Okaloosa County BOCC — August 6, 2013 — Original FDOT 5311 Grant Application January 2013 — reading text

an I( In the bOI( CU'UNfT BOARD OF COUNTY CDMMISSIONERS on (850)851-7200 X4381 FEDERAL TRANSIT AGENCY 11_ OPERATING ASSISTANCE IN SUPPORT OF PUBLIC TRANSPORTATION IN RURAL AREAS HAS NOT BEEN SELECTED BY STATE ON AllY FEDERAL Previous Edttlon UMble. Authorized lor LOC';~~~~' Stllndlrd Fo"" 424 (Rev.9-2003); Prescribed by OMB Clrcullr A·102 8  All Applicants EXHIBIT A-1 FACT SHEET IF GRANT IS CURRENTLY AWARDED' 1. Number of one-way passenger trips. 55,186 55,500 PER YEAR 2. Number of individuals served 1,275 1,300 (unduplicated). PER YEAR 3. Number of vehicles used for this 11 11 service. ACTUAL 4. Number of ambulatory seats. 132 132 AVERAGE PER VEHICLE (Tolal Ambutalory seals divided by lolat number of fleel vehicles)' S. Number of wheelchair positions. 20 20 AVERAGE PER VEHICLE (Tolal wheelchair posilions divided by lolal number of fleel vehicles) ' 6. Vehicle Miles traveled. 296,029 310,000 PER YEAR 7. Average vehicle hours in operation. 964 1,010 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). 5.36 5.59 AVERAGE • Estimates are acceptable. 9  APPLIES TO ALL APPLICANTS EXHIBIT E Single Audit Act One copy of Okaloosa County's Comprehensive Annual Financial Report was submitted on March 16, 2012. There were no material weaknesses or reportable conditions noted in regard to the Single Audit. 10  APPLIES TO ALL APPLICANTS EXHIBIT F 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 certity 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.) If unable 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 actualformfrom FTA. This form cannot be an edited version of a prior year's form 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 signity 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 signity compliance with certifications and assurances applicable only to the Section 5310 Program, specifically, Category XIII, by placing an "X" in Category 0 1, "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 "Nonurbanized Area Formula Program for States." I I A description of the certifications required for the Section 5311 Formula Grants for Rural Areas Program is provided in the annual Federal Register Notice. 11 I  Ff A FISCAL YEAR 2013 CERTIFICATIONS AND ASSURANCES FEDERAL FISCAL YEAR 2013 CERTIFICATIONS AND ASSURANCES FOR FEDERAL TRANSIT ADMINISTRATION ASSISTANCE PROGRAMS (Signature page alternative to providing Certifications and Assurances in TEAM.Web) Name of Applicant: OKALOOSA COUNTY BOARD OF CCXJm'Y a::M>IISSIONERS The Applicant agrees to comply with applicable provisions of Groups 01 - 24. _X_ OR The Applicant agrees to comply with applicable provisions of the Groups It has selected: Descrintlon 01. Required Certifications and Assurances for Each Applicant. 02. Lobbying. 03. Private Sector Protections. 04. Procurement and Procurement System. 05. Rolling Stock. Reviews and Bus Testing. 06. Demand Responsive Service. 07. Intelligent Transportation Systems. 08. Interest and Finance Costs and Leasing Costs. 09. Transit Asset Management and Agency Safety Plans. 10. Alcohol and Controlled Substances Testing. II. Fixed Guideway Capital Investment Program (New Starts, Small Starts, and Core Capacity) and Capitallnvestment Program in Effect before MAP-2 1. 12. State of Good Repair Program. 13 . Fixed Guideway Modernization Grant Program. 14. BuslBus Facilities Programs. 15. Urbanized Area Fonnula Programs and Job Access and Reverse Commute (JARC) Program, 16. SeniorslElderlylIndividuals with Disabilities Programs and New Freedom Program. 17. Rural/Other Than Urbanized Areas/Appalachian DcvelopmentlOver-the-Road Bus Accessibility Programs. 18. Public Transportation on Indian Reservations and "Tribal Transit Programs. 19. Low or No Emission/Clean Fuels Grant Programs. 20. Paul S Sarbanes Transit in Parks Program. 21. State Safety Oversight Program. 22. Public Transportation Emergency Relief Program. 23. Expedited Project Delivery Pilot Program. 24. Infrastructure Finance Programs.  1 FTA FISCAL YEAR 2013 CERTIFICATIONS AND ASSURANCES FEDERAL FISCAL YEAR 2013 FTA CERTIFICATIONS AND ASSURANCES SIGNATURE PAGE (Required oral) Applicants for ITA funding and all ITA Grantees with an active Capital or Formula Project> AFFIRMATION OF APPLICANT Name of Applicant: OKAI.OJSA CCUNTY BOARD OF COUN'lY CGlMISSIONERS Name and Relationship of Authorized Representative: __OO_N __R_ AMUND ___ S_,_ C_IlA _ I_RMAN _ _______ _ BY SIGNING BELOW. on behalf of the Applican~ I declare that the Applicant has duly authorized me to make these Certifications and Assurances and bind the Applicant's compliance. Thus, the Applicant agrees to comply with all Federal statutes and regulations, and follow applicable Federal guidance, and comply with the Certifications and Assurances as indicated on the foregoing page applicable to each application its authorized representative makes to the Federal Transit Administration (ITA) in Federal Fiscal Year 2013, irrespective of whether the individual that acted on its Applicant's behalf continues to represent the Applicant. FTA intends that the Certifications and Assurances the Applicant selects on the other side of this document should apply, as provided, to each Project for which the Applicant seeks now, or may later seek FTA funding during Federal Fiscal Year 2013. The Applicant affums the truthfulness and accuracy of the Certifications and Assurances it has selected in the statements submitted with this document and any other submission made to FTA, and acknowledges that the Program Fraud Civil Remedies Act of 1986, 31 U.S.C. 3801 et seq., and implementing U.S. DOT regulations, "Program Fraud Civil Remedies," 49 CFR part 31. apply to any certification, assurance or submission made to FTA. The criminal provisions of 18 U.S.C. 1001 apply to any certification, assurance, or submission made in connection with a Federal public transportation program authorized by 49 U.S.C. chapter 53 or any other statute In signing this document, I declare under penalties ofp<;l!!nQlOt.l!J' other statements made by me on behalf of the Applic Signature'-':=:It::,0,.,...!IC.L&......"""CA_ _ _ -\-,..\-~_ ____jt:,;,I-- - - Date: APRIL 2, 2013 Name CON R AMUNDS Authorized Representative of Applicant AFFIRMATION OF APPLICANT'S AITORNEY For (Name of Applicant): _O_KAl.COS _ __ A_COUNT'i _ ___BO_ARD _ _OF _ _ _~ _ _COUNl'Y ___SS_I_OO_E_RS _ _ __ As the undersigned Attorney for the above named Applicant,