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

I hereby affirm to the Applicant that it has authority under State, local, or tribal government law, as applicable, to make and comply with the Certifications and Assurances as indicated on the foregoing pages. I further affirm that, in my opinion, the Certifications and Assurances have been legally made and constitute legal and binding obligations on the Applicant. I further affirm to e Applicant that, to the b st of my knowledge, there is no legislation or litigation pending or imminent that ig t a ely affect the v i 'ty of these Certifications and Assurances, or of the performance of its FTA Projec Pr jec . Signarure'__~yc~~~ ____ ~~~~ ___________________________ Date: APRIl. 2, 2013 Name JOHN R IJO>/() Attorney for Applicant Each Applicant for FrA funding and each ITA Grantee with an active Capital or Formula Project must provide an Affirmation of Applicant's Attorney pertaining to the Applicant's legal capacity. The Applicant may enter its signature in lieu of the Attorney's signature, provided the Applicant has on file this Affirmation, signed by the attorney and dated this Federal fiscal year.  APPENDIX A FEDERAL FISCAL YEAR 1013 CERTIFICATIONS AND ASSURANCES FOR FEDERAL TRANSIT ADMINISTRATION ASSISTANCE PROGRAMS AS OF 1/14/2013 FY 2013 CERTIFICATIONS AND ASSURANCES NOT ELEASED BY FTA: From: Rudd, Kathy Sent: Monday, January 07, 2013 6:52 AM To: Rob Mahan; Sharon Kent; Heather Craft; Shawn waalrd~{~::::=t[Qy); Kim Hansen; Kathy Balentine (gtran@falroolntnet); Russell, Marilyn; Sharon Peeler {S/ r , Cc: Strickland, Vanessa; Haley Fussell Subject: FW: 2013 FTA Federal CertiflcatlOns and Assurances The 2013 Federal Certification and Assurance have not been posted, yet e will send them out as soon as FTA releases them. You may go ahead and turn in your applications and complete the CI ater Thanks. xatfr.y 1t1ufa YDO'1'1J3 '1'ranstt 'Programs (850) 330-1549 iat~.n'1if/'H9t.State,p;1!S 1074 :J{wy 90 :rc Cfr.l.puy, 32428 I I t I I Ii ! Ii i 12 !I  APPLIES TO ALL APPLICANTS I EXHIBIT I FTA Section 5333 (b) Assurance (Note: By signing the following assurance, the recipient of Section 5311 and/or 6311(f) assistance assures It will comply with the labor protection provisions of 49 U.S.C. 6333(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 I "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. j i, Dated 01/22/2013 . > r l Note: All applicants must complete the following form and submit It wllh Ihe above Assurance. I ~ LISTING OF RECIPIENTS, OTHER ELIGIBLE SURFACE TRANSPORTATION PROVtDERS, AND LABOR i ORGANIZATIONS REPRESENTING EMPLOYEES OF SUCH PROVIDERS, IF ANY i (See Appendix for Example) ! ! 2 iI 1 Site ProJecl by Name, 3 4 Idenllfy Reclplenbl of eeacrlptlon, and Idenllfy Other Eligible Idenllfy Unlona (and Tranaportatlon Provider (e.g. Reclplenl, Surface Tranlportallon Provide,,) Reprea.nllng f Aa.'atance Under Ihll olher Agency, or Provide" (Type of Employe.. of Provide" I Grant. Conlraclo·rl ServlceY In Columna 1 2 and 3 Okaloosa County Board of County Commissioners Appll.ation (or S..,tlon 5311 (unds (or operating ... Istan.e for FY13 (or OCT to provide public transportation service to residents (or rural areas Tucker Transportation None I ; i of tile county traveling within the rural area andlor to the adjacent urban area and return to rural domicile. 13  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 22.2013: I) This grant request is derived from a coordinated plan compliant with Federal Transit Administration Circular FTA C 9040.IF. 2) The name of this coordinated plan is provided below. Okaloosa County Transportation Disadvantaged Service Plan I 3) The agency that adopted this coordinated plan is provided below. f I\ Okaloosa County Transportation Disadvantaged Local Coordinating Board t· 4) The date the coordinated plan was adopted is provided below. i\ October 24, 2012 I, 5) The page number of the coordinated plan that this application supports. I Page (25) II, , f I ! , ,I iI ,r t iI f ! 14  BOARD OF COUNTY COMMISSIONERS AGENDA REQUEST DATE: January 22, 2013 TO: Honorable Chairman and Members of the Board FROM: Elliot Kampert SUBJECT: Resolution and FYI3 Section 5311 Application DEPARTMENT: Growth Management BCC DISTRICT: All STATEMENT OF ISSUE: The Department of Growth Management requests that the Board authorize the Chairman to sign all grant documents required for the submission of the FY 13 Section 5311 Application to the Florida Department of Transportation (FDOT) by the attached Resolution