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Home My WebLink AboutContract 46854 3 - 48 - 0296 - 055 - 2015 �1 ZJORIGINAL U.S.Department of Transportation CIYY SECRETAW Federal Aviation Administration CWRACT X10. GRANT AGREEMENT PART I—OFFER Date of Offer July 15, 2015 Airport/Planning Area Fort Worth Alliance AIP Grant Number 3-48-0296-055-2015 DUNS Number 073170458 TO: City of Fort Worth (herein called the "Sponsor") FROM: The United States of America (acting through the Federal Aviation Administration, herein called the "FAA)') WHEREAS,the Sponsor has submitted to the FAA a Project Application dated January 20, 2015,for a grant of Federal funds for a project at or associated with the Fort Worth Alliance Airport, which is included as part of this Grant Agreement; and WHEREAS,the FAA has approved a project for the Fort Worth Alliance Airport (herein called the "Project") consisting of the following: Extend Runway which is more fully described in the Project Application. NOW THEREFORE,According to the applicable provisions of the former Federal Aviation Act of 1958, as amended and recodified, 49 U.S.C. 40101, et seq., and the former Airport and Airway Improvement Act of 1982 (AAIA), as amended and recodified, 49 U.S.C. 47101, et seq., (herein the AAIA grant statute is referred to as"the Act"),the representations contained in the Project Application, and in consideration of (a)the Sponsor's adoption and ratification of the Grant Assurances dated April 3, 2014, and the Sponsor's acceptance of this Offer, and (b) the benefits to accrue to the United States and the public from the accomplishment of the Project and compliance with the Grant Assurances and conditions as herein provided, THE FEDERAL AVIATION ADMINISTRATION, FOR AND ON BEHALF OF THE UNITED STATES, HEREBY OFFERS AND AGREES to pay ninety (90) percent of the allowable costs incurred a as the United States share of the Project. 7.OFFICIALRECORD This Offeris made on and SUBJECT TO THE FOLLOWING TERMS AND CONDITIONRETARY . TH,TX 3 - 48 - 0296 - 055 - 2015 CONDITIONS 1. Maximum Obligation.The maximum obligation of the United States payable under this Offer is $10,670,629. For the purposes of any future grant amendments which may increase the foregoing maximum obligation of the United States under the provisions of 49 U.S.C. § 47108(b), the following amounts are being specified for this purpose: $0 or planning $10,670,629 for airport development $0 for land acquisition. The source of this Grant may include funding from the Small Airport Fund. 2. Ineligible or Unallowable Costs.The Sponsor must not include any costs in the project that the FAA has determined to be ineligible or unallowable. 3. Determining the Final Federal Share of Costs.The United States' share of allowable project costs will be made in accordance with the regulations, policies and procedures of the Secretary. Final determination of the United States' share will be based upon the final audit of the total amount of allowable project costs and settlement will be made for any upward or downward adjustments to the Federal share of costs. 4. Completing the Project Without Delay and in Conformance with Requirements.The Sponsor must carry out and complete the project without undue delays and in accordance with this agreement, and the regulations, policies and procedures of the Secretary. The Sponsor also agrees to comply with the assurances which are part of this agreement. S. Amendments or Withdrawals before Grant Acceptance.The FAA reserves the right to amend or withdraw this offer at any time prior to its acceptance by the Sponsor. 6. Offer Expiration Date.This offer will expire and the United States will not be obligated to pay any part of the costs of the project unless this offer has been accepted by the Sponsor on or before August 28, 2015, or such subsequent date as may be prescribed in writing by the FAA. 7. Improper Use of Federal Funds.The Sponsor must take all steps, including litigation if necessary, to recover Federal funds spent fraudulently, wastefully, or in violation of Federal antitrust statutes, or misused in any other manner in any project upon which Federal funds have been expended. For the purposes of this grant agreement, the term "Federal funds" means funds however used or dispersed by the Sponsor that were originally paid pursuant to this or any other Federal grant agreement. The Sponsor must obtain the approval of the Secretary as to any determination of the amount of the Federal share of such funds. The Sponsor must return the recovered Federal share, including funds recovered by settlement, order, or judgment, to the Secretary. The Sponsor must furnish to the Secretary, upon request, all documents and records pertaining to the determination of the amount of the Federal share or to any settlement, litigation, negotiation, or other efforts taken to recover such funds. All settlements or other final positions of the Sponsor, in court or otherwise, involving the recovery of such Federal share require advance approval by the Secretary. 8. United States Not Liable for Damage or Iniury.The United States is not be responsible or liable for damage to property or injury to persons which may arise from, or be incident to, compliance with this grant agreement. 9. System for Award Management(SAM) Registration And Universal Identifier. A. Requirement for System for Award Management(SAM): Unless the Sponsor is exempted from this requirement under 2 CFR 25.110, the Sponsor must maintain the currency of its information in the SAM until the Sponsor submits the final financial report required under this grant, or receives the final payment,whichever is later. This requires that the Sponsor review and update the information at least 2 y61 8 9 10 Jr 2 ti '%Wpm ,0,,� Ate' ol? 7nr ti �Lb a.��r w 3 - 48 - 0296 - 055 - 2015 annually after the initial registration and more frequently if required by changes in information or another award term. Additional information about registration procedures may be found at the SAM website (currently at http://www.sam.gov). B. Requirement for Data Universal Numbering System (DUNS) Numbers 1. The Sponsor must notify potential subrecipient that it cannot receive a contract unless it has provided its DUNS number to the Sponsor. A subrecipient means a consultant, contractor, or other entity that enters into an agreement with the Sponsor to provide services or other work to further this project, and is accountable to the Sponsor for the use of the Federal funds provided by the agreement, which may be provided through any legal agreement, including a contract. 2. The Sponsor may not make an award to a subrecipient unless the subrecipient has provided its DUNS number to the Sponsor. 3. Data Universal Numbering System: DUNS number means the nine-digit number established and assigned by Dun and Bradstreet, Inc. (D & B)to uniquely identify business entities. A DUNS number may be obtained from D & B by telephone (currently 866-492-0280) or the Internet (currently at http://fedgov.dnb.com/webform). 10. Electronic Grant Payment(s). Unless otherwise directed by the FAA,the Sponsor must make each payment request under this agreement electronically via the Delphi elnvoicing System for Department of Transportation (DOT) Financial Assistance Awardees. 11. Informal Letter Amendment of AIP Projects. If, during the life of the project, the FAA determines that the maximum grant obligation of the United States exceeds the expected needs of the Sponsor by$25,000 or five percent (5%), whichever is greater,the FAA can issue a letter to the Sponsor unilaterally reducing the maximum obligation. The FAA can also issue a letter to the Sponsor increasing the maximum obligation if there is an overrun in the total actual eligible and allowable project costs to cover the amount of the overrun provided it will not exceed the statutory limitations for grant amendments. If the FAA determines that a change in the grant description is advantageous and in the best interests of the United States, the FAA can issue a letter to the Sponsor amending the grant description. By issuing an Informal Letter Amendment, the FAA has changed the grant amount or grant description to the amount or description in the letter. 12. Air and Water Quality. The Sponsor is required to comply with all applicable air and water quality standards for all projects in this grant. If the Sponsor fails to comply with this requirement,the FAA may suspend, cancel, or terminate this grant. 13. Financial Reporting and Payment Requirements.The Sponsor will comply with all federal financial reporting requirements and payment requirements, including submittal of timely and accurate reports. 14. Buy American. Unless otherwise approved in advance by the FAA,the Sponsor will not acquire or permit any contractor or subcontractor to acquire any steel or manufactured products produced outside the United States to be used for any project for which funds are provided under this grant. The Sponsor will include a provision implementing Buy American in every contract. 15. Maximum Obligation Increase For Nonprimary Airports. In accordance with 49 U.S.C. § 47108(b), as amended,the maximum obligation of the United States, as stated in Condition No. 1 of this Grant Offer: A. May not be increased for a planning project; B. May be increased by not more than 15 percent for development projects; 3 3 - 48 - 0296 - 055 - 2015 C. May be increased by not more than 15 percent or by an amount not to exceed 25 percent of the total increase in allowable costs attributable to the acquisition of land or interests in land,whichever is greater, based on current credible appraisals or a court award in a condemnation proceeding. 16. Audits for Public Sponsors. The Sponsor must provide for a Single Audit in accordance with 2 CFR Part 200. The Sponsor must submit the Single Audit reporting package to the Federal Audit Clearinghouse on the Federal Audit Clearinghouse's Internet Data Entry System at http://harvester.census.gov/facweb/. The Sponsor must also provide one copy of the completed 2 CFR Part 200 audit to the Airports District Office. 17. Suspension or Debarment. The Sponsor must inform the FAA when the Sponsor suspends or debars a contractor, person, or entity. 18. Ban on Texting While Driving. A. In accordance with Executive Order 13513, Federal Leadership on Reducing Text Messaging While Driving, October 1, 2009, and DOT Order 3902.10,Text Messaging While Driving, December 30, 2009, the Sponsor is encouraged to: 1. Adopt and enforce workplace safety policies to decrease crashes caused by distracted drivers including policies to ban text messaging while driving when performing any work for, or on behalf of,the Federal government, including work relating to a grant or subgrant. 2. Conduct workplace safety initiatives in a manner commensurate with the size of the business, such as: a. Establishment of new rules and programs or re-evaluation of existing programs to prohibit text messaging while driving; and b. Education, awareness, and other outreach to employees about the safety risks associated with texting while driving. B. The Sponsor must insert the substance of this clause on banning texting while driving in all subgrants, contracts and subcontracts. 19., Trafficking in Persons. A. Prohibitions: The prohibitions against trafficking in persons (Prohibitions) that apply to any entity other than a State, local government, Indian tribe, or foreign public entity. This includes private Sponsors, public Sponsor employees, subrecipients of private or public Sponsors (private entity) are: 1. Engaging in severe forms of trafficking in persons during the period of time that the agreement is in effect; 2. Procuring a commercial sex act during the period of time that the agreement is in effect; or 3. Using forced labor in the performance of the agreement, including subcontracts or subagreements under the agreement. B. In addition to all other remedies for noncompliance that are available to the FAA, Section 106(g) of the Trafficking Victims Protection Act of 2000 (TVPA), as amended (22 U.S.C. 7104(g)), allows the FAA to unilaterally terminate this agreement, without penalty, if a private entity— 1. Is determined to have violated the Prohibitions; or 2. Has an employee who the FAA determines has violated the Prohibitions through conduct that is either: a. Associated with performance under this agreement; or 4 3 - 48 - 0296 - 055 - 2015 b. Imputed to the Sponsor or subrecipient using 2 CFR part 180, "OMB Guidelines to Agencies on Governmentwide Debarment and Suspension (Nonprocurement)," as implemented by the FAA at 49 CFR Part 29. 20. Exhibit"A" Property Map. The Exhibit "A" Property Map is incorporated herein by reference or is submitted with the project application and made part of this grant agreement. 21. Coordination.The Sponsor has made available to (or will make available to) and has provided (or will provide) upon request to the metropolitan planning organization, if any, in the area in which the airport is located, a copy of the proposed airport layout plan or ALP amendment to depict the project and a copy of any airport master plan in which the project is described or depicted. 22. Pavement Maintenance Management Program.The Sponsor agrees that it will implement an effective airport pavement maintenance management program as required by Grant Assurance Pavement Preventive Management. The Sponsor agrees that it will use the program for the useful life of any pavement constructed, reconstructed, or repaired with federal financial assistance at the airport.The Sponsor further agrees that the program will A. Follow FAA Advisory Circular 150/5380-6, "Guidelines and Procedures for Maintenance of Airport Pavements," for specific guidelines and procedures for maintaining airport pavements, establishing an effective maintenance program, specific types of distress and its probable cause, inspection guidelines, and recommended methods of repair; B. Detail the procedures to be followed to assure that proper pavement maintenance, both preventive and repair, is performed; C. Include a Pavement Inventory, Inspection Schedule, Record Keeping, Information Retrieval, and Reference, meeting the following requirements: 1. Pavement Inventory.The following must be depicted in an appropriate form and level of detail: a. Location of all runways, taxiways, and aprons; b. Dimensions; c. Type of pavement, and; d. Year of construction or most recent major rehabilitation. 2. Inspection Schedule. a. Detailed Inspection. A detailed inspection must be performed at least once a year. If a history of recorded pavement deterioration is available, i.e., Pavement Condition Index(PCI) survey as set forth in the Advisory Circular 150/5380-6,the frequency of inspections may be extended to three years. b. Drive-By Inspection. A drive-by inspection must be performed a minimum of once per month to detect unexpected changes in the pavement condition. For drive-by inspections, the date of inspection and any maintenance performed must be recorded. 3. Record Keeping. Complete information on the findings of all detailed inspections and on the maintenance performed must be recorded and kept on file for a minimum of five years. The type of distress, location, and remedial action, scheduled or performed, must be documented. The minimum information is: a. Inspection date; b. Location; c. Distress types; and 5 3 - 48 - 0296 - 055 - 2015 d. Maintenance scheduled or performed. 4. Information Retrieval System. The Sponsor must be able to retrieve the information and records produced by the pavement survey to provide a report to the FAA as may be required. 23. Project which Contain Paving Work in Excess of$500,000.The Sponsor agrees to: A. Furnish a construction management program to the FAA prior to the start of construction which details the measures and procedures to be used to comply with the quality control provisions of the construction contract, including, but not limited to, all quality control provisions and tests required by the Federal specifications. The program must include as a minimum: 1. The name of the person representing the Sponsor who has overall responsibility for contract administration for the project and the authority to take necessary actions to comply with the contract. 2. Names of testing laboratories and consulting engineer firms with quality control responsibilities on the project,together with a description of the services to be provided. 3. Procedures for determining that the testing laboratories meet the requirements of the American Society of Testing and Materials standards on laboratory evaluation referenced in the contract specifications (D 3666, C 1077). 4. Qualifications of engineering supervision and construction inspection personnel. 5. A listing of all tests required by the contract specifications, including the type and frequency of tests to be taken,the method of sampling,the applicable test standard, and the acceptance criteria or tolerances permitted for each type of test. 6. Procedures for ensuring that the tests are taken in accordance with the program, that they are documented daily, and that the proper corrective actions, where necessary, are undertaken. B. Submit at completion of the project, a final test and quality control report documenting the results of all tests performed, highlighting those tests that failed or that did not meet the applicable test standard. The report must include the pay reductions applied and the reasons for accepting any out- of-tolerance material. An interim test and quality control report must be submitted, if requested by the FAA. C. Failure to provide a complete report as described in paragraph b, or failure to perform such tests,will, absent any compelling justification; result in a reduction in Federal participation for costs incurred in connection with construction of the applicable pavement. Such reduction will be at the discretion of the FAA and will be based on the type or types of required tests not performed or not documented and will be commensurate with the proportion of applicable pavement with respect to the total pavement constructed under the grant agreement. D. The FAA, at its discretion, reserves the right to conduct independent tests and to reduce grant payments accordingly if such independent tests determine that sponsor test results are inaccurate. 6 3 - 48 - 0296 - 055 - 2015 The Sponsor's acceptance of this Offer and ratification and adoption of the Project Application incorporated herein shall be evidenced by execution of this instrument by the Sponsor, as hereinafter provided, and this Offer and Acceptance shall comprise a Grant Agreement, as provided by the Act, consti- tuting the contractual obligations and rights of the United States and the Sponsor with respect to the accomplishment of the Project and compliance with the assurances and conditions as provided herein. Such Grant Agreement shall become effective upon the Sponsor's acceptance of this Offer. UNITED STATES OF AMERICA FEDERAL AVIATION ADMINIST ATION Edward :Agnew Manager, Texas Airports ......... Development Office A L RECORD CRETARY RTH, TX 3 -48 - 0296 -055 - 2015 PART 11-ACCEPTANCE The Sponsor does hereby ratify and adopt all assurances, statements, representations,warranties, covenants, and agreements contained in the Project Application and incorporated materials referred to in the foregoing Offer, and does hereby accept this Offer and by such acceptance agrees to comply with all of the terms and conditions in this Offer and in the Project Application. I declare under penalty of perjury that the foregoing is true and correct.' Executed this /'7 day of July , 2015 City of Fort Worth (Name of Sponsor) - - ,L (Name -- (Signature of Sponsor's Designated Official Representative) By: Fernando Costa (Typed Name of Sponsor's Designated Official Representative) Title: Assistant City Manager (Title of Sponsor's Designated Official Representative) CERTIFICATE OF SPONSOR'S ATTORNEY 1, Paige Mebane acting as Attorney for the Sponsor do hereby certify: That in my opinion the Sponsor is empowered to enter into the foregoing Grant Agreement under the laws of the State of Texas . Further, I have examined the foregoing Grant Agreement and the actions taken by said Sponsor and Sponsor's official representative has been duly authorized and that the execution thereof is in all respects due and proper and in accordance with the laws of the said State and the Act. In addition,for grants involving projects to be carried out on property not owned by the Sponsor, there are no legal impediments that will prevent full performance by the Sponsor. Further, it is my opinion that the said Grant Agreement constitutes a legal and binding obligation of the Sponsor in accordance with the terms thereof. Dated at E location)this day of 1C-5 By: ®� �i� Signatu of Sponsor's Attorney) a„ �°o � Ca � �-� � $ g= - _ A p/�,y Contra t Authorization ° °° -— OFF CIAL RECORD sC' Secretary Date r, CITY SECRETARY FT.WORTH,TX 'Knowingly and willfully providing false information to the Federal government is a violation of 18 U.S.C. Section 1001 (False Statements) and could subject you to fines, imprisonment, or both. 8 3 - 48 - 0296 - 055 - 2015 ASSURANCES AIRPORT SPONSORS A. General. a. 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. b. 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. c. Upon acceptance of this grant offer by the sponsor, these assurances are incorporated in and become part of this grant agreement. B. Duration and Applicability. 1. Airport development or Noise Compatibility Program Projects Undertaken by a Public Agency Sponsor. The terms, conditions and assurances of this grant agreement shall remain in full force and effect throughout the useful life of the facilities developed or equipment acquired for an airport development or noise compatibility program project, or throughout the useful life of the project items installed within a facility under a noise compatibility program project, but in any event not to exceed twenty (20) years from the date of acceptance of a grant offer of Federal funds for the project. However, there shall be no limit on the duration of the assurances regarding Exclusive Rights and Airport Revenue so long as the airport is used as an airport. There shall be no limit on the duration of the terms, conditions, and assurances with respect to real property acquired with federal funds. Furthermore, the duration of the Civil Rights assurance shall be specified in the assurances. 2. Airport Development or Noise Compatibility Projects Undertaken by a Private Sponsor. The preceding paragraph 1 also applies to a private sponsor except that the useful life of project items installed within a facility or the useful life of the facilities developed or equipment acquired under an airport development or noise compatibility program project shall be no less than ten (10) years from the date of acceptance of Federal aid for the project. 3. Airport Planning Undertaken by a Sponsor. Unless otherwise specified in this grant agreement, only Assurances 1, 2, 3, 5, 6, 13, 18, 25, 30, 32, 33, and 34 in Section C apply to planning projects. The terms, conditions, and assurances of this grant agreement shall remain in full force and effect during the life of the project; there shall be no limit on the duration of the assurances regarding Exclusive Rights and Airport Revenue so long as the airport is used as an airport. C. Sponsor Certification. The sponsor hereby assures and certifies, with respect to this grant that: 1. General Federal Requirements. 9 3 - 48 - 0296 - 055 - 2015 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 seg.' C. Federal Fair Labor Standards Act- 29 U.S.C. 201, et ser. d. Hatch Act—5 U.S.C. 1501, et se .z e. Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 Title 42 U.S.C. 4601, et seg.l z 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 I. Title 49, U.S.C., Section 303, (formerly known as Section 4(f)) m. Rehabilitation Act of 1973 -29 U.S.C. 794. n. Title VI of the Civil Rights Act of 1964(42 U.S.C. § 2000d et seq.,78 stat. 252) (prohibits discrimination on the basis of race, color, national origin); o. Americans with Disabilities Act of 1990, as amended, (42 U.S.C. § 12101 et seq.), prohibits discrimination on the basis of disability). p. Age Discrimination Act of 1975 -42 U.S.C. 6101, et seq. q. American Indian Religious Freedom Act, P.L. 95-341, as amended. r. Architectural Barriers Act of 1968-42 U.S.C.4151, et seg.' Power plant and Industrial Fuel Use Act of 1978 -Section 403-2 U.S.C. 8373.1 S. Contract Work Hours and Safety Standards Act-40 U.S.C. 327, et seg.' t. Copeland Anti-kickback Act- 18 U.S.C. 874.1 U. National Environmental Policy Act of 1969 -42 U.S.C. 4321, et seg.' V. Wild and Scenic Rivers Act, P.L. 90-542, as amended. w. Single Audit Act of 1984-31 U.S.C. 7501, et seg.2 X. Drug-Free Workplace Act of 1988-41 U.S.C. 702 through 706. y. 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). 10 3 -48 -0296 -055 - 2015 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 Procedures14 CFR Part 16- Rules of Practice For Federally Assisted Airport Enforcement Proceedings. e. 14 CFR Part 150-Airport noise compatibility planning. f. 28 CFR Part 35-Discrimination on the Basis of Disability in State and Local Government Services. g. 28 CFR § 50.3 - U.S. Department of Justice Guidelines for Enforcement of Title VI of the Civil Rights Act of 1964. h. 29 CFR Part 1-Procedures for predetermination of wage rates.' i. 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).' I. 49 CFR Part 18- Uniform administrative requirements for grants and cooperative agreements to state and local governments.3 m. 49 CFR Part 20- New restrictions on lobbying. n. 49 CFR Part 21—Nondiscrimination in federally-assisted programs of the Department of Transportation-effectuation of Title VI of the Civil Rights Act of 1964. o. 49 CFR Part 23- Participation by Disadvantage Business Enterprise in Airport Concessions. p. 49 CFR Part 24—Uniform Relocation Assistance and Real Property Acquisition for Federal and Federally Assisted Programs.12 11 3 - 48 - 0296 - 055 - 2015 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. ' These laws do not apply to airport planning sponsors. z 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. 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 12 3 - 48 - 0296 - 055 - 2015 understandings and assurances contained therein, and directing and authorizing the person identified as the official representative of the applicant to act in connection with the application and to provide such additional information as may be required. b. Private Sponsor: It has legal authority to apply for this grant and to finance and carry out the proposed project and comply with all terms, conditions, and assurances of this grant agreement. It shall designate an official representative and shall in writing direct and authorize that person to file this application, including all understandings and assurances contained therein;to act in connection with this application; and to provide such additional information as may be required. 3. Sponsor Fund Availability. It has sufficient funds available for that portion of the project costs which are not to be paid by the United States. It has sufficient funds available to assure operation and maintenance of items funded under this grant agreement which it will own or control. 4. Good Title. a. It, a public agency or the Federal government, holds good title, satisfactory to the Secretary, to the landing area of the airport or site thereof, or will give assurance satisfactory to the Secretary that good title will be acquired. b. For noise compatibility program projects to be carried out on the property of the sponsor, it holds good title satisfactory to the Secretary to that portion of the property upon which Federal funds will be expended or will give assurance to the Secretary that good title will be obtained. 5. Preserving Rights and Powers. a. It will not take or permit any action which would operate to deprive it of any of the rights and powers necessary to perform any or all of the terms, conditions, and assurances in this grant agreement without the written approval of the Secretary, and will act promptly to acquire, extinguish or modify any outstanding rights or claims of right of others which would interfere with such performance by the sponsor.This shall be done in a manner acceptable to the Secretary. b. 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 13 3 - 48 - 0296 - 055 - 2015 thereto must be satisfactory to the Secretary. It will take steps to enforce this agreement against the local government if there is substantial non-compliance with the terms of the agreement. d. For noise compatibility program projects to be carried out on privately owned property, it will enter into an agreement with the owner of that property which includes provisions specified by the Secretary. It will take steps to enforce this agreement against the property owner whenever there is substantial non-compliance with the terms of the agreement. e. If the sponsor is a private sponsor, it will take steps satisfactory to the Secretary to ensure that the airport will continue to function as a public-use airport in accordance with these assurances for the duration of these assurances. f. If an arrangement is made for management and operation of the airport by any agency or person other than the sponsor or an employee of the sponsor,the sponsor will reserve sufficient rights and authority to insure that the airport will be operated and maintained in accordance Title 49, United States Code, the regulations and the terms, conditions and assurances in this grant agreement and shall insure that such arrangement also requires compliance therewith. g. Sponsors of commercial service airports will not permit or enter into any arrangement that results in permission for the owner or tenant of a property used as a residence, or zoned for residential use, to taxi an aircraft between that property and any location on airport. Sponsors of general aviation airports entering into any arrangement that results in permission for the owner of residential real property adjacent to or near the airport must comply with the requirements of Sec. 136 of Public Law 112-95 and the sponsor assurances. 6. Consistency with Local Plans. The project is reasonably consistent with plans (existing at the time of submission of this application) of public agencies that are authorized by the State in which the project is located to plan for the development of the area surrounding the airport. 7. Consideration of Local Interest. It has given fair consideration to the interest of communities in or near where the project may be located. 8. Consultation with Users. In making a decision to undertake any airport development project under Title 49, United States Code, it has undertaken reasonable consultations with affected parties using the airport at which project is proposed. 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. 14 3 - 48 - 0296 - 055 - 2015 In projects involving the location of an airport, an airport runway, or a major runway extension at a medium or large hub airport,the sponsor has made available to and has provided upon request to the metropolitan planning organization in the area in which the airport is located, if any, a copy of the proposed amendment to the airport layout plan to depict the project and a copy of any airport master plan in which the project is described or depicted. 11. Pavement Preventive Maintenance. With respect to a project approved after January 1, 1995,for the replacement or reconstruction of pavement at the airport, it assures or certifies that it has implemented an effective airport pavement maintenance-management program and it assures that it will use such program for the useful life of any pavement constructed, reconstructed or repaired with Federal financial assistance at the airport. It will provide such reports on pavement condition and pavement management programs as the Secretary determines may be useful. 12. Terminal Development Prerequisites. For projects which include terminal development at a public use airport, as defined in Title 49, it has, on the date of submittal of the project grant application, all the safety equipment required for certification of such airport under section 44706 of Title 49, United States Code, and all the security equipment required by rule or regulation, and has provided for access to the passenger enplaning and deplaning area of such airport to passengers enplaning and deplaning from aircraft other than air carrier aircraft. 13. Accounting System,Audit,and Record Keeping Requirements. a. It shall keep all project accounts and records which fully disclose the amount and disposition by the recipient of the proceeds of this grant, the total cost of the project in connection with which this grant is given or used, and the amount or nature of that portion of the cost of the project supplied by other sources, and such other financial records pertinent to the project. The accounts and records shall be kept in accordance with an accounting system that will facilitate an effective audit in accordance with the Single Audit Act of 1984. b. It shall make available to the Secretary and the Comptroller General of the United States, or any of their duly authorized representatives, for the purpose of audit and examination, any books, documents, papers, and records of the recipient that are pertinent to this grant.The Secretary may require that an appropriate audit be conducted by a recipient. In any case in which an independent audit is made of the accounts of a sponsor relating to the disposition of the proceeds of a grant or relating to the project in connection with which this grant was given or used, it shall file a certified copy of such audit with the Comptroller General of the United States not later than six(6) months following the close of the fiscal year for which the audit was made. 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 15 3 - 48 - 0296 - 055 - 2015 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, 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. 16 3 - 48 - 0296 - 055 - 2015 a. The airport and all facilities which are necessary to serve the aeronautical users of the airport, other than facilities owned or controlled by the United States, shall be operated at all times in a safe and serviceable condition and in accordance with the minimum standards as may be required or prescribed by applicable Federal, state and local agencies for maintenance and operation. It will not cause or permit any activity or action thereon which would interfere with its use for airport purposes. It will suitably operate and maintain the airport and all facilities thereon or connected therewith, with due regard to climatic and flood conditions. Any proposal to temporarily close the airport for non-aeronautical purposes must first be approved by the Secretary. In furtherance of this assurance, the sponsor will have in effect arrangements for- 1) Operating the airport's aeronautical facilities whenever required; 2) Promptly marking and lighting hazards resulting from airport conditions, including temporary conditions; and 3) Promptly notifying airmen of any condition affecting aeronautical use of the airport. Nothing contained herein shall be construed to require that the airport be operated for aeronautical use during temporary periods when snow, flood or other climatic conditions interfere with such operation and maintenance. Further, nothing herein shall be construed as requiring the maintenance, repair, restoration, or replacement of any structure or facility which is substantially damaged or destroyed due to an act of God or other condition or circumstance beyond the control of the sponsor. b. It will suitably operate and maintain noise compatibility program items that it owns or controls upon which Federal funds have been expended. 20. Hazard Removal and Mitigation. It will take appropriate action to assure that such terminal airspace as is required to protect instrument and visual operations to the airport (including established minimum flight altitudes) will be adequately cleared and protected by removing, lowering, relocating, marking, or lighting or otherwise mitigating existing airport hazards and by preventing the establishment or creation of future airport hazards. 21. Compatible Land Use. It will take appropriate action, to the extent reasonable, including the adoption of zoning laws,to restrict the use of land adjacent to or in the immediate vicinity of the airport to activities and purposes compatible with normal airport operations, including landing and takeoff of aircraft. In addition, if the project is for noise compatibility program implementation, it will not cause or permit any change in land use, within its jurisdiction, that will reduce its compatibility, with respect to the airport, of the noise compatibility program measures upon which Federal funds have been expended. 22. Economic Nondiscrimination. a. It will make the airport available as an airport for public use on reasonable terms and without unjust discrimination to all types, kinds and classes of aeronautical activities, including commercial aeronautical activities offering services to the public at the airport. b. In any agreement, contract, lease, or other arrangement under which a right or privilege at the airport is granted to any person, firm, or corporation to conduct or to engage in any aeronautical activity for furnishing services to the public at the airport,the sponsor will insert and enforce provisions requiring the contractor to- 17 3 - 48 - 0296 - 055 - 2015 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. a.) 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. b.)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. c.) 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. d.)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. e.) 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. f.) 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. g.)The sponsor may prohibit or limit any given type, kind or class of aeronautical use of the airport if such action is necessary for the safe operation of the airport or necessary to serve the civil aviation needs of the public. 23. Exclusive Rights. It will permit no exclusive right for the use of the airport by any person providing, or intending to provide, aeronautical services to the public. For purposes of this paragraph, the providing of the services at an airport by a single fixed-based operator shall not be construed as an exclusive right if both of the following apply: a. It would be unreasonably costly, burdensome, or impractical for more than one fixed-based operator to provide such services, and 18 3 - 48 - 0296 - 055 - 2015 b. If allowing more than one fixed-based operator to provide such services would require the reduction of space leased pursuant to an existing agreement between such single fixed-based operator and such airport. It further agrees that it will not, either directly or indirectly, grant or permit any person, firm, or corporation, the exclusive right at the airport to conduct any aeronautical activities, including, but not limited to charter flights, pilot training, aircraft rental and sightseeing, aerial photography, crop dusting, aerial advertising and surveying, air carrier operations, aircraft sales and services, sale of aviation petroleum products whether or not conducted in conjunction with other aeronautical activity, repair and maintenance of aircraft, sale of aircraft parts, and any other activities which because of their direct relationship to the operation of aircraft can be regarded as an aeronautical activity, and that it will terminate any exclusive right to conduct an aeronautical activity now existing at such an airport before the grant of any assistance under Title 49, United States Code. 24. Fee and Rental Structure. It will maintain a fee and rental structure for the facilities and services at the airport which will make the airport as self-sustaining as possible under the circumstances existing at the particular airport,taking into account such factors as the volume of traffic and economy of collection. No part of the Federal share of an airport development, airport planning or noise compatibility project for which a grant is made under Title 49, United States Code, the Airport and Airway Improvement Act of 1982, the Federal Airport Act or the Airport and Airway Development Act of 1970 shall be included in the rate basis in establishing fees, rates, and charges for users of that airport. 25. Airport Revenues. a. All revenues generated by the airport and any local taxes on aviation fuel established after December 30, 1987, will be expended by it for the capital or operating costs of the airport; the local airport system; or other local facilities which are owned or operated by the owner or operator of the airport and which are directly and substantially related to the actual air transportation of passengers or property; or for noise mitigation purposes on or off the airport.The following exceptions apply to this paragraph: 1) If covenants or assurances in debt obligations issued before September 3, 1982, by the owner or operator of the airport, or provisions enacted before September 3, 1982, in governing statutes controlling the owner or operator's financing, provide for the use of the revenues from any of the airport owner or operator's facilities, including the airport, to support not only the airport but also the airport owner or operator's general debt obligations or other facilities, then this limitation on the use of all revenues generated 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. 19 3 - 48 - 0296 - 055 - 2015 a.) 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. b.)Any civil penalties or other sanctions will be imposed for violation of this assurance in accordance with the provisions of Section 47107 of Title 49, United States Code. 26. Reports and Inspections. It will: a. submit to the Secretary such annual or special financial and operations reports as the Secretary may reasonably request and make such reports available to the public; make available to the public at reasonable times and places a report of the airport budget in a format prescribed by the Secretary; b. for airport development projects, make the airport and all airport records and documents affecting the airport, including deeds, leases, operation and use agreements, regulations and other instruments, available for inspection by any duly authorized agent of the Secretary upon reasonable request; c. for noise compatibility program projects, make records and documents relating to the project and continued compliance with the terms, conditions, and assurances of this grant agreement including deeds, leases, agreements, regulations, and other instruments, available for inspection by any duly authorized agent of the Secretary upon reasonable request; and d. in a format and time prescribed by the Secretary, provide to the Secretary and make available to the public following each of its fiscal years, an annual report listing in detail: 1) all amounts paid by the airport to any other unit of government and the purposes for which each such payment was made; and 2) all services and property provided by the airport to other units of government and the amount of compensation received for provision of each such service and property. 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. by gross weights of such aircraft) is in excess of five million pounds 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. 28. Land for Federal Facilities. 20 3 - 48 - 0296 - 055 - 2015 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 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. a.) 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. 21 3 - 48 - 0296 - 055 - 2015 b. Applicability 1) Programs and Activities. If the sponsor has received a grant (or other federal assistance) for any of the sponsor's program or activities, these requirements extend to all of the sponsor's programs and activities. 2) Facilities. Where it receives a grant or other federal financial assistance to construct, expand, renovate, remodel, alter or acquire a facility, or part of a facility,the assurance extends to the entire facility and facilities operated in connection therewith. 3) Real Property. Where the sponsor receives a grant or other Federal financial assistance in the form of, or for the acquisition of real property or an interest in real property,the assurance will extend to rights to space on, over, or under such property. c. Duration. The sponsor agrees that it is obligated to this assurance for the period during which Federal financial assistance is extended to the program, except where the Federal financial assistance is to provide, or is in the form of, personal property, or real property, or interest therein, or structures or improvements thereon, in which case the assurance obligates the sponsor, or any transferee for the longer of the following periods: 1) So long as the airport is used as an airport, or for another purpose involving the provision of similar services or benefits; or 2) So long as the sponsor retains ownership or possession of the property. d. Required Solicitation Language. It will include the following notification in all solicitations for bids, Requests For Proposals for work, or material under this grant agreement and in all proposals for agreements, including airport concessions, regardless of funding source: "The(Name of Sponsor), in accordance with the provisions of Title VI of the Civil Rights Act of 1964(78 Stat. 252, 42 U.S.C. §§ 2000d to 2000d-4) and the Regulations, hereby notifies all bidders that it will affirmatively ensure that any contract entered into pursuant to this advertisement, disadvantaged business enterprises and airport concession disadvantaged business enterprises will be afforded full and fair opportunity to submit bids in response to this invitation and will not be discriminated against on the grounds of race, color, or national origin in consideration for an award." e. Required Contract Provisions. 1) It will insert the non-discrimination contract clauses requiring compliance with the acts and regulations relative to non-discrimination in Federally-assisted programs of the DOT, and incorporating the acts and regulations into the contracts by reference in every contract or agreement subject to the non-discrimination in Federally-assisted programs of the DOT acts and regulations. 2) It will include a list of the pertinent non-discrimination authorities in every contract that is subject to the non-discrimination acts and regulations. 3) It will insert non-discrimination contract clauses as a covenant running with the land, in any deed from the United States effecting or recording a transfer of real property, structures, use, or improvements thereon or interest therein to a sponsor. 4) It will insert non-discrimination contract clauses prohibiting discrimination on the basis of race, color, national origin, creed, sex, age, or handicap as a covenant running with the land, in any future deeds, leases, license, permits, or similar instruments entered into by 22 3 - 48 - 0296 - 055 - 2015 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 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 23 3 - 48 - 0296 - 055 - 2015 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 1S, 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 March 20, 2014 and included in this grant, and in accordance with applicable state policies, standards, and specifications approved by the Secretary. 3S. 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 24 3 - 48 - 0296 - 055 - 2015 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. 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. 25 3 -48 -0296 - 055 - 2015 L AV/ FAA Airports yo 0 iNIS RP- Current FAA Advisory Circulars Required for Use in Alp 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/advisorycirculars NUMBER TITLE 70/7460-iK Obstruction Marking and Lighting 150/5020-1 Noise Control and Compatibility Planning for Airports 150/5070-66 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 150/5200-28D Notices to Airmen (NOTAMS)for Airport Operators 150/5200-30C Airport Winter Safety And Operations Change 1 150/5200-31C Airport Emergency Plan Changes 1-2 150/5210-5D Painting, Marking,and Lighting of Vehicles Used on an Airport 150/5210-713 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 26 FAA Advisory Circulars Required for Use AIP Funded and PFC Approved Projects Updated 3/20/2014 3 -48 -0296 -055 - 2015 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 150/5220-21C 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 150/5300-76 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 150/5320-51) 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 27 FAA Advisory Circulars Required for Use AIP Funded and PFC Approved Projects Updated 3/20/2014 3 -48 -0296 -055 - 2015 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 150/5340-1L 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 28 FAA Advisory Circulars Required for Use AIP Funded and PFC Approved Projects Updated 3/20/2014 3 -48 -0296 -055 - 2015 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 150/5370-1OG Standards for Specifying Construction of Airports 150/5370-116 Use of Nondestructive Testing in the Evaluation of Airport Pavements 150/5370-13A Off-Peak Construction of Airport Pavements Using Hot-Mix Asphalt 150/5370-156 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 29 FAA Advisory Circulars Required for Use AIP Funded and PFC Approved Projects Updated 3/20/2014 3 - 48 - 0296 - 055 - 2015 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 150/5300-96 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 150/5370-61) Construction Progress and Inspection Report—Airport Improvement Program (AIP) 150/5370-12A Quality Control of Construction for Airport Grant Projects 30 FAA Advisory Circulars Required for Use AIP Funded and PFC Approved Projects Updated 3/20/2014 3 - 48 -0296 -055 - 2015 U.S.DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION AIRPORT IMPROVEMENT PROGRAM SPONSOR CERTIFICATION DRUG-FREE WORKPLACE City of Fort Worth Fort Worth Alliance 3-48-0296-055-2015 (Sponsor) (Airport) (Project Number) Description of Work: Extend Runway 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 (wffl-be) published notifying employees that the unlawful manufacture,distribution, dispensing, possession, or use of a controlled substance is prohibited in the sponsor's IN ❑ ❑ workplace, and specifying the actions to be taken against employees for violation of such prohibition. 2. An ongoing drug-free awareness program has been (vwiJlbe) 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; IN ❑ ❑ 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 (w Ul.ba)given a copy of the statement required within item 1 ❑X ❑ ❑ above. 4. Employees have been (wHI- e)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 X❑ ❑ ❑ 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. 31 June 28,2005 3 -48 -0296 -055 - 2015 Yes No N/A 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 notice, including position title of the employee,to the FAA. Notices shall include the project number of each affected grant. 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 ❑X ❑ ❑ 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. Ci of For Worth Na a of Sponsor gnature of Sponsor's Designated Official Representa �1rPd illiam Welstead Acting on behWOf Wi11Mm Weld (Typed Name of Sponsor's Designated Official Representative) Aviation Director (T ped Title of S or's Designated Official Representative) ( ate 32 June 28,2005 3 - 48-0296 -055 - 2015 U.S.DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION AIRPORT IMPROVEMENT PROGRAM SPONSOR CERTIFICATION CONSTRUCTION PROJECT FINAL ACCEPTANCE City of Fort Worth Fort Worth Alliance 3-48-0296-055-2015 (Sponsor) (Airport) (Project Number) Description of Work: Extend Runway 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) ❑X ❑ ❑ 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, In ❑ ❑ e. Weather conditions, f. Equipment use, g. Labor requirements, h. Safety problems, and 1. Changes required. 3. Weekly payroll records and statements of compliance were(will be)submitted by the prime contractor and reviewed by the IN ❑ ❑ 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 X❑ ❑ ❑ available to the FAA. 33 June 28,2005 3 -48 -0296 -055 -2015 Yes No N/A 6. For any test results outside of allowable tolerances, appropriate © ❑ ❑ corrective actions were (will be)taken. 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 ® ❑ ❑ 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 IN ❑ ❑ contain documentation of the final 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 satisfaction of the sponsor. 11. If applicable,the as-built plans, an equipment inventory, and a revised airport layout plan have been (will be) submitted to the ® ❑ ❑ FAA. 12. Applicable close out financial reports have been (will be)submitted ® ❑ ❑ to the 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. City cifForM11.11 q f Sponsor) ature of Sponsor's Designated Official Representative) iam Welstead Acting dobeMVofVVMhmWeb4nd (Typed Name of Sponsor's Designated Official Representative) Aviation Director (T ed Title of S sor's Designated Official Representative) (Date) 34 June 28,2005 3 -48 -0296 -055 - 2015 U.S.DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION AIRPORT IMPROVEMENT PROGRAM SPONSOR CERTIFICATION EQUIPMENT/CONSTRUCTION CONTRACTS City of Fort Worth Fort Worth Alliance 3-48-0296-055-2015 (Sponsor) (Airport) (Project Number) Description of Work: Extend Runway 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. Alp 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 ❑X ❑ ❑ soliciting and awarding procurement contracts. 2. Qualified personnel are (will be)engaged to perform contract administration,engineering supervision, construction inspection, X❑ ❑ ❑ 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. 35 June 28,2005 3 -48-0296 -055 - 2015 Yes No N/A 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, ❑X ❑ ❑ 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. 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 X❑ ❑ ❑ 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 ❑X ❑ ❑ 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. 36 June 28,2005 3 -48 -0296 -055 - 2015 City of Fort Worth G of Sponsor) Cillature of Sponsor's Designated Official Representative) iam Welstead Actin¢on behaKof VVMbm Webtead (Typed Name of Sponsor's Designated Official Representative) Aviation Director (Ty ed Title of Sponsor's Designated Official Representative) 4-tG (Date) 37 June 28,2005 3 -48 -0296 -055- 2015 U.S.DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION AIRPORT IMPROVEMENT PROGRAM SPONSOR CERTIFICATION PROJECT PLANS AND SPECIFICATIONS City of Fort Worth Fort Worth Alliance 3-48-0296-055-2015 (Sponsor) (Airport) (Project Number) Description of Work: Extend Runway 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 (wHi-be) prepared in accordance with applicable Federal standards and requirements,so no deviation or modification to standards set forth in the advisory IN ❑ ❑ circulars,or State standard, is necessary other than those previously approved by the FAA. 2. Specifications for the procurement of equipment are not(WiH-Aot be) proprietary or written so as to restrict competition. At least 0 ❑ ❑ 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 (wHi-be) 0 ❑ ❑ omitted from the plans and specifications. S. The process control and acceptance tests required for the project by standards contained in Advisory Circular 150/5370-10 are (will- ® ❑ ❑ Imo)included in the project specifications. 6. If a value engineering clause is incorporated into the contract, ❑ Elconcurrence was (will be)obtained from the FAA, 7. The plans and specifications incorporate (wiHif)C-erporatej applicable requirements and recommendations set forth in the ® ❑ ❑ Federally approved environmental finding. 38 June 28,2005 3 -48 - 0296 -055 -2015 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 (w4 )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(w9Ibe) 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. City of Fort Worth (Name of Sponsor) ( ' nature of Sponsor's Designated Official Representativiolnes illiam Welstead A 044" of Wil�m Webbed (Typed Name of Sponsor's Designated Official Representa e Aviation Director (Typed Title of Sponsor's Designated Official Representative) 7- -T-�� (Date) 39 June 28,2005 3 -48 -0296 -055 - 2015 U.S.DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION AIRPORT IMPROVEMENT PROGRAM SPONSOR CERTIFICATION SELECTION OF CONSULTANTS City of Fort Worth Fort Worth Alliance 3-48-0296-055-2015 (Sponsor) (Airport) (Project Number) Description of Work: 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 or will be made to ensure fair and open ® ❑ ❑ competition from a wide area of interest. 2. Consultants were or will be selected using competitive procedures based on qualifications,experience,and disadvantaged enterprise ® ❑ ❑ requirements with the fees determined through negotiations. 3. A record of negotiations has been or 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 account personnel, prior approval was or will be obtained ❑ ❑ ❑X from the FAA. 5. The consultant services contracts clearly establish or will clearly establish the scope of work and delineate the division of ❑ ❑ responsibilities between all parties engaged in carrying out elements of the project. 6. Costs associated with work ineligible for AIP funding are or will be clearly identified and separated from eligible items in solicitations, ® ❑ ❑ contracts, and related project documents. 7. Mandatory contact provisions for grant-assisted contracts have ® ❑ ❑ been or will be included in consultant services contracts. B. The cost-plus-percentage-of-cost methods of contracting © ❑ ❑ prohibited under Federal standards were not or will not be used. 9. If the services being procured cover more than the single grant X❑ ❑ ❑ 40 June 28,2005 3 -48 - 0296-055 -2015 Yes No N/A project referenced in this certification, the scope of work was or will be specifically 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. City of Fort Worth Name of Spons r) Signature of Sponsor's Designated Official Representa William Welstead s.dna en behalf of Vfi tm We sbatd (Typed Name of Sponsor's Designated Official Representative) Aviation Director (T ed Title of Sp nsor's Designated Official Representative) - « -I (Date) 41 June 28,2005 JACOBS AFWGrant Application 2015 ORIGI ALf. I Pte—W'-4ert A AN, �wwrw�vi r A Fwu.&" FO T. --,lIWOPR- - - AIRP RT_ _ L RALROAG rr + J 8 RELOCATION ,.' MAINUNE r IMPROVISMEN'm + -Fj' rb RUNWAY -EXTEMS10 I.......... 4J 1 - T"_EC I r' r AIP G" ANT UMB r _ &0296 1 -2015 rn CID AL >•e. '� � ��. ,tom _ Y _-i�� - _.� ��l . -+>� I E) ORIGINAL FEDERAL AVIATION ADMINISTRATION AIP GRANT APPLICATION L) ORIGINAL OMB Number:4040-0004 Expiration Date:08/31/2016 Application for Federal Assistance SF-424 1. Type of Submission " 2. Type of Application If Revision, select appropriate letter(s): -Select One- © Preapplication © New r Application © Continuation * Other (Specify) © Changed/Corrected Application © Revision " 3. Date Received: 4. Application Identifier: 5a. Federal Entity Identifier: " 5b. Federal Award Identifier: 20-106 State Use Only: 6. Date Received by State: 7. State Application Identifier: 8.APPLICANT INFORMATION: " a. Legal Name: City of Fort Worth " b. Employer/Taxpayer Identification Number(EIN/TIN): "c. Organizational DUNS: 17-5005286 073170458 d.Address: * Street1: 3951 Lincoln Avenue Street 2: • City: Fort Worth County: Tarrant " State: Texas Province: Country: United States 'Zip/Postal Code: 76106 e. Organizational Unit: DepartmentName: DivisionName: Aviation Department f.Name and contact information of person to be contacted on matters involving this application: Prefix: Mr. First Name: Thomas Middle Name: J. Last Name: Harris Suffix: Title: president Organizational Affiliation: Alliance Air Services 2221 Alliance Boulevard, Suite 100 Fort Worth,Texas 76177 •Telephone Number: (817)890-1000 Fax Number: (817)430-2875 • Email: tom.harris@hillwood.com OMB Number:4040-0004 Expiration Date:08/31/2016 Application for Federal Assistance SF-424 *9.Type of Applicant 1: Select Applicant Type: C.City or Township Government Type of Applicant 2: Select Applicant Type: -Select One- Type of Applicant 3: Select Applicant Type: -Select One- * Other(specify): * 10. Name of Federal Agency: Federal Aviation Administration, SW Region, Fort Worth,Texas 11. Catalog of Federal Domestic Assistance Number: 20.106 CFDA Title: Airport Improvement Program *12. Funding Opportunity Number: 3-48-0296- 2015 Title: Fort Worth Alliance Airport Runway Extensions 13. Competition Identification Number: Title: 14. Areas Affected by Project(Cities, Counties, States, etc.): City of Fort Worth/North Tarrant and Denton Counties * 15. Descriptive Title of Applicant's Project: Perform various functions necessary to extend Runways 16L&R, including relocation of FM-156 and BNSF Railroad. Credit as the complete and Local Share for the Donation of Land, Parcel 6A/6B-3 and 30C. Attach supporting documents as specified in agency instructions. OMB Number: 4040-0004 Expiration Date: 08/31/2016 Application for Federal Assistance SF-424 16.Congressional Districts Of: *a.Applicant: 12,26 *b. Program/Project: 12 Attach an additional list of Program/Project Congressional Districts if needed. 17.Proposed Project: *a.Start Date: 04/01/2015 *b. End Date: 12/01/2017 18.Estimated Funding($): *a. Federal 20,000,000.00 *b. Applicant 2,222,223.00 *c. State *d. Local *e. Other *f. Program Income *g. TOTAL 22,222,223.00 *19.Is Application Subject to Review By State Under Executive Order 12372 Process? ❑ 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. ❑ c. Program is not covered by E.O. 12372 *20.Is the Applicant Delinquent On Any Federal Debt? (If"Yes",provide explanation on next page.) ❑ Yes ❑ No 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) **I AGREE **The list of certifications and assurances, or an intemet site where you may obtain this list, is contained in the announcement or agency specific instructions. Authorized Representative: Prefix: Mr- *First Name: Fernando Middle Name: *Last Name: Costa Suffix: *Title: Assistant City Manager *Telephone Number: (817)392-6122 Fax Number: (817)392-5413 *Email: femando.costa@fortowrthtexas.gov *Signature of Authorized Representative: *Date Signed: 45;67V-1 �� /12.91.5 BUDGET INFORMATION U.S.Department of Transportation OMB CONTROL NUMBER 2120-0569 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? (Attach Documentation) Yes P No Item 3. Does this assistance request require clearinghouse review in accordance with OMB Circular A-95? (Attach Comments) Yes ❑®No Item 4. Name of Approving Agency: Does this assistance request require State, local,regional, City of Fort Worth or other planning approval? Yes R3 No Date: 01/06/2015 Item 5. Check one: State Is the proposal project covered by an approved comprehensive plan? Local ❑� Wil Yes © No Regional Location of Plan: City of Fort Worth Item 6. Name of Federal Installation: Will the assistance requested serve a Federal installation? F-01Yes ® 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: Q Yes D 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 RZI No Item 9. Number of: Will the assistance requested cause the displacement of Individuals: individuals, families, businesses, or farms? Families: ❑� Yes R 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.) Q Yes fT 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: The City of Fort Worth had adopted Ordinance No. 10121,dated June 2, 1998,entitled FORT WORTH ALLIANCE AIRPORT ZONING OVERLAY, related to height and land use zoning. 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. Yes. 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. Yes. 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. Acknowledged. 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".- FEE A":FEE SIMPLE TITLE TO PARCELS:Al thru A9,2 thru 7,9, 10, 11A, 11(1), 12, 13, 14E, 14H thru 14K, 14P, 140, 14S, 14(l), 16-20, 27,28, H1 thru H29, 29,29A,30,30A,306,31 B.32A,326,32C,33A,33B,AIL-5A,AIL-513,AIL-5E,FE1,FE2, FE-4,AIL 6A/13-1, ATSF 1/1A,4-1,3-1 AND EASEMENTS,CLEARANCE LICENSE,OR OTHER USE RESTRICTIONS TO PARCELS:8A,813, 11, 116, 11C, 12A, 14A, 14C, 14C-1, 14D, 14F, 14G, 14L, 14M, 14N, 140, 14R, 15, H-1A, H-16, H-1C,H-2A,H-2B, H-3A,FE-3, FE-4, 5F,6A/6B-2(This Grant Application Parcel 6A/66-3 and 30-C). 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": None. (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" FEE SIMPLE TITLE TO PARCELS. *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(5114)SUPERSEDES PREVIOUS EDITION Page 3b DEPARTMENT OF TRANSPORTATION-FEDERAL AVIATION ADMINISTRATION OMB NO.2120-0569 PART III-BUDGET INFORMATION-CONSTRUCTION SECTION A-GENERAL 1. Federal Domestic Assistance Catalog No. 20-106 2. Functional or Other Breakout SECTION B-CALCULATION OF FEDERAL GRANT Use only for revisions Total Amount COST CLASSIFICATION Latest Approved Adjustment+or Required amount H 1. Administration expense $ $ $ 2. Preliminary expense 3. Land,structures,right-0f--way 4. Architectural engineering basic fees 5. Other architectural engineering fees 6. Project inspection fees 7. Land development 8. Relocation expenses 9. Relocation payments to individuals and businesses 10. Demolition and removal 11. Construction and project improvement 20,000,000.00 12. Equipment 13. Miscellaneous 14. Total(Lines 1 through 13) 20,000,000.00 15. Estimated Income(if applicable) 16. Net Project Amount(Line 14 minus 15) 17. Less:Ineligible Exclusions 18. Add:Contingencies 19. Total Project Amt.(Excluding Rehabilitation Grants) 20. Federal Share requested of Line 19 21. Add Rehabilitation Grants Requested(100 percent) 22. Total Federal grant requested(Lines 20&21) 20,000,000.00 23. Grantee share 2,222,223.00 24. Other shares 25. Total project(Lines 22,23,&24) $ $ $22,222,223.00 FAA Forth 5100-100(9-03)SUPERSEDES FAA FORM 5100-100(6-73) Page 4 DONATED LAND DEPARTMENT OF TRANSPORTATION-FEDERAL AVIATION ADMINISTRATION OMB NO.2120-0569 SECTION C-EXCLUSIONS Ineligible for Excluded from Participation Contingency Provision 26. Classification (1) (2) a. $ b. C. d. e. f. g. Totals $ $ SECTION D-PROPOSED METHOD OF FINANCING NON-FEDERAL SHARE 27. Grantee Share 2,222,223.00 a. Securities b. Mortgages C. Appropriations(By Applicant) d. Bonds e. Tax Levies f. Non Cash g. Other(Explain) Sponsor Local Share-Land Credits 2,222,223.00 h. Total—Grantee Share 2,222,223.00 28. Other Shares a. State b. Other C. Total Other Shares 29. TOTAL 2,222,223.00 SECTION E-REMARKS GRANTEE SHARE IS PROVIDED THROUGH THE VALUE OF DONATED LAND AS THE COMPLETE AND LOCAL SHARE 6A/6B-3 AND 30C. PART IV - PROGRAM NARRATIVE(ArracH--SEE INsTRucTioNs) FAA Form 5100.100(9-03)SUPERSEDES FAA FORM 5100-100(6-73) PAGE 5 PART IV PROGRAM NARRATIVE (Suggested Format) DEPARTMENT OF TRANSPORTATION-FEDERAL AVIATION ADMINISTRATION OMB NO.2120-0569 PROJECT: RUNWAY EXTENSION AIRPORT: FORT WORTH ALLIANCE AIRPORT,TEXAS 1. Objective: Extend Runway 16L and 16R to an overall length of 11,000 feet to meet approved capacity demands. 2. Benefits Anticipated: Enhanced capacity,increased stage length and aircraft take-off weights for all users. 3. Approach: (See approved Scope of Work in final Application) The project requires the relocation of a state highway(already relocated)and main rail line(design is complete and rail construction estimated to be complete by 04/01/2015). Phased approach has provided a significant earth package for the extended portion of the runway. 4. Geographic Location: The project location is at the north end of the airport.See attached project graphic. 5, If Applicable,Provide Additional Information: 6: Sponsor's Representative: (incl.address a rel.no.) Thomas J.Harris President,Alliance Air/Aviation Services 2221 Alliance Blvd,Ste.100, Fort Worth,TX 76177 817-890-1000 FAA Form 5100-100(9-03)SUPERSEDES FAA FORM 5100-100(6-73) PAGE 6 PROJECT EXHIBITS — _ I MORI Ta pm ff L F L pawm" AAtPRO Y A POSM _ 0:0000 loomm n a.. h dr Oa whslr0lt LA .V ��y" i• _ �,Awown, -�- fp ft ELL. Ir 1�_ w ° xsr � wl� ua+wa M � c = � C,4 J � LL r s O � N © = $ co _o m. A q jo o 0 = c© LL s� d J ZQ 0 3 x • 4 • — Z I QCie w ,0 0 Cie Q LLI U Q 3 030 wZLL a = � oc 0 CL t/7 ' Q I 'P LL lot N. t/? V W Y _ Lu Q all m I_ m V Olt .rr,, too , FEDERAL AVIATION ADMINISTRATION AIP SPONSOR CERTIFICATIONS 1/8/04 Appendix 25. Standard Sponsor Certification Forms Order 5100.38B Change 1 ..................................................................................................................................................................... U.S.DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION AIRPORT IMPROVEMENT PROGRAM SPONSOR CERTIFICATION DRUG-FREE WORKPLACE City of Fort Worth Fort Worth Alliance Airport 3-48-0296-_2015 .. ..... .............. ...._ ..... _........._ __ - ... ........ ...........I--... ........._.............................. ............ (Sponsor) (Airport) (Project Number) Perform various functions to extend Runways 16L& 16R. 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 ® El Elbe) 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 g'j ❑ ❑ notice, including position title of the employee, to the FAA. Notices shall include the project number of each affected grant. Order 5100.386 Appendix 25. Standard Sponsor Certification Forms 1/8/04 Change 1 ..................................................................................................................................................................... Yes No NIA 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. 1 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. City of Fort Worth ...............11.......................... ........................._.....................__.....................1.11__1............__....... _.. (Name of Sponsor) (Signature of Sponsor's Designated Official Representativ William Welstead 111.1_ ......... . 1111........ ... ........... (Typed Name of Sponsors Designated Official Representative) Aviation Di ...................... ....._... (Typed Title of Sponsors Designated Official Representative) ... �� .. ............ .........11....._........ ............. ....... (Date) Page 12 of 12 1/8/04 Appendix 25. Standard Sponsor Certification Forms Order 5100.38B Change 1 ..................................................................................................................................................................... U.S.DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION AIRPORT IMPROVEMENT PROGRAM SPONSOR CERTIFICATION PROJECT PLANS AND SPECIFICATIONS City of Fort Worth Fort Worth Alliance Airport 3-48-0296- 2015 ......... _.. 1111........ _ ......._. _1111. .. 1111_— (Sponsor) (Airport) (Project Number) Perform various functions to extend Runways 16L& 16R. 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 Retbe) proprietary or written so as to restrict competition. At least two ® ❑ ❑ manufacturers can meet the specification. 3. The development 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 ® ❑ ❑ 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 (willOaGE)FIDeFate3 applicable requirements and recommendations set forth in the Federally approved ® ❑ ❑ environmental finding. Page 3 of 12 Order 5100.386 Appendix 25. Standard Sponsor Certification Forms 1/8/04 Change 1 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 ® ❑ ❑ 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 (w+ 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. City of Fort Worth ......... ......... .....1111 (Name of Sponsor) (Signature of Sponsor's Designated Official Representative) William Welstead ........ ......... ... . ......... ............ . (Typed Name of Sponsor's Designated Official Representative)Aviation Director 111.1 ......... ..............1......1.111, .. ............ 1...111... (Typed Title of Sp Designated Official Representative) ... _... ....... % - (Date) 1/8/04 Appendix 25. Standard Sponsor Certification Forms Order 5100.386 Change 1 ..................................................................................................................................................................... U.S.DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION AIRPORT IMPROVEMENT PROGRAM SPONSOR CERTIFICATION PROJECT PLANS AND SPECIFICATIONS City of Fort Worth Fort Worth Alliance Airport 3-48-0296- 2015 ......... ... ........... ......... .... ........_ _ ......... ......... ......... ......._ 7 ...................... ............. .... (Sponsor) (Airport) (Project Number) Perform various functions to extend Runways 16L & 16R. 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-Ret be) proprietary or written so as to restrict competition. At least two ® ❑ ❑ manufacturers can meet the specification. 3. The development included (to beiRGIuded) in the plans is depicted on the ® ❑ ❑ airport layout plan approved by the FAA. 4. Development that is ineligible for AIP funding has been (willbe) 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 (wallbe) ® ❑ ❑ 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 inGeFperate)applicable requirements and recommendations set forth in the Federally approved ® ❑ ❑ environmental finding. Page 3 of 12 Order 5100.38B Appendix 25. Standard Sponsor Certification Forms 1/8/04 Change 1 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{w + ® ❑ ❑ 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. City of Fort Worth ......... .. 111.1........ ........_. ......... (Naive of Sponsor) (Signature of Sponsor's Designated Official Representative) William Welstead . .. ........ _......._. ......... ............... (Typed Name of Sponsor's Designated Official Representative) Aviation Director 1.111 ......... 1..1..11..........----................. ......._ ........... (Typed Title of Sponsor's Designated Official Representative) _ . .u� .. ...1.11 .......1.. ... ........1111. (Date)