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Please use the space below to correct any details.", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": null, "name": "no_vehicles", "length": 255, "alias": "The number of vehicles located here are:", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "name": "service_d584ef51e59c4127974a8f4ad221a603_cvd_no_vehicles_correct", "type": "codedValue", "codedValues": [ { "code": "no", "name": "No" }, { "code": "yes", "name": "Yes" } ] }, "name": "no_vehicles_correct", "length": 255, "alias": "Is the number of vehicles correct?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "name": "service_d584ef51e59c4127974a8f4ad221a603_cvd_risk_q1", "type": "codedValue", "codedValues": [ { "code": "no", "name": "No" }, { "code": "yes", "name": "Yes" } ] }, "name": "risk_q1", "length": 255, "alias": "1. Has your agency run an operating deficit over the past two years?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "name": "service_d584ef51e59c4127974a8f4ad221a603_cvd_risk_q2", "type": "codedValue", "codedValues": [ { "code": "no", "name": "No" }, { "code": "yes", "name": "Yes" } ] }, "name": "risk_q2", "length": 255, "alias": "2. Do you anticipate budget cutbacks in the near future?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "name": "service_d584ef51e59c4127974a8f4ad221a603_cvd_risk_q3", "type": "codedValue", "codedValues": [ { "code": "no", "name": "No" }, { "code": "yes", "name": "Yes" } ] }, "name": "risk_q3", "length": 255, "alias": "3. 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Are you utilizing your 5310 vheicles for the specified purposes stated in your original grant application to OKI?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "name": "service_d584ef51e59c4127974a8f4ad221a603_cvd_risk_q6", "type": "codedValue", "codedValues": [ { "code": "no", "name": "No" }, { "code": "yes", "name": "Yes" } ] }, "name": "risk_q6", "length": 255, "alias": "6. Have you had to decline servie to your clients due to lack of operating services?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "name": "service_d584ef51e59c4127974a8f4ad221a603_cvd_risk_q7", "type": "codedValue", "codedValues": [ { "code": "no", "name": "No" }, { "code": "yes", "name": "Yes" } ] }, "name": "risk_q7", "length": 255, "alias": "7. Has your ridership declined over the past year?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": null, "name": "risk_q8", "length": 255, "alias": "8. On average, what percentage % of your 5310-supported vehicle fleet is in operation on a daily basis?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "name": "service_d584ef51e59c4127974a8f4ad221a603_cvd_risk_q9", "type": "codedValue", "codedValues": [ { "code": "no", "name": "No" }, { "code": "yes", "name": "Yes" } ] }, "name": "risk_q9", "length": 255, "alias": "9. 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Has your agency received any negative audit findings related to the management of federal or state grant funds in the past three (3) years?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": null, "name": "fm_q2", "length": 255, "alias": "2. Describe your internal control process by which invoices submitted by vendors for purchases to be reimbursed by federal grants are approved and paid?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "name": "service_d584ef51e59c4127974a8f4ad221a603_cvd_fm_q3", "type": "codedValue", "codedValues": [ { "code": "no", "name": "No" }, { "code": "yes", "name": "Yes" } ] }, "name": "fm_q3", "length": 255, "alias": "3. Is the individual who approves the invoice the same person who issues the check for payment and/or records the expense in the General Ledger?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": null, "name": "fm_q4", "length": 255, "alias": "4. How long do you retain records of expenditures made under grant funded agreements?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "name": "service_d584ef51e59c4127974a8f4ad221a603_cvd_fm_q5", "type": "codedValue", "codedValues": [ { "code": "no", "name": "No" }, { "code": "yes", "name": "Yes" } ] }, "name": "fm_q5", "length": 255, "alias": "5. Are these records safely stored in a secure location?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "name": "service_d584ef51e59c4127974a8f4ad221a603_cvd_fm_q6", "type": "codedValue", "codedValues": [ { "code": "no", "name": "No" }, { "code": "yes", "name": "Yes" } ] }, "name": "fm_q6", "length": 255, "alias": "6. Do you have sufficient funding in place to support the full operation of your 5310 vehicle passenger service?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "name": "service_d584ef51e59c4127974a8f4ad221a603_cvd_fm_q7", "type": "codedValue", "codedValues": [ { "code": "no", "name": "No" }, { "code": "yes", "name": "Yes" } ] }, "name": "fm_q7", "length": 255, "alias": "7. If you receive grant funds for Preventive Maintenance, are you submitting your reimbursement request to SORTA or OKI on a regular timely basis?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "name": "service_d584ef51e59c4127974a8f4ad221a603_cvd_fm_q8", "type": "codedValue", "codedValues": [ { "code": "no", "name": "No" }, { "code": "yes", "name": "Yes" } ] }, "name": "fm_q8", "length": 255, "alias": "8. Do you have adequate local funds in place to match the FTA funds used for preventive maintenance?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "name": "service_d584ef51e59c4127974a8f4ad221a603_cvd_ds_q1", "type": "codedValue", "codedValues": [ { "code": "no", "name": "No" }, { "code": "yes", "name": "Yes" } ] }, "name": "ds_q1", "length": 255, "alias": "1. Have any 5310 vehicles been stolen or damaged by vandalism over the past year?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "name": "service_d584ef51e59c4127974a8f4ad221a603_cvd_ds_q2", "type": "codedValue", "codedValues": [ { "code": "no", "name": "No" }, { "code": "yes", "name": "Yes" } ] }, "name": "ds_q2", "length": 255, "alias": "2. Is the insurance coverage for your 5310-funded vehicles up to date and in full force?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "name": "service_d584ef51e59c4127974a8f4ad221a603_cvd_ds_q3", "type": "codedValue", "codedValues": [ { "code": "no", "name": "No" }, { "code": "yes", "name": "Yes" } ] }, "name": "ds_q3", "length": 255, "alias": "3. Have you experienced any problems with your insurance carrier?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "name": "service_d584ef51e59c4127974a8f4ad221a603_cvd_m_q1", "type": "codedValue", "codedValues": [ { "code": "no", "name": "No" }, { "code": "yes", "name": "Yes" } ] }, "name": "m_q1", "length": 255, "alias": "1. Have your 5310 passenger vehicles undergone the recommended level and frequency of preventive maintenance inspections?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "name": "service_d584ef51e59c4127974a8f4ad221a603_cvd_m_q2", "type": "codedValue", "codedValues": [ { "code": "no", "name": "No" }, { "code": "yes", "name": "Yes" } ] }, "name": "m_q2", "length": 255, "alias": "2. Do any of your 5310-funded vehicles experience frequent breaksdowns?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": null, "name": "m_q3", "length": 255, "alias": "3. How do you ensure that only qualified drivers operate your 5310 vehicles in passenger service?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "name": "service_d584ef51e59c4127974a8f4ad221a603_cvd_ada_q1", "type": "codedValue", "codedValues": [ { "code": "no", "name": "No" }, { "code": "yes", "name": "Yes" } ] }, "name": "ada_q1", "length": 255, "alias": "1. Are the wheelchair lifts on your vehicles operating properly?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": null, "name": "ada_q2", "length": 255, "alias": "2. How often do you perform maintenance on your wheelchair lifts?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "name": "service_d584ef51e59c4127974a8f4ad221a603_cvd_ada_q3", "type": "codedValue", "codedValues": [ { "code": "no", "name": "No" }, { "code": "yes", "name": "Yes" } ] }, "name": "ada_q3", "length": 255, "alias": "3. Have you any ADA-related complaints files over the past two (2) years?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "name": "service_d584ef51e59c4127974a8f4ad221a603_cvd_title9_q1", "type": "codedValue", "codedValues": [ { "code": "no", "name": "No" }, { "code": "yes", "name": "Yes" } ] }, "name": "title9_q1", "length": 255, "alias": "1. Does your agency have current Title VI Program Plan?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "name": "service_d584ef51e59c4127974a8f4ad221a603_cvd_title9_q2", "type": "codedValue", "codedValues": [ { "code": "no", "name": "No" }, { "code": "yes", "name": "Yes" } ] }, "name": "title9_q2", "length": 255, "alias": "2. Have you received any Title VI discrimination complaits over the past two (2) years?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": { "name": "service_d584ef51e59c4127974a8f4ad221a603_cvd_title9_q3a", "type": "codedValue", "codedValues": [ { "code": "no", "name": "No" }, { "code": "yes", "name": "Yes" } ] }, "name": "title9_q3a", "length": 255, "alias": "3. Have you recuded 5310 vehicle transport service to your clients over the past year?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": null, "name": "title9_q3b", "length": 255, "alias": "3b. You have answered \"yes\" to the previous question. Please explain further below:", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": null, "name": "title9_q4", "length": 255, "alias": "If required by your Plan how do you inform your clients of their rights under Title VI?", "type": "esriFieldTypeString" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": null, "name": "endnote", "length": 255, "alias": "Thank you for your answers. To submit, click the button below. For any questions, please contact Travis Miller .", "type": "esriFieldTypeString" }, { "nullable": true, "editable": false, "defaultValue": null, "domain": null, "name": "created_user", "length": 255, "alias": "created_user", "type": "esriFieldTypeString" }, { "nullable": true, "editable": false, "defaultValue": null, "domain": null, "precision": 1, "name": "created_date", "length": 29, "alias": "created_date", "type": "esriFieldTypeDate" }, { "nullable": true, "editable": false, "defaultValue": null, "domain": null, "name": "last_edited_user", "length": 255, "alias": "last_edited_user", "type": "esriFieldTypeString" }, { "nullable": true, "editable": false, "defaultValue": null, "domain": null, "precision": 1, "name": "last_edited_date", "length": 29, "alias": "last_edited_date", "type": "esriFieldTypeDate" }, { "nullable": true, "editable": true, "defaultValue": null, "domain": null, "name": "title9_q2b", "length": 255, "alias": "2b. 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