Okaloosa County BOCC — August 19, 2014 — FAA Grant Application_Bag Lifts at VPS — reading text

handling of bags in an efficient and safer manner 4. Geographic Location: See attached sketch Northwest Florida Regional Airport Terminal Area. 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 1701 SR 85 North Eglin AFB, FL 32542 (850)651-7160 482 South Kober Road Onende, Flonda 32810-8101 TEL. (497) 847-7275 FAX (407) 140-8710 seme pba com @. AIRPORT PROPERTY MAP. PBS! merrirue NORTHWEST FLORIDA REGIONAL AIRPORT TERMINAL PLAN UPDATE =| = - Ney / =e — 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 UC U 4. Acode or standard of conduct isGvill be} in effect governing the performance of the sponsor's officers, Employees, or agents in soliciting and awarding procurement contracts. 2. Qualified personnel arefwill Be) 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. RX Ri 4, meateP clearly and accurately describes (will Scribe} 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 LI OC Page 1 of 3 Juns 28, 2005 Yes No N/A 5. Concurrence Will bg} 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: 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 CL L] 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. 7. All construction contracts contain (ell 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 TA Oo Og 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_ “containy appropriate clauses from 41 CFR Part 60 for taf compliance with Executive Orders 11246 and 11375 on Equal C] L] Employment Opportunity. 10. All contracts and subcontracts contair{ (will contain clauses / required from Title VI of the Civil Rights Acta CFR 23 and 49 CFR 26 for Disadvantaged Business Enterprises. Page 2 of 3 June 28, 2005 11. Appropriate checks have-beerwill beyInade to assure that contracts or subcontracts are not awarded to those individuals or firms suspended, debarred, or voluntarily excluded from doing business with any U.S. Department of Transportation (DOT) element and appearing on the DOT Unified List. N/A Ww oo LJ | 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 ame of’Sponsor) Vey of fsor’s Designated Official Representative) ‘unil Aar, , 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 of 3 June 28, 2005 U.S. DEPARTMENT OF TRANSPORTATION FEDERAL AVIATION ADMINISTRATION AIRPORT IMPROVEMENT PROGRAM SPONSOR CERTIFICATION DRUG-FREE WORKPLACE 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 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 4. A statement has been (wittbte) published notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the ue sponsor's workplace, and specifying the actions to be taken against employees for violation of such prohibition. LJ LI 2. An ongoing drug-free awareness program has been (witt6e) 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; La Og a 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 (wit-be) given a copy of the statement required within wy | [| item 1 above. 4, Employees have been (wi ) notified in the statement required by item 1 above that, as & condition employment under the grant, the employee will: a C] LJ a. Abide by the terms of the statement; and Page 1 of 2 June 28, 2005 Yes . No NIA 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 a of convicted employees must provide notice, including position CJ 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 iy 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 [7 above. 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 a4 4 (Name of Sponsor) a (Signature of Sor fot Official Representative) Sunil Marmdn, 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 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 ware-ef will be nade to ensure fair and open iy ; LI competition from a wide area of interest. 2. Consultants weré or(will beselected using competitive procedures based on qualifications, experience, and disadvantaged enterprise requirements with the fees determined through negotiations. 3. A record of negotiations has-been dEwill 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 bs 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