5900-691 R_DERA Project Reporting Template

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Overview

1. Instructions
2. Financial Summary
3. Year 1
4. Year 2
5. Year 3
6. Year 4
7. Year 5
8. Amendments
9. DERA Priorities
10. Fleet Description
11. Infrastructure
12. Final Report
13. Data Dictionary

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Sheet 1: 1. Instructions

U. S. Environmental Protection Agency
Diesel Emissions Reduction Act (DERA) Grant Program
Project Reporting AND Final Reporting Template
Burden Statement for EPA Form: 5900-691
This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2060-0754). 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 12.4 to 15.7 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) quarterly (or biannually, depending on the grant's Terms and Conditions) throughout the project period of performance and 2) a Final Report (120-days after) the completion of the grant period. Information that is submitted on quarterly (or biannually, depending on the grant's Terms and Conditions) reports should NOT be changed in future quarterly (or biannually, depending on the grant's Terms and Conditions) report submissions unless approved by EPA. Please only update information for the specific quarter (or biannual, depending on the grant's Terms and Conditions) 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 orange are simply for informative purposes and/or automated from other tabs in this spreadsheet. Please complete tabs in this workbook according to the instructions below. Note: This workbook uses a variety of conditional formatting, data validations, and cell protections. The protections are not locked with a password.
Excel Workbook Tab	Definition
1. Instructions	Basic instructions for all worksheets in this reporting workbook.
2. 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 3-7 (Year 1-Year 5). If a modification to the grant is approved, please update the financial tabs accordingly.
3. Year 1	Financial summary for the first year of the project period. For each quarterly (or biannually, depending on the grant's Terms and Conditions) report, please complete all financial and narrative descriptive cells highlighted blue with a diagonal pattern (///) for each quarter (or biannual, depending on the grant's Terms and Conditions) the report is submitted. 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. Note: VW Mitigation Funds should only be used as a voluntary cost share for the State program. Also, some Tribal and territory grantees may be exempt from the mandatory cost share.
4. Year 2	Financial summary for the second year of the project period. For each quarterly (or biannually, depending on the grant's Terms and Conditions) report, please complete all financial and narrative descriptive cells highlighted blue with a diagonal pattern (///) for each quarter (or biannual, depending on the grant's Terms and Conditions) the report is submitted. 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. Note: VW Mitigation Funds should only be used as a voluntary cost share for the State program. Also, some Tribal and territory grantees may be exempt from the mandatory cost share.
5. Year 3	Financial summary for the third year of the project period. For each quarterly (or biannually, depending on the grant's Terms and Conditions) report, please complete all financial and narrative descriptive cells highlighted blue with a diagonal pattern (///) for each quarter (or biannual, depending on the grant's Terms and Conditions) the report is submitted. 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. Note: VW Mitigation Funds should only be used as a voluntary cost share for the State program. Also, some Tribal and territory grantees may be exempt from the mandatory cost share.
6. Year 4	Financial summary for the fourth year of the project period. For each quarterly (or biannually, depending on the grant's Terms and Conditions) report, please complete all financial and narrative descriptive cells highlighted blue with a diagonal pattern (///) for each quarter (or biannual, depending on the grant's Terms and Conditions) the report is submitted. 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. Note: VW Mitigation Funds should only be used as a voluntary cost share for the State program. Also, some Tribal and territory grantees may be exempt from the mandatory cost share.
7. Year 5	Financial summary for the fifth year of the project period. For each quarterly (or biannually, depending on the grant's Terms and Conditions) report, please complete all financial and narrative descriptive cells highlighted blue with a diagonal pattern (///) for each quarter (or biannual, depending on the grant's Terms and Conditions) the report is submitted. 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. Note: VW Mitigation Funds should only be used as a voluntary cost share for the State program. Also, some Tribal and territory grantees may be exempt from the mandatory cost share.
8. Amendments	The Amendments tab should be used to update any changes in vehicle or equipment quantities, infrastructure quantities, or other activities, and their corresponding changes in to 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.
9. DERA Priorities	The tab should be completed based upon 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, if the proposed workplan committed to ANY 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 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 community engagement, sustainability, workforce development, climate impact resiliency, and/or leveraging of additional external funds commitments completed during the project period.
10. Fleet Description	The tab should be completed based upon the final workplan fleet sheet submitted and approved by EPA. The Fleet Description should be updated in a set frequency based on the grant's Terms and Conditions with any revisions to vehicle and engine information. Please refer to additional information on field definitions in tab 13 (Data Dictionary).
11. Infrastructure	The tab should be completed based upon the final workplan infrastructure submitted and approved by EPA. The Infrastructure tab should be updated quarterly (or biannually, depending on the grant's Terms and Conditions) with any revisions to zero emission charging and/or fueling infrastructure information. Please refer to additional information on field definitions in tab 13 (Data Dictionary).
12. Final Report	Final project details including actual emission and programmatic results. Please only complete shaded cells highlighted blue with a diagonal pattern (///). Emissions results should be copy and pasted from DEQ results.
13. Data Dictionary	Please refer to the dictionary on this tab for support in completing the Fleet Description (tab 10) and Infrastructure Description (tab 11).

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Sheet 2: 2. Financial Summary

U. S. Environmental Protection Agency

Diesel Emissions Reduction Act (DERA) Grant Program

Financial Summary - Project Lifetime

Grant Recipient

DERA Grant Fiscal Summary Year #1

Project Period of Performance

Program Fiscal Year

Grant Number

EPA Project Award Amount Year #1

$-

Project Title

Total Cost Share Amount

$-

DERA Program

Total Voluntary Cost Share

$-

$-

Total Mandatory Cost Share Amount

$-

$-

DERA Grant Fiscal Summary TOTAL Year #1 + Year #2

Total Project Costs (EPA + Cost Share)

$-

EPA Project Award Amount Total

$-

Total Cost Share Amount

$-

Total Project Costs (EPA + Cost Share)

$-

DERA Grant Fiscal Summary Year #2 (If applicable)

EPA Funds Expended to Date

$-

Program Fiscal Year

EPA Funds Remaining

$-

EPA Project Award Amount Year #2

$-

Total Cost Share Amount

$-

Total Voluntary Cost Share

$-

Total Mandatory Cost Share Amount

$-

Total Project Costs (EPA + Cost Share)

$-

Table 1. Summary Rate of Expenditure

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

Financial Summary

Total Project Budget

Total Expenses to Date

Remaining Balance

EPA Funds

Mandatory Cost Share

Voluntary Cost Share

Total Project Cost

EPA Funds

Mandatory Cost Share

Voluntary Cost Share

Total Project Cost

EPA Funds

Mandatory Cost Share

Voluntary Cost Share

Total Project Cost

VW Mitigation Funds (State program ONLY)

Other Funds

VW Mitigation Funds (State program ONLY)

Other Funds

VW Mitigation Funds (State program ONLY)

Other Funds

Personnel

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Fringe Benefits

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Travel

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Equipment

$-

$-

$-

$-

$-

$-

$-

$-

$-

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$-

$-

$-

$-

$-

Supplies

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Contractual

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Subawards

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Participant Support Costs (e.g., Rebates)

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Other

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Direct Cost Total

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Indirect Charges

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

TOTALS

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

EPA Budget Details by Fiscal Year

Financial Summary

Total Project Budget

EPA Funds

Mandatory Cost Share

Voluntary Cost Share

Total Project Cost

EPA Funds

Mandatory Cost Share

Voluntary Cost Share

Total Project Cost

EPA Funds

Mandatory Cost Share

Voluntary Cost Share

Total Project Cost

VW Mitigation Funds (State program ONLY)

Other Funds

VW Mitigation Funds (State program ONLY)

Other Funds

VW Mitigation Funds (State program ONLY)

Other Funds

Personnel

$-

$-

$-

$-

$-

$-

$-

Fringe Benefits

$-

$-

$-

$-

$-

$-

$-

Travel

$-

$-

$-

$-

$-

$-

$-

Equipment

$-

$-

$-

$-

$-

$-

$-

Supplies

$-

$-

$-

$-

$-

$-

$-

Contractual

$-

$-

$-

$-

$-

$-

$-

Subawards

$-

$-

$-

$-

$-

$-

$-

Participant Support Costs (e.g., Rebates)

$-

$-

$-

$-

$-

$-

$-

Other

$-

$-

$-

$-

$-

$-

$-

Direct Cost Total

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Indirect Charges

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

TOTALS

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Table 2. Annual Rate of Expenditure

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

Financial Summary

Year 1

Year 2

Year 3

EPA Funds

Mandatory Cost Share

Voluntary Cost Share

Total Project Cost

EPA Funds

Mandatory Cost Share

Voluntary Cost Share

Total Project Cost

EPA Funds

Mandatory Cost Share

Voluntary Cost Share

Total Project Cost

VW Mitigation Funds (State program ONLY)

Other Funds

VW Mitigation Funds (State program ONLY)

Other Funds

VW Mitigation Funds (State program ONLY)

Other Funds

Personnel

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Fringe Benefits

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Travel

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Equipment

$-

$-

$-

$-

$-

$-

$-

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$-

$-

$-

$-

$-

$-

$-

Supplies

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Contractual

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Subawards

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Participant Support Costs (e.g., Rebates)

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Other

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Direct Cost Total

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Indirect Charges

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

TOTALS

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Financial Summary

Year 4

Year 5

EPA Funds

Mandatory Cost Share

Voluntary Cost Share

Total Project Cost

EPA Funds

Mandatory Cost Share

Voluntary Cost Share

Total Project Cost

VW Mitigation Funds (State program ONLY)

Other Funds

VW Mitigation Funds (State program ONLY)

Other Funds

Personnel

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Fringe Benefits

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Travel

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Equipment

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Supplies

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Contractual

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Subawards

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Participant Support Costs (e.g., Rebates)

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Other

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Direct Cost Total

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Indirect Charges

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

TOTALS

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

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Sheet 3: 3. Year 1

U. S. Environmental Protection Agency

Diesel Emissions Reduction Act (DERA) Grant Program

Financial and Narrative Summary - Year 1

Note: *Feilds that contain the symbol (*) are dependant of Grants Terms and Conditions.

Grant Recipient

Total EPA Funds Expended: Year 1

$-

Grant Number

*Reporting Cadence

Quarterly

Project Title

Project Reporting Period

Table 3. 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

Please select reporting quarter.

Please select reporting quarter.

Please select reporting quarter.

Please select reporting quarter.

EPA Funds Expended this Reporting Period

Mandatory Cost Share Expended this Reporting Period

Voluntary Cost Share Expended this Reporting Period

Total Project Cost To Date

EPA Funds Expended this Reporting Period

Mandatory Cost Share Expended this Reporting Period

Voluntary Cost Share Expended this Reporting Period

Total Project Cost To Date

EPA Funds Expended this Reporting Period

Mandatory Cost Share Expended this Reporting Period

Voluntary Cost Share Expended this Reporting Period

Total Project Cost To Date

EPA Funds Expended this Reporting Period

Mandatory Cost Share Expended this Reporting Period

Voluntary Cost Share Expended this Reporting Period

Total Project Cost To Date

VW Mitigation Funds (State program only)

Other Funds

VW Mitigation Funds (State program only)

Other Funds

VW Mitigation Funds (State program only)

Other Funds

VW Mitigation Funds (State program only)

Other Funds

Personnel

$-

$-

$-

$-

Fringe Benefits

$-

$-

$-

$-

Travel

$-

$-

$-

$-

Equipment

$-

$-

$-

$-

Supplies

$-

$-

$-

$-

Contractual

$-

$-

$-

$-

Subawards

$-

$-

$-

$-

Participant Support Costs (e.g., Rebates)

$-

$-

$-

$-

Other

$-

$-

$-

$-

Direct Cost Total

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Indirect Charges

$-

$-

$-

$-

TOTALS

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Table 4. 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. Please indicate the fiscal year of DERA grant funds used for the activity described within the table.

Fiscal Year

Activities

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 reports are submitted, indicate updates or changes for each report. For each report, 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

Provide a comparison of accomplishments with the anticipated outputs/outcomes and timelines /milestones specified in the project Work Plan. Please include financial, technical, and programmatic.

Have any vehicles in this project changed from the last quarter? (i.e. vehicles added to the Fleet Description or taken off the Fleet Description)

Did you award any rebates or subawards during the reporting period? If so, list the recipients and how much funding they received.

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?

If any cost-share or additional leveraged funds are reported for this Reporting Period in Table 3 above, identify the source of the funds.

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

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

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

What project activities are planned for the next reporting period?

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.

(State program only)What is the URL for the state website listing the total number and dollar amount of subawards, rebates, or loans provided, as well as a breakdown of the technologies funded? Please also list any other state websites used for outreach related to the State DERA Grant Program.

Do you have any other comments or feedback?

Subaward Reporting Requirements

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

Question

Quarter 1 Update

Quarter 2 Update

Quarter 3 Update

Quarter 4 Update

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 4: 4. Year 2

U. S. Environmental Protection Agency

Diesel Emissions Reduction Act (DERA) Grant Program

Financial and Narrative Summary - Year 2

Note: *Feilds that contain the symbol (*) are dependant of Grants Terms and Conditions.

Grant Recipient

Total EPA Funds Expended: Year 1

$-

Grant Number

*Reporting Cadence

Quarterly

Project Title

Project Reporting Period

Table 5. Year 2 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

Please select reporting quarter.

Please select reporting quarter.

Please select reporting quarter.

Please select reporting quarter.

EPA Funds Expended this Reporting Period

Mandatory Cost Share Expended this Reporting Period

Voluntary Cost Share Expended this Reporting Period

Total Project Cost To Date

EPA Funds Expended this Reporting Period

Mandatory Cost Share Expended this Reporting Period

Voluntary Cost Share Expended this Reporting Period

Total Project Cost To Date

EPA Funds Expended this Reporting Period

Mandatory Cost Share Expended this Reporting Period

Voluntary Cost Share Expended this Reporting Period

Total Project Cost To Date

EPA Funds Expended this Reporting Period

Mandatory Cost Share Expended this Reporting Period

Voluntary Cost Share Expended this Reporting Period

Total Project Cost To Date

VW Mitigation Funds (State program only)

Other Funds

VW Mitigation Funds (State program only)

Other Funds

VW Mitigation Funds (State program only)

Other Funds

VW Mitigation Funds (State program only)

Other Funds

Personnel

$-

$-

$-

$-

Fringe Benefits

$-

$-

$-

$-

Travel

$-

$-

$-

$-

Equipment

$-

$-

$-

$-

Supplies

$-

$-

$-

$-

Contractual

$-

$-

$-

$-

Subawards

$-

$-

$-

$-

Participant Support Costs (e.g., Rebates)

$-

$-

$-

$-

Other

$-

$-

$-

$-

Direct Cost Total

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Indirect Charges

$-

$-

$-

$-

TOTALS

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Table 6. 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. Please indicate the fiscal year of DERA grant funds used for the activity described within the table.

Fiscal Year

Activities

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 reports are submitted, indicate updates or changes for each report. For each report, 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

Provide a comparison of accomplishments with the anticipated outputs/outcomes and timelines /milestones specified in the project Work Plan. Please include financial, technical, and programmatic.

Have any vehicles in this project changed from the last quarter? (i.e. vehicles added to the Fleet Description or taken off the Fleet Description)

Did you award any rebates or subawards during the reporting period? If so, list the recipients and how much funding they received.

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?

If any cost-share or additional leveraged funds are reported for this Reporting Period in Table 3 above, identify the source of the funds.

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

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

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

What project activities are planned for the next reporting period?

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.

(State program only)What is the URL for the state website listing the total number and dollar amount of subawards, rebates, or loans provided, as well as a breakdown of the technologies funded? Please also list any other state websites used for outreach related to the State DERA Grant Program.

Do you have any other comments or feedback?

Subaward Reporting Requirements

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

Question

Quarter 1 Update

Quarter 2 Update

Quarter 3 Update

Quarter 4 Update

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 5: 5. Year 3

U. S. Environmental Protection Agency

Diesel Emissions Reduction Act (DERA) Grant Program

Financial and Narrative Summary - Year 3

Note: *Feilds that contain the symbol (*) are dependant of Grants Terms and Conditions.

Grant Recipient

Total EPA Funds Expended: Year 1

$-

Grant Number

*Reporting Cadence

Quarterly

Project Title

Project Reporting Period

Table 7. Year 3 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

Please select reporting quarter.

Please select reporting quarter.

Please select reporting quarter.

Please select reporting quarter.

EPA Funds Expended this Reporting Period

Mandatory Cost Share Expended this Reporting Period

Voluntary Cost Share Expended this Reporting Period

Total Project Cost To Date

EPA Funds Expended this Reporting Period

Mandatory Cost Share Expended this Reporting Period

Voluntary Cost Share Expended this Reporting Period

Total Project Cost To Date

EPA Funds Expended this Reporting Period

Mandatory Cost Share Expended this Reporting Period

Voluntary Cost Share Expended this Reporting Period

Total Project Cost To Date

EPA Funds Expended this Reporting Period

Mandatory Cost Share Expended this Reporting Period

Voluntary Cost Share Expended this Reporting Period

Total Project Cost To Date

VW Mitigation Funds (State program only)

Other Funds

VW Mitigation Funds (State program only)

Other Funds

VW Mitigation Funds (State program only)

Other Funds

VW Mitigation Funds (State program only)

Other Funds

Personnel

$-

$-

$-

$-

Fringe Benefits

$-

$-

$-

$-

Travel

$-

$-

$-

$-

Equipment

$-

$-

$-

$-

Supplies

$-

$-

$-

$-

Contractual

$-

$-

$-

$-

Subawards

$-

$-

$-

$-

Participant Support Costs (e.g., Rebates)

$-

$-

$-

$-

Other

$-

$-

$-

$-

Direct Cost Total

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Indirect Charges

$-

$-

$-

$-

TOTALS

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Table 8. 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. Please indicate the fiscal year of DERA grant funds used for the activity described within the table.

Fiscal Year

Activities

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 reports are submitted, indicate updates or changes for each report. For each report, 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

Provide a comparison of accomplishments with the anticipated outputs/outcomes and timelines /milestones specified in the project Work Plan. Please include financial, technical, and programmatic.

Have any vehicles in this project changed from the last quarter? (i.e. vehicles added to the Fleet Description or taken off the Fleet Description)

Did you award any rebates or subawards during the reporting period? If so, list the recipients and how much funding they received.

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?

If any cost-share or additional leveraged funds are reported for this Reporting Period in Table 3 above, identify the source of the funds.

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

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

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

What project activities are planned for the next reporting period?

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.

(State program only)What is the URL for the state website listing the total number and dollar amount of subawards, rebates, or loans provided, as well as a breakdown of the technologies funded? Please also list any other state websites used for outreach related to the State DERA Grant Program.

Do you have any other comments or feedback?

Subaward Reporting Requirements

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

Question

Quarter 1 Update

Quarter 2 Update

Quarter 3 Update

Quarter 4 Update

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

---

Sheet 6: 6. Year 4

U. S. Environmental Protection Agency

Diesel Emissions Reduction Act (DERA) Grant Program

Financial and Narrative Summary - Year 4

Note: *Fields that contain the symbol (*) are dependant of Grants Terms and Conditions.

Grant Recipient

Total EPA Funds Expended: Year 1

$-

Grant Number

*Reporting Cadence

Quarterly

Project Title

Project Reporting Period

Table 9. Year 4 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

Please select reporting quarter.

Please select reporting quarter.

Please select reporting quarter.

Please select reporting quarter.

EPA Funds Expended this Reporting Period

Mandatory Cost Share Expended this Reporting Period

Voluntary Cost Share Expended this Reporting Period

Total Project Cost To Date

EPA Funds Expended this Reporting Period

Mandatory Cost Share Expended this Reporting Period

Voluntary Cost Share Expended this Reporting Period

Total Project Cost To Date

EPA Funds Expended this Reporting Period

Mandatory Cost Share Expended this Reporting Period

Voluntary Cost Share Expended this Reporting Period

Total Project Cost To Date

EPA Funds Expended this Reporting Period

Mandatory Cost Share Expended this Reporting Period

Voluntary Cost Share Expended this Reporting Period

Total Project Cost To Date

VW Mitigation Funds (State program only)

Other Funds

VW Mitigation Funds (State program only)

Other Funds

VW Mitigation Funds (State program only)

Other Funds

VW Mitigation Funds (State program only)

Other Funds

Personnel

$-

$-

$-

$-

Fringe Benefits

$-

$-

$-

$-

Travel

$-

$-

$-

$-

Equipment

$-

$-

$-

$-

Supplies

$-

$-

$-

$-

Contractual

$-

$-

$-

$-

Subawards

$-

$-

$-

$-

Participant Support Costs (e.g., Rebates)

$-

$-

$-

$-

Other

$-

$-

$-

$-

Direct Cost Total

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Indirect Charges

$-

$-

$-

$-

TOTALS

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Table 10. 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. Please indicate the fiscal year of DERA grant funds used for the activity described within the table.

Fiscal Year

Activities

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 reports are submitted, indicate updates or changes for each report. For each report, 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

Provide a comparison of accomplishments with the anticipated outputs/outcomes and timelines /milestones specified in the project Work Plan. Please include financial, technical, and programmatic.

Have any vehicles in this project changed from the last quarter? (i.e. vehicles added to the Fleet Description or taken off the Fleet Description)

Did you award any rebates or subawards during the reporting period? If so, list the recipients and how much funding they received.

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?

If any cost-share or additional leveraged funds are reported for this Reporting Period in Table 3 above, identify the source of the funds.

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

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

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

What project activities are planned for the next reporting period?

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.

(State program only)What is the URL for the state website listing the total number and dollar amount of subawards, rebates, or loans provided, as well as a breakdown of the technologies funded? Please also list any other state websites used for outreach related to the State DERA Grant Program.

Do you have any other comments or feedback?

Subaward Reporting Requirements

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

Question

Quarter 1 Update

Quarter 2 Update

Quarter 3 Update

Quarter 4 Update

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

---

Sheet 7: 7. Year 5

U. S. Environmental Protection Agency

Diesel Emissions Reduction Act (DERA) Grant Program

Financial and Narrative Summary - Year 5

Note: *Fields that contain the symbol (*) are dependant of Grants Terms and Conditions.

Grant Recipient

Total EPA Funds Expended: Year 1

$-

Grant Number

*Reporting Cadence

Quarterly

Project Title

Project Reporting Period

Table 11. Year 5 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

Please select reporting quarter.

Please select reporting quarter.

Please select reporting quarter.

Please select reporting quarter.

EPA Funds Expended this Reporting Period

Mandatory Cost Share Expended this Reporting Period

Voluntary Cost Share Expended this Reporting Period

Total Project Cost To Date

EPA Funds Expended this Reporting Period

Mandatory Cost Share Expended this Reporting Period

Voluntary Cost Share Expended this Reporting Period

Total Project Cost To Date

EPA Funds Expended this Reporting Period

Mandatory Cost Share Expended this Reporting Period

Voluntary Cost Share Expended this Reporting Period

Total Project Cost To Date

EPA Funds Expended this Reporting Period

Mandatory Cost Share Expended this Reporting Period

Voluntary Cost Share Expended this Reporting Period

Total Project Cost To Date

VW Mitigation Funds (State program only)

Other Funds

VW Mitigation Funds (State program only)

Other Funds

VW Mitigation Funds (State program only)

Other Funds

VW Mitigation Funds (State program only)

Other Funds

Personnel

$-

$-

$-

$-

Fringe Benefits

$-

$-

$-

$-

Travel

$-

$-

$-

$-

Equipment

$-

$-

$-

$-

Supplies

$-

$-

$-

$-

Contractual

$-

$-

$-

$-

Subawards

$-

$-

$-

$-

Participant Support Costs (e.g., Rebates)

$-

$-

$-

$-

Other

$-

$-

$-

$-

Direct Cost Total

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Indirect Charges

$-

$-

$-

$-

TOTALS

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

$-

Table 12. 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. Please indicate the fiscal year of DERA grant funds used for the activity described within the table.

Fiscal Year

Activities

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 reports are submitted, indicate updates or changes for each report. For each report, 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

Provide a comparison of accomplishments with the anticipated outputs/outcomes and timelines /milestones specified in the project Work Plan. Please include financial, technical, and programmatic.

Have any vehicles in this project changed from the last quarter? (i.e. vehicles added to the Fleet Description or taken off the Fleet Description)

Did you award any rebates or subawards during the reporting period? If so, list the recipients and how much funding they received.

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?

If any cost-share or additional leveraged funds are reported for this Reporting Period in Table 3 above, identify the source of the funds.

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

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

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

What project activities are planned for the next reporting period?

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.

(State program only)What is the URL for the state website listing the total number and dollar amount of subawards, rebates, or loans provided, as well as a breakdown of the technologies funded? Please also list any other state websites used for outreach related to the State DERA Grant Program.

Do you have any other comments or feedback?

Subaward Reporting Requirements

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

Question

Quarter 1 Update

Quarter 2 Update

Quarter 3 Update

Quarter 4 Update

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

---

Sheet 8: 8. Amendments

U. S. Environmental Protection Agency
Diesel Emissions Reduction Act (DERA) Grant 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. 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 planned activities, including 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 planned activities, including 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 planned activities, including 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 planned activities, including 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 (if applicable)	0	$-
Were there any changes to planned activities, including vehicle or equipment numbers, number of infrastructure items, and/or funding amounts in Year 5 of the project period of performance? If yes, please indicate the change(s) using the table below.				(Y or N)		Project Year 5 (if applicable)	0	$-
Table 13. Post-Award Amendments
			Changes to Vehicle, Equipment, or Eligible Infrastructure Deployment				Other Changes	Corresponding Funding Changes		Change in Funding Amount
	Update Year (select from dropdown)	Type of Amendment (Select from dropdown)	Original Vehicle, Equipment, or Eligible Infrastructure Type	Updated Vehicle, Equipment, or Eligible Infrastructure Type	Original Quantity of Vehicle, Equipment, or Eligible Infrastructure Type	Updated Quantity of Vehicle, Equipment, or Eligible Infrastructure Type	If other changes selected, describe	Original Funding Request Amount	Updated Funding Request Amount
Ex 1	Year 1 Update	Changes to Vehicle or Equipment Deployment	Company A RTG Electric Crane v2000	Company A RTG Electric Crane v3000	25	20		$1,250,000	$1,300,000	$(50,000)
Ex 2	Year 1 Update	Changes to Other Planned Activities					Decreased personnel funding required	$15,000	$12,000	$3,000
1										$-
2										$-
3										$-
4										$-
5										$-
6										$-
7										$-
8										$-
9										$-
10										$-
11										$-
12										$-
13										$-
14										$-
15										$-

---

Sheet 9: 9. DERA Priorities

U. S. Environmental Protection Agency
Diesel Emissions Reduction Act (DERA) Grant Program
DERA Priorities
Grant Recipient
Program FY
Grant Number
Project Title
Instructions
Please complete this tab if your organization committed to ANY 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 the NOFO or Program Guide. 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. For narrative responses, please include at least 1-2 sentences. Please take care to ensure all questions are answered; the final question is on row 148 of this sheet.
Did any planned activities or commitments change between the submitted application and the approved workplan?									(Y or N)
If no, please jump to the next section, "Prioritized Communities and Withdrawn Participants." If yes, please provide context and details to the approved changes (example: the number of school buses was reduced due to partial funding).
Table 14. Prioritized Communities and Withdrawn Participants
	1. Did the workplan demonstrate that the project will benefit nonattainment, maintenance, and/or areas of air toxics concern as defined in the NOFO or Program Guide?								(Y or N or N/A)
	2. Did any of the beneficiaries from the workplan decide to no longer participate in the project? If yes, please use the rows below to indicate which beneficiaries withdrew their participation from the project, and if applicable, please note what beneficiary was chosen as a replacement. Note: Please add additional rows as needed.								(Y or N or N/A)
	Withdrawn Beneficiary		Project location (State, County)	Nonattainment, Maintenance, or Area of Air Toxics Concern?	Date of Withdrawal	Brief Description of Reason for Withdrawal	Replacement Beneficiary (use "N/A" if beneficiary not replaced)	Project location (State, County)	Nonattainment, Maintenance, or Area of Air Toxics Concern?
				(Y or N or N/A)	Select Reporting Period				(Y or N or N/A)
				(Y or N or N/A)	Select Reporting Period				(Y or N or N/A)
				(Y or N or N/A)	Select Reporting Period				(Y or N or N/A)
				(Y or N or N/A)	Select Reporting Period				(Y or N or N/A)
				(Y or N or N/A)	Select Reporting Period				(Y or N or N/A)
				(Y or N or N/A)	Select Reporting Period				(Y or N or N/A)
Table 15. 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)
	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	Reporting Period 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 Reporting Period
	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 when 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.
									Select Date
									Please Select One
									Please Select One
	3. Does the recipient have a publicly available baseline mobile source emission inventory for PM2.5 and/or NOx that was completed after 2016?								(Y or N or N/A)
	3.a. If no, does the recipient commit to completing one before the end of the project period?								(Y or N or N/A)
	3.b. Please provide any additional details.
	4. Does the recipient have a publicly available plan to reduce mobile source emissions that includes specific PM2.5 and/or NOx emission targets that was completed after 2017?								(Y or N or N/A)
	4.a. If no, will the recipient have a documented commitment to have a publicly available plan to reduce mobile source emissions that includes specific PM2.5 and/or NOx emission targets BEFORE the end of the project period?								(Y or N or N/A)
	4.b. Please provide any additional details.
Table 16. 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)
	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 from school buses after EPA funding for the project has ended?
	A. Zero-Emission Projects For non-ZE projects, skip to part B.						Application	Status Update	Reporting Period 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 A2.						(Y or N or N/A)
	A1.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)
	A1.b. To date, has the recipient and/or project partner(s) completed this commitment?							Select Status	Select Reporting Period
	A2. 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 when 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
	B. Non Zero-Emission Projects						Application	Status Update	Reporting Period Completed
	B1. Did the workplan for this project demonstrate that the recipient and/or project partner(s) have existing idle reduction policies? Please include any narrative details in question B4.						(Y or N or N/A)
	B1.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)
	B1.b. To date, has the recipient and/or project partner(s) completed this commitment?							Select Status	Select Reporting Period
	B2. Did the workplan for this project demonstrate that the recipient and/or project partner(s) have contract specifications requiring the use of cleaner, more efficient vehicles and equipment? Please include any narrative details in question B4.						(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 completing one 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 Reporting Period
	B3. Did the workplan for this project demonstrate that the recipient and/or project partner(s) have adopted other strategies to promote and continue efforts to reduce diesel emissions? If yes, please describe the other policies in more detail below. Please include any narrative details in question B4.						(Y or N or N/A)
	B3.a. If no, did the workplan for this project demonstrate that the recipient and/or project partner(s) commit to adopting one or more strategies before the end of the project period?						(Y or N or N/A)
	B3.b. To date, has the recipient and/or project partner(s) completed this commitment?							Select Status	Select Reporting Period
	B4. Please provide additional details and any relevant status updates for this section, including but not limited to descriptions of idle reduction policies, contract specifications, and/or any additional diesel emission reduction strategies, as well as any changes made to these throughout the project period. Please use the drop downs under 'Please Select One' to indicate when 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 17. 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)
	1. How did the workplan demonstrate a plan to prepare the workforce for the project?
							Application	Status Update	Reporting Period Completed
	2. Did the workplan for this project demonstrate that current drivers, mechanics, electricians, and other essential personnel have received training to safely operate and maintain the new vehicles and infrastructure? This could include the establishment of workforce training programs for zero emission vehicles and charging 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 buses 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 Reporting Period
	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 Reporting Period
	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 Reporting Period
	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 Reporting Period
	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 when 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 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)
	1. How did the workplan demonstrate planning or action taken towards building project resilience and reducing vulnerabilities to climate impacts?
							Application	Status Update	Reporting Period 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 Reporting Period
	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 Reporting Period
	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 when 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. 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)
	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		Reporting Period Awarded
							Please Select One		Select Reporting Period
							Please Select One		Select Reporting Period
							Please Select One		Select Reporting Period
							Please Select One		Select Reporting Period
							Please Select One		Select Reporting Period
							Please Select One		Select Reporting Period
							Please Select One		Select Reporting Period
							Please Select One		Select Reporting Period
							Please Select One		Select Reporting Period
							Please Select One		Select Reporting Period
	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 when 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

---

Sheet 10: 10. Fleet Description

U. S. Environmental Protection Agency

Grant Recipient

Diesel Emissions Reduction Act (DERA) Grant Program

Grant Number

Fleet Description

Project Title

INSTRUCTIONS: This Fleet Description should detail all vehicles and engines impacted under the project. The fields below align with EPA's Diesel Emission Quantifier (DEQ), a requirement for the application, workplan, and final reports as part of program grant requirements. The Fleet Description should be updated quarterly with all vehicle and engine upgrades completed. This Fleet Description is broken into two sections: 1) Current Vehicle and Engine Information and 2) New Vehicle and Engine Upgrade Information. All rows of data are required, unless specified as not being applicable to the Equipment Type or Target Fleet. These exceptions are highlighted in parentheses in the table below. Please refer to the Fleet Description data definitions on tab 12 (Data Dictionary) for additional guidance on each field. Each vehicle/engine group column below can represent one or more similar pieces of equipment operating in the same fleet. You can copy and paste additional columns as needed to capture all vehicle/engine groups. Please indicate in the Financial Information row the fiscal year of funds used for the activity described within the table. Note: Individual marine vessels must be listed in separate vehicle/engine group columns. If both auxiliary and propulsion engines on an individual vessel are part of a project, these different engine types must be listed in separate vehicle/engine group columns. *Fields that contain the symbol (*) will not populate dropdown options until preceding field is selected.

Table 20. CURRENT VEHICLE AND ENGINE INFORMATION

Table 21. NEW VEHICLE AND ENGINE UPGRADE INFORMATION

Table 20a. Basic Fleet Information

Table 20b. Current Vehicle Information

Table 20c. Current Engine Information

Table 20d. Current Annual Vehicle Activity Data

Table 20e. Place of Performance

Table 21a. Upgrade Information

Table 21b. Vehicle Replacement and/or Upgrade Information

Table 21c. New Engine Information (if replaced)

Table 21d. New Annual Vehicle Activity Data

Table 21e. New Vehicle Battery Information (Hybrid & Battery Electric Only)

Table 21f. Battery Warranty Information

Table 21g. Powertrain Warranty Information

Table 21h. Vehicle Ownership and BABA Compliance

Table 21i. Optional Participation in Future of Transportation Research

Primary Place of Performance

Secondary Place of Performance (if applicable)

Additional Location Details (if applicable)

Vehicle

Group Name

Fleet Owner

Publicly or Privately Owned (select from dropdown)

Equipment Type (select from dropdown)

*Target Fleet (select from dropdown)

Vehicle Class (onroad vehicles, as defined in data dictionary)

Vehicle or Engine Group Sector

Vocation

Vehicle Identification Number (VIN) (Use Capital Letters)

Vehicle Make

Vehicle Model

Baseline Vehicle Model Year

Baseline Vehicle GVWR (if original vehicle replaced)

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 N/A)

Baseline Engine Fuel Type (select from dropdown)

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 for nonroad and marine; gallons/year per vehicle for onroad and locomotives)

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

Current Odometer (in miles)

Annual Miles Traveled (miles per vehicle; on-highway 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)

State (select from dropdown)

*County (select from dropdown)

City(s)

Percent of Time Operated in County (enter value 0-1)

Zip Code(s)

State (select from dropdown)

*County (select from dropdown)

City(s)

Percent of Time Operated in County (enter value 0-1)

Zip Code(s)

Additional Counties where Vehicle Operates

% of time operated in each Additional County

Year of Upgrade Action

Upgrade Type (select from dropdown)

*Upgrade Specific (select from dropdown after selecting Upgrade Type)

Class (onroad vehicles, as defined in data dictionary; select from dropdown)

Vehicle Identification Number (VIN) for New Vehicle (if original vehicle replaced) (Use Capital Letters)

New Vehicle Fuel Type (if original vehicle replaced; select from dropdown)

New Vehicle Manufacturer (if original vehicle replaced)

New Vehicle Model (if original vehicle replaced)

New Vehicle Model Year (if original vehicle replaced)

New Vehicle GVWR (if original vehicle replaced)

Upgrade or Replacement Vehicle/Equipment Cost only Per Unit

Upgrade Labor Cost only Per Unit

Total Cost Per Unit (equipment plus labor)

Total Federal Funds Expended Per Unit ($ of Total Cost per Unit)

Federal Cost Share Expended Per Unit (% of Total Cost per Unit)

New Engine Model Year

New Engine Serial Number

New Engine Tier (nonroad, locomotive, and marine only)

Tier 4 Standards (Tier 4 only)

New Engine After-Treatment Technology (Tier 4 nonroad only)

New Engine Horsepower

New Engine Duty Cycle (line-haul locomotive only)

New Engine Cylinder Displacement (liters per cylinder per engine; marine only)

New Engine Total Displacement (liters per engine; marine only)

New Engine Number of Cylinders (per engine; marine only)

New Engine Family Name

New Engine Fuel Type (select from dropdown)

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

New Annual Hoteling Hours (hours per vehicle; class 8 long-haul combination only)

New Annual Fuel Volume (estimated gallons of fuel/year per engine for new gas, diesel, hybrid, LPG or CNG)

New Vehicle Equipped with Auxiliary Heater? (Yes/No)

Auxiliary Heater Type (if applicable)

Capable of Bidirectional Charging? (if Battery Electric or Hybrid)

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? (for Battery Electric only)

Battery Warranty: Indicate Number of Years Covered (for Battery Electric only)

Battery Warranty: Number of Miles Covered by Warranty (for Battery Electric only)

Battery Warranty: Total kWh of battery discharge Covered by Warranty (for Battery Electric only)

Powertrain Warranty Included? (Yes/No)

Powertrain Warranty: Number of Years (if included)

Powertrain Warranty: Number of Miles (if included)

Publicly or Privately Owned (select from dropdown)

Does the vehicle serve a public function? (select from dropdown)

Is the vehicle subject to BABA? (select from dropdown)

Is the vehicle BABA Compliant? (select from dropdown)

Is a waiver being used to fulfill BABA compliance for the vehicle? (select from dropdown)

If ''Yes - Other EPA Waiver', explain

Is the vehicle/equipment equipped with Telematics? (Yes/No/Not Sure)

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

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

Example Vehicle

Sample

Company A

Publicly Owned

Onroad

Transit Bus

Class 6

Municipal

Other

1234567891011

Ford

Taurus

1994

16,001

4548154

ABC

ABC

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

150000

12000

1500

N/A

3

AZ

Maricopa County

Phoenix

85%

85364

AZ

Yuma County

Yuma

15%

85364

Pima County, AZ; La Paz County, AZ

5% in Pima; 5% in La Paz

2018

Emission_Control_Devices

Diesel Oxidation Catalyst + Diesel Particulate Filter

Class 6

1234567890ABCDE

Hybrid

New Vehicle Manufacturer Co.

Model Name or #

2023

16001

$150,000.00

$25,000.00

$175,000.00

$50,000.00

28.57%

2018

4548155

Tier 2

N/A

No DPF, Yes SCR

750

N/A

5.0 <= size <15.0

N/A

N/A

ABC

ULSD (diesel)

N/A

N/A

6000

Yes

Spheros Thermo 300

Yes

Battery & Co.

6

90

540

360

200

16

Yes

8

150000

200000

Yes

5

100000

Publicly Owned

Yes

Yes

Yes - This vehicle is BABA compliant

No - Vehicle meets all BABA requirements

Please describe

Yes

Yes

Sarah Smith; Smith.Sarah@HSD.edu

Vehicle 1

Vehicle 2

Vehicle 3

Vehicle 4

Vehicle 5

Vehicle 6

Vehicle 7

Vehicle 8

Vehicle 9

Vehicle 10

Vehicle 11

Vehicle 12

Vehicle 13

`

Vehicle 14

Vehicle 15

Vehicle 16

Vehicle 17

Vehicle 18

Vehicle 19

Vehicle 20

Vehicle 21

Vehicle 22

Vehicle 23

Vehicle 24

Vehicle 25

Vehicle 26

Vehicle 27

Vehicle 28

Vehicle 29

Vehicle 30

Vehicle 31

Vehicle 32

Vehicle 33

Vehicle 34

Vehicle 35

Vehicle 36

Vehicle 37

Vehicle 38

Vehicle 39

Vehicle 40

Vehicle 41

Vehicle 42

Vehicle 43

Vehicle 44

Vehicle 45

Vehicle 46

Vehicle 47

Vehicle 48

Vehicle 49

Vehicle 50

Vehicle 51

Vehicle 52

Vehicle 53

Vehicle 54

Vehicle 55

Vehicle 56

Vehicle 57

Vehicle 58

Vehicle 59

Vehicle 60

Vehicle 61

Vehicle 62

Vehicle 63

Vehicle 64

Vehicle 65

Vehicle 66

Vehicle 67

Vehicle 68

Vehicle 69

Vehicle 70

Vehicle 71

Vehicle 72

Vehicle 73

Vehicle 74

Vehicle 75

Vehicle 76

Vehicle 77

Vehicle 78

Vehicle 79

Vehicle 80

Vehicle 81

Vehicle 82

Vehicle 83

Vehicle 84

Vehicle 85

Vehicle 86

Vehicle 87

Vehicle 88

Vehicle 89

Vehicle 90

Vehicle 91

Vehicle 92

Vehicle 93

Vehicle 94

Vehicle 95

Vehicle 96

Vehicle 97

Vehicle 98

Vehicle 99

Vehicle 100

---

Sheet 11: 11. Infrastructure

U. S. Environmental Protection Agency

Diesel Emissions Reduction Act (DERA) Grant Program

Infrastructure Description

Instructions

The EVSE Equipment Information (Table 22) should detail all electric vehicle supply equipment (EVSE) and/or supporting infrastructure (Table 23) purchased under the project. Please only fill out shaded cells highlighted blue with a diagonal pattern (///); however, additional rows may be add as needed to capture all equipment. Please refer to the infrastructure data definitions on Tab 13 (Data Dictionary) for data field definitions. Reminder: All Level 2 EVSEs must be ENERGY STAR certified. All EVSE and other infrastructure projects must comply with Build America, Buy America (BABA) requirements. See below for more information on BABA.

Build America, Buy America (BABA) requirements

On November 16, 2021, the Infrastructure Investment and Jobs Act ("IIJA"), Pub. L. No. 116-58, which includes the Build America, Buy America Act (BABA), Public Law 116-58, §§ 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 22: Electric Vehicle Supply Equipment Information

Table 22a. EVSE Equipment Information Overview

Table 22b. Location of EV Infrastructure

Table 22c. Charging Management Service Providers

Table 22d. Infrastructure Installation Information

Table 22e. EVSE Cost Summary

Table 22f. Optional Participation in Future of Transportation Research

Table 22g. EVSE Serial Number

Type of Charger

If Level 2, is it ENERGY STAR certified

EVSE Manufacturer

EVSE Model

EVSE Manufacture Year

Is the EVSE BABA Compliant?

EVSE Maximum Output Power (kW)

Number of Plugs on EVSE

Is the EVSE Capable of Bidirectional Charging?

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

Number of EVSE Units

EVSE Equipment Cost only Per Unit:

Total Federal Funds Expended Per EVSE Unit

Total Federal Funds Expended for EVSE

Date of EVSE was Manufactured (mm/dd/yyyy)

Date of EVSE Installation (mm/dd/yyyy)

Date EVSE Operational (mm/dd/yyyy)

State (select from dropdown)

County (select from dropdown)

City

Zip Code

Street Adress of Charger(s)

Who owns the charger?

Anticipated User(s) of the charger

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?

Total Funds Expended on Installation Cost

Total EPA Funds Expended on Installation Cost

Does the Infrastructure Equipment Cost Include Installation?

Description of Installation Work

Installation Work Performed By

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

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

If 'Yes - Other Waiver' selected, please describe

Total EPA Funds Expended on EVSE Equipment and Installation

Total Funds Expended on EVSE Equipment and Installation

Federal Cost Share Expended Per Unit (% of Total Cost per EVSE)

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

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

Serial Number: Unit 1

Serial Number: Unit 2

Serial Number: Unit 3

Serial Number: Unit 4

Serial Number: Unit 5

Serial Number: Unit 6

Serial Number: Unit 7

Serial Number: Unit 8

Serial Number: Unit 9

Serial Number: Unit 10

Serial Number: Unit 11

Serial Number: Unit 12

Serial Number: Unit 13

Serial Number: Unit 14

Serial Number: Unit 15

Serial Number: Unit 16

Serial Number: Unit 17

Serial Number: Unit 18

Serial Number: Unit 19

Serial Number: Unit 20

Serial Number: Unit 21

Serial Number: Unit 22

Serial Number: Unit 23

Serial Number: Unit 24

Serial Number: Unit 25

Serial Number: Unit 26

Serial Number: Unit 27

Serial Number: Unit 28

Serial Number: Unit 29

Serial Number: Unit 30

Example EV Infrastructure

Level 2

Yes

Manufacturer Name

Model Name

2023

Yes - This Infrastructure is BABA Compliant

24

2

No

No

2

$18,000.00

$12,000.00

$24,000.00

3/28/2024

6/28/2024

8/28/2024

VA

Arlington County

Alexandria

22305

400 1st Street

Walton School District

Electric school buses serving Walton School District

Charge Manage & Co.

Yes

$250 per charger per month

$12,000.00

$7,000.00

No

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

XYZ Electric Co.

Yes - Certification from EVITP

No - Infrastructure meets all BABA requirements

$31,000.00

$48,000.00

65%

Yes

Sarah Smith, Smith.Sarah@hsd.edu

L1-0357-ISO-3240-049390

VX-1263-11C1-2-2310-05642

170182509830170

9124-1GT05-09830170

VX-1265-11C1-2-2635-07842

VX-1264-11C1-2-2502-05872

VX-1266-11C1-2-2502-05642

VX-1267-11C1-2-2502-15426

VX-1268-11C1-2-2503-96834

9125-1GT27-0983253

VX-1269-11C1-2-2502-05872

VX-1270-11C1-2-2502-05872

VX-1271-11C1-2-2502-05872

VX-1272-11C1-2-2502-05872

VX-1273-11C1-2-2502-05872

VX-1274-11C1-2-2502-05872

VX-1275-11C1-2-2502-05872

VX-1276-11C1-2-2502-05872

VX-1277-11C1-2-2502-05872

VX-1278-11C1-2-2502-05872

VX-1279-11C1-2-2502-05872

VX-1280-11C1-2-2502-05872

VX-1281-11C1-2-2502-05872

VX-1282-11C1-2-2502-05872

VX-1283-11C1-2-2502-05872

VX-1284-11C1-2-2502-05872

VX-1285-11C1-2-2502-05872

VX-1286-11C1-2-2502-05872

VX-1287-11C1-2-2502-05872

VX-1288-11C1-2-2502-05872

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 23: Shore Power Information

Table 23a. Shore Power Equipment Information & Demand Overview

Table 23b. Location of Shore Power Infrastructure

Table 23c. Installation Details

Table 23d. Shore Power BABA Details

Table 23e. Shore Power Cost Summary

Table 23f. Optional Participation in Future of Transportation Research

Table 23g. Shore Power Serial Number

Type of Shore Power Connection

Total Voltage Service Provided (select from dropdown)

Total Voltage Service Provided, if not listed

Manufacturer

Model

Manufacture Year

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 Provided 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?

Total Funds Expended Installation Cost for Shore Power Group

Total Federal Funds Expended Installation Cost for Shore Power Group

Does the Infrastructure Equipment Cost Include Installation?

Description of Installation Work, including all equipment installed

Installation Work Performed By

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

Date Equipment Installed

Date Equipment Fully Operational

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

If 'Yes - Other Waiver' selected, please describe

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

If No, Partly Compliant, or Unsure, explain

Equipment Cost only Per Shore Power Pedestal:

Total Federal Funds Expended Per Shore Power Pedestal

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

Federal Cost Share Expended For Shore Power Equipment

Federal Cost Share for Shore Power Installation

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

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

Serial Number: Unit 1

Serial Number: Unit 2

Serial Number: Unit 3

Serial Number: Unit 4

Serial Number: Unit 5

Serial Number: Unit 6

Serial Number: Unit 7

Serial Number: Unit 8

Serial Number: Unit 9

Serial Number: Unit 10

Serial Number: Unit 11

Serial Number: Unit 12

Serial Number: Unit 13

Serial Number: Unit 14

Serial Number: Unit 15

Serial Number: Unit 16

Serial Number: Unit 17

Serial Number: Unit 18

Serial Number: Unit 19

Serial Number: Unit 20

Serial Number: Unit 21

Serial Number: Unit 22

Serial Number: Unit 23

Serial Number: Unit 24

Serial Number: Unit 25

Serial Number: Unit 26

Serial Number: Unit 27

Serial Number: Unit 28

Serial Number: Unit 29

Serial Number: Unit 30

Example Shore Power Infrastructure

High voltage shore power connection (HVSC)

6.6 kV

10 kV

Manufacturer Name

Model Name

2023

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 Guam

Port of Guam

$120,000.00

$70,000.00

No

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

XYZ Electric Co.

5/25/2023

6/24/2024

8/24/2024

No - Infrastructure meets all BABA requirements

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

$18,000.00

$12,000.00

$24,000.00

67%

58%

Yes

Sarah Smith, Smith.Sarah@hsd.edu

L1-0357-ISO-3240-049390

VX-1263-11C1-2-2310-05642

170182509830170

9124-1GT05-09830170

VX-1265-11C1-2-2635-07842

VX-1264-11C1-2-2502-05872

VX-1266-11C1-2-2502-05642

VX-1267-11C1-2-2502-15426

VX-1268-11C1-2-2503-96834

9125-1GT27-0983253

VX-1269-11C1-2-2502-05872

VX-1270-11C1-2-2502-05872

VX-1271-11C1-2-2502-05872

VX-1272-11C1-2-2502-05872

VX-1273-11C1-2-2502-05872

VX-1274-11C1-2-2502-05872

VX-1275-11C1-2-2502-05872

VX-1276-11C1-2-2502-05872

VX-1277-11C1-2-2502-05872

VX-1278-11C1-2-2502-05872

VX-1279-11C1-2-2502-05872

VX-1280-11C1-2-2502-05872

VX-1281-11C1-2-2502-05872

VX-1282-11C1-2-2502-05872

VX-1283-11C1-2-2502-05872

VX-1284-11C1-2-2502-05872

VX-1285-11C1-2-2502-05872

VX-1286-11C1-2-2502-05872

VX-1287-11C1-2-2502-05872

VX-1288-11C1-2-2502-05872

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

$-

Are there any other infrastructure projects associated with this grant that are not listed above (e.g. electrified parking space, stationary generator or other stationary equipment)?

(Y or N)

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 12: 12. Final Report

U. S. Environmental Protection Agency

DERA Grant Report

Final Report: Financial and Narrative Summary

Grant Recipient

Total EPA Funds Awarded

$-

Grant Number

Total Voluntary Cost Share

$-

Project Title

Total Mandatory Cost Share Amount

$-

DERA Program

Total Project Costs (Fed. + Cost Share)

$-

Federal (EPA) Funds Expended to Date

$-

Federal (EPA) Funds Remaining

$-

Table 24. Final Emissions - Actual Results

Record final project information for DEQ results. Each fiscal year of funding should be reported separately (emission results for the first fiscal year should be reported in the first results table and emission results from the second fiscal year should be reported in the second results table). Tip: Copy and paste results from the Diesel Emission Quantifier Results webpage or excel export file.

Please select fiscal year from the drop down menu.

Annual Results (short tons)

NOx

PM2.5

HC

CO

CO2

Fuel

Baseline for Upgraded Vehicles/Engines

Amount Reduced After Upgrades

Percent Reduced After Upgrades

Lifetime Results (short tons)

Baseline for Upgraded Vehicles/Engines

Amount Reduced After Upgrades

Percent Reduced After Upgrades

Lifetime Cost Effectiveness ($/short ton reduced)

Capital Cost Effectiveness (unit & labor costs only)

Total Cost Effectiveness (includes all project costs)

Please select fiscal year from the drop down menu.

Annual Results (short tons)

NOx

PM2.5

HC

CO

CO2

Fuel

Baseline for Upgraded Vehicles/Engines

Amount Reduced After Upgrades

Percent Reduced After Upgrades

Lifetime Results (short tons)

Baseline for Upgraded Vehicles/Engines

Amount Reduced After Upgrades

Percent Reduced After Upgrades

Lifetime Cost Effectiveness ($/short ton reduced)

Capital Cost Effectiveness (unit & labor costs only)

Total Cost Effectiveness (includes all project costs)

Table 25. Project Updates - Narrative Responses

Record final project information.

Please paste the planned activities, outputs, and outcome from the last quarterly report. Please indicate the final results below. Please select the fiscal year of funds used for the activity described in the table.

Fiscal Year

Activities

Anticipated Outputs

Anticipated Outputs

Anticipated Outcomes

ACTUAL Results

Please select fiscal year from the drop down menu.

Please select fiscal year from the drop down menu.

Please select fiscal year from the drop down menu.

Please select fiscal year from the drop down menu.

Please select fiscal year from the drop down menu.

Please select fiscal year from the drop down menu.

Please select fiscal year from the drop down menu.

Please select fiscal year from the drop down menu.

Please select fiscal year from the drop down menu.

Please select fiscal year from the drop down menu.

Please select fiscal year from the drop down menu.

Table 26. Additional Questions

Please provide programmatic and narrative financial results on the project.

Question

Answer

Provide a narrative description of the project and summarize the accomplishments that occurred during the grant period.

Did you award any rebates or subawards during the grant period? If so, list the recipients, how much funding they received, and the good/services provided.

Provide a comparison of actual accomplishments with the anticipated outputs/outcomes and timelines/milestones specified in the original project Work Plan. This information may include:  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

If anticipated outputs/outcomes and/or timelines/milestones from the original submitted proposal were not met, why not? Did you encounter any problems during the grant period which may have precluded you from meeting the project objectives?

How did you remedy any problems? Detail how and the date you had to address any problems that changed the original work plan and/or work plan schedule.

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

If any cost-share funds are reported, identify the source of the funds.

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.

For projects involving vehicle/equipment replacement and repowers provide: 1) 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 2) Evidence of appropriate scrappage or remanufacture, including the engine serial number and/or the vehicle identification number (VIN). *Include Attachments as Necessary

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

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 DERA success stories.

(State program only)What is the URL for the state website listing the total number and dollar amount of subawards, rebates, or loans provided, as well as a breakdown of the technologies funded? Please also list any other state websites used for outreach related to the State DERA Grant Program.

Do you have any other comments or feedback?

Table 27. 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 13: 13. Data Dictionary

Fleet Description Data Fields: Please refer to the following data field dictionary for support in completing tab 10 (Fleet Description).
CURRENT VEHICLE AND ENGINE UPGRADE INFORMATION
Basic Fleet Information
Group Name		Enter the group name of the fleet.
Fleet Owner		Enter the first and last name of the individual or organization that owns the fleet.
Publicly or Privately Owned?		If the vehicles are part of a public fleet or benefit the public (i.e. a private school bus company contracted by a public school; drayage vehicles that serve a port; private construction equipment contracted to a public works project, etc.) enter "Publicly", otherwise enter "Privately".
Place of Performance		Enter the next four fields for each vehicle's place(s) of performance.
- State(s):		Enter the two letter postal code for the state in which the vehicle(s) will operate.
- County(s):		Enter the county in which the vehicle(s) will operate.
- City(s):		Enter the city in which the vehicle(s) will operate.
- Zip Code(s):		Enter the zip code which the vehicle(s) will operate.
- % of Time operated in each Zip Code (Total to Equal 100%)		Enter the percent of time the vehicle group operates in each zip code, if there is more than one. For example, 80% of time in 85310 and 20% of time in 85308.
Equipment Type		Enter the vehicle type from the dropdown, OnRoad Vehicle, NonRoad Equipment, Locomotive, or Marine.
Target Fleet		Select the target fleet from the dropdown menu.
Class		Select from the dropdown menu the Vehicle/Equipment Class for onroad vehicles, as appropriate.
Vehicle or Engine Group Sector:		Using the drop down, enter the sector associated with the vehicle or engine group.
Vocation		Select the vocation type from the dropdown menu.
Current Vehicle Information
Vehicle Identification Number(s):		Enter the Serial number or VIN number for each engine or vehicle
Vehicle Make		Enter the manufacturer of the existing vehicle
Vehicle Model		Enter the model of the existing vehicle
Baseline Vehicle Model Year:		Enter the model year of the existing vehicle.
Current Engine Information
Engine Serial Number(s) :		Enter the engine Serial # for each vehicle or engine to be scrapped/replaced.
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):		For REPOWERS AND UPGRADES ONLY, Select from the dropdown menu the Current Tier Level.
Tier 4 Standards (Tier 4 only):		For tier 4 only engines, please use the drop down to indicate interim for final.
Engine After-Treatment Technology		Enter the appropriate drop down for collection on emission control technologies for the current engine.
Engine Horsepower:		Enter the average horsepower of the engine/equipment.
Engine Cylinder Displacement (liters/cylinder; marine only):		Enter the engine displacement per cylinder in liters.
Engine Number of Cylinders (# of cylinders per engine):		Enter the number of cylinders per engine.
Engine Total Displacement (liters per engine; marine only)		Enter the engine displacement per cylinder in liters.
Engine Family Name (if unregulated, then NA):		Enter the Engine Family name of the existing Engine. NOTE: unregulated engines will not have an Engine Family Name. Engine Optional for Idle Reduction, Aerodynamic Technology, Low Rolling Resistance Tires, and Fuels projects.
Baseline Engine Fuel Type:		Select the type of fuel that is currently being used (prior to any clean diesel activity change).
Total # of Propulsion Engines (per vessel; marine only):		Enter the total number of propulsion engines on the vessel.
Total # of Auxiliary Engines (per vessel; marine only):		Enter the total number of auxiliary engines on the vessel.
Current Annual Vehicle Data
Annual Amount of Fuel Used (gallons/year per engine):		Enter the amount of fuel used in gallons/year.
Annual Usage Hours (hours per year per engine; includes idling hours; nonroad, locomotive, and marine only)		Enter the average number of hours the equipment is used per year.
Annual Miles Traveled (miles per vehicle; on-highway only):		Enter the average number of vehicle miles traveled per year per vehicle.
Annual Idling Hours (hours per engine; on-highway only):		Enter the average number of hours the vehicle idles per year.
Annual Hoteling Hours (hours per year per engine; class 8 long-haul combination only):		Enter the average number of hoteling hours per year, per engine.
Remaining Life of Baseline Engine/Vehicle (years per engine; total # of years of engine life remaining at time of upgrade action):		Enter the remaining life of baseline engine/vehicle in years at the time of the upgrade action
NEW VEHICLE AND ENGINE UPGRADE INFORMATION
Upgrade Information
Year of Upgrade Action:		Enter the year in which the upgrade will take place (i.e., if in 2010, you're replacing a 1995 bus with a 2007 bus, the upgrade year is 2010.)
Upgrade Type:		Enter the type of upgrade that will take place from the dropdown menu.
Upgrade Specific:		Using the drop down, enter the specific type of upgrade that will take place during the project.
Class (onroad vehicles):		Using the drop down list provided, select the appropriate vehicle class (for onroad vehicles only).
VIN for New Vehicle(s):		Please enter the vehicle identification numbers for the new vehicle(s) being replaced.
Total Cost per Unit (equipment cost plus labor):		Automated cell that will sum the upgrade equipment cost (row 55) and labor cost (row 56).
Upgrade Equipment Cost only per unit:		Enter the cost of the technology or equipment cost per unit.
Upgrade Labor Cost only per unit:		Enter the cost of installing or labor cost of the technology per unit.
Total Federal Funds Expended per Unit ($ Total Cost per Unit):		Enter the federal funds expended in dollars per unit.
Federal Cost Share Expended per Unit (% Total Cost per Unit):		Automated cell that will calculate the federal cost share based upon the federal funds expended entered in row 57.
New Engine Information
New Engine Model Year:		For REPLACEMENTS AND REPOWERS ONLY, Enter the model year of the new vehicle/engine.
New Engine Tier (nonroad, locomotive, and marine only):		For REPLACEMENTS, REPOWERS AND UPGRADES ONLY, Select from the dropdown menu the new Tier Level.
Tier 4 Standards (Tier 4 only):		For tier 4 only engines, please use the drop down to indicate interim for final.
New Engine After-Treatment Technology (Tier 4 nonroad only):		Enter the appropriate drop down for collection on emission control technologies for the new engine.
New Engine Horsepower:		Enter the new horsepower of the engine or equipment.
New Engine Duty Cycle (line-haul locomotive only):		Please enter the new engine duty cycle - for line-haul locomotive ONLY.
New Engine Cylinder Displacement (liters per cylinder per engine; marine only):		Enter the new engine displacement per cylinder in liters.
New Engine Total Displacement (liters per engine; marine only)		Select from the dropdown menu the displacement per cylinder in liters.
New Engine Number of Cylinders (per engine; marine only):		Enter the number of cylinders in the new engine.
New Engine Family Name:		For REPLACEMENTS AND REPOWERS ONLY, Enter the Engine Family Name of the new engine.
New Engine Fuel Type:		Select the type of fuel that is for the new engine or vehicle.
New Annual Vehicle Data
Annual Idling Hours Reduced (hours per vehicle; on-highway only):		For IDLE REDUCTION STRATEGIES ONLY, Enter the average number of idling hours reduced for the engine.
Annual Hoteling Hours Reduced (hours per vehicle; class 8 long-haul combination only):		Enter the average number of hoteling hours per year, per engine.
New Annual Fuel Volume (estimated gallons/year per engine):		Please enter the new annual fuel volume, in gallons. New Annual Fuel Volume should be from new engine efficiency, not changes in use.
Zero Emission Vehicle Data
Capable of Bidirectional Charging? (if Battery Electric or Hybrid)		Select yes or no into the cell to specify whether the vehicle is capable of bidirectional charging.
Estimated Range in Miles (for Onroad Battery Electric only)		Enter the estimated range in miles for the zero-emission vehicle.
Battery Capacity per Battery Packs (kWh) (for ZEV only)		Enter the battery capacity in kilowatt-hours for the zero-emission vehicle.
Is the Battery Warranty Included? (for Battery Electric only)		Select yes or no into the cell to specify whether the vehicle battery warranty is included.
Battery Warranty: Indicate Number of Years Covered (for Battery Electric only)		If the battery includes a warranty, indicate the number of years the coverage is valid for.
Battery Warranty: Indicate Number of Years Covered (for Battery Electric only)		If the battery includes a warranty, indicate the number of miles the coverage is valid for.
Battery Warranty: Total kWh of battery discharge Covered by Warranty (for Battery Electric only)		If the battery includes a warranty, indicate the total kWh of battery discharge the coverage is valid for.
Powertrain Warranty Included?		Select yes or no into the cell to specify whether a powertrain battery 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.
Is the vehicle/equipment equipped with Telematics?		Select yes or no into the cells it specify whether the vehicle is equipped with telematics.
EPA or its partners may contact me about participating in research opportunities to provide vehicle/equipment data that could inform future transportation work.		Select yes or no.
If Yes, Telematics Primary Point of contact (Name and email)		Enter First and Last name and email address.
10. INFRASTRUCTURE
EVSE Equipment Information
Type of Charger		Enter the type of charger, either Level 2 (AC charging up to 19.2 kW) or DC Fast Charging.
If Level 2, is it ENERGY STAR certified		Confirm and select yes if applicable. Please see https://www.energystar.gov/
EVSE Manufacturer		Enter the manufacturer of the charging equipment
EVSE Model		Enter the model name of the charging equipment.
EVSE Manufacture Year		Enter the year the charging equipment was manufactured.
Is the EVSE BABA Compliant?		Select an option. EVSE manufactured on or after July 1, 2024 must be meet BABA requirements.
EVSE Maximum Output Power (kW)		Enter the maximum power output of the charging equipment, measured in kilowatts.
Number of Plugs on EVSE		Enter the number of plugs installed on each unit of the charging equipment.
Is the EVSE Capable of Bidirectional Charging?		Select yes or no into the cell to specify whether the charging equipment is capable of bidirectional charging.
Will the Bus and EVSE be Used for V2G?		Select yes or no into the cell to specify whether the buses and charging equipment will be used for vehicle-to-grid (V2G) services.
EVSE Number of Units		Enter the quantity of charging equipment unit
EVSE Equipment Cost only Per Unit:		Enter the cost of the charging equipment per unit.
Total Federal Funds Expended Per EVSE Unit		Enter the total Federal funds expend for charging equipment per unit.
Total Federal Funds Expended for EVSE		No action - autopopulated
Date of EVSE Installation (mm/dd/yyyy)		Enter the date on which the EVSE is permanently affixed.
Location of EV Infrastructure
State		Select the two letter postal code for the state in which the charging equipment will be located.
County		Enter the county in which the charging equipment will be located.
City		Enter the city in which the charging equipment will be located.
Zip Code		Enter the zip code in which the charging equipment will be located.
Street Adress		Enter the street address in which the charging equipment will be located.
Who owns the charger?		Enter the name of the school district or organization that owns the charging equipment.
Does the EVSE serve multiple school districts within this application?		Select yes or no
Name of the School District(s) the EVSE will serve (use a colon between school districts)		Enter the name of the school district in which the EVSE will serve. If it will serve multiple school districts, list all and separate with a colon (e.g., Hampton School District: Edgewood School District).
NCES ID of School District that the EVSE will serve (use a colon between school districts)		Enter the name of the National Center for Education Statistics (NCES) ID associated with the school district in which the EVSE will serve. If it will serve multiple school districts, list all NCES IDs and separate with a colon (e.g., 1234567: 7654321).
Infrastructure Installation Information
Total Funds Expended Installation Cost		Enter the total installation costs for the charging equipment for the EV infrastructure group column.
Total Federal Funds Expended Installation Cost		Enter the total Federal funds expended for installation costs for the charging equipment for the EV infrastructure group column.
Does the Infrastructure Equipment Cost Include Installation?		Please enter yes or no into the cell to specify whether the indicated cost of the charging equipment above includes any installation expenses.
Description of Installation Work		Enter a description of the work performed to install the charging equipment, such as design and engineering, trenching, wiring and electrical upgrades, labor, and permitting.
Installation Work Performed By		Enter the name(s) of the organization(s) that performed the installation work described above.
Installation was conducted by an individual who meets the infrastructure electrician requirements as outlined in the program guidance?		Select electrician category
Is waiver being used to fulfill BABA compliance for the Infrastructure Project		If a waiver is being used to meet BABA compliance requirements, select the waiver type
Total Federal Funds Expended Equipment and Installation		Automated cell that will calculate the total Federal Funds expended for the charging equipment and installation for an EV Infrastructure Group.
Shore Power Equipment Information and 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.
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.
Location of Shore Power Infrastructure
State (select from dropdown)		Select the state where the shore power system is installed.
County (select from dropdown)		Select the county where the shore power system is installed.
City		Enter the name of the city where the shore power system is installed.
Zip Code		Enter the zip code of the location where the shore power system is installed.
Port Facility where Shore Power Installed		Enter the name of the port facility where the shore power system is installed.
Who owns the Shore Power Infrastructure?		Enter the name of the organization that owns the shore power system.
Installation Details
Total Funds Expended Installation Cost for Shore Power Group		Enter the total cost for installation of the shore power system.
Total Federal Funds Expended Installation Cost for Shore Power Group		Enter the total amount of federal funds expended for installation of the shore power system.
Does the Infrastructure Equipment Cost Include Installation?		Select whether or not the equipment cost includes installation of the shore power system.
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 Equipment Installed		Enter the date (or date range) the shore power system was installed.
Date Equipment Fully Operational		Enter the date by which the shore power system became fully operational.
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 project.
Are the Shore Power Equipment, Housing, and all Accessories BABA Compliant?		Select from the dropdown menu which parts of the shore power 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.
Shore Power Cost Summary
Equipment Cost only Per Shore Power Pedestal:		Enter the equipment cost for each shore power pedestal.
Total Federal Funds Expended Per Shore Power Pedestal		Enter the federal funds expended for the equipment in each shore power pedestal.
Total Federal Funds Expended for All Shore Power Equipment (total # of pedestals x Federal Funds Expended/pedestal)		No action - autopopulated
Federal Cost Share Expended For Shore Power Equipment		No action - autopopulated
Federal Cost Share for Shore Power Installation		No action - autopopulated
Optional Participation in Future Transportation Research
EPA or its partners may contact me about participating in research opportunities to provide shore power 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, Primary Point of contact (Name and email)		If you selected "Yes" for the previous column, please enter your name and e-mail.
For more information on BABA compliance please see the following link:		Build America, Buy America Act (BABA) Implementation Procedures for EPA Office of Transportation and Air Quality Federal Financial Assistance Programs (March 19, 2025)