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About your organization

1. What is your organization's name?(Required)

2. Contact person name(Required)

3. Contact person email(Required)

Enter Email Confirm Email

4. Contact person phone number(Required)

5. What is the legal name of your organization?(Required)

(For example, the Bridgewater Council on Aging is the Town of Bridgewater)

6. What is your organization's legal address?(Required)

Street Address Address Line 2 City State ZIP Code

7. Are you registered in SAM.gov?(Required)

Yes

Not sure

7a. If so, when does your registration expire?

7b. What is your UEI number?

8. Are you a registered vendor of the Commonwealth?(Required)

Yes

Not sure

8a. If so, please list your vendor code.

Please determine which of the types of eligible applicants applies to your organization:

Private nonprofit providing transportation service to seniors and/or persons with disabilities because publicly operated mass transportation service in our service area is unavailable, insufficient, or inappropriate to meet the needs of these populations.
Regional Transit Authority providing transportation service to seniors and/or persons with disabilities because no private non-profit organizations are readily available in our service area to provide the needed service. We understand that the definition of "readily available" in our service area means no non-profit organization is capable or willing to provide the service provided by our organization.
Municipality or Council on Aging providing transportation service to seniors and/or persons with disabilities because no private non-profit organizations are readily available in our service area to provide the needed service. We understand that the definition of "readily available" in our service area means no non-profit organization is capable or willing to provide the service provided by our organization.
Private Taxi Operator (includes Uber and Lyft) providing public transportation to include shared ride transportation services to the general public on a regular basis.

9. Organization type(Required)

10. Are you prepared to pay 15% of the cost of any awarded vehicles upon delivery?(Required)

Yes

11. What type of funds will you use to pay the 15%?(Required)

12. Please calculate the estimated amount of local match due if awarded your full request.(Required)

13. Are you interested in any CNG or propane vehicles?(Required)

Yes

14. Have you previously received vehicles through the Community Transit Grant Program?(Required)

Yes

15. Total number of vehicles requested(Required)

Find your region's Coordinated Human Service Transportation (CHST) plan (opens in a new window).

What page(s) of your region’s Coordinated Human Service Transportation Plan reference the need for the service(s) you will provide with the vehicles you are requesting? Please list the region, year the plan was updated, and page number.

16. CHST region, year, and page(Required)

Civil Rights

17. Describe your process for handling discrimination complaints.(Required)

18. Do you have 50 or more transit-related employees?(Required)

Yes

Oversight

19. Is your organization currently subject to an audit or investigation? Please describe if so.

20. In the past, has your organization had any finding from an audit or investigation? Please describe if so.(Required)

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leaseCount

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Number

Training and Safety

If you operate a vehicle provided through the Community Transit Grant Program, you must abide by the following requirements:

Keep vehicles and equipment in good operating condition, including Americans with Disabilities Act (ADA) accessibility features
Complete driver training requirements for all drivers who operate the vehicle, to include accessible lift use and passenger securement, defensive driving, disability awareness, CPR, first aid, and substance abuse awareness training

New vehicle requests

Vehicle type	Will this vehicle be leased?	Expand fleet or replace existing vehicle	VIN #	Actions

There are no vehicles.

Supporting documents

Before uploading your documents, please ensure that:

the combined file size for all documents does not exceed 20MB
all documents should have unique file names

Application narrative(Required)

Drop files here or

Accepted file types: pdf, doc, docx, csv, xls, xlsx, txt, Max. file size: 10 MB.

Active fleet inventory form(Required)

Drop files here or