HomeMy WebLinkAbout128-12 RESOLUTIONRESOLUTION NO. 128-12
A RESOLUTION AWARDING BID #12-46 AND AUTHORIZING A
CONTRACT WITH PAVEMENT MAINTENANCE UNLIMITED, LLC FOR
PAVEMENT REHABILITATION AND RE -MARKING AT FAYETTEVILLE
EXECUTIVE AIRPORT -DRAKE FIELD IN THE AMOUNT OF $99,190.00,
APPROVING CHANGE ORDER NO. 1 TO THE CONTRACT IN THE
AMOUNT OF $22,050.00, APPROVING APPLICATION FOR AND
ACCEPTANCE OF GRANTS FROM THE FEDERAL AVIATION
ADMINISTRATION AND THE ARKANSAS DEPARTMENT OF
AERONAUTICS TO FUND NINETY-FIVE PERCENT (95%) OF THE
PROJECT, APPROVING A PROJECT CONTINGENCY IN THE AMOUNT
OF $7,012.00, AND APPROVING A BUDGET ADJUSTMENT
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF
FAYETTEVILLE, ARKANSAS:
Section 1. That the City Council of the City of Fayetteville, Arkansas hereby awards Bid
#12-46 and authorizes a contract with Pavement Maintenance Unlimited, LLC for pavement
rehabilitation and re -marking at Fayetteville Executive Airport -Drake Field in the amount of
$99,190.00.
Section 2. That the City Council of the City of Fayetteville, Arkansas further approves
Change Order No. 1 to the contract with Pavement Maintenance Unlimited, LLC in the amount
of $22,050.00.
Section 3. That the City Council of the City of Fayetteville, Arkansas hereby authorizes
the application for and acceptance of grants from the Federal Aviation Administration and the
Arkansas Department of Aeronautics to fund ninety-five percent (95%) of the project.
Section 4. That the City Council of the City of Fayetteville, Arkansas hereby approves a
project contingency in the amount of $7,012.00.
Section 5. That the City Council of the City of Fayetteville, Arkansas hereby approves a
budget adjustment, a copy of which is attached as Exhibit "A".
PASSED and APPROVED this 19th day of June, 2012.
APPROVED: ATTEST:
LI NELD j.SAN, Mayor
By: E •
SONDRA E. SMITH, City Clerk/Treasurer
001111F
F..-' 0:
1 : FAYETTEVILLE:
::•Lip °%a
�m
`IIsi `NG e0*119GD`,‘‘
City of Fayetteville, Arkansas
Budget Adjustment Form
V11.0222
Budget Year
2012
Division: Aviation
Department: Transportation Services
Request Date
6/19/2012
Adjustment Number
BUDGET ADJUSTMENT DESCRIPTION 1 JUSTIFICATION
To increase the project budget and recognize grant funding for a project to rehabilitate taxiway pavements, aircraft
parking aprons and repaint airfield markings. The project is 95% funded through grants from the DOT/FAA and the
Arkansas Department of Aeronautics. To restore the grant funded portion of funds used for preliminary Engineering
expense to the Airport Use of Fund Balance revenue account.
Project will rehabilitate the remaining taxiways and asphalt aircraft parking areas comprising asphalt rejuvenation
sealer application and re -marking. Will extend the useful life of the existing pavements.
S v
D e
Budget Director
Departm t Director
Date
Date
Finance Direct()
Date
-1101
Date
Prepared By: James Nicholson
Reference:
kspringer
Budget & Research Use Only
Type: A BCD E P
General Ledger Date
Posted to General Ledger
Checked / Verified
Initial Date
Initial Date
TOTAL BUDGET ADJUSTMENT 129,252 129,252
Account Name
Account Number
Increase / (Decrease) Project.Sub
Expense Revenue Number
Ittitv644± kt.Ws 4 i e14.412 ki, 1 5550.0955.6820.41 132,527 12012. 1
State grants on Fed proj 5550.0955.6803.00
Use of fund balance
Public notification
•
7,362 12012 . 1
5550.0955.4999.99 (10,637)
5550.3960.5301.00 1,000
12012 . 1
arrwt.4�ac{it(Z, 4 M 2 I , 5550.3960.7820.41 128,252 12012 : 1
•
•
J:Wames120121BUDGET1BAForm 2012 AIP41 PavementRehabll
Ray M. Boudreaux
Submitted By
City of Fayetteville Staff Review Form
City Council Agenda Items
and
Contracts, Leases or Agreements
6/19/2012
City Council Meeting Date
Agenda Items Only
Aviation
Division
Action Required:
Transportation
Department
Action Required: A Resolution to: '
a) Approve a Contract with Pavement Maintenance Unlimited, LLC, for Airport Pavement Rehab and Re -marking in the amount of
$99,190
b) Approve Change Order #1 to Contract with Pavement Maintenance Unlimited, LLC, in the amount of $22,050 (Increase).
c) Approve application to and acceptance of Grants from DOT/FAA and the Arkansas Department of Aeronautics.
d) Approve a five percent (5%) project contingency in the amount of $7012.
e) Approve a Budget Adjustment for project expense and recognizing grant revenue.
129,252.00
Cost of this request
5550.3960.7820.41
Account Number
120121
Project Number
Budgeted Item
18,000.00
Category / Project Budget
18,000.00
Pavement Rehab & Re -marking Phase 11
Program Category 1 Project Name
Airport Capital
Funds Used to Date Program / Project Category Name
Airport
Remaining Balance Fund Name
Budget Adjustment Attached
�e Q . 4 - i " 2412.
Finance and Internal Services Director Date
Previous Ordinance or Resolution # 84-12
Original Contract Date:
Original Contract Number:
Received inCity°5-31-12P12:'04 RCVD
Clerk's Office
Comments: Project is 95% reimbursable from grants. See attached Budget Adjustment for detail.
Revised January 15, 2009
•
aye
1
ev1 e AVIATION DIVISION
ARKANSAS FAYETTEVILLE EXECUTIVE AIRPORT • DRAKE FIELD
City Council Meeting of: June 19, 2012
Agenda Item Number:
CITY COUNCIL AGENDA MEMO/STAFF CONTRACT REVIEW MEMO
TO: Mayor Jordan
TI RU: Chief of Staff
THRU: Staff/Contract Review Committee
THRU: Terry Gulley, Transportation Directo
FROM: Ray M. Boudreaux, Aviation Di
DATE: May 30, 2012
SUBJECT:
Approve Contract and Change Order No. 1 with Pavement Maintenance
Unlimited, LLC for the Pavement Rehab Phase II project, Grant funding
applications from DOT/FAA and Arkansas Department of Aeronautics, and a
budget adjustment.
RECOMMENDATION: Approve a Contract with Pavement Maintenance Unlimited, LLC, a
project Change Order to increase the scope of the project, approve a five percent (5%) project
contingency amount, approve the application to and receipt of grant funding from the DOT/FAA and
Arkansas Department of Aeronautics, and approve a budget adjustment increasing the project
budget, recognizing the revenue for the project, and restoring the grant -funded portion of the
Airport's Use of fund balance account used for initial design and bidding costs.
BACKGROUND: The City Council approved the design/engineering portion of the project May 1st,
2012, Res. #84-12. The project is eligible for 95% funding with the remaining 5% to be paid from the
Airport's reserves. The project rehabilitates the remaining portions of asphalt pavements that were
not addressed in the 2011 pavement rehabilitation project. The work comprises application of
Rejuvaseal and re -painting of taxiway and aircraft parking apron markings.
This item requests City Council approval of the contract and Change Order No 1 with Pavement
Maintenance Unlimited, LLC, Inc., for the work. Change Order No. 1 expands the scope of the work
to add several desired items. Bids received were below estimate so sufficient grant funding is
available from the FAA for the additional work. 5% match for this project will be paid by the
Arkansas Aeronautics Commission.
BUDGET IMPACT: This project is 90% funded by the FAA ($132,527), 5% Arkansas Department
of Aeronautics ($7362), and the remaining 5% will be paid from the Airport's reserves ($7363).
Attachments: Staff Review
Contract
Change Order No. 1
Grant Application DOT/PAA
Grant Application AR Dept Aeronautics
Budget Adjustment
4500 SOUTH SCHOOL AVENUE, SUITE F • AIRPORT TERMINAL BUILDING - FAYETTEVILLE AR 72701
479.718.7642 479.718.7646 FAX • www.accessfayetteville.org/govemment/avfafion
airport_economic_clevelopment@clfayettevilfe.ar.us
RESOLUTION NO.
A RESOLUTION AWARDING BID #12-46 AND AUTHORIZING A
CONTRACT WITH PAVEMENT MAINTENANCE UNLIMITED, LLC FOR
PAVEMENT REHABILITATION AND RE -MARKING AT FAYETTEVILLE
EXECUTIVE AIRPORT -DRAKE FIELD IN THE AMOUNT OF $99,190.00,
APPROVING CHANGE ORDER NO. 1 TO THE CONTRACT IN THE
AMOUNT OF $22,050.00, BOTH CONTINGENT UPON THE RECEIPT OF
GRANT FUNDING, AUTHORIZING ACCEPTANCE OF GRANT FUNDING
TO FUND NINETY-FIVE PERCENT (95%) OF THE PROJECT, APPROVING
A PROJECT CONTINGENCY IN THE AMOUNT OF $7,012.00, AND
APPROVING A BUDGET ADJUSTMENT
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF
FAYETTEVILLE, ARKANSAS:
Section 1. That the City Council of the City of Fayetteville, Arkansas hereby awards Bid
#12-46 and authorizes a contract with Pavement Maintenance Unlimited, LLC for pavement
rehabilitation and re -marking at Fayetteville Executive Airport -Drake Field in the amount of
$99,190.00, contingent on the receipt of grant funding.
Section 2. That the City Council of the City of Fayetteville, Arkansas further approves
Change Order No. 1 to the contract with Pavement Maintenance Unlimited, LLC in the amount
of $22,050.00, contingent upon the receipt of grant funding.
Section 3. That the City Council of the City of Fayetteville, Arkansas hereby approves a
project contingency in the amount of $7,012.00.
Section 4. That the City Council of the City of Fayetteville, Arkansas hereby authorizes
the acceptance of grants to provide ninety-five percent (95%) funding for the project.
Section 5. That the City Council of the City of Fayetteville, Arkansas hereby approves a
budget adjustment, a copy of which is attached as Exhibit "A".
PASSED and APPROVED this 19th day of June, 2012.
APPROVED: ATTEST:
By:' By:
LIONELD JORDAN, Mayor SONDRA E. SMITH, City Clerk/Treasurer
C
E
I11EECONSULTING D
ENGINEERS, INC.
DESIGNED TO SERVE
DESIGNED SERVE
June 15, 2012
Mr. Ray Boudreaux
Airport Manager,
Fayetteville Municipal Airport
4500 S. School Suite F
Fayetteville, AR 72701
RE: Phase II Airfield Pavement Rehabilitation
Fayetteville Executive Airport
Dear Mr. Boudreaux:
1810 N. College Avenue
P.O. Box 1229
Fayetteville, AR 72703/72702-1229
479-443-2377 • FAX 479-443-9241
www.mcclelland-engrs.com
REC fv
JUN 5 ° 12
Al PORT
Enclosed please find three (3) copies of the signed Change Order No. 1 and three (3)
copies of the signed Contract for Pavement Maintenance Unlimited, LLC. for execution
by the City. Please return one (1) signed copy to the Contractor and a copy to our office.
If there are any questions regarding this project, please contact us.
Sincerely,
McCLELLAND CONSULTING ENGINEERS, INC.
ayne ones
ice Pre f ent
Enclosures: Change Order No. 1 (3 copies)
Contract (3 copies
J:120121122118 - Drake Pavement Phase 1I\Correspondence\bourdreaux-61512.doc
Mee/amid eanau&ting. &uwinceno, Snc. - "Seat enginee'dng flan"
aullanaaa Suaineaa 2009 eC 2010 auuvul Secipient
CHANGE ORDER
Order No.
Date:
Agreement Date:
1
May 29, 2012
June 19, 2012
NAME OF PROJECT: Phase 11, Airfield Pavement Rehabilitation & Striping (AIP Proi. No. 3-05-0020-41-2012)
OWNER: City of Fayetteville (Airport Department)
CONTRACTOR: Pavement Maintenance Unlimited, LLC
The following changes are hereby made to the CONTRACT DOCUMENTS:
1. Increase the quantity for Bid Item No. 3: from 10,000 SF to 28,000 SF and change the work to include the restriping of the Runway
Threshold, Numbers and Touchdown Markings at the unit price at $0.90/SF.
Add cost of $ 16,200.00 to the contract.
2. Increase the quantity for Bid Item No. 5: from 1,500 SF to 8,000 SF and change the work to include the restriping of the concrete
Taxiways "G" &"E" east of the runway, Taxiway "B" west of the runway and the non -movement striping along the Terminal Apron
including the black outline striping at the unit price at $0.90/SF. Add cost of $ 5,850.00 to the contract.
Justification:
1. The Owner has recently had the FAA Certification inspection and these additional striping items were noted in the inspection
as area the need to be corrected.
CONTRACT PRICE prior to this Change Orders: $ 99,190.00
Increase in Contract Price: $ 22,050.00
Revised CONTRACT PRICE Including this Change Order: $ 121 240.00
Final Completion Time Prior to This Change Order: 45 Calendar Days
Net Time Change Resulting From This Change Order: 0 Calendar Days
Change to CONTRACT TIME:
The CONTRACT TIME will be (increased) (decreased) by 0 calendar days.
Approvals Required:
To be effective this Order must be approved by the Owner if it changes the scope or objective or the
PROJECT, or as may otherwise be required by the GENERAL CONDITIONS.
Requested by:
Recommended by:
Approved by:
Pave aintenance Unlimited, LLC
onsulting Engineers, Inc.
J:120121122118 - DRAKE PAVEMENT PHASE IRCONSTRUCTIONICHANGE ORDERSICHANGE ORDER 1.DOC
Date
—/-57Z
Date
Cityof�Fa�/e eville ` e
Da
Page 1
CONTRACT
THIS AGREEMENT, made and entered into on the 1 day of June 2012, by and between
Pavement Maintenance Unlimited, LLC, herein called the Contractor, and the City of
Fayetteville:
WITNESSETH:
That Pavement Maintenance Unlimited, LLC, for the consideration hereinafter fully set out,
hereby agrees with the City of Fayetteville as follows:
1. That Pavement Maintenance Unlimited, LLC, shall furnish all the materials, and perform all
of the work in manner and form as provided by the following enumerated Specifications, and
Documents, which are attached hereto and made a part hereof, as if fully contained herein and are
entitled:
Phase II, Airfield Pavement Rehabilitation & Restriping, Fayetteville Executive Airport,
Advertisement for Bids
Instructions to Bidders
Bid and acceptance thereof
Performance Bond
Payment Bond
General Conditions
Supplemental Conditions
Specifications
Drawings — 3 Sheets
2. That the City of Fayetteville hereby agrees to pay to Pavement Maintenance Unlimitedz
LLC for the faithful performance of this Agreement, subject to additions and deductions as
provided in the Specifications or Bid, in lawful money of the United States, the amount of the
bid $99,190 plus Change Order #1 for ($22,050) for a Contract Amount of One
Hundred Twenty One Thousand, Two Hundred Forty Dollars ($121,240.00).
3. The Work will be completed and ready for final payment in accordance with the General
Conditions within 45 days after the date when the Contract Time commences to run, as provided
in the Notice to Proceed.
4. Liquidated Damages: City of Fayetteville and Pavement Maintenance Unlimited, LLC,
recognize that time is of the essence of this Agreement and the City of Fayetteville will suffer
financial loss Lithe Work is not completed within the times specified above, plus any extensions
thereof allowed in accordance with the General Conditions. They also recognize the delays,
expense, and difficulties involved in proving the actual loss suffered by City of Fayetteville if
the Work is not completed on time. Accordingly, instead of requiring any such proof, City of
Fayetteville and Pavement Maintenance Unlimited, LLC, agree that as liquidated damages for
delay (but not as a penalty) Pavement Maintenance Unlimited, LLC, shall pay City of
Fayetteville One Hundred Dollars ($100.00) for each day that expires after the time specified
in Paragraph 3 for completion and readiness for final payment.
FY122118 Drake Field Pavement Section 00500 - 1
5. That within 30 days of receipt of an approved payment request, the City of Fayetteville shall
make partial payments to Pavement Maintenance Unlimited, LLC, on the basis of a duly
certified and approved estimate of work performed during the preceding calendar month by
Pavement Maintenance Unlimited, LLC, LESS the retainage provided in the General
Conditions, which is to be withheld by the City of Fayetteville until all work within a
particular part has been performed strictly in accordance with this Agreement and until such
work has been accepted by the City of Fayetteville.
6. That upon submission by Pavement Maintenance Unlimited, LLC, of evidence satisfactory to
the City of Fayetteville that all payrolls, material bills, and other costs incurred by Pavement
Maintenance Unlimited, LLC, in connection with the construction of the work have been paid
in full, final payment on account of this Agreement shall be made within 60 days after the
completion by Pavement Maintenance Unlimited, LLC, of all work covered by this
Agreement and the acceptance of such work by the City of Fayetteville.
7. It is further mutually agreed between the parties hereto that if, at any time after the execution of
this Agreement and the Surety Bond hereto attached for its faithful performance and payment,
the City of Fayetteville shall deem the Surety or Sureties upon such bond to be unsatisfactory
or if, for any reason such bond ceases to be adequate to cover the performance of the work,
Pavement Maintenance Unlimited, LLC, shall, at its expense, within 5 days after the receipt
of notice from the City of Fayetteville, furnish an additional bond or bonds in such form and
amount and with such Surety or Sureties as shall be satisfactory to the City of Fayetteville. In
such event, no further payment to Pavement Maintenance Unlimited, LLC, shall be deemed
to be due under this Agreement until such new or additional security for the faithful perfor-
mance of the work shall be furnished in manner and form satisfactory to the City of
Fayetteville.
8. Changes, modifications, or amendments in scope, price or fees to this contract shall not be
allowed without a prior formal contract amendment approved by the Mayor and the City
Council in advance of the change in scope, cost or fees.
9. Freedom of Information Act. City contracts and documents prepared while performing city
contractual work are subject to the Arkansas Freedom of Information Act. If a Arkansas
Freedom of Information Act request is presented to the City of Fayetteville, Pavement
Maintenance Unlimited, LLC will do everything possible to provide the documents in a
prompt and timely manner as prescribed in the Arkansas Freedom of Information Act (A.C.A.
§25-19-101 et. Seq.). Only Legally authorized photocopying cost pursuant to the FOIA may be
assessed for this compliance.
FY122118 Drake Field Pavement Section 00500 - 2
IN WITNESS WHEREOF, the parties hereto have executed this Agreement on the day and date first
above written, in three (3) counterparts, each of which shall, without proof or accounting for the
other counterparts be deemed an original Contract.
SEAL:
WITNESS S.
ATTEST:
City Clerk
oilimPflfo
��C;.Yof••G,�'.
° • s i
FAYETTEVILLE
�j�sqR A S .J
�•s:1 •i •o+O�:
'°`i ,NG TONG?�,.
Pavement Maintenance Unlimited, LLC
By
e
Title
CITY OF FAYETTEVILLE
FY1221 18 Drake Field Pavement Section 00500 - 3
OMB Number: 4040-0004
Expiration Date: 03/31/2012
Application for Federal Assistance SF -424
* 1. Type of Submission:
MI Preapplication
0 Application
0 Changed/Corrected Application
• 2. Type
EI New
In Continuation
n Revision
of Application: * If Revision, select appropriate letter(s):
" Other (Specify)
*3. Date Received: 4. Applicant Identifier:
5a. Federal Entity Identifier:
* 5b. Federal Award Identifier.
AR/OK ADO, ASW -630
3-05-0020-41-2012
State Use Only:
6. Date Received by
7. State Application Identifier:
State:
8. APPLICANT
INFORMATION:
* a. Legal Name:
City of Fayetteville
* b. Employer/Taxpayer Identification Number (ON/TIN):
716018462
• c. Organizational DUNS:
134398903
d. Address:
*Street!:
Street2:
*City:
County:
* State:
Province:
• Country:
*Zip 1 Postal Code:
113 W Mountain St
Fayetteville
Washington
Arkansas '
USA: UNITED STATES
72701
e. Organizational Unit:
Department Name:
Division Name:
Transportation
Aviation
f. Name and contact information of person to be contacted on matters involving this application:
Prefix:
Middle Name:
" Last Name:
Suffix:
Mr,
* First Name: Ray
M
Boudreaux
Title: Aviation Director
Organizational Affiliation:
Airport Manager, Drake Field, KFYV
* Telephone Number.
479-718-7642 Fax Number. 479-718-7646
* Email: rboudreaux@ci.fayetteville.ar.us
Application for Federal Assistance SF-424
9. Type of Applicant 1: Select Applicant Type:
(C) City Government
Type of Applicant 2: Select Applicant Type:
Type of Applicant 3: Select Applicant Type:
Other (specify):
* 10. Name of Federal Agency:
Federal Aviation Administration
11. Catalog of Federal Domestic Assistance Number:
20.106
CFRA Title:
Airport Improvement Program (AIP)
* 12. Funding Opportunity Number:
`Title:
13. Competition Identification Number:
Title:
14. Areas Affected by Project (Cities, Counties, States, etc.):
City of Fayetteville, Washington County, Arkansas
* 15. Descriptive Title of Applicant's Project:
Pavement Rehabilitation & Re-marking Phase 11
Attach supporting documents as specified in agency instructions.
Application for Federal Assistance SF -424
16. Congressional
* a. Applicant
Districts Of:
AR District 3 * b. Program/Project AR District 3
Attach an additional list of ProgramlProject Congressional Districts if needed.
17. Proposed
*a Start Date:
Project:
June 2012 • b. End Date: August 2012
18. Estimated Funding (9):
*a. Federal 132,527
* b. Applicant 7,363
*c. State 7,362
*d. Local
* e. Other
*L Program income
*g. TOTAL 147,252
* 19. Is Application
E a. This application
ID b. Program
c. Program
Subject to Review By State Under Executive Order 12372 Process?
was made available to the State under the Executive Order 12372 Process for review on •
is subject to E.O. 12372 but has not been selected by the State for review.
is not covered by E.O. 12372.
* 20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes", provide explanation.) Applicant Federal Debt Delinquency Explanation
r Yes M 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)
Q ** 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:
Middle Name:
* Last Name:
Suffix:
The Honorable * First Name: Lioneld
Jordan
* Title: Mayor, City of Fayetteville
* Telephone Number: 479-575-$330 Fax Number: 479-575.8257
* Email: Ijordan@ci.fayetteville.ar.us
*Signature of Authorized
Representative: ,L 4.....r1. * Date Signed: 4.— 2--"'
Application for Federal Assistance SF -424
* Applicant Federal Debt Delinquency Explanation
The following field should contain an explanation if the Applicant organization is delinquent on any Federat Debi. Maximum number of
characters that can be entered is 4,000. Try and avoid extra spaces and carriage returns to maximize the availability of space.
N/A
U.S. DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION
PART II
PROJECT APPROVAL INFORMATION
SECTION A
OMB NO. 2120-0569
11/3012007
Item 1.
Does this assistance request require State, local, regional,
or other priority rating?
Yes n No
Name of Governing Body:
Priority:
Item 2.
Does this assistance request require State, or local
advisory, educational or health clearances?
Yes U No
Name of Agency or Board:
(Attach Documentation)
Item 3.
Does this assistance request require clearinghouse review
in accordance with OMB Circular A-95?
I5 Yes No
(Attach Comments)
Item 4.
Does this assistance request require State, local,
regional or other planning approval?
Yes
X
No
Name of Approving Agency:
Date: / /
Item 5.
Is the proposal project covered by an approved
comprehensive plan?
Yes
X
No
Check one:
Location of Plan:
State
Local
Regional
Item 6.
Will the assistance requested serve a Federal
installation?
n Yes X No
Name of Federal Installation:
Federal Population benefiting from Project:
Item 7.
Will the assistance requested be on Federal land
or installation?
n Yes
Name of Federal Installation:
Location of Federal Land:
No Percent of Project:
Item 8.
Will the assistance requested have an impact or effect on
the environment?
0 Yes X No
See instruction for additional information to be
provided
Item 9.
Will the assistance requested cause the displacement of
individuals, families, businesses, or farms?
n Yes n No
Number of:
Individuals:
Families:
Businesses:
Farms:
Item 10.
Is there other related Federal assistance on this
project previous, pending, or antici ted?
II Yes n No
See instructions for additional information to be
provided.
FAA Form 5100-100 (6-73) SUPERSEDES FAA FORM 5100-1 (9-03)
Page 2
U.S. DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION
PART II - SECTION C
The Sponsor hereby represents and certifies as follows:
OMB NO. 2120-0569
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 Sponsor has adopted Drake Field Ordinance 2607, which regulates and restricts all land use activities in
the vicinity of Fayetteville Executive Airport, Drake Field. Adopted January 20, 1980 and as amended.
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 Part V of this Application, 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.
Not applicable
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.
Not applicable
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.
Not applicable
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.
Not applicable
FM Form 5100-100 (9-03) SUPERSEDES FAA FORM 5100-100 (6-73) Page 3a
U.S. DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION
PART II - SECTION C (Continued)
OMB NO. 2120-069
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":
Not applicable
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":
Not applicable
(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"
*State 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 (9-03) SUPERSEDES FAA FORM 5100-100(4-76) Page 3b
U.S. DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION
OMB NO. 2120-0569
PART III - BUDGET INFORMATION - CONSTRUCTION
SECTION A - GENERAL
1. Federal Domestic Assistance Catalog No
2. Functional or Other Breakout
20-106
Airport Improvement Program
SECTION B -CALCULATION OF FEDERAL GRANT
Cost Classification
Use only for revisions
Total
Amount
Required
Latest Approved
Amount
Adjustment
+ or (-)
1. Administration expense
$
$
$ 1,000
2. Preliminary expense
3. Land, structures, right-of-way
4. Architectural engineering basic fees
$ 8,000
5. Other Architectural engineering fees
$ 2,500
6. Project inspection fees
$ 7,500
7. Land development
8. Relocation Expenses
9. Relocation payments to Individuals and Businesses
10. Demolition and removal - Obstruction removal
11. Construction and project improvement
$ 121,240
12. Equipment
13. Miscellaneous
14. Total (Lines 1 through 13)
$ 140,240
15. Estimated Income (if applicable)
16. Net Project Amount (Line 14 minus 15)
$ 140,240
17. Less: Ineligible Exclusions
18. Add: Contingencies (5%)
$ 7,012
19. Total Project Amt. (Excluding Rehabilitation Grants)
$ 147,252
20. Federal Share requested of Line 19
$ 132,527
21. Add Rehabilitation Grants Requested (100 Percent)
22. Total Federal grant requested (lines 20 & 21)
$ 132,527
23. Grantee share
7,363
24. Other shares AR State Dept Aeronautics 5% Match
$ 7,362
25. Total Project (Lines 22, 23 & 24)
$
$
$ 147,252
FAA Form.5100-100 (9-03) SUPERSEDES FAA FORM 5100-100 (6-73)
Page 4
U.S. DEPARTMENT OF TRANSPORTATION - FEDERAL AVIATION ADMINISTRATION
OMS NO. 2120-0569
SECTION C - EXCLUSIONS
Classification
Ineligible for
Participation
(1)
Excluded From
Contingency Provision
(2)
a.
$
$
b.
c.
d.
e.
f.
g. Totals
$
$
SECTION D - PROPOSED METHOD OF FINANCING NON-FEDERAL SHARE
27. Grantee Share
$
7,363
a. Securities
b. Mortgages
c. Appropriations (By Applicant)
d. Bonds
e. Tax Levies
f. Non Cash
g_ Other (Explain)
h. TOTAL - Grantee share
28. Other Shares
a. State Arkansas Department of Aeronautics
$
7,362
b. Other
c. Total Other Shares
29. TOTAL
$ 14,725
SECTION E - REMARKS
PART IV PROGRAM NARRATIVE (Attach - See Instructions)
FAA Form 5100-100 (9-03) SUPERSEDES FAA FORM 5100-100 (6-73)
Page 5