HomeMy Public PortalAboutCRRSA Act Application - signedApplication for Federal Assistance SF-424
*1 . Type of Submission: *2 . Type of Application * If Revision , select appropriate letter(s):
D Preapplication ~ New
~ Application D Continuation *Other (Specify)
D Changed/Corrected Application 0 Revision
*3 . Date Received : 4. Applicant Identifier:
NA MYL (McCall Municipal) McCall , ID
*Sb . Federal Entity Identifi er : *Sb . Federal Award Identifier:
16-0023
State Use Only :
6 . Date Rece ived by State : 17 . State Appl ication Identifier:
8. APPLICANT INFORMATION :
*a . Legal Name : City of McCall
*b . Employer/Taxpayer Identification Number (EIN/TIN): *c. Organizational DUNS :
82 -6000223 18-892-2611
d. Address:
*Street 1: 216EPark
Street 2 :
*City: McCall
County/Parish :
*State : ID
Province :
*Country : USA : United States
*Zip I Postal Code 83638
e. Organizational Unit:
Department Name : Division Name :
f . Name and contact information of person to be contacted on matters involving this application:
Prefix : Honorable *First Name : Robert
Middle Name:
*Last Name : Giles
Suffix :
Title : Mayor
Organizational Affiliation :
*Telephone Number: 208-634-7142 Fax Number:
*Email : bgiles@mccall .id .us
OMB Number. 4040-0004
Expiration Date : 12/31/2022
Application for Federal Assistance SF-424
*9. Type of Applicant 1: Select Applicant Type:
X . Airport Sponsor
Type of Applicant 2 : Select Applicant Type :
Type of Applicant 3 : Select Applicant Type :
*Other (Specify)
*10. Name of Federal Agency:
Federal Aviation Administration
11. Catalog of Federal Domestic Assistance Number:
20 .106
CFDA Title :
Airport Improvement Program
*12 . Funding Opportunity Number:
NA
*Title :
NA
13. Competition Identification Number:
NA
Title :
NA
14. Areas Affected by Project (Cities, Counties, States, etc.):
*15. Descriptive Title of Applicant's Project:
OMB Numbe r. 4040-0004
Expiration Date: 12/31 /20 22
$13,000 for costs related to operations , personnel , cleaning , sanitization , janitorial services , combating the spread of pathogens at
the airport , and debt service payments .
Attach supporting documents as specified in agency instructions .
Application for Federal Assistance SF-424
16 . Congressional Districts Of:
*a . Applicant: 1 *b . Program/Project: 1
Attach an additional list of Program/Project Congressional Districts if needed .
17. Proposed Project:
*a. Start Date : NA *b . End Date : NA
18. Estimated Funding($):
*a. Federal $13 ,000 .
*b . Applicant $0
*c . State
$0
*d . Local
*e . Other
$0
*f . Program Income $0
*g . TOTAL $13 ,000 .
*19. Is Application Subject to Review By State Under Executive Order 12372 Process?
OMB Number: 40 40-0004
Expiration Date : 12131/2 022
0 a. This application was made available to the State under the Executive Order 12372 Process for review on __ .
0 b. Program is subject to E.O . 12372 but has not been selected by the State for review .
[8J c. Program is not covered by E . 0 . 12372
*20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes", provide explanation in attachment.)
0 Yes [8J No
If "Yes", provide explanation and attach
21 . *By signing this application , I certify (1) to the statements contained in the list of certifications ** and (2) that the statements
herein are true , complete and accurate to the best of my knowledge . I also provide the required assurances** and agree to comply
with any resulting terms if I accept an award . I am aware that any false , fictit ious , or fraudulent statements or claims may subject
me to crim inal , civil , or adm inistrative penalt ies . (U . S . Code , Title 218 , Section 1001)
[8J ** 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 : Honorable *First Name : Robert
Middle Name :
*Last Name : Giles
Suffix :
*Title: Mayor
*Telephone Number: 208-634 -7142 I Fax Number:
* Email : bg iles@mccall.id .us
'
*Signature of Authorized Representative : ~f0vu ~ /i~/)___/ I *Date Signed : J./ ;J..5};i1
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