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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
