HomeMy WebLinkAbout0005_2_ATP - Exhibit A Grant ApplicationPage 1 of 11
APPLICANT SUB-APPLICANT SUB-APPLICANT
Organization
Mailing Address
City
Zip Code
Executive
Director/designe
e and title
Mr. Ms. Mrs. Mr. Ms. Mrs. Mr. Ms. Mrs.
E-mail Address
Contact Person
and title
Mr. Ms. Mrs. Mr. Ms. Mrs. Mr. Ms. Mrs.
Contact E-mail
Address
Phone Number
FUNDING INFORMATION
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Grant Funds
Requested Local Match - Cash Local Match - In-Kind Total Project Cost
$ $ $ $
Specific Source of Local Cash Match
(i.e., local transportation funds, local sales tax, special bond measures, etc.)
FY 2017-18
CALTRANS SUSTAINABLE TRANSPORTATION PLANNING
SUSTAINABLE COMMUNITIES GRANT APPLICATION
PROJECT TITLE
PROJECT LOCATION
(city and county)
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FY 2017-18
CALTRANS SUSTAINABLE TRANSPORTATION PLANNING
SUSTAINABLE COMMUNITIES GRANT APPLICATION
LEGISLATIVE INFORMATION*
Information in this section must directly be tied to the applicant’s address.
All legislative members in the project area do not need to be listed.
State Senator(s) Assembly Member(s)
Name(s) District Name(s) District
*Use the following link to determine the legislators.
http://findyourrep.legislature.ca.gov/ (search by address)
Please identify the best practices cited in the 2017 Regional Transportation Plan (RTP) Guidelines,
Appendices K and L, that would be employed in the proposed transportation planning grant project.
Select only those that apply and provide an explanation. For future grant cycles, this section may be
considered for points and/or threshold requirements. For now, these items are for tracking and
reporting purposes only and are not associated with points, and may not result in a higher score.
Coordination with Other Planning Processes
Please explain how:
Regional Travel Demand Modeling and Analysis
Please explain how:
RTP Consultation and Coordination
Please explain how:
Integrating Ecological Considerations into Transportation Planning
Please explain how:
RTP Financial Overview
Please explain how:
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FY 2017-18
CALTRANS SUSTAINABLE TRANSPORTATION PLANNING
SUSTAINABLE COMMUNITIES GRANT APPLICATION
RTP Modal Discussion
Please explain how:
Transportation System Management and Operations
Please explain how:
Future of Transportation and New Technology
Please explain how:
Sustainable Communities Strategy (SCS) Contents and Development
Please explain how:
Land Use and Transportation Strategies to Address Regional GHG Emissions
Please explain how:
Adaptation of the Regional Transportation System to Climate Change
Please explain how:
Performance Measures
Please explain how:
Policies and Programs that Promote Health and Health Equity
Please explain how:
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Please identify the Grant Program Overarching Objectives (Grant Application Guide, Page 3) that the
proposed transportation planning grant project will address. Select all that apply and provide an
explanation.
Sustainability – Promote reliable and efficient mobility for people, goods, and services, while meeting
the State’s GHG emission reduction goals, preserving the State’s natural and working lands, and
preserving the unique character and livability of California’s communities.
Please explain how:
Preservation – Preserve the transportation system through protecting and/or enhancing the
environment, promoting energy conservation, improving the quality of life, and/or promoting consistency
between transportation improvements and State and Local planning growth and economic development
patterns.
Please explain how:
Mobility – Increase the accessibility of the system and mobility of people and freight.
Please explain how:
Safety – Increase the safety and/or security of the transportation system for motorized and active
transportation users.
Please explain how:
Innovation – Promote the use of technology and innovative designs to improve the performance and
social equity of our transportation system and provide sustainable transportation options.
Please explain how:
Economy – Support the economic vitality of the area (i.e. enables global competitiveness, enables
increased productivity, improves efficiency, increases economic equity by enabling robust economic
opportunities for individuals with barriers to employment and for Disadvantaged Business Enterprises,
etc.).
Please explain how:
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FY 2017-18
CALTRANS SUSTAINABLE TRANSPORTATION PLANNING
SUSTAINABLE COMMUNITIES GRANT APPLICATION
Health – Decrease exposure to local pollution sources, reduce serious injuries and fatalities on the
transportation system, and promote physical activity especially through transportation means.
Please explain how:
Social Equity – All of these overarching objectives should promote transportation solutions that focus
on and prioritize the needs of communities most affected by poverty, air pollution and climate change,
and promote solutions that integrate community values with transportation safety and performance
while encouraging greater than average public involvement in the transportation decision making
process.
Please explain how:
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FY 2017-18
CALTRANS SUSTAINABLE TRANSPORTATION PLANNING
SUSTAINABLE COMMUNITIES GRANT APPLICATION
1. Project Description (100 words maximum) (15 points): Briefly summarize project.
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FY 2017-18
CALTRANS SUSTAINABLE TRANSPORTATION PLANNING
SUSTAINABLE COMMUNITIES GRANT APPLICATION
2. Project Justification (Do not exceed the space provided.) (25 points): Describe the problems or
deficiencies the project is attempting to address, as well as how the project will address the identified problems
or deficiencies. Additionally, list the ramifications of not funding this project.
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FY 2017-18
CALTRANS SUSTAINABLE TRANSPORTATION PLANNING
SUSTAINABLE COMMUNITIES GRANT APPLICATION
3. Grant Specific Objective (Do not exceed the space provided.) (30 points): Explain how the proposed
project addresses the grant specific objective of the Sustainable Communities grant program: to encourage
local and regional multimodal transportation and land use planning that furthers the region’s RTP SCS (where
applicable), contributes to the State’s GHG reduction targets and other State goals, including but not limited to,
the goals and best practices cited in the 2017 RTP Guidelines, address the needs of disadvantaged
communities, and also assist in achieving the Caltrans Mission and Grant Program Overarching Objectives
(Grant Application Guide, Page 3).
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FY 2017-18
CALTRANS SUSTAINABLE TRANSPORTATION PLANNING
SUSTAINABLE COMMUNITIES GRANT APPLICATION
Grant Specific Objective (Continued - Do not exceed the space provided.)
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See Scope of Work and Project Timeline samples and checklists for requirements (Grant
Application Guide, Pages 36-42), also online at: http://www.dot.ca.gov/hq/tpp/grants.html
FY 2017-18
CALTRANS SUSTAINABLE TRANSPORTATION PLANNING
SUSTAINABLE COMMUNITIES GRANT APPLICATION
4. Project Management (30 points)
A. Scope of Work in required Microsoft Word format (15 points)
B. Project Timeline in required Microsoft Excel format (15 points)
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FY 2017-18
CALTRANS SUSTAINABLE TRANSPORTATION PLANNING
SUSTAINABLE COMMUNITIES GRANT APPLICATION
Application Signature Page
If selected for funding, the information contained in this application will become the foundation of the
contract with Caltrans.
To the best of my knowledge, all information contained in this application is true and correct. If
awarded a grant with Caltrans, I agree that I will adhere to the program guidelines.
Signature of Authorized Official (Applicant) Print Name
Title Date
Signature of Authorized Official (Sub-Applicant) Print Name
Title Date