FY21-Enhancing-Mobility-Innovation-Supplemental-Form.pdf
PDF 193 KB Posted
- Opportunity number
- FTA-2021-010-TRI-EMI
About this file
Supplemental Form
View the file
Other files
| File | Type | Posted |
|---|---|---|
| FRN-2021-24671.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Please wait...
If this message is not eventually replaced by the proper contents of the document, your PDF viewer may not be able to display this type of document.
You can upgrade to the latest version of Adobe Reader for Windows®, Mac, or Linux® by visiting http://www.adobe.com/go/reader_download.
For more assistance with Adobe Reader visit http://www.adobe.com/go/acrreader.
Windows is either a registered trademark or a trademark of Microsoft Corporation in the United States and/or other countries. Mac is a trademark of Apple Inc., registered in the United States and other countries. Linux is the registered trademark of Linus Torvalds in the U.S. and other countries.
v1.0 FY 2021 Applicant and Proposal Form - Enhancing Mobility Innovation Competitive Funding Opportunity Page of FY2021 Enhancing Mobility Innovation Competitive Funding Opportunity 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 (select one):
Project Location (select all that apply):
Section II. Project Information About the Project (Descriptive title of this project) Indicate ONE area under which the application shall be considered for funding:
Nonattainment Area Is the proposed project located in a maintenance or nonattainment area under the Clean Air Act?
Environmental justice Populations Is there an environmental justice population(s) located within the proposed project service area?
Project Budget Description
QTY
Federal Amount Federal Match Amount Total Cost Other Federal Funds Other Total:
Matching Funds Information Project Scalability Is project scope scalable?
Project Proposed Milestones (Timeline) 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 Innovation Demonstration of Benefit Planning and Partnerships Local Financial Commitment Project Implementation Strategy Technical, Legal, and Financial Capacity 9.0.0.2.20120627.2.874785
| CurrentPage: |
| PageCount: |
| btnValidate: |
| programCodeHidden: EMI2021 |
| 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 (10 characters): |
| lbl_hidden_txt_ftaRecipientIdNumber: FTA Recipient Id |
| Organization CEO (200 characters): |
| lbl_hidden_txt_orgCEO: Organization CEO |
| lbl_hidden_rbl_ApplicantEligibility: Applicant Eligibility |
| Applicant Eligibility - Public Transportation Agency: |
| Applicant Eligibility - State/Local Government Entity: |
| Applicant Eligibility - Federally Recognized Native American Tribe: |
| Applicant Eligibility - Private for-Profit Organization: |
| Applicant Eligibility - Not-for-Profit Organization: |
| Applicant Eligibility - Institute of Higher Education: |
| Project Location: Small Urban (50,000 to 199,999): 0 |
| lbl_hidden_cb_SmallUrban: Small Urban |
| Project Location: Large Urbanized Area (200,000 or greater): 0 |
| lbl_hidden_cb_LargeUrban: Large Urban |
| Project Location: Rural (less than 50,000): 0 |
| lbl_hidden_cb_Rural: Rural |
| lbl_hidden_cbl_ProjectLocation: Project Location |
| Description of Service Provided and Areas Served (500 characters): |
| lbl_hidden_txt_descriptionOfAreaServed: Description of Service Provided and Areas Served |
| Project Title (200 characters): |
| lbl_hidden_txt_projectTitle: Project Title |
| Project Executive Summary (1000 characters): |
| lbl_hidden_txt_summaryOfReq: Project Executive Summary |
| lbl_hidden_txt_projectStatementOfWork: Project Description |
| Project Description (1000 characters): |
| Project to improve mobility and enhance the rider experience with a focus on innovative service delivery models, creative financing, novel partnerships, and/or integrated payment solutions: |
| Project to support the development of software solutions that facilitates the provision of integrated demand-response public transportation: |
| lbl_hidden_rbl_ProjectType: Project Type |
| List project partner(s) and indicate type of organization, and if a letter of commitment is attached (1000 characters): |
| lbl_hidden_txt_projectPartner: List project partner(s) and indicate type of organization, and if a letter of commitment is attached |
| lbl_hidden_rbl_CleanAirAct: Is the proposed project located in a maintenance or nonattainment area under the Clean Air Act? |
| lbl_hidden_rbl_EnvJusticePopulations: Is there an environmental justice population(s) located within the proposed project service area? |
| lbl_hidden_txt_proposedProjectService: Identify any environmental justice population(s) in the proposed project service area and describe the anticipated benefits resulting from the project for the identified population(s) |
| Identify any environmental justice population(s) in the proposed project service area and describe the anticipated benefits resulting from the project for the identified population(s) (500 characters): |
| Applicants may attach materials and documentation that support the proposal submission including graphics, planning documents, letters of support and any other documents as appropriate. List any supporting materials and documents included in the submission (1000 characters): |
| lbl_hidden_txt_supportingMaterials: Applicants may attach materials and documentation that support the proposal submission including graphics, planning documents, letters of support and any other documents as appropriate. List any supporting materials and documents included in the submission |
| Item Description (100 characters): |
| lbl_hidden_gridItem_txt_Desc: Description |
| Quantity: |
| lbl_hidden_gridItem_num_Qty: Quantity |
| Federal Amount: |
| lbl_hidden_gridItem_num_FederalAmnt: Federal Amount |
| Federal Match Amount: |
| lbl_hidden_gridItem_num_LocalMatch: Federal Match Amount |
| Other Federal Funds: |
| 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 - Federal Amount |
| Grand Total - Local Match: |
| lbl_hidden_num_TotalLocalMatch: Grand Total - Federal 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 (300 characters): |
| lbl_hidden_txt_sourceMatchingFunds: Source of Matching Funds |
| Supporting Documentation of Local Match (200 characters): |
| lbl_hidden_txt_supportingDocuments: Supporting Documentation of Local Match |
| lbl_hidden_rbl_IsScalable: Is Project Scope Scalable |
| If Yes, specify minimum Federal Funds necessary: |
| lbl_hidden_num_minFederalFunds: 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 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 Innovation (2000 characters): |
| lbl_hidden_txt_demonstrationInnovation: Demonstration of Innovation |
| Demonstration of Benefit (2000 characters): |
| lbl_hidden_txt_demonstrationBenefits: Demonstration of Benefit |
| Planning and Partnerships (2000 characters): |
| lbl_hidden_txt_planningPartnerships: Planning and Partnerships |
| Local Financial Commitment (2000 characters): |
| lbl_hidden_txt_localFinancialCommitment: Local Financial Commitment |
| Project Implementation Strategy (2000 characters): |
| lbl_hidden_txt_projectImplementStrategy: Project Implementation Strategy |
| Technical, Legal, and Financial Capacity (2000 characters): |
| lbl_hidden_txt_techLegalFinanceCapacity: Technical, Legal. and Financial Capacity |
File details come from the government source that posted it. Updated .