Loading...
Backup Documents 12/10/2019 Item #16D17 (Section 5311 Grant App) ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURR b D 17 Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later than Monday preceding the Board meeting. **NEW** ROUTING SLIP Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. Hilary Halford Community and Human 4f 4f 12/09/2019 Services 2. Jennifer Belpedio County Attorney Office 1 �W 1X11 C 3. BCC Office Board of County �� \r'\ Commissioners S/ f-\ 4. Minutes and Records Clerk of Court's Office n..1 <<1 Z .-? ' PRIMARY CONTACT INFORMATION Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees above,may need to contact staff for additional or missing information. Name of Primary Staff Hilary Halford/CHS Phone Number 252-2670 Contact/ Department Agenda Date Item was 12/10/2019Agenda Item Number 1/ D. 1 Approved by the BCC J 1p ! Type of Document PTNE Section 5311 Grant Application Number of Original Attached Documents Attached 2 Original Documents PO number or account number if document is geS0 (�'�141 ° 6qto be recorded INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A" in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature? b R % HH 2. Does the document need to be sent to another agency for additional signatures? If yes, N/A provide the Contact Information(Name; Agency;Address; Phone)on an attached sheet. 3. Original document has been signed/initialed for legal sufficiency. (All documents to be HH signed by the Chairman, with the exception of most letters, must be reviewed and signed by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's NA Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the HH document or the final negotiated contract date whichever is applicable. 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's HH signature and initials are required. 7. In most cases(some contracts are an exception),the original document a this routing slip NA should be provided to the County Attorney Office at the time the item is, nput into SIRE. Some documents are time sensitive and require forwarding to Tallaha ee within a certain time frame or the BCC's actions are nullified. Be aware of your d dlines! 8. The document was approved by the BCC on 12/10/2019 an a changes made during HH the meeting have been incorporated in the attached docum t. The County p Attorney's Office has reviewed the changes, if applicable. 9. Initials of attorney verifying that the attached document is the version approved by the HH BCC,all changes directed by the BCC have been made,and the document is ready for the Of r5 •' 0q• Chairman's signature. 1:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 ` ` 1 6 D 1 7 ROUTING REQUEST Date: 11/22/2019 To: CAO From: Hilary Halford, Sr. Housing & Grant Coordinator, CHS RE: Special routing request for attached grant application IMPORTANT! Once the Chairman has executed the two original grant applications, attached, please forward ONE original to the Clerk of Court's Office Minutes and Records as usual and the SECOND back to Hilary Halford in CHS. An original must be scanned and submitted immediately as well as multiple copies mailed to the grantor. Time is limited. If necessary, please contact me at ext. 2670 and I will pick up the application to insure timely submission. Thank you! j),(4 ...,• / 1 6 D 1 7 MEMORANDUM Date: December 12, 2019 To: Hilary Halford, Grant Coordinator Community & Human Services From: Ann Jennejohn, Deputy Clerk Minutes & Records Department Re: Resolution 2019-239: Grant application to the Florida Department of Transportation for Federal Transit Administration Program 5311 for FY2020/2021 to support transit operations and system capital improvements Attached for further processing is an original Resolution and associated Grant Application referenced above (Item #16D17) adopted/approved by Collier County's Board of County Commissioners on December 10, 2019. The second copy of original documents will be held in the Minutes and Records Department for the Board's Official Record. If you have any questions, please call me at 252-8406. Thank you. Attachment 1b017 Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating Florida Department of Transportation FD 49 U.S.C. Section 5311 Capital & Operating Assistance Application — SFY 2021 Formula Grants for Rural Areas CFDA 20.509 Legal Applicant Name: Collier County Board of County Commissioners ❑ First Time Applicant ® Previous Applicant 160 17 Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating Table of Contents TABLE OF CONTENTS 2 APPLICATION CHECKLIST 3 APPLICANT INFORMATION 4 PART I — APPLICANT ELIGIBILITY 6 Eligibility Questionnaire 6 Exhibit A: Cover Letter 7 Exhibit B: Governing Board's Resolution 8 Exhibit C: Public Hearing Notice - N/A Exhibit D: Local Clearinghouse Agency/RPC Cover Letter - N/A PART II - FUNDING REQUEST 11 Form A-1: Current System Description 11 Form A-2: Fact Sheet 15 Form A-3: Proposed Project Description 18 Form B-1: Financial Capacity — Proposed Budget for Transportation Program 23 Form B-2: Operations Phase- Estimate of Project Costs by Budget Category 26 Form B-3: Capital Request 27 Form C: Current Vehicle and Transportation Equipment Inventory Form (for entire fleet) 29 PART III — MANAGERIAL CAPABILITY 31 Exhibit I: FDOT Certification and Assurances 31 Exhibit J: Standard Lobbying Certification 33 Exhibit M: Certification of Equivalent Service - N/A Form 424: Application for Federal Assistance 38 Exhibit N: Federal Certifications and Assurances - to be provided at a later date Exhibit 0: Title VI Plan 41 Exhibit P: Protection of the Environment - N/A Exhibit Q: Triennial Review - CAP Closeout -to be provided Page 2 16017 Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating Please Note This grant application is color coded based on which type of award you are applying for. Forms and exhibits in purple must be completed for all applications. All Applications Forms and exhibits in red apply to capital applications, exclusively. Capital Applications Forms and exhibits in blue apply to operating applications, exclusively. Operating Applications Page 3 160 17 Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating Application Checklist Each of the below items must be included with your Section 5311 Grant Application submittal in the same order as the checklist. • Application Checklist (this form) ® Applicant Information PART I -APPLICANT ELIGIBILITY a Eligibility Questionnaire [I Exhibit A: Cover Letter ® Exhibit B: Governing Board's Resolution Q Exhibit C: Public Hearing Notice O Exhibit D: Local Clearinghouse Agency/RPC Cover Letter(Required if proposed project is for facilities) Date received: PART II - FUNDING REQUEST ❑X Form A-1: Current System Description X❑ Form A-2: Fact Sheet Organization Chart IN Form A-3: Proposed Project Description ® Form B-1: Financial Capacity— Proposed Budget for Transportation Program ® Proof of Local Match Supporting Documentation ® Form B-2: Operations Phase- Estimate of Project Costs by Budget Category E Form B-3: Capital Request El Completed Sample Order Form(s) O Form C: Current Vehicle and Transportation Equipment Inventory • Exhibit I: FDOT Certification and Assurances Exhibit J: Standard Lobby Certification • Exhibit K: FTA Section 5333 (b) Assurance • Exhibit L: Leasing Certification Q Exhibit M: Certification of Equivalent Service ® Form 424: Application for Federal Assistance • Exhibit N: Federal Certifications and Assurances ® Exhibit 0: Title VI Plan E l Exhibit P: Protection of the Environment (Required if the proposed project is for facilities) ❑X Exhibit Q: Triennial Review- CAP Closeout Page 4 1601 ? Florida Department of Transportation-5311 Instructions—SFY21 Purple- Red- Capital Blue-Operating All Applicant Information 49 U.S.C. Section 5311, Formula Grants for Rural Areas: FDOwr GRANT APPLICATION Agency (Applicant) Legal Name: Physical Address (No P.O. Box): 3299 Collier County Board of County Commissioners Tamiami Trail East Suite 103 Applicant Status: First-time applicant X Returning applicant A first-time applicant has not received any funding for the past two grant cycles Applicant's County: Collier If Applicant has offices in more than one county, list county where main office is K)Rted State: Ziip Code: Congressional District: 14 Naples FL 34112 Federal Taxpayer ID Number: 59-6000558 Applicant Fiscal period start and end dates: October 1, 2020 to Septemher 3ft 2021 State Fiscal period from:July 1, 2020 to June 30, 2021 Applicant's DUNS Number: 076997790 Unique 9-Digit number issued by Dun&Bradstreet. May be obtained free of charge at:http://fedgov.dnb.com/webform Project's Service Area: Collier County List the county or counties that will be served by the proposed project. Executive Director: Michelle Arnold Grant Contact Person (if different than Executive Director): Tami Bailey Telephone: Telephone: 239-252-5841 239-252-5218 Fax: Fax: 239-252-2638 E-mail Address: Email Address: Michelle.Arnold@colliercountyfl.gov Tami.Bailey@colliercountyfl.gov Current Vehicle Inventory: 2 Vans 0 Vans/Lifts 0 Sedans or Minivans Enter Number for ENTIRE Fleet 28 Buses/Cutaways 2 0 N/A Authorizing Representative certifying to the information conta. -fn this app . - . - and accurate. / el • j 1 - Signature (Authorizing Representative) [blue ink]: •-._•.- Printed Name: William L. McDaniel, Jr. Title: Chairman Email Address: Bill.McDaniel@colliercountyfl.gov *Must attach a Resolution of Authority from your Board (original document) for the person signing all documents on behalf of your agency. See Exhibit B • ATTEST ��• • Approved as to form and legality CRYSTA I INZEL,CLERK'" w � Page 5 C�� BY: Q C. ssistant Cau tturne y Attest auto, aim; s'� sianature only. 16017 Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating PART I - APPLICANT ELIGIBILITY Eligibility Questionnaire This questionnaire applies to returning applicants. If you are a current grant sub-recipient and are not compliant with all FDOT and FTA Section 5311 requirements, you will not be eligible to receive grant funds until compliance has been determined. You must be in compliance at time of grant award execution. Are you a returning applicant? *If yes, please answer all questions. If no, disregard X Yes n No remaining questions in this questionnaire. Has your agency completed a Triennial X Yes Do ['Review Scheduled Oversight Review? Was not notified by FDOT District Office If yes, what date(s) did the review occur? November 19, 2019 If yes, is your agency currently in X1 Yes n No n N/A com-ptidl ice? If your agency is not in compliance, do you have ❑ Yes ❑ No X❑ N/A a corrective action plan to come into compliance? If yes, what is the date of anticipated date of corrective action closeout? Is your agency registered on SAM.gov? 'XI Yes ❑ No Note:Agency must regictr -ach year/ •es, registration expiration date: application c October 13, 2020 Sign ture [blue ink] William L. McDaniel, Jr., Chairman Typed Name and Title December 10, 2019 Date ATTEST CRYSTAL K.Ki*EL,c ]ERK Approved as to form and legality 111 .A Attest asrn im Page 6 A'wistant Count uruey signature only.: Exhibit A: Cover Letter1 6 Q 17 Co ger County Public Services Department Public Transit & Neighborhood Enhancement Division December 10, 2019 Charlene Ross Transit Project Coordinator FDOT, District One, Modal Development Office/Public Transit 801 North Broadway Avenue Bartow, FL 33830 Re: 5311 Grant Submittal Dear Ms. Ross: Collier County Board of County Commissioners submits this application for the Section 5311 Program Grant and agrees to comply with all assurances and exhibits attached hereto and by this reference made a part thereof, as itemized in the Checklist for Application Completeness. Collier County would like your consideration for funding in rural 5311 grant funds. Collier County Board of County Commissioners further agrees,to the extent provided by law (in case of a government agency in accordance with Sections 129.07 and 768.28, Florida Statutes)to indemnify, defend and hold harmless FDOT and all its officers, agents and employees from any claim, loss,damage, cost, charge,or expense arising out of the non-compliance by the Agency, its officers, agents, or employees,with any or the assurances stated in this Application. This application is submitted on this 10th day of December 2019 with one (1)original resolution and three (3) certified copies of the original resolution authorizing the Chairman of the board of County Commissioners to sign this Application.Thank you for your assistance in this matter. Sincerely, e . jai �� Willia . McDaniel,Jr. Chairman, Collier County Board of County Commissioners Page 7 •` r f)1/N.‘ Pubfic Transit&Neighborhood Enhancement•3299 Tamiami Trail E.,Suite 103•Naples,Florida 34112-5746.239-252-5840•FAX 239-252-6628•www.colliergov.net 1-4() 16017 RESOLUTION NO. 2019- 239 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, AUTHORIZING THE CHAIRPERSON TO SIGN AND SUBMIT A SECTION 5311 GRANT APPLICATION, INCLUDING ALL RELATED DOCUMENTS AND ASSURANCES, TO THE FLORIDA DEPARTMENT OF TRANSPORTATION, TO ACCEPT A GRANT AWARD FROM THE FLORIDA DEPARTMENT OF TRANSPORATION, FOR THE PURCHASE OF VEHICLES AND/OR EQUIPMENT AND/OR THE EXPENDITURE OF GRANT FUNDS PURSUANT TO THE GRANT AWARD. WHEREAS, the Board of County Commissioners of Collier County, Florida, has the authority to apply for and accept grants and make purchases and/or expend funds pursuant to grant awards made by the Florida Department of Transportation as authorized by Chapter 341, Florida Statutes and/or by the Federal Transit Administration Act of 1964, as amended; NOW THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Collier County, Florida, that: 1. This resolution applies to the Federal Program under U.S.C. §5311. 2. The submission of a grant application(s), supporting documents, and assurances to the Florida Department of Transportation is approved. 3. William L. McDaniel, Jr., Chairman, is authorized to including, but not limited to: (a) sign the application, accept a grant award, and (b) accept and execute any required certifications and assurances and all supporting documents relating to the grant awarded to the County, (c) approving all necessary budget amendments, and (c) authorize the purchase of vehicles/equipment and/or expenditure of grant funds pursuant to the grant awarded, unless specifically rescinded. 4. This Resolution shall be effective immediately upon signature by the Chairman. This Resolution adopted after motion, second and majority vote favoring same, this 10`h day of December 2019. 16017 ATTEST: BOARD OF COUNTY COMMISSIONERS CRYSTAL K. KINZEL, CLERK COLLIER COUNTY, FLORIDA By. *ea �c COL A //l �1 By: most a5 d eputy Clerk W' iam L. ���:�iel, Jr., hairman signature Opt 5 Approved as to form and legality: N ., it _ 0. ...,_ cY7 Jennifer A. Belpedio, 9. `1 c3. Assistant County Attorney Item#1,L LeeIC)tn. { enc r 'x ` �'):4a tL'1,04mo ' i 014.4. 2,4 s6i'F' 1 6 D 1 7 Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating Exhibit C: Public Hearing Notice N/A Attach a copy of the notice of public hearing and an affidavit of publication here. You may insert the notice as a PDF or print and attach the document to your final application. Public Notice—Sample All interested parties within (Counties Affected) are hereby advised that (Public Agency) is applying to the Florida Department of Transportation for a capital grant under Section 5311 of the Federal Transit Act of 1991, as amended, for the purchase of (Description of Equipment) to be used for the provision of public transit services within (Defined Area of Operation). This notice is to provide an opportunity for a Public Hearing for this project. This public notice is to ensure that this project and the contemplated services will not duplicate current or proposed services provided by existing transit or paratransit operators in the area. This hearing will be conducted if and only if a written request for the hearing is received by (Specify due date). Requests for a hearing must be addressed to (Public Agency Name and Address) and a copy sent to (Name and Address of Appropriate FDOT District Office). All public notices must include the following language: Florida Law and Title VI of the Civil Rights Act of 1964 Prohibits Discrimination in Public accommodation on the basis of race, color, sex, religion, national origin, disability, income, or of marital status. Persons believing they have been discriminated against on these conditions may file a complaint with the Florida Commission on Human Relations at 850-488-7082 or 800-342-8170 (voice messaging) Exhibit D: Local Clearinghouse Agency/RPC Cover Letter N/A If grant application is for facilities, please include a copy of the cover letter submitted to the local clearinghouse agency or Regional Planning Council (RPC). You may insert the letter as a PDF or print and attach the document to your final application. Page 10 (3_-� 16D 17 Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating PART II - FUNDING REQUEST Form A-1: Current System Description (a) Please provide a brief general overview of the organization type (i.e., government authority, private non-profit, etc.) including its mission, program goals, and objectives (Maximum 300 words). The Collier County Board of County Commissioners is the governing body for the Public Transportation system in Collier County. The Public Transportation system, Collier Area Transit (CAT) operates under the supervision of the Collier County Division of Public Transit & Neighborhood Enhancement (PTNE) for the Collier County Public Services Department. CAT serves as the public transit provider for Collier County, serving Naples, Marco Island, and Immokalee areas. It is the mission of CAT to provide safe, accessible and courteous public transportation services to our customers. Please provide information below: • Organizational structure (attach an organizational chart at the end of this section) 122 • Total number of employees in organization 8 • Total number of transportation-related employees in the organization Page 11 ,® 1 6 D 1 7 Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating (c) Who is responsible for insurance, training, management, and administration of the agency's transportation programs? (Maximum 100 words) The management of the MV contract is conducted by the Collier County Public Transit and Neighborhood Enhancement (PTNE) Division. MV is responsible for the transit drivers of the transit system including hiring, training and management of the bus operators. They are also responsible for the insurance of all of CAT/CAP's vehicles. MTM is responsible for the hiring and training of the administrative personnel. (d) How are the operations of the transportation program currently funded?What are the sources of the funding (e.g., state, local, federal, private foundations, fares, other program fees?)? (Maximum 200 words) Collier County currently provides about $2 million dollars each year from local funds to provide fixed route services. Federal and State Grant funds help to expand resources so that transit services can be provided to those who need it most. • Page 12 (r)1-) 16017 Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating (e) Fully explain your transportation program: • Service hours, planned service, routes and trip types; • Staffing—include plan for training on vehicle equipment such as wheelchair lifts, etc.; • Records maintenance—who, what methods, use of databases, spreadsheets etc.; • Vehicle maintenance—who, what, when and where. Which services are outsourced (e.g., oil changes)? Include a section on how vehicles are maintained without interruptions in service; • System safety plan; • Drug-free workplace; and • Data collection methods, including how data was collected to complete Exhibit A-2. Note: If the applicant is a Community Transportation Coordinator (CTC), relevant pages of a Transportation Disadvantaged Service Plan (TDSP) and AOR containing the above information may be provided. Please do not attach entire documents. Service hours for these routes vary from as early as 3:45 AM to as late as 8:20 PM. The service planned for this grant will provide access to people in non-urbanized areas of Collier County. Funds from this grant will be used to continue operation of fixed route to provide access to people in non-urbanized areas to health care, shopping, education, employment, public services and recreation. Because many of these services are not available in the rural area, most people must travel to the urban areas in order to receive many of these services. These funds will be used to fund routes that are open to the general public and are not subject to the privatization process as described in the Transportation Disadvantage Service Plan (TDSP). All staff is currently trained on the use of vehicles and equipment utilized for the operations of this service. All records are maintained by Collier County staff to ensure compliance with all local, State and Federal requirements. Those employee records maintained by the vendor to verify maintenance of all required licensure and training are inspected by Collier County regularly. All vehicles are maintained by Collier County Fleet Management Division staff specifically assigned to Transit at the CAT Operations center located at 8300 Radio Road. A written safety program has been developed and is maintained by the Contractor which includes safety policies and practices, accident procedures and reporting, and other training materials and documented in the System Safety Program Plan (SSPP) and the System Security Emergency Preparedness Plan (SSEPP). Collier County conducts an annual System Safety review of the Contractor to comply with safety requirements of Chapter 14-90, Florida Administrative Code (FAC). The Contractor's documented safety program includes the following components: • Accident Response Plan • Accident Review Process and Analysis • Determination of an accident as Preventable or Non-Preventable, Utilizing the National Safety Council (NSC) Guidelines • Employee Retraining Provisions • Programs and Methods to be utilized to Promote Safety Awareness • Employee Training and Required Certifications Page 13 16017 Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating he Contractor shall participate in tabletop, emergency preparedness training exercise as requested by the County. The Contractor is considered essential personnel and shall be available upon request for evacuation and transportation for any emergency events 24/7. The Contractor administers a Drug and Alcohol (D&A) Program which meets all of the Federal and Collier County requirements. In addition, the Contractor requires all subcontractors providing services for the fixed route service to adhere to the testing requirements of this D&A program. CAT performs D&A testing in accordance with United States Department of Transportation (US DOT) and Federal Transit Administration (FTA) regulations, as defined in Title 49 Code of Federal Regulations (CFR), Parts 40 and 655. The Contractor produces documentation necessary to establish its compliance with Title 49 CFR, Parts 653 and 654. All County employees that fall under this requirement also go through the above noted testing. Page 14 o'sP I I 16017 N -0 �d o 0 c 13 d� cc In LY "RS 3 E � o o CD I M 4- Q 2 N N W � I ' 1 I I N N N 5 > I I F- _ 12 C O (C6 O I _ • 37#7, co N i a) c` I ai co to U co- - I Q _ N N I I I cu I ca 6 _U �--, 1 c) a) ✓ >T C I C I L w O >, -. c >' I I 4- (73 c i O co j 0 1 .> a) Ia) :.c a- = 1 ..c a- i I 2 F- U U I ~ a) U I 1 O C2 I 1 I u) a) ,(13I 1 a) Q -O • E' E o o 6 L LO LO Fi 03 CO CD CO o a) m O N o o a) 0) (0 N I N ! 0- :— CL, C 1 1 'a a) U 1 I a) IU) 1 I co C te--' U) E 5 I M L° I I I C to Y 1 (13 jj , j I o ' ' I Q — 9 'O I 1 a) .0 ` - -0c ec,r II 1 U C C I I 0 Q) 0i -0 'O L 1 -0 O .P I 1 U O o n I x a 1 I a N .a _ � I �m � = I I N >- a� m � I a) � I a) LC 1 0LI I O = 11 I O U) LL 1 � I i I C C 0 2 •- a) 1 o 1 +�-' I O L ix: " .x 4- C0 W 4- 0 -,-,; � -0 1 a) J O co c a) N 0 c L I 7) d 3 Q = J I a I a) _ co 1 .0 a) C c6 •C W cn Q a--' W cn s= cn o (n co a) = } °� > co Tu W I E V o c E I E W m L Q ca o c o CL I a) 4 ca a o o LL • 9-,_, a) o W _a >. _o a o a c,3 co o C� E _a L 'k L U L ' I L L 2 o N n _a c- .n a) 1 _a m a) > 3 a✓ a Z co >- , Z = ;= co Z Z < .: .-o 4 @ co I 4- 0 LLI cl C6 16011 1 N CD c`a a, CO CO C) CO c 'a a) cu T- 0) CD CO I LO - L li;" 15_ co N 4--, C7 m 3 `) N C° I ' r 4.. Q W 1.n I I a) C a) I j i c I as - ! aI a I c 12_ ' a °° N a) U I O U O I 1 2 I 1 o = 1 Nc, N 1@ N .O I •(n 0 j0 Ion 2 I � 2 I ~ I 1 - = 1 i > ai > ° 1 i 1 I I a) ca o i > � I � � I • u) N 11 1 ( n c = 1 § 45 as CO C 0) 1CD , c CD CO 0) � � i CO 1 0) Q i � N co (6 C U) Cu = co CO I .- +. a) 0 Q) V O CO In 1 c m o c) CC _ a iv a- ii I U) a) .c. }, I I I , ° E c _ .- m Q I I Cl)1I m 1 4-- 0) I 1r- U c a) co a 1 1 E 1 + i 1 co a) w E I ! cn I a) cn I `n -0 a3 c°n = O �' 1 O 1 0 1 p I .OC I I C a) a a) CL +� y 1 I I �, 15 0 I I ° ._ ca .c ca .� I + j a) I a) I � °_ 10 o a) -o N 3 G) 1 a) .� 1 I u) , 1 I nom^♦l 'c-D-_ .+C' (i3 U L I ° L (/) I i W W N L R 3 I s_ I I I > I I _c U cD en � " I � a) -0 1 �_ I 1 1 ° c- o >, o I Cl) a I F-• I i 7 I I 0 u) -o c L I a) 0 I > 1 H I 4-(O 1 I UF. p N CC -o I I � I IQ � 0 C c/) = C . L I a) a, o r .� d d I c o W U m co c > Y i N N CO W U - E/2 >. l as W I •a Q 0 U 3 _a c > I C o Q o I 0 °o � a c I- C W o a m I I L 'Cu' W o a' a`) a) 0 3 >o I > a� a t 1 a Ea C U ca) co IIIJ c ° a) I o ° I c Q a) >� U o t o U_ o T E m E •m i E �, W a a E ( = •cn E Q a) r ` a) ` a) a W o c>3 0 a ° o Lit o c a) W > Q o a o a •- > aj Z a > a C > < Z o Z o I F- Q .cD C c ) s L0 ti � CO 1 0) 1 0 > , O v 16017 • it � o f: c e16- a o c wI gi "cE c u 6 u t m c vol a2.,7u -- [_ -.- • > I OEc 'c.o'6 « I 1 o � � � ' `"d! a ; ` i 2 N « V I r2 « I T E s 2 I N a I,.c %. I LL LL o L. 1 ALin 1 vi - m r-----• � \ • cc t—s Wacc WJJpU ,e--1 ,e---"'s « i i o.� i aE i a_u ° •n a oaor ENo o3 o w tZ�a m Z a a ` t j m 1 N 13 —= °a iE E o 4h.—. V I w `aj \ 1 r r o ' `h d a a 0 p a r 111113 , d i. 'UI) atTiI • ti •a• f _ `o v 7' a 1 y O ' 0 I u' t I Q 1 6 D 1 7 Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating Form A-3: Proposed Project Description (a) How will the grant funding improve your agency's transportation service? Provide detail. Will it be used to: • Provide more hours of service? • Expand service to a larger geographic area? • Provide shorter headways? • Provide more trips? • Replace existing equipment? • Purchase additional vehicles/equipment? Also, highlight the challenges or difficulties that your agency will overcome if awarded these funds. Section 5311 funding for operating assistance is essential if service is to continue for the non- urbanized areas of the County. Because this request is not an expansion of service or providing new service, the grant, if awarded will not provide more service hours, provide service to a larger geographic area or reduce headways. • Page 18 161317 Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating (b) If a grant award will be used to maintain services as described in Form A-1, specifically explain how it will be used in the context of total service. Make sure to include information on how the agency will maintain adequate financial, maintenance, and operating records and comply with FTA reporting requirements including information for the Annual Program of Projects Status Reports, Milestone Activity Reports, NTD reporting, DBE reports etc. The 5311 grant helps fund five (5) non-urbanized/rural routes. According to the 2010 Census majority of the County's workforce lives in the rural area and majority of the activity centers are within the urban area. Activity centers include major employers, health care centers and public services. Route 19 (Golden Gate Estate/Immokalee Shuttle), provides a shuttle to and from the Immokalee area and services the Golden Gate Estates area to the transfer station at the Collier County Government Center. This route serves to bring the residents from the rural area to the urban areas where our activity centers are located and provides access for those passengers to return home. Route 121 (Immokalee and Marco Island express), provides an early morning and late evening express service between Immokalee and Marco Island. This express route serves to bring the residents of the rural area to the urban areas where the major employers are located and provides access for those passengers to return to home. Both routes (19 and 121) further the federal goal of the program to enhance the access of low-income individuals and others within the non-urbanized area to employment. Route 22 and Route 23 (Immokalee Circulator), provide continuous public transit service within the rural community of Immokalee. Route 24 (US 41 East/Charlee Estates), provides access to residents in the rural areas east of Collier Boulevard off East Tamiami Trail to services and employment in the urban areas. Only that portion of Route 24 that serves the rural area is being funded with 5311 grant funds. (c) If this grant is not fully funded, can you still proceed with your transportation program? Explain. Collier Area Transit, as many other transit agencies across the nation, is facing tough financial times and local funds contribution is stagnate. Should the State not approve this grant, CAT may be forced to reduce routes. With a reduction in service, many passengers would not have access to medical, work, recreational, and other life sustaining activities that public transit now makes possible. It is critical that Collier Area Transit receives these 5311 funds to continue to provide access to people in the non- urbanized area of Collier County to these services. Page 19 160 17 Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating (d) New agencies only: Have you met with the CTC and, if so, how are you providing a service they cannot? Provide detailed information supporting this requirement. N/A Applications submitted without the appropriate CTC coordination agreement may be rejected by FDOT. Grant awards will not be made without an appropriate coordination agreement. This coordination agreement must be enforced the entire time of the grant(vehicle life or operating PTGA expiration). • Page 20 9 16017 Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating Operating Requests Only (a) Please specify year of activity for operating assistance. October 1, 2020-September 30, 2021 Capital Requests Only (a) If this capital request includes equipment, please describe the purpose of the request. (b) If you are requesting a vehicle that requires a driver with a CDL: • Who will drive the vehicle? • How will you ensure that your driver(s) maintain CDL certification? (c) If the requested vehicles or equipment will be used by a lessee or private operator under contract to the applicant agency, identify the proposed lessee/operator. • Include an equitable plan for distribution of vehicles/equipment to lessees and/or private operators. N/A Page 21 S 1 6 a 1 7 Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating (d) If this capital request is for bus related facilities • Please provide any pertinent documents that may be on record, to make a determination on such things as reasonableness of cost, sufficiency of preliminary engineering and design work completed. • Please provide a full, detailed scope of the project, including but not limited to a project schedule, construction days, method of procurement, etc. • Please provide a detailed description of all project activities included in the construction of the facility. NOTE: If awarded,the agency must prepare a draft/proposed facilities/building maintenance plan that will need to be adopted after construction of facilities. N/A Page 22 0 1613 17 Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating Form B-1: Financial Capacity — Proposed Budget for Transportation Program Estimated Revenues Revenue Amount (See Instruction Manual) Entire Transportation program (See Instruction Manual) Passenger Fares for Transit Service (401) $ 910,700 Special Transit Fares (402) School Bus Service Revenues (403) Freight Tariffs (404) Charter Service Revenues (405) Auxiliary Transportation Revenues (406) Non-transportation Revenues (407) Total Revenue $ 910,700 Other Revenue Categories Taxes Levied Directly by the Transit System (408) Local Cash Grants and Reimbursements (409) 3,169,600 Local Special Fare Assistance (410) State Cash Grants and Reimbursements (411) 940,800 State Special Fare Assistance (412) Federal Cash Grants and Reimbursements (413) 2,233,300 Interest Income (414) Contributed Services (430) Contributed Cash (431) Subsidy from Other Sectors of Operations (440) Total of Other Revenue $ 6,343,700 Grand Total All Revenue (Line 1) $ 7,254,400 Page 23 1 6D Z7 Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating Estimated Expenses Expense Amount (See Instruction Manual) Entire Transportation program Labor(501) 268,896 Fringe & Benefits (502) 101,704 Services (503) 728,300 Materials &Supplies (504) 584,800 Vehicle Maintenance (504.01) 823,400 Utilities (505) 69,100 Insurance (506) 12,300 Licenses &Taxes (507) 8,000 Purchased Transit Service (508) 4,561,800 Miscellaneous (509)* 94,100 Leases & Rentals (512) 2,000 Depreciation (513)* Grand Total All Expenses (Line 2) $ 7,254,400 *Refer to CFR 200.436 for guidance when entering expenses under"Depreciation". Shortfall Source Amount 1 - Estimated Revenues (enter number from line 1) $ 7,254,400 2—Estimated Expenses (enter number from line 2) $ 7,254,400 3. Shortfall $ 0 Subtract Line 2 from Line 1 _ 4. Enter Total Amount Requested from Form 424, Line 18(g) $ 1,609,000 5. *If request(Line 4) is more than needed shortfall identified on Line 3, provide justification: The reason why our budget balance is because we anticipate of being a recipient of this funding, for that reason we included this funding in our adopted budget; we would have a $1,609,000 shortfall to cover our operating expenses if we don't receive this funding. Note: Line 5 is MANDATORY—do not leave blank. If information is not provided it reflects no urgency for the requested funds. Amount needed should be clearly identified. Page 24 0 16017 Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating Proof of Local Match Source Amount General Fund Transfer to Funds 425/426 $ 3,169,600 Total Local Match 50%of Total Project Cost for operating awards $ 20%of Total Project Cost for capital awards Attach documentation of match funds directly after this page. Proof may consist of, but not be limited to: • Transportation Disadvantaged (TD) allocation, • Written statements from county commissions, state agencies, city managers, mayors, town councils,,i =: izations, -ccounting firms and financial institutions. C mss— _ Signatu/' [blue ink] William L. McDaniel, Jr., Chairman Typed Name and Title of Authorized Representative December 10, 2019 Date ATTEST • Approved as to form and legality CRYSTAC'I .0114 IYOLERK BX: ' _ +� �,4(X, Assistant County 11ey Attest aS-to' airnj gig' nature o'D1y, Page 25 • 16017 Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating Form B-2: Operations Phase- Estimate of Project Costs by Budget Category Budget Categories Operations (Expenses Local Federal Total related to transit operations only)* Salaries 268,900 268,900 Fringe Benefits 101,700 101,700 Contractual Services 5,290,100 1,609,000 3,681,100 Travel 6,000 6,000 Other Direct Costs ra. Utilities 69,100 69,100 b. License 8,000 8,000 c. Insurance 12,300 12,300 d. Miscellneous 88,100 88,100 e. Materials and Supplies 308,600 308,600 f• Vehicle Maintenance 1,099,600 1,099,600 g• Leases and Rentals 2,000 2,000 h. k. m. Indirect Costs Projected REVENUE (subtraction) Totals $ $ 5,656,400 Budget category amounts are estimates. While the contract is active, amounts can be shifted between items without amendment (because they are all within the Operations Phase), but the revised budget must be submitted to the District to be approved and updated in the Florida Accountability Contract Tracking System (FACTS). Page 26 COD 160 11 Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating Form B-3: Capital Request N/A To identify vehicle type and estimate cost visit http://tripsflorida.orq/ All vehicle requests must be supported with a completed sample order form in order to generate a more accurate estimation of the vehicle cost. The order form can be obtained from http://www.tripsflorida.orq/contracts.html 1. Select Desired Vehicle (Cutaway, Minibus etc.) 2. Choose Vendor (use drop down arrow next to vendor name to see information) 3. Select Order Packet 4. Complete Exhibit A (Order Form) The Florida Department of Management Services Contract can be found at Florida Department of Management DMS Vehicle Request Replacement Estimated (R) Fuel Useful Life Description! Cost or Ex ansion T e (See Application Vehicle T e Quantity p yp Instructions) yp (from Order (E) Form) N/A Subtotal $ *Under DescriptionNehicle Type, include the length and type vehicle, lift or ramp, number of seats and wheelchair positions. For example, 22' gasoline bus with lift, twelve (12) ambulatory seats, and two (2) wheelchair positions. Please note, in this example, if both wheelchair positions are occupied the ambulatory seats will be reduced to eight (8). Any bus options that are part of purchasing the bus itself should be part of the vehicle request and NOT separated out under equipment. Replacement Vehicles (R) If the capital request includes replacement vehicles. Please list the vehicles in your current fleet that you are intending to replace with the vehicle from your vehicle request. YEAR TYPE MAKE MILES VIN FDOT Control # N/A Page 27 16017 Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating Equipment Request If item requested is after-market, it is recommended to gather and retain at least two estimates for the equipment requested. Purchases must be approved at the local level and follow the Procurement Guidelines. Description* Useful Life quantity Estimated (See Application Instructions) Cost N/A -------------- -- �_______----____-- Subtotal $ * List the number of items and provide a brief description (i.e. two-way radio or stereo radio, computer hardware/software, etc.) Vehicle Subtotal Plus Equipment Subtotal Equals Total Cost $ 0.8 = $ Total Cost Multiplied 80% Equals Federal Request by Form 424, Block 18 (a) Page 28 16017 U • 0 m c i C3 LL 3 a) O y T Z N O 17) C)) 3 a ti T --- c r U C'. a, m c a L c0a Q) O 3 m @ N a) c N U_ Ci• T o — a) > TS c a) a) U E N a) a)m nom❑ X d W a) L N — ma) U) m y ❑i N U L >d > U Q 1 II a) a) �r m Z m m E m o a r gw T m ul y N r+ c 7 m N a) 1 > m d O d CN @ Ua ! o a. 7.4+ O U C 1, d a) O = m w O m m o > a) m 0 L m 6 CO Om m a t C m a co C U 2 c s E U — - a aa) + c w �m ad cc o • E O. @�O Z `° O -6 I-: Q �� 0 a E a n�L Q b Et..)Q,.. a) W a o'o ca OC c cm' p y a w m IL - . y o uto _ d r p mce O O UE, oI E n a .,1 y a, mr d C o c o'w _ O Z w 'p 0 ". >Z o ❑ >,5 . C u_ t0 CO a 73 ca c' Lr) y U o0� y E wv da. o ` 2 N NCt c y = O a d Y I— m Nc8 w a U •Q d m mow a, V < c m- ¢ a a c v o d a m Z ¢ c, a, 15. E a) u o a) a. p CO a) 2 r ti N M LL Z > 0 10 16017 1 C U 'C Co I Q, ! 1 Z 2 G 0 c m o a) - U c�� ma c -0 3 Cra) _ d uS o m m Ca 0 a) c C TL o 0 0 TO LS O a. a) o O_£ X 0 W m I CC 00 o C ra TS d L 0 0) CO .0 0 t V U a) a 'a rn E Ca) m T E. ov 0£ a" m ' E m 0 z c R a E 3 m o U 0' o N o E a)cc f.2a - W 0 Q E c u 0 N O H a m £.a 3 c a.. u Cb.L o N m ui CI m N 0" C 0 a7 E el a - z N Tod r A CO C.) c E O £ o c 3 QUZ j Z O a C It 0 y U C C = v a c C E ~ Q 4 a O U 0 c £ Z Q £ O 0 O a s O LL U 2 CO is c WO z �� L 16017 Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating PART III - MANAGERIAL CAPABILITY Exhibit I: FDOT Certification and Assurances Collier County Board of County Commissioners certifies and assures to the Florida Department of Transportation regarding its Application under U.S.C. Section 5311 dated 10th day of December, 2019 1 It shall adhere to all Certifications and Assurances made to the federal government in its Application. 2 It shall comply with Florida Statues: • Section 341.051—Administration and financing of public transit and intercity bus service programs and projects • Section 341.061 (2)—Transit Safety Standards; Inspections and System Safety Reviews 3 It shall comply with Florida Administrative Code: • Rule Chapter 14-73—Public Transportation • Rule Chapter 14-90—Equipment and Operational Safety Standards for Bus Transit Systems • Rule Chapter 14-90.0041—Medical Examination for Bus System Driver • Rule Chapter 41-2—Definitions 4 It shall comply with FDOT's: • Bus Transit System Safety Program Procedure No. 725-030-009 (Does not apply to Section 5310 only recipients) • Public Transit Substance Abuse Management Program Procedure No. 725-030-035 • Transit Vehicle Inventory Management Procedure No. 725-030-025 • Public Transportation Vehicle Leasing Procedure No. 725-030-001 • Guidelines for Acquiring Vehicles • Procurement Guidance for Transit Agencies Manual 5 It has the fiscal and managerial capability and legal authority to file the application. 6 Local matching funds will be available to purchase vehicles/equipment at the time an order is placed. 7 It will carry adequate insurance to maintain, repair, or replace project vehicles/equipment in the event of loss or damage due to an accident or casualty. 8 It will maintain project vehicles/equipment in good working order for the useful life of the vehicles/equipment. 9 It will return project vehicles/equipment to FDOT if, for any reason, they are no longer needed or used for the purpose intended. 10 It recognizes FDOT's authority to remove vehicles/equipment from its premises, at no cost to FDOT, if FDOT determines the vehicles/equipment are not used for the purpose Page 31 16017 Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating intended, improperly maintained, uninsured, or operated unsafely. 11 It will not enter into any lease of project vehicles/equipment or contract for transportation services with any third party without prior approval of FDOT. 12 It will notify FDOT within 24 hours of any accident or casualty involving project vehicles/ equipment, and submit related reports as required by FDOT. 13 It will notify FDOT and request assistance if a vehicle should become unserviceable. 14 It will submit an annual financial audit report to FDOT (FDOTSingleAudit@dot.state.fl.us), if required. 15 It will undergo a triennial review and inspection by FDOT to determine compliance with the baseline requirements. If found not in compliance, it must send a progress report to the local FDOT District office on a quarterly basis outlining the agency's progress towards compliance. _December 1 4,019 Date _ aj Sign.ture of Contractor's Authorized Official William L. McDaniel, Jr., Chairman Name and Title of Contractor's Authorized Official `FTEST . Approved as to form and legality ;`ERYSTAL4..'KINZEL,CLERK sof '0�.. As"'to Count+—t matey -est as al S signature only. Page 32 1b017 Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating Exhibit J: Standard Lobbying Certification The undersigned Collier County Board of County Commissioners certifies, to the best of his or her knowledge and belief, that: 1 No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. 2 If any funds other than Federal appropriated funds have been paid or will be paid to any person for making lobbying contacts to an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form--LLL, "Disclosure Form to Report Lobbying," (a copy of the form can be obtained from FDOT's website) in accordance with its instructions [as amended by "Government wide Guidance for New Restrictions on Lobbying," 61 Fed. Reg. 1413 (1/19/96). Note: Language in paragraph (2) herein has been modified in accordance with Section 10 of the Lobbying Disclosure Act of 1995 (P.L. 104-65, to be codified at 2 U.S.C. 1601, et seq.)] 3 The undersigned shall require that the language of this certification be included in the award documents for all sub-awards at all tiers (including subcontracts, sub-grants, and contracts under grants, loans, and cooperative agreements) and that all sub-recipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31, U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995). Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NOTE: Pursuant to 31 U.S.C. § 1352(c)(1)-(2)(A), any person who makes a prohibited expenditure or fails to file or amend a required certification or disclosure form shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such expenditure or failure. The Collier County Board of County Commissioners, certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C. A 3801, et seq., apply to this certification and disclosure, if .• . Decemb= 0, '0 9 dIP Da • � / � � Signature of Contractor's Authorized Official Wi ram L. McDaniel, Jr.,,Chairman Name and Title of Conttactor's Authorized Official Approved as to form and legality CRYSATTET f3. • Page 33 CRYSTt L K. I EL.CLEF ;''. BY: . � 6 ) Assistant County 1C11eT • • Q ninn,thirA n I 16017 Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating Exhibit K: FTA Section 5333 (b) Assurance (Note: By signing the following assurance, the recipient of Section 5311 and/or 5311(f) assistance assures it will comply with the labor protection provisions of 49 U.S.C. 5333(b) by one of the following actions: (1) signing the Special Warranty for the Rural Area Program (see FTA Circular C 9040.IG, Chapter VIII (2) agreeing to alternative comparable arrangements approved by the (Department of Labor (DOL); or (3) obtaining a waiver from the DOL.) The oilier o t oard o o t o i io er (hereinafter referred to as the "Recipient") HEREBY ASSURES that the "Special Section 5333 (b) Warranty for Application to the Small Urban and Rural Program" has been reviewed and certifies to the Florida Department of Transportation that it will comply with its provisions and all its provisions will be incorporated into any contract between the recipient and any sub-recipient which will expend funds received as a result of an application to the Florida Department of Transportation under the FTA Section 5311 Program. December 10, 2019 Date William L. M. �,►aniel, r., hairman Name and t" o • a thorize• ep / Mr, X. • :or __ -"..-- " Signa Ire of authorized representative Note: All applicants must complete the following form and submit it with the above Assurance. LISTING OF RECIPIENTS, OTHER ELIGIBLE SURFACE TRANSPORTATION PROVIDERS P P P P 4 1 2 3 Identify Unions(and Identify Other Eligible Providers)Representing Identify Recipients of Site Project by Name, Surface Employees of Providers in Transportation Description,and Provider(e.g. Assistance Under this Recipient,other Agency,or Transportation Columns 1,2,and 3 Grant. Contractor) Providers(Type of Service) Application FTA Section 5311 Operating Assistance Funding of FY20/21 for Collier Area Transit to provide continuing public Transport workers Union transportation services to residents of Collier Area Transit Local 525 AFL-CIO 2595 Collier County Board of the non urbanized areas of Collier County North Courtenay Pkwy. for urban transit County Commissioners ,traveling within the rural area and/or the Suite 104 Merritt Island, FL adjacent urban area and returning to service. 32953 rural domicle. ATTEST • Approved as to form and legality f CRYSTAL K.KIN7£L,C t M Page 34 BY: 4Cf C. ' Assistant County . .^rack. « Fres o�Chairman # • ature only. 1;::-; 'fl,ci.;:� 16017 Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating Exhibit L: Leasing Certification N/A Memorandum for FTA 5311 Date: From: Signature Typed name and title Typed or printed agency name To: Florida Department of Transportation, District Office Modal Development Office/Public Transit Subject: YEAR 2021 GRANT APPLICATION TO THE FEDERAL TRANSIT ADMINISTRATION, OPERATING OR CAPITAL GRANTS FOR RURAL AREAS PROGRAM, 49 UNITED STATES CODE SECTION 5311 Leasing: Will the (Name of applicant agency), as applicant to the Federal Transit Administration Section 5311 Program, lease the proposed vehicle(s) or equipment out to a third-party? ❑ No ❑ Yes If yes, specify to whom: NOTE: It is the responsibility of the applicant agency to ensure District approval of all lease agreements. Page 35 160 17 Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating Exhibit M: Certification of Equivalent Service N/A CERTIFICATION OF EQUIVALENT SERVICE (Agency Name) certifies that its demand responsive service offered to individuals with disabilities, including individuals who use wheelchairs, is equivalent to the level and quality of service offered to individuals without disabilities. Such service, when viewed in its entirety, is provided in the most integrated setting feasible and is equivalent with respect to: 1 Response time; 2 Fares; 3 Geographic service area; 4 Hours and days of service; 5 Restrictions on trip purpose; 6 Availability of information and reservation capability; and 7 Constraints on capacity or service availability. In accordance with 49 CFR Part 37, public entities operating demand responsive systems for the general public which receive financial assistance under 49 U.S.C. 5310 and 5311 of the Federal Transit Administration (FTA) funds must file this certification with the appropriate state program office before procuring any non-accessible vehicle. Such public entities not receiving FTA funds shall also file the certification with the appropriate state office program. Such public entities receiving FTA funds under any other section of the FTA Programs must file the certification with the appropriate FTA regional office. This certification is valid for no longer than one year from its date of filing. Non-public transportation systems that serve their own clients, such as social service agencies, are required to complete this form. Executed this Date day of Month, Year Name and title of authorized representative Signature of authorized representative Page 36 16017 Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating Form 424: Application for Federal Assistance Attach the completed Form 424 here. You may insert the completed form as a PDF or print and attach the form to your final application document. Exhibit N: Federal Certifications and Assurances - to be provided at a later date Please attach Federal Certifications and Assurances signature page and the page listing the certification categories here. You may insert the signed certifications and assurances as a PDF or print and attach the form to your final application document. Exhibit 0: Title VI Plan - to ollo or 4 4 If an applicant has not previously submitted their Title VI plan to the Department, a copy must be included here. You may insert the Title VI Plan as a PDF or print and attach the document to your final application. Exhibit P: Protection of the Environment N/A Required if the proposed project is for the construction of facilities. Please see Grant Application Instruction Manual for details. Exhibit Q: Triennial Review - CAP Closeout - to be provided at a later date Required if the agency's latest Triennial Review included a Corrective Action Plan. Please submit a copy of the corrective action plan and/or letter of compliance. Page 37 GC?)_ 161117 OMB Number:4040-0004 Expiration Date:12/31/2019 Application for Federal Assistance SF-424 1.Type of Submission: '2.Type of Application: *If Revision,select appropriate letter(s): Preapplication ®New ®Application fl Continuation 'Other(Specify): ❑Changed/Corrected Application J Revision '3.Date Received: 4.Applicant Identifier: 5a,Federal Entity Identifier: 5b.Federal Award Identifier. State Use Only: 6.Date Received by State: 7.State Application Identifier: 8.APPLICANT INFORMATION: *a.Legal Name: Collier County Board of County Commissioners • *b.Employer/Taxpayer Identification Number(EIN/TIN): *c.Organizational DUNS: 59-6000558 076997790 d.Address: Streetl: 3299 Tamiami Trail East, Suite 103 Street2: 'City: Naples County/Parish: Collier *State: FL: Florida Province: Country: USA: UNITED STATES 'Zip/Postal Code: 39112-5249 e.Organizational Unit: Department Name: Division Name: Public Services PTNE f.Name and contact information of person to be contacted on matters involving this application: Prefix: Mrs. •First Name: Tami Middle Name: Last Name: Bailey Suffix: Title: Federal & State Grants Manager Organizational Affiliation: *Telephone Number: 239-252-5218 Fax Number: 239-252-2638 'Email: Tami.Bailey@colliercountyfl.gov • Page 38 • 16017 Application for Federal Assistance SF-424 *9.Type of Applicant 1:Select Applicant Type: 3: County Government Type of Applicant 2:Select Applicant Type: Type of Applicant 3:Select Applicant Type: •Other(specify): •10.Name of Federal Agency: FTA 11.Catalog of Federal Domestic Assistance Number: 20.509 CFDA Title: Formula Grants for Rural Areas •12.Funding Opportunity Number: *Title: Previous Applicant - Operating Assistance Application - SFY 2020 Formula Grant for Rural Areas 13.Competition Identification Number: Title: 14.Areas Affected by Project(Cities,Counties,States,etc.): Add Attachment Delete Attachment View Attachment •15.Descriptive Title of Applicant's Project: Previous Applicant - Operating Assistance Application - SFY 2020 Formula Grant for Rural Areas Attach supporting documents as specified in agency instructions. Add Attachments Delete Attachments View Attachments Page 39 (t.,2 160 17 Application for Federal Assistance SF-424 16.Congressional Districts Of: a.Applicant 14 *b.Program/Project 14 • Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment i Delete Attachment View Attachment 17.Proposed Project: *a.Start Date: 10/01/2021 *b.End Date: 09/30/2022 18.Estimated Funding($): *a Federal 809,500.00 *b.Applicant *c.State d.Local 804,500.00 *e.Other I *f. Program Income I •g.TOTAL 1,609,000.00 *19.Is Application Subject to Review By State Under Executive Order 12372 Process?' a.This application was made available to the State under the Executive Order 12372 Process for review on b.Program is subject to E.O.12372 but has not been selected by the State for review. c.Program is not covered by E.O.12372. *20.1s the Applicant Delinquent On Any Federal Debt? (if"Yes,"provide explanation in attachment.) []Yes ®No If"Yes",provide explanation and attach Add Attachment Delete Attachment View Attachment 21.*By signing this application,I certify(1)to the statements contained In the list of certifications**and(2)that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances**and agree to comply with any resulting terms if I accept an award.I am aware that any false,fictitious,or fraudulent statements or claims may subject me to criminal,civil,or administrative penalties.(U.S.Code,Title 218,Section 1001) "I AGREE **The list of certifications and assurances, or an Internet site where you may obtain this list, is contained in the announcement or agency specific Instructions. Authorized Representative: Prefix: *First Name: William • Middle Name: L. *Last Name: McDaniel Suffix: *Title: Chairman • `Telephone Number: 239-252-8605 ax Number: _oui r ) 'Email: Bi1�..t••7cDanielC+.co?S�a�rcount:'�El•.44v 'Signature of Authorized Rep��sepfati it j/ J / �,r Date Signed: 12/10/2019 • • • • ATTEST c �'' 1 111 ,e o form and legality PP ro e. CRYSTALNZ4CLERK a Page 40 BY: ec)L. e J►_ est as t0 tRTi�FI Ass.; ant County Attr%ey �-a 16D j FD011 Florida Department of Transportation RICK SCOTT 801 North Broadway Avenue MIKE DEW GOVERNOR Bartow,Florida 33830 SECRETARY November 14, 2017 Collier County Board of County Commissioners Ms. Michelle Arnold 3299 East Tamiami Trail, Suite 103 Naples,FL 34112 Re: Title VI Plan Dear Ms. Arnold: The Florida Department of Transportation, District One concurs with the Title VI Plan for Collier County Board of County Commissioners as required for all Federal Transit Administration recipients as per the FTA Circular C4702.1B. This concurrence means that Collier County Board of County Commissioners meets the requirements as set out in the Circular and may receive grant funds. Please continue to follow the requirements set forth in the stated Circular. Should you have any questions,please contact Pamela Barr via e-mail at Pamela.barr@dot.state.fl.us or by phone at 239-225-1972. Sincerely, Pamela Barr Transit Projects Coordinator • Cc: Matthew Liveringhouse, Collier Area Transt Michelle S. Peronto,District Transit Programs Administrator,FDOT Page 41 www.dot.state.fl.us oj? 16017 Florida Department of Transportation-5311 Instructions—SFY21 Purple-All Red- Capital Blue-Operating Application 5311 Grant Application Revised on September 13, 2019 Revised by: Erin Schepers, Grant Programs Administrator FDOT Public Transit Office 605 Suwannee Street (MS 26) Tallahassee, Florida 32399-0450 Work Phone: 850-414-4526 Email: erin.schepers(a,dot.state.fl.us Page 42