Annual Solicitation – On-Road Vehicle Replacement Application

On-Road Vehicle Replacement Application
Background:

This is the application to replace on-road vehicles through the Yolo-Solano Air Quality Management District (District)'s 2026 Solicitation. Use this application if you have an older, heavy-duty diesel vehicle that you would like to receive grant funding to replace. The District will randomly award funding to applications after the application period has closed. Maximum award amounts vary widely depending on the specifics of each project, so please email grants@ysaqmd.org if you'd like to receive an initial maximum funding estimate before applying.

Eligibility:

To be eligible for funding, Applicants and vehicles must meet the following requirements:
- The Applicant must have owned and operated the existing vehicle for the previous 24 months;
- At least 75% of the existing vehicle's historic usage must have occurred within the District's boundaries;
- The vehicle must be currently registered in California for the past twenty-four months and be in compliance with federal, state, and local regulations; and
- The existing vehicle must be greater than 14,000 GVWR.
Instructions:

This application may take thirty minutes to an hour to complete. Please note that you will need paperwork documenting your vehicle's usage and ownership, photos of your vehicle, and information from your dealer about the new vehicle you would like to purchase. Please be sure to save your progress frequently by clicking the "Save" button at the bottom of each page.

You can save your progress at any time and finish filling out the application later. To save, click the "Save" button at the bottom of the form. This form will not autosave, so you need to manually save.

Required fields are marked with a red asterisk. You will be required to complete all required fields before submitting your application.

This application consists of four pages. Click the "Next" button at the bottom right of the page when you have finished completing all of the required fields to move to the next page.

When you have completed page four, click the "Submit" button to submit your application. You will see a pop-up page confirming your submission and will receive a confirmation email. If you do not see the pop-up page or receive the confirmation email, please contact grants@ysaqmd.org to ensure your application was received.

An organization may submit up to two applications to replace two vehicles only if both are permanently domiciled on tribal lands or within a state-designated Disadvantaged Community, including the northernmost portion of West Sacramento and Rio Vista.

In all other cases, the District will accept only one application per person or operation. Applications that share the same owner, responsible party, contact information, ownership documentation, or other information indicating common ownership will be considered affiliated and treated as a single operation.

If you need assistance completing this online application, District staff is available every Monday between 9:30 a.m. and 12:00 p.m. You can stop by our office at 1947 Galileo Court, Davis, CA 95618, or you can join our Zoom meeting at https://us02web.zoom.us/j/2453406055.

The District will stop accepting applications at 5:00 p.m. on May 1, 2026. You must submit this application form prior to 5:00 p.m. on May 1, 2026 to be considered for funding.

Applicant Information

Please complete the following information for the person or operation applying for this grant. Please ensure the applicant name and mailing address match the information listed on the applying person or organization's Form W-9.
Applicant Name:
Applying organization, company, or proprietor's name as it appears on Form W-9
Physical Location Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Primary Contact Information

District staff will email the Primary Contact listed below with all updates and requests related to this project.
Primary Contact Name:

First NameLast Name
Primary Contact Title:
Email:
example@example.com
Phone Number:
Contract Signing Authority Information

The Signing Authority listed below will be required to sign this application and any other documents related to this project. District staff will not contact the Signing Authority, unless the Primary Contact cannot be reached.
Contract Signing Authority Name:

First NameLast Name
Contract Signing Authority Title:
Email:
example@example.com
Phone Number:

Fleet Compliance Information
Vehicle Type
Please Describe:
TRUCRS ID #:
Total Heavy-Duty Fleet Size:

Existing Vehicle Information
Address Where Existing Vehicle Is Permanently Domiciled:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Annual Operation:
In miles
% Use Within District:
Minimum 75% required to participate
% Use Within CA:
Has this vehicle been owned, operated, and registered in CA for the past 24 months?
Is this vehicle fully operational?
Does this vehicle have a diesel engine?
Unfortunately, this project does not meet the District's eligibility criteria for this program. Please contact solicitation@ysaqmd.org if you have further questions.
For the following section, please type in "Unknown" if you don't know your vehicle's ESN, engine family name, etc.

If you don't know your vehicle's model year, engine year, or horsepower, please type in your best guess.
Vehicle Make:
Vehicle Model:
Vehicle Model Year
Vehicle GVWR
Must be greater than 14,000 lbs
License Plate:
Vehicle Identification Number:
Engine Make:
Engine Model:
Engine Model Year
Odometer Reading:
In miles
Engine Serial Number:
Horsepower:
Engine Family Name:

Required Attachments
Proof of Existing Vehicle Ownership

A copy of the existing vehicle's title proving the applicant's ownership of the existing vehicle for the past 24 months is required to participate in this program. Please note that the title submitted to prove equipment ownership must be dated prior to 5/1/2024. Documents dated later than 5/1/2024 will not be accepted. This ownership documentation requirement cannot be waived.
Upload Copy of Existing Vehicle Title:

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Proof of Existing Vehicle Usage

The submission of one or more documents demonstrating 24 months of existing equipment usage is required to participate in this program. The first usage document or usage entry must be dated prior to 5/1/2024, and there must be a sufficient number of subsequent documents or entries to demonstrate consistent usage through fall 2025.

3rd party or internal maintenance records, parts ordered for the equipment, fuel logs, hour logs, or any similar documents can be submitted to demonstrate usage. Please note that this usage documentation requirement cannot be waived.
Upload Document(s) Demonstrating Existing Equipment Usage

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Are you missing any of the following required photos? Please check all that apply.

Yes, I could not locate my vehicle's Vehicle Identification NumberYes, I could not locate my vehicle's Engine Serial NumberYes, my vehicle does not have an odometer
Existing Vehicle Photo - Vehicle Identification Number

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Existing Vehicle Photo - Engine Serial Number

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Existing Vehicle Photo - Odometer Reading

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Additional Requested Photo - Emissions Plate on Engine

Vehicles may have a plate on the engine that lists the engine information. It is generally separate from the plate containing the engine serial number.

A photo of the engine plate is not required to complete your application, but its submission will help District staff calculate the maximum grant amount for your project.
Existing Equipment Photo - Emissions Plate on Engine

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New Vehicle Information
New Equipment Quote

Please contact your dealer for a quote for the new vehicle you would like to purchase. Do not purchase the new vehicle or place any nonrefundable deposits on the new vehicle at this time, as doing so will disqualify you from participating in this program. Please also ask your dealer for a copy of the Executive Order for the new vehicle to submit below.
Dated and Itemized Quote for New Vehicle with Warranty Information

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Executive Order for New Vehicle

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Vehicle Make:
Vehicle Model:
Model Year:
Type in "New" or exact year if known.
Engine Make:
Engine Model:
Engine Model Year:
Type in "New" or exact year if known.
GVWR
Horsepower
Engine Family Name:
Engine emissions information provided by your dealer.
Fuel Type
Method of Vehicle Purchase
Vehicle Cost

Funding Disclosure
Applicants are required to disclose any funding they have applied for or received from any other source for this project. Other sources may include, but are not limited to, the USDA EQIP, CARB, US. EPA, and private sources. Additionally, if you intend to apply for additional funding, this information must be disclosed. Receiving funding from other sources for this project does not necessarily preclude you from applying for or receiving funding through YSAQMD.
Have you applied for funding from other sources?
Funding Source(s) Applied To:
Funding Program Name:
Dollar Amount Applied For:
Funding Awarded?
Terms and Conditions
If selected for funding, Applicant agrees to provide proof of general liability insurance ($2,000,000 / occurrence and $4,000,000 / aggregate), proof of workers' compensation or certification that Applicant does not have employees, and a Form W-9.
Are you the Signing Authority listed in this application?

Yes, I am the Signing Authority listed in the application above.No, I am not the Signing Authority listed in the application above.
Please right-click the Terms and Conditions page below to download it and route it to the Signing Authority listed in your application for signature.
Upload Signed Terms and Conditions Page Below:

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Terms and Conditions
1. I have legal authority to apply for grant funds for the equipment described in this application.
2. The proposed project is not required to be implemented by any local, state, and/or federal rule, regulations, or other legally binding requirement.
3. No replacement engines/equipment have been purchased and no work on this project has begun or will begin until the Grant Agreement is fully executed by the District.
4. I understand the grant will pay for a portion of the total costs and I must retain copies of receipts and cancelled checks to prove that I paid my share of the costs.
5. I understand there are conditions placed on receiving a grant and agree to refund the grant (or a pro-rated portion) if it is found that at any time I do not meet those conditions.
6. I understand I must complete the equipment purchase specified in the application no later than the period of performance stated in the Grant Agreement. This deadline may be extended for cause if requested by the applicant and approved in writing by the District.
7. I understand it is my responsibility to ensure that all technologies are either verified or certified by CARB to reduce NOx, and/or PM pollutants.
8. I have attached records, fuel receipts, or logs or operating hour documentation that validates the historic operation of the baseline equipment for at least the previous 24 months.
9. I understand that the existing baseline engine may not be removed from the vehicle, equipment, or vessel until the manufacturers permanently marked serial number is documented by District inspection or a District tamperproof tag is affixed on the engine that ensures the engine’s identity can be verified after removal.
10. I understand that any existing baseline engine or equipment which has been replaced using District Program funds must be permanently destroyed and rendered useless. This work shall be documented by the District.
11. I certify that both the existing equipment has, and the new replacement equipment will operate within the District as provided above. I understand the District must verify equipment location prior to final award for any grant project.
12. I understand that I must submit reports annually to the District through the life of the project.
13. I understand I will be prohibited from applying for any form of emission reduction credits for District funded vehicles/engines including: Emission Reduction Credit (ERC), Mobile Source Emission Reduction Credit (MSERC), and/or Certificate of Advanced Placement (CAP), for all time, from the District, CARB, any/or any other district.
14. I certify that the proposed project has not been funded and is not being considered for Carl Moyer Program, Community Air Protection Incentive or FARMER funds by another air district or any other public agency.
15. I understand that disclosure is required of the value of any current financial incentive that directly reduces the project price, including tax credits or deductions, grants, or other public financial assistance.
16. I understand that a Global Positioning System (GPS) unit may be required to be installed on equipment if the District ascertains during the application process that the grant equipment has the potential of operating outside the boundaries of the District for a significant portion of the project life. I will submit data as requested and otherwise cooperate with all data monitoring and reporting requirements.
17. I understand that a tamperproof non-resettable digital hour meter/odometer must be installed and maintained in operating condition on all equipment.
18. I understand the District has the right to conduct unannounced inspections to ensure the project equipment is fully operational and at the activity level committed to in the grant agreement.
19. I certify that the requested funds do not include administrative costs. Administrative costs are defined as costs related to application preparation and submittal, project administration, monitoring, oversight, data gathering, and report preparation. I will include funds necessary to cover administrative costs and any required matching funds in my budget for the duration of the project.
20. I understand that an IRS Form 1099 will be issued to me for the incentive funds received under any District Program. I understand that it is my responsibility to determine the tax liability associated with participating in District Programs.
21. My organization is, or I am, in compliance with, will remain in compliance with, and does not have any outstanding, unresolved, or unpaid Notice of Noncompliance (NON), Notice of Violation (NOV), or citations for violations of any federal, State, and local air quality regulations including, but not limited to, the Cargo Handling Equipment Regulation, Commercial Harbor Craft Regulation, Drayage Truck Regulation, In-Use Off-Road Diesel Vehicle Regulation, Marine Shore Power Regulation, Portable Diesel Airborne Toxic Control Measure, Public Agency and Utility Rule, Sleeper Berth Truck Idling Regulation, Solid Waste Collection Vehicle Regulation, Stationary Engine Airborne Toxic Control Measures, Statewide Truck and Bus Regulation, and Transit Fleet Rule.
22. I certify to the best of knowledge that the information contained in this application is true and correct.
Signing Authority Name

First NameLast Name
Title
Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

On-Road Vehicle Replacement Application

Applicant Information

Primary Contact Information

Contract Signing Authority Information

Funding Disclosure

Terms and Conditions