DAQ-2024-007661

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
1/5/2023 $67,191.71
$67,191.71
Reviewed and Approved By: Date:
Mat Carlile
Andrea Riddle
Project completed: August 28, 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($67,191.71) at 70 North 100 East
Castledale, 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-Castledale ___

Award Amount (verify that the requested amount does not exceed total amount reimbursed to UDOT
pursuant to the Volkswagen Eligible Mitigation Action Agreement Between State of Utah, Department of
Transportation and State of Utah, Department of Environmental Quality, #201217, effective December
18, 2019, as amended March 23, 2022): $_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): 70 North 100 E Castledale, UT 84513
Actual address of EVSE location(s): 70 North 100 E Castledale, UT 84513
Bid amount: $128,458.62, with VW paying $68,458.62 of the project.
Invoice amount $128,791.71, with VW paying $67,191.71 because of Rocky Mountain Power grant
of $60,000 for this site. The original bid amount for the install at this location was $146,672.84. That
amount was made up of $13,400 in power upgrades and $133,272.84 in Verdek install costs. The
actual costs to install the EV Chargers at this location was $158,719.46 for an increase in cost of
$12,046.62. Additional costs associated with the power upgrades accounted for $17,646.62. These
additional costs were associated with the additional supply costs and costs due to the COVID-19
Pandemic. Reduction in cost associated with Verdek actual installation costs accounted for $4,000.
Costs associated with Verdek related improvement/repairs, increased by $857.31, due to the
uncertainty decreased by
$4,857.97, due to profit percentage not being taken from cost of charging equipment &
cloud/warranty service.

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 April 1, 2020 (See Castle Dale Session Data) ;
The date the EVSE was placed into August 28, 2020 (See Castle Dale 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: .5 hours a day 172 days a year (See Castle Dale Session Data).
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? The original bid
amount for the install at this location was $146,672.84. That amount was made up of $13,400 in
power upgrades and $133,272.84 in Verdek install costs. The actual costs to install the EV Chargers at
this location was $158,719.46 for an increase in cost of $12,046.62. Additional costs associated with
the power upgrades accounted for $17,646.62. These additional costs were associated with the
additional supply costs and costs due to the COVID-19 Pandemic. Reduction in cost associated with

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.
Verdek actual installation costs accounted for $4,000. Costs associated with Verdek related
improvement/repairs, increased by $857.31, due to the
terrain. Reduction of Verdeck profit cost decreased by $4,857.97, due to profit percentage not being
taken from cost of charging equipment & cloud/warranty service.

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
o If yes, did the invoice include shipping? Yes, however, VW funds will not reimburse for
shipping costs because UDOT used the Verdek State Cooperative Agreements where
shipping costs are not allowed.

Amount authorized for reimbursement: =$67,191.71
With this authorized amount, the total amount reimbursed to UDOT to date = $806,340.04

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 #
70 North 100 E
Castledale, UT 84513
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 84685
Shipping $1,600.00 $1,600.00 Shipping $1,600.00 $1,600.00 84685
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 84685
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 84685
Mobilzation $1,100.00 $1,100.00 $0.00 MOBILIZATION $9,536.11 $9,536.11 $0.00 84685
Design/
Equipment
$2,769.00 $2,769.00 $0.00 DESIGN EQUIPMENT $2,769.00 $2,769.00 $0.00 84685
Related
Improvements/R
epairs
$4,200.00 $4,200.00 $0.00 RELATED
IMPROVEMENTS/REPAIRS
$4,200.00 $4,200.00 $0.00 84685
Electrical
Materials
$2,095.00 $2,095.00 $0.00 ELECTRICAL MATERIALS $2,095.00 $2,095.00 $0.00 84685
Commissioning
System
$648.00 $648.00 $0.00 COMMISSIONING SYSTEM $648.00 $648.00 $0.00 84685
Overhead $1,946.05 $1,946.05 $0.00 OVERHEAD $1,946.05 $1,946.05 $0.00 84685
Profit $540.57 $540.57 $0.00 PROFIT $540.57 $540.57 $0.00 84685
Subtotal (Verdek) $110,458.62 $110,458.62 $0.00 Subtotal (Verdek) $118,894.73 $117,294.73 $1,600.00
Rocky Mountain
Power
Provide 3 phase
power 277/480
to EV charging
station for
udot at 70 North
100 E Castledale,
$18,000.00 $18,000.00 $0.00 Provide 3 phase power
277/480 to EV charging
station for
udot at 70 North 100 E
Castledale, UT 84513.
$9,896.98 $9,896.98 $0.00 6828217
Subtotal Upgrades $18,000.00 $18,000.00 $0.00 Subtotal Upgrades $9,896.98 $9,896.98 $0.00
Estimated Grand
Total
$128,458.62 $128,458.62 $0.00 Estimated Grand Total $128,791.71 $127,191.71 $0.00
RMP Funds -$60,000.00 RMP Funds -$60,000.00
$68,458.62 $67,191.71Grand Total Payment amount for Project Grand Total Payment amount for Project
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:
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
$118,894.73
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 $118,894.73
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
118894.73000 EA $118,894.73
84685 1 09-14-2020
$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 - Castle Dale Museum
AP01 $118,894.73
Name Date 4/28/2020
Request # 6828217
Address WO # 6828217
City SLC State UT ZIP 84114 Acct # 56412930 004
Site ID # 463173435 001
Email Employee: P09622
Qty Unit Price TOTAL
1.0 $9,896.98 $9,896.98
TOTAL $9,896.98
Invoice costs are valid for only 90 days from invoice date!
Please remit payment to address at top of invoice.
Price Office
UDOT STRATEGIC INVESTMENTS
2011 S Highway 10
Price, Utah 84501-4502
Attention: L MC
4501 S 2700 W # 143600
Description
Provide 3 phase power 277/480 to EV charging station for
udot at 70N 100 E Castledale UT.
Office Use Only
PRO FORMA INVOICE
Customer
uCalc - Invoice Version 27Apr20
Page:of
STATE OF UTAH
05-19-2020
1 May 19, 2020
rvanallen
rvanallen
$9,896.98
1
2011 S HIGHWAY 10
false
05/19/20
Check
VC0000100532
PRICE, UT 84501-4502 US
$9,896.98ROCKY MOUNTAIN POWER
1 $9,896.98
2800 6816810 7203 XED 73261 10U UDOT
ACCT# 56412930 004
AP01
6828217 1 04-28-2020
Castle Dale 1

Castle Dale 2 CPE250 Station