HOPE-Supplemental-Form2020.pdf
PDF 195 KB Posted
- Attached to
- FY 2020 Helping Obtain Prosperity for Everyone Program Federal grant opportunity
- Opportunity number
- FTA-2020-011-TPE-HOPE
About this file
Supplemental Form
View the file
Other files for this federal grant opportunity
| File | Type | Posted |
|---|---|---|
| FRN-2020-04250.pdf | ||
| HOPE-Supplemental-Form-2020.pdf | ||
| PKG00258766-instructions.docx | DOCX document |
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v1.0 Page of Applicant and Proposal Form - Helping Obtain Prosperity for Everyone (HOPE) Program Helping Obtain Prosperity for Everyone (HOPE) Program Applicant and Proposal Profile Is this a resubmission due to an invalid/error message from FTA?
Section I. Applicant Information (Name and Direct Phone Number) Project Location:
Confirm that the project is located in an area of persistent poverty. Please provide mapping or narrative as an attachment to confirm eligibility. (Note: see www.transit.dot.gov/HOPE for maps and a complete list of areas of persistent poverty.)
Eligible Recipient or Subrecipient of 49 U.S.C. 5307, 5310, or 5311 Applicant Eligibility (select all that apply):
Section II. Project Information About the Project General Information Project Type (select all that apply):
Project Budget Description
QTY
HOPE Amount HOPE Match Amount Total Cost Other Federal Funds Other Total:
Matching Funds Information Project Scalability Is project scope scalable?
Project Proposed Milestones Timeline (Please be as specific as possible) Timeline Item Description Timeline Item Date Congressional Districts (Place of Performance) Congressional District Section III . Evaluation Criteria *** Address each of the evaluation criteria as described in the Notice of Funding Opportunity.*** Demonstration of Need Describe the need for project and how the activities would support eligible projects under Chapter 53 of Title 49.
Demonstration of Benefits Describe how the proposed activities would improve the ability to address one or more of the following factors - improve the existing condition of the transit system, improve the reliability of transit service for its riders, enhance access and mobility within the service area, accelerate the introduction of innovative technologies, reduce vehicle emission, reduce barriers to low income housing, or improve rural transportation.
Local Financial Commitment Describe the source of non-federal match and whether non-federal match is available, currently reserved or committed for this project, or will be secured upon project approval. (Attach documents to substantiate, as appropriate) Project Implementation Strategy Describe the Work Plan, Schedule, and Deliverables for the proposed activities. Describe the Partnerships involved in the project. Describe the technical capacity of the Partnership to undertake the proposed work. Describe the regional or local support for the proposed work and attach documentation.
Technical, Legal, and Financial Capacity Describe the technical, legal, and financial capacity of the applicant to undertake the project and describe any outstanding legal, technical or financial compliance issues from an FTA compliance review or Federal Transit grant-related Single Audit Finding and the status of work to address the compliance issues, if any.
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| CurrentPage: |
| PageCount: |
| btnValidate: |
| ResetButton1: |
| programCodeHidden: HOPE2020 |
| programVersionHidden: 1.0 |
| Yes: |
| No: |
| lbl_hidden_rbl_Resubmission: Is this a resubmission due to an invalid/error message from FTA? |
| cFocus: |
| Grants.gov Tracking Number (13 characters): |
| lbl_hidden_txt_grantsNumber: Grants.gov Tracking Number |
| Organization Legal Name (200 characters): |
| lbl_hidden_txt_orgLegalName: Organization Legal Name |
| FTA Recipient ID Number (30 characters): |
| lbl_hidden_txt_ftaRecipientIdNumber: FTA Recipient Id |
| Organization CEO (200 characters): |
| lbl_hidden_txt_orgCEO: Organization CEO |
| Project Location: Large Urbanized Area: 0 |
| lbl_hidden_cb_LargeUrban: Large Urban |
| Rural: 0 |
| lbl_hidden_cb_Rural: Rural |
| Project Location: Small Urbanized Area: 0 |
| lbl_hidden_cb_SmallUrban: Small Urban |
| lbl_hidden_cbl_ProjectLocation: Project Location |
| Specify the County(s)/Cities and State where the project is located:: |
| lbl_hidden_txt_projectLocation: Specify the County(s)/Cities and State where the project is located |
| lbl_hidden_rbl_IndicatorOne: Confirm that the project is located in an area of persistent poverty. Please provide mapping or narrative as an attachment to confirm eligibility. (Note: see www.transit.dot.gov for maps and a complete list of areas of persistent poverty.) |
| lbl_hidden_rbl_IndicatorTwo: Eligible Recipient or Subrecipient of 49 U.S.C. 5307, 5310, or 5311 |
| State: 0 |
| lbl_hidden_cb_State: State |
| Local Government Authority: 0 |
| lbl_hidden_cb_Authority: Local government authority |
| Operator of Public Transportation: 0 |
| lbl_hidden_cb_OperatorPublic: Operator of Public Transportation |
| Federally-recognized Native American Tribe: 0 |
| lbl_hidden_cb_Native: Federally-recognized Native American Tribe |
| Private Non-Profit Organization: 0 |
| lbl_hidden_cb_Private: Private Non-Profit Organization |
| Intercity Bus Service: 0 |
| lbl_hidden_cb_Intercity: Intercity Bus Service |
| Other: 0 |
| lbl_hidden_cb_OtherEl: Other |
| lbl_hidden_cbl_EligibilityType: Applicant Eligibility |
| lbl_hidden_txt_eligibilityTypeOther: If Other, specify |
| Applicant Type - If Other, Specify (200 characters): |
| Project Title (200 characters): |
| lbl_hidden_txt_projectTitle: Project Title |
| Project Executive Summary (500 characters): |
| lbl_hidden_txt_summaryOfReq: Project Executive Summary |
| Project Statement of Work (1000 characters): |
| lbl_hidden_txt_projectStatementOfWork: Project Statement of Work |
| Describe how this application addresses one or more departmental objectives addressed in the NOFO (500 characters): |
| lbl_hidden_txt_departmentalObjective: Describe how this application addresses one or more departmental objectives addressed in the NOFO |
| If applicable, describe how the proposed project is located in or will impact an Opportunity Zone. Please identify the Opportunity Zones impacted (500 characters): |
| lbl_hidden_txt_descProjectImpactOppZone: If applicable, describe how the proposed project is located in or will impact an Opportunity Zone. Please identify the Opportunity Zones Impacted |
| If applicable, describe how the proposed project supports FTA's Accelerating Innovative Mobility (AIM) Initiative (500 characters): |
| lbl_hidden_txt_descAccelerating: If applicable, describe how the proposed project supports FTA's Accelerating Innovative Mobility (AIM) Initiative |
| If applicable, describe how the proposed project supports US DOT's R.O.U.T.E.S Initiative (500 characters): |
| lbl_hidden_txt_descRoutes: If applicable, describe how the proposed project supports US DOTS's R.O.U.T.E.S Initiative |
| Transit Planning Study for Services and Routes: 0 |
| lbl_hidden_cb_routes: Transit Planning Study for Services and Routes |
| Engineering Study of Transit Facilities or New Facilities: 0 |
| lbl_hidden_cb_facilities: Engineering Study of Transit Facilities or New Facilities |
| Technical Study or Plan for Advancing Technologies: 0 |
| lbl_hidden_cb_technologies: Technical Study or Plan for Advancing Technologies |
| Transit Financing Study or Plan: 0 |
| lbl_hidden_cb_financing: Transit Financing Study or Plan |
| Planning and Environmental Linkage Study: 0 |
| lbl_hidden_cb_linkage: Planning and Environmental Linkage Study |
| Environmental Analysis: 0 |
| lbl_hidden_cb_analysis: Environmental Analysis |
| Planning for Low or No Emission Buses: 0 |
| lbl_hidden_cb_buses: Planning for Low or No Emission Buses |
| Coordinated Public Transit Human Services Transportation Planning: 0 |
| lbl_hidden_cb_coordinated: Coordinated Public Transit Human Services Transportation Planning |
| Integrated Fare Collection Study: 0 |
| lbl_hidden_cb_integrated: Integrated Fare Collection Study |
| Planning for Service to Address the Opioid Epidemic: 0 |
| lbl_hidden_cb_epidemic: Planning for Service to Address the Opioid Epidemic |
| Other (Please specify): 0 |
| lbl_hidden_cb_other: Other |
| lbl_hidden_cbl_ProjectType: Project Type |
| lbl_hidden_txt_projectTypeOther: If Other, specify |
| Project Type - If Other, Specify (200 characters): |
| Item Description (100 characters): |
| lbl_hidden_gridItem_txt_Desc: Description |
| Quantity: |
| lbl_hidden_gridItem_num_Qty: Quantity |
| Federal Amount: |
| lbl_hidden_gridItem_num_FederalAmnt: HOPE Amount |
| Local Match: |
| lbl_hidden_gridItem_num_LocalMatch: HOPE Match Amount |
| Other Federal: |
| lbl_hidden_gridItem_num_OtherFederal: Other Federal Funds |
| Other: |
| lbl_hidden_gridItem_num_Other: Other |
| Total Cost: |
| lbl_hidden_gridItem_num_TotalCost: Total Cost |
| Remove Congressional District Item: |
| lbl_hidden_gridTable_budgetRepeatable: Project Budget |
| Insert Project Budget Item: |
| Grand Total - Federal Amount: |
| lbl_hidden_num_TotalFederalAmnt: Grand Total - HOPE Amount |
| Grand Total - Local Match: |
| lbl_hidden_num_TotalLocalMatch: Grand Total - HOPE Match Amount |
| Grand Total - Other Federal: |
| lbl_hidden_num_TotalOtherFederal: Grand Total - Other Federal Funds |
| Grand Total - Other: |
| lbl_hidden_num_TotalOther: Grand Total - Other |
| Grand Total - Total Cost: |
| lbl_hidden_num_TotalTotalCost: Grand Total - Total Cost |
| Matching Funds Amount: |
| lbl_hidden_num_matchingFunds: Matching Funds Amount |
| Source of Matching Funds (500 characters): |
| lbl_hidden_txt_sourceMatchingFunds: Source of Matching Funds |
| Matching Funds Availability (Documentation) (500 characters): |
| lbl_hidden_txt_supportingDocuments: Matching Funds Information |
| lbl_hidden_rbl_IsScalable: Is project scope scalable? |
| If Yes, specify minimum Federal Funds necessary: |
| lbl_hidden_num_minFederalFunds: Minimum HOPE funds necessary |
| Provide explanation of scalability with specific references to the budget line items above (4000 characters): |
| lbl_hidden_txt_scalabilityExpl: Provide explanation of scalability with specific references to the budget line items above |
| Timeline Item Description (100 characters): |
| lbl_hidden_gridItem_txt_tlDesc: Timeline Item Description |
| Timeline Item Date (format MM/dd/YYYY): |
| lbl_hidden_gridItem_datetime_tlDate: Timeline Item Date |
| lbl_hidden_gridTable_timelineRepeatable: Project Timeline |
| Insert Project Timeline Item: |
| Congressional District: |
| lbl_hidden_gridItem_ddl_congressDist: Congressional District |
| lbl_hidden_gridTable_congressDistRepeatable: Congressional Districts |
| Insert Congressional District Item: |
| Demonstration of Need (4000 characters): |
| lbl_hidden_txt_demonstrationNeed: Demonstration of Need |
| Demonstration of Benefits (4000 characters): |
| lbl_hidden_txt_demonstrationBenefits: Demonstration of Benefits |
| Local Financial Commitment (4000 characters): |
| lbl_hidden_txt_localFinancialCommitment: Local Financial Commitment |
| Project Implementation Strategy (4000 characters): |
| lbl_hidden_txt_projectImplementStrategy: Project Implementation Strategy |
| Technical, Legal, and Financial Capacity (4000 characters): |
| lbl_hidden_txt_techLegalFinanceCapacity: Technical, Legal, and Financial Capacity |
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