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Van Grant Overview

Any public agency or non-profit organization can apply to receive a van. They must agree to use the van to transport people with specific needs (seniors, low-income, youth or people with disabilities) OR to transport goods and supplies to people in need. Organizations applying for a van will need to describe on the application form how they plan to use their van. Their planned uses must meet these requirements.

To apply, organizations must reside in King County Council District 3. If an organization is based outside of District 3 but primarily serves residents within District 3 communities, please reach out to our office directly at Josie.Jackson@kingcounty.gov to discuss your eligibility. Please note that each of the 9 County Councilmembers will have only one van to award and will be running their own application processes. Due to the limited number of vans available, we will not be accepting applications from organizations located outside of District 3 and encourage you to reach out to your Council office directly for their application. The van is 7-passenger minivans (2014 Dodge Grand Caravan SE), with average mileage of 48,020 miles and average value of $10,000.

Please provide complete answers to each of the following questions based on your likely long-term plans by Thursday, March 14th at 11:59 PM PST.

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* 1. Name of Organization

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* 2. Address of Organization

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* 3. Organization phone number

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* 4. Contact person

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* 5. Contact person's email

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* 6. Contact Person's Phone Number

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* 7. Today's Date

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Time

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* 8. What is the mission of your organization?

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* 9. Will the trips on the van be used to exclusively transport customers who are seniors (60 or older), youth (17 or younger), low-income or people with disabilities, or to transport goods and supplies to those groups?  Note: personal care attendants to assist customers are allowed

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* 10. Describe who or what you will be transporting and how you will use the van?

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* 11. Services that only benefit members of the organization may not be eligible.  Please explain how the service will be available to or benefit persons without regard to affiliation with any particular organization.

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* 12. Estimate the number of monthly one-way trips (count round trips as two) that your organization will provide using the van.

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* 13. Please state the estimated mileage you expect to use the van within a 12-month period

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* 14. Is your organization a legally constituted non-profit organization?  Provide copy of IRS certification.

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* 15. Provide proof of insurability by your organization, such as the name of your organization’s automobile insurance agent and insurance carrier.  Proof of insurance under the name of the organization will be required prior to picking up the vehicle.

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* 16. If you would simply like to attach proof of insurance you may do so here.

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* 17. What is the source and amount of your organization’s operating funds that will be available for license, insurance, fuel, maintenance, and other van operating needs?

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* 18. Who will drive the van and what training will the drivers receive?

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* 19. Have you received a King County vehicle in the past three years?  If so, when?

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