FRA F 6180.134 HSIPR Application -- Track 2 (Template for Tracks 1, 3,

ARRA Solicitation of Applications and Notice of Funds Availability for High-Speed Rail Corridors and Intercity Passenger Rail Service - Capital Assistance and Planning Grants Program

FRA F 6180.134 (Application Templates)

Solicitation of Applications and Notice of Funds Availability for High-Sped Rail Corridors and Intercity Passenger Rail Service - Capital Assistance and Planning Grants Program

OMB: 2130-0584

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HSIPR Program Application

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Application Components

Tab Number

Instructions

Project Overview
(PO)

Project Benefits
(PB)

Costing (CT)

Index,
Project Overview
Economic
Instructions
Narrative and
Recovery
and
Template
1
1 Project Benefits
1
Documentation
Narrative and
Checklist
Template
Transportation
Standard Cost
Planning,
Project Benefits
Category
Purpose and
2 Narrative
2 (SCC)
2 Need, Project
Definitions
Status Narrative
and
Template
Asset
Ownership
Transportation
Narrative and
Project Benefits
3 Template
4
3 Template

SCC
Budget/Estimate
1 Form Template

Environmental
and Livable
Communities
4 Project Benefits
Narrative and
Template

OMB Budget
Form (SF 424 C)

5

Service
Description
Narrative and
4 Template

2

Inflation
Template

Applicant
Qualifications
1 Narrative

Stakeholder
Agreements
2 Narrative

SCC Project
Description
3

Schedule Track 1
and 4
3

4

OMB Budget
5 Form (SF 424 A)
Operating
6 Results Track 1
and 4
Operating
7 Results Track 2

1

Project Management
Approach and
Application
Qualifications (AQ)

Schedule Track 2

4

Funding Sources
5
Project
6 Implementation
Project
7 Uncertainties and
Challenges

HSIPR Program Application
FRA Standard Cost Categories for Capital Projects
(Rev.12, May 30, 2009)

10 TRACK STRUCTURES & TRACK
10.01 Track structure: Viaduct
10.02 Track structure: Major/Movable bridge
10.03 Track structure: Undergrade Bridges
10.04 Track structure: Culverts and drainage structures
10.05 Track structure: Cut and Fill (> 4' height/depth)
10.06 Track structure: At-grade (grading and subgrade stabilization)
10.07 Track structure: Tunnel
10.08 Track structure: Retaining walls and systems
10.09 Track new construction: Conventional ballasted
10.10 Track new construction: Non-ballasted
10.11 Track rehabilitation: Ballast and surfacing
10.12 Track rehabilitation: Ditching and drainage
10.13 Track rehabilitation: Component replacement (rail, ties, fasteners)
10.14 Track: Special track work (switches, turnouts, insulated joints)
10.15 Track: Major interlockings
10.16 Track: Switch heaters (with power and control)
10.17 Track: Vibration and noise dampening
10.18 Other linear structures including fencing, sound walls
20 STATIONS, TERMINALS, INTERMODAL
20.01 Station buildings: Intercity passenger rail only
20.02 Station buildings: Joint use (commuter rail, intercity bus)
20.03 Platforms
20.04 Elevators, escalators
20.05 Joint commercial development
20.06 Pedestrian / bike access and accommodation, landscaping, parking lots
20.07 Automobile, bus, van accessways including roads
20.08 Fare collection systems and equipment
20.09 Station security
30 SUPPORT FACILITIES: YARDS, SHOPS, ADMIN. BLDGS
30.01 Administration building: Office, sales, storage, revenue counting
30.02 Light maintenance facility
30.03 Heavy maintenance facility
30.04 Storage or maintenance-of-way building/bases
30.05 Yard and yard track
40 SITEWORK, ROW, LAND, EXISTING IMPROVEMENTS & SPECIAL CONDITIONS
40.01 Demolition, clearing, site preparation
40.02 Site utilities, utility relocation
40.03 Hazardous material, contaminated soil removal/mitigation, ground water treatments
40.04 Environmental mitigation, e.g. wetlands, historic/archeology, parks
40.05 Site structures including retaining walls, sound walls
40.06 Temporary facilities and other indirect costs during construction
40.07 Purchase or lease of real estate
40.08 Highway/pedestrian overpass/grade separations
40.09 Relocation of existing households and businesses
50 COMMUNICATIONS & SIGNALING
50.01 Wayside signaling equipment
50.02 Signal power access and distribution
50.03 On-board signaling equipment
50.04 Traffic control and dispatching systems
50.05 Communications
50.06 Grade crossing protection

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HSIPR Program Application
50.07 Hazard detectors (dragging equipment, high-wide load, high water, slide, etc.)
50.08 Station train approach warning system

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HSIPR Program Application
60 ELECTRIC TRACTION
60.01 Traction power transmission: High voltage
60.02 Traction power supply: Substations
60.03 Traction power distribution: Catenary and third rail
60.04 Traction power control
70 VEHICLES (number)
70.00 Vehicle acquisition: Electric locomotive
70.01 Vehicle acquisition: Non-electric locomotive
70.02 Vehicle acquisition: Electric multiple unit
70.03 Vehicle acquisition: Diesel multiple unit
70.04 Vehicle acquisition: Locomotive-hauled passenger cars with ticketed space
70.05 Vehicle acquisition: Locomotive-hauled passenger cars without ticketed space
70.06 Vehicle acquisition: Maintenance of way vehicles
70.07 Vehicle acquisition: Non-railroad support vehicles
70.08 Vehicle refurbishment: Electric locomotive
70.09 Vehicle refurbishment: Non-electric locomotive
70.10 Vehicle refurbishment: Electric multiple unit
70.11 Vehicle refurbishment: Diesel multiple unit
70.12 Vehicle refurbishment: Passenger-carrying locomotive-hauled car
70.13 Vehicle refurbishment: Non-passenger-carrying locomotive-hauled car
70.14 Vehicle refurbishment: Maintenance of way vehicles
70.15 Spare parts
80 PROFESSIONAL SERVICES (applies to Cats. 10-60)
80.01 Service Environmental
80.02 Project Environmental
80.03 Final design
80.04 Project management for design and construction
80.05 Construction administration & management
80.06 Professional liability and other non-construction insurance
80.07 Legal; Permits; Review Fees by other agencies, cities, etc.
80.08 Surveys, testing, investigation, inspection
80.09 Start up
90 UNALLOCATED CONTINGENCY
100 FINANCE CHARGES

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HSIPR Program Application

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FRA Standard Cost Categories for Capital Projects
DEFINITIONS
NOTE: The SCC cost breakdown is based on a traditional Design Bid Build model. If your project is Design Build, to the best of your ability, separate construction costs from design, administration, testing, etc.
Put all construction costs in 10 through 60. Put design, administration, testing, etc. in 80 Professional Services .

10 TRACK STRUCTURES & TRACK
10.01 Track structure: Viaduct
10.02 Track structure: Major/Movable bridge
10.03 Track structure: Undergrade Bridges
10.04 Track structure: Culverts and drainage structures
10.05 Track structure: Cut and Fill (> 4' height/depth)
10.06 Track structure: At-grade (grading and subgrade stabilization)
10.07 Track structure: Tunnel
10.08 Track structure: Retaining walls and systems
10.09 Track new construction: Conventional ballasted
10.10 Track new construction: Non-ballasted
10.11 Track rehabilitation: Ballast and surfacing
10.12 Track rehabilitation: Ditching and drainage
10.13 Track rehabilitation: Component replacement (rail, ties, fasteners)
10.14 Track: Special track work (switches, turnouts, insulated joints)
10.15 Track: Major interlockings
10.16 Track: Switch heaters (with power and control)
10.17 Track: Vibration and noise dampening
10.18 Other linear structures including fencing, sound walls

20 STATIONS, TERMINALS, INTERMODAL

Include elevated track structure of significant length consisting of multiple spans of
generally equal length.
Include all elevated track structures with a movable span, and/or with a span of
significant length (generally of approximately 400'' or longer).
Include elevated track structure of greater than 20 feet that does not fall into 10.01 and
10.02
Include all minor undergrade passageways (generally of 20 feet or less in width)
Include grading and subgrade stabilization of roadbed
All grading and subgrade stabilization of roadbed not included under cost categories
10.01 through 10.05 and 10.07
Definition self-evident
Definition self-evident
Include all ballasted track construction on prepared subgrade, on new or existing rightsof-way
Include all slab, direct fixation, embedded, and other non-ballasted track construction
on prepared subgrade, on new or existing rights-of-way
Include undercutting, ballast cleaning, tamping, and surfacing not associated with new
track construction
Definition self-evident
Definition self-evident
Include minor turnouts and interlockingss, such as crossovers and turnouts at the ends
of passing tracks
Significant interlockings at major stations and where routes converge from three or
more directions
Include cost of power distribution equipment from commercial power source to
interlocking location
Definition self-evident
Definition self-evident
As associated with stations, include costs for rough grading, excavation, station
structures, enclosures, finishes, equipment; mechanical and electrical components
including HVAC, ventilation shafts and equipment, station power, lighting, public
address/customer information system, safety systems such as fire detection and
prevention, security surveillance, access control, life safety systems, etc. Include all
construction materials and labor regardless of whom is performing the work.

20.01 Station buildings: Intercity passenger rail only

Definition self-evident

20.02 Station buildings: Joint use (commuter rail, intercity bus)

Definition self-evident

20.03 Platforms
20.04 Elevators, escalators

Definition self-evident
Definition self-evident

20.05 Joint commercial development

Construction at station sites intended to support non-transportation commercial
activities (shopping, restaurants, residential, office space). Do not include cost of
incidental commercial use of station space intended for use by passengers
(newsstands, snack bar, etc). Costs may not be allowable for Federal reimbursement.

Pedestrian / bike access and accommodation, landscaping, parking
lots
20.07 Automobile, bus, van accessways including roads
20.08 Fare collection systems and equipment
20.09 Station security

Include sidewalks, paths, plazas, landscape, site and station furniture, site lighting,
signage, public artwork, bike facilities, permanent fencing.
Include all on-grade paving.
Include fare sales and swipe machines, fare counting equipment.
Definition self-evident

20.06

30 SUPPORT FACILITIES: YARDS, SHOPS, ADMIN. BLDGS
30.01
30.02
30.03
30.04
30.05

Administration building: Office, sales, storage, revenue counting
Light maintenance facility
Heavy maintenance facility
Storage or maintenance-of-way building/bases
Yard and yard track

Definition self-evident
Include service, inspection, and storage facilities and equipment.
Include heavy maintenance and overhaul facilities and equipment.
Definition self-evident
Include yard construction and track associated with yard.

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HSIPR Program Application

40 SITEWORK, ROW, LAND, EXISTING IMPROVEMENTS & SPECIAL
CONDITIONS
40.01 Demolition, clearing, site preparation
40.02 Site utilities, utility relocation
Hazardous material, contaminated soil removal/mitigation, ground
40.03
water treatments

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Include all construction materials and labor regardless of whom is performing the work.
Include project-wide clearing, demolition and fine grading.
Include all site utilities - storm, sewer, water, gas, electric.
Include underground storage tanks, fuel tanks, other hazardous materials and
treatments, etc.

40.04 Environmental mitigation, e.g. wetlands, historic/archeology, parks

Include other environmental mitigation not listed.

40.05 Site structures including retaining walls, sound walls
40.06 Temporary facilities and other indirect costs during construction

Definition self-evident
Definition self-evident

40.07 Purchase or lease of real estate

If the value of right-of-way, land, and existing improvements is to be used as in-kind
local match to the Federal funding of the project, include the total cost on this line item.
In backup documentation, separate cost for land from cost for improvements. Identify
whether items are leased, purchased or acquired through payment or for free. Include
the costs for permanent surface and subsurface easements, trackage rights, etc.

40.08 Highway/pedestrian overpass/grade separations

Definition self-evident

40.09 Relocation of existing households and businesses

In compliance with Uniform Relocation Act.

50 COMMUNICATIONS & SIGNALING
50.01 Wayside signaling equipment
50.02 Signal power access and distribution
50.03 On-board signaling equipment
50.04 Traffic control and dispatching systems
50.05 Communications
50.06 Grade crossing protection
Hazard detectors (dragging equipment, high-wide load, high water,
50.07
slide, etc.)
50.08 Station train approach warning system
Construction Subtotal (10 - 50)

Definition self-evident
Definition self-evident
Include on-board cab signal, Automatic Train Control (ATC), and Passenger Train
Control (PTC) related equipment
Definition self-evident
Definition self-evident
Definition self-evident
Definition self-evident
Definition self-evident

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HSIPR Program Application

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60 ELECTRIC TRACTION
Definition self-evident
60.01 Traction power transmission: High voltage

60.02 Traction power supply: Substations

Definition self-evident

60.03 Traction power distribution: Catenary and third rail

Definition self-evident

60.04 Traction power control

Definition self-evident

70 VEHICLES (number)

Include professional services associated with the vehicle component of the project.
These costs may include agency staff oversight and administration, vehicle
consultants, design and manufacturing contractors, legal counsel, warranty and
insurance costs, etc.

70.00 Vehicle acquisition: Electric locomotive
70.01 Vehicle acquisition: Non-electric locomotive

Definition self-evident
Definition self-evident

70.02 Vehicle acquisition: Electric multiple unit

Definition self-evident

70.03 Vehicle acquisition: Diesel multiple unit
70.04 Vehicle acquisition: Locomotive-hauled passenger cars with ticketed
Vehicle acquisition: Locomotive-hauled passenger cars without
70.05
ticketed space
70.06 Vehicle acquisition: Maintenance of way vehicles
70.07 Vehicle acquisition: Non-railroad support vehicles
70.08 Vehicle refurbishment: Electric locomotive
70.09 Vehicle refurbishment: Non-electric locomotive
70.10 Vehicle refurbishment: Electric multiple unit
70.11 Vehicle refurbishment: Diesel multiple unit
70.12 Vehicle refurbishment: Passenger-carrying locomotive-hauled car

Definition self-evident
Include cars with coach space, sleeping compartments, etc.
Include dedicated food service, lounge, baggage and other service support cars
Definition self-evident
Include hi-rail bucket trucks, and other highway vehicles
Definition self-evident
Definition self-evident
Definition self-evident
Definition self-evident
Include coaches, sleeping cars, etc.

70.13 Vehicle refurbishment: Non-passenger-carrying locomotive-hauled car Include food service, lounge, baggage and other service support cars
70.14 Vehicle refurbishment: Maintenance of way vehicles
70.15 Spare parts
80 PROFESSIONAL SERVICES (applies to Cats. 10-60)
80.01 Service Environmental
80.02 Project Environmental
80.03 Final design
80.04 Project management for design and construction

Definition self-evident
Definition self-evident
Cat. 80 applies to Cats. 10-50. Cat. 80 includes all professional, technical and
management services related to the design and construction of fixed infrastructure
(Cats. 10 - 50) during the preliminary engineering, final design, and construction
phases of the project. This includes environmental work, design, engineering and
architectural services; specialty services such as safety or security analyses; value
engineering, risk assessment, cost estimating, scheduling, Before and After studies,
ridership modeling and analyses, auditing, legal services, administration and
management, etc. by agency staff or outside consultants.

80.05 Construction administration & management
80.06 Professional liability and other non-construction insurance

Include professional liability insurance and other non-construction insurance on 80.05
unless insurance for the agency and its consultants is already included in other lines.

80.07 Legal; Permits; Review Fees by other agencies, cities, etc.

Include costs associated with professional services related to real estate and vehicles
in Cats. 60 and 70.

80.08 Surveys, testing, investigation, inspection
80.09 Start up

(Note that costs for planning and NEPA work done before FRA grant approval,
regardless of funding source, are subject to special conditions for eligibility and should
Definition self-evident

Subtotal (10 - 80)
90 UNALLOCATED CONTINGENCY

Includes unallocated contingency, project reserves. Document allocated contingencies
for individual line items on the Main worksheets.

Subtotal (10 - 90)
Include finance charges expected to be paid by the project sponsor/grantee prior to
either the completion of the project or the fulfillment of the FRA funding commitment,
whichever occurs later in time. Finance charges incurred after this date should not be
included in Total Project Cost.
100 FINANCE CHARGES

Derive finance charges from the project's financial plan, based on an analysis of the
sources and uses of funds. The amount and type of debt financing required and
revenues available determine the finance charges. By year, compute finance charges
in year-of-expenditure (YOE) dollars. On the Inflation Calculation to YOE worksheet
enter the finance charges for the appropriate years.

Total Project Cost (10 - 100)

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HSIPR Program Application
A) Project Overview Narrative
Project Name:
Tracks 1, 2 and 4 (as applicable with respect to the advancement of the engineering and NEPA work)
Provide an overview of the main features and characteristics of the proposed Project, including a brief
description of:
• The types of proposed improvements (e.g. new passing tracks, interlocking reconfiguration,
station improvements, equipment acquisition, etc.).
• The location of the proposed project including any use of railroad assets or rights-of-way, and
potential use of public lands and property.
• The cost and proposed financing of the project, including any proposed financial contribution by
the grantee or other parties.
Track 3
Provide a description of the planning activities included in the proposed application, including a
geographical description of the region and .......(XXX)

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B) Project Overview Template
Project Name:
To auto populate
1) Please provide the
Name
contact information of the
Contact Person, Email
lead agency
Address
2) Please provide the
following project details

POC:

Email:

Telephone, Fax

Tel:

Fax:

Capital Costs (YOE)

$ - to auto populate

Project Type (insert
definition with no more
than 15 words)

3) Project Profile-Please type an "X" in the boxes that appropriately apply to the type of work encompassed in the proposed
project
Track Structure

Communications and Signaling

Track New Construction
Electric Traction
Track Rehabilitation

Vehicles Acquisition

Major Interlockings

Vehicle Refurbishment
Support Facilities: Yards,
Shops, Admin. Buildings

Stations, Terminals,
Intermodal

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HSIPR Program Application
A) Planning, Purpose and Need, Project Status Narrative
Project Name:
Describe the planning process through which intercity passenger rail (IPR) was identified as the
solution to wider transportation challenges, including what alternative transportation solutions
were considered, and, if applicable, how the planning process integrated with state rail planning
activities and/or statewide transportation planning under 23 U.S.C. 135.
Describe how the proposed project will fulfill a specific purpose and need to be addressed in a
cost-effective manner by improved IPR service.
Describe how the proposed project was chosen among other projects to be implemented at this
time (i.e., how programming and implementation priority was assigned).
For Tracks 1, 2 and 4: Describe the design and engineering efforts, and environmental review
processes that have been undertaken to advance the proposed project, and their current status.

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HSIPR Program Application
A) Planning, Purpose, and Need Project Status Template
Project Name:
1) Provide the following
project planning and
development schedule
information, including
anticipated or actual
dates/durations. Add
NEPA-related milestones
if applicable

Pre-NEPA Planning Studies initiated
Pre-NEPA Planning Studies Completed
NEPA Process Initiated
Draft NEPA Document Complete
Preferred Alternative Identified
Service NEPA Complete
Project NEPA Complete**
Final NEPA Document Complete
NEPA Process Complete
Other major milestone as applicable (Public
Referenda, Key Stakeholder Agreements)
Preliminary Engineering (duration - beginning and
ending dates)
Final Design (duration)
Construction (duration)
Vehicle Acquisition (duration - manufacturing
beginning and ending dates)
Vehicle Testing (duration)
Service Operations (beginning date)

Additional NEPA-Related Milestones (if applicable)

**If Service NEPA is complete, please provide an update on the status of the Project NEPA

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HSIPR Program Application

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A) Asset Ownership Narrative
Project Name:
Describe the ownership of any existing railroad infrastructure that will be used or improved as part of the proposed project. If the project
includes the construction of new railroad infrastructure outside of existing railroad rights-of-way, or if the implementation of the project
foresees a change in ownership of existing railroad infrastructure, describe the process, agreements and schedule that will be followed.

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B) Rail-Line Ownership Template
Project Name:
1) Existing Right-of-Way Owner - For all railroad owners of the existing infrastructure in the "project area,"** provide the following information:
Railroad Type

Railroad Owner

Start Milepost

End Milepost

Route Miles

Track Miles

2)Changes in Ownership - For changes in ownership for newly constructed rail lines in the proposed project area, provide the following information (if
applicable)
Railroad Type

Railroad Owner

Start Milepost

End Milepost

Note: Add new rows as needed
** A project area is defined as the geographic area encompassed by the bounds.

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Route Miles

Track Miles

HSIPR Program Application

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A) Service Description Narrative
Project Name:
Describe the markets served by the IPR service that is intended to benefit from the proposed project, including
identification of key geographic travel markets (origin-destination pairs), its focus on urban and non-urban markets,
and other non-rail transportation options that serve some or all of the same markets.
Describe the operation of the IPR service that is intended to benefit from the proposed project, both as it is currently
structured and operated if applicable, and as it will be following completion of the proposed project.
Describe other rail services, such as commuter rail and freight rail, that will make use of or otherwise be affected by
the proposed project.

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HSIPR Program Application

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B) Service Description Template
Project Name:
1) Existing Passenger Railroad Service or Operators - For all passenger rail services or operators in the project area, provide the following
information:
Service Type
(e.g.,
commuter
rail, etc.)

Service
Name

Operator

Train/Day
Through
Project Area
(Roundtrip)

Service
Endpoints and
Intermediate
Points (e.g.,
RUT/ MTR/ CHI
/ NFL/ TOR ALB - NYP)

Route
Miles

Avg.
Scheduled
Speed

On-Time
Performance
(%)

Avg. Consist

Cars

Project Area
Entry Mile
Post

Project Area
Exit Mile Post

Loco

2) Existing Freight Rail Services or Operators - For all freight rail services or operators in the project area, provide the following information:

B) Service Description Template (Cont'd)
Project Name:
3) New or Enhanced Passenger Rail Services and Operators - For all passenger rail services anticipated to change as a result of in the proposed
project, provide the following information (If applicable)
Service Type
(e.g.,
commuter
rail, etc.)

Service
Name

Operator

Train/Day
Through
Project Area
(Roundtrip)

Service
Endpoints and
Intermediate
Points (e.g.,
RUT/ MTR/ CHI
/ NFL/ TOR ALB - NYP)

Route
Miles

Avg.
Scheduled
Speed

On-Time
Performance
(%)

Avg. Consist

Cars

Project Area
Entry Mile
Post

Project Area
Exit Mile Post

Loco

4) Affected Freight Rail Service or Operators - For all freight rail operators affected by the project in the project area, provide the following information
(If applicable)

Service Type
(e.g., local
unit,
intermodal,
manifest)

Operator

Operating
Rights
(owner,
operating
agreement,
trackage
rights)

Train/Day
Through
Project Area
(Roundtrip)

Avg. Consist
Avg.
Operating
Speed

Project Area
Entry Mile
Post
Cars

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Loco

Project Area
Exit Mile Post

HSIPR Program Application
A) Economic Recovery Project Benefits Narrative
Project Name:
Describe the contribution the proposed project is intended to make towards economic recovery and
reinvestment, including information on the following:
• How the project will result in the creation and preservation of jobs – Detail the number of onsite and other
direct jobs (on a 2009 work-hour per year, full-time equivalent basis) that will be created by the proposed
project, and timeline for achieving the anticipated job creation.
• How the project will result in increases in efficiency by promoting technological advances.
• How the project represents an investment that will generate long-term economic benefits – Detail the timeline
for achieving economic benefits and describe how the project was identified as a solution to a wider economic
challenge.
• If applicable, how the project will help to avoid reductions in State-provided essential services.

B) Economic Recovery Project Benefits Narrative
On-site and other direct jobs (on a 2080 work-hour per year, full-time equivalent basis)
Total Jobs

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A) Transportation Project Benefits Narrative
Project Name:
Describe the benefits to IPR service that are anticipated to result from the project, including
information on the following:
• Operational Improvements – Provide relevant details on reliability improvements (increases in ontime performance, reduction in operating delays), reduced schedule times, increases in frequencies,
improvements to intermodal connections and access to stations, actual and potential synergistic
expansions to the IPR network, and other service improvements.
• Transportation Results – Describe the forecasted benefits of the proposed project in terms of key
transportation metrics. These benefits should be expressed primarily in quantitative terms, although
qualitative information may also be provided if relevant. Provide, when applicable, relevant details on
forecasted increases in IPR ridership, IPR passenger-miles, aggregate travel time savings (resulting
from reductions to both schedule time and delays, expressed in passenger-minutes).
Suggested information:
•Describe, when applicable, the benefits to other modes of transportation that are anticipated to result
from the proposed project, including benefits to:
• Commuter Rail Services – Provide relevant details on operating improvements and results (applying
the same approach as for IPR above).
• Freight Rail Service – Provide relevant details on service benefits (e.g. increases in reliability and
capacity), output benefits (e.g. increases in ton-miles or car-miles of the benefiting freight services),
and/or other benefits.
• Highway and Air Congestion Reduction and Delay or Avoidance of Planned Investments – Provide
relevant details on any aviation and highway congestion reduction/alleviation that are anticipated.
Describe any planned investments in other modes of transportation that may be avoided or delayed
due to the improvement to IPR service that will result from the proposed project.
Suggested: Describe the overall improvements to transportation safety that are anticipated to result
from the proposed project, including railroad safety benefits, and benefits resulting from the shifting
of travel from other modes to safer IPR service.

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A) Transportation Project Benefits Template

Track 1 and 4 Required Metrics

Track 2 Required
Metrics

Required metric for all track 2 projects:
As projected for the fifth full year of operation, increase in IPR passenger-miles (over FY 2008
levels if a comparable service exists; otherwise the base is zero).
Required to receive credit for “green” benefits:
As projected for the fifth full year of operation, the amount of the total increase diverted from
air traffic.
As projected for the fifth full year of operation, the amount of the total increase diverted from
highway traffic.
Select the metric(s) based on the primary focus(es) of the project:
Service frequency
Metric: Increase in the number of daily round trips (weekdays) (over FY 2008 levels). As
projected for the first full year of operation.
On-Time Performance
Metric: Average decrease in delay minutes per day, total for all IPR service trains (from FY 2008
levels). As projected for the first full year of operation.
Travel Time
Metric: Average schedule-minutes saved per run, over all IPR service trains (from FY 2008
levels). As projected for the first full year of operation.
Passenger-carrying capacity
Metric: Increase in seat-miles operated per day (over FY 2008 levels), total for all IPR service
trains. As projected for the first full year of operation.

18

% Increase
0.00%

0.00%
0.00%
% Increase

0.00%

0.00%

0.00%

0.00%

HSIPR Program Application

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A) Environmental and Livable Communities Project Benefits Narrative
Project Name:
Describe the intended contribution of the proposed project towards improved environmental quality,
energy efficiency and reduction in the dependence for foreign oil, including information on the
following:
• Reductions in key emissions (including CO2 reductions by metric ton/year) (strongly suggested if
modeling has been conducted)
• Use of green methods and technologies - provide relevant details on use of green building design
(including LEED building design standards), green manufacturing methods or other environmentallyfriendly approaches
• Anticipated change in energy and oil consumption (suggested)
Describe the contribution the proposed project is intended to make towards fostering and promoting
Livable Communities, include information on the following:
• Integration with existing high density, livable development - provide relevant details on livable
development (e.g. central business districts with walking and public transportation distribution
networks with transit oriented development) (if applicable)
• Development of intermodal stations with direct transfers to other modes (both intercity passenger
transport and local transit) (if applicable)

B) Environmental and Livable Communities Project Benefits Template
Suggested Quantitative Indicator, when applicable: Reductions/Avoidance in key emissions by metric
ton/year
CO2 (strongly suggested)
Other pollutants (O3, CO, PMx. NOx,
etc. insert new rows as needed)

19

HSIPR Program Application

DRAFT

A) SCC Capital Cost Budget/Estimate Form Template
Project Name
Today's Date
Yr of Base Year $
Yr of Revenue Ops

Has the Operating Owner reviewed this budget? (Y/N)
Has the Operating Owner agreed to this budget? (Y/N)
Insert Current Phase (e.g. Applic. for LoI, PE/FD, Applic. for Construction Grant, Construction, Serv Ops)
Quantity

10 TRACK STRUCTURES & TRACK
10.01 Track structure: Viaduct
10.02 Track structure: Major/Movable bridge
10.03 Track structure: Undergrade Bridges
10.04 Track structure: Culverts and drainage structures
10.05 Track structure: Cut and Fill (> 4' height/depth)
10.06 Track structure: At-grade (grading and subgrade stabilization)
10.07 Track structure: Tunnel
10.08 Track structure: Retaining walls and systems
10.09 Track new construction: Conventional ballasted
10.10 Track new construction: Non-ballasted
10.11 Track rehabilitation: Ballast and surfacing
10.12 Track rehabilitation: Ditching and drainage
10.13 Track rehabilitation: Component replacement (rail, ties,
10.14 fasteners)
Track: Special track work (switches, turnouts, insulated joints)
10.15 Track: Major interlockings
10.16 Track: Switch heaters (with power and control)
10.17 Track: Vibration and noise dampening
10.18 Other linear structures including fencing, sound walls
20 STATIONS, TERMINALS, INTERMODAL
20.01 Station buildings: Intercity passenger rail only
20.02 Station buildings: Joint use (commuter rail, intercity bus)
20.03 Platforms
20.04 Elevators, escalators
20.05 Joint commercial development
20.06 Pedestrian / bike access and accommodation, landscaping,
20.07 Automobile, bus, van accessways including roads
#REF!
#REF!
20.08 Fare collection systems and equipment
20.09 Station security
30 SUPPORT FACILITIES: YARDS, SHOPS, ADMIN. BLDGS
30.01 Administration building: Office, sales, storage, revenue
30.02 Light maintenance facility

Base Year
Dollars w/o
Contingency
(X000)

0

Base Year
Dollars
Allocated
Contingency
(X000)

0

0

0

0

0

Base Year
Dollars
TOTAL
(X000)

0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0

Base Year
Dollars Unit
Cost
(X000)

5/30/09
2009
2017

Base Year Dollars
% of Construction
Cost

Base Year
Dollars % of
Total Project
Cost

YOE Dollars
Total
(X000)

#DIV/0!

#DIV/0!

0
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!

#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
0
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
0
#DIV/0!
#DIV/0!

30.03 Heavy maintenance facility

0

#DIV/0!

30.04 Storage or maintenance-of-way building/bases

0

#DIV/0!

30.05 Yard and yard track
40 SITEWORK, ROW, LAND, EXISTING IMPROVEMENTS &
40.01 Demolition, clearing, site preparation
40.02 Site utilities, utility relocation
40.03 Hazardous material, contaminated soil removal/mitigation,
40.04 Environmental mitigation, e.g. wetlands, historic/archeology,
parksstructures including retaining walls, sound walls
40.05 Site
40.06 Temporary facilities and other indirect costs during
40.07 Purchase or lease of real estate
40.08 Highway/pedestrian overpass/grade separations
40.09 Relocation of existing households and businesses
50 COMMUNICATIONS & SIGNALING
50.01 Wayside signaling equipment
50.02 Signal power access and distribution
50.03 On-board signaling equipment
50.04 Traffic control and dispatching systems
50.05 Communications
50.06 Grade crossing protection
50.07 Hazard detectors (dragging equipment, high-wide load, high
water, slide, etc.)
50.08 Station train approach warning system
Construction Subtotal (10 - 50)
60 ELECTRIC TRACTION
60.01 Traction power transmission: High voltage
60.02 Traction power supply: Substations
60.03 Traction power distribution: Catenary and third rail
60.04 Traction power control

0

#DIV/0!

0

0

0
0
0
0
0
0
0
0
0

#DIV/0!

#DIV/0!

0
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

0

0

0
0
0
0
0
0
0
0

#DIV/0!

#DIV/0!

0
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

0

0

0
0
0
0

#DIV/0!

#DIV/0!
#DIV/0!

0
0
#DIV/0!
#DIV/0!

20

HSIPR Program Application

70 VEHICLES (number)
70.00 Vehicle acquisition: Electric locomotive
70.01 Vehicle acquisition: Non-electric locomotive
70.02 Vehicle acquisition: Electric multiple unit
70.03 Vehicle acquisition: Diesel multiple unit
70.04 Vehicle acquisition: Locomotive-hauled passenger cars with
ticketed space
70.05 Vehicle acquisition: Locomotive-hauled passenger cars
without ticketed space
70.06 Vehicle acquisition: Maintenance of way vehicles
70.07 Vehicle acquisition: Non-railroad support vehicles
70.08 Vehicle refurbishment: Electric locomotive
70.09 Vehicle refurbishment: Non-electric locomotive
70.10 Vehicle refurbishment: Electric multiple unit
70.11 Vehicle refurbishment: Diesel multiple unit
70.12 Vehicle refurbishment: Passenger-carrying locomotive-hauled
car
70.13 Vehicle refurbishment: Non-passenger-carrying locomotivehauled car
70.14 Vehicle refurbishment: Maintenance of way vehicles
70.15 Spare parts
80 PROFESSIONAL SERVICES (applies to Cats. 10-60)
80.01 Service Environmental
80.02 Project Environmental
80.03 Final design
80.04 Project management for design and construction
80.05 Construction administration & management
80.06 Professional liability and other non-construction insurance

0

0

0

0

80.07 Legal; Permits; Review Fees by other agencies, cities, etc.
80.08 Surveys, testing, investigation, inspection
80.09 Start up
Subtotal (10 - 80)
90 UNALLOCATED CONTINGENCY
Subtotal (10 - 90)
100 FINANCE CHARGES
TOTAL CAPITAL COSTS (10-100)
Allocated Contingency as % of Base Yr Dollars w/o Contingency
Unallocated Contingency as % of Base Yr Dollars w/o Contingency
Total Contingency as % of Base Yr Dollars w/o Contingency
Unallocated Contingency as % of Subtotal (10 - 80)
YOE Construction Cost per Mile (X000)
YOE Total Project Cost per Mile Not Including Vehicles (X000)
YOE Total Project Cost per Mile (X000)

DRAFT

0
0
0
0
0
0

#DIV/0!

0

#DIV/0!

0

#DIV/0!

0
0
0
0
0
0
0

#DIV/0!

#DIV/0!

0

0

0

0
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

0
21,971
21,971
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

0
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

0
0
0
0
0

#DIV/0!
#DIV/0!
#DIV/0!

21

HSIPR Program Application

DRAFT

A) Inflation Template
Project Name
Today's Date
Yr of Base Year $
Yr of Revenue Ops

Insert Current Phase (e.g. Applic.for LoI, PE/FD, Applic.for
Construction Grant, Construction, Serv Ops)

5/30/09
2009
2017

Insert comments, notes, etc.
Base Yr
Dollars

BASE YEAR DOLLARS (X$000)
10 TRACK STRUCTURES & TRACK
20 STATIONS, TERMINALS, INTERMODAL
30 SUPPORT FACILITIES: YARDS, SHOPS, ADMIN. BLDGS
40 SITEWORK, ROW, LAND, EXISTING IMPROVEMENTS & SPECIAL CONDITIONS
50 COMMUNICATIONS & SIGNALING
60 ELECTRIC TRACTION
70 VEHICLES (number)
80 PROFESSIONAL SERVICES (applies to Cats. 10-60)
90 UNALLOCATED CONTINGENCY
100 FINANCE CHARGES
Total Project Cost (10 - 100)

0
0
0
0
0
0
0
0
21,971
#DIV/0!
#DIV/0!

Double-Check
Total

2009
0
0
0
0
0
0
0
0
0

0
0
0
0
0
0
0

#DIV/0!
#DIV/0!

0

Inflation Rate
Compounded Inflation Factor
YEAR OF EXPENDITURE DOLLARS (X$000)
YOE Dollars
10 TRACK STRUCTURES & TRACK
0
20 STATIONS, TERMINALS, INTERMODAL
0
30 SUPPORT FACILITIES: YARDS, SHOPS, ADMIN. BLDGS
0
40 SITEWORK, ROW, LAND, EXISTING IMPROVEMENTS & SPECIAL CONDITIONS
0
50 COMMUNICATIONS & SIGNALING
0
60 ELECTRIC TRACTION
0
70 VEHICLES (number)
0
80 PROFESSIONAL SERVICES (applies to Cats. 10-60)
0
90 UNALLOCATED CONTINGENCY
0
100 FINANCE CHARGES
0
Total Project Cost (10 - 100)
0

22

2009
0

0

HSIPR Program Application

DRAFT
Inflation Template

Project Name

plic.for LoI, PE/FD, Applic.for

2010

2011

2012

2013

2014

2015

2016

2017

2018

0
0
0
0
0
0
0

0
0
0
0
0
0
0

0
0
0
0
0
0
0

0
0
0
0
0
0
0

0
0
0
0
0
0
0

0
0
0
0
0
0
0

0
0
0
0
0
0
0

0
0
0
0
0
0
0

0

0

0

0

0

0

0

0

2010

2011

2012

2013

2014

2015

2016

2017

2019

0

2018

2020

0

2019

0

2020

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

23

HSIPR Program Application

DRAFT

Inflation Template

2021

0

2021

Inflation Template
Project Name

2022

2023

2024

2025

2026

2027

2028

2029

0
0
0
0
0
0
0
0
0
#DIV/0!
#DIV/0!

0
0
0
0
0
0
0
0
0
#DIV/0!
#DIV/0!

0
0
0
0
0
0
0
0
0
#DIV/0!
#DIV/0!

0
0
0
0
0
0
0
0
0
#DIV/0!
#DIV/0!

0
0
0
0
0
0
0
0
0
#DIV/0!
#DIV/0!

0
0
0
0
0
0
0
0
0
#DIV/0!
#DIV/0!

0
0
0
0
0
0
0
0
0
#DIV/0!
#DIV/0!

2022

2023

2024

2025

2026

2027

2028

0
0
0
0
0
0
0
0
0
#DIV/0!
#DIV/0!

2029

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

24

HSIPR Program Application

DRAFT

A) Project Description - Build Alternative Template
Project Name:
Insert Current Phase (e.g. Applic. for LoI, PE/FD, Applic. for Construction Grant, Construction, Serv Ops)

Describe the project elements to explain the unit costs shown on the Main Worksheet. Example: A 20-mile new light rail project has its guideway entirely on grade except for a one-eighth mile
bridge over a river. The bridge or aerial structure may have a relatively high unit cost because there is little economy of scale.
Mention precedents and reference points used in the development of costs for this project. Mention other aspects of this project that were important considerations in estimating costs. These could
include the physical context, site constraints; design parameters; institutional, contracting and procurement conditions; project schedule, etc.
10 TRACK STRUCTURES & TRACK
10.01 Track structure: Viaduct
10.02 Track structure: Major/Movable bridge
10.03 Track structure: Undergrade Bridges
10.04 Track structure: Culverts and drainage structures
10.05 Track structure: Cut and Fill (> 4' height/depth)
10.06 Track structure: At-grade (grading and subgrade stabilization)
10.07 Track structure: Tunnel
10.08 Track structure: Retaining walls and systems
10.09 Track new construction: Conventional ballasted
10.10 Track new construction: Non-ballasted
10.11 Track rehabilitation: Ballast and surfacing
10.12 Track rehabilitation: Ditching and drainage
10.13 Track rehabilitation: Component replacement (rail, ties, fasteners)
10.14 Track: Special track work (switches, turnouts, insulated joints)
10.15 Track: Major interlockings
10.16 Track: Switch heaters (with power and control)
10.17 Track: Vibration and noise dampening
10.18 Other linear structures including fencing, sound walls
20 STATIONS, TERMINALS, INTERMODAL
20.01 Station buildings: Intercity passenger rail only
20.02 Station buildings: Joint use (commuter rail, intercity bus)
20.03 Platforms
20.04 Elevators, escalators
20.05 Joint commercial development
20.06 Pedestrian / bike access and accommodation, landscaping, parking lots
20.07 Automobile, bus, van accessways including roads
#REF!

#REF!

20.08 Fare collection systems and equipment
20.09 Station security
30 SUPPORT FACILITIES: YARDS, SHOPS, ADMIN. BLDGS
30.01 Administration building: Office, sales, storage, revenue counting
30.02 Light maintenance facility
30.03 Heavy maintenance facility
30.04 Storage or maintenance-of-way building/bases
30.05 Yard and yard track
40 SITEWORK, ROW, LAND, EXISTING IMPROVEMENTS & SPECIAL CONDITIONS
40.01 Demolition, clearing, site preparation
40.02 Site utilities, utility relocation
40.03 Hazardous material, contaminated soil removal/mitigation, ground water treatments
40.04 Environmental mitigation, e.g. wetlands, historic/archeology, parks
40.05 Site structures including retaining walls, sound walls
40.06 Temporary facilities and other indirect costs during construction
40.07 Purchase or lease of real estate
40.08 Highway/pedestrian overpass/grade separations
40.09 Relocation of existing households and businesses
50 COMMUNICATIONS & SIGNALING
50.01 Wayside signaling equipment
50.02 Signal power access and distribution
50.03 On-board signaling equipment
50.04 Traffic control and dispatching systems
50.05 Communications
50.06 Grade crossing protection
50.07 Hazard detectors (dragging equipment, high-wide load, high water, slide, etc.)
50.08 Station train approach warning system
60 ELECTRIC TRACTION
60.01 Traction power transmission: High voltage
60.02 Traction power supply: Substations
60.03 Traction power distribution: Catenary and third rail
60.04 Traction power control

25

HSIPR Program Application

70 VEHICLES (number)
70.00 Vehicle acquisition: Electric locomotive
70.01 Vehicle acquisition: Non-electric locomotive
70.02 Vehicle acquisition: Electric multiple unit
70.03 Vehicle acquisition: Diesel multiple unit
70.04 Vehicle acquisition: Locomotive-hauled passenger cars with ticketed space
70.05 Vehicle acquisition: Locomotive-hauled passenger cars without ticketed space
70.06 Vehicle acquisition: Maintenance of way vehicles
70.07 Vehicle acquisition: Non-railroad support vehicles
70.08 Vehicle refurbishment: Electric locomotive
70.09 Vehicle refurbishment: Non-electric locomotive
70.10 Vehicle refurbishment: Electric multiple unit
70.11 Vehicle refurbishment: Diesel multiple unit
70.12 Vehicle refurbishment: Passenger-carrying locomotive-hauled car
70.13 Vehicle refurbishment: Non-passenger-carrying locomotive-hauled car
70.14 Vehicle refurbishment: Maintenance of way vehicles
70.15 Spare parts
80 PROFESSIONAL SERVICES (applies to Cats. 10-60)
80.01 Service Environmental
80.02 Project Environmental
80.03 Final design
80.04 Project management for design and construction
80.05 Construction administration & management
80.06 Professional liability and other non-construction insurance
80.07 Legal; Permits; Review Fees by other agencies, cities, etc.
80.08 Surveys, testing, investigation, inspection
80.09 Start up
90 UNALLOCATED CONTINGENCY
100 FINANCE CHARGES

26

DRAFT

HSIPR Program Application

DRAFT

A) OMB Budget Form SF 424C
Project Name
OMB Approval No. 0348-0041

BUDGET INFORMATION - Construction Programs
NOTE: Certain Federal assistance programs require additional computations to arrive at the Federal share of project costs eligible for participation. If such is the case you will be notified.
b. Costs Not Allowable for c. Total Allowable Costs (Column
a. Total Cost
COST CLASSIFICATION
Participation
A - B)
1.

Administrative and legal expenses

2.

Land, structures, rights-of-way, appraisals, etc.

3.

Relocation expenses and payments

4.

Architectural and engineering fees

5.

Other architectural and engineering fees

6.

Project inspection fees

7.

Site work

8.

Demolition and removal

9.

Construction

10. Equipment
11. Miscellaneous
12. SUBTOTAL (sum of lines 1-11)
13. Contingencies
14. SUBTOTAL
15. Project (program) income
16. TOTAL PROJECT COSTS (subtract #15 from #14)
FEDERAL FUNDING
17. Federal assistance requested, calculate as follows:

Enter eligible costs from line 16c

__________ and multiply by ____ %

(Consult ARC State office for percentage share.)
Enter the resulting Federal share.
Standard Form 424C ( 7-97)
Prescribed by OMB Circular A-102

27

HSIPR Program Application

DRAFT

OMB Budget Form 424
Project Name
OMB Approval No 4040-0006

Grant Program
Function
or Activity
(a)

Budget Information - Non-Construction Programs
Section A - Budget Summary
Note:
Complete the sections that are NOT grayed out.
This worksheet should reflect your total budget.
Catalog of Federal
Domestic Assistance
Estimated Unobligated Funds
New or Revised Budget
Number
Federal
Non-Federal
Federal
Non-Federal
(b)
('c)
(d)
(e)
(f)

Total
(g)

1

$

-

2

$

-

3

$

-

4

$

-

$0.00 $

-

5.

Totals

$0.00
Section B - Budget Categories
GRANT PROGRAM, FUNCTION OR ACTIVITY

6. Object Class Categories

1

2

Total

3

4

('5)

a. Personnel

$

-

b. Fringe Benefits

$

-

c. Travel

$

-

d. Equipment

$

-

e. Supplies

$

-

f. Contractual

$

-

g. Construction

$

-

$

-

$

-

$

-

$

-

h. Other
i. Total Direct Charges (sum of 6a-6h)

$

7. Program Income
(a) Grant Program
8
9
10
11
12. TOTAL (sum of lines 8 - 11)

$

-

$

-

$

-

$

-

$

-

$

-

$0.00

j. Indirect Charges
k. TOTALS (sum of 6i and 6j)

-

$

-

$0.00
$0.00
$0.00
Section C - Non-Federal Resources
(b) Applicant
('c) State
(d) Other Sources

$0.00
$0.00
$0.00
Section D - FORECASTED CASH NEEDS
1st Quarter
2nd Quarter
3rd Quarter

$0.00
(e) TOTALS

Total for 1st Year
4th Quarter
13. Federal
$0.00
14. Non-Federal
$0.00
15. TOTAL (sum of lines 13 and 14)
$0.00
$0.00
$0.00
$0.00
Section E - Budget ESTIMATES OF FEDERAL FUNDS NEEDED FOR BALANCE OF THE PROJECT
FUTURE FUNDING PERIODS (YEARS)
(a) Grant Program
(b) First
('c) Second
(d) Third
(e) Fourth
16.
EMPG 97.042
17
18
19
20. TOTAL (sum of lines 16 - 19)
$0.00
$0.00
$0.00
Section F - Other Budget Information
21. Direct Charges:
22. Indirect Charges
23. Remarks
Standard Form 424A Page 2

28

$0.00

$0.00
$0.00
$0.00
$0.00
$0.00

$0.00

$0.00

HSIPR Program Application

DRAFT

A) Operating Results for Track 1 and 4 Only
Project Name
Summary Fields

Response

Estimated year of program completion:
Forecast year (fifth full year of operation):
The following projections are for the forecast year:
Change in State subsidy - better or (worse) - from the applicable subsidy in FY 2009

In the following table, please describe the typical annual sources of funds that the applicant expects to apply to any incremental increase in State subsidy requirements:
Source (Describe)

Amount to be applied in Percent of forecast deficit
forecast year
to be covered by this
source

TOTAL

0%

Analysis of Total: Percent that is—
Dedicated and existing
Dedicated and new
Annual and existing
Annual and new

29

0%

Specify:
Specify:
annual or dedicated new or existing

HSIPR Program Application

DRAFT

A) Operating Results for Track 2 Only
Project Name:
Summary information from the Business Plan. Constant FY 2009 Dollars.
Note: The Business Plan needs to show a full 20-year projection of operating results, in FY 2009 dollars, starting with the first full year of operation.

Response

Summary Fields
Estimated year of program completion:
Forecast year (fifth full year of operation):
The following projections are for the forecast year:
Operating revenues (include net revenue from ancillary services; exclude any State subsidies)
Operating and maintenance expenses
Operating surplus/(deficit)
Continuing investment requirements (vehicle overhauls, replacement, expansions; capitalized
maintenance-of-way work; other requirements)(annualized amount based on analysis of entire planning
period)
Surplus/(deficit) after continuing investment requirements
In the following table, please describe the typical annual sources of funds that the applicant expects to apply to any deficit after continuing investment requirements:

Source (Describe)

Amount to be applied in forecast
year

TOTAL

Percent of forecast deficit to
be covered by this source

0%

Analysis of Total: Percent that is—
Dedicated and existing
Dedicated and new
Annual and existing
Annual and new

30

0%

Specify:
annual or dedicated

Specify:
new or existing

HSIPR Program Application

DRAFT

A) Project Management Approach and Applicant Qualifications Narrative
Project Name:
Describe the roles to be played by the applicant and other partners/stakeholders in implementing the
proposed project, including, when applicable, the following information with references to the
Project Management Plan submitted as part of the supporting documentation for the application:
• Overall Project Management
• Project Design
• Construction Management
• Construction Activities – provide relevant information on the use railroad force account labor,
railroad contractors and grantee contractors
• Project Labor Agreements
Describe qualifications of the applicant and its key partners for undertaking the proposed project,
include the following information
• Management Experience – provide relevant information on experience in managing rail investments
projects and managing projects of a similar size and scope to the one proposed in this application.
• Financial Management Capacity and Capability– provide relevant information on audit results and
capability to absorb potential cost overruns and financial responsibility for potential disposition
requirements.
• Statutory references/ legal authority to build and oversee a rail capital investment
When applicable, describe the applicant’s financial, technical and legal capacity to support the
operations of the benefiting service, including:
• Commitment of financial resources for operating expenses not covered by operating revenue;
• Current capital and operating financial condition
• Statutory references/ legal authority to operate IPR

31

HSIPR Program Application

DRAFT

A) Stakeholder Agreements Narrative
Project Name:

Describe the applicant’s progress in reaching the needed agreements with key stakeholders to
undertake the project, and the timeline for meeting outstanding agreements (when applicable).
Describe previous experience in undertaking similar agreements and include information on the
following:
• Financial Agreements – Describe any cost sharing contribution the applicant intends to make
towards the proposed project, including its source, level of commitment and agreement to cover
additional resources to cover cost increases or financial shortfalls. Provide relevant information on
the progress of agreements between funding stakeholders listed in the “Finance Template”.
• Ownership Agreements – provide relevant information on the progress of agreements with railroad
infrastructure owners listed in “Service Description” tables. Detail considerations related to project
design and scope, project benefits, project implementation, use of project property, project
maintenance, project ownership and disposition, statutory conditions or other.
• Operating Agreements – provide relevant information on the progress of agreements with the
proposed intended operator(s) listed in “Service Description” tables. Detail considerations related to
project benefits, operation and financial conditions, statutory conditions, or other.
• Other Stakeholder Agreements – including state and local governments
If the proposed operator railroad was not selected competitively, please provide a justification for its
selection, including why the selected operator is best, taking into account cost and other
quantitative and qualitative factors, and why the use of the proposed operator will not needlessly
increase the cost of the project or of the operations that it enables or improves
Describe the anticipated ownership arrangements for project-funded real property and equipment
If the proposed operator railroad was not selected competitively, please provide a justification for its
selection, including why the selected operator is best, taking into account cost and other
quantitative and qualitative factors, and why the use of the proposed operator will not needlessly
increase the cost of the project or of the operations that it enables or improves
Describe the anticipated ownership arrangements for project-funded real property and equipment (if
applicable)

32

HSIPR Program Application

DRAFT

A) Schedule - Tracks 1 and 4 Template
Project Name
Insert Project Sponsor's Name here
Insert Project Name and Location
Insert Current Phase (e.g. Applic.for LoI, PE/FD,
Applic.for Construction Grant, Construction, Serv Ops)

Today's Date 5/30/09
Yr of Base Year $ 2009
Service Operation

Insert comments, notes, etc.

2017

Start Date

End Date

01/01/09

06/01/11

01/01/09

06/01/11

09/01/11

01/01/17

01/01/17

03/01/19

Preliminary Engineering (PE)
Issue requests for bids, make awards of PE contracts
PE Drawings; and cost estimate, schedule, ridership forecast refinement
Develop Project NEPA Document
Conduct reviews
Receive environmental determination for Project NEPA
Submit for FRA funding for FD/Construction
Final Design (FD)
Issue requests for bids, make awards of FD contracts
FD Drawings; and cost estimate, schedule refinement
Conduct reviews
Submit request / receive FRA approval for Construction
Issue requests for bids, make awards of construction contracts
Construction
Construct infrastructure
Acquire and test vehicles
Service Ops / Closeout of Project
Service Operations
Completion of project close-out, resolution of claims

33

2009

HSIPR Program Application

DRAFT

Schedule Cont- Track 1
Project Name

2010

2011

2012

34

HSIPR Program Application

DRAFT

A) Schedule Track 2 Template
Insert Project Sponsor's Name here

Today's Date

Insert Project Name and Location

Yr of Base Year $

5/30/09
2009

Service
OperationGrant,2017
Insert Current Phase (e.g. Applic.for LoI, PE/FD, Applic.for
Construction
Construction, Serv Ops)
Insert comments, notes, etc.

Service Development Plan

Start Date

End Date

01/01/05

06/01/06

01/01/09

06/01/11

Develop Service Development Plan
Develop Service Selection NEPA documentation
Conduct reviews
Receive environmental determination for Service Selection NEPA
Submit request / receive FRA approval for Letter of Intent
Preliminary Engineering (PE)
Issue requests for bids, make awards of PE contracts
PE Drawings; and cost estimate, schedule, ridership forecast refinement
Develop Project NEPA Document
Conduct reviews
Receive environmental determination for Project NEPA
Submit request / receive FRA funding obligation for FD/Construction
Final Design (FD)

01/01/09

06/01/11

09/01/11

01/01/17

01/01/17

03/01/19

Issue requests for bids, make awards of FD contracts
FD Drawings; and cost estimate, schedule refinement
Acquisition of real estate, relocation of households and businesses
Conduct reviews
Submit request / receive FRA approval for Construction
Issue requests for bids, make awards of construction contracts
Construction
Construct infrastructure
Finalize real estate acquisitions and relocations
Acquire and test vehicles
Service Ops / Closeout of Project
Service Operations
Completion of project close-out, resolution of claims

35

HSIPR Program Application

2000

2001

2002

2003

2004

2005

2006

36

2007

DRAFT

2008

2009

2010

HSIPR Program Application

DRAFT

Schedule Continued Track 2

2011

2012

2013

2014

2015

2016

2017

37

2018

2019

2020

HSIPR Program Application

2021

2022

2023

2024

2025

2026

2027

38

2028

DRAFT

2029

HSIPR Program Application

DRAFT

FUNDING TEMPLATE
PROJECT NAME:
Total Capital Cost of Project in Millions of YOE dollars (including
finance charges, cost of professional services, and
construction): (from SCC Main Worksheet)

Total Capital Cost of Project in Millions of Constant 2009
Dollars (from the SCC Main Worksheet)
Track Specific Funding (1,2,3, or 4) (YOE $):

FRA Share of Project Cost
Estimated Cost of Final Design (YOE $):

Estimated Cost of Preliminary Engineering (YOE$):

Total Finance Charges included in Capital Cost (include finance charges that are expected prior to either the revenue operations date or the fulfillment of the Project funding
commitment, even if the financing charges are incurred by a funding partner that is not the project sponsor): (from the SCC Main Worksheet)

Dollar Amount
(millions of YOE dollars)

Type of Funds

Other Federal Capital Funding Sources

% of Total Capital Cost

1)

0.0%

2)

0.0%

3)

0.0%

4)

0.0%
Total:

State Capital Funding Sources (Funds provided by State agencies or legislatures such as bonds,
dedicated sales tax, annual legislative appropriations, transportation trust funds, etc.)

Dollar Amount
(millions of YOE dollars)

Type of Funds

% of Total Capital Cost

1)

0.0%

2)

0.0%

3)

0.0%

4)

0.0%
Total:

Other Public Funding Sources
(Municipal, City, County, Township, or Regional funding such as bonds, sales tax, legislative
appropriation, transportation, trust funds, etc.)

Dollar Amount
(millions of YOE dollars)

Type of Funds

% of Total Capital Cost

1)

0.0%

2)

0.0%

3)

0.0%

4)

0.0%
Total:

Private Sector/In-Kind match/Other
(Donations of right-of-way, construction of stations or parking, or funding for the project from a
non-governmental entity, business, or business assoc.)

Dollar Amount
(millions of YOE dollars)

Type of Funds

% of Total Capital Cost

1)

0.0%

2)

0.0%

3)

0.0%

4)

0.0%
Total:
TOTAL NON-FRA FUNDING (millions of YOE dollars)

$0

QA/QC CHECK: TOTAL CAPITAL COSTS

$0

39

0.0%

HSIPR Program Application

DRAFT

FUNDING TEMPLATE (Page 2)
PROJECT NAME:
Other Federal Sources
(Linked from page 1)

Specifically Whether New or Existing Funding
Source

Specifically Status of Funds -Committed, Budgeted, or Planned
(See instructions for details)

Identify Supporting Documentation Submitted to
Verify Funding Source

1)
2)
3)
4)
State Sources
(Linked from page 1)
1)
2)
3)
4)
Other Public Sources
(Linked from page 1)
1)
2)
3)
4)
Private Sector/In-kind Match (Other)
(Linked from page 1)
1)
2)
3)
4)
Reference Notes: The following categories and definitions are applied to funding sources:
Committed: Committed sources are programmed capital funds that have all the necessary approvals (legislative referendum) to be used to fund the proposed project without any additional action. These capital funds have been formally programmed in the State Rail Plan and/or any related local,
regional, or state CIP or appropriation. Examples include dedicated or approved tax revenues, state capital grants that have been approved by all required legislative bodies, cash reserves that have been dedicated to the proposed project, and additional debt capacity that requires no further approvals and
has been dedicated by the transit agency to the proposed project.
Budgeted: This category is for funds that have been budgeted and/or programmed for use on the proposed project but remain uncommitted, i.e., the funds have not yet received statutory approval. Examples include debt financing in an agency-adopted CIP that has yet to be committed in their near future.
Funds will be classified as budgeted where available funding cannot be committed until the grant is executed, or due to the local practices outside of the project sponsor's control (e.g., the project development schedule extends beyond the State Rail Program period).
Planned: This category is for funds that are identified and have a reasonable chance of being committed, but are neither committed nor budgeted. Examples include proposed sources that require a scheduled referendum, requests for state/local capital grants, and proposed debt financing that has not yet
been adopted in the agency's CIP.

40

HSIPR Program Application

DRAFT

FUNDING TEMPLATE (Page 3)
Funding Source By Year
2009

2010

2011

2012

2013

2014

2015

2016

2017

2018

2020

2021

2022

2023

2024

2025

2026

2027

2028

2029

Total Cost in YOE Dollars
Below insert funding sources and amounts for each year.

FRA Funding
Other Federal Funding
State and Local
Other Public Sources
Private Sector/In-Kind Match
Total Project Cost (10-100)

Total Cost in YOE Dollars
Below insert funding sources and amounts for each year.

FRA Funding
Other Federal Funding
State and Local
Other Public Sources
Private Sector/In-Kind Match
Total Project Cost (10-100)

41

2019

HSIPR Program Application
Project Implementation (Page 1)
Project Name:
Project Implementation Narrative
2) Describe the roles to be played by the project stakeholders in
implementing the proposed project, include the following information and
references to the Project Management Plan as necessary






Overall Project Management
Project Design
Construction Management
Construction Activities – provide relevant information on work forces, including railroad
contractors and grantee contractors
Project Labor Agreements

3) Identify risks to the success of the project and present risk mitigation
strategies to address these risks, consider the following risks





Grantee Risk
Funding Risk
Scheduling Risk
Stakeholder Risk

42

DRAFT

HSIPR Program Application
Project Implementation (Page 3)
Project Name:
3) Provide contact
Name
information for the Project Contact Person and
Manager
Email

POC:

Email:

Address
Telephone and Fax
Number

Tel:

Fax:

Name
Contact Person and
Email

POC:

Email:

Address
Telephone and Fax
Number

Tel:

Fax:

Name
Contact Person and
Email

POC:

Email:

Address
Telephone and Fax
Number

Tel:

Fax:

6) Provide contact
information for Key
Agency Staff: Ridership
Forecasts

Name
Contact Person and
Email

POC:

Email:

Address
Telephone and Fax
Number

Tel:

Fax:

7) Provide contact
information for Key
Agency Staff: Cost
Estimates

Name
Contact Person and
Email

POC:

Email:

Address
Telephone and Fax
Number

Tel:

Fax:

8) Provide contact
information for Key
Agency Staff:
Environmental
Documentation

Name
Contact Person and
Email

POC:

Email:

Address
Telephone and Fax
Number

Tel:

Fax:

9) Provide contact
information for Key
Agency Staff: Safety
Specialist

Name
Contact Person and
Email

POC:

Email:

Address
Telephone and Fax
Number

Tel:

Fax:

10) Provide contact
information for Key
Agency Staff: Financial
Assessment

Name
Contact Person and
Email

POC:

Email:

Address
Telephone and Fax
Number

Tel:

Fax:

11) Provide contact
information for Key
Agency Staff: Project
Maps

Name
Contact Person and
Email

POC:

Email:

Address
Telephone and Fax
Number

Tel:

Fax:

4) Provide contract
information for the
Agency CEO

5) Provide contact
information for Key
Agency Staff:

43

DRAFT

HSIPR Program Application
Project Implementation (Page 4)
Project Name:
12) Provide contact
information for Key
Agency Staff: Other

Name
Contact Person and
Email

POC:

Email:

Address
Telephone and Fax
Number

Tel:

Fax:

Name
Contact Person and
Email

POC:

Email:

Address
Telephone and Fax
Number

Tel:

Fax:

14) Provide contact
information for Prime
Contractor: Project
Manager

Name
Contact Person and
Email

POC:

Email:

Address
Telephone and Fax
Number

Tel:

Fax:

15) Provide contact
information for Contractor
Responsible for Travel
Forecasts

Name
Contact Person and
Email

POC:

Email:

Address
Telephone and Fax
Number

Tel:

Fax:

16) Provide contact
information for Contractor
Responsible for Capital
Cost Estimate

Name
Contact Person and
Email

POC:

Email:

Address
Telephone and Fax
Number

Tel:

Fax:

13) Provide contact
information for Current
Prime Contractor

44

DRAFT

HSIPR Program Application

DRAFT

Project Uncertainties and Challenges Narrative
Project Name:
If documentation is available on significant uncertainties and challenges for the project, provide a
preliminary self-assessment focusing on the sources and nature of those uncertainties and the
possible impacts on the implementation of the proposed project and the realization of its anticipated
benefits. For example, significant uncertainties and challenges could be associated with stakeholder
agreement, funding sources, cost, scheduling, ridership, commercial feasibility, applicant’s capacity
(technical, financial, legal) or other, Describe risk mitigation strategies, including references to the
Project Management Plan as necessary.

45


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