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Okaloosa County BOCC — August 6, 2013 — reading text

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0110112012 to 12/3112012 EXPENSE CATEGORY TOTAL EXPENSE FTA ELIGIBLE EXPENSE Labor (501) 302,289 302,289 Fringe and Benefits (502) 71,706 71,706 Services (503) 82,986 82,986 Materials and Supplies (504) 122,287 122,287 Vehicle Maintenance (504.01) 63,700 63,700 Utilities (505) 11,064 11 ,064 Insurance (506) 52,000 52,000 Licenses and Taxes (507) Purchased Trans~ Service (508) Miscellaneous (509) 2371 2,371 Leases and Rentals (512) 2,400 2,400 Depreciation (513) TOTAL 710,803 710,803 (a) SECTION 5311 GRANT REQUEST Total FTA Eligible Expenses (from Form 8-1 , above) $710,803 (a) Rurat Passenger Fares (from Form 8-2) $60,386 (b) Operating Deficit $650,417 (c) IFTA Eligible Expenses (a) minus Rural Passenger Fares (b)] Section 5311 Request $ 325,208 (d) (No more than 50% of Operating Deficit) Grand Total Revenues (from Form 8-2) $333,805 (e) Note: If Grand Total Revenues (e) exceeds FTA Eligible Expenses (a), reduce the Section 5311 Request (d) by that amount. 6 Packet Pg. 222 PARTB APPLIES TO ALL APPLICANTS FOR OPERATING ASSISTANCE FORM B·2 Name of Applicant: Okaloosa County Board of County Commissioners State Fiscal period requesting funding for, from 01 /01/2012 to 12/3112012 OPERATING REVENUE REVENUE USED AS TOTAL REVENUE CATEGORY FTAMATCH Passenger Fares for Transit Service Total= $60,386 (401) Rural =$60 386 Ibl Special Transit Fares (402) $78,913 School Bus Service Revenues (403) Freight Tariffs (404) Charter Service Revenues (405) Auxiliary Transportation Revenues (406) Non-transportation Revenues (407) Total Operating Revenue $139,299 $0_00 OTHER REVENUE CATEGORY Taxes Levied directly by the Transit System_l408) Local Cash Grants and $121,365 Reimbursements (409) Local Special Fare Assistance (410) Stale Cash Grants and $212,440 Reimbursements (411) State Special Fare Assistance (412) Federal Cash Grants and $290,621 $333,805 Reimbursements (413) Interest Income (414) Contributed Services (430) Contributed Cash (431) Subsidy from Other Sectors of ODerations (440) Total of Other Revenue $624,426 $333,805 GRAND TOTAL $763,725 $333,805 (e) ALL REVENUE 7 Packet Pg. 223 an I( In the bOI( CU'UNfT BOARD OF COUNTY CDMMISSIONERS on (850)851-7200 X4381 FEDERAL TRANSIT AGENCY 11_ OPERATING ASSISTANCE IN SUPPORT OF PUBLIC TRANSPORTATION IN RURAL AREAS HAS NOT BEEN SELECTED BY STATE ON AllY FEDERAL Previous Edttlon UMble. Authorized lor LOC';~~~~' Stllndlrd Fo"" 424 (Rev.9-2003); Prescribed by OMB Clrcullr A·102 8 Packet Pg. 224 All Applicants EXHIBIT A-1 FACT SHEET IF GRANT IS CURRENTLY AWARDED' 1. Number of one-way passenger trips. 55,186 55,500 PER YEAR 2. Number of individuals served 1,275 1,300 (unduplicated). PER YEAR 3. Number of vehicles used for this 11 11 service. ACTUAL 4. Number of ambulatory seats. 132 132 AVERAGE PER VEHICLE (Tolal Ambutalory seals divided by lolat number of fleel vehicles)' S. Number of wheelchair positions. 20 20 AVERAGE PER VEHICLE (Tolal wheelchair posilions divided by lolal number of fleel vehicles) ' 6. Vehicle Miles traveled. 296,029 310,000 PER YEAR 7. Average vehicle hours in operation. 964 1,010 PER DAY 8. Normal vehicle hours in operation. 96 96 PER WEEK 9. Normal number of days in operation. 6 6 PER WEEK 9. Trip length (roundtrip). 5.36 5.59 AVERAGE • Estimates are acceptable. 9 Packet Pg. 225 APPLIES TO ALL APPLICANTS EXHIBIT E Single Audit Act One copy of Okaloosa County's Comprehensive Annual Financial Report was submitted on March 16, 2012. There were no material weaknesses or reportable conditions noted in regard to the Single Audit. 10 Packet Pg. 226 APPLIES TO ALL APPLICANTS EXHIBIT F Federal Certifications and Assurances The last page (Appendix A) of the annual Federal Register Notice that applies to Federal Certifications and Assurances provides applicants with a single signature page on which an applicant and its attorney must certity compliance with the requirements of the various Federal Transit Administration grants or cooperative agreements. The Federal Register Notice is revised annually and is usually available around January I of each year. Applicants may obtain a copy of the current year document through the Internet at http://www.fta.dot.gov/fundinglgrantsfinancing93 .html(then. follow instructions on where to proceed.) If unable to access the form, applicants may contact their FOOT District Office for assistance. The appropriate signed Federal certification/assurance form must be included in the application when it is submitted to the FOOT District Office. GRANT WRITING TIP: All applicants must use the current year form and It must be the actualformfrom FTA. This form cannot be an edited version of a prior year's form or a recreation of the form. The signature page for Federal Certifications and Assurances should be signed by an Individual authorized by the applicant's governing board to sign and submit applications, and its attorney. Blue ink is required as it distinguishes an original signature from a photocopied signature. Federal Certifications and Assurances Required of Each Applicant : • Authority of applicant and its representative • Standard Assurances • Debarment, Suspension, and other Responsibility Matters • Drug Free Workplace Certification • Intergovernmental Review Assurance • Federal Transit Administration Master Agreement • Nondiscrimination Assurance • Assurance of Nondiscrimination on the Basis of Disability Procurement Compliance. A. Applicants for Federal Assistance may signity compliance with the above certifications and assurances by placing an "X" at the top of Appendix A next to the statement that reads: "The Applicant agrees to comply with applicable requirements of Categories 01·24". If an applicant chooses to do this, no additional notation is necessary, except for the signature on the reverse. OR B. The applicant may signity compliance with certifications and assurances applicable only to the Section 5310 Program, specifically, Category XIII, by placing an "X" in Category 0 1, "Certifications and Assurances Required for Each Applicant" (to cover the above·noted items), as well as an "X" in Category 12 entitled "Alcohol Misuse and Prohibited Drug Use" and Category 18 "Nonurbanized Area Formula Program for States." I I A description of the certifications required for the Section 5311 Formula Grants for Rural Areas Program is provided in the annual Federal Register Notice. 11 I Packet Pg. 227 Ff A 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: OKALOOSA COUNTY BOARD OF CCXJm'Y a::M>IISSIONERS The Applicant agrees to comply with applicable provisions of Groups 01 - 24. _X_ OR The Applicant agrees to comply with applicable provisions of the Groups It has selected: Descrintlon 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.

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