OKI SECTION 5310 PROGRAMAPPLICATION AND INSTRUCTIONS

FFY 2016

The Section 5310 Transportation Program is authorized by theFederal Transit Administration

49 USC Section 5310CFDA 20.513

Table of Contents

Application Instructions...................................................................................1Application Certification...................................................................................2Section 1: Applicant Information......................................................................3Section 2: Coordination Efforts........................................................................3Section 3: Vehicle Requests.............................................................................4Section 4: Public/Private Section Participation and Involvement.....................5Attachment A: Applicant Information...............................................................6Attachment B: Verification of Unavailable, Insufficient or Inappropriate Transit..............................................................................................................7Attachment C: Certification of Project Derived from a Locally Developed, Coordinated.....................................................................................................8

Public Transit-Human Services Transportation PlanAttachment D: Project Description.................................................................10Attachment E: Project Management..............................................................11Attachment F: Table of Organization.............................................................12Attachment G: Audit......................................................................................13Attachment H: Local Match Certification.......................................................14Attachment I: Coordinating Agencies............................................................15Attachment J: Letters from Coordinating Agencies........................................16Attachment K: Current Vehicle Inventory......................................................17Attachment L: Vehicle Request Form.............................................................18Attachment M: Preventive Maintenance........................................................19Attachment N: Public Participation and Private Sector Involvement Documentation..............................................................................................21Attachment O: Title VI Data Collection Form.................................................22Attachment P: Title VI General Reporting Requirements...............................23Attachment Q: Civil Rights.............................................................................25Appendix 1: Vehicle Usage Calculations........................................................29Appendix 2: Sample Public Notice.................................................................30Appendix 3: Response to Public Notice Instructions......................................31

Application Instructions

This application is divided into four sections and each section has attachments that must be completed. The entire application must be completed to be considered for an award, with each attachment clearly labeled. At the end of the application are several appendices that will assist with certain sections. These appendices are not meant to be completed or submitted to OKI; the appendices are provided to assist with the preparation of the application.Public notice of your agency’s application must be completed by 09/18/15Applications must be submitted to OKI by 09/30/15.The following page is the certification of the application. This page must be signed in order for an application to be considered.Any questions regarding this application may be directed to Mark Paine at mpaine@oki.org or 513-621-6300 extension 111.Application Scoring Criteria and Points for Vehicle Requests

Components Returning Agencies

New Agencies

Access to Transportation and Need 15 15Management Capacity 10 15Vehicle Utilization Estimate 10 10Replacement Vehicles 10 10Expansion Vehicles 10 10Coordination Efforts 30 30Previous Use of Section 5310 Vehicles 10 N/AApplication Completeness 5 5New Agency Credit N/A 5Total 100 100

OKI reserves the right to contact any applicant to request further information regarding their organization, program or funding request.Application Scoring Criteria and Points for Non-Vehicle RequestsApplications for eligible Section 5310 projects that are not vehicles will be reviewed and scored by the Oversight Team comprised of representatives from private non-profit agencies, private companies providing public transportation and transit agencies in the Cincinnati urbanized area.The applications will be scored on a 100 point scale similar to that used for vehicle requests.Application Submission

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Applications should be submitted electronically to Mark Paine at mpaine@oki.org .

Application Certification

This certification must be filled out and signed by the president or director of the agency requesting funds to be considered for funding.For each attachment/table, check one box indicating that the information is completed and/or attached or the information is not provided/not applicable to this application.

Completed and/or

Attached

No/Not Applicable

to Application

Attachment/Table Name

Section 1: Applicant InformationAttachment A: Application InformationAttachment B: Verification of Unavailable, Insufficient or Inappropriate TransitAttachment C: Certification of Project Derived from a Locally Developed, Coordinated Public Transit – Human Service Transportation PlanAttachment D: Project DescriptionAttachment E: Project ManagementAttachment F: Table of OrganizationAttachment G: AuditAttachment H: Local Match Certification

Section 2: Coordination EffortsAttachment I: List of Coordinating AgenciesAttachment J: Letters from Coordinating Agencies

Section 3: Vehicle and Preventive Maintenance RequestsAttachment K: Current Vehicle InventoryAttachment L: Vehicle Request FormAttachment M: Preventive Maintenance Request

Section 4: Public/Private Attachment N: Public Participation and Private Sector Involvement DocumentationAttachment O: Title VI Data Collection FormAttachment P: Title VI General Reporting RequirementsAttachment Q: Civil Rights

Authorizing Signature: Printed Name: Title:

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Organization: Date:

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Section 1: Applicant Information

Attachment A: Applicant Information Fill out the provided attachment

Attachment B: Verification of Unavailable, Insufficient or Inappropriate Transit

If you indicated previously that there is a public transit system in the service area where your project will operate, you must include a letter from the transit system explaining how your two agencies will work together or verifying the transit system’s inability to meet your clients’ needs. Please label this letter “Attachment B”. If you indicated there is not a public transit system in your service area, you do not need to provide an Attachment B.

Attachment C: Certification of Project Derived from a Locally Developed, Coordinated Public Transit-Human Services Transportation Plan

Fill out and sign the provided attachment.Attachment D: Project Description

Use the provided attachment to describe your organization and program. This narrative should be limited to two pages.

Attachment E: Project Management Use the provided attachment to describe your agency’s ability to

manage the project.Attachment F: Table of Organization

If your agency has a table of organization/organizational chart, please provide it and label as “Attachment F”.

Attachment G: Audit Provide a copy of your most recent audit and label as

“Attachment G”.Attachment H: Local Match Certification

Fill out and sign the provided attachment.

________________________________________

Section 2: Coordination EffortsAll applicants are expected to coordinate with other federally funded agencies to the maximum extent possible. This includes OKI funded projects

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and includes Job Access Reverse Commute (JARC) projects, New Freedom projects, Mobility Management projects and other Section 5310 projects.Attachment I: Coordinating Agencies

Use the provided attachment to list all the agencies with whom you coordinate and how you will coordinate with them, specifically detailing how this coordination results in transportation efficiencies.

Attachment J: Letters from Coordinating Agencies A letter must be provided from each agency listed in your

application confirming any current and ongoing coordination efforts. Letters must be submitted together, as one attachment, labeled “Attachment J”.

________________________________________

Section 3: Vehicle and Preventive Maintenance RequestsThis section is used to request vehicle(s) under the Section 5310 program. The OKI Section 5310 program will purchase vehicles off the State of Ohio contracts; the link below lists the currently available vehicles. Ohio Department of Transportation Vehicle Selection Guide:http://www.dot.state.oh.us/Divisions/Planning/Transit/Documents/Programs/Specialized/VehicleCatalogAndSelectionGuide.pdf

Please note that Converted Vans (CV) are no longer available as of 12/31/13.

ODOT does not have a state-term contract for the Standard Minivan (SMV).

Available Vehicle TypesMMV Modified Minivan LTV

22’Light Transit Wide Body

DMV Dedicated Mobility Vehicle (MV-1)

LTV 25’

Light Transit Wide Body

LTN Light Transit Narrow Body

Attachment K: Current Vehicle Inventory Complete the provided worksheet as shown in the provided

example. List all vehicles your agency uses to provide transportation (do not include service vehicles).

Attachment L: Vehicle Request Form Fill out the provided attachment. Please see Appendix 1 for further

information on calculating this information.

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Attachment M: Preventive Maintenance Provide documentation of estimated cost, including eligible vehicle

list and number and type of preventive maintenance items requested.

Section 4: Public/Private Section Participation and InvolvementAll applicants must ensure public participation and private sector involvement to the maximum extent feasible as well as exhibit their willingness to coordinate with other agencies. Documentation of these efforts must be provided to OKI with your application, or as soon as it is possible. See this section’s attachments for required documentation. Your agency must respond to any public participation private sector involvements or inquiries received. Use Appendix 3 for information to assist in your response.Section 501 (C) (3) nonprofit applicants must:

Publish a public notice in the local newspaper with the widest circulation no later than two weeks prior to the application due date. See Appendix 2 for the required content of the public notice.OR

Send a letter to other human service, non-profit agencies and private providers operating or located within the area to be served by the project no later than two weeks prior to the application due date.

Section Attachments:

Attachment N: Public Participation and Private Sector Involvement Documentation

All of the documentation listed below must be attached to the application and be clearly labeled “Attachment M”

o Affidavit of publication and original public noticeo Dated copy of letter mailed to area agencies (501(c)(3))o Correspondence resulting from notice (if none, please

indicate)Attachment O: Title VI Data Collection Form

Fill out the provided attachmentAttachment P: Title VI General Reporting Requirements

Fill out the provided attachment. If you have the following documentation, include it with this attachment:

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o Title VI Notice to the Publico Title VI Complaint Procedureso Title VI Complaint Formo Language Assistance Plan

Attachment Q: Civil Rights Sign the provided attachment

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Applicant:

Attachment AApplicant Information

Legal Name of Agency:

Doing Business As (if applicable):

Full Address:

Phone Number: Fax Number:

Agency Email:

Contact Person for Application:

Phone Number: Fax Number:

Email:

Federal Tax ID: DUNS#: OH Charter #:

There is a public transit system in my area

There is not a public transit system in my area

Service Area (primary area project will serve):

Service Area Population:

Destinations of trips outside of primary service area:

New applicants: Please fill out the below table with references from up to three of your current funders. By filling out this table you are allowing OKI to contact these references.

Name Organization Phone Number Email

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Applicant: _____

Attachment BVerification of Unavailable, Insufficient or Inappropriate Transit

If you indicated in Attachment A that there is a public transit system in your area, you must include a letter from the transit system either explaining how your two agencies will work together or verifying the transit system’s inability to meet your clients’ needs. Please label this letter “Attachment B”. If you indicated that there is not a public transit system in your area, you do not need to provide an Attachment B.

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Applicant: _____

Attachment CCertification of Project Derived from a Locally Developed,

Coordinated Public Transit-Human Services Transportation Plan

I, (name of authorized authority) ___________________________________, do hereby certify that the project named (project name) ___________________________ is derived from the Locally Developed, Coordinated Public Transit-Human Services Transportation Plan for the OKI Region, prepared and lead by the Ohio-Kentucky-Indiana Regional Council of Governments and adopted on April 23, 2012 by the OKI Executive Committee. The plan was developed through a process that included representatives of public, private, and non-profit transportation and human services providers and participation by members of the public. This project, derived from the list of projects on page(s) ______ of the plan does does not address one or more of the identified gaps between current services and needs. This project does does not fulfill one or more of the plan’s priorities for implementation, as listed on page(s) _________ of the plan. The page(s) from the plan included as an attachment to this certification and the narratives on the next two pages are incorporated into this self-certification by reference.

Authorizing Signature: Printed Name: Title: Organization: Date:

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Justification for and supporting details about the above statements:

Describe the most recent locally developed, coordinated public transit-human services transportation planning process used. List the representatives of public, private and nonprofit transportation and human services agencies that were involved. Provide details on public outreach efforts.

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Applicant: _____

Attachment DProject Description

New Applicants: Use the space provided to give a brief description of your project, making sure to address the below points. Please limit this narrative to the space provided below. Be concise, we are only looking for a short summary.

Current Funding Project Goals. Goals should be SMART. Specific, Measureable,

Attainable, Relevant and Time-Bound Use of requested vehicles/equipment

Returning Applicants: Use the space provided to give a short update on your program, noting any change since your last application. Please limit this update to the space provided below. Be concise, we are only looking for a short summary.

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Applicant: _____

Attachment EProject Management

New Applicants: Use the space provided to give a brief description of your structure, making sure to address the below points. Please limit this narrative to the space provided below. Be concise, we are only looking for a short summary.

Governing Structure Organizational Structure

Returning Applicants: Use the space provided to give a short update on your structure, noting any changes since your last application. Please limit this update to the space provided below. Be concise, we are only looking for a short summary.

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Applicant: _____

Attachment FTable of Organization

If your agency has a table of organization/organizational chart, please provide it, labeling it “Attachment F”.

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Applicant: _____

Attachment GAudit

Provide a copy of your most recent audit, labeling it “Attachment G”.

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Applicant: _____

Attachment H Local Match Certification

I, the undersigned, representing _______________________________________ (Legal Name of Agency), do hereby certify to the Ohio-Kentucky-Indiana Regional Council of Governments that the required local match for the proposed project will be available in the following amount(s), from the following source(s) by the start date of the proposed project. Up to 5 vehicles may be requested along with other eligible projects

Requested Items QtyTotal Cost(estimatio

n)

Federal Share (80%)

Local Share (20%)

Local Funding Source(s)(be specific)

All vehicle requests must fill out a vehicle pricing spreadsheet from the Ohio Department of Transportation Vehicle Terms Contract website (link below) See Attachments L. One spreadsheet per vehicle requested. Cost estimate should include vehicle base price plus all optional equipment requested. Pricing estimate should match figures shown above.

http://www.dot.state.oh.us/Divisions/ContractAdmin/Contracts/Lists/PurchaseCurrentContracts/CoOp.aspx?FilterField1=Supt%5Fx0020%5FOffice&FilterValue1=Public%20Transportation

Authorizing Signature: Printed Name: Title: Organization:

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Date: Applicant: _____

Attachment ICoordinating Agencies

Provide a list of all agencies you currently coordinate with. For each agency, please tell us how you coordinate with them, specifically noting how this coordination results in transportation efficiencies. Please limit this information to the space provided below.

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Applicant: _____

Attachment JLetters from Coordinating Agencies

A letter must be provided from each agency listed confirming any current and ongoing coordination efforts. Letters must be submitted together, as one attachment, labeled “Attachment J”.

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Applicant: _____

Attachment KCurrent Vehicle Inventory

Complete the information on the table below for each vehicle used to transport passengers, listing replacement vehicles first whether or not your agency is applying for vehicle(s) with this application. An example is provided in the first row.

Make ModelYea

r

VIN (Last 6 digits, current 5310

vehicles)

Replacement: Yes/No

Passenger capacity

ambulatory or

wheelchair positions

Mileage

Date Purchased/ Leased

Total one-way passeng

er trips/yea

r

12-month maintenance repair

costsEl Dorado

Ford 350

2003

654321

Yes 5-2 150,000

6/1/01 2,222 $4,000

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Applicant: _____

Attachment LVehicle Request Form—if applying for vehicle(s)

Please find currently available vehicles at the below link.

Vehicle Selection Guide:http://www.dot.state.oh.us/Divisions/ContractAdmin/Contracts/Lists/PurchaseCurrentContracts/CoOp.aspx?FilterField1=Supt%5Fx0020%5FOffice&FilterValue1=Public%20Transportation

*Please note that converted vans (CV) are no longer available as of 12/31/13.

Available Vehicle TypesMMV Modified Minivan LTV

22’Light Transit Wide Body

DMV Dedicated Mobility Vehicle (MV-1)

LTV 25’

Light Transit Wide Body

LTN Light Transit Narrow Body

Fill out the table below. You may only apply for up to five vehicles. Please see Appendix 1 for further information on calculating this information.

Complete one column for each requested vehicle

VEH 1

VEH 2

VEH 3

VEH 4

VEH 5

Type of vehicle requestedNumber of days per week vehicle will be operatedEstimated passenger trips to be provided per year*Estimated mileage per yearEstimated hours per yearReplacement or new?

*Passenger trips: A trip is counted every time a passenger boards a vehicle. For example, 10 people in one vehicle going to and from a location equals 20 passenger trips.

All vehicle requests must fill out a vehicle pricing spreadsheet from the Ohio Department of Transportation Vehicle Terms Contract website (link above) and label as Attachment L. One spreadsheet per vehicle requested. Cost estimate should include vehicle base price plus all optional equipment requested. Pricing estimate should match figures in Attachment H.

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Applicant: Attachment M

Preventive Maintenance Request—if applying

1) Request for preventive maintenance limited to Section 5310 vehicles

o Documentation of vehicle’s eligibilityo Document number of type of preventive maintenance

items requested in application—use vehicle manufacturer’s guide or other similar document

o Estimate of total cost per vehicle and total for fleet—attach as documentation. Total cost and federal/local breakdown should be shown in Attachment H.

o Section 5310 funding covers 80% cost of preventive maintenance

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Attachment M (continued)Sample Preventive Maintenance Guide

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Applicant: _____

Attachment NPublic Participation and Private Sector Involvement Documentation

All of the documentation listed below must be attached to the application and be clearly labeled “Attachment N”.

Affidavit of publication and original public notice Dated copy of letter mailed to area agencies (501(c)(3)) Correspondence resulting from notice (if none, please

indicate)

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Applicant: _____

Attachment OTitle VI Data Collection Form

Purpose: The FTA requires OKI and transit systems to provide certain types of demographic information in order to determine the number of minority persons served in its transit service area. OKI has determined it is necessary to collect this data in the form of transit clients served.

Please complete the form using the number of transportation clients served. An individual client may be reported as both a low-income and minority client. Only report the transit system’s clients served. DO NOT report US Census percentages or passenger trips. Use your client database to determine the number of low income and/or minority clients. Use agency contract data if available. If you don’t have that information, provide your best estimate and footnote how you arrived at that estimate at the bottom of the page. Please use 2013 data.

For more information concerning Title VI requirements go to Title VI Circular 4702.1B, “Title VI Requirements and Guidelines for FTA Recipients”:http://www.fta.dot.gov/civilrights/12328.html

Transportation Clients

ServedCategory

Low-Income means a person whose median household income is at or below the Department of Health and Human Services’ poverty guidelines.Minority Persons include the following:American Indian and Alaska Native, which refers to people having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment.Asian, which refers to people having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent.Black or African American Populations, which refers to people having origins in any of the Black racial groups of Africa.Hispanic or Latino Populations, which includes persons of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.Native Hawaiian and Other Pacific Islander, which refers to

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people having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

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Applicant: _____

Attachment PTitle VI General Reporting Requirements

Please provide responses to each of the questions listed below. If you have supporting documentation, please simply state see documentation.

Describe the procedure for investigating and tracking Title VI complaints filed against the agency. Is this procedure available to members of the public on request?

Describe the mechanism for disseminating this information to the public. Provide a summary of public outreach and involvement activities undertaken and a description of the steps taken to ensure minority, low-income and Limited English Proficiency populations have meaningful access to these activities.

Provide a list of all active lawsuits or complaints against your organization alleging discrimination based on race, color, or national origin with respect to service or other transit benefits. Each lawsuit or complaint must include the date of the investigation, lawsuit or complaint was filed, a summary of the allegations, the status of the investigation, lawsuit or complaint and actions taken in response to the investigation, lawsuit or complaint and actions taken in response to the investigation, lawsuit or complaint.

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Do you have a mechanism in place to ensure meaningful access to the benefits, services, information and other important portions of your programs and activities for individuals who are Limited English Proficient?

Summarize all civil rights compliance reviews conducted by other local, state or federal agencies during the past three years. (This question is for the applicant, which includes the entire agency, or if a government entity, the county or city.)

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Applicant: _____

Attachment QCivil Rights

The subrecipient agrees to comply with all civil rights statutes and implementing regulations including, but not limited to, the following:

a. Nondiscrimination in Federal Transit Programs . The subrecipient agrees to comply with the provisions of 49 U.S.C. 5332. These provisions prohibit discrimination on the basis of race, color, religion, national origin, sex, age and disability, and prohibit discrimination in employment or business opportunity.

b. Nondiscrimination on the Basis of Disability . The subrecipient agrees to comply with the applicable laws and regulations, discussed below, for nondiscrimination on the basis of disability.

1) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. 794), prohibits discrimination on the basis of disability by recipients of federal financial assistance.

2) ADA, as amended (42 U.S.C. 12101 et seq.), prohibits discrimination against qualified individuals with disabilities in all programs, activities, and services of public entities, as well as imposes specific requirements on public and private providers of public transportation.

3) DOT regulations implementing Section 504 and the ADA include 49 CFR parts 27, 37, 38 and 39. Among other provisions, the regulations specify accessibility requirements for the design and construction of new transportation facilities and vehicles; require that vehicles acquired (with limited exceptions) be accessible to and usable by individuals with disabilities, including individuals using wheelchairs; require public entities (including private entities “standing in the shoes” of a public entity as a subrecipient or under a contract or other arrangement) providing fixed-route service to provide complementary paratransit service to individuals with disabilities who cannot use the fixed-route service; and include service requirements intended to ensure that individuals with disabilities are afforded equal opportunity to use transportation systems.

4) Providers of demand responsive service must utilize accessible vehicles, as defined at 49 CFR 37.7 or meet the applicable equivalent service standard. For private and public entities, the

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service must be equivalent in regard to schedules, response times, geographic areas of service, hours and days of service, availability of information, reservations capability, constraints on capacity or service availability and restrictions based on trip purpose.

5) Providers of fixed-route service must generally utilize accessible vehicles. Private entities may utilize nonaccessible vehicles if they can provide equivalent service in terms of schedules and headways, in addition to the equivalent service requirements described above for demand responsive service. Public entities must also provide complementary paratransit service to fixed-route service as defined in 49 CFR 37.121.

6) In addition, subrecipeints of any FTA funds should be aware that they also have responsibilities under Titles I, II, III, IV and V of the ADA in the areas of employment, public services, public accommodations, telecommunications, and other provisions, many of which are subject to regulations issued by other federal agencies.

c. Nondiscrimination – Title VI . The subrecipient agrees to comply with all of the following requirements under Title VI of the Civil Rights Act of 1964.

1) Title VI of the Civil Rights Act of 1964, as amended (42 U.S.C. 2000d et seq. ) , provides that no person in the United States shall, on the ground 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.

2) U.S. DOT regulations, “Nondiscrimination in Federally-Assisted Programs of the Department of Transportation—Effectuation of Title VI of the Civil Rights Act,” 49 CFR part 21.

3) FTA Circular 4702.1B “Title VI Requirements and Guidelines for Federal Transit Administration Recipients.” This document provides FTA recipients and subrecipients with guidance and instructions necessary to carry out DOT Title VI regulations (49 CFR part 21), and DOT Policy Guidance Concerning Recipient’s Responsibilities to Limited English Proficient (LEP) Persons.

4) U.S. DOT Policy Guidance Concerning Recipients’ Responsibilities to Limited English Proficient (LEP) Persons (70 FR 74087, December 14, 2005). This guidance clarifies the responsibilities of recipients of federal financial assistance from DOT and assists them in fulfilling their responsibilities to LEP persons, pursuant to Title VI of the Civil Rights Act of 1964 and Executive Order 13166.

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5) FTA Circular 4703.1 “Environmental Justice Policy Guidance for Federal Transit Administration Recipients.” This document provides FTA recipients and subrecipients with guidance and instructions necessary to carry out U.S. DOT Order 5610.2 to Address Environmental Justice in Minority Populations and Low-Income Populations and Executive Order 12898 on Environmental Justice that describes the process that the Office of the Secretary of Transportation and each operating administration will use to incorporate environmental justice principles into existing programs, policies and activities.

6) U.S. DOT Order to Address Environmental Justice in Minority Populations and Low-Income Populations. DOT Order 5610.2 describes the process that the Office of the Secretary of Transportation and each operating administration will use to incorporate environmental justice principles (as embodied in Executive Order 12898 on Environmental Justice) into existing programs, policies and activities.

d. Equal Employment Opportunity . The subrecipient agrees to comply with all equal employment opportunity (EEO) requirements of Title VII of the Civil Rights Act of 1964, as amended (42 U.S.C. 2000e) and with 49 U.S.C. 5332 and any implementing regulations DOT may issue.

e. Nondiscrimination on the Basis of Sex . The subrecipient agrees to comply with all applicable requirements of Title IX of the Education Amendments of 1972, as amended (20 U.S.C. 1681 et seq.) with DOT implementing regulations, “Nondiscrimination on the Basis of Sex in Education Programs or Activities Receiving Federal Financial Assistance,” 49 CFR part 25.

f. Nondiscrimination on the Basis of Age . The subrecipient agrees to comply with all applicable requirements of the Age Discrimination Act of 1975, as amended (42 U.S.C. 6101 et seq.), and Department of Health and Human Services’ implementation regulations, “Nondiscrimination on the Basis of Age in Programs or Activities Receiving Federal Financial Assistance” (45 CFR part 90), which prohibit discrimination against individuals on the basis of age. In addition, the recipient agrees to comply with all applicable requirements of the Age Discrimination in Employment Act (ADEA), 29 U.S.C. 621 through 634, and Equal Employment Opportunity Commission (EEOC) implementing regulations, “Age Discrimination in Employment Act” (29 CFR part 1625), which prohibit employment discrimination against individuals on the basis of age.

g. Disadvantaged Business Enterprise (DBE) . To the extend required by federal law, regulation or directive, the subrecipient agrees to take the following measures to facilitate participation by DBEs:

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1) The subrecipient agrees and assures that it will comply with MAP-21 Section 1101(b) (23 U.S.C. 101 note), which directs the Secretary of Transportation to expend not less than 10 percent of authorized federal funds with DBEs. This 10 percent national goal is aspirational and is used by DOT to help monitor and evaluate DBE participation in DOT-assisted contracting opportunities.

2) The subrecipient agrees and assures that it will comply with DOT regulation “Participation by Disadvantaged Business Enterprises in Department of Transportation Financial Assistance Programs,” 49 CFR part 46. Among other provisions, this regulation requires certain recipients of DOT federal financial assistance, namely state and local transportation agencies, to establish goals for the participation of disadvantaged entrepreneurs and certify the eligibility of DBE firms to participate in their DOT-assisted contracts.

3) The subrecipient agrees and assures that it shall not discriminate on the basis of race, color, sex or national origin, in the award and performance of any third party contract or subagreement supported with federal assistance derived from DOT, or in the administration of its DBE program, and will comply with the requirements of 49 CFR part 26 to ensure nondiscrimination in the award and administration of all third party contracts and subagreements supported with federal assistance derived from DOT. As required by 49 CFR part 26 and approved by DOT, the subrecipient’s DBE program is incorporated by reference and made part of the grant agreement or cooperative agreement. The subrecipient agrees that implementation of this DBE program is a legal obligation and that failure to carry out its terms shall be treated as a violation of the grant agreement or cooperative agreement. Upon notification by DOT to the subrecipient of a failure to implement its approved DBE program, DOT may impose sanctions as provided for under 49 CFR part 26 and may, in appropriate cases, refer the matter for enforcement under 18 U.S.C. 1001, and/or the Program Fraud Civil Remedies Act, (31 U.S.C. 3801 et seq).

For further guidance, refer to the federal laws, regulations and executive orders cited in this chapter. FTA’s regional civil rights officers or headquarters civil rights staff will also provide current guidance upon request.

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Authorizing Signature: Printed Name: Title: Organization: Date:

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Appendix 1Vehicle Usage Calculations—if applying for vehicle(s)

Using an outline mapping program (Google, MapQuest, etc.), enter your agency’s address or vehicle starting point. Using addresses of clients or expected clients, map out a proposed vehicle route. If there are several clients to be picked up, add the mileage from the vehicle starting point to the first client’s address. Map the route from the first address to the second client’s address and keep repeating until the vehicle reaches its final destination. See the table below for an example.

Adding the mileage and time between each stop will give an approximate estimate of the daily mileage and the time required to complete the trip. Calculate this information for each vehicle trip. Include at least five minutes for boarding ambulatory and 10 minutes for non-ambulatory passengers. If the vehicle will return using the same route but in reverse, double the time and mileage. If it will be using a different route, repeat the procedure above. Only include hours that your agency will be using the vehicle for this application.

Stops MilesDrive Time

(min)

Boarding Time(min)

Total Time (min)

Clients picked up (LTV-16-2)

Agency to Stop 1 45 60 60Stop 1 to Stop 2 6 9 5 14 2Stop 2 to Stop 3 5 8 5 13 1Stop 3 to Stop 4 6 9 10 19 3Stop 4 to Stop 5 10 11 10 21 2Stop 5 to Stop 6 10 11 5 16 1Stop 6 to FinalDestination

9 13 5 19 7

Subtotal 85 121 40 153 16Return trip(the same as above for this example)

85 121 40 153 16

Total Daily Usage 170 Miles

242 min/4 hours

80 min 306 min/ 5hours

32 trips

In order to estimate trips for the year, you must first calculate the number of vehicle operating days:

For an agency that operates 5 days per week and picks up the same people each day:

(5 days x 52 weeks) – 6 holidays = 254 operating days

You can then calculate the following for each vehicle:Per Day # of Days Yearly Total

Trips 32 254 8,128

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Miles 170 254 43,180Hours 5 254 1,270

Appendix 2Sample Public Notice

The (name of agency exactly as it appears in the Articles of Incorporation) which is a (private nonprofit corporation or public body) intends to submit a Proposal for a capital grant under the provision of 49 USC Section 5310 of the Federal Transit Act to provide transportation service for the elderly and disabled within (describe agency service area and specific routes). The grant Proposal will request (describe the eligible item(s) requested).

It is projected that (number and type of persons to be transported) will use the service (number of days/weeks) for various activities, including transportation to (types of activities).

The (name of agency) invites comments and proposals from all interested public, private and paratransit operators including taxi operators, for the provision of transportation service to the elderly and disabled within our service area.

Operators who are interested in offering proposals to provide service should contact (name of person, title) at (agency name and address) to obtain full details of the type of transportation service that is needed prior to preparing the proposal.

Written comments or proposals must be submitted within 30 days to the agency at the above address with a copy to the Ohio-Kentucky-Indiana Regional Council of Governments, 720 East Pete Rose Way, Suite 420, Cincinnati, Ohio 45202; Attention: Section 5310 Program Manager.

The above information should be provided to all public transit systems in your area.

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Appendix 3Response to Public Notice Instructions

Should another agency submit a proposal to provide the transportation service proposed in the application, the applicant must:

1. Provide the interested party with all pertinent information such as: Number of characteristics of clientele to be served Number of non-ambulatory clients Origins and destinations of clients and routes to be served Schedules of desired service (e.g. time, days and special

handling of clients required) Number of wheelchair positions on vehicle Radio base station power output/watts Frequencies at which you operate Insurance requirements Other information as appropriate

2. Review any resulting proposals and consider: Full cost of service (including vehicle depreciation) Quality of service Passenger satisfaction Comfort and safety (including driver competence and training) Degree of protection to the public (including liability insurance) Reliability of service, including vehicle maintenance Amount of applicant’s agency staff time (excluding drivers’ time)

that must be devoted to transportation activities Any other time that the applicant feels are pertinent

3. Analyze the proposal, considering the above criteria, and make a recommendation.

4. Provide OKI a copy of the proposal, the proposed recommendation and adequate documentation supporting the applicant’s decision.

5. Include a copy of the proposal and any resulting contracts or correspondence in the application.

OKI will review the proposal and the applicant’s recommendation. While the applicant’s comments and recommendations are taken into consideration, OKI reserves the right to make final decisions on the acceptance or rejection of any proposal.

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