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To: Constance L. Harbert, Chair Board of County Commissioners in • a�
From: Linda E. Piper, Director Weld County Area Agency on Agingv
Subject: Signature needed on CDOT Application Update
Date: November 5, 1998
Attached for signature is an application update to be submitted to the Colorado Department of
Transportation. The original grant application and contract was processed through the Board of
Commissioners and covered years 1998 and 1999.
The pages you are being asked to sign are confirmation of any changes that might have occurred
in our general scope of services since that application was submitted in late 1997. A new
contract will be forthcoming which will be processed through the Board of Commissioners,
probably in December.
Please call me if you have questions about these signature pages.
�f'101 r , f`-2--", Vice
6, , 982207
1999 Application Update
PART I PERFORMANCE DATA
Since much time has passed since you estimated your 1999 performance data, and since your
contract will commit you to performance standards, it is necessary to update your 1999
estimates of the following items:
Total vehicle miles 681,3ooTotal vehicle hours 39,000 Total one way trips 86,200
PART II FINANCIAL DATA
Please review page 3, Table D (Sources of Income) in your 1998/99 grant application
submitted in 1997.
a) Have you gained or lost any funding sources of income for 1998? 1999?
NO YES x If yes, explain on an attached page, marking response
as Part II a.
Lost Community Center Board Contract ($350,000) , Gained 5310/11 ($18,580)
b) Have any actual 1998 or estimated 1999 amounts increase or decreased by more
than 15%?
NO YES x If yes, explain on an attached page, marking response
as Part II b.
The net loss/gain is approximately 25%.
c) Will you be able to match the funds we're providing?
NO YES x Briefly describe the source(s) and amounts of match
for your grant, including the additional Section 5311 funding you're
receiving for 1999, using the attached page, marking your response as
Part II c.
SECTION 5311 GRANTEES ONLY: Please review pages 5 and 6, Tables H-2 and
I-2 (Administrative and Operating budgets) in your 1997 grant application.
d) Will your total 1999 administrative and/or operating amounts change by more
15%?
NO YES x If yes, explain on an attached page, marking response
as Part II d.
The decrease as explained above will not have any impact on service to general
public and elderly and disabled as pertaining to 5310/11 scope of service.
PART III CAPITAL EOUIPMENT DATA
If you are receiving funds with which to obtain capital equipment, submit an updated current
vehicle inventory that includes: current vehicle mileage; current vehicle condition; any
additions or deletions in the fleet. You may write the changes on your 1997 inventory,
including any vehicles you have disposed of or added. If applicable, indicate the status of
any vehicles that will be rehabilitated with 1999 funds.
1999 Application Update, page 2
PART IV SERVICE DESCRIPTION CHANGES
Have there been any significant changes since the 1998/99 application in:
a) current service description (page 12 in the 1998/99 application)
NO x YES If yes, explain briefly on an attached page marking
your response as Part IV a.
b) Proposed project (page 13 in the 1998/99 application)
NO x YES If yes, explain briefly on an attached page marking
response as Part IV b. Section 5311 recipients should pay particular
attention to this response, given the increase in funding and the fact
that the increase might result in a Services Description that's different
from your 1998 contract.
c) SECTION 5311 recipients only: Briefly describe the net effect of the
significant increase in Section 5311 funds. That is, for example, will you
be increasing services? (If so, please describe.) Or, will you be reducing
the local contribution? Provide response on attached page, marking it as Part
IV c.
We will continue to work on increased service in our demand response service to elderly and
disabled.
PART V ASSURANCES AND CERTIFICATIONS
Attached are the standard assurances for Sections 5310 and 5311 that need to be completed
for 1999.
In addition, ETA is now requiring these additional certifications:
a) "Certification of Restrictions on Lobbying" if'your agency receives more than
$100,000 in ETA funding.
b) "Certification regarding Debarment, Suspension and other ineligibility and
voluntary exclusion' if your agency receives more than $100,000 in ETA funding.
These certificates are included with this package IF they pertain to your agency. Please
complete all enclosed certifications. As with your contracts, they must be signed by the
highest ranking official of your organization (Board chairman/president for private nonprofit
agencies and the highest elected official (mayor, county commission chairman) for public
agencies.
ATTACHMENT 4 1999 Application update
SECTION 5311 APPLICANTS ONLY
We, the Governing Body of Weld County Human Services Transportation Program
(Applicant)
in approving the submission of the attached application, certify:
A. The Applicant is a private non-profit organization incorporated in the State of
Colorado, or that it is a public body which has undertaken the requisite certification
process to be designated as an eligible Section 5310 recipient
B. The Applicant has the requisite fiscal, managerial, and legal capacity to carry out the
Section 5310 project described herein and to receive and disburse Federal funds.
C. The Applicant has or will have by the time of delivery, sufficient funds to purchase
and operate the vehicles and/or equipment proposed under this project, as applicable.
D. The Applicant assures affirmative compliance with Title VI of the Civil Rights Act
of 1964 and related statutes.
E. The transportation needs of elderly persons and persons with disabilities have or will
be addressed by the Applicant.
F. The Applicant has demonstrated and will continue to demonstrate efforts to achieve
coordination with other transportation providers and users, including social service
agencies capable of purchasing service.
G. The Applicant will implement policies and procedures to ensure compliance with the
provisions of the Americans with Disabilities Act of 1990.
H. The Applicant will provide a fair and timely opportunity to private sector operators
to participate in the project.
Name: Constance L. Harbert Title: Chair, Weld County Board
of Commissioners
Signature:{ ' Q n e lJa��zd�c Date: 11/09/98
ATTACHMENT 5 1999 Application update
SECTION 5311 APPLICANTS ONLY
APPLICATIONS FOR FEDERAL FUNDS UNDER SECTION 5311
OF THE FEDERAL TRANSIT ACT OF 1991, AS AMENDED
To the best of my knowledge, based on the information submitted in this application, as
the duly authorized representative of Weld County Human Services Transportation Program
(applicant)
I make the following assurances to FTA and the State of Colorado:
A. The Applicant has the requisite fiscal, managerial, and legal capacity to carry out the
Section 5311 project described herein and to receive and disburse Federal funds.
B. Some combination of State, local, federal and private funding sources has or will be
committed by the applicant in a timely fashion to provide the required local share.
C. The Applicant has, or will have by the time of delivery, sufficient funds to operate
the vehicles and/or equipment purchased under this project, if applicable.
D. The Applicant assures affirmative compliance with Title Vl of the Civil Rights Act
of 1964 and related statutes.
E. The transportation needs of elderly and handicapped persons have been addressed by
the Applicant.
F. The Applicant has demonstrated and will continue to demonstrate efforts to achieve
coordination with other transportation providers and users.
G. The Applicant will comply with the applicable provisions of the guidelines relative to
charter bus service and school bus operations.
H. The Applicant has worked to ensure the continued use of existing revenues to
complement Section 5311 funds.
I. The Applicant has or will establish and implement a system of drug and alcohol
testing as required in federal regulations.
J. The Applicant will implement policies and procedures to ensure compliance with the
provisions of the Americans with Disabilities Act of 1990.
K. The Applicant will provide a fair and timely opportunity to private sector operators
to participate in the project.
Name: Constance L. Harbert Title: Chair
Signature: ,fir a'GE ate: /oq/qg
ATTACHMENT 6 1999 Application update
SECTION 5311 APPLICANTS ONLY
SECTION 13(c) ASSURANCE
LISTING OF ELIGIBLE SURFACE TRANSPORTATION
PROVIDERS AND LABOR REPRESENTATION
1. Applying agency and brief description of Project and service area.
Weld County Transportation Program is a non-profit governmental transit service specializaing
in service to children, youth, economically needy, elderly and disabled. Service is available
52 weeks per year, five days per week from 4:00 a.m. to 8:30 p.m. Peak service times are morn-
ing, noon, and late afternoon. The primary service area is Weld County; however service is pro-
vided to the surUtner secction 5 areas Recipientsdwithin Service Area (will usually be blank).
Z [ri section nNone Recipients
3. Other Surface Public Transportation Providers in Service Area.
City of Greeley Transit
Rocky Mountain Shuttle
Shamrock Taxi Service
4. Union Representation of Employees, Identified in 2 and 3, if any. (List Union and
provider)
No
Weld County Board of Commissioners
We, the undersigned representing Weld County Human Service Transportation Program
(Applicant)
and N/A
(Subrecipient, if applicable)
hereinafter referred to as the Applicant and Subrecipient, respectively, have reviewed the
"Special Section 13(c) Warranty for Application to the Small Urban and Rural Program"
and certify to the Colorado Department of Transportation that we will comply with its
provisions and that all its provisions will be incorporated into any contract between the
Applicant and Subrecipient which will expend funds received as a result of an application
of the Colorado Dept of Transportation and r the Section 5311 Grant Program.
Applicant 2,—,e' ) 'y �'7 /��Title Cnngranra T Harbert,
(Signature) Chair (11/09/98)
Subrecipient N/A Title N/A
(Signature)
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