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CLEAN VEHICLE TECHNOLOGY FUND (CVTF) APPLICATION FORM

For local and transport authorities in England

June2014

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Department for Transport
Great Minster House
33 Horseferry Road
London SW1P 4DR
Telephone 0300 330 3000
Website

You may re-use this information (not including logos or third-party material) free of charge in any format or medium, under the terms of the Open Government Licence. To view this licence, visit or write to the Information Policy Team, The National Archives, Kew, London TW9 4DU, or e-mail: .

Guidance for applicants is available at:

Applications (one hardcopy and one electronic copy) should be emailed to by 17:00, Friday 25 July 2014.

If you need further assistance with the application process, contact the DfT Air Quality Strategy Team via email: .

Application Form for Clean Vehicle Technology Fund

The Department for Transport (DfT) is inviting local authorities in England[1] to apply for Clean Vehicle Technology grants of a maximum of £500,000[2] towards reducing oxides of nitrogen (NOx) emissions from local vehicles. The total fund available for this scheme is £5m.

Applicants should use this form to submit their proposals to DfT by 17:00, Friday 25 July 2014. Applicants can propose to upgrade vehicles with more than one type of technology but should useoneapplication form per technology. Guidancenotes have been published to assist you with completing the application form.

All applicants must confirm that they have securedappropriate interest from at least one operator that will engage in the proposed project. Please check the box below to show that you have completed this requirement.

I have secured commitment as stated above:

In addition, all applicants must confirm that they have received legal advice on EU state aid rules and that the proposed project is compatible with the relevant restrictions. Please check the box below to show that you have completed this requirement and provide a short summary of the legal advice you have received which explains why the proposed project would either not be classed as state aid or would be classed as compatible aid which is exempt from the requirement to notify the European Commission in advance of proceeding.

I confirm that I have received legal advice on EU state aid rules which will allow the proposed project to proceed if successful:

Summary of legal advice received:

From time to time, we receive Freedom of Information (FOI) and Environmental Information Regulations (EIR) requests about DfT grant awards.

Information provided in this application may be subject to publication or disclosure in accordance with the Freedom of Information Act 2000 (FOIA) or the Environmental Information Regulations 2004.

If you want information that you provide to be treated as confidential,

please be aware that, under the FOIA, there is a Statutory Code of

Practice with which public authorities must comply and which deals,

amongst other things, with obligations of confidence. In view of this it would be helpful if you could explain to us why you regard the information you have provided as confidential. If we receive a request for disclosure of the information, we will take full account of your explanation, but we cannot give an assurance that confidentiality can be maintained in all circumstances.

Please also let us know if you would be content for us to share your contact details with a third party, e.g. technology supplier.

I am content for my contact details to be forwarded to an enquirer.

This page has been completed by the Senior Responsible Owner (SRO) of the proposed project[3]:

Please refer to the guidance before completing this form.

Section A. Applicant Information

A1. Local or transport authority name(s). If the bid is a joint proposal, please enter the names of all participating authorities, other public bodies, bus or other vehicle operators/owners, and specify the leadauthority:

Senior Responsible Owner name and position:

Bid Manager name and position (first point of contact):

Contact telephone number:

Email address:

Postal address:

Website address for published bid (if applicable):

A2. Please indicate if you are planning to outsourcethe project management either wholly or partially (if known at this stage). Note that as a capital budget, the Clean Bus Technology Fund (CVTF) cannot cover the cost of project management.

Yes: Complete the form below.

No: Go to Section B.

Name of organisation:

Project manager (first point of contact):

Contact telephone number:

Email address:

Postal address:

Website address for published bid (if applicable):

Section B.Project proposal

B1.Enter a brief description of your proposal:

Briefly describe your project proposal. Outline the main reasons for seeking funding and what difference this would make to your local air quality. Provide further details in Section E. (Guide: 500 words)

B2. Previous experience:

Explain any connection with another outstanding bid or grant from DfT such as the Clean Bus Technology Fund, Local Sustainable Transport Fund, Green Bus Fund and Better Bus Area Fund. Please note that this is for our background - a bid for Clean Vehicle Technology Fund is not dependant on the outcome of any other biddingprocess. (Guide: 200 words)

Section C. Proposed technology

C1. Describe the proposed nitrogen oxides (NOx) abatement technology for your scheme.

Indicate what method of NOx abatement technology you are planning to use; e.g. retrofitting, engine retuning, hybrid conversion, flywheel technology or other solution including piloting of a novel technology; your rationale for choosing this and the risks it may present. Use one application form per technology. (Guide: 200 words)

C2. Describe the expected environmental impact of the chosentechnology in terms of emissions reductions.

Provide an estimate of reductions in NOx emissions and any expected change in particulate matter and carbon dioxideemissions per vehicle (in kg or tonnes). (Guide: 200 words)

Section D.About the local vehicles

N.B. Questions in the table below with asterisks (*) are mandatory.

D1.

* In total, how many vehicles do you expect to modify?

Please use the table below for only one type of vehicle make and model. Copy and paste the table if upgrading more than one type of vehicle.

Vehicle type, e.g. bus, taxi, van:
Make and model:
Number of single-deckers (if upgrading buses):
Number of double-deckers (if upgrading buses):
* Euro Standard:
Name of engine manufacturer (of each type, if known):
* Estimated average annual mileage:
* Expected change in annual mileage as a result of vehicle modification:
* Will the modification extend the lifetime of the vehicle? If so, how long for?
* Estimated cost of purchasing and fitting technology per vehicle:
* Estimated additional operating costs/savings (including fuel) per vehicle over five years:
* Estimated additional maintenance costs/savings per vehicle over five years:
* Total cost of warranty for one year (if not included in cost of technology):
* If infrastructure included in bid, please specify type of infrastructure:
* Estimated cost of purchasing and fitting infrastructure:
* If monitoring systems included in bid, please specify type of monitoring system:
* Estimated cost of purchasing and fitting monitoring equipment:
* Number of monitoring equipment required:
* DfT funding sought per vehicle (i.e. including one year warranty but excluding other contributions and operational costs):

You can copy and paste the above tableif you are upgrading more than one type of vehicle.

D2.Geographical area:

Describe the geographicalarea in which the modified vehicles will operate including local air quality management areas (AQMAs). As far as possible describe how often vehicles will operate in polluted hotspots. (Guide: 200 words)

D3. Level ofnitrogen dioxide (NO2) emissions and ambient concentrations:

Describe the trends and current state of NOx emissions and ambient roadside concentration levels of NO2 in the geographical area identified above, comparing the latter in terms of relevant EU concentration limit values. If available, include any additional statistics, such as road lengths assessed that exceed the EU concentration limit values, further details onAQMAs, observed and forecast impact on health and local environment. (Guide: 200 words)

D4. Describe the future plans for use of modified vehicles.

Explain how you can ensure that modified vehiclesareused forat least five years on some of the most polluted roads within your locality or any within other local or transport authority boundaries in England (without removal of abatement technology or other reversal of modifications) . (Guide: 200 words)

Section E.Project and financial governance

E1. Project and risk management:

Providethe name of your project, timeline, milestones, risks to successful delivery and the mitigation actions you propose to take to minimise these. You should include any impact on end users and actions you will take to control particulate matter (PM) and ammonia concentrations when reducing NOx. Provide financial impact on vehicle operators under Section D. (Guide: 500 words)

E2. Progress report:

You will be required to monitor the progress of your project up to the point vehicles are retrofitted and update DfT every three months using a template. Your report should include the number of vehicles upgraded, any new risks you have identified since the launch of your project (or the latest update) and the mitigation actions you plan to take. Identify additional intermediate outputs and outcomes you will report on and if applicable, the web-site on which results will be made available. (Guide: 200 words)

E3. Monitoringand sharing best practice:

Once you have upgraded vehicles, you are encouraged to monitor the performance of the technology and provide a report to DfT on the performance, this could be through using a realistic test-cycle, portable emission monitoring systems, or other monitoring system. To reduce burdens, we only ask this is updated twice, 6 months and 12 months after vehicles have been retrofitted. (Note that CVTF cannot be used for operational costs but you may apply for the purchase of telematics equipment or on-street monitoring devices).

Your monitoring data will inform us on the effectiveness of pollution abatement technologies which we will share with other government departments,local and transport authorities, public bodiesand vehicle operators to establish whether the technologies could be used in other areas and other vehicles. Describe how you will monitor your chosen technology's effectiveness and how you will coordinate your outcomes with other successful bidders. (Guide: 200 words)

E5. Contributing toGovernment Growth Agenda:

Describe how your bid can support local and national growth opportunities.

Collaboration with other authorities to share resources and the use of apprentices is encouraged where appropriate. (Guide: 200 words)

E6. Outsourcing:

Describe details of any outsourcing you will use for project delivery, legal advice, modelling, assessment or engineering. Provide anticipated costs under Section E. (Note that CVTF cannot be used to cover ongoing and operational costs.)(Guide: 200 words)

N.B. Questions in the table below with asterisks (*) are mandatory.

E7. / * Total DfT funding contribution sought (up to £500,000):
E8. / * Total estimated cost of outsourcing and operational costs (not covered by CVTF) (£):
E9. / If applicable, local or transport authority contribution to capital cost (£):
E10. / If applicable, other contribution (e.g. bus operator or public body) (£):
E11. / * TOTAL ESTIMATED COST OF PROJECT (£):

Section F. Supporting evidence

F1. Please use this space to provide any additional evidence for your proposal. (Guide: 500 words)

Email your completed form to: by 17:00, Friday 25 July 2014 in MS Word 2003 or 2013 or PDF format. Please also send one hard copy to: Air Quality Strategy, Department for Transport, Zone 1/33, Great Minster House, 33 Horseferry Road, London SW1P 4DR.

Both copies should reach DfT by the above deadline.

[1]In London, the Greater London Authority (GLA) is invited to coordinate and apply on behalf of London boroughs as a single bid for no more than £500,000.

[2]Authorities can only bid once for a Clean Vehicle Technology grant of up to £500,000.

[3] Provide SRO name and contact details in Section A.