Surplus Van Grant Application

Surplus Van Grant Application
INTRODUCTION
Purpose: Intercity Transit is committed to delivering accessible and efficient public transportation services to our community. The Van Grant Program seeks to award retired vehicles to qualifying organizations that will help address unmet public transportation needs for their members, clients or other users of their services within Intercity Transit's service area.

Eligibility: Eligible applicants are 501c3 nonprofit organizations and government agencies located within and serving residents of Intercity Transit's service area, which includes the cities of Olympia, Lacey, Tumwater and Yelm. Provided trips must originate within this service area and remain within a 150-mile radius of the Intercity Transit Public Transportation Benefit Authority.

Process: The granting of these vehicles is achieved through a competitive review and selection process. Applications will be reviewed, scored by a panel. Vehicles will be awarded based on merit.

Grant vehicles: In 2026, four 12-passenger vans will be awarded as is:
- 2013 Ford Econoline E-350 with approximately 131k miles
- 2015 Chevy Express with approximately 116k miles
- 2015 Chevy Express with approximately 123k miles
- 2016 Chevy Express with approximately 129k miles
Successful candidates: Vehicles will be awarded based on merit, with the highest-scoring organization allowed to choose a vehicle first.

Timeline: To be considered, applications must be submitted electronically by 11:59 p.m. on Sunday, April 5, 2026.
SECTION 1: GENERAL INFORMATION
Name of Organization*
Name of applying organization
Applicant Name*

First NameLast Name
Applicant Title*
Title
Applicant Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Applicant Email*
example@example.com
Board Chair or CEO of Organization

Please supply the name and email of your organization's Board Chair or CEO. This person will sign an agreement as the Vehicle Recipient if your organization is chosen to receive a grant van.
Name of Board Chair or CEO*

First NameLast Name
Email of Board Chair or CEO*
example@example.com
Organization Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Government AgencyPrivate Nonprofit 501(c)(3) Organization
Please provide a copy of your organization's IRS 501(c)(3) determination letter.

Upload or drag and drop IRS determination letter to the space above.
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SECTION 2: DEMONSTRATED COMMUNITY BENEFIT
Clearly explain the scope and nature of your organization's transportation needs and provide data to support the need, including services offered, the population you serve, and your transportation needs within Thurston County.

Explain how you would serve an unmet public transportation need in Intercity Transit's service area and if awarded a van, how having the van will affect your current services.

Identify the transportation services you currently use such as Intercity Transit buses, Dial-a-Lift, Village Vans, Community Vans or other transportation options that are available to your agency or organization, and explain how your program will coordinate with other programs to get maximum use of the vehicle, if awarded.
Provide your detailed response here.*
Total Number of Trips Provided
Clearly define and document the number of trips to be provided annually. For the purpose of this application, a passenger trip is defined as a round trip for one person, to and from their destination. Please show how you arrived at your estimate and describe the basis of your projection.

Of the passengers you plan to serve, what percentage reside in Thurston County?

Trips to or from religious workship, devotion or instruction may not be counted in meeting the selection criteria. This restriction does not affect the use of the van once an award has been made.
Provide your detailed response here.*
Coordination of Service
Describe how your current and proposed service coordinates with other transportation services or other agencies in the area to ensure broad community benefit.

Describe why existing Intercity Transit services such as bus, Dial-a-Lift, Village Vans or Community Vans do not meet your current transportation needs.
Provide your detailed response here.*
Ability to Maintain Service
Describe how the proposed transportation program will be maintained and funded to include insurance coverage and how the agency or organization will manage the program.*
SECTION 3: CERTIFICATION
I certify that, to the best of my knowledge, the information in this application is true and accurate and that this organization has the necessary financial and managerial capability to adequately operate, maintain and insure the vehicle for which this application is being made.

Additionally, by applying, I and my organization agree to be featured in marketing materials, interviews, or promotions about this award.
Signature of applicant at applying organization.

Be sure to sign and submit your application. You will receive a confirmation email after successful submission.
Should be Empty:

Surplus Van Grant Application

INTRODUCTION

SECTION 1: GENERAL INFORMATION

Board Chair or CEO of Organization

SECTION 2: DEMONSTRATED COMMUNITY BENEFIT

Total Number of Trips Provided

Coordination of Service

Ability to Maintain Service

SECTION 3: CERTIFICATION

Signature of applicant at applying organization.