SECTION 5310 FUNDING APPLICATION Enhanced Mobility of Seniors and Individuals with Disabilities

SAVE Rail and Public Transit SECTION 5310 FUNDING APPLICATION Enhanced Mobility of Seniors and Individuals with Disabilities Applicant Information I am the Special Transportation Fund Agency... Yes No SPECIAL TRANSPORTATION FUND AGENCY NAME TriMet TRANSIT AGENCY LEGAL NAME City of Canby TRANSIT AGENCY DBA NAME (OPTIONAL) Canby Area Transit AGENCY MAILING ADDRESS (STREET OR PO BOX) PO Box 930 AGENCY WEB ADDRESS www.canbyareatransit.org NAME OF APPLICATION CONTACT Julie Wehling EMAIL OF APPLICATION CONTACT wehlingj@canbyoregon.gov NAME OF CONTRACT SIGNATORY Richard Robinson EMAIL OF CONTRACT SIGNATORY robinsonr@canbyoregon.gov TRANSIT AGENCY STATUS SERVICE AREA FEDERAL EIN 936002130 CITY, STATE, ZIP Canby, OR 97013 PHONE OF APPLICATION CONTACT 503.266.0751 PHONE OF CONTRACT SIGNATORY 503.266.0745 URBANIZED ZONE Portland area TITLE OF APPLICATION CONTACT Transit Director FAX 503.263.6284 TITLE OF CONTRACT SIGNATORY City Administrator FAX 503.266.7961 Public Agency Non-urbanized or Rural area with population of less than 50,000 What type of service will be supported with the 5310 grant? Select all that apply: Open to the general public at all times Open to the general public on a space-available basis Open only to seniors and individuals with disabilities Limited to defined clientele (e.g. residential home) Demand Response Deviated Route Other (define): Project Selection Select the project types that you wish to include in your application. Select all that apply. A. Purchased Service F. Equipment B. Mobility Management Project G. Signs and Other Amenities C. Replacement Vehicle(s) H. Passenger Shelters D. Service Expansion and Right-sizing Vehicles I. Facilities (Bus Barns and Other Buildings) E. Capitalized Vehicle Preventive Maintenance A. PURCHASED SERVICE PROJECT 1. Project Title PROJECT TITLE CAT Dial-A-Ride (5310) 734-2791 (11/2016) Page 1 of 4

SAVE 2. Explain how your project is planned, designed, and carried out to meet the special needs of seniors and individuals with disabilities when general public transit is either insufficient, inappropriate, or not available: PROJECT SERVICE DESCRIPTION In the past, CAT has received funding for separate aspects of its Dial-A-Ride program. This funding cycle we have combined all aspects of our Dial-A-Ride program into a signal contracted services application with one program description for clarity. In past funding cycles Federal funds (5310 & 5317) have specifically supported a limited geographic expansion and what is known to our customers as our Premium Service. The reality of the program is that the same drivers and vehicles provide all of the CAT Dial-A-Ride service and it operates as one program with more than one qualification standard and more than one level of service. The CAT Dial-A-Ride program provides a variety of services. All services require either advance registration or eligibility approval. The following provides a brief overview of these services. Complementary Paratransit Service (for eligible seniors and persons with disabilities) is provided within ¾ mile of the local Canby Fixed-Route and extends to all locations within the Canby Urban Growth Boundary. Premium Dial-A-Ride Service is available only to customers who are eligible for complementary paratransit services. This service transports individuals to and from destinations within the Oregon City limits. It is limited by trip purpose to medical, education, employment, legal services and social service appointments. General Public Dial-A-Ride Service provides morning and afternoon shopping shuttles and local demand responsive rides to the general public. This service is open to anyone traveling in Canby and is provided on a space available basis (first-come first-served). Without the Premium Dial-A-Ride service all paratransit customers would be required to transfer between CAT Dial-A- Ride and TriMet LIFT for any rides to or from locations within Oregon City s city limits. Often extending the trip length and waiting time substantially. The majority of these customers are traveling to medical appointments in Oregon City. Taking them to their destination rather than making a connection with TriMet LIFT vastly reduces the trip travel time and provides more seamless and efficient service by eliminating the time delay and costs of transferring between providers. The operations costs for the 2 year project is $1,226,395. CAT received $220,400 in 5310 for purchased service during the last biennium. The project cost below holds CAT s overall 5310 request to the level received in the last biennium plus a 3% COLA (as prescribed by the STF Agency). 3. Estimated number of unduplicated individuals (older adults and individuals with disabilities) this project proposes to support in the biennial grant period:... 4. Estimated number of one-way rides this project proposes to provide in the biennial grant period:... 5. On what page is project listed in the Adopted Coordinated Plan?... 6. Date Coordinated Plan adopted:... 725 32,500 2-11 to 2-13 Jun 14, 2016 7. Project cost and match information: TOTAL PROJECT COST MATCH AMOUNT (TOTAL PROJECT COST x 10.27%) GRANT AMOUNT $123,924 $12,726.99 $111,197.01 8. Describe the source of your local match funds in the field below (examples: funds from your budget, STF funds). If the matching funds are not available now, describe when they will be (examples: next fiscal year, January 2016.) Please be specific. LOCAL MATCH DETAILS Match for this project will come from Canby's Payroll Tax Revenue. 9. Is this project part of a group of activities or projects that are dependant on each other (for example, a new transit service that requires capital and operating funds)?... Yes No 10. Does your transit agency have an existing contract for transit?... Yes No 734-2791 (11/2016) Page 2 of 4

SAVE IF YES, NAME THE CONTRACTOR. IF NO, DESCRIBE HOW THE TRANSIT AGENCY WILL PROCURE THE SERVICE AND NAME THE CONTRACTOR IF KNOWN. The City currently has a contract with MV Transit. C. REPLACEMENT VEHICLE PROJECT See application instructions for complete directions. 1. Please enter the following information for each of the vehicles to be replaced: YEAR MAKE MODEL VEHICLE CATEGORY VIN TOTAL NO. SEATS NUMBER OF ADA STATIONS CURRENT MILEAGE DISPOSAL TYPE 2010 Chevrolet StarTrans D 1GB9G5A68A1121989 17 4 117,634 BU 2010 Chevrolet StarTrans D 1GB9G5A65A1122100 17 4 103,317 BU Record(s): 2 DATE CURRENT MILEAGE RECORDED: 12/31/16 2. Condition of vehicle(s): VIN CONDITION EXPLAIN VEHICLE MAINTENANCE HISTORY (KEEP EXPLANATION SIMPLE.) 1GB9G5A68A1121989 1GB9G5A65A1122100 Record(s): 2 Adequate Adequate Bus 18 - is a daily workhorse for the program it averages 19.6K miles per year. It is showing its age and spending more time in the shop. As expected at this age leaks inside the passenger area are starting to happen. Bus 19 - also a daily workhorse for the program averages 17.2K miles per year. It is showing its age and spending more time in the shop. Recently had an elusive electrical issue that kept it off the road for over 2 months. Also has had a few leaks. 3. Will you use the ODOT/DAS state price agreement contract?... Yes No 4. Vehicles to be purchased: VEHICLE CATEGORY QUANTITY COST EACH ($) TOTAL ($) NO. REGULAR SEATS NO. ADA STATIONS TOTAL CAPACITY FUEL TYPE ESTIMATED ORDER DATE ESTIMATED DELIVERY DATE D 1 132,000 132,000 16 4 16 G 9/1/17 1/5/18 1 132,000 132,000 16 4 16 G 9/3/18 1/4/19 TOTALS: 2 GRAND TOTAL: $264,000 32 8 32 Record(s): 1 IF FUEL TYPE IS "OTHER", DESCRIBE: 5. Project cost and match: TOTAL PROJECT COST MATCH AMOUNT (TOTAL PROJECT COST x 10.27%) GRANT AMOUNT $264,000 $27,112.80 $236,887.20 6. Describe the source of your local match funds in the field below (examples: funds from your budget, STF funds). If the matching funds are not available now, describe when they will be (examples: next fiscal year, January 2016.) Please be specific. LOCAL MATCH DETAILS Revenue from salvaged vehicles and payroll tax revenue will fund the match for the buses. 7. On what page is project listed in the Adopted Coordinated Plan?... Replacements are on pg. 5-1 8. Date Coodinated Plan Adopted... 9. Describe how the vehicle(s) will be used in service to seniors and individuals with disabilities: VEHICLE USE DESCRIPTION These replacement buses will be used daily for the CAT Dial-A-Ride program. Jun 14, 2016 734-2791 (11/2016) Page 3 of 4

SAVE 10. Is this project part of a group of activities or projects that are dependant on each other (for example, bus washing station dependant on facility)?... Yes No E. CAPITALIZED VEHICLE PREVENTIVE MAINTENANCE PROJECT 1. Describe how this project coordinates with other services to provide services to seniors and individuals with disabilities: PROJECT COORDINATION DESCRIPTION CAT makes every effort to coordinate with others in the region. We currently connect directly to TriMet, SMART, SCTD, CARTS and Woodburn Transit System (WTS); and coordinate with neighboring transit providers, TriMet LIFT, Ride Connection providers such as the Canby Adult Center and Transportation Reaching People (TRP) and others to arrange rides for elders and people with disabilities traveling outside our service parameters. CAT s PM cost estimate for the 2 year period is $223,467. The project amount below holds CAT s application for Preventive Maintenance (PM) to the same level received in the last grant cycle plus a 3% COLA. 2. Is a Vehicle Preventive Maintenance Plan submitted with your application? A plan reflecting current fleet policies, fleet procedures, and vehicle and lift equipment manufacturer's recommended maintenance schedules is required.... Yes No 3. Number of vehicles included in this preventive maintenance project... 13 4. On what page is project listed in the Adopted Coordinated Plan?... 5. Date Coordinated Plan Adopted... Jun 14, 2016 PM is on page 5-1 6. Project cost and match: TOTAL PROJECT COST MATCH AMOUNT (TOTAL PROJECT COST x 10.27%) GRANT AMOUNT $152,028 $15,613.28 $136,414.72 7. Describe the source of your local match funds in the field below (examples: funds from your budget, STF funds). If the matching funds are not available now, describe when they will be (examples: next fiscal year, January 2016.) Please be specific. LOCAL MATCH DETAILS Match for this project will come from Canby's Payroll Tax Revenue. 8. Is this project part of a group of activities or projects that are dependant on each other (for example, a new transit service that requires capital and operating funds)?... Yes No Submitting your application STF agencies: submit your application to RPTD by using the Submit by Email button, attaching any required documents (such as DCE Worksheets and Preventive Maintenance Plans). Non-STF Agencies: save your application and email it to your STF Agency, attaching any required documents. Total Section 5310 Grant Request: 484,498.9296 SAVE SUBMIT BY EMAIL 734-2791 (11/2016) Page 4 of 4

State of Oregon Fiscal Year 2017-19 BIENNIUM TRI- COUNTY AREA GRANT APPLICATION 5310: Enhanced Mobility of Seniors &Individuals with Disabilities 5310 Formula - Project Application Supplemental Questions Instructions: Applicants submit one copy of this form per Project Proposal (including Ride Connection Partner Providers). ** For Purchase Service and Mobility management projects, fill out questions #3-27. All other project types may skip those questions. Applicant Information Applicant Project Description 1. Project Title: 2. Provide a brief summary describing this project. What will be the finished product or service and what are the operational activities? (1000 Characters or less) Page 1

3. Describe the Geographic Area to be Served by Project. Include Boundaries, Borders, Jurisdictions and specify if area served is urban, rural, suburban, etc. (500 Characters or less) 4. How does your project meet the guiding principles in the CTP? (describe activities) (500 Characters or less) 5. Does your project address one or more of the strategic initiatives in the CTP or address a service gap per the Service Guidelines and Standards listed in the Coordinated Transportation Plan? (Describe activities) (500 Characters or less) Project Quality Describe the service need for this project. 6. Who does this project serve? Check all that apply. o Seniors o Persons with Disabilities o Low Income Individuals o Other: 7. What percent of the population using this project are seniors and/or people with disabilities? % Page 2

8. Is this the only available service option for seniors and/or people with disabilities in the service area? 9. What is the level of service this project provides to customers? (Check all that apply) o Door to Door o Door through Door o Fixed Route or Deviated Fixed Route o Mobility Management o Other: 10. How do customers request and receive rides, including scheduling and dispatching? (500 Characters or less) 11. How is the project marketed? (500 Characters or less) Describe how your project increases accessibility. 12. Does this project increase access or opportunity to people of color, low income individuals or an underserved population?, describe (500 Characters or less): Page 3

Describe the level of collaboration and coordination for this project. 13. Does this project involve collaboration or coordination with other partner agencies or service providers? 14. Do you ensure that duplication of services is avoided? 15. Does the project application include a new or innovative approach to coordinate and collaborate? 16. If you answered yes to questions #13-15, provide a detailed description below, including a list of partner agencies or service providers. (750 Characters or less) Describe your projects customer service and experience. 17. Does the project improve ease of scheduling, or on-time Performance? 18. Does the project improve the customer on-board experience? 19. Does the project improve rider s wait time at a stop or station? Page 4

20. If you answered yes to questions #17-19, provide a detailed description below. (750 Characters or less) Project Milestones Explain the milestones of the project. 21. For each milestone include a start date and the estimated milestone completion end date in m/m/yy format. Example milestones include: design, public involvement, contract award, capital purchase, service implementation. Include project end date if applicable. Milestone: Start Date: Completion: Project Start Date Projected Goals and Measurables Purchase Service Projects: Explain your ridership goals and/or other measurable goals you intend to meet with this project during this funding cycle. 22. Purchase Service Projects must provide at least ridership, vehicle hour and vehicle mile goals. Page 5

Measurable: Year 1: Year 2: Total one way Rides Total paid driver hours Total paid driver hours Total volunteer driver hours Cost per trip # of individuals served Vehicle Hours Vehicle Miles Other (describe): Describe how your project is Cost-effective. 23. Describe how you measure cost-effectiveness? (250 Characters or less) 24. Does this project improve the cost-effectiveness of services (such as through improved dispatch, ride matching, technology, etc.)? 25. Does the project implement new technology to enhance service or improve costeffectiveness? 26. If you answered yes to questions #24-25, provide a detailed description below. (750 Characters or less) Page 6

5310 Formula Project Funding Request Baseline Funding Request 27. Are you requesting funding for an existing or new project? o Existing Project o New Project 28. If you are requesting funding for an existing project, did this project receive STF or 5310 Formula Funding in the FY15-17 Biennium?, Award Amount: $ 29. Baseline 5310 Formula Request: $ Instructions: Enter the total baseline 5310 funding needed to sustain project. This should be the same request amount that you entered into the ODOT 5310 application. - Existing projects: To calculate, use FY16-17 5310/STF Formula award + 3% COLA. - New Projects and projects with no FY15-17 Biennium 5310 Formula Funding: To calculate, enter the amount of 5310 funding needed to maintain or start project. 30. 5310 Formula is what Percent (%) of Total Project Budget: % 31. Is this request a one-time need or continual request in future STF/ 5310 funding cycles? o On-time Need o Continual Request Scaled-Back Funding Request In past funding cycles, applicants were strongly encouraged to request the full amount of STF/ 5310 funding that is needed for each project, including funding for new projects. However, due to a 12.3% reduction in available 5310 funding levels, 5310 applicants are asked to request a self-censored scaled-back request. Page 7

32. Scaled-back 5310 Formula Request: $ Instructions: Please enter your scaled-back request for this project. Start at a 15.3% reduction from your baseline request (15.3% = funding level reduction and 3% Baseline Request COLA). Use your professional judgment to scale back more or less than 15.3% depending on your ability to scale the project. To scale back on vehicle replacements, consider including only vehicles that are not only eligible for replacement, but have reached the end of life and will impact ability to deliver service. 33. Describe your Scaled-back request: What aspects of the project will not be funded under a scaled request and what activities will be cut from the baseline funding request? How would the scaled request impact service levels and consumers? (1,000 Characters or less) Unmet Need Provide the following information to help the STFAC and elected officials understand the magnitude and cost of needs that are currently not met by flat and/or declining funding levels. 34. Total funding needed for unmet need: $ Instructions: If the project were fully funded to meet the entire demonstrated need, what is the total project funding needed to meet this need? Examples of unmet need include: turndown, latent demand, hours of service, headway frequency, historical service cut, service needs identified in master plan, etc. 35. What is the unmet need related to this project? How would you allocate the funding need demonstrated in question #39? Describe the need and the service to meet the need. How many additional people or riders will benefit above and beyond the baseline requested amount, if these services were provided? Does your unmet need include the loss of funding sources or need supplemental funding? If so, how much and what is the source? You may attach more detail or supporting documentation to this application. Page 8

Project Budget Total Project Costs Enter all estimated costs for all funding sources involved in the total cost of the project for year one and year two. (Note: All costs entered in project budget breakdown tables must add up to this project grand total. Do not include in-kind contributions.) 36. Project Cost Grand Total: Year 1: Year 2: Biennium Project Cost Grand Total: $ 37. Administrative Costs Breakdown Year 1: Year 2: Payroll/Benefits Insurance, services or supplies (IT, rent, supplies, telecommunications, etc.) Other (describe): Biennium Administration Cost Total: $ Page 9

38. Operations Costs Breakdown Payroll & Benefits: Year 1: Year 2: Contracted Services: Materials & Supplies: Fuel, Maintenance, & Preventative Maintenance: Other (describe): Biennium Operations Cost Total: $ 39. Capital Costs Breakdown Year 1: Year 2: Software and Hardware Equipment Vehicle Purchases Other (describe): Biennium Capital Cost Total: $ 40. Construction Costs Breakdown Year 1: Year 2: Describe: Describe: Describe: Biennium Construction Cost Total: $ Total Project Funding Sources List all funding sources and amounts leveraged each year to support the total cost of the project for year one and year two (e.g. county contributions, STF Discretionary funds, donations, 5311, 5310). The Funding Sources Grand Total must equal the Project Cost Grand Total entered in question #36. (Note: All funding sources entered in Funding Sources Breakdown table must add up to this project grand total. Do not include in-kind contributions.) Page 10

41. Funding Sources Grand Total: Year 1: Year 2: Biennium Funding Sources Grand Total: $ 42. Funding Sources Breakdown Year 1: Year 2: Source 1: Baseline 5310 Formula Funds Requested Source 2: Source 3: Source 4: Source 5: Source 6: Source 7: Source 8: Source 9: Source 10: Biennium Funding Sources Total: $ In Kind Contributions 43. Enter the value of all in-kind contributions Year 1: Year 2: Description: Description: Description: Description: Description: Description: Description: Biennium In Kind Contribution Total Value: $ Page 11

44. Describe if and how volunteers are utilized to provide service. Indicate if you are providing a mileage reimbursement rate to volunteers using their own vehicles. (500 Characters or less) Staffing Data 45. Economic Impact: Identify the positions supported by your 5310 funding request and the amount of FTE per position. Direct Staff Contracted Staff Year 1 FTE: Year 2 FTE: Position: [ ] [ ] Position: [ ] [ ] Position: [ ] [ ] Position: [ ] [ ] Position: [ ] [ ] Position: [ ] [ ] Biennium Combined FTE Total: Local Match 46. Please indicate if you are submitting a FY18-19 STF Formula Project Application to fund the local Match for this project: o There is no FY18-19 STF project application tied to this project o The FY18-19 STF project application title is: 47. Are you are requesting funding for replacement vehicles, and if yes, were the existing vehicles purchased with State or Federal funds??, I am not requesting funding for replacement vehicles., the existing vehicle were purchased with State Funds, the existing vehicle were purchased with Federal Funds Page 12

48. If you are receiving funds from an existing contract or intergovernmental agreement to provide the local match for this project, please provide the contract name and contract number and specify who is party to the agreement:. Application Attachments You can attach additional supporting documentation, such as maps, additional budgets, etc., or other requested documentation to your submission email. File Name: Description Page 13