Approval to re-submit grant application for design and construction of runway improvements, Packwood Airport BEFORE THE BOARD OF COUNTY COMMISSIONERS
OF LEWIS COUNTY, WASHINGTON
IN THE MATTER OF APPROVAL TO RE-SUBMIT ) RESOLUTION NO. 15- 1111
GRANT APPLICATION(S) FOR THE DESIGN AND )
CONSTRUCTION OF THE RUNWAY
IMPROVEMENTS AT THE PACKWOOD AIRPORT )
WHEREAS, Lewis County has the opportunity to complete design and ultimately construct the runway
improvements at the Packwood Airport with financial assistance from the Federal Aviation Authority
(FAA) and Department of Transportation (DOT) Aviation Division; and
WHEREAS, the Director of Community Development was authorized to submit the original application,
as ratified in Resolution 15-135; and
WHEREAS,the Director of Community Development, the Airport Manager, and the consulting firm of
WHPacific revised the attached grant application, at the request of FAA, the agency that provides
federal assistance of 90%, together with DOT state assistance of 5%, and Lewis County local match of
5%; and
WHEREAS, it appears to be in the best public interest to authorize the execution of said Resolution to re-
apply for grant funding.
NOW THEREFORE, BE IT RESOLVED that the Board of County Commissioners (BOCC) concurs with the
recommendation to submit an application for financial assistance; and
BE IT FURTHER RESOLVED, that the BOCC repeals Resolution 15-135; and
BE IT FURTHER RESOLVED that the BOCC authorizes the Community Development Director to sign the
same on behalf of the County.
DONE IN OPEN SESSION THIS lfj DAY OF ion& , 2015.
APPROVED AS TO Fe : BOARD OF COUNTY COMMISSIONERS
Jonath1 :yer, 'ro5: uting Attorney LEWIS COUNTY, WASHINGTON
e'O'
By: Glenn Ca--putt' ProsecutingiAt 'tiff-;• Edna J. Fu,d, / A.
• \ A / le I/ _Allt■
AU'ST: :°/ ° �P.�c use Vice air7 11111b,
•g I SINCE �i o•
iftu
�' �o 1b45
_o
Karri Muir, CMC, Clerk of the Boar -cn ,tiSY Gary St(mper, mmi s� loner
*®`'GPONs Est c,a
View Burden Statement OMB Number:4040-0004
Expiration Date:8/31/2016
Application for Federal Assistance SF-424
*1.Type of Submission: *2.Type of Application: *If Revision,select appropriate letter(s):
Preapplication New
®Application Continuation *Other(Specify):
Changed/Corrected Application I I Revision
*3.Date Received: 4.Applicant Identifier:
ILewis County
5a.Federal Entity Identifier: 5b.Federal Award Identifier:
State Use Only:
6.Date Received by State: 7.State Application Identifier:
8.APPLICANT INFORMATION:
*a.Legal Name: Lewis County
*b.Employer/Taxpayer Identification Number(EIN/TIN): *c.Organizational DUNS:
91-6001351 ]
d.Address:
*Street/: 2025 NE Kresky Ave
Street2:
*City: Chehalis
County/Parish: Lewis
*State: WA: Washington
Province:
*Country: USA: UNITED STATES
*Zip/Postal Code: I.:3532
e.Organizational Unit:
Department Name: Division Name:
Lewis County J Packwood Airport
f.Name and contact information of person to be contacted on matters involving this application:
Prefix: *First Name: Larry
Middle Name:
*Last Name: Mason
Suffix:
Title: Airport Systems Manager
Organizational Affiliation:
Lewis County
*Telephone Number: 360-864-4966 Fax Number: 360-740-1245
*Email: airportman @toledo.coo
Application for Federal Assistance SF-424
*9.Type of Applicant 1:Select Applicant Type:
B: County Government
Type of Applicant 2:Select Applicant Type:
Type of Applicant 3:Select Applicant Type:
*Other(specify):
*10.Name of Federal Agency:
Federal Aviation Administration (FAA)
11.Catalog of Federal Domestic Assistance Number:
20.106
CFDA Title:
Airport Improvement Program (AIP)
*12.Funding Opportunity Number:
N/A
*Title:
13.Competition Identification Number:
N/A 1
Title:
14.Areas Affected by Project(Cities,Counties,States,etc.):
Lr Add Attachment Delete Attachmen
*15.Descriptive Title of Applicant's Project:
This grant application is for Runway 01/19 Improvements Project at Packwood Airport (55S) . A
seperate grant offer (AIP 005) was accepted by the County in September of 2014, which covers a
portion of the engineering design cost for this project. This grant will cover the remaining cost.
In addition, it will also cover bidding, construction management, and overall construction costs.
Attach supporting documents as specified in agency instructions.
Add Attachments
Application for Federal Assistance SF-424
16.Congressional Districts Of:
*a.Applicant WA-003 *b.Program/Project WA-003
Attach an additional list of Program/Project Congressional Districts if needed.
Add Attachment Delete Attachment View Attachment
17.Proposed Project:
*a.Start Date: 03/30/2015 *b.End Date: 12/31/2016
18.Estimated Funding($):
*a.Federal 3,219,300.00
*b.Applicant
*c.State 178,850.00
*d.Local 178,850.00
*e.Other
*f. Program Income
I
*g.TOTAL 3,577,000.00
*19.Is Application Subject to Review By State Under Executive Order 12372 Process?
n a.This application was made available to the State under the Executive Order 12372 Process for review on •
b.Program is subject to E.O. 12372 but has not been selected by the State for review.
IX c. Program is not covered by E.O. 12372.
*20.Is the Applicant Delinquent On Any Federal Debt? (If"Yes,"provide explanation in attachment.)
I IYes IX No
If"Yes",provide explanation and attach
Add Attachment Delete Attachment Vier'E Attachment
21.*By signing this application, I certify(1)to the statements contained in the list of certifications**and (2)that the statements
herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to
comply with any resulting terms if I accept an award.I am aware that any false,fictitious,or fraudulent statements or claims may
subject me to criminal,civil,or administrative penalties.(U.S.Code,Title 218,Section 1001)
X **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: *First Name: Fee
Middle Name:
*Last Name: Napier
Suffix:
*Title: Director of Community Development
*Telephone Number: 360-740-1146 j Fax Number:
*Email: Lee.Nanier@lewiscountywa.gov
d‘..)2.s....
*Signature of Authorized Representative: , *Date Signed: rim=
clulA
filk U.S.Department of Transportation OMB CONTROL NUMBER:2120-0569
ii/ Federal Aviation Administration EXPIRATION DATE:4/30/2017
Application for Federal Assistance (Development Projects)
PART II — PROJECT APPROVAL INFORMATION
SECTION A
Item 1. Name of Governing Body:
Does this assistance request require State, local, regional,
or other priority rating?
Yes No Priority:
Item 2. Name of Agency or Board:
Does this assistance request require State, or local
advisory, educational or health clearances?
111 Yes No (Attach Documentation)
Item 3.
Does this assistance request require clearinghouse review
in accordance with OMB Circular A-95? (Attach Comments)
n Yes IOIN°
Item 4. Name of Approving Agency:
Does this assistance request require State, local, regional,
or other planning approval?
Date:
171 Yes 51 No
Item 5. Check one: State
Is the proposal project covered by an approved Local
comprehensive plan?
® Yes IITI No Regional Jh:I
Location of Plan:
Item 6. Name of Federal Installation:
Will the assistance requested serve a Federal installation?
Yes ® No Federal Population benefiting from Project:
Item 7. Name of Federal Installation:
Will the assistance requested be on Federal land or
installation? Location of Federal Land:
n Yes 51 No
Percent of Project:
Item 8.
Will the assistance requested have an impact or effect on
the environment? (See instructions for additional information to be provided.)
Yes WI No
Item 9. Number of:
Will the assistance requested cause the displacement of Individuals:
individuals, families, businesses, or farms? Families:
n Yes IV" No Businesses:
Farms:
Item 10.
Is there other related Federal assistance on this project
previous, pending, or anticipated? (See instructions for additional information to be provided.)
�I Yes 10 No
FAA Form 5100-100(5/14)SUPERSEDES PREVIOUS EDITION Page 2
OMB CONTROL NUMBER:2120-0569
OMB EXPIRATION DATE:4/30/2017
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:
Lewis County has incorportated the airport into the zoning requirements with respect to land use and height restrictions.
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:
None
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:
None
4. Consistency with Local Plans—The project is reasonably consistent with plans (existing at the time of submission of
this application) of public agencies that are authorized by the State in which the project is located to plan for the
development of the area surrounding the airport.
Yes
5. Consideration of Local Interest— It has given fair consideration to the interest of communities in or near where the
project may be located.
Yes
6. Consultation with Users— In making a decision to undertake any airport development project under Title 49, United
States Code, it has undertaken reasonable consultations with affected parties using the airport which project is proposed.
The airport users support the proposed improvement
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.
Does Not Apply
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.
Does Not Apply
FAA Form 5100-100(5/14)SUPERSEDES PREVIOUS EDITION Page 3a
OMB CONTROL NUMBER:2120-0569
OMB EXPIRATION DATE:4/30/2017
PART II—SECTION C (Continued)
9. Exclusive Rights —There is no grant of an exclusive right for the conduct of any aeronautical activity at any airport
owned or controlled by the Sponsor except as follows:
None
10. Land—(a)The sponsor holds the following property interest in the following areas of land*which are to be developed
or used as part of or in connection with the Airport subject to the following exceptions, encumbrances, and adverse
interests, all of which areas are identified on the aforementioned property map designated as Exhibit"A":
Lewis County is the sole property owner of the airport. The Exhibit A Property map will be updated as part of the project.
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":
No land acquisition is needed as part of this project.
(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"
No land acquisition is needed as part of this project.
*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(5/14)SUPERSEDES PREVIOUS EDITION Page 3b
OMB CONTROL NUMBER:2120-0569
OMB EXPIRATION DATE:4/30/2017
PART III - BUDGET INFORMATION - CONSTRUCTION
SECTION A-GENERAL
1. Federal Domestic Assistance Catalog Number: 20-106
2. Functional or Other Breakout:
SECTION B-CALCULATION OF FEDERAL GRANT
Use only for revisions Total
Cost Classification Amount
Latest Approved Adjustment Required
Amount +or(-)
1. Administration expense $ $ $ 5,000.00
2. Preliminary expense 0.00
3. Land, structures, right-of-way 0.00
4. Architectural engineering basic fees 112,000.00
5. Other Architectural engineering fees 0.00
6. Project inspection fees 260,000.00
7. Land development 0.00
8. Relocation Expenses 0.00
9. Relocation payments to Individuals and Businesses 0.00
10. Demolition and removal 0.00
11. Construction and project improvement 3,200,000.00
12. Equipment 0.00
13. Miscellaneous 0.00
14. Total(Lines 1 through 13) 3,577,000.00
15. Estimated Income (if applicable) 0.00
16. Net Project Amount(Line 14 minus 15) 3,577,000.00
17. Less: Ineligible Exclusions 0.00
18. Add: Contingencies 0.00
19. Total Project Amt. (Excluding Rehabilitation Grants) 3,577,000.00
20. Federal Share requested of Line 19 3,219,300.00
21. Add Rehabilitation Grants Requested (100 Percent) 0.00
22. Total Federal grant requested (lines 20&21) 3,219,300.00
23. Grantee share 178,850.00
24. Other shares 178,850.00
25. Total Project(Lines 22, 23&24) $ $ $ 3,577,000.00
FAA Form 5100-100(5/14)SUPERSEDES PREVIOUS EDITION Page 4
OMB CONTROL NUMBER:2120-0569
OMB EXPIRATION DATE:4/30/2017
SECTION C—EXCLUSIONS
Classification Ineligible for Excluded From
Participation Contingency Provision
(1) (2)
a. $ $
b.
c.
d.
e.
f.
g. Totals $ $
SECTION D— PROPOSED METHOD OF FINANCING NON-FEDERAL SHARE
27. Grantee Share
a. Securities $
b. Mortgages
c. Appropriations (By Applicant) 178,850.00
d. Bonds
e. Tax Levies
f. Non Cash
g. Other(Explain)
h. TOTAL- Grantee share 178,850.00
28. Other Shares
a. State 178,850.00
b. Other
c. Total Other Shares 178,850.00
29. TOTAL $ 357,700.00
SECTION E— REMARKS
PART IV — PROGRAM NARRATIVE (Attach — See Instructions)
FAA Form 5100-100(5/14)SUPERSEDES PREVIOUS EDITION Page 5
OMB CONTROL NUMBER:2120-0569
OMB EXPIRATION DATE:4/30/2017
PART IV
PROGRAM NARRATIVE
(Suggested Format)
PROJECT : Runway 01/19 Improvements
AIRPORT : Packwood Airport
1. Objective:
The Runway 01/19 Improvements Project includes the shifting of Runway 01/19 southwest by approximately 140'to correct the
Runway 19 RSA deficiency.The runway will be reconstructed from its current 38-foot width to the FAA standard of 60-foot width for
Group I.The runway will be reconstructed to accomodate 12,500 lbs. Single Wheel Gear(SWG)aircraft. Runway 01 and Runway 19
RSA will be filled and graded to meet current FAA grading requirements.The project also includes the relocation of the access road
outside of the Runway 19 RSA.A new medium intensity runway lighting system(MiRL)will be installed.Theexisting elictrical building
will be replaced with an L-109 compliant electrical vault building.The project also includes the installation of a new wind cone and a
new airport rotating beacon.
2. Benefits Anticipated:
The current runway width and Runway Safety Area(RSA)dimensions do not meet current FAA design standards.The
proposed improvements will enhance operational safety at the airport.
3. Approach: (See approved Scope of Work in Final Application)
This project represent Phase Ill of a three-phase project. The Alternatives Analysis and Selection of a Preferred Alternative has been
completed under Phase I.The Design and Environmental Documentation has been completed under Phase II. Phase III,which
includes the administration, bidding, construction management and construction of the improvements began in March 2015 and is
anticipated to be completed prior to December 2016.
4. Geographic Location:
The physical location of the project is Packwood Airport(55S), located in Packwood,WA.
5. If Applicable, Provide Additional Information:
N/A
6. Sponsor's Representative: (include address&telephone number)
Lee Napier, Director of Community Development
2025 NE Kresky Ave
Chehalis,WA 98532
360-740- 1146
FAA Form 5100-100(5/14)SUPERSEDES PREVIOUS EDITION Page 6
CIP/PREAPPLICATION DATA SHEET
AIRPORT: Packwood Airport (55S) LOCAL PRIORITY: UPDATED:
WORK ITEM: Rwy 01/19 Improvements Project— Phase HI: Construction
SKETCH:
7,- ,„ _ „..,— 7, ..4... ..* " ,,,,, . "Vis... afj*re" t:'-' '. 4.1 t T .sz ', d ,. ` of >, ' '-v1.- G „,,,,,,
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At,
!::4,;.7,,,,7,,iz : ,...4.1vitt,i,f,... ,- -- ,...-.. ,i+.4.-7, - ; , trf;,, ' -. di -........7. . ‘,.
',-,f-,-*--PRIA4f ft) , , ' .:ibri,ktilr,..v:it t....,.'4 41-,..4, . 7 ,„-f. t.r - -.4,,,,,:v.**(4,-',.k... -,,i, -' a#. 4.4 ,(V. # 4.1"7* .1:a 4.-
.a ,..
a. f ;, rig - ose, 'j , e,€ - '-,----rogi-ita.,*-:,#____4_,,ift-ii :
.3.2.y***T. ..A., ,_ 1,7,„ Is ,,.: , A itiF,,,.
- A, : /Y` - - **-,.444 mot" . <
i_t .ct' , f - , . , ' 4,:..; li. ;-' t,„;.. — -Iliff ''' ' - g - , A.,..'V''7. - '-tt‘tti-**1.3*
it - , *--- ------11 .,1_ _ !, * m31:, It ----- -.4i; * -4, :'. , f 0_ .t,1#
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Runway Improvements P pct _ A � ?� ' 4 ,
1
a 441,1 ii ,
JUSTIFICATION:
The current runway width and Runway Safety Area (RSA) dimensions do not meet current FAA
design standards. The propo d improvements will enhance operational safety at the airport.
SPONSOR SIGNATURE: _ LI pL to
DATE: (o j 5 IS
COST ESTIMATE: $3,577,000 Item: Engineering, Construction Management & Construction
ADMINISTRATION: $ 5,000 1 Construction $ 3,200,000 4: $
ENGINEERING: $ 112,000 2: $ 5: $
INSPECTION: $ 260,000 3: $ TOTAL: $3,577,000
ADO USE:
PREAPP GRANT NPIAS WORK FAA
NO: NO: CODE: CODE: PRIOR: FED $
et AVjq
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ASSURANCES
Airport Sponsors
A. General.
1. These assurances shall be complied with in the performance of grant agreements for
airport development, airport planning, and noise compatibility program grants for
airport sponsors.
2. These assurances are required to be submitted as part of the project application by
sponsors requesting funds under the provisions of Title 49,U.S.C., subtitle VII, as
amended. As used herein, the term "public agency sponsor" means a public agency
with control of a public-use airport; the term "private sponsor" means a private owner
of a public-use airport; and the term "sponsor" includes both public agency sponsors
and private sponsors.
3. Upon acceptance of this grant offer by the sponsor, these assurances are incorporated
in and become part of this grant agreement.
B. Duration and Applicability.
1. Airport development or Noise Compatibility Program Projects Undertaken by a
Public Agency Sponsor.
The terms, conditions and assurances of this grant agreement shall remain in full
force and effect throughout the useful life of the facilities developed or equipment
acquired for an airport development or noise compatibility program project, or
throughout the useful life of the project items installed within a facility under a noise
compatibility program project, but in any event not to exceed twenty (20)years from
the date of acceptance of a grant offer of Federal funds for the project. However,
there shall be no limit on the duration of the assurances regarding Exclusive Rights
and Airport Revenue so long as the airport is used as an airport. There shall be no
limit on the duration of the terms, conditions, and assurances with respect to real
property acquired with federal funds. Furthermore, the duration of the Civil Rights
assurance shall be specified in the assurances.
2. Airport Development or Noise Compatibility Projects Undertaken by a Private
Sponsor.
The preceding paragraph 1 also applies to a private sponsor except that the useful life
of project items installed within a facility or the useful life of the facilities developed
or equipment acquired under an airport development or noise compatibility program
project shall be no less than ten(10) years from the date of acceptance of Federal aid
for the project.
Airport Sponsor Assurances 3/2014 Page 1 of 20
3. Airport Planning Undertaken by a Sponsor.
Unless otherwise specified in this grant agreement, only Assurances 1, 2, 3, 5, 6, 13,
18, 25, 30, 32, 33, and 34 in Section C apply to planning projects. The terms,
conditions, and assurances of this grant agreement shall remain in full force and effect
during the life of the project;there shall be no limit on the duration of the assurances
regarding Airport Revenue so long as the airport is used as an airport.
C. Sponsor Certification.
The sponsor hereby assures and certifies,with respect to this grant that:
1. General Federal Requirements.
It will comply with all applicable Federal laws, regulations, executive orders,
policies, guidelines, and requirements as they relate to the application, acceptance and
use of Federal funds for this project including but not limited to the following:
Federal Legislation
a. Title 49, U.S.C., subtitle VII, as amended.
b. Davis-Bacon Act- 40 U.S.C. 276(a), et seq.'
c. Federal Fair Labor Standards Act- 29 U.S.C. 201, et seq.
d. Hatch Act—5 U.S.C. 1501, et seq.2
e. Uniform Relocation Assistance and Real Property Acquisition Policies Act of
1970 Title 42 U.S.C. 4601, et seq.1 2
f National Historic Preservation Act of 1966 - Section 106 - 16 U.S.C. 470(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.
i. Clean Air Act, P.L. 90-148, as amended.
j. Coastal Zone Management Act, P.L. 93-205, as amended.
k. Flood Disaster Protection Act of 1973 - Section 102(a) -42 U.S.C. 4012a.'
1. Title 49, U.S.C., Section 303, (formerly known as Section 4(f))
m. Rehabilitation Act of 1973 -29 U.S.C. 794.
n. Title VI of the Civil Rights Act of 1964 (42 U.S.C. § 2000d et seq., 78 stat. 252)
(prohibits discrimination on the basis of race, color, national origin);
o. Americans with Disabilities Act of 1990, as amended, (42 U.S.C. § 12101 et
seq.),prohibits discrimination on the basis of disability).
p. Age Discrimination Act of 1975 - 42 U.S.C. 6101, et seq.
q. American Indian Religious Freedom Act, P.L. 95-341, as amended.
r. Architectural Barriers Act of 1968 -42 U.S.C. 4151, et seq.'
s. Power plant and Industrial Fuel Use Act of 1978 - Section 403- 2 U.S.C. 8373.'
t. Contract Work Hours and Safety Standards Act - 40 U.S.C. 327, et seq.'
u. Copeland Anti-kickback Act - 18 U.S.C. 874.1
v. National Environmental Policy Act of 1969 - 42 U.S.C. 4321, et seq.'
w. Wild and Scenic Rivers Act, P.L. 90-542, as amended.
x. Single Audit Act of 1984 - 31 U.S.C. 7501, et seq.2
y. Drug-Free Workplace Act of 1988 - 41 U.S.C. 702 through 706.
Airport Sponsor Assurances 3/2014 Page 2 of 20
z. The Federal Funding Accountability and Transparency Act of 2006, as amended
(Pub. L. 109-282, as amended by section 6202 of Pub. L. 110-252).
Executive Orders
a. Executive Order 11246 - Equal Employment Opportunity'
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'
f Executive Order 12898 - Environmental Justice
Federal Regulations
a. 2 CFR Part 180 - OMB Guidelines to Agencies on Governmentwide Debarment
and Suspension(Nonprocurement).
b. 2 CFR Part 200, Uniform Administrative Requirements, Cost Principles, and
Audit Requirements for Federal Awards. [OMB Circular A-87 Cost Principles
Applicable to Grants and Contracts with State and Local Governments, and OMB
Circular A-133 - Audits of States, Local Governments, and Non-Profit
Organizations].4.5,6
c. 2 CFR Part 1200—Nonprocurement Suspension and Debarment
d. 14 CFR Part 13 -Investigative and Enforcement Procedures 14 CFR Part 16 -
Rules of Practice For Federally Assisted Airport Enforcement Proceedings.
e. 14 CFR Part 150 - Airport noise compatibility planning.
f. 28 CFR Part 35- Discrimination on the Basis of Disability in State and Local
Government Services.
g. 28 CFR § 50.3 -U.S. Department of Justice Guidelines for Enforcement of Title
VI of the Civil Rights Act of 1964.
h. 29 CFR Part 1 - Procedures for predetermination of wage rates.'
i. 29 CFR Part 3 - Contractors and subcontractors on public building or public work
financed in whole or part by loans or grants from the United States.'
j. 29 CFR Part 5 - Labor standards provisions applicable to contracts covering
federally financed and assisted construction(also labor standards provisions
applicable to non-construction contracts subject to the Contract Work Hours and
Safety Standards Act).'
k. 41 CFR Part 60 - Office of Federal Contract Compliance Programs, Equal
Employment Opportunity, Department of Labor(Federal and federally assisted
contracting requirements).'
1. 49 CFR Part 18 - Uniform administrative requirements for grants and cooperative
agreements to state and local governments.3
m. 49 CFR Part 20 - New restrictions on lobbying.
n. 49 CFR Part 21 —Nondiscrimination in federally-assisted programs of the
Department of Transportation - effectuation of Title VI of the Civil Rights Act of
1964.
o. 49 CFR Part 23 - Participation by Disadvantage Business Enterprise in Airport
Concessions.
Airport Sponsor Assurances 3/2014 Page 3 of 20
p. 49 CFR Part 24—Uniform Relocation Assistance and Real Property Acquisition
for Federal and Federally Assisted Programs.'2
q. 49 CFR Part 26—Participation by Disadvantaged Business Enterprises in
Department of Transportation Programs.
r. 49 CFR Part 27—Nondiscrimination on the Basis of Handicap in Programs and
Activities Receiving or Benefiting from Federal Financial Assistance.'
s. 49 CFR Part 28—Enforcement of Nondiscrimination on the Basis of Handicap in
Programs or Activities conducted by the Department of Transportation.
t. 49 CFR Part 30 - Denial of public works contracts to suppliers of goods and
services of countries that deny procurement market access to U.S. contractors.
u. 49 CFR Part 32—Governmentwide Requirements for Drug-Free Workplace
(Financial Assistance)
v. 49 CFR Part 37—Transportation Services for Individuals with Disabilities
(ADA).
w. 49 CFR Part 41 - Seismic safety of Federal and federally assisted or regulated
new building construction.
Specific Assurances
Specific assurances required to be included in grant agreements by any of the above
laws, regulations or circulars are incorporated by reference in this grant agreement.
Footnotes to Assurance C.1.
1 These laws do not apply to airport planning sponsors.
2 These laws do not apply to private sponsors.
3 49 CFR Part 18 and 2 CFR Part 200 contain requirements for State and Local
Governments receiving Federal assistance. Any requirement levied upon State
and Local Governments by this regulation and circular shall also be applicable
to private sponsors receiving Federal assistance under Title 49,United States
Code.
4 On December 26, 2013 at 78 FR 78590, the Office of Management and Budget
(OMB) issued the Uniform Administrative Requirements, Cost Principles, and
Audit Requirements for Federal Awards in 2 CFR Part 200. 2 CFR Part 200
replaces and combines the former Uniform Administrative Requirements for
Grants (OMB Circular A-102 and Circular A-110 or 2 CFR Part 215 or
Circular) as well as the Cost Principles (Circulars A-21 or 2 CFR part 220;
Circular A-87 or 2 CFR part 225; and A-122, 2 CFR part 230). Additionally it
replaces Circular A-133 guidance on the Single Annual Audit. In accordance
with 2 CFR section 200.110, the standards set forth in Part 200 which affect
administration of Federal awards issued by Federal agencies become effective
once implemented by Federal agencies or when any future amendment to this
Part becomes final. Federal agencies, including the Department of
Transportation, must implement the policies and procedures applicable to
Federal awards by promulgating a regulation to be effective by December 26,
2014 unless different provisions are required by statute or approved by OMB.
Airport Sponsor Assurances 3/2014 Page 4 of 20
5 Cost principles established in 2 CFR part 200 subpart E must be used as
guidelines for determining the eligibility of specific types of expenses.
6 Audit requirements established in 2 CFR part 200 subpart F are the guidelines
for audits.
2. Responsibility and Authority of the Sponsor.
a. Public Agency Sponsor:
It has legal authority to apply for this grant, and to finance and carry out the proposed
project; that a resolution, motion or similar action has been duly adopted or passed as
an official act of the applicant's governing body authorizing the filing of the
application, including all understandings and assurances contained therein, and
directing and authorizing the person identified as the official representative of the
applicant to act in connection with the application and to provide such additional
information as may be required.
b. Private Sponsor:
It has legal authority to apply for this grant and to finance and carry out the proposed
project and comply with all terms, conditions, and assurances of this grant agreement.
It shall designate an official representative and shall in writing direct and authorize
that person to file this application, including all understandings and assurances
contained therein; to act in connection with this application; and to provide such
additional information as may be required.
3. Sponsor Fund Availability.
It has sufficient funds available for that portion of the project costs which are not to
be paid by the United States. It has sufficient funds available to assure operation and
maintenance of items funded under this grant agreement which it will own or control.
4. Good Title.
a. It, a public agency or the Federal government, holds good title, satisfactory to the
Secretary, to the landing area of the airport or site thereof, or will give assurance
satisfactory to the Secretary that good title will be acquired.
b. For noise compatibility program projects to be carried out on the property of the
sponsor, it holds good title satisfactory to the Secretary to that portion of the
property upon which Federal funds will be expended or will give assurance to the
Secretary that good title will be obtained.
5. Preserving Rights and Powers.
a. It will not take or permit any action which would operate to deprive it of any of
the rights and powers necessary to perform any or all of the terms, conditions, and
assurances in this grant agreement without the written approval of the Secretary,
and will act promptly to acquire, extinguish or modify any outstanding rights or
claims of right of others which would interfere with such performance by the
sponsor. This shall be done in a manner acceptable to the Secretary.
Airport Sponsor Assurances 3/2014 Page 5 of 20
b. It will not sell, lease, encumber, or otherwise transfer or dispose of any part of its
title or other interests in the property shown on Exhibit A to this application or,
for a noise compatibility program project,that portion of the property upon which
Federal funds have been expended, for the duration of the terms, conditions, and
assurances in this grant agreement without approval by the Secretary. If the
transferee is found by the Secretary to be eligible under Title 49,United States
Code, to assume the obligations of this grant agreement and to have the power,
authority, and financial resources to carry out all such obligations, the sponsor
shall insert in the contract or document transferring or disposing of the sponsor's
interest, and make binding upon the transferee all of the terms, conditions, and
assurances contained in this grant agreement.
c. For all noise compatibility program projects which are to be carried out by
another unit of local government or are on property owned by a unit of local
government other than the sponsor, it will enter into an agreement with that
government. Except as otherwise specified by the Secretary, that agreement shall
obligate that government to the same terms, conditions, and assurances that would
be applicable to it if it applied directly to the FAA for a grant to undertake the
noise compatibility program project. That agreement and changes thereto must be
satisfactory to the Secretary. It will take steps to enforce this agreement against
the local government if there is substantial non-compliance with the terms of the
agreement.
d. For noise compatibility program projects to be carried out on privately owned
property, it will enter into an agreement with the owner of that property which
includes provisions specified by the Secretary. It will take steps to enforce this
agreement against the property owner whenever there is substantial non-
compliance with the terms of the agreement.
e. If the sponsor is a private sponsor, it will take steps satisfactory to the Secretary to
ensure that the airport will continue to function as a public-use airport in
accordance with these assurances for the duration of these assurances.
f If an arrangement is made for management and operation of the airport by any
agency or person other than the sponsor or an employee of the sponsor, the
sponsor will reserve sufficient rights and authority to insure that the airport will
be operated and maintained in accordance Title 49,United States Code, the
regulations and the terms, conditions and assurances in this grant agreement and
shall insure that such arrangement also requires compliance therewith.
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.
Airport Sponsor Assurances 3/2014 Page 6 of 20
6. Consistency with Local Plans.
The project is reasonably consistent with plans (existing at the time of submission of
this application) of public agencies that are authorized by the State in which the
project is located to plan for the development of the area surrounding the airport.
7. Consideration of Local Interest.
It has given fair consideration to the interest of communities in or near where the
project may be located.
8. Consultation with Users.
In making a decision to undertake any airport development project under Title 49,
United States Code, it has undertaken reasonable consultations with affected parties
using the airport at which project is proposed.
9. Public Hearings.
In projects involving the location of an airport, an airport runway, or a major runway
extension, it has afforded the opportunity for public hearings for the purpose of
considering the economic, social, and environmental effects of the airport or runway
location and its consistency with goals and objectives of such planning as has been
carried out by the community and it shall,when requested by the Secretary, submit a
copy of the transcript of such hearings to the Secretary. Further, for such projects, it
has on its management board either voting representation from the communities
where the project is located or has advised the communities that they have the right to
petition the Secretary concerning a proposed project.
10. Metropolitan Planning Organization.
In projects involving the location of an airport, an airport runway, or a major runway
extension at a medium or large hub airport, the sponsor has made available to and has
provided upon request to the metropolitan planning organization in the area in which
the airport is located, if any, a copy of the proposed amendment to the airport layout
plan to depict the project and a copy of any airport master plan in which the project is
described or depicted.
11. Pavement Preventive Maintenance.
With respect to a project approved after January 1, 1995, for the replacement or
reconstruction of pavement at the airport, it assures or certifies that it has
implemented an effective airport pavement maintenance-management program and it
assures that it will use such program for the useful life of any pavement constructed,
reconstructed or repaired with Federal financial assistance at the airport. It will
provide such reports on pavement condition and pavement management programs as
the Secretary determines may be useful.
12. Terminal Development Prerequisites.
For projects which include terminal development at a public use airport, as defined in
Title 49, it has, on the date of submittal of the project grant application, all the safety
equipment required for certification of such airport under section 44706 of Title 49,
United States Code, and all the security equipment required by rule or regulation, and
Airport Sponsor Assurances 3/2014 Page 7 of 20
has provided for access to the passenger enplaning and deplaning area of such airport
to passengers enplaning and deplaning from aircraft other than air carrier aircraft.
13. Accounting System, Audit, and Record Keeping Requirements.
a. It shall keep all project accounts and records which fully disclose the amount and
disposition by the recipient of the proceeds of this grant, the total cost of the
project in connection with which this grant is given or used, and the amount or
nature of that portion of the cost of the project supplied by other sources, and such
other financial records pertinent to the project. The accounts and records shall be
kept in accordance with an accounting system that will facilitate an effective audit
in accordance with the Single Audit Act of 1984.
b. It shall make available to the Secretary and the Comptroller General of the United
States, or any of their duly authorized representatives, for the purpose of audit and
examination, any books, documents, papers, and records of the recipient that are
pertinent to this grant. The Secretary may require that an appropriate audit be
conducted by a recipient. In any case in which an independent audit is made of the
accounts of a sponsor relating to the disposition of the proceeds of a grant or
relating to the project in connection with which this grant was given or used, it
shall file a certified copy of such audit with the Comptroller General of the United
States not later than six(6)months following the close of the fiscal year for which
the audit was made.
14. Minimum Wage Rates.
It shall include, in all contracts in excess of$2,000 for work on any projects funded
under this grant agreement which involve labor, provisions establishing minimum
rates of wages, to be predetermined by the Secretary of Labor, in accordance with the
Davis-Bacon Act, as amended (40 U.S.C. 276a-276a-5),which contractors shall pay
to skilled and unskilled labor, and such minimum rates shall be stated in the invitation
for bids and shall be included in proposals or bids for the work.
15. Veteran's Preference.
It shall include in all contracts for work on any project funded under this grant
agreement which involve labor, such provisions as are necessary to insure that, in the
employment of labor(except in executive, administrative, and supervisory positions),
preference shall be given to Vietnam era veterans, Persian Gulf veterans,
Afghanistan-Iraq war veterans, disabled veterans, and small business concerns owned
and controlled by disabled veterans as defined in Section 47112 of Title 49,United
States Code. However, this preference shall apply only where the individuals are
available and qualified to perform the work to which the employment relates.
16. Conformity to Plans and Specifications.
It will execute the project subject to plans, specifications, and schedules approved by
the Secretary. Such plans, specifications, and schedules shall be submitted to the
Secretary prior to commencement of site preparation, construction, or other
performance under this grant agreement, and, upon approval of the Secretary, shall be
incorporated into this grant agreement. Any modification to the approved plans,
Airport Sponsor Assurances 3/2014 Page 8 of 20
specifications, and schedules shall also be subject to approval of the Secretary, and
incorporated into this grant agreement.
17. Construction Inspection and Approval.
It will provide and maintain competent technical supervision at the construction site
throughout the project to assure that the work conforms to the plans, specifications,
and schedules approved by the Secretary for the project. It shall subject the
construction work on any project contained in an approved project application to
inspection and approval by the Secretary and such work shall be in accordance with
regulations and procedures prescribed by the Secretary. Such regulations and
procedures shall require such cost and progress reporting by the sponsor or sponsors
of such project as the Secretary shall deem necessary.
18. Planning Projects.
In carrying out planning projects:
a. It will execute the project in accordance with the approved program narrative
contained in the project application or with the modifications similarly approved.
b. It will furnish the Secretary with such periodic reports as required pertaining to
the planning project and planning work activities.
c. It will include in all published material prepared in connection with the planning
project a notice that the material was prepared under a grant provided by the
United States.
d. It will make such material available for examination by the public, and agrees that
no material prepared with funds under this project shall be subject to copyright in
the United States or any other country.
e. It will give the Secretary unrestricted authority to publish, disclose, distribute, and
otherwise use any of the material prepared in connection with this grant.
f It will grant the Secretary the right to disapprove the sponsor's employment of
specific consultants and their subcontractors to do all or any part of this project as
well as the right to disapprove the proposed scope and cost of professional
services.
g. It will grant the Secretary the right to disapprove the use of the sponsor's
employees to do all or any part of the project.
h. It understands and agrees that the Secretary's approval of this project grant or the
Secretary's approval of any planning material developed as part of this grant does
not constitute or imply any assurance or commitment on the part of the Secretary
to approve any pending or future application for a Federal airport grant.
19. Operation and Maintenance.
a. The airport and all facilities which are necessary to serve the aeronautical users of
the airport, other than facilities owned or controlled by the United States, shall be
operated at all times in a safe and serviceable condition and in accordance with
the minimum standards as may be required or prescribed by applicable Federal,
Airport Sponsor Assurances 3/2014 Page 9 of 20
state and local agencies for maintenance and operation. It will not cause or permit
any activity or action thereon which would interfere with its use for airport
purposes. It will suitably operate and maintain the airport and all facilities thereon
or connected therewith, with due regard to climatic and flood conditions. Any
proposal to temporarily close the airport for non-aeronautical purposes must first
be approved by the Secretary. In furtherance of this assurance,the sponsor will
have in effect arrangements for-
1) Operating the airport's aeronautical facilities whenever required;
2) Promptly marking and lighting hazards resulting from airport conditions,
including temporary conditions; and
3) Promptly notifying airmen of any condition affecting aeronautical use of the
airport. Nothing contained herein shall be construed to require that the airport
be operated for aeronautical use during temporary periods when snow, flood
or other climatic conditions interfere with such operation and maintenance.
Further, nothing herein shall be construed as requiring the maintenance,
repair,restoration, or replacement of any structure or facility which is
substantially damaged or destroyed due to an act of God or other condition or
circumstance beyond the control of the sponsor.
b. It will suitably operate and maintain noise compatibility program items that it
owns or controls upon which Federal funds have been expended.
20. Hazard Removal and Mitigation.
It will take appropriate action to assure that such terminal airspace as is required to
protect instrument and visual operations to the airport(including established
minimum flight altitudes)will be adequately cleared and protected by removing,
lowering, relocating, marking, or lighting or otherwise mitigating existing airport
hazards and by preventing the establishment or creation of future airport hazards.
21. Compatible Land Use.
It will take appropriate action, to the extent reasonable, including the adoption of
zoning laws,to restrict the use of land adjacent to or in the immediate vicinity of the
airport to activities and purposes compatible with normal airport operations, including
landing and takeoff of aircraft. In addition, if the project is for noise compatibility
program implementation, it will not cause or permit any change in land use, within its
jurisdiction, that will reduce its compatibility, with respect to the airport, of the noise
compatibility program measures upon which Federal funds have been expended.
22. Economic Nondiscrimination.
a. It will make the airport available as an airport for public use on reasonable terms
and without unjust discrimination to all types, kinds and classes of aeronautical
activities, including commercial aeronautical activities offering services to the
public at the airport.
b. In any agreement, contract, lease, or other arrangement under which a right or
privilege at the airport is granted to any person, firm, or corporation to conduct or
Airport Sponsor Assurances 3/2014 Page 10 of 20
to engage in any aeronautical activity for furnishing services to the public at the
airport,the sponsor will insert and enforce provisions requiring the contractor to-
1) furnish said services on a reasonable, and not unjustly discriminatory, basis to
all users thereof, and
2) charge reasonable, and not unjustly discriminatory, prices for each unit or
service, provided that the contractor may be allowed to make reasonable and
nondiscriminatory discounts, rebates, or other similar types of price reductions
to volume purchasers.
c. Each fixed-based operator at the airport shall be subject to the same rates, fees,
rentals, and other charges as are uniformly applicable to all other fixed-based
operators making the same or similar uses of such airport and utilizing the same
or similar facilities.
d. Each air carrier using such airport shall have the right to service itself or to use
any fixed-based operator that is authorized or permitted by the airport to serve any
air carrier at such airport.
e. Each air carrier using such airport(whether as a tenant, non-tenant, or subtenant
of another air carrier tenant) shall be subject to such nondiscriminatory and
substantially comparable rules, regulations, conditions, rates, fees, rentals, and
other charges with respect to facilities directly and substantially related to
providing air transportation as are applicable to all such air carriers which make
similar use of such airport and utilize similar facilities, subject to reasonable
classifications such as tenants or non-tenants and signatory carriers and non-
signatory carriers. Classification or status as tenant or signatory shall not be
unreasonably withheld by any airport provided an air carrier assumes obligations
substantially similar to those already imposed on air carriers in such classification
or status.
f. It will not exercise or grant any right or privilege which operates to prevent any
person, firm, or corporation operating aircraft on the airport from performing any
services on its own aircraft with its own employees [including, but not limited to
maintenance, repair, and fueling] that it may choose to perform.
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.
i. The sponsor may prohibit or limit any given type, kind or class of aeronautical
use of the airport if such action is necessary for the safe operation of the airport or
necessary to serve the civil aviation needs of the public.
Airport Sponsor Assurances 3/2014 Page 11 of 20
23. Exclusive Rights.
It will permit no exclusive right for the use of the airport by any person providing, or
intending to provide, aeronautical services to the public. For purposes of this
paragraph,the providing of the services at an airport by a single fixed-based operator
shall not be construed as an exclusive right if both of the following apply:
a. It would be unreasonably costly, burdensome, or impractical for more than one
fixed-based operator to provide such services, and
b. If allowing more than one fixed-based operator to provide such services would
require the reduction of space leased pursuant to an existing agreement between
such single fixed-based operator and such airport. It further agrees that it will not,
either directly or indirectly, grant or permit any person, firm, or corporation, the
exclusive right at the airport to conduct any aeronautical activities, including, but
not limited to charter flights, pilot training, aircraft rental and sightseeing, aerial
photography, crop dusting, aerial advertising and surveying, air carrier operations,
aircraft sales and services, sale of aviation petroleum products whether or not
conducted in conjunction with other aeronautical activity, repair and maintenance
of aircraft, sale of aircraft parts, and any other activities which because of their
direct relationship to the operation of aircraft can be regarded as an aeronautical
activity, and that it will terminate any exclusive right to conduct an aeronautical
activity now existing at such an airport before the grant of any assistance under
Title 49, United States Code.
24. Fee and Rental Structure.
It will maintain a fee and rental structure for the facilities and services at the airport
which will make the airport as self-sustaining as possible under the circumstances
existing at the particular airport, taking into account such factors as the volume of
traffic and economy of collection. No part of the Federal share of an airport
development, airport planning or noise compatibility project for which a grant is
made under Title 49,United States Code, the Airport and Airway Improvement Act
of 1982,the Federal Airport Act or the Airport and Airway Development Act of 1970
shall be included in the rate basis in establishing fees, rates, and charges for users of
that airport.
25. Airport Revenues.
a. All revenues generated by the airport and any local taxes on aviation fuel
established after December 30, 1987,will be expended by it for the capital or
operating costs of the airport; the local airport system; or other local facilities
which are owned or operated by the owner or operator of the airport and which
are directly and substantially related to the actual air transportation of passengers
or property; or for noise mitigation purposes on or off the airport. The following
exceptions apply to this paragraph:
1) If covenants or assurances in debt obligations issued before September 3,
1982, by the owner or operator of the airport, or provisions enacted before
September 3, 1982, in governing statutes controlling the owner or operator's
financing, provide for the use of the revenues from any of the airport owner or
Airport Sponsor Assurances 3/2014 Page 12 of 20
operator's facilities, including the airport, to support not only the airport but
also the airport owner or operator's general debt obligations or other facilities,
then this limitation on the use of all revenues generated by the airport(and, in
the case of a public airport, local taxes on aviation fuel) shall not apply.
2) If the Secretary approves the sale of a privately owned airport to a public
sponsor and provides funding for any portion of the public sponsor's
acquisition of land, this limitation on the use of all revenues generated by the
sale shall not apply to certain proceeds from the sale. This is conditioned on
repayment to the Secretary by the private owner of an amount equal to the
remaining unamortized portion(amortized over a 20-year period) of any
airport improvement grant made to the private owner for any purpose other
than land acquisition on or after October 1, 1996, plus an amount equal to the
federal share of the current fair market value of any land acquired with an .
airport improvement grant made to that airport on or after October 1, 1996.
3) Certain revenue derived from or generated by mineral extraction, production,
lease, or other means at a general aviation airport(as defined at Section 47102
of title 49 United States Code), if the FAA determines the airport sponsor
meets the requirements set forth in Sec. 813 of Public Law 112-95.
b. As part of the annual audit required under the Single Audit Act of 1984,the
sponsor will direct that the audit will review, and the resulting audit report will
provide an opinion concerning, the use of airport revenue and taxes in paragraph
(a), and indicating whether funds paid or transferred to the owner or operator are
paid or transferred in a manner consistent with Title 49, United States Code and
any other applicable provision of law, including any regulation promulgated by
the Secretary or Administrator.
c. Any civil penalties or other sanctions will be imposed for violation of this
assurance in accordance with the provisions of Section 47107 of Title 49,United
States Code.
26. Reports and Inspections.
It will:
a. submit to the Secretary such annual or special financial and operations reports as
the Secretary may reasonably request and make such reports available to the
public; make available to the public at reasonable times and places a report of the
airport budget in a format prescribed by the Secretary;
b. for airport development projects, make the airport and all airport records and
documents affecting the airport, including deeds, leases, operation and use
agreements, regulations and other instruments, available for inspection by any
duly authorized agent of the Secretary upon reasonable request;
c. for noise compatibility program projects, make records and documents relating to
the project and continued compliance with the terms, conditions, and assurances
of this grant agreement including deeds, leases, agreements, regulations, and other
instruments, available for inspection by any duly authorized agent of the Secretary
upon reasonable request; and
Airport Sponsor Assurances 3/2014 Page 13 of 20
d. in a format and time prescribed by the Secretary, provide to the Secretary and
make available to the public following each of its fiscal years, an annual report
listing in detail:
1) all amounts paid by the airport to any other unit of government and the
purposes for which each such payment was made; and
2) all services and property provided by the airport to other units of government
and the amount of compensation received for provision of each such service
and property.
27. Use by Government Aircraft.
It will make available all of the facilities of the airport developed with Federal
financial assistance and all those usable for landing and takeoff of aircraft to the
United States for use by Government aircraft in common with other aircraft at all
times without charge, except, if the use by Government aircraft is substantial, charge
may be made for a reasonable share, proportional to such use, for the cost of
operating and maintaining the facilities used. Unless otherwise determined by the
Secretary, or otherwise agreed to by the sponsor and the using agency, substantial use
of an airport by Government aircraft will be considered to exist when operations of
such aircraft are in excess of those which, in the opinion of the Secretary, would
unduly interfere with use of the landing areas by other authorized aircraft, or during
any calendar month that—
a. Five(5) or more Government aircraft are regularly based at the airport or on land
adjacent thereto; or
b. The total number of movements(counting each landing as a movement) of
Government aircraft is 300 or more, or the gross accumulative weight of
Government aircraft using the airport(the total movement of Government aircraft
multiplied by gross weights of such aircraft) is in excess of five million pounds.
28. Land for Federal Facilities.
It will furnish without cost to the Federal Government for use in connection with any
air traffic control or air navigation activities, or weather-reporting and communication
activities related to air traffic control, any areas of land or water, or estate therein, or
rights in buildings of the sponsor as the Secretary considers necessary or desirable for
construction, operation, and maintenance at Federal expense of space or facilities for
such purposes. Such areas or any portion thereof will be made available as provided
herein within four months after receipt of a written request from the Secretary.
29. Airport Layout Plan.
a. It will keep up to date at all times an airport layout plan of the airport showing
1) boundaries of the airport and all proposed additions thereto, together with the
boundaries of all offsite areas owned or controlled by the sponsor for airport
purposes and proposed additions thereto;
2) the location and nature of all existing and proposed airport facilities and
structures (such as runways, taxiways, aprons,terminal buildings, hangars and
Airport Sponsor Assurances 3/2014 Page 14 of 20
roads), including all proposed extensions and reductions of existing airport
facilities;
3) the location of all existing and proposed nonaviation areas and of all existing
improvements thereon; and
4) all proposed and existing access points used to taxi aircraft across the airport's
property boundary. Such airport layout plans and each amendment, revision,
or modification thereof, shall be subject to the approval of the Secretary which
approval shall be evidenced by the signature of a duly authorized
representative of the Secretary on the face of the airport layout plan. The
sponsor will not make or permit any changes or alterations in the airport or
any of its facilities which are not in conformity with the airport layout plan as
approved by the Secretary and which might, in the opinion of the Secretary,
adversely affect the safety, utility or efficiency of the airport.
b. If a change or alteration in the airport or the facilities is made which the Secretary
determines adversely affects the safety, utility, or efficiency of any federally
owned, leased, or funded property on or off the airport and which is not in
conformity with the airport layout plan as approved by the Secretary, the owner or
operator will, if requested, by the Secretary(1) eliminate such adverse effect in a
manner approved by the Secretary; or(2) bear all costs of relocating such
property(or replacement thereof) to a site acceptable to the Secretary and all costs
of restoring such property (or replacement thereof) to the level of safety, utility,
efficiency, and cost of operation existing before the unapproved change in the
airport or its facilities except in the case of a relocation or replacement of an
existing airport facility due to a change in the Secretary's design standards beyond
the control of the airport sponsor.
30. Civil Rights.
It will promptly take any measures necessary to ensure that no person in the United
States shall, on the grounds of race, creed, color, national origin, sex, age, or
disability be excluded from participation in, be denied the benefits of, or be otherwise
subjected to discrimination in any activity conducted with, or benefiting from, funds
received from this grant.
a. Using the definitions of activity, facility and program as found and defined in §§
21.23 (b) and 21.23 (e) of 49 CFR § 21, the sponsor will facilitate all programs,
operate all facilities, or conduct all programs in compliance with all non-
discrimination requirements imposed by, or pursuant to these assurances.
b. Applicability
1) Programs and Activities. If the sponsor has received a grant(or other federal
assistance) for any of the sponsor's program or activities, these requirements
extend to all of the sponsor's programs and activities.
2) Facilities. Where it receives a grant or other federal financial assistance to
construct, expand, renovate, remodel, alter or acquire a facility, or part of a
facility, the assurance extends to the entire facility and facilities operated in
connection therewith.
Airport Sponsor Assurances 3/2014 Page 15 of 20
3) Real Property. Where the sponsor receives a grant or other Federal financial
assistance in the form of, or for the acquisition of real property or an interest
in real property, the assurance will extend to rights to space on, over, or under
such property.
c. Duration.
The sponsor agrees that it is obligated to this assurance for the period during
which Federal financial assistance is extended to the program, except where the
Federal financial assistance is to provide, or is in the form of, personal property,
or real property, or interest therein, or structures or improvements thereon, in
which case the assurance obligates the sponsor, or any transferee for the longer of
the following periods:
1) So long as the airport is used as an airport, or for another purpose involving
the provision of similar services or benefits; or
2) So long as the sponsor retains ownership or possession of the property.
d. Required Solicitation Language. It will include the following notification in all
solicitations for bids, Requests For Proposals for work, or material under this
grant agreement and in all proposals for agreements, including airport
concessions, regardless of funding source:
"The (Name of Sponsor), in accordance with the provisions of Title VI of the
Civil Rights Act of 1964 (78 Stat. 252, 42 U.S.C. §§ 2000d to 2000d-4) and the
Regulations, hereby notifies all bidders that it will affirmatively ensure that any
contract entered into pursuant to this advertisement, disadvantaged business
enterprises and airport concession disadvantaged business enterprises will be
afforded full and fair opportunity to submit bids in response to this invitation and
will not be discriminated against on the grounds of race, color, or national origin
in consideration for an award."
e. Required Contract Provisions.
1) It will insert the non-discrimination contract clauses requiring compliance
with the acts and regulations relative to non-discrimination in Federally-
assisted programs of the DOT, and incorporating the acts and regulations into
the contracts by reference in every contract or agreement subject to the non-
discrimination in Federally-assisted programs of the DOT acts and
regulations.
2) It will include a list of the pertinent non-discrimination authorities in every
contract that is subject to the non-discrimination acts and regulations.
3) It will insert non-discrimination contract clauses as a covenant running with
the land, in any deed from the United States effecting or recording a transfer
of real property, structures, use, or improvements thereon or interest therein to
a sponsor.
4) It will insert non-discrimination contract clauses prohibiting discrimination on
the basis of race, color, national origin, creed, sex, age, or handicap as a
Airport Sponsor Assurances 3/2014 Page 16 of 20
covenant running with the land,in any future deeds, leases, license, permits,
or similar instruments entered into by the sponsor with other parties:
a) For the subsequent transfer of real property acquired or improved under
the applicable activity, project, or program; and
b) For the construction or use of, or access to, space on, over, or under real
property acquired or improved under the applicable activity,project, or
program.
f It will provide for such methods of administration for the program as are found by
the Secretary to give reasonable guarantee that it, other recipients, sub-recipients,
sub-grantees, contractors, subcontractors, consultants,transferees, successors in
interest, and other participants of Federal financial assistance under such program
will comply with all requirements imposed or pursuant to the acts, the regulations,
and this assurance.
g. It agrees that the United States has a right to seek judicial enforcement with
regard to any matter arising under the acts, the regulations, and this assurance.
31. Disposal of Land.
a. For land purchased under a grant for airport noise compatibility purposes,
including land serving as a noise buffer, it will dispose of the land,when the land
is no longer needed for such purposes, at fair market value, at the earliest
practicable time. That portion of the proceeds of such disposition which is
proportionate to the United States' share of acquisition of such land will be, at the
discretion of the Secretary, (1) reinvested in another project at the airport, or(2)
transferred to another eligible airport as prescribed by the Secretary. The
Secretary shall give preference to the following, in descending order, (1)
reinvestment in an approved noise compatibility project, (2)reinvestment in an
approved project that is eligible for grant funding under Section 47117(e) of title
49 United States Code, (3) reinvestment in an approved airport development
project that is eligible for grant funding under Sections 47114, 47115, or 47117 of
title 49 United States Code, (4)transferred to an eligible sponsor of another public
airport to be reinvested in an approved noise compatibility project at that airport,
and (5) paid to the Secretary for deposit in the Airport and Airway Trust Fund. If
land acquired under a grant for noise compatibility purposes is leased at fair
market value and consistent with noise buffering purposes, the lease will not be
considered a disposal of the land. Revenues derived from such a lease may be
used for an approved airport development project that would otherwise be eligible
for grant funding or any permitted use of airport revenue.
b. For land purchased under a grant for airport development purposes (other than
noise compatibility), it will, when the land is no longer needed for airport
purposes, dispose of such land at fair market value or make available to the
Secretary an amount equal to the United States' proportionate share of the fair
market value of the land. That portion of the proceeds of such disposition which
is proportionate to the United States' share of the cost of acquisition of such land
will, (1) upon application to the Secretary, be reinvested or transferred to another
Airport Sponsor Assurances 3/2014 Page 17 of 20
eligible airport as prescribed by the Secretary. The Secretary shall give
preference to the following, in descending order: (1)reinvestment in an approved
- noise compatibility project, (2) reinvestment in an approved project that is eligible
for grant funding under Section 47117(e) of title 49 United States Code, (3)
reinvestment in an approved airport development project that is eligible for grant
funding under Sections 47114,47115, or 47117 of title 49 United States Code, (4)
transferred to an eligible sponsor of another public airport to be reinvested in an
approved noise compatibility project at that airport, and(5) paid to the Secretary
for deposit in the Airport and Airway Trust Fund.
c. Land shall be considered to be needed for airport purposes under this assurance if
(1) it may be needed for aeronautical purposes (including runway protection
zones) or serve as noise buffer land, and(2)the revenue from interim uses of such
land contributes to the financial self-sufficiency of the airport. Further, land
purchased with a grant received by an airport operator or owner before December
31, 1987, will be considered to be needed for airport purposes if the Secretary or
Federal agency making such grant before December 31, 1987,was notified by the
operator or owner of the uses of such land, did not object to such use, and the land
continues to be used for that purpose, such use having commenced no later than
December 15, 1989.
d. Disposition of such land under(a) (b) or(c)will be subject to the retention or
reservation of any interest or right therein necessary to ensure that such land will
only be used for purposes which are compatible with noise levels associated with
operation of the airport.
32. Engineering and Design Services.
It will award each contract, or sub-contract for program management, construction
management, planning studies, feasibility studies, architectural services, preliminary
engineering, design, engineering, surveying, mapping or related services with respect
to the project in the same manner as a contract for architectural and engineering
services is negotiated under Title IX of the Federal Property and Administrative
Services Act of 1949 or an equivalent qualifications-based requirement prescribed for
or by the sponsor of the airport.
33. Foreign Market Restrictions.
It will not allow funds provided under this grant to be used to fund any project which
uses any product or service of a foreign country during the period in which such
foreign country is listed by the United States Trade Representative as denying fair
and equitable market opportunities for products and suppliers of the United States in
procurement and construction.
34. Policies, Standards, and Specifications.
It will carry out the project in accordance with policies, standards, and specifications
approved by the Secretary including but not limited to the advisory circulars listed in
the Current FAA Advisory Circulars for AIP projects, dated (the latest
approved version as of this grant offer) and included in this grant, and in accordance
Airport Sponsor Assurances 3/2014 Page 18 of 20
with applicable state policies, standards, and specifications approved by the
Secretary.
35. Relocation and Real Property Acquisition.
a. It will be guided in acquiring real property,to the greatest extent practicable under
State law, by the land acquisition policies in Subpart B of 49 CFR Part 24 and
will pay or reimburse property owners for necessary expenses as specified in
Subpart B.
b. It will provide a relocation assistance program offering the services described in
Subpart C and fair and reasonable relocation payments and assistance to displaced
persons as required in Subpart D and E of 49 CFR Part 24.
c. It will make available within a reasonable period of time prior to displacement,
comparable replacement dwellings to displaced persons in accordance with
Subpart E of 49 CFR Part 24.
36. Access By Intercity Buses.
The airport owner or operator will permit, to the maximum extent practicable,
intercity buses or other modes of transportation to have access to the airport;
however, it has no obligation to fund special facilities for intercity buses or for other
modes of transportation.
37. Disadvantaged Business Enterprises.
The sponsor shall not discriminate on the basis of race, color, national origin or sex in
the award and performance of any DOT-assisted contract covered by 49 CFR Part 26,
or in the award and performance of any concession activity contract covered by 49
CFR Part 23. In addition, the sponsor shall not discriminate on the basis of race,
color, national origin or sex in the administration of its DBE and ACDBE programs
or the requirements of 49 CFR Parts 23 and 26. The sponsor shall take all necessary
and reasonable steps under 49 CFR Parts 23 and 26 to ensure nondiscrimination in the
award and administration of DOT-assisted contracts, and/or concession
contracts. The sponsor's DBE and ACDBE programs, as required by 49 CFR Parts
26 and 23, and as approved by DOT, are incorporated by reference in this
agreement. Implementation of these programs is a legal obligation and failure to
carry out its terms shall be treated as a violation of this agreement. Upon notification
to the sponsor of its failure to carry out its approved program, the Department may
impose sanctions as provided for under Parts 26 and 23 and may, in appropriate cases,
refer the matter for enforcement under 18 U.S.C. 1001 and/or the Program Fraud
Civil Remedies Act of 1936 (31 U.S.C. 3801).
38. Hangar Construction.
If the airport owner or operator and a person who owns an aircraft agree that a hangar
is to be constructed at the airport for the aircraft at the aircraft owner's expense,the
airport owner or operator will grant to the aircraft owner for the hangar a long term
lease that is subject to such terms and conditions on the hangar as the airport owner or
operator may impose.
Airport Sponsor Assurances 3/2014
Page 19 of 20
39. Competitive Access.
a. If the airport owner or operator of a medium or large hub airport(as defined in
section 47102 of title 49, U.S.C.) has been unable to accommodate one or more
requests by an air carrier for access to gates or other facilities at that airport in
order to allow the air carrier to provide service to the airport or to expand service
at the airport, the airport owner or operator shall transmit a report to the Secretary
that-
1) Describes the requests;
2) Provides an explanation as to why the requests could not be accommodated;
and
3) Provides a time frame within which, if any, the airport will be able to
accommodate the requests.
b. Such report shall be due on either February 1 or August 1 of each year if the
airport has been unable to accommodate the request(s) in the six month period
prior to the applicable due date.
Airport Sponsor Assurances 3/2014 Page 20 of 20
O��p� A1/44i,
e, e- z FAA
Airports
4>1N/STRP�`
Current FAA Advisory Circulars Required for Use in AIP
Funded and PFC Approved Projects
Updated: 2/11/2015
View the most current versions of these ACs and any associated changes at:
http://www.faa.gov/airports/resources/advisory circulars
NUMBER` TITLE
70/7460-1 K Obstruction Marking and Lighting
150/5020-1 Noise Control and Compatibility Planning for Airports
150/5070-6B Airport Master Plans
Change 2
150/5070-7 The Airport System Planning Process
Change 1
150/5100-13B Development of State Standards for Nonprimary Airports
150/5200-280 Notices to Airmen (NOTAMS) for Airport Operators
150/5200-30C Airport Winter Safety And Operations
Change 1
150/5200-310 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
150/5210-14B Aircraft Rescue Fire Fighting Equipment, Tools and Clothing
150/5210-15A Aircraft Rescue and Firefighting Station Building Design
150/5210-18A Systems for Interactive Training of Airport Personnel
FAA Advisory Circulars Required for Use in Updated 2/11/2015 Page 1 of 5
AIP Funded and PFC Approved Projects ARP
}
NUMBER TITLE;
150/5210-19A Driver's Enhanced Vision System (DEVS) Ground Vehicle Operations on Airports
150/5220-10E Guide Specification for Aircraft Rescue and Fire Fighting (ARFF) Vehicles
150/5220-16D Automated Weather Observing Systems (AWOS)for Non-Federal Applications
150/5220-17B Aircraft Rescue and Fire Fighting (ARFF) Training Facilities
150/5220-18A Buildings for Storage and Maintenance of Airport Snow and Ice Control
Equipment and Materials
150/5220-20A Airport Snow and Ice Control Equipment
150/5220-21 C Aircraft Boarding Equipment
150/5220-22B Engineered Materials Arresting Systems (EMAS) for Aircraft Overruns
150/5220-23 Frangible Connections
150/5220-24 Foreign Object Debris Detection Equipment
150/5220-25 Airport Avian Radar Systems
150/5220-26 Airport Ground Vehicle Automatic Dependent Surveillance - Broadcast (ADS-B)
Change 1 Out Squitter Equipment
150/5300-7B FAA Policy on Facility Relocations Occasioned by Airport Improvements of
Changes
150/5300-13A Airport Design
Change 1
150/5300-14C Design of Aircraft Deicing Facilities
150/5300-16A General Guidance and Specifications for Aeronautical Surveys: Establishment of
Geodetic Control and Submission to the National Geodetic Survey
150/5300-17C Standards for Using Remote Sensing Technologies in Airport Surveys
150/5300-18B General Guidance and Specifications for Submission of Aeronautical Surveys to
Change 1 NGS: Field Data Collection and Geographic Information System (GIS) Standards
150/5320-5D Airport Drainage Design
150/5320-6E Airport Pavement Design and Evaluation
150/5320-12C Measurement, Construction, and Maintenance of Skid Resistant Airport
Changes 1-8 Pavement Surfaces
FAA Advisory Circulars Required for Use in Updated 2/11/2015 Page 2 of 5
AIP Funded and PFC Approved Projects ARP
r -yZ tk k' r '. sr' a,S 1,*;- a'° `' 4 3V 5 a
NUMBER TITLE
150/5320-15A Management of Airport Industrial Waste
150/5235-4B Runway Length Requirements for Airport Design
150/5335-5C Standardized Method of Reporting Airport Pavement Strength - PCN
150/5340-1 L Standards for Airport Markings
150/5340-5D Segmented Circle Airport Marker System
150/5340-18F Standards for Airport Sign Systems
150/5340-26C Maintenance of Airport Visual Aid Facilities
150/5340-30H Design and Installation Details for Airport Visual Aids
150/5345-3G Specification for L-821, Panels for the Control of Airport Lighting
150/5345-5B Circuit Selector Switch
150/5345-7F Specification for L-824 Underground Electrical Cable for Airport Lighting Circuits
150/5345-10H Specification for Constant Current Regulators and Regulator Monitors
150/5345-12F Specification for Airport and Heliport Beacons
150/5345-13B Specification for L-841 Auxiliary Relay Cabinet Assembly for Pilot Control of
Airport Lighting Circuits
150/5345-26D FAA Specification For L-823 Plug and Receptacle, Cable Connectors
150/5345-27E Specification for Wind Cone Assemblies
150/5345-28G Precision Approach Path Indicator(PAPI) Systems
150/5345-39D Specification for L-853, Runway and Taxiway Retro reflective Markers
150/5345-42G Specification for Airport Light Bases, Transformer Housings, Junction Boxes, and
Accessories
150/5345-43G Specification for Obstruction Lighting Equipment
150/5345-44J Specification for Runway and Taxiway Signs
150/5345-45C Low-Impact Resistant (LIR) Structures
150/5345-46D Specification for Runway and Taxiway Light Fixtures
FAA Advisory Circulars Required for Use in Updated 2/11/2015 Page 3 of 5
AIP Funded and PFC Approved Projects ARP
NUMBER TITLE
150/5345-47C Specification for Series to Series Isolation Transformers for Airport Lighting
Systems
150/5345-49C Specification L-854, Radio Control Equipment
150/5345-50B Specification for Portable Runway and Taxiway Lights
150/5345-51B Specification for Discharge-Type Flashing Light Equipment
150/5345-52A Generic Visual Glideslope Indicators (GVGI)
150/5345-53D Airport Lighting Equipment Certification Program
150/5345-54B Specification for L-884, Power and Control Unit for Land and Hold Short Lighting
Systems
150/5345-55A Specification for L-893, Lighted Visual Aid to Indicate Temporary Runway
Closure
150/5345-56B Specification for L-890 Airport Lighting Control and Monitoring System (ALCMS)
150/5360-12F Airport Signing and Graphics
150/5360-13 Planning and Design Guidelines for Airport Terminal Facilities
Change 1
150/5360-14 Access to Airports By Individuals With Disabilities
150/5370-2F Operational Safety on Airports During Construction
150/5370-1 OG Standards for Specifying 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
150/5380-7B Airport Pavement Management Program
150/5380-9 Guidelines and Procedures for Measuring Airfield Pavement Roughness
150/5390-2C Heliport Design
150/5395-1A Seaplane Bases
FAA Advisory Circulars Required for Use in Updated 2/11/2015 Page 4 of 5
AIP Funded and PFC Approved Projects ARP
THE FOLLOWING ADDITIONAL APPLY TO AIP PROJECTS ONLY
Updated: 3/7/2014
NUMBER TITLE
150/5100-14E Architectural, Engineering, and Planning Consultant Services for Airport Grant
Projects
150/5100-17 Land Acquisition and Relocation Assistance for Airport Improvement Program
Changes 1 - 6 Assisted Projects
150/5300-9B Predesign, Prebid, and Preconstruction Conferences for Airport Grant Projects
150/5300-15A Use of Value Engineering for Engineering Design of Airports Grant Projects
150/5320-17A Airfield Pavement Surface Evaluation and Rating (PASER) Manuals
150/5370-6D Construction Progress and Inspection Report—Airport Improvement Program
(AIP)
150/5370-12A Quality Control of Construction for Airport Grant Projects
FAA Advisory Circulars Required for Use in Updated 2/11/2015 Page 5 of 5
AIP Funded and PFC Approved Projects ARP
STANDARD DOT TITLE VI ASSURANCES
Lewis County (hereinafter referred to as the Sponsor) hereby agrees that as a condition to
receiving Federal financial assistance from the Department of Transportation (DOT), it will
comply with Title VI of the Civil Rights Act of 1964 (42 U.S.C. 2000d et seq.) and all
requirements imposed by 49 CFR Part 21, Nondiscrimination in Federally Assisted Programs
of the Department of Transportation -- Effectuation of Title VI of the Civil Rights Act of 1964
(hereinafter referred to as the "Regulations") to the end that no person in the United States
shall, on the ground of race, color, or national origin, be excluded from participation in, be
denied the benefits of, or be otherwise subjected to discrimination under any program or
activity for which the applicant receives Federal financial assistance and will immediately take
any measures necessary to effectuate this agreement. Without limiting the above general
assurance, the Sponsor agrees concerning this grant that:
1. Each "program" and "facility" (as defined in Section 21.23(a) and 21.23(b)) will be
conducted or operated in compliance with all requirements of the Regulations.
2. It will insert the clauses of Attachment 1 of this assurance in every contract subject to the
Act and the Regulations.
3. Where Federal financial assistance is received to construct a facility, or part of a facility,
the assurance shall extend to the entire facility and facilities operated in connection therewith.
4. Where Federal financial assistance is in the form or for the acquisition of real property or
an interest in real property, the assurance shall extend to rights to space on, over, or under
such property.
5. It will include the appropriate clauses set forth in Attachment 2 of this assurance, as a
covenant running with the land, in any future deeds, leases, permits, licenses, and similar
agreements entered into by the Sponsor with other parties:
(a) for the subsequent transfer of real property acquired or improved with Federal financial
assistance under this project; and
(b) for the construction or use of or access to space on, over, or under real property
acquired or improved with Federal financial assistance under this Project.
6. This assurance obligates the Sponsor for the period during which Federal financial
assistance is extended to the program, except where the Federal financial assistance is to
provide, or is in the form of personal property or real property or interest therein or structures
or improvements thereon, in which case the assurance obligates the Sponsor or any
transferee for the longer of the following periods:
(a) the period during which the property is used for a purpose for which Federal financial
assistance is extended, or for another purpose involving the provision of similar services or
benefits; or
(b) the period during which the Sponsor retains ownership or possession of the property.
7. It will provide for such methods of administration for the program as are found by the Secretary of
transportation of the official to whom he delegates specific authority to
give reasonable guarantees that it, other sponsors, subgrantees,
contractors, subcontractors, transferees, successors in interest, and
other participants of Federal financial assistance under such program
will comply with all requirements imposed or pursuant to the act, the
Regulations, and this assurance.
Page 1 of 2
STANDARD DOT TITLE VI ASSURANCES (Continued)
8. It agrees that the United States has a right to seek judicial enforcement with regard to any
matter arising under the Act, the Regulations, and this assurance.
THIS ASSURANCE is given in consideration of and for the purpose of obtaining Federal financial assistance
for this Project and is binding on its contractors, the Sponsor, subcontractors, transferees, successors in
interest and other participants in the Project. The person or persons whose signatures appear below are
authorized to sign this assurance on behalf of the Sponsor.
DATED 1p I 1
Lewis County
(Sponsor)1( 0.,Signature ot.. horized Official)
Page 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 Requlations. 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, Includinq 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: Packwood Airport
LOCATION: Packwood, Lewis County, WA
AIP PROJECT NO.: 3-53-0156-006
STATEMENTS APPLICABLE TO THIS PROJECT
® 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) Packwood 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) Packwood 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).
BY: Lee Napier DATE: CD I IS*
TITLE: Director of Community Development
SPONSORING AGENCY: Lewis County
NOTE: Where opposition is stated to an airport development project,whether expressly or by proposed revision,the
following specific information concerning the opposition to the project must be furnished.
a. Identification of the Federal, state, or local governmental agency, or the person or persons opposing the project;
b. The nature and basis of opposition;
c. Sponsor's plan to accommodate or otherwise satisfy the opposition;
d. Whether an opportunity for a hearing was afforded,and if a hearing was held,an analysis of the facts developed at the hearing
as they relate to the social, economic, and environmental aspects of the proposed project and its consistency with the goals and
objectives of such urban planning as has been carried out by the community.
e. If the opponents proposed any alternatives,what these alternatives were and the reason for nonacceptance;
f. Sponsor's plans, if any,to minimize any adverse effects of the project;
g. Benefits to be gained by the proposed development;and
h. Any other pertinent information which would be of assistance in determining whether to proceed with the project.
CERTIFICATION FOR CONTRACTS, GRANTS, LOANS,
AND COOPERATIVE AGREEMENTS
The undersigned certifies, to the best of his or her knowledge and belief, that:
1 . No Federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or employee of any
agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member
of Congress in connection with the awarding of any Federal contract, the making of any Federal
Grant, the making of any Federal loan, the entering into of any cooperative agreement, and the
extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan,
or cooperative agreement.
2. If any funds other than Federal appropriated funds have been paid or will be paid to any person
for influencing or attempting to influence an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an employee of a Member of Congress in
connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall
complete and submit Standard Form LLL "Disclosure of Lobby Activities", in accordance with its
instructions.
3. The undersigned shall require that the language of this certification be included in the award
documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under
grants, loans, and cooperative agreements) and that all subrecipents shall certify and disclose
accordingly.
This certification is a material representation of fact upon which reliance was placed when this
transaction was made or entered into. Submission of this certification is a prerequisite for making
or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails
to file the required certification shall be subject to a civil penalty of not less than $10,000 and not
more than $100,000 for each such failure.
Signed Q Date L.Q\ \
Sponsor's Ash rized Representative
Title Director of Community Development
U.S.DEPARTMENT OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION
AIRPORT IMPROVEMENT PROGRAM
SPONSOR CERTIFICATION
DRUG-FREE WORKPLACE
Lewis County Packwood Airport P 3-53-0156-006
(Sponsor) (Airport) (Project Number)
Lewis County proposes to reconstruct Runway 1-19 from a current 38 feet wide to a standard width of 60
feet. The project will also include providing standard Runway Safety Area. This grant will cover the
bidding construction management and construction costs. It will also cover the remaining design cost not
covered under AIP 005. (Work Description)
Title 49, United States Code, section 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 Title 49, Code of Federal Regulations, Part 29. 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.
Except for the certified items below marked not applicable (N/A), the list includes major requirements for this
aspect of project implementation, although it is not comprehensive, nor does it relieve the sponsor from fully
complying with all applicable statutory and administrative standards.
Yes No N/A
1. A statement has been (will be) published 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. An ongoing drug-free awareness program has been (will be)
established 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.
3. Each employee to be engaged in the performance of the work has been (will ® ❑ n
be) given a copy of the statement required within item 1 above.
4. Employees have been (will be) notified in the statement required by item 1
above that, as a condition employment under the grant, 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.
5. The FAA will be notified in writing within ten calendar days after receiving
notice under item 4b above from an employee or otherwise receiving actual
notice of such conviction. Employers of convicted employees must provide ® I I
notice, including position title of the employee, to the FAA. Notices shall
include the project number of each affected grant.
Page 1 of 2
Yes No N/A
6. One of the following actions 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;or
b. Require such employee to participate satisfactorily in a drug abuse
assistance or rehabilitation program approved for such purposes by a
Federal, State, or local health, law enforcement, or other appropriate
agency.
7. A good faith effort will be made to continue to maintain a drug-free workplace ® ❑
through implementation of items 1 through 6 above.
I have prepared documentation attached hereto with site(s) for performance of work (street address, city,
county, state, zip code). There are no such workplaces that are not identified in the attachment. I have
prepared additional documentation for any above items marked "no" and attached it hereto. I certify that,
for the project identified herein, responses to the forgoing items are accurate as marked and attachments
are correct and complete.
Lewis County
(Name of Sponsor)
(Signature of Spon s Designated Official Representative)
Lee Napier, Director of Community Development
(Typed Name of Sponsor's Designated Official Representative)
(Typed Title of Sponsor's Designated Official Representative)
LP \` (Date)
Page 2 of 2
U.S.DEPARTMENT OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION
AIRPORT IMPROVEMENT PROGRAM
SPONSOR CERTIFICATION
CONSTRUCTION PROJECT FINAL ACCEPTANCE
Lewis County Packwood Airport (55S) 3-53-0156-006
(Sponsor) (Airport) (Project Number)
Lewis County proposes to reconstruct Runway 1-19 from a current 38 feet wide to a standard width of 60
feet. The project will also include providing standard Runway Safety Area. This grant will cover the
bidding construction management and construction costs. It will also cover the remaining design cost not
covered under AIP 005. (Work Description)
Title 49, United States Code, section 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. General standards for final acceptance and close out of federally funded
construction projects are in Title 49, Code of Federal Regulations, Part 18.50. The sponsor shall determine
that project costs are accurate and proper in accordance with specific requirements of the grant agreement
and contract documents.
Except for the certified items below marked not applicable (N/A), the list includes major requirements for this
aspect of project implementation, although it is not comprehensive, nor does it relieve the sponsor from fully
complying with all applicable statutory and administrative standards.
Yes No N/A
1. The personnel engaged in project administration, engineering supervision,
construction inspection and testing were (will be) determined to be qualified
as well as competent to perform the work.
2. Daily construction records were (will be) kept by the resident
engineer/construction inspector as follows:
a. Work in progress,
b. Quality and quantity of materials delivered,
c. Test locations and results,
d. Instructions provided the contractor,
e. Weather conditions,
f. Equipment use,
g. Labor requirements,
h. Safety problems, and
i. Changes required.
3. Weekly payroll records and statements of compliance were (will be) submitted
by the prime contractor and reviewed by the sponsor for Federal labor and
civil rights requirements (Advisory Circulars 150/5100-6 and 150/5100-15).
4. Complaints regarding the mandated Federal provisions set forth in the
contract documents have been (will be) submitted to the FAA.
5. All tests specified in the plans and specifications were (will be) performed and ® —
the test results documented as well as made available to the FAA. —
6. For any test results outside of allowable tolerances, appropriate corrective
actions were (will be) taken.
Page 1 of 2
Yes No N/A
7. Payments to the contractor were (will be) made in compliance with contract
provisions as follows:
a. Payments are verified by the sponsor's internal audit of contract records
kept by the resident engineer, and ® E ❑
b. If appropriate, pay reduction factors required by the specifications are
applied in computing final payments and a summary of pay reductions
made available to the FAA.
8. The project was (will be) accomplished without significant deviations,
changes, or modifications from the approved plans and specifications, except ® ❑ ❑
where approval is obtained from the FAA.
9. A final project inspection was (will be) conducted with representatives of the
sponsor and the contractor and project files contain documentation of the final Fl ❑ ❑
inspection.
10. Work in the grant agreement was (will be) physically completed and corrective
actions required as a result of the final inspection is completed to the ® n n
satisfaction of the sponsor.
11. If applicable, the as-built plans, an equipment inventory, and a revised airport ® n ❑
layout plan have been (will be) submitted to the FAA.
12. Applicable close out financial reports have been (will be) submitted to the ® n n
FAA.
I certify, for the project identified herein, responses to the forgoing items are accurate as marked and have
prepared documentation attached hereto for any item marked "no"that is correct and complete.
Lewis County
................................................................................................................................................._............................................._.........................
(Name of Sponsor)
-J‘. 09._ �..
(Signature of Sponsor's sigkiated Official Representative)
Lee Napier, Director of Community Development
.......................................... ................................................................................................................................................................... ......................................_..
(Typed Name of Sponsor's Designated Official Representative)
(Typ d Title f Sponsor's Designated Official Representative)
(Date)
Page 2 of 2
U.S.DEPARTMENT OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION
AIRPORT IMPROVEMENT PROGRAM
SPONSOR CERTIFICATION
SELECTION OF CONSULTANTS
Lewis County Packwood Airport (55S) 3-53-0156-006
(Sponsor) (Airport) (Project Number)
Lewis County proposes to reconstruct Runway 1-19 from a current 38 feet wide to a standard width of 60
feet. The project will also include providing standard Runway Safety Area. This grant will cover the
bidding construction management and construction costs. It will also cover the remaining design cost not
covered under AIP 005. (Work Description)
Title 49, United States Code, section 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 standards for selection of consultant services
within Federal grant programs are described in Title 49, Code of Federal Regulations (CFR), Part 18.36.
Sponsors may use other qualifications-based procedures provided they are equivalent to specific
standards in 49 CFR 18 and FAA Advisory Circular 150/5100-14, Architectural, Engineering, and
Planning Consultant Services for Airport Grant Projects.
Except for the certified items below marked not applicable (N/A), the list includes major requirements for
this aspect of project implementation, although it is not comprehensive, nor does it relieve the sponsor
from fully complying with all applicable statutory and administrative standard.
Yes No N/A
1. Solicitations were (will be) made to ensure fair and open competition from ® n n
a wide area of interest.
2. Consultants were (will be) selected using competitive procedures based
on qualifications, experience, and disadvantaged enterprise requirements ® E
with the fees determined through negotiations.
3. A record of negotiations has been (will be) prepared reflecting
considerations involved in the establishment of fees, which are not
significantly above the sponsor's independent cost estimate.
4. If engineering or other services are to be performed by sponsor force n El
account personnel, prior approval was (will be) obtained from the FAA.
5. The consultant services contracts clearly establish (will establish) the
scope of work and delineate the division of responsibilities between all ® n
parties engaged in carrying out elements of the project.
6. Costs associated with work ineligible for AIP funding are (will be) clearly
identified and separated from eligible items in solicitations, contracts, and ® n [1
related project documents.
7. Mandatory contact provisions for grant-assisted contracts have been (will ® n
be) included in consultant services contracts.
8. The cost-plus-percentage-of-cost methods of contracting prohibited under ® n
Federal standards were not (will not be) used.
Page 1 of 2
9. If the services being procured cover more than the single grant project
referenced in this certification, the scope of work was (will be) specifically (--I
described in the advertisement, and future work will not be initiated
beyond five years.
I certify, for the project identified herein, responses to the forgoing items are accurate as marked and
have prepared documentation attached hereto for any item marked "no"that is correct and complete.
Lewis County
a_.0 (Name of Sponsor)
(Signature of Sponsor' sign ted Official Representative)
Lee Napier, Director of Community Development
(Typed Name of Sponsor's Designated Official Representative)
..............................................................................................................................................................................................................................................._..................
(Typed Title of Sponsor's Designated Official Representative)
�t�-.._L ' o
( ate)
Page 2 of 2
U.S.DEPARTMENT OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION
AIRPORT IMPROVEMENT PROGRAM
SPONSOR CERTIFICATION
EQUIPMENT/CONSTRUCTION CONTRACTS
Lewis County Packwood Airport (55S) 3-53-0156-006
(Sponsor) (Airport) (Project Number)
Lewis County proposes to reconstruct Runway 1-19 from a current 38 feet wide to a standard width of 60
feet. The project will also include providing standard Runway Safety Area. This grant will cover the
bidding construction management and construction costs. It will also cover the remaining design cost not
covered under AIP 005. (Work Description)
Title 49, United States Code (USC), section 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 standards for equipment and
construction contracts within Federal grant programs are described in Title 49, Code of Federal
Regulations (CFR), Part 18.36. AIP standards are generally described in FAA Advisory Circular (AC)
150/5100-6, Labor Requirements for the Airport Improvement Program, AC 150/5100-15, Civil Rights
Requirements for the Airport Improvement Program, and AC 150/5100-16, Airport Improvement
Program Grant Assurance One--General Federal Requirements. Sponsors may use State and local
procedures provided procurements conform to these Federal standards.
Except for the certified items below marked not applicable (N/A), the list includes major requirements for
this aspect of project implementation, although it is not comprehensive, nor does it relieve the sponsor
from fully complying with all applicable statutory and administrative standards.
Yes No N/A
1. A code or standard of conduct is (will be) in effect governing the
performance of the sponsor's officers, employees, or agents in soliciting ® ❑ ❑
and awarding procurement contracts.
2. Qualified personnel are (will be) engaged to perform contract
administration, engineering supervision, construction inspection, and ® ❑ ❑
testing.
3. The procurement was (will be) publicly advertised using the competitive ® ❑ ❑
sealed bid method of procurement.
4. The bid solicitation clearly and accurately describes (will describe):
a. The current Federal wage rate determination for all construction
projects, and ® ❑ ❑
b. All other requirements of the equipment and/or services to be
provided.
5. Concurrence was (will be) obtained from FAA prior to contract award
under any of the following circumstances:
a. Only one qualified person/firm submits a responsive bid,
b. The contract is to be awarded to other than the lowest responsible ® ❑ ❑
bidder,
c. Life cycle costing is a factor in selecting the lowest responsive bidder,
or
d. Proposed contract prices are more than 10 percent over the
sponsor's cost estimate.
Yes No N/A
e.
6. All contracts exceeding $100,000 require (will require) the following
provisions:
a. A bid guarantee of 5 percent, a performance bond of 100 percent,
and a payment bond of 100 percent;
b. Conditions specifying administrative, contractual, and legal remedies, ® ❑ ❑
including contract termination, for those instances in which
contractors violate or breach contact terms; and
c. Compliance with applicable standards and requirements issued under
Section 306 of the Clean Air Act (42 USC 1857(h)), Section 508 of
the Clean Water Act (33 USC 1368), and Executive Order 11738.
7. All construction contracts contain (will contain) provisions for:
a. Compliance with the Copeland "Anti-Kick Back"Act, and
b. Preference given in the employment of labor (except in executive, ® ❑ ❑
administrative, and supervisory positions) to honorably discharged
Vietnam era veterans and disabled veterans.
8. All construction contracts exceeding $2,000 contain (will contain) the
following provisions:
a. Compliance with the Davis-Bacon Act based on the current Federal ❑ ❑
wage rate determination; and
b. Compliance with the Contract Work Hours and Safety Standards Act
(40 USC 327-330), Sections 103 and 107.
9. All construction contracts exceeding $10,000 contain (will contain)
appropriate clauses from 41 CFR Part 60 for compliance with Executive ® ❑ ❑
Orders 11246 and 11375 on Equal Employment Opportunity.
10. All contracts and subcontracts contain (will contain) clauses required from
Title VI of the Civil Rights Act and 49 CFR 23 and 49 CFR 26 for ® ❑ ❑
Disadvantaged Business Enterprises.
11. Appropriate checks have been (will be) made to assure that contracts or
subcontracts are not awarded to those individuals or firms suspended,
debarred, or voluntarily excluded from doing business with any U.S. ® ❑ ❑
Department of Transportation (DOT) element and appearing on the DOT
Unified List.
I certify, for the project identified herein, responses to the forgoing items are accurate as marked and
have prepared documentation attached hereto for any item marked "no"that is correct and complete.
Lewis County
(Name of Sponsor)
(Signature of Spon is Designated Official Representative)
Lee Napier, Director of Community Development
.. .... . . ............
(Typed Name of Sponsors Designated Official Representative)
(Typed Title of Sponsor's Designated Official Representative)
\kc \\.<-
(Date)
U.S.DEPARTMENT OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION
AIRPORT IMPROVEMENT PROGRAM
SPONSOR CERTIFICATION
PROJECT PLANS AND SPECIFICATIONS
Lewis County Packwood Airport (55S) 3-53-0156-006
(Sponsor) (Airport) (Project Number)
Lewis County proposes to reconstruct Runway 1-19 from a current 38 feet wide to a standard width of 60
feet. The project will also include providing standard Runway Safety Area. This grant will cover the
bidding construction management and construction costs. It will also cover the remaining design cost not
covered under AIP 005. (Work Description)
Title 49, United States Code, section 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). AIP standards are generally described in FAA Advisory Circular
(AC) 150/5100-6, Labor Requirements for the Airport Improvement Program, AC 150/5100-15, Civil Rights
Requirements for the Airport Improvement Program, and AC 150/5100-16, Airport Improvement Program
Grant Assurance One--General Federal Requirements. A list of current advisory circulars with specific
standards for design or construction of airports as well as procurement/installation of equipment and
facilities is referenced in standard airport sponsor Grant Assurance 34 contained in the grant agreement.
Except for the certified items below marked not applicable (N/A), the list includes major requirements for this
aspect of project implementation, although it is not comprehensive, nor does it relieve the sponsor from fully
complying with all applicable statutory and administrative standards.
Yes No N/A
1. The plans and specifications were (will be) prepared in accordance with
applicable Federal standards and requirements, so no deviation or ® ❑ ❑
modification to standards set forth in the advisory circulars, or State
standard, is necessary other than those previously approved by the FAA.
2. Specifications for the procurement of equipment are not (will not be)
proprietary or written so as to restrict competition. At least two ® ❑ ❑
manufacturers can meet the specification.
3. The development included (to be included) in the plans is depicted on the ® ❑ ❑
airport layout plan approved by the FAA.
4. Development that is ineligible for AIP funding has been (will be) omitted ❑ ❑
from the plans and specifications.
5. The process control and acceptance tests required for the project by
standards contained in Advisory Circular 150/5370-10 are (will be) ® ❑ ❑
included in the project specifications.
6. If a value engineering clause is incorporated into the contract, ® ❑ ❑
concurrence was (will be) obtained from the FAA.
7. The plans and specifications incorporate (will incorporate) applicable
requirements and recommendations set forth in the Federally approved ® ❑ ❑
environmental finding.
Page 1 of 2
Yes No N/A
8. For construction activities within or near aircraft operational areas, the
requirements contained in Advisory Circular 150/5370-2 have been (will ® ❑ ❑
be) discussed with the FAA as well as incorporated into the specifications,
and a safety/phasing plan has FAA's concurrence, if required.
9. The project was (will be) physically completed without Federal
participation in costs due to errors and omissions in the plans and ® ❑ ❑
specifications that were foreseeable at the time of project design.
I certify, for the project identified herein, responses to the forgoing items are accurate as marked and have
prepared documentation attached hereto for any item marked "no"that is correct and complete.
Lewis County
(Name of Sponsor)
(Signature of '
S onsors esi kiated Official Representative)
p 9
Lee Napier, Director of Community Development
.......................................... ........................................................................................................................... ..................................................................................
(Typed Name of Sponsor's Designated Official Representative)
(Type Title o Sponsor's Designated Official Representative)
is M. IS-
(Date)
.... ...........................................................................................................................................................................
(Date)
Page 2 of 2
TITLE VI PRE-AWARD SPONSOR CHECKLIST
Airport/Sponsor: Packwood Airport (55S) / Lewis County
AIP#: 3-53-0156-006
Project Description(s): Rwy 01/19 Improvements Project
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
T be completed by the Civil Rights Staff
Review completed and approved: 0 0 Y'7 c$ ipLQ"
Signature 11
Date: ( 0 I IS
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
Executive Summary
BOCC Meeting Date:
2015-06-15
Contact:
Lee Napier
Department:
Community Development
Wording
Re-submit a grant to complete design and construction of the Packwood Airport runway.
Description
Lewis County has the opportunity to complete the design and construct the runway improvements
with financial assistance from the Federal Aviation Authority (FAA) and Department of Transportation
(DOT) Aviation Division. Community Development requests approval to submit to both the FAA and
DOT Aviation Division grant applications.
The runway improvement will ultimately be constructing and widening the current 38-foot width to the
FAA standard 60-foot width, replace the Medium Intensity Runway Edge Light (MIRL) system and
providing a Runway Safety Area (RSA) that meets current FAA design standards.
On April 27, 2015 the Board of County Commissioners authorized (Resolution 15-135) the
Community Development Director to sign and submit on behalf of the County an application; however,
at the request of FAA that application was revised.
Recommendation
Both the Airport Systems Manager and the Director of Community Development recommend
approval.
Other
BOCC AGENDA ITEM SUMMARY
Resolution #: 5- (J'\ BOCC Meeting Date: Jun 15, 2015
Suggested Wording for Agenda Item: Agenda Type: Consent
Re-submit a grant to complete design and construction of the Packwood Airport runway.
Brief Reason for BOCC Action:
Lewis County has the opportunity to complete the design and construct runway improvements with financial
assistance from the Federal Aviation Authority (FAA) and Department of Transportation (DOT) Aviation
Division.
Submitted By: Napier, Lee Phone: x2606
RECEIVED
Date Submitted: Jun 03, 2015
Contact Person Who Will Attend BOCC Meeting: Lee Napier JUN 0 4 2015
Action Needed: Approve Resolution LEWIS CO.
�'ROS. ATTY.
Publication Requirements:
Hearing Date:
Publications: n/a
Publication Dates:
Approvals:
User Group Status
Carter, Glenn Pending
Muir, Karri Pending
Sisson, Becky Pending
Cover Letter To
6-4-15
Additional Copies
Donna Olson
Larry Mason
Becky Sisson