FY 2013 Application for Transit Funding Wyoming Department of Transportation Section 5317 – New Freedom Agency Name Contact Person New Freedom funding may be used for capital and operating expenses. Funding must support projects that are aimed at providing additional tools to overcome existing barriers facing persons with disabilities seeking integration into the work force and full participation in society and to also reduce barriers to transportation mobility options available to people with disabilities beyond the requirements of the ADA. The Federal share of eligible costs may not exceed: 80% of the net cost for Capital and Expenses 50% of the net cost for Operating Expenses Additional Section 5317 – New Freedom program information is available in FTA Circular 9045.1, found at http://www.fta.dot.gov/documents/FTA_C_9045.1_New_Freedom.pdf . Coordinated Human Service Transportation Plan Applicants must be part of a locally derived Coordinated Human Service Transportation Plan or be approved to be part of a different project by WYDOT prior to submission of this application. Is the requested project part of a Coordinated Human Service Yes No Transportation Plan? If Yes, when did you submit the plan to WYDOT for review and how was this item addressed in the Plan? If you are not sure when you submitted the plan, send the current plan in with your application. If No, why? FY2013 Project Funding Request In the table below, fill in the proposed amounts you are requesting for your project. These amounts should be in whole dollars with no punctuation - $100,000 should be entered as 100000. Also, you MUST include a detailed budget sheet with your application submittal describing specifically what you want these federal funds to pay for and how you arrived at these costs. FY2013 New CAPITAL OPERATING TOTAL Freedom Funds FTA LOCAL TOTAL FTA LOCAL TOTAL FTA LOCAL TOTAL Requested Sources of Local Match 1. $ 2. $ 3. $ 4. $ 5. $ Due to continuing concerns during WYDOT’s A-133 audit, LGC staff may request additional information about your sources of matching funds. Starting in FY 2013, all recipients may be required to provide a detailed report stating what sources of local match were actually expended during the fiscal year. Our Staff will provide you a format and additional instructions at a later date. New Freedom Project Details Describe your proposed project in detail. Include an explanation of what you hope to accomplish by implementing or continuing this service. Identify your anticipated start date. What is the proposed project’s service area (include a map of the service area if available)? How will your proposed project address the goal of New Freedom to increase transportation opportunities for persons with disabilities and to go beyond the requirements of the ADA? How will you target the intended beneficiaries of your project? Do you have a marketing strategy or plan? How does the proposed project enhance access beyond services currently provided by agencies in your proposed service area? Describe your agencies commitment to the proposed project. Will this project continue beyond the availability of the requested grant resources? Is the proposed project a short-term or pilot Yes No Is this proposed project expected to need ongoing Yes No program? If yes, how long? funding from WYDOT beyond FY 2012? What type of transportation service(s) do you expect to utilize with the proposed project? (demand response, fixed route, taxi, etc.) Will your agency operate the service or contract for service? Is there any additional information that you would like us to know about this project? New Freedom Project Objectives Identify the major objectives to be achieved for the proposed project to be successful. Be reasonably detailed and specific. Include the estimated date for completion of each objective. Estimated Objectives Completion Date (M/D/YY) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. If you are awarded this New Freedom project, you will be required to report on a number of performance measures, at least annually, on WYDOT supplied forms. These forms will be supplied to you at the time the project goes to agreement. Information you will be required to report will include, but will not be limited to the following: the number of one-way trips, the number of revenue hours, route length (one-way miles), the number of vehicles in service, the number of jobs targeted.
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