sf424 supplemental form - vtcli.pdf

Standard Form PDF 1 MB Posted

Attached to
Bus and Bus Facilities Livability Initiative: Veterans Transportation and Community Living Inititive (VTCLI)
Opportunity number
FTA-2012-006-TPM-VTCL
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Suppl Form - Applicant and Proposal Profile

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SF424 Supplemental Form - Veterans Transportation and Community Living Initiative Capital Grant Program Page of v1.1 Applicant and Proposal Profile Veterans Transportation and Community Living Initiative Capital Grant Program Section I. Applicant Information Is this a resubmission due to an invalid/error message from FTA?

Applicant Eligibility:

Applicant Eligibility Population served:

(check all that apply) Section II. Evaluation Criteria (This section repeats, per project) Eligibility Information Project Title:

(Descriptive Title of this Proposal) Project Type:

Project Type:

Project Type:

This project will be implemented by a subrecipient:

This project will be implemented by a subrecipient:

This project will be implemented by a subrecipient:

Planning and Partnership Is this project in STIP or TIP?

Is this project in STIP or TIP?

Is this project in STIP or TIP?

Project Partner & Supporter Letter of support attached?

Readiness Justification Project was submitted for previous round of VTCLI grant competition?

Project was submitted for previous round of VTCLI grant competition?

Project was submitted for previous round of VTCLI grant competition?

Project Can Be Obligated Within:

Project Can Be Obligated Within:

Project Can Be Obligated Within:

Project Can Be Implemented Within:

Project Can Be Implemented Within:

Project Can Be Implemented Within:

Technical, Legal and Financial Capacity Are there any outstanding Technical, Legal, or Financial issues with respect to FTA Funding?

Are there any outstanding Technical, Legal, or Financial issues with respect to FTA Funding?

Are there any outstanding Technical, Legal, or Financial issues with respect to FTA Funding?

Demonstration of Need Research Requesting Section 5312 Research funds?

Requesting Section 5312 Research funds?

Requesting Section 5312 Research funds?

Capital Project Budget Line Item Description Total Line Item Cost Capital Project Scalability Is The Capital Project Scalable?

Is The Project Scalable?

Is the Capital Project Scalable?

Capital Matching Funds Information Match for Capital Funds includes in-kind contribution?

Match for Capital Funds includes in-kind contribution?

Match for Capital Funds includes in-kind contribution?

Research Budget Line Item Description Total Line Item Cost Total Research Budget (maximum $50,000 or 50% of above Total Capital Project Budget above, whichever is smaller):

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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