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Region 2 Trailer Aerodynamic Improvement Grant Application

Important Notice: Funding for the Region 2 Trailer Aerodynamics Improvement Grant program has closed. Thank you for your participation.
Section 1: Contact Information
Contact First Name Contact Last Name
Company
Address
Address 2
City State   Zip Code
Phone Mobile #
Email Address
Vocation
States Traveled
US Citizenship
Minority Business Woman Owned Business
For more information regarding MBE/WBE go to http://www.epa.gov/osbp/pdfs/dbe/mbe_wbe_certification.pdf

Section 2: Project Information
I'm interested in the following Trailer Aerodynamics improvements technologies:
Advanced Aerodynamic Side Skirts (-5% savings)
Advanced Trailer End Fairing (~5% savings)
Trailer Gap Reducers (~1% savings)
(If you selected CSS Financing Options you will need to complete a credit application, which is reviewed separately from the rebate application). CREDIT APPLICATION

Section 3: Trailer Information
Add trailer information below.
ID: 0
Make Year
Model
VIN Number   Serial #
License Plate # State Registered
Annual miles within Region 2 (New York/New Jersey)
 
 

Section 4: Project Owner Statement
1. I understand that this application does not guarantee a rebate for my project and that applications will be processed in the order that they are received.

2. I understand that Cascade Sierra Solutions’ (CSS) approval and certification of my project is for rebate purposes only. CSS does not guarantee or in any way ensure the performance of any equipment, the quality of any system or the reliability of any dealer.

3. I agree that the project will comply with all local, state and federal requirements. I will obtain all necessary permits.

4. I will permit CSS, U.S. Environmental Protection Agency or its agents to inspect the project at its discretion to make sure the project qualifies for the rebate. I understand that if I give false information about the project, or if I refuse to permit CSS, U.S. Environmental Protection Agency or its agents to inspect the project, I will not get the rebate.

5. I understand that CSS does not endorse any company that requests information on this application and does not sell information as a mailing list.

6. I hereby (a) release CSS and its officers, employees, and agents, and agree to defend and indemnify the foregoing from and against any claims, demands, or costs (including attorney and expert witness fees at trial and on appeal) arising from or in any way related to claims made by applicant or any parent or subsidiary of applicant and which are related in any way to CSS’ approval or disapproval of the rebate; and (b) agree to reimburse CSS for any damages, costs and expenses, including, but not limited to attorney fees and reasonable expenses for staff and legal counsel incurred as a result of, or arising from or in any way related to the applicant obtaining rebate by fraud or misrepresentation.

7. I understand that the sum of all financial incentives and the rebate cannot exceed the total eligible project cost.

8. I verify that the project owner does not restrict membership, sales, or services on the basis of race, color, creed, religion, national origin, sexual preference or gender.

9. I have completed this form to the best of my knowledge and have not altered any of these statements.

10. I certify that I am the project owner or the authorized agent. By signing this Statement, I acknowledge that I have read and agree with the terms and conditions of the Project Owner Statement and have not altered any part of the Statement.

Signature: ________________________________________    Title: ____________________
Print Name: _______________________________________    Date: ____________________
NOTE: Signature is required if application is mailed or faxed to Cascade Sierra Solutions. By submitting the application through the online system, applicant acknowledges that he/she has read and agrees with the terms and conditions of the Project Owner Statement.

Type the characters you see in the picture to confirm:

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