Okaloosa County BOCC — November 15, 2016 — 5339 Application FFY2017 — reading text

DESCRIPTION 1. How will a grant award be used? More hours? Larger geographic area? Shorter headways? More trips? Please explain in detail. 2. If a grant award will be used to construct bus related facilities specifically explain how it will be used in the context of total service. 3. If this grant application is for a vehicle/equipment, provide a detailed explanation of the need for the vehicle and provide evidence of the need. 4. If the grant application is for a vehicle/equipment, is the intent to replace existing vehicles/equipment or purchase additional vehicles/equipment? Provide details. 5. Identify any vehicles/equipment being replaced and list them on the “Current Vehicle and Transportation Equipment Inventory” form. 6. If the grant application is for a vehicle/equipment, describe how vehicles will be maintained without interruptions in service (who, what, where, and when). 7. If the grant application is for a vehicle/equipment and if the vehicles and/or equipment are proposed to be used by a lessee or private operator under contract to the applicant, identify the proposed lessee/operator. a. Include an equitable plan for distribution of vehicles/equipment to lessees and/or private operators. 8. How are you providing a service that the CTC cannot? Provide detailed information supporting this requirement. 9. Who will drive the vehicle, number of drivers, CDL certifications? 10. If the grant application is for bus related facilities, please provide any pertinent documents that may be on record, to make a determination on such things as reasonableness of cost, sufficiency of preliminary engineering and design work completed. 11. If the grant application is for bus related facilities, please provide a full, detailed scope of the project, including but not limited to a project schedule, construction days, method of procurement, etc. Note: If the grant application is for bus related facilities, the project activities must be sufficiently described to assist the reviewer in determining eligibility under this program. Florida Department of Transportation – 5339 Application– FFY17 7  EXHIBIT C: PUBLIC HEARING Attach a copy of the notice of public hearing and an affidavit of publication here. PUBLIC NOTICE – SAMPLE All interested parties within (counties affected) are hereby advised that (public agency) is applying to the Florida Department of Transportation for a capital grant under Section 5339 of the Federal Transit Act of 1991, as amended, for the purchase of (description of equipment) to be used for the provision of public transit services within (defined area of operation) . A Public Hearing has been scheduled at (date, time, location) , for the purpose of advising all interested parties of service being contemplated if grant funds are awarded, and to ensure that contemplated services would not represent a duplication of current or proposed services provided by existing transit or paratransit operators in the area. This hearing will be conducted if and only if a written request for the hearing is received by (two days prior to the scheduled hearing). Requests for a hearing must be addressed to (Public Agency name and address) and a copy sent to (name and address of appropriate FDOT District Office.) Florida Law and Title VI of the Civil Rights Act of 1964 Prohibits Discrimination in: Public accommodation on the basis of race, color, religion, sex, national origin, handicap, or of marital status. Persons believing they have been discriminated against on these conditions may file a complaint with the Florida Commission on Human Relations at 850-488-7082 or 800-342- 8170 (voice messaging) Florida Department of Transportation – 5339 Application– FFY17 8  FORM C-1: OPERATING AND ADMINISTRATIVE EXPENSES Name of Applicant: ______________________________________________________ Applicant Fiscal period start and end dates: ____________ to __________________ State Fiscal period from July 1, 2017 to June 30, 2018 EXPENSE CATEGORY EXPENSE $ Labor (501) $ Fringe and Benefits (502) Services (503) Materials and Supplies (504) Vehicle Maintenance (504.01) Utilities (505) Insurance (506) Licenses and Taxes (507) Purchased Transit Service (508) Miscellaneous (509) Leases and Rentals (512) Depreciation (513) TOTAL EXPENSE $ Florida Department of Transportation – 5339 Application– FFY17 9  FORM C-2: OPERATING AND ADMINISTRATIVE REVENUES Name of Applicant: ______________________________________________________ Applicant Fiscal period start and end dates: ____________ to __________________ State Fiscal period from July 1, 2017 to June 30, 2018 OPERATING REVENUE CATEGORY REVENUE $ Passenger Fares for Transit Service (401) Special Transit Fares (402) Other (403 – 407) (identify by appropriate code) TOTAL OPERATING REVENUE $ OTHER REVENUE CATEGORY Taxes Levied Directly by the Transit System (408) Local Cash Grants and Reimbursements (409) Local Special Fare Assistance (410) State Cash Grants and Reimbursements (411) State Special Fare Assistance (412) Federal Cash Grants & Reimbursements (413) Interest Income (414) Contributed Services (430) Contributed Cash (431) Subsidy from Other Sectors of Operations (440) TOTAL OF OTHER REVENUE $ GRAND TOTAL ALL REVENUE $ Florida Department of Transportation – 5339 Application– FFY17 10  FORM C-4: CURRENT VEHICLE AND TRANSPORTATION EQUIPMENT INVENTORY (A) Name of Applicant: _________________________________ Date of Inventory: _______________ FDOT Ramp or Seats & W/C Avg. Vehicle Status Expected Other Model Make/size control # lift positions miles/ Current (Active/Spare/ retirement equipment Funding Yr. (b) /type (C) or VIN (d) (specify) (i.e. 12+2) Yr. Mileage Other) date (e) source (f) (a) Applicants must use this form. (b) Identify vehicles to be replaced with this or other grant by placing an asterisk (*) next to the model year. In Exhibit B of the application, provide the name of the lessee or contractor, if applicable. (c) For example, Ford 22’ bus; Dodge converted van. (d) Show FDOT control number OR VIN if bought with grant through FDOT. If bought through other funding, list the complete VIN. (e) Include computer hardware and software, copiers, printers, mobile radios, communication systems, etc. (f) Identify the grant or other funding source used for purchasing the vehicle/equipment. Florida Department of Transportation – 5339 Application Manual – FFY17 11  FORM C-5: CAPITAL REQUEST VEHICLE REQUEST Name of Agency: _____________________________________ R or E (a) Quantity Description (b) Estimated www.tripsflorida.org Cost Sub-total $ (a) Replacement (R) or Expansion (E). (b) Provide a brief description including the length and type vehicle, type of fuel, lift or ramp, number of seats and wheelchair positions. For example, 22’ gasoline bus with lift, 12 ambulatory seats, and 2 wheelchair positions. Do not show the Make. Any bus options that are part of purchasing the bus itself should be part of the vehicle request and NOT separated out under equipment. EQUIPMENT REQUEST If item requested is after-market, it is recommended to gather and retain at least two estimates for the equipment requested. Purchases must be approved at the local level and follow Procurement Guidelines. Number Description (c) Estimated Cost requested Sub-total $ (c) Show mobile radios and identify the type of radio (i.e. two way radio or stereo radio), computer hardware/software, etc. under “Equipment Request.” VEHICLE SUBTOTAL $ + EQUIPMENT SUBTOTAL$ =$ (x). (x) X 80% = $ _____________ [This equals the Federal request. Show this amount on Form 424 in block 18(a)] Florida Department of Transportation – 5339 Application Manual – FFY17 12  EXHIBIT D: LEASING MEMORANDUM for FTA 5339 Date: __________________ From: ________________________________ ________________________ (Typed name and title) (Signature) ________________________________ (Typed or printed agency name) To: Florida Department of Transportation, District Office Modal Development Office / Public Transit Subject: YEAR 2017 GRANT APPLICATION TO THE FEDERAL TRANSIT ADMINISTRATION, CAPITAL GRANTS FOR NON URBANIZED AREAS PROGRAM, 49 UNITED STATES CODE SECTION 5339 Leasing Will the ____________________________, as applicant to the Federal Transit (Name of applicant agency) Administration Section 5339 Program, lease the proposed vehicle(s) (or any other equipment that may be awarded to the Applicant) to a third-party? ___ Yes ___ No If yes, specify to whom: ________________________________________________________ ________________________________________________________ NOTE: It is the responsibility of the applicant agency to ensure District approval of all lease agreements. Florida Department of Transportation – 5339 Application– FFY17 13  EXHIBIT E: FEDERAL CERTIFICATIONS AND ASSURANCES Please attach Federal Certifications and Assurances signature page here. EXHIBIT F: CERTIFICATION OF EQUIVALENT SERVICE CERTIFICATION OF EQUIVALENT SERVICE certifies that its demand responsive service offered to individuals with disabilities, including individuals who use wheelchairs, is equivalent to the level and quality of service offered to individuals without disabilities. Such service, when viewed in its entirety, is provided in the most integrated setting feasible and is equivalent with respect to: 1. Response time; 2. Fares; 3. Geographic service area; 4. Hours and days of service; 5. Restrictions on trip purpose; 6. Availability of information and reservation capability; and 7. Constraints on capacity or service availability. In accordance with 49 CFR Part 37, public entities operating demand responsive systems for the general public which receive financial assistance under 49 U.S.C. 5310, 5339, and 5311 of the Federal Transit Administration (FTA) funds must file this certification with the appropriate state program office before procuring any