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Alameda County Transportation Improvement Authority <br /> Special Transportation for Seniors and People with Disabilities <br /> <br /> next fiscal year is less than 95% of the current fiscal year. <br /> <br /> We are applying for stabilization funding for this next fiscal year: <br /> <br /> [-]Yes [] No <br /> <br /> If "yes", please complete the table below. <br /> <br /> Type of Service Please describe how services will be Impacted (1 e service <br /> Service Impacted? i hours, days of service, rldership, etc) if you DO NOT <br /> [ _~._/N) ] receive stabilization fund!n_g~ <br /> <br />Taxi ..... [~l~;a~'"["]"~-'"'~ ............................................................................... <br />'-'~ h--~t' {i'~- ............. [~]Y~-~-[~]"~--? ....................................................................................... <br />Group [~Yesl--] No i ...... <br />._T.~_~_ ........ <br />Meal -[]~:~-[~)-"~-~- ....................................................................................................................... <br />_.D__eliv__vr~, ._ <br />Program Impacted? Please describe how other i~roeram elements will be <br />._.E__l_e~e_nts_ .... ..~__~ i..m_p_~ted ffj~Lo.u DO NOT received stabilization fund!n~g. <br />Other: [~ge~- D~--~~-, .................................................................................... <br /> <br />.... S_.t_a._ffin_~.. ...... r~Yes [] No [ ........................................................ ' <br />Waiting ~x~ ............................................................................................................. <br />List , I ' <br />..................Other: ..................................................................................... <br /> <br /> Additionai ~i';-S~ ......................................................................................................................... <br /> <br /> Do you intend to apply for 5310 funds in the next fiscal year? [~Yes [] No. <br /> <br /> Page 14of15 <br /> <br /> <br />