**Certification of Technical Methods and Planning Assumptions**

**Supplemental Land Use Information and Supporting Documentation
Template**

+----------------------------+-----------------------------------------+
| Information Requested      | Documentation Supporting Land Use       |
|                            | Criterion                               |
+----------------------------+-----------------------------------------+
| **1. EXISTING LAND USE**   |                                         |
|                            |                                         |
| > **a. Existing Land Use** |                                         |
+----------------------------+-----------------------------------------+
| Existing station area      |                                         |
| development                |                                         |
+----------------------------+-----------------------------------------+
| Existing station area      |                                         |
| development character      |                                         |
+----------------------------+-----------------------------------------+
| Existing station area      |                                         |
| pedestrian facilities,     |                                         |
| including access for       |                                         |
| persons with disabilities  |                                         |
+----------------------------+-----------------------------------------+
| Existing station area      |                                         |
| parking supply             |                                         |
+----------------------------+-----------------------------------------+

+----------------------------+-----------------------------------------+
| Information Requested      | Documentation Supporting Land Use       |
|                            | Criterion                               |
+----------------------------+-----------------------------------------+
| 2\. TRANSIT SUPPORTIVE     |                                         |
| PLANS AND POLICIES         |                                         |
|                            |                                         |
| **a. Growth Management**   |                                         |
+----------------------------+-----------------------------------------+
| Concentration of           |                                         |
| development around         |                                         |
| established activity       |                                         |
| centers and regional       |                                         |
| transit                    |                                         |
+----------------------------+-----------------------------------------+
| Land conservation and      |                                         |
| management                 |                                         |
+----------------------------+-----------------------------------------+

+----------------------------+-----------------------------------------+
| Information Requested      | Documentation Supporting Land Use       |
|                            | Criterion                               |
+----------------------------+-----------------------------------------+
| 2\. TRANSIT SUPPORTIVE     |                                         |
| PLANS AND POLICIES         |                                         |
| (continued)                |                                         |
|                            |                                         |
| **b. Transit Supportive    |                                         |
| Corridor Policies**        |                                         |
+----------------------------+-----------------------------------------+
| Plans and policies to      |                                         |
| increase station area      |                                         |
| development                |                                         |
+----------------------------+-----------------------------------------+
| Plans and policies to      |                                         |
| enhance transit-friendly   |                                         |
| character of station area  |                                         |
| development                |                                         |
+----------------------------+-----------------------------------------+
| Plans to improve           |                                         |
| pedestrian facilities,     |                                         |
| including facilities for   |                                         |
| persons with disabilities  |                                         |
+----------------------------+-----------------------------------------+
| Parking policies           |                                         |
+----------------------------+-----------------------------------------+

+----------------------------+-----------------------------------------+
| Information Requested      | Documentation Supporting Land Use       |
|                            | Criterion                               |
+----------------------------+-----------------------------------------+
| 2\. TRANSIT SUPPORTIVE     |                                         |
| PLANS AND POLICIES         |                                         |
| (continued)                |                                         |
|                            |                                         |
| **c. Supportive Zoning     |                                         |
| Regulations Near Transit   |                                         |
| Stations**                 |                                         |
+----------------------------+-----------------------------------------+
| Zoning ordinances that     |                                         |
| promote transit supportive |                                         |
| development density in     |                                         |
| transit station areas      |                                         |
+----------------------------+-----------------------------------------+
| Zoning ordinances and      |                                         |
| design guidelines that     |                                         |
| enhance transit-oriented   |                                         |
| character of station area  |                                         |
| development and pedestrian |                                         |
| access                     |                                         |
+----------------------------+-----------------------------------------+
| Zoning ordinances that     |                                         |
| support reductions in      |                                         |
| parking                    |                                         |
+----------------------------+-----------------------------------------+

+----------------------------+-----------------------------------------+
| Information Requested      | Documentation Supporting Land Use       |
|                            | Criterion                               |
+----------------------------+-----------------------------------------+
| 2\. TRANSIT SUPPORTIVE     |                                         |
| PLANS AND POLICIES         |                                         |
| (continued)                |                                         |
|                            |                                         |
| **d. Tools to Implement    |                                         |
| Land Use Policies**        |                                         |
+----------------------------+-----------------------------------------+
| Outreach to government     |                                         |
| agencies and the community |                                         |
| in support of land use     |                                         |
| planning                   |                                         |
+----------------------------+-----------------------------------------+
| Regulatory and financial   |                                         |
| incentives to promote      |                                         |
| transit supportive         |                                         |
| development                |                                         |
+----------------------------+-----------------------------------------+
| Efforts to engage the      |                                         |
| development community in   |                                         |
| station area planning and  |                                         |
| transit supportive         |                                         |
| development                |                                         |
+----------------------------+-----------------------------------------+

+----------------------------+-----------------------------------------+
| Information Requested      | Documentation Supporting Land Use       |
|                            | Criterion                               |
+----------------------------+-----------------------------------------+
| 3\. PERFORMANCE AND        |                                         |
| IMPACTS OF LAND USE        |                                         |
| POLICIES                   |                                         |
|                            |                                         |
| **a. Performance of Land   |                                         |
| Use Policies**             |                                         |
+----------------------------+-----------------------------------------+
| Demonstrated cases of      |                                         |
| developments affected by   |                                         |
| transit supportive         |                                         |
| policies                   |                                         |
+----------------------------+-----------------------------------------+
| Station area development   |                                         |
| proposals and status       |                                         |
+----------------------------+-----------------------------------------+
| **3. PERFORMANCE AND       |                                         |
| IMPACTS OF LAND USE        |                                         |
| POLICIES (continued)**     |                                         |
|                            |                                         |
| **b. Potential Impact of   |                                         |
| Transit Project on         |                                         |
| Regional Land Use**        |                                         |
+----------------------------+-----------------------------------------+
| Adaptability of station    |                                         |
| area land for development  |                                         |
+----------------------------+-----------------------------------------+
| Corridor economic          |                                         |
| environment                |                                         |
+----------------------------+-----------------------------------------+

  ----------------------------- -----------------------------------------
  Information Requested         Documentation Supporting Land Use
                                Criterion

  **4. OTHER LAND USE           
  CONSIDERATIONS (Optional)**   

  Otherwise unidentified        
  circumstances, conditions, or 
  constraints under which the   
  transit agency operates and   
  which influence local and     
  regional land use policies,   
  plans, and implementation     
  ----------------------------- -----------------------------------------

### Local Financial Commitment Checklist

+------------------------------------------------+---+---+---+---+--------------+
| **Grantee Financial Submittal**                |   | * |   |   | **Reason Why |
|                                                |   | * |   |   | Information  |
|                                                |   | I |   |   | Has Not Been |
|                                                |   | n |   |   | Provided**   |
|                                                |   | c |   |   |              |
|                                                |   | l |   |   |              |
|                                                |   | u |   |   |              |
|                                                |   | d |   |   |              |
|                                                |   | e |   |   |              |
|                                                |   | d |   |   |              |
|                                                |   | ( |   |   |              |
|                                                |   | c |   |   |              |
|                                                |   | h |   |   |              |
|                                                |   | e |   |   |              |
|                                                |   | c |   |   |              |
|                                                |   | k |   |   |              |
|                                                |   | o |   |   |              |
|                                                |   | n |   |   |              |
|                                                |   | e |   |   |              |
|                                                |   | ) |   |   |              |
|                                                |   | * |   |   |              |
|                                                |   | * |   |   |              |
+------------------------------------------------+---+---+---+---+--------------+
|                                                | * |   | * |   |              |
|                                                | * |   | * |   |              |
|                                                | Y |   | N |   |              |
|                                                | e |   | o |   |              |
|                                                | s |   | * |   |              |
|                                                | * |   | * |   |              |
|                                                | * |   |   |   |              |
+------------------------------------------------+---+---+---+---+--------------+
| 20-year cash flow statement (in year of        |   |   |   |   |              |
| expenditure dollars) including capital and     |   |   |   |   |              |
| operating financial plans (provided both       |   |   |   |   |              |
| electronically and in hardcopy). The cash flow |   |   |   |   |              |
| statement should clearly show revenues and     |   |   |   |   |              |
| expenses for the project separated from those  |   |   |   |   |              |
| for the remainder of the transit system.       |   |   |   |   |              |
+------------------------------------------------+---+---+---+---+--------------+
| Detailed written description/discussion of all |   |   |   |   |              |
| assumptions used in the financial plan         |   |   |   |   |              |
| including:                                     |   |   |   |   |              |
|                                                |   |   |   |   |              |
| > Federal/state/local/debt proceeds funding    |   |   |   |   |              |
| > assumptions                                  |   |   |   |   |              |
| >                                              |   |   |   |   |              |
| > Average fare assumption                      |   |   |   |   |              |
| >                                              |   |   |   |   |              |
| > Average weekday ridership assumptions        |   |   |   |   |              |
| >                                              |   |   |   |   |              |
| > Debt coverage requirements/assumptions       |   |   |   |   |              |
| >                                              |   |   |   |   |              |
| > Assumptions used in the calculation of       |   |   |   |   |              |
| > operating expenses for each mode (i.e. \--   |   |   |   |   |              |
| > vehicle miles, vehicle hours of service      |   |   |   |   |              |
| > provided, etc.)                              |   |   |   |   |              |
+------------------------------------------------+---+---+---+---+--------------+
| FTA Project Description and Financial Template |   |   |   |   |              |
+------------------------------------------------+---+---+---+---+--------------+
| Capital cost estimate for the proposed project |   |   |   |   |              |
| (in year of expenditure dollars) in the FTA    |   |   |   |   |              |
| standardized cost category worksheet format    |   |   |   |   |              |
+------------------------------------------------+---+---+---+---+--------------+
| Sensitivity Analysis                           |   |   |   |   |              |
+------------------------------------------------+---+---+---+---+--------------+
| Supporting Documentation Including:            |   |   |   |   |              |
+------------------------------------------------+---+---+---+---+--------------+
| > Background information and description of    |   |   |   |   |              |
| > the New Starts fixed guideway project,       |   |   |   |   |              |
| > including project status                     |   |   |   |   |              |
+------------------------------------------------+---+---+---+---+--------------+
| > Historical revenue and expense data (minimum |   |   |   |   |              |
| > of 5 years required, more than 5 years       |   |   |   |   |              |
| > appreciated)                                 |   |   |   |   |              |
+------------------------------------------------+---+---+---+---+--------------+
| > Commitment letters, contracts, agreements,   |   |   |   |   |              |
| > legislative referendums or other documents   |   |   |   |   |              |
| > demonstrating local share commitment of      |   |   |   |   |              |
| > non-Federal funding partners                 |   |   |   |   |              |
+------------------------------------------------+---+---+---+---+--------------+
| > Enacting legislative documents for tax       |   |   |   |   |              |
| > referenda                                    |   |   |   |   |              |
+------------------------------------------------+---+---+---+---+--------------+
| > Joint development agreements, or description |   |   |   |   |              |
| > and supporting documentation of other        |   |   |   |   |              |
| > innovative financing techniques, if          |   |   |   |   |              |
| > applicable                                   |   |   |   |   |              |
+------------------------------------------------+---+---+---+---+--------------+
| > Annual Operating and Capital Budgets for the |   |   |   |   |              |
| > past 3 years                                 |   |   |   |   |              |
+------------------------------------------------+---+---+---+---+--------------+
| > Audited Financial Statements and Compliance  |   |   |   |   |              |
| > Reports for the past 3 years                 |   |   |   |   |              |
+------------------------------------------------+---+---+---+---+--------------+
| > Annual Reports/Comprehensive Annual          |   |   |   |   |              |
| > Financial Reports (CAFR) for the past 3      |   |   |   |   |              |
| > years                                        |   |   |   |   |              |
+------------------------------------------------+---+---+---+---+--------------+
| > Background information and description of    |   |   |   |   |              |
| > the transit agency, including organizational |   |   |   |   |              |
| > structure and grantee enabling legislation   |   |   |   |   |              |
+------------------------------------------------+---+---+---+---+--------------+
| > TIP, STIP and Short Range Transit Plan       |   |   |   |   |              |
| > (SRTP), if available (please provide only    |   |   |   |   |              |
| > relevant pages of these documents)           |   |   |   |   |              |
+------------------------------------------------+---+---+---+---+--------------+
| > Regional Long Range Transportation Plan      |   |   |   |   |              |
| > (please provide only relevant pages)         |   |   |   |   |              |
+------------------------------------------------+---+---+---+---+--------------+
| > Sponsoring Agency's Capital Improvement      |   |   |   |   |              |
| > Program Document                             |   |   |   |   |              |
+------------------------------------------------+---+---+---+---+--------------+
| > Bus and Rail Fleet Management Plans          |   |   |   |   |              |
| > including fleet replacement schedules        |   |   |   |   |              |
+------------------------------------------------+---+---+---+---+--------------+
| > Latest bonding prospectus/credit facility    |   |   |   |   |              |
| > documents (credit lines, commercial paper,   |   |   |   |   |              |
| > etc.)                                        |   |   |   |   |              |
+------------------------------------------------+---+---+---+---+--------------+
| > Local development, demographic and economic  |   |   |   |   |              |
| > studies used in preparing the financial      |   |   |   |   |              |
| > plan, plus documentation supporting          |   |   |   |   |              |
| > efficiency or productivity gain assumptions  |   |   |   |   |              |
+------------------------------------------------+---+---+---+---+--------------+
| > Other materials (if any), please describe:   |   |   |   |   |              |
+------------------------------------------------+---+---+---+---+--------------+