04/16/2008
APPUCATION FOR
FEDERAL ASSISTANCE
1. OF SUBMISSION:
AppIIcaIion
o C.....tructlon
2. DATE SUBMITTED
1211912007
3. DATE RECEIVED BY STATE
_klentiflor
5316FY2006_
Stal& Appllcallon _
Version 7103
Pro-appHcaIion
IJ C_tructton
4. DATE RECEIVED BY FEDERAL AGENCY
Foderalldentlfler
5. APPUCANT INFORMATION
Legal Name:
Monroe County Board of County Com.'_1OI1I
Organizational DUNS:
073876757
Add....:
Stroot:
1100 SlmonIon Street Room 1-188
City:
Key West
County:
Monroe
~=e ~~
fi::l::::JY~1aIos
8. EMPLOYER IDENTlRCATION NUMBE (EIN):
[J RevIsion
o
o
Other (spoclfy)
10. CATALOG OF FEDERAL DOMESnC ASSISTANCE NUMBER:
@]@]-[J!I]@]
TITLE (Name of Program):
FTA section 5316 JOb Accoos & Reverse Convnute Program
12. AREAS AFFECTED BY PROJECT (CllJes. Counlles. Stales, o/e.):
Monroe County
13. POSED PROJECT
Start Dol&: Ending Dal&:
July 2008 Juno 2009
15. E MATED FUNDING:
e. Foderal
b. AppIIcanl
e. Stale
98.942
12.367
12.388
d. Local
8. Other
f. Program Income
Suflix:
EmaI:
osl< -fl.gov
PI1ono Number _.... code) Fax Number (oNe.... code)
305292-4425 305292-4411
7. TYPE OF APPUCANT: (See back of fonn lor AppIicaIIon Typos)
B. County
(specify)
14. CONGRESSIONAL DISTRI
;1::00
.'f)
~'~
IZI THIS PLlCAnON/APPLlCAnON WAS MADE
e. Yes. AVAILABLE TO THE STATE EXECUTIVE ORDER 12372
PROCESS FOR REVIEW ON
DATE: 112212007
b. No. III PROGRAM IS NOT COVERED BY E. O. 12372
C OR PROGRAM HAS NOT BEEN SELECTED BY STATE
F R
17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT?
g.TOTAl 123.6n CYesW-Ves.etlacl1anaxplanalion. IEJNo
18. TO TH BEST MY KN EOGE D BELIEF, ALL ATA IN TlBS AP An P AnON TRU ANO CORRECT. TH
UMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPUCANT AND THE APPUCANT WILL COMPLY WITH THE
TTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED.
~~e
RopnlsantatMl
_.... code)
APR
6 2008