FISCAL YEAR 2013 Appl Combined 5316 5317.pdfdirected to Section Head - EEO/DBE (ADA/504/Title VI...

FISCAL YEAR 2013 APPLICATION

Arkansas State Highway and Transportation Department

Public Transportation Programs

Planning & Research Division

January 2012

SECTION 5316

Job Access and Reverse Commute Program

and

SECTION 5317

New Freedom Program

NOTICE OF NONDISCRIMINATION: The Arkansas State Highway and Transportation Department (Department) complies with all civil rights provisions of federal statutes and related authorities that prohibited discrimination in programs and activities receiving federal

financial assistance. Therefore, the Department does not discriminate on the basis of race, sex, color, age, national origin, religion or

disability, in the admission, access to and treatment in Department’s programs and activities, as well as the Department’s hiring or employment practices. Complaints of alleged discrimination and inquiries regarding the Department’s nondiscrimination policies may be

directed to Section Head - EEO/DBE (ADA/504/Title VI Coordinator), P. O. Box 2261, Little Rock, AR 72203, (501) 569-2298,

(Voice/TTY 711). This notice is available from the ADA/504/Title VI Coordinator in large print, on audiotape and in Braille. Free language assistance for Limited English Proficient individuals is available upon request.

TABLE OF CONTENTS

Application Form and Format

1. Project Type 1

2. Application Organization 1

3. Type of Applicant 2

4. Applicant’s Existing Transportation Services 3

5. Service Provided Through This Application 4

6. Local Coordination Plan 5

7. Financial Information 5

8. Estimated Project Budget 6

9. Transportation Management and Experience 7

10. Program Certifications and Assurances 8

Attachments

11. Supporting Documentation 12

12. Vehicle Inventory Form 14

13. Public Notice 15

14. Public or Private Operator’s Statement 16

15. Federal Assistance Form 424 17

PLEASE DO NOT COMPLETE THIS APPLICATION UNTIL YOU HAVE

COMPLETELY READ AND FOLLOWED THE INSTRUCTIONS IN THE

PROCEDURES MANUAL. All pages must be completed. Incomplete applications and

those lacking necessary supporting documents cannot be properly evaluated and therefore

cannot be considered. The original completed (original signatures in BLUE ink no

photocopies will be accepted) application must be received in the Public Transportation

Programs office no later than Wednesday March 7, 2012 4:00pm CDST.

i

ARKANSAS STATE HIGHWAY AND TRANSPORTATION DEPARTMENT

PUBLIC TRANSPORTATION PROGRAMS

Section 5316 - Job Access and Reverse Commute,

Section 5317 - New Freedom

** An Application Instructions Manual is Included in This Document Following Page 17**

FY 2013 Application Form

1. Project Type

Section 5316 - Job Access/Reverse Commute ____ Capital ____ Operating ____ Other

(Persons with Low Income)

Or

Section 5317 - New Freedom ____ Capital ____ Operating ____ Other

(Persons with Disability)

2. Application Organization

State Clearinghouse

Confirmation Number:

Legal Name of Agency:

Street Address:

Mailing Address:

City, State, Zip:

Agency Website:

Doing Business As:

Street Address:

Mailing Address:

City, State, Zip:

Executive Director: Telephone Number:

E-Mail Address: Fax Number:

Applicant Contact Person: Telephone Number:

E-Mail Address: Fax Number:

1

3. Type of Applicant (check one):

Public Entity (City, County) Public Transit Operator Private Non-Profit Agency

Private For Profit Agency

3a. Applicant been approved for federal assistance within last 3 years under any AHTD

administered transit program? (Circle all that apply)

Section 5310 Section 5311 Section 5316 Section 5317

3b. Geographical service area of applicant’s current transit operations:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

3c. Transportation service operates in any of the following urbanized areas?

(Check all that apply)

[ ] Fayetteville/Springdale [ ] Fort Smith [ ] Hot Springs [ ] Jonesboro

[ ] Little Rock/North Little Rock [ ] Pine Bluff [ ] Texarkana [ ] West Memphis

3d. All Section 5316 and Section 5317 Program Reporting and Expenditure forms are

computerized. It is important that these computer forms be used by approved applicants.

Are all staff persons proficient in Microsoft Word, Excel and Office? [ ] Yes [ ] No

If not, please explain how Program forms will be completed.

4. Applicant’s Existing Transportation Services

4a. List each service center and the passenger transportation information. Submit additional sheets if necessary.

Applicant Service Center

Location

Number

Vehicles used

to transport

clients

Number of

ADA

Accessible

Vehicles

Number of

Active

FTA

Vehicles

Avg. No.

Vehicle

Trips Per

Day

Avg. No.

Seats Per

Vehicle

Avg. No.

Clients

Participating

in Program

Avg. No.

Clients

Transported

Daily

Total Miles

Driven Per

Day

Applicant Service

Center

Service Area

Date Transportation

Service was started

at this center

Hours of

Operation

Days of

Service

Trip Purposes (i.e.

to Center, medical,

shop, employ, etc.

What Percentage is

Low-Income, Disabled,

Elderly, Other

(should total 100)

____LI ____D ____E ____O ____LI ____D ____E ____O

____LI ____D ____E ____O

____LI ____D ____E ____O

____LI ____D ____E ____O

____LI ____D ____E ____O

____LI ____D ____E ____O

____LI ____D ____E ____O

4b. Number of paid drivers: _____ Number of volunteers drivers: _________

4c. Type of Service: _____ Demand Response: _____ Fixed Route: _____ Both: _____

4d. Do you have a fare policy? [ ] No [ ] If yes, rate per trip _______________

4e. Do you provide service to non-agency clients? Yes [ ] No [ ]

4f. Does your agency’s policy allow non-agency persons to ride? Yes [ ] No [ ]

3

5. Describe Service To Be Provided Through This Application

5a. Location (List each service center and city/county): ____________________________________

_________________________________________ ______________________________________

_________________________________________ ______________________________________

5b. Estimated number of clients per day to be served with these funds? ___________________

5c. Estimated passenger trips per day? _______________________

5d. What percent of the daily trips are for: ______ Low-Income ______ Disabled ______ Other

5e. Identify trip purposes by percent (must equal 100 %).

Medical ___________ Personal/Shopping ___________ Education ___________

Employment ___________ Recreation/Social ___________ Child Care ___________

Nutrition __________ Other (Specify) ___________

5f. Number of days of the week operated? __________

5g. Number of hour’s vehicle will be utilized daily: __________

5h. Time(s) of day the vehicle will be utilized: __________

5i. Total miles driven per day: __________

5j. Is a vehicle being purchased as a: 1) Replacement 2) Expand Existing Routes or Hours 3) Establish New Service Areas/Clients, 4) Other (specify) _____________________________ If for Replacement, will the old vehicle remain in service? Yes No

5k. Describe your proposed project? Target groups, destinations, purpose, etc.

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

5l. For Section 5316 Applicants. How many job sites will be serviced by this project? ________

5m. For Section 5317 Applicants. Was this service (route and same hours) available before August 10, 2005? Yes No

5n. For Section 5317 Applicants. How does this project differ from the service described in Question 4a? How does the proposed project meet the ―Beyond‖ ADA program requirements? (See Instructional Manual for explanation.)

_

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

4

6. Local Coordination Plan

6a. Title of Local Coordination Plan: _________________________________________________

6b. What strategy/project does this application address? Strategy Number ________; Page _______

6c. What specific coordination activities have you pursued this past year? (Other than plan development.)

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

______________________________________________________________________________

6d. List other Human-Service agencies providing transportation in your service area. (City or county

where this project will operate.)

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

_____________________________________________________________________________

7. Applicant Financial Information

7a. Is funding for your transportation services over the next four years:

[ ] Stable because of reliable federal or state recurring funding programs.

[ ] Reasonably secure, but some sources of funding are subject to variation and are not reliable.

[ ] Uncertain because all funding sources are not reliable.

7b. Report your agency’s information from the most current IRS Form 990: 20___

For the ________ calendar year, or tax year beginning ____________ and ending ______________

Organization Type (check only one) [ ] 501( c) _____ (insert no.) [ ] 4947(a)(1) [ ] 527

Gross Receipts $___________________

7c. Record Part 1 Data:

Direct Public Support $______________ Total revenue $_____________

Indirect Public Support $______________ Total expenses $_____________

Gov. Contribution (grants) $______________ Excess/deficit $_____________

Total (add 1a thru 1c) $______________ Net assets/fund balance $_____________

7d. Are transportation line items included in the annual budget for human service programs that

provide transportation services? Yes [ ] No [ ]

5

8. Estimated Project Budget 8a. What are the estimated annual costs for the proposed project? The Federal/Local match for

capital projects is 80/20. All other projects have a Federal/Local match of 50/50.

ITEM

CODE

ITEM DESCRIPTION

MATCH TOTAL

AMOUNT

FEDERAL

AMOUNT

LOCAL

AMOUNT

100 Computer Hardware 80/20

110 Computer Software 80/20

120 Vehicle (specify type) 80/20

130 Other (specify) 80/20

Total Capital Cost

200 Administrative Staff & Fringe 50/50

210 Drivers Salaries & Fringe 50/50

220 Other Personnel & Fringe 50/50

230 Audit 50/50

240 Insurance 50/50

250 Communication 50/50

260 Fuel and Oil 50/50

270 Maintenance & Repairs 50/50

290 Other (Specify) 50/50

Total Operating Costs

TOTAL FUNDS REQUESTED

(capital plus operating)

8b. List source of funds used for the required local match.

Federal, State, Local or Other Type of Funding Amount

8c. Specify Vehicle Type (See Appendix A of Instruction Manual). Section 5317 applicants must

request a lift-equipped vehicle to comply with the ADA!

Item No. _________ Vehicle Description ______________________________________

State Bid No. ____________________

8d. Vehicle justification.

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

6

9. Transportation Management and Experience 9a. List individual(s), phone number, fax number responsible for Performance Measurement Reports,

the Program Claim for Reimbursement, and the Fleet Preventative Maintenance report.

__________________________________________________________________________________

________________________________________________________________________________

9b. How many years has your organization been operating passenger transportation services? _______ 9c. When selecting drivers, does your organization (check all that apply):

[ ] Check driving records?

[ ] Require a physical exam?

[ ] Require a minimum age _______and maximum age _______?

[ ] Conduct pre-employment drug testing?

[ ] Have a drug and alcohol testing program?

9d. Does your organization require any of the following training courses (check all that apply):

[ ] First aid [ ] Defensive Driving

[ ] CPR [ ] Wheelchair Lift Operation

[ ] Drug and alcohol abuse awareness [ ] Child Passenger Safety

[ ] Driver sensitivity training [ ] Passenger assistance training

[ ] Vehicle emergency evacuation

9e. Describe in detail your agency passenger transportation safety program?

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

____________________________________________________________________________

9f. What best describes your fleet preventative maintenance program:

[ ] Scheduled and documented maintenance program is being provided by a professional source.

[ ] An employee is assigned responsibility for ensuring each vehicle is properly maintained.

[ ] Drivers have primary responsibility for overseeing the maintenance of their vehicle.

[ ] None of the above.

Other_______________________________________________________________

9g. Describe in detail your fleet preventative maintenance program:

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

7

10. Program Certifications and Assurances

10a. Federal and State laws and regulations govern the operations of public transportation services. If

approved, an applicant must sign an annual certification and assurance form. This form ensures

compliance with applicable provisions of laws and regulations that may include the following:

American Disabilities Act

Commercial Drivers License Drug and Alcohol Testing

Lobbying Procurement Compliance

Public Providers of Public Transportation Public Hearing

Intergovernmental Review Acquisition and Lease of Capital Assets

Bus Testing Charter Service Agreement

School Transportation Agreement Demand Responsive Service

Interest and Other Financing Costs Intelligent Transportation Systems

Disadvantage Business Enterprise Program Labor Protection

49 U.S.C. Section 5316 Agreement or 49 U.S.C. Section 5317 Agreement

10b. An authorized officer on the board and the director, executive director, etc., (two different

original signatures) must date and sign this form for this application to be considered.

Certification of Information

I am an officer of the applicant organization herein and am authorized to make this certification.

I hereby certify on this day of ,

that the statements and other information contained in this application, including all attachments, are true and correct.

Further, I certify that the applicant organization has sufficient financial resources to assure payment of the required local

match for the project described in this application.

Authorized Officer on the Board :(Signature)

(Print Name)

(Position)

WITNESS:

Executive Director or CEO :(Signature)

(Print Name)

10c. Title VI Compliance - Title VI of the 1964 Civil Rights Act, Section 601, states:

―No person in the United States shall, on the grounds of race, color, or national origin,

be excluded from participation in, be denied the benefits of, or be subjected to

discrimination under any program or activity receiving Federal financial assistance.‖ Has your agency had any lawsuits or complaints alleging discrimination in service delivery or other

transit benefits filed against it in the past year? NO _____ YES _____

If yes, provide a concise description of the lawsuits or complaints alleging discrimination filed against

your agency, together with a statement of status or outcome of each such complaint or lawsuit.

8

Has your agency had any civil rights compliance review in NO _____ YES _____

the past three years?

If yes, provide a summary of all compliance review activities conducted in the last three years. The

summary should include the purpose or reason for the review, the name of the agency or organization

that performed the review, a summary of the findings and recommendations of the review, and a report

on the status and/or disposition of such findings and recommendations.

Executive Director or CEO :(Signature)________________________________________________

10d. Certification of Equal Access For Persons with Disabilities

To determine if your agency can provide equal access, please answer the following questions.

Total number of vehicles used to transport clients (all centers)? __________

Total number of vehicles ADA accessible? __________

How long would it take to provide a backup vehicle, if necessary? _____________

I hereby certify, that when viewed in its entirety, the passenger transportation program of

_______________________________________ provides disabled persons with access equal to that

afforded to any other persons in terms of the following criteria.

1) Response time;

2) Fares;

3) Geographic area of service;

4) Hours and days of service;

5) Restrictions based on trip purpose;

6) Availability of information and reservations capabilities;

7) Constraints on capacity or service availability; and

8) Public accommodations, including telephone and website services.

Certified by Executive Officer (Signature) _______________________________________________

10e. Certification of Vehicle Operation.

CERTIFICATION OF VEHICLE OPERATION

I, _________________________________________________, hereby certify that each active vehicle

(Executive Director’s Signature)

purchased with Federal Transit Administration funds are being used in accordance with Federal and

State program guidelines. Active vehicles are those for which reports are submitted to the AHTD.

Further, the vehicle is being utilized (in terms of ridership, mileage, etc.) as proposed in the agency’s

application and in accordance with the goals and objectives of transit local coordination efforts.

9

10f. Certification of Eligibility (for Public Entities only). This certifies that there are no nonprofit

organizations ready, willing and available in the area to provide service. Efforts to solicit service must

be documented and included with certification. Documentation shall include a list of all existing

transportation providers to whom letters were mailed.

LOCAL PUBLIC ENTITY ELGIBILITY

I, _______________________________________, the duly elected executive official of the

______________________________________ (Local Public Entity) hereby certify that no private

non-profit organizations in the proposed service area are readily available to provide transportation

services to elderly and disabled persons as outlined in this application.

Please complete and attach the Response Form to verify eligibility.

10

AVAILABILITY OF PRIVATE NON-PROFIT RESPONSE FORM Letters were sent on ____________ (date) to the following private non-profit organizations in

_______________________ (city/county). Indicate responses received and attach copies of responses or

correspondence.

NAME

ADDRESS

RESPONSE RECEIVED

11

11. Supporting Documentation (Include in the order indicated. Submitted documents are to be on 8 1/2” X 11”.)

Pre-Certified Private Non-Profit Applicants (These are agencies currently participating in a 5310, 5311, 5316 or 5317 Program with active vehicles and currently

submitting vehicle quarterly performance reports.)

a. Application with original signatures.

b. Amendments, if any, since last approved Articles of Incorporation.

c. Vehicle Inventory Form on page 14.

d. Public Notice - the actual newspaper clipping or a certified copy on page 15.

e. Public or Private Operator’s Statements on page 16.

f. State Clearinghouse confirmation receipt letter and Form 424. Form 424 located on page 17.

g. Latest completed financial audit, with all management letters on file.

New Applicants (These are agencies applying for the first time or agencies that previously participated in an AHTD Transit Program but

no longer have active vehicles requiring vehicle quarterly performance reports.)

a. Application with original signatures. Photocopy of application is not acceptable.

b. Listing of current Board of Directors with their positions, addresses and occupations.

c. Certificate of Incorporation issued by the Secretary of State with any amendments.

d. Articles of Incorporation with any amendments.

e. Letter of Tax Exempt Status from Internal Revenue Service.

f. Vehicle Inventory Form on page 14.

g. Public Notice - the actual newspaper clipping or a certified copy on page 15.

h. Public or Private Operator’s Statements on page 16.

h. State Clearinghouse confirmation receipt letter and Form 424. Form 424 located on page 17.

i. Latest completed financial audit, with all management letters on file.

j. Current or most recent, IRS Form 990 - Return of Organization Exempt from Income Tax. If

necessary, include the IRS approval Form 2758 where your agency filed for an extension.

k. Brochure or Flyer on your agency.

New and Pre-Certified Public Entities (New and Pre-Certified criteria same as above. Pre-certified Public Entities submit all items except b.)

a. Application with original signatures. Photocopy of application is not acceptable.

b. Listing of current Board of Directors with their positions, addresses and occupations.

c. Vehicle Inventory Form on page 14.

d. Public Notice - the actual newspaper clipping or a certified copy on page 15.

e. State Clearinghouse confirmation receipt letter and Form 424. Form 424 located on page 17.

12

(Page left intentionally blank)

13

ARKANSAS STATE HIGHWAY & TRANSPORTATION DEPARTMENT

FT No.

or Vehicle

No.

Type

Vehicle

Model Year

Last 5

Numbers of VIN

Physical Location

(Center Name and City)

Counties Served with

this Vehicle (List all Counties)

Seating Capacity (as listed on door)

ADA

ACCESSIBLE Lift/Ramp

Current

Condition

Current Mileage

Date Current Mileage Recorded _______________________

14

12. Public Notice

PUBLIC NOTICE

Public notice is hereby given this ________day of _______________, _______ that

the____________________________________of _________________________ has made

(name of organization) (location)

application for funds through 49 U.S.C. Section ____________ for public transportation services

These funds will be used primarily for the following purposes: ____________________

______________________________________________________________________________

_____________________________________________________________________________

Funds are considered essential to the efficient operation of this organization to provide public

transportation services to persons with low-income or persons with disabilities. There is no

intent to infringe upon, or compete with, existing public or private transit operators, including

Section 5307, urban public transit operators and Section 5311, rural public transit operators.

Any objection should be submitted in writing only to persons listed below. All comments will

become a part of this organization’s application and will be a matter of public record. All written

comments must be submitted within 30 days of the date of this notice. Any person wishing to

request a public hearing on the proposed project must submit a request in writing within 10 days

of the date of this notice to the persons listed below:

Name of Agency Chief Administrative Official

Title

Address

City, State, Zip Code

and to:

Mr. Don McMillen

Public Transportation Administrator



P.O. Box 2261

Little Rock, AR 72203-2261

*** If requesting a non-ADA vehicle (without lift/ramp), include the following language in

your Public Notice ad: (Organization's Name) is requesting a vehicle that is not

compliant with the Americans with Disabilities Act. However, (Organization's Name)

does meet the "equivalency of service" requirements to the disabled community. ***

15

13. Public or Private Operator’s Statement

PUBLIC OR PRIVATE OPERATOR’S STATEMENT

Regarding Use of Federal Transit Funds

By a Private or Public Organization as a Part of the

FTA Section 5316 or Section 5317 Programs

The Federal Transit Administration (hereinafter called FTA) has established programs to help

private and public organizations provide for the special transportation of persons with low

income and persons with disabilities.

NOTICE IS HEREBY GIVEN that

_________________________________________________________________________

(Applicant Organization)

is applying to FTA through the Arkansas State Highway and Transportation Department for aid

in operating public transportation services in the following community/area:

Use of public transportation funds is considered essential in the provision of special

transportation needs in this area.

The ________________________________________________________________ of

(Transit Operation)

_________________________________________________ understands that the funds

(City and State)

being requested will be used for the special purpose of transporting primarily persons with low

incomes or persons with disabilities.

I, _______________________________________________________________ on behalf of

(Authorized Official)

_______________________________________________________________do hereby state

(Transit Operation)

that this agency has no objections to the use of Federal funds requested by this applicant.

16

APPLICATION FOR 2. DATE SUBMITTED Applicant Identifier

FEDERAL ASSISTANCE

1. TYPE OF SUBMISSION 3. DATE RECEIVED BY STATE State Application Identifier

Application Preapplication

Construction

4. DATE RECEIVED BY FEDERAL AGENCY Federal Identifier

Non-Construction X

5. APPLICANT INFORMATION

Legal Name: Organizational Unit:

Address (give city, county, state, & zip code) Name and telephone number of the person to be contacted on matters

involving this application (give area code):

6. EMPLOYER IDENTIFICATION NUMBER (EIN)

7. TYPE OF APPLICANT: (enter appropriate letter in box)

A. State H. Independent School District

B. County I. State Controlled Institution of Higher Learning

C. Municipal J. Private University

8. TYPE OF APPLICATION D. Township K. Indian Tribe

X New Construction Revision

E. Interstate L. Individual

F. Intermunicipal M. Profit Organization

G. Special District N, Other (Specify) _______________________

If Revision, enter appropriate letter(s) in boxes(s)

A. Increase Award B. Decrease Award C. Increase Duration 9. NAME OF FEDERAL AGENCY:

D. Decrease Duration E. Other (Specify) U.S. Department of Transportation Federal Transit Administration _____________________________________________

10. CATALOG OF FEDERAL DOMESTIC 11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT: ASSITANCE NUMBER:

Title:

12. AREAS AFFECTED BY PROJECT (cities, counties, states, etc.):

13. PROPOSED PROJECT 14. CONGRESSIONAL DISTRICTS OF: Start Date Ending Date a. Applicant b. Project

15. ESTIMATED FUNDING 16. IS APPLICANT SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS?

a. Federal $ - a. Yes This preapplication was made available to the State Executive Order 12372

b. Applicant $ - Process for Review on:

c. State $ - Date ________________________

d. Local $ - b. No Program is not covered by E.O. 12372

e. Other $ - or Program has not been selected by State for Review

f. Program Income $ - 17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEPT?

g. Total $ -

Yes If "yes", attach explanation No

18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT.

THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL

COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED.

a. Typed Name of Authorized Representative b. Title c. Telephone Number

d. Signature of Authorized Representative e. Date Signed

Catalog of Federal Assistance Numbers: Section 5309 - Discretionary Bus: 20-500 Section 5310 - Elderly and Disabled: 20-513

Section 5311 - Rural Public Transit: 20-509 Section 5316 - JARC: 20-516 Section 5317 - New Freedom: 20-521

17

FY 2013 APPLICATION

INSTRUCTIONS MANUAL



Planning & Research Division

January 2012

SECTION 5316

Job Access and Reverse Commute

and

SECTION 5317

New Freedom Program

TABLE OF CONTENTS

General Application Information

Application Instructions, Overview and Eligible Criteria………………………... 1

Funding Limitation………………………..……………………………..…….… 2

Application Requirements and Process…………………………………………… 2

Statewide Metropolitan Planning Organizations………………………..……….. 3

Planning and Development Districts……..………………………..……………... 5

Protection of Public Transit Systems………………………………………..……. 6

Application Form Instructions

Section 1 – Project Type……………………………………….……………..… 8

Section 2 - Application Organization……………………..…………………..… 8

Section 3 – Type of Applicant………………………………….……………..… 8

Section 4 – Applicant Transportation Service………………………………….. 8

Section 5 – Service Provided Through This Application……………………..… 9

Section 6 – Local Coordination Plan……………………………………………. 10

Section 7 – Financial Information………………..……………………………... 11

Section 8 – Estimated Project Expenses………………………………………… 11

Section 9 - Transportation Management and Experience………………….……. 11

Section 10 – Program Certifications and Assurances…………………..……….. 12

Section 11 – Applicant’s Supporting Documentation…………….……………... 12

Section 12 – Vehicle Inventory.................................................................................12

Section 13 – Public Notice …………………………………………………..….. 12

Section 14 – Public or Private Operator’s Statement.…..……………………….. 13

Section 15 – Application for Federal Assistance Form 424 Instructions…...…… 13

What Happens Next………………………………………………………………. 14

Appendix A - Vehicles Type…………………………………………………………… 15

i

Application Instructions Manual for

Section 5316 – Job Access and Reverse Commute

and

Section 5317 – New Freedom

Federal Transit Assistance Grant Programs

APPLICATION DUE TO THE AHTD MARCH 7, 2012

APPLICATION DUE TO THE STATE CLEARINGHOUSE FEBRUARY 22, 2012

Application Instructions

The application for the Section 5316 (Job Access and Reverse Commute) and/or Section 5317 (New

Freedom) programs proceed this manual within this file. These instructions have been developed to

assist agencies in completing the application form and in complying with the program requirements.

Applicants should review the requirements carefully. Failure to comply with any requirement

may disqualify an applicant.

The information provided by the applicant is intended to justify the request for funding. The Program

Manager and the Intragency Review Committee use this information to evaluate and rank all proposed

projects. This information is also used to complete the State’s application to the Federal Transit

Administration.

Overview

The goal of these programs is to provide assistance in meeting the special transportation needs of

persons with low-income and persons with disabilities. The programs are designed to enhance other

Federal Transit Administration assistance programs by funding public transportation projects in all areas

(urbanized, small urban, and rural) of the State.

The federal share of eligible capital costs is not to exceed 80 percent of the net project cost and the local

share of eligible operating costs shall be no less than 20 percent of the net project cost. The Federal

share of eligible operating expenses is not to exceed 50 percent of the net project cost and the local share

of eligible operating costs shall be 50 percent of the net project cost. All of the local share must be

provided from sources other than Federal Department of Transportation funds.

Assistance provided to organizations through these programs is granted for the sole purpose of providing

necessary transportation services identified in your application. An organization must use the vehicle

primarily for the group of passengers identified in the application. Other passengers, including the

general public, may be transported on a ―space available‖ basis with the identified client group.

Eligible Criteria

There are three general categories of eligible applicants:

1. Private non-profit organizations determined by the Secretary of the Treasure to be an

organization described by 26 U.S.C. Section 501(c) which is exempt from taxation under 26

U.S.C. Section 501(a) or Section 101.

Page 1

2. State agencies or local governmental authorities.

3. Operators of public transportation services, including private operators of public transportation

services.

Funding Limitation

Applications will only be accepted from eligible legal entities operating in the State of Arkansas who

possess the experience, financial capacity and administrative ability to carry out the project or projects

for which the assistance is to support. Only one application will be accepted from each eligible legal

entity under each program. In other words, an applicant may submit a Section 5316 application and a

Section 5317 application.

The Department reserves the right to limit the number of applications accepted from sub-corporate

entities operating under or through a principle corporate entity. Further, the Department reserves the

right to limit or negotiate the amount of the request.

Funding is very limited under the Section 5317 program. The AHTD will give priority to applicants

requesting operating funds. Capital requests will be considered based on funding availability.

Application Requirements and Process

Before filling out the application, please read and follow specific instructions.

Important Note: State Clearinghouse confirmation receipt letter and Form 424 must be submitted with

the original application. The assigned number (AR – _________) must be placed on the application

(Section 2, Page 1).

Other confirmation letters (MPO & PDD) and State Clearinghouse Sign-off letter must be maintained in

the applicant’s file.

When the application has been completed, distribute copies as follows:

1. Submit one copy of the application (pages 1 thru 9 and page 17) to: State Clearinghouse, Office of

Budget, P.O. Box 3278, Little Rock, AR 72203, no later than Thursday, February 22, 2012.

Confirmation Letter and Form 424 must be included in original application to the AHTD.

2. Submit one copy of the application (pages 1 thru 9 and page 17) to the proper Metropolitan

Planning Organization (if you are a participating communities), see list beginning on page 3.

3. Submit one copy of the application (pages 1 thru 9 and page 17) to the proper Planning and

Development District; see list beginning on page 5.

4. Submit the original application (original signatures in BLUE ink only no photocopies will be

accepted) with all attachments to Public Transportation Programs, Arkansas State Highway and

Transportation Department, P.O. Box 2261, Little Rock, AR, 72203, no later than 4:00 p.m. on

Wednesday, March 7, 2012. The Public Transportation Programs is located in Room 109,

Planning & Research Building, 10324 Interstate 30, Little Rock, AR 72209. Enter the main lobby

(South Parking Lot) and request a visitor pass at the front desk.

5. Retain one complete copy for applicant’s file, along with confirmation letters.

6. Return Grant Award Notification Form to State Clearinghouse after project has been approved for

funding.

The original application should be assembled in the appropriate format and it is mandatory that it be

completed with all required attachments. Read and answer all questions, incomplete applications and

those lacking necessary supporting documents cannot be properly evaluated; and, therefore, may not

be considered. Before the deadline, you may wish to contact Charles Brewer, Section 5316 Program

Manager at (501) 569-2478 or Steven Alexander, Section 5317 Program Manager at (501) 569-2561 to

request assistance with any questions or concerns you may have.

The Arkansas State Highway and Transportation Department will purchase all vehicles awarded to

successful applicants through the appropriate State procurement process according to our specifications.

Vehicles requested through the Section 5317 program must meet the Americans with Disabilities Act

requirements and be lift equipped.

Applications will be evaluated on a competitive basis and ranked according to the guidelines contained

in the AHTD State Management Plan: Section 5316 and Section 5317. The AHTD has included in this

year’s numerical rating system values for strategies listed in the local transit coordination plans.

Statewide Metropolitan Planning Organizations

Frontier Metropolitan Planning Organization Participating Communities

Tim Conklin, Study Director Alma, AR Arkhoma, OK

BI-State Transportation Study (BI-STATE) Barling, AR Bonanza, AR

P.O. Box 2067 Fort Smith, AR Greenwood, AR

1109 S. 16th St. Kibler, AR Lavaca, AR

Fort Smith, AR 72902 Moffett, OK Muldrow, OK

Pocola, OK Roland, OK

Phone: (479) 785-2651 Rudy, AR Spiro, OK

Fax: (479) 785-1964 Van Buren, AR Crawford County, AR

Email: [email protected] LeFlore County, OK Sebastian County, AR

Website: www.wapdd.org/bistate_index.html Sequoyah County, OK

Hot Springs Area Metropolitan Planning Organization Participating Communities

Dianne Morrison, Study Director City of Hot Springs

Hot Springs Area Transportation Study (HSATS) City of Mountain Pine

P.O. Box 700 Hot Springs Village

Hot Springs, AR 71902 Garland County

Hot Spring County

Phone: (501) 321-4804 Greater Hot Springs

Fax: (501) 321-6809 Chamber of Commerce

Email: [email protected]

Website: http://www.cityhs.net/business-transportation-planning.html

Jonesboro Metropolitan Planning Organization Participating Communities

Muhammad Amin Ulkarim, Study Director City of Jonesboro

Jonesboro Area Transportation Study (JATS) City of Brookland

P.O. Box 1845 City of Bono

Jonesboro, AR 72403-1845 City of Bay

Craighead County

Phone: (870) 933-4623

Fax: (870) 933-4619


Website: www.jonesboro.org/MPO/mpo.htm

mailto:[email protected]

http://www.wapdd.org/bistate_index.html


http://www.cityhs.net/business-transportation-planning.html


http://www.jonesboro.org/MPO/mpo.htm

Metroplan Participating Communities

Casey Covington, Study Director Alexander Austin

Central Arkansas Regional Transportation Study (CARTS) Benton Bryant

501 W. Markham - Suite B Cabot Cammack Village

Little Rock, AR 72201 Conway Haskell

Jacksonville Little Rock

Phone: (501) 372-3300 Maumelle Mayflower

Fax: (501) 372-8060 North Little Rock Shannon Hills

Email: [email protected] Sherwood Vilonia

Website: www.metroplan.org/ Ward Wooster

Wrightsville Faulkner County

Lonoke County Pulaski County

Saline County

Northwest Arkansas Regional Planning Commission Participating Communities

John McLarty, Study Director Bella Vista Benton County

NW Arkansas Regional Transportation Study (NARTS) Bentonville Bethel Heights

406 Shilo Cave Springs Centerton

Springdale, AR 72764 Elm Springs Fayetteville

Farmington Johnson

Phone: (479) 751-7125 Lowell Ozark Transit

Fax: (479) 751-7150 Razorback Transit Rogers

Email: [email protected] Springdale Tonitown

Website: www.nwarpc.com/ Washington County

Southeast Arkansas Regional Planning Commission Participating Communities

Jerre George, Executive Director Pine Bluff

Pine Bluff Area Transportation Study (PBATS) White Hall

1300 Ohio Jefferson County

Pine Bluff, AR 71611

Phone: (870) 534-4247

Fax: (870) 534-1555


Website: http://www.searpc.com/

Texarkana Metropolitan Planning Organization Participating Communities

Brad McCaleb, Study Director Texarkana, TX

Texarkana Urban Transportation Study (TUTS) Texarkana, AR

P.O. Box 1967 Wake Village, TX

West 3rd & Texas Boulevard Nash, TX

Texarkana, TX 75504 Bowie County, TX

Miller County, AR

Phone: (903) 798-3927

Fax: (903) 798-3773


Website: www.texarkanampo.org


http://www.metroplan.org/


http://www.nwarpc.com/



http://www.texarkanampo.org/

West Memphis Metropolitan Planning Organization Participating Communities

Eddie Brawley, Study Director West Memphis

West Memphis Area Transportation Study (WMATS) Marion

796 West Broadway Sunset

West Memphis, AR 72303 Crittenden County

Phone: (870) 735-8148

Fax: (870) 735-8158


Website: mpo.midsouthcc.edu

Statewide Planning and Development Districts

Central Arkansas Planning & Development District (CAPDD) P.O. Box 300 115 Jefferson St. Lonoke, AR 72086 501-676-2721 FAX: 501-676-5020 Rodney Larsen, Executive Director Counties: Faulkner, Lonoke, Monroe, Prairie, Pulaski and Saline East Arkansas Planning & Development District (EAPDD) P.O. Box 1403 2905 King St. Jonesboro, AR 72403 72401 870-932-3957 FAX: 870-932-0135 Richard Spelic, Executive Director Counties: Clay, Craighead, Crittenden, Cross, Greene, Lawrence, Lee, Mississippi, Phillips, Poinsett,

Randolph and St. Francis Northwest Arkansas Economic Development District (NWAEDD) P.O. Box 190 818 Hwy. 62/65 N. Harrison, AR 72602-0190 870-741-5404 FAX: 870-741-1905 J. Michael Norton, Executive Director Counties: Baxter, Benton, Boone, Carroll, Madison, Marion, Newton, Searcy and Washington Southeast Arkansas Economic Development District (SEAEDD) P.O. Box 6806 8th & Walnut Sts. Pine Bluff, AR 71611 870-536-1971 FAX: 870-536-7718 Glenn Bell, Executive Director. Counties: Arkansas, Ashley, Bradley, Chicot, Cleveland, Desha, Drew, Grant, Jefferson and Lincoln Southwest Arkansas Planning and Development District (SWAPDD) P.O. Box 767 600 Bessie St. Magnolia, AR 71753 870-234-4030 FAX: 870-234-0135 Renee Dicus, Executive Director Counties: Calhoun, Columbia, Dallas, Hempstead, Howard, Lafayette, Little River, Miller, Nevada,

Ouachita, Sevier and Union West Central Arkansas Planning & Development District (WCAPDD) P.O. Box 21100 835 Central Avenue Suite 201 Hot Springs, AR 71903 71901 1-800-264-1001, 501-525-7577 FAX: 501-525-7677 Dwayne Pratt, Executive Director Counties: Clark, Conway, Garland, Hot Spring, Johnson, Montgomery, Perry, Pike, Pope and Yell


http://mpo.midsouthcc.edu/

Western Arkansas Planning & Development District (WAPDD) P.O. Box 2067 1109 South 16th St. Ft. Smith, AR 72901 72902 501-785-2651 FAX: 501-785-1964 John Guthrie, Executive Director Counties: Crawford, Franklin, Logan, Polk, Scott, and Sebastian White River Planning & Development District (WRPDD) P.O. Box 2396 Regional Services Center Batesville, AR 72503-2396 Hwy. 25 N., 72501 870-793-5233 FAX: 870-793-4035 Van Thomas, Executive Director Counties: Cleburne, Fulton, Independence, Izard, Jackson, Sharp, Stone, Van Buren, White, and

Woodruff Protection of Public Transit Systems

Federal aid is available to transportation providers from five major programs within the U.S. Department

of Transportation: Section 5307 for urbanized areas (Little Rock-North Little Rock, Fort Smith, Hot

Springs, Springdale, Pine Bluff, Fayetteville, and Texarkana); Section 5311 for non-urbanized areas; and

Sections 5310, 5316, and 5317 for either or both. If there is a known Section 5307 or Section 5311

transit system in the area, that system will be given priority to furnish transportation within their service

area insofar as they can or wish to do so.

SECTION 5307 SYSTEMS

Central Arkansas Transit Authority City of Fort Smith

901 Maple Street P.O. Box 1908

North Little Rock, AR 72114 Fort Smith, AR 72902

Executive Director – Betty Wineland Transit Director – Ken Savage

(501) 375-0024 (479) 494-7690

Hot Springs Intra-City Transit Jonesboro Economical Transportation

Municipal Bldg. - P.O. Box 700 P.O. Box 1845

Hot Springs, AR 71901 Jonesboro, AR 72403

Transit Manager – Bob Reddish Transportation Coordinator – Steve Ewart

(501) 321-2020 (870) 935-5387

Ozark Regional Transit Pine Bluff City Transit

2423 E. Robinson 2300 E. Harding

Springdale, AR 72764 Pine Bluff, AR 71601

Transit Director – Phil Pumphrey Transit Manager – Larry Reynolds

(479) 756-9109 (870) 534-5130

Razorback Transit Texarkana Urban Transit District

155 Razorback Road 818 Elm Street

Fayetteville, AR 72701 Texarkana, TX 75501

Director – Gary Smith General Manager – Vera Matthews

(479) 575-4400 (903) 794-0435

SECTION 5311 SYSTEMS

Area Agency of Southeast Arkansas Black River Area Development Corporation

709 E. 8th Avenue 1403 Hospital Drive

Pine Bluff, AR 71611 Pocahontas, AR 72455

President/CEO – Betty Bradshaw Executive Director – Jim Jansen

(870) 543-3268 (870) 892-4547

Eureka Springs Transit Mid-Delta Community Services

137-A West Van Buren P.O. Box 745

Eureka Springs, AR 72632 Helena, AR 72342

Transit Director – Kenneth "Smitty" Smith Executive Director – Margaret Staub

(479) 253-9572 (870) 338-9004

North Arkansas Transportation Services Ozark Transit

P.O. Box 190 2423 E. Robinson

Harrison, AR 72601 Springdale, AR 72764

Transit Manager – Jo Anna Cartwright Transit Director – Phil Pumphrey

(870) 741-8008 (479) 756-9109

South Central Arkansas Transit

P.O. Box 580

Benton, AR 72018

Transit Manager – Cindy Dedman

(501) 332-6215

Application Form Instructions

Section 1, Page 1 – Project Type

Check the category of funds (capital and / or operating) being requested beside either the Section 5316

or Section 5317 program. Section 2, Page 1 – Application Organization

Enter the assigned confirmation number from State Clearinghouse Letter of Receipt (AR -_____)

Legal Name of Agency: Identify the agency’s name exactly as it is filed with the Certificate from the

Articles of Incorporation. Public Bodies should refer to their creation documents. Do not abbreviate

your agency name.

Street Address: Indicate physical address of the legal name of agency.

Mailing Address: Indicate mailing address of the legal name of agency.

City, State, and Zip: Indicate information for legal agency.

Doing Business As: Identify the name, address, etc. of the agency utilizing vehicle, if applicable.

Executive Director: Identify the name, title if different than Executive Director, phone number, e-mail

address and fax number.

Applicant Contact Person: Identify the name, phone number, e-mail address and fax number if different

than Executive Director. An email address is desired as the AHTD strives to computerize the

application and reporting forms.

Please include your email addresses and agency website, if available.

Section 3, Page 2 – Type of Applicant Type of Applicant (check one): Public Entity, Private Non-Profit or Public Transit Operator.

3a. Federal funding received last year under the AHTD administered transit program?

Circle all appropriate programs.

3b & c. Transportation operates in urbanized area? Check appropriate bracket(s)

3d. All Section 5316 and Section 5317 Program Reporting and Expenditure forms are computerized. It

is important that these computer forms be used by approved applicants. Hand-written or penciled forms

will no longer be accepted. Check appropriate bracket(s) and explain as necessary.

Section 4, Page 3 – Applicant Existing Transportation Services

4a. Record separate information for two or more centers located in the same area. Example: Adult

and Children Programs. Count vehicle(s) used daily for passenger transportation; do not include back

Page 8

up vehicle(s). If a vehicle is utilized in more than one program, list the vehicle and the total miles driven

per day once under the primary program. Complete both tables. Incomplete data may result in

ineligible project.

Record the following information:

Name of center(s) and location(s),

Number of vehicles used to transport clients at Center(s),

Number of active (submit Quarterly Measurements Report) FTA vehicles used,

Average number of clients participating in the program,

Average number of clients transported daily in the vehicle(s),

What percentage is elderly, disabled, low-income or other (should total 100 percent),

What percentage is racial minority, and

Total miles driven per day with the vehicle(s).

Service Area (where will clients be transported?)

When was transportation service initiated? (month and year.)

What hours of the day will clients be transported? If they are transported in the morning and

then in the afternoon, this should be stated.

Number of days operated per week.

Trip purpose(s). Be specific.

4b. Record number of paid drivers and volunteer drivers.

4c. Identify service type. Demand Response (door to door, passenger calls for service), Fixed Route

(scheduled service regular route) or Both.

4d. If you have a fare policy, what is the rate?

4e. Do you provide service to individuals that do not attend your center? Record Yes or No.

Section 5, Page 4 – Describe Service to be Provided Through This Application

Service provided under the Section 5316 program must be for persons with low income seeking

employment or vocational training.

Service to be provided under the Section 5317 program must be new service (started after August 10,

2005) and go beyond transportation requirements under the Americans with Disabilities Act or ADA.

Funds may not be used to supplement existing service.

Answer each question describing the client services to be provided with the funds through this

application. Specifically

5n. The Federal Transit Administration (FTA) has issued additional guidance, dated October 6, 2008,

regarding eligible projects under the New Freedom program. New Freedom projects must meet two

program requirements: 1) New service or started after August 10, 2005 and 2) Go beyond ADA. The

FTA has identified typical projects that will meet these requirements for both fixed-route and demand

responsive providers.

Page 9

This list does not include all eligible projects, only the most typical ones. The proposed project must be

included in this list or adequately describe how the project meets both requirements.

1. Fixed Route Service

a. Expansion of service beyond the ¾ mile requirement.

b. Expansion of hours.

c. Incremental costs of providing same day service.

d. Incremental costs of making door-to-door service available.

e. Building an accessible path to a bus stop.

2. Demand Response Service

a. Expansion of service area beyond present area.

b. Expansion of hours beyond present times.

c. Expansion of trip purposes beyond present trips.

d. Acquisition of lifts, or modifying existing, with a larger capacity.

e. Installation of additional wheelchair securement locations on buses.

f. Purchasing vehicles to support new accessible taxi, ride sharing, vanpooling programs.

g. Administration expenses related to voucher programs.

h. Mobility Management projects.

i. Capacity issues due to number of inadequate seating, excessive trip lengths require

additional vehicles, number of vehicles on road at the same time needed for peak hours.

Section 6, Page 5 – Local Coordination Plan

There are several Public Transit/Human Service Local Coordination Plans developed for areas

throughout the State. Refer to the following list to determine which Plan covered your service area.

Your service area may be covered by more than one Plan. However, only one Plan should be identified.

To determine the appropriate strategy and Plan or obtain a copy of a Transit Local Coordination Plan

(TCP), please contact Steven Alexander, AHTD Public Transportation Section, at 501-569-2561.

1. Central Arkansas Transit Authority TCP – Pulaski County

2. Central Arkansas District TCP – Faulkner, Lonoke, Monroe, Prairie, Pulaski and Saline

3. East Arkansas District TCP – Clay, Craighead, Crittenden, Cross, Greene, Lawrence, Lee,

Mississippi, Phillips, Randolph and St. Francis

4. Faulkner County TCP – Faulkner

5. Garland County TCP - Garland

6. Greene County TCP – Greene

7. Jefferson County TCP - Jefferson

8. Jonesboro MPO TCP – Craighead

9. Northwest Arkansas RPC TCP – Benton and Washington

10. REACTS TCP - Baxter, Boone, Carroll, Madison, Marion, Newton, and Searcy

11. River Valley Transportation Providers TCP – Franklin, Logan, and Sebastian

12. Southeast Arkansas District TCP – Arkansas, Ashley, Bradley, Chicot, Cleveland, Desha, Drew,

Grant, Jefferson and Lincoln

13. Southwest Arkansas District TCP - Calhoun, Columbia, Dallas, Hempstead, Howard, Lafayette,

Little River, Miller, Nevada, Ouachita, Sevier and Union

Page 10

14. West Central Arkansas District TCP – Clark, Conway, Garland, Hot Spring, Johnson, Montgomery, Perry, Pike, Pope and Yell

15. Western Arkansas District TCP – Crawford, Franklin, Logan, Polk, Scott, and Sebastian

16. White River District TCP - Cleburne, Fulton, Independence, Izard, Jackson, Sharp, Stone, Van

Buren, White, and Woodruff

Section 7, Page 5– Financial Information

7a. Check the status of funding for your transportation services for the next four years.

7bc. Record the following information off your most current IRS Form 990.

7d. Are transportation line items included in the annual budget for human services programs?

Record Yes or No.

Section 8, Page 6 – Estimated Project Expenses

8a. The Section 5316 and Section 5317 programs allow both capital and operating funding

assistance. The budget table in the application contains typical expense items for transit

operations and therefore is provided as a guide. These items may or may not be completely

appropriate for your application. Only direct expenses are allowed under the programs (indirect

or overhead expenses are not allowed). Please complete all data for each appropriate item.

8b. Income Revenues: List all sources of transportation revenues and the amounts for each category

listed, complete actual data. This amount should equal the total local amount from the 8a table.

8c. Specify the Vehicle Item Number, Vehicle Description, and State Bid Number for the desired

vehicle. Attach a copy of the appropriate vehicle chart(s). The AHTD has estimated the costs of

the 2013 model vehicles and is reflected in the Base Price of each vehicle.

Any changes to the specified vehicle will require the applicant to justify the change, publish a new

Public Notice and sign a new Equal Access Certification form.

Section 5317 applicants must ―go beyond the ADA‖. Therefore, as a minimum, any vehicle purchased

under the Section 5317 Program must be lift-equipped.

8d. Provide a justification of why this vehicle is needed.

Section 9, Page 6 – Transportation Management and Experience

9a. Agencies are responsible for maintaining the interior and exterior of the vehicle in a clean

manner that reflects a quality transportation service. Record individual(s) responsible for

submitting Performance Reports, Financial Claims, and the Fleet Preventative Maintenance

Program. A copy of the AHTD Claim Form is included at the end of this package.

9b. Record number of years your organization has been transporting passengers.

Page 11

9c. Check all that apply when selecting drivers.

9d. Check all training courses your agency requires.

9e. Describe your agency’s passenger safety program.

9f. Check what best describes your fleet preventative maintenance program.

9g. Describe your agency’s preventative maintenance program.

Section 10, Page 8 – Program Certifications and Assurances

10a. Federal and State laws and regulations govern the operations of public transportation services.

Approved applicants must sign the Federal Transit Administration Standard Assurances form.

This form will be forwarded along with the grant award notice.

10b. Authorized representatives must date and sign Certification of Information.

10c. Executive Director or CEO must answer questions and sign Title VI Compliance.

10d. Certification of Equal Access For Persons with Disabilities must answer questions and sign.

10e. It is the intent of the AHTD to ensure that vehicles and operating funds are being used in

accordance with Federal and State program guidelines. The AHTD will review submitted

reports to evaluate actual vehicle utilization relative to the agency’s application and the goals and

objectives of transit local coordination efforts.

10f. Certification of Eligibility is for Public Entities only. The certification sheet must be signed.

The support documentation sheet must also be provided. This sheet verifies that local

transportation agencies have been contacted and cannot reasonably provide the service.

Section 11, Page 12 – Applicant’s Supporting Documentation

11. Provide required information depending upon the applicant’s status. Application is considered

incomplete with the omission of one document.

Section 12, Page 14 – Vehicle Inventory Form

Section 13, Page 15 – Public Notice Requirement

A current Public Notice must be given of your intent to submit this application for a federal assistance

grant. It must be published once as an official notice in a newspaper(s) of general circulation in the

service area.

Page 12

If requesting a non-ADA vehicle (without lift/ramp), include the following language in your Public

Notice ad: (Organization's Name) is requesting a vehicle that is not compliant with the Americans

with Disabilities Act. However, (Organization's Name) does meet the "equivalency of service"

requirements to the disabled community.

A certified copy of the Public Notice which was published in the newspaper and/OR the actual

newspaper article clipping must be submitted with your application. Photocopy is not acceptable.

Application is considered incomplete with the omission of this article.

Section 14, Page 16 – Public or Private Operator’s Statement

Identify existing public and private transportation providers in your service area.

Make sufficient copies of the Public or Private Operator’s Statement and request each of the

operators to certify that they have no objections to this application. If an operator refuses to sign or does

not return the form, indicate so on a duplicate form.

Public transportation providers are on pages 7 and 8. Private providers include taxicab companies.

If needed, review October 2011, Public Transportation Directory (www.arkansashighways.com and

click on Publications), or contact Steven Alexander.

Section 15, Page 17 - Application for Federal Assistance Form 424

This is a standard form used by applicants as a required facesheet for preapplications and applications

submitted for Federal assistance. It will be used by Federal agencies to obtain applicant certification

that States which have established a review and comment procedure in response to Executive Order

12372 and have selected the program to be included in their process, have been given an opportunity to

review the applicant’s submission.

Item: Entry:

1 Self-explanatory.

2 Date application submitted to the AHTD and applicant’s control number (if applicable).

3 State use only (if applicable).

4 If this application is to continue or revise an existing award, enter present Federal identifier

number. If for a new project, leave blank.

5 Legal name of applicant, name of primary organizational unit that will undertake the assistance

activity, complete address of the applicant, and name and telephone number of the person to

contact on matters related to this application.

6 Enter Employer Identification Number (EIN) as assigned by the Internal Revenue Service.

7 Enter the appropriate letter in the space provided.

8 Check appropriate box and enter appropriate letter(s) in the space(s) provided.

– ―New‖ means a new assistance award.

– ―Continuation‖ means an extension for an additional funding/budget period for a project with

a projected completion date.

– ―Revisions‖ means any change in the Federal Government’s financial obligation or contingent

liability from an existing obligation.

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http://www.arkansashighways.com/

9 Name of Federal agency from which assistance is being requested with this application

(completed info).

10 Use the Catalog of Federal Domestic Assistance number and title of the program under which

assistance is requested.

a. Section 5316 Job Access and Reverse Commute Program – 20.516

b. Section 5317 New Freedom Program – 20.521

11 Enter a brief description of the project – capital assistance, operating assistance.

12 List only the largest political entities affected (e.g., State, counties, cities).

13 Leave Blank.

14 List the applicant’s Congressional District and any District(s) affected by the program or project.

Marion Berry = 1 Vic Snyder = 2 John Boozman = 3 Mike Ross = 4

15 Use amounts from Project Budget (Application - Page 6).

16 Applicants should contact the State Single Point of Contact (SPOC) for Federal Executive Order

12372 to determine whether the application is subject to the State intergovernmental review

process. (a. yes, date submitted to State Clearing House).

17 This question applies to the applicant organization, not the person who signs as the authorized

representative. Categories of debt include delinquent audit disallowances, loans and taxes.

18 To be signed by the authorized representative of the applicant. A copy of the governing body’s

authorization for you to sign this application as official representative must be on file in the

applicant’s office. (Certain Federal agencies may require that this authorization be submitted as

part of the application.)

WHAT HAPPENS NEXT FOR THE APPLICANTS?

Applications are open—Applications for the Section 5316 and Section 5317 Grant Programs are

available by request or it can be downloaded at www.arkansashighways.com click on Publication.

Applications are submitted—Applications for the Section 5316 and Section 5317 Grant Programs are

due by 4:00 p.m., Wednesday, March 7, 2012. Applications received after that time may not be

considered for funding.

Applications are evaluated—All eligible applications will be evaluated on a competitive basis and

ranked according to an objective evaluation process.

Funds allocated—Federal funds are allocated, annually, to the States for the Section 5316 and Section

5317 Grant Programs through the Federal Transit Administration (FTA). Once the annual allocation is

received, the AHTD prepares a budget based on selection process.

Contract (Grants) forwarded to FTA—The AHTD assembles all recommended applications and their

costs into a single grant request and submits it to the AHTD Management and the FTA for approval.

The FTA must approve each grant before any expenses may be incurred or obligated.

Applicants are notified—Applicants are notified by letter as to the results of their application.

Contract agreements are executed—The AHTD and each applicant must execute a contract agreement

describing the terms and conditions of the grant.

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APPENDIX A - VEHICLE TYPES (Driver Included)

State Bid Estimated Base Item Vehicle Description Number Starting Cost*

Standard Vehicles without lift

1 Standard Minivan, 7 Passenger PT 10-0001 Ext #38 $25,063

2 Standard Van, 8 Passenger PT 10-0001 Ext #34 $22,358

3 Standard Van, 12 Passenger PT 10-0001 Ext #35 $25,537

4 (Executive top) Aisle Conversion Van, 13 Passenger PT 11-03 Item 1 $37,659

5 (High top) Conversion Van, 13 Passenger PT 11-04 Item 1 $46,428

6 Small Cutaway Bus, 14 Passenger PT 11-05 $45,223

ADA Accessible Vehicles

7 Minivan, Lowered Floor, w/Ramp 1/2 WC PT 11-01 $40,322

8 (Executive top) Aisle Conversion Van Rear Lift, 8/2 WC PT 11-03 Item 2 $40,720

9 (High top) Conversion Van, 9/1 WC PT 11-04 Item 2 $48,631

10 (High top) Conversion Van, 9/2 WC PT 11-04 Item 3 $49,273

11 Small Cutaway Bus, 11/1 WC PT 11-05 $47,773

12 Small Cutaway Bus, 9/2 WC PT 11-05 $48,343

Standard and ADA Accessible Buses (CDL Required)

13 Medium Cutaway Bus, 17 Pass. (gasoline engine) PT 11-06 Item 1 $47,792

14 Medium Cutaway Bus, 9/2 WC (gasoline engine) PT 11-06 Item 1 $50,108





Note: ADA accessible vehicles can seat additional individuals when wheelchair clients are not being transported. Example:

5/2 WC = 5 passenger and 2 wheelchair clients or

11/0 WC = 11 passenger and 0 wheelchair clients Note: Agencies are responsible for 20% of estimated base starting cost.

Page 15

Note: This is a sample picture for Item 1.

Item 1. 7-Passenger Standard Minivan

Item 1: 7-Passenger Standard Minivan Base Price: $25,063

(Agency’s 20% local match - $5,013)


Item 2. 8-Passenger Standard Van

Item 2: 8-Passenger Standard Van Base Price: $22,358



Item 3. 12-Passenger Standard Van

Item 3: 12-Passenger Standard Van Base Price: $25,537


Note: These are sample pictures for Items 4 and 8

.

Items 4, and 8. Aisle Conversion Van with Executive Top

Item 4: (Executive Top), 13-Passenger Van; Base Price: $37,659 (Agency’s 20% local match - $7,532)

Item 8: (Executive Top), 8/2 WC; Base Price: $40,720 (Agency’s 20% local match - $8,144)

Note: This is a sample picture for Items 5, 9 and 10.

Items 5, 9 and 10. Conversion Van with Transit High Top

Item 5: 13-Passenger Van, Base Price: $46,428 Item 9: 9/1 WC, Base Price: $48,631 (Agency’s 20% local match - $9,286) (Agency’s 20% local match - $9,726)

Item 10: 9/2 WC, Base Price $49,273 (Agency’s 20% local match - $9,855)

Note: These are sample pictures for Items 6, 11 and 12. Your vehicle will be solid white with no stripes or extra colors.

Items 6, 11 and 12. Small Cutaway Bus

Item 6: Small Cutaway 14-Passenger Bus Base Price: $45,223


Item 11: 11/1 WC Base Price: $47,773 Item 12: 9/2 WC Base Price: $48,343 (Agency’s 20% local match - $9,555) (Agency’s 20% local match - $9,669)


Item 7.

Ramp Van

Item 7: 6/0 WC, 2/1 WC,1/2 WC Base Price: $40,322 (Agency’s 20% local match - $8,064)

Note: These are sample pictures of items 13 and 14. Your vehicle will be solid white with no stripes or extra colors.

Items 13 and 14. Medium Cutaway Bus

Item 13: 17-Passenger Bus Base Price: $47,792


Item 14: 9/2 WC Base Price: $50,108 (Agency’s 20% local match - $10,022)



Item 15: 21-Passenger, Base Price: $51,600


Item 16: 13/2 WC, Base Price: $53,781 (Agency’s 20% local match - $10,756)



Item 17: 25-Passenger, Base Price: $54,348 (Agency’s 20% local match - $10,870)

Item 18: 19/1 WC or 17/2 WC, Base Price: $56,529 (Agency’s 20% local match - $11,306)

FISCAL YEAR 2013 Appl Combined 5316 5317.pdfdirected to Section Head - EEO/DBE (ADA/504/Title VI...

Documents

Transcript of FISCAL YEAR 2013 Appl Combined 5316 5317.pdfdirected to Section Head - EEO/DBE (ADA/504/Title VI...