bussupplementalformfy20170711.pdf

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Attached to
FY 2017 Competitive Funding Opportunity: Bus and Bus Facilities Infrastructure Program
Opportunity number
FTA-2017-004-TPM-BUS
Issued by

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FTA Supplemental Form

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File Type Posted
FTA-2017-004-FRN 15043.pdf PDF
bussupplementalformfy20170711.pdf PDF

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v1.0 Applicant and Proposal Profile Form - Bus and Bus Facilities Infrastructure Investment Program Page of Bus and Bus Facilities Infrastructure Investment Program (5339(b)) Applicant and Proposal Profile Is this a resubmission due to an invalid/error message from FTA?

Section I. Applicant Information Applicant Eligibility:

Project Location:

Section II. Project Information/Evaluation Criteria (This section repeats per project) About the Project (Descriptive title of this project) Project Type:

***Address each of the evaluation criteria as described in the Notice of Funding Opportunity.*** Demonstration of Need For vehicle replacement/facility rehabilitation projects only:

Vehicle Description

QTY

Vehicle Year Vehicle Mileage Facility Description Years Facility Used by Applicant Facility Construction Date Last Renovation Date Demonstration of Benefits Planning and Local/Regional Prioritization Local Financial Commitment Project Implementation Strategy Can this project be implemented within 12 months?

Technical, Legal, and Financial Capacity Project Budget Description

QTY

Federal Amount Local Match Total Cost Total:

Project Scalability Is Project scope scalable?

Matching Funds Information Project Timeline Timeline Item Description Timeline Item Date Congressional Districts (Place of Performance) Congressional District Congressional Representative 9.0.0.2.20120627.2.874785

CurrentPage:
PageCount:
btnValidate:
ResetButton1:
programCodeHidden: Bus2017
programVersionHidden: 1.0
Yes:
No:
cFocus:
Grants.gov Tracking Number (13 characters):
Organization Legal Name (200 characters):
FTA Recipient ID Number (30 characters):
Applicant Eligibility - Direct or designated recipient:
Applicant Eligibility - State:
Applicant Eligibility - Tribe:
Population Served - Urbanized Area:
Population Served - Rural:
Description of services provided and areas served (4000 characters):
btnAddProject:
Project Title (200 characters):
Project Executive Summary (500 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 - Other: 0
Applicant Type - If Other, Specify (200 characters):
Demonstration of Need (4000 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:
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):
Item Description (100 characters):
Quantity:
Federal Amount:
Local Match:
Total Cost:
Insert Project Budget Item:
Grand Total - Federal Amount:
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:
Congressional Representative:
Insert Congressional District Item:
btnRemoveProject:

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