DAQ-2024-007668

Request For Payment from
VW EVSE
Division of Air Quality
Department of Environmental Quality
State of Utah
195 North 1950 West
Salt Lake City, UT 84116
PAYABLE TO:
SLC, UT 84114
TAX ID:
CHARGE TO: Fund Agency Approp Unit Function Prog Object or BS
2158 480 2158 2113 2VWUDOT 7512
DATE DESCRIPTION TOTAL
10/6/2022 $129,746.47
$129,746.47
Reviewed and Approved By: Date:
Mat Carlile
Andrea Riddle
Project completed: September 18, 2020
Please note that this payment was part of a larger project and that request
is for a portion of the overall cost of the project.
Payment to UDOT for reimbursement for purchase, installation, warranty, and
networking costs for two DC Fast Chargers at 210 West 800 South Richfield
UT. As per the State Cooperative Agreement with Verdek shipping costs will
not be reimbursed on this payment. This payment comes from the Contract
201217 for UDOT through the VW Settlement funds.
Transaction Id:______________________
UDOT #VC0000179400
4501 South 2700 West
Awardee Name: _UDOT-Richfield ___

Award Amount (verify that the requested amount does not exceed this amount): $_1,047,6231

Project Summary
Proposed number of EVSEs (type and quantity of each) Two DC Fast Chargers
Actual number of EVSEs (type and quantity of each) Two DC Fast Chargers
Proposed address of EVSE location(s): 210 West 800 South Richfield, UT 84701
Actual address of EVSE location(s): 210 West 800 South Richfield, UT 84701
Bid amount: $130,362
Invoice amount $131,346.47 UDOT indicated that the final invoice was higher due to costs for
mobilization and power upgrade equipment increasing due to the pandemic. The vendor included
the shipping cost with the cost of the DC Fast charger. The State Cooperative Agreement excludes
shipping costs, and it appears that the vendor had included shipping costs with the costs of the EVSE
units. We are not eligible for reimbursement and will be reducing the reimbursement by $1,600.
Total reimbursement is $129,746.47 ($131,346.47-$1,600=$129.746.47).

Checklist of required documents (Provide a description of any modifications from the original, proposed
project).
A site map showing the location of the EVSE funded by this funding assistance;
Installation start date of the EVSE project 04/20/20 (See email from Devon Tonks October 4,
2022) ;
The date the EVSE was placed into September 18, 2020 (Richfield Session Data)
A photo of the EVSE funded by this funding assistance and placed into service;
The estimated hours per day and days per year the EVSE funded by this funding assistance
will be used: 2 hours a day 340 days a year (see email from Devon Tonks October 4, 2022).
A final purchase invoice for each EVSE, installation, maintenance, and other itemized actual
costs from the Funding Assistance Application. The invoice shall include:
a. the invoice date;
b. the itemized purchase cost for each item or service listed in the competitive bid; and
c. the applicant as the purchaser;
If costs are higher than the original bid, are the increased costs reasonable? Costs for
mobilization and the costs to upgrade the power infrastructure increased due to the
pandemic. Installation costs increase because the vendor's employees were required to
drive in separate vehicles due to social distancing. In addition, installation staff were
required to make multiple trips to the project location. This increase the installation costs
by $683.85 and was identified under mobilization costs. In addition, the costs for the power
infrastructure upgrades increased due to the supply chain issues caused by the pandemic.
The power upgrade cost increased by $300.05.
If items purchased are different from competitive bid did entity document that they meet
procurement rules for changed items (see Terms and Conditions section II B.); and
Proof of payment.
Did the applicant use the State Cooperative Agreement? Yes

1 Please note that this payment was part of a larger project and that request is for a portion of the overall cost of
the project.
o If yes, did the invoice include shipping? Yes

Reviewed by
Mat Carlile _______________
Becky Close________________
Andrea Riddle_______________
Locations Vendors Attachment B-
Bid Item
Application Bid
$
VW $ UDOT $ Finial Invoice Items Contract List Price Final Invoice $ VW $ UDOT $ Invoice #
210 West 800 South
Richfield, UT 84701
CPE250-
ChargePoint
Express 250
$60,850.00 $60,850.00 $0.00 CPE250C-625-CCS1-CDH $74,256.00 $60,850.00 $60,850.00 $0.00 84688
Shipping $1,600.00 $1,600.00 Shipping $1,600.00 $1,600.00
5 Year Warranty
(Assure Plan)/
Network Plan
$34,710.00 $34,710.00 $0.00 CPCLD-ENTERPRISE-DC-5 5yr
Prepaid Enterprise Cloud Plan
$7,424.00 $6,810.00 $6,810.00 $0.00 84688
$0.00 $0.00 EXPRESS-ASSURE5 Express CPE
250 5-yr Prepaid Assure Plan
(per module - 2 modules per
station)
$29,140.00 $27,900.00 $27,900.00 $0.00 84688
Mobilzation $2,190.00 $2,190.00 $0.00 MOBILIZATION $2,873.85 $2,873.85 $0.00 84688
Design/
Equipment
$2,445.76 $2,445.76 $0.00 DESIGN EQUIPMENT $2,445.76 $2,445.76 $0.00 84688
Related
Improvements/R
epairs
$4,609.00 $4,609.00 $0.00 RELATED
IMPROVEMENTS/REPAIRS
$4,609.00 $4,609.00 $0.00 84688
Electrical
Materials
$6,976.54 $6,976.54 $0.00 ELECTRICAL MATERIALS $6,977.00 $6,977.00 $0.00 84688
Commissioning
System
$216.00 $216.00 $0.00 COMMISSIONING SYSTEM $216.00 $216.00 $0.00 84688
Overhead $2,958.71 $2,958.71 $0.00 OVERHEAD $2,958.84 $2,958.84 $0.00 84688
Profit $5,679.87 $5,679.87 $0.00 PROFIT $5,679.87 $5,679.87 $0.00 84688
Subtotal (Verdek) $122,235.88 $122,235.88 $0.00 Subtotal (Verdek) $122,920.32 $121,320.32 $1,600.00
Rocky Mountain
Power
Provide 3 phase
power 277/480
to EV charging
station for
udot at 210 W
800 S Richfield
UT.
$8,126.10 $8,126.10 $0.00 Provide 3 phase power
277/480 to EV charging station
for
udot at 210 W 800 S Richfield
UT.
$8,426.15 $8,426.15 $0.00 6698952
Subtotal Upgrades $8,126.10 $8,126.10 $0.00 Subtotal Upgrades $8,426.15 $8,426.15 $0.00
Estimated Grand Total $130,361.98 $130,361.98 $0.00 Grand Total $131,346.47 $129,746.47 $0.00
Original Bid Final Invoice Amount
Verdek
UPGRADES UPGRADES
STATEMENT
Utah Department of Transportation
4501 S. 2700 W./ BOX 141510
801-965-2494 (for Accts. Receivables)
DATE: , 2020
STATEMENT # 201217-
Department of Environmental Quality
195 N 1950 W
Salt Lake City UT 84116
Customer ID: DEQ-VWGRANT
COMMENTS: Per VW Eligible Mitigation
Action Grant Agreement #
201217 - $ is to be
reimbursed for
EVSE location.
DATE DESCRIPTION AMOUNT BALANCE
0//20 $ $
CURRENT 1-30 DAYS
PAST DUE
31-60 DAYS
PAST DUE
61-90 DAYS
PAST DUE
OVER 90 DAYS
PAST DUE AMOUNT DUE
$ $
REMITTANCE
Statement #201217-
Date
Amount Due $
Amount Enclosed
Make all checks payable to Utah Department of
Transportation. Please include the UDOT coding
block:
Unit
Appr XE
Program 73261
Phase
$ , $
Page:of1 1
STATE OF UTAH PAYMENT REQUEST -
COMMODITY BASED
DOCUMENT TOTAL:
FY:BFY:
DOCUMENT DESCRIPTION:
ENTERED BY:
LAST USER:
CREATION DATE:PERIOD:
PRINT DATE:
2021 3 09-25-2020
lbarker September 25, 2020
lbarker
$122,920.32
Roll Document from 2020 to 2021
DISB TYPE:
VNDR LN:VENDOR NUMBER:
LEGAL NAME:
ADDRESS:
AMOUNT:
HDLG CD:
ALIAS/DBA:
PYMT DT:
SNGL CHK FL:
1
123 Rolling Meadow Rd
Check
true
09/25/20VC219254
Verdek LLC $122,920.32
Madison, CT 06443 US
VNDR INV #:
QTY:
COMM LN: COMM#:
DESCRIPTION:
UNIT: UNIT PRICE: TOTAL: F/A:
VNDR INV LN: VNDR INV DT:
WHSE#:
AGREEMENT REF:
2 25170
Vehicle components & systems including safety & security
122920.32000 EA $122,920.32
84688 1 09-16-2020
$1.00 1
REF TYP:REF ACTG LN:
ACCT LN:
REF COMM LN:
BFY:
REF VNDR LN:
PERIOD:FY:
REF DOC:
LINE AMOUNT:EVENT TYPE:
PRG PRDPHASEPROGMFUND DEPT SOBJUNIT DPT REVAPPR OBJ ACTY FUNCREV BSA
LINE DESC:
1 2021
PartialDO 2002209759810 1 2 1
2800 6816810 7203 XED 73261 10U UDOT
AR2842 - Richfield Admin Office
AP01 $122,920.32
Name Date 4/28/2020
Request # 6698952
Address WO # 6698952
City SLC State UT ZIP 84114 Acct # 66081016001
Site ID # 527667030 001
Email Employee: P09622
Qty Unit Price TOTAL
1.0 $8,426.15 $8,426.15
TOTAL $8,426.15
Invoice costs are valid for only 90 days from invoice date!
Please remit payment to address at top of invoice.
Office Use Only
Richfield, Utah 84701-1839
Attention: LYLE MCMILLAN
4501 S 2700 W # 143600
Description
Provide 3 phase power 277/480 to EV charging station for
udot at 210 W 800 S Richfield UT.
Richfield Operations Center
UDOT STRATEGIC INVESTMENTS
710 North Main St
PRO FORMA INVOICE
Customer
uCalc - Invoice Version 27Apr20
Page:of
STATE OF UTAH
05-06-2020
1 May 06, 2020
rvanallen
rvanallen
$8,426.15
1
710 N MAIN ST
false
05/06/20
Check
VC0000100532
RICHFIELD, UT 84701 US
$8,426.15ROCKY MOUNTAIN POWER
1 $8,426.15
2800 6816810 7203 XED 73261 10U UDOT
ACCT# 66051016001
AP01
6698952 1 04-28-2020
Richfield 1 CPE250 Station

Richfield 2 CPE250 Station