New York Truck-Voucher Incentive Program

NEW YORK TRUCK-VOUCHER INCENTIVE PROGRAM

(NEW YORK CITY DIESEL EMISSION REDUCTION – VOUCHER INCENTIVE FUND)

DIESEL EMISSION CONTROL DEVICE ELIGIBILITY APPLICATION

This is an application for Verified Diesel Emission Control technologies (VDECs) to be included on the list of technologies eligible for the New York City Diesel Emission Reduction – Voucher Incentive Fund (NYCDER-VIF). This application must be completed, submitted to the Voucher Processing Center (VPC), and the technology must receive approval prior to the technology being eligible for a voucher.

NYSERDA and the VPC reserve the right to request additional information or clarification of information provided in this application. This application applies to and must be completed by the original technology manufacturer (OEM) or its authorized representative.

Part I: Technology Manufacturer Information

Table 1: Technology Manufacturer Contact Information

1. OEM Name:
2. Staff Contact Name and Title:
3. Business Mailing Address and Contact Information
Street:
City: / State: / Zip Code:
Phone: ( ) / E-mail:

Please identify the key VDEC specifications and installation details in Table 1 below.

Table 1: Verified Diesel Emission Control Technology Information

Technology Name / Technology Model and Type (DOC, DPF—Passive/Active, etc.) / MSRP / Installation Cost / CARB/EPA
Verification (specify) / Engine model year Range / Engine horsepower Range / Exhaust gas temperature Requirements

Note: Please expand table to include additional cells if submitting multiple VDEC technologies or tiered pricing by HP range.

The following are eligibility requirements for Verified Diesel Emission Control technologies under the NYCDER-VIF:

·  A prospective retrofit vehicle must be a Class 3 - 8 diesel truck with an Engine Model Year 1994 to 2006.

·  Technology must be currently verified by EPA or CARB for on-highway use. The verification must list the specific engine family name found in the prospective retrofit vehicle the VDEC will be installed on.

·  Eligible VDECs include but are not limited to: Level 1 Diesel Oxidation Catalyst (DOC) and Level 3 Diesel Particulate Filter (DPF) (Passive and Active) that reduce emissions of particulate matter (PM10 and PM2.5), hydrocarbons, carbon monoxide or other toxic air pollutants.

·  VDECs cannot be a part of a standard or required engine configuration (i.e., if the technology is required by law to be installed on the vehicle, then the equipment would not be eligible).

·  Eligible VDEC funds do include installation of Crank-Case Ventilation Filter (CCV) on vehicles that do not yet have CCV even if the vehicles already have a DOC or DPF installed.

·  The VDEC technology must be purchased from a participating approved Vendor (see Section 2.1).

·  All prospective retrofit vehicles must be greater than 10,001 lbs. Gross Vehicle Weight Rating (GVWR) and meet all federal and state requirements for operation in New York State.

·  All prospective retrofit vehicles must be highway capable, in good working condition, and be legally registered as a vehicle in New York State and have an engine model year of 1994 – 2006.

·  If a Vendor does not own a New York State repair facility or does not have a contract with a New York State entity to provide repair and warranty service, the Vendor must submit a plan for how it intends to provide warranty service, replacement parts, and technical support in New York State. The maintenance/repair plan must be submitted to the VPC for approval. The plan must be approved by NYSERDA for vehicles to be eligible to receive incentives under the Program.

·  Vendors, as part of submitting documentation to the VPC for eligible technologies, must send the costs of the technologies and installations they want included in the Program. The voucher amount covers up to 80 percent of the technology purchase and installation cost.

Part II: Verification of Technology Eligibility

A. For VDECs not currently on the list of eligible technologies:

Please provide the following information as attachments to this form for each technology listed in Table 1. NYSERDA and the VPC reserve the right to request additional information to complete the technology eligibility evaluation.

·  EPA Verification Letter or CARB Executive Order

·  List of Eligible Engine MY or Engine Families

·  Product Brochure

·  Warranty provisions

·  After sales service provisions (including locations for filter cleaning, etc.)

·  MSRP price sheets

B. For DECDs currently on the list of eligible technologies (addition of new model years):

Please check box below if the following statement is true.

¨  I certify that the technology(s) listed in Table 1 have not been modified from the technology(s) that were previously approved by NYSERDA for inclusion on the List of Eligible Technologies including warranty and after sales service provisions.

I hereby certify that all information provided in this application and any attachments are true and correct.

Printed Name of Responsible Party: / Title:
Signature of Responsible Party: / Date:

NYT-VIP Voucher Processing Center

c/o CALSTART

155 Water Street, 5th Floor – Unit 13

Brooklyn, NY 11201

Toll Free Hotline: (855) MY-NYT-VIP or (855) 696-9884

Email:

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