sf424 supplemental form - bus and bus facilities.pdf
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- Opportunity number
- FTA-2012-004-TPM-SGR
- Issued by
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Department of Transportation
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Suppl Form - Applicant and Proposal Profile
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SF424 Supplemental Form - Bus and Bus Facilities Program: State Of Good Repair Page of v1.1 Applicant and Proposal Profile Bus and Bus Facilities Program: State Of Good Repair Section I. Applicant Information Is this a resubmission due to an invalid/error message from FTA?
Applicant Eligibility:
Applicant Eligibility Population served:
Section II. Evaluation Criteria (This section repeats, per project) Eligibility Information Project Title:
(Descriptive Title of this Proposal) Project Type:
BUS ONLY:
Demonstration of Need Vehicle Description
QTY
Vehicle Year Vehicle Mileage Facility Description Years Facility Used By Applicant Facility Construction Date Last Renovation Date Planning and Local / Region Prioritization Is this project in STIP or TIP?
Readiness Justification Project Can Be Implemented Within:
Project Can Be Obligated Within:
Technical, Legal and Financial Capacity Are there any outstanding Technical, Legal, or Financial issues with respect to FTA Funding?
Project Budget Description
QTY
Federal Amount Total Cost Local Match Project Scalability Is The Project Scalable?
Is The Project Scalable?
Is the Project Scalable?
Matching Funds Information Previous Discretionary Funds Amount:
Did the project receive funding from Fiscal Year 2011 FTA Discretionary Programs?
Did the project receive funding from Fiscal Year 2011 FTA Discretionary Programs?
Did the project receive funding from Fiscal Year 2011 FTA Discretionary Programs?
Submission to other funding opportunities Has this project been submitted to other Fiscal Year 2012 Discretionary Programs?
Has this project been submitted to other Fiscal Year 2012 Discretionary Programs?
Has this project been submitted to other Fiscal Year 2012 Discretionary Programs?
Timeline Item Description Timeline Item Date Project Timeline Congressional Districts (Place of Performance) Congressional District Congressional Representative 8.2.1.4029.1.523496.503679
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| radApplicantEligibility_IndianTribe: |
| radApplicantEligibility_5307Recipient: |
| PopulationServed_Urbanized_200KPlus: 0 |
| PopulationServed_Urbanized_50K_To_200K: 0 |
| PopulationServed_Rural: 0 |
| DescriptionOfServicesProvided: |
| DescriptionOfAreasServed: |
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| ProjectExecutiveSummary: |
| ProjectType_PurchaseOfReplacementOrRehabilitationOfBusesAndVans: 0 |
| ProjectType_ReplacementOrTheModernizationOfBusFacilities: 0 |
| ProjectType_PurchasesOfVehiclesForServiceExpansion: 0 |
| ProjectType_BusRelatedEquipment: 0 |
| ProjectType_ExpansionOfBusMaintenanceFacility: 0 |
| ProjectType_Other: 0 |
| ProjectType_DevelopmentAndImplementationOfTransitAssetManagementSystem: 0 |
| ProjectType_OtherDescription: |
| TotalFleetSize: |
| AverageFleetAgeInMiles: |
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| DemonstrationOfNeed: |
| Vehicle Description: |
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| Facility Description: |
| Years Facility Used By Applicant: |
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| Last Facility Renovation Date: |
| PlanningAndLocalPrioritizationJustification: |
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| DescriptionOfTechnicalCapacityToImplementProject: |
| DescriptionOfLegalCapacityToImplementProject: |
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| DescriptionOfOutstandingFTAFundingIssues: |
| Description: |
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| Federal Amount: |
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| Project scalability minimum funds necessary: |
| Provide explanation of scalability with specific references to the budget line items above:: |
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| SupportingDocumentationOfLocalMatch: |
| Previous Discretionary Funds Amount: |
| SubmittedToMultiplePrograms_BLV: 0 |
| SubmittedToMultiplePrograms_CF: 0 |
| Timeline Item Description: |
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