STATE OF CALIFORNIA

EO B-16-12 PUBLIC SAFETY SPECIAL PERFORMANCE EXEMPTION REQUEST

DGS OFAM 163 (Rev. 09/2022)

DEPARTMENT OF GENERAL SERVICES

OFFICE OF FLEET AND ASSET MANAGEMENT

 


Pursuant to Executive Order (EO) B-16-12 (https://www.ca.gov/archive/gov39/2012/03/23/news17472/index.html), any vehicles requiring special performance requirements necessary for the protection of the public safety and welfare are exempt from the Zero Emission Vehicle (ZEV) purchasing mandate.

Please complete this form providing information demonstrating a specific vehicle meets the criteria for exemption from EO B-16-12 for special performance public safety requirements. Please note, departments must demonstrate that the activities performed by the vehicle are emergency response purposes and the vehicle has special performance requirements needed to conduct those duties. Accordingly, when evaluating the invocation of this exemption for a specific vehicle within its fleet, a state agency must be able to demonstrate that:

    1) The vehicle is an authorized emergency vehicle pursuant to California Vehicle Code 165; and

    2) The vehicle pursuant to California Vehicle Code Section 21055, may be

            a. Driven in response to an emergency call or while engaged in rescue operations, or

            b. Driven in immediate pursuit of an actual or suspected violator of the law,

            c. Driven in response to, but not returning from, a fire alarm, or

            d. Operated from one place to another as rendered desirable or necessary by reason of an emergency call and operated to the scene of the emergency, or

            e. Operated from one fire station to another or to some other location by reason of the emergency call; and

    3) The vehicle must be able to reach the anticipated emergency location within 30 minutes to no more than 1 hour; or

    4) Where emergency response is not the primary purpose of a vehicle, a state agency must be able to demonstrate that the specific vehicle may be used as part of an established mutual aid agreement that would necessitate an emergency response as outlined above.

STATE OF CALIFORNIA

EO B-16-12 PUBLIC SAFETY SPECIAL PERFORMANCE EXEMPTION REQUEST

DGS OFAM 163 (Rev. 09/2022)

DEPARTMENT OF GENERAL SERVICES

OFFICE OF FLEET AND ASSET MANAGEMENT

 


Department Information

STATE OF CALIFORNIA

EO B-16-12 PUBLIC SAFETY SPECIAL PERFORMANCE EXEMPTION REQUEST

DGS OFAM 163 (Rev. 09/2022)

DEPARTMENT OF GENERAL SERVICES

OFFICE OF FLEET AND ASSET MANAGEMENT

 


EO B-16-12 Public Safety Special Performance Exemption Request Information

FAP
Line
Item
#

Make

Model

SAM Section 4121.4
Subdivision 1
CA Vehicle Code
Section 165

SAM Section 4121.4
Subdivision 2
California Vehicle
Code Section 21055
(Code 3 equipped)
Yes/No

SAM Section 4121.4
Subdivision 3
Is the Vehicle's
Primary Function
Emergency Response?
Yes/No

SAM Section 4121.4
Subdivision 3
Is the Vehicle's
Primary Function
Emergency Response?
If Yes, explain

SAM Section 4121.4
Subdivision 4

STATE OF CALIFORNIA

EO B-16-12 PUBLIC SAFETY SPECIAL PERFORMANCE EXEMPTION REQUEST

DGS OFAM 163 (Rev. 09/2022)

DEPARTMENT OF GENERAL SERVICES

OFFICE OF FLEET AND ASSET MANAGEMENT

 


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