119-24 Attachment - Community Energy Plan Grant Application.pdf

Community Energy Plan Grant Program Application Packet Program Year 3 Page 7 6 Sustainable Jersey, Community Energy Planning Guide with Model RFP Template for Consultant Services (August 2022), https://www.sustainablejersey.com/fileadmin/media/Actions_and_Certification/Actions/Energy/Sustainable_Jers ey_Community_Energy_Planning_Guide_08.2022.pdf. 7 Sustainable Jersey, https://www.sustainablejersey.com/. 8 Sustainable Jersey, Sustainable Jersey Guideor Suable Energy Communities (March 2022), https://www.sustainablejersey.com/fileadmin/media/Actions_and_Certification/Actions/Energy/SJ_Sustainable_E nergy_Communities_Guide10_2021.pdf. o Stakeholder engagement process o Preparation of Community Energy Plan o Feasibility study for EV charging infrastructure o Feasibility study for solar siting F. Use of Consultants If the Applicant intends to hire a consultant as a part of its CEPG project, once the grant is awarded and the Grantee identifies the consultant, the Grantee must provide a copy of the written agreement with the proposed consultant. Awardees are advised to consult with Sustainable Jersey staff prior to engaging a consultant as part of the Milestones element detailed in Section III.C.i.b. above. Municipalities wishing to utilize the services of consultants should review the Sustainable Jersey Community Energy Plan Guide with Model RFP Template for Consultant Services.6 Sample specifications for consultants in community energy planning: A. Community Energy Plan Community Stakeholder Engagement Process B. Community Energy Plan Development C. Administrative Support (grant reporting, etc.) D. Implementation Plan/Feasibility Study for specific project IV. Sustainable Jersey Technical Assistance and Resources Sustainable Jersey is a non-profit that since 2009 has been providing tools, training, and financial incentives to support communities as they pursue sustainability programs. As a partner with the BPU Office of Clean Energy Equity, Sustainable Jersey will provide technical assistance for both Community Energy Plan Grant Applicants and Grantees with specific commitment to work closely with Overburdened Municipalities.7 To provide this assistance, all Applications and proposed budgets will be shared with Sustainable Jersey. Sustainable Jersey provides resources for Community Energy Planning including: Guide for Sustainable Energy Communities8

Community Energy Plan Grant Program Application Packet Program Year 3 Page 8 9 Sustainable Jersey, Data Center, https://www.sustainablejersey.com/resources/data-center/. 10 Gotham Township, Community Energy Plan (April 2023), https://www.sustainablejersey.com/fileadmin/media/Actions_and_Certification/Actions/Energy/Model_Communi ty_Energy_Plan_for_GOTHAM_TOWNSHIP_June_2023.pdf. 11 Workplan Template Guide. Case studies and best practices of energy initiatives Sustainable Jersey Data Center9 Comprehensive energy data by municipality Model Community Energy Plan10 Sample community energy plan Community Energy Plan Workplan Template11 Workbook for selecting and prioritizing energy initiative Section B: Community Energy Plan Grant Application Form This Application form must be completed in its entirety. Incomplete applications will not be accepted. Attachments should be placed at the end of the Application package. All questions pertaining to the CEPG Program application form should be directed to: community.energy@bpu.nj.gov I. Applicant Contact Information Municipality: ____________________________ County: _______________________ Mailing Address: _______________________________________________________________ Zip Code: _______________ Mayor: ________________________________________________________________ Email: ___________________________________ Phone: _______________________ Primary Municipal Contact for the CEPG (Business Administrator, Municipal Clerk, etc.): _________________________________________________________________________ Title: ___________________________________ Email: ___________________________________ Phone: _______________________ Primary Municipal Fiscal Contact for the CEPG (Municipal Treasurer, Finance Officer, Comptroller, etc.) (please note if same as above): Title: ___________________________________ First Name: ______________________________ Last Name: ____________________ Email: ___________________________________ Phone: _______________________ Municipal Vendor ID #: ______________________________

Community Energy Plan Grant Program Application Packet Program Year 3 Page 9 Section C: Applicant Certification Instructions: Original ink/wet signatures on all certifications are required. All municipal applicants must complete the Application Certification that appears on the next page. The Applicant Certification must be notarized.

Community Energy Plan Grant Program Application Packet Program Year 3 Page 10 Applicant Certification The undersigned warrants, certifies, and represents that: I, (Name)_______________________________________ am the (Municipal Position) _______________ of the Applicant, (Name of Municipality) __________________________ , and have been duly authorized to file this Applicant Certification on behalf of my municipality; and I hereby warrant and certify that the information provided in this application package has been personally examined by me, is true, accurate, complete, and correct to the best of my knowledge based on information personally known to me or upon reasonable inquiry of individuals with such knowledge; and I, on behalf of the municipality named herein, acknowledge that certain information in this application is subject to disclosure under the Open Public Records Act (OPRA), N.J.S.A. 47:1A-1 et seq., and that confidential sensitive and trade secret information should be submitted in accordance with the confidentiality procedures set forth in N.J.A.C. 14:1-12.3; and I, on behalf of the municipality named herein, acknowledge that submission of false information may be grounds for denial of this application, and if any of the foregoing statements are willfully false, am subject to punishment to the full extent of the law, including the possibility of fine and imprisonment. Signature: _______________________________ Date: ___________________ Print Name: ______________________________ Title: ___________________________________ Municipality: ____________________________ County of: _______________________________, State of New Jersey State of New Jersey ) County of :_______________________________ ) ss. City of:__________________________________ ) This Applicant Certification was sworn to and subscribed before me on this ________ day of _________________, 20___ [SEAL] _______________________________________ Notary Signature [STAMP]

Community Energy Plan Grant Program Application Packet Program Year 3 Page 11 Appendix A: Overburdened Municipalities Municipality County Municipality County Municipality County Asbury Park City Monmouth Gloucester City Camden Perth Amboy City Middlesex Atlantic City Atlantic Guttenberg Town Hudson Phillipsburg Town Warren Bayonne City Hudson Haledon Boro Passaic Pine Hill Boro Camden Beverly City Burlington Hamilton Twp Atlantic Plainfield City Union Bridgeton City Cumberland Hi-nella Boro Camden Pleasantville City Atlantic Brooklawn Boro Camden Irvington Twp Essex Prospect Park Boro Passaic Burlington City Burlington Jersey City Hudson Riverside Twp Burlington Camden City Camden Keansburg Boro Monmouth Roselle Boro Union Cape May City Cape May Kearny Town Hudson Salem City Salem Chesilhurst Boro Camden Lakewood Twp Ocean Seaside Heights Boro Ocean City of Orange Twp Essex Lawnside Boro Camden So. Toms River Boro Ocean Clayton Boro Gloucester Lindenwold Boro Camden Sussex Boro Sussex Clementon Boro Camden Lodi Boro Bergen Teterboro Boro Bergen Commercial Twp Cumberland Long Branch City Monmouth Trenton City Mercer Deerfield Twp Cumberland Maurice River Twp Cumberland Union City Hudson Dover Town Morris Millville City Cumberland Upper Deerfield Twp Cumberland East Newark Boro Hudson Mount Holly Twp Burlington Victory Gardens Boro Morris East Orange City Essex New Brunswick City Middlesex Vineland City Cumberland Egg Harbor City Atlantic Newark City Essex West New York Town Hudson Elizabeth City Union North Bergen Twp Hudson West Wildwood Boro Cape May Fairfield Twp Cumberland Passaic City Passaic Westville Boro Gloucester Fairview Boro Bergen Paterson City Passaic Wildwood City Cape May Flemington Boro Hunterdon Paulsboro Boro Gloucester Woodbine Boro Cape May Freehold Boro Monmouth Pemberton Twp Burlington Woodbury City Gloucester Garfield City Bergen Penns Grove Boro Salem Woodlynne Boro Camden Glassboro Boro Gloucester Pennsauken Twp Camden Wrightstown Boro Burlington

Community Energy Plan Grant Program Application Packet Program Year 3 Page 12 Appendix B: Required Attachments Checklist Required Attachments for all Applications Attached? Completed Application (Applicant Contact Information [Section B.i]) □ Yes □ No Application Certification (Section C) □ Yes □ No Executed Municipal Resolution in support of grant application (Resolution Template provided in Appendix C) □ Yes □ No (list optional attachment here) (list optional attachment here) Please check one box in the table below for each required attachment and any optional attachments Note: Additional attachments not reflected in the table above may be required and are identified throughout this application form. Appendix C: Form of Resolution Evidencing Municipal Support of Application Resolution of Support from Local Governing Body Authorizing an Application to the NJCEP Community Energy Planning Grants Program The purpose of this resolution is to affirm that the governing body approves of the municipality’s application for a Community Energy Planning Grant from the New Jersey Board of Public Utilities. A signed and certified resolution must be submitted with the application via email. This is not required language; any standard resolution in support of the application will suffice. The sample resolution is on the following page.

Community Energy Plan Grant Program Application Packet Program Year 3 Page 13 [Municipality] RESOLUTION #________________ RESOLUTION AUTHORIZING THE APPLICATION TO THE NJ CLEAN ENERGY PROGRAM COMMUNITY ENERGY PLANNING GRANT PROGRAM WHEREAS, a sustainable community seeks to ensure that its environmental, economic and social objectives are balanced and mutually supportive; and WHEREAS, [Municipality] strives to assure clean land, air and water for current and future generations; and WHEREAS, New Jersey’s Energy Master Plan: Pathway to 2050 (“EMP”) established that community- level action is necessary to achieve the state’s goal of 100% clean energy by 2050; and WHEREAS, the New Jersey Board of Public Utilities has created a Community Energy Plan Grant program for municipalities to develop a community energy plan to meet the goals of the state’s Energy Master Plan; and WHEREAS, [Municipality] is invested in developing a community energy plan to help the state achieve the goal of 100% clean energy by 2050; and WHEREAS, the Community Energy Plan Grant program will help [Municipality] to plan for and invest in renewable energy and to work towards a better environment for all residents by using the state’s Energy Master Plan (EMP) as a guide to develop sustainable strategies that increase clean energy production, reduce energy use, and cut emissions. THEREFORE, the [Municipality’s Governing Body] of [Municipality] has determined that [Municipality] should apply for the aforementioned Community Energy Planning Grant program; and THEREFORE, [Municipality] will commit to providing staff support for the duration of the Community Energy Planning process, including for gathering of relevant data and for convening at least one public meeting. THEREFORE, BE IT RESOLVED, that [Municipality’s Governing Body] of the [Municipality], State of New Jersey, authorizes the submission of the aforementioned application to the NJBPU Community Energy Planning Grant program. ___________________________ _________________________ Signature Approved Date