Fillable Form 2019: Program Description Electric Vehicle Supply Equipment (Town of Richmond)

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Form 2019: Program Description Electric Vehicle Supply Equipment (Town of Richmond)

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Community Planning + Revitalization
Vermont Department of Housing and Community Development
March 2019
Photo Credit: Gina Campoli
Electric Vehicle Supply Equipment
(EVSE) Grant Program
Program Description
2019
1
Electric Vehicle Supply Equipment (EVSE) Grant
Program
Administered by Vermont Department of Housing & Community
Development (DHCD) in coordination with the Vermont Department of
Environmental Conservation (DEC), the Vermont Public Service
Department (PSD), the Vermont Department of Health (VDH), and the
Vermont Agency of Transportation (VTrans)
2019 Program Description and Requirements
Overview
The State of Vermont wishes to expand the statewide network of electric vehicle charging stations
(also called Electric Vehicle Supply Equipment, or EVSE) in accordance with the Vermont
Beneficiary Mitigation Plan of the Volkswagen Environmental Mitigation Trust
.
Beneficiary Mitigation Plan Objectives
The primary objective of the Environmental Mitigation Trust (EMT) is to reduce emissions of
nitrogen oxides (NOx) from mobile sources to mitigate the excess NOx emissions that were
released into the atmosphere through the operation of diesel vehicles equipped with illegal defeat
device software. Vermont will work to implement its allocation under the EMT to:
Reduce NOx emissions from mobile sources, eligible for replacement or repower, in the
most cost-effective way possible;
Demonstrate t
he feasibility of all-electric or other NOx mitigating alternatively fueled heavy-
duty and transit vehicles and begin to catalyze market transformation; and
Maximize public and private investment in electric vehicle charging infrastructure.
Available Funding
Up to $2 million in grants are available to install charging equipment at qualified locations within
Vermont. Funds are available until they are fully invested and may be disbursed until October
2027. Qualified grantee costs are reimbursed after the installation of the EVSE project is completed
and required documentation is complete. The availability of this funding is contingent upon the
Trustee’s approval of funding requests made by the Agency of Natural Resources and the
subsequent transfer of funds.
Please direct questions to Gary Holloway, Downtown Program Manager at
gary.holloway@vermont.gov
or 802-828-3220.
2
Eligible Grantees
Governments (Federal, State, municipal, public education institutions, public utilities, and other
public institutions), businesses, non-profits, homeowner associations, electric utilities, and EVSE
equipment providers.
Please Note: If the applicant is not the landowner, the landowner must authorize the application.
Limitations
The total funding available for the second round in FY 2019 will be $400,000; the State’s
fiscal year begins July 1 and ends June 30.
No funding shall be awarded for EVSE mandated under federal, state, or local requirements
(such as a land use permit).
No individual project site may receive more than $150,000 in total grant funds.
No county in Vermont may receive more than half of the total available funding in this grant
round.
No more than 40% of the allocated funds will be spent on direct current fast charge
stations (DCFC) for the second round of funding in FY2019. The EVSE Workgroup reserve
s
th
e right to fund an application for a DCFC that fills an identified gap in the DCFC chargin
g
network over a higher scoring DCFC application that does not fill such a gap.
A
pplicants must be in good standing with the Vermont Department of Taxes.
Eligible projects will be competitively ranked and considered for funding according to the
criteria established.
Funding may not be used for any purchases or work completed prior to gran
t
commencement.
All projects must be complete within two (2) years of the award date. Award may be
rescinded, and the funds reallocated if not complete within two years.
Eligible Activities
Funding may be used for the purchase of Level 2 or direct current fast-charge (DCFC) equipment
for light-duty vehicles
1
according to the criteria below. Funding may also support auxiliary costs,
including: permitting, design, power connection, striping, on-site signage, warranty, software,
internet connection, protective devices, and eligible installation costs.
Funds may not be used to purchase or rent real-estate or pay for other capital costs (such as:
construction of buildings, parking facilities, etc.), electricity costs, general operation and
maintenance, or administrative costs incurred by the applicant. No funding shall be awarded for
EVSE mandated under federal, state, or local requirements or previously required by private
contract.
1
For the purposes of this grant, light-duty vehicle means all vehicles propelled or drawn by power other than muscular
power, except tractors used entirely for work on the farm, vehicles running only on stationary rails or tracks, motorized
highway building equipment, road making appliances or snowmobiles, or implements of husbandry. A light duty vehicle
includes: jitney, motor vehicle, specialized fuel driven motor vehicle, motorcycle, motor-driven cycle, motor-assisted bicycle, or
cooperative transportation.
3
Match Requirements
The grantee’s financial match requirements are determined by land ownership and public
accessibility of the EVSE.
M
INIMUM
M
ATCH
R
EQUIRED FOR
E
LIGIBLE
P
ROJECTS
10% match
2
Publicly Accessible
3
on Government-owned Property
20% match
Publicly Accessible
3
on Nongovernment-owned Property
40% match
Restricted-Access
4
Workplace and Multi-Unit Housing
Application Review Process
Grant applications are due according to the schedule listed below. Completed applications will be
reviewed by a Vermont EVSE Inter-Agency Workgroup (“the Workgroup”) with representatives
from the: Department of Housing and Community Development, Department of Environmental
Conservation, Agency of Transportation, Public Service Department, and the Department of
Health.
D
EADLINE AWARD DATE
April 30, 2019
July 2019
Technical & Financial Resources & Assistance
Choosing the best location and charging equipment to suit your needs can be technically
complicated. Several online resources are available to help you plan your project:
Electric Vehicle Charging Installation Guide
. Drive Electric Vermont
Electric Vehicle Charging Station Guidebook: Planning for Installation and Operation.
Chittenden County Regional Planning Commission. June 2014
Wo
rkplace Charging Resources for Plug-in Electric Vehicles
. US Department of Energy
Multi-Unit Dwelling Electric Vehicle Charging Resources. US Department of Energy
Siting and Design Guidelines for Electric Vehicle Supply Equipment. New York State Energy
Research and Development Authority and the Transportation and Climate Initiative.
November 2012.
Fast Charging on Vermont Highway Corridors, November 22, 2017, DuBois & King, Inc. and
Vermont Energy Investment Corporation
Guidance Requirements to be Included in State Grants for Publicly Funded EVSE. Vermont
Agency of Natural Resources. December 2016
2
Match for publicly accessible stations on government owned property may be “in-kind”.
3
Publicly accessible means the equipment is available to the general EVSE-driving public without restriction year-round,
24 hours of the day, 7 days of the week. A site that limits parking except while charging (to manage parking dwell time) is
still considered publicly accessible.
4
Restricted access means the equipment is not publicly accessible, including sites that are not maintained year-round or
reserve access for customers, tenants, employees, fleet vehicles, or other specified EVSE users.
4
Individual technical assistance on EV charging equipment, installation and siting is also available
through Drive Electric Vermont
. They are available to help answer questions, provide guidance,
and discuss EV market conditions in Vermont, including information on the number and types of
EVs registered.
Projects may also be eligible for off-site directional signs according to the VTrans installation
policy. For more information contact Kristin Driscoll from VTrans Kristin.Driscoll@vermont.gov
or
802-424-6338.
Low-interest loans up to $100,000 are available to support match and reimbursement costs for
publicly accessible EVSE through the Vermont Economic Development Authority. Learn more here
.
Minimum Standard Provisions Applicable to Projects
Applications that do not meet all the criteria listed in the application are not eligible and will not be
scored or considered. Certain standards may be waived by the EVSE Inter-Agency Workgroup
upon request by the applicant, where applicable.
Eligible Locations & Minimum Criteria
To determine if your project location is eligible for one or more of the categories see application,
and refer to the category's requirements. Some locations may qualify under multiple categories.
Community Planning + Revitalization
Vermont Department of Housing and Community Development
March 2019
Electric Vehicle Supply Equipment
(EVSE) Grant Program
2019 Application Form
5
Electric Vehicle Supply Equipment (EVSE) Grant
Program
Vermont Department of Housing & Community Development
2019 Grant Application
Submission
Please submit one electronic copy of the complete application (including “Required
Attachments,” refer to the Checklist) to accd.cpr@vermont.gov
. While electronic submissions are
preferred, paper applications may be submitted to:
Division for Community Planning and Revitalization
Department of Housing and Community Development (DHCD)
One National Life Drive, 6
th
Floor
Montpelier, VT 05620-0501
Applications are due on or before Tuesday, April 30, 2019, 4:30 pm. Late applications
will not be accepted.
Please direct questions to Gary Holloway, Downtown Program Manager at
gary.holloway@vermont.gov
or 802-828-3220.
Summary Information
Applicant & Primary Contact
Name:
Organization/Title (if applicable):
Mailing address:
Email address:
Phone number:
Financial Summary (The following information will populate corresponding fields in the budget worksheet, page 24)
Total Project Cost:
Grant Funding Requested:
Minimum Required Applicant Match:
Additional Applicant Match Amount:
Applicant’s Total Contribution to Project Costs:
Joshua Arneson
PO Box 285, Richmond, VT 05477
jarneson@richmondvt.gov
802-434-5170
$ 24,330.00
$ 21,897.00
$ 2,433.00
$ 0.00
$ 2,433.00
6
Project Summary
Project Name:
Brief Project Description: (<80 words)
Example:
The project will install two, level-two charging stations with four connections for four
publicly accessible electric vehicle parking spaces at the Paradise, Vermont Free Library, located in
the designated village center at the intersection of Calvin Coolidge State Highway and Rumblestrip
Road.
Project Location
(If the site does not have an address, or the lot includes several addressed buildings, describe location.)
Physical Address:
Other Description:
Applicant Status (check all that apply)
Landowner
Ten
ant
Utility
Equipment Vendor/Lessor
Other
(explain)
Landowner (if same as applicant, skip)
Name:
Mailing Address:
Email Address:
Phone Number:
Landowner Description
Individual
Partnership
Common Interest Ownership (example: homeowners’ association)
Corporation
Municipal Government (examples: town, school, or solid waste district)
State Government
Other (explain)
Richmond Dual-head ChargePoint Charging Station
Installation of a public 2-unit, level 2, ChargePoint charging station, in the Richmond municipal parking lot that
serves the Town Offices, Library, and other offices, in our designated Village Center. The electrical hookup will
originate from the Library’s service panel, which has adequate capacity, with additional conduit for future
expansion of a second station. Existing parking spaces will be utilized adjacent to the parking lot entrance, with
re-striping for an ADA-compliant space.
203 Bridge Street, Richmond, VT 05477
Municipal parking lot serving Town Offices, Police Dept., Library, Post Office,
School District Offices, and nearby events.
(same as applicant)
7
Eligible Locations & Minimum Criteria
To determine if your project location is eligible for one or more of the categories listed below, refer
to the category’s requirements. Some locations may qualify under multiple categories.
Applicants must choose one category that best fits the project, location, and intended
user. If the project does not meet the minimum eligibility criteria, please contact Gary Holloway,
gary.holloway@vermont.gov or 802-828-3220 at the Department of Housing and Community
Development for consideration in subsequent funding rounds.
Please select ONLY ONE location category and any applicable sub-categories that best
describe the project location and meet the location criteria.
CATEGORY 1: STATE-DESIGNATED CENTERS
Must be publicly accessible level 2 and/or DCFC equipment located within one of the following state-
designated areas:
Downtown or surrounding ½-mile neighborhood development or planning area
Village or surrounding ¼-mile neighborhood development or planning area
New Town Center or surrounding ¼-mile neighborhood development or planning area
Growth Center
CATEGORY 2: HIGHWAY CORRIDORS
Must be publicly accessible DCFC equipment; may be accompanied by optional level 2 equipment;
access to nearby traveler conveniences (e.g. food, beverage, and restrooms) is preferred.
Located within one-mile drive of I-89, I-91, or I-93 interstate exit (list exits)
I-89 Exits:
I-91 Exits:
I-93 Exits:
Located within one-mile drive of US Routes 2, 4, 7, 9, or 100. List Route here
CATEGORY 3: PUBLIC PARK-AND-RIDES AND INTERMODAL TRANSPORTATION HUBS
Must be publicly owned and operated and publicly accessible level 2 and/or DCFC equipment.
Park & Ride shown on the Vermont Agency of Transportation’s Park-and-Ride Atlas
Municipal or State Airport
Passenger Rail Station
Public Transit Hub
CATEGORY 4: MAJOR ATTRACTIONS AND INSTITUTIONS
Must be publicly accessible level 2 and/or DCFC equipment.
Attraction, must be a member of Vermont Attractions Association and open year-round
Ski Resort, must be a member of the Vermont Ski Area Association and open year-
round
College or University
Hospital
8
CATEGORY 5: NEW
OR EXISTING MULTI-FAMILY HOUSING
Must be level 2 equipment; must serve sites with ten (10) or more dwelling units; may restrict access
to residents and visitors but may not be dedicated to specific tenants unless all spaces are served by
EVSE; may be publicly accessible or restricted access. If publicly accessible, the site must be
convenient for users of the charging station and have nearby amenities or some likelihood of use by
members of the public.
Number of dwelling units on the site:
If publicly accessible, how will the station be convenient and accessible to public users and
what amenities are nearby?
C
ATEGORY 6: NEW OR EXISTING WORKPLACES
Must be level 2 or DCFC equipment; must serve sites with at (5) or more year-round and full-time
employees; Must not be limited to fleet vehicles unless employee and visitor charging is also available
on site; must not be reserved for specific employees or users unless all spaces are served by EVSE;
may be publicly accessible or restricted access. If publicly accessible, the site must be convenient for
users of the charging station and have nearby amenities or some likelihood of use by members of the
public.
Number of year-round and full-time employees on the site:
If publicly accessible, how will the station be convenient and accessible to public users and
what amenities are nearby?
9
Existing & Proposed Equipment
NEW EVSE PROPOSED FOR PROJECT SITE
EXISTING EVSE AT THE PROJECT SITE
New
Stations
New
Publicly
Accessible
5
Plug
Connections/
Parking Spaces
New
Restricted-
Access Plug
Connections/
Parking Spaces
Existing
Stations
Existing
Publicly
Accessible
5
Plug
Connections/
Parking Spaces
Existing
Restricted-
Access Plug
Connections/
Parking Spaces
Level 2
(quantity)
DCFC
(quantity)
If any of the equipment listed above has optional lower level capability (such as DCFC with an
optional Level 2), please describe;
Minimum Standards
Proposals that do not meet all of the minimum standards are not eligible for funding and will not
be scored or considered. Certain specified requirements are eligible for waiver or modification.
Please confirm that your proposal meets the following standards by responding “yes” (Y) or “no”
(N) and provide an explanation for any waiver requests in the box at the end of this section.
Site Plan & Parking Standards (
Will the project at completion have the following?
)
Y or
N – The site has nighttime illumination, unless otherwise approved by the EVSE Inter-
Agency Workgroup.
Waiver requested? Y or N
Y or N – Has a level and well-maintained surface (striping preferred).
Y or N – Meets ADA requirements, and provides at least one ADA-accessible EVSE near the
site’s main entrance with maintained and level pathways between the parking and
building entrance unless otherwise approved by the EVSE Inter-Agency Workgroup to
address site-specific constraints. (It is not necessary to designate the accessible EVSE
exclusively for users with a disability.)
Waiver requested? Y or N
5
Publicly accessible means the equipment is available to the public without restriction year-round, 24 hours of the day, 7
days of the week. A site that is not maintained year-round or restricts access to customers, tenants, employees, or other
consumers is not publicly accessible. A site that limits parking except while charging to manage parking dwell time is
considered publicly accessible.
1
2
N/A
✔
✔
✔
10
Y
or N – Provides on-site general EVSE service sign approved by the Manual on Uniform Traffic
Control Devices. See example here:
http://mutcd.fhwa.dot.gov/resources/interim_approval/ia13/index.htm
.
Y or N – Provides on-site EVSE parking dwell-time management sign(s)
approved by the Manual on Uniform Traffic Control Devices, such as
“no parking except for electric vehicle charging” (shown right), unless
an equivalent is otherwise approved by the EVSE Inter-Agency
Workgroup to meet site-specific needs. (To ensure equipment
availability, EVSE software may also include dwell-time surcharges for
vehicles that occupy the space after charging is complete.)
Waiver requested? Y or N
Y or N – Parking and circulation design allows vehicles to safely park front-to-back or back-to-
front to accommodate charging port variations across different vehicles by providing
cords that are long enough, unless otherwise approved by the EVSE Inter-Agency
Workgroup.
Waiver requested? Y or N
Y or N – Ground and wall-mounted equipment is protected and placed to prevent physical
damage to the control device (e.g. bollards and curbing).
Y or N – Located so charging cords do not cross sidewalks or other pedestrian walkways that
could create blockages, tripping hazards, or barriers to people with limitations in
mobility.
General Equipment Standards
Y or N – Placement and interface for publicly available EVSE is ADA-compliant with accessible
buttons and components.
Y or N – User interface is legible in both daytime and nighttime conditions.
Y or N – Is certified by a nationally recognized testing laboratory for outdoor use as well as
able to operate in extreme temperatures (-20 to +100 degrees F).
Y or N – Does not contain advertising visible from a public road, except as permissible by
Vermont’s sign statutes and local regulation.
Y or N – Meets NEMA Type 3R or 4 certifications for outdoor electrical enclosures.
Y or N – Equipment and service facilities are designed or located to prevent water from
entering or accumulating within the components during conditions of flooding.
Level 2 Equipment Standards
Y or N – Provides at least two (2) plug connectors per station that service two (2) parking
spaces, unless otherwise approved by the EVSE Inter-Agency Working Group to
address site-specific constraints.
Waiver requested? Y or N
Y or N – Has network monitoring for status (e.g. in-use, malfunction, etc.), fault reporting,
energy consumption, and usage patterns or the applicant commits to provide charging
to users of the station for free for 5-years.
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
11
Y
or N – Meets Society of Automotive Engineers (SAE) J-1772 standard for EV charging plug
connector and operational requirements.
Y or N – Has modular field serviceable parts, particularly for cord and J1772 connector,
including a minimum cord length of 18 feet and a cord management system to keep
cords off the ground and comply with National Electric Code (NEC) article 625.
Y or N – Has charging amperage from 16-80 Amps.
Y or N – Will be publicly accessible 24 hours a day seven days a week. Level 2 charging
stations may qualify as publicly accessible with less than 24/7 access if approved by
the EVSE Workgroup.
Waiver requested? Y or N
Hours of operation:
Direct Current Fast Charge (DCFC) Equipment Standards
Y or N – Provides at least two (2) plug connectors per station that service two (2) parking
spaces (even if only one vehicle can be charged at a time), unless otherwise approved
by the EVSE Inter-Agency Workgroup to address site-specific constraints.
Waiver requested? Y or N
Y or N – Has network monitoring for status (e.g. in-use, malfunction, etc.), fault reporting,
energy consumption, and usage patterns.
Y or N – Has reasonably proximate 3-phase power available.
Y or N – Is a dual-protocol charging station, compatible with both CHAdeMO and SAE
Combined Charging System (CCS) charging ports. (Tesla Motors has developed a
CHAdeMO-to-Tesla adapter).
Y or N – Location provides charging unit(s) with a minimum of 50kW output.
Y or N – Demonstrates coordination with electric utilities to ensure that there is enough
capacity on the local circuit and that the applicant understands potential bill impacts,
especially related to demand charges. Contact your local utility provider for more
information. (See Appendix F, Vermont Utility Provider contact information.) Please
attach documentation, such as an e-mail, that demonstrates coordination with the
interconnecting utility.
Y or N – The station has the capability to process a credit card through either a chip or swipe
reader.
Y or N – Includes optional level 2 capability (not a requirement).
EVSE Implementation, Operation, and Interoperability Standards
If your application is selected for funding, will you meet the following:
Y or N – Will be installed by a licensed electrician in accordance with all current National
Electric Codes and the Vermont Electrical Safety Rules
.
Y or N – Will obtain a Permit Verification Form (Appendix G) or project review sheet from the
Agency of Natural Resources and will obtain all necessary State and local permits.
✔
✔
✔
✔
24 hours/day, year-round
✔
✔
12
Y
or N – Will be registered with the National Renewable Energy Lab’s Alternative Fuels Data
Center database, which syncs with Drive Electric Vermont’s Public Charging Map (see
Appendix E of application), prior to grant payment.
Y or N – Networked equipment will use an open standard protocol to ensure EVSE hardware is
not “locked” to a single service provider in perpetuity.
Y or N – Will not require payment of a subscription fee or membership to use the EVSE.
Y or N – Unless donation-based or free to the user, fee-based EVSE will accept credit card,
debit card, or other common forms of payment with no additional obligations at
payment and with customer service assistance available during hours of operation.
Y or N – Will remain in operation for at least five (5) years from grant closeout, unless
otherwise approved by the EVSE Inter-Agency Workgroup.
Y or N – For networked Level 2 and DCFC EVSE installations, applicant will report usage data
to Vermont Public Service Department (via PSD.EVSEDataReporting@vermont.gov
);
including energy (kWh), demand (kW), the number of charging sessions, the fees
collected, etc.; networked installations must provide equipment with a
telecommunications connection.
Y or N – Will have a minimum one-year (1) warranty (three (3) years recommended).
Y or N – Will be operated, maintained, and available year-round (including snow removal).
Y or N – Will operate with a maximum of 10% downtime in any 30-day period, and any
necessary repairs must be completed within 72 hours.
Y or N – Fee-based EVSE will be easy to understand with fees fully disclosed prior to charging
the consumer.
Y or N – Fee-based EVSE has disclosed in the application an initial fee schedule (Attachment
7) that accounts for expenses associated with the equipment; including any
anticipated fee escalation during the 5-year period of minimum operation. The
schedule is presented in both a rate per kilowatt hour for charging and the dollars per
gallon fee equivalent. (The proposed fee for charging will be considered in the
evaluation of applications.)
Y or N – The grantee will employ an open and competitive process for the solicitation of bids
and the selection of contractors for the performance of any grant assisted work.
Wa
iver request explanations:
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
13
Application Scoring
Grant funds are competitively allocated. The EVSE Inter-Agency Workgroup will use the
Competitive Scoring Criteria below to rank applications. The Workgroup will score all qualified
projects and may award less funding than requested. Eligible projects scoring less than 60 points
will not be funded. Projects are typically funded in rank order until the funds are exhausted;
however, the Workgroup may fund projects at its discretion.
Applications may receive a total of 100 points.
Up to 60 points will be based on an applicant’s responses to the four (4) required Base
Criteria below.
U
p to 40 points will be based on an applicant’s responses to the five (5) Priority Consideration
Criteria below.
Competitive Scoring Criteria
Base Criteria - 60 points total
Projects will be reviewed and scored based on each of the following four (4) Base Criteria:
Clearly and concisely respond to the competitive criteria questions 1, 2 & 3 in the text boxes
below.
Well Defined Project and Need – 20 points
Provide a description of your project including clear identification of the project scope, purpose,
and need. (For public charging locations this includes consideration of the proposed site relative
to gaps in existing charging availability and how the project helps to advance the robustness of
the statewide EVSE network and promote the adoption of EV’s.) Provide clear descriptions of the
need for an EVSE in the proposed location, primary targeted users, and how this project will
benefit users, the community, workplaces, housing, or other economic benefits that may result.
Good responses will provide quantified data such as the number of employees who drive electric
vehicles and specifically address the need at this location. Responses must include the address of
the next closest publicly available charging station.
Installation of a public, 2-unit, level 2 charging station would be the first in Richmond, and the first near I-89 Exit 11 (1.7 miles). The nearest public
chargers are 8 miles away in Williston. Wireless connection will show availability to travellers on the Montpelier-Burlington corridor, as well as
regular visitors and local residents.
The location is the municipal parking serving the Town Center offices, Police Dept., Post Office, Library, and School District offices (38 employees),
and is within a few minutes walk to Richmond Market, Richmond Home Supply, 4 restaurants (including 1 microbrewery), various other shops,
Volunteers' Green (playground, sport fields, farmers' market), the historic Round Church (many tourists and weddings), and extensive trail networks
that attract out-of-towners.
We see a high and growing demand for EV charging in Richmond. We have:
• 35 registered EVs as of January, increasing at an average of 45% per year since 2014
• 65 parking spaces in the municipal lot where the charging station will be located
• 141 additional parking spaces within a 5-minute walk
• 496 vehicles commuting to Richmond from out-of-town (2010 U.S. Census data – seems high but those are the data).
The charging station would increase visitor trips and help new visitors discover all the Village has to offer, adding to Richmond's economy. The
project aligns perfectly with our Town Plan and Goals, as well as the State's Comprehensive Energy Plan (see Attachment 10, Community Impact).
14
P
roject Readiness – 15 points
Please explain the readiness of your project. Project readiness demonstrates that permits are
identified, in progress or secured, match funding secured, and realistic start-date and installation
schedule. Project schedule clearly identifies realistic goals for completing the project within two
years. Applicants must contact a permit specialist in your region
to determine if a project review
sheet is required for your project.
Cost-Effective Budget – 15 points
Please justify your budget and provide evidence that it is well-documented, realistic, and
appropriate for the project scope. Funding sources identified and secured. Project demonstrates
the most cost-effective approach to siting, installation, and equipment that best meets the
needs of the intended current and future users of the EVSE. Budget costs are verified,
documented and itemized in the application by EVSE supplier, licensed electrician, utility, or
other professional with knowledge of EVSE installation.
• Project Review Sheet completed.
• Required permits have been identified, to be acquired upon the grant award.
• Match funding has been allocated in the Town budget.
• Project plan approved by all key stakeholders: Select Board, Town Manager, Planning Commision, Library Trustees,
Highway Dept., Police Dept., and local Business Association.
• Project includes detailed task list and schedule.
• Project to start immediately upon award, installation expected to be completed before winter.
• All grant requirements have been met - see checklist in Attachment 9.
• Internet connectivity was considered essential to show charger availability to I-89 and
US Route 2 travellers.
• Cost estimates are based on 4 preliminary bids (Peak Electric Co.) for different equipment options.
• ChargePoint selected as industry leader based on network dominance (see Attachment 4, below).
• All project activities, equipment, and labor are itemized in the project budget and schedule.
• Proposed parking spaces are close to electric supply with minimal excavation, minimizing costs.
• We have been diligent to review all project costs, to assure no surprises.
• Central location in Richmond's village center is ideally situated for both local residents and visitors.
15
O
verall quality of application – 10 points
The application is complete, well-written, clearly identifies the project, and is internally
consistent. The experience of the applicant team with successful installation of EVSEs, or similar
projects for applicants that have not installed EVSE before, will be part of this score.
Priority Consideration Criteria - 40 points total
Clearly mark (“X”) next to each criterion that applies to the project. Applicant
MUST
provide a written
explanation of each additional category in the space provided under the category to receive points.
Priority Points for Projects that Meet Multiple Location Categories – 10 points
maximum
Check any
additional
boxes that apply
(in this section, do not include the “one category” that was previously
checked as the primary category under “Project Site Category” above.) Priority points are only given if all of the
requirements for the category are met.
Cate
gory 1: State-Designated Centers (2 points)
Cate
gory 2: Highway Corridors – DCFC Projects Only (2 points)
Cate
gory 3: Public Park-and-Rides and Intermodal Transportation Hubs (2 points)
Cate
gory 4: Major Attractions and Institutions (2 points)
Category 5: Multi-Family Housing. Indicate the # of housing units. (2 points)
Cate
gory 6: Workplaces. Indicate the # of employees. (2 points)
Points for General Priorities - 8 points maximum
Future
Proofing. Applications that evaluate the site’s suitability to scale-up EVSE installation
in the future without having to install additional conduit or electrical service capacity. (2 points)
Cochran's Ski Area is 1.4 miles from the proposed charging station - traffic from the ski area typically passes through Richmond village, directly
past the proposed site.
The municipal parking lot serves 38 total employees at the Town Offices (7 employees), Police Department (6), Post Office (10), LIbrary (5),
and School District Offices (10) - as well as the public who visit these offices, including for meetings and events at the Town Offices and Library,
and for overflow for events at the Volunteers Green. The parking lot is often full to capacity. Many other businesses are within a 5-minute walk
(see figure in Attachment 3).
We anticipate demand for chargers will increase so have included conduit in our proposal to support another 2-unit charger at the same location
in the future. The existing electric supply will support 2 additional 40-amp connections, for a total of four 7.4 kW level 2 chargers.
16
D
river Charging Discounts. Applications that commit to provide charging to users of th
e
s
tations at no charge for at least one (1) year. (2 points)
Existing High Demand. Sites served by existing EVSE equipment where the existing EVSE
demand is well documented as exceeding supply. (2 points)
C
ommunity Impact. The project addresses and supports documented local revitalization
efforts, as articulated in the municipal plan, capital budget, downtown strategic plan, or other
adopted documents. (2 points)
Points for Publicly Accessible EVSE Priorities - 8 points maximum
High Profile. EVSE visible from high volume roadways or placed in similarly high-visibility and
high-profile public locations, such as near a building’s main entrance. (2 points)
G
eographic Gaps. EVSE that fill a publicly accessible Level 2 or DCFC equipment system gap
where no publicly accessible universal compatibility EVSE (Level 2 J1772 plug or DCFC with
both SAE CCS and CHAdeMO plugs) is available within thirty (30) driving miles as shown on the
Dr
ive Electric Vermont Public Charging Map. The
VTrans 2017 report on DC Fast Charging
Corridors includes a map with a snapshot of DCFC gap areas. (4 points)
M
ulti-Port Applications. Applications to install at least two stations with four EVSE
connectors on one site to increase availability and meet higher demand. (2 points)
Points for Housing & Workplace EVSE Priorities - 6 points maximum
Need. Multi-family housing with documented electric vehicles users and need. (2 points)
This project aligns very well with our recently updated Town Plan - please see Attachment 10, Community Impact.
The proposed site is centrally located in Richmond's Village Center, on a main street (Bridge Street), 0.2 miles from its intersection with
US Rte 2, and 1.7 miles from I-89 Exit 11. The charging station will be located adjacent to the only entrance/exit to the 65-space parking
lot, which gets lots of local traffic due to the offices and organizations being served.
17
L
arge Housing Developments. Multi-family housing sites with more than twenty (20)
dwelling units. (2 points)
Sustainable Workplaces. Must document the employer’s commitment to a sustainable
workplace, such as: LEED certification or Vermont’s Building Energy Standards Stretch Code
Certification; incentives that encourage employees to: carpool, ride transit or telecommute;
policies that discourage vehicle idling; sites that offer installed bike racks or covered bik
e
s
torage. (2 points)
Priority Points for Additional Match Above Minimum - 8 points maximum
Do not check more than one box.
15%-25% of total project costs (2 points)
25%-35% of total project costs (4 points)
35%-45% of total project costs (6 points)
45%+ of total project costs (8 points)
E
xample:
A. Total Project Budget
$50,000
B. Total Match Amount
$20,000
C. Minimum Match Requirement
(e.g. 20%)
Based on the category of project outlined at the top
of page 3. Either 10%, 20% or 40%. For this
example we are using a 20% required match
amount.
D. Minimum Match Amount
A X C = $10,000
E. Calculate Contribution to Total
Project Costs Above Minimum
B – D = $10,000
F. Calculate Match Percentage
Above Minimum
(E / A) X 100 = 20%
In this example the applicant would check box #1
above (15 to 25%).
See Attachment 8, Community Impact, for Richmond's commitment to helping meet State energy goals. The proposed location serves
Town offices that have undergone significant energy efficiency and conservation improvements in the past decade.
18
Grantee Acknowledgement of Terms
Grantees are subject to the program’s terms and conditions.
Grant Closeout Terms
Grant funds will be disbursed upon completion of the project and submission of all required
information identified in the grant payment provisions. The final report must be submitted no later
than 60 days after the completion date and include:
A written narrative demonstrating that each of the project elements described in the projec
t
de
scription was completed.
A detailed budget report listing all income and expenses for project-related activities an
d
d
emonstrating that the total requested reimbursements do not exceed the approved total
project cost.
Copies of invoices, receipts, and canceled checks for all project expenditures.
Color photographs of all the completed project elements described in the project
description.
A statement from the Grantee’s signatory certifying that the contents of the final report ar
e
true and accurate.
A completed EVSE program survey.
Proof of site registration with the National Renewable Energy Lab’s Alternative Fuels Data
Center database.
A
cknowledgement
By signing this application, the landowner(s) and applicant(s) described in this application (and
their agents, assigns, and successors in interest) hereby apply for a grant to develop the project
described in this application and accept the following:
Applications will not be considered properly filed unless and until all items necessary for
review are complete and submitted;
All submissions are public records available for inspection and copy;
All representations made in this application and the materials accompanying it are true,
accurate, and binding to the best of my knowledge as a party to this application; omission
or misstatement of any material fact on this application (which would warrant refusing
funding approval) will be grounds for denying or revoking any approval;
Private agreements (such as permit conditions, covenants, deed restrictions, and
e
asements) may apply; may be more or less restrictive than federal, state, or local
regulations; and may affect this project proposal; it is the applicant’s responsibility
to
i
dentify, disclose, and comply with these agreements to ensure a smooth project an
d
res
ponsible investment of public funds;
Federal and local regulations may apply, may be more or less restrictive than State
regulations, and may affect this project; it is the grantee’s responsibility to obtain all
required local, State, and federal permits; (Call the State’s permit specialist at 802-477-
2241 with any questions);
19
N
o site alterations or physical project work may commence until receipt of and in
accordance with all applicable permits and approvals;
Projects approved for funding must conform with
the EVSE implementation, operation and
interoperability standards
and
grant closeout requirements
shown above and in the grant
a
greement; it is the grantee’s responsibility to ensure compliance;
If an approved project changes, the grantee must request and receive approval to amen
d
th
e project through the Department of Housing & Community Development, which will
review and respond to the proposed change in consultation with the Workgroup; and
Grantees must abide by the Standard State Provisions for Contracts and Grants
otherwise
known as Attachment C of the grant agreement.
20
F
inancial Management
Please note that responses to the following questions will not impact the competitiveness of your
application and will be used for grant administration purposes only.
Does your organization have an accounting system that will allow you to completely and accurately
track the receipt and disbursements of funds related to the award?
☐ Yes ☐ No
I
f a municipality, what type of accounting system does your municipality use?
☐ Not a municipality ☐ Automated ☐ Manual ☐ Combination of both
P
lease provide your Vermont Department of Taxes business account number.
A
pplicant Signature
Date_______________________
Landowner Signature
(if different than applicant)
Date ______________________
Staff Eligibility Check
Complete Application.
Application is complete, and the landowner has authorized the application. ☐Yes ☐ No
Funding Criteria.
Application meets category’s minimum location and equipment criteria. ☐ Yes ☐ No
✔
03-6000646
✔
✔
21
Required Attachments
Checklist
The complete application must contain the application form with following attachments:
1) Municipal Resolution (Appendix D - if applicable)
2) Permit Summary
3) ANR Permit Verification Form (Appendix G)
4) Project Review Sheet (if required)
5) Project Site Plan and Photographs
6) Technical Equipment Specifications
7) Fee/Rate Structure Statement
8) Project Schedule
9) Budget Worksheet (Appendix A)
1) M
unicipal Resolution
If applicant or landowner is a municipality, attach a copy of the municipal resolution showing the
project and application are authorized by the municipality. (See Appendix D for resolution
template.) An authorized municipal official, such as the Town Administrator or Selectboard Chair
,
m
ay sign the application above.
2) P
ermit Summary
Include a list of any state or local permits necessary to complete the project. Summarize yo
ur
a
pproach and the approximate timeline for obtaining these permits.
3) Agency of Natural Resources (ANR) Permit Verification Form
Attach completed ANR Permit Verification Form (See Appendix G) verifying that a project review
sheet is or is not required. The ANR Permit Verification Form must be completed by a permi
t
s
pecialist from your region. (Note: please allow at least 2 weeks for permit specialist to respond.)
4
) Project Review Sheet (If required by ANR permit specialist)
If an ANR permit specialist determines a project review sheet is required in the Permit Verification
Form, attach a completed ANR Project Review Sheet. The project review sheet must be completed
by a permit specialist from your region. (Note: please allow at least 2 weeks to obtain the project
rev
iew sheet.)
5) Site Plan and Photographs
Attach a project site plan th
at shows existing and proposed conditions, including aerial map,
property boundaries, buildings, and streets – with the location of the project clearly marked. (S
ee
A
ppendix B for sample site plan). Attach labeled, color photographs of the project site an
d
s
urroundings, especially adjacent or nearby buildings impacted by the project. If the projec
t
i
nvolves or impacts historic buildings, include photos of elements or materials that will be removed,
altered or repaired. Photographs should be labeled with the project name or description,
22
l
ocation/address, and the view, such as EV Charging Station at Welcome Center, 50 Main Street.
(See Appendix C for sample pictures.)
6) Technical Equipment Specifications
Attach relevant technical specifications for equipment.
7) Fee/Rate Structure
Fee-based EVSE must be easy to understand with fees fully disclosed prior to charging the
consumer. Applicants must disclose in the application a fee schedule that accounts for expenses
associated with the equipment -- even if the applicant commits to subsidizing the cost of
charging for at least one (1) year under priority consideration. Briefly describe what fees
and rates users will pay, including any dwell time charges. The schedule should be presented in
both a rate per kilowatt hour for charging and in the dollars per gallon fee equivalen
t.
8) Project Schedule
Attach a project schedule that demonstrates that the project will be completed w
ithin two years.
E
xplain how the improvements can be made with minimal disruption to existing utilities or othe
r
p
ublic infrastructure and describe how the project will be completed within the grant timeline. If
part of a larger capital improvement project, please show how this project fits into the overall
timeline.
9) B
udget Worksheet (Appendix A)
23
Appendix A: Budget Worksheet
Complete the budget form below itemizing the scope of work and the sources and amounts of all
project funds. Please indicate the status of each fund and attach this sheet to the application.
Note: Funding may be used for the purc
hase of Level 2, or direct current fast-charge (DCFC)
equipment for light-duty vehicles according to the criteria below. Funding may also support
auxiliary costs, including: permitting, design, power connection, striping, on-site signage,
warranty, software, internet connection, protective devices, and eligible installation costs.
Funds may not be used to purchase or rent real-estate or pay for other capital costs (such as:
construction of buildings, parking facilities, etc.), electricity costs, general operation and
maintenance, or administrative costs incurred by the applicant.
Itemized Project Budget:
Item Description Quantity
Unit
Cost
Total
Cost
EVSE Charging Station(s)
(Description below)
Protective Bollard(s)
(Description below)
Electrical Service
(Description below)
Lighting
(Description below)
EVSE Sign(s)
(Description below)
Total
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
$ 0.00
24
Fund
ing Sources:
(Please include Match & Requested Funds)
Funding Source
Status of Funding
Amount
Total
Financial Summary: (Information pulled from page 5)
Total Project Cost
Grant Funding Requested
Minimum Required Match Amount
(see match minimum requirements in program
description: 10%, 20% or 40%)
Above Minimum Required Match Amount
(see priority consideration criteria)
Applicant’s Total Contribution to Project Costs
EVSE Grant
Pending
$ 0.00
$ 24,330.00
$ 21,897.00
$ 2,433.00
$ 0.00
25
Appendix B: Sample Site Plan & Location Map
26
Appendix C: Sample Site Photos
27
Appendix D: Municipal Resolution
Application or Grant #________________________________
RES
OLUTION FOR ELECTRICAL VEHICLE SUPPLY EQUIPMENT
WHEREAS, the Municipality of ____________________________ is applying for funding as
provided for in the FY 2019 Budget Act and may receive an award of funds under said provisions;
and
W
HEREAS, the Department of Housing and Community Development may offer a Grant Agreement
to this Municipality for said funding; and
W
HEREAS, the municipality has voted to provide local funds for an electric vehicle charging
station,
N
ow, THEREFORE, BE IT RESOLVED
1. Th
at the Legislative Body of this Municipality enters into and agrees to the requirements
and obligations of this grant program including a commitment to match funds of ___% of total
project cost;
2. Th
at the Municipal Planning Commission recommends applying for said Grant;
____
_______________________________ ________________________________
(Name of Planning Commission Chair) (Signature)
3a. Th
at
(Name)_____________________________Title________________________________
who is either the Chief Executive Officer (CEO), as defined by 10 VSA §683(8), or is a Select Board
Member, the Town Manager, the City Manager, or the Town Administrator, is hereby designated to
serve as the Municipal/Authorizing Official (M/AO) and to execute the Grant Agreement and other
such Documents as may be necessary to secure these funds.
3b. (Alternate Authorizing Official for redundancy)
That (Name)_____________________________Title________________________________
who is either the Chief Executive Officer (CEO), as defined by 10 VSA §683(8), or a Select Board
Member, is the Town Manager, the City Manager, or the Town Administrator, is hereby designated
to serve as the Municipal/ Authorizing Official (M/AO) and to execute the Grant Agreement and
other such Documents as may be necessary to secure these funds.
28
A
ppendix 3c. That (Name)
____
__________________________Title________________________________
is hereby designated as the Grant Administrator, the person with the overall Administrative
responsibility for the Electric Vehicle Supply Equipment grant activities related to the application,
and any subsequent Grant Agreement provisions.
Passed this ___________ day of ____________, ______.
LEGISLATIVE BODY
(name)
(signature)
IN
STRUCTIONS FOR RESOLUTION FORM
A. The Legislative Body of the Municipality must adopt this resolution or one that will have the
same effect. This Form may be filled in or the adopted Resolution may be typed on municipal
letterhead, filling in the name of the municipality, the Legislative Body (e.g., Board of Selectmen)
,
a
nd the name and title of the Municipal/ Authorizing Official(s)(M/AO(s); and the Grant
Administrator
.
B
. Following formal adoption, the Resolution must be signed by a majority of the legislative
body. The Chair of the Planning Commission must also sign upon endorsement by vote of the
P
lanning Commission.
C
. This form must be included in the grant application e-mailed to accd.cpr@vermont.gov
, or
mailed to:
Electric Vehicle Supply Equipment Grant
Department of Housing and Community Development
One National Life Drive, Sixth Floor
Montpelier, VT 05620-0501
29
Appendix E: Electric Vehicle Charging Station Map
https://www.driveelectricvt.com/charging-stations/public-charging-map
30
Appendix F: Vermont Electric Utility Providers
Stowe Electric Department
Matthew Rutherford
Office: 802-253-7215
mrutherford@stoweelectric.com
B
urlington Electric Department
Tom Lyle
Office: 802-865-7335
tlyle@burlingtonelectric.com
G
reen Mountain Power
Jeffrey Monder
Office: 802-770-3392
Jeff.Monder@greenmountainpower.com
V
ermont Public Power Supply Authority
Melissa Bailey
Office: 802-882-8509
mbailey@vppsa.com
Vermont Electric Cooperative
Michael Beaulieu
Office: 802-635-2331
mbeaulieu@vermontelectric.coop
W
ashington Electric Cooperative
Bill Powell
Office: 802-223-5245
bill.powell@wec.coop
31
Appendix G: Agency of Natural Resources Project Review
Sheet Verification Form for EVSE Grant Program
P
lease contact an Agency of Natural Resource Permit Specialist in your region for
assistance in completing this form.
Please note that Project Review Sheets are created by Permit Specialists and circulated to
other programs for signatures. The Permit Specialist should be contacted well in advance
of the grant application deadline.
Any electrical installation in a public building (that is a building that is not a single family-
owner occupied home) requires a licensed electrician who will need to obtain an
energizing permit from the Division of Fire Safety. At their discretion, a Permit Specialist
may complete a Project Review Sheet if other state permits are necessary.
F
ind a permit specialist in your region here:
https://dec.vermont.gov/environmental-assistance/permits/specialists
This section completed by applicant
P
roject Name:
Project Location (include address):
Name of Person Requesting:
P
hone: E-Mail:
P
roject Description:
N/A - we have a Project Review Sheet in Attachment 4.
203 Bridge St
32
This section completed by permit specialist
I
s a project review sheet required for this project?
Yes (if yes, please submit the required project review sheet)
No
Name: Phone:
E
-Mail:
P
ermit Specialist Signature:
_
_______________________________________ Date Signed: ____________________
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Form 2019: Program Description Electric Vehicle Supply Equipment (Town of Richmond)

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