low-no-supplemental-form-fy-2018.pdf

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Solicitation of Project Proposals for the Low or No Emission Program (Low-No) Program
Opportunity number
FTA-2018-003-LOWNO
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FTA Supplemental Form

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oppFTA-2018-003-LOWNO-cfda20.526-cidFTA-2018-003-LOWNO-instructions.docx DOCX document

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v1.0 Applicant and Proposal Profile Form - Low or No Emission Bus Program (5339(c)) Page of Low or No Emission Bus Program (5339(c)) Applicant and Proposal Profile Is this a resubmission due to an invalid/error message from FTA?

Section I. Applicant Information Applicant Eligibility:

Population Served:

Section II. Project Information/Evaluation Criteria About the Project (Descriptive title of this project) Project Type:

Technology:

***Address each of the evaluation criteria as described in the Notice of Funding Opportunity.*** Demonstration of Need For vehicle replacement/facility rehabilitation projects only:

Vehicle Description

QTY

Vehicle Year Vehicle Mileage Facility Description Years Facility Used by Applicant Facility Construction Date Last Renovation Date Demonstration of Benefits Planning and Local/Regional Prioritization Local Financial Commitment Project Budget Description

QTY

Federal Amount Other Federal Funds Local Match Total Cost Total:

Matching Funds Information Project Scalability Is Project scope scalable?

Project Implementation Strategy Is this application a partnership between an eligible applicant and one or more private section partners?

Qualification Partner Project Timeline Timeline Description Timeline Item Date If selected, can this project be obligated within 12 months from the time of award?

Technical, Legal, and Financial Capacity Congressional Districts (Project Location) Congressional District 9.0.0.2.20120627.2.874785 Description of services provided and areas served.

CurrentPage:
PageCount:
btnValidate:
ResetButton1:
programCodeHidden: LoNo2018
programVersionHidden: 1.0
Yes:
No:
cFocus:
Grants.gov Tracking Number (13 characters):
Organization Legal Name (200 characters):
FTA Recipient Number (30 characters):
Applicant Eligibility - Direct or designated recipient:
Applicant Eligibility - State:
Applicant Eligibility - Local:
Applicant Eligibility - A Federally-recognized Native American Tribe:
Population Served - Small Urbanized Area:
Population Served - Large Urbanized Area:
Population Served - Rural:
Description of services provided and areas served (4000 characters):
Project Title (200 characters):
Project Executive Summary (500 characters):
Project Statement of Work (500 characters):
Project Type - Vehicle: 0
Project Type - Facilities: 0
Project Type - Other: 0
Applicant Type - If Other, Specify (200 characters):
Technology - Battery electric: 0
Technology - Diesel-electric hybrid: 0
Technology - CNG: 0
Technology - Hydrogen fuel cell: 0
Technology - Other: 0
Applicant Type - If Other, Specify (200 characters):
List of Supporting Documentation (4000 characters):
Demonstration of Need (4000 characters):
Vehicle Description (100 characters):
Quantity:
Vehicle Year:
Vehicle Mileage:
Remove Congressional District Item:
Insert Vehicle Item:
Item Description (100 characters):
Years Facility Used by Applicant:
Facility Construction Date (format MM/dd/YYYY):
Last Renovation Date (format MM/dd/YYYY):
Insert Facility Item:
Demonstration of Benefits (4000 characters):
Planning and Local/Regional Prioritization (4000 characters):
Local Financial Commitment (4000 characters):
Item Description (100 characters):
Quantity:
Federal Amount:
Other Federal Funds:
Local Match:
Total Cost:
Insert Project Budget Item:
Grand Total - Federal Amount:
Grand Total - Federal Amount:
Grand Total - Local Match:
Grand Total - Total Cost:
Matching Funds Amount:
Source of Matching Funds (4000 characters):
Supporting Documentation of Local Match (4000 characters):
If Yes, specify minimum Federal Funds necessary:
Provide explanation of scalability with specific references to the budget line items above (4000 characters):
Project Implementation Strategy (4000 characters):
Partner(100 characters):
Qualification (1500 characters):
Insert Project Timeline Item:
Timeline Description (100 characters):
Timeline Item Date (format MM/dd/YYYY):
Technical, Legal, and Financial Capacity (4000 characters):
Congressional District:
Insert Congressional District Item:

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