FY21-Passenger-Ferry-Grant-Program-Supplemental-Form.pdf
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- Opportunity number
- FTA-2021-006-TPM-FERRY
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Supplemental Form
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| 2021-16790-FRN.pdf |
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v2.0 FY 2021 Passenger Ferry Grant Program Page of Applicant and Proposal Profile FY 2021 Passenger Ferry Grant Program (5307(h)) Section I. Applicant Information Is this a resubmission due to an invalid/error message from FTA?
(Name and Direct Phone Number) Applicant Eligibility:
Project Location Section II. Project Information About the Project (Descriptive title of this project) Is (will) your ferry operation (be) subject to the safety inspections and oversight jurisdiction of the U.S. Coast Guard?
Will you need a Buy America waiver?
Propulsion Type:
Project Type:
Does this project include vessel replacement/rehabilitation?
Vessel Replacements or Rehabilitation Projects:
Description
QTY
Vessel Year Vessel Mileage Does this project include facility replacement/rehabilitation or related equipment?
Facility Replacement/Rehabilitation or Related-Equipment:
Description Years Facility/Equip Used by Applicant Facility Construction/Equip Put On Use Date Last Renovation Date Climate Change Did the project consider climate change during the planning stage and was it designed with specific elements to address climate change impacts?
Did the project consider climate change during the planning stage and was it designed with specific elements to address climate change impacts?
Environmental Justice Is there an environmental justice population(s) located within the service area?
Is there an environmental justice population(s) located within the service area?
Racial Equity Does the project address racial equity as described in the NOFO (Section E.2)?
Does the project address racial equity as described in the NOFO (Section E.2)?
Barriers To Opportunity Does the project address barriers to opportunity as described in the NOFO (Section E.2)?
Does the project address barriers to opportunity as described in the NOFO (Section E.2)?
Project Budget Description
QTY
Federal Amount Requested Federal Match Total Cost Other Federal Other Grand Total:
Does the project budget include funding for workforce development activities or training at the National Transit Institute (NTI)?
Matching Funds Information Project Scalability Is Project Scope scalable?
Project Proposed Milestones (Timeline) Timeline Item Description Timeline Item Date Congressional Districts (Project Location) 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 9.0.0.2.20120627.2.874785
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| 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 Chief Executive Officer (200 characters): |
| lbl_hidden_txt_orgCEO: Organization Chief Executive Officer |
| Applicant Eligibility - State: |
| Applicant Eligibility - Federally-Recognized Indian Tribe: |
| Applicant Eligibility - Designated or Eligible Direct Recipient of 5307 Urbanized Area Formula Program: |
| lbl_hidden_rbl_ApplicantEligibility: Applicant Eligbility |
| rb_smallUrbArea: |
| rb_largeUrbArea: |
| lbl_hidden_rbl_ProjectLocation: Project Location |
| Description of services provided (500 characters): |
| lbl_hidden_txt_servicesProvided: Description of services provided and areas served |
| Project Title (200 characters): |
| lbl_hidden_txt_projectTitle: Project Title |
| Project Executive Summary (200 characters): |
| lbl_hidden_txt_summaryOfReq: Project Executive Summary |
| Project Statement of Work (200 characters): |
| lbl_hidden_txt_projectStatementOfWork: Project Statement of Work |
| lbl_hidden_rbl_SubjectSafety: Will your ferry operation be subject to the safety inspections and oversight jurisdiction of the U.S Coast Guard? |
| lbl_hidden_rbl_AmericaWaiver: Will you need a Buy America waiver? |
| Propulsion Type - Battery electric: 0 |
| lbl_hidden_cb_BattleElectric: Battery Electric |
| Propulsion Type - Diesel Electric Hybrid: 0 |
| lbl_hidden_cb_DieselElectricHybrid: Diesel Electric Hybrid |
| Propulsion Type - CNG: 0 |
| lbl_hidden_cb_CNG: CNG |
| Propulsion Type - Fuel Cell: 0 |
| lbl_hidden_cb_FuelCell: Fuel Cell |
| Other: 0 |
| Other: 0 |
| lbl_hidden_cb_Other: Other Propulsion Type |
| lbl_hidden_cb_Other: Other Project Type |
| lbl_hidden_cbl_PropType: Propulsion Type |
| If Other, Specify (200 characters): |
| lbl_hidden_txt_propTypeOther: If other, specify |
| Project Type - Vessel Replacement: 0 |
| lbl_hidden_cb_VesselReplacement: Vessel Replacement |
| Project Type - Facility Replacement: 0 |
| lbl_hidden_cb_FacilityReplacement: Facility Replacement |
| Project Type - Vessel Rehabilitation: 0 |
| lbl_hidden_cb_VesselRehabilitation: Vessel Rehabilitation |
| Project Type - Facility Rehabilitation: 0 |
| lbl_hidden_cb_FacilityRehabilitation: Facility Rehabilitation |
| Project Type - New vessel (expansion): 0 |
| lbl_hidden_cb_NewVessel: New Vessel (expansion) |
| Project Type - New Facility (expansion): 0 |
| lbl_hidden_cb_NewFacility: New Facility (expansion) |
| Project Type - Related Equipment: 0 |
| lbl_hidden_cb_RelatedEquipment: Related Equipment |
| lbl_hidden_cbl_ProjectType: Project Type |
| If Other, Specify (200 characters): |
| lbl_hidden_txt_projTypeOther: If other, specify |
| lbl_hidden_rbl_AreThereVesselReplacements: Does this project include vessel replacement/rehabilitation? |
| Description (100 characters): |
| lbl_hidden_gridItem_txt_vhDesc: Description |
| Quantity: |
| lbl_hidden_gridItem_num_vhQty: Quantity |
| Vessel Year: |
| lbl_hidden_gridItem_num_vhYear: Vessel Year |
| Vessel Mileage: |
| lbl_hidden_gridItem_num_vhMileage: Vessel Mileage |
| Remove Congressional District Item: |
| lbl_hidden_vehicleRepeatable: Vessel Replacements or Rehabilitation Projects |
| Insert Vehicle Item: |
| lbl_hidden_rbl_FacilityReplacementQuestion: Does this project include facility replacement/rehabilitation or related equipment? |
| Description (100 characters): |
| lbl_hidden_gridItem_txt_fcDesc: Description |
| Years Facility Used by Applicant: |
| lbl_hidden_gridItem_num_fcYearsUsed: Years Facility/Equip Used by Applicant |
| Facility Construction Date (format MM/DD/YYYY): |
| lbl_hidden_gridItem_datetime_fcConstructionDt: Facility Construction/Equip Put On Use Date |
| Last Renovation Date (format MM/DD/YYYY): |
| lbl_hidden_gridItem_datetime_fcRenovationDt: Last Renovation Date |
| lbl_hidden_gridTable_facilityRepeatable: Facility Replacement/Rehabilitation or Related/Equipment |
| Insert Facility Item: |
| lbl_hidden_rbl_Climate: Did the project consider climate change during the planning stage and was it designed with specific elements to address climate change impacts? |
| If yes, describe how the proposed project addresses climate change impacts and if it directly supports a Climate Action Plan (500 characters):: |
| lbl_hidden_txt_climateChange: If yes, describe how the proposed project addresses climate change impacts and if it directly supports a Climate Action Plan |
| lbl_hidden_rbl_IsEnvJustice: Is there an environmental justice population(s) located within the service area? |
| If yes, describe the environmental justice population(s) and the anticipated benefits resulting from the project for those population(s) (500 characters): |
| lbl_hidden_txt_environmentalJustice: If yes, describe the environmental justice population(s) and the anticipated benefits resulting from the project for those population(s) |
| lbl_hidden_rbl_IsRacialRquity: Does the project address racial equity as described in the NOFO (Section E.2)? |
| If yes, please describe (500 characters): |
| lbl_hidden_txt_racialEquity: If yes, please describe |
| lbl_hidden_rbl_IsBarriersOpp: Does the project address barriers to opportunity as described in the NOFO (Section E.2)? |
| If yes, please describe (500 characters): |
| lbl_hidden_txt_barriers: If yes, please describe |
| Item Description (100 characters): |
| lbl_hidden_gridItem_txt_bsDesc: Description |
| Quantity: |
| lbl_hidden_gridItem_num_bsQty: Quantity |
| Federal Amount: |
| lbl_hidden_gridItem_num_bsFederalAmnt: Federal Amount Requested |
| Local Match: |
| lbl_hidden_gridItem_num_bsLocalMatch: Federal Match |
| Other Federal: |
| lbl_hidden_gridItem_num_bsOtherFederal: Other Federal |
| Other: |
| lbl_hidden_gridItem_num_bsOther: Other |
| Total Cost: |
| lbl_hidden_gridItem_num_bsTotalCost: Total Cost |
| lbl_hidden_gridTable_budgetRepeatable: Project Budget |
| Insert Project Budget Item: |
| Grand Total - Federal Amount: |
| lbl_hidden_num_bsTotalFederalAmnt: Grand Total - Federal Amount Requested |
| Grand Total - Local Match: |
| lbl_hidden_num_bsTotalLocalMatch: Grand Total - Federal Match |
| Grand Total - Local Match: |
| lbl_hidden_num_bsTotalOtherFederal: Grand Total - Other Federal |
| Grand Total - Local Match: |
| lbl_hidden_num_bsTotalOther: Grand Total - Total Other |
| Grand Total - Total Cost: |
| lbl_hidden_num_bsTotalTotalCost: Grand Total - Total Cost |
| lbl_hidden_rbl_IsBudgetFunding: Is Project Scope scalable? |
| Matching Funds Amount: |
| lbl_hidden_num_matchingFunds: Matching Funds Amount |
| Source of Matching Funds (4000 characters): |
| lbl_hidden_txt_sourceMatchingFunds: Source of Matching Funds |
| Supporting Documentation of Local Match (4000 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: If Yes, specify minimum 5307(h) 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 reference 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_timelineRepeatable: Project Proposed Milestones |
| 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 |
| Planning and Local/Regional Prioritization (4000 characters): |
| lbl_hidden_txt_planningPrioritization: Planning and Local/Regional Prioritization |
| Local Financial Commitment (4000 characters): |
| lbl_hidden_txt_localFinancialCommitment: Local Financial Commitment |
| lbl_hidden_rbl_ObligatedWithin: Can this project be obligated within 12 months? |
| Project Implementation Strategy (4000 characters): |
| lbl_hidden_txt_readinessJustification: Project Implementation Strategy |
| Technical, Legal, and Financial Capacity (4000 characters): |
| lbl_hidden_txt_technicalCapacity: Technical, Legal, and Financial Capacity |
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