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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

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