NOFO Application Template Volume 1.docx

LCTM Application Template Volume 1 The page limit for Volume 1, including template materials, is 15 pages. Submit Volume 1 as a Word Document Key Applicant Information Section LCTM: Application Completeness Checklist

Check boxes to confirm your application submittal includes the following documents:

LCTM: Applicant Information For applications with multiple parties, use the Lead Applicant’s information

Political subdivision of a State ☐

Territory of the United States ☐

Tribal Government or entity as described in 23 U.S.C. 207(m)(1) ☐

Recipient of funds under 23 U.S.C. 203 ☐

Metropolitan planning organization (MPO) (as defined in section 23 U.S.C.134(b)(2)) ☐

Special purpose district or public authority with a transportation function ☐

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LCTM: Federal Funding Information A detailed budget is to be provided with the “Volume 2” application template

Total LCTM Federal Funding Requested Note: the SF-424 General form fields 18b-f may be left blank

*The lines for Process Development and Construction should sum to the Total LCTM Federal Funding Requested line LCTM: Federal Funding Information – By Material

Additional NOFO Requirements

LCTM: External Partnerships List all public and private parties who would be involved in delivering the work of the grant. If you plan to partner on a joint application, list the planned application partners with a transportation function. If you plan to coordinate with a State DOT, include in the details section the extent the application includes planned use of process development outputs (specifications, quality assurance, EPD process, etc.) of the State DOT or your own process development. Add rows as needed.

NARRATIVE SECTION

The following sections have text boxes for applicants to be able to enter detailed narrative information that meets the NOFO Volume 1 requirements.

Agency History: If relevant, discuss your Agency’s history or broader context related to low carbon transportation materials

Proposed Program Description: In the provided text box, describe the program proposed by the agency, and how it meets the goals of the LCTM program. Describe:

· Proposed materials (consistent with the eligible purchase categories as described in the EPA Interim Determination);

· Deadlines for obligation and expenditure of funds;

· Proposed activities and scope of work with key milestones and deliverables;

· Information on how you will carry out the proposed work; and

· How the proposed program meets all eligibility requirements. Eligibility requirements are described in Section C.4 and C.5 ELIGIBILITY INFORMATION of the NOFO.

List of Projects and Required Approvals: In the provided text box, list the range of construction projects programmed under Title 23 for the LCTM program, noting if the project has scalable options. Include links to GIS information and project websites if they exist.

Additionally, for each project confirm that all activities have obtained or will obtain all required State, Federal, and Regional approvals: environmental, planning, and inclusion in the TIP/STIP (if applicable). If the approvals are in progress, submit information to verify that, either in provided text box below or by attaching a supporting document to your application submission. Describe the public support for projects and additional information about approvals that are not in the supplemental documents. Refer to NOFO Section D.2.i.d.IV.c and D.2.i.d.VI for more details on required approvals.

List of Process Development Activities: In the provided text box, list proposed process development activies for the LCTM program, noting if the process has scalable actions. Refer to the table beginning on page 12 of the NOFO.

Merit Criteria: In the provided text boxes, describe how the activities proposed elsewhere in this application meet the NOFO’s four Merit Criteria in Section E.1 APPLICATION REVIEW INFORMATION. Thoroughly describe how you will meet the program elements of each critera and sub criteria. If these items are covered in sufficient detail in other parts of your application, including in Volume 1, you may reference those sections in your response.

Substantially Lower Embodied Carbon Identification, listed on page 27 of the NOFO. The description should address all sub criteria, including Identification of eligible construction materials; Energy Star Performance Score; EPD Process; and Substantially Lower Embodied Carbon Threshold.

Quality Assurance and Materials Acceptance, listed on page 27 of the NOFO. The description should address all sub criteria, including Materials Specification; Verification Process; and Monitoring.

Use of Materials and Products on Construction Projects, listed on page 27 and 28 of the NOFO. The description should address all sub criteria, including General Approach; Industry Outreach; Calculating Incentive or Reimbursement for Materials with “Substantially Lower GWP” on Construction Projects; and Specific Construction Projects.

Schedule and Budget, listed on page 28 of the NOFO. Provide a description of start and end dates and an estimated budget for each major activity, milestone, and deliverable. The schedule must demonstrate activities can be sufficiently advanced to ensure LCTM funds will be obligated prior to September 30, 2026. Applicants may choose to provide a schedule synopsis in Volume 1 if a more detailed schedule is provided in Volume 3 Additional Supporting Documentation.

Overall Readiness: In the provided text box, describe the experience of the Applicant to perform the proposed activities, including experience with receiving Federal grants and expending grant funds; and demonstrate the Applicant is able to follow all applicable requirement for the applicable Federal-aid construction project(s) on which the applicant proposes to incorpoate LCTM funds. This section may include a desciption of the personnel that will support delivery of the proposed program.

Project Risks and Mitigation Strategies: In the provided table, describe the perceived risks (e.g., procurement delays or lack of legislative or administrative approval) and mitigation strategies. Add rows as needed.

Administration Priorities and Departmental Strategic Goals: In the provided text box, describe how the activities proposed under this application meet the NOFO’s four priorities and goals listed in Section A.3: ADMINISTRATION PRIORITIES AND DEPARTMENTAL STRATEGIC PLAN GOALS.

Safety: Application describes how safety benefits will be realized by the construction projects using LCTM materials or products.

Climate Change and Sustainability: Application describes adverse environmental or climate-related impacts that will be avoided or mitigated in construction projects using LCTM materials or products.

Equity and Environmental Justice: Application describes plans for engagement with impacted community groups, how environmental or health impacts will be reduced in disadvantaged communities by the construction projects using LCTM materials or products, and criteria for prioritizing construction projects that deliver benefits to local and disadvantaged communities.

Workforce Development, Job Quality, and Wealth Creation: Application describes plans for engagement with unions and labor representatives; plans to prioritize construction projects according to the criteria for creating good jobs and expanding workforce opportunities; plans to prioritize construction projects that advance the DOT Equity Action Plan; and how construction projects using LCTM materials or products will support Made in America Goals.