Clean Vehicle Charging Infrastructure Clean Air Funds Application

Clean Vehicle Charging Infrastructure Application

For the Clean Air Funds Program
Background

For the Yolo-Solano AQMD’s 2025 Clean Air Funds Grant program there is $470,000 available for projects in the District. The 2025-2026 Clean Air Funds Program Cycle application period will open on February 2 and close on April 10 at 5 p.m. This online application form will close at 5 p.m. on April 10 - please ensure you have submitted it prior to 5 p.m.

The Clean Air Funds program offers grants for projects designed to reduce emissions from mobile sources. Applications are open to private companies, government agencies, and other entities to promote clean transportation and reduce vehicle emissions.

Instructions

This application may take thirty minutes to an hour to complete. 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 six 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 six, 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 cleanair@ysaqmd.org to ensure your application was received.

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 April 10, 2026. You must submit this application form prior to 5:00 p.m. on April 10, 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*
Organization, Company, or Proprietor's Name as it appears on Form W-9
Physical 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 Information*

First NameLast Name
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 Information*

First NameLast Name
Title:*
Email:*
example@example.com
Phone Number:*

Project Information
Project Title:*
Project Type*
Other:*
Will this project be accessible to the public?*
Estimated Fuel Cost to User:*
in kWh
Start Date:*

MonthDayYear
Date
End Date:*

MonthDayYear
Date
Project Location*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Upload aerial map of project site:*

Satellite view with stalls and other project components identified
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Is the project location owned by the Applicant?*
Upload proof of land ownership:*

Copy of the deed for the property
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Name of property owner:*
Upload proof of land control:*

Copy of the long-term lease, easement, letter of commitment from property owner, or similar document lasting for at least the next five years
Cancelof

Equipment Information*

	# Charging Units	# Ports	Make and Model	Charging Level
1
2

Anticipated Usage*

	Types of Equipment Using Infrastructure:	Anticipated Annual # of Vehicles:	Anticipated Annual # of Plug-In Events:	Anticipated Annual Usage (kWh):
1

Please describe your project:*

0/300
Please describe why this station is needed:*

0/150

Budget and Project Funding Information
Please right-click the Budget PDF below and download it to your device.*
After completing the Budget PDF, please download a completed copy to your drive and upload it below:*

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Please upload all quotes for equipment purchase and installation:*

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Total Project Cost:*
Grant Funding Request:*

Minimum Funding Information
If reduced funding was available, would your project be able to proceed?*

YesNo
Minimum Funding Level:*
Would your project change at the minimum funding level?*

YesNo
Please describe how your project would change at the minimum funding level:*

Terms and Conditions
Are you the signing authority listed in the Applicant Information section above?*

YesNo
Please upload the signed terms and conditions page below:*

Must be signed by signing authority
Cancelof
Terms and Conditions

This application must be signed by the signing authority listed in the Applicant Information section of this form. By signing this document, you are declaring that:
- All information contained in this document and in any attachment is true, accurate and complete to the best of your knowledge.
- The responsible official has the authority to apply for the grant funds on behalf of the applicant named.
- The applicant agrees to the terms and conditions of the agreement (included in the program information).
- Approved projects cannot be altered in any way without prior approval from the District (see draft agreement).
Signing Authority Full Name:*

First NameLast Name
Signing Authority Title:*
Signature:*

Clear
Date:*

MonthDayYear
Date
Should be Empty:

Clean Vehicle Charging Infrastructure Application

Applicant Information

Primary Contact Information

Contract Signing Authority Information

Project Information

Budget and Project Funding Information

Minimum Funding Information

Terms and Conditions