tir-supplemental-form-2020.pdf
PDF 195 KB Posted
- Attached to
- Real-Time Transit Infrastructure and Rolling Stock Condition Assessment Demonstration Program Federal grant opportunity
- Opportunity number
- FTA-2020-013-TRI-TIR
About this file
FTA Supplemental Form
View the file
Other files for this federal grant opportunity
| File | Type | Posted |
|---|---|---|
| PKG00261874-instructions.docx | DOCX document | |
| Fed Register 2020-11129.pdf |
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v1.1 Applicant and Proposal Profile form - Real-Time Transit Infrastructure and Rolling Stock Condition Assessment Demonstration Program Page of Applicant and Proposal Profile Real-Time Transit Infrastructure and Rolling Stock Condition Assessment Demonstration Program Is this a resubmission?
Has this proposal been submitted for any other DOT competitive grant program in the last 12 months?
Section I. Applicant Information Organization Type:
Please provide a description of transportation service and geographical areas served by the lead provider of public transportation:
Section II. Project Summary Summary:
Applicants may attach materials and documentation that supports the proposal submission, including graphics, maps, letters of support and any other documents, as appropriate. Applicants are encouraged to clearly reference any relevant attachment in the supplemental form.
List all supporting materials and documents included with proposal:
Transit Infrastructure Area: (elevated track, bridges, tunnels, transit right-of-way, and/or rolling stock) Description of the proposed technology:
Condition Assessment Improvements:
Project Objectives:
Describe how the proposed project supports one or more of the condition assessment goals and objectives.
Exemptions/waivers:
Please indicate if any of these exemptions or waivers are required to implement the project, and impacts to the project if waivers are not granted.
Section III. Evaluation Criteria Address each of the evaluation criteria as described in the notice of funding opportunity.
Project Scope:
Project Innovation and Impact:
Project Approach:
National Applicability:
Commercialization and/or Knowledge Transfer:
Return on Investment:
Describe expected outcomes, benefits and impacts.
Team Capacity & Commitment, Partnerships:
Please provide the following information concerning each partner organizations.
Description of partners involved in project, their roles, capacities, and anticipated contributions:
Describe financial commitments of partners:
Letters of commitment attached?
Technical/legal/financial capacity of applicant (e.g., extent to which the team can successfully implement the proposed project, including the qualifications and experience of the team, past program management performance, and commitment to the project objectives):
Project Timeline Timeline Item Description Timeline Item Date Project Budget Total Cost ($) Other Federal Cost Share, if applicable ($) Other Federal Amount, if applicable ($) Cost Share ($) Federal Amount ($) Item Description
QTY
Total:
Matching Funds Information min 20% required Evidence of local match attached?
Project Scalability Is Project scope scalable?
Congressional Districts (Place of Performance) Congressional District 9.0.0.2.20120627.2.874785
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| cFocus: |
| lbl_hidden_txt_grantsNumber: Grants Number |
| Grants.gov Tracking Number (13 characters): |
| lbl_hidden_rbl_competitiveGrant: Has this proposal been submitted for any other DOT competitive grant program in the last 12 months? |
| lbl_hidden_txt_anotherSubmissionExpl: If Yes, explain |
| If yes, please describe (4000 characters): |
| Applicant Organization Legal Name (200 characters): |
| lbl_hidden_txt_orgLegalName: Applicant Organization Legal Name: |
| FTA Recipient ID Number (30 characters): |
| lbl_hidden_txt_ftaRecipientIdNumber: FTA Recipient ID Number: |
| Public transportation agency: |
| Institutions of higher education: |
| State/local government department of transportation: |
| Federally recognized Indian tribe: |
| Private for Profit or Nonprofit Organizations: |
| Others: |
| lbl_hidden_rbl_organizationType: Organization Type |
| Others (75 characters): |
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| Please provide a description of transportation service and geographical areas served by the lead provider of public transportation (4000 characters): |
| lbl_hidden_txt_descriptionOfAreaServed: Please provide a description of transportation service and geographical areas served by the lead provider of public transportation |
| lbl_hidden_txt_projectTitle: Project Title |
| Project Title (100 characters): |
| Summary (4000 characters): |
| lbl_hidden_txt_summaryOfReq: Summary |
| List all supporting materials and documents included with proposal (4000 characters): |
| lbl_hidden_txt_listSupportingMaterials: List all supporting materials and documents included with proposal |
| Transit Infrastructure Area (4000 characters): |
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| Description of the proposed technology (4000 characters): |
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| Condition Assessment Improvements (4000 characters): |
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| Project Objectives (4000 characters): |
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| Exemptions/waivers (4000 characters): |
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| Project Scope (4000 characters): |
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| Project Innovation and Impact (4000 characters): |
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| Project Approach (4000 characters): |
| lbl_hidden_txt_projectApproach: Project Approach |
| National Applicability (4000 characters): |
| lbl_hidden_txt_natApplicability: National Applicability |
| Commercialization and/or Knowledge Transfer (4000 characters): |
| lbl_hidden_txt_commercialization: Commercialization and/or Knowledge Transfer |
| Return on Investment (4000 characters): |
| lbl_hidden_txt_returnInvestment: Return on Investment |
| Partner Organization Name (100 characters): |
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| Organization Type: |
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| Other Organization Type (100 characters): |
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| cb_KeyPartner: No |
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| cb_LetterProvided: No |
| lbl_hidden_cb_LetterProvided: Letter of support or agreement provided? |
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| Description of partners involved in project, their roles, capacities, and anticipated contributions (4000 characters): |
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| Describe financial commitments of partners (4000 characters): |
| lbl_hidden_txt_financialCommitmentsPartners: Describe financial commitments of partners |
| lbl_hidden_rbl_lettersCommitment: Letters of commitment attached? |
| Technical/legal/financial capacity of applicant (4000 characters): |
| lbl_hidden_txt_technicalLegalFinancial: Technical/legal/financial capacity of applicant |
| Timeline Item Description (100 characters): |
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| cb_Implement6Months: No |
| lbl_hidden_cb_Implement6Months: The team will be able to implement the demonstration within 6 months of award |
| cb_operate6Months: No |
| lbl_hidden_cb_operate6Months: The team will operate the system for a minimum of 6 months |
| lbl_hidden_cbl_6Months: Additional Timeline Information |
| Item Description (100 characters): |
| lbl_hidden_gridItem_txt_Desc: Item description |
| Qty: |
| lbl_hidden_gridItem_num_Qty: Quantity |
| Federal Amount: |
| lbl_hidden_gridItem_num_FederalAmnt: Federal Amount |
| Cost Share: |
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| Other Federal Amount, if applicable: |
| lbl_hidden_gridItem_num_OtherAmnt: Other Federal Amount |
| Other Federal Cost Share, if applicable: |
| lbl_hidden_gridItem_num_OtherCostShare: Other Federal Cost Share |
| Total Cost: |
| lbl_hidden_gridItem_num_TotalCost: Total Cost |
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| Grand Total - Federal Amount: |
| lbl_hidden_num_TotalFederalAmnt: Grant Total - Federal Amount |
| Grand Total - Cost Share: |
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| Grand Total - Other Federal Amount: |
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| Grand Total - Other Federal Cost Share: |
| lbl_hidden_num_TotalOtherCostShare: Other Federal Cost Share |
| Grand Total - Total Cost: |
| lbl_hidden_num_TotalTotalCost: Grand Total - Total Cost |
| Insert Project Budget Item: |
| Matching Funds Amount: |
| lbl_hidden_num_matchingFunds: Matching Funds Amount($) |
| Source and Type of Match (4000 characters): |
| lbl_hidden_txt_sourceMatchingFunds: Matching Funds Information |
| Yes: |
| No: |
| lbl_hidden_rbl_evidenceAttached: Evidence of local match attached? |
| lbl_hidden_rbl_isScalable: Is project scope scalable? |
| If Yes, specify minimum Federal Funds necessary: |
| lbl_hidden_num_minFederalFunds: If Yes, specify minimum Federal Funds necessary: |
| Provide explanation of scalability with specific references to the budget line items above (4000 characters): |
| lbl_hidden_txt_scalabilityExpl: Provide Scalability |
| Congressional District: |
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| Insert Congressional District Item: |
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