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Glendale Municipal Airport
Taxiway A Rehabilitation (Phase II)
FAA AIP No. 3-04-0064-034-2022
FAA Airport Improvement Program
Grant Application
April 2022
Prepared For:
DIBBLE
7878 North 16th Street,
Suite 300
Phoenix, AZ 85020
P. 602.957.1155
Dibble Project No. 1020058.01
OMB Number: 4040-0004
Expiration Date: 12/31/2022
Application for Federal Assistance SF-424
* 41. Type of Submission:
[_] Preapplication New
[X] Application [_] Continuation
[] Changed/Corrected Application [_] Revision
* 2. Type of Application:
* If Revision, select appropriate letter(s):
* Other (Specify):
_
* 3. Date Received:
4. Applicant Identifier:
fee
_
5a. Federal Entity Identifier:
5b. Federal Award Identifier:
[_
State Use Only:
6. Date Received by State: | 7. State Application Identifier:
8. APPLICANT INFORMATION:
*a.LegalName: [giendale Municipal Airport
* b, Employer/Taxpayer Identification Number (EIN/TIN):
* c. Organizational DUNS:
86-6000247 | [0775235790000
d. Address:
* Street: [6801 worth Glen Harbor Blvd. d
Street2: [suite 201
* City: [Glendale
County/Parish: [Maricopa
* State: | AZ: Arizona
Province: |
* Country: [
USA: UNITED STATES
* Zip / Postal Code: |s5307
|
e. Organizational Unit:
Department Name:
Division
Name:
Public Works
[transportation
f. Name and contact information of person to be contacted on matters involving this application:
* First Name:
[soe
Middle Name: [
* Last Name: [zusbana
Title: airport Administrator and General Manager
Organizational Affiliation:
L
* Telephone Number: [623-930-2188
Fax Number:
"Email: [jnusbanaéglendaleaz.com
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:
Type of Applicant 3: Select Applicant Type:
* Other (specify):
i
* 10. Name of Federal Agency:
[Federal Aviation Administration |
11. Catalog of Federal Domestic Assistance Number:
20.106
CFDA Title:
Airport Improvement Program (AIP)
* 12. Funding Opportunity Number:
N/A _ |
* Title:
N/A
13. Competition Identification Number:
IN/A
Title:
IN/A
14. Areas Affected by Project (Cities, Counties, States, etc.):
_ | [Aadvatiachment | [Paiste attachment | | View Atachment |
* 15. Descriptive Title of Applicant's Project:
Realign connector Taxiway A4 & A6 to meet current FAA design standards
Attach supporting documents as specified in agency instructions.
[_Add Attachments | | Delete Attachments | [ View Attachments |
Application for Federal Assistance SF-424
16. Congressional Districts Of:
* a. Applicant * b. Program/Project
Attach an additional list of Program/Project Congressional Districts if needed.
17. Proposed Project:
*a. Start Date: |06/15/2022 *b. End Date: |10/15/2022
18. Estimated Funding ($):
* a. Federal 1,529, 582.00]
*b. Applicant 0. 00]
|
L_
*o. State [ 75,085.00]
|
|
7
*d. Local
75,085.00]
0.09]
*e, Other
*f. Pragram Income 0. 00|
*g, TOTAL 1,679, 752..00|
* 419. Is Application Subject to Review By State Under Executive Order 12372 Process?
O a. This application was made available to the State under the Executive Order 12372 Process for review on [
O 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 in attachment.)
[_] Yes No
If "Yes", provide explanation and attach
21. “By signing this application, | 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. | also provide the required assurances and agree to
comply with any resulting terms if | accept an award. | am aware that any false, fictitious, or fraudulent statements or claims may
subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001)
[X] * | AGREE
“* The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency
specific instructions.
Authorized Representative:
Middle Name: | |
* Last Name: [Husband 7
* Title: [aixport Administrator and General Manager
* Telephone Number: [623-930-2188 Fax Number: |
* Email: |gRusbandeglendaleaz -com
_
* Signature of Authorized Representative:
1» U.S. Department of Transportation OMB CONTROL NUMBER: 2120-0569
‘@ Federal Aviation Administration EXPIRATION DATE: 6/30/2023
Application for Federal Assistance (Development and Equipment Projects)
PART Il - PROJECT APPROVAL INFORMATION
Part Il - SECTION A
The term “Sponsor” refers to the applicant name provided in box 8 of the associated SF-424 form.
Item 1.
Does Sponsor maintain an active registration in the System for Award Management
(www.SAM.gov)? Yes LINo
Item 2.
Can Sponsor commence the work identified in the application in the fiscal year the
grant is made or within six months after the grant is made, whichever is later? Yes LINo LINA
Item 3.
Are there any foreseeable events that would delay completion of the project? If yes, Oves No CONA
provide attachment to this form that lists the events.
Item 4.
Will the project(s) covered by this request have impacts or effects on the
environment that require mitigating measures? If yes, attach a summary listing of (Yes No LINA
mitigating measures to this application and identify the name and date of the
environmental document(s).
Item 5.
Is the project covered by this request included in an approved Passenger Facility
Charge (PFC) application or other Federal assistance program? If yes, please OlYes LINo N/A
identify other funding sources by checking all applicable boxes.
0 The project is included in an approved PFC application.
If included in an approved PFC application,
does the application only address AIP matching share? OlYes LINo
0 the project is included in another Federal Assistance program. Its CFDA number is below.
Item 6.
Will the requested Federal assistance include Sponsor indirect costs as described in Oy
2 CFR Appendix VII to Part 200, States and Local Government and Indian Tribe bia
Indirect Cost Proposals?
No LINA
If the request for Federal assistance includes a claim for allowable indirect costs, select the applicable indirect cost rate
the Sponsor proposes to apply:
LJ De Minimis rate of 10% as permitted by 2 CFR § 200.414.
LJ Negotiated Rate equal to % as approved by (the Cognizant Agency)
on (Date) (2 CFR part 200, appendix VII).
Note: Refer to the instructions for limitations of application associated with claiming Sponsor indirect costs.
FAA Form 5100-100 (8/20) SUPERSEDES PREVIOUS EDITION Page 1 of 7
OMB CONTROL NUMBER: 2120-0569 OMB
EXPIRATION DATE: 6/30/2023
PART Il - SECTION B
Certification Regarding Lobbying
The declarations made on this page are under the signature of the authorized representative as identified in box 21 of
form SF-424, to which this form is attached. The term “Sponsor’ refers to the applicant name provided in box 8 of the
associated SF-424 form.
The Authorized Representative certifies, to the best of his or her knowledge and belief, that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the Sponsor, to any person
for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer
or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any
Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any
cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal
contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer
or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract,
grant, loan, or cooperative agreement, the Authorized Representative shall complete and submit Standard
Form-LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions.
(3) The Authorized Representative shall require that the language of this certification be included in the award
documents for all sub-awards at all tiers (including subcontracts, subgrants, and contracts under grants, loans,
and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was
made or entered into. Submission of this certification is a prerequisite for making or entering into this
transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification
shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.
FAA Form 5100-100 (8/20) SUPERSEDES PREVIOUS EDITION Page 2 of 7
OMB CONTROL NUMBER: 2120-0569 OMB
EXPIRATION DATE: 6/30/2023
PART Il — 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:
Part 150 Noise Compatibility Plan
Public Airport Disclosure Map on file with the Arizona Department of Real Estate
Coordination with the City of Glendale Planning Department
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:
N/A
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:
N/A
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 an airport development project under Title 49, United
States Code, it has consulted with airport users that will potentially be affected by the project (§ 47105(a)(2))
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.
N/A
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.
N/A
FAA Form 5100-100 (8/20) SUPERSEDES PREVIOUS EDITION Page 3 of 7
OMB CONTROL NUMBER: 2120-0569 OMB
EXPIRATION DATE: 6/30/2023
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”. [1]
The land is owned by the airport sponsor (City of Glendale) as indicated on the current Airport Layout Plan (ALP) and
Airport Proprty Map (Exhibit A) in the property table.
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”. [1]
N/A
(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”. [1]
N/A
" 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 (8/20) SUPERSEDES PREVIOUS EDITION Page 4 of 7
OMB CONTROL NUMBER: 2120-0569 OMB
EXPIRATION DATE: 6/30/2023
PART III - BUDGET INFORMATION — CONSTRUCTION
SECTION A - GENERAL
1.
2.
Assistance Listing Number: 20.106
Functional or Other Breakout:
Airport Improvement Program
SECTION B - CALCULATION OF FEDERAL GRANT
Latest Approved Adjustment Total
Cost Classification (Use oniy for “Usonyer pmount
revisions) revisions) fequired
1. Administration expense $ 10,000
2. Preliminary expense 0
3. Land, structures, right-of-way 0
4. Architectural engineering basic fees 69,886
5. Other Architectural engineering fees 0
6. Project inspection fees 242,037
7. Land development 0
8. Relocation Expenses 0
9. Relocation payments to Individuals and Businesses 0
10. Demolition and removal 0
11. Construction and project improvement 1,357,829
12. Equipment 0
13. Miscellaneous 0
14. Subtotal (Lines 1 through 13) $ 1,679,752
15. Estimated Income (if applicable) 0
16. Net Project Amount (Line 14 minus 15) 1,679,752
17. Less: Ineligible Exclusions (Section C, line 23 g.) 0
18. Subtotal (Lines 16 through 17) $ 1,679,752
19. Federal Share requested of Line 18 1,529,582
20. Grantee share 75,085
21. Other shares 75,085
22. TOTAL PROJECT (Lines 19, 20 & 21) $ 1,679,752
FAA Form 5100-100 (8/20) SUPERSEDES PREVIOUS EDITION
Page 5 of 7
OMB CONTROL NUMBER: 2120-0569 OMB
EXPIRATION DATE: 6/30/2023
SECTION C —- EXCLUSIONS
23. Classification (Description of non-participating work) evita
a.
b.
c.
d.
e.
f.
g. Total
SECTION D - PROPOSED METHOD OF FINANCING NON-FEDERAL SHARE
24. Grantee Share - Fund Categories Amount
a. Securities $0
b. Mortgages 0
c. Appropriations (by Applicant) 0
d. Bonds 0
e. Tax Levies 0
f. Non-Cash 0
g. Other (Explain); CIP Finds 75,085
h. TOTAL - Grantee share $ 75,085
25. Other Shares Amount
a. State 75,085
b. Other 0
c. TOTAL - Other Shares _ $ 75,085
26. TOTAL NON-FEDERAL FINANCING $ 150,170
SECTION E — REMARKS
(Attach sheets if additional space is required)
1. Airport Sponsor Assurances (attached)
2. Sponsor Certifications (attached)
3. Property Map (attached)
FAA Form 5100-100 (8/20) SUPERSEDES PREVIOUS EDITION
Page 6 of 7
OMB CONTROL NUMBER: 2120-0569
OMB EXPIRATION DATE: 6/30/2023
PART IV —- PROGRAM NARRATIVE
(Suggested Format)
PROJECT: Taxiway A Rehabiliation, (Phase I!)
AIRPORT: Glendale Municipal Airport
1. Objective:
To realign Taxiways A4 & A6 to meet current FAA design standards.
2. Benefits Anticipated:
Improved aircraft movement and efficiency on the airfield.
3. Approach: (See approved Scope of Work in Final Application)
4. Geographic Location:
Glendale Municipal Airport is located south of Glendale Avenue approximately six miles west of the business center
of the City of Glendale, Arizona.
5. If Applicable, Provide Additional Information:
N/A
6. Sponsor’s Representative: (include address & telephone number)
Mr. Joe Husband Airport Administrator and General Manager
6801 North Glen Harbor Blvd.
Glendale, AZ 85397 (623-923-2188)
FAA Form 5100-100 (8/20) SUPERSEDES PREVIOUS EDITION Page 7 of 7
Current FAA Advisory Circulars Required for Use in AIP
Funded and PFC Approved Projects
Updated: 1/31/2022
View current and previous versions of these ACs and any associated changes at:
http:/www.faa.gov/airports/resources/advisory_ circulars and
http://www faa.gov/requlations_policies/advisory circulars/. !
70/7460-1M Obstruction Marking and Lighting
150/5000-9A Announcement of Availability - Report No. DOT/FAA/PP/92-5, Guidelines for
the Sound Insulation of Residences Exposed to Aircraft Operations
150/5000-17 Critical Aircraft and Regular Use Determination
150/5020-1 Noise Control and Compatibility Planning for Airports
150/5070-6B, Airport Master Plans
Changes 4 - 2
150/5070-7 The Airport System Planning Process
Change 1
150/5100-13C. Development of State Aviation Standards for Airport Pavement Construction
150/5200-28F Notices to Airmen (NOTAMs) for Airport Operators
150/5200-30D, Airport Field Condition Assessments and Winter Operations Safety
Changes 1 - 2
150/5200-31C, Airport Emergency Plan
Changes 1 - 2
150/5200-33C Hazardous Wildlife Attractants on or near Airports
‘All grant recipients are responsible for reviewing errata sheets and addendums pertaining to these
Advisory Circulars.
FAA Advisory Circulars Required for Use in Updated 1/31/2022 Page 1 of 5
AIP Funded and PFC Approved Projects ARP
150/5200-34A Construction or Establishment of Landfills Near Public Airports
150/5200-38 Protocol for the Conduct and Review of Wildlife Hazard Site Visits, Wildlife
Hazard Assessments, and Wildlife Hazard Management Plans
150/5210-5D Painting, Marking, and Lighting of Vehicles Used on an Airport
150/5210-7D Aircraft Rescue and Fire Fighting Communications
150/5210-13C Airport Water Rescue Plans and Equipment
150/5210-14B Aircraft Rescue Fire Fighting Equipment, Tools and Clothing
150/5210-15A Aircraft Rescue and Firefighting Station Building Design
150/5210-18A Systems for Interactive Training of Airport Personnel
150/5210-19A Driver's Enhanced Vision System (DEVs)
150/5220-10E Guide Specification for Aircraft Rescue and Fire Fighting (ARFF) Vehicles
150/5220-16E, Automated Weather Observing Systems (AWOS) for Non-Federal
Change 1 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
150/5220-23A Frangible Connections
150/5220-24 Airport Foreign Object Debris (FOD) Detection Equipment
150/5220-25 Airport Avian Radar Systems
150/5220-26, Airport Ground Vehicle Automatic Dependent Surveillance - Broadcast (ADS-
Changes 1 - 2 B) Out Squitter Equipment
150/5230-4C Aircraft Fuel Storage, Handling, Training, and Dispensing on Airports
150/5300-13A, Airport Design
Change 1
150/5300-14D Design of Aircraft Deicing Facilities
150/5300-15A Use of Value Engineering for Engineering and Design of Airport Grant Projects
FAA Advisory Circulars Required for Use in Updated 1/31/2022 Page 2 of 5
AIP Funded and PFC Approved Projects ARP
‘NUMBER
TITLE
150/5300-16B
General Guidance and Specifications for Aeronautical Surveys: Establishment
of Geodetic Control and Submission to the National Geodetic Survey
150/5300-17C,
Change 1
Standards for Using Remote Sensing Technologies in Airport Surveys
150/5300-18B,
Change 1
General Guidance and Specifications for Submission of Aeronautical Surveys
to NGS: Field Data Collection and Geographic Information System (GIS)
Standards
150/5320-5D
Airport Drainage Design
150/5320-6G
Airport Pavement Design and Evaluation
150/5320-12C,
Changes 1 - 8
Measurement, Construction, and Maintenance of Skid Resistant Airport
Pavement Surfaces
150/5320-15A
Management of Airport Industrial Waste
150/5320-17A
Airfield Pavement Surface Evaluation and Rating Manuals
150/5325-4B
Runway Length Requirements for Airport Design
150/5335-5C
Standardized Method of Reporting Airport Pavement Strength - PCN
150/5340-1M,
Change 1
Standards for Airport Markings
150/5340-5D
Segmented Circle Airport Marker System
150/5340-18G,
Change 1
Standards for Airport Sign Systems
150/5340-26C
Maintenance of Airport Visual Aid Facilities
150/5340-30J
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
Specifications for Airport Lighting 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
FAA Advisory Circulars Required for Use in Updated 1/31/2022 Page 3 of 5
AIP Funded and PFC Approved Projects ARP
TITLE
150/5345-26E
FAA Specification For L-823 Plug and Receptacle, Cable Connectors
150/5345-27F
FAA Specification for Wind Cone Assemblies
150/5345-28H
Precision Approach Path Indicator (PAPI) Systems
150/5345-39E
Specification for L-853, Runway and Taxiway Retroreflective Markers
150/5345-42J
Specification for Airport Light Bases, Transformer Housings, Junction Boxes,
and Accessories
150/5345-43J
Specification for Obstruction Lighting Equipment
150/5345-44K
Specification for Runway and Taxiway Signs
150/5345-45C Low-Impact Resistant (LIR) Structures
150/5345-46E Specification for Runway and Taxiway Light Fixtures
150/5345-47C Specification for Series to Series Isolation Transformers for Airport Lighting
Systems
150/5345-49D 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
150/5360-13A
Airport Terminal Planning
150/5360-14A
Access to Airports By Individuals With Disabilities
150/5370-2G
Operational Safety on Airports During Construction
150/5370-10H
Standard Specifications for Construction of Airports
150/5370-11B
Use of Nondestructive Testing in the Evaluation of Airport Pavements
FAA Advisory Circulars Required for Use in Updated 1/31/2022 Page 4 of 5
AIP Funded and PFC Approved Projects ARP
150/5370-13A Off-Peak Construction of Airport Pavements Using Hot-Mix Asphalt
150/5370-15B Airside Applications for Artificial Turf
150/5370-16 Rapid Construction of Rigid (Portland Cement Concrete) Airfield Pavements
150/5370-17 Airside Use of Heated Pavement Systems
150/5380-6C Guidelines and Procedures for Maintenance of Airport Pavements
150/5380-7B Airport Pavement Management Program
150/5380-9 Guidelines and Procedures for Measuring Airfield Pavement Roughness
150/5390-2C Heliport Design
150/5395-1B Seaplane Bases
THE FOLLOWING ADDITIONAL APPLY TO AIP PROJECTS ONLY
Updated: 1/31/2022
150/5100-14E, Architectural, Engineering, and Planning Consultant Services for Airport Grant
Change 1 Projects
150/5100-17, Land Acquisition and Relocation Assistance for Airport Improvement Program
Changes 1 - 7 Assisted Projects
150/5100-21 State Block Grant Program
150/5370-12B Quality Management for Federally Funded Airport Construction Projects
FAA Advisory Circulars Required for Use in Updated 1/31/2022 Page 5 of 5
AIP Funded and PFC Approved Projects ARP.
ASSURANCES
AIRPORT SPONSORS
A. General.
1.
These assurances shall be complied with in the performance of grant agreements for airport
development, airport planning, and noise compatibility program grants for airport sponsors.
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.
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.
Airport Development or Noise Compatibility Projects Undertaken by a Private Sponsor.
The preceding paragraph 1 also applies to a private sponsor except that the useful life of project
items installed within a facility or the useful life of the facilities developed or equipment
acquired under an airport development or noise compatibility program project shall be no less
than ten (10) years from the date of acceptance of Federal aid for the project.
Airport 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.
Airport Sponsor Assurances 2/2020 Page 1 of 18
C. Sponsor Certification.
The sponsor hereby assures and certifies, with respect to this grant that:
1. General Federal Requirements.
{twill 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:
a.
b.
c.
p
> m@
on
Title 49, U.S.C., subtitle Vil, as amended.
Davis-Bacon Act - 40 U.S.C. 276(a), et seq.*
Federal Fair Labor Standards Act - 29 U.S.C. 201, et seq.
Hatch Act —5 U.S.C. 1501, et seq.”
Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 Title 42
U.S.C. 4601, et seq.??
National Historic Preservation Act of 1966 - Section 106 - 16 U.S.C. 470(f).2
Archeological and Historic Preservation Act of 1974 - 16 U.S.C. 469 through 469c.!
Native Americans Grave Repatriation Act - 25 U.S.C. Section 3001, et seq.
Clean Air Act, P.L. 90-148, as amended.
Coastal Zone Management Act, P.L. 93-205, as amended.
Flood Disaster Protection Act of 1973 - Section 102(a) - 42 U.S.C. 4012a.2
Title 49, U.S.C., Section 303, (formerly known as Section 4(f))
Rehabilitation Act of 1973 - 29 U.S.C. 794.
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);
Americans with Disabilities Act of 1990, as amended, (42 U.S.C. § 12101 et seq.), prohibits
discrimination on the basis of disability).
Age Discrimination Act of 1975 - 42 U.S.C. 6101, et seq.
American Indian Religious Freedom Act, P.L. 95-341, as amended.
Architectural Barriers Act of 1968 -42 U.S.C. 4151, et seq.*
Power plant and Industrial Fuel Use Act of 1978 - Section 403- 2 U.S.C. 8373.2
Contract Work Hours and Safety Standards Act - 40 U.S.C. 327, et seg.'
Copeland Anti-kickback Act - 18 U.S.C. 874.1
National Environmental Policy Act of 1969 - 42 U.S.C. 4321, et seq.”
Wild and Scenic Rivers Act, P.L. 90-542, as amended.
Single Audit Act of 1984 - 31 U.S.C. 7501, et seq.”
Drug-Free Workplace Act of 1988 - 41 U.S.C. 702 through 706.
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).
Airport Sponsor Assurances 2/2020 Page 2 of 18
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
g. Executive Order 13788 - Buy American and Hire American
h. Executive Order 13858 — Strengthening Buy-American Preferences for Infrastructure
Projects
FEDERAL REGULATIONS
a. 2 CFR Part180 —- OMB Guidelines to Agencies on Government-wide Debarment and
Suspension (Non-procurement).
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].* > ®
c. 2 CFR Part 1200 — Non-procurement 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).!
|. 49 CFR Part 18 - Uniform administrative requirements for grants and cooperative
agreements to state and local governments.?
m. 49 CFR Part 20 - New restrictions on lobbying.
Airport Sponsor Assurances 2/2020 Page 3 of 18
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.**
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 -Government-wide Requirements for Drug-Free Workplace (Financial
Assistance)
v. 49 CFR Part 37 -Transportation Services for Individuals with Disabilities (ADA).
w. 49 CFR Part 41 - Seismic safety of Federal and federally assisted or regulated new building
construction.
SPECIFIC ASSURANCES
Specific assurances required to be included in grant agreements by any of the above laws,
regulations or circulars are incorporated by reference in this grant agreement.
FOOTNOTES TO ASSURANCE C.1.
1
2
3
These laws do not apply to airport planning sponsors.
These laws do not apply to private sponsors.
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.
On December 26, 2013 at 78 FR 78590, the Office of Management and Budget (OMB) issued the
Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal
Awards in 2 CFR Part 200. 2 CFR Part 200 replaces and combines the former Uniform
Administrative Requirements for Grants (OMB Circular A-102 and Circular A-110 or 2 CFR Part
215 or Circular) as well as the Cost Principles (Circulars A-21 or 2 CFR part 220; Circular A-87 or 2
CFR part 225; and A-122, 2 CFR part 230). Additionally it replaces Circular A-133 guidance on the
Single Annual Audit. In accordance with 2 CFR section 200.110, the standards set forth in Part
200 which affect administration of Federal awards issued by Federal agencies become effective
once implemented by Federal agencies or when any future amendment to this Part becomes
final. Federal agencies, including the Department of Transportation, must implement the
policies and procedures applicable to Federal awards by promulgating a regulation to be
effective by December 26, 2014 unless different provisions are required by statute or approved
by OMB.
Airport Sponsor Assurances 2/2020 Page 4 of 18