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

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Other files for this federal grant opportunity

Other files attached to Slip-on Tanker Units, newest first.
File Type Posted
Questions and Answers.docx DOCX document
NOFO D24AS00253 Final_5-Feb-24.pdf PDF
Attachment 2 - Slip-On Tank Grant Program Proposed Methods and Data Sources.pdf PDF
Attachment 1 - Minimum Specifications.pdf PDF

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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 GovernmentYes / 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 GovernmentYes / 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 GovernmentYes / 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 GovernmentYes / 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 GovernmentYes / 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 GovernmentYes / 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 GovernmentYes / 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 GovernmentYes / 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 GovernmentYes / 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 GovernmentYes / 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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