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DocuSign Envelope ID:78958EB7-5B02-4CA0-8EAF-F3E892A7B33B <br /> 2019 ROUNNA 3 2 <br /> Clean Fuel Advanced Technology (CFAT) <br /> Statement of Work <br /> Organization Name: Orange County <br /> Project Coordinator(first and last name): Brennan Bouma <br /> Mailing Address: Orange County, Asset Management Services, P.O. Box 8181 <br /> City: Hillsborough <br /> County: Orange <br /> Zip Code: 27278 <br /> Email: bbouma@orangecountync.gov <br /> Telephone: 919-245-2626 <br /> Cell Phone: 919-406-4909 <br /> Fax: 919-640-1873 <br /> Project Locations: Various locations in Chapel Hill and Hillsborough, NC. <br /> Alternate Contact Person (first and last name): Alan Dorman <br /> Alternate Contact Person (telephone). 919-245-2627 <br /> Alternate Contact Person (email): adorman@orangecountync.gov <br /> Applicant Type (public or private): Public <br /> Amount requested ($): $147,247 <br /> Matching funds ($)--minimum 20% of total project cost: $36,812 <br /> Total Project Cost($) (includes both funds requested and matching funds): $184,059 <br /> Percent matching funds of total project cost: 20% <br /> Applicable Project Types and Specifics <br /> 1) Alternative Fuel Vehicle (AFV) Leases <br /> Vehicle type (make, model, year): Chevy Volt 2019 <br /> Dedicated or Bi-Fuel: The Chevy Volt is a bi-fuel plug-in hybrid electric vehicle(PHEV)with a gasoline- <br /> powered range-extending motor. <br /> Number of vehicles: 1 <br /> Estimated or projected per-vehicle annual mileage: 6,000 miles per year <br /> Estimated or projected % miles using alternative fuel (bi-fuel or PHEV applications): 80% <br /> Conventional fuel type (Diesel or Gasoline): Gasoline <br /> Average conventional fuel economy (MPG): 106 mpge(combined) <br /> Average vehicle speed (for Medium and Heavy Duty): nla <br /> Average vehicle road weight(for Medium and Heavy Duty): nla <br /> Alternative fuel station(s)where vehicle(s)will refuel or recharge(street address): <br /> 106 Nash and Kollock St., Hillsborough, NC 27278 <br /> 5) Electric Vehicle Supply Equipment(EVSE) Level 2 and DC Fast Chargers: <br /> Charger type (Level 2 OR PC Fast): Level 2 <br />