SEEP E.O. 21-04

Electric Vehicle Purchase Exemption Form

Process:

1) Agencies complete this web form to request an exemption to E.O. 21-04.

2) Optional: Agency approval contacts will receive an automated email from Smartsheet with instructions on approving or rejecting the exemption request. If you add an agency approval contact, they must approve the request before the SEEP office can process your request.

3) The SEEP office receives and reviews your exemption request. We will respond within 10 business days. We may contact you with additional questions or clarification. Upon approval, you will receive an automated email from Smartsheet informing you that your request has been approved or denied.

4) Proceed with your purchase order either through DES by attaching the email to your communication with DES or through your internal agency process.

Contact Information

Please select the requesting agency.

Only Executive and Small Cabinet agencies requesting a non-Battery Electric Vehicle are covered by E.O. 21-04. If you are not one of these agencies then you do not need to complete this form. Please work directly with DES for your vehicle purchase as appropriate.

Please note, it is best to open the links in a new tab by right clicking on them. Otherwise, the form will reset.

Requester Contact

Please enter your name

Date of Request

mm/dd/yyyy

Requester Email

Requester Phone Number

Phone

Vehicle Information

Please use the web form below to submit an exemption request for a single vehicle or multiple vehicles. Exemption requests for multiple vehicles may only be submitted if the vehicle type and use case are the same.

Will the vehicle be leased from DES (M Plate) or Agency Owned?

DES Leased Vehicle (M Plate)

Agency Owned Vehicle

Date Vehicle Needed

mm/dd/yyyy

Number of Vehicles

How many vehicles are you requested exemptions for? Please note, exemption requests can only be approved when the vehicle type and use case are the same for all vehicles in the request.

What is your preferred type of passenger vehicle?

Vehicle Class

Please consult AFDC's Vehicle Weight Classes & Categories to determine the weight class of your vehicle.

*Note, class 2 is split into the following:

Class 2a: 6,001–8,500 lb (2,722–3,856 kg)

Class 2b: 8,501–10,000 lb (3,856–4,536 kg)

Vehicle Request Information

Describe, in detail, the primary function of each vehicle requested. Please note if the vehicle is used to transport inmates, patients or clients and, if so, how often:

Frequency of Use (days/week)

Miles Travelled (monthly basis)

Miles Travelled (daily use)

On days when the vehicle is driven, how many miles will it travel?

Will this vehicle be used off road?

What counties will this vehicle be used in?

Select Statewide usage if the vehicle will not spend a majority of its time in any group of counties.

Duty Station Information

Will this vehicle's primary duty station be at an a) agency/state owned or leased facility or b) employee's residence?

State owned or leased facility

Employee residence

Exemption Justification

A detailed breakdown of the exemption criteria can be found here.

______________________________________________________________________________________

Cost - The total life cycle cost of a BEV is more than 10% than the cost of a comparable internal combustion engine (ICE) vehicle (not including costs for charging or charging equipment).

______________________________________________________________________________________

Emergency response - The primary use of the vehicle is related to emergency response and a using a BEV would pose a concern to public safety (i.e. active pursuit vehicles for law enforcement or wildland fire response vehicles).

______________________________________________________________________________________

Prohibitive upfits - The vehicle’s use or function requires upfits or modifications that cannot be completed in the BEV options available in the vehicle category on state contract (i.e. truck, SUV, sedan).

______________________________________________________________________________________

Safety - Charging the vehicle in the field is required for regular transport routes and using a BEV would pose a concern to public safety because the vehicle’s primary use is transporting individuals under the agency’s jurisdiction and the expected transport distance would require charging before returning to the duty station.

SEEP reserves the right to engage further with the agency to discuss specifics of the request prior to making a final determination.

______________________________________________________________________________________

Vehicle availability - There is not a BEV option for the vehicle type (i.e. sedan, SUV, truck, van) available on state contract (CARS contract 05916 or Sourcewell contract 13022) at the time of vehicle replacement or procurement.

and

Use or need of the vehicle cannot wait until next available manufacturing order/ delivery dates

______________________________________________________________________________________

Vehicle range and EV charging infrastructure - The vehicle’s primary duty station is in an area that is not within 1 hour or 60 miles (round trip) of a nearby DC Fast Charger, and other charging methods are not sufficient to regularly charge the vehicle between standard operational uses or in the field.

and

Use or need of the vehicle cannot wait until planned nearby EVSE installation is completed.

Is this requested vehicle a replacement?

If yes please provide the year, make, model, odometer reading, and current M Plate number of the vehicle being replaced.

Did you look into swapping a vehicle from elsewhere in your fleet to accommodate a new electric vehicle?

For example, if the request location cannot utilize an EV, but HQ (or another site) can utilize an EV, an ICE vehicle from HQ may be transferred to the request location and a new EV procured for HQ.

Please describe your consideration of the above strategy and why or why not it is not an option for this vehicle request.

Please select the exemption criteria that you are requesting exemption for:

How many years will the vehicle be in service?

Explain the impact on state operations if the exemption request is not approved.

File Upload

Please use this space to upload any files related to your exemption request that you would like SEEP to be aware of.

Drop your files here

Agency Approval

Agency Approval Contact

Optional: Please enter the email address of your Agency Transportation Officer or their approving designee as per your agency process.

If you enter an email, then your agency approval contact will receive an automated email asking for approval. They must approve the request before SEEP is notified of the exemption request. Please communicate with your agency approval contact as necessary.

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