Okaloosa County BOCC — June 7, 2016 — Transportation Disadvantaged Grant Application, Coordinated Review Sheet, and Associated Documents — reading text

CONTRACT & LEASE INTERNAL COORDINATION SHEET Contract/Lease Number: # Tracking Number: Contractor/Lessee Name: OKALOOSA COUNTY Grant Funded: YESX NO___ Purpose: _Transportation Disadvantaged Trip & Equipment Grant Application Date/Term: 07/01/16 to 06/30/17 1. I GREATER THAN $50,000 Amount: _$565,589 2. ] GREATER THAN $25,000 Department: Growth Management 3. [] $25,000 OR LESS Dept. Monitor Name: Elliot Kampert/J. WILLIS Document has been reviewed and includes any attachments or exhibits. Purchasing Review Procurement requirements are met: Date: SIZSZ/M ing Director or designeey) cé, L/ W TV Ay A— P .~ Risk Management Review Approved as written: A< ) e pate: D= 954 Risk Monc%er or designee County Aftorney Review e [p Q\ oate: 525 1(, Q’ounty Affomey Following Okaloosa County approval: Contracts & Grants Document has been received: Date: Contracts & Grants Manager RESOLUTION NO. 16 - A RESOLUTION of the BOARD OF COUNTY COMMISSIONERS of Okaloosa County, hereinafter BOARD, hereby authorizes the execution of a Transportation Disadvantaged Trust Fund Grant Agreement with the Florida Commission for the Transportation Disadvantaged (CTD). WHEREAS, this BOARD is eligible to receive a Transportation Disadvantaged Trust Fund Grant and to undertake a transportation disadvantaged service project as authorized by Section 427.0159, Florida Statutes, and Rule 41-2, Florida Administrative Code. NOW, THEREFORE, BE IT RESOLVED BY THE BOARD THAT: 1. The BOARD has the authority to enter into this grant agreement. 2. The BOARD authorized the Chairman, Vice Chairman, or other designated representative of the Board to file and execute the application on behalf of Okaloosa County with the Florida Commission for the Transportation Disadvantaged. 3. The BOARD’S Registered Agent in Florida shall be the Chairman of the Board of County Commission. The Registered Agent’s address is: 1250 N. Eglin Parkway, Suite 102, Shalimar, FL 32578. 4, The BOARD authorizes the Chairman, or in the Chairman’s absence, the Vice Chairman, to sign any and all agreements, contracts, all assurances, warranties, certifications and any other documents which may be required in connection with the grant application and agreement or subsequent grant related documents. 5. The BOARD authorizes the Contracts and Grants Manager to sign any reimbursement invoices on behalf of the County. DULY PASSED AND ADOPTED THIS Day of , 2016. BOARD OF COUNTY COMMISSIONERS OKALOOSA COUNTY, FLORIDA Charles K. Windes Jr., Chairman ATTEST: Clerk of Circuit Court J. D. Peacock il By: Clerk (N Transportation Disadvantaged oo | [P & Equipment Grant Application Form Disadvantaged Grant Recipient | Okaloosa County Board of County Commissioners Legal Name Federal Employer Identification | 59-6000765 016 Number Registered Address | 1250 N. Eglin Parkway Suite 100 City and State | Shalimar, Florida Zip Code | 32579 Contact Person for this Grant | Marcella Eubanks Phone Number | 8506895000 Format 111-111-1111 E-Mail Address [Required] | meubanks@okaloosaclerk.com Fax Number | 8506895882 Format 111-111-1111 Project Location [County(ies)] | Okaloosa Proposed Project | 7/1/2016 Start Date Plannlng Funds Transferred from Planning Agency 0 Grant Amount - State Allocation [90%)] 508,984 Grant Amount — Local Match [10%)] 56,554 Grant Amount — Proviso [90%)] 0 Grant Amount — Proviso Match [10%] 46.00 Voluntary Dollar Amount 5.00 ocal Match for Voluntary Dollars [In Kind] | , =S out ticipated Capital Equipment Reques Description of Capital Equipment $ Amount =nier Cacital Zguipment Cescroticn If Requeshng Cop:fo! Equtpment Locol Coordlncmng Board Rewew 1S Requ:red This Application Form requesting the purchase of capital equipment has been review by the tntar Nam=2 of LC3 Local Coordinating Board Signature of Local Coordinating Board Chairperson Date I, Charles K. Windes, Jr., Chairman , as the authorized Grant Recipient Representative, hereby certify that the information contained in this form is true and accurate and is submitted in accordance with the grant application instructions. 6/7/2016 Signature of Grant Recipient Representative Date TE Application Form Final REVISED 05-26-2016.docx Form Revised 4/22/2016 Rorido Commission for the Transportation Disadvantaged Trust Fund Service Rates Form Community Transportation Coordinator (CTC) Okaloosa County Board of County Commissioners Service Rate Effective Date Grant Agreement Service Rates Type of Service Co Transportation Mode Unit of Measure Per Unit * Ambulatory Passenger Mile 2.42 * Wheel Chair Passenger Mile 1.74 * Stretcher Select Unit of Measure Enter S Per Unit Bus Pass - Daily Pass 1.50 Bus Pass — Weekly Pass Bus Pass = Monthly Pass 20.00 Bus Pass = Monthly SUPER PASS Pass 30.00 Additional Service Transportation Mode Enter Unit of Measure Enter $ Per Unit Additional Service Transportation Mode Enter Unit of Measure Enter S Per Unit Additional Service Transportation Mode Enter Unit of Measure Enter $ Per Unit Additional Service Transportation Mode Enter Unit of Measure Enter $ Per Unit Additional Service Transportation Mode Enter Unit of Measure. Enter $ Per Unit Additional Service Transportation Mode Enter Unit of Measure Enter $ Per Unit Additional Service Transportation Mode Enter Unit of Measure Enter $ Per Unit Additional Service Transportation Mode Enter Unit of Measure Enter $ Per Unit Additional Service Transportation Mode Enter Unit of Measure Enter $ Per Unit Additional Service Transportation Mode Enter Unit of Measure Enter $ Per Unit Additional Service Transportation Mode Enter Unit of Measure Enter S Per Unit Additional Service Transportation Mode Enter Unit of Measure Enter $ Per Unit Additional Service Transportation Mode Enter Unit of Measure Enter $ Per Unit Additional Service Transportation Mode Enter Unit of Measure Enter $ Per Unit Additional Service Transportation Mode Enter Unit of Measure Enter $ Per Unit Additional Service Transportation Mode Enter Unit of Measure Enter $ Per Unit * Ambulatory, Wheel Chair and Stretcher must all use the same Unit of Measure either Trip or Passenger Mile; Cannot mix, all must be the same regardless of Transportation Mode. SERVICE RATES FORM complete MAY 2016.docx Form Revised 4/22/2016 FY2016-17 Transportation Disadvantaged Trip and Equipment Grant Allocations Trip & Equipment Grant Voluntary Dollar Proviso Funding 2016417 Local Match Total Local Match Total Local Match Total 2016-17 County Allocation (10%) Funds Funding (10%) Funds Funding (10%) Funds | Total Funds Alachua 645,493 71721 717,214 99 11 110 99,284 11,032 110,316 827,640 Baker 207,716 23,080 230,796 13 1 14 28,379 3,153 31,532 262,342 Ba 448 113 49,790 497,903 19 2 21 71,818 7,980 79,798 577,722 Bradford 123,758 13,751 137,509 4 0 4 17,810 1,978 19,789 157,302 Brevard 1,649,428 183,270 1,832,698 199 22 221 0 0 0| 1,832,919 Broward 3,803,709 422,634 4,226 343 937, 104 1,041 0! 0 Q 4,227,384 Cathoun 186,491 20,721 207,212 2 0 2 18,977 2,109 21,086 228,300 Charlotte 368,665 40,9683 409,628 40 4 44 0l 0l 0 409,672 Citrus 438,534 48,726 487,260 25 3 28 0 0 0 487,288 Clay 423,689 47,077 470,766 84 9 93 87,189 9,688 96,877 567,736 Collier 824,445 91,605 916,050 73 8 81 0 0 0 916,131 Columbia 307,110 34,123 341,233 13 1 14, 34,229 3,803 38,032 379,279 DeSoto 217,458 24,162 241,620 81 9 90 20,275 2,253 22,528 264,238 Dixie 191,849 21,294 212,943 0 0 0 18,603 2,067 20,670 233,613 Duval 1,596,466 177,385 1,773,851 562 62 624 0 0 0 1,774,475 Escambia 666,851 74,085 740,946 250 28 278 0! 0 0 741,224 Flagter 297,768 33,085 330,853 31 3 34 4] 0 0 330,887 Franklin 172,165 19,129 191,294 1 0 1 17,816 1,980 19,796 211,091 Gadsden 362,084 40,229 402,293 22 2 24 52,221 5,802 58,023 460,340 Gilchrist 108,569 12,174 121,743 1 0 1 10,978 1,220 12,198 133,942 Glades 196,466 21,830 218,296 0 0 0l 19,692 2,188, 21,880, 240,176 Gulf 181,884 20,220 202,204 0 0 0 22 958 2,551 25,509, 227713 Hamilton 141,469 15,719 157,188 0 Q 0| 13,118 1,457 14,573 171,761 Hardee 238,781 26,531 265312 5 1 8 26,137 2,904 29,041 294 359 Hendry 330,698 36,744 367.442 23 3 26 34,257 3,806 38,063 405,531 Hernando 333,709 37,079 370,788 41 5 46 63,589 7,065 70,6854 441,488 Highlands 454 568 50,507, 505,073 4 0 4 66,939 7,438 74,377 579,454 Hillsborough 1,913,488 212610 2,126,098 262 29 291 400,560 44,507 445,067 2,571,456 Holmes 196,021 21,780 217,801 0 0 0 25,844 2,872 28,7186, 246,517 Indian River 320,623 35,625 356,248 36 4 40! 48,638 5,404 54,042 410,330, Jackson 424,636 47,182 471,818 34 4 38 47 676 5,297, 52,973 524 829 Jefferson 176,289 19,588 195,877 1 0 1 18,809 2,201 22,010 217,888 Lafayette 144,409 16,045 160,454 0 0 0 13,498 1,500 14,998 175,452 Lake 731,973 81,330 813,303 131 15 146 0 0l 0 813,449 Lee 780,181 86,687 866,868 687 78 763 135,550 15,061 150,611 1,018,242 Leon 548,128 60,803 809,029 125 14 139 0 0 0 609 168 Levy 377,258 41,918 419,176 13 1 14 50,566 5618 56,184 475 374 Liberty 254 269 28,252 282,521 0 0 Q 30,907 3,434 34,341 316,862 |Madison 221,332 24,592 245924 0 0 0| 26,348 2,928 29,276 275,200 |Manatee 641,729 71,303 713,032 105 12 117 0 Q 0 713,149 |Marion 816,192 90,688 906,880 150 17 167 120,588, 13,399 133,987, 1,041,034 Martin 322,861 35873 358,734 74 8 82 57,979 6,442 64,421 423,237 Miami-Dade 5881212 653,468 6,534,680 1,750 194 1,944 0| 0l 0 6,536,624/ Monroe 370,026 41,114 411,140 39 4 43| 57,570 6,397 63,967 475 .150] INassau 294 897 32,766 327,663 33 4 37 40,912 4,546 45,458 373,158 Okaloosa 509,016 56,557 565,573 48 5 51 0 0 0 565,624 Okeechobee 228,076 25342 253 418 1 0 1 25,091 2,788 27,879 281,298 Orange 2,430,772 270,086 2,700,858 746 83 828 0! 0 0 2,701,687 Osceola 1,065,497 118,389 1,183,886 20 2 22 0| Q 0 1,183,908 Paim Beach 2,941,135 328,793 3,267,928 1122 125 1,247 0 0 0 3,269,175 Pasco 682,979 75,887 758,866 158 18 1786 0 0 0. 759,042 Pinellas 2,861,001 317,889 3,178,890 553 61 614 0 0 0 3,179,504 Polk 1,240,448 137,828 1,378,276 189 21 210 0 0 0 1,378,486 Putnam 408,050 45,339 453,389 10 1 1 70,952 7.884 78,836 532,236 Saint Johns 508,468 56,496 564 964 143 16 159 128,157 14,351 143,508] 708,631 Saint Lucie 546,516 60,724 607,240 109 12 121 0 0 0 607,361 Santa Rosa 395,130, 43,903 439,033 24 3 27 49,046 5450 54,496 493 556 Sarasota 1,040,670 115,830 1,156,300 311 35 346! 0! ) Q 1,156,646 Seminole 767,062 85.229 852,291 169 19 188 0 0| 0 852,479 Sumter 291,835 32,426 324,281 8 4 9 52,677 5853 58,530, 382,800 Suwannee 239,747 26,639 266,386 3 0 3 28,127 3,125 31,252 297,641 Taylor 295,727 32,859 328,586 3 0 3 31,698 3,522 35,220 363,809 Union 94,216 10,468 104,684 1 0 1 11,291 1,255 12,548 117,231 Volusia 1,190,226 132,247 1,322,473 108 12 120 0 0 0 1,322,593 Wakulla 196,674 21,853 218,527 5 1 6 23,961 2,662 26,623 245,156 Walton 389,974 43,330 433,304 6 1 7 50,563 5618 56,181 489,492 Washington 222,783 24,754 247,537, 0 Q 0 26,702 2,967 29,669 277,206 TOTALS 47,880,338 5,320,036 53,200,374 9,704 1,076 10,780 2,299,977 255,556 2,555,533 55,766,687, Rev. 03/18/2016 Florida Commission for the Transportation Disadvantaged FISCAL YEAR 2016-17 PROGRAM MANUAL FOR THE TRIP & EQUIPMENT GRANT FOR NON-SPONSORED TRIPS AND/OR CAPITAL EQUIPMENT Issued By: FLORIDA COMMISSION FOR THE TRANSPORTATION DISADVANTAGED 605 Suwannee Street, Mail Station 49 Tallahassee, Florida 32399-0450 850-410-5700 Fax 850-410-5752 www.dot.state.fl.us/ctd INTRODUCTION The Transportation Disadvantaged Trust Fund is administered by the Florida Commission for the Transportation Disadvantaged (Commission), pursuant to Section 427.0159, Florida Statutes. The purpose of the Transportation Disadvantaged Trust Fund is to provide a dedicated funding source for the operational and planning expenses of the Commission in carrying out its legislative responsibilities. The trust fund is appropriated by the Legislature annually from revenues collected from vehicle registrations and voluntary contributions. The Trip and Equipment Grant program was