Bus Supplemental Form 2019.pdf

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Attached to
Grants for Buses and Bus Facilities Program
Opportunity number
FTA-2019-003-TPM
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Supplemental Form

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PKG00251006-instructions.docx DOCX document
2019-09439.pdf PDF

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v1.0 Applicant and Proposal Profile Form - FY 2019 Buses and Bus Facilities Program Page of FY 2019 Grants for Buses and Bus Facilities 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) Applicant Eligibility:

Project Location:

Section II. Project Information About the Project Project Type:

For vehicle replacement/facility rehabilitation projects only:

VIN/Unique Identifier Length Year Put in Service Current Vehicle Mileage Make/Model Facility Description Years Facility Used by Applicant Facility Construction Date Last Renovation Date Project Budget Description

QTY

5339(b) Amount 5339(b) Match Amount Other Federal Total Cost Other Total:

Project Scalability Is Project scope scalable?

Matching Funds Information Project 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 Demonstration of Benefits Planning and Local/Regional Prioritization Local Financial Commitment Project Implementation Strategy Can this project be obligated within 12 months?

Technical, Legal, and Financial Capacity Section IV . Review And Selection Process - Additional Information Departmental Objectives Opportunity Zone:

9.0.0.2.20120627.2.874785

CurrentPage:
PageCount:
btnValidate:
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programCodeHidden: SF-BUS-2019
programVersionHidden: 1.0
Yes:
No:
cFocus:
Grants.gov Tracking Number (13 characters):
Organization Legal Name (200 characters):
FTA Recipient ID Number (30 characters):
FTA Recipient Number (30 characters):
Applicant Eligibility - Direct or designated recipient:
Applicant Eligibility - State:
rbLocalgovermental:
Applicant Eligibility - Tribe:
Project Type - Buses and/or bus equipment for fleet expansion: 0
Project Type - Bus maintenance facility rehabilitation,replacement or expansion: 0
Project Type - Buses and/or bus equipment for replacement or rehabilitation: 0
Description of services provided and areas served (4000 characters):
Project Title (200 characters):
Project Executive Summary (200 characters):
Project Statement of Work (200 characters):
Project Type - Buses and/or bus equipment for replacement or rehabilitation: 0
Project Type - Buses and/or bus equipment for fleet expansion: 0
Project Type - Bus maintenance facility rehabilitation,replacement or expansion: 0
Project Type - Bus passenger facility rehabilitation,replacement,or expansion: 0
Project Type - Bus facility rehabilitation: 0
Project Type - Buses and/or bus equipment for fleet expansion: 0
Project Type - Buses and/or bus equipment for fleet expansion: 0
Project Type - Buses and/or bus equipment for fleet expansion: 0
Applicant Type - If Other, Specify (200 characters):
Vehicle Description (100 characters):
Vehicle Description (100 characters):
Quantity:
Vehicle Year:
Vehicle Mileage:
Remove Congressional District Item:
Insert Vehicle Item:
Item Description (100 characters):
Years Facility Used by Applicant:
Facility Construction Date (format MM/dd/YYYY):
Last Renovation Date (format MM/dd/YYYY):
Insert Facility Item:
Item Description(100 characters):
Quantity:
Federal Amount:
Other Federal Funds:
Local Match:
Local Match:
Total Cost:
Insert Project Budget Item:
Grand Total - Federal Amount:
Grand Total - Federal Amount:
Grand Total - Local Match:
Grand Total - Local Match:
Grand Total - Total Cost:
If Yes, specify minimum Federal Funds necessary:
Provide explanation of scalability with specific references to the budget line items above (4000 characters):
Matching Funds Amount:
Source of Matching Funds (4000 characters):
Supporting Documentation of Local Match (4000 characters):
Timeline Item Description (100 characters):
Timeline Item Date (format MM/dd/YYYY):
Insert Project Timeline Item:
Congressional District:
Insert Congressional District Item:
Demonstration of Need (4000 characters):
Demonstration of Benefits (4000 characters):
Planning and Local/Regional Prioritization (4000 characters):
Local Financial Commitment (4000 characters):
Project Implementation Strategy (4000 characters):
Technical, Legal, and Financial Capacity (4000 characters):
Project Executive Summary (500 characters):
oppZoneName:
Provide explanation of scalability with specific references to the budget line items above (4000 characters):
btnRemoveProject:

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