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Page 1 of 3 734-2791 (11/2016) SAVE SECTION 5310 FUNDING APPLICATION Enhanced Mobility of Seniors and Individuals with Disabilities Rail and Public Transit Applicant Information I am the Special Transportation Fund Agency................................................................................................. Yes No SPECIAL TRANSPORTATION FUND AGENCY NAME Tri-County Metropolitan Transit District (TriMet) TRANSIT AGENCY LEGAL NAME Ride Connection, Inc. TRANSIT AGENCY DBA NAME (OPTIONAL) Ride Connection FEDERAL EIN 943076771 URBANIZED ZONE AGENCY MAILING ADDRESS (STREET OR PO BOX) 9955 NE Glisan Street CITY, STATE, ZIP Portland, OR 97220 AGENCY WEB ADDRESS www.rideconnection.org NAME OF APPLICATION CONTACT Julie Wilcke TITLE OF APPLICATION CONTACT Chief Operating Officer EMAIL OF APPLICATION CONTACT [email protected] PHONE OF APPLICATION CONTACT (503) 528-1737 FAX (503) 528-1755 NAME OF CONTRACT SIGNATORY Elaine Wells TITLE OF CONTRACT SIGNATORY Executive Director EMAIL OF CONTRACT SIGNATORY [email protected] PHONE OF CONTRACT SIGNATORY (503) 528-1725 FAX (503) 528-1755 TRANSIT AGENCY STATUS SERVICE AREA Non-Profit Agency Urbanized Area (UZA) or Large Urban area with population of 200,000 or more 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): Volunteer Mileage Reimbursement, Fixed-Route Travel Training, Mobility Management 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 Ride Connection Network Support - Federal Projects

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Page 1: SECTION 5310 FUNDING APPLICATION Enhanced Mobility of ... · SECTION 5310 FUNDING APPLICATION Enhanced Mobility of Seniors and Individuals with Disabilities Rail and Public Transit

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SECTION 5310 FUNDING APPLICATION

Enhanced Mobility of Seniors and Individuals with Disabilities

Rail and Public Transit

Applicant Information

I am the Special Transportation Fund Agency................................................................................................. Yes No

SPECIAL TRANSPORTATION FUND AGENCY NAME

Tri-County Metropolitan Transit District (TriMet)TRANSIT AGENCY LEGAL NAME

Ride Connection, Inc. TRANSIT AGENCY DBA NAME (OPTIONAL)

Ride Connection

FEDERAL EIN

943076771

URBANIZED ZONE

AGENCY MAILING ADDRESS (STREET OR PO BOX)

9955 NE Glisan Street

CITY, STATE, ZIP

Portland, OR 97220AGENCY WEB ADDRESS

www.rideconnection.org

NAME OF APPLICATION CONTACT

Julie Wilcke

TITLE OF APPLICATION CONTACT

Chief Operating Officer

EMAIL OF APPLICATION CONTACT

[email protected]

PHONE OF APPLICATION CONTACT

(503) 528-1737

FAX

(503) 528-1755

NAME OF CONTRACT SIGNATORY

Elaine Wells

TITLE OF CONTRACT SIGNATORY

Executive Director

EMAIL OF CONTRACT SIGNATORY

[email protected]

PHONE OF CONTRACT SIGNATORY

(503) 528-1725

FAX

(503) 528-1755

TRANSIT AGENCY STATUS SERVICE AREA

Non-Profit Agency Urbanized Area (UZA) or Large Urban area with population of 200,000 or more

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): Volunteer Mileage Reimbursement, Fixed-Route Travel Training, Mobility Management

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 TitlePROJECT TITLE

Ride Connection Network Support - Federal Projects

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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

This request funds staff activities at Ride Connection that are performed in support of federally funded direct service

projects. These activities provide continued partner support and promote coordinated and innovated transportation

service delivery. This results in the implementation of strategies to fully utilize capacity, create efficiencies, promote

cost savings activities and projects; and allows the Ride Connection network to provide as much customer -focused

service as possible with limited funding.

One priority is to facilitate the implementation of as many high-priority, ongoing and long term community based

solutions identified in the regional Coordinated Human Services Transportation Plan as possible. Ride Connection staff

provide guidance; perform analysis and research; and design and produce collateral materials needed to implement

new programs and augment the success of existing program operations. Ride Connection partners who are managing

day to day operations do not have the staff time or budget available to complete these activities. Providing these

coordination activities in support of federally funded service, as a shared benefit of participating in the Ride Connection

network allows these activities to continue without duplication of service, in a cost efficient manner, throughout the

region.

In addition, Ride Connection helps organize coordination committee and work group meetings that allow human service

agencies, local transportation agencies, community transportation providers and other stakeholders to interact, discuss

shared challenges and successes, and develop shared priorities and strategies in the context of the regional CHSTP.

Operational and implementation support is provided to Ride Connection Service Partners throughout the Tri-county

area. In addition, human services partners and other agencies are provided with Service Specialist support when their

requests for assistance help further the goals of the CHSTP.

Additional examples of assistance and operation support that Ride Connection provides includes, but is not limited to:

-Analysis of community based transportation service (a 5310 funded group of programs) efficiencies, unmet need and

redesign of routes to increase the available level of service or redesign low-use, high-cost runs.

- Creation of federally mandated Limited English Proficiency plans as well as other operating guidelines and policies

that help partners remain compliant with federal Title VI requirements

- Support in planning for severe weather events, disaster preparedness, and safety and security operational policy

development

-Coordination of the placement of depreciated “retired” vehicles purchased with federal funding; management of

federally funded preventative maintenance planning and program activities; and ongoing coordination of a fleet of over

one hundred 5310 funded vehicles

-Development of tools used to garner customers input/feedback

-Holistic analysis of community transportation system-wide data and implementation of coordination strategies through

existing partners to help fill gaps in service and unmet need in the most efficient and cost effective manner

-Creation of scopes of work for new programs, conducting the procurement process for new partners, and assistance

with implementation of new programs

-Coordinated outreach and volunteer recruitment for network programs

-Coordination with federally funded transportation programs outside of the Ride Connection network, including

Medicaid funded Non-emergent Medical Transportation, Veterans Administration funded transportation services and

Federal Transit Administration funded urban transit

-Planning and implementation of innovative services as prioritized by regional coordinating committees through the

Coordinated Human Services Transportation Plan update

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? .........................................5-28, 5,29, 5-30,5-31

6. Date Coordinated Plan adopted: ........................................................................................06/14/2016

7. Project cost and match information:

TOTAL PROJECT COST MATCH AMOUNT (TOTAL PROJECT COST x 10.27%) GRANT AMOUNT

$189,010 $19,411.33 $169,598.67

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.

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LOCAL MATCH DETAILS

STF Formula

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

IF YES, NAME THE CONTRACTOR. IF NO, DESCRIBE HOW THE TRANSIT AGENCY WILL PROCURE THE SERVICE AND NAME THE CONTRACTOR IF KNOWN.

Ride Connection contracted to TriMet

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: 169,598.673

SAVE SUBMIT BY EMAIL

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2017-19 Biennium * §5310 Formula Project Application Form lkililiuliuliuiiuili

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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 QuestionsInstructions: 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 orservice and what are the operational activities? (1000 Characters or less)

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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? %_______________________________________________________________

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8. Is this the only available service option for seniors and/or people with disabilities in the service area?

o Yes o No

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?

o No o Yes, describe (500 Characters or less):

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Describe the level of collaboration and coordination for this project.

13. Does this project involve collaboration or coordination with other partner agencies orservice providers?

o Yeso No

14. Do you ensure that duplication of services is avoided?o Yeso No

15. Does the project application include a new or innovative approach to coordinate andcollaborate?

o Yeso No

16. If you answered yes to questions #13-15, provide a detailed description below, includinga 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?o Yeso No

18. Does the project improve the customer on-board experience?o Yeso No

19. Does the project improve rider’s wait time at a stop or station?o Yeso No

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20. If you answered yes to questions #17-19, provide a detailed description below. (750Characters or less)

Project Milestones

Explain the milestones of the project.

21. For each milestone include a start date and the estimated milestone completion enddate 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 milegoals.

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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 improveddispatch, ride matching, technology, etc.)?

o Noo Yes

25. Does the project implement new technology to enhance service or improve cost-effectiveness?

o Noo Yes

26. If you answered yes to questions #24-25, provide a detailed description below. (750Characters or less)

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§5310 Formula Project Funding Request

Baseline Funding Request

27. Are you requesting funding for an existing or new project?o Existing Projecto New Project

28. If you are requesting funding for an existing project, did this project receive STF or 5310Formula Funding in the FY15-17 Biennium?

o Noo Yes, 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 Needo 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.

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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 undera 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 fundingneed 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.

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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 BreakdownYear 1: Year 2:

Payroll/Benefits $ $ Insurance, services or supplies (IT, rent, supplies, telecommunications, etc.)

$ $

Other (describe): $ $ $ $ $ $ $ $

Biennium Administration Cost Total: $

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38. Operations Costs BreakdownPayroll & Benefits: Year 1: Year 2: Contracted Services: $ $ Materials & Supplies: $ $ Fuel, Maintenance, & Preventative Maintenance:

$ $

Other (describe): $ $ $ $ $ $ $ $

Biennium Operations Cost Total: $

39. Capital Costs BreakdownYear 1: Year 2:

Software and Hardware $ $ Equipment $ $ Vehicle Purchases $ $ Other (describe): $ $

$ $ $ $ $ $

Biennium Capital Cost Total: $

40. Construction Costs BreakdownYear 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.)

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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: $

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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??

o No, I am not requesting funding for replacement vehicles. o Yes, the existing vehicle were purchased with State Funds o Yes, the existing vehicle were purchased with Federal Funds

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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