FYE 2017 Existing Shuttle/Feeder Bus Projects

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GRANT APPLICATION

TFCA REGIONAL FUND PROGRAM

EXISTING SHUTTLE/FEEDER BUS PROJECTS

FYE 2017

Application packages must be submitted to the Air District BOTH electronically (online) and as a hard copy (one copy). Grant applications will be accepted through Monday, September 1, 2016 (by 4 PM). Only complete applications will be evaluated. Please refer to the Shuttle and Ridesharing program website for complete program eligibility requirements and instructions.

NOTE: This application will work best using Google Chrome or Mozilla Firefox browsers.

Legal Name of Applicant Organization

Name of Project

May be modified by the Air District.

APPLICANT'S ADDRESS

Legal Address

Street Address Line 2

City

State

Zip

Do you have a mailing address different from above?

YesNoAll official documents regarding this grant will be sent to the legal address unless a mailing address is provided.

Mailing Address

Mailing Address Line 2

City

State

Zip

CONTACT INFORMATION

Project Contact

This person serves as the point of contact for day-to-day communications.

Name of Project Contact

Project Contact Position/Title

Project Contact Email Address

Project Contact Phone Number

Is the person authorized to sign documents the same as Project Contact

YesNo

Authorized Signatory

This person is authorized to sign the application and execute grant funding agreements.

Authorized Signatory Name

Authorized Signatory Position/Title

Authorized Signatory Email Address

Authorized Signatory Phone Number

Is the person completing the application the same as Project Contact?

YesNo

Person Completing Application

Person Completing Application Name

Person Completing Application Position/Title

Person Completing Application Email Address

Person Completing Application Phone Number

C. SCHEDULE

Include key interim milestone dates. All projects must commence in calendar year 2016.

Project Start Date

Project Completion Date

Complete Environmental Review (if applicable)

	Description	Date
Milestone(s)

PART 2. DETAILED INFORMATION

Total TFCA Regional Funding Requested ($)

Total Matching Funds ($)

Total Project Cost ($)

If the project includes more than one shuttle route, this section must be completed for each distinct route. To add another route, click on "add another route" on the bottom right-hand corner of this section.

Route

Name of service route:

Has this project been funded TFCA Regional Funds in prior years?

YesNoUnsure

Is the service open to the public?

YesNo

A. PROPOSED BUDGET

Provide a project budget below, broken out by operation and administrative costs (for TFCA Regional Funds) and operation costs only (for Matching Funds). Any other costs should be excluded from the project budget. If match funding is derived from more than a single source, specify each funding source and the amount of match funds on a separate line.

TFCA Regional Funds Line Item

	TFCA Regional Funds Line Item	Estimated Cost ($)	Source
Item
Item

Total TFCA Regional Funds for Route ($)

Matching Funds Line Item † (if necessary, add additional lines)

	Matching Funds Line Item	Estimated Cost ($)	Source
Item

Total Matching Funds for Route ($)

† Matching Funds: If any TFCA County Program Manager funds are used as a match, these must be listed. Project sponsors must provide a minimum of 10% matching funds from non-TFCA sources. TFCA County Program Manager funds may NOT be used towards fulfilling this requirement.

TOTAL ROUTE COST ($)

B. ROUTE DESCRIPTION

Provide the following information for the proposed project:

List major transit hubs that would be served by the route:

i.e., rail or Bus Rapid Transit (BRT) station, ferry or bus terminal, or airport

List major activity and employment centers, transit hubs that would be served by the route:

i.e., office complexes and commercial establishments

Name of agency/company that will operate the service:

UPLOAD:

Map of Route

If you are uploading more than one file here, please put files in a zip folder and upload.

Schedule of Route

If you are uploading more than one file here, please put files in a zip folder and upload.

NOTE: the Project scope must include peak-hour operations only, as defined by Policy #28.f. Highlight the sections of the schedule to be included in the scope of the Project.

Highly Impacted Community Area

Will the service operate in a Bay Area Highly Impacted Community?

YesNo

If “yes”, using this map or this online map, indicate the percentage of time each route project will operate in a Highly Impacted Community area. Use the “zoom in” tool to enlarge the map to identify boundaries.

Zone # Percent Operation

1 Concord

2 Richmond/San Pablo

3 Western Alameda County

4 San Jose

5 Livermore

6 Eastern San Francisco

7 San Rafael

8 Vallejo

9 Antioch/Pittsburg

Total (Maximum 100%)

Priority Development Area

Will the service operate in a designated Planned or Potential Priority Development Area (PDA)?

YesNo

If “yes”, using the map, indicate in the table below the percentage of time the project will operate in a “Planned” or “Potential” Priority Development Area. Use the “zoom in” tool to enlarge the map to best identify boundaries and PDA codes.

	Name of Location or Code	Percent Operation	PDA Type
PDA

Total (Maximum 100%)

C. ROUTE-SPECIFIC INFORMATION

Vehicle Trips to Be Reduced by a Project: The data provided below will be used to calculate the number of vehicle trips that would be reduced as a result of the proposed project.

UPLOAD:

Ridership Survey Data ‡

If you are uploading more than one file here, please put files in a zip folder and upload.

Ridership data (annual boardings) for three years of operation ‡

If you are uploading more than one file here, please put files in a zip folder and upload.

‡ If data for multiple-route projects is included in one Excel workbook, upload the workbook only once.

# Days per year that service will be provided:

Total # of boardings per year (use actual counts from previous service year):

% of passengers that previously drove alone (based on survey data):

For riders that previously drove alone – what is the average one-way commute distance (mi.) (based on survey data):

2. New Vehicle Trips (e.g., trips to access transit station, Park & Ride Lot): The data provided below will be used to calculate the number of new vehicle trips that are generated as a result of the service.

% of passengers or participants that drive to access service or to reach final destination:

Average one-way trip distance (mi.) driven to access the service or to reach final destination:

Vehicle Information

Fill out the following information for each vehicle that will be used for the route.

For each vehicle, UPLOAD:

Copy of Vehicle’s Current DMV Registration

If you are uploading more than one file here, please put files in a zip folder and upload.

Executive Order for engine

If you are uploading more than one file here, please put files in a zip folder and upload.

Executive Order of retrofit device (if applicable)

If you are uploading more than one file here, please put files in a zip folder and upload.

Engine Family Name

Can be found on the Executive Order for the engine.

Engine Make/Model

Engine Year

Fuel Type

Name, Make and Model of Retrofit Device on Vehicle (if applicable)

Gross Vehicle Weight

Max. Passenger Capacity

Total Annual Revenue/Service Miles

Includes shuttle service miles only.

Total Annual Miles

Includes shuttle service miles as well as dead head miles (miles to get to first shuttle stop, return shuttle vehicle to parking location at the end of the day, and non-passenger miles between service hours).

3. The proposed project (shuttle service) is included in the applicant’s federally-approved paratransit plan, prepared in accordance with the requirements of the Americans with Disabilities Act.

YesNo

PART 3. CHECKLIST OF SUPPLEMENTAL DOCUMENTS TO SEND WITH PRINTED COPy OF APPLICATION

Ensure that the following attachments are included with the application by checking off the following list on the one printed copy of this application:

All shuttle/feeder bus projects:

Documentation for all matching funds that will be applied to the project.

A signed Letter of Commitment or Resolution authorizing the submittal of the application identifying the individual authorized to submit and carry out the proposal.

A map and schedule for each service route.

Data showing ridership for the past three (3) years.

Printed raw survey data (exported from an Excel spreadsheet).

Document showing methodology for all calculations used, including assumptions and equations.

Documents for each vehicle that will be providing service including

1) A copy of the vehicle’s current Department of Motor Vehicle (DMV) registration,

2) Executive Order for engine, and

3) Executive Order of retrofit device, if applicable.

A letter of concurrence from the transit district or transit agency that provides service in the area of the proposed route, certifying that the service does not conflict with existing service. (see Policy #28.i in Appendix A of the Program Guidance).

PART 4. CERTIFICATION AND SURVEY

By signing below, I certify that:

I understand that this application is for evaluation purposes only and does not guarantee project funding.

The proposed project and the emission reductions that would be realized from it are not required by any federal, state or local regulation, judicial order, agreement, memorandum of understanding, contract, mitigation requirement, or other binding obligation that requires the project applicant to implement any portion of the project.

All matching funds have been disclosed and that this application is for service, equipment/ vehicle(s)/ engine(s) that neither have been already been funded, nor are currently under consideration for funding by another air district, the California Air Resources Board (ARB) or by another public agency.

To the best of my knowledge, the information contained in this application and in any documentation accompanying this application or submitted in furtherance of this application is true and accurate and I understand that any misstatements or omissions of material facts may disqualify this grant application and any monies awarded based on it.

To the best of my knowledge, that the Project complies with all vehicular and service requirements for fixed route systems, demand responsive systems, or other designated public transportation that are prescribed in (Titles II and III of) the Americans with Disabilities Act (42 U.S.C. 12101 et seq.) and its accompanying regulations and are applicable to the Project.

I understand and agree that no costs funded by this program can be incurred until after the notice of award and after a funding agreement is executed between the project sponsor (grantee) and the Air District.

The applicant entity I represent is in compliance and will remain in compliance with all applicable federal, state, and local air quality rules and regulations.

I have the legal authority to apply for funding on behalf of the applicant entity and that I am authorized to sign this application on behalf of applicant.

Signed: _________________________________________________ Date: __________________

(Authorized Representative of Applicant)

Name

Title

By pressing the SUBMIT button on the next page, you will be able to (1) review a draft version of your application, and (2) print one copy of your application to submit to the Air District.

Reminder: To complete the application process, you must submit one signed hard copy of the application along with any required supporting documentation to:

Chengfeng Wang

Bay Area Air Quality Management District

375 Beale Street, Suite 600

San Francisco, CA 94105

SURVEY

Please help us improve our grant application process and outreach by answering a few survey questions!

How did you hear about this grant opportunity?

Did you or anyone associated with this application attend an Application Workshop, a meeting, or other event where information was presented about BAAQMD grant programs?

YesNo

Was this application easy to follow?

YesNo

Please share your suggestions for improving the application process:

Do you know of an agency that can benefit from this TFCA Grant Opportunity? If so, who should we contact?

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