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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.
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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
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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
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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.
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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.
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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.
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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.
