2_ Transmittal Cover Page FTA 5310 FY28_FY29.pdf

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Attached to
NOFA800 - FTA Section 5310 FY2028-FY2029
Solicitation number
PE-29016-NONST-2028-000000074
Issued by
Fulton County, Georgia

About this file

This is a Transmittal Cover Page for the FY2028-FY2029 FTA Section 5310 grant application administered by the Atlanta Regional Commission (ARC), the designated Area Agency on Aging for the 11-county metro Atlanta region including Cherokee, Clayton, Cobb, DeKalb, Douglas, Fayette, Forsyth, Fulton, Gwinnett, Henry, and Rockdale counties, as well as the City of Atlanta. The FTA Section 5310 program provides funding to improve mobility for seniors and persons with disabilities by supporting transportation services and programs designed to meet special needs beyond traditional public transportation and Americans with Disabilities Act (ADA) complementary paratransit services. Eligible projects include both capital investments and nontraditional investments serving large urbanized areas (over 200,000 population), small urbanized areas (50,000-200,000 population), and rural areas (under 50,000 population). Site registration and application approval must be completed prior to proposal submission. All application documents must be combined and submitted as a single proposal package.

Applicants must submit a complete package including a signed Transmittal Cover Page, Proposal Response Template, Financial Components Workbook, organizational chart with staff details, DHS Pre-Award Risk Assessment Form, liability insurance documentation, complaint policies and procedures, most recent financial statements and current budget, and three business references. The applicant certifications require coordination with other transportation providers and social service agencies, compliance with all federal and state requirements including Title VI civil rights requirements, disadvantaged business enterprise participation requirements, and applicable lobbying restrictions for applications exceeding $100,000. The authorized representative must certify the organization possesses the necessary fiscal, data collection, and managerial capability to implement and manage the proposed services in accordance with federal regulations and Georgia Department of Human Services, Division of Aging regulations.

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Text version

FY2028 - FY2029 Applicant Transmittal Cover Page for

FTA Section 5310 *No individuals may apply*

CHECKLIST OF REQUIRED ITEMS AT SUBMITTAL:

☐ Signed Transmittal Cover Page

☐ Proposal Response Template

☐ Financial Components Workbook

☐ Organizational Chart with staff names, job titles and job descriptions

☐ DHS Pre Award Risk Assessment Form

☐ Copy of liability insurance for all programs and facilities

☐ Complaint Policy and Procedures

☐ Most recent audit’s Financial Statement & Current Budget of Applicant Organization(s)

☐ Three references from entities that have previous or current business relationships with the applicant, wherein the role of the applicant in the relationship is clearly stated

AGENCY NAME:

County:

Address:

City/State/Zip Code:

EXECUTIVE DIRECTOR:

Email:

Phone:

FINANCIAL CONTACT:

Email:

Phone:

FY28 – FY29 FTA Section 5310 Transmittal Cover Page for NOFA | 2

FTA Certifications and Assurances Form

1. The applicant has coordinated or will coordinate to the maximum extent feasible with other transportation providers and users, including social service agencies authorized to purchase transit service;

2. The applicant has or will comply with all terms and requirements listed in the Sub- Recipient Terms and Requirements section of this application;

3. The applicant has complied or will comply with all applicable civil rights requirements, including but not limited to full compliance with Title VI of the Civil Rights Act of 1964 and related statutes and regulations, in all programs and activities (See Appendix III);

4. The applicant has complied or will comply with applicable requirements of U.S. DOT regulations regarding participation of disadvantaged business enterprises in U.S. DOT programs (See Appendix III);

5. The applicant has complied or will comply with all applicable lobbying requirements for each application (per 49 CFR 20.110) exceeding $100,000 (See Appendix III);

6. The applicant will comply with all applicable federal requirements per the FTA Federal Fiscal Year 2015 list of Certifications and Assurances for Federal Transit Administration Grants and Cooperative Agreements, as referenced at: https://www.transit.dot.gov/funding/grantee-resources/certifications-and- assurances/certifications-assurances

Authorized Representative of Applicant

APPLICATION SIGNATURE:

I certify, to the best of my knowledge, that the information submitted in the attached proposal is true and accurate and that this organization has the necessary fiscal, data collection, and managerial capability to implement and manage the services bid on in this proposal in accordance with both federal regulations and Georgia Department of Human Services, Division of Aging regulations.

Signature Date

Printed Name and Title https://www.transit.dot.gov/funding/grantee-resources/certifications-and-assurances/certifications-assurances https://www.transit.dot.gov/funding/grantee-resources/certifications-and-assurances/certifications-assurances https://www.transit.dot.gov/funding/grantee-resources/certifications-and-assurances/certifications-assurances

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