HomeMy WebLinkAboutRES-2016-065 Public Transportation Consolidated Capital Call for Projects Program Resolution PUBLIC TRANSPORTATION CONSOLIDATED CAPITAL CALL FOR
PROJECTS PROGRAM RESOLUTION
WHEREAS,Article 2B of Chapter 136 of the North Carolina General Status 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 public transportation projects;and
WHEREAS,NCDOT has been designated as the State agency with principle authority and responsibility for administering
capital projects for small urbanized and rural areas;and
WHEREAS,(Legal Name of Applicant)Orange County hereby assures and certifies that it will comply with the federal
and state statutes,regulations,executive orders,and all small administrative requirements related to the applications made
to and grants received from the Federal Transit Administration,as well as the provisions of Section 1001 of Title 18,U.S.C.
WHEREAS,(Legal Name of Applicant) Orange County understands and agrees that capital project requests will be funded
with 5310, 5311 (RTAP or ADTAP),5339,state funds or a combination thereof.The applicant agrees they will adhere to
the compliance of the grant used to fund the project.
NOW,THEREFORE,be it resolved that the(Authorized Official's Title)* Chair of(Name of Applicant's Governing
Body)Board of County Commissioners is hereby authorized to submit a grant for federal and state funding,provide the
required local match,make the necessary assurances and certifications and be empowered to enter into an agreement with
the NCDOT to provide public transportation services.
I(Certifying Official's Name)*Donna.S Baker (Certifying Official's Title)Clerk to the Board do hereby certify that the
above is true and correct copy of an excerpt from the minutes of a meeting of the(Name of Applicant's Govern'
Board of County Commissioners duly held on the 18 day of October, 2016.
P
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Signature of Certifying Official Date
*Note that the authorized official,certifying official,and notary public should be three separate individuals. o ��
Seal Subscribed and sworn to me(date)
Notary Public Signatur�
Davie i mft. - Sf•, li►`1�1►,N� Affix Notary Seal Here
Printed Name and Address
OFFICIAL SEAL
My commission expires(date) •Tune Z Q 19. Notary Public,North caroiina
ORANGE COUNTY
DAVID HUNT
My Commission Expires
Local Share Certification for Funding
(This form is required for EACH separate funding request)
Orange County
(Legal Name of Applicant)
Local matching funds will be required for all application submittals. For projects requiring capital funds,the
required local match is 10 percent of the net cost of the project,subject to the availability of state funds. Applicants
should be prepared to incur a 20 percent local match in case state funds are not available.
The local match must be provided from sources other than federal Department of Transportation funds. Guidance
is provided FTA's website about eligible sources of matching funds. Applicants are responsible for verifying the
eligibility of non-USDOT federal funds the applicant proposes to use as their local match.
Requested Funding Amounts
Net Local Share Local Source(s)
Proj ect
Cost
Capital $212,902 $21,290 (10%) 1.Local General Operating
Fund
(Vehicles&Other)
2.
3.
TOTAL $212,902 $21,290
I, the undersigned representing(Legal Name of Applicant)Orange County do hereby certify to the North Carolina
Department of Transportation,that the required local funds will be available as of July 1,2017.
(E� fill 1u- -
Signature of Authorized Official
Farl McKee Chair of the Board of County Commissioners
Type Name and Title of Authorized Official
5-11
Date
Important—A public hearing MUST be conducted whether or not requested by the Public.
PUBLIC HEARING RECORD
Public Hearing Notice was published on this date: October 5, 2016
APPLICANT: Orange County
DATE: October 18,2016
PLACE: O.0 Southern Human Services 2501 Homestead Rd Chapel Hill NC 27516
TIME: 7:00 p.m.
How many of the Board Members or Commissioners attended the 1
public hearing?
How many members of the PUBLIC attended the public hearing? _ b
I,the undersigned,representing(Legal Name of Applicant) Orange County do hereby certify to
the North Carolina Department of Transportation that a Public Hearing was held as indicated
above and:
During the Public Hearing
Section 5310 Program
® (NO public comments)
❑ (Public Comments were made and meeting minutes will
be submitted after board approval)
The estimated date for board approval of meeting minutes is: November 2016
Aix Seal
Signature of Clerk/Secretary to the Board a�c # a t
Donna S.Baker, Clerk to the Board
Printed Name and Title
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DBE GOOD FAITH EFFORTS CERTIFICATION
This is to certify that in all purchase and contract selections (Legal Name of Applicant) Orange
Co un 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:
RegPiTDd by �t a all Description
D ® Write a letter to Certified DBEs in the service area to inform them of
purchase or contract opportunities;
D ® Document telephone calls, emails and correspondence with or on behalf of
DBEs;
❑ Advertise purchase and contract opportunities on local TV Community
Cable Network;
D ® Request purchase/contract price quotes/bids from DBEs;
❑ Monitor newspapers for new businesses that are DBE eligible
D Encourage interested eligible firms to become NCDOT certified. Interested
® firms should refer to htW://www.ncdot.govlbusiness/ocs/dbe/#FAO10 or
contact the office of contractual services at(919) 733-5316 ext 330 for more
information
D ® Encourage interested firms to contact the Office of Historically
Underutilized Businesses at(919) 807-2330 for more information.
D Consult NCDOT Certified DBE Directory.A DBE company 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
h!Ws://al2ps.dot.state.nc.us/vendor/directory/``defqa!Laspx#O
❑ Other efforts: Describe:
❑ Other efforts: Describe:
You may obtain of copy of the USDOT Disadvantaged Business Enterprise Program Title 49
Part 26 at htW:Hecfr.gl2oaccess.gov/cgVt/text/text-idx?r�cfr&tpl=%2Findex.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 certify that,to the best of my knowledge,the above information describes the DBE good faith efforts.
► f_� t�- )tom Ib 25' �L
Signature of Authorized Official Date
Earl McKee Chair,Board of County Commissioners
Type Name and Title of Authorized Official
SECTION 5311, 5310 or Consolidated Capital Call for Proeicts TITLE VI PROGRAM REPORT
Legal Name of Applicant: Orange County
(Complete either Part A or Part B)
Part A—No complaints or Lawsuits Filed
I certify that to the best of my knowledge, No complaints or lawsuits alleging discrimination have been filed against
Orange County (Transit System Name) during the period July 1, 2015 through June 30, 2016.
Signature of Authorized Official Date
Earl McKee, Chair, Board of County Commissioners
Type Name and Title of Authorized Official
Part B —Complaints or Lawsuits Filed
certify that to the best of my knowledge, the below described complaints or lawsuits alleging discrimination have been filed against Transit
System Name) during the period July 1, 2015 through June 30, 2016.
Complainant Name/Address/Telephone Date Description Status/Outcome
Number
(Attach an additional page if required.)
Signature of Authorized Official Date
Type Name and Title of Authorized Official
Part C - Title VI Plan
Do you currently have a Title VI Plan: Yes Date of last plan update: March 17 2015
Surface Transportation Providers
(operating in your service area)
List all private transportation providers and indicate if represented by union.This information is generally available in your telephone directory or through the County's business licensing office.If
you contract out any part of your service or management/administration of your transit system and the contractor's employees are represented by a labor union,remember to include them here.
Orange County
Legal Name of Applicant
of the S stem Name
Private Transportation Providers Union If yes—Provide Name of Union and the affiliated Local
Representation Branch Number,(e.g.ACME Local#458)
1 Horton's Travel Service ® No ❑ Yes
2 Airport&Intown Taxi ® No ❑ Yes
3 Doc's Taxi and Transportation ® No ❑ Yes
4 University Cab Company ® No ❑ Yes
5 Tar Heel Taxi Inc. ® No ❑ Yes
6 Carolina Livery ® No ❑ Yes
7 ❑ No ❑ Yes
8 ❑ No ❑ Yes
9 ❑ No ❑ Yes
10 ❑ No ❑ Yes
11 ❑ No ❑ Yes
12 ❑ No ❑ Yes
13 ❑ No ❑ Yes
14 ❑ No ❑ Yes
15 ❑ No ❑ Yes
16 ❑ No ❑ Yes
17 ❑ No ❑ Yes
18 ❑ No ❑ Yes
19 ❑ No ❑ Yes
20 ❑ No ❑ Yes
21 ❑ No ❑ Yes
22 ❑ No ❑ Yes
23 ❑ No ❑ Yes
24 ❑ No ❑ Yes
25 ❑ No ❑ Yes
Surface Transportation Providers Page 1 of 2
Orange County
Legal Name of Applicant
(Not the S stem Name)
Private Transportation Providers Union If yes—Provide Name of Union and the affiliated Local
Representation Branch Number,(e.g.ACME Local#458)
26 ❑ No ❑ Yes
27 ❑ No ❑ Yes
28 ❑ No ❑ Yes
29 ❑ No ❑ Yes
30 ❑ No ❑ Yes
31 ❑ No ❑ Yes
32 ❑ No ❑ Yes
33 ❑ No ❑ Yes
34 ❑ No ❑ Yes
35 ❑ No ❑ Yes
36 ❑ No ❑ Yes
37 ❑ No ❑ Yes
38 ❑ No ❑ Yes
39 ❑ No ❑ Yes
40 ❑ No ❑ Yes
41 ❑ No ❑ Yes
42 ❑ No ❑ Yes
43 ❑ No ❑ Yes
44 ❑ No ❑ Yes
45 ❑ No ❑ Yes
46 ❑ No ❑ Yes
47 ❑ No ❑ Yes
48 ❑ No ❑ Yes
49 ❑ No ❑ Yes
50 ❑ No ❑ Yes
51 ❑ No ❑ Yes
52 ❑ No ❑ Yes
53 ❑ No ❑ Yes
Surface Transportation Providers Page 2 of 2
NCDOT Public Transportation Division
Project Funding Request Form
DATE SUBMITTED: November 4,2016
APPLICANT'S LEGAL NAME: Orange County
BUDGET TYPE: Capital
MPO Affiliation: DCHGDurham Chapel Hill Carrboro;Burlington-Graham
RPO Affiliation: TARPO Triangle Area Rural Transportation Organization
NCDOT Division Number: 0
GENERAL INFORMATION FISCAL YEAR 2018
Mailing Address: P.O.Box 8181,Hillsborough,NC 27278 FEDERAL FUNDS N/A
STATE FUNDS $191,612
Physical Address: 600 Highway 86N,Hillsborough NC LOCAL FUNDS $21,290
27278
Contact Person: I Peter Murphy
Phone Number: 919-245-2002 TOTAL REQUEST $212;902
FAX Number: 919-732-2137
Email Address: m rphV @oran> ecountync.gov
FOR OFFICE USE ONLY PROJECT LOCATION: 10rangeCounty
PREPARED BY: I I SMALL URBAN NO
RURAL YES
REQUEST RECOMMENDATION OR REJECTION JClick here
PREVIOUSLY FUNDED? YES
PROJECT I PROGRAM DESCRIPTION:
Purchasing vehicles,radios and vehicle lettering for use in Orange County's Transportation Services
PROJECT/PROGRAM BENEFITS:
Provides necessary equipment to provide essential transportation services.
RESULT OF PROJECT/PROGRAM IF NOT FUNDED:
Necessary transportation porgrams'would not be able to function without vehicles to support these programs.
SUBSTITUTE FORM W-9
VENDOR REGISTRATION FORM
NORTH CAROLINA DEPARTMENT OF TRANSPORTATION
Pursuant to Internal Revenue Service(IRS)Regulations,vendors must furnish their Taxpayer Identification Number(TIN)to the State.If this number is
not provided,you may be subject to a 20%withholding on each payment.To avoid this 20%withholding and to insure that accurate tax information is
reported to the Internal Revenue Service and the State,please use this form to provide the requested information exactly as it appears on file with the IRS.
INDIVIDUAL AND SOLE PROPRIETOR:ENTER NAME AS SHOWN ON SOCIAL SECURITY CARD
CORPORATION OR PARTNERSHIP :ENTER YOUR LEGAL BUSINESS NAME
NAME: 1z AY�,C- C O J A/T;�
MAILING ADDRESS:STREET/PO BOX: 0 pX 8/-'
CITY,STATE,ZIP: N1 LLf 309'3L)6-1{ NC )—f 2 q ff
DBA/TRADE NAME(IF APPLICABLE):
BUSINESS DESIGNATION: ❑INDIVIDUAL(use Social Security No.) El SOLE PROPRIETOR(use SS No.or Fed ID No.)
❑CORPORATION(use Federal ID No.) ❑PARTNERSHIP (use Federal ID No.)
❑ESTATE/TRUST(use Federal ID no.) WSTATE OR LOCAL GOVT.(use Federal ID No.)
❑OTHER/SPECIFY
SOCIAL SECURITY NO. - - (Social Security#)
OR
FED.EMPLOYER IDENTIFICATION NO. - (Employer Identification#)
COMPLETE THIS SECTION IF PAYMENTS ARE MADE TO AN ADDRESS OTHER THAN THE ONE LISTED ABOVE:
REMIT TO ADDRESS:STREET/PO BOX:
CITY,STATE,ZIP:
Participation in this section is voluntary. You are not required to complete this section to become a registered vendor.The information below will in no way affect the vendor registration process
and its sole purpose is to collect statistical data on those vendors doing business with NCDOT. If you choose to participate,circle the answer that best fits your firm's group definition.
What is your firm's ethnicity?(❑Prefer Not To Answer, ❑African American, ❑Native American, ❑Caucasian American, ❑Asian American,
❑Hispanic American, ❑Asian-Indian American, ❑Other: )
What is your firm's ender? ❑Prefer Not to Answer,❑Male,❑Female Disabled-Owned Business? (❑Prefer Not to Answer, ❑Yes,❑No)
IRS Certification
Under penalties of perjury,I certify that:
1. The number shown on this form is my correct taxpayer identification and
2. I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the IRS that I am subject to backup
withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding,and
3. I am a U.S.person(including a U.S.resident alien).
The IRS does not require your consent to any provision of this document other than the certifications required to avoid backup withholding.For
complete certification instructions please see IRS FORM W-9 at http://www.irs.gov/pub/irs-pdf/fw9.r)d
�d1Ai
NAME(Pant or Type) TITLE(Print or Type)
SIGNATURE DAT9 PHONE NUMBER
To avoid payment delays,completed forms should be returned promptly to your local DOT office.
EEO QUESTIONNAIRE
Threshold Requirements:Any applicant, recipient,or sub-recipient is required to comply with program
requirements in Chapter III if it meets the following thresholds:
a. Employees 50 or more transit-related employees*;and
b. Requests or receives capital or operating assistance under Sections 3,4(i),or 9 of the FTA;assistance
under 23 U.S.C. 142(a)(2)or 23 U.S.C. 103(e)(4),or any combination thereof, in excess of$1 million
in the previous Federal fiscal year;or
c. Request and receives planning assistance under Sections 8 and/or 9 in excess of$250,000 in the
previous Federal fiscal year.
Name of Organization: Orange County
State DOT MPO Transit Agency City
TEAM ID: (if applicable)
1. How many employees do you have in your organization?
2. How many of those employees are *transit related? 19
*A transit related employee is an employee of an FTA applicant, recipient,or subrecipient who is involved in
an aspect of an agency's mass transit operation funded by FTA. For example,a city planner involved in a
planning bus routes would be counted as part of the recipient's work force, but a city planner involved in
land use would not be counted.
3. How much did your organization receive in capital or operating assistance the previous fiscal year?
4. How much did your organization receive in planning assistance the previous fiscal year?
So
5. Does your agency submit an EEO Program? Yes No.
If yes,what is the date of your last submission?
6. Do you contract out any of your transit services? Yes X No.
If no,skip to question 7. If yes,
a. What is the name of agency(s)?
b. How much does the agency receive in capital or operating assistance?
c. How much does the agency receive in planning assistance?
d. How many transit employees does the agency have?
e. Does the agency submit an EEO Program to you? Yes No
Page 1 of 2
If yes,what is the date of their last EEO submission?
7. What is the date of your last Triennial Review(If applicable)?
a. Were there any deficiencies? Yes No.
If yes, in what area(s)
b. Are any of the deficiencies still open Yes No.
If yes, in what area(s)?
8. What is the date of your last State Management review(If Applicable)?
a. Were there any deficiencies? Yes No.
If yes, in what area(s)
b. Are any of the deficiencies still open Yes No.
If yes, in what area(s)?
9. Has your agency participated in a EEO compliance review?
If yes,
a. Were there any deficiencies? Yes No.
If yes, in what area(s)
b. Are any of the deficiencies still open Yes No.
If yes, in what area(s)?
I declare (or certify, verify, or state)that the foregoing is true and correct.
Signature Date l of Z w o
Title Transport ' ministrator
Farm not required—County does not meet the thresholds
Page 2 of 2
PUBLIC HEARING OUTREACH
APPLICANT: Orange County
Provide a detailed description of public hearing outreach efforts by the applicant to inform the
public ESPECIALLY MINORITY, WOMEN, ELDERLY, DISABLED, LIMITED ENGLISH
PROFICIENCY- (LEP) AND LOW INCOME INDIVIDUALS about the scheduled public
hearing and the opportunity to comment on the proposed Community Transportation grant
application. Outreach may include 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.
Notices posted on Web Site, Public Transit Buses, Senior Centers, Library, Department of
Social Services, Visitor's Center and Local Newspaper
PUBLIC HEARING NOTICE
This is to inform the public that a public hearing will be held on the proposed Orange County Community
Transportation Program Application to be submitted to the North Carolina Department of Transportation
no later than November 4, 2016. The public hearing will be held on October 18, 2016 at 7:00pm at the
Orange County Board of County Commissioners meeting in the board room of the Southern Human
Services Center located at 2501 Homestead Road, Chapel Hill, NC 27516.
Those interested in attending the public hearing and needing either auxiliary aids and services under the
Americans with Disabilities Act (ADA) or a language translator should contact Peter Murphy on or before
October 18, 2016, at telephone number 919 245-2002 or via email at pmurphy @orangecountync.gov.
The Community Transportation Program provides assistance to coordinate existing transportation
programs operating in Orange County as well as provides transportation options and services for the
communities within this service area. These services are currently provided using fixed, demand
response, deviated fixed, and subscription routes. Services are rendered by Orange County Public
Transportation.
The total estimated amount requested for the period July 1, 2017 through June 30, 2018
Project Total Amount Local Share
Administrative $ 179,964 $ 26,995 (15%)
Capital (Vehicles & Other) $212,902 $21,290 (10%)
Operating (ALL systems; No State *(50%) or more
Match will be provided for Operating $ N/A $ NIA
Assistance)
TOTAL PROJECT $ 392,866 $ 48,285
Total Funding Request Total Local Share
This application may be inspected at 600 Highway 86 North, Hillsborough, N.C., 27278 from 8:00 a.m. -
5:00 p.m., Monday through Friday. Written comments should be directed to Peter Murphy before
October 18, 2016.
AVISO DE AUDIENCIA PUBLICA
Esto es para informar al publico que una audiencia publica se Ilevara a cabo en la Comunidad de
Orange County Transportation Solicitud del Programa propuesto para ser presentado al Departamento
de Transporte de Carolina del Norte a mas tardar el 4 de noviembre de 2016. La audiencia publica se
Ilevara a cabo el 18 de octubre, 2016 a las 7:00 pm en la Junta de Comisionados del Condado de
Orange reunidos en la sala de juntas del Centro de Servicios Sociales del Sur ubicadQ en 2501
Homestead Road, Chapel Hill, NC 27516.
Los interesados en asistir a la audiencia publica y la necesidad, ya sea ayuda y servicios auxiliares bajo
el Americans with Disabilities Act (ADA) o un traductor de idiomas debe ponerse en contacto con Peter
Murphy en o antes del 18 de octubre 2016, en el numero de telefono 919 245 a 2002 o por correo
electronico a pmurphy @orangecountync.gov.
El Programa de Transporte de la Comunidad proporciona ayuda a coordinar los programas existentes
de transporte que operan en el Condado de Orange, asi como proporciona opciones de transporte y
servicios para las comunidades dentro de esta area de servicio. Estos servicios se prestan actualmente
mediante respuesta a la demanda fija„ desvio fijos, y las rutas de suscripcion. Los servicios son
prestados por el Condado de Orange en transporte publico.
El monto total estimado solicitado para el periodo 1 de julio 2017 a traves de 30 de junio 2018
Provecto Cantidad total Parte local
Administrativo $ 179,964 $ 26,995 (15%)
Capital (vehiculos y otros) $212,902 $21,290 (10%)
Operativo(TODOS los sistemas;n *(50%) or more
de ajuste de Estado sera $ N/A $ N/A
proporcionado para asistencia de
funcionamiento)
TOTAL DEL PROYECTO $ 392,866 $ 48,285
Solicitud de financiamiento total Total participacion Local
Esta aplicacion puede ser inspeccionado en 600 de la carretera 86 Norte, Hillsborough, Carolina del
Norte, 27278, de 8:00 am - 5:00 pm, de lunes a viernes. Los comentarios escritos deben ser dirigidas a
Peter Murphy antes de 18 de octubre 2016
Important—A public hearing MUST be conducted whether or not requested by the Public.
PUBLIC HEARING RECORD
APPLICANT: Orange County
DATE: October 18, 2016
PLACE: O.0 Southern Human Services 2501 Homestead Rd Chapel Hill NC 27516
TIME: 7:00 p.m.
How many BOARD MEMBERS attended the public hearing?
How many members of the PUBLIC attended the public hearing? 'b�
Public Attendance Surveys
❑ (Attached)
® (Offered at Public Hearing but none completed)
I, the undersigned, representing (Legal Name of Applicant) Orange County do hereby certify to
the North Carolina Department of Transportation, that a Public Hearing was held as indicated
above and
During the Public Hearing
® (NO public comments)
❑ (Public Comments were made and meeting minutes
will be submitted after board approval)
The estimated date for board approval of meeting minutes is: November 2016
Affix S 1 Here
Signature or Clerk to the Board (V019e:
a�
Donna S. Baker, Clerk to the Board
Printed Name and Title 11
Date o
rf4 Carol�a�