Loading...
HomeMy WebLinkAboutDoc 590 - Special Transp Fund Grant Allocations Special Transportation Fund Formula Program Application For all STF Agencies 2009-2011 Biennium July 1, 2009—June 30, 2010 July 1, 2010—June 30, 2011 P UBLIC T RANSIT D IVISION O REGON D EPARTMENT OF T RANSPORTATION Special Transportation Fund Formula Program Application for Counties and Districts This application form is available in alternate formats. For alternate formats, contact the division: 503-986-3300, or email to PJ Pippin, patricia.j.pippin@odot.state.or.us If you have questions about the Special Transportation Program, please contact: Jean Palmateer, STF Program Manager 503-986-3472 Jean.m.palmateer@odot.state.or.us Send the completed application to: 555 13th Street NE, Suite 3 Salem OR 97301 For additional copies of this application, go to the Public Transit Division website: http://www.oregon.gov/ODOT/PT/index.shtml Or contact: Public Transit Division Oregon Department of Transportation 555 13th Street NE Suite 3 Salem OR 97301 (503) 986-3300 Voice (503) 986-4189 Fax Special Transportation Fund Formula Program 2009-2011 Biennial Application Form for all STF Agencies Oregon Department of Transportation Public Transit Division Page 2 of 29 Introduction Before completing this application, please review the following information: Qualification Requirements for the STF Formula Program To qualify for Formula Program funds, the STF Agency must: 1. Have adopted a Coordinated Plan. • Plans must be submitted to Public Transit Division as soon as possible after adoption. • Failure to submit a plan will result in a lack of eligibility to receive funds. • Please consult with the STF Program Manager for guidance if you are unable to meet the required plan adoption date. 2. Be up-to-date in quarterly reports. Please consult with the STF Program Manager for guidance if you have a backlog of reports to be submitted or are unable to meet the required due date. 3. Continue to demonstrate that there are eligible activities and providers. Please note that this is a partial list of program requirements. Please review the STF law and rules for more information about program requirements. Funding Level The STF Formula allocation is based on ODOT's draft biennial budget. A chart showing the estimated allocation for FY 09-10 is posted on the division website, and will be updated in May 2009. Biennial Application This application is for FY 09-10 and 10-11. You may apply for the full two year period, or for one year at a time. If you wish to apply for the full two year period, use the FY 09-10 allocation as an estimate for the second year. Application Submission Formula Program applications may be submitted at any time. To ensure the first quarter payment in July 2009, please submit the application by May 15, 2009. Application Review PTD staff will review and approve Formula Program applications. The information submitted in the application will be the basis for application approval. The staff may ask for further information or clarification. The staff may disapprove the application and, if disapproved, will inform the STF Agency of the reason for disapproval. Reasons for disapproval may include, and are not limited to, the following: • No Advisory Committee or improper membership; • Advisory Committee failure to meet and confer; • STF Agency failure to confer with the Advisory Committee; • A Recipient that is ineligible; Special Transportation Fund Formula Program 2009-2011 Biennial Application Form for all STF Agencies Oregon Department of Transportation Public Transit Division Page 3 of 29 • For Formula Program applications by Districts, disproportionate allocation inside and outside District boundaries; and, • Proposed Projects are not eligible for funding in accordance with OAR 732-005- 0000 to 732-010-0045. Disapproved formula program applications may be revised and resubmitted by the STF Agency. STF Program Management The STF Program Guidebook is posted on PTD’s website. The purpose of the guidebook is to provide program guidance and best practice examples to improve the quality of the program. http://www.oregon.gov/ODOT/PT/PROGRAMS/STF/STFProgram_guidebook_1107. pdf As a reminder, STF Agencies: • Are directed by law to receive and disburse STF moneys from a separate governmental fund. Consult with the Department of Revenue regarding management of Special Revenue Funds; • Must have agreements with providers AND have procedures for contract management to ensure that the terms and conditions of the agreements are met. For example, STF Agencies must ensure that the funds are used as directed by law and as defined by the STF Agency, and that there is adequate accounting and internal controls; • Must determine that the providers are qualified to receive funds (see below); • Must maintain control over capital items purchased in part or whole with STF; and, • Must ensure that providers are reporting as required, or STF Agencies must report on providers’ behalf. Program Participation Qualifications STF Agencies should conduct the selection of providers as form of procurement. It is not necessary to go out to bid unless the STF Agency policy requires competitive bidding. Most STF Agencies conduct the STF provider selection as a “request for qualification” process. STF Agencies must define the applicant and project qualifications required to participate in the program, and all applicants and projects should be subject to the same qualifications. The STF Agency may define qualifications that exceed the standards established by the STF law and rule. The following are sample qualifications. Applicant Qualifications: Applicant has positive history of past grants – reports on time, accurate, match available as required, etc. (If a non-profit agency) Applicant is current in agency incorporation, registration and annual report submissions to state and federal governments. Special Transportation Fund Formula Program 2009-2011 Biennial Application Form for all STF Agencies Oregon Department of Transportation Public Transit Division Page 4 of 29 Applicant is fiscally responsible and is capable of managing grant funds. Applicant has a budget that includes all sources and uses of funds. The budget is adopted, managed and revised as necessary by the governing board. Applicant has adequate staff and resources to manage the project. The applicant staff has basic knowledge of transportation and receives training as required for duties. Services currently operated by applicant have no pattern of complaints, accidents, or service disruptions. Vehicles are maintained appropriately. Project Qualifications: Project design is for, or benefits, older adults and/or people with disabilities. Project is derived from the adopted Coordinated Plan. Project design is appropriate to purpose and type of project. Service is accessible to people with disabilities in conformance to ADA. Vehicles are appropriate for type of service. Service is efficient and effective for the type of service. Applicant has adequate revenue to maintain services (in addition to STF request). Special Transportation Fund Formula Program 2009-2011 Biennial Application Form for all STF Agencies Oregon Department of Transportation Public Transit Division Page 5 of 29 FY 2009-2010 and FY 2010-2011 Special Transportation Fund Formula Program Application Cover Sheet STF Agency: Deschutes County, Oregon Designated Official: Dennis R. Luke Title: Chair, Deschutes County Board of Commissioners Signature _____________________________________________________________ Mailing Address: 1300 NW Wall Street, Suite 200, Bend, OR 97701 Phone: 541-388-6568 Fax: 541-385-3202 Email: Dennis_Luke@co.deschutes.or.us Application prepared by: Judith M. Ure Title: Management Analyst Organization: Deschutes County Phone: 541-330-4627 Fax: 541-385-3202 Email: judithu@co.deschutes.or.us Special Transportation Fund Formula Program 2009-2011 Biennial Application Form for all STF Agencies Oregon Department of Transportation Public Transit Division Page 6 of 29 Part 1: STF Formula Program - List of Authorized Individuals and Contacts. Directions: To be completed by all STF Agencies. A. Authorized Legal Signatory of the STF Agency. This is a member of the elected governing body of the STF Agency, unless another individual is duly delegated. This individual will receive all formal communication and will sign agreements and reports. 1) Name: Dennis R. Luke Title: Chair, Board of County Commissioners Address: 1300 NW Wall Street, Suite 200, Bend, OR 97701 Telephone: 541-388-6568 E-mail: Dennis_Luke@co.deschutes.or.us B. (Optional) Delegated Legal Signatory of the STF Agency. This is the individual who is delegated by the STF Agency governing body to perform designated tasks. This individual will receive all formal communication and may sign agreements and/or reports. 1) Name: Dave Kanner Title: County Administrator Address: 1300 NW Wall Street, Suite 200, Bend, OR 97701 Telephone: 541-388-6565 E-mail: Dave_Kanner@co.deschutes.or.us This individual has delegated authority to: Sign agreements. Sign reports and invoices. Attach evidence of delegated signature authority for this individual. C. Designated STF Program Administrator. This person is assigned to manage the day to day tasks of the STF program for the STF Agency, and will receive all formal and informal program communication. Name: Judith M. Ure Title: Management Analyst Agency: Deschutes County Address: 1300 NW Wall Street, Suite 200, Bend, OR 97701 Telephone: 541-330-4627 E-mail: judithu@co.deschutes.or.us D. Does the STF Agency delegate the administration of the STF program to a separate agency? YES Agency: ______________________________________________ NO (The agreement between the STF Agency and the administrative agency must be on file, and available to ODOT upon request.) Special Transportation Fund Formula Program 2009-2011 Biennial Application Form for all STF Agencies Oregon Department of Transportation Public Transit Division Page 7 of 29 Part 2: List of STF Advisory Committee members. Directions: To be completed by all STF Agencies. Copy page as needed. List each member only once: pick the category of membership that best describes the member. 1. The total number of committee members: 5 (2 positions currently vacant) 2. Do all of the committee members reside within the boundaries of the STF area for this STF Agency? Yes No A. Elderly User of Transportation Services: Name Service(s) used: B. Individual with a Disability User of Transportation Services: Name: June Slaugenhaupt Service(s) used: Bend Dial-a-Ride, Bend Area Transit, Cascades East Transit C. Provider of Transportation Services for the Elderly or Individuals with Disabilities: Name Business Name Service Provided (Check All That Apply) Elderly General Public Other Than Fixed Route Disabled Fixed Route Other ______________ D. Representatives of Elderly Name: Carol Bro Organization (if applicable) E. Representatives of Individuals with Disabilities Name: Sue Page Organization: Central Oregon Coalition for Access F. Elderly Individuals Living In an Area of the District or County Where There are No Public Transportation Services Name Organization (if applicable) G. Individual with Disability Living In an Area of the District or County Where There are No Public Transportation Services Name Organization (if applicable) H. Other Name: Tyler Deke Affiliation: Bend Metropolitan Planning Organization Name: Robert Otteni Affiliation: South County Geographic Area Part 3a: Distribution Plan for STF Agencies without in- and out-of-district areas. This form applies to all STF Agencies except the districts listed in Part 3b. Directions: From the fund allocation chart, identify the funds allocated for each year. Do not include funds remaining from prior years. STF Funds Available 2009-2010 2010-2011 STF Formula Allocation FY 07-08 and 08-09 $263,547 $263,547 Administrative Allotment $2000 $2000 Total Available $265,547 $265,547 Directions: Summarize the plan for use of the funds. Complete Section 6 for each of the projects identified below. Summary of Expenditure Plan 2009-10 2010-11 ADMINISTRATIVE ALLOTMENT for receiving, disbursing and accounting for funds $2000 $2000 CONTRIBUTION TO RESERVE ACCOUNT: Amount contributed to the reserve account (See Reserve Account Summary) ADDITIONAL FUNDS FOR ADMINISTRATION CONTINGENCY (Not to exceed 15% of total program budget) PLANNING PROJECTS (List provider and the amount of funds) OPERATING PROJECTS (List provider and the amount of funds) Bend Dial-a-Ride $127,129 $127,129 Central Oregon Resources for Independent Living $12,670 $12,670 Opportunity Foundation of Central Oregon $23,500 $23,500 Department of Human Services Volunteer Services Program $18,667 $18,667 Cascades East Transit $82,383 $82,383 CAPITAL PROJECTS (List provider and amount) TOTAL PLANNED DISTRIBUTION $266,349 $266,349 Special Transportation Fund Formula Program 2009-2011 Biennial Application Form for all STF Agencies Oregon Department of Transportation Public Transit Division Page 2 of 29 Part 3b: Distribution Plan for Transit Districts with In- and Out-of-District areas: TriMet, Salem Area Mass Transit, Lane Transit, Rogue Valley Transit, and Basin Transit Districts. Directions: Districts are required to allocate a proportionate share of the funds to the out-of-district area. The share is based on the percentage of population residing in the out-of-district area as identified by the decennial (2000) census. Population Percentage based on 2000 decennial census Total Population FY July 1, 2006 100% Population out-of-district % Population in-district % What is the basis to determine the in- and out-of-district percentages? (Example: Census blocks) Directions: From the fund allocation chart, identify the funds allocated for each year. Do not include funds remaining from prior years. Divide the funds by the population percentages identified above to determine the in- and out-of-district shares. It is not required to subdivide the administrative allotment. STF Funds Available 2009-10 2010-11 Administrative Allotment $2000 $2000 INSIDE DISTRICT OUTSIDE DISTRICT INSIDE DISTRICT OUTSIDE DISTRICT STF Formula Allocation FY 07-08 and 08-09 Total Special Transportation Fund Formula Program 2009-2011 Biennial Application Form for all STF Agencies Oregon Department of Transportation Public Transit Division Page 3 of 29 Part 3b (cont): Summary of Expenditure Plan for Transit Districts with In- and Out-of-District areas Directions: Summarize the plan for use of the funds. Complete section X for each of the projects identified below. Summary of Expenditure Plan For Districts with In- and Out-of-district areas FY 2009- 2010 FY 2010- 2011 ADMINISTRATIVE ALLOTMENT for receiving, disbursing and accounting for funds CONTRIBUTION TO RESERVE ACCOUNT: Amount contributed to the reserve account (See Reserve Account Summary) ADDITIONAL FUNDS FOR ADMINISTRATION CONTINGENCY (Not to exceed 15% of total program budget) TOTAL SUMMARY of projects INSIDE DISTRICT FY 09-10 OUTSIDE DISTRICT FY 09-10 INSIDE DISTRICT FY 10-11 OUTSIDE DISTRICT 10-11 PLANNING PROJECTS (List provider and the amount of funds) OPERATING PROJECTS (List provider and the amount of funds) CAPITAL PROJECTS (List provider and amount) TOTAL PLANNED DISTRIBUTION Special Transportation Fund Formula Program 2009-2011 Biennial Application Form for all STF Agencies Oregon Department of Transportation Public Transit Division Page 4 of 29 Part 4: STF Remaining from Prior Years Directions: To be completed by all STF Agencies. Identify the funds remaining from prior years. Will the STF Agency have STF funds unspent as of July 1, 2009 from prior years? YES NO Estimated carryover fund balance as of July 1, 2009: $25,198 How will the funds from remaining from prior years be spent? Please identify the provider, project and allocation: 2009-2010 2010-2011 Operating Reserve (kept at STF Agency) Contingency (kept at STF Agency) $24,396 $24,396 PLANNING PROJECTS (List provider and the amount of funds) OPERATING PROJECTS (List provider and the amount of funds) To be applied in general to account for difference between STF funds available in 2009-2010 and 2009-2010 expenditure plan. $802 $802 CAPITAL PROJECTS (List provider and amount) TOTAL PLANNED DISTRIBUTION $25,198 $25,198 Special Transportation Fund Formula Program 2009-2011 Biennial Application Form for all STF Agencies Oregon Department of Transportation Public Transit Division Page 5 of 29 Part 5: Reserve Fund Summary STF Agencies may establish a reserve fund to save STF for a future purpose. According to the Oregon Department of Revenue, a reserve fund accumulates money to pay for any service, project, property, or equipment that a governmental entity can legally perform or acquire. It functions as a savings account. A special resolution or ordinance of the governing body is needed to set up a reserve fund. The reserve fund must have a specific purpose, such as the purchase of a transit vehicle. There must be a separate reserve fund for each specific purpose. Once money is placed in a reserve fund, it can only be spent for the specific purpose of the fund. Oregon budget law defines the procedure to establish and maintain the reserve fund. It is the expectation of PTD that these procedures be used to manage the local STF program. Please refer to Oregon Department of Revenue publication, Local Budgeting Manual, http://www.oregon.gov/DOR/PTD/docs/local-b/504-420.pdf for more information. The Oregon budget law does not pertain to Indian tribes. Reserve account procedures are determined by each Tribe. It is the responsibility of the Tribe to properly account for funds saved for future STF purpose. Does the STF Agency have a reserve fund for the STF program? YES NO Please describe purpose of the reserve fund: Estimated reserve fund balance as of July 1, 2009: $_____________ Special Transportation Fund Formula Program 2009-2011 Biennial Application Form for all STF Agencies Oregon Department of Transportation Public Transit Division Page 6 of 29 Part 6a: Expanded Recipient and Project Description To be completed by all STF Agencies. Identify each project receiving STF, including the STF Agency if it uses a portion of the funds for a use other than program administration, reserve account or contingency. NAME OF RECIPIENT AGENCY BEND DIAL-A-RIDE CONTACT PERSON HEATHER ORNELAS ADDRESS 575 NE 15TH STREET, BEND, OR 97701 TELEPHONE 541-317-3023 E-MAIL HORNELAS@CI.BEND.OR.US FAX 541-389-2245 This recipient is a: Public entity Private non-profit Private for-profit Recipient is a transportation provider: YES NO, if no Explain: Transportation Provider’s service supported by STF is (Check as many as appropriate): Open to the general public at all times Open to the general public on a space available basis Limited to defined clientele (example: foster home residents) Open to seniors and people with disabilities Other, identify: Service Data for this Provider Actual for 2008-09 (estimate final quarter) Estimated FY 2009-2010 Estimated FY 2010-2011 Annual one-way trips (all trips) 59,372 44,280 44,280 Annual one-way trips provided to seniors and people with disabilities 50,613 9,720 9,720 Special Transportation Fund Formula Program 2009-2011 Biennial Application Form for all STF Agencies Oregon Department of Transportation Public Transit Division Page 7 of 29 Part 6b: Funding Allocation to Recipient FY 2009-2010. Recipient: Bend Dial-a-Ride Operating Allocation $127,129 Brief narrative description of how these funds will be used: Are these funds from the reserve account? Provide demand-responsive transportation Yes No services primarily for senior and disabled Operations funds will: populations within the city of Bend. Maintain Service Expand Existing Service Create New Service Other: _______________________ For match? Capital Allocation $ _______________ Purchase vehicle. Are these funds from the reserve account? Purchase other capital item, identify: Yes No ________________________________ Capital funds will: Brief narrative description: Maintain Service Expand Existing Service Create New Service Other: _______________________ For match? Planning Allocation $ _______________ Describe the plan: Are these funds from the reserve account? Yes No Planning funds will: Expected product: Maintain Service Expand Existing Service Create New Service Start Date: Other: _______________________ Completion Date: For match? Special Transportation Fund Formula Program 2009-2011 Biennial Application Form for all STF Agencies Oregon Department of Transportation Public Transit Division Page 8 of 29 Part 6c: Funding Allocation to Recipient FY 2010-2011. Recipient: Bend Dial-a-Ride Operating Allocation $ 127,129 Brief narrative description of how these funds will be used: Are these funds from the reserve account? Provide demand-responsive transportation Yes No services primarily for senior and disabled Operations funds will: populations within the city of Bend. Maintain Service Expand Existing Service Create New Service Other: _______________________ For match? Capital Allocation $ _______________ Purchase vehicle. Are these funds from the reserve account? Purchase other capital item, identify: Yes No ________________________________ Capital funds will: Brief narrative description: Maintain Service Expand Existing Service Create New Service Other: _______________________ For match? Planning Allocation $ _______________ Describe the plan: Are these funds from the reserve account? Yes No Planning funds will: Expected product: Maintain Service Expand Existing Service Create New Service Start Date: Other: _______________________ Completion Date: For match? Part 6a: Expanded Recipient and Project Description To be completed by all STF Agencies. Identify each project receiving STF, including the STF Agency if it uses a portion of the funds for a use other than program administration, reserve account or contingency. NAME OF RECIPIENT AGENCY CENTRAL OREGON RESOURCES FOR INDEPENDENT LIVING CONTACT PERSON GLENN VAN CISE ADDRESS PO BOX 9425, BEND, OR 97708 TELEPHONE 541-388-8103 E-MAIL GLENNVC@CORIL.ORG FAX 541-388-1226 This recipient is a: Public entity Private non-profit Private for-profit Recipient is a transportation provider: YES NO, if no Explain: Transportation Provider’s service supported by STF is (Check as many as appropriate): Open to the general public at all times Open to the general public on a space available basis Limited to defined clientele (example: foster home residents) Open to seniors and people with disabilities Other, identify: Service Data for this Provider Actual for 2008-09 (estimate final quarter) Estimated FY 2009-2010 Estimated FY 2010-2011 Annual one-way trips (all trips) 14,443 14,372 14,372 Annual one-way trips provided to seniors and people with disabilities 14,443 14,372 14,372 Special Transportation Fund Formula Program 2009-2011 Biennial Application Form for all STF Agencies Oregon Department of Transportation Public Transit Division Page 2 of 29 Part 6b: Funding Allocation to Recipient FY 2009-2010. Recipient: Central Oregon Resources for Independent Living Operating Allocation $12,670 Brief narrative description of how these funds will be used: Are these funds from the reserve account? Provide scheduled and on-demand rides Yes No to work, personal business, recreation, Operations funds will: and social activities for people who Maintain Service experience disabilities and live within Expand Existing Service Deschutes County. Create New Service Other: _______________________ For match? Capital Allocation $ _______________ Purchase vehicle. Are these funds from the reserve account? Purchase other capital item, identify: Yes No ________________________________ Capital funds will: Brief narrative description: Maintain Service Expand Existing Service Create New Service Other: _______________________ For match? Planning Allocation $ _______________ Describe the plan: Are these funds from the reserve account? Yes No Planning funds will: Expected product: Maintain Service Expand Existing Service Create New Service Start Date: Other: _______________________ Completion Date: For match? Special Transportation Fund Formula Program 2009-2011 Biennial Application Form for all STF Agencies Oregon Department of Transportation Public Transit Division Page 3 of 29 Part 6c: Funding Allocation to Recipient FY 2010-2011. Recipient: Central Oregon Resources for Independent Living Operating Allocation $ 12,670 Brief narrative description of how these funds will be used: Are these funds from the reserve account? Provide scheduled and on-demand rides Yes No to work, personal business, recreation, Operations funds will: and social activities for people who Maintain Service experience disabilities and live within Expand Existing Service Deschutes County. Create New Service Other: _______________________ For match? Capital Allocation $ _______________ Purchase vehicle. Are these funds from the reserve account? Purchase other capital item, identify: Yes No ________________________________ Capital funds will: Brief narrative description: Maintain Service Expand Existing Service Create New Service Other: _______________________ For match? Planning Allocation $ _______________ Describe the plan: Are these funds from the reserve account? Yes No Planning funds will: Expected product: Maintain Service Expand Existing Service Create New Service Start Date: Other: _______________________ Completion Date: For match? Part 6a: Expanded Recipient and Project Description To be completed by all STF Agencies. Identify each project receiving STF, including the STF Agency if it uses a portion of the funds for a use other than program administration, reserve account or contingency. NAME OF RECIPIENT AGENCY OPPORTUNITY FOUNDATION OF CENTRAL OREGON CONTACT PERSON DARREL WILSON ADDRESS PO BOX 430, REDMOND, OR 97756 TELEPHONE 541-548-2611 E-MAIL DWILSON@OFCO.ORG FAX 541-548-9573 This recipient is a: Public entity Private non-profit Private for-profit Recipient is a transportation provider: YES NO, if no Explain: Transportation Provider’s service supported by STF is (Check as many as appropriate): Open to the general public at all times Open to the general public on a space available basis Limited to defined clientele (example: foster home residents) Open to seniors and people with disabilities Other, identify: Service Data for this Provider Actual for 2008-09 (estimate final quarter) Estimated FY 2009-2010 Estimated FY 2010-2011 Annual one-way trips (all trips) 45,600 45,600 45,600 Annual one-way trips provided to seniors and people with disabilities 45,600 45,600 45,600 Special Transportation Fund Formula Program 2009-2011 Biennial Application Form for all STF Agencies Oregon Department of Transportation Public Transit Division Page 2 of 29 Part 6b: Funding Allocation to Recipient FY 2009-2010. Recipient: Opportunity Foundation of Central Oregon Operating Allocation $23,500 Brief narrative description of how these funds will be used: Are these funds from the reserve account? Provide fixed route and on-demand Yes No transportation services for adults with Operations funds will: disabilities who reside in Deschutes Maintain Service County, including Bend, Tumalo, Redmond, Expand Existing Service Terrebonne, and points in-between, Create New Service primarily for work purposes. Other: _______________________ For match? Capital Allocation $ _______________ Purchase vehicle. Are these funds from the reserve account? Purchase other capital item, identify: Yes No ________________________________ Capital funds will: Brief narrative description: Maintain Service Expand Existing Service Create New Service Other: _______________________ For match? Planning Allocation $ _______________ Describe the plan: Are these funds from the reserve account? Yes No Planning funds will: Expected product: Maintain Service Expand Existing Service Create New Service Start Date: Other: _______________________ Completion Date: For match? Special Transportation Fund Formula Program 2009-2011 Biennial Application Form for all STF Agencies Oregon Department of Transportation Public Transit Division Page 3 of 29 Part 6c: Funding Allocation to Recipient FY 2010-2011. Recipient: Opportunity Foundation of Central Oregon Operating Allocation $ 23,500 Brief narrative description of how these funds will be used: Are these funds from the reserve account? Provide fixed route and on-demand Yes No transportation services for adults with Operations funds will: disabilities who reside in Deschutes Maintain Service County, including Bend, Tumalo, Redmond, Expand Existing Service Terrebonne, and points in-between Create New Service primarily for work purposes. Other: _______________________ For match? Capital Allocation $ _______________ Purchase vehicle. Are these funds from the reserve account? Purchase other capital item, identify: Yes No ________________________________ Capital funds will: Brief narrative description: Maintain Service Expand Existing Service Create New Service Other: _______________________ For match? Planning Allocation $ _______________ Describe the plan: Are these funds from the reserve account? Yes No Planning funds will: Expected product: Maintain Service Expand Existing Service Create New Service Start Date: Other: _______________________ Completion Date: For match? Part 6a: Expanded Recipient and Project Description To be completed by all STF Agencies. Identify each project receiving STF, including the STF Agency if it uses a portion of the funds for a use other than program administration, reserve account or contingency. NAME OF RECIPIENT AGENCY DHS VOLUNTEER SERVICES PROGRAM CONTACT PERSON LIN GARDNER ADDRESS 1300 NW WALL STREET, SUITE 103, BEND, OR 97701 TELEPHONE 541-693-8988 E-MAIL LIN.H.GARDNER@STATE.OR.US FAX 541-693-8994 This recipient is a: Public entity Private non-profit Private for-profit Recipient is a transportation provider: YES NO, if no Explain: Transportation Provider’s service supported by STF is (Check as many as appropriate): Open to the general public at all times Open to the general public on a space available basis Limited to defined clientele (example: foster home residents) Open to seniors and people with disabilities Other, identify: Service Data for this Provider Actual for 2008-09 (estimate final quarter) Estimated FY 2009-2010 Estimated FY 2010-2011 Annual one-way trips (all trips) 10,783 20,932 20,932 Annual one-way trips provided to seniors and people with disabilities 8,625 18,838 18,838 Special Transportation Fund Formula Program 2009-2011 Biennial Application Form for all STF Agencies Oregon Department of Transportation Public Transit Division Page 2 of 29 Part 6b: Funding Allocation to Recipient FY 2009-2010. Recipient: DHS Volunteer Services Program Operating Allocation $18,667 Brief narrative description of how these funds will be used: Are these funds from the reserve account? Provide transportation to medical, dental, Yes No physical/psychological counseling, and Operations funds will: alcohol/drug treatment for low-income, Maintain Service senior, and disabled populations living in Expand Existing Service Deschutes County. Create New Service Other: _______________________ For match? Capital Allocation $ _______________ Purchase vehicle. Are these funds from the reserve account? Purchase other capital item, identify: Yes No ________________________________ Capital funds will: Brief narrative description: Maintain Service Expand Existing Service Create New Service Other: _______________________ For match? Planning Allocation $ _______________ Describe the plan: Are these funds from the reserve account? Yes No Planning funds will: Expected product: Maintain Service Expand Existing Service Create New Service Start Date: Other: _______________________ Completion Date: For match? Special Transportation Fund Formula Program 2009-2011 Biennial Application Form for all STF Agencies Oregon Department of Transportation Public Transit Division Page 3 of 29 Part 6c: Funding Allocation to Recipient FY 2010-2011. Recipient: DHS Volunteer Services Program Operating Allocation $ 18,667 Brief narrative description of how these funds will be used: Are these funds from the reserve account? Provide transportation to medical, dental, Yes No physical/psychological counseling, and Operations funds will: alcohol/drug treatment for low-income, Maintain Service senior, and disabled populations living in Expand Existing Service Deschutes County. Create New Service Other: _______________________ For match? Capital Allocation $ _______________ Purchase vehicle. Are these funds from the reserve account? Purchase other capital item, identify: Yes No ________________________________ Capital funds will: Brief narrative description: Maintain Service Expand Existing Service Create New Service Other: _______________________ For match? Planning Allocation $ _______________ Describe the plan: Are these funds from the reserve account? Yes No Planning funds will: Expected product: Maintain Service Expand Existing Service Create New Service Start Date: Other: _______________________ Completion Date: For match? Part 6a: Expanded Recipient and Project Description To be completed by all STF Agencies. Identify each project receiving STF, including the STF Agency if it uses a portion of the funds for a use other than program administration, reserve account or contingency. NAME OF RECIPIENT AGENCY CASCADES EAST TRANSIT CONTACT PERSON KAREN FRIEND ADDRESS 2363 SW GLACIER PLACE, REDMOND, OR 97756 TELEPHONE 541-548-9534 E-MAIL KFRIEND@COIC.ORG FAX 541-548-9549 This recipient is a: Public entity Private non-profit Private for-profit Recipient is a transportation provider: YES NO, if no Explain: Transportation Provider’s service supported by STF is (Check as many as appropriate): Open to the general public at all times Open to the general public on a space available basis Limited to defined clientele (example: foster home residents) Open to seniors and people with disabilities Other, identify: Service Data for this Provider Actual for 2008-09 (estimate final quarter) Estimated FY 2009-2010 Estimated FY 2010-2011 Annual one-way trips (all trips) 61,994 79,352 79,352 Annual one-way trips provided to seniors and people with disabilities 33,325 42,695 42,695 Special Transportation Fund Formula Program 2009-2011 Biennial Application Form for all STF Agencies Oregon Department of Transportation Public Transit Division Page 2 of 29 Part 6b: Funding Allocation to Recipient FY 2009-2010. Recipient: Cascades East Transit Operating Allocation $82,383 Brief narrative description of how these funds will be used: Are these funds from the reserve account? Provide demand-responsive public Yes No transportation services in Deschutes Operations funds will: County, including in and between La Pine/ Maintain Service Sunriver, Redmond/Terrebonne, and Expand Existing Service Sisters and connecting to the city of Bend. Create New Service Other: _______________________ For match? Capital Allocation $ _______________ Purchase vehicle. Are these funds from the reserve account? Purchase other capital item, identify: Yes No ________________________________ Capital funds will: Brief narrative description: Maintain Service Expand Existing Service Create New Service Other: _______________________ For match? Planning Allocation $ _______________ Describe the plan: Are these funds from the reserve account? Yes No Planning funds will: Expected product: Maintain Service Expand Existing Service Create New Service Start Date: Other: _______________________ Completion Date: For match? Special Transportation Fund Formula Program 2009-2011 Biennial Application Form for all STF Agencies Oregon Department of Transportation Public Transit Division Page 3 of 29 Part 6c: Funding Allocation to Recipient FY 2010-2011. Recipient: Cascades East Transit Operating Allocation $ 82,383 Brief narrative description of how these funds will be used: Are these funds from the reserve account? Provide demand-responsive public Yes No transportation services in Deschutes Operations funds will: County, including in and between La Pine/ Maintain Service Sunriver, Redmond/Terrebonne, and Expand Existing Service Sisters and connecting to the city of Bend. Create New Service Other: _______________________ For match? Capital Allocation $ _______________ Purchase vehicle. Are these funds from the reserve account? Purchase other capital item, identify: Yes No ________________________________ Capital funds will: Brief narrative description: Maintain Service Expand Existing Service Create New Service Other: _______________________ For match? Planning Allocation $ _______________ Describe the plan: Are these funds from the reserve account? Yes No Planning funds will: Expected product: Maintain Service Expand Existing Service Create New Service Start Date: Other: _______________________ Completion Date: For match?