HomeMy Public PortalAbout2020.04.24 ID_MYL CARES Act ApplicationApplication for Federal Assistance SF-424
* 1. Type of Submi ssio n: * 2 . Typ e of Applica tion : *If Revision, select appro pria te lett er(s):
D Preappli cation ~New I
~ App lication D Continuation * Other (Specify):
D Changed/C orrected Appl ica ti on D Revision I
* 3. Date Rece ived : 4. App licant Ide nti fie r.
E/A I IMYL
Sa . Federa l Entity Iden tifier: Sb. Federa l Award Ide ntifier:
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State Use Only:
6 . Date Received by State: IN/ A I 17. State Appl ica tion Identifier: IN/A
8. APPLICANT INFORMATION :
*a. Lega l Name : l ei ty of McCall , McCall Municipal Airport
* b. Emp loyer/Taxp ayer Id entification Numbe r (EIN/TIN ): * c. Organizationa l DUNS :
!02 -6000022 I !1009226110000 I
d. Address:
* Stree t1 : 1216 East Park Street
Street2 : I
*City: !McCall I
County/Parish: Iv alley I
*State : I ID : Idaho
Province: I I
*Country : I USA : UNITED STATES
* Zip I Pos tal Co de : 183638 -0001 I
e. Organizational Unit:
Department Name : Division Name :
~cCall Municipal Airport I I
f. Name and contact information of person to be contacted on matters involving this application:
Prefix : IMs. I * First Name : lsessieJo
Middle Na me : I I
*La st Name : lwagn e r
Suffix: I I
Title : lei ty Clerk
Organ izational Affiliation :
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*Telephone Number. I (208) 634 -4874 I Fa x Numbe r: I (208)
*Email: lbwagner@mccall .id .us
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634 -3038
OMB Number. 4040 -0004
Expira tion Da te : 12/3 1 /2022
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Application for Federal Assistance SF-424
• 9. Type of Applicant 1: Select Applicant Type :
le: City or Townsh i p Government I
Type of Appl icant 2: Select Appl icant Type :
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Type of Appl icant 3: Select Appl icant Type :
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• Other (specify):
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• 10. Name of Federal Agency:
!Federal Aviation Administration I
11. Catalog of Federal Domestic Assistance Number:
120.106 I
CFDA Title :
'Airport Improvement Program
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• 12. Funding Opportunity Number:
N/A I
•Title :
N/A
13. Competition Identification Number:
N/A I
Title:
N/A
14. Areas Affected by Project (Cities, Counties, States, etc.):
I I Add Attachment 1 1 Delete Attachment 1 1 View Attachment I
• 15. Descriptive Title of Applicant's Project:
Any purpose for which airport funds may be lawfully used , as found in the Office of Airports
Revenue Use Policy , except airport development or land acquisition .
Attach supporting documents as specified in agency instructions.
I Add Attachments 11 Delete Attachments 11 View Attachments I
Application for Federal Assistance SF-424
16. Congressional Districts Of:
• a. Applicant lrn-001 I • b. Program /Project lrn-001 I
Attach an add iti onal li st of Program /Project Congress ional Distri cts if needed .
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17 . Proposed Project:
• a. Start Date : IN/A I • b. End Date : IN/A I
18. Estimated Funding ($):
•a. Federal 30,000 .00
• b. Applicant
• c. State
• d. Local
• e. Other
• f. Program Income
*g. TOTAL 30 ,000.oo j
* 19. Is Application Subject to Review By State Under Executive Order 12372 Process?
D a. This application was made available to the State under the Executive Order 12372 Process for review on I I ·
D b. Program is subject to E.O. 12372 but has not been selected by the State for review.
[gJ c. Program is not covered by E .O . 12372.
* 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes," provide explanation in attachment.)
0Yes [gj No
If "Yes", provide explanation and attach
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21. *By signing this application, I certify (1) to the statements contained in the list of certifications** and (2) that the statements
herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to
comply with any resulting terms if I accept an award . I am aware that any false, fictitious , or fraudulent statements or claims may
subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218 , Section 1001)
D .. , AGREE I
•• The list of certificat ions and assurances , or an internet site where yo u ma y obta in th is list , is contained in the announcement or agency
specific instructions .
Authorized Representative:
Prefi x: IMr. I • First Na me : !Robert I
Midd le Name : Js. I
•Last Name : !Giles I
Su ffix: I I
*Title : !Mayor I
•Telephone Number: I (208) 634 -1003 I
Fa x Number: 1 (208) 634 -3038 I
•Ema il: lbgiles@mccall .id.us I
• Signature of Authorized Representative :
I ~ :I:.~ Ak_ I
• Date Signed : 14/a 717?a??:J
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