (25-29), and one text response. Please complete all applicable tables. The electric vehicle supply equipment (EVSE) & other electric charging information (Table 25) should detail all EVSE and other charging equipment and supporting infrastructure purchased under the project. Table 26 focuses on shore power systems, Table 27 covers hydrogen fueling stations, Table 28 captures on-site power generation systems, Table 29 covers battery energy storage systems, and the bottom text response focuses on any other eligible infrastructure activity funded by this grant. For all tables, the infrastructure needs to be listed by location of installation as well as primary port area of service. For example, if Port Area A and Port Area B are procuring the same EVSE, the EVSE will appear as two separate EVSE Groups. Similarly, for large port areas, if EVSE are being installed in two different locations, the EVSE needs to appear as two separate EVSE Groups. The Infrastructure worksheet should be updated quarterly as infrastructure are procured and installed. Please only fill out shaded cells highlighted blue with a diagonal pattern (///); additional rows may be added as needed to capture all equipment, and may be accessed by unhiding rows in the tables below. Please refer to the Infrastructure data definitions on Tab 14 (Data Dictionary) for data field definitions. Reminder: All Level 2 EVSEs must be ENERGY STAR certified. All infrastructure including EVSE, shore power, hydrogen fueling stations, 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 August 16, 2022, the Inflation Reduction Act ("IRA"), Pub. L. No. 117-169, 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 25. Electric Vehicle Supply Equipment (EVSE) & Other Electric Charging Equipment (not including vessel shore power)

Table 25a. EVSE & Charger Overview

Table 25b. Location of Charging Infrastructure

Table 25c. Charging Management Service Details

Table 25c. Infrastructure Installation Information

Table 25d. EVSE BABA Details

Table 25e. EVSE Cost Summary

Table 25f. Optional Participation in Future of Transportation Research

Type of Charger

If Level 2, is it ENERGY STAR certified

EVSE or Other EV Charger Manufacturer

EVSE or Other EV Charger Model

EVSE or Other EV Charger Manufacture Year

EVSE or Other EV Charger Maximum Output Power (kW)

Number of Plugs on EVSE or Other EV Charger

Is the EVSE or Other EV Charger Capable of Bidirectional Charging?

Will the Vehicle/Equipment and EVSE or Other EV Charger be Used for Vehicle to Grid (V2G)?

Number of EVSE or Other EV Charger Units

State (select from dropdown)

County (select from dropdown)

City

Zip Code

Street Address of Charger(s)

Who owns the charger?

Does the EVSE or Other EV Charger serve multiple port areas within this application?

Primary Port Served by EVSE and/or EV Charger

Secondary Locations served by EVSE and/or EV Charger (use semicolon to separate between multiple port locations)

Name of Charging Management Service Provider (NA if not applicable)

Does the Infrastructure Equipment Cost Include Charging Management Service? (Yes/No)

If Charging Management Service not included in cost, but is acquired, what is the cost and frequency of charges?

Description of Installation Work, including all equipment installed

Installation Work Performed By

Installation was conducted by an individual who meets the infrastructure electrician requirements as outlined in the program guidance?

Date EVSE or Other EV Charger was Manufactured (mm/dd/yyyy)

Date of EVSE or Other EV Charger Installation (mm/dd/yyyy)

Date EVSE or Other EV Charger Operational (mm/dd/yyyy)

Is the EVSE or Other EV Charger and associated Equipment, Housing, and all Accessories BABA Compliant?

If No, Partly Compliant, or Unsure, explain

Is waiver being used to fulfill BABA compliance for the Infrastructure Project

Does the Infrastructure Equipment Cost Include Installation?

EVSE or Other EV Charger Equipment Cost only Per Unit:

Total EPA Funds Expended Per EVSE or Other EV Charger Unit

Total Funds Expended for EVSE or Other EV Charger

Total EPA Funds Expended for EVSE or Other EV Charger

Total Funds Expended on Installation Cost

Total EPA Funds Expended on Installation Cost

Total Funds Expended for All other Eligible EVSE or Other EV Charger Related Expenses (e.g., Permits, Shipping, etc.)

Total EPA Funds Expended for All other Eligible EVSE or Other EV Charger Related Expenses (e.g., Permits, Shipping, etc.)

Description of Other Eligible EVSE or Other EV Charger Administrative Expenses

Total Funds Expended on EVSE or Other EV Charger Equipment, Installation, and Other Eligible EVSE or Other EV Charger Related Expenses

Total EPA Funds on EVSE or Other EV Charger Equipment, Installation, and Other Eligible EVSE or Other EV Charger Related Expenses

EPA or its partners may contact me about participating in research opportunities to provide Shore Power usage data that could inform future transportation work. (Yes/No)

If Yes, Primary Point of contact (Name and email)

Example EV Infrastructure

Level 2

Yes

Manufacturer Name

Model Name

2023

24

2

No

No

2

VA

Arlington County

Alexandria

22305

400 1st Street

City of Houston

Yes

Port Houston

Port of Galveston; UP Englewood Yard

Charge Manage & Co.

Yes

$250 per charger per month

Upgrades to the electrical panel, wiring, and installation for two DCFC

XYZ Electric Co.

Yes - Certification from EVITP

3/28/2024

6/28/2024

8/28/2024

Yes - Equipment, Housing, Wiring, Cables, and All Accessories are BABA Compliant

No - Infrastructure meets all BABA requirements

No

$16,000.00

$12,000.00

$32,000.00

$24,000.00

$12,000.00

$7,000.00

$750.00

$25.00

Electrical Permit ($250); shipping ($500)

$44,750.00

$31,025.00

Yes

Sarah Smith, [email protected]

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

$-

$-

$-

$-

Table 26. Shore Power Equipment Information

Table 26a. Shore Power Equipment Information & Demand Overview

Table 26b. Location of Shore Power Infrastructure

Table 26c. Shore Power Infrastructure Installation Information

Table 26d. Shore Power BABA Details

Table 26e. Shore Power Cost Summary

Table 26f. Optional Participation in Future of Transportation Research

Type of Shore Power Connection

Total Voltage Service Provided (select from dropdown)

Total Voltage Service Provided, if not listed

Manufacturer

Model

Typical Engine Tier of Vessels Using Shore Power

Fuel Type of Vessels Using Shore Power

Number of Annual Vessel Calls to Berth where Shore Power Installed

Average Hotel Hours per Vessel Call per Berth where Shore Power Installed

Number of Vessel Berths that can be served by Shore Power Pedestal

Maximum Output Power (kW)

Estimated Annual Total Energy Dispersed in MW-h

Number of Plugs per Shore Power Pedestal

Number of Shore Power Pedestals

State (select from dropdown)

County (select from dropdown)

City

Zip Code

Port Facility where Shore Power Installed

Who owns the Shore Power Infrastructure?

Description of Installation Work, including all equipment installed

Installation Work Performed By

Date(s) Shore Power Equipment was Manufactured (mm/dd/yyyy)

Date of Shore Power Installation (mm/dd/yyyy)

Date of Shore Power Completely Operational (mm/dd/yyyy)

Are the Shore Power Equipment, Housing, and all Accessories BABA Compliant?

If No, Partly Compliant, or Unsure, explain

Is waiver being used to fulfill BABA compliance for this infrastructure?

Equipment Cost only Per Shore Power Pedestal:

Total EPA Funds Expended Per Shore Power Pedestal

Does the Infrastructure Equipment Cost Include Installation?

Total Funds Expended Installation Cost for Shore Power Group

Total EPA Funds Expended Installation Cost for Shore Power Group

Total Funds Expended for All other Eligible Shore Power Acquisition & Installation Related Expenses (e.g., Permits, Shipping, etc.)

Total EPA Funds Expended for All other Eligible Shore Power Acquisition & Installation Related Expenses (e.g., Permits, Shipping, etc.)

Description of Other Eligible Shore Power Related Expenses

Total Funds Expended for Shore Power Equipment Acquisition (total # of pedestals x Funds Expended/pedestal)

Total EPA Funds Expended for Shore Power Equipment Acquisition (total # of pedestals x EPA Funds Expended/pedestal)

Total Funds Expended for Shore Power Equipment Acquisition, Installation, and Other Costs

Total EPA Funds Expended for Shore Power Equipment Acquisition & Installation, and Other Costs

EPA Cost Share Expended For Shore Power Equipment

EPA Cost Share for Shore Power Installation

Overall EPA Cost Share for Shore Power Equipment

EPA or its partners may contact me about participating in research opportunities to provide Shore Power usage data that could inform future transportation work. (Yes/No)

If Yes, Primary Point of contact (Name and email)

Example Shore Power Infrastructure

High voltage shore power connection (HVSC)

6.6 kV

10 kV

Manufacturer Name

Model Name

Tier 1

Marine Gas Oil (MGO, 0.10% S)

500

72

1

24

1 MW-h

2

2

VA

Arlington County

Alexandria

22305

Port of Houston

Port of Houston

Upgrades to the electrical panel, wiring, housing, and installation of two LVSC pedestals

XYZ Electric Co.

5/25/2023

6/28/2024

8/28/2024

Yes - Equipment, Housing, Wiring, Cables, and All Accessories are BABA Compliant

No - Infrastructure meets all BABA requirements

$16,000.00

$12,000.00

No

$12,000.00

$7,000.00

$750.00

$-

Electrical Permit ($250); shipping ($500)

$32,000.00

$24,000.00

$44,750.00

$31,000.00

75%

58%

69%

Yes

Sarah Smith, [email protected]

Shore Power Group 1

Shore Power Group 2

Shore Power Group 3

Shore Power Group 4

Shore Power Group 5

Shore Power Group 6

Shore Power Group 7

Shore Power Group 8

Shore Power Group 9

Shore Power Group 10

Table 27. Hydrogen Fueling Station Information

Table 27a. Hydrogen Fueling Station Information Overview

Table 27b. H2 Dispenser Pedestal Details

Table 27c. H2 Storage Tank

Table 27d. H2 Compressor

Table 27e. H2 Cooling System

Table 27f. Service Details

Table 27g. Location of H2 Station

Table 27h. Installation Details

Table 27i. BABA Compliance

Table 27j. Funding Details

Table 27k. Optional Future of Transportation Research

Type of Station (Select from dropdown)

Type of Hydrogen Storage (select from dropdown)

Refilling Pressure (H35, H70, dual pressure, other)

Refilling Pressure: If Other, specify below

Total Hydrogen Storage Tank Capacity (kg)

Total Number of Dispensers

Maximum Dispensing Flow Rate per Hose (kg/min)

Total Dispensing Capacity of the Station (kg/min)

Total Number of Cooling Systems

Total Number of Compressors

Number of Storage Tanks

Number of Dispenser Pedestals

Number of Hoses per Pedestal

Manufacturer

Model

Dispenser Pedestal Manufacture Year

Manufacturer

Model

Manufacture Year

Manufacturer

Model

Manufacture Year

Manufacturer

Model

Manufacture Year

Does the fueling station serve multiple port facilities within this application?

Primary Location Served by fueling station: Associated Port Facility

Secondary Locations served by fueling station: Associated Port (use a semicolon between facilities)

Estimated Annual Total H2 Dispensed in kg

Who owns the H2 Fueling Station?

State (select from dropdown)

County (select from dropdown)

City

Zip Code

Street Address

Description of Installation Work Performed

H2 Fueling Station Installation Performed by:

Date(s) of Fueling Station & Equipment was Manufactured

Date of H2 Fueling Station Installation (mm/dd/yyyy)

Date H2 Fueling Station Operational (mm/dd/yyyy)

Are the Hydrogen Fueling and related Equipment, Housing, and all Accessories BABA Compliant?

If No, Partly Compliant, or Unsure, explain

Is a waiver being used to fulfill BABA compliance for the H2 Fueling Infrastructure?

Total Funds Expended Per H2 Fueling per Pedestal Acquisition:

Total EPA Funds Expended Per H2 Fueling per Pedestal Acquisition:

Total Funds Expended Per Additional H2 Supporting Infrastructure (e.g., tanks, pipes, compressors, cooling systems):

Total EPA Funds Expended Per Additional H2 Supporting Infrastructure (e.g., tanks, pipes, compressors, cooling systems):

Total Funds Expended Installation Cost

Total EPA Funds Expended Installation Cost:

Total Funds Expended for All other Eligible H2 Fueling Infrastructure Acquisition & Installation Related Expenses (e.g., Permits, Shipping, etc.)

Total EPA Funds Expended for All other Eligible H2 Fueling Infrastructure Acquisition & Installation Related Expenses (e.g., Permits, Shipping, etc.)

Description of Other Eligible H2 Fueling Related Expenses

Total Funds Expended for H2 Infrastructure Acquisition, Installation, and Other Eligible Expenses (total # of pedestals x Total Funds Expended/pedestal + supporting infrastructure + installation + other eligible expenses)

Total EPA Funds Expended for H2 Infrastructure Acquisition, Installation, and Other Eligible Expenses (total # of pedestals x Federal Funds Expended/pedestal + supporting infrastructure installation + other eligible expenses)

EPA or its partners may contact me about participating in research opportunities to provide Hydrogen Usage data that could inform future transportation work. (Yes/No)

If Yes, Primary Point of contact for data access (Name and email)

Example Hydrogen Fueling Station

Gas

Above Ground

H35

1,200

6

2

12

2

2

3

3

2

H2 Hoses & Co.

Magic Hose 1

2023

H2 Super Tank

ST001

2023

Cool Engineering Co.

H2+HD

2023

Cool and Beyond

Cool H2+ Mark I

2023

Yes

Port Houston

Port of Galveston; UP Englewood Yard

200,000

Port of Houston

VA

Arlington County

Alexandria

22305

400 1st Street

XYZ H2 Solutions

compressor: 12/2023; housing: 3/2024

6/28/2024

8/28/2024

Yes - Housing, Wiring, Cables, and All Accessories are BABA Compliant

No - Infrastructure meets all BABA requirements

$200,000.00

$150,000.00

$100,000.00

$80,000.00

$25,000.00

$12,000.00

$100.00

$100.00

permit

$725,100.00

$542,000.00

Yes

Sarah Smith, [email protected]

Hydrogen fueling station 1

$-

$-

Hydrogen fueling station 2

$-

$-

Hydrogen fueling station 3

$-

$-

Hydrogen fueling station 4

$-

$-

Hydrogen fueling station 5

$-

$-

Hydrogen fueling station 6

$-

$-

Hydrogen fueling station 7

$-

$-

Hydrogen fueling station 8

$-

$-

Hydrogen fueling station 9

$-

$-

Hydrogen fueling station 10

$-

$-

Table 28. On-Site Power Generation Equipment Information | Note: If the on-site power generation includes an energy storage system, information for such system needs to be documented in the table below this one.

Table 28a. On-Site Power Generation Equipment Information

Table 28b. On-Site Power Generation Location Details

Table 28c. On-Site Power Generation Installation Details

Table 28d. BABA Compliance

Table 28e. On-Site Power Generation Cost Summary

Table 28f. Optional Participation in Future of Transportation Research

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)

State (select from dropdown)

County (select from dropdown)

City

Zip Code

Street Address

Who owns the equipment?

Does the On-Site Power Generation serve multiple ports within this application?

Primary Location Served by On-site Power generation: Associated Ports

Secondary Locations served by On-site power generation: Associated Ports (use a colon between facilities)

Description of Installation Work Performed

Installation of Power Generation Infrastructure Performed by

Date(s) On-Site Power Generation Equipment was Manufactured

Completion Date of the On-site Power Generation Installation (mm/dd/yyyy)

Date of the On-site Power Generation Operational (mm/dd/yyyy)

Is On-Site Power Generation and related Equipment, Housing, and all Accessories BABA Compliant?

If No, Partly Compliant, or Unsure, explain

Is a waiver being used to fulfill BABA compliance for the On-site Power Generation?

Equipment Cost only Per Power Generation System

Total EPA Funds Expended Per Power Generation System

Total Funds Expended Installation Cost

Total EPA Funds Expended Installation Cost

Total Funds Expended for All other Eligible On-Site Power Generation Related Expenses (e.g., Permits, Shipping, etc.)

Total EPA Funds Expended for All other Eligible On-Site Power Generation Related Expenses (e.g., Permits, Shipping, etc.)

Description of Other Eligible On-Site Power Generation Related Expenses

Total Funds Expended on On-site Power Generation Equipment, Installation, and other Eligible Expenses

Total EPA Funds Expended on On-site Power Generation Equipment, Installation, and other Eligible Expenses

EPA or its partners may contact me about participating in research opportunities to provide On-Site Generation usage data that could inform future transportation work. (Yes/No)

If Yes, Primary Point of contact (Name and email)

Example On-site Power Generation

Solar

Manufacturer Name

Model Name

2023

15 kW

VA

Arlington County

Alexandria

22305

400 1st Street

Port of Houston

Yes

Port Houston

Port of Galveston, UP Englewood Yard

XYZ PowerGen Co.

equipment: 3/2024; housing: 6/2023

6/28/2024

8/28/2024

Yes - Housing, Wiring, Cables, and All Accessories are BABA Compliant

No - Infrastructure meets all BABA requirements

$45,000.00

$45,000.00

$7,000.00

$5,000.00

$100.00

$100.00

permit

$52,100.00

$50,100.00

Yes

Sarah Smith, [email protected]

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 29. Battery Energy Storage System (BESS) Equipment Information

Table 29a. BESS Equipment Overview

Table 29b. Location of BESS Infrastructure

Table 29c. BESS Installation Details

Table 29d. BABA Compliance

Table 29e. BESS Cost Summary

Table 29f. Optional Participation in Future of Transportation Research

Type of Battery

Manufacturer of BESS

Model of BESS

Manufacture Year of BESS

Total Energy Capacity (please indicate unit; kWh or MWh)

Maximum Continuous Discharge AC Power (kW)

Maximum Continuous Discharge DC Power (kW)

Is the Battery Warranty Included? (Yes/No)

Battery Warranty: Number of Years

Battery Warranty: Total Discharged Energy (please indicate unit; kWh or MWh)

Energy Retention at the End of Warranty Period (%)

Number of Units

State (select from dropdown)

County (select from dropdown)

City

Zip Code

Street Address

Who owns the equipment?

Does the BESS serve multiple port facilities within this application?

Primary Location Served by BESS: Associated Port

Secondary Locations served by BESS: Associated Port(s) (use a colon between facilities)

Description of Installation Work Performed

BESS Installation Performed by

Date(s) BESS and related Equipment was Manufactured

Completion Date of the BESS Installation (mm/dd/yyyy)

Date BESS Operational (mm/dd/yyyy)

Is BESS and related Equipment, Housing, and all Accessories BABA Compliant?

If No, Partly Compliant, or Unsure, explain

Is a waiver being used to fulfill BABA compliance for the On-site Power Generation?

Total Equipment Cost Expended Per Unit Acquisition

Total EPA Funds Expended Per Unit Acquisition

Total Cost Expended for BESS Acquisition

Total EPA Funds Expended for BESS Acquisition

Total Funds Expended Installation Cost

Total EPA Funds Expended Installation Cost:

Total Funds Expended for All other Eligible BESS Related Expenses (e.g., Permits, Shipping, etc.)

Total EPA Funds Expended for All other Eligible BESS Related Expenses (e.g., Permits, Shipping, etc.)

Description of Other Eligible BESS Related Expenses

Total Funds Expended on BESS Equipment, Installation, and Other Eligible Expenses

Total EPA Funds Expended BESS Equipment, Installation, and Other Eligible Expenses

EPA or its partners may contact me about participating in research opportunities to provide BESS usage data that could inform future transportation work. (Yes/No)

If Yes, Primary Point of contact (Name and email)

BESS Example

Lithium-Ion

Manufacturer Name

Model Name

2023

36 kWh

1200

2400

Yes

8

20000 MWh

70%

2

VA

Arlington County

Alexandria

22305

400 1st Street

Port of Houston

Yes

Port Houston

Port of Galveston, UP Englewood Yard

Battery & Co.

battery: 3/2024; housing: 6/2023

6/28/2024

8/28/2024

Yes - Housing, Wiring, Cables, and All Accessories are BABA Compliant

No - Infrastructure meets all BABA requirements

$48,000.00

$20,000.00

$96,000.00

$40,000.00

$12,000.00

$10,000.00

$100.00

$100.00

permit

$108,100.00

$50,100.00

Yes

Sarah Smith, [email protected]

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

$-

$-

$-

$-

Are there any other infrastructure projects associated with this grant that are not listed above? (select Yes or No)

If no, please leave this section blank. If yes, please provide details in the box below on the infrastructure project and describe how BABA compliance was determined.

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Sheet 14: 13. Final Report

U. S. Environmental Protection Agency

Clean Ports Program

Final Report: Financial and Narrative Summary

Grant Recipient

EPA Project Award Amount

$-

Grant Number

Total Cost Share Amount

$-

Program and Fiscal Year

Total Project Costs (Federal. + Cost Share)

$-

Project Period of Performance

EPA Funds Expended to Date

$-

Project Title

EPA Funds Remaining

$-

Table 30a. Project Updates - Narrative Responses

Record final project information.

Please paste the planned activities, outputs, and outcome from the last interannual report. Please indicate the final results below.

Activities

Anticipated Outputs

Anticipated Outcomes

ACTUAL Results

Table 30b. Project Updates - Programmatic and Narrative Financial Results of Project

Please provide programmatic and narrative financial results on the project.

Question

Answer

1. Provide a narrative description of the project.

2. Explain the reason for any differences in proposed versus actual outputs/outcomes identified in Table 15 above.

3. Provide a narrative discussion of the actual project results (outputs and outcomes) and how the results are quantified. These may include, but are not limited to:  Number of replaced or retrofitted engines/vehicles/equipment and/or hours of idling reduced;  Adoption of an idle-reduction policy or changes in driver behavior regarding idling practices  Dissemination of the project information and increased knowledge via list serves, websites, journals, and press/outreach events (provide web links where applicable);  Widespread adoption of the implemented technology;  Increased public awareness of project and results  Other

4. Provide information on subrecipients and vendors:  Sub-recipient information (name, award amount, project description);  Vendor information (name, payment amount, good/services provided);

5. Provide a narrative discussion of the successes and lessons learned for the entire project.

6. If any cost-share or additional leveraged funds are reported, identify the source of the funds.

7. Was any program income generated during the project period? Identify amount of program income, how it was generated, and how the program income was used.

8. For projects involving vehicle/equipment replacement, please provide: a) Evidence that the replacement activity is an “early replacement,” and would not have occurred during the project period through normal attrition (i.e. without the financial assistance provided by EPA). Supporting evidence can include verification that the vehicles or equipment replaced had useful life left and fleet characterization showing fleet age ranges and average turnover rates per the vehicle or fleet owner’s budget plan, operating plan, standard procedures, or retirement schedule; and b) Evidence of appropriate scrappage, sale, or vehicle donation (if applicable) including the engine serial number and/or the vehicle identification number (VIN). *Include Attachments as Necessary

9. For projects that take place in an area affected by, or that include affected vehicles, engines or equipment affected by, Federal, State or local law mandating emissions reductions, provide evidence that emission reductions funded with EPA funds were implemented prior to the effective date of the mandate and/or are in excess of (above and beyond) those required by the applicable mandate. *Include Attachments as Necessary

10. Did you include at least one photo of successful, new equipment(s) or vehicle(s) employed? If yes, please indicate if you approve of permission for EPA's future use of the photo(s) in future internal and external documents including, but not limited to Reports to Congress and case studies highlighting CP success stories.

11. Do you have any other comments or feedback?

Table 30c. Project Updates - Subaward Reporting Requirements (if applicable)

Please provide subaward information on the project and an explanation in each cell below.

Question

Answer

Summaries of results of reviews of financial and programmatic reports.

Summaries of findings from site visits and/or desk reviews to ensure effective subrecipient performance.

Environmental results the subrecipient achieved

Summaries of audit findings and related pass-through entity management decisions

Actions the pass-through entity has taken to correct deficiencies such as those specified at 2 CFR 200.332, 2 CFR 200.208 and the 2 CFR 200.339 Remedies for Noncompliance

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Sheet 15: 14. Data Dictionary

U. S. Environmental Protection Agency
Clean Ports Program | Data Dictionary
This data dictionary contains details for all fields found on Tabs 10, 11a, 11b, and 12.
Tab 10. Climate & Air Quality Plans
Table 22: Climate and Air Quality Planning Activity Details
Type of Planning Activity (select from dropdown)	Select the type of planning activity from the dropdown menu. Options include: Emissions Inventory and/or Accounting Practice, Emissions Reduction Strategy Analysis, Development of Emissions Reduction Target, Plan for Reducing Future Port Emissions, Port Resiliency Assessment, Plan to Increase Resilience of Port, Formal Stakeholder Engagement, Workforce Planning Analysis, and Other Activity.
If Other Planning Activity not listed, describe	If Other Activity is selected for the previous field, enter the planning activity in this field.
Primary Port Affected by Planning Activity (select from dropdown)	Select the primary port affected by each planning activity from the dropdown menu, which will be populated with fields from the Cover Sheet (Tab 2, Table 3a.)
If Primary location of activity is not at a port, provide the Name of the Additional Project Location (select from dropdown)	If the primary location of the activity is not at a port, provide the primary site affected by each planning activity from the dropdown menu, which will be populated with fields from the Cover Sheet (Tab 2, Table 3b.)
Project Site ID	No action needed; this field will auto-populate based on the response to the prior fields using the information entered into the Cover Sheet
State	No action needed; this field will auto-populate based on the response to the prior fields using the information entered into the Cover Sheet
County	No action needed; this field will auto-populate based on the response to the prior fields using the information entered into the Cover Sheet
Percentage of Planning Activity Affecting Site (enter value 0-1, where 1 = 100%)	Enter the percentage of the planning activity that will affect the site listed by entering a value from 0 to 1, where 1 = 100%.
City	No action needed; this field will auto-populate based on the response to the prior fields using the information entered into the Cover Sheet
Secondary Port Affected by Planning Activity (select from dropdown, if applicable)_2	If the planning activity affects more than one area, select the secondary port affected by each planning activity from the dropdown menu, which will be populated with fields from the Cover Sheet (Tab 2, Table 3a.)
If Secondary location of activity is not at a port, provide the Name of the Additional Project Location (select from dropdown)	If the planning activity affects more than one area and it is not at a port listed, provide the secondary site affected by each planning activity from the dropdown menu, which will be populated with fields from the Cover Sheet (Tab 2, Table 3b.)
Project Site ID_2	No action needed; this field will auto-populate based on the response to the prior fields using the information entered into the Cover Sheet
State_2	No action needed; this field will auto-populate based on the response to the prior fields using the information entered into the Cover Sheet
County_2	No action needed; this field will auto-populate based on the response to the prior fields using the information entered into the Cover Sheet
Percentage of Planning Activity Affecting Site (enter value 0-1)_2	Enter the percentage of the planning activity that will affect the site listed by entering a value from 0 to 1, where 1 = 100%.
City_2	No action needed; this field will auto-populate based on the response to the prior fields using the information entered into the Cover Sheet
Additional Counties where Planning Takes Place	If the listed planning activity spans additional counties or sites not otherwise listed, please list these counties here, using a semicolon to separate between different counties.
% of Planning Affecting Additional Counties	If the listed planning activity spans additional counties or sites not otherwise listed, please list the relative share of the planning activity affecting these additional counties, using a semicolon to separate between different counties and percentages of activities in parentheses.
Outcome of Planning Activity	In 1-2 sentences, describe the anticipated or actual outcome of the planning activity. For examples of outcomes, please refer to the Program NOFO.
Publicly Available Documentation of Outcome (e.g., link to published emissions inventory, link to page with community outreach policy, etc.)	For each outcome listed in the prior field with a publicly-facing product or deliverable, please list the name and web address of the publicly facing product.
Total Cost of Planning Activity	Enter the total cost of the planning activity
Total EPA Funds Expended for Planning Activity	Enter the total EPA funds used for the planning activity
If third party contractors provided support for this planning activity, provide names and roles.	For activities that involved third-party contractors, please list the name and roles of each third party as it relates to the listed activity.
Tab 11a. Fleet Description
Table 23. New Vehicle, Equipment, or Engine Information
Table 23a: Vehicle/Equipment Overview
Equipment Type (select from dropdown)	Using the dropdown menu, select the equipment type sector from the following options: Onroad, Locomotive, Vessel, and Cargo_Handling_Equipment_and_Other_Nonroad
Vehicle or Equipment Target Fleet (select from dropdown; must select Type first)	Using the dropdown menu, select the specific type of vehicle or equipment fleet; note the dropdown menu shown is a function of the prior field (e.g., Onroad will only show relevant onroad vehicles, etc.).
Vocation (select from dropdown; onroad & marine only)	Using the dropdown menu, select the vocation that best describes the use of the vessel or onroad vehicle. Note this field is hatched out for locomotives and Cargo Handling Equipment
If Other, Describe	If Other Target Fleet or Vocation selected in the prior fields, provide a brief description of the vehicle and/or equipment and its vocation related to this project.
Upgrade Type (select from dropdown)	Using the dropdown menu, select the type of upgrade or replacement that best describes this vehicle or equipment; options include: New Vehicle - Battery Electric, New Vehicle - Fuel Cell, New Locomotive - Battery Electric, New Locomotive - Fuel Cell, New Vessel - Battery Electric, New Vessel - Fuel Cell, New Engine - Battery Electric, New Engine - Fuel Cell, New Cargo Handling Equipment - Battery Electric, New Cargo Handling Equipment - Fuel Cell, and Other
Fleet Owner	List the name and/or organization that owns the new vehicle or equipment
Table 23b: Place(s) of Performance
Vehicle or Equipment Operates in Multiple Performance Locations Within this project? (Yes/No)	Select Yes/No based on i
Primary Place of Performance
Primary Port (select from dropdown, if applicable)	Select the primary port affected by each vehicle or equipment's operation from the dropdown menu, which will be populated with fields from the Cover Sheet (Tab 2, Table 3a.)
If Primary location of vehicle/equipment is not at a port, provide the Name of the Additional Project Location (select from dropdown)	If the primary location of the vehicle or equipment's operation is not at a port, provide the primary site affected by each vehicle from the dropdown menu, which will be populated with fields from the Cover Sheet (Tab 2, Table 3b.)
Project Site ID	No action needed; this field will auto-populate based on the response to the prior fields using the information entered into the Cover Sheet
State	No action needed; this field will auto-populate based on the response to the prior fields using the information entered into the Cover Sheet
County	No action needed; this field will auto-populate based on the response to the prior fields using the information entered into the Cover Sheet
Percentage of Time operated in County (enter value 0-1, where 1= 100%)	Enter the percentage of the time the vehicle or equipment will operate at the site listed by entering a value from 0 to 1, where 1 = 100%.
City	No action needed; this field will auto-populate based on the response to the prior fields using the information entered into the Cover Sheet
Zip Code	No action needed; this field will auto-populate based on the response to the prior fields using the information entered into the Cover Sheet
Secondary Place of Performance (if applicable)
Secondary Port (select from dropdown, if applicable)_2	If there is a secondary place of performance that's also a port where this vehicle or equipment is expected to operate, select the port from the list of options on the dropdown menu, which will be populated with fields from the Cover Sheet (Tab 2, Table 3a).
If Secondary location of vehicle/equipment is not at a port, provide the Name of the Additional Project Location (select from dropdown)_2	If there is a secondary place of performance that's also not a port where this vehicle or equipment is expected to operate, select the additional location of operation from the list of options on the dropdown menu, which will be populated with fields from the Cover Sheet (Tab 2, Table 3b).
Project Site ID_2	No action needed; this field will auto-populate based on the response to the prior fields using the information entered into the Cover Sheet
State_2	No action needed; this field will auto-populate based on the response to the prior fields using the information entered into the Cover Sheet
County_2	No action needed; this field will auto-populate based on the response to the prior fields using the information entered into the Cover Sheet
Percentage of Time operated in County (enter value 0-1, where 1= 100%)_2	Enter the percentage of the time the vehicle or equipment will operate at the site listed by entering a value from 0 to 1, where 1 = 100%.
City_2	No action needed; this field will auto-populate based on the response to the prior fields using the information entered into the Cover Sheet
Zip Code_2	No action needed; this field will auto-populate based on the response to the prior fields using the information entered into the Cover Sheet
Additional Location Details (if applicable)
Additional Counties where Vehicle Operates	List the names of the additional counties where the vehicle operates; separate multiple counties using a semicolon
% of time operated in each Additional County	List the relative share of time each vehicle or equipment operates in the additional counties listed in the field before
Table 23c: Details of New Vehicle, Vessel, and/or Equipment
Vehicle Class (Onroad vehicles only)	Select from the dropdown menu the Vehicle/Equipment Class for onroad vehicles, as appropriate.
Vehicle GVWR (Onroad Vehicle Only)	Enter the vehicle's gross vehicle weight rating (only required for Onroad Vehicles)
Vehicle or Equipment Manufacturer	Enter the manufacturer of the New Vehicle
Vehicle or Equipment Model	Enter the model of the New vehicle
Vehicle or Equipment Model Year	Enter the model year of the new vehicle or equipment
Powertrain Family Name	Enter the powertrain family name for the new vehicle or equipment
Vehicle or Equipment Identification Number	Enter the unique identifier for the vehicles; where applicable, provide a Vehicle Identification Number (VIN), or similar unique vehicle identifier
Acquisition Cost per Vehicle or Equipment ($ of Cost per Unit)	Enter the total cost expended for acquiring this vehicle or equipment
Total EPA Funds Expended Per Vehicle or Equipment Acquisition ($ of Total Cost per Unit)	Enter the total EPA funds from this grant expended for acquiring this vehicle or equipment
Table 23d. Engine Repower Details (if applicable)
Engine Make	Enter the manufacturer of the existing Engine.
Engine Model	Enter the model of the existing Engine.
Engine Model Year	Enter the model year of this engine set.
Engine Horsepower	Enter the average horsepower of the engine/equipment.
Engine Family Name	Enter the Engine Family name of the existing Engine. NOTE: unregulated engines will not have an Engine Family Name, and can be listed as 'N/A'
Engine Serial Number	Enter the engine Serial # for each vehicle or engine to be scrapped/replaced.
Number of Propulsion Engines (Marine and Harbor Craft Only)	Enter the total number of propulsion engines on the vessel.
Number of Auxiliary Engines (Marine and Harbor Craft Only)	Enter the total number of auxiliary engines on the vessel.
Total Acquisition Cost per Engine ($ of Cost per Unit)	Enter the total cost expended for acquiring each engine
EPA Funds Expended for Engine Acquisition ($ of Cost per Unit)	Enter the total EPA funds from this grant expended for acquiring each engine
Total Funds Expended for Labor Cost related to Engine Installation or Repower (Only applies to ZE repowers)	Enter the total cost expended on labor related to this engine installation and/or repower
EPA Funds Expended for Labor Cost related to Engine Installation or Repower (Only applies to ZE repowers)	Enter the total EPA funds from this grant expended on labor related to this engine installation and/or repower
Total Combined Acquisition and Labor Costs per Engine	No action needed; this field will automatically sum the previously listed acquisition and labor costs listed previously
Total Federal EPA Funds Expended for Acquisition and Installation	No action needed; this field will automatically sum the previously listed acquisition and labor costs listed previously
Table 23e. Vehicle or Equipment Activity Data
Vehicle Annual Hours of Operation (Nonroad Equipment)	Enter the average number of hours the equipment operates per year per vehicle (only required for Nonroad equipment)
Annual idling hours	Enter the average number of hours the vehicle idles per year.
Vehicle Annual Miles Traveled (miles per vehicle; Onroad Only)	Enter the average number of vehicle miles traveled per year per vehicle (only required for Onroad vehicles)
Annual hoteling hours (Marine and Harbor Craft Only)	Enter the average number of hoteling hours per year, per engine (only required for vessels)
Table 23f. Details for Battery Electric Vehicles or Equipment (only required for Battery Electric Equipment)
Vehicle or Equipment Capable of Bidirectional Charging? (Yes/No/NA)	Provide information about if the vehicle or equipment is capable of bidirectional charging, by selecting, yes, no, or non applicable, if new vehicle/vessel is not a battery electric.
Manufacturer of Battery Pack	Name of the Battery Manufacturer
Number of Battery Packs	Number of battery packs on the vehicle. If not known, enter 1
Battery Capacity per Battery Pack (kWh)	Listed battery capacity per battery pack; if only entire capacity known, enter that value here, and 1 as the battery pack.
Vehicle or Equipment Total Battery Capacity, (kWh)	No action needed: This field multiplies the number of battery packs by the capacity per battery pack
Rated Charging Power (kW)	Enter the rated charging power in kW
Estimated Range in Miles (for Onroad Battery Electric only)	For onroad battery electric vehicles only, enter in the estimated range in miles
Estimated Range in Hours (for Nonroad Battery Electric only)	For non-road battery electric equipment only, enter the estimated number of hours of operation
Table 23g. Battery Warranty (only required for Battery Electric Equipment)
Is the Battery Warranty Included? (Yes/No)	Using the dropdown menu, select yes or no if a battery warranty is included.
Battery Warranty: Number of Years	If the battery includes a warranty, indicate the number of years the coverage is valid for
Battery Warranty: Number of Miles	For onroad battery electric vehicle only - If the battery includes a warranty, indicate the number of miles the coverage is valid for
Battery Warranty: Number of Hours	For non-road battery electric equipment only - If the battery includes a warranty, indicate the number of hours of operation the coverage is valid for
Battery Warranty: Total kWh of Energy discharge over Warranty Period	If the battery includes a warranty, indicate the total amount of discharged energy (kWh) the coverage is valid for
Vehicle or Equipment Equipped with Battery Thermal Management System? (Yes/No)	Using the dropdown menu, select yes or no if the vehicle is equipped with a battery thermal management system.
Table 23h. Powertrain Warranty
Powertrain Warranty Included? (Yes/No)	Using the dropdown menu, select yes or no if a powertrain warranty is included.
Powertrain Warranty: Number of Years	If the powertrain includes a warranty, indicate the number of years the coverage is valid for
Powertrain Warranty: Number of Miles	If the powertrain includes a warranty, indicate the number of miles the coverage is valid for (on-road)
Powertrain Warranty: Number of Hours	If the powertrain includes a warranty, indicate the number of hours of operation the coverage is valid for (non-road)
Table 23i. Vehicle or Equipment Information - Hydrogen Fuel Cell (only required for H2 Fuel Cell Equipment)
Manufacturer of Fuel Cell System (if known)	Name of the fuel cell system Manufacturer
Fuel Cell Capacity (kW)	Maximum output power of fuel cell system in kW
Hydrogen Fuel Tank Capacity (kg)	Capacity of the vehicle's hydrogen fuel tank in kg
Table 23j. Emergency Power Systems
Vehicle or Equipment Equipped with Internal Combustion Engine (ICE) Emergency Power Unit? (Yes/No)	Select yes or no reflecting the vehicle's capabilities
ICE Emergency Power Type (if not applicable, then NA)	Describe the engine(s) and circumstances under which Emergency Power is used
Table 23k. Optional Future of Transportation Research
Vehicle or Equipment Equipped with Telematics? (Yes/No)	Select yes or no reflecting the vehicle's capabilities
EPA or its partners may contact me about participating in research opportunities to provide vehicle/equipment or charging/fueling data that could inform future transportation work. (Yes/No)	Select from the dropdown menu if EPA or its partners may contact you regarding shore power research.
If Yes, Telematics Primary Point of contact (Name and email)	If you selected "Yes" for the previous column, please enter your name and e-mail.
Tab 11b. Scrappage Information
Table 24. Current Vehicle or Equipment Committed for Scrappage Information
Table 24a. Basic Fleet Information and Place(s) of Performance | Note: Yellow fields for the Basic Fleet Information will Automatically Populate upon selecting the corresponding new equipment
Current Vehicle or Equipment	Dropdown menu with the Vehicle/Equipment IDs from Tab 11a, Table 23; select the vehicle or equipment that will be the 'Replacement' for each scrapped or disposed of vehicle you will describe in Table 24.
Corresponding New Vehicle, Equipment, or Engine (select from dropdown)	No action needed; this field autopopulates based on responses entered in Tab 11a, Table 23
Equipment Type (select from dropdown)	No action needed; this field autopopulates based on responses entered in Tab 11a, Table 23
Vehicle or Equipment Target Fleet (select from dropdown; must select Type first)	No action needed; this field autopopulates based on responses entered in Tab 11a, Table 23
Vocation (select from dropdown; onroad & marine only)	No action needed; this field autopopulates based on responses entered in Tab 11a, Table 23
Upgrade Type (select from dropdown)	No action needed; this field autopopulates based on responses entered in Tab 11a, Table 23
Fleet Owner	No action needed; this field autopopulates based on responses entered in Tab 11a, Table 23
Vehicle or Equipment Operates in Multiple Performance Locations Within this project? (Yes/No)	No action needed; this field autopopulates based on responses entered in Tab 11a, Table 23
Primary Place of Performance	No action needed; this field autopopulates based on responses entered in Tab 11a, Table 23
Primary Port (select from dropdown, if applicable)	No action needed; this field autopopulates based on responses entered in Tab 11a, Table 23
Project Site Name	No action needed; this field autopopulates based on responses entered in Tab 11a, Table 23
Project Site ID	No action needed; this field autopopulates based on responses entered in Tab 11a, Table 23
State	No action needed; this field autopopulates based on responses entered in Tab 11a, Table 23
County	No action needed; this field autopopulates based on responses entered in Tab 11a, Table 23
Percentage of Time operated in County (enter value 0-1, where 1= 100%)	No action needed; this field autopopulates based on responses entered in Tab 11a, Table 23
City	No action needed; this field autopopulates based on responses entered in Tab 11a, Table 23
Zip Code	No action needed; this field autopopulates based on responses entered in Tab 11a, Table 23
Secondary Place of Performance (if applicable)	No action needed; this field autopopulates based on responses entered in Tab 11a, Table 23
Secondary Port (select from dropdown, if applicable)_2	No action needed; this field autopopulates based on responses entered in Tab 11a, Table 23
Project Site Name_2	No action needed; this field autopopulates based on responses entered in Tab 11a, Table 23
Project Site ID_2	No action needed; this field autopopulates based on responses entered in Tab 11a, Table 23
State_2	No action needed; this field autopopulates based on responses entered in Tab 11a, Table 23
County_2	No action needed; this field autopopulates based on responses entered in Tab 11a, Table 23
Percentage of Time operated in County (enter value 0-1, where 1= 100%)_2	No action needed; this field autopopulates based on responses entered in Tab 11a, Table 23
City_2	No action needed; this field autopopulates based on responses entered in Tab 11a, Table 23
Zip Code_2	No action needed; this field autopopulates based on responses entered in Tab 11a, Table 23
Additional Location Details (if applicable)	No action needed; this field autopopulates based on responses entered in Tab 11a, Table 23
Additional Counties where Vehicle Operates	No action needed; this field autopopulates based on responses entered in Tab 11a, Table 23
% of time operated in each Additional County	No action needed; this field autopopulates based on responses entered in Tab 11a, Table 23
Table 24b. Current Vehicle or Equipment Specifications
Current Vehicle Class (Onroad Current Vehicles only)	Enter current vehicle's classification (only required for Onroad Vehicles)
Current Vehicle GVWR (Onroad Current Vehicle Only)	Enter current vehicle's gross vehicle weight rating in lbs. (only required for Onroad Vehicles)
Current Vehicle or Equipment Manufacturer	Enter the manufacturer of the existing vehicle or equipment
Current Vehicle or Equipment Model	Enter the model of the existing vehicle or equipment
Current Vehicle or Equipment Model Year	Enter the model year of the existing vehicle or equipment
Current Powertrain Family Name	Enter the name of the existing vehicle's or equipment's powertrain family
Current Vehicle or Equipment Identification Number	Enter the Serial number or VIN number for each engine or vehicle
Method of Vehicle or Equipment Disposal	Enter the method the vehicle was disposed of. See Program Guidance for eligible methods of disposal (e.g., scrappage)
If not scrapped, provide state and county where vehicle will operate	Enter the state and county the current vehicle will operate if it is not scrapped.
Table 24c. Current Engine Information
Engine Serial Number(s)	Enter the engine serial number
Engine Make	Enter the manufacturer of the existing Engine.
Engine Model	Enter the model of the existing Engine.
Engine Model Year	Enter the model year of this engine set.
Engine Tier (nonroad, locomotive, and marine only)	Enter the engine tier using the dropdown menu
Tier 4 Standards (Tier 4 only)	If you selected "Tier 4" for the previous answer, provide details about which Tier 4 standards the existing engine met
Engine After-Treatment Technology (Tier 4 nonroad only)	Describe any after-treatment technology
Engine Horsepower	Enter the average horsepower of the engine/equipment.
Engine Cylinder Displacement (liters/cylinder; marine only)	Use the dropdown menu to select the engine cylinder displacement
Engine Number of Cylinders (# of cylinders per engine; marine only)	Enter the number of cylinders
Engine Total Displacement (liters per engine; marine only)	Use the dropdown menu to select the engine cylinder displacement
Engine Family Name (if unregulated, then NA)	Enter the engine family name
Baseline Engine Fuel Type	Use the dropdown menu to select the fuel type
Total # of Propulsion Engines (per vessel; marine only)	Enter the number of propulsion engines
Total # of Auxiliary Engines (per vessel; marine only)	Enter the number of auxiliary engines
Table 24d. Current Annual Vehicle Activity Data & Estimated Remaining Life
Annual Amount of Fuel Used (gallons/year per engine):	Enter the amount of fuel used by current vehicle annually
Annual Usage Hours (hours per year per engine; includes idling hours; nonroad, locomotive, and marine only)	Enter the amount of hours used by current vehicle annually; limited only to non-road (including cargo-handling equipment), locomotives, and marine vessels only.
Annual Miles Traveled (miles per vehicle; onroad only):	Enter the amount of miles traveled by current vehicle annually; limited only to on-road vehicles
Annual Idling Hours (hours per engine; on-highway only)	Enter the amount of idling hours used by current vehicle annually; limited only to on-road
Annual Hoteling Hours (hours per year per engine; class 8 long-haul combination only)	Enter the amount of hoteling hours by current vehicle annually; limited only to Class 8 long-haul combination on-road trucks only
Remaining Life of Baseline Engine/Vehicle (years per engine; total # of years of engine life remaining at time of upgrade action):	Enter the estimated number of years of remaining life of the vehicle or engine.
Tab 12. INFRASTRUCTURE
Table 25: Electric Vehicle Supply Equipment (EVSE) & Other Electric Charging Equipment (not including vessel shore power)
Table 25a. Electric Vehicle Supply Equipment (EVSE) Overview
Type of Charger	Enter the type of charger, either Level 2 (AC charging up to 19.2 kW), DC Fast Charging, or Other (including non-standard or megawatt charging system).
If Level 2, is it ENERGY STAR certified	Confirm and select yes if applicable. Please see https://www.energystar.gov/
EVSE or other EV charger Manufacturer	Enter the manufacturer of the charging equipment
EVSE or other EV charger Model	Enter the model name of the charging equipment.
EVSE or other EV charger Manufacture Year	Enter the year the charging equipment was manufactured.
EVSE Maximum Output Power (kW)	Enter the maximum power output of the charging equipment, measured in kilowatts.
Number of Plugs on EVSE or other EV charger	Enter the number of plugs installed on each unit of the charging equipment.
Is the EVSE or other EV charger Capable of Bidirectional Charging?	Select yes or no into the cell to specify whether the charging equipment is capable of bidirectional charging.
Will the Vehicle/Equipment and EVSE or other EV charger be Used for Vehicle-to-Grid (V2G)?	Select yes or no into the cell to specify whether the vehicles/equipment and charging equipment will be used for vehicle-to-grid (V2G) services.
Number of EVSE or other EV Charger Units	Enter the quantity of charging equipment unit
Table 25b. Location of Charging 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 Address	Enter the street address in which the charging equipment will be located.
Who owns the charger?	Enter the name of the port or organization that owns the charger equipment.
Does the EVSE or other EV charger serve multiple port areas within this application?	Select whether or not the charging equipment serve more than one port area within the project submitted in this application.
Primary Location Served by the infrastructure: Associated Port Area	Enter the name of the port area in which the charging equipment will primarily serve.
Secondary Locations served by the infrastructure: Associated Port Areas (use a semicolon between facilities)	Enter the name of the other port areas in which the charging equipment will serve. If it will serve multiple secondary port areas, list all and separate with a semicolon (e.g., Port of Galveston; Port of Corpus Christi).
[shore power] Port Facility where Shore Power Installed	Enter the name of the port area in which the shore power infrastructure is installed.
Name of Charging Management Service Provider (NA if not applicable)	Enter the name of the charging management service provider.
Does the Infrastructure Equipment Cost Include Charging Management Service? (Yes/No)	Select whether or not the equipment cost includes the cost of the charging management service.
If Charging Management Service not included in cost, but is acquired, what is the cost and frequency of charges?	If Charging Management Service not included in the grant cost, but is acquired, what is the cost and frequency of charges paid by the award recipient.
Table 25d. Charging Infrastructure Installation Details
Description of Installation Work, including all equipment installed	Describe the work done during installation, including all equipment that became part of the installed EVSE or other EV charging system.
Installation Work Performed By	List the name of the company (or companies) performing the installation of the EVSE or other EV charging system.
Installation was conducted by an individual who meets the infrastructure electrician requirements as outlined in the program guidance?	Select the electrician category
Date(s) the EVSE or other EV charger Equipment was Manufactured (mm/dd/yyyy)	Enter the date (or date range) the EVSE or other EV charging system was manufactured.
Date of the infrastructure Installation (mm/dd/yyyy)	Enter the date (or date range) the charger system was installed.
Date of the EVSE or other EV charger Completely Operational (mm/dd/yyyy)	Enter the date by which the charger system became fully operational.
Table 25e. EVSE BABA Details
Are the EVSE or other EV charger and associated equipment, Housing, and all Accessories BABA Compliant?	Select from the dropdown menu which parts of the infrastructure project are BABA compliant.
If No, Partly Compliant, or Unsure, explain	For the previous column, explain which parts are not compliant or enter N/A.
Is waiver being used to fulfill BABA compliance for this infrastructure?	Select from the dropdown menu how BABA requirements are being met for the infrastructure project.
Table 25f. EVSE Cost Summary
Does the Infrastructure Equipment Cost Include Installation?	Select whether or not the equipment cost includes installation of the EVSE or other EV charger system.
EVSE or Other EV Charger Equipment Cost only Per Unit:	Enter the equipment cost for each unit of the charging infrastructure system.
Total EPA Funds Expended Per EVSE or Other EV Charger Unit	Enter the EPA funds expended for the equipment in each unit of the EVSE or other EV charging system.
Total Funds Expended for EVSE or Other EV Charger	No action - autopopulated
Total EPA Funds Expended for EVSE or Other EV Charger	No action - autopopulated
Total Funds Expended on Installation Cost	Enter the total amount of funds expended for installation of all the units in the charging infrastructure system.
Total EPA Funds Expended on Installation Cost	Enter the total amount of EPA funds expended for installation of all the units in the charging infrastructure system.
Total Funds Expended for All other Eligible EVSE or Other EV Charger Related Expenses (e.g., Permits, Shipping, etc.)	Enter the total amount of funds expended for all other eligible expensed related to the charging infrastructure project in this application, including permits, shipping, etc.
Total EPA Funds Expended for All other Eligible EVSE or Other EV Charger Related Expenses (e.g., Permits, Shipping, etc.)	Enter the total amount of EPA funds expended for all other eligible expensed related to the charging infrastructure project in this application, including permits, shipping, etc.
Description of Other Eligible EVSE or Other EV Charger Administrative Expenses	Describe the items corresponding to the previous two columns.
Total Funds Expended on EVSE or Other EV Charger Equipment, Installation, and Other Eligible EVSE or Other EV Charger Related Expenses	No action - autopopulated
Total EPA Funds on EVSE or Other EV Charger Equipment, Installation, and Other Eligible EVSE or Other EV Charger Related Expenses	No action - autopopulated
Table 25g. Optional Participation in Future Transportation Research
EPA or its partners may contact me about participating in research opportunities to provide charger usage data that could inform future transportation work. (Yes/No)	Select from the dropdown menu if EPA or its partners may contact you regarding charging usage research.
If Yes, Primary Point of contact (Name and email)	If you selected "Yes" for the previous column, please enter your name and e-mail.
Table 26. Shore Power Equipment Information
Table 26a. Shore Power Equipment Information & Demand Overview
Type of Shore Power Connection	Select the type of shore power connection, either high-voltage (HVSC) or low-voltage (LVSC).
Total Voltage Service Provided	Select the total voltage provided from the dropdown menu, if listed.
Total Voltage Service Provided, if Not Listed	Enter the total voltage service provided if the amount is not listed in the dropdown menu.
Manufacturer	Enter the manufacturer of the shore power system.
Model	Enter the model name of the shore power system.
Manufacture Year	Enter the year the shore power system was manufactured.
Typical Engine Tier of Vessels Using Shore Power	Select the typical engine tier of vessels using the shore power system.
Fuel Type of Vessels Using Shore Power	Select the fuel type of vessels using the shore power system.
Number of Annual Vessel Calls to Berth where Shore Power Installed	Enter the number of annual vessel calls per berth where the shore power system is installed.
Average Hotel Hours per Vessel Call per Berth where Shore Power Installed	Enter the average hotel hours per vessel call per berth where the shore power system in installed.
Number of Vessel Berths that can be served by Shore Power Pedestal	Enter the number of vessel berths that can be served by the shore power system.
Maximum Output Power (kW)	Enter the maximum power output of the shore power system, measured in kilowatts.
Estimated Annual Total Energy Provided in MW-h	Enter the estimated total annual energy output of the shore power system in megawatt-hours.
Number of Plugs per Shore Power Pedestal	Enter the number of available plugs per shore power pedestal installed.
Number of Shore Power Pedestals	Enter the total number of shore power pedestals installed.
Table 26b. Location of Shore Power 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.
Port Facility where Shore Power Installed	Enter the name of the port facility in which the shore power infrastructure is installed.
Who owns the infrastructure?	Enter the name of the port or organization that owns the charging equipment.
Table 26c. Shore Power Infrastructure Installation Information
Description of Installation Work, including all equipment installed	Describe the work done during installation, including all equipment that became part of the installed shore power system.
Installation Work Performed By	List the name of the company (or companies) performing the installation of the shore power system.
Date(s) the shore power Equipment was Manufactured (mm/dd/yyyy)	Enter the date (or date range) the shore power system was manufactured.
Date of shore power Installation (mm/dd/yyyy)	Enter the date (or date range) the shore power system was installed.
Date of shore power Completely Operational (mm/dd/yyyy)	Enter the date by which the shore power system became fully operational.
Table 26d. Shore Power BABA Details
Are the shore power equipment, Housing, and all Accessories BABA Compliant?	Select from the dropdown menu which parts of the shore power infrastructure project are BABA compliant.
If No, Partly Compliant, or Unsure, explain	For the previous column, explain which parts are not compliant or enter N/A.
Is waiver being used to fulfill BABA compliance for this infrastructure?	Select from the dropdown menu how BABA requirements are being met for the shore power infrastructure project.
Table 26e. Shore Power Cost Summary
Equipment Cost only Per Shore Power Pedestal	Enter the equipment cost for each unit of the shore power infrastructure system.
Total EPA Funds Expended Per Shore Power Pedestal	Enter the EPA funds expended for the equipment in each shore power pedestal.
Does the Infrastructure Equipment Cost Include Installation?	Select whether or not the equipment cost includes installation of the shore power equipment.
Total Funds Expended Installation Cost for Shore Power Group	No action - autopopulated
Total EPA Funds Expended Installation Cost for Shore Power Group	No action - autopopulated
Total Funds Expended for All other Eligible Shore Power Acquisition & Installation Related Expenses (e.g., Permits, Shipping, etc.)	Enter the total amount of funds expended for acquisition and installation of all the units in the shore power system.
Total EPA Funds Expended for All other Eligible Shore Power Acquisition & Installation Related Expenses (e.g., Permits, Shipping, etc.)	Enter the total amount of EPA funds expended for acquisition and installation of all the units in the shore power system.
Description of Other Eligible Shore Power Related Expenses	Describe the items corresponding to the previous two columns.
Total Funds Expended for Shore Power Equipment Acquisition (total # of pedestals x Funds Expended/pedestal)	Enter the total amount of funds expended for all items related to acquiring shore power system.
Total EPA Funds Expended for Shore Power Equipment Acquisition (total # of pedestals x EPA Funds Expended/pedestal)	Enter the total amount of EPA funds expended for all items related to acquiring shore power system.
Total Funds Expended for Shore Power Equipment Acquisition, Installation, and Other Costs	No action - autopopulated
Total EPA Funds Expended for Shore Power Equipment Acquisition & Installation, and Other Costs	No action - autopopulated
EPA Cost Share Expended For Shore Power Equipment	No action - autopopulated
EPA Cost Share for Shore Power Installation	No action - autopopulated
Overall EPA Cost Share for Shore Power Equipment	No action - autopopulated
Table 26f. Optional Participation in Future Transportation Research
EPA or its partners may contact me about participating in research opportunities to provide Shore Power usage data that could inform future transportation work. (Yes/No)	Select from the dropdown menu if EPA or its partners may contact you regarding shore power usage research.
If Yes, Primary Point of contact (Name and email)	If you selected "Yes" for the previous column, please enter your name and e-mail.
Table 27. Hydrogen Fueling Station Information
Table 27a. Hydrogen Fueling Station Information Overview
Type of Station (Select from dropdown)	Select from the dropdown menu what type of hydrogen fueling station is installed under this project.
Type of Hydrogen Storage (select from dropdown)	Select from the dropdown menu what type of hydrogen storage is installed under this project.
Refilling Pressure (H35, H70, dual pressure, other)	Select from the dropdown menu the refilling pressure level of supported by the hydrogen fueling equipment.
Refilling Pressure: If Other, specify below	If you selected "Other" for the previous column, please enter the refilling pressure information.
Total Hydrogen Storage Tank Capacity (kg)	Enter the capacity of the hydrogen storage tank in kilograms.
Total Number of Dispensers	Enter the total number of dispenser hoses installed on the hydrogen fueling station.
Maximum Dispensing Flow Rate per Hose (kg/min)	Enter the maximum hydrogen dispensing flow rate per dispenser hose in kilograms per minute.
Total Dispensing Capacity of the Station (kg/min)	Enter the total capacity of hydrogen dispensing flow rate for the hydrogen fueling station in kilograms per minute.
Total Number of Cooling Systems	Enter the total number of cooling systems installed on the hydrogen fueling station.
Total Number of Compressors	Enter the total number of compressors installed on the hydrogen fueling station.
Number of Storage Tanks	Enter the total number of hydrogen storage tanks installed on the hydrogen fueling station.
Number of Dispenser Pedestals	Enter the total number of hydrogen dispenser pedestals installed on the hydrogen fueling station.
Table 27b. H2 Dispenser Pedestal Details
Number of Hoses per Pedestal	Enter then umber of dispenser hoses installed on each pedestal of the hydrogen fueling station.
Manufacturer	Enter the manufacturer of the hydrogen dispensing pedestal equipment.
Model	Enter the model name of the hydrogen dispensing pedestal equipment.
Dispenser Pedestal Manufacture Year	Enter the year the hydrogen dispensing pedestal equipment was manufactured.
Table 27c. H2 Storage Tank
Manufacturer	Enter the manufacturer of the hydrogen storage tank.
Model	Enter the model name of the hydrogen storage tank.
Manufacture Year	Enter the year the hydrogen storage tank was manufactured.
Table 27d. H2 Compressor
Manufacturer	Enter the manufacturer of the compressor.
Model	Enter the model name of the compressor.
Manufacture Year	Enter the year the compressor was manufactured.
Table 27e. Cooling System
Manufacturer	Enter the manufacturer of the cooling system.
Model	Enter the model name of the cooling system.
Manufacture Year	Enter the year the cooling system was manufactured.
Table 27f. Service Details
Does the fueling station serve multiple port facilities within this application?	Select whether or not the hydrogen fueling station serve more than one port area within the project submitted in this application.
Primary Location Served by fueling station: Associated Port Facility	Enter the name of the port area in which the hydrogen fueling station will primarily serve.
Secondary Locations served by fueling station: Associated Port (use a semicolon between facilities)	Enter the name of the other port areas in which the hydrogen fueling station will serve. If it will serve multiple secondary port areas, list all and separate with a semicolon (e.g., Port of Galveston; Port of Corpus Christi).
Estimated Annual Total H2 Dispensed in kg	Enter the estimated amount of total annual hydrogen dispensed from the fueling station in kilograms.
Who owns the H2 Fueling Station?	Enter the name of the port or organization that owns the hydrogen fueling equipment.
Table 27g. Location of Hydrogen Fueling Station
State (select from dropdown)	Select the two letter postal code for the state in which the hydrogen fueling station will be located.
County (select from dropdown)	Enter the county in which the hydrogen fueling station will be located.
City	Enter the city in which the hydrogen fueling station will be located.
Zip Code	Enter the zip code in which the charging equipment hydrogen fueling station will be located.
Street Address	Enter the street address in which the hydrogen fueling station will be located.
Table 27h. Installation Details
Description of Installation Work Performed	Describe the work done during installation, including all equipment that became part of the installed hydrogen fueling station.
H2 Fueling Station Installation Performed by:	List the name of the company (or companies) performing the installation of the hydrogen fueling station.
Date(s) of Fueling Station & Equipment was Manufactured	Enter the date (or date range) the hydrogen fueling station and equipment was manufactured.
Date of H2 Fueling Station Installation (mm/dd/yyyy)	Enter the date (or date range) the hydrogen fueling station was installed.
Date H2 Fueling Station Operational (mm/dd/yyyy)	Enter the date by which the hydrogen fueling station became fully operational.
Table 27i. BABA Compliance
Are the Hydrogen Fueling and related Equipment, Housing, and all Accessories BABA Compliant?	Select from the dropdown menu which parts of the hydrogen fueling infrastructure project are BABA compliant.
If No, Partly Compliant, or Unsure, explain	For the previous column, explain which parts are not compliant or enter N/A.
Is a waiver being used to fulfill BABA compliance for the H2 Fueling Infrastructure?	Select from the dropdown menu how BABA requirements are being met for the hydrogen fueling infrastructure project.
Table 27j. Funding Details
Total Funds Expended Per H2 Fueling per Pedestal Acquisition:	Enter the total funds expended for acquiring each unit of the hydrogen fueling pedestal.
Total EPA Funds Expended Per H2 Fueling per Pedestal Acquisition:	Enter the total EPA funds expended for acquiring each unit of the hydrogen fueling pedestal.
Total Funds Expended Per Additional H2 Supporting Infrastructure (e.g., tanks, pipes, compressors, cooling systems):	Enter the total funds expended for acquiring additional supporting infrastructure such as tanks, compressors, pipes, cooling systems, etc.
Total EPA Funds Expended Per Additional H2 Supporting Infrastructure (e.g., tanks, pipes, compressors, cooling systems):	Enter the total EPA funds expended for acquiring additional supporting infrastructure such as tanks, compressors, pipes, cooling systems, etc.
Total Funds Expended Installation Cost	Enter the total amount of funds expended for installation of all the units in the hydrogen fueling station.
Total EPA Funds Expended Installation Cost:	Enter the total amount of EPA funds expended for installation of all the units in the hydrogen fueling station.
Total Funds Expended for All other Eligible H2 Fueling Infrastructure Acquisition & Installation Related Expenses (e.g., Permits, Shipping, etc.)	Enter the total amount of funds expended for acquisition and installation of all the units in the hydrogen fueling system.
Total EPA Funds Expended for All other Eligible H2 Fueling Infrastructure Acquisition & Installation Related Expenses (e.g., Permits, Shipping, etc.)	Enter the total amount of EPA funds expended for acquisition and installation of all the units in the hydrogen fueling system.
Description of Other Eligible H2 Fueling Related Expenses	Describe the items corresponding to the previous two columns.
Total Funds Expended for H2 Infrastructure Acquisition, Installation, and Other Eligible Expenses (total # of pedestals x Total Funds Expended/pedestal + supporting infrastructure + installation + other eligible expenses)	No action - autopopulated
Total EPA Funds Expended for H2 Infrastructure Acquisition, Installation, and Other Eligible Expenses (total # of pedestals x Federal Funds Expended/pedestal + supporting infrastructure installation + other eligible expenses)	No action - autopopulated
Table 27k. Optional Future of Transportation Research
EPA or its partners may contact me about participating in research opportunities to provide Hydrogen Usage data that could inform future transportation work. (Yes/No)	Select from the dropdown menu if EPA or its partners may contact you regarding hydrogen usage research.
If Yes, Primary Point of contact for data access (Name and email)	If you selected "Yes" for the previous column, please enter your name and e-mail.
Table 28. On-Site Power Generation Equipment Information
Table 28a. On-Site Power Generation Equipment Information
Type of energy generation	Select from the dropdown menu the renewable source of energy for power generation: solar or wind.
Manufacturer of On-site Power Generation	Enter the name of the manufacturer of the on-site power generation system.
Model of On-site Power Generation	Enter the model name of the on-site power generation system.
Manufacture Year of On-site Power Generation	Enter the year the on-site power generation system was manufactured.
Generation Capacity of the system (please indicate kWh or MWh per hour)	Enter the energy generation capacity of the on-site power generation system.
Table 28b. On-Site Power Generation Location Details
State (select from dropdown)	Select the two letter postal code for the state in which the on-site power generation system will be located.
County (select from dropdown)	Enter the county in which the on-site power generation system will be located.
City	Enter the city in which the on-site power generation system will be located.
Zip Code	Enter the zip code in which the on-site power generation system will be located.
Street Address	Enter the street address in which the on-site power generation system will be located.
Who owns the equipment?	Enter the name of the port or organization that owns the on-site power generation system.
Does the On-Site Power Generation serve multiple ports within this application?	Select whether or not the on-site power generation system serves more than one port area within the project submitted in this application.
Primary Location Served by On-site Power generation: Associated Ports	Enter the name of the port area in which the on-site power generation system will primarily serve.
Secondary Locations served by On-site power generation: Associated Ports (use a colon between facilities)	Enter the name of the other port areas in which the on-site power generation system will serve. If it will serve multiple secondary port areas, list all and separate with a semicolon (e.g., Port of Galveston; Port of Corpus Christi).
Table 28c. On-Site Power Generation Installation Details
Description of Installation Work Performed	Describe the work done during installation, including all equipment that became part of the installed on-site power generation system.
Installation of Power Generation Infrastructure Performed by	List the name of the company (or companies) performing the installation of the on-site power generation system.
Date(s) On-Site Power Generation Equipment was Manufactured	Enter the date (or date range) the on-site power generation system and equipment was manufactured.
Completion Date of the On-site Power Generation Installation (mm/dd/yyyy)	Enter the date (or date range) the on-site power generation system was installed.
Date of the On-site Power Generation Operational (mm/dd/yyyy)	Enter the date by which the on-site power generation system became fully operational.
Table 28d. BABA Compliance
Is On-Site Power Generation and related Equipment, Housing, and all Accessories BABA Compliant?	Select from the dropdown menu which parts of the on-site power generation infrastructure project are BABA compliant.
If No, Partly Compliant, or Unsure, explain	For the previous column, explain which parts are not compliant or enter N/A.
Is a waiver being used to fulfill BABA compliance for the On-site Power Generation?	Select from the dropdown menu how BABA requirements are being met for the on-site power generation infrastructure project.
Table 28e. On-Site Power Generation Cost Summary
Equipment Cost only Per Power Generation System	Enter the equipment cost for each unit of the one-site power generation infrastructure system.
Total EPA Funds Expended Per Power Generation System	Enter the EPA funds expended for each unit of one-site power generation infrastructure system.
Total Funds Expended Installation Cost	Enter the total amount of funds expended for installation of all the units in the one-site power generation infrastructure system.
Total EPA Funds Expended Installation Cost	Enter the total amount of EPA funds expended for installation of all the units in the one-site power generation infrastructure system.
Total Funds Expended for All other Eligible On-Site Power Generation Related Expenses (e.g., Permits, Shipping, etc.)	Enter the total amount of funds expended for acquisition and installation of all the units in the shore power system.
Total EPA Funds Expended for All other Eligible On-Site Power Generation Related Expenses (e.g., Permits, Shipping, etc.)	Enter the total amount of EPA funds expended for acquisition and installation of all the units in the one-site power generation infrastructure system.
Description of Other Eligible On-Site Power Generation Related Expenses	Describe the items corresponding to the previous two columns.
Total Funds Expended on On-site Power Generation Equipment, Installation, and other Eligible Expenses	No action - autopopulated
Total EPA Funds Expended on On-site Power Generation Equipment, Installation, and other Eligible Expenses	No action - autopopulated
Table 28f. Optional Participation in Future of Transportation Research
EPA or its partners may contact me about participating in research opportunities to provide On-Site Generation usage data that could inform future transportation work. (Yes/No)	Select from the dropdown menu if EPA or its partners may contact you regarding on-site power generation usage research.
If Yes, Primary Point of contact (Name and email)	If you selected "Yes" for the previous column, please enter your name and e-mail.
Table 29. Battery Energy Storage System (BESS) Equipment Information
Table 29a. Battery Electric Storage System (BESS) Equipment Overview
Type of Battery	Select the type of battery
Manufacturer of BESS	Enter the manufacturer of the BESS equipment.
Model of BESS	Enter the model name of the BESS equipment.
Manufacture Year of BESS	Enter the year the BESS equipment was manufactured.
Total Energy Capacity (please indicate unit; kWh or MWh)	Enter the total energy capacity of the BESS system and indicate the unit of energy (kWh or MWh)
Maximum Continuous Discharge AC Power (kW)	Enter the maximum continuous discharge alternative current power in kW
Maximum Continuous Discharge DC Power (kW)	Enter the maximum continuous discharge direct current power in kW
Is the Battery Warranty Included? (Yes/No)	Using the dropdown menu, select whether or not a battery warranty is included.
Battery Warranty: Number of Years	If the battery includes a warranty, indicate the number of years the coverage is valid for
Battery Warranty: Total Discharged Energy (please indicate unit; kWh or MWh)	If the battery includes a warranty, indicate the total amount of discharged energy (kWh) the coverage is valid for
Energy Retention at the End of Warranty Period (%)	Enter the minimum amount of energy that the battery will be able to store and discharge, in percent (%) of the new battery energy capacity rating.
Number of Units	Enter the number of BESS units installed in this infrastructure project.
Table 29b. Location of BESS Infrastructure
State (select from dropdown)	Select the two letter postal code for the state in which the BESS equipment will be located.
County (select from dropdown)	Enter the county in which the BESS equipment will be located.
City	Enter the city in which the BESS equipment will be located.
Zip Code	Enter the zip code in which the BESS equipment will be located.
Street Address	Enter the street address in which the BESS equipment will be located.
Who owns the equipment?	Enter the name of the port or organization that owns the BESS equipment.
Does the BESS serve multiple port facilities within this application?	Select whether or not the BESS equipment serves more than one port area within the project submitted in this application.
Primary Location Served by BESS: Associated Port	Enter the name of the port area in which the BESS equipment will primarily serve.
Secondary Locations served by BESS: Associated Port(s) (use a colon between facilities)	Enter the name of the other port areas in which the BESS equipment will serve. If it will serve multiple secondary port areas, list all and separate with a semicolon (e.g., Port of Galveston; Port of Corpus Christi).
Table 29c. BESS Installation Details
Description of Installation Work Performed	Describe the work done during installation, including all equipment that became part of the installed BESS.
BESS Installation Performed by	List the name of the company (or companies) performing the installation of the BESS.
Date(s) BESS and related Equipment was Manufactured	Enter the date (or date range) the BESS equipment was manufactured.
Completion Date of the BESS Installation (mm/dd/yyyy)	Enter the date (or date range) the BESS was installed.
Date BESS Operational (mm/dd/yyyy)	Enter the date by which the BESS equipment became fully operational.
Table 29d. BABA Compliance
Is BESS and related Equipment, Housing, and all Accessories BABA Compliant?	Select from the dropdown menu which parts of the BESS infrastructure project are BABA compliant.
If No, Partly Compliant, or Unsure, explain	For the previous column, explain which parts are not compliant or enter N/A.
Is a waiver being used to fulfill BABA compliance for the On-site Power Generation?	Select from the dropdown menu how BABA requirements are being met for the BESS infrastructure project.
Table 29e. BESS Cost Summary
Total Equipment Cost Expended Per Unit Acquisition	Enter the equipment cost for each unit of the BESS.
Total EPA Funds Expended Per Unit Acquisition	Enter the EPA funds expended for the equipment in each BESS unit.
Total Cost Expended for BESS Acquisition	Enter the total amount of funds expended for all items related to acquiring BESS.
Total EPA Funds Expended for BESS Acquisition	Enter the total amount of EPA funds expended for all items related to acquiring BESS.
Total Funds Expended Installation Cost	Enter the total amount of funds expended for acquisition and installation of all the units in the shore power system.
Total EPA Funds Expended Installation Cost:	Enter the total amount of EPA funds expended for acquisition and installation of all the units in the shore power system.
Total Funds Expended for All other Eligible BESS Related Expenses (e.g., Permits, Shipping, etc.)	Enter the total amount of funds expended for all other eligible BESS-related expenses such as permits, shipping of equipment, etc.
Total EPA Funds Expended for All other Eligible BESS Related Expenses (e.g., Permits, Shipping, etc.)	Enter the total amount of EPA funds expended for all other eligible BESS-related expenses such as permits, shipping of equipment, etc.
Description of Other Eligible BESS Related Expenses	Describe the items corresponding to the previous two columns.
Total Funds Expended on BESS Equipment, Installation, and Other Eligible Expenses	No action - autopopulated
Total EPA Funds Expended BESS Equipment, Installation, and Other Eligible Expenses	No action - autopopulated
Table 29f. Optional Participation in Future of Transportation Research
EPA or its partners may contact me about participating in research opportunities to provide BESS usage data that could inform future transportation work. (Yes/No)	Select from the dropdown menu if EPA or its partners may contact you regarding BESS usage research.
If Yes, Primary Point of contact (Name and email)	If you selected "Yes" for the previous column, please enter your name and e-mail.