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w nnl 1/1w Tl/lwl On <br />Version 7/03 <br />Ar t L Wr I - <br />FEDERAL ASSISTANCE <br />2. DATE SUBMITTED <br />Applicant Identifier <br />5/31/2013 <br />1. TYPE OF SUBMISSION: <br />3. DATE RECEIVED BY STATE <br />State Application Identifier <br />Application <br />Pre -application <br />4. DATE RECEIVED BY FEDERAL AGENCY <br />Federal Identifier <br />P_ <br />onstruction <br />Construction <br />bmwIL.on-Construction <br />Non -Construction <br />5. APPLICANT INFORMATION <br />Legal Name: <br />Organizational Unit: <br />Department: <br />Indian River County <br />Community Development Dept. <br />Organizational DUNS: <br />079208989 <br />Division: <br />Metropolitan Planning Organization (MPO) <br />Address: <br />Name and telephone number of person to be contacted on matters <br />involving this application (give area code) <br />Street: <br />Prefix: <br />First Name: <br />1801 27th Street <br />Brian <br />City: <br />Middle Name <br />Vero Beach <br />T <br />County: <br />Last Name <br />Freeman <br />Indian River County <br />State: <br />te: <br />ip2960 a <br />Suffix: <br />Country: <br />USA <br />Email: <br />bfreeman@ircgov.com <br />6. EMPLOYER IDENTIFICATION NUMBER (EIN): <br />Phone Number (give area code) <br />Fax Number (give area code) <br />El R—©oao©o® <br />(772) 226-1990 <br />(772) 978-1806 <br />8. TYPE OF APPLICATION: <br />7. TYPE OF APPLICANT: (See back of form for Application Types) <br />F New Continuation IF! Revision <br />B <br />If Revision, enter appropriate letter(s) in box(es) <br />(See back of form for description of letters.) ❑ ❑ <br />Other (specify) <br />9. NAME OF FEDERAL AGENCY: <br />Other (specify) <br />Federal Transit Administration <br />10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: <br />11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT: <br />EN—K1 <br />Fixed route and demand response transit service in nonurbanized areas <br />and small urban areas of Indian River County <br />(Name of Program): <br />`owurbanized Area Formula Program <br />12. AREAS AFFECTED BY PROJECT (Cities, Counties, States, etc.): <br />Indian River County <br />13. PROPOSED PROJECT <br />14. CONGRESSIONAL DISTRICTS OF: <br />Start Date: <br />Ending Date: <br />a. Applicantb. <br />Project <br />07/01/2013 <br />12/31/2014 <br />FL -8 <br />L-8 <br />15. ESTIMATED FUNDING: <br />16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE <br />RDER 12372 PROCESS? <br />a. FederalUU <br />THIS PREAPPLICATION/APPLICATION WAS MADE <br />a. Yes. <br />64,110 <br />AVAILABLE TO THE STATE EXECUTIVE ORDER 12372 <br />PROCESS FOR REVIEW ON <br />b. Applicant <br />uv <br />DATE: <br />c. State <br />UU <br />32,055 <br />b. No. 171 PROGRAM IS NOT COVERED BY E. O. 12372 <br />d. Local <br />32,055 <br />n OR PROGRAM HAS NOT BEEN SELECTED BY STATE <br />e. Other <br />UU <br />FOR REVIEW <br />f. Program Income <br />$ UU <br />17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? <br />11 Yes If "Yes" attach an explanation. U No <br />g. TOTAL <br />$ 128,220- VU <br />18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT. THE <br />DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE <br />TTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED. <br />a. Authorized Representative <br />Prefix First Name Middle Name <br />M <br />Robert <br />Last Name <br />Suffix <br />Keating <br />Title <br />c. Telephone Number (give area code) <br />imunity Development Director <br />772 226/1254 <br />jnature of Authorized Representative <br />Date Signed <br />N/31/2013 <br />Previous Edition Usable <br />Authorized for Local Reproduction <br />Attachment 2 <br />Standard Form 424 (Rev.9-2003) <br />Prescribed by OMB Circular A-102 <br />WA <br />