330-220-0030 Preliminary Certification Application (1) Any person may apply for a preliminary certification by submitting a complete preliminary certification application. The application must meet requirements provided by applicable statutes, these rules and the current Opportunity Announcement. (a) The application must be in the form specified in the Opportunity Announcement and these rules. (b) An applicant must submit a complete application during the opportunity period. For the purposes of this rule, the department considers an application “submitted” when the department receives the application. (c) The department will not review applications received outside of an opportunity period and will return the application fee received. (2) The application must be accompanied by the application fee specified in these rules. The department will not process applications received without fee payment. (3) The application must include the following information, unless the department specifies otherwise in the Opportunity Announcement. (a) The name of the applicant. (A) If the applicant is a partnership, joint venture or association, the application must include the names of each person participating in the partnership, joint venture or association. The department may use this information to ensure compliance with ORS 469B.329. (B) If the applicant is a corporation or limited liability company, the application must include the name of the corporation or LLC and its parent corporations, members and any close affiliates or subsidiaries. The department may use this information to ensure compliance with ORS 469B.329. (C) If the applicant is a public or governmental entity, the application must include written authorization from the entity’s governing body allowing submission of the application. (b) The name, address, email address and telephone number of the responsible party for the applicant. (c) The applicant’s federal tax identification number or social security number, which may be shared with the Oregon Department of Revenue to facilitate the administration of state tax law. (d) A statement verifying that the applicant will be the owner, contract purchaser or lessee of the alternative fuel vehicle project at the time of acquisition of the project. (e) A description of the personnel and teams that will be working on project development, implementation and operation. (f) If the applicant has received final certification of tax credits or payment of grants issued by the department within the last 5 years, the application must contain a statement affirming the operational status of the projects awarded such grants or tax credits. (g) The location of the alternative fuel vehicle project. (h) A statement explaining the amount by which use of the alternative fuel vehicle project will displace petroleum fuel. (i) A statement of compliance with applicable state and local regulations and that the applicant will obtain required licenses and permits. (j) The number and type of new jobs that will be created by the alternative fuel vehicle project and the number of existing jobs that will be sustained throughout construction, installation and operation of the project. Job estimates should be submitted in hours. These hours must directly relate to the alternative fuel vehicle project. (k) The alternative fuel vehicle project’s anticipated total project cost, including the alternative fuel vehicle project’s incremental cost, if applicable. (L) The amount of anticipated or received incentives directly related to the alternative fuel vehicle project. (m) A project schedule and project management plan. (n) A description of the applicant’s financing plan for the alternative fuel vehicle project including: (A) Construction or acquisition financing; and (B) Startup costs. (o) The dollar amount of tax credit requested by the applicant. (p) If the applicant has already started acquisition or performance of the alternative fuel vehicle project, a written description of the special circumstances that rendered filing of an application prior to the start of acquisition or performance unreasonable. (q) For an alternative fuel vehicle infrastructure project, a detailed description of the project including: (A) Information that demonstrates how the project will be technically feasible and how the project will operate for at least five years as represented in the application. This may require documentation in addition to the application form. (B) A description of proposed fueling systems, the estimated number of alternative fuel vehicles that will use the proposed station, the type of alternative fuel that will be dispensed and the expected annual amount that will be dispensed. (C) The expected operational life of the alternative fuel vehicle infrastructure project. (r) For an alternative fuel vehicle fleet project, a detailed description of the project including: (A) Information that demonstrates the vehicles being replaced with new alternative fuel vehicles are no longer in the project owner’s fleet or the fleet of any related entity. (B) A description of the vehicles being replaced with new alternative fuel vehicles, including: (i) Vehicle Identification Number; (ii) Vehicle make, model, year and description; (iii) Gross vehicle weight and weight class; (iv) Fuel type; (v) Fleet average miles per gallon; and (vi) Estimated annual mileage. (C) A description of the new alternative fuel vehicles acquired, including: (i) Vehicle make, model, year and description; (ii) Gross vehicle weight and weight class; (iii) Fuel type; (iv) Estimated miles per gallon; and (v) Estimated annual mileage. (D) A description of the existing fleet vehicles being converted or modified to use alternative fuels, including: (i) Vehicle identification number; (ii) Vehicle make, model, year and description; (iii) Gross vehicle weight and weight class; (iv) Original fuel type and proposed fuel type after conversion to use of alternative fuel; (v) Fleet average miles per gallon before and after conversion to use of alternative fuel; (vi) Annual mileage before and after conversion to use of alternative fuel; and (vii) Information about the conversion kit and the entity converting the vehicles. (E) The expected operational life of the alternative fuel vehicle project. (F) Information that demonstrates the alternative fuel vehicles are registered and operating in Oregon. Where applicable, registration under the International Registration Plan must have Oregon as the base jurisdiction. (s) Other information the department considers necessary. Statutory/Other Authority: ORS 469.040, 469B.326, 469B.332 & 469B.347 Statutes/Other Implemented: ORS 315.336 & 469B.320 - 469B.347 History: DOE 1-2017, f. & cert. ef. 1-25-17 DOE 7-2014, f. 10-10-14, cert. ef. 1-1-15 DOE 9-2012, f. 7-31-12, cert. ef. 8-1-12 DOE 2-2012(Temp), f. & cert. ef. 2-7-12 thru 8-3-12