Backup Documents 12/10/2019 Item #16D17 (Section 5311 Grant App) ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURR b D 17
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the
exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Hilary Halford Community and Human 4f 4f 12/09/2019
Services
2. Jennifer Belpedio County Attorney Office
1 �W 1X11 C
3. BCC Office Board of County �� \r'\
Commissioners S/ f-\
4. Minutes and Records Clerk of Court's Office
n..1 <<1 Z .-? '
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees
above,may need to contact staff for additional or missing information.
Name of Primary Staff Hilary Halford/CHS Phone Number 252-2670
Contact/ Department
Agenda Date Item was 12/10/2019Agenda Item Number 1/ D. 1
Approved by the BCC J 1p !
Type of Document PTNE Section 5311 Grant Application Number of Original
Attached Documents Attached 2 Original Documents
PO number or account
number if document is geS0
(�'�141 ° 6qto be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A" in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature? b R % HH
2. Does the document need to be sent to another agency for additional signatures? If yes, N/A
provide the Contact Information(Name; Agency;Address; Phone)on an attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be HH
signed by the Chairman, with the exception of most letters, must be reviewed and signed
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's NA
Office and all other parties except the BCC Chairman and the Clerk to the Board
5. The Chairman's signature line date has been entered as the date of BCC approval of the HH
document or the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's HH
signature and initials are required.
7. In most cases(some contracts are an exception),the original document a this routing slip NA
should be provided to the County Attorney Office at the time the item is, nput into SIRE.
Some documents are time sensitive and require forwarding to Tallaha ee within a certain
time frame or the BCC's actions are nullified. Be aware of your d dlines!
8. The document was approved by the BCC on 12/10/2019 an a changes made during HH
the meeting have been incorporated in the attached docum t. The County p
Attorney's Office has reviewed the changes, if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the HH
BCC,all changes directed by the BCC have been made,and the document is ready for the Of r5 •' 0q•
Chairman's signature.
1:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 ` `
1 6 D 1 7
ROUTING REQUEST
Date: 11/22/2019
To: CAO
From: Hilary Halford, Sr. Housing & Grant Coordinator, CHS
RE: Special routing request for attached grant application
IMPORTANT!
Once the Chairman has executed the two original grant applications, attached,
please forward ONE original to the Clerk of Court's Office Minutes and Records as
usual and the SECOND back to Hilary Halford in CHS. An original must be scanned
and submitted immediately as well as multiple copies mailed to the grantor. Time
is limited. If necessary, please contact me at ext. 2670 and I will pick up the
application to insure timely submission.
Thank you!
j),(4
...,• /
1 6 D 1 7
MEMORANDUM
Date: December 12, 2019
To: Hilary Halford, Grant Coordinator
Community & Human Services
From: Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re: Resolution 2019-239: Grant application to the Florida
Department of Transportation for Federal Transit
Administration Program 5311 for FY2020/2021 to support
transit operations and system capital improvements
Attached for further processing is an original Resolution and associated
Grant Application referenced above (Item #16D17) adopted/approved by
Collier County's Board of County Commissioners on December 10, 2019.
The second copy of original documents will be held in the Minutes and
Records Department for the Board's Official Record.
If you have any questions, please call me at 252-8406.
Thank you.
Attachment
1b017
Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating
Florida Department of Transportation
FD
49 U.S.C. Section 5311
Capital & Operating Assistance Application — SFY 2021
Formula Grants for Rural Areas
CFDA 20.509
Legal Applicant Name: Collier County Board of County Commissioners
❑ First Time Applicant ® Previous Applicant
160 17
Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating
Table of Contents
TABLE OF CONTENTS 2
APPLICATION CHECKLIST 3
APPLICANT INFORMATION 4
PART I — APPLICANT ELIGIBILITY 6
Eligibility Questionnaire 6
Exhibit A: Cover Letter 7
Exhibit B: Governing Board's Resolution 8
Exhibit C: Public Hearing Notice - N/A
Exhibit D: Local Clearinghouse Agency/RPC Cover Letter - N/A
PART II - FUNDING REQUEST 11
Form A-1: Current System Description 11
Form A-2: Fact Sheet 15
Form A-3: Proposed Project Description 18
Form B-1: Financial Capacity — Proposed Budget for Transportation Program 23
Form B-2: Operations Phase- Estimate of Project Costs by Budget Category 26
Form B-3: Capital Request 27
Form C: Current Vehicle and Transportation Equipment Inventory Form (for entire
fleet) 29
PART III — MANAGERIAL CAPABILITY 31
Exhibit I: FDOT Certification and Assurances 31
Exhibit J: Standard Lobbying Certification 33
Exhibit M: Certification of Equivalent Service - N/A
Form 424: Application for Federal Assistance 38
Exhibit N: Federal Certifications and Assurances - to be provided at a later date
Exhibit 0: Title VI Plan 41
Exhibit P: Protection of the Environment - N/A
Exhibit Q: Triennial Review - CAP Closeout -to be provided
Page 2
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Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating
Please Note
This grant application is color coded based on which type of award you are applying for.
Forms and exhibits in purple must be completed for all applications.
All Applications
Forms and exhibits in red apply to capital applications, exclusively.
Capital Applications
Forms and exhibits in blue apply to operating applications, exclusively.
Operating Applications
Page 3
160 17
Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating
Application Checklist
Each of the below items must be included with your Section 5311 Grant Application submittal in the same
order as the checklist.
• Application Checklist (this form)
® Applicant Information
PART I -APPLICANT ELIGIBILITY
a Eligibility Questionnaire
[I Exhibit A: Cover Letter
® Exhibit B: Governing Board's Resolution
Q Exhibit C: Public Hearing Notice
O Exhibit D: Local Clearinghouse Agency/RPC Cover Letter(Required if proposed project is for facilities)
Date received:
PART II - FUNDING REQUEST
❑X Form A-1: Current System Description
X❑ Form A-2: Fact Sheet
Organization Chart
IN Form A-3: Proposed Project Description
® Form B-1: Financial Capacity— Proposed Budget for Transportation Program
® Proof of Local Match
Supporting Documentation
® Form B-2: Operations Phase- Estimate of Project Costs by Budget Category
E Form B-3: Capital Request
El Completed Sample Order Form(s)
O Form C: Current Vehicle and Transportation Equipment Inventory
• Exhibit I: FDOT Certification and Assurances
Exhibit J: Standard Lobby Certification
• Exhibit K: FTA Section 5333 (b) Assurance
• Exhibit L: Leasing Certification
Q Exhibit M: Certification of Equivalent Service
® Form 424: Application for Federal Assistance
• Exhibit N: Federal Certifications and Assurances
® Exhibit 0: Title VI Plan
E l Exhibit P: Protection of the Environment (Required if the proposed project is for facilities)
❑X Exhibit Q: Triennial Review- CAP Closeout
Page 4
1601 ?
Florida Department of Transportation-5311 Instructions—SFY21 Purple- Red- Capital Blue-Operating
All
Applicant Information
49 U.S.C. Section 5311, Formula Grants for Rural Areas:
FDOwr
GRANT APPLICATION
Agency (Applicant) Legal Name: Physical Address (No P.O. Box): 3299
Collier County Board of County Commissioners Tamiami Trail East Suite 103
Applicant Status: First-time applicant X Returning applicant
A first-time applicant has not received any funding for the past two grant cycles
Applicant's County: Collier
If Applicant has offices in more than one county, list county where main office is
K)Rted State: Ziip Code: Congressional District: 14
Naples FL 34112
Federal Taxpayer ID Number: 59-6000558
Applicant Fiscal period start and end dates: October 1, 2020 to Septemher 3ft 2021
State Fiscal period from:July 1, 2020 to June 30, 2021
Applicant's DUNS Number: 076997790
Unique 9-Digit number issued by Dun&Bradstreet. May be obtained free of charge at:http://fedgov.dnb.com/webform
Project's Service Area: Collier County
List the county or counties that will be served by the proposed project.
Executive Director: Michelle Arnold Grant Contact Person (if different than
Executive Director): Tami Bailey
Telephone: Telephone:
239-252-5841 239-252-5218
Fax: Fax:
239-252-2638
E-mail Address: Email Address:
Michelle.Arnold@colliercountyfl.gov Tami.Bailey@colliercountyfl.gov
Current Vehicle Inventory: 2 Vans 0 Vans/Lifts 0 Sedans or Minivans
Enter Number for ENTIRE Fleet
28 Buses/Cutaways 2 0 N/A
Authorizing Representative certifying to the information conta. -fn this app . - . - and
accurate. / el • j 1 -
Signature (Authorizing Representative) [blue ink]: •-._•.-
Printed Name: William L. McDaniel, Jr.
Title: Chairman
Email Address: Bill.McDaniel@colliercountyfl.gov
*Must attach a Resolution of Authority from your Board (original document) for the person signing
all documents on behalf of your agency. See Exhibit B
•
ATTEST
��• • Approved as to form and legality
CRYSTA I INZEL,CLERK'"
w � Page 5 C��
BY: Q C. ssistant Cau tturne
y
Attest auto, aim; s'�
sianature only.
16017
Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating
PART I - APPLICANT ELIGIBILITY
Eligibility Questionnaire
This questionnaire applies to returning applicants. If you are a current grant sub-recipient and are
not compliant with all FDOT and FTA Section 5311 requirements, you will not be eligible to receive
grant funds until compliance has been determined. You must be in compliance at time of grant award
execution.
Are you a returning applicant?
*If yes, please answer all questions. If no, disregard X Yes n No
remaining questions in this questionnaire.
Has your agency completed a Triennial X Yes Do ['Review Scheduled
Oversight Review? Was not notified by FDOT District Office
If yes, what date(s) did the review occur?
November 19, 2019
If yes, is your agency currently in X1 Yes n No n N/A
com-ptidl ice?
If your agency is not in compliance, do you have ❑ Yes ❑ No X❑ N/A
a corrective action plan to come into compliance?
If yes, what is the date of anticipated date
of corrective action closeout?
Is your agency registered on SAM.gov? 'XI Yes ❑ No
Note:Agency must regictr -ach year/ •es, registration expiration date:
application c October 13, 2020
Sign ture [blue ink]
William L. McDaniel, Jr., Chairman
Typed Name and Title
December 10, 2019
Date
ATTEST
CRYSTAL K.Ki*EL,c ]ERK Approved as to form and legality
111 .A
Attest asrn
im Page 6 A'wistant Count uruey
signature only.:
Exhibit A: Cover Letter1 6 Q 17
Co ger County
Public Services Department
Public Transit & Neighborhood Enhancement Division
December 10, 2019
Charlene Ross
Transit Project Coordinator
FDOT, District One, Modal Development Office/Public Transit
801 North Broadway Avenue
Bartow, FL 33830
Re: 5311 Grant Submittal
Dear Ms. Ross:
Collier County Board of County Commissioners submits this application for the Section 5311 Program
Grant and agrees to comply with all assurances and exhibits attached hereto and by this reference made
a part thereof, as itemized in the Checklist for Application Completeness. Collier County would like your
consideration for funding in rural 5311 grant funds.
Collier 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 FDOT and all its officers, agents and 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 or the assurances stated in this Application.
This application is submitted on this 10th day of December 2019 with one (1)original resolution and
three (3) certified copies of the original resolution authorizing the Chairman of the board of County
Commissioners to sign this Application.Thank you for your assistance in this matter.
Sincerely,
e . jai ��
Willia . McDaniel,Jr.
Chairman, Collier County Board of County Commissioners
Page 7
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f)1/N.‘
Pubfic Transit&Neighborhood Enhancement•3299 Tamiami Trail E.,Suite 103•Naples,Florida 34112-5746.239-252-5840•FAX 239-252-6628•www.colliergov.net
1-4()
16017
RESOLUTION NO. 2019- 239
A RESOLUTION OF THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA,
AUTHORIZING THE CHAIRPERSON TO SIGN AND SUBMIT A
SECTION 5311 GRANT APPLICATION, INCLUDING ALL
RELATED DOCUMENTS AND ASSURANCES, TO THE
FLORIDA DEPARTMENT OF TRANSPORTATION, TO ACCEPT
A GRANT AWARD FROM THE FLORIDA DEPARTMENT OF
TRANSPORATION, FOR THE PURCHASE OF VEHICLES
AND/OR EQUIPMENT AND/OR THE EXPENDITURE OF GRANT
FUNDS PURSUANT TO THE GRANT AWARD.
WHEREAS, the Board of County Commissioners of Collier County, Florida, has the
authority to apply for and accept grants and make purchases and/or expend funds pursuant to
grant awards made by the Florida Department of Transportation as authorized by Chapter 341,
Florida Statutes and/or by the Federal Transit Administration Act of 1964, as amended;
NOW THEREFORE, BE IT RESOLVED by the Board of County Commissioners
of Collier County, Florida, that:
1. This resolution applies to the Federal Program under U.S.C. §5311.
2. The submission of a grant application(s), supporting documents,
and assurances to the Florida Department of Transportation is approved.
3. William L. McDaniel, Jr., Chairman, is authorized to including, but
not limited to: (a) sign the application, accept a grant award, and (b) accept
and execute any required certifications and assurances and all supporting
documents relating to the grant awarded to the County, (c) approving all
necessary budget amendments, and (c) authorize the purchase of
vehicles/equipment and/or expenditure of grant funds pursuant to the grant
awarded, unless specifically rescinded.
4. This Resolution shall be effective immediately upon signature by
the Chairman.
This Resolution adopted after motion, second and majority vote favoring same, this 10`h
day of December 2019.
16017
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL K. KINZEL, CLERK COLLIER COUNTY, FLORIDA
By.
*ea
�c COL A //l
�1 By:
most a5 d eputy Clerk W' iam L. ���:�iel, Jr., hairman
signature Opt 5
Approved as to form and legality:
N ., it _ 0.
...,_ cY7
Jennifer A. Belpedio, 9. `1 c3.
Assistant County Attorney
Item#1,L LeeIC)tn.
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1 6 D 1 7
Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating
Exhibit C: Public Hearing Notice N/A
Attach a copy of the notice of public hearing and an affidavit of publication here. You may insert the notice
as a PDF or print and attach the document to your final application.
Public Notice—Sample
All interested parties within (Counties Affected) are hereby advised that (Public Agency) is
applying to the Florida Department of Transportation for a capital grant under Section 5311 of the
Federal Transit Act of 1991, as amended, for the purchase of (Description of Equipment) to be
used for the provision of public transit services within (Defined Area of Operation).
This notice is to provide an opportunity for a Public Hearing for this project. This public notice is to
ensure that this project and the contemplated services will not duplicate 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
(Specify due date).
Requests for a hearing must be addressed to (Public Agency Name and Address) and a copy
sent to (Name and Address of Appropriate FDOT District Office).
All public notices must include the following language:
Florida Law and Title VI of the Civil Rights Act of 1964 Prohibits Discrimination in Public
accommodation on the basis of race, color, sex, religion, national origin, disability, income, or of
marital status.
Persons believing they have been discriminated against on these conditions may file a complaint
with the Florida Commission on Human Relations at 850-488-7082 or 800-342-8170 (voice
messaging)
Exhibit D: Local Clearinghouse Agency/RPC Cover Letter N/A
If grant application is for facilities, please include a copy of the cover letter submitted to the local
clearinghouse agency or Regional Planning Council (RPC). You may insert the letter as a PDF or print
and attach the document to your final application.
Page 10
(3_-�
16D 17
Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating
PART II - FUNDING REQUEST
Form A-1: Current System Description
(a) Please provide a brief general overview of the organization type (i.e., government authority, private
non-profit, etc.) including its mission, program goals, and objectives (Maximum 300 words).
The Collier County Board of County Commissioners is the governing body for the
Public Transportation system in Collier County. The Public Transportation system,
Collier Area Transit (CAT) operates under the supervision of the Collier County Division
of Public Transit & Neighborhood Enhancement (PTNE) for the Collier County
Public Services Department. CAT serves as the public transit provider for Collier
County, serving Naples, Marco Island, and Immokalee areas. It is the mission of CAT to
provide safe, accessible and courteous public transportation services to our customers.
Please provide information below:
• Organizational structure (attach an organizational chart at the end of this
section) 122
• Total number of employees in organization 8
• Total number of transportation-related employees in the organization
Page 11 ,®
1 6 D 1 7
Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating
(c) Who is responsible for insurance, training, management, and administration of the agency's
transportation programs? (Maximum 100 words)
The management of the MV contract is conducted by the Collier County Public Transit and
Neighborhood Enhancement (PTNE) Division. MV is responsible for the transit drivers of
the transit system including hiring, training and management of the bus operators. They
are also responsible for the insurance of all of CAT/CAP's vehicles. MTM is responsible
for the hiring and training of the administrative personnel.
(d) How are the operations of the transportation program currently funded?What are the sources of the
funding (e.g., state, local, federal, private foundations, fares, other program fees?)? (Maximum 200
words)
Collier County currently provides about $2 million dollars each year from local funds to
provide fixed route services. Federal and State Grant funds help to expand resources
so that transit services can be provided to those who need it most.
•
Page 12
(r)1-)
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Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating
(e) Fully explain your transportation program:
• Service hours, planned service, routes and trip types;
• Staffing—include plan for training on vehicle equipment such as wheelchair lifts, etc.;
• Records maintenance—who, what methods, use of databases, spreadsheets etc.;
• Vehicle maintenance—who, what, when and where. Which services are outsourced (e.g.,
oil changes)? Include a section on how vehicles are maintained without interruptions in
service;
• System safety plan;
• Drug-free workplace; and
• Data collection methods, including how data was collected to complete Exhibit A-2.
Note: If the applicant is a Community Transportation Coordinator (CTC), relevant pages of a
Transportation Disadvantaged Service Plan (TDSP) and AOR containing the above information may
be provided. Please do not attach entire documents.
Service hours for these routes vary from as early as 3:45 AM to as late as 8:20 PM. The
service planned for this grant will provide access to people in non-urbanized areas of Collier
County. Funds from this grant will be used to continue operation of fixed route to provide access
to people in non-urbanized areas to health care, shopping, education, employment, public
services and recreation. Because many of these services are not available in the rural area,
most people must travel to the urban areas in order to receive many of these services. These
funds will be used to fund routes that are open to the general public and are not subject to the
privatization process as described in the Transportation Disadvantage Service Plan (TDSP).
All staff is currently trained on the use of vehicles and equipment utilized for the operations of
this service. All records are maintained by Collier County staff to ensure compliance with all
local, State and Federal requirements. Those employee records maintained by the vendor to
verify maintenance of all required licensure and training are inspected by Collier County
regularly. All vehicles are maintained by Collier County Fleet Management Division staff
specifically assigned to Transit at the CAT Operations center located at 8300 Radio Road. A
written safety program has been developed and is maintained by the Contractor which includes
safety policies and practices, accident procedures and reporting, and other training materials
and documented in the System Safety Program Plan (SSPP) and the System Security
Emergency Preparedness Plan (SSEPP). Collier County conducts an annual System Safety
review of the Contractor to comply with safety requirements of Chapter 14-90, Florida
Administrative Code (FAC). The Contractor's documented safety program includes the following
components:
• Accident Response Plan
• Accident Review Process and Analysis
• Determination of an accident as Preventable or Non-Preventable, Utilizing the National
Safety Council (NSC) Guidelines
• Employee Retraining Provisions
• Programs and Methods to be utilized to Promote Safety Awareness
• Employee Training and Required Certifications
Page 13
16017
Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating
he Contractor shall participate in tabletop, emergency preparedness training exercise
as requested by the County. The Contractor is considered essential personnel and shall
be available upon request for evacuation and transportation for any emergency events 24/7.
The Contractor administers a Drug and Alcohol (D&A) Program which meets all of the Federal
and Collier County requirements. In addition, the Contractor requires all subcontractors
providing services for the fixed route service to adhere to the testing requirements of this D&A
program. CAT performs D&A testing in accordance with United States Department of
Transportation (US DOT) and Federal Transit Administration (FTA) regulations, as defined
in Title 49 Code of Federal Regulations (CFR), Parts 40 and 655. The Contractor
produces documentation necessary to establish its compliance with Title 49 CFR, Parts
653 and 654. All County employees that fall under this requirement also go through the
above noted testing.
Page 14
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16017
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1 6 D 1 7
Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating
Form A-3: Proposed Project Description
(a) How will the grant funding improve your agency's transportation service? Provide detail.
Will it be used to:
• Provide more hours of service?
• Expand service to a larger geographic area?
• Provide shorter headways?
• Provide more trips?
• Replace existing equipment?
• Purchase additional vehicles/equipment?
Also, highlight the challenges or difficulties that your agency will overcome if awarded these funds.
Section 5311 funding for operating assistance is essential if service is to continue for the non-
urbanized areas of the County. Because this request is not an expansion of service
or providing new service, the grant, if awarded will not provide more service hours,
provide service to a larger geographic area or reduce headways.
•
Page 18
161317
Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating
(b) If a grant award will be used to maintain services as described in Form A-1, specifically explain
how it will be used in the context of total service. Make sure to include information on how the
agency will maintain adequate financial, maintenance, and operating records and comply with
FTA reporting requirements including information for the Annual Program of Projects Status
Reports, Milestone Activity Reports, NTD reporting, DBE reports etc.
The 5311 grant helps fund five (5) non-urbanized/rural routes. According to the 2010
Census majority of the County's workforce lives in the rural area and majority of the
activity centers are within the urban area. Activity centers include major employers, health
care centers and public services. Route 19 (Golden Gate Estate/Immokalee Shuttle),
provides a shuttle to and from the Immokalee area and services the Golden Gate Estates
area to the transfer station at the Collier County Government Center. This route serves to
bring the residents from the rural area to the urban areas where our activity centers are
located and provides access for those passengers to return home. Route 121 (Immokalee
and Marco Island express), provides an early morning and late evening express service
between Immokalee and Marco Island. This express route serves to bring the residents of
the rural area to the urban areas where the major employers are located and provides
access for those passengers to return to home. Both routes (19 and 121) further the
federal goal of the program to enhance the access of low-income individuals and others
within the non-urbanized area to employment.
Route 22 and Route 23 (Immokalee Circulator), provide continuous public transit service
within the rural community of Immokalee. Route 24 (US 41 East/Charlee Estates),
provides access to residents in the rural areas east of Collier Boulevard off East Tamiami
Trail to services and employment in the urban areas. Only that portion of Route 24
that serves the rural area is being funded with 5311 grant funds.
(c) If this grant is not fully funded, can you still proceed with your transportation program? Explain.
Collier Area Transit, as many other transit agencies across the nation, is facing
tough financial times and local funds contribution is stagnate. Should the State not
approve this grant, CAT may be forced to reduce routes. With a reduction in service,
many passengers would not have access to medical, work, recreational, and other life
sustaining activities that public transit now makes possible. It is critical that Collier Area
Transit receives these 5311 funds to continue to provide access to people in the non-
urbanized area of Collier County to these services.
Page 19
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Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating
(d) New agencies only: Have you met with the CTC and, if so, how are you providing a service they
cannot? Provide detailed information supporting this requirement.
N/A
Applications submitted without the appropriate CTC coordination agreement may be rejected by
FDOT. Grant awards will not be made without an appropriate coordination agreement. This
coordination agreement must be enforced the entire time of the grant(vehicle life or operating PTGA
expiration).
•
Page 20
9
16017
Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating
Operating Requests Only
(a) Please specify year of activity for operating assistance.
October 1, 2020-September 30, 2021
Capital Requests Only
(a) If this capital request includes equipment, please describe the purpose of the request.
(b) If you are requesting a vehicle that requires a driver with a CDL:
• Who will drive the vehicle?
• How will you ensure that your driver(s) maintain CDL certification?
(c) If the requested vehicles or equipment will be used by a lessee or private operator under
contract to the applicant agency, identify the proposed lessee/operator.
• Include an equitable plan for distribution of vehicles/equipment to lessees and/or private
operators.
N/A
Page 21
S
1 6 a 1 7
Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating
(d) If this capital request is for bus related facilities
• Please provide any pertinent documents that may be on record, to make a determination
on such things as reasonableness of cost, sufficiency of preliminary engineering and
design work completed.
• Please provide a full, detailed scope of the project, including but not limited to a project
schedule, construction days, method of procurement, etc.
• Please provide a detailed description of all project activities included in the construction of
the facility.
NOTE: If awarded,the agency must prepare a draft/proposed facilities/building maintenance
plan that will need to be adopted after construction of facilities.
N/A
Page 22
0
1613 17
Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating
Form B-1: Financial Capacity — Proposed Budget for Transportation Program
Estimated Revenues Revenue Amount
(See Instruction Manual) Entire Transportation program
(See Instruction Manual)
Passenger Fares for Transit Service (401) $ 910,700
Special Transit Fares (402)
School Bus Service Revenues (403)
Freight Tariffs (404)
Charter Service Revenues (405)
Auxiliary Transportation Revenues (406)
Non-transportation Revenues (407)
Total Revenue $ 910,700
Other Revenue Categories
Taxes Levied Directly by the Transit System (408)
Local Cash Grants and Reimbursements (409) 3,169,600
Local Special Fare Assistance (410)
State Cash Grants and Reimbursements (411) 940,800
State Special Fare Assistance (412)
Federal Cash Grants and Reimbursements (413) 2,233,300
Interest Income (414)
Contributed Services (430)
Contributed Cash (431)
Subsidy from Other Sectors of Operations (440)
Total of Other Revenue $ 6,343,700
Grand Total All Revenue (Line 1) $ 7,254,400
Page 23
1 6D Z7
Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating
Estimated Expenses Expense Amount
(See Instruction Manual) Entire Transportation program
Labor(501) 268,896
Fringe & Benefits (502) 101,704
Services (503) 728,300
Materials &Supplies (504) 584,800
Vehicle Maintenance (504.01) 823,400
Utilities (505) 69,100
Insurance (506) 12,300
Licenses &Taxes (507) 8,000
Purchased Transit Service (508) 4,561,800
Miscellaneous (509)* 94,100
Leases & Rentals (512) 2,000
Depreciation (513)*
Grand Total All Expenses (Line 2) $ 7,254,400
*Refer to CFR 200.436 for guidance when entering expenses under"Depreciation".
Shortfall
Source Amount
1 - Estimated Revenues (enter number from line 1) $ 7,254,400
2—Estimated Expenses (enter number from line 2) $ 7,254,400
3. Shortfall $ 0
Subtract Line 2 from Line 1 _
4. Enter Total Amount Requested from Form 424, Line 18(g) $ 1,609,000
5. *If request(Line 4) is more than needed shortfall identified on Line 3, provide justification:
The reason why our budget balance is because we anticipate of being a recipient
of this funding, for that reason we included this funding in our adopted budget; we
would have a $1,609,000 shortfall to cover our operating expenses if we don't
receive this funding.
Note: Line 5 is MANDATORY—do not leave blank. If information is not provided it reflects no urgency
for the requested funds. Amount needed should be clearly identified.
Page 24
0
16017
Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating
Proof of Local Match
Source Amount
General Fund Transfer to Funds 425/426 $ 3,169,600
Total Local Match
50%of Total Project Cost for operating awards $
20%of Total Project Cost for capital awards
Attach documentation of match funds directly after this page. Proof may consist of, but not be limited to:
• Transportation Disadvantaged (TD) allocation,
• Written statements from county commissions, state agencies, city managers, mayors, town
councils,,i =: izations, -ccounting firms and financial institutions.
C
mss—
_
Signatu/' [blue ink]
William L. McDaniel, Jr., Chairman
Typed Name and Title of Authorized
Representative
December 10, 2019
Date
ATTEST • Approved as to form and legality
CRYSTAC'I .0114 IYOLERK
BX: ' _ +� �,4(X, Assistant County 11ey
Attest aS-to' airnj
gig' nature o'D1y,
Page 25
•
16017
Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating
Form B-2: Operations Phase- Estimate of Project Costs by Budget Category
Budget Categories Operations (Expenses Local Federal Total
related to transit operations only)*
Salaries 268,900 268,900
Fringe Benefits 101,700 101,700
Contractual Services 5,290,100 1,609,000 3,681,100
Travel 6,000 6,000
Other Direct Costs
ra. Utilities 69,100 69,100
b. License 8,000 8,000
c. Insurance 12,300 12,300
d. Miscellneous 88,100 88,100
e. Materials and Supplies 308,600 308,600
f• Vehicle Maintenance 1,099,600 1,099,600
g• Leases and Rentals 2,000 2,000
h.
k.
m.
Indirect Costs
Projected REVENUE (subtraction)
Totals $ $ 5,656,400
Budget category amounts are estimates. While the contract is active, amounts can be shifted
between items without amendment (because they are all within the Operations Phase), but the revised
budget must be submitted to the District to be approved and updated in the Florida Accountability
Contract Tracking System (FACTS).
Page 26
COD
160 11
Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating
Form B-3: Capital Request N/A
To identify vehicle type and estimate cost visit http://tripsflorida.orq/
All vehicle requests must be supported with a completed sample order form in order to generate a
more accurate estimation of the vehicle cost. The order form can be obtained from
http://www.tripsflorida.orq/contracts.html
1. Select Desired Vehicle (Cutaway, Minibus etc.)
2. Choose Vendor (use drop down arrow next to vendor name to see information)
3. Select Order Packet
4. Complete Exhibit A (Order Form)
The Florida Department of Management Services Contract can be found at Florida Department of
Management DMS
Vehicle Request
Replacement Estimated
(R) Fuel Useful Life Description! Cost
or Ex ansion T e (See Application Vehicle T e Quantity
p yp Instructions) yp (from Order
(E) Form)
N/A
Subtotal $
*Under DescriptionNehicle Type, include the length and type vehicle, lift or ramp, number of seats and
wheelchair positions. For example, 22' gasoline bus with lift, twelve (12) ambulatory seats, and two (2)
wheelchair positions. Please note, in this example, if both wheelchair positions are occupied the
ambulatory seats will be reduced to eight (8). Any bus options that are part of purchasing the bus
itself should be part of the vehicle request and NOT separated out under equipment.
Replacement Vehicles (R)
If the capital request includes replacement vehicles. Please list the vehicles in your current fleet that you
are intending to replace with the vehicle from your vehicle request.
YEAR TYPE MAKE MILES VIN FDOT Control #
N/A
Page 27
16017
Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating
Equipment Request
If item requested is after-market, it is recommended to gather and retain at least two estimates for the
equipment requested. Purchases must be approved at the local level and follow the Procurement
Guidelines.
Description* Useful Life quantity Estimated
(See Application Instructions) Cost
N/A
-------------- -- �_______----____-- Subtotal $
* List the number of items and provide a brief description (i.e. two-way radio or stereo radio, computer
hardware/software, etc.)
Vehicle Subtotal Plus Equipment Subtotal Equals Total Cost
$ 0.8 = $
Total Cost Multiplied 80% Equals Federal Request
by Form 424, Block 18 (a)
Page 28
16017
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16017
Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating
PART III - MANAGERIAL CAPABILITY
Exhibit I: FDOT Certification and Assurances
Collier County Board of County Commissioners certifies and assures to the Florida
Department of Transportation regarding its Application under U.S.C. Section 5311 dated 10th
day of December, 2019
1 It shall adhere to all Certifications and Assurances made to the federal government in its
Application.
2 It shall comply with Florida Statues:
• Section 341.051—Administration and financing of public transit and intercity bus service
programs and projects
• Section 341.061 (2)—Transit Safety Standards; Inspections and System Safety Reviews
3 It shall comply with Florida Administrative Code:
• Rule Chapter 14-73—Public Transportation
• Rule Chapter 14-90—Equipment and Operational Safety Standards for Bus Transit
Systems
• Rule Chapter 14-90.0041—Medical Examination for Bus System Driver
• Rule Chapter 41-2—Definitions
4 It shall comply with FDOT's:
• Bus Transit System Safety Program Procedure No. 725-030-009
(Does not apply to Section 5310 only recipients)
• Public Transit Substance Abuse Management Program Procedure No. 725-030-035
• Transit Vehicle Inventory Management Procedure No. 725-030-025
• Public Transportation Vehicle Leasing Procedure No. 725-030-001
• Guidelines for Acquiring Vehicles
• Procurement Guidance for Transit Agencies Manual
5 It has the fiscal and managerial capability and legal authority to file the application.
6 Local matching funds will be available to purchase vehicles/equipment at the time an
order is placed.
7 It will carry adequate insurance to maintain, repair, or replace project vehicles/equipment
in the event of loss or damage due to an accident or casualty.
8 It will maintain project vehicles/equipment in good working order for the useful life of the
vehicles/equipment.
9 It will return project vehicles/equipment to FDOT if, for any reason, they are no longer
needed or used for the purpose intended.
10 It recognizes FDOT's authority to remove vehicles/equipment from its premises, at no
cost to FDOT, if FDOT determines the vehicles/equipment are not used for the purpose
Page 31
16017
Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating
intended, improperly maintained, uninsured, or operated unsafely.
11 It will not enter into any lease of project vehicles/equipment or contract for transportation
services with any third party without prior approval of FDOT.
12 It will notify FDOT within 24 hours of any accident or casualty involving project vehicles/
equipment, and submit related reports as required by FDOT.
13 It will notify FDOT and request assistance if a vehicle should become unserviceable.
14 It will submit an annual financial audit report to FDOT (FDOTSingleAudit@dot.state.fl.us),
if required.
15 It will undergo a triennial review and inspection by FDOT to determine compliance with
the baseline requirements. If found not in compliance, it must send a progress report to
the local FDOT District office on a quarterly basis outlining the agency's progress
towards compliance.
_December 1 4,019
Date _
aj
Sign.ture of Contractor's Authorized Official
William L. McDaniel, Jr., Chairman
Name and Title of Contractor's Authorized Official
`FTEST . Approved as to form and legality
;`ERYSTAL4..'KINZEL,CLERK
sof '0�.. As"'to Count+—t matey
-est as al
S
signature only.
Page 32
1b017
Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating
Exhibit J: Standard Lobbying Certification
The undersigned Collier County Board of County Commissioners certifies, to the best of his or her
knowledge and belief, that:
1 No Federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or employee of
an agency, a Member of Congress, an officer or employee of Congress, or an employee of a
Member of Congress in connection with the awarding of any Federal contract, the making of
any Federal grant, the making of any Federal loan, the entering into of any cooperative
agreement, and the extension, continuation, renewal, amendment, or modification of any
Federal contract, grant, loan, or cooperative agreement.
2 If any funds other than Federal appropriated funds have been paid or will be paid to any person
for making lobbying contacts to an officer or employee of any agency, a Member of Congress,
an officer or employee of Congress, or an employee of a Member of Congress in connection
with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall
complete and submit Standard Form--LLL, "Disclosure Form to Report Lobbying," (a copy of
the form can be obtained from FDOT's website) in accordance with its instructions [as amended
by "Government wide Guidance for New Restrictions on Lobbying," 61 Fed. Reg. 1413
(1/19/96). Note: Language in paragraph (2) herein has been modified in accordance with
Section 10 of the Lobbying Disclosure Act of 1995 (P.L. 104-65, to be codified at 2 U.S.C. 1601,
et seq.)]
3 The undersigned shall require that the language of this certification be included in the award
documents for all sub-awards at all tiers (including subcontracts, sub-grants, and contracts
under grants, loans, and cooperative agreements) and that all sub-recipients shall certify and
disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction
was made or entered into. Submission of this certification is a prerequisite for making or entering into this
transaction imposed by 31, U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995). Any
person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000
and not more than $100,000 for each such failure.
NOTE: Pursuant to 31 U.S.C. § 1352(c)(1)-(2)(A), any person who makes a prohibited expenditure or
fails to file or amend a required certification or disclosure form shall be subject to a civil penalty of not
less than $10,000 and not more than $100,000 for each such expenditure or failure.
The Collier County Board of County Commissioners, certifies or affirms the truthfulness and
accuracy of each statement of its certification and disclosure, if any. In addition, the Contractor
understands and agrees that the provisions of 31 U.S.C. A 3801, et seq., apply to this certification and
disclosure, if .• .
Decemb= 0, '0 9
dIP Da •
�
/ � � Signature of Contractor's Authorized Official
Wi ram L. McDaniel, Jr.,,Chairman
Name and Title of Conttactor's Authorized Official
Approved as to form and legality
CRYSATTET f3. • Page 33
CRYSTt L K. I EL.CLEF ;''.
BY: . � 6 ) Assistant County 1C11eT
• •
Q
ninn,thirA n I
16017
Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating
Exhibit K: FTA Section 5333 (b) Assurance
(Note: By signing the following assurance, the recipient of Section 5311 and/or 5311(f)
assistance assures it will comply with the labor protection provisions of 49 U.S.C. 5333(b)
by one of the following actions: (1) signing the Special Warranty for the Rural Area Program
(see FTA Circular C 9040.IG, Chapter VIII (2) agreeing to alternative comparable
arrangements approved by the (Department of Labor (DOL); or (3) obtaining a waiver from the
DOL.)
The oilier o t oard o o t o i io er (hereinafter referred to as the
"Recipient") HEREBY ASSURES that the "Special Section 5333 (b) Warranty for Application
to the Small Urban and Rural Program" has been reviewed and certifies to the Florida
Department of Transportation that it will comply with its provisions and all its provisions will be
incorporated into any contract between the recipient and any sub-recipient which will expend
funds received as a result of an application to the Florida Department of Transportation under
the FTA Section 5311 Program.
December 10, 2019
Date
William L. M. �,►aniel, r., hairman
Name and t" o • a thorize• ep
/
Mr,
X. • :or __ -"..-- "
Signa Ire of authorized representative
Note: All applicants must complete the following form and submit it with the above Assurance.
LISTING OF RECIPIENTS, OTHER ELIGIBLE SURFACE TRANSPORTATION PROVIDERS
P P
P P
4
1 2 3 Identify Unions(and
Identify Other Eligible Providers)Representing
Identify Recipients of Site Project by Name,
Surface Employees of Providers in
Transportation Description,and Provider(e.g.
Assistance Under this Recipient,other Agency,or Transportation Columns 1,2,and 3
Grant. Contractor) Providers(Type of
Service)
Application FTA Section 5311 Operating
Assistance Funding of FY20/21 for Collier
Area Transit to provide continuing public Transport workers Union
transportation services to residents of Collier Area Transit Local 525 AFL-CIO 2595
Collier County Board of the non urbanized areas of Collier County North Courtenay Pkwy.
for urban transit
County Commissioners ,traveling within the rural area and/or the Suite 104 Merritt Island, FL
adjacent urban area and returning to service. 32953
rural domicle.
ATTEST • Approved as to form and legality
f
CRYSTAL K.KIN7£L,C
t M Page 34
BY: 4Cf C.
' Assistant County . .^rack.
«
Fres o�Chairman # •
ature only. 1;::-; 'fl,ci.;:�
16017
Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating
Exhibit L: Leasing Certification N/A
Memorandum for FTA 5311
Date:
From:
Signature
Typed name and title
Typed or printed agency name
To: Florida Department of Transportation, District Office Modal Development Office/Public
Transit
Subject: YEAR 2021 GRANT APPLICATION TO THE FEDERAL TRANSIT
ADMINISTRATION, OPERATING OR CAPITAL GRANTS FOR RURAL AREAS
PROGRAM, 49 UNITED STATES CODE SECTION 5311
Leasing:
Will the (Name of applicant agency), as applicant to the Federal Transit Administration
Section 5311 Program, lease the proposed vehicle(s) or equipment out to a third-party?
❑ No
❑ Yes
If yes, specify to whom:
NOTE: It is the responsibility of the applicant agency to ensure District approval of
all lease agreements.
Page 35
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Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating
Exhibit M: Certification of Equivalent Service N/A
CERTIFICATION OF EQUIVALENT SERVICE
(Agency Name) certifies that its 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 non-accessible 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. Non-public
transportation systems that serve their own clients, such as social service agencies, are
required to complete this form.
Executed this Date day of Month, Year
Name and title of authorized representative
Signature of authorized representative
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16017
Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating
Form 424: Application for Federal Assistance
Attach the completed Form 424 here. You may insert the completed form as a PDF or print and attach
the form to your final application document.
Exhibit N: Federal Certifications and Assurances - to be provided at a later date
Please attach Federal Certifications and Assurances signature page and the page listing the
certification categories here. You may insert the signed certifications and assurances as a PDF
or print and attach the form to your final application document.
Exhibit 0: Title VI Plan - to ollo or 4 4
If an applicant has not previously submitted their Title VI plan to the Department, a copy must
be included here. You may insert the Title VI Plan as a PDF or print and attach the document
to your final application.
Exhibit P: Protection of the Environment N/A
Required if the proposed project is for the construction of facilities. Please see Grant Application
Instruction Manual for details.
Exhibit Q: Triennial Review - CAP Closeout - to be provided at a later date
Required if the agency's latest Triennial Review included a Corrective Action Plan. Please
submit a copy of the corrective action plan and/or letter of compliance.
Page 37
GC?)_
161117
OMB Number:4040-0004
Expiration Date:12/31/2019
Application for Federal Assistance SF-424
1.Type of Submission: '2.Type of Application: *If Revision,select appropriate letter(s):
Preapplication ®New
®Application fl Continuation 'Other(Specify):
❑Changed/Corrected Application J Revision
'3.Date Received: 4.Applicant Identifier:
5a,Federal Entity Identifier: 5b.Federal Award Identifier.
State Use Only:
6.Date Received by State: 7.State Application Identifier:
8.APPLICANT INFORMATION:
*a.Legal Name: Collier County Board of County Commissioners
• *b.Employer/Taxpayer Identification Number(EIN/TIN): *c.Organizational DUNS:
59-6000558 076997790
d.Address:
Streetl: 3299 Tamiami Trail East, Suite 103
Street2:
'City: Naples
County/Parish: Collier
*State: FL: Florida
Province:
Country: USA: UNITED STATES
'Zip/Postal Code: 39112-5249
e.Organizational Unit:
Department Name: Division Name:
Public Services PTNE
f.Name and contact information of person to be contacted on matters involving this application:
Prefix: Mrs. •First Name: Tami
Middle Name:
Last Name: Bailey
Suffix:
Title: Federal & State Grants Manager
Organizational Affiliation:
*Telephone Number: 239-252-5218 Fax Number: 239-252-2638
'Email: Tami.Bailey@colliercountyfl.gov
•
Page 38
•
16017
Application for Federal Assistance SF-424
*9.Type of Applicant 1:Select Applicant Type:
3: County Government
Type of Applicant 2:Select Applicant Type:
Type of Applicant 3:Select Applicant Type:
•Other(specify):
•10.Name of Federal Agency:
FTA
11.Catalog of Federal Domestic Assistance Number:
20.509
CFDA Title:
Formula Grants for Rural Areas
•12.Funding Opportunity Number:
*Title:
Previous Applicant -
Operating Assistance Application - SFY 2020
Formula Grant for Rural Areas
13.Competition Identification Number:
Title:
14.Areas Affected by Project(Cities,Counties,States,etc.):
Add Attachment Delete Attachment View Attachment
•15.Descriptive Title of Applicant's Project:
Previous Applicant - Operating Assistance Application - SFY 2020 Formula Grant for Rural Areas
Attach supporting documents as specified in agency instructions.
Add Attachments Delete Attachments View Attachments
Page 39
(t.,2
160 17
Application for Federal Assistance SF-424
16.Congressional Districts Of:
a.Applicant 14 *b.Program/Project 14 •
Attach an additional list of Program/Project Congressional Districts if needed.
Add Attachment i Delete Attachment View Attachment
17.Proposed Project:
*a.Start Date: 10/01/2021 *b.End Date: 09/30/2022
18.Estimated Funding($):
*a Federal 809,500.00
*b.Applicant
*c.State
d.Local 804,500.00
*e.Other I
*f. Program Income I
•g.TOTAL 1,609,000.00
*19.Is Application Subject to Review By State Under Executive Order 12372 Process?'
a.This application was made available to the State under the Executive Order 12372 Process for review on
b.Program is subject to E.O.12372 but has not been selected by the State for review.
c.Program is not covered by E.O.12372.
*20.1s the Applicant Delinquent On Any Federal Debt? (if"Yes,"provide explanation in attachment.)
[]Yes ®No
If"Yes",provide explanation and attach
Add Attachment Delete Attachment View Attachment
21.*By signing this application,I certify(1)to the statements contained In the list of certifications**and(2)that the statements
herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances**and agree to
comply with any resulting terms if I accept an award.I am aware that any false,fictitious,or fraudulent statements or claims may
subject me to criminal,civil,or administrative penalties.(U.S.Code,Title 218,Section 1001)
"I AGREE
**The list of certifications and assurances, or an Internet site where you may obtain this list, is contained in the announcement or agency
specific Instructions.
Authorized Representative:
Prefix: *First Name: William •
Middle Name: L.
*Last Name: McDaniel
Suffix:
*Title: Chairman
• `Telephone Number: 239-252-8605 ax Number:
_oui r )
'Email: Bi1�..t••7cDanielC+.co?S�a�rcount:'�El•.44v
'Signature of Authorized Rep��sepfati it j/ J / �,r Date Signed: 12/10/2019
•
•
•
•
ATTEST c �'' 1 111 ,e o form and legality
PP ro e.
CRYSTALNZ4CLERK
a Page 40
BY: ec)L. e J►_
est as t0 tRTi�FI Ass.; ant County Attr%ey �-a
16D j
FD011
Florida Department of Transportation
RICK SCOTT 801 North Broadway Avenue MIKE DEW
GOVERNOR Bartow,Florida 33830 SECRETARY
November 14, 2017
Collier County Board of County Commissioners
Ms. Michelle Arnold
3299 East Tamiami Trail, Suite 103
Naples,FL 34112
Re: Title VI Plan
Dear Ms. Arnold:
The Florida Department of Transportation, District One concurs with the Title VI Plan for Collier County
Board of County Commissioners as required for all Federal Transit Administration recipients as per the
FTA Circular C4702.1B. This concurrence means that Collier County Board of County Commissioners
meets the requirements as set out in the Circular and may receive grant funds. Please continue to follow the
requirements set forth in the stated Circular.
Should you have any questions,please contact Pamela Barr via e-mail at Pamela.barr@dot.state.fl.us or by
phone at 239-225-1972.
Sincerely,
Pamela Barr
Transit Projects Coordinator
•
Cc: Matthew Liveringhouse, Collier Area Transt
Michelle S. Peronto,District Transit Programs Administrator,FDOT
Page 41
www.dot.state.fl.us oj?
16017
Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating
Application
5311 Grant Application Revised on September 13, 2019
Revised by: Erin Schepers, Grant Programs Administrator
FDOT Public Transit Office
605 Suwannee Street (MS 26)
Tallahassee, Florida 32399-0450
Work Phone: 850-414-4526
Email: erin.schepers(a,dot.state.fl.us
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