Primary Contact Information
(Who oversees equipment use and can report meter reading usage to District.)
Vessel Type
________________________
Subject to Commercial Harbor Craft Regulation
Schedules for Meeting Tier 2 or Tier 3 Standards
NOT Subject to Commercial Harbor Craft Regulation
Schedules for Meeting Tier 2 or Tier 3 Standards
Existing Engine
Use extra fields for additional engines if necessary
Disclosure Statement
If Yes, complete the following information:
List any other financial incentive received to co-fund this project, including tax credits or deductions, grants, or other public financial assistance for the same equipment/engine. There is no limit on the number of co-funding sources to fund a project as long as total project as long as total project costs are not exceeded and applicant cost share requirement is met
WARNING
An applicant who is found to have applied for or received incentive funds from another entity or program for the same project without disclosing that information as required by the 2017 Carl Moyer Program Guidelines, Chapter 3, L. Co-funding Moyer Program Projects with Other Funding Sources, shall at minimum be disqualified from funding for that project from all sources within the control of an air district or ARB. ARB and the air district may also seek civil penalties for such non-disclosure.
Regulatory Compliance Statement
As an applicant/participant of the Marine Repower Grant Program I certify that:
By checking the box above, I certify all information is true and correct to the best of my knowledge
Commercial Harbor Craft Initial Report
Attach a copy of your Commercial Harbor Craft Initial Report filed with California Air Resources Board (ARB).
The initial report should include a copy of each page of the report including; Company Contact, Vessel Information Page, and Engine Information for each engine on the vessel
Agreement & Submission
I hereby certify under penalty of perjury that all information provided in this application and any attachments are accurate and true, and I am authorized to represent the person or company or public agency indicated below to sign for this application and all other contracts or agreements necessary to implement the project for which funding is hereby requested.
________________________
If this application was prepared by someone other than above:
By checking the box above, I certify under penalty of perjury all information is true and correct to the best of my knowledge