HomeMy WebLinkAboutR-2019-067 Federal Aviation Administration Grant; Yakima Air Terminal-McAllister Field Capital ImprovementsRESOLUTION NO. R-2019-067
A RESOLUTION authorizing a 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 1) the design, engineering, and replacement of the airport's primary Aircraft Rescue and Fire Fighting
apparatus to ensure the airport meets current and future safety standards while adequately providing
emergency services on airport property; and 2) to develop engineering plans and specifications necessary to
rehabilitate the airport's primary Runway High Intensity Runway Lighting system and associated electrical
components, together with conducting the necessary pavement maintenance to include crack, fog seal and
update the airfield pavement markings which will extend the useful life of the asphalt surface, and
WHEREAS, the two grant applications will request a total of approximately One Million Two Hundred
Fifty -Eight Thousand Two Hundred Fifty -One ($1,258,251) 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 two 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 two completed grant applications
to the Federal Aviation Administration to 1) request grant funds to design, engineer and replace
the airport's primary Aircraft Rescue and Fire Fighting apparatus, and 2) to develop engineering
plans and specifications in order to rehabilitate the airport's primary Runway High Intensity
Runway Light system and conduct necessary pavement maintenance in order to extend the useful
life of the Runway at the Yakima Air Terminal -McAllister Field.
2 If grant funds are awarded, the City Manager is further authorized and directed to accept said grant
funds to be applied to the purposes specified above
ADOPTED BY THE CITY COUNCIL this 16th day of July, 2019
AT.
r).ARA Q6
Sonya CIa r Tee, City Clerk
Ka y Coffe
OMB Number 4040-0004
Expiration Date: 12/31/2019
Application for Federal Assistance SF-424
* 1 Type of Submission:
Preapplication
Application
* 2. Type
of Application: * If Revision, select appropriate letter(s):
a New
Continuation
Revision
* Other (Specify):
Application
Changed/Corrected
* 3. Date Received: 4. Applicant Identifier
5a. Federal Entity Identifier
5b. Federal Award Identifier
3-53-0089-044-2019
State Use Only:
6. Date Received by
7 State Application Identifier
State:
8. APPLICANT
INFORMATION:
*a. Legal Name:
City of Yakima
* b. Employer/Taxpayer Identification Number (EIN/TIN):
* c. Organizational DUNS
91-6001293
0782126510000
d. Address:
*Streetl
Street2:
* City
County/Parish
* State:
Province:
* Country
*lip / Postal Code-
129 2nd St
Yakima
WA Washington
USA UNITED STATES
_ E3
e. Organizational Unit:
Department Name:
Division Name:
f. Name and contact information of person to be contacted on matters involving this application
Prefix:
Middle Name:
*Last Name:
Suffix
* First Name:
Robert
--
Peterson
Title: Airport Director
Organizational Affiliation:
* Telephone Number
509-575-6149 Fax Number
*Email: Rob Peterson@yakimaairterminal com
Application for Federal Assistance SF-424
* 9. Type of Applicant 1: Select Applicant Type:
C City or Township Government
Type of Applicant 2: Select Applicant Type:
Type of Applicant 3 Select Applicant Type:
* Other (specify).
* 10. Name of Federal Agency•
DOT -FAA
11. Catalog of Federal Domestic Assistance Number
20.106
CFDA Title:
Airport Improvement Program
* 12. Funding Opportunity Number
* Title:
13. Competition Identification Number
Title:
14. Areas Affected by Project (Cities, Counties, States, etc.):
; .A41.0 tac11#1
[}die ' tt c im rit'
Eer )ietr`fi aclar e
* 15. Descriptive Title of Applicant's Project:
Acquire ARFF Vehicle
Attach supporting documents as specified in agency instructions.
q&19,ttachhments a
', C}e!e e,: ft nts
`y� w: t;a'chiai
Application for Federal Assistance SF-424
16. Congressional
* a. Applicant
Districts Of'
WA-004
* b. Program/Project WA-004
Attach an additional list of Program/Project Congressional Districts
if needed.
60g306chrrient; >`DeleterA i:i.elA _Y1''ewAttachmenf t
17 Proposed
* a. Start Date:
Project:
09/01/2019
* b. End Date: 12/31/2020
18. Estimated Funding ($):
*a. Federal
*b. Applicant
* c. State
* d. Local
* e. Other
* f. Program Income
*g.TOTAL
1,000,000 00
111,111 00
1,111,111.00
* 19. Is Application
a. This application
Subject to Review By State Under Executive Order 12372 Process?
was made available to the State under the Executive Order 12372 Process for review on
is subject to E.O 12372 but has not been selected by the State for review
is not covered by E.O 12372.
b. Program
c. Program
* 20. Is the Applicant
Yes
If "Yes", provide
Delinquent On Any
Federal Debt? (If
"Yes," provide explanation in attachment.)
No
explanation and attach
ilJeJ1 ,� efOt6 ram,; .m,
d;tYftaciin�ent, ; t"elefe Attacl7riienf : UEwAAttacirrient<;;.
t4
21. *By signing
herein are true,
comply with any
subject me to
this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements
complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to
resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may
criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001)
and assurances, or an intemet site where you may obtain this list, is contained in the announcement or agency
** I AGREE
** The list of certifications
specific instructions.
Authorized Representative:
Prefix:
Middle Name:
* Last Name:
Suffix:
* First Name: Cliff
Moore
*Title: City Manager
* Telephone Number
509-575-6149 Fax Number
*Email: Cliff.Moore@yakimawa.gov
Signature of Authorized Representative:
CCtjr*
ilAi .
* Date Signed: l'"-1 l `'1, 1
1
CITY CONTRACT NO:.
RESOLUTION NO:
20,
U S Department
of Transportation
Federal Aviation
Administration
FAA Form 5100-100, Application for Federal Assistance
(Development and Equipment Projects)
Paperwork Reduction Act Burden 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 28 hours per response,
including the time for reviewing instructions, searching existing data sources, 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, 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 5100-100
PART I — Application for Federal Assistance
Part I of the Application for Federal Assistance consists of a completed Standard Form (SF) 424 The
remaining parts of Form 5100-100 (Parts II, 1111 and IV) represent continuation pages that the Sponsor
must attach to the associated SF-424 form The signature of the Sponsor's authorized representative on
the SF-424 form represents acceptance of the representations and certifications made within the
corresponding FAA 5100-100 form
PART II — Project Approval Information
This information is necessary for the Federal Aviation Administration to evaluate this request for Federal
assistance Responses do not require an explanation unless explicitly requested by the question.
SECTION A. STATUTORY CONDITIONS
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 SAM) 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 project within 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 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 (winter shutdown, land acquisition issues, non -
aeronautical events, etc.) that have potential to delay completion of the project. (49 USC § 47106(a))
Item 4 — Indicate whether the environmental review (i.e. environmental assessment, mitigated FONSI,
etc.) identified impacts or effects on the environment that require mitigating measures that lessen the
impact or effect on the environment. If yes, provide a summary listing of mitigating measures.
(49 U S C § 47106(c))
Item 5 — Indicate whether the project covered by this request is also covered by an approved Passenger
Facility Charge (PFC) application or other Federal assistance program by selecting all applicable check
boxes (49 U S C. § 40117(d) and 2 CFR § 200.403) If the approved PFC application only addresses the
Sponsor's AIP matching share, select the appropriate check box.
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 6 — Indicate whether the Sponsor intends to seek reimbursement of Sponsor indirect costs 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
Indirect Cost Rata (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 ICR 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 direct salary
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.0 § 1352
FAA Form 5100-100 ii
SECTION C. REPRESENTATIONS AND CERTIFICATION
1 Compatible Land Use (49 U S C § 47107(a)(10)) — Identify actions the Sponsor has taken to
assure land uses in close proximity to the airport are compatible with normal airport operations.
2. Defaults — Confirm that Sponsor is not in default on any obligation to the United States or any
agency of the United States government.
3 Possible Disabilities — Confirm that Sponsor has no facts or circumstances (i e legal, financial
or otherwise) that might adversely affect the Sponsor in completing the project and carrying out
the provisions of the associated Grant Assurances.
4 Consistency with Local Plans (49 U S C § 47106(a)) — Confirm project is consistent with plans
(existing at the time the project is approved) of public agencies authorized by the State in which
the airport is located to plan.
5 Consideration of Local Interests (49 U S C § 47106(b)) — Confirm the Sponsor has given fair
consideration to the community in and near the project.
6 Consultation with Users (49 U S C § 47105(a)) - Confirm the Sponsor has consulted with
airport users that will be affected by the project.
7 Public Hearings (49 U S C § 47106(c)) — For projects involving the location of an airport,
runway or major runway extension, confirm the Sponsor
a. Provided an opportunity for a public hearing to consider economic, social and
environmental effects of the project.
b. Has voting representation from the communities in which the project is located, or has
advised the communities that they have the right to petition the Secretary about the
proposed project.
8. Air and Water Quality Standards - Confirm Sponsor will comply with applicable air and water
quality standards.
9. Exclusive Rights (49 U.S C § 47107(a) — Identify all instances of exclusive rights to conduct
aeronautical services at the airport.
10. Land (49 U.S.C. § 47106(b)) —
a. Identify property interests specific to the development project and/or land acquisition The
declaration of property interest is to be based upon a title opinion submitted by an
attorney When identifying the property interest, use the same parcel numbers as used to
identify the property on the associated Exhibit A property map
Example "Sponsor maintains property interest as depicted within the property table on
the Exhibit A property map dated / / originally filed with AIP Project lNtlt "
b Complete this subpart if the Sponsor proposes a project for which they have not yet
obtained appropriate property interests. Note that the work may not commence until
Sponsor obtains acceptable property interests. Identify such property by parcel number
that corresponds to the associated Exhibit A property map
c. Complete this subpart when acquiring property interests under the grant. Identify such
property by parcel number that corresponds to the associated Exhibit A property map.
FAA Form 5100-100 iii
PART III — Budget Information
SECTION A. GENERAL
1. Federal Domestic Assistance Catalog Number - Show the Federal Domestic Assistance Catalog
Number from which the assistance is requested
2. Functional or Other Breakout: Indicate "Airport Improvement Program" Prepare a separate set of
Part III forms for other Federal program categories.
SECTION B. CALCULATION OF FEDERAL GRANT
When applying for a new grant, use the Total Amount Column only. Use all columns when requesting
revisions of previously awarded amounts.
Line 1 - Enter amounts needed for administration expenses, which may include such items as legal fees,
mailing/shipping expenses, audit fees and documented Sponsor employee time that is necessary to
administer the grant.
Line 2 - Enter amounts pertaining to allowable preliminary expenses. These include such expenses as
independent fee estimate preparation, advertising expenses and permits.
Line 3 - Enter amounts directly associated with the acquisition of land, existing structures, and related
right-of-way
Line 4 - Enter fees for architectural engineering basic services.
Line 5 - Enter amounts for architectural engineering special services (e.g. surveys, tests and borings)
Line 6 - Enter fees for inspection, testing and monitoring of construction and related programs.
Line 7 - Enter amounts associated with the development of land where the primary purpose of the grant
is land improvement. Site work normally associated with major construction should be excluded from this
category and shown on line 11
Line 8 - Enter the dollar amounts needed to provide relocation advisory assistance, and the net amounts
for replacement (last resort) housing. Do not include relocation administration expenses on this Line,
include them on Line 1.
Line 9 - Enter the estimated amount of relocation payments to be made to displaced persons, business
concerns, and non-profit organizations for moving expenses and replacement housing
Line 10 - Enter the cost of demolition or removal of improvements on developed land Reduce the costs
on this line by the amount of expected proceeds from the sale of salvage, if so instructed by the Federal
grantor agency Otherwise, show the proceeds on Line 15
Line 11 - Enter amounts for the actual construction of, addition to or restoration of a facility Include in this
category the amounts of project improvements such as grading, drainage, paving, marking, lighting,
buildings, seeding/sodding, etc.
Line 12 - Enter amounts for equipment. Examples include ARFF vehicles, SRE equipment, AWOS
equipment, interactive training, NAVAID equipment, etc )
Line 13 - Enter miscellaneous amounts for items not specifically covered by previous categories.
FAA Form 5100-100 iv
Line 14 - Enter the sum of Lines 1-13
Line 15 - Enter the estimated amount of program income that will be earned during the grant period and
applied to the program Examples include vehicle trade-in value, sale of millings resulting from project,
credits passed on from contractor, etc. This line may be used to indicate applied liquidated damages.
Line 16 - Enter the difference between Line 14 and Line 15.
Line 17 - Enter the aggregate amount for those items, which are a part of the project but not subject to
Federal participation. Refer to Section C, exclusions
Line 18 — Enter the subtotal sum of Lines 16 and 17 (This is the amount to which the matching share
ratio prescribed in program legislation is applied )
Line 19 - Indicate the total amount of the Federal assistance requested. This value is determined by
multiplying the grant participation rate by the amount indicated in line 18
Line 20 — Indicate the amount of the Grantee's share (from Section D)
Line 21 — Indicate the amount of other shares (from Section D)
Line 22 — Indicate sum of Lines 19, 20 and 21
SECTION C. EXCLUSIONS
Line 23 a-g - Identify and list those costs which are part of the project cost but are not subject to Federal
participation because of program legislation or Federal grantor agency instructions. The total amount on
Line g should agree with the amount shown on Line 17 of Section B
SECTION D. PROPOSED METHOD OF FINANCING NON-FEDERAL SHARE
Line 24 a-g - Show the source of the grantee's share. If cash is not immediately available, specify the
actions completed to date and those actions remaining to make cash available under Section E -
Remarks. Indicate also the period of time that will be required after execution of the grant agreement to
obtain the funds. If there is a non -cash contribution, explain what this contribution will consist of
Line 24h - Indicate total of Lines 24 a-g. This amount must equal the amount in Section B, Line 20
Line 25a - Show the amount that will be contributed by a State or state agency, only if the applicant is not
a State or state agency If there is a non -cash or other contribution, explain what the contribution will
consist of under Section E - Remarks.
Line 25b - Show the amount that will be contributed from other sources. If there is a non -cash
contribution, explain what the contribution will consist of under Section E - Remarks
Line 25c - Show the total of Lines 28a and 28b This amount must be the same as the amount shown in
Section B, Line 21
Line 26 - Enter the totals of Lines 24h and 25c.
SECTION E. OTHER REMARKS
Make any remarks pertinent to the project and provide any other information required by these
instructions or the grantor agency Attach additional sheets, if necessary
FAA Form 5100-100 V
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 improvement. Include a narrative on why this
improvement is needed.
2. RESULTS OR BENEFITS EXPECTED
Identify results and benefits to be derived For example, include a description of who will occupy the
facility and show how the facility will be used. For land acquisition or development projects, explain how
the project will benefit the public.
3. APPROACH
a. Outline a plan of action pertaining to the scope and detail of how the Sponsor proposes to
accomplish the work.
b Cite factors, which might accelerate or decelerate the work, and your reason for taking this
approach as opposed to others. Describe any unusual features of the project such as
construction approach, reductions in cost or time or extraordinary social and community
involvements.
c. Provide projections of project milestone dates. As a minimum, identify target dates for defining
project costs (i.e bid opening or completion of negotiations), anticipated issuance of notice -to -
proceed and anticipated project completion date.
d. Identify monitoring and oversight mechanisms the Sponsor proposes to 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 location of the project. This will typically be the name of the airport.
5. IF APPLICABLE, PROVIDE THE FOLLOWING INFORMATION:
a. Describe the relationship between this project and other work planned, anticipated or underway
under the Federal Assistance listed under Part II, Section A, Item 5
b Explain the reason for all requests for supplemental assistance and justify the need for additional
funding
c. If there have been significant changes in the project objectives, location, approach or time delays,
explain and justify For other requests for changes or amendments, explain the reason for the
change(s) If the scope, budget, or objectives have changed or an extension of time is necessary,
explain the circumstances and justify
6. SPONSOR'S REPRESENTATIVE
Identify contact information of Sponsor's representative
FAA Form 5100-100 vi
�� U S. Department of Transportation
�e Federal Aviation Administration
OMB CONTROL NUMBER: 2120-0569
EXPIRATION DATE. 8/31/2019
Application for Federal Assistance (Development and Equipment Projects)
PART II — PROJECT APPROVAL INFORMATION
Part II - SECTION A
The term "Sponsor" refers to the applicant name provided in box 8 of the associated SF-424 form
Item 1.
Does Sponsor maintain an active registration in the System for Award Management
SAM X Yes ❑ No
(www gov)?
Item 2.
Can Sponsor commence the work identified in the application in the fiscal the
year
is made or within six months the is is later? X Yes ❑ No ❑ N/A
grant after grant made, whichever
Item 3.
Are there any foreseeable events that would delay completion of the project? If yes, ❑ Yes X No ❑ N/A
provide attachment to this form that lists the events
Item 4.
Will the project(s) covered by this request have impacts or effects on the
environment that require mitigating measures? If yes, attach a summary listing of ❑ Yes X No ❑ N/A
mitigating measures to this application and identify the name and date of the
environmental document(s)
Item 5.
Is the project covered by this request included in an approved Passenger Facility
Charge (PFC) application or other Federal assistance program? If yes, please X Yes ❑ No ❑ N/A
identify other funding sources by checking all applicable boxes.
X The project is included in an approved PFC application
If included in an approved PFC application,
does the application only address AIP matching share? X Yes ❑ No
❑ The project is included in another Federal Assistance program Its CFDA number is below
Item 6.
Will the requested Federal include Sponsor indirect described in
assistance costs as
2 CFR Appendix VII Yes X No ❑ N/A
to Part 200, States and Local Government and Indian Tribe
Indirect Cost Proposals?
If the request for Federal assistance includes a claim for allowable indirect costs, select the applicable indirect cost rate
the Sponsor proposes to apply
❑ De Minimis rate of 10% as permitted by 2 CFR § 200.414
❑ Negotiated Rate equal to % as approved by (the Cognizant Agency)
on (Date) (2 CFR part 200, appendix VII).
Note Refer to the instructions for limitations of application associated with claiming Sponsor indirect costs.
FAA Form 5100-100 (3/16) SUPERSEDES PREVIOUS EDITION
Page 1 of 7
OMB CONTROL NUMBER: 2120-0569
OMB EXPIRATION DATE. 8/31/2019
PART II - SECTION B
Certification Regarding Lobbying
The declarations made on this page are under the signature of the authorized representative as identified in box 21 of
form SF-424, to which this form is attached. The term "Sponsor" refers to the applicant name provided in box 8 of the
associated SF-424 form
The Authorized Representative certifies, to the best of his or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the Sponsor, to any person
for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer
or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any
Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any
cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal
contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer
or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract,
grant, loan, or cooperative agreement, the Authorized Representative shall complete and submit Standard
Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions.
(3) The Authorized Representative shall require that the language of this certification be included in the award
documents for all sub -awards at all tiers (including subcontracts, subgrants, and contracts under grants, loans,
and cooperative agreements) and that all subrecipients shall certify and disclose accordingly
This certification is a material representation of fact upon which reliance was placed when this transaction was
made or entered into. Submission of this certification is a prerequisite for making or entering into this
transaction imposed by section 1352, title 31, U S Code Any person who fails to file the required certification
shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.
FAA Form 5100-100 (3/16) SUPERSEDES PREVIOUS EDITION Page 2 of 7
OMB CONTROL NUMBER: 2120-0569
OMB EXPIRATION DATE. 8/31/2019 '
PART II — SECTION C
The Sponsor hereby represents and certifies as follows
1. Compatible Land Use — The Sponsor has taken the following actions to assure compatible usage of land adjacent
to or in the vicinity of the airport:
Airport Overlay Ordinance protects land uses that are incompatible with airports Yakima Municipal Code Chapter
15 30 and 15 04 discusses zoning and incompatible land uses in relation to the airport.
2. Defaults — The Sponsor is not in default on any obligation to the United States or any agency of the United States
Government relative to the development, operation, or maintenance of any airport, except as stated herewith
Correct
3. Possible Disabilities — There are no facts or circumstances (including the existence of effective or proposed leases,
use agreements or other legal instruments affecting use of the Airport or the existence of pending litigation or other
legal proceedings) which in reasonable probability might make it impossible for the Sponsor to carry out and complete
the Project or carry out the provisions of the Grant Assurances, either by limiting its legal or financial ability or
otherwise, except as follows.
N/A
4. Consistency with Local Plans — The project is reasonably consistent with plans existing at the time of submission
of this application) of public agencies that are authorized by the State in which the project is located to plan for the
development of the area surrounding the airport.
Yes
5. Consideration of Local Interest — It has given fair consideration to the interest of communities in or near where the
project may be located
Yes
6. Consultation with Users — In making a decision to undertake an airport development project under Title 49, United
States Code, it has consulted with airport users that will potentially be affected by the project (§ 47105(a)(2))
Yes Project aligns with the Master Plan and Airport Layout Plan, which underwent public comment.
7. Public Hearings — In projects involving the location of an airport, an airport runway or a major runway extension, it
has afforded the opportunity for public hearings for the purpose of considering the economic, social, and environmental
effects of the airport or runway location and its consistency with goals and objectives of such planning as has been
carried out by the community and it shall, when requested by the Secretary, submit a copy of the transcript of such
hearings to the Secretary. Further, for such projects, it has on its management board either voting representation from
the communities where the project is located or has advised the communities that they have the right to petition the
Secretary concerning a proposed project.
N/A
8. Air and Water Quality Standards — In projects involving airport location, a major runway extension, or runway
location it will provide for the Governor of the state in which the project is located to certify in writing to the Secretary
that the project will be located, designed, constructed, and operated so as to comply with applicable and air and water
quality standards. In any case where such standards have not been approved and where applicable air and water
quality standards have been promulgated by the Administrator of the Environmental Protection Agency, certification
shall be obtained from such Administrator Notice of certification or refusal to certify shall be provided within sixty days
after the project application has been received by the Secretary
N/A
FAA Form 5100-100 (3/16) SUPERSEDES PREVIOUS EDITION
Page 3 of 7
OMB CONTROL NUMBER. 2120-0569
OMB EXPIRATION DATE. 8/31/2019
PART II — SECTION C (Continued)
9 Exclusive Rights — There is no grant of an exclusive right for the conduct of any aeronautical activity at any airport
owned or controlled by the Sponsor except as follows.
None
10. Land — (a) The sponsor holds the following property interest in the following areas of land, which are to be developed
or used as part of or in connection with the Airport subject to the following exceptions, encumbrances, and adverse
interests, all of which areas are identified on the aforementioned property map designated as Exhibit "A" [1]
See Exhibit A, approved on March 2015, on file with the FAA Seattle Airport District Office
The Sponsor further certifies that the above is based on a title examination by a qualified attorney or title company and
that such attorney or title company has determined that the Sponsor holds the above property interests
(b) The Sponsor will acquire within a reasonable time, but in any event prior to the start of any construction work
under the Project, the following property interest in the following areas of land on which such construction work is to be
performed, all of which areas are identified on the aforementioned property map designated as Exhibit "A" [1]
N/A
(c) The Sponsor will acquire within a reasonable time, and if feasible prior to the completion of all construction
work under the Project, the following property interest in the following areas of land which are to be developed or used
as part of or in connection with the Airport as it will be upon completion of the Project, all of which areas are identified on
the aforementioned property map designated as Exhibit "A" [1]
N/A
State the character of property interest in each area and list and identify for each all exceptions, encumbrances, and adverse
interests of every kind and nature, including liens, easements, leases, etc. The separate areas of land need only be identified here by
the area numbers shown on the property map
FAA Form 5100-100 (3/16) SUPERSEDES PREVIOUS EDITION
Page 4 of 7
OMB CONTROL NUMBER: 2120-0569
OMB EXPIRATION DATE. 8/31/2019
PART III - BUDGET INFORMATION - CONSTRUCTION
SECTION A — GENERAL
1. Federal Domestic Assistance Catalog Number. 20-106
2 Functional or Other Breakout:
SECTION B — CALCULATION OF FEDERAL GRANT
Cost Classification
Latest Approved
Amount
(Use only for
revisions)
Adjustment
+ or (-) Amount
(Use only for
revisions)
Total
Amount
Required
1 Administration expense
$ 3,000
2 Preliminary expense
3 Land, structures, right-of-way
4 Architectural engineering basic fees
52,466
5 Other Architectural engineering fees
6 Project inspection fees
7 Land development
8 Relocation Expenses
9 Relocation payments to Individuals and Businesses
10 Demolition and removal
11 Construction and project improvement
12. Equipment
1,055,645
13 Miscellaneous
14 Subtotal (Lines 1 through 13)
$ 1,111,111
15 Estimated Income (if applicable)
16 Net Project Amount (Line 14 minus 15)
1,11 1,111
17 Less Ineligible Exclusions (Section C, line 23 g )
18 Subtotal (Lines 16 through 17)
$ 1,111,111
19 Federal Share requested of Line 18
1,000,000
20 Grantee share
111,111
21 Other shares
0
22 TOTAL PROJECT (Lines 19, 20 & 21)
$ 1,1 1 1,1 1 1
FAA Form 5100-100 (3/16) SUPERSEDES PREVIOUS EDITION
Page 5 of 7
OMB CONTROL NUMBER. 2120-0569
OMB EXPIRATION DATE. 8/31/2019
SECTION C — EXCLUSIONS
23. Classification (Description of non -participating work)
Amount Ineligible for
Participation
a.
b
c.
d
e
f
9
Total
SECTION D — PROPOSED METHOD OF FINANCING NON-FEDERAL SHARE
24. Grantee Share — Fund Categories
Amount
a. Securities
b Mortgages
c. Appropriations (by Applicant)
111,111
d Bonds
e. Tax Levies
f Non -Cash
g Other (Explain).
h TOTAL - Grantee share
$ 111,111
25. Other Shares
Amount
a. State
b Other
c. TOTAL - Other Shares
26. TOTAL NON-FEDERAL FINANCING
SECTION E — REMARKS
(Attach sheets if additional space is required)
FAA Form 5100-100 (3/16) SUPERSEDES PREVIOUS EDITION
Page 6 of 7 ,
OMB CONTROL NUMBER: 2120-0569
OMB EXPIRATION DATE. 8/31/2019
PART IV — PROGRAM NARRATIVE
(Suggested Format)
PROJECT: Acquire ARFF Vehicle
AIRPORT: Yakima Air Terminal - McAllister Field
1. Objective:
This grant would provide the funds for the airport to procure a new Index B ARFF Truck along with the auxiliary
equipment required for the truck.
2. Benefits Anticipated:
This vehicle with its associated equipment will replace a 15 year old truck that is the airport's only other ARFF vehicle
in the primary position This acquisition will provide a more reliable truck, thus increasing safety measures in the
event of an airport emergency
3. Approach: (See approved Scope of Work in Final Application)
The specifications for the ARFF vehicle will be per AC 150/5220-20 The airport fire -fighting personnel will provide
the specifics of what they desire on the truck, based on the choices found in the advisory circular
4. Geographic Location:
Yakima Air Terminal -McAllister Field is located in Sections 34 and 35 Township 13 N, Range 18 E, and Sections 2
and 3, Township 12 N, Range 18 E.
5. If Applicable, Provide Additional Information:
6. Sponsor's Representative: (include address & telephone number)
Rob Peterson, 509-575-6149
2406 West Washington Ave, Suite B
Yakima, WA 98903
FAA Form 5100-100 (3/16) SUPERSEDES PREVIOUS EDITION
Page 7 of 7
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 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 instructions, searching existing data sources, 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 5100-130
t1 U.S. Department of Transportation OMB CONTROL NUMBER. 2120-0569
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 3-53-0089-044-2019
Description of Work. Acquire ARFF Vehicle
Application
49 USC § 47105(d) authorizes the Secretary to require certification from the sponsor that it will comply
with the statutory and administrative requirements in carrying out a project under the Airport Improvement
Program (AIP) General requirements on the drug -free workplace within federal grant programs are
described in 2 CFR part 182 Sponsors are required to certify they will be, or will continue to provide, a
drug -free workplace in accordance with the regulation. The AIP project grant agreement contains specific
assurances on the Drug -Free Workplace Act of 1988
Certification Statements
Except for certification statements below marked as not applicable (N/A), this list includes major
requirements of the construction project. Selecting "Yes" represents sponsor acknowledgement and
confirmation of the certification statement. The term "will" means Sponsor action taken at appropriate time
based on the certification statement focus area, but no later than the end of the project period of
performance. This list is not comprehensive and does not relieve the sponsor from fully complying with all
applicable statutory and administrative standards. The source of the requirement is referenced within
parenthesis.
1 A statement has been or will be published prior to commencement of project notifying employees
that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled
substance is prohibited in the sponsor's workplace, and specifying the actions to be taken against
employees for violation of such prohibition (2 CFR § 182.205)
❑x Yes ❑ No ❑ N/A
2. An ongoing drug -free awareness program (2 CFR § 182.215) has been or will be established
prior to commencement of project to inform employees about:
a. The dangers of drug abuse in the workplace,
b The sponsors 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
❑x Yes ❑ No ❑ N/A
FAA Form 5100-130 (1/17) SUPERSEDES PREVIOUS EDITION Page 1 of 3
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)
11 Yes ❑ No ❑ N/A
4 Employees have been or will be notified in the statement required by item 1 above that, as a
condition employment under the grant (2 CFR § 182.205(c)), the employee will
a. Abide by the terms of the statement; and
b Notify the employer in writing of his or her conviction for a violation of a criminal drug
statute occurring in the workplace no later than five calendar days after such conviction
p Yes ❑ No ❑ N/A
5 The Federal Aviation Administration (FAA) will be notified in writing within 10 calendar days after
receiving notice under item 4b above from an employee or otherwise receiving actual notice of
such conviction (2 CFR § 182.225) Employers of convicted employees must provide notice,
including position title of the employee, to the FAA (2 CFR § 182.300)
p Yes ❑ No ❑ N/A
6 One of the following actions (2 CFR § 182.225(b)) will be taken within 30 calendar days of
receiving a notice under item 4b above with respect to any employee who is so convicted
a. Take appropriate personnel action against such an employee, up to and including
termination, consistent with the requirements of the Rehabilitation Act of 1973, as
amended, and
b Require such employee to participate satisfactorily in drug abuse assistance or
rehabilitation programs approved for such purposes by a federal, state, or local health,
law enforcement, or other appropriate agency.
p Yes ❑ No ❑ N/A
7. A good faith effort will be made, on a continuous basis, to maintain a drug -free workplace through
implementation of items 1 through 6 above (2 CFR § 182.200)
p Yes ❑ No ❑ N/A
Site(s) of performance of work (2 CFR § 182.230)
Location 1
Name of Location Yakima Air Terminal - McAllister Field
Address 2300 W Washington, Ave, Yakima, WA 98903
Location 2 (if applicable)
Name of Location Yakima City Hall
Address 129 N 2nd Street, Yakima, WA 98903
Location 3 (if applicable)
Name of Location
Address.
FAA Form 5100-130 (1/17) SUPERSEDES PREVIOUS EDITION Page 2 of 3
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 —1 day of,,.\ (� , 2019
Name of Sponsor* City of Yakima (�
Name of Sponsors Authorized Official Cliff Moore
Title of Sponsor's Authorized Official* City Manager
Signature of Sponsor's Authorized Official:
I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both.
FAA Form 5100-130 (1/17) SUPERSEDES PREVIOUS EDITION Page 3 of 3
U S. Department
of Transportation
Federal Aviation
Administration
FAA Form 5100-129, Construction Project Final Acceptance —
Airport Improvement Program Sponsor Certification
Paperwork Reduction Act Burden 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 instructions, searching existing data sources, 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 5100-129
�, U S. Department of Transportation OMB CONTROL NUMBER. 2120-0569
�/ Federal Aviation Administration EXPIRATION DATE. 8/31/2019
Construction Project Final Acceptance
Airport Improvement Program Sponsor Certification
Sponsor City of Yakima
Airport: Yakima Air Terminal - McAllister Field
Project Number 3-53-0089-044-2019
Description of Work: Acquire ARFF Vehicle
Application
49 USC § 47105(d), authorizes the Secretary to require me certification from the sponsor that it will
comply with the statutory and administrative requirements in carrying out a project under the Airport
Improvement Program. General standards for final acceptance and close out of federally funded
construction projects are in 2 CFR § 200.343 — Closeout and supplemented by FAA Order 5100 38. The
sponsor must determine that project costs are accurate and proper in accordance with specific
requirements of the grant agreement and contract documents.
Certification Statements
Except for certification statements below marked not applicable (N/A), this list includes major
requirements of the construction project. Selecting "Yes" represents sponsor acknowledgment and
confirmation of the certification statement. The term "will" means Sponsor action taken at appropriate
time based on the certification statement focus area, but no later than the end of the project period of
performance. This list is not comprehensive and does not relieve the sponsor from fully complying with
all applicable statutory and administrative standards The source of the requirement is referenced within
parenthesis
1 The personnel engaged in project administration, engineering supervision, project inspection, and
acceptance testing were or will be determined to be qualified and competent to perform the work
(Grant Assurance).
❑X Yes ❑ No ❑ N/A
2 Construction records, including daily logs, were or will be kept by the resident
engineer/construction inspector that fully document contractor's performance in complying with
a. Technical standards (Advisory Circular (AC) 150/5370-12),
b. Contract requirements (2 CFR part 200 and FAA Order 5100 38), and
c. Construction safety and phasing plan measures (AC 150/5370-2)
El ❑No El N/A
3 All acceptance tests specified in the project specifications were or will be performed and
documented (AC 150/5370-12)
❑X Yes ❑ No ❑ N/A
FAA Form 5100-129 (1/17) SUPERSEDES PREVIOUS EDITION page 1 of 3
4 Sponsor has taken or will take appropriate corrective action for any test result outside of
allowable tolerances (AC 150/5370-12)
Q Yes ❑ No El N/A
5 Pay reduction factors required by the specifications were applied or will be applied in computing
final payments with a summary made available to the FAA (AC 150/5370-10)
QXYes No nN/A
6 Sponsor has notified, or will promptly notify the Federal Aviation Administration (FAA) of the
following occurrences.
a. Violations of any federal requirements set forth or included by reference in the contract
documents (2 CFR part 200),
b Disputes or complaints concerning federal labor standards (29 CFR part 5), and
c. Violations of or complaints addressing conformance with Equal Employment Opportunity or
Disadvantaged Business Enterprise requirements (41 CFR Chapter 60 and 49 CFR part 26)
❑XYes No 111N/A
7 Weekly payroll records and statements of compliance were or will be submitted by the prime
contractor and reviewed by the sponsor for conformance with federal labor and civil rights
requirements as required by FAA and U.S Department of Labor (29 CFR Part 5)
Q Yes No E N/A
8 Payments to the contractor were or will be made in conformance with federal requirements and
contract provisions using sponsor internal controls that include
a. Retaining source documentation of payments and verifying contractor billing statements
against actual performance (2 CFR § 200 302 and FAA Order 5100 38),
b Prompt payment of subcontractors for satisfactory performance of work (49 CFR § 26.29),
c. Release of applicable retainage upon satisfactory performance of work (49 CFR § 26.29),
and
d. Verification that payments to DBEs represent work the DBE performed by carrying out a
commercially useful function (49 CFR §26.55)
❑X Yes No E N/A
9 A final project inspection was or will be conducted with representatives of the sponsor and the
contractor present that ensure
a. Physical completion of project work in conformance with approved plans and specifications
(Order 5100 38),
b Necessary actions to correct punch list items identified during final inspection are complete
(Order 5100 38), and
c. Preparation of a record of final inspection and distribution to parties to the contract
(Order 5100 38),
QX Yes ❑ No N/A
10 The project was or will be accomplished without material deviations, changes, or modifications
from approved plans and specifications, except as approved by the FAA (Order 5100 38).
❑X Yes No ❑ N/A
FAA Form 5100-129 (1/17) SUPERSEDES PREVIOUS EDITION page 2 of 3
11 The construction of all buildings have complied or will comply with the seismic construction
requirements of 49 CFR § 41 120
❑ Yes ❑ No ❑X N/A
12 For development projects, sponsor has taken or will take the following close-out actions.
a. Submit to the FAA a final test and quality assurance report summarizing acceptance test
results, as applicable (Grant Condition),
b Complete all environmental requirements as established within the project environmental
determination (Oder 5100 38), and
c. Prepare and retain as -built plans (Order 5100 38)
❑ Yes ❑ No ❑X N/A
13 Sponsor has revised or will revise their airport layout plan (ALP) that reflects improvements made
and has submitted or will submit an updated ALP to the FAA no later than 90 days from the
period of performance end date. (49 USC § 47107 and Order 5100 38)
❑ Yes ❑ No ❑X N/A
Attach documentation clarifying any above item marked with "No" response.
Sponsor's Certification
I certify, for the project identified herein, responses to the forgoing items are accurate as marked and
additional documentation for any item marked "no" is correct and complete.
Executed on this day of (A
Name of Sponsor City of Yakima
Name of Sponsors Authorized Official: Cliff Moore
Title of Sponsor's Authorized Official City Manager
Signature of Sponsor's Authorized Official.
, 2019
I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both
FAA Form 5100-129 (1/17) SUPERSEDES PREVIOUS EDITION page 3 of 3
U S Department
of Transportation
Federal Aviation
Administration
FAA Form 5100-131, Equipment and Construction Contracts —
Airport Improvement Sponsor Certification
Paperwork Reduction Act Burden 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 instructions, searching existing data sources, 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 5100-131
Al U.S. Department of Transportation OMB CONTROL NUMBER. 2120-0569
e Federal Aviation Administration EXPIRATION DATE. 8/31/2019
Equipment and Construction Contracts
Airport Improvement Sponsor Certification
Sponsor City of Yakima
Airport: Yakima Air Terminal - McAllister Field
Project Number 3-53-0089-044-2019
Description of Work: Acquire ARFF Vehicle
Application
49 USC § 47105(d) authorizes the Secretary to require certification from the sponsor that it will comply
with the statutory and administrative requirements in carrying out a project under the Airport Improvement
Program (AIP) General procurement standards for equipment and construction contracts within Federal
grant programs are described in 2 CFR §§ 200 317-200 326 Labor and Civil Rights Standards
applicable to the AIP are established by the Department of Labor (www dol gov) AIP Grant Assurance
C 1—General Federal Requirements identifies all applicable Federal Laws, regulations, executive orders,
policies, guidelines and requirements for assistance under the AIP Sponsors may use state and local
procedures provided the procurement conforms to these federal standards
This certification applies to all equipment and construction projects. Equipment projects may or may not
employ laborers and mechanics that qualify the project as a "covered contract" under requirements
established by the Department of Labor requirements Sponsor shall provide appropriate responses to
the certification statements that reflect the character of the project regardless of whether the contract is
for a construction project or an equipment project.
Certification Statements
Except for certification statements below marked as not applicable (N/A), this list includes major
requirements of the construction project. Selecting "Yes" represents sponsor acknowledgement and
confirmation of the certification statement. The term "will" means Sponsor action taken at appropriate
time based on the certification statement focus area, but no later than the end of the project period of
performance This list is not comprehensive and does not relieve the sponsor from fully complying with all
applicable statutory and administrative standards. The source of the requirement is referenced within
parenthesis.
1 A written code or standard of conduct is or will be in effect prior to commencement of the project
that governs the performance of the sponsor's officers, employees, or agents in soliciting,
awarding and administering procurement contracts (2 CFR § 200 318)
Yes ❑ No ❑ N/A
FAA Form 5100-131 (1/17) SUPERSEDES PREVIOUS EDITION Page 1 of 4
2. For all contracts, qualified and competent personnel are or will be engaged to perform contract
administration, engineering supervision, construction inspection, and testing
(Grant Assurance C 17)
❑x Yes ❑ No ❑ N/A
3 Sponsors that are required to have a Disadvantage Business Enterprise (DBE) program on file
with the FAA have included or will include clauses required by Title VI of the Civil Rights Act and
49 CFR Part 26 for Disadvantaged Business Enterprises in all contracts and subcontracts.
❑x Yes ❑ No ❑ N/A
4 Sponsors required to have a DBE program on file with the FAA have implemented or will
implement monitoring and enforcement measures that:
a. Ensure work committed to Disadvantaged Business Enterprises at contract award is
actually performed by the named DBEs (49 CFR § 26.37(b)),
b. Include written certification that the sponsor has reviewed contract records and has
monitored work sites for performance by DBE firms (49 CFR § 26.37(b)), and
c. Provides for a running tally of payments made to DBE firms and a means for comparing
actual attainments (i e. payments) to original commitments (49 CFR § 26 37(c)).
❑x Yes ❑ No ❑ N/A
5. Sponsor procurement actions using the competitive sealed bid method (2 CFR § 200.320(c)) was
or will be
a. Publicly advertised, allowing a sufficient response time to solicit an adequate number of
interested contractors or vendors,
b Prepared to include a complete, adequate and realistic specification that defines the
items or services in sufficient detail to allow prospective bidders to respond,
c. Publicly opened at a time and place prescribed in the invitation for bids, and
d. Prepared in a manner that result in a firm fixed price contract award to the lowest
responsive and responsible bidder
❑x Yes ❑ No ❑ N/A
6 For projects the Sponsor proposes to use the competitive proposal procurement method (2 CFR §
200 320(d)), Sponsor has requested or will request FAA approval prior to proceeding with a
competitive proposal procurement by submitting to the FAA the following
a. Written justification that supports use of competitive proposal method in lieu of the
preferred sealed bid procurement method,
b Plan for publicizing and soliciting an adequate number of qualified sources, and
c. Listing of evaluation factors along with relative importance of the factors.
❑x Yes ❑ No ❑ N/A
7 For construction and equipment installation projects, the bid solicitation includes or will include the
current federal wage rate schedule(s) for the appropriate type of work classifications (2 CFR Part
200, Appendix II).
❑x Yes ❑ No ❑ N/A
FAA Form 5100-131 (1/17) SUPERSEDES PREVIOUS EDITION Page 2 of 4
8 Concurrence was or will be obtained from the Federal Aviation Administration (FAA) prior to
contract award under any of the following circumstances (Order 5100 38D)
a. Only one qualified person/firm submits a responsive bid,
b Award is to be made to other than the lowest responsible bidder; and
c. Life cycle costing is a factor in selecting the lowest responsive bidder
❑x Yes ❑ No ❑ N/A
9 All construction and equipment installation contracts contain or will contain provisions for
a. Access to Records (§ 200 336)
b Buy American Preferences (Title 49 U S C § 50101)
c. Civil Rights - General Provisions and Title VI Assurances( 41 CFR part 60)
d Federal Fair Labor Standards (29 U S C § 201, et seq)
e. Occupational Safety and Health Act requirements (20 CFR part 1920)
f Seismic Safety — building construction (49 CFR part 41)
g State Energy Conservation Requirements - as applicable(2 CFR part 200, Appendix II)
h U S Trade Restriction (49 CFR part 30)
i. Veterans Preference (49 USC § 47112(c))
❑x Yes ❑ No ❑ N/A
10 All construction and equipment installation contracts exceeding $2,000 contain or will contain the
provisions established by•
a. Davis -Bacon and Related Acts (29 CFR part 5)
b. Copeland "Anti -Kickback" Act (29 CFR parts 3 and 5)
O Yes ❑ No ❑ N/A
11 All construction and equipment installation contracts exceeding $3,000 contain or will contain a
contract provision that discourages distracted driving (E.O 13513).
El Yes ❑ No ❑ N/A
12 All contracts exceeding $10,000 contain or will contain the following provisions as applicable.
a. Construction and equipment installation projects - Applicable clauses from
41 CFR Part 60 for compliance with Executive Orders 11246 and 11375 on Equal
Employment Opportunity;
b. Construction and equipment installation - Contract Clause prohibiting segregated facilities
in accordance with 41 CFR part 60-1 8,
c. Requirement to maximize use of products containing recovered materials in accordance
with 2 CFR § 200 322 and 40 CFR part 247, and
d. Provisions that address termination for cause and termination for convenience
(2 CFR Part 200, Appendix II)
0 Yes ❑ No ❑ N/A
FAA Form 5100-131 (1/17) SUPERSEDES PREVIOUS EDITION Page 3 of 4
13. All contracts and subcontracts exceeding $25,000. Measures are in place or will be in place (e.g
checking the System for Award Management) that ensure contracts and subcontracts are not
awarded to individuals or firms suspended, debarred, or excluded from participating in federally
assisted projects (2 CFR parts 180 and 1200)
❑x Yes ❑ No ❑ N/A
14 Contracts exceeding the simplified acquisition threshold (currently $150,000) include or will include
provisions, as applicable, that address the following
a. Construction and equipment installation contracts - a bid guarantee of 5%, a performance
bond of 100%, and a payment bond of 100% (2 CFR § 200 325),
b Construction and equipment installation contracts - requirements of the Contract Work
Hours and Safety Standards Act (40 USC 3701-3708, Sections 103 and 107),
c. Restrictions on Lobbying and Influencing (2 CFR part 200, Appendix II),
d Conditions specifying administrative, contractual and legal remedies for instances where
contractor of vendor violate or breach the terms and conditions of the contract (2 CFR
§200, Appendix II), and
e. All Contracts - Applicable standards and requirements issued under Section 306 of the
Clean Air Act (42 USC 7401-7671 q), Section 508 of the Clean Water Act (33 USC 1251-
1387, and Executive Order 11738
x❑ Yes ❑ No ❑ N/A
Attach documentation clarifying any above item marked with "No" response.
Sponsor's Certification
I certify, for the project identified herein, responses to the forgoing items are accurate as marked and
additional documentation for any item (marked "no" is correct and complete.
Executed on this 1 \ day of AL(.QL , 2019
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*
declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both
FAA Form 5100-131 (1/17) SUPERSEDES PREVIOUS EDITION
Page 4 of 4
U S. Department
of Transportation
Federal Aviation
Administration
FAA Form 5100-132, Project Plans and Specifications — 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 instructions, searching existing data sources, 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 5100-132
01-1 U S. Department of Transportation OMB CONTROL NUMBER 2120-0569
Federal Aviation Administration EXPIRATION DATE. 8/31/2019
Project Plans and Specifications
Airport Improvement Program Sponsor Certification
Sponsor City of Yakima
Airport: Yakima Air Terminal - McAllister Field
Project Number 3-53-0089-044-2019
Description of Work. Acquire ARFF Vehicle
Application
49 USC § 47105(d) authorizes the Secretary to require certification from the sponsor that it will comply
with the statutory and administrative requirements in carrying out a project under the Airport Improvement
Program (AIP) Labor and civil rights standards applicable to AIP are established by the Department of
Labor (www dol gov/) AIP Grant Assurance C 1—General Federal Requirements identifies applicable
federal laws, regulations, executive orders, policies, guidelines and requirements for assistance under
AIP A list of current advisory circulars with specific standards for procurement, design or construction of
airports, and installation of equipment and facilities is referenced in standard airport sponsor Grant
Assurance 34 contained in the grant agreement.
Certification Statements
Except for certification statements below marked as not applicable (N/A), this list includes major
requirements of the construction project. Selecting "Yes" represents sponsor acknowledgement and
confirmation of the certification statement. The term "will" means Sponsor action taken at appropriate
time based on the certification statement focus area, but no later than the end of the project period of
performance. This list is not comprehensive and does not relieve the sponsor from fully complying with all
applicable statutory and administrative standards The source of the requirement is referenced within
parenthesis.
1 The plans and specifications were or will be prepared in accordance with applicable federal
standards and requirements, so that no deviation or modification to standards set forth in the
advisory circulars, or FAA -accepted state standard, is necessary other than those explicitly
approved by the Federal Aviation Administration (FAA) (14 USC § 47105).
x❑ Yes ❑ No ❑ N/A
2. Specifications incorporate or will incorporate a clear and accurate description of the technical
requirement for the material or product that does not contain limiting or proprietary features that
unduly restrict competition (2 CFR §200 319)
❑x Yes ❑ No ❑ N/A
FAA Form 5100-132 (1/17) SUPERSEDES PREVIOUS EDITION Page 1 of 3
3 The development that is included or will be included in the plans is depicted on the current airport
layout plan as approved by the FAA (14 USC § 47107)
❑x Yes ❑ No ❑ N/A
4 Development and features that are ineligible or unallowable for AIP funding have been or will be
omitted from the plans and specifications (FAA Order 5100 38, par 3-43)
❑X Yes ❑ No ❑ N/A
5 The specification does not use or will not use "brand name" or equal to convey requirements
unless sponsor requests and receives approval from the FAA to use brand name (FAA Order
5100 38, Table U-5).
❑x Yes ❑ No ❑ N/A
6. The specification does not impose or will not impose geographical preference in their
procurement requirements (2 CFR §200 319(b) and FAA Order 5100 38, Table U-5)
Yes ❑ No ❑ N/A
7 The use of prequalified lists of individuals, firms or products include or will include sufficient
qualified sources that ensure open and free competition and that does not preclude potential
entities from qualifying during the solicitation period (2 CFR §319(d))
p Yes ❑ No ❑ N/A
8 Solicitations with bid alternates include or will include explicit information that establish a basis for
award of contract that is free of arbitrary decisions by the sponsor (2 CFR § 200.319(a)(7))
ID Yes ❑ No ❑ N/A
9. Concurrence was or will be obtained from the FAA if Sponsor incorporates a value engineering
clause into the contract (FAA Order 5100 38, par 3-57)
❑x Yes ❑ No ❑ N/A
10 The plans and specifications incorporate or will incorporate applicable requirements and
recommendations set forth in the federally approved environmental finding (49 USC §47106(c)).
tI Yes ❑ No ❑ N/A
11 The design of all buildings comply or will comply with the seismic design requirements of 49 CFR
§ 41 120 (FAA Order 5100 38d, par 3-92)
❑ Yes ❑ No I] N/A
12. The project specification include or will include process control and acceptance tests required for
the project by as per the applicable standard.
a. Construction and installation as contained in Advisory Circular (AC) 150/5370-10
El Yes ❑ No ❑ N/A
FAA Form 5100-132 (1/17) SUPERSEDES PREVIOUS EDITION Page 2 of 3
b Snow Removal Equipment as contained in AC 150/5220-20
❑ Yes ❑ No ❑x N/A
c. Aircraft Rescue and Fire Fighting (ARFF) vehicles as contained in AC 150/5220-10
❑xYes ❑No ❑N/A
13. For construction activities within or near aircraft operational areas(AOA)
a. The Sponsor has or will prepare a construction safety and phasing plan (CSPP) conforming
to Advisory Circular 150/5370-2.
b Compliance with CSPP safety provisions has been or will be incorporated into the plans
and specifications as a contractor requirement.
c. Sponsor will not initiate work until receiving FAA's concurrence with the CSPP (FAA Order
5100.38, Par. 5-29).
❑ Yes ❑ No ❑x N/A
14. The project was or will be physically completed without federal participation in costs due to errors
and omissions in the plans and specifications that were foreseeable at the time of project design
(49 USC §47110(b)(1) and FAA Order 5100.38d, par 3-100).
❑x Yes ❑ No ❑ N/A
Attach documentation clarifying any above item marked with "No" response.
Sponsor's Certification
I certify, for the project identified herein, responses to the forgoing items are accurate as marked and
additional documentation for any item marked "no" is correct and complete
Executed on this ‘,--1 day of , 2019
Name of Sponsor City of Yakima
Name of Sponsor's Authorized Official Cliff Moore
Title of Sponsor's Authorized Official City Manager
Signature of Sponsor's Authorized Official
I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both.
FAA Form 5100-132 (1/17) SUPERSEDES PREVIOUS EDITION
Page 3 of 3
U 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 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 instructions, searching existing data sources, 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
�, U S. Department of Transportation OMB CONTROL NUMBER. 2120-0569
a! Federal Aviation Administration EXPIRATION DATE. 8/31/2019
Selection of Consultants
Airport Improvement Program Sponsor Certification
Sponsor' City of Yakima
Airport: Yakima Air Terminal - McAllister Field
Project Number. 3-53-0089-044-2019
Description of Work.
Acquire ARFF Vehicle
Application
49 USC § 47105(d) authorizes the Secretary to require certification from the sponsor that it will comply
with the statutory and administrative requirements in carrying out a project under the Airport Improvement
Program (AIP) General requirements for selection of consultant services within federal grant programs
are described in 2 CFR §§ 200 317-200 326 Sponsors may use other qualifications -based procedures
provided they are equivalent to standards of Title 40 chapter 11 and FAA Advisory Circular 150/5100-14,
Architectural, Engineering, and Planning Consultant Services for Airport Grant Projects.
Certification Statements
Except for certification statements below marked as not applicable (N/A), this list includes major
requirements of the construction project. Selecting "Yes" represents sponsor acknowledgement and
confirmation of the certification statement. The term "will" means Sponsor action taken at appropriate time
based on the certification statement focus area, but no later than the end of the project period of
performance. This list is not comprehensive and does not relieve the sponsor from fully complying with all
applicable statutory and administrative standards. The source of the requirement is referenced within
parenthesis.
1 Sponsor acknowledges their responsibility for the settlement of all contractual and administrative
issues arising out of their procurement actions (2 CFR § 200 318(k)).
❑x Yes ❑ No ❑ N/A
2. Sponsor procurement actions ensure or will ensure full and open competition that does not
unduly limit competition (2 CFR § 200.319)
❑x Yes ❑ No ❑ N/A
3 Sponsor has excluded or will exclude any entity that develops or drafts specifications,
requirements, or statements of work associated with the development of a request -for -
qualifications (RFQ) from competing for the advertised services (2 CFR § 200.319)
❑x Yes ❑ No ❑ N/A
FAA Form 5100-134 (2/17) SUPERSEDES PREVIOUS EDITION Page 1 of 3
4 The advertisement describes or will describe specific project statements -of -work that provide
clear detail of required services without unduly restricting competition (2 CFR § 200.319).
❑p Yes ❑ No ❑ N/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))
I] Yes ❑ No ❑ N/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)).
❑x Yes ❑ No ❑ N/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).
❑x Yes ❑ 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
of selection (AC 150/5100-14), and
b Retain the right to conduct new procurement actions for projects identified or not
identified in the RFQ (AC 150/5100-14)
El No ❑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)
❑x Yes ❑ No ❑ N/A
10 The Sponsor's contract identifies or will identify costs associated with ineligible work separately
from costs associated with eligible work (2 CFR § 200 302)
❑x Yes ❑ No ❑ N/A
11 Sponsor has prepared or will prepare a record of negotiations detailing the history of the
procurement action, rationale for contract type and basis for contract fees (2 CFR §200 318(i))
❑x Yes ❑ No ❑ N/A
12. Sponsor has incorporated or will incorporate mandatory contact provisions in the consultant
contract for AIP-assisted work (49 U S C. Chapter 471 and 2 CFR part 200 Appendix II)
❑x Yes ❑ No ❑ N/A
FAA Form 5100-134 (2/17) SUPERSEDES PREVIOUS EDITION Page 2 of 3
13 For contracts that apply a time -and -material payment provision (also known as hourly rates,
specific rates of compensation, and labor rates), the Sponsor has established or will establish
a. Justification that there is no other suitable contract method for the services (2 CFR
§200 318(j)),
b A ceiling price that the consultant exceeds at their risk (2 CFR §200 318(j)), and
c. A high degree of oversight that assures consultant is performing work in an efficient
manner with effective cost controls in place 2 CFR §200 318(j))
❑x 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)).
❑x Yes ❑ No ❑ N/A
Attach documentation clarifying any above item marked with "no" response.
Sponsor's Certification
I certify, for the project identified herein, responses to the forgoing items are accurate as marked and
additional documentation for any item marked "no" is correct and complete
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 eT1 day of Sid
, 2019
Name of Sponsor City of Yakima �J
Name of Sponsor's Authorized Official: Cliff Moore
Title of Sponsor's Authorized Official: City Manager
Signature of Sponsor's Authorized Official
declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both.
FAA Form 5100-134 (2/17) SUPERSEDES PREVIOUS EDITION Page 3 of 3
et",,6
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 instructions, searching existing data sources, 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 5100-135
AO U.S. Department of Transportation OMB CONTROL NUMBER. 2120-0569
lee 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 3-53-0089-044-2019
Description of Work: Acquire ARFF Vehicle
Application
Title 2 CFR § 200 112 and § 1201 112 address Federal Aviation Administration (FAA) requirements for
conflict of interest. As a condition of eligibility under the Airport Improvement Program (AIP), sponsors
must comply with FAA policy on conflict of interest. Such a conflict would arise when any of the following
have a financial or other interest in the firm selected for award
a) The employee, officer or agent,
b) Any member of his immediate family,
c) His or her partner, or
d) An organization which employs, or is about to employ, any of the above
Selecting "Yes" represents sponsor or sub -recipient acknowledgement and confirmation of the
certification statement. Selecting "No" represents sponsor or sub -recipient disclosure that it cannot fully
comply with the certification statement. If "No" is selected, provide support information explaining the
negative response as an attachment to this form. This includes whether the sponsor has established
standards for financial interest that are not substantial or unsolicited gifts are of nominal value (2 CFR §
200 318(c)) The term "will" means Sponsor action taken at appropriate time based on the certification
statement focus area, but no later than the end of the project period of performance
Certification Statements
1 The sponsor or sub -recipient maintains a written standards of conduct governing conflict of
interest and the performance of their employees engaged in the award and administration of
contracts (2 CFR § 200.318(c)) To the extent permitted by state or local law or regulations, such
standards of conduct provide for penalties, sanctions, or other disciplinary actions for violations of
such standards by the sponsor's and sub -recipient's officers, employees, or agents, or by
contractors or their agents.
x❑ Yes ❑ No
FAA Form 5100-135 (2/17) SUPERSEDES PREVIOUS EDITION Page 1 of 2
2. The sponsor's or sub -recipient's officers, employees or agents have not and will not solicit or
accept gratuities, favors or anything of monetary value from contractors, potential contractors, or
parties to sub -agreements (2 CFR § 200 318(c))
EI Yes ❑ No
3 The sponsor or sub -recipient certifies that is has disclosed and will disclose to the FAA any
known potential conflict of interest (2 CFR § 1200 112)
0 Yes ❑ No
Attach documentation clarifying any above item marked with "no" response.
Sponsor's Certification
I certify, for the project identified herein, responses to the forgoing items are accurate as marked and
have the explanation for any item marked "no" is correct and complete.
Executed on this rt. day of 3LiLt , 2019
Name of Sponsor City of Yakima
Name of Sponsor's Authorized Official Cliff Moore
Title of Sponsor's Authorized Official: City Manager
Signature of Sponsor's Authorized Official:
I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both.
FAA Form 5100-135 (2/17) SUPERSEDES PREVIOUS EDITION Page 2 of 2
REQUIRED STATEMENTS
AIRPORT IMPROVEMENT PROGRAM PROJECTS
AIRPORT Yakima Air Terminal -McAllister Field
LOCATION Yakima, Washington
AIP PROJECT NO. 3-53-0089-044-2019
STATEMENTS APPLICABLE TO THIS PROJECT Acquire ARFF Vehicle
• a. INTEREST OF NEIGHBORING COMMUNITIES In formulating this project, consideration has been
given to the interest of communities that are near (Exact name of airport) Yakima Air Terminal -McAllister
Field
® b. THE DEVELOPMENT PROPOSED 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, State, or
Local jurisdiction
• c. FBO COORDINATION The airport development proposed in this project has been coordinated with the
Fixed Base Operator(s) utilizing (Exact name of airport) Yakima Air Terminal -McAllister Field and they
have been informed regarding the scope and nature of this project.
® d. THE PROPOSED PROJECT IS CONSISTENT with existing approved plans for the area surrounding the
airport.
The above statements have been duly considered and are applicable to this project. (Provide comment for any
statement not checked)
BY:
TITLE: City Manager
SPONSORING AGENCY: City of Yakima
DATE. ,, u f i 19
NOTE: Where opposition is stated to an airport development project, whether expressly or by proposed revision, the
following specific information concerning the opposition to the project must be furnished.
a. Identification of the Federal, state, or local governmental agency, or the person or persons opposing the project;
b The nature and basis of opposition,
c. Sponsor's plan to accommodate or otherwise satisfy the opposition,
d Whether an opportunity for a hearing was afforded, and if a hearing was held, an analysis of the facts developed at the hearing
as they relate to the social, economic, and environmental aspects of the proposed project and its consistency with the goals and
objectives of such urban planning as has been carried out by the community
e. If the opponents proposed any alternatives, what these alternatives were and the reason for nonacceptance,
f Sponsor's plans, if any, to minimize any adverse effects of the project;
g. Benefits to be gained by the proposed development; and
h. Any other pertinent information which would be of assistance in determining whether to proceed with the project.
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 Tess than $10,000 and not
more than $100,000 for each such failure.
Signed
Title
pons+'s Authorized Representative
mamius r
Date l -, LL9
Airport/Sponsor:
AIP #:
TITLE VI PRE -AWARD SPONSOR CHECKLIST
City of Yakima
3-53-0089-044-2019
Project Description(s):
Acquire ARFF Vehicle
1) Please describe any of the following IF they apply to your project: Title VI issues raised at public hearing(s)
and the conclusions made; EIS data concerning the race, color, or national origin of the affected
community; steps taken or proposed to guard against unnecessary impact on persons on the basis of
race, color or national origin.
® 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).
3) Please list any current applications for federal funding (other than FAA) of airport related projects which
exceed the amount for this grant.
® None
4) Please list any airport related Title VI compliance review(s) received by the sponsor in the preceding two
years. Include who conducted the review and any findings of noncompliance.
® None
Review completed and approved:
Date:
To be completed by the Civil Rights Staff
Signature
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
Yakima Air Terminal - McP
AIP Development Application Checklist
3-53-0089-044-2019
1 SF424
2 SF5100-100
3 CIP Data Sheet
4 Standard DOT Title VI Assurances
5 Certification for Contracts Grants Loans
6 Airport Sponsor Assurances
7. Current FAA Advisory Circulars
8 SF5100-134 Sponsor Certification for Selection of Consultants
9 SF5100-132 Sponsor Certification for Plans and Specs
10 SF5100-131 Sponsor Certification for Equipment/Construction Contracts
11. SF5100-129 Sponsor Certification for Project Final Acceptance
12 SF5100-130 Sponsor Certification for Drug Free Workplace
13. SF5100-133 Sponsor Certification for Land (Use only for Land Acquisition)
14 SF5100-135 Sponsor Certification for Conflict of Interest
15. Title VI Pre -Award Sponsor Checklist
CONTRACTOR CONTRACTUAL REQUIREMENTS
ATTACHMENT 1
During the performance of this contract, the contractor, for itself, its assignees and successors in interest
(hereinafter referred to as the "contractor") agrees as follows
1 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
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.
2. The (grantee, licensee, lessee, permittee, etc , as appropriate) for himself, his heirs,
personal representatives, successors in interest, and assigns, as a part of the
consideration hereof, does hereby covenant and agree (in the case of deeds and
leases add "as a covenant running with the land") that: (1) no person on the grounds
of race, color, or national origin shall be excluded from participation in, denied the
benefits of, or be otherwise subjected to discrimination in the use of said facilities, (2)
that in the construction of any improvements on, over, or under such land and the
furnishing of services thereon, no person on the grounds of race, color, or national
origin shall be excluded from participation in, denied the benefits of, or otherwise be
subjected to discrimination, (3) that the (grantee, licensee, permittee, etc.) shall use
the premises in compliance with all other requirements imposed by or pursuant to 49
CFR Part 21, Nondiscrimination in Federally Assisted Programs of the Department of
Transportation, and as said Regulations may be amended.
FAA
Airports
Current FAA Advisory Circulars Required for Use in AIP
Funded and PFC Approved Projects
Updated. 4/18/2019
View the most current versions of these ACs and any associated changes at:
http.//www.faa.gov/airports/resources/advisory circulars and
http.//www.faa.qov/requlations policies/advisory circulars/
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T'iITFLVE� A Iraq°r''� 's
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`9^.B�&r;i".'i`.'u.n"',fi'.!. a �.*3.r?4: rr��re?.; ,�a�}3,,q aty' }�^s,t�s',� �..y
k an�S`�:"+'iE a*',�."��:J'Y.r"5Ya',.::�.Ln}�5'r'�rt�'k%�?Y.�,..4w�:„1`r.`.fl?:si}Zz.�i"W
70/7460-1L
Change 2
Obstruction Marking and Lighting
150/5000-9A
Announcement of Availability Report No DOT/FAA/PP/92-5, Guidelines for
the Sound Insulation of Residences Exposed to Aircraft Operations
150/5000-17
Critical Aircraft and Regular Use Determination
150/5020-1
Noise Control and Compatibility Planning for Airports
150/5070-6B
Changes 1 - 2
Airport Master Plans
150/5070-7
Change 1
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
Change 1
Airport Field Condition Assessments and Winter Operations Safety
150/5200-31C
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
FAA Advisory Circulars Required for Use in
AIP Funded and PFC Approved Projects
Updated 4/18/2019
ARP
Page 1 of 5
'NUMBER' ' µ
TITLE
150/5210-14B
Aircraft Rescue Fire Fighting Equipment, Tools and Clothing
150/5210-15A
Aircraft Rescue and Firefighting Station Building Design
150/5210-18A
Systems for Interactive Training of Airport Personnel
150/5210-19A
Driver's Enhanced Vision System (DEVs)
150/5220-10E
Guide Specification for Aircraft Rescue and Fire Fighting (ARFF) Vehicles
150/5220-16E,
Automated Weather Observing Systems (AWOS) for Non -Federal
Change 1
Applications
150/5220-17B
Aircraft Rescue and Fire Fighting (ARFF) Training Facilities
150/5220-18A
Buildings for Storage and Maintenance of Airport Snow and Ice Control
Equipment and Materials
150/5220-20A
Airport Snow and Ice Control Equipment
150/5220-21 C
Aircraft Boarding Equipment
150/5220-22B
Engineered Materials Arresting Systems (EMAS) for Aircraft Overruns
150/5220-23
Frangible Connections
150/5220-24
Foreign Object Debris Detection Equipment
150/5220-25
Airport Avian Radar Systems
150/5220-26,
Airport Ground Vehicle Automatic Dependent Surveillance - Broadcast (ADS -
Changes 1 - 2
B) Out Squitter Equipment
150/5300-13A,
Airport Design
Change 1
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
Change 1
150/5300-188
General Guidance and Specifications for Submission of Aeronautical Surveys
Change 1
to NGS Field Data Collection and Geographic Information System (GIS)
Standards
150/5320-5D
Airport Drainage Design
FAA Advisory Circulars Required for Use in
AIP Funded and PFC Approved Projects
Updated 4/18/2019
ARP
Page 2 of 5
:NU•tM. BEvkR
'
'
LktiEP,....r r.'.ki yr
•
'
150/5320-6F
Airport Pavement Design and Evaluation
150/5320-12C,
Changes 1 - 8
Measurement, Construction, and Maintenance of Skid Resistant Airport
Pavement Surfaces
150/5320-15A
Management of Airport Industrial Waste
150/5325-4B
Runway Length Requirements for Airport Design
150/5335-5C
Standardized Method of Reporting Airport Pavement Strength - PCN
150/5340-1 L
Standards for Airport Markings
150/5340-5D
Segmented Circle Airport Marker System
150/5340-18F
Standards for Airport Sign Systems
150/5340-26C
Maintenance of Airport Visual Aid Facilities
150/5340-30J
Design and Installation Details for Airport Visual Aids
150/5345-3G
Specification for L-821, Panels for the Control of Airport Lighting
150/5345-5B
Circuit Selector Switch
150/5345-7F
Specification for L-824 Underground Electrical Cable for Airport Lighting
Circuits
150/5345-10H
Specification for Constant Current Regulators 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
150/5345-26D
FAA Specification For L-823 Plug 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
150/5345-42H
Specification for Airport Light Bases, Transformer Housings, Junction Boxes,
and Accessories
150/5345-43J
Specification for Obstruction Lighting Equipment
FAA Advisory Circulars Required for Use in
AIP Funded and PFC Approved Projects
Updated 4/18/2019
ARP
Page 3 of 5
. s1P.:44+YJiL {
Sty`. ��,'�'+�5- �
,NUMBERz
:yJw.. ":J' ': k£ '�%k"•§'.-"rev Y rN"•.-`5i:.*: y^' F
' :9 , b' Y 5t�(`«�'. y ,g. 'F Ld' 4 LI"` .ip�" _ �''s,"o';,.
TITLE.4. ��a ,-
150/5345-44K
Specification for Runway and Taxiway Signs
150/5345-45C
Low -Impact Resistant (LIR) Structures
150/5345-46E
Specification for Runway and Taxiway Light Fixtures
150/5345-47C
Specification for Series to Series Isolation Transformers for Airport Lighting
Systems
150/5345-49D
Specification L-854, Radio Control Equipment
150/5345-50B
Specification for Portable Runway and Taxiway Lights
150/5345-51 B
Specification for Discharge -Type Flashing Light Equipment
150/5345-52A
Generic Visual Glideslope Indicators (GVGI)
150/5345-53D
Airport Lighting Equipment Certification Program
150/5345-54B
Specification for L-884, Power and Control Unit for Land and Hold Short
Lighting Systems
150/5345-55A
Specification for L-893, Lighted Visual Aid to Indicate Temporary Runway
Closure
150/5345-56B
Specification for L-890 Airport Lighting Control and Monitoring System
(ALCMS)
150/5360-12F
Airport Signing and Graphics
150/5360-13A
Airport Terminal Planning
150/5360-14A
Access to Airports By Individuals With Disabilities
150/5370-2G
Operational Safety on Airports During Construction
150/5370-10H
Standard Specifications for Construction of Airports
150/5370-11 B
Use of Nondestructive Testing in the Evaluation of Airport Pavements
150/5370-13A
Off -Peak Construction of Airport Pavements Using Hot -Mix Asphalt
150/5370-15B
Airside Applications for Artificial Turf
150/5370-16
Rapid Construction of Rigid (Portland Cement Concrete) Airfield Pavements
150/5370-17
Airside Use of Heated Pavement Systems
150/5390-2C
Heliport Design
150/5395-1B
Seaplane Bases
FAA Advisory Circulars Required for Use in
AIP Funded and PFC Approved Projects
Updated 4/18/2019
ARP
Page 4 of 5
THE FOLLOWING ADDITIONAL APPLY TO AIP PROJECTS ONLY
Updated. 3/22/2019
1.
PIUMBER
.3'"4.ka'?YD"ffII:if*CYiw 6
,.. iR.S" ^j t `. .r,. 3 . .t� Jy},R.'G••�� �F1��4
wd ��� : -4 ��;:
. ."�'.fPlr4`i -a�Pur`OS Yfd'
y�T1T,LE � p_ :• a t .{ w
tt✓ :3i=W ^ _�h
150/5100-14E,
Change 1
Architectural, Engineering, and Planning Consultant Services for Airport Grant
Projects
150/5100-17,
Changes 1 - 7
Land Acquisition and Relocation Assistance for Airport Improvement Program
Assisted Projects
150/5300-15A
Use of Value Engineering for Engineering and Design of Airport Grant Projects
150/5320-17A
Airfield Pavement Surface Evaluation and Rating Manuals
150/5370-12B
Quality Management for Federally Funded Airport Construction Projects
150/5380-6C
Guidelines and Procedures for Maintenance of Airport Pavements
150/5380-7B
Airport Pavement Management Program
150/5380-9
Guidelines and Procedures for Measuring Airfield Pavement Roughness
FAA Advisory Circulars Required for Use in
AIP Funded and PFC Approved Projects
Updated 4/18/2019
ARP
Page 5 of 5
STANDARD DOT TITLE VI ASSURANCES
City of Yakima (hereinafter referred to as the Sponsor) hereby agrees that as a condition to
receiving Federal financial assistance from the Department of Transportation (DOT), it will
comply with Title VI of the Civil Rights Act of 1964 (42 U S.C. 2000d et seq) and all
requirements imposed by 49 CFR Part 21, Nondiscrimination in Federally Assisted Programs
of the Department of Transportation -- Effectuation of Title VI of the Civil Rights Act of 1964
(hereinafter referred to as the "Regulations") to the end that no person in the United States
shall, on the ground of race, color, or national origin, be excluded from participation in, be
denied the benefits of, or be otherwise subjected to discrimination under any program or
activity for which the applicant receives Federal financial assistance and will immediately take
any measures necessary to effectuate this agreement. Without limiting the above general
assurance, the Sponsor agrees concerning this grant that:
1 Each "program" and "facility" (as defined in Section 21 23(a) and 21 23(b)) will be
conducted or operated in compliance with all requirements of the Regulations
2 It will insert the clauses of Attachment 1 of this assurance in every contract subject to the
Act and the Regulations
3 Where Federal financial assistance is received to construct a facility, or part of a facility,
the assurance shall extend to the entire facility and facilities operated in connection therewith
4 Where Federal financial assistance is in the form or for the acquisition of real property or
an interest in real property, the assurance shall extend to rights to space on, over, or under
such property.
5 It will include the appropriate clauses set forth in Attachment 2 of this assurance, as a
covenant running with the land, in any future deeds, leases, permits, licenses, and similar
agreements entered into by the Sponsor with other parties
(a) for the subsequent transfer of real property acquired or improved with Federal financial
assistance under this project; and
(b) for the construction or use of or access to space on, over, or under real property
acquired or improved with Federal financial assistance under this Project.
6. This assurance obligates the Sponsor for the period during which Federal financial
assistance is extended to the program, except where the Federal financial assistance is to
provide, or is in the form of personal property or real property or interest therein or structures
or improvements thereon, in which case the assurance obligates the Sponsor or any
transferee for the longer of the following periods
(a) the period during which the property is used for a purpose for which Federal financial
assistance is extended, or for another purpose involving the provision of similar services or
benefits, or
(b) the period during which the Sponsor retains ownership or possession of the property
7. It will provide for such methods of administration for the program as are found by the Secretary of
transportation of the official to whom he delegates specific authority to
give reasonable guarantees that it, other sponsors, subgrantees,
contractors, subcontractors, transferees, successors in interest, and
other participants of Federal financial assistance under such program
will comply with all requirements imposed or pursuant to the act, the
Regulations, and this assurance.
Page 1 of 2
STANDARD DOT TITLE VI ASSURANCES (Continued)
8 It agrees that the United States has a right to seek judicial enforcement with regard to any
matter arising under the Act, the Regulations, and this assurance
THIS ASSURANCE is given in consideration of and for the purpose of obtaining Federal financial assistance
for this Project and is binding on its contractors, the Sponsor, subcontractors, transferees, successors in
interest and other participants in the Project. The person or persons whose signatures appear below are
authorized to sign this assurance on behalf of the Sponsor
City of Yakima
(Sponsor)
re of Authorized Official)
CITY CONTRACT NO' /�
RESOLUTION NO' 7
Page 2 of 2
FAA
Airports
ASSURANCES
Airport Sponsors
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
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 seq.2
e. Uniform Relocation Assistance and Real Property Acquisition Policies Act of
1970 Title 42 U.S.C. 4601, et seq.1 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.'
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(f))
m. Rehabilitation Act of 1973 - 29 U.S.C. 794.
n. Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq., 78 stat. 252)
(prohibits discrimination on the basis of race, color, national origin);
o. Americans with Disabilities Act of 1990, as amended, (42 U.S.C. § 12101 et
seq.), prohibits discrimination on the basis of disability).
p. Age Discrimination Act of 1975 - 42 U.S.C. 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, et seq.2
y. Drug -Free Workplace Act of 1988 - 41 U.S.C. 702 through 706.
Airport Sponsor Assurances 3/2014 Page 2 of 20
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 1 1246 -
b. Executive Order 11990 -
c. Executive Order 11998
d. Executive Order 12372 -
e. Executive Order 12699 -
Building Construction'
f. Executive Order 12898 -
Federal Regulations
Equal Employment Opportunity'
Protection of Wetlands
— Flood Plain Management
Intergovernmental Review of Federal Programs
Seismic Safety of Federal and Federally Assisted New
Environmental Justice
a. 2 CFR Part 180 - OMB Guidelines to Agencies on Governmentwide 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
Organizations].4 5,6
c. 2 CFR Part 1200 — Nonprocurement Suspension and Debarment
d. 14 CFR Part 13 - Investigative and Enforcement Procedures 14 CFR Part 16 -
Rules of Practice For Federally Assisted Airport Enforcement Proceedings.
e. 14 CFR Part 150 - Airport noise compatibility planning.
f. 28 CFR Part 35- Discrimination on the Basis of Disability in State and Local
Government Services.
g. 28 CFR § 50.3 - U.S. Department of Justice Guidelines for Enforcement of Title
VI of the Civil Rights Act of 1964.
h. 29 CFR Part 1 - Procedures for predetermination of wage rates.'
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).'
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 - Uniform 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.
Airport Sponsor Assurances 3/2014 Page 3 of 20
p. 49 CFR Part 24 — Uniform Relocation Assistance and Real Property Acquisition
for Federal and Federally Assisted Programs.12
q. 49 CFR Part 26 — Participation by Disadvantaged Business Enterprises in
Department of Transportation Programs.
r. 49 CFR Part 27 — Nondiscrimination on the Basis of Handicap in Programs and
Activities Receiving or Benefiting from Federal Financial Assistance.'
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.
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-110 or 2 CFR Part 215 or
Circular) as well as the Cost Principles (Circulars A-21 or 2 CFR part 220;
Circular A-87 or 2 CFR part 225; and A-122, 2 CFR part 230). Additionally it
replaces Circular A-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
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 of the airport or site thereof, or will give assurance
satisfactory to the Secretary that good title will be acquired.
b. For noise compatibility program projects to be carried out on the property of the
sponsor, it holds good title satisfactory to the Secretary to that portion of the
property upon which Federal funds will be expended or will give assurance to the
Secretary that good title will be obtained.
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
g.
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. If the
transferee is found by the Secretary to be eligible under Title 49, United States
Code, to assume the obligations of this grant agreement and to have the power,
authority, and financial resources to carry out all such obligations, the sponsor
shall insert in the contract or document transferring or disposing of the sponsor's
interest, and make binding upon the transferee all of the terms, conditions, and
assurances contained in this grant agreement.
c. For all noise compatibility program projects which are to be carried out by
another unit of local government or are on property owned by a unit of local
government other than the sponsor, it will enter into an agreement with that
government. Except as otherwise specified 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 the 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 the terms of the agreement.
e. If the sponsor is a private sponsor, it will take steps satisfactory to the Secretary to
ensure that the airport will continue to function as a public -use airport in
accordance with these assurances for the duration of these assurances.
f. If an arrangement is made for management and operation of the airport by any
agency or person other than the sponsor or an employee of the sponsor, the
sponsor will reserve sufficient rights and authority to insure that the airport will
be operated and maintained in accordance Title 49, United States Code, the
regulations and the terms, conditions and assurances in this grant agreement and
shall insure that such 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 1 12-95 and the sponsor assurances.
Airport Sponsor Assurances 3/2014 Page 6 of 20
6. Consistency with Local Plans.
The project is reasonably consistent with plans (existing at the time of submission of
this application) of public agencies that are authorized by the State in which the
project is located to plan for the development of the area surrounding the airport.
7. Consideration of Local Interest.
It has given fair consideration to the interest of communities in or near where the
project may be located.
8. Consultation with Users.
In making a decision to undertake any airport development project under Title 49,
United States Code, it has undertaken reasonable consultations with affected parties
using the airport at which project is proposed.
9. Public Hearings.
In projects involving the location of an airport, an airport runway, or a major runway
extension, it has afforded the opportunity for public hearings for the purpose of
considering the economic, social, and environmental effects of the airport or runway
location and its consistency with goals and objectives of such planning as has been
carried out by the community and it shall, when requested by the Secretary, submit a
copy of the transcript of such hearings to the Secretary. Further, for such projects, it
has on its management board either voting representation from the communities
where the project is located or has advised the communities that they have the right to
petition the Secretary concerning a proposed project.
10. Metropolitan Planning Organization.
In projects involving the location of an airport, an airport runway, or a major runway
extension at a medium or large hub airport, the sponsor has made available to and has
provided upon request to the metropolitan planning organization in the area in which
the airport is located, if any, a copy of the proposed amendment to the airport layout
plan to depict the project and a copy of any airport master plan in which the project is
described or depicted.
1 1. Pavement Preventive Maintenance.
With respect to a project approved after January 1, 1995, for the replacement or
reconstruction of pavement at the airport, it assures or certifies that it has
implemented an effective airport pavement maintenance -management program and it
assures that it will use such program for the useful life of any pavement constructed,
reconstructed or repaired with Federal financial assistance at the airport. It will
provide such reports on pavement condition and pavement management programs as
the Secretary determines may be useful.
12. Terminal Development Prerequisites.
For projects which include terminal development at a public use airport, as defined in
Title 49, it has, on the date of submittal of the 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 3/2014 Page 7 of 20
has provided for access to the passenger enplaning and deplaning area of such airport
to passengers enplaning and deplaning from aircraft other than air carrier aircraft.
13. Accounting System, Audit, and Record Keeping Requirements.
a. It shall keep all project accounts and records which fully disclose the amount and
disposition by the recipient of the proceeds of this grant, the total cost of the
project in connection with which this grant is given or used, and the amount or
nature of that portion of the cost of the project supplied by other sources, and such
other financial records pertinent to the project. The accounts and records shall be
kept in accordance with an accounting system that will facilitate an effective audit
in accordance with the Single Audit Act of 1984.
b. It shall make available to the Secretary and the Comptroller General of the 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
pertinent to this grant. The Secretary may require that an appropriate audit be
conducted by a recipient. In any case in which an independent audit is made of the
accounts of a sponsor relating to the disposition of the proceeds of a grant or
relating to the project in connection with which this grant was given or used, it
shall file a certified copy of such audit with the Comptroller General of the United
States not later than six (6) months following the close of the 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 of wages, to be predetermined by the Secretary of Labor, in accordance with the
Davis -Bacon Act, as amended (40 U.S.C. 276a-276a-5), which contractors shall pay
to skilled and unskilled labor, and such minimum rates shall be stated in the 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 Specifications.
It will execute the project subject to plans, specifications, and schedules approved by
the Secretary. Such plans, specifications, and schedules shall be submitted to the
Secretary prior to commencement of site preparation, construction, or other
performance under this grant agreement, and, upon approval of the Secretary, shall be
incorporated into this grant agreement. Any modification to the approved plans,
Airport Sponsor Assurances 3/2014 Page 8 of 20
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.
18. Planning Projects.
In carrying out planning projects:
a. It will execute the project in accordance with the approved program narrative
contained in the project application or with the modifications similarly approved.
b. It will furnish the Secretary with such periodic reports as required pertaining to
the planning project and planning work activities.
c. It will include in all published material prepared in connection with the planning
project a notice that the material was prepared under a grant provided by the
United States.
d. It will make such material available for examination by the public, and agrees that
no material prepared with funds under this project shall be subject to copyright in
the United States or any other country.
e. It will give the Secretary unrestricted authority to publish, disclose, distribute, and
otherwise use any of the material prepared in connection with this grant.
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
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
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 unjustly discriminatory, basis to
all users thereof, and
2) charge reasonable, and not unjustly discriminatory, prices for each 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 of such airport and utilizing the same
or similar facilities.
d. Each air carrier using such airport shall have the right to service itself or to use
any fixed -based operator that is authorized or permitted by the airport to serve any
air carrier at such airport.
e. Each air carrier using such airport (whether as a tenant, non -tenant, or subtenant
of another air carrier 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 performing any
services on its own aircraft with its own employees [including, but not limited to
maintenance, repair, and fueling] that it may choose to perform.
In the event the sponsor itself exercises any of the rights and privileges referred to
in this assurance, the services involved will be provided on the same conditions as
would apply to the furnishing of such services by commercial aeronautical service
providers authorized by the sponsor under these provisions.
h. The sponsor may establish such reasonable, and not unjustly discriminatory,
conditions to be met by all users of the airport as may be necessary for the safe
and efficient operation of the airport.
i. The sponsor may prohibit or limit any given type, kind or class of aeronautical
use of the airport if such action is necessary for the safe operation of the airport or
necessary to serve the civil aviation needs of the public.
g.
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23. Exclusive Rights.
It will permit no exclusive right for the use of the airport by any person providing, or
intending to provide, aeronautical services to the public. For purposes of this
paragraph, the providing of the services at an airport by a single fixed -based operator
shall not be construed as an exclusive right if both of the following apply:
a. It would be unreasonably costly, burdensome, or impractical for more than one
fixed -based operator to provide such services, and
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 conjunction with other aeronautical activity, repair and maintenance
of aircraft, sale of aircraft parts, and any other activities which because of their
direct relationship to the operation of aircraft can be regarded as an aeronautical
activity, and that it will terminate any exclusive right to conduct an aeronautical
activity now existing at such an airport before the grant of any assistance under
Title 49, United States Code.
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 of collection. No part of the Federal share of an airport
development, airport planning or noise compatibility project for which a grant is
made under Title 49, United States Code, the Airport and Airway Improvement Act
of 1982, the Federal Airport Act or the Airport and Airway Development Act of 1970
shall be included in the rate basis in establishing fees, rates, and charges for users of
that airport.
25. Airport Revenues.
a.
All revenues generated by the airport and any local taxes on aviation fuel
established after December 30, 1987, will be expended by it for the capital or
operating costs of the airport; the local airport system; or other local facilities
which are owned or operated by the owner or operator of the airport and which
are directly and substantially related to the actual air transportation of passengers
or property; or for noise mitigation purposes on or off the airport. The following
exceptions apply to this paragraph:
1) If covenants or assurances in debt obligations issued before September 3,
1982, by the owner or operator of the airport, or provisions enacted before
September 3, 1982, in governing statutes controlling the owner or operator's
financing, provide for the use of the revenues from any of the airport owner or
Airport Sponsor Assurances 3/2014 Page 12 of 20
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
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. Five (5) or more Government aircraft are regularly based at the airport or on land
adjacent thereto; or
b. The total number of movements (counting each landing as a movement) of
Government aircraft is 300 or more, or the gross accumulative weight of
Government aircraft using the airport (the total movement of Government aircraft
multiplied by gross weights of such aircraft) is in excess of five million pounds.
28. Land for Federal Facilities.
It will furnish without cost to the Federal Government for use in connection with any
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
roads), including all proposed extensions and reductions of existing airport
facilities;
3) the location of all existing and proposed nonaviation areas and of all existing
improvements thereon; and
4) all proposed and existing access points used to taxi aircraft across the airport's
property boundary. Such airport layout plans and each amendment, revision,
or modification thereof, shall be subject to the approval of the Secretary which
approval shall be evidenced by the signature of a duly authorized
representative of the Secretary on the face of the airport layout plan. The
sponsor will not make or permit any changes or alterations in the airport or
any of its facilities which are not in conformity with the airport layout plan as
approved by the Secretary and which might, in the opinion of the Secretary,
adversely affect the safety, utility or efficiency of the airport.
b. If a change or alteration in the airport or the facilities is made which the Secretary
determines adversely affects the safety, utility, or efficiency of any federally
owned, leased, or funded property on or off the airport and which is not in
conformity with the airport layout plan as approved by the Secretary, the owner or
operator will, if requested, by the Secretary (1) eliminate such adverse effect in a
manner approved by the Secretary; or (2) bear all costs of relocating such
property (or replacement thereof) to a site acceptable to the Secretary and all costs
of restoring such property (or replacement thereof) to the level of safety, utility,
efficiency, and cost of operation existing before the unapproved change in the
airport or its facilities except in the case of a relocation or replacement of an
existing airport facility due to a change in the Secretary's design standards beyond
the control of the airport sponsor.
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 therewith.
Airport Sponsor Assurances 3/2014 Page 15 of 20
3) Real Property. Where the sponsor receives a grant or other Federal financial
assistance in the form of, or for the acquisition of real property or an interest
in real property, the assurance will extend to rights to space on, over, or under
such property.
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 assurance obligates the sponsor, or any transferee for the longer of
the following periods:
1) So long as the airport is used as an airport, or for another purpose involving
the provision of similar services or benefits; or
2) So long as the sponsor retains ownership or possession of the property.
d. Required Solicitation Language. It will include the following notification in all
solicitations for bids, Requests For Proposals for work, or material under this
grant agreement and in all proposals for agreements, including airport
concessions, regardless of funding source:
"The cf' Ntz.r., , in accordance with the provisions of Title VI of the
Civil Rights Act of 1964 (78 Stat. 252, 42 U.S.C. §§ 2000d to 2000d-4) and the
Regulations, hereby notifies all bidders that it will affirmatively ensure that any
contract entered into pursuant to this advertisement, disadvantaged business
enterprises and airport concession disadvantaged business enterprises will be
afforded full and fair opportunity to submit bids in response to this invitation and
will not be discriminated against on the grounds of race, color, or national origin
in consideration for an award."
e. 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
the contracts by reference in every contract or agreement subject to the non-
discrimination in Federally -assisted programs of the DOT acts and
regulations.
2) It will include a list of the pertinent non-discrimination authorities in every
contract that is subject to the non-discrimination acts and regulations.
3) It will insert non-discrimination contract clauses as a covenant running with
the land, in any deed from the United States effecting or recording a transfer
of real property, structures, use, or improvements thereon or interest therein to
a sponsor.
4) It will insert non-discrimination contract clauses prohibiting discrimination on
the basis of race, color, national origin, creed, sex, age, or handicap as a
Airport Sponsor Assurances 3/2014 Page 16 of 20
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.
f. 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.
g.
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 the
Secretary an amount equal to the United States' proportionate share of the fair
market value of the land. That portion of the proceeds of such disposition which
is proportionate to the United States' share of the cost of acquisition of such land
will, (1) upon application to the Secretary, be reinvested or transferred to another
Airport Sponsor Assurances 3/2014 Page 17 of 20
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 purposes 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 object 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 04/18/2019 (the latest
approved version as of this grant offer) and included in this grant, and in accordance
Airport Sponsor Assurances 3/2014 Page 18 of 20
with applicable state policies, standards, and specifications approved by the
Secretary.
35. Relocation and Real Property Acquisition.
a. It will be guided in acquiring real property, to the greatest extent practicable under
State law, by the land acquisition policies in Subpart B of 49 CFR 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.
If the airport owner or operator and a person who owns an aircraft agree that a hangar
is to be constructed at the airport for the aircraft at the aircraft owner's expense, the
airport owner or operator will grant to the aircraft owner for the hangar a long 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
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
CIP DATA SHEET
AIRPORTt`
Yakima Air Terminal - McAllister Fieldl r! J YKM
COCgif,iiIORE1 i
1
PLANNEMYEAR TO
PROJECTiOESCRIPTION
ARFF Vehicle Acquisition
CONSTRfJCT 1 ``
2019
SKETCH.
Acquire one (1) Aircraft Rescue and Firefighting (ARFF) Vehicle, Index B
J_USYIgcA7igty ` The existing ARFF Vehicle is nearing the end of its useful life span
COST ESTIMATE
ADMINISTRATION
ENGINEERING.
INSPECTION•
$ 3,000 00
1. Construction
$
4
$
$ 50,000 00
2. Equipment
$1,058,111 00
5
$
$
3
$
TOTAL:
$1,111,111 00
Feder]$)) $ 1, 000, 000.00
State
$ 55,555.00ca_)( ;SS) $ 55,556.00
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
11 /27/1a-Date of environmental determination (ROD, FONSI, CatEx)
N/A
N/A
N/A
-Date of land acquisition or signed purchase agreement
-Date of pavement maintenance program
-Date of Benefit Cost Analysis (BCA) as required
SPONSOR'S SIGNATURE.
PRINTED NAME:
PHONE NUMBER.
Cliff Mo
(509) 575-6149
EMAIL.
DATE. o i 34.) IomEtt
TITLE: City Manager
rob PetersonCa?vakimaairterminal com
FAA USE ONLY
REAPP'NUMBER ^tsff` ;,;,GRANTi UMBER IT:_<NPfPS'CODE
WORkdCOD
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).
CERTIFICATION REGARDING LOBBYING
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 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 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 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.
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
City of Yakima
PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE
Prefix:
* Last Name.
* Title:
* First Name:
Cliff
Moore
City Manager
Middle Name.
Suffix:
* SIGNATURE:
* DATE.
*l ll.u9
OMB Number 4040-0004
Expiration Date: 12/31/2019
Application for Federal Assistance SF-424
* 1 Type of Submission:
Preapplication
Application
* 2. Type
of Application: ' If Revision, select appropnate letter(s):
New
Continuation
U Revision
' Other (Specify):
Application
Changed/Corrected
* 3. Date Received: 4 Applicant Identifier
5a. Federal Entity Identifier
5b. Federal Award Identifier
3-53-0089-093-2019
State Use Only.
6. Date Received by
7 State Application Identifier
State:
S. APPLICANT
INFORMATION:
* a. Legal Name:
City of Yakima
* b. Employer/Taxpayer Identification Number (EIN/TIN):
* c. Organizational DUNS.
91-6001293
0782126510000
d. Address:
* Streetl
Street2:
* City
County/Parish:
* State:
Province:
*Country.
* Zip / Postal Code:
129 2nd St
Yakima
WA Washington
USA UNITED STATES
° E a 0 2
e. Organizational Unit:
Department Name'
Division Name.
f Name and contact information of person to be contacted on matters involving this application
Prefix:
Middle Name:
* Last Name:
Suffix:
* First Name Robert
Peterson
Title: Airport Director
Organizational Affiliation.
* Telephone Number
509-575-6199 Fax Number
*Email: Rob.Peterson@yakimaairterminal com
Application for Federal Assistance SF-424
* 9. Type of Applicant 1 Select Applicant Type:
C City or Township Government
Type of Applicant 2: Select Applicant Type:
Type of Applicant 3: Select Applicant Type:
* Other (specify):
* 10. Name of Federal Agency•
DOT -FAA
11 Catalog of Federal Domestic Assistance Number
20.106
CFDA Title:
Airport Improvement Program
* 12. Funding Opportunity Number
* Title:
13. Competition Identification Number
Title:
14 Areas Affected by Project (Cities, Counties, States, etc.):
TA'dd Attachment.
, t .le,,;; itaciiment'r
eirAent
* 15. Descriptive Title of Applicant's Project:
Phase 1, Design RW 9-27 HIRL & RW Crack and Seal Coat
Attach supporting documents as specified in agency instructions.
V.:A-C1010#11,Pnt§,
051eac#i•}ntecii5
Neiv'A049hPfil98 x.
1
Application for Federal Assistance SF-424
16. Congressional
* a. Applicant
Districts Of*
WA-004
* b. Program/Project IRA- 004
Attach an additional list of Program/Project Congressional Districts
if needed.
017
Md:Attachment: /:),e0f642lactim'eli N1lie-,A ttachnienve
17. Proposed
* a. Start Date:
Project:
04/01/2019
* b. End Date: 12/31/2020
18. Estimated Funding ($):
*a. Federal
* b. Applicant
* c. State
* d. Local
* e. Other
* f. Program Income
*g.TOTAL
132,926.00
7,357 00
7,357.00
147,190.00
* 19. Is Application
E a. This application
b. Program
Subject to Review By State Under Executive Order 12372 Process?
was made available to the State under the Executive Order 12372 Process for review on
is subject to E.O 12372 but has not been selected by the State for review
is not covered by E.O 12372.
c. Program
* 20. Is the Applicant
Yes
If "Yes", provide
Delinquent On Any Federal Debt? (If
No
and attach
"Yes," provide explanation in attachment.)
0
explanation
addAttai ent>y, MDetet AttachVIS:; eiVI:Attachment?
21. *By signing
herein are true,
comply with any
subject me to
this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements
complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to
resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may
criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001)
and assurances, or an intemet site where you may obtain this list, is contained in the announcement or agency
** I AGREE
** The list of certifications
specific instructions.
Authorized Representative:
Prefix:
Middle Name:
* Last Name:
Suffix:
* First Name: Cliff
Moore
*Title: City Manager
* Telephone Number
509-575-6000 Fax Number
*Email: cliff.moore@yakimawa.gov
* Signature of Authorized Representative:
okr
o,
* Date Signed:
i•( v-t ( (
9
C TY CONTRACT NO:_ 1
RESOLUTION NO: Q- 6 001
ei
U S. Department
of Transportation
Federal Aviation
Administration
FAA Form 5100-100, Application for Federal Assistance
(Development and Equipment Projects)
Paperwork Reduction Act Burden 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 28 hours per response,
including the time for reviewing instructions, searching existing data sources, 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, 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 5100-100
PART I — Application for Federal Assistance
Part 1 of the Application for Federal Assistance consists of a completed Standard Form (SF) 424. The
remaining parts of Form 5100-100 (Parts 11, 1111 and IV) represent continuation pages that the Sponsor
must attach to the associated SF-424 form. The signature of the Sponsor's authorized representative on
the SF-424 form represents acceptance of the representations and certifications made within the
corresponding FAA 5100-100 form.
PART II — Project Approval Information
This information is necessary for the Federal Aviation Administration to evaluate this request for Federal
assistance. Responses do not require an explanation unless explicitly requested by the question.
SECTION A. STATUTORY CONDITIONS
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 SAM) 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 project within 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 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 (winter shutdown, land acquisition issues, non -
aeronautical events, etc.) that have potential to delay completion of the project. (49 USC § 47106(a))
Item 4 — Indicate whether the environmental review (i.e environmental assessment, mitigated FONSI,
etc.) identified impacts or effects on the environment that require mitigating measures that lessen the
impact or effect on the environment. If yes, provide a summary listing of mitigating measures.
(49 U S C. § 47106(c))
Item 5 — Indicate whether the project covered by this request is also covered by an approved Passenger
Facility Charge (PFC) application or other Federal assistance program by selecting all applicable check
boxes (49 U S C § 40117(d) and 2 CFR § 200 403) If the approved PFC application only addresses the
Sponsor's AIP matching share, select the appropriate check box.
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 6 — Indicate whether the Sponsor intends to seek reimbursement of Sponsor indirect costs 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
Indirect Cost Rata (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 ICR 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 direct salary
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.
FAA Form 5100-100 ii
SECTION C. REPRESENTATIONS AND CERTIFICATION
1 Compatible Land Use (49 U S C § 47107(a)(10)) — Identify actions the Sponsor has taken to
assure land uses in close proximity to the airport are compatible with normal airport operations.
2. Defaults — Confirm that Sponsor is not in default on any obligation to the United States or any
agency of the United States government.
3 Possible Disabilities — Confirm that Sponsor has no facts or circumstances (i.e. legal, financial
or otherwise) that might adversely affect the Sponsor in completing the project and carrying out
the provisions of the associated Grant Assurances.
4. Consistency with Local Plans (49 U S C § 47106(a)) — Confirm project is consistent with plans
(existing at the time the project is approved) of public agencies authorized by the State in which
the airport is located to plan
5 Consideration of Local Interests (49 U.S C § 47106(b)) — Confirm the Sponsor has given fair
consideration to the community in and near the project.
6 Consultation with Users (49 U S C § 47105(a)) - Confirm the Sponsor has consulted with
airport users that will be affected by the project.
7 Public Hearings (49 U.S C § 47106(c)) — For projects involving the location of an airport,
runway or major runway extension, confirm the Sponsor
a. Provided an opportunity for a public hearing to consider economic, social and
environmental effects of the project.
b Has voting representation from the communities in which the project is located, or has
advised the communities that they have the right to petition the Secretary about the
proposed project.
8. Air and Water Quality Standards - Confirm Sponsor will comply with applicable air and water
quality standards.
9. Exclusive Rights (49 U S C § 47107(a) — Identify all instances of exclusive rights to conduct
aeronautical services at the airport.
10. Land (49 U.S.C. § 47106(b)) —
a. Identify property interests specific to the development project and/or land acquisition The
declaration of property interest is to be based upon a title opinion submitted by an
attorney When identifying the property interest, use the same parcel numbers as used to
identify the property on the associated Exhibit A property map
Example "Sponsor maintains property interest as depicted within the property table on
the Exhibit A property map dated _/ / originally filed with AIP Project ### "
b Complete this subpart if the Sponsor proposes a project for which they have not yet
obtained appropriate property interests Note that the work may not commence until
Sponsor obtains acceptable property interests Identify such property by parcel number
that corresponds to the associated Exhibit A property map
c. Complete this subpart when acquiring property interests under the grant. Identify such
property by parcel number that corresponds to the associated Exhibit A property map
FAA Form 5100-100 iii
PART III — Budget Information
SECTION A. GENERAL
1. Federal Domestic Assistance Catalog Number - Show the Federal Domestic Assistance Catalog
Number from which the assistance is requested.
2. Functional or Other Breakout: Indicate "Airport Improvement Program" Prepare a separate set of
Part III forms for other Federal program categories.
SECTION B. CALCULATION OF FEDERAL GRANT
When applying for a new grant, use the Total Amount Column only Use all columns when requesting
revisions of previously awarded amounts.
Line 1 - Enter amounts needed for administration expenses, which may include such items as legal fees,
mailing/shipping expenses, audit fees and documented Sponsor employee time that is necessary to
administer the grant.
Line 2 - Enter amounts pertaining to allowable preliminary expenses. These include such expenses as
independent fee estimate preparation, advertising expenses and permits.
Line 3 - Enter amounts directly associated with the acquisition of land, existing structures, and related
right-of-way.
Line 4 - Enter fees for architectural engineering basic services
Line 5 - Enter amounts for architectural engineering special services (e g surveys, tests and borings).
Line 6 - Enter fees for inspection, testing and monitoring of construction and related programs
Line 7 - Enter amounts associated with the development of land where the primary purpose of the grant
is land improvement. Site work normally associated with major construction should be excluded from this
category and shown on line 11.
Line 8 - Enter the dollar amounts needed to provide relocation advisory assistance, and the net amounts
for replacement (last resort) housing Do not include relocation administration expenses on this Line,
include them on Line 1
Line 9 - Enter the estimated amount of relocation payments to be made to displaced persons, business
concerns, and non-profit organizations for moving expenses and replacement housing
Line 10 - Enter the cost of demolition or removal of improvements on developed land Reduce the costs
on this line by the amount of expected proceeds from the sale of salvage, if so instructed by the Federal
grantor agency Otherwise, show the proceeds on Line 15.
Line 11 - Enter amounts for the actual construction of, addition to or restoration of a facility Include in this
category the amounts of project improvements such as grading, drainage, paving, marking, lighting,
buildings, seeding/sodding, etc.
Line 12 - Enter amounts for equipment. Examples include ARFF vehicles, SRE equipment, AWOS
equipment, interactive training, NAVAID equipment, etc.)
Line 13 - Enter miscellaneous amounts for items not specifically covered by previous categories
FAA Form 5100-100 iv
Line 14 - Enter the sum of Lines 1-13
Line 15 - Enter the estimated amount of program income that will be earned during the grant period and
applied to the program Examples include vehicle trade-in value, sale of millings resulting from project,
credits passed on from contractor, etc. This line may be used to indicate applied liquidated damages
Line 16 - Enter the difference between Line 14 and Line 15
Line 17 - Enter the aggregate amount for those items, which are a part of the project but not subject to
Federal participation. Refer to Section C, exclusions
Line 18 — Enter the subtotal sum of Lines 16 and 17 (This is the amount to which the matching share
ratio prescribed in program legislation is applied.)
Line 19 - Indicate the total amount of the Federal assistance requested This value is determined by
multiplying the grant participation rate by the amount indicated in line 18
Line 20 — Indicate the amount of the Grantee's share (from Section D)
Line 21 — Indicate the amount of other shares (from Section D)
Line 22 — Indicate sum of Lines 19, 20 and 21.
SECTION C. EXCLUSIONS
Line 23 a-g - Identify and list those costs which are part of the project cost but are not subject to Federal
participation because of program legislation or Federal grantor agency instructions. The total amount on
Line g should agree with the amount shown on Line 17 of Section B
SECTION D. PROPOSED METHOD OF FINANCING NON-FEDERAL SHARE
Line 24 a-g - Show the source of the grantee's share If cash is not immediately available, specify the
actions completed to date and those actions remaining to make cash available under Section E -
Remarks. Indicate also the period of time that will be required after execution of the grant agreement to
obtain the funds. If there is a non -cash contribution, explain what this contribution will consist of
Line 24h - Indicate total of Lines 24 a-g This amount must equal the amount in Section B, Line 20
Line 25a - Show the amount that will be contributed by a State or state agency, only if the applicant is not
a State or state agency If there is a non -cash or other contribution, explain what the contribution will
consist of under Section E - Remarks
Line 25b - Show the amount that will be contributed from other sources. If there is a non -cash
contribution, explain what the contribution will consist of under Section E - Remarks.
Line 25c - Show the total of Lines 28a and 28b This amount must be the same as the amount shown in
Section B, Line 21
Line 26 - Enter the totals of Lines 24h and 25c.
SECTION E. OTHER REMARKS
Make any remarks pertinent to the project and provide any other information required by these
instructions or the grantor agency Attach additional sheets, if necessary
FAA Form 5100-100 V
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 improvement. Include a narrative on why this
improvement is needed
2. RESULTS OR BENEFITS EXPECTED
Identify results and benefits to be derived For example, include a description of who will occupy the
facility and show how the facility will be used For land acquisition or development projects, explain how
the project will benefit the public.
3. APPROACH
a. Outline a plan of action pertaining to the scope and detail of how the Sponsor proposes to
accomplish the work.
b Cite factors, which might accelerate or decelerate the work, and your reason for taking this
approach as opposed to others. Describe any unusual features of the project such as
construction approach, reductions in cost or time or extraordinary social and community
involvements.
c. Provide projections of project milestone dates. As a minimum, identify target dates for defining
project costs (i.e. bid opening or completion of negotiations), anticipated issuance of notice -to -
proceed and anticipated project completion date.
d. Identify monitoring and oversight mechanisms the Sponsor proposes to 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 location of the project. This will typically be the name of the airport.
5. IF APPLICABLE, PROVIDE THE FOLLOWING INFORMATION:
a. Describe the relationship between this project and other work planned, anticipated or underway
under the Federal Assistance listed under Part II, Section A, Item 5
b. Explain the reason for all requests for supplemental assistance and justify the need for additional
funding
c. If there have been significant changes in the project objectives, location, approach or time delays,
explain and justify For other requests for changes or amendments, explain the reason for the
change(s). If the scope, budget, or objectives have changed or an extension of time is necessary,
explain the circumstances and justify
6. SPONSOR'S REPRESENTATIVE
Identify contact information of Sponsor's representative
FAA Form 5100-100 vi
�1 U S Department of Transportation
`/ Federal Aviation Administration
OMB CONTROL NUMBER. 2120-0569
EXPIRATION DATE. 8/31/2019
Application for Federal Assistance (Development and Equipment Projects)
PART II — PROJECT APPROVAL INFORMATION
Part II - SECTION A
The term "Sponsor" refers to the applicant name provided in box 8 of the associated SF-424 form
Item 1.
Does Sponsor maintain an active registration in the System for Award Management
X Yes ❑ No
(www.SAM gov)?
Item 2.
Can Sponsor commence the work identified in the application in the fiscal the
year
is made or within the is is later? X Yes ❑ No ❑ N/A
grant six months after grant made, whichever
Item 3.
Are there any foreseeable events that would delay completion of the project? If yes, ❑ Yes X No ❑ N/A
provide attachment to this form that lists the events.
Item 4.
Will the project(s) covered by this request have impacts or effects on the
environment that require mitigating measures? If yes, attach a summary listing of ❑ Yes X No ❑ N/A
mitigating measures to this application and identify the name and date of the
environmental document(s)
Item 5.
Is the project covered by this request included in an approved Passenger Facility
Charge (PFC) application or other Federal assistance program? If yes, please X Yes ❑ No ❑ N/A
identify other funding sources by checking all applicable boxes
X The project is included in an approved PFC application
If included in an approved PFC application,
does the application only address AIP matching share? X Yes ❑ No
❑ The project is included in another Federal Assistance program Its CFDA number is below
Item 6.
Will the Federal include Sponsor indirect described in
requested assistance costs as
2 CFR Yes X No ❑ N/A
Appendix VII to Part 200, States and Local Government and Indian Tribe
Indirect Cost Proposals?
If the request for Federal assistance includes a claim for allowable indirect costs, select the applicable indirect cost rate
the Sponsor proposes to apply
❑ De Minimis rate of 10% as permitted by 2 CFR § 200 414
❑ Negotiated Rate equal to % as approved by (the Cognizant Agency)
on (Date) (2 CFR part 200, appendix VII).
Note Refer to the instructions for limitations of application associated with claiming Sponsor indirect costs.
FAA Form 5100-100 (3/16) SUPERSEDES PREVIOUS EDITION
Page 1 of 7
OMB CONTROL NUMBER. 2120-0569
OMB EXPIRATION DATE. 8/31/2019
PART II - SECTION B
Certification Regarding Lobbying
The declarations made on this page are under the signature of the authorized representative as identified in box 21 of
form SF-424, to which this form is attached The term "Sponsor" refers to the applicant name provided in box 8 of the
associated SF-424 form
The Authorized Representative certifies, to the best of his or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the Sponsor, to any person
for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer
or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any
Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any
cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal
contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer
or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract,
grant, loan, or cooperative agreement, the Authorized Representative shall complete and submit Standard
Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions.
(3) The Authorized Representative shall require that the language of this certification be included in the award
documents for all sub -awards at all tiers (including subcontracts, subgrants, and contracts under grants, loans,
and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was
made or entered into. Submission of this certification is a prerequisite for making or entering into this
transaction imposed by section 1352, title 31, U S. Code Any person who fails to file the required certification
shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.
FAA Form 5100-100 (3/16) SUPERSEDES PREVIOUS EDITION Page 2 of 7
OMB CONTROL NUMBER. 2120-0569
OMB EXPIRATION DATE. 8/31/2019
PART II — SECTION C
The Sponsor hereby represents and certifies as follows
1. Compatible Land Use — The Sponsor has taken the following actions to assure compatible usage of land adjacent
to or in the vicinity of the airport:
Airport Overlay Ordinance protects land uses that are incompatible with airports. Yakima Municipal Code Chapter
15 30 and 15 04 discusses zoning and incompatible land uses in relation to the airport.
2. Defaults — The Sponsor is not in default on any obligation to the United States or any agency of the United States
Government relative to the development, operation, or maintenance of any airport, except as stated herewith
Correct
3. Possible Disabilities — There are no facts or circumstances (including the existence of effective or proposed leases,
use agreements or other legal instruments affecting use of the Airport or the existence of pending litigation or other
legal proceedings) which in reasonable probability might make it impossible for the Sponsor to carry out and complete
the Project or carry out the provisions of the Grant Assurances, either by limiting its legal or financial ability or
otherwise, except as follows
N/A
4. Consistency with Local Plans — The project is reasonably consistent with plans existing at the time of submission
of this application) of public agencies that are authorized by the State in which the project is located to plan for the
development of the area surrounding the airport.
Yes
5. Consideration of Local Interest — It has given fair consideration to the interest of communities in or near where the
project may be located
Yes
6. Consultation with Users — In making a decision to undertake an airport development project under Title 49, United
States Code, it has consulted with airport users that will potentially be affected by the project (§ 47105(a)(2)).
Yes Project aligns with the Master Plan and Airport Layout Plan, which underwent public comment.
7. Public Hearings — In projects involving the location of an airport, an airport runway or a major runway extension, it
has afforded the opportunity for public hearings for the purpose of considering the economic, social, and environmental
effects of the airport or runway location and its consistency with goals and objectives of such planning as has been
carried out by the community and it shall, when requested by the Secretary, submit a copy of the transcript of such
hearings to the Secretary Further, for such projects, it has on its management board either voting representation from
the communities where the project is located or has advised the communities that they have the right to petition the
Secretary concerning a proposed project.
N/A
8. Air and Water Quality Standards — In projects involving airport location, a major runway extension, or runway
location it will provide for the Governor of the state in which the project is located to certify in writing to the Secretary
that the project will be located, designed, constructed, and operated so as to comply with applicable and air and water
quality standards. In any case where such standards have not been approved and where applicable air and water
quality standards have been promulgated by the Administrator of the Environmental Protection Agency, certification
shall be obtained from such Administrator Notice of certification or refusal to certify shall be provided within sixty days
after the project application has been received by the Secretary
N/A
FAA Form 5100-100 (3/16) SUPERSEDES PREVIOUS EDITION
Page 3 of 7
OMB CONTROL NUMBER. 2120-0569
OMB EXPIRATION DATE. 8/31/2019
PART II — SECTION C (Continued)
9 Exclusive Rights — There is no grant of an exclusive right for the conduct of any aeronautical activity at any airport
owned or controlled by the Sponsor except as follows
None
10 Land — (a) The sponsor holds the following property interest in the following areas of land, which are to be developed
or used as part of or in connection with the Airport subject to the following exceptions, encumbrances, and adverse
interests, all of which areas are identified on the aforementioned property map designated as Exhibit "A" [1]
See Exhibit A, approved on March 2015, on file with the FAA Seattle Airport District Office
The Sponsor further certifies that the above is based on a title examination by a qualified attorney or title company and
that such attorney or title company has determined that the Sponsor holds the above property interests.
(b) The Sponsor will acquire within a reasonable time, but in any event prior to the start of any construction work
under the Project, the following property interest in the following areas of land on which such construction work is to be
performed, all of which areas are identified on the aforementioned property map designated as Exhibit "A" [1]
N/A
(c) The Sponsor will acquire within a reasonable time, and if feasible prior to the completion of all construction
work under the Project, the following property interest in the following areas of land which are to be developed or used
as part of or in connection with the Airport as it will be upon completion of the Project, all of which areas are identified on
the aforementioned property map designated as Exhibit "A" [1]
N/A
1 State the character of property interest in each area and list and identify for each all exceptions, encumbrances, and adverse
interests of every kind and nature, including liens, easements, leases, etc. The separate areas of land need only be identified here by
the area numbers shown on the property map
FAA Form 5100-100 (3/16) SUPERSEDES PREVIOUS EDITION
Page 4 of 7
OMB CONTROL NUMBER: 2120-0569
OMB EXPIRATION DATE. 8/31/2019
PART III - BUDGET INFORMATION - CONSTRUCTION
SECTION A — GENERAL
1 Federal Domestic Assistance Catalog Number 20-106
2. Functional or Other Breakout:
SECTION B — CALCULATION OF FEDERAL GRANT
Cost Classification
Latest Approved
Amount
(Use only for
revisions)
Adjustment
+ or (-) Amount
(Use only for
revisions)
Total
Amount
Required
1 Administration expense
$ 3,000
2 Preliminary expense
3 Land, structures, right-of-way
4 Architectural engineering basic fees
144,140
5 Other Architectural engineering fees
6 Project inspection fees
7 Land development
8 Relocation Expenses
9 Relocation payments to Individuals and Businesses
10 Demolition and removal
11 Construction and project improvement
12. Equipment
13. Miscellaneous
14 Subtotal (Lines 1 through 13)
$ 147,140
15 Estimated Income (if applicable)
16 Net Project Amount (Line 14 minus 15)
147,140
17 Less. Ineligible Exclusions (Section C, line 23 g.)
18 Subtotal (Lines 16 through 17)
$ 147,140
19 Federal Share requested of Line 18
132,426
20 Grantee share
7,357
21 Other shares
7,357
22 TOTAL PROJECT (Lines 19, 20 & 21)
$ 147,140
FAA Form 5100-100 (3/16) SUPERSEDES PREVIOUS EDITION
Page 5 of 7
OMB CONTROL NUMBER: 2120-0569
OMB EXPIRATION DATE. 8/31/2019
SECTION C — EXCLUSIONS
23. Classification (Description of non -participating work)
Amount Ineligible for
Participation
a.
b
c.
d
e
f
9
Total
SECTION D — PROPOSED METHOD OF FINANCING NON-FEDERAL SHARE
24. Grantee Share — Fund Categories
Amount
a. Securities
b Mortgages
c. Appropriations (by Applicant)
7,357
d Bonds
e Tax Levies
f Non -Cash
g. Other (Explain)
h TOTAL - Grantee share
$ 7,357
25. Other Shares
Amount
a State
7,357
b Other
c. TOTAL - Other Shares
$ 7,357
26. TOTAL NON-FEDERAL FINANCING
$ 14,714
SECTION E — REMARKS
(Attach sheets if additional space is required)
The following items are attached
- Scope of Work
- Project Sketch
- Airport Sponsor Assurances
- Exhibit A
- Sponsor Certification for Drug -Free Workplace
- Listing of Advisory Circulars for AIP/PFC Projects
- Title VI Assurance
The following items are incorporated by reference
- Plans and Specifications, dated xx-2019
FAA Form 5100-100 (3/16) SUPERSEDES PREVIOUS EDITION
Page 6 of 7
OMB CONTROL NUMBER: 2120-0569
OMB EXPIRATION DATE. 8/31/2019
PART IV — PROGRAM NARRATIVE
(Suggested Format)
PROJECT: Phase 1, Design RW 9-27 HIRL & RW Crack and Seal Coat
AIRPORT: Yakima Air Terminal - McAllister Field
1. Objective:
This project will replace the existing High Intensity lighting system with a new HIRLs, and provide pavement
maintenance to the 9-27 runway
2. Benefits Anticipated:
This is the design phase to extend the useful life of the pavement through crack seal and seal coat. The new
pavement markings and HIRLs will improve and enhance safety
3. Approach: (See approved Scope of Work in Final Application)
Coordinate Runway closures and phaseing with the Owner, FAA, GA tenants, FBO and Alaska Airlines
Construction is anticipated to begin in the Summer of 2020
4. Geographic Location:
Yakima Air Terminal -McAllister Field is located in Sections 34 and 35 Township 13 N, Range 18 E, and Sections 2
and 3, Township 12 N, Range 18 E
5. If Applicable, Provide Additional Information:
6. Sponsor's Representative: (include address & telephone number)
Rob Peterson, 509-575-6149
2406 West Washington Ave, Suite B
Yakima, WA 98903
FAA Form 5100-100 (3/16) SUPERSEDES PREVIOUS EDITION
Page 7 of 7
U S. Department
of Transportation
Federal Aviation
Administration
FAA Form 5100-129, Construction Project Final Acceptance —
Airport Improvement Program Sponsor Certification
Paperwork Reduction Act Burden 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 instructions, searching existing data sources, 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 5100-129
job U S. Department of Transportation OMB CONTROL NUMBER. 2120-0569
io/ Federal Aviation Administration EXPIRATION DATE. 8/31/2019
Construction Project Final Acceptance
Airport Improvement Program Sponsor Certification
Sponsor' City of Yakima
Airport: Yakima Air Terminal - McAllister Field
Project Number 3-53-0089-043-2019
Description of Work: Phase 1, Design RW 9-27 HIRL & RW Crack and Seal Coat
Application
49 USC § 47105(d), authorizes the Secretary to require me certification from the sponsor that it will
comply with the statutory and administrative requirements in carrying out a project under the Airport
Improvement Program. General standards for final acceptance and close out of federally funded
construction projects are in 2 CFR § 200.343 — Closeout and supplemented by FAA Order 5100 38 The
sponsor must determine that project costs are accurate and proper in accordance with specific
requirements of the grant agreement and contract documents
Certification Statements
Except for certification statements below marked not applicable (N/A), this list includes major
requirements of the construction project. Selecting "Yes" represents sponsor acknowledgment and
confirmation of the certification statement. The term "will" means Sponsor action taken at appropriate
time based on the certification statement focus area, but no later than the end of the project period of
performance. This list is not comprehensive and does not relieve the sponsor from fully complying with
all applicable statutory and administrative standards The source of the requirement is referenced within
parenthesis.
1 The personnel engaged in project administration, engineering supervision, project inspection, and
acceptance testing were or will be determined to be qualified and competent to perform the work
(Grant Assurance)
Q Yes ❑ No ❑ N/A
2. Construction records, including daily logs, were or will be kept by the resident
engineer/construction inspector that fully document contractor's performance in complying with
a. Technical standards (Advisory Circular (AC) 150/5370-12),
b Contract requirements (2 CFR part 200 and FAA Order 5100 38), and
c. Construction safety and phasing plan measures (AC 150/5370-2)
0 Yes ❑ No ❑ N/A
3 All acceptance tests specified in the project specifications were or will be performed and
documented (AC 150/5370-12).
Q Yes ❑ No ❑ N/A
FAA Form 5100-129 (1/17) SUPERSEDES PREVIOUS EDITION page 1 of 3
4 Sponsor has taken or will take appropriate corrective action for any test result outside of
allowable tolerances (AC 150/5370-12)
El No ❑N/A
5 Pay reduction factors required by the specifications were applied or will be applied in computing
final payments with a summary made available to the FAA (AC 150/5370-10)
❑X Yes ❑ No ❑ N/A
6. Sponsor has notified, or will promptly notify the Federal Aviation Administration (FAA) of the
following occurrences.
a. Violations of any federal requirements set forth or included by reference in the contract
documents (2 CFR part 200),
b Disputes or complaints concerning federal labor standards (29 CFR part 5), and
c. Violations of or complaints addressing conformance with Equal Employment Opportunity or
Disadvantaged Business Enterprise requirements (41 CFR Chapter 60 and 49 CFR part 26)
❑X Yes ❑ No ❑ N/A
7 Weekly payroll records and statements of compliance were or will be submitted by the prime
contractor and reviewed by the sponsor for conformance with federal labor and civil rights
requirements as required by FAA and U S Department of Labor (29 CFR Part 5)
Q Yes ❑ No ❑ N/A
8 Payments to the contractor were or will be made in conformance with federal requirements and
contract provisions using sponsor internal controls that include.
a. Retaining source documentation of payments and verifying contractor billing statements
against actual performance (2 CFR § 200 302 and FAA Order 5100 38),
b Prompt payment of subcontractors for satisfactory performance of work (49 CFR § 26.29),
c. Release of applicable retainage upon satisfactory performance of work (49 CFR § 26 29),
and
d. Verification that payments to DBEs represent work the DBE performed by carrying out a
commercially useful function (49 CFR §26 55).
X❑ Yes ❑ No ❑ N/A
9 A final project inspection was or will be conducted with representatives of the sponsor and the
contractor present that ensure
a. Physical completion of project work in conformance with approved plans and specifications
(Order 5100 38),
b Necessary actions to correct punch list items identified during final inspection are complete
(Order 5100 38), and
c. Preparation of a record of final inspection and distribution to parties to the contract
(Order 5100 38),
❑X Yes ❑ No ❑ N/A
10 The project was or will be accomplished without material deviations, changes, or modifications
from approved plans and specifications, except as approved by the FAA (Order 5100 38)
['Yes ❑ No ❑ N/A
FAA Form 5100-129 (1/17) SUPERSEDES PREVIOUS EDITION page 2 of 3
11. The construction of all buildings have complied or will comply with the seismic construction
requirements of 49 CFR § 41 120
❑ Yes ❑ No Q N/A
12 For development projects, sponsor has taken or will take the following close-out actions
a. Submit to the FAA a final test and quality assurance report summarizing acceptance test
results, as applicable (Grant Condition),
b Complete all environmental requirements as established within the project environmental
determination (Oder 5100.38), and
c. Prepare and retain as -built plans (Order 5100.38)
❑X Yes ❑ No ❑ N/A
13 Sponsor has revised or will revise their airport layout plan (ALP) that reflects improvements made
and has submitted or will submit an updated ALP to the FAA no later than 90 days from the
period of performance end date. (49 USC § 47107 and Order 5100.38)
❑X Yes ❑ No ❑ N/A
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 correct and complete.
Executed on this UT day of J�.E�� , 2019
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:
declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both
FAA Form 5100-129 (1/17) SUPERSEDES PREVIOUS EDITION page 3 of 3
e
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 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 instructions, searching existing data sources, 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 5100-130
p' U.S. Department of Transportation OMB CONTROL NUMBER. 2120-0569
�/ 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 3-53-0089-043-2019
Description of Work: Phase 1, Design RW 9-27 HIRL & RW Crack and Seal Coat
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 Act of 1988
Certification Statements
Except for certification statements below marked as not applicable (N/A), this list includes major
requirements of the construction project. Selecting "Yes" represents sponsor acknowledgement and
confirmation of the certification statement. The term "will" means Sponsor action taken at appropriate time
based on the certification statement focus area, but no later than the end of the project period of
performance This list is not comprehensive and does not relieve the sponsor from fully complying with all
applicable statutory and administrative standards The source of the requirement is referenced within
parenthesis.
1. A statement has been or will be published prior to commencement of project notifying employees
that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled
substance is prohibited in the sponsors workplace, and specifying the actions to be taken against
employees for violation of such prohibition (2 CFR § 182.205)
❑x Yes ❑ No ❑ N/A
2 An ongoing drug -free awareness program (2 CFR § 182.215) has been or will be established
prior to commencement of project to inform employees about:
a. The dangers of drug abuse in the workplace,
b. The sponsors 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.
❑x Yes ❑ No ❑ N/A
FAA Form 5100-130 (1/17) SUPERSEDES PREVIOUS EDITION Page 1 of 3
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)
❑x Yes ❑ No ❑ N/A
4 Employees have been or will be notified in the statement required by item 1 above that, as a
condition employment under the grant (2 CFR § 182.205(c)), the employee will
a. Abide by the terms of the statement; and
b Notify the employer in writing of his or her conviction for a violation of a criminal drug
statute occurring in the workplace no later than five calendar days after such conviction
❑x Yes ❑ No ❑ N/A
5 The Federal Aviation Administration (FAA) will be notified in writing within 10 calendar days after
receiving notice under item 4b above from an employee or otherwise receiving actual notice of
such conviction (2 CFR § 182.225) Employers of convicted employees must provide notice,
including position title of the employee, to the FAA (2 CFR § 182 300)
❑x Yes ❑ No ❑ N/A
6 One of the following actions (2 CFR § 182.225(b)) will be taken within 30 calendar days of
receiving a notice under item 4b above with respect to any employee who is so convicted
a. Take appropriate personnel action against such an employee, up to and including
termination, consistent with the requirements of the Rehabilitation Act of 1973, as
amended, and
b Require such employee to participate satisfactorily in drug abuse assistance or
rehabilitation programs approved for such purposes by a federal, state, or local health,
law enforcement, or other appropriate agency.
❑x Yes ❑ No ❑ N/A
7 A good faith effort will be made, on a continuous basis, to maintain a drug -free workplace through
implementation of items 1 through 6 above (2 CFR § 182.200)
El No ❑N/A
Site(s) of performance of work (2 CFR § 182.230)
Location 1
Name of Location Yakima Air Terminal - McAllister Field
Address. 2300 W Washington, Ave, Yakima, WA 98903
Location 2 (if applicable)
Name of Location Yakima City Hall
Address 129 N 2nd Street, Yakima, WA 98903
Location 3 (if applicable)
Name of Location.
Address.
FAA Form 5100-130 (1/17) SUPERSEDES PREVIOUS EDITION Page 2 of 3
Attach documentation clarifying any above item marked with a "No" response
Sponsor's Certification
I certify, for the project identified herein, responses to the forgoing items are accurate as marked and
additional documentation for any item marked "no" is correct and complete.
Executed on this li day of , 2019
Name of Sponsor City of Yakima
Name of Sponsor's Authorized Official: Cliff Moore
Title of Sponsor's Authorized Official: City Manager
Signature of Sponsor's Authorized Official:
I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both.
FAA Form 5100-130 (1/17) SUPERSEDES PREVIOUS EDITION Page 3 of 3
rr
U S Department
of Transportation
Federal Aviation
Administration
FAA Form 5100-131, Equipment and Construction Contracts —
Airport Improvement Sponsor Certification
Paperwork Reduction Act Burden 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 instructions, searching existing data sources, 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 5100-131
�1 U.S. Department of Transportation OMB CONTROL NUMBER. 2120-0569
`/ Federal Aviation Administration EXPIRATION DATE. 8/31/2019
Equipment and Construction Contracts
Airport Improvement Sponsor Certification
Sponsor City of Yakima
Airport: Yakima Air Terminal - McAllister Field
Project Number 3-53-0043-2019
Description of Work: Phase 1, Design RW 9-27 HIRL & RW Crack and Seal Coat
Application
49 USC § 47105(d) authorizes the Secretary to require certification from the sponsor that it will comply
with the statutory and administrative requirements in carrying out a project under the Airport Improvement
Program (AIP) General procurement standards for equipment and construction contracts within Federal
grant programs are described in 2 CFR §§ 200 317-200 326 Labor and Civil Rights Standards
applicable to the AIP are established by the Department of Labor (www dol gov) AIP Grant Assurance
C 1—General Federal Requirements identifies all applicable Federal Laws, regulations, executive orders,
policies, guidelines and requirements for assistance under the AIP Sponsors may use state and local
procedures provided the procurement conforms to these federal standards
This certification applies to all equipment and construction projects. Equipment projects may or may not
employ laborers and mechanics that qualify the project as a "covered contract" under requirements
established by the Department of Labor requirements Sponsor shall provide appropriate responses to
the certification statements that reflect the character of the project regardless of whether the contract is
for a construction project or an equipment project.
Certification Statements
Except for certification statements below marked as not applicable (N/A), this list includes major
requirements of the construction project. Selecting "Yes" represents sponsor acknowledgement and
confirmation of the certification statement. The term "will" means Sponsor action taken at appropriate
time based on the certification statement focus area, but no later than the end of the project period of
performance. This list is not comprehensive and does not relieve the sponsor from fully complying with all
applicable statutory and administrative standards. The source of the requirement is referenced within
parenthesis.
1. A written code or standard of conduct is or will be in effect prior to commencement of the project
that governs the performance of the sponsor's officers, employees, or agents in soliciting,
awarding and administering procurement contracts (2 CFR § 200 318).
❑x Yes ❑ No ❑ N/A
FAA Form 5100-131 (1/17) SUPERSEDES PREVIOUS EDITION Page 1 of 4
2 For all contracts, qualified and competent personnel are or will be engaged to perform contract
administration, engineering supervision, construction inspection, and testing
(Grant Assurance C.17)
I] Yes ❑ No ❑ N/A
3 Sponsors that are required to have a Disadvantage Business Enterprise (DBE) program on file
with the FAA have included or will include clauses required by Title VI of the Civil Rights Act and
49 CFR Part 26 for Disadvantaged Business Enterprises in all contracts and subcontracts
p Yes ❑ No ❑ N/A
4 Sponsors required to have a DBE program on file with the FAA have implemented or will
implement monitoring and enforcement measures that:
a. Ensure work committed to Disadvantaged Business Enterprises at contract award is
actually performed by the named DBEs (49 CFR § 26 37(b)),
b. Include written certification that the sponsor has reviewed contract records and has
monitored work sites for performance by DBE firms (49 CFR § 26 37(b)), and
c. Provides for a running tally of payments made to DBE firms and a means for comparing
actual attainments (i.e. payments) to original commitments (49 CFR § 26 37(c))
❑x Yes ❑ No ❑ N/A
5 Sponsor procurement actions using the competitive sealed bid method (2 CFR § 200 320(c)) was
or will be.
a. Publicly advertised, allowing a sufficient response time to solicit an adequate number of
interested contractors or vendors,
b. Prepared to include a complete, adequate and realistic specification that defines the
items or services in sufficient detail to allow prospective bidders to respond,
c. Publicly opened at a time and place prescribed in the invitation for bids, and
d Prepared in a manner that result in a firm fixed price contract award to the lowest
responsive and responsible bidder
0 Yes ❑ No ❑ N/A
6 For projects the Sponsor proposes to use the competitive proposal procurement method (2 CFR §
200 320(d)), Sponsor has requested or will request FAA approval prior to proceeding with a
competitive proposal procurement by submitting to the FAA the following
a. Written justification that supports use of competitive proposal method in lieu of the
preferred sealed bid procurement method,
b Plan for publicizing and soliciting an adequate number of qualified sources, and
c. Listing of evaluation factors along with relative importance of the factors.
p Yes ❑ No ❑ N/A
7 For construction and equipment installation projects, the bid solicitation includes or will include the
current federal wage rate schedule(s) for the appropriate type of work classifications (2 CFR Part
200, Appendix II)
ID Yes ❑ No ❑ N/A
FAA Form 5100-131 (1/17) SUPERSEDES PREVIOUS EDITION Page 2 of 4
8 Concurrence was or will be obtained from the Federal Aviation Administration (FAA) prior to
contract award under any of the following circumstances (Order 5100 38D)
a. Only one qualified person/firm submits a responsive bid,
b Award is to be made to other than the lowest responsible bidder; and
c Life cycle costing is a factor in selecting the lowest responsive bidder
El Yes ❑ No ❑ N/A
9 All construction and equipment installation contracts contain or will contain provisions for
a. Access to Records (§ 200 336)
b Buy American Preferences (Title 49 U S C § 50101)
c. Civil Rights - General Provisions and Title VI Assurances( 41 CFR part 60)
d Federal Fair Labor Standards (29 U S.0 § 201, et seq)
e. Occupational Safety and Health Act requirements (20 CFR part 1920)
f. Seismic Safety — building construction (49 CFR part 41)
g. State Energy Conservation Requirements - as applicable(2 CFR part 200, Appendix II)
h. U S Trade Restriction (49 CFR part 30)
i Veterans Preference (49 USC § 47112(c))
❑x Yes ❑ No ❑ N/A
10 All construction and equipment installation contracts exceeding $2,000 contain or will contain the
provisions established by.
a. Davis -Bacon and Related Acts (29 CFR part 5)
b. Copeland "Anti -Kickback" Act (29 CFR parts 3 and 5)
❑x Yes ❑ No ❑ N/A
11 All construction and equipment installation contracts exceeding $3,000 contain or will contain a
contract provision that discourages distracted driving (E.O 13513)
❑x Yes ❑ No ❑ N/A
12 All contracts exceeding $10,000 contain or will contain the following provisions as applicable.
a. Construction and equipment installation projects - Applicable clauses from
41 CFR Part 60 for compliance with Executive Orders 11246 and 11375 on Equal
Employment Opportunity;
b Construction and equipment installation - Contract Clause prohibiting segregated facilities
in accordance with 41 CFR part 60-1 8,
c. Requirement to maximize use of products containing recovered materials in accordance
with 2 CFR § 200 322 and 40 CFR part 247, and
d Provisions that address termination for cause and termination for convenience
(2 CFR Part 200, Appendix II)
❑x Yes ❑ No ❑ N/A
FAA Form 5100-131 (1/17) SUPERSEDES PREVIOUS EDITION Page 3 of 4
13 All contracts and subcontracts exceeding $25,000. Measures are in place or will be in place (e g
checking the System for Award Management) that ensure contracts and subcontracts are not
awarded to individuals or firms suspended, debarred, or excluded from participating in federally
assisted projects (2 CFR parts 180 and 1200)
❑x Yes ❑ No ❑ N/A
14 Contracts exceeding the simplified acquisition threshold (currently $150,000) include or will include
provisions, as applicable, that address the following
a. Construction and equipment installation contracts - a bid guarantee of 5%, a performance
bond of 100%, and a payment bond of 100% (2 CFR § 200 325),
b Construction and equipment installation contracts - requirements of the Contract Work
Hours and Safety Standards Act (40 USC 3701-3708, Sections 103 and 107),
c. Restrictions on Lobbying and Influencing (2 CFR part 200, Appendix II),
d Conditions specifying administrative, contractual and legal remedies for instances where
contractor of vendor violate or breach the terms and conditions of the contract (2 CFR
§200, Appendix II), and
e. All Contracts - Applicable standards and requirements issued under Section 306 of the
Clean Air Act (42 USC 7401-7671q), Section 508 of the Clean Water Act (33 USC 1251-
1387, and Executive Order 11738.
❑x Yes ❑ No ❑ N/A
Attach documentation clarifying any above item marked with "No" response.
Sponsor's Certification
I certify, for the project identified herein, responses to the forgoing items are accurate as marked and
additional documentation for any item marked "no" is correct and complete
Executed on this rt day of , 2019
Name of Sponsor City of Yakima
Name of Sponsor's Authorized Official Cliff Moore
Title of Sponsor's Authorized Official City Manager
Signature of Sponsor's Authorized Official:
I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both
FAA Form 5100-131 (1/17) SUPERSEDES PREVIOUS EDITION
Page 4 of 4
e
U S Department
of Transportation
Federal Aviation
Administration
FAA Form 5100-132, Project Plans and Specifications — 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 instructions, searching existing data sources, 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 5100-132
", U.S. Department of Transportation OMB CONTROL NUMBER. 2120-0569
Federal Aviation Administration EXPIRATION DATE. 8/31/2019
Project Plans and Specifications
Airport Improvement Program Sponsor Certification
Sponsor City of Yakima
Airport: Yakima Air Terminal - McAllister Field
Project Number 3-53-0089-043-2019
Description of Work. Phase 1, Design RW 9-27 HIRL & RW Crack and Seal Coat
Application
49 USC § 47105(d) authorizes the Secretary to require certification from the sponsor that it will comply
with the statutory and administrative requirements in carrying out a project under the Airport Improvement
Program (AIP). Labor and civil rights standards applicable to AIP are established by the Department of
Labor (www dol.gov/) AIP Grant Assurance C.1—General Federal Requirements identifies applicable
federal laws, regulations, executive orders, policies, guidelines and requirements for assistance under
AIP A list of current advisory circulars with specific standards for procurement, design or construction of
airports, and installation of equipment and facilities is referenced in standard airport sponsor Grant
Assurance 34 contained in the grant agreement.
Certification Statements
Except for certification statements below marked as not applicable (N/A), this list includes major
requirements of the construction project. Selecting "Yes" represents sponsor acknowledgement and
confirmation of the certification statement. The term "will" means Sponsor action taken at appropriate
time based on the certification statement focus area, but no later than the end of the project period of
performance. This list is not comprehensive and does not relieve the sponsor from fully complying with all
applicable statutory and administrative standards. The source of the requirement is referenced within
parenthesis.
1. The plans and specifications were or will be prepared in accordance with applicable federal
standards and requirements, so that no deviation or modification to standards set forth in the
advisory circulars, or FAA -accepted state standard, is necessary other than those explicitly
approved by the Federal Aviation Administration (FAA) (14 USC § 47105)
❑x Yes ❑ No ❑ N/A
2. Specifications incorporate or will incorporate a clear and accurate description of the technical
requirement for the material or product that does not contain limiting or proprietary features that
unduly restrict competition (2 CFR §200 319)
❑x Yes ❑ No ❑ N/A
FAA Form 5100-132 (1/17) SUPERSEDES PREVIOUS EDITION Page 1 of 3
3 The development that is included or will be included in the plans is depicted on the current airport
layout plan as approved by the FAA (14 USC § 47107)
❑x Yes ❑ No ❑ N/A
4 Development and features that are ineligible or unallowable for AIP funding have been or will be
omitted from the plans and specifications (FAA Order 5100 38, par 3-43)
I] Yes ❑ No ❑ N/A
5 The specification does not use or will not use "brand name" or equal to convey requirements
unless sponsor requests and receives approval from the FAA to use brand name (FAA Order
5100 38, Table U-5).
El Yes ❑ No ❑ N/A
6 The specification does not impose or will not impose geographical preference in their
procurement requirements (2 CFR §200 319(b) and FAA Order 5100 38, Table U-5)
El Yes ❑ No ❑ N/A
7 The use of prequalified lists of individuals, firms or products include or will include sufficient
qualified sources that ensure open and free competition and that does not preclude potential
entities from qualifying during the solicitation period (2 CFR §319(d))
❑x Yes ❑ No ❑ N/A
8 Solicitations with bid alternates include or will include explicit information that establish a basis for
award of contract that is free of arbitrary decisions by the sponsor (2 CFR § 200 319(a)(7))
❑x Yes ❑ No ❑ N/A
9 Concurrence was or will be obtained from the FAA if Sponsor incorporates a value engineering
clause into the contract (FAA Order 5100 38, par 3-57)
El Yes ❑ No ❑ N/A
10 The plans and specifications incorporate or will incorporate applicable requirements and
recommendations set forth in the federally approved environmental finding (49 USC §47106(c))
• Yes ❑ No ❑ N/A
11 The design of all buildings comply or will comply with the seismic design requirements of 49 CFR
§ 41 120 (FAA Order 5100.38d, par 3-92)
Cl Yes ❑ No O N/A
12 The project specification include or will include process control and acceptance tests required for
the project by as per the applicable standard
a. Construction and installation as contained in Advisory Circular (AC) 150/5370-10
❑x Yes ❑ No ❑ N/A
FAA Form 5100-132 (1/17) SUPERSEDES PREVIOUS EDITION Page 2 of 3
b Snow Removal Equipment as contained in AC 150/5220-20
❑ Yes ❑ No ❑x N/A
c. Aircraft Rescue and Fire Fighting (ARFF) vehicles as contained in AC 150/5220-10
❑ Yes ❑ No x❑ N/A
13 For construction activities within or near aircraft operational areas(AOA)
a. The Sponsor has or will prepare a construction safety and phasing plan (CSPP) conforming
to Advisory Circular 150/5370-2.
b Compliance with CSPP safety provisions has been or will be incorporated into the plans
and specifications as a contractor requirement.
c. Sponsor will not initiate work until receiving FAA's concurrence with the CSPP (FAA Order
5100 38, Par 5-29)
❑x Yes ❑ No ❑ N/A
14. The project was or will be physically completed without federal participation in costs due to errors
and omissions in the plans and specifications that were foreseeable at the time of project design
(49 USC §47110(b)(1) and FAA Order 5100 38d, par 3-100)
❑x Yes ❑ No ❑ N/A
Attach documentation clarifying any above item marked with "No" response.
Sponsor's Certification
I certify, for the project identified herein, responses to the forgoing items are accurate as marked and
additional documentation for any item marked "no" is correct and complete.
Executed on this `l day of 1—a.t-°Y , 2019
Name of Sponsor City of Yakima (�
Name of Sponsor's Authorized Official Cliff Moore
Title of Sponsor's Authorized Official City Manager
Signature of Sponsor's Authorized Official
I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both.
FAA Form 5100-132 (1/17) SUPERSEDES PREVIOUS EDITION
Page 3 of 3
U 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 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 instructions, searching existing data sources, 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
., U.S Department of Transportation OMB CONTROL NUMBER. 2120-0569
a/ Federal Aviation Administration EXPIRATION DATE. 8/31/2019
Selection of Consultants
Airport Improvement Program Sponsor Certification
Sponsor City of Yakima
Airport: Yakima Air Terminal - McAllister Field
Project Number 3-53-0089-043-2019
Description of Work: Phase 1, Design RW 9-27 HIRL & RW Crack and Seal Coat
Application
49 USC § 47105(d) authorizes the Secretary to require certification from the sponsor that it will comply
with the statutory and administrative requirements in carrying out a project under the Airport Improvement
Program (AIP). General requirements for selection of consultant services within federal grant programs
are described in 2 CFR §§ 200 317-200 326 Sponsors may use other qualifications -based procedures
provided they are equivalent to standards of Title 40 chapter 11 and FAA Advisory Circular 150/5100-14,
Architectural, Engineering, and Planning Consultant Services for Airport Grant Projects.
Certification Statements
Except for certification statements below marked as not applicable (N/A), this list includes major
requirements of the construction project. Selecting "Yes" represents sponsor acknowledgement and
confirmation of the certification statement. The term "will" means Sponsor action taken at appropriate time
based on the certification statement focus area, but no later than the end of the project period of
performance. This list is not comprehensive and does not relieve the sponsor from fully complying with all
applicable statutory and administrative standards. The source of the requirement is referenced within
parenthesis.
1 Sponsor acknowledges their responsibility for the settlement of all contractual and administrative
issues arising out of their procurement actions (2 CFR § 200 318(k))
❑x Yes ❑ No ❑ N/A
2 Sponsor procurement actions ensure or will ensure full and open competition that does not
unduly limit competition (2 CFR § 200 319)
❑x Yes ❑ No ❑ N/A
3 Sponsor has excluded or will exclude any entity that develops or drafts specifications,
requirements, or statements of work associated with the development of a request -for -
qualifications (RFQ) from competing for the advertised services (2 CFR § 200 319)
❑x Yes ❑ No ❑ N/A
FAA Form 5100-134 (2/17) SUPERSEDES PREVIOUS EDITION Page 1 of 3
4 The advertisement describes or will describe specific project statements -of -work that provide
clear detail of required services without unduly restricting competition (2 CFR § 200 319)
❑x Yes ❑ No ❑ N/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)).
❑xYes El No ❑N/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))
❑x Yes ❑ No ❑ N/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)
❑x Yes ❑ 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
of selection (AC 150/5100-14), and
b Retain the right to conduct new procurement actions for projects identified or not
identified in the RFQ (AC 150/5100-14)
Ill Yes ❑ No ❑ 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)
❑x Yes ❑ No ❑ N/A
10 The Sponsor's contract identifies or will identify costs associated with ineligible work separately
from costs associated with eligible work (2 CFR § 200 302)
Cl Yes ❑ No ❑ N/A
11 Sponsor has prepared or will prepare a record of negotiations detailing the history of the
procurement action, rationale for contract type and basis for contract fees (2 CFR §200 318(i))
El Yes ❑ No ❑ N/A
12. Sponsor has incorporated or will incorporate mandatory contact provisions in the consultant
contract for AIP-assisted work (49 U.S C. Chapter 471 and 2 CFR part 200 Appendix II)
❑x Yes ❑ No ❑ N/A
FAA Form 5100-134 (2/17) SUPERSEDES PREVIOUS EDITION Page 2 of 3
13 For contracts that apply a time -and -material payment provision (also known as hourly rates,
specific rates of compensation, and labor rates), the Sponsor has established or will establish
a. Justification that there is no other suitable contract method for the services (2 CFR
§200 318(j)),
b A ceiling price that the consultant exceeds at their risk (2 CFR §200 3180)), and
c. A high degree of oversight that assures consultant is performing work in an efficient
manner with effective cost controls in place 2 CFR §200 318(j))
❑x 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))
❑x Yes ❑ No ❑ N/A
Attach documentation clarifying any above item marked with "no" response
Sponsor's Certification
I certify, for the project identified herein, responses to the forgoing items are accurate as marked and
additional documentation for any item marked "no" is correct and complete
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 1'l day of � , 2019
Name of Sponsor
City of Yakima
Name of Sponsor's Authorized Official Cliff Moore
Title of Sponsor's Authorized Official: City Manager
Signature of Sponsor's Authorized Official:
I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both.
FAA Form 5100-134 (2/17) SUPERSEDES PREVIOUS EDITION Page 3 of 3
U S Department
of Transportation
Federal Aviation
Administration
e
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 instructions, searching existing data sources, 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 5100-135
A, U.S. Department of Transportation OMB CONTROL NUMBER. 2120-0569
/ 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 3-53-0089-043-2019
Description of Work: Phase 1, Design RW 9-27 HIRL & RW Crack and Seal Coat
Application
Title 2 CFR § 200 112 and § 1201 112 address Federal Aviation Administration (FAA) requirements for
conflict of interest. As a condition of eligibility under the Airport Improvement Program (AIP), sponsors
must comply with FAA policy on conflict of interest. Such a conflict would arise when any of the following
have a financial or other interest in the firm selected for award
a) The employee, officer or agent,
b) Any member of his immediate family,
c) His or her partner, or
d) An organization which employs, or is about to employ, any of the above
Selecting "Yes" represents sponsor or sub -recipient acknowledgement and confirmation of the
certification statement. Selecting "No" represents sponsor or sub -recipient disclosure that it cannot fully
comply with the certification statement. If "No" is selected, provide support information explaining the
negative response as an attachment to this form. This includes whether the sponsor has established
standards for financial interest that are not substantial or unsolicited gifts are of nominal value (2 CFR §
200 318(c)) The term "will" means Sponsor action taken at appropriate time based on the certification
statement focus area, but no later than the end of the project period of performance
Certification Statements
1 The sponsor or sub -recipient maintains a written standards of conduct governing conflict of
interest and the performance of their employees engaged in the award and administration of
contracts (2 CFR § 200 318(c)) To the extent permitted by state or local law or regulations, such
standards of conduct provide for penalties, sanctions, or other disciplinary actions for violations of
such standards by the sponsor's and sub -recipient's officers, employees, or agents, or by
contractors or their agents.
❑x Yes ❑ No
FAA Form 5100-135 (2/17) SUPERSEDES PREVIOUS EDITION Page 1 of 2
2 The sponsor's or sub -recipient's officers, employees or agents have not and will not solicit or
accept gratuities, favors or anything of monetary value from contractors, potential contractors, or
parties to sub -agreements (2 CFR § 200.318(c))
I] Yes ❑ No
3 The sponsor or sub -recipient certifies that is has disclosed and will disclose to the FAA any
known potential conflict of interest (2 CFR § 1200 112)
CIYes No
Attach documentation clarifying any above item marked with "no" response
Sponsor's Certification
I certify, for the project identified herein, responses to the forgoing items are accurate as marked and
have the explanation for any item marked "no" is correct and complete
Executed on this Cl day of LA— (� \J , 2019
Name of Sponsor' City of Yakima
Name of Sponsor's Authorized Official Cliff Moore
Title of Sponsor's Authorized Official: City Manager
Signature of Sponsor's Authorized Official:
I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC § 1001 (False
Statements) and could subject me to fines, imprisonment, or both
FAA Form 5100-135 (2/17) SUPERSEDES PREVIOUS EDITION Page 2 of 2
REQUIRED STATEMENTS
AIRPORT IMPROVEMENT PROGRAM PROJECTS
AIRPORT Yakima Air Terminal -McAllister Field
LOCATION Yakima, Washington
AIP PROJECT NO. 3-53-0089-043-2019
STATEMENTS APPLICABLE TO THIS PROJECT Phase 1, Design RW 9-27 HIRL & RW Crack and Seal
Coat
® a. INTEREST OF NEIGHBORING COMMUNITIES In formulating this project, consideration has been
given to the interest of communities that are near (Exact name of airport)Yakima Air Terminal -McAllister
Field
• b. THE DEVELOPMENT PROPOSED 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, State, or
Local jurisdiction
• c. FBO COORDINATION The airport development proposed in this project has been coordinated with the
Fixed Base Operator(s) utilizing (Exact name of airport) Yakima Air Terminal -McAllister Field, and they
have been informed regarding the scope and nature of this project.
• d. THE PROPOSED PROJECT IS CONSISTENT with existing approved plans for the area surrounding the
airport.
The above statements have been duly considered and are applicable to this project. (Provide comment for any
statement not checked)
BY:
TITLE: City Manager
SPONSORING AGENCY: City of Yakima
DATE. 1. \,—I t
NOTE: Where opposition is stated to an airport development project, whether expressly or by proposed revision, the
following specific information concerning the opposition to the project must be furnished.
a. Identification of the Federal, state, or local governmental agency, or the person or persons opposing the project;
b The nature and basis of opposition;
c. Sponsor's plan to accommodate or otherwise satisfy the opposition,
d Whether an opportunity for a hearing was afforded, and if a hearing was held, an analysis of the facts developed at the hearing
as they relate to the social, economic, and environmental aspects of the proposed project and its consistency with the goals and
objectives of such urban planning as has been carried out by the community
e. If the opponents proposed any alternatives, what these alternatives were and the reason for nonacceptance,
f Sponsor's plans, if any, to minimize any adverse effects of the project;
g. Benefits to be gained by the proposed development; and
h Any other pertinent information which would be of assistance in determining whether to proceed with the project.
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
C
Spon 's Authorized Representative
Title City Manager
Date t`-1 ,
TITLE VI PRE -AWARD SPONSOR CHECKLIST
Airport/Sponsor:
AIP #:
City of Yakima
3-53-0089-043-2019
Project Description(s):
Phase 1, Design RW 9-27 HIRL & RW Crack and Seal Coat
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).
3) Please list any current applications for federal funding (other than FAA) of airport related projects which
exceed the amount for this grant.
® None
4) Please list any airport related Title VI compliance review(s) received by the sponsor in the preceding two
years. Include who conducted the review and any findings of noncompliance.
® None
Review completed and approved:
Date:
To be completed by the Civil Rights Staff
Signature
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
Yakima Air Terminal - Mci
AIP Development Application Checklist
3-53-0089-043-2019
1 SF424
2 SF5100-100
3. CIP Data Sheet
4 Standard DOT Title VI Assurances
5 Certification for Contracts Grants Loans
6 Airport Sponsor Assurances
7 Current FAA Advisory Circulars
8 SF5100-134 Sponsor Certification for Selection of Consultants
9 SF5100-132 Sponsor Certification
10 SF5100-131 Sponsor Certification
11 SF5100-129 Sponsor Certification
12 SF5100-130 Sponsor Certification
13. SF5100-133 Sponsor Certification
14 SF5100-135 Sponsor Certification
for Plans and Specs
for Equipment/Construction Contracts
for Project Final Acceptance
for Drug Free Workplace
for Land (Use only for Land Acquisition)
for Conflict of Interest
15. Title VI Pre -Award Sponsor Checklist
CONTRACTOR CONTRACTUAL REQUIREMENTS
ATTACHMENT 1
During the performance of this contract, the contractor, for itself, its assignees and successors in interest
(hereinafter referred to as the "contractor") agrees as follows
1 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
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.
2. The (grantee, licensee, lessee, permittee, etc., as appropriate) for himself, his heirs,
personal representatives, successors in interest, and assigns, as a part of the
consideration hereof, does hereby covenant and agree (in the case of deeds and
leases add "as a covenant running with the land") that: (1) no person on the grounds
of race, color, or national origin shall be excluded from participation in, denied the
benefits of, or be otherwise subjected to discrimination in the use of said facilities, (2)
that in the construction of any improvements on, over, or under such land and the
furnishing of services thereon, no person on the grounds of race, color, or national
origin shall be excluded from participation in, denied the benefits of, or otherwise be
subjected to discrimination, (3) that the (grantee, licensee, permittee, etc.) shall use
the premises in compliance with all other requirements imposed by or pursuant to 49
CFR Part 21, Nondiscrimination in Federally Assisted Programs of the Department of
Transportation, and as said Regulations may be amended.
FAA
Airports
Current ����� Advisory
Circulars Required
^� �^� Use ' ��U��
=~K����K�~ FAA "�~°Y�U������� ��U��K�.����� .~~."�K�U���~° .~�� ~°���� U8� ��..
Funded and PFC Approved Projects
^ects
Updated- 4/18/2019
View the most current versions ofdheaeACoandanyaauocatedchanQeuag�
http:Vvwww.foo.qov/airportn/reoouroes/adviaury circulars and
hMp://vmxmv.too.qov/raou|adono policies/advisory circulars/
70/7400'1L
Change
Obstruction Marking and Lighting �
150/5000'9A
Announcement ofAvailability Report No DOT/FAA/PP/92'5.Guidelines for
the Sound Insulation ofResidences Exposed toAircraft Operations
150/5000'17
Critical Aircraft and Regular Use Determination
150/5020-1
Noise Control and Compatibility Planning for Airports
150/5070-6B
Changes 1 '2
Airport Master Plans
150/5070-7
Chango1
The Airport System Planning Process
150/5100-13B
Development ufState Standards for NonprimaryAirports
150/5200'28F
Notices toAirmen (N{)TA[Na)for Airport Operators
150/5200'30D
Change1
Airport Field Condition Assessments and Winter Operations Safety
150/5200'31C
Changes 1 '2
Airport Emergency Plan
150/5210'5D
Painting, Marking, and Lighting ofVehicles Used onanAirport
150/5210'7D
Aircraft Rescue and Fire Fighting Communications
150/5210'13C
Airport Water Rescue Plans and Equipment
FAA Advisory Circulars Required for Use m
/upFunded and PFCApproved Projects
Updated 4/18/2019
ARP
;t:`B e
�NUMBER �
• w��.
;�'s.� " rL
TIT+LE4�
#?4'i>alrrtx'vi,t �¢5:�•a��w;�.+.},4�.;^^ �^:�';Ybx.�s�:.�.t;;„>f,,�,,.<-.:�;, ;�< °}z;-., ;w".t.'�tri � xe`6'>"T.9ti"��"c+ma+a�r"«�+.fi`,r���`'5,:�f�: �`.• =%,.x.;xW ��r�,,rf�cr::•+'.7:
drr.
150/5210-14B
Aircraft Rescue Fire Fighting Equipment, Tools and Clothing
150/5210-15A
Aircraft Rescue and Firefighting Station Building Design
150/5210-18A
Systems for Interactive Training of Airport Personnel
150/5210-19A
Driver's Enhanced Vision System (DEVs)
150/5220-10E
Guide Specification for Aircraft Rescue and Fire Fighting (ARFF) Vehicles
150/5220-16E,
Automated Weather Observing Systems (AWOS) for Non -Federal
Change 1
Applications
150/5220-17B
Aircraft Rescue and Fire Fighting (ARFF) Training Facilities
150/5220-18A
Buildings for Storage and Maintenance of Airport Snow and Ice Control
Equipment and Materials
150/5220-20A
Airport Snow and Ice Control Equipment
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 Object Debris Detection Equipment
150/5220-25
Airport Avian Radar Systems
150/5220-26,
Airport Ground Vehicle Automatic Dependent Surveillance - Broadcast (ADS -
Changes 1 - 2
B) Out Squitter Equipment
150/5300-13A,
Airport Design
Change 1
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
Change 1
150/5300-18B
General Guidance and Specifications for Submission of Aeronautical Surveys
Change 1
to NGS Field Data Collection and Geographic Information System (GIS)
Standards
150/5320-5D
Airport Drainage Design
FAA Advisory Circulars Required for Use in
AIP Funded and PFC Approved Projects
Updated 4/18/2019
ARP
Page 2 of 5
?NUMBER g}TIT
�'.„ x..*: ;;„,�
.d" %" �^.rt,,l rwQ. "Aypn°` ,'.. b:»'.i. �""aa%w;;ci;:-•., gj,,..'C<3.t"`-''�,'',
�... LEA-. ��
ntt<n°T.,"'i se3tstli+,,5`7k''�i5.:ta�......�. ,....... "r..r-
t..-.r.'r"4t4. ,- . .
150/5320-6F
Airport Pavement Design and Evaluation
150/5320-12C,
Changes 1 - 8
Measurement, Construction, and Maintenance of Skid Resistant Airport
Pavement Surfaces
150/5320-15A
Management of Airport Industrial Waste
150/5325-4B
Runway Length Requirements for Airport Design
150/5335-5C
Standardized Method of Reporting Airport Pavement Strength - PCN
150/5340-1 L
Standards for Airport Markings
150/5340-5D
Segmented Circle Airport Marker System
150/5340-18F
Standards for Airport Sign Systems
150/5340-26C
Maintenance of Airport Visual Aid Facilities
150/5340-30J
Design and Installation Details for Airport Visual Aids
150/5345-3G
Specification for L-821, Panels for the Control of Airport Lighting
150/5345-5B
Circuit Selector Switch
150/5345-7F
Specification for L-824 Underground Electrical Cable for Airport Lighting
Circuits
150/5345-10H
Specification for Constant Current Regulators 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
150/5345-26D
FAA Specification For L-823 Plug 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
150/5345-42H
Specification for Airport Light Bases, Transformer Housings, Junction Boxes,
and Accessories
150/5345-43J
Specification for Obstruction Lighting Equipment
FAA Advisory Circulars Required for Use in
AIP Funded and PFC Approved Projects
Updated 4/18/2019
ARP
Page 3 of 5
..:4taa45Cw^- x,'h �f L�
� "�• r.:u'�.
.NUMBER `''
,,,5a �kr"�','1h"'�`,:a,,-'N7"•':'�tiA-'t�',i'3� �
..N
)ypifinn;•al `#." .9't'^; .,!( z't} .c 3%''>,�io :; . yy f.,.•.
pi
bl, "'�" y. ��L"r'r°�5:^w"4Yb „.: •�. '�'r �"o.;�.�• •`fir' xET �;s.b"s�``f �r�e,`sE �E "'• '",r*:
uti r;: ,,: :,...
k3,'t'�',,pp �`� i:^ ??,f.'. • :Y•�s.. ri'`'yxY .•7F.,�xr*';��`141�h:�t^•s.'�`
2. 'Yr%ix. r't1L>"s-?• � stl,':".' 'v.^f,K^.rm E°:`o-'�:{i;5u,„~.,X.ta£�xx..'e?:' �.x.,!' "I' hG �"::f'v:.:^, %.;
150/5345-44K
Specification for Runway and Taxiway Signs
150/5345-45C
Low -Impact Resistant (LIR) Structures
150/5345-46E
Specification for Runway and Taxiway Light Fixtures
150/5345-47C
Specification for Series to Series Isolation Transformers for Airport Lighting
Systems
150/5345-49D
Specification L-854, Radio Control Equipment
150/5345-50B
Specification for Portable Runway and Taxiway Lights
150/5345-51 B
Specification for Discharge -Type Flashing Light Equipment
150/5345-52A
Generic Visual Glideslope Indicators (GVGI)
150/5345-53D
Airport Lighting Equipment Certification Program
150/5345-54B
Specification for L-884, Power and Control Unit for Land and Hold Short
Lighting Systems
150/5345-55A
Specification for L-893, Lighted Visual Aid to Indicate Temporary Runway
Closure
150/5345-56B
Specification for L-890 Airport Lighting Control and Monitoring System
(ALCMS)
150/5360-12F
Airport Signing and Graphics
150/5360-13A
Airport Terminal Planning
150/5360-14A
Access to Airports By Individuals With Disabilities
150/5370-2G
Operational Safety on Airports During Construction
150/5370-10H
Standard Specifications for Construction of Airports
150/5370-11 B
Use of Nondestructive Testing in the Evaluation of Airport Pavements
150/5370-13A
Off -Peak Construction of Airport Pavements Using Hot -Mix Asphalt
150/5370-15B
Airside Applications for Artificial Turf
150/5370-16
Rapid Construction of Rigid (Portland Cement Concrete) Airfield Pavements
150/5370-17
Airside Use of Heated Pavement Systems
150/5390-2C
Heliport Design
150/5395-1 B
Seaplane Bases
FAA Advisory Circulars Required for Use in
AIP Funded and PFC Approved Projects
Updated 4/18/2019
ARP
Page 4 of 5
THE FOLLOWING ADDITIONAL APPLY TO AIP PROJECTS ONLY
Updated 3/22/2019
Ulm
OR 40' aw
150/5100'14E.
Chonge1
Architectural, Engineering, and Planning Consultant Services for Airport Grant
Projects
150/5100'17.
Changes 1 'T
Land Acquisition and Relocation Assistance for Airport Improvement Program
Assisted Projects
150/5300'15A
Use ofValue Engineering for Engineering and Design ofAirport Grant Projects
150/5320'17A
Airfield Pavement Surface Evaluation and Rating Manuals
150/5370'12B
Quality Management for Federally Funded Airport Construction Projects
150/5380'8C
Guidelines and Procedures for Maintenance ofAirport Pavements
150/5380'713
Airport Pavement Management Program
150/5380'9
Guidelines and Procedures for Measuring Airfield Pavement Roughness
FAA Advisory Circulars Required for Use m
/uPFunded and PpoApproved Projects
Updated 4/18/2019
ARP
Page omn
STANDARD DOT TITLE VI ASSURANCES
The City of Yakima (hereinafter referred to as the Sponsor) hereby agrees that as a condition
to receiving Federal financial assistance from the Department of Transportation (DOT), it will
comply with Title VI of the Civil Rights Act of 1964 (42 U S.0 2000d et seq.) and all
requirements imposed by 49 CFR Part 21, Nondiscrimination in Federally Assisted Programs
of the Department of Transportation -- Effectuation of Title VI of the Civil Rights Act of 1964
(hereinafter referred to as the "Regulations") to the end that no person in the United States
shall, on the ground of race, color, or national origin, be excluded from participation in, be
denied the benefits of, or be otherwise subjected to discrimination under any program or
activity for which the applicant receives Federal financial assistance and will immediately take
any measures necessary to effectuate this agreement. Without limiting the above general
assurance, the Sponsor agrees concerning this grant that.
1 Each "program" and "facility" (as defined in Section 21.23(a) and 21 23(b)) will be
conducted or operated in compliance with all requirements of the Regulations
2 It will insert the clauses of Attachment 1 of this assurance in every contract subject to the
Act and the Regulations
3 Where Federal financial assistance is received to construct a facility, or part of a facility,
the assurance shall extend to the entire facility and facilities operated in connection therewith
4. Where Federal financial assistance is in the form or for the acquisition of real property or
an interest in real property, the assurance shall extend to rights to space on, over, or under
such property
5. It will include the appropriate clauses set forth in Attachment 2 of this assurance, as a
covenant running with the land, in any future deeds, leases, permits, licenses, and similar
agreements entered into by the Sponsor with other parties.
(a) for the subsequent transfer of real property acquired or improved with Federal financial
assistance under this project; and
(b) for the construction or use of or access to space on, over, or under real property
acquired or improved with Federal financial assistance under this Project.
6. This assurance obligates the Sponsor for the period during which Federal financial
assistance is extended to the program, except where the Federal financial assistance is to
provide, or is in the form of personal property or real property or interest therein or structures
or improvements thereon, in which case the assurance obligates the Sponsor or any
transferee for the longer of the following periods
(a) the period during which the property is used for a purpose for which Federal financial
assistance is extended, or for another purpose involving the provision of similar services or
benefits, or
(b) the period during which the Sponsor retains ownership or possession of the property
7. It will provide for such methods of administration for the program as are found by the Secretary of
transportation of the official to whom he delegates specific authority to
give reasonable guarantees that it, other sponsors, subgrantees,
contractors, subcontractors, transferees, successors in interest, and
other participants of Federal financial assistance under such program
will comply with all requirements imposed or pursuant to the act, the
Regulations, and this assurance.
Page 1 of 2
STANDARD DOT TITLE VI ASSURANCES (Continued)
8 It agrees that the United States has a right to seek judicial enforcement with regard to any
matter arising under the Act, the Regulations, and this assurance
THIS ASSURANCE is given in consideration of and for the purpose of obtaining Federal financial assistance
for this Project and is binding on its contractors, the Sponsor, subcontractors, transferees, successors in
interest and other participants in the Project. The person or persons whose signatures appear below are
authorized to sign this assurance on behalf of the Sponsor
DATED J ,Lscfs�—1 t av L9
City of Yakima
(Sponsor)
(Signature uthorized Official)
CITY CONTRACT NO' 4-9OI i 1 113
RESOLUTION NOi 0(07
Page 2 of 2
FAA
Airports
ASSURANCES
Airport Sponsors
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
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 seq.2
e. Uniform Relocation Assistance and Real Property Acquisition Policies Act of
1970 Title 42 U.S.C. 4601, et seq.' 2
f. National Historic Preservation Act of 1966 - Section 106 - 16 U.S.C. 470(f).1
g. Archeological and Historic Preservation Act of 1974 - 16 U.S.C. 469 through
469c.'
h. Native Americans Grave Repatriation Act - 25 U.S.C. Section 3001, et seq.
i. Clean Air Act, P.L. 90-148, as amended.
j. Coastal Zone Management Act, P.L. 93-205, as amended.
k. Flood Disaster Protection Act of 1973 - Section 102(a) - 42 U.S.C. 4012a.'
1. Title 49, U.S.C., Section 303, (formerly known as Section 4(f))
m. Rehabilitation Act of 1973 - 29 U.S.C. 794.
n. Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq., 78 stat. 252)
(prohibits discrimination on the basis of race, color, national origin);
o. Americans with Disabilities Act of 1990, as amended, (42 U.S.C. § 12101 et
seq.), prohibits discrimination on the basis of disability).
p. Age Discrimination Act of 1975 - 42 U.S.C. 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.'
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, et seq.2
y. Drug -Free Workplace Act of 1988 - 41 U.S.C. 702 through 706.
Airport Sponsor Assurances 3/2014 Page 2 of 20
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 1 1990
c. Executive Order 11998
d. Executive Order 12372 -
e. Executive Order 12699 -
Building Construction'
f. Executive Order 12898 -
Federal Regulations
- Equal Employment Opportunity'
- Protection of Wetlands
— Flood Plain Management
Intergovernmental Review of Federal Programs
Seismic Safety of Federal and Federally Assisted New
Environmental Justice
a. 2 CFR Part 180 - OMB Guidelines to Agencies on Governmentwide 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
Organizations].4' 5' 6
c. 2 CFR Part 1200 — Nonprocurement 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 State and Local
Government Services.
g. 28 CFR § 50.3 - U.S. Department of Justice Guidelines for Enforcement of Title
VI of the Civil Rights Act of 1964.
h. 29 CFR Part 1 - Procedures for predetermination of wage rates.'
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).'
k. 41 CFR Part 60 - Office of Federal Contract Compliance Programs, Equal
Employment Opportunity, Department of Labor (Federal and federally assisted
contracting requirements).'
I. 49 CFR Part 18 - Uniform 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.
Airport Sponsor Assurances 3/2014 Page 3 of 20
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 Assistance.'
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.
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-110 or 2 CFR Part 215 or
Circular) as well as the Cost Principles (Circulars A-21 or 2 CFR part 220;
Circular A-87 or 2 CFR part 225; and A-122, 2 CFR part 230). Additionally it
replaces Circular A-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
s 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 of the airport or site thereof, or will give assurance
satisfactory to the Secretary that good title will be acquired.
b. For noise compatibility program projects to be carried out on the property of the
sponsor, it holds good title satisfactory to the Secretary to that portion of the
property upon which Federal funds will be expended or will give assurance to the
Secretary that good title will be obtained.
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
g.
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. If the
transferee is found by the Secretary to be eligible under Title 49, United States
Code, to assume the obligations of this grant agreement and to have the power,
authority, and financial resources to carry out all such obligations, the sponsor
shall insert in the contract or document transferring or disposing of the sponsor's
interest, and make binding upon the transferee all of the terms, conditions, and
assurances contained in this grant agreement.
c. For all noise compatibility program projects which are to be carried out by
another unit of local government or are on property owned by a unit of local
government other than the sponsor, it will enter into an agreement with that
government. Except as otherwise specified 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 the 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 the terms of the agreement.
e. If the sponsor is a private sponsor, it will take steps satisfactory to the Secretary to
ensure that the airport will continue to function as a public -use airport in
accordance with these assurances for the duration of these assurances.
f. If an arrangement is made for management and operation of the airport by any
agency or person other than the sponsor or an employee of the sponsor, the
sponsor will reserve sufficient rights and authority to insure that the airport will
be operated and maintained in accordance Title 49, United States Code, the
regulations and the terms, conditions and assurances in this grant agreement and
shall insure that such 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.
Airport Sponsor Assurances 3/2014 Page 6 of 20
6. Consistency with Local Plans.
The project is reasonably consistent with plans (existing at the time of submission of
this application) of public agencies that are authorized by the State in which the
project is located to plan for the development of the area surrounding the airport.
7. Consideration of Local Interest.
It has given fair consideration to the interest of communities in or near where the
project may be located.
8. Consultation with Users.
In making a decision to undertake any airport development project under Title 49,
United States Code, it has undertaken reasonable consultations with affected parties
using the airport at which project is proposed.
9. Public Hearings.
In projects involving the location of an airport, an airport runway, or a major runway
extension, it has afforded the opportunity for public hearings for the purpose of
considering the economic, social, and environmental effects of the airport or runway
location and its consistency with goals and objectives of such planning as has been
carried out by the community and it shall, when requested by the Secretary, submit a
copy of the transcript of such hearings to the Secretary. Further, for such projects, it
has on its management board either voting representation from the communities
where the project is located or has advised the communities that they have the right to
petition the Secretary concerning a proposed project.
10. Metropolitan Planning Organization.
In projects involving the location of an airport, an airport runway, or a major runway
extension at a medium or large hub airport, the sponsor has made available to and has
provided upon request to the metropolitan planning organization in the area in which
the airport is located, if any, a copy of the proposed amendment to the airport layout
plan to depict the project and a copy of any airport master plan in which the project is
described or depicted.
11. Pavement Preventive Maintenance.
With respect to a project approved after January 1, 1995, for the replacement or
reconstruction of pavement at the airport, it assures or certifies that it has
implemented an effective airport pavement maintenance -management program and it
assures that it will use such program for the useful life of any pavement constructed,
reconstructed or repaired with Federal financial assistance at the airport. It will
provide such reports on pavement condition and pavement management programs as
the Secretary determines may be useful.
12. Terminal Development Prerequisites.
For projects which include terminal development at a public use airport, as defined in
Title 49, it has, on the date of submittal of the 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 3/2014 Page 7 of 20
has provided for access to the passenger enplaning and deplaning area of such airport
to passengers enplaning and deplaning from aircraft other than air carrier aircraft.
13. Accounting System, Audit, and Record Keeping Requirements.
a. It shall keep all project accounts and records which fully disclose the amount and
disposition by the recipient of the proceeds of this grant, the total cost of the
project in connection with which this grant is given or used, and the amount or
nature of that portion of the cost of the project supplied by other sources, and such
other financial records pertinent to the project. The accounts and records shall be
kept in accordance with an accounting system that will facilitate an effective audit
in accordance with the Single Audit Act of 1984.
b. It shall make available to the Secretary and the Comptroller General of the 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
pertinent to this grant. The Secretary may require that an appropriate audit be
conducted by a recipient. In any case in which an independent audit is made of the
accounts of a sponsor relating to the disposition of the proceeds of a grant or
relating to the project in connection with which this grant was given or used, it
shall file a certified copy of such audit with the Comptroller General of the United
States not later than six (6) months following the close of the 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 of wages, to be predetermined by the Secretary of Labor, in accordance with the
Davis -Bacon Act, as amended (40 U.S.C. 276a-276a-5), which contractors shall pay
to skilled and unskilled labor, and such minimum rates shall be stated in the 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 Specifications.
It will execute the project subject to plans, specifications, and schedules approved by
the Secretary. Such plans, specifications, and schedules shall be submitted to the
Secretary prior to commencement of site preparation, construction, or other
performance under this grant agreement, and, upon approval of the Secretary, shall be
incorporated into this grant agreement. Any modification to the approved plans,
Airport Sponsor Assurances 3/2014 Page 8 of 20
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.
18. Planning Projects.
In carrying out planning projects:
a. It will execute the project in accordance with the approved program narrative
contained in the project application or with the modifications similarly approved.
b. It will furnish the Secretary with such periodic reports as required pertaining to
the planning project and planning work activities.
c. It will include in all published material prepared in connection with the planning
project a notice that the material was prepared under a grant provided by the
United States.
d. It will make such material available for examination by the public, and agrees that
no material prepared with funds under this project shall be subject to copyright in
the United States or any other country.
e. It will give the Secretary unrestricted authority to publish, disclose, distribute, and
otherwise use any of the material prepared in connection with this grant.
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
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
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 unjustly discriminatory, basis to
all users thereof, and
2) charge reasonable, and not unjustly discriminatory, prices for each 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 of such airport and utilizing the same
or similar facilities.
d. Each air carrier using such airport shall have the right to service itself or to use
any fixed -based operator that is authorized or permitted by the airport to serve any
air carrier at such airport.
e. Each air carrier using such airport (whether as a tenant, non -tenant, or subtenant
of another air carrier 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 performing any
services on its own aircraft with its own employees [including, but not limited to
maintenance, repair, and fueling] that it may choose to perform.
In the event the sponsor itself exercises any of the rights and privileges referred to
in this assurance, the services involved will be provided on the same conditions as
would apply to the furnishing of such services by commercial aeronautical service
providers authorized by the sponsor under these provisions.
h. The sponsor may establish such reasonable, and not unjustly discriminatory,
conditions to be met by all users of the airport as may be necessary for the safe
and efficient operation of the airport.
i. The sponsor may prohibit or limit any given type, kind or class of aeronautical
use of the airport if such action is necessary for the safe operation of the airport or
necessary to serve the civil aviation needs of the public.
g.
Airport Sponsor Assurances 3/2014 Page 11 of 20
23. Exclusive Rights.
It will permit no exclusive right for the use of the airport by any person providing, or
intending to provide, aeronautical services to the public. For purposes of this
paragraph, the providing of the services at an airport by a single fixed -based operator
shall not be construed as an exclusive right if both of the following apply:
a. It would be unreasonably costly, burdensome, or impractical for more than one
fixed -based operator to provide such services, and
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 conjunction with other aeronautical activity, repair and maintenance
of aircraft, sale of aircraft parts, and any other activities which because of their
direct relationship to the operation of aircraft can be regarded as an aeronautical
activity, and that it will terminate any exclusive right to conduct an aeronautical
activity now existing at such an airport before the grant of any assistance under
Title 49, United States Code.
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 of collection. No part of the Federal share of an airport
development, airport planning or noise compatibility project for which a grant is
made under Title 49, United States Code, the Airport and Airway Improvement Act
of 1982, the Federal Airport Act or the Airport and Airway Development Act of 1970
shall be included in the rate basis in establishing fees, rates, and charges for users of
that airport.
25. Airport Revenues.
a. All revenues generated by the airport and any local taxes on aviation fuel
established after December 30, 1987, will be expended by it for the capital or
operating costs of the airport; the local airport system; or other local facilities
which are owned or operated by the owner or operator of the airport and which
are directly and substantially related to the actual air transportation of passengers
or property; or for noise mitigation purposes on or off the airport. The following
exceptions apply to this paragraph:
1) If covenants or assurances in debt obligations issued before September 3,
1982, by the owner or operator of the airport, or provisions enacted before
September 3, 1982, in governing statutes controlling the owner or operator's
financing, provide for the use of the revenues from any of the airport owner or
Airport Sponsor Assurances 3/2014 Page 12 of 20
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
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. Five (5) or more Government aircraft are regularly based at the airport or on land
adjacent thereto; or
b. The total number of movements (counting each landing as a movement) of
Government aircraft is 300 or more, or the gross accumulative weight of
Government aircraft using the airport (the total movement of Government aircraft
multiplied by gross weights of such aircraft) is in excess of five million pounds.
28. Land for Federal Facilities.
It will furnish without cost to the Federal Government for use in connection with any
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
roads), including all proposed extensions and reductions of existing airport
facilities;
3) the location of all existing and proposed nonaviation areas and of all existing
improvements thereon; and
4) all proposed and existing access points used to taxi aircraft across the airport's
property boundary. Such airport layout plans and each amendment, revision,
or modification thereof, shall be subject to the approval of the Secretary which
approval shall be evidenced by the signature of a duly authorized
representative of the Secretary on the face of the airport layout plan. The
sponsor will not make or permit any changes or alterations in the airport or
any of its facilities which are not in conformity with the airport layout plan as
approved by the Secretary and which might, in the opinion of the Secretary,
adversely affect the safety, utility or efficiency of the airport.
b. If a change or alteration in the airport or the facilities is made which the Secretary
determines adversely affects the safety, utility, or efficiency of any federally
owned, leased, or funded property on or off the airport and which is not in
conformity with the airport layout plan as approved by the Secretary, the owner or
operator will, if requested, by the Secretary (1) eliminate such adverse effect in a
manner approved by the Secretary; or (2) bear all costs of relocating such
property (or replacement thereof) to a site acceptable to the Secretary and all costs
of restoring such property (or replacement thereof) to the level of safety, utility,
efficiency, and cost of operation existing before the unapproved change in the
airport or its facilities except in the case of a relocation or replacement of an
existing airport facility due to a change in the Secretary's design standards beyond
the control of the airport sponsor.
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 therewith.
Airport Sponsor Assurances 3/2014 Page 15 of 20
3) Real Property. Where the sponsor receives a grant or other Federal financial
assistance in the form of, or for the acquisition of real property or an interest
in real property, the assurance will extend to rights to space on, over, or under
such property.
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 assurance obligates the sponsor, or any transferee for the longer of
the following periods:
1) So long as the airport is used as an airport, or for another purpose involving
the provision of similar services or benefits; or
2) So long as the sponsor retains ownership or possession of the property.
d. Required Solicitation Language. It will include the following notification in all
solicitations for bids, Requests For Proposals for work, or material under this
grant agreement and in all proposals for agreements, including airport
concessions, regardless of funding source:
"The (Name of Sponsor), in accordance with the provisions of Title VI of the
Civil Rights Act of 1964 (78 Stat. 252, 42 U.S.C. §§ 2000d to 2000d-4) and the
Regulations, hereby notifies all bidders that it will affirmatively ensure that any
contract entered into pursuant to this advertisement, disadvantaged business
enterprises and airport concession disadvantaged business enterprises will be
afforded full and fair opportunity to submit bids in response to this invitation and
will not be discriminated against on the grounds of race, color, or national origin
in consideration for an award."
e. 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
the contracts by reference in every contract or agreement subject to the non-
discrimination in Federally -assisted programs of the DOT acts and
regulations.
2) It will include a list of the pertinent non-discrimination authorities in every
contract that is subject to the non-discrimination acts and regulations.
3) It will insert non-discrimination contract clauses as a covenant running with
the land, in any deed from the United States effecting or recording a transfer
of real property, structures, use, or improvements thereon or interest therein to
a sponsor.
4) It will insert non-discrimination contract clauses prohibiting discrimination on
the basis of race, color, national origin, creed, sex, age, or handicap as a
Airport Sponsor Assurances 3/2014 Page 16 of 20
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.
f. 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.
g.
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 the
Secretary an amount equal to the United States' proportionate share of the fair
market value of the land. That portion of the proceeds of such disposition which
is proportionate to the United States' share of the cost of acquisition of such land
will, (1) upon application to the Secretary, be reinvested or transferred to another
Airport Sponsor Assurances 3/2014 Page 17 of 20
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 purposes 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 object 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 04/18/2019 (the latest
approved version as of this grant offer) and included in this grant, and in accordance
Airport Sponsor Assurances 3/2014 Page 18 of 20
with applicable state policies, standards, and specifications approved by the
Secretary.
35. Relocation and Real Property Acquisition.
a. It will be guided in acquiring real property, to the greatest extent practicable under
State law, by the land acquisition policies in Subpart B of 49 CFR 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.
If the airport owner or operator and a person who owns an aircraft agree that a hangar
is to be constructed at the airport for the aircraft at the aircraft owner's expense, the
airport owner or operator will grant to the aircraft owner for the hangar a long 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
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
CIP DATA SHEET
AIRPORT: ,r..'.: ''.'t•:,.
Yakima Air Terminal - McAllister FieldILoCIV.:4 J YKM
LOCAL,PRIORITY'
11
PROJ:*"; :;..,,, : �•
EECTDESCRIPTION
Runway 9/27 Pavement Maintenance and HIRL Replacement - Design Only
PLANNED YEAR TO
CONSTRUCT ' '
2020
SKETCH
JUSTIFICATION I The existing Runway 9/27 Lighting System is reaching the end of its useful life and
requires replacement. Runway 9/27 will be crack sealed and seal coated as preventative maintenance to
extend the life of the pavement. The auxiliary wind -cone located off Runway 9 is located in the safety area
and requires relocation to meet safety area standards.
COST ESTIMATE
ADMINISTRATION
ENGINEERING
INSPECTION
$3,000.00
1. Construction
$
4
$
$144 140.00
2
$
5
$
$
3
$
TOTAL:
$147,140 00
'EederalV;%) $ 132,426 00
;Stat'e'j$ 7,357 00 �L'ocal'( %)I$ 7,357 00
SPONSOR VERIFICATION Date (see instruction sheet or attached comments for more information)
For each and every
project as applicable
Nov '07 -Date of approved ALP with project shown
11/27/16-Date of environmental determination (ROD, FONSI, CatEx)
N/A -Date of land acquisition or signed purchase agreement
N/A -Date of pavement maintenance program
N/A -Date of Benefit Cost Analysis (BCA) as required
SPONSOR'S SIGNATURE.
PRINTED NAME.
PHONE NUMBER.
Robert Peterson
(509) 575-6149
DATE.
TITLE Airport Director
EMAIL. rob petersonavakimaairterminal com
FAA USE ONLY
PREAPP'NUMBER�' _
."GRANT NUMBER' '
?NPIAS,CCIDE:,, ':
..> xWORK• CODE,.. ,.z;
;'uFAA,PRiORITY -`
., . ° FEDERAL,$`'
`:
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)
CERTIFICATION REGARDING LOBBYING
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 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 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 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.
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
City of Yakima
* PRINTED NAME AND TITLE OF AUTHORIZED REPRESENTATIVE
Prefix:
* Last Name:
* Title:
* First Name:
Cliff
Moore
City Manager
Middle Name:
Suffix:
* SIGNATURE.
* DATE.
1
ITEM TITLE:
BUSINESS OF THE CITY COUNCIL
YAKIMA, WASHINGTON
AGENDA STATEM ENT
Item No. 6.F.
For Meeting of: July 16, 2019
Resolution authorizing a grant application to the Federal Aviation
Administration (FAA) for Capital Improvement Projects at the
Yakima Air Terminal -McAllister Field
SUBMITTED BY: Robert K. Peterson, Airport Director, 509-575-6149
SUMMARY EXPLANATION:
The Airport Improvement Program (AIP) 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 in design, engineering, and acquisition to replace an Aircraft Rescue and
Fire Fighting apparatus. Currently, the airport deploys a 2005 Oshkosh Striker in order to meet
stringent Federal Aviation Administration (FAA) safety standards. Within these standards the FAA
recommends airports replace their fire apparatus every fifteen years to ensure reliability and adequate
response to aircraft accidents. The 2005 Oshkosh Striker continues to witness increased
maintenance attention and lack of available replacement parts as the apparatus continues to age.
Additionally, the grant funds will assist the airport in design and engineering costs for the replacement
of the High Intensity Runway Edge (HIRL) lighting system. This lighting system is required in order to
facilitate aircraft operations during hours of darkness and during times of inclement weather.
Furthermore, the project will crack seal and sealcoat asphalt surfaces which will extend the overall life
expectancy of the airport's primary runway.
It is estimated both grant applications will request approximately One Million Two Hundred Fifty -Eight
Thousand Two Hundred Fifty -One ($1,258,251) dollars, of which 90% of the total costs will be funded
by the FAA 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 2019-20 general fund
budget.
• Grant application for the fire apparatus, Runway HIRL, and crack seal will be submitted in
August 2019 when equipment bids are received.
2
ITEM BUDGETED:
STRATEGIC PRIORITY:
APPROVED FOR
SUBMITTAL:
STAFF RECOMMENDATION:
Adopt Resolution
BOARD/COMMITTEE RECOMMENDATION:
N/A
Yes
Public Safety
City Manager
ATTACHMENTS:
Description Upload Date Type
RESDi ut ion 617817019 Resolution
D ARFF Grant Application 6/24/2019 Backup Material
D Runway 9127 HIRL Grant Auplicatiun 612di2019 Backup Matedal
U.S. Department
of Transportation
Federal Aviation
Administration
August 27, 2019
Mr. Cliff Moore
City Manager
City of Yakima
129 2nd St.
Yakima, WA 98901
Dear Mr. Moore:
Airports Division FAA SEA ADO
Northwest Mountain Region 2200 S. 216th Street
Oregon,VVashington Des Moines, WA 98198
We are attaching the Grant Offer for Airport Improvement Program (AIP) Project No. 3-53-0089-043-
2019 at Yakima Air Terminal/McAllister Field in Yakima, Washington. This letter outlines
expectations for success. Please read the conditions and assurances carefully.
To properly enter into this agreement, you must do the following:
a. The governing body must provide authority to execute the grant to the individual signing the
grant; i.e. the sponsor's authorized representative.
b. The sponsor's authorized representative must execute the grant, followed by the attorney's
certification, no later than September 4, 2019, in order for the grant to be valid.
• The date of the attorney's signature must be on or after the date of the sponsor's
authorized representative's signature.
• All signatures must be made with blue or black ink; Signature stamps will not be
accepted.
c. You may not make any modification to the text, terms or conditions of the grant offer.
d. After you properly execute the grant agreement:
• Return one executed copy of the Grant Agreement via email in PDF form prior to
sending the hardcopy in the mail.
• Return one executed original Grant Agreement to our office via US mail or commercial
courier.
• Retain one copy of the executed Grant Agreement for your records.
• Forward one copy of the executed Grant Agreement to your associated State Aviation
Official
Subject to the requirements in 2 CFR §200.305, each payment request for reimbursement under this
grant must be made electronically via the Delphi elnvoicing System. Please see the attached Grant
Agreement for more information regarding the use of this System.
The terms and conditions of this agreement require you to complete the project without undue delay.
We will be monitoring your progress to ensure proper stewardship of these Federal funds. We expect
you to submit payment requests for reimbursement of allowable incurred project expenses
2
consistent with project progress. Should you fail to make draws on a regular basis, your grant may be
placed in "inactive" status, which will affect your ability to receive future grant offers.
Until the grant is completed and closed, you are responsible for submitting formal reports as follows:
• A signed/dated SF-270 (non -construction projects) or SF-271 or equivalent (construction
projects) and SF-425 annually, due 90 days after the end of each federal fiscal year in which this
grant is open (due December 31 of each year this grant is open); and
• Performance Reports, which are due within 30 days of the end of a reporting period as follows:
1. Non -construction project: Due annually at end of the Federal fiscal year.
2. Construction project: Submit FAA form 5370-1, Construction Progress and Inspection
Report at the end of each fiscal quarter.
As a condition of receiving Federal assistance under this award, you must comply with audit
requirements as established under 2 CFR part 200. Subpart F requires non -Federal entities that expend
$750,000 or more in Federal awards to conduct a single or program specific audit for that year. Note
that this includes Federal expenditures made under other Federal -assistance programs. Please take
appropriate and necessary action to assure your organization will comply with applicable audit
requirements and standards.
Once the project(s) is completed and all costs are determined, we ask that you close the project without
delay and submit the necessary final closeout documentation as required by your Region/Airports
District Office.
Mary Vargas, (206) 231-4131, is the assigned program manager for this grant and is readily available to
assist you and your designated representative with the requirements stated herein. We sincerely value
your cooperation in these efforts and look forward to working with you to complete this important
project.
Sincerely,
Jodie Briggs
Manager
Seattle Airports District Office
U.S. Department
of Transportation
Federal Aviation
Administration
GRANTAGREEIMENT
PART I -OFFER
3'53'0089 O43 ZU1g
Date ofOffer
Airport/P|annin8Area
A|PGrant Number
DUNS Number
TO: City of Yakima,Washington
(herein called the "Sponsor")
YaNmaAjrTennina�MdA|�terFie|d-Yakima,Washington
�-_ __- - - _ -.................. ....
19 (Contract Number: DOT R19NM-00 5)
078212651
FROM: The United States of America(acting through the Federal Aviation Administration, herein called the
"FAA)')
WHEREAS, the Sponsor has submitted to the FAA a Project Application dated July 17, 2019,for agrant of
Federal funds for a project at or associated with the Yakima Air Terminal/McAllister Field, which is
included aspart ofthis Grant Agreement; and
WHEREAS, the FAA has approved a project for the Yakima Air Terminal/McAllister Field (herein called the
"Pnoject,)consisting ofthe following:
Reconstruct Runway 9/27 High Intensity Runway Lights (HIRLs) (phase 1-design); Replace windcone and
segmented circle (phase 1-design); Rehabilitate Runway 9/27 (crack and slurry seal) (phase 1-design);
which ismore fully described inthe Project Application.
NOW THEREFORE, According to the applicable provisions of the former Federal Aviation Act of 1958, as
amended and recodified, 49 U.S.C. § 40101, et seq., and the former Airport and Airway Improvement Act
of198Z(AA|A)'asamended and recndified'49U.SI.§471O1'etseq,(herein the AA|Agrant statute is
referred toos "the Act"), the representations contained in the Project Application, and in consideration of
(a) the Sponsor's adoption and ratification of the Grant Assurances dated March 2014, as applied and
interpreted consistent with the FAA Reauthorization Act ofIO1Q(see 3U18FAA Reauthorization grant
condition.), (b) and the Sponsor's acceptance of this Offer; and, (c) the benefits to accrue to the United
States and the public from the accomplishment of the Project and compliance with the Grant Assurances
and conditions as herein provided.
THE FEDERAL AVIATION ADMINISTRATION, FOR AND ONBEHALF OFTHE UNITED STATES, HEREBY
OFFERS AND AGREES to pay ninety (90) percent of the allowable costs incurred accomplishing the
Project aathe United States share ofthe Project.
I
3 53 OO89 O43 2Ol9
This Offer is made on and SUBJECT TO THE FOLLOWING TERMS AND CONDITIONS:
CONDITIONS
1' Maximum Obligation. The maximum obligation of the United States payable under this Offer is $132,426.
The following amounts represent a breakdown of the maximum obligation for the purpose of establishing
allowable amounts for any future grant amendment, which may increase the foregoing maximum
obligation of the United States under the provisions of 49 U.S.C. § 47108(b):
$0for planning
$13I'4IGairport development ornoise program implementation; and,
$0for land acquisition.
The source ofthis Grant may include funding from the Small Airport Fund.
2. Period of Performance.Theperiodofperformancebe8insonthedatetheSponsmrformaUyacceptsthis
agreement. Unless explicitly stated otherwise in an amendment from the FAA, the end date of the period
of performance is 4 years (1,460 calendar days) from the date of formal grant acceptance by the Sponsor.
The Sponsor may only charge allowable costs for obligations incurred prior to the end date of the period of
performance (%[FR §200.309). Unless the FAA authorizes a written extension, the sponsor must submit all
project closeout documentation and liquidate (pay off) all obligations incurred under this award no later
than 90 calendar days after the end date of the period of performance (2 CFR §200.343).
The period of performance end date does not relieve or reduce Sponsor obligations and assurances that
extend beyond the closeout ofagrant agreement.
3. Ineligible or Unallowable The Sponsor must not include any costs inthe project that the FAA has
determined tobe ineligible orunallowable.
4. Determining the Final Federal Share of Costs. The United States' share ofallowable project costs will be
made inaccordance with the regulations, policies, and procedures of the Secretary. Final determination of
the United States' share will be based upon the final audit of the total amount of allowable project costs
and settlement will be made for any upward or downward adjustments to the Federal share of costs.
S. Completing the Proie#tWithout in'Conformance with Requirements. The Sponsor must carry
out and complete the project without undue delays and in accordance with this agreement, and the
regulations, policies, and procedures of the Secretary. Per 2 CFR § 200.308, the Sponsor agrees to report
to the FAA any disengagement from performing the project that exceeds three months. The report must
include a reason for the project stoppage. The Sponsor also agrees to comply with the assurances which
are part ofthis agreement.
6. Amendments or Withdrawals before Grant Acceptance. The FAA reserves the right toamend orwithdraw
this offer at any time prior to its acceptance by the Sponsor.
7. Offer Expiration Date. This offer will expire and the United States will not beobligated tnpay any part of
the costs of the project unless this offer has been accepted by the Sponsor on or before September 4,
ZU19'orsuch subsequent date asmay beprescribed inwriting bythe FAA.
Q. Improper Use of Federal Funds. The Sponsor must take all steps, including litigation if necessary, to
recover Federal funds spent fraudulently, wastefully, or in violation of Federal antitrust statutes, or
misused in any other manner for any project upon which Federal funds have been expended. For the
purposes of this grant agreement, the term "Federal funds" means funds however used or dispersed by
the Sponsor, that were originally paid pursuant to this or any other Federal grant agreement. The Sponsor
must obtain the approval of the Secretary as to any determination of the amount of the Federal share of
2
3 53 0089 043 2019
such funds. The Sponsor must return the recovered Federal share, including funds recovered by
settlement, order, or judgment, to the Secretary. The Sponsor must furnish to the Secretary, upon request,
all documents and records pertaining to the determination of the amount of the Federal share or to any
settlement, litigation, negotiation, or other efforts taken to recover such funds. All settlements or other
final positions of the Sponsor, in court or otherwise, involving the recovery of such Federal share require
advance approval bythe Secretary.
9. United Liable for Damage or Injury. The United States isnot responsible orliable for damage
to property or injury to persons which may arise from, or be incident to, compliance with this grant
agreement.
10. �ndUni�er Universal rs ���n�r.
A. Requirement for System for Award Management (5AK4): Unless the Sponsor is exempted from this
requirement under [FR 25.110, the Sponsor must maintain the currency nfits information in the
SAM until the Sponsor submits the final financial report required under this grant, or receives the final
payment, whichever is later. This requires that the Sponsor review and update the information at least
annually after the initial registration and more frequently if required by changes in information or
another award term. Additional information about registration procedures may be found atthe SAK8
vvebsite(currently at )
B. Data Universal Numbering System: DUNS number means the nine -digit number established and
assigned by Dun and Bradstreet, Inc. (D& B)touniquely identify business entities. ADUNS number
may be obtained from D & B by telephone (current|y8G6-70S—S771) or on the web (currently at
b bformi
11. ElUnless otherwise directed by the FAA, the Sponsor must make each payment
request under this agreement electronically via the Delphi einvoicing System for Department of
Transportation (DOT)Financial Assistance Awandeeo.
12. Informal Letter Amendment of AIP Projects. If, during the life ofthe project, the FAA determines that the
maximum grant obligation of the United States exceeds the expected needs of the Sponsor by $25,000 or
five percent (SY6)'whichever isgreater, the FAA can issue a letter amendment tothe Sponsor unilaterally
reducing the maximum obligation.
The FAA can also issue aletter to the Sponsor increasing the maximum obligation ifthere isanoverrun in
the total actual eligible and allowable project costs to cover the amount of the overrun provided it will not
exceed the statutory limitations for grant amendments. The FAA's authority to increase the maximum
obligation does not apply tothe "p|annin8,component ofcondition No. 1.
The FAA can also issue an informal letter amendment that modifies the grant description to correct
administrative errors or to delete work items if the FAA finds it advantageous and in the best interests of
the United States.
An informal letter amendment has the same force and effect as aformal grant amendment.
13. Air and Water Quality. The Sponsor is required to comply with all applicable air and water quality
standards for all projects in this grant. If the Sponsor fails to comply with this requirement, the FAA may
suspend, cancel, orterminate this agreement.
14' Financial Reporting and Payment Requirements. The Sponsor will comply with all federal financial
reporting requirements and payment requirements, including submittal of timely and accurate reports.
15. Buy American. Unless otherwise approved in advance by the FAA, the Sponsor will not acquire or permit
any contractor orsubcontractor to acquire any steel or manufactured products produced outside the
3
3 53 UO89'U43 ZO19
United States tubeused for any project for which funds are provided under this grant. TheSponsorm/iU
include aprovision implementing Buy American inevery contract.
16. MaxiMmurn0bligation Increase For Primary Airports. In accordance with 49U.SI.§47108(b)'as
amended, the maximum obligation of the United States, as stated in Condition No. 1 of this Grant Offer:
A. May not beincreased for aplanning project;
B. May be increased by not more than 15 percent for development projects;
C. May be increased by not more than 15 percent for land project.
17.Audits for Public Sponsors. The Sponsor must provide for aSingle Audit orprogram specific audit in
accordance with 2 CFR part 200. The Sponsor must submit the audit reporting package to the Federal
Audit Clearinghouse on the Federal Audit Clearinghouse's Internet Data Entry System at
na Provide one copy ofthe completed audit tothe FAA ifrequested.
18' Suspension or Debmrmment.VVhenenteringintoa^cuveredtransamtiun^asdefinedby2CFRy18O.2UO'the
Sponsor must:
A. Verify the non-federal entity is eligible to participate in this Federal program by:
1. Checking the excluded parties list system (EPLS) as maintained within the System for Award
Management (SAM) to determine if the non-federal entity is excluded or disqualified; or
2. Collecting a certification statement from the non-federal entity attesting they are not excluded or
disqualified from participating; or
3. Adding a clause or condition to covered transactions attesting individual or firm are not excluded
ordisqualified from participating.
B. Require prime contractors to comply with 2 CFR §180.330 when entering into lower -tier transactions
(e.8. Sub -contracts).
C. Immediately disclose to the FAA whenever the Sponsor (1) learns they have entered into a covered
transaction with an ineligible entity or (2) suspends or debars a contractor, person, or entity.
19. Ban on Textiniz While Drivine.
A. In accordance with Executive Order 13513, Federal Leadership on Reducing Text Messaging While
Driving, October 1' 2009' and DOT Order 89U2.10, Text Messaging While Driving, Denember3O' 2009'
the Sponsor isencouraged to:
1. Adopt and enforce workplace safety policies todecrease crashes caused by distracted drives
including policies to ban text messaging while driving when performing any work for, or on behalf
of, the Federal government, including work relating toagrant orsub0rant.
Z. Conduct workplace safety initiatives in a manner commensurate with the size of the business, such
as:
a. Establishment of new rules and programs or re-evaluation of existing programs to
prohibit text messaging while driving; and
b. Education' awareness, and other outreach to employees about the safety risks associated
with textingwhile driving.
B. The Sponsor must insert the substance of this clause on banning texting while driving in all subgrants,
contracts and subcontracts.
20' ^A^Property Map dated March 2O25,bincorporated herein 6y
reference or is submitted with the project application and made part of this grant agreement.
4
3S3'OO89'O43 ZUl9
21. Employee Protection from Reprisal.
�
A. Prohibition ofRephisab—
zIn accordance with 41 U.S.C. § 4712, an employee of a grantee orsubgrantee may not be
discharged, demoted, or otherwise discriminated against as a reprisal for disclosing to a person or
body described insub'para8raph (A)(2)' information that the employee reasonably believes is
evidence of:
i Gross mismanagement ofaFederal grant;
ii Gross waste ofFederal funds;
iii Anabuse ofauthority relating toimplementation oruse ofFederal funds;
iv. Asubstantial and specific danger topublic health mrsafety; or
V. Avio|ation of law, rule, or regulation related toa Federal grant.
Z. Persons and bodies covered: The persons and bodies to which a disclosure by an employee is
covered are asfollows:
i Amember ofCongress nrarepresentative ofacommittee ofCongress;
ii AnInspector General;
iii The Government Accountability Office;
ix A Federal office nremployee responsible for oversight ofagrant program;
V. Acourt nrgrand jury;
vi Amanagement office ofthe grantee orsub0mntee;or
vii AFederal orState regulatory enforcement agency.
s. Submission of Complaint — A person who believes that they have been subjected to a reprisal
prohibited by paragraph A of this grant term may submit a complaint regarding the reprisal to the
Office of Inspector General (OIG) for the U.S. Department of Transportation.
4. Time Limitation for Submittal ofaComplaint Acomplaint may not be brought under this
subsection more than three years after the date on which the alleged reprisal took place.
s. Required Actions of the Inspector General —Actions, limitations and exceptions of the Inspector
General's office are established under 41U.SI.§47lZ(b)
h. Assumption of Rights to Civil Remedy - Upon receipt of an explanation of a decision not to conduct
or continue an investigation by the Office of Inspector General, the person submitting a complaint
assumes the right toacivil remedy under41U.SI.g4712(c).
22.2018 FAA Reauthorization. This grant agreement is subject to the terms and conditions contained herein
including the terms known as the Grant Assurances as they were published in the Federal Register on April
3,2014. On October 5, 2018, the FAA Reauthorization Act of 2018 made certain amendments to 49 U.S.C.
chapter 471. The Reauthorization Act will require FAA to make certain amendments to the assurances in
order to best achieve consistency with the statute. Federal law requires that FAA publish any amendments
to the assurances in the Federal Register along with an opportunity to comment. In order not to delay the
offer of this grant, the existing assurances are attached herein; however, FAA shall interpret and apply
these assurances consistent with the Reauthorization Act. Tothe extent there isaconflict between the
assurances and Federal statutes, the statutes shall apply. The full text of the Act is at
https://vvw/vx.congreso.go«/bi||/11Sth'con8ress/house'bi||/3U2/text.
SPECIAL CONDITIONS
23.Plans andSpecifications Prior to Bidding. TheSponsor agrees that itwill submit plans and specifications
for FAA review prior to advertising for bids.
5
3'53 OO8g'O43'ZO19
24 grant agreement is being issued in order to complete the design of the projectThe
Sponsor understands and agrees that within 2 years after the design is completed that the Sponsor will
accept, subject to the availability of the amount of federal funding identified in the Airport Capital
Improvement Plan (ACIP), a grant to complete the construction of the project in order to provide a useful
and useable unit of work. The Sponsor also understands that if the FAA has provided federal funding to
complete the design for the project, and the Sponsor has not completed the design within four (4) years
from the execution of this grant agreement, the FAA may suspend or terminate grants related to the
design.
25. Grant Approval BasedUpon.Cerbfication.TheFAAandtheSponsoragreethattheFAAapprova|ofthis
grant is based on the Sponsor's certification to carry out the project in accordance with policies, standards,
and specifications approved by the FAA. The Sponsor Certifications received from the Sponsor for the work
included in this grant are hereby incorporated into this grant agreement. The Sponsor understands that:
o. The Sponsor's certification does not relieve the Sponsor of the requirement to obtain
prior FAA approval for modifications to any AIP standards or to notify the FAA of any
limitations tocompetition within the project;
Lz The FAA's acceptance mfaSponsmr'scertification does not limit the FAA from
reviewing appropriate project documentation for the purpose of validating the
certification statements;
c If the FAA determines that the Sponsor has not complied with their certification
statements, the FAA will review the associated project costs to determine whether
such costs are allowable under A|P.
The Spmnso/sacceptance ofthis Offer and ratification and adoption ofthe Project Application
incorporated herein shall be evidenced by execution of this instrument by the Sponsor, as hereinafter
provided, and this Offer and Acceptance shall comprise a Grant Agreement, as provided by the Act,
constituting the contractual obligations and rights of the United States and the Sponsor with respect to the
accomplishment of the Project and compliance with the assurances and conditions as provided herein.
Such Grant Agreement shall become effective upon the Sponsor's acceptance of this Offer.
UNITED STATES OFAME0|CA
FEDERAL AVIATION ADMINISTRATION
(Signature)
Joelle Briggs
Manager, Seattle Airports District Office
6
3 53'OUD9 043'2U19
PART |U-ACCEPTANCE
The Sponsor does hereby ratify and adopt all assurances, statements, representations, warranties,
covenants, and agreements contained in the Project Application and incorporated materials referred to in
the foregoing Offer, and does hereby accept this Offer and by such acceptance agrees to comply with all of
the terms and conditions inthis Offer and inthe Project Application.
| declare under penalty ofperjury that the foregoing istrue and correct.'
'
Executed this 0, 40 day of -
L,/,e
*40
CITY CON .="~.
RESOLUTION NO:
t of Sm S00
'(Typed Nome ofSponsor's Authorized Officio(T
CERTIFICATE ��FSpOPJSOR�|ATTORNEY
(���r���' acting asAttorney for the Sponsor dohereby certify:
That in my opinion�the Sponsor is empowered to enter into the foregoing Grant Agreement under the laws
cfthe State of — Further, I have examined the foregoing Grant Agreement and the actions taken
bysaid Sponsor
—d'sponsor'sofficia|oepnesentatkahasbeenduk/authohzedandthattheexeoution
thereof is in all respects due and proper and in accordance with the laws of the said State and the Act. In
addition, for grants involving projects to be carried out on property not owned by the Sponsor, there are
no legal impediments that will prevent full performance by the Sponsor. Further, it is my opinion that the
said Grant Agreement constitutes a legal and binding obligation of the Sponsor in accordance with the
terms thereof.
Dated at Vikk�o A (location) this day of
'Knowingly and willfully providing false information to the Federal government is a violation of 18 U.S.C.
Section 1001 (False Statements) and could subject you to fines, imprisonment, or both.
3 53 O0Q9 O4] 2O19
ASSURANCES
AIRPORT SPONSORS
A. General.
d. 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.
e. 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.
f. Upon acceptance of this grant offer by the sponsor, these assurances are incorporated in and
become part mfthis grant agreement.
B. Duration and Applicability.
1. Airport development orNoise Compatibility Program Projects Undertaken byaPublic 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 onthe 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.
Z. Airport Development or Noise Compatibility Projects Undertaken byaPrivate 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 ofacceptance ofFederal aid for the project.
3. Airport Planning Undertaken byaSponsor.
Unless otherwise specified in this grant agreement, only Assurances 1, 2' 3' S, 6' 13' 18' 35' 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 Exclusive Rights and Airport Revenue so long
as the airport is used as an airport.
C. Sponsor Certification.
The sponsor hereby assures and certifies, with respect tothis grant that:
1. General Federal Requirements.
It will comply with all applicable Federal laws, regulations, extcutk/e orders, policies, guidelines,
and requirements as they relate to the application, acceptance and use of Federal funds for this
project including but not limited tothe following:
8
March, 2014
3 53 0089 043 3019
FEDERAL LEGISLATION
a. Title49 U.S.[,subtitle VlLasamended.
b. Davis'BacunAc 40U.SI.276(a)'etseq.1
C. Federal Fair Labor Standards Act 2SU.SI2O1,etseq.
d. Hatch Act —SU.SI.1SO1'etseq."
e. Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 Title 42
U.SI.4G01'etseq. 'z
f. National Historic Preservation Act of19GG Section 106 16U.SI. 470(f].'
0. Archeological and Historic Preservation Act of1974'16U.SI.469through 469c.z
h. Native Americans Grave Repatriation Act ZS U.S.C. Section 3001, etsep.
i Clean Air Act, P.L9D'l48'asamended.
j. Coastal Zone Management Act, Pl.93'ZOS'asamended.
k. Flood Disaster Protection Act of1973'Section 10I(a)'42U.5I.4O1Ja.1
i Title 43,U.SI,Section 3O3,(formerly known asSection 4(f))
m. Rehabilitation Act of1973'J9U.SI.794.
n. Title V|ofthe Civil Rights Act of19G4(42U.SI.§JOOOdetseq,7Ostat. 252)(pnohibits
discrimination on the basis ofrace, color, national origin);
n. Americans with Disabilities Act of1990,asamended, (42U.S.[.§121U1etseqj'prohibits
discrimination on the basis ufdisabi|ity .
p. Age Discrimination Act of197S'42U.SI.61O1'etseq.
q. American Indian Religious Freedom Act, Pl.9S'341'asamended.
r. Architectural Barriers Act of196D'42U.SI.41S1'etseq.z
S. Power plant and Industrial Fuel Use Act of197O Section 4O3'ZU.S.[.8373.z
t. Contract Work Hours and Safety Standards Act 40U.5I.327'etseq.1
u. Copeland Anti -kickback Act 18U.SI.8741
V. National Environmental Policy Act of1969'4JU.3I.432l'etseq`'
xx. Wild and Scenic Rivers Act, P.L9U'S42,asamended.
X. Single Audit Act of19O4 31U.SI.7501'etseo.2
y. Drug -Free Workplace Act of19Q8 41U.5I.7O2through 7OG.
Z. The Federal Funding Accountability and Transparency Act of 2006, as amended (Pub. L. 109-
282,asamendedbysection6IO2ofPub.L.110'252).
EXECUTIVE ORDERS
a. Executive Order 11Z46-Equal Employment Opportunity'
b. Executive Order 1199U Protection ofWetlands
c. Executive Order 119SQ—Flood Plain Management
9
March, 2014
3 53 0089 043 2019
d. Executive Order lJ372'Intergovernmental Review ufFederal Programs
e. Executive Order 1JG99 Seismic Safety ofFederal and Federally Assisted New Building
Construction'
f. Executive Order 12898 - Environmental Justice
FEDERAL REGULATIONS
a. %CFR Part18O OIVIBGuhdeUnestuAgencies onGovernmentwideDebarment and Suspension
(Nonprocurement).
b. JCFR Part 200 Uniform Administrative Requirements, Cost Principles, and Audit
Requirements for Federal Awards. [OMB Circular A,87Cost Principles Applicable toGrants and
Contracts with State and Local Governments, and OMB Circular A-133 - Audits of States, Local
Governments, and Non -Profit Organizations] .4,s'6
c ZCFR Part 13OO—NonprocuvementSuspension and Debarment
d. 14CFR Part 13 Investigative and Enforcement Procedures14 CFR Part 16 - Rules of Practice
For Federally Assisted Airport Enforcement Proceedings.
e. l4CFR Part 1S0 Airport noise compatibility planning.
t 28 CFR Part35' Discrimination on the Basis nfDisability in State and Local Government
Services.
g. JDCFR gSU.] 'U.5. Department ofJustice Guidelines for Enforcement ofTitle V| ofthe Civil
Rights Act of1964.
h. 39CFR Part 1 Procedures for predetermination ofwage rates.z
i. 29CFR Part 3 - Contractors and subcontractors on public building or public work financed in
whole orpart byloans nrgrants from the United States.'
J9CFR Part S 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).'
k 41CFR Part 6O Office ofFederal Contract Compliance Programs, Equa|Employment
Opportunity, Department of Labor (Federal and federally assisted contracting requirements).'
i 49 CFR Part 18 Uniform administrative requirements for grants and cooperative agreements
tostate and local governments.s
m. 49CFR Part 30'New restrictions onlobbying.
n. 49 CFR Part 21 — Nondiscrimination in federally -assisted programs of the Department of
Transportation effectuation ufTitle V|ofthe Civil Rights Act ofl964.
o. 49CFR Part J] Participation by Disadvantage Business Enterprise in Airport Concessions.
p. 49 CFR Part 24 — Uniform Relocation Assistance and Real Property Acquisition for Federal and
Federally Assisted Programs. 12
q. 49 CFR Part 26 — Participation by Disadvantaged Business Enterprises in Department of
Transportation Programs.
r. 49 CFR Part 27 — Nondiscrimination on the Basis of Handicap in Programs and Activities
Receiving orBenefiting from Federal Financial Axsistance.'
j-
1O
March, 2014
3 53'UO8g O43 ZU19
x. 49 CFR Part 28 —Enforcement of Nondiscrimination on the Basis of Handicap in Programsor
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 toU.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.
I
These laws do not apply to airport planning sponsors.
z These laws donot apply toprivate sponsors.
3 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 inJCFRPart 3OO. 2[FRPart IOOreplaces and combines the former Uniform
Administrative Requirements for Grants (OMB Circular A-102 and Circular A-110 or 2 CFR Part 215
or Circular) as well as the Cost Principles (Circulars A-21 or 2 CFR part 220; Circular A-87 or 2 CFR
partZ2S;andA'1%2,J[FRpartI3O).AdditionaUyitvep|acesCircu|arA'133Auidanceonthe5in8|e
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.
a Cost principles established in 2 CFR part 200 subpart E must be used as guidelines for determining
the eligibility ofspecific types ofexpenses.
« Audit requirements established in 2 CFR part 200 subpart F are the guidelines for audits.
2. Responsibility and Authority ofthe Sponsor.
a. Public Agency Sponsor:
|thas legal authority toapply for this grant, and tofinance and carry out the proposed project;
that a resolution, motion orsimilar 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:
11
March, 2014
3 53 0089'043 2019
Ithas legal authority toapply for this grant andtofinanoeandcanyoutthepnopoxedpuojec
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
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 itwill own orcontrol.
4. Good Title.
a. It, a public agency or the Federal government, holds good title, satisfactory to the Secretary, to
the landing area of the airport or site thereof, or will give assurance satisfactory to the
Secretary that good title will beacquired.
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.
S. 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.
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. |fthe transferee isfound bythe Secretary to6eeligible under Title
49, United States Code, to assume the obligations of this grant agreement and to have the
power, authority, and financial resources to carry out all such obligations, the sponsor shall
insert in the contract or document transferring or disposing of the sponsor's interest, and
make binding upon the transferee all of the terms, conditions, and assurances contained in
this grant agreement.
c. For all noise compatibility program projects which are to be carried out by another unit of
local government or are on property owned by a unit of local government other than the
sponsor, itwill enter into anagreement with that government. Except asotherwise 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 the 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. '
12
March, 2014
3 53'0089 043'2019
d. For noise compatibility program projects to be carried out on privately owned property,it will
enter into an agreement with the owner of that property which includes provisions specified
by the Secretary. It will take steps to enforce this agreement against the property owner
whenever there is substantial non-compliance with the terms of the agreement.
e. If the sponsor is a private sponsor, it will take steps satisfactory to the Secretary to ensure that
the airport will continue to function as a public -use airport in accordance with these
assurances for the duration ofthese assurances.
f. if an arrangement is made for management and operation of the airport by any agency or
person other than the sponsor oranemployee ofthe 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 ofSec. 136ofPublic Law 113'9Sand the sponsor assurances.
9-
6. Consistency with Local Plans.
The project is reasonably consistent with plans (existing at the time of submission of this
application) of public agencies that are authorized by the State in which the project is located to
plan for the development of the area surrounding the airport.
7. Consideration ufLocal Interest.
Ithas given fair consideration tothe interest ofcommunities inornear where the project may be
located.
O. Consultation with Users.
|nmaking adecision toundertake any airport development project under Title 4B United States
Code, it has undertaken reasonable consultations with affected parties using the airport at which
project isproposed.
9. Public Hearings.
|nprojects involving the location ofanairport, anairport runway, oramajor runway extension, it
has afforded the opportunity for public hearings for the purpose of considering the economic,
social, and environmental effects of the airport or runway location and its consistency with goals
and objectives of such planning as has been carried out by the community and it shall, when
requested by the Secretary, submit a copy of the transcript of such hearings to the Secretary.
Further, for such projects, it has on its management board either voting representation from the
communities where the project is located or has advised the communities that they have the right
topetition the Secretary concerning aproposed project.
10. Metropolitan Planning Organization.
In projects involving the location of an airport, an airport runway, or a major runway extension at
a medium or large hub airport, the sponsor has made available to and has provided upon request
to the metropolitan planning organization in the area in which the airport is located, if any, a copy
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3'53 OO89 U43 2U19
of the proposed amendment to the airportlayout plan tndepict the project and a copy of any
airport master plan in which the project is described or depicted.
11. Pavement Preventive Maintenance.
With respect toaproject approved after January 1,199S'for the replacement orreconstruction of
pavement at the airport, itassures orcertifies that ithas implemented aneffective airport
pavement maintenance -management program and it assures that it will use such program for the
useful life of any pavement constructed, reconstructed or repaired with Federal financial
assistance at the airport. It will provide such reports on pavement condition and pavement
management programs asthe Secretary determines may be useful.
12. Terminal Development Prerequisites.
For projects which include terminal development at a public use airport, as defined in Title 49, it
has, on the date of submittal of the 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 has provided for access to the passenger
enplaning and deplaning area of such airport to passengers enplaning and deplaning from aircraft
other than air carrier aircraft.
13. Accounting System, Audit, and Record Keeping Requirements.
a. It shall keep all project accounts and records which fully disclose the amount and disposition
by the recipient of the proceeds of this grant, the total cost of the project in connection with
which this grant is given or used, and the amount or nature of that portion of the cost of the
project supplied by other sources, and such other financial records pertinent to the project.
The accounts and records shall be kept in accordance with an accounting system that will
facilitate an effective audit in accordance with the Single Audit Act of 1984.
b. It shall make available to the Secretary and the Comptroller General of the 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 pertinent to this grant. The
Secretary may require that an appropriate audit be conducted by a recipient. In any case in
which an independent audit is made of the accounts of a sponsor relating to the disposition of
the proceeds of a grant or relating to the project in connection with which this grant was given
or used, it shall file a certified copy of such audit with the Comptroller General of the United
States not later than six (6) months following the close of the 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, tobe
predetermined by the Secretary of Labor, in accordance with the Davis -Bacon Act, as amended (40
U.S.C. 276a-276a-5), which contractors shall pay to skilled and unskilled labor, and such minimum
rates shall be stated in the invitation for bids and shall be included in proposals or bids for the
work.
15. Veteran's Preference.
Itshall include inall contracts for work mnany 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
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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 toPlans and Specifications.
It will execute the project subject to plans, specifications, and schedules approved by the
Secretary. Such plans, specifications, and schedules shall be submitted to the Secretary prior to
commencement of site preparation, construction, or other performance under this grant
agreement, and, upon approval of the Secretary, shall be incorporated into this grant agreement.
Any modification to the approved plans, specifications, and schedules shall also be subject to
approval ofthe 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.
18.Plannirg Projects.
In carrying out planning projects:
a. It will execute the project in accordance with the approved program narrative contained in the
project application orwith 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 Qk/e the Secretary unrestricted authority to pub|ish, disclose, distribute' and otherwise
use any ofthe material prepared inconnection 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 ofprofessional services.
Q. It will grant the Secretary the right to disapprove the use of the sponsor's employees to do all
urany part ofthe 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
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3 S3 OO89 O43 ZU19
required orprescribed byapplicable Federal, stateand|oca|aQendesfo,mnaintenanceand
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 mrcircumstance beyond the control ofthe sponsor.
b. It will suitably operate and maintain noise compatibility program items that it owns or controls
upon which Federal funds have been expended.
2U.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, orlighting 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' ifthe project isfor noise compatibility program implementation, itwill 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 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 tm'
1) furnish said services on a reasonable, and not unjustly discriminatory, basis to all users
thereotand
2) charge reasonable, and not unjustly discriminatory, prices for each unit or service,
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provided that the contractor may be allowed to make reasonable and nondiscriminatory
discounts, rebates, or other similar types of price reductions to volume purchasers.
a.) 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 orsimilar uses ofsuch airport and utilizing the same or
similar facilities.
b.) Each air carrier using such airport shall have the right to service itself or to use any
fixed -based operator that is authorized or permitted by the airport to serve any air
carrier atsuch airport.
c.) Each air carrier using such airport (whether as a tenant, non -tenant, or subtenant of
another air carrier tenant) shall besubject tosuch nondiscriminatory and
substantially comparable rules, regulations, conditions, rates, fees, rentals, and other
charges with respect tofacilities 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.
d.) 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 performing any
services on its own aircraft with its own employees [including, but not limited to
maintenance, repair, and fueling] that itmay choose toperform.
e.) In the event the sponsor itself exercises any of the rights and privileges referred to in
this assurance, the services involved will be provided on the same conditions as
would apply to the furnishing of such services by commercial aeronautical service
providers authorized bythe sponsor under these provisions.
fj The sponsor may establish such reasonable, and not unjustly discriminatory,
conditions to be met by all users of the airport as may be necessary for the safe and
efficient operation ofthe airport.
g.) The sponsor may prohibit or limit any given type, kind or class of aeronautical use of
the airport if such action is necessary for the safe operation of the airport or
necessary toserve the civil aviation needs ofthe public.
23. Exclusive Rights.
Itwill permit noexclusive right for the use ofthe airport byany person providing, orintending to
provide, aeronautical services tothe public. For purposes ofthis paragraph, thepruxidin8ufthe
services at an airport by a single fixed -based operator shall not be construed as an exclusive right if
both ofthe following apply:
a. It would be unreasonably costly, burdensome, or impractical for more than one fixed -based
operator toprovide 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. |tfurther agrees that itwill not, either directly urindirectly, grant or
permit any person, firm, mrcorporation, the exclusive right atthe airport toconduct any
aeronautical activities, including, but not limited to charter flights, pilot training, aircraft rental
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and sightseeing, aeha|photography,cropdusting,aeria|advertisin8andsurveyng,aircanier
operations, aircraft sales and services, sale of aviation petroleum products whether or not
conducted in conjunction with other aeronautical activity, repair and maintenance of aircraft,
sale of aircraft parts, and any other activities which because of their direct relationship to the
operation of aircraft can be regarded as an aeronautical activity, and that it will terminate any
exclusive right to conduct an aeronautical activity now existing at such an airport before the
grant ofany assistance under Title 49'United States Code.
24. Fee and Rental Structure.
Itwill maintain afee and rental structure for the facilities and services otthe airport which will
make the airport asself-sustaining aspossible underthedrcumstancesexistingattheparticu|ar
airport, taking into account such factors as the volume of traffic and economy of collection. No
part of the Federal share of an airport development, airport planning or noise compatibility project
for which a grant is made under Title 49, United States Code, the Airport and Airway Improvement
Act of 1982, the Federal Airport Act or the Airport and Airway Development Act of 1970 shall be
included in the rate basis in establishing fees, rates, and charges for users of that airport.
ZS. Airport Revenues.
a. All revenues generated by the airport and any local taxes on aviation fuel established after
December 30, 1987, will be expended by it for the capital or operating costs of the airport; the
local airport system; or other local facilities which are owned or operated by the owner or
operator of the airport and which are directly and substantially related to the actual air
transportation of passengers or property; or for noise mitigation purposes on or off the
airport. The following exceptions apply tothis 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 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.
Z) 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 tothat airport onnrafter 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 [ode)'ifthe FAA determines the airport sponsor meets the requirements set forth
inSec. O13ofPublic Law 11%'9S.
ajAspart ofthe annual audit required under the Single Audit Act nf1984 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
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manner consistent with Title 49 United States Code and any other applicable provision
of law, including any regulation promulgated by the Secretary or Administrator.
b.) 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 bythe 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 tothe 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
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
J) 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 kyGovernment 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 inexcess ofthose which, inthe opinion ofthe Secretary, would unduly interfere
with use of the landing areas by other authorized aircraft, or during any calendar month that —
a. by gross weights of such aircraft) is in excess of five million pounds Five (5) or more
Government aircraft are regularly based at the airport or on land adjacent thereto; or
b. The total number of movements (counting each landing as a movement) of Government
aircraft is 300 or more, or the gross accumulative weight of Government aircraft using the
airport (the total movement of Government aircraft multiplied.
28. Land for Federal Facilities.
Itwill furnish without cost tothe Federal Government for use inconnection with any air traTic
control or air navigation activities, or weathe r-re porting 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
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Federal expense of space or facilities for such purposes. Such areas or any portion thereof will be
made available asprovided herein within four months after receipt ufawritten 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;
3) the location and nature of all existing and proposed airport facilities and structures (such
as runways, taxiways, aprons, terminal buildings, hangars and roads), including all
proposed extensions and reductions ofexisting 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 tntaxi aircraft across the airport's property
boundary. Such airport layout plans and each amendment, revision, ormodification
thereof, shall besubject tothe approval ofthe 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 orefficiency ofthe airport.
a.) If a change or alteration in the airport or the facilities is made which the Secretary
determines adversely affects the safety, utility, or efficiency of any federally owned,
leased, or funded property on or off the airport and which is not in conformity with the
airport layout plan as approved by the Secretary, the owner or operator will, if
requested, by the Secretary (1) eliminate such adverse effect in a manner approved by
the Secretary; or (2) bear all costs of relocating such property (or replacement thereof)
to a site acceptable to the Secretary and all costs of restoring such property (or
replacement thereof) to the level of safety, utility, efficiency, and cost of operation
existing before the unapproved change in the airport or its facilities except in the case
of a relocation or replacement of an existing airport facility due to a change in the
Secretary's design standards beyond the control ofthe 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' ordisability 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
cnnductaUpvogramsincomnp|iancevvithaUnon'discriminationrequinementsimposedby\or
pursuant tothese 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
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xponsor'sprograms 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 tothe entire facility and facilities operated in connection therewith.
3) Real Property. Where the sponsor receives a grant or other Federal financial assistance in
the form of, or for the acquisition of real property or an interest in real property, the
assurance will extend torights tospace on, over, orunder 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 assurance obligates the sponsor, or
any transferee for the longer ofthe following periods:
1) So long as the airport is used as an airport, or for another purpose involving the provision
ofsimilar services orbenefits; or
2) 6olong asthe sponsor retains ownership orpossession ofthe property.
d. Required Solicitation Language. It will include the following notification in all solicitations for
bids, Requests For Proposals for work, or material under this grant agreement and in all
proposals for agreements, including airport concessions, regardless of funding source:
"The (Name mf inaccordance with the provisions ufTitle V|ofthe Civil Rights Act uf
1964(78Stat.JS2'42U.SI.y§2OU0dto20O0d-4)and the Regulations, hereby notifies all
bidders that it will affirmatively ensure that any contract entered into pursuant to this
advertisement, disadvantaged business enterprises and airport concession disadvantaged
business enterprises will be afforded full and fair opportunity to submit bids in response to
this invitation and will not be discriminated against on the grounds of race, color, or national
origin in consideration for an award."
e. Required Contract Provisions.
1) It will insert the non-d iscrim i nation contract clauses requiring compliance with the acts
and regulations relative tonon-discrimination inFederally-assisted programs of the DOT,
and incorporating the acts and regulations into the contracts by reference in every
contract or agreement subject to the non-discrimination in Federally -assisted programs of
the DOT acts and regulations.
J) It will include a list of the pertinent non-discrimination authorities in every contract that is
subject tothe non-discrimination acts and regulations.
3) It will insert non-discrimination contract clauses as a covenant running with the land, in
any deed from the United States effecting or recording a transfer of real property,
structures, use, or improvements thereon or interest therein to a sponsor.
4) It will insert non'discrimination contract clauses prohibiting discrimination on the basis of
race, color, national origin, creed, sex, age, or handicap as a 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, orprogram; and
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3 5J UOR9 U43 JOlg
b.) For the construction or use of, or access to, space on, over, or under real property
acquired or improved under the applicable activity, project, or program.
f. It will provide for such methods of administration for the program as are found 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.
9.
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 oYLand.
a. For land purchased under agrant 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 (J)
transferred to another eligible airport as prescribed by the Secretary. The Secretary shall give
preference tothe 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 (S) paid tnthe
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 orany permitted use nfairport revenue.
b. For land purchased under a grant for airport development purposes (other than noise
compatibility), it will, when the land is no longer needed for airport purposes, dispose of such
land at fair market value or make available to the Secretary an amount equal to the United
States' proportionate share of the fair market value of the land. That portion of the proceeds
of such disposition which is proportionate to the United States' share of the cost of acquisition
of such land will, (1) upon application to the Secretary, be reinvested or transferred to another
eligible airport as prescribed bythe 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 iseligible for grant funding under Sections 47114'47115'or47117oftitle 49United
States Code' (4) transferred to an eligible sponsor ofanother public airport to be reinvested in
an approved noise compatibility project at that airport, and (5) paid to the Secretary for
deposit inthe Airport and Airway Trust Fund.
c. Land shall be considered to be needed for airport purposes 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 orowner before December 3l' 1087' will be considered to be needed for airport
purposes if the Secretary or Federal agency making such grant before December 31, 1987, was
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3'53'0089'043'2019
notified bythe operator orowner ofthe uses ofsuch land, did not object tosuch use, and the
land continues to be used for that purpose, such use having commenced no later than
December1S' 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.
33. 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 tothe project inthe same
manner as a contract for architectural and engineering services is negotiated under Title IX of the
Federal Property and Administrative Services Act of1948oranequivalent qualifications -based
requirement prescribed for orbythe sponsor ofthe 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
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 January 24, 2017 and included in this grant, and in accordance
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 Dand Eof4SCFRPart %4.
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 BVIntercity Buses.
The airport owner oroperator will permit, tothe maximum extent practicable, intercity buses or
other modes oftransportation tohave access to the airport; however, ithas noobligation tofund
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
andperfonnanceofanyDOT'asaistedcontrantcoveredby49[FRPart2G'orintheam/ardand
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 under49 CFR Parts 23 and 26to ensure
23
March, 2014
3'53 0089 043'2019
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 legal obligation and failure tocarry out its terms shall be treated asoviolation of this
agreement. Upon notification tothe sponsor ofits failure tocarry 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 of1936(31U.S.[SAD1).
38. Hangar Construction.
If the airport owner or operator and a person who owns an aircraft agree that a hangar is to be
constructed atthe 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.
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 areport tothe 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 l 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.
24
March, 2014
s
FAA
Airports
3-53-0089-043-2019
Current FAA Advisory Circulars Required for Use in AIP Funded
and PFC Approved Projects
Updated: 4/18/2019
View the most current versions of these ACs and any associated changes at:
blIzawvot,L40 ayloirpprtsLresourc vi styy_cri r c r„s and
Orcqlarli
ge AZUriti:::WAINOt;
70/7460-1L
Change 2
,tktv,„As,„,mo,
Obstruction Marking and Lighting
4
\p*„.,,,WAIkk4iNt1t
150/5000-9A
Announcement of Availability Report No. DOT/FAA/PP/92-5, Guidelines for the
Sound Insulation of Residences Exposed to Aircraft Operations
150/5000-17
Critical Aircraft and Regular Use Determination
150/5020-1
Noise Control and Compatibility Planning for Airports
150/5070-6B
Changes 1- 2
Airport Master Plans
150/5070-7
Change 1
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
Change 1
Airport Field Condition Assessments and Winter Operations Safety
150/5200-31C
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
25
FAA Advisory Circular Required for Use AIP Funded and PFC Approved Projects
Updated: 4/18/2019
3 S3 OO89 O4] 2019
Airport Water Rescue Plans and Equipment
^�
Aircraft Rescue Fire Fighting Equipment, Tools and Clothing
150/5210-15A Aircraft Rescue and Firefighting Station Building Design
150/5210-18A Systems for Interactive Training of Airport Personnel
150/5210-19A Driver's Enhanced Vision System (DEVS)
150/5220-10E Guide Specification for Aircraft Rescue and Fire Fighting (ARFF) Vehicles
150/5220'16E
[han8es1
Automated Weather Observing Systems (AWOS) for Non -Federal Applications
Aircraft Rescue and Fire Fighting (ARFF) Training Facilities
�
Buildings for Storage and Maintenance nfAirport Snow and Ice Control
Equipment and Materials
150/5220'20A Airport Snow and Ice Control Equipment
150/5220-21C Aircraft Boarding Equipment
Engineered Materials Arresting Systems (EMAS)for Aircraft Overruns
150/5220-23 Frangible Connections
150/5220-24
150/5220-25
Foreign Object Debris Detection Equipment
I pard Airport Avian Radar Systems
150/S220'26
[han0esl'2
150/530013A
Chan0e1
Airport Ground Vehicle Automatic Dependent Surveillance Broadcast (AJJ5'B)
Out SquhterEquipment �
Airport Design
_
150/5300'14[ Design ofAircraft Deicing Facilities
General Guidance and Specifications for Aeronautical Surveys: Establishment of
Geodetic Control and Submission tothe National Geodetic Survey
150/5300'17C
Change
150/5300'18B
[han0e1
Standards for Using Remote Sensing Technologies in Airport Surveys
General Guidance and Specifications for Submission of Aeronautical Surveys to
NGS: Field Data Collection and Geographic Information System (GIS) Standards
26
FAA Advisory Circular Required for Use AIP Funded and PFC Approved Projects
Updated: 4/18/2019
qyg
150/5320'12[
141T
3'53'0089'043'2019
Airport Drainage Design
Airport Pavement Design and Evaluation
Measurement, Construction, and Maintenance ofSkid Resistant Airport
Pavement Surfaces
�
�
150/5320-15A Management of Airport Industrial Waste
150/5235-413 Runway Length Requirements for Airport Design
150/5335-5C Standardized Method of Reporting Airport Pavement Strength - PCN
Standards for Airport Markings
150/5340'5D ` Segmented Circle Airport Marker System
158/5340'18F Standards for Airport Sign Systems
150/5340'I6[
!Maintenance of Airport Visual Aid Facilities
150/5340'30U Design and Installation Details for Airport Visual Aids
150/5345'313 Specification for L-8%1,Panels for the Control ofAirport Lighting
150/5245'513 Circuit Selector Switch
150/5345'7F Specification for L-824 Underground Electrical Cable for Airport Lighting Circuits
150/5345-10H Specification for Constant Current Regulators and Regulator Monitors
150/5345-12F Specification for Airport and Heliport Beacons
1 rn 1rQA 1;-1111 Specification for L-841 Auxiliary Relay Cabinet Assembly for Pilot Control of
Airport Lighting Circuits
150/5345'26D FAA Specification For L-OZ]Plug and Receptacle, Cable Connectors
�
I50/5345'I7E �
^ Specification for Wind Cone Assemblies
150/5345'28G U Precision Approach Path Indicator (PAP|)Systems
150/5345-39D Specification for L&S3'Runway and Taxiway Retnoreflective Markers
150/5345'42H
Specification for Airport Light Bases, Transformer Housings, Junction Boxes, and
Accessories
150/534543H Specification for Obstruction Lighting Equipment
27
FAA Advisory Circular Required for Use AIpFunded and PFcApproved Projects updated: 4/18/2019
3'53 0089'043 2019
150/5345-44K
Specification for Runway and Taxiway Signs
150/5345-45C Low -impact Resistant (LIR) Structures
150/5345'46E ] Specification for Runway and Taxiway Light Fixtures
150/5345'47[
Specification for Series toSeries Isolation Transformers for Airport Lighting
Systems
1SD/5345'49D
Specification L-854, Radio Control Equipment
150/5345-50B Specification for Portable Runway and Taxiway Lights
150/5345'51B :: Specification for Discharge -Type Flashing Light Equipment
150/5345'E3D [ Airport Lighting Equipment Certification Program
150/5345'54B
Specification for L-884, Power and Control Unit for Land and Hold Short Lighting
Systems
Specification for L-8�I} Lighted Visual Aid toIndicate Temporary Runway
Closure
Specification for L-890 Airport Lighting Control and Monitoring System (ALCMS)
150/5360-12F Airport Signing and Graphics
1S0/5360'13A Airport Terminal Planning
150/5360-14A Access to Airports By Individuals With Disabilities
Operational Safety on Airports During Construction
Standards for Specifying Construction of Airports
150/5370-11B i Use of Nondestructive Testing in the Evaluation of Airport Pavements
150/5370-13A Off -Peak Construction ofAirport Pavements Using Hot -Mix Asphalt
150/5370-15B Airside Applications for Artificial Turf
150/5370-16 Rapid Construction of Rigid (Portland Cement Concrete) Airfield Pavements
150/5370-17 , Airside Use of Heated Pavement Systems
150/5390-2C Heliport Design
28
FAA Advisory Circular Required for Use AIP Funded and PFC Approved Projects
Updated: 4/18/2019
3-53-0089-043-2019
29
FAA Advisory Circular Required for Use AIP Funded and PFC Approved Projects Updated: 4/18/2019
3 53'0089'043'2019
THE FOLLOWING ADDITIONAL APPLY TO AUP PROJECTS ONLY
Updated:]/22/2O19
m
0111"t���
150/5100'14E Architectural, Engineering, and Planning Consultant Services for Airport GrantChangel Projects
1S0/5100'17 � .Land Acquisition and Relocation As �1ancefor Airport Improvement Program
|U --
150/5300'15A Use ofValue Engineering for Engineering Design ofAirport Grant Projects
Airfield Pavement Surface Evaluation and Rating Manuals
150/5370'128 Quality Management for Federally Funded Airport Construction Projects
150/5380-713
Guidelines and Procedures for Maintenance of Airport Pavements
Airport Pavement Management Program
150/5380'9 Guidelines and Procedures for Measuring Airfield Pavement Roughness
30
FAA Advisory Circular Required for Use mpFunded and PFC Approved Projects updated: 4/18/2019
Single Audit Certification Form
The Single Audit Act of 1984 established audit requirements for non -Federal entities that receive Federal aid. On
December 26, 2014, the implementing document, OMB Circular A-133 (Audits of States, Local Governments, and Non -
Profit Organizations) was superseded by 2 CFR Part 200 (Uniform Administrative Requirements, Cost Principles, and
Audit Requirements for Federal Awards). If your current fiscal year began before December 26, 2014, then OMB
Circular A-133 is still applicable. If your fiscal year begins on or after January 1, 2015, then 2 CFR Part 200 applies.
Under OMB A-133, State or local governments (City, County, Airport Authority, Airport Board) that expend $500,000 or
more a year (calendar or fiscal) in total Federal financial assistance must conduct an audit and submit it to the Federal
Audit Clearinghouse. If the single audit is required under 2 CFR Part 200, then the total Federal financial assistance
expenditure limit is $750,000 or more. For more information on the Single Audit Act requirements please reference the
following web site: hup /!harvcst..r cvntit�
This notice is our request for a copy of your most recent audit, whether or not there are any significant findings. In
accordance with your Airport Improvement Program (AIP) grant agreement, you must also provide that information to
your local Airports District Office (ADO). Please fill out the information below by checking the appropriate line(s), sign,
date, and return this form to the FAA local ADO identified at the bottom of the form.
Awir ort 5j)onsor 1r formation:
Sponsor Name
Airport Name
Y1` ark i n e
Sponsor's Representative Name
Telephone
1 I Vl hz' NJctd
go 19
Fiscal/Calendar Year Ending
(Ain Cil—
V Represen
Please check the appropriate line(s):
El We are subject to the Single Audit requirements and are taking the following action:
El The Single Audit for this fiscal/calendar year has been submitted to the FAA.
The Single Audit for this fiscal/calendar year is attached.
The Single Audit report will be submitted to the FAA as soon as this audit is available.
❑ We are,
Sponsor
Return to:
requirements for the fiscal/calendar noted above.
FAA, Seattle A'itports'District Office
2200 S. 216th Street
Des Moines, WA 98198
U.S. Department
of Transportation
Federal Aviation
Administration
September 21, 2019
Mr. Cliff Moore
City Manager
City of Yakima
129 2nd St.
Yakima, WA 98901
Dear Mr. Moore:
Airports Division FAA SEA ADO
Northwest Mountain Region 2200 S. 216th Street
Oregon,Washington Des Moines, WA 98198
We are attaching the Grant Offer for Airport Improvement Program (AIP) Project No. 3-53-0089-044-
2019 at Yakima Air Terminal/McAllister Field in Yakima, Washington. This letter outlines
expectations for success. Please read the conditions and assurances carefully.
To properly enter into this agreement, you must do the following:
a. The governing body must provide authority to execute the grant to the individual signing the
grant; i.e. the sponsor's authorized representative.
b. The sponsor's authorized representative must execute the grant, followed by the attorney's
certification, no later than September 25, 2019, in order for the grant to be valid.
• The date of the attorney's signature must be on or after the date of the sponsor's
authorized representative's signature.
• All signatures must be made with blue or black ink; Signature stamps will not be
accepted.
c. You may not make any modification to the text, terms or conditions of the grant offer.
d. After you properly execute the grant agreement:
• Return one executed copy of the Grant Agreement via email in PDF form prior to
sending the hardcopy in the mail.
Return one executed original Grant Agreement to our office via US mail or commercial
courier.
• Retain one copy of the executed Grant Agreement for your records.
• Forward one copy of the executed Grant Agreement to your associated State Aviation
Official
Subject to the requirements in 2 CFR §200.305, each payment request for reimbursement under this
grant must be made electronically via the Delphi elnvoicing System. Please see the attached Grant
Agreement for more information regarding the use of this System.
The terms and conditions of this agreement require you to complete the project without undue delay.
We will be monitoring your progress to ensure proper stewardship of these Federal funds. We expect
you to submit payment requests for reimbursement of allowable incurred project expenses
2
consistent with project progress. Should you fail to make draws on a regular basis, your grant may be
placed in "inactive" status, which will affect your ability to receive future grant offers.
Until the grant is completed and closed, you are responsible for submitting formal reports as follows:
• A signed/dated SF-270 (non -construction projects) or SF-271 or equivalent (construction
projects) and SF-425 annually, due 90 days after the end of each federal fiscal year in which this
grant is open (due December 31 of each year this grant is open); and
Performance Reports, which are due within 30 days of the end of a reporting period as follows:
1. Non -construction project: Due annually at end of the Federal fiscal year.
2. Construction project: Submit FAA form 5370-1, Construction Progress and Inspection
Report at the end of each fiscal quarter.
As a condition of receiving Federal assistance under this award, you must comply with audit
requirements as established under 2 CFR part 200. Subpart F requires non -Federal entities that expend
$750,000 or more in Federal awards to conduct a single or program specific audit for that year. Note
that this includes Federal expenditures made under other Federal -assistance programs. Please take
appropriate and necessary action to assure your organization will comply with applicable audit
requirements and standards.
Once the project(s) is completed and all costs are determined, we ask that you close the project without
delay and submit the necessary final closeout documentation as required by your Region/Airports
District Office.
Mary Vargas, (206) 231-4131, is the assigned program manager for this grant and is readily available to
assist you and your designated representative with the requirements stated herein. We sincerely value
your cooperation in these efforts and look forward to working with you to complete this important
project.
Sincerely,
Joelle Briggs
Manager
Seattle Airports District Office
U.S. Department
of Transportation
Federal Aviation
Administration
GRANT AGREEMENT
PART I —OFFER
3-53-0089-044-2019
Date of Offer September 21, 2019
Airport/Planning Area Yakima Air Terminal/McAllister Field —Yakima, Washington
AIP Grant Number 3-53-0089-044-2019 (Contract Number: DOT-FA19NM-0064)
DUNS Number 078212651
TO: City of Yakima, Washington
(herein called the "Sponsor")
FROM: The United States of America(acting through the Federal Aviation Administration, herein called the
"FAA")
WHEREAS, the Sponsor has submitted to the FAA a Project Application dated July 17, 2019, for a grant of
Federal funds for a project at or associated with the Yakima Air Terminal/McAllister Field Airport, which is
included as part of this Grant Agreement; and
WHEREAS, the FAA has approved a project for the Yakima Air Terminal/McAllister Field Airport (herein
called the "Project") consisting of the following:
Acquire Index B Aircraft Rescue & Fire Fighting (ARFF) vehicle;
which is more fully described in the Project Application.
NOW THEREFORE, According to the applicable provisions of the former Federal Aviation Act of 1958, as
amended and recodified, 49 U.S.C. § 40101, et seq., and the former Airport and Airway Improvement Act
of 1982 (AAIA), as amended and recodified, 49 U.S.C. § 47101, et seq., (herein the AAIA grant statute is
referred to as "the Act"), the representations contained in the Project Application, and in consideration of
(a) the Sponsor's adoption and ratification of the Grant Assurances dated March 2014, as applied and
interpreted consistent with the FAA Reauthorization Act of 2018 (see 2018 FAA Reauthorization grant
condition.), (b) and the Sponsor's acceptance of this Offer; and, (c) the benefits to accrue to the United
States and the public from the accomplishment of the Project and compliance with the Grant Assurances
and conditions as herein provided.
THE FEDERAL AVIATION ADMINISTRATION, FOR AND ON BEHALF OF THE UNITED STATES, HEREBY
OFFERS AND AGREES to pay ninety (90) percent of the allowable costs incurred accomplishing the
Project as the United States share of the Project.
1
] 53 0089'044 2019
This Offer ismade onand SUBJECT T0THE FOLLOWING TERMS AND CONDITIONS:
CONDITIONS
1. Maximum Obligation. The maximum obligation of the United States payable under this Offer is
$1^000,000.
The following amounts represent a breakdown of the maximum obligation for the purpose of establishing
allowable amounts for any future grant amendment, which may increase the foregoing maximum
obligation of the United States under the provisions of 49 U.S.C. § 47108(b):
$0for planning
$1,OOO'DU0airport development ornoise program implementation; and,
$Ofor land acquisition.
2. Period of Performance. The period of performance begins on the date the Sponsor formally accepts this
agreement. Unless explicitly stated otherwise in an amendment from the FAA, the end date of the period
of performance is 4 years (1,460 calendar days) from the date of formal grant acceptance by the Sponsor.
The Sponsor may only charge allowable costs for obligations incurred prior to the end date of the period of
performance (2CFR§2OO.3OS).Unless the FAA authorizes awritten extension, the sponsor must submit all
project closeout documentation and liquidate (pay off) all obligations incurred under this award no later
than 90 calendar days after the end date of the period of performance (2 CFR §200.343).
The period of performance end date does not relieve or reduce Sponsor obligations and assurances that
extend beyond the closeout ofagrant agreement.
3' Ineligible or Unallowable Costs. The Sponsor must not include any costs inthe project that the FAA has
determined to be ineligible orunallowable.
4' Determining 'the Final Federal |Share mYCosts. The United States' share ofallowable project costs will be
made in accordance with the regulations, policies, and procedures of the Secretary. Final determination of
the United States' share will be based upon the final audit of the total amount of allowable project costs
and settlement will be made for any upward or downward adjustments to the Federal share of costs.
`
G. Completing the Proiect Without Delav and in Conformance with Requirements. The Sponsor must carry
out and complete the project without undue delays and in accordance with this agreement, and the
regulations, policies, and procedures of the Secretary. Per 2 CFR § 200.308, the Sponsor agrees to report
to the FAA any disengagement from performing the project that exceeds three months. The report must
include a reason for the project stoppage. The Sponsor also agrees to comply with the assurances which
are part ofthis agreement.
G. AmendmentsmrWithdrawals before Grant Acceptance. The FAA reserves the right toamend orwithdraw
this offer at any time priorto its acceptance by the Sponsor.
7' Offer Expiration Date. This offer will expire and the United States will not be obligated to pay any part of
the costs of the project unless this offer has been accepted by the Sponsor on or before September 25,
2O19,orsuch subsequent date asmay beprescribed inwriting bythe FAA.
8. Improper Funds. The Sponsor must take all steps, including litigation if necessary, to
recover Federal funds spent fraudulently, wastefully, or in violation of Federal antitrust statutes, or
misused in any other manner for any project upon which Federal funds have been expended. For the
purposes of this grant agreement, the term "Federal funds" means funds however used or dispersed by
the Sponsor, that were originally paid pursuant to this or any other Federal grant agreement. The Sponsor
must obtain the approval of the Secretary as to any determination of the amount of the Federal share of
2
3 53 0089 044 2019
such funds. The Sponsor must return the recovered Federal share, including funds recovered by
settlement, order, oriudgnnent, tothe Secretary. The Sponsor must furnish tothe Secretary, upon request,
all documents and records pertaining to the determination of the amount of the Federal share orto any
settlement, litigation, negotiation, or other efforts taken to recover such funds. All settlements or other
final positions of the Sponsor, in court or otherwise, involving the recovery of such Federal share require
advance approval bythe Secretary.
g' United States |Not |Liable for KnjurwThe United States isnot responsible orliable for damage
to property or injury to persons which may arise from, or be incident to, compliance with this grant
agreement.
10. System for Award �ndUn�e���en�f
_ �
A. Requirement for System for Award Management (SAM):Unless the Sponsor bexempted from this
requirement under CFRZS.110,the Sponsor must maintain the currency ofits information in the
SAM until the Sponsor submits the final financial report required underthis grant, or receives the final
payment, whichever is later. This requires that the Sponsor review and update the information at least
annually after the initial registration and more frequently if required by changes in information or
another award term. Additional information about registration procedures may be found at the SAM
xvebsite(currently at ).
B. Data Universal Numbering System: DUNS number means the nine -digit number established and
assigned by Dun and Bradstreet, Inc. (D & B) to uniquely identify business entities. A DUNS number
may be obtained from D & B by telephone (currently 866-705-5771) or on the web (currently at
http),
11. Electronic Grant Pavment(sl. Unless otherwise directed by the FAA, the Sponsor must make each payment
request under this agreement electronically via the Delphi eInvoicing SystemforDepartmentof
Transportation (DOT) Financial Assistance Awandees.
12' If, during the life wfthe project, the FAA determines that the
maximum grant obligation of the United States exceeds the expected needs of the Sponsor by $25,000 or
five percent (5%), whichever is greater, the FAA can issue a letter amendment to the Sponsor unilaterally
reducing the maximum obligation.
The FAA can also issue a letter to the Sponsor increasing the maximum obligation if there is an overrun in
the total actual eligible and allowable project costs to cover the amount of the overrun provided it will not
exceed the statutory limitations for grant amendments. The FAA's authority to increase the maximum
obligation does not apply tothe ^p|annin8"component nfcondition No. 1.
The FAA can also issue an informal letter amendment that modifies the grant description to correct
administrative errors or to delete work items if the FAA finds it advantageous and in the best interests of
the United States.
Aninformal letter amendment has the same force and effect asaformal grant amendment.
13.Air and Water Quality. The Sponsor isrequired tocomply with all applicable air and water quality
standards for all projects in this grant. If the Sponsor fails to comply with this requirement, the FAA may
suspend, cancel, orterminate this agreement.
14. Financial Reporting and Payment 'The Sponsor m/iUcomply vv�haUfederal �nanda|
reporting requirements and paymnentrequirements, including submittal oftimely and accurate reports.
15'Buy American.Un|essothemviueapprovedinadvanoebytheFAA'theSponsorvviUnctacquiremrpermit
any contractor or subcontractor to acquire any steel or manufactured products produced outside the
3
3 53 UUBg 044 2O19
United States to be used for any project for which funds are provided under this grant. The Sponsor will
include aprovision implementing Buy American inevery contract.
16'MaximummObligation Increase For PrimnarmAirports. |naccordance with 4SU.S.C.§47l08(b),as
amended, the maximum obligation of the United States, as stated in Condition No. 1 of this Grant Offer:
A. May not beincreased for aplanning project;
B. Maybe increased bynot more than 1Spercent for development projects;
C. May beincreased bynot more than 1Spercent for land project.
17.Audits for Public Sponsors. The Sponsor must provide for aSingle Audit orprogram specific audit in
accordance with 2 CFR part 200. The Sponsor must submit the audit reporting package to the Federal
Audit Clearinghouse on the Federal Audit Clearinghouse's Internet Data Entry System at
ar«ester,cens"s.Provideonecopyofthecomp|etedaudittmtheFAAifrequested.
18' Suspension or Debarment. When entering into a "covered transaction" au defined by%CFR§1QO.2OO'the
Sponsor must:
A. Verify the non-federal entity is eligible to participate in this Federal program by:
1. Checking the excluded parties list system (EPLS) as maintained within the System for Award
Management (SAM) to determine if the non-federal entity is excluded or disqualified; or
2. Collecting a certification statement from the non-federal entity attesting they are not excluded or
disqualified from participating; or
I Adding a clause or condition to covered transactions attesting individual or firm are not excluded
ordisqualified from participating.
B. Require prime contractors to comply with 2CFR§180.]3Owhen entering into lower -tier transactions
(e.g. Sub -contracts). `
C. Immediately disclose to the FAA whenever the Sponsor (1) learns they have entered into a covered
transaction with an ineligible entity or (2) suspends or debars a contractor, person, or entity.
19. Ban on Texting While Driving.
A. In accordance with Executive Order 13513, Federal Leadership on Reducing Text Messaging While
Driving, October 1'2OO9'and DOT Order 39O21O,Text Messaging While Driving, December 30'2OO9
the Sponsor isencouraged to:
l. Adopt and enforce workplace safety policies to decrease crashes caused by distracted drivers
including policies to ban text messaging while driving when performing any work for, or on behalf
of, the Federal government, including work relating to a grant or subgrant.
I. Conduct workplace safety initiatives in a manner commensurate with the size of the business, such
as:
a. Establishment of new rules and programs or re-evaluation of existing programsto
prohibit text messaging while driving; and
b. Education, awareness, and other outreach to employees about the safety risks associated
with textin8while driving.
B. The Sponsor must insert the substance ofthis clause onbanning textin8while driving inall sub0rants,
contracts and subcontracts.
20' Exhibit "A" The Exhibit ^A^Property Map dated March Z01S isincorporated herein by
reference or is submitted with the project application and made part of this grant agreement.
3'53OODg O44'2019
22EmploVee Protection from Reprisal.
-
A. Prohibition ofRephsals—
zIn accordance with 41 U.S.C. § 4712, an employee of a grantee orsubgrantee may not be
discharged, demoted, or otherwise discriminated against as a reprisal for disclosing to a person or
body described in sub -paragraph (A)(2), information that the employee reasonably believes is
evidence of:
i Gross mismanagement ofoFederal grant;
ii Gross waste ofFederal funds;
iii Anabuse ofauthority relating toimplementation oruse mfFederal funds;
iv. Asubstantial and specific danger topublic health orsafety; or
V. Aviolation oflaw, rule, orregulation related tooFederal grant.
J. Persons and bodies covered: The persons and bodies to which a disclosure by an employee is
covered are as follows:
i Amember ofCongress orarepresentative ofacommittee of Congress;
ii AnInspector General;
iii The Government Accountability Office;
iv. AFederal office oremployee responsible for oversight ofagrant program;
V. Acourt orgrand jury;
xi Amanagement office ofthe grantee orsub8rantee;ur
vii. AFederal orState regulatory enforcement agency.
3. Submission of Complaint — A person who believes that they have been subjected to a reprisal
prohibited by paragraph A of this grant term may submit a complaint regarding the reprisal to the
Office of Inspector General (OIG) for the U.S. Department of Transportation.
4. Time Limitation for Submittal of a Complaint - A complaint may not be brought under this
subsection more than three years after the date on which the alleged reprisal took place.
S. Required Actions of the Inspector General — Actions, limitations and exceptions of the Inspector
General's office are established under 41U.S.C.§4712(b)
6. Assumption ofRights toCivil Remedy ' Upon receipt ofanexplanation ofadecision not toconduct
or continue an investigation by the Office of Inspector General, the person submitting a complaint
assumes the right to a civil remedy under41 U.S.C. §4712(c).
22.2018 FAA Reauthorization. This grant agreement is subject to the terms and conditions contained herein
including the terms known as the Grant Assurances as they were published in the Federal Register on April
3, 2014. On October 5, 2018, the FAA Reauthorization Act of 2018 made certain amendments to 49 U.S.C.
chapter 471. The Reauthorization Act will require FAA to make certain amendments to the assurances in
order to best achieve consistency with the statute. Federal law requires that FAA publish any amendments
to the assurances in the Federal Register along with an opportunity to comment. In order not to delay the
offer of this grant, the existing assurances are attached herein; however, FAA shall interpret and apply
these assurances consistent with the Reauthorization Act. Tothe extent there isaconflict between the
assurances and Federal statutes, the statutes shall apply. The full text of the Act is at
https://wvvvv.con0reos.8ov/bi||/11Sth-cnngress/house'bi||/3O2/text.
SPECIAL CONDITIONS
23'ARFFand SRE Equipment and Vehicles. The Sponsor agrees that itwill:
A. House and maintain the equipment in a state of operational readiness on and for the airport;
B. Provide the necessary staffing and training to maintain and operate the vehicle and equipment;
5
3 53 OO89 U44 ZOl9
C. Restrict the vehicle toon-airport use only;
D. Restrict the vehicle tothe use for which it was intended; and
E. Amend the Airport Emergency Plan and/or Snow and Ice Control Plan to reflect the acquisition of the
vehicle and equipment.
24' Equipment Acquisition. The Sponsor understands and agrees that any equipment acquired through this
grant isconsidered aƒoc0ityasthat term isused inthe Grant Assurances. Further, the equipment must be
only operated by the Sponsor. The Sponsor agrees that it will maintain the equipment and use it
exclusively atthe airport for airport purposes.
25' Acquiring ARIFF Vehicle in Excess of Minimum.Standards. This grant is based in part on mitigating site -
specific r|sksandpmtecLingpassenQersbasedoncurnentorneasonob|yforecastaeronautica|activhy
levels. The certificate holder (the airport sponsor) will have and maintain a sufficient number of
adequately trained personnel and sufficient financial resources to operate and maintain the associated
equipment for its intended, on -airport purpose. This grant does not set a precedent for future FAA support
of similar equipment, particularly if aeronautical activity levels change.
26. Payment Restriction — Buy American. The Sponsor understands that, at the time of this grant offer, the
FAA is processing a Buy American waiver request related to the Sponsor's procurement for the project
under this grant. By accepting this grant, the Sponsor agrees that it will not seek any payments under this
grant until the Buy American waiver process is complete and the waiver becomes effective.
27.Grant Approval ]Based |Upon Certification. The FAA and the Sponsor agree that the FAA approval ofthis
grant is based on the Sponsor's certification to carry out the project in accordance with policies, standards,
and specifications approved by the FAA. The Sponsor Certifications received from the Sponsor for the work
included inthis grant are hereby incorporated into this grant agreement. The Sponsor understands that:
a. The Sponsor's certification does not relieve the Sponsor of the requirement to obtain
prior FAA approval for modifications to any AIP standards or to notify the FAA of any
limitations tocompetition within the project;
b. The FAA's acceptance of Spmnso/s certification does not limit the FAA from
reviewing appropriate project documentation for the purpose of validating the
certification statements;
c. If the FAA determines that the Sponsor has not complied with their certification
statements, the FAA will review the associated project costs to determine whether
such costs are allowable under A|P.
6
] S3'OOO9 O44'2U19
The Sponsor's acceptance of this Offer and ratification and adoption of the Project Application
incorporated herein shall be evidenced by execution of this instrument by the Sponsor, as hereinafter
provided, and this Offer and Acceptance shall comprise a Grant Agreement, as provided by the Act,
constituting the contractual obligations and rights of the United States and the Sponsor with respect to the
accomplishment of the Project and compliance with the assurances and conditions as provided herein.
Such Grant Agreement shall become effective upon the Sponsor's acceptance of this Offer.
UNITED STATES 0F AMERUCA
FEDERAL AVIATION ADMINISTRATION
(Signature)
Joelle Briggs
Manager, Seattle Airports District Office
7
3 53'O0O9 044 ZO1g
PAnTUA-AccspTAmcs
The Sponsor does hereby ratify and adopt all assurances, statements, representations, warranties,
covenants, and agreements contained in the Project Application and incorporated materials referred to in
the foregoing Offer, and does hereby accept this Offer and by such acceptance agrees to comply with all of
the terms and conditions inthis Offer and inthe Project Application.
| declare under penalty ofperjury that the foregoing istrue and cornect.'
Executed this— day of 1��OWVW Do V�
�
K0«�ed womeofSponsor's Authorized Official)
CERTIFICATE OFSpON8OR'S ATTORNEY
�
acting asAttorney for the Sponsor dohereby certify:
That in my opinion the Sponsorisempowered enter into foregoing Grant Agreement under the 'laws
ofthe State of.4AJ# . Further, |have examined the foregoing Grant Agreement and the actions taken
by said Sponsor and Sponsor's official representative has been duly authorized and that the execution
thereof is in all respects due and proper and in accordance with the laws of the said State and the Act. In
addition' for grants involving projects to be carried out on property not owned by the Sponsor, there are
no legal impediments that will prevent full performance by the Sponsor. Further, it is my opinion that the
said Grant Agreement constitutes a legal and binding obligation of the Sponsor in accordance with the
terms thereof.
��
Dated at���n)�bday of 4e4A
'Knowingly and willfully providing false information to the Federal government is a violation of 18 U.S.C.
Section 1001 (False Statements) and could subject you to fines, imprisonment, or both.
8
3-53-0089-044-2019
ASSURANCES
AIRPORT SPONSORS
A. General.
d. 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.
e. 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.
f. 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.
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 Exclusive Rights and 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:
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3'53 0O89'O44 ZO19
FEDERAL LEGISLATION
a. Title 49,U-S.C,subtitle @Lasamended.
b. Davis -Bacon Act 40U.SI. 276(a),etseq.z
c Federal Fair Labor Standards Act 29U.SI.2D1,etseq.
d. Hatch Act —SU.SI.1SO1,etseq.^
e. Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 Title 42
U.SI.4GO1'etseq.'z
f. National Historic Preservation Act of19GG'Section 1U6'16U.SI.47OUD.z
8. Archeological and Historic Preservation Act of1974'16U.SI.469through 469u.z
h. Native Americans Grave Repatriation Act 2SU.SI.Section 3OU1,staeq.
i Clean Air Act, Pl.9O-14A,axamended.
j. Coastal Zone Management Act, Pl.93-ZOS,asamended.
k Flood Disaster Protection Act of1973'Section 102(a) 42U.SI.4012a.'
i Title 49,U.3I,Section 3O3'(formerly known asSection 4HB)
m. Rehabilitation Act of1973 29U.SI.794.
n. Title V|ofthe Civil Rights Act of1964(43U.5.[.gJOOOdetoeq,78stat.2SI)(prohibits
discrimination onthe basis ofrace, color, national ori0in);
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 of197S'42U.S.C.61U1,etseq.
q. American Indian Religious Freedom Act, Pl.9S'341,asamended.
r. Architectural Barriers Act of196Q-4IU.SI.41S1'etsep.z
S. Power plant and Industrial Fuel Use Act of1S78 Section 4O3'JU.5.[.#373.z
t. Contract Work Hours and Safety Standards Act '40U.5I.327'etseq.1
u. Copeland Anti -kickback Act 18U.SI.874.1
V. National Environmental Policy Act of19G9 42U.SI.4321'atseq.1
ox. Wild and Scenic Rivers Act, Pl.9U'S42^asamended.
X. Single Audit Act ofl984'315O1,mtseq�:
U.S.C.
y. Drug -Free Workplace Act of198A'4lU.5I.7U2through 7O6.
Z. The Federal Funding Accountability and Transparency Act of2OO6'asamended (Pub.L.109'
282,asamendedbysection6202ofPub.L110'252).
EXECUTIVE OnDsms
a. Executive Order 11246'Equal Employment Opportunity'
b Executive Order 1199O Protection ofWetlands
c. Executive Order 11998 —Flood Plain Management
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March, 2014
3 53 UO89'O44'2U1g
d. Executive Order 1237I'Intergovernmental Review ofFederal Pro0rano
e. Executive Order 1J69S Seismic Safety mfFederal and Federally Assisted Naw8ui|dinQ
Construction'
f. Executive Order 12898 - Environmental Justice
FEDERAL REGULATIONS
a. 2 CFR Part180 - OMBGuidelines to Agencies on Governmentwide Debarment and Suspension
(Nonpnocunement).
b. JCFR Part JOO 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 ofStates, Local
Governments, and Non -Profit Organizations] .�1,«
c. 2CFR Part 12OU—NonprocuremnentSuspension and Debarment
d. 14CFR Part 13'Investigative and Enforcement Pmocedures14CFR Part 1G Rules ofPractice
For Federally Assisted Airport Enforcement Proceedings.
e. l4CFR Part 15U'Airport noise compatibility planning.
f. 28 CFR Part 35- Discrimination on the Basis of Disability in State and Local Government
8. Z0CFR y5l3 U.S.Department ofJustice Guidelines for Enforcement ofTitle V|ofthe Civil
Rights Act of1964.
h. J9CFR Part l Procedures for predetermination ofwage rates.z
i 29 CFR Part 3 - Contractors and subcontractors on public building or public work financed in
whole orpart byloans orgrants from the United States.'
j. 29 CFR Part S ' Labor standards provisions applicable to contracts covering federally financed
and assisted construction (also labor standards provisions applicable to non -construction
contracts subject tothe Contract Work Hours and Safety Standards Act).z
k. 41[FR Part6O Office ofFederal Contract Compliance Programs, Equal Employment
Opportunity, Department ofLabor (Federal and federally assisted contracting requirements).'
i 4SCFR Part 1Q Uniform administrative requirements for grants and cooperative agreements
tostate and local governments .'
m. 49CFR Part 20-New restrictions onlobbying.
n. 49 CFR Part 21 — Nondiscrimination in federally -assisted programs of the Department of
Transportation ' effectuation ofTitle V|nfthe Civil Rights Act of1964.
o. 49 CFR Part33 Participation by Disadvantage Business Enterprise in Airport Concessions.
p. 49 CFR Part 24 — Uniform Relocation Assistance and Real Property Acquisition for Federal and
Federally Assisted Pno0rams."
q. 49 CFR Part 26 — Participation by Disadvantaged Business Enterprises in Department of
Transportation Programs.
r. 49 CFR Part 37—Nondiscrimination on the Basis of Handicap in Programs and Activities
Receiving orBenefiting from Federal Financial Asoistance./
11
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3-53-0089-044-2019
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.
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.
4 On December 26, 2013 at 78 FR 78590, the Office of Management and Budget (OMB) issued the
Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal
Awards in 2 CFR Part 200. 2 CFR Part 200 replaces and combines the former Uniform
Administrative Requirements for Grants (OMB Circular A-102 and Circular A-110 or 2 CFR Part 215
or Circular) as well as the Cost Principles (Circulars A-21 or 2 CFR part 220; Circular A-87 or 2 CFR
part 225; and A-122, 2 CFR part 230). Additionally it replaces Circular A-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.
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:
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3-53-0089-044-2019
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 of the airport or site thereof, or will give assurance satisfactory to the
Secretary that good title will be acquired.
b. For noise compatibility program projects to be carried out on the property of the sponsor, it
holds good title satisfactory to the Secretary to that portion of the property upon which
Federal funds will be expended or will give assurance to the Secretary that good title will be
obtained.
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.
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. If the transferee is found by the Secretary to be eligible under Title
49, United States Code, to assume the obligations of this grant agreement and to have the
power, authority, and financial resources to carry out all such obligations, the sponsor shall
insert in the contract or document transferring or disposing of the sponsor's interest, and
make binding upon the transferee all of the terms, conditions, and assurances contained in
this grant agreement.
c. For all noise compatibility program projects which are to be carried out by another unit of
local government or are on property owned by a unit of local government other than the
sponsor, it will enter into an agreement with that government. Except as otherwise specified
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 the 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.
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d. For noise compatibility program project tnbecarried out onprivately owned property, it will
enter into an agreement with the owner of that property which includes provisions specified
by the Secretary. It will take steps to enforce this agreement against the property owner
whenever there is substantial non-compliance with the terms of the agreement.
e. |fthe sponsor isaprivate sponsor, itwill take steps satisfactory tothe Secretary toensure that
the airport will continue to function as a public -use airport in accordance with these
assurances for the duration ofthese 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.
8. 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 ofSec, 13GofPublic Law 11Z'9Sand the sponsor assurances.
6. Consistency with Local Plans.
The project is reasonably consistent with plans (existing at the time of submission of this
application) of public agencies that are authorized by the State in which the project is located to
plan for the development ofthe area surrounding the airport.
7. Consideration ofLocal Interest.
It has given fair consideration to the interestofcommunities inornear where the project may be
located.
8. Consultation with Users.
In making a decision to undertake any airport development project under Title 49,United States
Code, it has undertaken reasonable consultations with affected parties using the airport at which
project is proposed.
9. Public Hearings.
|nprojects involving the location ofanairport, anairport runway, oramajor runway extension, b
has afforded the opportunity for public hearings for the purpose of considering the economic,
social, and environmental effects of the airport or runway location and its consistency with goals
and objectives of such planning as has been carried out by the community and it shall, when
requested by the Secretary, submit a copy of the transcript of such hearings to the Secretary.
Further, for such projects, it has on its management board either voting representation from the
communities where the project is located or has advised the communities that they have the right
tnpetition the Secretary concerning aproposed project.
10. Metropolitan Planning Organization.
In projects involving the location of an airport' an airport runway, or major runway extension at
a medium or large hub airport, the sponsor has made available to and has provided upon request
to the metropolitan planning organization in the area in which the airport is located, if any, a copy
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of the proposed amendment to the airport layout plan to depict the project and a copy of any
airport master plan in which the project is described or depicted.
11. Pavement Preventive Maintenance.
With respect to a project approved after January 1, 1995, for the replacement or reconstruction of
pavement at the airport, it assures or certifies that it has implemented an effective airport
pavement maintenance -management program and it assures that it will use such program for the
useful life of any pavement constructed, reconstructed or repaired with Federal financial
assistance at the airport. It will provide such reports on pavement condition and pavement
management programs as the Secretary determines may be useful.
12. Terminal Development Prerequisites.
For projects which include terminal development at a public use airport, as defined in Title 49, it
has, on the date of submittal of the 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 has provided for access to the passenger
enplaning and deplaning area of such airport to passengers enplaning and deplaning from aircraft
other than air carrier aircraft.
13. Accounting System, Audit, and Record Keeping Requirements.
a. It shall keep all project accounts and records which fully disclose the amount and disposition
by the recipient of the proceeds of this grant, the total cost of the project in connection with
which this grant is given or used, and the amount or nature of that portion of the cost of the
project supplied by other sources, and such other financial records pertinent to the project.
The accounts and records shall be kept in accordance with an accounting system that will
facilitate an effective audit in accordance with the Single Audit Act of 1984.
b. It shall make available to the Secretary and the Comptroller General of the 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 pertinent to this grant. The
Secretary may require that an appropriate audit be conducted by a recipient. In any case in
which an independent audit is made of the accounts of a sponsor relating to the disposition of
the proceeds of a grant or relating to the project in connection with which this grant was given
or used, it shall file a certified copy of such audit with the Comptroller General of the United
States not later than six (6) months following the close of the 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 of wages, to be
predetermined by the Secretary of Labor, in accordance with the Davis -Bacon Act, as amended (40
U.S.C. 276a-276a-5), which contractors shall pay to skilled and unskilled labor, and such minimum
rates shall be stated in the 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
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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 Specifications.
It will execute the project subject to plans, specifications, and schedules approved by the
Secretary. Such plans, specifications, and schedules shall be submitted to the Secretary prior to
commencement of site preparation, construction, or other performance under this grant
agreement, and, upon approval of the Secretary, shall be incorporated into this grant agreement.
Any modification to the approved plans, 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.
18. Planning Projects.
In carrying out planning projects:
a. It will execute the project in accordance with the approved program narrative contained in the
project application or with the modifications similarly approved.
b. It will furnish the Secretary with such periodic reports as required pertaining to the planning
project and planning work activities.
c. It will include in all published material prepared in connection with the planning project a
notice that the material was prepared under a grant provided by the United States.
d. It will make such material available for examination by the public, and agrees that no material
prepared with funds under this project shall be subject to copyright in the United States or any
other country.
e. It will give the Secretary unrestricted authority to publish, disclose, distribute, and otherwise
use any of the material prepared in connection with this grant.
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
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3'53'0089'044'2019
required orprescribed byapplicable Federal, stateand|oca|aQendesformain1enanceand
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;
3) 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 orcircumstance beyond the control ofthe 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, ifthe project isfor noise compatibility program implementation, itwill 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.
%J. 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 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 unjustly discriminatory, basis to all users
thereof, and
2) charge reasonable, and not unjustly discriminatory, prices for each unit or service,
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3 53'0089'044 2019
provided that the contractor may be allowed to make reasonable and nondiscriminatory
discounts rebates, orother similar types ofprice reductions tovolume purchasers.
ajEach fixed -based operator at the airport shall besubject tothe same rates, fees,
rentals, and other charges as are uniformly applicable to all other fixed -based
operators making the same or similar uses of such airport and utilizing the same or
similar facilities.
b.) Each air carrier using such airport shall have the right to service itself or to use any
fixed -based operator that is authorized or permitted by the airport to serve any air
carrier utsuch airport.
c.) Each air carrier using such airport (whether as a tenant, non -tenant, or subtenant of
another air carrier tenant) shall besubject tosuch 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 onair carriers insuch classification orstatus.
d.) 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 performing any
services on its own aircraft with its own employees [including, but not limited to
maintenance, repair, and fueling] that itmay choose toperform.
e.) In the event the sponsor itself exercises any of the rights and privileges referred to in
this assurance, the services involved will be provided on the same conditions as
would apply to the furnishing of such services by commercial aeronautical service
providers authorized bythe sponsor under these provisions.
t) The sponsor may establish such reasonable, and not unjustly discriminatory,
conditions to be met by all users of the airport as may be necessary for the safe and
efficient operation of the airport.
g.) The sponsor may prohibit or limit any given type, kind or class of aeronautical use of
the airport if such action is necessary for the safe operation of the airport or
necessary toserve the civil aviation needs ofthe public.
23. Exclusive Rights.
It will permit no exclusive right for the use of the airport by any person providing, or intending to
provide, aeronautical services to the public. For purposes of this paragraph, the providing of the
services at an airport by a single fixed -based operator shall not be construed as an exclusive right if
both ofthe following apply:
a. It would be unreasonably costly, burdensome, or impractical for more than one fixed -based
operator toprovide 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. |tfurther agrees that itwill not, either directly orindirectly, grant or
permit any person, firm, or corporation, the exclusive right at the airport toconduct any
aeronautical activities' including, but not limited to charter flights, pilot training, aircraft rental
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and sightseeing, aerial photography, crop dusting, aerial advertising and surveying, air carrier
operations, aircraft sales and services, sale of aviation petroleum products whether or not
conducted in conjunction with other aeronautical activity, repair and maintenance of aircraft,
sale of aircraft parts, and any other activities which because of their direct relationship to the
operation of aircraft can be regarded as an aeronautical activity, and that it will terminate any
exclusive right to conduct an aeronautical activity now existing at such an airport before the
grant of any assistance under Title 49, United States Code.
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 of collection. No
part of the Federal share of an airport development, airport planning or noise compatibility project
for which a grant is made under Title 49, United States Code, the Airport and Airway Improvement
Act of 1982, the Federal Airport Act or the Airport and Airway Development Act of 1970 shall be
included in the rate basis in establishing fees, rates, and charges for users of that airport.
25. Airport Revenues.
a. All revenues generated by the airport and any local taxes on aviation fuel established after
December 30, 1987, will be expended by it for the capital or operating costs of the airport; the
local airport system; or other local facilities which are owned or operated by the owner or
operator of the airport and which are directly and substantially related to the actual air
transportation of passengers or property; or for noise mitigation purposes on or off the
airport. The following exceptions apply to this paragraph:
1) If covenants or assurances in debt obligations issued before September 3, 1982, by the
owner or operator of the airport, or provisions enacted before September 3, 1982, in
governing statutes controlling the owner or operator's financing, provide for the use of the
revenues from any of the airport owner or 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.
a.) 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
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3 53 OU89'O44 3Ul9
manner consistent with Title 4S United States Code and any other applicable provision
of law, including any regulation promulgated by the Secretary or Administrator.
b.) 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 tothe public; make
available to the public at reasonable times and places a report of the airport budget in a
format prescribed bythe 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
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 bythe 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 inexcess ofthose which, inthe opinion ofthe Secretary, would unduly interfere
with use of the landing areas by other authorized aircraft, or during any calendar month that —
a. by gross weights of such aircraft) is in excess of five million pounds Five (5) or more
Government aircraft are regularly based at the airport or on land adjacent thereto; or
b. The total number of movements (counting each landing as a movement) of Government
aircraft is 300 or more, or the gross accumulative weight of Government aircraft using the
airport (the total movement of Government aircraft multiplied.
28. Land for Federal Facilities.
Itwill furnish without cost tothe Federal Government for use inconnection 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
20
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3-53-0089-044-2019
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 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.
a.) If a change or alteration in the airport or the facilities is made which the Secretary
determines adversely affects the safety, utility, or efficiency of any federally owned,
leased, or funded property on or off the airport and which is not in conformity with the
airport layout plan as approved by the Secretary, the owner or operator will, if
requested, by the Secretary (1) eliminate such adverse effect in a manner approved by
the Secretary; or (2) bear all costs of relocating such property (or replacement thereof)
to a site acceptable to the Secretary and all costs of restoring such property (or
replacement thereof) to the level of safety, utility, efficiency, and cost of operation
existing before the unapproved change in the airport or its facilities except in the case
of a relocation or replacement of an existing airport facility due to a change in the
Secretary's design standards beyond the control of the airport sponsor.
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
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3 S3'O089'O44'ZOl9
sponsor'sprograms andao1ivities.
2) Facilities. Where it receives a grant or other federal financial assistance to construct,
expand, renovate, remodel, alter or acquire a facility, or part of a facility, the assurance
extends to the entire facility and facilities operated in connection therewith.
3) Real Property. Where the sponsor receives a grant or other Federal financial assistance in
the form of, or for the acquisition of real property or an interest in real property, the
assurance will extend torights tospace on, over, mrunder such property.
c Duration.
The sponsor agrees that it isobligated tothis assurance for the period during which Federal
financial assistance is extended to the program, except where the Federal financial assistance
istoprovide, orisinthe form of, personal property, orreal property, orinterest therein, or
structures or improvements thereon, in which case the assurance obligates the sponsor, or
any transferee for the longer ofthe following periods:
1) So long as the airport is used as an airport, or for another purpose involving the provision
ofsimilar services orbenefits; or
2) Solong asthe sponsor retains ownership orpossession oftheproperty
d. Required Solicitation Language. It will include the following notification in all solicitations for
bids, Requests For Proposals for work, or material under this grant agreement and in all
proposals for agreements, including airport concessions, regardless of funding source:
"The( accordance with the provisions ofTitle V|ofthe Civil Rights Act of
1964(78Stat. 2SJ'4%U.6.[.§§2OOOdtu2OOOd'4)and the Regulations, hereby notifies all
bidders that it will affirmatively ensure that any contract entered into pursuant to this
advertisement, disadvantaged business enterprises and airport concession disadvantaged
business enterprises will be afforded full and fair opportunity to submit bids in response to
this invitation and will not be discriminated against on the grounds of race, color, or national
origin in consideration for anavvard.^
e. Required Contract Provisions.
1) It will insert the non'dboimination contract clauses requiring compliance with the acts
and regulations relative tonon-discrimination inFederally-assisted proQramsoftheDOT
and incorporating the acts and regulations into the contracts by reference in every
contract mragreement subject tothe non'discrimination in Federally -assisted programs of
the DOT acts and regulations.
J) It will include list ofthe pertinent non-discrimination authorities inevery contract that is
subject tothe non-discrimination acts and regulations.
3) |tvvi||insertnon'discriminationcontractdausesasacovenantrunningm/iththe|and,in
any deed from the United States effecting or recording atransfer ofreal property,
structures, use, orimprovements thereon orinterest therein to a sponsor.
4) It will insert non-discrimination contract clauses prohibiting discrimination onthe basis of
race, color, national origin, creed, sex, age, or handicap as a 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, orprogram; and
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9.
3 S3 O0Q9 044'2D19
b.) For the construction or use of, or access to, space on, over, or under real property
acquired orimproved under the applicable activity, project, orprogram.
f. It will provide for such methods of adm in istration for the program as are found by the
Secretary togive 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 aright tmseek judicial enforcement with regard toany
matter arising under the acts, the regulations, and this assurance.
31. Disposal ufLand.
a. For land purchased under a grant for airport noise compatibility purposes, including land
serving as a noise buffer, itwill dispose ofthe land, when the land isnulonger 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 ofthe Secretary, (1) reinvested in another project at the airpmrt, or
transferred to another eligible airport as prescribed by the Secretary. The Secretaryshall 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,or47117
oftitle 4SUnited States Code, (4)transferred toan eligible sponsor ofanother 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 orany permitted use ofairport revenue.
b. For land purchased under a grant for airport development purposes (other than noise
compatibility), it will, when the land is no longer needed for airport purposes, dispose of such
land at fair market value or make available to the Secretary an amount equal to the United
States' proportionate share of the fair market value of the land. That portion of the proceeds
of such disposition which is proportionate to the United States'share of the cost of acquisition
of such land will, (1) upon application to the Secretary, be reinvested or transferred to another
eligible airport as prescribed by the Secretary. The Secretary shall give preference to the
following, indescending 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 iseligible for grant funding under Sections 47114'47115,mr47117mftitle 4SUnited
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 inthe Airport and Airway Trust Fund.
c. Land shall be considered to be needed for airport purposes 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
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3-53-0089-044-2019
notified by the operator or owner of the uses of such land, did not object 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 April 18, 2019 and included in this grant, and in accordance 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
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March, 2014
3'53'0089'044'2019
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 CIFIR 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 of1936(]1U.S.C.]8O1).
28Hangar Construction.
If the airport owner or operator and a person who owns an aircraft agree that a hangar is to be
constructed at the airport for the aircraft at the aircraft owner's expense, the airport owner or
operator will grant to the aircraft owner for the hangar a long term lease that is subject to such
terms and conditions on the hangar as the airport owner or operator may impose.
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 areport tothe Secretary that'
1) Describes the requests;
J) Provides an explanation as to why the requests could not be accommodated; and
3) Provides a time frame within which, if any, the airport will be able to accommodate the
requests.
b. Such report shall be due on either February I or August 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
dote.
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FAA
Airports
Current FAA Advisory Circulars Required for Use in AIP Funded
and PFC Approved Projects
Updated: 4/18/2019
70/7460-1L
Change 2
View the most current versions of these ACs and any associated changes at:
http://wwwka.gov/airports/resourcesiadvisory circularsand
http://www.faa.gov/regulations policies/advisory circulars/
Obstruction Marking and Lighting
150/5000-9A
Announcement of Availability Report No. DOT/FAA/PP/92-5, Guidelines for the
Sound Insulation of Residences Exposed to Aircraft Operations
150/5000-17
Critical Aircraft and Regular Use Determination
150/5020-1
Noise Control and Compatibility Planning for Airports
150/5070-6B
Changes 1- 2
Airport Master Plans
150/5070-7
Change 1
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
Change 1
Airport Field Condition Assessments and Winter Operations Safety
150/5200-31C
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
26
FAA Advisory Circular Required for Use AIP Funded and PFC Approved Projects
Updated: 4/18/2019
3'53'0089'044'2019
150/5230'10E
150/5220'16E
Changesl
150/5320'18A Buildings for Storage and Maintenance ofAirport Snow and ice Control
1 Equipment and Materials
150/5220'20A Airport Snow and Ice Control Equipment
150/5220-21C Aircraft Boarding Equipment
Engineered Materials Arresting Systems (EMAS)for Aircraft Overruns
150/5220-23
�Frangible Connections
150/5220'24
�
� Foreign Object Debris Detection Equipment
150/5320'25
pard Airport Avian Radar Systems
150/5220'26
|
� Airport Ground Vehicle Automatic Dependent Surveillance - Broadcast (ADS-B) �
|
Out Squitter Equipment |
�
150/5300'13A
Airport Design
ChanQe1
150/5300'14C
Design of Aircraft Deicing Facilities
General Guidance and Specifications for Aeronautical Surveys: Establishment of
Geodetic Control and Submission to the National Geodetic Survey
Standards for Using Remote Sensing Technologies in Airport Surveys
150/5300'18B General Guidance and Specifications for Submission of Aeronautical Surveys to
Changel NGS: Field Data Collection and Geographic Information System (GIS) Standards
27
FAA Advisory Circular Required for Use mpFunded and ppcApproved Projects Updated: 4/18/2019
w
150/5320-5D
�
150/5320'12C
150/5320'15A
150/5235'413
150/5335'S[
150/5340-1L
150/5340'51)
150/5348-18F
150/5340'26C
150/5345-3G
150/5345'68
150/5345'7F
150/5345'1OH
150/5345'12F
150/5345'13B
3'53'0089'044'2019
�����
������.
Airport Drainage Design
Airport Pavement Design and Evaluation
Measurement, Construction, and Maintenance of Skid Resistant Airport
Pavement Surfaces
Management of Airport Industrial Waste
Runway Length Requirements for Airport Design
Standardized Method of Reporting Airport Pavement Strength 'P[N
Standards for Airport Markings
Segmented Circle Airport Marker System
Standards for Airport Sign Systems
Maintenance of Airport Visual Aid Facilities
Design and Installation Details for Airport Visual Aids
Specification for L-821'Panels for the Control ofAirport Lighting
Circuit Selector Switch
Specification for L-824 Underground Electrical Cable for Airport Lighting Circuits
Specification for Constant Current Regulators and Regulator Monitors
Specification for Airport and Heliport Beacons
�Specificationfor L-841Auxiliary Relay Cabinet Assembly for Pilot Control of
Airport Lighting Circuits
150/5345'26D FAA Specification For L,823Plug and Receptacle, Cable Connectors
150/5345'27E
Specification for Wind Cone Assemblies
150/5345'28G Precision Approach Path |ndicator(PAP|) Systems
150/5345'39D Specification for L-8S3'Runway and Taxiway Retmoreflective Markers
150/5345'42H
Specification for Airport Light Bases, Transformer Housings, Junction Boxes, and
Accessories
150/5345'43H Specification for Obstruction Lighting Equipment
28
FAA Advisory Circular Required for Use mrFunded and PFcApproved Projects Updated: 4/18/2019
150/5345-44K
Specification for Runway and Taxiway Signs
3 53 0089 044 2019
150/5345~45C i Low -Impact Resistant (UR)Structures
150/5345'46E Specification for Runway and Taxiway Light Fixtures
150/5345-47C
Specification for Series to Series Isolation Transformers for Airport Lighting
Systems
150/5345'49D Specification LQ54'Radio Control Equipment
150/5345'508 i Specification for Portable Runway and Taxiway Lights
150/5345'518 Specification for Discharge -Type Flashing Light Equipment
150/5345'52A : Generic Visual GUdes|opeindicators (GVG|)
150/5345'53D i Airport Lighting Equipment Certification Program '
150/5345'548
Specification for L-884, Power and Control Unit for Land and Hold Short Lighting
Systems
150/5245'55A
Specification for L-893,Lighted Visual Aid toIndicate Temporary Runway
Closure
�
150/5345'56B Specification for L-890 Airport Lighting Control and Monitoring System (ALCIVIS)
150/5360-12F Airport Signing and Graphics
150/5360-13A ': Airport Terminal Planning
150/5360'14A i Access toAirports 8yIndividuals With Disabilities
150/5370'2G Operational Safety mnAirports During Construction
150/5370-10H � Standards for Specifying Construction ofAirports
150/5370-11B Use ofNondestructive Testing inthe Evaluation mfAirport Pavements
150/5370'13A Off -Peak Construction ofAirport Pavements Using Hot -Mix Asphalt
150/5370'158 , AirsideApplications for Artificial Turf
150/5370-16 Rapid Construction of Rigid (Portland Cement Concrete) Airfield Pavements
150/5370'17 'AioideUse ofHeated Pavement Systems
150/5390'2C Heliport Design
FAA Advisory Circular Required for Use AIP Funded and PFC Approved Projects
29
Updated: 4/18/2019
150/5395-1A
'111§N,Ptig6111111g11100111,11111110901111MINgeitilititligligfflOPilligniglif.Y.1.011110,811111111111112IgatIONEINE000111kiiIIV9111601111.115FIEISPEUitiiiitglillgiBlikliERIMIN
Seaplane Bases
3-53-0089-044-2019
30
FAA Advisory Circular Required for Use AIP Funded and PFC Approved Projects Updated: 4/18/2019
3-53-0089-044-2019
THE FOLLOWING ADDITIONAL APPLY TO AIP PROJECTS ONLY
Updated: 3/22/2019
150/5100-14E
Change 1
Architectural, Engineering, and Planning Consultant Services for Airport Grant
Projects
150/5100-17
Changes 1- 7
Land Acquisition and Relocation Assistance for Airport Improvement Program
Assisted Projects
150/5300-15A Use of Value Engineering for Engineering Design of Airport Grant Projects
150/5320-17A Airfield Pavement Surface Evaluation and Rating Manuals
150/5370-12B Quality Management for Federally Funded Airport Construction Projects
150/5380-6C Guidelines and Procedures for Maintenance of Airport Pavements
150/5380-7B Airport Pavement Management Program
150/5380-9 Guidelines and Procedures for Measuring Airfield Pavement Roughness
31
FAA Advisory Circular Required for Use AIP Funded and PFC Approved Projects Updated: 4/18/2019
„
it requirements r the fiscal/calendar noted above.
Single Audit Certification Form
The Single Audit Act of 1984 established audit requirements for non -Federal entities that receive Federal aid. On
December 26, 2014, the implementing document, OMB Circular A-133 (Audits of States, Local Governments, and Non -
Profit Organizations) was superseded by 2 CFR Part 200 (Uniform Administrative Requirements, Cost Principles, and
Audit Requirements for Federal Awards). If your current fiscal year began before December 26, 2014, then OMB
Circular A-133 is still applicable. If your fiscal year begins on or after January 1, 2015, then 2 CFR Part 200 applies.
Under OMB A-133, State or local governments (City, County, Airport Authority, Airport Board) that expend $500,000 or
more a year (calendar or fiscal) in total Federal financial assistance must conduct an audit and submit it to the Federal
Audit Clearinghouse. If the single audit is required under 2 CFR Part 200, then the total Federal financial assistance
expenditure limit is $750,000 or more. For more information on the Single Audit Act requirements please reference the
following web site: http:/Tharvester.census.ggy/sac!
This notice is our request for a copy of your most recent audit, whether or not there are any significant findings. In
accordance with your Airport Improvement Program (AIP) grant agreement, you must also provide that information to
your local Airports District Office (ADO). Please fill out the information below by checking the appropriate line(s), sign,
date, and return this form to the FAA local ADO identified at the bottom of the form.
Airport Sponsor Infortnation:
Sponsor Name
vr.,
Airport Name
Nit
Sponsor's Representative Name
,(fn
Telephone
Please check the appropriate line(s):
1.5
Fiscal/Calendar Year Ending
YY‘cole,r‘ct
epresent-stivel s Title
We are subject to the Single Audit requirements and are taking the following action:
o The Single Audit for this fiscal/calendar year has been submitted to the FAA.
o The Single Audit for this fiscal/calendar year is attached.
The Single Audit report will be submitted to the FAA as soon as this audit is available.
1'4
We are exempt from the Si gle A
Spr)ris
q.b*
Dalt
Return to: FAA, Seattle Airports District 0
2200 S. 216th Street
Des Moines, WA 98198
CI)
U.S. Department
of Transportation
Federal Aviation
Administration
June 4, 2021
Northwest Mountain Region Seattle Airports District Office
Colorado • Idaho • Montana • Oregon Utah 2200 S. 216th St.
Washington Wyoming Des Moines, WA 98198
Mr. Bob Harrison
City Manager
City of Yakima
2406 W. Washington Ave., Ste. B
Yakima, WA 98903
Grant Closeout Letter
AIP: 3-53-0089-043-2019
Contract Number: DOT-FA19NM-0055
Airport: Yakima Air Terminal — McAllister Field
Location: Yakima, Washington
Sponsor: City of Yakima, Washington
Grant Closeout Date: June 3, 2021
Grant Review Case Number: DOT-FA21 NM-0069
Final grant amount: $131,819
Dear Mr. Harrison:
This notice of grant closeout is based on the following conditions having been met: (1) all work
included in the project description has been satisfactorily completed, (2) there are no outstanding
grant special conditions, (3) all project costs reimbursed by FAA under this grant have been
determined to be reasonable, eligible and allowable, and (4) the sponsor has complied with all
teliiis and conditions of the grant agreement.
Final payment has been made and all administrative requirements are satisfied. A final cost
review of the grant has been completed and the final costs were determined to be reasonable and
justified. There are no differences in the amount of funds requested by the sponsor and the
amounts paid out. If an audit reveals any issues, this grant will be re -opened until the
outstanding issues have been resolved.
Please be advised that in accordance with 2 CFR 200.333, you are required to retain all
supporting project documentation for a minimum period of three years from the date of the final
request for reimbursement. Because most grant obligations extend beyond three years, we
strongly encourage you to retain grant documentation for the life of the grant obligations.
Sincerely,
MAN DI M Digitally signed by
MANDI M PIKE LESAUIS
PIKE LESAUIS°zoz39zo�oo4
Mandi Lesauis
Program Specialist
Seattle ADO