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Item C27County of Monroe A BOARD OF COUNTY COMMISSIONERS Mayor George Neugent, District 2 The Florida. Key y w) Mayor Pro Tem David Rice, District 4 �r Danny L. Kolhage, District I Heather Carruthers, District 3 Sylvia J. Murphy, District 5 County Commission Meeting January 18, 2017 Agenda Item Number: C27 Agenda Item Summary #2550 BULK ITEM: Yes DEPARTMENT: Social Services TIME APPROXIMATE: STAFF CONTACT: Sheryl Graham (305) 292 -4510 N/A AGENDA ITEM WORDING: Approval to apply for a Florida Department of Transportation (FDOT) FTA Section 5310 Program Federal Fiscal Year (42) 2017 Capital Assistance Grant for the purpose of purchasing four (4) para transit vehicles to serve the transportation needs of the transportation disadvantaged, elderly, and persons with disabilities throughout Monroe County. ITEM BACKGROUND: The Florida Department of Transportation (FDOT) Section 5310 Grant is applied for on an annual basis by the Monroe County Social Services Transit department. This grant is intended to enhance mobility for seniors and persons with disabilities by providing funding for programs to serve the special needs of transit dependent populations beyond traditional public transportation and in accordance with the Americans with Disabilities Act (ADA). We are requesting 4 vehicles for FFY 42 to replace our aging fleet. PREVIOUS RELEVANT BOCC ACTION: Approval granted by the BOCC on 01/20/2016 to apply for an FDOT FTA Section 5310 Program FFY 412016 Capital Assistance Grant for the purpose of purchasing 4 para- transit vehicles to serve the transportation disadvantaged population throughout Monroe County. CONTRACT /AGREEMENT CHANGES: Approval to apply for new grant year STAFF RECOMMENDATION: Approval DOCUMENTATION: FDOT 5310 Application Backup FDOT 5310 Application 12 -30 -16 FDOT 5310 Application part 2 12 -30 -16 FINANCIAL IMPACT: Effective Date: 01/18/2017 Expiration Date: Total Dollar Value of Contract: 290,000.00 Total Cost to County: 29,000.00 Current Year Portion: Budgeted: Source of Funds: FDOT 5310 Grant Funds CPI: Indirect Costs: Estimated Ongoing Costs Not Included in above dollar amounts: Revenue Producing: N/A If yes, amount: Grant: Yes County Match: 10% cash match Insurance Required: Additional Details: 01/18/17 001 -61525 -SOCIAL SERVICE TRANSPORT 530641 $29,000.00 REVIEWED BY: Sheryl Graham Completed 12/30/2016 1:03 PM Pedro Mercado Completed 12/30/2016 2:01 PM Budget and Finance Completed 12/30/2016 2:12 PM Maria Slavik Completed 12/30/2016 2:17 PM Kathy Peters Completed 12/30/2016 3:12 PM Board of County Commissioners Completed 01/18/2017 9:00 AM Staff Contact Person: Sheryl Graham CONTRACT/AGREEM STAFF RECONIME — ND — ATI — O — NS. — A — pp — rova — 1 TOTAL COST: $260,000 Grant Funds (maximum) BUDGETED: — No COST TO COUNTY: $26,000 (cash match required-maximum) SOURCEOFFUNDS: MOT DISPOSITION: AGENDAITEM# MONROE COUNTY BOA P* LLS,&a"y COntFact with: State of Florida, Department of Comma Transportation I~ DOT) CONTRACT COSTS CONTRACT RIN Reviewer 1/4/2016 Changes Department Head Date In 1/4/2016 Needed Yes Fl! Nol Risk Management yes'- No O.M.B./Purchasing Yes Count) Attome to No yes', "' N Reviewer 1/4/2016 OPERATING AND CAPITAL ASSISTANCE APPLICATION TRANSPORTATION MANUAL . F FLORIDA TRANSIT OFFICE 1� 1 "� ��� 3. O, F COMPLIANCE REQUIREMENTS 9 1 1 1 1 2 2 2 3 3 5 6 6 6 6 6 6 6 7 7 7 7 8 8 8 9 9 10 11 2 12 12 12 6.1.3. Governing Board's Resolution Form 6.1.4. Form 424: Application for Federal Assistance 12 6.1.5. Exhibit A: Current System Description 12 6.1.6. Exhibit A -1: Fact Sheet 18 6.1.7. Exhibit B: Proposed Project Description 19 6.1.8. Form B -1: Transit - Related Operating and Administrative Expenses 21 21 6.1.9. Form B -2: Transit - Related Operating and Administrative Revenues 24 6.1.10 Form B -3: Proof of Local Match 6.1.11 Form B -4: Breakdown of Transportation Costs 25 6.1.12 Form B -5: Calculating Service Area Percentages 25 6.1.13 Exhibit E: Federal Certifications and Assurances 25 6.1.14 Exhibit 1: Coordinated Public Transit -Human Services Transportation Plan (TDSP) 25 27 6.1.15 Exhibit J: Standard Lobbying Certification Form 6.1.16 Exhibit L: CTC Agreement 27 6.1.17 Exhibit M: Transportation Operating Procedure (5310 -only applicants) 27 27 6.1.18 Copy of Certification of Incorporation 6.1.19 Proof of non - profit status 29 6.1.20 Copy of the Title VI Program 29 6.2. Capital Assistance Application Instruuctions 29 6.2.1. Capital Assistance Application Checklist 31 6.2.2. Applicant's Cover Letter 31 6.2.3. Governing Board's Resolution Form 31 6.2.4. Form 424: Application for Federal Assistance 31 6.2.5. Exhibit A: Current System Description 31 6.2.6. Exhibit A -1: Fact Sheet 37 6.2.7. Exhibit B: Proposed Project Description 38 6.2.8. Form C -1: Operating and Administrative Expenses 40 40 6.2.9 Form C -2: Operating and Administrative Revenues 42 6.2.10 Form C -3: Proof of Local Match 6.2.11 Form C -4: Current Vehicle and Transportation Equipment Inventory Form 42 42 6.2.12 Form C -5: Capital Request Form 6.2.13 Form C -6: Capital Request Methodology Form 43 6.2.14 Exhibit C: Public Hearing Notice and Publisher's Affidavit 44 6.2.15 Exhibit D: Leasing 44 44 6.2.16 Exhibit E: Federal Certifications and Assurances 6.2.17 Exhibit F: Certification of Equivalent Service 44 6.2.18 Exhibit G: Applicant Certification and Assurance to FDOT 46 6.2.19 Exhibit 1: Coordinated Public Transit -Human Services Transportation Plan (TDSP) 46 46 6.2.20 Exhibit J: Standard Lobbying Certification Form 6.2.21 Exhibit L: CTC Agreement 46 6.2.22 Exhibit M: Transportation Operating Procedure (5310 -Only applicants) 46 47 6.2.23 Copy of Certification of Incorporation 6.2.24 Proof of Non - Profit status 49 6.2.25 Copy of the Title VI Plan 49 49 6.2.26 Copy of Cover Letter sent with application submitted to Local Clearinghouse Agency /RPC 6.2.27 Exhibit H: Protection of the Environment 49 7. APPENDIX 49 7.1. What's on the Market 51 7.2 Recipient Risk Assessment Tool 51 7.3 Notice of Grant Award FFY2017 /YR42 -- Sample 53 7.4 Local Clearinghouses / Regional Planning Councils (RPC) 55 7.5 FDOT District Office Contacts 63 7.6 Glossary 65 68 1. INTRODUCTION This instruction manual pertains to applications for Federal assistance under 49 U.S.C. 5310, Formula Grants for the Enhanced Mobility of Seniors and Individuals with Disabilities Program, as administered by the Florida Department of Transportation (FDOT). It contains pro information and instructions. The Federal Transit Administration's (FTA) goal of the Section 5310 Program is to provide assistance in meeting the needs of seniors and individuals with disabilities where public transit services are unavailable, insufficient, or inappropriate. 2. GENERAL PROGRAM INFORMATION 2.. PROGRAM ADMINISTRATION The Federal government allocates funds to the State of Florida each year for the Section 5310 Program. FDOT has been designated by the governor to administer the program for small urban and rural areas. Most large urbanized areas (population over 200,000 residents) have also selected FDOT to administer the program for their urbanized area. FDOT is responsible for the following services but, at its discretion, may contract with a service provider to perform these services: 1) announcement of funding availability; 2) selection of projects for funding according to approved selection criteria; 3) development and processing of agreements; 4) oversight of recipient procurement actions; 5) oversight of recipient compliance with State and Federal requirements; 6) processing of recipient invoices for reimbursement, and 7) provision of technical assistance regarding the Section 5310 Program. Authorizing legislation for the program is shown in the glossary of this manual under "authorizing Federal and State Legislation." Large Urbanized Areas, Small Urbanized Areas, and Rural Areas • Large urbanized areas are those with populations of 200,000 or more, • small urbanized areas are those with populations between 50,000 and 199,999, and • rural areas are those with populations below 50,000. 2.2. ELIGIBILITY CRITERIA Eligibility Criteria are the minimum legal eligibility requirements for the Section 5310 Program. Applications must be for eligible services, eligible service areas, eligible recipients, eligible expenses, and provide evidence of local matching funds. Applicants must also ensure compliance with a number of other conditions placed on recipients of grants including, but not limited to, coordination of transit services, civil rights preservation, vehicle maintenance requirements, compliance with safety and drug free workplace regulations, competitive procurement of goods and services purchased with grant funds, the Americans with Disabilities Act (ADA), and references to the Federal Transit Administration's (FTA) Master Agreement Florida Department of Transportation — 5310 Application Instruction Manual — FFY 17 0 Packet Pg. 1149 2. 3. ELIGIBLE S For the Section 5310 Program, funds may be awarded to any of the following service type providers: a States or localities (Political subdivisions of the State of Florida) that provide transit service, • Public agency Community Transportation Coordinators (CTCs), • Private non- profit CTCs, • Private non - profit organizations providing transportation to seniors and /or persons with disabilities under a coordination agreement with the appropriate CTC(s). o When the CTC is a private for - profit agency, the designated official planning agency responsible for designating the CTC may apply for Section 531.0 funds, and then sub- contract with the CTC for provision of service. Recipients must be either a CTC or an agency providing service under the terms of a written agreement with a CTC. Agencies must keep their CTC Agreements current and in force at all times when receiving an award under the Section 5310 Program. Agencies must also keep their CTC Agreements current and in force every year until the vehicle(s) reaches its useful life requirement. Private taxi companies that provide shared -ride taxi service to the general public on a regular basis are operators of public transportation, and therefore eligible subrecipients. o "Shared- ride" means two or more passengers in the same vehicle who are otherwise not traveling together. Similar to general public and ADA demand response service, every trip does not have to be shared -ride in order for a taxi company to be considered a shared - ride operator, but the general nature of the service must include shared rides. Taxi companies that provide only exclusive -ride service are not eligible subrecipients; however, they may participate in the Section 5310 program as contractors. Exclusive -ride taxi companies may receive Section 5310 funds to purchase accessible taxis under contract with a state, designated recipient, or eligible subreeipient such as a local government or nonprofit organization. 2.4. LEGAL AUTHORITY AND FISCAL & MANAGERIAL CAPABILITY Section 5310 applicants must have the legal authority and fiscal/managerial capability to apply for Federal assistance. Applicants are required to have sufficient local funds for match requirements and for preventative maintenance and operation of vehicles /equipment. Failure to properly manage, maintain, and operate vehicles /equipment could jeopardize existing and future grants and may result in the removal of vehicles /equipment. .. ELIGIBLE EXPENSES Section 5310 funds may be used for capital and /or operating expense of transit services to seniors and /or individuals with disabilities. Eligible expenses are limited to: buses, vans or other vehicles (including sedans and station wagons); radios and communications equipment; wheelchair lifts and restraints; Florida Department of Transportation — 5310 Application Instruction Manual — FFY 17 11 Packet Pg. 1150 * stretcher vehicles (excluding the cost of the stretcher seating and associated equipment); vehicle rehabilitation, and/or overhaul; data processing hardware /software, other durable goods such as spare vehicle components with a useful life of more than one (1) year and a per unit cost over $300, initial installation costs, vehicle procurement /testing; vehicle inspection and vehicle preventative maintenance; o Applicants applying for preventative maintenance costs must have a District - approved Preventative Maintenance (PM) plan and a cost allocation plan if maintenance activities are performed in- house. • passenger facilities expenditures related to Section 5310- funded vehicles; • support facilities expenditures and equipment for Section 5310- funded vehicles; • operating costs associated with provision of transit services, costs associated with transit services that exceed the requirements of the Americans with Disabilities Act of 1990; and • projects that improve access to fixed route service and decrease individuals with disabilities reliance on complementary paratransit, and provide alternatives to public transportation that assist seniors and individuals with disabilities with transportation. The Federal share of eligible 5310 capital expenses may not exceed eighty percent (80%). 2.6. INELIGIBLE EXPENSES Ineligible expenses include: • expenses associated with preparation of grant applications; • expenses associated with project planning; expenses associated with administration; expenses associated with extended warranties; expenses incurred prior to Federal and State approval of a grant application; expenses incurred prior to the execution of a grant award; and Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 13 Packet Pg. 1151 (including district POP's) no earlier than July 1. The appropriation for State funds to match Federal funds is approved by the State Legislature for implementation on July 1 of each year. Once Federal and State funds are available, Districts may make grant awards (see the "Grant Award Process" section 4, page 9). At least 55% of the available funding statewide will be awarded to capital projects. The Department reserves the right to increase that percentage up to 100% of project selections as capital, as deemed best suited to meet the mobility needs of seniors and individuals with disabilities where public transit services are unavailable, insufficient or inappropriate. 3. SECTION 5310 COMPLIANCE RE QUIR Section 5310 awarded agencies must follow and /or comply with the following Section 5 requirements: g 310 y� Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 F Packet Pg. 1152 A Compliance Policies: Agencies must have written policies regarding any of the following (but not limited to): use of service animals, use of accessibility features, lift deployment at any designated stop, service to persons using respirators or portable oxygen, adequate time for vehicle boarding and disembarking, different methods of delivering public information /communications (contact district office for guidance or see FDOT State Management Plan Applicants must have a procurement policy that outlines the procurement process when using Federal, state and local funds. The guidebook, Procure €W ent Guidance for Transit Agencies, should be referenced in the procurement policy and utilized when entering into third -party procurements /contracts that utilize Federal funds. Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 Packet Pg. 1153 � Florid Department of Transportation — 5310 Application Instruction Manual — FF j ± +a! a TIP /STIP, a grant award will not be final for such projects until all administrative requirements are completed, including being listed in the appropriate TIP /STIP. .. PLANNING REQUIREMENTS To remain eligible for Section 5310 awards, recurring applicants must submit the Transit Development Services Plan (TDSP) or Transit Development Plan (TDP) for their service area to FDOT in a timely manner. The entire TDSP or TDP does not need to be submitted with the application, only date of adoption and page numbers are needed. Applicants must also complete the form EXHIBIT L• Coordinated Public Transit -Human Services Transportation Plan and include it with this application. 3.10. AUDIT REQUIREMENTS A non - Federal entity as defined by OMB Circular A -133, for fiscal years beginning before December 26, 2014, and 2 CFR Part 200, thereafter, as a subrecipient of a Federal award awarded by FDOT, may be subject to the audit requirements established by OMB Circular A -133, for fiscal years beginning before December 26, 2014, and 2 CFR Part 200, Subpart F — Audit Requirements, thereafter. In determining Federal awards expended in a fiscal year, the non - Federal entity must consider all sources of Federal awards, including non -cash contributions. 3.11. CERTIFICATIONS AND ASSURANCES Applicants must agree to comply with certain Federal requirements by signing the certification and assurances form covered by Exhibits E, F, G, H, and I of this manual, as appropriate. Compliance items in Exhibit E include (but are not limited to) regulations pertaining to charter service and school bus service when using FTA- funded vehicles, equipment, and facilities; and FTA drug and alcohol testing regulations. Exhibit F applies to applicants for capital assistance to purchase non - accessible vehicles. Applicants for the Section 5310 Capital Assistance must also sign a certification and assurance to FDOT, as provided in Exhibit G of the application. Exhibit H pertains to Protection of the Environment and applies to applicants seeking grants for facilities. Exhibit I assures that the grant request is derived from a Coordinated Public Transit -Human Services Transportation Plan. 3.12. PROGRAM PERFORMANCE MEASURES Agencies receiving Section 5310 funds must collect data for the following indicators targeted to capture overarching program information as part of an annual report submitted to the FDOT District office. For the annual report, recipients must submit both quantitative and qualitative information on each of the following measures. Traditional Section 5310 Projects (1) Gaps in Service Filled: Provision of transportation options that would not otherwise be available for seniors and individuals with disabilities, measured in numbers of seniors and individuals with disabilities afforded mobility they would not have without program support as a result of traditional Section 5310 projects implemented in the current reporting year. (2) Ridership: Actual or estimated number of rides (as measured by one -way trips) provided annually for seniors or individuals with disabilities on Section 5310 supported vehicles and services as a .result of traditional Section 5310 projects implemented in the current reporting year. Other Section 5310 Projects a Florida Department of Transportation - 5310 Application Instruction Manual - FFY 17 a Packet Pg. 1155 (1) Service Improvements: related to geographic coverage, service quality, and /or service times that impact availability of transit services for seniors and individuals with disabilities as a result of other Section 5310 projects implemented in the current reporting year. (2) Physical Improvements: Additions or changes to environmental infrastructure (e.g., transportation facilities, sidewalks, etc.), technology, and vehicles that impact availability of transportation services for seniors and individuals with disabilities as a result of other section 5310 projects implemented in the current reporting year. 3) Ridership: Actual or estimated number of rides (as measured by one -way trips) provided annually for seniors or individuals CD with disabilities on Section 5310 supported vehicles and services as a result of other Section 5310 projects implemented in the current reporting year. 3.13. USE OF SECTION 5310- VEHICLES N OR EQUIP Section 5310- funded vehicles /equipment must be used to transport seniors and individuals with disabilities within the large urbanized areas, small urbanized areas, or rural areas for which they were awarded. They may be used to provide transit to employment, medical a care, education, shopping, socialization, etc. Incidental use of vehicles as carg carriers (Le. meals on wheels), and work vehicles (i.e. carrying crews and equipment from site to site and /or standin idle between work sites) is permitted as long as it does not interfere with the primary use the of vehicle(s). In such cases, the number of vehicles requested in an application must be justified by the number of transported delivery a LO people -- not meal or tool handling requirements. The need and planned use the of requested vehicles must be detailed in the Proposed Project Description (Exhibit B). LO LO The Department shall be named as the only lien holder for all vehicles acquired for the project. Should these vehicles no longer be required for the the project, Department's share of the acquisition shall be returned to the Department as described in the Transit Vehicle Inventrar 04 T��ic No, 725 -f330 -025 �Iftcaat� e��ae�at 1�rc��edttfe 3.14. LEASE OF VEHIC Vehicles purchased with Section 5310 funds may be leased to local public bodies or agencies, agencies, CL CL non - profit or private- for - profit operators only for the services identified in the grant application. The lease between the applicant and the lessee shall e contain the terms and conditions that must be met in providing transportation service to seniors and individuals with disabilities, and must be approved by the appropriate FDOT District Office. When vehicles are operated by an agency other than the one naed as applicant in the grant application, control and responsibility for the operation of the vehicles rem m with the applicant. ains 0 3.15. GRANT APPLICATION EVALUATION C RITERIA Applications shall be evaluated and ranked on the basis of merit and need. Unless there is sufficient funding in a District to cover all eligible requests, District Offices will use the following criteria to evaluate applications. Each District has the discretion to alter the grading scale respective to their District by assigning higher point values to criteria meeting the specific needs in priority the respective District. A. Service efficiency and effectiveness: This is demonstrated by the usual daily hours of eligible service and vehicle occupancy. The emphasis is on the normal hours that agency vehicles are in service, not the hours the applicant is open for business. Applicants providing transportation Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 F Packet Pg. 1156 service for more hours and with vehicles with higher passengers per hour will be ranked higher. The applicant's use of current vehicles (including mileage and maintenance practices) will be considered in the review and ranking. B. Extent to which the community at large is served byte applicant: Applicants serving the highest community need through social service agencies and providing the most trips to seniors and individuals with disabilities will be ranked higher. C. Extent to which seniors and individuals with disabilities are served: Applicants that maximize transportation benefits to seniors and individuals with disabilities in their community will be evaluated on the percentage of total riders /passengers served that are seniors and /or individuals with disabilities. Those serving the highest percentage will be ranked higher. D. Need: Applicants that can demonstrate they serve, or propose to serve, the largest number of eligible passengers, and have the most urgent financial needs will be ranked higher. MOT has a goal to preserve transportation infrastructure; therefore, maintaining current levels of service may be deemed a higher priority /need than expanding into new services or expanding service area coverage. A detailed explanation of the need and evidence of the need are required. E. Fiscal and managerial capability: Applicants with well - documented budgets and good fiscal capability demonstrated by the correctness and completeness of their application, by prior audits, proper maintenance of vehicles as demonstrated by miles at replacement, and previous timeliness and accuracy of required reports, will be ranked higher. These measures will be evaluated for each applicant using the "Recipient Risk Assessment Tool" (see Appendix). All applicant agencies must register on SAM.gov for the Recipient Risk Assessment review. F. Prior Performance: Applicants who have a history of meeting contractual obligations and maintenance requirements for Section 5310 vehicles will be ranked higher. Compliance with non - Section 5310 contractual obligations and maintenance requirements will be considered. Compliance with the Annual Operating Report (AOR) to area CTCs may also be considered. New applicants will not be penalized for having little or no history with FDOT, but previous applicants will be penalized for poor past performance. These measures will be evaluated for each applicant using the "Recipient Risk Assessment Tool" (see Appendix). All applicant agencies must register on SAM.gov for the Recipient Risk Assessment review. GRANT AWARD PROCESS .; 5310 CAPITAL ASSISTANCE a Grant awards will be made by the respective FDOT District Office to agencies submitting applications approved by FDOT for an award, by entering into a Joint Participation Agreement (JPA) with the agency (grant recipient). M Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 Packet Pg. 1158 5. GENERAL INSTRUCTIONS ON FORMS CERTIFICATIONS, EXHIBITS AND Florida Department of Transportation — 5310 Application Instruction Manual — FFY 17 0 Packet Pg. 1159 t The standard Application for Federal Assistance (OMB Standard Form 424) must be filled out in its entirety for Section 5310 applications. A sample of the standard form is located on the next page of this manual. Applicants that are not using TransCIP to submit their application should print a copy of the completed 424 for and include it with this application. This form must be used for ALL applications. No pre- application process is used in this program; therefore, all submissions are applications. The code assigned to the Section 5310 Program in the Catalog of Federal Domestic Assistance is 20.513. This code should be shown in Section 10 of the form followed by the title: "Formula Grants for the Enhanced Mobility of Seniors and Individuals with Disabilities Program." Congressional Districts and DUNS Numbers can be obtained from the respective linked documents. If applying for operating assistance only. Standard Form 424 should cover only the Operating Assistance. If applying for both operating and capital assistance, submit separate Standard Form 424 for Operating and Capital. Each Form 424 must stand alone for the type of request as the categories are different and so are the match requirements: i.e. one form should cover Operating Assistance and a separate form should cover Capital Assistance. } s �� a. Florida Department of Transportation — 5310 Application Instruction Manual— FFY17 "fl S� e, Packet Pg. 1160 Form 424 Instructions Item: Entry: 1. Type of Submission should be "Application" 2. Type of Application should be "New" 3. Not Applicable" 4. "Not Applicable" 5. a "Not Applicable" 5 B Federal Award Identifier (FTA Grant Number) is not needed at this time. This will be assigned after submission of State POP. 6. 4_State use only (if applicable) 7. State Application Identifier is "1001" 8.a, b, Enter legal name of applicant, name of primary organizational unit (including division, if c, d e, applicable), which will undertake the assistance activity, enter employer /taxpayer f f identification number (EIN /TIN) as assigned by Internal Revenue Service, enter the organization's DUNS number (received from Dun and Bradstreet), enter the complete address of the applicant (including country), and name, telephone number, e -mail and .fa�off e person to contact on matters related to this application. 9. Type of Applicant 1: Select Applicant Type 10 Name of Federal Agency should be "Federal Transit Administration" 11. Catalog of Federal Domestic Assistance Number is: 20.513 CFDA Title should be: Enhanced Mobility of Seniors and Individuals with Disabilities 12. "Not Applicable" 13. 1 "Not Applicable" 14 ( List the areas affected by project (cities, counties, States etc.). Can be submitted on a separate J piece of paper. 15. Enter a brief descriptive title of the project. If appropriate (e.g., construction or real property projects), attach a map showing project location. This is where the applicant should define if the project is for capital or operating, e.g. capital purchase of vehicle(s) or operating assistance for transit services. 16. List the applicant's Congressional District and any District(s) affected by the proram or ( project. g 17 Enter the proposed start date and end date of the project (dates must be within the same 12- month period /calendar year). 18. Amount requested or to be contributed during the first funding/budget period by each contributor. Value of in kind contributions should be included on appropriate lines as Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 � � �r Packet Pg. 1161 f applicable. If the action will result in a dollar change to an existing award, indicate only the amount of the change. For decreases, enclose the amounts in parentheses. If both basic and supplemental amounts are included, show breakdown on an attached sheet. For multiple program funding, use totals and show breakdown using same categories as item. 19. Check the applicable box. 20. Check the applicable box (If "yes provide explanation in attachment). 21. Must be signed by a governing board representative that was authorized to sign this particular appl ic ation. Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 E Packet Pg. 1162 APPlication for F ederal Assistance SF -424 ubm§s ' � T ofAWi ' Y , sei afe 7 Tyype , icali Ne ion cta ? *nuaf an ° O ): CharQe -&Co e,c€ed ,Appicaiion 3, date t ip rani Kati firer '2. Legal Name: b. Empbyen1Taxp2jyer jdenbfx2tJGn Numb (E 'TNT_ 'c, nizaliona( DUNS d. 4;ddress- rhnerst Piarne t'7Msion Starr *_ t- Name and contact information at p rsnn to he co€ctacted can matters involving this application: Prefix: ° X355 Name:: le 'Last Name: — Suffix: TstJe- 4rganzaticnat A fTiliaborte j Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 j Packet Pg. 1163 * S. Type Of Applicant I-. s L q eo t Type Of %ant I Select Applies T TYPe of Appkant I Select Applicant Type Other (sue ity) 1 Name Of Federal Agency: 11. Catalog of Federal Domestic Assistance Number. CFGA Totle, 12- Funding oppodunity Number. Title: 11 Competjfi [d en tifi catjon Numb ---------- 14 Areas Affected by PrGject (Citi C oun ti es. States, etc-)-- Add Aftedwnent 15. DescFq*ve Title of Applicant's p ro j ec t : Ash W* docUrnents as spewed in agency instru n 1 L 2311 = 11me ' -111-1-lz — 1-1-7`3- 1 Florida Department of Transportation — 5310 Application Instruction Manual — FFY 17 M I Packet Pg. 1164 Application for Federal Desistance F-424 16 Congressional Districts Of- ' a. Applic — ----- ---- j 1a. Pr reject Attach an add cnak list cf Prc7am,pmocA CMDre ssional Distric3s if needed, 1. Prxaposed Protect: a. Start Date IS- Estimated Funding ($): 'a. Federai 'b- Applicant 0- State d. L e. Othea 'f. Program me `g. TOTAL h. End Date: * 19- Is Applicatio Subiect to R w By Std Under Execu order 12372 Press a.. This applicabon was made ama abfe to the State under lhe Ex attire Comer 123772 Prooess for revieer on b- Program is sutwecf to E.0 12372 but has net been sefected b the S tate for review. c. Program is rot covered by E.O. 12372. a. k the APPlicald Delineperent On Any F (1f ° Yes, "pareses e in if'Yes ", provide explanation and attach �t 21. *Sy signing this application. t certify it) to the statements contained in the .list- of certrFicats and herein are tr—. complete and accurate to the best of my knowledg I a3so pruvade the re � ( that the statements comply with resulfing terms if 1 ac quired assurances and agree to aware sutrject e< to crhninal, civil or administrative penalties. { .S t orb Title 2t1t �eert ctitious, 1[s4 � fraudulent statements or claims may I AGREE Numm ' S" e of Auftnzed Reparesentat,, Fax Nun r Date S4ie& Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 0 Packet Pg. 1165 6. 1 . 5. EXHIB a CU D ESC R I P TION Evaluators will rely heavily on an applicant's narrative in determining the amount of funds /vehicles /equipment awarded. GRANT WRITING TIP: Refer to the .Rr s cover the points that will be evaluated. �" Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 M Packet Pg. 1166 a a. Ro J� w w c c 0 U G Q cei U Q, O M C O ct O C 4w O C N U Q O w f .2 u E! u LrIl / C E t ■ 6.1.8. FORM B-1: TRANSIT-RELATED OPERATING N ADMINISTRATIVE ENS Information regarding the applicant's transit - related operating and administrative expenses and revenues specific to 5310 funds must be provided with the application for operating assistance. Forms B -1 and -2, as provided in the application, should be used for this purpose. Applicants should show the transit - related operating and administrative expenses and revenues of their agency for the proposed project as projected for the year the Section 5310 grant award is to be used. For example, the projected expense and revenue budgets for fiscal year 2017/2018 should be used if Section 5310 Assistance is requested by the applicant for use in fiscal year 2017/2018 Form B -1 provides space for the applicant to: * show operating and administrative expenses of the service operated /contracted by the applicant. * provides space to calculate a grant request. However, the grant request cannot be completed until Form B -2 is completed. Form B -2 provides space for the applicant to: 0 show the sources of revenue proposed to pay for the expenses shown in Form B.I. The budget line items shown on the forms were originally defined in the Transportation Accounting Consortium's Model Uniform Accounting System for Rural and Specialized Transportation Providers (TAC Manual). The account numbers in parentheses are the object code numbers for these line items in the TAC manual and in FTA National Transit Data Reports (NTD). Definitions for expense and revenue line items are included below. DELINITION Source. National Transit Data Report - N TH Operating and Administrative _Expenses.• 0 (5 1) labor - The pay and allowances due employees in exchange for the labor services they render in behalf of the transit system. (502) fringe and benefits - Payments or accruals to others (insurance companies, governments, etc.) on behalf of an employee and payments or accruals direct to an employee arising from Florida Department of Transportation — 5310 Application Instruction Manual — FFY 17 Packet Pg. 1169 something other than his performance of a piece of work. (5 3) services - Labor and other work provided by outside organizations for fees and related expenses. (504) materials and supplies - Tangible products obtained from outside suppliers or manufactured internally. * (504.01) vehicle maintenance - Cost of fuel and lubricants, tires and tubes, vehicle maintenance parts. (505) utilities - Payments made to various utilities for utilization of their resources (e.g., electric, gas, water, telephone, etc.). (506) insurance - Cost elements covering protection of the transit system from loss through insurance programs; compensation of others for their losses due to acts for which the transit system is liable; and recognition of the cost of a miscellaneous category of corporate losses. (507) license and taxes - 'faxes and fees levied against the transit system by Federal, state, and local governments. (508) purchased transit service - The payment or accrual to other transit systems for providing transportation service. (402) special transit fares - Revenues earned for rides given in regular transit service, but paid for by some organization rather than by the rider, and for rides given along special routes for which revenue may be guaranteed by a beneficiary of the service. (403) school bus service revenues - Revenues earned from operating vehicles under school bus contracts. (404) freight tariffs - Revenues earned from carrying freight on runs whose primary purpose is passenger operations. (4 5) charter service revenues - Revenues earned from operating vehicles under charter contracts. Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 M Packet Pg. 1170 etc.). 0 (408) taxes levied directly by transit system - Tax revenues to transit systems that are organized as independent political subdivision with their own taxation authority. (409) local cash grants and reimbursements - Funds obtained from local government units to assist in paying the cost of operating transit services. (410) local special fare assistance - Funds obtained from local government units to help cover the difference between full adult fares and special reduced fares (includes local social service contract funds). +� (411) state cash grants and reimbursements - Funds obtained from state government to assist in paying the cost of operating transit services (includes Commission for the Transportation Disadvantaged grant funds). (412) state special fare assistance - Funds obtained from state government to help cover the difference between full adult fares and special reduced fares (includes state social service contract funds). (413) federal cash grants and reimbursements - Funds obtained from the Federal government to assist in paying the cost of operating transit services. Include and identify the source of unrestricted Federal Funds used as match. (414) interest income - Revenues earned from the lending or deposit of funds. (430) contributed services - The receipt of services (not cash) from another entity where such services benefit transit operations and the transit operator is under no obligation to pay for the 04 services. (431) contributed cash - The receipt of funds from another entity where such funds benefit transit operations and the transit operator is under no obligation to repay the funds. (440) subsidy from other sectors of operations - Funds obtained from other sectors of a transit company's operations to help cover the cost of providing transit service. E Florida Department of Transportation — 5310 Application Instruction Manual -- FFY17 Packet Pg. 1171 Applicants should complete both the "Total Expense" and "FTA Eligible Expense" columns of Form B- 1. In completing the form, Community Transportation Coordinators (CTCs) may use expense information from the budget in their most current Transportation Disadvantaged Service Plan (TDSP). The "Total Expense" column should show all operating and administrative expenses associated with the proposed transit service. The definitions for each line item code, as provided in the Appendix of this manual, apply. The "FTA Eligible Expense" column should include only those expenses that are considered eligible expenses as outlined on page 2 of this manual. After completing the expense columns on Form B -1, applicants should next complete Form B -2. To calculate the grant request on Form B -l: • Enter the total (a) from the FTA Eligible Expense column of For -1. • Enter the passenger fare revenue (b) from the first row of Form B -2 (object Code 401- revenue). • Subtract the passenger fare revenue (b) from the FTA Eligible Expense (a) to determine the operating deficit (c). • Complete the Section 5310 request (d). Applicants may .request no more than 50% of the operating deficit. Total revenues may not exceed total costs. Therefore, it may be necessary to adjust the Section 5310 request to an amount less than 50% of the deficit calculated. 6.1.9. FORM B -2: TRANSIT - RELATED OPERATING AND ADMINISTRATIVE REVENUES Applicants for operating funds need to complete both the "Total Revenue" and "Revenue Used as FTA Match" columns of Form -2. • In completing Form -2, CTCs may use revenue information from the budget in their most current TDSP. • The "Total Revenue" column should show all revenues used to pay for the expenses shown in Form B -1, as noted previously. The definitions for each line item code that is provided in the Appendix of this manual apply. The "Revenue Used as FTA Match" column separates total revenues from revenues accepted by FTA as match. This includes revenues in object codes 410, 411, 412, and 430. It also includes revenues in object code 413 EXCEPT for any FTA or other USDOT funds. In other words, FTA or other USDOT revenues should be deducted from the amount shown in object code 413 in the "Total Revenue" column, and the balance should be shown. in the "Revenue Used as FTA Match" column. Both columns should be totaled and the total of (b) "Total Rural Passenger Fares" (401) and (e) "Grand Total Revenues" transferred to the grant request section of Form B -1. Florida Department of Transportation — 5310 Application Instruction Manual -- FFY17 M Packet Pg. 1172 6.1.10 F -3: PROOF LOCAL MATCH The Section 5310 federal share of eligible operating expenses may not exceed 50 %. Some combination of state, local, or private funding sources must be identified and committed to provide the required non - Federal share. The non- Federal share may be cash, or in kind. Funds may be local, private, state, or (up to one half) unrestricted Federal funds. Funds may not include any borrowed against the value of capital equipment funded in whole or in part by State and /or Federal sources. The Section 5310 Program permits up to one half the required match to be derived from other unrestricted Federal funds. Federal funds are unrestricted when a Federal agency permits its funds to match Section 5310. Essentially all Federal Social Service Programs using transit services are unrestricted, such as Medicaid, employment training, vocational rehabilitation services and Temporary Assistance for Needy Families; other U.S. DOT Programs are not considered unrestricted Federal funds. Contract revenue from the provision of transportation services to social service agencies may also be g used as local match. The costs associated with providing the contract revenue service must be included a CL in the project budget if using contract revenue as match. < Non -cash, in -kind contributions such as donations of goods or services and volunteered services are eligible to be counted towards the local match only if the value of such is formally documented, 0 supported and pre- approved by the District Office. Any funds committed as match to another Federal U_ program may not be used to match Section 5310 funds. LO LO 6.1.11 FO - BREAKDOWN OFTRANSPORTATION COSTS to If operating funding is being requested the applicant must complete one of the two (2) requested 04 sections within Form B -4. The applicant can elect to complete the form using 1) Hourly Rate or 2) Per Trip Rate (one or the other) calculation. Only one rate calculation (hourly operating a rate or per trip rate) section must be provided with the grant ap r_ If the applicant has an approved rate by the Commission for Transportation Disadvantaged (TD) for reimbursable service to TD clients include C CL this rate with your application. a 6.1.12 FORM -5: CALCULATING E VICE AREA PERCENTAGES Use form B -5 onl if your request is for operating costs in more than one service area tune (i.e., Urban, Small Urban, and Rural). 6.1.13 EXHIBIT E: FEDERAL CERTIFICATIONS N ASSURANCES The last page (Appendix A) of the annual Federal Register Notice that applies to Federal Certifications and Assurances provides applicants with a single signature page on which an applicant and its attorney must certify compliance with the requirements of the various 7ederal Transit Administration grants or cooperative agreements. The Federal Register Notice is revised annually and is usually available around January 1 of each year. Applicants may obtain a copy of the current year document through the internet at the FTA web site If unable to access the form, applicants may contact their FDOT District Office for assistance. The appropriate signed Federal certification /assurance form must be included in the Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 M Packet Pg. 1173 application when it is submitted to the FDOT District Office. • Standard Assurances • Debarment and Suspension, and other Responsibility Matters • Drug Free Work Certification • Intergovernmental Review Assurance • Federal Transit Administration Master Agreement • Nondiscrimination Assurance Assurance of Nondiscrimination on the Basis of Disability Procurement Compliance A. Applicants for Federal Assistance may signify compliance with the above certifications and assurances by placing an "X" at the top of Appendix A next to the statement that reads: "The Applicant agrees to comply with applicable requirements of Categories 01 -24 ". If an applicant chooses to do this, no additional notation is necessary, except for the signature on the reverse. B. The applicant may signify compliance with certifications and assurances applicable only to the Section 5310 Program, specifically, Category XIII, by placing an "X" in Group 01, "Required Certifications and Assurances for Each Applicant" (to cover the above -noted items), as well as an "X" in Category 1.0 entitled "Alcohol and Controlled Substances Testing" and Category 16 "Seniors/Elderly /Individuals with Disabilities Programs/New Freedom Program." A description of the certifications required by the Section 5310 Program is provided in the annual Federal Register Notice. Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 0 Packet Pg. 1174 6.1.14 EXHIBIT I: COORDINATED L C TRANSIT-HUMAN SERVICES TRANSPORTA PLAN (T ) To be completed and signed by an individual authorized by the governing board of the applicant's agency and submitted with the grant application. 6.1.15 EXHIBIT L O B BYING All grant awards issued to a recipient in the amount of $100,000 or more must include a signed standard lobbying form. 6.1.16 EXHIBIT L: CTC AGREEMENT If the applicant is a Community Transportation Coordinator (CTC), this information should be shown in Exhibit L of the application. A copy of the CTC's certification must be attached to Exhibit L. If the applicant is not a CTC, a copy of the written coordination agreement (or letter of support) between the applicant and the CTC in the appropriate service area should be identified as Exhibit L and included in the application. The agreement must be specific as to how the services to be provided will be complimentary to the services the CTC provides, and how duplication and fragmentation of services will be avoided. ,f;.1.17 EXHIBIT M: TRANSPORTATION OPERATING PROCEDURE (5310-ONLY APPLIC � � ti Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 � Fir's �l'd Packet Pg. 1175 Maintenance * The TOP must outline how drivers conduct and document a pre - operational bus inspection report according to Rule 14-90.006. FAC * The pre -trip and post -trip inspections must include the following safety sensitive items: o Steering System o Service and Parking Brake o Suspension and Undercarriage o Tires, Wheels, and Wheel End Components o Fuel and Exhaust Systems o All Lights, Mirrors, Wipers, and Warning Devices o Interlock Systems o Interior Controls, Gauges, and Safety Equipment o Wheelchair Lifts o Air System o Emergency exits (doors, windows, etc.) • Pre- and post -trip records must be maintained for a minimum of 14 days. • The TOP must document how the agency performs preventive maintenance on the vehicles. Agencies will develop a maintenance plan that outlines the agency's basic maintenance policies and procedures for maintaining vehicles even when using contracted services. It should follow, at a minimum, the guidelines established by FDOT. Maintenance Plan Templates can be found in the Template section of the State Management Plan Operations The TOP must document the qualifications they require when hiring a driver. This should include verifying that the employee has a valid driver License, a CDL if necessary for the size vehicle being operated by the agency, and if a background check is required. It will also include how the agency ensures that all drivers have valid licenses while operating vehicles. The TOP must document the training provided to ensure the driver has adequate skills and capabilities to safely operate each type of vehicle operated by the agency. At a minimum this should include: o Bus equipment familiarization o Basic operations and maneuvering Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 0 Packet Pg. 1176 o Boarding and alighting passengers o Operation of wheelchair lifts and other special equipment o Passenger assistance and securement o Defensive driving • The TOP must document the agency's procedures for handling emergency situations that occur when the vehicle is being used away from the facility. • The TOP must document how the agency establishes and maintains a drug -free workplace policy according to Section 112.0455, F.S. Additionally, a driver holding a Commercial Driver's License is subject to the federal requirements related to drug testing. The TOP must document how an agency meets these requirements. The TOP must document how the agency will ensure drivers not be permitted to drive more than 12 hours in a 24 hour period; and drivers not be permitted to be on duty more than 72 hours in any period of 7 consecutive days. Safety The TOP must state how the agency ensures that no driver operates a vehicle when his or her ability is impaired, or likely to be impaired, by fatigue, illness, or other causes. The TOP must document how the agency ensures that the vehicles are operated in compliance with applicable traffic regulations, ordinances, and the laws of the jurisdiction in which they are being operated. The TOP must include the agency's policy for the use of wireless communication devices while occupying the vehicle. 6.1.18 COPY OF OF O.P . i All first -time private non - profit applicants must include a copy of their certification of incorporation 6.1.19 PROOF OF NON - PROFIT STATUS All private non - profit applicants must include proof of non- profit status. If an applicant has not previously submitted their Title VI plan to the Department, a copy must be included. Florida Department of Transportation— 5310 Application Instruction Manual — FFY17 M Packet Pg. 1177 Florida Department of Transportation — 5310 Application Instruction Manual — FFY170 Packet Pg. 1178 f.2. CAPITAL ASSISTANCE APPLICATION The application checklist must be completed prior to submission. If a requirement is not applicable, please indicate with "N /A." R`.. ♦ I R r R . R e I A sample cover letter is included in the grant application for completion. 6.2.3. GOVERNING BOARD'S RESOLUTION FORM A sample resolution form is included in the grant application for completion. 6.2.4. FORM 424: APPLICATION FOR FEDERAL ASSISTANCE The standard Application for Federal Assistance (OMB Standard Form 424) must be filled out in its entirety for Section 5310 applications, and for the local clearinghouse submission (if the grant is for facilities). A sample of the standard form is located on the next page of this manual. Applicants that are not using TransCIP to submit their application should print a copy of the completed 424 form and include it with this application. This form must be used for ALL applications. No pre- application process is used in this program; therefore, all submissions are applications. The code assigned to the Section 5310 Program in the Catalog of Federal Domestic Assistance is 20.513. This code should be shown in Section 10 of the form followed by the title: "Formula Grants for the Enhanced Mobility of Seniors and Individuals with Disabilities Program." Con- ressional Districts and DUNS Numbers can be obtained from the respective linked documents. If applying for capital assistance only, Standard Form 424 should cover only the Capital Assistance being applied for by the applicant. If applying for both operating and capital assistance, submit separate Standard Form 424s. Each Form 424 must stand alone for the type of request as the categories are different and so are the match requirements: i.e. one form should cover Operating Assistance and a separate form should cover Capital Assistance. Florida Department of Transportation — 5310 Application Instruction Manual -- FFY 17 0 Packet Pg. 1179 ,m � Item: Entry: 1. Type of Submission should be "Application" 2. Type of Application should be "New" 3. "Not Applicable" 4. "Not Applicable" 55 . a "Not Applicable" ! 5 B Federal Award Identifier (FTA Grant Number) is not needed at this time. This will be as after submission of State POP. 6. State use only (if applicable) 7. State Application Identifier is "1001" I 8.a, b, Enter legal name of applicant, name of primary organizational unit (including division, if C, d e,� f applicable), which will undertake the assistance activity, enter employer /taxpayer identification number (EIN /TIN) as assigned by Internal Revenue Service, enter the organization's DUNS number (received from Dun and Bradstreet), enter the complete address of the applicant (including country), and name, telephone number, e -mail and fax of the person to contact on matters related to this application. I 9. 10 Type of Applicant 1: Select Applicant Type Name of Federal Agency " should be Federal Transit Administration" 11. Catalog of Federal Domestic Assistance Number is: 20.513 CFDA Title should be: Enhanced Mobility of Seniors and Individuals with Disabilities 12. "Not Applicable" 13. "Not Applicable" 14 List the areas affected by project (cities, counties, States etc.). Can be submitted on a separate — piece of paper. 15. Enter a brief descriptive title of the project. If appropriate (e.g., construction or real property I projects), attach a map showing project location. This is where the applicant should define if the project is for capital or operating, e.g. capital purchase of vehicle(s) or operating assistance for transit services. 16. List the applicant's Congressional District and any District(s) affected by the program or project. 17 1 Enter the proposed start date and end date of the project (dates must be within the same 12- month period /calendar year). r 18. Amount requested or to be contributed during the first funding/budget period by each contributor. Value of in kind contrib utions should be included on a ppropriate line s as � Florida Department of Transportation – 5310 Application Instruction Manual – FFY 17 �� � 8 Packet Pg. 1180 R Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 �� �� 6e Packet Pg. 1181 applicable. If the action will result in a dollar change to an existing award, indicate only the amount of the change. For decreases, enclose the amounts in parentheses. If both basic and supplemental amounts are included, show breakdown on an attached sheet. For multiple program funding, use totals and show breakdown using same categories as item. 19. Check the applicable box. t 20. Check the applicable box (If "yes ", provide explanation in attachment). 21. Must be signed by a governing board representative that was authorized to sign this particular application. R Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 �� �� 6e Packet Pg. 1181 .:- s b- EffggoyerTT -pap I ntfica i0r, Number (EMMNl): 'c. Organizaljonak NiS: d. Address: . setts St: �cunPa�: states Prince: d Posw Cod:: e_ tt.ganizationai Unit, usp: uIzITE a STA7z,5 DeParMent Name- 7DMsbn Name- . f_ Name and contact infofmatibn of Person to be contacted on maters involving this appbeation: Prefcx Pw . M Name- ' Last Marne: Suffix: 0Y t11 i Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 ft'�� � Packet Pg. 1182 Application for Federal Assistance SF -424 3. Type of App 1-- Select Appliewt Type_ 9 4 Funcirng ortunity Number: 3 tk 13. Competition Identification Number: TiNe: 44. Areas Affected by Project (Cities. Counties, States, etc_)- Add Affadvnent r- fry 13. De tine Title of App bcanfs Project: Ahach supporing dacurnents as speufied in agency instnictirns_ R i rror Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 �'it'� ;° Packet Pg. 1183 Application for Federal Assistance SF-424 I & Congressional Districts OU ` a. Applicant 'b. Attaift an alkkfiOnal fist Of P-9—eNcied GarVessional Districts if needed_ Add 17. Proposed Project, a. Start Date: b- End Date: IS, Estimated Funding ` a. Federal -- b. Applicw�t E-- c- State d. Uag e. Other f Rog ram lncurr* g. TOTAL 19 Is. Application Subject t Review By State Under Execufive Order 12372 Process a- This appik- wa mac ava g a bl, t the State urder the Executive GVder 12372 Process fbr review on b. PrOgrBrn is subject to EC1 12 &A has not been setected by th State for review. a. P-9-m is rot vzreered by E.O. 12372. M k ft Applicant Delinquent On Any Federal De W? Of - Yes. - provide explanation in atta Yes NO mentl lf'Yes", provick- explartation and attach Auid t k Vt'pw 21- *By si�gnjng thi a ppli ca ti on. I certify (j) to the statements contained in the list Of certificztions� and (2) that the statements are e true. complete and accurate to the best of my knowkedge. l als provide the required assurances`* and agree to comply with any resulting terms if .1 accept an award- I am aware that any false, fictitious, or f rauc h j t eh t s or c may subject m e to criminal, civic, or administrative penaffie fti.S_ Code. Title 218, Section 1001) I AGREE - The list of certjic w d ass4ffance of an intemet site v4- specific zmbucbors' 'ere may oWin this 4 5z, is contained in the announcement or ag ency Florida Department of Transportation - 5310 Application Instruction Manual - FFY 17 Is Packet Pg. 1184] Florida Department of Transportation — 5310 Application Instruction Manual -- FFY 17 E Packet Pg. 1185 H W V1 U H W N d c 0 U y.t U. C I--i O U �r Q O M V O O C c3 N O N c� O., U Q 'O O L T. w w c c 0 v c c a a a Q 0 ar, c 0 ct 0 f c h w 0 c n, Q 0 w Applicants must submit Exhibit B as part of their application (not to exceed tree [3] pages with 1" margins). The proposed project description should be thorough as evaluators will rely heavily on the narrative in reviewing and ranking a grant application. It is required that all applicants provide the Project Description in a question/answer format. The project description should not repeat the current system description shown in Exhibit A. The capital assistance grant application lists the questions required in this exhibit. 6.2.8. FORM C-1: OPERATING AND ADMINISTRATIVE EXPENSES Information regarding the applicant's transit - related operating and administrative expenses and revenues must be provided with the application. Forms C -1 and C -2 are included in the application for that purpose. These forms should provide information about operating and administrative expenses of the vehicles or service operated /provided by the applicant, as described in Exhibits A and B of the application, and information about the sources of revenue used to pay for these expenses. The budget line items shown on the forms were originally defined in the Transportation Accounting Consortium's Model Uniform Accounting System for Rural and Specialized Transportation Providers (TAC Manual). The account numbers in parentheses are the object code numbers for these line items in the TAC Manual and in FTA National Transit Data Reports (NTD). Definitions for expense and revenue line items are included below. Applicants should show the transit- related operating and administrative expenses and revenues of their agency as projected for the year the Section 5310 Grant Award is requested. For example, the projected expense and revenue budgets for fiscal year 2017/2018 should be used if Section 5310 assistance is requested by the Agency for use in fiscal year 2017/2018. DEFINITIONS: Source: National Transit Data Report - AM Operating and Administrative Expenses: (501) labor ® The pay and allowances due employees in exchange for the labor services they render in behalf of the transit system. e (502) fringe and benefits - Payments or accruals to others (insurance companies, governments, etc.) on behalf of an employee and payments or accruals direct to an employee arising from something other than his performance of a piece of work. * (503) services - Labor and other work provided by outside organizations for fees and related expenses. 0 (5 04) materials and supplies - Tangible products obtained from outside suppliers or manufactured internally. 0 (504.01) vehicle maintenance - Cost of fuel and lubricants, tires and tubes, vehicle maintenance parts. a (505) utilities - Payments made to various utilities for utilization of their resources (e.g., electric, gas, water, telephone, etc.). (506) insurance - Cost elements covering protection of the transit system from loss through insurance programs; compensation of others for their losses due to acts for which the transit Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 ,,'�,,�� �����9 Packet Pg. 1188 Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 M Packet Pg. 1189 Disadvantaged grant funds). (412) state special fare assistance - Funds obtained from state government to help cover the difference between full adult fares and special reduced fares (includes state social service contract funds). 0 (413) federal cash grants and reimbursements - Funds obtained from the Federal government to assist in paying the cost of operating transit services. Include and identify the source of unrestricted Federal Funds used as match. 0 (414) interest income - Revenues earned from the lending or deposit of funds. (43 0 ) contributed services - The receipt of services (not cash) from another entity where such services benefit transit operations and the transit operator is under no obligation to pay for the services. a (431) contributed cash - The receipt of funds from another entity where such funds benefit transit operations and the transit operator is under no obligation to repay the funds. 0 (440) subsidy from other sectors of operations - Funds obtained from other sectors of a transit company's operations to help cover the cost of providing transit service. 6.2.9 FORM C -2: OPERATING AND ADMINISTRATIVE REVENUES All applicants for capital assistance must complete this form using the codes identified in the above Section 6.2.8. Local match may be derived from any non -U.S. Department of Transportation (USDOT) Federal Program, State Programs, Local Contributions or Grants. 6 AND TRANSPORTATION EQ UIPMENT INVENTORY O' Applicants must complete the "Current Vehicle and Transportation Equipment Inventory" (I. orm C -4). All columns of the form must be completed. The form must include: A current list of all vehicles and equipment used by the applicant to transport individuals, including those bought in previous years with Federal funds; Florida Department of Transportation — 5310 Application Instruction Manual -- FFY17 p�g, .' ,� j1�t�i'���1!i ! Packet Pg. 1190 • Those vehicles bought with other than Federal funds; • Those vehicles now on order; and • Those vehicles to be ordered with grant awards made in previous years. • An asterisk ( *) should be placed next to the model year of vehicles to be replaced with the grant being applied for with this application. • Vehicles can only be listed as "replacement" once. If a replacement award was previously given for a vehicle, that vehicle cannot be listed for replacement again. • Vehicles operated by the applicant's contractor or lessee should also be identified, and the name of the contractor /lessee shown in Exhibit B of the application. Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 M Packet Pg. 1191 maintenance costs must have a District approved preventative maintenance plan and a cost allocation if activities are performed in house. The Federal 5310 share for eligible capital expenses may not exceed eighty percent (80 %). Complete one request form if all vehicles being requested are the same type and configuration. Complete another form to request a vehicle of a different type and configuration. Information to fill this form out may be found at on the TRIPS website and or at the DMS website for small vehicles; cars or station wagons. The deadline for hearing requests must be prior to the date applications are due at the District Office. If a hearing is requested: 1. A hearing must be conducted; 2. The FDOT District Office must be notified of the date, time, and location of the hearing; and 3. A copy of the minutes of the hearing (to include a discussion of issues raised and resolution of issues) must be submitted to the FDOT District Office, before a Section 5310 award can be made. Exhibit must be completed by all applicants for capital assistance. The last page (Appendix A) of the annual Federal Register Notice that applies to Federal Certifications and Assurances provides applicants with a single signature page on which an applicant and its attorney must certify compliance with the requirements of the various Federal Transit Administration grants or cooperative agreements. The Federal Register Notice is revised annually and is usually available around January 1 of each year. Applicants may obtain a copy of the current year document through the internet at the FTA web site If unable to access the form, applicants may contact their FDOT District P P PPE Florida Department of Transportation - 5310 Application Instruction Manual - FFY17 Packet Pg. 1192 Office for assistance. The appropriate signed Federal certification /assurance form must be included in the application when it is submitted to the FDOT District Office. Federal Certifications and Assurances Required of Each Applicant: 0 Authority of applicant and its representative • Standard Assurances • Debarment and Suspension and other Re onsibilit�r Matters • Drug Free Workplace Certification • Intergovernmental Review Assurance • Federal Transit Administration Master Agreement • Nondiscrimination Assurance • Assurance of Nondiscrimination on the Basis of Disability Procurement Compliance. A. Applicants for Federal Assistance may signify compliance with the above certifications and assurances by placing an "X" at the top of Appendix A next to the statement that reads: "The Applicant agrees to comply with applicable requirements of Categories 01 -24 ". If an applicant chooses to do this, no additional notation is necessary, except for the signature on the reverse. OR B. The applicant may signify compliance with certifications and assurances applicable only to the Section 5310 Program, specifically, Category X1II, by placing an "X" in Group 01, "Required Certifications and Assurances for Each Applicant" (to cover the above -noted items), as well as an "X" in Category 10 entitled "Alcohol and Controlled Substances Testing" and Category 16 "Seniors/Elderly /Individuals with Disabilities Programs/New Freedom Program." A description of the certifications required by the Section 5310 Program is provided in the annual Federal Register Notice. Y 1 �C� Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 tE�� °� Packet Pg. 1193 If the applicant wants to purchase non - accessible vehicles (does not have wheel chair lifts or ramp) for demand responsive service, the "Certification of Equivalent Service" must be completed and included in the application. To be completed and signed by an individual authorized by the governing board of the applicant agency and submitted with the grant application. ' COORDINATED PUBLIC TRANSIT SE R VICES TRANS ♦ P To be completed and signed by an individual authorized by the governing board of the applicant's agency and submitted with the grant application. All grant awards issued to a recipient in the amount of $100,000 or more must include a signed standard lobbying form. If the applicant is a Community Transportation Coordinator (CTC), this information should be shown in Exhibit L of the application. Attached to Exhibit L should be a copy of the CTC's certification. If the applicant is not a CTC, a copy of the written coordination agreement between the applicant and the CTC in the appropriate service area should be identified as Exhibit L and included in the application. The agreement must be specific as to how the services to be provided will complimentary to the services the CTC provides, and how duplication and fragmentation of services will be avoided. Agencies must keep their CTC Agreements current and in force at all times when receiving an award under the Section 5310 Program. Agencies must also keep their CTC Agreements current and in force every year until the vehicle(s) reaches its useful life requirement and the title is released. Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 ��� ��, . i�. Packet Pg. 1194 6.2.22 EXHIBIT M: TRANSPORTATION OPERATING PROCEDURE (5310-ONLY I The TOP must outline how drivers conduct and document a pre - operational bus inspection report according to Rule 14- 90.006, FAC The pre -trip and post -trip inspections must include the following safety sensitive items: o Steering System o Service and Parking Brake o Suspension and Undercarriage o Tires, Wheels, and Wheel End Components o Fuel and Exhaust Systems o All Lights, Mirrors, Wipers, and Warning Devices o Interlock Systems o Interior Controls, Gauges, and Safety Equipment o Wheelchair Lifts o Air System o Emergency exits (doors, windows, etc.) 0 Pre- and post -trip records must be maintained for a minimum of 14 days. The TOP must document how the agency performs preventive maintenance on the vehicles. Agencies will develop a maintenance plan that outlines the agency's basic maintenance policies and procedures for maintaining vehicles even when using contracted services. It should follow, at a minimum, the guidelines established by FDOT. Maintenance Plan Templates can be found in the Template section oft the State -Managem Pla n. ��3 V� Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 „,( d�4 �, '� Packet Pg. 1195 • The TOP must document the qualifications they require when hiring a driver. This should include verifying that the employee has a valid driver license, a CDL if necessary for the size vehicle being operated by the agency, and if a background check is required. It will also include how the agency ensures that all drivers have valid licenses while operating vehicles. • The TOP must document the training provided to ensure the driver has adequate skills and capabilities to safely operate each type of vehicle operated by the agency. At a minimum this should include: o Bus equipment familiarization • Basic operations and maneuvering • Boarding and alighting passengers • Operation of wheelchair lifts and other special equipment • Passenger assistance and securement o Defensive driving • The TOP must document the agency's procedures for handling emergency situations that occur when the vehicle is being used away from the facility. • The TOP must document how the agency establishes and maintains a drug -free workplace policy according to Section 112.0455, F.S. Additionally, a driver holding a Commercial Driver's License is subject to the federal requirements related to drug testing. The TOP must document how an agency meets these requirements. • The TOP must document how the agency will ensure drivers not be permitted to drive more than 12 hours in a 24 hour period; and drivers not be permitted to be on duty more than 72 hours in any period of 7 consecutive days. Safety • The TOP must state how the agency ensures that no driver operates a vehicle when his or her ability is impaired, or likely to be impaired, by fatigue, illness, or other causes. • The TOP must document how the agency ensures that the vehicles are operated in compliance with applicable traffic regulations, ordinances, and the laws of the jurisdiction in which they are being operated. • The TOP must include the agency's policy for the use of wireless communication devices while occupying the vehicle. Florida Department of Transportation — 5310 Application Instruction Manual — FFY170 Packet Pg. 1196 l• 1 �..,1.. 1 , All first -time private non - profit applicants must include a copy of their certification of incorporation. All private non- profit applicants must include proof of non - profit status. If an applicant has not previously submitted their Title VI plan to the Department, a copy must be included. COPY OF 1 . SENT APPLICATI 1 T O LO CLEARINGHOUSE If the grant application is for facilities, please include a copy of the cover letter submitted to the local clearinghouse agency or RPC. rl:lilltlli M! C 1 1 . Most transit projects funded under Section 5310 will be classified by FTA as categorical exclusions. Examples of categorical exclusions include purchase of transit vehicles, and purchase of office equipment. If the proposed project is for construction or acquisition of facilities or other buildings, 04 further evaluation may be required before a determination can be made that the project is a categorical N exclusion. A Categorical Exclusion (CE) is described in 40 Code of Federal Regulations (CFR) 1508.4 and 23 CFR 771, as a project which, based upon past experience with similar actions, does not n individually or cumulatively have a significant environmental effect, and is excluded from the g requirement to prepare an Environmental Assessment (EA) or an Environmental Impact Statement (EIS). Therefore, a project that qualifies as a CE generally requires a lower level of documentation. n n These projects do not bring significant impacts to planned growth or land use for the area; do not require the relocation of significant numbers of people; do not have a significant impact on any natural, cultural, recreational, historic, or other resources; do not involve significant air, noise, or water quality impacts; do not have significant impacts on travel patterns; and do not otherwise individually or 0 cumulatively have any significant environmental impacts. _ Types of projects that have been determined by FTA to qualify as CEs, and normally do not require any further National Environmental Policy Act (NEPA) approvals by FTA, are listed in 23 CFR 771.118(c). Additional actions which meet the criteria for a CE but may be designated as CEs only after FTA approval are listed in 23 CFR 771.118 (d). In these cases, the applicant must submit documentation which demonstrates that the specific conditions or criteria for these CEs are satisfied and that significant environmental effects will not result. To meet the requirements of a CE determination, a proposed project may not be impermissibly segmented from a larger project. This means that a project may be proposed to be implemented in phases or as part of a larger undertaking, but must still demonstrate independent utility, connect logical Florida Department of Transportation — 5310 Application Instruction Manual -- FFY17 M Packet Pg. 1197 termini, and should not restrict consideration of alternatives. In order to meet a CE designation, a proposed project cannot have substantial controversy on environmental grounds, or significant impact to properties protected by Section 4(f) of the US DOT Act (public park and recreation lands, wildlife and waterfowl refuges, and historic sites) or Section 106 of the National Historic Preservation Act (cultural resources including historic and archaeological sites). The presence of features such as wetlands and floodplains within the project area would likely also require additional documentation. The applicant should contact the Florida Department of Transportation (FDf T) District. Office f or assistance with determining the level of doc rnentation required. The FDOT will use a description of the proposed project, along with any maps or figures to assist with determining if a proposed project is likely to meet FTA criteria for a CE. R i ,o � alt l Florida Department of Transportation — 5310 Application Instruction Manual -� FFY17 ��+�' Packet Pg. 1198 .1. WH AT'S O THE MA RKET U 01:. t I L MV-1 PURPOSEBtTILT SPECIAL NEEDS VEHICLE Creative Bus Sales, Inc . GVWR/Len�th b Creative Bus Sales, Inc. Price Wheelchair GVWR/LenQth Ambulatory Seating Price elch air Contract # Order Packet & pricing Capacity 0-6 $ 47,498 itions EWh TRIPS- I2 -SNV -CBS pricing 9000 # /20' 11 + D $42,410 /A 1 # /22 l2 + D $53,480 2 TRIPS- 15 -MB -CB Order Packet Nations Bus GVWR/Length Ambulatory Seating; Price Wheelchair Contract # Order Packet & Capacity Positions Pricing 8550 # /18 8 + D $46,163 N/A 9250 # /20 11 + D $50,664 2 TRIPS- 15 -MB -NB Order Packet 10,360 # /22 Getaway Bus, LLC ry Seating Price Wheelchair Contract # Order Packet & acity Positions Pricing !8550#/18 + D TMid9 $47,807 N/A + D $48,450 N/A + D $52,408 N/A TRIPS- IS -MB -GB Order Packet + D $54,093 N/A U 01:. t I L MV-1 PURPOSEBtTILT SPECIAL NEEDS VEHICLE Creative Bus Sales, Inc . GVWR/Len�th b Ambulatory Seating; Price Wheelchair Contract # Order Packet & Capacity Positions pricing 6,600 #/205" 0-6 $ 47,498 0 - 2 TRIPS- I2 -SNV -CBS Order Packet Florida Department of Transportation — 5310 Application Instruction Manual — FFY 17,E Packet Pg. 1199 ,BRAUN .II IVA S The extended low floor Dodge Grand Caravan minivan with mobility ramp is intended to be used as a Paratransit or Supervisor vehicle. The vehicle provides public transportation for a maximum of six (6) ambulatory passengers or a maximum of two (2) wheelchair passengers and three (3) ambulatory passengers. These configurations exclude the driver. STANDARD CUTAWAY Contracts pending. FDOT Minimum Service Life — t years and/or 33 '1EDI`'I DUTY Expired — RFP to be issued in inter. 2016 E Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 Packet Pg. 1200 7.2 RECIPIENT RISK ASSE For Department use only. Prior to awarding FTA funds, the Department is required to conduct a risk assessment of the potential grantee /sub - recipient. The terms grantee and sub - recipient are interchangeable for the purposes of this tool. The requirements for the risk assessment are outlined in 2 CFR 200 and FTA Circular 5010.E. The Department will consider the following items in order to evaluate the risk posed by each applicant: • Financial stability, including the applicant's financial condition and financial capability; • Quality of the applicant's management systems; • History of performance, particularly previous experience of the applicant in managing federal awards provided by the Department; • Audit reports and any associated findings; • SANI.gov check for applicant's prior performance. To complete the risk assessment, the following questions must be answered in regards to the applicant. If the District decides to award to the applicant, then the risk assessment documentation becomes part of the project file. Should the District decide not to award to the applicant, then the risk assessment remains as part of the grantee selection process. 1. There are two basic aspects to financial capacity /stability: the general financial condition of the grantee and the financial capability of the grantee. Satisfactory financial condition means that the grantee can pay its current costs from existing revenues. Satisfactory financial capability means the grantee's ability to meets its expansion costs in addition to its existing operations from projected revenues. Does the applicant meet the criteria for satisfactory financial capability and condition? Provide supporting documentation or explanation. 2. Describe the applicant's management systems. Does the organization structure clearly define, assign, and delegate appropriate authority for all duties? Are responsibilities segregated within the organization to ensure that adequate internal checks and balances exist? Does the applicant have written operating procedures that are simply stated, yet meet the applicant's operating, legal, and regulatory requirements? 3. Document the applicant's history of performance. Has local match been readily available? Are invoices submitted in a timely manner? Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 ', q'kp d9d �� 4 z, u� th "Pf� y, ^ !� Packet Pg. 1201 4. Review previous audit reports. Does the applicant have any unresolved audit findings? Are there reoccurring findings in the annual audit reports? 5. Attach the screen shot of the SAM.gov check of the applicant. i Florida Department of 'Transportation — 5310 Application Instruction Manual — FFY Packet Pg. 1202 D ate, Year N OTICE OF ► 1, , SECTION I SENI ORS AND INDIVIDUALS WITH DISABILITIES CAP ASSISTANCE P RO G RA M Congratulations, based on your application for Federal Assistance under the Federal Transit Administration's Section 5310 Program, the Florida Department of Transportation (Department) hereby makes the following Federal grant award to: LA � ame of Entity: d dress I FEIN: DUNS - � Entity's Fiscal Period (Start/E Date): FM #: _. Federal Award Identification Number (FAIN Below are the estimated, not actual, project costs of your Federal award: ► r 1 w .-Ig m [III Award Approved by: Name and Title: Date: I' FDOT will pure ase all vehicles awarded to successful applicants according to FDOT's Guidelines for Acquiring Vehicles. The agency is responsible for purchasing awarded equipment in accordance with the Procurement Guidance for Transit Agencies Handbook (overview in Exhibit 3). If the procurement procedures in this handbook are not followed, the agency will not be eligible for reimbursement. The agency will be responsible to provide a 10% local match towards the total project cost. If actual costs are greater than the estimated total cost, it will be the responsibility of your agency to provide the difference. If actual costs are less than the estimated total cost, the difference will remain in the Department's general program fund and will be used to advance any remaining grant requests. Estimated Estimated Estimated Total Cost Federal Share State Share 80 % 10% Florida Department of Transportation — 5310 Application Instruction Manual — FFY 17 0 Packet Pg. 1203 Please contact the FDOT Contractor, 813-974-0695 or ,, to arrange purchase of above The value of this Federal award for a passenger vehicle(s) and /or equipment should be considered noncash assistance. As a subrecipient of this Federal award your Agency may be subject to the single audit requirements established by OMB Circular A -133, for fiscal years beginning before December 26, 2014, and the requirements of 2 CFR Part 200, Subpart F --- Audit Requirements, for fiscal years beginning on or after December 26, 2014. Exhibit 1 and Exhibit 2 to this Notice of Grant Award provide the required Federal award identification and information needed to comply with the single audit requirements. When determining amounts of Federal awards expended in a fiscal year your Agency must consider all sources of Federal awards, including noncash contributions. ACCEPTANCE (To be completed and signed by the person authorized to accept Grant Awards. Please return to FDOT District Office Project Manager). a. Reaffirms its assurances to VrA and FDOT as stated in Exhibits E, G, 11 and I of its application. b. Requests purchase oft the vehicles/equipment in month / _ _ year. Agency: Accepted by: Printed Name and Title: Agency vendor number as registered in Nvly F Marketplace Florida Department of Transportation — 5310 Application Instruction Manual — FFY 17 12 Packet Pg. 1204 F OLLO WS: CFDA No.: 20.513 CFDA 'Title: Enhanced Mobility of Seniors and Individuals with Disabilities N Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 M Packet Pg. 1205 The administration of resources awarded through the Florida Department of Transportation (Department) to the Subrecipient may be subject to audits and/or monitoring by the Department. The following requirements do not limit the authority of the Department to conduct or arrange for the conduct of additional audits or evaluations of Federal awards or limit the authority of any State agency inspector general, the State of Florida Auditor General or any other State official. The Subrecipient shall comply with all audit and audit reporting requirements as specified below. a. In addition to reviews of audits conducted in accordance with OMB Circular A -133, for fiscal years beginning before December 26, 2014, and in accordance with 2 CFR Part 200, Subpart F — Audit Requirements, for fiscal years beginning on or after December 26, 2014, monitoring procedures may include but not be limited to on -site visits by Department staff and/or other procedures including, reviewing any required performance and financial reports, following up, ensuring corrective action, and issuing management decisions on weaknesses found through audits when those findings pertain to Federal awards provided through the Department by this Award. By accepting this Award, the Subrecipient agrees to comply and cooperate fully with any monitoring procedures /processes deemed appropriate by the Department. The Subrecipient further agrees to comply and cooperate with any inspections, reviews, investigations, or audits deemed necessary by the Department, State of Florida Chief Financial Officer (CFO) or State of Florida Auditor General. b. The Subrecipient, a non - Federal entity as defined by OMB Circular A -133, for fiscal years beginning before December 26, 2014, and as defined by 2 CFR Part 200, Subpart F — Audit Requirements, for fiscal years beginning on or after December 26, 2014, as a Subrecipient of a Federal award awarded through the Department, is subject to the following requirements: In the event the Subrecipient expends a total amount of Federal awards equal to or in excess of the threshold established by OMB Circular A -133, for fiscal years beginning before December 26, 2014, and established by 2 CFR Part 200, Subpart F — Audit Requirements, for fiscal years beginning on or after December 26, 2014, the Subrecipient must have a Federal single or program- specific audit for such fiscal year conducted in accordance with the provisions of OMB Circular A -133, for fiscal years beginning before December 26, 2014, and in accordance with the provisions of 2 CFR Part 200, Subpart F — Audit Requirements, for fiscal years beginning on or after December 26, 2014. Exhibit I to this Agreement provides the required Federal award identification information needed by the Subrecipient to further comply with the requirements of OMB Circular A -133, for fiscal years beginning before December 26, 2014, and the requirements of 2 CFR Part 200, Subpart F — Audit Requirements, for fiscal years beginning on or after December 26, 2014. In determining Federal awards expended in a fiscal year, the Subrecipient must consider all sources of Federal awards based on when the activity related to the Federal award occurs, including the Federal award provided as noncash assistance through the Department by this Award. The Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 M Packet Pg. 1206 determination of amounts of Federal awards expended should be in accordance with the guidelines established by OMB Circular A -133, for fiscal years beginning before December 26, 2014, and established by 2 CFR Part 200, Subpart F - Audit Requirements, for fiscal years beginning on or after December 26, 2014. An audit conducted by the State of Florida Auditor General in accordance with the provisions of OMB Circular A -133, for fiscal years beginning before December 26, 2014, and in accordance with 2 CFR Part 200, Subpart F --- Audit Requirements, for fiscal years beginning on or after December 26, 2014, will meet the requirements of this part. ii. In connection with the audit requirements, the Subrecipient shall fulfill the requirements relative to the auditee responsibilities as provided in OMB Circular A- 133, for fiscal years beginning before December 26, 2014, and as provided in 2 CFR Part 200, Subpart F - Audit Requirements, for fiscal years beginning on or after December 26, 2014. iii. In the event the Subrecipient expends less than the threshold established by OMB Circular A -133, for fiscal years beginning before December 26, 2014, and established by 2 CFR Part 200, Subpart F -- Audit Requirements, for fiscal years beginning on or after December 26, 2014, in Federal awards, the Subrecipient is exempt from Federal audit requirements for that fiscal year. However, the Subrecipient must provide a single audit exemption statement to the Department at FDOTSingleAudit @dot.state.fl.us no later than nine months after the end of the Subrecipient's audit period for each applicable audit year. iv. The Subrecipient must electronically submit to the Federal Audit Clearinghouse (FAC) at https:/ /Iiarvester.cetisus.aov /facweb/ the audit reporting package as required by OMB Circular A -133, for fiscal years beginning before December 26, 2014, and as required by 2 CFR Part 200, Subpart F - Audit Requirements, for fiscal years beginning on or after December 26, 2014, within the earlier of 30 calendar days after receipt of the auditor's report(s) or nine months after the end of the audit period. The FAC is the repository of record for audits required by OMB Circular A -133, for fiscal years beginning before December 26, 2014, and for audits required by 2 CFR Part 200, Subpart F - Audit Requirements, for fiscal years beginning on or after December 26, 2014, and this Award. However, the Department requires a copy of the audit reporting package also be submitted to FDOTSinnleAudit @dot.state fl us within the earlier of 30 calendar days after receipt of the auditor's report(s) or nine months after the end of the audit period as required by OMB Circular A -133, for fiscal years beginning before December 26, 2014, and as required by 2 CFR Part 200, Subpart F - Audit Requirements, for fiscal years beginning on or after December 26, 2014. V. Upon receipt, and within six months, the Department will review the Subrecipient's audit reporting package, including corrective action plans and management letters, to the extent necessary to determine whether timely and appropriate action on all deficiencies has been taken pertaining to the Federal award provided through the Department by this Award. If the Subrecipient fails to have an audit conducted in accordance with OMB Circular A -133, for fiscal years beginning before December 26, Florida Department of Transportation - 5310 Application Instruction Manual - FFY17 M Packet Pg. 1207 2014, and in accordance with 2 CFR Part 200, Subpart F — Audit Requirements, for fiscal years beginning on or after December 26, 2014, the Department may impose additional conditions to remedy noncompliance. If the Department determines that noncompliance cannot be remedied by imposing additional conditions, the Department may take appropriate actions to enforce compliance. vi. As a condition of receiving this Federal award, the Subrecipient shall permit the Department, or its designee, the CFO or State of Florida Auditor General access to the Subrecipient's records including financial statements, the independent auditor's working papers and project records as necessary. Records related to unresolved audit findings, appeals or litigation shall be retained until the action is complete or the dispute is resolved. vii. The Department's contact :information for requirements under this part is as follows: Office of Comptroller, MS 24 605 Suwannee Street Tallahassee, Florida 32399 -0450 FDOT Ain , leAudit @dot State ti us c. The Subrecipient shall retain sufficient records demonstrating its compliance with the terms of this Agreement for a period of five years from the date the audit report is issued and shall allow the Department, or its designee, the CFO or State of Florida Auditor General access to such records upon request. The Subrecipient shall ensure that the audit working papers are made available to the Department, or its designee, the CFO, or State of Florida Auditor General upon request for a period of five years from the date the audit report is issued unless extended in writing by the Department. Florida Department of Transportation — 5310 Application Instruction Manual — FFY 17 "" ,° Packet Pg. 1208 This information is intended to provide guidance on the processes for procurements when using state and federal dollars. Procurements should be in accordance with Chapter 287, Florida Statutes (F.S.), Chapter 60A, Florida Administrative Code (F.A.C.) and the Federal Transit Administration (FTA) Best Practices Procurement Manual. Additionally, geographic preferences are prohibited when procurements involve federal funds [reference: 49 CFR 18.36 (c)(1)(2) and FTA C 4220.1 F Ch. VI, Section 2 .a( 4 )(g)]• Third Party Contracts refer to a recipient's contract with a vendor or contractor, including procurement by purchase order or purchase by credit card, which is financed with Federal assistance awarded by FTA. An agency should submit their procurement request to the District Representative for approval prior to completing the purchase. To complete the procurement request, the agency should follow these steps: 1. Determine the Funding Source (i.e. -- federal, state, or local funds) 2. Determine type of procurement being requested (Examples are located in the Procurement Guidance for Transit Agencies Handbook) cm • Professional Services /Architectural Engineering Services • Operations /Management /Subrecipients C14 Rolling Stock o Construction Materials and Supplies 3. Determine level of procurement method • Micro Purchase — Procurements less than $2,500 • Small Purchases — Procurements greater than $2,500 but less than $35,000 • Competitive Procurements — Procurements greater than $35,000 • Other methods listed in the Procurement Guidance for Transit Agencies Manual 4. Ensure that all potential vendors /contractors will accept the applicable federal clauses that relate to the procurement. 5. Complete the Subrecipient Procurement Checklist 6. Complete the appropriate third party checklist from the Procurement Guidance for Transit Agencies Handbook. The checklist should notate where the applicable clause can be found in the supporting documentation. Florida Department of Transportation — 5310 Application Instruction Manual -- FFY17 Packet Pg. 1209 For procurements that are categorized as a "Small Purchase ", a sample Vendor Small Purchase letter is located in the Procurement Guidance for Transit Agencies Handbook. Agencies may utilize this letter as a template when third party agreements /contracts are necessary. This will ensure that the third party (vendor or contractor) accepts the applicable federal clauses. Florida Department of Transportation — 53 10 Application Instruction Manual — FFY17 0 Packet Pg. 1210 7.4 LOCAL CLEARINGHOUSES / REGIONAL PLANNING COUNCILS (RPQ CLEARINGHOUSE/RPC ., • ,. West Florida RPC 4081 -A East Olive Road Pensacola, FL 32514 850- 332 -7976 800 - 226 -8914 Bay, Escambia, Holmes, Okaloosa, Santa Rosa, Walton Washington Contact: Mr. Austin Mount Email: a ustin.mount@b w frpc. org ---------------------------------------------------------------------------------------- Calhoun, Franklin, Gadsden, Gulf, Jackson, Jefferson, Leon, Liberty, Wakulla -------------------------------------- Apalachee RPC 2507 Callaway Road, Suite 200 Tallahassee, FL 32303 850- 488 -6211 ----------------------------------- North Central Florida RPC 2009 N.W. 67 Place Gainesville, FL 32653 -1603 352- 955 -2200 ext 103 ------------------------------ Northeast Florida RPC 6850 Belfort Oaks Place Jacksonville, FL 32216 904 - 279 -0880 ext178 Contact: Mr. Keith McCarron Email: ke lth.mccarron@t h eart)c . com --------------------------------------------------------------------------------- Alachua, Bradford, Columbia, Dixie, Gilchrist, Hamilton, Lafayette, Levy, Madison, Marion, Suwannee, Taylor, Union Contact: Mr. Scott Koons Email: s koon s @ncfroc . - M ------------------------------------------------------------------------------------------- Baker, Clay, Duval, Flagler, Nassau, Putnam, Saint Johns Contact: Mr. Eric Anderson Email: eainderspm @nefrpc.org -------------------------------------------------------------- - - - - -- Florida Department of Transportation — 5310 Application Instruction Manual — FFY 17 M Packet Pg. 1211 East Central Florida RPC 309 Cranes Roost Boulevard Suite 2000 Altamonte Springs, FL 32701 407 -262 -7772 --------------------------------------- Central Florida RPC Post Office Drawer 2089 Bartow, FL 33830 863 - 534 -7130 ext 103 ---------------------------------------- Tampa Bay RPC 4000 Gateway Center Boulevard Suite 100 Pinellas Park, FL 33782 -6141 727 -570 -5151 ext 10 727- 550 -5118 fax ---------------------------------------- Southwest Florida RPC 1926 Victoria Avenue Fort Myers, FL 33901 239 - 338 -2550 ext 232 Treasure Coast RPC 421 Southwest Camden Avenue Stuart, Florida 34994 772 - 221 -4060 South Florida RPC 3440 Hollywood Blvd. Ste 140 Hollywood, FL 33021 954- 985 -4416 Brevard, Lake, Orange, Osceola, Seminole, Sumter, Volusia Contact: Mr. Hugh W. Harling, Jr. Email: hh arlirr , @ecfr c,or ------------------------------------------------------------------------------------- DeSoto, Hardee, Highlands, Okeechobee, Polk Contact: Mr. Ken Harley Email: kharle Cy �%cfrpc.org Citrus, Hernando, Hillsborough, Manatee, Pasco, Pinellas Contact: John Meyer Email: of I�n Charlotte, Collier, Glades, Hendry, Lee, Sarasota Contact: Ms. Nicole Gwinnett Email: ngwinnett @swfrpc.org ------------------------------------------------------------------------------------- Indian River, Martin, Palm Beach, Saint Lucie Contact: Ms. Stephanie Heidt Email: sheidt@tcrj)c.org ----------------------------------------------------- Broward, Miami -Dade, Monroe Contact: Ms. Kathe Lerch Email: kler chC?sfrp� a FDOT DISTRICT OFFICE CONTACTS Voistrict Contacts Address 1 Manager: Paul A. Simmons P.O. Box 1249 (863) 519 -2388 801 North Broadway Bartow, FL 33830 -1249 Transit Unit Contact: Pamela Barr (239) 225 -1972 Collier, Manatee, Sarasota Contact: Debi Stephens (239) 225 -1982 Charlotte, Lee, Hendry, Glades Contact: Michelle S. Peronto (863) 519 -2551 Desoto, Hardee, Highlands, Okeechobee, Polk 2 Manager: Doreen Joyner - Howard (904) 360 -5650 2198 Edison Avenue, MS 2806 Jacksonville, FL 32204 Transit Unit Contact: Janell Damato (904) 360 -5687 Alachua, Baker, Clay, Nassau, Putnam, St. Johns Sandra Collins (386) 961 7870 Bradford, Columbia, Dixie, Gilchrist, Hamilton, Lafayette, Levy, Madison, Suwannee, Taylor, Union Counties Theodis Perry (904) 360 5414 Duval 3 Manager: Scott Walters P. O. Box 607 (850) 330 -1553 Chipley, FL 32428 -9990 Transit Unit Contact: Kathy Rudd (850) 330 -1549 Bay, Escambia, Gulf, Holmes, Jackson, Santa Rosa, Walton, Washington Vanessa Strickland (850) 330 -1534 Calhoun, Franklin, Gadsden, Jefferson, Leon, Liberty, Okaloosa, Wakulla Florida Department of Transportation — 5310 Application Instruction Manual — FFY 17 Packet Pg. 1213 FDOT District Office C ontacts •d 0 Counties Covered. 5 Manager: Brenda Young 133 South Semoran Blvd. (407) 482 -7852 Orlando, FL 32807 Transit Unit Contact: Diane Poitras (407) 482 -7860 Counties Covered: Brevard, Flagler, Lake, Marion, Orange, Osceola, Seminole, Sumter, Volusia 6 Manager: Dionne Richardson 1000 NW 111 th Ave., Room 6111 (305) 470 -5292 Miami, FL 33172 Transit Unit Contact: Raymond Freeman (305) 470 -5255 Counties Covered: Miami -Dade, Monroe Manager: Larry Merritt (954) 777 -4683 Transit Unit Contact: Jayne Pietrowski Contact: Marie Dorismond Broward, Palm Beach, Martin, St Lucie, Indian River 3400 W. Commercial Blvd. Ft. Lauderdale, FL 33309 (954) 777 -4661 (954) 777 -4605 7 Manager: George Boyle (813) 975 -6409 11201 N. McKinley Dr. (MS -7500) Tampa, FL 33612 Transit Unit Contact: Elba Lopez Contact: Dave Newell a (813) 975 —6403 (813) 975 — 6195 Counties Covered: Citrus, Hernando, Hillsborou Pasco, Pinellas � , Florida Department of Transportation — 5310 Application Instruction Manual — FFY 17 i"�� id'' Packet Pg. 1214 To send e -mail to any of the above: -firstname.lastname@dot.state.fl.us Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 a a Packet Pg. 1215 7.6 G L OSSARY ambulatory - A person who is able to walk and move about freely without being confined to a bed or wheelchair. applicant , An agency applying for Section 5310 Federal Assistance. See also "new applicant" and "recurring applicant." authorizing Federal and State Legislation - Legislation authorizing the Section 5310 program are: Fixing America's Surface Transportation Act (FAST Act) Section 3006; 49 U.S.C. Section 5310; FTA Circular 9070.1G; Section 341.051, Florida Statutes; and Chapter 14 -73, Florida Administrative Code. Section 5310 FTA Circular community transportation coordinator (CTC) - A transportation entity recommended by an MPO, or by the appropriate designated official planning agency, as provided for in Sections 427.015(1), Florida Statutes, in an area outside the purview of an MPO, to ensure that coordinated transportation services are provided to the transportation disadvantaged population in a designated service area. contractor — The administering entity of the Florida Vehicle Procurement Program (FVPP) who is under contract to the Florida Department of Transportation to establish statewide vehicle contracts for the purpose of procuring vehicles at the lowest cost possible while ensuring that the best product is available for the program. The Contractor is also responsible to coordinate, assist as needed, and report in all procurement activities under the Section 5310 Program. designated official planning agency -- A planning entity so designated by the Florida Commission for the Transportation Disadvantaged to conduct planning and support functions for the transportation disadvantaged services. disabled person — See elderly individual and persons with disabilities. Disadvantaged Business Enterprise (DBE) - DBEs are for - profit small business concerns where socially and economically disadvantaged individuals own at least a 51% interest and also control management and daily business operations. district office — Florida Department of Transportation District Public Transportation Office or District Office of Modal Development and /or staff. district program of projects (POP) -- A district listing of each applicant agency for which a grant award is proposed, a description of the equipment to be awarded, and the proposed Federal, state and local share of the project cost. The district program of project includes certification by the District Office that all applicants and projects so proposed either meet all program requirements or will meet all program requirements before a Notice of Grant Award is executed. eligible expenses — Section 5310 funds may be used for the capital and /or operating expense of transportation services to seniors and /or individuals with disabilities. Eligible expenses are limited to buses, vans or other paratransit vehicles (including sedans and station wagons), radios and communications equipment, wheelchair lifts and restraints, vehicle rehabilitation, vehicle overhaul, data processing hardware /software, other durable goods such as spare components with a useful life of more than one (1) year and a per unit cost over $300, initial installation costs, vehicle procurement/testing, vehicle inspection and vehicle preventative maintenance, passenger facilities related to Section 5310 - funded vehicles, support facilities and equipment for Section 5310- funded vehicles, operating costs associated with providing transit service, costs associated with transit service that exceeds the 1 � i¢''' � Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 � � � Packet Pg. 1216 requirements of the Americans with Disabilities Act of 1990, projects that improve access to fixed route service and decrease reliance by individuals with disabilities on complementary paratransit, and alternative to public transportation that assist seniors and individuals with disabilities with transportation. An applicant applying for preventative maintenance costs must have a District approved maintenance plan and a cost allocation if activities are performed in house. The Federal share for eligible capital expenses may not exceed eighty percent (80 %). eligible expenses, operating - For the Section 5310 program, eligible operating expenses include the total administrative, management, and operation costs directly incident to the provision of public transportation services less operating revenues. The federal share for net eligible operating costs may not exceed 50 %. eligible recipient, 5310 — For the Section 5310 Program, funds may be awarded to public agency Community Transportation Coordinators (CTCs), private- non - profit CTCs, and to private non - profit organizations providing transportation to seniors and /or persons with disabilities under a coordination agreement with a CTC. When the CTC is a private for - profit agency, the designated official planning agency responsible for designating the CTC may apply for Section 5310 funds, then sub - contract with the CTC for provision of service. Recipients must be either a CTC or providing service under the terms of a written agreement with a CTC. Agencies must keep their CTC Agreements current and in force at all times when receiving an award under the Section 5310 Program. Private taxi companies that provide shared -ride taxi service to the general public on a regular basis are eligible subrecipients. "Shared- ride" means two or more passengers in the same vehicle who are otherwise not traveling together. expanded service - Adding a new service to an already existing system. FDOT control number - Is assigned by the District once the vehicle has been purchased, received and titled to the recipient with the Department of Transportation as the first lienholder. human service transportation - Transportation services provided by or on behalf of a human service agency to provide access to agency services and /or to meet the basic, day -to -day mobility needs of transportation - disadvantaged populations, especially individuals with disabilities, older adults, and people with low incomes. incurred - Commitment or obligation to spend funds for goods to be received or services to be rendered. individual with a disability — An individual who, because of illness, injury, age, congenital malfunction, or other incapacity or temporary or permanent disability (including an individual who is a wheelchair user or has semi - ambulatory capability), cannot use effectively, without special facilities, planning or design, public transportation service or a public transportation facility. Job Access and Reverse Commute Program (JARC) — The Federal Transit Administration formula grant program for projects relating to the development and maintenance of transportation services designed to transport welfare recipients and eligible low- income individuals to and from jobs and activities related to their employment, and for public transportation projects designed to transport residents of urbanized areas and rural areas to suburban employment opportunities. joint participation agreement (J) - A contract between FDOT and a local sponsor of a transportation project, defining a project and FDOT's participation. JPAs may be for one year or multiple years (up to five years), at the discretion of FDOT. large urbanized area -- An urbanized are (UZA) with a population of 200,000 or more individuals, as determined by the Bureau of Census. Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 M Packet Pg. 1217 Limited English proficient (LEP) - Individuals who do not speak English as their primary language and who have a limited ability to read, speak, write, or understand English can be limited English proficient, or "LEP." These individuals may be entitled to language assistance with respect to a particular type of service, benefit, or encounter. DOT recipients are required to take reasonable steps to ensure meaningful access to their programs and activities by LEP persons. locally developed, coordinated public transit-human services transportation plan — means a plan that identifies the transportation needs of individuals with disabilities, older adults, and people with low incomes, provide strategies for meeting those local needs, and prioritizes transportation services for funding and implementation. Projects considered for Section 5310 funding must serve identified needs of the disabled population. A locally developed Transportation Disadvantages Services Plan (TDSP) will qualify in most instances. All stakeholders identified in the circular must be included in the development of the TDSP. metropolitan planning organization (MPO) — MPOs are the policy and planning bodies, designated by the Governor, responsible for transportation planning in urbanized areas. new applicant — An applicant for Section 5310 assistance that has not received an award in the last two fiscal years. new service - A first time applicant starting a new service. non - ambulatory - A person who has a mobility impairment that prevents them from being able to walk or move about freely. nonprofit organization — A corporation or association determined by the U. S. Secretary of the Treasury to be an organization described by 26 U.S.C. Section 501(c) which is exempt from taxation under 26 U.S.C. Section 501(a) or one incorporated within Florida which is certified as not for profit by the Secretary of State. notice of grant award — A form used to notify a successful Section 5310 applicant that they have been selected to receive a grant award and for the applicant to accept the grant being offered as a Section 5310 grant recipient. one -way passenger trips - A person who rides a transportation vehicle in one direction between two points for a specific purpose. operating revenue _ For Section 5310, operating revenue includes the sum of all fares paid by passengers, whether such fares are paid at the time service is provided or via a prepaid arrangement such as passes or tokens. Operating revenue excludes revenues from contracts with social service agencies that pay for transportation of social service clients. private organization — Non- public organizations, bodies which are not municipalities or other political subdivisions of the State of Florida; are not public agencies or instrumentalities of one or more states; are not Indian Tribes (except private nonprofit corporations formed by Indian Tribes); are not public corporations, boards or commissions established under the law of any state; or are not subject to direct control by public authority, Federal, State, county, or municipal. program of projects (POP) — A list of projects to be funded in a grant application submitted to the Federal Transportation by the Florida. Department of Transportation. The program of projects (POP) lists the subrecipients and indicates whether they are private non - profit agencies or local governmental authorities, designates the areas served (including rural areas), and identifies any tribal entities. In Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 I s Packet Pg. 1218 addition, the POP includes a brief description of the projects, total project cost and Federal share for each project, and the amount of funds used for program administration from the ten percent (10 %) allowed. public agency - An authority, commission, committee, council, department, division, bureau, board, section or any other unit or entity of the state or of a town, city, municipality, county or other local governing body. public transit - The transporting of people by conveyances or systems of conveyances, traveling on land or water, local or regional in nature, and available for use by the general public. Public transit specifically includes those forms of transportation commonly known as "paratransit" characterized by their non - scheduled, non -fixed route nature. recipient -- The Florida Department of Transportation, a State Agency designed by the Governor to receive funds apportioned by formula to the States under Section 5310(b)(1), or a local government authority when Federal Highway Administration (FHWA) funds are flexed to Section 5310 to support services for individuals with disabilities. recurring applicant — An applicant for Section 5310 Federal Assistance who applies every year. rural areas - An area encompassing a population of fewer than 50,000 people that has not been designated in the most recent decennial census as an urbanized area by the Secretary of Commerce. seniors — An individual who is 65 years of age or older. small urbanized areas (UZA) - A UZA with a population of at least 50,000 but less than 200,000, as determined by the Bureau of the Census. subrecipient — A private non - profit organization, if the public transportation service provided is unavailable, insufficient, or inappropriate; or a governmental authority that is approved by the State to coordinate services for elderly individuals and individuals with disabilities or certifies that there are not any non - profit organizations readily available in the area to provide the services. transit development plan (TDP) - A locally adopted document, addressing a minimum five -year time frame. It is prepared by the public transit provider, in cooperation with the appropriate Metropolitan Planning Organization. It is consistent with the applicable approved local government comprehensive plan. The TDP includes an assessment of the need for transit services in the local area, identifies the local transit policies, existing services and proposed service improvements, capital and operating costs of the proposed services, existing and proposed sources of funding and a staged implementation plan. A TDP is updated annually. transportation disadvantaged - Those persons who because of physical or mental disability, income status, or age, or who for other reasons, are unable to transport themselves or to purchase transportation and are, therefore, dependent upon others to obtain access to health care, employment, education, shopping, social activities, or other life- sustaining activities, or children who are handicapped or high - risk as defined in Chapter 411.202 F.S. transportation disadvantaged service plan (TDSP) — A plan developed by the CTC and approved by the Local Coordinating Board that identifies service gaps and provides recommended strategies to provide service in areas of need. The TDSP may serve as the Local Coordinated Human Services Transportation Plan. The TDSP is updated annually but includes a five year planning window. transportation improvement program ('1"I ) — A continuing, cooperative and comprehensive planning »9 � Florida Department of Transportation — 5310 Application Instruction Manual — FFY 17 s ; � #, by J, Packet Pg. 1219 process that delineates transportation improvements recommended for Federal and state funding during the program period. The MPO submits the TIP to the Florida Department of Transportation as required by Chapter 339, Florida Statutes. transportation operator contract -.- A written contract between the CTC and the transportation operator prepared at the local level that outlines the terms and conditions for any services to be performed. urbanized area — An area encompassing a population of not less than 50,000 people that has been defined and designated in the most recent decennial census as an urbanized area by the Secretary of Commerce. Florida Department of Transportation — 5310 Application Instruction Manual — FFY17N Packet Pg. 1220 Revised by: Kayla Costello, Section 5310 FDOT Public Transit Office 605 Suwannee Street (MS 26) Tallahassee, Florida 32399 -0450 Work Phone: 850- 414 -4239 Email: kayla.costello @dot. state.fl.us R, Florida Department of Transportation — 5310 Application Instruction Manual — FFY17 F packet Pg. 1221