EVCP Final Requirements Form

  • EVCP Final Requirements Form

  • County of San Diego’s Electric Vehicle Charger Program (EVCP) Round 1

  • Please use this form to submit final documentation for your EVCP project.

    Refer to your notification email for your Project Unique Identifier and project details.

  • Project Completion Date*
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  • EVCP Final Requirements Form

  • Electric Vehicle Infrastructure Training Program

  • Affidavit Ensuring Adherence to Electric Vehicle Infrastructure Training Program (EVITP) Requirements Form

    1. Check if installer is certified https://evitp.org/california
    2. By signing this affidavit, I, (“Applicant’s Name”), with respect to (“Project Unique Identifier”), located at (“Installation Address”), affirm that I am authorized to attest under penalty of perjury under the laws of the State of California, that each of the statements in the paragraphs below are complete, true, and correct. I understand and agree that applications and projects that do not meet the following requirements may not receive an incentive, and any falsification or misrepresentation of information relating to the Project could result in disqualification from the EVCP Project.
    3. If the electric vehicle charging infrastructure and equipment to be installed supplies charging ports with 24.9 kilowatts or less and no charging ports supplying 25 kilowatts or more, then it will be installed by a contractor with an appropriate license classification, as determined by the Contractors’ State License Board, in good standing, with at least one electrician on each crew at all times during work hours who holds an Electric Vehicle Infrastructure Training Program (EVITP) certification.
    4. If the electric vehicle charging infrastructure and equipment to be installed supports at least one charging port supplying 25 kilowatts or more, then it will be installed by a contractor with an appropriate license classification, as determined by the Contractors’ State License Board, in good standing, with at least 25 percent of the total electricians working on the crew, at all times during work hours, holding EVITP certification.
    5. With this form I have provided the attached “Project Description Statement” containing the following information:
      1. The number of EV chargers installed at each site within the project and the maximum kW output for each EV charger.
      2. A complete and accurate statement listing the names and certification numbers of the EVITP certified electricians who were on site and working on EV charger installation.
      3. Verification and signature from the contractor employing the EVITP certified electricians, confirming that the identity of each electrician is accurate, that each electrician’s EVITP certification is valid and current on the EVITP website, and that, at all times during work hours, the EVITP certified electricians worked at the job site.
      4. Signature of the contractor and their contractor’s license number.
      5. Names of electricians must be entered as recorded by EVITP, as verified through the online certification database at www.EVITP.org.

    I declare under penalty of perjury, under the laws of the State of California, that all of the foregoing statements are true and correct.

  • Date*
     - -

  • Project Description Statement

  • DCFC Section

  • Number of DCFC EV chargers being installed*

  • Charger Configuration 1 (REQUIRED)

  • Charger Configuration 2 (OPTIONAL)

  • Charger Configuration 3 (OPTIONAL)

  • Do you have additional charger configurations not captured above?

  • L2 Charger Section

  • Number of L2 EV chargers being installed*

  • Charger Configuration 1 (REQUIRED)

  • Charger Configuration 2 (OPTIONAL)

  • Charger Configuration 3 (OPTIONAL)

  • Do you have additional charger configurations not captured above?

  • Electrician 1

  • Electrician 2 (OPTIONAL)

  • Electrician 3 (OPTIONAL)

  • Do you have additional electricians not captured above?

  • Certification

  • I declare under penalty of perjury, under the laws of the State of California, that all of the foregoing statements are true and correct.

  • Date*
     - -
  • Date*
     - -

  • EVCP Final Requirements Form

  • Signed six-year maintenance agreement

  • By executing the six (6) -year Maintenance Agreement, Applicant hereby acknowledges that Applicant has read and agrees to meet and follow the requirements and responsibilities for participation in the EVCP Program. In addition, Applicant acknowledges that the EVCP Final Requirements Form documentation reflects the full amount of the Rebate and that the Rebate has been subtracted from the final amount due from Applicant for the installation of eligible equipment.

    All funded chargers must be installed by a team with at least one licensed Electric Vehicle Infrastructure Training Program (EVITP)-certified electrical contractor in accordance with state and local building codes and relevant safety standards and comply with California prevailing wages. Installations must include appropriate lighting, signage, and security measures to ensure chargers are safe and easily identifiable for public users.

    Applicants must commit to maintaining and operating all chargers for at least six (6) years after installation. This includes maintaining network connectivity, ensuring equipment functionality, and providing usage data as required by the County. Applicants must maintain a 97% uptime (ability to charge) during the six (6) year period as defined in the EVCP Terms and Conditions available on the Program website.

    Chargers must be registered in a public EV charger database, such as the Alternative Fuels Data Center, to ensure location visibility and accessibility for users. The County will also maintain a geodatabase of all chargers installed via the program.

    Applicant agrees to maintain the EV equipment for at least six (6) years from installation.

    Applicants must retain all project-related records (including financial records, equipment and other personal property receipts, progress reports, payment requests, usage records and usage reports) for ten (10) years after the final payment has been received. The County reserves the right to audit projects and request documentation at any time during this period.

  • Date*
     - -

  • EVCP Final Requirements Form

  • Site Information and Documentation

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  • Confirmation of charger listing on Alternative Fueling Station Locator https://afdc.energy.gov/stations#/station/new

  • Does the site have overnight public access restrictions?*

  • EVCP Final Requirements Form

  • Acknowledgement and Signature

  • By submitting this form, I agree to share data generated by the charging station(s) with the County of San Diego and university research partners.

  • I certify that all submitted costs are true, accurate, and eligible under the EVCP Public Program Guidelines.

  • I certify that the chargers are installed, powered on, and fully operational, and that the site meets the Program’s public accessibility requirements. Chargers are publicly accessible for a minimum of 18 hours per day.

  • I confirm that the chargers will be maintained with an uptime consistent with the EVCP Terms and Conditions (available on the Program website) for a period of 6 years minimum and that failure to maintain equipment may result in repayment of funds.

  • Date*
     - -
  • Should be Empty: