CHP Quarterly Status Report

1
Reporting Quarter* This field is required.Please indicate the quarter that you're submitting this report for below.
Q1 (Jul, Aug, Sep)
Q2 (Oct, Nov, Dec)
Q3 (Jan, Feb, Mar)
Q4 (Apr, May, Jun)
2
Reporting Year* This field is required.Please indicate the year that the reporting quarter is in below.
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
3
Entity/Organization (Grantee) Name* This field is required.Enter the name of the Grantee entity/organization below. This should be the name as it appears on the front of your Grant Agreement.
4
Federal Tax ID Number* This field is required.Enter the federal tax identification (FID) number for the Grantee entity/organization below. This should match the FID MEA has on file.
5
MEA Grant Number* This field is required.Enter the MEA Grant Number below. This can be found in the upper right corner of the Grant Agreement (e.g. 2020-00-456S2).
6
CHP System Installation Address* This field is required.Enter the street address for the location of the CHP installation below.
Street Address
Street Address Line 2
City
State
Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
7
Congressional and Maryland Legislative Districts* This field is required.Enter the Congressional and Maryland Legislative District numbers for the CHP installation address in the fields below. You can find these district numbers at www.mdelect.net.
01
02
03
04
05
06
07
08
Congressional District
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
Maryland Legislative District
8
Project Point of Contact Information* This field is required.Please enter the information for the Grantee entity/organization project point of contact below.
First Name
Last Name
Title
Email Address
Phone Number
9
Status Updates* This field is required.Select the status of each project milestone below. You will also be able to provide any additional relevant information regarding the overall status in the text box on the following page.
In Design
In Solicitation
In Contract Negotiation
Contract Finalized
Other (Specify in Additional Details Text Box Below)
Project Development Status
Not Yet Scheduled
Scheduled (Provide Date in Additional Details Text Box Below)
In Progress
Complete
Other (Specify in Additional Details Text Box Below)
Project Groundbreaking Status
Not Yet Scheduled
Scheduled (Provide Date in Additional Details Text Box Below)
In Progress
Complete
Other (Specify in Additional Details Text Box Below)
Project Construction Status
Not Yet Scheduled
Scheduled (Provide Date in Additional Details Text Box Below)
In Progress
Fully Commissioned
Other (Specify in Additional Details Text Box Below)
Project Commissioning Status
Additional Details (If applicable)
10
Additional Project Status Details* This field is required.Provide any additional relevant information regarding project status below (e.g. "CHP equipment delivered and prep work has begun for system siting"). Otherwise, enter "N/A".
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11
CHP Project Workflow Diagram* This field is required.Please upload the current chart detailing project milestone dates – both initially projected, and actually completed (e.g. Development, Design, Groundbreaking, Construction, etc.). The preferred format is a Gantt Chart, but alternative formats are acceptable as long as they logically and clearly detail the timelines.
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Max. file size: 10.6MB
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12
Job Hours Worked by Parties* This field is required.Provide the total number of job hours worked during the reporting quarter by the Grantee, its contractors, and subcontractors, as applicable. Job hours should be inclusive of all hours pertaining to CHP system completion and the administrative time required to further the Project.
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13
CHP Project Site PhotosIf applicable, please upload photos of the CHP Project’s current stage. Please name the photo files appropriately and provide a brief description in the section on the following page regarding what is depicted in each photo.
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Max. file size: 10.6MB
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14
CHP Project Site Photo DescriptionsIf you have included photos with this report, please list the filenames below with brief descriptions of the content of each photo. Otherwise, enter "N/A".
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15
Additional AttachmentsOptional: Please attach any additional documentation relevant to this Quarterly Status Update, and provide a description of the relevance of this documentation in section on the following page.
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Max. file size: 10.6MB
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16
Description of Additional AttachmentsIf you have included additional attachments with this report, please list the filenames below with brief descriptions of the content of each attachment. Otherwise, enter "N/A".
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