PHMSA FY 2024 NGDISM Grant Program Application Checklist.pdf

USDOT/PHMSA FY 2024 NGDISM Grant Application 2-Pager Checklist This is not an exhaustive list. Please follow all requirements included in the NOFO.

Cover Letter. Does the letter include the natural gas system’s name and sufficient contact information for the project representative and the authorized representative?

Project Summary. Does the application include a project summary that provides a high-level overview of project(s)? Note, applicants should bundle projects to the greatest extent possible. It is unnecessary to breakdown projects by street names if located in the same general area.

Detailed Project Description:

Does the description include the project location, milestones to completion, and a thorough explanation describing why funding is needed?

Does the description include the condition of the existing infrastructure? (Leak-prone, actively leaking, or another condition)

Does the description include whether there is an immediate safety risk that poses danger to the community and/or environment?

Does the need for the project align with the most recent DIMP?

Projected Outputs and Objectives. Does the application provide quantifiable and measurable outputs planned for the grant’s period of performance?

Budget Narrative:

Is the budget narrative consistent with costs fully explained?

Does it align with the SF-424A (Equipment only) or SF-424C (Construction projects) line items?

Do costs total the amount of federal funding requested on the SF-424?

Are the contingency costs at or below 10 percent?

Does your budget include quotes or invoices (Current or Past) to justify costs?

Did you consider NEPA support, and Grants Administration costs in your budget?

Underserved Communities. Does the application explain whether the project(s) is located in and/or benefits underserved communities?

Applicants should use the Climate and Economic Justice Screening Tool (CEJST) to identify disadvantaged communities as the primary tool.

Applicants are strongly encouraged to also use the DOT Equitable Transportation Community (ETC) Tool to understand how their community or project area is experiencing disadvantage related to lack of transportation investments or opportunities.

Key Documents for the Technical Evaluation Panel:

Most recent Gas Distribution Annual Report (GDAR) (PHMSA 7100.1-1 form)

Most recent Distribution Integrity Management Plan (entire document) Any pictures that may support the need for funding.

Standard Forms (Must be signed by the Authorized Representative):

SF-424 Application for Federal Assistance SF-424A (Equipment Only) OR SF-424C (Construction Projects) SF-424D Assurances for Construction Programs DOT/Title VI Non-Discrimination Assurances Grants.gov Lobbying Form - Certification Regarding Lobbying

Statements:

Statement of Authority and Pipeline Infrastructure Safety and Modernization Capabilities.

Statement certifying compliance with Executive Order 13985 (Equity Requirement).

Statement certifying compliance with Domestic Preference/Buy America

Project Prioritization Table. (Strongly recommended and pictured below) Is the table fully complete?

Do all projects equal the total amount of federal funds requested on the SF-424

Project Prioritization Table (Example)

Priority Number

Project Type (construction, equipment-only, or other -please describe)

Project Name Existing Pipe Material (if applicable)

Miles Replaced

Infrastructure Age (if applicable)

Estimated Reduction in Annual Methane Emissions (kg/year)

Estimated number of jobs (if applicable)

Total Project Cost (all project costs must equal the federal funding requested in the SF-424)

1 Construction Southeast Cast-Iron Replacement Project

Cast-iron 9.0 1920s 25,637 100 $9,500,000

2 Equipment Leak Detection Equipment

N/A 0.0 1920s 7,121 40 $2,300,000

3 Other – Regulator Station

Regulator Replacement Project

Bare steel 0.0 1970s 0.0 N/A $850,000

Total $12,650,000.00

SF-424

Federal Funding Requested

$12,650,000.00