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

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.