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Confidentiality & Non-Disclosure

Prefill IDs

Transaction ID

All information concerning this RFP, including any related information that is subsequently disclosed by Respondent during the proposal process, is Respondent’s confidential information. CGC will not disclose such information or use it for any purpose other than responding to the RFP without Respondent’s prior written consent, except as required by law. Respondent will not disclose any non-public information in CGC’s response to this RFP, provided that such information is identified as non-public and confidential in the response. Submission of a proposal constitutes acceptance of these terms.

Further, as noted in Section 4.1 of RFP1: Financial Assistance for Qualified Projects or Portfolio of Projects, CGC may be requested to provide responses to this RFP to governmental entities, including, but not limited to EPA, which in turn may be subject to the Freedom of Information Act (FOIA).

Please indicate whether Respondent considers the information in this response to constitute information exempt from disclosure under FOIA as provided in 5 U.S.C. § 552(b), including Confidential Business Information (CBI) exempt from disclosure under FOIA Exemption 4 in 5 U.S.C. § 552(b)(4).

Yes, response constitutes information exempt from disclosure under FOIA as provided in 5 U.S.C. § 552(b).No, response is not considered information exempt from disclosure under FOIA as provided in 5 U.S.C. § 552(b).

If “yes”, please explain briefly.

Preliminary Contact and Identifying Information

Organization Information

Organization Name

Type

Sub-Type

Mailing Address Street

Mailing Address City

Mailing Address State

Mailing Address Zip Code

Primary Contact

First Name

Last Name

Title

Phone Type

Phone Number

Have you engaged with any CGC staff members prior to submission?

YesNo

Please specify:

Have you spoken to any other funders (including other green banks and/or GGRF recipients) about this opportunity?

YesNo

Please specify:

Respondent's Experience and Qualifications

Instructions: Please provide an overview of your organization, experience, and qualifications as indicated below. If an off-the-shelf file, such as a pitch deck, contains the requested information below, please provide that file as an attachment and cite the relevant portion of the attachment in your response.

Organization Overview. In no more than 300 words, provide an overview of your organization and your team for this project.

Brief Biography - Key Team Member #1. Provide an overview of key team member’s biography and expertise in no more than 150 words (optional).

Brief Biography - Key Team Member #2. Provide an overview of key team member’s biography and expertise in no more than 150 words (optional).

Brief Biography - Key Team Member #3. Provide an overview of key team member’s biography and expertise in no more than 150 words (optional).

Summary of Prior Deal Lists (No more than 10). 100 word max per prior project and/or financing description.

Experience with Similar Undertakings as Proposed Investment. In no more than 300 words, describe your experience with similar undertakings as the proposal

As applicable, please provide any materials that provide an overview of the fields requested related to organizational qualifications. Such files should use the naming convention ApplicantName_Qualifications and indicate clearly the sections that answer the requested fields.

Note: Total file size of all uploads cannot exceed 35 MB and each file cannot be larger than 10 MB. If your file exceeds 10 MB, please upload a file that includes a secure link to access the larger file.

Proposed Financing Terms & Investment Arrangement

Pitch Deck or Investment Proposals. As applicable, please upload a pitch deck or other off-the-shelf document that provides an overview of the investment proposal. Such files should use the naming convention ApplicantName_InvestmentProposal.

In the fields below, please note if the content is already covered in the pitch deck or investment proposal uploaded here.

Project or Portfolio Overview. Please provide a description of the project or portfolio of projects, including a description of the financing structure.

Project or Portfolio Title

Do you have a single project or portfolio of projects?

Please describe briefly the Respondent’s relationship to the project or portfolio.

Investment Product and Transaction Type. Based on the description in Section 2.2 of RFP1: Financial Assistance for Qualified Projects or Portfolio of Projects, select the appropriate investment type.

Other Investment Product or Transaction Type:

Priority Project Category. Based on the description in Section 2.1 of RFP1: Financial Assistance for Qualified Projects or Porfolio of Projects, select the appropriate project category type.

Other Priority Project Category:

Transaction Size. Please specify the amount of financing sought from CGC.

Minimum $1,000,000. Please include all zeroes.

Total Project or Portfolio Cost. Please specify the total cost including all capital sources.

Minimum $1,000,000. Include all capital sources.

Total Project or Portfolio Cost cannot be less than Transaction Size.

Description of Other Capital Providers. Include names, expected costs of capital of other sources of financing, and an overview of their relationship to and involvement in the project. In this description, please specify the amounts and seniority or all components of the capital stack, including the amount and seniority of the investment being sought from CGC.

Target Return. Please specify the interest rate or rate of return or range thereof that CGC is expected to earn on its investment.

Min: 1%. You may submit a single number or range.

Anticipated Closing Date

Anticipated Maturity Date

Will the project benefit from any other forms of federal, state, or local financial assistance, grants, and loans?

Please list the programs.

If the answer to the preceding question is "Yes," do any such incentives contain limitations on utilizing federal grant funds?

Please explain.

Proposed Term Sheet. Please provide a proposed term sheet for this project or portfolio of projects. Such files should use the naming convention ApplicantName_TermSheet.

Project or Portfolio Financial Model. Please provide a project model in an excel format as an attachment. Such files should use the naming convention ApplicantName_ProjectModel.

Transaction Diagrams. Please provide a diagram of the proposed transaction. Such files should use the naming convention ApplicantName_TransactionDiagram.

Qualified Project Threshold

As described in Section 1 of RFP1: Financial Assistance for Qualified Projects or Porfolio of Projects, all transactions under this RFP must support qualified projects. To assist with confirming whether the proposal involves a “Qualified Project, please complete the questions listed below.

Does the underlying project, activity, or technology (hereinafter a “project”) or portfolio of projects reduce or avoid Greenhouse Gas Emissions, consistent with the climate goals of the United States to reduce Greenhouse Gas Emissions 50-52 percent below 2005 levels in 2030, reach 50 percent zero-emission vehicles share of all new passenger cars and light trucks sold in 2030, achieve a carbon pollution-free electricity sector by 2035, and achieve net-zero emissions by no later than 2050?

YesNo

If the answer to the above is "No", does the underlying project, activity, or technology assist communities in their efforts to deploy projects, activities, or technologies that reduce or avoid Greenhouse Gas emissions?

YesNoN/A

Does the underlying project, activity, or technology reduce or avoid emissions of other air pollutants?

YesNo

If the answer to the above is “No”, does the project or portfolio of projects assist communities in their efforts to reduce or avoid other air pollution emissions?

YesNoN/A

Does the project deliver additional benefits in any of the following categories (i.e., in addition to primarily reducing or avoiding emissions of greenhouse gases and other air pollutants):

climate changeclean energy and energy efficiencyclean transportationaffordable and sustainable housingtraining and workforce developmentremediation and reduction of legacy pollutiondevelopment of critical clean water infrastructureNote that the Interim Implementation Guidance for the Justice 40 Initiative provides examples of what each of these benefit categories entail at Section III, Table 1, pages 4-6.

Describe any financing gap that CGC would be fulfilling through this transaction.

Would the proposed project, activity or technology mobilize private capital?

YesNo

Would the proposed project, activity or technology support only commercial technologies, defined as technologies that have been deployed for commercial purposes at least three times for a period of at least five years each in the United States for the same general purpose as the project, activity, or technology?

YesNo

If necessary, provide any additional information as to how the project or portfolio of projects meet the requirements of a qualified project above.

Proposed Project Impact

Environmental and Climate Impact

Does the project or portfolio of projects avoid or reduce emissions directly (through its own performance) or by assisting communities in their efforts to deploy projects activities or technologies that reduce or avoid air pollution?

Avoids or reduces emissions directlyAvoids or reduces emissions by assisting communities in their efforts to reduce or avoid emissions

Greenhouse Gas Emissions Reduction (CO2e) Estimate in metric tons.

metric tons

Please use the EPA AVERT tool to provide an initial estimate. Enter zero if not applicable or estimate not available and use the “Environmental and Climate Impact Narrative” field below to elaborate as needed.

Environmental and Climate Impact Narrative. Detail how the proposed project, activity, or technology may reduce or avoid such emissions through its own performance or through assisting communities in their efforts to deploy projects, activities, or technologies that reduce or avoid such emissions, as well as any associated health benefits.

LIDAC and Geographic Impacts

As described in Section 1 and 2.4 of the RFP1: Financial Assistance for Qualified Projects or Portfolio of Projects, CGC has committed to making at least 50% of its investments in LIDACs and at least 20% of its investments in rural communities. Please answer the questions below to facilitate LIDAC and rural community screening.

Project Address or Location

Project Census Tract

Is the proposed project in a low-income and disadvantaged community (LIDAC) as specified in Section 2.4 of the RFP1: Financial Assistance for Qualified Projects or Portfolio of Projects?

YesNoCEJST is the only qualification applicable for the Justice40 or "J40" initiative. CEJST's website can be found at: https://screeningtool.geoplatform.gov/

If the proposal is for a portfolio of projects, please specify the percentage of the portfolio that would benefit LIDACs. Enter if known.

CEJST is the only qualification applicable for the Justice40 or "J40" initiative. CEJST's website can be found at: https://screeningtool.geoplatform.gov/

If the proposed project is in a LIDAC, or a portion of the proposed portfolio is in a LIDAC, please specify the applicable LIDAC category or categories below.

Properties Providing Affordable Housing

YesNo

CEJST-Identified Disadvantaged Community

YesNo

EJScreen-Identified Disadvantaged Community

YesNo

Geographically Dispersed Low-Income Households

YesNo

Federally Recognized Tribal Entities

YesNo

If applicable, please provide a short narrative describing how the relevant LIDAC criteria is satisfied for the project or portfolio.

Does the project or portfolio target rural communities?

YesNoA county can be considered ‘rural’ if it does not contain a metropolitan statistical area with a population greater than 250,000, and the U.S. Census Bureau does not designate more than 50 percent of the population as ‘urban’.

Workforce and Community Impacts

Estimated number of construction jobs. If the transaction will support more than one project, please estimate jobs across the portfolio.

jobs

Estimated number of operational jobs. If the transaction will support more than one project, please estimate jobs across the portfolio.

jobs

Does the project or portfolio use tools to promote good jobs and community engagement? Please check all that apply.

Workers on project are represented by Collective Bargaining Agreement YesNo Community Workforce Agreement YesNo Project Employer Provides Supportive Services for Workers with Barriers to Employment YesNo	Project Labor Agreement YesNo Project Includes Specific Goals and Efforts to Recruit Workers from LIDACs YesNo
If the project or portfolio uses tools to promote good jobs and community engagement in another way, please briefly explain:

If known, please estimate the number of households that will benefit from the proposed project or portfolio.

Households

Enter digits only with no commas, i.e. '1500'.

Briefly describe the benefits to those households.

Enter N/A if none.

If applicable, please provide an estimate of energy cost savings per household.

Enter digits only with no commas, i.e. '1500'.

If a precise estimate of energy cost savings per household is not available, but cost-savings may be realized, please explain the source of those savings.

Enter N/A if none.

Please describe any community engagement completed to date, and whether such engagement has resulted in a Community Benefits Agreement.

Enter N/A if none.

Please describe how disadvantaged business enterprises and minority businesses enterprises will be considered and supported in the course of this project or portfolio of projects.

Enter N/A if none.

Please describe any community support or opposition to this project or portfolio of projects.

Enter N/A if none.

NCIF and Regulatory Compliance Considerations

Build America, Buy America Act (BABA)

As noted in section 5.1 of RFP1: Financial Assistance for Qualified Projects or Portfolio of Projects, transactions under this RFP may be subject to BABA. To help facilitate BABA compliance, please indicate whether this project fits into any of the categories below.

Listed Infrastructure Projects in 2 C.F.R. 184.4(c) and EPA Guidance:

Airports

YesNo

Structures, facilities, and equipment for roads

YesNo

Intercity passenger and freight railroads

YesNo

Broadband Infrastructure

YesNo

Freight and intermodal facilities

YesNo

Utilities

YesNo

Water Systems, including drinking water and wastewater systems

YesNo

Buildings and Real Property

YesNo

Electrical transmission facilities and systems

YesNo

Structures, facilities, and equipment that generate, transport, and distribute energy including publicly-accessible electric vehicle (EV) charging

YesNo

Public Transportation

YesNo

Dams, Ports, Harbors, and Other Maritime Facilities

YesNo

Structures, facilities, and equipment for highways

YesNo

Is the project infrastructure related?

YesNo

Structures, facilities, and equipment for bridges

YesNo

Analysis of Listed Infrastructure. Please provide a brief explanation of no more than 150 words as to why any of the selected categories above are applicable to this project.

Public Function Analysis

Please also answer the following questions to help determine BABA compliance:

Is the facility hosting the project (or facilities hosting a portfolio of projects) publicly owned and operated?

YesNo

Please explain in no more than 150 words how the facility (or portfolio of facilities) is publicly owned and operated.

Is the facility hosting the project (or facilities hosting a portfolio of projects) privately owned, but operated on behalf of the public?

YesNo

Please explain in no more than 150 words how the facility hosting the project (or portfolio of facilities) is privately owned, but operated on behalf of the public.

Is the facility hosting the project (or portfolio of facilities) a place of "public accommodation" as understood under Title II of the Civil Rights Act of 1964 (e.g., a hotel, restaurant, a movie theater, sports arena)?

YesNo

Please explain in no more than 150 words how the facility hosting the project (or portfolio of facilities) is a place of "public accommodation" as understood under Title II of the Civil Rights Act of 1964 (e.g., a hotel, restaurant, a movie theater, sports arena).

Are the facilities, equipment, or project benefits publicly accessible?

YesNo

Please explain in no more than 150 words how the facilities, equipment, or project benefits are publicly accessible.

Are there any other indicia that the facility is meant to serve the public interests, as opposed to private interest?

YesNo

Please explain in no more than 150 words any other indicia that the facility is meant to serve the public interests, as opposed to private interest.

Davis-Bacon Act Labor Standards

As noted in Section 5.1 of the RFP1: Financial Assistance for Qualified Projects or Portfolio of Projects, this project may be subject to Davis-Bacon Act Labor Standards. To help facilitate compliance, please answer the following question:

Does the proposed project involve financing construction, either in whole or in part?

YesNo

If necessary, please provide more detail in no more than 150 words on how the proposed project involves financing construction, either in whole or in part.

Does the Respondent currently have, or have the ability to formulate, a strategy for complying with Davis-Bacon Act Labor Standards?

YesNoThe Davis-Bacon Act (DBRA) sets out labor standards, including prevailing wages and fringe benefits, and applies to financial assistance provided using GGRF funds. See pp.43-49 of the EPA FAQs for more information

Please explain in no more than 150 words how the Respondent currently has, or will have the ability to formulate, a strategy for complying with Davis-Bacon Act Labor Standards.

Other Disclosures, Attachments & Certifications

Are there any current, threatened (in writing), or pending litigation involving the Respondent, a Project Sponsor, or, to the Respondent’s knowledge, any other relevant party, related to permitting, public involvement, environmental issues, construction defects, fraud, securities fraud, conflict of interest, failure to perform under a local, State, or federal contract, or other charges which may reflect on the Respondent’s, or any Project Sponsor’s, reputation, financial position, or ability to complete the Project?

YesNo

Pending, threatened, or active disputes. In no more than 500 words, disclose any current, threatened (in writing), or pending litigation involving the Respondent, a Project Sponsor, or, to the Respondent’s knowledge, any other relevant party, related to permitting, public involvement, environmental issues, construction defects, fraud, securities fraud, conflict of interest, failure to perform under a local, State, or federal contract, or other charges which may reflect on the Respondent’s, or any Project Sponsor’s, reputation, financial position, or ability to complete the Project.

Permitting Timeline and Strategy. In no more than 500 words, provide an overview of the status and timelines for all required federal, State, and local permits, approvals, or reviews, including any relating to environmental matters. This overview should include the date on which each approval was or is anticipated to be applied for, and the date on which each approval was or is anticipated to be completed or received.

Byrd Anti-Lobbying Certification

If the proposed project involves equity investments or loan-purchasing programs, please upload the required certification as detailed in Section 5.2 of RFP1: Financial Assistance for Qualified Projects or Portfolio of Projects.

Byrd Anti-Lobbying Certification Please upload this certification separately. Certifications should use the naming convention ApplicantName_Byrd.

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