Okaloosa County BOCC — December 4, 2012 — 5311 Op App FY13 — reading text

2013 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: ü This checklist ü Applicant’s cover letter (use FDOT provided cover letter) ü Two (2) copies of the governing board’s Resolution ü Forms B-1 and Form B-2 (Operating and Administrative Expenses & Revenues; Grant Request.) ü Application for Federal Assistance (Form 424, Code 20.509) ü Exhibit A-1: Fact Sheet ü Exhibit E: Single Audit Act, and a copy of the latest completed audit, if applicable ____ Exhibit E-1: Certification of Exemption from Single Audit Act, if applicable ü Exhibit F: Federal Certifications and Assurances ü Exhibit I: FTA Section 5333(b) Assurance ü Exhibit K: Coordinated Public Transit-Human Services Transportation Plan Date Application submitted to Local Clearinghouse Agency January 22, 2013 Additional documents required from New Applicants: ____ Exhibit A – Current System Description. ____ Exhibit B – Proposed Project Description. 2  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 of a 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 of the 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 22nd day of January 2013 with two (2) original resolutions or certified copies of the original resolution authorizing Chairman, Don R. Amunds to sign this Application. Okaloosa County By ___________________________________ Date __________________________________ Title: Transit Coordinator & Grants Manager 3  RESOLUTION 13-____ A Resolution of the Board of County Commissioners of Okaloosa County, FLORIDA 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 22th day of January, 2013. BOARD OF COUNTY COMMISSIONERS OKALOOSA COUNTY, FLORIDA Don R. Amunds, Chairman ATTEST Gary J. Stanford, Deputy Clerk 4  RESOLUTION 13-____ A Resolution of the Board of County Commissioners of Okaloosa County, FLORIDA 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 22th day of January, 2013. BOARD OF COUNTY COMMISSIONERS OKALOOSA COUNTY, FLORIDA Don R. Amunds, Chairman ATTEST Gary J. Stanford, Deputy Clerk 5  PART B 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 01/01/2012 to 12/31/2012 EXPENSE CATEGORY TOTAL EXPENSE FTA ELIGIBLE EXPENSE Labor (501) 302,289 302,289 Fringe and Benefits (502) 71,706 71,706 Services (503) 82,986 82,986 Materials and Supplies (504) 122,287 122,287 Vehicle Maintenance (504.01) 63,700 63,700 Utilities (505) 11,064 11,064 Insurance (506) 52,000 52,000 Licenses and Taxes (507) Purchased Transit Service (508) Miscellaneous (509) 2,371 2,371 Leases and Rentals (512) 2,400 2,400 Depreciation (513) TOTAL 710,803 710,803 (a) SECTION 5311 GRANT REQUEST Total FTA Eligible Expenses (from Form B-1, above) $710,803 (a) Rural Passenger Fares (from Form B-2) $60,386 (b) Operating Deficit $650,417 (c) [FTA Eligible Expenses (a) minus Rural Passenger Fares (b)] Section 5311 Request $ 325,208 (d) (No more than 50% of Operating Deficit) Grand Total Revenues (from Form B-2) $333,805 (e) Note: If Grand Total Revenues (e) exceeds FTA Eligible Expenses (a), reduce the Section 5311 Request (d) by that amount. 6  PART B 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 01/01/2012 to 12/31/2012 OPERATING REVENUE REVENUE USED AS TOTAL REVENUE CATEGORY FTA MATCH Passenger Fares for Transit Service Total= $60,386 (401) Rural =$60,386 (b) Special Transit Fares (402) $78,913 School Bus Service Revenues (403) Freight Tariffs (404) Charter Service Revenues (405) Auxiliary Transportation Revenues (406) Non-transportation Revenues (407) Total Operating Revenue $139,299 $0.00 OTHER REVENUE CATEGORY Taxes Levied directly by the Transit System (408) Local Cash Grants and $121,365 Reimbursements (409) Local Special Fare Assistance (410) State Cash Grants and $212,440 Reimbursements (411) State Special Fare Assistance (412) Federal Cash Grants and $290,621 $333,805 Reimbursements (413) Interest Income (414) Contributed Services (430) Contributed Cash (431) Subsidy from Other Sectors of Operations (440) Total of Other Revenue $624,426 $333,805 GRAND TOTAL $763,725 $333,805 (e) ALL REVENUE 7 APPLICATION FOR FEDERAL ASSISTANCE Version 7/03 1. TYPE OF SUBMISSION: Application – place an x in the box Pre-application – place an x in the box [ ] construction [ ] construction [X] non-construction [ ] non-construction 2. DATE SUBMITTED Applicant Identifier 3. DATE RECEIVED BY STATE State Application Identifier 4. DATE RECEIVED BY FEDERAL AGENCY Federal Identifier 5. APPLICANT INFORMATION Legal Name: Organizational Unit: OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS Department: COUNTY GOVERNMENT Organizational DUNS: 613277649 Division: Address: Name and telephone number of person to be contacted on matters involving this application (give area code) Street: 1804 LEWIS TURNER BLVD STE 206 Prefix: MRS. First Name: BRENDA City: FOR WALTON BEACH