Zip Code:
APPROVED NOT APPROVED
Email Address:
Total Voucher Amount Not-to-Exceed $1,800,000Requested Additional Funding Amount Not-to- Exceed $300,000
Provide reason(s) for the additional funding request and how the additional funds will go towards your original project scope and/or project expansion:
C. Total Voucher Amount Requested
Indicate the executed voucher funding amount, the requested additional funding amount, and the total requested amount in voucher funding:
Current Executed Voucher Funding Amount
There is a set-aside fund specifically for current MPV funded projects. MPV Awardees are eligible for up to $300,000 in additional funding for their current funded project without submitting a new voucher application. The additional funds for MPV Awardees may be applied to a variety of eligible activities related to insurance compliance, capital acquisition, planning and operations, administration, outreach and marketing, participation in the Clean Mobility Equity Alliance (CMEA) meetings and other program activities only in support of the project scope outlined in their voucher agreement and/or project expansion request. Awardees must submit an updated financial sustainability plan and a revised budget that justifies the need and use of additional funds based to the Program Administrator for review and approval within 90 business days of receipt of their notification email. Program Administrator will work with each awardee to process their voucher agreement amendment.
Eligible Activities for Additional Funding: Additional set-aside funds can go directly to the Awardee's original project scope and can include for costs such as:
• Insurance compliance.
• Projects going back to their original scope of work/budget worksheet and maintain the number of vehicles they had to decrease because of increase of other costs. • Changing infrastructure type or vehicle model due to supply and demand if corresponds with your original project scope and needs assessment results. • Capital acquisition (including vehicles, micromobility devices, and infrastructure equipment) • Planning and operations activities.
• Outreach and marketing activities associated with conducting community outreach, educational forums, collecting community input, and promoting the service. • Administration activities associated with payment request submissions, insurance compliance, data reporting, printing, record retention, and mailing. • Participation in the CMEA meetings and CMO-related program trainings and networking opportunities. • Travel and lodging costs for participation in the annual Clean Mobility Forums. • Other program activities that support the project scope outlined in your voucher agreement, subject to approval by the Program Administrator and CARB.
Project Expansion: If an Awardee requests additional funds to expand project scope, a written justification is required with supporting documents to demonstrate the additional demand (e.g., documented community feedback, updated needs assessment, etc.).
INSTRUCTIONS:
To request additional funding of up to $300,000, the Awardee shall submit this Mobility Project Voucher Awardees Additional Funding Request within 90 business days of receipt of their
notification email. The Additional Funding Request must be submitted via email to [email protected] or by mail and include the supporting documents:
1. Updated Financial Sustainability Plan
2. Revised Mobility Project Voucher Budget Worksheet
3. If Applicable: Supporting Documentation (e.g., documented community feedback, updated needs assessment, etc.) to demonstrate additional demand for project expansion A. General Information
B. Reason for Additional Funding
Mobility Project Voucher (MPV) Awardees
Additional Funding Request
CMO Mobility Project
Voucher Agreement #:
Mailing Address:
City:
Phone Number:
Lead Applicant (Awardee)
Organization Name:
State:
Must check box below:
I agree that the eligible additional funding will be used directly towards the awarded project's eligible activities only in support of the project scope outlined in the Awardee's Voucher Agreement and/or project expansion and the total voucher award does not exceed $1,800,000 in the Awardee's amended Voucher Agreement.
I certify to the best of my knowledge and belief that this MPV Awardees Additional Funding Request is accurate and complete and all outlays and obligations are for the purposes set forth in the Voucher Agreement:
D. Lead Awardee Attestation and Signature
Signature
Date
Authorized Lead Applicant (Awardee) Name/Title/Organization Print Name
Signature of Authorized Lead Applicant (Awardee)
CMO Program Manager Approval
Date
September 20, 2024
Cesar Hernandez
3/17/25
Cesar Hernandez