HomeMy WebLinkAbout05/01/2018 06D Federal Aviation Administration Grant; Yakima Air Terminal-McAllister Field Capital ImprovementsITEM TITLE:
BUSINESS OF THE CITY COUNCIL
YAKIMA, WASHINGTON
AGENDA STATEMENT
1
Item No. 6.D.
For Meeting of: May 1, 2018
Resolution authorizing a grant application to the Federal Aviation
Administration (FAA) for Capital I mprovement Projects at the
Yakima Air Terminal -McAllister Field
SUBMITTED BY: Robert K. Peterson, Airport Director, 509-575-6149
SUMMARY EXPLANATION:
The Airport I mprovement 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 is eligible to
receive federal grants under this program to replace aging infrastructure and equipment.
These grant funds will assist rehabilitating approximately 22,000 square yards of asphalt
pavement, associated drainage, aircraft tie -downs, pavement marking and apron lighting on the
West General Aviation Apron; updating the Airport Layout Plan and providing a Narrative Report
focusing on the development needs at the airport for a 20 -year planning horizon (2018-2038) and
program for implementation within known funding constraints.
It is estimated both grant applications will request approximately Two Million Two Hundred Fifty
Thousand Dollars ($2,250,000), 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.
Notes:
• Projects are funded by FAA grants which will not impact the city's 2018 general fund
budget.
• Grant application for West GA Apron project will be submitted in June 2018 when
construction bids are received.
ITEM BUDGETED:
STRATEGIC PRIORITY:
Yes
Public Safety
APPROVED FOR
SUBMITTAL:
STAFF RECOMMENDATION:
Adopt Resolution.
BOARD/COMMITTEE RECOMMENDATION:
N/A
ATTACHMENTS:
Description Upload Date
O Resolution 4/20/2018
O 2018 FAA Grant Application -ALP 4/24/2018
2
Type
Resolution
Backup Material
3
RESOLUTION NO. R -2018-
A RESOLUTION authorizing grant application to the Federal Aviation Administration (FAA) for Capital
Improvement Projects 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 rehabilitating approximately 22,000 square yards of asphalt pavement, associated
drainage, aircraft tie -downs, pavement marking and apron lighting on the West General Aviation Apron;
updating the Airport Layout Plan and providing a Narrative Report focusing on the development needs at the
airport for a 20 -year planning horizon (2018-2038) and program for implementation within known funding
constraints; and
WHEREAS, the grant applications will request a total of approximately Two Million Two Hundred
Fifty Thousand ($2,250,000) 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 rehabilitating the airport's West
General Aviation Apron, updating the Airport Layout Plan and providing a Narrative Report for
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 1St day of May, 2018.
ATTEST: Kathy Coffey, Mayor
Sonya Claar Tee, City Clerk
Application for Federal Assistance SF -424
* 1 Type of Submission:
Preapplication
Application
El Changed/Corrected Application
" 3, Date Received:
5a, Federal Entity Identifier:
" 2. Type of Application:
New
❑ Continuation
n Revision
4; Applicant Identifier:
YKM
" If Revision, select appropriate letter(s):
• Other (Specify):
State Use Only:
6:, Date Re
ved by State:
8. APPLICANT INFORMATION:
* a. Legal Name:
9
7<S
b. Employer/Taxpayer Identification Number (EINfTIN):
6001293
d. Address:
Streetl:
Street2:
* City:
County/Parish:
" State:
Province:
Country:
" Zip / Postal Code:
2
5b, Federal Award Identifier:
3-53 0089-042-2018
cation Identifier:
c. Organizational DUNS:
0782126510000
4
OMB Number: 4040-0004
Expiration Date: 10/31/2019
Yakima
Yakima
WA: Washington
98903
e. Organizational Unit:
Department Name:
pity of Yakima
USA: UNITED STATIS
Division Name:
Airport
f. Name and contact information of person to be contacted on matters involving this application:
Prefix:
Middle Name:
* Last Name:
Suffix:
Title
Peterson
Airport Direct
Organizational Affiliation:
"Telephone Number:
" Email:
5095"756260
erson@yakimaairterminal.com
" First Name:
Fax Number:
Application for Federal Assistance SF -424
* 9. Type of Applicant 1: Select Applicant Type:
k: 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
11. Catalog of Federal Domestic Assistance Number:
20,106
CFDA Title:
Airport improvement Program
" 12. Funding Opportunity Number:
3--53-0089--041-2018
* Title:
Airport Layout Flan Update & ACIS
13. Competition Identification Number:
Title:
14. Areas Affected by Project (Cities, Counties, States, etc.):
" 15. Descriptive Title of Applicant's Project:
Airport Layout Plan Update with AGIS
Attach supporting documents as specified in agency instructions
Add Attachments
Add Attachment
Delete Attachments
View Attachments
Delete Attachment
I\flew Attachment
5
Application for Federal Assistance SF -424
16, Congressional Districts Of:
* a, Applicant
4th/WA
Attach an additional list of Program/Project Congressional Districts if needed,
17. Proposed Project:
* a Start Date:
06/30/2018
18. Estimated Funding ($):
*a Federal
• b Applicant
• c State
* d Local
* e Other
* f Program Income
*g TOTAL
400,000.00
22,222.00
22,222.00
0.00
0.00
0 00
444,444.00
Add Attachrrient
* b Program/Project
Delete Attachment
* b. End Date:
eth/en
View Attachment
12/28/2019
* 19. Is Application Subject to Review By State Under Executive Order 12372 Process?
El a, This application was made available to the State under the Executive Order 12372 Process for review on
Ell b. Program is subject to E.O. 12372 but has not been selected by the State for review.
c, Program is not covered by EO. 12372.
* 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes," provide explanation in attachment.)
El Yes '21- 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)
"* 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:
Middle Name:
* Last Name:
Suffix:
Title:
t y Manager
* Telephone Number:
* Email:
50555Mb-6000
c11.moore@yakimawa.gov
* Signature of Authorized Representative:
* First Name:
Fax Number:
* Date Signed:
6
05/02 82018
7
CIP DATA SHEET
AIRPORT
Yakima Air Terminal - McAllister FieIdILOCID 1 YKM
LOCAL PRIORITY
#1 out of 10
PROJECT DESCRIPTION
Airport Layout Plan Update & AGIS
PLANNED YEAR TO:
CONSTRUCT
2018
COST ESTIMATE:
ADMINISTRATION:
ENGINEERING:
INSPECTION:
$ 24444 1
SKETCH:
_. ._.._ __ _.--.,-- -------.
4
$
$ 320,000
2
$100,000 (AGIS)
5
$
$
3
$
TOTAL:
$444444
_
.` - �° ::�`
:t •.
:.'` �,4-.i. �c1_'+;.. �' . ::.d..t `.
.....-Pte,
�p _
_
ilei . -.
�i
21
�..�53
.0/- ma.. '-f-,- ..t. �. 'p _ �R_-...
___..-ti
_4
.a.. _
' g
.rtev
Iti
�L
-iiu"
.r
-�-a.-may:-
f4�
7.• `P
_`-,`! '�
Iy ._
._
••--
-- 157
-.
--
= .,+...w+-.
�
!ups
i is
IAC i
..�-moi
JUSTIFICATION: 1 The Master Plan will be updated with new AGIS data and with alternatives that mitigate
the Runway 22 relocated threshold and aligned taxiway. In addition, new south side development alternatives
will be created.
COST ESTIMATE:
ADMINISTRATION:
ENGINEERING:
INSPECTION:
$ 24444 1
1. Construction
$
4
$
$ 320,000
2
$100,000 (AGIS)
5
$
$
3
$
TOTAL:
$444444
Eed $ 400,000
State $ 22222 Local (%),, $ 22222
SPONSOR VERIFICATION:
For each and every
project as applicable
Date
(see instruction sheet or attached comments for more information)
N/A -Date of approved ALP with project shown
N/A -Date of environmental determination (ROD, FONSI, CatEx)
N/A -Date of land acquisition or signed purchase agreement
2/25/13 -Date of pavement maintenance program
N/A -Date of Benefit Cost Analysis (BCA) as required
SPONSOR'S SIGNATURE:
PRINTED NAME:
PHONE NUMBER:
Cliff Moore
509-575-6000
DATE: 5/2/2018
TITLE: City Manager
EMAIL: c(iff.moorecyakimawa.gov
FAA USE ONLY
PREAPP NUMBER
GRANT NUMBER
NPIAS CODE
WORK CODE -
FAA PRIORITY
FEDERAL$
8
INSTRUCTIONS FOR COMPLETING
CAPITAL IMPROVEMENT PLAN DATA SHEET
A Capital Improvement Plan (CIP) Data Sheet must be submitted 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 of the airport, the LOCID, the local priority of the 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. An aerial photo can be used as long as it
shows the proposed project information.
JUSTIFICATION - Answers the questions of what it is, why is it needed and what is the benefit. This is a very important part of your
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 be added to the CIP. To help you prepare solid justification we have
compiled the following list of suggestions, which you can use to support your assessment of the need for this project. Be sure to list
all reasons and needs for your project and include a detailed description of existing conditions. Use extra pages if needed.
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 affect pavement 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, sealcoats, etc.)
New taxiways/taxilanes — what will this taxiway/taxilane serve? Does it serve a hangar area? Is it a
parallel taxiway? What width are you proposing? If you propose a width that is wider than FAA standards,
indicate how that additional pavement will be funded.
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 be used (tie down area, etc).
For fencing projects — indicate the height of the fence and lineal footage. Also, explain why the fence is
needed (i.e. deer fencing, security, etc)
• Land acquisition explain what the land is needed for — approach protection? Development such as a
new hangar area? Also include if it is fee or easement. Include parcel numbers and acreage of those parcels.
Please state if residences or businesses will be acquired.
For Arrival/Departure Building, provide what type of facility you currently have and what you plan to
build (square footage, types of rooms)
COST ESTIMATE - The estimate of total cost including the Federal, State and Local shares. For first year projects, attach a detailed
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 in fee and land acquired in easement. Note if the project is dependent on other sources of
funding (i.e. other agency grants)
SPONSOR VERIFICATION - The verification that the project is properly planned and is ready to "go" within the first year of the CIP for
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 of the CIP
program, the sponsor should be working towards satisfying these requirements. Date each item verifying that all project
requirements are satisfied (check marks are not acceptable).
9
FAA
Airports
Current FAA Advisory Circulars Required for Use in AIP
Funded and PFC Approved Projects
Updated: 1/24/2017
View the most current versions of these ACs and any associated changes at:
http,// w.faa ov/airports/re o r~ce /advisory circulars lars arid'
Mel/ fa 4ov/redtliatjons policies/advisory circular
70/7460-1 L
Change 1
150/5020-1
150/5070-6B
Changes 1 - 2
150/5070-7
Change 1
Obstruction Marking and Lighting
Noise Control and Compatibility Planning for Airports
The Airport System Planning Process
150/5100-13B Development of State Standards for Nonprimary Airports
150/5200-28F Notices to Airmen (NOTAMs) for Airport Operators
150/5200-30D
Airport Field Condition Assessments and Winter Operations Safety
150/5200-31 C
Changes 1 - 2
Airport Emergency Plan
150/5210-5D
Painting, Marking, and Lighting of Vehicles Used on an Airport
150/5210-7D
Aircraft Rescue and Fire Fighting Communications
150/5210-13C
Airport Water Rescue Plans and Equipment
150/5210-14B
Aircraft Rescue Fire Fighting Equipment, Tools and Clothing
150/5210-15A Aircraft Rescue and Firefighting Station Building Design
FAA Advisory Circulars Required for Use in
AIP Funded and PFC Approved Projects
Updated 1/24/2017
ARP
Page 1 of 5
10
Systems for Interactive Training of Airport Personnel
Driver's Enhanced Vision System (DEVs)
15085220'1OE
Guide Specification for Aircraft Rescue and Fire Fighting (ARFF) Vehicles
150/5220-16D
Automated Weather Observing Systems (AWOS) for Non -Federal Applications
Aircraft Rescue and Fire Fighting (ARFF) Training Facilities
Buildings for Storage and Maintenance of Airport Snow and Ice Control
Equipment and Materials
150/5220-21C Aircraft Boarding Equipment
150/5220'22B
Engineered Materials Arresting Systems (EMAS) for Aircraft Overruns
150/5220'23
Frangible Connections
150/5220-24
Foreign ObjecDebris Detection Equipment
150/5220-25
Airport Avian Radar Systems
150/5220'26.
Changes 1 '2
Airport Ground Vehicle Automatic DependenSurveillance - Broadcas(ADS-2)
Out Squitter Equipment
150/5300'7B 3 FAA Policy on Facility Relocations Occasioned by Airport Improvements or
Changes
150/5300-13A,
Change 1
Airport Design
150/5300-14C Design of Aircraft Deicing Facilities
150/5300'16A
General Guidance and Specifications for Aeronautical Surveys: Establishment
of Geodetic Control and Submission to the National Geodetic Survey
150/5300'17C
Standards for Using Remote Sensing Technologies in Airport Surveys
150/5300'18B
Change 1
Survey and Data Standards for Submission of Aeronautical Data Using Airports
GIS
Airport Drainage Design
150/5320'6F
Airport Pavement Design and Evaluation
FAA Advisory Circulars Required for Use in
AIP Funded and PFC Approved ProjectsARP
Updated 1/24/2017
Page umn
11
150/5320'12C.
Changes 1 8Pavement Surfaces
Measurement, Construction, and Maintenance of Skid Resistant Airport
150/5320'15A Management of Airport Industrial Waste
Runway Length Requirements for Airport Design
Standardized Method of Reporting Airport Pavement Strength - PCN
1505340'1L Standards for Airport Markings
150/5340-5O
Segmented Circle Airport Marker System
150/5340'18F
Standards for Airport Sign Systems
Maintenance of Airport VisuaAid Facilities
150/5340'30H
Design and Installation Details for Airport Visual Aids
i505345 -3G
Specification for L-821, Panels for the Control of Airport Lighting
150/5345-5B
Circuit Selector Switch
Specification for L-824 Underground Electrical Cable for Airport Lighting
Circuits
1505845'1OH
Specification for Constant CurrenRegulators and Regulator Monitors
150/5345'12F
Specification for Airport and Heliport Beacons
150/5345'13B
Specification for L-841 Auxiliary Relay Cabinet Assembly for Pilot Control of
Airport Lighting Circuits
150/5345'28O FAA Specification For L-823 PIug and Receptacle, Cable Connectors
150/5345-27E Specification for Wind Cone Assemblies
150/5345-28G Precision Approach Path Indicator (PAPI) Systems
150/5345-39D
Specification for L-853, Runway and Taxiway Retroreflective Markers
Specification for Airport Light Bases, Transformer Housings, Junction Boxes,
and Accessories
150/5345-43H
Specification for Obstruction Lighting Equipmen
Specification for Runway and Taxiway Signs
150/5345-5C
Low -Impact Resistant (LIR) Structures
FAA Advisory Circulars Required for Use in
AIP Funded and PFC Approved ProjectsARP
Updated 1/24/2017
Page 3 of 5
12
150/5345-46E
Specification for Runway and Taxiway Light Fixtures
Specification for Series to Series Isolation Transformerfor Airport Lighting
Systems
150/5345~49C
Specification L-854, Radio Control Equipment
"150534�5U150/5345-5013
Specification for Portable Runway and Taxiway Lights
150/5345-51B
Specification for Discharge -Type Flashing Light Equipmen
1505345-52A
Generic Visual Glideslope Indicators (GVGI)
Airport Lighting EquipmenCertification Program
Specification for L-684, Power and Control Unit for Land and HoId Short
Lighting Systems
150/5345'55A Specification for L-893, Lighted Visual Aid to Indicate Temporary Runway
Closure
150/5345'568 Specification for L-890 Airport Lightirig Control and Monitoring System
(ALCMS)
150/5360'12F
150/5360'13
Change 1
Airport Signing and Graphics
Planning and Design Guidelines for Airport Terminal Facilities
150/5360'14
Access to Airports By Individuals With Disabilities
150/5370-2F
Operational Safety on Airports During Construction
150/5370'1OG Standards for Specifying Construction ofAirports
150/5370'11B Use of Nondestructive Testing in the Evaluation of Airport Pavements
Off -Peak Construction of Airport Pavements Using Hot -Mix Asphalt
150/6370'15B
Airside Applications for Artificial Turf
150/5370'18
Rapid Construction of Rigid (Portland CemenConcrete) Airfield Pavements
150/5370-17
Airside Use of Heated PavemenSystems
150/5390-2C Heliport Design
150/5395-1A Seaplane Bases
FAA Adv�o�oimmors Required for Use in Updated 1/24/2017
AIP Funded and PFC Approved Projects ARP
Page 4 of 5
THE FOLLOWING ADDITIONAL APPLY TO AIP PROJECTS ONLY
Updated: 1/24/2017
150/5100-14E,
Change 1
150/5100-17,
Changes 1 - 6
150/5300-15A
150/5320-17A
150/5370-126
150/5380-6C
150/5380-7B
150/5380-9
Architectural, Engineering, and Planning Consultant Services for Airport Grant
Projects
Land Acquisition and Relocation Assistance for Airport Improvement Program
Assisted Projects
Use of Value Engineering for Engineering and Design of Airport Grant Projects
Airfield Pavement Surface Evaluation and Rating Manuals
Quality Management for Federally Funded Airport Construction Projects
Guidelines and Procedures for Maintenance of Airport Pavements
Airport Pavement Management Program
Guidelines and Procedures for Measuring Airfield Pavement Roughness
13
FAA Advisory Circulars Required for Use in
AIP Funded and PFC Approved Projects
Updated 1/24/2017
ARP
Page 5 of 5
FAA
Airports
ASSURANCES
Airport Sponsors
14
A. General.
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.
B. Duration and Applicability.
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 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 Private
Sponsor.
The preceding paragraph 1 also applies to a private sponsor except that the useful life
of project items installed within a facility or the useful life of the facilities developed
or equipment acquired under an airport development or noise compatibility program
project shall be no less than ten (10) years from the date of acceptance of Federal aid
for the project.
Airport Sponsor Assurances 3/2014 Page 1 of. 20
15
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.
The sponsor hereby assures and certifies, with respect to this grant that:
1. General Federal Requirements.
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 seq.'
c. Federal Fair Labor Standards Act - 29 U.S.C. 201, et seq.
d. Hatch Act — 5 U.S.C. 1501, et see
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(0.1
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
1. Title 49, U.S.C., Section 303, (formerly known as Section 4(0)
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. 6101, 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.'
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 seq)
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.'
w. Wild and Scenic Rivers Act, P.L. 90-542, as amended.
x. Single Audit Act of 1984 - 31 U.S.C. 7501, ct seq.2
y. Drug -Free Workplace Act of 1988 - 41 U.S.C. 702 through 706.
Page 2 of 20
Airport Sponsor Assurances 3/2014
16
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
b. Executive Order 11990
c. Executive Order 11998
d. Executive Order 12372 -
e. Executive Order 12699 -
Building Construction'
f. Executive Order 12898 -
- Equal Employment Opportunity1
- Protection of Wetlands
— Flood Plain Management
Intergovernmental Review of Federal Programs
Seismic Safety of Federal and Federally Assisted New
Federal Regulations
Environmental Justice
a. 2 CFR Part 180 - OMB Guidelines to Agencies on Govemmentwide Debarment
and Suspension (Nonprocurement).
b. 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and
Audit Requirements for Federal Awards. [OMB Circular A-87 Cost Principles
Applicable to Grants and Contracts with State and Local Governments, and OMB
Circular A-133 - Audits of States, Local Governments, and Non -Profit
Organizations1.4' 5,6
c. 2 CFR Part 1200 — Nonprocurcment Suspension and Debarment
d. 14 CFR Part 13 - Investigative and Enforcement Procedures14 CFR Part 16 -
Rules of Practice For Federally Assisted Airport Enforcement Proceedings.
e. 14 CFR Part 150 - Airport noise compatibility planning.
f. 28 CFR Part 35- Discrimination on the Basis of Disability in Statc and Local
Government Services.
28 CFR § 50.3 - U.S. Department of Justice Guidelines for Enforcement of Title
VI of the Civil Rights Act of 1964.
h. 29 CFR Part 1 - Procedures for predetermination of wage rates.I
i. 29 CFR Part 3 - Contractors and subcontractors on public building or public work
financed in whole or part by loans or grants from the United States)
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).1
k. 41 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 - Unifo administrative requirements for grants and cooperative
agreements to state and local governments.3
m. 49 CFR Part 20 - New restrictions 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 of
1964.
o. 49 CFR Part 23 - Participation by Disadvantage Business Enterprise in Airport
Concessions.
g.
Airport Sponsor Assurances 32C14 Page 3 of 20
17
p. 49 CFR Part 24 — Uniform Relocation Assistance and Real Property Acquisition
for Federal and Federally Assisted Programs.'
2
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 or Benefiting from Federal Financial Assistancc.1
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
(ADA).
w. 49 CFR Part 41 - Seismic safety of Federal and federally assisted or regulated
new building construction,
Specific Assurances
Specific assurances required to be included in grant agreements by any of the above
laws, regulations or circulars are incorporated by reference in this grant agreement.
Footnotes to Assurance C.1.
2
3
4
These laws do not apply to airport planning sponsors.
These laws do not apply to private sponsors.
49 CFR Part 18 and 2 CFR Part 200 contain requirements for State and Local
Governments receiving Federal assistance. Any requirement levied upon State
and Local Governments by this regulation and circular shall also be applicable
to private sponsors receiving Federal assistance under Title 49, United States
Code.
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-1 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-133 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
18
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.
6 Audit requirements established in 2 CFR part 200 subpart F are the guidelines
for audits.
2. Responsibility and Authority of the Sponsor.
a. Public Agency Sponsor:
It has legal authority to apply for this grant, and to finance and carry out the proposed
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.
b. Private Sponsor:
It has legal authority to apply for this grant and to finance and carry out the proposed
project and comply with all terms, 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.
3. Sponsor Fund Availability.
It has sufficient funds available for that portion of the project costs which are not to
be paid by the United States. It has sufficient funds available to assure operation and
maintenance of items funded under this grant agreement which it will own or control.
4. Good Title.
a. It, a public agency or the Federal government, holds good title, satisfactory to the
Secretary, to the landing area ofthe 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.
5. Preserving Rights and Powers.
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
19
b. It will not sell, lease, encumber, or otherwise transfer or dispose of any part 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. ICthe
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 noisc compatibility program projects which arc 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 agreemcnt with that
government. Except as otherwise specified by 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 thc FAA for a grant to undertake the
noise compatibility program 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.
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 thc 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 arrangement also requires compliance therewith.
Sponsors of commercial service airports will not permit or enter into any
arrangement that results in permission for the owner or tenant of 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 permission for the owner of
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.
g.
Airport Sponsor Assurances 3/2014 Page 6 of 20
20
6. Consistency with Local Plas.
The project is reasonably consistent with plans (existing at the time ofsubmission of
this application) ofpublic agencies that are authorizcd by the State in which the
project is located to plan for the development o[the area surrounding the airport.
7. Consideration of Local Interest.
It has given fair consideration to thc interest ofcommunities in or near where the
project may be located.
8. Consultation with Users.
In making a decision to undcrtake any airport dcvelopment projectject under Title 49,
United States Code, it has undertaken reasonable consultations with affected parties
using the airport at which project is proposed.
9. Public Hearings.
In pr'eutuiuvo|ving1he\ocu1i000funuicyod, an airport runway, or a mjor runway
extension, it has afforded the opportunity for public hearings for the purpose of
considering the economic, socia!, and environmenta! cffccts ofthe 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 thc Secretary. Further, for such p'ecis, it
has on its management board either voting representation from the communities
where the pr'ectis|oon1cdorbamadviocdtbcuooumuuniticuthat they have thc right to
petition the Secretary concerning a proposed pr'ect.
10. Metropolitan Planning Organization.
In pr'cctuiovo|viugtbs|ocodnuofounicport,anuirportrunvvuy.orom jor 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, ifany, a copy ofthe the proposed amendment to the airport Iayout
plan to depict the project and unopyofnny airport master plan in which the project is
described or depictcd.
11. Pavement Preventive Maintenance.
With respect to a pject approved after January 1, 1995, for thc 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 ofany pavement constructed,
reconstructed or repaired with Federal financial assistancc at the airport. It will
provide such reports on pavement condition and pavement management programs as
the Secretary determines may be useful.
12, Terminal Development Prerequisites.
For p'ectnn/hicbinc|ude|cnninn|dove|opnnentutupub|ioumcuirport,uodcOnediu
Title 49, it has, on the date ofsubmittal ofthe project grant application, all the safety
equipment required for certification of such airport under section 44706 of Title 49,
United States Code, and all the security equipment required by rule or regulation, and
Airport Sponsor Assurances 3now Page r'xzo
21
has provided for access to the passenger enplaning and deplaning area ofsuch airport
to passengers enplaning and deplaning from aircraft other than air carrier aircraft.
13. Accounting System, Audit, and Record Ke'mg Requirements.
a. 11 shall keep all projectject accounts and records which fully disclose thc amount and
disposition by the recipient ofthe 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 ofthe cost ofthe project nupp|iedhyo1bermourocn,aodmuob
other financial records pertinent to the pr'ocLTbeuonoun1saodrccocdoabu|\bc
kept in accordance with an accounting system that will facilitate an effective audit
in accordance with the Single Audit Act of|904.
b. It shall make available to the Secretary and the Comptroller Gencral of the United
States, or any of their duly authorized representatives, for the purpose of audit and
examination, any books, documents, papers, and records of the recipient that are
pertlnent 10 this grant The Secretary may require that an approprlate audit be
conducted hyorecipient. in any case in which an independent audit is made ofthe
accounts of a sponsor relating to the disposition of the proceeds of a grant or
relating to the pjuot 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 United
States not later than six (6) months following the close ofthe fiscal year for which
the audit was made
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 ofwages, to be predetcrmined by the Secretary of Labor, in accordance with thc
Davis -Bacon Act, auamended (4OO.0.[.276u-27du-5),which contractors shall pay
to skilled and unskilled labor, and such minimum rates shall be stated in thc invitation
for bids and shall be included in proposals or bids for the work.
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
employment of labor (except in executive, administrative, and supervisory positions),
preference 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.
16. Conformity to Plans and Bpecificmtimnm'
It will execute the pject subject to plans, specifications, and schedules approved by
the Secretary. Such plans, specifications, and schcdulcs shall be submitted to the
Secretary prior 10 commencement of site preparation, construction, or other
performance under this grant agreement, and, upon approval of the Secretary, shall be
incorporated into this grant agreement. Any modification to the approved plans,
m�onxp".vAm"m"c�`/zow v�6*Gfz�
22
specifications, and schedules shall also be subject to approval of the Secretary, and
incorporated into this grant agreement.
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.
1 8. Planning Projects.
In carrying out planning projects:
a. It will execute the project in accordance with thc 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.
f. 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
services.
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.
19. Operation and Maintenance.
a. The airport 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 standards as may be required or prescribed by applicable Federal,
Airport Sponsor Assurances 3/2014 Page 9 of 20
23
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
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;
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 the
airport. Nothing contained herein shall be construed to require that the airport
be operated for aeronautical use during temporary periods when snow, flood
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 or
circumstance beyond the control of the sponsor.
b. It will suitably operate and maintain noise compatibility program items that it
owns or controls upon which Federal funds have been expended.
20. Hazard Removal and Mitigation.
It will take appropriate action to assure that such terminal airspace as is required to
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.
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
airport to activities and purposes compatible with normal airport operations, 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 funds 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
24
to engage in any aeronautical activity for furnishing services to the public at the
airport, the sponsor will insert and enforce provisions requiring the contractor to -
1) furnish said services on a reasonable, and not ujustly discriminatory, basis to
all users thereof, and
2) charge reasonable, and not unjustly discriminatory, priccuforcucb unit or
service, provided that the contractor may be allowed to make reasonable and
nondiscriminatory discounts, rebates, or other similar types of price reductions
to volume purchasers.
c. Each fixed -based operator at the airport shall be subject to the same rates, fees,
rentals, and other charges as are uniformly applicable to all other fixed -based
operators making the same or similar uses ofsuch airport and utilizing the same
or similar facilities.
d. Each air carrier using such airport shall have the right to service itself or to usc
any fixcd-based operator that is authorized or permitted by the airport to serve any
air carrier at such airport.
c. Each air carrier using such airport (whether as a tenant, non -tenant, or subtenant
ofanothcr air carrierier tenant) shall be subject to such nondiscriminatory and
substantially comparable rules, regulations, conditions, rates, fees, rentals, and
other charges with respect to facilities directly and substantially related to
providing air transportation as are applicable to all such air carriers which make
similar use of such airport and utilize similar facilities, subject to reasonable
classifications such as tenants or non -tenants and signatory carriers and non -
signatory carriers. Classification or status as tenant or signatory shall not be
unreasonably withheld by any airport provided an air carrier assumes obligations
substantially similar to those already imposed on air carriers in such classification
or status.
f. It will not exercise or grant any right or privilege which operates to prevent any
person, firm, or corporation operating aircraft on the airport from performingony
services on its own aircrafl with its own employees [including, but not limited to
maintenance, repair, and fueling] that it may choose to perform.
In thc event the sponsor itselfexercises any of the rights and privilegcs rcfcrred to
in this assurance, the services involved wilt be provided on the same conditions as
would apply to the furnishing of such services by commercial aeronautical service
providers authorized by the sponsor undcr thcse provisions.
h. The sponsor may establish such reasonable, and not unjustlydiscrimiratory,
conditions to be met by ati users ofthe airport as may be necessary for the safe
and efficient operation ofthc airport.
i. The sponsor may prohibit or limit any given type, kind or class ofacronautical
use of the airport if such action is necessary for the safe operation of the airport or
necessary to serve the civil aviation needs ofthe public.
g.
Airport Sponsor Assurances 3/2014 Page 11 of 20
25
23. Exclusive
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, thc 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
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 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 cojunction 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 exclusivc right to conduct an aeronautical
activity now existing at such an airport before the grant of any assistance under
Title 49, United States Code.
24. Fee and Rental Structure.
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 ofcollection. No part ofthe Federal share ofan airport
dcvclopment, airport planning or noise compatibility projectject 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.
25. Airport Revenues.
a. All rcvenues generated by thc airport and any local taxcs on aviation fuel
established after December 30, 1987, wiU be expcndcd by it for the capital or
operating costs of the airport; the local airport system; or other !ocal facilities
which are owncd or operated by the owner or operator ofthe the airport and which
are directly and substantially related to the actual air transportation of passengers
or property; or for noise mitigation purposes on oroff 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 Assuranccs 3/2014 Page 12 of 20
26
operator's facilities, including the airport, to support not only the airport but
also the airport owner or operator's general debt obligations or other facilities,
then this limitation on the use of all revenues generated by the airport (and, in
the case of a public airport, local taxes on aviation fuel) shall not apply.
2) If the Secretary approves the sale of a privately owned airport to a public
sponsor and provides funding for any portion of the public sponsor's
acquisition of land, this limitation on the use of all revenues generated by the
sale shall not apply to certain proceeds from the sale. This is conditioned on
repayment to the Secretary by the private owner of an amount equal to the
remaining unamortized portion (amortized over a 20 -year period) of any
airport improvement grant made to the private owner for any purpose other
than land acquisition on or after October 1, 1996, plus an amount equal to the
federal share of the current fair market value of any land acquired with an
airport improvement grant made to that airport on or after October 1, 1996.
3) Certain revenue derived from or generated by mineral extraction, production,
lease, or other means at a general aviation airport (as defined at Section 47102
of title 49 United States Code), if the FAA determines the airport sponsor
meets the requirements set forth in Sec. 813 of Public Law 112-95.
b. As part of the annual audit required under the Single Audit Act of 1984, the
sponsor will direct that the audit will review, and the resulting audit report will
provide an opinion concerning, the use of airport revenue and taxes in paragraph
(a), and indicating whether funds paid or transferred to the owner or operator are
paid or transferred in a manner consistent with Title 49, United States Code and
any other applicable provision of law, including any regulation promulgated by
the Secretary or Administrator.
c. Any civil penalties or other sanctions will be imposed for violation of this
assurance in accordance with the provisions of Section 47107 of Title 49, United
States Code.
26. Reports and Inspections.
It will:
a. submit to the Secretary such annual or special financial and operations reports as
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 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, 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 to
the project and continued 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
upon reasonable request; and
Airport Sponsor Assurances 3/2014 Page 13 of 20
27
d. in a format 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 government 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
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
Secretary, or otherwise agreed to by the sponsor and the using agency, substantial use
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.
b.
Five (5) or more Government aircraft are regularly based at the airport or on land
adjacent thereto; or
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
air traffic control or air navigation activities, or weather -reporting and communication
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.
29. Airport Layout Plan.
a. It will keep up to date at all times an airport layout plan of the airport showing
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 3/2014 Page 14 of 20
28
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 duc to a change in the Secretary's design standards beyond
the control of the airport sponsor.
30. Civil Rights.
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.
b. Applicability
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 thcrewith.
Airport Sponsor Assurances ]/2)l4
Page 15 of 20
29
3) Real Property. Where the sponsor receives a grant or othcr 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.
c. Duration.
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 assurancc ob!igates the sponsor, or any transferee for the Ionger of
the foliowing 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
2) So long as the sponsor retains ownership or possession of the property.
ci. Required Solicitation Language. It will include the following notification in all
solicitations for bids, Requcsts For Proposals for work, or materia! under this
grant agreement and in all proposals for agrcements, including airport
concessions, rcgardless of funding source:
"The(City ofofYakima), in accordance with the provisions ofTitic VI ofthe
Civil Rights Act oflq04(70Stat. 252,42D.S.C.8G2000dto2OOOd-4)and the
Regulations, hereby notifies all biddcrs 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 fbranuvvard."
cii. Required Contract Provisions.
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
thc contracts by refcrence in every contract or agreement subjcct to the non-
diocrinninn1ioo 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 10 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
thc basis ofrace, color, national origin, creed, sex, age, or handicap as a
Airport Sponsor Assurances 3 2m^� � � Page 16 of 20
g.
30
covenant running with the land, in any future deeds, leases, license, permits,
or similar instruments entered into by the sponsor with other parties:
a) For the subsequent transfer of real property acquired or improved 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.
It will provide for such methods of administration for the program as are found by
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 program
will comply with all requirements imposed or pursuant to the acts, the regulations,
and this assurance.
It agrees that the United States has a right to seek judicial enforcement with
regard to any matter arising under the acts, the regulations, and this assurance.
31. Disposal of Land.
a. For land purchased under a grant for airport noise compatibility purposes,
including land serving as a noise buffer, it will dispose of the land, when the land
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 acquisition of such land will be, at the
discretion of the Secretary, (1) reinvested in another project at the airport, or (2)
transferred to another 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 for deposit in the Airport and Airway Trust Fund. If
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 eligible
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 thc
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 20
31
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
for deposit in the Airport and Airway Trust Fund.
c. Land shall be considered to be needed for airport purposcs under this assurance if
(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 such
land contributes to the financial self-sufficiency of the airport. Further, land
purchased with a grant received by an airport operator or owner before December
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 the
operator or owner of the uses of such land, did not objcct to such use, and the land
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.
32. Engineering and Design Services.
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.
33. Foreign Market Restrictions.
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
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 01/24/2017 (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
32
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 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,
c. It 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.
36. Access By Intercity Buses.
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;
however, it has no obligation to fund special facilities for intercity buses or for other
modes of transportation.
37. Disadvantaged Business Enterprises.
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. 1001 and/or the Program Fraud
Civil Remedies Act of 1936 (31 U.S.C. 3801).
38. Hangar Construction.
lf 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 term
lease that is subject to such terms and conditions on the hangar as the airport owner or
operator may impose.
Airport Sponsor Assurances 3/2014 Page 19 of 20
33
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 1 or August 1 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 3/2014 Page 20 of 20
CONTRACTOR CONTRACTUAL REQUIREMENTS
ATTACHMENT 1
34
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. 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, Including Procurements of Materials and Equipment. 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 Reports. 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.
35
CLAUSES FOR DEEDS, LICENSES, LEASES, PERMITS OR SIMILAR INSTRUMENTS
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.
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.
36
REQUIRED STATEMENTS
AIRPORT IMPROVEMENT PROGRAM PROJECTS
AIRPORT: Yakima Air Terminal _ McAllister Field
LOCATION:
City of Yakima
AIP PROJECT NO.. 3-53-0089-042-2018
STATEMENTS APPLICABLE TO THIS PROJECT Airport Layout Plan Update & AGIS
00
a. INTEREST OF In formulating this project, consideration has been
given to the interest of communities that are near (Exact name of airport) Yakima Air Terminal.
b. THE DEVELOPMENT PROPOSED IN THIS PROJECT 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, Stgte, or
Local jurisdiction.
c. FB0 The airport developmenbeen coordinated with the
Fixed Base Operator(s) utilizing (Exacname of airport) Yakima Air TermnaJ and they have been
informed regarding the scope and nature of this project.
d' THE PROPOSED PROJECwith 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: DATE. � 5/2/18
TITLE: City Manager
SPONSORING AGENCY: City
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.
aIdentification of the Federal, state, or local governmental agency, or the person or persons opposing the project;
b. The nature and basis ofopposition;
c. Sponsors plan to accommodate or otherwise satisfy the opposition;
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;
fSponsors plans, if any, to minimize any adverse effects of the project;
B Benefits to be gained by the proposed development; and
37
CERTIFICATION FOR CONTRACTS, GRANTS, LOANS,
AND COOPERATIVE AGREEMENTS
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 4/25/18
Sponsor's Authorized Representative
Title City Manager, City of Yakima
38
CERTIFICATION REGARDING LOBBYING
Certification for Contracts Grants Loans and Cooperative Agreements
The undersigned certifles to the best of his or her knowledge and belief that
�K
(2) If any funds other than Federal appropriated funds have been
paid or will
be p
aid to any person
for ,
influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an
omoe,o,omp|ovo,mcon0mov.o,anemp|oyeeofuMomuoro,Cvnnmoxincvnnoctmnwnhm|nrvu
Federal ,a
|
contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard
Form -LLL, "Disclosure of Lobbying 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 subrecipients shall certify and disclose accordingly. This certification
is a material representation of fact upon wtiich reliance was placed when this transaction was made or
entered into. Submission of this certification is a prerequisite for making v,entering into this transaction
(1)wuFederal appropriated funds have been paid n,�mn»epaid, ovo,onbehalf mthe undersigned, many
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.
imposed by section 1m52,title m.�S.Code. Any person who fails to file the required certification shal/be
subject macivil penalty of not less than mn.000and not more than $100,000 for each such failure.
Statement for Loan Guarantees and Loan Insurance
The undersigned states, to the best of his or her knowledge and belief, that:
If any 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 commitment providing for the United States to insure or
guarantee a loan, the undersigned shall complete and submit Standard Form -LLL, "Disclosure of Lobbying
Activities," in accordance with its instructions. Submission of this statement 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 statement shall be subject to a civil penalty of not less than $10,000 and not more than $100,000
for each such failure.
*APPLICANTS ORGANIZATION
ity of Yakima
^PFowTeomAmsmvonTLeOrxuTHnnIZEoRePnE8swTATme
Prefix:�
* LasName:
Moore
� « �
* �z'// czw��g°=
* First Name:
m�^
Middle Name:
^oATsy
0o/na/o10
U.S. Department
of Transportation
Federal Aviation
Administration
39
FAA Form 5100-101, Application for Federal Assistance
(Planning Projects) ^��
. .. .����.
Paperwork Reduction Act Statement
A federal agency may not conduct or sponsorand a person is not required to respond to, nor shall a person be subjecto
a penalty for failure to comply with a collection of information subjecto the requirements of the Paperwork Reduction Ac
unless that collection of information displays a currently valid OMB Control Number. The OMB Control Number for this
information collection is 2120-0569. Public reporting for this collection of information is estimated to be approximately 28
hours per response, including the time for reviewing inutnuctiono, searching existing data sources, gathering and
maintaining the data nemdmd, completing and reviewing the collection of information. All responses to this collection of
information are required under 49 U.S.C. Section 47105 to retain a benefit and to meet the reporting requirements of 2
CFR 200; no assurance of confidentiality is provided. Send comments regarding this burden estimate or any other aspect
of this collection of information, including suggestions for reducing this burden to the FAA at: 800 Independence Ave. SW,
Washington, DC 20591, Attn: Information Collection Clearance Officer, ASP -110.
INSTRUCTIONS FOR FORM 5100-101,
Application for Federal Assistance (Planning Projects)
Part I of the Application for Federal Assistance consists of a completed Standard Form (SF) 424. The remaining parts of
Form 5100-101 (Parts II, III, and IV) represent continuation pages that the Sponsor must attach to the SF -424 form. The
signature of the Sponsor's authorized representative on the associated SF -424 form represents acceptance of the
representations and certifications made within the corresponding FAA 5100-101 form.
Part II — Project Approval Information
Section A. Statutory Requirements
This information is necessary for the Federal Aviation Administration to evaluate this requestfor Federal assistance.
Responses do not require an explanation unless explicitly requested by the question. As necessary, provide any
supplemental information by attaching sheets to this application.
Item 1 — Indicate whether the Sponsor maintains an active registration in the Federal System for Award Management
(SAM). Pursuant to 2 CFR §25.200(b), a Sponsor must maintain an active registration in the Central Contractor
Registration repository (housed within www.SAM.gov) with current information at the time of the application and during the
active period of the Federal award.
Item 2 — Indicate whether the Sponsor can commence the projecwithin the same fiscal year the grant is made or within 6
months of when the grant is made, whichever is later. Attach explanation for negative responses. This information is
considered when allocating available discretionary funds. (49 U.S.C. § 47115(d)(2))
Item 3— Indicate whether the Sponsor can complete the project without unreasonable delays. If applicable, provide listing
of foreseeable events (e.g. sponsor share issues, controversial issues, coordination delays, etc.) that have potential to
delay completion of the project. (49 USC § 47106(a))
FAA Form 5100-101 (4/16) SUPERSEDES PREVIOUS EDITION
40
Item 4 — Indicate whether the project covered by this request is also covered by another Federal assistance program .If
the project, or portions thereof, is covered by another Federal assistance program, identify the Federal assistance
program by name and the Catalog of Federal Domestic Assistance (CFDA) number.
Item 5 — Indicate whether the Sponsor intends to seek reimbursemenof indireccosts as defined by 2 CFR §200.414 and
2 CFR Appendix VII to Part 200. This information request does not include the indirect costs claimed by a for-profit entity
(e.g. consultant).
The De Minimis rate may only be used if the Sponsor has not previously received a negotiated IndirectCost Rate (ICR)
and does not exceed the limitations prescribed in Appendix VII to Part 200.
A Sponsor with an existing approved negotiated ICR must identify the 1CR value, the name of the cognizant agency that
approved the ICR and the date of approval.
Limitations of use: Per policy, Sponsor's may only apply an approved ICR to allowable directsalary expenses that are
reasonable and necessary to carry out the project.
Section B. Certification Regarding Lobbying
This section addresses the Sponsor's declaration regarding lobbying activities. The declaration made in the section are
under signature of the authorized representative as identified in box 21 of form SF -424, to which this form is attached
Title 31 U.S.C. § 1352 establishes that no appropriated funds may be expended by a recipient of a Federal grant to pay
any person for influencing or attempting to influence an officer or employee of any agency, Member of Congress, an
officer or employee of Congress, or an employee of a Member of Congress in connection with this covered Federal
assistance action. Pursuant to 40 CFR part 20, this certification attests that the Sponsor has not made, and will not make,
any payment prohibited payment by 31 U.S.C. § 1352.
Part 111 — Budget Information
This form section is designed so thaapplication can be made for funds from one or more assistance programs. Include
budget estimates for the whole project when completing Sections A, B, C, and D. All applications must contain a
breakdown by the object class categories shown in Lines a -e of Section B.
Section A. Budget Summary
Lines 1-2, Columns (a) and (b) — For applications pertaining to a single grant program, enter on Line 1 under Column (a)
the catalog program title and the Catalog of Federal Domestic Assistance (CFDA) number in Column (b). For applications
pertaining to two funding programs, enter the program title on each line in Column (a) and the respective CFDA number (if
applicable) on each line in Column (b).
Lines 1-2, Columns (c) through (e) — For each line entry in Columns (a) and (b), enter in Columns (c), (d), and (e) the
appropriate amounts of funds needed to support the project. For changes to an existing application, enter new budget
values in Columns (c), (d), and (e).
Line 3 — Show the totals for all columns used.
Section B. BudgeCategories
The column headings (1) and (2) correspond to the program titles shown for Lines 1-2, Column (a), Section A. For each
program, fill in the total requirements for funds (both Federal and non -Federal) by object class categories. The sub-
columnsaddnunotha^mmount"und^adjuobadomount".Thmoub'on|umnhor^odjuabadmmuunt"naodon|ybeoomp|ehed
when revising a previously submitted application. The Total column represents the sum across all columns.
Lines 4 a -d — Show the estimated amount for each cost budge(object class) category for each column with program
heading.
Line 4e — Entethe subtotal of lines 4a through 4d.
Line 4f — Enter the estimated amount of program income, if any, the Sponsor expects to generate from this project.
FAA Form 5100-101 (4/16) SUPERSEDES PREVIOUS EDITION ii
41
Line 4g — Subtracline 4f from line 4e. For all applications, the totaamount in Totacolunin, line 4g, must equal the total
amount shown in Section A, Column (e), Line 3.
Section C. Source of Non -Federal Resources
Line 5-6 — Enter amounts of non -Federal resources that will be used on the grant. If in-kind contributions are included,
provide a brief explanation on a separate sheet.
Column (a) - Enter the program tities identical to Column (a), Section A.
Column (b) - Enter the amount of cash and in-kind contributions to be made by the applicant.
Column (c) - Enter the State contribution if the applicant is not a State or State agency. Applicants that are a State or
State agencies should leave this colurnn blank.
Column (d) Enter the amount of cash and inn -kind contributions to be made from all other sources.
Column (e)'Enter the totals nfColumns (b).(o).and (d).
Line 7 — Enter the total for each of Columns (b) -(e). The amount in Column (e) should be equal to the amount on Line 3,
Column (d), Section A.
Section D. Forecasted Cash Needs
Line 8 —
a. Column "Total for Project - Enter the amount of cash needed from the grantor agency for the project.
b. Columns 1st Year through 4th Year — Enter the anticipated cash need from grantor agency per fiscal year.The
numoyyearo1-4muatwque|theva|ueohownunderCo|umn^Tota|furPnojeot.^
Lines 814 - Enter the amount of cash from all other sources needed by quarter during the first year.
Line 9 —
a. Column "Total for Project"- Enter the amount of cash needed from non -Federal sources for the project.
b. Columns 1st Year through 4th Year — Enter the anticipated cash need from non -Federal sources per fiscal
year. The sum of years 1-4 must equal the value shown under Column "Total for Project."
Line 10 — Enter the amount of cash from all other sources needed by fiscal year.
Section E. Budget Estimates of Federal Funds Needed for Balance of the Project
Section E. Other Budget Information
Line 11 — Provide any other explanations required herein or any other comments deemed necessary.
Part IV — Program Narrative
Prepare the program narrative statement in accordance with the following instructions for all new grant programs.
Requests for supplemental assistance should be responsive to Item 5b only. Requests for continuation or refunding or
other changes of an approved project should be responsive to Item 5c only.
1. Objectives and Need for This Assistance
Provide a short and concise description of the proposed planning effort. Include a brief narrative on the objective of the
planning effort and why it is needed.
2. Results or Benefits Expected
Identify anticipated results and benefits to be derived from this planning project.
3. Approach
a. Outline a plan of action pertaining to the scope and detail of how the Sponsor proposes to accomplish the work.
b. Identify any factors that might accelerate or impede progress of the planning effort.
c. Provide list of activities in chronological order to show the anticipated schedule of accomplishments and their
target milestone dates.
FAA Form 5100-101 (4/16) SUPERSEDES PREVIOUS EDITION i�
42
d. Identify project monitoring and oversight mechanisms the Sponsor proposesto implement.
e. List key individuals and entities such as consultant, Sponsor personnel and contractor who will work on the
project. Provide a short description of the nature of their effort or contribution.
4. Geographic Location
Identify the Iocation of the projectand surrounding area to be served by the proposed project.
5. If Applicable, Provide the Foliowing Information:
Describe the relationship between this project and other work planned, anticipated, or underway under the Federal
Assistance listed under Part II, Section A. If scope objectives change, explain the circumstances surrounding the need to
revise [he application scope of work.
FAA Form 5100-101 (4/16) SUPERSEDES PREVIOUS EDITION 1v
43
US. Department ofTransportauon OMB CONTROL NUMBER: 2120-0569
%re Federal Aviation Administration EXPIRATION DATE: 8/31/2019
Application for Federal Assistance (Planning Projects)
Part II — Project Approval Information
Section A — Statutory Requirements
The term "Sponsor" refers to the applicant name as provided in box 8 of the associated SF -424 form.
Item 1
El Yes No
Does Sponsor maintain an active registration in the System for Award Management
(www.SAM.gov)?
Item 2
El Yes El No N/A
Can Sponsor commence the work identified in the application in the fiscal year the grant is
made or within six months after the grant is made, whichever is later?
Are there any foreseeable events that would delay completion of the project? If yes,
provide attachment to this form that lists the events.
Yes No N/A
Item 4
Is the projeccovered by another Federal assistance program? If yesplease identify other
funding sources by the Catalog of Federal Domestic Assistance (CFDA) number.
CFDA:
EI Yes No N/A
Will the requested Federal assistance include Sponsor indireccosts as described in 2 CFR
Appendix Vil to Part 200, States and Local Government and Indian Tribe lndirectCost
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:
0Oo[Ninimiorate nf1O96mopermitted by2CFR § 200.414
0 Negotiated Rate equal to % as approved by (the Cognizant Agency)
on(Datm)(2CFR part 2OO.appendix VII)
Note: Refer to the instructions for limitations of application associated with claiming Sponsor indirect costs.
FAA Form 5100-101 (4/16) SUPERSEDES PREVIOUS EDITION Page 1 of 4
44
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 Ianguage 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 5100-101 (4/16) SUPERSEDES PREVIOUS EDITION Page 2 of 4
Grant Program
(a)
1. Airport Improvement Program
2.
3. TOTALS
4. Object Class Categories
a. Administrative expense
b. Airport Planning
c. Environmental Planning
d. Noise Compatibility Planning
e. Subtotal
f. Program Income
g. TOTALS (line e minus line f)
Grant Program
(a)
5. WSDOT Grant Program
6.
7. TOTALS
Source of funds
8. Federal
9. Non -Federal
Part 111 — Budget Information
Section A — Budget Summary
Federal
Catalog No
(b)
20-106
Federal
(c)
400,000
400,000
New or Revised Budget
Non -Federal
(d)
Section B — Budget Categories (All Grant Programs)
Airport Improvement Program
(1)
Amount
24,444
400,000
20,000
0
444,444
0
444,444
Adjustment
+ or (-) Amount
(Use only for
revisions)
44,444
44,444
Other Program
(2)
Amount
Section C — Non -Federal Resources
Applicant
(b)
22,222
22,222
State
(c)
22,222
22,222
Section D — Forecasted Cash Needs
Total for Project
400,000
44,444
1st Year 2nd Year
300,000
24,444
$ loo,000
20
Adjustment
+ or (-) Amount
(Use only for
revisions)
Other Sources
(d)
3rd Year
45
Total
(e)
444,444
444,444
Total
24,444
400,000
20,000
0
444,444
0
444,444
Total
(e)
44,444
44,444
4th Year
10. TOTAL
444,444
324,444
120,000
Section E — Other Budget Information
11. Other Remarks: (attach sheets if necessary)
Budget is based on estimate, actual numbers will be determined in the approved scope and fee.
FAA Form 5100-101 (4/16) SUPERSEDES PREVIOUS EDITION
Page 3 of 4
46
Part IV - Program Narrative
(Suggested Format)
PROJECT: Airport Layout Plan Update & AGIS
AIRPORT: City of Yakima - McAllister Field
1. Objective:
To update the 2015 Airport Master Plan report and Airport Layout Plan set and complete an AGIS obstruction survey.
2. Benefits Anticipated:
1. Update the twenty-year forecast;
2. Mitigate the Runway 22 relocated threshold and aligned taxiway;
3. Complete the AGIS survey; and
4. Provide a fresh look at development alternatives.
3. Approach: (See approved Scope of Work in Final Application)
Element 1: Study Initiation and Management
Element 2: AGIS Survey
Element 3: Airport Data Collection and Facilities Inventory
Element 4: Aeronautical Activity Forecasts and Demand Capacity Analysis
Element 5: Facility Requirements
Element 6: Alternatives Analysis
Element 7: Airport Layout and Terminal Area Plans
Element 8: Compatible Land Use Planning
Element 9: Capital Improvement Program / Costs
Element 10: Airport Financial Plan
Element 11: Agency Coordination
Element 12: Public Participation
Element 13: Reports and Documentation
4. Geographic Location:
City of Yakima, Yakima County Washington
5. If Applicable, Provide Additional Information:
6. Sponsor's Representative: (include address & telephone number)
Cliff Moore, City Manager (509) 575-6000
City Hall, 129 N. 2nd Street, Yakima WA 98901
FAA Form 5100-101 (4/16) SUPERSEDES PREVIOUS EDITION Page 4 of 4
47
fell?
U.S. Department
of Transportation
Federal Aviation
Administration
FAA Form 5100-130, Drug -Free Workplace — Airport Improvement
Program Sponsor Certification
Paperwork Reduction Act Burden Statement
A federaagency may not conducor sponsor, and a person is not required to respond to, nor shall a
person be subjecto a penalty for failure to comply with a collection of information subject to the
requirements of the Paperwork Reduction Acunless that collection of information displays a currently
valid OMB Control Number. The OMB Control Number for this information collection is 2120-0569. Public
reporting for this collection of information is estimated to be approximately 8 hours per response,
including the time for reviewing inotnuctimno, searching existing data mouroeo, gathering and maintaining
the data needed, completing and reviewing the collection of information. All responses to this collection of
information are required under 49 U.S.C. Section 47105 to retain a benefit and to meet the reporting
requirements of 2 CFR 200. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden to the Federal Aviation
Administration at: 800 Independence Ave. SW, Washington, DC 20591, Attn: Information Collection
FAA Form 5100-130
48
Orb u/S.Department ovTransportation OMB CONTROL NUMBER: 2120-0569
Allipe Federal Aviation Administration EXPIRATION DATE: 8/31/2019
Drug -Free Workplace
Airport Improvement Program Sponsor Certification
Sponsor: City of Yakima
Airport: Yakima Air Terminal - McAllister Field
Project Number: 3-53-0089-042-2018
Description of Work: Airport Layout Plan Update & AGIS
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 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 Acof 1988.
Certification Statements
Except for certification statements below marked as not applicable (N/A), this list includes major
nuqu|nomontoofdhmoonutmntionpnoject.Se|eoUng^Yau^nmpreaentompunaorocknmw|adgementand
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 projecnotifying 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).
El Yes 12 No ON/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;
b. The sponsor's policy of maintaining a drug-free 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.
ID Yes O No O N/A
FAA Form 5100-130 (1/17) SUPERSEDES PREVIOUS EDITION Page 1 of 3
49
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).
ID Yes No ON/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.
QQYes No El 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 ONJA
G. 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
bsnnination, consistent with the requirements cfthe Rehabilitation Acof 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.
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).
ID Yes No ON/A
Site(s) mfperformance mfwork (2CFR §182.230):
Location 1
Name of Location: Yakima Air Terminal - McAllister Field
Address: 2406 W. Washington Rd, Suite 2 Yakima WA 98903
Location 2 (if applicable)
Name of Location:
Address:
Location 3 (if applicable)
Name of Location:
Address:
FAA Form 5100-130 (1/17) SUPERSEDES PREVIOUS EDITION Page 2 of 3
50
Attach documentation clarifying any above item marked with a "No" response.
Sponsor's Certification
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 2 day of May , 2018
Name of Sponsor: City of Yakima
Name of Sponsor's Authorized Official: Cliff Moore
Title of Sponsors Authorized OfficiaI: City Manager
Signature of Sponsor's Authorized Official:
|declare under penalty of perjury that the foregoing is true and correct. 1 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 510-13U(1/17)SUPERSEDES PREVIOUS EDITION Page omo
51
U.S. Department
of Transportation
Federal Aviation
Administration
FAA Form 5100-134, Selection of Consultants — Airport
Improvement Program Sponsor Certification
Paperwork Reduction Act Statement
A federal agency may not conduct or sponsorand a person is not required to respond to, nor shall a
person be subject to a penalty for failure to comply with a collection of information subject to the
requirements of the Paperwork Reduction Acunless that collection of information displays a currently
valid OMB Control Number. The OMB Control Number for this information collection is 2120'0569. Public
reporting for this collection of information is estimated to be approximately 8 hours per response,
including the time for reviewing inotructionm, searching existing data eouroau, gathering and maintaining
the data needed, completing and reviewing the collection of information. All responses to this collection of
information are required under 49 U.S.C. Section 47105 to retain a benefit and to meet the reporting
requirements of 2 CFR 200. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden to the Federal Aviation
Administration at: 800 Independence Ave. SW, Washington, DC 20591, Attn: Information Collection
Clearance Officer, ASP -110.
FAA Form 5100-134
52
gjibu�.Department vrTransportation OMB CONTROL NUMBER: 2120-055
lap' Federal Aviation Administration EXPIRATION DATE: 8/31/2019
Selection of Consultants
Airport Improvement Program Sponsor Certification
Sponsor: City of Yakima
Airport: Yakima Air Terminal - McAIIister Field
Project Number: 3-53-0089-042-2018
Description of Work: � AirpnrtLayout Plan Update &AG|G
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 reponsibility for the settlement of all contractual and administrative
issues arising out of their procurement actions (2 CFR § 200.318(k)).
Q0Yes No ON/A
2. Sponsor procurement actions ensure or will ensure full and open competition that does not
unduly limit competition (2 CFR § 200.319).
0QYes No 0N64
3. Sponsor has excluded or will exclude any entity that develops urdrafts mpecfiooUonm.
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).
ID Yes No ON/A
FAA Form 5100-134 (2/17) SUPERSEDES PREVIOUS EDITION Page 1 of 3
53
4. The advertisement describes or wili describe specific projectstatements-of-work that provide
clear detail of required services without unduly restricting competition (2 CFR §200.31Q).
ID Yes No ON/A
5. Sponsor has publicized or will publicize a RFQ that:
a. Solicits an adequate number of qualified sources (2 CFR § 200.320(d)); and
b. Identifies all evaluation criteria and relative importance (2 CFR § 200.320(d)).
�Yes No ON/A
6. Sponsor has based or will base selection on qualifications, experience, and disadvantaged
business enterprise participation with price not being a selection factor (2 CFR § 200.320(d)).
ID Yes ONo ON/A
7. Sponsor has verified or will verify that agreements exceeding $25,000 are not awarded to
individuals or firms suspended, debarred or otherwise excluded from participating in federally
assisted projects (2 CFR §180.300).
QgYes No []N/A
8. A/E services covering multiple projects: Sponsor has agreed to or will agree to:
a. Refrain from initiating work covered by this procurement beyond five years from the date
ofselection (AC 15U/51UO'14);and
b. Retain the right to conduct new procurement actions for projects identified or not
identified inthe RFQ(AC 15O/510O-14).
OYes No ID N/A
9. Sponsor has negotiated or will negotiate a fair and reasonable fee with the firm they select as
most qualified for the services identified in the RFQ (2 CFR § 200.323).
ID Yes No ON/4
10. The Sponsors contractidentifies or will identify costs associated with ineligible work separately
from costs associated with ehgible work(2 CFR § 200.302).
E1 Yes No []N/A
11. Sponsor has prepared or will prepare a record of negotiations detailing the history of the
procurement action, rationale for contracttype and basis for contract fees (2 CFR §200.318(i)).
g Yes No ON/4
12. Sponsor has incorporated or will incorporate mandatory contacprovisions in the consultant
contract for AIP-assisted work (49 U.S.C. Chapter 471 and 2 CFR part 200 Appendix U)
OYes No N/A
FAA Form 51OO-134(2hr)SUPERSEDES PREVIOUS EDITION Page oovo
54
13. For contracts that appy 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
mannervvitheffeotivecootoontoo|uinp|oue2CFRQ200.318(j)).
[]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)).
El Yes No ONA\
Attach documentation clarifying any above item marked with "no" response.
Sponsor's Certification
|certify, for the project identified herein, responses to the forgoing items are accurate as marked and
additional documentation for any item marked no" is correctand 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 2 day of May . 2018
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:
1 declare under penalty of perjury that the foregoing is true and correct. 1 understand that knowingly and
willfully providing faise 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
Airport/Sponsor:
AIP #:
55
TITLEVI PRE -AWARD SPONSOR CHECKLIST
City of Yakima - Yakima Air Terminal - McAllister -Field
3-53-0089-042-2018
Project Description(s):
Airport Layout Plan Update with AGIS Survey
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.
None
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 4)
) 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
Review completed and approved:
To be completed by the Civil Rights Staff
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
56
U.S. Department
of Transportation
Federal Aviation
Administration
FAA Form 5100-135, Certification and Disclosure Regarding
Potential Conflicts of Interest — Airport Improvement Program
Sponsor Certification
Paperwork Reduction Act Statement
A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a
person be subject to a penalty for failure to comply with a collection of information subject to the
requirements of the Paperwork Reduction Act unless that collection of information displays a currently
valid OMB Control Number. The OMB Control Number for this information collection is 2120-0569. Public
reporting for this collection of information is estimated to be approximately 8 hours per response,
including the time for reviewing inotructiono, searching existing data sources, gathering and maintaining
the data namded, completing and reviewing the collection of information. All responses to this collection of
information are required under 49 U.S.C. Section 47105 to retain a benefit and to meet the reporting
requirements of 2 CFR 200. Send comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this burden to the Federal Aviation
Administration at: 800 Independence Ave. SW, Washington, DC 20591, Attn: Information Collection
Clearance Officer, ASP -110.
FAA Form 5100-135
57
U.S. Department ofTransportation OMB CONTROL NUMBER: 2120-0569
lair/ Federal Aviation Administration EXPIRATION DATE: 8/31/2019
Certification and Disclosure Regarding Potential Conflicts of Interest
Airport Improvement Program Sponsor Certification
Sponsor: City of Yakima
Airport: Yakima Air Terminal - McAllister Field
Project Number: 3-53-0089-042-2018
Description of Work: Airport Layout Plan Update & AGIS
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 (Al P), 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-recipienacknowledgement and confirmation of the
certification statement. Selecting "No" represents sponsor or sub -recipient disclosure that it cannot fully
comp|yvviththeoarUfinationabdamanL|f^No^iaoe|eot»d.provdeoupportinhxnnmUnnaxp|einingthe
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 §
2OO.318(o)).The term ^w/i!|^means Sponsor action taken atappropriate time based onthe nedifiooUon
statement focus area, but no later than the end of the project period of performance.
Certification Statements
1. The sponsor or sub-recipienmaintains 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.
CI Yes El No
FAA Form 5100-135 (2/17) SUPERSEDES PREVIOUS EDITION Page 1 of 2
58
2. The sponsor's or sub -recipient's officers, employees or agents have not and will not solicit or
accept gratulties, favorsor anything of monetary value from contractors, potential contractors, or
parties to sub -agreements (2 CFR § 200.318(c)).
El Yes l=1 No
3. The sponsor or sub -recipient certifies that is has disclosed and will disclose to the FAA any
known potential conflict of interes(2 CFR § 1200.112).
El Yes []No
Attach documentation clarifying any above item marked with "no" response.
Sponsor's Certification
|cadify, for the projecidentified 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 2 day of May , 2018
Name of Sponsor: City af Yakima
Name of Sponsor's Authorized Official: Cliff Moore
Title of Sponsor's Authorized Official: City Manager
Signature mfSponsor's Authorized Official:
�-==_�
1 declare under penalty of perjury that the foregoing is true and correct. 1 understand that knowingfy and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subjecme to fines, imprisonment, or bot .
FAA Form 5100- 35 (2/17) SUPERSEDES PREVIOUS EDITION Page oof 2