Okaloosa County BOCC — February 7, 2017 — 2017 5311 Modifications as Requested by FDOT

1.5. FORM B-3: PROOF OF LOCAL MATCH Name of Applicant: Okaloosa County Board of County Commissioners Sources and amounts of local share for the operating assistance being requested: SOURCE: AMOUNT: Transportation Disadvantaged T&E $ 262,814 (Signature of authorized representative) Carolyn N. Ketchel, Chairman (Name and title of authorized representative) Attach documentation of match funds immediately behind this page. Proof may consist of, but not be limited to: Transportation Disadvantaged (TD) allocation, written statements from county commissions, state agencies, city managers, mayors, town councils, organizations, accounting firms and financial institutions. 1.6. FORM B-4: BREAKDOWN OF DIRECT TRANSPORTATION COSTS Are you billing Direct Cost? Yes ~ No X If yes, skip to Form B-5 If operating funding is being requested the applicant must complete one of the two (2) requested sections within Form B-3. The applicant can elect to complete the form using 1) Hourly Rate or 2) Per Trip Rate (one or the other) calculation. Only one rate calculation (hourly operating rate or per trip rate) section must be provided with the grant application. If the applicant has an approved rate by the Commission for Transportation Disadvantaged (TD) for reimbursable service to TD clients include this rate with your application. Hourly Rate Calculation Note: If you elect to use this (hourly rate) calculation do not complete the Per Trip Rate calculation section. Operating Expenses (Operating Budget) EXPENSE EXPENSE ITEM AMOUNT § Driver Wages and Benefits $666,660 Other Wages 295,559 Fringe 199,508 Cost of Leases (Vehicles, Equipment, Infrastructure, etc.) 2,352 Fuel 210,000 Maintenance 154,000 Insurance 222,467 Other 235,395 TOTAL EXPENSES $1,985,943(a) Operating Revenues REVENUE REVENUE ITEM AMOUNT $ Federal Grants or Subsidies $ 898,419 State Grants or Subsidies 787,101 Local Grants or Subsidies 52,340 Revenues from Advertising or Similar 16,800 Program Income 119,000 Farebox 112,283 TOTAL REVENUE $ 1,985,943 (b) Net Transportation Cost Total Expenses (a) $1985943 —Total Revenues (b)$112,283 = Net Transportatio Hours Per Year 55,055 (d) Hourly Rate Net Transportation Cost $1873660 / Service Hours Per Year (d) 55,055 = Hourly Rate $34.03 Total Project Cost Number of vehicles x Hours each day x Number of days per year x Hourly rate (e) = Total Project Cost (f) M-F: 19 (average) x 16 x 252 x 36.07 = $2,763,250 Sat: 6 x 12 x 52 x 36.07 = $135,046 Estimate Farebox Revenues Use the yearly reported farebox recovery ratio to calculate the estimated farebox revenues. The farebox recovery ratio is the amount of operating expenses that are recovered by passenger fares. The farebox recovery ratio is calculated by dividing the farebox revenue by the total operating expenses. Total Project Cost (f) x Farebox Recovery Ratio = Estimated Farebox Revenue (g) Net Project $1985943 x 5.7% = $112,283 Cost Total Project Cost (f) - Farebox Revenue (g) = Net Project Cost (h) $1985834 - $112283 = $1873660 Net project Cost FDOT or FTA Contribution (50% of Net Project Cost) Net Project Cost (h) x 50% (.50) = FDOT or FTA Contribution (i) $1873660 x .50 = $936830 FDOT or FTA Contribution Per Trip Rate Calculation Note: If you elect to use this (per trip rate) calculation do not complete the Hourly Rate calculation section. Operating Expenses (Operating Budget) EXPENSE EXPENSE ITEM AMOUNT § Driver Wages and Benefits Cost of Leases (Vehicles, Equipment, Infrastructure, etc.) Fuel Maintenance Other (Modify the form to list all that apply) TOTAL EXPENSES (a) Operating Revenues REVENUE REVENUE ITEM AMOUNT § Federal Grants or Subsidies State Grants or Subsidies Local Grants or Subsidies Revenues from Advertising or Similar Other (Modify the form to list all that apply) TOTAL REVENUE (b) Net Transportation Cost Total Expenses (a) — Total Revenues (b) = Net Transportation Cost (c) Service Trips Per Year (d) Rate Per Trip Net Tra