2019 APPLICATION SUPPLEMENT VEHICLE SAMPLE PICTURES, FLOOR DIAGRAMS, OPTION DESCRIPTIONS and ORDER FORMS SECTION 5310 Enhanced Mobility of Seniors and Individuals with Disabilities Program for the Capital Assistance Program U.S. Department of Transportation Federal Transit Administration in cooperation with the Arkansas Department of Transportation Transportation Planning & Policy Division Public Transportation Programs February 2018 Application Supplement for 2019 Page 1
Sample Pictures Type #1 and Type #2 Standard Vans VEHICLE ORDER TYPE #1 8-Passenger Standard Van Vehicle Order Type #1: SBN: SP XX-0001-#38: Estimated Base Price: $27,000 NOTE: Not a Minivan VEHICLE ORDER TYPE #2 12-Passenger Standard Van Vehicle Order Type #2: SBN: SP XX-0001-#34: Estimated Base Price: $31,000 NOTE: Not a Minivan Note: Standard vans are only ordered if available on the Arkansas DF&A contract. Application Supplement for 2019 Page 2
Vehicle Order Form Type #1 Standard Van ORDER FORM 8 Passenger Van (3/4 Ton) State Bid No.: SP - 18-0049 Item 33: Type VGA Purchase Order: Date: Agency: Arkansas Department of Transportation Address: P.O. Box 2261 City, State, Zip: Little Rock, AR 72203 Contact: Public Transportation Programs Section Phone Number: (501) 569-2471 FTA PO No. State Job No. FAIN (Grant No.) ITEM Description Quantity Estimate Price Price Extension # 33 Chevrolet 3/4 Ton Van, 8 Passenger - 285hp $ 27,000.00 Option CC - Gas Engine Upgrade 300hp $ 995.00 Option LS - Differential: Limited Slip $ 325.00 Option HA - Heavy Duty Alternator $ 150.00 Option DB - Dual Batteries $ 165.00 Option TG - Deep Tinted Glass $ 300.00 Option RA - Rear A/C and Heat $ 870.00 Option RU - Radio AM/FM CD $ 150.00 Option CS - Cloth Seats $ 50.00 Option FB - Front Bucket Seats with Console $ 70.00 Option XO - Towing Package $ 280.00 Option BC - Electric Brake Controller $ 115.00 Option BO - Towing Differential $ 325.00 Color: White F.O.B. Arkansas Department of Transportation 10324 I-30 Little Rock, AR 72203 Total Price Ordered by: Approved by: DUNS Number: ALI Code: Application Supplement for 2019 Page 3
Vehicle Order Form Type #2 Standard Van ORDER FORM 12 Passenger Van - One (1) Ton State Bid No.: SP - 18-0049 Item 34: Type VCA Purchase Order: Date: Agency: Arkansas Department of Transportation Address: P.O. Box 2261 City, State, Zip: Little Rock, AR 72203 Contact: Public Transportation Programs Section Phone Number: (501) 569-2471 FTA PO No. State Job No. FAIN (Grant No.) ITEM Description Quantity Estimate Price Price Extension # 34 Ford Transit Low Roof Wagon, 1 Ton, 12 Pass. $ 31,000.00 Option FFV - Flex Fuel Capable $ 155.00 Option CC - Ecoboost turbo 300 hp Engine Upgrade $ 1,865.00 Option CN - CNG Prep Package $ 315.00 Option LS - Differential: Limited Slip $ 335.00 Option DL - Daytime Running Lights $ 55.00 Option HA - Heavy Duty Alternator $ 185.00 Option DB - Dual Batteries $ 295.00 Option TG - Deep Tinted Glass $ 760.00 Option RU - Radio AM/FM CD $ 130.00 Option HO - Additional Seat in Rear of Van $ 1,495.00 Option CS - Cloth Seats $ 150.00 Option XO - Towing Package $ 485.00 Option BC - Electric Brake Controller $ 230.00 Option BO - Differential Extra Towing Capacity $ 335.00 Color: White F.O.B. Arkansas Department of Transportation 10324 I-30 Little Rock, AR 72203 Total Price Ordered by: Approved by: DUNS Number: ALI Code Application Supplement for 2019 Page 4
Sample Picture Type #3 VEHICLE ORDER TYPE #3 7-Passenger Minivan Vehicle Order Type #3: SBN; SP-XX-0001- #XX: Estimated Base Price: $24,000 Note: Standard vans are only ordered if available on the Arkansas DF&A contract. Application Supplement for 2019 Page 5
Vehicle Order Form Type #3 ORDER FORM (7) Passenger Van (Minivan) State Bid No.: SP - 18-0049 Item 38: Type VFA Purchase Order: Date: Agency: Arkansas Department of Transportation Address: P.O. Box 2261 City, State, Zip: Little Rock, AR 72203 Contact: Public Transportation Programs Section Phone Number: (501) 569-2471 FTA PO No. State Job No. FAIN (Grant No.) ITEM Description Quantity Estimate Price Price Extension # 38 Dodge Grand Caravan, 7 Passenger - 3.6L/V6 $ 24,000.00 Option HB - Engine Block Heater $ 95.00 Color: White F.O.B. Arkansas Department of Transportation 10324 I-30 Little Rock, AR 72203 Total Price Ordered by: Approved by: DUNS Number: ALI Code: Application Supplement for 2019 Page 6
Sample Picture and Floor Diagrams Type #4 and Type #5 VEHICLE ORDER TYPE #4 AND TYPE #5. Ramp Van *Note: Vehicle Order Types 4 and 5 all use the PT XX-01 State Bid Number and are differentiated by flip seat removal. Vehicle Order Type #4: SBN: PT XX-01: 6/0 or 2/1 WC; Estimated Base Price: $41,000 Vehicle Order Type #5: SBN: PT XX-01: 5/0 or 2/1 WC; Estimated Base Price: $41,000 Application Supplement for 2019 Page 7
Vehicle Order Form Type #4 and Type #5 ORDER FORM Lowered-Floor Minivan With Ramp State Bid No.: PT 17-01 Purchase Order: Date: Agency: Arkansas Department of Transportation Address: P.O. Box 2261 City, State, Zip: Little Rock, AR 72203 Contact: Public Transportation Programs Section Phone Number: (501) 569-2471 FTA PO No. State Job No. FAIN (Grant No.) ITEM Description Quantity Estimate Price Price Extension 1 Dodge Ramp Van $ 41,000 Option: Seat Belt Extensions (Per Pass. Seat) $ 40 Reduction: Middle Seat Deletion $ (700) Total Price Ordered by: Approved by: DUNS Number: ALI Code Application Supplement for 2019 Page 8
Sample Pictures and Floor Diagrams Type #6 and Type #7 Vehicle Order Types #6 and #7. Medium Roof Conversion Van Vehicle Order Type #6: SBN: PT XX-02 Item #1, 13-Passenger Van Estimated Base Price: $42,000 Vehicle Order Type #7: SBN: PT XX-02 Item #2, 8/0 or 4/2 WC Estimated Base Price: $45,500** ** Interior Configuration includes 2 Double Flip Seats on Left Side with Two Single Seats on Right Side at Rear. Application Supplement for 2019 Page 9
Vehicle Order Form Type #6 ORDER FORM Conversion Van w/options State Bid No.: PT 17-02 Item 1 Purchase Order: Date: Agency: Arkansas Department of Transportation Address: P.O. Box 2261 City, State, Zip: Little Rock, AR 72203 Contact: Public Transportation Programs Section Phone Number: (501) 569-2471 FTA PO No. State Job No. FAIN (Grant No.) ITEM Description Quantity Estimate Price Price Extension 1 Ford 12 Pass. Configuration plus Driver $ 42,000 Optional Equipment (Per Unit): A Child Safety Alert System $ 195 B Floor Covering Altro Upgrade $ 150 C Caution Lighting $ 425 D Headrests (per passenger seat) $ 75 E Child Restraint Systems (per passenger seat) $ 60 F Seat Belt Extensions (per passenger seat) $ 40 G Stanchion Pole Optional $ 275 H Fabric Upholstery (per passenger seat) $ 40 I Optional Engine Twin Turbo $ 2,025 J Optional CNG Prep Package $ 425 Total Price Ordered by: Approved by: DUNS Number: ALI Code: Application Supplement for 2019 Page 10
Vehicle Order Form Type #7 ORDER FORM Conversion Van w/options State Bid No.: PT 17-02 Item 2 Purchase Order: Date: Agency: Arkansas Department of Transportation Address: P.O. Box 2261 City, State, Zip: Little Rock, AR 72203 Contact: Public Transportation Programs Section Phone Number: (501) 569-2471 FTA PO No. State Job No. FAIN (Grant No.) ITEM Description Quantity Estimate Price Price Extension 2 Ford with Rear WC Lift and 2 WC Restraints $ 45,500 Optional Equipment (Per Unit): A Child Safety Alert System $ 195 B Floor Covering Altro Upgrade $ 150 C Caution Lighting $ 425 D Headrests (per passenger seat) $ 75 E Child Restraint Systems (per passenger seat) $ 60 F Seat Belt Extensions (per passenger seat) $ 40 G Stanchion Pole Optional $ 275 H Fabric Upholstery (per passenger seat) $ 40 I Optional Engine Twin Turbo $ 2,025 J Optional CNG Prep Package $ 425 K Reduction Fold Up Two Passenger Seat $ (675) L Reduction Fixed Single Passenger Seat $ (300) Total Price Ordered by: Approved by: DUNS Number: ALI Code: Application Supplement for 2019 Page 11
Sample Picture and Floor Diagrams Type #8, Type #9 and Type #10 Note: Vehicles are solid white with no stripes or extra colors. Vehicle Order Types #8, #9 and #10. Small Cutaway Bus SBN: PT XX-05* CDL Not Required *Note: Vehicle Order Types #8, #9 and #10 all use the PT XX-05 State Bid Number and are differentiated by lift and W/C securement. Vehicle Order Type #8: Small Cutaway, SBN: PT XX-05 14-Passenger Bus w/o Lift Base Price: $51,000 Vehicle Order Type #9: Small Cutaway, SBN: PT XX-05 11/0 WC or 9/1 WC Bus Base Price: $54,000 Application Supplement for 2019 Page 12
Sample Picture and Floor Diagrams Type #8, Type #9 and Type #10 Vehicle Order Type #10: Small Cutaway, SBN: PT XX-05 9/2 WC Bus Base Price: $54,000 Application Supplement for 2019 Page 13
Vehicle Order Form Type #8, Type #9 and Type #10 ORDER FORM Small Cutaway Bus with Seating and ADA Equipment State Bid No.: PT 16-05 Purchase Order: Date: Agency: Arkansas Department of Transportation Address: P.O. Box 2261 City, State, Zip: Little Rock, AR 72203 Contact: Public Transportation Programs Section Phone Number: (501) 569-2471 FTA PO No. State Job No. FAIN (Grant No.) ITEM Description Quantity Estimate Price Price Extension Ford 13-Passenger plus Driver Configuration $ 51,000 Optional Equipment (Per Unit): A Wheelchair Lift Meeting ADA Specifications $ 2,770 B 1000lb. Wheelchair Lift Meeting ADA Specifications $ 4,170 C Wheelchair Restraint System - Retractable System $ 405 D Backup Camera $ 435 E Child Safety Alert System $ 100 F Engine Optional $ - G Floor Covering Alto Upgrade $ 470 H Optional Passenger Seats 3 Point GO-ES Seats $ 1,250 I Double Fold-A-Way Flip Seat - Forward Facing Only $ 570 J Double Fold-A-Way Flip Seat GO-ES - Forward Facing Only $ 1,200 K Child Restraint Systems (per passenger seat) $ 100 L Seat Belt Extensions (per passenger seat) $ 50 M Mor/Ryde Suspension $ 950 N Plush Fabric Upholstery (per passenger seat) $ 50 O Safety Exit / Ventilator $ 335 P Hybrid Drive System $ 19,000 Q CNG Fuel System $ 30,500 Price Reductions: Seat Reduction - Single $ (170) Seat Reduction - Double $ (295) Service Manual $ (100) Total Price Ordered by: Approved by: DUNS Number: ALI Code: Application Supplement for 2019 Page 14
Sample Pictures and Floor Diagrams Type #11 and Type #12 Note: Vehicles are solid white with no stripes or extra colors. Vehicle Order Types #11 and #12. Medium Cutaway Bus, SBN PT XX-06 Item 1* Type #11 CDL Required, Type #12 CDL Not Required *Note: Vehicle Order Types #11 & #12 each use the PT XX-06 Item 1 State Bid Number (SBN) and are differentiated by configuration. Vehicle Order Type #11: Medium Cutaway, SBN: PT XX-06 Item 1 17-Passenger Bus Base Price: $54,000 Vehicle Order Type #12: Medium Cutaway, SBN: PT XX-06 Item 1 9/2 WC or 11/2 WC Bus Base Price: $56,000 Application Supplement for 2019 Page 15
Vehicle Order Form Type #11 and Type #12 ORDER FORM Medium Cutaway Bus with Seating & ADA Equipment State Bid No.: PT 16-06, Item 1 Purchase Order: Date: Agency: Arkansas Department of Transportation Address: P.O. Box 2261 City, State, Zip: Little Rock, AR 72203 Contact: Public Transportation Programs Section Phone Number: (501) 569-2471 FTA PO No. State Job No. FAIN (Grant No.) ITEM Description Quantity Estimate Price Price Extension 1 Ford 16-Passenger plus Driver Configuration $ 54,000 Optional Equipment (Per Unit): A Wheelchair Lift Meeting ADA Specifications $ 2,770 B 1000lb. Wheelchair Lift Meeting ADA Specifications $ 4,170 C Wheelchair Restraint System - Retractable System $ 405 D Backup Camera $ 435 E Safety Bumper (rear) $ 490 F Child Safety Alert System $ 100 G LED Destination Sign (side and front) $ 5,000 H Altro Flooring Upgrade $ 470 I Raised Flat Floor $ 625 J Optional Passenger Seats 3 Point GO-ES Seats $ 1,250 K Double Fold-A-Way Flip Seat - Forward Facing Only $ 570 L Double Fold-A-Way Flip Seat GO-ES - Forward Facing Only $ 1,200 M Child Restraint System (per passenger seat) $ 100 N Seat Belt Extensions (per passenger seat) $ 50 O Mor/Ryde Suspension $ 950 P Plush Fabric Upholstery (per passenger seat) $ 50 Q Safety Exit / Ventilator $ 335 R Hybrid Drive System $ 19,000 S CNG Fuel System $ 30,500 Price Reductions: Seat Reduction - Single $ (165) Seat Reduction - Double $ (320) Service Manual $ (100) Total Price Ordered by: Approved by: DUNS Number: ALI Code: Application Supplement for 2019 Page 16
Sample Pictures and Floor Diagrams Type #13 and Type #14 Note: Vehicles are solid white with no stripes or extra colors. Vehicle Order Types #13 and #14. Medium Cutaway Bus, SBN PT XX-06 Item 2* Type #13 CDL Required, Type #14 CDL Not Required unless you order flip seat! *Note: Vehicle Order Types #13 & #14 each use the PT XX-06 Item 2 State Bid Number (SBN) and are differentiated by configuration. Vehicle Order Type #13: Medium Cutaway, SBN: PT XX-06 Item 2 21-Passenger Bus, Base Price: $57,000 Vehicle Order Type #14: Medium Cutaway, SBN: PT XX-06 Item 2 13/2 WC or 15/2 WC Bus Base Price: $59,000 Application Supplement for 2019 Page 17
Vehicle Order Form Type #13 and Type #14 ORDER FORM Medium Cutaway Bus with Seating & ADA Equipment State Bid No.: PT 16-06, Item 2 Purchase Order: Date: Agency: Arkansas Department of Transportation Address: P.O. Box 2261 City, State, Zip: Little Rock, AR 72203 Contact: Public Transportation Programs Section Phone Number: (501) 569-2471 FTA PO No. State Job No. FAIN (Grant No.) ITEM Description Quantity Estimate Price Price Extension 2 Ford 20-Passenger plus Driver Configuration $ 57,000 Optional Equipment (Per Unit): A Wheelchair Lift Meeting ADA Specifications $ 2,770 B 1000 lb. Wheelchair Lift Meeting ADA Specifications $ 4,170 C Wheelchair Restraint System - Retractable System $ 405 D Backup Camera $ 435 E Safety Bumper (rear) $ 490 F Child Safety Alert System $ 100 G LED Destination Sign (side and front) $ 5,000 H Floor Covering Altro Upgrade $ 470 I Raised Flat Floor $ 625 J Optional Passenger Seats 3 Point GO-ES Seats $ 1,250 K Double Fold-A-Way Flip Seat - Forward Facing Only $ 570 L Double Fold-A-Way Flip Seat GO-ES- Forward Facing Only $ 1,200 M Child Restraint Systems (per passenger seat) $ 100 N Seat Belt Extensions (per passenger seat) $ 50 O Mor/Ryde Suspension $ 950 P Plush Fabric Upholstery (per passenger seat) $ 50 Q Safety Exit / Ventilator $ 335 R Hybrid Drive System $ 19,000 S CNG Fuel System $ 30,500 Price Reductions: Seat Reduction - Single $ (170) Seat Reduction - Double $ (295) Service Manual $ (100) Total Price Ordered by: Approved by: DUNS Number: ALI Code: Application Supplement for 2019 Page 18
Sample Pictures and Floor Diagrams Type #15 and Type #16 Vehicle Order Types #15 and #16. Medium Cutaway Bus, SBN PT XX-06 Item 3* CDL Required *Note: Vehicle Order Types #15 & #16 each use the PT XX-06 Item 3 State Bid Number (SBN) and are differentiated by configuration. Vehicle Order Type #15: Medium Cutaway, SBN: PT XX-06 Item 3 25-Passenger Bus Base Price: $59,000 Vehicle Order Type #16: Medium Cutaway, SBN: PT XX-06 Item 3 17/2 WC or 19/2 WC Bus Base Price: $61,000 Application Supplement for 2019 Page 19
Vehicle Order Form Type #15 and Type #16 ORDER FORM Medium Cutaway Bus with Seating & ADA Equipment State Bid No.: PT 16-06, Item 3 Purchase Order: Date: Agency: Arkansas Department of Transportation Address: P.O. Box 2261 City, State, Zip: Little Rock, AR 72203 Contact: Public Transportation Programs Section Phone Number: (501) 569-2471 FTA PO No. State Job No. FAIN (Grant No.) ITEM Quantity Estimate Price Price Extension 3 Ford 24-Passenger plus Driver Configuration $ 59,000 Optional Equipment (Per Unit): A Wheelchair Lift Meeting ADA Specifications $ 2,770 B 1000 lb. Wheelchair Lift Meeting ADA Specifications $ 4,170 C Wheelchair Restraint System - Retractable System $ 435 D Backup Camera $ 435 E Safety Bumper (rear) $ 490 F Child Safety Alert System $ 100 G LED Destination Sign (side and front) $ 5,000 H Floor Covering Altro Upgrade $ 470 I Raised Flat Floor $ 625 J Optional Passenger Seats 3 Point GO-ES Seats $ 1,250 K Double Fold-A-Way Flip Seat - Forward Facing Only $ 570 L Double Fold-A-Way Flip Seat GO-ES - Forward Facing Only $ 1,200 M Child Restraint Systems (per passenger seat) $ 100 N Seat Belt Extensions (per passenger seat) $ 50 O Mor/Ryde Suspension $ 950 P Plush Fabric Upholstery (per passenger seat) $ 50 Q Safety Exit / Ventilator $ 335 R Hybrid Drive System $ 19,000 S CNG Fuel System $ 30,500 Price Reductions: Seat Reduction - Single $ (170) Seat Reduction - Double $ (295) Service Manual $ (100) Total Price Ordered by: Approved by: DUNS Number: ALI Code: Application Supplement for 2019 Page 20
Vehicle Option Descriptions for Vehicle Types #4 thru #16 1. Alternate Child Restraint Systems: This option is for additional seat tethers for infant seats. The Department requires three be installed in all vehicles. This option allows an agency to install more if this fits their clientele. 2. Backup Camera: A camera mounted to the rear of the vehicle with a dash mounted viewing screen to aid the driver in seeing objects behind the vehicle while backing. 3. Caution Lighting: Rear yellow LED lights that flash when the side or rear doors are open to alert other drivers that passengers are being loaded or unloaded. 4. Child Alert System: A system designed to require the driver to inspect the interior of the vehicle for children before the vehicle can be shut down at the end of the trip. The system usually has a button placed in the rear of the vehicle that must be pushed before the vehicle can be shut off or an alarm and the vehicle horn will sound. This option is required by DHS for agencies that transport children. 5. CNG Fuel System: This option is to convert the vehicle from running on gasoline to run on compressed natural gas. 6. CNG Prep Package: This option is for agencies who want to convert their vehicle to run on CNG fuel. 7. Double Fold Away Seat: A two person seat which folds up and out of the way when not in use. This allows for additional seating when there is not a wheelchair passenger on board. This option is only installed on vehicles with a wheelchair lift and restraint system. 8. Double Fold Away Seat GO-ES: This option is for those agencies who order the optional GO-ES standard seat. 9. Engine Twin Turbo: This is an optional engine on the Ford Transit Conversion Vans for agencies who desire more power for hilly locations. 10. Fast Idle System: An electronic system that raises the idle speed of a vehicle while the vehicle is in park. This keeps the vehicles battery charged by speeding up the alternator and also keeps the air conditioner compressor spinning faster to keep the interior temps lower in the summer months. 11. Floor Covering Altro Upgrade: An upgrade floor covering form the standard rubber or vinyl floor that is installed in transit vehicles. It is normally more durable and a better grade vinyl than the normal flooring. 12. Headrests: This option is for headrests on the Ford Transit Conversion Vans seats only. 13. Hybrid Drive System: This option is a hybrid drive system to help save fuel and maintenance on the vehicle. 14. LED Destination Sign: This is an electronic sign that is on both front and passenger side of the vehicle. It can be programmed electronically to show the destination stops. This option is for urban transit agencies who have fixed route service. 15. Mor/Ryde Rear Suspension Enhancement: A rear suspension enhancement that utilizes rubber mounts which makes the vehicle ride smoother on rough pavement especially when the vehicle is loaded. 16. Passenger GO-ES Seats: This option is for agencies who want a shoulder belt seat instead of the standard seats with lap seat belts. 17. Plush Fabric Upholstery: This option is for agencies that want fabric upholstery instead of the vinyl upholstery that is standard on transit vehicles. 18. Raised Flat Floor: This option allows the vehicle to have a flat floor instead of having the wheel well intrusion. This option is only for if an agency wants more than two wheelchair positions. Application Supplement for 2019 Page 21
Vehicle Option Descriptions for Vehicle Types #4 thru #15 19. Reduction Double Seat: This reduction is to remove a double passenger seat for agencies to have wheelchair positions in place of the standard seats. This option is only for vehicles which have wheelchair positions. 20. Reduction Service Manual: This reduction allows an agency to have a price reduction if they do not need a service manual for their vehicle. 21. Reduction Single Seat: This reduction is to remove a single passenger seat for agencies to have wheelchair positions in place of the standard seats. This option is only for vehicles which have wheelchair positions. 22. Safety Rear Bumper: An optional rear bumper that allows multiple impacts of 5 mph or less without damage to the bumper or vehicle. 23. Safety Exit Ventilator: This option is a vent that installed in the roof of the vehicle that can also be used as an emergency exit in case of a rollover. 24. Seat Belt Extensions: This option is for passengers requiring additional length to safely and comfortably secure their seat belts. 25. Stanchion Pole Optional: The Ford Transit Conversion Vans come standard with a stanchion pole at the front of the sliding side door opening; this stanchion pole mounts to the rear of the sliding door opening. 26. Wheelchair Lift: This option is a lift designed to aid wheelchair passengers, passengers with a walker or anyone who is not able to board a vehicle by utilizing the ambulatory entry. 27. Wheelchair Lift 1000lb: This option is a lift designed to aid those larger wheelchair passengers. 28. Wheelchair Restraint System: A system of restraints designed to hold a wheelchair securely in position while the vehicle is in motion. Application Supplement for 2019 Page 22