HomeMy Public PortalAbout2021.03.25 McCall East -West Taxiway AIP 3-16-0023-031-2021 Grant ApplicationMcCALL MUNICIPAL AIRPORT
McCALL, IDAHO
APPLICATION FOR FEDERAL ASSISTANCE -FY 2021
AIRPORT IMPROVEMENT PROGRAM (AIP)
PROJECT NO. 3-16-0023-031-2021
CONSTRUCT EAST-WEST TAXIWAY
SUBMITTED BY:
THE CITY OF McCALL
216 E. PARK STREET
McCALL, IDAHO 83638
SUBMITTED TO:
FEDERAL AVIATION ADMINISTRATION
HELENA AIRPORTS DISTRICT OFFICE
MARCH 2021
PREPARED BY:
liii:J T•O ENGINEERS
2471 S. Titanium Place
Meridian, Idaho 83642
Telephone (208) 323-2288
Fax:(208)323-2399
View Burden Statement
Application for Federal Assistance SF-424
• 1. Type of Submission: • 2. Type of Application: • If Revision, select appropriate letter(s):
0 Preapplication @New I
@ Application Q Continuation • Other (Specify):
0 Changed/Corrected Application 0 Revision I
• 3. Date Received: 4. Applicant Identifier:
I I I II
Sa. Federal Entity Identifier: Sb. Federal Award Identifier:
I I I
State Use Only:
6. Date Received by State: I I 17. State Application Identifier: I
8. APPLICANT INFORMATION:
•a.Legal Name: !city of McCall, McCall Municipal Airport
• b. Employer/Taxpayer Identification Number (EINfTIN): • c. Organizational DUNS:
182-6000022 I I 1889226110000 I
d. Address:
• Street!: ~16 E. l?ark Street 1:
Street2: I ,I ..
• City: recall I' I
County/Parish: ~alley Ii I
• State: IID: Idaho ll
Province: I 'J I
jusA: UNITED STATES ,.
• Country: I!
• Zip / Postal Code: 183638-0001 !I I
e. Organizational Unit:
Department Name: Division Name:
~cCall Municipal Airport I I
f. Name and contact infonnation of person to be contacted on matters involving this application:
Prefix: IMr. a • First Name: !Richard
Middle Name: I I
• Last Name: lscein II
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Suffix: I a;:JII
Title: !Airport Manager
Organizational Affiliation:
I II
• Telephone Number: 1(208) 634-1488 I Fax Number: I (208)
• Email: lrstein@mccall .i d.us
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634-3038
0MB Number: 4040-0004
Expiration Date: 12/31/2022
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Application for Federal Assistance SF-424
• 9. Type of Applicant 1: Select Applicant Type:
C: City or Township Gove rnment D
Type of Applicant 2: Select Applicant Type:
D
Type of Applicant 3: Select Applicant Type:
D
• Other (specify):
I
* 10. Name of Federal Agency:
!Federal Avi ation Admi nistration I
11. Catalog of Federal Domestic Assistance Number:
j20 .106 I
CFDA Title:
Lirport Improvement Program
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* 12. Funding Opportunity Number.
I
*Trtle:
I I
13. Competition Identification Number:
I
Title:
14. Areas Affected by Project (Cities, Counties, States, etc.):
I McCall, Valley County, Idaho I I Add Attachment 1 1 D lete Attachment 1 1 View Attachment I
• 15. Descriptive Title of Applicant's Project:
Design, bidding, construction administ ration, and const ruc tion of the proposed Est -Wes T xiway
at the McCall Munic i pal Airport .
Attach supporting documents as specified in agency instructions.
I· ·w Att.ichmcnt~j
Application for Federal Assistance SF-424
16. Congressional Districts Of:
• a. Applicant 11st ID • b. Program/Project 11st I D
Attach an additional list of Program/Project Congressional Districts if needed.
I..__ ______________ __.I I Add Attachment 1 1 Delete Attac'1m~<1t j I View Attachment I
17. Proposed Project:
• a Start Date: jo4/0l/2021 I • b. End Date: jll/30/2021 !
18. Estimated Funding($):
•a.Federal I 1,499,913.ool
' b. Applicant I 83,329.ooj
'c. State I 83,329.001
: :. :~m ~. ;::I =============::;I '::========== • g. TOTAL ~I _______ 1_, _66_6_,_s_11_._o~ol
• 19. ls Application Subject to Review By State Under Executive Order 12372 Process?
0 a. This application was made available to the State under the Executive Order 12372 Process for review on ,._I _____ _,I.
@ b. Program is subject to E.O. 12372 but has not been selected by the State for review.
0 c. Program is not covered by E.O. 12372.
• 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes," provide explanation in attachment.)
Q Yes @No
If ''Yes·, provide explanation and attach
I I I Add Attachment I I I Delete Attachment I I Virw Attachm n I
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, Tille 218, Section 1001)
ill '' I AGREE
" The list of certifications and assurances. or an internet site where you may obtain this list. is contained in the announcement or agency
specific Instructions.
Authorized Representative:
Prefix· IMr. ~ • First Name· jRobert
Middle Name· 1s . I
• Last Name· !Giles I ,,
Suffix· I '' ·nue: jMayor I
'TelephoneNumber. J(208} 634-1003 I FaxNumber. 1<208) 634-3038
'Email: lrgiles@mccall .id . us
• Signature of Authorized Representative: 1 · o,,, ••""'
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·" U.S. Department of Transportation ~ Federal Aviation Administration
0MB 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
(www.SAM.gov)?
Item 2.
Can Sponsor commence the work identified in the application in the fiscal year the
grant is made or within six months after the grant is made, whichever is later?
Item 3.
Are there any foreseeable events that would delay completion of the project? If yes,
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
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
identify other funding sources by checking all applicable boxes.
D The project is included in an approved PFC application.
If included in an approved PFC application,
does the application only address AIP matching share? D Yes D No
~Yes DNo
[gj Yes D No D N/A
D Yes [gj No D N/A
D Yes [gj No D N/A
D Yes D No [gj N/A
D The project is included in another Federal Assistance program. Its CFDA number is below.
Item 6.
Will the requested Federal assistance include Sponsor indirect costs as described in
2 CFR Appendix VII to Part 200, States and Local Government and Indian Tribe
Indirect Cost Proposals?
0Yes ~No ON/A
If the request for Federal assistance includes a claim for allowable indirect costs, select the applicable indirect cost rate
the Sponsor proposes to apply:
D De Minimis rate of 10% as permitted by 2 CFR § 200.414.
D Negotiated Rate equal to
on
% as approved by
(Date) (2 CFR part 200, appendix VII).
(the Cognizant Agency)
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
PART II -SECTION B
Certification Regarding Lobbying
0MB CONTROL NUMBER: 2120-0569
0MB EXPIRATION DATE: 8/31/2019
The declarations made on this page are under the signature of the authorized representative as identified in box 21 of
form SF-424, to wh ich 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
0MB CONTROL NUMBER: 2120-0569
0MB 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:
The City of McCall, Idaho currently has FAR Part 77 zoning in place. The City's comprehensive plan includes
additional land use restrictions in the vicinity of 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:
Not applicable
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:
Not applicable
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.
The project is consistent with the City of McCall and Idaho Transportation Department Division of Aeronautics plans.
5. Consideration of Local Interest -It has given fair consideration to the interest of communities in or near where the
project may be located.
Fair consideration has been given to the interest of communities near the airport.
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)).
Reasonable consultations with affected parties associated with the airport have been undertaken.
7. Public Hearings -In projects involving the location of an airport, an airport runway or a major runway extension, it
has afforded the opportunity for public hearings for the purpose of considering the economic, social, and environmental
effects of the airport or runway location and its consistency with goals and objectives of such planning as has been
carried out by the community and it shall, when requested by the Secretary, submit a copy of the transcript of such
hearings to the Secretary. Further, for such projects, it has on its management board either voting representation from
the communities where the project is located or has advised the communities that they have the right to petition the
Secretary concerning a proposed project.
Not applicable as no new runways or major extensions are part of this project.
8. Air and Water Quality Standards -In projects involving airport location, a major runway extension, or runway
location it will provide for the Governor of the state in which the project is located to certify in writing to the Secretary
that the project will be located, designed, constructed, and operated so as to comply with applicable and air and water
quality standards. In any case where such standards have not been approved and where applicable air and water
quality standards have been promulgated by the Administrator of the Environmental Protection Agency, certification
shall be obtained from such Administrator. Notice of certification or refusal to certify shall be provided within sixty days
after the project application has been received by the Secretary.
Not applicable. All other required environmental actions of the project have been met.
FAA Form 5100-100 (3/16) SUPERSEDES PREVIOUS EDITION Page 3 of 7
PART II -SECTION C (Continued)
0MB CONTROL NUMBER: 2120-0569
0MB EXPIRATION DATE: 8/31/2019
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 :
No exclusive right to conduct any aeronautical activity has been granted at the McCall Municipal Airport.
10. Land -(a) The sponsor holds the following property interest in the following areas of land, which are to be developed
or used as part of or in connection with the Airport subject to the following exceptions, encumbrances, and adverse
interests, all of which areas are identified on the aforementioned property map designated as Exhibit "A". [1]
The airport has fee simple ownership of the land associated with this project. No exceptions, encumbrances and
adverse interests are applicable. The subject land applicable is identified on the airport property map Exhibit "A", dated
December 2007. The Exhibit "A" is on file with the FAA at the Helena ADO.
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]
Not Applicable
(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]
Not Applicable
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
0MB CONTROL NUMBER: 2120-0569
0MB EXPIRATION DATE: 8/31/2019
PART Ill -BUDGET INFORMATION -CONSTRUCTION
SECTION A-GENERAL
1. Federal Domestic Assistance Catalog Number: 20-106
2. Functional or Other Breakout: Airport Improvement Program
SECTION B -CALCULATION OF FEDERAL GRANT
Latest Approved Adjustment Total
Cost Classification Amount +or(-) Amount Amount (Use only for (Use only for Required revisions) revisions)
1. Administration expense $8,000
2. Preliminary expense
3. Land, structures, right-of-way
4. Architectural engineering basic fees 154,046
5. Other Architectural engineering fees
6. Project inspection fees 224,525
7. Land development
8. Relocation Expenses
9. Relocation payments to Individuals and Businesses
10. Demolition and removal
11. Construction and project improvement 1,280,000
12. Equipment
13. Miscellaneous
14. Subtotal (Lines 1 through 13) $ 1,666,571
15. Estimated Income (if applicable)
16. Net Project Amount (Line 14 minus 15) 1,666,571
17. Less: Ineligible Exclusions (Section C, line 23 g.)
18. Subtotal (Lines 16 through 17) $ 1,666,571
19. Federal Share requested of Line 18 1,499,913
20. Grantee share 83,329
21 . Other shares 83,329
22. TOTAL PROJECT (Lines 19, 20 & 21) $ 1,666,571
FAA Form 5100-100 (3/16) SUPERSEDES PREVIOUS EDITION Page 5 of 7
SECTION C -EXCLUSIONS
23. Classification (Description of non-participating work)
a.
b.
C.
d.
e.
f.
g.
0MB CONTROL NUMBER: 2120-0569
0MB EXPIRATION DATE: 8/31/2019
Amount Ineligible for
Participation
Total
SECTION D -PROPOSED METHOD OF FINANCING NON-FEDERAL SHARE
24. Grantee Share -Fund Categories
a. Securities
b. Mortgages
c. Appropriations (by Applicant)
d.Bonds
e. Tax Levies
f. Non-Cash
g. Other (Explain):
h. TOTAL -Grantee share
25. Other Shares
a. State
b. Other
c. TOTAL -Other Shares
26. TOTAL NON-FEDERAL FINANCING
SECTION E -REMARKS
(Attach sheets if additional space is required)
This is a Supplemental Discretionary grant with no requirement for a local match.
THE FOLLOWING ITEMS ARE INCLUDED BY REFERENCE:
1. PLANS AND SPECIFICATIONS, DATE TO BE DETERMINED.
2. TITLE VI ASSURANCES, DATED MARCH 2021.
3. EXHIBIT 'A' PROPERTY MAP, DATED DECEMBER 2007.
FAA Form 5100-100 (3/16) SUPERSEDES PREVIOUS EDITION
Amount
83,329
$83,329
Amount
83,329
$166,658
Page 6 of 7
PROJECT: AIP 3-16-0023-031-2021
AIRPORT: McCall Municipal Airport
1. Objective:
PART IV-PROGRAM NARRATIVE
(Suggested Format)
0MB CONTROL NUMBER: 2120-0569
0MB EXPIRATION DATE: 8/31/2019
The proposed project includes the design, bidding, construction administration, and construction of the proposed
East-West Taxiway at the McCall Municipal Airport.
2. Benefits Anticipated:
Construction of the East-West Taxiway will provide safe movement of aircraft from the G.A. Apron and fuel island to
the recently relocated Parallel Taxiway A. This new taxiway will eliminate congestion caused by aircraft currently
accessing Parallel Taxiway A by taxiing along a route that is primarily used to access hangars and will provide safe
circulation of aircraft to and from Runway 16-34 and the fuel island.
3. Approach: (See approved Scope of Work in Final Application)
Construction of the East-West Taxiway will be completed through a traditional design and bid process followed by
construction of project improvements. Once design design is complete, the project will be bid through a public
bidding process. After bid opening and analysis, the work will be awarded to the lowest qualified bidder. Bidding is
anticipated to occur in spring of 2021 with construction following in summer and fall of 2021 , pending availability of
FAA funding for construction.
4. Geographic Location:
The McCall Municipal Airport (MYL} is located south of the City of McCall, adjacent to and on the west side of State
Highway 55, in Valley County, Idaho. The airport is also located approximately 100 miles north of Boise and serves
two four-season resorts and ski areas. McCall Municipal Airport is an important gateway to the vast central Idaho wild
5. If Applicable, Provide Additional Information:
6. Sponsor's Representative: (include address & telephone number)
Mr. Richard Stein, Airport Manager
216 East Park Street
McCall, ID 83638
FAA Form 5100-100 (3/16) SUPERSEDES PREVIOUS EDITION Page 7 of 7
CIP DATA SHEET
AIRPORT McCall Municioal ILOCID I MYL LOCAL PRIORITY 1
u~n:'~:'~~-· YEAR I u
PROJECT DESCRIPTION Construct East-West Taxiway CONSTRUCT 2021
JUSTIFICATION: Construction of the East-West Taxiway is necessary to provide safe movement of aircraft
from the G.A. Apron to the recently relocate Parallel Taxiway A. The new East-West Taxiway will provide safe
movement of aircraft to and from Runway 16-34 to the fuel island and tie-down areas and will reduce
congestion caused by aircraft currently taxiing along routes primarily used to access existing aircraft hangars.
COST ESTIMATE:
ADMINISTRATION: $8,000 1. Construction $1,280,000 4 $
ENGINEERING : $154,046 2 $ 5 $
INSPECTION : $224,525 3 $ TOTAL: $1 ,666,571
Federal ( %) $ 150,000
SPONSOR VERIFICATION :
For each and every
project as applicable
Date
State $ 8,333 Local ( %) $ B,334
(see instruction sheet or attached comments for more information)
-Date of approved ALP with project shown
-Date of environmental determination (ROD, FONSI, CatEx)
-Date of land acquisition or signed purchase agreement
-Date of pavement maintenance program
-Date of Benefit Cost Analysis (BCA) as required
SPONSOR'S SIGNATURE: DATE: ------------------PRINT ED NAME: Robert S. Giles TITLE : _M_a_y._o_r _____________ _
PHONE NUMBER: (208) 634-1003 EMAIL: rgiles@mccall.id.us
FAA USE ONLY
PREAPP NUMBER GRANT NUMBER NPIAS CODE WORK CODE FAA PRIORITY FEDERAL$
Project Cost Breakdown
McCall Municipal Airport
McCall, Idaho
Project Description: CONSTRUCT EAST-WEST TAXIWAY
Brief Item Description Construction Engineering Admin. Cost Cost Cost
East-West Taxiway $ 1,280,000 $ 378,571 $ 8,000
Totals: $ 1,280,000 $ 378,571 $ 8,000
Total Cost Federal Non-Federal Share
90% 10%
$ 1,666,571 $ 1,499,913 $ 166,658
$ 1,666,571 $ 1,499,913 $ 166,658
STANDARD DOT TITLE VI ASSURANCES
City of McCall (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.
Pa e 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
City of McCall
(Sponsor)
(Signature of Authorized Official)
Pa e 2 of 2
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.
REQUIRED STATEMENTS
AIRPORT IMPROVEMENT PROGRAM PROJECTS
AIRPORT: McCall Municipal Airport
LOCATION: McCall, ID --~.:....--------------------------------
AIP PROJECT NO.: 3-16-0023-031-2021 ----------------------------------
STATEMENTS APPLICABLE TO THIS PROJECT A, B, C and D ---------------------------
~ a. INTEREST OF NEIGHBORING COMMUNITIES: In formulating this project, consideration has been
given to the interest of communities that are near (Exact name of airport) McCall Municipal Airport.
~ 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) McCall Municipal Airport, 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).
DATE:
TITLE: Ma or _ ....... ____________________________ _
SPONSORING AGENCY: _C_i_.ty_o_f_M_c_C_a_ll _____________________ _
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; N/A
b. The nature and basis of opposition; N/A
c. Sponsor's plan to accommodate or otherwise satisfy the opposition; N/A
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. N/A
e. If the opponents proposed any alternatives, what these alternatives were and the reason for nonacceptance; N/A
f. Sponsor's plans, if any, to minimize any adverse effects of the project; N/A
g. Benefits to be gained by the proposed development; and N/A
h. Any other pertinent information which would be of assistance in determining whether to proceed with the project. N/A
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 --------Ja'----l.4.,,<:~~~·~v/dt.~~..........,,,~=------Date _J_t-~9-5_,_....._L~_\ --
Sponsor's Authorized Representative ' '
Title Ma or -~----------------------------
A. General.
FAA
Airports
ASSURANCES
AIRPORT SPONSORS
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.
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.
Airport Sponsor Assurances 2/2020 Page 1 of 18
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:
a. Title 49, U.S.C., subtitle VII, as amended.
b. Davis-Bacon Act -40 U.S.C. 276(a), et seq.1
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 .12
f. National Historic Preservation Act of 1966 -Section 106 -16 U.S.C. 470(f).1
g. Archeological and Historic Preservation Act of 1974 -16 U.S.C. 469 through 469c.1
h. Native Americans Grave Repatriation Act -25 U.S.C. Section 3001, et seq.
1. 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
I. 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 .1
s. Power plant and Industrial Fuel Use Act of 1978 -Section 403-2 U.S.C. 8373.1
t. Contract Work Hours and Safety Standards Act -40 U.S.C. 327, et seq .1
u. Copeland Anti-kickback Act -18 U.S.C. 874.1
v. National Environmental Policy Act of 1969 -42 U.S.C. 4321, et seq.1
w. Wild and Scenic Rivers Act, P.L. 90-542, as amended.
x. Single Audit Act of 1984 -31 U.S.C. 7501, et seq.2
y. Drug-Free Workplace Act of 1988 -41 U.S.C. 702 through 706.
z. The Federal Fund ing Accountability and Transparency Act of 2006, as amended (Pub. L.
109-282, as amended by section 6202 of Pub. L. 110-252).
Airport Sponsor Assurances 2/2020 Page 2 of 18
EXECUTIVE ORDERS
a. Executive Order 11246 -Equal Employment OpportunityI
b. Executive Order 11990 -Protection of Wetlands
c. Executive Order 11998 -Flood Plain Management
d. Executive Order 12372 -Intergovernmental Review of Federal Programs
e. Executive Order 12699 -Seismic Safety of Federal and Federally Assisted New Building
Construction I
f. Executive Order 12898 -Environmental Justice
g. Executive Order 13788 -Buy American and Hire American
h. Executive Order 13858 -Strengthening Buy-American Preferences for Infrastructure
Projects
FEDERAL REGULATIONS
a. 2 CFR Part180 -0MB Guidelines to Agencies on Government-wide Debarment and
Suspension (Non-procurement).
b. 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and Audit
Requirements for Federal Awards. [0MB Circular A-87 Cost Principles Applicable to Grants
and Contracts with State and Local Governments, and 0MB Circular A-133 -Audits of States,
Local Governments, and Non-Profit Organizations].4• 5• 6
c. 2 CFR Part 1200 -Non-procurement 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
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.I
j. 29 CFR Part 5 -Labor standards provisions applicable to contracts covering federally
financed and assisted construction (also labor standards provisions applicable to non-
construction contracts subject to the Contract Work Hours and Safety Standards Act).I
k. 41 CFR Part 60 -Office of Federal Contract Compliance Programs, Equal Employment
Opportunity, Department of Labor (Federal and federally assisted contracting
requirements).I
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.
Airport Sponsor Assurances 2/2020 Page 3 of 18
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.
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.1
s. 49 CFR Part 28 -Enforcement of Nondiscrimination on the Basis of Handicap in Programs or
Activities conducted by the Department of Transportation.
t . 49 CFR Part 30 -Denial of public works contracts to suppliers of goods and services of
countries that deny procurement market access to U.S. contractors.
u. 49 CFR Part 32 -Government-wide 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.
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 {0MB) 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
Adm inistrative Requirements for Grants (0MB 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 0MB.
Airport Sponsor Assurances 2/2020 Page 4 of 18
5 Cost principles established in 2 CFR part 200 subpart E must be used as guidelines for
determining the eligibility of specific types of expenses.
Audit requirements established in 2 CFR part 200 subpart Fare 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.
b. Subject to the FAA Act of 2018, Public Law 115-254, Section 163, 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
Airport Sponsor Assurances 2/2020 Page 5 of 18
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.
g. 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.
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.
Airport Sponsor Assurances 2/2020 Page 6 of 18
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 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.
Airport Sponsor Assurances 2/2020 Page 7 of 18
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-S), 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 ofTitle 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 ofthe 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
conta ined 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.
Airport Sponsor Assurances 2/2020 Page 8 of 18
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, 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
Airport Sponsor Assurances 2/2020 Page 9 of 18
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 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.
g. 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.
Airport Sponsor Assurances 2/2020 Page 10 of 18
1. 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.
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 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
Airport Sponsor Assurances 2/2020 Page 11 of 18
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
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.
Airport Sponsor Assurances 2/2020 Page 12 of 18
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. Subject to the FAA Reauthorization Act of 2018, Public Law 115-254, Section 163, 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 non-aviation 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
Airport Sponsor Assurances 2/2020 Page 13 of 18
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. Subject to the FAA Reauthorization Act of 2018, Public Law 115-254, Section 163, 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.
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.
Airport Sponsor Assurances 2/2020 Page 14 of 18
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 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)
Airport Sponsor Assurances 2/2020 Page 15 of 18
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 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.
Engineering and Design Services. If any phase of such project has received Federal funds under
Chapter 471 subchapter 1 of Title 49 U.S.C., 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 in the same manner as a contract for architectural and engineering services is
negotiated under Chapter 11 of Title 40 U.S. C., or an equivalent qualifications-based
requirement prescribed for or by the sponsor of the airport.
Airport Sponsor Assurances 2/2020 Page 16 of 18
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 , 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 Disadvantaged Business Enterprise (DBE) and Airport Concessions
Disadvantaged Business Enterprise (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
Airport Sponsor Assurances 2/2020 Page 17 of 18
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 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 2/2020 Page 18 of 18
FAA
Airports
Current FAA Advisory Circulars Required for Use in AIP
Funded and PFC Approved Projects
Updated: 4/18/2019
NUMBER
70/7460-1 L
Change 2
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.gov/regulations policies/advisory circulars/
TITLE
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
150/5070-68 Airport Master Plans
Changes 1 - 2
150/5070-7 The Airport System Planning Process
Change 1
150/5100-138 Development of State Standards for Nonprimary Airports
150/5200-28F Notices to Airmen (NOTAMs) for Airport Operators
150/5200-30D Airport Field Condition Assessments and Winter Operations Safety
Change 1
150/5200-31 C Airport Emergency Plan
Changes 1 - 2
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 TITLE
150/5210-14B Aircraft Rescue Fire Fighting Equipment, Tools and Clothing
150/5210-15A Aircraft Rescue and Firefighting Station Building Design
150/5210-1 BA 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
150/5220-1 ?B Aircraft Rescue and Fire Fighting (ARFF) Training Facilities
150/5220-1 BA 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
150/5300-1 ?C Standards for Using Remote Sensing Technologies in Airport Surveys
Change 1
150/5300-1 BB General Guidance and Specifications for Submission of Aeronautical Surveys
Change 1 to NGS: Field Data Collection and Geographic Information System (GIS)
Standards
150/5320-50 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 TITLE I'
150/5320-6F Airport Pavement Design and Evaluation
150/5320-12C, Measurement, Construction, and Maintenance of Skid Resistant Airport
Changes 1 - 8 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
150/5340-50 Segmented Circle Airport Marker System
150/5340-1 BF 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-?F Specification for L-824 Underground Electrical Cable for Airport Lighting
Circuits
150/ 5345-10 H Specification for Constant Current Regulators and Regulator Monitors
150/5345-12 F Specification for Airport and Heliport Beacons
150/5345-13B Specification for L-841 Auxiliary Relay Cabinet Assembly for Pilot Control of
Airport Lighting Circuits
150/5345-260 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
150/5345-390 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
NUMBER TITLE
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
150/5345-490 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)
150/5345-530 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)
150/5360-12 F 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
150/5370-1 OH 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
NUMBER TITLE II
150/5100-14E, Architectural, Engineering, and Planning Consultant Services for Airport Grant
Change 1 Projects
150/5100-17, Land Acquisition and Relocation Assistance for Airport Improvement Program
Changes 1 -7 Assisted Projects
150/5300-15A Use of Value Engineering for Engineering and Design of Airport Grant Projects
150/5320-17 A 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
TITLE VI PRE-AWARD SPONSOR CHECKLIST
Airport/Sponsor: -----~-------------------------------~ Cit of McCall
AIP#: 3-16-0023-031-2021
Project Description(s): Construct East-West Taxiwa
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
Date:
This checklist is only required for projects that involve one of the following : Environmental Assessment or Impact
Statement (EIS); airport or runway relocation ; major runway extension; relocation of any structure of person; or impact
to access or preservation of any burial ceremonial or other sacred or historical structures or lands of any indigenous or
ethnic population.
Return to: FAA, Civil Rights, Northwest Mountain Region; 1601 Lind Ave. SW; Renton, WA 98057-3356. FAX: (425)
227-1009 Phone (425) 227-2009
\
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 0MB Control Number. The 0MB 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 ~ Federal Aviation Administration
0MB CONTROL NUMBER: 2120-0569
EXPIRATION DATE: 8/31/2019
Construction Project Final Acceptance
Airport Improvement Program Sponsor Certification
Sponsor: City of McCall, Idaho
Airport: McCall Municipal Airport
Project Number: AIP 3-16-0023-031-2021
Description of Work: Construct East-West Taxiway (Design Only)
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).
~Yes D No D 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).
~Yes D No D N/A
3. All acceptance tests specified in the project specifications were or will be performed and
documented. (AC 150/5370-12).
~Yes D No D 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).
~Yes D No D 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).
~Yes D No D 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).
~Yes D No D N/A
7. Weekly payroll records and statements of compliance were or will be submitted by the prime
contractor and reviewed by the sponsor for conformance with federal labor and civil rights
requirements as required by FAA and U.S. Department of Labor (29 CFR Part 5).
~Yes D No D 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 DB Es represent work the DBE performed by carrying out a
commercially useful function (49 CFR §26.55).
~Yes D No D N/A
9. A final project inspection was or will be conducted with representatives of the sponsor and the
contractor present that ensure:
a. Physical completion of project work in conformance with approved plans and specifications
(Order 5100.38);
b. Necessary actions to correct punch list items identified during final inspection are complete
(Order 5100.38); and
c. Preparation of a record of final inspection and distribution to parties to the contract
(Order 5100.38);
~Yes D No D 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 D No D 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.
[g]Yes D No D 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).
[g]Yes D No D 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).
[g]Yes D No D 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 25 day of March , 2021
Name of Sponsor: City of McCall, Idaho
Name of Sponsor's Authorized Official: Robert S. Giles
Title of Sponsor's Authorized Official: Mayor, City of McCall
Signature of Sponsor's Authorized Official: ~ ~
I declare under penalty of perjury that the foregoing is true and correct. I understand that knowingly and
willfully providing false information to the federal government is a violation of 18 USC§ 1001 (False
Statements) and could subject me to fines, imprisonment, or both.
FAA Form 5100-129 (1 /17) SUPERSEDES PREVIOUS EDITION page 3 of 3
U.S. Department
of Transportation
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 0MB Control Number. The 0MB 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
·"' U.S. Department of Transportation ~ Federal Aviation Administration
Drug-Free Workplace
0MB CONTROL NUMBER: 2120-0569
EXPIRATION DATE: 8/31/2019
Airport Improvement Program Sponsor Certification ·
Sponsor: City of McCall, Idaho
Airport: McCall Municipal Airport
Project Number: AIP 3-16-0023-031-2021
Description of Work: Construct East-West Taxiway (Design Only)
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).
[g] Yes D No D 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 sponsor's policy of maintaining a drug-free workplace;
c. Any available drug counseling, rehabilitation, and employee assistance programs; and
d. The penalties that may be imposed upon employees for drug abuse violations occurring
in the workplace.
[g] Yes D No D NIA
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).
OYes D No O NIA
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.
181 Yes O No ON/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).
181 Yes O No O NIA
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.
181 Yes O No ON/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).
181 Yes O No ON/A
Site(s) of performance of work (2 CFR § 182.230):
Location 1
Name of Location: McCall Muncicpal Airport
Address: 336 Deinhard Ln , McCall, ID 83638
Location 2 (if applicable)
Name of Location:
Address:
Location 3 (if applicable)
Name of Location:
Address:
FAA Form 5100-130 (1 /17) SUPERSEDES PREVIOUS EDITION Page 2 of 3
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 25 day of March 2021
Name of Sponsor: City of McCall, Idaho
Name of Sponsor's Authorized Official: Robert S. Giles
Title of Sponsor's Authorized Official: Mayor, City of McCall
:?~~ Signature of Sponsor's Authorized Official: __ '....£./,d,-..,.=~~-~-,,,."'-......... -~~~~~""--------
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 5100-131, 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 0MB Control Number. The 0MB 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
" "