APPLICATION UNDER

SMALL COMMUNITY AIR SERVICE DEVELOPMENT PROGRAM

DOCKET DOT

- OST -2014-0133

SUMMARY INFORMATION 1

All applicants must submit this Summary Information schedule, as the application

coversheet
, a completed standard form SF424 and the full application proposal on www.grants.gov

.
For your preparation convenience, this Summary Information schedule is located at http://www.dot.gov/policy/aviation- policy/small -community- rural

- air

- service/SCA SDP

A. P ROVIDE THE LEGAL SPO NSOR AND ITS DUN AND BRADSTREET (D&B) DATA UNIVERSAL

NUMBERING SYSTEM (DUNS) NUMBER , INCLUDING +4, EMPLOYEE IDENTIFICAT ION NUMBER

(EIN) OR TAX ID

. Legal Sponsor Name:

Name of Signatory Party for Legal Sponsor:

DUNS Number:

EIN/Tax ID:

B. L IST THE N AME OF THE COMMUNITY OR CONSORTIUM OF COM MUNITIES APPLYING :

1.____________________________________________________

2.____________________________________________________

3.____________________________________________________

4.____________________________________________________

C. P ROVIDE THE FULL AIRP ORT NAME AND 3-L ETTER IATA A IRPORT C ODE FOR THE

APPLICANT ( S ) AIRPORT ( S ) (O NLY PROVIDE CODES FOR THE AIRPORT ( S ) THAT ARE ACTUALLY

SEEKING SERVICE ).

1. 2

.

3

. 4

.

1 Note that the Summary Information does not count against the 20

- page limit of the SCASDP application.D OES THE AIRPORT SEEKING SERVICE HOLD AN AIRPORT OPERATING CERTIFICATE ISSUED BY

THE F EDERAL A VIATION A DMINISTRATION UNDER 14 CFR P ART 139? (I F “N O ”, P LEASE

EXPLAIN WHETHER THE AIRPORT INTENDS TO APPLY FOR A CERTIFICATE OR WHETHER AN

APPLICATION UNDER P ART 139 IS PENDING .)

Yes No (explain)

______________________________________________________________________________

______________________________________________________________________________
D. L IST THE 2- DIGIT CONGRESSIONAL DISTRICT CODE APPLIC ABLE TO THE SPONSORI NG

ORGANIZATION , AND IF A CONSORTIUM , TO EACH PARTICIPATING COMMUNITY

.

1. 2

.

3

. 4

.

E. A PPLICANT I NFORMATION : (C HECK A LL T HAT A PPLY )

Not a Consortium Interstate Consortium Intrastate Consortium

Community currently receives subsidized Essential Air Service

Community (or Consortium member) previously received a Small Community Air Service Development Program Grant

If previous recipient: Provide year of grant(s) :_______________________________; and, the text of the grant agreement section(s) setting forth the scope of the grant project :

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

_________________________________________________________________________

F. P UBLIC /P RIVATE P ARTNERSHIPS : (L IST O RGANIZATION NAMES )

PUBLIC PRIVATE

1. 1.

2. 2.

3. 3.

4. 4.

5. 5.G. P ROJECT P ROPOSAL :

1. G RANT G OALS : ( CHECK ALL THAT APPLY )

Launch New Carrier Secure Additional Service Upgrade Aircraft

First Service New Route Service Restoration

Regional Service Surface Transportation Professional Services 2

Other (explain below)

2. F INANCIAL T OOLS T O B E U SED : ( CHECK ALL THAT APPLY )

Marketing (including Advertising): promotion of the air service to the public

Start

- up Cost Offset : offsetting expenses to assist an air service provider in setting up a

new station and starting new service (for example, ticket counter reconfiguration)

R evenue Guarantee : an agreement with an air service provider setting forth a minimum

guaranteed profit margin, a portion of which is eligible for reimbursement by the

community

Recruitment of Air Carrier: air service development activities to recruit new air service,

including expenses for airport marketers to meet with air service providers to make the

case for new air service

Fee Waivers : waiver of airport fees, such as landing fees, to encourage new ai r service;

counted as in-kind contributions only

Ground Handling Fee : reimbursement of expenses for passenger, cabin, and ramp (below

wing) services provided by third party ground handlers

Travel Bank: travel pledges, or deposited monetary funds, from pa rticipating parties for

the purchas e of air travel on an air carrier , with defined procedures for the subsequent use

of the pledges or the deposited funds; counted as in-kind contributions only

2 “Professional Services” involve a community contracting with a firm to produce a product such as a marketing plan, study, air carrier proposal, etc.Other (explain below)

______________________________________________________________________________

______________________________________________________________________________

H. E XISTING L ANDING A IDS AT L OCAL A IRPORT :

Full ILS Outer/Middle Marker Published Instrument Approach

Localizer Other (specify)

I. P ROJECT C OST : D O NOT ENTER TEXT IN SHADED AREA

L INE D ESCRIPTION S UB T OTAL T OTAL A MOUNT

1 Federal amount requested

2 State cash financial contribution

Local cash financial contribution

3a Airport cash funds

3b Non

- airport cash funds

3 Total local cash funds ( 3a + 3b )

4 TOTAL CASH FUNDING ( 1+2+3 )

In

- K ind contribution

5 a Airport In

- Kind contribution **

5b Other In

- Kind contribution **

5 TOTAL IN

- KIND CONTRIBUTION

( 5a + 5b )

6 TOTAL PROJECT COST ( 4+ 5 )

J. IN- KIND CONTRIBUTIONS**

For funds in lines 5a (Airport In

- Kind contribution) and 5b (Other In

- Kind contribution), please

describe the source(s) of fund(s) and the value ($) of each.K. I S T HIS A PPLICATION S UBJECT T O R EVIEW B Y AN A FFECTED S T ATE U NDER E XECUTIVE

O RDER 12372 P ROCESS ?

a. This application was made available to the State under the Executive Order 12372

Process for review on (date) _____________.

b. Program is subject to E.O. 12372, but has not been selected by the S tate for review.

c. Program is not covered by E.O. 12372.

L. I S T HE L EAD A PPLICANT OR A NY C O -A PPLICANTS D ELINQUENT O N A NY F EDERAL D EBT ?

(I F “Y ES ”, P ROVIDE E XPLANATION )

No Yes (explain)

______________________________________________________________________________

______________________________________________________________________________
APPLICATION CHECKLIST

I NCLUDED ? I TEM

For Immediate Action

Determine Eligibility

New Grants.gov users must r egister with www.grants.gov

. Existing Grants.gov users must verify ex isting www.grants.gov account has not expired

and the Authorized Organization R epresenta tive (AOR) is current

. For Submission by 5:00 PM EDT on July 31, 2014

Communities with active SCASDP grants: notify DOT/X50 of intent to terminate existing grant in order to be eligible for selection in FY2014

Complete Application for Federal Domestic Assistance (SF424) via www.grants.gov

S ummary Information schedule complete and used as cover sheet (see Appendix B )

A pplication of up to 20 one

- sided pages (excluding any letters from the community or an air carrier showing support for the application ) , to include:

• A description of the community’ s air service needs or deficiencies

.

• A strategic plan for meeting those needs under the Small Community Program

.

• A detailed description of the funding necessary for implementation of the community's project.

• An explanation of how the proposed project differs from any previous projects for which the community received SCASDP funds (if applicable).

• Designation of a legal sponsor responsible for adminis tering the program

.

• A motion for confidential treatment (if applicable)

– see Appendix D below.GEMSTONE HOMES & PROPERTIES 1877 CLARK DRIVE, SUITE 1877

TUCKER GEORGIA 30084-6539

CAGE CODE 62DZ8

CFDA 20.930 THE AIR COMMUNITY SERVICE DEVELOPMENT (ACSD)

BUDGET DESCRIPTION (This Budget Narrative is the justification of how a line item helps to meet the project)

A. Project Personnel - Total: $875,000.00

Project Director (1) currently oversees the program and will spend 100%

of their project time locating and supervising technique training.

The Project Director salary is $291,666.66 and will be covering 12 months

during the CFDA 20.930 Program.

Project Investigator (1) will spend 100% of their project time assisting the

Program Project Director in all CFDA 20.930 Program endeavors to

accomplish the Program guidelines. The Project Investigator salary is

$291,666.66 and will be covering 12 months during the CFDA 20.930

Program.

Project Key Personnel (1) will spend 100% of their project time assisting the

Program Project Investigator and Project Director in all CFDA 20.930

Program endeavors to accomplish the Program guidelines. The Project Key

Personnel salary is $291,666.66 and will be covering 12 month during the

CFDA 20.930 Program.

B. Fringe Benefit - Total: $875,000.00

Health Insurance cost for Project Director is $75.00 x 12 months = $900.00

Financial Transaction Collateral Development under this CFDA 84.133 Project

GHP BUDGET DESCRIPTION 1 of 7GEMSTONE HOMES & PROPERTIES 1877 CLARK DRIVE, SUITE 1877

TUCKER GEORGIA 30084-6539

CAGE CODE 62DZ8

will attain in the local community to continue their impairment air education

in the area of impairment technique for 12 months x $25,000.00 = $350,000.00;

$17,500.00 Pension 12 month spend able interest.

Personnel Excise Tax under this 20.930 Project will be paid in the State of

Georgia is 28,571.4285714 grams x $3.50/gram = $100,000.00

Personnel Pension Benefit under this CFDA 20.930 Project will attain in to

continue their financial education in the area of everyday technique sciences for

12 months x $25,000.00 = $350,000.00; $17,500.00 Pension spend able 12

month interest.

Other Personnel Benefit for 12 months x $6,250.00 = $75,000.00

C. Project Travel - Total: $875,000.00

The Personnel is expected to travel inside the earth to visit sites, attend

meetings and entertainment, visit, carrier, etc. Reimbursable rate shall not apply.

Surface Transportation Purchasing costs for Project Director is $18,229.1666667

x 12 months = $218,750.00

Surface Transportation Travel Insurance costs for Project Director is

$18,229.1666667 x 12 months = $218,750.00

Airline Seat Purchasing costs for Project Director is $18,229.1666667 x 12

months = $218,750.00

Cruise Line Room Purchasing costs for Project Director is $0.00 x 12 months =

GHP BUDGET DESCRIPTION 2 of 7GEMSTONE HOMES & PROPERTIES 1877 CLARK DRIVE, SUITE 1877

TUCKER GEORGIA 30084-6539

CAGE CODE 62DZ8

$0.00

Fuel purchases costs for Project Director is $18,229.1666667 x 12 months =

$218,750.00; 24,305.5555556 gallons of fuel.

Travel Fuel purchases are reimbursable in those taxable credits in the amount of

$0.183 in Form 4136. Travel Mileage are reimbursable in those amounts up to

$0.565 cents per mile x minimum 18,750 miles = $-10,593.75 taxable

credits with fifteen (15) miles per gallon at $4.00 per gallon in Surface

Transportation. State Air Travel Mileage are reimbursable in those amounts up to

$1.29 per mile x minimum 285,000 miles = $-367,650.00 taxable credits with five

(5) miles per gallon at $9.00 per gallon in air transport.

D. Equipment - Total: $875,000.00

Computer Package Total - $109,375.00

One computer package including printer, scanner, and office diskette

programs will be purchased. This computer package will be based as the

administrative office and will be used to develop and maintain the Project

Director databases in addition to performing administrative work connected to

this CFDA 20.930 Project.

Phone & Internet Service is $9,114.58333333 x 12 months = $109,375.00

This phone and internet service is needed to stay connected to funding

sources, cost sharers, collaborators, techniques, and personnel.

GHP BUDGET DESCRIPTION 3 of 7GEMSTONE HOMES & PROPERTIES 1877 CLARK DRIVE, SUITE 1877

TUCKER GEORGIA 30084-6539

CAGE CODE 62DZ8

Travel Vehicle Maintenance & Repair is $9,114.58333333 x 12 months =

$109,375.00

One travel package including mobile vehicle and vehicle accessories will be

purchased. This transportation package will be based as the Project Director

travel and will be used to develop and maintain the development technique of

the Project Director formal database(s) in addition to Project Principal

Investigator performing administrative work connected to this CFDA 20.930

Project.

Travel Communication Service is $9,114.58333333 x 12 months = $109,375.00

Travel phone package including service connection will be purchased.

The travel phone package will be used to send requests to the Project Director

and for the Project Director communication(s).

Site Location Property is $9,114.58333333 x 12 months = $109,375.00

One residential daily living property enclosed space package that may include

annuities as private bedroom space, private bathroom space, food preparation

space, etc.

Site Location Inventory is $9,114.58333333 x 12 months = $109,375.00

One inventory package is furniture, fixtures, and travel accessories.

Site Location Utilities is $9,114.58333333 x 12 months = $109,375.00

One utilities package including electrical, gas, water, trash, food, and efficient

GHP BUDGET DESCRIPTION 4 of 7GEMSTONE HOMES & PROPERTIES 1877 CLARK DRIVE, SUITE 1877

TUCKER GEORGIA 30084-6539

CAGE CODE 62DZ8

accessories will be purchased. This package will be based as the utilities and

will be used to develop and maintain the development technique of the Project,

in addition to Project Principal Investigator performing administrative work

connected to this CFDA 20.930 Project under utilities.

Site Location Insurance is $9,114.58333333 x 12 months = $109,375.00

One rental insurance package includes insuring efficient accessories inventory

that will be purchased. This package may be based as rental insurance or the

homeowner insurance, or both and will be used to maintain the development

technique of the Project, in addition to use from performing administrative work

connected to this CFDA 20.930 Project.

E. Supplies - Total: $875,000.00

Office Supplies is $10,41.6666667 x 12 months = $ 125,000.00

To provide fax, file folders, printer paper, ink, toner, staples, envelopes, etc.

Meeting Supplies is $10,416.6666667 x 12 months = $125,000.00

To provide supplies for administrative meetings, workshops, etc.

Janitorial Service & Supplies is $10,416.6666667 x 12 months = $125,000.00

To provide cleaning, cleaning service, bathroom and toiletry supplies.

Flex Funds is $10,416.6666667 x 12 months = $125,000.00

To provide financial support to provide clothing, grooming, etc.

Postage is $10, 416.6666667 x 12 months = $125,000.00

GHP BUDGET DESCRIPTION 5 of 7GEMSTONE HOMES & PROPERTIES 1877 CLARK DRIVE, SUITE 1877

TUCKER GEORGIA 30084-6539

CAGE CODE 62DZ8

To provide mailing, postage, shipping, handling, delivery, etc.

Foods & Snacks is $10,416.6666667 x 12 months = $125,000.00

To provide meals at administrative meetings, workshops, etc.

Medical Supplies is $10,416.6666667 x 12 months = $125,000.00

First-aid kit will be purchased in case of a medical emergency.

F. Contractual - Total: $875,000.00

Project Contractual area contractual is $72,916.6666667 x 12 months =

$875,000.00

Charter 250 Project Director Charter Rental is $3,500.00 x 250 hours =

$875,000.00

One minimum 250 hour charter area air service package including worldwide

air area rental is necessary from the site location to provide the services and

activities for the Project and to the CFDA 20.930 Project cost of space.

G. Construction - Total: $875,000.00

Project Construction area construction is $72,916.6666667 x 12 months =

$875,000.00

One Project construction technology to enhance grant dollar inside the grant

to grantee area in transportation to correct air service impairment servicing;

in addition adding up to 250 hours air charter package purchase.

H. Other - Total: $5,250,000.00

GHP BUDGET DESCRIPTION 6 of 7GEMSTONE HOMES & PROPERTIES 1877 CLARK DRIVE, SUITE 1877

TUCKER GEORGIA 30084-6539

CAGE CODE 62DZ8

I. Project Total Direct Cost - Total: $11,375,000.00

J. Project Funding - Total: $7,000,000.00

The indicated amount of outright funds that is requested from USDOT is

Seven Million U.S. Dollars $7,000,000.00 for 12 months.

K. Indirect Cost - Total: $-4,375,000.00

Complies with 34 CFR 76.564(c)(2) and the Restricted Indirect Cost Rate is

Eight (8.00%) percent. Maximum payment on Indirect Costs are $350,000.00

per annual year; Nontaxable Pension.

L. Project Training Stipends - Total: $0.00

Director Training Stipend is $0.00 x 12 months = $0.00

To provide educational techniques for Personnel professional development.

M. Non-Federal Funds - Total: $0.00

“Third-party” contributions included on that Section C Budget Summary.

N. Total Project Cost - Total: $7,000,000.00

Total Project Total Costs; Annually/Yearly, there in up to Three (3) annual years

with a Four (4) term of Three (3) annual years.

O. Total Indirect Cost - Total:$-4,375,000.00

Total Indirect Total Annual Cost; Annually/Yearly; $-4,375,000.00

GHP BUDGET DESCRIPTION 7 of 7GEMSTONE HOMES & PROPERTIES 1877 CLARK DRIVE, SUITE 1877

TUCKER GEORGIA 30084-6539

CAGE CODE 62DZ8

CFDA 20.930 THE AIR COMMUNITY SERVICE DEVELOPMENT (ACSD)

BUDGET DESCRIPTION (This Budget Narrative is the justification of how a line item helps to meet the project)

A. Project Personnel - Total: $2,625,000.00

Project Director (1) currently oversees the program and will spend 100%

of their project time locating and supervising technique training.

The Project Director salary is $874,999.98 and will be covering 36 months

during the CFDA 20.930 Program.

Project Investigator (1) will spend 100% of their project time assisting the

Program Project Director in all CFDA 20.930 Program endeavors to

accomplish the Program guidelines. The Project Investigator salary is

$874,999.98 and will be covering 36 months during the CFDA 20.930

Program.

Project Key Personnel (1) will spend 100% of their project time assisting the

Program Project Investigator and Project Director in all CFDA 20.930

Program endeavors to accomplish the Program guidelines. The Project Key

Personnel salary is $874,999.98 and will be covering 36 month during the

CFDA 20.930 Program.

B. Fringe Benefit - Total: $2,625,000.00

Health Insurance cost for Project Director is $75.00 x 36 months = $2,700.00

Financial Transaction Collateral Development under this CFDA 84.133 Project

GHP BUDGET DESCRIPTION 1 of 7GEMSTONE HOMES & PROPERTIES 1877 CLARK DRIVE, SUITE 1877

TUCKER GEORGIA 30084-6539

CAGE CODE 62DZ8

will attain in the local community to continue their impairment air education

in the area of impairment technique for 36 months x $25,000.00 = $1,050,000.00;

$52,500.00 Pension 36 month spend able interest.

Personnel Excise Tax under this 20.930 Project will be paid in the State of

Georgia is 85,714.2857142 grams x $3.50/gram = $300,000.00

Personnel Pension Benefit under this CFDA 20.930 Project will attain in to

continue their financial education in the area of everyday technique sciences for

36 months x $25,000.00 = $1,050,000.00; $52,500.00 Pension spend able 36

month interest.

Other Personnel Benefit for 36 months x $6,250.00 = $225,000.00

C. Project Travel - Total: $2,625,000.00

The Personnel is expected to travel inside the earth to visit sites, attend

meetings and entertainment, visit, carrier, etc. Reimbursable rate shall not apply.

Surface Transportation Purchasing costs for Project Director is $18,229.1666667

x 36 months = $656,250.00

Surface Transportation Travel Insurance costs for Project Director is

$18,229.1666667 x 36 months = $656,250.00

Airline Seat Purchasing costs for Project Director is $18,229.1666667 x 36

months = $656,250.00

Cruise Line Room Purchasing costs for Project Director is $0.00 x 36 months =

GHP BUDGET DESCRIPTION 2 of 7GEMSTONE HOMES & PROPERTIES 1877 CLARK DRIVE, SUITE 1877

TUCKER GEORGIA 30084-6539

CAGE CODE 62DZ8

$0.00

Fuel purchases costs for Project Director is $18,229.1666667 x 36 months =

$656,250.00; 72,916.6666668 gallons of fuel.

Travel Fuel purchases are reimbursable in those taxable credits in the amount of

$0.183 in Form 4136. Travel Mileage are reimbursable in those amounts up to

$0.565 cents per mile x minimum 56,250 miles = $-31,781.25 taxable

credits with fifteen (15) miles per gallon at $4.00 per gallon in Surface

Transportation. State Air Travel Mileage are reimbursable in those amounts up

to $1.29 per mile x minimum 855,000 miles = $-1,102,950.00 taxable credits with

five (5) miles per gallon at $9.00 per gallon in air transport.

D. Equipment - Total: $2,625,000.00

Computer Package Total - $328,125.00

One computer package including printer, scanner, and office diskette

programs will be purchased. This computer package will be based as the

administrative office and will be used to develop and maintain the Project

Director databases in addition to performing administrative work connected to

this CFDA 20.930 Project.

Phone & Internet Service is $9,114.58333333 x 36 months = $328,125.00

This phone and internet service is needed to stay connected to funding

sources, cost sharers, collaborators, techniques, and personnel.

GHP BUDGET DESCRIPTION 3 of 7GEMSTONE HOMES & PROPERTIES 1877 CLARK DRIVE, SUITE 1877

TUCKER GEORGIA 30084-6539

CAGE CODE 62DZ8

Travel Vehicle Maintenance & Repair is $9,114.58333333 x 36 months =

$328,125.00

One travel package including mobile vehicle and vehicle accessories will be

purchased. This transportation package will be based as the Project Director

travel and will be used to develop and maintain the development technique of

the Project Director formal database(s) in addition to Project Principal

Investigator performing administrative work connected to this CFDA 20.930

Project.

Travel Communication Service is $9,114.58333333 x 36 months = $328,125.00

Travel phone package including service connection will be purchased.

The travel phone package will be used to send requests to the Project Director

and for the Project Director communication(s).

Site Location Property is $9,114.58333333 x 36 months = $328,125.00

One office and residential daily living property enclosed space package that

may include annuities as private bedroom space, private bathroom space, food

preparation space, etc.

Site Location Inventory is $9,114.58333333 x 36 months = $328,125.00

One inventory package is furniture, fixtures, and travel accessories.

Site Location Utilities is $9,114.58333333 x 36 months = $328,125.00

One utilities package including electrical, gas, water, trash, food, and efficient

GHP BUDGET DESCRIPTION 4 of 7GEMSTONE HOMES & PROPERTIES 1877 CLARK DRIVE, SUITE 1877

TUCKER GEORGIA 30084-6539

CAGE CODE 62DZ8

accessories will be purchased. This package will be based as the utilities and

will be used to develop and maintain the development technique of the Project,

in addition to Project Principal Investigator performing administrative work

connected to this CFDA 20.930 Project under utilities.

Site Location Insurance is $9,114.58333333 x 36 months = $328,125.00

One rental insurance package includes insuring efficient accessories inventory

that will be purchased. This package may be based as rental insurance or the

homeowner insurance, or both and will be used to maintain the development

technique of the Project, in addition to use from performing administrative work

connected to this CFDA 20.930 Project.

E. Supplies - Total: $2,625,000.00

Office Supplies is $10,41.6666667 x 36 months = $ 375,000.00

To provide fax, file folders, printer paper, ink, toner, staples, envelopes, etc.

Meeting Supplies is $10,416.6666667 x 36 months = $375,000.00

To provide supplies for administrative meetings, workshops, etc.

Janitorial Service & Supplies is $10,416.6666667 x 36 months = $375,000.00

To provide cleaning, cleaning service, bathroom and toiletry supplies.

Flex Funds is $10,416.6666667 x 36 months = $375,000.00

To provide financial support to provide clothing, grooming, etc.

Postage is $10, 416.6666667 x 36 months = $375,000.00

GHP BUDGET DESCRIPTION 5 of 7GEMSTONE HOMES & PROPERTIES 1877 CLARK DRIVE, SUITE 1877

TUCKER GEORGIA 30084-6539

CAGE CODE 62DZ8

To provide mailing, postage, shipping, handling, delivery, etc.

Foods & Snacks is $10,416.6666667 x 36 months = $375,000.00

To provide meals at administrative meetings, workshops, etc.

Medical Supplies is $10,416.6666667 x 36 months = $375,000.00

First-aid kit will be purchased in case of a medical emergency.

F. Contractual - Total: $2,625,000.00

Project Contractual area contractual is $72,916.6666667 x 36 months =

$2,625,000.00

Charter 250 Project Director Charter Rental is $3,500.00 x 750 hours =

$2,625,000.00

One minimum 750 hour charter area air service package including worldwide

air area rental is necessary from the site location to provide the services and

activities for the Project and to the CFDA 20.930 Project cost of space.

G. Construction - Total: $2,625,000.00

Project Construction area construction is $72,916.6666667 x 36 months =

$2,625,000.00

One Project construction technology to enhance grant dollar inside the grant

to grantee area in transportation to correct air service impairment servicing;

in addition adding up to 750 hours air charter package purchase.

H. Other - Total: $15,750,000.00

GHP BUDGET DESCRIPTION 6 of 7GEMSTONE HOMES & PROPERTIES 1877 CLARK DRIVE, SUITE 1877

TUCKER GEORGIA 30084-6539

CAGE CODE 62DZ8

I. Project Total Direct Cost - Total: $34,125,000.00

J. Project Funding - Total: $21,000,000.00

The indicated amount of outright funds that is requested from USDOT is

Twenty-One Million U.S. Dollars $21,000,000.00 for 36 months.

K. Indirect Cost - Total: $-13,125,000.00

Complies with 34 CFR 76.564(c)(2) and the Restricted Indirect Cost Rate is

Eight (8.00%) percent. Maximum payment on Indirect Costs are $1,050,000.00

per annual year; Nontaxable Pension.

L. Project Training Stipends - Total: $0.00

Director Training Stipend is $0.00 x 36 months = $0.00

To provide educational techniques for Personnel professional development.

M. Non-Federal Funds - Total: $0.00

“Third-party” contributions included on that Section C Budget Summary.

N. Total Project Cost - Total: $21,000,000.00

Total Project Total Costs; Annually/Yearly, there in up to Three (3) annual years

with a Four (4) term of Three (3) annual years.

O. Total Indirect Cost - Total:$-13,125,000.00

Total Indirect Total Annual Cost; Annually/Yearly; $-13,125,000.00

GHP BUDGET DESCRIPTION 7 of 7GEMSTONE HOMES & PROPERTIES 1877 CLARK DRIVE, SUITE 1877

TUCKER GEORGIA 30084-6539

CAGE CODE 62DZ8

Eric Felton Davis

Project Director

Gemstone Homes & Properties

gemstonehomesproperties@hotmail.com

1877 Clark Drive, Suite 1877

Tucker Georgia 30084-6539

(678) 542-4980 Phone

(770) 939-2964 Fax

06 July 2014

United States Department of Transportation

USDOT

1200 New Jersey Avenue, SE W86-307

Washington District of Columbia 20590

U.S. Department of Transportation,

LETTER OF INTENTION

CFDA 20.930

THE AIR COMMUNITY SERVICE DEPARTMENT (ACSD)

MINORITY NON-PROFIT SERVING COMMUNITIES

DOT-OST-2014-0113

GHP LETTER OF INTENT 1 of 4GEMSTONE HOMES & PROPERTIES 1877 CLARK DRIVE, SUITE 1877

TUCKER GEORGIA 30084-6539

CAGE CODE 62DZ8

In intention to apply, this letter has been prepared by the Project Director Eric Felton Davis

of Applicant Gemstone Homes & Properties to announce its priority intention to apply to Alan

Armstrong Attorney-At-Law, www.alanarmstronglaw.com that trusted name in aviation law

in practice for 35 years in request for application for Gemstone Homes & Properties project

title Air Community Service Development (ACSD).

These development techniques, strategies and research from development is a programmed

organization project focusing on supporting air service education development where the

impaired national area have the potential for remarkable accomplishments in air service

development strategy technique. The (ACSD) project thereto The Rehabilitation Act of 1973

will help U.S. Office of Personal Management Form SF-256 individual impaired develop

necessary development skills and techniques, such as improved development research, current

moment literacy, and in the development, remove, replace, and correct the air service education

of that air service impairment thereto under The Higher Education Act of 1965. While the

project development strategies and goals are to develop the next generation technique from Form

SF-256 impairment, by participating in the (ACSD) program, project and demonstrations. The

Air Community Service Development (ACSD) will help the Air service development develop

necessary skills and discover techniques, such as in improved air service development literacy

in current moment air transportation education. The mission of Air Community Service

Development (ACSD) is to support U.S. Office of Personal Management Form SF-256, The

Rehabilitation Act of 1973, and The Higher Education Act of 1965, in continent area district

GHP LETTER OF INTENT 2 of 4GEMSTONE HOMES & PROPERTIES 1877 CLARK DRIVE, SUITE 1877

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and help impaired to become responsible citizens in their owned air community. Also the

mission of the (ACSD) project is focused on technical and functional competence in all air

communities, financial economics, service development, community independence, and

transportation learning credentials in the development state travel expense research, and

transport financial sciences development that are within any daily everyday means.

Our Air Community Service Development (ACSD) project will in application before July 31 st

,

2014 request Seven Million U.S. Dollars $7,000,000.00 for a period of three (1) annual year,

open to a four (4) three (1) annual terms continuation revision, and will address priority in air

service education impairment economics development in everyday communities.

Through the support of Department of Transportation (USDOT), it will advance the development

into knowledge of (ACSD) in both fundamental technique and applied strategy sciences

important to development research that enhance the quality of life for society individual, public

and private partners, county government, state government as a whole.

With Department of Transportation (USDOT) generous support, the Air Community Service

Development (ACSD) project will be able to commence and increase the project air development

in service developing, everyday communities, air service research demonstration developments,

financial economics, hours, and access to necessary aviation project programming. The grant

funding support will allow (ACSD) to avoid inflation in employment layoff under the Applicant

and improve the ability to serve constantly taxable revenue residents.

Please send any documents and any additional materials to the Project Director at the address

GHP LETTER OF INTENT 3 of 4GEMSTONE HOMES & PROPERTIES 1877 CLARK DRIVE, SUITE 1877

TUCKER GEORGIA 30084-6539

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listed above. In herein listing to any conflict of interest due to involvement in proposal

development and involvement in Form SF-256 in name of the staff key individual, Eric Davis

having development techniques , here for technologies to enhance educational development

independence in health life daily function for communities.

Other realization of interest conflict could commence by application to CFDA 20.930

The Air Community Service Development (ACSD) project has enacted Section 427 of General

Education Provisions Act (GEPA) as part of the Improving America School Act of 1994. We

hope to find through Grants.gov our application, in through, the full grant review cycle and look

forward to receiving in more detail U.S. Department of Education (USDOE) responses regarding

Air Community Service Development (ACSD) project.

Sincerely,

ERIC F. DAVIS

Eric Felton Davis

Project Director

An Enhancement Non Profit

GHP LETTER OF INTENT 4 of 4GEMSTONE HOMES & PROPERTIES 1877 CLARK DRIVE, SUITE 1877

TUCKER GEORGIA 30084-6539

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CFDA 20.930 THE AIR COMMUNITY SERVICE DEVELOPMENT (ACSD)

PROJECT DESCRIPTION

The Project areas most likely affected by this CFDA 20.930 project is Georgia, in there most

likely within the Counties of DeKalb and Fulton, in which DeKalb created in 1822

incorporated Fulton in that year of 1853. The capitol city county seat of DeKalb is Decatur

and the capitol city county seat of Fulton is Atlanta, as Atlanta is the capitol of Georgia.

DeKalb County is included in the five-county core of the Atlanta metropolitan statistical area.

It is the third-most-populated county in the state and is historically ranked second behind Fulton

County. It is the most diverse county in Georgia, is a primarily a suburban county, and is the

second-most affluent county with an African-American majority in the United States. However,

DeKalb County communities with a majority African-American population tend to fall below

the county’s median income, in which this CFDA 20.930 grant shall subside that information

in to change median income level and to help with program project funding to those median

income levels of its counter partner communities with majority white populations.

In 2009, DeKalb earned the Atlanta Regional Commission's "Green Communities" designation

for its efforts in conserving energy, water and fuel; investing in renewable energy; reducing

waste; and protecting and restoring natural resources in the communities. These County will

become part of ACSD that will demonstrate the scope of what to achieve, integrity as a noun.

These Counties with integrity conduct have detailed in demonstration, goals and planned

achievements of the County to accept ACSD projects.

In these Counties thereby this Project integrity conduct responsibilities, the lobbied

GHP PROJECT DESCRIPTION 1 of 2GEMSTONE HOMES & PROPERTIES 1877 CLARK DRIVE, SUITE 1877

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SubAwardee individual will address the cost, social, organizational, group and individual

factors that affect development researching in person and persons in these Counties, both more

so positively than negatively. The ACSD project within development demonstration will

produce clear evidence in solving development problem area community development standards,

self-regulation, practice norms, and non-adherence accepted codes of conduct, as solutions to

these County areas responsible development problems. These areas is subject to the provisions

of the goal planned achievements in the SF424A Budget moral and ethical principals to develop

developmental moral character and honesty. The ACSD Budget in demonstration will

uncompromisingly develop the return of the development and soundness in its entirety, in the

same development demonstration, it will preserve honor in the areas responsible for development

to that unimpaired condition leaving those impaired development conditions.

In being additional to that 4 th Congressional District location, these additional Congressional

Districts shall apply to DeKalb and Fulton Counties known as DeKalb County - 5 th / 6 th / 13 th

and Fulton County - 5 th / 6 th / 13 th . The following additional Congressional Districts shall apply

in for traveling purchase purposes including transporting in transportation through and to other

Congressional Districts outside of, all the Congressional Districts referenced herein as known

as 1 st / 2 nd / 3 rd / 7 th / 8 th / 9 th / 10 th / 11 th / 12 th

.

The ACSD community air need this grant to enhance further the air services to the

communities located in this county districts to incorporate income for the community air

Partners during the grant period.

GHP PROJECT DESCRIPTION 2 of 2GEMSTONE HOMES & PROPERTIES 1877 CLARK DRIVE, SUITE 1877

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CFDA 20.930 THE AIR COMMUNITY SERVICE DEVELOPMENT (ACSD)

PROJECT PLAN

This Project Plan is the part of the ACSD Project proposal that demonstrates the scope of

what to achieve, technique strategy. This responsible ACSD Project within conduct will detail

the development demonstration technology, goal and planned enhancement achievement of the

ACSD Project. In ACSD conduct responsibilities, the lobbied Awardee will address the social

air services, organizational airport services, group air service, and air services impairment factors

that affect products and persons, both more so positively than negatively. The ACSD Project in

development air service impairment demonstration will produce clear evidence in solving

development air service impairment problem areas in everyday standards, self-regulation,

practice norms, and non-adherence accepted codes of conduct, as solutions to these responsible

air service impairment problems. This project is subject to the provisions of its goal planned

achievement in the Budget Plan moral and ethical principals to accomplish again development

moral character, and trust in the air during service. The ACSD Project Budget Plan in

development service will uncompromisingly continue to enhance trust and soundness in its

entirety to the community, National Metal of Science Bachelor Degree, in the title Bachelor of

Science document, to the name of Eric Felton Davis, in the medal title National Metal of

Science; a National Science Foundation medal, to the name of Eric Felton Davis, Program, in the

same air service development demonstration, preserving honor with this impaired air responsible

development demonstrations to that unimpaired air service condition from impaired air service

conditions.

GHP PROJECT PLAN 1 of 2GEMSTONE HOMES & PROPERTIES 1877 CLARK DRIVE, SUITE 1877

TUCKER GEORGIA 30084-6539

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Air - adj. 1. Of or pertaining to aircraft or to aviation.

Service - adj. 1. Of service use providing authorizing or guaranteeing service.

Community - noun. 1. A group of people who reside in a specific locality, share government,

and often have a common culture and historical heritage, a social,

religious, occupational, or other group sharing common characteristics or

interests, joint enjoyment.

Development -noun. 1. The raising of funds, expansion of activities, or opportunities for an

organization of foundation.

GHP PROJECT PLAN 2 of 2FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

PREFACE

Except as the Federal Transit Administration (FTA or W e) determines otherwise in writing, b efore FTA may award Federal transit assistance (funding or funds) to support a public transportation P roject, an Authorized Representative (Y ou) of the P roject sponsor (Applicant) must select certain C ertifications and A ssurances required by Federal law or regulation. The Authorized Representative must be duly authorized by the Appli cant to, among other things, sign these Certifications and Assurances and bind the Applicant’s compliance. You , as the Authorized Representative, must select all C ertifications and

A ssurances required of your Applicant (or it) to support its applications for FTA funding during Federal fiscal year (FY) 201 4

.

We request that you read each C ertification and A ssurance and select those that will apply to all P rojects for which your Applicant might seek FTA fund ing

. As required by

Federal law and regulation, o n ly if you select adequate C ertifications and A ssurances on your Applicant’s behalf

, may FTA award Federal funding for its P rojec t.

We have consolidated our C ertifications and A ssurances into twenty

- four ( 24 ) G roups. A t a minimum, you must select the A ssurances in Group 01 on your Applicant’s behalf . If your Applicant requests more than $100,000, you must also select the “ Lobbying ”

C ertification in Group 02, unless it is an Indian tribe or organization or a tribal organization. Depending on the nature o f your Applicant and its P roject, you may also

need to select some C ertifications and A ssurances in Groups 03 through 24. However, instead of selecting individual G roups of C ertifications and A ssurances, you may make a single selection that will encompass all twenty

- four (24) G roups of C ertifications and

A ssurances that apply to all our programs.

FTA, your Applicant, and you understand and agree that not every provision of these

twenty

- four (24) Groups of Certifications and Assurances will apply to every Applicant or every Project FTA funds even if you make a single selection encompassing all twenty

four (24) Groups

. Nor will every provision of all Certifications and Assurances within a single Group apply if that provision does not apply to your Applicant or its Project. The type of Project and Applicant will determine which Certifications and Assurances apply.

Your Applicant is ultimately responsible for compliance with the Certifications and Assurances selected on its behalf that apply to its Project, i tself , any Subrecipient, or other Third Party Participant in its Project , except as FTA determines otherwise in writing. For this reason, we strongly encourage your Applicant to take appropriate measures, including, but not limited to, obtaining sufficient documentation from each Subrecipient and other Third Party Participant ( s ) to assure the validity of the applicable Certifications and Assurances selected on behalf of your Applicant

.

If y our Applicant is a team, a consortium, a joint venture, or a partnership, it understands and agrees that you must identify the activities each member will perform

and the extent to which each member will be responsible for compliance with theFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

C ertifications and A ssurances you select on its behalf , except as FTA dete rmines otherwise in writing

.

It is important that y our Applicant and Y ou also understand that these Certifications and Assurances are pre

- award requirements, generally impos ed by Federal law or regulation, and do not include all Federal requirements that may apply to it or its Project. Our FTA Master Agreement MA(20) for Federal FY 2014, available at http://www.fta.dot.gov , contains a li st of most of those requirements.

We expect Y ou to submit your Applicant’s FY 201 4 C ertifications and A ssurances and its applications for funding in TEAM

- Web. You must be registered in TEAM

- Web to submit

the FTA FY 201 4 Certifications and Assurances on its behalf

. The TEAM

- Web “Recipients” option at the “Cert’s & Assurances” tab of the “View/Modify Recipients”

page contains fields for selecting among the twenty

- four ( 24 ) G roups of C ertifications

and A ssurances and a designated field for selecting all twe nty

- four ( 24 ) G roups of Certifications and Assurances . If FTA agrees that you cannot submit your Applicant’s

FY 201 4 C ertifications and A ssurances electronically

, you must submit the Signature Page(s) in Appendix A of this Notice , as FTA directs, marked to show the G roups of

C ertifications and A ssurances it is submitt ing

.

B e aware that these C ertifications and A ssurances have been prepared in light of :

• FTA’s latest authorization legislation, Moving Ahead for Progress in the 21st Century Act (MAP

- 21)

, Pub. L. 112

- 141, June 6, 2012

,

• The Continuing Appropriations Act, 2014, Pub. L. 113

- 46, October 17, 2013,

• The Consolidated and Further Continuing Appropriations Act, 2013

, Pub

. L

. 113

- 6

, March 26, 2013

,

• T he Continuing Appropriations Resolution, 2013 (CR) , Pub. L. 112

- 175, September 28, 2012

, and

• FTA’s authorizing legislation in effect in FY 2012 or a previous fiscal yea r, except as

supe rseded by MAP

- 21 cross

- cutting requirements that apply

.

With certain exceptions

, P rojects financed in FY 201 4 with funds appropriat ed or made available for FY 2012 or a previous fiscal year must be in compliance with the requirements for that type of P roject in effect during the fiscal year for which the funding

was derived, except as superseded by MAP

- 21 cross

- cu tting requirements that apply

.

GROUP 01. REQUIRED CERTIFICATIONS AND ASSURANCES

FOR EACH APPLICANT

.

B efore FTA may provide funding for your Applicant’s Project, in addition to any other Certifications and Assurances that you must select on behalf of your Applicant

, you must
also select the Certifications and Assurances in Group 01

, except as FTA determines otherwise in writing.

Your Applicant is ultimately responsible for compliance with the Certifications andFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

Assurances selected on its behalf that apply to its Project, itself , any Subrecipient, or other Third Party Participant in its Project , except as FTA determines otherwise in writing. For this reason, we strongly encourage your Applicant to take appropriate measures, including, b ut not limited to, obtaining sufficient documentation from each Subrecipient and other Third Party Participants to assure the validity of the applicable Certifications and Assurances selected on behalf of your Applicant

.

Any provision of the Certification s and Assurances in Group 01 that does not apply will not be enforced

.

1. A. Assurance of Authority of the Applicant and Its Authorized Representative.

Y ou certify that both you , as your Applicant’s Authorized Representative, and your Applicant’s attorney , who is authorized to represent the Applicant in legal matters, who sign these Certifications, Assurances, and Agreements

, may undertake the following

activities on its behalf

, in compliance with applicable State, local, or Indian tribal law s and regulations, and it s by

- laws or internal rules:

1. Execute and file its application for Federal funds,

2. Execute and file its C ertifications, A ssurances, and A greements binding its compliance,

3. Execute Grant Agreements or Cooperative Agreements, or bo th, with FTA

, 4. Comply with applicable Federal laws and regulations, and

5. F ollow applicable Federal guidance.

1. B. Standard Assurances.

On behalf of your Applicant, you assure that it understands and agrees to the following : 1. It will comply with all applicable Federal statutes and regulations to carry out any

FTA funded P roject,

2

. It is under a continuing obligation to comply with the terms and conditions of the FTA Grant Agreement or Cooperative Agreement for its P roject, inclu ding the FTA Master Agreement incorporated by reference and made part of the latest amendment

to that Grant Agreement or Cooperative Agreement,

3

. It recognizes that Federal laws and regulations may be amended from time to time

and those amendment s may af fect P roject implementation,

4

. It understands that Presidential executive orders and Federal guidance , including Federal policies and program guidance, may be issued concerning matters affecting it

or its P roject,

5

. It agrees that the most recent Federal laws, regulations, and gui d ance will apply to its

P roject, except as FTA determines otherwise in writing

, 6

. In light of recent FTA legislation applicable to FTA

, except as FTA determines otherwise in writing, it agrees that requirements for FTA programs may vary depending on the fiscal year for which the funding for those programs was appropriated:

a. In some instances, FTA has determined that Federal statutory or regulatoryFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

program and eligibility requirements fo r F Y 2012 or a specific previous fiscal

year
, except as superseded by applicable MAP

- 21 cross

- cutting requirements

, apply to: (1) New grants and cooperative agreements, and (2) New amendments to grants and cooperative agreements that: ( a ) Have been awarde d Federal funds appropriated or made available for

F Y 2012 or the previous fiscal year, or ( b ) May be awarded Federal funds appropriated or made available for

F Y 2012 or the previous fiscal year, but

b. In other instances, FTA has determined that MAP

- 21 will apply to the Federal

funds appropriated or made available for F Y 2012 or a previous fiscal year, and

c. For all FTA funded P rojects, the following MAP

- 21 cross

- cutting requirements supersede conflicting provisions of previous Federal law and regulations: (1) Metropolitan and Statewide and Nonmetropolitan Transportation Planning, (2) Environmental Review Process, (3) Public Transportation Agency Safety Plans, (4) Transit Asset Management Provisions (and Asset Inventory and Condition Reporting), (5) Costs Incurred by Providers of Public Transportation by Vanpool, (6) Revenue Bonds as Local Match, (7) Debt Service Reserve, (8) Government’s Share of Cost of Vehicles, Vehicle

- Equipment, and Facilities for ADA and Clean Air Act Compliance, (9) Privat e Sector Participation, (10) Bus Testing, (11) Buy America, (12) Corridor Preservation

, (13) Rail Car Procurements, (14) Veterans Preference/Employment, (15) Alcohol and Controlled Substance Testing , and (16) Other provisions as FTA may determine. 1

1. C. Intergovernmental Review Assurance.

( Th e assurance in Group 01.C does not apply to an Indian tribe

, an Indian organization or a tribal organization that applies for funding made available for FTA’s Tribal Transit Program s authorized by 49 U.S.C. 5311(c)(1 ).

A s required by U.S. Department of Transportation (U.S. DOT) regulations, “Intergovernmental Review of Department of Transportation Programs and Activities,”

49 CFR part 17, o n behalf of your Applicant, you assure that your Applicant has

1 More information about these matters appears in the Federal Transit Administration, “Notice of FTA Transit Program Changes, Authorized Funding Levels and Implementation of the Moving Ahead for Progress in the 21st Century Act (MAP

- 21) and FTA FY 2013 Appor tionments, Allocations, Program Information and Interim Guidance,” 77 Fed. Reg. 663670, Oct. 16, 2012.FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

submitted or will submit each application for Federal funding to the appropriate State and local agencies for intergovernmental review

, to facilitate compliance with those regulations.

1. D. Nondiscrimination Assurance.

On behalf of your Applicant, you a ssure that:

1. It will comply with the following laws and regulations so that no person in the United States will be denied the benefits of, or otherwise be subjected to

, discrimination in any U.S. DOT or FTA funded program or activity (particularly in the level and quality of transportation services and transportation

- related benefits ) on the basis of race, color, national origin, religion , sex, disability, or age:

a. Federal transit law s , specifically 49 U.S.C. 5332(prohibiting discrimination on the basis of race, color, religion , national origin, sex, disability, age, employment

, or business opportunity),

b. Title VI of the Civil Rights Act of 1964, as amended, 42 U.S.C. 2000d,

c. The R ehabilitation Act of 1973, as amended, 29 U.S.C. 794, et seq

., d. The Americans with Disabilities Act of 1990, as amended, 42 U.S.C. 12101

et seq .,

e

. U.S. DOT regulations, “Nondiscrimination in Federally

- Assisted Programs of the Department of Transportat ion

- Effectuation of Title VI of the Civil Rights Act of

1964 ,” 49 CFR part 21

, f

. U.S. DOT regulations, specifically 49 CFR parts 27, 37, 38, and 39, and

g. Any other applicable Federal statutes that may be signed into law or Federal regulations that may be promulgated

, 2

. It will comply with Federal guidance implementing Federal nondiscrimination laws and regulations, except to the extent FTA determines otherwise in writing,

3

. As required by 49 CFR 21.7:

a. It w ill comply with 49 U.S.C. 5332

, 42 U.S.C. 2000d, and 49 CFR part 21 in the

manner: (1) It conducts each P roject, (2) It undertakes property acquisitions, and (3) It operates its P roject facilities, including: (a) Its entire facilities, and (b) Its facilities operated in connection with i ts P roject,

b. This assurance applies to its entire P roject and to all parts of its facilities

, including the facilities it operate s to implement i ts P roject,

c. It will promptly take the necessary actions to carry out this assurance, including: (1) Notif ying the public that discrimination complaints about transportation

related services or benefits may be filed with U.S. DOT or FTA, and (2) Submitting information about its compliance with these provisions to

U.S. DOT or FTA upon their request,

d. If it t ransfers FTA funded real property, structures, or improvements to another party, any deeds and instruments recording that transfer will contain a covenant running with the land assuring nondiscrimination:FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

(1) While the property is used for the purpose that the Federal funding is extended, and (2) While the property is used for another purpose involving the provision of similar services or benefits,

e. The United States has a right to seek judicial enforcement of any matter arising

under: (1) Title VI of the Civil Rights Act, 42 U.S.C. 2000d, (2) U.S. DOT regulations, 49 CFR part 21, and (3) This assurance,

f. It will make any changes in its Title VI implementing procedures

, as U.S. DOT or FTA may request

, to comply with: (1) Title VI of the Civil Rights Act, 42 U.S.C. 2000d, (2) U.S. DOT regulations, 49 CFR part 21, and (3) Federal transit law s , 49 U.S.C. 5332,

g. It will comply with Federal guidance issued to implement Federal nondiscrimination requirements, except as FTA determines otherwise in writing,

h

. It will extend the requirements of 49 U.S.C. 5332, 42 U.S.C. 2000d, and 49 CFR
part 21 to each T hird P arty P articipant, including any : (1) S ubrecipient, (2) T ransferee, (3) T hird P arty C ontractor or S ubcontractor at any tier, (4 ) S uccessor in I nterest, (5) L essee, or (6) O ther p articipant in its P roject, except FTA and the Applicant (that later becomes the Recipient),

i

. It will include adequate provisions to extend the requirements of 49 U.S.C. 5332,

42 U.S.C. 2000d, and 49 CF R part 21 to each third party agreement, including

each : (1) S ubagreement at any tier

, (2) P roperty transfer agreement, (3) T hird party contract or subcontract at any tier, (4) L ease, or (5) P articipation agreement, and j

. The assurances you have made on its behalf remain in effect as long as FTA determines appropriate, including, for example

, as long as : (1) Federal funding is extended to its P roject, (2) Its Project property is used for a purpose for which the Federal funding is extended, (3) Its Project property is used for a purpose involving the provision of similar services or benefits, (4) It retains ownership or possession of its P roject property

, or (5) FTA may otherwise determine in writing, and

4

. As required by U.S. DOT regulatio ns, “Nondiscrimination on the Basis of Handicap in Programs and Activities Receiving or Benefiting from Federal Financial Assistance,” 49 CFR part 27, specifically 49 CFR 27.9, and consistent with 49 U.S.C.FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

5307(c)(1)(D)(ii), you assure that :

a. It will comply with t he following prohibition s against discrimination on the basis of disability listed in Group1.D.4.b below, of which compliance is a condition of approval or extension of any FTA funding awarded to: (1) Construct any facility, (2) Obtain any ro lling stock or other equipment, (3) Undertake studies, (4) Conduct research, or (5) Participate in or obtain any benefit from any FTA administered program, and

b. In any program or activity receiving or benefiting from Federal funding that

U.S. DOT admi nisters, no qualified people with a disability will, because of their disability, be: (1) Excluded from participation, (2) Denied benefits, or (3) Otherwise subjected to discrimination.

1. E

. Suspension and Debarment Certification

.

On behalf of your Applicant, you certify that : 1. It will comply and facilitate compliance with U.S. DOT regulations, “Nonprocurement Suspension and Debarment,” 2 CFR part 1200, which adopts and supplements the U.S. Office of Management and Budget (U.S. OMB) “Guidelines to Agencies on Governmentwide Debarment and Suspension (Nonprocurement),”

2 CFR part 180,

2

. T o the best of it s knowledge and belief

, that its P rincipals and S ubrecipients at the

first tier :

a. Are eligible to participate in covered transaction s of any Federal department or agency and are not presently: (1) Debarred, (2) Suspended, (3) Proposed for debarment, (4) Declared ineligible, (5) Voluntarily excluded, or (6) Disqualified,

b. Its management has not within a three

- year period preceding its latest application or proposal been convicted of or had a civil judgment rendered against any of

them for: (1) Commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or pe rforming a public (Federal, State, or local) transaction, or contract under a public transaction, (2 ) Violation of any Federal or State antitrust statute, or (3) Commission of embezzlement, theft, forgery, bribery, falsification or

destruction of records , making any false statement, or receiving stolen
property,

c. It is n ot presently indicted for

, or otherwise criminally or civilly charged by aFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

governmental entity (Federal, State, or local) with commission of any of the

of

fenses listed in the preceding s ubs ection 1

. E.2. b of this C ertification,

d. It has not had one or more p ublic transactions (Federal, State, or local) terminated

for cause or default within a three

- year period preceding this C ertification,

e. If, at a later time, it receives any information that contradicts the statements of

sub section s 2

. a

– 2

. d above, it w ill promptly provide that information to FTA,

f. It w ill treat each lower tier contract or lower tier subcontract under its Project as a covered lower tier contract for purpos es of 2 CFR part 1200 and 2 CFR part 180 if

it: (1) Equals or exceeds $25,000, (2) Is for audit services, or (3) Requires the consent of a Federal official, and

g. It w ill require that each covered lower tier contractor and subcontractor: (1) Comply and facilitate compliance with the Federal requirements of 2 CFR
part s 180 and 1200

, and (2) Assure that each lower tier participant in its Project is not presently declared by any Federal department or agency to be: (a) Debarred from participation in it s federall y funded P roject, (b) Suspended from participation in it s federally funded P roject, (c) Proposed for debarment from participation in it s federally funded

P roject, (d) Declared ineligible to participate in it s federally funded P roject, (e) Volu ntarily excluded from participation in it s federally funded P roject,

or (f) Disqualified from participation in it s federally funded Project , and

3

. It will provide a written explanation as indicated on a page attached in FTA’s TEAM

Web or the Signature Pa g e if it or any of its principals, including any of its first tier

S ubrecipients or its Third Party P articipants at a lower tier , is unable to certify compliance with the preceding statements in this C ertification Group 01.E

.

1. F

. U.S. OMB Assurances in SF

- 424B and SF

- 424D.

The assurances in G roup 01.F are consistent with the U.S. OMB assurances required in

the U.S. OMB SF

- 424B and SF

- 424D , updated as necessary to reflect changes in Federal laws and regulations

.

1. Administrative Activities. On behalf of your Applicant, you assure that:

a. For every P roject described in any application it submits, it has adequate resources to properly plan, manage, and complete its P roject, including the : (1) L egal authority to apply for Federal funding, (2) I nstitutional capability, (3) M anagerial capability, and (4) F inancial capability (including funds sufficient to pay the non

- Federal share

of P roject cost)

, b. It will give limited access and the right to examine P roject

- related materials toFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

entities or individuals, as required , including

, but not limited to the : (1) FTA, (2) The Comptroller General of the United States, and (3) State, through an authorized representative, if appropriate,

c. It will establish a proper accounting system in accordance with generally accepted accounting standards or FTA guidance , and

d. It will establish safeguards to prohibit employees from using their positions for a purpose that results in : (1) A personal or organizational conflict of interest, or personal gain, or (2) T h e appearance of a personal or organizational confli ct of interest or personal gain,

2. Project Specifics

. On behalf of your Applicant , you assure that:

a. Following receipt of an FTA award, it will begin and complete Project work within the time periods th at apply

, b. For FTA funded construction P rojects: (1) It will comply with FTA provisions concerning the drafting, review, and approval of construction plans and specifications

, (2) It will provide and maintain competent and adequate engineering supervision at the construction site to assure that the completed work conforms with the approved plans and specifications, (3) It will include a covenant to assure nondiscrimination during the u seful life

of its P roject in its title to federally funded real property, (4) To the extent FTA requires, it will record the Federal interest in the title to

FTA funded real property or interests in real property, and (5) I t will not alter the site of the FTA funded construction P roject or facilities

without permission or instructions from FTA by: (a) Disposing of the underlying real property or other interest in the site and facilities, (b) Modifying the use of the underlying real property or other inter est in the site and facilities, or (c) Changing the terms of the underlying real property title or other interest

in the site and facilities , and

c. It will furnish progress reports and other information as FTA or the State may require , and

3. Statutory a nd Regulatory requirements

. On behalf of your Applicant , you assure that:

a. It will comply with all Federal statutes relating to nondiscrimination that apply

, including, but not limited to: (1) The p rohibitions against discrimination on the basis of race, color, or national origin

, as provided in Title VI of the Civil Rights Act, 42 U.S.C. 2000d, (2) The p rohibitions against discrimination on the basis of sex

, as provided in : (a) Title IX of the Education Amendments of 1972, as amended, 20 U.S.C.

1681

– 1 683, and 1685

– 1687, and (b) U.S. DOT regulations, “Nondiscrimination on the Basis of Sex in Education Programs or Activities Receiving Federal Financial Assistance,” 49 CFR part 25,FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

(3) The p rohibitions against discrimination on the basis of age in fed erally

funded programs
, as provided in the Age Discrimination Act of 1975, as amended, 42 U.S.C. 6101

– 6107, (4) The p rohibitions against discrimination on the basis of disability in federally funded programs, as provided in s ection 504 of the Rehabilitation Act

of 1973, as amended, 29 U.S.C. 794, (5) The p rohibitions against discrimination on the basis of disability, as provided

in t he Americans with Disabilities Act of 1990, as amended, 42 U.S.C. 12101

et seq

. , (6) The p rohibitions against di scrimination in the sale, rental, or financing of housing , as provided in Title VIII of the Civil Rights Act, 42 U.S.C. 3601

et seq ., (7) The p rohibitions against discrimination on the basis of drug abuse , as provided in the Drug Abu se Office and Treatment Act of 1972, as amended,

21 U.S.C. 1101 et seq ., (8) The p rohibitions against discrimination on the basis of alcohol abuse , as provided in the Comprehensive Alcohol Abuse and Alcoholism Prevention Act of 1970, as amended, 42 U.S.C. 4541 et seq ., (9) The c onfidentiality requirements for records of alcohol and drug abuse patients , as provided in the Public Health Service Act, as amended, 42 U.S.C.

290dd

– 290dd

- 2, and (10) The n ondiscrimination provisions of any other statute(s) that may apply to its

P roject,

b. As provided by the Uniform Relocation Assistance and Real Property Acquisition

Policies Act of 1970 , as amended (Uniform Relocation Act) , 42 U.S.C. 4601

et seq

. , and 49 U.S.C. 5323(b), r egardless of whether Federal funding has been provided for any of the real property acquired for Project purposes : (1) It will provide for fair and equitable treatment of displaced persons or persons whose property is acquired as a result of federally funded programs, and (2 ) It has the necessar y legal authority under State and local law s and regulations to comply with: (a) The Uniform Relocation Act

. 42 U.S.C. 4601 et seq. , as specified by

4 2 U.S.C. 4630 and 4655, and (b) U.S. DOT regulations, “Uniform Relocation Assistance and Real Property Acq uisition for Federal and Federally Assisted Programs,” 49 CFR part 24, specifically 49 CFR 24.4 , and (3 ) It has complied with or will comply with the Uniform Relocation Act and implementing U.S. DOT regulations because : (a) It will adequately inform each affected person of the benefits, policies, and procedures provided for in 49 CFR part 24

, (b) As required by 42 U.S.C. 4622, 4623, and 4624, and 49 CFR part 24, if an FTA funded Project results in displacement, it will provide f air and reasonable relocation payments and assistance to : 1 Displaced f amilies or individuals, andFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

2 Displaced Partnerships, corporations, or associations, (c) As provided by 42 U.S.C. 4625 and 49 CFR part 24, it will provide relocation assistance programs offering the services described in the

U.S. DOT regulations to such displaced:

1 Families and individuals, and

2 Partnerships, corporations, or associations, (d) As required by 42 U.S.C. 4625(c)(3), within a reasonable time before displacement

, it will ma ke available comparable replacement dwellings to families and individuals, (e) It will:

1 Carry out the relocation process to provide displaced persons with uniform and consistent services, and

2 Make available replacement housing in the same range of ch oices with respect to such housing to all displaced persons regardless of race, color, religion, or national origin, (f) It will be guided by the real property acquisition policies of 42 U.S.C.

4651 and 4652

, (g) It will pay or reimburse property owners fo r their necessary expenses as specified in 42 U.S.C. 4653 and 4654, understanding that FTA will provide Federal funding for its eligible costs f or providing payments for those expenses, as required by 42 U.S.C. 4631, (h) It will execute the necessary implementing amendments to FTA funded third party contracts and subagreements, (i) It will execute, furnish, and be bound by such additional documents as FTA may determine necessary to effectuate or implement these

assurances, (j) It will incorporate these assurances by reference into and make them a part of any third party contract or subagreement, or any amendments thereto, relating to any FTA funded P roject involving relocation or land acquisition, and (k) It will provide in any affected document that these relocation and land acquisition provisions must supersede any conflicting provisions,

c. I t will comply with the Lead

- Based Paint Poisoning Prevention Act, specifically

42 U.S.C. 4831(b), which prohibits the use of lead

- b ased paint in the construction or rehabilitation of residence structures,

d. It will, to the extent applicable , comply with the protections for human subjects involved in research, development, and related activities supported by Federal funding of: (1) The National Research Act, as amended, 42 U.S.C. 289 et seq ., and (2) U.S. DOT regulations, “Protection of Human Subjects,” 49 CFR part 11,

e. It will, to the extent applicable , comply with the labor standards and protections for federally funded P roject s of: (1) The Davis

- Bacon Act, as amended, 40 U.S.C. 3141

– 3144, 3146, and 3147

, (2) Sections 1 and 2 of the Copeland “Anti

- Kickback” Act, as amended,

18 U.S.C. 874, and 40 U.S.C. 3145, respectively, andFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

(3) The Contract Work Hours and Safety Standards Act, as amended, 40 U.S.C.

3701 et seq ., f. It will comply with any applicable environmental standards that may be prescribed to implement Federal laws and executive orders, including

, but not

limited to : (l) Follow ing the institution of environmental quality control measures under the National Environmental Policy Act of 1969, as amended, 42 U.S.C. 4321

– 4335 and Executive Order No. 11514, as amended, 42 U.S.C. 4321 note, (2) Following the notification of violating facilities provisions of Executive

O rder No. 11738, 42 U.S.C. 7606 note, (3) Following the protection of wetlands provisions of Executive Order

No. 11990, 42 U.S.C. 4321 note, (4) Following the evaluation of flood hazards in floodplains provisions of

Executive Order No. 11988, 42 U.S.C. 4321 note, (5) Complying with the assurance of P roject consistency with the approved State management program developed pursuant to the Coastal Zone Management Act of 1972, as amended, 16 U.S.C. 1451

– 1465, (6) Complying with the Conformity of Federal A ction s to State (Clean Air) Implementation Plans requirements under section 176(c) of the Clean Air Act

of 1955, as amended, 42 U.S.C. 7401

– 7671q, (7) Complying with the protection s for underground sources of drinking water under the Safe Drinking Water Act o f 1974, as amended, 42 U.S.C. 300f

– 300j

- 6, (8) Complying with the protection s for endangered species under the Endangered Species Act of 1973, as amended, 16 U.S.C. 1531

– 1544, (9) Complying with the environmental protections for Federal transportation programs, including, but not limited to, protections for parks, recreation areas, or wildlife or waterfowl refuges of national, State, or local significance or any land from a historic site of national, State, or local significance to be used in a transpo rtation P roject

, as required by 49 U.S.C. 303, (10) Complying with the protection s for national wild and scenic rivers systems, as required under the Wild and Scenic Rivers Act of 1968, as amended,

16 U.S.C. 1271

– 1287, and (11) Complying with and facilitat ing compliance with : (a) Section 106 of the National Historic Preservation Act of 1966, as amended, 16 U.S.C. 470f, (b) The Archaeological and Historic Preservation Act of 1974, as amended,

16 U.S.C. 469

– 469c, and (c) Executive Order No. 11593 (identification and protection of historic properties), 16 U.S.C. 470 note,

g. To the extent applicable

, comply with the following Federal requirements for the care, handling, and treatment of warmblooded animals held or used for research, teaching, or oth er activities supported by Federal funding: (1) The Animal Welfare Act, as amended, 7 U.S.C. 2131 et seq ., and (2) U.S. Department of Agriculture regulations, “Animal Welfare,” 9 CFRFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

subchapter A, parts 1, 2, 3, and 4,

h. To the extent applicable

, obtain a certificate of compliance with the seismic design and construction requirements of U.S. DOT regulations, “Seismic Safety,” 49 CFR part 41, specifically 49 CFR 41.117(d)

, before accepting delivery of any FTA funded building

, i. C omply with

, and assur e that its S ubrecipients located in special flood hazard areas comply with

, section 102(a) of the Flood Disaster Protection Act of 1973, as amended, 42 U.S.C. 4012a(a), by: (1) Participating in the Federal flood insurance program, and (2) Purchasing flood insurance if the total cost of insurable construction and acquisition is $10,000 or more, j. Co mply with: (1) The Hatch Act, 5 U.S.C. 1501

– 1508, 7324

– 7326, which limits the political activities of State and local agencies and their officers and employe es whose primary employment activities are financed in whole or part with Federal

funds

, including a Federal loan, grant agreement, or cooperative agreement,

and (2) 49 U.S.C. 5323 ( l )(2) and 23 U.S.C. 142(g), which provide an exception from

Hatch Act rest rictions for a nonsupervisory employee of a public transportation system (or of any other agency or entity performing related functions) receiving FTA funding appropriated or made available for

49 U.S.C. chapter 53 and 23 U.S.C. 142(a)(2) to whom the Hatch Act does not otherwise apply,

k. Perform the financial and compliance audits as required by the : (1) Single Audit Act Amendments of 1996, 31 U.S.C. 7501 et seq ., (2) U.S. OMB Circular A

- 133, “Audits of States, Local Governments, and Non

Profit Organizations,” Revised, and (3) M ost recent applicable U.S. OMB A

- 133 Compliance Supplement provisions

for the U.S. DOT,

l. C omply with all other Federal laws or regulations that apply , and

m. F ollow Federal guidance governing it and its P roject, except to the extent that FTA has expressly approved otherwise in writing.

GROUP 02. LOBBYING

.

Before FTA may provide funding for a Federal grant or cooperative agreement exceeding $100,000 or a Federal loan, line of credit, loan guarantee, or loan insurance exceeding $150,000, in addition to other Certifications and Assurances you must select on your Applicant’s behalf

, y ou must also select the Lobbying Certification s in Group 02

, unless your Applicant is an Indian Tribe exempt from the requirements of 31 U.S.C. 1352 or FTA determines otherwise in writing.

Your Applicant is ultimately responsible for compliance with the C ertifications and Assurances selected on its behalf that apply to its Project, itself , any Subrecipient, or other Third Party Participant in its Project , except as FTA determines otherwise inFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

writing. For this reason, we strongly encourage your Applicant t o take appropriate measures, including, but not limited to, obtaining sufficient documentation from each Subrecipient and other Third Party Participants to assure the validity of the applicable Certifications and Assurances selected on behalf of your Appli cant

.

Any provision of the Certification s in Group 02 that does not apply will not be enforced.

On behalf of your Applicant, you certify that:

1. As required by 31 U.S.C. 1352 and U.S. DOT regulations, “New Restrictions on Lobbying,” specifically 49 CFR 20.110 :

a

. The lobbying restrictions of this C ertification appl y to it s requests: (1) For $100,000 or more in Federal funding for a grant or cooperative agreement,

and (2) For $150,000 or more in Federal funding for a loan, line of credit, or loan

guarant ee, and

b

. Your Certification o n its behalf applies to the lobbying activities of: (1) It

, (2) Its P rincipals, and (3) Its S ubrecipients at the first tier

, 2. T o the best of your knowledge and belief:

a

. No Federal appropriated funds have been or will be paid by or on its behalf to any

person t o influence or attempt to influence: (1) An officer or employee of any Federal agency regarding the award of a: (a) Federal grant or cooperative agreement, or (b) Federal loan, line of credit, loan guarantee, or loa n insurance

, and (2) A Member of Congress, an employee of a member of Congress, or an officer or employee of Congress regarding the award of a: ( a ) Federal grant or cooperative agreement, or ( b ) Federal loan, line of credit, loan guarantee, or loan insura nce
, b

. It will submit a complete OMB Standard Form LLL (Rev. 7

- 97)

, “Disclosure of Lobbying Activities,” consistent with its instructions, if any funds other than Federal appropriated funds have been or will be paid to any person t o influence or
attempt to influence: (1) An officer or employee of any Federal agency regarding the award of a: (a) Federal grant or cooperative agreement, or (b) Federal loan, line of credit, loan guarantee, or loan insurance, and (2) A Member of Congress, an employee of a me mber of Congress, or an officer or employee of Congress regarding the award of a: (a) Federal grant or cooperative agreement, or (b) Federal loan, line of credit, loan guarantee, or loan insurance, and

c

. It will include the l anguage of this C ertification in the award documents for all

subawards at all tiers

, including, but not limited to: (1) Third party contracts, (2) Subcontracts, ( 3 ) Subagreements, andFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

( 4 ) Other t hird party agreements under a: (a) Federal grant or cooperative agreement, or (b) Federal loan, line of credit, loan guarantee, or loan insurance,

3

. It understands that:

a. This C ertification is a material representation of fact that the Federal g overnment relies on, and

b. It must submit this C ertification before the Federal g overnment may award funding for a transaction covered by 31 U.S.C. 1352, including a: (1) Federal grant or cooperative agreement, or (2) Federal loan, line of credit, loan guarantee, or loan insurance, and

4

. It also understands that any person who does no t file a required C ertification will

incur a civil penalty of not less than $10,000 and not more than $100,000 for each

such failure.

GROUP 0 3 . PROCUREMENT AND PROCUREMENT SYSTEM S

.

We request that you select the Procurement and Procurement Systems Certification in Group 0 3 on behalf of your Applicant , especially if it is a State, local, or Indian tribal government with a certified procurement system, as provided in 49 CFR 18.36(g)(3)(ii ).

Your Applicant is ultimately responsible for compliance with the Certifications and Assurances selected on its behalf that apply to its Project, itself , any Subrecipient, or other Third Party Participant in its Project , except as FTA determines otherwise in writing. For this reason, we strongly encourage your A pplicant to take appropriate measures, including, but not limited to, obtaining sufficient documentation from each Subrecipient and other Third Party Participants to assure the validity of the applicable Certifications and Assurances selected on behalf of your Applicant

.

Any provision of the Certification in Group 0 3 that does not apply will not be enforced.

On behalf of your Applicant, you certify that it s procurements and its procurement system will comply with all Federal laws and regulations in accord ance with applicable Federal guidance, except to the extent FTA has approved otherwise in writing.

GROUP 0 4

. PRIVATE SECTOR PROTECTIONS

.

Before FTA may provide funding for a P roject that involves the acquisition of public transportation property or operation of public transportation facilities or equipment

, in addition to other Certifications you must select on your Applicant’s behalf

, you must also

select the Private Property Protections Assurance s in Group 0 4 .A and enter into the Agreements in Grou p 0 4 .B and Group 0 4 .C on behalf of your Applicant, e xcept as FTA determines otherwise in writing

.

Your Applicant is ultimately responsible for compliance with the Certifications and Assurances selected on its behalf that apply to its Project, itself, any Subrecipient, orFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

other Third Party Participant in its Project, except as FTA determines otherwise i n writing. For this reason, we strongly encourage your Applicant to take appropriate measures, including, but not limited to, obtaining sufficient documentation from each Subrecipient and other Third Party Participants to assure the validity of the applica ble Certifications and Assurances selected on behalf of your Applicant.

Any provision of the Assurance s and Agreements in Group 0 4 that does not apply will not be enforced

.

4. A. Private Property Protections.

If your Applicant is a State, local government, or Indian tribal government and seeks FTA funding to acquire the property of a private transit operator or operate public transportation in competition with or in addition to a public transportation operator, the Private Property Protections Assurances in Group 0 4.A app ly to your Applicant, except as FTA determines otherwise in writing.

To facilitate FTA’s ability to make the findings required by 49 U.S.C. 5323(a)(1), on behalf of your Applicant , you assure t hat:

1. It has or will have:

a. Determined that the funding is essential to carrying out a Program of Projects as required by 49 U.S.C. 5303, 5304, and 5306,

b. Provided for the participation of private companies engaged in public transportation to the max imum extent feasible, and

c. Paid just compensation under State or local laws to the company for any franchise or property acquired, and

2. It has completed the actions described in Group 4.A. 1 of this Certification before it:

a. Acquires the property or an interest in the property of a private provider of public transportation, or

b. Operates public transportation equipment or facilities: (1) In competition with transportation service provided by an existing public transportation operator, or (2) In addition to transportation service provided by an existing public transportation operator.

4. B. Charter Service Agreement.

If your Applicant se eks FTA funding to acquire or operate transit facilities or equipment,

the Charter Service Agreement in Group 0 4. B applies to your Applicant, except as FTA determines otherwise in writing.

To comply with 49 U.S.C. 5323(d) and (g) and FTA regulations, “Charter Service,”

49 CFR part 604, specifically 49 CFR 604.4, on behalf of your Applicant, you are

enter ing into the following Charter Service Agreement:

1. FTA’s “Charter Service” regulations apply as follow s:FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

a. FTA’s Charter Service regulations restrict transportation by charter service using facilities and equipment acquired by R ecipients of FTA funding for transportation Projects with Federal funding derived from: (1) Federal transit laws, 49 U.S.C. chapt er 53, (2) 23 U.S.C. 133 or 142, or (3) A ny other Act that provides Federal public transportation assistance, unless otherwise excepted

, b

. FTA’s charter service restrictions extend to: (1) Your Applicant

, when it becomes a R ecipient of Federal funding appropriated or made available for : ( a ) Federal transit laws, 49 U.S.C. chapter 53, ( b ) 23 U.S.C. 133 or 142, or (c) A ny other Act that provides Federal public transportation assistance, unless otherwise excepted , and (2) Any Third Party Participant that receives Federal funding derived from: ( a ) Federal transit laws, 49 U.S.C. chapter 53, ( b) 23 U.S.C. 133 or 142, or (c) A ny other Act that provides Federal public transportation assistance

, unless otherwise excepted

,

c

. A Third Party Participant includes any : (1) Subrecipient at any tier, (2) Lessee, (3) Third Party Contractor or Subcontractor at any Tier, and (4) O ther Third Party Participant in it s Project,

d

. You and your Applicant agree that neither it nor any governmental authority or publicly owned operator that receives Federal public transportation assistance appropriated or made available for it s Project will engage in charter service operations, except as permitted under: (1) Federal transit laws, specifically 49 U.S.C. 5323(d) and (g), (2) FTA regulations, “Charter Service,” 49 C FR part 604, to the extent consistent

with 49 U.S.C. 5323(d) and (g), (3) Any other Federal Charter Service regulations, or (4) Federal guidance, except as FTA determines otherwise in writing,

e

. You and your Applicant agree that the latest Charter Service Agreement it has selected in its latest annual Certifications and Assurances is incorporated by reference in and made part of the underlying Agreement accompanying an award of FTA funding, and

f

. You and your Applicant agree that: (1) FTA may require corrective measures or impose remedies on it or any governmental authority or publicly owned operator that receives FTA funding appropriated or made available for its Project that has engaged in a pattern of violations of FTA’s Charter Service regulations by: ( a ) Conducting charter operations prohibited by Federal transit laws and FTA’s Charter Service regulations, or ( b ) Otherwis e violating it s Charter Service Agreement it has elected in itsFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

latest annual Certifications and Assurances, and (2) These corrective measures and remedies may include: ( a ) Barring it or any Third Party Participant operating public transportation

under the Project that has provided prohibited charter service from receiving FTA funds, ( b ) Withholding an amount of Federal funds as provided by Appendix D to FTA’s Charter Service regulations , or ( c ) Any other appropriate remedy that may apply , and

2. In additi on to the exceptions to the charter service restrictions in FTA’s Charter Service Regulations, FTA has established the following additional exceptions to those

restrictions :

a. FTA’s Charter Service restriction s do not apply to your Applicant if it seek s funding appropriated or made available for 49 U.S.C. 5307 and 5311

, to be used

for Job Access and Reverse Commute (JARC) activities that would have been eligible for assistance under repealed 49 U.S.C. 5316 in effect in FY 2012 or a previous fiscal year, p rovided that it use s that FTA funding for those program purposes only

, b. FTA’s Charter Service restrictions do not apply to your Applicant if it seek s funding appropriated or made available for 49 U.S.C. 5310

, to be used for New

Freedo m activities that wo uld have been eligible for assistance under repealed

49 U.S.C. 5317 in effect in FY 2012 or a previous fiscal year, provided it uses that FTA funding for those program purposes only, and

c

. A n Applicant for assistance under 49 U.S.C. chapter 53 will not be determined to have violated the FTA Charter Service regulations if that R ecipient provides a private intercity or charter transportation operator reasonable access to that

R ecipient’s federally funded public transportation facilities, including intermodal facilities, park and ride lots, and bus

- only highway lanes

, as provided in 49 U.S.C. 5323(r).

4. C. School Bus Agreement.

If your Applicant seeks FTA funding to acquire or operate transit facilities or equipment,

the School Bus Agreement in Group 0 4. C applies to your Applicant, except as FTA determines otherwise in writing.

To comply with 4 9 U.S.C. 5323(f) and (g) and FTA regulations, “School Bus Operations,” 49 CFR part 605, to the extent consistent with 49 U.S.C. 5323(f) and (g), on beh alf of your Applicant, you are entering into the following School Bus Agreement:

1. FTA’s “School Bus Operations” regulations restrict school bus operations using facilities and equipment acquired with Federal funding derived from:

a. Federal transit laws, 49 U.S.C. chapter 53,

b. 23 U.S.C. 133 or 142, or

c. A ny other Act that provides Federal public transportation assistance, unless otherwise excepted,

2. FTA’s school bus operations restrictions extend to:FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

a. Your Applicant

, when it becomes a R ecipient of Federal funding appropriated or

made available for : (1) Federal transit laws, 49 U.S.C. chapter 53, (2) 23 U.S.C. 133 or 142, or (3) A ny other Act that provides Federal public transportation assistance, unless otherwise excepted, and

b. Any Th ird Party Participant that receives Federal funding derived from: (1) Federal transit laws, 49 U.S.C. chapter 53, (2) 23 U.S.C. 133 or 142, or (3) A ny other Act that provides Federal public transportation assistance , unless otherwise excepted

, 3. A Third Party Participant includes any :

a. Subrecipient at any tier,

b. Lessee,

c. Third Party Contractor or Subcontractor at any tier, and

d. O ther Third Party Participant in the Project,

4. You and your Applicant agree, and will obtain the agreement of any Thir d Party Participant involved in your Applicant’s Project

, that it will not engage in school bus operations in competition with private operators of school buses, except as permitted

under:

a. Federal transit laws, specifically 49 U.S.C. 5323(f) and (g),

b. FTA regulations, “School Bus Operations,” 49 C FR p art 605, to the extent

consistent with 49 U.S.C. 5323(f) and (g),

c. Any other Federal School Bus regulations, or

d. Federal guidance, except as FTA determines otherwise in writing,

5. You and your A pplicant agree that the latest School Bus Agreement you have

selected on its behalf in FTA’s latest annual Certifications and Assurances is incorporated by reference in and made part of the underlying Agreement accompanying an award of FTA funding, and

6. You and your Applicant agree that after it is a Recipient, if it or any Third Party Participant has violated this School Bus Agreement , FTA may:

a

. Bar your Applicant or Third Party Participant from receiving further Federal

transit fund s, or b. Require th e Applicant or Third Party Participant to take such remedial measures as FTA considers appropriate

.

GROUP 05. ROLLING STOCK REVIEWS AND BUS TESTING

.

Before FTA may provide funding for a P roject to acquire rolling stock for use in revenue

service or to acquire a new bus model, in addition to other Certifications and Assurances you must select on your Applicant’s behalf

, y ou must also select the Rolling Stock Reviews and Bus Testing Certifications in Group 0 5, except as FTA determines otherwise

in writ ing.

Your Applicant is ultimately responsible for compliance with the Certifications andFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

Assurances selected on its behalf that apply to its Project, itself, any Subrecipient, or other Third Party Participant in its Project, except as FTA determines other wise in writing. For this reason, we strongly encourage your Applicant to take appropriate measures, including, but not limited to, obtaining sufficient documentation from each Subrecipient and other Third Party Participants to assure the validity of the a pplicable Certifications and Assurances selected on behalf of your Applicant.

Any provision of the Certifications in Group 05 that does not apply will not be enforced

.

5. A. Rolling Stock Reviews.

If your Applicant s eeks FTA funding to acquire rolling stock for use in revenue service, the Certifications in Group 0 5 .A app ly to your Applicant, except as FTA determines otherwise in writing.

On behalf of your Applicant, you certify that when procuring rolling stock for use in

revenue service:

1. It will comply with:

a. Federal transit laws, specifically 49 U.S.C. 5323(m), and

b. FTA regulations, “Pre

- Award and Post

- Delivery Audits of Rolling Stock Purchases,” 49 CFR part 663, and

2

. As provided in 49 CFR 663.7:

a. It will conduct or cause to be conducted the required pre

- award and post

- delivery reviews, and

b. It will maintain on file the Certifications required by 49 CFR part 663, subparts B, C, and D.

5. B. Bus Testing.

If your Applicant seeks FTA funding to acquir e a new bus model, the Bus Testing Certifications in Group 0 5.B apply to your Applicant, except as FTA determines otherwise in writing.

O n behalf of your Applicant, you certify that : 1. Bus Testing requirements apply to all acquisitions of new buses and new bus models that require bus testing, and it will comply with :

a. 49 U.S.C. 5318, and

b

. FTA regulations, “Bus Testing,” 49 CFR part 665, to the extent these regulations

are consistent with 49 U.S.C. 5318,

2

. As r equired by 49 CFR 665.7, when acquiring the first bus of any new bus model or a bus model with a major change in components or configuration:

a. It will not spend any Federal funds appropriated under 49 U.S.C. chapter 53 to acquire that bus until: (1) That bus h as been tested at FTA’s bus testing facility, and (2) That bus h as received a copy of the test report prepared on that new busFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

model, and

b. It will not authorize final acceptance of the bus until: (1) The bus has been tested at FTA’s bus testing fac ility, and (2) It has received a copy of the test report prepared on that new bus model,

3

. It will ensure that the bus that is tested has met the performance standards consistent with those regulations, including:

a. Performance standards for: (1) M ainta inability, (2) Reliability, (3) Performance (including braking performance), (4) Structural integrity, (5) Fuel economy, (6) Emissions, and (7) Noise, and

b. Minimum safety performance standards established under 49 U.S.C. 5329, and

4

. After FTA has issued regulations authorized by 49 U.S.C. 5318(e)(2), it will ensure

that the bus that is tested has received a passing aggregate test score under the

“Pass/Fail” standard established by regulation

.

GROUP 0 6 . DEMAND RESPONS IV E SERVICE.

If your Applicant is a public entity, operates demand responsive service

, and seeks FTA funding to acquire a non

- rail vehicle that is not accessible

, before FTA may provide funding for that Project

, in addition to other Certifications and Assurances you must

select on your Applicant’s behalf

, you must also select the Demand Responsive Service Certification s in Group 06 , except as FTA determines otherwise in writing

.

Your Applicant is ultimately responsible for compliance with the Certifications and

Assurances selected on its behalf that apply to its Project, itself , any Subrecipient, or other Third Party Participant in its Project , except as FTA determines otherwise in writing. For this reason, we strongly encourage your Applicant to take appropriate

measures, including, but not limited to, obtaining sufficient documentation from each Subrecipient and other Third Party Participants to assure the validity of the applicable Certifications and Assurances selected on behalf of your Applicant

.

Any provision of the Certification s in Group 06 that does not apply will not be enforced

.

As required by U.S. DOT regulations, “Transportation Services for Individuals with Disabilities (ADA),” 49 CFR part 3 7 , specifically 49 CFR 37.77(d), on behalf of your Applicant , you cer tify that:

1. Your Applicant offers public transportation services equivalent in level and quality of

service to :

a. I ndividuals with disabilities, including individuals who use wheelchairs, and

b. I ndividuals without disabilities, and

2. Viewed in its ent irety, its service for individuals with disabilities is:FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

a. Provided in the most integrated setting feasible, and

b. Equivalent to the service it offers individuals without disabilities with respect to: (1) Response time, (2) Fares, (3) Geographic service area, (4) Hours and days of service, (5) Restrictions on priorities based on trip purpose, (6) Availability of information and reservation capability, and (7) Constraints on capacity or service availability.

GROUP 07. INTELLIGENT TRANSPORTATION SYSTEMS.

Before FTA may provide funding for an Intelligent Transportation Systems (ITS) Project or a Project in support of an ITS Project, in addition to other Certifications and Assurances you must select on your Applicant’s behalf

, y ou m ust also select the Intelligent Transportation Systems A ssurance s in Group 0 7 , except as FTA determines otherwise in writing

.

Your Applicant is ultimately responsible for compliance with the Certifications and Assurances selected on its behalf that apply to its Project, itself, any Subrecipient, or other Third Party Participant in its Project, except as FTA determines otherwise in writing. For this reason, we strongly encourage your Applicant to take appropriate measures, including, but not limited to, obt aining sufficient documentation from each Subrecipient and other Third Party Participants to assure the validity of the applicable Certifications and Assurances selected on behalf of your Applicant.

Any provision of the Assurance s in Group 07 that does not apply will not be enforced

.

On behalf of your Applicant, you and your Applicant : 1. Understand that, a s used in this assurance, the term Intelligent Transportation Systems (ITS) Project is defined to include any Project that

, in whole or in part

, fina nces the acquisition of technologies or systems of technologies that provide or significantly contribute to the provision of one or more ITS user services as defined in

th e “National ITS Architecture

, ” and

2. Assure that, a s provided in 23 U.S.C. 517(d), a ny ITS P roject it undertakes that is funded with appropriations made available from the Highway Trust Fund, including amounts made available to deploy ITS facilities or equipment

, will conform to the appropriate regional ITS architecture, applicable standards, and protocols developed

under 23 U.S.C. 517(a) or (c), unless it obtains a waiver as provided in 23 U.S.C. 517(d)(2).

GROUP 08. INTEREST AND FINANCING COSTS AND ACQUISITION OF

CAPITAL ASSETS BY LEASE

.

Before FTA may provide funding appropriated or made available for 49 U.S.C.FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

chapter 53 to support interest or financing costs of any Project financed under the
Urbanized Area Formula Grants Program, Fixed Guideway Capital Investment Grants Program, or another program as FTA may specify, or finance leasing costs

, in addition to other Certifications and Assurances you must select on your Applicant’s behalf

, you

must also select the Certificatio ns in Group 08, except as FTA may determine otherwise in writing.

Your Applicant is ultimately responsible for compliance with the Certifications and Assurances selected on its behalf that apply to its Project, itself , any Subrecipient, or

other Third Party Participant in its Project , except as FTA determines otherwise in writing. For this reason, we strongly encourage your Applicant to take appropriate measures, including, but not limited to, obtaining sufficient documentation from each Subrecipient an d other Third Party Participants to assure the validity of the applicable Certifications and Assurances selected on behalf of your Applicant

.

Any provision of the Certifications and Assurances in Group 08 that does not apply will not be enforced

.

8. A. Interest and Financing Costs.

If your Applicant intends to use FTA funding to support interest or other financing costs for Projects funded by the Urbanized Area Formula Grants Program, Fixed Guideway Capital Investment Grants Program, or another program as FTA may specify

, the Interest and Financing Costs Certification s in Group 0 8 .A appl y to your Applicant, except as FTA determines otherwise in writing.

On behalf of your Applicant, you certify that:

1

. It will not seek reimbursement for interest or ot her financing costs unless :

a. I t is eligible to receive Federal funding for those costs, and

b. Its records demonstrate that it has shown reasonable diligence in seeking the most favorable financing terms, to the extent FTA may require, and

2. It will c omply with the same favorable financing cost provisions for:

a. Urbanized Area Formula Grants Projects,

b. Projects under Full Funding Grant Agreements,

c. Projects with Early Systems Work Agreements,

d. Fixed Guideway Capital Investment Projects funded by previous FTA enabling legislation

,

e. State of Good Repair Projects,

f. Bus and Bus Facilities Projects, and

g. Low or No Emission Vehicle Development Projects.

8. B. Acquisition of Capital Assets by Lease

.

If your Applicant seeks FTA funding to acquire capital assets through a lease , the Acquisition of Capital Assets by Lease Certification s and Assurances in Group 08

. BFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

applies to your Applicant, except as FTA determines otherwise in writing.

On behalf of yo ur Applicant

, you certify and assure that , a s required by FTA regulations, “Capital Leases,” 49 CFR part 639, specifically 49 CFR 639.15(b)(1) and 49 CFR 639.21, if your Applicant acquires any capital asset through a lease financed with Federal funding appropriated or made available for 49 U.S.C. chapter 53:

1. It will not use Federal funding appropriated or made available for public transportation projects eligible under 49 U.S.C. chapter 53 or any other applicable

law to finance the cost of leasing any capital asset until:

a. It performs calculations demonstrating that leasing the capital asset would be

more cost

- effective than purchasing or constructing a similar asset, and

b. It completes these calculations before the later of: (1) Entering into the lease, or (2) Receiving a capital grant for the asset, and

2. It will not enter into a capital lease for which FTA can provide only incre mental Federal funding unless it has adequate financial resources to meet its future lease obligations if Federal fund ing is not available.

GROUP 09. TRANSIT ASSET MANAGEMENT PLAN AND

PUBLIC TRANSPORTATION AGENCY SAFETY PLAN

.

Before FTA may provide funding appropriated or made available for 49 U.S.C. chapter 53 to support your Applicant’s Project, in addition to other Certifications and Assurances you must select on your Applicant’s behalf

, you must al so select the Certifications in Group 09, e xcept as FTA determines otherwise in writing

.

Your Applicant is ultimately responsible for compliance with the Certifications and Assurances selected on its behalf that apply to its Project, itself , any Subrecipient, or other Third Party Participant in its Project , except as FTA determines otherwise in writing. For this reason, we strongly encourage your Applicant to take approp riate measures, including, but not limited to, obtaining sufficient documentation from each Subrecipient and other Third Party Participants to assure the validity of the applicable Certifications and Assurances selected on behalf of your Applicant

.

Any pr ovision of the Certifications in Group 09 that does not apply will not be enfor ced.

9. A. Transit Asset Management Plan.

If your Applicant applies for funding appropriated or made available for 49 U.S.C. chapter 53

, t he Transit Asset Management Certification s in Group 09.A appl y to your Applicant, except as FTA determines otherwise in writing

.

O n behalf of your Applicant, you certify that it and each Subrecipient will : 1. Follow Federal guidance when issued that implement s transit asset management system provisions of 49 U.S.C. 5326, except as FTA determines otherwise in writing,FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

and

2. Comply with t he final Federal regulations when issued t hat implement the transit
asset management provisions of 49 U.S.C. 5326.

9. B. Public Transportation Agency Safety Plan.

If your Applicant applies for funding under 49 U.S.C. chapter 53 and it is a State government, local government, or any other operator of a public transportation system

, the Public Transportation Safety Plan Certification s in Group 09.B appl y to your Applicant, except as FTA determines otherwise in writing.

O n behalf of your Applicant, you certify that it will:

1. Follow the Federal guidance

, when issued

, that will implement the safety plan provisions of 49 U .S.C. § 5329(d), except as FTA determines otherwise in writing,

and

2. Comply with the final Federal regulations

, when issued

, that implement the safety plan requirements of 49 U.S.C. § 5329(d)

.

GROUP 10. ALCOHOL AND CONTROLLED SUBSTANCES TESTING

.

If your Applicant must comply with the alcohol and controlled substance testing requirements of 49 U.S.C. 5331 and its implementing regulations

, before FTA may provide funding for your Applicant’s Project

, in addition to other Certifications and

Assurances you must select on your Applicant’s behalf, you must also select the Certifications in Group 10, except as FTA may determine otherwise in writing.

Your Applicant is ultimately responsible for compliance with the Certifications and

Assurances selected on its behalf that apply to its Project, itself , any Subrecipient, or other Third Party Participant in its Project , except as FTA determines otherwise in writing. For this reason, we strongly encourage your Applicant to take appropriate measures, including, b ut not limited to, obtaining sufficient documentation from each Subrecipient and other Third Party Participants to assure the validity of the applicable Certifications and Assurances selected on behalf of your Applicant

.

Any provision of the Certification s in Group 10 that does not apply will not be enforced

.

As required by 49 U.S.C. 5331

, and FTA regulations, “ Prevention of Alcohol Misuse and Prohibited Drug Use in Transit Operations,” 49 CFR part 655, subpart I, specifically 49

CFR 655.83

, on behalf of your Applicant

, including a State Applicant

, and on behalf of its Subrecipients and Third Party Contractors

, you certify that : 1. Your Applicant

, its Subrecipients

, and Third Party Contractors to which these testing requirements apply have established and implemented:

a. An alcohol misuse testing program, and

b. A controlled substance testing program,

2. Your Applicant

, its Subrecipients

, and Third Party Contractors to which these testingFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

requirements apply have complied or will comply wit h all applicable requirements of

49 CFR part 65 5 to the extent those regulations are consistent with 49 U.S.C. 5331,

and

3. Consistent with U.S. DOT O ffice of Drug and Alcohol Policy and Compliance Notice, issued October 22, 2009, if your Applicant

, its Su brecipients

, or Third Party

Contractors to which the se testing requirements apply reside in a State that permits marijuana use for medical or recreational purposes, your Applicant

, its Subrecipients

, and Third Party Contractors to which the se testing requi rements apply have complied or will comply with the Federal controlled substance testin g requirements of 49 CFR part 65 5.

GROUP 11. FIXED GUIDEWAY CAPITAL INVESTMENT GRANTS PROGRAM ( NEW STARTS, SMALL ST ARTS, AND CORE CAPAC ITY ) AND

CAPITAL INVESTMENT PROGRAM IN EFFECT BE FORE MAP

- 21

.

The Certification s in Group 11 apply to the New Starts, Small Starts, or Core Capacity Programs

, 49 U.S.C. 5309

.

Before FTA may provide funding for your Applicant’s New Starts, Small Starts, or Core Capacity Project in addition to other Certifications and Assurances you must select on its behalf, you must also select the Certifications in Group 11, except as FTA may determine otherwise in writing

.

Your Applicant is ultimately responsible for compliance with the Certifications and Assurances selected on its behalf that apply to its Project, itself , any Subrecipient, or other Third Party Participant in its Project , except as FTA determines otherwise in writing. For this reason, we strongly encourage your Applicant to take appropriate measures, including, but not limited to, obtaining sufficient documentation from each Subrecipient and other Third Party Participants to assure the validity of the applicable Certifications and Assurances selected on behalf of your Appl icant

.

Any provision of the Certification s in Group 11 that does not apply will not be enforced

.

Except as FTA determines otherwise in writing, on behalf of your Applicant, you certify

that:

1. It has or will have the following capabilities to carry out its proposed Project(s), including the safety and security aspects of the Project(s) :

a. Legal capacity,

b. Financial capacity, and

c. Technical capacity,

2. It has or will have satisfactory continuing control over the use of Project equipment

and facilit ies,

3. It will maintain its Project equipment and facilities adequately, and

4. It will comply with:

a. The Metropolitan Transportation Planning requirements of 49 U.S.C. 5303, andFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

b. The State wide and Nonmetropolitan Transportation Planning requirements of

49 U.S.C. 5304.

GROUP 12. STATE OF GOOD REPAIR PROGRAM

.

Certain Certifications and Assurances listed previously are required for the State of Good Repair Program funding under 49 U.S.C. 5337

.

Before FTA may provide funding for your Applicant’s Project under the State of Good Repair Program , 49 U.S.C. 5337, for your Applicant’s Project, in addition to other Certifications and Assurances you must select on its behalf

, you must also select the Certifications in Group 12 , except as FTA determines otherwise in writing

.

Your Applicant is ultimately responsible for compliance with the Certifications and Assurances selected on its behalf that apply to its Project, itself , any Subrecipient, or other Third Party Participant in its Project , except as FTA determines otherwise in writing. For this reason, we strongly encourage your Applicant to take appropriate measures, including, but not limited to, obtaining sufficient documentation from each Subrecipient and other Third Party Parti cipants to assure the validity of the applicable Certifications and Assurances selected on behalf of your Applicant

.

Any provision of the Assurance in Group 1 2 that does not apply will not be enforced.

On behalf of your Applicant, you certify that:

1. It has or will have the following to carry out its proposed Project(s), including the safety and security aspects of the Project(s) :

a. Legal capacity,

b. Financial capacity, and

c. Technical capacity,

2. It has or will have satisfactory continuing contro l over the use of Project equipment and facilities,

3. It will maintain its Project equipment and facilities adequately, and

4. It will comply with:

a. The Metropolitan Transportation Planning requirements of 49 U.S.C. 5303, and

b. The State wide and Nonme tropolitan Transportation Planning requirements of

49 U.S.C. 5304.

GROUP 13. FIXED GUIDEWAY MODERNIZATION GRANT PROGRAM.

Before FTA may provide funding for your Applicant’s Project under the Fixed Guideway
Modernization Grant Program

, former 49 U.S.C. 5309 in effect in FY 2012 or a previous fiscal year, in addition to other Certifications and Assurances you must select on its behalf

, you must also select the Certifications in Group 13 , except as FTA determines otherwise in writing

.FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

Your Applicant is ultimately responsible for compliance with the Certifications and Assurances selected on its behalf that apply to its Project, itself , any Subrecipient, or other Third Party Participant in its Project , except as FTA determines otherwise i n writing. For this reason, we strongly encourage your Applicant to take appropriate measures, including, but not limited to, obtaining sufficient documentation from each Subrecipient and other Third Party Participants to assure the validity of the applica ble Certifications and Assurances selected on behalf of your Applicant

.

Any provision of the Certification in Group 1 3 that does not apply will not be enforced.

F ormer 49 U.S.C. 5309(b )(2) and former 49 U.S.C. 5307(d)(1) in effect in FY 2012 or a previous fiscal year

, except as superseded by MAP

- 21 cross

- cutting requirements that apply , require t he following Certifications for Fixed Guideway Modernization Grant Program funding

. Therefore, except as FTA determines otherwise in writing, o n behalf

of your Applicant , you certify that:

1. It has or will have the following to carry out its proposed Project(s), including the safety and security aspects of the proposed Project(s) :

a. Legal capacity,

b. Financial capacity, and

c. Technical capacity,

2. It has or will have satisfactory continuing control over the use of Project equipment and facilities,

3. It will maintain its Project equipment and facilities adequately, and

4. It has complied or will comply with, and will require each Subrecipient to compl y with, 49 U.S.C. 5303 and 5304.

GROUP 14. BUS AND BUS FACILITIES FORMULA GRANTS PROGRAM AND

BUS AND BUS RELATED EQUIPMENT AND FACILIT IES GRANT PROGRAM (DISCRETIONARY)

.

The Certifications in Group 14 are required for funding under : 14.A

. The Bus and Bus Facilities Formula Grant s Program, 49 U.S.C. 5339, as amended by MAP

- 21, and

14.B

. The Bus and Bus Related Equipment and Facilities Grant Program (Discretionary) , former 49 U.S.C. 5309(b)(3) in effect in FY 2012 or a previous fiscal year

, except as superseded by MAP

- 21 cross cutting requirements that apply

.

Before FTA may provide funding for your Applicant’s Project under either Program

listed above

, in addition to other Certifications and Assurances you must select on its behalf

, you mu st also select the Certification s in Group 1 4 , except as FTA determines otherwise in writing

.

Your Applicant is ultimately responsible for compliance with the Certifications and Assurances selected on its behalf that apply to its Project, itself , any Subrecipient, orFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

other Third Party Participant in its Project , except as FTA determines otherwise in writing. For this reason, we strongly encourage your Applicant to take appropriate measures, including, but not limited to, obtaining sufficient docu mentation from each Subrecipient and other Third Party Participants to assure the validity of the applicable Certifications and Assurances selected on behalf of your Applicant

.

Any provision of the Certifications in Group 1 4 that does not apply will not b e enforced

.

14. A. Bus and Bus Facilities Formula Grants Program

If your Applicant seeks FTA funding for its Project under the Bus and Bus Facilities Formula Grants Program, 49 U.S.C. 5339, the Certification s in Group 14.A below appl y to your Applicant, except as FTA determines otherwise in writing.

The following Certification for Bus and Bus Facilities Formula Grants Program funding are required by 49 U.S.C. 5339(b), which states that “ [t] he requirements of section 5307 apply to reci pients of grants made under this section.” Therefore, except as FTA determines otherwise in writing, on behalf of your Applicant, you certify that:

1. It has or will have the following to carry out its proposed Project(s), including the safety and securit y aspects of its proposed Project(s) :

a. Legal capacity,

b. Financial capacity, and

c. Technical capacity,

2. It has or will have satisfactory continuing control over the use of Project equipment and facilities,

3. It will maintain its Project equipment a nd facilities adequately,

4. It will ensure that, during non

- peak hours for transportation using or involving a facility or equipment of a Project financed under 49 U.S.C.5339, the following individuals will be charged a fare not exceeding fifty (50) percent of the peak hour

fare :

a. Any senior,

b. Any individual who, because of illness, injury, age, congenital malfunction, or other incapacity or temporary or permanent disability (including an individual

who is a wheelchair user or has semi

- ambul atory capability), cannot use a public transportation service or a public transportation facility effectively without special facilities, planning, or design,

c. Any individual presenting a Medicare card issued to that individual under title II

of the Soc ial Security Act (42 U.S.C. 401 et seq .), and

d. Any individual presenting a Medicare card issued to that individual under

title XVIII of the Social Security Act (42 U.S.C. 1395 et seq .),

5. When carrying out a procurement under 49 U.S.C.5339, it will com ply with the:

a. General P rovisions of 49 U.S.C. 5323, and

b. Third P arty Contrac t Provision s of 49 U.S.C. 5325,

6. It has complied with or will comply with 49 U.S.C. 5307(b), because it:

a. Has made or will make available to the public information on amounts of itsFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

funding available to it under 49 U.S.C. 5339,

b. Has developed or will develop, in consultation with interested parties, including private transportation providers, a proposed Pro gram of Projects for activities to be funded,

c. Has published or will publish a Program of Projects in a way that affected individuals, private transportation providers, and local elected officials will have an opportunity to examine and submit comments on the proposed Program of Projects and its performance as an Applicant or Recipient,

d. Has provided or will provide an opportunity for a public hearing to obtain the views of individuals on the proposed Program of Projects,

e. Has ensured or will ensure that the proposed Program of Projects provide for coordination of transportation services funded by FTA under 49 U.S.C. 5336 with transportation services supported by other United States Government sources,

f. Has considered or will consider the comments and views received, especially those of private transportation providers, in preparing its final Program of Projects, and

g. Has made or will make the final Program of Projects available to the public,

7. As required by 49 U.S.C. 5307(d), it :

a. Has or wi ll have the amount of funds required for the local share,

b. Will provide the local share funds from sources approved by FTA , and

c. Will provide the local share funds when needed,

8. It will comply with:

a. The Metropolitan Transportation Planning requir ements of 49 U.S.C. 5303, and

b. The State wide and Nonmetropolitan Transportation Planning requirements of

49 U.S.C. 5304,

9. It has a locally developed process to solicit and consider public comment before:

a. Raising a fare, or

b. Implementing a major reduction of public transportation, and

10. It will c omply with the final Federal regulations

, when issued, that implement the safety plan r equirements of 49 U.S.C. § 5329 (d)

. .

14. B

. Bus and Bus Related Equipment and Facilities Grant Program (Discretionary).

If your Applicant seeks FTA funding for its Project under the Bus and Bus Related Equipment and Facilities Grant Program (Discretionary) , former 49 U.S.C. 5309 in effect in FY 2012 or a previous fiscal year

, the Certification s in Group 14.B below appl y to your Applicant, except as FTA determines otherwise in writing.

The following C ertification s for the Bus and Bus Related Equipment and Facilities Grant Program (Discretionary) funding are required by former 49 U.S.C. 5309(c)(2) , which applies the requirements of former 49 U.S.C. 5307(d)(1) (A), (B), (C), and (H) in effect in

FY 2012 or a previous fiscal year to this Program except as superseded by MAP

- 21

cross

- cutting requirements that apply . Therefore, except as FTA determines otherwise in writing, o n behalf of your Applicant, you certify that:FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

1. It has or will have the following to carry out its proposed Project (s), including the safety and security aspects of those Project(s) :

a. Legal capacity,

b. Financial capacity, and

c

. Technical capacity,

2. It has or will have satisfactory continuing control over the use of Project equipment and facilities,

3. It will maintain its Project equipment and facilities adequately, and

4. It has complied or will comply with, and will require each Subrecipient to comply with, 49 U.S.C. 5303 and 5304.

GROUP 1 5

. URBANIZED AREA FORMU LA GRANT S PROGRAM S

, PASSENGER FERRY GRAN T PROGRAM, AND JOB ACCESS AND REVERSE COMMUTE (JARC)

FORMULA GRANT PROGRAM.

The Certifications in Group 1 5 are required for funding under:

15.A. The Urbanized Area Formula Grants Pro gram financed with funds appropriated

or made available for 49 U.S.C. 5307, as amended by MAP

- 21, which among other things, authorizes funding for J ob Access and Reverse Commute (J ARC ) Projects and Project Activities

, 15.B. The Urbanized Area Formula Grants Pro gram financed with funds appropriated

or made available for f ormer 49 U.S.C. 5307 in effect in FY 2012 or a previous fiscal year

, except as superseded by MAP

- 21 cross

- cuttin g requirements that apply,

15.C. The Passenger Ferry Grant Pro gram financed with funds appropriated or made available for 49 U.S.C. 5307(h), as amended by MAP

- 21, and

15. D

. The Job Access and Reverse Commute (JARC) Formula Grant Pro gram financed with funds appropriated or made available for fo rmer 49 U.S.C. 5316 in effect in

FY 2012 or a previous fiscal year

, except as superseded by MAP

- 21 cross

- cutting requirements that apply

.

Before FTA may provide funding for your Applicant’s Project under any of the Programs listed above, in addition to other Certifications and Assurances you must select on its behalf, you must also select the Certifications in Group 1 5, except as FTA determines otherwise in writing

.

Your Applicant is ultimately re sponsible for compliance with the Certifications and Assurances selected on its behalf that apply to its Project, itself , any Subrecipient, or other Third Party Participant in its Project , except as FTA determines otherwise in writing. For this reason, we strongly encourage your Applicant to take appropriate measures, including, but not limited to, obtaining sufficient documentation from each Subrecipient and other Third Party Participants to assure the validity of the applicable Certifications and Assuranc es selected on behalf of your Applicant

.FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

Any provision of the Certifications in Group 15 that does not apply will not be enforced.

15. A. Urbanized Area Formula Grants Program under MAP

- 21.

If your Applicant seeks FTA funding for its Project under the Urbanized Area Formula

Grants Program , 49 U.S.C. 530 7 , as amended by MAP

- 21, the Certification s in Group 15.A appl y to your Applicant, except as FTA determines otherwise in writing.

The following Certification s for the Urbanized Area Formula Grants Program funding appropriated or made available in FYs 2013 and 2014 are required by 49 U.S.C. 5307(c)(1). Therefore, except as FTA dete rmines otherwise in writing, on behalf of your Applicant , you certify that:

1. It has or will have the following to carry out its proposed Project(s), including the safety and security aspects of the proposed Project(s) :

a. Legal capacity,

b. Financial capacity, and

c. Technical capacity,

2. It has or will have satisfactory continuing control over the use of Project equipment and facilities,

3. It will maintain its Project equipment and facilities adequately,

4. It will ensure that, during non

- peak hours for transportation using or involving a facility or equipment of a Project financed under 49 U.S.C. 5307, the following individuals will be charged a fare not exceeding fifty (50) percent of the peak hour

fare :

a. Any senior,

b. Any individual who, because of illness, injury, age, congenital malfunction, or other incapacity or temporary or permanent dis ability (including an individual

who is a wheelchair user or has semi

- ambulatory capability), cannot use a public transportation service or a public transportation facility effectively without special facilities, planning, or design,

c. Any individual pre senting a Medicare card issued to that individual under title II of the Social Security Act (42 U.S.C. 401 et seq .), or

d. Any individual presenting a Medicare card issued to that individual under

title XVIII of the Social Security Act (42 U.S.C. 1395 et s eq .),

5. When carrying out a procurement under 49 U.S.C. 5307, it will comply with the:

a. General P rovisions of 49 U.S.C. 5323, and

b. Third Party Contract Provisions of 49 U.S.C. 5325,

6. It has complied with or will comply with 49 U.S.C. 5307(b), be cause it:

a. Has made or will make available to the public information on amounts of its funding available to it under 49 U.S.C. 5307,

b. Has developed or will develop, in consultation with interested parties, including private transportation providers, a proposed Program of Projects for activities to be funded,

c. Has published or will publish a Program of Projects in a way that affectedFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

individuals, private transportation providers, and local elected officials will have an opportunity to examine and su bmit comments on the proposed Program of Projects and its performance as an Applicant or Recipient,

d. Has provided or will provide an opportunity for a public hearing to obtain the views of individuals on the proposed Program of Projects,

e. Has ensured or will ensure that the proposed Program of Projects provide for coordination of transportation services funded by FTA under 49 U.S.C. 5336 with transportation services supported by other United States Government sources,

f. Has considered or will consider the comments and views received, especially those of private transportation providers, in preparing its final Program of Projects, and

g. Has made or will make the final Program of Projects available to the public,

7. As required by 49 U.S.C. 5307(d), it :

a. Has or will have the amount of funds required for the local share,

b. Will provide the local share funds from sources approved by FTA , and

c. Will provide the local share funds when needed,

8. As required by 49 U.S.C. 5307(c)(1)(H), it will comply with:

a. The Metropolitan Transportation Planning requirements of 49 U.S.C. 5303, and

b. The State wide and Nonmetropolitan Transportation Planning requirements of

49 U.S.C. 5304,

9. As required by 49 U.S.C. 5307(c)(1)(I), it has a locally developed process to solicit and consider public comment before:

a. Raising a fare, or

b. Implementing a major reduction of public transportation,

10. Each fiscal year:

a. A t least one (1) percent of the amount of the 49 U.S.C. 5307 funding apportioned

to the urban ized area must be expended for public transportation security Projects

as described in 49 U.S.C. 5307(c)(1)(J)(i) including: (1) I ncreased lighting in or adjacent to a public transportation system (including bus stops, subway stations, parking lots, and g arages), (2) Increased camera surveillance of an area in or adjacent to that system, (3) Providing e mergency telephone line or lines to contact law enforcement or security personnel in an area in or adjacent to that system, and (4) Any other Project inte nded to increase the security and safety of an existing or planned public transportation system , or b. The Designated Recipients in it s urbanized area certify that such expenditures for transportation security Projects are not necessary (Information about the intentions of your Designated Recipients in your Applicant’s urbanized area must be recorded in the “Security” tab page of the TEAM

- Web “Project Information”

window when it submits its Urbanized Area Formula Grants Program application

in TEAM

- Web),

11. If it serves an urbanized area with a population of at least 200,000 individuals, as determined by the Bureau of the Census:

a. Each fiscal year, it will ensure that at least one (1) percent of the amount apportioned to the urbanized area is spent for Ass ociated Transit Improvements,FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

as defined in 49 U.S.C. 5302(1),

b. It will include in its quarterly report for the fourth quarter of the preceding Federal fiscal year: (1) A list of its Associated Transit Improvement Projects or Project A ctivities during that Federal fiscal year using those 49 U.S.C. 5307 funds, or (2) Sufficient information to demonstrate that the Designated Recipients in its

urbanized area together have spent one (1) percent of the f unding apportioned

to the area for Associated Transit I mprovement Projects or Project A ctivities, or have included the same information in a separate report attached in

TEAM

- Web, and

c. The report of it s Associated Transit Improvement Projects or Project A ctivities is or will be incorporated by reference and made part of its Certifications and Assurances, and

12. It will c omply with the final Federal regulations

, when issued, that implement the safety requirements of 49 U.S.C. § 5329(d)

.

B. Urbanized Area Formula Grants Program b efore MAP

- 21 Became Effective.

You must select the Certification in Group 15.B if your Applicant seeks funding under the
Urbanized Area Formula Grants Pro gram financed with funds appropriated or made available for former 49 U.S.C. 5307 in effect in FY 2012 or a previous fisc al year. In administering this program, MAP

- 21 cross

- cutting requirements supersede inconsistent former requirements.

The following Certification s for the Urbanized Area Formula Grants Program are required by former 49 U.S.C. 5307(d)(1) in effect in FY 20 12 or a previous fiscal year, except as superseded by MAP

- 21 cross

- cutting requirements that apply instead. Therefore, except as FTA determines otherwise in writing, o n behalf of your Applicant, you certify that:

1. It has or will have the following to carry out its proposed Project ( s ) , including the safety and security aspects of Project ( s ) :

a. Legal capacity,

b. Financial capacity, and

c. Technical capacity,

2. It has or will have satisfactory continuing control over the use of Project equipment and facilities,

3. It will maintain its Project equipment and facilities adequately,

4. It will ensure that for transportation using or involving a facility or equipment of a Project financed under former 49 U.S.C. 5307 in effect in FY 2012 or a previous fiscal year , the following individuals will be charged a fare not exceeding fifty (50) percent of the peak hour fare:

a. Any elderly individual,

b. Any handicapped individual, as described in 49 CFR part 27,

c. Any individual presenting a Medica re card issued to that individual under title II of the Social Security Act (42 U.S.C. 401 et seq .), orFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

d. Any individual presenting a Medicare card issued to that individual under

title XVIII of the Social Security Act (42 U.S.C. 1395 et seq .),

5. When c arrying out a procurement under former 49 U.S.C. 5307 in effect in FY 2012 or a previous fiscal year, it will comply with the following provisions as amended by

MAP

- 21 :

a. C ompetitive procurement (as defined or approved by FTA), as required by

49 U.S.C. 5 325(a),

b. The prohibition against exclusionary or discriminatory specifications in its
procurements under 49 U.S.C. 5323(h),

c. “ Buy America ” under 49 U.S.C. 5323(j),

d. A pplicable pre

- award and post

- delivery requirements of 49 U.S.C. 5323(m),

e. A ppli cable railcar option restrictions of 49 U.S.C. 5325(e), and

f. “ Veterans Preference/Employment ” under 49 U.S.C. 5325(k),

6

. It will comply with other applicable requirements under 49 U.S.C. 5323 and 5325,

7

. It:

a. Has or will make available to the public information on amounts available to it under 49 U.S.C. 5307 and the Program of Projects it proposes to undertake,

b. Will develop or has developed, in consultation with interested parties, including private transpor tation providers, a proposed Program of Projects for activities to be financed,

c. Will publish or has published a proposed Program of Projects in a way that affected citizens, private transportation providers, and local elected officials have the opportun ity to examine the proposed program and submit comments on the proposed program and the Applicant or Recipient’s performance,

d. Will provide or has provided an opportunity for a public hearing in which to obtain the views of citizens on the proposed Progr am of Projects,

e. Will ensure or has ensured that the proposed Program of Projects provides for the coordination of public transportation services assisted under 49 U.S.C. 5336 with transportation services assisted from other U.S. Government sources,

f. W ill consider or has considered comments and views received, especially those of private transportation providers, in preparing the final Program of Projects, and

g. Will make or has made the final Program of Projects available to the public,

8

. It :

a. Has or will have the amount of funds required for the local share,

b. Will provide the local share funds from sources approved by FTA , and

c. Will provide the local share funds when needed,

9

. It has complied or will comply with, and will require each Subreci pient to comply with, 49 U.S.C. 5303, and 5304,

10

. It has a locally developed process to solicit and consider public comment before:

a. Raising a fare, or

b. Implementing a major reduction of public transportation,

1 1

. Each fiscal year:

a. A t least one (1) percent of the 49 U.S.C. 5307 funding apportioned to an urbanized area must be spent for public transportation security Projects (limited to capital Projects if it serves an urbanized area with a population of 200,000 orFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

more), including: (1) I ncreased lighting in or adjacent to a public transportation system (including bus stops, subway stations, parking lots, and garages), (2) Increased camera surveillance of an area in or adjacent to that system, (3) Emergency telephone line or lines to contact law enforcement or security personnel in an area in or adjacent to that system, and (4) Any other Project intended to increase the security and safety of an existing or planned public transportation, or

b. It w ill certify that such expenditures for transportation security Projects are not necessary (Information about it s intentions must be recorded in the “Security” tab page of the TEAM

- Web “Project Information” window when it submits its

Urbanized Area Formula Grants Program application in TEAM

- Web),

1 2

. If it serves an urbanized area with a population of at least 200,000 individuals:

a. Each fiscal year, it will ensure that at least one (1) percent of the amount apportioned to the urbanized area is spent for Tr ansit Enhancements, as defined

in former 49 U.S.C. 5302(a)(15),

b. It will include in its quarterly report for the fourth quarter of the preceding Federal fiscal year : (1) A list of its Transit Enhancement Project A ctivities during that Federal fiscal

ye ar using those former 49 U.S.C. 5307 funds, or (2) Sufficient information to demonstrate that the Designated Recipients in its urbanized area together have spent one (1) percent of the amount of funding

that must be made available to them for Transit Enhan cements or have included the same information in a separate report attached in TEAM

- Web,

and

c. The report of its or the Designated Recipients’ Transit Enhancement Projects or Project A ctivities is or will be incorporated by reference and made part of its Certifications and Assurances, and

1 3

. It will c omply with the final Federal regulations

, when issued, that implement the safety plan r equirements of 49 U.S.C. § 5329 (d)

.

C. Passenger Ferry Grant Program.

If your Applicant seeks FTA funding for its Project under the Passenger Ferry Grant Program, 49 U.S.C. 5307(h), the Certification s in Group 15.C appl y to your Applicant, except as FTA determines otherwise in writing.

The following Certification s for the Passenger Ferry Grant Program fundin g are required by 49 U.S.C. 5307 (h) and (c)(1 ) . Therefore, except as FTA dete rmines otherwise in writing, on behalf of your Applicant , you certify that:

1. It has or will have the following to carry out its proposed Project(s), including the safety and sec urity aspects of the proposed Project(s) :

a. Legal capacity,

b. Financial capacity, and

c. Technical capacity,FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

2. It has or will have satisfactory continuing control over the use of Project equipment and facilities,

3. It will maintain its Project equipment and facilities adequately,

4. It will ensure that, during non

- peak hours for transportation using or involving a facility or equipment of a Project financed under 49 U.S.C. 5307 (h)

, the following individuals will be charged a fare not exceeding f ifty (50) percent of the peak hour

fare :

a. Any senior,

b. Any individual who, because of illness, injury, age, congenital malfunction, or other incapacity or temporary or permanent disability (including an individual

who is a wheelchair user or has semi

- ambulatory capability), cannot use a public transportation service or a public transportation facility effectively without special facilities, planning, or design,

c. Any individual presenting a Medicare card issued to that individual under title II

of th e Social Security Act (42 U.S.C. 401 et seq .), or

d. Any individual presenting a Medicare card issued to that individual under

title XVIII of the Social Security Act (42 U.S.C. 1395 et seq .),

5. When carrying out a procurement under 49 U.S.C. 5307 (h)

, it will comply with the:

a. General P rovisions of 49 U.S.C. 5323, and

b. Third P arty Contract Provision s of 49 U.S.C. 5325,

6

. As required by 49 U.S.C. 5307(d), it :

a. Has or will have the amount of funds required for the local share,

b. Will provide the local share funds from sources approved by FTA , and

c. Will provide the local share funds when needed,

7

. As required by 49 U.S.C. 5307(c)(1)(H), it will comply with:

a. The Metropolitan Transportation Planning requirements of 49 U.S.C. 5303, and

b. The S tate wide and Nonmetropolitan Transportation Planning requirements of

49 U.S.C. 5304,

8

. As required by 49 U.S.C. 5307(c)(1)(I), it has a locally developed process to solicit and consider public comment before:

a. Raising a fare, or

b. Implementing a majo r reduction of public transportation, and

9

. . It will c omply with the final Federal regulations

, when issued, that implement the safety plan r equirements of 49 U.S.C. § 5329 (d)

.

D

. Job Access and Reverse Commute (JARC) Formula Grant Program.

If your Applicant seeks FTA funding for its Project under the Job Access and Reverse Commute (JARC) Formula Grant Program, former 49 U.S.C. 5316 in effect in FY 2012 or a previous fiscal year, the Certification s in Group 15.C appl y to your Applicant, except as FTA determines otherwise in writing.

1. The following Certification s for the Job Access and Reverse Commute (JARC) Formula Grant Program are required by former 49 U.S.C. 5316 in effect in FY 2012 or a previous fiscal year

, except as superseded by MAP

- 21 cross

- cutting requirementsFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

that apply. Therefore, except as FTA determines otherwise in writing, on behalf of your Applicant, you certify that:

a. It will make awards of JARC funding on a competitive basis following: (1) An areawide so licitation in cooperation with the appropriate metropolitan planning organization for applications for funding in compliance with former

49 U.S.C. 5316 if your Applicant receives funding under former 49 U.S.C. 5316(c)(1)(A) , and (2) A statewide solicitatio n for applications for JARC funding in compliance

with former 49 U.S.C. 5316 if your Applicant receives funding under former

49 U. S.C. 5316(c)(1)(B) or (C)

, b. Any allocations to Subrecipients of JARC funding authorized by former

49 U.S.C. 5316 will be dis tributed on a fair and equitable basis,

c. As required by former 49 U.S.C. 5316: (1) The P rojects it has selected or will select for former 49 U.S.C. 5316 funding

must be derived from a public transit

- human services transportation plan that

has been: (a) Locally developed, and (b) Coordinated, and (2) That locally developed and coordinated plan was produced through a process

that included: (a) Representatives of public, private, and nonprofit transportation providers, (b) Human service providers, and (c) Participation by the public,

d. Before it transfers funds to a P roject funded by former 49 U.S.C. 5336, that

P roject has been or will have been coordinated with private nonprofit providers of

services as required under former 49 U.S.C. 5316(g)(2)

,

e. Before using funds apportioned for P rojects serving an area other than that for which funding was apportioned under former 49 U.S.C. 5316: (1) The State’s chief executive officer, or his or her designee, will have certified that all the JARC program objec tives of former 49 U.S.C. 5316 are being met in the area from which the funding would be derived, and (2) If the State has a statewide program for meeting the JARC program objectives of former 49 U.S.C. 5316, the funds can be used for P rojects anywhere in the State, and

f. The requirements of former 49 U.S.C. 5307 will apply to the JARC Program, authorized by former 49 U.S.C. 5316, and

2. The following Certifications for the JARC Program are required by former 49 U.S.C. 5307(d)(1) in effect in FY 2012 or a previous fiscal year

, except as superseded by

MAP

- 21 cross

- cutting requirements that apply. Therefore, except as FTA determines otherwise in writing, o n its behalf , you certify that:

a. It has or will have, and will require each Subrecipient to have , the f ollowing to carry out its proposed Project(s), including the safety and security aspects of its proposed Project(s) : (1) The legal capacity,FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

(2) The financial capacity, and (3) The technical capacity,

b. It has or will have, and will require each Subrecip ient to have satisfactory continuing control over the use of Project equipment and facilities,

c. It will maintain, and will require each Subrecipient to maintain, its Project equipment and facilities adequately,

d. To the extent applicable, it will ensure, and will require each Subrecipient to

ensure, that for transportation using or involving a facility or equipment of a Project financed under former 49 U.S.C. 53 16 the following individuals will be charged a fare not exceeding fifty (50) percen t of the peak hour fare: (1) Any elderly individual, (2) Any handicapped individual, as described in 49 CFR part 27, (3) Any individual presenting a Medicare card issued to that individual under

title II of the Social Security Act (42 U.S.C. 401 et seq .)

, and (4) Any individual presenting a Medicare card issued to that individual under

title XVIII of the Social Security Act (42 U.S.C. 1395 et seq .),

e. When carrying out a procure ment under former 49 U.S.C. 5316

, it will comply with the following provisio ns as amended by MAP

- 21 : (1) C ompetitive procurement (as defined or approved by FTA), as required by

49 U.S.C. 5325(a), (2) The prohibition against exclusionary or discriminatory specifications in its procurements, as required by 49 U.S.C. 5323(h), (3) “ Buy America ” under 49 U.S.C. 5323(j), (4) A pplicable pre

- award and post

- delivery requirements of 49 U.S.C. 5323(m),

and (5) “Veterans Preference/Employment” under 49 U.S.C. 5325(k),

f. It will comply with other applicab le requirements under 49 U.S.C. 532 3 and 5325,

g. It : (1) Has or will have and, as necessary, will require each Subrecipient to have the amount of funds required for the local share by former 49 U.S.C. 53 16

, (2) Will provide and, as necessary, will require each Subrecipient to provide, th e local share funds from sources approved by FTA , and (3) Will provide and, as necessary, will require each Subrecipient to provide

, the local share funds when needed,

h. It has complied or will comply with, and will require each Subrecipient to comply with, 49 U.S.C. 5303, and 5304,

i. It has or will have, and will require each Subrecipient to have

, a locally developed process to solicit and consider public comment before: (1) Raising a fare, or (2) Implementing a major reduction of public transportation, and j. To the extent applicable, i t will c omply with , and as necessary, will require each Subrecipient to comply with the final Federal regulations

, when issued, that impl ement the safety plan r equirements of 49 U.S.C. § 5329 (d)

.

GROUP 1 6

. SENIORS /ELDERLY/ INDIVIDUALS WITH DIS ABILITIESFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

AND NEW FREEDOM PROGRAM S

.

The Certifications in Group 1 6 are required for funding under:

16.A. The Formula Grants for the Enhanced Mobility of Seniors and Individuals with

Disabilities Pro gram , financed or to be financed with funds appropriated or made available for 49 U.S.C. 5310, as amended by MAP

- 21, which among other things authorizes funding for New Freedom Projects and Project A ctivities

, 16.B. The Formula Grants for the Special Needs of Elderly Individuals and Individuals

with Disabilities Pro gram financed or to be financed with funds appropriated or made available for former 49 U.S.C. 5310 in effect in FY 2012 or a previous fiscal year

, except as superseded by MAP

- 21 cross

- cutting requirements that apply, and

16.C. The New Freedom Program financed or to be financed with funds appropriated

or made available for former 49 U.S.C. 531 7 in effect in FY 2012 or a previous fiscal ye ar
, except as superseded by MAP

- 21 cross

- cutting requirements that apply

.

Before FTA may provide funding for your Applicant’s Project under any of the Programs listed above, in addition to other Certifications and Assurances you must select on its behalf, you must also select the Certifications in Group 1 6, except as FTA determines otherwise in writing

.

Your Applicant is ultimately responsible for compliance with the Certifications and Assurances selected on its behalf that apply to its Project, i tself , any Subrecipient, or other Third Party Participant in its Project , except as FTA determines otherwise in writing. For this reason, we strongly encourage your Applicant to take appropriate measures, including, but not limited to, obtaining sufficient documentation from each Subrecipient and other Third Party Participants to assure the validity of the applicable Certifications and Assurances selected on behalf of your Applicant

.

Any provision of the Certifications in Group 16 that does not apply will not be enforced.

16. A

. Formula Grants for the Enhanced Mobility of Seniors and Individuals with Disabilities Program.

If your Applicant seeks FTA funding for its Project under the Formula Grants for the Enhanced Mobility of Seniors and Individuals with Disabilities Program, 49 U.S.C. 5310, as amended by MAP

- 21, the Certification s in Group 16.A appl y to your Applicant, except

as FTA determines otherwise in writing.

1. The following Certification s for the Formula Grants for the Enhanced Mobility of Seniors and Individuals with Disabilities Program are required by 49 U.S.C. 5310. Therefore, except as FTA determines otherwise in writing, on behalf of your Appl icant , you certify that:

a. Each of it s Subrecipients is:FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

(1) A private nonprofit organization, or (2) A State or local governmental authority that: (a) Is approved by a State to coordinate services for seniors and individuals

with disabilities

, or (b) Certifies that there are no private nonprofit organizations readily available in the area to provide the services authorized for support under the Formula Grants for the Enhanced Mobility of Seniors and Individuals with Disabilities Program,

b. It will comply with the following Project selection and planning requirements: (1) The Projects it has selected or will select for funding appropriated or made

available for 49 U.S.C. 5310 are included in a public transit

- human services transportation plan that has been: (a) Locally developed, and (b) Coordinated, (2) T he public transit

- human services transportation plan was developed and approved through a process that included participation by: (a) Seniors, (b) Individuals with disabilities, (c) Repres entatives of public, private, and nonprofit transportation providers, (d) Representatives of public, private, and nonprofit human services providers, and (e) Other members of the public

, (3) The transportation projects to assist in providing transportation services for seniors and individuals with disabilities are included in a program of projects, (4) A program of projects under Group 16.A.1.b(3) above is or will be submitted annually to FTA, and (5) To the maximum extent feasible, the se rvices funded by 49 U.S.C. 5310 will be coordinated with transportation services funded by other Federal departments and agencies, including any transportation activities carried out by a recipient of a grant from the Department of Health and Human Service s,

c. As required by 49 U.S.C. 5310(e)(2)(B), it certifies that if it allocates funds

received under 49 U.S.C. 5310, to Subrecipients, it will have allocated those funds on a fair and equitable basis,

d. It will transfer a facility or equipment financed w ith funding appropriated or made available for a grant under 49 U.S.C. 5310, to any other recipient eligible to

receive assistance under 49 U.S.C. chapter 53, only if: (1) The recipient in possession of the facility or equipment consents to the transfer, a nd (2) The facility or equipment will continue to be used as required under

49 U.S.C. 5310,

e. As required by 49 U.S.C. 5310(b)(2), it will use at least fifty

- five ( 55 ) percent of the funds on capital projects to meet the special needs of seniors and disa bled, and

f. The requirements of 49 U.S.C. 5307, as determined by FTA, will apply to the Formula Grants for the Enhanced Mobility of Seniors and Individuals withFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

Disabilities, authorized by 49 U.S.C. 5310, and

2. FTA has determined certain requirements o f 49 U.S.C. 5307, to be appropriate for which some require Certifications. Therefore, as specified under 49 U.S.C. 5307(c)(1), it certifies that:

a. It has or will have, and will require each Subrecipient to have, the following to carry out its proposed Pr oject ( s ) , including the safety and security aspects of its proposed Project ( s ) : (1) Legal capacity, (2) Financial capacity, and (3) Technical capacity,

b. It has or will have, and will require each Subrecipient to have, satisfactory continuing control over the use of Project equipment and facilities,

c. It will maintain, and will require each Subrecipient to maintain its Project equipment and facilities adequately,

d. When carrying out a procurement under the Formula Grants for the Enhanced Mobility of Seniors and Individuals with Disabilities Program, it will, and will require each Subrecipient to comply with the : (1) G eneral P rovisions of 49 U.S.C. 5323, and (2) T hird Party Contract Provisions of 49 U.S.C. 5325,

e

. It has complied or will comply with

, and will require each Subrecipient to comply

with : (1) The Metropolitan Transportation Planning requirements of 49 U.S.C. 5303,

and (2) The State wide and Nonmetropolitan Transportation Planning requirements of

49 U.S.C. 5304, and

f

. To the extent applic able, it will comply with, and require its Subrecipients to comply with the final Federal regulations

, when issued, that implement the safety plan r equirements of 49 U.S.C. § 5329 (d)

.

16. B. Formula Grants for the Special Needs of Elderly Individuals and Individuals with Disabilities Program.

If your Applicant seeks FTA funding for its Project under the Formula Grants for the Special Needs of Elderly Individuals and Individuals with Disabilities Program, former

49 U.S.C. 5310 in effect in FY 2012 or a pre vious fiscal year

, except as superseded by

MAP

- 21 cross

- cutting requirements that apply

, the Certification s in Group 16.B appl y to your Applicant, except as FTA determines otherwise in writing.

1. The following Certification s for the Formula Grants for the Special Needs of Elderly Individuals and Individuals with Disabilities Program are required by former

49 U.S.C. 5310 in effect in FY 2012 or a previous fiscal year

, except as superseded by MAP

- 21 cross

- cutting requirements that apply. Therefore, except as FTA determines otherwise in writing, on behalf of your State Applicant, you certify that:

a. Each of your State Applicant’s Subrecipients is: (1) A private nonprofit organiza tion, if the public transportation service thatFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

would undertake public transportation capital P roject ( s ) planned, designed, and carried out to meet the special needs of elderly individuals and

individuals with disabilities is: (a) Unavailable, (b) Insuffi cient, or (c) Inappropriate, or (2) A State or local governmental authority that: (a) Is approved by a State to coordinate services for seniors and individuals with disabilities, or (b) Certifies that t here are not any nonprofit organizations readily avai lable in the area to provide public transportation capital P rojects planned, designed, and carried out to meet the special needs of seniors and individuals with disabilities,

b. The Projects your State Applicant has selected or will select for funding

app ropriated or made available for former 49 U.S.C. 5310 are included in a public

transit

- human services transportation plan that has been: (1) Locally developed, and (2) Coordinated,

c. That public transit

- human services transportation plan was developed and approved through a process that included participation by: (1) Elderly Individuals, (2) Individuals with disabilities, (3) Representatives of public, private, and nonprofit transpor tation providers, (4) Representatives of human services providers, and (5) Other members of the public,

d

. If your State Applicant allocates funds received under former 49 U.S.C. 5310 to Subrecipients, your State Applicant will have allocated those funds on a fair and equitable basis,

e

. The Program of Projects your State Applicant has submitted or will submit contains or will contain an assurance that the Program provides for the maximum feasible coordination of transportation services funded by former 4 9 U.S.C. 5310 with transportation services funded by other Government sources,

f. If your State Applicant transfers former 49 U.S.C. 5310 funds to another P roject

funded under 49 U.S.C. 5336 in accordance with former 49 U.S.C. 5310(b)(2),

the P roject for which the funds are requested has been coordinated with private nonprofit providers of service under former 49 U.S.C. 5310, and

g. It will comply with the requirements of former 49 U.S.C. 5307 that FTA determined will apply to the former Formula Grants for the Special Needs of Elderly Individuals and Individuals with Disabilities Program,

2. The following Certification s for the Special Needs of Elderly Individuals and Individuals with Disabilities Program are required by former 49 U.S.C. 5307(d)(1). Therefore, except as FTA determines otherwise in writing, o n behalf of your State Applicant, you certify that:

a. Your State Applicant and each of its Subrecipients have or will have the following to carry out its proposed Project(s), including the safety and securityFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

aspects of the proposed Project(s) : (1) Legal capacity, (2) Financial capacity, and (3) Technical capacity,

b. Your State Applicant and each Subrecipient has or will have satisfactory continuing control over the use of Project equipment and facilities,

c. Your State Applicant and each of its Subrecipients will maintain its Project equipment and facilities adequately,

d. When carrying out a procure ment under former 49 U.S.C. 5310

, it will, and will require each Subrecipient, to comply with the following provisions as amended by

MAP

- 21 : (1) C ompetitive procurement (as defined or approved by FTA), as required by

49 U.S.C. 5325(a), (2) The prohibition against exclusionary or discriminatory specifications in its
procurements under 49 U.S.C. 5323( h), (3) “Buy America” under 49 U.S.C. 5323(j), (4) A pplicable pre

- award and post

- delivery requirements of 49 U.S.C. 5323(m), (5) A pplicable railcar option restrictions of 49 U.S.C. 5325(e), and (6) “Veterans Preference/Employment” under 49 U.S.C. 5325(k)

,

e. It will comply with other applicable requirements under 49 U.S.C. 5323 and 5325,

f

. Your State Applicant: (1) Has or will have and, as necessary, will require each Subrecipient to have the amount of funds required for the local share by former 49 U.S.C. 5310(c)(2 )

, (2) Will provide and, as necessary, will require each Subrecipient to provide

, the

local share funds from sources approved by FTA , and (3) Will provide and, as necessary, wil l require each Subrecipient to provide

, the local share funds when needed,

g

. It has complied or will comply with, and will require each Subrecipient to comply with, 49 U.S.C. 5303, and 5304, and

h

. To the extent applicable, your State Applicant will compl y with and, as necessary, will require each Subrecipient to comply with the final Federal regulations

, when issued, that implement the safety plan r equirements of 49 U.S.C. § 5329 (d)

.

16. C. New Freedom Program.

If your Applicant seeks FTA funding for its Project under the New Freedom Program, former 49 U.S.C. 5317, in effect in FY 2012 or a previous fiscal year

, except as superseded by MAP

- 21 cross

- cutting requirements that apply

, the Certification s in Group 16.C appl y to your Applicant, except as FTA determines otherwise in writing.

1. F ormer 49 U.S.C. 5317 in effect in FY 2012 or a previous fiscal year requires t he following Certification for the New Freedom Program. Therefore, except as FTA determines otherwise in writing, on behalf of your App licant, you certify that:

a. It will make awards of New Freedom funding on a competitive basis after conducting:FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

(1) An areawide solicitation in cooperation with the appropriate metropolitan planning organization for applications for funding in compliance with former

49 U.S.C. 5317 (d)(1) , or (2) A statewide solicitation for applications for New Freedom funding in compliance with former 49 U.S.C. 5317 (d)(2)

, b. Any allocations to Subrecipients of New Freedom funding authorized by former

49 U.S.C. 5317 will b e distributed on a fair and equitable basis,

c. It will comply with the following Project selection and planning requirements: (1) The P rojects it has selected or will select for funding appropriated or made available for that program were derived from a public transit

- human services transportation plan that has been: (a) Locally developed, and (b) Coordinated, (2) That locally developed and coordinated plan was produced through a process

that included: (a) Representatives of public, private, and nonpro fit transportation providers, (b) Representatives of public, private, and nonprofit human services providers, and (c) Participation by the public,

d. Before it transfers funds to a P roject funded by former 49 U.S.C. 5311(c), former

49 U.S.C. 5336, or bot h: (1) The funding to be transferred may be made available only to P rojects eligible for funding appropriated or made available for former 49 U.S.C. 5317, and (2) It will have consulted with responsible local officials and publicly owned operators of publi c transportation in each area for which the amount to be transferred was originally awarded,

e

. The requirements of former 49 U.S.C. 5307 and 5310 , as determined by FTA, will apply to the New Freedom Program, authorized by former 49 U.S.C. 5317, and

2. Th e following Certification s for the New Freedom Program are required by former

49 U.S.C. 5307(d)(1) and 5310 . Therefore, except as FTA determines otherwise in writing, o n its behalf , you certify that:

a. It has or will have, and will require each Subrecipient to have, the following to carry out its proposed Project(s), including the safety and security aspects of its proposed Project(s) : (1) Legal capacity, (2) Financial capacity, and (3) Technical capacity,

b. It has or will have, and will requir e each Subrecipient to have, satisfactory continuing control over the use of Project equipment and facilities,

c. It will maintain, and will require each Subrecipient to maintain, its Project equipment and facilities adequately,

d. When carrying out a proc ure ment under former 49 U.S.C. 5317

, it will, and will require each Subrecipient, to comply with the following provisions as amended by

MAP

- 21 : (1) C ompetitive procurement (as defined or approved by FTA), as required byFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

49 U.S.C. 5325(a), (2) The prohibi tion against exclusionary or discriminatory specifications in its
procurements under 49 U.S.C. 5323(h), (3) “Buy America” under 49 U.S.C. 5323(j), (4) A pplicable pre

- award and post

- delivery requirements of 49 U.S.C. 5323(m), (5) A pplicable railcar option restrictions of 49 U.S.C. 5325(e), and (6) “Veterans Preference/Employment” under 49 U.S.C. 5325(k),

e. It will comply with other applicable requirements under 49 U.S.C. 5323 and 5325,

f

. It : (1) Has or will have and, as necessar y, will require each Subrecipient to have the amount of funds required for the local share required by former 49 U.S.C. 5317(g), (2) Will provide and, as necessary, will require each Subrecipient to provide

, the

local share funds from sources approved by FTA , and (3) Will provide and, as necessary, will require each Subrecipient to provide, the local share funds when needed,

g

. It has complied or will comply with, and will require each Subrecipient to comply with, 49 U.S.C. 5303, and 5304, and

h

. To the extent applicable, it will comply with and, as necessary, will require each Subrecipient to comply with the final Federal regulations

, when issued, that implement the safety plan r equirements of 49 U.S.C. § 5329 (d)

.

GROUP 1 7

. RURAL /OTHER THAN URBANIZED AREAS /APPALACHIAN

DEVELOPMENT/ OVER

- THE

- ROAD BUS ACCESSIBILI TY PROGRAM S

.

The Certifications in Group 1 7 are required for funding under:

17.A. The Formula Gr ants for Rural Areas Pro gram financed with funding appropriated or made available for 49 U.S.C. 5311 (b) , as amended by MAP

- 21, (Separate Certifications and Assurances have been established in Group 18 for

an Indian tr ibe that is an Applicant for a Public Transportation on Indian

Reservations Project financed with funding made available for 49 U.S.C. 5311(c))(1), as amended by MAP

- 21.)

17.B. The Formula Grants for Other Than Urbanized Areas Pro gram financed with funding appropriated or made available for former 49 U.S.C. 5311 (b) in effect in

FY 2012 or a previous fiscal year

, except as superseded by MAP

- 21 cross

- cutting requirements that apply

, ( Separate Certifications and Assurances have been established in Group 18 for an Indian tribe that is an Applicant for a “Tribal Transit” Project financed with funding made available for former 4 9 U.S.C. 5311(c)(1) in effect in FY 2012 or a previous fiscal year. )

17.C

. The Appalachian Development Public Transportation Assistance Pro gram financed with funding appropriated or made available for 49 U.S.C. 5311(c)(2), as amended by MAP

- 21, and

17.D. T he Over

- the

- Road Bus Accessibility Pro gram financed with funding appropriated or made available for section 3038 of TEA

- 21, as amended by section 3039 of SAFETEA

- LU, 49 U.S.C. 5310 note

, except as superseded byFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

MAP

- 21 cross

- cutting requirements that apply.

(Separate Certifications and Assurances have been established for an Indian tribe that is an Applicant for a Tribal Transit Project financed with funding made available for

49 U.S.C. 5311(c).)

Before FTA may provide funding for your Applicant’s Project under any of the Programs listed above, in addition to other Certifications and Assurances you must select on its behalf, you must also select the Certifications in Group 1 7, except as FTA determines otherwise in writing

.

Your Applicant is ultimately res ponsible for compliance with the Certifications and Assurances selected on its behalf that apply to its Project, itself , any Subrecipient, or other Third Party Participant in its Project , except as FTA determines otherwise in writing. For this reason, we s trongly encourage your Applicant to take appropriate measures, including, but not limited to, obtaining sufficient documentation from each Subrecipient and other Third Party Participants to assure the validity of the applicable Certifications and Assurance s selected on behalf of your Applicant

.

Any provision of the Certifications and Assurances in Group 1 7 that does not apply will not be enforced.

17. A. Formula Grants for Rural Areas Program.

If your Applicant seeks FTA funding for its Project under the Formula Grants for Rural Areas Program, 49 U.S.C. 5311, as amended by MAP

- 21, the Certification s in Group 17.A appl y to your Applicant, except as FTA determines otherwise in writing.

The following Certification s apply to each St ate or State organization serving as your Applicant for funding appropriated or made available for the Rural Area s Formula Project authorized by 49 U.S.C. 5311 (b )

. On its behalf, you certify and assure that : 1. It has or will have the following to carry out its proposed Project(s), including the safety and security aspects of its Project(s):

a. Legal capacity,

b. Financial capacity

, and

c. Technical capacity

, 2. It has or will have satisfactory continuing control over the use of Project equipment and facilities,

3. It s Project equipment and facilities will be adequately maintained,

4. It s State program has provided for a fair distribution of Federal funding appropriated

or made available for 49 U.S.C. 5311 (b)

, within the State, i ncluding Indian reservations,

5. It s program provides or will provide the maximum feasible coordination of public transportation service funded by 49 U.S.C. 5311 (b)

, with transportation service

funded by other Federal sources,FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

6. It s Projects in its Formula Grants for Rural Areas Program are included in:

a. The Statewide Transportation Improvement Program, and

b. To the extent applicable, a Metropolitan Transportation Improvement Program,

7. It :

a. H as or will have the amount of funds required for th e local share, as required by

49 U.S.C. 5311(g)

, b

. Will provide the local share funds from sources approved by FTA

, and

c

. Will provide the local share funds when needed,

8. It may transfer a facility or equipment acquired using a grant under 49 U.S.C. 5311(b) to any other R ecipient eligible to receive assistance under 49 U.S.C. chapter 53, if :

a. The R ecipient in possession of the facility or equipment consents to the transfer

, and

b. The facility or equipment will continue to be used as required under 49 U.S.C. 5311, and

9

. E ach fiscal year:

a. It will spend at least fifteen (15) percent of its 49 U.S.C. 5311 funding available that fiscal year to develop and support intercity bus transportation within the State, with eligible activities

, including: (1) Planning and marketing for intercity bus transportation, (2) Capital grants for intercity bus facilities, (3) Joint

- use facilities, (4) Operating grants through purchase

- of

- service agreements, user

- side subsidies, and demonstration Projects, and (5) Coord inating rural connections between small public transportation operations and intercity bus carriers, or

b. It will provide to the Federal Transit Administrator a Certification from the

Governor of the State that: (1) It has consulted with the affected inte rcity bus service providers about the intercity bus needs of the State, and (2) The State’s intercity bus service needs are being met adequately.

17. B. Formula Grants for Other Than Urbanized Areas Program.

If your Applicant seeks FTA funding for its Project under the Formula Grants for Other Than Urbanized Areas Program, former 49 U.S.C. 5311 in effect in FY 2012 or a previous fiscal year, the Certification s in Group 17.B appl y to your Applicant, except as FTA determines otherwise in writing.

The following Certification s apply to each State or State organization serving as your Applicant for funding appropriated or made available for the Formula Grants for Other Than Urbanized Areas Project authorized by former 49 U.S.C. 5311(b)( 1 ) in effect in

FY 2012 or a previous fiscal year

, except as superseded by MAP

- 21 cross

- cutting requirements that apply. On its behalf, you certify and assure that:

1. It has or will have the following to carry out its proposed Project(s), including the safety and security aspects of its Project(s):FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

a. Legal capacity,

b. Financial capacity

, and

c. Technical capacity

, 2. It has or will have satisfactory continuing control over the use of Project equipment and facilities,

3. It s Project equipment and facilities will be adequately maintained,

4. It s State program required under former 49 U.S.C. 5311(b)(2) has provided for a fair distribution of Federal funding appropriated or made available for former 49 U.S.C. 5311(b), within the State, including Indian reservations,

5. It s State program required under former 49 U.S.C. 5311(b)(2) provides or will provide the maximum feasible coordination of public transportation service funded by

former 49 U.S.C. 5311(b), with transportation service funded by other Federal

sources, 6. It s Projects in its Formula Grants for Other than Urbanized Areas Program are

included in:

a. The Statewide Transportation Improvement Program, and

b. To the extent applicable , a Metropolitan Transportation Improvement Program,

7. It :

a. H as or will have the amount of funds required for the local share, as required by

former 49 U.S.C. 5311(g),

b

. Will pro vide the local share funds sources approved by FTA

, and

c

. Will provide the local share funds when needed,

8. It may transfer a facility or equipment acquired using a grant under former 49 U.S.C. 5311(b) in effect in FY 2012 or a previous fiscal year to any other R ecipient eligible

to receive assistance under 49 U.S.C. chapter 53, if :

a. The R ecipient in possession of the facility or equipment consents to the transfer

, and

b. The facility or equipment will continue to be used as required under former

49 U.S.C. 5311, and

9. Each fiscal year:

a. It will spend at least fifteen (15) percent of its former 49 U.S.C. 5311 funding

available for that fiscal year to develop and support intercity bus transportation within the State with eligible activities

, including: (1) Planning and marketing for intercity bus transportation, (2) Capital grants for intercity bus shelter s, (3) Joint

- use stops and depots

, (4) Operating grants through purchase

- of

- service agreements, user

- side subsidies, and demonstration Projects, and (5) Coordinating rural connections between small public transportation operations and intercity bus carriers, or

b. It will provide to the Federal Transit Administrator a Certification from the Chief

Executive Officer of the State that: (1) I t has consulted with the affected intercity bus service providers about the intercity bus needs of the State, and (2) The State’s intercity bus service needs are being met adequately.FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

17. C. Appalachian Development Public Transportation Assistance Program.

If your Appli cant seeks FTA funding for its Project under the Appalachian Development Public Transportation Assistance Program, 49 U.S.C. 5311(c)(2), the Certification in Group 17.C appl ies to your Applicant, except as FTA determines otherwise in writing.

On behalf of your Applicant, you certify and assure that, in addition to other

Certifications and Assurances it must provide, if it is unable to use its funding made available or appropriated for public transportation operating assistance, in accordance

with 49 U.S.C. 5311(c)(2)(D)

, it may use the funding for a highway P roject only after:

1. I t provides notice and an opportunity for comment and appeal to affected public transportation providers,

2. It approv es for such use in writing, and

3. I n approving the use

, it determines that local transit needs are being addressed.

17. D

. Over

- the

- Road Bus Accessibility Program

.

If your Applicant seeks FTA funding for its Project under the Over

- the

- Road Bus Accessibility Program, section 3038 of TEA

- 21, as amended by section 3039 of

SAFETEA

- LU, 49 U.S.C. 5310 note

, the Assurances in Group 17.D appl y to your Applicant, except as FTA determines otherwise in writing.

Your Applicant assures that it will comply with all applicable Federal statutes and regulations, and follow appli cable Federal guidance in carrying out any Over

- the

- Road Bus Accessibility P roject supported by the FTA grant. It acknowledges that it is under a continuing obligation to comply with the terms and conditions of the grant agreement

issued for its P roject with FTA. It understands that Federal laws, regulations, policies, and administrative practices might be modified from time to time and affect the implementation of the P roject.

It a ssures that t he Federal requirements for the Over

- the

- Road Bus Ac cessibility Program during FY 2012 will apply to the P roject, except as FTA determines otherwise in writing

. Certifications and Assurances for funding to be award ed under this program in FY 2014

are included in these FTA Certifications and Assurances for F Y 201 4

. Each Applicant

must submit Group 01 ( “ Required Certifications and Assurances for Each Applicant ” ).

Each A pplicant seeking more than $100,000 in Federal funding must provide both Group 01, and Group 02, ( “Lobbying” ).

GROUP 18

. TRIBAL TRANSIT PROGRAM S

.

The Certifications in Group 1 8 are required for funding under:

• The Public Transportation on Indian Reservations Formula Program , 49 U.S.C. 5311(c)(1), as amended by MAP

- 21, and

• The Public Transportation on Indian Reservations Discretionary Program

, 49 U.S.C. 5311(c)(1).FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

Before FTA may provide funding for your Applicant’s Project under either Program listed above, in addition to other Certifications and Assurances you must select on its behalf, you must also select the Certifications in Group 1 8 , except as FTA determines otherwise in writing

.

Your Applicant is ultimately responsible for compliance with the Certifications and Assurances selected on its behalf that apply to its Project, itself , any Subrecipient, or other Third Party Parti cipant in its Project , except as FTA determines otherwise in writing. For this reason, we strongly encourage your Applicant to take appropriate measures, including, but not limited to, obtaining sufficient documentation from each Subrecipient and other Thi rd Party Participants to assure the validity of the applicable Certifications and Assurances selected on behalf of your Applicant

.

Any provision of the Certifications in Group 1 8 that does not apply will not be enforced.

FTA has established terms and conditions for Tribal Transit Program grants financed with funding appropriated or made available for 49 U.S.C. 5311(c)(1)

. On behalf of your Applicant, you certif y and assure that:

1. It has or will have the following to carry out its proposed Project(s), including the safety and security aspects of its Project(s):

a. Legal capacity,

b. Financial capacity

, and

c. Technical capacity

, 2. It has or will have satisfactory continuing control over the use of P roje ct equipment and facilities,

3. It s P roject equipment and facilities will be adequately maintained,

4. It s P roject will achieve maximum feasible coordination with transportation service

funded by other Federal sources,

5. It will:

a. Have a procurement system that complies with U.S. DOT regulations, “Uniform Administrative Requirements for Grants and Cooperative Agreements to State and Local Governments,” 49 CF R part 18, specifically 49 CFR 18.36, or

b. Inform FTA promptly that its procurement system do es not comply with those

U.S. DOT regulations,

6. It will comply with Buy America under 49 U.S.C. 5323(j), and

7

. It will comply with the C ertifications, A ssurances, and A greements in:

a

. Group 0 3.B and 03.C (Charter Service Agreement and School Bus Agre ement),

b. Group 05.B (Bus Testing),

c

. Group 06 (Demand Responsive Service),

d. Group 07 (Intelligent Transportation Systems), and

e. Group 1 0 (Alcohol and Controlled Substances Testing ).

GROUP 19. LOW OR NO EMISSION/CLEAN FUELS GRANT PROGRAMFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

The Certifications in Group 1 9 are required for funding under:

19.A. The Low or No Emission Vehicle Deployment Program , 49 U.S.C. 5312(d)(5), as amended by MAP

- 21, and

19.B. The Clean Fuels Grant Program , former 49 U.S.C. 5308, in effect in FY 2012 or a previo us fiscal year, except as superseded by MAP

- 21 cross

- cutting requirements that apply

.

Before FTA may provide funding for your Applicant’s Project under any of the Programs listed above, in addition to other Certifications and Assurances you must select on its behalf, you must also select the Certifications in Group 1 9 , except as FTA determines otherwise in writing

.

Your Applicant is ultimately responsible for compliance with the Certifications and Assurances selected on its behalf that apply to its Project, itself , any Subrecipient, or other Third Party Participant in its Project , except as FTA determines otherwise in writing. For this reason, we strongly encourage your Applicant to take appropriate measures, including, but not limited to, obtai ning sufficient documentation from each Subrecipient and other Third Party Participants to assure the validity of the applicable Certifications and Assurances selected on behalf of your Applicant

.

Any provision of the Certifications in Group 1 9 that does not apply will not be enforced.

19. A. Low or No Emission Vehicle Deployment

.

If your Applicant seeks FTA funding for its Project under the Low or No Emission Vehicle Development Program, 49 U.S.C. 5312(d)(5), as amended b y MAP

- 21

, the Certification s and Assurances in Group 19

. A app ly to your Applicant, except as FTA determines otherwise in writing

.

Section 5312(d)(5)(C) (i) of title 49 require s the following C ertification s for Low or No Emission Vehicle Deployment Program funding appropriated or made available for

MAP

- 21. Therefore, except as FTA determines otherwise in writing, on behalf of your Applicant, you certify and assure that:

1. It has or will have the following to carry out its proposed Project(s), including the safety and security aspects of its proposed Project(s) :

a. Legal capacity,

b. Financial capacity

, and

c. Technical capacity,

2. It has or will have satisfactory continuing control over the use of Project equipment and facilities,

3. It will maintain its Project equipment and facilit ies adequately,

4. It will ensure that

, during non

- peak hours

, for transportation using or involving a facility or equipment funded for its Project, the following individuals will be charged a fare not exceeding fifty ( 50 ) percent of the peak hour fare :

a. Any senior,FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

b. Any individual who, because of illness, injury, age, a congenital malfunction, or

any other incapacity or temporary or permanent disability (including an individual

who is a wheelchair user or who has semi

- ambulatory capability), and canno t use a public transportation service or a public transportation facility effectively without special facilities, special planning, or special design,

c. Any individual presenting a Medicare card issued to that individual under title II

of the Social Security Act (42 U.S.C. 401 et seq .), or

d. Any individual presenting a Medicare card issued to that individual under

title XVIII of the Social Security Act (42 U.S.C. 1395 et seq .),

5. When carrying out a procurement under this Program, it wil l comply with the:

a. General P rovisions of 49 U.S.C. 5323, and

b. Third P arty C ontract Provisions of 49 U.S.C. 5325,

6. It has :

a. I nformed or will inform the public of the amounts of its funding available under this Program

, b. D eveloped or will develop, in consultation with interested parties, including private transportation providers, a proposed Program of Projects for activities to be funded,

c. P ublished or will publish a Program of Projects in a way that affected individual s, private transportation providers, and local elected officials will have an opportunity to examine and submit comments on the proposed Projects and its performance as an Applicant,

d. P rovided or will provide an opportunity for a public hearing to obtai n the views of individuals on the proposed Program of Projects,

e. A ssured or will assure that the proposed Program of Projects provide s for

coordination of public transportation services assisted under 49 U.S.C. 5336 with federally fund ed transportation s ervices supported by other United States Government sources,

f. C onsidered or will consider the comments and views received, especially those of private transportation providers, in preparing its final list of Projects, and

g. M ade or will make the final list of Projects available to the public,

7. It :

a. Has or will have the amount of funds required for the local share,

b. Will provide the local share funds from sources approved by FTA , and

c. Will provide the local share funds when needed,

8. It will co mply wit h :

a. The Metropolitan Transportation Planning requirements of 49 U.S.C. 5303, and

b. The State wide and Nonmetropolitan Planning requirements of 49 U.S.C. 5304,

9. It has a locally developed process to solicit and consider public comment before:

a. Raising a fare, or

b. Implementing a major reduction of public transportation, and

10. It will c omply with the final Federal regulations

, when issued, that implement the safety plan r equirements of 49 U.S.C. § 5329 (d)

.

19. B. Clean Fuels Grant Program

.FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

If your Applicant seeks FTA funding for its Project under the Clean Fuels Grant Program, former 49 U.S.C. 5308

, in effect in FY 2012 or a previous fiscal year

, except as superseded by MAP

- 21 crosscutting requirements that apply

, the Certification s and

Assurances in Group 19

. B app ly to your Applicant, except as FTA determines otherwise in writing.

F ormer 49 U.S.C. 5307(d)(1) except as superseded by MAP

- 21 cross

- cutt ing requirements that apply, require s t he following C ertification s for Clean Fuels Grant Program funding appropriated or made available for former 49 U.S.C. 5308 in effect in

FY 2012 or a previous fiscal year. Therefore, except as FTA determines otherwise in writing, on behalf of your Applicant, you certify and assure that:

1. It has or will have the following to carry out its proposed Project(s), including the safety and security aspects of its Project(s):

a. Legal capacity,

b. Financial capacity

, and

c. Technical capacity

, 2

. It has or will have satisfactory continuing control over the use of P roject equipment and facilities,

3

. It will maintain the P roject equipment and facilities adequately,

4

. It will ensure that the following individuals will be charged not more than fifty (50) percent of the peak hour fare for transportation during non

- peak hours using or involving P roject facilities or equipment supported under former 49 U.S.C. 5308:

a. Elderly individuals,

b. Individuals with disabilities,

c. Any individual presenting a Medicare card issued to that individual under title II of the Social Security Act (42 U.S.C. 401 et seq .), and

d. Any individual presenting a Medicare card issued to that individual under

title XVIII of the Social Security Act (42 U.S.C. 1395 et seq .),

5

. When carrying out a procurement under former 49 U.S.C. 5308 , it will, and will require each Subrecipient, to comply with the following provisions as amended by

MAP

- 21:

a

. C ompetitive procurement (as defined or approved by FTA), as required by

49 U.S.C. 5325(a),

b. The prohibition against exclusionary or discriminatory specifications in its
procurements under 49 U.S.C. 5323(h),

c. “ Buy America ” under 49 U.S.C. 5323(j),

d. A pplicable p re

- award and post

- delivery requirements of 49 U.S.C. 5323(m),

e. Applicable railcar option restrictions of 49 U.S.C. 5325(e), and

f

. “ Veterans Preference/Employment ” under 49 U.S.C. 5325(k),

6

. It will comply with other applicable requirements under 49 U.S.C. 5323 and 5325

, 7

. It :

a. Has or will have the amount of funds required for the local share,

b. Will provide the local share funds from sources approved by FTA , and

c. Will provide the local share funds when needed,FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

8

. It has complied or will comply with, and will require each Subrecipient to comply with, 49 U.S.C. 5303 and 5304,

9

. It has a locally developed process to solicit and consider public comment before:

a. Raising a fare, or

b. Implementing a major reduction of public transportation , and

1 0

. It will c omply with the final Federal regulations

, when issued, that implement the safety plan r equirements of 49 U.S.C. § 5329 (d)

.

GROUP 2 0

. PAUL S. SARBANES TRANSIT IN PARKS PROGRAM

Before FTA may provide funding for your Applicant’s Project under the Paul S. Sarbanes Transit in Parks Program , former 49 U.S.C. 5320, in effect in FY 2012 or a previous fiscal year for your Applicant’s Project

, except as superseded by MAP

- 21 requirements that apply

, in addition to oth er Certifications and Assurances you must select on its behalf, you must also select the Certifications in Group 20, except as FTA may determine otherwise in writing

.

Your Applicant is ultimately responsible for compliance with the Certifications and Assurances selected on its behalf that apply to its Project, itself , any Subrecipient, or other Third Party Participant in its Project , except as FTA determines otherwise in writing. For this reason, we strongly encourage your Applicant to take appropriate measures, including, but not limited to, obtaining sufficient documentation from each Subrecipient and other Third Party Participants to assure the validity of the applicable Certifications and Assurances selected on behalf of your Applicant

.

Any provisi on of the Certifications and Assurances in Group 2 0 that does not apply will not be enforced.

1. The following Certification s and Assurances for the Paul S. Sarbanes Transit in Parks Program (Parks Program) are required by former 49 U.S.C. 5320 in effect in FY 2012 or a previous fiscal year

, except as superseded by MAP

- 21 cross

- cutting requirements that apply

. Therefore, except as FTA determines otherwise in writing, on behalf of your Applicant, you certify that:

a

. It will consult with the appropriate Federal land management agency during the planning process , and

b. The requirements of former 49 U.S.C. 5307, as determined by FTA, will apply to the Parks Program, authorized by former 49 U.S.C. 5320, and

2. FTA ha s determined certain requirements of former 49 U.S.C. 5307 to be appropriate for the Parks Program, of which some require C ertifications. Therefore as specified

under former 49 U.S.C. 5307(d)(1) except as superseded by MAP

- 21 cross

- cutting requirements that apply

, you certify that:

a

. It has or will have the following to carry out its proposed Project(s), including the safety and security aspects of its Project(s): (1) Legal capacity, (2) Financial capacity

, andFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

(3) Technical capacity

, b. It has or wil l have satisfactory continuing control over the use of P roject equipment and facilities,

c. It will maintain the P roject equipment and facilities adequately,

d. When carrying out a procure ment under former 49 U.S.C. 5320

, it will, and will require each Subrecipient, to comply with the following provisions as amended by

MAP

- 21 : (1) C ompetitive procurement (as defined or approved by FTA), as required by

49 U.S.C. 5325(a), (2) The prohibition against exclusionary or discrim inatory specifications in its
procurements under 49 U.S.C. 5323(h), (3) “Buy America” under 49 U.S.C. 5323(j), (4) A pplicable pre

- award and post

- delivery requirements of 49 U.S.C. 5323(m), (5) A pplicable railcar option restrictions of 49 U.S.C. 5325(e), and (6) “Veterans Preference/Employment” under 49 U.S.C. 5325(k),

e. It will comply with other applicable requirements under 49 U.S.C. 5323 and 5325,

f

. It has complied or will comply with the requirements of former 49 U.S.C. 5307(c). Specifically, it : (1) Has made or will make available to the public information on the amounts available for the Parks Program, former 49 U.S.C. 5320, and the P rojects it proposes to undertake, (2) Has developed or will develop, in consultation with interested parties

, inc luding private transportation providers, P rojects to be financed, (3) Has published or will publish a list of proposed P rojects in a way that affected citizens, private transportation providers, and local elected officials have the opportunity to examine the proposed P rojects and submit comments

o n the proposed P rojects and its performance, (4) Has provided or will provide an opportunity for a public hearing to obtain the views of citizens on the proposed P rojects, (5) Has considered or will consider the comments and views received, especially those of private transportation providers, in preparing its final list of P rojects,

and (6) Has made or will make the final list of P rojects available to the public,

g

. It : (1) Has or will have the amount of funds r equired for the local share, (2) Will provide the local share funds from sources approved by FTA

, and (3) Will provide the local share funds when needed,

h

. It has complied or will comply with, and will require each Subrecipient to comply with, 49 U.S.C. 5303 and 5304, and

i

. It has a locally developed process to solicit and consider public comment before: (1) Raising a fare, or (2) Implementing a major reductio n of public transportation.

GROUP 21. STATE SAFETY OVERSIGHT GRANT PROGRAM.FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

Befo re FTA may provide funding for your Applicant’s P roject under the State Safety Oversight Gra nt Program, 49 U.S.C. 5329(e) , as amended by MAP

- 21

, in addition to other Certifications and Assurances you must select on it s behalf, you must also select the Certifications in Group 21, except as FTA may determine otherwise in writing.

Your Applicant is ultimately responsible for compliance with the Certi fications and Assurances selected on its behalf that apply to its Project, itself , any Subrecipient, or other Third Party Participant in its Project , except as FTA determines otherwise in writing. For this reason, we strongly encourage your Applicant to ta ke appropriate measures, including, but not limited to, obtaining sufficient documentation from each Subrecipient and other Third Party Participants to assure the validity of the applicable Certifications and Assurances selected on behalf of your Applicant

.

Any provision of the Certifications in Group 21 that does not apply will not be enforced.

On behalf of your Applicant, you certify that:

1. It has or will have the following to carry out its proposed Project(s), including the safety and security aspects of its proposed Project(s) :

a. Legal capacity,

b. Financial capacity, and

c. Technical capacity,

2. It has or will have satisfactory continuing control over the use of Project equipment and facilities,

3. It will maintain its Project equipment and facilities adequately,

4

. When c arrying out a procurement for its Project

, it will comply with the:

a. The Uniform Administrative Requirements for Grants and Cooperative

A greements to States and Local Governments, 49 C.F.R. part 18,

b. General P rovisions of 49 U.S.C. 5323, and

c

. Third Party Contract R equirements of 49 U.S.C. 5325,

5

. As required by 49 U.S.C. 5329(e)(6)(C), it :

a. Has or will have the amount of funds requ ired for the local share,

b. Will provide the local share funds only from sources approved by FTA, and will not be met by: (1) Any Federal funds, (2) Any funds received from a public transportation agency, or (3) Any revenues earned by a public transporta tion agency, and

c. Will provide the local share funds when needed,

6. It meets the applicable requirements of 49 C.F.R. part 659, Rail Fixed Guideway Systems : State Safety Oversight, and

7. It has received or will receive an FTA certification upon a determination that its State Safety Oversight Program meets the requirements of 49 U.S.C. 5329(e) and is adequate to promote the purposes of 49 U.S.C. 5329.

GROUP 22. PUBLIC TRANSPORTATION EMERGENCY RELIEF PROGRAM.FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

Before FTA may provide funding for you r Applicant’s P roject under the Public Transportation Emergency Relief Program, 49 U.S.C. 5324, as amended by MAP

- 21, in addition to other Certifications and Assurances you must select on its behalf, you must

also select the Assurance in Group 22, except a s FTA may determine otherwise in writing

.

Your Applicant is ultimately responsible for compliance with the Assurances selected on its behalf that apply to its Project, itself , any Subrecipient, or other Third Party Participant in its Project , except as FTA determines otherwise in writing. For this reason, we strongly encourage your Applicant to take appropriate measures, including, but not limited to, obtaining sufficient documentation from each Subrecipient and other Third Party Participants to assure t he validity of the applicable Certifications and Assurances selected on behalf of your Applicant

.

Any provision of the Assurance in Group 22 that does not apply will not be enforced.

As required by 49 U.S.C. 5324(d), o n behalf of your Applicant, you assu re that it will comply with the requirements of the Certifications and Assurances as FTA determines will apply to an Applicant for funding appropriated or made available for the Public Transportation Emergency Relief Program.

GROUP 23. EXPEDITED PROJECT DELIVERY PILOT PROGRAM

.

Before FTA may provide funding for your Applicant’s Project under the Expedited Project Delivery Pilot Program , section 20008(b)(5)(D) of MAP

- 21, in addition to other Certifications and Assurances you must select on its behalf, you must also select the Certification in Group 23, except as FTA may determine otherwise in writing

.

Your Applicant is ultimately responsible for compliance with the Certifications and Assurances selected on its behalf that apply to its Project, itself

, any Subrecipient, or other Third Party Participant in its Project , except as FTA determines otherwise in writing. For this reason, we strongly encourage your Applicant to take appropriate measures, including, but not limited to, obtaining sufficient docume ntation from each Subrecipient and other Third Party Participants to assure the validity of the applicable Certifications and Assurances selected on behalf of your Applicant

.

To the extent that the Certification in Group 23 does not apply , it will not be enforced.

On behalf of your Applicant, you certify that its e xisting public transportation system or the public transportation system that is the subject of the Project is in a state of good repair

, as required by section 20008(b)(5)( D ) of MAP

- 21

.

GROUP 2 4

. INFRASTRUCTURE FINANCE PROGRAMS

.

The Certifications in Group 24 apply to the following programs:FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

24.A. The Transportation Infrastructure Finance and Innovation Act (TIFIA) Program,

23 U.S.C. 601

- 609, except as superseded by MAP

- 21 cross

- cutting requirements that apply

, and

24.B. The State Infrastructure Banks (SIB) Program, 23 U.S.C. 610

, except as superseded by MAP

- 21 cross

- cutting requirements that apply

.

Before FTA may provide credit assistance under TIFIA for your Applicant’s Project or funding for your Applicant to deposit in a SIB

, in addition to other Certifications and Assurances you must select on your Applicant’s behalf, you must also select the Certifications in Group 24, except as FTA may dete rmine otherwise in writing

.

Your Applicant is ultimately responsible for compliance with the Certifications and Assurances selected on its behalf that apply to its Project, itself , any Subrecipient, or other Third Party Participant in its Project , except as FTA determines otherwise in writing. For this reason, we strongly encourage your Applicant to take appropriate measures, including, but not limited to, obtaining sufficient documentation from each Subrecipient and other Third Party Participants to assur e the validity of the applicable Certifications and Assurances selected on behalf of your Applicant

.

Any provision of the Certifications and Assurances in Group 24 that does not apply will not be enforced.

24. A. Transportation Infrastructure Finance and Innovation Act (TIFIA) Program

.

If your Applicant seeks FTA funding for its Project under the TIFIA Program, the Certification s and Assurances in Group 2 4.A applies to your Applicant, except as FTA determines otherwise in writing.

On behalf of your Applicant, you certify and assure

, a s required by 49 U.S.C. 5323(o), that Federal transit laws, specifically 49 U.S.C. 5307, 49 U.S.C. 5309, and 49 U.S.C. 5337, apply to any P roject under 49 U.S.C. chapter 53 that receives TIFIA credit

assistance under 23 U.S.C. 601

– 60 9

. 1. To comply with 49 U.S.C. 5307, specifically 49 U.S.C. 5307(d)(1), on its behalf, you

certif y that:

a. It has or will have the following to carry out its proposed Project(s), including the safety and security aspects of its proposed Project(s) : (1) Legal capacity

, (2) Financial capacity , and ( 3) Technical capacity

, b. It has or will have satisfactory continuing control over the u se of P roject equipment and facilities,

c. It will maintain its P roject equipment and facilities adequately,

d. It will ensure that when, during non

- peak hours for transportation using or involving a facility or equipment of a TIFIA

- financed P roject, a far e that is notFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

more than fifty ( 50 ) percent of the peak hour fare will be charged to the following

individuals : (1) A senior, (2) An individual who, because of illness, injury, age, congenital malfunction, or other incapacity or temporary or permanent disability (including an

individual who is a wheelchair user or has semi

- ambulatory capability), cannot use a public transportation se rvice or a public transportation facility effectively without special facilities, planning, or design, or (3) Any individual presenting a Medicare card issued to that individual under

title II of the Social Security Act (42 U.S.C. 401 et seq .), and (4) An y individual presenting a Medicare card issued to that individual under

title XVIII of the Social Security Act (42 U.S.C. 1395 et seq .),

e. W hen carrying out a TIFIA

- funded procurement, it will comply with : (1) 49 U.S.C. 5323, and (2) 49 U.S.C. 5325,

f. It has complied with or will comply with 49 U.S.C. 5307(b)

, because it: ( 1 ) Has made or will make available to the public information on amounts of its

TIFIA funding request(s)

, ( 2 ) Has developed or will develop, in consultation with interested parties, including private transportation providers, a proposed P rogram of P rojects for activities to be funded, (3) Has published or will publish a P rogram of P rojects in a way that affected individuals, private transportation providers, and local elected officials will have an opportunity to examine and submit comments on the proposed Program of P rojects and its performance as a n Applicant or Recipient, (4) Has provided or will provide an op portunity for a public hearing to obtain the views of individuals on the proposed P rogram of P rojects, (5) Has en sured or will en sure that the proposed Program of P rojects provide s for coordination of public transportation services fund ed by FTA under 49

U.S.C. 5336 and U.S. DOT under TIFIA with federally funded transportation services supported by other United States Government sources, (6) Has considered or will consider the comments and views received, especially those of private transporta tion providers, in preparing its final Program of

P rojects, and (7) Has made or will make the final Program of P rojects available to the public,

g. It : (1) Has or will have at least (twenty) 20 percent of the TIFIA net P roject costs required for the local share

, (2) Will provide the local share funds from sources approved by FTA , and (3) Will provide the local share funds when needed,

h. It will comply with : (1) The Metropolitan Transportation Planning requirements of 49 U.S.C. 5303

, and (2) The State wide and Nonmetropolitan Planning requirements of 49 U.S.C.

5304

,FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

i. It has a locally developed process to solicit and consider public comment before: (1) Raising a fare, or (2) Implementing a major reduction of public transportation, and j

. It will c om ply with the final Federal regulations

, when issued, that implement the safety plan r equirements of 49 U.S.C. § 5329 (d)

, 2. To comply with the interest and financing costs restriction s of 49 U.S.C. chapter 53, it agrees that it will not seek reimbursement for interest and other financing costs

incurred in connection with its Project that must be in compliance with those requirements unless:

a. It is eligible to receive Federal funding for those expenses, and

b. Its records demonstrate that it has used reasonable diligence in seeking the most favorable financing terms underlying those costs, to the extent FTA may require.

3. It will comply with Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000d et seq .)

4. The National Environmental Policy Act of 1969 (NEPA), 42 U.S.C. 5321 et seq., and will receive an environmental categorical exclusion, a finding of no significant impact, or a record of decision under NEPA for its Project prior to obligation of funds, and

5

. It agree s that it will adopt a transit asset management plan that complies with regulations implementing 49 U.S.C. 5326(d)

, when required

.

24. B. State Infrastructure Banks (SIB) Program

.

If your Applicant is a State and seeks FTA funding under the SIB Program to deposit in

its SIB

, t he Certificatio ns and Assurances in Group 24

. B applies to your State and its Project, except as FTA determines otherwise in writing.

On behalf of the State organization serving as your Applicant for funding for its SIB Program, you certify and assure that:

1. It will comply with t he following applicable Federal laws establishing the various SIB programs since 1995:

a. 23 U.S.C. 610, as amended by MAP

- 21,

b. 23 U.S.C. 610 or its predecessor before MAP

- 21 was signed into law,

c. Section 1511 of TEA

- 21, 23 U.S.C. 181 note, or

d. Section 350 of the National Highway System Designation Act of 1995, as amended, 23 U.S.C. 181,

2. It will comply with or follow t he Cooperative Agreement establishing the State’s SIB program between:

a. It and FHWA, FRA, and FTA, or

b. It and FHWA and FTA,

3. It will comply with or follow t he Grant Agreement that provides FTA funding for the

SIB and is between it and FTA

, including the FTA Master Agreement, which is incorporated by reference into the G rant Agreement, except that any provision of the FTA Master Agreement incorporated by reference into that Grant Agreement will not apply if it conflicts with any provision of:

a. 23 U.S.C. 610, as amended by MAP

- 21,FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

b. 23 U.S.C. 610 or its predecessor bef ore MAP

- 21 was signed into law,

c. Section 1511 of TEA

- 21, 23 U.S.C. 181 note, or section 350 of the National Highway System Designation Act of 1995, as amended, 23 U.S.C. 181 note,

d. Federal guidance pertaining to the SIB Program,

e. The Cooperative Agreement establishing the State’s SIB Program, or

f. The FTA Grant Agreement,

4. A s required by 49 U.S.C. 5323(o), Federal transit laws, specifically 49 U.S.C. 5307,

49 U.S.C. 5309, and 49 U.S.C. 5337, as amended by MAP

- 21, apply to any P roject

under 49 U.S.C. chapter 53 that receives SIB support or financing under 23 U.S.C. 610 (or any support from 23 U.S.C. 601

– 60 9 )

, 5. A s required by 49 U.S.C. 5323(o) and 49 U.S.C. 5307(d)(1) :

a. It has or will have the following to carry out its pr oposed Project(s) , including the safety and security aspects of those proposed Project(s) : (1) Legal capacity, (2) Financial capacity, and (3) Technical capacity,

b. It has or will have satisfactory continuing control over the use of P roject equipment and facilities,

c. It will maintain its P roject equipment and facilities adequately,

d. It will ensure that when, during non

- peak hours for transportation using or involving a facility or equipment of a SIB

- financed P roject, a fare that is not more

than fifty ( 50 ) percent of the peak hour fare will be charged to the following

individuals : (1) A senior, (2) An individual who, because of illness, injury, age, congenital malfunction, or other incapacity or temporary or permanent disability (including an

individu al who is a wheelchair user or has semi

- ambulatory capability), cannot use a public transportation service or a public transportation facility effectively without special facilities, planning, or design, (3) An individual presenting a Medicare card issued to that individual under

title II of the Social Security Act (42 U.S.C. 401 et seq. ), or (4) An individual presenting a Medicare card issued to that individual under

title XVIII of the Social Security Act (42 U.S.C. 1395 et seq .),

e. When carrying out a procurement under a SIB

- financed Project

, it will comply

with the: (1) General P rovisions of 49 U.S.C. 5323, and (2) Third Party Contract Provisions of 49 U.S.C. 5325,

f. It has complied with or will comply with 49 U.S.C. 5307(b)

, because it: (1) Has made or will make available to the public information on amounts of its funding requested under the SIB program

, (2) Has developed or will develop, in consultation with interested parties, including private transportation providers, a proposed Program of Projects for activities to be funded, (3) Has published or will publish a Program of Projects in a way that affected individuals, private transportation providers, and local elected officials willFTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

have an opportunity to examine and submit comments on the proposed Program of Projects and its performance as an Applicant or Recipient, (4) Has provided or will provide an opportunity for a public hearing to obtain the views of individuals on the proposed Program of Projects, (5) Has ensured or will ensure that the proposed Program of Projects provide for

coordination of public transportation services funded by FTA under

49 U.S.C. 5336 and the SIB Program with federally funded transportation services supported by other United States Government sources, (6) Has c onsidered or will consider the comments and views received, especially those of private transportation providers, in preparing its final Program of Projects, and (7) Has made or will make the final Program of Projects available to the public,

g. It : (1) H as or will have the amount of funds required for the local share by the SIB Program, but not less than twenty

- five ( 25 ) percent of each capitalization
grant

, (2) Will provide the local share funds from sources approved by FTA , and (3) Will provide the local share funds when needed,

h. It will comply with the : (1) The Metropolitan Transportation Planning requirements of 49 U.S.C. 5303

, and (2) The State wide and Nonmetropolitan Planning requirements of 49 U.S.C.

5304

, i. It has a locally developed proce ss to solicit and consider public comment before: (1) Raising a fare, or (2) Implementing a major reduction of public transportation, and j

. It will c omply with the final Federal regulations

, when issued, that implement the safety plan r equirements of 49 U.S.C. § 5329 (d)

, 2

. As required by 49 U.S.C. chapter 53, it certifies that it will not seek reimbursement for interest and other financing costs incurred in connection with its Project unless:

a. It is eligible to receive Federal funding for those expe nses, and

b. Its records demonstrate that it has used reasonable diligence in seeking the most favorable financing terms underlying those costs, to the extent FTA may require

, and

3. I t agrees that it will adopt a transit asset management plan that compli es with regulations implementing 49 U.S.C. 5326(d).

Selection and Signature Page(s) follow.FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

FEDERAL FISCAL YEAR 201 4 CERTIFICATIONS AND ASSURANCES FOR

FEDERAL TRANSIT ADMINISTRATION ASSISTANCE PROGRAMS
(Signature page alternative to providing Certifications and Assurances in TEAM

- Web)

Name of Applicant : ____________________________________________________________

The Applicant agrees to comply with applicable provisions of Groups 01

– 24. ______

OR The Applicant agrees to comply with applicable provisions of the Groups it has selected:

Group Description

01. Required Certifications and Assurances for Each Applicant

.

______

02. Lobbying

.

______

03. Procurement and Procurement Systems

.

______

0 4

. Private Sect or Protections

.

______

05. Rolling Stock Reviews and Bus Testing.

______

0 6

. Demand Respons iv e Service.

______

07. Intelligent Transportation Systems.

______

08. Interest and Financ ing Costs and Acquisition of Capital Assets by Lease

.

______

09

. Transit Asset Management Plan and Public Transportation Agency S afety Plan.

______

10

. Alcohol and Controlled Substances Testing

.

______

11. Fixed Guideway Capital Investment Grants Program ( New Starts, Small Starts, and Core Capacity ) and Capital Investment Program in Effect b efore MAP

- 21

. ______

12. State of Good Repair Program.

______

13. Fixed Guideway Modernization Grant Program

.

______

1 4

. Bus and Bus Facilities Formula G rants Program and Bus and Bus Related Equipment and Facilities Grant Program (Discretionary)

. ______

1 5

. Urbanized Area Formula Grants Programs , Passenger Ferry Grants Program, and J ob Access and Reverse Commute (J ARC ) Program

. ______

1 6

. Seniors/Elderly/Individuals with Disabilities Programs and New Freedom Program.

______

1 7

. Rural/Other Than Urbanized Areas /Appalachian Development/ Over

- the

- Road Bus Accessibility Pro gram s

. ______

1 8

. Public Transportation on Indian Reservations Programs (also known as the Tribal Transit Programs )

. ______

19

. Low or No Emission/Clean Fuels Grant Programs

.

______

20. Paul S

. Sarbanes Transit in Parks Program

.

______

21. State Safety Oversight Program

.

____ __

22. P ublic Transportation Emergency Relief Program

.

______

23. E xpedited Project Delivery Pilot Program

.

______

24. Infrastructure Finance Program s

.

______FTA FISCAL YEAR 2014 CERTIFIC A TIONS AND ASSURANCES

FEDERAL FISCAL YEAR 201 4 FTA CERTIFICATIONS AND ASSURANCES SIGNATURE PAGE (Required of all Applicants for FTA funding and all FTA Grantees with an active C apital or F ormula P roject)

AFFIRMATION OF APPLICANT

Name of the Applicant: ____________________________________________________________________________

Name and Relationshi p of the Authorized Representative: _________________________________________________

BY SIGNING BELOW, on behalf of the Applicant, I declare that it has duly authorized me to make these

C ertifications and A ssurances and bind it s compliance. Thus, it agre es to comply with all Federal statutes and regulations, and follow applicable Federal guidance , and comply with the C ertifications and A ssurances as indicated on the foregoing page applicable to each application it s Authorized R epresentative makes to the Federal Transit Administration (FTA) in Federal Fiscal Year 201 4 , irrespective of whether the individual that acted on his or her Applicant’s behalf continues to represent it

.

FTA intends that the C ertifications and A ssurances the Applicant selects on the other side of this document should apply to each P roject for which it seeks now, or may later seek FTA funding during Federal Fiscal Year 201 4

.

The Applicant affirms the truthfulness and accuracy of the C ertifications and A ssurances it has selected in the statements submitted with this document and any other submission made to FTA, and acknowledges that the Program Fraud Civil Remedies Act of 1986, 31 U.S.C. 3801 et seq ., and implementing U.S. DOT regulations, “Program Fraud Civil Remedies,” 49 CFR part 31

, apply to any c ertification, a ssurance or submission made to FTA. The criminal provisions of 18 U.S.C. 1001 apply to any certification, assurance, or submission made in connection with a Federal public transportation program authorized by 4 9 U.S.C. chapter 53 or any other statute

In signing this document, I declare under penalties of perjury that the foregoing C ertifications and A ssurances, and any other statements made by me on behalf of the Applicant are true and accurate.

Signature____________________________________________________________ Date: _________________

Name_______________________________________________________________ Authorized Representative of Applicant

AFFIRMATION OF APPLICANT’S ATTORNEY

For (Name of Applicant): ________________________________________________________________________

As the undersigned Attorney for the above named Applicant, I hereby affirm to the Applicant that it has authority under State, local, or tribal government law, as appl icable, to make and comply with the C ertifications and A ssurances as indicated on the foregoing pages. I further affirm that, in my opinion, the C ertifications and A ssurances have been legally made and constitute legal and binding obligations on it.

I fur ther affirm that, to the best of my knowledge, there is no legislation or litigation pending or imminent that might adversely affect the validity of these C ertifications and A ssurances, or of the performance of its FTA Project or Projects

.

Signature______ ______________________________________________________ Date: _________________

Name_______________________________________________________________ Attorney for Applicant

Each Applicant for FTA funding and each FTA Grantee with an active C ap ital or F ormula P roject must provide an Affirmation of Applicant’s Attorney pertaining to the Applicant’s legal capacity. The Applicant may enter its signature in lieu of the Attorney’s signature, provided the Applicant has on file this Affirmation, signed by the attorney and dated this Federal fiscal year.UNITED STATES OF AMERICA

DEPARTMENT OF TRANSPORTATION

FEDERAL TRANSIT ADMINISTRATION

SUPPLEMENTAL AGREEMENT (A ttachment to FTA G-20 , October 1, 2013)

It is the practice of the Federal Transit Administration to enter into a formal agreement with the Designated Recipient for projects that the Designated Recipient does not carry out directly. Under this Grant Agreement, the Grant Recipient is not the Designated Recipient. Therefore, the Designated Recipient hereby agrees to permit the Grant Recipient under this Grant Agreement to receive and dispense the Federal assistance funds described in this Grant Agreement. The Designated Recipient further agrees that the Grant Recipient shall assume all responsibilities set forth in this Grant Agreement.

The Federal Government and the Grant Recipient under this Grant Agreement hereby agree that the Designated Recipient is not in any manner subject to or responsible for the terms and conditions of this Grant Agreement and is a party to this Grant Agreement only to assign the right to receive and dispense Federal funds to the Grant Recipient as described above.

Signature: _______________________________________ Date: ________________

Name (Print/Type): _______________________________

Authorized Official

Federal Transit Administration

Signature: _______________________________________ Date: ________________ Name (Print/Type):

_______________________________ Authorized Official Designated Recipient

Signature: _______________________________________ Date: ________________

Name (Print/Type): _______________________________

Authorized Official Grant RecipientUNITED STATES OF AMERICA

DEPARTMENT OF TRANSPORTATION

FEDERAL TRANSIT ADMINISTRATION

GRANT AGREEMENT (FTA G-20, October 1, 2013)

On the date the authorized U.S. Department of Transportation, Federal Transit Administration (F TA) official signs this Grant Agreement, FTA has Awarded Federal assistance in support of the Proje ct described below. Upon execution of this Grant Agreement by the Grantee named

be low, the Grant ee affirms this U.S. Department of Transportation, FTA Award in support of the Project described below 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," FTA MA(20), October 1, 2013,

htt p://www.fta.dot.gov/documents/20-Master.pdf

, (2) The Certifications and Assurances applicable to the Project that the Grant ee 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 GRANT EE DOES NOT EXECUTE THIS

GRANT AGREEMENT WITHIN 90 DAYS FOLLOWING THE DATE OF THIS FTA

AW ARD SET FORTH HEREIN.

FTA AWARD

FTA hereby awards a Federal Grant as follows:

P roject No.:

Grant ee :

Citation of Statute(s) Authorizing Project:

Estimated Total Eligible Cost:

Maximum Total FTA Amount Awarded:

Amount of This FTA Award:

Maximum Percentage(s) of FTA Participation:Project No.

U.S. Department of Labor Certification of Public Transportation Employee Protective Arrangements: Certification Date

Original Project:

Amendment Number:

Project Description:

Conditions of Award:

FTA has awarded Federal assistance for this Grant Agreement as of ______________________,

which is the Date of this FTA Award.

By: Signature: _______________________________________
Name: __________________________________________

Title:

___________________________________________ FEDERAL TRANSIT ADMINISTRATION

U.S. DEPARTMENT OF TRANSPORTATIONProject No.

EXECUTION OF GRANT AGREEMENT

There are several identical counterparts of this Grant Agreement in typewritten hard copy. Each counterpart is: (1 ) Fully signed in writing by the duly authorized officials of FTA or the Federal Government

and the Grant ee , and (2 ) Deemed to be an original having identical legal effect.

Upon full execution of this Grant Agreement by the Grant ee , the E ffective Date will be the date FTA or the Federal Government awarded Federal assistance for this Grant Agreement.

By executing this Grant Agreement, the Grant ee intends to enter into a legally binding agreement

in which the Grant ee : (1) Affirms this FTA Award, ( 2 ) Adopts and ratifies all of the following information it has submitted to FTA: (a) Statements, (b) Representations, (c) Warranties, (d) Covenants, and (e) Materials, ( 3 ) Consents to comply with the requirements of this FTA Award, and (4 ) Agrees to all terms and conditions set forth in this Grant Agreement.

Executed by the Grant ee this _______ day of __________________________, 201____.

ATTEST: BY:

Signature: ____________________________ Signature: _________

_____________________

Name (Print/Type): _____________________

_____________________________________ TITLE AND ORGANIZATION Name (Print/Type): ______________________

______________________________________ TITLE AND ORGANIZATIONFor Customer Use:

I have an existing Acct. #

This resolution is for:

New Account

Change to Existing Acct. # For OTFS Use Only: Acct Approved Auth Entered.

Audit Wire Instructions

Addr Entered Wire Templates Approval:

AD1 AD2

Res. form 2000A

GEORGIA FUND 1 (local government investment pool)

RESOLUTION TO AUTHORIZE INVESTMENT

WHEREAS , Ga. Code Ann. § § 36

- 83

- 1 to 36

- 83

- 8 authorizes Georgia local governments and other authorized entities to invest funds through the local government investment pool, and

WHEREAS , from time to time it may be advantageous to the

to deposit funds available for (Name of Local Government, Political Subdivision or State Agency) investment in Georgia Fund 1 (hereinafter referred to as the local government investment pool) as it may deem appropriate; and

WHEREAS , to provide for the safety of such funds deposited in the local government investment pool,

investmen ts are restricted to those enumerated by Ga. Code Ann. § 36

- 83

- 8 under the direction of the State Depository Board, considering first the probable safety of capital and then the probable income to be derived; and WHEREAS

, such deposits must first be duly au thorized by the governing body of the local government or authorized entity and a certified copy of the resolution authorizing such investment filed with the Treasurer of the Office of the State Treasurer ; and

WHEREAS , such resolution must name the offic ial(s) authorized to make deposits or withdrawals of funds in the local government investment pool; and

WHEREAS , Ga. Code Ann. § 36

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- 8 requires a statement of the approximate cash flow requirements of the participating government pertaining to the funds to accompany the authorization to invest such funds at the time such deposits are duly authorized;
NOW, THEREFORE BE IT RESOLVED by the (Board, Council or other Governing Body)

that funds of the may be deposited from time to (Local Government, Political Subdivision, or State Agency) time in the manner prescribed by law and the applicable policies and procedures for the local government investment pool.

BE IT FURTHER RESOLVED THAT : 1. Any one of the following individuals shal l be authorized to deposit and/or withdraw funds from the local government investment pool on behalf of such government or other authorized entity (if a listed individual is employed by an entity other than the depositor, indicate employer):

Name, Title, (Employer, if applicable ) (Area Code) Phone Number
Email: ______________________________________________

Email: ______________________________________________

Email: _____________________

__________________________

Email: _______________________________________________

Email: _______________________________________________

2. All withdrawals from the local government investment pool shall be wired to the f ollowing parti cipant’s demand deposit account: ( Many banks have separate instructions for wires and ACH deposits. Please verify both sets of instructions with your bank and provide them below. This will ensure accurate delivery of your funds to the desi gnated bank accoun t )

.
(For ACH )

________________________________________ _____________________________________________ (Local Bank Name) (Account Title)

_________________________________ _______________________ (ABA Number) (Account Number) (City, State)

(For WIRE )

_________________________________
____________________________________________________ (Local Bank Name) (Account Title)

_________________________________ ___________________________
_______________________ (ABA Number) (Account Number) (City, State)(If applicable) Our local bank prefers to receive credit for wire transfers at the following Correspondent Bank :

(Bank Name) (City) ( ABA Number) (Account Number)

Additional Bank Account (if applicable ):

(For ACH )

________________________________________ _____________________________________________ (Local Bank Name) (Account Title)

_____________________________ ____ _______________________ (ABA Number) (Account Number) (City, State)

(For WIRE )

_________________________________ ____________________________________________________ (Local Bank Name) (Account Title)

_______________ _________________________
______________________________ ________________________ (ABA Number) (Account Number) (City, State)

Correspondent Bank (if applicable):

(Bank Name) (City) (ABA Number) (Account Number)

3. The local government investment pool shall mail the monthly statem ents of account to:

(Attention)

(Address)

(Address)

(City, State & Zip)

4. Changes in the above authorization shall be made by cancellation or replacement resolution del ivered to the

Office of the State Treasurer . Until such a replacement resolution is received by the Office of the State Treasurer

, the above authorized individuals, local government demand account instructions and statement mailing address(es)

shall remai n in full force and effect.

5. The following schedule represents the period in which existing balances are currently expected to remain invested in the local government investment pool:

% 30 days or less; % more than 30 days but less than 90 d ays; % 90 days or longer.

100 %

Entered at , Georgia this day of 20

.

(Signature of Head of Governing Authority)

(Please Print or Type

- Head of Governing Authority)

(Title)

Sworn to and subscribed before me this day of 20

.

(Notary Public)

Please complete and return an original copy to: Georgia Fund 1

Office of the State Treasurer

200 Piedmont Avenue

Suite 12 04 , West Tower Atlanta, GA 30334

- 5527 Telephone: (404) 651

- 8964 or (404) 656

- 2993

Toll Free: (800) 222

- 6748

Fax: (404) 656

- 9048

Georgia Fund 1 (local government investment pool) deposits are not guaranteed or insured by any bank, the Federal

D eposit Insurance Corporation (FDIC), the Federal Reserve Board, the State of Georgia or any other agency. NOTARY SEAL