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Backup Documents 12/10/2024 Item #16B15 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP i 6 B TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE 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. County Attorney Office County Attorney Office 2/6/2025 2. BCC Office Board of County L35.by „1 j Commissioners /.-/ ot/ S 3 Minutes and Records Clerk of Court's Office %iv 1 4. Send via email to Caro line.Soto( col liercountyfl.gov 5. 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 Caroline Soto,Grants Accountant/TMSD Phone Number 252-6932 Contact/ Department Agenda Date Item wash► 12/10/24 Agenda Item Number " 16.B.15 Approved by the BCC \ Type of Document v (6)Grant Application documents# Number of Original 6 Attached Documents Attached PO number or account N/A number if document is to be recorded xc {p)J bcurn.eas .9f U N. wile loos pretiaslt, 5U6►'h,f{t'/ 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? CS 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 CS 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 N/A 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 CS 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 CS signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip CS should be provided to the County Attorney Office at the time the item is input into SIRE. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of your deadlines! 8. The document was approved by the BCC on 12/10/24 and all changes made is not during the meeting have been incorporated in the attached document. The County b,,,iN/A an option fo,rAttorney's Office has reviewed the changes,if applicable. 1 _this line. 9. Initials of attorney verifying that the attached document is the version approved by the (N/A is not BCC,all changes directed by the BCC have been made,and the document is ready for the an optionff, Chairman's signature. this line. I: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 6B15 OMB Number 4040-0004 View Burden Statement Expiration Date 11/30/2025 Application for Federal Assistance SF-424 *1.Type of Submission: *2.Type of Application *If Revision,select appropriate letter(s) Q Preapplication Q New Q Application Q Continuation *Other(Specify) Q Changed/Corrected Application Q 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 1001 8.APPLICANT INFORMATION: *a.Legal Name: Collier County Board of County Commissioners *b.Employer/Taxpayer Identification Number(EIN/TIN): *c.UEI 56-6000558 JNKJKYRPLLU6 d.Address: *Streetl: 3299 Tamiami Trail East, Suite 700 Street2: *City: Naples County/Parish: *State: FL: Florida Province: T *Country: USA: UNITED STATES *Zip/Postal Code: 34112-5746 e.Organizational Unit: Department Name: Division Name. Transportation Management Svcs PTNE f.Name and contact information of person to be contacted on matters involving this application: Prefix: Mr. *First Name: Omar Middle Name: *Last Name: De Leon Suffix: Title: Transit Manager Organizational Affiliation: Collier County *Telephone Number: 239-252-4996 Fax Number: *Email: omar.deleon@colliercountyfl.gov GQ0 16B15 Application for Federal Assistance SF-424 *9.Type of Applicant 1:Select Applicant Type: B: County Government Type of Applicant 2:Select Applicant Type: Type of Applicant 3:Select Applicant Type: *Other(specify): *10.Name of Federal Agency: Federal Transit Administration 11.Catalog of Federal Domestic Assistance Number: 20.513 CFDA Title: Enhanced Mobility of Seniors & Individuals with Disabilities *12.Funding Opportunity Number: "Title: 13.Competition Identification Number: Title: 14.Areas Affected by Project(Cities,Counties,States,etc.): 5310_Areas_Affected.pdf Add Attachment Delete Attachment View Attachment *15.Descriptive Title of Applicant's Project: Section 5310 Capital Application to purchase four replacement vehicles. In addition , (4) radios, (4)tablets, (4) routers for the use of those vehicles. In the Bonita Springs-Estero UZA. Attach supporting documents as specified in agency instructions. View Attachments 1 6 B 1 5 Application for Federal Assistance SF-424 16.Congressional Districts Of: *a.Applicant 19 *b.Program/Project 19&26 Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment Delete Attachment View Attachment 17.Proposed Project: *a.Start Date: 10/01/2025 *b.End Date 09/30/2026 18.Estimated Funding($): *a.Federal 500,613.06 *b.Applicant 62,576.63 *c.State 62,576.63 *d.Local *e.Other *f. Program Income *g.TOTAL 625,766.32 *19.Is Application Subject to Review By State Under Executive Order 12372 Process? Q a.This application was made available to the State under the Executive Order 12372 Process for review on • Q b.Program is subject to E.O.12372 but has not been selected by the State for review. Q c.Program is not covered by E.O. 12372. *20.Is the Applicant Delinquent On Any Federal Debt? (If"Yes,"provide explanation in attachment.) Q 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 18,Section 1001) 0 **IAGREE **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: Mr. *First Name: Burt Middle Name: L. *Last Name: Saunders Suffix: *Title: Chairman, Board of County Commissioners *Telephone Number: 239-252-8603 Fax Number: *Email: Burt.Saunders@colliercountyfl.gov *Signature of Authorized Representative: *Date Signed: I /Ol/o/a ( I 461,•14/11,•€0)663,10us_s , ' . Ap ved as to form and ality: g Attest: CRYSTAL K.,KINZEIic CLERK i...,d., /9 , 111 NIP Derek D. Perry i ��c By: JJWLU4%ik_ GP Assistant County Attorney �nO Atte as bes(attOrClAs signature only 16815 OMB Number 4040-0004 View Burden Statement Expiration Date 11/30/2025 Application for Federal Assistance SF-424 *1.Type of Submission: *2.Type of Application *If Revision,select appropriate letter(s) Q Preapplication Q New ®Application Q Continuation *Other(Specify) Q Changed/Corrected Application Q 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 1001 8.APPLICANT INFORMATION: *a.Legal Name: Collier County Board of County Commissioners *b.Employer/Taxpayer Identification Number(EIN/TIN): *c.UEI 56-6000558 JWKJKYRPLLU6 d.Address: *Streetl: 3299 Tamiami Trail East, Suite 700 Street2: *City: Naples County/Parish: *State: FL: Florida Province: *Country: USA: UNITED STATES *Zip/Postal Code: 34112-5746 e.Organizational Unit: Department Name: Division Name. Transportation Management Svcs PTNE f.Name and contact information of person to be contacted on matters involving this application: Prefix: Mr. *First Name: Omar Middle Name: *Last Name: De Leon Suffix: Title: Transit Manager Organizational Affiliation: Collier County *Telephone Number: 239-252-4996 Fax Number: *Email: omar.deleon@colliercountyfl.gov GQ0 16815 Application for Federal Assistance SF-424 *9.Type of Applicant 1:Select Applicant Type: B: County Government Type of Applicant 2:Select Applicant Type: Type of Applicant 3:Select Applicant Type: *Other(specify): *10.Name of Federal Agency: Federal Transit Administration 11.Catalog of Federal Domestic Assistance Number: 20.513 CFDA Title: Enhanced Mobility of Seniors & Individuals with Disabilities *12.Funding Opportunity Number: *Title: 13.Competition Identification Number: Title: 14.Areas Affected by Project(Cities,Counties,States,etc.): 5310 Areas Affected.pdf Add Attachment Delete Attachment View Attachment *15.Descriptive Title of Applicant's Project: Section 5310 Operating Application for operating expenses to provide transportation to individuals with disabilities. In the Bonita Springs-Estero UZA. Attach supporting documents as specified in agency instructions. View Attachments GQO 6B15 Application for Federal Assistance SF-424 16.Congressional Districts Of: *a.Applicant 19 *b.Program/Project 19&26 Attach an additional list of Program/Project Congressional Distncts if needed. Add Attachment Delete Attachment View Attachment 17.Proposed Project: *a.Start Date: 10/01/2025 *b.End Date 09/30/2026 18.Estimated Funding($): *a.Federal 400,000.00 *b.Applicant 400,000.00 *c.State *d.Local *e.Other *f. Program Income *g.TOTAL 800,000.00 *19.Is Application Subject to Review By State Under Executive Order 12372 Process? O a.This application was made available to the State under the Executive Order 12372 Process for review on • O b.Program is subject to E.O. 12372 but has not been selected by the State for review. Q c.Program is not covered by E.O. 12372. *20.Is the Applicant Delinquent On Any Federal Debt? (If"Yes,"provide explanation in attachment.) 0 Yes Q. 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 18,Section 1001) 0 **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: Mr. *First Name: Burt Middle Name: L. *Last Name: Saunders Suffix: *Title: Chairman, Board of County Commissioners *Telephone Number: 239-252-8603 Fax Number: *Email: Burt.Saunders@colliercountyfl.gov *Signature of Authorized Representative: *Date Signed: I /&//343'1 I Ap ved as to form and ality: Attest: CRYSTAL K.KINIEL,+CLERK • h CfBy Assistant County Attorney ti� Attes as toehrmj nos signature only 16B15 View Burden Statement OMB Number 4040-0004 Expiration Date 11/30/2025 Application for Federal Assistance SF-424 *1.Type of Submission: *2.Type of Application *If Revision,select appropriate letter(s) Q Preapplication 0 New Q Application Q Continuation *Other(Specify) Q Changed/Corrected Application Q Revision *3.Date Received: 4.Applicant Identifier I I 5a.Federal Entity Identifier: 5b.Federal Award Identifier State Use Only: 6.Date Received by State: 7.State Application Identifier 1001 8.APPLICANT INFORMATION: *a.Legal Name: I Collier County Board of County Commissioners *b.Employer/Taxpayer Identification Number(EIN/TIN): *c.UEI 56-6000558 JWKJKYRPLLU6 d.Address: *Streetl: 3299 Tamiami Trail East, Suite 700 Street2: *City: Naples County/Parish: *State: FL: Florida Province: *Country: USA: UNITED STATES *Zip/Postal Code: 34112-5746 e.Organizational Unit: Department Name: Division Name. Transportation Management Svcs PTNE f.Name and contact information of person to be contacted on matters involving this application: Prefix: Mr. *First Name: Omar Middle Name: *Last Name: Deleon Suffix: Title: Transit Manager Organizational Affiliation: Collier County *Telephone Number: 239-252-4996 Fax Number: *Email: Omar.DeLeon@colliercountyfl.gov GQO 16815 Application for Federal Assistance SF-424 *9.Type of Applicant 1:Select Applicant Type: B: County Government Type of Applicant 2:Select Applicant Type: Type of Applicant 3:Select Applicant Type: *Other(specify): *10.Name of Federal Agency: Federal Transit Administration 11.Catalog of Federal Domestic Assistance Number: 20.509 CFDA Title: Formula Grants for Rural Area *12.Funding Opportunity Number: *Title: 13.Competition Identification Number: Title: 14.Areas Affected by Project(Cities,Counties,States,etc.): 5311 Areas_Affected.pdf Add Attachment Delete Attachment View Attachment *15.Descriptive Title of Applicant's Project: Operational funding request to 5311 to cover costs of operating in the identified rural parts of Collier County. Attach supporting documents as specified in agency instructions. View Attachments GQO . 6815 Application for Federal Assistance SF-424 16.Congressional Districts Of: *a.Applicant 19 *b.Program/Project 19&26 Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment Delete Attachment View Attachment 17.Proposed Project: *a.StartDate: 10/01/2025 *b.End Date 09/30/2026 18.Estimated Funding($): *a.Federal 722,000.00 *b.Applicant *c.State *d.Local 722,000.00 *e.Other *f. Program Income *g.TOTAL 1,944,000.00 *19.Is Application Subject to Review By State Under Executive Order 12372 Process/ 0 a.This application was made available to the State under the Executive Order 12372 Process for review on • O b.Program is subject to E.O.12372 but has not been selected by the State for review. Q c.Program is not covered by E.O.12372. *20.Is the Applicant Delinquent On Any Federal Debt? (If"Yes,"provide explanation in attachment.) O Yes Q 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 18,Section 1001) ✓Q **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: Mr. *First Name: Burt Middle Name: L. *Last Name: Saunders Suffix: *Title: Chairperson, Board of County Commissioners *Telephone Number: 239-252-8603 Fax Number: *Email: Burt.Saunders@colliercountyfl.gov *Signature of Authorized Representative: *Date Signed: (la/(-0!,AlLy Adi,e.Y7:' "cee.A.A-- Ap ved as to form and ality: Attest: CRYSTAL K.KINZEL,CLERK 11-"(-Z Derek D. Perry 9 B GP Assistant County Attorney \�O\ y attest as ' �' ; •signature HaVuty Clerk 16B15 OMB Number 4040-0004 View Burden Statement Expiration Date 11/30/2025 Application for Federal Assistance SF-424 *1.Type of Submission: *2.Type of Application *If Revision,select appropriate letter(s) Q Preapplication ®New Q Application Q Continuation *Other(Specify) Q Changed/Corrected Application Q 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 1001 8.APPLICANT INFORMATION: *a.Legal Name: Collier County Board of County Commissioners *b.Employer/Taxpayer Identification Number(EIN/TIN): *c.UEI 56-6000558 JWKJKYRPLLU6 d.Address: *Streetl: 3299 Tamiami Trail East, Suite 700 Street2: *City: Naples County/Parish: *State: FL: Florida Province: *Country: USA: UNITED STATES *Zip/Postal Code: 3 4112-5 7 4 6 e.Organizational Unit: Department Name: Division Name. Transportation Management Svcs PTNE f.Name and contact information of person to be contacted on matters involving this application: Prefix: Mr. *First Name: Omar Middle Name: *Last Name: DeLeon Suffix: Title: Transit Manager Organizational Affiliation: Collier County *Telephone Number: 239-252-4996 Fax Number: *Email: Omar.DeLeon@colliercountyfl.gov GQ0 A6B15 Application for Federal Assistance SF-424 *9.Type of Applicant 1:Select Applicant Type: B: County Government Type of Applicant 2:Select Applicant Type: Type of Applicant 3:Select Applicant Type: *Other(specify): *10.Name of Federal Agency: Federal Transit Administration 11.Catalog of Federal Domestic Assistance Number: 20.526 CFDA Title: Bus and Bus Facilities Program *12.Funding Opportunity Number: *Title: 13.Competition Identification Number: Title: 14.Areas Affected by Project(Cities,Counties,States,etc.): 5339_Areas_Affected.pdf Add Attachment Delete Attachment View Attachment *15.Descriptive Title of Applicant's Project: Capital Funding request for 5339 to purchase one 40' Fixed-Route bus, associated equipment and the construction of four bus stop improvements to support service in the rural areas of Collier County. Attach supporting documents as specified in agency instructions. View Attachments GQ0 16 81 Application for Federal Assistance SF-424 16.Congressional Districts Of: *a.Applicant 19 *b.Program/Project 19&26 Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment Delete Attachment View Attachment 17.Proposed Project: *a.Start Date: 10/01/2025 *b.End Date 09/30/2026 18.Estimated Funding($): *a.Federal 924,493.00 *b.Applicant *c.State 231,123.00 *d.Local *e.Other *f. Program Income *g.TOTAL 1,155,616.00 *19.Is Application Subject to Review By State Under Executive Order 12372 Process? O a.This application was made available to the State under the Executive Order 12372 Process for review on . O b.Program is subject to E.O.12372 but has not been selected by the State for review. Q c.Program is not covered by E.O. 12372. *20.Is the Applicant Delinquent On Any Federal Debt? (If"Yes,"provide explanation in attachment.) QYes ®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 18,Section 1001) Q✓ **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: Mr. *First Name: Burt Middle Name: L. *Last Name: Saunders Suffix: *Title: Chairman, Board of County Commissioners *Telephone Number: 239-252-8603 Fax Number: *Email: Burt.Saunders@colliercountyfl.gov *Signature of Authorized Representative: *Date Signed: I/2/y0✓3 I 44--)17: , Ap oved as to form an gality: Attest: CRYSTAL K.KINZEL,CLERK Derek D. Perry ���� By , / 1..d.f,iGllt . PO �o\ Attest s to k - Asslstant County Attorney signature o�ny 16815 Leasing Certification Memorandum for FTA 5310 Date: Burt L. Saunders, Chairman From: Attest: CRYSTAL K. KINZEL, CLERK Signature By: k , Deputy Clem Attest as to Chairman's ,,, E11 Burt L. Saunders-Chairman signature Typed Name and Title of Authorized Representative . I , ,ti Collier County Board of County Commissioners Typed Agency Name To: Florida Department of Transportation, District Office Modal Development Office/Public Transit Subject: FFY25/SFY26 GRANT APPLICATION TO THE FEDERAL TRANSIT ADMINISTRATION, OPERATING OR CAPITAL ASSISTANCE FOR ENHANCED MOBILITY OF SENIORS AND INDIVIDUALS WITH DISABILITIES PROGRAM,49 UNITED STATES CODE SECTION 5310 Leasing: Will the Collier County Board of County Commissioners, as applicant to the Federal Transit Administration Section 5310 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. Approved as to form and legality: 6,61Z kfie h Derek D. Perry re) Assistant County Attorney rL GQO 1 6 B i 5 FTA Section 5333 (b)Assurance Note: By signing the following assurance,the recipient of Section 5339 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 9040.1G, Chapter VI II);(2)agreeing to alternative comparable arrangements approved by the Department of Labor(DOL);or(3)obtaining a waiver from the DOL. Collier County Board of County Commissioners (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 5339 Program. /g,//v V Date , j° Signature of Contractor's Authorized Official Burt L.Saunders,Chairman Typed Name and Title 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, UNIONS OF SUB-RECIPIENTS,AND LABOR ORGANIZATIONS REPRESENTING EMPLOYEES OF SUCH PROVIDERS, IF ANY (See Appendix for Example) 1 2 3 4 Identify Recipients Site Project by Name,Description, Identify Other Identify Unions(and of Transportation and Provider(e.g.Recipient,other Eligible Surface Providers) Representing Assistance Under Agency,or Contractor) Transportation Employees of Providers in this Grant Providers(Type Columns 1,2,and 3 of Service) Collier County Application FTA Section 5339 Collier Area Transport workers Union Board of County Funding of FY25/26 for Collier Transit for Local 525 AFL-CIO 2595 Commissioners Area Transit to purchase a 40' urban transit North Courtenay Pkwy. bus to provide service to service Suite 104 Merritt Island, residents of the non-urbanized FL 32953 areas of Collier County traveling within the rural area and/or the adjacent urban area and returning to rural domicile. Additionally, the application is to fund the construction of four (4)bus stop improvements. Attest oved as to form le i : (� CtYSTAL K.KINZEL,CLERK �(\ Byi CrodLtt �l�t lJ Derek D.Perry C�0�% GP Attest as tY elw'k Assistant County Attorney Signp)ure only ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 6 B 1 5 THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE 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. County Attorney Office County Attorney Office LIV r 2,1tet2'1 2. BCC Office Board of County Commissioners /f (442`( 3 Minutes and Records Clerk of Courts Office 46ak 4. Send via email to Caroline.Soto@colliercountyfl.gov 5. 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 Caroline Soto,Grants Accountant/TMSD Phone Number 252-6932 Contact/ Department Agenda Date Item was 12/10/24 Agenda Item Number 16.B.15 Approved by the BCC Type of Document (3)Resolutions Number of Original 25 Attached (22)Grant Application documents Documents Attached PO number or account N/A 53tp - $D.bD.tp-.23(0, number if document is Salt — 2E))4 a37 to be recorded s321q — .2o3ei,--a 3 g 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? CS 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 CS 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 N/A 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 CS 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 CS signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip CS should be provided to the County Attorney Office at the time the item is input into SIRE. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of your deadlines! 8. The document was approved by the BCC on 12/10/24 and all changes made N/A is not during the meeting have been incorporated in the attached document. The County 0,0r an option for Attorney's Office has reviewed the changes,if applicable. this line. 9. Initials of attorney verifying that the attached document is the version approved by the r N/A is not BCC,all changes directed by the BCC have been made,and the document is ready for the 1 an option for Chairman's signature. this line. I: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 16B15 (7,NN‘ Collier County Memorandum Thru: Ellen Sheffey Division Director—Fiscal&Grant Services Transportation Management Services To: Amy Patterson,County Manager From: Brandy Otero Grants Supervisor Transportation Management Services Date: December 9,2024 Subject: FY25 FTA 5310 and FTA 5311 Local Match letters to Grantor In accordance with the established Florida Department of Transportation procedures.a local match letter is required to be submitted with the FY25 FTA 5310 and FTA 5311 grant applications. The item to approve submittal of the grant applications is going before the Board on December 10. 2024,(Agenda Item 16B15). It is requested that you sign,date, and return the Local Match letters to Fiscal & Grant Services. If you have any questions,you may call me at 239-252-5188. Oigdnily sired by SheffeyEllen 11;ee 2024 12.09 12/9/24 15:56:38-05'00' Date: Ellen Sheffey Division Director,Fiscal&Grant Services Transportation Management Services Office of the County Manager Amy Patterson rUttIN 3299 Tamami Trail East. Suite 202•Naples Florida 34112-5746•(239)252-8383 December 10, 2024 Victoria Upthegrove Transit Project Coordinator FDOT, District One, Modal Development Office/Public Transit 801 North Broadway Avenue Bartow, FL 33830 Re: 5311 Match Commitment Dear Ms. Upthegrove, Collier County attests to having local funds available in the Collier Area Transit Transportation Disadvantaged Operating budget to meet the fifty percent local match requirement for the FTA 5311 Grant Application and commits to using$722,000 towards this grant project if awarded. Sincerely, al;r1A&P*— Amy Patt on, County Manager °114: itB15 Office of the County Manager Amy Patterson te- ,14131° 3299 Tamiami Trail East,Suite 202•Naples Flonda 34112-5746'(239)252.8383 December 10, 2024 Victoria Upthegrove Transit Project Coordinator FDOT, District One, Modal Development Office/Public Transit 801 North Broadway Avenue Bartow, FL 33830 Re: 5310 Match Commitment Dear Ms. Upthegrove, Collier County attests to having local funds available in the Collier Area Transit Transportation Disadvantaged Operating budget to meet the fifty percent local match requirement for the FTA 5310 (Capital) and ten percent for the FTA 5310(Operating)Grant Applications,and commits to using $462,576.63 towards this grant projects if awarded. Sincerely, C?i14146 -41;(41)7 Amy Patterson, County Manager 16B15 i RESOLUTION NO. 2024 -?3 6 A RESOLUTION OF THE COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, AUTHORIZING ITS CHAIRMAN TO SIGN AND APPROVE THE SUBMITTAL OF A SECTION 5310 GRANT APPLICATION, INCLUDING ALL RELATED DOCUMENTS AND ASSURANCES, WITH THE FLORIDA DEPARTMENET OF TRANSPORTATION,ACCEPTING A GRANT AWARD FROM THE FLORIDA DEPARTMENT OF TRANSPORTATION, AND AUTHORIZING THE PURCHASE OF FOUR REPLACEMENT BUSES AND THE EXPENDITURE OF GRANT FUNDS FOR PARATRANSIT OPERATING SERVICES. WHEREAS, the Board of County Commissioners of Collier County, Florida ("Board"), has the authority to apply for and accept grants and make purchases and expend funds pursuant to grant awards made by the Florida Department of Transportation as authorized by Chapter 341, Florida Statutes, and 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. § 5310. 2. The submission of a grant application(s), supporting documents, and assurances to the Florida Department of Transportation is approved. 3. Chris Hall, Chairman, is authorized to including,but not limited to: (a) sign the application, accept and accept the grant award; (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 related to this grant application; and (d) authorize the purchase of four replacement vehicles and expenditure of grant funds for Paratransit Services pursuant to the grant awarded,unless specifically rescinded. 4. The Board's Registered Agent in Florida is Jeffrey A. Klatzkow, County Attorney. The Registered Agent's address is 3299 Tamiami Trail East, Suite 800,Naples, FL 34112. 5. This Resolution shall be effective immediately upon signature by the Chairman. This Resolution adopted after motion, second and majority vote favoring same, this 10th day of December 2024. ATTEST: BOARD OF COUNTY COMMISSIONERS CRYSTAL . .KINZEL, Clerk OF COLLIE OUNTY, FLORIDA By: �/iti .‘ By: itp Ato C .y'f uty Clerk Chr al , Chairman Ap I :li ':Virg "tiufci legality: r`— Derek D. Perry, Asst. County Att rn y .�,V' [24-GRC-01550/1906022/1] �, Page 1 of 1 CAO 0)'''‘ Collier County 1 6 B 15 TRANSPORTATION "'!"— MANAGEMENT SERVICES STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION GRANT APPLICATION Collier County Board of County Commissioners submits this Application for the Section 5310 Program Grant and agrees to comply with all assurances and requirements applicable to the Section 5310 Program. 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 of 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 of the assurances stated in this Application. This Application is submitted on this 10th day of December,2024 with an original resolution or certified copy of the original resolution authorizing the Chairman of the Board of County Commissioners to sign this Application. Authorized representative signs below certifying that all information contained in this application is true and accurate. Collier County Board of County Commissioners Agency Name A/4j jialt( Signature of Contractor's Authorized Official Chris Hall-Chairman, Board of County Commissioners Typed Name and Title of Authorized Representative 12/10/2024 Date Attest: ;, " -° Appr ved as to form and legality: CRYSTAL :'KiNZ ., CLERK i vi.,Bp ,„ By: .._, Derek D. Perry ��� Attes . gDeputy Clerl Assistant County Attorney ``� signature on ,l ;r,,. r • • rrl , O GP 2885 Horseshoe Drive South•Naples,Florida 34104•239-252-8192.www.colliercountyfl.gov 16B15 Coordinated Public Transit-Human Service Transportation Plan The projects selected for funding under the Section 5310 program must be included in a locally developed,coordinated public transit-human services transportation plan(Coordinated Plan)that was "developed through a process that includes representatives of public, private, and non-profit transportation and human services providers and participation by members of the public." Reference: FTA C 9070.1G Chapter V Certification Collier County Board of County Commissioners certifies and assures to the Florida Department of Transportation regarding its application for assistance under 49 U.S.C. 5310 that this grant request is included in a coordinated plan compliant with Federal Transit Administration Circular FTA C 9070.1G. (a) The name of this coordinated plan: Collier County Transportation Development Service Plan (b) The agency that adopted this coordinated plan: Local Coordinating Board (c) The date the coordinated plan was adopted: 10/4/7071 (d) Section and page in the coordinated plan that identifies the project or need your agency is fulfilling: Page 38 under Needs Assesment Signature Chric Hall, Chairman Typed Name and Title of Authorized Representative 12/10/2024 Date Attest: A . . e. aspop and legality: CRYSTA_- KINZEL, CLERK By: ' Derek D. Perry • O Attest t ; -hai ' ;eputy Clerl Assistant County Attorney '` c7- signature:only. 16815 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 5310 dated 10«day of December,2024: 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 • Section 252.42 - Government equipment, services and facilities: In the event of any emergency, the division may make available any equipment,services,or facilities owned or organized by the state or its political subdivisions for use in the affected area upon request of the duly constituted authority of the area or upon the request of any recognized and accredited relief agency through such duly constituted authority. 3 It shall comply with Florida Administrative Code (Does not apply to Section 5310 only recipients): • 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-Commission for the Transportation Disadvantaged 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) • 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. Local matching funds will be available to purchase vehicles/equipment at the time an order is placed. 6 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. 7 It will maintain project vehicles/equipment in good working order for the useful life of the vehicles/equipment. 8 It will return project vehicles/equipment to FDOT if,for any reason,they are no longer needed or used for the purpose intended. 9 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 intended, improperly maintained, uninsured,or operated unsafely. 10 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. GP0 14f r 11 It will notify FDOT within 24 hours of any accident or casualty involving project vehicles/equipment and submit related reports as required by FDOT. 12 It will notify FDOT and request assistance if a vehicle should become unserviceable. 13 It will submit an annual financial audit report to FDOT (FDOTSingleAudit@dot.state.fl.us), if required. 14 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. 15 Executive Order 20-44: If agency is required by the Internal Revenue Code to file IRS Form 990 and is named in statute. Agencies (sub-recipients) shall submit an Annual Report to the Department, including the most recent IRS Form 990, detailing the total compensation for each member of the agency's executive leadership team. Total compensation shall include salary, bonuses, cashed-in leave, cash equivalents, severance pay, retirement benefits, deferred compensation, real-property gifts, and any other payout. Agency shall inform the Department of any changes in total executive compensation during the period between the filing of Annual Reports within 60 days of any change taking effect. Annual Reports shall be in the form approved by the Department and shall be submitted to the Department at fdotsingleaudit@dot.state.fl.us within 180 days following the end of each tax year of the agency receiving Department funding. 2024 Date Signature of Authorized Representative Chris Hall- Chairman Typed Name and Title of Authorized Representative r �pjt Attest:;. Apd v d a to f m legality: CRYSTA K4rNtk,` LERK By: `� :i Dere D. Perry A t tg•C a' sputy Clerl Assistant County Attorney ^ signature of . GP9 16B15 b ' 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 any. 2•710 024 Date Signature of Contractor's Authorized Official Chris Hall.Chairman Typed Name and Title of Authorized Representative Attest: ' ,r Apprie as to form an legality: CRYSTAL KINZIFFICLERK 00( By: � y• Derek . Perry Atte ,,,1,12 uty Clerl Assistant County Attorney '` ciinat rP RR1`f: 16B15 V Leasing Certification Memorandum for FTA 5310 12/10/2024 Date: From: OV*1611( Attest: CRYSTAL{ . KINZEL, CLERK Signature i fYr ` r i' aI. -puty Clerl Chris Hall -Chairman SI ` 011f Typed Name and Title of Authorized Representative Collier County Board of County Commissioners Typed Agency Name To: Florida Department of Transportation, District Office Modal Development Office/Public Transit Subject: FFY25/SFY26 GRANT APPLICATION TO THE FEDERAL TRANSIT ADMINISTRATION, OPERATING OR CAPITAL ASSISTANCE FOR ENHANCED MOBILITY OF SENIORS AND INDIVIDUALS WITH DISABILITIES PROGRAM,49 UNITED STATES CODE SECTION 5310 Leasing: Will the Collier County Board of County Commissioners, as applicant to the Federal Transit Administration Section 5310 Program, lease the proposed vehicle(s) or equipment out to a third-party? ® No n Yes If yes,specify to whom: NOTE: It is the responsibility of the applicant agency to ensure District approval of all lease agreements. Api1 s •d as to or and legality: Dere' D. Perry �q,0 Assistant County Attorney i 6B15 tr Certification of Equivalent Service CERTIFICATION OF EQUIVALENT SERVICE Collier County Board of County Commissioners 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 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. Non-public transportation systems that serve their own clients, such as social service agencies, are required to complete this form. Executed this 106' day of December,2024 Chris Hall, Chairman Typed Name and Title of Authorized Representative Sign e ofAuthorized Repr entative Attest: .. A proved s to m and legality: CRYSTAL K Kg ,�CLERK Attest as to Chairman AIV-•----: I), s . , signature only: oti By. D. Deputy Clerl Assistant County Attorney '`��\ PO G 'I 6 B 15 OMB Number:4040-0004 Expiration Date:11/30/2025 Application for Federal Assistance SF-424 *1.Type of Submission: *2.Type of Application: *If Revision,select appropriate letter(s): El Preapplication ®New Application ❑Continuation *Other(Specify): ❑ Changed/Corrected Application 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: 1001 8.APPLICANT INFORMATION: *a.Legal Name: Collier County Board of County Commissioners *b.Employer/Taxpayer Identification Number(EIN/TIN): *c.UEI: 56-6000558 JWKJKYRPLLU6 d.Address: *Streetl: 3299 Tamiami Trail East, Suite 700 Street2: *City: Naples County/Parish: *State: FL: Florida Province: *Country: USA: UNITED STATES *Zip/Postal Code: 3 4112-5 7 4 6 e.Organizational Unit: Department Name: Division Name: Transportation Management Svcs PTNE f.Name and contact information of person to be contacted on matters involving this application: Prefix: Mr. *First Name: °mar Middle Name: *Last Name: De Leon Suffix: Title: Transit Manager Organizational Affiliation: Collier County *Telephone Number: 239-252-4996 Fax Number: *Email: omar.deleon@colliercountyfl.gov GPO 16B15 Application for Federal Assistance SF-424 *9.Type of Applicant 1:Select Applicant Type: B: County Government Type of Applicant 2:Select Applicant Type: Type of Applicant 3:Select Applicant Type: *Other(specify): *10.Name of Federal Agency: Federal Transit Administration 11.Catalog of Federal Domestic Assistance Number: 20.513 CFDA Title: Enhanced Mobility of Seniors & Individuals with Disabilities *12.Funding Opportunity Number: *Title: 13.Competition Identification Number: Title: 14.Areas Affected by Project(Cities,Counties,States,etc.): 5310 Areas Affected.pdf Add Attachment Delete Attachment View Attachment *15.Descriptive Title of Applicant's Project: Section 5310 Operating Application for operating expenses to provide transportation to individuals with disabilities. In the Bonita Springs-Estero UZA. Attach supporting documents as specified in agency instructions. Add Attachments Delete Attachments View Attachments GP9 16B15 Application for Federal Assistance SF-424 16.Congressional Districts Of: *a.Applicant 19&2 6 *b.Program/Project 19&2 6 Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment Delete Attachment View Attachment 17.Proposed Project: *a.Start Date: 10/01/2025 *b.End Date: 09/30/2026 18.Estimated Funding($): *a.Federal 400,000.00 *b.Applicant 400,000.00 *c.State *d.Local *e.Other *f. Program Income *g.TOTAL 800,000.00 *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 El 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.Is 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 18,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: Mr. *First Name: Chris Middle Name: *Last Name: Hall Suffix: *Title: Chairman, Board of County Commissioners *Telephone Number: 239-252-8602 Fax Number: *Email: chris.Hall@colliercountyfl.gov *Signature of Authorized Representative: *Date Signed: (111'4j4lk r Attest:. Appro d as to form and legality: CRYSTAL Ki:1100ZEL, CLERK r' attest as to Chairman''s ti,k O By; et,r,nn?}tlro nrt„ Derek Perry �(\c' C) Deputy Clerl Assistant County Attorney 1 6 B 1 5 OMB Number:4040-0004 Expiration Date:11/30/2025 Application for Federal Assistance SF-424 *1.Type of Submission: *2.Type of Application: *If Revision,select appropriate letter(s): El Preapplication ®New ®Application ❑Continuation *Other(Specify): Changed/Corrected Application 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: 1001 8.APPLICANT INFORMATION: *a.Legal Name: Collier County Board of County Commissioners *b.Employer/Taxpayer Identification Number(EIN/TIN): *c.UEI: 56-6000558 JWKJKYRPLLU6 d.Address: *Streetl: 3299 Tamiami Trail East, Suite 700 Street2: *City: Naples County/Parish: *State: FL: Florida Province: *Country: USA: UNITED STATES *Zip/Postal Code: 34112-5746 e.Organizational Unit: Department Name: Division Name: Transportation Management Svcs PTNE f.Name and contact information of person to be contacted on matters involving this application: Prefix: Mr. *First Name: Omar Middle Name: *Last Name: De Leon Suffix: Title: Transit Manager Organizational Affiliation: Collier County *Telephone Number: 239-252-4996 Fax Number: *Email: omar.deleon@colliercountyfl.gov GP0 16B15 Application for Federal Assistance SF-424 *9.Type of Applicant 1:Select Applicant Type: B: County Government Type of Applicant 2:Select Applicant Type: Type of Applicant 3:Select Applicant Type: *Other(specify): *10.Name of Federal Agency: Federal Transit Administration 11.Catalog of Federal Domestic Assistance Number: 20.513 CFDA Title: Enhanced Mobility of Seniors & Individuals with Disabilities *12.Funding Opportunity Number: *Title: 13.Competition Identification Number: Title: 14.Areas Affected by Project(Cities,Counties,States,etc.): 5310 Areas Affected.pdf Add Attachment Delete Attachment View Attachment *15.Descriptive Title of Applicant's Project: Section 5310 Capital Application to purchase four replacement vehicles. In addition , (4) radios, (4)tablets, (4) routers for the use of those vehicles. In the Bonita Springs-Estero UZA. Attach supporting documents as specified in agency instructions. Add Attachments Delete Attachments View Attachments 16B15 Application for Federal Assistance SF-424 16.Congressional Districts Of: *a.Applicant 19&26 *b.Program/Project 19&26 Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment Delete Attachment View Attachment 17.Proposed Project: *a.Start Date: 10/01/2025 *b.End Date: 09/30/2026 18.Estimated Funding($): *a.Federal 500,613.06 *b.Applicant 62,576.63 *c.State 62,576.63 *d.Local *e.Other *f. Program Income *g.TOTAL 625,766.32 *19.Is Application Subject to Review By State Under Executive Order 12372 Process? 1111 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.Is 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 18,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: Mr. *First Name: Chris Middle Name: *Last Name: Hall Suffix: *Title: Chairman, Board of County Commissioners *Telephone Number: 239-252-8602 Fax Number: *Email: Chris.Hall@colliercountyfl.gov *Signature of Authorized Representative: *Date Signed: (74(aik Attest: ,r ;'� ' App ovd as to form and legality: L- :CRYSTA "IZEL, CLERK 6Attest as to Chairman? (A'v/"'"--C7:,‘,,, Po By: Si nature Otlll. Der D. Perry \ - G ti Deputy Clerk Assistant County Attorney �` 1 6B151 RESOLUTION NO.2024 - 237 ii,1 A RESOLUTION OF THE COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, AUTHORIZING ITS CHAIRMAN TO SIGN AND APPROVE THE SUBMITTAL OF A SECTION 5311 GRANT APPLICATION, INCLUDING ALL RELATED DOCUMENTS AND ASSURANCES, WITH THE FLORIDA DEPARTMENET OF TRANSPORTATION, ACCEPTING A GRANT AWARD FROM THE FLORIDA DEPARTMENT OF TRANSPORTATION, AND AUTHORIZING THE EXPENDITURE OF GRANT FUNDS FOR THE FIXED ROUTE TRANSIT OPERATING SERVICES. WHEREAS, the Board of County Commissioners of Collier County, Florida ("Board"), has the authority to apply for and accept grants and make purchases and expend funds pursuant to grant awards made by the Florida Department of Transportation as authorized by Chapter 341, Florida Statutes, and 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. Chris Hall, Chairman, is authorized to including, but not limited to: (a) sign the application and accept the grant award, (b) accept and execute any required certifications and assurances and all supporting documents relating to the grant awarded to the County, (c)approve all necessary budget amendments related to this grant application, and (d) authorize the expenditure of grant funds pursuant to the grant awarded,unless specifically rescinded. 4. The Board's Registered Agent in Florida is Jeffrey A. Klatzkow, County Attorney. The Registered Agent's address is 3299 Tamiami Trail East, Suite 800,Naples, FL 34112. 5. This Resolution shall be effective immediately upon signature by the Chairman. This Resolution adopted after motion, second and majority vote favoring same, this 10th day of December 2024. ... r ATTEST: < ''.., `* BOARD OF COUNTY COMMISSIONERS CRYSTAL K; I1ZE ,,Clerk OF COLLIER COUNTY, FLORIDA i Ii .t, •/ ' s Att st as to Chairman's By: '/., •,;1. . •1 1 y. By: Deputy Clerk Chri 11, Chairman AppLt, • ast•,form . d 1;.ality: i ii. lir ii % - 1 \tip Dere Fl. erry, Asst. County A orney�\I` [24-GRC-01550/1906023/1] Page 1 of 1 CAO 161315 (7)`'‘ Collier County TRANSPORTATION - MANAGEMENT SERVICES STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION GRANT APPLICATION 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 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 FDOT and all of its officers, agents and employees from any claim, loss, damage, cost, charge, or expense 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 10th day of December, 2024 with an original resolution or certified copy of the original resolution authorizing the Chairman of the Board of County Commissioners to sign this Application. Authorized representative signs below certifying that all information contained in this application is true and accurate. Collier County Board of County Commissioners Agency Name Signatur of Contractor's Autho *zed Official Chris Hall-Chairman,Board of County Commissioners Name and title of authorized representative 12/10/2024 Date Attest: �4�a ;•{. • ved as t d legality: CRYS, 1L ,. ZrP,5,CLERK Q • a a • By: Derek D. Perry Attest as hAir iitity Clerk Assistant County Attorney signature only. GP0 16B1 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,2024: 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 • Section 252.42 - Government equipment, services and facilities: In the event of any emergency, the division may make available any equipment, services, or facilities owned or organized by the state or its political subdivisions for use in the affected area upon request of the duly constituted authority of the area or upon the request of any recognized and accredited relief agency through such duly constituted authority. 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-Commission for the Transportation Disadvantaged 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. 16B15 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 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 10,2024 Date Signatur of Contractor's Autho ized Official Chris Hall- Chairman Name and title of authorized representative t ,. Attest: Y pr ved as to form and legality: CRYSTAL KI1Z I CLERK 4 i ttest as to Chairman's Ik ignature only. By: ; Derek D. Perry Deputy Clerk Assistant County Attorney v GP0 16B15 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 any. Attest ,*' " December 10, 2024 CRYS' r " ,CLERK Date Attest as to Chairman's I + By: n Signat of ontractor'sAutho ed Official Deputy Clerk • Ap v as to form and legality: Chris Hall- Chairman n Name and title of authorized representative 1 n �J Derek D. Perry ��\`)0' C' Assistant County Attorney 16B15 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 fsee 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 Collier County Board of County Commissioners (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. Attest: December 10, 2024 CRYSTAL K. KINZEI 'C,,ERK 'test as to,C4alrmail Date '✓ "' o'titeOf . By: `� Deity,Clerk Signatur f Contractor's Autho zed Official Approved as to form and T gality:. Chris Hall- Chairman �C Name and title of authorized representative Der D. Perry 41' Assistant County Attorney `�0' Note: All applicants must complete the following form and submit it with the above Assurance. LISTING OF RECIPIENTS, OTHER ELIGIBLE SURFACE TRANSPORTATION PROVIDERS, UNIONS OF SUB- RECIPIENTS,AND LABOR ORGANIZATIONS REPRESENTING EMPLOYEES OF SUCH PROVIDERS, IF ANY 1 2 4 Identify Recipients of Site Project by Name, 3 Identify Unions(and Transportation Description,and Provider(e.g. Identify Other Eligible Providers) Representing Assistance Under this Recipient,other Agency,or Surface Transportation Employees of Providers in Grant. Contractor) Providers(Type of Service) Columns 1,2,and 3 Collier County Board Application FTA Section Collier Area Transit for Transport workers of County 5311 Operating Assistance the urban transit Union Local 525 Commissioners funding of FY25/26 for service. AFL-CIO 2595 North Collier Area Transit to Courtenay Pkwy. provide continuing public Suite 104 Merritt transportation services to Island, FL 32953 residents of the non- urbanized areas of Collier County traveling within the rural area and/or the adjacent urban area and returning to the rural domicile. GP0 16131 5 Certification of Equivalent Service CERTIFICATION OF EQUIVALENT SERVICE Collier County Board of County Commissioners 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 10th day of December,2024 Chris Hall, Chairman Name and title of authorized representative Signatu f authorized represe tive Attest: App • •d as to form and legality: CRYSTAL .NINZEL, CLERK �1/ E4 V • �,� Attest as to Chairman's Q, , By: ' -,.$ rity. Derek D. Perry A4 a < � ' `Depu•ty Clerk Assistant County Attorney '' p P � G Leasing Certification Memorandum for FTA 5311 December 10,2024 Date: Chris Hall-Chairman From: 1A4,404 Attest CRYS5ACLERIC ',Y t s t Ghaitt9 `' f;° tore ontyl, Signature By: Deputy Clerk Collier County Board of County Commissioners Typed or printed agency name To: Florida Department of Transportation, District Office Modal Development Office/Public Transit Subject: FFY24/SFY25 GRANT APPLICATION TO THE FEDERAL TRANSIT ADMINISTRATION, OPERATING OR CAPITAL GRANTS FOR RURAL AREAS PROGRAM, 49 UNITED STATES CODE SECTION 5311 Leasing: Will the Collier County board of County Commissioners, 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. Ap v as to form and legality: Derek D. Perry ��\0 Assistant County Attorney PO G 16B15 OMB Number:4040-0004 Expiration Date:11/30/2025 Application for Federal Assistance SF-424 *1.Type of Submission: *2.Type of Application: *If Revision,select appropriate letter(s): Preapplication ®New ®Application ❑Continuation *Other(Specify): ❑ Changed/Corrected Application ❑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: 1001 8.APPLICANT INFORMATION: *a.Legal Name: *b.Employer/Taxpayer Identification Number(EIN/TIN): *c.UEI: 56-6000558 JWKJKYRPLLU6 d.Address: *Streetl: 3299 Tamiami Trail East, Suite 700 Street2: *City: Naples County/Parish: *State: FL: Florida Province: *Country: USA: UNITED STATES *Zip/Postal Code: 34112-5796 e.Organizational Unit: Department Name: Division Name: Transportation Management Svcs PTNE f.Name and contact information of person to be contacted on matters involving this application: Prefix: Mr. *First Name: Omar Middle Name: *Last Name: Deleon Suffix: Title: Transit Manager Organizational Affiliation: Collier County *Telephone Number: 239-252-4996 Fax Number: *Email: Omar.DeLeon@colliercountyfl.gov PC) G 16B15 Application for Federal Assistance SF-424 *9.Type of Applicant 1:Select Applicant Type: B: County Government Type of Applicant 2:Select Applicant Type: Type of Applicant 3:Select Applicant Type: *Other(specify): *10.Name of Federal Agency: Federal Transit Administration 11.Catalog of Federal Domestic Assistance Number: 20.509 CFDA Title: Formula Grants for Rural Area *12.Funding Opportunity Number: *Title: 13.Competition Identification Number: Title: 14.Areas Affected by Project(Cities,Counties,States,etc.): 5311 Areas Affected.pdf Add Attachment Delete Attachment View Attachment *15.Descriptive Title of Applicant's Project: Operational funding request to 5311 to cover costs of operating in the identified rural parts of Collier County. Attach supporting documents as specified in agency instructions. Add Attachments Delete Attachments View Attachments GP0 16B15 Application for Federal Assistance SF-424 16.Congressional Districts Of: *a.Applicant 19&2 6 *b.Program/Project 19&2 6 Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment Delete Attachment View Attachment 17.Proposed Project: *a.Start Date: 10/01/2025 *b.End Date: 09/30/2026 18.Estimated Funding($): *a.Federal 722,000.00 *b.Applicant *c.State *d.Local 722,000.00 *e.Other *f. Program Income *g.TOTAL 1,444,000.00 *19.Is Application Subject to Review By State Under Executive Order 12372 Process? El 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.Is 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 18,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: Mr. *First Name: Chris Middle Name: *Last Name: Hall Suffix: *Title: Chairperson, Board of County Commissioners *Telephone Number: 239-252 Fax Number: *Email: *Signature of Authorized Representative: *Date Signed: 12/10/2024 Attest: . '5 A i ro ed as to form and legality: CRYSTAL, i' irpr yCLERK `'f - m ,Attest as tO Chairman-% "x { ::' • signature only.4,,. Doti, GP. By: ✓ � Derek D. Perry ,s Deputy Clerk Assistant County Attorney N 16B15 RESOLUTION NO.2024 - 2 3 8 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, APPROVING AND AUTHORIZING ITS CHAIRMAN TO SIGN AND APPROVE THE SUBMITTAL OF A SECTION 5339 GRANT APPLICATION, INCLUDING ALL RELATED DOCUMENTS AND ASSURANCES, WITH THE FLORIDA DEPARTMENET OF TRANSPORTATION, ACCEPTING A GRANT AWARD FROM THE FLORIDA DEPARTMENT OF TRANSPORTATION, AND AUTHORIZING THE PURCHASE OF A REPLACEMENT BUS, AND THE CONSTRUCTION OF FOUR BUS SHELTERS WITH AMENITIES. WHEREAS, the Board of County Commissioners of Collier County, Florida ("Board"), has the authority to apply for and accept grants and make purchases and expend funds pursuant to grant awards made by the Florida Department of Transportation as authorized by Chapter 341, Florida Statutes, and 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. §5339. 2. The submission of a grant application(s), supporting documents, and assurances to the Florida Department of Transportation is approved. 3. Chris Hall, Chairman, is authorized to, including, but not limited to: (a) sign the application and accept a grant award; (b) accept and execute any required certifications and assurances and all supporting documents relating to the grant awarded to the County,(c)approve all necessary budget amendments related to this grant application, and (d) authorize the purchase of a replacement vehicle and the expenditure of grant funds for the construction of four bus shelters and/or expenditure of grant funds pursuant to the grant awarded,unless specifically rescinded. 4. The Board's Registered Agent in Florida is Jeffrey A. Klatzkow, County Attorney. The Registered Agent's address is 3299 Tamiami Trail East, Suite 800,Naples, FL 34112. 5. This Resolution shall be effective immediately upon signature by the Chairman. This Resolution adopted after motion, second and majority vote favoring same, this 10th day of December 2024. ATTEST: ', BOARD OF COUNTY COMMISSIONERS CRYSTAL K.-KINa , Clerk OF COLLIER COUNTY, FLORIDA Attest as to Chairman's By: nature nnty. By: , Deputy Clerk Chr al , Chairman A pr ved as to and legality: tik Derek D. Perry, Asst. Coun Attorney\\e [24-GRC-0155011906024/1] Page 1 of 1 Co per County 1 6 B 15 Transportation Management Services Department Public Transit&Neighborhood Enhancement Division STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION GRANT APPLICATION Collier County Board of County Commissioners submits this Application for the Section 5339 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 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 and employees from any claim,loss,damage,cost,charge,or expense 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 10th day of December,2024 with an original resolution or certified copy of the original resolution authorizing Chris Hall. Chairman to sign this Application. Authorized representative signs below certifying that all information contained in this application is true and accurate. Collier County Board of County Commissioners Agency Na ivatuk Signat Chris Hall-Chairman, Board of County Commissioners Typed Name and Title of Authorized Representative 12/10/2024 Date Attest: ,,7 pr ved as to form nd legality: CRYSTAL I( K NZEL','CLERK ii) Ix By: rd rek D. Perry �� 6 ) rk Assistant County Attorney sign1 . ;,:6t, '> r 8300 Radio Road•Naples,Florida 34104 239-252-5840-www.colliercountyfl.gov 16B15 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 5339 dated 10th day of December,2024: 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 • Section 252.42 - Government equipment, services and facilities: In the event of any emergency, the division may make available any equipment, services, or facilities owned or organized by the state or its political subdivisions for use in the affected area upon request of the duly constituted authority of the area or upon the request of any recognized and accredited relief agency through such duly constituted authority. 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- 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. p P G 16B15 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 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 becomes 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. Decem 1 2024 Date __Signature of Authorized Representative Chris Hall-Chairman Typed Name and Title of Authorized Representative Attest: A r ed as to rm d legality: CRYSTAL'K:'KTNZZEL, CLERK O By: ID Derek D. Perry `1�0� ftesfa `'� utvsClerk ``Assistant County Attorney Sipatitr..nr1i. GPO 16B15 Standard Lobbying Certification Form 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 any. Decemb 0 024 __Date Signature of Contractor's Authorized Official Chris Hall-Chairman Typed Name and Title of Authorized Representative Attest: a Ajpro ed s to formand legality/: -- CRYSTAL KINZEL;.e ERK j By: / Derek D. Perry Atteit t t0 p,,howsClerk Assistant County Attorney GP signature.only.; 16B15 Leasing Certification MEMORANDUM for FTA 5339 Date: December 10,2024 From: Chris Hall, Chairman (Typed name and title) ignature) Attest:, ; Collier County Board of County Commissioners CRYSTAL I.K3N.ZEL, CLERK (Typed or printed agency name) +;; Attest as to Chairman's To: Florida Department of Transportation, District Office '" $1. TM re only. Modal Development Office/Public Transit Deputy Clerk Subject: FFY 25 GRANT APPLICATION TO THE FEDERAL TRANSIT ADMINISTRATION, CAPITAL GRANTS FOR NON-URBANIZED AREAS PROGRAM, 49 UNITED STATES CODE SECTION 5339 Leasing Will the Collier County Board of County Commissioners, as applicant to the Federal Transit Administration Section 5339 Program, lease the proposed vehicle(s) (or any other equipment that may be awarded to the Applicant)to a third-party? ❑Yes © No If yes,specify to whom: NOTE: It is the responsibility of the applicant agency to ensure District approval of all lease agreements. : c:: ;c Assistant County Attorney Certification of Equivalent Service CERTIFICATION OF EQUIVALENT SERVICE Collier County Board of County Commissioners 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, 5339, 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 10th day of December,2024 Chris Hall, Chairman Name and title of authorized representative 0Sign ure of authorized representative /.14&( Attest: Apk oved as t nd legality: - g CRYSTAL K.`K1 {., ,FL,.CLERK a, D, By: + Derek D. Perry \o,\ Stage putt' Clerk Assistant County Attorney FTA Section 5333 (b)Assurance Note: By signing the following assurance,the recipient of Section 5339 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 9040.1G, Chapter VI II);(2)agreeing to alternative comparable arrangements approved by the Department of Labor(DOL);or(3)obtaining a waiver from the DOL. Collier County Board of County Commissioners (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 5339 Program. Decemb 0 024 Date Signature of Contractor's Authorized Official Chris Hall,Chairman Typed Name and Title 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, UNIONS OF SUB-RECIPIENTS,AND LABOR ORGANIZATIONS REPRESENTING EMPLOYEES OF SUCH PROVIDERS, IF ANY (See Appendix for Example) 1 2 3 4 Identify Recipients Site Project by Name, Identify Other Eligible Identify Unions(and of Transportation Description,and Provider(e.g. Surface Transportation Providers)Representing Assistance Under Recipient,other Agency,or Providers(Type of Employees of Providers this Grant Contractor) Service) in Columns 1,2,and 3 Collier County Application FTA Section Collier Area Transit Transport workers Board of County 5339 Funding of FY24/25 for urban transit Union Local 525 Commissioners for Collier Area Transit to service AFL-CIO 2595 North purchase a 40' bus to Courtenay Pkwy. provide service to residents Suite 104 Merritt of the non-urbanized areas of Island, FL 32953 Collier County traveling within the rural area and/or the adjacent urban area and returning to rural domicile. Additionally the application is to fund the construction of four (4) bus stop improvements. Attest: Apt • :d as to fo■ and legality: CRYSTAL K. KINZEL, CLERK 4 By: Der-". Perry fb -flaant ,Glerk Assistant County Attorney rl QO ,:Ir, 1 6 B 1 5 OMB Number:4040-0004 Expiration Date:11/30/2025 Application for Federal Assistance SF-424 *1.Type of Submission: *2.Type of Application: *If Revision,select appropriate letter(s): • Preapplication IN New ®Application Continuation *Other(Specify): ▪ Changed/Corrected Application ❑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: 1001 8.APPLICANT INFORMATION: *a.Legal Name: Collier County Board of County Commissioners *b.Employer/Taxpayer Identification Number(BIN/TIN): *c.UEI: 56-6000558 JWKJKYRPLLU6 d.Address: *Streetl: 3299 Tamiami Trail East, Suite 700 Street2: *City: Naples County/Parish: *State: FL: Florida Province: *Country: USA: UNITED STATES *Zip/Postal Code: 3 4112-57 4 6 e.Organizational Unit: Department Name: Division Name: Transportation Management Svcs PTNE f.Name and contact information of person to be contacted on matters involving this application: Prefix: Mr. *First Name: Omar Middle Name: *Last Name: DeLeon Suffix: Title: Transit Manager Organizational Affiliation: Collier County *Telephone Number: 239-252-4996 Fax Number: *Email: Omar.DeLeon@colliercountyfl.gov 16B15 Application for Federal Assistance SF-424 *9.Type of Applicant 1:Select Applicant Type: B: County Government Type of Applicant 2:Select Applicant Type: Type of Applicant 3:Select Applicant Type: *Other(specify): *10.Name of Federal Agency: _Federal Transit Administration 11.Catalog of Federal Domestic Assistance Number: 20.526 CFDA Title: Bus and Bus Facilities Program *12.Funding Opportunity Number: *Title: 13.Competition Identification Number: Title: 14.Areas Affected by Project(Cities,Counties,States,etc.): 5339 Areas Affected.pdf Add Attachment Delete Attachment View Attachment *15.Descriptive Title of Applicant's Project: Capital Funding request for 5339 to purchase one 40' Fixed-Route bus, associated equipment and the construction of four bus stop improvements to support service in the rural areas of Collier County. Attach supporting documents as specified in agency instructions. Add Attachments Delete Attachments View Attachments GPO 16B15 Application for Federal Assistance SF-424 16.Congressional Districts Of: *a.Applicant 19&26 *b.Program/Project 19&26 Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment Delete Attachment View Attachment 17.Proposed Project: *a.Start Date: 10/01/2025 *b.End Date: 09/30/2026 18.Estimated Funding($): *a.Federal 924,481.32 *b.Applicant *c.State 231,120.33 *d.Local *e.Other *f. Program Income *g.TOTAL 1,155,601.65 *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.Is 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 18,Section 1001) • **IAGREE **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: Mr. *First Name: Chris Middle Name: *Last Name: Hall Suffix: *Title: Chairman, Board of County Commissioners *Telephone Number: 239-252-8602 Fax Number: *Email: Chris.Hall@colliercountyfl.gov *Signature of Authorized Representative: *Date Signed: 12/10/202 4 i Attest: • ' , Appt v d as to fo and legality: CRYSTA K,• t `SZ LERK •sr` est alto By: rj � ,) r*nt eonly Der D. Perry \) 41/ GPD �;' epi ty'Clerk Assistant County Attorney '`