HomeMy WebLinkAbout06/06/2017 06C Yakima Air Terminal-McAllister Field Grant Application with the Federal Aviation AdministrationBUSINESS OF THE CITY COUNCIL
YAKIMA, WASHINGTON
AGENDASTATEMENT
Item No. 6.C.
For Meeting of: June 6, 2017
ITEM TITLE: Resolution authorizing the City Manager to apply for and, if
awarded, to accept grants from the Federal Aviation Administration
(FAA) for capital improvements at the Yakima Air Terminal -
McAllister Field
SUBMITTED BY: Robert K. Peterson, Airport Director, 509-575-6149
SUMMARY EXPLANATION:
The Airport Improvement Program (Al P) provides grants to public agencies for planning and
development of public -use airports that are included in the National Plan of Integrated Airport
Systems. The Yakima Air Terminal -McAllister Field is one of many airports that are eligible to
receive federal grants under this program to replace aging infrastructure and equipment.
The grant funds will assist with the design and acquisition of Snow Removal Equipment (Carrier
Vehicle & Blower), as well as acquisition and replacement of approximately 11 vehicle and 9
pedestrian security gates that have outlived their useful life. It is estimated both grant
applications will request approximately Two Million One Hundred Thousand Dollars ($2,100,000),
of which 90% of the total costs will be funded by the Federal Aviation Administration and the
remaining 10% by the airport's Passenger Facility Charges.
ITEM BUDGETED:
STRATEGIC PRIORITY:
Yes
Public Safety
APPROVED FORcl*�
SUBMITTAL: ``City Manager
STAFF RECOMMENDATION:
Adopt resolution
BOARD/COMMITTEE RECOMMENDATION:
ATTACHMENTS:
Description Upload Date Type
Resolution 5/22/2017 Resolution
Snow Removal Equipment Grant Application 5/23/2017 Backup Material
Security to Improvements Grant Application 5124/2017 Backup Material
RESOLUTION NO. R -2017-
A RESOLUTION authorizing the City Manager to apply for and, if awarded, to accept grants from the
Federal Aviation Administration (FAA) for capital improvements at the Yakima Air
Terminal -McAllister Field.
WHEREAS, the City owns and operates the Yakima Air Terminal -McAllister Field in accordance
with applicable Federal, State, and Local regulations; and
WHEREAS, the Federal Aviation Administration makes federal grants available to airports to
maintain and improve airport facilities; and
WHEREAS, the Yakima Air Terminal -McAllister Field has been notified that grant funds may be
available to maintain and/or improve the airport upon submission of completed grant applications and
satisfaction of certain conditions; and
WHEREAS, the Yakima Air Terminal -McAllister Field has recently completed an Airport Master
Plan Update, which details a variety of Federal Aviation Administration required capital improvement
projects, including purchasing Snow Removal Equipment (Carrier & Blower) and replacing 11 vehicle
and 9 pedestrian security gates; and
WHEREAS, the grant applications will request a total of approximately Two Million One
Hundred Thousand ($2,100,000) dollars in grant funding from the Federal Aviation Administration, of
which the Federal Aviation Administration will provide up to 90% of the funds needed for capital
improvements and the airport will match the remaining 10% through its Passenger Facility Charge
program for said projects; and
WHEREAS, the City Council deems it to be in the best interest of the City and its residents to
authorize submission of grant applications to the Federal Aviation Administration for grant funds
needed to accomplish the identified capital improvements and if grant funds are awarded, to accept the
funds for the purposes identified in the grant application, Now, Therefore,
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF YAKIMA:
1. The City Manager is hereby authorized and directed to submit completed grant applications
to the Federal Aviation Administration to request grant funds for purchasing Snow Removal
Equipment (Carrier & Blower) and replacing 11 vehicle and 9 pedestrian security gates at
the Yakima Air Terminal -McAllister Field.
2. If grant funds are awarded, the City Manager is further authorized and directed to accept
said grant funds to be applied to the purposes specified above.
ADOPTED BY THE CITY COUNCIL this 6th day of June, 2017.
ATTEST:
Sonya Claar Tee, City Clerk
Kathy Coffey, Mayor
4
OMB Number: 4040-0004
Expiration Date: 10/31/2019
Application for Federal Assistance SF -424
1. Type of Submission: 2. Type of Application: If Revision, select appropriate letter(s):
Preapplication N New
Application F] continuation Other (Specify):
Changed/Corrected Application ❑ Revision
3. Date Received: 4. Applicant Identifier:
5a. Federal Entity Identifier: 15b.
Federal Award Identifier
State Use Only:
6. Date Received by State: L-1 1 7. State Application Identifier:
8. APPLICANT INFORMATION:
*a. Legal Name: City-
of Yakima
* b. Employer/Taxpayer Identification Number (EINfTIN):
c. Organizational DUNS:
[9:1:-=6001=293
0782126510000
d. Address:
• Street1l:
a29 North ?nd Street
Street2:
• City:
lYakima
County/Parish:
Fy. k7m.
• State:
WA: Washington
Province:
• Country:
USA; UNITED STATES
• Zip / Postal Code: 9 901
e. Organizational Unit:
Department Name:
Division Name:
[C=ity if Yakima
Yakima A,- Terminal/McAllister
f. Name and contact information of person to be contacted on matters involving this application:
Prefix:
IMr.
First Name: Icliff
Middle Name: L-
* Last Name: IME e=
Suffix: I
Title: City Manage
Organizational Affiliation:
*Telephone Number: 1(509) 575-6000 1 Fax Number
*Email: lelif-f.moore@yakimawa.gov
-n
Application for Federal Assistance SF -424
* 9. Type of Applicant 1: Select Applicant Type:
IC: City or Township Government
Type of Applicant 2: Select Applicant Type:
Type of Applicant 3: Select Applicant Type:
I
Other (specify):
10. Name of Federal Agency:
Federal Aviation Administration, Seattle ADO
11. Catalog of Federal Domestic Assistance Number:
CFDA Title:
Airport Improvement Program
12. Funding Opportunity Number:
lNot Applicable
* Title:
Not Applicable
13. Competition Identification Number:
lNot Applicable
Title:
Not Applicable
14. Areas Affected by Project (Cities, Counties, States, etc.):
Add Attachment Delete Attachment [_.Yiew.Aftach 22t J
15. Descriptive Title of Applicant's Project:
3-53-0089-39 Procure Snow Removal Equipment to include a rotary plow (snowblower)
Attach supporting documents as specified in agency instructions.
Add Attachments] Delete I 11 1 I I I Aft a . c . h . ments i View Attachments
�v
Application for Federal Assistance SF -424
16. Congressional Districts Of:
a. Applicant IWA-001 b, Program/Project
E1=1
Attach an additional list of Program/Project Congressional Districts if needed,
LAddAftachmentVie,
=Delte Attachment 1
Attachment
E
17. Proposed Project:
a. Start Date: b. End Date:
06101/2018
18. Estimated Funding
• a. Federal 810,000.00
• b. Applicant 90 000.00'
• c, State
• d. Local
• e. Other
• f Program Income
*g.TOTAL 900,000.00l
19. Is Application Subject to Review By State Under Executive Order 12372 Process?
a, This application was made available to the State under the Executive Order 12372 Process for review on
b. Program is subject to E.O. 12372 but has not been selected by the State for review.
c. Program is not covered by E.O. 12372.
20. Is the Applicant Delinquent On Any Federal Debt? (if "Yes," provide explanation in attachment.)
F-1 Yes Z No
If "Yes", provide explanation and attach
21. *By signing this application, I certify (1) to the statements contained in the list of certifications— and (2) that the statements
herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances— and agree to
comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may
subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001)
M — I AGREE
** The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency
specific instructions.
Authorized Representative:
Prefix: First Name: Cliff
Middle Name:
* Last Name: Moore
Suffix: I I
`Title: City manage
*Telephone Number: L(509) Fax Number: I
• Email: icliff.moore@yakimawa.gov
• Signature of Authorized Representative: Date Signed: —J
U.S. Department of Transportation
#*4%W Federal Aviation Administration
OMB CONTROL NUMBER: 2120-0569
EXPIRATION DATE: 8/31/2019
r-1MM=4U4T7Pij =-a [Z=
PART 11 — PROJECT APPROVAL INFORMATION
Part 11 - SECTION A
The term "Sponsor" refers to the applicant name provided in box 8 of the associated SF -424 form.
Item 1.
Does Sponsor maintain an active registration in the System for Award Management
®Yes
El No
(www. SAM. gov)?
Item 2.
Can Sponsor commence the work identified in the application in the fiscal year the Yes
[--] No [:1 N/A
grant is made or within six months after the grant is made, whichever is later?
Item 3.
Are there any foreseeable events that would delay completion of the project? If yes, D Yes
N No El N/A
provide attachment to this form that lists the events.
Item 4.
Will the project(s) covered by this request have impacts or effects on the
environment that require mitigating measures? If yes, attach a summary listing of El Yes
N No El N/A
mitigating measures to this application and identify the name and date of the
environmental document(s).
Item 5.
Is the project covered by this request included in an approved Passenger Facility
Charge (PFC) application or other Federal assistance program? If yes, please Fx] Yes
n No Ej N/A
identify other funding sources by checking all applicable boxes.
The project is included in an approved PFC application.
If included in an approved PFC application,
does the application only address AIP matching share? E]Yes NX No
El The project is included in another Federal Assistance program. Its CFDA number is below.
Item 6.
Will the requested Federal assistance include Sponsor indirect costs as described in El Yes
0 No [:] N/A
2 CFR Appendix V11 to Part 200, States and Local Government and Indian Tribe
Indirect Cost Proposals?
If the request for Federal assistance includes a claim for allowable indirect costs, select the applicable indirect cost rate
the Sponsor proposes to apply:
n De Minimis rate of 10% as permitted by 2 CFR § 200.414.
E] Negotiated Rate equal to % as approved by (the
Cognizant Agency)
on (Date) (2 CFR part 200, appendix VII).
Note: Refer to the instructions for limitations of application associated with claiming Sponsor indirect costs.
FAA Form 5100-100 (3/16) SUPERSEDES PREVIOUS EDITION Page 1 of 7
OMB CONTROL NUMBER: 2120-0569
OMB EXPIRATION DATE: 8/31/2019
PART II - SECTION B
Certification Regarding Lobbying
The declarations made on this page are under the signature of the authorized representative as identified in box 21 of
form SF -424, to which this form is attached. The term "Sponsor" refers to the applicant name provided in box 8 of the
associated SF -424 form.
The Authorized Representative certifies, to the best of his or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the Sponsor, to any person
for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer
or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any
Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any
cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal
contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer
or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract,
grant, loan, or cooperative agreement, the Authorized Representative shall complete and submit Standard
Form -LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions.
(3) The Authorized Representative shall require that the language of this certification be included in the award
documents for all sub -awards at all tiers (including subcontracts, subgrants, and contracts under grants, loans,
and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was
made or entered into. Submission of this certification is a prerequisite for making or entering into this
transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification
shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.
FAA Form 5100-100 (3/16) SUPERSEDES PREVIOUS EDITION Page 2 of 7
OMB CONTROL NUMBER: 2120-0569
OMB EXPIRATION DATE: 8/31/2019
PART 11— SECTION C
The Sponsor hereby represents and certifies as follows:
1. Compatible Land Use — The Sponsor has taken the following actions to assure compatible usage of land adjacent
to or in the vicinity of the airport:
An Airport Safety Overlay Zone has been adopted and is included in the Yakima Urban Comprehensive Zoning
Ordinance, Yakima County Zoning Ordinance, and City of Union Gap Zoning Ordinance.
2. Defaults — The Sponsor is not in default on any obligation to the United States or any agency of the United States
Government relative to the development, operation, or maintenance of any airport, except as stated herewith:
Not in default.
3. Possible Disabilities — There are no facts or circumstances (including the existence of effective or proposed leases,
use agreements or other legal instruments affecting use of the Airport or the existence of pending litigation or other
legal proceedings) which in reasonable probability might make it impossible for the Sponsor to carry out and complete
the Project or carry out the provisions of the Grant Assurances, either by limiting its legal or financial ability or
otherwise, except as follows:
There are no known facts or circumstances which would jeopardize the Sponsor's responsibility to this project.
4. Consistency with Local Plans — The project is reasonably consistent with plans existing at the time of submission
of this application) of public agencies that are authorized by the State in which the project is located to plan for the
development of the area surrounding the airport.
Yes, Airport Layout Plan.
5. Consideration of Local Interest — It has given fair consideration to the interest of communities in or near where the
project may be located.
Yes
6. Consultation with Users — In making a decision to undertake an airport development project under Title 49, United
States Code, it has consulted with airport users that will potentially be affected by the project (§ 47105(a)(2)).
Yes
7. Public Hearings — In projects involving the location of an airport, an airport runway or a major runway extension, it
has afforded the opportunity for public hearings for the purpose of considering the economic, social, and environmental'
effects of the airport or runway location and its consistency with goals and objectives of such planning as has been
carried out by the community and it shall, when requested by the Secretary, submit a copy of the transcript of such
hearings to the Secretary. Further, for such projects, it has on its management board either voting representation from
the communities where the project is located or has advised the communities that they have the right to petition the
Secretary concerning a proposed project.
Not applicable. Project does not involve airport location, runway, or major runway extension.
8. Air and Water Quality Standards — In projects involving airport location, a major runway extension, or runway
location it will provide for the Governor of the state in which the project is located to certify in writing to the Secretary
that the project will be located, designed, constructed, and operated so as to comply with applicable and air and water
quality standards. In any case where such standards have not been approved and where applicable air and water
quality standards have been promulgated by the Administrator of the Environmental Protection Agency, certification
shall be obtained from such Administrator. Notice of certification or refusal to certify shall be provided within sixty days
after the project application has been received by the Secretary.
Not applicable. Project does not involve airport location, runway, or major runway extension.
FAA Form 5100-100 (3/16) SUPERSEDES PREVIOUS EDITION Page 3 of 7
HE
MEMO
PART 11 — SECTION C (Continued)
9. Exclusive Rig
owned or controlled by the Sponsor except as follows:
41-2AY 291P#A,2-6�2�2rtM�y 2�QAY 204,K-svhnrc• 'IF -C
by the Sponsor.
10. Land — (a) The sponsor holds the following property interest in the following areas of land, which are to be developed
or used as part of or in connection with the Airport subject to the following exceptions, encumbrances, and adverse
interests, all of which areas are identified on the aforementioned property map designated as Exhibit "A". [1]
The land interests owned by the Sponsor is as shown on the current Exhibit A map dated April 15, 2015 which is on file
with the FAA's Seattle ADO in Renton, Washington.
The Sponsor further certifies that the above is based on a title examination by a qualified attorney or title company and
that such attorney or title company has determined that the Sponsor holds the above property interests.
(b) The Sponsor will acquire within a reasonable time, but in any event prior to the start of any construction work
under the Project, the following property interest in the following areas of land on which such construction work is to be
performed, all of which areas are identified on the aforementioned property map designated as Exhibit "A". [1]
lflfiyffl�* 0 �M - I
(c) The Sponsor will acquire within a reasonable time, and if feasible prior to the completion of all construction
work under the Project, the following property interest in the following areas of land which are to be developed or used
as part of or in connection with the Airport as it will be upon completion of the Project, all of which areas are identified on
the aforementioned property map designated as Exhibit "A". [1]
•E.. _•
' State the character of property interest in each area and list and identify for each all exceptions, encumbrances, and adverse
interests of evenj kind and nature, includin liens, easements leases etc. �Py
the area numbers shown on the property map.
FAA Form 5100-100 (3/16) SUPERSEDES PREVIOUS EDITION Page 4 of 7
11
OMB CONTROL NUMBER: 2120-0569
OMB EXPIRATION DATE: 8/31/2019
PART III - BUDGET INFORMATION - CONSTRUCTION
SECTION A — GENERAL
1. Federal Domestic Assistance Catalog Number: 20-106
2. Functional or Other Breakout: Airport Improvement Program
• • • . - my,
FAA Form 5100-100 (3116) SUPERSEDES PREVIOUS EDITION'' Page 5 of 7
Latest Approved
Adjustment
Total
Cost Classification
Amount
+ or (-) Amount
Amount
(Use only for
(Use only for
revisions
revisions)Required
1.
Administration expense
$ 900
2.
Preliminary expense
3.
Land, structures, right-of-way
4.
Architectural engineering basic fees
49,100
5.
Other Architectural engineering fees
6.
Project inspection fees
7.
Land development
8.
Relocation Expenses
9.
Relocation payments to Individuals and Businesses
10.
Demolition and removal
11.
Construction and project improvement
12.
Equipment
850,000
13.
Miscellaneous
14.
Subtotal (Lines 1 through 13)
$ 900,000
15.
Estimated Income (if applicable)
16.
Net Project Amount (Line 14 minus 15)
17.
Less: Ineligible Exclusions (Section C, line 23 g.)
18. Subtotal (Lines 16 through 17)
$ 900,000
19.
Federal Share requested of Line 18
810,000
20.
Grantee share
90,000
21.
Other shares
22.
TOTAL PROJECT (Lines 19, 20 & 21)
-17
$ 900,000
FAA Form 5100-100 (3116) SUPERSEDES PREVIOUS EDITION'' Page 5 of 7
12
OMB CONTROL NUMBER: 2120-0569
(')RAR FYPIRaTI(1PI r)ATF• A/Z1/9ni0
SECTION E - REMARKS
(Attach sheets if additional space is required)
FAA Form 5100-100 (3116) SUPERSEDES PREVIOUS EDITION Page 6 of 7
13
'
OMB CONTROL NUMBER: 21o0 -O589
'
OMB EXPIRATION DATE: 031/2010
PART Ny—PROGRAM NARRATIVE
(Suggested Format)
PROJECT: YKM 3-53-0089-39 Procure SRE including design and construction engineering.
1. Objective:
1. The Yakima Air Terminal - McAllister Field is deficient by one rotary plow (snowblower) based on review of the
existing equipment inventory, annual operations, and Priority 1 Areas identified in the Airport's Snow and Ice Control
Plan. The procured equipment will replace an existing snowblower that has outlived its useful life and does not meet
the required capacity.
2. Benefits Anticipated:
Procurement of the rotary plow will allow the airport to meet their allowable clearance times for removing snow from
the Priority 1 Area.
3. Approach: (See approved Scope of Work in Final Application)
Procure one rotary plow and dedicated carrier vehicle using developed contract documents meeting FAA standards,
The sponsor anticipates a bid opening in July. With funding available, the Sponsor will authorize a contraction
contract with the lowest responsive and responsible bidder.
4. Geographic Location:
Yakima Air Terminal - McAllister Field, Yakima, Washington
5. If Applicable, Provide Additional Information:
6. Sponsor's Representative: (include address & telephone number)
Cliff Moore, City Manager, City of Yakima
129 North 2nd Street
Yakima, WA 98901 (509) 575-6000
FAA Form 51OO-100(3/1t) SUPERSEDES PREVIOUS EDITION Page 7of7
14
CIP DATA SHEET
AIRPORT Yakima Air Terminal / McAllister Field t, . I0, YKM L .CAL.PRIORITY
PLANNED
A.:...
PROJECT DESCRIPTION Rotary Plow and Carrier Vehicle procurement. CO 2017
COST ESTIMATE:
ADMINISTRATION: $ 900.00 1. Construction $ 850 000.00 4$
ENGINEERING: $49 10Q.QQ 2 $ 5 $
INSPECTION: $ 3 $ TOTAL: $900 000.00
Federal ); $.810,000.00 State $ WRWR Local( %) $ 90,000.00
SPONSOR VERIFICATION: Date (see instruction sheet or attached comments for more info
For each and every NA -Date of approved ALP with project shown
project as applicable NA -Date of environmental determination (ROD, FONSI, CatEx)
NA -Date of land acquisition or signed purchase agreement
NA -Date of pavement maintenance program
-Date of Benefit Cost Analysis (BCA) as required
SPONSOR'S SIGNATURE: DATE:
PRINTED NAME: Cliff Moore TITLE: Ci Marr er
PHONE NUMBER: 5091 575-6000 EMAIL: cliff.mooregyakimawa,Sov
FAA USE ONLY
F-11 I - -e- -• U ztelcj Zf :tell M" 1611
AIRPORT': Yakima Air Terminal / McAllister Field'
LOCATION: Yakima, Washington
AIP PROJECT NO.: 3-53-0089-39
STATEMENTS APPLICABLE TO THIS PROJECT A -D
a. INTEREST OF NEIGHBORING COMMUNITIES: In formulating this project, consideration has been
given to the interest of communities that are near (Exact name of airport) Yakima Air Terminal -/-McAllister
Field.
® b. THE DEVELOPMENT PROPOSED INTHISPROJECT will not require the use of publicly owned land
from a public park, recreation area, wildlife and fowl refuge, or a historical site under Federal, State, or
Local jurisdiction.
® c. FBO COORDINATION;. The airport development proposed in this project has been coordinated with the
Fixed Base Operator(s) utilizing (Exact name of airport) Yakima Air Terminal / McAllister Field, and they
have been informed regarding the scope and nature of this project.
d. THEPROPOSEDPROJECT IS CONSISTENT with existing approved plans for the area surrounding the
airport.
The above statements have been duly considered and are applicable to this project. (Provide comment for any
statement not checked).
BY: Cliff Moore DATE:
TITLE: City Manager
SPONSORING AGENCY: City of Yakima
NOTE: Where opposition is stated to an airport development project, whether expressly or by proposed revision, the
following specific information concerning the opposition to the project must be furnished.
a. Identification of the Federal, state, or local governmental agency, or the person or persons opposing the project;
b. The nature and basis of opposition;
C. Sponsor's plan to accommodate or otherwise satisfy the opposition;
d. Whether an opportunity for a hearing was afforded, and if a hearing was held, an analysis of the facts developed at the hearing
as they relate to the social, economic, and environmental aspects of the proposed project and its consistency with the goals and
objectives of such urban planning as has been carried out by the community.
e. If the opponents proposed any alternatives, what these alternatives were and the reason for nonacceptance;
f. Sponsor's plans, if any, to minimize any adverse effects of the project;
g. Benefits to be gained by the proposed development; and
h. Any other pertinent information which would be of assistance in determining whether to proceed with the project.
I 91101ON a =1 :?-I'% I kyj =vX,,CJ :4 =11::Why� 116310 Ism
! _ ! ' •I ' • ' i ' i i ' i ' • • ' • • ' '
1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, • any person f• # or attempting • influence an officer • • of
agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member
of Congress in connection with the awarding of any Federal contract, the making of any Federal
Grant, the making of any Federal loan, the entering into of any cooperative agreement, and the
extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan,
or cooperative agreement.
1 2. If any funds other than Federal appropriated funds have been paid or will be paid to any person
for influencing or attempting to influence an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an employee of a Member of Congress in
connection with this F•' .:'. contract,grant, loan, or • • I• .:ive agreement,shall
complete • submit Standard Form LLL "Disclosure • •••accordance with its
instructions.
3. The undersigned shall require that the language of this certification be included in the award
documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under
grants, loans, and cooperative agreements) and that all subrecipents shall certify and disclose
accordingly.
This certification is a material representation of fact upon which reliance was placed when this
transaction was made or entered into. Submission of this certification is a prerequisite for making
or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails
to file the required certification shall be subject to a civil penalty of not less than $10,000 and not
more than $100,000 for each such failure.
Date
Sponsor's Authorized Representative
Title City Manager
17
City,of Yakima (hereinafter referred to as the Sponsor) hereby agrees that as a condition to
receiving Federal financial assistance from the Department of Transportation (DOT), it will
comply with Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000d et sea.) and all
requirements imposed by 49 CFR Part 21, Nondiscrimination in Federally Assisted Programs
of the Department of Transportation -- Effectuation of Title VI of the Civil Rights Act of 1964
(hereinafter referred to as the "Regulations") to the end that no person in the United States
shall, on the ground of race, color, or national origin, be excluded from participation in, be
denied the benefits of, or be otherwise subjected to discrimination under any program or
activity for which the applicant receives Federal financial assistance and will immediately take
any measures necessary to effectuate this agreement. Without limiting the above general
assurance, the Sponsor agrees concerning this grant that:
1. Each "program" and "facility" (as defined in Section 21.23(a) and 21.23(b)) will be
conducted or operated in compliance with all requirements of the Regulations.
2. It will insert the clauses of Attachment 1 of this assurance in every contract subject to the
Act and the Regulations.
3. Where Federal financial assistance is received to construct a facility, or part of a facility,
the assurance shall extend to the entire facility and facilities operated in connection therewith -
4. Where Federal financial assistance is in the form or for the acquisition of real property or
an interest in real property, the assurance shall extend to rights to space on, over, or under
such property.
5. It will include the appropriate clauses set forth in Attachment 2 of this assurance, as a
covenant running with the land, in any future deeds, leases, permits, licenses, and similar
agreements entered into by the Sponsor with other parties:
(a) for the subsequent transfer of real property acquired or improved with Federal financial
assistance under this project; and
(b) for the construction or use of or access to space on, over, or under real property
acquired or improved with Federal financial assistance under this Project.
6. This assurance obligates the Sponsor for the period during which Federal financial
assistance is extended to the program, except where the Federal financial assistance is to
provide, or is in the form of personal property or real property or interest therein or structures
or improvements thereon, in which case the assurance obligates the Sponsor or any
transferee for the longer of the following periods:
(a) the period during which the property is used for a purpose for which Federal financial
assistance is extended, or for another purpose involving the provision of similar services or
benefits; or
(b) the period during which the Sponsor retains ownership or possession of the property.
7. It will provide for such methods of administration for the program as are found by the Secretary of
transportation of the official to whom he delegates specific authority to
give reasonable guarantees that it, other sponsors, subgrantees,
contractors, subcontractors, transferees, successors in interest, and
other participants of Federal financial assistance under such program
will comply with all requirements imposed or pursuant to the act, the
Regulations, and this assurance.
Page 1 of 2
18
ATTACHMENT 1'
During the performance of this contract, the contractor, for itself, its assignees and successors in interest
(hereinafter referred to as the "contractor") agrees as follows:
1. Com liancewith R Mations: The contractor shall comply with the regulations relative to
nondiscrimination in federally assisted programs of the Department of Transportation (hereinafter, "DOT")
Title 49, Code of Federal Regulations, Part 21, as they may be amended from time to time (hereinafter
referred to as the Regulations), which are herein incorporated by reference and made a part of this contract.
2. Nondiscrimination. The contractor, with regard to the work performed by it during the contract, shall
not discriminate on the grounds of race, color, or national origin in the selection and retention of
subcontractors, including procurements of materials and leases of equipment. the contractor shall not
participate either directly of indirectly in the discrimination prohibited by section 21.5 of the Regulations,
including employment practices when the contract covers a program set forth in Appendix B of the
Regulations.
3. Solicitations for Subcontracts --Including Procurements of Materials and E ui merit. In all solicitations
either by competitive bidding or negotiation made by the contractor for work to be performed under a
subcontract, including procurements of materials or lease of equipment, each potential subcontractor or
supplier shall be notified by the contractor of the contractor's obligations under this contract and the
Regulations relative to nondiscrimination on the grounds of race, color, or national origin.
4. Information and Raport. The contractor shall provide all information and reports required by the
Regulations or directives issued pursuant thereto and shall permit access to its books, records, accounts,
other sources of information, and its facilities as may be determined by the Sponsor or the Federal Aviation
Administration (FAA) to be pertinent to ascertain compliance with such Regulations, orders, and instructions.
Where any information required of a contract is in the exclusive possession of another who fails or refuses to
furnish this information, the contractor shall so certify to the sponsor or the FAA, as appropriate, and shall
set forth what efforts it has made to obtain the information.
5. Sanctions for Noncompliance. In the event of the contractor's noncompliance with the
nondiscrimination provisions of this contract, the sponsor shall impose such contract sanctions as it or the
FAA may determine to be appropriate, including, but not limited to:
a. Withholding of payments to the contractor under the contract until the contractor complies, and/or
b. Cancellation, termination, or suspension of the contract, in whole or in part.
6. Incorporation of Provisions. The contractor shall include the provisions of paragraphs 1 through 5 in
every subcontract, including procurements of materials and leases of equipment, unless exempt by the
Regulations or directives issued pursuant thereto. The contractor shall take such action with respect to any
subcontract or procurement as the sponsor or the FAA may direct as a means of enforcing such provisions
including sanctions for noncompliance. Provided, however, that in the event a contractor becomes involved
in, or is threatened with, litigation with a subcontractor or supplier as a result of such direction, the contractor
may request the Sponsor to enter into such litigation to protect the interests of the sponsor and, in addition,
the contractor may request the United States to enter into such litigation to protect the interest of the United
States.
N9
FAIIIIIIIEMMWIll I
The following clauses shall be included in deeds, licenses, leases, permits, or similar instruments
entered into by the Sponsor pursuant to the provisions of Assurances 5(a) and 5(b).
1 The (grantee, licensee, permittee, etc., as appropriate) for himself, his heirs, personal
representatives, successors in interest, and assigns, as a part of the consideration
hereof, does hereby covenant and agree (in the case of deeds and leases add "as a
covenant running with the land") that in the event facilities are constructed,
maintained, or otherwise operated on the said property described in this (deed,
license, lease, permit, etc.) for a purpose for which a DOT program or activity is
extended or for another purpose involving the provision of similar services or benefits,
the (grantee, licensee, lessee, permittee, etc.) shall maintain and operate such
facilities and services in compliance with all other requirements imposed pursuant to
49 CFR Part 21, Nondiscrimination in Federally Assisted Programs of the Department
of Transportation, and as said Regulations may be amended.
2. The (grantee, licensee, lessee, permittee, etc., as appropriate) for himself, his heirs,
personal representatives, successors in interest, and assigns, as a part of the
consideration hereof, does hereby covenant and agree (in the case of deeds and
leases add "as a covenant running with the land") that: (1) no person on the grounds
of race, color, or national origin shall be excluded from participation in, denied the
benefits of, or be otherwise subjected to discrimination in the use of said facilities, (2)
that in the construction of any improvements on, over, or under such land and the
furnishing of services thereon, no person on the grounds of race, color, or national
origin shall be excluded from participation in, denied the benefits of, or otherwise be
subjected to discrimination, (3) that the (grantee, licensee, permittee, etc.) shall use
the premises in compliance with all other requirements imposed by or pursuant to 49
CFR Part 21, Nondiscrimination in Federally Assisted Programs of the Department of
Transportation, and as said Regulations may be amended.
R
TITLE VI PRE -AWARD SPONSOR CHECKLIST
Airport/Sponsor: Yakima Air Terminal — McAllister Field / City''of Yakima
AIP #: 3-53-0089-39
Project Description(s);Procure one rotary plow(snowblower) with dedicated carrier vehicle.
1) Please describe any of the following IF they apply to your project: Title VI issues raised at public hearing(s)
and the conclusions made; EIS data concerning the race, color, or national origin of the affected
community; steps taken or proposed to guard against unnecessary impact on persons on the basis of
race, color or national origin.
Norge
2) Please list any airport related Title VI lawsuits or complaints filed in the preceding year against the
sponsor. Include a summary of the findings.
® None if "None" continue with questions 3 and 41.
3) Please list any current applications for federal funding (other than FAA) of airport related projects which
exceed the amount for this grant.
® None
4) Please list any airport related Title VI compliance review(s) received by the sponsor in the preceding two
years. Include who conducted the review and any findings of noncompliance.
® None
To be completed by the Civil Rights Staff
Review completed and approved:
Signature
Date:
This checklist is only required for projects that involve one of the following: Environmental Assessment or Impact
Statement (EIS); airport or runway relocation; major runway extension; relocation of any structure of person; or impact
to access or preservation of any burial ceremonial or other sacred or historical structures or lands of any indigenous or
ethnic population.
Return to: FAA, Civil Rights, Northwest Mountain Region; 1601 Lind Ave. SW; Renton, WA 98057-3356. FAX: (425)
227-1009 Phone (425) 227-2009
ASSURANCES
Airport Sponsors
22
1. These assurances shall be complied with in the performance of grant agreements for
airport development, airport planning, and noise compatibility program grants for
airport sponsors.
2. These assurances are required to be submitted as part of the project application by
sponsors requesting funds under the provisions of Title 49, U. S.C., subtitle VII, as
amended. As used herein, the term "public agency sponsor" means a public agency
with control of a public -use airport; the term "private sponsor" means a private owner
of a public -use airport; and the term "sponsor" includes both public agency sponsors
and private sponsors.
3. Upon acceptance of this grant offer by the sponsor, these assurances are incorporated
in and become part of this grant agreement.
1. Airport development or Noise Compatibility Program Projects Undertaken by a
Public Agency Sponsor.
The terms, conditions and assurances of this grant agreement shall remain in full
force and effect throughout the useful life of the facilities developed or equipment
acquired for an airport development or noise compatibility program project, or
throughout the useful life of the project items installed within a facility under a noise
compatibility program project, but in any event not to exceed twenty (20) years from
the date of acceptance of a grant offer of Federal funds for the project. However,
there shall be no limit on the duration of theassurances regarding Exclusive Rights
and Airport Revenue so long as the airport is used as an airport. There shall be no
limit on the duration of the terms, conditions, and assurances with respect to real
property acquired with federal funds. Furthermore, the duration of the Civil Rights
assurance shall be specified in the assurances.
F_ Airport Development or Noise Compatibility Projects Undertaken by a Privat
Sponsor. i
Airport Sponsor Assurances 312014 Page 1 of 20
23
3. Airport Planning Undertaken by a Sponsor.
Unless otherwise specified in this grant agreement, only Assurances 6, 13,
30, 32, 33, and 34 in Section C apply to planning projects. The terms,
n ,
conditions,,qji-d-a---,,s-Liy.?",ft-, *f _6111 -V _x;�
during the life of the project; there shall be no limit on the duration of the assurances
regarding Airport Revenue so long as the airport is used as an airport.
C. Sponsor Certification.
It will comply with all applicable Federal laws, regulations, executive orders,
policies, guidelines, and requirements as they relate to the application, acceptance and
use of Federal funds for this project including but not limited to the following:
Federal Legislation
a. Title 49, U.S.C., subtitle VII, as amended.
b. Davis -Bacon Act - 40 U.S.C. 276(a), et seg.'
c. Federal Fair Labor Standards Act - 29 U.S.C. 201, et seq.
d. Hatch Act — 5 U. S. C. 15 0 1, _•
e . Uniform Relocation Assistance and Real Property Acquisition Policies Act of
1970 Title 42 U.S.C. 4601, et seq. 12
f. National Historic Preservation Act of 1966 - Section 106 - 16 U.S.C. 470(f).1
g. Archeological and Historic Preservation Act of 1974 - 16 U.S.C. 469 through
469c. 1
h. Native Americans Grave Repatriation Act - 25 U.S.C. Section 3001, et seq.
i. Clean Air Act, P.L. 90-148, as amended.
j. Coastal Zone Management Act, P.L. 93-205, as amended.
k. Flood Disaster Protection Act of 1973 - Section 102(a) - 42 U.S.C. 4012a.
1. Title 49, U.S.C., Section 303, (formerly known as Section 4(f))
m. Rehabilitation Act of 1973 - 29 U.S.C. 794.
n. Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq., 78 stat. 252)
(prohibits discrimination on the basis of race, color, national origin);
o. Americans with Disabilities Act of 1990, as amended, (42 U. S.C. § 12101 et
seq.), prohibits discrimination on the basis of disability).
p. Age Discrimination Act of 1975 - 42 U. S.C. 6 1. 0 1, et seq.
q. American Indian Religious Freedom Act, P.L. 95-341, as amended.
r. Architectural Barriers Act of 1968 -42 U.S.C. 4151, et seq.1
s. Power plant and Industrial Fuel Use Act of 1978 - Section 403- 2 U.S.C. 8373.1
t. Contract Work Hours and Safety Standards Act - 40 U.S.C. 327, et seg.'
u. Copeland Anti -kickback Act - 18 U.S.C. 874.1
v. National Environmental Policy Act of 1969 - 42 U.S.C. 4321, et seq.1
w. Wild and Scenic Rivers Act, P.L. 90-542, as amended.
x. Single Audit Act of 1984 - 31 U.S.C. 7501, et seq. 2
y. Drug -Free Workplace Act of 1988 - 41 U.S.C. 702 through 706.
Airport Sponsor Assurances 312014 Page 2 of 20
24
z. The Federal Funding Accountability and Transparency Act of 2006, as amended
(Pub. L. 109-282, as amended by section 6202 of Pub. L. 110-252).
Executive Orders
a.
Executive Order 11246
- Equal Employment Opportunity
b.
Executive Order 11990 - Protection of Wetlands
c.
Executive Order 11998
— Flood Plain Management
d.
Executive Order 12372
- Intergovernmental Review of Federal Programs
e.
Executive Order 12699 - Seismic Safety of Federal and Federally Assisted New
Building Constructioni
f.
Executive Order 12898
- Environmental Justice
Federal Regulations
a. 2 CFR Part 180 - OMB Guidelines to Agencies on Govermnentwide Debarment
and Suspension (Nonprocurement).
b. 2 CFR Part 200, Uniform Administrative Requirements, Cost Princir-
+ •
eAdit Requirements for Federal Awards. [OMB Circular A-87 Cost Principles
Applicable to Grants and Contracts with State and Local Governments, and OMB
Circular A- 13 3 - Audits of States, Local Governments, and Non -Profit
Organizations].
c. 2 CFR Part 1200 — Nonprocurement Suspension and Debarment
d. 14 CFR Part 13 - Investigative and Enforcement Procedures 14 CFR Part 16 -
Rules of Practice For Federally Assisted Airport Enforcement Proceedings.
e. 14 CFR Part 150 - Airport noise compatibility planning.
CFR Part 35- Discrimination on the Basis of Disability in State and Local
Government Services.
g. 28 CFR § 50.3 - U.S. Department of Justice Guidelines for Enforcement of Title
VI of the Civil Rights Act of 1964.
CFR Part I - Procedures for predetermination of wage rates.
i. 29 CFR Part 3 - Contractors and subcontractors on public building or public woi
financed in whole or part by loans or grants from the United States. I
j. 29 CFR Part 5 - Labor standards provisions applicable to contracts covering
federally financed and assisted construction (also labor standards provisions
applicable to non -construction contracts subject to the Contract Work Hours and
Safety Standards Act).'
CFR Part 60 - Office of Federal Contract Compliance Programs, Equal
Employment Opportunity, Department of Labor (Federal and federally assisted
contracting requirements).'
1. 49 CFR Part 18 - Uniform administrative requirements for grants and cooperativ
agreements to state and local govertiments.'
in. 49 CFR Partrestrictions on lobbying.
n. 49 CFR Part 21 — Nondiscrimination in federally -assisted programs of the
Department of Transportation - effectuation of Title VI of the Civil Rights Act o
1964.
o. 49 CFR Part 23 - Participation by Disadvantage Business Enterprise in Airport
Concessions.
Airport Sponsor Assurances 312014 Page 3 of 20
25
p. 49 CFR Part 24 - Uiilfbft Relocation Assistance and Real Property Acquisition
for Federal and Federally Assisted Programs. 12
CFR Part 26 - Participation by Disadvantaged Business Enterprises in
Department of Transportation Programs.
r. 49 CFR Part 27 - Nondiscrimination on the Basis of Handicap in Programs and
Activities Receiving or Benefiting from Federal Financial Assistance. I
s. 49 CFR Part 28 - Enforcement of Nondiscrimination on the Basis of Handicap in
Programs or Activities conducted by the Department of Transportation.
CFR Part 30 - Denial of public works contracts to suppliers of goods and
services of countries that deny procurement market access to U.S. contractors.
u. 49 CFR Part 32 - Governmentwide Requirements for Drug -Free Workplace
(Financial Assistance)
CFR Part 37 - Transportation Services for Individuals with Disabilities
(ADA).
w. 49 CFR Part 41 - Seismic safety of Federal and federally assisted or regulated
new building construction.
Specific Assurances
TfuFTTT-V,, 1-a-FIVOrli'l. - - M-grtflt, agi-cements-0y
laws, regulations or circulars are incorporated by reference in this grant agreement.
Footnotes to Assurance CA.
1 These laws do not apply to airport planning sponsors.
2 These laws do not apply to private sponsors.
49 CFR Part 18 and 2 CFR Part 200 contain requirements for State and Loca
Governments receiving Federal assistance. Any requirement levied upon Stal
and Local Governments by this regulation and circular shall also be applicab!
to private sponsors receiving Federal assistance under Title 49, United States
Code.
4 On December 26, 2013 at 78 FR 78590, the Office of Management and Budget
(OMB) issued the Uniform Administrative Requirements, Cost Principles, and
Audit Requirements for Federal Awards in 2 CFR Part 200. 2 CFR Part 200
replaces and combines the former Uniform Administrative Requirements for
Grants (OMB Circular A- 102 and Circular A- I 10 or 2 CFR Part 215 or
Circular) as well as the Cost Principles (Circulars A-21 or 2 CFR part 220;
Circular A-87 or 2 CFR part 225; and A-122, 2 CFR part 230). Additionally it
replaces Circular A- 13 3 guidance on the Single Annual Audit. In accordance
with 2 CFR section 200.110, the standards set forth in Part 200 which affect
administration of Federal awards issued by Federal agencies become effective
once implemented by Federal agencies or when any future amendment to this
Part becomes final. Federal agencies, including the Department of
Transportation, must implement the policies and procedures applicable to
Federal awards by promulgating a regulation to be effective by December 26,
2014 unless different provisions are required by statute or approved by OMB.
Airport Sponsor Assurances 312014 Page 4 of 20
99
5 Cost principles established in 2 CFR part 200 subpart E must be used as
guidelines for determining the eligibility of specific types of expenses.
Audit requirements established in 2 CFR part 200 subpart F are the guidelines
for audits.
2. Responsibility and Authority of the Sponsor.
'pla-IliIN,
U&*PLC(1L 'VIE plassof,
an official act of the applicant's governing body authorizing the filing of the
application, including all understandings and assurances contained therein, and
directing and authorizing the person identified as the official representative of the
applicant to act in connection with the application and to provide such additional
information as may be required.
b. Private Sponsor:
PTVJULA MU L;Ulllf IJ 7VIL11 Lill LCI -111N, CUTIUMOnS, UnU aSSUranCeS Of Inis gram agreemem,
It shall designate an official representative and shall in writing direct and authorize
that person to file this application, including all understandings and assurances
contained therein; to act in connection with this application; and to provide such
additional information as may be required.
31M
W _JWMJ
1111M
4. Good Title.
public agency or the Federal government, holds good title, satisfactory to the
Secretary, to the landing area of the airport or site thereof, or will give assurance
satisfactory to the Secretary that good title will be acquired.
b. For noise compatibility program projects to be carried out on the property of the
sponsor, it holds good title satisfactory to the Secretary to that portion of the
property upon which Federal funds will be expended or will give assurance to the
Secretary that good title will be obtained.
a. It will not take or permit any action which would operate to deprive it of any of
the rights and powers necessary to perform any or all of the terms, conditions,
assurances in this grant agreement without the written approval of the Secretary,
and will act promptly to acquire, extinguish or modify any outstanding rights or
claims of right of others which would interfere with such performance by the
sponsor. This shall be done in a manner acceptable to the Secretary. i
Airport Sponsor Assurances 3/2014 Page 5 of 20
27
b. It will not sell, lease, encumber, or otherwise transfer or •! of • • of its
title or other interests in the property shown on Exhibit A to this application or,
for a noise compatibility program project, that portion of the property upon which
Federal funds have been expended, for the duration of the terms, conditions, and
assurances in this grant agreement without approval by the Secretary. If the
transferee is found by the Secretary to be eligible under Title 49, United States
Code, to assume the obligations of this grant agreement and to have the power,
authority, and financial resources to carry out all such obligations, the sponsor
shall insert in the contract or document transferring or disposing of the sponsor's
interest, and make binding upon the transferee all of the terms, conditions, and
assurances contained in this grant agreement.
c. For all noise
• program • which are to be carried out by
another unit of local government or are on property owned by a unit of local
government other than the sponsor, it will enter into an agreement with that
government. Except as otherwise specified • the Secretary, that agreement shall
obligate that government to the same terms, conditions, and assurances that would
be applicable to it if it applied directly to the FAA for a grant to undertake the
noise compatibility • project. That agreement and changes thereto must be
satisfactory to the Secretary. It will take steps to enforce this agreement against
the local government if there is substantial non-compliance with the terms of the
agreement.
• For noise compatibility • projects to be carried out on privately owned
property, it will enter into an agreement with the owner • that ••` which
includes provisions specified by the Secretary. It will take steps to enforce this
agreement against the property • whenever there is substantial non-
compliance with the terins of the agreement.
e. If the
•• is a private sponsor, it will take steps satisfactory to the Secretary
ensure that the airport will continue to function as a public -use airport in
accordance with these assurances • the duration of these assurances.
f. If an arrangement is made for management and operation of the airport by any
agency or person other than the sponsor or an employee of the sponsor, the
sponsor will reserve sufficient rights and authority to insure that the airport will
be operated • maintained in accordance Title 49, United States •' the
regulations and the terms, conditions and assurances in this grant agreement and
shall insure that such arrangement
• requires compliance therewith. I
V.
•i of commercial service airports will not permit • enter into any
arrangement that results in permission for the owner or tenant of a property usei-
as a residence, or zoned for residential use, to taxi an aircraft between that
property and any location on airport. Sponsors of general aviation airports
entering into any arrangement that results in permission for the • of
residential real property adjacent to or near the airport must comply with the
requirements of See. 13 6 of Public Law 112-95 and the sponsor assurances.
Airport Sponsor Assurances 3/2014 Page 6 of 24
28
6. Consistency with Local Plans.
11111"W11.1111WIN IN N 11
7. Consideration of Local Interest.
V TeT 7717
project may be located.
In making a decision to undertake any airport development project under Title 49,
United States Code, it has undertaken reasonable consultations with affected parties
using the airport at which project is proposed.
ana�� M
n prIj cc ion or an airpon, an airport runway, or a major runwa
extension, it has afforded the opportunity for public hearings for the purpose of
considering the economic, social, and environmental effects of the airport or runwa
location and its consistency with goals and objectives of such planning as has been
carried out by the community and it shall, when requested by the Secretary, submit
copy of the transcript of such hearings to the Secretary. Further, for such projects, it
has on its management board either voting representation from the communities
where the project is located or has advised the communities that they have the right•
petition the Secretary concerning a proposed project.
'I1i1I I 1 11 11
In projects involving the location of an airport, an airport runway, or a major runway
extension at a medium or large hub airport, the sponsor has made available to and has
provided upon request to the metropolitan planning organization in the area in which
the airport is located, if any, a copy of the proposed amendment to the airport layout
plan to depict the proj ect and a copy of any airport master plan in which the project is
described or depicted.
11. Pavement Preventive Maintenance.
With respect to a project approved after January 1, 1995, for the replacement or
reconstruction of pavement at the airport, it assures or certifies that it has
implemented an effective airport pavement maintenance -management program and it
assures that it will use such rowarn for the useful lifix'sybii1p -#,I
reconstructed or repaired with Federal financial assistance at the airport. It will
provide such reports on pavement condition and pavement management programs as
the Secretary determines may be useful.
MEMO
MIN 11"611,10", 1111111 N 1`110 1
111 IL'! M10.61 4 to Iff; 111,6110,1161111116111441 toil mr.."s 'N.01" -1011
Airport Sponsor Assurances 3/2014 Page 7 of 20
N9
WIM #To MU -71 I J&_WWX7,J I IN rg I I I I I r_ -Z- I ILI K;V-JSJt; I I I III
a. It shall keep all project accounts and records whichfully disclose the amount and
disposition by the recipient of the proceeds of this grant, the total cost of the
project in connection with which this grant is given or used, and the amount or
nature of that portion of the cost of the project supplied by other sources, and such
other financial records pertinent to the project. The accounts and records shall be
kept in accordance with an accounting system that will facilitate an effective audit
in accordance with the Single Audit Act of 1984.
b. It shall make available to the Secretary and the Comptroller General of the Unite
States, or any of their duly authorized representatives, for the purpose of audit
examination, any books, documents, papers, and records of the recip
peaproient that are
e
rtinent to this grnt. The Secretary may require that an appriate audit be
conducted by a recipient, In any case in which an independent audit is made of it_
accounts of a sponsor relating to the disposition of the proceeds of a grant or
relating to the project in connection with which this grant was given or used, it
shall file a certified copy of such audit with the Comptroller General of the Unit
States not later than six (6) months following the close of the fiscal year for whi
the audit was maie.
It shall include, in all contracts in excess of $2,000 for work on any projects funded
under this grant agreement which involve labor, provisions establishing minimum
rates of wages, to be predetermined by the Secretary of Labor, in accordance with t
y
Davis -Bacon Act, as amended (40 U.S.C. 276a -276a-5), which contractors shall pa I
to �'p—st2-vJ ilL-ttke. ixviwfil
for bids and shall be included in proposals or bids for the work. I
15. Veteran's Preference.
It shall include in all contracts for work on any project funded under this grant
agreement which involve labor, such provisions as are necessary to insure that, in the
emv oyment of labor (exce--.,t in executive
�l -- - -
preference shall be given to Vietnam era veterans, Persian Gulf veterans,
A •hanistan-lraq war veterans. disabled veterans. and small business conce
�1�
It will execute the project subject to plans, specifications, and schedules approved b
the Secretary. Such plans, specifications, and schedules shall be submitted to the
Secretary prior to commencement of site preparation, construction, or other
performance under this grant agreement, and, upon approval of the Secretary, shall
incorporated into this grant agreement. Any modification to the approved plans, I
Airport Sponsor Assurances 312014 Page 8 of 20
9E
17. Construction Inspection and Approval.
It will provide and maintain competent technical supervision at the construction site
throughout the project to assure that the work conforms to the plans, specifications,
and schedules approved by the Secretary for the project. It shall subject the
construction work on any project contained in an approved project application'to
inspection and approval by the Secretary and such work shall be in accordance with
regulations and procedures prescribed by the Secretary. Such regulations and
procedures shall require such cost and progress reporting by the sponsor or sponsors
of such project as the Secretary shall deem necessary.
18. Planning Projects.
In carrying out planning projects:
a. It will execute the project in accordance with the approved program narrative
contained in the project application or with the modifications similarly approved.
b. It will furnish the Secretary with such periodic reports as required pertaining to
the planning project and planning work activities.
c. It will include in all published material prepared in connection with the planning
project a notice that the material was prepared under a grant provided by the
United States.
d. It will make such material available for examination by the public, and agrees that
no material prepared with funds under this project shall be subject to copyright in
the United States or any other country.
e. It will give the Secretary unrestricted authority to publish, disclose, distribute, and
otherwise use any of the material prepared in connection with this grant.
C. It will grant the Secretary the right to disapprove the sponsor's employment of
specific consultants and their subcontractors to do all or any part of this project as
well as the right to disapprove the proposed scope and cost of professional
g. It will grant the Secretary the right to disapprove the use of the sponsor's
employees to do all or any part of the project.
h. It understands and agrees that the Secretary's approval of this project grant or the
Secretary's approval of any planning material developed as part of this grant does
not constitute or imply any assurance or commitment on the part of the Secretary
to approve any pending or future application for a Federal airport grant.
RTMMM
a. The airport and all facilities which are necessary to serve the aeronautical users
the airport, other than facilities owned or controlled by the United States, shall b
operated at all times in a safe and serviceable condition and in accordance with
the minimum standards as may be required or prescribed by applicable Federal,
Airport Sponsor Assurances 3/2014 Page 9 of 20
a
state and local agencies for maintenance and operation. It will not cause or permit
any activity or action thereon which would interfere with its use for airport
purposes. It will suitably operate and maintain the airport and all facilities thereon
or connected therewith, with due regard to climatic and flood conditions. Any
pro]iosal to temcctort -for non-aeronauticill_vi
be approved • the Secretary. In furtherance of this assurance, the sponsor will
have in effect arrangements for -
1) Operating the airport's aeronautical facilities whenever required;
2) Promptly marking and lighting hazards resulting from airport conditions,
including temporary conditions; and
3) Promptly notifying airmen of any condition affecting aeronautical use of th
airport. Nothing contained herein shall be construed to require that the airpo
be operated for aeronautical use during temporary periods when snow, floo
or other climatic conditions interfere with such operation and maintenance.
Further, nothing herein shall be construed as requiring the maintenance,
repair, restoration, or replacement of any structure or facility which is
substantially damaged or destroyed due to an act of God or other condition
circumstance beyond the control of the sponsor. I
It will take appropriate action to assure that such terminal airspace as is required
protect instrument and visual operations to the airport (including established
minimum flight altitudes) will be adequately cleared and protected by removing,
lowering, relocating, marking, or lighting or otherwise mitigating existing airport
hazards and by preventing the establishment or creation of future airport hazards.1
21. Compatible Land Use.
It will take appropriate action, to the extent reasonable, including the adoption of
zoning laws, to restrict the use of land adjacent to or in the immediate vicinity of the
•ort to activities and 1%woses •. with normal air(iort o(rns includinS
landing and takeoff of aircraft. In addition, if the project is for noise compatibility
program implementation, it will not cause or permit any change in land use, within its
jurisdiction, that will reduce its compatibility, with respect to the airport, of the noise
compatibility program measures upon which Federal funds have been expended.
22. Economic Nondiscrimination.
a. It will make the airport available as an airport for public use on reasonable te
and without unjust discrimination to all types, kinds and classes of aeronautic
activities, including commercial aeronautical activities offering services to the
public at the airport. i
b. In any agreement, contract, lease, or other arrangement under which a right or
privilege at the airport is granted to any person, firm, or corporation to conduct or
Airport Sponsor Assurances 312014 Page 10 of 20
32
Airport Sponsor Assurances 312414 Page 11 of 20
33
It will permit no exclusive right for the use of the airport by any person providing, or
intending to provide, aeronautical services to the public. For purposes of this
paragraph, the providing of the services at an airport by a single fixed -based operator
shall not be construed as an exclusive right if both of the following apply:
a. It would be unreasonably costly, burdensome, or impractical for more than one
fixed -based operator to provide such services, and
allowing more than one fixed -based operator to provide such services would
require the reduction of space leased pursuant to an existing agreement between
such single fixed -based operator and such airport. It further agrees that it will not,
either directly or indirectly, grant or permit any person, firm, or corporation, the
exclusive right at the airport to conduct any aeronautical activities, including, but
not limited to charter flights, pilot training, aircraft rental and sightseeing, aerial
photography, crop dusting, aerial advertising and surveying, air carrier operations,
aircraft sales and services, sale of aviation petroleum products whether or not
conducted in conjunction with other aeronautical activity, repair and maintenance
of aircraft, sale of aircraft parts, and any other activities which because of their
direct relationship to the operation of aircraft can be regarded as an aeronautical
activity, and that it will terminate any exclusive right to conduct an aeronautical
activity now existing at such an airport before the grant of any assistance under
Title 49, United States Code.
It will maintain a fee and rental structure for the facilities and services at the airport
which will make the airport as self-sustaining as possible under the circumstances
existing at the particular airport, taking into account such.factors as the volume of
traffic and economy of collection. No part of the Federal share of an airport
development, airport planning or noise compatibility project for which a grant is
made under Title 49, United States Code, the Airport and Airway Improvement Act
of 1982, the Federal Airport Act or the Airport and Airway Development Act of 1970
shall be included in the rate basis in establishing fees, rates, and charges for users of
that airport.
a. All revenues generated by the airport and any local taxes on aviation fuel
established after December 30, 1987, will be expended by it for the capital or
operating costs of the airport; the local airport system; or other local facilities
which are owned or operated by the owner or operator of the airport and which
are directly and substantially related to the actual air transportation of passengers
or property; or for noise mitigation purposes on or off the airport. The following
exceptions apply to this paragraph:
1) If covenants or assurances in debt obligations issued before September 3,
1982, by the owner or operator of the airport, or provisions enacted before
September 3, 1982, in governing statutes controlling the owner or operator's
financing, provide for the use of the revenues from any of the airport owner or
Airport Sponsor Assurances 312014 Page 12 of 20
11"111 loll, I I OW -1
WHIM
dMIJIME41116MA111 IM0451 ORMAIMS fog
34
a. submit to the Secretary such annual or special financial and operations reports a
the Secretary may reasonably request and make such reports available to the
public; make available to the public at reasonable times and places a report of th
airport budget in a format prescribed by the Secretary;
b. for airport development projects, make the airport and all airport records and
documents affecting the airport, including deeds, leases, operation and use
agreements, regulations and other instruments, available for inspection by any
duly authorized agent of the Secretary upon reasonable request;
c. for noise compatibility program projects, make records and documents relating t
the project and continued compliance with the terms, conditions, and assurances
of this grant agreement including deeds, leases, agreements, regulations, and oth
instruments, available for inspection by any duly authorized agent of the Secret
upon reasonable request; and
Airport Sponsor Assurances 3/2014 Page 13 of 20
35
d. in a forinat and time prescribed by the Secretary, provide to the Secretary and
make available to the public following each of its fiscal years, an annual report
listing in detail:
1) all amounts paid by the airport to any other unit of gi-
• •
epurposes for which each such payment was made; and
2) all services and property provided by the airport to other units of government
and the amount of compensation received for provision of each such service
and property.
27. Use by Government Aircraft.
It will make available all of the facilities of the airport developed with Federal
financial assistance and all those usable for landing and takeoff of aircraft to the
United States for use by Government aircraft in common with other aircraft at all
times without charge, except, if the use by Government aircraft is substantial, charge
may be made for a reasonable share, proportional to such use, for the cost of
operating and maintaining the facilities used. Unless otherwise determined by the
of an airport by Government aircraft will be considered to exist when operations of
such aircraft are in excess of those which, in the opinion of the Secretary, would
unduly interfere with use of the landing areas by other authorized aircraft, or during
any calendar month that —
a. Five (5) or more Government aircraft are regularly based at the airport or on land
adjacent thereto; or
b. The total number of movements (counting each landing as a movement) of
Government aircraft is 300 or more, or the gross accumulative weight of
Government aircraft using the airport (the total movement of Government aircraft
multiplied by gross weights of such aircraft) is in excess of five million pounds.
Et will furnish without cost to the Federal Government for use in connection with any
%-ir !r,%-ffi' in -�
-%n�,%amniumicati
�n
�ommumcati
-�n
�omm ni-cati
activities related to air traffic control, any areas of land or water, or estate therein, or
I ights in buildings of the sponsor as the Secretary considers necessary or desirable J
construction, operation, and maintenance at Federal expense of space or facilities fo
such purposes. Such areas or any portion thereof will be made available as provided]
herein within four months after receipt of a written request from the Secretary.
a. It will keep up to date at all times an airport layout plan of the airport showin2
1) boundaries of the airport and all proposed additions thereto, together with the
boundaries of all offsite areas owned or controlled by the sponsor for airport
purposes and proposed additions thereto;
�-Ivvwmq lant.NaVIVIR-M M ". 0 ••', a M111116M I I •1
11
Airport Sponsor Assurances 3/2014 Page 14 of 20
99
roads), including all proposed extensions and reductions of existing airport
facilities;
3) the location of all existing and proposed nonaviation areas and of all existing
improvements thereon; and
4) all proposed and existing access points used to taxi aircraft across the airport's
property boundary. Such airport layout plans and each amendment, revision,
or modification thereof, shall be subject to the approval of the Secretary which
approval shall be evidenced by the signature of a duly authorized
representative of the Secretary on the face of the airport layout plan. The
sponsor will not make or permit any changes or alterations in the airport or
any of its facilities which are not in conformity with the airport layout plan as
approved by the Secretary and which might, in the opinion of the Secretary,
adversely affect the safety, utility or efficiency of the airport.
b. If a chanve or alteration in the airport or the facilities is made which the Secretar
determines adversely affects the safety, utility, or efficiency of any federally
owned, leased, or funded property on or off the airport and which is not in
conformity with the airport layout plan as approved by the Secretary, the owner
operator will, if requested, by the Secretary (1) eliminate such adverse effect in,
manner approved by the Secretary; or (2) bear all costs of relocating such
property (or replacement thereof) to a site acceptable to the Secretary and all cos,
of restoring such property (or replacement thereot) to the level of safety, utility,
efficiency, and cost of operation existing before the unapproved change in the
airport or its facilities except in the case of a relocation or replacement of an
existing airport facility due to a change in the Secretary's design standards beyo
the control of the airport sponsor. I
IMMMMUMM,
It will promptly take any measures necessary to ensure that no person in the United
States shall, on the grounds of race, creed, color, national origin, sex, age, or
disability be excluded from participation in, be denied the benefits of, or be otherwiss,
subjected to discrimination in any activity conducted with, or benefiting from, funds
received from this grant.
a. Using the definitions of activity, facility and program as found and defined in
and 21.23 (e) of 49 CFR § 2 1, the sponsor will facilitate all programs
operate all facilities, or conduct all programs in compliance with all non-
discrimination requirements imposed by, or pursuant to these assurances. I
MMMVM�
1) Programs and Activities. If the sponsor has received a grant (or other federal
assistance) for any of the sponsor's program or activities, these requirements
extend to all of the sponsor's programs and activities.
2) Facilities. Where it receives a grant or other federal financial assistance to
construct, expand, renovate, remodel, alter or acquire a facility, or part of a
facility, the assurance extends to the entire facility and facilities operated in
connection therewith.
Airport Sponsor Assurances 312014 Page 15 of 20
37
3) Real Property. Where the sponsor receives a grant or other Federal financial
assistance in the form of, or for the acquisition of real property or an interest
in real property, the assurance will extend to rights to space on, over, or under
such property.
MIMI
The sponsor agrees that it is obligated to this assurance for the period during
which Federal financial assistance is extended to the program, except where the
Federal financial assistance is to provide, or is in the form of, personal property,
or real property, or interest therein, or structures or improvements thereon, in
which case the assurance obligates the sponsor, or any transferee for the longer of
the following periods:
1) So long as the airport is used as an airport, or for another purpose involvinq
the provision of similar services or benefits; or
EMMMEMEM =0
d. Required Solicitation Language. It will include the following notification in all
solicitations for bids, Requests For Proposals for work, or material under this
grant agreement and in all proposals for agreements, including airport
concessions, regardless of funding source:
"The jNAMe of Sgottsor), in accordance with the provisions of Title VI of the
Civil Rights Act of 1964 (78 Stat. 252, 42 U.S.C. §§ 2000d to 20OOd-4) and the
Regulations, hereby notifies all bidders that it will affirmatively ensure that any
contract entered into pursuant to this advertisement, disadvantaged business
enterprises and airport concession disadvantaged business enterprises will be
afforded full and fair opportunity to submit bids in response to this invitation and
will not be discriminated against on the grounds of race, color, or national origin
in consideration for an award."
Eff",
1) It will insert the non-discrimination contract clauses requiring compliance
with the acts and
o
regulations relative to nn-discriminaede
tion in Frally-
assisted programs of the DOT, and incorporating the acts and regulations into
the contracts by reference in every contract or agreement subject to the non-
discrimination in Federally -assisted programs of the DOT acts and
regulations.
2) It will include a list of the pertinent non-discrimination authorities in every
contract that is subject to the non-discrimination acts and regulations,
3) It will insert non-discrimination contract clauses as a covenant running with
the land, in any deed from the United States effecting or recording a transfer
of real property, structures, use, or improvements thereon or interest therein to
a sponsor.
It will insert non-discrimination contract clauses prohibiting discrimination on
the basis of race, color, national origin, creed, sex, age, or handicap as a
Airport Sponsor Assurances 3/2014 Page 16 of 20
38
• running with the land, in any future deeds, leases, license, permits,
or similar instruments
• into by the sponsor with other parties:
a)
• the subsequent transfer of real property acquired or improved under
the applicable activity, project, or program; and
b) For the construction or use of, • access to, space on, over, or under real
property acquired or improved under the applicable activity, project, or
•
f. It will provide for such methods of administration for the program as are found
the Secretary to give reasonable guarantee that it, other recipients, sub -recipients
sub -grantees, contractors, subcontractors, consultants, transferees, successors in
interest,
• other participants of Federal financial assistance under such progra
will comply with all requirements imposed or pursuant to the acts, the regulation
• this assurance.
g. It agrees that the `• States has a right to seek judicial • with
regard to any matter arising under the acts, the regulations, and this assurance.
a. For land purchased
•" a grant for •! noise compatibility purposes,
including land serving as a noise buffer, it will dispose of the land, when the Ian(
is no
• needed for such purposes, at fair market value, at the earliest
practicable time. That portion of the proceeds of such disposition which is
proportionate to the United States' share of acquisition of such land will be, at tht
discretion of the Secretary, (1) reinvested in another project at the airport, or (2)
transferred to another eligible airport as • by the Secretary. The
Secretary shall give preference to the following, in descending order, (1)
reinvestment in an approved noise compatibility project, (2) reinvestment in an
approved project that is eligible for grant funding under Section 47117(e) of title
49 United States Code, (3) reinvestment in an approved airport development
project that is eligible for grant funding under Sections 47114, 47115, or 47117
title 49 United States Code, (4) transferred to an eligible sponsor of another publ'
airport to be reinvested in an approved noise compatibility project at that airport,
• (5) paid to the Secretary for deposit in the Airport and Airway Trust Fund. I
land acquired under a grant for noise compatibility purposes is ]eased at fair
market value and consistent with noise buffering purposes, the lease will not be
considered a disposal of the land. Revenues derived from such a lease may be
used for an approved airport development project that would otherwise be eligibl
for grant funding or any permitted use of airport revenue.
b. For land purchased under a grant for airport development purposes (other than
noise compatibility), it will, when the land is no longer needed for airport
purposes, dispose of such land at fair market value or make available to the
Secretary an amount equal to the United States' proportionate share of the fair
market value of the land. That portion of the proceeds of such disposition which
is proportionate to the United States' share of the cost of acquisition of such land
will, (1) upon application to the Secretary, be reinvested or transferred to another
Airport Sponsor Assurances 3/2014 Page 17 of 24
99
eligible airport as prescribed by the Secretary. The Secretary shall give
preference to the following, in descending order: (1) reinvestment in an approved
noise compatibility project, (2) reinvestment in an approved project that is eligible
for grant funding under Section 47117(e) of title 49 United States Code, (3)
reinvestment in an approved airport development project that is eligible for grant
funding under Sections 47114, 47115, or 47117 of title 49 United States Code, (4)
transferred to an eligible sponsor of another public airport to be reinvested in an
approved noise compatibility project at that airport, and (5) paid to the Secretary
Cor deposit in the Airport and Airway Trust Fund.
c. Land shall be considered to be needed for airport purposes under this assurance
(1) it may be needed for aeronautical purposes (including runway protection
zones) or serve as noise buffer land, and (2) the revenue from interim uses of su.
land contributes to the financial self-sufficiency of the airport. Further, land
purchased with a grant received by an airport operator or owner before Decemb
31, 1987, will be considered to be needed for airport purposes if the Secretary or
Federal agency making such grant before December 31, 1987, was notified by t
operator or owner of the uses of such land, did not object to such use, and the la
continues to be used for that purpose, such use having commenced no later than
December 15,1989.
d. Disposition of such land under (a) (b) or (c) will be subject to the retention or
reservation of any interest or right therein necessary to ensure that such land will
only be used for purposes which are compatible with noise levels associated wit
operation of the airport.
MMEMM
It will award each contract, or sub -contract for program management, construction
management, planning studies, feasibility studies, architectural services, preliminary
engineering, design, engineering, surveying, mapping or related services with respect
to the project in the same manner as a contract for architectural and engineering
services is negotiated under Title IX of the Federal Property and Administrative
Services Act of 1949 or an equivalent qualifications -based requirement prescribed for
or by the sponsor of the airport.
Fill 111111: 1111111111111 '111, 1111111:
311131 ii 11 Hill I U �• "I
It will not allow funds provided under this grant to be used to fund any project which
uses any product or service of a foreign country during the period in which such
foreign country is listed by the United States Trade Representative as denying fair
914 Z�,"i1K�lc—TrMMTTUVPTT
procurement and construction.
It will carry out the project in accordance with policies, standards, and specifications
approved by the Secretary including but not limited to the advisory circulars listed in
the Current FAA Advisory Circulars for AIP projects, dated (the lates
I I ruslIX-1114811
Airport Sponsor Assurances 312014 Page 18 of 20
40
with applicable state policies, standards, and specifications approved by the
Secretary.
a. It will be guided in acquiring real property, to the greatest extent practicable under
State law, by the land acquisition policies in Subpart B of 49 CFR Part 24 and
will pay or reimburse property owners for necessary expenses as specified in
Subpart B.
b. It will provide a relocation assistance program offering the services described in
Subpart C and fair and reasonable relocation payments and assistance to displaced
persons as required in Subpart D and E of 49 CFR Part 24.
cIt will make available within a reasonable period of time prior to displacement,
comparable replacement dwellings to displaced persons in accordance with
Subpart E of 49 CFR Part 24.
7 or
110 7M 7 CY, I L 11US 110 0 )n to TI-na spTulul lall In] 'nrTN=y 11,11 -se NMI
modes of transportation.
The sponsor shall not discriminate on the basis of race, color, national origin or sex in
the award and performance of any DOT -assisted contract covered by 49 CFR Part 26,
or in the award and performance of any concession activity contract covered by 49
CFR Part 23. In addition, the sponsor shall not discriminate on the basis of race,
color, national origin or sex in the administration of its DBE and ACDBE programs
or the requirements of 49 CFR Parts 23 and 26. The sponsor shall take all necessary
and reasonable steps under 49 CFR Parts 23 and 26 to ensure nondiscrimination in the
award and administration of DOT -assisted contracts, and/or concession
contracts. The sponsor's DBE and ACDBE programs, as required by 49 CFR Parts
26 and 23, and as approved by DOT, are incorporated by reference in this
agreement. Implementation of these programs is a legal obligation and failure to
carry out its terms shall be treated as a violation of this agreement. Upon notification
to the sponsor of its failure to carry out its approved program, the Department may
impose sanctions as provided for under Parts 26 and 23 and may, in appropriate cases,
refer the matter for enforcement under 18 U.S. C. 100 1 and/or the Program Fraud
Civil Remedies Act of 1936 (31 U.S.C. 3801).
38. Hangar Construction.
L 01TY110f Mr it,
71craLIT ans. a pers,9571 7FT79 71,77. — MY— liang.
he
is to be constructed at the airport for the aircraft at the aircraft owner's expense, t.]
in
airport owner or operator will grant to the aircraft owner for the hangar a long term
kne &Tit is temfy-&ric*Mfi&*in•
operator may impose.
Airport Sponsor Assurances 3/2014 Page 19 of 20
41
39. Competitive Access.
a. If the airport owner or operator of a medium or large hub airport (as defined in
section 47102 of title 49, U.S.C.) has been unable to accommodate one or more
requests by an air carrier for access to gates or other facilities at that airport in
order to allow the air carrier to provide service to the airport or to expand service
at the airport, the airport owner or operator shall transmit a report to the Secretary
that -
1) Describes the requests;
2) Provides an explanation as to why the requests could not be accommodated;
and
3) Provides a time frame within which, if any, the airport will be able to
accommodate the requests.
b. Such report shall be due on either February I or August I of each year if the
airport has been unable to accommodate the request(s) in the six month period
prior to the applicable due date.
............................
Airport Sponsor Assurances 312014 Page 20 of 20
U.S. Department of Transportation
Federal Aviation Administration
42
OMB CONTROL NUMBER: 2120-0569
EXPIRATION DATE: 8/31/2019
Project Plans and Specifications
Airport Improvement Program Sponsor Certification
Sponsor: City of Yakima
Airport: Yakima Air Temrinal / McAllister Field
Project Number: AIP No. 3-53-0089-39
Description of Work: Procure one rotary plow (snowblower) with dedicated carrier vehicle.
Application
49 USC § 47105(d) authorizes the Secretary to require certification from the sponsor that it will comply
with the statutory and administrative requirements in carrying out a project under the Airport Improvement
Program (AIP). Labor and civil rights standards applicable to AIP are established by the Department of
Labor (www.dol.gov/). AIP Grant Assurance C.1—General Federal Requirements identifies applicable
federal laws, regulations, executive orders, policies, guidelines and requirements for assistance under
AIP. A list of current advisory circulars with specific standards for procurement, design or construction of
airports, and installation of equipment and facilities is referenced in standard airport sponsor Grant
Assurance 34 contained in the grant agreement.
Certification Statements
Except for certification statements below marked as not applicable (N/A), this list includes major
requirements of the construction project. Selecting "Yes" represents sponsor acknowledgement and
confirmation of the certification statement. The term "will' means Sponsor action taken at appropriate
time based on the certification statement focus area, but no later than the end of the project period of
performance. This list is not comprehensive and does not relieve the sponsor from fully complying with all
applicable statutory and administrative standards. The source of the requirement is referenced within
parenthesis.
1,,, The plans and specifications were or will be prepared in accordance with applicable federal
standards and requirements, so that no deviation or modification to standards set forth in the
advisory circulars, or FAA -accepted state standard, is necessary other than those explicitly
approved by the Federal Aviation Administration (FAA) _(14 USC § 47105).
® Yes ❑ No ❑ N/A
2. Specifications incorporate or will incorporate a clear and accurate description of the technical
requirement for the material or product that does not contain limiting or proprietary features that
unduly restrict competition (2 CFR §200.319).
E3 ■
FAA Form 5100-132 (1/17) SUPERSEDES PREVIOUS EDITION I Page 1 of 3
43
3. The development that is included or will be included in the plans is depicted on the current airport
layout plan aeapproved bvthe FAA (14Uk §471O7).
4. Development and features that are ineligible orunallowable for /UPfunding have been orwill be
omitted from the plans and specifications (FAA Order 5100.38. par. 3-43).
99 Yes [l No El N/A
5. The specification does not use or will not use "brand name" or equal to convey requirements
unless sponsor requests and receives approval from the FAA touse brand name (FAA Order
51OO.38.Table U-5).
0Yea [] No []N/A
G. The specification does not impose orwill not impose geographical in their
procurement requirements (2CFR Q2OO.31&(b)and FAA Order 51OO.38.Table U-5).
N Yes El No El N/A
7. The use ofprequalified lists ofindividuals, firms orproducts include orwill include sufficient
qualified sources that ensure open and free competition and that does not preclude potential
entities from qualifying during the solicitation period (2CFR §319(d)).
9Yoo [l No 171 N/A
Ei Solicitations with bid alternates include or will include explicit information that establish a basis for
award of contract that is free of arbitrary decisions by the sponsor (2 CFR § 200.319(a)(7)).
S. Concurrence was or will be obtained from the FAA if Sponsor incorporates a value engineering
clause into the contract (FAA Order 51D0.38.par. 3-57).
El Yes El No 0N/A
10. The plans and specifications incorporate or will incorporate applicable requirementsand
recommendations set forth in the federally approved environmental finding (49 USC §47106(c)).
11. The design mfall buildings comply orwill comply with the seismic design requirements of40CFR
G41.12O. (FAA Order 510O.38d. par. 3-92)
0 Yes El No nx N/A
�
12. The project specification include orwill include process control and acceptance tests required for
the project bvoopmrthmapp|ioeb|eotondand:
a. Construction and installation as contained in Advisory Circular (AC) 160/5370-10.
ED Yes [] No [] N/A
'
FAA Form 51DO-132(1/17) SUPERSEDES PREVIOUS EDITION Page umu
44
b. Snow Removal Equipment smcontained inAC15O/522O-2D,
0 Yes El No El N/A
o. Aircraft Rescue and Fire Fighting (ARFF) vehicles as contained in AC 150/5220-10,
El Yes E3 No Mx N/A
13. For construction activities within ornear aircraft operational area :
a. The Sponsor has orwill prepare aconstruction safety and phasing plan (CSPF)conforming
to Advisory Circular 150/5370-2.
b. Compliance with CSPpsafety provisions has been orwill beincorporated into the plans
and specifications amacontractor requirement.
c Sponsor will not initiate work until receiving FAA's concurrence with the CGPP(FAA Order
Nx Yes El No M N/A
14. The project was or will be physically completed without federal participation in costs due to errors
and omissions in the plans and specifications that were foreseeable at the time of project design
(49 USC §4711D(b)(1)and FAA Order 51OO.38d. par. 3-100).
nx Yes 1-1 No [] N/A
Attach documentation clarifying any above item marked with ^No" response.
Sponsor's Certification
I certify, for the project identified herein, responses to the forgoing items are accurate as marked and
additional documentation for any item marked "no" is correct and complete.
Executed on this day of
Name of Sponsor: City of Yakima
Name of Sponsor's Authorized Official: Cliff Moore
Title of Sponsor's Authorized Official: City Manager
Signature of Sponsor's Authorized Official:
I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both.
FAA Form 5100-132 (1/17) SUPERSEDES PREVIOUS EDITION Page 3 of 3
?U£Department ofTransportation
48�r Federal Aviation AdministrationEXPIRATION DATE: 8/31/2019
45
OMB CONTROL NUMBER: 2120-058
Construction Project Final Acceptance
Airport Improvement Program Sponsor Certification
Sponsor: City ofYakima
Airport: Yakima Air Terminal / McAllister Field
OeecrpUonofWork: Procure one rotary plow (snowb|owor)with dedicated carrier vehicle,
Application
49USC § 47105(d), authorizes the Secretary to require me certification from the sponsor that it will
comply with the statutory and administrative requirements in carrying out project under the Airport
Improvement Program. General standards for final acceptance and close out of federally funded
construction projects are in2CFR § 2OD.343—Closeout and supplemented byFAA Order 51OO.38.The
sponsor must determine that project costs are accurate and proper in accordance with specific
requirements ofthe grant agreement and contract documents.
Certification Statements
Except for certification statements below marked not applicable (N/A), this list includes major
requirements ofthe construction project. Selecting "Yes^represents sponsor acknowledgmentand
confirmation of the certification statement. The term "will" means Sponsor action taken at appropriate
time based on the certification statement focus area, but no later than the end of the projectperiodof
performance. This list is not comprehensive and does not relieve the sponsor from fully complying with
all applicable statutory and administrative standards. The source of the requirement iareferenced within
parenthesis.
1. The personnel engaged inproject administration, engineering supervision, project inspection, and
acceptance testing were or will be determined to be qualified and competent to perform the work
(Grant Assurance).
��
��� �� �Yeo ��No ��N/A
2. Construction records, including daily logs, were or will be kept by the resident
engineer/construction inspector that fully document contractor's performance in complying with:
a. Technical standards (Advisory Circular (AC)15O/537O'12);
b. Contract requirements (2CFR part 200and FAA Order 51OO.38); and
c. Construction safety and phasing plan measures (AC 150/5370-2).
3. All acceptance tests specified inthe project specifications were orwill beperformed and
documented. (AC 150/5370-12).
P�7Yea No 0NA\
FAA Form 51O0'12Q(1/17) SUPERSEDES PREVIOUS EDITION page 1of3
46
4. Sponsor has taken orwill take appropriate corrective action for any test result outside of
allowable tolerances (AC 150/5370-12).
Yes No nN/A
5. Pay reduction factors required by the specifications were applied or will be applied in computing
final payments with asummary made available tuthe FAA (AC 150/5370-10).
O. Sponsor has notified, or will promptly notify the Federal Aviation Administration (FAA)of the
following occurrences:
a. Violations ofany federal requirements set forth orincluded byreference inthe contract
documents (lCFR part 2OO);
b. Disputes or complaints concerning federal labor standards (29 CFR part 5); and
o. Violations of or complaints addressing conformance with Equal Employment Opportunity or
Disadvantaged Business Enterprise requirements (41 CFR Chapter 60 and 48 CFR part 26).
r'7 Yes r-JWo nN/A
LIN
7. Weekly payroll records and statements of compliance were or will be submitted by the prime
contractor and reviewed by the sponsor for conformance with federal labor and civil rights
requirements as required by FAA and U.G. Department ofLabor (2B CFF{ Part 5).
F7�7Yes r] No N/A
8. Payments to the contractor were or will be made in conformance with federal requirements and
contract provisions using sponsor internal controls that include:
a. Retaining source documentation of payments and verifying contractor billing statements
against actual performance (2CFR §2DO.3O2and FAA Order 510].38);
b. Prompt payment of subcontractors for satisfactory performance of work (49 CFR § 26.29);
o. Release of applicable retainage upon satisfactory performance of work (49 CFR §3O.2B);
and
d. Verification that payments to DBEs represent work the DBE performed by carrying out a
commercially useful function (49 CFR §26.55).
r�-"12 Y�� No FlN/A
9. Afinal project inepecUonvvaoorxvU|beconduotedwithnapneaentatiwaaofthenponaorandtha
contractor present that ensure:
o. Physical completion of project work in conformance with approved plans and specifications
(Order 5100.38);
b. Necessary actions to correct punch list items identified during final inspection are complete
(Order 5100.38); and
c. Preparation of a record of final inspection and distribution to parties to the contract
(Order 5100.38);
��
1^1 Yes F-1 �No �� ��NAA
10. The project vvaoorvvi||be0000mp|iohedwithoutmaberia|deviaUono.ohangeo.ormodifivatione
from approved plans and specifications, except aoapproved bythe FAA (Order G1OO.38).
r17 Yes No []W/A
FAA Form 5100-129 (1/17) SUPERSEDES PREVIOUS EDITION page 2 of 3
47
11. The construction ofall buildings have complied orwill comply with the seismic construction
requirements of4QCFR §41.12O.
F]ea F� �� No �� �� N/A
12. For development projects, eponeorhaabakenorxvi||tahethefmi|owingo|oae-outaotiona:
a. Submit to the FAA a final test and quality assurance report summarizing acceptance test
results, as applicable (Grant Condition);
b Complete all environmental requirements as established within the project environmental
determination (Oder 5100.38); and
c. Prepare and retain as -built plans (Order 51O0.3G).
F-IYem F-INo N/A
13. Sponsor has revised or will revise their airport layout plan (ALP) that reflects improvements made
and has submitted or will submit an updated ALP to the FAA no later than 90 days from the
period ofperformance end date. (4QUSC §471D7and Order 51O0.38).
F-1YesF-lNo N/A
Attach documentation clarifying any above item marked with "No" response.
I certify, for the project identified herein, responses to the forgoing items are accurate as marked and
additional documentation for any item marked "no" is correct and complete.
Executed on this day of I
Name of Sponsor: City of Yakima
Name ofSponsor's Authorized Official: Cliff Moore
Title ofSponsor's Authorized Official: City Manager
Signature of Sponsor's Authorized Official
|declare under penalty ofperjury that the foregoing istrue and correct. | understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC §1OO1 (False
Statements) and could subject mmtofines, imprisonment, orboth.
FAA Form 5100-129 (1/17) SUPERSEDES PREVIOUS EDITION page 3 of 3
V��'Depo�mo�of�anopn�oUun
FederalAmmmionAuminwmrauonEXPIRATION DATE: 8/31/2019
48
OMB CONTROL NUMBER: 2120-0569
Certification and Disclosure Regarding Potential Conflicts of Interest
Airport Improvement Program Sponsor Certification
Sponsor: City ofYakima
Airport: Yakima Air Terminal / McAllister Field
Project Number: A|PNo. 3'53 -0)8Q -3Q
Description ofWork: Procure one rotary plow (unueb/mm*r)with dedicated carrier vehicle.
Application
Title 2CFR Q2OO.112 and Q12O1.112 address Federal Aviation Administration (FAA)requirements for
conflict of interest. As a condition of eligibility under the Airport Improvement Program (AIP), sponsors
must comply with FAA policy on conflict of interest. Such a conflict would arise when any of the following
have o financial orother interest in the firm selected for award:
a) The employee, officer mragent,
b) Any member ofhis immediate family,
o) His orher partner, or
d) Anorganization which employs, orioabout to employ, any ofthe above.
Selecting ~Yes'represents sponsor orsub-recipient acknowledgement and confirmation ofthe
certification statement. Selecting "No" represents sponsor or sub -recipient disclosure that it cannot fully
comply with the certification statement. If "No" is am|eoted, provide support information explaining the
negative response as an attachment to this form. This includes whether the sponsor has established
standards for financial interest that are not substantial or unsolicited gifts are of nominal value (2 CFR §
200.318(c)). The term "will" means Sponsor action taken at appropriate time based on the certification
statement focus area, but nolater than the end ofthe project periodofperformanoe.
The sponsor or sub -recipient maintains a written standards of conduct governing conflict of
interest and the performance of their employees engaged in the award and administration of
contracts (2CFR §2OO.31B/o>).Tothe extent permitted bvstate orlocal law orregulations, such
standards of conduct provide for penalties, sanctions, or other disciplinary actions for violations of
such standards by the sponsor's and sub -recipient's officers, employees, or agents, or by
contractors ortheir agents.
FAA Form 5100-135 (2/17) SUPERSEDES PREVIOUS EDITION Page I of 2
49
2. The sponsor's or sub -recipient's officers, employees or agents have not and will not solicit or
accept gratuities, favors or anything of monetary value from contractors, potential contractors,
parties to sub -agreements (2 CFR § 200.318(c)).
0 Yes El No I
3. The sponsor or sub -recipient certifies that is has disclosed and will disclose to the FAA any
known potential conflict of interest (2 CFR § 1200.112).
J,-ftT,A-WTT-aUUT responstv.
Sponsor's Certification
I certify, for the project identified herein, responses to the forgoing items are accurate as marked and
have the explanation for any item marked "no" is correct and complete.
Executed on this day of
Name of Sponsor: City of Yakima
Name of Sponsor's Authorized Official: Cliff Moore
Title of Sponsor's Authorized Official: City Manager
Signature of Sponsor's Authorized Official:
I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both.
FAA Form 5100-135 (2/17) SUPERSEDES PREVIOUS EDITION Page 2 of 2
U.S. Department of Transportation
Federal Aviation Administration
-19
OMB CONTROL NUMBER: 2120-0569
EXPIRATION DATE: 8/31/2019
Selection of Consultants
Sponsor: City of Yakima
Airport: Yakima Air Terminal / McAllister Field
Project Number: AIP 3-53-0089-39
Description of Work: Procure one rotary plow (snowblower) with dedicated carrier vehicle.
Application
49 USC § 47105(d) authorizes the Secretary to require certification from the sponsor that it will comply
with the statutory and administrative requirements in carrying out a project under the Airport Improvement
Program (AIP). General requirements for selection of consultant services within federal grant programs
are described in 2 CFR §§ 200.317-200.326. Sponsors may use other qualifications -based procedures
provided they are equivalent to standards of Title 40 chapter 11 and FAA Advisory Circular 150/5100-14,
Architectural, Engineering, and Planning Consultant Services for Airport Grant Projects.
Certification Statements
Except for certification statements below marked as not applicable (N/A), this list includes major
requirements of the construction project. Selecting "Yes" represents sponsor acknowledgement and
confirmation of the certification statement. The term "will' means Sponsor action taken at appropriate time
based on the certification statement focus area, but no later than the end of the project period of
performance. This list is not comprehensive and does not relieve the sponsor from fully complying with all
applicable statutory and administrative standards. The source of the requirement is referenced within
parenthesis.
1. Sponsor acknowledges their responsibility for the settlement of all contractual and administrative
issues arising out of their procurement actions (2 CFR § 200.318(k)).
Yes El No ❑ N/A
2. Sponsor procurement actions ensure or will ensure full and open competition that does not
unduly limit competition (2 CFR § 200.319).
Yes El No El N/A
3. Sponsor has excluded or will exclude any entity that develops or drafts specifications,
requirements, or statements of work associated with the development of a request -for -
qualifications (RFQ) from competing for the advertised services (2 CFR § 200.319).
D R - ■ a ■
FAA Form 5100-134 (2/17) SUPERSEDES PREVIOUS EDITION Page 1 of 3
-M
4. The advertisement describes orwill describe specific projectababamentm'of-xmrkthat provide
clear detail ofrequired services without unduly restricting competition (2CFR 82OO.318).
Mx Yes 0 No El N/A
5. Sponsor has publicized orwill publicize eF\FQthat:
a. Solicits anadequate number ofqualified sources (2CFR §2OO.32D(d)); and
b. Identifies all evaluation criteria and relative importance (2CFR §20U.32O(d)),
Mx Yes El No El N/A
G. Sponsor has based or will base selection on qualifications, experience, and disadvantaged
business enterprise participation with price not being a selection factor (2 CFR §2OO.32O(d)).
7. Sponsor has verified orwill verify that agreements exceeding .$25.ODOare not awarded to
individuals or firms suspended, debarred or otherwise excluded from participating in federally
assisted projects (2CFR §18O.3OO).
9Yeo []No 0 N/A
8. /VEservices covering multiple projects: Sponsor has agreed toorwill agree to:
m. Refrain from initiating work covered bvthis procurement beyond five years from the date
ofselection (AC 150/51OO-14); and
b. Retain the right toconduct new procurement actions for projectsidentified ornot
identified inthe RFQ(AC 15O/51OO-14).
0 Yes El No El N/A
9. Sponsor has negotiated orwill negotiate afair and reasonable fee with the firm they select oa
most qualified for the services identified inthe FlFQ(2CFR § 200.323). '
10. The contract identifies orwill identify costs associated with ineligible work separately
from costs associated with eligible work (2 CFR § 200.302).
0 Yes El No El N/A
^
11. Sponsor has prepared or will prepare a record of negotiations detailing the history of the
procurement action, rationale for contract type and basis for contract fees (2 CFR §200.318(i)).
12. Sponsor has incorporated or will incorporate mandatory contact provisions in the consultant
contract for A|P-aa intedwmrk (49 U.S.C. Chapter 471 and 2 CFR part 2DOAppendix ||)
FAA Form 5100-134 (2/17) SUPERSEDES PREVIOUS EDITION Page 2 of 3
52
13. For contracts that apply a time -and -material payment provision (also known as hourly rates,
specific rates of compensation, and labor rates), the Sponsor has established or will establish:
Justification that there is no other suitable contract method for the services (2 CFR
§200.318(j));
b. A ceiling price that the consultant exceeds at their risk (2 CFR §200.318(j)); and
c. A high degree of oversight that assures consultant is performing work in an efficient
manner with effective cost controls in place 2 CFR §200.318(j)).
MR Yes ❑ No ❑ N/A
14. Sponsor is not using or will not use the prohibited cost -plus -percentage -of -cost (CPPC) contract
method. (2 CFR § 200.323(d)).
0 Yes ❑ No El N/A
Attach documentation clarifying any above item marked with "no" response.
Sponsor's Certification
I certify, for the project identified herein, responses to the forgoing items are accurate as marked and
additional documentation for any item marked "no" is correct and complete.
I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both.
Executed on this day of
Name of Sponsor: City of Yakima
Name of Sponsor's Authorized Official: Cliff Moore
Title of Sponsor's Authorized Official: City Manager
Signature of Sponsor's Authorized Official:
I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both.
FAA Form 5100-134 (2/17) SUPERSEDES PREVIOUS EDITION Page 3 of 3
UGDepartment o[Transportation
Federal Aviation AdministrationEXPIRATION DATE: 8/31/2019
Drug -Free Workplace
no
OMB CONTROL NUMBER: 212D -058Q
Sponsor: City ofYakima
Airport Yakima Air Terminal / McAllister Field
Project Number: A|PNo. 3-53-OQOQ-3B
Description of Work: Procure one rotary plow (snowblower) with dedicated carrier vehicle.
Application
49 USC § 47105(d) authorizes the Secretary to require certification from the sponsor that it will comply
with the statutory and administrative requirements incarrying out aproject undartheAirport|mpnzvement
Program (A|P). Gmnono| requirements on the drug-free workplace within federal grant programs are
described in2CFIRpart 182. Sponsors are required to certify they will be, or will continue to provide, a
drug-free workplace inaccordance with the regulation. The A|Pproject gnantagnammentoontainnmpmcifio
assurances onthe Drug -Free Workplace Act of1Q08.
Certification Statements
Except for certification statements below marked as not applicable (N/A), this list includes major
requirements ofthe construction project. Ge|eoting^Yeo^nopraaantooponeoracknow|edgemmnt and
confirmation of the certification statement. The term "will" means Sponsor action taken at appropriate time
based on the certification statement focus area, but no later than the end of the project period of
performance. This list is not comprehensive and does not relieve the sponsor from fully complying with all
applicable statutory and administrative standards. The source of the requirement is referenced within
parenthesis.
1. A statement has been or will be published prior to commencement of project notifying employees
that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled
substance is prohibited in the sponsor's workplace, and specifying the actions to be taken against
employees for violation ofsuch prohibition (2CFR § 182.205).
0 Yes El No El N/A
2. Anongoing drug-free awareness program (2 CFR §182.215) has been orwill beestablished
prior to commencement of project to inform employees about:
a. The dangers of drug abuse in the workplace;
b. The sponsor's policy ofmaintaining adrug-free workplace;
c. Any available drug counseling, rehabilitation, and employee assistance programs; and
in the workplace.
Iffs-IMEN MITI
FAA Form 5100-130 (1/17) SUPERSEDES PREVIOUS EDITION Page 1 of 3
54
3. Each employee to be engaged in the performance of the work has been or will be given a copy of
the statement required within item 1 above prior to commencement of project (2 CFR § 182.210).
4. Employees have been or will be notified in the statement required by item 1 above that, as a
condition employment under the grant (2 CFR § 182.205(c)), the employee will:
a. Abide by the terms of the statement; and
b. Notify the employer in writing of his or her conviction for a violation of a criminal drug
statute occurring in the workplace no later than five calendar days after such conviction:
5. The Federal Aviation Administration (FAA) will be notified in writing within 10 calendar days after
receiving notice under item 4b above from an employee or otherwise receiving actual notice of
such conviction (2 CFR § 182.225). Employers of convicted employees must provide notice,
including position title of the employee, to the FAA (2 CFR § 182.300).
6. One of the following actions (2 CFR § 182.225(b)) will be taken within 30 calendar days of
receiving a notice under item 4b above with respect to any employee who is so convicted:
a. Take appropriate personnel action against such an employee, up to and including
termination, consistent with the requirements of the Rehabilitation Act of 1973, as
amended; and
b. Require such employee to participate satisfactorily in drug abuse assistance or
rehabilitation programs approved for such purposes by a federal, state, or local health,
law enforcement, or other appropriate agency.
® Yes 0 No 0 N/A
7. A good faith effort will be made, on a continuous basis, to maintain a drug-free workplace through
implementation of items 1 through 6 above (2 CFR § 182.200).
Site(s) of performance of work (2 CFR § 182.230):
Location 1
Name of Location: Airport Maintenance Shop
Address: 3106 West Washington Avenue, Yakima, WA 98903
Location 2 (if applicable)
Name of Location: Airport Administration Office
Address: 2406 West Washington Avenue, Suite B, Yakima, WA 98903
e of Location:
Address:
FAA Form 5100-130 (1/17) SUPERSEDES PREVIOUS EDITION Page 2 of 3
55
I certify, for the project identified herein, responses to the forgoing items are accurate as marked and
additional documentation for any item marked "no" is correct and complete.
Executed on this day of I
Name of Sponsor's Authorized Official: Cliff Moore
I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both.
FAA Form 5100-130 (1/17) SUPERSEDES PREVIOUS EDITION Page 3 of 3
U,S Department of Transportation
Federal Aviation Administration
-M
OMB CONTROL NUMBER: 212O-05GA
EXPIRATION DATE: 8/31/2019
Equipment and Construction Contracts —1
Airport Improvement Sponsor Certification
Sponsor: City m[Yakima
Airport Yakima Air Terminal / McAllister Field
Project Number: A|PNo. 3'53'OU89'3B
Description of Work: Procure one rotary plow (snowblower) with dedicated carrier vehicle.
Application
49 USC §471O5(d)authorizes the Secretary horequire certification from the sponsor that itwill comply
with the statutory and administrative requirements in carrying out project under the Airport Improvement
Ppognam(A|P). General procurement standards for equipment and construction contracts within Federal
grant programs are described in2CFR §§ 200.317-300.326. Labor and Civil Rights Standards
applicable to the AIP are established by the Department of Labor (www.dol.gov) AIP Grant Assurance
C.1—General Federal Requirements identifies all applicable Federal Laws, regulations, executive orders,
policies, guidelines and requirements for assistance under the A|P. Sponsors may use state and local
procedures provided the procurement conforms to these federal standards.
This certification applies toall equipment and construction projects. Equipment projects mayornlaynot
employ laborers and mechanics that qualify the project asa"covered contract" under requirements
established bvthe Department ofLabor requirements. Sponsor shall provide appropriate responses to
the certification statements that reflect the character ofthe project nagond|gmmofm/hetherthmnontractia
fora construction project oranequipmentpnojeot.
Certification Statements
Except for certification statements below marked as not applicable (N/A). this list includes major
requirements ofthe construction project. Be|eotinQ^Yea^nepresentmsponoorocknow|odgemmntand
confirmation ofthe certification statement. The term ^vvi||^means Sponsor action taken atappropriate
time based on the certification statement focus area, but no later than the end of the projectpmripdof
performance. This list is not comprehensive and does not relieve the sponsor from fully complying with all
applicable statutory and administrative standards. The source ofthe requirement imreferenced within
parenthesis.
1. Awritten code orstandard of conduct ieorwill beineffect prior to commencement of the project
that governs the performance of the sponsor's officers, employees, or agents in soliciting,
ED Yes El No El N/A
FAA Form 5100-131 (1/17) SUPERSEDES PREVIOUS EDITION Page 1 of 4
57
3. For all contracts, qualified and competent personnel are or will be engaged to perform contract
administration, engineering supervision, construction inspection, and testing
(Grant Assurance C.17).
3. Sponsors that are required to have a Disadvantage Business Enterprise U]BE>program onfile
with the FAA have included or will include clauses required by Title VI of the Civil RightsAct and
49 CFR Part 26 for Disadvantaged Business Enterprises in all contracts and subcontracts.
4. Sponsors required tohave aDBE program onfile with the FAA have implemented orwill
implement monitoring and enforcement measures that:
a. Ensure work committed to Disadvantaged Business Enterprises at contract award is
actually performed bvthe named DBEs (48CFR §28.37(b));
b. Include written certification that the sponsor has reviewed contract records and has
monitored work sites for performance byDBE firms (48CFR 829.37(b));and
o. Provides for a running tally of payments made to DBE firms and a means for comparing
actual attainments (i.e. payments) tooriginal commitments (4SCFR § 28.37(c)).
5. Sponsor procurement actions using the competitive sealed bid method (2CFR G2OD.32D(c)).was
or will be:
o. Publicly advertised, allowing a sufficient response time to solicit an adequate number of
interested contractors or vendors;
b. Prepared boinclude ocomplete, adequate and realistic specification that defines the
items or services in sufficient detail to allow prospective bidders to respond;
u. Publicly opened at a time and place prescribed in the invitation for bids; and
d. Prepared in a manner that result in mfinn fixed price contract award to the |oxvaot
responsive and responsible bidder.
6. For projects the Sponsor proposes touse the competitive proposal procurement method (2 CFR §
2OO.320(d)).Sponsor has requested cvwill request FAA approval priortoproceeding with o
competitive proposal procurement by submitting to the FAA the following:
a. Written justification that supports use of competitive proposal method in lieu of the
preferred sealed bid procurement method;
b. Plan for publicizing and soliciting an adequate number of qualified sources; and
c. Listing of evaluation factors along with relative importance of the factors.
7 For construction and equipment installation projects, the bid solicitation includes or will include the
- current federal wage rate schedule(s) for the appropriate type ofwork classifications (2 CFR Part
2OO.Appendix U).
M Yes 171 No [] N/A
FAA Form 5100-131(1/17)SUPERSEDES PREVIOUS EDITION Page 2of4
na
8. Concurrence was or will be obtained from the Federal Aviation Administration (FAA) prior to
contract award under any ofthe following circumstances (Order 51OO.38O):
a. Only one qualified person/firm submits aresponsive bid;
b. Award is to be mode to other than the |ovvmat responsible bidder; and
c. Life cycle costing is afactor in selecting the lowest responsive bidder.
Yes 1-1 No [] N/A
Q. All construction and equipment installation contracts contain or will contain provisions for:
a. Access hoRecords (§ 200.336)
b. Buy American Preferences (Title 4SU.S.C. §5O1O1)
o. Civil Rights - General Provisions and Title V|Assurances( 41 CFR part 6O)
d. Federal Fair Labor Standards (20U.S.C. §2U1.etaeq)
e. Occupational Safety and Health Act requirements (20 CFR part 1920)
[ Seismic Safetv—building construction (40CFR part 41)
g. State Energy Conservation Requirements - as applicable(2 CFR part 200, Appendix 11)
h. U.S.Trade Restriction (4QCFR part 30)
i. Veterans Preference (49USC §47112(c))
E3 IMMINVEREMMINUMT,
J 97M4 M690707,11
provisions established by:
e. Davis -Bacon and Related Acts (20CFR part 5)
b. Copeland "A1d-Kickback" Act (2QCFR parts 3and 5)
nxYem El No DW/A
7MA-=nstruction ana equipment installation contracts exceeding $3,000 contain or will contain
contract provision that discourages distracted driving (E.O. 13513).
P9 Yes El No 11 N/A I
12. All contracts exceeding $10,000 contain or will contain the following provisions as applicable:
a. Construction and equipment installation projects - Applicable clauses from
41 CFR Part 60 for compliance with Executive Orders 11246 and 11375 on Equal
Employment Opportunity;
b. Construction and equipment installation - Contract Clause prohibiting segregated facilities
in accordance with 41 CFR part 60-1.8;
c. Requirement to maximize use of products containing recovered materials in accordance
with 2 CFR § 200.322 and 40 CFR part 247; and
d. Provisions that address termination for cause and termination for convenience
(2 CFR Part 200, Appendix 11).
FAA Form 5100-131 (1/17) SUPERSEDES PREVIOUS EDITION Page 3 of 4
-7
13. All contracts and subcontracts exceeding $25,000: Measures are in place or will be in place (e.g.
checking the System for Award Management) that ensure contracts and subcontracts are not
awarded to individuals or firms suspended, debarred, or excluded from participating in federally
assisted projects (2 CFR parts 180 and 1200).
14. Contracts exceeding the simplified acquisition threshold (currently $150,000) include or will include
provisions, as applicable, that address the following:
a. Construction and equipment installation contracts - a bid guarantee of 5%, a performance
bond of 100%, and a payment bond of 100% (2 CFR § 200.325);
b. Construction and equipment installation contracts - requirements of the Contract Work
Hours and Safety Standards Act (40 USC 37013708, Sections 103 and 107);
c. Restrictions on Lobbying and Influencing (2 CFR part 200, Appendix II);
d. Conditions specifying administrative, contractual and legal remedies for instances where
contractor of vendor violate or breach the terms and conditions of the contract (2 CFR
§200, Appendix II); and
e. All Contracts - Applicable standards and requirements issued under Section 306 of the
Clean Air Act (42 USC 7401-7671 q), Section 508 of the Clean Water Act (33 USC 1251-
1387, and Executive Order 11738.
❑x Yes ❑ No ❑ N/A
Attach documentation clarifying any above item marked with "No" response.
Sponsor's Certification
I certify, for the project identified herein, responses to the forgoing items are accurate as marked and
additional documentation for any item marked "no" is correct and complete.
Executed on this day of
Name of Sponsor: City of Yakima
Name of Sponsor's Authorized Official: Cliff Moore
Title of Sponsor's Authorized Official: City Manager
Signature of Sponsor's Authorized Official*
I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both.
FAA Form 5100-131 (1/17) SUPERSEDES PREVIOUS EDITION Page 4 of 4
State Use Only:
60
6. Date Received by State 7. State Application Identifier:
OMB Number: 4040-0004
Expiration Date: 10/31/2019
Application for Federal Assistance SF -424
1. Type of Submission:
* 2. Type of Application: * If Revision, select appropriate letter(s):
❑ Preapplication
® New
® Application
❑ Continuation * Other (Specify)
Changed/Corrected Application
Revision
" 3. Date Received:
4. Applicant Identifier:
5a. Federal Entity Identifier:
5b. Federal Award Identifier:
State Use Only:
6. Date Received by State 7. State Application Identifier:
8. APPLICANT INFORMATION:
"a. Legal Name: City of! Yakima
* b. Employer/Taxpayer Identification Number (EIN/TIN)',
* c. Organizational DUNS:
91-66001293
078212651()000
d. Address:
*Streetl: 129 North 2nd Street
Street2:
* City: Yakima
County/Parish: Yakima
* State:
WA: Washington
Province:
*Country:
USA; UNITED STATES
* Zip / Postal Code: '98901
e. Organizational Unit:
Department Name:
Division Name:
City of Yakima
Yakima Air Terminal/McAllister
f. Name and contact information of person to be contacted on matters involving this application:
Prefix: Mr.
* First Name: Ol f f
Middle Name:
* Last Name:
Moore
Suffix:
Title: City Manager
Organizational Affiliation:
* Telephone Number: 509 575 6090
Fax Number:
*Email: €1 ff.moore vaki avra,Qov
M.
Application for Federal Assistance SF -424
9. Type of Applicant 1: Select Applicant Type:
C: City or Township Government
Type of Applicant 2: Select Applicant Type:
Type of Applicant 3: Select Applicant Type:
Other (specify):
* 10. Name of Federal Agency:
Federal Aviation Administration, Seattle ADO
11. Catalog of Federal Domestic Assistance Number:
CFDA Title:
lAirport Improvement Program
* 12. Funding Opportunity Number:
Not Applicable
Title:
trot Applicable
13. Competition Identification Number:
Title:
JM.t Applicable
14. Areas Affected by Project (Cities, Counties, States, etc.):
IAdd Attachment Delete Attachment View Attachment
15. Descriptive Title of Applicant's Project:
3-53-0089-40,Phase 2 (Construction) Replace perimeter security gates and pedestrian entry gates to
include gates and controller, traffic loops and asphalt reconstruction, and lighting.
Attach supporting documents as specified in agency instructions.
Add Attachments] I Delete Attachments View Attachments
62
16. Congressional Districts Of:
.a. Applicant ]A E * b. Program/Project wA 009
Attach an additional list of Program/Project Congressional Districts if needed':
17. Proposed Project:
* a. Start Date: 06JO1J2017 * b. End Date: 06/O1J2018
18. Estimated Funding ($):
* a. Federal 1, 080, 000.00
* b. Applicant 120,000-_00
* c. State
* d. Local
* e. Other
* f. Program Income
* g. TOTAL 1, 200, 000.00
" 19. Is Application Subject to Review By State Under Executive Order 12372 Process?
a. This application was made available to the State under the Executive Order 12372 Process for review on
b. Program is subject to E.O. 12372 but has not been selected by the State for review.
® c. Program is not covered by E.O. 12372.
* 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes," provide explanation in attachment.)
❑ Yes ® No
If "Yes", provide explanation and attach
Add Attachment Delete Attachment View Attachment
21. *By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements
herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to
comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may
subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001)
® **IAGREE
** The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency
specific instructions.
Authorized Representative:
Prefix: r * First Name: Cliff
Middle Name:
* Last Name: Moore
Suffix: L-1
_
* Telephone Number: 1509_575-6040 1 Fax Number:
*Email',Cliff.Moore@yakimawa.gov
* Signature of Authorized Representative: * Date Signed;
U.S. Department of Transportation
1042) Federal Aviation Administration
63
OMB CONTROL NUMBER: 2120-0569
EXPIRATION DATE: 8/31/2019
PART 11 — PROJECT APPROVAL INFORMATION
Part 11 - SECTION A
The term "Sponsor" refers to the applicant name provided in box 8 of the associated SF -424 form.
Item 1.
Does Sponsor maintain an active registration in the System for Award Management 0 Yes
El No
(www.SAM.gov)?
Item 2.
Can Sponsor commence the work identified in the application in the fiscal year the Z Yes
❑ No ❑ N/A
grant is made or within six months after the grant is made, whichever is later?
Item 3.
Are there any foreseeable events that would delay completion of the project? If yes, ❑ Yes
FX] No ❑ N/A
provide attachment to this form that lists the events.
Item 4.
Will the project(s) covered by this request have impacts or effects on the
environment that require mitigating measures? If yes, attach a summary listing of ❑ Yes
FX] No ❑ N/A
mitigating measures to this application and identify the name and date of the
environmental document(s).
Item 5.
Is the project covered by this request included in an approved Passenger Facility
nX Yes
❑ No ❑ N/A
Charge (PFC) application or other Federal assistance program? If yes, please
identify other funding sources by checking all applicable boxes.
The project is included in an approved PFC application.
If included in an approved PFC application,
does the application only address AIP matching share? ❑ Yes ®No
❑ The project is included in another Federal Assistance program. Its CFDA number is below.
Item 6.
Will the requested Federal assistance include Sponsor indirect costs as described in E]Yes
E9 No ❑ N/A
2 CFR Appendix VII to Part 200, States and Local Government and Indian Tribe
Indirect Cost Proposals?
If the request for Federal assistance includes a claim for allowable indirect costs, select the applicable indirect cost rate
the Sponsor proposes to apply:
❑ De Minimis rate of 10% as permitted by 2 CFR § 200.414,
❑ Negotiated Rate equal to % as approved by (the Cognizant Agency)
on (Date) (2 CFR part 200, appendix VII).
Note: Refer to the instructions for limitations of application associated with claiming Sponsor indirect costs.
FAA Form 5100-100 (3/16) SUPERSEDES PREVIOUS EDITION Page 1 of 7
64
OMB CONTROL NUMBER: c1co-0a0S
OMB EXPIRATION DATE: 8131/2019
PARTN-SECT|ON B
Certification Regarding Lobbying
The declarations made on this page are under the signature of the authorized representative as identified in box 21 of
form SF -424, to which this form is attached. The term "Sponsor" refers to the applicant name provided in box 8 of the
associated SF -424 form.
�
The Authorized Representative certifies, to the best of his or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the Sponsor, to any person
for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer
or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any
�
Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any
cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal
]
contract, grant, loan, orcooperative agreement.
(2)Ifany funds other than Federal appropriatedfunds have been paid cxwill bepaid toany person for
influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer
or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract,
grant, |oan, or cooperative agreement, the Authorized Representative shall complete and submit Standard
Form-LLL.''Disn|ooureFornntoFleportLobbying.''inennondancawithitsinatruoUona.
(3) The Authorized Representative shall require that the language of this certification be included in the award
documents for all sub -awards atall tiers (including subcontracts, aubonant , and contracts under grants, loans,
and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was
made or entered into. Submission of this certification is a prerequisite for making or entering into this
transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification '
shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. |`
FAA Form o1m0-1noCmeVSUPERSEDES PREVIOUS EDITION Page um7
65
OMB CONTROL NUMBER: 2120-0569
OMB EXPIRATION DATE: 8/31/2019
PART II — SECTION C
The Sponsor hereby represents and certifies as follows:
1. Compatible Land Use — The Sponsor has taken the following actions to assure compatible usage of land adjacent
to or in the vicinity of the airport:
An Airport Safety Overlay Zone has been adopted and is included in the Yakima Urban Comprehensive Zoning
Ordinance, Yakima County Zoning Ordinance, and City of Union Gap Zoning Ordinance.
2. Defaults — The Sponsor is not in default on any obligation to the United States or any agency of the United States
Government relative to the development, operation, or maintenance of any airport, except as stated herewith:
The Sponsor is not in default.
3. Possible Disabilities — There are no facts or circumstances (including the existence of effective or proposed leases,
use agreements or other legal instruments affecting use of the Airport or the existence of pending litigation or other
legal proceedings) which in reasonable probability might make it impossible for the Sponsor to carry out and complete
the Project or carry out the provisions of the Grant Assurances, either by limiting its legal or financial ability or
otherwise, except as follows:
There are no known facts or circumstances which would jeopardize the Sponsor's responsibility to this project.
4. Consistency with Local Plans — The project is reasonably consistent with plans existing at the time of submission
of this application) of public agencies that are authorized by the State in which the project is located to plan for the
development of the area surrounding the airport.
Yes, Airport Layout Plan.
6. Consideration of Local Interest — It has given fair consideration to the interest of communities in or near where the
project may be located.
Yes.
6. Consultation with Users — In making a decision to undertake an airport development project under Title 49, United
States Code, it has consulted with airport users that will potentially be affected by the project (§ 47105(a)(2)).
Yes.
7. Public Hearings — In projects involving the location of an airport, an airport runway or a major runway extension, it
has afforded the opportunity for public hearings for the purpose of considering the economic, social, and environmental
effects of the airport or runway location and its consistency with goals and objectives of such planning as has been
carried out by the community and it shall, when requested by the Secretary, submit a copy of the transcript of such
hearings to the Secretary. Further, for such projects, it has on its management board either voting representation from
the communities where the project is located or has advised the communities that they have the right to petition the
Secretary concerning a proposed project.
Not applicable. Project does not involve airport location, runway, or major runway extension.
8. Air and Water Quality Standards — In projects involving airport location, a major runway extension, or runway
location it will provide for the Governor of the state in which the project is located to certify in writing to the Secretary
that the project will be located, designed, constructed, and operated so as to comply with applicable and air and water
quality standards. In any case where such standards have not been approved and where applicable air and water
quality standards have been promulgated by the Administrator of the Environmental Protection Agency, certification
shall be obtained from such Administrator. Notice of certification or refusal to certify shall be provided within sixty days
after the project application has been received by the Secretary.
Not applicable. Project does not involve airport location, runway, or major runway extension.
FAA Form 5100-100 (3/16) SUPERSEDES PREVIOUS EDITION Page 3 of 7
M.
OMB CONTROL NUMBER: 2120-0561
OMB EXPIRATION DATE: 8/31/201a
PART 11 — SECTION C (Continued)
6. Exclusive Rights — There is no grant of an exclusive right for the conduct of any aeronautical activity at any airport
#1wned or controlled by the Sponsor except as follows:
IT—cf L -a -F fy—cfn r"#Tr L-WTn rC6F1,-7T#1 -vilfult
ere is no gra #11 rcri:
W,y the Sponsor.
10. Land — (a) I tie sponsor holds the following property interest in the tollowing areas ot land, which are to be cleveicipea
tr used as part of or in connection with the Airport subject to the following exceptions, encumbrances, and adverse
interests, all of which areas are identified on the aforementioned property map designated as Exhibit "A". [1]
The land interests owned by the Sponsor is as shown on the current Exhibit A map dated Aprill 5, 2015 which is on file
with the FAA's Seattle ADO in Renton, Washington.
The Sponsor further certifies that the above is based on a title examination by a qualified attorney or title company and
that such attorney or title company has determined that the Sponsor holds the above property interests.
(b) The Sponsor will acquire within a reasonable time, but in any event prior to the start of any construction work
under the Project, the following property interest in the following areas of land on which such construction work is to be
performed, all of which areas are identified on the aforementioned property map designated as Exhibit "A". [1]
#A *
11110111 MINIMUM 6 6*06111611161111111401-M 41'
owl 061, -1 1 .1
I 1 111011111116 " I
wo in coni -IM -tion Finn Me ^11-purt as R171A OU IT
the aforementioned property map designated as Exhibit "A". [1
923MME= -=
State the character of property interest in each area and list and identify for each all exceptions, encumbrances, and adverse
t I P nature including liens easements- leases. etc, The separate areas of land need only be identified here by
the area numbers shown on the property map.
FAA Form 5100-100 (3116) SUPERSEDES PREVIOUS EDITION Page 4 oll
67
OMB CONTROL NUMBER: 2120-0569
OMB EXPIRATION DATE: 8/31/2019
PART III - BUDGET INFORMATION - CONSTRUCTION
SECTION A — GENERAL
1. Federal Domestic Assistance Catalog Number: 20-106
2. Functional or Other Breakout: Airport Improvement Project
FAA Form 5100-100 (3/16) SUPERSEDES PREVIOUS EDITION Page 5 olffi
Latest Approved
Adjustment
Total
Cost Classification
Amount
+ or (-) Amount
Amount
(Use only for
(Use only for
Required
revisions)
revisions)
1.
Administration expense
$1,000
2,
Preliminary expense
3.
Land, structures, right-of-way
4.
Architectural engineering basic fees
200,000
5.
Other Architectural engineering fees
6.
Project inspection fees
7.
Land development
8.
Relocation Expenses
9.
Relocation payments to Individuals and Businesses
10.
Demolition and removal
11.
Construction and project improvement
999,000
12.
Equipment
13.
Miscellaneous
14.
Subtotal (Lines 1 through 13)
$1,200,000
15.
Estimated Income (if applicable)
16.
Net Project Amount (Line 14 minus 15)
17.
Less: Ineligible Exclusions (Section C, line 23 g.)
18. Subtotal (Lines 16 through 17)
$1,200,000
19.
Federal Share requested of Line 18
1,080,000
20.
Grantee share
120,000
21.
Other shares
22.
TOTAL PROJECT (Lines 19,20 & 21)
$1,200,000
FAA Form 5100-100 (3/16) SUPERSEDES PREVIOUS EDITION Page 5 olffi
68
OMB CONTROL NUMBER: 2120-0569
OMB EXPIRATION DATE: 8/31/2019'
SECTION C — EXCLUSIONS
Amount Ineligible for
23. Classification (Description of non -participating work) Participation
a.
b.
C.
d.
e.
f.
g. Total
SECTION D — PROPOSED METHOD OF FINANCING NON-FEDERAL SHARE
24. Grantee Share — Fund Categories Amount
a. Securities
b. Mortgages
C. Appropriations (by Applicant) 120,000
d. Bonds
e. Tax Levies
f. Non -Cash
g. Other (Explain):
h. TOTAL - Grantee share
25. Other Shares Amount
a. State
b. Other
c. TOTAL - Other Shares
26. TOTAL NON-FEDERAL FINANCING
SECTION E — REMARKS
(Attach sheets if additional space is required)
FAA Form 5100-100 (3/16) SUPERSEDES PREVIOUS EDITION Page 6 of 7
69
OMB CONTROL NUMBER: 2120-0569
OMB EXPIRATION DATE: 8/31/2019
PART IV — PROGRAM NARRATIVE
(Suggested Format)
PROJECT: YKM 3-53-008940 Security Improvement Upgrade
AIRPORT: Yakima Air Terminal - McAllister Field
1. Objective:
All vehicular and pedestrian gates identified as part of this project have exceeded their useful life. Eleven (11)
existing vehicular access gates and eight (8) pedestrian access gates are known to fail on regular occasions.
Pedestrian gates and access points will be updated to meet ADA requirements. These improvements will be made
to provide consistent and reliable access to the airfield.
2. Benefits Anticipated:
The existing vehicle and pedestrian gates are known to fail resulting in reduced access to the airfield and can limit
emergency response times. New gates will provide reliable access to the airfield. Airfield security will be enhanced
by adding lighting at several vehicle gates and by the replacement of the existing traffic loops. Pedestrian access
gates will be replaced and the access points updated to meet ADA requirements.
3. Approach: (See approved Scope of Work in Final Application)
This project will construct eleven (11) new vehicular access gates, eight (8) pedestrian access gates, lighting, and
traffic loops using developed contract documents.
The sponsor anticipates a bid opening in July. With funding available, the Sponsor will authorize a contract with the
lowest responsive and responsible bidder.
4. Geographic Location:
Yakima Air Terminal - McAllister Field, Yakima, Washington
5. If Applicable, Provide Additional Information:
6. Sponsor's Representative: (include address & telephone number)
Cliff Moore, City Manager, City of Yakima
129 North 2nd Street
Yakima, WA 98901 (509) 575-6040
FAA Form 5100-100 (3/16) SUPERSEDES PREVIOUS EDITION Page 7 of 7
70
SPONSOR VERIFICATION: Date
(see instruction sheet or attached comments for more into
For each and every NA
-Date of approved ALP with project shown
project as applicable NA
-Date of environmental determination (ROD, FONSI, CatEx)
NA
-Date of land acquisition or signed purchase agreement
NA
-Date of pavement maintenance program
-Date of Benefit Cost Analysis (BCA) as required
SPONSOR'SDATE"
PRINTED NAME: Cliff Moore TITLE: City ManagePHONE NUMBER: �509) 575-6040 EMAIL: cliff.mooreMalkimavvajov
FAA USE ONLY
71
INSTRUCTIONS FOR COMPLETING
CAPITAL IMPROVEMENT PLAN DATA SHEET
ACapital Improvement Plan (CIP)Data Sheet must besubmitted for each major work item that is requesting Federal assistance over
the next 5 years. Submittal of this information is necessary to effectively administer the Airport Improvement Program.
HEADER INFORMATION Include the name ofthe airport, the 0CID,the local priority ufthe requested work, the project description
and the desired Federal fiscal year (October 1st to September 30th) that you desire the project.
SKETCH - Color -coded sketch that depicts and identifies the scope of the proposed project. Anaerial photo can beused aslong ayit
shows the proposed project information.
JUSTIFICATION Answers the questions of whatitis, why is it needed and whatbthe benefit. This isavery important part ofyour
Capital Improvement Plan. The information is required to accurately determine the eligibility of your project and its priority for
funding. Projects without adequate justification cannot beadded tothe C|P. Tohelp you prepare solid justification wehave
compiled the following list of suggestions, which you can use to support your assessment of the need for this project. 8esure tolist
all reasons and needs for your project and include adetailed description ofexisting conditions. Use extra pages ifneeded.
For pavement rehabilitation include the age of the pavement, distresses, Pavement Condition Index
(PCI) Rating (may be able to obtain this info from ODA), or any other factor that would affectpavement life.
Include type of pavement (apron, runway) and dimensions (linear feet and width or square footage). Also
include what you have done to maintain the pavement over its lifetime and the date of the last major
rehabilitation (i.e.overlays, sea|cuats'etz.)
'
New taxiways/taxi|anes—what will this taxiway/taxi|aneserve? Does itserve ahangar area? |sita
parallel taxiway? What width are you proposing? |fyou propose awidth that iswider than FAA standards,
indicate how that additional pavement will befunded.
For Apron Expansion indicate the current size of the apron and what you plan to add. Indicate why you
need more apron space and how the apron area will beused (tie down area, etc).
For fencing projects — indicate the height ofthe fence and lineal footage. Also, explain why the fence is
needed (ie.deer fencing, security, etc)
'
Land acquisition explain what the land isneeded for— approach protection? Development such asa
new hangar area? Also include if itisfee oreasement. Include parcel numbers and acreage ofthose parcels.
Please state ifresidences orbusinesses will heacquired.
For Arrival/Departure Building, provide what type of facility you currently have and what you plan to
build (square footage, types ofrooms)
COST ESTIMATE The estimate oftotal cua including the Federal, State and Local shares. For first year projects, attach adetailed
cost estimate showing unit costs; aggregate in square yards (S.Y.), concrete paving in square yards (S.Y.) and asphaltic paving in tons.
Separate the costs for land acquired infee and land acquired ineasement. Note ifthe project isdependent onother sources of
funding (ie.other agency grants)
SPONSOR VERIFICATION Thevehficadonthaothepnojectispmpedyp|annedandisneadyto"go"withinthefinstyeoroftheC|Pfor
applicable projects. Except for equipment acquisition, proposed development and land acquisition must be shown on an approved
ALP, have cleared environmental processing, and the land already acquired or have a signed purchase agreement. These
requirements must be completed before a project can be considered for upcoming year funding. For the 2nd and 3rd years ofthe C|P
program, the sponsor should be working towards satisfying these requirements. Date each item verifying that all project
requirements are satisfied (check marks are not aoceptab|e).
72
g.ty of Yakima (hereinafter referred to as the Shereby agrees that @Gacondition tD
r8ca1NnQ Federal financial assistance from the Department of Transportation (C)C)T), it will
comply with Title V|Cfthe Civil Rights Act Of1964/42U.S.C.20OOdetaeo.\and all
requirements innpmaad by 49 CFR Part 21. Nondiscrimination in Federally AGSiG18d Programs
of the Department of Transportation — Effectuation of Title V| of the Civil Rights Act of 1964
(hereinafter referred to as the "RegU|ations")tothe end that nDperson inthe United States
shall, on the ground of race, oo|or, or national mrigin, be excluded from participation in, be
denied the benefits of, mrbeotherwise subjected todiscrimination under any program Or
activity for which the applicant receives Federal financial assistance and will immediately take
any measures necessary toeffectuate this agreement. Without limiting the above general
assurance, the Sponsor agrees concerning this grant that:
1.Each "prOgrarD"and "faci|ity"(as defined inSection 21.23/a\and 21.23(b)\will b9
conducted or operated in compliance with all requirements of the Regulations.
2. It will insert the clauses of Attachment 1 of this assurance in every contract subject to the
Act and the Regulations.
3. Where Federal financial assistance is received to construct a taoi|ity, or part of facility,
the assurance shall extend to the entire facility and facilities operated inconnection
therewith.
4. Where Federal financial assistance is in the form or for the acquisition of real property or
eninterest inreal property, the assurance shall extend t]rights tOspace on, over, orunder
such property.
5. It will include the appropriate clauses set forth in Attachment 2 of this assurance, as a
covenant running with the land, in any future deeds. leases, permits, licenses, and Si[ni|8r
agreements entered into bythe Sponsor with other parties:
(@) for the subsequent transfer of real property acquired or improved with Federal financial
assistance under this project; and
/b\ for the construction Oruse OfOraccess tOspace on, over, Orunder real property
acquired orimproved with Federal financial assistance under this Project.
6. This assurance obligates the Sponsor for the period during which Federal financial
assistance is extended to the program, except where the Federal financial assistance is to
provide, or is in the form of personal property or real property or interest therein Or
structures Or innpnDvenneDtG thereOO, in which CGGe the assurance obligates the Sponsor or
any transferee for the longer ofthe following periods:
�
(a) the period during which the property is used for purpose for which Federal financial
assistance is extended, or for another purpose involving the provision of similar services or
benefits; or
(b) the period during which the Sponsor retains ownership orpossession Ofthe property.
7. It will provide for such methods of administration for the program as are found by the
Secretary of transportation of the official to whom he delegates specific authority to give
reasonable guarantees that it, other sponsors, subgrantees, contractors, subcontractors,
transferees, successors in interest, and other participants of Federal financial assistance
under such program will comply with all requirements imposed or pursuant to the act, the
Regulations, and this assurance.
Page of
73
PTSTS
8. It agrees that the United States has a right to seek judicial enforcement with regard to any
matter arising under the Act, the Regulations, and this assurance.
THIS ASSURANCE is given in consideration of and for the purpose of obtaining Federal financial assistance
for this Project and is binding on its contractors, the Sponsor, subcontractors, transferees, successors in
interest and other participants in the Project. The person or persons whose signatures appear below are
authorized to sign this assurance on behalf of the Sponsor.
DATED
-City of Yakima
(Sponsor)
(Signature of Authorized Official)
M
11 ATTACHMENT 1
During the performance of this contract, the contractor, for itself, its assignees and successors in interest
(hereinafter referred to as the "contractor") agrees as follows:
Compliance with Regulations. The contractor shall comply with the regulations relative to
nondiscrimination in federally assisted programs of the Department of Transportation (hereinafter,
"DOT") Title 49, Code of Federal Regulations, Part 21, as they may be amended from time to time
(hereinafter referred to as the Regulations), which are herein incorporated by reference and made a
part of this contract.
2. Nondiscrimination. The contractor, with regard to the work performed by it during the contract, shall
not discriminate on the grounds of race, color, or national origin in the selection and retention of
subcontractors, including procurements of materials and leases of equipment. the contractor shall not
participate either directly of indirectly in the discrimination prohibited by section 21.5 of the Regulations,
including employment practices when the contract covers a program set forth in Appendix B of the
Regulations.
3. Solicitations for Subcontracts, Includ,ing, Procurements of Materials and Eguipment. In all solicitations
either by competitive bidding or negotiation made by the contractor for work to be performed under a
subcontract, including procurements of materials or lease of equipment, each potential subcontractor or
supplier shall be notified by the contractor of the contractor's obligations under this contract and the
Regulations relative to nondiscrimination on the grounds of race, color, or national origin.
4. Information and Regorts. The contractor shall provide all information and reports required by the
Regulations or directives issued pursuant thereto and shall permit access to its books, records,
accounts, other sources of information, and its facilities as may be determined by the Sponsor or the
Federal Aviation Administration (FAA) to be pertinent to ascertain compliance with such Regulations,
orders, and instructions. Where any information required of a contract is in the exclusive possession of
another who fails or refuses to furnish this information, the contractor shall so certify to the sponsor or
the FAA, as appropriate, and shall set forth what efforts it has made to obtain the information.
5. Sanctions for Noncompliance. In the event of the contractor's noncompliance with the
nondiscrimination provisions of this contract, the sponsor shall impose such contract sanctions as it or
the FAA may determine to be appropriate, including, but not limited to:
a. Withholding of payments to the contractor under the contract until the contractor complies, and/or
b. Cancellation, termination, or suspension of the contract, in whole or in part.
6. Incorporation of Provisions. The contractor shall include the provisions of paragraphs 1 through 5 in
every subcontract, including procurements of materials and leases of equipment, unless exempt by the
Regulations or directives issued pursuant thereto. The contractor shall take such action with respect to
any subcontract or procurement as the sponsor or the FAA may direct as a means of enforcing such
provisions including sanctions for noncompliance. Provided, however, that in the event a contractor
becomes involved in, or is threatened with, litigation with a subcontractor or supplier as a result of such
direction, the contractor may request the Sponsor to enter into such litigation to protect the interests of
the sponsor and, in addition, the contractor may request the United States to enter into such litigation to
protect the interest of the United States.
75
ATTACHMENT 2
The following clauses shall be included in deeds, licenses, leases, permits, or similar instruments
entered into by the Sponsor pursuant to the provisions of Assurances 5(a) and 5(b).
1 The (grantee, licensee, permittee, etc., as appropriate) for himself, his heirs, personal
representatives, successors in interest, and assigns, as a part of the consideration
hereof, does hereby covenant and agree (in the case of deeds and leases add "as a
covenant running with the land") that in the event facilities are constructed,
maintained, or otherwise operated on the said property described in this (deed,
license, lease, permit, etc.) for a purpose for which a DOT program or activity is
extended or for another purpose involving the provision of similar services or benefits,
the (grantee, licensee, lessee, permittee, etc.) shall maintain and operate such
facilities and services in compliance with all other requirements imposed pursuant to
49 CFR Part 21, Nondiscrimination in Federally Assisted Programs of the Department
of Transportation, and as said Regulations may be amended.
2. The (grantee, licensee, lessee, permittee, etc., as appropriate) for himself, his heirs,
personal representatives, successors in interest, and assigns, as a part of the
consideration hereof, does hereby covenant and agree (in the case of deeds and
leases add "as a covenant running with the land") that: (1) no person on the grounds
of race, color, or national origin shall be excluded from participation in, denied the
benefits of, or be otherwise subjected to discrimination in the use of said facilities, (2)
that in the construction of any improvements on, over, or under such land and the
furnishing of services thereon, no person on the grounds of race, color, or national
origin shall be excluded from participation in, denied the benefits of, or otherwise be
subjected to discrimination, (3) that the (grantee, licensee, permittee, etc.) shall use
the premises in compliance with all other requirements imposed by or pursuant to 49
CFR Part 21, Nondiscrimination in Federally Assisted Programs of the Department of
Transportation, and as said Regulations may be amended.
AIRPORT: Yakima Air Terminal / McAllister Field
LOCATION: Yakima, Washin2ton
AIP PROJECT NO.: 3-53-0089-40
STATEMENTS APPLICABLE TO THIS PROJECT A -D
Z a. In formulating this project, consideration has been
given to the interest of communities that are near (Exact name of airport) Yakima Air Terminal.
Z b. THE DEVELOPMENT PROPOSED IN THIS PROJECT will not require the use ofpublicly owned land
from a public park, recreation area, wildlife and fowl refuga, ore historical site under Federal, State, or
Local jurisdiction.
Z c. The airport development proposed inthis project haobaen000rdinabed with the
Fixed Base Dpenshor(o)utilizing (Exact name ofairport) Yakima Air Terminal. and they have been
informed regarding the scope and nature ofthis project.
Z d. - with existing approved plans for the area surrounding the
The above statements have been duly considered and are applicable to this project. (Provide comment for any
statement not cheoked).
BY: Cliff Moore DATE:
TITLE: City Manager
SPONSORING AGENCY: City of Yakima
NOTE: Where opposition iostated to an airport development project, whether expressly or by proposed revision, the
following specific information concerning the opposition to the project must be furnished.
a. Identification of the Federal, state, or local governmental agency, or the person or persons opposing the project;
b. The nature and basis ofopposition;
C. Sponsor's plan hoaccommodate orotherwise satisfy the opposition;
d. Whether an opportunity for a hearing was afforded, and if a hearing was held, an analysis of the facts developed at the hearing
as they relate to the social, economic, and environmental aspects of the proposed project and its consistency with the goals and
objectives ofsuch urban planning aahas been carried out bythe community.
e. If the opponents proposed any alternatives, what these alternatives were and the reason for nonacceptance;
f. Sponsor's plans, ifany, tominimize any adverse effects of the project;
'
g. Benefits Uobegained bythe proposed development; and
PLO Z NIP109191NA ZT0,11 kyj N-11TICI 014 J, R1 Z III ffl��
The undersigned certifies, to the best of his or her knowledge and belief, that:
1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or employee of any
agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member
of Congress in connection with the awarding of any Federal contract, the making of any Federal
Grant, the making of any Federal loan, the entering into of any cooperative agreement, and the
extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan,
or cooperative agreement.
2. If any funds other than Federal appropriated funds have been paid or will be paid to any person
for influencing or attempting to influence an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an employee of a Member of Congress in
connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall
complete and submit Standard Form LLL "Disclosure of Lobby Activities", in accordance with its
instructions.
3. The undersigned shall require that the language of this certification be included in the award
documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under
grants, loans, and cooperative agreements) and that all subrecipents shall certify and disclose
accordingly.
This certification is a material representation of fact upon which reliance was placed when this
transaction was made or entered into. Submission of this certification is a prerequisite for making
or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails
to file the required certification shall be subject to a civil penalty of not less than $10,000 and not
more than $100,000 for each such failure.
Signed Date
Sponsor's Authorized Representative
Title City Manager
Airport Sponsors
78
1 . These assurances shall be complied with in the performance of grant agreements for
airport development, airport planning, and noise compatibility program grants for
airport sponsors.
2. These assurances are required to be submitted as part of the project application by
sponsors requesting funds under the provisions of Title 49, U.S.C., subtitle VII, as
amended. As used herein, the term "public agency sponsor" means a public agency
with control of a public -use airport; the term "private sponsor" means a private owner
of a public -use airport; and the term "sponsor" includes both public agency sponsors
and private sponsors.
3. Upon acceptance of this grant offer by the sponsor, these assurances are incorporated
in and become part of this grant agreement.
1. Airport development or Noise Compatibility Program Projects Undertaken by a
Public Agency Sponsor.
The terms, conditions and assurances of this grant agreement shall remain in full
force and effect throughout the useful life of the facilities developed or equipment
acquired for an airport development or noise compatibility program project, or
life of the ro�ect items installed within .. under a noise
compatibility program project, but in any event not to exceed twenty (20) years from
the date of acceptance of a grant offer of Federal funds for the project. However,
there shall be no limit on the duration of the assurances regarding Exclusive Rights
and Airport Revenue so long as the airport is used as an airport. There shall be no
limit on the duration of the terms, conditions, and assurances with respect to real
property acquired with federal funds. Furthermore, the duration of the Civil Rights
assurance shall be specified in the assurances.
2. Airport Development or Noise Compatibility Projects Undertaken by a Privam,
Sponsor. I
for the project.
Airport Sponsor Assurances 3/2014 Page I of 20
79
3. Airport Planning Undertaken by a Sponsor.
Unless otherwise specified in this grant agreement, only Assurances 1, 2, 3, 5, 6, 13,
18, 25, 30, 32, 33, and 34 in Section C apply to planning projects. The terms,
conditions, and assurances of this grant agreement shall remain in full force and effect
during the life of the project; there shall be no limit on the duration of the assurances
regarding Airport Revenue so long as the airport is used as an airport.
C. Sponsor Certification.
11111111
1weill-31111111-371,1111 - I - 1,
loll]
[1W%X$JWW-14 RJOREIR11
Federal Legislation
a. Title 49, U.S.C., subtitle VII, as amended.
b. Davis -Bacon Act - 40 U.S.C. 276(a), et Seg.'
c. Federal Fair Labor Standards Act - 29 U.S.C. 201, et seg.
d. Hatch Act - 5 U.S.C. 1501, et se .2
e. Uniform Relocation Assistance and Real Property Acquisition Policies Act of
1970 Title 42 U.S.C. 4601, et seq.' 2
f. National Historic Preservation Act of 1966 - Section 106 - 16 U.S.C. 470(f).1
g. Archeological and Historic Preservation Act of 1974 - 16 U.S.C. 469 through
469c.'
h. Native Americans Grave Repatriation Act - 25 U.S.C. Section 3001, et seg.
i. Clean Air Act, P.L. 90-148, as amended.
j. Coastal Zone Management Act, P.L. 93-205, as amended.
k. Flood Disaster Protection Act of 1973 - Section 102(a) - 42 U.S.C. 4012a.
1. Title 49, U.S.C., Section 303, (formerly known as Section 4(f))
in. Rehabilitation Act of 1973 - 29 U.S.C. 794.
n. Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq., 78 stat. 252"
(prohibits discrimination on the basis of race, color, national origin);
o. Americans with Disabilities Act of 1990, as amended, (42 U.S.C. § 12101, et
seq.), prohibits discrimination on the basis of disability).
p. Age Discrimination Act of 1975 - 42 U. S.C. r11 1, et seg.
q. American Indian Religious Freedom Act, P.L. 95-341, as amended.
r. Architectural Barriers Act of 1968 -42 U.S.C. 4151, et seg.,
s. Power plant and Industrial Fuel Use Act of 1978 - Section 403- 2 U.S.C. 8373.1
t. Contract Work Hours and Safety Standards Act - 40 U.S.C. 327, et seg.'
u. Copeland Anti -kickback Act - 18 U.S.C. 874.1
v. National Environmental Policy Act of 1969 - 42 U.S.C. 4321, et seq.1
w. Wild and Scenic Rivers Act, P.L. 90-542, as amended.
x. Single Audit Act of 1984 - 31 U.S.C. 7501, A�
y. Drug -Free Workplace Act of 1988 - 41 U.S.C. 702 through 706.
Airport Sponsor Assurances 312014 Page 2 of 20
80
z. The Federal Funding Accountability and Transparency Act of 2006, as amended
(Pub. L. 109-282, as amended by section 6202 of Pub. L. 110-252).
Executive Orders
a. Executive Order 11246 - Equal Employment Opportunity I
b. Executive Order 11990 - Protection of Wetlands
c. Executive Order 11998 — Flood Plain Management
d. Executive Order 12372 - Intergovernmental Review of Federal Programs
e. Executive Order 12699 - Seismic Safety of Federal and Federally Assisted New
Building Construction I
f, Executive Order 12898 - Environmental Justice
Federal Regulations
o. 49 CFR Part 23 - Participation by Disadvantage Business Enterprise in Airpo
Concessions. I
Airport Sponsor Assurances 312014 Page 3 of 20
81
p. 49 CFR Part 24 — Uniform Relocation Assistance and Real Property Acquisition
for Federal and Federally Assisted Programs. 12
q. 49 CFR Part 26 — Participation by Disadvantaged Business Enterprises in
Department of Transportation Programs.
r. 49 CFR Part 27 — Nondiscrimination on the Basis of Handicap in Programs and
Activities Receiving ot 136fiefitirig fi�Jrfi Federal Financial Assistance. I
s. 49 CFR Part 28 — Enforcement of Nondiscrimination on the Basis of Handicap in
Programs or Activities conducted by the Department of Transportation.
t. 49 CFR Part 30 - Denial of public works contracts to suppliers of goods and
services of countries that deny procurement market access to U.S. contractors.
u. 49 CFR Part 32 — Governmentwide Requirements for Drug -Free Workplace
(Financial Assistance)
v. 49 CFR Part 37 — Transportation Services for Individuals with Disabilities
w. 49 CFR Part 41 - Seismic safety of Federal and federally assisted or regulated
new building construction.
Specific Assurances
Footnotes to Assurance C.I.
1 These laws do not apply to airport planning sponsors.
2 These laws do not apply to private sponsors.
3 49 CFR Part 18 and 2 CFR Part 200 contain requirements for State and oca
up St
Governments receiving Federal assistance. Any requirement levied on al
and Local Governments by this regulation and circular shall also be applicab
to private sponsors receiving Federal assistance under Title 49, United State
Code. I
4 On December 26, 2013 at 78 FR 78590, the Office of Management and Budget
(OMB) issued the Uniform Administrative Requirements, Cost Principles, and
Audit Requirements for Federal Awards in 2 CFR Part 200. 2 CFR Part 200
replaces and combines the former Uniform Administrative Requirements for
Grants (OMB Circular A- 102 and Circular A- 110 or 2 CFR Part 215 or
Circular) as well as the Cost Principles (Circulars A-21 or 2 CFR part 220;
Circular A-87 or 2 CFR part 225; and A- 122, 2 CFR part 230). Additionally it
replaces Circular A- 13 3 guidance on the Single Annual Audit. In accordance
with 2 CFR section 200.110, the standards set forth in Part 200 which affect
administration of Federal awards issued by Federal agencies become effective
once implemented by Federal agencies or when any future amendment to this
Part becomes final. Federal agencies, including the Department of
Transportation, must implement the policies and procedures applicable to
Federal awards by promulgating a regulation to be effective by December 26,
2014 unless different provisions are required by statute or approved by OMB.
Airport Sponsor Assurances 3/2014 Page 4 of 20
82
Mij I 1 [4 r-1 I I I E.J.-M M ME* 1% 161 V I I I I I I I I M. I I rwad 114 1 M I I I )a" Im Org" I I tempi"] Mrow.--maj
Audit requirements established in 2 CFR part 200 subpart F are the guidelin,"
for audits. I
nas
0 appil, lvf Lills N . . ........ 11,1111! Y117191700 alm CUT IF pr5pilso
project; that a resolution, motion or similar action has been duly adopted or passed as
an official act of the applicant's governing body authorizing the filing of the
application, including all understandings and assurances contained therein, and
directing and authorizing the person identified as the official representative of the
applicant to act in connection with the application and to provide such additional
information as may be required.
LOINEMM31=
It has legal authority to apply for this grant and to finance and carry out the proposed
project and comply with all ternis, conditions, and assurances of this grant agreement.
It shall designate an official representative and shall in writing direct and authorize
that person to file this application, including all understandings and assurances
contained therein; to act in connection with this application; and to provide such
additional information as may be required.
kmrwlmm "'I WgWMM
I NQ
WiU*111011-mw I
4. Good Title.
a. It, a public agency or the Federal government, holds good title, satisfactory to the
Secretary, to the landing area of the airport or site thereof, or will give assurance
satisfactory to the Secretary that good title will be acquired.
b. For noise compatibility program projects to be carried out on the property of the
sponsor, it holds good title satisfactory to the Secretary to that portion of the
property upon which Federal funds will be expended or will give assurance to the
Secretary that good title will be obtained.
761��
a. It will not take or permit any action which would operate to deprive it of any of
the rights and powers necessary to perform any or all of the terms, conditions, and
assurances in this grant agreement without the written approval of the Secretary,
and will act promptly to acquire, extinguish or modify any outstanding rights or
claims of right of others which would interfere with such performance by the
sponsor. This shall be done in a manner acceptable to the Secretary.
Airport Sponsor Assurances 3/2014 Page 5 of 20
83
b. It will not sell, lease, encumber, or • transfer or dispose of any part •'I its
title or other interests in the property shown on Exhibit A to this application or,
for a noise compatibility program project, that portion of the property upon which
Federal
• have been expended, • the duration of the terms, conditions, and
assurances in this
• .• without approval by the Secretary. If the
transferee is found by the Secretary to be • under Title 49, United States
Code, to assume the obligations of this grant agreement and to have the power,
• and financial resources to carry out all such obligations, the sponsor
shall insert in the contract
•, M• transferring or disposing • the sponsor's
interest,
• make binding upon the transferee all • the terms, conditions, and
assurances contained in this • •
c. For all noise compatibility program projects which are to be carried out by
another unit of local +• or are on property owned by a unit of local
government other than the sponsor, it will enter into an agreement with that
• Except as otherwise specified by the Secretary, that agreement shal
obligate that government to the same terms, conditions, and assurances that wo
be applicable to it if it applied directly to the FAA for a grant to undertake the
noise compatibility program project. That agreement and changes thereto must b1l
satisfactory to the Secretary. It will take steps to enforce this • against
the local government if there is substantial non-compliance with the terms of the
agreement.
d. For noise compatibility program projects to be carried out on privately owned
property, it will enter into an agreement with the owner of that property which
includes provisions specified by the Secretary. It will take steps to enforce this
agreement against the property owner whenever there is substantial non-
compliance with the terms of the agreement.
e. If the sponsor is a private sponsor, it will take steps satisfactory to the Secretary to
ensure that the airport will continue to function as a public -use airport in
accordance with these assurances for the duration of these assurances.
f. If an arrangement is made for management and operation of the airport by any
agency or person other than the sponsor or an employee of the sponsor, the
sponsor will reserve sufficient rights and authority to insure that the airport will
be operated and maintained in accordance Title 49, United States Code, the
regulations and the terms, conditions and assurances in this grant agreement and
shall insure that such
•. also •• compliance therewith.
g.
♦1 of commercial service airports will not permit or enter into any
arrangement that results in
• for the owner or tenant • a property used
as a residence, or zoned for residential use, to taxi an aircraft between that
property and any location on airport. Sponsors of general aviation airports
entering into any arrangement that results in • for the owner •
residential real property adjacent to or near the airport must comply with the
requirements of Sec. 136 of Public Law 112-95 and the sponsor assurances.
Airport Sponsor Assurances 3/2014 Page 6 of 20
84
7. Consideration of Local Interest.
•-IVT!!Illllllrll!lllllllllillillillillilI li _S_ffl_ -
fifirIT-Cf-dClUt i nVffT=1rf_1[fC 0911
-cfdtTur
frroject may be located.
using the airport at which project is proposed.
9. Public Hearings.
In projects involving the location of an airport, an airport runway, or a major runway
extension, it has afforded the opportunity for public hearings for the purpose of
considering the economic, social, and environmental effects of the airport or runway
location and its consistency with goals and objectives of such planning as has been
carried out by the community and it shall, when requested by the Secretary, submit a
copy of the transcript of such hearings to the Secretary. Further, for such projects, it
has on its management board either voting representation from the communities
where the project is located or has advised the communities that they have the right
petition the Secretary concerning a proposed project.
31E=1;
I Pr(*TecL=1T_9Tr1T ; 11 ;;
extension at a medium or large hub airport, the sponsor has made available to and has
provided upon request to the metropolitan planning organization in the area in which
the airport is located, if any, a copy of the proposed amendment to the airport layout
7'�&l till ii466rdm
described or depicted.
11. Pavement Preventive Maintenance.
With respect to a project approved after January 1, 1995, for the replacement or
reconstruction of pavement at the airport, it assures or certifies that it has
implemented an effective airport pavement maintenance -management program and it
assures that it will use such program for the useful life of any pavement constructed,
reconstructed or repaired with Federal financial assistance at the airport. It will
provide such reports on pavement condition and pavement management programs as
the Secretary determines may be useful.
r 1l
EM28=1=
For projects which include terminal development at a public use airport, as defined in
Lei It 1 Ors W63 0 1 C-1,21WO16 [WI• Fe
Airport Sponsor Assurances 3/2014 Page 7 of 20
85
has provided for access to the passenger enplaning and deplaning area of such airport
to passengers enplaning and deplaning from aircraft other than air carrier aircraft.
a. It shall keep all project accounts and records which fully disclose the amount an
disposition by the recipient of the proceeds of this grant, the total cost of the
project in connection with which this grant is given or used, and the amount or
nature of that portion of the cost of the project supplied by other sources, and su
other financial records pertinent to the project. The accounts and records shall b
kept in accordance with an accounting system that will facilitate an effective aud
in accordance with the Single Audit Act of 1984. 1
b. It shall make available to the Secretary and the Comptroller General of the Unite•
States, or any of their duly authorized representatives, for the purpose of audit a
examination, any books, documents, papers, and records of the recipient that are
pertinent to this grant. The Secretary may require that an appropriate audit be
conducted by a recipient. In any case in which an independent audit is made of t
accounts of a sponsor relating to the disposition of the proceeds of a grant or
relating to the project in connection with which this grant was given or used, it
shall file a certified copy of such audit with the Comptroller General of the Unit
States not later than six () mnths fllowing the clse of the fiscal yer for whi
the audit was ma. I
6oooa
i-
14. Minimum Wage Rates.
It shall include, in all contracts in excess of $2,000 for work on any projects funded
under this grant agreement which involve labor, provisions establishing minimum
rates of wages, to be predetermined by the Secretary of Labor, in accordance with th
Davis -Bacon Act, as amended (40 U.S.C. 276a -276a-5), which contractors shall pay
to skilled and unskilled labor, and such minimum rates shall be stated in the invitati
for bids and shall be included in proposals or bids for the work. I
161 a,♦71 r4 71 = 9 n,
It shall include in all contracts for work on any project funded under this grant
agreement which involve labor, such provisions as are necessary to insure that, in the
employment of labor (except in executive, administrative, and supervisory positions),
[i,reference shall be given to Vietnam era veterans, Persian Gulf veterans,
Afghanistan -Iraq war veterans, disabled veterans, and small business concerns owned
and controlled by disabled veterans as defined in Section 47112 of Title 49, United
States Code. However, this preference shall apply only where the individuals are
available and qualified to perform the work to which the employment relates.
Y7rin execuie Me project, S&OJUCr=P,' ails, sp;ecillcm �� 11� ' CS up 19)v- , ; , "
the Secretary. Such plans, specifications, and schedules shall be submitted to the
Secretary prior to commencement of site preparation, construction, or other
performance under this grant agreement, and, upon approval of the Secretary, shall bi
incorporated into this grant agreement. Any modification to the approved plans,
Airport Sponsor Assurances 3/2014 Page 8 of 20
86
specifications, and schedules shall also be subject to approval of the Secretary, and
Lncorporated into this grant agreement.
17. Construction Inspection and Approval.
WfOlgfIOM UIC PUQL LO dNNUC LIIUL L11C XIL-111-K U0111*111IN Lill UIC-A.04MIN, •-
and schedules approved by the Secretary for the project. It shall subject the
construction work on any project contained in an approved project application to
inspection and approval by the Secretary and such work shall • in accordance with
regulations
• • prescribed ► the Secretary. Such regulations and
procedures shall require such cost and progress r♦ by the sponsor ♦, •♦
♦ such project as the Secretary shall deem necessary.
OMM
a. It will execute the project in accordance with the approved • narrative
contained in the project application or with the modifications similarly approved.
b. It will furnish the Secretary with such periodic reports as required pertaining
the planning
•r- and planning work activities. I
c. It will
•- in all published material prepared in connection with the •
► a notice that the material was prepared under a grant • • the
• States.
d. It will make such material available for examination by the public, and agrees that
no material prepared with funds under this project shall be subject to copyright in
the
♦ States or any ♦ country.
e. It will give the Secretary unrestricted authority to publish, disclose, distribute, and
otherwise use any of the material prepared in connection with this grant.
f. It will grant the Secretary the right to disapprove the sponsor's employment of
specific consultants and their subcontractors to •♦ all ♦ any • of this project as
well as the
• to disapprove the r♦ scope and cost of professional
services.
g. It will grant the Secretary the right ♦ disapprove the use of the sponsor's
employees to do all or any part of the project.
HIM I W-1-4
rf-TTIM,
a. The
• and all facilities which are necessary to serve the aeronautical users of
the airport, other than facilities owned or controlled by the United States, shall be
operated at all times in a safe and serviceable condition and in accordance with
the minimum
• as may • required ♦ prescribed by applicable Federal,
Airport Sponsor Assurances 312014 Page 9 of 20
87
state and local agencies for maintenance and operation. It will not cause or permit
any activity or action thereon which would interfere with its use for airport
�,uU,*ses. It will suitv-Vy *�erqte zid, mvintaiiL tie aii7*rt axt all f?,cilities tierefoat
or connected therewith, with due regard to climatic and flood conditions. Any
proposal to temporarily close the airport for non -aeronautical purposes must first
be approved by the Secretary. In furtherance of this assurance, the sponsor will
have in effect arrangements for -
1) Operating the airport's aeronautical facilities whenever required;
III Promptly marking and lighting hazards resulting from airport conditions,
including temporary conditions; and
3) Promptly notifying airmen of any condition affecting aeronautical use of thl—
airport. Nothing contained herein shall be construed to require that the airpo
be operated for aeronautical use during temporary periods when snow, floo
or other climatic conditions interfere with such operation and maintenance.
Further, nothing herein shall be construed as requiring the maintenance,
repair, restoration, or replacement of any structure or facility which is
substantially damaged or destroyed due to an act of God or other condition
circumstance beyond the control of the sponsor. I
b. It will suitably operate and maintain noise compatibility program items that it
owns or controls upon which Federal funds have been expended.
11111�II!1111211
It will take appropriate action to assure that such terminal airspace as is required
protect instrument and visual operations to the airport (including established
minimum flight altitudes) will be adequately cleared and protected by removing,
t
lowering, relocating, marking, or lighting or otherwise mitigating existing airpor I
hazards and by preventing the establishment or creation of future airport hazards.
21. Compatible Land Use.
It will take appropriate action, to the extent reasonable, including the adoption of
zoning laws, to restrict the use of land adjacent to or in the immediate vicinity of the
V
,.ort to activities and -urQoses co=atible with normal airyort oyerations. including.
landing and takeoff of aircraft. In addition, if the project is for noise compatibility
program implementation, it will not cause or permit any change in land use, within its
jurisdiction, that will reduce its compatibility, with respect to the airport, of the noise
compatibility program measures upon which Federal Rmds have been expended.
22. Economic Nondiscrimination.
a. It will make the airport available as an airport for public use on reasonable terms
and without unjust discrimination to all types, kinds and classes of aeronautical
activities, including commercial aeronautical activities offering services to the
public at the airport.
b. In any agreement, contract, lease, or other arrangement under which a right or
privilege at the airport is granted to any person, firm, or corporation to conduct or
Airport Sponsor Assurances 3/2014 Page 10 of 20
88
Airport Sponsor Assurances 312014 Page 11 of 20
89
IMOOMM33=
It will permit no exclusive right for the use of the airport by any person providing, or
intending to provide, aeronautical services to the public. For purposes of this
%aragrwy-h,. a single fixed -based •r-
shall not be construed as an exclusive right if both of the following apply:
would be unreasonably costly, burdensome, • impractical for more than one
fixed -based operator to provide such services, and
b. If allowing more than one fixed -based operator to provide such services would
require the reduction of space leased pursuant to an existing agreement between
such single fixed -based operator and such airport. It further agrees that it will not,
either directly or indirectly, grant
• •- any person, firm, or corporation, the
exclusive right at the
♦• to • any aeronautical activities, including, but
not
• to charter flights, pilot training, aircraft rental and sightseeing, aerial
photography, crop dusting, aerial advertising and surveying, air carrier operations,
aircraft sales
• services, sale of aviation •• products whether ♦ not
conducted in conjunction with other aeronautical activity, repair and maintenance
of aircraft, sale
• aircraft ♦ and any • activities which because of their
direct relationship to the operation of aircraft can be regarded as an aeronautical
activity, and that it will terminate any exclusive right • • an aeronautical
activity now existing at such an airport before the grant • any assistance under
Title 49, United States Code.
It will maintain a fee and rental structure for the facilities and services at the airport
which will make the airport as self-sustaining as possible under the circumstances
existing at the particular r• taking into account such factors as the volume of
traffic and economy of collection. No part of the Federal share of an airport
development, airport planning or noise compatibility project for which a grant is
made under Title 49, United States Code, the Airport and Airway Improvement Act
• 1982, the .•. Airport Act or the Airport and Airway • Act of 1970
shall be included in the rate basis in establishing fees, rates, and charges for users of
that
•
25. Airport Revenues.
a. All revenues generated by the airport and any local taxes on aviation fuel
established after December 30, 1987, will be expended by it for the capital or
operating costs of the airport; the local airport system; or other local facilities
which are owned or operated by the owner or operator of the airport and which
are directly and substantially related to the actual air transportation of passengers
• property; or for noise • •; • • off the airport. The following
exceptions apply to this paragraph:
1) If covenants
• assurances in debt obligations issued before • 3,
1982,
• the • • •r` • the airport, • provisions enacted before
September 3, 1982, in •• statutes controlling the • • operator's
financing, provide • the use ,• the revenues from any of the airport owner •
Airport Sponsor Assurances 3/2014 Page 12 of 20
C• Reports and Inspections.
It will:
a. submit to the Secretary such • or special • and operations •! as
the Secretary may reasonably request and make such reports available to the
public; make available to the public at reasonable times and places • report of the
airport budget in a format prescribed by the Secretary;
b. for airport development projects, make the airport and all airport records and
documents affecting the airport,
• deeds, leases, operation and use
agreements, regulations and other instruments, available for inspection by any
duly authorized agent of the Secretary upon reasonable request;
c. for noise compatibility • projects, make records and i• relating to
the project and • compliance with the terms, conditions, and assurances
of this grant agreement including deeds, leases, agreements, regulations, and other
instruments, available for inspection by any duly authorized agent of the Secretary
uI on reasonable request; and
Airport Sponsor Assurances 3/2014 Page 13 of 20
d. in a fori-nat and time prescribed by the Secretary, provide to the Secretary and
make available to the public following each of its fiscal years, an annual report
listing in detail:
1) all amounts paid by the airport to any other unit of governinent and the
purposes for which each such payment was made; and
2) all services and property provided by the airport to other units of government
and the amount of compensation received for provision of each such service
c•
27. Use by Government Aircraft.
It will make available all of the facilities of the airport developed with Federal
financial assistance and all those usable for landing and takeoff of aircraft to the
United States for use by Government aircraft in common with other aircraft at all
times without charge, except, if the use by Government aircraft is substantial, charge
may be made for a reasonable share, proportional to such use, for the cost of
operating and maintaining the facilities used. Unless otherwise determined by the
Secretary, or otherwise agreed to by the sponsor and the using agency, substantial use
of an airport by Goverm-nent aircraft will be considered to exist when operations of
such aircraft are in excess of those which, in the opinion of the Secretary, would
unduly interfere with use of the landing areas by other authorized aircraft, or during
any calendar month that —
a. Five (5) or more Government aircraft are regularly based at the airport or on land
adjacent thereto; or
b. The total number of movements (counting each landing as a movement) of
Government aircraft is 300 or more, or the gross accumulative weight of
Government aircraft using the airport (the total movement of Government aircraft
multiplied by gross weights of such aircraft) is in excess of five million pounds.
28. Land for Federal Facilities.
It will furnish without cost to the Federal Government for use in connection with any
activities related to air traffic control, any areas of land or water, or estate therein, or
rights in buildings of the sponsor as the Secretary considers necessary or desirable for
construction, operation, and maintenance at Federal expense of space or facilities for
such purposes. Such areas or any portion thereof will be made available as provided
herein within four months after receipt of a written request from the Secretary.
3
1) boundaries of the airport and all proposed additions thereto, together with the
boundaries of all offsite areas owned or controlled by the sponsor for airport
purposes and proposed additions thereto;
2) the location and nature of all existing and proposed airport facilities and
structures (such as runways, taxiways, aprons, terminal buildings, hangars and
Airport Sponsor Assurances 312014 Page 14 of 20
roads), including all proposed extensions and reductions of existing airport
facilities;
3) the location of all existing and proposed nonaviation areas and of all existing
improvements thereon; and
4) all proposed and existing access points used to taxi aircraft across the airport's
property boundary. Such airport layout plans and each amendment, revision,
or modification thereof, shall be subject to the approval of the Secretary which
approval shall be evidenced by the signature of a duly authorized
representative of the Secretary on the face of the airport layout plan. The
sponsor will not make or permit any changes or alterations in the airport or
any of its facilities which are not in conformity with the airport layout plan as
approved by the Secretary and which might, in the opinion of the Secretary,
adversely affect the safety, utility or efficiency of the airport.
b. If a change or alteration in the airport or the facilities is made which the Secretary
determines adversely affects the safety, utility, or efficiency of any federally
owned, leased, or funded property on or off the airport and which is not in
conformity with the airport layout plan as approved by the Secretary, the owner or
operator will, if requested, by the Secretary (1) eliminate such adverse effect in a
manner approved by the Secretary; or (2) bear all costs of relocating such
property (or replacement thereof) to a site acceptable to the Secretary and all costs
of restoring such property (or replacement thereof) to the level of safety, utility,
efficiency, and cost of operation existing before the unapproved change in the
airport or its facilities except in the case of a relocation or replacement of an
existing airport facility due to a change in the Secretary's design standards beyond
the control of the airport sponsor.
It will promptly take any measures necessary to ensure that no person in the United
States shall, on the grounds of race, creed, color, national origin, sex, age, or
disability be excluded from participation in, be denied the benefits of, or be otherwise
subjected to discrimination in any activity conducted with, or benefiting from, funds
received from this grant.
a. Using the definitions of activity, facility and program as found and defined in
21.23 (b) and 21.23 (e) of 49 CFR § 21, the sponsor will facilitate all programs
operate all facilities, or conduct all programs in compliance with all non-
discrimination requirements imposed by, or pursuant to these assurances. I
1) Programs and Activities. If the sponsor has received a grant (or other federal
assistance) for any of the sponsor's program or activities, these requirements
extend to all of the sponsor's programs and activities.
2) Facilities. Where it receives a grant or other federal financial assistance to
construct, expand, renovate, remodel, alter or acquire a facility, or part of a
facility, the assurance extends to the entire facility and facilities operated in
connection therewith.
Airport Sponsor Assurances 312014 Page 15 of 20
3) Real Property. Where the sponsor receives a grant or other Federal financial
assistance in the form of, or for the acquisition of real property or an interest
in real property, the assurance will extend to rights to space on, over, or under
such property.
InNIMMI IS
The sponsor agrees that it is obligated to this assurance for the period during
which Federal financial assistance is extended to the program, except where the
Federal financial assistance is to provide, or is in the form of, personal property,
or real property, or interest therein, or structures or improvements thereon, in
which case the assurance obligates the sponsor, or any transferee for the longer of
the following periods:
1) So long as the airport is used as an airport, or for another purpose involving
the provision of similar services or benefits; or
IMMIMMEMMOM
d. Required Solicitation Language. It will include the following notification in all
solicitations for bids, Requests For Proposals for work, or material under this
grant agreement and in all proposals for agreements, including airport
concessions, regardless of funding source:
"The iName of Sgonsorl in accordance with the provisions of Title VI of the
Civil Rights Act of 1964 (79 Stat. 252, 42 U.S.C. §§ 2000d to 20OOd-4) and the
Regulations, hereby notifies all bidders that it will affirmatively ensure that any
contract entered into pursuant to this advertisement, disadvantaged business
enterprises and airport concession disadvantaged business enterprises will be
afforded full and fair opportunity to submit bids in response to this invitation ani
will not be discriminated against on the grounds of race, color, or national origin
in consideration for an award."
412MM
1) It will insert the non-discrimination contract clauses requiring compliance
with the acts and regulations relative to non-discrimination in Federally -
assisted programs of the DOT, and incorporating the acts and regulations into
the contracts by reference in every contract or agreement subject to the non-
discrimination in Federally -assisted programs of the DOT acts and
regulations.
2) It will include a list of the pertinent non-discrimination authorities in every
contract that is subject to the non-discrimination acts and regulations.
3) It will insert non-discrimination contract clauses as a covenant running with
the land, in any deed from the United States effecting or recording a transfer
of real property, structures, use, or improvements thereon or interest therein to
a sponsor.
4) It will insert non-discrimination contract clauses prohibiting discrimination on
the basis of race, color, national origin, creed, sex, age, or handicap as a
Airport Sponsor Assurances 3/2014 Page 16 of 20
_M*1
covenant running with the land, in any future deeds, leases, license, permits,
or similar instruments entered into • the sponsor with other parties:
a)
• the subsequent transfer of real property acquired or • under
the applicable activity, project, or program; and
b) For the construction or use of, or access to, space on, over, or under real
property acquired or improved under the applicable activity, project, or
program.
f. It will provide for such methods of administration for the program as are found
the Secretary to give reasonable guarantee that it, other recipients, sub -recipients
sub -grantees, contractors, subcontractors, consultants, transferees, successors in
interest, and other participants of Federal financial assistance under such progr
will comply with all requirements imposed or pursuant to the acts, the regulatio
and this assurance.
g. It agrees that the United States has a right to seek ♦ • with
regard to any matter arising
• the acts, the regulations, and this assurance.
a. For land purchased under a grant for airport noise compatibility purposes,
including land • as a noise buffer, it will dispose of the land, when the Ian(
is no longer needed for such purposes, at fair market value, at the earliest
practicable time. That portion of the proceeds of such disposition which is
proportionate to the United States' share • •,: of such land will be, at tht
discretion of the Secretary, (1) reinvested in another project at the airport, • (2)
transferred to another eligible ♦ as prescribed by the Secretary. The
Secretary shall give preference to the following, in descending order, (1)
reinvestment in an approved noise compatibility project, (2) reinvestment in an
approved project that is eligible for grant funding under Section •
of title
49 United States Code, (3) reinvestment in an approved •{ development
project that is eligible for grant funding under Sections 47114, 47115, or 47117
title 49 United States Code, (4) transferred to an eligible sponsor of another publ
airport to be reinvested in an approved noise compatibility project at that airport,
and (5) paid to the Secretary for deposit in the Airport and Airway Trust Fund. I
land acquired under a grant for noise compatibility purposes is leased at fair
market value and consistent with noise buffering purposes, the lease will not be
considered a disposal of the land. Revenues derived from such a lease may be
used for an approved airport development project that would otherwise be eligib]
for grant funding or any permitted use of airport revenue.
b. For land purchased under a grant for airport development purposes (other than
noise compatibility), it will, when the land is no longer needed for airport
purposes, dispose of such land at fair market value or make available to the
Secretary an amount equal '• the United States' proportionate share of the fair
market value of the land. That portion of the proceeds of such disposition which
is proportionate to the United States' share of the cost of acquisition of such land
• • to the Secretary, be reinvested •, transferred to •
Airport Sponsor Assurances 312014 Page 17 of 20
eligible airport as prescribed by the Secretary. The Secretary shall give
preference to the following, in descending order: (1) reinvestment in an approve(
noise compatibility project, (2) reinvestment in an approved project that is eligib
for grant funding under Section 47117(e) of title 49 United States Code, (3)
reinvestment in an approved airport development project that is eligible for graril
funding under Sections 47114, 47115, or 47117 of title 49 United States Code, (�
transferred to an eligible sponsor of another public airport to be reinvested in an
approved noise compatibility project at that airport, and (5) paid to the Secretary
for deposit in the Airport and Airway Trust Fund.
c. Land shall be considered to be needed for airport purposes under this assurance 1
(1) it may be needed for aeronautical purposes (including runway protection
zones) or serve as noise buffer land, and (2) the revenue from interim uses of suc
land contributes to the financial self-sufficiency of the airport. Further, land
purchased with a grant received by an airport operator or owner before Decembe
31, 1987, will be considered to be needed for airport purposes if the Secretary or
Federal agency making such grant before December 31, 1987, was notified by th
operator or owner of the uses of such land, did not object to such use, and the lar
continues to be used for that purpose, such use having commenced no later than
December 15, 1989.
d. Disposition of such land under (a) (b) or (c) will be subject to the retention or
reservation of any interest or right therein necessary to ensure that such land will
only be used for purposes which are compatible with noise levels associated with
operation of the airport.
It will award each contract, or sub -contract for program management, construction
management, planning studies, feasibility studies, architectural services, preliminary
engineering, design, engineering, surveying, mapping or related services with respect
to the project in the same manner as a contract for architectural and engineering
services is negotiated under Title IX of the Federal Property and Administrative
Services Act of 1949 or an equivalent qualifications -based requirement prescribed for
or by the sponsor of the airport.
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11 J 1111 U I
a plor
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Yt MYTTITIMOTT I I i iii• I•I I I ally PIEOJ
uses any product or service of a foreign country during the period in which such
foreign country is listed by the United States Trade Representative as denying fair
and equitable market opportunities for products and suppliers of the United States in
procurement and construction.
34. Policies, Standards, and Specifications.
It will carry out the project in accordance with policies, standards, and specifications
approved by the Secretary including but not limited to the advisory circulars listed in
the Current FAA Advisory Circulars for AIP projects, dated (the latest
approved version as of this grant offer) and included in this grant, and in accordance
Airport Sponsor Assurances 3/2014 Page 18 of 20
with applicable state policies, standards, and specifications approved by the
Secretary.
35. Relocation and Real Property Acquisition.
a. It will be guided in acquiring real property, to the greatest extent practicable under
State law, by the land acquisition policies in Subpart B of 49 CFR • 24 and
will pay • reimburse property • for necessary expenses as specified in
• B.
b. It will provide a relocation assistance •, offering the services described in
Subpart C and fair and reasonable relocation payments and assistance to displaced
persons as required in Subpart D and E ♦ 49 CFR Part 24.
c. It will make
• within a reasonable period of time ► to displacement,
comparable replacement dwellings to displaced persons in accordance with
Subpart E
• '• CFR Part 24.
The airport owner or operator will permit, to the maximum extent practicable,
intercity buses or other modes of transportation to have access to the airport;
•r, it has no •. to fund Special fdcilities for interc buses or for oth(M
•r • transportation.
37. Disadvantaged Business Enterprises.
MIJIU&J1161 B14mr-11141 C-Ataxw-INAM6111 IMM wily%
■ 1-3 —WfUrflay � ill Lip,
refer the matter for enforcement under 18 U. S.C. 100 1 and/or the Program Fraud
Civil Remedies Act of 1936 (31 U.S.C. 3801).
If the airport owner or operator and a person who owns an aircraft agree that a hangar
is to be constructed at the airport for the aircraft at the aircraft owner's expense, the
airport owner or operator will grant to the aircraft owner for the hangar a long to
lease that is subject to such terms and conditions on the hangar as the airport owner or
operator may impose.
Airport Sponsor Assurances 312014 Page 19 of 20
a. If the airport owner or operator of a medium or large hub airport (as defined in
section 47102 of title 49, U.S.C.) has been unable to accommodate one or more
requests by an air carrier for access to gates or other facilities at that airport in
order to allow the air carrier to provide service to the airport or to expand service
at the airport, the airport owner or operator shall transmit a report to the Secretary
that -
1) Describes the requests;
2) Provides an explanation as to why the requests could not be accommodated;
and
3) Provides a time frame within which, if any, the airport will be able to
accommodate the requests.
b. Such report shall be due on either February I or August I of each year if the
airport has been unable to accommodate the request(s) in the six month period
prior to the applicable due date.
Airport Sponsor Assurances 312014 Page 20 of 20
U.S. Department ofTransportation
4W Federal Aviation Administration
OMB CONTROL NUMBER: 212O -056Q
EXPIRATION DATE: 8/31/2019
Airport Improvement Program Sponsor Certification
Sponsor: City ofYakima
Airport: Yakima Air Terminal / McAllister Field
Project Number: AIP No. 3-53-0089-40
Description of ' The project willremove and replace 11vehicle gates, 8pedestrian gates, and add
security/safety lighting. Work will also include curb and sidewalk replacement to meet ADA
requirements.
Application
49 USC § 47105(d) authorizes the Secretary to require certification from the sponsor that it will comply
with the statutory and administrative requirements in carrying out project under the Airport Improvement
PnzQrann (A|P). Labor and civil rights standards applicable hoA|P are established by the Department of
Labor(vvvvw.do|.gov/). AIP Grant Assurance C. 1 —General Federal Requirements identifies applicable
federal |ovva, ragu|ationm, executive orders, po|ioieo, guidelines and requirements for assistance under
AIR A list ofcurrent advisory oinou|anu with specific standards for pnoourement, design or construction of
airports, and installation of equipment and facilities is referenced in standard airport sponsor Grant
Assurance 34contained inthe grant agreement.
Certification Statements
Except for certification statements below marked aonot applicable (W/A).this list includes major
requirements ofthe construction project. GeleodnQ^Yes^nepnaoantooponooraohnovvedgamartand
confirmation ofthe certification statement. The term '\mi||"means Sponsor action taken atappropriate
time based on the certification statement focus area, but no later than the end of the projectperiodof
performance. This list is not comprehensive and does not relieve the sponsor from fully complying with all
applicable statutory and administrative standards. The source of the requirement is referenced within
parenthesis. '
1, The plans and specifications were orwill be prepared inaccordance with applicable federal
standards and requirements, so that no deviation or modification to standards set forth in the
advisory circulars, or FAA -accepted state standard, is necessary other than those explicitly
approved bythe Federal Aviation Administration (FAA)(14USC §471U5).
2. Specifications incorporate orwill incorporate aclear and accurate description ofthe technical
requirement for the material or product that does not contain limiting or proprietary features that
FAA Form 5100-132 (1/17) SUPERSEDES PREVIOUS EDITION Page 1 of 3
3. The development that is included or will be included in the plans is depicted on the current airport
layout plan asapproved bvthe FAA (14USC 0471O7).
4. Development and features that are ineligible or unallowable for AIP funding have been or will be
omitted from the plans and specifications (FAA Order 5100.38, par. 3-43).
5. The specification does not use orwill not use "brand name" mrequal [oconvey requirements
unless sponsor requests and receives approval from the FAA house brand name (FAA Order
510O.38.Table U-5).
7. The use of prequalified lists of individuals, firms or products include or will include sufficient
qualified sources that ensure open and free competition and that does not preclude potential'
entities from qualifying during the solicitation period (2 CFR §319(d)).
0 Yes El No E3 N/A
M&MMENK, ME MITI
Q. Concurrence was or will be obtained from the FAA if Sponsor incorporates a value engineering
clause into the contract (FAA Order 51OD.88. par. 3-57).
10. The plans and specifications incorporate or will incorporate applicable requirements and
recommendations set forth in the federally approved environmental finding (49 USC §47106(c)).
11. The design ofall buildings comply orwill comply with the seismic design requirements of4gCFR
§41.12O.(FAA Order 51OO.3Gd.par. 3-92)
12. The projectapeoifioadonino|udeorwiUindudeprooeoocmntndendacoeptanmyteat required for
the projectbYaeper the applicable standard:
a. Construction and installation as contained in Advisory Circular (AC) 150/5370-10.
0Yea [l No [l N/4
FAA Form 51UO-132(1/17)SUPERSEDES PREVIOUS EDITION Page 2ofS
Im
b. Snow Removal Equipment aacontained inAC15D/522D-2O.
El Yes E]No ED N/A
o. Aircraft Rescue and Fire Fighting (ARFF) vehicles as contained in AC 150/5220-10.
13. For construction activities within ornear aircraft operational e :
- a. The Sponsor has orwill prepare aconstruction safety and phasing plan (CSPP)conforming
to Advisory Circular 150/5370-2.
- b. Compliance with CGpPsafety provisions has been orwill beincorporated into the plans
and specifications aoacontractor requirement.
c. Sponsor will not initiate work until receiving FAA's concurrence with the CSPP (FAA Order
5100.38. Par. 5-29).
14. The project was orwill be physicallycompleted without federal participation incosts due b>errors
and omissions in the plans and specifications that were foreseeable at the time of project design
(4AUSC G4711O(b)(1)and FAA Order 51OO.38d.par. 3-1OO).
0 Yeo []No El N/A
Attach documentation clarifying any above item marked with ^Nm"response.
Sponsor's Certification
| certify, for the project identifieUherein.reaponaeetotheforooingihemoanaaonurahaaemorkedmnd
additional documentation for any item marked ^no^iocorrect and complete.
Executed onthis day of
Name ofSponsor: City ufYakima
Name ufSponsor's Authorized Official: Cliff Moore
Title ofSponsor's Authorized Official: City Manager
Signature of Sponsor's Authorized Official:
I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both.
FAA Form 5100-132 (1/17) SUPERSEDES PREVIOUS EDITION Page 3 of 3
U.S. Department of Transportation
Federal Aviation Administration
OMB CONTROL NUMBER: 2120-0569
EXPIRATION DATE: 8/31/2019
Equipment•' Construction Contracts
Airport Improvement••r •Certification 71
Sponsor: City of Yakima
Airport: Yakima Air Terminal/ McAllister Field
Project Number: AIP No. 3-53-0089-40
Description of Work: The project will remove and replace 11 vehicle gates, 8 pedestrian gates, and add
security/safety lighting. Work will also include curb and sidewalk replacement to meet ADA
requirements.
Application
49 USC § 47105(d) authorizes the Secretary to require certification from the sponsor that it will comply
with the statutory and administrative requirements in carrying out a project under the Airport Improvement
Program (AIP). General procurement standards for equipment and construction contracts within Federal
grant programs are described in 2 CFR §§ 200.317-200.326. Labor and Civil Rights Standards
applicable to the AIP are established by the Department of Labor (www.dol.gov) AIP Grant Assurance
C.1—General Federal Requirements identifies all applicable Federal Laws, regulations, executive orders,
policies, guidelines and requirements for assistance under the AIP. Sponsors may use state and local
procedures provided the procurement conforms to these federal standards.
This certification applies to all equipment and construction projects. Equipment projects may or may not
employ laborers and mechanics that qualify the project as a "covered contract" under requirements
established by the Department of Labor requirements. Sponsor shall provide appropriate responses to
the certification statements that reflect the character of the project regardless of whether the contract is
for a construction project or an equipment project.
Certification Statements
Except for certification statements below marked as not applicable (N/A), this list includes major
requirements of the construction project. Selecting "Yes" represents sponsor acknowledgement and
confirmation of the certification statement. The term "will" means Sponsor action taken at appropriate
time based on the certification statement focus area, but no later than the end of the project period of
performance. This list is not comprehensive and does not relieve the sponsor from fully complying with all
applicable statutory and administrative standards. The source of the requirement is referenced within
parenthesis.
1. A written code or standard of conduct is or will be in effect prior to commencement of the project
that governs the performance of the sponsor's officers, employees, or agents in soliciting,
awarding and administering procurement contracts (2 CFR § 200.318).
® Yes ❑ No ❑ N/A
FAA Form 5100-131 (1/17) SUPERSEDES PREVIOUS EDITION Page 1 of 4
102
2. For all contracts, qualified and competent personnel are or will be engaged to perform contract
administration, engineering supervision, construction inspection, and testing
(Grant Assurance C.17).
® Yes ❑ No ❑ N/A
3. Sponsors that are required to have a Disadvantage Business Enterprise (DBE) program on file
with the FAA have included or will include clauses required by Title VI of the Civil Rights Act and
49 CFR Part 26 for Disadvantaged Business Enterprises in all contracts and subcontracts.
® Yes [:]No ❑ N/A
4. Sponsors required to have a DBE program on file with the FAA have implemented or will
implement monitoring and enforcement measures that:
a. Ensure work committed to Disadvantaged Business Enterprises at contract award is
actually performed by the named DBEs (49 CFR § 26.37(b));
b. Include written certification that the sponsor has reviewed contract records and has
monitored work sites for performance by DBE firms (49 CFR § 26.37(b)); and
c. Provides for a running tally of payments made to DBE firms and a means for comparing
actual attainments (i.e. payments) to original commitments (49 CFR § 26.37(c)).
® Yes ❑ No ❑ N/A
5. Sponsor procurement actions using the competitive sealed bid method (2 CFR § 200.320(c)). was
or will be:
a. Publicly advertised, allowing a sufficient response time to solicit an adequate number of
interested contractors or vendors;
b. Prepared to include a complete, adequate and realistic specification that defines the
items or services in sufficient detail to allow prospective bidders to respond;
c. Publicly opened at a time and place prescribed in the invitation for bids; and
d. Prepared in a manner that result in a firm fixed price contract award to the lowest
responsive and responsible bidder.
® Yes ❑ No ❑ N/A
6. For projects the Sponsor proposes to use the competitive proposal procurement method (2 CFR §
200.320(d)), Sponsor has requested or will request FAA approval prior to proceeding with a
competitive proposal procurement by submitting to the FAA the following:
a. Written justification that supports use of competitive proposal method in lieu of the
preferred sealed bid procurement method;
b. Plan for publicizing and soliciting an adequate number of qualified sources; and
c. Listing of evaluation factors along with relative importance of the factors.
El Yes ❑ No ® N/A
7. For construction and equipment installation projects, the bid solicitation includes or will include the
current federal wage rate schedule(s) for the appropriate type of work classifications (2 CFR Part
200, Appendix II).
® Yes ❑ No N/A
FAA Form 5100-131 (1/17) SUPERSEDES PREVIOUS EDITION Page 2 of 4
103
8. Concurrence was or will be obtained from the Federal Aviation Administration (FAA)prior to
contract award under any of the following circumstances (Order 5100.38D):
o. Only one qualified person/firm submits aresponsive bid;
b. /ward is to be made to other than the lowest responsible bidder; and '
o. Life cycle costing ivafactor in selecting the lowest responsive bidder.
nx Yeo 171 No El N/A
Q. All construction and equipment installation contracts contain or will contain provisions for:
a. Access toRecords (G2OU.338)
b. Buy American Preferences (Title 4BU.S.C. §5O1O1)
c Civil Rights - General Provisions and Title V|Assurances( 41CFR part 60)
d. Federal Fair Labor Standards (2QU.S.C. § 201.etaeq)
e. Occupational Safety and Health Act requirements (20 CFR part 1920)
f. Seismic Safety — building construction (49CFR part 41)
8. State Energy Conservation Requirements -aoapp|ioab|e(2CFR part 2OO.Appendix ||)
h. U.S. Trade Restriction (49 CFR part 30)
i. Veterans Preference (48 USC §47112(c))
10. All construction and equipment installation contracts exceeding $2,000 contain or will contain the
provisions established by:
a. Davis -Bacon and Related Acts (20CFR part 5)
b. Copeland "Ant-Kiokbaoh"Act (29 CFR parts 3and 5)
��Yes 0 No El N/A
11. All construction and equipment installation contracts exceeding $3,000 contain or will contain
contract provision that discourages distracted driving (E.O. 13513).
12. All contracts exceeding $10,000 contain or will contain the following provisions as applicable:
a. Construction and equipment installation projects - Applicable clauses from
41 CFR Part 60 for compliance with Executive Orders 11246 and 11375 on Equal
Employment Opportunity;
b. Construction and equipment installation - Contract Clause prohibiting segregated facilities
in accordance with 41 CFR part 60-1.8;
c. Requirement to maximize use of products containing recovered materials in accordance
with 2 CFR § 200.322 and 40 CFR part 247; and
d. Provisions that address termination for cause and termination for convenience
(2 CFR Part 200, Appendix 11).
FAA Form 5100-131 (1/17) SUPERSEDES PREVIOUS EDITION Page 3 of 4
104
13. All contracts and subcontracts exceeding $25.00D: Measures are in place orwill be in place (e.g.
checking the System for Award Management) that ensure contracts and subcontracts are not
awarded to individuals or firms suspended, debarred, or excluded from participating in federally
assisted projects (2CFRparte18Uand12UO).
14. Contracts exceeding the simplified acquisition threshold (currently $150.00O)include orwill include
provisions, as applicable, that address the following:
a. Construction and equipment installation contracts -abid guarantee of5Y6.o performance
bond of1OD96.and apayment bond of1OOY6(2CFR § 200.325);
b. Construction and equipment installation contracts -naquiremenbooftheCmntroctVVork
Hours and Safety Standards Act (4UUSC 37O1'37D8.Sections 1O3and 1O7);
o. Restrictions onLobbying and Influencing (2CFR part 2OO.Appendix ||);
d. Conditions specifying adminiatnative, contractual and legal remedies for instances where
contractor of vendor violate or breach the terms and conditions of the contract (2 CFR
§2OD.Appendix ||);and
e. All Contracts - Applicable standards and requirements issued under Section 306 of the
Clean Air Act (42USC 74O1-7671q).Section 5O8 ofthe Clean Water Act (33USC 1251-
1387.and Executive Order 11738.
FRIYeo [] No M N/A
Attach documentation clarifying any above item marked with "No'response.
�
Sponsor's Certification
| certify, for the projectidentified herein, responses hothe forgoing items are accurate ammarked and
additional documentation for any item marked "no" is correct and complete.
Executed onthis day of . -
Name ofSponsor: City of Yakima
Name ofSponsor's AuthorizedOffioia|: Cliff Moore
Title ofSponsor's AuthorizedOffioia|: City Manager
Signature of So4mthohzed Official:
I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
vi|UbUy providing false information tothe federal government ioaviolation of 18 USC § 1001 (False
Statements) and could subject metofines, imprisonment, orboth.
FAA Form 51C0-131(1/17)SUPERSEDES PREVIOUS EDITION Page 4of4
U.S. Department of Transportation
Federal Aviation Administration
105
OMB CONTROL NUMBER: 2120-0569
EXPIRATION DATE: 8/31/2019
Construction "• Acceptance
Airport Improvement Program Sponsor Certification
Sponsor: City of Yakima
Airport: Yakima Air Terminal / McAllister Field
Description of Work: The project will remove and replace 11 vehicle gates, 8 pedestrian gates, and add
security/safety lighting. Work will also include curb and sidewalk replacement to
meet ADA requirements.
Application
49 USC § 47105(d), authorizes the Secretary to require me certification from the sponsor that it will
comply with the statutory and administrative requirements in carrying out a project under the Airport
Improvement Program. General standards for final acceptance and close out of federally funded
construction projects are in 2 CFR § 200.343 — Closeout and supplemented by FAA Order 5100.38. The
sponsor must determine that project costs are accurate and proper in accordance with specific
requirements of the grant agreement and contract documents.
Except for certification statements below marked not applicable (N/A), this list includes major
requirements of the construction project. Selecting "Yes" represents sponsor acknowledgment and
confirmation of the certification statement. The term "will" means Sponsor action taken at appropriate
time based on the certification statement focus area, but no later than the end of the project period of
performance. This list is not comprehensive and does not relieve the sponsor from fully complying with
all applicable statutory and administrative standards. The source of the requirement is referenced within
parenthesis.
1. The personnel engaged in project administration, engineering supervision, project inspection, and
acceptance testing were or will be determined to be qualified and competent to perform the work
(Grant Assurance).
® Yes ❑ No ❑ N/A
2. Construction records, including daily logs, were or will be kept by the resident
engineer/construction inspector that fully document contractor's performance in complying with:
a. Technical standards (Advisory Circular (AC) 150/5370-12);
b. Contract requirements (2 CFR part 200 and FAA Order 5100.38); and
c. Construction safety and phasing plan measures (AC 150/5370-2).
3. All acceptance tests specified in the project specifications were or will be performed and
documented. (AC 150/5370-12).
® Yes ❑ No ❑ N/A
FAA Form 5100-129 (1/17) SUPERSEDES PREVIOUS EDITION page 1 of 3
IM
4. Sponsor has taken or will take appropriate corrective action for any test result outside of
allowable tolerances (AC 150/5370-12).
® Yes ❑ No N/A
5. Pay reduction factors required by the specifications were applied or will be applied in computing
final payments with a summary made available to the FAA (AC 150/5370-10).
6. Sponsor has notified, or will promptly notify the Federal Aviation Administration (FAA) of the
following occurrences:
a. Violations of any federal requirements set forth or included by reference in the contract
documents (2 CFR part 200);
b. Disputes or complaints concerning federal labor standards (29 CFR part 5); and
c. Violations of or complaints addressing conformance with Equal Employment Opportunity or
Disadvantaged Business Enterprise requirements (41 CFR Chapter 60 and 49 CFR part 26).
FXJ Yes ❑ No ❑ N/A
7. Weekly payroll records and statements of compliance were or will be submitted by the prime
contractor and reviewed by the sponsor for conformance with federal labor and civil rights
requirements as required by FAA and U.S. Department of Labor (29 CFR Part 5).
®Yes ❑ No ❑ N/A
8. Payments to the contractor were or will be made in conformance with federal requirements and
contract provisions using sponsor internal controls that include:
a. Retaining source documentation of payments and verifying contractor billing statements
against actual performance (2 CFR § 200.302 and FAA Order 5100.38);
b. Prompt payment of subcontractors for satisfactory performance of work (49 CFR § 26.29);
c. Release of applicable retainage upon satisfactory performance of work (49 CFR § 26.29);
and
d. Verification that payments to DBEs represent work the DBE performed by carrying out a
commercially useful function (49 CFR §26.55).
®Yes ❑ No ® N/A
9. A final project inspection was or will be conducted with representatives of the sponsor and the
contractor present that ensure:
a. Physical completion of project work in conformance with approved plans and specifications
(Order 5100.38);
b. Necessary actions to correct punch list items identified during final inspection are complete
(Order 5100.38); and
c. Preparation of a record of final inspection and distribution to parties to the contract
(Order 5100.38);
® Yes ❑ No ❑ N/A
10. The project was or will be accomplished without material deviations, changes, or modifications
from approved plans and specifications, except as approved by the FAA (Order 5100.38).
Al Yes ❑ No ❑ N/A
FAA Form 5100-129 (1/17) SUPERSEDES PREVIOUS EDITION page 2 of 3
1m
11. The construction of all buildings have complied or will comply with the seismic construction
requirements of48CFR G41.12O.
F-1 Yea No �� F-1 �� N/A
��
12. For development projects, nponsorhomtskenorvvi||bakathefo||owin0c|ome-outacUono:
a. Submit to the FAA a final test and quality assurance report summarizing acceptance test
results, as applicable (Grant Condition);
b. Complete all environmental requirements as established within the project environmental
determination (Oder 51OO.38);and
o. Prepare and retain as -built plans (Order 51DO.38).
R7 Yeo F�No F� NAA
13. Sponsor has revised or will revise their airport layout plan (ALP) that reflects improvements made
and has submitted or will submit an updated ALP to the FAA no later than 90 days from the
period ofperformance end date. (49USC §471O7and Order 51OO.38).
F�Yea RNo FX-] N/A
Attach documentation clarifying any above item marked with^No^reoponom.
Sponsor's Certification
I certify, for the project identified herein, responses to the forgoing items are accurate as marked and
additional documentation for any item marked "no" is correct and complete.
Executed on this day of
Name of Sponsor: City of Yakima
Name of Sponsor's Authorized Official: Cliff Moore
Title of Sponsor's Authorized Official: City Manager
Signature of Sponsor's Authorized Official,
I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both.
FAA Form 5100-129 (1/17) SUPERSEDES PREVIOUS EDITION page 3 of 3
U.S. Department of Transportation
QV Federal Aviation Administration
108
OMB CONTROL NUMBER: 2120-0569
EXPIRATION DATE: 8/31/2019
Certification and Disclosure Regarding Potential Conflicts of Interest
Airport Improvement• • • • •r Certification
Sponsor: Yakima Air Terminal
Airport: Yakima Air Terminal/ McAllister Field
Project Number: AIP No. 3-53-0089-40
Description of Work: The project will remove and replace 11 vehicle gates, 8 pedestrian gates, and add
security/safety lighting. Work will also include curb and sidewalk replacement to meet ADA
requirements.
Application
Title 2 CFR § 200.112 and § 1201.112 address Federal Aviation Administration (FAA) requirements for
conflict of interest. As a condition of eligibility under the Airport Improvement Program (AIP), sponsors
must comply with FAA policy on conflict of interest. Such a conflict would arise when any of the following
have a financial or other interest in the firm selected for award:
a) The employee, officer or agent,
b) Any member of his immediate family,
c) His or her partner, or
d) An organization which employs, or is about to employ, any of the above.
Selecting "Yes" represents sponsor or sub -recipient acknowledgement and confirmation of the
certification statement. Selecting "No" represents sponsor or sub -recipient disclosure that it cannot fully
comply with the certification statement. If "No" is selected, provide support information explaining the
negative response as an attachment to this form. This includes whether the sponsor has established
standards for financial interest that are not substantial or unsolicited gifts are of nominal value (2 CFR §
200.318(c)). The term "will" means Sponsor action taken at appropriate time based on the certification
statement focus area, but no later than the end of the project period of performance.
Certification Statements
The sponsor or sub -recipient maintains a written standards of conduct governing conflict of
interest and the performance of their employees engaged in the award and administration of
contracts (2 CFR § 200.318(c)). To the extent permitted by state or local law or regulations, such
standards of conduct provide for penalties, sanctions, or other disciplinary actions for violations of
such standards by the sponsor's and sub -recipient's officers, employees, or agents, or by
contractors or their agents.
® Yes ❑ No
FAA Form 5100-135 (2/17) SUPERSEDES PREVIOUS EDITION Page 1 of 2
IM
2. The sponsor's or sub -recipient's officers, employees or agents have not and will not solicit or
accept gratuities, favors or anything of monetary value from contractors, potential contractors ,
parties to sub -agreements (2 CFR § 200.318(c)). I
FE3
19��
ro . I I
17�= T Fillifill i !Ili V I 111 . I I a
�111!'111111711; Naga=
have the explanation for any item marked "no" is correct and complete.
MR11M.
M���M
Siqnature of Sponsor's Authorized Officiak
I -Mwf&lrl I
�WWII I � C11
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both. i
U.S'Department Transportation
FeunmuAviation AdministrationEXPIRATION DATE: 8/31/2019
HE
OMB CONTROL NUMBER: 212U-0560
Selection of Consultants
Sponsor: City ofYakima
Airport Yakima Air Terminal/ McAllister Field
Project Number: AIP No. 3-53-0089-40
Oescrio�nofV��
' The project will remove and replace 11 vehicle gates, 8 pedestrian gates, and add
security/safety lighting. Work will also include curb and sidewalk replacement to meet ADA
requirements.
Application
48UGC § 47105(d) authorizes the Secretary to require certification from the sponsor that itwill comply
with the statutory and administrative requirements in carrying out project under the Airport Improvement
Program (AIP). General requirements for selection of consultant services within federal grant programs
are described in2CFR §§ 200.317-200.326. Sponsors may use other qualifications -based procedures
provided they are equivalent hmstandards ofTitle 4Ochapter 11 and FAA Advisory Circular 15O/510O-14.
Anohib*otuna|. Engineering, and Planning Consultant Services for Airport Grant Projects.
Certification Statements
Except for certification statements below marked as not applicable (N/A), this list includes major
requirements ofthe construction project. Selecting ~Yeo^represents sponsor acknowledgement and
confirmation of the certification statement. The term "will" means Sponsor action taken at appropriate time
based on the certification statement focus area, but no later than the and of the project period of
performance. This list is not comprehensive and does not relieve the sponsor from fully complying with all
applicable statutory and administrative standards. The amunoe of the requirement is referenced within
parenthesis.
1. Sponsor acknowledges their responsibility for the settlement ofaUoontnsotusdandadministraUve
issues arising out of their procurement actions (2 CFR § 200.318(k)).
2. Sponsor procurement actions ensure orwill ensure full and open competition that does not
unduly limit competition (2 CFR § 200.319).
3. Sponsor has excluded or will exclude any entity that develops or drafts specifications,
requirements, or statements of work associated with the development of a request-for-
qualifications
FAA Form 5100-134(2/17) SUPERSEDES PREVIOUS EDITION Page 1of3
M
4. The advertisement describes or will describe specific project statements -of -work that provide
deardebai|ofrequiredaemioeavvithmutundu|yreothotingoomnetiUVnC2CFRQ2OO.319H.
Mx Yes MNo 0 N/A
5. Sponsor has publicized orwill publicize aF<FQthat:
a. Solicits anadequate number ofqualified sources (2CFR §2QO.32D(d)); and
b. Identifies all evaluation criteria and relative importance (2 CIFIR § 200.320(d)).
N Yes El No El N/A
G. Sponsor has based or will base selection on qualifications, experience, and disadvantaged
business enterprise participation with price not being aselection factor (2CFR 02OO.32O(d)).
7. Sponsor has verified orwill verify that agreements exceeding $25.O00are not awarded to
individuals or firms suspended, debarred or otherwise excluded from participating in federally
assisted projects (2CIFIR §180.300).
FX1`fes El No El N/A
8. A/Eservices covering multiple projects: Sponsor has agreed hoorwill agree to:
a. Refrain from initiating work covered by this procurement beyond five years from the date
ofselection (AC 150/510O-14);and
b. Retain the right to conduct new procurement actions for projects identified or not
identified inthe RFQ(AC 15O/51O0-14).
nxYao 171 No El N/A
8. Sponsor has negotiated or will negotiate ofair and reasonable fee with the firm they select oa
most qualified for the services identified inthe RF{](ZCFR §2OO.323).
0Yem El No El N/A
10. The contract identifies orwill identify costs associated with ineligible work separately
from costs associated with eligible work (2CFR §2OO.3O2).
0`feo 171 No El N/A
11. Sponsor has prepared orwill prepare arecord mf negotiations detailing the history ofthe
procurement action, rationale for contract type and basis for contract fees (2 CFR §200.318(i)).
0Yaa El No El N/A
12. Sponsor has incorporated orwill incorporate mandatorycontact provisionsinthe consultant
9 Yes El No El N/A
FAA Form 5100-134 (2/17) SUPERSEDES PREVIOUS EDITION Page 2 of 3
112
13. For contracts that apply a time -and -material payment provision (also known as hourly rates,
specific rates of compensation, and labor rates), the Sponsor has established or will establish:
a. Justification that there is no other suitable contract method for the services (2 CFR
§200.318(j));
b. A ceiling price that the consultant exceeds at their risk (2 CFR §200.318(j)); and
c. A high degree of oversight that assures consultant is performing work in an efficient
manner with effective cost controls in place 2 CFR §200.318(j)).
Z Yes ❑ No ❑ N/A
14. Sponsor is not using or will not use the prohibited cost -plus -percentage -of -cost (CPPC) contract
method. (2 CFR § 200,323(d)).
Z Yes El No ❑ N/A
Attach documentation clarifying any above item marked with "no" response.
Sponsor's Certification
I certify, for the project identified herein, responses to the forgoing items are accurate as marked and
additional documentation for any item marked "no" is correct and complete.
I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both.
Executed on this day of
Name of Sponsor: City of Yakima
Name of Sponsor's Authorized Official: CIliff Moore
Title of Sponsor's Authorized Official: City of Yakima
Signature of Sponsor's Authorized Official:
I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both.
FAA Form 5100-134 (2/17) SUPERSEDES PREVIOUS EDITION Page 3 of 3
U.S. Department of Transportation
Federal Aviation Administration
113
OMB CONTROL NUMBER: 2120-0569
EXPIRATION DATE: 8/31/2019
D • -Free Workplace
Airport Improvement Program Sponsor Certification
Sponsor: City of Yakima
Airport: Yakima Air Terminal / McAllister Field''
Project Number: AIP No. 3-53-0089-40
Description of Work: The project will remove and replace 11 vehicle gates, 8 pedestrian gates, and add
security/safety lighting. Work will also include curb and sidewalk replacement to meet ADA
requirements.
Application
49 USG § 47105(d) authorizes the Secretary to require certification from the sponsor that it will comply
with the statutory and administrative requirements in carrying out a project under the Airport Improvement
Program (AIP). General requirements on the drug-free workplace within federal grant programs are
described in 2 CFR part 182. Sponsors are required to certify they will be, or will continue to provide, a
drug-free workplace in accordance with the regulation. The AIP project grant agreement contains specific
assurances on the Drug -Free Workplace Act of 1988.
Except for certification statements below marked as not applicable (N/A), this list includes major
requirements of the construction project. Selecting "Yes" represents sponsor acknowledgement and
confirmation of the certification statement. The term "will" means Sponsor action taken at appropriate time
based on the certification statement focus area, but no later than the end of the project period of
performance. This list is not comprehensive and does not relieve the sponsor from fully complying with all
applicable statutory and administrative standards. The source of the requirement is referenced within
parenthesis.
1. A statement has been or will be published prior to commencement of project notifying employees
that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled
substance is prohibited in the sponsor's workplace, and specifying the actions to be taken against
employees for violation of such prohibition (2 CFR § 182.205).
® Yes ❑ No ❑ N/A
2. An ongoing drug-free awareness program (2 CFR § 182.215) has been or will be established
prior to commencement of project to inform employees about:
a. The dangers of drug abuse in the workplace;
c. Any available drug counseling, rehabilitation, and employee assistance programs; and
d. The penalties that may be imposed upon employees for drug abuse violations occurring
in the workplace.
® Yes ❑ No N/A
FAA Form 5100-130 (1/17) SUPERSEDES PREVIOUS EDITION Page 1 of 3
114
3. Each employee to be engaged in the performance of the work has been or will be given a copy of
the statement required within item 1 above prior to commencement of project (2 CFR § 182.210).
® Yes ❑ No ❑ N/A
4. Employees have been or will be notified in the statement required by item 1 above that, as a
condition employment under the grant (2 CFR § 182.205(c)), the employee will:
a. Abide by the terms of the statement; and
b. Notify the employer in writing of his or her conviction for a violation of a criminal drug
statute occurring in the workplace no later than five calendar days after such conviction.
® Yes ❑ No ❑ N/A
5. The Federal Aviation Administration (FAA) will be notified in writing within 10 calendar days after
receiving notice under item 4b above from an employee or otherwise receiving actual notice of
such conviction (2 CFR § 182.225). Employers of convicted employees must provide notice,
including position title of the employee, to the FAA (2 CFR § 182.300).
® Yes ❑ No ❑ N/A
6. One of the following actions (2 CFR § 182.225(b)) will be taken within 30 calendar days of
receiving a notice under item 4b above with respect to any employee who is so convicted:
a. Take appropriate personnel action against such an employee, up to and including
termination, consistent with the requirements of the Rehabilitation Act of 1973, as
amended; and
b. Require such employee to participate satisfactorily in drug abuse assistance or
rehabilitation programs approved for such purposes by a federal, state, or local health,
law enforcement, or other appropriate agency.
® Yes El No ❑ N/A
7. A good faith effort will be made, on a continuous basis, to maintain a drug-free workplace through
implementation of items 1 through 6 above (2 CFR § 182.200).
IoME■�■
Site(s) of performance of work (2 CFR § 182.230);
Location 1
Name of Location: Airport Administration Office
Address: 2406 West Washington Avenue, Suite B, Yakima, WA 98903
Location 2 (if applicable)
Name of Location: Airport Maintenance Shop
Address: 3106 West Washington Avenue, Yakima, WA 98903
Location 3 (if applicable)
Name of Location:
Address:
FAA Form 5100-130 (1/17) SUPERSEDES PREVIOUS EDITIONPage 2 of 3
115
•a - • a
tea• -. -• - ♦i
Sponsor's Certification
I certify, for the project identified herein, responses to the forgoing items are accurate as marked and
additional documentation for any item marked "no" is correct and complete.
Executed on this day of
Name of Sponsor: City of Yakima
Name of Sponsor's Authorized Official: Cliff Moore
Title of Sponsor's Authorized Official: City Manager
Signature of Sponsor's Authorized Official:
I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both.
FAA Form 00-130 (1/17) SUPERSEDES PREVIOUS EDITION.-