test | Clean Air Action Plan

Project Title(Required)

Company Name(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Primary Point of Contact

Name(Required)

First Last

Title/Position(Required)

Phone(Required)

Email(Required)

Technical/Engineering Contact

Select if contact is same as above

Technical Contact is same as Primary

Name(Required)

First Last

Title/Position(Required)

Phone(Required)

Email(Required)

Technology Proposed for Demonstration (Provide a short description.)(Required)

Source Category(Required)

Ocean-Going Vessels

Cargo-Handling Equipment

Harbor Craft

Locomotives

Zero-Emission Infrastructure

Total Secured Cash Match Funding (Include State and/or Federal Grants)(Required)

Match Funding Source

Cash Match ($)

Total Proposed Cash Match Funding(Required)

Match Funding Source

Cash Match ($)

Anticipated Date of Award Notification (for State and/or Federal grants only)

Total Secured/Proposed In-Kind Match Funding(Required)

Match Funding Source

In-Kind Match

In-Kind Match Estimated Value ($)

Demonstration Partner(s)(Required)

Company Name

Primary Point of Contact

Title/Position

TAP Funding Requested ($)(Required)

Total Project Cost ($)(Required)

Provide an overview of the proposed technology to be demonstrated. Indicate and provide more detail if a prototype has been developed and tested previously. If not, please explain what your next steps are.(Required)

Provide a description of your proposed demonstration, including objectives, schedule and key milestones, budget, demonstration partners’ responsibilities and relevant experience.(Required)

Provide the projected emission reductions and the basis for those projections (for the demonstration itself).(Required)

Describe your plan for agency approval (certification or verification), if applicable. If not applicable, please explain why.(Required)

Describe the business case for the commercialization of this technology.(Required)

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San Pedro Bay Ports Technology Advancement Program Request for Information

Primary Point of Contact

Technical/Engineering Contact