Rail Fixed Guideway Systems; State Safety Oversight

Rail Fixed Guideway Systems; State Safety Oversight

Sample TEAM Screenshot - Application and Authorizing Resolution (SSO)

Rail Fixed Guideway Systems; State Safety Oversight

OMB: 2132-0558

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OMB CONTROL NUMBER: 2132-0558
EXPIRATION DATE: mm/dd/yyyy
A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply
with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid
OMB Control Number. The OMB Control Number for this information collection is 2132-0558. Public reporting for this collection of information is
estimated to be approximately 1 hour per response, including the time for reviewing instructions, gathering the data needed, and completing and
reviewing the collection of information. All responses to this collection of information are mandatory (49 U.S.C. 13303 and 49 U.S.C. 13304). Send
comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to:
Information Collection Clearance Officer, Federal Transit Administration, 1200 New Jersey Avenue, SE, Washington, D.C. 20590-0001.

FTA

DOT
U.S. Department of Transportation

Application
Recipient 10:
Recipient Name:
Project 10:
Budget Number:
Project Information:

Part 1: Recipient Information
Project Number:
Recipient 10:
Recipient Name:
Address:
Telephone:
!Facsimile:

_...

_

Federal Transit Administration

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Union Information

Part 2:Project Information
$150,000

Fed Dom Asst. #:

20509

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Sec.of Statute:

5311-1

Special Condition:

None Specified

State Appl. 10:

None Specified

S.C. Tgt. Date:

None Specified

S.C. Eff.Date:

None Specified

Start/End Date:

-

Recvd. By State:

Aug. 15,2008

Est. Oblig Date:

None Specified

EO 12372 Rev:

Not Applicable

No

Review Date:

None Specified

Pre-Award
Authority?:

Planning Grant?:

NO

Fed.Debt
Authority?:

No

Program Date
(STIP/UPWP/FTA
Prm Plan):

Jun.12,2008

Final Budget?:

No

Program Page:

None Specified

Application Type:

Electronic

Supp. Agreement?:

No

Debt. Delinq.Details:

IDistrict Code

State ID

IDistrict Official

None Specified

Project Details
FY 2007 Section 5311(c) fund utilized for continuation of transportation enhancements for th••••••111
inc1uded•are..
routes added to existing service and the addition of new routes to and from the
•1111
for medical, shopping/personal, education and employment.

1
Earmark$

Earmark Detail
Earmark ID

Total Amount Applied: 150,000

Date Sent for Release:

Earmark Name

Orig. Balance

Amount
Applied

$150,000

$150,000

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Date Released;
Security
No information found.

Part 3: Budget .
Project Budget
Quantity

I

FTA Amount l

Tot..Elig._ Cost

SCOPE

300..00 OPERATING ASSISTANCE

of

$15o,ooo.oo 1

$150,000.00

of

$15o,ooo.oo 1

$150,000.00

ACTIYI1Y

30.09.01 Operating Assistance

Estimated Total Eligible Cost:

I

$150,000.00

Federal Share:

I

$150,000.00

Local Share:(

$0.00

SOURCES OF FEDERALFINANCIAL ASSISTANCE
UZAIO

Total

$150,000.00
Total Previously Approved:
Total Amendment Amount:
Total from all Funding Sources:

Alternative Fuel Codes
Extended Budget Descriptions

$0.00
$150,000.00
$150,000.00

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300.00

OPERATING ASSISTANCE

0

$150,000.00

$150,000.00

::>ec:tton 5311(c) fund utilized for continuation of transportation enhancements forth
are additional routes added to existing service and the addition of new routes to and from
--" ...,.medical, shopping/personal, education and employment.

Changes since the Prior Budget
Unable to find change amount information.

Part 4. Milestones
0

30.09.01 Operating Assistance

Milestone Description

$150,000

$150,000

Est. Comp. Date

1. Final Expenditure

Aug.31,2009

Part 5.Environmental Findings
300901 Operating Assistance

0

$150,000

$150,000

C16- Program Admin.& Operating Assistance
Program administration, technical assistance activities, and operating assistance to transit authorities to
continue existing service or increase service to meet routine changes in demand.

Part 6:Fleet Status

Part 7. FTA Comments
FTA Internal
Comment Title:

RA Concurrence

Comment By:
Date Created:

Aug. 28, 2008

Date Updated:

None Specified

Ref Section:

Unknown

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Date Updated:

-

Ref Section:

Unknown

Comment:

Preliminary review complete. This concurrence relies on representations by TCR that all
civil rights requirements have been met. Grantee may submit.

Comment Title:
Comment By:
Date Created:

Preliminary Review/Paralegal

Aug.13,2008

None Specified

------------ --

Comment Title:

FTALegal Concurrence

Comment By:

------------------------------------------

Date Created:

Aug.25, 2008

Date Updated:

None Specified

Ref Section:

Unknown

Comment:

Approval Stamp 8/25/2008

Comment Title:

Transportation Program Specialist

Comment By:
Date Created:

Aug. 19,2008

Date Updated:

None Specified

Ref Section:

Unknown

Comment:

Application Complete 8/19/2008

Comment Title:

Development

Comment By:
Date Created:

Aug.13, 2008

Date Updated:

None Specified

Ref Section:

Unknown

Comment:

Approval Stamp 8/13/2008

Comment Title:

Certs & Assurances

Comment By:
Date Created:

Aug.13,2008

Date Updated:

None Specified

Ref Section:

Unknown

Comment:

In TEAM in both the grant and on the Recipient Screen attachments

Comment Title:
Comment By:
Date Created:

-

New Comment

Aug.25, 2008

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Date Updated:

None Specified

Ref Section:

Unknown

Comment:

Legal review complete.

Comment Title:

New Comment

Comment By:
Date Created:

Aug.14, 2008

Date Updated:

None Specified

Ref Section:

Unknown

Comment:

Grantee's civil rights programs are current.

Comment Title:

FTA Civil Rights Concurrence

Comment By:
Date Created:

Aug.20, 2008

Date Updated:

None Specified

Ref Section:

Unknown

Comment:

Approval Stamp 8/20/2008

Comment Title:

Date Updated:

-

Ref Section:

Unknown

Comment:

Approval Stamp 8/13/2008

Comment By:
Date Created:

FTA Environment Concurrence

Aug.13,2008

None Specified

Comment Title:
Comment By:
Date Created:

Aug.28, 2008

Date Updated:

None Specified

Ref Section:

Unknown

Comment:

This grant is ready for award.

Comment Title:
Date Created:

Aug.20, 2008

Date Updated:

-None Specified

Ref Section:

Unknown

Comment:

The Office of Civil Rights concurs in the approval of this grant.

Comment By:

Comment Title:
Comment By:

New Comment

'

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Date Created:

Aug.13, 2008

Date Updated:

None Specified

Ref Section:

Unknown

Comment:

Approval Stamp 8/13/2008

FTA Project Description
Comment Title:

New Comment

Comment By:
Date Created:

Aug. 13, 2008

Date Updated:

None Specified

. Ref Section:
Comment:

Unknown
utilized for continuation of transportation enhancements for
included are deffsdffdfdsdfsfdf
to existing service and
the
new routes and from
for medical,
shopping/personal, education and ... rn,nrn,_

Part 8:Results of Reviews
The reviewer did not find any errors

Part 9: Agreement
UNITED STATES OF AMERICA
DEPARTMENT OF TRANSPORTATION
FEDERAL TRANSIT ADMINISTRATION
Grant Agreement
October 1, 2007
On the date the authorized U.S. Department of Transportation, Federal Transit Administration (FTA) official's
electronic signature is entered for this Grant Agreement, FTA has Awarded Federal assistance in support of the
Project described below. Upon Execution of this Grant Agreement by the Grantee named below, the Grantee
affirms this FTA Award, and enters into this Grant Agreement with FTA. The following documents are
incorporated by reference and made part of this Grant Agreement:
(1) \"Federal Transit Administration Master Agreement,\ sfjkljsfj October 1, 2007,
http://www.fta.dot.gov/documents dflkjds;eo;ifjef
(2) The Certifications and Assurances applicable to the Project that the Grantee has selected and provided to
FTA and
(3)Any Award notification containing special conditions or requirements, if issued.
FTA OR THE FEDERAL GOVERNMENT MAY WITHDRAW ITS OBLIGATION TO PROVIDE FEDERAL
ASSISTANCE IF THE GRANTEE DOES NOT EXECUTE THIS GRANT AGREEMENT WITHIN 90 DAYS
FOLLOWING THE DATE OF THIS FTA AWARD SET FORTH HEREIN.
FTA AWARD
FTA hereby awards a Federal grant as follows:

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Grantee;
Citation of Statute(s) Authorizing Project: 49 USC 5311 - Nonurbanized Area Programs
Estimated Total Eligible Cost (in U.S. Dollars): $150,000

Amount of this FTA Award (in U.S. Dollars);. $150,000

Percentages of Federal participation are based on amounts included in the Approved Project Budget, modified as
set forth in the text following the Project Description.
U.S. Department of Labor Certification of Public Transportation Employee Protective Arrangements;
Original Project Certification Date:
Project Description:

The Project Description includes information describing the Project within the Project Application submitted to
FTA, and the Approved Project Budget, modified by any additional statements displayed in this Grant Agreement,
and, to the extent FTA concurs, statements in other documents including Attachments entered into TEAM-Web.

Awarded By:

a

Regional Administrator
FEDERAL TRANSIT ADMINISTRATION
U.S. DEPARTMENT OF TRANSPORTATION

08/28/2008
EXECUTION OF GRANT AGREEMENT
The Grantee, by executing this Grant Agreement, affirms this FTA Award; adopts and ratifies all statements,
representations, warranties, covenants, and materials it has submitted to FTA; consents to this FTA Award;
and agrees to all terms and conditions set forth in this Grant Agreement.
By executing this Grant Agreement, I am simultaneously executing any Supplemental Agreement that may be
required to effectuate this Grant Agreement.

EXHIBIT 16
AUTHORIZING RESOLUTION
The resolution must be executed by the governing body of the applicant. The resolution authorizes
the applicant to file a Section 5309 Capital Program Application with the Georgia Department of
Transportation and the Federal Transit Administration and it also identifies the person authorized to
execute a grant on behalf of the applicant.
Resolution No.------Resolution authorizing the filing of an application with the Federal Transit Administration, an operating
administration of the United States Department _ of Transportation; and the Georgia Department of
Transportation for Federal transportation assistance authorized by 49 U.S.C. chapter 53, Title 23 United
States Code, and other Federal statutes administered by the Federal Transit Administration.
WHEREAS, the Federal Transportation Administrator and the Georgia Department of Transportation are
authorized to award Federal financial assistance for transportation projects;
WHEREAS, the grant or cooperative agreement for Federal financial assistance will impose certain
obligations upon the Applicant, and may require the Applicant to provide the local share of the project
cost;
WHEREAS, the Applicant has or will provide all annual certifications and assurances to the Federal
Transit Administration and the Georgia Department of Transportation required for the project;
NOW, TIIEREFORE, BE IT RESOLVED BY (Governing Body of Applicant>
1.

That (Title of Designated Official) is authorized to execute and file an application for Federal
assistance on behalf of (Legal Name of Applicant) with the Federal Transit Administration and the
Georgia Department of Transportation for Federal assistance authorized by 49 U.S.C. chapter 53,
Title 23, United States Code, or other Federal statutes authorizing a project a d m i n i s t e r e d by the
Federal
Transit Administration. The G e o r g i a
Department of T ransp o rta tion , the
Designated Recipient as defined by 49 U.S.C. Section 5307(a) (2), will apply on behalf of the
Applicant f o r Section 5309 Capital Program funds.

2.

That .

CERTIFICATION
The undersigned duly qualified Title of Designated Official). acting on behalf of the (Legal Name of
Application).certifies that the foregoing is a true and correct copy of a resolution adopted at a legally convened
meeting of the (Governing Body of Applicant) held on <Month, Day. Year).
If applicant has an official seal, impress here.
Signature of Recording Officer

Title of Recording Office

Date

</pre><Table class="table"><tr><Td>File Type</td><td>application/pdf</td></tr><tr><Td>Author</td><td>LaStar Matthews</td></tr><tr><Td>File Modified</td><td>2013-11-19</td></tr><tr><Td>File Created</td><td>2013-11-19</td></tr></table></div></div></div><hr>
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