FY22-Passenger-Ferry-Grant-Program-Supplemental-Form.pdf
PDF 834 KB Posted
- Attached to
- FY 2022 Competitive Funding Opportunity: Passenger Ferry Grant Program Federal grant opportunity
- Opportunity number
- FTA-2022-006-TPM-FERRY
About this file
Supplemental Form
View the file
Other files for this federal grant opportunity
| File | Type | Posted |
|---|---|---|
| 2022-14692.pdf |
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v1.0 Applicant and Proposal Form - FY 2022 Passenger Ferry Grant Program, Electric and Low-Emitting Ferry Pilot, and Ferry Service for Rural Communities Page of FY 2022 Passenger Ferry Grant Program, Electric and Low-Emitting Ferry Pilot, and Ferry Service for Rural Communities Applicant and Proposal Profile Is this a resubmission due to an invalid/error message from FTA?
Is this application for:
(If applying to two programs, please select both boxes) If applying to more than one Ferry program, applicants should enter information for the applicable programs on this form but Must submit the application package including the Supplemental Form and attachments, to Each respective Opportunity ID on Grants.Gov. That is, complete one form, but submit it to each program in Grants.gov.
Section I. Applicant Information (Name and Direct Phone Number) Applicant Type:
Project Location:
Section II. Project Information About the Project (Descriptive title of this project) Will you need a Buy America waiver?
Will you need a Buy America waiver?
Propulsion Type:
other alcohols by volume with gasoline or other fuels Propulsion Type - A mixture containing at least 85% of methanol, denatured ethanol, and other alcohols by volume with gasoline or other fuels substantial energy security and environmental benefits Propulsion Type - Any other fuel that is not substantially petroleum and that would yield substantial energy security and environmental benefits Project Type:
Climate Change Environmental Justice Populations Is there an environmental justice population(s) located within the service area?
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/Barriers to Opportunity Does the project address racial equity or barriers to opportunity (see NOFO Section E.2)?
Does the project address racial equity or barriers to opportunity (see NOFO Section E.2)?
Does the project address racial equity as described in the NOFO (Section E.2)?
Creating Good-Paying Jobs Justice40 Does the project support the Justice40 Initiative?
Does the project support the Justice40 Initiative?
Does the project support the Justice40 Initiative?
Justice40 Population Impacted Justice40 Disadvantaged Community Served as Identified in the NOFO Section E.2 Actual or Estimated Annual Ridership Count Was this estimate generated using the Justice40 online mapping tool?
Was this estimate generated using the Justice40 online mapping tool?
Was this estimate generated using the Justice40 online mapping tool?
Project Budget Description
QTY
Federal Amount Requested Federal Match Amount Total Cost Other Federal Funds Other Total:
Operating Support (Rural Program Only) B. Operating Support Provided by the State C. Fares and Other System Generated Revenues D. Other Funding Sources* Anticipated* Rural Ferry Program applicants requesting operating assistance should complete the following based on the applicant's fiscal year.
A. Total Operating Cost** Amount Eligible to Apply *do not include funds anticipated through this application ** Column B+C+D=A for 2017-2019 Support Provided by the State or locality:
75 Percent (minimum that must be provided) of 2017-2019 Average Operating Support Provided by the State or locality:
Matching Funds Information Project Scalability Is Project Scope scalable?
Is Project Scope scalable?
Project Timeline (Please be as specific as possible) 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 Note: If applying to more than one program, be sure to select "yes" and provide a response to the applicable questions below.
Is this an application to the Passenger Ferry or Rural Program?
Is this an application to the Passenger Ferry or Rural Program?
Is this an application to the Low-Emitting Program?
Is this an application to the Low-Emitting Program?
Planning and Local / Regional Prioritization Local Financial Commitment Project Implementation Strategy Can this project be obligated within 12 months?
Can this project be obligated within 12 months?
Technical, Legal, and Financial Capacity 9.0.0.2.20120627.2.874785
| CurrentPage: |
| PageCount: |
| btnValidate: |
| ResetButton: |
| 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 |
| Passenger Ferry Grant Program (FTA-2022-006-TPM-FERRY): 0 |
| lbl_hidden_cb_app_Ferry: Passenger Ferry Grant Program (FTA-2022-006-TPM-FERRY) |
| lbl_hidden_cb_app_Ferry_id: FTA-2022-006-TPM-FERRY |
| Electric or Low-Emitting Ferry Pilot Program (FTA-2022-007-TPM-FERRYPILOT): 0 |
| lbl_hidden_cb_app_FerryPilot: Electric or Low-Emitting Ferry Pilot Program (FTA-2022-007-TPM-FERRYPILOT) |
| lbl_hidden_cb_app_FerryPilot_id: FTA-2022-007-TPM-FERRYPILOT |
| Ferry Service for Rural Communities Program (FTA-2022-008-TPM-FERRYRURAL): 0 |
| lbl_hidden_cb_app_FerryRural: Ferry Service for Rural Communities Program (FTA-2022-008-TPM-FERRYRURAL) |
| lbl_hidden_cb_app_FerryRural_id: FTA-2022-008-TPM-FERRYRURAL |
| lbl_hidden_cbl_ApplicationFor: Is this application for |
| programCodeHidden: Ferry2022 |
| programVersionHidden: 1.0 |
| 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 Number |
| Organization Chief Executive Officer (200 characters): |
| lbl_hidden_txt_orgCEO: Organization Chief Executive Officer |
| Applicant Type - Designated or Eligible Direct Recipient of 5307 Urbanized Area Formula Funding: |
| Applicant Type - State or Territory: |
| Applicant Type - Local Governmental Authority: |
| Applicant Type - Federally-Recognized Indian Tribe: |
| lbl_hidden_rbl_ApplicantType: Applicant Type |
| Project Location - Large Urbanized Area (200,000+ people): |
| Project Location - Small Urbanized Area (50,000-199,999 people): |
| Project Location - Rural (less than 50,000 people): |
| lbl_hidden_rbl_ProjectLocation: Project Location |
| Description of services provided and areas served (4000 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 (2000 characters): |
| lbl_hidden_txt_executiveSummary: Project Executive Summary |
| Project Statement of Work (500 characters): |
| lbl_hidden_txt_projectStatementOfWork: Project Statement of Work |
| lbl_hidden_rbl_AmericaWaiver: Will you need a Buy America waiver? |
| Propulsion Type - Battery electric: 0 |
| lbl_hidden_cb_BatteryElectric: Battery electric |
| Propulsion Type - CNG: 0 |
| lbl_hidden_cb_CNG: CNG |
| Propulsion Type - Diesel: 0 |
| lbl_hidden_cb_Diesel: Diesel |
| Propulsion Type - Diesel-electric hybrid: 0 |
| lbl_hidden_cb_DieselElectricHybrid: Diesel-electric hybrid |
| Propulsion Type - Electricity (including electricity from solar energy): 0 |
| lbl_hidden_cb_Electricity: Electricity (including electricity from solar energy) |
| Propulsion Type - Fuels (except alcohol) derived from biological materials: 0 |
| lbl_hidden_cb_FuelsBiological: Fuels (except alcohol) derived from biological materials |
| Propulsion Type - Gasoline: 0 |
| lbl_hidden_cb_Gasoline: Gasoline |
| Propulsion Type - Hydrogen: 0 |
| lbl_hidden_cb_Hydrogen: Hydrogen |
| Propulsion Type - Liquefied petroleum gas: 0 |
| lbl_hidden_cb_LiquifiedPetroleum: Liquefied petroleum gas |
| Propulsion Type - Methanol, denatured ethanol, and other alcohols: 0 |
| lbl_hidden_cb_MethanolDenaturedOther: Methanol, denatured ethanol, and other alcohols |
| Propulsion Type - Natural Gas: 0 |
| lbl_hidden_cb_NaturalGas: Natural Gas |
| Propulsion Type - A mixture containing at least 85% of methanol, denatured ethanol, and other alcohols by volume with gasoline or other fuels: 0 |
| lbl_hidden_cb_MixtureMethanol: A mixture containing at least 85% of methanol, denatured ethanol, and other alcohols by volume with gasoline or other fuels |
| Propulsion Type - Any other fuel that is not substantially petroleum and that would yield substantial energy security and environmental benefits: 0 |
| lbl_hidden_cb_AnyOtherFuel: Any other fuel that is not substantially petroleum and that would yield substantial energy security and environmental benefits |
| Propulsion Type - Other: 0 |
| lbl_hidden_cb_PropOther: Other |
| lbl_hidden_cbl_PropType: Propulsion Type |
| If Other, Specify (200 characters): |
| lbl_hidden_txt_propTypeAnyOtherFuel: If other fuel, specify |
| If Other, Specify (200 characters): |
| lbl_hidden_txt_propTypeOther: If Other, specify |
| Project Type - Facility Rehabilitation: 0 |
| lbl_hidden_cb_FacilityRehabilitation: Facility Rehabilitation |
| Project Type - Facility Replacement: 0 |
| lbl_hidden_cb_FacilityReplacement: Facility Replacement |
| Project Type - New Facility (expansion): 0 |
| lbl_hidden_cb_NewFacility: New Facility (expansion) |
| Project Type - New Vessel (expansion): 0 |
| lbl_hidden_cb_NewVessel: New Vessel (expansion) |
| Project Type - Number of vessels for service expansion:: |
| lbl_hidden_num_NewVesselsCount: Number of vessels for service expansion |
| Project Type - Vessel Rehabilitation: 0 |
| lbl_hidden_cb_VesselRehabilitation: Vessel Rehabilitation |
| Project Type - Number of vessels to be rehabilitated:: |
| lbl_hidden_num_VesselsRehabilitatedCount: Number of vessels to be rehabilitated |
| Project Type - Vessel Replacement: 0 |
| lbl_hidden_cb_VesselReplacement: Vessel Replacement |
| Project Type - Number of vessels to be replaced:: |
| lbl_hidden_num_VesselsReplacedCount: Number of vessels to be replaced |
| Project Type - Related Equipment: 0 |
| lbl_hidden_cb_RelatedEquipment: Related Equipment |
| Project Type - Operating (Rural Program Only): 0 |
| lbl_hidden_cb_OperatingRural: Operating (Rural Program Only) |
| Project Type - Planning (Rural Program Only) : 0 |
| lbl_hidden_cb_PlanningRural: Planning (Rural Program Only) |
| Project Type - Other: 0 |
| lbl_hidden_cb_ProjOther: Other |
| lbl_hidden_cbl_ProjectType: Project Type |
| If Other, Specify (200 characters): |
| lbl_hidden_txt_projTypeOther: If Other, specify |
| Please describe the significant community benefits relating to the environment (see NOFO section E.2) : (500 characters): |
| lbl_hidden_txt_climateChange: Please describe the significant community benefits relating to the environment (see NOFO section E.2) |
| lbl_hidden_rbl_IsEnvJustice: Is there an environmental justice population(s) located within the service area? |
| Describe the environmental justice population(s) and the anticipated benefits resulting from the project for those population(s) (see NOFO Section E.2):(1000 characters): |
| lbl_hidden_txt_environmentalJusticeDesc: Describe the environmental justice population(s) and the anticipated benefits resulting from the project for those population(s) (see NOFO Section E.2) |
| lbl_hidden_rbl_IsRacialEquity: Does the project address racial equity or barriers to opportunity (see NOFO Section E.2)? |
| If yes, please describe: (1000 characters): |
| lbl_hidden_txt_racialEquityBarriersDesc: If yes, please describe |
| Applicants for facility projects, please describe how the project will support creating good paying jobs (see NOFO section E.2): (500 characters): |
| lbl_hidden_txt_creatingJobs: Applicants for facility projects, please describe how the project will support creating good paying jobs (see NOFO section E.2) |
| lbl_hidden_rbl_IsJustice: Does the project support the Justice40 Initiative? |
| Describe how the project supports the Justice40 Initiative and the benefits provided (see NOFO Section E.2): (1000 characters): |
| lbl_hidden_txt_justice: Describe how the project supports the Justice40 Initiative and the benefits provided (see NOFO Section E.2) |
| Describe the methodology used to determine the project meets the Justice40 Initiative (see NOFO Section E.2): (1000 characters): |
| lbl_hidden_txt_justiceMethod: Describe the methodology used to determine the project meets the Justice40 Initiative (see NOFO Section E.2) |
| Justice40 Disadvantaged Community Served as Identified in the NOFO Section E.2 (100 characters): |
| lbl_hidden_gridItem_txt_piDesc: Justice40 Disadvantaged Community Served as Identified in the NOFO Section E.2 |
| Actual or Estimated Annual Ridership Count: |
| lbl_hidden_gridItem_num_AmountImpacted: Actual or Estimated Annual Ridership Count |
| Remove Congressional District Item: |
| lbl_hidden_gridTable_populationImpactedRepeatable: Justice40 Population Impacted |
| Insert Item: |
| What is the percentage of Disadvantaged Communities within the project area?: |
| lbl_hidden_num_percentDisadvComm: What is the percentage of Disadvantaged Communities within the project area? |
| lbl_hidden_rbl_IsOnlineMapping: Was this estimate generated using the Justice40 online mapping tool? |
| Item Description (100 characters): |
| lbl_hidden_gridItem_txt_bsDesc: Description |
| Quantity: |
| lbl_hidden_gridItem_num_bsQty: Quantity |
| Federal Amount Requested: |
| lbl_hidden_gridItem_num_bsFederalAmnt: Federal Amount Requested |
| Federal Match Amount: |
| lbl_hidden_gridItem_num_bsLocalMatch: Federal Match Amount |
| Other Federal Funds: |
| lbl_hidden_gridItem_num_bsOtherFederal: Other Federal Funds |
| 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 Requested: |
| lbl_hidden_num_bsTotalFederalAmnt: Grand Total - Federal Amount Requested |
| Grand Total - Federal Match Amount: |
| lbl_hidden_num_bsTotalLocalMatch: Grand Total - Federal Match Amount |
| Grand Total - Other Federal Funds: |
| lbl_hidden_num_bsTotalOtherFederal: Grand Total - Other Federal Funds |
| Grand Total - Other: |
| lbl_hidden_num_bsTotalOther: Grand Total - Other |
| Grand Total - Total Cost: |
| lbl_hidden_num_bsTotalTotalCost: Grand Total - Total Cost |
| 2017 Total Operating Cost: |
| lbl_hidden_gridItem_num_totalOperatingCost2017: Total Operating Cost 2017 |
| 2017 Operating Support Provided by the State: |
| lbl_hidden_gridItem_num_stateOperating2017: Operating Support Provided by the State 2017 |
| 2017 Fares and Other System Generated Revenues: |
| lbl_hidden_gridItem_num_fareRevenue2017: Fares and Other System Generated Revenues 2017 |
| 2017 Other Funding Sources: |
| lbl_hidden_gridItem_num_otherFunding2017: Other Funding Sources 2017 |
| 2018 Total Operating Cost: |
| lbl_hidden_gridItem_num_totalOperatingCost2018: Total Operating Cost 2018 |
| 2018 Operating Support Provided by the State: |
| lbl_hidden_gridItem_num_stateOperating2018: Operating Support Provided by the State 2018 |
| 2018 Fares and Other System Generated Revenues: |
| lbl_hidden_gridItem_num_fareRevenue2018: Fares and Other System Generated Revenues 2018 |
| 2018 Other Funding Sources: |
| lbl_hidden_gridItem_num_otherFunding2018: Other Funding Sources 2018 |
| 2019 Total Operating Cost: |
| lbl_hidden_gridItem_num_totalOperatingCost2019: Total Operating Cost 2019 |
| 2019 Operating Support Provided by the State: |
| lbl_hidden_gridItem_num_stateOperating2019: Operating Support Provided by the State 2019 |
| 2019 Fares and Other System Generated Revenues: |
| lbl_hidden_gridItem_num_fareRevenue2019: Fares and Other System Generated Revenues 2019 |
| 2019 Other Funding Sources: |
| lbl_hidden_gridItem_num_otherFunding2019: Other Funding Sources 2019 |
| 2023 Total Operating Cost: |
| lbl_hidden_gridItem_num_totalOperatingCost2023: Total Operating Cost 2023 |
| 2023 Operating Support Provided by the State: |
| lbl_hidden_gridItem_num_stateOperating2023: Operating Support Provided by the State 2023 |
| 2023 Fares and Other System Generated Revenues: |
| lbl_hidden_gridItem_num_fareRevenue2023: Fares and Other System Generated Revenues 2023 |
| 2023 Other Funding Sources: |
| lbl_hidden_gridItem_num_otherFunding2023: Other Funding Sources 2023 |
| 2023 Amount Eligible to Apply: |
| lbl_hidden_gridItem_num_amountEligible2023: Amount Eligible to Apply 2023 |
| 2024 Total Operating Cost: |
| lbl_hidden_gridItem_num_totalOperatingCost2024: Total Operating Cost 2024 |
| 2023 Operating Support Provided by the State: |
| lbl_hidden_gridItem_num_stateOperating2024: Operating Support Provided by the State 2024 |
| 2023 Fares and Other System Generated Revenues: |
| lbl_hidden_gridItem_num_fareRevenue2024: Fares and Other System Generated Revenues 2024 |
| 2024 Other Funding Sources: |
| lbl_hidden_gridItem_num_otherFunding2024: Other Funding Sources 2024 |
| 2024 Amount Eligible to Apply: |
| lbl_hidden_gridItem_num_amountEligible2024: Amount Eligibile to Apply 2024 |
| 2017-2019 Average Operating Support Provided by the State or locality: : |
| lbl_hidden_num_avgOperatingStateSupport: 2017-2019 Average Operating Support Provided by the State or locality |
| 75 Percent (minimum that must be provided) of 2017-2019 Average Operating Support Provided by the State or locality: : |
| lbl_hidden_num_avgOperatingStateSupport75: 75 Percent (minimum that must be provided) of 2017-2019 Average Operating Support Provided by the State or locality |
| lbl_hidden_gridTable_operatingSupport: Operating Support (Rural Program Only) |
| 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 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 Need (4000 characters): |
| lbl_hidden_txt_demonstrationNeed: Demonstration of Need |
| lbl_hidden_rbl_IsPassFerryRural: Is this an application to the Passenger Ferry or Rural Program? |
| Please describe the benefits of the proposed project per the statutory requirements of the Ferry or Rural Programs (see NOFO Section E(1)(b)(ii)): (1000 characters): |
| lbl_hidden_txt_benefitsFerryRural: Please describe the benefits of the proposed project per the statutory requirements of the Ferry or Rural Programs (see NOFO Section E(1)(b)(ii)): |
| lbl_hidden_rbl_IsLowEmitting: Is this an application to the Low-Emitting Program? |
| Please describe the benefits of the proposed project per the statutory requirements of the Low-Emitting Program (see NOFO Section E(1)(b)(ii)): (1000 characters): |
| lbl_hidden_txt_benefitsLowEmitting: Please describe the benefits of the proposed project per the statutory requirements of the Low-Emitting Program (see NOFO Section E(1)(b)(ii)) |
| 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_IsObligatedWithin: Can this project be obligated within 12 months? |
| Project Implementation Strategy (4000 characters): |
| lbl_hidden_txt_implementStratDesc: Project Implementation Strategy |
| Technical, Legal, and Financial Capacity (4000 characters): |
| lbl_hidden_txt_technicalCapacity: Technical, Legal, and Financial Capacity |
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