HomeMy WebLinkAbout97-99 RESOLUTION•
RESOLUTION NO
97-99
A RESOLUTION AWARDING BID NO. 99-57 IN THE AMOUNT
OF $281,547.83, TO PAVEMENT SPECIALIST, INC.;
APPROVING A PROJECT CONTINGENCY AMOUNT OF
$31,552; APPROVING $6,000 FOR MATERIALS TESTING, FOR
THE TERMINAL APRON REHABILITATION PROJECT; AND
APPROVAL OF A BUDGET ADJUSTMENT TO COVER THE
PROJECT CONTINGENCY IN THE AMOUNT OF $33,813.
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF FAYETTEVILLE,
ARKANSAS•
Section 1 That the City Council hereby awards Bid No. 99-57 in the amount of
$281,547.83, to Pavement Specialist, Inc.; approves a project contingency in the amount of $31,552
approves $6,000 for materials testing, for the terminal apron rehabilitation project; and authorizes
the Mayor and City Clerk to execute a contract for said amounts. A copy of the contract is attached
hereto marked Exhibit "A" and made a part hereof.
Section ?. The City Council hereby approves a budget adjustment to cover the project
contingency in the amount of $33,813 increasing Terminal Ramp Rehabilitation, Acct. 5550 3960
7820 27, Project No. 99044 1 by decreasing Use of Fund Balance, Acct. No. 5550 0955 4999 99.
A copy of the budget adjustment is attached hereto marked Exhibit "B" and made a part hereof.
PASSED AND APPROVED this 20th day of July , 1999.
•
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Heather Woodruff, City C
APPROVE
By
red Hanna, Mayor
XX AGENDA REQUEST
XX CONTRACT REVIEW
_ GRANT REVIEW
For the Fayetteville City Council meeting of
•
STAFF REVIEW FORM
July 20. 1999
RECEIVED
JUL ' ' 2 1999
CITY OF FAYETTEVILLE
CITY CLERK'S OFFICE
FROM:
Dale Frederick Airport General GMT.
Name
Division Department
ACTION REQUIRED: Airport staff requests approval of the contract for the Terminal Apron Rehabilitation Project with Pavement
Specialist, Inc. for a negotiated low bid amount of $281,547.83. When the Airport is officially notified of the FAA's approval and grant
award, the Mayor's signature is requested on the contract. The grant is date sensitive, and staff requests that the Mayor be given the
authority to accept and sign the FAA grant upon its arrival. This project will be funded with a 90% FAA Grant; a 5% request from the
State Aeronautics Board; and 5% reimbursement through previously collected Airport Passenger Facility Charges. A project contingency
of approxiamately ll% ($31,552.00) to cover unforeseen project expenditure and $6,000.00 for materials testing is requested. A budget
adjustment to cover the project contingency and increased cost over the original project estimate is requested.
COST TO CITY:
$ 319.100.00
Cost of this Request
5550-3960-7820.27
Account Number
99044
Project Number
$ 286 000.00
Category/Project Budget
$ 713.00
Funds used to date
$ 285.287.00
Remaining Balance
Terminal Ramp Rehab.
Category/Project Name
Fixed Assets
Program Name
Airport
Fund
Szt2 X B & It l JVLQci
udget Coo
Administrative Services Director
X Budget Adjustment Attached
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Acc
EASE REVIEW
e X9-9,
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Date
4k (0-30 `i�
Date
ity Attorney
Purchasing Officer
4
al Auditor
Date
STAFF RECOMMENDATION:
Airport staff recommends approval.
40 a _ 2_e2r. cc ' , il 6 $ 9
Division Head Date
t, 1" I,ct •i
L.Ii, As_
Admi
at vyS ices Director
Mayo
Cross Reference
New Item: Yes
Prev. Ord/Res#:
Orig Cont. Date:
No
•
1
FAYETTEVILLE
AIRPORT DEPARTMENT
THE CITY OF FAYETTEVILLE, ARKANSAS
TO: Fayetteville City Council
THRU• Fred Hanna, Mayor
FROM: Dale Frederick, Airport Manager ifYlita1ST
DATE: JUNE 28,1999
SUBJECT: CONTRACT APPROVAL WITH PAVEMENT SPECIALISTS, INC. FOR
THE TERMINAL APRON REHABILITATION
The Airport staff requests approval of the contract for the Terminal Apron Rehabilitation Project
with Pavement Specialist, Inc. for a negotiated low bid amount of $281,548.00. When the Airport
is officially notified of the FAA's approval and grant award, the Airport will request the Mayor's
signature on the contract. The Airport Board recommended the award of this contract at their
meeting on June 3, 1999.
The grant is date sensitive, and the Airport Staff requests that the Mayor be given the authority to
accept and sign the FAA grant upon its arrival This is an Airport Improvement Project and will be
funded 90% with FAA Grant #27; 5% request from the State Aeronautics Board; and 5%
reimbursement through previously collected Airport Passenger Facility Charges.
A project contingency of 10% and a budget adjustment is requested. The project contingency will
cover any unforeseen project expenditures, and the budget adjustment will cover the project
contingency and the increased cost over the original project estimate.
DF/bjm
Attachments: Contract Review Form
Specifications and Contract Documents
Bid Tabulation
Budget Adjustment
4500 SOUTH SCHOOL AVENUE, SUITE F • AIRPORT TERMINAL BUILDING • FAYETTEVILLE, AR 72701
PHONE 501-521-4750 Ext. 6 • FAX 501-521-1735
�1
U.S. Department
of Transportation
Federal Aviation
Administration
June 23, 1999
The Honorable Fred Hanna
Mayor of Fayetteville
113 West Mountain
Fayetteville, AR 72701
Dear Mayor Hanna:
Southwest Region
Arkansas. Louisiana,
New Mexico, Oklahoma.
Texas
Fort Worth. Texas 76193-0000
RECEIVED
JUN 2 8 1998
AIRPORT
Your request for assistance under the Airport Improvement Program, as authorized by
Title 49 United States Code, for Drake Field has been approved for Fiscal Year 1999. The
allocation is as follows:
Federal Funds:
Project No.:
Development:
$400,000
3-05-0020-27-99
Rehabilitate Terminal Apron
This allocation may be used only for the development described above and you are expected
to proceed without delay. Our Airports Division representative, Mr. Donald Harris, will
contact you within 7 days to provide any assistance you may need and to work with you to
establish a project schedule. This schedule will include a timely grant offer being made
based on bids. This allocation is tentative and will remain valid so long as the project
formulation is proceeding on the schedule. Failure to meet the schedule will jeopardize
project funding and could lead to withdrawal of the tentative allocation.
We look forward to working with you and your staff toward the successful completion of
this project.
Sincerely,
Original Signed By:
Donald C. Harris
Edward N. Agnew
Manager, Arkansas/Oklahoma
Airports Development Office •
Commitment to Excellence—Our Commitment to You
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City of Fayetteville, Arkansas
Budget Adjustment Form
'EXHIBIT B
Budget Year
1999
Department: General Government
Division: Airport
Program: Airport Capital
Date Requested
06/28/99
Adjustment #
Project or Item Requested:
Additional funding is requested for the Terminal Apron
Rehabilitation Project.
Project or Item Deleted:
None. Use of fund balance is proposed for this a adjustment.
Justification of this Increase:
The funds are needed to provide sufficient budget to fully
fund the bid, project contingency, and testing expenses
associated with the project. The additional funds will allow the
necessary maintenance work to be performed and preserve
the apron in a more usable condition.
Justification of this Decrease:
Sufficient cash & investments exist to fund this request and
comply with City policy.
Increase Expense (Decrease Revenue)
Account Name Amount Account Number Project Number
Terminal Ramp Rehabilitation 33,813 5550 3960
7820 27 99044 1
Decrease Expense (Increase Revenue)
Account Name Amount Account Number Project Number
5550 0955 4999 99
Use of Fund Balance 33,813
Approval Signatures
Bu get Manager
Department Director
Date
Date
Budget Office Use Only
Type: A B C
Date of Approval
Posted to General Ledger
Posted to Project Accounting
Entered in Category Log
E
Blue Copy: Budget & Research / Yellow Copy: Requeste D:\DATAV9BUDGEJ\BUDGTAD.ATERM_I
1
1
FAYETTEVILLE
THE CITY OF FAYETTEVILLE, ARKANSAS
DEPARTMENTAL CORRESPONDENCE
To: Dale Frederick, Airport Manager
From: Heather Woodruff, City Clerk
Date: July 26, 1999
Attached is a copy of the resolution and the contract awarding Bid 99-57 to Pavement
Specialists, Inc. I am also returning five originals for you to distribute. Your purchase
requisition has been forwarded to the Internal Auditor for a contract number. The original
resolution and one contract will be microfilmed and filed with the City Clerk.
cc: Yolanda Fields, Internal Auditor
Steve Davis, Budget and Research
•
STAFF REVIEW FORM
AGENDA REQUEST
XX CONTRACT REVIEW
xX GRANT REVIEW
For the Fayetteville City Council meeting of N/A
1
Avfori- 7-261
FAA 06 -0.4 -1 -
Pe S.
6- +-
P°s. t1 -)—i01
RECEIVED
JUl 2 9 1999
CIN OF FAYETTEVILLE
CITY CLERKS OFFICE
FROM:
Dale Frederick Airport General GMT.
Name
Division Department
ACTION REQUIRED: The Airport staff requests the Mayor's signature accepting Airport
Improvement Program Grant Number 3-05-0020-2799 in the amount of $284,457.00. This
grant acceptance was approved by City Council on July 20, 1999.
COST TO CITY:
SiPegtfl Cha Qasica
Cost of this Request Category/Project
>sto - ogss - 6 10 -2.} $ 0.00
Terminal Ramp Rehab.
Budget Category/Project Name
N/A
Program Name
Airport
Account Number
44est}G
Project Number
Funds used to date
S tDo
Remaining Balance
Fund
BiGETI?(IEW: Budgeted Iten
B'All
d•et Coordinator
(\ Budget Adjustment Attached
Administrative Services Director
CONTRACT/GRANT/LEASE
REVIEW:
',21%-G%
Date
7 5
Date
Mae`C1
Purchasing Officer
Date
GRANTING AGENCY:
ADA Coordinator,, .. AA��'' Date
altik4C
ternal Auditor Date
STAFF RECOMMENDATION: Airport Staff recommends approval of this grant.
AciicrV'e Services Director
iLi
Mayr
122
Date
Vol
ate
Cross Reference
New Item: Yes
Prev Ord/Res#:
Orig Cont. Date:
No
STAFF REVIEW FORM Page 2
Description: AIP GRANT ACCEPTANCE #27 Meeting date: N/A
Comments:
Budget Coordinator Reference Comments:
Accounting Manager Reference Comments:
City Attorney Reference Comments:
Purchasing Officer Reference Comments:
ADA Coordinator Reference Comments:
Internal Auditor Reference Comments:
FAYETTEVILLE
THE CITY OF FAYETTEVILLE, ARKANSAS
DEPARTMENTAL CORRESPONDENCE
To: Yolanda Fields, Internal Auditor
From: Theresa Johnson, Deputy City Clerk
Date: July 30, 1999
Re: FAA Airport Improvement Program Grant
Attached please find a copy of the contract for the FAA grant. The original has been returned to
Brenda Moss of Airport Administration for distribution. A copy of the grant application will be
microfilmed and filed with the City Clerk.
FAYETTEVI LLE
THE CITY OF FAYETTEVILLE, ARKANSAS
DEPARTMENTAL CORRESPONDENCE
TO: Fred Hanna, Mayor
FROM: Dale Frederick, Airport Manager
DATE: July 27, 1999
SUBJECT: APPROVAL OF AIP GRANT #27 FOR THE TERMINAL RAMP
REHABILITATION.
The Airport requests your signature on the attached Airport Improvement
Program Grant Acceptance Form. The council's permission to accept this
grant was included with the approval of the contract with Pavement
Specialists, Incorporated for this project on July 20, 1999.
ATTACHMENTS: Contract Review Form
Original and Copy of Grant
�1
U.S. Department
of Transportation
Federal Aviation
Administration
July 22, 1999
The Honorable Fred Hanna
Mayor of Fayetteville
113 West Mountain Street
Fayetteville, AR 72701
Dear Mayor Hanna:
Enclosed are the original and orne;lcopy of the Grant Offer for Airport Improvement Program
(AIP) Project No. 3-05-0020- 7 at Fayetteville Municipal Airport, Fayetteville, Arkansas,
to rehabilitate the terminal apron pavement.
Southwest Region
Arkansas. Louisiana.
New Mexico. Oklahoma.
Texas
Fort Worth. Texas 76193-0000
R ECEIVED
JUL 261998
AIRPORT
After the Grant Offer has been accepted and executed, please return the original via
overnight mail to Mr. Don Harris, Federal Aviation Administration, 2601 Meacham
Boulevard, Fort Worth, TX 76137-4298. The copy is for your files. Please insure that the
date of the attorney's signature does not precede the date of acceptance signature of the
grant.
The current Sponsor's Assurances are incorporated in this Grant Agreement. We direct
your attention to Assurance No. 25, "Airport Revenue." By acceptance of this grant offer,
you are assuring the Federal Government that all airport revenues are being used only for
airport purposes or other transportation purposes identified in this assurance This applies
to aeronautical lease revenue as well as non aviation uses of airport property, such as
industrial, recreational, or agricultural. If you have any questions about the applicability of
this provision, please contact your Arkansas/Oklahoma ADO program manager.
Sincerely,
Edward N. Agnew
Manager, Arkansas/Oklahoma Airports
Development Office
Enclosure (2)
Commitment to Excellence --Our Commitment to You
•
U.S. Department
of Transportation
Federal Aviation
Administration
Dcctelo
GRANT AGREEMENT
FOR DEVELOPMENT PROJECT
PART I -OFFER
Date of Offer: July 22,1999 Project No. 3-05-0020-2799
Airport: Fayetteville Municipal (Drake Field) Contract No. DOT FA 99 SW -8017
TO: City of Fayetteville
(herein referred to as the "Sponsor")
FROM: The United States of America (acting through the Federal Aviation Administration, herein referred to as the "FAA")
WHEREAS, the Sponsor has submitted to the FAA a Project Application (also called an Application for Federal Assistance)
dated June 11, 1999, for a grant of Federal funds for a project for development of the Fayetteville Municipal (Drake Field)
Airport (herein called the "Airport"), together with plans and specifications for such project, which Application for Federal
Assistance, as approved by the FAA is hereby incorporated herein and made a part hereof; and
WHEREAS, the FAA has approved a project for development of the Airport (herein called the "Project") consisting of the
following -described airport development:
Rehabilitate Terminal Apron
all as more particularly described in the property map and plans and specifications incorporated in the said Application for Federal
Assistance.
FAA Fonn 5100-37 (10-89) Development or Noise Program
ASW Form 5100-37 (1-99)
Page 1 of 5 Pages
NOW THEREFORE, pursuant to and for the purpose of carrying out the provisions of Title 49, United States Code, herein called
"Title 49 U.S.C.," and in consideration of (a) the Sponsor's adoption and ratification of the representations and assurances
contained in said Project Application and its acceptance of this Offer as hereinafter provided, and (b) the benefits to accrue to the
United States and the public from the accomplishment of the Project and compliance with the assurances and conditions as herein
provided, THE FEDERAL AVIATION ADMINISTRATION, FOR AND ON BEHALF OF THE UNITED STATES,
HEREBY OFFERS AND AGREES to pay, as the United States share of the allowable costs incurred in accomplishing the
Project, ninety percentum of all allowable project costs.
This Offer is made on and subject to the following terms and conditions:
Conditions
1. The maximum obligation of the United States payable under this offer shall be $284,457.00.
2. The allowable costs of the project shall not include any costs determined by the FAA to be ineligible for consideration as to
allowability under Title 49 U.S.C.
3. Payment of the United States share of the allowable project costs will be made pursuant to and in accordance with the
provisions of such regulations and procedures as the Secretary shall prescribe. Final determination of the United States share will
be based upon the final audit of the total amount of allowable project costs and settlement will be made for any upward or
downward adjustments to the Federal share of costs.
4. The sponsor shall carry out and complete the Project without undue delays and in accordance with the terms hereof, and such
regulations and procedures as the Secretary shall prescribe, and agrees to comply with the assurances which were made part of the
project application.
5. The FAA reserves the right to amend or withdraw this offer at any time prior to its acceptance by the sponsor.
6. This offer shall expire and the United States shall not be obligated to pay any part of the costs of the project unless this offer
has been accepted by the sponsor on or before thirty days from Grant Offer date or such subsequent date as may be prescribed
in writing by the FAA.
7. The sponsor shall take all steps, including litigation if necessary, to recover Federal funds spent fraudulently, wastefully, or in
violation of Federal antitrust statutes, or misused in any other manner in any project upon which Federal funds have been
expended. For the purposes of this grant agreement, the term "Federal funds" means funds, however, used or disbursed by the
sponsor that were originally paid pursuant to this or any other Federal grant agreement. It shall obtain the approval of the
Secretary as to any determination of the amount of the Federal share of such funds. It shall return the recovered Federal share,
including funds recovered by settlement, order or judgment, to the Secretary. It shall famish 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 shall be approved in advance by the Secretary.
8. The United States shall not be responsible or liable for damage to property or injury to persons which may arise from, or be
incident to, compliance with this grant agreement.
9. Unless otherwise approved 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 airport development or noise
compatibility for which funds are provided under this grant. The sponsor will include in every contract a provision implementing
this special condition.
10. The property map referred to on Page 1 of this Grant Agreement is the Property Map, Exhibit "A", attached to the
Application for Federal Assistance for Grant No. 3-05-0020-2799.
FAA Form 5100.37 (10-89) Development or Noise Program
ASW Form 5100-37 (1-99)
Page 2 of 5 Pages
•
11. It is mutually understood and agreed that, if during the life of the project, the FAA determines that the grant amount exceeds
the expected needs of the sponsor by $5,000 or five (5%) percent, whichever is greater, the grant amount can be unilaterally
reduced by letter from the FAA advising of the budget change. Conversely, if there is an overrun in the eligible project costs, FAA
may increase the grant to cover the amount of overrun not to exceed the statutory fifteen (15%) percent limitation , and will advise
the sponsor by letter of the increase. Upon issuance of either of the aforementioned letters, the maximum obligation of the United
States is adjusted to the amount specified.
12. If a letter of credit is to be used, the sponsor ogees to request cash drawdowns on the authorized letter of credit only when
actually needed for its disbursements and to timely reporting of such disbursements as required. It is understood that failure to
adhere to this provision may cause the letter of credit to be revoked.
13. The Sponsor agrees to perform the following, if this project contains more than $250,000 of paving:
a. Furnish a construction management program to FAA prior to the start of construction which shall detail 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 shall 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 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 of 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 did not meet the applicable test standard. The report shall include the pay reductions
applied and reasons for accepting any out -of -tolerance material. An interim test and quality control report shall 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, shall, absent any
compelling justification, result in a reduction in Federal participation for costs incurred in connection with construction of
the applicable pavement. Such reduction shall 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.
14. The plans and specifications referred to on Page 1 of this Grant Agreement are the plans and specifications identified as
Sponsor contract Rehabilitate Terminal Apron.
FAA Form 5100.37 (1049) Development or Noise Program
ASW Form 5100-37 (1-99)
Page 3 of 5 Pages
15. The sponsor attests any automated facility, technology system, or equipment acquired, assessed, tested, installed or repaired
under this Airport Improvement Program project has completed, or will complete, successful verification and validation of the
year 2000 (Y2K) date change data processing. The sponsor shall ensure Y2K compliance of the facilities, systems, or equipment
prior to its acceptance and/or commissioning to verify it meets operational standards. The sponsor must provide for continuous
operation and maintenance of such, or alternate courses of action. The future Y2K awareness, assessment (including associated
testing), renovation, validation, and implementation work related to the project will be the responsibility of the sponsor or its
contractor. The Government will not participate in additional costs of Y2K assessment, testing, or repair work for the automated
data processing subject to this grant agreement.
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 Title 49 U.S.C., constituting 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 ADMINISTRATION
dedeealii
Edward N. Agnew, Manager
Arkansas/Oklahoma Airports Development Office
FAA Form 5100-37 (10-89) Development or Noise Program
ASW Form 5100-37 (1-99)
Page 4 of 5 Pages
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.
Executed this off day of/jyz,,/ 199%
j/' / City of Fayetteville
(Name of Sport )
(SEAL)
1, y �O5F
That in my opinion the Sponsor is empowered to enter into the foregoing Grant Agreement under the laws of the State of
Arkansas. Further, I have examined the foregoing Grant Agreement and the actions taken by said Sponsor relating thereto, and
fmd that the acceptance thereof 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 Title 49 U.S.C. 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.
By:
nsor's DEsignated Official Representative)
Title: /why°,
Attest:
Title: C/Ty CLQ
CERTIFICATE OF SPONSOR'S ATTORNEY
, acting as Attorney for the Sponsor do hereby certify
Dated at
this a9 day of 'uty
,19 99 .
tom-
(Signa re of Sp—asors Attorney)
FAA Form 5100.37 (10-89) Development or Noise Program
ASW Form 5100.37 (1.99)
Page 5 of 5 Pages
OMS Approval No. 03484043
APPLICATION FOR FEDERAL
ASSISTANCE
2. DATE SUBMITTED
6-10-99
Applicant Identifier
I.TYPE OF SUBMISSION
3. DATE RECEIVED BY STATE
State Application Identifier
Application
Reapplication
grj
Contraction
0 Conmuction
4. DATE RECEIVED BY FEDERAL AGENCY
Federal Idendfia
❑Nen ran,tt,mm
0 Non -Construction
& - /1- 9 9
3. APPLICANT INFORMATION
Legal Name
Organizational Unit
City of Fayetteville
Fayetteville Municipal Airport Board
Address (give thy , minty. zona, and 'p code)
Name and telephone number of the person to be contacted on mantra involving this ggli d (give area
code)
PO Box 590, Fayetteville, Alt 72702
Dale Frederick (501) 718-7640
6. EMPLOYER IDENTIFICATION NUMBER (EDI):
7. TYPE OF APPLICATION: (enter nWpcprise letter in bon) C
A. Sm H. Independent School District
71 - 6018462
B. County L Sm Controlled Institution of Higher Louring
C. Municipal 1. Private University
D. Township IC India Tribe
E. Intone L. Individual
F. Intamonicipal M. Profit Organization
G. Special District N. Other (Specify)
8. TYPE
OF APPLICATION
9. NAME OF FEDERAL AGENCY
0
New 0 CmmKtion ❑ Revision
Federal Aviation Administration
If Revision. atm apptopriae ImaO) in boa (es) ❑ ❑
ASW 630
A. blame Awad B. Decrease Awad C In nate Duration
Forth Worth, TX 76193-0630
D. Decrease Duration F. Other (specify)
10. CATALOG OF FEDERAL DOMESTIC 20-106
II. DESCRIPTIVE TITLE OF APPLICANTS PROJECT
ASSISTANCE NUMBER
Terminal Apron Rehabilitation
TITLE AIP 3-05-0020-27-99
12. AREAS AFFECTED BY PROJECT (tido. counties. suns. ac.)
Fayetteville, Washington, AR
13. PROPOSED PROJECT
M. CONGRESSIONAL DISTRICT OF
START DATE
ENDING DATE
a APPLICANT
b PROJECT
7/99
11/99
03
03
13. ESTIMATED FUNDING
16.1S APPLICATION SUBJECT
TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS?
a Federal
$284,457.87
a YES THIS PREAPPLICATIOWAPPLICATION WAS MADE AVAILABLE TO THE STATE
EXECUTIVE ORDER 12372 PRMFSS FOR REVIEW ON
b. Applicata
$16 303 21
DATE 6-10-99
c. State
$15,803.22
b. NO ❑ PROGRAM IS NOT COVERED BY E.O. 12372
d Local
$
❑ OR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR
REVIEW
c.Odm
$
L Program Intoner
$
17.15 THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT
g. TOTAL
$316,564.30
❑ YES IF "YES' ATTACH AN EXPLANATION ® 140
18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION ARE TRUE AND CORRECT. THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY
OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF ASSISTANCE IS AWARDED
a Typed Name of Authorised Representative
b Tide
e. Meehan Number
Dale Frederick
Airport Manager
(501) 718-7640
a Signets=
of Authorized
Representative
a Dec S fined
-suA,A/o i4 s S
Purim Edition Na Usable
Authorized for Local Reproduction
Standard Form 424 (REV4-88)
Prescribed by OMS Circular A-102
DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMZNISfRAT1ON
PART II
PROJECT APPROVAL INFORMATION
SECTION A
• OMB NO. SO -R0164
Item 1.
Does this assistance request require State, local,
regional, or other priority rating?
Name of Governing Body _
Priority Rating _
❑ Yes ® No
Item 2.
Does this assistance request require State, or local advisory, Name of Agency or
educational or health clearances ? Board _
O Yes ® No (Attach Documentation)
Item 3.
Does this assistance request require clearinghouse review in (Attach Comments)
accordance with OMB Circular A-95?
Submitted June 10, 1999
N Yes 0 No
Item 4.
Does this assistance request require State, local, regional or other Name of Approving Agency
planning approval? Date _
❑ Yes ® No
Item 5.
Is the proposed project covered by an approved
comprehensive plan?
Check one: State 0
Local 0
Regional 0
NYes 0 No Location of plan Airport Master Plan
Item 6.
Will the assistance requested serve a Federal Name of Federal Installation
installation? ❑ Yes ® No Federal Population benefiting from Projects
Item 7.
Will the assistance requested be on Federal land
or installation? ❑ Yes ® No
Name of Federal Installation _
Location of Federal Land _
Percent of Project _
Item 8.
Will the assistance requested have an impact or effect
on the environment? 0 Yes ® No
See instruction for additional information to be provided.
Item 9.
Will the assistance requested cause the displacement of Number of:
individuals families, business, or farms? Individuals
O Yes ® No Families
Businesses
Farms
Item 10.
Is there other related Federal assistance on this See instructions for additional information to be provided.
project previous, pending, or anticipated? ❑ Yes ® No
•Siam character of property interest in cach urn and lin and identify for each dl exceptions, =cumbrance. and Same interests of every kind end nanuc, including lieu, casements, lever, etc. The sryante arm of land
need only be id=tifed bet by the arca numb= shown the property map.
FAA Form 5100-100 (4-76) Page 3a
•
•
e DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION , OMB No. 04.R0209
•
PART II - SECTION C (SECTION B OMITTED)
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:
none
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 not facts or circumstances (including the existence of effective or proposed leases, use
agreements or other legal instruments affecting use of the Airport of 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 Part V of this Application, either by limiting its legal or financial ability or otherwise, except as follows:
none
4. 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 property map designated as Exhibit "A".
Existing title was approved under previous projects. Status of title is unchanged since approval.
'Sum character of property interest in each area and lin and idcnrify for each all a «prions, eacumbmnca, and dvme interest, of tray kind and nature, including lino, easements, Itasca, etc. The pone arca of WW
nerd only be identified here by dw area minters shown co the properly map.
FAA Form 5100-100 (4-76)
Page 3a