HomeMy Public PortalAbout2009.01-2009.09 Outlay Report and Request for Reimbursement for Construction ProgramsOUTLAY REPORT AND REQUEST FOR REIMBURSEMENT
FOR CONSTRUCTION PROGRAMS
(See instructions on back)
OMB APPROVAL NO.0348-0002
PAGE 1 OF 1
1. TYPE OF REQUEST
❑ FINAL®PARTIAL
2. BASIS OF REQUEST
j{ CASH DCCRUAL
3. FEDERAL SPONSORING AGENCY AND ORGANIZATIONAL ELEMENT TO WHICH THIS
REPORT IS SUBMITTED
Federal Aviation Administration
4. FEDERAL GRANT OR OTHER
IDENTIFYING NUMBER
ASSIGNED BY FEDERAL
AGENCY
3-16-0023-14
5. PARTIAL PAYMENT REQUEST NO . 1 ( grant total
544,799.00)
6. EMPLOYER IDENTIFICATION NUMBER
82-60000223
7. RECIPIENT'S ACCOUNT
OR IDENTIFYING NUMBER
8 PERIOD COVERED BY THIS REQUEST
FROM (Month, day, year)
1 /26/2009
TO (Month, day, year)
I 3/8/2009
9. RECIPIENT ORGANIZATION
Name: McCall Municipal Airport
No. and street: 216 East Park Street
City, State McCall, Idaho
ZIP code: 83638
10. PAYEE (Where check is to be sent if different from item 9 )
Name:
No. and Street:
City, State and
ZIP Code: `
11. STATUS OF FUNDS
CLASSIFICATION
PROGRAMS - FUNCTIONS - ACTIVITIES
1) Previous
2) Current
(3)
TOTAL
a. Administrative Expense
$0.00
$0.00
$0.00
b. Preliminary Expense Independent Fee Est.
$0.00
$0.00
$0.00
c. Land, structures, right-of-way
$0.00
d. Architectural engineering basic fees
$0.00
$18,048.67
$18,048.67
e. Other architectural engineering fees
f. Project inspection fees
$0.00
$0.00
g. Land development
h. Relocation expense
i. Relocation payments to individuals and
businesses
j. Demolition and removal
k. Construction and project improvement cost
$0.00
$0.00
I. Equipment
m. Miscellaneous cost
n. Total cumulative to date (Sum of lines a through
m )
$0.00
$18,048.67
$18,048.67
o. Deductions for program income
p. Net cumulative to date (Line n minus Line o )
$0.00
$18,048.67
$18,048.67
q. Federal share to date
$0.00
$17,146.24
$17,146.24
r. Rehabilitation grants (100% reimbursement )
s. Total Federal share (Sum of Lines q and r )
$0.00
$17,146.00
$17,146.00
t. Federal payments previously requested
$0.00
$0.00
$0.00
u. Amount requested for reimbursement
0%
38%
o
o
38%)
12. CERTIFICATION
I certify that to the best of my knowledge and belief
the billed costs of disbursements are in accordance
with the terms of the project and that the
reimbursement represents the Federal share due
which has not been previously requested and that
an inspect
a. RECIPIENT
TYPED
Joh
b. REPRESENTATIVE CERTIFYING SIG
TO LINE 11V
TYPED O• "INTEORTITLE
John aerson, Airport Manager
31-Mar-09
31-Mar-09
AUTHORIZED FOR LOCAL REPRODUCTION / STANDARD FORM 271 (Rev. 7-97)
PREVIOUS EDITION USABLE Prescribed by OMB Circular A-102 and A-110
P: ICity ofMcCal110342361ManagernenllConlraclllnvoicinglFAA Reirnb McCall EA AIP#14 Request #l.xls/Pay request #4
a
•
i
John Anderson, A.A.E
City of McCall
216 E Park Street
McCall, ID 83638
Project: McCall Airport Environmental Assessment
City of McCall Task Order No. 1
Professional Services January 26, 2009 Through March 8, 2009
WHPactfic
April 1, 2009
Project No.
Invoice No:
34256
34256-04
Task
Total
Budget
%
Comp.
Total
To Date
Remaining
Previous
Invoices
Current
Invoice
1000 - Project Administration
$12,194.69
86%
$10,437.35
$ 1,757.34 '
$7,534.26
$2,903.09
0100 - Initial Public Inv & Scoping
$17,859.26
97%
$17,250.79
$ 608.47
$10,600.98
$6,649.81
0200 - Data Collection Affected Env
$28,993.55
78%
$22,529.61
$ 6,463.94
$18,311.71
$4,217.90
0300 - Dev of Env Consequences Section
$53,528.69
0%
$0.00
$ 53,528.69
$0.00
$0.00
0303 - Subconsultant Tom Duebendorfer
$ 6.776.00
89%
$6,006.00
$ 770.00
$3,234.00
$2,772.00
0312 - Subconsultant Haz Mat Kleinfelder
$ 8,250.00
0%
$0.00
$ 8,250.00
$0.00
$0.00
0313 - Subconsultant SWCA
$21,835.00
85%
$18,478.90
$ 3,356.10
$6,668.20
$11,810.70
0400 - Env Permitting & Mitigation
$35,530.00
1%
$473.66
$ 35,056.34
$473.66
$0.00
0402 - Subconsultant Mountain States / Clearwater
$ 7,700.00
0%
$0.00
$ 7,700.00
$0.00
$0.00
0500 - Preliminary Engineering
$ 46,760.61
100%
$46,756.26
$ 4.35
$38,735.39
$8,020.87
0512 - Subconsultant Geo Kleinfelder
$ 13,145.00
99%
$13,003.32
$ 141.68
$6,266.62
$6,736.70
9990 - Reimbursable Expenses
$ 20,759.80
74%
$15,454.64
$ 5,305.16
$13,885.46
$1,569.18
Total
$273,332.60
55%
$150,390.53
$122,942.07
$105,710.28
$44,680.25
DEPARTM
ACCOUN
Subscribed this 1st day of April, 2009 SI
Rainse E. Anderson, PE
Project Manager
Remit To:
WHPacific, Inc.
9755 SW Barnes Road, Suite 300
Portland, Oregon 97225
9755 SW Barnes R
PROVAL
DEPARTMENT
ACCOUNT
SIGNATURE
DATE
OTHER
DEPARTI4
AOCOUNT__2 7`
SIGNATui:;.
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DEPARTMENT
ACCOUNT
SIGNATURE
DATE
OTHER �
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DEPARTMEN,; APPROVAL
ACCOUNT
SIGNATURE
DATE
OTHER T-
DEPARTMENT;
ACC OUNTr� �`"
SIGNATURE
DATE '
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503.526.071
'Mg
WHPacific
John Anderson, A.A.E
City of McCall
216 E Park Street
McCall, ID 83638
April 1, 2009
Project No.
Invoice No:
34256
34256-04
INVOICE
Project: McCall Airport Environmental Assessment
City of McCall Task Order No. 1
Consultant Project Lead: Rainse Anderson, PE
Professional Services January 26, 2009 Through March 8, 2009
TASK 0100 - Initial Public Involvement 8 Scopinm
Professional Personnel
Name Hours Rate Amount
Anderson, Rainse E. 3.00 194.61 $ 583.83
Ashton, Paul S. 54.50 108.21 $ 5,897.45
Hutchinson, Jennifer 0.25 63.37 $ 15.84
Wieme, Walt N. 1.75 87.25 $ 152.69
Total Labor 59.50 $ 6,649.81
TASK 0200 - Data Collection Affected Env
Professional Personnel
Name Hours Rate Amount
Anderson, Rainse E. 14.00 194.61 $ 2,724.54
Lucas, Sarah 17.00 75.54 $ 1,284.18
Quarterman, Philip 1.75 119.53 $ 209.18
Total Labor 32.75 $ 4,217.90
TASK 0303 - Tom Duebendorter
Subconsultant
Name Amount
Tom Duebendorter $ 2,772.00
Total $ 2,772.00
TASK 0313 - SWCA
Subconsultant
Name Amount
SWCA $ 11,810.70
Total
TASK 0500 - Preliminary Engineering
$ 11,810.70
Professional Personnel
Name Hours Rate Amount
Hutchinson, Jennifer 49.75 63.37 $ 3,152.66
Massingale, David W. 24.00 77.61 $ 1,862.64
Ritchie, Jason 21.00 121.31 $ 2,547.51
Wieme, Wait N. 5.25 87.25 $ 458.06
Total Labor 100.00 $ 8,020.87
TASK 0512 - Kleinfelder
Subconsultant
Name Amount
Kleinfelder $ 6,736.70
Total
TASK 1000 - Proiect Administration
IVHPacific
$ 6,736.70
Professional Personnel
Name Hours Rate Amount
Brigham, Adina 0.25 69.00 $ 17.25
Broad, Ashley A. 12.75 45.44 $ 579.36
Lucas, Sarah M. 0.50 75.54 $ 37.77
Ritchie, Jason 16.00 121.31 $ 1,940.96
Sanford, Aaryn M. 4.75 69.00 $ 327.75
Total Labor 34.25 $ 2,903.09
TASK 9990 - Reimbursable Expenses
Airfare $ 225.00
Meals $ 66.24
Mileage 32 @ 0.585 $ 18.72
Parking $ 48.00
Per Diem - Daniel Gray 2 days $ 53.00
Technology Charges 226.50 @ $ 5.00 $ 1,132.50
UPS $ 25.72
Total
Total This Invoice
Billings to Date
$ 1,569.18
$ 44,680.25
Current 44,680.25 Total Authorized Budget $ 273,332.60
Prior 105,710.28 Remaining Authorized Budget for this Task Order $ 122,942.06
Billings to Date 150,390.53
9755 SW Barnes Road, Suite 300 • Portland, OR 97225 • T 503.626.0455 • F 503.526.0775 • www.whpacific.com
WHPaufit
PROJECT STATUS REPORT
Client: John Anderson, Airport Manager
Project: McCall Airport
Environmental Assessment
Project No: 034256
PSR No: 004 (02-03-2009 thru 03-12-2009)
Date: • March 12, 2009
From: Rainse Anderson, P.E.
Project Manager
Distribution: US Mail and E-Mail
PROJECT STATUS:
WHPacific has:
• Updated the Alternatives section to include the preliminary engineering design report.
• Received biological and archaeological reports from subconsultants.
• Submitted Alternatives packet, with complete design report, to the City, FAA, and AEAC
for review.
• Conducted AEAC #2.
WORK TO BE COMPLETED NEXT PERIOD:
WHPacific will:
• Assist the City in selecting a Preferred Alternative by preparing a memo to the City
Council and presenting Alternatives 2 and 4 for their consideration.
• Post AEAC #2 meeting documents to City website.
• Post alternatives packet to the City website.
• Pursue Corps concurrence on wetland delineation and prepare functional assessment once
a preferred alternative is selected.
• Schedule NIDGS survey.
ACTION REQUIRED:
Item:
Description:
Action Req'd By:
Action Req'd Date:
Completed
Date:
1
City Council alternatives memo
City
03/31/2009
2
Present alternatives to City Council
subconsultants P and
TBD
3
Post materials on City website
WHP
03/23/2009
4
Pursue wetland delineation
concurrence
WHP
After selection of
preferred alternative
5
Schedule NIDGS survey
WHP
04/01/2009
C: lDocuments and SettingsirandersonlLocal SettingslTemporary Internet FilesiCOntent.Outlook\AT1VIPFAMPSR
#4.doc March 12, 2009
PAYMENT INFORMATION:
CREDIT: $17�, 14_6_0
EFFECTIVE DATE: 04/30/200J
INPUT FORMAT: ACHCCD+
CREDIT PARTY
ROUTING ID: 123103729
DEMAND ACCT: 153300592943
TRACE NUMBER:
RECEIVER:
ORIGINATOR:
REMITTANCE INFORMATION:
LINE IV
111036189287420
MCCALL CITY
ZZ: 69001104
FAA TREAS 220
DEBIT PARTY
ROUTING ID: 111036183
ACCT:
COMPANY ID: 111036183
�a
.. ,j APR 3 0 2009
INVOICE AMOUNT NET AMOUNT P
00001 NMG16002314—PP1
$17,146.00
DETAILS:
ENTITY ASSIGNED NUM: 000001
LINE: 00001
IV:
AMOUNT PAID:
NMG16002314—PP1
$17,146.00
U.S. Department of Transportation
Federal Aviation Administration
Page 1 of 5 pages
Grant Agreement
Part 1 - Offer
Date of Offer: August 27, 2008
McCall Municipal Airport
McCall, Idaho
Project Number: 3-16-0023-014
Contract Number: DOT-FA08NM-0142
To: City of McCall, Idaho (herein called the "Sponsor")
From: The United States of America (acting through the Federal Aviation Administration, herein
called the "FAA")
WHEREAS, the Sponsor has submitted to the FAA a Project Application dated August 22, 2008, for a grant of
Federal funds for a project at or associated with McCall Municipal Airport which Project Application, as
approved by the FAA, is hereby incorporated herein and made a part hereof; and
WHEREAS, the FAA has approved a project for the Airport (herein called the "Project') consisting of the
following:
Conduct an environmental assessment for runway/taxiway separation, land
acquisition, and apron expansion (Phase 2);
all as more particularly described in the Project Application.
FAA Form 5100-37 PG 1 (10-89)
A
Page 2 of 5 pages
NOW THEREFORE, pursuant to and for the purpose of carrying out the provisions of Title 49, United States
Code, and in consideration of (a) the Sponsor's adoption and ratification of the representations and
assurances contained in said Project Application and its acceptance of this Offer as hereinafter provided, and
(b) the benefits to accrue to the United States and the public from the accomplishment of the Project and
compliance with the assurances and conditions as herein provided, THE FEDERAL AVIATION
ADMINISTRATION, FOR AND ON BEHALF OF THE UNITED STATES, HEREBY OFFERS AND AGREES to
pay, as the United States share of the allowable costs incurred in accomplishing the Project, ninety-five (95)
percentum of all allowable Project costs.
This Offer is made on and subject to the following terms and conditions:
Conditions
1. The maximum obligation of the United States payable under this Offer shall be $44,799.00. For the
purposes of any future grant amendments which may increase the foregoing maximum obligation of
the United States under the provisions of Section 47108(b) of the Act, the following amounts are
being specified for this purpose:
$44,799.00 for planning
$ 0.00 for airport development or noise program implementation
2. The allowable costs of the project shall not include any costs determined by the FAA to be ineligible
for consideration as to allowability under the provisions of the Act.
3. Payment of the United States' share of the allowable project costs will be made pursuant to and in
accordance with the provisions of such regulations and procedures as the Secretary shall prescribe.
Final determination of the United States' share will be based upon the final audit of the total amount
of allowable project costs and settlement will be made for any upward or downward adjustments to
the Federal share of costs.
4. The Sponsor shall carry out and complete the Project without undue delays and in accordance with
the terms hereof, and such regulations and procedures as the Secretary shall prescribe, and agrees
to comply with the assurances which were made part of the project application.
5. The FAA reserves the right to amend or withdraw this Offer at any time prior to its acceptance by the
Sponsor.
6. This Offer shall expire and the United States shall not be obligated to pay any part of the costs of
the project unless this Offer has been accepted by the Sponsor on or before September 16, 2008,
or such subsequent date as may be prescribed in writing by the FAA.
7. The Sponsor shall take all steps, including litigation if necessary, to recover Federal funds spent
fraudulently, wastefully, or in violation of Federal antitrust statutes, or misused in any other manner
in any project upon which Federal funds have been expended. For the purposes of this grant
agreement the term "Federal funds" means funds however used or disbursed by the Sponsor that
were originally paid pursuant to this or any other Federal grant agreement. It shall obtain the
approval of the Secretary as to any determination of the amount of the Federal share of such funds.
It shall return the recovered Federal share, including funds recovered by settlement, order, or
judgment to the Secretary. It shall furnish upon request, all documents and records pertaining to the
determination of the amount of the Federal share or to any settlement, litigation, negotiation, or
FAA Form 5100-37 PG 2 (10-89)
f
Page 3 of 5 pages
other efforts taken to recover such funds. All settlements or other final positions of the Sponsor, in
court or otherwise, involving the recovery of such Federal share shall be approved in advance by the
Secretary.
8. The United States shall not be responsible or liable for damage to property or injury to persons
which may arise from, or be incident to, compliance with this grant agreement.
9. Trafficking in persons:
a. Provisions applicable to a recipient that is a private entity.
1. You as the recipient, your employees, subrecipients under this award, and subrecipients'
employees may not —
i. Engage in severe forms of trafficking in persons during the period of time that the award
is in effect;
ii. Procure a commercial sex act during the period of time that the award is in effect; or
Use forced labor in the performance of the award or subawards under the award.
2. We as the Federal awarding agency may unilaterally terminate this award, without penalty,
if you or a subreceipient that is a private entity —
i. Is determined to have violated a prohibition in paragraph a.1 of this award term; or
ii. Has an employee who is determined by the agency official authorized to terminate the
award to have violated a prohibition in paragraph a.1 of this award term through conduct
that is either ---
A. Associated with performance under this award; or
B. Imputed to your or the subrecipient using the standards and due process for imputing the
conduct of an individual to an organization that are provided in 2 CFR part 180, "OMB
Guidelines to Agencies on Governmentwide Debarment and Suspension (Nonprocurement),"
as implemented by our agency at 49 CFR Part 29.
b. Provision applicable to a recipient other than a private entity. We as the Federal
awarding agency may unilaterally terminate this award, without penalty, if a subrecipient that
is a private entity —
1. Is determined to have violated an applicable prohibition in paragraph a.1 of this
award term; or
2. Has an employee who is determined by the agency official authorized to terminate
the award to have violated an applicable prohibition in paragraph a.1 of this award
term through conduct that is either —
i. Associated with performance under this award; or
ii. Imputed to the subrecipient using the standards and due process for imputing the
conduct of an individual to an organization that are provided in 2 CFR part 180,
"OMB Guidelines to Agencies on Governmentwide Debarment and Suspension
(Nonprocurement)," as implemented by our agency at 49 CFR Part 29.
FAA Form 5100-37 PG 3 (10-89)
Page 4 of 5 pages
c. Provisions applicable to any recipient.
1. You must inform us immediately of any information you receive from any source
alleging a violation of a prohibition in paragraph a.1 of this award term.
2. Our right to terminate unilaterally that is described in paragraph a.2 or b of this
section:
i. Implements section 106(g) of the Trafficking Victims Protection Act of 2000
(TVPA), as amended (22 U.S.C. 7104 (g)), and
ii. Is in addition to all other remedies for noncompliance that are available to us
under this award.
3. You must include the requirements of paragraph a.1 of this award term in any
subaward you make to a private entity.
d. Definitions. For purposes of this award term:
1. "Employee" means either:
i. An individual employed by you or a subrecipient who is engaged in the
performance of the project or program under this award; or
ii. Another person engaged in the performance of the project or program under this
award and not compensated by you including, but not limited to, a volunteer or
individual whose services are contributed by a third party as an in -kind
contribution toward cost sharing or matching requirements.
2. "Forced labor" means labor obtained by any of the following methods: the
recruitment, harboring, transportation, provision, or obtaining of a person for labor or
services, through the use of force, fraud, or coercion for the purpose of subjection to
involuntary servitude, peonage, debt bondage, or slavery.
3. "Private entity":
i. Means any entity other than a State, local government, Indian tribe, or foreign
public entity, as those terms are defined in 2 CFR 175.25.
ii. Includes:
A. A nonprofit organization, including any nonprofit institution of higher
education, hospital, or tribal organization other than one included in the
definition of Indian tribe at 2 CFR 175.25(b).
B. A for -profit organization.
4. "Severe forms of trafficking in persons," "commercial sex act," and "coercion" have
the meanings given at section 103 of the TVPA, as amended (22 U.S.C. 7102).
FAA Form 5100-37 PG 4 (10-89)
"
P a g e 5 o f 5 p a g e s
T h e S p o n s o r '