Attachment 3 - Statement of Interest 2FEB2024.xlsx
XLSX spreadsheet 32 KB Posted
- Attached to
- Slip-on Tanker Units Federal grant opportunity
- Opportunity number
- D24AS00253
- Issued by
- Department of the Interior
About this file
This document contains an application template and instructions for local governments to apply for federal grant funding to acquire slip-on tanker units. Eligible applicants are asked to provide contact information and details on their entity and location, along with the need, risk level, population served, and requested number and cost of slip-on tanker units. Funding is provided through the Department of Interior's Wildfire Management Preparedness program under the Bipartisan Infrastructure Law to help establish fleets of vehicles that can be quickly converted to fire engines. Applicants must meet minimum specifications outlined in an attachment and acquire units by the application deadline to receive financial assistance for increasing wildland fire resilience and support of federal firefighters.
Attachment 3 - Statement of Interest 2FEB2024.xlsx
View the file
Other files for this federal grant opportunity
| File | Type | Posted |
|---|---|---|
| Questions and Answers.docx | DOCX document | |
| NOFO D24AS00253 Final_5-Feb-24.pdf | ||
| Attachment 2 - Slip-On Tank Grant Program Proposed Methods and Data Sources.pdf | ||
| Attachment 1 - Minimum Specifications.pdf |
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Text version
Applicant Information
| Instructions: If submitting an application for a single entity/location complete ONLY the first tab (Applicant Information) and second tab (Entity Location Information 1). If submitting a consolidated application with multiple entities/locations complete the first (Applicant Information) tab and an (Entity Location Information) tab for every entity/location that the applicant is requesting slip on tankers on behalf of. |
| Applicant Contact Information |
| POC Name (first and last) |
| Email Address |
| Street Address |
| State |
| Zip |
| Phone Number |
| SAM.gov Entity Registration |
| Unique Entity ID (UEI) |
| Entity Type (U.S. Local Government: County; Borough; Municipality; City; Town; Township; |
Parish; Local public authority, including any public housing agency under the United States Housing Act of 1937; Special district; School district; Intrastate district; Council of governments, whether or not incorporated as a nonprofit corporation under State law; and Any other agency or instrumentality of a multi-, regional, or intra-State or local government.)
Entity Location Information 1
| Entity/Location Information | |
| Entity Name | |
| Is the Entity a U.S. Local Government | Yes / No |
| U.S. State Entity is Located in | |
| Geographic Area (found at https://gacc.nifc.gov) | |
| Need for wildland firefighting readiness | |
| National Wildfire Risk to Homes Percentage | |
| Population | |
| Description or Name of Serviced Area | |
| Population of Serviced Area | |
| Number of slip on tankers | |
| Number of Slip On Tankers Requested | |
| Estimated Total Cost | |
| Estimated Total Cost of Request | |
| Vehicle(s) to mount slip on tankers to | |
| Vehicle 1 | |
| Make | |
| Model | |
| Year | |
| Vehicle 2 | |
| Make | |
| Model | |
| Year | |
| Vehicle 3 | |
| Make | |
| Model | |
| Year | |
| Vehicle 4 | |
| Make | |
| Model | |
| Year | |
| Vehicle 5 | |
| Make | |
| Model | |
| Year |
Entity Location Information 2
| Entity/Location Information | |
| Entity Name | |
| Is the Entity a U.S. Local Government | Yes / No |
| U.S. State Entity is Located in | |
| Geographic Area (found at https://gacc.nifc.gov) | |
| Need for wildland firefighting readiness | |
| National Wildfire Risk to Homes Percentage | |
| Population | |
| Description or Name of Serviced Area | |
| Population of Serviced Area | |
| Number of slip on tankers | |
| Number of Slip On Tankers Requested | |
| Estimated Total Cost | |
| Estimated Total Cost of Request | |
| Vehicle(s) to mount slip on tankers to | |
| Vehicle 1 | |
| Make | |
| Model | |
| Year | |
| Vehicle 2 | |
| Make | |
| Model | |
| Year | |
| Vehicle 3 | |
| Make | |
| Model | |
| Year | |
| Vehicle 4 | |
| Make | |
| Model | |
| Year | |
| Vehicle 5 | |
| Make | |
| Model | |
| Year |
Entity Location Information 3
| Entity/Location Information | |
| Entity Name | |
| Is the Entity a U.S. Local Government | Yes / No |
| U.S. State Entity is Located in | |
| Geographic Area (found at https://gacc.nifc.gov) | |
| Need for wildland firefighting readiness | |
| National Wildfire Risk to Homes Percentage | |
| Population | |
| Description or Name of Serviced Area | |
| Population of Serviced Area | |
| Number of slip on tankers | |
| Number of Slip On Tankers Requested | |
| Estimated Total Cost | |
| Estimated Total Cost of Request | |
| Vehicle(s) to mount slip on tankers to | |
| Vehicle 1 | |
| Make | |
| Model | |
| Year | |
| Vehicle 2 | |
| Make | |
| Model | |
| Year | |
| Vehicle 3 | |
| Make | |
| Model | |
| Year | |
| Vehicle 4 | |
| Make | |
| Model | |
| Year | |
| Vehicle 5 | |
| Make | |
| Model | |
| Year |
Entity Location Information 4
| Entity/Location Information | |
| Entity Name | |
| Is the Entity a U.S. Local Government | Yes / No |
| U.S. State Entity is Located in | |
| Geographic Area (found at https://gacc.nifc.gov) | |
| Need for wildland firefighting readiness | |
| National Wildfire Risk to Homes Percentage | |
| Population | |
| Description or Name of Serviced Area | |
| Population of Serviced Area | |
| Number of slip on tankers | |
| Number of Slip On Tankers Requested | |
| Estimated Total Cost | |
| Estimated Total Cost of Request | |
| Vehicle(s) to mount slip on tankers to | |
| Vehicle 1 | |
| Make | |
| Model | |
| Year | |
| Vehicle 2 | |
| Make | |
| Model | |
| Year | |
| Vehicle 3 | |
| Make | |
| Model | |
| Year | |
| Vehicle 4 | |
| Make | |
| Model | |
| Year | |
| Vehicle 5 | |
| Make | |
| Model | |
| Year |
Entity Location Information 5
| Entity/Location Information | |
| Entity Name | |
| Is the Entity a U.S. Local Government | Yes / No |
| U.S. State Entity is Located in | |
| Geographic Area (found at https://gacc.nifc.gov) | |
| Need for wildland firefighting readiness | |
| National Wildfire Risk to Homes Percentage | |
| Population | |
| Description or Name of Serviced Area | |
| Population of Serviced Area | |
| Number of slip on tankers | |
| Number of Slip On Tankers Requested | |
| Estimated Total Cost | |
| Estimated Total Cost of Request | |
| Vehicle(s) to mount slip on tankers to | |
| Vehicle 1 | |
| Make | |
| Model | |
| Year | |
| Vehicle 2 | |
| Make | |
| Model | |
| Year | |
| Vehicle 3 | |
| Make | |
| Model | |
| Year | |
| Vehicle 4 | |
| Make | |
| Model | |
| Year | |
| Vehicle 5 | |
| Make | |
| Model | |
| Year |
Entity Location Information 6
| Entity/Location Information | |
| Entity Name | |
| Is the Entity a U.S. Local Government | Yes / No |
| U.S. State Entity is Located in | |
| Geographic Area (found at https://gacc.nifc.gov) | |
| Need for wildland firefighting readiness | |
| National Wildfire Risk to Homes Percentage | |
| Population | |
| Description or Name of Serviced Area | |
| Population of Serviced Area | |
| Number of slip on tankers | |
| Number of Slip On Tankers Requested | |
| Estimated Total Cost | |
| Estimated Total Cost of Request | |
| Vehicle(s) to mount slip on tankers to | |
| Vehicle 1 | |
| Make | |
| Model | |
| Year | |
| Vehicle 2 | |
| Make | |
| Model | |
| Year | |
| Vehicle 3 | |
| Make | |
| Model | |
| Year | |
| Vehicle 4 | |
| Make | |
| Model | |
| Year | |
| Vehicle 5 | |
| Make | |
| Model | |
| Year |
Entity Location Information 7
| Entity/Location Information | |
| Entity Name | |
| Is the Entity a U.S. Local Government | Yes / No |
| U.S. State Entity is Located in | |
| Geographic Area (found at https://gacc.nifc.gov) | |
| Need for wildland firefighting readiness | |
| National Wildfire Risk to Homes Percentage | |
| Population | |
| Description or Name of Serviced Area | |
| Population of Serviced Area | |
| Number of slip on tankers | |
| Number of Slip On Tankers Requested | |
| Estimated Total Cost | |
| Estimated Total Cost of Request | |
| Vehicle(s) to mount slip on tankers to | |
| Vehicle 1 | |
| Make | |
| Model | |
| Year | |
| Vehicle 2 | |
| Make | |
| Model | |
| Year | |
| Vehicle 3 | |
| Make | |
| Model | |
| Year | |
| Vehicle 4 | |
| Make | |
| Model | |
| Year | |
| Vehicle 5 | |
| Make | |
| Model | |
| Year |
Entity Location Information 8
| Entity/Location Information | |
| Entity Name | |
| Is the Entity a U.S. Local Government | Yes / No |
| U.S. State Entity is Located in | |
| Geographic Area (found at https://gacc.nifc.gov) | |
| Need for wildland firefighting readiness | |
| National Wildfire Risk to Homes Percentage | |
| Population | |
| Description or Name of Serviced Area | |
| Population of Serviced Area | |
| Number of slip on tankers | |
| Number of Slip On Tankers Requested | |
| Estimated Total Cost | |
| Estimated Total Cost of Request | |
| Vehicle(s) to mount slip on tankers to | |
| Vehicle 1 | |
| Make | |
| Model | |
| Year | |
| Vehicle 2 | |
| Make | |
| Model | |
| Year | |
| Vehicle 3 | |
| Make | |
| Model | |
| Year | |
| Vehicle 4 | |
| Make | |
| Model | |
| Year | |
| Vehicle 5 | |
| Make | |
| Model | |
| Year |
Entity Location Information 9
| Entity/Location Information | |
| Entity Name | |
| Is the Entity a U.S. Local Government | Yes / No |
| U.S. State Entity is Located in | |
| Geographic Area (found at https://gacc.nifc.gov) | |
| Need for wildland firefighting readiness | |
| National Wildfire Risk to Homes Percentage | |
| Population | |
| Description or Name of Serviced Area | |
| Population of Serviced Area | |
| Number of slip on tankers | |
| Number of Slip On Tankers Requested | |
| Estimated Total Cost | |
| Estimated Total Cost of Request | |
| Vehicle(s) to mount slip on tankers to | |
| Vehicle 1 | |
| Make | |
| Model | |
| Year | |
| Vehicle 2 | |
| Make | |
| Model | |
| Year | |
| Vehicle 3 | |
| Make | |
| Model | |
| Year | |
| Vehicle 4 | |
| Make | |
| Model | |
| Year | |
| Vehicle 5 | |
| Make | |
| Model | |
| Year |
Entity Location Information 10
| Entity/Location Information | |
| Entity Name | |
| Is the Entity a U.S. Local Government | Yes / No |
| U.S. State Entity is Located in | |
| Geographic Area (found at https://gacc.nifc.gov) | |
| Need for wildland firefighting readiness | |
| National Wildfire Risk to Homes Percentage | |
| Population | |
| Description or Name of Serviced Area | |
| Population of Serviced Area | |
| Number of slip on tankers | |
| Number of Slip On Tankers Requested | |
| Estimated Total Cost | |
| Estimated Total Cost of Request | |
| Vehicle(s) to mount slip on tankers to | |
| Vehicle 1 | |
| Make | |
| Model | |
| Year | |
| Vehicle 2 | |
| Make | |
| Model | |
| Year | |
| Vehicle 3 | |
| Make | |
| Model | |
| Year | |
| Vehicle 4 | |
| Make | |
| Model | |
| Year | |
| Vehicle 5 | |
| Make | |
| Model | |
| Year |
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