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Okaloosa County BOCC — May 4, 2013 — FTA FFY13 Certifications and Assurances — reading text
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facilities,
c. Your Applicant will maintain its Project equipment and facilities adequately,
d. Your Applicant will ensure that when, during non-peak hours for
transportation using or involving a facility or equipment of a SIB-financed
Project, a fare that is not more than fifty (50) percent of the peak hour fare
will be charged to the following individuals:
(1) A senior,
(2) An individual who, because of illness, injury, age, congenital
malfunction, or other incapacity or temporary or permanent disability
(including an individual who is a wheelchair user or has semi-ambulatory
capability), cannot use a public transportation service or a public
transportation facility effectively without special facilities, planning, or
design,
(3) An individual presenting a Medicare card issued to himself or herself
pursuant to title II of the Social Security Act (42 U.S.C. 401 et seq.), or
(4) An individual presenting a Medicare card issued to himself or herself
pursuant to title XVIII of the Social Security Act (42 U.S.C. 1395
et seq.),
e. When carrying out a procurement under a SIB-financed Project, your
Applicant will comply with the:
(1) General provisions for FTA programs of 49 U.S.C. 5323, and
(2) Third party procurement requirements of 49 U.S.C. 5325,
f. Your Applicant has complied with or will comply with 49 U.S.C. 5307(b), as
amended by MAP-21, because it:
(1) Has made or will make available to the public information on amounts of
its funding requested under the SIB program,
(2) Has developed or will develop, in consultation with interested parties,
including private transportation providers, a proposed Program of
Projects for activities to be funded,
(3) Has published or will publish a Program of Projects in a way that affected
individuals, private transportation providers, and local elected officials
will have an opportunity to examine and submit comments on the
FTA FISCAL YEAR 2013 CERTIFICATIONS AND ASSURANCES
proposed Program of Projects and its performance as an Applicant or
Recipient,
(4) Has provided or will provide an opportunity for a public hearing to obtain
the views of individuals on the proposed Program of Projects,
(5) Has ensured or will ensure that the proposed Program of Projects provide
for coordination of transportation services funded by U.S. DOT under
49 U.S.C. 5336 and the SIB Program with federally funded transportation
services supported by United States Government sources other than
U.S. DOT,
(6) Has considered or will consider the comments and views received,
especially those of private transportation providers, in preparing its final
Program of Projects, and
(7) Has made or will make the final Program of Projects available to the
public,
g. Your Applicant:
(1) Has or will have the amount of funds required for the local share by the
SIB Program, but not less than twenty-five (25) percent of each
capitalization grant,
(2) Will provide the local share funds from approved non-Federal sources,
and
(3) Will provide the local share funds when needed,
h. Your Applicant will comply with the:
(1) The Metropolitan Planning requirements of 49 U.S.C. 5303, as amended
by MAP-21, and
(2) The State Planning requirements of 49 U.S.C. 5304, as amended by
MAP-21,
i. Your Applicant has a locally developed process to solicit and consider public
comment before:
(1) Raising a fare, or
(2) Implementing a major reduction of public transportation, and
j. As required by 49 U.S.C. 5307(c)(1)(L), it will comply with the 49 U.S.C.
5329(d) requirements for a Public Transportation Agency Safety Plan, and
2. As required by 49 U.S.C. chapter 53, your Applicant certifies that it will not seek
reimbursement for interest and other financing costs incurred in connection with
its Project unless:
a. It is eligible to receive Federal funding for those expenses, and
b. Its records demonstrate that it has used reasonable diligence in seeking the
most favorable financing terms underlying those costs, to the extent FTA may
require.
3. To comply with the requirements of 49 U.S.C. 5337(a)(4), your Applicant agrees
that it will adopt a transit asset management plan that complies with 49 U.S.C.
5326(d).
Selection and Signature Page(s) follow.
FTA FISCAL YEAR 2013 CERTIFICATIONS AND ASSURANCES
FTA FISCAL YEAR 2013 CERTIFICATIONS AND ASSURANCES
FEDERAL FISCAL YEAR 2013 CERTIFICATIONS AND ASSURANCES FOR FEDERAL TRANSIT
ADMINISTRATION ASSISTANCE PROGRAMS
(Signature page alternative to providing Certifications and Assurances in TEAM-Web)
Name of Applicant: ____________________________________________________________
The Applicant agrees to comply with applicable provisions of Groups 01 – 24. ______
OR
The Applicant agrees to comply with applicable provisions of the Groups it has selected:
Group Description
01. Required Certifications and Assurances for Each Applicant. ________
02. Lobbying. ________
03. Private Sector Protections. ________
04. Procurement and Procurement System. ________
05. Rolling Stock Reviews and Bus Testing. ________
06. Demand Responsive Service. ________
07. Intelligent Transportation Systems. ________
08. Interest and Finance Costs and Leasing Costs. ________
09. Transit Asset Management and Agency Safety Plans. ________
10. Alcohol and Controlled Substances Testing. ________
11. Fixed Guideway Capital Investment Program (New Starts, Small Starts, and Core Capacity) ________
and Capital Investment Program in Effect before MAP-21.
12. State of Good Repair Program. ________
13. Fixed Guideway Modernization Grant Program. ________
14. Bus/Bus Facilities Programs. ________
15. Urbanized Area Formula Programs and Job Access and Reverse Commute (JARC) Program. ________
16. Seniors/Elderly/Individuals with Disabilities Programs and New Freedom Program. ________
17. Rural/Other Than Urbanized Areas/Appalachian Development/Over-the-Road Bus ________
Accessibility Programs.
18. Public Transportation on Indian Reservations and “Tribal Transit Programs. ________
19. Low or No Emission/Clean Fuels Grant Programs. ________
20. Paul S Sarbanes Transit in Parks Program. ________
21. State Safety Oversight Program. ________
22. Public Transportation Emergency Relief Program. ________
23. Expedited Project Delivery Pilot Program. ________
24. Infrastructure Finance Programs. ________
FTA FISCAL YEAR 2013 CERTIFICATIONS AND ASSURANCES
FEDERAL FISCAL YEAR 2013 FTA CERTIFICATIONS AND ASSURANCES SIGNATURE PAGE
(Required of all Applicants for FTA funding and all FTA Grantees with an active Capital or Formula Project)
AFFIRMATION OF APPLICANT
Name of Applicant: _____________________________________________________________________________
Name and Relationship of Authorized Representative: _________________________________________________
BY SIGNING BELOW, on behalf of the Applicant, I declare that the Applicant has duly authorized me to make these
Certifications and Assurances and bind the Applicant’s compliance. Thus, the Applicant agrees to comply with all
Federal statutes and regulations, and follow applicable Federal guidance, and comply with the Certifications and
Assurances as indicated on the foregoing page applicable to each application its authorized representative makes to the
Federal Transit Administration (FTA) in Federal Fiscal Year 2013, irrespective of whether the individual that acted on
its Applicant’s behalf continues to represent the Applicant.
FTA intends that the Certifications and Assurances the Applicant selects on the other side of this document should
apply, as provided, to each Project for which the Applicant seeks now, or may later seek FTA funding during Federal
Fiscal Year 2013.
The Applicant affirms the truthfulness and accuracy of the Certifications and Assurances it has selected in the
statements submitted with this document and any other submission made to FTA, and acknowledges that the Program
Fraud Civil Remedies Act of 1986, 31 U.S.C. 3801 et seq., and implementing U.S. DOT regulations, “Program Fraud
Civil Remedies,” 49 CFR part 31, apply to any certification, assurance or submission made to FTA. The criminal
provisions of 18 U.S.C. 1001 apply to any certification, assurance, or submission made in connection with a Federal
public transportation program authorized by 49 U.S.C. chapter 53 or any other statute
In signing this document, I declare under penalties of perjury that the foregoing Certifications and Assurances, and any
other statements made by me on behalf of the Applicant are true and accurate.
Signature____________________________________________________________ Date: _________________
Name_______________________________________________________________
Authorized Representative of Applicant
AFFIRMATION OF APPLICANT’S ATTORNEY
For (Name of Applicant): ________________________________________________________________________
As the undersigned Attorney for the above named Applicant, I hereby affirm to the Applicant that it has authority under
State, local, or tribal government law, as applicable, to make and comply with the Certifications and Assurances as
indicated on the foregoing pages. I further affirm that, in my opinion, the Certifications and Assurances have been
legally made and constitute legal and binding obligations on the Applicant.
I further affirm to the Applicant that, to the best of my knowledge, there is no legislation or litigation pending or
imminent that might adversely affect the validity of these Certifications and Assurances, or of the performance of its
FTA Project or Projects.
Signature____________________________________________________________ Date: _________________
Name_______________________________________________________________
Attorney for Applicant
Each Applicant for FTA funding and
