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State of Oregon Fiscal Year 20-21 BIENNIUM TRI- COUNTY

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State of Oregon Fiscal Year 20-21 BIENNIUM TRI- COUNTY State of Ore2017gon-19 Biennium * Grant Applicant Information Form Fiscal Year 20-21 BIENNIUM TRI- COUNTY AREA GRANT APPLICATION Special Transportation Fund Formula Program §5310: Enhanced Mobility of Seniors & Individuals with Disabilities Grant Applicant Information Form Instructions: Submit one copy of this form per Applicant (including Ride Connection Partner Providers). Questions marked with * do not apply to Ride Connection or Partners. Applicant Information 1. Enter Organization/Agency contact information: Legal Name of Applicant Street Address City State Zip Code Organization/Agency Website Contact Person Name Contact Person Title Phone Number Fax Number E-Mail Address 2. Type of Organization: (Select One) o Public Entity o Private non-profit o Educational Institution o Private Provider or Contractor 3. Total # of Governing Body Members: ________________________________________ 4. Payroll Tax Rate: %________________________________________________________ Page 1 FY20-21 STF Formula and Section 5310 5. Organizational Mission Statements (350 characters or less) Grant Applicant Information Form 6. Brief Description of Organization (500 characters or less) 7. Population Served (200 characters or less, include age groups, race & ethnicity, income levels, etc.) 8. Hours of Operation for Transportation Services: Monday Tuesday Wednesday Thursday Friday Saturday Sunday 9. List any planned periods of service closure greater than three days. (200 characters) 10. Service Area Description. Indicate the geographic features that define your service area/ district boundaries, such as streets, rivers or jurisdictional boundaries. Attach a map(s) of your service area as separate, single page, letter sized attachment(s). (350 characters) Page 2 FY20-21 STF Formula and Section 5310 11. Link to online service district map: Grant Applicant Information Form 12. Geographic area of service o Inside the TriMet Service District o Outside the TriMet Service District o Both Inside and Outside of the TriMet Service District 13. Transit Service District Population*: ____________________________________________ 14. Transit Service District Square Miles*:__________________________________________ 15. Service Area Square Miles:____________________________________________________ 16. Service Area Population (2010 Census): _________________________________________ Organization/Agency Adopted Annual Budget Note: If your organization is not solely a transportation organization, enter budget information for the transportation division or the program providing transportation services. 17. Total Organization/Agency Adopted Annual Budget. Amount Budget Year 18. Link to most recent adopted budget. If not available online, please attached a copy. 19. Enter requested Metrics in the table below. Specify if the metric is not applicable. Total # of Staff (in FTEs) Total # of Volunteers Total # Contracted Drivers Vehicle Hours Vehicle Miles Total Boarding Rides Elderly and Disabled Boarding Rides Fare Revenue* $ Donations $ Payroll Tax Revenue* $ Fixed Route & Deviated Fixed Route Boardings Page 3 FY20-21 STF Formula and Section 5310 Grant Applicant Information Form Operating Cost per Ride (includes Demand $ Response) System Cost per Ride $ System Cost per Vehicle Mile (includes Demand Response) Demand Response Service Ridership (Boardings) Demand Response Service Operating Costs $ Demand Response Fare Revenue* STF Formula Funds as a % of Demand Response % Demand Response Vehicle Miles Demand Response Cost per Ride, net of fares $ Demand Response Cost per Vehicle Mile $ FY18-19 STF Formula Funds, Including $ supplemental FY18-19 STF Discretionary Funds $ FY18-19 5310 Funds $ Payroll Tax per Capita* General Fund Payment to Ride Connection for $ Service (If applicable)* 20. Ride Connection only – Provide a description of Cost Per Ride: (200 characters) 21. Annual Budget: Administrative Costs Payroll/Benefits $ Insurance, services or supplies (IT, rent, supplies, telecommunications, $ etc.) Other (describe): $ $ $ Total Annual Admin Cost (includes Demand Response): $ Page 4 FY20-21 STF Formula and Section 5310 22. Annual Budget: Operations Costs Grant Applicant Information Form Payroll/Benefits (includes Operators) $ Payroll & Benefits $ Contracted Services $ Materials & Supplies $ Fuel, Maintenance, & Preventative Maintenance $ Other (Describe) $ $ $ Total Annual Operating Cost (includes Demand Response): $ 23. Annual Budget: Capital Costs (Over $5,000) Software and Hardware $ Equipment $ Vehicle Purchases $ Other (Describe) $ $ $ Total Annual Capital Cost (includes Demand Response): $ Page 5 FY20-21 STF Formula and Section 5310 Project Monitoring Grant Applicant Information Form Fill out the tables below for EACH project awarded FY18-19 Section 5310, FY18-19 STF Formula, and 2016 STF Discretionary funding. 27. Project Title: 28. Award: 29. Project Budget Year 1 Estimates Year 1 Actuals Planning: $ $ Operating: $ $ Capital: $ $ 30. Project Measurables Measurable: Year 1 Estimates Year 1 Actuals One Way Rides: Senior/Person w/ Disability One Way Rides Total Paid Driver Hours Total Volunteer Driver Hours Cost Per Trip Number Of Individuals Served Vehicle Hours Vehicle Miles Other: Other: 30. Describe significant differences between Year 1 estimates and actuals for the project budget and measurables. Explain how it will impact Year 2. Page 6 FY20-21 STF Formula and Section 5310 Project Monitoring Grant Applicant Information Form Fill out the tables below for EACH project awarded FY18-19 Section 5310, FY18-19 STF Formula, and 2016 STF Discretionary funding. 27. Project Title: 28. Award: 29. Project Budget Year 1 Estimates Year 1 Actuals Planning: $ $ Operating: $ $ Capital: $ $ 30. Project Measurables Measurable: Year 1 Estimates Year 1 Actuals One Way Rides: Senior/Person w/ Disability One Way Rides Total Paid Driver Hours Total Volunteer Driver Hours Cost Per Trip Number Of Individuals Served Vehicle Hours Vehicle Miles Other: Other: 30. Describe significant differences between Year 1 estimates and actuals for the project budget and measurables. Explain how it will impact Year 2. Page 6 Special Transportation Fund Subrecipient Application This application is a tool provided to Subrecipients, who want to apply to their STF agencies for STF projects. A. Applicant Information Transit Agency Transit Agency Name Canby Area Transit - City of Canby Address PO Box 930, Canby, Oregon 97013 Agency Web Address www.canbyareatransit.org Name of Application Contact Title of Application Contact Julie Wehling Transit Director Phone of Application Contact Email of Application Contact (503) 266-0751 [email protected] Special Transportation Fund Agency Special Transportation Fund Agency Tri County Metropolitan Transportation District of Oregon STF Agency Contact Name STF Agency Contact Title Vanessa Vissar Senior Planner STF Agency Contact Phone Number STF Agency Contact Email (503) 962-2290 [email protected] B. Transit Agency and Project Descriptions Project 1 Project Title Canby Area Transit Demand Response Project Description CAT’s Demand Response program (Dial-A-Ride) has historically been funded with a combination of STF Formula funding, 5310 funding and Canby payroll tax revenue. This funding cycle we are requesting the same amount of STF funding that we received during the last funding cycle and slightly less funding 5310 operations funding. CAT provides paratransit services, a local general public service and a premium service under the CAT Dial-A-Ride program which utilizes the same drivers and vehicles to 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. These 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 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 total project cost for 2 years of operations is estimated at $1,062,046. CAT received $240,000 in STF Formula funding during the last biennium and we are requesting the same amount in this funding round. Total STF funds awarded to project Project Type $240,000.00
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