Refueling Readiness Plan for Petroleum Terminals - Generator Wiring Project Wisconsin’s Sample Cover Page Application Submission Date: Organization Name: Primary Contact Name (First, Last): Primary Contact Title: Mailing Address: City: Zip: County: Phone: Fax: Email: Employer ID Number (W-9) : Total Project Costs: $ Total Award Requested:$ Signature: Date: Submit completed application by June 15, 2018 at 12:00 PM CDT to: Wisconsin Office of Energy Innovation P.O. Box 7854 Madison, WI 53707-7854 For Internal Use Only Date Received: Reviewed by: A R Score: □ □ Letter Sent Date: Contract Contract Start End Date: Date:
Wisconsin’s Refueling Readiness Plan for Petroleum Terminals - Generator Wiring Project Sample Cover Page Application Submission Date: Organization Name: Primary Contact Name (First, Last): Primary Contact Title: Mailing Address: City: Zip: County: Phone: Fax: Email: Employer ID Number (W-9) : Total Project Costs: $ Total Award Requested:$ Signature: Date: Submit completed application by June 15, 2018 at 12:00 PM CDT to: Wisconsin Office of Energy Innovation P.O. Box 7854 Madison, WI 53707-7854 For Internal Use Only Date Received: Reviewed by: Score: □ A □ R Letter Sent Date: Contract Start Date: Contract End Date:
WIbulkterminalgenerator2017RFPROv9.docx