READ ALONGSIDE THE SOURCE
Okaloosa County BOCC — August 6, 2013 — reading text
Part 15 of 25. These parts divide the reading text for browsing; they are not the source document's page numbers.
Machine-extracted text — 01-Agenda Packet.pdf
Machine-extracted OCR text · Review label: Machine produced / unreviewed
Compare this copy with the preserved source. Review labels describe the recorded status of this file; they do not guarantee that the text is error-free. Spacing and line breaks are retained, with long lines wrapped to fit the screen.
Alcohol and Controlled Substances Testing.
II. Fixed Guideway Capital Investment Program (New Starts, Small Starts, and Core Capacity)
and Capitallnvestment Program in Effect before MAP-2 1.
12. State of Good Repair Program.
13 . Fixed Guideway Modernization Grant Program.
14. BuslBus Facilities Programs.
15. Urbanized Area Fonnula Programs and Job Access and Reverse Commute (JARC) Program,
16. SeniorslElderlylIndividuals with Disabilities Programs and New Freedom Program.
17. Rural/Other Than Urbanized Areas/Appalachian DcvelopmentlOver-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.
Packet Pg. 228
1
FTA FISCAL YEAR 2013 CERTIFICATIONS AND ASSURANCES
FEDERAL FISCAL YEAR 2013 FTA CERTIFICATIONS AND ASSURANCES SIGNATURE PAGE
(Required oral) Applicants for ITA funding and all ITA Grantees with an active Capital or Formula Project>
AFFIRMATION OF APPLICANT
Name of Applicant: OKAI.OJSA CCUNTY BOARD OF COUN'lY CGlMISSIONERS
Name and Relationship of Authorized Representative: __OO_N
__R_ AMUND
___ S_,_ C_IlA
_ I_RMAN
_ _______ _
BY SIGNING BELOW. on behalf of the Applican~ 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 (ITA) 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 affums 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 ofp<;l!!nQlOt.l!J'
other statements made by me on behalf of the Applic
Signature'-':=:It::,0,.,...!IC.L&......"""CA_ _ _ -\-,..\-~_ ____jt:,;,I-- - - Date: APRIL 2, 2013
Name CON R AMUNDS
Authorized Representative of Applicant
AFFIRMATION OF APPLICANT'S AITORNEY
For (Name of Applicant): _O_KAl.COS
_ __ A_COUNT'i
_ ___BO_ARD
_ _OF _ _ _~
_ _COUNl'Y ___SS_I_OO_E_RS
_ _ __
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 e Applicant that, to the b st of my knowledge, there is no legislation or litigation pending or
imminent that ig t a ely affect the v i 'ty of these Certifications and Assurances, or of the performance of its
FTA Projec Pr jec .
Signarure'__~yc~~~ ____ ~~~~ ___________________________ Date: APRIl. 2, 2013
Name JOHN R IJO>/()
Attorney for Applicant
Each Applicant for FrA funding and each ITA Grantee with an active Capital or Formula Project must provide an
Affirmation of Applicant's Attorney pertaining to the Applicant's legal capacity. The Applicant may enter its signature
in lieu of the Attorney's signature, provided the Applicant has on file this Affirmation, signed by the attorney and dated
this Federal fiscal year.
Packet Pg. 229
APPENDIX A
FEDERAL FISCAL YEAR 1013 CERTIFICATIONS AND ASSURANCES FOR FEDERAL TRANSIT
ADMINISTRATION ASSISTANCE PROGRAMS
AS OF 1/14/2013 FY 2013 CERTIFICATIONS AND ASSURANCES NOT ELEASED BY FTA:
From: Rudd, Kathy
Sent: Monday, January 07, 2013 6:52 AM
To: Rob Mahan; Sharon Kent; Heather Craft; Shawn waalrd~{~::::=t[Qy); Kim Hansen; Kathy Balentine
(gtran@falroolntnet); Russell, Marilyn; Sharon Peeler {S/ r ,
Cc: Strickland, Vanessa; Haley Fussell
Subject: FW: 2013 FTA Federal CertiflcatlOns and Assurances
The 2013 Federal Certification and Assurance have not been posted, yet e will send them out as soon as FTA
releases them.
You may go ahead and turn in your applications and complete the CI ater
Thanks.
xatfr.y 1t1ufa
YDO'1'1J3 '1'ranstt 'Programs
(850) 330-1549
iat~.n'1if/'H9t.State,p;1!S
1074 :J{wy 90
:rc
Cfr.l.puy, 32428
I
I
t
I
I
Ii
!
Ii
i
12
!I
Packet Pg. 230
APPLIES TO ALL APPLICANTS
I
EXHIBIT I
FTA Section 5333 (b) Assurance
(Note: By signing the following assurance, the recipient of Section 5311 and/or 6311(f) assistance
assures It will comply with the labor protection provisions of 49 U.S.C. 6333(b) by one of the
following actions: (1) signing the Special Warranty for the Non-urbanized Area Program; (2)
agreeing to alternative comparable arrangements approved by the Department of Labor (DOL); or (3)
obtaining a waiver from the DOL.)
The OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS (hereinafter referred to as the
I
"Recipient") HEREBY ASSURES that the ·Special Section 5333 (b) Warranty for Application to the Small
Urban and Rural Program" has been reviewed and certifies to the Florida Department of Transportation that
it will comply with its provisions and all Its provisions will be incorporated into any contract between the
recipient and any sub-recipient which will expend funds received as a result of an application to the Florida
Department of Transportation under the FTA Section 5311 Program. j
i,
Dated 01/22/2013 .
>
r
l
Note: All applicants must complete the following form and submit It wllh Ihe above Assurance.
I ~
LISTING OF RECIPIENTS, OTHER ELIGIBLE SURFACE TRANSPORTATION PROVtDERS, AND LABOR i
ORGANIZATIONS REPRESENTING EMPLOYEES OF SUCH PROVIDERS, IF ANY i
(See Appendix for Example) !
!
2 iI
1 Site ProJecl by Name, 3 4
Idenllfy Reclplenbl of eeacrlptlon, and Idenllfy Other Eligible Idenllfy Unlona (and
Tranaportatlon Provider (e.g. Reclplenl, Surface Tranlportallon Provide,,) Reprea.nllng f
Aa.'atance Under Ihll olher Agency, or Provide" (Type of Employe.. of Provide" I
Grant. Conlraclo·rl ServlceY In Columna 1 2 and 3
Okaloosa County
Board of County
Commissioners
Appll.ation (or S..,tlon
5311 (unds (or operating
... Istan.e for FY13 (or
OCT to provide public
