0340-FM-PPEAO0233
10/2013
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF ENVIRONMENTAL PROTECTION
POLLUTION PREVENTION AND ENERGY ASSISTANCE OFFICE
Alternative Fuels Incentive Grant
Vehicle Purchase and/or Retrofit Final Report
Email to Project Advisor within 30 days of completion of the project
(Add additional lines or pages as needed)
A.
Cover Page:
Grantee Name:
Project Name:
Grant Document #:
Project Period:
Start Date:
End Date:
(mo./year)
(mo./year)
Date Submitted:
Preparer’s Name, Telephone and Email:
B.
Executive Summary: Summarize what was accomplished in this project in 100 words or less. Include the
number and types of vehicles purchased and/or retrofitted to run on alternative fuels, as well as any alternative
fueling infrastructure installed as a result of the project. (The Department reserves the right to use this section
verbatim.)
C.
Project Review – (no more than five pages) (please insure the report provides answers to the following
questions):
1.
Describe the number and types of vehicles purchased and/or retrofitted to run on gas alternative fuels
under this project, and identify where those vehicles are primarily being fueled.
2.
If applicable, how did the execution of the project differ from the original plan?
3.
What problems were encountered in the implementation of the project and how were they overcome?
4.
If a new alternative fueling station was built as part of the project, identify its location, the type of fuel
station (Natural Gas, Propane, Biodiesel, Electric, etc.) and its level of public accessibility.
5.
If the overall project is not completed, explain the additional work that needs to occur and when it will be
finished.
6.
Are the alternative fuel vehicles performing as anticipated in terms of fuel mileage, diesel/gasoline
displacement (particularly for dual-fuel diesel conversions), and engine performance? Describe any
significant differences and whether or not those differences will affect the long term viability of your AFIG
project.
7.
Do you have plans to publicize or otherwise disseminate project results? If so, please describe your
plans.
8.
How well did the spending align with the budget request? Please include the total amount of the grant
awarded and the final grant amount spent.
9.
What was the overall cost of the AFIG project? In additional to vehicle incremental purchase and/or
retrofit costs, please include costs not otherwise accounted for in the grant budget, such as, where
applicable, vehicle purchase, fuel station construction, maintenance facility upgrades, etc.
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0340-FM-PPEAO0233
10/2013
D.
Include final Vehicle Master List Table – Make sure all cells are filled in with current information.
E.
Please identify the primary fueling station address:
Name of company that owns this station:
Fueling station contact name and phone#:
Was this fuel station operational prior to July 26, 2013?
Yes
No
If after July 26, 2013, what date did it become operational?
Identify the date the grantee began fueling vehicles at this station:
F.
Performance Outcome and Economic Development Data: Please provide information on the following, as
of the date of project completion.
1.
Total ANNUAL gasoline or diesel anticipated to be displaced used by the vehicles that were purchased
or retrofitted as part of this project.
Gallons/yr.
Gasoline
Diesel
2.
Anticipated ANNUAL fuel cost savings to result from this project.
3.
Total gasoline or diesel displaced TO DATE by the vehicles that were purchased or retrofitted as part of
this project.
Gallons/yr.
Gasoline
Diesel
4.
Estimated fuel cost savings TO DATE for the project.
5.
Estimated investment in Pennsylvania economy from project budget:
Dollars paid to Pennsylvania companies (purchase of Pennsylvania-made
vehicles or component and/or costs of conversion by Pennsylvania companies)
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$
$
$
/yr
0340-FM-PPEAO0233
10/2013
DEP USE ONLY
Date Received:
Date Reviewed:
Date Approved:
Reviewed by:
Approved by:
DEP Project Advisor Comments:
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