Professional Documents
Culture Documents
ExpirationDate:10131/2019
Applicationfor FederalAssistanceSF-424
* 1. Typeof Submission: ' 2. Type of Application: * lf Revision,selectappropriate
letter(s):
IP # 3-23-0056-xxx-201"7
StateUseOnly:
" b. EmployerffaxpayerldentificationNumber(ElN/TlN):
-t ' c. Organizational
DUNS:
*-l
h1 rg'o'?g---- lF,:ill,'-Er':+,:' I
d. Address:
Streetl: Termina I
City: nswic k
County/Parish: erland
Province:
Couniry:
Zip / PostalCodo: 0 4 { . t 1 . 1
e. OrganizationalUnit:
DeoartmentName: DivisionName:
f. Name and contact Information of person to be contacted on matterc involving this application:
Prefix: l,lartJ
MiddleName:
'Last Name:
Mahon
Suffix: I I
Title: viation Services tranager
OrganizationalAffiliation:
i.dcoast Regional Redevelopment Authori-ty
* Email:
[ m a r t y r n G m r r a .u s
3911312017GrantApplication
Complete Page1 of 53
Applicationfor FederalAssistanceSF-424
' 9, Type of Appllcant1: SelectApplicantType:
I I
Regional Organization I
lE: I
fu"o
11. Catalog of Federal Domestic Assistance Number:
CFDATitle:
r r p.rrt Improvement Program
'12- FundingOpportunity
Number:
'Title:
l__,_* I
I
Title:
Complete
3S11312A17GranlApplication Page 2 of 53
Applicationfor FederalAssistanceSF-424
16.CongressionalDistrictsOf:
'a. Applicanl 'b. ProgramiProject
'r','" nu* i
|--o.**-o',*tr'**|f
17. Propoaed ProJect:
'a. StartDate: * b. End Date:
a. Federal 2 , 0 7 4 ,2 0 0 . 0
b. Applicant 22,380.0
c. Stale 2 O r , 4 2 0. O C
d. Local
e. Other
f. Prqysrn Inconle
g. TOTAL 2,238,000.0
I U. Programis subjectto E.O. 12372but has not beenselecledby the Statefor review.
21,'By slgnlng thls applicatlon, I certify (1) to the statements contained in the llst of certlflcatlons"'and (2) that the statements
hereln are true, complete and accurate to the best of my knowledge. I also provide the requlred assurances* and agree to
comply wlth any resutting terms lf I accept an award. I am aware that any false, fictitlous, or fraudulent statements or claims may
subJect me to crimlnaf, clvll, or admlnlstratlve penalties. (U.S.Code, Title 218, Section 1001)
.. TA G RE E
X
** The list of certiticationsand assurances,or an internetsite where you may obtain this list. is containodin the announcementor agency
specificinstructions.
Prefix: * F i r s tN a m e : l M a r t v I
HI .
MiddleName:
* Last Name:
$uft'x.
'Tille:
'Email:
rt)rm@mrra . us
3911312017GrantApplication
Complete Page3 of 53
OMBCONTROLNUMBER:2120-0569
OMBEXPIRATION
DATE:8t312A19
- CONSTRUCTION
PARTIII- BUDGETINFORMATION
A - GENERAL
SECTION
CatalogNumber:20-106
Assistance
1. FederalDomestic
2. Functionalor OtherBreakout: Airportlmprovement
Program
SECTIONB - CALCULATION
OF FEDERALGRANT
Cost Glassification
expense
1. Administration
2. expense
Preliminary
3. right-of-way
Land,structures,
basicfees
engineering
4. Architectural
fees
engineering
5. OtherArchitectural
8. RelocationExpenses
9. Relocationpayments to Individualsand Businesses
1 2 . E quipm ent
13. Miscellaneous
14. Subtotal(Lines1 through13)
15. Estimatedlncome (if applicable)
18.Subtotal(Lines16through17) $ 2,238,000
of Line18
19. FederalSharerequested 2,014,200
20, Granteeshare
21. Othershares 201,420
(Lines19,20&21)
22. TOTALPROJECT
(3/16)SUPERSEDES
FAA Forms100-100 EDITION
PREVIOUS Page 5 of 7
Complete
3911312017GrantApplication Page 8 of 53
OMBCONTROLNUMBER:2120-0569
DATE:813'112019
OMB EXPIRATION
SEGTIONC - EXCLUSIONS
Amount Ineliglblefor
23. Classification(Descriptionof non-participating
work) Participation
a-
b.
c.
d,
e-
t
g- Total
a. Securities
b. Mortgages
(byApplicant)
c. Appropriations 22,380
d. Bonds
e. TaxLevies
f. Non-Cash
g. Other(Explain):
h. TOTAL- Granteeshare $ 22,380
25. Other Shares Amount
a. State 2A1,420
b. Other
c. TOTAL- OtherShares $ 201,420
FINANCING
26. TOTALNON.FEDERAL $ 223,800
SECTIONE - REMARKS
(Attach sheets if additional space is required)
(3/16)SUPERSEDES
FAAForm5100-100 EDITION
PREVIOUS Page 6 of 7
Complete
3911312017GrantApplication Page 9 of 53
OMBCONTROLNUMBER:2120-0569
OMBEXPIRATION
DATE:813112019
PART IV - PROGRAMNARRATIVE
(Suggesfed
Format)
AIRPORTI BrunswickExecutive
Airport
1. Objectlve:
This projectis Phase4 of a multi-phasedprojectto convertformsrNavyhangarsto civilianusefor the airport.Phase
4 improvementsincludemechanical,electricaland concreteimprovements to Hangar6 as well as painting,ADA
bathroomupgrades,codecomplianco, floor coating,and LEDoverheadlightingin 3 baysin Hangar5.
2. BenefitsAnticipated:
projectswill improveefficiency,
The hangarimprovement utility,andthe expectedlifespanof the hangars.
4. GeographicLocation:
BXM Location:2 SE fromthe townof Brunswick,
Maine
/ W 69-56-19.01
Pt:N 43053'-32.0
AirportReference
(3/16)SUPERSEDES
FAAForm5100-100 PREVIOUS
EDITION PageTot7
Complete
3911312017GrantApplication P a g e1 0o f 5 3
PARTIV PROGRAMNARRATIVE
GRANTAPPLICATION ASSISTANCE
FORFEDERAT
PROJECT
DESCRIPTION
Renovationsto Hangars5:
* Renovate2 bathroomsto make them ADA compliant.
c Coa tth e h a n g a rfl o o r i n a l l b a y s .
. P ain tth e h a n g a rb a y w a l l s .
r Modify the emergencyeyewashstationsso that they are up to code.
r Replacethe north bay lightingwith LEDfixtures. LEDlightswere installedin the south and middle
bay si n P h a s e1 .
DETAILED
SCOPE
OF SERV]CES
tr Develop,edit, and revise project scope of work and fee proposaland assistthe sponsorduring
IndependentFee Estimateprocessby providing project sketches,scoping meeting notes, and
correspondencerelevantto project,in orderto obtain an lFE,Consultant/Owneragreement,FAA
COSTSUMMARY(Seeattached detail)
E ngi n e e ri n F
g ees 5510,600.00
SponsorAdministration $400.00
Construction 51,727,000.00
Total Project Cost 52,238,000.00
F ede ra S l h a re 52,014,200.00
S t at eo f M a i n e S h a re 5201,420.00
S pon s o rSh a re 522,380.00
FUNDEDCONSTRUCTION
FEDERALLY COORDINATION
PROJECT
PATION
STATEAGENCYPARTICI
T he pr ojec tw a s c o o rd i n a te dth ro u g h M a i neD OT.C oordi nati onw i th Mai neD OTi ncl udedC IPand proj ect
document review.
PATION
ADDITIONALAGENCYPARTICI
ENVIRONMENTALDECLARATI
ON
BUSINESS
STATEMENTON DISADVANTAGED STATUS
ENTERPRISE
The goal for DisadvantagedBusinessEnterpriseparticipationin this project is 2.94%of the total grant
am ount . DB EP l a ns u b mi tte da n d F AAa p p rovalrecei vedMarch 17,20L5.
WITH AIRPORTUSERS
STATEMENTOF COORDINATION
T he M idc oa s t R e g i o n a lR e d e v e l o p me nAuthori
t ty coordi natesw i th users of the B runsw i ckE xecuti v e
Airport through monthly board meetings,and an establishedAirport AdvisoryCommittee"
z,
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a
T
6-
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o
F
6
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3
2
Hovh.Tanner
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lflI Ds'{i l*it
BRUNSWICK AIRPORT
EXECUTIVE
n
A{rndEtr,
lJ
l*l
r$l-ii,l-rfi
03EF12Z
2017 PROJECT
FIGURE
i;
r)
,{ssofiates, Inc. ls {/Ll"&lhalli
A
i
h, F tH.r' l, dl!! arar i ;t*T
PHASE4 - HANGAR5 & 6
HANGARIMPRO\EMENTS, I
cHh:g- g? ER. EY {!5. BY s*rE: SCrLE' PROJECTSKETCH
SLS 515 515 Apr'il Z0l7 1"=1000'
Complete
3911312017GrantApplication Page17of 53
3-23 -005 6-028-2At7
U.S.Department
of Transportation
FederalAviation
Administration
GRANTAGREEMENT
PRnrl-Orrrn
Dateof Offer
Atc0220t7
Area
Airport/Planning BrunswickExecutive
Airport
A I PG r a n tN u m b e r 3-23-0056-028-2017
DUNSNumber 808096304
TO: Authority(MRRA)
MidcoastRegionalRedevelopment
{hereln called the "Sponsor")
hereincalledthe
throughthe FederalAviationAdministration,
FROM: The UnitedStatesof America{acting
"FAA")
WHEREAS, the Sponsorhassubmittedto the FAAa ProjectApplicationdatedMay 1, 20L7,for a grantof
Federalfundsfor a projectat or associated Airport,whichis includedas part
with the BrunswickExecutive
of this GrantAgreement;and
WHEREAS, Airport(hereincalledthe
the FAAhasapproveda projectfor the BrunswickExecutive
"Project")consistingof the following:
Rehabilitate 5 and6 (FinalPhase- ADA,Mechanical,
Building- lmproveHangars & Finishes),
Electrical
CONDITIONS
1" @imC!!l)b!ig3$q. Themaximumobligationof the UnitedStatespayableunderthisOfferis
52,014,affi.
Thefollowing amountsrepresent a breakdown of the maximum for the purpose
obligation of establishing
allowable amounts for anyfuturegrantamendment, whichmayincreasetheforegoing maximum
obligation ofthe UnitedStatesunderthe provisionsof49 U.s.c.547108(b):
50 for planning
S2,014,2m airportdevelopment or noiseprogram implementation;
and,
50 for landacquisition.
fundingfromtheSmallAirportFund.
ThesourceofthisGrantmayinclude
Z. Edg!L9!_Perf9!!!e!je.Theperiodof performance beginson the datethe Sponsor formallyacceptsthls
' Unless explicitly
statedotherwisein an amendment from the FAA,the end dateof the period
agreement.
of performance
is 4 years(1,460 calendardays)fromthe dateof formal grantacceptance bythe Sponsor.
TheSponsor mayonlycharge allowablecostsfor obligations incurredpriorto the enddateofthe periodof
performance (2CFR5200,309). Unlessthe FAAauthorizes a writtenextension,the sponsor
mustsubmitall
projectcloseoutdocumentation andliquidate(payoff) all obligations
incurredunderthis awardno later
than90 calendardaysafterthe enddateofthe periodof performance (2CFR5200.343).
Theperiodof performance
enddatedoesnotrelieve or reduceSponsor andassurances
obligations that
extendbeyondthe closeoutof a grantagreement.
TheSponsor
3. !]|cIg!b!C_el.']lh3!!gwaue!99!!. mustnot includeanycostsin th projectthat the FAAhas
determined to be ineligible
or unallowable.
4. !!d!Ice$9!!!:S!9!Sg. Sponsormaychargeindirectcostsunderthisawardbyapplyingthe indirectcost
asacceptedbythe FM, to allowablecostsfor Sponsordirect
rate identifiedin the projectapplication
salariesandwages.
5.@'Theunitedstates,shareofa||owableprojectcostswi||be
madein accordance with the regulations, andprocedures
policies, Finaldetermination
of the Secretary. of
the UnitedStates'sharewill be baseduponthe finalauditof the total amountof allowableprojectcosts
andsettlement willbe madefor anyupwardor downward adjustments to theFederalshareof costs.
. 6. Completinrthe ProlectWithoutDelavandin Conformancc with Reoulrements.TheSponsormustcarry
out andcomplete the projectwithoutunduedelays andin accordancewiththisagreement,andthe
policies,
regulations, and procedures The
of the Secretary. Sponsor alsoagreesto complywith the
assuranceswhichate partof thisagreement.
?. . TheFAAreserves the rightto amendor withdraw
thisofferat anytimepriorto itsacceptance bythe Sponsor.
8. 9!&LEIE!Iagg!-Ele. Thisofferwill expireandthe UnitedStateswill not be obligatedto payanypartof
the costsof the projectunlessthisofferhasbeenacceptedbythe Sponsor gqbefglgsCpL@ql
!Q!f, or suchsubsequent dateasmaybe prescribed in writlngbythe FAA.
3 -23- 005 6-028-2017
b. toemplovees
outreach
other about risks
thesaretv associated
;1.Tilt*ff;iliff;;',il.d
of thisclauseon banningtextingwhiledrivingin all subgrants,
B. TheSponsormustinsertthe substance
contractsand subcontracts.
21. AIP FundedWork Includedin a PFCApplication.
Within 90 daysof acceptance of this award,Sponsormustsubmitto the FederalAviationAdministration
an amendmentto anyapprovedPassenger Charge(PFC)
Facility that containsan approvedPFC
application
projectalsocoveredunderthis grantaward.Theairportsponsormay not makeany expenditureunder
this award until projectwork addressed underthis awardis removedfrom an approvedPFCapplicationby
amendment.
22. Exhibit"A" PropertvMap. The Exhibit"A" PropertyMap datedApril 26,20L6,attachedto AIP3-23-0056-
O23-2Ot6,is incorporatedhereinby referenceand madepartof this grantagreement.
23. .
-
of Reprisals
A. Prohibition
I 4712,an employeeof a granteeor subgranteemay not be
with 41 U.S.C.
1. In accordance
demoted,or otherwisediscriminated
discharged, to a personor
againstas a reprisalfor disclosing
(AX2),
body describedin sub-paragraph informationthat the employee reasonably believesis
evidenceof:
i. Grossmismanagement granU
of a Federal
ii. Grosswasteof Federalfunds;
iii. or useof Federalfunds;
An abuseof authorityrelatingto implementation
iv. and specificdangerto publichealthor safety;or
A substantial
v. A violationof law, rule,or regulationrelatedto a Federalgrant.
2. Persons persons
and bodiescovered:The and bodiesto whicha disclosure
by an employeeis
coveredare asfollows:
i. A memberof Congress of a committeeof Congress;
or a representative
ii. An Inspector
General;
iii. The GovernmentAccountability
Office;
iv. for oversightof a grantprogram;
A Federalofficeor employeeresponsible
v. A courtor grandjury;
vi. officeof the granteeor subgrantee;
A management or
vii. A Federalor Stateregulatoryenforcementagency.
3. Submission - A personwho believes
of Complaint that they havebeensubjectedto a reprisal
prohibitedby paragraphA of thisgrantterm maysubmita complaintregardingthe reprisal
to the
Officeof InspectorGeneral(OlG)for the U.S.Departmentof Transportation.
- A complaintmay not be broughtunderthis
4. TimeLimitationfor Submittalof a Complaint
morethanthreeyearsafterthe dateon whichthe allegedreprisaltook place.
subsection
Actionsof the Inspector
5. Required General- Actions,limitations of the Inspector
andexceptions
under41 U.S.C.
officeare established
General's 5 4712(b)
3 - 2 3 - 0 0 5 6 - O2 8 - 2 A t 7
(TypedName)
Manager,AirportsDivision
(Title of FM official)
, 3-23-00s6-028-20L7
Pnnr ll - AccePrANcE
The Sponsordoesherebyratifyand adoptall assurances, statements, warranties,
representations,
covenants,and agreements containedin the ProjectApplicationand incorporatedmaterialsreferredto in
the foregoingOffer,and doesherebyacceptthis Offerand by suchacceptance agreesto complywith all of
the termsand conditions in thisOfferandin the ProjectApplication.
I declareunderpenaltyof perjurythat the foregoingis true and correct.l
rh ' 'tt
Executedthi'- ? dayof ' 'M'
MidcoastRegionar Redeveropment
Authority(MRRA)
(Nameof Sponsor)
(Signotureof
By: tl ,Fds"{tu#
S/erzerv(TypedNameof Sponsofs AuthwizePoffiaa)
Title: Exs.rhv,*P-irclp-R
(Title of Sponsor"sAuthorized OfJicial
o^"l.:,"rT:ffi:,I;:,r.
t, { oh, 9, f.,ill}","u"1" dohereby
sponsor certiry:
(TypedNameof Sponsor's
Attorney)
That in my opinionthe Sponsoris empoweredto enterinto the foregoingGrantAgreementunderthe laws
of the Stateof Maine.Further,I haveexaminedthe foregoingGrantAgreementandthe actionstakenby
saidSponsorand Sponsor's hasbeenduly authorizedandthat the executionthereof
officialrepresentative
due and properandin accordance
is in all respects with the lawsof the saidStateandthe Act.In addition,
for grantsinvolvingprojectsto be carriedout on propertynot ownedby the Sponsor,there are no legal
impediments that will preventfull performanceby the Sponsor. Further,it is my opinionthat the said
GrantAgreementconstitutes a legaland bindingobligationof the Sponsorin accordance with the terms
thereof'
n I t rt-', - t/i4'L
D a t e^dr { ) o n f t o , . r, l { , t q t f t e - - ( l o c a t i otnh)i s , / c : ' d a y o -f { O . * t ,20!7
By: