Okaloosa County BOCC — January 7, 2014 — FDOT 5311 Grant Application and Resolution

2014 U.S.C. Section 5311 FORMULA GRANTS FOR RURAL AREAS 20.509 OPERATING, CAPITAL, JOB ACCESS, AND REVERSE COMMUTE ASSISTANCE APPLICATION MANUAL FLORIDA DEPARTMENT OF TRANSPORTATION PUBLIC TRANSIT OFFICE  APPLIES TO APPLICANTS FOR OPERATING ASSISTANCE (ONLY) CHECKLIST FOR APPLICATION COMPLETENESS Name of Applicant: OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS Check One: New Applicant Recurring Applicant _ _...!.X~_ _ __ The following documents must be included in section 5311 Operating Assistance Applications in the order listed: v" This checklist v" Applicant's cover letter (use FDOT provided cover letter) v" Two (2) copies of the governing board's Resolution v" Forms B-1 and Form B-2 (Operating and Administrative Expenses & Revenues; Grant Request.) v" Application for Federal Assistance (Form 424, Code 20.509) v" Exhibit A-I: Fact Sheet v" Exhibit E: Single Audit Act, and a copy of the latest completed audit, if applicable Exhibit E-I: Certification of Exemption from Single Audit Act, if applicable v" Exhibit F: Federal Certifications and Assurances v" Exhibit I: FTA Section 5333(b) Assurance v" Exhibit K: Coordinated Public Transit-Human Services Transportation Plan Date Application submitted to Local Clearinghouse Agency January 7, 2014 Additional documents required from New Applicants: Exhibit A - Current System Description. Exhibit B - Proposed Project Description.  STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION GRANT APPLICATION Okaloosa County Board of County Commissioners submits this Application for the Section 5311 Program Grant and agrees to comply with all assurances and exhibits attached hereto and by this reference made a part thereof, as itemized in the Checklist for Application Completeness. Okaloosa County Board of County Commissioners further agrees, to the extent provided by law (in case ofa government agency in accordance with Section 129.07 and 768.28, Florida Statues) to indemnify, defend and hold harmless the Department and all of its officers, agents and employees from any claim, loss, damage, cost, charge, or expense out ofthe non-compliance by the Agency, its officers, agents or employees, with any of the assurances stated in this Application. This Application is submitted on this 7th day of January 2014 with two (2) original resolutions or certified copies of the original resolution authorizing Chairman, Charles K. Windes, Jr. to sign this Application. Okaloosa County By ct ;.d a.u,. >:?uc./v?y Date (f.:2.4<PYJ' ~ 2.0 /4- V Title: Transit Coordinator & Grants Manager  RESOLUTION 14-_ _ A Resolution of the Board of County Commissioners of Okaloosa County, FLORI DA authorizing the signing and submission of a grant application and supporting documents and assurances to the Florida Department of Transportation , the acceptance of a grant award from the Florida Department of Transportation , and expenditure of grant funds pursuant to a grant award. WHEREAS , Okaloosa County has the authority to apply for and accept grants and expend funds pursuant to grant awards made by the Florida Department of Transportation as authorized by Chapter 341 , Florida Statues and/or by the Federal Transit Administration Act of 1964, as amended; NOW, THEREFORE, BE IT RESOLVED BY THE Board of County Commissioners of Okaloosa County, FLORIDA: 1. This resolution applies to Federal Program(s) under U.S.C. Section 5311. 2. The submission of a grant application, supporting documents, and assurances to the Florida Department of Transportation is approved . 3. The Chairman of Okaloosa County Board of County Commissioners is authorized to sign the application , accept a grant award , and expend grant funds pursuant to a grant award, unless specifically rescinded . DULY PASSED AND ADOPTED in regular session this yth day of January, 2014. BOARD OF COUNTY COMMISSIONERS OKALOOSA COUNTY, FLORIDA Charles K. Windes, Jr. , Chairman ATTEST Gary J . Stanford , Deputy Clerk  PARTB APPLIES TO ALL APPLICANTS FOR OPERATING ASSISTANCE FORM B-1 TRANSPORTATION-RELATED OPERATING and ADMINISTRATIVE EXPENSES Name of Applicant: Okaloosa County Board of County Commissioners State Fiscal period requesting funding for, from 01101 /2013 to 12/31120 13 EXPENSE CATEGORY TOTAL EXPENSE FTA ELIGIBLE EXPENSE Labor (501) 321,151 321 ,151 Fringe and Benefits (502) 78,738 78,738 Services (503) 86,559 86,559 Materials and Supplies (504) 131 ,747 131 ,747 Vehicle Maintenance (504.01) 67,500 67,500 Utilities (505) 10,331 10,331 Insurance (506) 54,593 54,593 Licenses and Taxes (507) Purchased Transit Service (508) Miscellaneous (509) 4,032 4,032 Leases and Rentals (512) 2,400 2,400 Depreciation (513) TOTAL 757,051 757,051 SECTION 5311 GRANT REQUEST Total FTA Eligible Expenses (from Form B-1 , above) $757,051 (a) Rural Passenger Fares (from Form B-2) $68,433 (b) Operating Deficit $688,618 (c) [FTA Eligible Expenses (a) minus Rural Passenger Fares (b)] Section 5311 Request $ 344,309 (d) (No more than 50% of Operating Deficit) Grand Total Revenues (from Form B-2) $451,717 *(e) Note: If Grand Total Revenues (e) exceeds FTA Eligible Expenses (a), reduce the Section 5311 Request (d) by that amount.  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 /0112013 to 12/3112013 OPERATING REVENUE REVENUE USED AS TOTAL REVENUE CATEGORY FTAMATCH Passenger Fares for Transit Service Total- $68,433 (401) Rural =$68,433 (b) Special Transit Fares (402) $82,638 School Bus Service Revenues (403) Freight Tariffs (404) Charter Service Revenues (405) Au xiliary Transportation Revenues (406) Non-transportation Revenues (407) Total Operating Revenue $151,071 $0.00 OTHER REVENUE CATEGORY Taxes Levied directly by the Transit System (408) Local Cash Grants and $225,035 Reimbursements (409) Local Special Fare Assistance (410) State Cash Grants and $226,682 Reimbursements (411) State Special Fare Assistance (412) Federal Cash Grants and $294,628 , $451,717 Reimbursements (413) Interest Income (414) Contributed Services (430) Contributed Cash (431) Subsidy from Other Sectors of Operations (440) Total of Other Revenue $746,345 $451,717 GRAND TOTAL $897,416 $451,717 (e) ALL REVENUE  FEDERAL ASSISTANCE construction non-construction COUNTY BOARD OF COUNTY COMMISSIONERS on DO 20-509 TITLE Nonurbanized Formula 12. AREAS AFFECTED BY PROJECT (Cities, Counties, States, etc.) : OPERATING ASSISTANCE IN SUPPORT OF PUBLI C OKALOOSA COUNTY TRANSPORTATION IN RURAL AREAS HAS NOT BEEN SELECTED BY e. g. CORRECT. THE DOCUMENT HAS GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE IF THE ASSISTANCE IS AWARDED. Previous Edition Usable. Authorized for Local Reproduction. Standard Fonn 424 (Rev.9-2003); Prescribed by OMB  Circular A-102 All Applicants EXHIBIT A-1 FACT SHEET IF GRANT IS CURRENTLY AWARDED * 1. Number of one-way passenger trips. 55,142 55,500 PER YEAR 2. Number of individuals served 1,200 1,275 (unduplicated). PER YEAR 3. Number of vehicles used for th is 11 11 service. ACTUAL 4. Number of ambulatory seats. 12 12 AVERAGE PER VEHICLE (Total Ambulatory seats divided by total number of fleet vehicles)· 5. Num ber of wheelchair positions. 2.5 2.5 AVERAGE PER VEHICLE (Total wheelchair positions divided by total number of fleet vehicles) . 6. Vehicle Miles traveled. 315,304 320,000 PER YEAR 7. Average vehicle hours in operation. 1,044 1,060 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). 5.72 5.77 AVERAGE • Estimates are acceptable.  APPLIES TO ALL APPLICANTS EXHIBIT E Single Audit Act One copy of Okaloosa County's Comprehensive Annual Financial Report was submitted on March 22, 2013. There were no material weaknesses or reportable conditions noted in regard to the Single Audit.  APPLIES TO ALL APPLICANTS EXHIBITF 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 certifY 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.) [funable 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 actual form from FTA. Thisform cannot be an edited version of a prior year 'sfarm 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 signifY 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 signifY compliance with certifications and assurances applicable only to the Section 5310 Program, specifically, Category XIII, by placing an "X" in Category 0 I, "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 "Non urbanized Area Formula Program for States." A description of the certifications required for the Section 5311 Formula Grants for Rural Areas Program is provided in the annual Federal Register Notice.  APPENDIX A FEDERAL FISCAL YEAR 2013 CERTIFICATIONS AND ASSURANCES FOR FEDERAL TRANSIT ADMINISTRATION ASSISTANCE PROGRAMS AS OF 12/26/2013 FY 2014 CERTIFICATIONS AND ASSURANCES NOT RELEASED BY FTA: 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 certif'y 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. Certifications and Assurances will be brought back to the BCC for approval if not released by FTA before the agenda deadline. The deadline for submission of this application to FDOT is January 24, 2014.  APPLIES TO ALL APPLICANTS EXHIBIT I FTA Section 5333 (b) Assurance (Note: By signing the following assurance, the recipient of Section 5311 and/or 5311(f) assistance assures it will comply with the labor protection provisions of 49 U.S.C. 5333(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 "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. Dated 01/07/2014 CHARLES K. WINDES, JR., CHAIRMAN (Name and Title of Authorized Representative) (Signature of Authorized Representative) Note: All applicants must complete the following form and submit it with the above Assurance. LISTING OF RECIPIENTS, OTHER ELIGIBLE SURFACE TRANSPORTATION PROVIDERS, AND LABOR ORGANIZATIONS REPRESENTING EMPLOYEES OF SUCH PROVIDERS, IF ANY (See Appendix for Example) 2 1 Site Project by Name, 3 4 Identify Recipients of Description, and Identify Other Eligible Identify Unions (and Transportation Provider (e.g. Recipient, Surface Transportation Providers) Representing Assistance Under this other Agency, or Providers (Type of Employees of Providers Grant. Contractor) Service)' in Columns 1, 2, and 3 Okaloosa County Application for Section Tucker None Board of County 5311 funds for operating Transportation assistance for FY14 for Commissioners OCT to provide public transportation service to residents for rural areas of the county traveling within the rural area and/or to the adjacent urban area and return to rural domicile.  EXHIBIT K Coordinated Public Transit-Human Services Transportation Plan To be completed and signed by an individual authorized by the governing board of the applicant agency and submitted with the grant application. The Okaloosa County Board of County Commissioners certifies and assures to the Florida Department of Transportation in regard to its Application for Assistance under U.S.C. Section 5311 dated January 07, 2014: I) This grant request is derived from a coordinated plan compliant with Federal Transit Administration Circu lar FTA C 9040, IF, 2) The name of this coordinated plan is provided below. Okaloosa County Transportation Disadvantaged Service Plan 3) The agency that adopted this coordinated plan is provided below, Okaloosa County Transportation Disadvantaged Local Coordinating Board 4) The date the coordinated plan was adopted is provided below. June 10,2013 5) The page number ofthe coordinated plan that this application supports. Page (25)  FEDERAL _ CERTIFICATION REGARDING LOBBYING Certification for Contracts. Grants. Loans. and Cooperative Agreements The undersigned certifies, to the best of her or his knowledge and belief, that: (1) No federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress in connection with the awarding of any Federal Contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. (2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress, in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. (3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, cooperative agreements) and that all subrecipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title 31 , U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000.00 and not more that $100,000.00 for each such failure. Chairperson, Cha r les K. Winde s, J r.