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S Grant - NC Community Transportation Program CTP Administrative & Capital Grant Application 2008-2009
~ • S-,?moo ~ Sq I~IORTH CAROLIItiIA D~PARTM~ItiIT O~ 7yRAl~iSPORTATIOI~i ~ ~~~ ~~' ~~ ~'~ , F"Y 2008 ~ 2009 COMMUI~IITY ~TRA1tiISPORTATIOItit PROGRAM APPLIGATIOI~I OcTOB~R 2007 NORTH CAROLINA DEPARTMENT OF' TRANSPORTATION PUBLIC TRANSPORTATION DIVISION T 550 MAIL SERVICE CENTER 1 S. WILMINGTON STREET RALEIGH, NC 27699 OVERVIEW Background The Federal Transit Administration, on the behalf of the Secretary of Transportation, apportions appropriated Section 5310 and 531 I funds annually to the Governor of each state for public transportation projects in non-urbanized areas. The Governor of North Carolina, in accordance with the Urban Mass Transportation Act of 1964, as amended, designated the Department of Transportation (NCDOT) Public Transportation Division (PTD) as the agency to receive and administer federal and state public transportation funds. The NCDOT (G.S. 136-44.20) is the recipient of all Section 5310 and 5311 funds and the Community Transportation Program applicant is the sub-recipient. The Public Transportation Division shall have principal responsibility and authority for the administration of Sections 5310 and 5311 Programs, and shall administer the programs in accordance with the guidance published by the Federal Transit Administration (FTA Circulars 9070.1F and 9040.1F) and in accordance with existing Federal and State regulations pertaining to the administration of Federal grants by the North Carolina Department of Transportation. NCDOT incorporates the Federal Section 5311, State Rural Capital Program (includes vehicles and related equipment, facility improvements and advanced technology), and Human Service Transportation Management Program into a single CTP funding application. Timetables Application _ Action Items Due Dates _._.J_..--~-•---------------._...__..._.._._._._ ..................._....._.._.._...._...-._---.._...---- ----- ----..._....._._....._......_..__......__.........._._.__......_...... Application package distributed October 30, 2007 _:.....__?`.l?Plication due to PTD .....__..._ .~__. _ ........_.-._-.-. -. -.----.........._-. _-. -.--.---.._Januar_y 31_,_2008._....._..._...__......_ ................__.._.._ _. _ .... _ ^ Administrative & Capital Program of Projects May 2008 presented to the NC Board of Transportation _ _ _ _ _ _ Reports Documents Due Dates ^ PTMS .December 31, 2007 • Federal/State Certifications &Assurances*. _ January 31, 2008 _;_ __ _ __ _ ^ Attorney Affirmation January 31, 2008 ^ 5333(b,~ Labor Warranty_..._._....__.........-.-- - -.-_.._..---.._.._.._.._..__....__.._.__.._.._.._........_..___......._..._...._..-January 31, 2008 ._.._ .............._..........__..__... ELIBILITY Applicant North Carolina's coordinated approach to service delivery currently allows only a single applicant (sub- recipient) for CTP funding within a county or group of counties. Applicants must maintain a minimum level of coordinated transportation services to be eligible to receive public transportation assistance through the CTP program. The minimum level must be illustrated beyond vehicle sharing unless documented local conditions Flearlyprnhibits greater coordinating opportunities_ Each transportation_ ____.--- oeietee': system will have a Transportation Advisory Board (TAB) approved by the applicant's governing body. The approved TAB should consist of representatives from the following populations .Cuwweeted numher by eatenorv 3-4 1-2 4-S 4-5 Public Human r Public and Business Governmental and Quasi- - :Service A' env Private Sector Sectors Governmental A envies ^ Aging Private Private MPO ^ DSS transportation Transit user RPO ^ Vocational providers Racial minority Non-Profit organizations Rehabilitation Intercity bus Ethnic minority Economic Development providers Working citizen Employment Security Commission Retired citizen Job Link and/or Career Centers ^ Faith based Communit Business ^ Chamber of Commerce ^ Major employers ^ Service sector em to ers NOTES ^ PTD expect, at a minimum, quarterly TAB meetings for the community transportation system to maintain ongoing communications as one means of seeking public involvement, and ongoing administrative oversight ^ If the organization serves as an "umbrella" agency for programs in addition to transportation services, then the Executive or Governing Board may not serve as the Transportation Advisory Board. There may be overlapping of members from the Executive or Governing Board, but there must be a separate Transportation Advisory Board Regulatory Compliance All projects must annually meet all Federal/State requirements prior to July 1, the beginning of the project period and State fiscal year, to be eligible for reimbursement of Federal funds for the entire project period. Applicants that do not meet federal and state requirements are not eligible to receive reimbursement for expenses incurred prior to the effective date of compliance. The NCDOT will not award any financial assistance until the applicant provides assurance of compliance and it has been determined that federal and state requirements are met. The following documents must be completed and returned as part of the CTP applica Some documents must be signed by theAuihorized Ol>lcia! as indicated Some documents must be sealed as indicated on the form Authorizing Resolution Each applicant will accurately complete and submit with its grant application a board approved Community Transportation Program or Human Service Transportation authorizing resolution. The Community Transportation Program Resolution is for Federal and State funded projects that provide general public transportation, while the Human Service Trans ortation Resolution is for those ro'ects that rovide onl human service trans ortation. Certifications and In accordance with 49 U.S.C. 5323(n), Certifications and Assurances have been compiled for Assurances, Attorney's the North Carolina Community Transportation Program. NCDOT requires sub-recipients to Affirmation, and certify to all applicable categories. 5333(6) Labor Title VI Certification Recipients of FTA and State funds must comply with Title VI bf the 1964 Civil Rights Act; Section 601. Title VI states 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 faancial assistance." ^ Additional federal information may be found at: htt~//www.fta.dot.gov and view the Civil Ri hts and Accessibili section to access the ro osed than es in Circular 4702..1 A Disadvantaged All recipients and sub-recipients of grant funds from the FTA and/or the State of North Rzrsiness Enterprise Carolina must participate in the DBE Program/MinorityBuslness Enterprises (MBE) Program. 1E) Certi tcation DBE Pro ram information ma be found at htt s://a s.dot.state.nc.us/vendor/director /. . ,~blic Hearing Notice As part of the CTP application, a public hearing must be held in front of the applicant's governing body. The transit system must document efforts to inform the public includin minority, women, elderly, disabled Limited Enelish Proficiency and low income individuals) Public Nearing/Public Upon request, the applicant must hold a public hearing on the proposed project to allow Hearing Minutes members of the community the opportunity to comment on transportation needs and the grant application. If requested, the public hearing will be held before the governing agency. ^ County Commissioners -public entity Board of Directors -non-profit entity ^ Authority Board of Directors or Executive Board - ublic trans ortation authori Public Hearing A detailed description of public hearing outreach efforts by the applicant to inform the public Outreach (including minority, women, elderly, disabled, Limited English Proficiency (LEP), and low income individuals) about the public hearing to comment on the Community Trans ortation Grant a lication. Local Share The Legal Applicant must certify to the North Carolina Department of Transportation that the Certification for required local funds for the FY2009 Community Transportation Program will need to be made Fzmding available as of July 1, 2008 for FY2009, which has a period of performance of July 1, 2008 - June 30, 2009. Information All approved applicants for Federal Section 5311 funding provided through the Community Transportation Program must provide verification of all private transportation providers in their service area. FUNDING AND MONITORING The PTD supports community transportation systems in fulfilling the transportation needs of each community by providing Administrative, Capital, and Operating funding assistance programs. The Division has sought increased state funding in these key areas to assist in meeting the goals and policy objectives of the Community Transportation Program. Community Transportation Systems will be eligible to receive these funding assistance programs if the policy requirements of the Community Transportation Program are met. Not to exceed Budget Category _ .................................................... _ ..,...._...........-----... - Local Share Federal State ADMINISTRATION 80% 5% 15% CAPITAL 80% 10% 10% .............................. -........-. .............gY..............-........_................. _.. • Technolo _.................................... ... 80% .........__._............._.-. 10% ....... 10% ^ Facilities 80% 10% 10% OPERATING (net) 50% 50% Funding Allocation -All community transportation systems are required to utilize the Uniform Public Transportation Accounting System (UPTAS) for allocation and reporting of funds in eligible cost categories. The governing board determines how to allocate the maximum amount of funds for which they are eligible, to meet the transportation needs of the service area for the fiscal year. The administrative funding (with the exception of indirect cost, vehicle insurance, marketing, and employee development) allocated to the system can be budgeted at the discretion of the system, utilizing eligible UPTAS cost categories (Object Codes). Indirect Cost Plans -Under Federal and State funded grant programs, recipients may incur costs of both a direct and indirect nature. Sub-recipients who seek federal or state funding for indirect costs must have an approved indirect cost plan (cost allocation plan) and an approved indirect cost rate. A cost allocation plan is required if a grantee desires to charge indirect program-related costs. The Public Transportation Division requires each sub-recipient requesting central services (indirect costs) in their CTP budget to submit a copy of their most recently audited cost allocation plan and obtain an approved indirect cost rate prior to submitting their grant application. Indirect cost is an eligible operating expense for small urban, regional transportation systems and urban/rural consolidated transportation systems. Grantees must have an approved cost allocation plan and indirect cost rate prior to submitting their grant application. Program Auditing -The Public Transportation Division is responsible for providing sufficient program monitoring and oversight to ensure that FederaVState funds are used for the intended purpose. This is accomplished through various on site program monitoring and evaluation tools including but not limited to: Drug and Alcohol, Safety and Training, and Financial Management Reviews. In addition, the Community Transportation Program is subject to the OMB A-133 single audit requirement. The department's External Audit Branch periodically conducts site visits to audit expenditures of the local Community Transportation Grant program subrecipient. ASSISTANCE PROGRAMS Administrative Applicants are expected to carefully consider administrative budget requests submissions. A careful review of actual Iine item expenditures over the past 2-3 years should play an integral role in determining current budget request. PTD staff will carefully review the CTP application for justification and documentation of increased administrative cost above last year's amount. PTD reserves the right to decrease the FY08-09 administrative allocation for those applicants that have significant unexpended administrative funds over the past two fiscal years and for budget line costs that appear excessive. Vehicle insurance is an allowable administrative expense in the CTP application. Only revenue vehicles are eligible for vehicle insurance cost participation by PTD. The applicant will be required to submit the following documentation that will be used to determine the PTD financial participation level for vehicle insurance: • Certificate of Insurance -verifying liability limits, and the deducible amount, ^ Auto Schedule -verifying the vehicles insured and cost associated with insuring vehicles at the required levels. The PTMS can not be used as a substitute for the Auto Schedule. The applicant should request this information from their insurance provider. PTD will cap reimbursement to the federal and state share of 85% of annual premium cost, up to a maximum annual premium cost of $2,500 per revenue vehicle. Employee Development -These funds are intended to support training and development activities of community transportation systems. Funds may only be used to cover the cost of training instruction, materials, and associated support costs such as room or audiovisual equipment rental. Employee Development funds may be used to support the travel and registration fees for no more than two drivers for the annual statewide Bus and Van Roadeo. The cost of travel and time for Roadeo volunteers and judges must be paid from another source or the travel line items. Employee Development funds may not be used to defray the cost of salaries for staff attending a training course or conducting a training course for other system employees. The Public Transportation Division will issue minimum training standards for all community transportation systems that receive state fnancia] assistance from the department. Ca petal All rural transportation systems will be eligible for capital assistance funds. As part of the CTP application package, each applicant is required to provide a completed Public Transportation Management System (PTMS). The PTMS must be kept current to insure an accurate inventory of capital, insure vehicle(s) that are requested for disposition have not been previously replaced, and list vehicles requested for replacement in the current FY application. Regional Mobility Development Specialists will provide a capital assessment to determine and summarize the system's fleet management needs, maximizing usage of available vehicles, and proposed usage of additional vehicles. Mobility Development Specialists will utilize several technical tools such as the Vehicle Utilization Workbook, spare ratios, lift-equipped vehicle ratio, agency contracts, and other data to determine the effectiveness and efficiency of vehicle usage strategies. Once required fleet size has been determined through the capital assessment process, vehicles may be designated for disposition and not be eligible for replacement. Applicants may request consideration of replacement for baseline capital items one year prior to the useful life stated in the Replacement Schedule. OperatinS Use -Section 5311 operating funds can only be used to support rural eg Hera] public routes. Rural general public routes: Service provided on a repetitive, fixed-schedule or deviated fixed schedule basis along a specific route for pick up and delivery of passengers to specific locations; each fixed-route trip serves the same origins and destinations, unlike demand responsive, taxicabs, or subscription service, Operating Expenses -Operating expenses are considered those costs directly related to system operations. Eligible items are defined as stated in the UPTAS manual. Operating Revenue -Receipts derived from or for the operation of transit service, including fare box revenue, revenue from advertising, interest and operating assistance from governments. Net Operating Expenses =Total Eligible Operating Expenses -Operating Revenues Cost Participation -The Federal share for net-operating expenses may not exceed fifty percent (50%). Current Eligible Systems Small Urban UrbanlRural Fixed;Route S stems Regional Systems Consolidated S stems City of Wilson ICPTA Piedmont Wagon Albemarle Re Tonal Health Services Cit of Hicko City of Salisbury CPTA Goldsboro/Wayne Transportation Choanoke Public Trans ortation Authority Authori AppalCart KARTS Cape Fear Public Transportation Kerr Area Trans ortation Authori Authorit RCATS Randolph County Senior Services Adults Association. Inc. CARTS Craven Count TAR RIVER TRANSIT Ci of Rock Mount YVEDDI Yadkin Valley Economic Development District Increases in operating Section 5311 operating funds are also Section 5311 operating funds will be assistance are provided provided to the regional transportation available to the systems listed above to .consistent with systems listed above to support rural support general public routes in the ~centage increases in general public routes as defined. non-urbanized area. Urban/rural .; State's Governor's consolidated transportation systems will Apportionment through complete anurban/rural miles, hours, the Section 5307 and trips cost allocation plan based on Program and/or at the FY 2007 Operating Statistics for the discretion of PTD. rural general public service to determine the amount of Section 5311 funding. Facility Safety and Security Improvements -Community Transportation Systems will be eligible to request safety and security facility improvement assistance through the CTP application to address safety and compliance with federal and state regulations. Facility improvementlrepairs funding is available only for a facility owned by the applicant and occupied by the transit system. A copy of the deed of ownership must be provided to the Public Transportation Division (PTD) with the renovation budget request. 7 Public Transportation Division CAPITAL REPLACEMENT SCHEDULE Note: Assets that have met their useful life will nor automatically be replaced. This schedule represents the minimum threshold for replacement consideration. Listed capital items are illustrative and not exhaustive CATEGORY MINIMUM MINIMUM DOCUMENTATION CAPITAL ITEMS REQUIREMENTS REPLACEMENT CONSIDERATION OFFICE FURNITURE 12 Years ^ Desk Chairs o 1 retail estimate ^ File Cabinet Safe (Fire roo o Descri tion of need for re lacement OFFICE EQUIPMENT 5 Years • Fax Machine Calculator o 1 retail estimate • Co ter Etc. o Descri tion of need for re lacement AUDIO VISUAL E UIPMENT 10 Years ^ VCR Camcorder o 1 retail estimate ^ TV Etc. o Descri lion of need for re lacement BASELINE TECHNOLOGY 5 Years o ^ Computer Laptop (Inchtdes o 1 retail estimate Projector) * o Description of need for replacement in ^ Printer -Server item #I4 of project description * Will be considered if needed for resentations COMMUNICATIONS EQUIPMENT 6 Years ^ Radios o 1 retail estimate o Description of need For replacement in item # 14 of ro'ect descri tion MAINTENANCE EQUIPMENT & FIXTURES 12 Years ^ Roller cabinets Diagnostic equipment o Only Systems with in-house Maintenance ^ Portable tool Lift truck Garage are eligible stands o ]retail estimate ^ Compressors Engine stands ^ Hoists Brake lathes ^ Bus washers Etc. " " VNTENANCE VEHICLES Trucks -Light Duty (under 13,000 lbs. g.v.w.) 7 Years o Only Systems with in-house maintenance ^ Trucks -Heavy Duty (over 13,000 Ibs, g.v.w.) 4 Years garage are eligible 0 1 retail estimate o descri tion of need for re [acement REVENUE VEHICLES 100,000 miles ^ Center Aisle Van o Updated PTMS ^ Mini-Van o Current VUD ^ Conversion Van or Lift Van o Once required fleet size has been ^ Buses determined through the capital assessment Light Transit Vehicle (LTV) 130,000 miles process, vehicles may be designated for Less than 30 feet bod on cut-a-wa chassis disposition and not be eligible for Medium (Medium duty chassis) 7 Years replacement, Approximately 30 ft. body on truck chassis or 200,000 miles Medium {Heavy Duty Chassis) 10 Years 30-35 feet or 350 000 mites Large (Heary Duty Chassis) 12 years 35-40 feet or October 2007 g FY2009 Community Transportation Program Federal and State Required Documents INSTRUCTIONS o ALL documents provided in this section of the application must be completed and returned per the instructions. Indicate "N/A" - if not applicable but return the document or form so that PTD will know that the document/form has not been overlooked. © These completed and signed documents must be submitted as part of the CTP application. o Each form wi[I contain text form fields that will appear gray like this -- i~~~'~F~`~~t and/or signature lines. Click on the gray box to provide your answer. Q Each document or form contains detailed instructions that can be accessed by placing the computer mouse over the yellowhighlightedarea. The instructions indicate what ___--{commer;e tP-roil: Pabe- ~ ~ - - - ----- --- ----- '-----'-------- '----"-'- "~ IPlaang the mouse Duet [he h~gh6gfited _ i information is needed or the individual(s) that should sign the document. ~ area W~u p~a~~de add~tjonal ~nstrucuans J Q Delegation of Authority form is also included in Section III of the application. • An Authorized Official's List is provided in Section III of the application. • Note: If the authorized official changes or responsibilities are delegated, a Delegation of Authority form must be completed and returned with the application. Mailed Copy of Application -Document Assembly Order Facility Improvement s Budget Capital Budget Budget AdministrAtive '~ Budget System I Federal & Description State Checklist Documents COMMUNITY TRANSPORTATION PROGRAM RESOLUTION Section 5311 FY 2008 - FY 2009 RESOLUTION Applicant Seeking Permission to Apply for Community Transportation Program Funding, Enter Into Agreement with The North,Carolina Department Of Transportation • And to Provide the Necessary Assurances. A motion was made by (Board Member's Name) and seconded by (Board Member's Name orN/A, if not required) for the adoption of the following resolution, and upon being put to a vote was duly adopted. WHEREAS, Article 26 of Chapter 136 of the North Carolina General-Statutes and the Governor of North Carolina have designated the North Carolina Department of Transportation (NCDOT) as the agency responsible for administering federal and state public transportation funds; and WHEREAS, the North Carolina Department of Transportation will apply for a grant from the US Department of Transportation, Federal Transit Administration and receives funds from the North Carolina General Assembly to provide assistance for rural public transportation projects; and WHEREAS, the purpose of these transportation funds is to provide grant monies to local agencies for the provision of rural public transportation services consisfenf with the policy requirements for planning, , community and agency involvement, service design, service alternatives, training. and conference participation, reporting and other requirements (drug and alcohol testing policy and program, disadvantaged business enterprise program, and fully allocated costs analysis); WHEREAS, Orange County~hereby;assures_and certifies that it will_comply with_the federal_and state __-_ --~ .._~-• ~ c ment [PTD2]:,,Page z ' ~ Statutes, regulations, executive orders, Section 5333 (b) Warranty, and all administrative requirements NameoF local p°bnn govonnng body (not which relates to the applications made to and grants received from the Federal Transit Administration, as II ~` transportannn syatem name) ~ well as the provisions of Section 1001 of Title 18, U. S. C. l=- ------- - - NOW, THEREFORE, be it resolved that the Board of County Commissioners Chairf,;_f:' Oran a Count is N i 9 y-__ _ `~-~~~~ -...--•• Comment[PTD3j.Page 2 l hereby authorized to submit a grant application for federal and state funding make the necessary I ndit•,dual de5,4~ated ey tho applcan['s I assurances and certifications and be empowered to enter into an agreement with the NCDOT to provide governing body to enter mto a contract and execute'all agreerrfents and contracts rural public tranSPOrtation S@NICES. with NGDOT The authorized official also assraes'compliancc w,@r federal and I (Certifying Official's Name}* Mr. Barry Jacobs Chair Board of county Commissioners do hereby certify that state statutes. rAgraadons, and an !I the above is a true and correct copy of an excer t from the minutes of a meeting of the (Name of Applicant's i admipistrauve requirements related to grentsrece,yedfromNCDOT me Governin Boa Board of Co nt Commissi ers dal held on the 5th da of February, ZOOS. g !'d) y y resolution adopted bylhe applicant, agency's governing bodyidenttGesihe Authorized Official's Title rather [1,an individual's name. Thciauthorizerf , Signature of Cerfifyin ~ ci, t • ------ --------------------- ------ ------ - ---- ---- -- ------- ---.-- --- - --- -- - - official dor riot sign the resolution. ____ J _ Comm P *Note that the aufhorr o ia/, ce ifying official, and notary public should be three separate Tertif es~ t the p per ,vial anwn ha o a ro ~ ... ... _ ... ..... _ ... .,, ...-... , .... .__ .. .. .. ..... ..... _.; individua/s. resolut,on, with original signatures, is a / - ~ ~ !t UCSQRt Sere Seat Subscribed and sworn tome (date) V ~ ~ true and correetcopy oFert excerptfrom the m,nutes of a me0tins of the ~ ~ ~ applicant's governing board. The Ill ~ ~;,~/ ~ of mat m scan h ce fi ust t e olunon ` ,_ -------------- -- ---------- ------...----- ---- -~-=°---_...___-_ _ -----_ _ _------- ---- '---- - Comment[PTDS]:Pnge 2~. ' l ' //~~ e~ r , t J~/.(y'~ ~ry ~ ' ~~ ~ ' ~ 1 ~ ~ ~ ~ ~ ~ ~ ~ ~ Notary Public: A public officer C r ~ p1 ~J ( V L'+ i authorized,by law to Certify documents Address ~ ~ / ~'`Y'/ who authenticates the reso(unon The tam thei bli i t t d a i My commission expires (date) J~ " ~ ~ `~ ~ cmus n s p r en no ary nu s `:eel on the resolution HUMAN SERVICE AGENCY TRANSPORTATION RESOLUTION State Funds FY 2008-2009 RESOLUTION Applicant Seeking Permission to Apply for Human Service Transportation Funding, Enter Into Agreement with The North Carolina Department Of Transportation And to Provide the Necessary Assurances. A motion was made by (Board Member's Name) and seconded by (Board Member's Name or N/A, if not required) for the adoption of the following resolution, and upon being put to a vote was duly adopted. WHEREAS, Article 2B of Chapter 136 of the North Carolina General Statutes and the Governor of North Carolina have designated the North Carolina Department of Transportation (NCDOT) as the agency responsible for administering federal and state public transportation funds; and WHEREAS, the North Carolina Department of Transportation receives funds from the North Carolina General Assembly to provide assistance for rural public #ransportation projects; and WHEREAS, the purpose of these transportation funds is to provide grant monies to local agencies for the provision of rural public transportation services; WHEREAS, Oranoe County Board of County Commissioners~hereby assures_and certifies that it will-.__ .__ _•-. -•- comment [P7o6j: Name of local- comply with the federal, and state Statutes, regulations, executive orders, and all administrative {{ publm govem~ng body (noc the' requirements related to the applications made to and grants received from the North Carolina Department i transponanon system name) 4J of Transportation; NOW, THEREFORE, be it resolved that the (Authorized OfficiaPs Title)* Chair of Orange County Board of Commissioners is hereby authorized to submit a grant application for state funding, make the necessary assurances and certifications and be empowered to enter into an agreement with the NCDOT to provide rural public transportation services. (Certifying Official's Name)* Mr. Bam Jacobs (Certifying Official's Title) Chair do hereby certify that the above a true and correct copy of an excerpt from the minutes of a meeting of the (Name of Applicant's Governing Board) Board of County Commissioners ~te{yirr?~~ n.~he 5th day of Fe a , 2008. ,~ Signature of Cy *Note that the Subscribed and sworn official, and notary public must be three separate individuals. ~L-o'~ Address ~ ~ j ~ ,~ ~ ~„ ~ ~ ~ My commission expires (date) ~Q ~ 1 ~ ' +/ ~~ SECTION 5311 TITLE VI PROGRHt~I CF~EPOR) Legal Name of Applicant: Orange count Date The following Title VI complaints or lawsuits alleging discrimination have been filed with the applicant during the period July 1, 2006 through June 30, 2007 _--•j Comment [PTD9]i Page: 3' ' Page:3 Instructions'-Title VLCertification The legal applicant must complete the Section'S3l l Title VI Pro ar~port. If [here have been ooallegations or formal complaints, the ]egaT applicant's authorized official. s}iou Id complete die appropriate certfication at the top of the form and sign where indicated If there have been allegations or complaints, the `legal applicant"s authorized of5cial !should complete the appropriate I certificaton at the bottom of the form and ~~, ~ sign where indicated `Comment [PTD10]: Page; 3 Legal Name of Applicant: Name of local public governing-body not the t.transnortation sJstem Heine): - Complainant Date Description Status/Outcome NamelAddresslTelephone Number (Attach an additional page if required.) I certify that to the best'of my knowledge, the above described complaints or lawsuits alleging discrimination have been filed against Orange Coun during the period July 1, 2006 -June 30, 2007. Signature of Authorized Official Type Name and Title of Authorized ~Offic'ialj________ certify that to the best of my knowledge, No complaints or lawsuits alleging discrimination have been filed against eriod July 1, 2006 -June 30, 2007. Date -t Comment [PTDii]: Page: 3 -~ ~ Authorized OtficiaC individual des„igttated bythe applicant's governing M body to enter into a contract and execute ~ all agreements and contracts with NCDOT. The legal applicant's auiliotized official should complete the appropriate certification on the form and sigii where mdicafed The autnonzed officialmust sign the Title VI Prob~ram I Report DBE GOOD FAITH EFFORTS CERTIFICATION This is to certify that in all purchase and contract selections Orange County is committed to and shall make good faith efforts to purchase from and award contracts to Disadvantaged Business Enterprises (DBEs). DBE good faith efforts will include the following items that are indicated by check mark(s) or narrative: ^ Write a letter to Certified DBEs in the service area to inform them of purchase or contract opportunities; Document telephone calls, emails and correspondence with or on behalf of DBEs; ^ Advertise purchase and contract opportunities on local TV Community Cable Network; ^ Request purchase/contxact price quotes/bids from DBEs; ^ Monitor newspapers for new businesses that are DBE eligible; ^ Encourage interested eligible firms to become NCDOT certifaed. Interested firms should contact Odessa McGlown of the office of contractual services at (919) 733-7174 for more information; Encourage interested firms to contact Bridgett Wall of the Office of Historically Undeizrtilized Businesses at 919.807.2330 for more information. Consult NCDOT Certified DBE Directory. A DBE comparry will be listed in the DBE Directory for each work type or area of specialization that it performs. You may obtain a copy of this directory at hops://apps. dot. state. nc. us/vendor/directory/ ^ Other efforts: Describe: You may obtain of copy of the USDOT Disadvantaged Business Enterprise Program Title 49 Part 26 at http://ecfr.gpoaccess.gov/cgi/btext/text-idx?c=ecfr&tpl~/o2Findex.tpl Reminder: Documentation of all good faith efforts shall be retained for a period of five (5) years following the end of the fiscal year. I , to the best of my knowl e, the abov formation describes the DBE good faith efforts. ~-~-'D S~ Authorized is Date ,t , ~dC~-.. Type ame d itle of Au Note: PTD expects minimum efforts to include all the actions above stressed in Italic ... __-~- .. ..~~....~.. .~..^ rai~•l~ii.t~ l yr icHl~ai'VKlAI1UIV PUBLIC TRANSPORTATION P ISION PROJECT SPONSOR: MAILING ADDRESS: PROJECT: INVOICE: DBE/MBE/WBE/HUB VENDOR AWARDS PERIOD COVERED FROM: TO: WBS ELEMENT: PO NUMBER: VENDOR NUMBER: Awarded By Name Awarded By Report ID Vendor/Subcontractor Name Vendor/ Subcontractor Re ort ID Service l Item Description Anticipated Utilization ($) TOTAL Submitted b Subreci Tent: BY: TITLE: For EXCEL copy go to: www.ncdot.org/transit/transitnet/OperationsAndPlanning/RuralAndSmallUrban/Admin.xls PUBLIC HEARING ~NOTfC~ -.• '-~ 'a Comment[PTD12] P,gc:: ---- ~ Publi rif Baring Notice ,` The public hearing TEMPLATI i ~.cluded I4 m yoiu application package Ml S ~ be .his is to inform the ublic that a ublic hearin will be held on the ro osed Orange County Communit p p g p p y used to prepare yourpubh6hea u g notice. Failure toinclude all re p lied Transportation Program Application to be submitted to the North Carolina Department of Transportation tnfprmation may feed to a re-a t~ ertising no later than January 31.2008. The public hearing will be held on February 5, 2008 before the Orange ofthe notice at the system s e x nse. The; applicant mustpuhhsh.one pt Ii ;.notice County Board of County Commissioners. Those interested in attendin the ublic hearin and 9 P g in a newspaper(s) having gen e: needing either auxiliary aids and services under the American with Disabilities Act (ADA) or a language I circulabon m the project s pr ~ pied translator should contact Mr. Jerry Passmore on or before January 31, 2008. 5erv~ce ergo ]t s re°amm that the Public Hearing Nohccbe I r lied at The Community Transportation Program provides assistance to coordinate existing transportation .least Lh;rty (3C) days pnor h ~: j i Submittal ofthe apphc~u t ~s : I recommended that the Pul f aging programs operating in Orange County as well as provides transportation options and services for the ~ t~iot,ceprov,de a minirr,mn .yen (~) calendar days notice and a to z ,mum of communities within this service area. These services are currently provided using lift equipped vans ,'fonrteenua) calendaraays ° ,ee. :'. between tfie ume that the Pi:'~b ; Hearirs:, and buses. Services are rendered by Orange Public Transportation. 'Notice is ~ctuany published n ..i;e' mewspapeeand the actual pubfi :hearing .date. By adhering to the tlurty. ;0), ~, '.seven (7), and fourteen (14) r a The total estimated amount re uested for the eriod July 7, 2008 through June 30, 2009 , q P ~ recommendations, the,apphc nt -ill provide afleast a two (2}wee :.period to - ~ respond effectively to any public issiies, . d th n id A c eas, an concerns may ai a a . 1 'PubLe Hearing Noticeshould also be II advertised iri mihonty and LEP ~ Protect Total Amount Local Share ~ 'pubhcations: m the service area h d t Th bli d u Administrative $ 184,620 $ 27,693 (15%) e pu e No e, s bu get amo nt Should equal the amount of the rr ;:est in (Vehictes & Other) $ 276,100 $ 27,610 (10%) Capital (he apphcatibn . Operating (Small urban & regional systems) $ $. (50%) ~~` ORIC.CIY tL AFt%InAVIT or PUBLICATION MUST BE ATTACHED TO TF1E ONfGINAL ~ POBLICIiEARINGNOTICEANB TOTAL $ 460,720 $ 55.303 IzorH oocuMErrrs'suBau,-rEU TO NCDOT W(TH TILE CTP GRANT Total Funding Requests Total Local Share I APPLICATtoN. ..lis application may be inspected at Orange Public Transportation Office, 600 Highway 86 North, Hillsborough, N.C. 27278 from January 5 2008 between the hours of 8:00 a.m. - 5:00 p.m. Monday through Friday. Written comments should be directed to Mr. JerrvPassmore, Direcforbefore January 30, 2008. Encl of Nafrce Note: AN ORIGINAL COPY of the published Public Hearing Notice must be attached to a signed Affidavit of Publication. Both the Public Hearing Notice and the Affidavit of Publication must be submitted with the CTP grant application. Aviso de Junta Publics '.ste aviso es para informar al publico sobre la junta que se levara acabo, acerca de 1a aplicacion del rograma de Transporte para la Comunidad que sera sometida al Departamento de Transportacion del Norte de Carolina no mss tarde del January 31, 2008. La junta se levara acabo el frente al grupo gobernador Borrad O£ County Comisioneis. Personas interesadas en atender la junta que necesiten ayuiia auxiliaria o servicios bajo e] acto de Americanos con Incapacidades o un interprete favor de contactar a Mr. Jerry Passmore El Programs de Transportacion para la Comunidad proporciona asistencia para coordinar programas de transporte ya en existencia y que operan en Orange County. El programs tambien proporciona opciones de transporte y servicios para las comunidades en eI area de servicio. Estos servicios actualmente son proporcionados usando lifte equipe vano ande buses. Servicios son dados por Orange Publico Transportacion. La cantidad aproximada que sera pedida para el periodo del 1• de Julio, 2008 a130 de Junio, 2009 Administrativo $ 184.620 $ 27,693 Capital (vehiculos y otros) $ 276,100 $ 27,610 Operativo (Sistemas pequeftos regionales y urbanos) $ $ Total $ 460,720 . $ 55,303 cantidad Total pedid Total de Porci6n local Esta aplicacion puede ser inspeccionada en Orange Publico Transportacion oficina 600 Hwy 86 N., Hillsborough NC de January 5 2008 veteen to hors Of. 8:OOam-S:OOpm Monda throu hg_Frida. Comentarios escritos deben ser hechos a Mr. Jerry Passmore, Director antes del January 30, 2008 ejemplo incluido en el paquete de aplicacion debe ser usado para preparar el aviso sobre la junta. ralta de incluir la informacion requerida puede resultar en tener que publicar otro anuncio (al costo del sistema). EI solicitante debe publicar un anuncio sobre la junta en un periodico que tiene circulacion general en el area de servicio propuesta en el proyecto. Se recomienda que el anuncio sea publicado por to menos treinta (30) digs antes de que la aplicacion sea sometida. Tambien se recomienda que el anuncio proporcione un minimo de siete (7) dias de notificacibn y un maximo de catorce (14) dial entre el dig que el anuncio sea publicado en el periodico y el dig de la junta. Siguiendo las recomendaciones de treinta, catorce y siete dias, el solicitante proveera por to menos un periodo de dos semanas para cualquier preocupacion, pregunta, o idea publics que pueda presentarse. El aviso publico tambien debe ser anunciado en publicaciones para poblaciones pequenas. Important Change - A public hearing must be conducted whether or not requested by the Public. PUBLIC HEARING ~MINUTE~ ..-- comrnent(PTpi3j Page:6 .. -- ---~-- --~~--~ -....~.~ .-----~.- .--• Public-HennngM~notes ' Applicants 1vtUST hold a public hearing ' whed~errequestedornot. If no` comments were received indicate by checking the appropriate box.:: DATE: PLACE: SUBJECT: BOARD MEMBERS: PUBLIC: ^ During the Public Hearing [~(NO public comments) ^ (Public Comments) Note: Minutes of the meetino must be attached if public comments were made. ^ Minutes are attached. • •-. •~ Comment [PTDi4]. Page: 7 PUBLIC HEARING ;O'UTREACHi _ ---•• - ~------ ~-~ ~ --------- --~ -~ --°--- Public Hearing Outreach Describe to detail cfforts to inform the pubLc including minorities, women,. A detailed description of public hearing outreach efforts by the applicant to inform the public elderly, disabled, LEP indrv~duals and ESPECIALLY MINORITY WOMEN ELDERLY DISABLED LIMITED ENGLISH PROFICIENCY-(LEP} Iowmcomcpopulationaboucthe i r > scheduled public hewing. AND LOW INCOME INDIVIDUALS about the scheduled public hearing and the opportunit~r to - ~.. comment on the proposed Community Transportation grant application. Outreach may ;nclude efforts such as distribution of information on vehicles, at human service agencies, at local community events, at public events, local organization, etc. Click on gray box and begin typing the detailed description. Public Notice published in News of Orange, in English and Spanish. Notices posted at the Orange County Court House and Orange County Public Library. Meetings held on January 24 at the two Orange County Senior Centers. Presented the proposed CTP application to the Transportation Services Board on January 15, 2008 and the Orange Unified Transportation Board on January 17, 2008. -- LOCAL SHARE CERTIFICATION FOR (FUNDING ~ _ ._ . ~Comrnent[Ll - -- --------- "~ Local Share (;e Estimated Prat Orange Count-~ (Legal Name of Applicant) Requested Funding Amounts Proiect Total Amount Local Share Administrative $ 184.620 $ 27,693 (15%) Capital (Vehicles & Other) $ 276.100 $ 27,610 (10%) Operating (Small urban & regional systems) $ $ (50%) TOTAL $ 460,720 $ 55,303 Total Funding Requests Total Local Share funding requ~ sted by the applibant ' ------, Administrati ie fnndip~.requires a 15% local match Capital funding requi~bs a': 10°/, Local n,~tch; and.Qperatitig funding "reijuires a 5) % local match_ Totals of fiindine requested and.loiai match availab;eshould be.pcovided, Section 5311 Operating Funding is only itvailable to'small urbmi and iegional transportation ;systems. Comtnent [PTD16]: Pegs: g _^'~~ Legal \ameofApplicdnti,.Nameof local piblie governin;, body"(nofthe traiispm tatiod system nan.c). The Local Share is available from the following sources: Source oflFunds;_- _._,_-.- ----,.Amount ~ [ ']7] Page'8 .............~ SoutrcteefLoPTDunds~ Source and Orange Countv General funds $ 55,303 amount of localfundsavailabletomatch NCDOTfundidg. Atotaloftoeal.funds; equal to the regmred edmmistrtitiYe and Q capital match, must be provided.- $ TOTAL $ 55.303 I, the undersigned representing Orange Countv do hereby certify to the North Carolina Department of Transportation, that the required local funds for the FY2009 Community Transportation Program will be available as of July 1, 2008, which has a period of performance of July 1 2008 -June 30, 2009. ~ /,r/ Type Name Date ~ ,~ s .--- ICOmment[P7D38]: Page. B- i'Authorized Official-Individual designated bq the applicanPs goveinmg body to entei into a contract and execute .'all agreements mid cohtracts-with NCDOT'-The authotiied ofHcihl MUST [ sign 11ie Local Share Certification for I Funding. 111`:.----- _ T...z._..~._:..~.._:__.. Surface Transportation ~Provicfehs~_ (operating in your service area) _ ,--- Comment[PTD39]; Page:9 i "' - --"""" ~ List all private hansportahon providers and indicate if represented by union Th~s~ 14fOCinauon is generally available in your if (,,telephone dircctoryor through the r Cou4ty'sbusiness licensing office } C1rnnQ . C'nnnty Legal Name of Applicant (Not the System Name) Private Transportation Providers Union Representation Lf yes -Provide Name of Union and the affiliated Local Branch Number, (e.g. ACME Local #458) 1 Chapel Hill Transit (infra-city public transportation) 1 X^ Y2s ^ NO Amalgamated Transft Union 2 Triangle Transit Authority (regional transR) 2 ^ Y2S X^ NO 3 Carolina Trailways (inter-city transit) 3 X^ Yes ^ No Amalgamated Transit Union 4 McBroorp Coach (Charter services) 4 ^ Yes X^ No 5 Southern Coach Company (charter services) 5 ^ Yes X^ No 6 Carolina Livery (private provider) 6 ^ Yes X^ No 7 Airport & Intown Taxi 7 ^ Yes X^ No 8 8 ^ Yes ^ No 9 9 ^ Yes ^ No 10 10 ^ Yes ^. No 11 11 ^ Yes ^ No 12 12 ^ Yes ^ No 13 13 ^ Yes ^ No 14 14 ^ Yes ^ No 15 15 ^ Yes ^ No 16 16 ^ Yes ^ No 17 17 ^ Yes ^ No 18 18 ^ Yes ^ No 19 19 ^ Yes ^ No 20 20 ^ Yes ^ No Third Party Operations Contractors Lisfi~ Oranee County System Name Conlracti)r'and ~ ,: Strcel Addrt~ss F' ' , + ' ~° 1'h~ne ~ulad Address. ,: Contract Period' ~-' CoritackName T ~ "CikwState/lip, ,, .-•i' Comment [PTD20]: Third Pasty _ ~ Qrerations Contractors List Contractor: Name of anythird party i ~COI11faCtor under contract to provide services to the lransportatiodsystem ~! Contact Name. , Name of prhnaty contact for [he contractor Street Address. 'Street addressof the -contractor City/State/,Z,ip: CitylState/Zipofthe -. contractor ~, Phone: Phone Number of the contracor E-mail: E-mats address of the contractor Contract Penod:.The begtming and ending contract dates"with the contractor FY2009 COMMUNITY TRANSPORTATION PROGRAM GRANT APPLICATION NORTH CAROLINA DEPARTMENT OF TRANSPORTATION FEDERAL SECTION 5311 & STATE FUNDING SYSTEM DESIGN VERAL INFORMATION APPLICANT'S LEGAL NAME: Orange County ~ MAILING ADDRESS: PHYSICAL ADDRESS: TAXPAYER IDENTIFICATION NUMBER: CONTACT PERSON PHONE NUMBER: EMAIL ADDRESS: TYPE OF APPLICANT TYPE OF TRANSIT SYSTEM TYPE OF SERVICE - (check "all" that apply) Q Demand Response ~ Subscription ~ Deviated Fixed Route SERVICE OPTIONS - (check "all" that apply) General Public (] Human Service PURCHASE SERVICE -List agencies that purchase service from the transit system. Note: List agency ONCE envy 1 Name: Department of Social Services ~ Check if agency purchased service last year List Programs Served: 1) Medicaid clients 2) Work First clients 3) Low income clients 4) 5) Agency 2 Name: Department on Aging ~ Check if agency purchased service last year List Programs Served: 1) Senior Center clients 2) Special senior event clients 3) 4) 5) ency 3 Vame: O C Health Department D Check if agency purchased service last year List Programs Served: 1) Low income clients 2) 3) 4) 5) ;ncy 5 Jame: ^ Check if agency purchased service last year List Programs Served: 1) 4) 5) P.O. Box 8181 PO Box or Stmet Address Hillsborou h, N.C. 27278 City, State Zip 600 Hi hwa 86 North Sheet Addmss Hillsborou h, N.C. 27278 City, State Mr. Jer Passmore 919-245-2008 Area Code & Phone lUumber ' assmore co.oran e.nc.us Public County Government Single-County ~ Fixed Route ^ Other: (specify below) ^ Brokerage (Contractual service not a referral) ^ Other: (describe below) Agency 4 Name: Triangle Counsel of Governements ~ Check if agency purchased service last year List Programs Served: 1) Nutrition clients 2) 3) 4) 5) Agency 6 Name: ^ Check if agency purchased service last year List Programs Served: 1) 2) 3) 4) 5) CTP2009 Page 1 of 5 agency 7 Agency 8 Name: Name: ^ Check if agency purchased service last year ^ Check if agency purchased service last year List Programs Served: List Programs Served: 1) 1) 2) 2) 3) 3) 4) 4) 5) 5) ,gency 9 Agency Name: 10 Name: ^ Check if agency purchased service last year ^ Check if agency purchased service last year List Programs Served: List Programs Served: 1) 1) 2) 2) 3) 9) 4) 4) 5) 5) ,REVENUE VEHICLE INVENTORY BY CATEGORY Important - (If a vehicle has been replaced and the transit system has received the title from PTD, the vehicle should -r not be included in this inventory.) 2 Center Aisle 0 22-Ft LN (Cutaway) (no lift) O Conversion Van 4 Lift-Equipped Van 2 Minivan 0 Transit Bus 1 22-Ft LN (Cutaway) (w/lift) 2 25-Ft LN (Cutaway) (no lift) 7 25-Ft LN (Cutaway) (w/lift) 0 Other: (describe below) h~ _::T SIZE 18 Total Revenue Vehicles in Fleet 0 Backup Revenue Vehicles 12 Total Lift-Equipped Vehicles DAYS AND HOURS OF SERVICE (Check all that apply and enter corresponding service hours): DAYS Beginning Time SERVICE HOURS Ending Time ^ Seven (7) days per week Or 7:00 p.m. ~ Monday -Friday 6:00 a.m. Saturday 8:00 a.m. 5:00 p.m. ^ Sunday 5:00 p.m. ^ Holiday 8:00 a.m. SYSTEM MANAGEMENT & OPERATION A. Is the Management)Administration of the transit system currently subcontracted? No ~ If yes, provide the name of the Management provider: If yes, when will the new RFP process begin? ?. Is the Operation of the transit system currently subcontracted? No ~ If yes, provide the name of the Operations provider: If yes, when will the new RFP process begin? CTP2009 Page 2 of 5 1. PUB 1 2 3 4 5 6' 7; 8; 9; 10) __-__- _. .. _ _.__ ..__~__.-._ ~__...._~._~....~.......M ..iF,.hc A. Is a governing board approved formalized public involvement plan in use? yes ~ If yes (complete questions below) Is that plan evaluated and updated at least annually? yes ~ Does that plan have defined objectives? yes ~ Are those objectives being met? yes ~ If no -Describe below how the effectiveness of the ublic involvement efforts are evaluated and/or im roved. _IV IIVYVLVGIYIGPII -rvooac a.w uY~cw uw v..w rganizations /Events ..•..•.••• • ate /Time Oct 20D7 ------~--- ------ - - .ocation Department of Social Services Conference Room C umber of Attendees 23 rimary Audience ~ General Public '- Number Title VI Forms Completed I Department of Social Services 2:00 p.m. . Hillsborough, N. June 2007 l Hitl N C Ch i C 36 ;Elderly `- Department on Aging 10:00 a.m. 2007 2:30 , . . ape enter, or Seymour Sen h N C nter Hillsborou C S i 15 I Elderly Department on Aging p.m. . . g or e en Central Orange C Efland N t r i C t3 MI o ies ~ ~-- Triangle COG Sept 2007 . . , ty en e Efland Commun Triangle COG Oct 2007 2:00 p.m. Cedar Grove Community Center Cedar Grove N.C. 14 Minorities ~ 2007 10:00 ' h N C b 20 General Public "- Orange Enterprises a.m. . . oroug 0 E Worshop Hills Et Centro Latino Feb 2007 10:00 a.m. Whiffed Building Hillsborough N.C. 16 General Public ~ r B. Describe Public Outreach Methods: Select the ONE word that most accurately completes the sentence Always Usually Somettmes Seldom Never Information dissemination is Always v written. Public meeting times are Sometimes ~ between S AM and 5 PM. Information is sometimes ~ available in an audible format. Information is usually ~ available in a language other than English. Reasonable access is Always ~ available for those with a disability. CTP2009 page 3 of 5 2. ADMINISTRATIVE CHANGES -Describe administrative changes to be incorporated during FY2009 in the space below. Anew job escription must be attached for (1) any new administrative positions or (2) any increase in the percentage of a position dedicated to transportation. If NONE check here: ~ Check here ifjob description(s) attached: ^ SERVICE CHANGES -Describe service changes anticipated to be incorporated during FY2009 iri the space below. If NONE check here: ^ (Note: Include in your description the rationale for the anticipated change In service. For example, the anticipated change is tlue to customer feetlbacK, manceting or otner errorts.7 Orange County, in coordination with Durham Technical College are building a satalite campus in Hillsborough. This campus will provide services seven days a week with hours from 8:00 a.m. until 9:30 p.m. The campus is scheduled to open in May 2008 and will need transportation provided during those hours. This will expand the hours of operation and possible need for addition vehicles and drivers. How will the public be notified of the changes described above? Durham Technical Community College will include the transportation needs assesment form to their registration form. This well Indicate the current needs for public transit. Orange County and DTCC will provide news articles, television ads, and other marketing materials for this opening. How much lead-time is given before Approximately three months. CTP2009 Page 4 of 5 4. CAPITAL - In the chart below, list and provide narrative justification for any of the following FY2009 capital requests: ' Baseline Technology * Expansion Vehicle * Radio Equipment * Telephone Equipment If NONE check here: ^ List in order of priority. See Capital Replacement Schedule for documentation requirements Supporting Capital Category Narrative Justification Documentation 2) ~ 4) ~ _' 5, ~ ~ n 6) ~ ' 7) ~ t;) ~, r 9) ~ 7 0} r- ~ ~ CTP2009 Page 5 of 5 SECTION 5311 TITLE VI , PROGKAM ~REPORI~ ~~f( Date :1~~ • ~ Comment [PTD9] .Page: 3' " Eage:'3 Instructions:-TitIeVLCertitication The legal'apphcant' must complete the 5edton'S311 Ti[Ie VI Proeratri Report, If. there have been no 911cgations'or formal cotn,plaints, the legal applicat~Ys authorizod official slould complete the appropriate ccnification at the:;top of the. form and sign where indicated. 'If there ' have been allegations orcomplaints, the , legal applicant's authorized-official should-comp)etdtlte appropriate certification at the bottombf the form and.. sigp where indicated Comment [PTD10]: Page:3 Legal Name of AppGcaot.' Name of local public governing body not the The following Title VI complaints or lawsuits alleging discrimination have been filed with the applicant during the period July 1, 2006 through June 30, 2007 Complainant Date Description StatuslOutcome Name/AddresslTele hone Number (Attach an additional page if required.) I certify that to the best of my knowledge, the above described complaints or lawsuits alleging discrimination have been filed against Orange Count during the period July 1, 2006 -June 30, 2007. Signature of Authorized Official Date Type Name and Title of Authorized ~Offic'ia~_ -------- ---------------- ---------------------- ------- --------------- Legal Name of Applicant: Orange count I certify that fo the best of my knowledge, No complaints or lawsuits alleging discrimination have been filed against ring the period July 1, 2006 -June 30, 2007. Comment [PTDil]: Page'3 Authorized'OniciaC lndi4idual designated'bq Ure appl icant's:govemmg '' , bpdy to enter into a cori[ract attd execule7_ all agreements and contracts with NCDOT. The legal applicant's authorized official should complete the appropriate certification on the form and'' stgo'where indicated. The authorized official!inustsignthe Title YI Program LAP°tt. -._~ Delegation of Authority Date: .1/18/2008 I Mr. Barry Jacobs Chair, Orange County Commissioners (Authorized Official's Typed/Printed Name) (Authorized Official's Title and Agency) as the designated party for Orange Public transportation (Granl recipienUApplicant Agency) with authority to submit funding applications and enter into contracts with the North Carolina Department Transportation and execute all agreements and contracts with the NCDOT Public Transportation Division, hereby delegate authority to the individual(s) filling the positions as indicated below: Primary Designee: Mr. Jerry Passmore, Director Transportation (Primary Designee's Position Title) Orange County Department of Transportation (Primary Designee's Agency) Reimbursement Requests: ~ Yes ~ No Budget Revisions: ~ Yes ~ No Budget Amendments: ~ Yes ~ No Period of Performance Extensions: ~ Yes ~ No Alternate Designee: Mr. Jerry passmore, Director Transportation (Alternate Designee's Position Title) (Alternate Designee's Agency) Reimbursement Requests: ~ Yes ~ No Budget Revisions: ~ Yes a No Budget Amendments: ~ Yes ~ No Period of Performance Extensions: ~ Yes ~ No Authorized Official's Signature: Authorized Official's Typed/Printed Name: Mr. Barry cobs, Ch ' oar of County Commissioners Please submit to: NCDOT/PTD Attn: Faye McCulien 1550 Mail Service Center Raleigh NC, 27699-155D FMS001 -January 1999 FY2009 Community Transportation Program (CTP) Grant Application Project Nbr: 09-CT- ADMINISTRATIVE BUDGET SUMMARY July 2008 -June 2009 Legal Name of Applicant: orange county , ~ Applicant's Federal Taxpayer Identification Number: 56-6000-327 Period of Performance: July 1, 2008 -June 30, 2009 NCDOT I. Total Project Expenditures Requested Approved (NCDOT Maximum Participation Amounts) Administrative Expenses $184,620 $0 Total $.184,620 $0 Il. Funding (Do not complete this section - NCDOT only) Total Federal NCDOT Local 100% 80% 5% 15% TOTAL ADMINISTRATION $0 $0 $0 (Rural Systems ) (federal & state funding) 100% TOTAL ADMINISTRATION $0 (Urban County and -luman Service Systems) (state funding) 0% 85% 15% $0 $0 $0 Administrative Budget Page 1 FY2009 Community Transportation Program (CTP) Grant Application Project Nbr: 09-CT- 000 PROPOSED PROJECT BUDGET SALARY AND WAGE DETAIL -ADMINISTRATION __ Applicant Orange County Total Object Annual Pct. (%) Budgeted Code Position Title No. Sala Transp. Amount NCDOT Maximum Participation FULL TIME EMPLOYEES ,. A -~ b -~~~~~ i ~'''~`IR o ~3.i,"OOQ'' '` _ ~ '. ezam`ple G121 Mr. Jer Passmore 1 $98,362 20% $19,672 G121 Ms. Kathie Kearns 1 $58,216 15% $8,732 G121 Mr. AI Ter 1 $47,155 100% $47,155 G121 Ms. Cinide Skinner 1 $35,745 75% $26,809 G121 Ms. An eta Barbee 1 $29,796 25% $7,449 G121 1 $0 TOTAL G12 1 SALARIES $1.09;817 $0 PART-TIME EMPLOYEES - RECEIVING BEN '~,. ,_ . G125 EFITS 1 $0 x G1.25 1 $0 ,1'25 1 $0 G125 1 $0 TOTAL G:125 SALARIES $0 $0 PART-TIME EMPLOYEES -RECEIVING NO BEN °: G-126.. EFIT ~ S . .. $0 G126 1 $0 G126 1 $0 G126 1 '$0 TOTAL G126 SALARIES $0 $0 TOTAL SALARY & WAGE:. $109,817 $0 Administrative Budget Page 2 FY2009 Community Transportation Program (CTP) Grant Application Project Nbr: 09-CT- 000 PROPOSED PROJECT BUDGET ADMINISTRATIVE EXPENSES (Dept. 4521) leant IOrancte Cou Object Code Title ,Maximum Total Cost Participatio G120 -Salaries and Wages G121 Full-time employees G122 Overtime G125 Part-time (receives benefits) G126 Temporary and part-time (receives no benefits) G127 Longevity Subtotal Salaries: G180 -Fringe Benefits G181 Social security contribution (7.65% of total salaries) G182 Retirement contribution; total salaries X participating percentage `- 111, 388 X .4:890% G183 Nos italization insurance; ins. cost/month X the no. of employees. --- 445 X 2.35 G184 --- Disabilit insurancX cost/montr h X t~ . of employees. G185 Unemployment compensation 3186 Workers compensation G189 Other: life insurance, dental insurance, 401K contribution Subtotal Fringe: TOTAL SALARY & FRINGE: G190 - Professional Services G191 Accounting G192 Legal G195 Management consultant contract (Adman only) G196 Drug & Alcohol Testing Contract G197 Drug & Alcohol Tests Provide # of employees in test pool: 24 G198 Medical Review Officer G199 ~ Other: GZ00 -Supplies and Materials G211 Janitorial supplies G212 Uniforms G261 Office supplies and materials G281 Air conditioner /Furnace filters G291 Computer supplies G300 -Travel and Transportation (other than employee development) G311 Travel: Anticipated trips: NCDOT conference, NCPTA, Training .312 Travel subsistence G314 Vehicle rental (does not include vehicles for providing contracted services) $0 $ .1,571 $111,388 197 $0 $0 $250 $0 $500 $0 $250 $0 $2,200 $0 $650 $0 - $2,700 $0 Administrative Budget Page 3 Project Nbr: 09-CT- 000 PROPOSED PROJECT BUDGET ADMINISTRATIVE EXPENSES (Dept. 4521) Applicant Orange County NCDOT Object Maximum Code Title Total Cost Participation G320 -Communications G321 Telephone service (includes mo. phone, modem, fax and cellular service) G322 Internet Service Provider Fee-Name: G323 Combined Service Fee G325 Postage G329 Other: G330 - Utilities G331 Electricity G332 Fuel oil G333 Natural Gas G334 Water G335 Sewer G336 Trash collection G337 Single/combined utility bill G339 Other: G340 -Printing and Binding G341 Printing and reproduction 6349 Other: G350 - Repairs and Maintenance G355 Office and computer equipment G357 Communications equipment G359 Other: G370 -Advertising/Promotion G371 -~- Marketing (paid ads, marketing firm, etc.) $3,522 Describe: brochures, fl ers G372 -- Promotional items $1;500 Describe: Magnets, stress bus, calendars, hats G373 Other: G380 -Computer Support Services (contracted) G381 Computer programming services G382 Computer support/technical assistance G390 -Other Services G391 Legal advertising G393 Temporary Help G394 Cleaning services G395 Training -Employee Education Expense G396 Management ServlCeS (contracted transit system mgmt/admin services) G398 Security services G399 Other: $250 $0 $0 $1,925 ~ $o .$340 $0 -$500 $0 $6,000 $0 $2,500 $0 Administrative Budget Page 4 Project Nbr: 09-CT- 000 PROPOSED PROJECT BUDGET ADMINISTRATIVE EXPENSES (Dept. 4521) Applicant Orange County NCD07 Object Maximum Code Title Total Cost Participation G410 ~ental Of Real Property {include copy of current lease agreement) G412 Rent of building X number of a ments annually --- 609.5 X 12 G413 ~ Rent~of_offic~ s X number of pa ~rments annually X G419 Other: G420 -Service and Maintenance Contracts G422 Lease of Computer Software G430 - Lease of Equipment G431 Lease of Reproduction equipment G432 Lease of Postage Meter G433 Lease of Communications equipment (includes radio, cable lines and antennae) G439 Other: G440 -Service and Maintenance Contracts G441 Communications equipment G442 Office equipment G443 Reproduction equipment G445 Computer equipment G449 Other: fire extinguishers $3( G450 -Insurance and Bonding G451 Property and general liability (does not include venicie insurance) ~G452 --~ Vehicles ~ Maximum Amount $0 G454 Professional liabilities G455 Special liabilities G480 -Indirect Costs G481 Central ServICES: (CTP 2009 budget direct cost trase) X (percentage rate) - C~ X L~ Maximum Amount $0 Prior approval of Indirect Cost Percentage Rate required. Questions should be directed to Financial Management G490 -Other Fixed Charges G491 Dues and subscriptions Describe: NCPTA, Transit News, publications. TOTAL OTHER ADMINISTRATIVE EXPENSES: TOTAL ALL ADMINISTRATIVE EXPENSES: i Dui $0 $0 - $0 $o Administrative Budget ' Page 5 Project Nbr: 09-CT- 000 PROPOSED PROJECT BUDGET ADMINISTRATIVE EXPENSES (Dept. 4521 Co Maximum Object Code Title Total Cost Participatio Administrative Budget Page 6 Project Nbr: 09-CT- 000 PROPOSED PROJECT BUDGET ADMINISTRATIVE EXPENSES (Dept. 4521 Applicant Orange Co Object Maximum Code Title Total Cost Participatio Administrative Budget Page 7 Project Nbr:~ 09-CT- 000 PROPOSED PROJECT BUDGET ADMINISTRATIVE EXPENSES (Dept. 4521 Applicant Orange Cou Object T7a1.. ~.vuc • • -i -~ Maximum Total Cost Participatio Administrative Budget Page 8 FY2009 Community Transportation Program (CTP) Grant Application Project Nbr: 09-CT- 0 CAPITAL BUDGET SUMMARY Legal Name of Applicant: orange county ~ Applicant's Federal Taxpayer Identification Number: 56-6000-327 Period of Performance: July 1, 2008 -June 30, 2009 NCDOT I. Total Project Expenditures Requested Approved (NCDOT Maximum Participation Amounts) Replacement Vehicles $ 263,200 $ 0 Expansion Vehicles $ 0 $ 0 Other Capital Expenses $ 12,900 $ 0 Baseline Technology Expenses $ `::o $ 0 Total $ . ., ;; 276,100 $ , 0 II. Funding (Do not complete this section - NCDOT`only) ., Total Federal NCDOT Local 100% 0% 90% 10% CAPITAL 0 0 0 0 (State funding only) . 100% 80% 10% 10% CAPITAL 0 0 0 0 (FederaUState funding) Capital Budget A--.- A FY2009 Community Transportation Program (CTP) Grant Application Project Nbr: 09-CT- 0 PROPOSED PROJECT BUDGET r•.ealTel FYPFNSFS /rfanf_ 45231 Applicant: Orange County NCDOT ONLY Object Code Title 6UDGETS= COST O QTY . TOTAL COST 4TY. Maximum ParticP ation iROLCING STOCK: REPLACEMENTVEHIC,LES _.. ;, G541 35- to 40-FT Transit Bus w/Lift (Replacement) -12 yr. bus $350,000 Hea du diesel bus built as an inte ral unit. Alternative fuel en ine; indicate e: $100,000 $0 $0 G542 30- to 35-FT Transit Bus w/Lift (Replacement) -10 yr. bus $300,000 Medium duty diesel bus built as an inte ral unit. ^ Alternative fuel en ine; indicate e: $100,000 $0 $0 G545 Van Conversion (Replacement) - $35,300 $ 0 $0 Modified standard van; RAISED ROOF; school bus door entry; lowered stepwell; NO. LIFT; maximum ca aci -12 passen ers. FLOOR PLAN WEB SITE: htto•/Awvw ncdot orottransiUtransitneUOperationsAndPlannina/ConversionVanFloorPlans pdf G547 25' Light Transit Vehicle w/wheelchair lift (Replacement) - $65,000 2 Body-on-chassis type vehicle (Cutaway van chassis); retaining the van-type cab; offering increased headroom and wider body; fully automatic side lift. 2 and 4 Wheeichatr Station floor plans Min. ambulato ca acI - 8 ax; Max. ambulato ca aci -18 ax. Optional engine: ~ Diesel $11,000 Z Q Brake retarder: $6,500 2 $165,000 $0 FLOOR PLAN WEB SITE: http•/Nvww ncdot oro/transit/trensitneUOperatlonsMdPlannino/25ft LN FtoorPlans.pdf 548 Lift-Equipped Van (Replacement) - $38,600 $0 $0 Modified standard van; RAISED ROOF; school bus door entry; lowered stepwe~l;.fullyautomatic interior lifts. 2 to 4 Wheelchair Stations. Min. ambulato capaci - 5 ax; Max. ambulato ca ac' -8 pax. FLOOR PLAN WEB SITE: htto•/hvww ncdot oraRransit/transitneUOoerationsAndPlanninp/LfftVanFloorPlans pdf G549 Center-Aisle Van (Replacement) - $30,750 $0 $0 Modified standard van; flat roof; 13 or 14-passenger seating with center aisle access and side door entrance. Note: Does not have a raised roof. FLOOR PLAN WEB SITE: htto•IMrww ncdot orattransiUtransitneUOoeretionsAndPiannina/CenterAisleVanFloorPlans.odf G571 Mini-Van (Replacement) -Small van; standard production $2$,000 $0 $0 vehicle; maximum ca ac - s assen ers G573 Allowable Alternate Vehicle (Replacement) -Vehicle $45,000 f or child-trans rtation; includes wheelchair lift and 1 we station. O tional en ine: Diesel. $6,000 $0 $0 G575 2 0' Light Transit Vahicle (Replacement) - $53,200 B t ody-on-chassis type vehicle- (Cutaway van chassis); retaining he van-type cab; offering increased headroom and wider body; max. ca aci -13 assen ers Optional engine: Diesel $11,000 ^ Brake retarder: $6,500 $0 $0 FLOOR PLAN WEB SITE: http•/Miwuv ncdoi om/transiUtransltneUOpera6onsAndPlanninp/20ft LTV FloorPlans.pdf Capital Budget Page 2 FY2009 Community Transportation Program (CTPj Grant Application Project Nbr: 09-CT- 0 PROPOSED PROJECT BUDGET CAPITAL EXPENSES (Dept. 45231 Applicant: Orange Coun NCDOT ONLY Object BUDGETED Maximo m Code Title COST QTY. TOTAL COST QTY. Partici ation RQL'LINGSTO,CK:.REPLACEIVIENT,VE.HICCES" G576 22' Light Transi! Vehicle w/wheelchair lift (Replacement) - $58,750 Body-on-chassis type vehicle (Cutaway van chassis); retaining the van-type cab; offering increased headroom and wider body; ' fully automatic side lift. 2 wheelchair station floor plan. Min. ambulato ca aci -12 ax; Max. ambulato ca aci -14 ax. ^ Optional engine: Diesel $11,000 ^ Brake retarder: $6,500 $0 $0 FLOOR PLAN WEB SITE: htto•//www,ncdot oroRrensitftransitneUOoerat(onsMdPlannina/22tt LTV FloorPlans.odf G578 20' Light Transit Vehicle w/wheelchair lift (Replacement) - $54,800 Body-on-chassis type vehicle (Cutaway van chassis); retaining the van-type cab; offering increased headroom and wider body; fully automatic side lift. 2 wheelchair station floor plan. Min. ambulato capaci -8 pax; Max. ambulato ca aci -10 pax. Optional engine: ^ Diesel $11,000 ^ Brake retarder: $6,500 $0 $0 FLOOR PLAN WEB SITE: htto•//wwvr ncdot or9/fransiUtransitneUOoerationsMdPlannina/20R LTV FloarPlans odf G595 Service Vehicle (Replacement) - a vehicle used for maintenance or $40,000 $0 $0 servicing breakdowns ` '598 28' Light Transit Vehicle w/wheelchair lift (Replacement) - $80,000 1 Body-on-chassis type vehicle (Cutaway van chassis); retaining t he van-type cab; offering increased headroom and wide body, f ully automatic lift. 2 and 6 Wheelchair Station floor plans Min. ambulato ca aci -8 ax; Max. ambulato ca ac -22 ax. Optional engine: ~ biesel $9,500 1 ^~ Brake retarder: $8,700 1 $98,200 $Q FLOOR PLAN WEB SITE: htto://www.ncdoLora/transit/transitnetlOoerationsAnd Plannina/28ftLTVFIoorPlans. pdf TOTAL REPLACEMENT VEHICLE QUANTITY & EXPENSES: 3 $263,200 0 $0 *NOTE: !f you prefer to use a local vender for lettering, please budget cost under line code G591 located under "Other Capital". Logos era now elig_ible under that code also. Example VEHICLE REPLACEMENT INFORMATION Ncnor REPLACED VEHICLE NEW VEHICLE APPROVED REPCS: ear make a -Cum lete VIN miles a Select code below ` Y/N COMMENT . ..1.997 Dodge 'lift van 12BTKB312$VK588950 115,000 GSde !Lift-E ui ed Van YIN ... ;Rep! fn FY05„ , , ii 2001 Ford 5 ft light trans 1 FDXE45S91 HB19648 i 70,316 G598 - 28Ft Lt Trans Veh w U ~' ~ repl in 2008 2001. Ford 5 ft light trans 1 FDXE45SOi HB19649 154,834 F T V ~ ~. repl iri 2008 2000 Dodge Gft van 2B6LB31Z3YK179381 113,986 G547 - 25Ft LtTrans Veh w/ f ~ ~ repl. In 2008 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ . ~ ~ Capital Budges Page 3 FY2009 Community Transportation Program (CTP) Grant Application Project Nbr:~ 09-CT- 0 PROPOSED PROJECT BUDGET CAPITAL EXPENSES De t. 4523 .._____ .._.._... NCbOT ONLY r~NN~~ ..y.- ..~ Object BUDGETED Maximum Code Title COST 4ty. TOTAL COST QTY. Participation ROLL,II~C-t~S;T,OGK:= EXP,~dNSfONsVEHICLES= : " 35- to 40-FT Transit Bus w/Lift (Expansion) -12 yr. bus 5350,000 Hea du diesel bus built as an inte ral unit. ^ Alternative fuel engine; indicate type: $100,000 $0 $0 30- to 35-FT Transit Bus wlLift (Expansion) -10 yr. bus Medium duty diesel bus built as an integral unit, ^ Alternative fuel engine; indicate type: G565 Van Conversion (Expansiont - •~~~ Modified standard van; RAISED ROOF; school bus door entry; lowered stepwell; NO LIFT; maximum ca acity-12 passengers`. FLOOR PLAN WEB SITE: htta~//www ncdot oraftransiUtransitneUOoerationsAndPlannina/ConversionVanFloorPlans.odf G567 25' Light Transit Vehicle w/wheelchair lift (Expansion) $6: Body-on-chassis type vehicle (Cutaway van chassis); retaining the van-type cab; offering increased headroom and wider body; fully automaticside lift. 2 and 4 Wheelchair Station floor plans Min. ambulatory capaci - 8 pax; Max. ambulatory capacity -18 pax. ^ Optional engines: Diesel $11 ^ Brake retarder ~ $6,yvu ~" FLOOR PLAN WEB SITE: htto'!/wuvw ncdot oraltransit/trensitneUOoerationsAndPlanninc/25ft LTV FloorPlans.pdf G568 Lift-Equipped Van (Expansion) - $38,600 $0 Modified standard van; RAISED- ROOF; school bus-door entry; stepwell; fully automatic interior lids. 2 to 4Wheelchair-Stations. Min. ambulato ca acit - 5 pax; Max. ambulato capacit -8 pax. FLOOR PLAN WEB SITE: htto~//www ncdot orn/transiUtransitneUOoerationsAndPlannino/LiftVanFloorPlans.pdf G569 Center=Alsie Van (Expansion) - $30,750 $~ Modified standard van; flat roof; 13 or 14-passenger seating with center aisle access and side door entrance. Note: Does not have a raised roof. FLOOR PLAN WEB SITE: http•//www ncdot oro/transiUtransitneUOoerationsAndPlanninolCenterAisleVanFloorPlans.odf G572 Mini-Van (Expansion) -Small van; standard production $25,000 $0 vehicle: maximum capacity - 6.passengers owable Alternate Vehicle (Expansion) -Vehicle child trans ortation; includes wheelchair lift and 1 we station. Anfinnsi annin~a• ~- DIGS@I 20' Light Transit Vehicle (Expansion) - yas+~c~ Body-on-chassis type vehicle (Cutaway van chassis); retaining the van-type cab; offering increased headroom and wider body; max. capacit -.13 assengers Opttonal engine: Diesel $11,000 ^ Brake retarders _ - $6,500 $0 , FLOOR PLAN WEB SITE: ~•//www ncdot om/transit/transitneUOoerationsAndPlannina/20ft LTV FloorPlans.odf Capital Budget Panes d FY2009 Community Transportation Program (CTP) Grant Application Project Nbr: 09-CT- 0 PROPOSED PROJECT BUDGET CAPITAL EXPENSES (Dent. 4523) NCDOT ONLY i Object I I BUDGETED Code Title COST _ , ROLLI ~G;STOt;K:;EXFANSION V~I~ICLES . `~ ,:. . G579 22' Light Transit Vehicle w/wheelchair lift (Expansion) - Body-on-chassis type vehicle (Cutaway van chassis); retaining the van-type cab; offering increased headroom and wider body; fully automatic side lift. 2 wheelchair station floor plan. Min. ambulato capaci -12 ax; Max. ambulato capacity-14 I Optional engines: diesel f1 Brake retarder: htto•//www ncdot orgltransiUtransitneUOoerationsAndPlanning122ft LTV FloorPlans pdf 20' Light Transit Vehicle w/wheelchair Ilft (Expansion) - Body-on-chassis type vehicle (Cutaway van chassis); retaining the van-type cab; offering increased headroom and wider body; fully automatic side lift. 2 wheelchair station floor plan. Min. ambulatory capacity -8 pax: Max. ambulatory capaci -10 pax. Optional engine: Brake retarder: Diesel http•1/www.ncdot orgttransiVtransitneUOperationsAndPlanning/20ft LTV FloorPlans pdf G595 Service Vehicle (Expansion) -Vehicle used for maintenance or servicing breakdowns G598 28' Light Transit Vehicle w/wheelchair lift (Expansion) - Body-on-chassis type vehicle ,(Cutaway van chassis); retaining . the van-type cab; offering. increased headroom;and wide body; fully automatic lift; max. capacity - 22 passengers, depending on floor plan. u optional engines: L.plesel ^ Brake retarder: FLOOR PLAN WEB SITE: htto://www. ncdot.org/transiUtransitneUOoerationsAndPianning/28ftLTVFIoorPlans. pdf TOTAL COST Maximum Participatio ~ TOTAL EXPANSION VEHICLE QUANTITY 8~ EXPENSES: ~ , 0 ~ ; . $OI 0. ~ $OI *NOTE: If you prefer to use a local vender for lettering, please budget cost under line code 599 located under "Other Capital". Logos are now eligible under that code also. Capital Budget Pane 5 FY2009 Community Transportation Program (CTP) Grant Application Project #: 09-CT~ PROPOSED PROJECT BUDGET CAPITAL EXPENSES (Dept. 45231 Applicant: Orange County NCDOT Object Estimated Subtotal Maximum Code Title Qt Cost Cost Totaf Cost Qty Participation rOTHER C~A,~ITAL ~~ _ G511 Office Furniture -Cost of tables, desks, chairs, file cabinets, and related furniture for transportation offices or facilities. List one item per line, the no. $ _ gp of units per item, and the $ _ ~p estimated cost. $ _ $p $ - $0 $ - $0 $ - $0 _ ~n G512 Office Equipment - Cost of fax machines, copiers, calculators, and- other equipment for transportation offices and facilities. Does not include computer hardware and software List one item per line, the no. of units per item, and the estimated cost. Audio-Visual Equipment - Includes the costs of overhead projector,. TV and VCR to be used for trainin purposes. List one item per. tine, the no. of tanits per item, and the estimated cast. Vehicle Spare Parts - Cost of spare parts for revenue producing vehicles. Thrr sparrl part must have a unit cost ofi greater than 53t3ii and a useful life of more that one {1) year. This expenditure is ,only available to systems wish in-house maintenance facilities which maintain an inventory of spare parts. List vne item per line, the no. of units per item, and the estimated cost. Shop Equipment -Purchase of equipment for maintaining vehicles, including, but not limited to, motor hoist, lire balancer, etc. List one item per line, the no. _ of units per item, and the estimated cost. .v ,$ - - - ~ - . $ - $ - $ - $ - ,$ _ $ - $ - $ - .u - $ - $ - $ - $ - $.. _ $ - $ - $.. - ~ _ $: 5 .... - . Capital Budget Page 6 FY2009 Community Transportation Program (CTP) Grant Application Project #: 09-CT- 0 PROPOSED PROJECT BUDGET CAPITAL EXPENSES De t. 4523) Applicant: Orange County NCDOT Object Estimated Subtotal Maximum Code Title QtV Cost Cost Total Cost Qty Participation JTH~R'CAPI,TQL ~' - '~: G553 Repeater Station -Used to extend the range of the base installation. Attach estimate of cost from vendor. Watts: New Replacement G554 Radio Base Station -Desk-type unit used to transmit to mobile units in the vehicles. Includes remotes and mobiles with power packs. Attach estimate of cost from vendor. Watts: New Replacement G555 Mobile Radio Unit - 2-way radio installed in vehicle Attach estimate of cost from vendor. New Watts: Replacement Hand-held Radio Unit -portable 2-wa radio (limit 2 per transits' Attach estimate of cost from vendo New Watts: Replacement G556 Telephone equipment -Individual telephone instruments (does not iriclude new or replacement telephone systems -see G524 in Advanced may include cellular (digital) phones. List one item per line, the no. per item, and the estimated cost. G557 Fareboxes -Coin collection unit installed on vehicle. List item and indicate no. of units: New Attach estimated cost & type. Replacement G559 -Other Equipment -Specify item if not listed above. List one item per line, the no. aint.vehicle per item, and the estimated cost. Bus Stop Signs -Sign used to indicate location where passengers can board or exit a public transit vehicle. Bus Stop Sign(sJ Vehicle Lettering and Logos -Cost of lettering and/or logos and :he labor involved in having the transit:system name, phone number, and/or logo applied to vehicles. Costs to be incurred by-using a ocal vendor.. Vehicle Lettering and Logos TOTAL OTHER CAPITAL EXPENSES: $ - a _ a - ~ - 6 - 6 - $ :~, w - $ - $ 12, 000 $ - $ - 00 ,$ 900 $ 900 $0 $0 i i $0 w $0 $0 Capital Budget Page 7 Applicant: Object Code Title FY2009 Community Transportation Program (CTP) Grant Application Project Nbr: 09-CT- 0 PROPOSED PROJECT BUDGET CAPITAL EXPENSES (Dept. 4523) Orange County Budgeted TOTAL Cost QTY. QTY. TOTAL COST BASELINE TECHNOLOGY G514 Micro Portable Projector/Laptop - Note: laptop is part of operation of projector NCDOT will participate UP TO $4, 000 Replacement $ - New $ - 0 $ - Personal Computer System (PC) - DESKTOP computers include CPU, Office XP, 17" monitor, keyboard, mouse and Microsoft Office XP software, 2 yr. technical support contract) Replacement $ 1,#300 Expansion ~ 1.800 0 $ - G522 Printers - Laser jet network and non-network printers Non-network Replacement $ 400 Expansion $ 400 0 $ - Network Replacement $1,100 Ex ansion $1,100 0 $ - G523 Software - Eligible software listed under FY07 Technical Specifications List software: $ - $ - Q - 0 $ - Operating System Software Upgrade: (Ensure that your current pc has enough RAM) Windows XP PROFESSIONAL operating system Upgrade Version $200 Full Version $500 0 $ - Microsoft Office Software: (Ensure tha# your current pc has enough RAM) MS Office XP PROFESSIONAL Upgrade Version $200 Full Version $500 0 $ - *Scheduling Software requests should be made on the Advanced Technology Budget G525 Network Server - For use with network application/programs (Use standard focal 1T specifications) Replacement $ - Ex ansion. $ - 0 $ - TOTAL BASELINE TECHNOLOGY EXPENSES: $ - Capital Budget Page 8 FY2009 Community Transportation Program (CTP) Grant Application Project Nbr: 09-CT- July 2008 -June 2009 FACILITY IMPROVEMENT BUDGET SUMMARY Legal Name of Applicant: Orange County Subrecipient's Federal Taxpayer Identification Number: 56-6000-327 Period of Performance: July 1, 2008 -June 30, 2009 NCDOT I. Total Project Expenditures Requested Approved (NCDOT Maximum Participation Amounts) Facility Improvements for Safety & Security $ - $ - II. Funding (Do not complete-this section) NCDOT only Total Federal NCDOT Local 100% 0% 90% 10% Facility Improvements $0 $0 $0 $0 Total Funding $0 $0 $0 $0 Facility Improvement Budget Page 1 FY2009 Community Transportation Program (CTP) Grant Application Project #: 09-CT-.000 PROPOSED PROJE CT BUDGET FACILITY IMPROVEMENT EXPENSES Dept. 4529) Applicant: Orange County __ _ : NCDOT Object Estimated Subtotal Maximum Code Title Qty Cost Cost Total Cost Qty Participation :FACILITY IMPROVEMENT $UDGET ':G538 Fencing/Lighting - Exterior building and parking. lot lighting: Fencing end gate to securepartcing area forvehioles '' List one item per line $ - $ - Attach cost estimate for $ - $ - reference onl $ - $ - $ $0 ;!:G53,9 Accessway/ Slgnage - Construction of ramps and and walkways that meet ADA. Permanent signs, such as a'facility sign and signs for accessible entrance. List one iitem per line $ - $ - Attach cost estimate for $ - $ - reference only. $ - $ - $ - $ $ - $ - $ - 6586; Building'SecuritylSurveillance Equipment -'Cost and installation of security,system and surveillance equipmenffor transit system s administrative or maintenance facility, and parking area- List one-:item per line. $ - $ - Attach cost estimate fo[; $ - $ reference only, $ - $ - $ - $ - ' $ - $ - $ $0 'G587 Paving/Resurfacing -Asphalt surface paving or resurfacing of the $ - $ - $ - $0 facility parking area;: Also includes existing Park and Ride Lots. Indicate size (sq.ft.) area to be paved/resurtaced: Attach cost estimate for reference onl G589 Other Facility Improvements -Safety and Security improvements or repairs. Attach cost estimate-fur reference only. I tem No. Mato~al $ ` Libor S Item description':` 1 $ - $ - $ - $ - $ - $ 3 $ - $ - $ - $ „9: $ - $ - TOTAL FACILITY IMPROVEMENT EXPENSES: $ - $0 (Continue to next page) Facility Improvement Budget Page 2 FY2009 Community Transportation Program (CTP) Grant Application Project #: 09-C'1`- 0.00 PROPOSED PROJECT BUDGET FACILITY IMPROVEMENT EXPENSES (De t. 4529) Applicant: 9 ty Oran a Coun - - NCDOT Object Estimated Subtotal Maximum Code Title Q Cost Cost Total Cost Qty Participation FACILITX.IMPRO.VEMENT.BUDGET NOTE: YOU MUST OWN THE FACILITY TO BE ELIGIBLE TD APPLY FOR FUNDING FOR THESE PURPOSES. YOU MUST SUBMIT A COPY OF THE TITLE (DEED) OF OWNERSHIP WITH THIS APPLICATION FOR FUNDING CONS/DERATION. Physcial Address of Facility Facility Improvement Questionnaire -Must be completed for consideration. Do you currently operate out of this location? If you DO NOT currently operate out of this location, what is the anticipated date that you will occupy this location? What is the total square footage of the facility? Yes ^ No ^ Is this facility shared for other uses or with other entities? If yes, list entities, square footage occupied, and purposes: Date: Sq. Ft.: Yes ^ No ^ Enti S .Feet Pur ose Provide a narrative description of improvements and/or repairs requested -attach as a separate page. Facility Improvement Budget Page 3