Contract - Star Shuttle, Inc. - 5/25/2017 AMENDMENT NO. 2
TO AGREEMENT BETWEEN THE CITY OF ROUND ROCK, TEXAS
AND STAR SHUTTLE, INC.
FOR DEMAND RESPONSE BUS SERVICES
This Amendment No. 2 to the "Agreement Between the City of Round Rock, Texas and
Star Shuttle, Inc. for Demand Response Bus Services," hereinafter called "Amendment No. 2" is
made as of the day of the month of May, 2017 by and between the City of Round Rock, a
Texas home-rule municipal corporation (the "City") and Star Shuttle, Inc. ("Star Shuttle").
WHEREAS, the City and Star Shuttle executed an "Agreement Between the City of
Round Rock, Texas and Star Shuttle, Inc. for Demand Response Bus Services" on March 22,
2012 through Resolution Number 12-03-22-11A2 ("Agreement"); and
WHEREAS, the City and Star Shuttle executed Amendment No. 1 increasing the
number of Revenue Hours and buses under the Agreement on June 13, 2013 through Resolution
Number 13-06-13-G7; and
WHEREAS, the City desires to continue Demand Response Bus Services through
August 18, 2017; and
WHEREAS,the City's Transit System has added two (2) local fixed routes; and
WHEREAS, in compliance with federal law, after August 18, 2017, the City desires to
replace Demand Response Bus Services with Complementary Paratransit Services; and
WHEREAS, Star Shuttle will provide Complementary Paratransit Services for the City
pursuant to the terms and conditions in the Agreement through July 31, 2022; and
WHEREAS, the City and Star Shuttle desire to extend the term of this Agreement and
modify the services from Demand Bus Services to Paratransit Bus Services;
NOW THEREFORE, for and in consideration of the mutual promises contained herein
and other good and valuable consideration, the sufficiency and receipt of which are hereby
acknowledged, the City and Star Shuttle agree that said Agreement is amended as follows:
I.
1.1. The term of the Agreement is extended through July 31, 2022.
1.2. The Revenue Hours and Prices for the extension term are set forth in Exhibit "A,"
attached hereto and incorporated herein by reference.
1.3. After August 19, 2017, all references in the Agreement to Demand Bus Services shall
refer to Paratransit Services.
1
00377605/ss2
2
1.4. Exhibit "F" "Demand Bus Service Area" shall be replaced with the attached Exhibit "B"
"Paratransit Bus Service Area," attached hereto and incorporated by reference herein.
1.5. Exhibit "M" "Fares and Fare Control" shall be replaced with the attached Exhibit "C,"
attached hereto and incorporated herein by reference.
1.6. Paratransit Bus Services shall be provided in accordance with the City of Round Rock's
ADA Complementary Paratransit Service Plan which shall be attached hereto as Exhibit
"D" and incorporated herein.'
II.
2.1. Capitalized terms not otherwise defined in this Amendment No. 2 shall have the
meanings ascribed to them in the Agreement.
2.2. Except as amended hereby, the Agreement as originally written along with Amendment
No. 1 remain in full force and effect.
2.3. This Amendment No. 2 may be executed in multiple counterparts, which, when
combined together, shall constitute an original of this Amendment No. 2.
2.4. This, Amendment No. 2 together with the Agreement, embodies the entire agreement of
the parties hereto, and is binding upon and inures to the benefit of the parties to this
Amendment No. 2 and their respective heirs, executors, administrators, personal
representatives, legal representatives, successors and assigns. The Agreement, as
amended hereby, can only be further modified or varied by written instrument subscribed
to by the parties hereto.
[Signatures on the following page.]
2
IN WITNESS WHEREOF, the parties hereto have executed this Amendment No. 2 as of the
day and year first set forth above.
CITY OF ROUND ROCK, TEXAS
By: — 6-� —
Printed Name: 00
Title: /t
Date Signed:
ATTEST:
By: Ak- k IOW&
Sara L. White, City Jerk
FOR CITY, PROVED AS TO FORM:
By:
Steph L. Sheets, City Attorney
STAR SHUTTLE, I C.
By:
N e• 6 KER
itl . Flfrs igh-r/GE
at
Signed: 5/15' 201 T
3
June 2017 July 2017 August 2017 Grand Total
(3 weeks)
Hourly Hourly Hourly
Rate Total Rate Total Rate Total
$ 56.00 $ 51,800.00 $ 56.00 $ 51,800.00 $ 56.00 $ 31,080.00
$ 13,000.00 $ 13,000.00 $ 7,800.00
$ 64,800.00 $ 64,800.00 $ 38,880.00 $ 168,480.00
August 1,2017-July 31,2018 August 1,2018-July 31,2019 August 1,2019-July 31,2020 August 1,2020-July 31,2021 August 1,2021-July 31,
Hourly I
Rate Total Hourly Rate Total Hourly Rate Total Hourly Rate Total Hourly Rate Ti
$ 65.00 $ 592,020.00 $ 67.28 $ 612,740.70 $ 69.63 $ 634,186.62 $ 72.07 $ 656,383.16 $ 74.59 $ 6
$ 125,000.00 $ 125,000.00 $ 125,000.00 $ 125,000.00 $ 1
$ 717,020.00 $ 737,740.70 $ 759,186.62 $ 781,383.16 $ 8
:)m average total revenue hours(regular and JARC)for the June and July time periods for 2016 and 2015.
►t local routes will operate 12 hours per day for 253 days a year,resulting in each vehicle operating at 3036 revenue hours.
-ee vehicles. Two of those being the City's owned vehicles.
•'
EXHIBIT B
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JR�OUNG ROCK TEXASPoints of Interest
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EXHIBIT C
FARES AND FARE CONTROL
Paratransit Fares
Fare ADA
Paratransit Fare
Type
Single Ride $2.00
_..-.__...-
Day Pass $5.00
No passenger will be transported without the appropriate fare. If a situation arises, the driver
shall contact the dispatcher.
The City shall determine discounted fare and paratransit eligibility and inform Star Shuttle staff
of any customer who qualifies.
Star will utilize fare boxes for collection of fares. Operators will not have a key to the fare box.
Fares and tickets (if any) will be counted by Star Shuttle staff. Star will utilize money counting
equipment and supplies as well as a secure counting area. Driver collections will be reviewed
against ridership by Star Shuttle management staff to ensure fare collections are all accounted
for.
Star stores all monies in a secure drop safe accessible only to management staff pending deposit,
with each deposit in locked moneybags. The safe is securely locked. Upon separation of service
of persons with safe access, lock or combination will be changed within 15 days. Depositing
employees do not have access to the safe interior. Deposit records are entered into the Star
accounting system. Deposits will be transported to the bank in a secure manner.
A fare report will be submitted with the monthly invoice. Fares collected will be deducted from
the amount owed by the City. All invoices will be prepared by the Accounting Manager and then
reviewed and signed by the Project Operations and Compliance Manage prior to submission to
the City of Round Rock.
Operators will complete their manifest by logging required trip information/passenger counts in
the designated areas on the manifest. The Operator will total the number of clients transported
for that shift. The Station Foreman will recount each pickup and compare the totals to the
Operator's totals. If any discrepancies are found, the Operator will be called in to recount and
correct any errors. The Station Foreman will accurately complete the Daily Recap Summary.
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EXHIBIT D
ROUND ROCK TEXAS
TRANSIT
City of Round Rock
ADA Complementary
Paratransit Service Plan
Grantee ID: 6631
February 28, 2017
Table of Contents
Identificationof Entity.................................................................................................................... 3
Mission............................................................................................................................................ 3
Background..................................................................................................................................... 3
Nondiscrimination........................................................................................................................... 4
Filingan ADA Complaint...............................................................................................................4
Description of Fixed Route System................................................................................................ 5
Eligibility Requirements and Application Process......................................................................... 5
Application Denial Appeal Process ................................................................................................ 6
ServiceType ................................................................................................................................... 6
Service Area and Hours of Operation............................................................................................. 7
Reservations.................................................................................................................................... 7
ReturnTrips.................................................................................................................................... 7
SubscriptionTrip Policy................................................................................................................. 7
No-show Policy............................................................................................................................... 8
No-Show Service Suspension Appeals Process.............................................................................. 9
Pick-up Times and Passenger Readiness........................................................................................ 9
Traveling Companions of ADA Eligible Persons......................................................................... 10
TripPurpose.................................................................................................................................. 10
Service Animals, Mobility Devices, and Other Necessary Equipment........................................ 10
Lift and Securement Use Policy ................................................................................................... 10
CapacityConstraints..................................................................................................................... 11
FareStructure................................................................................................................................ 11
RiderBehavior.............................................................................................................................. 11
Packages........................................................................................................................................ 11
Visitors.......................................................................................................................................... 11
PublicParticipation Process.......................................................................................................... 11
AccessibleFormats....................................................................................................................... 12
Attachment A - Complaint Forms................................................................................................. 13
Attachment B - Fixed Route Maps ...............................................................................................24
Attachment C - ADA Paratransit Service Application................................................................. 27
Identification of Entity
Name: City of Round Rock
Address: 2008 Enterprise Drive
Round Rock, Texas 78664
Contact: Caren Lee, Transit Coordinator
Phone: 512-671-2869
Fax: 512-218-5536
Mission
The mission of City of Round Rock Transit is to provide quality and efficient paratransit service to
passengers while complying with the Americans Disabilities Act (ADA).
Background
The Americans with Disabilities Act of 1990 (ADA) requires public entities who operate non-commuter
fixed route transportation services must also provide complementary paratransit service. The ADA
requires the complementary paratransit service be comparable to the fixed route service, in terms of
service levels and availability. There are six minimum service standards used to evaluate the
comparability of the complementary paratransit service to the fixed route service.
1. Availability in the same area served by the fixed route. Specifically, service must be made
available to all origins and destinations within a minimum width of 3/4 of a mile on each side
of each fixed route. This includes an area within 3/4 miles radius at the end of each fixed route
as well;
2. Available to any ADA Paratransit eligible persons at any requested time on anyparticular
day in response to a request for service made the previous day;
3. Paratransit Service's fares that are no more than twice the fare that would be charged to an
individual paying full fare for a trip of similar length, at a similar time of day on the fixed
route system;
4. There can be no trip restrictions or priorities based on trip purpose;
5. Service must be made available to eligible persons on a next day basis;and
6. There can be no constraints on the amount of service that is provided to any eligible person.
Specifically, there can be no operating practice that significantly limits the availability of
service to individuals.
Transit providers subject to the ADA regulations must develop and administer a process for determining
a person's eligibility for the complementary paratransit service. ADA Paratransit service must be
provided to all individuals who are unable, because of their disability, to use the fixed route system,
some of the time or all of the time. The criteria for determining a persons' eligibility is regulated by the
ADA and it requires the City to have a documented process.
3
Nondiscrimination
The City of Round Rock shall not discriminate against an individual with a disability in connection with
the provision of transportation service. The City shall not deny, to any individual with a disability, the
opportunity to use the City's transportation service for the general public, if the individual is capable of
using the service. The City shall not require an individual, with a disability, to use designated priority
seats, if the individual does not choose to use those seats.
Filing an ADA Complaint
Any person who believes they have been discriminated against on the grounds of disability may file a
complaint directly with the Federal Transit Administration (FTA) or with the City. Complaints should
be filed within 180 days of the alleged violation.
To file a complaint with FTA, complete the FTA complaint form, found in Attachment A. The
complaint form must be signed and mailed to:
Federal Transit Administration
Office of Civil Rights
Attention: Complaint Team
East Building, 5th Floor—TCR
1200 New Jersey Avenue, SE
Washington, DC 20590
With your form, please attach on separate sheet(s):
• A summary of your allegations and any supporting documentation.
• Sufficient details for an investigator to understand why you-believe a public transit provider has
violated your rights, with specifics such as dates and times of incidents.
• Any related correspondence from the transit provider.
To file a complaint with the City, complete the City's complaint form, found in Attachment A. The
complaint form must be signed and mailed to:
City of Round Rock
Attn: Transit Coordinator
2008 Enterprise Drive
Round Rock, Texas 78664
Within 5 business days of the receipt of the complaint, the Transit Coordinator will notify, in writing,
the complainant and FTA of the receipt of the complaint. The Transit Coordinator will review the
complaint, policies and procedures associated with the complaint, and the circumstances under which
the alleged discrimination occurred and any other pertinent factors.
Within 30 days of the receipt of the complaint,the Transit Coordinator will send the complainant and
FTA a letter of finding. The letter of finding will outline the results of the investigation. If the
4 - --
investigation determines the City is not in violation, the letter of finding will include an explanation and
provide notification of the complainant's appeal rights. If the investigation determines the City is in
violation, the letter of finding will document the violation and the action the City will take or has taken
to resolve the violation.
Description of Fixed Route System
The City of Round Rock's (City) Transit System consists of two local fixed routes. The service operates
Monday—Friday, 6:30 a.m. to 6:30 p.m., with hourly headways. Each of the fixed routes serve the
Intermodal Transit & Parking Facility (ITPF). Maps of the two fixed routes are included in Attachment
B. Route 50, RR/Howard, operates in a north and south pattern on the east side of IH-35; it begins at the
higher education center, runs through town, and ends at Capital Metro's Howard Lane MetroRail
Station. Route 51, RR Circulator, operates in an east and west pattern serving the medical complexes on
RM 620 and the Dell/Walmart/Target area; it begins and ends at the ITPF.
Each route will be operated with two vehicles, for a total of four vehicles. As required by the ADA all
routes and vehicles are accessible by persons with disabilities. Maintenance of accessible features on
vehicles, as required by the ADA is maintained to a high level, so persons needing these features receive
equivalent service. If for some reason the lift or other accessible features, is not working, another
accessible feature equipped vehicle will be provided within 30 minutes. Bus operators will also make
major stop announcements.
Eligibility Requirements and Application Process
The following individuals are ADA paratransit eligible:
1. any individual with a disability who is unable to ride or disembark from any fixed route vehicle,
OR
2. any individual whose specific disability makes it impossible for them to travel independently all
or some of the time on a fixed route
An individual interested in riding City of Round Rock's paratransit service will submit a completed
application to the Transit Coordinator at:
Transportation Department
Attn: Transit Coordinator
2008 Enterprise Drive
Round Rock, Texas 78664
The completed application will include a healthcare professional attesting to the passenger's disability
and that such disability would prevent the passenger's ability to independently travel on the fixed route
service either all of the time or some of the time. The application is included as Attachment C.
A healthcare professional authorized to complete the healthcare provider verification section of the
application include, doctors of medicine, doctors of osteopathic medicine, doctors of chiropractic,
registered nurses, physician assistants, nurse practitioners, certified nurse specialist, certified registered
nurse anesthetists, clinical social worker, and physical, speech, occupational, and massage therapists.
5
You will receive your eligibility determination within 21 calendar days from the date ALL of the
following are completed:
• Full application and verification received
• In-person eligibility review
• Any additional requested information is received by staff
• Any applicant who has completed the above steps but has not received an eligibility
determination letter, within 21 days, will be entitled to unlimited use of the paratransit
service until you are notified your eligibility determination.
The applicant will be notified in writing of the applicant's eligibility. If approved, the passenger will be
added to the eligibility list and will be able to start scheduling rides. If denied, the individual has the
right to appeal that decision.
Having a disability does not automatically qualify you for ADA Paratransit Service.
Application Denial Appeal Process
If your application for ADA Paratransit Service is denied, you will need to submit your appeal, in
writing, within sixty (60) days of the date of the denial notice. Appeals should be sent to:
Transportation Department
Attn: Transit Coordinator
2008 Enterprise Drive
Round Rock, Texas 78664
Upon receipt of your desire to appeal, Round Rock Transit will schedule a meeting with the designated
individual(s) to hear your appeal. You will be notified by mail of the date and time of this meeting.
You will have the opportunity to submit additional information, written evidence and/or arguments to
support your qualifications for ADA Paratransit service. You may bring a representative with you to
this meeting.
You will be notified of the designated individual(s) decision, in writing, within 30 days of the meeting.
Their decision is final.
Service Type
The City provides an origin to destination paratransit service, including:
• Feeder service to an accessible fixed route, where such service enables the individual to use the
fixed route bus system for part of the trip
• Curb-to-curb, shared ride, service
Passengers should wait for the vehicle in a location where the vehicle can be seen, and preferably where
the bus operator can see the passenger. Passengers will be dropped off in a safe location, as close as
possible to the entrance of your destination.
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If a passenger needs assistance beyond the curb, it shall be provided as long as the assistance does not
result in the following:
• A direct threat
• The bus operator cannot see the vehicle from the door, typically no further than 75 feet from the
vehicle
• The bus operator entering the passengers home or other pick-up and drop-off locations
• The bus operator backing the vehicle
• The vehicle impeding or blocking traffic
If you live in a gated community, it is your responsibility to provide the gate code when making the
reservation. If you live in an apartment complex, the pick-up location is in front of the leasing office. If
a passenger cannot traverse to the leasing office, the passenger may be picked up in front of their
building, upon request.
Service Area and Hours of Operation
The City offers ADA Complementary Paratransit within the required 3/4 mile radius of each bus route,
including the beginning and ending points. Adjustments to this service area will be made on a case-by-
case basis and not extend beyond the city limits or the extraterritorial jurisdiction of the City.
Paratransit Service will be provided the same days and hours as the City's Transit Service, which is
Monday—Friday, 6:30 a.m. —6:30 p.m. The Transit Service does not operate on major holidays.
Reservations
Reservations are taken Monday through Friday during normal business hours, 8:00 a.m. to 5:00 p.m.,
except on designated holidays or weekends. Reservations can be made up to two weeks in advance.
Next-day service is provided for requests made, any time, during the preceding day, prior to 4:00 p.m.,
Monday through Friday.
On days when the offices are closed and no reservations can otherwise be made and when the following
day is a service day, an answering machine or similar recording device is available to patrons for
scheduling or canceling reservations. At opening of next business day, all messages will be checked and
calls returned to confirm reservations or cancellation.
Return Trips
Passengers will be asked, at time of initial reservation, to schedule a return time, if necessary.
Subscription Trip Policy
Passengers who use the paratransit service to make regular, recurring, trips can request a standing
reservation, referred to as a subscription trip, through the dispatch office. The ADA does not allow more
than 50% of its service to be subscription in nature. Subscription trips will be limited to no more than
50% of complementary paratransit service capacity. The City will take subscription requests on a first-
come-first-serve basis.
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If a passenger makes a standing reservation and has three (3) no-shows, per the City's no-show policy,
the standing reservation will be cancelled and that passenger will not be eligible to qualify for
subscription service for three (3) months. Trips missed by the individual for reasons beyond his or her
control, including, but not limited to, trips that are missed due to operator error, will not count as a no-
show.
No-show Policy
No-shows, as well as late cancellations, result in wasted trips which could have been used by other
passengers. It is the policy of Round Rock Transit to record each customer's no-show(s) and apply
appropriate sanctions when customers establish a pattern of excessive no-shows. The policy is necessary
in order to recognize the negative impact no-shows have on the services provided to other passengers.
A no-show is defined as:
• any time a bus operator goes to pick a customer up and
o he or she decides not to use the service
o is not at the pickup location
o has not called to cancel their trip at least one (1)hour before the scheduled pick-up
time
o has waited the required 5 minutes and the passenger does not board the vehicle
Passenger no-shows for reasons that are beyond the passengers control will not be counted. Examples of
excused no-shows include, but are not limited to:
• illness,
• accidents,
• family emergency,
• passenger's appointment ran longer than expected and customer could not call to cancel, or
• Acts of God (flood, earthquake, etc.).
Passengers should contact reservations as soon as possible to alert them of your emergency so your
missed trip is not counted as a no-show.
Round Rock Transit schedules pick-ups and return trips separately. We will assume all scheduled return
trips are needed unless notice is given by the passenger.
If a passenger is a no-show for the first trip of the day, Round Rock Transit will not automatically cancel
subsequent trips of the day. If, however, the passenger does not need the return or other subsequent
trip(s), they will need to cancel them as soon as possible out of courtesy for other riders. If subsequent
trips are not cancelled the passenger will be charged with a no-show.
If a passenger has been transported to their destination, but who is a no-show when the bus returns, they
must call dispatch to request a return trip, however a pick-up window will not be guaranteed.
Suspensions of service will occur when a rider exceeds the maximum number of no-shows allowed per
month. Table 1 and Table 2 outline the maximum number of no-shows allowed per number of trips
scheduled and the associated penalties for violations.
8
If your service is suspended you will be sent a Notice of Service Suspension, to your home address on
file. The Notice will include dates of suspension, a no-show report, appeal process and a copy of this
Policy.
Table 1
Trips Scheduled Maximum 9 No Shows
per MonthAllowed
1to14 2
15 to 39 4
40 to 59 6
60 + 8
Table 2
No Show Penalties
First violation Letter of warning
Second violation 3 day suspension
Third and Fourth violation 15 day suspension
No-Show Service Suspension Appeals Process
If you have been suspended from service and feel the information regarding your no-show(s) is
incorrect, you have the right to submit an appeal.
All appeals must be submitted in writing, to the City at:
Transportation Department
Attn: Transit Coordinator
2008 Enterprise Drive
Round Rock, Texas 78644
within 15 days of the date of the Notice of Service Suspension letter. The appeal should provide the
reason you feel your service should not be suspended. Appeals will be reviewed by the City and you
will be notified of the City's decision within 10 days of receipt of the appeal.
Pick-up Times and Passenger Readiness
Passengers are given an approximate pick-up time, to allow for the best use of resources. Bus operators
strive to maintain prompt schedules to ensure all passenger reservations are honored. Passengers are
asked to allow a 30-minute window of time for arrival. The 30-minute window means the passenger
needs to be ready to board the vehicle 15 minutes before and 15 minutes after the scheduled time.
Upon vehicle arrival, within the 30-minute window, passengers have five (5) minutes to board the bus.
Dispatch may contact the passenger if the vehicle is going to be earlier or later than the 30-minute
9
window, as there may be times when outside factors affect the vehicle's arrival time, such as traffic and
road conditions.
Traveling Companions of ADA Eligible Persons
Personal care attendants are eligible to accompany the ADA eligible person at no charge. Passengers
are required to reserve a space, at the time of reservation, for a personal care attendant. In addition, the
need of a personal care attendant needs to be disclosed during the application process. If the use of a
personal care attendant is not disclosed, then any individual accompanying the ADA eligible person
shall be regarded as a companion.
Companions, who are not acting in the capacity of a personal care attendant, with the same origin and
destination, are allowed to travel with the ADA eligible person on a space available basis. Companions
are required to pay the applicable paratransit fare.
Trip Purpose
The City will accept and handle all trip requests on an equal basis. The City will not prioritize or restrict
trip purposes for paratransit riders.
Service Animals, Mobility Devices, and Other Necessary Equipment
The City shall not prohibit any mobility device, provided it does not exceed the capacity of the vehicle
or its equipment (lifts/ramps).
The City shall not prohibit a passenger from boarding who has a respirator, portable oxygen and/or other
life support equipment, as long as the items do not violate the law or rules relating to the transportation
of hazardous materials. All equipment must be small enough to fit in the vehicle safely without
obstructing the aisle or blocking emergency exits.
All passengers are allowed to travel with service animals trained to assist them.
Lift and Securement Use Policy
In accordance with ADA regulations, Round Rock Transit will provide service to all individuals using
mobility devices that fit within the capacity of the lift being operated. Passengers are advised that bus
operators are not permitted to operate a mobility device onto the lift. The passenger is responsible for
getting onto the lift with minimal bus operator assistance for these devices.
Use of the securement system is required as a condition of service. All wheelchairs and mobility devices
must be safely secured before transport. When transporting passengers using mobility devices, Round
Rock Transit can suggest but not require passengers transfer to a seat. The passenger, in this case, has
the final decision as to whether a transfer is appropriate given the passengers' particular disability.
As the regulations require, a passenger who cannot enter the vehicle using the stairs or ramp, but who
does not use a wheelchair, will be allowed to enter the vehicle using the lift. Round Rock Transit does
not provide wheelchairs or other mobility devices.
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Capacity Constraints
Service will not be limited because of capacity constraints. No waiting lists will be maintained and the
number of trips provided to an individual will not be restricted. Reservation times may be negotiated
within one hour before and after the requested pickup time.
Fare Structure
The regular fares for fixed routes is shown in Table 3. The paratransit fares will be no more than twice
the regular fare, per federal regulations, and will be adjusted in conjunction with changes in fixed route
fares. The City shall not impose any special charges for providing services to persons with a disability.
Table 3
Fare Regular
Type Fare Paratransit Fare
Single Ride $1.25 $2.00
Day Pass $2.50 $5.00
Rider Behavior
Passengers are expected to conduct themselves in a respectable manner. Unruly, violent or illegal
conduct will not be tolerated and will be dealt with promptly, including but not limited to expulsion
from the vehicle and/or notifying law enforcement.
Packages
Passengers are expected to only bring what they can safely carry on their own or with the assistance
from a personal care attendant or companion, in one trip. Packages cannot block the aisle or pose a
safety hazard.
Visitors
Individuals who are visiting the Round Rock area are eligible to use Round Rock Transit's ADA
Paratransit service if they provide roof of disability from the area in which they reside. This service is
available for a total of 21 days per calendar year. If the individual exceeds 21 days, then that person will
be required to submit the Round Rock Transit's ADA Application.
Public Participation Process
The City will solicit the public's input prior to implementation of this ADA Complementary Paratransit
Service Plan. The City will conduct public meetings, accept emails and phone calls. Notices of the
available methods to provide input will be posted on the City's website, social media sites and the local
newspaper. All comments and input will be taken under consideration. The final plan will be presented
to City Council for approval.
11
Accessible Formats
The information in this policy and all other materials related to Round Rock Transit's programs will be
made available in an accessible format upon request.
12
Attachment A - Complaint Forms
13
ROUND ROCK TEXAS City of Round Rock
Civil Rights Complaint Form
Section 1—Basic Information
Last Name First Name MI
Street Address Apt# Gate Code
City/State/Zip
Date of Birth Email
Primary Phone Number ❑Home ❑Cell ❑Work
Secondary Phone Number ❑Home ❑Cell ❑Work
Section 2—Complaint Information
1. Please select at least one of the following as the basis of your complaint:
❑Race ❑Age ❑National Origin
❑Color ❑Gender ❑Disability
2. What was the date and place of the alleged discriminatory action(s)? Please include, at a minimum, the
earliest and most recent date.
3. Please describe how you were discriminated against, explaining as clearly as possible why you believe your
Title VI rights were violated. Attach additional pages, if necessary.
4. Please provide the name(s) of individual(s) responsible for the alleged action described above.
5. Please provide the name(s) of person(s) whom we may contact for additional information to support or
clarify your complaint.
Name Address Telephone#
6. Briefly explain what action or remedy you are seeking for the alleged discriminatory action.
7. Attach any relevant documentation you believe will assist with an investigation.
Section 3—Filing Information
1. Have you filed this complaint with any of the following agencies?
U.S. Department of Transportation ❑Yes ❑No
U.S. Department of Justice ❑Yes ❑No
Federal Transit Administration ❑Yes ❑No
Federal Highway Administration ❑Yes ❑No
Texas Department of Transportation ❑Yes ❑No
Equal Employment Opportunity Commission ❑Yes ❑No
Other Dyes ❑No
If yes, please provide a copy of the complaint form you filed with any of the above agencies.
2. Is this complaint against the City of Round Rock? ❑Yes ❑No
3. Have you been in contact with a City employee regarding this complaint? ❑Yes ❑No If yes, what is the
name and telephone number of the employee?
4. Have you filed a lawsuit regarding this complaint? Dyes ❑No
Section 4-Certification
I certify all the information contained in this complaint is true and correct to the best of my knowledge.
Signature Date
Authorized Representative Information
Name Phone Number
Relationship to the Applicant
Signature Date
Please mail your completed form to:
Transportation Department
Attn: Title VI Complaints
2008 Enterprise Dr.
Round Rock, Texas 78664
{NOTE: The City cannot accept this complaint form without a signature.}
ROUND ROCK TEXAS City of Round Rock
Formulario de Queja de Derechos Civiles
basica
Apellido Primer Nombre Segundo Nombre
Direccion Apt# Codigo del porton
Cuidad/Estado/Zona postal
Fecha de nacimiento Correo electronico
Numero de telefono primario ❑Casa ❑Movil ❑Trabajo
Numero de telefono secundario ❑Casa ❑Movil ❑Trabajo
1. Por favor seleccione al menos uno de los siguientes como base de su queja:
❑Raza ❑Edad ❑Origen Nacional
❑Color ❑Genero ❑Discapacidad
2. �Cual fue la fecha y el lugar de la supuesta (s) accion (es) discriminatoria (s)? Por favor incluya,
como minimo, la fecha mas temprana y mas reciente.
3. Describa como fue discriminado, explicando con la mayor claridad posible por que cree que sus
derechos de Titulo VI fueron violados. Adjunte paginas adicionales, si es necesario.
4. Por favor indicar el (los) nombre (s) de los individuos responsables de la supuesta accion descrita
anteriormente.
5. Por favor proporcionar el nombre de la (s) persona (s) a quienes podemos contactar para obtener
informacion adicional para apoyar o aclarar su queja.
Nombre Direccion Telefono#
6. Explique brevemente que accion o recurso usted esta buscando para la supuesta accion
discriminatoria.
7. Adjunte cualquier documentacion pertinente que crea que le ayudara en una investigation.
1. ZHa presentado esta queja ante alguna de las siguientes agencias?
U.S. Department of Transportation ❑Si El No
U.S. Department of Justice ❑Si ❑No
Federal Transit Administration ❑Si ❑No
Federal Highway Administration ❑Si ❑No
Texas Department of Transportation ❑Si ❑No
Equal Employment Opportunity Commission [--]Si ❑No
Otro ❑Si ❑No
En caso afirmativo, proporcione una copia del formulario de quejas que presento ante cualquiera de
las agencias mencionadas.
2. zEs esta queja contra la Ciudad de Round Rock? ❑Si ❑No
3. Ha estado en contacto con un empleado de la Ciudad con respecto a esta queja? ❑Si ❑No
En caso afirmativo, zcual es el nombre y numero de telefono del empleado?
4. zHa presentado una demanda relacionada con esta queja? ❑Si ❑No
Certifico que toda la informacion contenida en esta queja es verdadera y correcta segun entiendo.
Firma Fecha
Informacion del Representante Autorizado
Nombre Telefono
Relacion con el solicitante
Firma Fecha
Envie por correo su formulario completado a:
Transportation Department
Attn: Title VI Complaints
2008 Enterprise Dr.
Round Rock, Texas 78664
{NOTA: La Ciudad no puede aceptar este formulario de queja sin una firma.)
a
U.S.Department of Transportation
Federal Transit Administration
Civil Rights Complaint Form
The Federal Transit Administration Office of Civil Rights is responsible for ensuring that
providers of public transit properly implement several civil rights laws and programs, including
Title VI of the Civil Rights Act of 1964, the Americans with Disabilities Act of 1990 (ADA), the
Disadvantaged Business Enterprise (DBE) program, and the External Equal Employment
Opportunity (EEO) program.
In the FTA complaint investigation process, we analyze the complainant's allegations for possible
deficiencies by the transit provider. If deficiencies are identified, they are presented to the transit
provider and assistance is offered to correct the inadequacies within a predetermined timeframe.
Please mail your completed form to:
Director, FTA Office of Civil Rights
East Building, 5th Floor— TCR
1200 New Jersey Ave., SE
Washington, DC 20590
If you have questions about how to prepare a complaint, you may contact our toll-free FTA
Assistance Line at 1-888-446-4511. More information about transit-related civil rights
requirements may be found on the FTA's website at www.fta.dot.gov.
Note: Apart from the form, on separate pages, please describe your complaint. You
should include specific details such as names, dates, times, route numbers, witnesses,
and any other information that would assist us in our investigation of your allegations.
Please also provide any other documentation that is relevant to this complaint, including
any related correspondence from your transit provider.
Important: We cannot accept your complaint without a signature, so please sign on the
last page of the form after printing out.
Section /
I believe that I have been (or someone else has been) discriminated against on the basis
of:
Race/Color/ National Origin
F1 Disability
F1 Not Applicable
Other(specify)
I believe that a public transit provider has failed to comply with the following program
requirements:
❑ Disadvantaged Business Enterprise
❑ External Equal Employment Opportunity
❑ Not Applicable
❑ Other(specify)
Section 11
Name:
Street Address:
City:F State:
Zip Code:
Telephone Numbers:
Home:
Cell:
E-Mail Address:
Accessible format requirements:
Large Print ❑
Not Applicable ❑
Other ❑
Section 111
Are you filing this complaint on your own behalf?
Yes 0 No 0
[If you answered "yes" to this question, go to Section IV.]
2
If not, please supply the name and relationship of the person for whom you are
complaining:
Please explain why you have filed for a third party:
Please confirm that you have obtained the permission of the aggrieved party if you are
filing on behalf of a third party:
Yes () No
Section W
Have you previously filed a civil rights complaint with Yes 0 No
FTA?
If yes, what was your FTA Complaint Number?
Have you filed this complaint with any of the following agencies?
Transit Provider ❑ Department of Transportation ❑
Department of Justice ❑ Equal Employment Opportunity Commission ❑
Other ❑
If yes, please attach a copy of any response you received to your previous complaint.
Have you filed a lawsuit regarding this complaint?
Yes No
If yes, please provide the case number and attach any related material.
Note: FTA encourages, but does not require, riders to first file complaints with their local
transit agencies to give them an opportunity to resolve the issue.
3
Section V
Name of public transit provider complaint is against:
Contact person Title
Telephone number
Section VI
May we release your identity and a copy of your complaint to the transit provider?
Yes 0 No
Note:We may be unable to investigate your allegations without permission to release
your identity and complaint.
Please sign here:
Date:
Note:We cannot accept your complaint without a signature.
4
Attachment B - Fixed Route Maps
24
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Attachment C - ADA Paratransit Service Application
27
R UND ROCK TEXAS ADA Paratransit Eligibility Application
TRANSIT
Round Rock Paratransit Service is for individuals with a disability which prevents them from independently traveling on
the fixed route service either all of the time orsome of the time.The Americans with Disabilities Act(ADA)outlines
specific criteria to determine eligibility for paratransit services;therefore,an application and an in-person eligibility
review are required to determine an applicant's individual eligibility.
If you need any type of alternative format of this application or have any questions please contact(512)218-7074.
To apply for this service,you and your healthcare professional must complete this application.Othersupportive
documentation may be included with your application. The information you provide may be shared with other transit providers to
facilitate your travel in other areas.
Please read and follow these instructions.
1 • You complete Part A:Applicant Information & Release
• Your healthcare professional completes Part B: Healthcare Provider Verification. The applicant MAY
NOT complete this section. A healthcare professional authorized to complete Part B: Healthcare Provider
Verification include, doctors of medicine, doctors of osteopathic medicine, doctors of chiropractic,
registered nurses, physician assistants, nurse practitioners, certified nurse specialist, certified registered
nurse anesthetists, clinical social worker, and physical, speech, occupational, and massage therapists.
2 • Once ALL paperwork is complete, you may either:
o Mail to or deliver in person to: City of Round Rock, ATTN: Transit Coordinator, 2008 Enterprise Drive,
Round Rock,Texas 78664
o Fax to: (512) 218-5536
o Email to: clee@roundrocktexas.gov
• ORIGINALS ARE REQUIRED TO BE SUBMITTED–if your original completed application is not mailed, then
you MUST bring the originals with you to the in-person interview
— —
,- — ��, — —
3 • All information received in this application will be kept CONFIDENTIAL
4 • You will receive your eligibility determination within 21 calendar days from the date ALL of the following are
completed:
o Original full application and verification received
o In-person interview
o Any additional requested information is received by staff
o Any applicant who has completed the above steps but has not received an eligibility determination
letter, within 21 days,will be entitled to unlimited use of the paratransit service until you are
notified your eligibility determination.
ADA Paratransit Eligibility Application
I
OUND ROCK TEXAS
ANSIT
PART A:APPLICANT INFORMATION & RELEASE (please print)
Step 1:General Information__.
Last Name First Name MI
Street Address Apt# Gate Code
City/State/Zip
Gender ❑Male ❑Female Date of Birth
Email
Primary Phone Number ❑Home ❑Cell ❑Work
Secondary Phone Number ❑Home ❑Cell ❑Work
Emergency Contact Name Relationship
Emergency Contact Phone ❑Home ❑Cell ❑Work
Step 2: Disability Information
1. What disability have you been diagnosed with?
2. Does your disability prevent you from using the fixed route bus service? ❑Yes El No If yes, please explain:
3. Is your disability considered permanent? ❑Yes ❑No If no, how long do you expect to have this disability:
4. Does your disability change from day-to-day or seasonally? ❑Yes ❑No If yes, please explain:
J' RaOUNO ROCK TEXASADA Paratransit Eligibility Application
5IT
.5
..3.'.
1. What is the closest bus stop to your home?
2. Do you used the fixed route bus service now? Eyes El No ❑Sometimes If no or sometimes, please explain:
3. Are you able to travel to the bus stop by yourself? ❑Yes ❑No ❑Sometimes If no or sometimes, please explain:
4. Are you able to board the bus by yourself,with or without the use of the accessible ramp?
❑Yes ❑No ❑Sometimes If no or sometimes, please explain:
5. Do you need someone to accompany you when you travel outside the home, i.e. personal care attendant, someone
designated or employed to specifically help with personal needs? ❑Yes ❑No If yes, please explain:
6. Does weather affect your ability to use the fixed route bus service? Dyes ❑No If yes, please explain:
7. Do you use any of the following mobility aids or specialized equipment? Eyes ❑No If yes, please select all that
apply:
❑Wheelchair, Type ❑Walker,Type
[]Scooter ❑Crutch(es) ❑Brace(s) ❑Support Cane
❑White Cane ❑Service Animal ❑Oxygen El Prosthesis
❑Communication Board ❑Other
R ADA Paratransit Eligibility Application
ROUND ROCK TEXAS
TRANSIT
8. Have you ever received any travel training? ❑Yes ❑No If yes, who provided the training:
Step 4:Applicant Certification
I certify all information contained in PART A of this application was completed by me or my authorized representative
and is true and correct. I agree to notify the City of Round Rock of any changes in my status, which may affect my
eligibility to use the service. I understand I will be required to attend an in-person eligibility review.
I have read and fully understand the conditions for service outlined in the ADA Complementary Paratransit Plan and
agree to abide by them. I also understand failure to adhere to the policies and procedures will be grounds for revoking.
my application and the right to participate in the program.
I agree that, if I am certified for Round Rock Paratransit Service, I will pay the exact fare, if required,for each trip.
I understand and agree to hold the City of Round Rock harmless against all claims or liability for damages to any person,
property, or personal injury occurring as a result of my failure to equip or maintain the safety of the adaptive equipment
or service animal I require for mobility.
I hereby authorize the release of verification information and any additional information to the City of Round Rock for
the purpose of evaluating my eligibility to participate in the Program.
Signature Date
Authorized Representative Information
Name Phone Number
Relationship to the Applicant
Signature Date
- -- This concludes the Applicant's portion of the application.
The following pages MUST be completed by a Qualified Healthcare
Professional.
DO NOT SEPARATE - All parts of this application must be kept
together and submitted together.
ROUND ROCKTEXAS ADA Paratransit Eligibility Application
TRANSIT
PART B: HEALTHCARE PROVIDER VERIFICATION (please print)
,.
Step 1: Purpose of this Verification
Dear Provider:
Your patient/client has requested eligibility for Round Rock Paratransit Service. To qualify for Round Rock Paratransit
Service, the applicant's disability must prevent them from travelling independently on Round Rock Transit's fixed route
service, either all of the time or some of the time. Disability alone and distance to and from a bus stop do not, by
themselves, qualify a person for paratransit service. For the benefit of the applicant, please answer all applicable
questions as fully and accurately as possible. All information will be kept strictly confidential, according to law.
If you have any questions about the verification please contact the Transit Coordinator at (512) 218-7074.
5 pplkant Information
Applicant Name Date Last Seen
1. Please describe the medical diagnosis, physical or cognitive disability
2. Please describe how the disability impacts the applicants use of fixed route service
3. Is the disability permanent? ❑Yes ❑No If no, what is the expected duration?
4. Is a personal care attendant required? ❑Yes ❑No
5. Does weather affect the applicant's ability to travel? ❑Yes ❑No If yes, please explain:
t
ROADA Paratransit Eligibility Application
UND ROCK TEXAS gy pp
TRANSIT
6. Does the applicant have the ability to:
Give addresses and phone numbers? ❑Yes ❑No
Recognize a destination or landmark? ❑Yes ❑No
Deal with an unexpected change in routine? ❑Yes ❑No
Ask for, understand and follow directions? ❑Yes ❑No
a7i�. � ��� I .:�� �h�°'� ? ..,� +�vk: rzlw.• _r i'a', �y,} T.. ac K_�t 7?1 �' ,31X"s
Yav,..'�, a'ba#x5. '• '!.r ..,....,,ocsw�'wzatt[sad�.�,.ro.e„s,,..Q, ,,,.,..,, +ea,t,CsAs.,,....mee,
Last Name First Name MI
Phone Number Fax Number
Title License/Certification ID#
Agency Affiliation
Street Address
City/State/Zip
I certify the information contained in Part B is true and correct to the best of my knowledge. I hereby verify the
diagnosis of disability listed has been reviewed by me, is accurate and true, and represents the current condition of the
applicant named in this application.
Signature Date
No Text
CERTIFICATE OF INTERESTED PARTIES FORM 1295
10f1
Complete Nos. 1-4 and 6 if there are interested parties. OFFICE USE ONLY
Complete Nos.1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING
1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number:
of business. 2017-207252
Star Shuttle, Inc.
San Antonio, TX United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 05/15/2017
being filed.
City of Round Rock Date Acknowledged:
3 Provide the identification number used by the governmental entity or state agency to track or identify the contract,and provide a
description of the services,goods,or other property to be provided under the contract.
Demand Responsive Bus Services
Transportation Services
4 Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
Serna, Baltazar San Antonio , TX United States X
Rodriguez, Marc San Antonio ,TX United States X
1992 John P Walker Trust, San Antonio ,TX United States X
1992 Lee Cowley Trust, San Antonio ,TX United States X
1998 James P Walker Trust, San Antonio ,TX United States X
1992 Mark Walker Trust, San Antonio ,TX United States X
1992 Robert Walker Trust, San Antonio , TX United States X
5 Check only if there is NO Interested Party. ❑
6 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the above disclosure is true and correct.
MARTHA WYERS
Notary Public,State of Texas
= My Commission Expires
oa !�'V October 22, 2017
�In OF, ��
Signa o ut ent of c tracting business entity
AFFIX NOTARY STAMP/SEAL ABOVE /�/ I [�
Sworn to and subscribed before me, by the said J04N t'v�K l this the TN day of MA
20 ,to certify which,witness my hand and seal of office.
M4R-91, 4 wyCes '41(7r /OV^IC
Signature of officer admini ring oath Printed name of officer administering oath Title of officer administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.883
• 1
y 1 �, � � �
• • Y
CERTIFICATE OF INTERESTED PARTIES FORM 3.295
1 of 1
Complete Nos.1-4 and 6 if there are interested parties. OFFICE USE ONLY
Complete Nos.1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING
1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number:
of business. 2017-207252
Star Shuttle, Inc.
San Antonio,TX United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 05/15/2017
being filed.
City of Round Rock Date Acknowledged:
05/24/2017
3 Provide the identification number used by the governmental entity or state agency to track or identify the contract,and provide a
description of the services,goods,or other property to be provided under the contract.
Demand Responsive Bus Services
Transportation Services
4 Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling I Intermediary
Serna, Baltazar San Antonio ,TX United States X
Rodriguez, Marc San Antonio,TX United States X
1992 John P Walker Trust, San Antonio ,TX United States X
1992 Lee Cowley Trust, San Antonio ,TX United States X
1998 James P Walker Trust, San Antonio ,TX United States X
1992 Mark Walker Trust, San Antonio,TX United States X
1992 Robert Walker Trust, San Antonio ,TX United States X
5 Check only if there is NO Interested Party. ❑
6 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the above disclosure is true and correct.
Signature of authorized agent of contracting business entity
AFFIX NOTARY STAMP/SEAL ABOVE
Sworn to and subscribed before me,by the said this the day of
20 ,to certify which,witness my hand and seal of office.
Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.883
No Text