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MEA CHP Commissioning Disbursement Request
MEA CHP Commissioning Disbursement Request
Welcome to the Maryland Energy Administration (MEA) Combined Heat and Power (CHP) Grant Program's online Commissioning Disbursement Request portal. Grantees are encouraged to use this service to submit formal requests for their Commissioning Disbursements in lieu of paper forms. Please carefully read the sections that follow and submit all information that is requested. Failure to do so may delay payout of Grant funds.
22Questions
MEA CHP Commissioning Disbursement Request
  • 1
    Enter the Grant Number specified in the Grant Agreement. E.g. 2021-00-456S2.
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  • 2
    Enter the name of the Grantee Organization as it appears on its IRS Form W9.
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  • 3
    Enter the Federal Tax ID Number as it appears on the Grantee Organization's IRS Form W9.
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  • 4
    Enter the Grantee Organization's address exactly how it appears on its IRS Form W9.
    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
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  • 5
    Enter the first name, last name, and title of the Grantee Organization's Point of Contact below.
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  • 6
    Enter the Total Grant amount and the percentage of funds requested (no more than 90%).
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  • 7
    The amount below will be requested from MEA for the Commissioning Disbursement.
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  • 8
    Enter the name of the CHP project site below.
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  • 9
    Enter the address of the CHP project site below.
    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
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  • 10
    Upload one or more invoices for the CHP costs incurred so far. They should document that the unit has been installed, commissioned, and interconnected.
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
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  • 11
    Upload one or more files documenting the finalized CHP system design drawings. This is not required if they were uploaded in a Groundbreaking Disbursement Request and have not changed. If not required, make a note that no changes have occurred in the Additional Notes window at the end of this form. You will be prompted later. Click "Next."
    Drag and drop files here
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    Max. file size: 10.6MB
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  • 12
    Upload a copy of the completed CHP manufacturer startup report.
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    Max. file size: 10.6MB
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  • 13
    Upload documentation of passed final inspection for all permits required by all authorities having jurisdiction. If no permits or inspections were required, upload a document that states none were required and provides an explanation as for why.
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    Max. file size: 10.6MB
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  • 14
    Upload documentation from the electric utility confirming that the CHP system has been approved to operate.
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    Select files to upload
    Max. file size: 10.6MB
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  • 15
    Upload data for AT LEAST one continuous week of CHP system operation interval data that demonstrates its higher heating value (HHV) fuel use efficiency is at least 60%. This data must include, at minimum, amount of fuel input, amount of electricity produced, and amount of thermal energy captured and utilized. Data intervals should be no longer than hour-by-hour. Enough data must be provided so that fuel input and electrical and thermal energy output can be converted to MMBtu.
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
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  • 16
    Upload a copy of the warranty/service agreement for the CHP system. The minimum period of servicing/warranty is five (5) years. If this was uploaded as part of the Groundbreaking Disbursement request AND has not changed, make a note that it has not changed in the Additional Notes section at the end of this form. You will be prompted. Click "Next" below.
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
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  • 17
    Upload one or more photos of the project site documenting that the CHP system has been fully-installed, commissioned, and is operational.
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
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  • 18
    If this CHP system has received an EmPOWER utility CHP incentive, upload a copy of the utility letter stating that the CHP system has met or exceeded all utility requirements as related to the fully-commissioned CHP system. If not applicable, click "Next," and note that this letter has not been provided with an explanation why (e.g. the CHP system is in a service territory that does not offer EmPOWER CHP incentives) in the Additional Notes section in the next window.
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
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  • 19
    Enter any additional information you believe is relevant to the CHP System, this Commissioning Disbursement Request, (an) explanation(s) for why certain attachments have been omitted, etc. If you have no additional comments or information, leave this box blank and click "Next."
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  • 20

    Terms and Conditions

    By signing this invoice, I affirm that the CHP project for which this award was executed is in compliance with all terms, conditions, and requirements of the Grant Agreement.


    For FY20 and newer Projects only: I affirm that all activities funded through the Program award have been completed in compliance with section 9-20B-05 of the State Government Article which requires that at least 80% of workers participating in a project or program that receives money from the Strategic Energy Investment Fund ("SEIF") must reside within 50 miles of the project or program. As the SEIF funds a statewide program, MEA will determine compliance based on whether at least 80% of workers participating in a SEIF-funded project reside in Maryland, or within 50 miles of Maryland’s borders. In addition, and if applicable to my organization, I affirm that this project also complies with §14-416 and §17-303 of the State Finance and Procurement Article.

     

    COMPLIANCE EVALUATION REQUIREMENT

    The MEA CHP Program Manager will contact the Grantee Point of Contact to complete a Commissioning Compliance Evaluation for the CHP system. This can be done either in person as a site visitation and inspection by the CHP Program Manager or completed remotely by the Grantee and/or its representatives. Evaluation type is at the sole discretion of the MEA CHP Program Manager. The Grantee is required to pass the Commissioning Compliance Evaluation in order to receive the Commissioning Disbursement.

     

    Click "Next" to proceed to signature.

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  • 21
    An authorized representative of the Grantee organization must sign in the box below. Click and drag your mouse or use your finger to sign.
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  • 22
    Enter your first name, last name, title, and date below.
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