Okaloosa County BOCC — August 19, 2014 — FAA Grant Application_VPS Boarding Ramps — reading text

See attached sketch 5. Justification for Force Account Work: (if applicable) N/A 6: Sponsor's Representative: (incl. address & tel. no.) Mr. Sunil Harman, A.A,E., [AP Northwest Florida Regional Airport 1701 SR 85 North Eglin, AFB, FL 32542 (850)651-7160, Extension 4 Sas apis meee sas or 2. ——— NORTHWEST FLORIDA Onensa Ponan seerosion [ESS SE REGIONAL AIRPORT AIRPORT PROPERTY MAP Patonrasia [or MRA TERMINAL PLAN UPDATE ep con ser 3 3 15/5 |5||S| || (c|s|xjz 8 3 Exhibit A U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION AIRPORT IMPROVEMENT PROGRAM SPONSOR CERTIFICATION EQUIPMENT/CONSTRUCTION CONTRACTS OKALOOSA COUNTY NORTHWEST FLORIDA REGIONAL Pax Loading Bridges (Sponsor) (Airport) (Project Number) Description of Work: Title 49, United States Code (USC), section 47105(d), authorizes the Secretary to require certification from the sponsor that it will comply with the statutory and administrative requirements in carrying out a project under the Airport Improvement Program (AIP). General standards for equipment and construction contracts within Federal grant programs are described in Title 49, Code of Federal Regulations (CFR), Part 18.36. AIP standards are generally described in FAA Advisory Circular (AC) 150/5100-6, Labor Requirements for the Airport Improvement Program, AC 150/5100-15, Civil Rights Requirements for the Airport Improvement Program, and AC 150/5100-16, Airport Improvement Program Grant Assurance One--General Federal Requirements. Sponsors may use State and local procedures provided procurements conform to these Federal standards. Except for the certified items below marked not applicable (N/A), the list includes major requirements for this aspect of project implementation, although it is not comprehensive, nor does it relieve the sponsor from fully complying with all applicable statutory and administrative standards. No N/A CO U 4. Acode or standard of conduct isGwill bé}in effect governing the performance of the sponsor's officers; €mployees, or agents in soliciting and awarding procurement contracts. 2. Qualified personnel arefwill Bs) engaged to perform contract administration, engineering supervision, construction inspection, and testing. 3. The procurement was((will be) publicly advertised using the competitive sealed bid method of procurement. RR Rf 4, The bid solicitation clearly and accurately describes (will a. The current Federal wage rate determination for all construction projects, and b. All other requirements of the equipment and/or services to be provided. IN L C Page 10f3 June 28, 2005 Yes No N/A 5. Concurrence Will bey obtained from FAA prior to contract award under any of the following circumstances: a, Only one qualified person/firm submits a responsive bid, b. The contract is to be awarded to other than the lowest responsible bidder, c. Life cycle costing is a factor in selecting the lowest responsive bidder, or d. Proposed contract prices are more than 10 percent over the sponsor’s cost estimate. 6. All contracts exceeding $100,000 requir€ (will require) the following provisions: enamel a. A bid guarantee of 5 percent, a performance bond of 100 percent, and a payment bond of 100 percent; b. Conditions specifying administrative, contractual, and legal f remedies, including contract termination, for those instances LJ LI in which contractors violate or breach contact terms; and c. Compliance with applicable standards and requirements issued under Section 306 of the Clean Air Act (42 USC 1857(h)), Section 508 of the Clean Water Act (33 USC 1368), and Executive Order 11738. oN 7. All construction contracts contain (fll contain)»provisions for: a. Compliance with the Copeland “Anti-Kick Back” Act, and b. Preference given in the employment of labor (except in mr | [| executive, administrative, and supervisory positions) to honorably discharged Vietnam era veterans and disabled veterans. 8. All construction contracts exceeding $2,000 contain (will contain) the following provisions: , a. Compliance with the Davis-Bacon Act based on the current ww oO O Federal wage rate determination; and b. Compliance with the Contract Work Hours and Safety Standards Act (40 USC 327-330), Sections 103 and 107. 9. All construction contracts exceeding $10,000 contain (vill. “contaipy appropriate clauses from 41 CFR Part 60 for ta compliance with Executive Orders 11246 and 11375 on Equal C] L] Employment Opportunity. 10. All contracts and subcontracts contairf (will contain) clauses required from Title VI of the Civil Rights Acta CFR 23 and cA 49 CFR 26 for Disadvantaged Business Enterprises. Page 2 of 3 June 28, 2005 Yes No NIA 11. Appropriate checks have-beer(will be)nade to assure that contracts or subcontracts are not awarded to those individuals or firms suspended, debarred, or voluntarily excluded from doing 4 C] business with any U.S. Department of Transportation (DOT) element and appearing on the DOT Unified List. UU | certify, for the project identified herein, responses to the forgoing items are accurate as marked and have prepared documentation attached hereto for any item marked “no” that is correct and complete. OKALOOSA COUNTY FLORIDA Jame ofSponsor) an Vag of sors Designated Official Representalive) unil Aary , A.A.E., IAP (Typed Name of Sponsor's Designated Official Representative) Airports Director (Typed Title of Sponsor's Designated Official Representative) July 31, 2014 (Date) Page 3 0f 3 Jung 28, 2095 U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION AIRPORT IMPROVEMENT PROGRAM SPONSOR CERTIFICATION DRUG-FREE WORKPLACE ORALZOE COUNTY NORTHWEST FLORIDA REGIONAL PAX LOADING BRTDGES (Sponsor} (Airport) (Project Number Description of Work: Title 49, United States Code, section 47105(d), authorizes the Secretary to require certification from the sponsor that it will comply with the statutory and administrative requirements in carrying out a project under the Airport Improvement Program (AIP). General requirements on the drug-free workplace within Federal grant programs are described in Title 49, Code of Federal Regulations, Part 29. Sponsors are required to certify they will be, or will continue to provide, a drug-free workplace in accordance with the regulation. The AIP project grant agreement contains specific assurances on the Drug-Free Workplace Act of 1988. Except for the certified items below marked not applicable (N/A), the list includes major requirements for this aspect of project implementation, although it is not comprehensive, nor does it relieve the sponsor from fully complying with all applicable statutory and administrative standards. Yes No N/A 1. Astatement has been (@witebe) published notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the me sponsor's workplace, and specifying the actions to be taken against employees for violation of such prohibition. LJ LO 2. An ongoing drug-free awareness program has been (wittBeé) established to inform employees about: a, The dangers of drug abuse in the workplace; b. The sponsor's policy of maintaining a drug-free workplace; ta oO O c. Any available drug counseling, rehabilitation, and employee assistance programs; and d. The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace. 3. Each employee to be engaged in the performance of the work has been (wi-bé) given a copy of the statement required within mo item 1 above. 4, Employees have been (witibe) notified in the statement required by item 1 above that, as 4 condition employment under the grant, the employee will: . ua [| LJ a. Abide by the terms of the statement; and Page 1 of 2 June 28, 2005 b. Notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later than five calendar days after such conviction. 5. The FAA will be notified in writing within ten calendar days after receiving notice under item 4b above from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including position title of the employee, to the FAA. Notices shall include the project number of each affected grant. 6. One of the following actions will be taken within 30 calendar days of receiving a notice under item 4b above with respect to any employee who is so convicted: a. Take appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or b. Require such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency. 7. A good faith effort will be made to continue to maintain a drug- free workplace through implementation of items 1 through 6 above. Yes No N/A ay O O | have prepared documentation attached hereto with site(s) for performance of work (street address, city, county, state, zip code). There are no such workplaces that are not identified in the attachment. | have prepared additional documentation for any above items marked “no” and attached it hereto. | certify that, for the project identified herein, responses to the forgoing items are accurate as marked and attachments are correct and complete. OKALOOSA COUNTY PLORIDY (Name of Sponsor) “ (Signature of Poppet ‘ed Official Representative) arm Sunil A.A.E. (Typed Name of Sponsor's Ssnaled iia Representative) Airports Director (Typed Title of Sponsor's Designated Official Representative) July 31, 2014 (Date) Page 2 of 2 June 28, 2005 U.S, DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION AIRPORT IMPROVEMENT PROGRAM SPONSOR CERTIFICATION SELECTION OF CONSULTANTS OKALOOSA COUNTY NORTHWEST FLORIDA REGIONAL PAX LOADING BRIDGES (Sponsor) (Airport) (Project Number) Description of Work: Title 49, United States Code, section 47105(d), authorizes the Secretary to require certification from the sponsor that it will comply with the statutory and administrative requirements in carrying out a project under the Airport Improvement Program (AIP). General standards for selection of consultant services within Federal grant programs are described in Title 49, Code of Federal Regulations (CFR), Part 18.36. Sponsors may use other qualifications-based procedures provided they are equivalent to specific standards in 49 CFR 18 and FAA Advisory Circular 150/5100-14, Architectural, Engineering, and Planning Consultant Services for Airport Grant Projects. Except for the certified items below marked not applicable (N/A), the list includes major requirements for this aspect of project implementation, although it is not comprehensive, nor does it relieve the sponsor from fully complying with all applicable statutory and administrative standard. Yes No N/A 1. Solicitations we will be made to ensure fair and open competition from a wide area of interest. ce CJ | 2. Consultants weré or will beSelected using competitive procedures based on qualifications, experience, and disadvantaged enterprise requirements with the fees determined through negotiations. 3. Arecord of negotiations has-aeen déwill belprepared reflecting considerations involved in the establishment of fees, which are not significantly above the sponsor's independent cost estimate. 4. |f engineering or other services are to be performed by sponsor / force account personnel, prior approval was-af will be obtained from the FAA. 5. The consultant services contracts clearly establish of will blearly establish the scope of work and delineate the division of responsibilities between all parties engaged in carrying out elements of the project. 6. Costs associated with work ineligible for AIP funding