Confidentiality & Non-Disclosure

Prefill IDs

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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

Enter the Doing Business As (DBA) name of the organization.

Company Website

Type

Sub-Type

Mailing Address Street

Mailing Address City

Mailing Address State

Mailing Address Zip Code

Primary Contact

First Name

Last Name

Title

Email

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) about this opportunity?

YesNo

Please specify:

Respondent's Experience and Qualifications

Provide an overview of the organization (i.e., company background, year founded, location, strategy, team) (300 word limit).

Please provide brief biographies of key members of the management team, outlining their relevant experience and expertise as it relates to the proposed transaction.

Brief Biography - Key Team Member #1 (150 word limit)

Brief Biography - Key Team Member #2 (150 word limit)

Brief Biography - Key Team Member #3 (150 word limit)

Please provide an overview of the company's track record with undertakings similar to this proposal (300 word limit).

Qualifications 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.

Qualified Project Threshold

As described in Section 1 of RFP1: Financial Assistance for Qualified Projects or Portfolio of Projects, all transactions under this RFP must support qualified projects.

Does the underlying project, activity, or technology reduce, avoid, or enable the reduction of Greenhouse Gas Emissions?

YesNo

Does the underlying project or activity reduce, avoid, or enable the reduction of other air pollutants?

YesNo

What market gap would CGC's capital help fill in this transaction? Please describe (300 word limit).

Would the proposed transaction mobilize private capital investment?

YesNo

Would the proposed transaction support only commercial technologies?

YesNoNote: In this case, Commercial Technology is defined as classes of 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.

Environmental and Climate Impact

Please provide an estimate for the metric tons of greenhouse gas (GHG) emissions that would be reduced or avoided as a result of this transaction.

metric tons of CO2e

Suggestion: You may use the EPA AVERT tool to provide an initial estimate. Enter zero if not applicable or estimate is not available and use the field below to elaborate as needed.

Please justify calculation for emissions reduction (300 word limit).

Please explain how the proposed project reduces, avoids, or enables the reduction of GHG emissions and/or other air pollutants. If known, please highlight any associated health benefits (300 word limit).

Does the company or project have a plan in place or plans to move towards net-zero?

YesNo

NCIF and Regulatory Compliance Considerations

As noted in Section 5.1 of the RFP1: Financial Assistance for Qualified Projects or Portfolio of Projects, this project may be subject to Build America Buy America (BABA) and Davis-Bacon and Related Acts (DBRA). To help facilitate compliance, please answer the following questions:

What percentage of the project equipment for this transaction is manufactured in the United States?

%

Please enter as a single percentage (%).

Does the organization currently have, or have the ability to formulate, a strategy for complying with DBRA?

YesNoN/AThe 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.

Other Disclosures, Attachments & Certifications

Are there any current or pending legal claims or disputes involving the Respondent, a Project Sponsor, or any other relevant party that could affect the project, including matters related to permitting, environmental issues, construction, fraud, contracts, or overall reputation and financial capacity?

YesNo

If Yes, please explain (500 word limit):

If the proposed transaction 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 the Byrd Anti-Lobbying Certification separately. Files should use the naming convention ApplicantName_Byrd.

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.

Confidentiality & Non-Disclosure

Preliminary Contact and Identifying Information

Organization Information

Primary Contact

Respondent's Experience and Qualifications

Proposed Financing Terms & Investment Arrangement

Qualified Project Threshold

Environmental and Climate Impact

LIDAC and Geographic Impacts

Workforce and Community Impacts

NCIF and Regulatory Compliance Considerations

Other Disclosures, Attachments & Certifications