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01/21/2004
Clerkoffie ffircukCeutl Danny L. Kolhage Office (305) 292-3550 Fax (305)295-3663 To: Louis LaTorre, Director Social Services From: Isabel C. DeSantis, Deputy Clerk Date: Thursday, February o5, 2oo4 At the BOCC meeting of January 21, 2004, the Board approved the following: Resolution concerning approval of an application for Federal Assistance between Monroe County, the applicant, and the Federal Transit Administration for Financial Assistance to purchase two transportation buses and approval of the County Administrator to sign the Grant Application. Enclosed please find a copy of the subject Resolution for your files. This item was personally handled by the County Clerk at the above meeting. Should you have any questions, please do not hesitate to contact this office. cc: Finance County Attorney ,/ File R Checklist for Application Completeness: Section 6310 Name of Applicant: Monroe County Board of County Commissioners Check One: First Time Applicant Previous Applicant X The following must be included in Section 5310 grant applications in the following order: X X X X X X X X X X X X X X X This Checklist Applicant's cover letter and 2 copies of the governing board's Resolution. Application for Federal Assistance (Form 424, Code 20.513) Operating and Administrative Revenue Form Current Vehicle and Transportation Equipment Inventory Form Capital Request Form Exhibit A: Current System Description Exhibit A-1: Fact Sheet Exhibit B: Proposed Project Description Exhibit C: Public Hearing notice and Publisher's Affidavit (for public agencies only.) Exhibit D: Coordination Exhibit E: N/A Exhibit F: Federal Certifications and Assurances Exhibit G: Certification of Equivalent Service (if grant is for non -accessible vehicles) N/A Exhibit H: Applicant Certification and Assurance to FDOT. Date submitted to local Clearinghouse: January 21, 2004 1/14/2004 11:35 AM 47 checklist-2004 C UNTY SO�MONROE KEY WESTLORIDA 33040 (305) 294-4641 Transportation Dept. 1100 Simonton St. Rm 1-181 Gato Building Key West. Fl 33040 305-292-4422 Phone 305-292-4411 Fax BOARD OF COUNTY COMMISSIONERS LA Mayor Murray E. Nelson, District 5 �— Mayor Pro Tem David P. Rice, District 4 Dude M. Spehar, District 1 George Neugent, District 2 Charles "Sonny" McCoy, District 3 JI� COVER LETTER STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION GRANT APPLICATION Monroe County Board of County Commissioners submits this Application for the Section 5310 Program Grant and agrees to comply with all assurances and exhibits attached hereto and by this reference made a part thereof, as itemized in this Checklist for Application Completeness. Monroe County Board of County Commissioners further agrees, to the extent provided by law (in case of a government agency in accordance with Sections 129.07 and 768.28, Florida Statutes) to indemnify, defend and hold harmless the Department and all of its officers, agents or employees from any claim, loss, damage, cost, charge, or expense arising out of the non- compliance by the Agency, its officers, agents or employees, with any of the assurances stated in this Application. This application is submitted on this 21' day of January, 2004 with two (2) original resolutions or certified copies of the original resolution authorizing James L Roberts County Administrator to sign this Application. tdirivFi()E COUNTY ATTO NE VED AS RM S ZANN A. HU TON ASS TANT TTORNEY ��_-- Board of County Commissioners By: Date: 41a�Title: County Administrator BeILI Date: Jan y 21, 2004 Title: Mayor OMB Approval No. 0348-0043 APPLICATION FOR 2. DATE SUBMITTED 1/21/2004 Appian 1°entfef FEDERAL ASSISTANCE 3. DATE RECEIVED BY STATE Sate Application Identifier 1. TYPE OF SUBMISSION: Application Preappication 4. DATE RECEIVED BY FEDERAL AGENCY Federal Identifier Constniction Con stnxiron Non -Construction X ran-constnntion a. APPLICANTINFORMATION Legal Name Orgamabo" UrW Monroe County Board of County Commissioners Social Services Transportation Address (give city, court, state and zip code) Name and telephone reaber of person to be contacted on crafters involving 1100 Simonton St. Rm 1-181 this application (give area code) Gato Building Jerry L. Eskew Key West, Florida 33040 305-292-4425 8. EMPLOYER IDENTIFICATION NUMBER (EIM: 7. TYPE OF APPLICANT: (enter appropriate letter in bop B 59-6000749 A. Slate K Independent School Dist. B. Comity I. State Controlled Insttulion of Higher Leamg 8. TYPE OF APPLICATION: Now Contireration Revision C. Muticipal J. Private University D. Township K. Indian Tribe If Revision, enter appropriate Letter(s) in box(es) E. Interstate L. Individual F. Interrruncipel M. Profit Organ®tion A. Increase Award B. Decrease Award C. Increase Dnaation D. Special District N. Otter (Specify) 9. NAM OF FEDERAL AGENCY: D. Decrease Duration Other Federal Transit Administration 10. CATALOG OF FEDERAL DOMESTIC 11. DESCRIPTIVE TITLE OF APPLICANTS PROJECT: 20 513 Paratransit vehicle ASSISTANCE NUMBER' Bus Body -On -Chassis TITLE Federal Transit Adminisaabon Section 5310 Program 12. AREAS AFFECTED BY PROJECT (cities. counties. states etc.) Monroe County 13. PROPOSED PROJECT 14. CONGRESSIONAL DISTRICTS OF Stem a. ApplicantD. ProjectJ aleEndingDate Jun-05 20th Con ressional District 20th Congressional District IS. ESTIMATED FUNDING 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS? a. Federal $ 80,000.00 a. YES THIS PRFAPPLICATION, APPLICATION WAS MADE AVAILABLE TO 71-E STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON Date b. NO PROGRAM IS NOT COVERED BYE O 1Z372 b. Applicant $ 10,000.00 c. State $ 10,000.00 d. Local $ OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW e- Other $ I. Program Income $ 17, IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? YES If"Yes" attach an eniplanation NO g. TOTAL $ 1 OO, 000.00 18. TO THE BEST OF MY KNOWLEDGE AND BELIEF ALL DATA IN THIS APPLICATION PRFAPPLICATION ARE TRUE AND CORRECT. THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED a. Typed Name of Authoni d Representative b. Title c. Telephone rrurrDer James Roberts lCountyAdministrator 305-292-4441 d. Signature of Authonzed Represents ve e. Date Signed ✓V _ —� / 6 Previous Editions Not Usable MONK � E COUNTY ATTORNEY ROVED ASA FORL6 UZANNE A."HUTTON ISTANT CARTY ATTORNEY Authorized for Local Reproduction Standard Fomn 424 (REV 4-e8) Prescribed by OMB Circular A-102 AFA5310-2004 17 TRANSPORTATION -RELATED OPERATING and ADMINISTRATIVE EXPENSES Name of Applicant Oryanaetion mmw CO-" mea eoeof or county Conssm Date Completed 1/12/2004 Fiscal Period From 10(01/03 to 09/30/2004 Budget (estimated) based on FY 2004 Budget TOTAL EXPENSE OPERATING REVENUES TOTAL REVENUE (N Ap —ft) Passenger Fares for Transit Servl 401 50,000 Special Transit Fares 402 70,000 School Bus Service Revenues 403 Freight Tariffs 404 Charter Service Revenues 405 Auxiliary Transportation Revenues 408 Non -Transportation Revenues(4071 Total Operating Revenues 120.000 OTHER REVENUES Taxes Levied Directly by,Transit S 408 Local Cash Grants and Reimbursements 827,554 Local Special Fare Assistance 410 State Cash Grants and Reimbursements 90,000 State Special Fare Assistance 412 Federal Cash Grants and Rolm bursements 413 Interest Income 414 Contributed Services 415 Contributed Cash 416 Subsidy from Other Sectors of Operations 440 Total of Other Revenues $ 917,554 GRAND TOTAL REVENUES $ 1 037,554 24 OAES310-2004 c O 0 O 0 O 0 a O o O p o p O ,: o a O 0 O 0 O 0 O 0 O 0 O 0 o 0 o 0 O 0 O 0 F.. a 0 0 O O O O 0 Q 0 0 0 0 0 0 0 0 0 0 07 •, O Z u1 N Uf N Y o N O O N N N W em-- :. e e M e e e e e e e e e ►- s o 0 0 0 0 0 o O a O s m IMAM a 0 N 0 a 0 a 0 a 0 a 0 a 0 a 0 a 0 0 0 0 0 0 � o 0 0 0 0 0 . 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C e M M m N N C p Vea) 10 e 0f e N m t0 yyM N N Q- N N N N N N N M N N N N N N r cm OI N N mm V m A m m g N ON! A � N {ND N �p N M N in N m N M r N m Z w g m N U S U M U C m �f U Q x a m N m m a Om0 Q U A m Q m m z 030 m w1 S S b axo 0 r r vxf m z x= 0 d x= m W J m 0 N t0 01 O O (y V/ e G O LL O N X e LL N U ;'S W 0 W 1LL W W N W W W A A A N N _ " r W Y W 3 3 C z W x W x 3 3 W x x 3 3 W W > W w X W X w 3 O U. e C 0 LL 0 LL 0 LL LL C G O C O -.: U. LL LL LL LL LL LL — LL LL LL LL LL LL # N N N A M O N N A N e m M ��0e00yyyyy b imm0 imm0 A01 N m m a a a a a a m A N M g N m M N N 0 m N m N O e N N OI g - H q q q q = Q Q Q a A m>o A A 0 A 0 A 0 A 0 A 0 1� A 0 o A c A o A 0 A 0 1t 03 0 0 0 0 0 1� 0 CL CAPITAL REQUEST VEHICLE REQUEST FTA GMIS Code Number of Vehicles Requested Options Sources of Funding Estimated Cost 53101 5311 Either 11.12.04 2 20-22" Diesel Bus 9 amb X $100,000 11. 2 Wheelchair positions 11. 11. 11. 11. VEHICLE SUBTOTAL $ 100,000 OTHER CAPITAL REQUEST FTA GMIS Code Quantity Brief Description Sources of Funding Estimated Cost 53101 5311 Either 11. 11. 11. 11. 11. 11. OTHER CAPITAL SUBTOTAL VEHICLE SUBTOTAL $100,000 + OTHER CAPITAL SUBTOTAL $ X 80%- Federal Request $ 80,000 31 CA5310-2004 EXHIBIT A Overview Monroe County Transit provides paratransit service to the elderly, handicap and transportation disadvantaged citizens of Monroe County. The three geographical service areas are Lower Keys (Key West) from mile marker 0 to 40, Middle Keys (Marathon Key) from mile marker 47 to 72, and Upper Keys (Plantation Key and Key Largo) from mile marker 73 to 112. Fleet Size All eighteen (18) paratransit buses are wheelchair equipped. The fleet is based as follows: Six (6) buses at 1100 Simonton St. Key West Two (2) buses at 380 Key Deer Blvd. Big Pine Key Four (4) buses at 490 63`d St. Marathon, and Six (6) buses at 88800 Overseas Hwy Plantation Key Routes There are four (4) routes assigned to the Lower Keys, two (2) routes for the Middle Keys and three (3) routes for the Upper Keys. Hours of Operation Monday through Friday 7:00 AM to 6:00 PM (excluding County Holidays) Staffing Transportation Administrator, Administrative Assistant, Special Needs Coordinator, One (1) Dispatcher, One (1) Reservationist, One (1) Scheduler, One (1) Regional Transportation Specialist with CDL Class D License and Nine (9) CDL Class B Licenses Transportation Drivers with Passenger and Airbrake Endorsements and up to nine (9) On Call Substitute Transportation Drivers with CDL Class D or B Licenses. Ridership 72% Elderly 60 years or older 28% Transportation Disadvantaged of those two categories 14% are wheelchair Vehicle Maintenance Fully staffed maintenance facility with a recognized preventative maintenance program. Single Audit Act Attached is the Single Audit Act, and a copy of the latest completed audit. EXBA5310.DOC MARVA GREEN, P.A. Certified Public Accountant Members American Institute and Florida Institute of CertMed POW Accountants Box 1529 Northside Dr., Suite 101 Nest, FL 33041-1529 Tel. (305) 294-2581 Fax (305) 294-4778 INDEPENDENT AUDITORS' REPORT ON SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS AND STATE FINANCIAL ASSISTANCE.AND SCHEDULE OF MATCHING REQUIREMENTS Clerk Ex Officio Board of County Commissioners Monroe County, Florida We have audited the basic financial statements of the Board of County Commissioners of Monroe County, Florida (the "Board") as of and for the year ended September 30, 2002, and have issued our report thereon dated March 24, 2003. These basic financial statements are the responsibility of the Board's management. Our responsibility is to express an' opinion on the basic financial statements based on our audit. We conducted our audit in accordance with U.S. generally accepted auditing standards and the standards applicable to financial audits contained in Government Auditing Standards, issued by the Comptroller General of the United States. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the basic financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the basic financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as. evaluating the. overall financial statement presentation. We believe that our audit provides a reasonable basis for our opinion. Our audit was made for the purpose of forming an opinion on the basic financial statements of the Board taken as a whole. The accompanying schedule of expenditures of federal awards and state financial assistance is presented for the purpose of additional analysis as required by the U.S. Office of Management and Budget Circular A-133, Audits of States, Local Governments, and Non -Profit Organizations and the Florida Single Audit Act. The accompanying schedule of matching requirements required by the gryftor is also presented for purposes of additional analysis. The accompanying schedules are not a required part of the basic financial statements. Such information has been subjected to the auditing procedures applied in the audit of the basic financial statements and, in our opinion, is fairly stated, in all material respects, in relation to the basic financial statements as a whole. Marva Green P.A., Inc. Certified Public Accountants March 24, 2003 I-1 Monroe County, Florida Board of County Commissioners Schedule of Expenditures of Federal Awards and State Financial Assistance For the Fiscal Year Ended September 30, 2002 Federal/State Agency, Pass -through Entity CFDA Federal Program/State Proiect Number Department of Agriculture: ` Direct Program: Hurricane Georges Canal Cleaning 10.904 Passed through State Department of Elder Affairs and Alliance for Aging: USDA 2001 10.570 USDA 2002 10.570 Total Program Total Federal Agency Department of Commerce: Passed through National Oceanic & Atmospheric Administration: Sentinel Fisheries Program-00 11.427 Department of Health and Human Services: Passed through State Department of Elder Affairs and Alliance for Aging: Title IIIB Support Services - 2001 93.044 Title 111E Support Services - 2002 93.044 Total Program Title IIIC-1 Congregate Meals - 2001 93.045 Title IIIC-2 Home Delivered Meals 2001 93.045 Title IIIC-1 Congregate Meals - 2002 93.045 Title IIIC-2 Home Delivered Meals 2002 93.045 Total Program Title III-D In -Home Services - 2002 93.052 Passed through Florida Department of Revenue: Child Support Enforcement Title IV-D 93.563 Passed through State Department of Community Affairs: Low Income Home Energy Assistance Prog 2001 - 93.568 Low Income Home Energy Assistance Prog 2002 _ 93.568 Total Program Total Federal Agency Department of Housing and Urban Development Passed through State Department of Community Affairs: Affordable Housing Coordination 14.228 The accompanying notes are an integral part of this schedule 1-2 Cash Contract Grant Number Receipts Expenditures 68-4209-9-208 339,063 -- US151 15,235 11,140 US251 17,124 22,538 32,359 33,678 371,422 33,678 40WCNCO04656 9,020 7,252 AA129 65,952 43,068 AA229 50,074 80,579 116,026 123,647 AA129 56,924 33,949 AA129 102,791 55,160 AA229 68,479 102,911 AA229 105,243 190,965 333,437 382,985 AA229 8,046 20,024 CC344 90,944 99,629 01EA-90-11-54-01-018 59,735 ./30,930 02EA-2J-11-54-01-018 28,811 49,697 88,546 80,627 636,999 706,912 02DB-78-11-54-22-010 17,729 17,729 1-3 Monroe County, Florida Board of County Commissioners Schedule of Expenditures of Federal Awards _ and State Financial Assistance - Continued For the Fiscal Year Ending September 30, 2002 .� _ Federal/State Agency, _I Pass -through Entity CFDA -� Federal Program/State Project Number w Department of Justice: ., Direct Program: -- Bureau of Justice Assistance: Local Law Enforcement Block Grant 16.592 Local Law Enforcement Block Grant 16.592 Local Law Enforcement Block Grant 16.592 .a Local Law Enforcement Block Grant 16.592 Total Program _ Passed through Florida Department of Law Enforcement: Byrne Formula Grant Program- Inmate Intervention/Residential Program -2001 16.579 .a Byrne Formula Grant Program- Heron Residential Program-2001 16.579 _ Byrne Formula Grant Program- Teenline Crisis Intervention & Referral-2002 16.579 Byrne Formula Grant Program- Juvenile Community Intervention Program-2001 16.579 Byrne Formula Grant Program- Residential Detox Program -2001 16.579 Byrne Formula Grant Program- Residential Detox Program -2002 16.579 Byrne Formula Grant Program- Samuel's House Shelter -2001 16.579 Byrne Formula Grant Program- Samuel's House Shelter -2002 16.579 � Byrne Formula Grant Program- Sunrise House-2001 16.579 Byrne Formula Grant Program- Sunrise House-2002 16.579 Byrne Formula Grant Program- Street Smart Gang Prevention-2002 16.579 r' Byrne Formula Grant Program- Residential Drug and Alcohol Treatment -2002 16.579 Byrne Formula Grant Program- Monroe Youth Challenge Program-2002 16.579 *' Byrne Formula Grant Program- Sheriff Case Manager-2002 16.579 _ Total Program Residential Substance Abuse Treatment for State Prisoners- 2001 16.593 Residential Substance Abuse Treatment for State Prisoners- 2002 16.593 _ Total Program Total Federal Agency Department of Labor: Passed through National Council on the Aging, Inc.: Senior Community Service Project 2001 17.235 Senior Community Service Project 2002 17.235 Senior Community Service Title V Project 2001 17.235 Total Program The accompanying notes are an integral part of this schedule _ 1-4 Contract Grant Number 1999-LB-VX-7835 2001-LB-BX-0035 2001-LB-BX-1575 2002-LB-BX-0240 01-CJ-J 1-11-54-01-111 01-CJ-J 1-11-54-01-107 02-CJ-2H-11-54-01-134 01-CJ-J 1-11-54-01-109 01-CJ-J 1-11-54-01-108 02-CJ-2H-11-54-01-129 01-CJ-J 1-11-54-01-110 02-CJ-2H-11-54-01-132 01-CJ-J 1-11-54-01-112 02-CJ-2H-11-54-01-128 02-CJ-2H-11-54-01-127 02-CJ-2H-11-54-01-130 02-CJ-2H-11-54-01-131 02-CJ-2H-11-54-01-133 0 1 -CJ-9K-1 1-54-01-006 02-CJ-2A-11-54-01-004 AD-1169-30-15-512 AD-12521-02-55-12 OW-PY'01-04-00 Cash Receipts 108,142 88,050 196,192 64,679 11,062 7,340 9,425 6,973 8,513 28,857 17,039 7,513 6,732 6,330 15,291 6,718 196,472 58,449 21,859 80,308 472,972 130,053 14,685 46,109 190,847 Expenditures 34,454 46,621 81,075 10,182 22,954 29,085 11,533 16,749 45,155 25,986 20,242 181,886 43,704 64,593 108,297 ,,71,258 104,217 26,244 64,401 194,862 1-5 Monroe County, Florida r - i Board of County Commissioners Schedule of Expenditures of Federal Awards and State Financial Assistance - Continued For the Fiscal Year Ended September 30, 2002 Federal/State Agency, Pass -through Entity CFDA Federal Program/State Project Number L. Department of Labor- Continued: Passed through South Florida Employment & Training Consortium: r JTPA Liaison 2000 17.250 l.• JTPA Liaison 2001 17.250 JTPA Summer Youth Employment & Trng Prg 00 17.250 Total Program Total Federal Agency Department of Transportation: Direct Program: Federal Aviation Administration: Key West/Marathon AIP-1198 20.106 Key West AIP-1400 20.106 Key West AIP-3715 20.106 Key West AIP-3716 20.106 Key West AIP-3716 20.106 Key West AIP-3718 20.106 Key West AIP-3719 20.106 Marathon AIP-4415 20.106 Marathon AIP-4416 20.106 Total Program L,9 Transportation Planning Assistance 20.205 National Highway Traffic Safety Administration: Sheriffs Office Motorcycle Safety Project 20.600 Sheriffs Office Child Restraint Safety Program 20.600 Total Program Total Federal Agency The accompanying notes are an integral part of this schedule 1-6 Contract Grant Number WWW-PY'01-01-01 WWW-PY'01-01-02 WIA-YS-PY'00-25-06 Cash Receipts Expenditures 1,729 -- 22,970 26,283 47,390 -- 72,089 26,283 262.936 221.145 3-12-0037-1198 -- 33,549 3-12-0037-1400 391,566 202,438 3-12-0037-1501 1,262,604 1,710,517 3-12-0037-1602 50,750 50,750 3-12-0037-1702 -- 848 3-12-0037-1802 -- 21,649 3-12-0037-1902 -- 529,842 3-12-0044-1500 3,624 24,160 3-12-0044-1601 542,695 597,451 2,251,239 3,171,204 FAP#8888-488/AI893 104,275 96,670 FM-01-25-02-01 /AJ929 60,477 -- OP-01-02-20-01 /AJ979 35,788 -- 96,265 -- __ 2,451,779 3,267,874 1-7 Monroe County, Florida Board of County Commissioners Schedule of Expenditures of Federal Awards and State Financial Assistance - Continued For the Fiscal Year Ended September 30, 2002 Federal/State Agency, Pass -through Entity Federal Program/State Project Federal Emergency Management Agency: Passed through State Department of Community Affairs: Hurricane Georges - FEMA-1249-DR-FL Tropical Storm Mitch- FEMA-DR-1259-FL Hazardous Mitigation Shutter Project Hazardous Mitigation Old Courthouse Shuttering Project Total Program Terrorism Preparedness EMA State and Local Assistance FY 02 Total Program Passed through State Department of Insurance: Florida Wildfires 2001-FEMA-DSR-2359 Total Federal Agency U.S. Fish and Wildlife Service: Passed through State Department of Environmental Protection: Clean Vessel Act Total Schedule of Expenditures of Federal Awards The accompanying notes are an integral part of this schedule CFDA ■ Number r 83.548 83.548 83.548 83.548 83.552 83.552 15.616 in MP Contract Grant Number 01 UN-6P-11-54-15-007 01 HM-4R-11-54-15-009 01 HM-4R-11-54-15-006 01-H M-14-11-54-15-022 02-PR-70-07-38-01-005 02-CP-04-11-54-01-044 01-01-920 LE328 CVA 98-196 Cash Receipts F 151,114 81,360 142,461 374,935 7,609 382.544 Expenditures 87,283 7,232 81,013 137,952 313,480 397 22,903 23,300 7,609 344,389 50,000 $ 4,605,401 $ 5,020,237 Monroe County, Florida Board of County Commissioners Schedule of Expenditures of Federal Awards and State Financial Assistance - Continued For the Fiscal Year Ended September 30, 2002 CSFANumber State Agency Name Florida Department of Community Affairs: - On -site Sewage Replacement- Canal Study/Post Disaster/Little Venice 52.003 Emergency Management Base Gram 20b1 52.008 Emergency Management Base Grarit - 2002 52.008 Total Program ` Hazardous Material Emergency Plan-2001 52.023 Hazardous Material Emergency Plan-2002 52.023 Total Program Sanitary Wastewater Master Plan _ Total Department Florida Department of Elder Affairs: ` Home Care for the Elderly - 2001 65.001 j Home Care for the Elderly - 2002 65.001 Total Program ` Alzheimer's Disease Initiative - 2001 65.004 - Alzheimer's Disease Initiative - 2002 65.004 i— Total Program Community Care for Elderly 2000 65.010 Community Care for Elderly 2001 65.010 Community Care for Elderly 2002 65.010 Total Program Total Department Florida Department of Environmental Protection: Litter & Marine Debris Grant - 2002 37.009 t Solid Waste Recycling & Education 2002 37.011 Small Counties Solid Waste -2002 37.012 Waste Tire Solid Waste-2002 37.015 r Upper Keys Community Pool 37.017 L_ Stormwater Master Plan 37.039 Total Department _ Information provided for state financial assistance but not required for federal awards. F - The accompanying notes are an integral part of this schedule. ~' 1-10 r Cash Transfer To Contract Grant Number Receipts Expenditures Subrecipients* 01-DR-1 6-11-54-01 -001 457,462 103,800 -- 01-CP-04-11-54-01-044 34,758 -- -- 02-CP-04-11-54-01-044 76,837 102,974 -- 111,595 102,974 -- 01-CP-11-11-54-22-025 5,001 5,001 -- 02-CP-11-11-54-22-031 1,878 -- -- 6,879 5,001 -- 99-DR-1 P-1 1-54-01 -001 -- 56,366 -- 575,936 268,141 -- KH-172 3,269 2,707 -- KH-272 -- 379 -- 3,269 3,086 -- KZ197 41,758 37,992 -- KZ297 1,252 11,067 -- 43,010 49,059 -- KC071 7,318 -- -- KC 171 475,169 362,983 -- KC271 24,945 129,791 -- 507,432 492,774 -- 553,711 544,919 -- LCO2-22 6,800 12,839 12,839 RE02-22 9,840 127,034 127,034 SCO2-24 36,310 50,000 -- WT02-24 81,912 89,586 -- F0208 180,000 1$0,000 180,000 WM739 22,713 -- 337,575 459,459 319,873 Monroe County, Florida Board of County Commissioners Schedule of Expenditures of Federal Awards and State Financial Assistance - Continued For the Fiscal Year Ended September 30, 2002 State Agency Name Florida Department of Health and Rehabilitative Services: Rural Matching Grant 2001 EMS Matching Grant -Hazardous Ma#erials Response Total Program EMS County Award 2000 EMS County Award 2001 Total Program Total Department Florida Department of Highway Safety and Motor Vehicles: Choose Life License Plates Fees Florida Department of State: Voting Systems Assistance Voter Educ., Poll Worker Recruitment & Training Total Program State Aid to Libraries South Florida Court Records Preservation Total Department Florida Department of Transportation: Bicycle & Pedestrian Plan 2001-2002 Florida Keys Scenic Highways Coordinator Long Range Transportation Plan Update Overseas Heritage Trail Design & Construction Key West Airport Key West Airport Key West Airport Key West Airport Key West Airport Key West Airport Key West Airport Key West Airport Key West Airport n CSFA Number 64.003 64.003 64.005 64.005 " Information provided for state financial assistance but not required for federal awards. The accompanying notes are an integral part of this schedule. 45.029 45.029 45.030 55.008 55.004 55.004 F II� 1-12 Cash Transfer To Contract Grant Number Receipts Expenditures Subrecipients* MRGO08 -- 26,025 -- EM276 95,581 26,250 95,581 52,275 == C0044 -- 6,349 -- CG 1044 53,584 1,573 -- 53,584 7,922 -- 149,165 60,197 -- - 2,366 -- -- - 32,904 32,904 32,904 - 61,875 61,875 61,875 94,779 94,779 94,779 02-ST-32 175,078 175,078 -- 11-10 2,000 -- -- 271,857 269,857 94,779 FM#25207711401 /AI931 108,919 99,745 FM#25207711401 /AK519 21,037 25,000 =_ WPI#6596618/AE270 14,847 -- -- AL005/4105004-1-54-01 -- 753 WPI#6826783/AF373 212,781 759 =_ WPI#6826T84/AF374 65,667 1,779 -- WPI#6826755/A9304 30,971 34,034 25438518401 /AF766 6,865 573 == 25438318401 /AF774 154,953 116,502 -- ` 25436818401 /AF777 25437518401 /AG 177 116,548 3,445 114,158 1,856 == " 41265919401 /AL021 -- 34 -- 41265819401 /AL023 13,032 20,058 -- J � 1_14 Monroe County, Florida Board of County Commissioners Schedule of Expenditures of Federal Awards and State Financial Assistance - Continued For the Fiscal Year Ended September 30, 2002 State Agency Name Florida Department of Transportation- Continued: Key West Airport Marathon Airport Key West & Marathon Airport Key West & Marathon Airport Marathon Airport Marathon Airport Marathon Airport Total Program Total Department Florida Department of Children and Families: Community Care for Disabled Adults 2001 Community Care for Disabled Adults 2002 Total Department Florida Fish & Wildlife Conservation Commission: Derelict Vessel Removal Derelict Vessel Removal Total Program BIP Boot Key Harbor Mooring Field Boating Improvement Fund Total Department Florida Housing Finance Corp.: State Housing Initiative Program Oct 01-Sept 02 Office of the State Courts Administration: Civil Traffic Hearing Officer Florida Department of Justice Administration: Child Dependency Counsel * Information provided for state financial assistance but not required for federal awards. The accompanying notes are an integral part of this schedule. CFSA Number 55.004 77.005 77.005 77.006 52.901 22.001 21.001 1-14 Cash Contract Grant Number Receipts Expenditures ` 41286519401 /AL288 -- t 21,893 25437419401/AG994 / 53 -_ WPI#6826682/AA828 15,354 3,750 25426919402/AK043 141,766 129,772 25437718401 /AF765 77,150 78,160 41078019401 /AJ816 194,085 518,097 41077919401/AJ815 114,698 137,056 1,147, 368 1,178,481 1,292,171 1,303,979 KG-034 78,134 68,952 KG-036 -- 19,313 78,134 88,265 FWCC 0059/DV 00-02 91,565 FWCC 0059/DV 0 10 10 115,286 199,062 206,851 199,062 FWCC 00139 89,985 38,946 -- 256,928 227,991 553,764 465,999 -- 824,331 873,936 22,084 13,661 22,084 Transfer To Subrecinients* 1-15 Monroe County, Florida Board of County Commissioners Schedule of Expenditures of Federal Awards and State Financial Assistance - Continued For the Fiscal Year Ended September 30, 2002 State Agency Name South Florida Water Management District: Stormwater Improvement Projects t CFSA Number Total Schedule of Expenditures of State Financial Assistance * Information provided for state financial assistance but not required for federal awards. The accompanying notes are an integral part of this schedule. 1-16 Cash Contract Grant Number Receipts Expenditures C-12176 -- 199,750 Transfer To Subrecipients* 4,661,094 $ 4,570,247 $ 414,652 1-17 MONROE COUNTY, FLORIDA BOARD OF COUNTY COMMISSIONERS NOTES TO SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS AND STATE FINANCIAL ASSISTANCE FOR THE YEAR ENDED SEPTEMBER 30, 2002 NOTE 1 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES The accounting policies and presentation of the Single Audit report of the Board have been designed to conform to U.S. generally accepted accounting principles as applicable to governmental organizations, including the reporting and compliance requirements of office of Governments, and andBuNontProfit Circular A-133, Audits of States, Local Organizations and the Florida Single Audit Act. Reporting Entity - OMB Circular A-133 set forth the auditing and reporting requirements for federal awards. The Boardhaincluded a Schedule of s Assistance to satisfy the Expenditures of Federal Awards and State Financial audit requirements of all government grantor agencies. s and Basis of Accounting - Basis of accounting refers accounts andereport din the expenditures or expenses are recognized in the financial statements, and to the timing of the h-omeasurements reimbursement iregardless r of the measurement focus applied. Revenue from are recognized as program expenses are in d ices delivered. Revenue frunit cost contracts are recognized based on the units of se NOTE 2 - CONTINGENCIES Grant monies received and disbursed by the Board are for Such specific audits purposes result and are subject to review by the grantor agencies. requests for reimbursement due to disallowed expenditures. Based on prior experience, the Board does not believe that such d eance, ifAsany, would March have a material effect on the financial position of th 24, 2003 there were no material questioned or disallowed costs as a result of grant audits in process or completed. I-18 MONROE COUNTY, FLORIDA-BOARD OF COUNTY COMMISSIONERS SCHEDULE OF MATCHING REQUIREMENTS FOR THE YEAR ENDED SEPTEMBER 30, 2002 Amount Received, Total Receivable, Contract Reimbursable or Refunded Program Title Number Expenses Affecting Match Florida Department of Elder Affairs Direct Program: Community Care for Elderly 2001 Community Care for Elderly 2002 Total Department Florida Department of Health and Human Services Passed through State Department of Elder Affairs and Alliance for Aging: Title III 2001 Title 1112002 Total Department KC171 $ 362,983 362,983 KC271 $ _ 129,791 107,800 $ 492,774 470,783 AA129 $ 132,177 132,177 AA229 $ 394,479 366,715 $ 526,656 498,892 Grant terms do not coincide with the Board's fiscal year. Accordingly, those grants beginning in the prior fiscal year have an excess funding/liability presented as of September 30, 2001. Fixed price contract based on units of service delivered. Balance is remaining funds unexpended at end of contract. I, 1-19 (Continued) Amount Total Match % of Match Funding Required Required Required 10.00 ' 40,331 10.00 11,978 52,309 Excess Funding (Liability) For Year Ended September 30, 2002 Excess Funding (Liability) September 30, 2001 * 403,314 (40,331) 52,552 119,778 10,013 -- 523,092 (30,318) 52,552 10.00 14,686 146,864 (14,687) 10.00 40,746 407,461 (12,982) 55,432 554,325 (27,669) 89,663- 89,663 1-20 (Continued) MONROE COUNTY, FLORIDA-BOARD OF COUNTY COMMISSIONERS SCHEDULE OF MATCHING REQUIREMENTS -CONTINUED FOR THE YEAR ENDED SEPTEMBER 30, 2002 Excess Funding (Liability) Program Title Contract Number September 30, 2002 Florida Department of Elder Affairs Direct Program: Community Care for Elderly 2001 KC171 $ 12,221 Community Care for Elderly 2002 KC271 $ 10,013 Total Department $ 22,234 Florida Department of Health and Human Services Passed through State Department of Elder Affairs and Alliance for Aging: Title III 2001 Title III 2002 AA129 $ 74,976 •• AA229 $ (12,982) Total Department $ 61,994 " Grant terms do not coincide with the Board's fiscal year. Accordingly, those grants beginning in the prior fiscal year have an excess funding/liability presented as of September 30, 2001. " Fixed price contract based on units of service delivered. Balance is remaining funds unexpended at end of contract. v 1-21 MARVA GREEN, P.A. Certified Public Accountant Members AnW= Institute and Fiodda institute of Certified FubncAcoountants -.0. Box 1529 132 Northside Dr., Suite 101 .ey West, FL 33041-1529 INDEPENDENT AUDITORS' REPORT OD COMPLIANCE APPLICABLE TO EACH MAJOR Clerk Ex Officio Board of County Commissioners Monroe County, Florida Compliance Tel. (305) 294-2581 Fax (305) 294-4778 IANCE AND INTERNAL CONTROL OVER PROGRAM AND STATE PROJECT We have audited the compliance of the Board of County Commissioners, Monroe County, Florida (the. "Board") with the types of compliance requirements described in the U.S. Office of Management and Budget .(OMB) Circular A-133 Compliance Supplement, and the requirements described in the Executive Office of the Governor's State Projects Compliance Supplement, that are applicable to each of its major federal programs and state projects for the year ended September 30, 2002. The Board's major federal programs and state projects are identified in the, summary of auditor's results section of the accompanying schedule of findings and questioned costs. Compliance with the requirements of laws, regulations, contracts and grants applicable to each of its major federal programs and state projects is the responsibility of the Board's management. Our responsibility is to express an. opinion on the Board's compliance based on our audit We conducted our audit of. compliance in accordance. with O.S. _generally accepted auditing standards; the standards applicable to financial audits contained in Government Auditing Standards, issued by the Comptroller General of the United States; OMB Circular A-133, Audits.of �tates, Local Governments, and Non -Profit Organizations; the Florida Single .Audit Act (Section 215.97, Florida Statutes), and Chapter 10..550, Rules of the Auditor General of the State of Florida.; Those standards, OMB Circular A-133 and Chapter 10.550, Rules of the Auditor General require that we plan and perform the audit to obtain reasonable assurance about whether noncompliance with the types of compliance requirements referred to above that could have a direct and material effect on a major federal program or state project occurred. An audit includes examining, on a test basis, evidence about the Board's compliance with those requirements and performing such other procedures as we I=22 considered necessary in the circumstances. We believe that our audit provides a reasonable basis for our opinion. Our audit does not provide a legal determination of the Board's compliance with those requirements In our opinion, the Board complied, in all material respects, with the requirements referred to above that are applicable to each of its major federal programs and state projects for the year ended September 30, 2002. i Internal Control Over Compliance The management of the Board is responsible for establishing and maintaining effective internal control over compliance with requirements of laws, regulations, contracts and grants applicable to federal programs and state projects. In planning and performing our audit, we considered 'the Board's internal control over compliance with requirements that could have a direct and material effect on a major federal program or state project in order to determine our auditing procedures for the purpose of expressing our opinion on compliance and to test and report on internal control over compliance in accordance with OMB Circular A-133 and Chapter 10.550, Rules of the Auditor L General of the State of Florida. Our consideration of the internal control irolcompliance that would m ght not be necessarily disclose all matters in the nternal cont material weaknesses. A material weakness is a condition in which the design or operation of one or more of the internal control components does not reduce to a relatively low level of risk that noncompliance with applicable requirements of laws, regulations, contracts and grants that would be material in relation to a major federal program or state project being audited may occur and not be detected within a timely period by employees in the normal course of performing their assigned functions. We noted no matters involving the internal control over compliance and its operation that we consider to be material weaknesses. This report is intended solely for the information of the Board of County Commissioners, management, federal awarding agencies and pass -through entities, and specific legislative and regulatory bodies and is not intended to be and should not be used by anyone other than these specified parties. C:7� Cf� Marva Green P.A., Inc. Certified Public Accountants March 24, 2003 _I MONROE COUNTY, FLORIDA BOARD OF COUNTY COMMISSIONERS SCHEDULE OF FINDINGS AND QUESTIONED COSTS FEDERAL PROGRAMS AND STATE PROJECTS J FOR THE YEAR ENDED SEPTEMBER 30, 2002 Summary of Auditor's Results _ Basic Financial Statement Section We issued an unqualified opinion on the basic financial statements. No material weaknesses were identified. No reportable conditions were identified which were not considered to be material weaknesses. No noncompliance material to the financial statements was noted. Federal Awards The dollar threshold used to determine Type A programs was $300,000. The Board qualified as a low -risk auditee. We issued an unqualified opinion on compliance for major programs No material weaknesses were identified. No reportable conditions were identified which were not considered to be material weaknesses. No audit findings are disclosed that are required to be reported under Section .510(a) of OMB Circular A-133. I-24 MONROE COUNTY, FLORIDA BOARD OF COUNTY COMMISSIONERS SCHEDULE OF FINDINGS AND QUESTIONED COSTS FEDERAL PROGRAMS AND STATE PROJECTS (Continued FOR THE YEAR ENDED SEPTEMBER 30, 2002` Major programs are as follows Key West Airport Improvement Program, CFDA 20.106 $ 3,171,204 FEMA Public Assistance Grants, CFDA 83.548 313,480 Department of Health and Human Services, Nutrition Title IIIC, CFDA 93.045 382,985 $ 3,867,669 Total Federal Expenditures $ 5,020,237 Percentage of Major to Total Federal Expenditures 77.0% State Financial Assistance Section The dollar threshold used to determine Type A programs was $300,000. We issued an unqualified opinion on compliance for major state projects. No material weaknesses were identified. No reportable conditions were identified which were not considered to be material weaknesses. I-25 MONROE COUNTY, FLORIDA BOARD OF COUNTY COMMISSIONERS SCHEDULE OF FINDINGS AND QUESTIONED COSTS FEDERAL PROGRAMS AND STATE PROJECTS (Continued) FOR THE YEAR ENDED SEPTEMBER 30, 2002 i Major programs are as follows: Department of Transportation - Key West and Marathon Airports, CSFA 55.004 $ 1,178,481 Florida Housing Finance Corp., State Housing Initiative Program, CSFA 52.901 873,936 Department of Elderly Affairs, Community Care for the Elderly, CSFA 65.010 492,774 2.545 191 Total State Expenditures E 4.570_247 Percentage of Major to Total State Expenditures 55.7t Findin s Relatin to the Financial Statements Re uired to be B Generally Accepted Government Auditing Standards Fins and Fines and None ioned Costs for None Federal Awards ioned Costs for Ma 'or State Pr None rted I-26 MONROE COUNTY, FLORIDA BOARD OF COUNTY COMMISSIONERS SUMMARY SCHEDULE OF PRIOR AUDIT FINDINGS FEDERAL PROGRAMS AND STATE PROJECTS FOR THE YEAR ENDED SEPTEMBER 30, 2002 ; For the year ended September 30, 2001 there were no audit findings concerning federal programs or state projects required to be reported. I-27 MONROE COUNTY, FLORIDA BOARD OF COUNTY COMMISSIONERS CORRECTIVE ACTION PLAN FEDERAL PROGRAMS AND STATE PROJECTS FOR THE YEAR ENDED SEPTEMBER 30, 2002 For the years ended September 30, 2002 and 2001, there were for federal awards and state projects required to be re o too audit findings no corrective action plan is required. p d• Accordingly, However, we noted other, matters involving the internal control. over financial reporting that we have reported to the management of the Board in gal letter dated March 24, 2003. Management has responded to a separate writing. those `matters in I-28 EXHIBIT A-1 DATA INFORMATION FACT SHEET PART I -For Section 5310 applicants, T Existing Expanded* 1. Number of 1-way passenger trips Provided to the elderly and persons With disabilities (E & D): Year 41,477 45,000 2. Number of individual E & D persons Served: (unduplicated): Year 1,206 1,300 3. Percentage of E&D needing wheelchair positions AVERAGE 13.6% 20.0% 4. Number of vehicles used For this service: 9 9 5. Number of ambulatory Seats available: 186 186 6. Number of wheelchair positions: 53 53 7. Annual Vehicle Miles traveled: 236,002 247,000 8. Avg. Vehicle miles traveled per day 955 1,000 9. Normal number of days in operation 5 5 10. Normal Vehicle hours in operations: (day) 7 am until 6 Pm 7 am until 6 pm 11. Average trip length: 6 miles 6 miles New* 36 DIFS5310.DOC EXHIBIT B PROPOSED PROJECT DESCRIPTION The awarded funds will be used to replace one aging 1993 Ford 12 Passenger Bus Vin #1 FDKE30M6NHB57373 and one aging 1994 Ford 8 Passenger Vin # 1 FDJE37MXRHA38474 with two bus body on chassis vehicles (diesel). The replacement vehicles will provide our clients with dependable transportation and reduce the high repair and maintenance associated with high mileage vehicles. As always, the new vehicles would be placed on the County preventative maintenance plan. The Regional Transportation Specialist will be continuing the rigorous outreach program that includes a wide spread mail out targeted at the elderly, handicapped transportation disadvantaged, welfare to work and education/training of our existing clients. We continue to educated elderly Special Needs clients regarding the Monroe County Paratransit services throughout Monroe County as well as Ocean Reef. Monroe County is prepared to evacuate elderly and handicapped should there be danger from the Turkey Point Nuclear Power Point. 1/13/2004 11:41 AM EMBITB-2004 Required for: Section 5310 Section 5311 and 5311 (f) EXHIBIT C Public Notice All interested parties within Monroe County are hereby advised that Monroe County Board of County Commissioners is applying to the Florida Department of Transportation for a capital grant under Section 5310 (and/or Section 5311) of the Federal Transit Act of 1991, as amended, for the purchase of Paratransit equipped vehicle to be used for the provision of public transit services within Monroe County. A Public Hearing has been scheduled at 10:00 AM on February 18,2004, at the Key Largo Library, Key Largo, for the purpose of advising all interested parties of service being contemplated if grant funds are awarded, and to ensure that contemplated services would not represent a duplication of current or proposed services provided by existing transit or paratransit operators in the area. This hearing will be conducted if and only if a written request for the hearing is received by (two days prior to the scheduled hearing). Requests for a hearing must be addressed to Monroe County Board of County Commissioners 1100 Simonton St. Key West, FI. 33040 40 ExhibitC-2004 EXHIBIT D Attached is the year 7/1/03-12/31/03 Standard Coordination/Operator Contract. 01/13/04 EXHIBITD-2004 EXHIBIT D Effective: 07/01/03 to 12/31/03 STATE OF FLORIDA COMMISSION FOR THE TRANSPORTATION DISADVANTAGED STANDARD COORDINAI iC)N/OPEi [� FOR CONTRACT THIS CONTRACT is entered into between the COMMUNITY TRANSPORTATION COORDINATOR, THE GUIDANCE CLINIC OF THE MIDDLE KEYS, designated pursuant to Chapter 427, F.S., to serve the transportation disadvantaged for the community that includes the entire area of MONROE county, and hereinafter referred to as the "Coordinator" and MONROE COUNTY BOARD OF COUNTY COMMISSIONERS, hereinafter referred to as the "Agency/Operator". The terms and conditions of this Contract are effective JULY 1, 2003, and will continue through DECEMBER 31, 2003. WHEREAS, the Coordinator is required, under Rule 41-2.011, F.A.C., when cost effective and efficient, to enter into contract with a transportation Agency/Operator to provide transportation services; and WHEREAS, transportation disadvantaged funds includes any local government, state or federal funds that are for the transportation of transportation disadvantaged; and WHEREAS, the Coordinator desires to contract with the Agency/Operator for the provision of transportation services for the transportation disadvantaged; and WHEREAS, the Coordinator believes it to be in the puolic interest to provide such transportation services through the Agency/Operator for the residents of the service area who are clients of the Agency/Operator; and WHEREAS, the Agency/Operator will provide the Coordinator the opportunity to develop a proposal for any new transportation services needed; and WHEREAS, the Agency/Operator, in an effort to, coordinate available resources, will make available transportation services to the Coordinator. WHEREAS, this Contract allows for the provisions of transportation services be provided by the Agency/Operator; in accordance with Chapter 427, F.S., Rule 41-2, F.A.C., and the most current Community Transportation Coordinator policies. NOW, THEREFORE, in consideration of the mutual covenants, promises and representations herein, the parties agree as follows: THE AGENCY/OPERATOR SHALL: A. Provide services and vehicles according to the conditions specified in Attachment I. B. Coordinate available resources and make available transportation services to the Coordinator. Such services shall be provided in accordance with Attachment I. C. Every three (3) months, submit to the Coordinator a Quarterly Year to Date Operating Report (from the Annual Operating Report) detailing demographic, operational and financial data regarding coordination activities in the designated service area. The report shall be prepared on forms provided by the Commission for the Transportation Disadvantaged, hereinafter Commission, and according to the instructions for the forms. D. Comply with audit and record keeping requirements by- 1 . Utilizing the Commission recognized Chart of Accounts defined in the Transportation Accounting Consortium Model Uniform Accounting System for Rural and Specialized Transportation Providers (uniform accounting system) for all transportation disadvantaged accounting and reporting purposes. Agencies/Operators with existing and equivalent accounting systems are not required to adopt the Chart of Accounts in lieu of their existing Chart of Accounts but shall prepare all reports, invoices, and fiscal documents relating to the transportation disadvantaged functions and activities using the chart of accounts and accounting definitions as outlined in the above referenced manual. 2. Maintaining and filing with the Coordinator such progress, fiscal, inventory and other reports as the Coordinator may require during the period of this contract. 3. By reserving to the Coordinator, the right fa ronduct finance and compliance audits at any time. Such audits conducted by the Coordinator will be at the expense of the Coordinator. E. Retain all financial records, supporting documents, statistical records, and any other documents pertinent to this Agreement for a period of five (5) years after termination of this Agreement. If an audit has been initiated and audit findings have not been resolved at the end of the five- (5) years, the records shall be retained until resolution of the audit findings. The Agency/Operator shall assure that these records shall be subject to inspection, review, or audit at all reasonable times by persons duly authorized by the Coordinator or Commission or this Agreement. The Commission and the Coordinator shall have full access to and the right to examine any of the records and documents during the retention period. F. Comply with Safety Requirements by: 1. Complying with Section 341.061, F.S., and Rule 14-90, F.A.C., concerning System Safety or complying with Chapter 234.051, F.S., regarding school bus safety requirements for those services provided through a school board; 2. Assuring compliance with local, state, and federal laws, and Commission policies relating to drug testing, and: 3. Complying with Coordinator's System Safety Program Plan (SSPP) for designated service area. G. Comply with Commission insurance requirements by maintaining at least minimum liability insurance coverage in the amount of $100,000 for any one person and $200,000 per occurrence at all times during the existence of this Contract. In the event of any cancellation or changes in the limits of liability in the insurance policy, the insurance agent or broker shall notify the Coordinator. The Agency/Operator shall furnish the Coordinator written verification of the existence of such insurance coverage prior to the execution of this Contract or proof of a self-insurance program operated by the Agency/Operator. School board vehicle insurance coverage shall be in accordance with Section 234.03, F.S. and 234.211, F.S. H. Safeguard information by not using or disclosing any information concerning a user of services under this Agreement for any purpose not in conformity with the local, state and federal regulations, including but not limited to 45 CFR, Part 205.50, except upon order of a court of competent jurisdiction, written consent of the recipient, or his/her responsible parent or guardian when authorized by law. Protect Civil Rights by: 1. Complying with Title VI of the Civil Rights Act of 1964 and Section 504 of the Rehabilitation Act of 1973, as amended. The Agency/Operator gives this assurance in consideration of and for the purpose of obtaining federal grants, loans, contracts (except contracts of insurance or guaranty), property, discounts, or other federal financial assistance to programs or activities receiving or benefiting from federal financial assistance and agreeing to complete a Civil Rights Compliance Questionnaire if so required by the Coordinator. Agency/Operator shall also assure compliance with: a. Title VI of the Civil Rights Act of 1964, as amended, 42 U.S.C. 2000d et seq., which prohibits discrimination on the basis of race, color, or national origin in programs and activities receiving or benefiting from federal financial assistance. b. Section 504 of the Rehabilitation Act of 1973, as amended, 29 U.S.C. 794, which prohibits discrimination on the basis of disability in programs and activities receiving or benefiting from federal financial assistance. C. Title IX of the Education Amendments of 1972, as amended, 20 U.S.C. 1681 et seq., which prohibits discrimination on the basis of sex in education programs and activities receiving or benefiting from federal financial assistance. d. The Age Discrimination Act of 1975, as amended, 42 U.S.C. 6101 et seq., which prohibits discrimination on the basis of age in programs or activities receiving or benefiting from federal financial assistance. e. The Omnibus Budget Reconciliation Act of 1981, P.L. 97-35, which prohibits discrimination on the basis of sex and religion in programs and activities receiving or benefiting from federal financial assistance. f. All regulations, guidelines, and standards lawfully adopted under the above statutes. g. The Americans with Disabilities Act of 1990, as it may be amended from time to time. 2. , Agreeing that compliance with this assurance constitutes a condition of continued receipt of or benefit from federal financial assistance, and that it is binding upon the Agency/Operator, its successors, subcontractors, transferees, and assignees for the period during which such assistance is provided. Assuring that operators, subcontractors, subgrantees, or others with whom the Coordinator arranges to provide services or benefits to participants or employees in connection with any of its programs and activities are not discriminating against those participants or employees in violation of the above statutes, regulations, guidelines, and standards. In the event of failure to comply, the Agency/Operator agrees that the Coordinator may, at its discretion, seek a court order requiring compliance with the terms of this assurance or seek other appropriate judicial or administrative relief, to include assistance being terminated and further assistance being denied. The Agency/Operator agrees to indemnify and hold the Coordinator harmless for all claims, cost (including legal fees), and expenses associated with the services provided under this contract arising out of the negligent acts of the Agency/Operator. K Comply with all standards and performance requirements of the: The Commission for the Transportation Disadvantaged [ Attachment II ]; 2. The local Coordinating Board approved Transportation Disadvantaged Service Plan and; Any entities that purchase service. Failure to meet the requirements or obligations set forth in this Contract, and performance requirements established and monitored by the Coordinating Board in the approved Transportation Disadvantaged Service Plan shall be due cause for non-payment of reimbursement invoices until such deficiencies have been addressed or corrected to the satisfaction of the Coordinator. L. Provide Corrective Action. A corrective action notice is a written notice to the Agency/Operator that the Agency/Operator is in breach of certain provisions of this Contract and that correction is required. Any corrective action notice will specify a reasonable time for corrective action to be completed. The Agency/Operator agrees to implement the Corrective Action specified in the notice and provide written documentation to substantiate the implementation of the Corrective Action. M. All contracts, subcontracts, coordination contracts will be reviewed annually by the Coordinator and local Coordinating Board for conformance with the requirements of this Contract. N. Return to the Coordinator any overpayments due to unearned funds or funds disallowed pursuant to the terms of this Contract that were disbursed to the Agency/Operator by the Coordinator. The Agency/Operator shall return any overpayment within thirty (30) calendar days after either discovery by the Agency/Operator, or notification of the Agency/Operator by the Coordinator or entity purchasing transportation, whichever is earlier. In the event that the Coordinator first discovers an overpayment has been made, the Coordinator will notify the Agency/Operator by letter of such a finding. Should repayment not be made in a timely manner, the Coordinator or purchasing entity will charge interest after thirty (30) calendar days after the date of notification or discovery, or the Coordinator will deduct said amount from future invoices. O. In performing this Contract, the Agency/Operator shall not discriminate against any employee or applicant for employment because of race, age, disability, creed, color, sex or national origin. Such action shall include, but not be limited to, the following: employment upgrading, demotion or transfer; recruitment or recruitment advertising.; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The Agency/Operator shall insert the foregoing provision modified only to show the particular contractual relationship in all its contracts in connection with the development of operation of the Contract, except contracts for the standard commercial supplies or raw materials, and shall require all such contractors to insert a similar provision in subcontracts relating to the performance of this Contract, except subcontracts for standard commercial supplies or raw materials. The Agency/Operator shall post, in conspicuous places available to employees and applicants for employment for Project work, notices setting forth the provisions of the nondiscrimination clause. P. By execution of this Contract, the Agency/Operator represents that it has not paid and, also, agrees not to pay, any bonus or commission for the purpose of obtaining an approval of its application for the financing hereunder. Funds disbursed to the Agency/Operator under this Contract shall not be expended for the purpose of lobbying the Legislature, the judicial branch, or a state agency. THE COORDINATOR SHALL: A. Recognize the Agency/Operator as described in Chapter 427, F.S., and Rule 41-2, F.A.C. B. Insure that entities with transportation disadvantaged funds will purchase Transportation Disadvantaged services through the coordinated system. C. At a minimum, annually monitor the Agency/Operator for insurance, safety and reporting requirements, pursuant to Chapter 427, F.S., and Rule 41-2, F.A.C. The information contained in the Annual Operating Report must be collected, at a minimum, quarterly from the Agency/Operator. THE OPERATOR AND COORDINATOR FURTHER AGREE: A Nothing in the Contract shall require the Coordinator to observe or enforce compliance with any provision thereof, perform any other act or do any other thing in contravention of any applicable state law. If any provision of the Contract is found by a court of law to violate any applicable state law, the purchasing entity will at once notify the Coordinator in writing in order that appropriate changes and modification may be made by the Coordinator and the Agency/Operator to the end that the Agency/Operator may proceed as soon as possible with the provision of transportation services. B. If any part or provision of this Contract is held invalid; the remainder of this Contract shall be binding on the parties hereto. C. Termination Conditions: 1. Termination at Will - This Contract may be terminated by either party upon no less than thirty (30) days notice, without cause. Said notice shall be delivered by certified mail, return receipt required, or in person with proof of delivery. 2. Termination due to Lack of Designation - In the event that the Coordinator so designated by the local Coordinating Board and approved by the Commission, loses its designation, this contract is terminated immediately upon notification to the Agency/Operator. Notice shall be delivered by certified mail, return receipt requested, or in person, with proof of delivery. Notice shall be effective upon receipt. 3. Termination due to Disapproval of Memorandum of Agreement - In the event that the Commission does not accept and approve any contracted transportation rates listed within the Memorandum of Agreement, this Contract is terminated immediately upon notification to the Agency/Operator. Notice shall be delivered by certified mail, return receipt requested, or in person, with proof of delivery. Notice shall be effective upon receipt. 4. Termination due to Lack of Funds - In the event funds to finance this contract become unavailable, the Coordinator may terminate the contract with no less than twenty-four (24) hours written notice to the Agency/Operator. Notice shall be delivered by certified mail, return receipt requested, or in person, with proof of delivery. Notice shall be effective upon receipt. The Coordinator shall be the final authority as to the availability of funds. 5. Termination for Breach - Unless the Agency/Operator's breach is waived by the Coordinator in writing, the Coordinator may, by written notice to the Agency/Operator, terminate this Contract upon no less than twenty-four (24) hours notice. Notice shall be delivered by certified mail, return receipt requested, or in person with proof of delivery. Waiver by the Coordinator of breach of any provision of this Contract shall not be deemed to be a waiver of any other breach and shall not be construed to be a modification of the terms of this Contract, and shall not act as a waiver or estoppel to enforcement of any provision of this Contract. The provisions herein do not limit the Coordinator's right to remedies at law or to damages. 6. Upon receipt of a notice of termination of this Contract for any reason, the Agency/Operator shall cease service and prepare all final reports and documents required by the terms of this Contract. A final invoice shall be sent to the Coordinator within thirty (30) days after the termination of this Contract. D. Renegotiations or Modifications of this Contract shall only be valid when they have been reduced to writing, duly approved by the Coordinator, and signed by both parties hereto. E. Agency/Operator shall assign no portion of this Contract without the prior written consent of the Coordinator. F. This Contract is the entire agreement between the parties. G. Attachments 1 and II are an integral part of the Contract and are hereby incorporated by reference into this Contract. All subsequent attachments are of an optional nature. H. Notice and Contact: The name and address of the contract manager for the Coordinator for this Contract is: Maureen Grynewicz Guidance Clinic of the Middle Keys 3000 41 s` Street, Ocean Marathon, FL 33050 The representative/position of the Agency/Operator responsible for administration of the program under this contract is: Administrator, Transportation Monroe County Transportation 1100 Simonton Street Key West, Florida 33040 In the event that different representatives are designated by either party after execution of this Contract, notice of the name and address of the new representative will be rendered in writing to the other party and said notification attached to originals of this Contract. This contract and its attachments contain all the terms and conditions agreed upon py the parties hereto. WITNESS WHEREOF, the parties hereto have caused these presents to be executed. AGENCY/OPERATOR: Monroe County Board of County Commissioners [ Agency/Operator Name ] Dixie M. Spehar Typed/Printed Name of Authorized Individual Signature Mayor Title APPROVED AS TO FORM AND L56AL SUFFIC)E'V7 Y L. KgtHAGE, CLERK COMMUNITY TRANSPORTATION COORDINATOR Guidance Clinic of the Middle Keys [ Coordinator Name] Debbie Barsell, MSW, CAP Typed/Printed Name of Authorized Individual Si n Executive Vice President Title r ti oZ c C rn 07 C asx ko Q Cl)n '"J ATTACHMENT I AGENCY/OPERATOR CONTRACT SERVICE DESCRIPTION 1. The Agency/Operator will be able to provide: Ambulatory and wheelchair service, paratransit R 2. The Agency/Operator will be available to provide transportation Monday thru Friday, 7:00 am to 6:00 pm Days Agency/Operator will not be able to provide services: Service will not be provided on Saturday and Sunday or County holidays 3. Vehicles Agency/Operator will use to transport all passengers Please attach 4. Vehicle/Equipment Standards (if any) Air Conditioning, first aid kit, fire extinguisher, warning triangles, 2 way radios 5. Driver Requirements (if any) All drivers are required to have a CDL B drivers license with airbrake and passenger endorsements. Drivers are required to pass physicals and drug tests 6. Training All drivers are trained prior to being released to drive. 7. Agency/Operator' fare structure The CTC will reimburse MCSS the rate of $5.70 per person per one way trip and $0.31 per mile per trip outside designated service areas for trips coordinated by the CTC. Monroe County Social Services will pay a $0.20 administrative fee per one way trip to the CTC. 8. Billing/invoicing and Reimbursement procedure for Agency/Operator Monthly invoices, quarterly operating reports 9. Reporting Requirements Monthly invoices, quarterly operating reports ATTACHMENT II The Commission for the Transportation Disadvantaged Standards and Performance Requirements Pursuant to Rule 41-2.006, Florida Administrative Code, the Community Transportation Coordinator and any Transportation Operator/Agency from whom service is purchased or arranged by the Community Transportation Coordinator shall adhere to Commission approved standards. These standards shall include: (a) Drug and alcohol testing for safety sensitive job positions within the coordinated system regarding pre- employment, randomization, post -accident, and reasonable suspicion as required by the Federal Highway Administration and the Federal Transit Administration; (b) An escort of a passenger and dependent children are to be transported as locally negotiated and identified in the local Transportation Disadvantaged Service Plan; (c) Child restraint devices shall be determined locally as to their use, responsibility, and cost of such device in the local Transportation Disadvantaged Service Plan; (d) Passenger property that can be carried by the passenger and/or driver in one trip and can be safely be stowed on the vehicle, shall be allowed to be transported with the passenger at no additional charge. Additional requirements may be negotiated for carrying and loading rider property beyond this amount. Passenger property does not include wheelchairs, child seats, stretchers, secured oxygen, personal assistive devices, or intravenous devices; (e) Vehicle transfer points shall provide shelter, security and safety of passengers; (f) A local toll free phone number for complaints or grievances shall be posted inside the vehicle. The local complaint process shall be outlined as a section in the local Transportation Disadvantaged Service Plan including, advising the dissatisfied person about the Commission's Ombudsman Program as a step within the process as approved by the Local Coordinating Board; (g) Out of service area trips shall be provided when determined locally and approved by the local Coordinating Board, except in instances where local ordinances prohibit such trips; (h) Interior of all vehicles shall be free from dirt, grime, oil, trash, torn upholstery, damaged or broken seats, protruding metal or other objects or materials which could soil items placed in the vehicle or provide discomfort for the passenger; (i) Billing requirements of the Community Transportation Coordinator to subcontractors shall be determined locally by the local Coordinating Board and provided in the local Transportation Disadvantaged Service Plan. All bills shall be paid within 15 calendar days to subcontractors, after receipt of said payment by the Community Transportation Coordinator, except in instances where the Community Transportation Coordinator is a non -governmental entity; (j) Passenger/trip database must be maintained or accessible by the Community Transportation Coordinator on each rider being transported within the system; (k) Adequate seating for paratransit services shall be provided to each rider and escort, child, or personal care attendant, and no more passengers than the registered passenger seating capacity shall be scheduled or transported in a vehicle at any time. For transit services provided by transit vehicles, adequate seating or standing space will be provided to each rider and escort, child, or personal care attendant, and no more passengers than the registered passenger seating or standing capacity shall be scheduled or transported in a vehicle at any time; (I) Drivers for paratransit services, including coordination contractors, shall be required to announce and identify themselves by name and company in a manner that is conducive to communications with the specific passenger, upon pickup of each rider, group of riders, or representative, guardian, or associate of the rider, except in situations where the driver regularly transports the rider on a recurring basis. Each driver must have photo identification that is in view of the passenger. Name patches, inscriptions or badges that affix to driver clothing are acceptable. For transit services, the driver photo identification shall be in a conspicuous location in the vehicle; (m) The paratransit driver shall provide the passenger with boarding assistance, if necessary or requested, to the seating portion of the vehicle. The boarding assistance shall include opening the vehicle door, fastening the seat belt or utilization of wheel chair securement devices, storage of mobility assistive devices, and closing the vehicle door. In certain paratransit service categories, the driver may also be required to open and close doors to buildings, except in situations in which assistance in opening/closing building doors would not be safe for passengers remaining on the vehicle. Assisted access must be in a dignified manner. Drivers may not assist wheelchair up or down more than one step, unless it can be performed safely as determined by the passenger, guardian, and driver; (n) All vehicles ordered or put into service after adoption of this section of the Rule, and providing service within the coordinated system, shall be equipped with two-way communications in good working order and be audible to the driver at all times to the base. All vehicles that are not equipped with two-way communications shall have two years to be in compliance after the adoption date of this section of the Rule; (o) All vehicles ordered or put into service after the adoption of this section of the Rule, and providing service within the coordinated system, shall have working air conditioners and heaters in each vehicle. Vehicles that do not have a working air conditioner or heater will be scheduled for repair or replacement as soon as possible. All vehicles that are not equipped with an air conditioner shall have two years to be in compliance after the adoption date of this section of the Rule; (p) First Aid shall be determined locally and provided in the local Transportation Disadvantaged Service Plan; and (q) Cardiopulmonary Resuscitation shall be determined locally and provided in the local Transportation Disadvantaged Service Plan. mmmmm mm mmmmmmm 0 0 0 0 0 0 0 0 0 0 0 0 0 0 T _ b b b _ + + S b b O N U A W b m+ + m A O N N m V x x x x x V T vo � x z m m m m m D m m m m v m m u u S N o 0 o A o o AA. 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Name of Applicant: Monroe County Board of County Commissioners Name and Relationship of Authorized Representative: James L. Roberts. County Administrator BY SIGNING BELOW, on behalf of the Applicant, declare that the Applicant has duly authorized me to make these certifications and assurances and bind the Applicant's compliance. Thus, the Applicant agrees to comply with all Federal statutes, regulations, executive orders, and administrative guidance required for each application it makes to the Federal Transit Administration(FTA) in Federal Fiscal Year 2004. FTA intends that the certifications and assurances the Applicant selects on the other side of this document, as representative of the certifications and assurances in Appendix A, should apply, as required, to each project for which the applicant seeks now, or may later, seek FTA assistance during Federal Fiscal Year 2004. The Applicant affirms the truthfulness and accuracy of the certifications and assurances it has made in the statements submitted herein with this document and any other submission made to FTA, and acknowledges that the provisions of the Program Fraud Civil Remedies Act of 1986, 31 U.S.C. 3801 et seq., as implemented by U.S. DOT regulations, "Program Fraud Civil Remedies," 49 CFR part 31 apply to any certification, assurance or submission made to FTA. The criminal fraud provisions of 18 U.S.C. 1001 apply to any certification, assurance, or submission made in connection with the Urbanized Area Formula Program, 49 U.S.C. 5307, and may apply to any other certification, assurance, or submission made in connection with any other program administered by FTA. In signing this document, I declare, under penalties of perjury that the foregoing certifications and assurances, and any other statements made by me on behalf of the Applicant are true and correct. Signature: / � Date: ,_,ZZ 2c?" Name: James L. Roberts, County Administrator Authorized Representative of Applicant AFFIRMATION OF APPLICANT'S ATTORNEY for Monroe County Board of County Commissioners (Name of Applicant) As the undersigned legal counsel for the above named Applicant, I hereby affirm to the Applicant that it has authority under State and local law to make and comply with the certifications and assurances as indicated on the foregoing pages. I further affirm that, in my opinion, the certifications and assurances have been legally made and constitute legal and binding obligations on the Applicant. I further affirm to the Applicant that, to the best of my knowledge, there is no legislation or litigation pending or imminent that might adversely affect the validity of these certifications and assurances, or of the performances of the project. Signature: Date: ///V/V V Name: uzanne A. Hutton Applicant's Attorney Each applicant for FTA financial assistance (exempt 49 U.S.C. 5312(b) assistance) and each FTA Grantee with an active capital or formula project must provide an Affirmation of Applicant's Attorney pertaining to the applicant's legal capacity. The applicant may enter its signature in lieu of the Attorneys signature, proc=vided the applicant has on file this affirmation, signed by the attorney and dated this Federal fiscal year. 26 1 / 14/2004 11:17 AM FYCA5310.DOC Appendix A FEDERAL FY 2004 CERTIFICATIONS AND ASSURANCES FOR FEDERAL TRANSIT ADMINISTRATION ASSISTANCE PROGRAMS (Signature page alternative to providing Certifications and Assurances in TEAM -web) Name of Applicant: Monroe County Board of County Commissioners The Applicant agrees to comply with applicable requirements of Categories 1-16. X (The Applicant may make this selection in lieu of individual selections below.) OR The Applicant agrees to comply with the applicable requirements of the following categories it has selected: Category Description 01. Required of Each Applicant 02. Lobbying 03. Private Mass Transportation Companies 04. Public Hearing 05. Acquisition of Rolling Stock 06. Bus Testing 07. Charter Service Agreement 08. School Transportation Agreement 09. Demand Responsive Service. 10. Alcohol Misuse and Prohibited Drug Use. 11. Interest and Other Financing Costs. 12. Intelligent Transportation Systems Program. 13. Urbanized Area, JARC, and Clean Fuels Programs. 14. Elderly and Persons with Disabilities Program. 15. Nonurbanized Area Formula Program. 16. State Infrastructure Bank Program. (Both sides of this Signature Page must be appropriately completed and signed as indicated.) 1/14/2004 11:18 AM 25 AppendixA-2004 EXHIBIT G Not Applicable CERTIFICATION FOR AGENCIES REQUESTING NON -ACCESSIBLE VEHICLES. If the applicant wants to purchase non -accessible vehicles for demand responsive service, the following "Certification of Equivalent Service" must be completed and included in the application. CERTIFICATION OF EQUIVALENT SERVICE The Monroe County Board of County Commissioners certifies that it's demand responsive service offered to individuals with disabilities, including individuals who use wheelchairs, is equivalent to the level and quality of service offered to individuals without disabilities. Such service, when viewed in its entirety, is provided in the most integrated setting feasible and is equivalent with respect to: 1. Response time; 2. Fares; 3. Geographic service area; 4. Hours and days of service; 5. Restrictions on trip purpose; 6. Availability of information and reservation capability; and 7. Constraints on capacity or service availability. In accordance with 49 CFR Part 37, public entities operating demand responsive systems for the general public which receive financial assistance under 49 U.S.C. 5310 and 5311 of the Federal Transit Administration (FTA) funds must file this certification with the appropriate state program office before procuring any inaccessible vehicle. Such public appropriate state program office before procuring any inaccessible vehicle. Such public entities not receiving FTA funds shall also file the certification with the appropriate state office program. Such public entities receiving FTA funds under any other section of the FTA programs must file the certification with the appropriate FTA regional office. This certification is valid for no longer than one year from its date of filing. Executed this day of COUNTY ATTORNEY OVER AS T M: ZANN A. U TON ASSISTANT C 'r.�OU��TTORNEY z< <Lj/ James L Roberts County Administrator (� Signature 1/14/2004 11:16 AM 33 ExhibitG-2004 I ; I1 —vdffl APPLICANT CERTIFICATION AND ASSURANCE TO FDOT To be completed and signed by an individual authorized by the governing board of the applicant agency and submitted with the grant application. COMMISSIONERS The MONROE COUNTY BOARD OF COUNTY as and assures to the Florida Department of Transportation in regard to its Application for Assistance under U.S.C. Section 5310 dated 1) It shall adhere to all Certifications and Assurances made to the federal government in its Application. 2) it shall comply with Section 341.051 Florida Statutes and Chapter 14-73 Florida Administrative Code. 3) It has the fiscal and managerial capability and legal authority to file the application. 4) Local matching funds will be available to purchase vehideslequipment at the time an order is placed. 5) It will carry adequate insurance to mairrtain, repair, or replace project vehiciestequipment in the event of loss or damage due to an accident or casualty. 6).. It wilt maintain project vehidesJequipment in good working order for the useful life of the vehides/equipment 7) It will return project vehides/equipment to the Depart*ent if, for any reason, they are no longer needed or used for the purpose intended. 8) It recognmes the Department's authority to rernow vehides/equipment from its premises, at no cost to the Department, If the Department deumni tes the vehic hWequipment are not used for tt purpose intended, improperly maintained, tudrsured, or operated unsafely. 8) ft will not enter into any lease of project vehkIes/egtdpmatt or contract for transportation service with any third party without prior written approval of the Department 10) It will notify the Department within 24 hours of any accident or casualty involving project vehides/equipment, and submit related reports as required by the Department 11) It will submit an annual financial audit report to the Department, if required by the Department Date: !41J.Vt 0E COUNTY ATTGRNEY ROVED AS R UZANNE HUTTON FloSISTANT CNTXXTORNEY .tea,. /� JAMES L. ROBERTS COUNTY ADMINISTRATOR 23 OUNTY SO�MONROE KEY WESTLORIDA 33040 (305) 2S4-4641 Transportation Dept. 1100 Simonton St. Rm 1-181 Gato Building Key West, F133040 305-292-4422 Phone 305-292-4411 Fax January 21, 2004 Mayor•District 5 Mayor Pro Tern David P. Rice, District 4 DbdeDistrict jk George Neugent, District 2 Charles �I M i ,�'� iA& �f.. I I!''rV,�} a Ms. Gloria Putiak South Florida Regional Planning Council 3440 Hollywood Boulevard, Suite 140 Hollywood, FL 33021 Dear Ms. Putiak, Please find attached the U.S.C. Section 5310 year 29 Capital Assistance Application for year 2004 for Monroe County Transportation for your review. Sincerely, Jerry Eskew, Sr. Administrator, Transportation CC: Ike Mahmood Federal Transit Programs Engineer, FDOT Miami Fed USA Airbill TreceYg 830324043573 Express Number 1 From PIe PmraroPrushied SendersFedEx 1 r 1 �+J r Date a o� o y Account Number (� ` V l 2 rw1k _ �• ___ , _ 4❑a Express Package Service Packages up to 159ibs r!(\ Delivery camxUmay De laterm erects. rity FedEx PnoOve lght �F dEx Standard Overnight ❑ FedEx First Overnight Next b-iiii. marrung busmess ememoon Fedlestnextbusness—neq delivery to select loceeons Sender's Name a G.+ J r [[]� .�� '' Phone (%3� S a —yolk 414 D a [] FedEx 2Day ❑ FeclEx Express Saver ❑ FedEx Extra Hours Second business day _— FedE.Emelooararemtavedebla.MinimumthaS.orre�poundare rfdN b,--day —J IaExdmpaflvM readnalasa albnloondeF�aybrse tloceaor¢ �/� �+ Mon r� bocc 4b Express Freight ServiceDew, Packages�ove.l5.t Company ton l 1 ]L SL.i�� n ❑ FedEx lDay Freighte a1 oav ❑, FedExWay Freight Sacono Wsmass day ❑ FedEx Me Freight Third busir�ea day Address U J 1 � � _ a conjis,ness ►L•+rr l .ii •c,utaca„e,maann _ oeat/p- sui.Moom 2 Your Internal U1505 3 To p Recipienfs �tcr � Cy P� �,Ka Phone (45�1 ��85 — LLI 4 Name Q r r J� /•� �, �., e Company 5 a �" T 14 h M 1 R C `.ZJAMC4-k Address It, -I To -HOLD- MWE.lac omtF M carnotelsir—b P.D. bone or P.D.➢P codas 3 Questions? 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Available only for FedEx Pn,M b aelect ➢P codes Fed&First Dymn M g &�� Doasthisshipmere conesin dangerous goods? toauleticlonmend L� No ❑ Yes ❑ Ortice ❑ Cargo Sldppe//O xYreoan Ory ce, 9, UN 1845 x kg Aircraft Only Dangerous Goods dad Dry Ice) ceamt be shipped in Fed& packaging or viili FedEx Expo Houre eervlce. 1 Payment Biwo.- IAnencctrdier sambas ❑ Recipient ❑Third Party ❑ Credit Card ❑ Cash/Check 1 wa be biller. DerUnccr/Sublaaonl Fedr. Aid No. Exp. Cradal. _ De Total b elPackages T--� TolalOtaclmadValuei .00 TOurLr-, is limited to SIOD unless you declare a highaer value. See beck for details. Fed&Use Only 8 Release Signature Sgnrosudro ¢e Mhery wtihartabbkdngsgnero e. By signing you authorize us to deliver this shipment without obtaining a signature end ar,� se to indemnity and hold us harmless, from any resulting claims. R...')atel2/00•Part0155Ft5•©19M-2008Fedrx•PRINIEDINU.S.A. GBFE7/at 404