Okaloosa County BOCC — May 4, 2013 — Signature Page FY13 Certifications and Assurances FTA — reading text

FTA 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 COUNTY COMMISSIONERS 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: Group Description OL. 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. Il. Fixed Guideway Capital Investment Program (New Starts, Small Starts, and Core Capacity) and Capital Investment Program in Effect before MAP-21. 12. State of Good Repair Program. 13. Fixed Guideway Modernization Grant Program. 14, Bus/Bus Facilities Programs. 15. Urbanized Area Formula Programs and Job Access and Reverse Commute (JARC) Program. 16. Seniors/Elderly/Individuals with Disabilities Programs and New Freedom Program. 17. Rural/Other Than Urbanized Areas/Appalachian Development/Over-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. FTA FISCAL YEAR 2013 CERTIFICATIONS AND ASSURANCES FEDERAL FISCAL YEAR 2013 FTA CERTIFICATIONS AND ASSURANCES SIGNATURE PAGE (Required of all Applicants for FTA funding and all FTA Grantees with an active Capital or Formula Project) AFFIRMATION OF APPLICANT Name of Applicant; _ OKALOOSA COUNTY BOARD OF COUNTY COMMISSIONERS DON R AMUNDS, CHAIRMAN Name and Relationship of Authorized Representative: BY SIGNING BELOW, on behalf of the Applicant, 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 (FTA) 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 affirms 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 ef 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, | declare under penalties of perjury that the foregoing Certifications and Assurances, and any other statements made by me on behalf of the Applicant are true and accurate. Signature Date: APRIL 2, 2013 Name DON _R AMUNDS, CHAIRMAN Authorized Representative of Applicant AFFIRMATION OF APPLICANT’S ATTORNEY For (Name of Applicant); OKALOOSA COUNTY BOARD OF COUNTY COMMESSTONERS As the undersigned Attorney for the above named Applicant, 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. | 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 the Applicant that, to the best of my knowledge, there is no legislation or litigation pending or imminent that might adversely affect the validity of these Certifications and Assurances, or of the performance of its FTA Project or Projects. Signature Date: _APRTL 2, 2013 Name JOHN R DOWD Attorney for Applicant Each Applicant for FTA funding and each FTA 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.